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As of February 14, 2013, there were 63 individuals on AIDS Drug Assistance Program (ADAP) waiting

lists in four (4) states. Sixteen ADAPs, including four with current waiting lists, have had cost-containment measures in place since April 1, 2012 (reported as of February 6, 2013). In addition, oneADAP reported considering implementing new or additional cost-containment measures by the end ofADAPs current fiscal year (March 31, 2013). One ADAP reported being able to eliminate or improveprevious cost-containment measures in the last quarter.

ADAPs with Current or Anticipated Cost-Containment Measures, Including Waiting Lists,as of February 6, 2013

Factors Leading to Consider or Implementation of Cost-containment Measures

ADAPs reported the following factors contributing to consideration or implementation of costcontainment measures:

x Increased clients/demand due to job loss/unemployment (11 ADAPs)x Increased HIV testing leading to higher client enrollment (9ADAPs)x Reduced or insufficient federal ADAP funding (8 ADAPs)x Escalating drug costs (7 ADAPs)x Increased utilization from already enrolled clients (6 ADAPs)

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ADAPs with Waiting Lists(63 individuals in 4 states, as of February 14, 2013)

StateNumber of Individualson ADAP Waiting List

Percent of the TotalADAP Waiting List

Increase/Decreasefrom Previous

Reporting Period

Date WaitingList Began

Florida 0 0% 0 June 2010

Idaho 26 41% 5 October 2012

Louisiana* 0 0% 0 June 2010

South Dakota 37 59% 7 August 2012

*Louisiana has a capped enrollment on their program. This number represents their current unmet need.

Waiting List Client Demographics:

Access to Medications: All four ADAPs with waiting lists confirm that case management services assistclients in obtaining medications through either pharmaceutical company patient assistance programs(PAPs) (3 ADAPs) or Welvista (1 ADAP) while clients are on the waiting list. Case management servicesare provided to ADAP waiting list clients through Part B (1 ADAP) and other agencies, including other

Parts of Ryan White (3 ADAPs).

Waiting List Organization:Waiting list clients are prioritized by one of two models:

x First-come, first-served model: placing individuals on the waiting list in order of receipt of acompleted application and eligibility confirmation (3 ADAPs).

x Medical criteria model: based on hierarchical medical criteria based on recommendations bythe ADAP Advisory Committee (1 ADAP).

19% 54% 17% 2%2% 6%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

ADAP waiting list clients, by Race/Ethnicity, as of February 6, 2013

Non-hispanic Black/African American (19%) Non-hispanic White (54%)Hispanic (17%) Asian (2%)Native Hawaiian/Pacific Islander (2%) American Indian/Alaskan Native (6%)Multi-racial (0%) Other (0%)Unknown (0%)

79% 21%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

ADAP waiting list clients, by Gender, as of February 6, 2013

Male (79%) Female (21%) Transgender (0%) Unknown (0%)

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ADAPs with Other Cost-containment Strategies(since April 1, 2012**, as of February 6, 2013)

Enrollment Cap:

Idaho

Indiana

Utah

Wyoming

Expenditure Cap:

Illinois: (monthly)

Kentucky: (annual)

New Mexico: (monthly)

South Dakota: (annual)

Formulary Reduction:

Florida

Illinois

Puerto Rico

TennesseeUtah

Virgin Island (U.S.)

Other:

Montana: elimination of all support services

Washington: pay insurance premiums only if

client is prescribed and taking ARVs

** ADAPs may have other cost-containment strategies that were instituted prior to April 1, 2012.

ADAPs Considering New/Additional Cost-containment Measures (before March 31, 2013***)

Formulary Reduction:

Maine

***March 31, 2013 is the end of ADAP FY2012. ADAP fiscal years begin April 1 and ends March 31.

ADAPs that Eliminated/Modified Cost-containment Measures (since December 17, 2013****)

Formulary Increase:

North Carolina

****ADAPs may have eliminated/modified other cost-containment strategies prior to December 17, 2013.

About ADAP: ADAPs provide life-saving HIV treatments through directly purchasing medications orproviding insurance coverage and wrap-around services to low income, uninsured, and underinsuredindividuals living with HIV/AIDS in all states, territories and associated jurisdictions.

About NASTAD: NASTAD strengthens state and territory-based leadership, expertise, and advocacy andbrings them to bear on reducing the incidence of HIV and viral hepatitis on providing care and supportto all who live with HIV and viral hepatitis. NASTADs vision is a world free of HIV/AIDS and viralhepatitis. For more information, visit www.NASTAD.org.

To receiveor unsubscribe from TheADAP Watch, please e-mail Christopher Cannon at ccannon@NASTAD.org.