| State | Antiretrovirals | OI Prophylaxis and Treatment/Other Drugs |
| Alabama | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), fluconazole (Diflucan), ganciclovir (Cytovene), leucovorin, TMP/SMX (Bactrim/Septra) |
| Alaska | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea) | |
| Arizona | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea), efavirenz (Sustiva) | dapsone, pentamidine, TMP/SMX (Bactrim/Septra), trimethoprim, azithromycin (Zithromax), clarithromycin (Biaxin), rifabutin (Mycobutin), pyrimethamine (Daraprim) |
| Arkansas | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), nevirapine (Viramune) | acyclovir (Zovirax), dapsone, famciclovir (Famvir), TMP/SMX (Bactrim/Septra), valacyclovir (Valtrex), atovaquone (Mepron), azithromycin (Zithromax), clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), clotrimazole (Mycelex), ethambutol (Myambutol), fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), leucovorin, metronidazole (Flagyl), nystatin, ofloxacin, paromomycin (Humatin), pyrimethamine (Daraprim), amoxicillin/clavulanate (Augmentin), cephalexin (Keflex), doxycycline, erythromycin, griseofulvin (Fulvicin), terfenabine (Lamisil) |
| California | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea) | acyclovir (Zovirax), alpha-interferon, amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), bleomycin, clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), clotrimazole (Mycelex), cyclophosphamide, dapsone, dexamethasone, doxorubicin, dronabinol (Marinol), erythropoietin (Epogen), ethambutol (Myambutol), filgrastim (Neupogen), fluconazole (Diflucan), flucytosine (Ancobon), foscarnet (Foscavir), ganciclovir (Cytovene), itraconazole (Sporanox), ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), methotrexate, nystatin, paromomycin (Humatin), pentamidine, prednisone, pyrimethamine (Daraprim), rifabutin (Mycobutin), sulfadiazine, TMP/SMX (Bactrim/Septra), trimethoprim, trimetrexate glucuronate (Neutrexin), vinblastine, vincristine, cidofovir (Vistide), liposomal daunorubucin (DaunoXome), albendazole (Albenza), metronidazole (Flagyl), paclitaxel (Taxol), valacyclovir (Valtrex), amitriptyline HCL, bupropion (Wellbutrin), desipramine, fluoxetine (Prozac), nefazodone (Serzone), nortriptyline HCL, paroxetine HCL (Paxil), sertraline (Zoloft), trazodone HCL, venlaxifine HCL (Effexor), diphenoxylate HCL (Lomotil), loperamide HCL (Imodium), tincture of opium, amoxicillin, cephalexin, dicloxacillin sodium, doxycycline, erythromycin base, erythromycin ethlysuccinate, minocycline HCL, neomycin sulfate, penicillin V potassium, vancomycin HCL, nandrolone deconoate, nandrolone phenpropionate, oxandrolone (Oxandrin), testosterone cypionate, testosterone ethanthate, testosterone propionate, codeine phosphate, codeine phosphate/acetominophen, codeine phosphate/aspirin, codeine sulfate, fenoprofen calcium, fentanyl patch, hydrocodone bitartrate/acetominophen, hydrocodone HCL, ibuprofen prescription strength, ibuprofen/hydrocodone bitartrate, indomethacin, ketoprofen, levorphenol tartrate, morphine sulfate, naproxen, oxycodone, oxycodone/aspirin, sulindac, tetracycline HCL, hepatitis B vaccine, pneumococcal vaccine |
| State | Antiretrovirals | OI Prophylaxis and Treatment/Other Drugs |
| Colorado | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | |
| Connecticut | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea) | acyclovir (Zovirax), amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), clotrimazole (Mycelex), dapsone, dronabinol (Marinol), erythropoietin (Epogen), ethambutol (Myambutol), filgrastim (Neupogen), fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), itraconazole (Sporanox), ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), metronidazole (Flagyl), nystatin, ofloxacin, paromomycin (Humatin), pentamidine, prednisone, primaquine, pyrimethamine (Daraprim), rifabutin (Mycobutin), sulfadiazine, terconazole, TMP/SMX (Bactrim/Septra), trimethoprim, pneumovax, Lomotil, hydroxyzine HCL (Atarax), prochlorperesine (Compazine), amoxicillin, amoxicillin/potassium clavulante (Augmentin), cefuroxime, cephalexin, dicloxacillin, vancomycin, acetaminophen w/codeine (Generic only), fentanyl transdermal system (Duragesic), amitriptyline (Elavil), lorazepam (Generic only), sertraline (Zoloft), hydrocortisone cream/lotion/ointment, lactic acid, triameinolone - acetonide cream/ointment, chlorhexidine gluconate (Peridex), loperamide hydrochloride (Imodium) |
| Delaware | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), nevirapine (Viramune), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), delavirdine (Rescriptor) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), clarithromycin (Biaxin), clotrimazole (Mycelex), dapsone, fluconazole (Diflucan), nystatin, paromomycin (Humatin), pentamidine, prednisone, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra, amitriptyline (Elavil), amoxicillin, carbamazepine (Tegretol), cephalexin, clemastine fumarate, clotrimazole/betamethasone cream, clotrimazole vaginal application (Monistat Dual), docusate calcium, doxycycline, erythromycin, loperamide (Imodium), metaproterenol inhaler, miconazole cream, penicillin, phenytoin (Dilantin), psyllium (Metamucil), Senekot-S Tab, magnesium, multivitamins with iron, ethambutol (Myambutol), isoniazid (INH), itraconazole (Sporanox), leucovorin, pyrimethamine (Daraprim). The following agents will be provided for a four week period of illness only, not prophylaxis. Alternative funding must be applied for at the time of initiation of therapy. A negative response from a drug company or other entity must be presented before extension will be considered: erythropoietin (Epogen), filgrastim (Neupogen), ganciclovir (Oral only). The following will be obtained as a nutritional component of Home and Community-Based Care through the Division of Public Health: dronabinol (Marinol), megestrol acetate (Megace), multivitamins. |
| District of Columbia | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), alpha-interferon, amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), cidofovir (Vistide), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clotrimazole (Mycelex), dapsone, DOXIL, dronabinol (Marinol), ethambutol (Myambutol), fluconazole (Diflucan), ganciclovir (Cytovene), isoniazid (INH), ketoconazole (Nizoral), megestrol acetate (Megace), ofloxacin, pentamidine, pyrazinamide (PZA), pyrimethamine (Daraprim), rifabutin (Mycobutin), rifampin, sulfadiazine, TMP/SMX (Bactrim/Septra), acetomenaphine with codeine (Tylenol III and Tylenol IV), fentanyl patch (Duragesic), ibuprofen (800mg), morphine sulfate (MS Contin), amoxicillin/clavulanate (Augmentin), fluoxetine HCL(Prozac), sertraline HCL (Zoloft), dephenoxylate and atropine (Lomotil), hydrocortisone cream 1% |
| State | Antiretrovirals | OI Prophylaxis and Treatment/Other Drugs |
| Florida | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), efavirenz (Sustiva) | acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), dapsone, ethambutol (Myambutol), fluconazole (Diflucan), rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra), atovaquone (Mepron), itraconazole (Sporanox), miconazole, pyrimethamine (Daraprim), terconazole, leucovorin, diphenoxylate (Lomotil), pneumococcal vaccine (Pnumovax), procholorperazine (Compazine) |
| Georgia | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), efavirenz (Sustiva) | |
| Hawaii | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), efavirenz (Sustiva) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), cidofovir (Vistide), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), dapsone, erythropoietin (Epogen, Procrit), ethambutol (Myambutol), filgrastim (Neupogen), fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), itraconazole (Sporanox), ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), pentamidine, pyrimethamine (Daraprim), rifabutin (Mycobutin), rifampin, TMP/SMX (Bactrim/Septra), probenecid |
| Idaho | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | dapsone, pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra) |
