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  • Colorado Aids Drug Assistance Program Recertification Form - Colorado

Get Colorado Aids Drug Assistance Program Recertification Form - Colorado

Colorado AIDS Drug Assistance Program Recertification Form Fax: 303-691-7736 Use this form to renew your enrollment with the Colorado AIDS Drug Assistance Program (ADAP), which includes Medication.

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Need HIV/AIDS medications. Have income at 400% or less of the Federal Poverty Level. Are uninsured or do not have adequate prescription coverage. Are not confined to a hospital, nursing home, hospice, or correctional facility.

Eligibility Criteria: You are a Colorado resident. You are a person living with HIV/AIDS verifiable at CDPHE or from a doctor or testing facility. Your income is equal to or less than 500% of the Federal Poverty Level.

Eligibility and Enrollment Be HIV positive. Be a California resident. Be 18 or older. Have income at or below 500% of the Federal Poverty Level (FPL) ($67,950 per year for an individual)

The Colorado Drug Card is a free, state-sponsored prescription discount program open to all Colorado residents. There are no other eligibility requirements. Discounts average 30% but can be as much as 80% for some medications.

The Colorado State Drug Assistance Program (SDAP) provides services to help people living with HIV get access to medications and offers assistance with insurance premium payments and covered out of pocket medical costs.

If you're eligible for Medicare, you will be enrolled into the State Pharmaceutical Assistance Program or Bridging the Gap (SPAP/BTG) plan for help with the costs of prescription premiums and related co-payments.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232