ADAP in North Dakota — AIDS Drug Assistance Program eligibility and enrollment
The number
North Dakota Ryan White Part B Drug Assistance Program supports 130 people living with HIV in North Dakota, with an income cap at 300% of the federal poverty line.
Ryan White Part B
North Dakota Department of Health and Human Services, HIV Program
State ADAP
North Dakota Ryan White Part B Drug Assistance Program
Income cap 300% FPL
State PrEP-DAP
Not operated; federal Ready Set PrEP applies
North Dakota Ryan White Part B Drug Assistance Program eligibility + enrollment
North Dakota Ryan White Part B Drug Assistance Program serves 130 people, with an income eligibility cap at 300% of the federal poverty line. In North Dakota 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. North Dakota Ryan White Part B 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 North Dakota 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 1-701-328-2378; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Sanford Health Infectious Disease Clinic and Family HealthCare FQHC (Fargo) as the local institutions that show up consistently — both are listed below.
Sanford Health Infectious Disease Clinic. Sanford Health's ID Clinic in Fargo is North Dakota's only HIV specialty clinic and the state's Ryan White Part C grantee, covering the entire state through a combination of in-person and telehealth appointments; Sanford partners with Family HealthCare's Fargo FQHC for PrEP initiation.
Family HealthCare FQHC (Fargo). Family HealthCare in Fargo is North Dakota's largest FQHC and operates the state's only walk-in rapid-testing program with evening hours, serving new North American refugee communities along with the long-time Fargo-Moorhead Black community.
For Black families in North Dakota
Of the 340 people living with HIV in North Dakota, a disproportionate share are Black residents — 35% 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 North Dakota
Where to get help in North Dakota
- North Dakota HIV info line: 1-701-328-2378 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- North Dakota Department of Health and Human Services, HIV Program landing page: https://www.hhs.nd.gov/health/hiv.
- Federally Qualified Health Centers in North Dakota: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/nd/.
- State health data for North Dakota: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/north-dakota/.
- North Dakota Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/north-dakota/ for eligibility + enrollment.
- NASTAD ADAP Monitoring Project: nastad.org/adap-monitoring-project — the current national ADAP eligibility + formulary reference.
References & primary sources
- North Dakota Department of Health and Human Services, HIV Program: https://www.hhs.nd.gov/health/hiv.
- 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/north-dakota/.
- 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: