Florida Ryan White Part B - AIDS Drug Assistance Program ... · Brand Name Generic Name Therapeutic Classification Pharmacologic Classification. Florida Ryan White Part B - AIDS Drug

Brand Name Generic Name Therapeutic Classification Pharmacologic Classification

Abilify® aripiprazole Central nervous system Antipsychotic, atypical

ACE Aerosol Cloud

enhancer®inhaler spacer (one time only) Respiratory Inhaler spacer device

Adacel® tetanus diphtheria-acellular pertussis (Tdap) Vaccines Bacterial vaccine

Adalat CC® nifedipine Cardiovascular Calcium channel blocker

Advil® ibuprofen Analgesic Nonsteroidal antiinflamatory drugAldara® imiquimod Topical Antiviral, topicalAlbuterol albuterol Respiratory Beta-2 Agonist

Amaryl® glimepiride Antidiabetic SulfonylureaAndroderm®* testosterone patch Hormonal agent AndrogenAndrogel®* testosterone gel Hormonal agent Androgen

Antivert® meclizine Central nervous system Antivertigo, antiemeticAptivus® tipranavir (TPV) Antiretroviral Protease inhibitor (PI)

Atripla®efavirenz/emtricitabine/tenofovir disoproxil

fumarate (EFV/FTC/TDF)Antiretroviral NNRTI/NRTI combo

Atrovent® ipratropium Respiratory Anticholinergic, oral inhaledBactrim® sulfamethoxazole/trimethoprim (SMX/TMP) Anti-infective, antibiotic SulfonamideBactrim DS® sulfamethoxazole/trimethoprim DS (SMX/TMP) Anti-infective, antibiotic SulfonamideBaraclude® entecavir Anti-infective, antiviral Hepatitis B agent

Bayer® aspirin Analgesic Salicylate

Benadryl® diphenhydramine Respiratory AntihistamineBenzoyl peroxide topical benzoyl peroxide topical Skin/Mucous Membrane Antibiotic + keratolytic

Betamethasone topical or

Diprolene®betamethasone valerate or dipropionate Skin/Mucous Membrane Corticosteroid, topical

Biaxin® clarithromycin Anti-infective, antibiotic Macrolide

Biktarvy®bictegravir/emtricitabine/tenofovir alafenamide

(BIC/TAF/FTC)Antiretroviral INSTI/NRTI combo

Boostrix® tetanus diphtheria-acellular pertussis (Tdap) Vaccines Bacterial vaccine

Calan® verapamil Cardiovascular Calcium channel blocker

Calan SR® verapamil Cardiovascular Calcium channel blocker

Calcium carbonate calcium carbonate Vitamin Vitamin

Calcium with vitamin D calcium with vitamin D Vitamin Vitamin

Cardizem CD® diltiazem Cardiovascular Calcium channel blocker

Celexa® citalopram Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)

Claritin® loratadine Respiratory AntihistamineCombivent Respimat® albuterol/ipratropium Respiratory Anticholinergic + Beta-2 Agonist, oral inhaledCombivir® lamivudine/zidovudine (3TC/AZT) Antiretroviral NRTI comboCompazine® prochlorperazine Central nervous system Anti-nausea

Complera®rilpivirine /emtricitabine/ tenofovir disoproxil

fumarate (RPV/FTC/TDF)Antiretroviral NNRTI/NRTI combo

Constulose® Lactulose Gastrointestinal Laxative, osmotic

Coumadin® warfarin Blood formation and coagulation Vitamin K antagonist

Florida Ryan White Part B - AIDS Drug Assistance Program (ADAP) Formulary Effective March 1, 2018

By Brand Name

Page 1 of 6 By Brand Name

All strengthes, routes, and measures are included

and can be ordered (unless specified).

Testosterone injection is non-formulary.Revised 06/18/2018



By Brand Name

Cozaar® Losartan Cardiovascular Angiotensin II receptor blocker (ARB)Crestor® rosuvastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitorCrixivan® indinavir (IDV) Antiretroviral Protease inhibitor (PI)

Cyanocobalamin cyanocobalamin, vitamin B 12 (injection only) Vitamin Vitamin Cymbalta® duloxetine Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitorDaklinza® daclatasvir Anti-infective, antiviral Hepatitis C agentDapsone dapsone Anti-infective, antibiotic SulfoneDaraprim® pyrimethamine Anti-infective, antibiotic Antimalarial

Depakene® valproic acid Central nervous system Anticonvulsant, mood stabilizerDepakote® divalproex sodium Central nervous system Anticonvulsant, mood stabilizer

Depo-Provera® medroxyprogesterone injection Hormanal ProgesteroneDescovy® emtricitabine/tenofovir alafenamide (FTC/TAF) Antiretroviral NRTI combo

Desyrel® trazodone Central nervous system, antidepressant Serotonin reuptake inhibitorDiabeta® glyburide Antidiabetic agent SulfonylureaDiflucan® fluconazole Anti-infective, antifungal AzoleEcotrin® aspirin Analgesic SalicylateEdurant® rilpivirine (RPV) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)