| Illinois | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), alpha-interferon, amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), cidofovir (Vistide), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clotrimazole (Mycelex), dapsone, dronabinol (Marinol), ethambutol (Myambutol), famciclovir (Famvir), fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), isoniazid (INH), itraconazole (Sporanox), ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), miconazole, nystatin, ofloxacin, paromomycin (Humatin), pentamidine, primaquine, pyrazinamide (PZA), pyrimethamine (Daraprim), rifabutin (Mycobutin), rifampin, Rifater, streptomycin, sulfadiazine, sulfamethoxazole, terconazole, TMP/SMX (Bactrim/Septra), trimethoprim, probenecid, amoxicillin, cefixime, cephalexin, chlorhexidine gluconate, dicloxacillin sodium, doxycycline, erythromycin, penicillin VK, tetracycline, danazol (Danocrine) |
| Indiana | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), clotrimazole (Mycelex), dapsone, fluconazole (Diflucan), nystatin, pentamidine, TMP/SMX (Bactrim/Septra), rifabutin (Mycobutin), itraconazole (Sporanox) |
| Iowa | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), clarithromycin (Biaxin), clotrimazole (Mycelex), dapsone, fluconazole (Diflucan), ketoconazole (Nizoral), nystatin, pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra) |
| Kansas | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), saquinavir (Fortovase), ritonavir (Norvir), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), efavirenz (Sustiva), hydroxyurea (Hydrea) | acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), clindamycin, dapsone, dronabinol (Marinol), famciclovir (Famvir), fluconazole (Diflucan), itraconazole (Sporonox), ketoconazole (Nizoral), megestrol acetate (Megace), ethambutol (Myambutol), atovaquone (Mepron), clotrimazole (Mycelex), pentamidine, rifabutin (Mycobutin), nystatin, paromomycin (Humatin), primaquine, TMP/SMX (Bactrim/Septra), ganciclovir (Cytovene), amitriptyline, cephalexin (Keflex), clofazimine (Lamprene), oxandrolone (Oxandrin) |
| Kentucky | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), ciprofloxacin (Cipro), clarithromycin (Biaxin), clotrimazole (Mycelex), dapsone, fluconazole (Diflucan), ketoconazole (Nizoral), megestrol acetate (Megace), nystatin, pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra) |
| Louisiana | indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), nevirapine (Viramune), delavirdine (Rescriptor), efavirenz (Sustiva) | |
| Maine | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept) | acyclovir (Zovirax), dapsone, fluconazole (Diflucan), itraconazole (Sporanox), pentamidine, TMP/SMX (Bactrim/Septra). Additional drugs that can be approved on a case-by-case basis: clarithromycin (Biaxin), ethambutol (Myambutol) |
| Maryland | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea) | acyclovir (Zovirax), alpha-interferon, amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), cidofovir (Vistide), clarithromycin (Biaxin), clotrimazole (Mycelex), dapsone, ethambutol (Myambutol), fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), isoniazid (INH), ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), nortriptyline (Pamelor), pentamidine, pyrazinamide (PZA), pyrimethamine (Daraprim), rifabutin (Mycobutin), rifampin, TMP/SMX (Bactrim/Septra), clindamycin, sulfadiazine, nortriptyline (Pamelor) |
| Massachusetts | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea) | acyclovir (Zovirax), alpha-interferon, clarithromycin (Biaxin), clindamycin, clotrimazole (Mycelex), dapsone, fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), ketoconazole (Nizoral), leucovorin, nystatin, pentamidine, pyrimethamine (Daraprim), rifabutin (Mycobutin), sulfadiazine, terconazole, TMP/SMX (Bactrim/Septra), butaconazole (Femstat), azithromycin (Zithromax) |
| State | Antiretrovirals | OI Prophylaxis and Treatment/Other Drugs |
| Michigan | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea) | acyclovir (Zovirax), amphotericin B, azithromycin (Zithromax), clarithromycin (Biaxin), clotrimazole (Mycelex), dapsone, fluconazole (Diflucan), ketoconazole (Nizoral), pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra), famciclovir (Famvir) |
