CA ADAP Eligibility Requirements

• Patient is a resident of the State of California
• Patient is at least 18 years of age
• Patient has an HIV diagnosis
• ADAP will only process prescriptions written by a licensed California physician/prescriber
• Patient has limited or no prescription drug benefit from another source
• Patient has a Federal Adjusted Gross Income of not more than $50,000. (To determine their Federal Adjusted Gross Income, instruct your client to refer to their income tax forms or visit www.irs.gov)