Minnesota AIDS Drug Assistance Program

Minnesota

Contact Information
CADC III Supervisor HIV Programr
Minnesota Department of Human Services
444 Lafayette Road
St. Paul, MN 55155-3872
1-(800) 657-3761 (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.
  • Click here to visit the program's web site.
  • Eligibility:
    ATTENTION: YOU MUST BE HIV POSITIVE TO BE ELIGIBLE FOR THIS PROGRAM.
    - must be HIV+ - income must be at or below 300% of the Federal Poverty Level - liquid assets must be less than $25,000 (not including home and car) - must be a A resident of Minnesota or St. Croix or Pierce counties in Wisconsin - must be uninsured or insured with less than or equal to 20% of drug cost or drug copay - must not be on Medical Assistance, General Assistance Medical Care or MinnesotaCare
Other Information:
Call for an application form or the nearest clinic or community based sites to enroll. Twin Cities Metro area: (651) 582-1980 Outside Metro Area: (800) 657-3761
Product(s) covered by program:
  • 3TC
  • Agenerase®
  • Albenza®
  • Anafranil
  • Ancef
  • Asendin
  • Augmentin ES®
  • Augmentin XR®
  • Augmentin®
  • Aventyl HCl
  • AZT
  • Bactrim
  • Biaxin® Filmtab
  • Biaxin® Granules
  • Biaxin® XL Filmtab
  • Biaxin® XL Pac
  • Celexa
  • Cipro
  • Cleocin
  • Combivir®
  • Crixivan
  • Cytovene
  • d4T
  • Daraprim®
  • ddC
  • ddI
  • DDS
  • Depakene
  • Depakote® ER Tablets
  • Depakote® Sprinkle Capsules
  • Depakote® Tablets
  • Desyrel
  • Diflucan®
  • Dilantin®
  • Duricef®
  • EES
  • Effexor Tablets
  • Effexor XR Extended-Release Capsules
  • Elavil
  • Emtriva
  • Epivir®
  • Flagyl®
  • Fortovase
  • Fungizone
  • Fuzeon
  • HIVID
  • Humatin
  • Hydrea
  • Imodium
  • Invirase
  • Kaletra®
  • Kaletra® Oral Solution
  • Keflex
  • Lamictal®
  • Lamprene
  • Lescol®
  • Levaquin®
  • Lipitor®
  • Lomotil®
  • Lonox
  • Lopid®
  • Lotrimin
  • Ludiomil
  • Luvox
  • Macrodantin
  • Marinol
  • Megace
  • Mepron®
  • MetroGel- Vaginal
  • Micatin
  • Minocin Capsules
  • Monistat-Derm
  • Myambutol
  • Mycelex®
  • Mycobutin®
  • Mycostatin
  • Mysoline
  • Nardil®
  • NebuPent
  • NebuPent Inhalation Solution
  • Neurontin®
  • Niaspan 1000mg
  • Niaspan 500 mg
  • Niaspan 750mg
  • Nizoral®
  • Norpramin
  • Norvir® Oral Solution
  • Norvir® Soft Gelatin Capsules
  • Ocuflox
  • Pamate
  • Pamelor
  • Paxil CR®
  • Paxil®
  • Pentam
  • Peridex
  • Pertofrane
  • Pravachol®
  • Primaquine Phosphate
  • Prozac®
  • PZA
  • Questran
  • Remeron SolTab
  • Rescriptor®
  • Retrovir®
  • Reyataz
  • Rifadin
  • Rifamate
  • Septra
  • Serzone
  • Sinequan®
  • Spectazole®
  • Sporanox®
  • Surmontil®
  • Sustiva
  • Tagamet®
  • Tegretol®
  • Terazol® 7
  • Thermazene SSD
  • Tofranil
  • Trialodine
  • TriCor® Tablets
  • Trizivir®
  • Valcyte
  • Valtrex®
  • Vestids
  • Vibramycin®
  • Videx
  • Videx EC
  • Viracept®
  • Viramune
  • Viread
  • Vistide
  • Vivactil
  • Wellbutrin SR®
  • Wellbutrin XL™
  • Wellbutrin®
  • Wellcovorin
  • Zantac Efferdose
  • Zantac®
  • Zeasorb-AF
  • Zerit
  • Ziagen®
  • Zithromax®
  • Zocor Tablets
  • Zoloft®
  • Zovirax®