AIDS Drug Assistance Program (ADAP)

Florida Department of Health in Putnam County

386-326-3200 or 800-440-0420
chd54webmaster@flhealth.gov
Fax
386-326-3350
Mailing Address
2801 Kennedy Street
Palatka, FL 32177

Florida Administrative Code 64D-3

HIV/AIDS Adult Case Report Form

HIV/AIDS Pediatric Case Rreport Form

HIPAA Public Health Exemption

Program Description

ADAP helps HIV positive people stay healthy by assisting with the purchase of HIV prescription medications. ADAP provides HIV medications for people who do not have *private health insurance, qualify for Medicaid, or are awaiting Medicaid eligibility. The formulary has 49 medications to treat diseases and complications associated with HIV disease.

To enroll in ADAP you must be Ryan White Eligible:

Have proof of HIV status
Proof of living in Florida
Medicaid denied
Income < 400% Federal Poverty Level

Persons are not eligible if they are:

In Institutional care
Current Medicaid Recipient
Private insurance –with monthly copays < $250.00
Income > 400% Federal Poverty Level

At time of enrollment, you are required to have:

Florida ADAP Aids Drug Assistance Program

Current Letter of Eligibility
Current CD4 and viral load test results (< 4 months old)
Current prescriptions (< 6 months old) Have at least one prescription for a medication on the ADAP formulary

*Individuals who have private insurance may be eligible for the ADAP Premium Plus program: ADAP Premium Plus is a component of the ADAP program designed to assist ADAP clients who have prescription insurance coverage such as Medicare Part D, a Pre-Existing condition Plan (PCIP), private insurance, or discount plans with out-of-pocket costs.