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Alabama
ADAP FORMULARIES
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).
OI DRUGS
PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), fluconazol (Difulcan), ganciclovir (Cytovene), itraconazole
(Sporanox), lecovorin, sulfatrim DS (Bactrim, Septra). Other OIs- epoetin alfa (Procrit), dapsone, valganciclovir (Valcyte).
Hepatitis C- none.
Alaska
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), 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 (INH), itraconazole (Sporonox), leucovorin,
pyrimethamine (Daraprim, Fansidar), sulfadiazine, TMP/SMX (Bactrim) Other OIs- amphotericin B, atovaquone, ciprofloxacin,
clindamycin, clotrimazole (Mycelex), dapsone, ethambutol, fomivirsen, ketoconazole, nystatin, pentamidine (aerolsolized),
pyrazinamide, pyridoxine, rifabutin, rifampim, valganciclovir (Valcyte). Hepatitis C- none.
TREATMENTS FOR METABOLIC DISORDERS
Hyperlipidemia- atorvastatin calcium (Lipitor), gemfibrozil (Lopid), pravastatin sodium (Pravachol).Wasting- testosterone (depotest,
patches and gel, oxandrin, deca-durabolin, or delatestry).
ALL OTHERS
diphenox/atr sulf (Lomotil), gabapentin (Neurontin), hepatitis A Vaccine (2 doses), hepatitis B Vaccine (3 doses), influenza (annually),
loperamide (Imodium), pneumococcal Vaccine, prochlorperazine (Compazine), varicella zoster immune globulin.
Arizona
ANTIRETROVIRALS
NRTIs- abacavir (Ziagen), abacavir/lamivudine/zidovudine (Trizivir), didanosine (ddI, Videx, Videx EC), emtricitabine (Emtriva),
fluconazole (Diflucan), 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). NNRTIs- delavirdine
(Rescriptor), efavirenz (Sustiva), nevirapine (Viramune). Entry Inhibitor- enfuvirtide (Fuzeon).
OI DRUGS
PHS “A1 OI”s- acyclovir, azithromycin (Zithromax), clarithromycin (Biaxin), fluconazole (Diflucan), pyrimethamine (Daraprim),
TMP/SMX (Bactrim). Other OIs- dapsone, pentamidine (NebuPent), rifabutin (Mycobutin), Hepatitis C- none.
Arkansas
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), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir/ritonavir
(Kaletra), nelfinavir (Viracept), ritonavir (Norvir), saquinavir (Fortovase, Invirase). NNRTIs- delavirdine (Rescriptor), efavirenz
(Sustiva), nevirapine (Viramune). Entry Inhibitor- enfuvirtide (Fuzeon).
TREATMENTS FOR METABOLIC DISORDERS
Hyperlipidemia- pravastatin (Pravachol).
OI DRUGS
PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), famciclovir (Famvir), fluconazole (Diflucan),
gancyclovir (Cytovene), itraconazole (Sporonox), leucovorin, pyrimethamine (Daraprim), sulfadiazine, TMP/SMX (Bactrim, Septra).
Other OIs- atovaquone (Mepron), ciprofloxacin (Cipro), clindamycin (Cleocin), clotrimazole (Mycelex), dapsone, doxycycline,
ethambutol (Myambutol), metronidazole, nystatin, paromomycin, valganciclovir (Valcyte). Hepatitis C- none.
Removed in 2003- pentamidine (Inhaled), rifabutin (Mycobutin), clofazimine (Lamprene), ketoconazole (Nizoral),