HOMEHIV/AIDS HOTLINESHIV BASICSPOSITIVE PROFILESASO SPOTLIGHTRECENT ARTICLESHOW TO PAY FOR HIV TREATMENTADAP CRITERIA AND FORMULARIESASO LISTINGSREVIEW OF HIV MEDICATIONS2008 HIV/AIDS FUNDRAISING ACTIVITIES & EVENTSABOUT HIV POSITIVE! MAGAZINELINKSSUBSCRIBECONTACT USADVERTISER INFORMATION |
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The AIDS Drug Assistance Program (ADAP) is federally-funded, but it is state administered. The amount of money each state receives depends on the number of documented AIDS cases in the state. States with a lot of AIDS cases get a lot of money for their ADAP program, while others get very little. Some add state money to the amount they get from the federal government, and some do not. As a result, the qualifications for ADAP and the drugs the program covers vary widely from state to state! Every year we contact each state to get their latest information. We don’t know of any other print publication that does this. Here’s the information we provide for each state, using Alabama, the first state on the list, as an example.
Below the phone number is the maximum qualifying income for a single person to receive assistance from ADAP. In Alabama this year it is $25,525 - that’s the most you can make and still get your drugs through the Alabama ADAP. In Texas, Iowa and a few other states, it is only $20,420. But in California and Michigan it is $50,000 - more than two-and-a-half times as much as Texas! Below that we let you know if the state has a waiting list, and we give you their web address if they have a website. Lastly, we give you each state’s “formulary,” a list of the drugs that state’s ADAP program covers. As you can see, this also varies dramatically! Alabama covers only a few of the basics. You can see at a glance that Arizona covers more than three times as many. Some states have an “open formulary,” which means that the state covers most FDA-approved drugs for the treatment of HIV and the side-effects of HIV medication. *See below for individual state links.
Alabama,
Alaska,
Arizona,
Arkansas,
California,
Colorado,
Connecticut,
Delaware,
District of Columbia,
Florida,
Georgia,
Hawaii,
Idaho,
Illinois,
Indiana,
Iowa,
Kansas,
Kentucky,
Louisiana,
Maine,
Maryland,
Massachusetts,
Michigan,
Minnesota,
Mississippi,
Missouri,
Montana,
Nebraska,
Nevada,
New Hampshire,
New Jersey,
New Mexico,
New York,
North Carolina,
North Dakota,
Ohio,
Oklahoma,
Oregon,
Pennsylvania,
Rhode Island,
South Carolina,
South Dakota,
Tennessee,
Texas,
Utah,
Vermont,
Virginia,
Washington,
West Virginia,
Wisconsin,
Wyoming
334-206-5364 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; azithromycin; co-trimoxazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); epoetin alfa (Prior Approval); ethambutol; fluconazole; fosamprenavir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; nelfinavir; nevirapine; rifabutin; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; valganciclovr; zalcitabine; zidovudine. 907-263-2050 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosolized pentamidine; amphotericin B; amprenavir; atazanavir; atorvastatin calcium; atovaquone; azithromycin; cidofovir; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; famciclovir; fluconazole; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; hepatitis A; hepatitis B; indinavir; influenza; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lomotil; loperamide HCL; lopinavir/ritonavir; nelfinavir; nevirapine; nystatin suspension; pneumococcal; pravastatin sodium; prochlorperazine; protonix; pyrazinamide; pyridoxine; pyrimethamine; rifabutin; rifampin; ritonavir; rosuvastatin; saquinavir; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir; TMP/SMX; valganciclovir; varicella zoster immune globulin; zalcitabine; zidovudine. 602-364-3594 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acetaminophen/hydrocodone; acetaminophen/oxycodone; albuterol metered-dose inhaler; amitriptyline; amlodipine; amoxicillin; amoxicillin/clavulanate; acyclovir; aripiprazole; atazanavir; atenolol; atorvastatin; atovaquone; azithromycin; benazepril; bupropion SR; carbamazepine; cefpodoxime; cephalexin; chloralphenazone/isometheptene/acetaminophen; chlorhexidine mouthwash; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonazepam; clotrimazole oral troches; cyclobenzaprine; dapsone; darunavir; delavirdine; desipramine; dicloxacillin; dicyclomine; didanosine; diazepam; diltiazem sustained release; diphenoxylate/atropine; diphenydramine; divalproex; doxazosin; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enalapril; enfuvirtide*; epoetin alfa; escitalopram; estradiol; estrogen conjugated; ethambutol; ezetimibe; ferrous sulfate; filgrastim; fluconazole; flunisolide MDI; fluocinonide cream; fluoxetine; fluticasone; folic acid; fosamprenavir; furosemide; gabapentin; gemfibrozil; glipizide; glyburide; hctv; hctv/triamterene; hepatitis A; hepatitis B; hepatitis A/B; hydrocortisone cream; hydroxyzine; ibuprofen; imiquimod cream; indinavir; insulins; ipratropium HFA; isoniazid; itraconazole; ketoconazole cream/shampoo; lamivudine; lamivudine/zidovudine; leucovorin; levothyroxine-levoxyl & synthroid; lisinopril; lithium carbonate; loperamide; lopinavir/ritonavir; loratidine; lorazepam; losartan; magnesium oxide; medroxyprogesterone; megestrol; metformin; methodone; methylphenidate; metoclopramide; metoprolol; metronidazole; miconazole vaginal; mirtazapine; morphine sulfate immediate release; morphine sulfate sustained release; moxifloxacin; multivitamin; mupirocin ointment; nandrolone decanoate; naproxen; nelfinavir; nevirapine; niacin sustained release; nortriptyline; nystatin suspension; omeprazole; olanzapine; opium tincture; oseltamivir; oxycodone immediate release; pancrelipase; paroxetine; peginterferon alfa-2b; penicillin VK; pentamidine isethionate; phenytoin; pneumococcal; podofilox solution; potassium chloride; pravastatin; prednisone; prochlorperazine; promethazine; promethazine/codeine; pseudoephedrine; pyrazinamide; pyridoxine; pyrimethamine; ranitidine; ribavirin; rifabutin; rifampin; risperidone; ritonavir; rosiglitazone; saquinavir; selenium sulfide; sertraline; spironolactone; stavudine; sulfadiazine; temazepam; tenofovir; testosterone enanthate; testosterone gel; tipranavir; TMP/SMX; trazodone; triamcinolone cream; trimethoprim; valganciclovir*; venlafaxine XR; warfarin; zalcitabine; zidovudine; zolpidem. * Prior Authorization 501-661-2408 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; atazanavir; atovaquone; azithromycin; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; escitalopram; ethambutol; famciclovir; fluconazole; fluoxetine; fosamprenavir; ganciclovir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; metronidazole; nelfinavir; nevirapine; nystatin; paromomycin; paroxetine; pravastatin; pyrimethamine; rifabutin; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; venlafaxine; zidovudine. 916-449-5900 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; albendazole; alitretinoin gel; alprazolam; amikacin sulfate; amitriptyline; amoxicillin; amphotericin B; amprenavir; aripiprazole; atazanavir; atorvastatin; atovaquone; azithromycin; bleomycin; bupropion; buspirone HCL; capreomycin; caspofungin; cephalexin; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clofazimine; clotrimazole; codeine; cyclophosphamide; cycloserine; dapsone; darunavir; daunorubicin; delavirdine; desipramine; dexamethasone; dextroamphetamine; dicloxacillin; didanosine; diphenoxylate; divalproex sodium; doxorubicin; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; epoetin alpha; erythromycin; ethambutol; ethionamide; famciclovir; famotidine; fenofibrate; fenoprofen; fentanyl; filgrastim; fluconazole; flucytosine; fluoxetine; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; glipizide; glyburide/metformin; hepatitis A vaccine; hepatitis B vaccine; hydrocodone/APAP; hydroxyurea; ibuprofen; imiquimod; imipenem/cilastin; indinavir; indomethacin; interferon alphacon 1; isoniazid; itraconazole; ketoconazole; ketoprofen; ketoralac tromethamine; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin; levofloxacin; levorphenol tartrate; linezolid; loperamide; lopinavir/ritonavir; lorazepam; megestrol; metformin; methadone; methotrexate; methylphenidate; metoclopramide; metronidazole; minocycline HCL; mirtazapine; morphine sulfate; moxifloxacin; nandrolone; naproxen; nefazodone; nelfinavir; neomycin sulfate; nevirapine; nortriptyline; nystatin; olanzapine; omeprazole; opium tincture; oxandrolone; oxycodone/APAP or ASA; paclitaxel; pancrelipase; para-aminosalicylate; paromomycin; paroxetine; pegylated and non-pegylated interferon A-2A; penicillin V potassium; pentamidine; phenytoin; pioglitazone; pneumococcal vaccine; pravastatin; prednisone; probenecid; prochlorperazine; promethazine; pyrazinamide; pyrimethamine; quetiapine; ranitidine; ribavirin/interferon alfa 2B; ribavirin; rifabutin; rifampin/isoniazid; rifampin; risperidone; ritonavir; rosiglitazone; rosuvastatin; saquinavir; sertraline; simvastatin; somatropin; stavudine; sulfadiazine; sulindac; tenofovir; testosterone; tetracycline; tipranavir; trazadone; trimethoprim; trimetrexate; valacyclovir; valganciclovir; vancomycin; venlafaxine; vinblastine; vincristine; voriconazole; zalcitabine; zaprasidone; zidovudine. 