Pennsylvania's ADAP is called the Special Pharmaceutical Benefits Program (SPBP).
Eligibility Criteria:
- Live in Pennsylvania,
- Have a gross annual (household or individual) income of less than or equal to 500% of the federal poverty level,
- Have a diagnosis of HIV, and
- Not be eligible for pharmacy services under the Medical Assistance (Medicaid) Program.
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 ProgramP.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 tiicann.org/co-infection-watch.html (go to page #7).
Long-Acting Agents Therapy - Cabenuva:
State covers Cabenuva as part of their approved drug formularies: Yes
Location
Address:
625 Forster Street
H&W Bldg, Rm 611
Harrisburg, PA
17120