Georgia AIDS Drug Assistance Program

Georgia

Contact Information
ADAP Coordinator, Department of Human Services, Epidemiology
2 Peachtree St., NW
Suite 12-235
Atlanta, GA 30303-3186
1-(404) 657-3127 (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+ and provide comfirmed HIV status with CD4 and viral load restrictions - CD4 - or Viral load > 55,000 - no insurance coverage for prescriptions - must be a resident of Georgia - must not be eligible for Medicaid - must not be eligible for third party funding
    Other Information:
    If you wish to contact Cynthia D. Marshall, the ADAP Coordinator, directly, you may do so in the following ways: Tel: (404) 657-3127 Fax: (404) 657-3134 e-mail: CDMarshall@dhr.state.ga.us AIDS Hotline: (800) 551-2728
    Product(s) covered by program:
    • 3TC
    • Agenerase®
    • Ancobon
    • Avosulfon®
    • AZT
    • Bactrim
    • Biaxin® Filmtab
    • Biaxin® Granules
    • Biaxin® XL Filmtab
    • Cleocin
    • Combivir®
    • Compazine
    • Crixivan®
    • Cytovene
    • d4T
    • Daraprim®
    • ddC
    • ddI
    • Diflucan®
    • Emtriva
    • Epivir®
    • EPOGEN®
    • Fortovase
    • HIVID
    • Hydrea
    • Imodium
    • INH
    • Invirase
    • Kaletra®
    • Kaletra® Oral Solution
    • Mepron®
    • Myambutol
    • Mycelex®
    • Mycobutin®
    • Mycostatin
    • Neurontin®
    • Nilstat
    • Nizoral®
    • Norvir® Oral Solution
    • Norvir® Soft Gelatin Capsules
    • PROCRIT
    • Proloprim
    • Rescriptor®
    • Retrovir®
    • Reyataz
    • Rifampin
    • Sporanox®
    • Sustiva
    • Trimpex
    • Trizivir®
    • Valcyte
    • Videx
    • Videx EC
    • Viracept®
    • Viramune
    • Viread
    • Wellcovorin
    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zovirax®