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Pennsylvania ADAP Contact and Eligibility
State ADAP Director and Enrollment Information

John Folby
Administrator, PA-ADAP
Special Pharmaceutical Benefits Program
Department of Public Welfare
 P.O. Box 8021
Harrisburg, PA 17105
Tel: (717) 772-6341
Fax: (717) 705-8309
e-mail: jfolby@state.pa.us
Public Contact Number: (800) 922-9384





Contact
Website http://www.dpw.state.pa.us/omap/hiv_aids/omapspbpfct.asp
AIDS Hotline (800) 662-6080
Financial Eligibility
  • Gross income of less than $30,000 p.a. with an allowance of $2,480 for each additional family member.
Medical Eligibility
  • HIV +
  • Prescription for a covered drug.
Enrollment Contact a local County Assistance Office, community-based AIDS service organizations, Department of Health clinics, hemophilia centers, some doctors' offices, pharmacies, and local mental health providers for an application form.
  • Must be a resident of Pennsylvania (not institutionalized).
  • Not eligible for Medicaid.
  • Provide proof of gross annual income.
  • Provide a copy of their Social Security card.
  • Clients must advise program staff of any changes regarding residence, income, third party insurance coverage and drug therapies on an ongoing basis.
Pharmacy Eligible clients are issued an SPBP identification card that may be used at enrolled Pennsylvania Medicaid providers.
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Last modified: 12/15/2006
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