303-692-2716 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amphotericin injection; amprenavir; atazanzvir; atorvastatin; atovaquone; azithromycin; cidofovir; citalopram; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; esomeprazole; ethambutol; famciclovir; fluconazole; fluvastatin; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; lisinopril; lopinavir/ritonavir; losartan; nelfinavir; nevirapine; nitazoxanide; nystatin suspension; olanzapine; pentamidine/aerosol; pyrimethamine; quetiapine; ranitidine; rifabutin; risperidone; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; voriconazole; zalcitabine; zidovudine; ziprasidone. 860-424-5152 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen with codeine; acyclovir; albuterol; alclometasone dipropionate; alprazolam; amitriptyline HCL; amlodipine; amoxicillin/pot.clavulante; amoxicillin; amphotericin B; ampicillin; amprenavir; atazanavir; atenolol; atorvastatin; atovaquone; azelastine; azithromycin; benztropine mesylate; betamethasone; budesonide; bupropion HCL; buspirone; carbamazepine; cefditoren pivoxil; cefuroxime; celecoxib; cephalexin; cetirizine; chlorhexidine gluconate; cholestyramine; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clobetasol propionate; clofibrate; clonazepam; clotrimazole; colesevelam; comvax; dapsone; darunavir; delavirdine; dexamethasone; dicloxacillin; didanosine; digoxin; diltiazem HCL; diphenoxylate HCL; divalproex sodium; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enalapril maleate; enfuvirtide; engerix-B; erythropoietin; escitalopram oxalate; esomeprazole; ethambutol; famciclovir; famotidine; fenofibrate; fentanyl; filgrastim; flucinonide; fluconazole; fluoxetine HCL; flunisolide; fluticasone propionate; fosamprenavir; foscarnet; furosemide; gabapentin; ganciclovir; gatifloxacin; gemfibrozil; gentamicin; glipizide; glyburide; guaifenesin/codeine PH; guaifenesin/DM HBr; guaifenesin/pseudoephedrine; granisetron; havrix; hydrochlorothiazide; hydrocortisone; hydroxyurea; hydroxyzine HCL; ibuprofen; indinavir; insulin NPH; insulin Regular; ipratropium bromide; isosorbide dinitrate; isosorbide mononitrate; itraconazole; ketoconazole; ketoprofen; labetalol HCL; lactic acid; lactulose; lamivudine; lamivudine/zidovudine; lansoprazole; leucovorin; levocarnitine/oral; levofloxacin; levothyroxine sodium; lisinopril; lithium; loperamide HCL; lopinavir/ritonavir; lorazepam; megestrol acetate; metformin HCL; metronidazole; metroprolol succinate; minocycline HCL; minoxidil; mirtazapine; mometasone furaote monohydrate; mupirocin oint.; nandrolone decanoate; naproxen; nelfinavir; neomycin sulfate; nevirapine; nitrofurantoin monohydrate; nitroglycerin; nortriptyline HCL; nystatin; ofloxacin; olanzapine; ondansetron; oxandrolone; oxycodone HCL controlled release; oxymetholone; pantoprazole sodium; paromomycin; paroxetine; peg-interferon alfa-2a ; peg-interferon alfa-2b; pencillin G benzathine; penicillin V potassium; pentamidine; pioglitazone HCL; pneumococcal vaccine; pravastatin; prednisone; pimecrolinus; primaquine; prochlorperazine; pyrimethamine; quetiapine fumarate; rabeprazole sodium; ranitidine HCL; recombivax HB; ribavirin; rifabutin; risperidone; ritonavir; rosiglitazone maleate; rosuvastatin; salmeterol; salmeterol xinafoate; saquinavir; sertraline; somatropin; spironolactone; stavudine; strovite forte; strovite plus; sulfadiazine; temazepam; tenofovir; terbinafine; terconazole; testosterone; testosterone cypionate; testosterone gel; tipranavir; TMP/SMX; trazadone; triamcinolone; triamcinolone acetonide; trimethoprim; twinrix; valacyclovir; valganciclovir; vancomycin; vaqta; venlafaxine; verapamil; voriconazole; zalcitabine; zidovudine; zolpidem. 302-744-1050 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acetaminophen/oxycodone; acetaminophen/proxyphene napsylate; acyclovir; albuterol inhaler; albuterol/ipratropium; alendronate; alprazolam; amitriptyline; amlodipine; amlodipine/atorvastatin; amoxapine; amoxicillin & clavulanate potassium; amoxicillin; ampicillin; amprenavir; antibiotics; aspirin; atazanavir; atenolol; atorvastatin; atovaquone; azelastine; azithromycin; beclomethasone; brompheniramine; budesonide; bupropion; buspirone; carafate; carbamazepine; carvedilol; cefixime; cefuroxime; celecoxib; cephalexin; cetirizine; chlordiazepoxide; chlorpropamide; cholestyramine; cidofovir; ciprofloxacin; citalopram; clarithromycin; clemastine; clindamycin; clomipramine; clonazepam; clonidine; clorazepate; clotrimazole troches; clotrimazole vaginal; codeine; colesevelam; containing pain relievers; cyproheptadine; dapsone; darunavir; delavirdine; desipramine; desloratadine; dexamethasone; dexchlorpheniramine; diazepam; diclofenac; dicloxacillin; didanosine; digoxin; diltiazem; diphenhydramine; diphenoxylate+atropine; doxepin; doxycycline; dronabinol; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enalapril; enfuvirtide; epoetin alpha; escitalopram; esomeprazole; estazolam; ethambutol; ethosuximide; etodoloac; ezetimibe; exetimibe/simvastatin; famciclovir; famotidine; felodipine; fenofibrate; fenoprofen; fentanyl transdermal system; fexofenadine; filgrastim; fluconazole; fludrocortisone; flunisolide; fluoxetine; flurazepam; flurbiprofen; fluticasone/salmeterol; fluticasone; fluvoxamine; fomivirsen; fosamprenavir; foscarnet; fosinopril; furosemide; gabapentin; ganciclovir capsules; gatifloxacin; gemfibrozil; glimepiride; glipizide; glyburide; hemorrhoidal creams & suppository; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; hydrochlorothiazide; hydrocodone and derivatives; hydrocodone/IBU; hydromorphone and derivatives; hydroxyzine; ibandronate; ibuprofen; imipramine; indinavir; insulins; interferon alfa-2b+ ribavirin; ipratropium; isoniazid; isoproternol; isradipine; traconazole; ketoconazole tablets and cream; ketoprofen; labetalol; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin; levetiracetam; levofloxacin; levothyroxine; lisinopril; lithium carbonate; loperamide; lopinavir/ritonavir; loratadine; lorazepam; losartan; maprotiline; meclofenamate; megestrol acetate; meloxicam; meperidine; metaproterenol inhaler; metformin; methylprednisolone; metolazone; metoprolol; miconazole cream; minoxidil; mirtazapine; montelukast; morphine sulfate; nabumetone; naproxen; nefazodone; nelfinavir; nembutal; nevirapine; niacin; nicotine replacement products; nifedipine; nizatidine; nortriptyline; nystatin; ofloxacin; olanzapine; olmesartan; omega-3-acid ethyl esters; omeprazole; oxaprozin; oxazepam; oxycodone; pancrease enzymes; pantoprazole; paromomycin; paroxetine; peginterferon alfa-2a; penicillin; pentamidine; phenytoin; pioglitazone; piroxicam; pravastatin; prednisone; probenecid; prochlorperazine; promethazine; propoxyphene; propranolol; protriptyline; pyrazinemide; pyridoxine; pyrimethamine; quetiapine; quniapril; rabeprazole; ramipril; ranitidine; resperidone; ribavirin; rifamycins-rifabutin and rifampin; ritonavir; rosiglitazone; rosuvastatin; salmeterol; saquinavir; sertraline; simvastatin; spectazole; spironolactone; stavudine; sulfadiazine; sulindac; telmisartan/hydrochlorothiazide; temazepam; tenofovir; terbutaline; testosterone replacement products; tiagabine; tipranavir; TMP/SMX; tolazamide; tolbutamide; tolmentin; tramadol; trazadone; triamcin 1%; triamterene; trifluoperazine; trimcinolone; trimipramine; valacyclovir; valdecoxib; valganciclovir; valproate; valsartan; venlafaxine; verapamil; voriconazole; zidovudine; zolpidem. 