Client Application - the THMP application for assistance is available in English and Spanish in Word and PDF formats. The application includes the supplemental SPAP application page as part of the formal application process, for those clients with Medicare coverage. (updated March 2015)
Updated Medical Certification Form (MCF) (PDF : 155 kb) - allows physicians to request any and all medications currently available through the THMP. Please note that a separate form for the drug Fuzeon (enfuvirtide) is no longer required. (updated March 2015)
It is recommended that patients initiating Fuzeon treatment receive additional training and support through Nurse Connections. This service is provided free to new and existing patients. For information or to enroll a patient, please call 1-877-4Fuzeon (1-877-438-9366).
Guidelines (PDF : 202 kb) - program guidelines for THMP applicants. (updated March 2015)
Guidelines (Español) (PDF : 44 kb) - a Spanish translation of the THMP guidelines. (note: the Spanish version of the guidelines was last updated in 2007; a newer version is still awaiting translation)
THMP Formulary (PDF : 75 kb) - the list of drugs currently available through the THMP. (updated March 2015)
Pharmacy Guidelines (PDF : 137 kb) - program guidelines for participating THMP pharmacies. (updated March 2015)
Pharmacy Memorandum of Agreement (MOA) (PDF : 46 kb) - the actual form that pharmacists complete in order to become a participating THMP pharmacy.
To view and download documents related to the HIV SPAP (State Pharmaceutical Assistance Program), please visit the TEXAS HIV SPAP page.
THMP homepage | FAQ | Documents | Policies | Pharmacies
Advisory Committee | Medicare | SPAP | News | Contact Us