ADAP WAITING LIST PROGRAM

HarborPath began administering The ADAP Waiting List program on May 6, 2013. Case managers, on behalf of their patients, wishing to access the HarborPath ADAP Waiting List Program should complete and certify a HarborPath ADAP Waiting List Program Enrollment Form (form downloadable from sidebar), include new prescriptions, and submit to HarborPath for the dispensing of available medications.


PATIENT ELIGIBILITY

A patient is eligible for the HarborPath ADAP Waiting List Program if he or she meets the following criteria:

  • Has been deemed eligible for the ADAP in his or her state of residency; and
  • Has a letter from his or her state ADAP indicating that he or she is on the ADAP waiting list.

No other ADAP patients are eligible for this program (e.g. patients who have enrolled with an ADAP but whose eligibility has not yet been determined). Individual pharmaceutical companies’ PAP business rules are not applied to patients in the HarborPath ADAP Waiting List Program.

ENROLLMENT PROCESS AND FORM INSTRUCTIONS

In order to streamline access to medications for patients who are on ADAP waiting lists, participating drug companies have agreed to a simplified eligibility process. Rather than completing individual company patient assistance program (PAP) applications, patients on ADAP waiting lists are qualified using a simple HarborPath ADAP Waiting List Program Enrollment Form (form downloadable from sidebar).

Following are the steps to be completed to enroll a patient in the HarborPath ADAP Waiting List program:

  1. The HarborPath ADAP Waiting List Enrollment Form, which also serves as the prescription, must be completed in its entirety.
  2. An ADAP official must sign the Enrollment Form, certifying that the patient is on an ADAP waiting list. (Another authorized agent who can attest that a patient is on the ADAP waiting list - such as a case manager or social worker - may also sign the Enrollment Form.)
  3. The prescriber must complete the prescription information on the Enrollment Form.
  4. The Enrollment Form must be accompanied by a letter from the state ADAP indicating that the patient is, in fact, on that state’s waiting list and is therefore eligible for the HarborPath ADAP Waiting List Program.
  5. The Enrollment Form, ADAP Waiting List letter and additional prescriptions must be faxed to the number on the Enrollment Form (1-888-237-9831)
  6. All refills must be called in within ten days of the patient’s last daily dose to the HarborPath automated system at 1-855-877-5953.
  7. At the expiration of the prescription, a new Enrollment Form along with the ADAP Waiting List letter must be faxed to HarborPath.

PRESCRIPTION FULLFILLMENT

Once a complete HarborPath ADAP Waiting List Program Enrollment Form and prescriptions are received by HarborPath, applications will be processed and medications will be shipped via U.S. Postal Service within 48 hours of receipt of the application.

ABOUT ADAP

The AIDS Drug Assistance Program (ADAP) is part of the Federal Ryan White Part B program that is administered through the Health Resources and Services Administration (HRSA) at the Department of Health and Human Services. ADAP funding is made available annually to all 50 states and is to be used to provide medications to people living with HIV/AIDS who have no other payer source such as Medicaid, Medicare or private insurance. ADAP funding may also be used to pay for insurance premiums, copays and deductibles for people living with HIV/AIDS.

Despite appropriations increases, the steady growth in the number of eligible clients, combined with rising costs of complex HIV/AIDS treatments, sometimes results in states experiencing greater demand for ADAP services than available resources can cover. In these instances, some ADAPs have implemented waiting lists for program services and medications.

Through the ADAP Waiting List Program, antiretrovirals donated by pharmaceutical companies are dispensed to patients who are on ADAP Waiting Lists. The program that began in 2010 is now being administered by HarborPath. The primary focus of HarborPath is to serve people living with HIV who are uninsured, ineligible for ADAPs and/or are experiencing a gap in coverage for their HIV medications. Administering the ADAP Waiting List Program is directly aligned with its core mission.

ADAP WAITING LIST PROGRAM SUPPORTED BY DONATIONS FROM

Abbvie Gilead
Janssen Merck
ViiV HealthCare Johnson + Johnson
Bristol Myer Squibb