ADAP Directory

Directory of AIDS Drug Assistance Programs

Arizona

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: 
  • Must be inside Arizona.
  • Must be under 400% of the federal poverty level (FPL).
  • Proof of HIV diagnosis (required with initial application).
  • Payer-of-last-resort documentation: Proof that all other forms of insurance and coverage are used before ADAP funds.
    • Denial letter from AHCCCS (Arizona's Medicaid program) if income is below 150% of the FPL.
Application Instructions: 

New ADAP users must complete a Full Application and New Applicant Addendum. The application and support documents must be submitted to your Case Manager, sent to eligibility@siren.az.gov or our secure fax at 602-364-3263.

For general questions on how to complete the application, please feel free to review the Joint Application Processing Guide found here.

For additional enrollment assistance, we strongly encourage you to work with a case manager.

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:
Arizona Department of Health Services
150 N. 18th Ave
Phoenix, AZ 85007

Contact Information

Phone Number: 
800-334-1540 or 602-364-3610
Fax Number: 
602-364-3263
Email Address: 
eligibility@siren.az.gov