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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, Videx EC) emtricitabine (Emtriva) lamivudine (Epivir, 3TC) 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) saquinavir (Invirase) |
Non-nucleoside Reverse Transcriptase Inhibitor (NnRTI) delavirdine (Rescriptor) efavirenz (Sustiva) nevirapine (Viramune) Other hydroxyurea (Hydrea) Entry Inhibitor enfuvirtide (Fuzeon)* |
| HIV Drug Resistance Tests: Genotypic tests are covered. | ||
| Opportunistic Infection (OI) Treatment & Prophylaxis | ||
| Public Health Service Recommanded OI drugs acyclovir (Zovirax) azithromycin (Zithromax) clarithromycin (Biaxin) fluconazole (Diflucan) itraconazole (Sporanox) leucovorin pyrimethamine (Daraprim) rifampin sulfadiazine TMP/SMX (Bactrim) |
Other OI drugs adefovir dipivoxil (Hepsera) atovaquone (Mepron) clindamycin dapsone erythropoietin (Procrit) ethambutol (Myambutol) filgrastim (Neupogen) |
metronidazole (flagyl) nystatin paramomycin (Humatin) pentamidine (NebuPent, IV) promethazine HCI (Phenergan) rifabutin (Mycobutin) valacyclovir (Valtrex) valganciclovir (Valcyte) |
Note: In addition, the following medicines are available through the Medical Services Fee Schedule:
| ||
| Cardiac | ||
|
hydrochlorothiazide losartan |
lotensin |
quinapril (Accupril) |
| Diabetic | ||
|
glipizide (Glucotrol) |
metformin (Glocophage) |
rosiglitazone (Avendia) |
| Hepatitis C treatment | ||
|
peg-interferon alfa-2a (Pegasys) peg-interferon alfa-2b (Peg-Intron) |
ribavirin (Rebetol, Copegus, generic) |
|
| Hyperlipidemia | ||
|
atorvastatin (Lipitor) fenofibrate (Tricor) |
gemfibrozil (Lopid) |
pravastatin (Pravachol) |
| Wasting | ||
| megestrol acetate (Megace) |
|
|
| Other | ||
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albuterol, (Aldactone) amitriptyline (Elavil) betamethasone topical bupropion (Wellbutrin) fluticasone propionate (Flonase) |
gabapentin (Neurontin) hydrocortisone ibuprofen lansoprazole (Prevacid) metoprolol (Lopressor; Toprol XL) nasacort |
Paroxetine (Paxil) phenytoin (Dilantin) prednisone rofecoxib (Vioxx) sertraline (Zolof) |
| Medical Criteria | ||
| Pediatric formulations of HIV drugs are available for the following: | ||
*Additional Eligibility Requirements for Fuzeon:
| ||
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Last
modified: 12/15/2006 |
