Formularies and Diagnostic Procedures

Local AIDS Pharmacy Assistance Program (LPAP)

The Local AIDS Pharmacy Assistance Programs (LPAP) are co-located in ambulatory medical care centers and provide HIV and HIV-related pharmaceutical services to clients who are not eligible for medications through private insurance, Medicaid/Medicare, State ADAP, State SPAP, or other sources. HRSA requirements for LPAP include a client enrollment process, uniform benefits for all enrolled clients, a record system for dispensed medications, and a drug distribution system.

Diagnostic Procedures

Each eligible individual under Part-A/MAI is limited to a single diagnostic procedure on the approved list of diagnostic procedures (see list below) without prior county approval. Approved diagnostic procedures will be reimbursed at invoice cost. Diagnostic procedures not listed on the website must have prior approval by RWGA.

Formularies & Diagnostic Procedures

Title Type

Diagnostic Procedures List (Sorted By Diagnostic Procedure)

Diagnostic Procedures List (Sorted Alphabetically By Diagnostic Procedure)

Request For Waiver Form

Ryan White-Part A Nutritional Supplement Formulary

Request for LPAP Formulary Addition

Ryan White Part A - Medication Formulary

Request for MNT Formulary Addition