• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

Texas HIV Medication Program – Documents

ApplicationVideo Client Application - the THMP application for assistance is available in English and Spanish in Word and PDF formats. The application includes the supplemental SPAP application page as part of the formal application process, for those clients with Medicare coverage. Watch a short video in English or Spanish [Vimeo] with tips on how to make the application process run smoothly

Hepatitis C Pilot

Medical Certification Form (MCF) - Word (52 kB) | PDF (119 kB) - allows physicians to request any and all medications currently available through the THMP. Please note that a separate form for the drug Fuzeon (enfuvirtide) is no longer required. (updated April 2018)

It is recommended that patients initiating Fuzeon treatment receive additional training and support through Nurse Connections. This service is provided free to new and existing patients. For information or to enroll a patient, please call 1-877-4Fuzeon (1-877-438-9366).

THMP Acceptable Documentation: English (PDF : 208 kB) | Spanish (PDF : 250 kB) (updated November 2018)

Guidelines (PDF : 321 kB) - program guidelines for THMP applicants. (updated April 2018)

THMP Formulary (PDF : 13 kB) - the list of drugs currently available through the THMP. (updated April 2018)

Out of State Texas Residents Medication Guidelines (PDF : 149 kB) (updated April 2018)

THMP Extra Medication Request Form (PDF : 173 kB) - complete to request extra refill or a 2-month supply of medication. (updated April 2018)

ADAP Enrollment Worker Training Manual (PDF : 3,600 kB) - manual from enrollment worker training.

Application Completeness Fact Sheet (PDF : 75 kB) - worksheet that explains the difference between an incomplete application and an application with verification issues.

THMP Eligibility Due Date Calendar (PDF : 265 kB) - monthly reminder of documentation due dates for THMP clients.

To view and download documents related to the HIV SPAP (State Pharmaceutical Assistance Program), please visit the TEXAS HIV SPAP page.

THMP homepage | FAQ | Documents | Policies | Pharmacies
Advisory Committee | Medicare | SPAP | News | Contact Us

Last updated November 9, 2018