Effexor XR® venlafaxine Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitor

Effexor® venlafaxine Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitorElavil® amitriptyline Central nervous system, antidepressant Tricyclic antidepressant (TCA)Emtriva® emtricitabine (FTC) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Engerix-B® hepatitis b adult vaccine Vaccines Viral vaccine

Enulose® lactulose Gastrointestinal Laxative, osmoticEpivir® lamivudine (3TC) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Epogen® epoetin alfa Blood formation and coagulation Erythropoeisis stimulating agentEpzicom® abacavir/lamivudine (ABC/3TC) Antiretroviral NRTI comboEvotaz® atazanavir/cobicistat (ATV/COBI) Antiretroviral PI/PK Enhancer

Ferrous Sulfate ferrous sulfate Vitamin Vitamin

Flagyl® metronidazole Anti-infective Amebicide, trichomonaside

Folic acid folic acid Vitamin Vitamin

Fosamax® alendronate Osteoporosis BisphosphonateFuzeon® enfuvirtide (ENF, T-20) Antiretroviral Fusion inhibitor

Gardasil®9 human papilloma virus vaccine, recombinant Vaccines Viral vaccine

Generlac® lactulose Gastrointestinal Laxative, osmotic

Genvoya®elvitegravir /cobicistat /emtricitabine /tenofovir

alafenamide (EVG/COBI/FTC/TAF)Antiretroviral INSTI/NRTI combo

Geodon® ziprasidone Central nervous system Antipsychotic, atypicalGlucophage XR® metformin ER Antidiabetic agent BiguanideGlucophage® metformin Antidiabetic agent BiguanideGlucotrol XL® glipizide ER Antidiabetic agent SulfonylureaGlucotrol® glipizide Antidiabetic agent SulfonylureaHarvoni® ledipasvir/sofosbuvir Anti-infective, antiviral Hepatitis C agent







By Brand Name

Havrix® hepatitis a adult Vaccines Viral vaccine

Humalog® insulin lispro injection Antidiabetic Insulin-rapid acting

Humulin 70/30® insulin NPH and insulin regular Antidiabetic Insulin-70/30

Humulin N® insulin isophane Antidiabetic Insulin-intermediate acting

Humulin R® insulin regular Antidiabetic Insulin-short acting

Influenza vaccine (various

brands)Influenza vaccine (including high dose) Vaccines Bacterial vaccine

Invirase® saquinavir (SQV) Antiretroviral Protease inhibitor (PI)

Intelence® etravirine Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)

Isentress® raltegravir (RAL) Antiretroviral Integrase strand transfer inhibitor (INSTI)Isentress HD® raltegravir HD (RAL HD) Antiretroviral Integrase strand transfer inhibitor (INSTI)

Isoniazid isoniazid Anti-infective Antimycobacterial

Januvia® sitagliptin Antidiabetic Dipeptidyl Peptidase-4 InhibitorJuluca® dolutegravir/rilpivirine (DTG/RPV) Antiretroviral INSTI/NRTI comboKaletra® lopinavir/ritonavir (LPV/RTV) Antiretroviral PI/PK EnhancerKeppra® levetiracetam Central nervous system Anticonvulsant, mood stabilizer

Klor-Con® potassium chloride Cardiovascular Electrolyte replacementLamictal® lamotrigine Central nervous system Anticonvulsant, mood stabilizer

Lanoxin® digoxin Cardiovascular Cardiac glycosideLantus® insulin glargine Antidiabetic Insulin-long acting

Lasix® furosemide Cardiovascular Loop diureticLeucovorin leucovorin Vitamin Vitamin Levaquin® levofloxacin Anti-infective, antibiotic Quinolone

Levemir® insulin detemir Antidiabetic Insulin intermediate to long acting

Levothroid® levothyroxine Hormanal Thyroid supplement

Levoxyl® levothyroxine Hormonal Thyroid supplementLexapro® escitalopram Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)Lexiva® fosamprenavir (FPV) Antiretroviral Protease inhibitor (PI)Lipitor® atorvastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitorLithobid® lithium carbonate Central nervous system Mood stabilizerLomotil®* diphenoxylate atropine Gastrointestinal agents AntidiarrhealLopid® gemifibrozil Cardiovascular agents, antihyperlipidemic Fibric acid derivative

Lopressor® metoprolol tartrate Cardiovascular Beta-blocker

Lotensin® benazepril Cardiovascular Angiotensin converting enzyme (ACE) inhibitor

Lovaza® omega 3 Cardiovascular, antihyperlipidemic LipotropicLyrica®* pregabalin Central nervous system Anticonvulsant, mood stabilizerMarinol®* dronabinol Gastrointestinal agents, appetite stimulant Cannabinoid

