As of May 17, 2021, the following drugs are available through the District of Columbia AIDS Drug Assistance Program.
Click Here for print version.

---

The following drugs are available through the District of Columbia AIDS Drug Assistance Program.

HIV/AIDS DRUGS:

ANTI-RETROVIRALS:

BOOSTING AGENTS

• Cobicistat (Tybost)
• Ritonavir (Norvir)

CD4 DIRECTED POST-ATTACHMENT

HIV-1 INHIBITOR

• Ibalizumab-uiyk (Trogarzo)#

FUSION INHIBITORS

• Enfuvirtide (Fuzeon)
• Maraviroc (Selzentry)

 

INTEGRASE INHIBITORS

• Dolutegravir (Tivicay)
• Elvitegravir (Vitekta)
• Raltegravir (Isentress)

NUCLEOTIDE REVERSE

TRANSCRIPTASE INHIBITORS (NRTI)

• Abacavir (Ziagen)
• Abacavir/Lamivudine (Epzicom)
• Abacavir/Lamivudine/Zidovudine (Trizivir)
• Didanosine (Videx)
• Emtricitabine (Emtriva)
• Emtricitabine/Tenofovir disoproxil fumarate (Truvada)
• Emtricitabine/Tenofovir alafenamide (Descovy)
• Lamivudine (Epivir)
• Lamivudine/ Tenofovir disoproxil fumarate (Cimduo/Temixys )#
• Lamivudine/Zidovudine (Combivir)
• Stavudine (Zerit)
• Tenofovir disoproxil fumarate (Viread)
• Zidovudine (Retrovir, AZT)

NON-NUCLEOSIDE REVERSE

TRANSCRIPTASE INHIBITORS (NNRTI)

• Delavirdine (Rescriptor)
• Doravirine (Pifeltro)
• Efavirenz (Sustiva)
• Etravirine (Intelence)
• Nevirapine (Viramune, Viramune XR)
• Rilpivirine HCl (Edurant)

HIV-1 INTEGRASE STRAND TRANSFER INHIBITOR/ NRTI COMBINATION

• Bictegravir/Emtricitabine/Tenofovir alafenamide fumarate (Biktarvy)
• Dolutegravir/Abacavir/Lamivudine (Triumeq)
• Dolutegravir/Lamivudine (Dovato)
• Dolutegravir/Rilpivirine (Juluca)
• Elvitegravir/ Cobicistat/ Emtricitabine/ Tenofovir disoproxil fumarate (Stribild)
• Elvitegravir/Cobicistat/Emtricitabine/ Tenofovir alafenamide fumarate (TAF) (Genvoya)

NNRTI/NRTI COMBINATION

• Doravirine/Lamivudine/Tenofovir disoproxil fumarate (Delstrigo)
• Efavirenz/Emtricitabine/Tenofovir disoproxil fumarate (Atripla)
• Efavurenz 400 mg /Lamivudine/ Tenofovir disoproxil fumarate (Symfi Lo)++
• Efavurenz 600 mg/Lamivudine/ Tenofovir disoproxil fumarate  (Symfi )++
• Emtricitabine/Rilpivirine/Tenofovir alafenamide (Odefsey)
• Emtricitabine/Rilpivirine/Tenofovir disoproxil fumarate (Complera)

HIV/AIDS DRUGS:

ANTI-RETROVIRALS

PROTEASE INHIBITORS (PI)

• Atazanavir (Reyataz)
• Darunavir (Prezista)
• Fosamprenavir (Lexiva)
• Indinavir (Crixivan)
• Lopinavir/Ritonavir (Kaletra)
• Nelfinavir (Viracept)
• Ritonavir (Norvir)
• Saquinavir (Invirase)#
• Tipranavir (Aptivus)

CYP3A INHIBITOR/PROTEASE INHIBITOR

• Darunavir/Cobicistat  (Prezcobix)
• Atazanavir/Cobicistat (Evotaz)

PROTEASE INHIBITOR/CYP3A INHIBITOR/NRTI

• Darunavir/Cobicistat/Emtricitabine/TAF (Symtuza)

ANALGESICS

• Acetaminophen with codeine (Tylenol w/Codeine) CIII**
• ASA/Butalbital/caffeine/codeine (Fiorinal w/codeine)
• Fentanyl Patch (Duragesic Patch) CII**
• Ibuprofen (600mg - 800mg Motrin)
• Morphine Sulfate (MS Contin) CII**
• Oxycodone/Acetaminophen 5mg/325mg
• Tramadol (Ultram) CIV**

ANTI-FUNGALS

• Clotrimazole (Mycelex, Lotrimin - Rx only)
• Fluconazole (Diflucan)
• Itraconazole (Sporanox)
• Ketoconazole (Nizoral – Rx only)
• Voriconazole (Vfend)

