New York AIDS Drug Assistance Program

New York

Contact Information
New York State Department of Health
AIDS Institute
Empire Station, PO Box 2052
Albany, NY 12220-0052
1-(800) TAL-KHIV (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+ - must be a resident of New York - income must not exceed $44,000 for a household of one, $59,200 for two, or $74,400 for three or more - liquid assets (cash, savings, stocks, bonds, etc.) must not be greater than $25,000 *U.S. Citizenship is not required
    Other Information:
    AIDS Hotline: 1-800-TALK-HIV The applicant may contact Lanny T. Cross, Program Director of the AIDS Institute, in the following ways: Phone: (518) 459-1641 Fax: (518) 459-7429 Email: ltc02@health.state.ny.us
    Product(s) covered by program:
    • 3TC
    • Agenerase®
    • Amikin
    • AZT
    • Bactrim
    • Biaxin® Filmtab
    • Biaxin® Granules
    • Biaxin® XL Filmtab
    • Citrovorum
    • Combivir®
    • Crixivan®
    • Cyclophosphamide
    • Cytovene
    • d4T
    • Daraprim®
    • ddC
    • ddI
    • DHPG
    • Diflucan®
    • Emtriva
    • Epivir®
    • Fansidar
    • Fortovase
    • Foscavir
    • Fungizone
    • Fuzeon
    • HIVID
    • HPMPC
    • Hydrea
    • INH
    • Invirase
    • Kaletra®
    • Kaletra® Oral Solution
    • Lanizid
    • Lexiva®
    • Mepron®
    • Microsulfon
    • Norvir® Oral Solution
    • Norvir® Soft Gelatin Capsules
    • Nydrazid
    • PZA
    • Rescriptor®
    • Retrovir®
    • Reyataz
    • Rifampin
    • Rimactane
    • Septra
    • Sporanox®
    • Sustiva
    • Trizivir®
    • Videx EC
    • Viracept®
    • Viramune
    • Viread
    • Vistide
    • Wellcovorin
    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zovirax®