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North Dakota 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.
For a list of specific medical criterias, see the bottom of this page.

Antiretroviral
Nucleoside/tide Reverse
Transcriptase Inhibitor (NRTI)

abacavir (Ziagen)
abacavir/lamivudine/zidovudine (Trizivir)
didanosine (ddI, Videx)
lamivudine (Epivir, 3TC)
lamivudine/zidovudine (Combivir)
stavudine (d4T, Zerit)
tenofovir (Viread)
zalcitabine (ddC, HIVID)
zidovudine (AZT, Retrovir)
Protease Inhibitor (PI)
amprenavir (Agenerase)
atazanavir (Reyataz)
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)

Other
hydroxyurea (Hydrea)

HIV Drug Resistance Tests: None.

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

acyclovir (Zovirax)
azithromycin (Zithromax)
cidofovir (Vistide)
clarithromycin (Biaxin)
famciclovir (Famvir)
fluconazole (Diflucan)
foscarnet (Foscavir)
ganciclovir (Cytovene)
itraconazole (Sporanox)
leucovorin (Wellcovorin)
pyrimethamine (Daraprim)
sulfadiazine
TMP/SMX (Bactrim/Septra)
Other OI drugs
adefovir (Hepsera)
albendazole (Albenza)
amphotericin B (Fungizone)
amoxicillin (Amoxil)
atovaquone (Mepron)
ciprofloxacin (Cipro)
clindamycin (Cleocin)
clotrimazole (Lotrimin, Mycelex)
dapsone
erythromycin (Erythrocin, Ery-Tab, EES)
erythropoietin (Epogen, EPO, Procrit)
ethambutol (Myambutol)
filgrastim (Neupogen)
ketoconazole (Nizoral)
nystatin (Mycostatin)
paramomycin (Humatin, Aminosidine, AMS)
pentamidine (NebuPent, Pentam, Pentacarinat)
prednisone (Deltasone, Meticorten, Orasone)
rifabutin (Mycobutin)
valganciclovir (Valcyte)

isoniazid, pyrazinamide, and rifampin are covered through the TB Program.

Cardiac
doxazosim mesylate (Cardura)
lisinopril (Zestril)


Hyperlipidemia
atorvastatin (Lipitor)




Wasting
dronabinol (Marinol)
megestrol acetate (Megace)


Other
acetaminophen/codine
(Tylenol #3)
amantadine (Symmetrel)
amitriptyline (Elavil)
calcium acetate (PhosLo)
chlor-hexidene (Peridex)
diphenoxylate w/atropine
(Lomotil)
etodolac (Lodine)
fludrocortisone (Florinef)
fluoxetine (Prozac)
gabapentin (Neurontin)
haloperidol (Haldol)
hepatitis A vaccine
hepatitis B vaccine
influenza vaccine
loperamide (Imodium)
lorazepam (Ativan)
morphine (Duramorph,
Oramporph, Roxanol)
morphine sulfate (MS Contin)
olanzapine (Zyprexa)
ondansetron (Zofran)
pantoprazole sodium
(Protonix)
pneumococcal vaccine
prochlorperazine (Compazine)
propoxyphene N-100
(Darvocet)
ranitideine(Zantac)
sertraline (Zoloft)
trazodone (Desyrel)
venlafaxine (Effexor)
vitamin (Nephrocap)
zanamivir (Relenza)


Medical Criteria
  • The formulary list also states: "Drugs not included on this list but requested for HIV-related conditions will be considered on an individual basis."

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Last modified: 12/15/2006
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