Referring Eligible Clients to PAP ensures Ryan White is used as payor of last resort.
What is PAP?
A PAP is a Patient Assistant Program. Patient assistance programs are run by pharmaceutical companies to provide free medications to people who cannot afford to buy their medicine.
A PAP is designed to provide HIV clients with sources to provide additional assistance to pay part or all of the cost of their HIV medications. This assistance is in addition to and separate from the assistance provided by the AIDS Drug Assistance Program (ADAP), a federal grant program. It is important to note that this program is not part of a state system (SPAP). ADAP helps ensure that underserved and uninsured individuals living with HIV/AIDS have access to life-saving medications. The use of these resources transfers some of the financial burden from ADAP to the private sector.
DSHS and several Administrative Agencies use various HIV PAP programs extending the ability to provide medication to more HIV patients with the limited funds available. DSHS is continuously identifying additional sources of new funding to expand the level of medication coverage the state is able to provide.
One of the Tarrant County providers has an on going HIV PAP activity that augmented their ability to provide HIV Medications by $409,000.00 for the 2010 award year. This program was managed by the Medical Case Managers (MCM). They explored and identified numerous sources and methods to maximize their funding for medications. One of the sites used is www.rxassist.org to find sources for their clients. Others have been identified and used successfully, such as Dallas County.
HIV Patient Assistance Programs (PAP) information for consumers
HIV Co-pay and Patient Assistance Programs (PDF : 14 kb)
Payor of Last Resort (PDF : 567 kb) presentation by Paula McNeely of Tarrant County Public Health