Mavyret® glecaprevir/pibrentasvir Anti-infective, antiviral Hepatitis C agentMegace® megestrol Gastrointestinal agents, appetite stimulant Hormonal, progesterone derivativeMenactra® meningococcal conjugate Vaccines Bacterial vaccineMenveo® meningococcal conjugate Vaccines Bacterial vaccineMepron® atovaquone Antio-infectives, amebicide Amebicide







By Brand Name

Microzide® hydrochlorothiazide Cardiovascular Thiazide diuretic

Motrin® ibuprofen Analgesic Nonsteroidal antiinflamatory drug

Multivitamin (OTC) multivitamin Vitamin Vitamin

Multivitamin prenatal multivitamin prenatal Vitamin Vitamin

Multivitamins B complex multivitamins B complex Vitamin Vitamin Myambutol® ethambutol Anti-infective AntimycobacterialMycelex® Troche clotrimazole Anti-infective, antifungal AzoleMycobutin® rifabutin Anti-infective Antimycobacterial

Naprosyn® naproxen Analgesic Nonsteroidal antiinflamatory drug

Nasarel® flunisolide nasal Respiratory Corticosteroid, nasalNeupogen® filgrastim Blood formation and coagulation Granulocyte stimulating agentNeurontin® gabapentin Central nervous system Anticonvulsant, mood stabilizer

Niaspan® niacin Cardiovascular, antihyperlipidemic Vitamin, lipotropic

Nitroglycerin capsules nitroglycerin capsules Cardiovascular Vasodilating agents

Nitrostat® nitroglycerin sublingual Cardiovascular Vasodilating agentsNizoral® ketoconazole Anti-infective, antifungal AzoleNizoral® ketoconazole (cream, shampoo) Topical, antifungal Azole, topical

Norvasc® amlodipine Cardiovascular Calcium channel blockerNorvir® ritonavir (RTV) Antiretroviral Pharmacokinetic enhancer

Novolin 70/30® insulin NPH and insulin regular Antidiabetic Insulin-70/30

Novolin N® insulin isophane Antidiabetic Insulin-intermediate acting

Novolin R® insulin regular Antidiabetic Insulin-short acting

NovoLOG® insulin aspart Antidiabetic Insulin-rapid acting

Novothyrox® levothyroxine Hormonal Thyroid supplement

Odefsey®rilpivirine/emtricitabine/tenofovir alafenamide

(RPV/FTC/TAF)Antiretroviral NNRTI/NRTI combo

Oxandrin®* oxandrolone Gastrointestinal agents, appetite stimulant Hormonal, testosterone derivativePamelor® nortriptyline Central nervous system, antidepressant Tricyclic antidepressant (TCA)

Paxil® paroxetine Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)Pepcid® famotidine Gastrointestinal, acid reducing agent Histamine 2 receptor blocker

Phenergan® promethazine Gastrointestinal Antihistamine, antiemetic

Phenergan® (suppository) promethazine suppository Gastrointestinal Antihistamine, antiemeticPneumovax 23® pneumococcal 23-polyvalent Vaccines Bacterial vaccinePravachol® pravastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitor

Prevnar 13® pneumococcal 13-valent conjugate Vaccines Bacterial vaccinePrezcobix® darunavir/cobicistat (DRV/COBI) Antiretroviral PI/PK EnhancerPrezista® darunavir (DRV) Antiretroviral Protease inhibitor (PI)Prilosec® omeprazole Gastrointestinal agents, acid reducing agents Proton pump inhibitor

Primaquine primaquine Anti-infective, antibiotic AntimalarialPrinivil® lisinopril Cardiovascular Angiotensin converting enzyme (ACE) inhibitor

ProAir® albuterol HFA Respiratory Beta-2 Agonist

Procardia XL® nifedipine Cardiovascular Calcium channel blocker







By Brand Name

Procrit® epoetin alfa Blood formation and coagulation Erythropoeisis stimulating agent

Proventil® albuterol HFA Respiratory Beta-2 AgonistProzac® fluoxetine Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)

Pyrazinamide pyrazinamide Anti-infective Antimycobacterial

Pyridoxine pyridoxine (vitamin B6) Vitamin Vitamin

Qnasl® beclomethasone (nasal spray) Respiratory Corticosteroid, nasalQvar® beclomethasone (oral inhaler) Respiratory Corticosteroid, oral inhaled

Reglan® metoclopramide Gastrointestinal Antiemetic, prokineticRelenza® zanamivir Gastrointestinal Anti-influenzaRemeron® mirtazapine Central nervous system Tetracyclic antidepressantRetrovir® zidovudine (AZT) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Reyataz® atazanavir (ATV) Antiretroviral Protease inhibitor (PI)Riba-Pak 600® ribavirin Anti-infective, antiviral Hepatitis C agentRibasphere® ribavirin Anti-infective, antiviral Hepatitis C agent

Rifadin® rifampin Anti-infective Antimycobacterial

Rimactane® rifampin Anti-infective AntimycobacterialRisperdal® risperidone Central nervous system Antipsychotic, atypicalSelzentry® maraviroc (MVC) Antiretroviral CCR5 antagonist