ANTI-DEPRESSANTS

• Amitriptyline HCL (Elavil)
• Bupropion (Wellbutrin SR)
• *Citalopram
• Duloxetine (Cymbalta)
• Escitalopram
• Fluoxetine (Prozac)
• Mirtazapine
• Paroxetine
• Sertraline (Zoloft)
• Trazodone
• Venlafaxine ER

ANTI-DIARRHEAL

• Crofelemer (Mytesi)
• Diphenoxylate/Atropine (Lonox, Lomotil) CV**

ANTI-EMETICS

• Meclizine (tab, chew tab)
• Metoclopramide (solution, tab)
• Ondansetron Injection
• Ondansetron Oral Solution
• Ondansetron (tab, ODT)
• Prochlorperazine (tab, injection)
• Prochlorperazine (suppository

ANTI-HYPERTENSIVES

PRIMARY AGENTS:

ACE INHIBITORS (ACEI)

• Benazepril (Lotensin)
• Lisinopril (Prinivil, Zestril, Qbrelis)

ANGIOTENSIN II RECEPTOR BLOCKERS (ARB)

• Losartan (Cozaar)
• Valsartan (Diovan)

CALCIUM CHANNEL BLOCKERS

• Amlodipine (Norvasc)
• Diltiazem XR

PRIMARY COMBINATION PRODUCTS

• Amlodipine/Benazepril (Lotrel)
• Lisinopril/HCTZ (Zestoretic)
• Losartan/HCTZ (Hyzaar)
• Valsartan/HCTZ (Diovan HCT)

SECONDARY AGENTS:

ALDOSTERONE ANTAGONISTS

• Spironolactone (Aldactone, Carospir)

ALPHA-1 BLOCKERS

• Doxazosin (Cardura)
• Doxazosin (Cardura XL)

BETA-BLOCKERS

• Labetalol (Trandate)
• Metoprolol succinate (Toprol XL)
• Metoprolol tartrate (Lopressor)
• Propranolol

CENTRALLY ACTING AGENTS

• Clonidine patches (Catapres TTS)
• Clonidine tablet

COMBINED ALPHA AND BETA-BLOCKERS

• Carvedilol (Coreg)
• Carvedilol (Coreg CR)

LOOP DIURETICS

• Furosemide (Lasix)

DIRECT VASODILATORS

• Hydralazine (Apresoline)

SECONDARY COMBINATION PRODUCTS

• Hydralazine /Isosorbide (Bidil)
• Triamterene/HCTZ (Dyazide, Maxide)

ANTIMICROBIALS

• Amoxicillin Clavulanate (Augmentin)
• Azithromycin (Zithromax)
• Ciprofloxacin (Cipro)
• Clarithromycin (Biaxin, Biaxin XL)
• Clindamycin HCL (Cleocin)
• Doxycycline Hyclate (Vibramycin)
• Ethambutol (Myambutol)
• Isoniazid (INH)
• Levofloxacin (Levaquin)
• Linezolid (Zyvox)
• Metronidazole tablets (Flagyl)
• Metronidazole vaginal gel
• Pyrazinamide (Pyrazinamide)
• Pyrimethamine (Daraprim)#
• Rifabutin (Mycobutin)
• Rifampin (Rifadin)
• Rifapentine (Prifitin)
• Sulfadiazine
• • Community Acquired Bacterial Pneumonia (Oral)
    • Amoxicillin  (Oral products)
    • Cefpodoxine
    • Moxifloxacin
• • Mycobacterium Tuberculosis
    • 1^st line
      • Rifapentine (Priftin)
• • • 2^nd line
      • Bedaquilline (Sirturo)
      • Pretomanid
      • Cycloserine (Seromycin)
      • Ethionamide (Trecalor)
      • Para-aminosalicylic acid (Pacer)
      • Streptomycin solution

ANTI-PARKINSON’S AGENT

• Benztropine (Cogentin)

ANTI-PSYCHOTICS

• Aripiprazole (Abilify)
• Haloperidol (Haldol)
• Olanazapine (Zyprexa)
• Quetiapine (Seroquel)
• Risperidone (Risperdal)
• Ziprasidone (Geodon)

ANTI-VIRALS

• Acyclovir (Zovirax) [oral and topical]
• Cidofovir (Vistide)
• Ganciclovir (Zirgan) [ophthalmic]
• Oseltamivir (Tamiflu)
• Valacyclovir (Valtrex)
• Valganciclovir (Valcyte)

CHRONIC OBSRUCTIVE PULMONARY DISEASE (COPD)

• Albuterol Inhaler (ProAir)
• Beclomethasone (Qvar) Redihaler
• Fluticasone Inhaler (Flovent)
• Roflumilast (Daliresp) tablet#
• Salmeterol (Severent)
• Tiotropium (Spiriva) Handihaler
• Tiotropium (Respimat)

COPD COMBINATIONS

• Albuterol/Ipratropium (Combivent Respimat)
• Budesonide/Formoterol (Symbicort)
• Tiotropium/Olodaterol (Stiolto Respimat)

