Treatment News
More meds added to ADAP
By NINA MARKS
Medication for people with HIV who do not have adequate financial
resources, private insurance coverage or Medicaid is provided by funding
from the Ryan White Comprehensive AIDS Resource Emergency (CARE) Act.
Enacted in 1990, the Ryan White Comprehensive AIDS Resource Emergency
(CARE) Act is the largest source of federal funding specifically directed
to provide primary care and support services for people living with HIV.
Under Title II of the CARE Act, grants are given to individual states and
other eligible areas to improve HIV health care and services.
AIDS Drug Assistance Programs (ADAPs) are one of the programs funded by
Title II. There are ADAPs in all 50 states, the District of Columbia,
Puerto Rico, the Virgin Islands and Guam. In 1998, ADAPs helped nearly
108,000 eligible individuals with HIV disease to receive prescription
medications at no cost.
Since 1987, when ADAPs first began, the treatment of HIV disease has
expanded dramatically from a single antiretroviral drug approved by the
Food and Drug Administration, AZT, to 14 today. In addition to
antiretrovirals that directly combat HIV, ADAPs provide drugs used to
prevent and treat the opportunistic infections that may occur in the later
stages of disease.
Dramatic increase
Naturally, the amount of funding for ADAPs has increased just as
dramatically over the years, from $52 million in 1996 to $285.5 million in
1998. President Clinton's 1999 budget request already proposes $100
million more than that in "targeted ADAP" funds.
While federally funded, ADAPs are managed by individual states. States
have the authority to determine eligibility criteria, such as household
income and medical conditions, for individuals to utilize an ADAP.
States also determine which drugs will be made available through ADAP.
The list of drugs available through ADAP, known as a formulary, varies
from state to state.
Most states, including California, have advisory groups to assist in
determining which drugs are part of the ADAP formulary. These groups
usually include medical ethicists, expert clinicians, public health
professionals and representatives of consumers and AIDS service providers.
Some of the members of California's ADAP Medical Advisory Committee (MAC)
are Dr. Wilbert Jordan, Dr. Scott Hitt, Ruben Gamundi of AIDS Project Los
Angeles and Brenda Lein of Project Inform in San Francisco.
Based on the recommendations of the MAC, the number of drugs on
California's ADAP formulary recently more than doubled (from 54 to 112
drugs) and now will include several new classes of drugs deemed invaluable
for the well-being of HIV-infected persons. (See Page 8.)
Enrolling in ADAP
To be eligible for enrollment, household income must be below $32,200
per year for a single person; below $43,400 for a family of two; and below
$50,000 for a family of three.
Individuals or families whose income exceeds cut-off limits may still
be eligible for ADAP through co-pay arrangements. People with a Medi-Cal
share of cost may also apply for assistance. For information on
eligibility requirements and enrollment locations California residents may
call (800) 834-2698 and speak to an enrollment specialist by selecting "4"
from the menu. The toll-free number is staffed from 9 a.m. to 7 p.m.,
weekdays; from 9 a.m. to 5 p.m. on Saturday; and from 11 a.m. to 4 p.m. on
Sunday.
Once an individual's eligibility has been established and information
entered into the ADAP computer database, prescriptions may be filled at no
charge at Sav-On, Walgreen's, Rite-Aid and most large chain pharmacies.
The time between data entry and availability of prescriptions is estimated
at two to 24 hours.
What's in the California ADAP
formulary?
| ANTI-RETROVIRALS |
ANTI-TOXOPLASMOSIS |
ANTI-DIARRHEALS |
| abacavir (Ziagen) |
clindamycin (Cleocin) |
*diphenoxylate hydrochloride (Lomotil) |
| delavirdine (Rescriptor) |
sulfadiazine (Microsulfon) |
*opium, tincture of |
| didanosine (ddI, Videx) |
pyrimethamine (Daraprim) |
loperimide hydrochloride (Immodium) |
| *efavirenz (Sustiva) |
|
|
| indinavir (Crixivan) |
VACCINES |
ANALGESICS |
| lamivudine (Epivir) |
*hepatitis B virus vaccine |
*codeine phosphate (oral generic) |
| lamivudine/zidovudine (Combivir) |
*pneumococcal vaccine |
*codeine phosphate/ acetaminophen (oral generic) |
| nelfinavir (Viracept) |
|
*codeine phosphate/aspirin (oral generic) |
| nevirapine (Viramune) |
ANTI-MAC |
*codeine sulfate (oral generic) |
| ritonavir (Norvir) |
azithromycin (Zithromax) |
*hydrocodone bitartrate/acetaminophen (generic) |
