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HomeMy WebLinkAboutMINUTES - 05241994 - 1.37 To: "i . _ :'BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director Contra By: Elizabeth A. Spooner, Contracts Administrator Costa DATE: May 12, 1994 County SUBJECT: Approve Amendment Agreement #29-395-11 with the State Department of Health Services for County's AIDS Drug Program SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (William Walker, M.D. ) , to execute on behalf of the County, Amendment Agreement #29-395-11, effective October 1, 1992, to amend Standard Agreement #29-395-8, (as amended by Amendment Agreements #29-395-9 and #29-395-10) , with the State Department of Health Services, Office -of AIDS, to allocate additional funds for the County's AIDS Drug Program and to extend the term of the agreement through September 30, 1994. II. FINANCIAL IMPACT: Approval of this amendment will result in an additional allocation of $98,862 from the State for County's AIDS Drug Program, from $236,715, to a new total allocation of $335,577, for the period from October 1, 1992 through September 30, 1994. The allocation will be used to cover the cost of certain drugs for eligible low income persons with AIDS and/or AIDS related complexes, and may not be used to cover administrative costs as'sociated with this program or for patient monitoring, laboratory testing, or other medical services for persons receiving any of the drugs. The County may make provisions for co-payment by patients, commensurate with the patient's ability to pay. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On March 16, 1993, the Board approved Standard Agreement #29-395-8, (as amended by Amendment Agreements #29-395-9 and #29-395-10) with the State Office of AIDS, for the period from October 1, 1992 through October 31, 1993, to provide funding to cover the cost of certain drugs which have been included in the AIDS Drug Program by the State and determined by the U.S. Food and Drug Administration to prolong the life of a person with AIDS, for eligible low income persons who are infected with the human immunodeficiency virus (HIV) and/or persons with AIDS and related complexes who meet certain criteria. Approval of this amendment adds 12 new drugs to the approved AIDS drug formulary, provides additional funding for County's AIDS Drug Program, based upon actual and projected drug expenditures by the Department, and extends the term of the agreement through September 30, 1994. Four certified and sealed copies of the Board Order should be returned to the Contracts and Grants Unit for distribution to the State Department of Health Services. CONTINUED ON ATTACHMENT: YES SIGNATURE' RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM AT N OF BOARD dOMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE,OF SUPERVISORS ✓//UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. Contact: Wendel Brunner, M.D. (313-6712) cc: Health Services (Contracts) ATTESTED 2- _ Auditor-Controller (Claims) Phil Batch r, Clerk if the Board of State Office of AIDS SupenlWj3WdWtyAdmu►WaW M382/7-88 BY �gi 0-0,m- DEPUTY Lf AMENDMENT TO STANDARD AGREEMENT FOR THE AIDS DRUG ASSISTANCE PROGRAM October 1, 1992 - September 30, 1994 29 - 395 - 11 Contra Costa County The AIDS Drug Program, hereafter known as the AIDS Drug Assistance Program, Standard Agreement is hereby amended pursuant to Article III, No. 8 and No. 11 to augment the Local Health Jurisdiction's maximum allocation and to extend the term of this Agreement. Therefore, Article I, No. 3 and No. 4 are amended as follows: 3. The term of this Agreement is for the period October 1, 1992 through September 30, 1994. 4. The maximum allocation to the Local Health Jurisdiction for the term of this agreement shall not exceed $335,577. The following Exhibits are hereby amended: Exhibit A-1, entitled "AIDS Drug Assistance Program Approved Drugs" is incorporated and made a part hereof by this reference. All further references to Exhibit A, "AIDS Drug Program Approved Drugs" in the body of the agreement or any exhibits thereto shall be deemed to read Exhibit A-1. Exhibit C-1, entitled "AIDS Drug Assistance Program Financial Eligibility and Co- Payment Worksheet" is incorporated and made a part thereof by this reference. All further references to Exhibit C, "Payment Work Sheet" in the body of this agreement or any exhibits thereto shall be deemed to read Exhibit C-1. Exhibit D-1, entitled "AIDS Drug Assistance Program Invoice Foran" is incorporated and made a part hereof by this reference. All further references to Exhibit D, "AIDS Drug Program Invoice Form" in the body of this agreement or any exhibits thereto shall be deemed to read Exhibit D-1. Exhibit F-1, "AIDS Drug Assistance Program Approved Payment Amounts" is incorporated and made a part hereof by this reference. All further references to Exhibit F in the body of this agreement or any exhibits thereto shall be deemed to read Exhibit F-1. Page 1 of 2 The following Exhibit is hereby added: Exhibit G, "AIDS Drug Assistance Program Financial Appeal" is incorporated and made a part hereof by this reference. IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto. State of California Local Health Jurisdiction Signatu Signature x Title Chief, Early Intervention Section Titlex 17�1e " Date 9¢ Dated S�JI/fir Page 2 of 2 Exhibit A-1 AIDS DRUG ASSISTANCE PROGRAM APPROVED DRUGS REV. April 1, 1994 The following 26 drugs are on the AIDS Drug Assistance Program (ADAP) formulary. They are listed by ADAP Series #, name(s), and indication. # DRUG FORM INDICATION 00100 CLINDAMYCIN capsule With primaquine in PCP treatment; with pyrimethamine in Cleocin treatment and maintenance of toxoplasmosis 00200 CLOTRIMAZOLE cream; lotion; Oral and vaginal candidiasis (yeast) Lotrimin tablet; troche Mycelex Gyne-Lotrimin 00300 DAPSONE tablet PCP prophylaxis; PCP treatment; toxoplasmosis prophylaxis; Avlosulfon toxoplasmosis treatment 00400 DIDANOSINE tablet; powder Resistance to AZT; declining CD4 on AZT; in combination ddI with AZT Videx 00500 FLUCONAZOLE tablet Oral candidiasis, cryptococcal meningitis; candida esophagitis; Diflucan coccidioidomycosis 00600 GANCICLOVIR vial Cytomegalovirus (CMV) infection; herpes simplex virus Cytovene infection; herpes zoster infection 00700 KET000NAZOLE ' tablet; cream Oral and esophageal candidiasis Nizoral 00800 NYSTATIN pastilles; tablet; Oral and vaginal candidiasis Mycostatin oral suspension; powder; pastille; ointment; cream 00900 PENTAMIDINE aerosol; vial PCP treatment and prophylaxis Pentam NebuPent 01000 PYRIMETHAMINE tablet Toxoplasmosis treatment and maintenance Daraprim 01100 SULFADIAZINE tablet In combination with pyrimethamine in treatment and Microsulfon maintenance of toxoplasmosis 1 Exhibit A-1 01200 TMP/SMX tablet PCP treatment and prophylaxis