Pennsylvania - Department of Public Welfare

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Special Pharmaceutical Benefits Program (HIV/AIDS Drugs or Clozaril Program)

The Special Pharmaceutical Benefits Program (SPBP) is a program for low and moderate income individuals and families that helps pay for specific drug therapies used for the treatment of persons with HIV/AIDS or a DSM IV diagnosis for schizophrenia. If you are having difficulty finding the information you need, please Contact DPW

How to Apply:

Special Pharmaceutical Benefits Application

El Programa Especial de Beneficios Farmacéuticos (SPBP)

Special Pharmaceutical Benefits Program Application Mental Health Component: Use this application to apply for specific Atypical Antipsychotic Medications needed for schizophrenia.

Other Resources:

SPBP Partnering Medicare Part D Plan List

Special Pharmaceutical Benefits Program Drug Formulary - Atypical Antipsychotic Medications
Atypical Antipsychotic Drugs for Schizophrenia Information
Special Pharmaceutical Benefits Program Fact Sheet
General information about the Special Pharmaceutical Benefits Program (SPBP).
Special Pharmaceutical Benefits Program HIV/AIDS Baseline Drug Formulary
Department of Public Welfare, Special Pharmaceutical Benefits Program, Current HIV/AIDS Baseline Formulary 08-22-2005
Special Pharmaceutical Benefits Program Questions and Answers
The most frequently asked questions regarding supporting documentation and situations for eligibility consideration for the Special Pharmaceutical Benefits Program (SPBP).
Special Pharmaceutical Benefits Program Tier 1, HIV/AIDS Drugs
SPBP HIV/AIDS Drugs, Priorities 1 through 5
Special Pharmaceutical Benefits Program Tier 2, HIV/AIDS Drugs
SPBP HIV/AIDS Drugs, Priorities 6 through 8
Special Pharmaceutical Benefits Program Tier 3, HIV/AIDS Drugs
SPBP HIV/AIDS Drugs, Priorities 9 through 12
Special Pharmaceutical Benefits Program Tier 4, HIV/AIDS Drugs
SPBP HIV/AIDS Drugs, Priority 13