Special Pharmaceutical Benefits Program     

Provides pharmaceutical assistance and specific lab services to low to moderate income individuals living with a diagnosis of HIV/AIDS who are not eligible for pharmacy services under the Medical Assistance (MA) Program.

Applicants must be a resident of Pennsylvania, have a gross annual income of less than or equal to 500 percent of the Federal Poverty Level (FPL), and have a diagnosis of HIV/AIDS to qualify for the program. SPBP HIV/AIDS is the payer of last resort and third party resources must be used before payment is made by the program. 

• SPBP Covered Drug List (Effective 07-01-19)
• SPBP Covered Laboratory Services (Effective 07-02-2018)
• SPBP Laboratory Network (Updated 06-01-18)
• SPBP Pharmacy Network (Updated 07-01-18)
  
• SPBP Medicare Part C and D Plans with Premium Payment Agreements 2019 (Updated 12-24-18)
  
• SPBP Medicare Part C and D Premium Assistance Program Overview and FAQ 2019
  
• Income Quick Reference Guide (Effective 01-11-19)    
• HIPAA Notice of Privacy Practices
• Pennsylvania Integrated HIV Prevention and Care Plan_2017-2021.pdf                   

How to Apply

Online Form

Special Pharmaceutical Benefits Program - Mental Health

The Pennsylvania Department of Human Service provides service to individuals with schizophrenia who do not respond to first-line drug therapies and who are not eligible for pharmaceutical coverage under the MA Program. Information is available at:  Special Pharmaceutical Benefits Program - Mental Health

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