Bactrim Septra 01300 ZIDOVUDINE capsule CD4 <500; patient symptomatic; elevated P24 Ag; AZT history of AIDS related infections Retrovir 01400 ZALCITABINE tablet Alone or in combination with AZT if CD4 # is declining; ddC intolerance to AZT•; resistance to AZT Hivid 01500 ACYCLOVIR capsule; tablet; HSV treatment and prophylaxis; varicella zoster virus Zovirax ointment treatment only 01600 AMPHOTERICIN B vial Treatment and maintenance of cryptococcal meningitis; Fungizone treatment of candida infections; treatment of deep mycosis 01700 ATOVAOUONE tablet PCP treatment in patients with mild to moderate PCP who Mepron, 566 are allergic to TMP/SMX 01800 AZITHROMYCIN capsule Community acquired pneumonias, bacillary angiomatosis, Zithromax toxoplasmosis with pyrimethamine, chlamydia urethritis, cryptosporidium diarrhea 01900 CLARITHROMYCIN tablet Toxoplasmosis, MAC, bacillary angiomatosis, community Biaxin acquired pneumonia 02100 CLOFAZIMINE capsule MAC Lamprene 02100 ETHAMBUTOL tablet Tuberculosis, MAC Myambutol 02200 FLUCYTOSINE capsule With amphotericin-B in treatment of cryptococcal 5-FC meningitis and candida infections Ancobon 02300 FOSCARNET infusion bottle CMV infections non responsive or intolerant to ganciclovir Foscavir 02400 PAROMOMYCIN capsule Treatment of cryptosporidium diarrhea Humitin 02500 RIFABUTIN capsule MAC treatment and prophylaxis Mycobutin kIDATAV W MADAPIAPPAOMUST 2 AIDS Drug Assistance Program Exhibit C-1 Office of AIDS P.O.Box 94273 Sacramento,CA 94234-7320 AIDS DRUG ASSISTANCE PROGRAM FINANCIAL ELIGIBILITY AND CO-PAYMENT WORKSHEET 1994 Client Name/ID## Social Security Number (1) Annual Gross Income (Monthly Gross Income X 12 = Annual Gross Income) or If the applicant has a Californa Resident Income Tax Return 1993 540,skip numbers (1) and (2), and enter their taxable income {Line 19 on form 540;Line 16 on forms 540A and 540EZ) on number (3). If the applicant has a U.S. Indivdual Income Tax Return 1993, enter adjusted gross income {Line 31 on Form 1040,Line 16 on Form 1040A, or Line 6 on Form 1040EZ) on number (1). (2) Standard California Deduction (Enter deduction.) (2) $ Filing Status Amount 1 Single $2,402 2 Married filing joint return $4,804 3 Married filing separate return $2,402 4 Head of household $4,804 5 Qualifuig widow(er) $4,804 (3) Taxable Income [Subtract (2) from (1).] (3) $ If the applicant's taxable income is less than $29,440 (family of one), $39,360 (family of two), or 49,280 (family of 3), the client has no co-payment obligation. It is not necessary to complete numbers (4) through (8). (4) Tag Liability [Look up on tax table using number (3) amount and filing status.] (4) $- (5) 4) $(5) Total Monthly Co-payment [#(4) divided by 6.1 (5) $- (6) 5) $(6) Monthly Health Insurance Premium [Subtract from (5).] (6) $ ('n Net Monthly Co-payment (7) $ (8) Cost of Drug (8) $ If the cost of the drug is less than number ('n, then the cost of the drug(s) will be the monthly co-payment. Note: Figures may change each year with poverty level and tax changes. The revised form will be effective on May 1 of each year. NADATA\PC&W\ADAP\FNANCIAL.FLM 1903 California Tax Table -Continuea Exhibit C-1 Page 2 If Your'Taxable The Tax For It Your Taxable The Tax For if Your Taxable The Tax For Income is . . . Filing Status Income Is Filing Status Income Is .. . Filing Status At But Not 1 or 3 Z Or 5 4 At But Not 1 Or 3 2 Or 5 4 At But Not 1 Or 3 2 Or 5 4 Least OverI Is Is Is Least Over Is Is Is Least Over Is Is Is 19,451 19,550 553 297 297 25,451 26,550 1,019 524 52433,451 33,550 1,616 804 904 19,551 19,650 559 299 299 26,551 26,650 1.027 528 528 _13 33,551 33,650 1,625 808 910 19,651 19,750 565 301 301 26,651 26,750 1,035 532 432 33,651 33,750 1,635 312 916 19,751 19,850 571 303 203 26,751 26,850 1,043 536 036 33,751 33,850 .1,644 816 922 19,851 19,950 577 305 305 1 25,851 26,950 1,051 540 540 -33,851 33,950 1,653 820 928 19,951 20,050 583 307 307 26,951 27,050 1,059 544 544 33,951 34,050 1,662 824 934 20,051 20,150 589 309 309 27,051 27,150 1.067 548 548 34,051 34,150 1,672 828 940 20,151 20,250 595 311 311 27,151 27,250 1,075 552 552 34,151 34,250 1,681 832 946 20,251 20,350 601 313 313 27,251 27,350 1,083 556 556 34,251 34,350 1,690 836 952 20,351 20,450 607 315 315 27,351 27,450 1,091 560 580 34,351 34,450 1.700 840 958 20,451 20,550 612 317 317 27,451 27,550 1,099 564 564 34,451 34,550 1,709 844 964 20,551 20,650 619 319 319 27,551 27,650 1,107 568 568 34,551 34,650 1,718 848 970 20,651 20,750 625 321 321 27,651 27,750 1,115 572 572 34,651 34,750 1.728 852 976 20,751 20,850 631 323 323 27,751 27,850 1,123 576 576 34,751 34,850 1,737 856 982 20,851 20,950 637 325 325 27,851 27,950 1,131 580 580 34,851 34,950 1,746 860 988 20,951 21,050 643 327 327 27"'5128,050 1,Q9 584 584 34,951 35,050 1.755 866 994 21,051 21,150 649 329 329 28,051 28,150 - 1,147 588 588 35,051 35,150 1,765 872 1.000 21,151 21,250 655 331 311 22 8,250 1,155 592 592 35,151 35,250 1,774 873 1,006 21,251 21,350 601 333 333 ::251 28,350 1,163 596 596 35,251 35,350 1,783 884 1,012 21,351 21,A50 667 335 335 28,351 28,450 1,171 600- 600 35,351 35,450. 1.793 890 1,020 21,451 21,550 673 337 337 28,451 28,550 1,179 604 604 35,451 35,550 1,302 896 1.028 21,551 21,650 679 339 339 28,551 28,650 1,187 608 610 35,551 35,650 1,811 902 1,036 21,651 21,750 685 341 341 28,651 28,750 1,195 612 616 35,651 35,750 1.821 908 1,044 21,751 21,850 691 343 343 28,751 28,850 1,203 616 622 35,751 35,850 1.330 914 1,052 21,851 21,950 697 345 345 28,851 28,950 1,211 620 628 35,861 35.950 1.839 920 1,060 21,951 22,050 703 347 347 28,951 29,050 1,219 624 634 35,951 36,050 1,848 926 1,068 72,051 22,150 709 349 349 29,051 29,150 1,227 628 640 36,051 36,150 1,858 932 1,076 22,151 22,250 715 252 352 29,151 29,250 1,235 632 646 36,151 36,250 1,867 938 1,084 22,251 22.350 721 356 356 29,251 29,350 1,243 636 652 36,251 36,350 1,876 944 1,092 22,351 22,450 727 360 360 29,351 29,450 1,251 , 640 658 36,351 36,450 1,886 950 1,100 22,451 22,550 733 264 364 29,451 29,550 1,259 644 664 36,451 36,550 1,895 956 1,108 22,551 22,650 729 368 368 29,551 29,550 1,267 648 670 36,551 36,650 1,904 962 1,116 22,651 22,750 745 372 372 29,651 29,750 1,275 652 676 36,651 36,750 1,914 968 1,124 22,751 22,850 751 376 376 29,751 29,850 1,283 656 682 36,751 36,850 1,923 974 1,132 22,851 22,950 757 380 380 29,851 29,950 1,291 660 688 36,851 36,950 1,932 980 1,140 --22-,951 23,050 763 384 384 29,951 30,050 1,299 664 694 36,951 37,050 1,941 L36 1,148 23,051 23,150 769 388 388 30,051 30,150 1,307 668 700 37,051 37,150 1,951 992 1,156 23,151 23,250 775 392 392 30,151 30,250 1.315 672 706 37,151 37,250 1,960 998 1.164 23,251 23,350 781 396 396 30,251 30,350 1,323 676 712 37,251 37,350 1,969 1.004 1,172 23,351 23,450 787 400 400 30,351 30,450 1,331 680 718 37,351 37,450 1,979 1,010 1,180 23,451 23,550 793 404 