Oregon Covered Treatments

Anti-HIV Drugs

[Rescriptor] [Sustiva] [Sustiva and Truvada] [Viramune]
Non-nucleosides (Non-Nukes or NNRTIs)


[Reyataz] [Prezista] [Lexiva] [Crixivan] [Kaletra] [Viracept 625] [Norvir] [Invirase] [Aptivus]
Protease Inhibitors

Other categories of drugs that are sometimes covered by ADAP include anti-infectives, cardiovasculars for lipids and blood pressure, CNS drugs (such as anticonvulsants, anti-depressants, anxiolytics, sedatives, hypnotics and substance abuse agents), endocrine drugs (for wasting, diabetes, bone loss and thyroid agents), gastrointestinal drugs, respiratory drugs, urologicals, topical agents, dental products, diabetic monitoring devices, and more.

There are many categories of drugs related to treating AIDS, HIV or Hepatitis. You might also consider experimental drugs. Sometimes, a state will have a separate Hepatitis vaccination or screening program that offers treatments as well. Other times, the best way to find out about Hepatitis treatments is to contact an agency or organization that deals mostly with AIDS, or the HIV/STD Department of your state.

[Ziagen] [Epzicom] [Trizivir][Videx EC][Emtriva][Truvada][Epivir][Combivir][Zerit][Viread][Retrovir]
Nucleoside/tides (NRTIs or nukes)


Entry Inhibitors

Integrase Inhibitors CCR5 co-receptor inhibitors

Few states have AIDS Drug Assistance Programs (ADAP) that cover all the treatment types listed here, but you should always have your doctor or health care provider ask. Arrangements can sometimes be made on a case by case basis. One of the first things that an ADAP will ask is if you have already applied for Medicaid, which almost always covers more things than any ADAP. An ADAP might help pay your insurance premiums or assist with co-pays. Your Medicare Part D plan may also cover more than a state ADAP, but you should always check what any Medicare Part D plan covers. Some states will help you with premiums for insurance or even co-pays with Medicare Part D.

Oregon Resources

HIV-related Treatments, Tests, and Vaccines

  • Hepatitis Treatments - Hepatitis B and C treatments and Hepatitis A and B vaccines are available through the program. Other drugs related to HCV or HBV treatment are available as well through authorization by the program.

  • Opportunistic Infections - A wide range of treatments and preventions are available through the program, some through authorization by the program. The most recent program formulary or list of covered drugs is available.

Program Policies

These drugs are very expensive and requests for full payment by CAREAssist may result in a request for additional clinical information prior to authorization. Drugs marked prior authorization, or PA, require a prior authorization. Contact the program for instructions. Over the counter (OTC) meds are not covered unless insurance pays at least 50% of the cost. Bridge Program clients are eligible for a one-time only 30 day supply of drugs listed on the formulary. All Bridge Program payments require a prior authorization and letter to the pharmacy from CAREAssist listing those drugs to be provided. The Bridge Program is intended to provide time for the identification of an ongoing payer/source for medications; and is not in itself intended as a sustainable means of access after initiating a new or different therapy. Medical providers are urged to consider whether treatment with any specific medication on the formulary might be delayed until the client's insurance coverage starts - usually not more than one month from application to insurance and/or CAREAssist.

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Last modified: 01/06/2008
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