The goal of the HIV Services Program is to support primary medical care and essential support services to persons living with HIV/ AIDS. The two major sources of funding for the program are the Federal Ryan White HIV/AIDS Program (Part B and ADAP) and State General Funds. The Ryan White Part B Program works with cities, states, and local community-based organizations to provide HIV-related services to more than half a million people across the United States each year. The program is for those who do not have sufficient health care coverage or financial resources for coping with HIV disease. Ryan White fills gaps in care not covered by other sources.

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

  • 3

    • 3TC
  • A

    • ACTOS®
    • Agenerase®
    • AmBisome®
    • Amikin
    • Aptivus®
    • Avosulfon®
    • AZT
  • B

    • Biaxin® Filmtab
    • Biaxin® XL Filmtab
    • Biaxin® XL Pac
  • C

    • Cleocin Pediatric®
    • Cleocin Phosphate
    • Cleocin Vaginal Cream/Ovules®
    • Cleocin®
    • Combivir®
    • Complera™
    • CRESTOR® (rosuvastatin calcium) Tablets
    • CRIXIVAN®
    • Cytovene
  • D

    • d4T
    • Dapsone
    • Daraprim®
    • ddC
    • ddI
    • DDS
    • Depakote®*
    • Detrol®
    • Diflucan®
  • E

    • EDURANT®
    • Enablex®
    • Epivir®
    • EPOGEN® (EPOETIN ALFA) for dialysis use only
    • Epzicom®
  • F

    • Famvir®
    • Fortovase
    • Foscavir
    • Fungizone
    • Fuzeon
  • G

    • G-CSF
    • Glucophage
    • Glucophage XR
  • H

    • Havrix
    • HIVID
    • Hydrea
  • I

    • INTELENCE®
    • Invirase
  • K

    • KALETRA®
    • KALETRA® Oral Solution
  • L

    • Lamprene
    • Lexiva®
    • Lipitor®
    • Lopid®
  • M

    • Malarone Suspension
    • Malarone®
    • Megace Oral Suspension
    • Mepron®
    • Methadose
    • Micronor
    • Myambutol
    • Mycelex-G
    • Mycobutin®
    • Mycostatin
  • N

    • Neupogen®
    • Nizoral®
    • Nordette
    • Norplant
    • Norvir® Oral Solution
  • O

    • Ortho-Cyclen® Tablets
    • Ortho-Novum 1/35
    • Ortho-Novum 10/11
    • Ortho-Novum 7/7/7
    • Ortho-Novum® 1/50
  • P

    • Pravachol®
    • Prenate Ultra
    • Prezista®
    • Primaquine Phosphate
    • PROCRIT® (epoetin alfa) Injection
    • Proloprim
  • R

    • Rescriptor®
    • Retrovir®
    • Reyataz®
  • S

    • Selzentry®
    • Septra
    • SPORANOX® (itraconazole) Capsules
    • Sulfadiazine Tablets
    • Sustiva®
  • T

    • TriCor®
    • Triphasil
    • Trizivir®
    • Truvada®
    • Twinrix
  • V

    • Valcyte
    • Valtrex®
    • Vfend®
    • Videx
    • Videx EC
    • Videx Pediatrics
    • Viramune® Oral Suspension
    • Viramune® Tablets
  • W

    • Wellcovorin
  • Z

    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zithromax® Suspension
    • Zithromax® Tri-Pak
    • Zithromax®Z-Pak
    • Zoloft®
    • Zovirax®