ADAP Directory

Directory of AIDS Drug Assistance Programs

New Hampshire

The AIDS Drug Assistance Program ( ADAP ) helps ensure that people living with HIV and AIDS who are uninsured and under-insured have access to medication.

Eligibility Criteria: 

To be eligible for medical assistance through the Ryan White CARE Program, a person must:

  • Be a NH resident living with human immunodeficiency virus (HIV) or a child exposed to HIV during pregnancy
  • Have a gross income not exceeding 500% of the Federal Poverty Level.
Application Instructions: 

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).

Hepatitis C (HCV) Drug Therapy:

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).

Location

Address:
DHHS- NH CARE Program
29 Hazen Drive
Concord, NH 03301

Contact Information

Phone Number: 
603-271-4502 or 800-852-3345, ext. 4502
Fax Number: 
603-271-4934