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Vermont
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- enfuvirtide (Fuzeon).
OI DRUGS
PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), cidofovir (Vistide), clarithromycin (Biaxin), famciclovir (Famvir),
fluconazole (Diflucan), foscarnet (Foscavir), itraconazole (Sporonox), leucovorin (Wellcovorin), pyrimethamine (Daraprim),
sulfadiazine, TMP/SMX (Bactrim, Septra). Other OIs- amphotericin B (Fungizone), atovaquone (Mepron), ciprofloxacin (Cipro),
clindamycin (Cleocin), clotrimazole (Lotrimin, Mycelex), dapsone, doxorubicin liposomal (DOXIL), ethambutol (Myambutol),
filgrastim GCSF (Neupogen), ketoconazole (Nizoral), nystatin (Mycostatin), pentamidine (NebuPent, Pentam), primaquine, rifabutin
(Mycobutin), trimethoprim, valacyclovir (Valtrex), valganciclovir (Valcyte). Hepatitis C- none.
TREATMENTS FOR METABOLIC DISORDERS
Hyperlipidemia- artovastatin (Lipitor), fluvastatin (Lescol), gemfibrozil (Lopid), lovastatin (Mevacor), pravastatin (Pravachol),
simvastatin (Zocor), Wasting- megestrol acetate (Megace).
ALL OTHERS
amitriptyline (Elavil), buproprion (Wellbutrin / SR), citalopram (Celexa), fentanyl (Duragesic), fluoxetine (Prozac), gabapentin
(Neurontin), ibuprofen (Motrin), loperamide (Imodium), morphine sulfate (MS Contin), nefazadone (Serzone), paroxetine (Paxil),
polycarbophil (Fibercon), psyllium (Metamucil), sertraline (Zoloft), trazodone (Desyrel), venlaxafine (Effexor). Vaccines- Hepatitis A,
Hepatitis B, pneumococcal vaccines as outpatient treatment (Pnemovax,Pnu-imune)
Virgin Islands
ANTIRETROVIRALS
NRTIs- abacavir (Ziagen), didanosine (ddI, Videx, Videx EC), lamivudine (Epivir, 3TC), 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- azithromycin, fluconazole, itraconazole (Sporonox), sulfadiazine, TMP/SMX (Bactrim DS). Other OIs- Aldera
(cream), atovanquone (Mepron), clindamycin, dapsone, ethambutol, ivermectin (Tromectol), ketoconazole cream, Peramethrim
5%, prednisone (Deltasone, Cortan), pyrazinamide, valacyclovir. Hepatitis C- none.
Virginia
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). Other- hydroxyurea (Hydrea). Entry Inhibitor- enfuvirtide (Fuzeon)
OI DRUGS
PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), cidofovir, clarithromycin (Biaxin), famcyclovir (Famvir), fluconazole
(Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), itraconazole (Sporonox), isoniazid (INH), leucovorin, sulfadiazine (microsulfon),
TMP/SMX (Bactrim, Septra). Other OIs-amikacin (Amikin), atovaquone (Mepron),capreomycin (Capastat), cycloserine
(Seromycin), dapsone, epoetin alfa (Procrit), ethambutol (Myambutol), ethionamide (Trecator), levofloxacin (Levoquin), para-aminosalicylic
acid (Paser), pentamidine, pyrazinamide (Tebrazid), pyridoxine (vitamin B6), rifabutin (Mycobutin), rifampin (Rifadin), trimethoprim.
valganciclovir (Valcyte). Hepatitis C- peg-interferon alfa-2b (PEG-Intron), ribavirin (Rebetol), peginterferon-alfa 2a (Pegasys)
TREATMENT OF METABOLIC DISORDERS
Wasting- megestrol acetate (Megace).
ALL OTHERS
Hepatitis A, B, A/B Vaccines, Influenza, Pneumovax.