North Carolina AIDS Drug Assistance Program

North Carolina

Contact Information
North Carolina HIV/STD Prevention and Care Branch
1902 Mail Service Center
Raleigh, NC 27699-1902
1-(800) 342-2437 (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.

    - income must be at or below 125% of the current Federal Poverty Level
    - must be HIV +
    - must be a resident of North Carolina

    The applicant must not have other third-party coverage (e.g. private insurance or Mediacid) or prescription(s) for drugs currently on North Carolina formulary.

    Other Information:
    Call (919) 715-3111 or contact a local CARE Consortium. Enrollment currently capped. There is a waiting list.
    Product(s) covered by program:
    • Agenerase®
    • AZT
    • Bactrim
    • Biaxin® Filmtab
    • Biaxin® Granules
    • Biaxin® XL Filmtab
    • Cipro
    • Cleocin
    • Combivir®
    • Compazine
    • Cotrim
    • Crixivan®
    • Cytovene
    • d4T
    • Dapsone
    • Daraprim®
    • ddC
    • Diflucan®
    • Elavil
    • Emtriva
    • Epivir®
    • Famvir®
    • Fortovase
    • Fuzeon
    • HIVID
    • Humatin
    • Hydrea
    • Imodium
    • Invirase
    • Kaletra®
    • Kaletra® Oral Solution
    • Lamprene
    • Leucovorin
    • Lexiva®
    • Lomotil®
    • Mepron®
    • Myambutol
    • Mycobutin®
    • Mycostatin
    • NebuPent
    • Nilstat
    • Nizoral®
    • Norvir® Oral Solution
    • Norvir® Soft Gelatin Capsules
    • Pamelor
    • Phenergan Tablets
    • Prevacid®
    • Prilosec® Capsules
    • Rescriptor®
    • Retrovir®
    • Reyataz
    • Septra
    • Sporanox®
    • Sulfadiazine Tablets
    • Sulfatrim
    • Sustiva
    • Trizivir®
    • Ultrase
    • Valcyte
    • Valtrex®
    • Videx
    • Viracept®
    • Viramune
    • Viread
    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zofran®