2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Balance (PPO) Chapter 2: Important phone numbers and resources 55 AIDS Drug Assistance Program (ADAP) – Contact Information Wisconsin | Wisconsin AIDS Drug Assistance Program (ADAP) 1-800-991-5532 Department of Health Services, 1 W Wilson ST Madison, WI 53703 8 a.m.-5 p.m. local time, https://www.dhs.wisconsin.gov/hiv/adap-consumer-client.htm Monday-Friday West Virginia | West Virginia AIDS Drug Assistance Program 1-800-642-8244 (ADAP) 8 a.m.-4 p.m. local time, 350 Capitol ST, RM 125 Charleston, WV 25301 Monday-Friday https://oeps.wv.gov/aboutus/Pages/about_dsh.aspx Wyoming | Wyoming Department of Health Communicable 1-307-777-7529 Disease Unit 8 a.m.-5 p.m. local time, HIV Treatment Program, 401 Hathaway BLDG Cheyenne, WY Monday-Friday 82002 https://health.wyo.gov/publichealth/communicable-disease-unit/ hivaids/ State Pharmaceutical Assistance Programs Many states have State Pharmaceutical Assistance Programs that help some people pay for prescription drugs based on financial need, age, medical condition or disabilities. Each state has different rules to provide drug coverage to its members. Here is a list of the State Pharmaceutical Assistance Programs in each state we serve: • California - Department of Health Services - ADAP • Colorado - Colorado Department of Health Care Policy & Financing • Connecticut - Connecticut AIDS Drug Assistance Program (CADAP) • District of Columbia - District of Columbia Department of Health • Delaware - Delaware Prescription Assistance Program • Guam - Guam Medically Indigent Program (MIP) • Idaho - Idaho AIDS Drug Assistance Program (IDADAP) • Indiana - HoosierRx • Louisiana - Louisiana Department of Health • Massachusetts - Prescription Advantage Executive Office of Elder Affairs • Maryland - Maryland Senior Prescription Drug Assistance Program (SPDAP) • Maine - Office of MaineCare Services • Missouri - MissouriRx Plan (MORx) • Montana - Montana Big Sky Rx • New Jersey - New Jersey Pharmaceutical Assistance To The Aged & Disabled (PAAD) • Nevada - Nevada Senior/Disability Rx Program • New York - New York State EPIC Program • Pennsylvania - Pennsylvania PACE • Rhode Island - Rhode Island Office of Healthy Aging • Texas - Texas HIV State Pharmaceutical Assistance Program (SPAP)