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.
Make an account, and 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 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.
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).