A wide variety of HIV and non-HIV medications are available to eligible HIV+ individuals through the Ryan White Part A Prescription Drug Program. Only drugs included in the Ryan White Part A Prescription Drug Formulary can be accessed through the Part A Program.

The goal of this program is to prolong the lives of persons living with HIV by improving their health and access to life-sustaining medications.  This service is available to individuals who are ineligible to receive medications under Medicaid or the Federal AIDS Drug Assistance Program (ADAP). Additional information on the Part A Prescription Drug Program appears below:

These files are in Adobe Acrobat format for you to print and view.

• Nutritional Assessment Letter for Food Bank Services

Prescription Drug Formulary:

• Sorted by brand name
• Sorted by classification
• Sorted by generic name
• Sorted by HRSA d-code
• Notations/comments
• Cover Letter
• Department of Health Memo (Etravirine)
• Prior Authorization Forms / Letters of Medical Necessity