There is no single national ADAP clinic. ADAP runs state by state under Ryan White Part B, so the way in is always your state's ADAP office, usually reached through a county or state health department[1]. Look up your state in the national ADAP Directory at adap.directory[2], check that your regimen is on the formulary[3], then call to book the eligibility appointment. Use our locator to find the nearest enrolling clinic.
ADAP is dozens of separate programs, not one
HRSA funds ADAP through Ryan White Part B, which provides "medications to low-income people with HIV through the AIDS Drug Assistance Program"[1]. Each state, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and the territories run their own version — which means income limits, paperwork, covered drugs, and pharmacy arrangements all vary by where you live.
The national ADAP Directory at adap.directory is the state-by-state index. It tells you plainly to learn your own state's eligibility requirements and drug formulary — including before you move to a new state, because coverage does not travel with you[2]. Look up your state first, then call the office listed there rather than a clinic front desk.
Check the formulary before the appointment
NASTAD maintains the National ADAP Formulary Database, a searchable public resource on state-by-state ADAP medication coverage. Use it to confirm your specific regimen is covered where you live before you sit down for enrollment[3]. If your medication is not listed, bring that up at the appointment — states have exception and prior-authorization routes.
This is not a small program. Ryan White Part B and the ADAPs together serve over half of the people diagnosed with HIV in the United States[4]. If money is the reason you have not started or restarted treatment, this is the system built for you.
What the enrollment appointment asks for
Florida's process is a good model for how most states work. First you are determined eligible through HIV/AIDS Patient Care eligibility screening; then you schedule an ADAP appointment through your county health department or the state ADAP Help Desk at 844-381-2327 (Monday–Friday, 8 a.m.–5 p.m. ET)[5].
Bring documents. Florida asks for proof of HIV-positive status, proof that you live in the state, an insurance screening covering Medicaid, Medicare, private, and other coverage, and proof of income[6]. Enrollment itself means submitting the Core Eligibility Form, a prescription for at least one antiretroviral, and insurance documentation if you have coverage — after which uninsured clients at a health department without an onsite pharmacy are served through a specialty pharmacy and insured clients pick up at a retail or participating pharmacy. Bring valid ID to pickup[6].
Where the income line sits
Florida's income limit is 400% of the federal poverty level, and it works two ways: uninsured clients from 0–400% FPL get direct-dispense medication assistance, while people with Medicare, employer coverage, COBRA, ACA, or self-insured plans in the same income range get medication copay assistance. Premium assistance is not currently provided[5][7].
If ADAP is not an option for you
Being over the income line, or waiting on paperwork, does not mean paying full price. HRSA points people who do not qualify for ADAP to the Common Patient Assistance Program Application (HIV), a single application used to request medicines at little or no cost[8].
Manufacturer programs are the other lane. Florida's health department notes that more than 180 pharmaceutical-company programs provide free or low-cost drugs for people who cannot afford them, and points to needymeds.com and pparx.org as the places to search them[6]. Ask your clinic's case manager or pharmacist to help you file — this is routine work for them.
Florida ADAP: verify before you rely on a number
Florida ADAP eligibility changed three times in 2026, so confirm the current rule with the ADAP Help Desk at 844-381-2327 rather than treating any published threshold as permanent[5]. Here is what happened. In January 2026 the state announced eligibility would drop to 130% FPL, premium assistance would end, and Biktarvy would come off the formulary. The cuts took effect in March, and more than 12,000 people lost coverage[9]. A unanimous $30.9 million emergency bridge appropriation that same month restored eligibility to 400% FPL[10].
The 2026–27 state budget signed June 29, 2026 added $75 million and restored the program in full effective July 1, 2026, with every covered medication back on the formulary — but with direct-dispense enrollment capped at 21,000 people and insurance premium assistance still not restored, pending an independent state review due January 2027[9]. If you were dropped during the March cuts, call and re-enroll; you may be eligible again.
Related questions
What income do I need to qualify for ADAP in Florida?
Florida's limit is 400% of the federal poverty level, alongside a positive HIV diagnosis, Florida residency, being uninsured or without adequate prescription coverage, and not living in a hospital, nursing home, hospice, or correctional facility. Because the threshold moved twice in 2026, confirm it with the ADAP Help Desk at 844-381-2327 before assuming you are over the line.
Is ADAP the same in every state?
No. ADAP is administered separately by each state and territory under Ryan White Part B, so income limits, required documents, covered medications, and pharmacy arrangements all differ. Start at the national ADAP Directory to find your own state's rules and contact.
How do I know if ADAP covers my exact medication?
Search NASTAD's National ADAP Formulary Database, which tracks state-by-state ADAP medication coverage. If your regimen is not listed for your state, raise it at your enrollment appointment — exception and prior-authorization routes exist.
What happens to my ADAP coverage if I move to another state?
Coverage does not transfer. You enroll again in the new state, under that state's rules and formulary. The national ADAP Directory specifically advises checking eligibility requirements and the drug formulary before you move so there is no gap in your medication.
Related from RiseUpToHIV
References & Sources
- HRSA Ryan White HIV/AIDS Program — Program Parts and Initiatives. Part B provides medications to low-income people with HIV through the AIDS Drug Assistance Program. ↩ ↩
- National ADAP Directory. State-by-state index of AIDS Drug Assistance Programs, with the instruction to learn your state's eligibility requirements and formulary, including before moving. Replaces the retired NASTAD ADAP directory URL. ↩ ↩
- NASTAD — National ADAP Formulary Database. Searchable public database of state-by-state ADAP medication coverage. ↩ ↩
- NASTAD — Ryan White HIV/AIDS Program Part B and ADAP. Part B and the ADAPs together serve over half of the individuals diagnosed with HIV in the United States. ↩
- Florida Department of Health — HIV/AIDS Management and AIDS Drug Assistance Program. ADAP Help Desk at 844-381-2327 (Mon–Fri 8 a.m.–5 p.m. ET); 400% FPL eligibility; direct-dispense assistance for uninsured clients and copay assistance for insured clients; premium assistance not currently provided. ↩ ↩ ↩
- Florida Department of Health — ADAP Enrollment. Required proofs, the Core Eligibility Form and antiretroviral prescription, specialty versus retail pharmacy dispensing and valid ID at pickup, and the note that more than 180 pharmaceutical-company programs offer free or low-cost drugs. This URL now redirects to the department's HIV/AIDS management page. ↩ ↩ ↩
- National ADAP Directory — Florida. Florida ADAP eligibility criteria at 400% FPL and the state HIV/AIDS Section contact information. ↩
- HRSA Ryan White HIV/AIDS Program — Available Care and Services. Directs people who do not qualify for ADAP to the Common Patient Assistance Program Application (HIV). ↩
- AIDS Healthcare Foundation — Florida Budget Becomes Law, Securing Reversal of HIV Drug Cuts (June 2026). The January 2026 announcement of a 130% FPL limit, the March cuts and more than 12,000 people losing coverage, and the $75 million restoration effective July 1, 2026 with a 21,000-person direct-dispense cap. ↩ ↩
- Florida Senate — ADAP Bridge Funding Release and Remarks (March 10, 2026). The unanimous $30.9 million emergency bridge appropriation restoring ADAP eligibility to 400% FPL. ↩
Community publications like POZ, Positively Aware, and TheBody inform framing and lived-experience context on RiseUpToHIV. Every clinical, epidemiological, or public-health claim above is anchored to a primary source.