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The U.S. AIDS Drug Assistance Program (ADAP) is a $1.5 billion service that is part of Title II of the Ryan White CARE Act. There is a nationwide network of ADAPs that provide free medications to HIV-positive people in the U.S. who are poor, uninsured or underinsured. Approximately 183,000 HIV-positive people currently receive free medications through their ADAP. As of January 15, 2010, there were 540 individuals on AIDS Drug Assistance Program (ADAP) waiting lists in nine states. Six ADAPs, four with current waiting lists, have instituted additional cost-containment measures since April 1, 2009. Eight ADAPs, including three with current waiting lists, are considering implementing new or additional cost-containment measures by the end of March 2010. Details are in the list on the right.

Arkansas: 11 individuals on waiting list, reduced formulary, lowered financial eligibility Idaho: Considering new/additional cost-containment measures Indiana: Considering new/additional cost-containment measures Iowa: 34 individuals on waiting list, reduced formulary Kentucky: 140 individuals on waiting list, considering new/additional cost-containment measures Missouri: Considering new/additional cost-containment measures Montana: 20 individuals on waiting list Nebraska: 27 individuals on waiting list, reduced formulary North Dakota: Cap on Fuzeon, considering new/additional cost-containment measures South Dakota: 20 individuals on waiting list, considering new/additional cost-containment measures Tennessee: 209 individuals on waiting list Utah: 65 individuals on waiting list, reduced formulary, lowered financial eligibility Washington: Client cost sharing, reduced formulary (for uninsured clients only), considering new/additional cost-containment measures Wyoming: 14 individuals on waiting list, considering new/additional cost-containment measures

This information is from the December 4, 2009 "ADAP Watch" (PDF) and the 2009 National ADAP Monitoring Project Annual Report (PDF).