florida ryan white part b - aids drug assistance program ...€¦ · baraclude® entecavir...

Brand Name Generic Name Therapeutic Classification Pharmacologic Classification

Abilify® aripiprazole Central nervous system Antipsychotic, atypical

ACE Aerosol Cloud

enhancer®inhaler spacer (one time only) Respiratory Inhaler spacer device

Adacel® tetanus diphtheria-acellular pertussis (Tdap) Vaccines Bacterial vaccine

Adalat CC® nifedipine Cardiovascular Calcium channel blocker

Advil® ibuprofen Analgesic Nonsteroidal antiinflamatory drugAldara® imiquimod Topical Antiviral, topicalAmaryl® glimepiride Antidiabetic SulfonylureaAndroderm® testosterone patch Hormonal agent AndrogenAndrogel® testosterone gel Hormonal agent AndrogenAntivert® meclizine Central nervous system Antivertigo, antiemeticAptivus® tipranavir (TPV) Antiretroviral Protease inhibitor (PI)

Atripla®efavirenz/emtricitabine/tenofovir disoproxil

fumarate (EFV/FTC/TDF)Antiretroviral NNRTI/NRTI combo

Atrovent® ipratropium Respiratory Anticholinergic, oral inhaledBactrim DS® sulfamethoxazole/trimethoprim DS (SMX/TMP) Anti-infective, antibiotic SulfonamideBactrim® sulfamethoxazole/trimethoprim (SMX/TMP) Anti-infective, antibiotic SulfonamideBaraclude® entecavir Anti-infective, antiviral Hepatitis B agent

Bayer® aspirin Analgesic Salicylate

Benadryl® diphenhydramine Respiratory Antihistamine

Benzoyl peroxide topical benzoyl peroxide topical Skin/Mucous Membrane Antibiotic + keratolyticBetamethasone topical or

Diprolene®betamethasone valerate or dipropionate Skin/Mucous Membrane Corticosteroid, topical

Biaxin® clarithromycin Anti-infective, antibiotic macrolide

Biktarvy®bictegravir/emtricitabine/tenofovir alafenamide

(BIC/TAF/FTC)Antiretroviral INSTI/NRTI combo

Boostrix® tetanus diphtheria-acellular pertussis (Tdap) Vaccines Bacterial vaccine

Calan SR® verapamil Cardiovascular Calcium channel blocker

Calan® verapamil Cardiovascular Calcium channel blocker

Calcium carbonate calcium carbonate Vitamin Vitamin

Calcium with vitamin D calcium with vitamin D Vitamin Vitamin

Cardizem CD® diltiazem Cardiovascular Calcium channel blocker

Celexa® citalopram Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)

Claritin® loratadine Respiratory Antihistamine

Combivent Respimat® albuterol/ipratropium Respiratory Anticholinergic + Beta-2 Agonist, oral inhaledCombivir® lamivudine/zidovudine (3TC/AZT) Antiretroviral NRTI comboCompazine® prochlorperazine Central nervous system Anti-nausea

Complera®rilpivirine /emtricitabine/ tenofovir disoproxil

fumarate (RPV/FTC/TDF)Antiretroviral NNRTI/NRTI combo

Constulose® Lactulose Gastrointestinal Laxative, osmotic

Coumadin® warfarin Blood formation and coagulation Vitamin K antagonist

Cozaar® Losartan Cardiovascular Angiotensin II receptor blocker (ARB)

Florida Ryan White Part B - AIDS Drug Assistance Program (ADAP) Formulary Effective March 1, 2018

By Brand Name

of 6 BY BRAND NAME

BaduraSX

Inserted Text

BRAND NAME



By Brand Name

Crestor® rosuvastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitorCrixivan® indinavir (IDV) Antiretroviral Protease inhibitor (PI)

Cyanocobalamin cyanocobalamin, vitamin B 12 (injection only) Vitamin Vitamin Cymbalta® duloxetine Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitorDaklinza® daclatasvir anti-infective, antiviral Hepatitis C agentDapsone dapsone Anti-infective, antibiotic SulfoneDaraprim® Filmtab® pyrimethamine Anti-infective, antibiotic Antimalarial

Depakene® valproic acid Central nervous system Anticonvulsant, mood stabilizerDepakote® divalproex sodium Central nervous system Anticonvulsant, mood stabilizer

Depo-Provera® medroxyprogesterone injection Hormanal ProgesteroneDescovy® emtricitabine/tenofovir alafenamide (FTC/TAF) Antiretroviral NRTI combo

Desyrel® trazodone Central nervous system, antidepressant Serotonin reuptake inhibitorDiabeta® glyburide Antidiabetic agent SulfonylureaDiflucan® fluconazole Anti-infective, antifungal AzoleEcotrin® aspirin Analgesic SalicylateEdurant® rilpivirine (RPV) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Effexor XR® venlafaxine Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitor

