AIDS Drug Assistance Program (ADAP)

How to Access HIV/AIDS Medications

  • Available medications:
  • Aptivus
    		•       
  • Prezista
    		•
  • Atripla
    		•       
  • Rescriptor
    		•
  • Combivir
    		•       
  • Retrovir
    		•
  • Crixivan
    		•       
  • Reyataz
    		•
  • Emtriva
    		•       
  • Selzentry
    		•
  • Epivir
    		•       
  • Sustiva
    		•
  • Epzicom
    		•       
  • Trizivir
    		•
  • Edurant
    		•       
  • Truvada
    		•
  • Intelence
    		•       
  • Viracept
    		•
  • Isentress
    		•       
  • Viramune
    		•
  • Keletra
    		•       
  • Viread
    		•
  • Norvir
    		•       
  • Ziagen
  • Lexiva
    		•       

  • The patient must be currently on a State ADAP waiting list
  • The State ADAP Coordinator must sign the form authorizing the patient to receive medications
  • The completed prescription form must be faxed to Welvista at 1-877-258-1557
  • It may be necessary to submit the form to the Healthcare provider for prescription information
  • Once the prescribing authority has completed the prescription, it can be faxed directly to Welvista at 1-877-258-1557 by the Healthcare provider

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