State of California
California AIDS Drugs Assistance Program (ADAP)
Sponsor Organization
California
Prescription Medication Assistance Organization Contact
Office of AIDS
California Dept of Health Services
611 N. 7th St
Sacramento, CA 95814
Phone: (916) 449-5900
Medications sent to: Patient’s Doctor
Prescription Medications/Products Covered:
Adriamycin
Agenerase
Albenza
Aldara
Ancobon
Avandia
Avosulfon
AZT
Bactrim
Biaxin Filmtab
Blenoxane
Buspar
Celexa
Cipro
Cleocin
Clopra
Combivir
Compazine
Crixivan
Cytovene
Cytoxan
d4T
Daraprim
Daunoxome
Deca-Durabolin
Decadron
Depakote Tablets
Diflucan
Durabolin
Duragesic
Effexor Tablets
Emtriva
Epivir
Famvir
Fortovase
Foscavir
Fungizone
Fuzeon
Glucotrol
Humatin
Hydrea
Infergen
Intron A
Invirase
Kaletra
Kaletra Oral Solution
Lamictal
Lamprene
Levo-Dromoran
Lexiva
Lipitor
Lomotil
Lotrimin
Marinol
Megace
Mepron
Myambutol
Mycelex
Mycobutin
Mycostatin
NebuPent
Neupogen
Neurontin
NeuTrexin
Nizoral
Norvir Oral Solution
Norvir Soft Gelatin Capsules
Oncovin
Oxandrin
Panretin Gel
Paxil
Pentam
Phenergan Tablets
Pneumovax
Pnu-Immune
Pravachol
Prevacid
Prilosec Capsules
Procrit
Proloprim
Prozac
Rebetron
Reglan
Rescriptor
Retrovir
Reyataz
Risperdal
Roferon-A
Septra
Seroquel
Serostim
Serzone
Sporanox
Sustiva
Taxol
Toradol injection
Trimpex
Trizivir
Ultrase
Valcyte
Valtrex
Velban
Videx
Videx EC
Viracept
Viramune
Viread
Vistide
Vitravene
Wellbutrin
Wellcovorin
Xanax
Ziagen
Zithromax
Zocor Tablets
Zoloft
Zovirax
Zyprexa
Program Eligibility Requirements:
- individuals are eligible if they are HIV POSITIVE
- must be a resident of California
- must be 19 years of age and older
- must have a valid prescription from a California licensed physician
- income must be at or below 400% of the current Federal Poverty Level
- if your income is too high to qualify but is less than $50,000
- a sliding scale co-payment based on annual state income tax liability can apply