| Minnesota | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea) | acyclovir (Zovirax), amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), clotrimazole (Mycelex), dapsone, dronabinol (Marinol), ethambutol (Myambutol), fluconazole (Diflucan), ganciclovir (Cytovene), itraconazole (Sporanox), ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), nystatin, paromomycin (Humatin), pentamidine, prednisone, pyrimethamine (Daraprim), rifabutin (Mycobutin), rifampin, TMP/SMX (Bactrim/Septra), valacyclovir (Valtrex), chlor-hexidine (Peridex), cimetidine (Tagamet), hydrocortisone, diphenoxylate (Lomotil), loperamide HCI (Immodium), ranitidine (Zantac), albendazole (Albenza), "All antidepressant drugs" |
| Mississippi | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune) | acyclovir (Zovirax), azithromycin (Zithromax), dapsone, fluconazole (Diflucan), ganciclovir (Cytovene), pentamidine, TMP/SMX (Bactrim/Septra), sertraline (Zoloft). Note: fluconazole (Diflucan) is only covered for one month, conditional upon application to Pfizer patient assistance program. |
| Missouri | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), clotrimazole (Mycelex), dapsone, ethambutol (Myambutol), famciclovir (Famvir), fluconazole (Diflucan), ganciclovir (Cytovene), isoniazid (INH), itraconazole (Sporanox), ketoconazole (Nizoral), leucovorin, metronidazole (Flagyl), miconazole, nystatin, ofloxacin, pentamidine, prednisone, pyrimethamine (Daraprim), rifabutin (Mycobutin), rifampin, sulfadiazine, TMP/SMX (Bactrim/Septra), valacyclovir (Valtrex), codeine, Darvocet, Ibuprofen, morphine (immediate release), Percocet, Tylenol III w/codeine, amoxicillin, amoxicillin/potassium (Augmentin), cefuroxime, cephalexin, doxycycline, erythromycin, penicillin, carbamazepine (Tegretol), phenytoin (Dilantin), diphenoxylate (Lomotil), loperamide (Imodium), griseofulvin, diphenhydramine (Benadryl), hydroxyzine, doxepin, amitriptyline (Elavil), nortriptyline (Pamelor), betamethasone, clobetasol, desoximetasone, fluocinolone, fluocinonide, hydrocortisone, triamcinolone |
| Montana | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | pentamidine |
| State | Antiretrovirals | OI Prophylaxis and Treatment/Other Drugs |
| Nebraska | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | All OI drugs were removed from Nebraska's ADAP formulary in August 1998 due to a severe budget crisis. |
| Nevada | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), efavirenz (Sustiva) | acyclovir (Zovirax), azithromycin (Zithromax), dapsone, fluconazole (Diflucan), TMP/SMX (Bactrim/Septra) |
| New Hampshire | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), efavirenz (Sustiva) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), clotrimazole (Mycelex), dapsone, ethambutol (Myambutol), fluconazole (Diflucan), ganciclovir (Cytovene), isoniazid (INH), ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), metronidazole (Flagyl), nystatin, pentamidine, primaquine, pyrazinamide (PZA), pyrimethamine (Daraprim), rifabutin (Mycobutin), rifampin, sulfadoxine, TMP/SMX (Bactrim/Septra), trimethoprim, famciclovir (Famvir) |
| New Jersey | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), clotrimazole (Mycelex), cycloserine, dapsone, ethambutol (Myambutol), ethionamide, fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), isoniazid (INH), itraconazole (Sporanox), IVIG, ketoconazole (Nizoral), leucovorin, ofloxacin, paromomycin (Humatin), pentamidine, prednisone, pyrazinamide (PZA), rifabutin (Mycobutin), rifampin, streptomycin, TMP/SMX (Bactrim/Septra), Pneumovax (pneumococcal vaccine) |
| New Mexico | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), efavirenz (Sustiva) | acyclovir (Zovirax), alpha-interferon, amikacin, amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), clotrimazole (Mycelex), dapsone, erythropoietin (Epogen, Procrit), ethambutol (Myambutol), famciclovir (Famvir), filgrastim (Neupogen), fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), itraconazole (Sporanox), ketoconazole (Nizoral), megestrol acetate (Megace), nystatin, pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra), trimethoprim, sertraline (Zoloft), Tegrin Shampoo |
| State | Antiretrovirals | OI Prophylaxis and Treatment/Other Drugs |
