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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 2019 is now available. This report reflects the clients receiving Part B core medical and support services during 2019. 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.

ADAP Patient Activity Open Enrollment

Updated: April 19, 2024
Active: 806
Medcap: 52

Forms

Alabama's Ryan White ADAP Program Policy and Procedures Manual for Providers (January 2024)

Alabama RWHAP Part B Income Eligibility Guidelines (January 2024)

Alabama's Ryan White Part B Program Formulary by Drug Class Name (May 2021)

Alabama's Ryan White Part B Program Formulary by Generic Name (May 2021)

Alabama RWHAP Part B and ADAP Annual Certification Schedule (January 2023)

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

BCBS Eligibility Coordination of Benefits | Spanish Version (November 2015)

BCBS Dental Binding Arbitration | Spanish Version (January 2020)

Ryan White Part B Program Authorization for Release of Protected Health Information | Spanish Version (August 2020)

ADAP 90 Day Travel Form (January 2024)

ADAP Employer Sponsored Insurance Form (January 2024)

ADAP-Incarcerated Guidance (November 2022)

ADAP-Incarcerated Form (January 2024)

ADAP Income Verification Form (January 2024)

National Monitoring Standards Basics (August 2023)

Universal Monitoring Standards (June 2022)

National Monitoring Standards Ryan White Part B Grantees: Program Part B (June 2022)

Sunlenca Prior Approval Authorization Form (April 2024)

Thera Patient Support for Trogarzo (May 2021)

Resources to Address Potential Barriers to Long-Acting Injectable Antiretroviral Therapy (May 2021)

Contact Us

Alabama AIDS Drug Assistance Program
Office of HIV Prevention and Care
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: April 19, 2024