Effexor® venlafaxine Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitorElavil® amitriptyline Central nervous system, antidepressant Tricyclic antidepressant (TCA)Emtriva® emtricitabine (FTC) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Engerix-B® hepatitis b adult vaccine Vaccines Viral vaccine

Enulose® lactulose Gastrointestinal Laxative, osmoticEpivir® lamivudine (3TC) Antiretroviral NRTI comboEpogen® epoetin alfa Blood formation and coagulation Erythropoeisis stimulating agentEpzicom® abacavir/lamivudine (ABC/3TC) Antiretroviral NRTI comboEvotaz® atazanavir/cobicistat (ATV/COBI) Antiretroviral PI/PK Enhancer

FeroSul® ferrous sulfate Vitamin Vitamin

Flagyl® metronidazole Anti-infective Amebicide, trichomonaside

Folic acid folic acid Vitamin Vitamin

Fosamax® alendronate Osteoporosis BisphosphonateFuzeon® enfuvirtide (ENF, T-20) Antiretroviral Fusion inhibitor

Gardasil®9 human papilloma virus vaccine, recombinant Vaccines Viral vaccine

Generlac® lactulose Gastrointestinal Laxative, osmotic

Genvoya®elvitegravir /cobicistat /emtricitabine /tenofovir

alafenamide (EVG/COBI/FTC/TAF)Antiretroviral INSTI/NRTI combo

Geodon® ziprasidone Central nervous system Antipsychotic, atypicalGlucophage XR® metformin ER Antidiabetic agent BiguanideGlucophage® metformin Antidiabetic agent BiguanideGlucotrol XL® glipizide ER Antidiabetic agent SulfonylureaGlucotrol® glipizide Antidiabetic agent SulfonylureaHarvoni® ledipasvir/sofosbuvir Anti-infective, antiviral Hepatitis C agentHavrix® hepatitis a adult Vaccines Viral vaccine

of 6 BY BRAND NAME



By Brand Name

Humalog® insulin lispro injection Antidiabetic Insulin-rapid acting

Humulin 70/30® insulin NPH and insulin regular Antidiabetic Insulin-70/30

Humulin N® insulin isophane Antidiabetic Insulin-intermediate acting

Humulin R® insulin regular Antidiabetic Insulin-short actingInvirase® saquinavir (SQV) Antiretroviral Protease inhibitor (PI)

Intelence® etravirine Antiretroviral NNRTI

Isentress HD® raltegravir HD (RAL HD) Antiretroviral Integrase strand transfer inhibitor (INSTI)Isentress® raltegravir (RAL) Antiretroviral Integrase strand transfer inhibitor (INSTI)

Isoniazid isoniazid Anti-infective Antimycobacterial

Januvia® sitagliptin Antidiabetic Dipeptidyl Peptidase-4 InhibitorJuluca® dolutegravir/rilpivirine (DTG/RPV) Antiretroviral INSTI/NRTI comboKaletra® lopinavir/ritonavir (LPV/RTV) Antiretroviral PI/PK EnhancerKeppra® levetiracetam Central nervous system Anticonvulsant, mood stabilizer

Klor-Con® potassium chloride Cardiovascular Electrolyte replacementLamictal® lamotrigine Central nervous system Anticonvulsant, mood stabilizer

Lanoxin® digoxin Cardiovascular Cardiac glycosideLantus® insulin glargine Antidiabetic Insulin-long acting

Lasix® furosemide Cardiovascular Loop diureticLeucovorin leucovorin Vitamin Vitamin Levaquin® levofloxacin Anti-infective, antibiotic Quinolone

Levemir® insulin detemir Antidiabetic Insulin intermediate to long acting

Levothroid® levothyroxine Hormanal Thyroid supplement

Levoxyl® levothyroxine Hormonal Thyroid supplementLexapro® escitalopram Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)Lexiva® fosamprenavir (FPV) Antiretroviral Protease inhibitor (PI)Lipitor® atorvastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitor

Lithobid® lithium carbonate Central nervous system Mood stabilizerLomotil®* diphenoxylate atropine Gastrointestinal agents AntidiarrhealLopid® gemifibrozil Cardiovascular agents, antihyperlipidemic Fibric acid derivative

Lopressor® metoprolol tartrate Cardiovascular Beta-blocker

Lotensin® benazepril Cardiovascular Angiotensin converting enzyme (ACE) inhibitor

Lovaza® omega 3 Cardiovascular, antihyperlipidemic LipotropicLyrica®* pregabalin Central nervous system Anticonvulsant, mood stabilizerMarinol®* dronabinol Gastrointestinal agents, appetite stimulant Cannabinoid

Mavyret® glecaprevir/pibrentasvir Anti-infective, antiviral Hepatitis C agentMegace® megestrol Gastrointestinal agents, appetite stimulant Hormonal, testosterone derivative

Menactra® meningococcal conjugate Vaccines Bacterial vaccineMenveo® meningococcal conjugate Vaccines Bacterial vaccineMepron® atovaquone Antio-infectives, amebicide Amebicide

Microzide® hydrochlorothiazide Cardiovascular Thiazide diuretic

Motrin® ibuprofen Analgesic Nonsteroidal antiinflamatory drug

Multivitamin (OTC) multivitamin Vitamin Vitamin

of 6 BY BRAND NAME



By Brand Name

Multivitamin prenatal multivitamin prenatal Vitamin Vitamin

Multivitamins B complex multivitamins B complex Vitamin Vitamin Myambutol® ethambutol Anti-infective AntimycobacterialMycelex® Troche clotrimazole Anti-infective, antifungal AzoleMycobutin® rifabutin Anti-infective Antimycobacterial

Naprosyn® naproxen Analgesic Nonsteroidal antiinflamatory drugNasarel® flunisolide nasal Respiratory Corticosteroid, nasalNeupogen® filgrastim Blood formation and coagulation Granulocyte stimulating agentNeurontin® gabapentin Central nervous system Anticonvulsant, mood stabilizer

Niaspan® niacin Cardiovascular, antihyperlipidemic Vitamin, lipotropic

Nitroglycerin capsules nitroglycerin capsules Cardiovascular Vasodilating agents

Nitrostat® nitroglycerin sublingual Cardiovascular Vasodilating agentsNizoral® ketoconazole Anti-infective, antifungal AzoleNizoral® ketoconazole (cream, shampoo) Topical, antifungal Azole, topical

Norvasc® amlodipine Cardiovascular Calcium channel blockerNorvir® ritonavir (RTV) Antiretroviral Protease inhibitor (PI)Novolin 70/30® insulin NPH and insulin regular Antidiabetic Insulin-70/30

Novolin N® insulin isophane Antidiabetic Insulin-intermediate acting

Novolin R® insulin regular Antidiabetic Insulin-short acting

NovoLOG® insulin aspart Antidiabetic Insulin-rapid acting

Novothyrox® levothyroxine Hormonal Thyroid supplement

Odefsey®rilpivirine/emtricitabine/tenofovir alafenamide

(RPV/FTC/TAF)Antiretroviral NNRTI/NRTI combo

Oxandrin®* oxandrolone Gastrointestinal agents, appetite stimulant Hormonal, testosterone derivativePamelor® nortriptyline Central nervous system, antidepressant Tricyclic antidepressant (TCA)

Paxil® paroxetine Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)

Pepcid® famotidine Gastrointestinal, acid reducing agent Histamine 2 receptor blockerPhenergan® promethazine Gastrointestinal Antihistamine, antiemetic

Phenergan® (suppository) promethazine suppository Gastrointestinal Antihistamine, antiemeticPneumovax 23® pneumococcal 23-polyvalent Vaccines Bacterial vaccinePravachol® pravastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitor

Prevnar 13® pneumococcal 13-valent conjugate Vaccines Bacterial vaccinePrezcobix® darunavir/cobicistat (DRV/COBI) Antiretroviral PI/PK EnhancerPrezista® darunavir (DRV) Antiretroviral Protease inhibitor (PI)Prilosec® omeprazole Gastrointestinal agents, acid reducing agents Proton pump inhibitor

Primaquine primaquine Anti-infective, antibiotic AntimalarialPrinivil® Lisinopril Cardiovascular Angiotensin converting enzyme (ACE) inhibitor

ProAir® Albuterol HFA Respiratory Beta-2 Agonist

Procardia XL® Nifedipine Cardiovascular Calcium channel blockerProcrit® epoetin alfa Blood formation and coagulation Erythropoeisis stimulating agent

Proventil® Albuterol HFA Respiratory Beta-2 AgonistProzac® fluoxetine Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)

of 6 BY BRAND NAME



By Brand Name

Pyrazinamide pyrazinamide Anti-infective Antimycobacterial

Pyridoxine pyridoxine (vitamin B6) Vitamin Vitamin

Qnasl® beclomethasone (nasal spray) Respiratory Corticosteroid, nasal

Qvar® beclomethasone (oral inhaler) Respiratory Corticosteroid, oral inhaled

Reglan® metoclopramide Gastrointestinal Antiemetic, prokineticRelenza® zanamivir Gastrointestinal Anti-influenzaRemeron® mirtazapine Central nervous system Tetracyclic antidepressantRescriptor® delavirdine (DLV) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Retrovir® zidovudine (AZT) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Reyataz® atazanavir (ATV) Antiretroviral Protease inhibitor (PI)Riba-Pak 600® ribavirin Anti-infective, antiviral Hepatitis C agentRibasphere® ribavirin Anti-infective, antiviral Hepatitis C agent

Rifadin® rifampin Anti-infective Antimycobacterial

Rimactane® rifampin Anti-infective AntimycobacterialRisperdal® risperidone Central nervous system Antipsychotic, atypicalSelzentry® maraviroc (MVC) Antiretroviral CCR5 antagonistSeroquel® quetiapine Central nervous system Antipsychotic, antimanic

Shingrix® zoster vaccine recombinant Vaccines Viral vaccine

Silenor® doxepin Central nervous system Tricyclic antidepressant (TCA)Sporanox® itraconazole Anti-infective, antifungal Azole

Stribild®elvitegravir/cobicistat/emtricitabine /tenofovir

disoproxil fumarate (EVG/COBI/FTC/TDF) Antiretroviral INSTI/NRTI combo

Sulfadiazine sulfadiazine Anti-infective, antibiotic SulfonamideSustiva® efavirenz (EFV) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)

Symbicort® budesonide/formoterol inhaler Respiratory Corticosteroid + Long acting Beta-2 Agonist, oral inhaled

Synthroid® levothyroxine Hormonal Thyroid supplementTamiflu® oseltamivir Anti-infective, antiviral Anti-influenzaTechnivie® ombitasvir/paritaprevir/ritonavir Anti-infective, antiviral Hepatitis C agent

Tenivac® tetanus diphtheria (Td) Vaccines Bacterial vaccineTenormin® atenolol Cardiovascular Beta-blockerTerazol® terconazole Topical, antifungal Azole, topicalTivicay® dolutegravir (DTG) Antiretroviral Integrase strand transfer inhibitor (INSTI)

Toprol XL® metoprolol succinate Cardiovascular Beta-blockerTricor® fenofibrate Cardiovascular agents, antihyperlipidemic Fibric acid derivative

Triumeq® dolutegravir/abacavir/lamivudine (DTG/ABC/3TC) Antiretroviral INSTI/NRTI combo

Trizivir® abacavir/lamivudine/zidovudine (ABC/3TC/AZT) Antiretroviral NRTI combo

Truvada®emtricitabine/tenofovir disoproxil fumarate

(FTC/TDF)Antiretroviral NRTI combo

Twinrix® hepatitis A/B Vaccines Viral vaccineTybost® cobicisat (COBI) Antiretroviral Pharmacokinetic enhancerTylenol® acetaminophen Analgesic Prostaglandin inhibitor

of 6 BY BRAND NAME



By Brand Name

Unithroid® levothyroxine Hormonal Thyroid supplementValcyte® valganciclovir Anti-infective, antiviral Antiherpetic agent (CMV)Valtrex® valacyclovir Anti-infective, antiviral Antiherpetic agent

Vascepa® omega 3 Cardiovascular, antihyperlipidemic Lipotropic

Vasotec® enalapril Cardiovascular Angiotensin converting enzyme (ACE) inhibitor

Ventolin® albuterol HFA Respiratory Beta-2 AgonistVidex® didanosine (ddI) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Videx® EC didanosine EC (ddI) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Viekira Pak® paritaprevir /ritonavir /ombitasvir + dasabuvir Anti-infective, antiviral Hepatitis C agentViekira XR® paritaprevir/ritonavir/ombitasvir + dasabuvir Anti-infective, antiviral Hepatitis C agentViracept® nelfinavir (NFV) Antiretroviral Protease inhibitor (PI)Viramune XR® nevirapine XR (NVP) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Viramune® nevirapine (NVP) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Viread® tenofovir disoproxil fumarate (TDF) Antiretroviral Nucleotide reverse transcriptase inhibitor (NRTI)

Vitamin D2 ergocalciferol Vitamin Vitamin Wellbutrin® bupropion Central nervous system Antidepressant-miscellaneous, aminoketoneWellbutrin® SR bupropion SR Central nervous system Antidepressant-miscellaneous, aminoketone

Wellbutrin® XL bupropion XL Central nervous system Antidepressant-miscellaneous, aminoketone

Zantac® ranitidine Gastrointestinal, acid reducing agent Histamine 2 receptor blockerZepatier® elbasvir/grazoprevir Anti-infective, antiviral Hepatitis C agentZerit® stavudine (d4T) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)

Zestril® lisinopril Cardiovascular Angiotensin converting enzyme (ACE) inhibitorZiagen® abacavir (ABC) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Zithromax® azithromycin Anti-infective, antibiotic macrolide

Zoloft® sertraline Central nervous system Selective serotonin reuptake inhibitor (SSRI)Zostrix® capsaicin topical Skin/Mucous Membrane Analgesic, topicalZovirax® acyclovir Anti-infective, antiviral Antiviral

