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All drugs are listed by catagory and alphabetically, starting with their generic names followed by the brand names in parenthesis. Click on a high-lighted item in green to see a detailed description of the drug. To search for a specific drug, hold down both the control key (command key on the Mac) and the F key, then type in the drug name.
For a list of specific medical criterias, see the bottom of this page. | ||
| Antiretroviral | ||
| Nucleoside/tide Reverse Transcriptase Inhibitor (NRTI) abacavir (Ziagen) abacavir/lamivudine/zidovudine (Trizivir) didanosine (ddI, Videx) emtricitabine (Emtriva) emtricitabine/tenofovir (Truvada) lamivudine (Epivir, 3TC) lamivudine/abacavir (Epzicom) lamivudine/zidovudine (Combivir) stavudine (d4T, Zerit) tenofovir (Viread) zalcitabine (ddC, HIVID) zidovudine (AZT, Retrovir) |
Protease Inhibitor (PI) amprenavir (Agenerase) atazanavir (Reyataz) fosamprenavir (Lexiva) indinavir (Crixivan) lopinavir/ritonavir (Kaletra) nelfinavir (Viracept) ritonavir (Norvir) saquinavir (Fortavase) |
Non-nucleoside Reverse Transcriptase Inhibitor (NnRTI) delavirdine (Rescriptor) efavirenz (Sustiva) nevirapine (Viramune) Entry Inhibitor enfuvirtide (Fuzeon) Other hydroxyurea (Hydrea) |
| HIV Drug Resistance Tests: Both Genotypic and Phenotypic tests are covered. | ||
| Opportunistic Infection (OI) Treatment & Prophylaxis | ||
| Public Health Service Recommanded OI drugs acyclovir (Zovirax) azithromycin (Zithromax) cidofovir (Vistide) clarithromycin (Biaxin) famciclovir (Famvir) fluconazole (Diflucan) foscarnet (Foscavir) ganciclovir (Cytovene) isoniazid (Nydrazid, Rifamate, INH) itraconazole (Sporanox) leucovorin pyrazinamide (Rifater) pyrimethamine (Daraprim, Fansidar) rifampin (Rifadin, Rimactane) sulfadiazine TMP/SMX(Bactrim, Septra) |
Other OI drugs amphotericin B (Fungizone) atovaquone (Mepron) ciprofloxacin (Cipro, Ciloxan) clindamycin (Cleocin) clotrimazole (Lotrimin, Mycelex) dapsone Daunorubicin Citrate Liposomal (DaunoXome) ethambutol (Myambutol) |
epoetin alpha (Epogen, Procrit) erythromycin filgrastim (Neupogen) fomivirsen (Vitravene) ketoconazole (Nizoral) miconazole (Monistat) nystatin (Mycostatin) paramomycin (Humatin) pentamidine (NebuPent, Pentam) rifabutin (Mycobutin) valacyclovir (Valtrex) valganciclovir (Valcyte) |
| Hepatitis C Treatment | ||
| peg-interferon alfa-2a (Pegasys) | peg-interferon alfa-2b (Peg-Intron) | ribavirin (Rebetol, Copegus) Interferon alfa-2b (Intron A, Roferon-A) |
| Hyperlipidemia | ||
| atorvastatin (Lipitor) fenofibrate (Tricor) |
gemfibrozil (generic only) glipizide |
pravastatin (Pravachol) |
| Wasting | ||
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megestrol acetate (Megace) nandrolone |
oxandrolone (Oxandrin) testosterone (injection, patches) |
thalidomide (Thalomid) |
| Other | ||
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albuterol sulfate (Proventil) amitriptyline (Elavil) amoxicillin (Amoxil, Timox, Wymox, Biomox) amoxicillin/clavulanate potassium (Augmentin) buproprion (Wellbutrin, Zyban) cephalexin (Keflex, Keftab) citalopran HBr (celexa) clotrimazole/betamethasone (Lotrisone Cream) diphenoxylate-atropine (Lomotil) divalproex (Depakote, Depakene) doxycycline |
escitalopram oxalate (Lexapro) fluoxetine (Prozac) fluphenazine (Prolixin) gabapentin (Neurontin) haldoperidol (Haldol) hydroxizine (Atarax) imiquimod (Aldara) levetiracetum (Keppra) lithium loperamide (Imodium) metformin (Glucophage) metronidazole (Flagyle, Metryl, Protostat) mirtazapine (Remeron) nortriptyline (Aventlyl, Pamelor) |
octreotide (Sandostatin) olanzapine (Zyprexa) oxymetholone (Anadrol-50) paroxetine (Paxil) perphenazine (Trilafon) polymyxin B/trimethoprim (Polytrim) primaquine phosphate (Primaquine) prochlorperazine (Compazine) risperidone (Risperdal) sertraline (Zoloft) trazadone (desyrel/desyrel dividose) trimethoprim (Proloprim, Trimpex) venlafaxine (Effexor, Effexor xr) |
| Medical Criteria | ||
A restircted drug request form must be filled out by physician for the following drugs; patients meet specific medical criteria; Pharmacies must obtain preauthorization by calling (410) 767-6535 before dispensing:
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Last
modified: 12/15/2006 |