| New York | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea) | acyclovir (Zovirax), albendazole (Albenza), alpha-interferon, amikacin, amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), bleomycin, capreomycin, cidofovir (Vistide), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clotrimazole (Mycelex), cyclophosphamide, cycloserine, cyproheptadine HCI (Periactin), cytarabine, dapsone, DaunoXome, dexamethasone, DOXIL, doxorubicin, dronabinol (Marinol), erythropoietin (Procrit), ethambutol (Myambutol), ethionamide, etoposide, famciclovir (Famvir), filgrastim (Neupogen), fluconazole (Diflucan), flucytosine (Ancobon), foscarnet (Foscavir), ganciclovir (Cytovene), isoniazid (INH), itraconazole (Sporanox), IVIG, kanamycin, ketoconazole (Nizoral), leucovorin, lomustine, megestrol acetate (Megace), methotrexate, metronidazole (Flagyl), miconazole, nystatin, ofloxacin, para aminosalicyclic acid (PAS), paromomycin (Humatin), pentamidine, prednisone, primaquine, procarbazine, pyrazinamide (PZA), pyrimethamine (Daraprim), rifabutin (Mycobutin), rifampin, Rifater, streptomycin, sulfadiazine, sulfadoxine, sulfamethoxazole, terconazole, TMP/SMX (Bactrim/Septra), trimethoprim, triple sulfa, vinblastine, vincristine, paclitaxel (Taxol), griseofulvin, butalbuital, comb.w/wo codeine, codeine w/wo ASA, APAP, diclofenac, diflunisal, fenoprofen, fentanyl (patch only), flurbiprofen, hydrocodone w/ASA, APAP, hydromorphone, ibuprofen, indomethacin, ketoprofen, ketorolac tromethamine, levorphanol tartrate, methadone hydrochloride, morphine sulfate, naproxen, oxycodone w/wo ASA, APAP, piroxicam, sulfindac, tolmetin, amoxicillin, amoxicillin K + clavulanate, ampicillin, aztreonam, bacitracin, cefaclor, cefadroxil, cefazolin, cefixime, cefoxitin, cefpodoxime, cefprozil, ceftazidime, ceftriaxone, cefuroxime, cephalexin, cephradine, chloramphenicol, cloxacillin, dicloxacillin, doxycycline, erythromycin , erythromycin-ethylsuccinate erythromycin-ethylsuccinate and sulfisoxazole acetyl, furazolidone, gentamicin, imipenem-cilastatin, levofloxacin, loracarbef, minocycline, nitrofurantoin, penicillin G, penicillin V potassium, sparfloxacin, spectinomycin, tetracycline, ticarcillin K+clavulanate, tobramycin, vancomycin, carbamazepine (Tegretol), divalproex sodium, magnesium sulfate, phenytoin (Dilantin), primidone, valproic acid, alprazolam, amitriptyline, bupropion, buspirone, butabarbital, chloral hydrate, chlordiazepoxide w/wo clidinium, chlorpromazine, clomipramine, clonazepam, clorazepate, clozapine, desipramine, dextroamphetamine-sulfate, diazepam, doxepin HCL, fluoxetine, fluphenazine, flurazepam, fluvoxamine, halazepam, haloperidol, imipramine, lithium carbonate, lithium citrate, lorazepam, loxapine, mesoridazine, methylphenidate, molindone, nefazodone, nortriptyline, olanzapine, oxazepam, paroxetine, pemoline, pentobarbital, perphenazine, prazepam, prochlorperazine, risperidone, secobarbital, sertraline, temazepam, thioridazine, thiothixene, trazodone, triazolam, trifluoperazine, trimipramine, venlafaxine, zolpidem, loperamide (Imodium), Lomotil, ocreotide acetate, paregoric, tincture of opium, chlorhexidine gluconate, probenicid, podofilox, fluoride, hepatitis A & B vaccines, imiquimod (Aldara), topical steroids, nandrolone, oxandrolone (Oxandrin), testosterone, antihistamines, decongestants, nasal inhalers |
| State | Antiretrovirals | OI Prophylaxis and Treatment/Other Drugs |
| North Carolina | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), clarithromycin (Biaxin), clindamycin, dapsone, fluconazole (Diflucan), ganciclovir (Cytovene), itraconazole (Sporanox), ketoconazole (Nizoral), nystatin, paromomycin (Humatin), pentamidine, pyrimethamine (Daraprim), rifabutin (Mycobutin), sulfadiazine, TMP/SMX (Bactrim/Septra), leucovorin, ethambutol (Myambutol) |
| North Dakota | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clotrimazole (Mycelex), dapsone, erythropoietin (Epogen, Procrit), ethambutol (Myambutol), filgrastim (Neupogen), fluconazole (Diflucan), ganciclovir (Cytovene), itraconazole (Sporanox), ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), nystatin, paromomycin (Humatin), pentamidine, prednisone, pyrimethamine (Daraprim), rifabutin (Mycobutin), sulfadiazine, TMP/SMX (Bactrim/Septra), dronabinol (Marinol), albendazole (Albenza), sertraline (Zoloft), amitriptyline (Elavil), Duramorph, MS Contin, Darvocet, Lomotil, Imodium, Peridex, Zantac, fluoxetine (Prozac), trazodone (Desyrel), Tylenol #3, amantadine (Symmetrel) |