Septra® sulfamethoxazole/trimethoprim (SMX/TMP) Anti-infective, antibiotic Sulfonamide

Septra DS® sulfamethoxazole/trimethoprim (SMX/TMP) Anti-infective, antibiotic Sulfonamide

Seroquel® quetiapine Central nervous system Antipsychotic, antimanic

Shingrix® zoster vaccine recombinant Vaccines Viral vaccine

Silenor® doxepin Central nervous system Tricyclic antidepressant (TCA)Sporanox® itraconazole Anti-infective, antifungal Azole

Stribild®elvitegravir/cobicistat/emtricitabine /tenofovir

disoproxil fumarate (EVG/COBI/FTC/TDF) Antiretroviral INSTI/NRTI combo

Sulfadiazine sulfadiazine Anti-infective, antibiotic SulfonamideSustiva® efavirenz (EFV) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)

Symbicort® budesonide/formoterol inhaler Respiratory Corticosteroid + Long acting Beta-2 Agonist, oral inhaledSynthroid® levothyroxine Hormonal Thyroid supplementTamiflu® oseltamivir Anti-infective, antiviral Anti-influenzaTechnivie® ombitasvir/paritaprevir/ritonavir Anti-infective, antiviral Hepatitis C agent

Tenivac® tetanus diphtheria (Td) Vaccines Bacterial vaccine

Tenormin® atenolol Cardiovascular Beta-blockerTerazol® terconazole Topical, antifungal Azole, topicalTivicay® dolutegravir (DTG) Antiretroviral Integrase strand transfer inhibitor (INSTI)Toprol XL® metoprolol succinate Cardiovascular Beta-blockerTricor® fenofibrate Cardiovascular agents, antihyperlipidemic Fibric acid derivative

Triumeq® dolutegravir/abacavir/lamivudine (DTG/ABC/3TC) Antiretroviral INSTI/NRTI combo

Trizivir® abacavir/lamivudine/zidovudine (ABC/3TC/AZT) Antiretroviral NRTI combo







By Brand Name

Truvada®emtricitabine/tenofovir disoproxil fumarate

(FTC/TDF)Antiretroviral NRTI combo

Twinrix® hepatitis A/B Vaccines Viral vaccineTybost® cobicisat (COBI) Antiretroviral Pharmacokinetic enhancer

Tylenol® acetaminophen Analgesic Prostaglandin inhibitor

Unithroid® levothyroxine Hormonal Thyroid supplementValcyte® valganciclovir Anti-infective, antiviral Antiherpetic agent (CMV)Valtrex® valacyclovir Anti-infective, antiviral Antiherpetic agent

Vascepa® omega 3 Cardiovascular, antihyperlipidemic Lipotropic

Vasotec® enalapril Cardiovascular Angiotensin converting enzyme (ACE) inhibitorVidex® didanosine (ddI) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Videx® EC didanosine EC (ddI) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Viekira Pak® paritaprevir /ritonavir /ombitasvir + dasabuvir Anti-infective, antiviral Hepatitis C agentViekira XR® paritaprevir/ritonavir/ombitasvir + dasabuvir Anti-infective, antiviral Hepatitis C agentViracept® nelfinavir (NFV) Antiretroviral Protease inhibitor (PI)Viramune® nevirapine (NVP) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Viramune XR® nevirapine XR (NVP) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Viread® tenofovir disoproxil fumarate (TDF) Antiretroviral Nucleotide reverse transcriptase inhibitor (NRTI)

Vitamin D2 ergocalciferol Vitamin Vitamin Wellbutrin® bupropion Central nervous system Antidepressant-miscellaneous, aminoketoneWellbutrin® SR bupropion SR Central nervous system Antidepressant-miscellaneous, aminoketone

Wellbutrin® XL bupropion XL Central nervous system Antidepressant-miscellaneous, aminoketone

Zantac® ranitidine Gastrointestinal, acid reducing agent Histamine 2 receptor blockerZepatier® elbasvir/grazoprevir Anti-infective, antiviral Hepatitis C agentZerit® stavudine (d4T) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)

Zestril® lisinopril Cardiovascular Angiotensin converting enzyme (ACE) inhibitorZiagen® abacavir (ABC) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Zithromax® azithromycin Anti-infective, antibiotic Macrolide

Zofran® ondansetron Central nervous system Anti-nauseaZofran ODT® ondansetron Central nervous system Anti-nausea

Zoloft® sertraline Central nervous system Selective serotonin reuptake inhibitor (SSRI)

Zostrix® capsaicin topical Skin/Mucous Membrane Analgesic, topicalZovirax® acyclovir Anti-infective, antiviral Antiviral

Zuplenz® ondansetron Central nervous system Anti-nausea

Zyprexa® olanzapine Central nervous system Antipsychotic, antimanic

Zyrtec® cetirizine Respiratory Antihistamine

* controlled substance






Aptivus® tipranavir (TPV) Antiretroviral Protease inhibitor (PI)

Atripla®efavirenz/emtricitabine/tenofovir disoproxil

fumarate (EFV/FTC/TDF)Antiretroviral NNRTI/NRTI combo

Biktarvybictegravir/emtricitabine/tenofovir alafenamide

(BIC/TAF/FTC)Antiretroviral INSTI/NRTI combo

Combivir® lamivudine/zidovudine (3TC/AZT) Antiretroviral NRTI combo

Complera®rilpivirine/emtricitabine/tenofovir disoproxil

fumarate (RPV/FTC/TDF)Antiretroviral NNRTI/NRTI combo

Crixivan® indinavir (IDV) Antiretroviral Protease inhibitor (PI)Descovy® emtricitabine/tenofovir alafenamide (FTC/TAF) Antiretroviral NRTI comboEdurant® rilpivirine (RPV) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Emtriva® emtricitabine (FTC) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Epivir® lamivudine (3TC) Antiretroviral NRTI comboEpzicom® abacavir/lamivudine (ABC/3TC) Antiretroviral NRTI comboEvotaz® atazanavir/cobicistat (ATV/COBI) Antiretroviral PI/PK EnhancerFuzeon® enfuvirtide (ENF, T-20) Antiretroviral Fusion inhibitor

Genvoya®elvitegravir /cobicistat /emtricitabine /tenofovir

alafenamide (EVG/COBI/FTC/TAF)Antiretroviral INSTI/NRTI combo

Invirase® saquinavir (SQV) Antiretroviral Protease inhibitor (PI)

Intelence® etravirine Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Isentress HD® raltegravir HD (RAL HD) Antiretroviral Integrase strand transfer inhibitor (INSTI)Isentress® raltegravir (RAL) Antiretroviral Integrase strand transfer inhibitor (INSTI)Juluca® dolutegravir/rilpivirine (DTG/RPV) Antiretroviral INSTI/NRTI comboKaletra® lopinavir/ritonavir (LPV/RTV) Antiretroviral PI/PK EnhancerLexiva® fosamprenavir (FPV) Antiretroviral Protease inhibitor (PI)Norvir® ritonavir (RTV) Antiretroviral Protease inhibitor (PI)

Odefsey®rilpivirine/emtricitabine/tenofovir alafenamide

(RPV/FTC/TAF)Antiretroviral NNRTI/NRTI combo

Prezcobix® darunavir/cobicistat (DRV/COBI) Antiretroviral PI/PK EnhancerPrezista® darunavir (DRV) Antiretroviral Protease inhibitor (PI)Retrovir® zidovudine (AZT) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Reyataz® atazanavir (ATV) Antiretroviral Protease inhibitor (PI)Selzentry® maraviroc (MVC) Antiretroviral CCR5 antagonist

Stribild®elvitegravir/cobicistat/emtricitabine /tenofovir

disoproxil fumarate (EVG/COBI/FTC/TDF) Antiretroviral INSTI/NRTI combo

Sustiva® efavirenz (EFV) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Tivicay® dolutegravir (DTG) Antiretroviral Integrase strand transfer inhibitor (INSTI)

Triumeq® dolutegravir/abacavir/lamivudine (DTG/ABC/3TC) Antiretroviral INSTI/NRTI combo

Trizivir® abacavir/lamivudine/zidovudine (ABC/3TC/AZT) Antiretroviral NRTI combo


By Therapeutic Classification

Page 1 of 6 By Therapeutic Class







Truvada®emtricitabine/tenofovir disoproxil fumarate

(FTC/TDF)Antiretroviral NRTI combo

Tybost® cobicisat (COBI) Antiretroviral Pharmacokinetic enhancerVidex® didanosine (ddI) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Videx® EC didanosine EC (ddI) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Viracept® nelfinavir (NFV) Antiretroviral Protease inhibitor (PI)Viramune XR® nevirapine XR (NVP) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Viramune® nevirapine (NVP) Antiretroviral Non-nucleoside reverse transcriptase inhibitor (NNRTI)Viread® tenofovir disoproxil fumarate (TDF) Antiretroviral Nucleotide reverse transcriptase inhibitor (NRTI)Zerit® stavudine (d4T) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)Ziagen® abacavir (ABC) Antiretroviral Nucleoside reverse transcriptase inhibitor (NRTI)


Advil® ibuprofen Analgesic Nonsteroidal antiinflamatory drug

Bayer® aspirin Analgesic SalicylateEcotrin® aspirin Analgesic Salicylate

Motrin® ibuprofen Analgesic Nonsteroidal antiinflamatory drugNaprosyn® naproxen Analgesic Nonsteroidal antiinflamatory drug

Tylenol® acetaminophen Analgesic Prostaglandin inhibitorAmaryl® glimepiride Antidiabetic Sulfonylurea

