AIDS Drug Assistance Program (ADAP)

How to Access HIV/AIDS Medications

Available medications:
- Norvir
- Kaletra
- Isentress
- Crixivan
The patient must be currently on a State ADAP waiting list
The State ADAP Coordinator must sign the form authorizing the patient to receive medications
The completed prescription form must be faxed to Welvista at 1-877-258-1557
It may be necessary to submit the form to the Healthcare provider for prescription information
Once the prescribing authority has completed the prescription, it can be faxed directly to Welvista at 1-877-258-1557 by the Healthcare provider