The AIDS Drug Distribution Program provides life-sustaining and life-prolonging medications to low income individuals with no other source of payment for these drugs.
Notwithstanding the provisions of any law or regulation to the contrary, the amount hereinabove appropriated for the AIDS Drug Distribution Program shall be conditioned upon the following provision: the annual income eligibility for participation in this program shall not exceed 500% of federal poverty level. No funds shall be expended for recipients earning greater than 500% of the federal poverty level.
Residency: You must be a New Jersey resident 30 days prior to the date of your application.
Income: Your annual income must NOT EXCEED 500 percent (i.e., five times) of the federal poverty guideline for your household. For example, if the federal poverty guideline for your three person household is $20,000, your household income can not exceed $100,000.
Medical Certification: You must present a letter from a physician that certifies the medical necessity of receiving the covered medication(s).
Consent: You must sign a consent form which attests to the accuracy of the information and allows for verification.
Other Insurance: If you have other forms of reimbursement through private insurance you may not be eligible for our program unless you have received the maximum benefits allowable under the plan.
ADDP Income Limits 2023
Household number
Income Level 500%
1
$72,900
2
$98,600
3
$124,300
4
$150,000
5
$175,700
Add an additional $25,700 for every additional person in the household.
The program covers a wide range of FDA-approved medications for treating individuals with HIV and AIDS. Your doctor or clinic will tell you which of the approved drugs are appropriate for you.
Form DHAS-27: Application for Participation in the AIDS Drug Distribution Program (ADDP) and/or the Health Insurance Continuation Program (HICP)
This form contains outdated Federal Poverty Level Income Limits from 2016. For the updated version of the form with Federal Poverty Level Income Limits for 2020, please call 1-877-613-4533
Form DHAS-37: Certification by Physician (ADDP/HICP)
