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 September 2014)
Updated Medical Certification Form (MCF) (PDF : 79 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 September 2014)
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 : 200 kb) - program guidelines for THMP applicants. (updated September 2014)
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 September 2014)
Pharmacy Guidelines (PDF : 136 kb) - program guidelines for participating THMP pharmacies. (updated September 2014)
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.
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