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1. Apply for eligibility.
Before you can be enrolled in ADAP, you must be determined eligible to receive HIV/AIDS Patient Care Services through the Patient Care Eligibility screening process. You can fill out some of the forms online. (When submitting electronic forms, you understand that these forms may be received by the Florida Department of Health and/or lead agencies contracted with the Florida Department of Health to provide case management, ADAP and eligibility services as well as their subcontractors.) Contact your local ADAP Office for more information. Once you have been determined eligible, please be sure to bring the Eligibility Letter with you to the ADAP Office for enrollment.
The HIV/AIDS Patient Care Eligibility Process will request and review the following:
- Proof of HIV+ status
- Florida Residency
- Insurance Screening: Medicaid, Medicare, Private and others
- Proof of Income (400% of the Federal Poverty Level)
2. Schedule your ADAP appointment.
To learn how you can schedule an appointment with ADAP:
- Call your local county health department and speak with an ADAP staff member
- Call the Florida HIV/AIDS Hotline
English: 1-800-352-2437 (1-800-FLA-AIDS)
Espanol: 1-800-545-7432 (1-800-545-SIDA)
Kreyol: 1-800-2437-101 (1-800-AIDS-101)
3. Enroll in ADAP.
Once you have been determined eligible for Patient Care Core Eligibility (Step 1), and scheduled your ADAP appointment (Step 2), you can move forward with ADAP enrollment.
What is needed for ADAP Enrollment?
- The Patient Care Core Eligibility Letter
- A prescription for at least one antiretroviral
- An HIV viral load laboratory result that is less than six months old and an HIV CD4 laboratory result that is less than 12 months old at the time of enrollment or recertification
- Insurance documentation, if applicable
What if I have insurance but cannot afford my medication?
There are several insurance exceptions that will allow a person to enroll into ADAP.
- Medicare Part D
- Medicaid Share-of-Cost
- No Brand Name Coverage
- No Prescription Coverage
- Open Enrollment
- Pharmaceutical Benefits Cap
- Unaffordable Co-payment
4. Get your prescriptions filled.
Uninsured clients in a county health department that has no on-site pharmacy will be served through a specialty pharmacy – please visit our Specialty Pharmacy Services page. Clients with insurance will pick up medications from a CVS retail store or a participating pharmacy.
A valid form of identification will be needed in order to pick up prescriptions. Make sure you take your medication(s) as it was prescribed by your doctor. For more information about medications the program carries, please refer to the ADAP Formulary Section.
If you do not qualify for ADAP, you may still qualify for Partnership for Prescription Assistance (PPA) and for patient assistance programs (PAPs). There are over 180 programs offered by pharmaceutical companies that provide free or low-cost drugs for individuals who can not afford to pay for them. Each program has specific eligibility criteria and coverage.