Access Resources

• The Access Project
• State by State Access Programs Search
• Patient Assistance Programs
• HIV Treatments
• Hepatitis Care and Treatments
• The Access Project News
• Treatment Information Notes
• Education and Training

The State of Nebraska's ADAP coverage of HIV and Hepatitis drugs, resistance tests and complete formulary is currently being updated. The drugs listed below do not necessarily reflect what is covered bvy the state of Nebraska at this time, (August 20, 2007)

---

Nebraska General Formulary

Anti-HIV Drugs

Not verified as of August 20, 2007

Non-nucleosides (Non-Nukes or NNRTIs)

• delavirdine (Rescriptor)
• efavirenz (Sustiva)
• efavirenz (Sustiva) and Truvada (Viread and Emtriva)
• nevirapine (Viramune)
• etravirine (Expanded Access Program): TMC-125

Protease Inhibitors

• atazanavir (Reyataz)
• darunavir (Prezista)
• fosamprenavir (Lexiva)
• indinavir (Crixivan)
• lopinavir/ritonavir (Kaletra)
• nelfinavir (Viracept)
• ritonavir (Norvir)
• saquinavir mesylate (Invirase) - (older Fortovase rarely used)
• tipranavir (Aptivus)
• amprenavir (Agenerase) - not pictured. Replaced by Lexiva

Entry Inhibitors

• enfuvirtide (Fuzeon)*

Nucleoside/tides (NRTIs or nukes)

• abacavir (Ziagen)
• lamivudine/abacavir (Epzicom)
• abacavir/lamivudine/zidovudine (Trizivir)
• didanosine (ddI, Videx, Videx EC)
• emtricitabine (Emtriva)
• emtricitabine/tenofovir (Truvada)
• lamivudine (lamivudine, Epivir)
• lamivudine/zidovudine (Combivir)
• stavudine (d4T, Zerit)
• tenofovir (Viread)
• zidovudine (AZT, Retrovir)
• zalcitabine (DDC, HIVID) - discontinued*

CCR5 co-receptor inhibitors

• maraviroc (Expanded Access Program): Celsentri

Integrase Inhibitors

• raltegravir (Expanded Access Program): MK-0518

Nebraska Resources

Nebraska Formulary

Public Health Service Recommanded OI drugs

• acyclovir (Zovirax)
• azithromycin (Zithromax)
• clarithromycin (Biaxin)
• fluconazole (Diflucan)
• ganciclovir (Cytovene)
• itraconazole (Sporanox)
• leucovorin
• pyrimethamine (Daraprim)
• sulfadiazine
• TMP/SMX(Bactrim)

Other OI drugs

• clindamycin (Cleocin)
• clotrimazole (Mycelex)
• dapsone
• ethambutol (Myambutol)
• pentamidine
• valacyclovir (Valtrex)
• valganciclovir (Valcyte)

Other Covered Drugs

• oxandrolone (Oxandrin) for Wasting Syndrome
• atorvastatin (Lipitor) for Hyperlipidemia
• Niacin for Hyperlipidemia
• amitriptyline (Elavil)
• citalopram (Celexa)
• gabapentin (Neurontin)
• sertraline (Zoloft)
• isoniazid(INH) and rifampin are covered through the TB Program

Hepatitis Treatments

• peginterferon alfa-2a (Pegasys) + ribavirin (Copegus)
• interferon alfa-2b (Intron A) with ribavirin (Rebetron)
• peginterferon alfa-2b (PEG-Intron) and ribavirin (Rebetol)
• ribavirin (Rebetol, Copegus, generic)

HIV Resistance Tests

• Unknown at this time whether Nebraska covers any HIV resistance tests.

Last modified: 08/20/2007
© 2007 The Network