04 Formulary in pdf format - HIV/AIDS Information provided by ...

ADAP FORMULARIES
Minnesota
New drugs added since June 2002 indicated in bold.
ANTIRETROVIRALS
NRTIs- abacavir (Ziagen), abacavir/lamivudine/zidovudine (Trizivir), didanosine (ddI, Videx), emtricitabine (Emtriva), lamivudine
(Epivir, 3TC), lamivudine/zidovudine (Combivir), stavudine (d4T, Zerit), tenofovir (Viread), zalcitabine (ddC, Hivid), zidovudine (AZT,
Retrovir). PIs- amprenavir (Agenerase), atazanavir (Reyataz), indinavir (Crixivan), lopinavir/ritonavir (Kaletra), nelfinavir (Viracept),
ritonavir (Norvir), saquinavir (Fortovase, Invirase). NNRTIs- delavirdine (Rescriptor), efavirenz (Sustiva), nevirapine (Viramune).
Other- hydroxyurea (Hydrea). Entry Inhibitor- enfuvirtide (Fuzeon).
OI DRUGS
PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), cidofovir (Vistide), clarithromycin (Biaxin), fluconazole (Diflucan),
ganciclovir (Cytovene), itraconazole (Sporonox), leucovorin (Wellcovorin), pyrimethamine (Daraprim), sulfadiazine, TMP/SMX
(Bactrim, Septra). Other OIs- albendazole (Albenza), amoxicillin, amoxicillin/culvulanate (Augmentin), amphotericin B (Fungizone),
atovaquone (Mepron), cephalexin (Keflex), ciprofloxacin (Cipro), clindanycin (Cleocin), clotrimazole (Lotrimin, Mycelex), dapsone,
dicloxacillin, doxycycline (Vibramycin), econazole (Spectazole), erythromycin (EES), erythromycin/ethanol,erythomycin stearate,
ethambutol (Myambutol), gentamicin, ketoconazole (Nizoral), levofloxacin (Levaquin), metronidazole (Flagyl ,Metrogel), miconazole
(Micatin, Moniatat, Zeasorb-AF), nystatin (Mycostatin), ofloxacin (Ocuflox), paromonycin (Humatin), penicillin V Potassium (Vestids),
pentamidine (Nebupent, Pentam), primaquine, pyrazinamide, rifabutin (Mycobutin), rifampin/isonazid (Rifadin, Rifamate), silver sulfadiazine
(Thermazene SSD), terconazole (Terazol 7), Tobramycin Sulfate, Valacyclovir (Valtrex), Valganciclovir (Valcyte).
Hepatitis C- none.
TREATMENTS FOR METABOLIC DISORDERS
Hyperlipidemia- atrovostatin (Lipitor), cholestyramine (Questran), fenofibrate (Tricor), fulvastatin (Lescol), gemfibrozil (Lopid), niacin
(Niaspan), pravastatin (Pravachol), simvastatin (Zocor).Wasting- dronabinol (Marinol), megestrol acetate (Megace).
ALL OTHERS
amitriptyline (Elavil), amoxapine (Ascendin), bacitracin, bacitracin/polymyxinB, bacitracin Zinc, bupropion (Wellbutrin), carbamazepine
(Tegretol), cefadroxil (Duricef), cefazolin (Ancef), chlor-hexidine (Peridex), cimetidine (Tagamet), citalopram (Celexa), clomipramine
(Anafranil), colfazamine (Lamprene), desipramine (Norpramin, Petrofane), diphenoxylate HCI w/ Atropine (Lomotil, Lonox), divalproex
(Depakote), doxepin (Sinequan), fluoxetine (Prozac), fluvoxamine (Luvox), gabapentin (Neurontin), Hydrocortisone (various
formulations), imipramine (Tofranil), lamotrigine (Lamictal), loperimide (Imodium), magnesium sulfate, maprotiline (Ludiomil),
minocycline (Minocin), mirtazapine (Remeron), nefazodone (Serzone), neomycin, nitrofurantoin (Macrodantin), nortriptyline (Aventyl,
Pamelor), paroxetine (Paxil), phenelzine (Nardil), phenytoin (Dilantin), prendisone, primidone (Mysoline), probenecid, prochlorperazine
(Pyrazinamide), protriptyline (Vivactil), rantitidine (Zantac), sertraline (Zoloft), tetracycline, tranylcypromine (Pamate),
trazodone (Desyrel, Trialodine), trimipramine (Surmontil), tobramycin, vancomycin, valporic acid (Depkene), venlafxine (Effexor).
Mississippi
ANTIRETROVIRALS
NRTIs- abacavir (Ziagen), abacavir/lamivudine/zidovudine (Trizivir), didanosine (ddI, Videx, Videx EC), emtricitabine (Emtriva),
lamivudine (Epivir, 3TC), lamivudine/zidovudine (Combivir), stavudine (d4T, Zerit), tenofovir (Viread), zalcitabine (ddC, Hivid),
zidovudine (AZT, Retrovir). PIs- amprenavir (Agenerase), atazanavir (Reyataz), fosamprenavir (Lexiva), indinavir (Crixivan),
lopinavir/ritonavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir), saquinavir (Fortovase, Invirase). NNRTIs- efavirenz (Sustiva),
nevirapine (Viramune). Entry Inhibitor- enfuvirtide (Fuzeon).
OI DRUGS
PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), fluconazole (Diflucan), ganciclovir
(Cytovene), itraconazole (Sporonox),leucovorin, pyrimethamine (Daraprim), sulfadiazine, TMP/SMX (Bactrim)
Other OIs- clindanycin (Cleocin), clotrimazole (Mycelex), dapsone, ethambutol (Myambutol), pentamidine.valacyclovir (Valtrex),
valganciclovir (Valcyte). Hepatitis C- peg-interferon alfa-2a (Pegasys), ribavirin (Rebetron).
TREATMENTS FOR METABOLIC DISORDERS
Hyperlipidemia- atorvastatin (Lipitor), niacin. Wasting- oxandrolone (Oxandrin).
ALL OTHERS
amitriptyline (Elavil), citalopram (Celexa), gabapentin (Neurontin), sertraline (Zoloft).