Arizona AIDS Drug Assistance Program

Arizona AIDS Drug Assistance Program

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State of Arizona

Arizona AIDS Drug Assistance Program

Sponsor Organization
Arizona

Prescription Medication Assistance Organization Contact
Coordinator, Office of HIV/AIDS
Arizona Dept of Health Services
150 North 18th Avenue, Ste 110
Phoenix, AZ 85007-3233
Phone: (602) 234-2752

Medications sent to: Patientís Doctor

Prescription Medications/Products Covered:
Agenerase
AZT
Bactrim
Biaxin Filmtab
Biaxin Granules
Biaxin XL Filmtab
Combivir
Crixivan
d4T
Dapsone
Daraprim
ddC
ddI
DDS
Diflucan
Emtriva
Epivir
Fortovase
Fuzeon
HIVID
Invirase
Kaletra
Kaletra Oral Solution
Lexiva
Mycobutin
NebuPent
Norvir Oral Solution
Norvir Soft Gelatin Capsules
Rescriptor
Retrovir
Reyataz
Septra
Sustiva
Trizivir
Videx
Videx EC
Viracept
Viramune
Viread
Zerit
Ziagen
Zithromax
Zovirax

Program Eligibility Requirements:
- income must be at or below 300% of the current Federal Poverty Level
- must not be eligible for the Arizona Health Care Cost Containment System (AHCCCS), Arizona's Medicaid program
- must not have other benefits which could pay for the medications
- must be HIV +

Additional Information and/or Requirements (known):
All individuals applying for ADAP are screened for AHCCCS eligibility. ADAP will provide up to 30 days of medication until eligibility is determined.

In Maricopa/Pinal counties, the Maricopa County Dept of Public Health Services Pharmacy distributes the medications. In other parts of the state, ADAP supplies drugs direct to designated pharmacies.

If you have any further questions please contact Laura Kroger, Coordinator of the Office of HIV/AIDS, at (602) 364-3610 or email at


Link: Prescription Medication Program Website

 

 

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