ADAP Directory

Directory of AIDS Drug Assistance Programs

Pennsylvania

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.

Pennsylvania's ADAP is called the Special Pharmaceutical Benefits Program (SPBP).

Eligibility Criteria: 

Applicants must be a resident of Pennsylvania, have a gross annual income of less than or equal to 500% of the Federal Poverty Level (FPL), and have a diagnosis of HIV/AIDS to qualify for the program. SPBP HIV/AIDS is the payer of last resort and third party resources must be used before payment is made by the program.

See income guide for more information on income requirements.

Application Instructions: 

Fill out the SPBP Application. Return the completed application and copies of documentation to:

Special Pharmaceutical Benefits Program
P.O. Box 8808
Harrisburg, PA 17105-8808
Or fax to: 888-656-0372
 

For questions about the application or enrolling, call 1-800-922-9384 or send your questions to SPBP@pa.gov.

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:
Pennsylvania Department of Health, Special Pharmaceutical Benefits Program
625 Forster Street H&W Bldg, Rm 611
Harrisburg, PA 17120

Contact Information

Phone Number: 
800-922-9384
Fax Number: 
888-656-0372
Email Address: 
SPBP@pa.gov