Januvia® sitagliptin Antidiabetic Dipeptidyl Peptidase-4 Inhibitor

Lantus® insulin glargine Antidiabetic Insulin-long acting

Levemir® insulin detemir Antidiabetic Insulin intermediate to long acting

Humalog® insulin lispro injection Antidiabetic Insulin-rapid acting

Humulin 70/30® insulin NPH and insulin regular Antidiabetic Insulin-70/30

Humulin N® insulin isophane Antidiabetic Insulin-intermediate acting

Humulin R® insulin regular Antidiabetic Insulin-short actingNovolin 70/30® insulin NPH and insulin regular Antidiabetic Insulin-70/30

Novolin N® insulin isophane Antidiabetic Insulin-intermediate actingNovolin R® insulin regular Antidiabetic Insulin-short acting

NovoLOG® insulin aspart Antidiabetic Insulin-rapid actingDiabeta® glyburide Antidiabetic SulfonylureaGlucophage® metformin Antidiabetic BiguanideGlucophage XR® metformin ER Antidiabetic BiguanideGlucotrol® glipizide Antidiabetic SulfonylureaGlucotrol XL® glipizide ER Antidiabetic SulfonylureaFlagyl® metronidazole Anti-infective Amebicide, trichomonasideBactrim® sulfamethoxazole/trimethoprim (SMX/TMP) Anti-infective, antibiotic Sulfonamide

Bactrim DS® sulfamethoxazole/trimethoprim DS (SMX/TMP) Anti-infective, antibiotic Sulfonamide

Biaxin® clarithromycin Anti-infective, antibiotic Macrolide








Dapsone dapsone Anti-infective, antibiotic SulfoneDaraprim® pyrimethamine Anti-infective, antibiotic AntimalarialLevaquin® levofloxacin Anti-infective, antibiotic Quinolone

Primaquine primaquine Anti-infective, antibiotic Antimalarial

Septra® sulfamethoxazole/trimethoprim (SMX/TMP) Anti-infective, antibiotic Sulfonamide

Septra DS® sulfamethoxazole/trimethoprim (SMX/TMP) Anti-infective, antibiotic SulfonamideSulfadiazine sulfadiazine Anti-infective, antibiotic SulfonamideZithromax® azithromycin Anti-infective, antibiotic MacrolideDiflucan® fluconazole Anti-infective, antifungal AzoleMycelex® Troche clotrimazole Anti-infective, antifungal AzoleNizoral® ketoconazole Anti-infective, antifungal AzoleSporanox® itraconazole Anti-infective, antifungal AzoleMyambutol® ethambutol Anti-infective AntimycobacterialMycobutin® rifabutin Anti-infective Antimycobacterial

Isoniazid isoniazid Anti-infective Antimycobacterial

Pyrazinamide pyrazinamide Anti-infective AntimycobacterialRifadin® rifampin Anti-infective Antimycobacterial

Rimactane® rifampin Anti-infective AntimycobacterialBaraclude® entecavir Anti-infective, antiviral Hepatitis B agentDaklinza® daclatasvir Anti-infective, antiviral Hepatitis C agentHarvoni® ledipasvir/sofosbuvir Anti-infective, antiviral Hepatitis C agent

Mavyret® glecaprevir/pibrentasvir Anti-infective, antiviral Hepatitis C agentRiba-Pak 600® ribavirin Anti-infective, antiviral Hepatitis C agentRibasphere® ribavirin Anti-infective, antiviral Hepatitis C agentTamiflu® oseltamivir Anti-infective, antiviral Anti-influenzaTechnivie® ombitasvir/paritaprevir/ritonavir Anti-infective, antiviral Hepatitis C agentValcyte® valganciclovir Anti-infective, antiviral Antiherpetic agent (CMV)Valtrex® valacyclovir Anti-infective, antiviral Antiherpetic agentViekira Pak® paritaprevir /ritonavir /ombitasvir + dasabuvir Anti-infective, antiviral Hepatitis C agentViekira XR® paritaprevir/ritonavir/ombitasvir + dasabuvir Anti-infective, antiviral Hepatitis C agentZepatier® elbasvir/grazoprevir Anti-infective, antiviral Hepatitis C agentZovirax® acyclovir Anti-infective, antiviral AntiviralMepron® atovaquone Antio-infectives, amebicide Amebicide

Coumadin® warfarin Blood formation and coagulation Vitamin K antagonistEpogen® epoetin alfa Blood formation and coagulation Erythropoeisis stimulating agentNeupogen® filgrastim Blood formation and coagulation Granulocyte stimulating agentProcrit® epoetin alfa Blood formation and coagulation Erythropoeisis stimulating agent

Adalat CC® nifedipine Cardiovascular Calcium channel blocker

Calan® verapamil Cardiovascular Calcium channel blocker

Calan SR® verapamil Cardiovascular Calcium channel blocker

Cardizem CD® diltiazem Cardiovascular Calcium channel blocker

Cozaar® losartan Cardiovascular Angiotensin II receptor blocker (ARB)








