Drug Assistance Program

The goal of the Alabama AIDS Drug Assistance Program (ADAP) is to reduce associated morbidity/mortality among HIV infected persons by delaying the progression of HIV disease through prevention and treatment of HIV complications.

ADAP and Part B Services Annual Report

The ADAP and Part B Services Annual Report is now available. This report reflects the clients actively enrolled in ADAP as of December 31, 2017. ADAP and Part B services clients achieve optimal health outcomes at a higher rate than all persons living with HIV in Alabama, with the majority of ADAP  and Part B services clients already surpassing or approaching the National HIV/AIDS Strategy (NHAS) 2020 indicators of 90 percent retention in HIV medical care and 80 percent viral suppression.

Alabama AIDS Drug Assistance Program (ADAP) Satisfaction Survey

The ADAP Satisfaction Survey is designed to help improve ADAP medication services. The survey should take approximately 5-10 minutes to complete, and answers and comments will remain anonymous. Take the survey.

ADAP Patient Activity Open Enrollment

Updated: August 16, 2018
Active: 810
Medcap: 82

Forms

Alabama's Ryan White Part B Program Eligibility Standards (March 2018)

Alabama RWHAP Part B Income Eligibility Guidelines (January 2018)

Alabama RWHAP Part B Annual Certification/Recertification Schedule (July 2017)

BCBS Authorization for Disclosure of Protected Health Information (January 2017)

BCBS Eligibility Coordination of Benefits (November 2015)

BCBS Dental Binding Arbitration (August 2017)

Ryan White Part B Program Authorization for Release of Protected Health Information (June 2018)

ADAP-MEDCAP Enrollment Guidance (August 2018)

ADAP-MEDCAP Formulary Information (March 2018)

ADAP - MEDCAP Prescription Form (March 2018)

Alabama ADAP Formulary Listed Alphabetically

Alabama ADAP Formulary Listed by Drug Class  

ADAP Manifestación de certificación del cliente (January 2009)

Fuzeon Pre-Approval Checklist (October 2014)

Procrit Pre-Approval Form (October 2014)

National Monitoring Standards Basics (May 2013)

Universal Monitoring Standards (May 2013)

National Monitoring Standards Ryan White Part B Grantees: Program Part B (May 2013)

Contact Us

Alabama AIDS Drug Assistance Program
HIV/AIDS Division
Alabama Department of Public Health
The RSA Tower
201 Monroe Street, Suite 1400
Montgomery, AL 36104
Phone: 1-866-574-9964
Fax: (334) 206-6221





Page last updated: August 16, 2018