Image
General Information
To scroll within the table, click in table and use arrow keys to scroll left to right/up and down. Use tap-and-drag on touch screens. Main menu.
Table
General Information
| State/Territory | Open formulary | Excluded drugs (if open formulary) | ADAP supports two formularies: full-pay medication program and ADAP-funded insurance program | Additional drugs and services are available to clients with clinical provider's approval |
|---|---|---|---|---|
| Alabama | No | Yes | No | |
| Alaska | No | No | No | |
| Arizona | No | Yes | Yes | |
| Arkansas | No | No | Yes | |
| California | No | No | No | |
| Colorado | No | Yes | No | |
| Connecticut | No | No | No | |
| Delaware | NR | NR | NR | NR |
| District of Columbia | No | No | No | |
| Florida | No | No | No | |
| Georgia | No | No | No | |
| Guam | No | No | No | |
| Hawaii | No | No | No | |
| Idaho | No | No | Yes | |
| Illinois | No | No | No | |
| Indiana | No | No | No | |
| Iowa | Yes | abortifacients; acne medications; anti-rheumatic injectables (Cimzia, Enbrel, Humira, Kineret, etc.); Botox; compound medications (prior authorization required); cosmetic medications; durable medical equipment; erectile dysfunction medications; fertility medications; hair removal/growth medications; infusion medications; medical cannabidiol; Egrifta; provider administered medications/injections; Schedule II controlled substances (Percocet, Adderall, hydrocodone, methadone, etc.); cough suppressants that contain controlled substances (hydrocodone, codeine, etc.) | No | Yes |
| Kansas | No | Yes | Yes | |
| Kentucky | No | No | No | |
| Louisiana | No | Yes | No | |
| Maine | No | No | No | |
| Maryland | Yes | herbal supplements; opioid medications; erectile dysfunction medications; nicotine replacement therapy; repackaged medications | No | No |
| Massachusetts | Yes | finasteride (approved for prostate cancer only); minoxidil; cosmetic medications; erectile dysfunction medications; fertility drugs; herbal medications | No | No |
| Michigan | No | No | Yes | |
| Minnesota | Yes | controlled substances and other medications not allowed or are excluded by Minnesota statute | No | No |
| Mississippi | No | No | No | |
| Missouri | No | No | No | |
| Montana | No | No | No | |
| Nebraska | Yes | Schedule II medications; erectile dysfunction medications; cough syrup with codeine | No | Yes |
| Nevada | No | No | No | |
| New Hampshire | Yes | IV immune globulin | No | No |
| New Jersey | Yes | Life style drugs such as Viagra, and over the counter medicines. | No | Yes |
| New Mexico | Yes | HCV for full-pay medication program; Cabenuva | Yes | No |
| New York | No | No | No | |
| North Carolina | No | Yes | No | |
| North Dakota | Yes | abortifacients; acne medications;. all controlled substances; antipsychotics; antirheumatic injectables; blood; botulinum toxin; chemotherapeutic agents; compounded medications; cosmetic medications; cough suppressants; durable medical equipment; erectile dysfunction treatments; fertility medications; gabapentinoids; hair removal/growth medications; HCV for full-pay medication program (assistance with copays/deductibles only); herbal medications; human growth hormone; hyaluronic acid derivatives; IVIG; Infusions; muscle relaxants | No | Yes |
| Ohio | Yes | abortifacients; acne medications; botulinum toxin; chemotherapeutic agents (except imiquimod cream); controlled substances (Class Schedules II, III, IV and V; except pregabalin); topical testosterone; cosmetic medications/hair removal/growth Medications; durable medical equipment; Egrifta SV; fertility medication; finasteride; HCV treatments; herbal medications; human growth hormone; hyaluronic acid derivatives; injectable muscle relaxants; sexual dysfunction medications | No | No |
| Oklahoma | No | No | No | |
| Oregon | Yes | Medications for erectile dysfunction | Yes | Yes |
| Pennsylvania | No | No | No | |
| Puerto Rico | No | No | No | |
| Rhode Island | No | No | Yes | |
| South Carolina | No | No | No | |
| South Dakota | No | No | Yes | |
| Tennessee | No | Yes | Yes | |
| Texas | No | Yes | No | |
| Utah | No | Yes | Yes | |
| Vermont | No | No | No | |
| Virginia | No | Yes | No | |
| Washington | Yes | No exclusions but restrictions for erectile dysfunction medications | Yes | Yes |
| West Virginia | No | No | No | |
| Wisconsin | No | No | No | |
| Wyoming | Yes | Hemophilia medications, botulinum toxin; gonadotropin; finasteride (except for prostate disorders) ; hyaluronic acid derivatives; IVIG; injectable muscle relaxants; mifepristone; minoxidil; antirheumatic injectables; monoclonal antibodies; nutritional supplements; propoxyphene; recombinant human growth hormone; synthetic growth hormone; Egrifta SV; durable medical equipment; cosmetic medications; erectile dysfunction medications; female sexual dysfunction medications; fertility drugs; herbal medications | No | Yes |