NATIONAL ADAP MONITORING PROJECT - AIDS United

Oklahoma
ADAP FORMULARIES
ANTIRETROVIRALS
NRTIs- abacavir (Ziagen), abacavir/lamivudine/zidovudine (Trizivir), didanosine (ddI, Videx), 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).
OI DRUGS
PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), fluconazole (Diflucan), itraconazole
(Sporonox), TMP/SMX (Bactrim, Septra). Other OIs- dapsone, pentamidine (NebuPent, Pentam), rifabutin (Mycobutin).
Hepatitis C- none.
Oregon
ANTIRETROVIRALS
NRTIs- abacavir (Ziagen), abacavir/lamivudine/zidovudine (Trizivir), didanosine (ddI, Videx), 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 (Zovirax), azithromycin (Zithromax), cidofovir (Vistide), clarithromycin (Biaxin), famciclovir (Famvir),
fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), isoniazid (Nydrazid, Rifamate, Rifater), itraconazole (Sporonox),
leucovorin, pyrazinamide (Rifater), pyrimethamine (Daraprim, Fansidar), rifampim (Rifamate, Rifater, Rifadin, Rimactane),
sulfadiazine, TMP/SMX (Bactrim, Cotrim, Septra). Other OIs- amikacin, atovaquone (Mepron), ciprofloxacin (Cipro), clindamycin
(Cleocin, Clinda-Derm), clotrimazole (Mycelex), cycloserine (Seromycin), dapsone, daunorubicin (DaunoXome), doxorubicin
(Adriamycin, DOXIL, Rubex), epoetin alfa (Epogen, Procrit), ethambutol (Myambutol), ethionamide (Trecator), fomivirsen sodium IV
(Vitravene), filgrastim (Neupogen), ketoconazole (Nizoral), metronidazole (Flagyl), ofloxacin (Floxin), para aminosalicyclic acid (PAS),
pentamidine (Nebupent), rifabutin (Mycobutin), streptomycin, trimetrexate glucuronate (Neutrexin), valacyclovir (Valtrex).
Hepatitis C- Interferon alfa 2a,2b (Intron A, RoferonA).
TREATMENTS FOR METABOLIC DISORDERS
Diabetic- acarbose (Precose), chlorpropamide (Diabinese), metformin HCI (Glucophage), glimepride (Amaryl), glipizide (Glucotrol),
glyburide (DiaBeta, Glynase, Micronase), insulins (all insulins). Hyperlipidemia- atorvastatin (lipitor), clofribate (Atromid),
gemfibrozil (Lopid), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol), simvastatin (Zocor). Wasting- dronabinol
(Marinol), megestrol acetate (Megace), nandrolone decanoate (Deca-Durabolin), oxandrolone (Oxandrin), testosterone cypionate (Birilon
IM), testerone enanthate (Delatestryl), thalidomide.
ALL OTHERS
acetaminophen (various), alfentanil (Alfenta), alglucerase (Ceredase), alteplase (Activase), amitriptyline (Elavil, Etrafon, Triavil,
Limbitrol), amoxapine (Asendin), amoxicillin (Amoxil, Wymox), amoxicillin/calvulanate potassium (Augmentin), ampicillin sodium/sulbactam
sodium (Unasyn), Arco-Lase Plus, asparaginase (Elspar), aspirin (Easprin), buprenorphine (Buprenex), buproprion (Wellbutrin),
buspirone (Buspar), butalbital (Various), carbamezapine (Atretol, Tegretol, Epitol), cefazolin sodium (Ancef, Kefzol), chlordiazepoxide
(Limbitrol), choline (Trilisate), clonazepam (Klonopin), clorazepate (Tranxene, Gen-xene), codine (Various), desipramine (Norpramin),
dezocine (Dalgan), diazepam (Dizac, Balium), diclofenac (Cataflam, Voltaren), difenoxin HCI (Motofen), diflunisal (Dolobid), dihydrocodeine
(DHCplus, Synalgos), diphenoxylate HCI (Lomotil), disoium/clavulanate potassium (Timentin), doxepin (Adapin, Sinequan,
Zonalon), doxycycline calcium (Vibramycin Calcium), enoxacin (Penetrex), erythromycin (all forms),
ethosuximide (Zarontin), ethotoin (Peganone), etodolac (Lodine), felbamate (Felbatol), fenoprofen (Nalfon), fentanyl (Duragesic,
Sublimaze), fluoxetine (Prozac), fosphenytoin (Cerebyx), furazolidone (Furoxone), gabapentin (Neurontin), gentamicin (Garamycin,
G-myticin), hepatitis A vaccine, hepatitis B vaccine, h. influenza B vaccine, hydrocodone (Various), hydromorphone (Dilaudid),
ibuprofen (IBU, Motrin), imiglucerase (Cerezyme), imipramine (Tofranil), indomethacin (Indocin), influenza vaccine, ketoprofen
(Orudis, Oruvail), ketorolac (Toradol), lamotrigine (Lamictal), levofloxacin (Levaquin), levomethadyl (Orlaam), levorphanol (Levo-
Dromoran), lomefloxacin HCI (Maxaquin), loperamide HCI (Imodium), maprotiline (Ludiomil), meclizine (Antivert), mefenamic
(Ponstel), meperidine (Demerol, Mepergan), mephenytoin (Mesantoin), mephobarbital (Mebaral), methadone (Dolophine),
methotrimeprazine (Levoprome), methasuximide (Celontin), midrin, mirtazipine (Remeron), MMR (measles, mumps, rubella), morphine
(various), nabumetone (Relafen), nalbuphine (Nubain), naproxen (Anaprox, Naprelan), nefazodone (Serzone), nortriptyline (Pamelor),
octreotide acetate (Sandostatin), ondansetron HCI (Zofran), opium (Tincture), orphenadrine (Norflex, Norgesic, Mio-Rel), oxaprozin
(Daypro), oxycodone (Various), oxymorphone (Numorphan), paroxetine (Paxil), penicillin (Pen-Vee K), pegademase (Adagen), pegaspargase
(Oncaspar), pentazocine (Talacen, Talwin), pentobarbital (Nembutal), perphenazine (Etrafon,Triavil), phenacemide (Phenurone),
phenelzine (Nardil), phenobarbital, phenytoin (Dilantin), primidone (Mysoline), piroxicam (Feldene), pneumococcal (Pneumovax), polio
vaccine, prochlorperazine (Compazine), promethazine HCI (Phenergan), propoxyphene (Darvocet, Darvon, Wygesic), protriptyline
(Vivactil), salsalate (Disalcid, Mono-Gesic, Salflex), sertraline (Zoloft), sufentanil (Sufenta), sulindac ( Clinoril), tetanus-diptheria vaccine,
ticarcillin, tolmetin (Tolectin), tramadol (Ultram), tranylcypromine (Parnate), traumeel, trazodone (Desyrel), trimethobenzamide HCI
(Tigan), trimipramine (Surmontil), trovofloxacin (Trovicin), valproic acid (Depakene), varicella vaccine, venlaxafine (Effexor).