| Ohio | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), efavirenz (Sustiva), hydroxyurea (Hydrea) | acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), clotrimazole (Mycelex), dapsone, fluconazole (Diflucan), ketoconazole (Nizoral), nystatin, pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra), ethambutol (Myambutol), pyrimethamine (Daraprim) |
| Oklahoma | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), dapsone, fluconazole (Diflucan), itraconazole (Sporanox), pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra) |
| Oregon | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), alpha-interferon, amikacin atovaquone (Mepron), azithromycin (Zithromax), cidofovir (Vistide), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clotrimazole (Mycelex), cycloserine, dapsone, DaunoXome, DOXIL, dronabinol (Marinol), erythropoietin (Epogen, Procrit), ethambutol (Myambutol), ethionamide, famciclovir (Famvir), filgrastim (Neupogen), fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), isoniazid (INH), itraconazole (Sporanox), ketoconazole (Nizoral), leucovorin, metronidazole (Flagyl), ofloxacin, para aminosalicyclic acid (PAS), pentamidine, pyrazinamide (PZA), pyrimethamine (Daraprim), rifabutin (Mycobutin), Rifamate, rifampin, Rifater, streptomycin, sulfadiazine, TMP/SMX (Bactrim/Septra), trimetrexate glucuronate (Neutrexin), valacyclovir (Valtrex), hepatitis A & B vaccines, pneumococcal vaccine (Pneumovax), influenza vaccine, h. influenza B vaccine, varicella vaccine, polio, vaccine tetanus-diptheria vaccine, MMR (measles, mumps, rubella) vaccine, trazodone (Desyrel), venlaxafine (Effexor), mirtazipine (Remeron), nefazodone (Serzone), buproprion (Wellbutrin), phenelzine (Nardil), tranylcypromine (Parnate), paroxetine (Paxil), fluoxetine (Prozac), sertraline (Zoloft), maprotiline (Ludiomil), doxepin (Adapin, Sinequan, Zonalon), amoxapine (Asendin), amitriptyline, perphenazine, chlordiazepoxide (Limbitrol), desipramine, nortriptyline, trimipramine, imipramine, protriptyline, acetaminophen (various brands and combinations), methotrimeprazine, tramadol (Ultram), carbamezapine, Traumeel, buprenorphine, dezocine, nalbuphine, pentazocine, alfentanil, morphine, dihydrocodeine, propoxyphene, meperidine, hydromorphone, fentanyl, codeine, butalbital, hydrocodone, levorphanol, methadone, oxymorphone, levomethadyl, oxycodone, sufentanil, Midrin, naproxen, diclofenac, sulindac, oxaprozin, diflunisal, piroxicam, ibuprofen, indomethacin, etodolac, fenoprofen, ketoprofen, mefenamic, nabumetone, tolmetin, ketorolac, aspirin, orphenadrine, salsalate, choline, mephobarbital, pentobarbital (Nembutal), phenobarbital, diazepam, clonazepam, clorazepate, felbamate, gabapentin (Neurontin), fosphenytoin, phenytoin, mephenytoin, ethotoin, valproic acid, primidone, phenacemide, carbamezapine (Tegretol, Atretol, Epitol), lamotrigine (Lamictal), methasuximide (Celontin), ethosuximide (Zarontin), metformin HCI, acarbose (Precose), Insulins (all insulins), glimepride (Amaryl), glyburide (DiaBeta), chlorpropamide (Diabinese), glipizide (Glucotrol), glyburide (Glynase), gentamicin, cefazolin sodium, erythromycin (all forms), amoxicillin, penicillin, ticarcillin, disoium/clavulanate potassium (Timentin), ampicillin sodium/sulbactam sodium (Unasyn), doxycycline calcium, lomefloxacin HCI , enoxacin, trovofloxacin, prochlorperazine (Compazine), promethazine HCI (Phenergan), trimethobenzamide HCI , ondansetron HCI (Zofran), clofribate , gemfibrozil (Lopid), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol), simvastatin (Zocor), alteplase (Activase), pegademase (Adagen), alglucerase, imiglucerase, asparaginase, pegaspargase, Arco-Lase Plus, furazolidone, loperamide HCI Imodium), diphenoxylate HCI (Lomotil), difenoxin HCI (Motofen), octreotide acetate (Sandostatin), tincture of opium, thalidomide |
| Pennsylvania | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), alpha-interferon, amikacin, amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), bleomycin, capreomycin, ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), clotrimazole (Mycelex), cycloserine, dapsone, dexamethasone, doxorubicin, dronabinol (Marinol), ethambutol (Myambutol), ethionamide, etoposide, fluconazole (Diflucan), flucytosine (Ancobon), foscarnet (Foscavir), ganciclovir (Cytovene), isoniazid (INH), itraconazole (Sporanox), kanamycin, ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), nystatin, ofloxacin, paromomycin (Humatin), pentamidine, prednisone, primaquine, pyrazinamide (PZA), pyrimethamine (Daraprim), rifabutin (Mycobutin), rifampin, Rifater, sulfadiazine, sulfadoxine, terconazole, TMP/SMX (Bactrim/Septra), trimetrexate glucuronate (Neutrexin), triple sulfa, valacyclovir (Valtrex), vinblastine, vincristine, clozaril |