202-671-4900 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetomenaphine with codeine**; acyclovir; adelfovir; aerosolized pentamidine; alpha interferon; amitriptyline; amoxicillin/clavulante; aripiprazole; atazanavr; atorvastatin; atovaquone suspension; azithromycin; benztropine; berocca plus; buprenorphine**(Prior Approval); buprenorphine/naloxone**(Prior Approval); bupropion; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; diphenoxylate and atropine; doxorubicin; doxycycline; dronabinol**; duloxetine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfurvirtide; entecavir; erythropoietin alpha; ethambutol; fentanyl patch**; fluconazole; fluoxetine; fosamprenavir; gabapentin; glipizide; haloperidol; hydrocortisone cream 1%; hydrocortisone cream 2.5%; ibuprofen; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; levofloxacin; linezolid; lopinavir/ritonavir; megestrol; metformin; morphine sulfate**; nelfinavir; lidocaine patch; nevirapine; olanazapine; oxandrolone**; peginterferon alfa 2a; peginterferon alfa-2b; pegylated interferon; pyrazinamide; pyrimethamine; quetiapine; ribavirin; rifabutin; rifampin; risperidone; ritonavir; saquinavir; sertraline; somatropin; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; voriconazole; zalcitabine; zidovudine; ziprasidone. **DENOTES CONTROLLED SUBSTANCES, AVAILABLE AT ANY CARE PHARMACY. Client must call County Health Dept. in county of residence for assistance. The phone numbers are listed in a local phonebook and online at website below. Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amantadine; amitriptyline; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; clarithromycin; dapsone; darunavir; delavirdine; didanosine; diphenoxylate; duloxetine; dronabinol; efavirenz; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); erythropoietin; ethambutol; filgrastim; fluconazole; fosamprenavir; gabapentin; gemfibrozil; glipizide; glyburide; hepatitis A&B; hydroxyurea; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; lamotrigine; leucovorin; lopinavir/ritonavir; megestrol; metformin; miconazole; nandrolone; nelfinavir; nevirapine; nortriptyline; oseltamivir oxandrolone; pneumococcal; pravastatin; pregabalin; prochlorperazine; pyrimethamine; rifabutin; rimantadine; ritonavir; rosuvastatin; saquinavir; stavudine; sulfadiazine; tenofovir; terconazole; testosterone cypionate; testosterone gel/ patch/injectable; tipranavir; TMP/SMX; vaccines; zalcitabine; zanamivir; zidovudine. 404-657-3100 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amprenavir; atazanavir; atovaquone; azithromycin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide*; epoetin alpha; ethambutol; fluconazole; flucytosine; fosamprenavir; gabapentin; ganciclovir; hydroxyurea; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine*; leucovorin; loperamide; lopinavir/ritonavir; nelfinavir; nevirapine; nystatin; prednisone; primaquine; prochlorperazine; pyrazinamide; pyrimethamine; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir*; TMP/SMX; trimethoprim; valganciclovir; zalcitabine; zidovudine zidovudine. * Requires Prior Approval. 808-732-0026 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aliretinoin; amitriptyline; amphotericin B; amphotericin B liposomal; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion HCL; cephalexin; cidofovir; ciprofloxacin; citalopram hydrobromide; clarithromycin; clindamycin; clofazimine; clotrimazole; dapsone; darunavir; daunorubicin citrate liposomal; delavirdine; dicloxacillin; didanosine; diphenoxylate/atropine*; divalproex sodium; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide*; epoetin alpha; erythromycin; ethambutol; famciclovir; fenofibrate; filgrastim; fluconazole; flucytosine; fluoxetine; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; glyburide; hexachlorophene; hydrocortisone; hydroxyurea; imiquimod; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; megestrol; metformin HCL; metronidazole; mirtazapine; nandrolone decanoate*; nelfinavir; nevirapine; niacin; olanzapine; quetiapine; paclitaxel; pancrelipase; paromomycin; paroxetine HCL; peginterferon alpha 2a*; pentamidine-aerosolized; pravastatin; prednisone; probenecid; prochlorperazine; pyrazinamide; pyrimethamine; ribavirin*; rifabutin; rifampin; risperidone; ritonavir; saquinavir; sertraline HCL; stavudine; sulfadiazine; tenofovir; terbinafine HCL; testosterone cypionate*; testosterone gel 1%*; tetracycline; tipranavir; TMP/SMX; valacyclovir HCL; valganciclovir; venlafaxine; zalcitabine; zidovudine. * Requires Prior Approval 208-334-6527 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; azithromycin; clarithromycin; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir;enfuvirtide (Prior Approval); fosamprenavir; indinavir; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; nelfinavir; nevirapine; ritonavir; saquinavir; stavudine; tenofovir; tipranavir (Prior Approval); TMP/SMX; zidovudine. 217-524-5983 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir; amoxicillin; amphotericin B; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin dihydrate; cefixime; cephalexin monohydrate; chlorhexidine gluconate; cidofovir plus probenecid; ciprofloxacin; clarithromycin; clindamycin HCL; clindamycin palmitate; clindamycin phosphate; clobetasol propionate cream; clotrimazole; danazol; dapsone; darunavir; delavirdine; dicloxacillin sodium; didanosine; doxycycline hyclate; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); entecavir; ethambutol; ezetimibe; famciclovir; fenofibrate; fluconazole; fosamprenavir; imodium; indinavir; interferon alfa-2b; isoniazid/pyrazinamide/rifampin; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin calcium; levofloxacin; lomotil; lopinavir/ritonavir; megestrol; metronidazole oral; miconazole; multivitamins; nelfinavir; nevirapine; nystatin; paromomycin sulfate; penicillin VK; pentamidine isethionate; podofilox; pravastatin; primaquine phosphate; pyrazinamide; pyrimethamine; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; sulfamethoxazole; tenofovir; terbinafine; terconazole; testerone enanthate; tinidazole; tipranavir (Prior Approval); TMP/SMX; trimethoprim; valacyclovir hcl; zidovudine. 317-233-7382 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen hydrocodone; acetaminophen/codeine; acyclovir; amantadine; amitriptyline; amprenavir; atazanavir; atorvastatin calcium; atovaquone; azithromycin; bupropion; buspirone; carbamezapine; chlorhexidine-gluconate; citalopram; clarithromycin; clonazepam; clotrimazole; dapsone; darunavir; delavirdine; desipramine; didanosine; diphenhydramine; diphenoxylate atropine; divalproex sodium; efavirenz; efavirenz/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; enfuvirtide; esomeprazole; ethambutol; famotidine; fenofibrate; fluconazole; flucytosine; fluoxetine; fosamprenavir; gabapentin; gemfibrozil; hydroxyzine; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lithium carbonate; loperamide HCL; lopinavir/ritonavir; megestrol acetate; metoprolol; metronidazole; mirtazapine; morphine sulfate; nefazodone; nelfinavir; nevirapine; niacin vitamin B3; nystatin; omeprazole; oxandrolone; pantoprazole; paroxetine; pentamidine; phenobarbital; phenytoin; pravastatin; premarin; prochlorperazine; promethazine; propoxyphene N/APAP; provera; pyrimethamine; rabeprazole; rifabutin; ritonavir; saquinavir; sertraline; sodium valproate; stavudine; sulfadiazine; temazepam; tenofovir; testosterone; tipranavir; TMP/SMX; tramadol HCL; trazadone; tricyclic antidepressants; valacyclovir oral; venlaxafine; zidovudine; zolpidem. 515-281-4775 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosol pentamidine; atazanavir; atovaquone; azithromycin; clarithromycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); fluconazole; fosamprenavir; indinavir; itraconazole; ketaconazole; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; nelfinavir; nevirapine; nystatin; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zidovudine. 785-368-6567 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amprenavir; atazanavir; atovaquone; azithromycin; cephalexin; clarithromycin; clindamycin; clonazepam; clotrimazole; dapsone; darunavir; delavirdine; didanosine; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); ethambutol; famciclovir; fluconazole; fosamprenavir; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; megestrol; metronidazole; nelfinavir; nevirapine; nystatin; oxandrolone; paromomycin; pentamidine isethionate; rifabutin; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX DS; TMP/SMX; trazadone; valacyclovir; valganciclovir; zalcitabine; zidovudine. 