This allows patients to go to a participating pharmacy, show their ADAP cards, and have their prescriptions filled. Alternatively, States with a system of pharmacies attached to a network of public health clinics use that system to purchase and distribute drugs for ADAP clients. A few ADAPs directly purchase drugs and mail them to clients. With more clients seeking treatment, dramatic increases in the cost of new treatments, and rapidly changing standards of care, ADAPs are challenged to contain costs at the same time they are asked to expand access. As a result, ADAPs have taken a number of steps to stretch dollars.
States have the authority to individually establish income and medical eligibility criteria.
The following table summarizes income eligibility criteria, also included is the full listing of the Annual Update of HHS Poverty Guidelines . The variation in eligibility generally reflects the type and availability of other health care resources for low-income individuals with HIV disease.