The Vermont Medication Assistance Program provides financial assistance for the purchase of prescription medications to Vermonters living with HIV disease who meets certain income guidelines. If you are eligible, this program may help pay for your treatment drugs, insurance premiums, co-pays and/or deductibles

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

    • Adriamycin
    • Agenerase®
    • AZT
  • B

    • Biaxin® Filmtab
    • Biaxin® XL Filmtab
  • C

    • Celexa
    • Cleocin®
    • Combivir®
    • CRIXIVAN®
  • D

    • d4T
    • Daraprim®
    • ddC
    • ddI
    • DDS
    • Desyrel Dividose tablet
    • Detrol®
    • DOXIL® (doxorubicin HCl liposome) IV Infusion
    • DURAGESIC® (fentanyl) Transdermal System CII
  • E

    • Elavil
    • Enablex®
    • Epivir®
  • F

    • Famvir®
    • Fibricor™
    • Fortovase
    • Foscavir
    • Fungizone
    • Fuzeon
  • H

    • HIVID
    • Hydrea
  • I

    • Imodium
    • Invirase
  • K

    • KALETRA®
    • KALETRA® Oral Solution
  • L

    • Lescol®
    • Lexiva®
    • Lipitor®
    • Lopid®
    • Lotrimin®
  • M

    • Megace Oral Suspension
    • Mepron®
    • Metamucil
    • Methadose
    • Mevacor Tablets
    • Motrin®
    • MS Contin
    • Myambutol
    • Mycobutin®
    • Mycostatin
  • N

    • Neupogen®
    • Neurontin®
    • Nizoral®
    • Norvir® Oral Solution
  • P

    • Paxil®
    • Pravachol®
    • Primaquine Phosphate
    • Proloprim
    • Prozac® (fluoxetine)
  • R

    • Rescriptor®
    • Retrovir®
    • Reyataz®
  • S

    • Septra
    • Serzone
    • SPORANOX® (itraconazole) Capsules
    • Sustiva®
  • T

    • Trimpex
    • Trizivir®
  • V

    • Valcyte
    • Videx
    • Videx EC
    • Viramune® Oral Suspension
    • Vistide®
  • W

    • Wellcovorin
  • Z

    • Zerit®
    • Ziagen®
    • Zithromax®
    • Zocor Tablets
    • Zoloft®
    • Zovirax®