Utah

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
Application Instructions
Formulary
Hepatitis C (HCV) Drug Therapy
Long-Acting Agents Drug Therapy - Cabenuva
Contact Information

Eligibility Criteria:

In order to be eligible for the Ryan White Part B Program, an individual must:

Be HIV Positive
Reside In Utah
Be at or below 250% of the Federal Poverty Level (FPL) according to gross annual household income

For more information about the Ryan White Part B Program, please call 801-538-6197.

Application Instructions:

The Ryan White Part B Program recommends that you contact a Benefit Specialist to help you complete required forms.

For more information on how to apply, please call 801-538-6197.

Application:

Ryan White Part B Application

Formulary:

ADAP-M Formulary

Hepatitis C (HCV) Drug Therapy:

State covers some form of HCV drug therapies as part of their approved drug formularies: No

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