404 30,451 30,550 1,329 684 724 37,451 37,550 1,988 1,016 1,188 23,551 22,650 799 408 408 30,551 30,650 1,347 688 730 37,551 37,650 1.997 1,022 1,196 23,651 23,750 805 412 412 30,651 30,750 1,358 692 736 37,651 37,750 2,007 1,028 1,204 23,751 23,850 all 416 416 30,751 30,850 1,365 696 742 37,751 37,850 2.016 1.034 1,212 23,851 23,950 317 420 420 , 30,851 30,950 1,374 700 748 37,851 37,950 2,025 1.040 1.220 23,951 24,050 823 424 424 30,951 31,050 1,383 704 754 37,951 38,050 2.034 1,046 1,228 24,051 24,150 829 423 128 31,051 31,150 1,393 708 .760 38,051 38.150 2,044 1,052 1,226 24,151 24,250 835 432 432 31,151 31,250 1,402 712 766 38,151 38,250 2,053 1,058 1,244 24,251 24,350 843 436 136 31,251 31,350 1,411 716 772 38.251 38,350 2.062 1,064 1.252 24,351 24,450 851 .1A0 a-i0 31,351 31,450 1.1121 720 7778 38,351 38,450 2.072 1.070 1,260 24,451 24,550 859 444 444 31,451 31,550 1,430 724 714 1 31:'111 31,550 2,081 1,076 1.268 24,551 24,650 867 448 448 31,551 31,650 1,439 728 790 38,551 38'550 2.090 1,082 1.276 24,651 24,750 375 452 452 31,651 31,750 1,449 732 796 . 38,651 38.750 2.100 1.088 1,294 24,751 24,850 883 456 456 31,751 31,350 1,458 726 802 38,751 38.850 zloq 1,094 1,292 24,851 24.950 891 460 4- 60 31,851 31,350 1,467 740 808 38,851 38,950 2.118 1.100 1.300 24,951 25,050 899 464 464 31,951 32-050 1,476 744 814 38,951 39,050 2.127 1,106 1,308 25,051 - 25,150 907 468 163 32,051 32,150 1,486 748 820 39,051 39,150 2.137 1,112 1.216 25,151 25.250 915 172 472 32.151 32,250 1,495 752 826 39,151 39.250 2.146 11,118 1,324 25,251 25,350 923 476 475 32.251 32-350 1,5011 756 832 39.251 39.350 2.155 1,124 1.332 25,351 25,450 931 180 180 32,351 32.450 1.514 790 838 39.351 39.'45() 2.165 1,120 1,340 25,451 25,550 939 "84 484 32,451 32,550 1,523 764 844 39,451 39,5-0 2.174 1,136 1.3118 25,551 25.650 947 488 488 32,551 32,550 1.432 788 850 39.551 39,550 2.183 1.142 1,356 25,551 25,750 91^ 192 592 2 32,551 32,750 1.542 72 856 39.551 39,750 2.1C-3 1.1A8 1.20A 25,751 25,850 963 196 596 32,751 32,350 1,551 776 862 39,751 39,350 2,202 1,1-- 4 1.372 25,851 25,950 971 500 500 32.851 32,950 1-560 780 868 39,851 39,950 2.211 1,160 1.380 25,951 26,050 979 504 504 32,951 33,050 1.569 784 374 39,951 40,050 2.220 1.166 1.138 26,051 26,150 987 508 408 33,051 33,150 1,579 788 880 40.051 40,150 2.230 i,172 1,396 26,151 26,250 995 312 512 33,151 33,250 1,488 792 386 40,151 110.250 2.229 1.173 1,404 26.251 26,350 1,003 516 516 33.251 33,350 1-197 796 892 40,251 40,350 2,248 1.184 1,412 26,351 26,450 1,011 5520 420 33,351 33,450 1,507 sco 898 40.351 . 40,450 2.258. 1.190 1.420 Tice -lax table is continued on page 46. Personal !ncl-ma Tax Booklet 1993 Page 45 1993. California Tax Table -Continued Exhibit C-1 Page 3 It Your Taxable The Tax For if Your Taxable The Tax For I If Your TaxableI ,The Tax For Income Is . . . i Filing Status I Income Is... Filing Status Income Is . . . Filing Status At But Not 11 Or 3 2 Or 5 4I At But Not 11 Or 3 2 Or 5 4 I At But Not 11 Or 3 2 Or 5 4 Least Over Is Is Is Least Over Is Is Is Least Over Is Is Is 40,451 40,550 2,267 1,196 1,428 43,951 44,050 2.592 1,406 1,739 47,451 47,550 2,918 1,616 2,064 40,551 40,550 2.276 1,202 1,436 44,051 44,150 2,602 1,412 1,748 47,551 47,650 2,927 1,622 2.073 40,651 40,750 2.286 1,208 1,444 44,151 44,250 2.611 1,418 1,757 47,651 47,750 2.937 1.628 2.083 40,751 40,850 2,295 1.214 1,452 44,251 44,350 2,620 1,424 1,766 47,751 47,850 2.946 