NATIONAL ADAP MONITORING PROJECT - AIDS United

New York
ADAP FORMULARIES
ANTIRETROVIRALS
NRTIs- abacavir (Ziagen), abacavir/lamivudine/zidovudine (Trizivir), didanosine (ddI, Videx, Videx EC), lamivudine (Epivir, 3TC),
lamivudine/zidovudine (Combivir), stavudine (d4T, Zerit), tenofovir (Viread), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir).
PIs- amprenavir (Agenerase), indinavir (Crixivan), lopinavir/ritonavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir), saquinavir
(Fortovase, Invirase). NnRTIs- delavirdine (Rescriptor), efavirenz (Sustiva), nevirapine (Viramune). Other- hydroxyurea (Hydrea).
OI DRUGS
PHS “A1 OI”s- acyclovir, azithromycin, cidofovir, clarithromycin, famciclovir, fluconazole, foscarnet, ganciclovir, isoniazid, itraconazole,
leucovorin, pyrazinamide, pyrimethamine, rifampim, rifampim in combination, sulfadiazine, TMP/SMX. Other OIs- albendazole,
amikacin, amphotericin B, atovaquone, bleomycin, capreomycin, ciprofloxacin, clindamycin, clotrimazole, cyclophosphamide, cycloserine,
cytarabine, dapsone, dexamethasone, doxorubicin, econazole nitrate, epoetin alfa, ethionamide, ethambutol, etoposide, filgrastim,
flucytosine, formivirsen, griseofulvin, immune globulin Rho (Win Rho SDF), IVIG, kanamycin, ketoconazole, liposomal doxorubicin,
liposomal daunorubicin, lomustine, miconazole, methotrexate, nystatin, ofloxacin, oprelvekin (Neumega), paclitaxel, panretin gel,
para-amino salicyclic acid, paromomycin, penciclovir, pentamidine, prednisone, primaquine, procarbazine, rifabutin, rifapentine,
sargramostim, streptomycin, sulfadoxine/pyrimethamine, sulfamethoxazole, terbinafine, terconazole, trimethoprim, triple sulfa,
valacyclovir, valgancyclovir, vinblastine, vincristine. Hepatitis C- alpha interferon, ribavirin.
TREATMENTS FOR METABOLIC DISORDERS
Cardiac- acebutolol, amiloride, amlodipine, atenolol, benazepril, bendroflumethiazide, betaxolol, bisoprolol,bumetanide, candesartan,
captopril, carteolol, carvedilol, chlorothiazide, chlorthalidone, clonidine, cyclandelate, digoxin, diltiazem, doxazosin, enalapril, felodipine,
fosinopril, furosemide,guanabenz, guanadrel, guanfacine, hydralazine, hydrochlorothiazide, hydroflumethiazide, indapamide, irbesartan,
isosorbide, isoxsuprine, isradipine, labetalol, lisinopril, losartan, methyclothiazide, methyldopa, metolazone, metoprolol, minoxidil,
moexipril, moricizine, nadolol, nicardipine, nifedipine, nisoldipine, nitroglycerin, papaverine, penbutolol, pindolol, polythiazide,
prazosin, procainamide, propranolol, quinapril, ramipril, sotalol, spironolactone, telmisartan, terazosin, tocainide, torsemide, trandolapril,
triamterene, trichlormethiazide, valsartan, verapamil. Diabetic- acarbose, acetohexamide, chlorpropamide, glimepiride, glipizide,
glyburide, insulin, metformin, miglitol, pioglitazone, repaglinide, rosiglitazone, tolazamide, tolbutamide, troglitazone. Hyperlipidemiaatorvastatin,
cerivastatin, cholestyramine, clofibrate, colestipol, fenofibrate, fluvastatin, gemfibrozil, lovastatin, niacin, pravastatin,
simvastatin. Wasting- cyproheptadine, dronabinol, megestrol acetate, nandrolone, oxandrolone, testosterone, thalidomide.
