ADAP Formulary

Click here for a copy of the Medication Exception Form

Click here for a copy of the Additional 30-day Medication Request Form

Local Health Departments: Reimbursement Procedures for ADAP Vaccines

 

Tropism Access Program

Virginia ADAP participates in the Tropism Access Program (TAP) offered by the ViiV Healthcare Company.  Eligibility and processes are as follows:

  • TAP is offered by ViiV to facilitate free access to tropism testing with Trofile and Trofile DNA.
  • Patients must be ADAP eligible and the cost of tropism testing cannot be covered by a third party (excluding Ryan White funds).
  • The Trofile test is required whenever a clinician is considering prescribing the CCR5 antagonist medication maraviroc through Virginia ADAP.
  • The client’s virus must demonstrate R5 tropism for maraviroc to be effective.TAP access is available directly through ViiV only.
  • To access TAP, providers can register through the ViiV Resource Website or ask their ViiV representative for the form.
  • The provider will need to verify the client is ADAP eligible when they submit the forms. Please contact the ADAP Central Office to confirm ADAP eligibility by calling 1-855-362-0658.

 


Questions or comments?

Medication Eligibility Hotline 1-855-362-0658