The Texas HIV Medication Program (THMP) provides medications for the treatment of HIV and its related complications for low-income Texans. To qualify for medications, potential clients who meet eligibility criteria complete an application for assistance. Once approved, a client receives medications at an assigned pharmacy in their community.
To learn more about the THMP and find out if you are eligible, see the Frequently Asked Questions. You can apply for the program by downloading and completing the client application. Be sure and review the specific “application instructions” when completing the application. The application and its instructions are located in the document section of the THMP website. If you have more questions or need assistance completing your application, call the THMP toll free at 1 (800) 255-1090.
The THMP is the official AIDS Drug Assistance Program (ADAP) for the State of Texas. The THMP has been in existence since 1987 and provides medications approved by the Food and Drug Administration (FDA) for the treatment of illnesses caused by the human immunodeficiency virus (HIV) and other opportunistic infections in HIV-infected individuals as prescribed by their doctor. THMP also operates the Texas HIV State Pharmaceutical Assistance Program (SPAP) which helps HIV-positive individuals that do not qualify for the full Low Income Subsidy (extra help) with their out-of-pocket costs associated with Medicare Part D prescription drug plans, including co-payments, deductibles, coinsurance, and during the coverage gap (the "donut hole").
New Fax Numbers for Texas HIV Medication Program
The Texas HIV Medication Program (THMP) fax numbers have changed. The new THMP eligibility fax number is 512-533-3178 and the new THMP Pharmacy fax number (for medication orders only) is 512-533-3171. These numbers are different from those originally reported on January 16. Please double check to be sure you are using the correct number listed above.
New Medication Added to THMP Formulary
Stribild was added to the Texas HIV Medication Program’s (THMP) formulary on November 9, 2012. Stribild was recently approved by the Food and Drug Administration for HIV treatment-naïve adults. Stribild is a single pill with four active ingredients (elvitegravir 150 mg, cobicistat 150 mg, emtricitabine 200 mg, tenofovir disoproxil fumarate 300 mg) and is taken once a day. THMP will have the medication in stock and available for clients on November 15, 2012. If you have questions call THMP at 1-800-255-1090.
Information for Ryan White and Texas HIV Medication Program Clients who have Texas Medicaid Coverage
DSHS is working together with the Texas Health and Human Services Commission (HHSC) to make sure you know about changes that are coming to the Medicaid program in Texas. It’s important for your continuity of care that you know about these changes. Note: The changes described in the message only apply to you if you have Texas Medicaid coverage and a) you’re in the Primary Care Case Management (PCCM) Medicaid program or b) you’re in STAR or STAR+PLUS and there are new health plan options in your service area.
On March 1, 2012, the managed care model for Medicaid in Texas will expand statewide. If you get Medicaid services through Primary Care Case Management (PCCM), you should have gotten a packet in the mail from HHSC telling you about the change and encouraging you to pick a managed care medical plan. You also would have gotten this packet if you already have a Medicaid managed care plan and there are new medical plans to choose from in your service area. Here is more important information for you:
- You need to pick a medical plan. If you have not yet picked a medical plan, you should have gotten a packet in the mail from HHSC encouraging you to do so. If you do not pick a medical plan by February 10, 2012, HHSC will pick one for you. The packet from HHSC will include information on the medical plans you can pick from and how to enroll. You can check the provider directories of the medical plans offered in your service area to find out which doctors are in which medical plan. Once you’ve picked your medical plan, call 1-800-964-2777. You also can call that number if you need help finding a provider or if you have questions. You can learn more about the medical plans and services by going to a meeting in your area. To see a list of these meetings, go to www.txmedicaidevents.com.
- Your prescription drug benefit may be changing. If you get your Medicaid services through PCCM you are limited to 3 prescription drugs each month. On March 1, when you move from PCCM to STAR or STAR+PLUS that will change – you will no longer have a prescription limit. Since you’ll be able to get all your prescriptions through your STAR or STAR+PLUS medical plan, you will no longer be eligible to receive services from the Texas HIV Medication Program AIDS Drug Assistance Program (ADAP). Your medical plan will have network pharmacies where you can get your prescriptions filled. Contact information for your medical plan will be on the Your Texas Benefits Medicaid card and the member ID card that you will get from your medical plan. If you have both Medicare and Medicaid, you will continue to get your prescription benefit through Medicare.
|Hurricane Preparedness for Texas HIV Medication Program Clients
It's always a good idea to make plans in advance for your medical needs during hurricane season in Texas. As evidenced in recent years, the hardship experienced during an evacuation from the impending storm can be stressful enough without the added complication of interrupting your antiretroviral dosing regimen and the subsequent lapse in therapy. With that in mind, the THMP has prepared an informational guide to assist you in planning for what to have on hand ready to take with you should an evacuation occur, along with a form you can fill out summarizing the crucial medical information you'll need to have available:
Hurricane Preparedness Info for THMP Clients (PDF : 29 kb)
Program applications, guidelines and formulary listings are available on the THMP documents page.
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