Klor-Con® potassium chloride Cardiovascular Electrolyte replacement

Lanoxin® digoxin Cardiovascular Cardiac glycoside

Lasix® furosemide Cardiovascular Loop diuretic

Lopressor® metoprolol tartrate Cardiovascular Beta-blocker

Lotensin® benazepril Cardiovascular Angiotensin converting enzyme (ACE) inhibitor

Microzide® hydrochlorothiazide Cardiovascular Thiazide diureticNitroglycerin capsules nitroglycerin capsules Cardiovascular Vasodilating agents

Nitrostat® nitroglycerin sublingual Cardiovascular Vasodilating agents

Norvasc® amlodipine Cardiovascular Calcium channel blocker

Prinivil® lisinopril Cardiovascular Angiotensin converting enzyme (ACE) inhibitor

Procardia XL® nifedipine Cardiovascular Calcium channel blocker

Tenormin® atenolol Cardiovascular Beta-blocker

Toprol XL® metoprolol succinate Cardiovascular Beta-blocker

Vasotec® enalapril Cardiovascular Angiotensin converting enzyme (ACE) inhibitor

Zestril® lisinopril Cardiovascular Angiotensin converting enzyme (ACE) inhibitorCrestor® rosuvastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitorLipitor® atorvastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitorLopid® gemifibrozil Cardiovascular agents, antihyperlipidemic Fibric acid derivativePravachol® pravastatin Cardiovascular agents, antihyperlipidemic HMG-CoA Reductase inhibitorTricor® fenofibrate Cardiovascular agents, antihyperlipidemic Fibric acid derivative

Lovaza® omega 3 Cardiovascular, antihyperlipidemic Lipotropic

Niaspan® niacin Cardiovascular, antihyperlipidemic Vitamin, lipotropic

Vascepa® omega 3 Cardiovascular, antihyperlipidemic LipotropicAbilify® aripiprazole Central nervous system Antipsychotic, atypical

Antivert® meclizine Central nervous system Antivertigo, antiemeticCompazine® prochlorperazine Central nervous system Anti-nausea

Depakene® valproic acid Central nervous system Anticonvulsant, mood stabilizerDepakote® divalproex sodium Central nervous system Anticonvulsant, mood stabilizerGeodon® ziprasidone Central nervous system Antipsychotic, atypicalKeppra® levetiracetam Central nervous system Anticonvulsant, mood stabilizerLamictal® lamotrigine Central nervous system Anticonvulsant, mood stabilizer

Lithobid® lithium carbonate Central nervous system Mood stabilizerLyrica®* pregabalin Central nervous system Anticonvulsant, mood stabilizerNeurontin® gabapentin Central nervous system Anticonvulsant, mood stabilizerRisperdal® risperidone Central nervous system Antipsychotic, atypicalSeroquel® quetiapine Central nervous system Antipsychotic, antimanic

Zofran® ondansetron Central nervous system Anti-nausea

Zofran ODT® ondansetron Central nervous system Anti-nausea

Zuplenz® ondansetron Central nervous system Anti-nausea

Zyprexa® olanzapine Central nervous system Antipsychotic, antimanic

Celexa® citalopram Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)Cymbalta® duloxetine Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitor








Desyrel® trazodone Central nervous system, antidepressant Serotonin reuptake inhibitor

Effexor® venlafaxine Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitor

Effexor XR® venlafaxine XR Central nervous system, antidepressant Serotonin-norepinephrine reuptake inhibitorElavil® amitriptyline Central nervous system, antidepressant Tricyclic antidepressant (TCA)Lexapro® escitalopram Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)Pamelor® nortriptyline Central nervous system, antidepressant Tricyclic antidepressant (TCA)Paxil® paroxetine Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)Prozac® fluoxetine Central nervous system, antidepressant Selective serotonin reuptake inhibitor (SSRI)Remeron® mirtazapine Central nervous system Tetracyclic antidepressant

Silenor® doxepin Central nervous system Tricyclic antidepressant (TCA)Wellbutrin® bupropion Central nervous system Antidepressant-miscellaneous, aminoketoneWellbutrin® SR bupropion SR Central nervous system Antidepressant-miscellaneous, aminoketone

Wellbutrin® XL bupropion XL Central nervous system Antidepressant-miscellaneous, aminoketone

Zoloft® sertraline Central nervous system Selective serotonin reuptake inhibitor (SSRI)Constulose® lactulose Gastrointestinal Laxative, osmotic

Enulose® lactulose Gastrointestinal Laxative, osmotic Generlac® lactulose Gastrointestinal Laxative, osmotic

Reglan® metoclopramide Gastrointestinal Antiemetic, prokineticPrilosec® omeprazole Gastrointestinal agents, acid reducing agents Proton pump inhibitorLomotil®* diphenoxylate atropine Gastrointestinal agents AntidiarrhealMarinol®* dronabinol Gastrointestinal agents, appetite stimulant CannabinoidMegace® megestrol Gastrointestinal agents, appetite stimulant Hormonal, progesterone derivativeOxandrin®* oxandrolone Gastrointestinal agents, appetite stimulant Hormonal, testosterone derivative

Pepcid® famotidine Gastrointestinal, acid reducing agent Histamine 2 receptor blocker

Zantac® ranitidine Gastrointestinal, acid reducing agent Histamine 2 receptor blockerPhenergan® promethazine Gastrointestinal Antihistamine, antiemetic

Phenergan® (suppository) promethazine suppository Gastrointestinal Antihistamine, antiemeticRelenza® zanamivir Gastrointestinal Anti-influenza

Depo-Provera® medroxyprogesterone injection Hormanal Progesterone

Levothroid® levothyroxine Hormanal Thyroid supplement

Levoxyl® levothyroxine Hormonal Thyroid supplement

Novothyrox® levothyroxine Hormonal Thyroid supplement

Synthroid® levothyroxine Hormonal Thyroid supplement

Unithroid® levothyroxine Hormonal Thyroid supplementAndroderm®* testosterone patch Hormonal agent AndrogenAndrogel®* testosterone gel Hormonal agent Androgen

Fosamax® alendronate Osteoporosis Bisphosphonate

ACE Aerosol Cloud

enhancer®inhaler spacer (one time only) Respiratory Inhaler spacer device

Albuterol albuterol Respiratory Beta-2 Agonist

Atrovent® ipratropium Respiratory Anticholinergic, oral inhaled

Benadryl® diphenhydramine Respiratory Antihistamine








Claritin® loratadine Respiratory Antihistamine

Combivent Respimat® albuterol/ipratropium Respiratory Anticholinergic + Beta-2 Agonist, oral inhaled

Nasarel® flunisolide nasal Respiratory Corticosteroid, nasal

ProAir® albuterol HFA Respiratory Beta-2 Agonist

Proventil® albuterol HFA Respiratory Beta-2 Agonist

Qnasl® beclomethasone (nasal spray) Respiratory Corticosteroid, nasalQvar® beclomethasone (oral inhaler) Respiratory Corticosteroid, oral inhaled

Symbicort® budesonide/formoterol inhaler Respiratory Corticosteroid + Long acting Beta-2 Agonist, oral inhaled

Zyrtec® cetirizine Respiratory Antihistamine

Benzoyl peroxide topical® benzoyl peroxide topical Skin/Mucous Membrane Antibiotic + keratolytic

Betamethasone topical or

Diprolene®betamethasone valerate or dipropionate Skin/Mucous Membrane Corticosteroid, topical

Zostrix® capsaicin topical Skin/Mucous Membrane Analgesic, topicalAldara® imiquimod Topical Antiviral, topicalNizoral® ketoconazole (cream, shampoo) Topical, antifungal Azole, topicalTerazol® terconazole Topical, antifungal Azole, topical

Adacel® tetanus diphtheria-acellular pertussis (Tdap) Vaccines Bacterial vaccineBoostrix® tetanus diphtheria-acellular pertussis (Tdap) Vaccines Bacterial vaccineEngerix-B® hepatitis b adult vaccine Vaccines Viral vaccineGardasil®9 human papilloma virus vaccine, recombinant Vaccines Viral vaccineHavrix® hepatitis adult vaccine Vaccines Viral vaccine

Influenza vaccine (various

brands)influenza vaccine (including high dose) Vaccines Bacterial vaccine

Menactra® meningococcal conjugate Vaccines Bacterial vaccineMenveo® meningococcal conjugate Vaccines Bacterial vaccinePneumovax 23® pneumococcal 23-polyvalent Vaccines Bacterial vaccine

Prevnar 13® pneumococcal 13-valent conjugate Vaccines Bacterial vaccine

Shingrix® zoster vaccine recombinant Vaccines Viral vaccine

Tenivac® tetanus diphtheria (Td) Vaccines Bacterial vaccineTwinrix® hepatitis A/B Vaccines Viral vaccineCalcium carbonate calcium carbonate Vitamin Vitamin

Calcium with vitamin D calcium with vitamin D Vitamin Vitamin

Cyanocobalamin cyanocobalamin, vitamin B 12 (injection only) Vitamin Vitamin

Ferrous Sulfate ferrous sulfate Vitamin Vitamin

Folic acid folic acid Vitamin Vitamin Leucovorin leucovorin Vitamin Vitamin

Multivitamin (OTC) multivitamin Vitamin Vitamin

Multivitamin prenatal multivitamin prenatal Vitamin Vitamin

Multivitamins B complex multivitamins B complex Vitamin Vitamin

Pyridoxine pyridoxine (vitamin B6) Vitamin Vitamin Vitamin D2 ergocalciferol Vitamin Vitamin * controlled substance





Documents

Florida Ryan White Part B - AIDS Drug Assistance Program ... · Brand Name Generic Name Therapeutic Classification Pharmacologic Classification. Florida Ryan White Part B - AIDS Drug