866-510-0005 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; atazanavir; azithromycin; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir (Prior Approval); delavirdine; didanosine; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); ethambutol; fluconazole; fosamprenavir; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; megestrol; nelfinavir; nevirapine; nystatin; pantoprazole; prenatal plus; primaquine; promethazine HCL; pyrimethamine; ranitidine; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir (Prior Approval); TMP/SMX; trimethoprim; valganciclovir HCL; zidovudine. 504-568-7474 Maximum qualifying income (single):$20,420 Waiting List: No Website: www.hiv.dhh.louisiana.gov (ADAP portion under construction) Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; amprenavir; atazanavir; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); fosamprenavir; indinavir; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; nelfinavir; nevirapine; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; zalcitabine; zidovudine. Please Note: Enfuvirtide is made available through the Louisiana ADAP, however prior approval must be obtained from the ADAP coordinator. 207-287-2899 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acyclovir; adefovir dipivoxil; albendazole; amantadine HCL; amikacin; amphotericin B; amprenavir; atazanavir; atovaquone; azithromycin; butoconazole nitrate; caspofungin acetate; cefotaxime sodium; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; doxycycline; dronabinol; econazole; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; erythromycin; ethambutol; famciclovir; fluconazole; flucytosine; fosamprenavir; gabapentin; ganciclovir; gatifloxacin; hepatitis A vaccine; hepatitis b vaccine; indinavir; influenza virus; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lopinavir/ritonavir; measles/mumps & rubella vaccine; methylprednisone; miconazole; minocycline; naftifine; nelfinavir; nevirapine; nystatin; oseltamivir; oxiconazole; pentamidine; pneumococcal vac polyvalent; prednisone; primaquine; pyrazinamide; pyridoxine; pyrimethamine; rifabutin; rifampin; rifapentine; rimantadine; ritonavir; saquinavir; sertaconazole; sulconazole; stavudine; sulfadiazine; sulfamethoxazole; tetracycline; tenofovir; tioconazole; tipranavir; TMP/SMX; trifluridine; valacyclovir; valganciclovir; varicella-zoster immune globulin; voriconazole; zalcitabine; zidovudine. List of drugs for HIV-related side-effects is extensive. Please call for complete listing. 410-767-6535 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; albuterol; amitriptyline HCL; amlodipine; amoxicillin; amoxicillin/clavulanate potassium; amphotericin-B; amphotericin B cholesteryl sulfate; amprenavir; atazanavir; atenolol; atorvastatin; atovaquone; azithromycin; buprenorphine; bupropion; captopril; carbamazapine; cephalexin; chlorothiazide; cidofovir; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonidine; clotrimazole; clotrimazole-betamethasone cream; contraceptive; dapsone; darunavir; daunorubicin citrate liposomal; delavirdine; didanosine; diltiazem; diphenoxylate/atropine; divalproex, valproic acid; doxazosin; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); epoetin alpha (Prior Approval); erythromycin; escitalopram oxalate; ethambutol; famciclovir; fenofibrate; filgrastim (Prior approval); fluconazole; fluoxetine; fluphenazine; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir; gemfibrozil; glimepiride; glipizide; haloperidol; hydralazine; hydrochlorothiazide; hydroxizine; hydroxyurea; imiquimod; indapamide; indinavir; insulin glargine; insulin lispro; insulin NPH; insulin-regular; interferon alpha-2A; interferon alpha 2b; isoniazid; isoniazid-rifampin; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; leucovorin; levetiracetam; lisinopril; lithium; loperamide; lopinavir/ritonavir; megestrol; metformin; metoclopramide; metoprolol; metronidazole; miconazole; mirtazapine; nandrolone; nelfinavir; nevirapine; nifedipine; nortriptyline; nystatin; octreotide; olanzapine; oxandrolone (Prior Approval); oxymetholone; paromomycin; paroxetine; peginterferon alfa 2a (Prior Approval); peginterferon alfa 2b (Prior Approval); pentamidine; perphenazine; polymyxin B sulfate; pravastatin; primaquine; propanolol; prochlorperazine; pyrazinamide; pyrimethamine; quetiapine; ribavirin (Prior Approval); rifabutin; rifampin; risperidone; ritonavir; rosuvastatin; saquinavir; sertraline; spircinolactone; stavudine; sulfadiazine; tenofovir; testosterone; thalidomide; tipranavir; TMP/SMX; trazadone HCL; triamterene; trimethoprim; valacyclovir; valganciclovir HCL; venlafaxine; veraparnil; zalcitabine; zidovudine. 800-228-2714 Massachusetts has an “open formulary”, which means most FDA-approved drugs for the treatment of HIV, and the side-effects of HIV medication, are covered. 888-826-6565 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acamprosate; acetaminophen; acetaminophen/caffeine/butabital; acetaminophen/caffeine/codeine/butabital; acetaminophen-hydrocodone; acetaminophen/propoxyphene; acrivastine/pseudoephodrine; acyclovir; albuterol; aldesleukin; alendronate; alprazolam; amitriptyline; amlodipine; amoxicillin; amoxicillin/clarithromycin/lansoprazole; amoxicillin/clavulanic acid; amphotericin B; amprenavir; asa/caffeine/butabital; asa/caffeine/codeine/butabital; asa/codeine; atazanavir; atenolol; atenolol/chlorthalidone; atorvastatin; atovaquone; azithromycin; baclofen; beclomethasone; benazepril; buprenorphine; buprenorphine/naloxone; bupropion; buspirone; celecoxib; cephalexin; cetirizine; cetirizine/pseudoephedrine; chlorpromazine; cholestyramine; citalopram; cidofovir; cilostazol; ciprofloxacin; ciprofloxacin/dexamethasone; ciprofloxacin/hc; clarithromycin; clindamycin; clonazepam; clonidine; clopidogrel; clotrimazole; codeine; codeine/acetaminophen; conjugated estrogens; cyclobenzaprine; dapsone; darunavir; delavirdine; desonide; diazepam; diclofenac; diclofenac/misoprostol; dicyclomine HCL; didanosine; diltiazem; diphenhydramine; diphenoxylate/atropine; divalproex; doxepin; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enalapril; enalapril/hctv; enfuvirtide (Prior Approval); epinephrine; epoetin alpha; erythromycin; escitalopram; ethambutol; famciclovir; famotidine; felodipine; fenofibrate; fentanyl; fexofenadine; fexofenadine/p-ephedrine; filgrastim; fluconazole; fluoxetine; folic acid; formivisen; fosamprenavir; foscarnet; furosemide; gabapentin; ganciclovir; gemfibrozil; glipizide; glyburide; glyburide/metformin; haloperidol; hctv/triamterene; hepatitis A vaccine; hepatitis B vaccine; humalog; humulin; hydrochlorothiazide; hydrocortisone cream; hydroxyurea; hydromorphone; ibuprofen; imiquimod topical; indinavir; influenza vaccine; insulin glargine; interferon alfa 2b (Prior Approval); ipratropium; itraconazole; ketoconazole; lactulose; lamivudine; lamivudine/zidovudine; lancets; lansoprazole; leucovorin; levetiracetam; levofloxacin; levothyroxine; lisinopril; lisinopril/hctz; loperamide; lopinavir/ritonavir; loratadine; loratadine/pseudoephedrine; lorazepam; losartan; losartan/hctz; megestrol; meperidine; mesalamine; methadone; methyltestosterone; metronidazole; metformin; metoclopramide; metoprolol; minoxidil; mirtazapine; montelukast; morphine; nabumetone; nelfinavir; nevirapine; niacin; nicotine patch/nasal spray/gum; nifedipine; nitroglycerine; nizatidine; novolog insulins; nystatin; ofloxacin; olanzapine; omeprazole; opium tincture; oxandrolone; oxybutynin; oxycodone; oxycodone/acetaminophen; pancrelipase; paromomycin; paroxetine; peginterferon alfa 2-a (Prior Approval); peginterferon alfa-2b (Prior Approval); pentamidine; phenytoin; penicillin; pneumonococcal vaccine; potassium chloride; pravastatin; primaquine; pioglitazone; prednisone; prochlorperazine; promethazine; propoxyphene; propranolol; pyrimethamine; quetiapine; quinapril; ramipril; ranitidine; ribavirin (Prior Approval); rifabutin; rimantadine; risperidone; ritonavir; rosiglitazone; rosiglitazone/metformin; saquinavir; sertraline; silvadene; sodium fluoride; stavudine; sulfadiazine; sumatriptan; syringes-insulin; tamsulosin; temazepam; tenofovir; terazosin; terbinafine; testosterone; test strips; timolol maleate; tipranavir; tizanidine; TMP/SMX; topiramate; tramadol; tramadol/acetaminophen; triamcinolone cream; trimethobenzamide; trimethoprim; valacyclovir; valganciclovir; valsartan; valsartan/hctz; venlafaxine; verapamil; voriconazole; warfarin; zalcitabine; zidovudine; zolpidem. 