Residency: New York State (U.S. citizenship is not required.)

Arkansas, for example, reduced its financial eligibility from 500 to 200 percent FPL, resulting in the disenrollment of 99 clients in September of 2009. Illinois has twice lowered financial eligibility, ultimately going from 500 to 300 percent FPL. Gavin Newsom It looks like your browser does not have JavaScript enabled.

While ADAP is funded by the federal government, each state administer its own program, sets its own inclusion criteria, and outlines which services it will and will not provide. Program's Hours of Operation: Monday - Friday, 9:00AM - 5:00PM. The fact that 85 percent of all ADAP expenditures in FY 2009 went directly to the costs of prescription drugs and the fact 20 ADAPs cited escalating drug costs as a reason for implementing cost-containment strategies suggests that there is a need for new approaches to reduce the high costs of HIV/AIDS medicines.

Download a printable version of the Formulary (PDF); NOTES: Formulary is subject to change based on available funds. Unless otherwisse noted, all brands, strengths and dosage forms can be ordered. Verywell Health uses cookies to provide you with a great user experience and for our (some antiretroviral combinations may be subject to utilization review )atovaquone, clindamycin, dapsone, hydroxyzine, leucovorin, pentamidine, primaquine, sulfadoxine/pyrimethamine, trimethoprim, sulfamethoxazole- trimethoprim alitretinoin, bleomycin, cyclophosphamide, cytarabine, dexamethasone, doxorubicin, etoposide, hydroxurea, interferon alfa, doxorubicin, daunorubicin liposomal, lomustine, methotrexate, paclitaxel, prednisone, procarbazine, vinblastine, vincristine amoxicillin, amoxicillin-clavulanate, ampicillin, azithromycin, aztreonam, bacitracin, cefaclor, cefadroxil, cefazolin, cefixime, cefoxitin, cefpodoxime, cefprozil, ceftazidime, ceftriaxone, cefuroxime, cephalexin, cephradine, chloramphenicol, chlorhexidine, cloxacillin, dicloxacillin, doxycycline, erythromycin, fosfomycin, furazolidone, gentamicin, imipenem - cilastatin, levofloxacin, loracarbef, metronidazole, minocycline, mupirocin, nitrofurantoin, penicillin, sparfloxacin, spectinomycin, tetracycline, tobramycin, ticarcillin-clavulanate, vancomycin butalbital combination w/wo/ codeine, codeine w/wo/ ASA, APAP, diclofenac, diethylpropion, diflunisal, fenoprofen, fentanyl (patch only), flurbiprofen, hydrocodone w/ ASA, APAP, hydromorphone, ibuprofen, indomethacin, ketoprofen, ketorolac, levorphanol, lidocaine, methadone*, morphine, naproxen, oxycodone w/wo/ ASA, APAP, piroxicam, sulindac, tolmetin, tramadol *Methadone is available only for pain relief; ADAP does not cover methadone maintenanceatropine-diphenoxylate, loperamide, pancrelipase, opium, crofelemeralprazolam, amitriptyline, aripiprazole, benztropine, bupropion, buspirone, butabarbital, chloral hydrate, chlordiazepoxide w/wo clidinium, chlorpromazine, citalopram, clomipramine, clonazepam, clorazepate, clozapine, desipramine, dextroamphetamine, diazepam, doxepin, duloxetine, escitalopram, fluoxetine, fluphenazine, flurazepam, fluvoxamine, halazepam, haloperidol, imipramine, lithium, lorazepam, loxapine, mesoridazine, methylphenidate, mirtazapine, molindone, nefazodone, nortriptyline, olanzapine, oxazepam, paroxetine, pemoline, pentobarbital, perphenazine, prochlorperazine, quetiapine, risperidone, secobarbital, sertraline, temazepam, thioridazine, thiothixene, trazodone, triazolam, trifluoperazine, trimipramine, venlafaxine, ziprasidone, zolpidemacebutolol, amiloride, amlodipine, atenolol, benazepril, bendroflumethiazide, betaxolol, bisoprolol, bumetanide, candesartan, captopril, carteolol, carvedilol, chlorothiazide, chlorthalidone, clonidine, clopidogrel, digoxin, diltiazem, doxazosin, enalapril, felodipine, fosinopril, furosemide, guanabenz, guanadrel, guanfacine, hydralazine, hydrochlorothiazide, hydroflumethiazide, indapamide, irbesartan, isosorbide, isoxsuprine, isradipine, labetalol, lisinopril, losartan, methyclothiazide, methyldopa, metolazone, metoprolol, minoxidil, moexipril, moricizine, nadolol, nicardipine, nifedipine, nisoldipine, nitroglycerin, papaverine, penbutolol, pindolol, polythiazide, prazosin, procainamide, propranolol, quinapril, ramipril, sacubitril and valsartan, sotalol, spironolactone, telmisartan, terazosin, tocainide, torsemide, trandolapril, triamterene, trichlormethiazide, valsartan, verapamil atorvastatin, cholestyramine, colestipol, ezetimibe, fenofibrate, fluvastatin, gemfibrozil, niacin, pitavastatin, pravastatin, rosuvastatin, omega 3 fatty acids (Rx only)amylase-lipase-protease, cimetidine, dolasetron, esomeprazole, granisetron, lansoprazole, metoclopramide, misoprostol, omeprazole, ondansetron, pantoprazole, rabeprazole, ranitidine, sucralfate, thiethylperazine, trimethobenzamideacarbose, acetohexamide, albiglutide, alogliptin benzoate, alogliptin metformin, alopliptin pioglitazone, bromocriptine mesylate, canagliflozin, canagliflozin metformin, chlorpropamide, dapagliflozin metformin, dapagliflozin propanediol, dulaglutide, empagliflozin, empagliflozin linagliptin, empagliflozin metformin, exenatide, glimepiride, glipizide, glipizide metformin, glyburide, insulin, insulin detemir, insulin glargine, insulin glulisine, insulin lispro, insulin lispro protamine, glucazon, diazoxide, linagliptin, linagliptin metformin, liraglutide, metformin, mifepristone, miglitol, nateglinide, pramlintide acetate, pioglitazone, pioglitazone glimepiride, pioglitazone metformin, repaglinide, rosiglitazone, saxagliptin, saxagliptin metformin, sitagliptin metformin, sitagliptin phosphate, tolazamide, tolbutamideacrivastine/pseudoephedrine, azatadine, brompheniramine w/wo combinations, budesonide, carbinoxamine, chlorpheniramine w/wo/ combinations, clemastine, dexbrompheniramine/pseudoephedrine, dexchlorpheniramine, diphenhydramine, mometasone, naphazoline w/wo combinations, phenir/ppa/phenylt./ pyrilamine, phenylephrine-promethazine, phenylprop-pyril-pheniramine, phenyltolox-APAP, phenyltolox/ pyril/pheniramine, promethazine, triprolidinealclometasone, amcinonide, amlexanox, betamethasone, clobetasol, clocortolone, desonide, desoximetasone, diflorasone, fluocinolone, fluorometholone, fluticasone, flurandrenolide, halcinonide, halobetasol, hydrocortisone w/wo/ combinations, neomycin w/wo/ combinations, prednicarbate, prednisolone, triamcinolonealbuterol, albuterol-ipratropium, beclomethasone, bitolterol, budesonide, cromolyn, dyphylline, flunisolide, fluticasone, formoterol, ipratropium, metaproterenol, montelukast, nedocromil, oxtriphylline, pirbuterol, salmeterol, terbutaline, theophylline, tiotropium, triamcinolone, zafirlukast, zileutonacetylcholine, apraclonidine, atropine, brimonidine, brinzolamide, carbachol, cyclopentolate, cyclopentolate-phenylephrine, dipivefrin, dorzolamide, dorzolamide-timolol, ecothiopate, homatropine, latanoprost, levobunolol, loteprednol, medrysone, metipranol, pilocarpine, prednisolone, rimexolone, timolol, tropicamide w/wo hydroxyamphetaminevarenicline, nicotine nasal spray, nicotine inhaler***reimbursable only with a prescription for an injectable drug covered by ADAPAIDS Drug Assistance Program (ADAP) Formulary - July 2019

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