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

District of Columbia
ADAP FORMULARIES
New drugs added since June 2002 indicated in bold.
ANTIRETROVIRALS
NRTIs- abacavir (Ziagen), abacavir/lamivudine/zidovudine (Trizivir), didanosine (ddI, Videx), 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).
Entry Inhibitor- enfuvirtide (Fuzeon).
OI DRUGS
PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), cidofovir (Vistide), clarithromycin (Biaxin), fluconazole (Diflucan),
ganciclovir (Cytovene), isoniazid (INH), itraconazole (Sporonox), pyrimethamine (Daraprim), sulfadiazine, TMP/SMX (Bactrim).
Other OIs- amoxicillin/clavulanate (Augmentin), amphotericin B (Fungizone), atovaquone (Mepron), ciprofloxacin (Cipro),
clindamycin (Cleocin), clotrimazole (Lotrimin, Mycelex), dapsone, doxorubicin (Doxil), ethambutol (Myambutol),erythropoietin Alpha
(EpogenProcrit), ketoconazole (Nizoral), ofloxacin (Floxin), pentamidine (NebuPent), rifabutin (Mycobutin), rifampim, pyrazinamide,
valacyclovir (Valtrex), valganciclovir (Valcyte), voriconazole (Vfend). Hepatitis C- ribiavirin and interferon (Rebetron),
peg-interferon alfa-2b & ribavirin (Peg-Intron/Rebetol).
TREATMENTS FOR METABOLIC DISORDERS
Diabetic- Metformin, glipizide (Glucotrol XL). Hyperlipidemia- atorvastatin (Lipitor). Wasting- dronabinol (Marinol), megestrol
acetate (Megace), oxandrolone (Oxandrin).
ALL OTHERS
acetomenaphine with codeine (Tylenol III and Tylenol IV),amitriptyline (Elavil), Berocca Plus (generic), dephenoxylate and atropine
(Lomotil), fentanyl patch (Duragesic), fluoxetine HCL (Prozac), hydrocortisone cream 1%, ibuprofen (800mg), morphine sulfate (MS
Contin), sertraline HCL (Zoloft). Removed in 2003- amphotericin B (Fungizone), hydroxyurea (Hydrea), ofloxacin (Floxin).
Florida
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), clarithromycin (Biaxin), fluconazole (Diflucan), itraconazole
(Sporonox), leucovorin (Folinic Acid), pyrimethamine (Daraprim), TMP/SMX (Bactrim, Septra). Other OIs- atovaquone (Mepron),
dapsone (DDS), erythropoietin (Epogen, Procrit), ethambutol (Myambutol), filgrastim (Neupogen), miconazole (Monistat), rifabutin
(Mycobutin), terconazole (Terazol). Hepatitis C- none.
TREATMENTS FOR METABOLIC DISORDERS
Diabetic- glipizide (Glucotrol), glyburide (Micronase, Glynase, Diabeta), metformin (Glucophage). Hyperlipidemia- atorvastatin
(Lipitor), gemfibrozil (Lopid), pravastatin (Pravachol). Wasting- megestrol (Megace), nandrolone (Deca-Durabolin), oxandrolone
(Oxandrin), testosterone cypionate.
ALL OTHERS
amitriptyline (Elavil), diphenoxylate (Lomotil), gabapentin (Neurontin), hepatitis A Vaccine (Havrix), hepatitis B Vaccine (Engerix B),
HepatitisA/B vaccine (TwinRix), lamotrigine (Lamictal), nortriptyline (Pamelor), pneumococcal vaccine (Pneumovax),
procholorperazine (Compazine).