Our Heart Is In Public Health

The Texas HIV Medication Program (THMP) provides medications for the treatment of HIV and its related complications for low-income Texans. The State Pharmacy Assistance Program (SPAP), the Texas Insurance Assistance Program (TIAP), and the Texas Insurance Assistance Program-PLUS (TIAP-PLUS) are subprograms within THMP that pay for eligible health insurance policy expenses.

• SPAP assists qualified enrollees who have Medicare or a Medicare Part D prescription drug plan but were denied the low-income subsidy through the Social Security Administration. SPAP pays for the eligible client's Medicare Part D or Advantage D premiums and prescription copayments to meet their deductibles.
• TIAP assists qualified enrollees who have employer-sponsored insurance with paying their healthcare premiums (if applicable) and prescription copayments to meet their deductibles.
• TIAP-PLUS assists qualified enrollees who are enrolled in acceptable on- and off-federally facilitated marketplace health insurance plans. The program covers the costs associated with the medication needs of the program participant, including the health insurance premiums and medication copayments and deductibles.

To qualify for THMP, potential clients who meet eligibility criteria complete an application for assistance and note which of the three subprograms they are applying for. Once approved, a client will receive a THMP Ramsell Copay Card, welcome information about the program, and where to fill their medications.

To learn more about the THMP and find out if you are eligible, please visit dshs.texas.gov/hivstd/meds/faq

To qualify for the THMP, you must:

• Provide proof of HIV diagnosis,
• Provide proof of Texas residency,
• Meet certain income guidelines, and
• Be otherwise uninsured or underinsured for prescription drug coverage (this information must be verifiable.)

To learn more, please visit dshs.texas.gov/hivstd/meds/faq.

TakeChargeTexas (TCT) allows clients and agency workers to complete applications online for THMP and other Ryan White services. Clients can complete this application from the comfort of their home or through a local agency.

Call your local agency or THMP at 800-255-1090 if you have questions on how to apply for services.

For more information on enrollment, please visit dshs.texas.gov/hivstd/meds/faq.

The THMP's SPAP, TIAP, and TIAP-PLUS formularies follow the primary insurance plan's formulary. THMP will pay out-of-pocket costs for in-network claims after the primary insurance plan pays. Clients must provide both the primary insurance card and the THMP Ramsell Copay Card to the in-network pharmacy so THMP can fully cover the costs of their medications.

Please use the Pharmacy Locator on the left panel or call Ramsell at 1-800-311-7632 for assistance in finding a participating pharmacy closest to you.

To process your medications, the pharmacy will need your primary insurance card, your THMP Ramsell Copay Card, and valid prescriptions.

For more information, please contact:

Texas HIV Medication Program
Phone: 1-800-255-1090
Fax: 512-533-3178
Website: dshs.texas.gov/hivstd/meds