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The Governor Nelson A. Rockefeller Empire State Plaza Antonia C. Novello, M.D., M.P.H., Dr.P.H.
The Uninsured Care Programs (ADAP) has grown rapidly since 1996, with increasing enrollment, higher numbers
of participants using the program services, and increasing drug prices. The Program is primarily funded with
federal money. To make the best use of limited resources available, we must take steps to make sure that the
Program is cost-effective and meets the highest priority needs.
The Uninsured Care Programs (ADAP) is making some changes that will allow us to continue new enrollments
and maintain core services. The following changes are effective February 15, 2003.
• Mandatory Generics – ADAP will stop paying for brand-name drugs when there is a generic equivalent for a
brand-name drug. If you have a prescription for a brand-name drug that your doctor has written as Dispense as Written (DAW), you will need to get a new prescription. Please refer to the list enclosed with this letter and share it with your doctor the next time you have an appointment.
• Maximum limit of 5 refills per prescription – ADAP will pay for the first prescription and then five (5)
refills, then your doctor must write a new prescription. We are making this limit to reduce waste if the doctor changes your medications. You can also help ADAP save money by not refilling prescriptions your doctor has decided that you should stop taking.
• New limit on nutritional supplements - The maximum amount of nutritional supplements that ADAP will
pay for will be no more than three (3) cans per day or the equivalent amount in other forms (e.g., powders, bars).
• Maximum number of clinic visits each year - ADAP will pay for up to thirty (30) clinic visits each year.
Some types of visits to your clinic (that have their own limits) are not included in these limited 30 visits (e.g., annual comprehensive exam, mental health visits, dental visits).
• Maximum number of dental visits – ADAP will pay for no more than eight dental (8) visits per year.

• Formulary Reduced – ADAP will no longer pay for the following drugs. If you are taking one of these drugs
you should see your doctor to have an alternative drug prescribed. Oxandrolone
• Quantity Restrictions on Zolpidem (Ambien) - ADAP will pay for only 15 tablets of Ambien per month.
Uninsured Care Programs, Empire Station, P.O. Box 2052, Albany, New York 12220-0052, 1-800-542-2437, TDD 518-459-0121
• Prior Approval for atovaquone (Mepron) – Your doctor will need to fill out a form and send it to ADAP for
approval before ADAP will pay for atovaquone (Mepron). If you are currently taking atovaquone, ADAP will mail you a letter with a form for you to take to your doctor. We are sorry that we have to limit these services, but ADAP must adjust services to match available funding. We strongly encourage you to look for other health care coverage options such as public entitlement programs that cover more drugs and services than ADAP. These include Medicaid, Medicaid Spenddown, Family Health Plus and Veterans Benefits. If you are eligible and enroll in these programs, you will have better coverage. You should also make sure that if you have insurance through your job that you take advantage of this better coverage. As always, the ADAP hotline staff are available (1-800-542-2437) Monday to Friday 8:00 AM to 5:00 PM to answer questions about the Program. Sincerely, Uninsured Care Programs, Empire Station, P.O. Box 2052, Albany, New York 12220-0052, 1-800-542-2437, TDD 518-459-0121

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