Maryland AIDS Drug Assistance Program (MADAP)

The Maryland AIDS Drug Assistance Program (MADAP) ensures that people living with HIV/AIDS in Maryland have access to certain medications they need to help them stay healthy.  MADAP currently serves on average 5,000 clients each month. Clients approved for MADAP must re-apply for the program annually, and also confirm continued eligibility at 6 months. Clients enrolled in MADAP can use MADAP to receive their medications at any of the approximately 1,100 pharmacies that accept Maryland Medical Assistance (Medicaid).


No co-pay at the Pharmacy when using MADAP. However, there may be a monthly participation fee, depending on your income.


Individuals who meet the following criteria:

  • Are Maryland residents,
  • Have medical proof of HIV infection,
  • Are not eligible for Medicaid, and
  • Meet the income guidelines below.
Income Eligibility:

Income at or below 500% of the current Federal Poverty Level: poverty guidelines updated annually in the Federal Register by the U.S. Department of Health and Human Services under authority of 42 U.S.C. §9902(2).:

Read the law: COMAR

Apply at:

The Infectious Disease and Environmental Health Administration's Center for HIV Care Services at the Maryland Department of Health and Mental Hygiene

Online application for MADAP (pdf).


If you are denied eligibility for the services covered by the program, you will be notified in writing of the decision and the reason(s) for the denial and will be given instructions as to how you may appeal the decision.

Source of Funds:

Federal and state funds

Sources of Law:

HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87) sets out the criteria which programs must meet to receive funding. This site contains the language of the act, as well as fact sheets on the impact of AIDS on various populations.

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