- 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.
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 firstname.lastname@example.org or our secure fax at 602-364-3263.
For additional enrollment assistance, we strongly encourage you to work with a case manager.
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).