Zyprexa® olanzapine Central nervous system Antipsychotic, antimanic

Zyrtec® cetirizine Respiratory Antihistamine

* controlled substance

of 6 BY BRAND NAME


Aptivus® tipranavir (TPV) Antiretroviral Protease inhibitor (PI)

Atripla®efavirenz/emtricitabine/tenofovir disoproxil

fumarate (EFV/FTC/TDF)Antiretroviral NNRTI/NRTI combo

Biktarvybictegravir/emtricitabine/tenofovir alafenamide

(BIC/TAF/FTC)Antiretroviral INSTI/NRTI combo

Combivir® lamivudine/zidovudine (3TC/AZT) Antiretroviral NRTI combo

Complera®rilpivirine/emtricitabine/tenofovir disoproxil

fumarate (RPV/FTC/TDF)Antiretroviral NNRTI/NRTI combo

Crixivan® indinavir (IDV) Antiretroviral Protease inhibitor (PI)Descovy® emtricitabine/tenofovir alafenamide (FTC/TAF) Antiretroviral NRTI comboEdurant® rilpivirine (RPV) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Emtriva® emtricitabine (FTC) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Epivir® lamivudine (3TC) Antiretroviral NRTI comboEpzicom® abacavir/lamivudine (ABC/3TC) Antiretroviral NRTI comboEvotaz® atazanavir/cobicistat (ATV/COBI) Antiretroviral PI/PK EnhancerFuzeon® enfuvirtide (ENF, T-20) Antiretroviral Fusion inhibitor

Genvoya®elvitegravir /cobicistat /emtricitabine /tenofovir

alafenamide (EVG/COBI/FTC/TAF)Antiretroviral INSTI/NRTI combo

Invirase® saquinavir (SQV) Antiretroviral Protease inhibitor (PI)

Intelence® etravirine Antiretroviral NNRTI Isentress HD® raltegravir HD (RAL HD) Antiretroviral Integrase strand transfer inhibitor (INSTI)Isentress® raltegravir (RAL) Antiretroviral Integrase strand transfer inhibitor (INSTI)Juluca® dolutegravir/rilpivirine (DTG/RPV) Antiretroviral INSTI/NRTI comboKaletra® lopinavir/ritonavir (LPV/RTV) Antiretroviral PI/PK EnhancerLexiva® fosamprenavir (FPV) Antiretroviral Protease inhibitor (PI)Norvir® ritonavir (RTV) Antiretroviral Protease inhibitor (PI)

Odefsey®rilpivirine/emtricitabine/tenofovir alafenamide

(RPV/FTC/TAF)Antiretroviral NNRTI/NRTI combo

Prezcobix® darunavir/cobicistat (DRV/COBI) Antiretroviral PI/PK EnhancerPrezista® darunavir (DRV) Antiretroviral Protease inhibitor (PI)Rescriptor® delavirdine (DLV) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Retrovir® zidovudine (AZT) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Reyataz® atazanavir (ATV) Antiretroviral Protease inhibitor (PI)Selzentry® maraviroc (MVC) Antiretroviral CCR5 antagonist

Stribild®elvitegravir/cobicistat/emtricitabine /tenofovir

disoproxil fumarate (EVG/COBI/FTC/TDF) Antiretroviral INSTI/NRTI combo

Sustiva® efavirenz (EFV) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Tivicay® dolutegravir (DTG) Antiretroviral Integrase strand transfer inhibitor (INSTI)

Triumeq® dolutegravir/abacavir/lamivudine (DTG/ABC/3TC) Antiretroviral INSTI/NRTI combo

Trizivir® abacavir/lamivudine/zidovudine (ABC/3TC/AZT) Antiretroviral NRTI combo


By Therapeutic Classification

Page 1 of 6 BY THERAPEUTIC CLASSIFICATION




Truvada®emtricitabine/tenofovir disoproxil fumarate

(FTC/TDF)Antiretroviral NRTI combo

Tybost® cobicisat (COBI) Antiretroviral Pharmacokinetic enhancerVidex® didanosine (ddI) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Videx® EC didanosine EC (ddI) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Viracept® nelfinavir (NFV) Antiretroviral Protease inhibitor (PI)Viramune XR® nevirapine XR (NVP) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Viramune® nevirapine (NVP) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Viread® tenofovir disoproxil fumarate (TDF) Antiretroviral Nucleotide reverse transcriptase inhibitor (NRTI)Zerit® stavudine (d4T) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Ziagen® abacavir (ABC) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Brand Name Generic Name Therapeutic Classification Pharmacologic Classification

Advil® ibuprofen Analgesic Nonsteroidal antiinflamatory drug

Bayer® aspirin Analgesic SalicylateEcotrin® aspirin Analgesic Salicylate

Motrin® ibuprofen Analgesic Nonsteroidal antiinflamatory drug

Naprosyn® naproxen Analgesic Nonsteroidal antiinflamatory drugTylenol® acetaminophen Analgesic Prostaglandin inhibitor

