340B and AIDS Drug Assistance Programs: Getting the Best Price
Resource updated 05/29/2024
Resource updated 05/29/2024
NASTAD’s National AIDS Drug Assistance Program (ADAP) Formulary Database provides an online, searchable, publicly available resource detailing state-by-state ADAP coverage of medications, including HIV antiretroviral (ARV) treatments, “A1” Opportunistic Infections (A1 OI) medications, treatments for hepatitis B and C, mental health and substance use treatment medications, and various vaccines and laboratory tests.
Resource updated 03/07/2024
Planning and implementation steps when using a Pharmacy Benefit Manager (PBM) to administer an AIDS Drug Assistance Program (ADAP).
Resource updated 09/19/2023
Actions agencies can undertake to expand or establish contracts with Medicaid or Marketplace Insurance Plans.
Resource updated 03/05/2024
Tool for assessing your organization’s strengths and gaps in areas that (1) are important to insurers and (2) support maximizing revenue from contracting activities.
Resource updated 10/05/2023
Review of contracting opportunities (e.g., marketing when negotiating contracts) for Ryan White funded agencies that provide medical care and other services.
Resource updated 02/04/2022
Review of how agencies can market their services to health insurers. Covers the basics of marketing, how to develop a marketing plan, getting a first meeting with insurers, and how to make a compelling pitch.
Resource updated 03/05/2024
Tool for conducting a cost analysis (determining the unit/average cost of a service) for purposes of billing and securing reimbursement for services provided.
Resource updated 03/05/2024
Insights on supporting access to substance use treatment medications and related services for clients served by Ryan White Part B and AIDS Drug Assistance Programs (ADAPs).
Resource updated 06/11/2020
Fact sheet to explain policies and procedures for ADAPs to follow to ensure that Ryan White funds are used as the payer of last resort, including for Medicaid.
Resource updated 09/14/2023
Document highlights programming options for ADAPs to better serve transgender communities.
Resource updated 09/14/2023
Tools to assist ADAPs with benefits management activities to help clients obtain and maintain access to private and public insurance.
Resource updated 09/14/2023
Tips for negotiating contracts with insurers.
Resource updated 02/04/2022
Insights to ADAP procedures for seeking rebates when a prescription is filled by another 340B entity pharmacy.
Resource updated 03/05/2024
Steps agencies can take to bill for services that enhance their financial sustainability.
Resource updated 10/05/2023
Ways RWHAP Part B programs and ADAPs can enhance clinical quality management activities.
Resource updated 09/14/2023
Review of how RWHAP Part B programs develop, maintain, and evaluate service standards for all funded services, per Policy Clarification Notice (PCN) 16-02.
Resource updated 09/14/2023
Ideas for RWHAP Part B/ADAPs to support access to medications and tailor related services for Black/African American men living with HIV.
Resource updated 09/30/2022
Tools for Ryan White HIV/AIDS Program (RWHAP) Part B Programs and AIDS Drug Assistance Programs (ADAPs) in accessing various data sources and developing DSAs with entities.
Resource updated 09/19/2023
Fact sheet on strategies for RWHAP Part B and ADAPs regarding the provision of services to justice-involved people with HIV.
Resource updated 09/14/2023