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New York
ADAP FORMULARIES
New drugs added since June 2002 indicated in bold.
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- delavirdine
(Rescriptor), efavirenz (Sustiva), nevirapine (Viramune). Other- hydroxyurea (Hydrea). Entry Inhibitor- enfufuvirtide (Fuzeon).
OI DRUGS
PHS “A1 OI”s- acyclovir, azithromycin, cidofovir, clarithromycin, fluconazole, foscarnet, ganciclovir, isoniazid, itraconazole, leucovorin,
pyrimethamine, sulfadiazine, TMP/SMX. Other OIs- albendazole, amikacin, amphotericin B, atovaquone, bleomycin, caspofungin,
capreomycin, ciprofloxacin, clindamycin, clotrimazole, cyclophosphamide, cycloserine, cytarabine, dapsone, dexamethasone, doxorubicin,
econazole nitrate, epoetin alfa, ethionamide, ethambutol, etoposide, filgrastim, flucytosine, formivirsen, gatifloxacin, griseofulvin,
immune globulin Rho (Win Rho SDF), IVIG, kanamycin, ketoconazole, liposomal doxorubicin, liposomal daunorubicin, lomustine,
moxifloxacin, miconazole, methotrexate, nystatin, ofloxacin, oprelvekin (Neumega), paclitaxel, panretin gel, para-amino salicyclic acid,
paromomycin, penciclovir, pentamidine, prednisone, primaquine, procarbazine, pyrazinamide,rifabutin, rifampim, rifampim in
combination, rifapentine,sargramostim, streptomycin, sulfadoxine/pyrimethamine, sulfamethoxazole, terbinafine, terconazole,
trimethoprim, triple sulfa ,valganciclovir, valacyclovir, valgancyclovir, vinblastine, vincristine. Hepatitis C- peg-interferon alfa-2a &
ribavirin (Pegasys/Copegus), peg-interferon alfa-2b (Peg-Intron), ribavirin, Intron A (Rebetron).
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, felbamate,
felodipine, fosinopril, furosemide,guanabenz, guanadrel, guanfacine, hydralazine, hydrochlorothiazide, hydroflumethiazide, indapamide,
irbesartan, isosorbide, isoxsuprine, isradipine, labetalol, lamotrigine, levetracetam, 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.Hyperlipidemia-atorvastatin, cerivastatin, cholestyramine, clofibrate, colestipol, fenofibrate, fluvastatin, gemfibrozil, niacin,
pravastatin, Wasting-cyproheptadine, dronabinol, megestrol acetate, nandrolone, testosterone, thalidomide.
ALL OTHERS
acetylcysteine, acrivastine/pseudoephedrine, albuterol, alclometasone, alpha N3, alprazolam, amcinonide, amitriptyline, amoxicillin,
amoxicillin/clavulanate, ansaid, ampicillin, apraclonidine, aripiprazole, 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,
esomeprazle, estrogen, estrogens w/progestins, 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, levetiracetam, levobunolol, levofloxacin, levorphanol,
lithium carbonate, lithium citrate, loperamide, loracarbef, 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, nortriptyline, olanzapine,
omeprazole, ondansetron, opium (tincture), oxazepam, oxcarazepine, oxtriphylline, oxybutynin, oxycodone w/wo/ ASA, APAP,
pancreatic enzymes, pantoprazole, 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, rabeprozole, 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, tropicamide, vancomycin, valproic acid, venlafaxine, zafirlukast,
zileuton, ziprasidone HCL, zolpidem.