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Rhode Island
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).
Other- hydroxyurea (generic). Entry Inhibitor- enfuvirtide (Fuzeon).
OI DRUGS
PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), fluconazole (Diflucan), ganciclovir
(Cytovene), isoniazid, itraconazole (Sporonox), leucovorin (Folinic Acid), pyrimethamine, sulfadiazine, TMP/SMX (Bactrim, Septra).
Other OIs- atovaquone (Mepron), ciprofloxacin (Cipro), dapsone, ethambutol (Myambutol), pentamidine (Nebupent), primaquine,
rifabutin (Mycobutin), valacyclovir (Valtrex), valganciclovir (Valcyte), Hepatitis C- interferon alfa (Intron A), peg-interferon alfa-2b &
ribavirin (Peg-Intron/Rebetol), peg-interferon alfa-2a & ribavirin (Pegasys/Copagus).
ALL OTHERS
amitriptyline, citalopram (Celexa), clonazepam, fentanyl patch (Duragesic), fluoxetine (Prozac), lorazepam, gabapentin (Neurontin),
morphine sulfate, olanzapine (Zyprexa), Oxycondone/r-Oxycondone, Oxycontin, paroxetine (Paxil), risperidone (Risperdal),
Roxycodone, trazodone, sertraline (Zoloft).
Removed in 2003- Oramorph SR.
South Carolina
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- enfuvirtide (Fuzeon).
OI DRUGS
PHS “A1 OI”s- acyclovir (Apothecon), azithromycin (Zithromax), clarithromycin (Biaxin), famciclovir (Famvir), fluconazole
(Diflucan), itraconazole (Sporonox), leucovorin (Folinic Acid), pyrimethamine (Daraprim), sulfadiazine, TMP/SMX (generics Bactrim,
Septra). Other OIs- atovaquone (Mepron), clindamycin (Cleocin), clotrimazole (Mycelex), dapsone, ethambutol (Myambutol),
ketoconazole (Nizoral), primaquine, rifabutin (Mycobutin), valacyclovir (Valtrex), valganciclovir (Valcyte). Hepatitis C- none.
ALL OTHERS
amitriptyline (Elavil), bupropion (Wellbutrin), citalopram (Celexa), fluoxetine (Prozac), nefazodone (Serzone), paroxetine (Paxil), sertaline
(Zoloft), trazodone (Desyrl), venlafaxine (Effexor). Removed in 2003- nystatin (Geneva).
South Dakota
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- none. NNRTIs- delavirdine (Rescriptor), efavirenz (Sustiva), nevirapine (Viramune).
OI DRUGS
PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), famciclovir (Famvir), fluconazole (Diflucan),
itraconazole (Sporonox), leucovorin, pyrimethamine (Daraprim), TMP/SMX (Septra). Other OIs- atovaquone (Mepron), ciprofloxacin
(Cipro), clofazimine (Lamprene), clotrimazole (Mycelex), dapsone, ethambutal (Myambutal), paromomycin (Humatin), pentamidine
(NebuPent), rifabutin (Mycobutin), valacyclovir (Valtrex). Hepatitis C- none.
TREATMENTS FOR METABOLIC DISORDERS
Wasting- megestrol acetate (Megace).
ALL OTHERS
acetaminophen/codine, amitriptyline (Elavil), divalproex sodium (Depakote), fentanyl (Duragesic), gabapentin (Neurontin), morphine,
MS Contin, phenytoin (Dilantin), prochlorperazine (Compazine), propoxyphene (Darvocet).