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Alabama AIDS Drug Assistance Program

The goal of the Alabama AIDS Drug Assistance Program (ADAP) is to reduce associated morbidity/mortality among HIV infected persons by delaying the progression of HIV disease through prevention and treatment of HIV complications.

ADAP Quarterly Report

The ADAP Quarterly Report for April 2012 - March 2013 is now available. This report reflects the number of active clients enrolled in the AIDS Drug Assistance Program.

Alabama AIDS Drug Assistance Program (ADAP) Satisfaction Survey NEW!

The ADAP Satisfaction Survey is designed to help improve ADAP medication services. The survey should take approximately 5-10 minutes to complete, and answers and comments will remain anonymous. Take the survey.

ADAP Patient Activity Open Enrollment

Updated:

September 25, 2014

Active:

1752

Medcap:

92

 

 

Forms

Last Revised

ADAP Mission Statement and Goal

April 2012

ADAP Formulary

March 2014

ADAP Eligibility Standards

September 2013

Alabama Ryan White Part B/ADAP Eligibility Criteria

May 2013

Alabama Ryan White Part B Services/ADAP/MEDCAP Standard Application

September 2013

ADAP Client Certification Statement

May 2013

ADAP Manifestación de certificación del cliente

January 2009

ADAP - MEDCAP Medication Order Form - 2014

April 2014

ADAP Temporary Housing Statement

May 2013

ADAP Six Month Eligibility Reassessment Process

September 2013

ADAP Six Month Eligibility Reassessment Form

September 2013

ADAP - MEDCAP Prescription Revision Process

May 2013

ADAP - MEDCAP Prescription Revision Form

January 2014

Fuzeon Pre-Approval Checklist

May 2011

Maraviroc (Selzentry™) Pre-Authorization Form

May 2011

ADAP Procrit Pre-Approval Form

May 2011

MEDCAP Enrollment Requirements

September 2013

MEDCAP Application Form

September 2013

MEDCAP Client Certification Statement

September 2013

National Monitoring Standards Basics

May 2013

Universal Monitoring Standards

May 2013

National Monitoring Standards Ryan White Part B Grantees: Program Part B

May 2013

Contact Us

Alabama AIDS Drug Assistance Program
HIV/AIDS Division
Alabama Department of Public Health
The RSA Tower
201 Monroe Street, Suite 1400
Montgomery, AL 36104
Phone: 1-866-574-9964
Fax: (334) 206-6221


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