1.534 2.092 40.851 40.950 2.304 1,220 1.460 44,351 44,450 2,530 1,430 1,776 47,851 47,950 2.955 1.640 2.101 40,951 41,050 2.313 1,226 1,46844,451 44,550 2,639 1,436 1,785 47,951 48,050 2,964 1,646 2.111 41,051 41,150 2,323 1,232 1,476 44,551 44,650 2,648 1,442 1,794 48,051 48,150 2,974 1,652 2.120 41,151 41,250 2,332 1,238 1,484 44,651 44,750 2,658 1,448 1,804 48,151 48,250 2,983 1,658 2.129 41,251 41,350 2,341 1.244 1,492 44,751 44,850 2,667 1,454 1,813 48,251 48,350 2,992 1,664 2,138 41,351 41,450 2,351 1.250 1,500 44,851 44,950 2,676 1,460 1.822 48,351 48,450 3,002 1,670 2,148 41,451 41,550 2,360 1,256 1,508 44,951 45,050 2,685 1,466 1,832 48,451 48,550 3,011 1,677 2,157 41,551 41,650 2.369 1,262 1,516 45,051 45,150 2,695 1,472 1,841 48,551 48,650 3,020 1,685 2.166 41,651 41,750 2.379 1,268 1,525 45,151 45,250 2,704 1,478 1,850 48,651 48,750 3.030 1,593 2.176 41,751 41,850 2.388 1.274 1,534 45,251 45,350 2,713 1,484 1,859 48,751 48,850 3,039 1,701 2.185 41,851 41,950 2.397 1,280 1,543 45,351 45,450 2.723 1,490 1,869 48,851 48,950 3,048 1,709 2.194 41,951 42,050 2,406 1,286 1,553 45,451 45,550 2,732 1,496 1,876 48,951 49,050 3.057 1,717 2.204 42,051 42,150 2.416 1,292 1.562 45,551 45,650 2,741 1,502 1,887 49,051 49,150 3.067 1,725 2.213 42,151 42,250 2.425 1,298 1.571 45,651 45,750 2.751 1,508 1.897 49,151 49,250 3.076 1,733 2.222 42,251 42,350 2.434 1,304 1,580 45,751 45,850 2,760 1,514 1,906 49,251 49,350 3,085 1,741 2.231 42,351 42.450 2.444 1.310 1,590 45,851 45,950 2.769 1,520 1,915 49,351 49,450 3.095 1,749 2.241 42,451 42,550 2.453 1,316 1,599 45,951 46,050 .2,778 1,526 1,925 49,451 49,550 3,104 1,757 2,250 42,551 42.650 2.462 1,322 1,608 46,051 46,150 2,788 1,532 1,934. 49,551 49,650 - 3,113 1,765 2.259 42,651 42,750 2,472 1,328 1,618 46,151 46,250 2,797 1.538 1,943 49,651 49,750 3,123 1,773 2.269 42,751 42,850 2,481 1,334 1,627 46,251 46,350 2,806 1,54.4 1,952 49,751 49,850 3,132 1,781 2,278 42,851 42.950 2,490 1,340 1,636 46,351 46,450 2,816 1,550 1,962 49;851 49,950 3,141 1,789 2.297 42,951 43,050 2.499 1,346 1,646 1 46,451 46,550 2,825 1,556 1,971 49,951 50,000 3,148 1,795 2,294 43,051 43,150 2,509 1,352 1,655 46,551 46,650 2.834 1,562 1,980 OVER S50,000 YOU MUST COMPUTE 43,151 43,250 2,518 1,358 1,664 46,651 46,750 2,844 1,56a 1,990 YOUR TAX USING THE TAX RATE 43,251 43,350 2,527 1,364 1,673 46,751 46,850 . 2,853 1,574 1,999 43.351 43,450 2,537 1,370 1,683 46,851 46,950 2,862 1,580 2,008 SCHEDULES BELOW. 43,451 43,550 2,546 1,376 1,692 46,951 47,050 2,871 1,586 2,018 43,551 43,650 2.555 1,382 1,701 47,051 47,150 2,881 1,592 2.027 43,651 43,750 2,565 1,388 1,711 47,151 47,250 2,890 1,598 2,036 43,751 43,850 2.574 1,394 1,720 47,251 47,350 2.899 1,604 2,045 431,851 43,950 2,583 1.400 1,729 47,351 47,450 2,909 1,610 2,055 Exhibit D-1 State.of California Authorizedwithouta supporting Department of Health Services Contract per HSC Sec. 188.1(b), Office of AIDS AB 2251,Chapter 1246,Stat of 1989 P. O. Box 942732 Sacramento,CA 94234-7320 AIDS DRUGS ASSISTANCE PROGRAM INVOICE FORM This form must be submitted with original signatures. Copies should be retained for the local health jurisdiction's records. 