AIDS Drug Assistance Program

You may be eligible for ADAP assistance if the following applies and proof is provided:

• HIV positive status
• Need HIV/AIDS medications
• Income at 130% of the Federal Poverty Level
• Are uninsured or do not have adequate prescription coverage
• Are not confined to a hospital, nursing home, hospice, or correctional facility

You can fill out some forms online. You will need to also contact your local ADAP Office for more information.

Schedule your ADAP appointment

Once you have been determined eligible, please be sure to bring the eligibility letter with you to the appointment for enrollment.

Enroll in ADAP

Once you have been determined eligible and scheduled your ADAP appointment (Step 1), you can move forward with ADAP enrollment. You will need to provide:

• Patient Care Core Eligibility Form
• Prescription for at least one antiretroviral
• Insurance documentation, if applicable (see below)

ADAP Insurance

ADAP clients with income of at least 50% of the federal poverty level may qualify for assistance with insurance through the federal marketplace.

In addition to meeting the program qualifications, an individual must meet the following criteria to receive ADAP Insurance:

• Request determination of subsidies from the federal marketplace when submitting a marketplace application
• Provide all supporting documentation required at the time the federal marketplace application is submitted and the enrollment is processed

ADAP insurance offers help with the following types of insurance:

• Medicaid share-of-cost: if the cost of medications is not enough to activate share-of-cost Medicaid each month
• Medicare Part C or Part D: co-pays only
• Employer-sponsored insurance
• COBRA policies
• Annually approved ADAP supported plans: in the federally marketplace.

ADAP cannot pay for a stand-alone dental or vision insurance policy. ADAP cannot pay out-of-pocket costs for any service except pharmacy costs.

For more information on health care insurance coverage through ADAP, please contact your local ADAP office.

A complete list of drugs that ADAP provides can be found on the  Florida ADAP formulary.

• Uninsured clients in a county health department that has no onsite 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 medications as prescribed by your doctor. For more information about medications the program carries, please refer to the ADAP Formulary.

Specialty Pharmacy

ADAP has partnered with CVS Specialty Pharmacy to enhance the way our uninsured clients receive their medications. CVS Specialty Pharmacy is not a local CVS store. It is a mail-order pharmacy located in Pennsylvania. ADAP prescriptions will be filled at this pharmacy and sent to a location of the client’s choosing.

• Have your medications delivered to your home or other address
• Pick up your medications at a CVS retail store during their normal business hours
• Pick up your medications from your county health department during their normal business hours

Check with your local ADAP office to make sure your information is up to date. You’ll also need to update your communication choices to allow ADAP and CVS Specialty Pharmacy to contact you by phone. CVS Specialty calls each client before a medication shipment is made to alert the client the date medications will be shipped, the address is correct, and the client will be available to receive and sign for the medications.

The caller ID from CVS Specialty will be 1-800-498-2037 or 800-238-7828. Clients may also call this number if they have any questions.

Uninsured ADAP clients who receive medication services in these counties will not be affected:

If you have questions or concerns, or if you’re not sure if this affects you, please call your local ADAP staff or the ADAP Central Office at 844-381-2327

The SAME DAY program was initiated for uninsured clients to have immediate access to most medications and vaccines that needed to be started on the same day or soon after the prescription is written. If you are an uninsured ADAP client, you can use the SAME DAY card to get certain prescription medications and vaccines you need right away at more than 68,000 participating stores.

Important Information about SAME DAY:

• SAME DAY drugs must be on the ADAP formulary
• Your provider must send your SAME DAY prescription to a participating pharmacy
• You must present your SAME DAY ID card at the pharmacy
• Program does not cover HIV antiretroviral or hepatitis drugs
• Vaccines may not be available at all locations – contact your pharmacy to confirm
• Program does not replace CVS Specialty services – regular medications from CVS Specialty will continue

Getting a SAME DAY ID Card

You will need a SAME DAY ID card to use these services. CVS will mail you your SAME DAY ID card. If you haven’t received it or need a replacement, your local ADAP office can print one for you.

Check out our printable SAME DAY palm card for quick information on using the program. Please note: This is not a SAME DAY ID card!

For more information, call the ADAP state health office at 844-381-2327 Monday–Friday, 8:00 a.m.–5:00 p.m. ET

ADAP SAME DAY is intended to offer flexibility for ADAP clients. Ryan White Part A or Part B and other local assistance programs can keep using local processes to provide same-day medications.

Overview for CHDs and Providers: SAME DAY program FAQ.

ADAP clients with income of at least 50% of the Federal Poverty Level may qualify for assistance with insurance through the federal health insurance marketplace.

In addition to meeting the program qualifications, an individual must meet the following criteria to receive ADAP Insurance:

• Be enrolled in an ADAP supported insurance plan
• Use a pharmacy in the network of the ADAP contracted pharmacy benefits manager (PBM) to receive medication co-payments and/or deductible assistance
• Use the ADAP contracted insurance benefits manager to enroll in and receive premium assistance with insurance
• Provide all supporting documentation required by the federal health insurance marketplace at the time the application is submitted and the enrollment is processed

ADAP Insurance offers help with the following types of insurance:

• Medicaid Share-of-Cost (if the cost of medications is not enough to activate share-of-cost Medicaid each month)
• Medicare Part C or Part D (co-pays only)
• Employer-sponsored insurance
• COBRA policies
• Annually approved ADAP supported plans in the federal health insurance marketplace

• Call your local county health department and speak with an ADAP staff member
• Call the ADAP Help Desk at 844-381-2327
• Call the Florida HIV/AIDS Hotline:
  • English: 800-352-2437 (800-FLA-AIDS)
  • Spanish: 800-545-7432 (800-545-SIDA)
  • Haitian Creole: 800-2437-101 (800-AIDS-101)
  • TTY: 888-503-7118

The ADAP drug formulary is a listing of all medications that are covered by the program for all eligible clients, whether insured or uninsured. If a medication is not listed on the drug formulary, then the insurance or assistance program will not cover the medication costs.

• Medications Covered by ADAP
• Lenacapavir Prior Authorization Form
• Formulary Change Request

Trogarzo

Trogarzo is a CD4-directed post-attachment HIV-1 inhibitor for people living with HIV who have tried multiple HIV medications in the past and whose HIV has not been successfully treated with other currently available therapies. Trogarzo is administered intravenously once every 14 days by a medical professional and must be used in combination with an optimized background regimen containing one or more antiretrovirals with activity against the virus.

Trogarzo is available to a limited number of eligible ADAP clients through a prior authorization process sent to the department’s medical team, and access will be coordinated through Thera Technologies’ distribution network for ADAP clients.

• Prior Authorization Form
• Enrollment Form
• Potential Barriers to Long-Acting Injectable Antiretroviral Therapy Resources

Workgroup Meetings and Minutes