Amaryl® glimepiride Antidiabetic SulfonylureaJanuvia® sitagliptin Antidiabetic Dipeptidyl Peptidase-4 Inhibitor

Lantus® insulin glargine Antidiabetic Insulin-long acting

Levemir® insulin detemir Antidiabetic Insulin intermediate to long acting

Humalog® insulin lispro injection Antidiabetic Insulin-rapid acting

Humulin 70/30® insulin NPH and insulin regular Antidiabetic Insulin-70/30

Humulin N® insulin isophane Antidiabetic Insulin-intermediate acting

Humulin R® insulin regular Antidiabetic Insulin-short acting

Novolin 70/30® insulin NPH and insulin regular Antidiabetic Insulin-70/30Novolin N® insulin isophane Antidiabetic Insulin-intermediate acting

Novolin R® insulin regular Antidiabetic Insulin-short actingNovoLOG® insulin aspart Antidiabetic Insulin-rapid actingDiabeta® glyburide Antidiabetic agent SulfonylureaGlucophage® metformin Antidiabetic agent BiguanideGlucophage XR® metformin ER Antidiabetic agent BiguanideGlucotrol® glipizide Antidiabetic agent SulfonylureaGlucotrol XL® glipizide ER Antidiabetic agent Sulfonylurea

Flagyl® metronidazole Anti-infective Amebicide, trichomonasideBactrim® sulfamethoxazole/trimethoprim (SMX/TMP) Anti-infective, antibiotic Sulfonamide

Bactrim DS® sulfamethoxazole/trimethoprim DS (SMX/TMP) Anti-infective, antibiotic Sulfonamide

Biaxin® clarithromycin Anti-infective, antibiotic macrolideDapsone dapsone Anti-infective, antibiotic Sulfone

Daraprim® Filmtab® pyrimethamine Anti-infective, antibiotic Antimalarial





Levaquin® levofloxacin Anti-infective, antibiotic Quinolone

Primaquine primaquine Anti-infective, antibiotic AntimalarialSulfadiazine sulfadiazine Anti-infective, antibiotic SulfonamideZithromax® azithromycin Anti-infective, antibiotic macrolideDiflucan® fluconazole Anti-infective, antifungal AzoleMycelex® Troche clotrimazole Anti-infective, antifungal AzoleNizoral® ketoconazole Anti-infective, antifungal AzoleSporanox® itraconazole Anti-infective, antifungal AzoleMyambutol® ethambutol Anti-infective AntimycobacterialMycobutin® rifabutin Anti-infective Antimycobacterial

Isoniazid isoniazid Anti-infective Antimycobacterial

Pyrazinamide pyrazinamide Anti-infective Antimycobacterial

Rifadin® rifampin Anti-infective Antimycobacterial

Rimactane® rifampin Anti-infective AntimycobacterialBaraclude® entecavir Anti-infective, antiviral Hepatitis B agentDaklinza® daclatasvir anti-infective, antiviral Hepatitis C agentHarvoni® ledipasvir/sofosbuvir Anti-infective, antiviral Hepatitis C agent

Mavyret® glecaprevir/pibrentasvir Anti-infective, antiviral Hepatitis C agentRiba-Pak 600® ribavirin Anti-infective, antiviral Hepatitis C agentRibasphere® ribavirin Anti-infective, antiviral Hepatitis C agentTamiflu® oseltamivir Anti-infective, antiviral Anti-influenzaTechnivie® ombitasvir/paritaprevir/ritonavir Anti-infective, antiviral Hepatitis C agentValcyte® valganciclovir Anti-infective, antiviral Antiherpetic agent (CMV)Valtrex® valacyclovir Anti-infective, antiviral Antiherpetic agentViekira Pak® paritaprevir /ritonavir /ombitasvir + dasabuvir Anti-infective, antiviral Hepatitis C agentViekira XR® paritaprevir/ritonavir/ombitasvir + dasabuvir Anti-infective, antiviral Hepatitis C agentZepatier® elbasvir/grazoprevir Anti-infective, antiviral Hepatitis C agentZovirax® acyclovir Anti-infective, antiviral AntiviralMepron® atovaquone Antio-infectives, amebicide Amebicide

Coumadin® warfarin Blood formation and coagulation Vitamin K antagonistEpogen® epoetin alfa Blood formation and coagulation Erythropoeisis stimulating agentNeupogen® filgrastim Blood formation and coagulation Granulocyte stimulating agentProcrit® epoetin alfa Blood formation and coagulation Erythropoeisis stimulating agent

Adalat CC® nifedipine Cardiovascular Calcium channel blocker

Calan® verapamil Cardiovascular Calcium channel blockerCalan SR® verapamil Cardiovascular Calcium channel blocker

Cardizem CD® diltiazem Cardiovascular Calcium channel blocker

Cozaar® losartan Cardiovascular Angiotensin II receptor blocker (ARB)

Klor-Con® potassium chloride Cardiovascular Electrolyte replacement

Lanoxin® digoxin Cardiovascular Cardiac glycoside

Lasix® furosemide Cardiovascular Loop diuretic

Lopressor® metoprolol tartrate Cardiovascular Beta-blocker





Lotensin® benazepril Cardiovascular Angiotensin converting enzyme (ACE) inhibitor

Microzide® hydrochlorothiazide Cardiovascular Thiazide diuretic

Nitroglycerin capsules nitroglycerin capsules Cardiovascular Vasodilating agents

Nitrostat® nitroglycerin sublingual Cardiovascular Vasodilating agents

Norvasc® amlodipine Cardiovascular Calcium channel blocker

Prinivil® Lisinopril Cardiovascular Angiotensin converting enzyme (ACE) inhibitorProcardia XL® Nifedipine Cardiovascular Calcium channel blocker

Tenormin® atenolol Cardiovascular Beta-blocker

Toprol XL® metoprolol succinate Cardiovascular Beta-blocker

Vasotec® enalapril Cardiovascular Angiotensin converting enzyme (ACE) inhibitor

Zestril® lisinopril Cardiovascular Angiotensin converting enzyme (ACE) inhibitorCrestor® rosuvastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitorLipitor® atorvastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitorLopid® gemifibrozil Cardiovascular agents, antihyperlipidemic Fibric acid derivativePravachol® pravastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitorTricor® fenofibrate Cardiovascular agents, antihyperlipidemic Fibric acid derivativeLovaza® omega 3 Cardiovascular, antihyperlipidemic Lipotropic

Niaspan® niacin Cardiovascular, antihyperlipidemic Vitamin, lipotropic

Vascepa® omega 3 Cardiovascular, antihyperlipidemic LipotropicAbilify® aripiprazole Central nervous system Antipsychotic, atypical

Antivert® meclizine Central nervous system Antivertigo, antiemeticCompazine® prochlorperazine Central nervous system Anti-nausea

Depakene® valproic acid Central nervous system Anticonvulsant, mood stabilizerDepakote® divalproex sodium Central nervous system Anticonvulsant, mood stabilizerGeodon® ziprasidone Central nervous system Antipsychotic, atypicalKeppra® levetiracetam Central nervous system Anticonvulsant, mood stabilizerLamictal® lamotrigine Central nervous system Anticonvulsant, mood stabilizer

Lithobid® lithium carbonate Central nervous system Mood stabilizerLyrica®* pregabalin Central nervous system Anticonvulsant, mood stabilizerNeurontin® gabapentin Central nervous system Anticonvulsant, mood stabilizerRisperdal® risperidone Central nervous system Antipsychotic, atypical

Seroquel® quetiapine Central nervous system Antipsychotic, antimanic

Zyprexa® olanzapine Central nervous system Antipsychotic, antimanic

Celexa® citalopram Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)Cymbalta® duloxetine Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitorDesyrel® trazodone Central nervous system, antidepressant Serotonin reuptake inhibitor

Effexor® venlafaxine Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitor

Effexor XR® venlafaxine XR Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitorElavil® amitriptyline Central nervous system, antidepressant Tricyclic antidepressant (TCA)Lexapro® escitalopram Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)Pamelor® nortriptyline Central nervous system, antidepressant Tricyclic antidepressant (TCA)

Paxil® paroxetine Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)





Prozac® fluoxetine Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)Remeron® mirtazapine Central nervous system Tetracyclic antidepressant

Silenor® doxepin Central nervous system Tricyclic antidepressant (TCA)Wellbutrin® bupropion Central nervous system Antidepressant-miscellaneous, aminoketoneWellbutrin® SR bupropion SR Central nervous system Antidepressant-miscellaneous, aminoketone

Wellbutrin® XL bupropion XL Central nervous system Antidepressant-miscellaneous, aminoketoneZoloft® sertraline Central nervous system Selective serotonin reuptake inhibitor (SSRI)Constulose® Lactulose Gastrointestinal Laxative, osmotic

Enulose® lactulose Gastrointestinal Laxative, osmotic

Generlac® lactulose Gastrointestinal Laxative, osmotic

Reglan® metoclopramide Gastrointestinal Antiemetic, prokineticPrilosec® omeprazole Gastrointestinal agents, acid reducing agents Proton pump inhibitorLomotil®* diphenoxylate atropine Gastrointestinal agents AntidiarrhealMarinol®* dronabinol Gastrointestinal agents, appetite stimulant CannabinoidMegace® megestrol Gastrointestinal agents, appetite stimulant Hormonal, testosterone derivativeOxandrin®* oxandrolone Gastrointestinal agents, appetite stimulant Hormonal, testosterone derivativePepcid® famotidine Gastrointestinal, acid reducing agent Histamine 2 receptor blocker

