The Missouri Department of Health and Senior Services through the HIV/AIDS Case Management Program provides assistance to locate, coordinate, purchase and refer for medical and psychosocial services for individuals with HIV or AIDS, based on assessed need.

How to Apply

Please either download the application below (if available) or go to the program website for more information on how to apply. Once you fill out your application, send it to the address on the application. Remember not to send program applications to PPA.

Product(s) Covered by Program

  • A

    • Abacavir
    • ABILIFY® Oral Solution
    • ACTOS®
    • Advair® Diskus
    • Agenerase®
    • Albenza®
    • Aldara
    • Ambien®
    • Ancobon
    • Aptivus®
    • Ativan
    • Atripla®
    • Aventyl HCl
  • B

    • Baraclude®
    • Biaxin® Filmtab
    • Biaxin® XL Filmtab
  • C

    • CARBATROL®
    • Celexa
    • Cleocin Vaginal Cream/Ovules®
    • Combivir®
    • Complera™
    • Coreg®
    • CRESTOR® (rosuvastatin calcium) Tablets
    • CRIXIVAN®
    • Cymbalta® (duloxetine) delayed release capsules
    • Cytovene
  • D

    • Dapsone
    • Depakote® Sprinkle Capsules*
    • Depakote®*
    • Desyrel Dividose tablet
    • Detrol®
    • DiaBeta®
    • Dilantin®
  • E

    • EDURANT®
    • Elavil
    • Emtriva®
    • Epivir®
    • Epizicom
    • Erythromycin Delayed-Release Capsules
    • Eskalith CR®
  • F

    • Famvir®
    • Fortovase
    • Fulyzaq®
    • Fuzeon
  • G

    • Geodon®
    • Glucophage
    • Glucotrol XL®
  • H

    • Havrix
    • Hepsera®
    • HIVID
  • I

    • INTELENCE®
    • Invirase
    • ISENTRESS®
  • K

    • KALETRA® Oral Solution
    • KEPPRA®
    • Klonopin
  • L

    • Lamictal®
    • LEVAQUIN® (levofloxacin) Tablets/Oral Solution
    • Levoxyl®
    • Lexapro®
    • Lexiva®
    • Librium
    • Lipitor®
    • Lopressor
    • Lotrimin®
    • Lunesta® brand eszopiclone
    • Luvox
    • Lyrica®
  • M

    • Mepron®
    • Methylphenidate-SR
    • Micronase®
    • Monistat-Derm®
    • Mycobutin®
    • Mysoline
  • N

    • Neurontin®
    • NEXIUM® (esomeprazole magnesium) Delayed Release Capsules
    • Norvasc®
    • Norvir® Oral Solution
    • NYDRAZID
  • O

    • Oretic Tablets
  • P

    • Pamelor™ (nortriptyline HCI)
    • Paxil CR®
    • Pravachol®
    • Prezista®
    • Prilosec
    • Primaquine Phosphate
    • Prinivil tablets
    • Prozac® (fluoxetine)
  • R

    • Relenza®
    • Rescriptor®
    • Restoril™ (temazepam)
    • Retrovir®
    • Reyataz®
    • Rifadin
    • Rifamate
    • RISPERDAL CONSTA® (risperidone) Long-Acting Injection
    • RISPERDAL® (risperidone) M-TAB® Orally Disintegrating Tablets
    • RISPERDAL® (risperidone) Tablets/Oral Solution
    • Rozerem®
  • S

    • Selzentry®
    • Septra
    • SEROQUEL® (quetiapine fumarate)
    • Serzone
    • Sinequan®
    • Spiriva® HandiHaler®
    • SPORANOX® (itraconazole) Capsules
    • Sulfadiazine Tablets
    • Sustiva®
    • SYMBICORT® (budesonide/formoterol fumarate dihydrate) Inhalation Aerosol
  • T

    • Tamiflu
    • Tivicay®
    • Tofranil™ (imipramine hydrochloride)
    • Toprol® XL
    • TriCor®
    • Truvada®
    • Twinrix
    • TYZEKA®
  • V

    • Valium
    • Valtrex®
    • VAQTA®
    • Vfend®
    • Vibramycin®
    • Videx
    • Viramune® Tablets
    • Viroptic
    • Vistide®
  • X

    • Xanax®
  • Z

    • Zantac®
    • Zerit®
    • Zestril® Tablets
    • Zoloft®
    • Zovirax®
    • Zyprexa® (olanzapine) tablets