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Our Heart Is In Public Health

We help public health programs maximize limited resources and improve outcomes by connecting people to the services and medications they need... for a better life.

Delaware AIDS Drug Assistance Program ADAP

The Delaware AIDS Drug Assistance Program (ADAP) is a statewide program authorized under Title II of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act. ADAPs function as the payer of last resort for those who are not covered by other sources. The formulary currently includes all FDA approved medications for the treatment of HIV infection, including medications used for the prevention and treatment of secondary infections.

Eligibilty

Eligibility Requirements

For eligibility questions you must contact Delaware ADAP at: (302)744-1050

 
Formulary

Formularies
Please click the links below to download a PDF with a complete list of medications.

Prior Authorization Forms

Prior Authorization Forms
Trofile™ test showing CCR5 only is required for maraviroc (Selzentry™) new starts. It is not required for those already on maraviroc through clinical trials, expanded access or other insurance.

Complete sections 1 and 2. Prescriber name and signature must be included. Please fax completed application to DE ADAP at (302) 661-7226.


For more information, please call: (302) 744-1050.
 
Contact

Contact

For more information and questions on program enrollment use the contact info below:

    DE ADAP Contact: Stanley Waite
    Phone: (302) 744-1050
    Fax: (302)739-2548
    Email: stanley.waite@state.de.us

    Customer Service
    Phone: 1-888-311-7632
    Fax: 1-800-848-4241
    Questions and Assistance Form

Frequently Asked Questions

What Is the Delaware ADAP Program?

The state of Delaware is a recipient of CARE Act Title II funds, which is disbursed to all states and eligible U.S. territories to help improve the quality, availability, and organization of HIV/AIDS health care and supportive services, and also to provide access to high-cost pharmaceuticals through the AIDS Drug Assistance Program (ADAP).

What Are the Delaware ADAP Eligibility Requirements?

For eligibility questions call: 302-744-1050

What Drugs Are Covered?

Please click on the links below to download a PDF with a complete list of medications on Delaware AIDS Prescription Drug Program formulary.

What Prior Authorization Forms Are Required?

Trofile™ test showing CCR5 only is required for maraviroc (Selzentry™) new starts. It is not required for those already on maraviroc through clinical trials, expanded access or other insurance.

Complete sections 1 and 2. Prescriber name and signature must be included. Please fax completed application to DE ADAP at (302) 661-7226.

Download PDF click to download

For more information, please call: (302) 744-1050.

Where Can Patient's Prescriptions Be Filled?

Patients can fill their ADAP prescriptions through any participating pharmacy in the Ramsell's pharmacy network.

To locate the closest pharmacy, call Ramsell at 1-888-311-7632 or enter your zip code or city on the form to the left panel called "Pharmacy Locator".

Who Can Be Contacted for Questions?

Delaware ADAP

Stanley Waite
(302) 744-1050
Fax: (302)739-2548
stanley.waite@state.de.us

Customer Service

Phone : 1-888-311-7632
Fax : 1-800-848-4241
Questions and Assistance Form

Where Can I Get More Information About HIV/AIDS?

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