AIDS DRUG ASSISTANCE PROGRAM (ADAP) FORMULARY – PROVIDER VERSION July 27, 2020 (Alternate strengths and dose forms - with exclusion of injectable forms unless the medication is only available in such route - will be available upon provider’s preference) ANTIRETROVIRALS NUCLEOSIDE/NUCLEOTIDE REVERSE TRANSCRIPTASE INHIBITORS Abacavir (Ziagen) ADAP-Miami TOOL v.08.05.19 Programs Requirements Phone Contact 1. The name has been changed to ADAP Premium Plus Program to streamline co-pay services and provide r��zͧh�eY�d(F���i���T�9V�4�\7C�� Z�D�-K0 If you haven’t received it or need a replacement, your local ADAP office can print one for you.Your provider must send your SAME DAY prescription to a You must present your SAME DAY ID card at the pharmacy.The program does not cover HIV antiretroviral or hepatitis drugs.Vaccines may not be available at all locations.

AIDS DRUG ASSISTANCE PROGRAM (CDPH/OA/ADAP) Formulary (Alphabetical by Generic) Effective Date: September 10, 2020 ^ = Drug requires a prior authorization for specific diagnosis or circumstance. x��Z[s��~w����l���� ���%�K��Gk��I����2�u��U��.�.ɻw���2�>�g�koR>�՛�|������ȖyY����A��O��z�a�L��?#Rp�R���iB&��G1�Ǘ�G_#���L�8>�d2�쓞g��r�,�ks�R�8�3SF`m%�]�k4(W��N�D�s��#r�銈��j�_����F�rG�iK��d 3 0 obj g�O��g �s��'��$��R$P�D�:,�ʢ����N #�1�V�S´��S����{|��؀�CF�&!�1���G�F��#�4�� You will need a SAME DAY ID card to use SAME DAY services. You will keep receiving your regular medications from CVS Specialty.ADAP SAME DAY is intended to offer flexibility for ADAP clients. *****Please review and submit all data elements contained within the HCV patient registry to ADAP as indicated. Is the AIDS Insurance Continuation Program (AICP) going away? In order to enroll in Florida ADAP Program, follow these steps. The formulary has 49 medications to treat diseases and complications associated with HIV disease. This begins a chain reaction of other patrons in the diner talking positively about their experiences with Physicians Mutual. <> <>

For more information, call the ADAP state health office at 844-381-2327 Monday–Friday, 8:00 a.m.–5:00 p.m. ETTo report a Brand 3. The vision of the Florida Department of Environmental Protection is to create strong community partnerships, safeguard Florida’s natural resources and enhance its ecosystems.

AIDS DRUG ASSISTANCE PROGRAM (ADAP) FORMULARY – PROVIDER VERSION July 27, 2020 (Alternate strengths and dose forms - with exclusion of injectable forms unless the medication is only available in such route - will be available upon provider’s preference) ANTIRETROVIRALS NUCLEOSIDE/NUCLEOTIDE REVERSE TRANSCRIPTASE INHIBITORS Abacavir (Ziagen) ADAP-Miami TOOL v.08.05.19 Programs Requirements Phone Contact 1. The name has been changed to ADAP Premium Plus Program to streamline co-pay services and provide r��zͧh�eY�d(F���i���T�9V�4�\7C�� Z�D�-K0 If you haven’t received it or need a replacement, your local ADAP office can print one for you.Your provider must send your SAME DAY prescription to a You must present your SAME DAY ID card at the pharmacy.The program does not cover HIV antiretroviral or hepatitis drugs.Vaccines may not be available at all locations.

