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.

Application Instructions: 

Fill out the online application.&;

You can also Download an application. Submit 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