ADAP is paid through the Broward County Health Department. PAP or Patient Assistant Programs are sponsored by the various drug companies to supply drugs for people with lower incomes. Co-pay Programs help with the insurance co-pays for any income level, but are only available for those with private insurance and cannot help with co-payments for Medicare Part D, Medicaid or any other government program.
ADAP
Broward County – ADAP Waiting List(Sheila_Reimer@doh.state.fl.us)
10-01-2010 – 342 Patients
09-24-2010 – 321 Patients
09-17-2010 – 307 Patients
09-10-2010 – 292 Patients
09-03-2010 – 282 Patients
08-27-2010 – 271 Patients
On September 1, 2010 Florida ADAP removed all medications that were not Antiretrovirals or Opportunistic Infection Medications. ADAP is paid for by Ryan White Part B funds that are through the Broward County Health Department (a Florida state agency). Ryan White Part A prescriptions are still filled at the Broward County Health Department, but are covered by Ryan White Part A that is funded by Broward County. It is true that they will not be able to bill the State for these drugs, but Broward County has agreed to cover them through this extension until November 30, 2010. I had thought this was a “Done Deal”, but apparently not since the Health Department Rep did not attend the meeting and information has not reached the pharmacies. The medications removed from the ADAP Formulary were given this extension by Broward County and they should be covered by Ryan White Part A pharmacy(instead of ADAP) during this transition. The State does fully expect that clients actively seek assistance for these drugs from Patient Assistance Programs. If they have not done so already, clients should meet with the Patient Assistance Plan “Navigator” at the St. Road 84 location. Call the appointment line at (954) 713-3196 and ask for an appointment to get help applying for Patient Assistance Programs. They do not currently have an employee in this position at either the Pompano or the Hollywood pharmacy locations. If you encounter problems or need to advise ADAP of problems keeping an appointment or picking up medications, please call (954) 467-4700 ext. 5630.
Patient Assistance Programs
- www.NeedyMeds.org
- www.rxhope.org 1-877-267-0517
- www.PParx.org 1-877-267-0517
- www.rxassist.org
- www.Togetherrxaccess.com 1-800-444-4106
-www.PatientAssistance.com 1-888-477-2669
- www.rxoutreach.com 1-800-769-3880 (Generics at deep discounts)
- www.xubex.com 1-866-699-8239 (Generics at deep discounts)
FPL = Federal Poverty Levels
The Federal Poverty Guidelines which will remain the same in 2011 are listed below:
150% <$16,245 for Household of 1, <$21,885 for Household of 2 (this is the cut-off for Medicare part D clients to receive Low Income Subsidy)
200% <$21,660 for Household of 1, <$29140 for Household of 2
250% <$27,075 for Household of 1, <$29,285 for Household of 2
300% <$32,490 for Household of 1, <$43,710 for Household of 2
400% <$43,320 for Household of 1, <$51,141 for Household of 2 (This is the current cut-off for ADAP Eligibility. Could be lowered in future).
500% <$54,150 for Household of 1, <$58,570 for Household of 2 (Very few Patient Assistance Programs will help at this income level)
Patient assistance programs look at these as GROSS Income, the amount before any taxes or deductions are subtracted. Unlike ADAP currently, many Patient Assistance Programs also look at your assets such as mutual funds, stocks, bonds, etc…your primary home and car and not included
Even if you think you are not eligible, please call the program for inquiries and/or apply anyway.
PAP’s may want tax returns, proof of income and possibly assets when considering application which may be more stringent than ADAP eligiblity.
All Applications are reviewed case by case and subject to change without notice and at any time.
Abbott: Positive Partnership Plus Card- This includes 12 months of co-pay savings and covers Kaletra plus up to 2 other ARVs, no income or co-pay eligibility criteria. Patients can save up to $50 per month toward their Kaletra co-pay, plus up to $100 of the cost of other HIV medications (up to $50 for each additional ARV with a $100 limit total-must be part of a Kaletra regimen. Patients must get their card from their provider. Call 1-800-556-8317 or visit www.kaletra.com for more info.
Now there is a new Norvir co-pay card available. Patient pays the first $25 of their co-pay and Abbott will pay up to $75 additional per month. Please call 1-800-556-8317.
Boehringer Ingelheim: Viramune Co-Pay Savings Card-card is valid for amount of patient’s out-of-pocket cost up to $50 per month for 12 months. Patients must get card from their healthcare provider. The card is a Mastercard debit card, and must be activated at www.viramune.com or by calling the toll-free number on the card.
Bristol-Myers Squibb: Reyataz and Sustiva Co-Pay Benefit Program-Covers Reyataz and Sustiva up to $200 per month for each drug. Patient can obtain card from their healthcare provider, by calling 1-888-281-8981, or print their card at www.bmshivcopayprogram.com.
BMS and Gilead Sciences: Atripla Co-Pay Assistance Program changed July 1, 2010. Co-pay assistance will now cover co-payments up to $200 per prescription. Requirement that Patient pay the first $50 has been eliminated. If provider does not have the card, call toll free 1-866-784-3431 and one will be mailed. Visit www.atripla.com.
Gilead Sciences: Covers Truvada, Viread and Emtriva. As of July 1, 2010, program has enhanced eligibility and will pay up to $200 per month for each prescription. Please call toll-free 1-888-358-0398 for a card to be mailed to you or ask your health care provider.
Merck & Co: Isentress Patient Savings Coupon Program-patient is responsible for the first $30 of out-of-pocket cost per month, after which the coupon provides savings up to a maximum of $400 per prescription. Visit www.Isentress.com or call 1-866-350-9232.
Tibotec: Tibotec Therapeutics Patient Savings Program for Prezista and Intelence. This program has new enhanced eligibility critieria. If patient meets eligibility criteria, patient pays $5 per prescription and Patient Savings Program card covers up to $100 per month per prescription. The new criteria are brand new and generous. Please call 1-866-961-7169 for more details.
ViiV Healthcare: My Support Card covers all GSK and Pfizer HIV medications with no income criteria. Medications covered are Combivir, Epivir, Epzicom, Lexiva, Rescriptor, Retrovir, Selzentry, Trizivir, Viracept and Ziagen. The card is valid for the amount of the patient’s actual out-of-pocket cost up to a maximum of $100 per each prescription. You can get the card from your provider or print the card online at www.mysupportcard.com, or call 1-888-825-5249.