ADAP in Virginia — AIDS Drug Assistance Program eligibility and enrollment
The number
Virginia AIDS Drug Assistance Program supports 7,300 people living with HIV in Virginia, with an income cap at 400% of the federal poverty line.
Ryan White Part B
Virginia Department of Health, Division of Disease Prevention
State ADAP
Virginia AIDS Drug Assistance Program
Income cap 400% FPL
State PrEP-DAP
Virginia PrEP-DAP
Virginia AIDS Drug Assistance Program eligibility + enrollment
Virginia AIDS Drug Assistance Program serves 7,300 people, with an income eligibility cap at 400% of the federal poverty line. In Virginia that means your gross annual income can be up to $61,004 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. Virginia 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 Virginia 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 1-804-864-7300; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name VCU Infectious Disease Clinic and Nationz Foundation as the local institutions that show up consistently — both are listed below.
VCU Infectious Disease Clinic. The VCU Infectious Disease Clinic in Richmond is Virginia's largest Ryan White Part C grantee, serving about 3,400 people living with HIV across central Virginia; VCU is the training home for the state's HIV primary-care workforce through the Mid-Atlantic AETC.
Nationz Foundation. Nationz Foundation in Richmond is Virginia's largest Black-LGBTQ+-led HIV service organization, operating rapid testing, peer navigation, and the annual Black Pride health screening event in Monroe Park, with satellite programming in Hampton Roads and the Shenandoah Valley.
For Black families in Virginia
The South carries the heaviest HIV burden in the country: Black Southern residents make up roughly 14% of the U.S. population but account for more than half of new Black HIV diagnoses nationally. Of the 27,400 people living with HIV in Virginia, a disproportionate share are Black residents — 56% 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 Virginia
VCU Infectious Disease Clinic — Richmond
Richmond, VA • 1-804-828-9631
Nationz Foundation — Richmond
Richmond, VA • 1-804-716-0040
Minority Health Consortium (MHC) — Norfolk
Norfolk, VA • 1-757-839-0021
Whitman-Walker Health — Alexandria Campus
Alexandria, VA • 1-703-838-2437
Eastern Virginia Medical School Infectious Disease — Norfolk
Norfolk, VA • 1-757-388-6800
Virginia Department of Health — Central Richmond Health District STD Clinic
Richmond, VA • 1-804-482-5500
Where to get help in Virginia
- Virginia HIV info line: 1-804-864-7300 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- Virginia Department of Health, Division of Disease Prevention landing page: https://www.vdh.virginia.gov/disease-prevention/.
- Federally Qualified Health Centers in Virginia: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/va/.
- State health data for Virginia: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/virginia/.
- Virginia Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/virginia/ for eligibility + enrollment.
- NASTAD ADAP Monitoring Project: nastad.org/adap-monitoring-project — the current national ADAP eligibility + formulary reference.
References & primary sources
- Virginia Department of Health, Division of Disease Prevention: https://www.vdh.virginia.gov/disease-prevention/.
- 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/virginia/.
- 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: