You may download a Ryan White CARE application online. Complete the form, attach all required documents, and mail to the CARE Program at:DHHS- NH CARE Program
29 Hazen Drive
Concord, NH 03301
Please note that Patient Medical Information portion of the form must be filled out by a physician. After it is completed, it can be faxed to the NH CARE Program at 603-271-4934.
If you have questions about how to apply for assistance under the CARE program, talk to your health care provider or call the NH CARE Program at 603-271-4502 or 800-852-3345, ext. 4502 (toll-free from within NH).
State covers some form of HCV drug therapies as part of their approved drug formularies: Yes
To learn more about what HCV drug therapies are on the drug formulary, please visit tiicann.org/co-infection-watch.html (go to page #7).