ALL OTHERS
acetylcysteine, acrivastine/pseudoephedrine, albuterol, alclometasone, alpha N3, alprazolam, amcinonide, amitriptyline, amoxicillin,
amoxicillin/clavulanate, ansaid, ampicillin, apraclonidine, atropine, azatadine, azatadine/pseudoephedrine, aztreonam, bacitracin,
beclomethasone, benztropine mesylate, betamethasone dipropionate, betamethasone valerate, betaxolol, bitolterol, brimonidine,
brinzolamide, brompheniramine w/wo combinations, budesonide, bupropion, buspirone, butabarbital, butalbital combination w/wo/
codeine, carbamazepine, carbinoxamine, carbinoxamine/pseudoephedrine, carteolol, cefaclor, cefadroxil, cefazolin, cefixime, cefoxitin,
cefpodoxime, cefprozil, ceftazidime, ceftriaxone, cefuroxime, cephalexin, cephradine, cetirizine, chloral hydrate, chloramphenicol,
chlordiazepoxide w/wo clidinium, chlorhexidine, chlorpheniramine w/wo/ combinations, chlorpromazine, cimetidine, citalopram,
clemastine, clobetasol, clocortolone, clomipramine, clonazepam, clorazepate, cloxacillin, clozapine, codeine w/wo/ ASA, APAP,
cromolyn sodium, cyclopentolate, demearium, desipramine, desonide, desoximetasone, dexbrompheniramine / pseudo, dexchlorpheniramine,
dextroamphetamine sulfate, diazepam, diclofenac, dicloxacillin, diflorasone, diflunisal, diphenhydramine, diphenoxylate w/atropine
sulfate, dipivefrin, divalproex sodium, dolasetron, dorzolamide, dorzolamide w/ timolol, doxepin, doxycycline, dyphylline, ecothiopate,
epinephrine, epinephryl borate, erythromycin, erythromycin ethylsuccinate, erythromycin ethylsuccinate and sulfisoxazole acetyl,
estrogen, estrogens w/progestins, famotidine, fenoprofen, fentanyl (patch only), fexofenadine hcl/pseudo,fexofenadine, flavoxate,
flunisolide, fluoride, fluocinonide, fluorometh/sulfacetamide, fluorometholone, fluoxetine, fluphenazine,flurandrenolide, flurazepam,
flurbiprofen, fluticasone, fluvoxamine, fosfomycin tromethamine, furazolidone, gabapentin, gentamicin, granisetron, halazepam,
halcinonide, halobetasol, haloperidol, hepatitis A & B vaccines, homatropine, hydrocodone w/ ASA, APAP, hydrocortisone w/wo/
combinations, hydromorphone, hydoxyzine HCI, hydoxyzine pamoate, ibuprofen, imipenem/cilastatin, imipramine, imiquimod,
indomethacin, ipratropium, ipratropium and albuterol, ketoprofen, ketorolac, lansoprazole, latanoprost, levobunolol, levofloxacin,
levorphanol, lithium carbonate, lithium citrate, loperamide, loracarbef, loratadine, loratadine/pseudoephedrine, lorazepam, loteprednol,
loxapine, magnesium sulfate, medrysone, mesoridazine, metaproterenol, methadone, methylphenidate, metipranol, metoclopramide,
metronidazole, minocycline, mirtazapine, misoprostol, molindone, mometasone, montelukast, morphine sulfate, mupirocin, mydriatic
combinations, naphazoline w/wo combinations, naproxen, nedocromil, nefazodone, neomycin w/wo/ combinations, nitrofurantoin,
nizatidine, nortriptyline, octreotide, olanzapine, omeprazole, ondansetron, opium (tincture), oxazepam, oxtriphylline, oxybutynin,
oxycodone w/wo/ ASA, APAP, pancreatic enzymes, paregoric, paroxetine, pemoline, penicillin G, penicillin V potassium, pentobarbital,
perphenazine, phenir/ppa/phenylt./pyrilamine, phenylprop/pyril/pheniramine, phenyltolox/APAP, phenyltolox/pyril/pheniramine,
phenytoin, pilocarpine, pilocarpine w/ epinephrine, pirbuterol, piroxicam, podofilox, prazepam, prednisolone, prednicarbate, primidone,
probenecid, prochlorperazine, progestins, prometh/phenylephrine, promethazine, quetiapine fumarate, ranitidine, rimexolone,
risperidone, salmeterol, scopolamine, secobarbital, sertraline, sparfloxacin, spectinomycin, sucralfate, sulfacetamide sodium/prednisolone,
sulfasalazine, sulindac, suprofen, temazepam, terbutaline, tetracycline, theophylline, thiethylperazine, thioridazine, thiothixene,
ticarcillin/clavulanate, timolol, tobramycin, tolmetin, tolterodine, tramadol, trazodone, triamcinolone acetonide, triazolam, triamcinolone,
trifluoperazine, trimethobenzamide, trimipramine, tripelennamine, triprolidine hcl/pseudo, tromethamine, tropicamide, vancomycin,
valproic acid, venlafaxine, zafirlukast, zileuton, zolpidem.