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Texas HIV SPAP
The Texas HIV Medication Program (THMP) runs its HIV State Pharmaceutical Assistance Program (SPAP), which began operating on January 1, 2008. The Texas SPAP was developed to help HIV-positive individuals with their out-of-pocket costs associated with Medicare Part D prescription drug plans, including co-payments, deductibles, coinsurance, and during the coverage gap (the "donut hole").
Frequently Asked Questions
What is SPAP?
What is the Texas HIV SPAP Program?
What are the Texas HIV SPAP Eligibility Requirements?
Eligilble members must meet the THMP requirements of being a Texas resident, HIV positive and have an income at or below the Federal Poverty Level of 200%. Additonally, members must be elgible for Medicare Parts A and/or B. enrolled into a Medicare Part D Prescription Drug Plan, and denied the Low Income Subsidy through the Social Security administration or approved for partial subsidy. A complete copy of the letter is required.
How Does a patient Enroll in the Texas HIV SPAP?
Patient needs to submit the Texas HIV SPAP enrollment form listed below, to the THMP. On the application the patient will need to provide Medicare Part D plan information and your Low Income Subsidy (LIS) status. Please note that the Texas HIV SPAP will require a complete copy of the LIS approval or denial letter before SPAP enrollment will be complete. If patient is not currently enrolled in the THMP he/she will also need to submit a complete THMP application. Once the patient enrollment is completed, he/she will get an enrollment packet from our contractor, Ramsell, which will include a SPAP identification (ID) card.
|•||HIV SPAP Application Form|
|•||Application for Medication Assistance|
|•||Solicitud de Asistencia de Medicación|
What Drugs Are Covered?
Currently, the Texas HIV SPAP will pay the copayments for all of your medications on your Medicare Part D formulary. Changes may occur based on funding.
Where Can Patient's Prescriptions be Filled?
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 SPAP ID card, Medicare Part D Plan information and valid prescriptions.
Where Can I Get More Information About the Program?
For more information and questions on program enrollment, please contact:
Texas HIV State Pharmaceutical Assistance Program (SPAP)
Phone Number: 1-800-255-1090
Website: The Texas HIV Medication Program