A Common Patient Assistance Program Application Form for HIV Medicine

Description:

In 2012, the Department of Health and Human Services (DHHS), along with seven pharmaceutical companies, the National Alliance of State and Territorial AIDS Directors, and community stakeholders embarked upon a process to develop a common patient assistance program (PAP) application form. The vision was that the common form could be used by both people living with HIV and their providers (e.g., doctors or case managers) to apply to all HIV PAPs at once, thus reducing the application paperwork and time.

Miscellaneous

Provider Service Area

• WV

  Doddridge (serves entire county)

Hardy (serves entire county)

Gilmer (serves entire county)

Berkeley (serves entire county)

Mercer (serves entire county)

Boone (serves entire county)

Ohio (serves entire county)

Pocahontas (serves entire county)

Wayne (serves entire county)

Hampshire (serves entire county)

Tucker (serves entire county)

Raleigh (serves entire county)

Ritchie (serves entire county)

Mineral (serves entire county)

Putnam (serves entire county)

Kanawha (serves entire county)

Greenbrier (serves entire county)

Lewis (serves entire county)

Wirt (serves entire county)

Morgan (serves entire county)

Wood (serves entire county)

Taylor (serves entire county)

Preston (serves entire county)

Brooke (serves entire county)

Cabell (serves entire county)

Tyler (serves entire county)

Webster (serves entire county)

Jefferson (serves entire county)

Wetzel (serves entire county)

Mason (serves entire county)

Monongalia (serves entire county)

Summers (serves entire county)

Pleasants (serves entire county)

Hancock (serves entire county)

Logan (serves entire county)

Nicholas (serves entire county)

Grant (serves entire county)

Braxton (serves entire county)

Marion (serves entire county)

Barbour (serves entire county)

Mingo (serves entire county)

Calhoun (serves entire county)

Lincoln (serves entire county)

Roane (serves entire county)

Randolph (serves entire county)

Jackson (serves entire county)

Clay (serves entire county)

Harrison (serves entire county)

Mcdowell (serves entire county)

Pendleton (serves entire county)

Fayette (serves entire county)

Upshur (serves entire county)

Wyoming (serves entire county)

Marshall (serves entire county)

Monroe (serves entire county)