1. Name of Local Health Jurisdiction: 2. Address: 3. Invoice for the month of , 19 4. Total number of prescriptions provided for month invoiced (excluding nebulizers and other equipment used in administering drugs): 5. Total cost of drugs, excluding dispensing fee: $ 6. Total cost of dispensing fees: $ 7. Total cost of drugs and dispensing fees: $ (5 + 6) 8. Amount reimbursed by insurance: $ 9. Total amount of copayment: $ 10. Net amount to be reimbursed by State $ ADAP [7 - (8 + 9)]: Report prepared by: (Telephone) I hereby certify, under penalty of perjury, that the above services have been provided in accordance with the policies, guidelines and standards of the State Department of Health Services and that the fees do not exceed those authorized for this program. Signature of a Duly Authorized Health Jurisdiction Official Date -STATE OFFICE OF AIDS USE ONLY- YW MR Cc& �L I . �U I I I I -L Li AIDE D4UGAS6ISTANCE PROGRAM MAXIMUM REIMBURSEMENT AMOUNTS Exhibit F-1 CODE GENERIC NAME TRADE NAME FORM STRENGTH MAXIMUM AMT. REIMBURSED 00100 1 CLINDAMYCIN HCL Cleocin 00101 Cleocin capsule 75mg 0.4493 00102 Cleocin capsule 150mg 0.8325 00103 Cleocin capsule 300mg 1.7701 00200 CLOTRIMAZOLE . Lotrimin, Mycelex 00201 Lotrimin, Mycelex tube,cream 1% 15mg 9.3855 00202 Lotrimin, Mycelex tube,cream 1% - 30mg 15.9120 00203 Lotrimin, Mycelex tube,cream 1% 45mg 19.3140 00204 Lotrimin, Mycelex tube,cream 1% 90mq 26.4510 00205 G ne-Lotrimin, Mycelex-G vaginal tablet 100mg 1.6286 00206 Gyne-Lotrimin, Mycelex-G vaginal tablet 500mg 10.4310 00207 Lotrimin, Mycelex bottle, solution 1% 10cc 8.2560 00208 Lotrimin, Mycelex bottle, solution 1% 30cc 17.1750 00209 M celex troche,70/bottle 10mg 45.3740 00210 Lotrimin, Mycelex troche, 140/bottle 10mg 86.8395 00211 Gyne-Lotrimin, Mycelex-G lotion 1%,bottle 30mg 17.9730 00212 G ne-Lotrimin, Mycelex-G tubes,vaginal 1%cream 45mg 12.7485 00213 Lotrimin, Mycelex tubes,va inal 1%cream 90mg 23.2200 00300 DAPSONE Avlosulfon 00301 Avlosulfon tablet 25mg 0.1634 00302 Avlosulfon tablet 100mg 0.1710 00400 DIDANOSINE ddl, Videx 00401 ddl,Videx tablet 25mg 0.3421 00402 ddl,Videx tablet 50mg 0.6841 00403 ddl,Videx tablet 100mg 1.3682 00404 ddl,Videx tablet 150mg 2.0240 00405 ddl,Videx pckt of 30,powdr for sol. 100mg 41.0495 00406 ddl,Videx pckt of 30,powdr for sol. 167m 68.5520 00407 ddl,Videx ckt of 30, owdr for sol. 250mg 102.6190 00408 ddl,Videx pckt of 30, powdr for sol. 375m - 153.9285 00500 FLUCONAZOLE Diflucan 00501 Diflucan tablet 50mg 3.6843 00502 Diflucan tablet 100mg 5.7893 00503 Diflucan tablet 200mg 9.4737 00600 GANCICLOVIR Cytovene 00601 Cvtovene vial 500mg 33.0600 00700 KETOCONAZOLE Nizoral 00701 Nizoral tube,2%cream 15gm 11.6730 00702 Nizoral tube,2%cream 30gm 19.6200 00703 Nizoral tube, 2%cream 60gm 29.8080 00704 Nizoral tablet 200mg 2.3389 00800 NYSTATIN I Mycostatin 00801 Mycostatin tablet,vaginal 10oKu 1.0719 00802 Mycostatin bottle,oral suspension T60cc 3.2880 00803 Mycostatin tablet,oral 500Ku 0.5254 00804 Mycostatin astille/lozn a 200Ku 0.8838 00805 I I Mycostatin tube,ointment 100Ku/ m 15gm 1.4550 00806 Mycostatin tube,ointment 100Ku/gm 30gm 3.1350 00807 I Mycostatin tube,cream 100Ku/ m 15gm 1.4550 00808 Mycostatin tube,cream 100Ku/ m 130gm 2.4000 H:\USERS\BHARTZ\123\MAXPRICE.WK1 1 Effective April 1, 1994 AIDS DIRUGASSISTANCEPROGRAM MAXIMUM REIMBURSEMENT AMOUNTS Exhibit F-1 CODE GENERIC NAME TRADE NAME FORM STRENGTH MAXIMUM AMT. REIMBURSED 0900 PENTAMIDINE NebuPent, Pentam 00901 NebuPent aerosol 300mg 93.8125 00902 Nebulizer nebulizer for NebuPent 15.0000 00903 Pentam vial 300mg 95.0000 01000 PYRIMETHAMINE Daraprim 01001 Dara rim tablet - 25mg 0.3301 01100 SULFADIAZINE Microsulfon 01101 