For displaced persons living with HIV/AIDS Due to the recent tragedy, the Texas HIV Medication Program (THMP) has developed a one-page "Emergency Relief ADAP Application" that may be completed by displaced residents of Louisiana, Mississippi and Alabama that have sought refuge in Texas and would normally receive their medications through their state AIDS Drug Assistance Program. The form should be completed and faxed along with a copy of the applicant's photo ID, ADAP ID card/letter (if available). A copy of the THMP Medical Certification should also be submitted if the client is receiving healthcare now at a Texas location. The fax number is (512) 371-4670.
A copy of the Emergency Relief ADAP Application can be found in PDF format by clicking here.
A copy of the information release regarding this effort can be found in PDF format by clicking here.
The standard THMP Medical Certification form can be found in PDF format by clicking here.
The Texas State Board of Pharmacy (TSBP) also has extended emergency refill supply time to aid emergency relief. For more information, click here, or visit the TSBP website.