[The Access Project]



Getting Treatment Coverage


  • ADAP is an AIDS Drug Assistance Program. Some states call these programs, which are paid for by federal and state funds, other names but still offer a list or formulary of drugs, as well as some blood tests or even small devices for measuring blood sugar or injecting drugs. Usually you just call the ADAP phone number and say you want to apply.

  • Some states require a Case Manager, others don't. Each state has different requirements and offers different types of programs. You usually have to apply for Medicaid first, although some ADAPs help people with private insurance, Medicare Part D or no insurance. Call to find out. If you have questions you can e-mail us

  • There are many categories of drugs related to treating HIV or Hepatitis co-infection. Sometimes, a state will have a separate Hepatitis vaccination or testing program. You might also need to look for other programs to meet your needs. Don't drop your insurance coverage or COBRA premiums without first seeing if your state will cover part or the whole premium or drug cost co-pays. Apply to get Medicaid or Medicare or private insurance with the help of your case manager.

  • You might also need to try a Patient Assistance Program. The pharmaceutical industry has set up programs that offer medications for free, or sometimes at a very low price. You may have to apply directly to a specific company. Your doctor or another member of your health care team like a Case Manager will usually help you out to apply, and you may need to apply to more than one company for the treatments you need.

  • Other times, the best way to find out about Hepatitis treatments is to contact an agency or organization that deals mostly with AIDS, or the HIV/STD Department of your state.You might also consider experimental drugs.

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New Hampshire


CONTACTSHEALTHCARETREATMENTS

* Requires Prior Authorization. Please call the CARE program at 603-271-4480 for complete NH Medicaid PDL and prior authorization

HIV Treatments

[Ziagen] [Epzicom] [Trizivir][Videx EC][Emtriva][Truvada][Epivir][Combivir][Zerit][Viread][Retrovir]

Nucleoside/tides (NRTIs or nukes)


[Intelence] [Sustiva] [Viramune][Rescriptor]
Non-nucleosides (Non-Nukes or NNRTIs)

[Reyataz] [Prezista] [Lexiva] [Crixivan] [Kaletra] [Viracept 625] [Norvir] [Invirase]

Protease Inhibitors

[Sustiva and Truvada]

Multi-Class Antiretroviral Agent
  • Atripla - efavirenz, tenofovir and emtricitabine


[Fuzeon] [Selzentry]

Entry Inhibitors

[Isentress]
Integrase Inhibitors



Hepatitis B Treatments

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Not Covered on Open Formulary

For all other classes of drugs, the program matches the NH Medicaid Preferred Drug List (PDL) with the exceptions that Pravachol (pravastatin) and Lipitor (atorvastatin) are preferred. Not covered:

  • Hepatitis C treatments - including Peginterferon, interferon, Ribivirin Pegasys, Copegus, Peg-Intron, Rebetron

  • Compound medications - Active medication containing more than one ingredient such as compound medications

  • Antirheumatic injectables - such as Enbrel

  • Botulinum toxin compounded medications for infusion - such as Botox, Mylobloc

  • Contraceptives - such as Ortho-Novum

  • Finasteride - such as Propecia

  • Gonadatropins (testosterone) - such as Androgel

  • Hyaluronic acid derivatives - such as Hyalgan, Synvisc

  • Immune globulin intravenous (IGIV) - such as Sandoglobulin, Venoglobulin

  • Injectable muscle relaxants - such as Lioresal

  • Medroxyprogesterone - such as Depo Provera

  • Mifepristone - such as Mifeprex

  • Propoxyphene - such as Darvon

  • Recombinant human growth hormone (HGH) - such as Geref, Humatrop

Specific Drug Classes Not Covered

  • Cosmetics - such as Botox, Mylobloc

  • Erectile dysfunction Drugs - such as Viagra, Levitra, Cialis

  • Fertility drugs

  • Hair growth stimulants - such as Propecia, Rogaine

  • Herbal medications

  • Immunizing biologicals

  • Less than effective drugs

  • Nutritional supplements

  • Over the counter drugs

  • Sex reassignment drugs

  • Vitamins and minerals - such as Iron

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AIDS Treatment Data NetworkThe Access Project
Last modified: 07/07/2008
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