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.
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: July 16, 2021
Active: 722
Medcap: 75
Forms
Alabama's Ryan White Part B Program Eligibility Standards (January 2021)
Alabama RWHAP Part B Income Eligibility Guidelines (January 2021)
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 Annual Certification/Recertification Schedule (July 2017)
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-Enhanced Plus Enrollment Guidance (April 2021)
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)
Trogarzo Prior Approval Authorization Form (May 2021)
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: July 16, 2021
