HIV Drug Assistance Program (HDAP)

To be eligible to enroll in the Massachusetts HIV Drug Assistance Program, you must:

• Live in Massachusetts
• Be HIV-positive
• Meet income eligibility guidelines: A gross annual income not exceeding 500 percent of the federal poverty level (Click here to view this year’s income eligibility levels)

Immigration status does not affect eligibility

HDAP enrollees need to recertify in the program every six months to verify ongoing eligibility.

• If you have been continuously enrolled in HDAP with no gaps in coverage, you can submit a one-page,self-attestation Short Form application once per year
• You will still need to submit a Long Form application each year, even if you have not had any gaps in HDAP coverage and your information has not changed
• If you have had a gap in HDAP coverage since you last recertified, you will need to recertify using the Long Form

1. Fill out the application clearly and completely. We cannot process applications with incomplete or missing information.
2. For URGENT HDAP coverage requests, please contact HDAP at 617.502.1700 after submitting the application. Please include URGENT processing in the subject line of your email or on your fax cover page and indicate the reason why (e.g. out of medications, newly diagnosed, etc.).
3. Once we receive your completed application materials, please allow at least two weeks for your application to be processed. Clients will be notified of decisions by mail. Case managers will be notified by secure email.
4. If you are approved for HDAP coverage and experience any issues picking up or receiving medications from your pharmacy, please call HDAP at 617.502.1700.
5. Once you are enrolled in HDAP, you will need to recertify your information every six months to stay enrolled in the program.
6. Pay attention to requests for information or notifications from HDAP staff, especially the Notice of Recertification letter sent to you or your case manager prior to your HDAP termination date. These notices will indicate whether you need to submit the Long Form or Short Form at the time of your recertification.
7. Please fax an application or other documents only once to 617.502.1703. Please include a cover sheet with any documents you fax. HDAP receives all documents via an electronic system and processes them in the order received. It can take between 24-48 hours before a fax is confirmed as received in our system. If you are concerned that a fax may have been received by HDAP, please call HDAP to confirm 24-48 hours after the fax was sent.
8. Retain a copy of all applications and documents sent to HDAP. If you sent via fax, include the fax confirmation page with the date, time, and number of pages in your fax. This information can be used to facilitate communication with HDAP regarding your documents.

HDAP has an open formulary and as an HDAP client, we will cover any medication that is prescribed by your physician, except the medications listed below.

• Specific Exclusions
  • Finasteride (Propecia)-  Approved for prostate disorders only
  • Minoxidil (Rogaine)
• Class Exclusions
  • Cosmetic Medications
  • Erectile Dysfunction Pharmaceuticals
  • Fertility Drugs
  • Herbal Medications

*Vitamins and pain relievers (e.g. ibuprofen) are covered when prescribed by a physician.

Click here to view this list as a PDF

The HIV Drug Resistance Assay Reimbursement program provides direct reimbursement to healthcare sites for the cost of genotype and virtual phenotype testing for patients living with HIV who are uninsured.

Drug resistance testing is an important tool to measure whether a person’s virus is resistant to antiviral medications. With the help of genotype and phenotype testing, physicians can make an informed and individualized decision about the most effective antiretroviral therapies for each of their patients.

For more information or to enroll in the HIV Drug Resistance Assay Reimbursement program, interested healthcare sites should contact Hellen Gikaria, HDAP Senior Program Manager, at hgikaria@crihealth.org or 617.502.1731 or call Community Resource Initiative’s main number at 617.502.1700.