Skip to main content
Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

HTTPS

Secure .gov websites use HTTPS
A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

AIDS/HIV Drug Assistance Program and Insurance Assistance Program Application/Recertification Part B - Physician Portion

Assigned Number Title Release Date File Type Language Available to Order
F-44614B AIDS/HIV Drug Assistance Program and Insurance Assistance Program Application/Recertification Part B - Physician Portion 05/10/2024 PDF English No
F-44614BS AIDS/HIV Drug Assistance Program and Insurance Assistance Program Application/Recertification Part B - Physician Portion, Spanish 05/10/2024 PDF Spanish No
Last revised May 10, 2024