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State Pharmaceutical Assistance Programs

Many states and the U.S. Virgin Islands offer help paying drug plan premiums and/or other drug costs. Select a state or territory below then click “Search” to see if any programs are available in your area.

State Index:

Program Details

Program Name

North Carolina HIV SPAP


(877) 466-2232
(919) 733-7301

Who is eligible

To be eligible, you must:

  • be an NC resident; have HIV;

  • have a gross family income at or below 300% FPL;

  • not have any third party-coverage; and

  • have at least one prescription for any medication on the ADAP formulary.

Where to apply

1902 Mail Service Center
Raleigh, NC 27699

Link to state website

North Carolina HIV SPAP - Opens in a new windowNew Window icon

Important Notes

SPAP is the program within ADAP for clients who have Medicare Part D coverage. Clients on SPAP pay their Medicare Part D premiums and SPAP pays their out of pocket costs for all medications on the ADAP formulary (copayments and all payments in the ‘donut hole’). When a client on SPAP fills a prescription for a medication on the ADAP formulary, the pharmacy will bill their Medicare Part D plan as the primary payer and ADAP as the secondary payer. The client will not incur any expenses for these
dispenses. All ADAP clients who are eligible for Medicare Part D must enroll in a Medicare Part D plan and pay the plan premiums.

There is no cost to individuals on APP or SPAP for medications on the formulary. All
clients are responsible for the cost of medications that are not on the formulary. Clients who are eligible for Medicare Part D are required to enroll in a Part D plan and are
responsible for plan premiums.

Fact Sheet: