For a description of drugs listed on this page go to Medline Plus. For some drugs and in other instances noted below you will need to complete a Medication Exception Form

Anti-HIV Drugs

Non-nucleosides (Non-Nukes or NNRTIs)

• delavirdine (Rescriptor)
• efavirenz (Sustiva)
• nevirapine (Viramune)
• Multi-category drug: Sustiva and Truvada (Atripla)
• Experimental: TMC-125

• atazanavir (Reyataz)
• fosamprenavir (Lexiva)
• indinavir (Crixivan)
• lopinavir/ritonavir (Kaletra)
• nelfinavir (Viracept)
• ritonavir (Norvir)
• saquinavir mesylate (Invirase)
• tipranavir (Aptivus)

Hivid not pictured
Nucleoside/tides (NRTIs or nukes)

• abacavir (Ziagen)
• lamivudine/abacavir (Epzicom)
• abacavir/lamivudine/zidovudine (Trizivir)
• didanosine (ddI, Videx, Videx EC)
• emtricitabine (Emtriva)
• emtricitabine/tenofovir (Truvada)
• lamivudine (Epivir)
• lamivudine/zidovudine (Combivir)
• stavudine (d4T, Zerit)
• tenofovir (Viread)
• zidovudine (AZT, Retrovir)
• zalcitabine (ddc, HIVID)

• enfuvirtide (Fuzeon)
• Experimental:CCR5 inhibitor Maraviroc

• Experimental: MK-0518

Medical Criteria

Medication specific criteria for NRTIs, NNRTIs, PIs, and Multi-Class Agents except where otherwise indicated:

• CD4 count currently or previously below 500 or CD4 count over 500 with a detectable viral load.
• Prescription required every 6 months.

Aptivus (tipranavir) NRTI and NNRTI experienced; CD4 less than 300 or 20%; viral load greater than 400 AND resistance, intolerance or treatment failure to 2 or more PIs. ADAP Medication Exception Form documenting authorized indications in the “Reason for Exception” section is required, with updated prescription and CD4/viral load every 3 months. Medication Exception Form required

Norvir (ritonavir, RTV) Abbott Laboratories, manufacturer of Norvir, is currently making this medication available to clients who are on 400 mg per day or higher without charge to client or ADAP through their Patient Assistance Program. Clients or medical providers can contact the program directly at 1-800-222-6885. The website address is www.abbott.com. For more information, contact VDH ADAP Coordinator at (804) 864-8019.

Prezista (darunavir, TMC114) NRTI and NNRTI experienced; CD4 less than 300 or 20%; viral load greater than 400 AND Resistance, intolerance or treatment failure to 2 or more PIs. ADAP Medication Exception Form documenting authorized indications in the "Reason for Exception" section is required, with updated prescription and CD4/viral load every 3 months. Medication Exception Form required

Fuzeon (enfuvirtide, T-20) NRTI and NNRTI experienced; CD4 less than 300 or 20%; viral load greater than 400 AND resistance, intolerance or treatment failure to 2 or more PIs. ADAP Medication Exception Form documenting authorized indications in the “Reason for Exception” section is required, with updated prescription and CD4/viral load every 3 months. Medication Exception Form Required.

Health care providers who have clinical questions may contact their Regional AIDS Resource and Consultation Centers:

Central: 800-525-7605 / 804-828-2210

Eastern: 800-999-8385 / 757-446-6170

Northern: 800-828-4927

Northwest: 800-421-1102

Southwest: 800-950-4056

• State and National Resources - Virginia specific contact information for different programs through which you can access a variety of services. This page also includes national resources, and links to other sources.


• Care Networks and Care Providers


• Accessing Treatments and other Resources : Virginia has a list or formulary of drugs and other services they cover through ADAP and other programs. Other potential sources of treatments for people with HIV or Hepatitis are also listed.


• Hepatitis Resources : Virginia has statewide Hepatitis vaccination programs.

About Virginia - Eligibility for ADAP and other programs is determined at local health departments or through Virginia Commonwealth University Health Systems Financial Counseling and Governmental Services. If you have any questions The Virginia HIV/STD/Viral Hepatitis Hotline provides statewide toll-free lines to answer questions and provide crisis intervention, referrals and written educational materials regarding Sexually Transmitted Diseases (STDs), HIV and AIDS. The number is (800) 533-4148. You can also e-mail the hotline at hiv-stdhotline@vdh.virginia.gov.

Vaccines

• Hepatitis A
• Hepatitis A/B
• Hepatitis B
• Influenza
• Pneumovax

Hepatitis C Treatment - Monthly Prescriptions needed

• Copegus (ribavirin)
• Pegasys (peginterferon-alfa2a)
• Rebetol (ribavirin) Shering Plough
• Peg-Intron (peginterferon-alfa2b)

Opportunistic Infection Protection/Treatment

• Aerosolized Pentamidine (AP) Have or had active thrush or have a CD4 of 250 or less.
• Amikin (amikacin)
• Bactrim/Septra (TMP/SMX) Have a CD4 count of <250 or active thrush
• Biaxin (clarithromycin)
• Capastat (capreomycin)
• Cleocin (clindamycin) (oral)
• Cytovene IV (ganciclovir, DHPG)
• Dapsone Have a CD4 count of <250 or active thrush
• Daraprim (pyrimethamine)
• Deltasone(prednisone)Only authorized for the treatment of toxoplasmosis, Pneumocyctis (carinii) pneumonia, and aphthous ulcers. ADAP Medication Exception Form documenting authorized indications in the "Reason for Exception" section is required. Medication Exception Form Required
• Diflucan (fluconazole po)
• Famvir (famcyclovir) - for Herpes Zoster only
• Foscarnet (foscavir IV)
• INH (isoniazid)
• Levoquin (levofloxacin)
• Mepron (atovaquone) Have or had active thrush or have a CD4 count of 250 or less.
• Microsulfon (sulfadiazine)
• Myambutol (Ethambutol)
• Mycobutin (rifabutin) Have a CD4 count of 100 or less. For treatment of MAI, only for those clients currently on it and those unable to tolerate Zithromax.
• Paser (para-aminosalicylic acid)
• Primaquine
• Rifadin (rifampin)
• Seromycin (cycloserine)
• Sporanox (itraconazole)
• Tebrazid (pyrazinamide)
• Trecator (ethionamide)
• Trimethoprim Have a CD4 count of <250 or active thrush
• Valcyte (valganciclovir HCL)
• Vistide (cidofovir)
• Vitamin B6 (pyridoxine)
• VFend (voriconazole) Only authorized for fluconazole resistant candidiasis, treatment failure of candidiasis after utilizing itraconazole, and for the treatment of invasive aspergillus.ADAP Medication Exception Form documenting authorized indications in the “Reason for Exception” section is required. An updated exception form is required for each prescription
• Zithromax (azithromycin) Have a CD4 count of <250 or active thrush
• Zovirax (acyclovir po)

Adjuvant Therapy

• Megace (Megesterol)
• Procrit (epoetin alfa)
• Wellcovorin (leukovorin)

Patient Assistance Programs - Free or reduced price medications are offered by individual drug companies, as well as other organizations and foundations. All prescription drugs, including generic drugs, are made by drug companies. Information includes: Who you should call or e-mail about getting treatments,and financial and medical eligibility criteria. Although they will not automatically cover "the doughnut hole" or co-pays if you have Medicare Part D, some program are willing to make arrangements and even check out any benefits for which you are eligible. If you need help, contact them directly or let us know what drug you are interested in, or if you are trying to contact a specific company, foundation or organization and contact The Network at network@atdn.org