Infectious Disease Medications - HIV, Hep C

Prescription Drugs No Longer Covered by AzADAP

Drug Name
ABILIFY
ACETAMINOPHEN/COD #3
ACTOS
ACYCLOVIR
AEROBID MDI
ALDARA
AMITRIPTYLINE
AMLODIPINE
AMOXICILLIN
AMOXICILLIN/CLAVULANTEANDROGEL
ATENOLOL
ATROVENT INHALER HFA
AVANDIA
AVELOX
BARACLUDE
BENAZEPRIL
BUPROPION
BUPROPION SR
CARBAMAZEPINE
CEPHALEXIN
CHLORALPHENAZONE/ISOMETHEPTENE/ACETAMINOPHEN 65MG / 100MG/ 325MG
CHLORHEXIDINE GLUCONATE
CITALOPRAM
CLONAZEPAM
COZAAR
CYCLOBENZAPRINE
DEPAKOTE
DEPAKOTE ER
DESIPRAMINE
DIAZEPAM
DICLOXACILLIN
DICYCLOMINE
DILANTIN INFATAB
DILTIAZEM
DIPHENHYDRAMINE
DIPHENOXYL/ATROPINE SULFAT
DOXAZOSIN
DOXYCYCLINE HYCLATE
EFFEXOR XR
ENALAPRIL MALEATE
ESTRADIOL
FERROUS SULFATE
FLUNISOLIDE MDI
FLUOCINONIDE
FLUOXETINE
FLUTICASONE NASAL
FUROSEMIDE
GABAPENTIN
GEMFIBROZIL
GLIPIZIDE
GLYBURIDE
HUMALOG
HYDROCHLOROTHIAZIDE
HYDROCODONE/APAP
HYDROCORTISONE
HYDROXYZINE HCL
HYDROXYZINE PAMOATE
IBUPROFEN
KETOCONAZOLE
LANTUS
LEVOXYL

LEXAPRO
LIPITOR
LISINOPRIL
LITHIUM CARBONATE
LOPERAMIDE
LORATADINE
LORAZEPAM
LYRICA
MAGNESIUM OXIDE
MEDROXYPROGESTERONE
MEGACE ES
MEGESTROL
METFORMIN
METOCLOPRAMIDE
METOPROLOL
METRONIDAZOLE
MIRTAZAPINE
MUPIROCIN
NAPROXEN
NIASPAN
NORTRIPTYLINE
NOVOLIN N
NOVOLIN R
NYSTATIN OINTMENT
OMEPRAZOLE
PAROXETINE HCL
PENICILLIN VK
PHENYTOIN SODIUM
POTASSIUM CHLORIDE
PRAVASTATIN
PREDNISONE
PREMARIN
PRENATAL PLUS
PRENATAL PLUS IRON
PROCHLORPERAZINE
PROMETHAZINE
PROMETHAZINE/CODEINE SYRUP
PROVENTIL HFA
RANITIDINE
RISPERDAL
SELENIUM
SERTRALINE
SPIRONOLACTONE
TEMAZEPAM
TERBINAFINE
TESTIM
TESTOSTERONE ENANTHATE
TRAZODONE
TRIAMCINOLONE ACETONIDE
TRIAMTERENE/HCTZ
ULTRASE MT 20
WARFARIN SODIUM
ZETIA
ZOLPIDEM TARTRATE
ZYPREXA

Strength
5MG / 10MG / 15MG / 20MG / 30MG
300/30MG
15MG / 30MG / 45MG
200MG / 400MG / 800MG
250MCG
5% Cream
10MG / 25MG / 50MG / 75MG/ 100MG
2.5MG / 5MG / 10MG
500MG
500MG/125MG, 875MG/125MG
1% Gel
25MG / 50MG / 100MG
17MCG
2MG / 4MG
400MG
1MG
10MG / 20MG
75MG
100MG / 150MG
100MG / 200 MG
500MG

0.012%
10MG / 20MG / 40MG
0.5MG / 1MG / 2MG
25MG / 50MG / 100MG
5MG / 10MG
250MG / 500MG
100MG / 500MG
25MG/50MG/75MG/100MG
2MG / 5MG / 10MG
250MG/500MG
10MG / 20MG
50MG
120MG SR / 180MG SR / 240MG SR / 300MG SR
25MG
2.5/0.025MG
1MG / 2MG / 4MG / 8MG
100MG
37.5MG / 75MG / 150MG
5MG / 10MG / 20MG
0.5MG / 1MG
325MG
0.025%
0.05% Cream
10MG / 20MG / 40MG
20MG / 40MG
100MG / 300MG / 400MG / 600MG / 800MG
600MG
5MG / 10MG
2.5MG / 5 MG
100U/ML
25MG / 50MG
5MG/500MG 7.5/500MG
2.5% Cream
25MG / 50 MG
25 MG
400MG / 600 MG / 800 MG
2% Cream / 2% Shampoo
U-100
25MCG / 50MCG / 75MCG / 88MCG / 100MCG / 112MCG
125 MCG / 137 MCG / 150 MCG / 175 MCG / 200MCG

5MG / 10MG / 20MG
10MG / 20MG / 40MG / 80MG
2.5MG / 5MG / 10MG / 20MG / 40MG
150MG / 300MG
2MG
10MG
0.5MG / 1MG / 2MG
50MG / 75MG / 100MG / 300MG
400MG
5MG/10MG
625MG/5ML
40MG / 40MG/ML
500MG/ 850MG
5MG/ 10MG
25MG / 50MG / 100MG
250MG / 500MG
15MG/ 30MG / 45MG
2% Ointment
500MG
500MG ER / 1000MG ER
10MG / 25MG/ 50MG/ 75MG
100U/ML
100U/ML
100MU/GM
20MG
10MG / 20MG / 30MG / 40MG
500MG
100MG
10MEQ XR / 20MEQ XR
10MG / 20MG / 40MG / 80MG
1MG / 2.5MG / 5MG / 10MG / 20MG
0.3MG/ 0.625MG
Multi-Vitamin
Muiti-Vitamin
5MG / 10MG
25MG / 50MG
6.25/10MG
90MCG
150MG / 300 MG
0.25MG / 0.5MG / 1MG / 2MG / 3MG / 4MG
2.5%
25MG/ 50MG / 100MG
25MG / 50MG / 100MG
15MG / 30MG
250MG
1% GEL
200MG/ml
50MG / 100MG / 150MG
0.05% / 0.1% Cream
25MG / 37.5MG

1MG / 2MG / 2.5MG / 3MG / 4MG / 5MG
10MG
5MG / 10MG
2.5MG / 5 MG / 7.5MG / 10MG / 15MG

AzADAP formulary letter to Providers, Patients, Caregivers