651-431-2414 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; albendazole; amitriptyline; amoxapine; amoxicillin clavulanate; amoxicillin trihydrate; amphotericin B; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; bacitracin zinc; bacitracin/polymyxin B sulfate; bacitracin; bupropion; carbamazepine; cefadroxil monohydrate; cefazolin sodium; chlor-hexidine; cholestyramine; cidofovir; cimetidine; ciprofloxacin; citalopram; clarithromycin; clindamycin; clofazimine; clomipramine; clotrimazole; dapsone; delavirdine; desipramine; dicloxacillin; didanosine; diphenoxylate HCL/atropine sulfate; divalproex; doxepin; doxycycline; dronabinol; econazole; econazole; efavirenz; emtricitabine; enfurvitide; erythromycin base/ethanol; erythromycin ethylsuccinate; erythromycin stearate; ethambutol; fenofibrate; fluconazole; fluoxetine; fluvastatin; fluvoxamine; fosamprenavir; gabapentin; ganciclovir; gemfibrozil; gentamicin; hydrocortisone; hydroxyurea; imipramine; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; leucovorin; levofloxacin; loperamide; lopinavir/ritonavir; magnesium sulfate; maprotiline; megestrol acetate; metronidazole; miconazole nitrate; minocycline; mirtazapine; nefazodone; nelfinavir; neomy sulfa/bacitra/polymyxin B; neomycin; nevirapine; niacin; nitrofurantoin macrocrystal; nortriptyline; nystatin; ofloxacin; paromomycin; paroxetine; penicillin V potassium; pentamidine; phenelzine; pravastatin; prednisone; primaquine; primidone; probenecid; prochlorperazine; protriptyline; pyrazinamide; pyrimethamine; ranitidine; rifabutin; rifampin/isoniazid; rifampin; ritonavir; saquinavir; sertraline; silver sulfadiazine; simvastatin; stavudine; sulfadiazine; tenofovir; terconazole; tetracycline HCL; tipranavir; TMP/SMX; tobramycin sulfate; tranylcypromine; trazadone; trimipramine; valacyclovir; valganciclovir; valproic acid; vancomycin HCL; venlafaxine; vitamins; zalcitabine; zidovudne. List of drugs for HIV-related side effects is extensive. Please call for complete listing. 601-362-4449 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amprenavir; amitriptyline HCL; atazanavir; atorvastatin; azithromycin; citalopram; clarithromycin; clindamycin; dapsone; darunavir; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; fluconazole; fosamprenavir; gabapentin; ganciclovir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; lopinavir/ritonavir; nelfinavir; nevirapine; niacin; peginterferon alfa 2-a; pyrimethamine; oxandrolone; pentamidine; ribavirin; ritonavir/capsules/oral solution; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zalcitabine; zidovudine. 573-751-6439 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acetaminophen/codeine; acyclovir; adefovir; albendazole; alendronate; allupurinol; alprazolam; amitriptyline; amlodipine; amoxicillin; amoxicillin/clavulanic acid; ampicillin; amprenavir; atazanavir; atenolol; atorvastatin; atovaquone; azithromycin; baclofen; benazepril; bupropion; buspirone; butoconazole; captopril; carbamazepine; carisoprodol; cefadroxil; cefdinir; cefiprozil; cefixime; cefpodoxime; ceftibutin; celecoxib; cephalexin; chlordiazepoxide; chlorothiazide; chlorpropamide; chlorthalidone; chlorzoxazone; cholestyramine; cidofovir; cimetidine; ciprofloxacin; citalopram; clarithromycin; clindamycin; clonazepam; clonidine; clotrimazole; codeine; cyclobenzaprine; dapsone; darunavir; delavirdine; diazepam; diclofenac; dicloxacillin; didanosine; diltiazem; diphenoxylate/atropine; divalprox; doxazosin; doxepin; doxycycline; duloxetine; econazole; efavirenz; emtricitabine; emtricitabine/tenofovir; enalapril; enfuvirtide; entecavir; erythromycin; esomeprazole; eszopiclone; ethambutol; exenatide; ezetimibe; famciclovir; famotidine; fenofibrate; fentanyl; fluconazole; flucytosine; fluoxetine; fluvastatin; folinic acid; fosamprenavir; fosinopril; furosemide; gabapentin; ganciclovir; gemfibrozil; glimeperide; glipizide; glyburide; hepatitits A vaccine; hepatitis B vaccine; hydrochlorothiazide; hydrocodone; hydromorphone; ibuprofen; imipramine; imiquimod; indinavir; indomethacin; insulin; irbesartan; isoniazid; itraconazole; ketoconazole; ketoprofen; ketorolac; labetalol; lamivudine; lamivudine/zidovudine; lamotrigine; lanosoprazole; levofloxacin; lisinopril; lithium; lopinavir/ritonavir; lorazepam; lovastatin; meclizine; meglitol; meperidine; metaxalone; metformin; methadone; methocarbamol; methylphenidate; metoclopramide; metoprolol; metronidazole; miconazole; minocycline; mirtazapine; morphine; moxifloxican; mupirocin; naproxen; nateglinide; nefazodone; nelfinavir; nevirapine; niacin; nifedipine; nisoldipine; nitrofurantoin; nortriptyline; nystatin; olanzapine; omeprazole; ondansetron; opium tincture; orphenadrine; oxaprozin; oxycodone combinations; pantoprazole; paromomycin; paroxetine; penicillin; pentamidine; phenytoin; pioglitazone; piroxicam; podophyllum; pramlintide; pravastatin; prednisone; pregabalin; primaquine; primidone; prixidone; prochlorperazine; propoxyphene combinations; propranolol; pyrazinamide; quinapril; ramelteon; ramipril; ranitidine; repaglinide; resperidone; resuvastatin; rifabutin; rifampin; rifapentine; ritonavir; rosiglitasone; saquinavir; sertraline; simvastatin; spironolactone; stavudine; sucralfate; sulfadiazine; telbivudine; temazepam; tenofovir; terazosin; terbinafine; terconazole; tetracycline; timolol; tipranavir; TMP/SMX;tolmetin; tramadol; trazadone; triamterene; trifluridine; troglitazone; trimethobenzamide; valacyclovir; valganciclovir; valproic acid; vancomycin; venlafaxine; verapamil; voriconazole; zalcitabine; zidovudine; zolpidem. 406-444-4744 402-559-4673 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; alprazolam; amtriptyline; atazanavir; atovaquone; azithromycin; bupropion; buspirone; carbamazepine; chlordiazepoxide; chlorpromazine; ciprofloxacin; citaolpram; clarithromycin; clindamycin; clofazimine; clomipramine; clonazepam; clorazepate; clotrimazole troches; clozapine; dapsone; darunavir; delavirdine; desipramine; diazepam; didanosine; divalproex; doxepin; doxycycline; droperidol; duloxetine; efavirenz; emtricitabine; emtricitabine/tenofovir; enalopril; enfuvirtide (Prior Approval); entecavir; escitalopram; estazolam; ethambutol; famciclovir; fenofibrate; fluconazole; enetcavir; fluoxetine; fluphenazine; flurazepam; fluvoxamine; fosamprenavir; gabapentin; halazepam; haloperidol; hydrochlorothiazide; hydroxyzine; imipramine; imiquimod; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; levofloxacin; lithium; lopinavir/ritonavir; lorazepam; loxapine; megestrol; mesoridazine; metronidazole; mirtazapine; molindone; moxifloxacin; nefazodone; nelfinavir; nevirapine; nortriptyline; nystatin; olanzapine; oxazepam; paroxetine; pentamidine; perphanazine; phenytoin; pimozide; pravastatin; prazepam; prochlorperazine; pyrazinamide; quetiapine; rifabutin; rifampin; risperidone; ritonavir; rosiglitazone; saquinavir; sertraline; stavudine; temazepam; tenofovir; terbinafine; thioridazine; thiothixene; tipranavir; TMP/SMX; trazadone; triazolam; trifluoperazine; trimipramine; valacyclovir; valganciclovir; venlafaxine; zidovudine; zolpidem. 775-684-3499 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amprenavir; androgel; atazanavir; atorvastatin calcium; atovaquone; azithromycin; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; darbopoeiten; delavirdine; didanosine; diphenoxylate/atropine; divalproex sodium; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; erythropoetin; ethambutol; fenofibrate; fluconazole; fosamprenavir; gabapentin; GCSF; gemfibrozil; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; megestrol; nelfinavir; nevirapine; niaspan; nystatin; ondansetron-only after compazine; paromomycin; phenytoin; prochlorperazine; pyramethamine; rifabutin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir; TMP/SMX; trazadone; ultrase MT-20-pancreatic enzymes; valganciclovir; zalcitabine; zidovudine. 603-271-4502 The NH Care Program covers all FDA approved antiretroviral and opportunistic infection related medications. 877-613-4533 The NJ ADAP does not have a formulary. With a few exceptions, the NJ ADAP covers all FDA-approved medications. 505-827-2435 Abacavir; abacavir/lamivudine; abacavir/lamividine/zidovudine; acyclovir; amikacin*; amphotericin-B; atazanavir; atorvastatin; atovaquone*; azithromycin; bupropion SR; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir (Prior Approval); delavirdine; didanosine; divalproex; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide*; erythropoietin*; ethambutol; famciclovir; fenofibrate; filgrastim*; fluconazole; fosamprenavir; foscarnet; ganciclovir*; hepatitis vaccines; indinavir; itraconazole*; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin calcium; lopinavir/ritonavir; megestrol; metformin; metronidazole; nelfinavir; nevirapine; nystatin; pentamidine; pioglitazone; pravastatin; prenatal-S; primaquine; rifabutin; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir*; TMP/SMX; trimethoprim; valacyclovir; valganciclovir*; venlafaxine; voriconazole*; zalcitabine; zidovudine. * Prior approval required. 