Getting Treatment Coverage

ADAP is an AIDS Drug Assistance Program. Some states call these programs, which are paid for by federal and state funds, other names but still offer a list or formulary of drugs, as well as some blood tests or even small devices for measuring blood sugar or injecting drugs. Usually you just call the ADAP phone number and say you want to apply.

Some states require a Case Manager, others don't. Each state has different requirements and offers different types of programs. You usually have to apply for Medicaid first, although some ADAPs help people with private insurance, Medicare Part D or no insurance. Call to find out. If you have questions you can e-mail us

There are many categories of drugs related to treating HIV or Hepatitis co-infection. Sometimes, a state will have a separate Hepatitis vaccination or testing program. You might also need to look for other programs to meet your needs. Don't drop your insurance coverage or COBRA premiums without first seeing if your state will cover part or the whole premium or drug cost co-pays. Apply to get Medicaid or Medicare or private insurance with the help of your case manager.

You might also need to try a Patient Assistance Program. The pharmaceutical industry has set up programs that offer medications for free, or sometimes at a very low price. You may have to apply directly to a specific company. Your doctor or another member of your health care team like a Case Manager will usually help you out to apply, and you may need to apply to more than one company for the treatments you need.

Other times, the best way to find out about Hepatitis treatments is to contact an agency or organization that deals mostly with AIDS, or the HIV/STD Department of your state.You might also consider experimental drugs.

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Indiana

CONTACTS • HEALTHCARE • TREATMENTS

Nucleoside/tides (NRTIs or nukes)

Non-nucleosides (Non-Nukes or NNRTIs)

Protease Inhibitors

Multi-Class Antiretroviral Agent

Entry Inhibitors

Fuzeon - enfuvirtide. ISDH recommends completing a Fuzeon Nurse Connections enrollment form to arrange for a home visit from a Fuzeon Nurse Educator or by phone at 877-438-9366

[Isentress]
Integrase Inhibitors

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Vaccines, blood tests and other items are covered through the EIP program as described here.

Antibiotics - ciprofloxacin (Cipro), ceftriaxone (Rocephin), levofloxacin (Levaquin), doxycycline (Doxy 100, 200, etc.), amoxicillin (Amoxil), amoxicillin and clavulanate potassium (Augmentin), cephalexin (Keflex), penicillin G benzathine (Bicillin LA)

Anti-nausea - promethazine (Phenergan), prochlorperazine (Compazine), ondansetron (Zofran) (second line drug)

Antivirals - acyclovir (Zovirax, oral, topical), oral valganciclovir Hydrochloride (Valcyte), valacyclovir Hydrochloride (Valtrex)

Antifungals - nystatin (Mycostatin, liquid, cream, tabs), fluconazole (Diflucan), clotrimazole (Troches, Vaginal Cream/Tabs, Mycelex, Gyne-Lotrimin), flucytosine, itraconazole (Sporanox), terbinafine (Lamisil), griseofulvin (Grifulvin, Gris-PEG), Voriconazole (Vfend) (second line drug)

PCP and MAC Prevention and Treatment - pentamidine (Nebupent, Pentam 300), trimethoprim/Sulfamethoxazole (TMP/SMZ, Septra Bactrim), Leucovorin, Dapsone, Rifabutin (Mycobutin), Clarithromycin (Biaxin, Biaxin XL), Azithromycin (Zithromax), Atovaquone (Mepron), Ethambutol (Myambutol), Daraprim (pyrimethamine), Microsulfon (sulfadiazine)

Treatments for Oral Manifestations - chlorhexidine Gluconate .12% (Peridex), metronidazole 250 mg tablets (Flagyl), Mary's Magic (a specific recipe at a specific cost)

Pain Management - acetaminophen and codeine (Tylenol #3, Tylenol+codeine), tramadol hydrochloride (Ultram), morphine sulfate (Immediate Release & Sustained Release), acetaminophen hydrocodone (Vicodin), gabapentin (Neurontin), oxycodone (OxyIR, Roxicodone, Oxycontin), ibuprofen (Motrin, IBU)

Sleep Medications - Trazodone (Desyrel), diphenhydramine (Benadryl), hydroxyzine (Vistaril, Atarax), temazepam (Restoril), zolpidem tartrate (Ambien)

Antianxiety/Antidepressants - tricyclic antidepressants (TCAs such as Tofranil), buspirone (BuSpar), amitriptyline (Elavil), desipramine (Norpramine, Pertofrane), bupropion (Wellbutrin), venlafaxine (Effexor), fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft), celexa (Citalopram), klonopin (Clonazepam), nefazodone (Generic Only), mirtazapine (Remeron), duloxetine (Cymbalta), alprazolam (XanaxÑnot XR, generic only), lorazepam (Ativan)

Mood Stablizers - lithium carbonate, valproate sodium (Depakote), lamotrigine (Lamictal)

Cholesterol Lowering Medications - lipitor (Atorvastatin Calcuim), tricor (Fenofibrate), pravastatin (Pravachol), gemfibrozil ( Lopid), ezetimibe (Zetia)

Other Covered Medications - phenobarbital (Solfoton), phenytoin (Dilantin), carbamazepine (Tegretol), diphenoxylate Atropine (Lomotil), testosterone (topical and injectible only, oxandrin (Oxandrolone), Premarin, Provera, Estradiol, loperamide Hydrochloride 2mg caps (Imodium), metoprolol (Lopressor, Toprol XL), pantoprazole Sodium (Protonix), famotidine (Pepcid), ranitidine (Zantac), megestrol acetate (Megace ES), hydrochlorothiazide (Microzide), lisinopril (Prinivil, Zestril), lansoprazole (Prevacid), prednisone (Sterapred), metformin HCL (Glucophage, Fortamet, Riomet), varenicline (Chantix)

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