AIDS DRUG ASSISTANCE PROGRAM (CDPH/OA/ADAP) Formulary (Alphabetical by Generic) Effective Date: September 10, 2020 ^ = Drug requires a prior authorization for specific diagnosis or circumstance. x��Z[s��~w����l���� ���%�K��Gk��I����2�u��U��.�.ɻw���2�>�g�koR>�՛�|������ȖyY����A��O��z�a�L��?#Rp�R���iB&��G1�Ǘ�G_#���L�8>�d2�쓞g��r�,�ks�R�8�3SF`m%�]�k4(W��N�D�s��#r�銈��j�_����F�rG�iK��d 3 0 obj g�O��g �s��'��$��R$P�D�:,�ʢ����N #�1�V�S´��S����{|��؀�CF�&!�1���G�F��#�4�� You will need a SAME DAY ID card to use SAME DAY services. You will keep receiving your regular medications from CVS Specialty.ADAP SAME DAY is intended to offer flexibility for ADAP clients. *****Please review and submit all data elements contained within the HCV patient registry to ADAP as indicated. Is the AIDS Insurance Continuation Program (AICP) going away? In order to enroll in Florida ADAP Program, follow these steps. The formulary has 49 medications to treat diseases and complications associated with HIV disease. This begins a chain reaction of other patrons in the diner talking positively about their experiences with Physicians Mutual. <> <>

For more information, call the ADAP state health office at 844-381-2327 Monday–Friday, 8:00 a.m.–5:00 p.m. ETTo report a Brand 3. The vision of the Florida Department of Environmental Protection is to create strong community partnerships, safeguard Florida’s natural resources and enhance its ecosystems.

AIDS DRUG ASSISTANCE PROGRAM (ADAP) FORMULARY – PROVIDER VERSION July 27, 2020 (Alternate strengths and dose forms - with exclusion of injectable forms unless the medication is only available in such route - will be available upon provider’s preference) ANTIRETROVIRALS NUCLEOSIDE/NUCLEOTIDE REVERSE TRANSCRIPTASE INHIBITORS Abacavir (Ziagen) ADAP-Miami TOOL v.08.05.19 Programs Requirements Phone Contact 1. The name has been changed to ADAP Premium Plus Program to streamline co-pay services and provide r��zͧh�eY�d(F���i���T�9V�4�\7C�� Z�D�-K0 If you haven’t received it or need a replacement, your local ADAP office can print one for you.Your provider must send your SAME DAY prescription to a You must present your SAME DAY ID card at the pharmacy.The program does not cover HIV antiretroviral or hepatitis drugs.Vaccines may not be available at all locations.

AIDS DRUG ASSISTANCE PROGRAM (CDPH/OA/ADAP) Formulary (Alphabetical by Generic) Effective Date: September 10, 2020 ^ = Drug requires a prior authorization for specific diagnosis or circumstance. x��Z[s��~w����l���� ���%�K��Gk��I����2�u��U��.�.ɻw���2�>�g�koR>�՛�|������ȖyY����A��O��z�a�L��?#Rp�R���iB&��G1�Ǘ�G_#���L�8>�d2�쓞g��r�,�ks�R�8�3SF`m%�]�k4(W��N�D�s��#r�銈��j�_����F�rG�iK��d 3 0 obj g�O��g �s��'��$��R$P�D�:,�ʢ����N #�1�V�S´��S����{|��؀�CF�&!�1���G�F��#�4�� You will need a SAME DAY ID card to use SAME DAY services. You will keep receiving your regular medications from CVS Specialty.ADAP SAME DAY is intended to offer flexibility for ADAP clients. *****Please review and submit all data elements contained within the HCV patient registry to ADAP as indicated. Is the AIDS Insurance Continuation Program (AICP) going away? In order to enroll in Florida ADAP Program, follow these steps. The formulary has 49 medications to treat diseases and complications associated with HIV disease. This begins a chain reaction of other patrons in the diner talking positively about their experiences with Physicians Mutual. <> <>

For more information, call the ADAP state health office at 844-381-2327 Monday–Friday, 8:00 a.m.–5:00 p.m. ETTo report a Brand 3. The vision of the Florida Department of Environmental Protection is to create strong community partnerships, safeguard Florida’s natural resources and enhance its ecosystems.