Alabama AIDS Drug Assistance Program

Alabama

This program helps people buy their HIV medicines.

ADAP is a federally funded program through Ryan White Part B funding, and must assure that funds are used as payer of last resort. If you are eligible for Medicaid or Medicare drug benefits you are considered ineligible for enrollment in ADAP.

Contact Information
State AIDS Director
HIV/AIDS Division, Alabama Department of Public Health
RSA Towers, 201 Monroe Street, Suite 1400
Montgomery, AL 36130-3017
1-(800) 228-0469 (phone)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Eligibility:
To be eligible for the Alabama ADAP, an applicant must meet all program criteria and remain in compliance with the Health Resources and Services Administration's (HRSA's) requirement that all clients enrolled in a state ADAP must be recertified at least twice per year to reassess eligibility for enrollment. ELIGIBILITY CRITERIA: You must have a positive Western Blot. You must be a resident of Alabama. Your total gross income (before tax income) must be at or below 250% of the Federal Poverty Level (FPL). You must not be eligible for any other medication assistance program.
Other Information:
People may apply for assistance through their physician's office, social workers at the county health departments, AIDS service organizations and HIV clinics.
Product(s) covered by program:
  • 3TC
  • Agenerase®
  • Amoxil®
  • Ancobon
  • Aptivus® Capsules
  • Atripla™
  • Avelox® tablets
  • AZT
  • Bactrim
  • Baraclude®
  • Benemid
  • Biaxin®
  • Cleocin
  • Combivent® Inhalation Aerosol
  • Combivir®
  • Crestor®
  • Crixivan®
  • Cytovene
  • d4T
  • Dapsone
  • Daraprim®
  • ddI
  • Deltasone
  • DiaBeta®
  • Diflucan®
  • Dynacin
  • Emtriva
  • Epivir®
  • Epizicom
  • Eskalith ER
  • Famvir
  • Foscavir
  • Fuzeon
  • Gardasil - IM
  • Geodon®
  • Glucophage
  • Glucovance
  • Havirx - IM
  • Hepsera
  • INH
  • INTELENCE™
  • Intron A
  • Invirase
  • ISENTRESS™
  • Kaletra®
  • Keflex
  • Keppra
  • Lamictal®
  • Lexapro
  • Lexiva®
  • Lipitor®
  • Lotensin®
  • Megace
  • Mepron®
  • Myambutol
  • Mycobutin®
  • NebuPent
  • Nizoral®
  • Norvasc®
  • Norvir
  • Pamelor
  • Paxil®
  • Peg Intron
  • Pegasys
  • Phenergan
  • Pneumovax 23
  • Pravachol®
  • PREZISTA™
  • Procrit **PA**
  • Proventil
  • PZA
  • Rebetol
  • Rebetron
  • Recombivax HB
  • Rescriptor®
  • Retrovir®
  • Reyataz
  • Risperdal®
  • Roferon-A
  • Selzentry™
  • Sporanox®
  • Sulfadiazine - Oral
  • Sustiva
  • Tegretol
  • TriCor® Tablets
  • Trizivir®
  • Truvada
  • Twinrix
  • V-cillin-I
  • Valcyte
  • Valtrex®
  • Vfend®
  • Videx
  • Videx EC
  • Viracept®
  • Viramune
  • Viread
  • Vistide
  • Wellbutrin®
  • Wellcovorin
  • Zerit®
  • Ziagen®
  • Zithromax®
  • Zoloft®
  • Zovirax®