To improve service and increase access, the ADAP recently contracted to centralize drug dispensing, reimbursement, and data collection activities. All local health jurisdictions in California completed the transition to the new centralized ADAP model by November 1, 1997. The availability of more accurate and timely data will enhance the state's capacity to monitor and project program utilization, as well as to facilitate the collection of rebates from pharmaceutical manufacturers. Centralization has also increased client access to pharmacy services. There are now over 2,200 pharmacies in the centralized ADAP pharmacy network, compared with the previous 565 pharmacy outlets.
Clients can now fill prescriptions at any participating pharmacy statewide.
Viral Load Testing Closely linked with the ADAP is viral load testing, which provides important information on the effectiveness of drug therapy in the individual. Viral load testing has become the preferred means of tracking disease progression, and its availability for ADAP clients will help ensure that they receive maximum benefit from drug therapy and that ADAP resources are used effectively. The Early Intervention program began in 1988 with two federally-funded sites. In FY 1997-98 the program operated in 53 counties, serving nearly 2,500 clients. Over the same period, the AIDS Medi-Cal Waiver Program expanded from 24 to 47 counties, serving approximately 2,800 clients in 1997.