Anti-HIV Drugs

Non-nucleosides (Non-Nukes or NNRTIs)

• Intelence* - etravirine
• Sustiva - efavirenz
• Viramune - nevirapine
• Rescriptor - delavirdine

• Atripla - efavirenz, tenofovir and emtricitabine

• Reyataz - atazanavir
• Prezista - darunavir
• Lexiva - fosamprenavir
• Crixivan - indinavir
• Kaletra - lopinavir/ritonavir
• Viracept - nelfinavir
• Norvir - ritonavir
• Invirase - saquinavir mesylate
• Aptivus - tipranavir

* drugs with an asterix require either prior authorization, or a discussion with the Medical Advisory Approval Board. Your Title II Case manager will be able to assist you with this process.

Entry Inhibitors

• Fuzeon - enfuvirtide

Integrase Inhibitors

• Isentress* - raltegravir

CCR5 co-receptor inhibitors

• Selzentry* - maraviroc

Nucleoside/tides (NRTIs or nukes)

• Ziagen - abacavir
• Epzicom - lamivudine/abacavir
• Trizivir - abacavir/lamivudine/zidovudine
• Videx - didanosine
• Emtriva - emtricitabine
• Truvada - emtricitabine/tenofovir
• Epivir - lamivudine
• Combivir - lamivudine/zidovudine
• Zerit - stavudine
• Viread - tenofovir
• Retrovir - zidovudine

Hepatitis Treatment

• Some depression meds, other types of these meds covered on a case by case basis
• Roche Patient Assistance Foundation
  1-877-757-6243
• Schering Commitment to Care Application:1-800-521-7157

Other Covered Treatments

• acyclovir
• amitriptyline
• atovaquone
• azithromycin
• bactrim (DS also)
• cephalexin
• clarithromycin
• clindamycin
• clotrimazole
• dapsone
• ethambutol
• famciclovir
• fluconazole
• itraconazole
• ketoconazole
• ketoconazole cream*
• klonopin
• megesterol acetate
• metronidazole
• nystatin
• oxandrin
• paramomycin
• pentamidine isethionate
• rifabutin
• trazadone*
• valgancyclovir
• valacyclovir