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Drugs Available through DC ADAP (Formulary)

AIDS DRUG ASSISTANCE

Printable version below.
The following drugs are available through the District of Columbia AIDS Drug Assistance Program.
Updated October, 2013
 

HIV/AIDS DRUGS: ANTI-RETROVIRALS

FUSION INHIBITORS

Enfuvirtide (Fuzeon)

Maraviroc (Selzentry)

INTEGRASE INHIBITOR

Raltegravir (Isentress)

Dolutegravir (Tivicay)

 

NUCLEOSIDE & NUCLEOTIDE REVERSE

TRANSCRIPTASE INHIBITORS (NRTI)

Abacavir (Ziagen)

Abacavir/lamivudine (Epzicom)

Abacavir/lamivudine/zidovudine (Trizivir)

Didanosine (Videx)

Emtricitabine (Emtriva)

Emtricitabine/rilpivirine/tenofovir disoproxil fumarate (Complera)

Lamivudine (Epivir)

Lamivudine/zidovudine (Combivir)

Stavudine (Zerit)

Tenofovir (Viread)

Tenofovir/emtricitabine (Truvada)

Zidovudine (Retrovir, AZT)

 

NON-NUCLEOSIDE REVERSE

TRANSCRIPTASE INHIBITORS (NNRTI)

Delavirdine (Rescriptor)

Rilpivirine HCl (Edurant)

Efavirenz (Sustiva)

Etravirine (Intelence)

Nevirapine (Viramune, Viramune XR)

 

HIV-1 INTEGRASE STRAND TRANSFER INHIBITOR

Elvitegravir/ Cobicistat/ Emtricitabine/ Tenofovir DF (Stribild)

 

NNRTI/NRTI COMBINATION

Efavirenz/Emtricitabine/Tenofovir (Atripla)

 

PROTEASE INHIBITORS (PI)

Atazanavir (Reyataz)

Darunavir (Prezista)

Fosamprenavir (Lexiva)

Indinavir (Crixivan)

Lopinavir/ritonavir (Kaletra)

Nelfinavir (Viracept)

Ritonavir (Norvir)

Saquinavir (Invirase)

Tipranavir (Aptivus)

 

ADDITIONAL DRUGS

ANALGESICS

Acetaminophen with Codeine (Tylenol w/Codeine) CIII

 Fentanyl Patch (Duragesic Patch) CII

Ibuprofen ( 600 - 800mg Motrin)

Morphine Sulfate (MS Contin) CII

 

ANTIBIOTICS

Amoxicillin Clavulanate (Augmentin)

Azithromycin (Zithromax)

Ciprofloxacin (Cipro – Oral products only)

Clarithromycin (Biaxin, Biaxin XL)

Clindamycin HCL (Cleocin)

Doxycycline (Vibramycin)

Ethambutol (Myambutol)

Isoniazid (INH)

Levofloxacin (Levaquin)

Linezolid (Zyvox)

Pyrazinamide (Pyrazinamide)

Pyrimethamine (Daraprim)

Rifabutin (Mycobutin)

Rifampin (Rifadin, Rimactane)

Sulfadiazine

 

ANTI-DEPRESSANTS

Amitriptyline HCL (Elavil)

Bupropion (Wellbutrin SR)

Duloxetine (Cymbalta)

Fluoxetine(Prozac)

Sertraline (Zoloft)

 

ANTI-DIARRHEAL

Diphenoxylate/Atropine (Lonox, Lomotil)

 

ANTI-FUNGALS

Clotrimazole (Mycelex, Lotrimin - Rx only)

Fluconazole (Diflucan)

Itraconazole (Sporanox)

Ketoconazole (Nizoral – Rx only)

Voriconazole (Vfend)

 

ANTI-PARKINSON’S AGENT

Benztropine (Cogentin)

 

ANTI-PSYCHOTICS

Aripiprazole (Abilify)

Haloperidol (Haldol)

Olanazapine (Zyprexa)

Quetiapine (Seroquel)

Risperidone (Risperdal)

Ziprasidone (Geodon)

 

ANTI-VIRALS

Acyclovir (Zovirax) [oral and topical]

Cidofovir (Vistide)

Valacyclovir (Valtrex)

Valganciclovir (Valcyte)

TamiFlu

Ganciclovir  (Zirgan) [ophthalmic]

 

HEPATITIS TREATMENT

Adefovir (Hepsera)

Entecavir (Baraclude)

Peginterferon alfa-2a (Pegasys)

Peginterferon alfa-2b (Peg-Intron)

Ribavirin (Rebetol, Copegus)

Telaprevir (Incivek)

Boceprevir (Victrelis)

 

HYPOGLYCEMICS

Glipizide (Glucotrol, Glucotrol XL)

Metformin (Glucophage, Glucophage XL)

Metformin and Pioglitazone (ActoPlus Met)

Metformin and Glipizide (Metaglip)

 

KAPOSI’S SARCOMA TREATMENTS

Alpha Interferon (Intron A)

Doxorubicin (Doxil)

Generic Doxorubicin (Lipodox)

 

LIPID LOWERING AGENT

Atorvastatin (Lipitor)

Ezetimibe (Zetia)

Fenofibrate (Tricor)

Pravastatin (Pravachol)

 

OPIOID ADDICTION TREATMENT

Buprenorphine (Subutex) CIII**

Buprenorphine/naloxone (Suboxone) CIII**

 

PCP PROPHYLAXIS

Aerosolized Pentamidine (Nebupent)

Atovaquone Suspension (Mepron)

Dapsone

Sulfamethoxazole-Trimethoprim (Bactrim)

 

TOPICAL STEROIDS

Hydrocortisone 2.5% (cream, lotion, ointment)

Hydrocortisone valerate 0.2% (cream)

 

TOPICAL ANESTHETICS

Lidocaine Patch (Lidoderm)

 

WEIGHT LOSS/WASTING

Dronabinol (Marinol) CIII**

Megestrol (Megace, Megace ES)

Oxandrolone (Oxandrin) CIII **

Somatropin (Serostim)

 

MISCELLANEOUS

Berocca Plus vitamins (Rx Only)

Erythropoietin Alpha  (Procrit, Epogen)

Gabapentin (Neurontin)

Testosterone, topical (Androgel) CIII**

 

** DENOTES CONTROLLED SUBSTANCES

CONTROLLED SUBSTANCES ARE NON-REPLENISHABLE FROM THE PHARMACEUTICAL WARHEHOUSE BUT ARE AVAILABLE AT ANY NETWORK PHARMACY

Delivery Available – inquire with individual pharmacy

UPDATED 10/22/2013                                                                       CONFIDENTIAL FAX (202) 673-4365

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