Microsulfon tablet 500mg 0.4774 01200 TMP/SMX Bactrim, Septra 01201 Bactrim, Septra 1 tablet 80/400 regular 0.0743 01202 Bactrim,Septra tablet 160/800 double 0.0863 01300 ZIDOVUDINE AZT, Retrovir 01301 AZT, Retrovir capsule 100mg 1.3702 01400 ZALCITABINE ddC, HIVID 01401 ddC, HIVID tablet 0.375mg 1.6188 01402 ddC, HIVID tablet 0.750mg 2.0292 01500 ACYCLOVIR Zovirax 01501 Zovirax capsule 200mg 0.8918 01502 Zovirax tablet 400mg 1.7307 01503 Zovirax tablet 800mg 3.3655 01504 Zovirax ointment%5 - 3gm 13.5470 01505 Zovirax ointment%5 15gm 1 31.3310 01600 AMPHOTERICIN B Fungizone 01601' Fun izone vial 150mg 14.2500 01602 Fun izone vial 100m 16.6250 01700 ATOVAQUONE Mepron, 566 01701 Mepron,566 tablet 250mg 2.4282 01800 AZITHROMYCIN Zithromax 01801 Zithromax capsule 250mg 7.71881 01900 CLARITHROMYCIN Biaxin 01901 Biaxin tablet 250m 2.3182 01902 Biaxin tablet 500mg 2.3182 i 02000 CLOFAZIMINE Lamprene, 02001 1 Larnlorene capsule 50mg 0.1189 02002 Lam rene capsule 100mg 0.2203 02100 'ETHAMBUTOL M ambotol 02101 1 Myambutol tablet 100m I 0.3350 02102 Myambutol tablet 1400mg 1 1.1209 I I � 02200 1 FLUCYTOSINE 5-FC, Ancobon 02201 5-FC,Ancobon capsule 1250mg 0.9529 02202 5-FC,Ancobon capsule 500mg 1.83431 1 02300 FOSCARNET Foscavir 02301 I 1 Foscavir infus bottle 24mg/cc 250cc I 49.6250 02302 Foscavir infus bottle 24mg/cc 1500cc I 138.65001 H:\USERS\BHARTZ\123\MAXPRICE.WK1 2 Effective April 1, 1994 AIDS DRUG.ASSISTANCE-PROGRAM MAXIMUM REIMBURSEMENT AMOUNTS Exhibit F-1 CODE GENERIC NAME TRADE NAME FORM STRENGTH MAXIMUM AMT. REIMBURSED 02400 PAROMOMYCIN Humitin 02401 Humitin capsule 250mg 1.7132 02500 RIFABUTIN Mycobutin 02501 Mycobutin capsule 1 50mg 3.2419 H:\USERS\BHARTZ\123\MAXPRICE.WK1 3 Effective April 1, 1994 'Stateof California Healtlrand Welfa4e Agency Exhibit G Office of AIDS AIDS Drug Assistance Program Financial Appeals County Please discuss any questions about the AIDS Drug Assistance Program with a program representative. Financial eligibility,and the requirement for enrollees to share in the cost of drugs are set by State law. You have the right to appeal decisions about your financial eligibility or the amount of your payment obligation. Attach any additional information to this form or write additional information on the back of this form. All appeals must be in writing. Send your appeal to: The State Office of AIDS Department of Health Services AIDS Drug Assistance Program P. O. Box 942732 Sacramento, CA 94234-7320 1. Client Name/ID#: Birthdate: Social Security Number: Address: 2. Appeal Made By:Name: Relation To Client: Telephone: TO BE FUJM OUT BY CLffiVT 3. This appeal concerns:0 Financial eligibility 0 Payment obligation 4. Is it based on: 0 A substantial change in income S. My payment obligation for the period through was set at$ I believe this should be changed because: Signature Date 6. Decision by Office of AIDS Signature Date Title The information on this form is required by the Office of AIDS,Department of Health Services in order to determine your eligibility for services. The information is maintained pursuant to Section 188.2 of the California Health and Safety Code. If you do not provide this information, eligibility for services may be denied. If you have any questions regarding your appeal,please contact the AIDS Drug Assistance Program, Office of AIDS,P. O. Box 942732,Sacramento,CA 94234-7320 or phone(916)327-6784. N:\DATA\PC&W\ADAP\FINANCIA.APP