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Georgia
Hawaii
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), 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 (Hydrea).
OI DRUGS
PHS “A1 OI”s- acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), fluconazole (Diflucan), ganciclovir
(Cytovene), isoniazid (INH), itraconazole (Sporonox), leucovorin (Wellcovorin), pyrimethamine (Daraprim), sulfadiazine, TMP/SMX
(Bactrim). Other OIs- atovaquone (Mepron), clindamycin (Cleocin), clotrimazole (Mycelex troches), dapsone (Avlosulfon), erythropoietin
(Epogen, Procrit), ethambutol (Myambutol), flucytosine (Ancobon), gabapentin (Neurontin), ketoconazole (Nizoral), loperamide
(Imodium), nystatin (Mycostatin / Nilstat), prednisone (Deltasone), primaquine, prochlorperazine (Compazine), pyrazinamide, rifabutin
(Mycobutin), rifampim (Rifadin), trimethoprim (TimpexProlorim), valganciclovir (Valcyte). Hepatitis C- none.
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), 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), sulfadiazine, TMP/SMX (Septra). Other OIs- atovaquone (Mepron), ciprofloxacin (Cipro), clindamycin,
clofazimine (Lamprene), clotrimazole (Mycelex), dapsone, daunorubicin (DaunoXome), epoetin alfa (Procrit), erythropoietin epo
(Epogen), ethambutol (Myambutol), filgrastim (Neupogen), ketoconazole (Nizoral), metronidazole (Flagyl), paclitaxel (Taxol), paromomycin
(Humatin), pentamidine (NebuPent), prochlorperazine (Compazine), pyrazinamide, rifabutin (Mycobutin), rifampim
(Rifadin),terbinafine (Lamisil), valacyclovir (Valtrex). Hepatitis C- none.
TREATMENTS FOR METABOLIC DISORDERS
Diabetic- glyburide, metformin (Glucophage), tetracycline. Hyperlipidemia- atorvastatin calcium (Lipitor), fenofibrate (Tricor),
gemfibrozil (Lopid), niaspan, pravastatin (Pravachol). Wasting- megestrol acetate (Megace), nandrolone decanoate (Deca-Durabolin),
testosterone cypionate (DepoTest).
ALL OTHERS
alitretinoin (Panretin Gel), amitriptyline (Elavil), bupropion (Wellbutrin), cephalexin (Keflex), citalopram (Celexa), diclosacillin,
diphenoxylate HCI (Lomotil), doxycycline, erythromycin (ERY-TAB), fluoxetine (Prozac), gabapentin (Neurontin), hydrocortisone
cream, imiquimod (Aldara cream), loperamide (Imodium), mirtazapine (Remeron), pancrelipase (Ultrase), paroxetine (Paxil), phisohex,
probenecid, sertraline (zoloft), venlafaxine hydrochloride (Effexor).
Removed in 2003- testosterone (AndroGel), oxandrolone (Oxandrin), valgancyclovir (Valcyte).