Texas AIDS Drug Assistance Program
Texas
The Texas Department of Health's Texas HIV Medication Program (THMP) is where you will find the official AIDS Drug Assistance Program (ADAP) for the State of Texas.
Contact Information
Texas HIV/STD Medication Program,
Bureau of HIV & STD Prevention, Texas Department of Health
1100 West 49th Street
Austin, TX 78756
1-(800) 299-2437 (phone)
Texas HIV/STD Medication Program,
Bureau of HIV & STD Prevention, Texas Department of Health
1100 West 49th Street
Austin, TX 78756
1-(800) 299-2437 (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.
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. - combined household income must be at or below 200% of the current Federal Poverty Level - must not be eligible for the Texas Medicaid Program - must not exceed Medicaid pharmacy benefits for the month - must not be covered for the medication(s) by any other third-party payer - must be HIV + - current CD4 and Viral Load count must be reported to the Texas Medication Program - must be under the care of a Texas-licensed physician who prescribes the medication(s) - must meet the drug-specific criteria for one or more of the drugs the program offers
ATTENTION: YOU MUST BE HIV POSITIVE TO BE ELIGIBLE FOR THIS PROGRAM. - combined household income must be at or below 200% of the current Federal Poverty Level - must not be eligible for the Texas Medicaid Program - must not exceed Medicaid pharmacy benefits for the month - must not be covered for the medication(s) by any other third-party payer - must be HIV + - current CD4 and Viral Load count must be reported to the Texas Medication Program - must be under the care of a Texas-licensed physician who prescribes the medication(s) - must meet the drug-specific criteria for one or more of the drugs the program offers
Other Information:
An application packet containing instructions & all necessary forms, may be requested by telephoning toll-free 1-800-255-1090. You may download the applcation at: http://www.tdh.state.tx.us/hivstd/meds/document.htm. You may also write to the following address to receive an application: Texas Department of Health Texas HIV Medication Program 1100 West 49th Street Austin, Texas 78756 ATTN: MSJA All applications for new clients must be mailed in to the program. Medical Certification Forms must be submitted for all medication changes. The medical certification forms should only be faxed for clients in immediate need of changes to be made to their approved formulary so as not to disrupt their progress on combination antiretroviral therapy. Newborn infants and pregnant women are a program priority.
An application packet containing instructions & all necessary forms, may be requested by telephoning toll-free 1-800-255-1090. You may download the applcation at: http://www.tdh.state.tx.us/hivstd/meds/document.htm. You may also write to the following address to receive an application: Texas Department of Health Texas HIV Medication Program 1100 West 49th Street Austin, Texas 78756 ATTN: MSJA All applications for new clients must be mailed in to the program. Medical Certification Forms must be submitted for all medication changes. The medical certification forms should only be faxed for clients in immediate need of changes to be made to their approved formulary so as not to disrupt their progress on combination antiretroviral therapy. Newborn infants and pregnant women are a program priority.