| State | Antiretrovirals | OI Prophylaxis and Treatment/Other Drugs |
| Puerto Rico | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept) | acyclovir (Zovirax), alpha-interferon, amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), capreomycin, ciprofloxacin (Cipro), clarithromycin (Biaxin), clotrimazole (Mycelex), cycloserine, dapsone, erythropoietin (Epogen, Procrit), ethambutol (Myambutol), ethionamide, famciclovir (Famvir), filgrastim (Neupogen), fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), isoniazid (INH), itraconazole (Sporanox), IVIG, kanamycin, ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), metronidazole (Flagyl), nystatin, ofloxacin, pentamidine, pyrazinamide (PZA), pyrimethamine (Daraprim), rifabutin (Mycobutin), rifampin, sulfadiazine, TMP/SMX (Bactrim/Septra), triple sulfa, acetaminophen, Actifed (generic), Alba-Lybe, Albafort, Albatussin SR, Albatussin NN, Albuterol inhaler, amoxicillin clavulanate, antacids, betamethasone dipropionate, betamethason/clotrimazole cream, Brondelate, capsaicin (purified), Cefaclor, cefadroxil monohydrate, ceftriaxone, cetirizine, clindamycin vaginal cream, cold cream (generic), diphenhydramine, diphenoxylate HCI, atropine sulfate, doxycycline, econazole nitrate, erythromycin, flurbiprofen, fluoxetine (Prozac), haloperidol, hydrocortisone cream, Ionil-T, Kenalog, ketaconazole shampoo, lanzoprazole, lidocaine HCI, lindane shampoo/lotion, loperamide (Imodium), mebendazole, mometasone furoate, Nutraderm lotion, penicillin G benzathine suspension, phenytoin, prednisolone syrup, probenecid, ranitidine, sertraline HCI (Zoloft), sucralfate, theophylline, terconazole vaginal cream, Tia-Doce, amikacin, amytriptyline (Elavil), clofazimine (Lamprene), Hierro generic, hydroxyzine pamoate, imiquimod (Aldara), spectomycin (generic), tricloric acid |
| Rhode Island | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea) | acyclovir (Zovirax), alpha-interferon, atovaquone (Mepron), azithromycin (Zithromax), clarithromycin (Biaxin), dapsone, ethambutol (Myambutol), fluconazole (Diflucan), ganciclovir (Cytovene), isoniazid (INH), itraconazole (Sporanox), pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra), ciprofloxacin (Cipro), valacyclovir (Valtrex), leucovorin, pyrimethamine (Fansidar), sulfadiazine |
| South Carolina | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine | acyclovir (Zovirax), azithromycin (Zithromax), clarithromycin (Biaxin), clotrimazole (Mycelex), dapsone, famciclovir (Famvir), fluconazole (Diflucan), ketoconazole (Nizoral), nystatin, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra), valacyclovir (Valtrex), amphotericin B, atovaquone (Mepron), clindamycin, ethambutol (Myambutol), itraconazole (Sporanox), primaquine |
| South Dakota | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), ciprofloxacin (Cipro), clarithromycin (Biaxin), clofazimine (Lamprene), clotrimazole (Mycelex), dapsone, fluconazole (Diflucan), itraconazole (Sporanox), megestrol acetate (Megace), pentamidine, pyrimethamine (Daraprim), rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra), valacyclovir (Valtrex), amitriptyline (Elavil), fentanyl (patch), morphine, MS Contin, propoxyphene (Darvocet), Tylenol #3 w/codeine, carbamazapine (Tegretol), divalproex sodium (Depakote), felbatol (Felbamate), phenytoin (Dilantin), prochlorperazine (Compazine) |
| Tennessee | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), clarithromycin (Biaxin), dapsone, fluconazole (Diflucan), itraconazole (Sporanox), megestrol acetate (Megace), pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra) |
| State | Antiretrovirals | OI Prophylaxis and Treatment/Other Drugs |
