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Drugs Available through DC ADAP (Formulary)

As of March 7, 2022, the following drugs are available through the District of Columbia AIDS Drug Assistance Program.
Click here for the print version.

To search for a specific drug, hit the "Ctrl" button and "f" and type the drug name.


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-DEPRESSANTS

  • Amitriptyline HCL (Elavil)
  • Bupropion (Wellbutrin SR)
  • Citalopram (Celexa)
  • Duloxetine (Cymbalta)
  • Escitalopram (Lexapro)
  • Fluoxetine (Prozac)
  • Mirtazapine (Remeron)
  • Paroxetine (Paxil)
  • Sertraline (Zoloft)
  • Trazodone
  • Venlafaxine ER (Effexor 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-FUNGALS

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

ANTI-HISTAMINES (only oral products)

  • Cetirizine (Zytrec)
  • Hydroxyzine HCl
  • Hydroxyzine Pamoate
  • Loratadine (Claritin)
  • Promethazine DM

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

  • 1st line
    • Rifapentine (Priftin)
  • 2nd 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)
  • Olanzapine (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 March 8, 2022  

CONFIDENTIAL FAX (202) 673-4365

Contact Phone: 
(202) 671-4815
Contact TTY: 
711