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HIV: AIDS/HIV Drug and Insurance Assistance Program Information for Health Care Professionals

The Wisconsin AIDS (acquired immunodeficiency syndrome)/HIV (human immunodeficiency virus) Drug Assistance Program (ADAP) and Insurance Assistance Program (IAP) help people with HIV get:

  • Health insurance help.
  • Medicine for:
    • HIV.
    • Hepatitis C, if they have both HIV and hepatitis C.
    • The prevention or treatment of other health conditions.

ADAP reimburses enrolled pharmacies for certain medications.

Find more information on the Wisconsin AIDS/HIV Insurance Assistance Program and ADAP Fact Sheet, P-42115.

Male doctor standing in hallway with medical personal in background

FAQs (frequently asked questions)

Below are some frequently asked questions and answers about the programs.

To be eligible for the ADAP and IAP, a person must live in Wisconsin and have:

Clients will be asked about their health insurance to make sure that ADAP is the payer of last resort for services that can be paid by health insurance.

They can apply:

They must mail their completed application to:

Division of Public Health
ATTN: ADAP
PO Box 2659
Madison, WI 53701-2659

They can also fax it to 608-266-1288 or email it to the Division of Public Health.

Those who are approved will get an approval letter. If they’re applying for ADAP, we’ll also let their pharmacy know. This is the pharmacy that will give them their approved medicines. The pharmacy will bill the program.

Here is a list of drugs covered by ADAP: ADAP Formulary, Jan 2023, P-02760 (PDF).

For more information about either program, call 800-991-5532.

If you’d like to become an ADAP pharmacy provider, check out the ForwardHealth Provider Enrollment webpage.

If you’re a pharmacy provider with the program and have questions about claims or billing, call Provider Services at 800-947-9627.

Additional materials

More resources

 

Last revised January 18, 2023