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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.

HIV Treatments

• 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

Non-nucleosides (Non-Nukes or NNRTIs)

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

• Reyataz - atazanavir
• Prezista - darunavir** (600mg now available)
• Lexiva - fosamprenavir
• Crixivan - indinavir
• Kaletra - lopinavir/ritonavir
• Viracept - nelfinavir
• Norvir - ritonavir
• Invirase - saquinavir mesylate
• Aptivus - tipranavir

• Atripla - efavirenz, tenofovir and emtricitabine

• Fuzeon - enfuvirtide**
• Selzentry - maraviroc*

• Isentress - raltegravir*

Hepatitis B vacinations are covered. Treatments are not, although some components of a treatment regimen are covered.

• Havrix
• Engerix-B
• TwinRix

Other Covered Treatments

• Anti-viral - Acyclovir (Zovirax), Famciclovir (Famvir) (restricted to one-month without approval), Foscarnet (Forcavir), Ganciclovir* (Cytovene), Valacyclovir (Valtrex), Valganciclovir* (Valcyte)


• Anti-mycobacterials - Ethambutol (Myambutol), Rifabutin (Mycobutin)


• Anti-bacterial and anti-parasitic - Atovaquone* (Mepron), Azithromycin (Zithromax), Ciprofloxacin (Cipro), Clarithromycin (Biaxin), Clindamycin (Cleocin), Dapsone, Metronidazole (Flagyl), Pentamidine for inhalation (Nebupent) and injection (Pentam), Primaquine, Pyrimethamine (Daraprim), Sulfadiazine (Microsulfon), Trimethoprim (Proloprim), Trimethoprim-Sulfamethoxazole (Bactrim-DS)


• Anti-fungal - Clotrimazole troches (Mycelex) Fluconazole (Diflucan) (restricted to one-month without approval) Itraconazole (Sporanox) (requires prior approval) Ketoconazole (Nizoral) Nystatin (Mycostatin) suspension Voriconazole* (Vfend)


• Apetite Stimulants Megestrol (Megace) (restricted to one-month without approval)


• Biologicals - Erythropoietin* (Epogen), Filgrastim* (G-CSF; Neupogen)


• Blood Lipids Lowering - Atorvastatin (Lipitor), Pravastatin (Pravachol), Rosuvastatin (Crestor)


• Blood Triglycerides Lowering - Fenofibrate (TriCor/Lofibra)


• Blood Glucose Lowering - Metformin (Glucophage), Pioglitazone (Actos 15mg)


• Multivitamins - Prenatal-S* (pregnant women only)


• Psychotropics - Bupropion SR (Wellbutrin SR), Divalproex (Depakote ER), Sertraline (Zoloft), Venlafaxine (Effexor ER)


• Miscellaneous - Leucovorin calcium (Wellcovorin)


• Injections Antibiotics and Antifungals - Amikacin* (Amikin), TMP/SMX (Bactrim for infusion), Amphotericin-B (Fungizone), Penicillin Benzathine (Bicillin L-A)