518-459-1641 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acarbose; acebutolol; acetohexamide; acetylcysteine; acrivastine/pseudoephedrine HCL; acyclovir; adefovir; albendazole; albuterol; albuterol-ipratropium; alclometasone dipropionate; alitretinoin; alprazolam; amantadine; amcinonide; amikacin; amiloride; aminosalicyclic acid; amitriptyline; amlexanox; amlodipine; amoxicillin/clavulanate; amoxicillin; amphotericin B; ampicillin; amprenavir; amylase-lipase-protease; apraclonidine; aripiprazole; atazanavir; atenolol; atorvastatin; atovaquone (Prior Approval); atropine; atropine-diphenoxylate; azatadine maleate; azatadine; azithromycin; aztreonam; bacitracin; beclomethasone; benazepril; bendroflumethiazide; benztropine mesylate; betamethasone dipropionate; betaxolol; bleomycin; bisoprolol; bitolterol mesylate; bleomycin; brimonidine; brinzolamide; brompheniramine w/wo combinations; budesonide; bumetanide; bupropion; buspirone; butabarbital; butalbital combination w/wo codeine; candesartan; capreomycin; captopril; carbachol; carbamazepine; carbinoxamine maleate; carteolol; carvedilol; caspofungin; cefaclor; cefadroxil; cefazolin; cefixime; cefoxitin; cefpodoxime; cefprozil; ceftazidime; ceftriaxone; cefuroxime; cephalexin; cephradine; cetirizine; chloral hydrate; chloramphenicol; chlordlazepoxide w/wo clidinium; chlorhexidine gluconate; chlorothiazide; chlorpheniromine w/wo combinations; chlorpromazine; chlorpropamide; chlorthalidone; cholestyramine; cidofovir; cimetidine; ciprofloxacin; citalopram hydrobromide; clarithromycin; clemastine fumarate; clindamycin; clobetasol propionate; clocortolone pivalate; clomipramine; clonazepam; clonidine; clorazepate; clotrimazole; cloxacillin; clozapine; colestipol; cromolyn sodium; cyclandelate; cyclopentolate; cyclopentolate-phenylephrine; cyclophosphamide; cycloserine; cyproheptadine; cytarabine; dapsone; darunavir; daunorubicin liposomal; delavirdine; desipramine; desonide; desoximetasone; dexamethasone; dexamethasone; dexbrompheniramine/pseudo.sulfate; dexchlorpheniramine; dextroamphetamine sulfate; diazepam; diclofenac; dicloxacillin; didanosine; diflorasone diflunisal; digoxin; diltiazem; diphenhydramine HCL; dipivefrin; divalproex sodium; dolasetron mesylate; dorzolamide w/timolol; dorzolamide; doxazosin; doxepin HCL; doxorubicin; doxycycline; dronabinol; duloxetine; dyphylline; econazole nitrate; ecothiopate; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enalapril; enfuvirtide (Prior Approval); enoxaparin; entecavir; epoetin alfa (Prior Approval); escitalopram; esomeprazole; estrogens w/progestins; estrogens; ethambutol; ethionamide; etoposide; ezetimibe; felbamate; felodipine; fenofibrate; fenoprofen; fentanyl (patch only); fexofenadine; filgrastim (Prior Approval); flavoxate; flucinolone; fluconazole; flucytosine; flunisolide; fluoride; fluorometholone; fluoxetine; fluphenazine; flurandrenolide; flurazepam; flurbiprofen; fluticasone ; fluticasone propionate; fluvastatin; fluvoxamine; formivisen; fosamprenavir; foscarnet; fosfomycin tromethamine; fosinopril sodium; furazolidone; furosemide; gabapentin; ganciclovir; gatifloxacin; gemfibrozil; gentamicin; glimepiride; glipizide; glucose monitor-limit one; glucose test control solution; glucose test strips; glyburide; granisetron; griseofulvin; guanabenz acetate; guanadrel sulfate; guanfacine; halazepam; halcinonide; halobetasol propionate; haloperidol; hepatitis A & B vaccines; homatropine; hydoxyzine HCL; hydralazine; hydrochlorothiazide; hydrocodone w/ASA, APAP; hydrocortisone w/wo combinations; hydroflumethiazide; hydromorphone; hydroxyurea; ibuprofen; imipenem-cilastatin; imipramine; imiquimod; immune globulin Rho (Prior Approval); indapamide; indinavir; indomethacin; insulin; interferon alfa; interferon alfa-N3; intravenous immune globulin; immune globulin Rho; ipratropium; ipratropium bromide; irbesartan; isoniazid; isosorbide; isoxsuprine; isradipine; itraconazole; kanamycin; ketoconazole; ketoprofen; ketorolac labetalol; lamivudine; lamivudine/zidovudine; lamotrigine; lancets/lancet devices; lansoprazole; latanoprost; leucovorin; levetiracetam; levobunolol; levofloxacin; levorphanol tartrate; lisinopril; lithium carbonate; lithium citrate; lomustine; loperamide; lopinavir/ritonavir; loracarbef; lorazepam; losartan potassium; loteprednol; loxapine; magnesium sulfate; medrysone; megestrol; mesoridazine; metaproterenol sulfate; metformin; methadone HCL; methotrexate; methyciothiazide; methyldopa; methylphenidate; metipranol; metoclopramide; metolazone; metoprolol; metronidazole; miconazole; miglitol; minocycline; minoxidil; mirtazapine; misoprostol; moexipril; molindone; mometasone furoate; montelukast sodium; moricizine; morphine sulfate; moxifloxacin; mupirocin; nadolol; nandrolone; naphazoline w/wo combinations; naproxen; nedocromil sodium; nefazodone; nelfinavir; neomycin w/wo combinations; nevirapine; niacin; nicardipine; nifedipine; nisoldipine; nitrofurantoin; nitroglycerin; nortriptyline; nystatin; ofloxacin; olanzapine; omeprazole; ondansetron; oprelvekin (Prior Approval); oseltamivir; oxazepam; oxcarbazepine; oxtriphylline; oxybutynin; oxycodone w/wo ASA, APAP; paclitaxel; pancrelipase; pantoprazole; papaverine; paromomycin; paroxetine; peak flow meter; peginterferon; pemoline; penbutolol sulfate; penciclovir; penicillin G; pentamidine; pentobarbital; perphenazine; phenir/ppa/phenylt./pyrilamine; phenylephrine-promethazine; phenyltolox/APAP; phenyltolox/pyril/pheniramine; phenytoin; pilocarpine; pilocarpine; pindolol; pioglitazone; pirbuterol acetate; piroxicam; podofilox; polythiazide; pravastatin sodium; prazosin; prednicarbate; prednisolone; prednisone; pregabalin; primaquine; primidone; probenecid; procainamide; procarbazine; prochlorperazine; progestins; promethazine; propranolol; pyrazinamide; pyrimethamine; quetiapine fumarate; quinapril; rabeprazole; ramipril; ranitidine; repaglinide; ribavirin; rifabutin; rifampin in combination; rifapentine; rimantadine; rimexolone; risperidone; ritonavir; rosiglitazone maleate; rosuvastatin; salmeterol; saquinavir; sargramostim (Prior Approval); secobarbital; sertraline; sotalol; spacers/aerochambers; sparfloxacin; spectinomycin; spironolactone; stavudine; streptomycin; sucralfate; sulfadiazine; sulfadoxine/pyrimethamine; sulfamethoxazole; sulfasalazine; sulindac; syringes/needles; telmisartan; temazepam; tenofovir; terazosin; terbinafine HCL; terbutaline sulfate; terconazole; testosterone; tetracycline; thalidomide; theophylline; thiethylperazine maleate; thioridazine; thiothixene; tiagabine; ticarcillin/clavulante; timolol; tincture of opium; tiotropium; tipranavir (Prior Approval); TMP/SMX; tobramycin; tocainide; tolazamide; tolbutamide; tolmetin; tolterodine; topiramate; torsemide; tramadol; trandolapril; trazadone; triamcinolone acetonide; triamcinolone; triamterene; triazolam; trichlormethiazide; trifluoperazine; trimethobenzamide; trimethoprim; trimipramine; triple sulfa; triprolidine.; tropicamde w/wo hydroxyamphetamine; valacyclovir; valganciclovir; valproic acid; valsartan; vancomycin; venlafaxine; verapamil; vinblastine; vincristine; voriconazole; warfarin; zafirlukast; zalcitabine; zanamivir; zidovudine; zileuton; ziprasidone; zolpidem. 877-466-2232 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amlodipine; amoxicillin; amprenavir; atazanavir; atenolol; atorvastatin; atovaquone; azithromycin; benazepril; bupropion; ciprofloxacin HCL; citaolpram; clarithromycin; clindamycin; clonidine; clotrimazole troches; dapsone; darunavir; delavirdine; didanosine; diphenoxylate HCL w/atropine sulfate; doxepin; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enalapril; enfuvirtide(Prior Approval); escitalopram; ethambutol; famciclovir; fluconazole; fluoxetine; fosamprenavir; gabapentin; ganciclovir; gemfibrozil; glimepiride; glipizide; glucophage; glyburide; hctv; hydroxyurea; indinavir; insulin; insulin syringes; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lansoprazole; leucovorin; lisinopril; loperamide; lopinavir/ritonavir; megestrol; metoclopramide; metoprolol; metronidazole; mirtazapine; nelfinavir; nevirapine; nortriptyline; nystatin; omeprazole; ondansetron HCL; pancrelipase; paromomycin; paroxetine; pentamidine; pravastatin; prochloroperazine; promethazine; pyrimethamine; rifabutin; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valganciclovir; zalcitabine; zidovudine. 