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Virginia Department of Health Pharmacy Benefit Management Program

The Virginia (VA) Medication Assistance Program (MAP) provides access to life-saving medications for the treatment of HIV and related illnesses for low-income clients through the provision of medications or through assistance with insurance premiums and medication copayments. The program is primarily supported with federal Ryan White (RW) Treatment Extension ActPart B grant funding, which is distributed by a formula based on living HIVand AIDS cases to all states and territories in the United States. VA ADAP provides insurance cost support or directly purchased medications through four service options: Direct ADAP, the Medicare Part D Assistance Program (MPAP), the Insurance Continuation Assistance Program (ICAP) and the Health Insurance Marketplace Assistance Program (HIMAP).

Frequently Asked Questions

What Is Virginia MAP?

The Virginia MAP assists with insurance premiums and medication copayments.

Am I Eligible for the Virginia MAP?

To be eligible for one of the programs supported by VA MAP, applicants/clients must:

  1. 1. Live in Virginia
  2. 2. Apply through Virginia Department of Health (VDH) approved subrecipient
  3. 3. Have an individual or family income at or below 500% of the Federal Poverty Level
  4. 4. Have documented proof of HIV diagnosis.
  5. 5. Not currently enrolled in Medicaid
  6. 6. Provide proof of income, changes in insurance coverage or any changes in residency every 24 months
  7. 7. Agree to participate in the service option that best meets the client' needs and resources, and for which the applicant/client is eligible

Eligibility requirements can be viewed at:
Virginia Medication Assistance Program (VA MAP) - Disease Prevention

How Do I Enroll in the Virginia MAP?

To complete an application:

Complete the assessment process via VDH approved subrecipient. Find one here: VDH Resource Connections

What Drugs Are Covered?

HIMAP (also referred to as ACA)

Clients enrolled in a VDH-approved HIMAP/ACA plan will receive copayment assistance for all medications on the insurance plan's formulary.

ICAP

Clients enrolled in ICAP will receive copayment assistance for medications only on the Virginia MAP and Ryan White Part B formularies.

VA MAP Formulary:

http://www.vdh.virginia.gov/disease-prevention/formulary/

Ryan White Part B Formulary:

http://www.vdh.virginia.gov/disease-prevention/formulary/

MPAP

Clients enrolled in a MPAP will receive copayment assistance for all medications on the client's Medicare Part D formulary.

Where Can I Fill Prescriptions? Add instructions for insured vs uninsured

To locate the pharmacy closest to you, enter your City, Zip code or County in the Pharmacy Locator on the left panel. Or call Ramsell at 1-888-311-7632.

Where Can I Get More Information About the Virginia MAP?

More information can be found on the Virginia Department of Health website:
Virginia Medication Assistance Program (VA MAP) - Disease Prevention

Other Documents

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