NEBULIZERS

• Albuterol nebulizer Solution
• Albuterol/Ipratropium (DuoNeb) nebulizer Solution

HEPATITIS B TREATMENT

• Adefovir (Hepsera)
• Entecavir (Baraclude)
• Lamivudine (Epivir HBV)
• Peginterferon alfa-2a (Pegasys)
• Peginterferon alfa-2b (Peg-Intron)
• Tenofovir alafenamide (Vemlidy)

HEPATITIS C

• Daclatasvir (Daklinza) #
• Elbasvir and grazoprevir (Zepatier) #
• Glecaprevir /pibretasvir (Mavyret) #
• Ledipasvir and Sofosbuvir (Harvoni) #
• Ombitasvir/Paritaprevir/Ritonavir/   
• Dasabuvir (Viekira Pak, Viekira XR) #
• Peginterferon alfa-2a (Pegasys)
• Peginterferon alfa-2b (Peg-Intron)
• Ribavirin (Rebetol, Copegus)
• Sofosbuvir (Sovaldi) #
• Tenofovir alafenamide (Vemlidy)

HISTAMINE TYPE-2 RECEPTOR ANTAGONIST (H2RA)

• Famotidine 40 mg (Pepcid) tab, oral suspensión
• Lansoprazole/Amoxicillin/Clarithomycin (Prevpac)
• Omeprazole 40 mg DR cap (Prilosec)
• Pantoprazole 20mg, 40 mg DR tab, 40mg oral susp.  (qty. limits apply)

HYPOGLYCEMICS

• Canagliflozin (Invokana)
• Dapagliflozin (Farxiga)
• Empagliflozin (Jardiance)
• Glipizide (Glucotrol, Glucotrol XL)
• Metformin (Glucophage, Glucophage XL)
• Metformin and Pioglitazone (ActoPlus Met)
• Metformin and Glipizide (Metaglip)
• Nateglinide (Starlix)
• Sitagliptin (Januvia)
• Sitagliptin/Metformin (Janumet)

KAPOSI’S SARCOMA TREATMENTS

• Doxorubicin (Doxil)
• Generic Doxorubicin (Lipodox)
• Interferon Alpha-2b (Intron A)

LIPID LOWERING AGENTS #

• Atorvastatin (Lipitor)
• Ezetimibe (Zetia)
• Fenofibrate (Tricor)
• Pravastatin (Pravachol)

OPIOID ADDICTION TREATMENT

• Buprenorphine (Subutex) CIII**#
• Buprenorphine/Naloxone (Suboxone) CIII**#

OPIOID ANTAGONIST

• Naloxone (Evzio) 2mg Auto-injector
• Naloxone (Narcan) 4mg Nasal spray

OSTEOPOROSIS

• Alendronate 70mg plus Vitamin D
• Calcitonin-salmon Nasal spray
• Raloxifene (Evista)

PCP PROPHYLAXIS

• Aerosolized Pentamidine (Nebupent)
• Atovaquone Suspension (Mepron)
• Dapsone
• Sulfamethoxazole-Trimethoprim (Bactrim)

TOPICAL STEROIDS

• Hydrocortisone 2.5% [cream, lotion, ointment]
• Hydrocortisone valerate 0.2% [cream]

TOPICAL ANESTHETICS

• Lidocaine Patch (Lidoderm)

TRANSGENDER HORMONES

• Conjugated estrogen tablet 0.3 mg, 0.45 mg,
• 0.625 mg, 0.9 mg, 1.25 mg
• Estradiol valerate injection 10mg/ml
• Estradiol tablets
• Finasteride tablet 5 mg
• Leuprolide acetate injection 3.75mg, 11.25mg
• Spironolactone tablet 50mg, 100 mg
• Testosterone cypionate injection, CIII**
• Testosterone, topical 1%, (Androgel) CIII** (generic only)
• Testosterone pump, topical 1.62%, (Androgel) CIII**

WEIGHT LOSS/WASTING

• Dronabinol (Marinol/Syndros) CIII** #
• Megestrol (Megace, Megace ES)
• Oxandrolone (Oxandrin) CIII **
• Somatropin (Serostim) #

MISCELLANEOUS

• Berocca Plus vitamins (Rx Only)
• Epoetin Alfa  (Procrit, Epogen)#
• Gabapentin (Neurontin)
• Pyridoxine 50mg
• V-C Forte vitamin (Rx only)

---

** DENOTES CONTROLLED SUBSTANCES

#   DENOTES PRIOR AUTHORIZATION

++ DENOTES DOSAGE STRENGTH CAUTION 

CONTROLLED SUBSTANCES ARE AVAILABLE AT ANY CONTRACTED NETWORK PHARMACY

Delivery Available – inquire with individual pharmacy
 

---

UPDATED October 20, 2021                                                                         CONFIDENTIAL FAX (202) 673-4365