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.

Notes

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

Eligibility Criteria

In the State of Pennsylvania, to be eligible for ADAP enrollment, an individual must meet the following criteria:

  • Have a positive HIV/AIDS diagnosis;
  • Be a resident of Pennsylvania;
  • Have a gross annual (household or individual) income of less than or equal to 500% of the federal poverty level,
  • Not be eligible for pharmacy services under the Medical Assistance (Medicaid) Program.

Income Quick Reference Guide (Effective 01-12-24)    

Application Instructions

Make an account, and fill out the online application.

You can also download an application. (Spanish version link) Submit completed application and copies of documentation to:

Special Pharmaceutical Benefits Program
P.O. Box 8808
Harrisburg, PA 17105-8808
Or email to: SPBP@magellanhealth.com
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 https://www.hiv-hcv-watch.com/watches.

Long-Acting Injectables (LAIs) Therapy
State covers LAIs as part of their approved drug formularies: Yes

To learn more about what LAIs drug therapies are on the drug formulary, please click here.

Contact Information

Address

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

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

40.2674855, -76.8825747