ADAP in Alaska — AIDS Drug Assistance Program eligibility and enrollment

Alaska AIDS Drug Assistance Program serves 220 people, with an income eligibility cap at 300% of the federal poverty line. In Alaska that means your gross annual income can be up to $45,753 for a household of one (at 2025 HHS poverty guidelines) and you still qualify. ADAP is the 'payer of last resort' for HIV medications: it covers people with no insurance, fills the gap for people on Medicare Part D, and pays co-pays for people on commercial insurance.

What ADAP covers: all FDA-approved antiretroviral medications on the state formulary (every ADAP covers the WHO-recommended first-line regimens), plus many opportunistic-infection prophylaxis drugs, lab work in states where the ADAP pays for labs directly, and in some states hepatitis B and C treatment. Alaska AIDS Drug Assistance Program's formulary is published on the state health department website and is updated at least annually.

How to enroll: a case manager at a Ryan White Part B or Part C clinic completes the application with you. You'll need proof of HIV diagnosis (a lab report or physician letter), proof of Alaska residency, proof of income (pay stubs, tax return, benefit letter), and documentation of insurance status. Decisions typically return within two weeks; medications are dispensed through participating pharmacies at no cost once you're enrolled. Recertification is annual.

The state HIV info line is 1-907-269-8000; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Alaskan AIDS Assistance Association (Four A's) and Identity Alaska Health Clinic as the local institutions that show up consistently — both are listed below.

Alaskan AIDS Assistance Association (Four A's). Four A's in Anchorage is the state's oldest HIV service organization and the primary Ryan White Part B case-management contractor, with offices in Anchorage, Juneau, Fairbanks, and Ketchikan serving the full state footprint.

Identity Alaska Health Clinic. Identity Alaska's health clinic runs Anchorage's highest-volume PrEP and rapid-testing service for LGBTQ+ Alaskans, operating out of the organization's South Midtown office with evening walk-in hours.