| Texas | Priority 1:, didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | Priority 1:, acyclovir (Zovirax), dapsone, IVIG, TMP/SMX (Bactrim/Septra), trimethoprim, Priority 2:, azithromycin (Zithromax), clarithromycin (Biaxin), fluconazole (Diflucan), ganciclovir (Cytovene), itraconazole (Sporanox), pentamidine |
| Utah | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | |
| Vermont | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), efavirenz (Sustiva), hydroxyurea (Hydrea) | acyclovir (Zovirax), amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), cidofovir (Vistide), clarithromycin (Biaxin), clotrimazole (Mycelex), dapsone, DOXIL, filgrastim (Neupogen), fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), itraconazole (Sporanox), ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), nystatin, pentamidine, primaquine, pyrimethamine (Daraprim), rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra), sulfadiazine, ocreotide acetate (Sandostatin), ciprofloxacin (Cipro), ethambutol (Myambutol) |
| Virginia | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea) | acyclovir (Zovirax), azithromycin (Zithromax), dapsone, fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra), itraconazole (Sporanox), cidofovir (Vistide), trimethoprim. Clients unable to tolerate the protease inhibitors indinavir (Crixivan) or nelfimavir (Viracept) or who develop resistance may receive another FDA approved protease inhibitor. This will be considered on an individual basis. |
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Washington | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), hydroxyurea (Hydrea) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), clotrimazole (Mycelex), dapsone, dronabinol (Marinol), ethambutol (Myambutol), famciclovir (Famvir), fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), leucovorin, megestrol acetate (Megace), metronidazole (Flagyl), miconazole, nystatin, paromomycin (Humatin), pentamidine, primaquine, pyrimethamine (Daraprim), rifabutin (Mycobutin), rifampin, sulfadiazine, sulfadoxine, terconazole, TMP/SMX (Bactrim/Septra), trimethoprim, amoxicillin, amoxicillin/potassium (Augmentin), ampicillin, cefixime, cephalexin, cimetidine, diphenoxylate/atropine (Lomotil), erythromycin, estrogen , medroxyprogesterone, famotidine, loperamide (Imodium), metoclopramide (Reglan), miconazole, nizatidine , phenazopyridine, podofilox, prochlorperazine (Compazine), promethazine (Phenergan), ranitidine (Zantac), tetracycline, albendazole (Albenza), gabapentin (Neurontin), antidepressants |
| West Virginia | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), efavirenz (Sustiva) | clotrimazole (Mycelex), dapsone, ketoconazole (Nizoral), nystatin, pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra) |
| Wisconsin | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), atovaquone (Mepron), azithromycin (Zithromax), clarithromycin (Biaxin), dapsone, fluconazole (Diflucan), pentamidine, rifabutin (Mycobutin), TMP/SMX (Bactrim/Septra) |
| Wyoming | didanosine (ddI, Videx), lamivudine (3TC, Epivir), stavudine (d4T, Zerit), zalcitabine (ddC, HIVID), zidovudine (AZT, Retrovir), indinavir (Crixivan), ritonavir (Norvir), saquinavir (Fortovase), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor) | acyclovir (Zovirax), alpha-interferon, amikacin, amphotericin B, atovaquone (Mepron), azithromycin (Zithromax), bleomycin, ciprofloxacin (Cipro), clarithromycin (Biaxin), clindamycin, clofazimine (Lamprene), clotrimazole (Mycelex), dapsone, doxorubicin, erythropoietin (Epogen, Procrit), ethambutol (Myambutol), filgrastim (Neupogen), fluconazole (Diflucan), foscarnet (Foscavir), ganciclovir (Cytovene), isoniazid (INH), itraconazole (Sporanox), leucovorin, megestrol acetate (Megace), metronidazole (Flagyl), nystatin, paromomycin (Humatin), pentamidine, prednisone, primaquine, pyrazinamide (PZA), pyrimethamine (Daraprim), rifabutin (Mycobutin), Rifamate, rifampin, streptomycin, sulfadiazine, TMP/SMX (Bactrim/Septra), triple sulfa, vinblastine, vincristine, ketoconazole (Nizoral), valacyclovir (Valtrex), ibuprofen, MS Contin, Roxanol, carbamezapine (Tegretol), phenytoin (Dilantin), valproic acid (Depakote), fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), bupropion (Wellbutrin), trifluridine (Viroptic), gamma interferon (Actimmune) |