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Missouri ADAP Formulary
Which drugs are covered?

All drugs are listed by catagory and alphabetically, starting with their generic names followed by the brand names in parenthesis. Click on a high-lighted item in green to see a detailed description of the drug. To search for a specific drug, hold down both the control key (command key on the Mac) and the F key, then type in the drug name.

Antiretroviral
Nucleoside/tide Reverse
Transcriptase Inhibitor (NRTI)

abacavir (Ziagen)
abacavir/lamivudine/zidovudine (Trizivir)
didanosine (ddI, Videx)
emtricitabine (Emtriva)
lamivudine (Epivir, 3TC)
lamivudine/zidovudine (Combivir)
stavudine (d4T, Zerit)
tenofovir (Viread)
zalcitabine (ddC, HIVID)
zidovudine (AZT, Retrovir)
Protease Inhibitor (PI)
amprenavir (Agenerase)
atazanavir (Reyataz)
fosamprenavir (Lexiva)
indinavir (Crixivan)
lopinavir/ritonavir (Kaletra)
nelfinavir (Viracept)
ritonavir (Norvir)
saquinavir (Fortavase)
saquinavir (Invirase)
Non-nucleoside Reverse Transcriptase Inhibitor (NnRTI)
delavirdine (Rescriptor)
efavirenz (Sustiva)
nevirapine (Viramune)


Entry Inhibitor
enfuvirtide (Fuzeon)*

Other
hydroxyurea (Hydrea)

HIV Drug Resistance Tests: Both Genotypic and Phenotypic tests are covered. Physicians must request a prior authorization.

Opportunistic Infection (OI) Treatment & Prophylaxis
Public Health Service
Recommanded OI drugs

acyclovir
azithromycin
clarithromycin
famciclovir
fluconazole
ganciclovir
isoniazid
itraconazole
leucovorin
pyrimethamine
rifampin
sulfadiazine
TMP/SMX
Other OI drugs
atovaquone
ciprofloxacin
clindamycin
clofazimine
clotrimazole
dapsone
econazole
ethambutol
griseofulvin
ketoconazole
miconazole
nystatin
ofloxacin
paramomycin
pentamidine
primaquine
rifabutin
terbinafine
terconazole
valacyclovir (Valtrex)
valganciclovir

Cardiac
acebutolol
amiloride
amlodipine
atenolol
benazepril
captopril
cardizem
chlorothiazide
chlorthalidone
clonidine
diltiazem
doxazosin mesylate
enalapril
fosinopril
furosemide
hydrochlorothiazide
irbesartan
labetalol
lisinopril
methyldopa
metoprolol
nifedipine
nisoldipine
prazosin
propranolol
quinapril
ramipril
spironolactone
terazosin
triamterene
verapamil
Diabetic
acarbose
chlorpropamide
gilmepiride
glipizide
glyburide
insulin
metformin
miglitol
pioglitazone
rosiglitazone
tolazamide
tolbutamide

Hyperlipidemia
atorvastatin
cholestyramine
clofibrate
colestipol
fenofibrate
fluvastatin
gemfibrozil
lovastatin
niacin
pravastatin
simvastatin

Wasting
dronabinol
megestrol acetate
nandrolone
oxandrolone (Oxandrin)
oxymetholone
testosterone

Other
acetaminophen /codine
albuterol inhaler
alprazolam
amitriptyline
amoxicillin trihydrate
amoxicillin &
clavulanate potassium
ampicillin
baclofen
beclomethasone
benzoropine
betamethasone
bupropion
buspirone
carbamazepine
carbidopa
carisoprodol
cefaclor
cefadroxil
cefdinir
cefprozil
cefixime
ceftibutin
cefuroxime
celecoxib
cephalexin
cetirizine
chlordiazepoxide
chlorpromazine
chlorzoxazone
cimetidine
citalopram
clemastine
clobetasol
clomipramine
clonazepam
codeine
cromolyn
cyclobenzaprine
cyproheptadine
desipramine
desoximetasone
dexamethasone
diazepam
diclofenac
dicloxacillin
dicyclomine
diflunisal
diphenhydramine
diphenoxylate
divalproex sodium
dolasetron
doxepin
doxycycline
erythromycin
etodolac
famotidine
fenoprofen
fentanyl
fexofenadine
flucytosine
flunisolide
fluocinolone
fluocinonide
fluoxetine
flurazepam
fluticasone
fluvoxamine
furazolidone (Furoxone)
gabapentin
granisetron
halcionoide
haloperido
hepatitis A vaccine
hepatitis B vaccine
hydrocodone
hydrocortisone
hydromorphone
hydroxyzine
ibuprofen (prescription strength)
imipramine
indomethacin
ipratropium
ketoprofen
ketorolac
lamotrigine
lansoprazole
levofloxacin
lithium
loperamide
loracarbef
loratadine
lorazepam
meclizine
meperidine
mepivacaine
metaxalone
methadone
methocarbamol
metoclopramide
metronidazole
minocycline
mirtazapine
mometasone
montelukast
morphine immediate release
mupirocin
naproxen
nefazodone
nitrofurantoin
nizatidine
nortriptyline
olanzapine
omeprazole
ondansetron
orphenadrine
oxaprozin
oxazepam
oxycodone combinations
pancrelipase
paroxetine
penicillin
phenytoin
pirbuterol
piroxicam
prednisone
primidone
prochlorperazine
promethazine
propoxyphene combinations
pyrazinamide
ranitidine
risperidone
rofecoxib
salmeterol
sertraline
sparfloxacin
sucralfate
sulindac
temazepam
terbutaline
tetracycline
theophylline
thiothixene
timolol
tolmetin
tramadol
trazodone
triamcinolone
trifluoperazine
trimethobenzamide
trovafloxacin
valporic acid
vancomycin
venlafaxine
zolpidem

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Last modified: 12/15/2006
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