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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.

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.

•  Formulary listed Alphabetically
•  Formulary listed by Drug Class

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.

Trofile

Maraviroc

Cabenuva

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 Phone: (302) 744-1050 Fax: (302)739-2548

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?

Delaware HIV/STD Resources

> https://www.delawarehiv.org/wp-content/uploads/2022/06/2023-2025-Resource-Guide-English.pdf

Other Documents