L.A. Care Covered Drug Formulary (pdf)
L.A. Care Covered Drug Formulary (pdf)
L.A. Care Covered Drug Formulary (pdf)
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Commercial <strong>Formulary</strong>Antivirals, Hiv-spec, Nucleoside-nucleotideAnalogT4 emtricitabine/tenofovir TRUVADAAntivirals, Hiv-spec., Nucleoside Analog, RtiCombT4 abacavirEPZICOMsulfate/lamivudineT4 abacavir/lamivudine/zi TRIZIVIRdovudineT4 lamivudine/zidovudin COMBIVIReAntivirals, Hiv-specific, Ccr5 Co-receptorAntag.T4 maravirocSELZENTRYAntivirals, Hiv-specific, Fusion InhibitorsT4 enfuvirtideFUZEONAntivirals, Hiv-specific, Non-nucleoside, RtiT2 delavirdine mesylateT4 efavirenzT4 etravirineT1 nevirapineT2 nevirapineT4 nevirapineT4 rilpivirine hclRESCRIPTORSUSTIVAINTELENCEVIRAMUNEVIRAMUNE XR(TABER 24H)(100 MG)VIRAMUNE XR(TABER 24H)(400 MG)EDURANTAntivirals, Hiv-specific, Nucleoside Analog,RtiT4 abacavir sulfateT2 didanosineT1 didanosineT2 emtricitabineT2 lamivudineT1 lamivudineT1 stavudineT1 zidovudineZIAGENVIDEXVIDEX ECEMTRIVAEPIVIR(SOLUTION)EPIVIR(TAB)ZERITRETROVIRAntivirals, Hiv-specific, Nucleotide Analog,RtiT4 tenofovir disoproxilfumarateVIREADAntivirals, Hiv-specific, Protease InhibitorCombT4 lopinavir/ritonavirKALETRAAntivirals, Hiv-specific, Protease InhibitorsT4 atazanavir sulfate REYATAZT4 fosamprenavir calcium LEXIVAT2 indinavir sulfate CRIXIVANT2 nelfinavir mesylateT4 nelfinavir mesylateT4 ritonavirT2 ritonavirT4 ritonavirT4 saquinavir mesylateVIRACEPT(POWDER)VIRACEPT(TAB)NORVIR(CAP)NORVIR(SOLUTION)NORVIR(TAB)INVIRASEAntivirals,hiv-1 Integrase Strand TransferInhibtrT4 raltegravir potassiumISENTRESSArtv Cmb Nucleoside,nucleotide,&nonnucleosideRtiT4 efavirenz/emtricitab/te ATRIPLAnofovirT4 emtricitab/rilpivirine/tenCOMPLERAofovArv Cmb-nrti,n(t)rti, Integrase InhibitorT4 elvitegr/cobicist/emtric/ STRIBILDtenofHepatitis B Treatment AgentsT4 adefovir dipivoxilT4 entecavirT2 lamivudineT4 telbivudineHEPSERABARACLUDEEPIVIR HBVTYZEKAHepatitis C Treatment AgentsT4 interferon alfacon-1 INFERGEN PAT4 peginterferon alfa-2a PEGASYS PAT4 peginterferon alfa-2a PEGASYS PROCLICK PAT4 peginterferon alfa-2b PEGINTRON PAT4 peginterferon alfa-2b PEGINTRON PAREDIPENT1 ribavirinCOPEGUST1 ribavirinREBETOL(CAP)T2 ribavirinREBETOL(SOLUTION)T1 ribavirin RIBATAB STHepatitis C Virus Ns3/4a Serine ProteaseInhib.T4 boceprevir VICTRELIS PAT4 telaprevir INCIVEK PAINFLAMMATORY DISEASEAnti-arthritic And Chelating AgentsT2 penicillamineT2 penicillamineCUPRIMINEDEPENAnti-arthritic, Folate Antagonist AgentsT2 methotrexate sodium METHOTREXATEAnti-flam. Interleukin-1 Receptor AntagonistT4 anakinra KINERET PAT4 rilonaceptARCALYSTPage 41 of 91
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