Washington Statewide Health Insurance Benefits Advisors (SHIBA)

Washington

Contact Information
HIV Client Services Program Director
Washington State Department of Health
P.O. Box 47841
Olympia, WA 47841
1-(800) 272-2437 (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. - must be HIV + - must have Washington residency - must not be a recipient of Medicaid (Except Spend down) or VA Contact the Early Intervention Programs for an application at 1-800-272-2437, and press option 2. Applications may also be obtained through your local health department, community clinic, or AIDS service organization. People with income less than 125% of FPL must show medicaid denial letter.
    Other Information:
    Prescription Medication Coverage - For clients with insurance, we pay co-pay costs for medications on our formulary. Medical Care - We pay for limited HIV-related provider visits and tests. Clients must go to providers and labs that contract with us. For clients with insurance, we cover annual deductibles and costs during pre-existing condition periods for services on our schedule of covered services. Insurance Premium Payment Assistance - We help clients get medical insurance and pay the premiums. Spenddown Assistance - We pay DSHS Medicaid spenddowns up to $900 per month.
    Product(s) covered by program:
    • 3TC
    • Achromycin V
    • Aciphex®
    • ACTOS®
    • Agenerase®
    • Albenza®
    • Aldara
    • Anafranil
    • Androgel
    • Ativan
    • Avandia®
    • Aventyl HCl
    • Avosulfon®
    • Axid®
    • AZT
    • Bactrim
    • BenzaClin Topical Gel®
    • Biaxin® Filmtab
    • Biaxin® Granules
    • Biaxin® XL Filmtab
    • Biaxin® XL Pac
    • Buspar
    • C0-Trimoxazole
    • Celexa
    • Ciloxan
    • Cipro
    • Cipro HC Otic
    • Cipro I.V.
    • Cipro® Oral Suspension
    • Citrovorum
    • Clozaril®
    • Combivir®
    • Compazine
    • Condylox
    • Copegus
    • Cotrim
    • Crixivan®
    • Cytovene
    • d4T
    • Dapsone
    • Daraprim®
    • ddC
    • ddI
    • DDS
    • Depakene
    • Depakote® ER Tablets
    • Depakote® Sprinkle Capsules
    • Depakote® Tablets
    • Depo-Provera®
    • Desyrel
    • DiaBeta®
    • Diflucan®
    • Diflucan® Suspension
    • Effexor Tablets
    • Effexor XR Extended-Release Capsules
    • Elavil
    • Elimite
    • Emtriva
    • Epivir®
    • Epivir-HBV®
    • Eskalith CR®
    • Eskalith®
    • Exsel
    • Fansidar
    • Flagyl®
    • Floxin®
    • Foscavir
    • FreeStyle® Blood Glucose Test Strips
    • Fuzeon
    • Gemfibrozil tablet
    • Glucophage
    • Glucophage XR
    • Glucotrol XL®
    • Glucotrol®
    • Gyne-Lotrimin
    • HIVID
    • Humalog Mix 75/25
    • Humalog®
    • Humatin
    • Humulin®
    • Hydrea
    • Ilentin
    • Imodium
    • Intron A
    • Invirase
    • Janimine
    • Kaletra®
    • Kaletra® Oral Solution
    • Klonopin
    • Lamictal®
    • Lamprene
    • Lantus®
    • Lexiva®
    • Lindane
    • Lipitor®
    • Lomotil®
    • Lotrimin
    • Lotrisone Cream
    • Lotrisone lotion
    • Luvox
    • Marinol
    • Megace
    • Mepron®
    • MetroCream
    • MetroGel- Vaginal
    • Metryl
    • Mevacor Tablets
    • Microsulfon
    • Monistat-Derm
    • Myambutol
    • Mycelex®
    • Mycobutin®
    • Mycostatin
    • Mykinac
    • NebuPent
    • NebuPent Inhalation Solution
    • Neurontin®
    • Nexium®
    • Niacor
    • Niaspan 1000mg
    • Niaspan 500 mg
    • Niaspan 750mg
    • Nilstat
    • Nix
    • Nizoral®
    • Noritate
    • Norpramin
    • Norvir® Oral Solution
    • Norvir® Soft Gelatin Capsules
    • Novolin 70/30
    • Novolin 70/30 Innolet
    • Novolin 70/30 Vial
    • Novolin N
    • Novolin N Innolet
    • Novolin N PenFill
    • Novolin N Vial
    • Novolin R
    • Novolin R Innolet
    • Novolin R PenFill
    • Novolin R Vial
    • NovoLog®
    • NovoLog® FlexPen
    • NovoLog® Mix 70/30
    • NovoLog® Mix 70/30 FlexPen
    • NovoLog® Mix 70/30 PenFill
    • NovoLog® Mix 70/30 Vial
    • NovoLog® PenFill® 3mL
    • Nystex
    • O-V Statin
    • Omnipen
    • Pamelor
    • Paxil CR®
    • Paxil®
    • Peg Intron
    • Pegasys
    • Pentam
    • Pepcid RPD
    • Pepcid tablets and oral Suspension
    • Peridex
    • Pertofrane
    • Phenergan Suppositories
    • Phenergan Tablets
    • Polycillin
    • Polytrim
    • Prandin
    • Pravachol®
    • Precision® QID® Blood Glucose Test Strips
    • Precision® Xtra™ Blood Glucose Test Strips
    • Precose
    • Premarin Tablets
    • Premarin Vaginal Cream
    • Prevacid®
    • Prilosec® Capsules
    • Primaquine Phosphate
    • Principen
    • Proloprim
    • Protonix Tablets
    • Prozac®
    • Pyridium
    • Questran
    • Rebetol
    • Rebetron
    • Reglan
    • Rescriptor®
    • Retrovir®
    • Reyataz
    • Ribavirin
    • Rifidin
    • Risperdal Consta® Long-Acting Injection
    • Risperdal® M-TAB®
    • Risperdal® Tablets and Oral Solution
    • Roferon-A
    • Selsun
    • Septra
    • Serzone
    • Sinequan®
    • Slo-Niacin
    • Sporanox®
    • Trizivir®
    • Videx
    • Videx EC
    • Viread
    • Zerit®
    • Ziagen®