Zantac® ranitidine Gastrointestinal, acid reducing agent Histamine 2 receptor blocker

Phenergan® promethazine Gastrointestinal Antihistamine, antiemetic

Phenergan® (suppository) promethazine suppository Gastrointestinal Antihistamine, antiemeticRelenza® zanamivir Gastrointestinal Anti-influenza

Depo-Provera® medroxyprogesterone injection Hormanal Progesterone

Levothroid® levothyroxine Hormanal Thyroid supplement

Levoxyl® levothyroxine Hormonal Thyroid supplement

Novothyrox® levothyroxine Hormonal Thyroid supplementSynthroid® levothyroxine Hormonal Thyroid supplement

Unithroid® levothyroxine Hormonal Thyroid supplementAndroderm® testosterone patch Hormonal agent AndrogenAndrogel® testosterone gel Hormonal agent Androgen

Fosamax® alendronate Osteoporosis Bisphosphonate

ACE Aerosol Cloud

enhancer®inhaler spacer (one time only) Respiratory Inhaler spacer device

Atrovent® ipratropium Respiratory Anticholinergic, oral inhaled

Benadryl® diphenhydramine Respiratory Antihistamine

Claritin® loratadine Respiratory Antihistamine

Combivent Respimat® albuterol/ipratropium Respiratory Anticholinergic + Beta-2 Agonist, oral inhaledNasarel® flunisolide nasal Respiratory Corticosteroid, nasal

ProAir® Albuterol HFA Respiratory Beta-2 Agonist

Proventil® Albuterol HFA Respiratory Beta-2 AgonistQnasl® beclomethasone (nasal spray) Respiratory Corticosteroid, nasal

Qvar® beclomethasone (oral inhaler) Respiratory Corticosteroid, oral inhaled

Symbicort® budesonide/formoterol inhaler Respiratory Corticosteroid + Long acting Beta-2 Agonist, oral inhaled





Ventolin® albuterol HFA Respiratory Beta-2 Agonist

Zyrtec® cetirizine Respiratory Antihistamine

Benzoyl peroxide topical® benzoyl peroxide topical Skin/Mucous Membrane Antibiotic + keratolytic

Betamethasone topical or

Diprolene®betamethasone valerate or dipropionate Skin/Mucous Membrane Corticosteroid, topical

Zostrix® capsaicin topical Skin/Mucous Membrane Analgesic, topicalAldara® imiquimod Topical Antiviral, topicalNizoral® ketoconazole (cream, shampoo) Topical, antifungal Azole, topicalTerazol® terconazole Topical, antifungal Azole, topical

Adacel® tetanus diphtheria-acellular pertussis (Tdap) Vaccines Bacterial vaccineBoostrix® tetanus diphtheria-acellular pertussis (Tdap) Vaccines Bacterial vaccineEngerix-B® hepatitis b adult vaccine Vaccines Viral vaccine

Gardasil®9 human papilloma virus vaccine, recombinant Vaccines Viral vaccineHavrix® hepatitis adult vaccine Vaccines Viral vaccine

Menactra® meningococcal conjugate Vaccines Viral vaccineMenveo® meningococcal conjugate Vaccines Bacterial vaccinePneumovax 23® pneumococcal 23-polyvalent Vaccines Bacterial vaccinePrevnar 13® pneumococcal 13-valent conjugate Vaccines Bacterial vaccine

Shingrix® zoster vaccine recombinant Vaccines Viral vaccineTenivac® tetanus diphtheria (Td) Vaccines Bacterial vaccineTwinrix® hepatitis A/B Vaccines Viral vaccine

Calcium carbonate calcium carbonate Vitamin Vitamin

Calcium with vitamin D calcium with vitamin D Vitamin Vitamin

Cyanocobalamin cyanocobalamin, vitamin B 12 (injection only) Vitamin Vitamin

FeroSul® ferrous sulfate Vitamin Vitamin

Folic acid folic acid Vitamin Vitamin Leucovorin leucovorin Vitamin Vitamin Multivitamin (OTC) multivitamin Vitamin Vitamin

Multivitamin prenatal multivitamin prenatal Vitamin Vitamin Multivitamins B complex multivitamins B complex Vitamin Vitamin

Pyridoxine pyridoxine (vitamin B6) Vitamin Vitamin

Vitamin D2 ergocalciferol Vitamin Vitamin

* controlled substance


florida ryan white part b - aids drug assistance program ...€¦ · baraclude® entecavir...

Documents