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Wisconsin AIDS/HIV Drug Assistance Program
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Purpose
The Wisconsin AIDS/HIV Drug Assistance Program (ADAP), authorized by s. 49.686 of the
Wisconsin statutes, is designed to maintain the health and independence of persons living
with HIV infection in Wisconsin by providing access to HIV-related antiretroviral drugs
and prophylactic medications as well as vaccines for hepatitis A and B.
The ADAP formulary also includes hepatitis C virus (HCV)
medications for persons co-infected with HIV and HCV.
To be eligible to receive benefits under the ADAP, an individual must:
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live in Wisconsin;
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have HIV infection, confirmed by a physician;
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have no or insufficient third party payment; and
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have a family income that does not exceed 300% of the federal poverty guideline.
Client access and benefits
ADAP applications are available statewide through AIDS service organizations,
community-based organizations, and the offices of physicians specializing in the treatment
of HIV disease. Completed applications are mailed to the ADAP at the Division of Public
Health (DPH) for eligibility screening. The ADAP sends eligibility approval letters to the
client and the client-selected pharmacy. The pharmacy receives both the approval letter
and the physician's prescription for ADAP drugs. The designated pharmacy dispenses a
30-day supply of approved medications to the client and submits billing for these
prescriptions to the ADAP.
Through ADAP, clients with limited financial resources gain access to
HIV drug therapies that are included in nationally recognized standards of care. These
drug therapies have proven effective in reducing HIV morbidity and mortality and have
enabled many clients to return to previous levels of activity, including work.
The ADAP attempts to ensure that all FDA approved HIV-related
antiretrovirals and HIV-related prophylactic medications approved by the FDA are reviewed
and carefully considered for inclusion in ADAP by a panel of physicians and the
Department. The ADAP monitors the
formulary to ensure consistency with current standards of HIV care.
For additional
information about the AIDS Drug Assistance Program (ADAP), contact the Wisconsin
AIDS/HIV Program at 608-267-6875 or 800-991-5532.
To view a listing of drugs and vaccines included in the
ADAP formulary, click on the following:
Application
Materials for the Wisconsin AIDS/HIV Drug Assistance Program
Information for Pharmacies
To become an ADAP provider, complete the ADAP Provider Enrollment
Application located
here.
ADAP providers with claims or billing questions should call Provider
Services at 800-947-9627.
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Last Revised:
February 22, 2013 |
