Healthcare Providers & Hospitals

We’ll work with you to help your qualified patients receive the medicines they need.

How the Patient Assistance Program works

Enroll a Patient

Download the application form or use the Provider Portal to enroll patients and check application status.

Patient Assistance Application Form Provider Portal Login/Register

Is your patient taking other HIV medications that are not covered in this program? If so, instead you can access the HarborPath Patient Application on the HarborPath Portal.

Access our medications through our Hospital Access Patient Assistance Program (HAPAP) and give to qualified outpatients directly.

Find out if your hospital is eligible for the HAPAP: