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NATIONAL ADAP MONITORING PROJECT - AIDS United

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Montana<br />

<strong>ADAP</strong> FORMULARIES<br />

ANTIRETROVIRALS<br />

NRTIs- abacavir (Ziagen), abacavir/lamivudine/zidovudine (Trizivir), didanosine (ddI, Videx, Videx EC), lamivudine (Epivir, 3TC),<br />

lamivudine/zidovudine (Combivir), stavudine (d4T, Zerit), tenofovir (Viread), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir).<br />

PIs- amprenavir (Agenerase), indinavir (Crixivan), lopinavir/ritonavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir), saquinavir<br />

(Fortovase). NnRTIs- delavirdine (Rescriptor), efavirenz (Sustiva), nevirapine (Viramune). Other- hydroxyurea (Hydrea).<br />

OI DRUGS<br />

PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), fluconazole (Diflucan), foscarnet<br />

(Foscavir), ganciclovir (Cytovene), isoniazid (INH), itraconazole (Sporonox), leucovorin (floinic acid), pyrazinamide (Rifater),<br />

pyrimethamine (Daraprim, Fansidar), rifampim (If not covered by County Health), sulfadiazine, TMP/SMX (Bactrim). Other<br />

OIs- amphotericin B (standard formulation only), atovaquone (Mepron), dapsone, ethambutol hydrochloride (Myambutol),<br />

rifabutin (Mycobutin), clotrimazole oral (Mycolex Troches), nystatin (Mycostatin), pentamidine (NebuPent/Pentam), Valacyclovir<br />

(Valtrex ). Hepatitis C- none.<br />

Nebraska<br />

ANTIRETROVIRALS<br />

NRTIs- abacavir (Ziagen), abacavir/lamivudine/zidovudine (Trizivir), didanosine (ddI, Videx, Videx EC), lamivudine (Epivir, 3TC),<br />

lamivudine/zidovudine (Combivir), stavudine (d4T, Zerit), tenofovir (Viread), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir).<br />

PIs- amprenavir (Agenerase), indinavir (Crixivan), lopinavir/ritonavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir), saquinavir<br />

(Fortovase). NnRTIs- delavirdine (Rescriptor), efavirenz (Sustiva), nevirapine (Viramune). Other- hydroxyurea (Hydrea).<br />

OI DRUGS<br />

PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), famciclovir (Famvir), fluconazole (Diflucan),<br />

isoniazid (Laniazid), itraconazole (Sporonox), pyrazinamide, rifampim (Rifadin), TMP/SMX (Bactrim, Septra). Other OIs- atovaquone<br />

(Mepron), ciprofloxacin (Cipro), clindamycin (Cleocin), clofazimine (Lamprene), clotrimazole (Mycelex), dapsone, ethambutol<br />

(Myambutol), ketoconazole (Nizoral), nystatin (Mycostatin), metronidazole (Flagyl), pentamidine (Pentam), rifabutin (Mycobutin),<br />

valacyclovir (Valtrex). Hepatitis C- none.<br />

TREATMENTS FOR METABOLIC DISORDERS<br />

Wasting- megestroll acetate (Megace).<br />

ALL OTHERS<br />

alprazolam (Xanax), amitriptyline (Elavil), buspirone (BuSpar), bupropion (Weflbutrin), carbamazepine (Tegretol), chlordiazepoxide<br />

(Librium), chlorpromazine (Thorazine), citalopram (Celexa), clomipramine (Anafrabil), clonazepam (Klonopin), clorazepate (Tranxene),<br />

clozapine (Clozaril), desipramine (Norpramin), diazepam (Valium), doxepin (Sinequan), droperidol (Inapsine), estazolam (Prosom),<br />

fluoxetine (Prozac), fluphenazine (Prolixin), flurazepam (Dalmane), fluvoxamine (Luvox), halazepam (Paxipam), haloperidol (Haldol),<br />

hydroxyzine (Atarax, Vistaril), imipramine (Tofranil), lithium (Lithobid), lorazepam (Ativan), loxapine (Loxitane), mesoridazine<br />

(Serentil), mirtazipine (Remeron), molindone (Moban), nefazodone (Serzone), nortriptyline (Pamelor), olanzapine (Zyprexa), oxazepam<br />

(Serax), paroxetine (Paxil), perphanazine (Trilafon), pimozide (Orap), prazepam (Centrax), prochlorperazine (Compazine), quetiapine<br />

(Seroquel), risperidone (Risperdal), sertraline (Zoloft), temazepam (Restoril), thioridazine (Mellaril), thiothixene (Navane), trazodone<br />

(Desyrel), triazolam (Halcion), trifluoperazine (Stelazine), trimipramine (Surmontil), venlaxafine (Effexor), zolpidem (Ambien).<br />

Nevada<br />

ANTIRETROVIRALS<br />

NRTIs- abacavir (Ziagen), abacavir/lamivudine/zidovudine (Trizivir), didanosine (ddI, Videx), lamivudine (Epivir, 3TC),<br />

lamivudine/zidovudine (Combivir), stavudine (d4T, Zerit), tenofovir (Viread), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir).<br />

PIs- amprenavir (Agenerase), indinavir (Crixivan), lopinavir/ritonavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir), saquinavir<br />

(Fortovase, Invirase). NnRTIs- delavirdine (Rescriptor), efavirenz (Sustiva), nevirapine (Viramune). Other- hydroxyurea (Hydrea).<br />

OI DRUGS<br />

PHS “A1 OI”s- acyclovir, azithromycin (Zithromax), clarithromycin (Biaxin), fluconazole (Diflucan), ganciclovir (Cytovene),<br />

itraconazole (Sporonox), leucovorin, pyrimethamine, sulfadiazine, TMP/SMX (Septra). Other OIs- ciprofloxacin (Cipro), clindamycin<br />

(Cleocin), clotrimazole (Mycelex), dapsone, erythropoietin, ethambutol (Myambutol), GCSF (Neupogen), nystatin (Nilstat),<br />

paromomycin (Humatin). Hepatitis C- none.<br />

TREATMENTS FOR METABOLIC DISORDERS<br />

Hyperlipidemia- pravastatin (Pravachol). Wasting- dronabinol (Marinol), megestrol acetate (Megace), oxandrolone (Oxandrin),<br />

testosterone.<br />

ALL OTHERS<br />

amitriptyline (Elavil), diphenoxylate/atropine (Lomotil), gabapentin (Neurontin), loperamide (Imodium), ondansetron (Zofran),<br />

pancreatic enzymes (Ultrase), prochlorperazine (Compazine), trazadone (Desyrel).

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