701-328-4555 23-valent pnemococcal; abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acyclovir; adefovir; albendazole; albuterol inhaler; amantadine HCL; amitriptyline; amoxicillin; amphotericin; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; calcium acetate; chlor-hexidine; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; didanosine; diphenoxylate w/atropine; doxazosin mesylate; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; erythromycin; erythropoietin; ethambutol; etodolac; famciclovir; filgrastim; fluconazole; fludrocortisone acetate; fluoxetine HCL; foscarnet sodium; gabapentin; ganciclovir; haloperidol; hepatitis A vaccine; hepatitis B vaccine series; indinavir; influenza; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lisinopril; loperamide; lopinavir/ritonavir; lorazepam; megestrol; morphine; nelfinavir; nevirapine; nystatin; olanzapine; ondansetron; pantoprazole sodium; paromomycin; pentamidine; pravastatin; prednisone; prochlorperazine; propoxyphene; pyrimethamine; ranitidine; rifabutin; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; TMP/SMX; trazadone HCL; valganciclovir; venlafaxine HCL; vitamin; zalcitabine; zanamivir; zidovudine. 800-777-4775 Abacavir; abacavir/lamivdine; abacavir/lamivudine/zidovudine; acarbose; acyclovir; amitriptyline; amprenavir; atazanavir; atorvastatin; atovaquone; atropine diphenoxylate; azithromycin; bupropion; citalopram hydrobromide; clarithromycin; clotrimazole; dapsone; darunavir; delavirdine; desipramine; didanosine; divalproex sodium; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); ethambutol; famciclovir; fenofibrate; fluconazole; fluoxetine; fosamprenavir; gemfibrozil; glipizide; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; imiquimod; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lisinopril; loperamide; lopinavir/ritonavir; medroxyprogesterone acetate injectable suspension; metformin; mirtazapine; nefazodone; nelfinavir; nevirapine; nizatidine; nystatin; omeprazole; paroxetine; penicillin G benzathine; pentamidine; pravastatin; prochlorperazine; promethazine; pyrimethamine; ranitidine; rifabutin; risperidone; ritonavir; ritonavir; rosiglitazone; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; venlafaxine; zalcitabine; zidovudine. 405-271-4636 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amprenavir; atazanavir; azithromycin; cidofovir; clarithromycin; clotrimazole troches; dapsone; darunavir (Prior Approval); delavirdine; didanosine; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); ethambutol; famciclovir; fluconazole; fosamprenavir; foscarnet; ganciclovir; indinavir; isonazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; megestrol acetate; nelfinavir; nevirapine; nystatin; oxandrolone; pentamidine isethionate; pyrazinamide; pyrimethamine; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; testosterone; tipranavir (Prior Approval); TMP/SMX; valganciclovir; zalacitabine; zidovudine. 971-673-0144 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; adefovir (Prior Approval); aerosolized pentamidine; aminosalicylic acid; amoxicillin; amoxicillin/potassium clavulanate; ampicillin; aminosalicylic acid; amprenavir; atazanavir; atovaquone; azithromycin; bupropion HCL; ceftriaxone; cephalexin; cefpodoxime; cidofovir; ciprofloxacin; clarithromycin; clindamycin; clofazimine; clotrimazole; cyloserine; dapsone; darunavir; daunorubicin citrate; delavirdine; dicloxacillin; didanosine; doxorubicin HCL; doxycycline; efavirenz; emtricitabine; entecavir (Prior Approval); emtricitabine/tenofovir; enfuvirtide; epoetin alfa; erythromycin; ethambutol; ethionamide; famciclovir; filgrastim; fluconazole; fomivirsen; fosamprenavir; foscarnet; ganciclovir; hepatitis B immune Globulin; imiquimod cream; immune globulin IM; indinavir; interferon alfa-2b-2a (Prior Approval); interferon alfacon 1; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lopinavir/ritonavir; moxifloxacin; nelfinavir; nevirapine; nystatin; ofloxacin; pegylated interferon (Prior Approval); penicillin; pyrazinamide; pyrimethamine; ribavirin (Prior Approval); ribavirin/interferon alfa 2B; rifabutin; rifampin; ritonavir; saquinavir; stavudine; streptomycin; sulfadiazine; sulfa/pyrimethamine; tenofovir; tetracycline; tipranavir; TMP/SMX; trimethoprim; trimetrexate glucuronate; valacyclovir; valganciclovir; vancomycin oral; varenicline; zalcitabine; zidovudine. Most drugs in these FDA classes are covered: 800-922-9384 Program is referred to as: The Special Pharmaceutical Benefits Programs. Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir/valacyclovir; alpha interferon; amikacin; amphotericin B; atazanavir; atovaquone; azithromycin; bleomycin; capreomycin; cidofovir injection; ciprofloxacin; clarithromycin; clindamycin; clofazimine; clotrimazole; cycloserine; dapsone; darunavir; delavirdine; dexamethasone; didanosine; doxorubicin; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; ethionamide; etoposide; famciclovir; fluconazole; flucytosine; fosamprenavir; foscarnet; ganciclovir; indinavir; isoniazid; itraconazole; kanamycin sulfate; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; megestrol; nelfinavir; nevirapine; nystatin; ofloxacin; paromomycin sulfate; pentamidine; prednisone; primaquine phosphate; pyrazinamide; pyrimethamine; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; sulfadoxine/pyrimethamine; tenofovir; terconazole; tipranavir; TMP/SMX; trimetrexate; triple sulfa; valganciclovir; vinblastine sulfate; vincristine sulfate; zalcitabine; zidovudine. List of drugs for HIV-related side effects is extensive. Please call for complete listing. 401-222-7548 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amprenavir; atazanavir; atovaquone; azithromycin; ciprofloxacin; citalopram hydrobromide; clarithromycin; clonazepam; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; fentanyl; fluconazole; fluoxetine; fosamprenavir; gabapentin; ganciclovir oral (Prior Approval) and IV; hydroxyurea; indinavir; interferon alfa; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; lorazepam; morphine sulfate; nelfinavir; nevirapine; olanzapine; oxycodone; paroxetine; pegylated interferon alfa 2a (Prior Approval); pegylated interferon alfa-2b (Prior Approval); pentamidine; primaquine; pyrimethamine; ribavirin (Prior Approval); rifabutin; risperdal; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; zalcitabine; zidovudine. 803-896-6250 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; atazanavir; atovaquone; azithromycin; bupropion; citalopram; clarithromycin; clindamycin; clotrimazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); escitalopram; ethambutol; famciclovir; fluconazole; fluoxetine; fosamprenavir; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; mirtazapine; nelfinavir; nevirapine; nystatin; paroxetine; pegylated interferon (Prior Approval); primaquine; pyrimethamine; ribavirin (Prior Approval); rifabutin; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; valacyclovir; valganciclovir; venlafaxine; zidovudine. 800-592-1861 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen w/codeine; acyclovir; amitriptyline; amprenavir; atazanavir; atovaquone; azithromycin; ciprofloxacin; clarithromycin; clofazamine; clotrimazole; dapsone; darunavir; delavirdine; didanosine; divalproex sodium; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; famciclovir; fentanyl; fluconazole; fosamprenavir; gabapentin; indinavir; influenza; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; interferon alfa-2b; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; megestrol; morphine w/wo sulphate; nelfinavir; nevirapine; paromomycin; peg-interferon alfa 2-a; peg-interferon alfa 2-b; pentamidine; phenytoin; pneumococcal 23-valent; prochlorperazine; propoxyphene; pyrimethamine; ribavirin/interferon alfa-2b; ribavirin; rifabutin; ritonavir; saquinavir; stavudine; tenofovir; tipranavir; TMP/SMX; valacyclovir HCL; zalcitabine; zidovudine. 615-741-8903 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amprenavir/vitamin E; atazanavir; atovaquone; azithromycin; bupropion HCL; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol; gabapentin; fluconazole; fosamprenavir; gemfibrozil; glipizide; hydrochlorothiazide; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; metformin; nelfinavir; nevirapine; novolin 70/30; nystatin; paromomycin; pentamidine IV; phenytoin sodium; pravastatin; prednisone; primaquin; pioglitazone; promethazine; pyrimethamine; quinapril; rifabutin; ritonavir; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir HCL; valganciclovir; venlafaxine HCL; zidovudine. In addition, the following medicines are available through the Medical Services Fee Schedule: 512-533-3000
Priority 1: Priority 2: Priority 3: 801-538-6197 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amprenavir; atazanavir; azithromycin; clarithromycin; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; fluconazole; fosamprenavir; indinavir; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; nelfinavir; nevirapine; nystatin; pyrimethamine; rifabutin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir; valgancyclovir; zalcitabine; zidovudine. 802-527-5576 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; albuterol; amitriptyline; amphotericin B (Prior Approval.); amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; bupropion; cidofovir (Prior Approval); ciprofloxacin; citalopram; clarithromycin; clindamycin; clotrimazole; dapsone;darunavir; delavirdine; didanosine; doxorubicin; efavirenz;efavirenz/tenofovir/emtricitabine’; emtricitabine; emtricitabine/tenofovir; enfuvirtide (Prior Approval); escitalopram; ethambutol; ezetimibe; famciclovir; fenofibrate; fentanyl; fluconazole; fluoxetine; fluvastatin; fosamprenavir; foscarnet (Prior Approval); gabapentin; GCSF (Prior Approval); gemfibrozil; hepatitis A/B; hepatitis A; hepatitis B; hydroxyurea; ibuprofen; indinavir; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; lovastatin; megestrol acetate; morphine sulfate; nefazodone; nelfinavir; nevirapine; niacin; nystatin; paroxetine; pentamidine; pneumococcal; polycarbophil; pravastatin; primaquine; psyllium; pyrimethamine; rifabutin; ritonavir; saquinavir; sertraline; simvastatin; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trazadone; trimethoprim; valacyclovir; valganciclovir (Prior Approval); venlafaxine; zalcitabine; zidovudine. 800-533-4148 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosolized pentamidine; amikacin; atazanavir; atorvastatin; atovaquone; azithromycin; capreomycin; cidofovir; clarithromycin; clindamycin; cycloserine; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; epoetin alpha; ethambutol; ethionamide; famciclovir; fluconazole; fosamprenavir; foscarnet; gabapentin; ganciclovir IV; glipizide; glipizide/metformin; glyburide; hepatitis A; hepatitis B; hepatitis A/B; indinavir; influenza; insulin injectable; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lopinavir/ritonavir; megestrol; metformin; nelfinavir; nevirapine; para-aminosalicylic acid; peginterferon alfa-2a; peginterferon alpha-2b; pneumovax; pravastatin; prednisone; primaquine; pyrazinamide; pyridoxine; pyrimethamine; ribavirin; rifabutin; rifampin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; trimethoprim; valganciclovir; voriconazole; zalcitabine; zidovudine. 360-236-3426 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; aerosolized pentamidine; albendazole; amoxicillin/potassium clavulante; amoxicillin; ampicillin; amprenavir; atazanavir; atovaquone; azrithromycin; carbamazepine; cefpodoxime; ceftriaxone; cephalexin; chlorhexidine gluconate; cidofovir; cimetidine; ciprofloxacin; clarithromycin; clindamycin; clofazimine; clotrimazole betamethasone; clotrimazole; clozapine; dapsone; darunavir; delavirdine; dicloxacillin; didanosine; diphenoxylate/atropine; divalproex sodium; doxycycline; dronabinol; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; erythromycin; esomeprazole; estrogen; ethambutol; famotidine; fluconazole; fomivirsen; fosamprenavir; foscarnet; gabapentin; ganciclovir IV and oral; hepatitis B immune globulin; hydroxyurea; hyoscyamine; imiquimod cream; immune globulin; indinavir; isoniazid; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; lamotrigine; lansoprazole; leucovorin (oral only); levodopa/carbidopa; levofloxacin; lindane; lithium; loperamide; lopinavir/ritonavir; mediset fills; medroxyprogesterone; megestrol; methylprednisolone; metoclopramide; metronidazole; miconazole; moxifloxacin; nandrolone ; nelfinavir; nevirapine; nizatidine; nystatin; ofloxacin; olanzapine; omeprazole; ondansetron HCL; opium tincture; oxandrolone; oxcarbapine; pantoprazole; paromomycin; penicillin; peridex; permethrin; phenazopyridine; podofilox; pill splitter; pramipexole; prednisone; primaquine; prochlorperazine; promethazine; pyrimethamine; rabeprazole; ranitidine; rifabutin; rifampin; ropinirole; risperidone; ritonavir; saquinavir; somatropin; stavudine; sulfa/pyrimethamine; sulfadiazine; tenofovir; terconazole; testosterone products; tetracycline; tipranavir; topiramate; TMP/SMX; trimethoprim; valacyclovir; valganciclovir; valproic acid; vancomycin oral; VZIG; zalcitabine; zidovudine. The following classes of drugs are covered as groups. A drug’s class is defined by the federal Food and Drug Administration. Antianxiety medications; Antidepressants; Antidiabetic; Antihyperlipidemic; Bipolar medications; Dermatologic; Oral analgesics; Hepatitis treatment; Hematopoietic agents; Vaccines. Most drugs in these FDA classes are covered. 304-232-6822 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amprenavir; atazanavir; atorvastatin; azithromycin; clarithromycin; clotrimazole; cotrimoxazole; dapsone; darunavir; delavirdine; didanosine; efavirenz; efavirenz/emtricitabine/tenofovir; emtricitabine; emtricitabine/tenofovir; enfuvirtide; fosamprenavir; fluconazole; hepatitis A vaccine; hepatitis b vaccine; hepatitis A/B vaccines; indinavir; lamivudine; lamivudine/zidovudine; leucovorin; lopinavir/ritonavir; nelfinavir; nevirapine; nystatin; pentamidine; pyrimethamine; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir;tipranavir; zalcitabine; zidovudine. 608-267-6875 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acyclovir; amitriptyline; amphotericin B; amprenavir; atazanavir; atorvastatin; atovaquone; azithromycin; cidofovir; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; didanosine; diphenoxylate; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; ethambutol HCL; famciclovir; fenofibrate; fluconazole; fosamprenavir; foscarnet; gabapentin; ganciclovir implant; ganciclovir; gemfibrozil; hepatitis A/B; hepatitis A; hepatitis B; hydroxyurea; indinavir; interferon alpha-2b; interferon/ribavirin; itraconazole; ketoconazole; lamivudine; lamivudine/zidovudine; leucovorin; loperamide; lopinavir/ritonavir; nelfinavir; nevirapine; niacin; pegylated interferon alfa-2a; pegylated interferon alfa-2b; pentamidine; pravastatin; prochlorperazine; pyrimethamine; ribavirin; rifabutin; ritonavir; saquinavir; stavudine; sulfadiazine; tenofovir; tipranavir; TMP/SMX; valacyclovir HCL; valganciclovir HCL tablets; zalcitabine; zidovudine. 307-777-5800 Abacavir; abacavir/lamivudine; abacavir/lamivudine/zidovudine; acetaminophen/codeine; acyclovir; alprazolam; amitriptyline; amoxicillin; amphotericin B; amprenavir; atazanavir; atorvastatin; azithromycin; cidofovir; citalopram; clarithromycin; clindamycin; dapsone; darunavir; delavirdine; diazepam; didanosine; doxycycline; efavirenz; efavirenz/tenofovir/emtricitabine; emtricitabine; emtricitabine/tenofovir; enfuvirtide; escitalopram; famciclovir; famotidine; fenofibrate; fluconazole; fluoxetine; fluvastatin; fluvoxamine; fomivirsen; fosamprenavir; foscarnet; ganciclovir; gemfibrozil; hepatitis A vaccine; hepatitis B vaccine; hepatitis A/B vaccine; human papillomavirus vaccine; hydrocodone/acetaminophen; hydrocodone/ibuprofen; hydroxyurea; hydroxyzine; imiquimod; indinavir; influenza vaccine; isoniazid; itraconazole; lamivudine; lamivudine/zidovudine; leucovorin; levofloxacin; lithium carbonate; loperamide HCL; lopinavir/ritonavir; lovastatin; meningococcal vaccine; nelfinavir; nevirapine; niacin; oxycodone/acetaminophen; paroxetine; pneumococcal vaccine; pravastatin; prednisone; prochlorperazine; promethazine; pyrimethamine; ranitidine; ritonavir; rosuvastatin; saquinavir; sertraline; stavudine; sulfadiazine; tenofovir; trazadone; tipranavir; TMP/SMX; valganciclovir; venlafaxine; zalcitabine; zidovudine; zolpidem tartrate. Copyright 2008, Positive Health Publications, Inc. This magazine is intended to enhance your relationship with your doctor - not replace it! Medical treatments and products should always be discussed with a licensed physician who has experience treating HIV and AIDS!
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