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General Information
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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 |