ADAP in New Hampshire — AIDS Drug Assistance Program eligibility and enrollment
The number
New Hampshire AIDS Drug Assistance Program supports 410 people living with HIV in New Hampshire, with an income cap at 500% of the federal poverty line.
Ryan White Part B
New Hampshire Department of Health and Human Services, Bureau of Infectious Disease Control
State ADAP
New Hampshire AIDS Drug Assistance Program
Income cap 500% FPL
State PrEP-DAP
New Hampshire PrEP Assistance Program
New Hampshire AIDS Drug Assistance Program eligibility + enrollment
New Hampshire AIDS Drug Assistance Program serves 410 people, with an income eligibility cap at 500% of the federal poverty line. In New Hampshire that means your gross annual income can be up to $76,255 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. New Hampshire 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 New Hampshire 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 1-800-852-3345; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Dartmouth Hitchcock Infectious Disease & International Health Clinic and Southern NH HIV/AIDS Task Force as the local institutions that show up consistently — both are listed below.
Dartmouth Hitchcock Infectious Disease & International Health Clinic. The Dartmouth Hitchcock ID Clinic in Lebanon is New Hampshire's largest Ryan White Part C grantee, serving about 800 people living with HIV across the state through the Upper Valley service footprint and a twice-monthly Manchester satellite.
Southern NH HIV/AIDS Task Force. The Southern NH HIV/AIDS Task Force in Nashua operates Ryan White Part B case management across Hillsborough and Rockingham counties, which account for roughly 60% of the state's people living with HIV.
For Black families in New Hampshire
Of the 1,500 people living with HIV in New Hampshire, a disproportionate share are Black residents — 17% of the new diagnoses each year, same proportion or higher of the cumulative prevalence. ADAP is what keeps many of those residents virally suppressed, because the alternative — paying retail for daily antiretrovirals — would run roughly $30,000-$40,000 a year. If your income has you worried about whether you qualify, call the state HIV line first. Ryan White case managers know the eligibility rules better than most insurance navigators and will pull you through the application rather than bouncing you to paperwork.
Named HIV testing + PrEP sites in New Hampshire
Where to get help in New Hampshire
- New Hampshire HIV info line: 1-800-852-3345 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- New Hampshire Department of Health and Human Services, Bureau of Infectious Disease Control landing page: https://www.dhhs.nh.gov/programs-services/disease-prevention/hiv-aids.
- Federally Qualified Health Centers in New Hampshire: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/nh/.
- State health data for New Hampshire: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/new-hampshire/.
- New Hampshire Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/new-hampshire/ for eligibility + enrollment.
- NASTAD ADAP Monitoring Project: nastad.org/adap-monitoring-project — the current national ADAP eligibility + formulary reference.
References & primary sources
- New Hampshire Department of Health and Human Services, Bureau of Infectious Disease Control: https://www.dhhs.nh.gov/programs-services/disease-prevention/hiv-aids.
- CDC HIV Surveillance Report 2022: cdc.gov/hiv/library/reports/hiv-surveillance.html. Source for state-level new diagnoses and race-stratified counts.
- HRSA HIV/AIDS Bureau, Ryan White HIV/AIDS Program grantee list: ryanwhite.hrsa.gov/grants/part-b.
- NASTAD ADAP Monitoring Project 2024 Annual Report: nastad.org/adap-monitoring-project. Source for ADAP income cap + enrollment + PrEP-DAP data.
- AIDSVu state profile: aidsvu.org/state/new-hampshire/.
- Kaiser Family Foundation, The Ryan White HIV/AIDS Program fact sheet: kff.org/global-health-policy/fact-sheet/the-ryan-white-hivaids-program.
Data refreshed: