Making Your Job Easier

Anyone who meets ALL the criteria below can apply for LA HAP.

1. Documented HIV diagnosis
2. Louisiana residency
3. Household Income below 500% of the Federal Poverty Guideline
4. Not eligible for full Medicaid
   • In Louisiana, full Medicaid is open to anyone with an income below 138% of the Federal Poverty Guideline who meets U.S. citizenship requirements, is between the ages of 19 and 64, and doesn't already qualify for Medicare.

Patients can enroll in LA HAP by visiting lahapenroll.com to enroll in LA HAP, or contact a case manager at your local community based organization (CBO), a social services staff person at a public health medical center near you, or LA HAP staff directly at (504) 568-7474 to complete an application. For more information or to download a copy of the application, visit lahap.org

Please click on the links below to see the complete list of medications that LA HAP can cover for uninsured members.

•  Formulary listed Alphabetically
•  Formulary listed by Drug Class
•  LA HAP formulary for Medicaid HCV

Prior Authorization is required for any Hepatitis C treatment regimen. Please click here for an explanation of the application process and a list of the required clinical supporting documents. Link

Hepatitis C Treatment Supplemental Form. Link

Patients can fill prescriptions through any pharmacy in Louisiana in the Ramsell uninsured network. To see a list of all pharmacies in the Ramsell network that approved to dispense prescriptions, use the Pharmacy Locator on the left panel or call Ramsell at 1-888-311-7632.

NOTE: LA HAP has both an insured and an uninsured network. Only the pharmacies listed in bold are part of the uninsured network.

To locate the closest pharmacy, use the Pharmacy Locator on the left panel, or call Ramsell at 1-888-311-7632.

To process medications the pharmacist will need the patient's LA HAP ID card, Medicare Part D Plan information and valid prescriptions.

For more information about LA HAP and other available services, call (504) 568-7474, or go to:

> DHH SHP Services, or

> lahap.org