| "saquinavir (Fortovase, Invirase) " |
clarithromycin (Biaxin) |
*hydrocodone hydrochloride (oral generic) |
| "zalcitavine (ddC, HIVid) " |
ethambutol (Myambutol) |
*fenoprofen calcium (oral generic) |
| zidovudine (AZT, Retrovir) |
rifabutin (Mycobutin) |
*fentanyl (patch, hospice only) |
| stavudine (d4T, Zerit) |
clofazimine (Lamprene) |
*ibuprofen - prescription strength (generic) |
|
|
*ibuprofen/hydrocodone bitartrate (generic) |
| ANTI-HERPES |
ANTI-CANCER |
*indomethacin (oral generic) |
| acyclovir (Zovirax) |
liposomal daunorubicin (DaunoXome) |
*ketoprofen (oral generic) |
| *valacyclovir (Valtrex) |
alpha-interferon (Intron-A, Roferon-A) |
*levorphenol tartrate (oral generic) |
|
doxorubicin (Ariamycin) |
*methadone hydrochloride (oral generic) |
| ANTI-CMV |
bleomycin sulfate (Blenoxane) |
*morphine sulfate (oral generic) |
| cidofovir (Vistide) |
cyclophosphamide (Cytoxan) |
*naproxen (oral generic) |
| foscarnet (Foscavir) |
methotrexate (Reumatrex) |
*opium/belladonna alkaloids |
| ganciclovir (Cytovene) |
vinblastine sulfate (Velban) |
*oxycodone hydrochloride (oral generic) |
|
Leucovorin vincristine (Oncovin) |
*oxycodone hydrochloride/acetaminophen |
| ANTI-PCP |
*paclitaxel (Taxol - for KS only) |
*oxycodone hydrochloride/aspirin (oral generic) |
| atovaquone (Mepron) |
|
*sulindac (oral generic) |
| dapsone (Avlosufan) |
ANTI-WASTING |
|
| leucovorin calcium |
dronabinol (Marinol) |
ANTIBIOTICS |
| pentamidine (Nebupent, Pentam) |
megestrol acetate (Megace) |
(All generic or oral generic) |
| TMP/SMZ (Bactrim, Septra) |
*oxandrolone (Oxandrin - for women |
*dicloxacillin sodium |
| trimethoprim (Trimpex,Proloprim) |
and persons with liver disease) |
*doxycycline hyclate |
| trimetrexate gluconate (NeuTrexin) |
*testosterone cypionate |
*erythromycin base |
|
testosterone enanthate |
*erythromycin ethylsuccinate |
| ANTIDEPRESSANT-SSRIs |
testosterone propionate |
*amoxicillin trihydrate |
| fluoxetine hydrochloride (Prozac) |
*nandrolone decanoate |
*cephalexin |
| nefazodone hydrochloride (Serzone) |
*nandrolone phenpropionate |
*metronidazole |
| *paroxitine hydrochloride (Paxil) |
|
*minocycline hydrochloride |
| *sertraline (Zoloft) |
ANTI-MICROSPORIDIOSIS |
*neomycin sulfate |
| *venlafaxine hydrochloride (Effexor) |
*albendazole (Albenza) |
*tetracycline hydrochloride |
| *bupropion hydrochloride (Wellbutrin) |
|
*vancomycin hydrochloride |
|
ANTIDEPRESSANTS-TRICYCLIC |
|
| ANTI-FUNGAL |
*amitriptyline hydrochloride (generic) |
MISCELLANEOUS |
| amphotericin (Fungizone) |
*nortriptyline hydrochloride (generic) |
dexamethasone (Decadron, Hexadrol) |
| fluconazole (Diflucan) |
*trazadone hydrochloride (generic) |
epoetin alpha (Procrit) |
| flucytosine (5FC, Ancobon) |
*despiramine hydrochloride (generic) |
filgrastim (Neupogen) |
| clotrimazole (Lotrimin, Mycelex) |
|
hydroxyurea (Hydrea) |
| itraconazole (Sporanox) |
|
prednisone (Deltasone) |
| ketoconazole (Nizoral) |
|
| nystatin (Mycostatin) |
* new |
Where you can enroll in ADAP
| People who receive medical care at any of these
establishments can be enrolled by personnel on site: |
|
|
| Los Angeles |
Westside |
Long Beach |
| AIDS Healthcare Foundation |
AIDS Healthcare Foundation |
Long Beach Comprehensive Health Center |
| (213) 741-9726 |
(310) 657-9353 |
(562) 599-8723 |
| AIDS Healthcare Foundation, Hollywood |
|
|
| (323) 662-0492 |
San Fernando Valley |
Pico Rivera |
| Children's Hospital Los Angeles |
AIDS Healthcare Foundation, |
AltaMed |
| (323) 669-2390 |
North Hollywood |
(562) 949-2499 |
| Drew University Early Intervention Program |
(818) 508-2555 |
|
| (310) 761-8442 |
Northeast Valley Health Corp. |
Pomona |
| Kaiser Permanente/L.A. |
(818) 988-6335 |
East Valley Community Health Center |
| (323) 667-4148 |
Olive View Medical Center/Sylmar |
(909) 620-8088 |
| LAC/USC 5P21 Clinic |
(818) 364-4158 |
|
| (213) 343-8255 |
|
Torrance |
| Martin Luther King, Jr. Hospital |
Antelope Valley |
Harbor UCLA Medical Center |
| Oasis Clinic |
High Desert Hospital, Lancaster |
(310) 222-2365 |
| (310) 668-3802 |
(805) 945-8448 |
| Sheriff's Central Jail Center |
|
| (213) 974-4971 |
The sites in this box will enroll eligible L.A. County residents
regardless of where they receive medical care:
St. Mary Medical Center/C.A.R.E. Clinic/Long Beach --- (562) 491-9999
Tarzana Treatment Center/Lancaster --- (805) 723-4829
Jeffrey Goodman Special Care Clinic/Hollywood --- (323) 993-7500
Catalyst Foundation/Lancaster --- (805) 948-8559
H. Claude Hudson Comprehensive Health Center/L.A. --- (213) 744-6120
|