AIDS Drug Assistance Program (ADAP)

Goals and Objectives

• Assure that HIV/AIDS infected individuals in North Carolina have access to appropriate medications.

Program Description

The North Carolina HIV Medications Program*, funded jointly by state and federal dollars, is designed to provide financial assistance for the purchase of medications specifically used to combat HIV and the opportunistic infections which are specific to AIDS, to low income residents of the State. Guidelines for participation in the program include a diagnosis of HIV infection and net income at or below 300% of the Federal Poverty Level.

ADAP Information and Forms

• Fact Sheet (English, Spanish) (PDF*)
• Formulary - Tier 1 Medications (PDF*),  Formulary - Tier 2 Medications (PDF*),   Formulary - Tier 3 Medications (PDF*)
• CVS Caremark Enrollment Form (PDF*)
• CVS Caremark Service Expectations (PDF*)
• ADAP application form #3014 (POMCS) (PDF* Word)
• ADAP application form #3056 (POMCS) (PDF* Word)
• Case Manager Instruction Sheets
• NC ADAP Form 3014 Instructions (PDF*)
• NC ADAP Form 3056 Instructions (PDF*)
• NC ADAP Application Process Fact Sheet (PDF*)
• ADAP Fast Facts for Case Managers (PDF*)
• Selzentry Application Form (Word document, PDF format*)
• POMCS Manual (PDF*)

SPAP Information

• SPAP Fact Sheet (PDF*)

Resources

• Adult and Adolescent HIV/AIDS Treatment Guidelines (PDF*)
• US DHHS - AIDSinfo

Client Resources

• NC ADAP Brochure (English, Spanish) (PDF*)
• NC ADAP Pharmacy Card (English, Spanish) (PDF*)

ADAP Surveys 2007

• ADAP Client Survey 2007
• Survey Tables
• Survey Comments

*Selected publications are provided in pdf format. You will need the free Adobe Reader to view them. Download the latest version from Adobe.