ADAP in Ohio — AIDS Drug Assistance Program eligibility and enrollment

Ohio HIV Drug Assistance Program (OHDAP) serves 6,100 people, with an income eligibility cap at 500% of the federal poverty line. In Ohio 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. Ohio HIV Drug Assistance Program (OHDAP)'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 Ohio 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 1-614-466-6374; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Equitas Health and Cleveland Clinic Infectious Diseases Department as the local institutions that show up consistently — both are listed below.

Equitas Health. Equitas Health in Columbus is Ohio's largest LGBTQ+ FQHC and the Ryan White Part B case-management contractor for central Ohio, with satellite offices in Dayton, Athens, Toledo, and Cleveland and a dedicated Black-focused medical home on East Main Street.

Cleveland Clinic Infectious Diseases Department. Cleveland Clinic's ID Department is northeastern Ohio's Ryan White Part C grantee, serving about 2,100 people living with HIV across Cuyahoga, Lake, and Geauga counties, with co-located HIV-hepatitis C clinics at Main Campus and Fairview Hospital.