Oklahoma AIDS Drug Assistance Program

Oklahoma

Contact Information
Title II Program Coordinator/ADAP, OK State Dept. of Health, HIV/STD Service
1000 NE Tenth & Stonewall
Mail Drop 0308
Oklahoma City, OK 73117-1299
1-(405) 271-4636 (phone)
1-(800) 535-2437 (vanity_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. Eligible individuals needing Ryan White CARE Act Title II services must be Oklahoma residents and have a documented HIV infection and/or documented AIDS diagnosis. Applicants with third payer prescription coverage/services such as insurance, or Medicaid prescription coverage will not qualify for HDAP, but might qualify for other Ryan White services. Applicants must have a documented monthly family household gross income (before deductions) of not more than 200% of the current Federal Poverty Guidelines, after out-of-pocket documented medical expenses are deducted from the gross monthly income. Eligible applicants may be placed on a waiting list due to demand exceeding resources. HIV services and eligibility requirements can be obtained through designated HIV consortia case managers at CarePoint, Inc. (405) 232-2437 or 1-800-285-2273, Red Rock Behavioral Health Services, (405) 524-6500 and Oklahoma University Health Sciences Center's Ryan White Title III program (405) 271-6434. Also the Oklahoma State University Center for Health Science's Ryan White Title III program (918) 382-5058 and Tulsa C.A.R.E.S. (918) 834-4194 or 1-800-474-4872 and the Oklahoma Department of Human Services AIDS Coordination and Information Services determines eligibility requirements and can assist clients in accessing Ryan White Title II services.
    Other Information:
    Out-of-pocket drug costs can be taken into account to "spend down" to this income limit.
    Product(s) covered by program:
    • 3TC
    • Agenerase®
    • Avo-Sulfon
    • AZT
    • Bactrim
    • Bactrim DS
    • Biaxin® Filmtab
    • Biaxin® Granules
    • Biaxin® XL Filmtab
    • Biaxin® XL Pac
    • Combivir®
    • Crixivan®
    • Cytovene
    • d4T
    • Daraprim®
    • ddC
    • ddI
    • Diflucan®
    • Diflucan® Suspension
    • Emtriva
    • Epivir®
    • Epivir-HBV®
    • Famvir®
    • Fansidar
    • Fortovase
    • Foscavir
    • HIVID
    • INH
    • Invirase
    • Kaletra®
    • Kaletra® Oral Solution
    • Lexiva®
    • Marinol
    • Megace
    • Megace Oral Suspension
    • Microsulfon
    • Myambutol
    • Mycelex®
    • Mycelex® Troche
    • Mycelex-G
    • Mycobutin®
    • Mycostatin
    • NebuPent
    • Norvir® Oral Solution
    • Norvir® Soft Gelatin Capsules
    • Oxandrin
    • Pentam
    • Pentam 300
    • PZA
    • Rescriptor®
    • Retrovir®
    • Reyataz
    • RIF
    • Rifadin
    • Rifamate
    • Rifampicin
    • Rifampin
    • Rifater
    • Rifidin
    • Septra
    • Sporanox®
    • Sporanox® Oral Solution
    • Sustiva
    • Terbrazid
    • Trizivir®
    • Valcyte
    • Videx
    • Videx EC
    • Videx Pediatrics
    • Viracept®
    • Viramune
    • Viread
    • Vistide
    • Wellcovorin
    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zithromax® Suspension
    • Zithromax® Tri-Pak
    • Zithromax® Z-Pak
    • Zovirax®