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Kentucky Aids Drug Assistance Program (Kadap)

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Kentucky Aids Drug Assistance Program (Kadap) KENTUCKY AIDS DRUG ASSISTANCE PROGRAM (KADAP) (Revised July 3, 2019) ANTIRETROVIRAL (ARV) THERAPY OPPORTUNISTIC INFECTION (OI) THERAPY Class Generic Name(s) Trade Name Abbreviation(s) Generic Name(s) Trade Name(s) CD4 Post-Attachment HIV-1 Inhibitor acyclovir Zovirax ibalizumab-uiyk for injection Trogarzo IBA atovaquone Mepron Entry Inhibitor azithromycin Zithromax maraviroc Selzentry MVC ciprofloxacin Cipro, Ciloxan, Centraxal Fusion Inhibitor clarithromycin Biaxin enfuvirtide Fuzeon T20 clotrimazole Canesten, Lotrimin Integrase Inhibitor dapsone Aczone dolutegravir Tivcay DTG Alodox, Atridox, Doryx, Monodox, Morgidox, Ocudox, doxycycline raltegravir Isentress RAL Oracea, Periostat, VibraTabs Multi-Class ARV Agent ethambutol Myambutol, Servambutol abacavir / dolutegravir / lamivudine Triumeq or Trii ABC + DTG + 3TC fluconazole● Diflucan bictegravir / emtricitabine / tenofovir AF Biktarvy BIC + FTC + TAF isoniazid - darunavir / cobicistat / emtrictabine / itraconozole Sporanox Symtuza DRV + COBI + FTC + TAF tenofovir AF ketoconzaole▲ Extina, Nizoral, Xolegel dolutegravir / rilpivirine Juluca DTG + RPV leucovorin - efavirenz / emtrictabine / tenofovir DF Atripla EFV + FTC + TDF nystatin NyStop elvitegravir / cobicistat / emtricitabine / paramomycin - Genvoya EVG + COBI + FTC + TAF tenofovir AF primaquine - elvitegravir / cobicistat / emtricitibine / pyrimethamine Daraprim Stribild EVG + COBI + FTC + TDF tenofovir DF rifabutin Mycobutin emtricitabine / rilpivirine / tenofovir AF Odefsey FTC + RPV + TAF rifampin Rifadin, Rimactane emtricitabine / tenofovir AF Descovy FTC + TAF sulfadiazine - rilpivirine / tenofovir DF / emtricitabine Complera RPV + TDF + FTC sulfamethoxazole Bactrim, Septra, Sulfatrim dolutegravir / lamivudine Dovato DTG + 3TC trimethoprim Proloprim Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTI) valganciclovir Valcyte delavirdine Rescriptor DLV ANTIBIOTICS doravirine Pifeltro DOR Generic Name(s) Trade Name(s) doravirine / lamivudine / tenofovir DF Delstrigo DOR + 3TC + TDF amoxicillin - efavirenz Sustiva EFV cephalexin - etravirine Intelence ETR paromomycin - nevirapine Viramine NVP OTHER RELATED CONDITIONS rilpivirine Edurant RPV Vaccines Nucleoside/Nucleotide Analogs Hepatitis A Vaccine abacavir Ziagen ABC Hepatitis B Vaccine abacavir / lamivudine Epzicom ABC + 3TC Hepatitis A and B Vaccine abacavir / lamivudine / zidovudine Trizivir ABC + 3TC + AZT Herpes Zoster Vaccine didanosine Videx, Videx EC ddI Influenza Vaccine emtricitabine Emtriva FTC Meningococcal Vaccine emtricitabine / tenofovir DF Truvada FTC + TDF Pneumococcal Vaccine lamivudine Epivir 3TC TDaP Vaccine stavudine Zerit d4T HPV Vaccine tenofovir DF Viread TDF Behavioral Health Treatments zidovudine Retrovir AZT, ZDV Generic Name(s) Trade Name(s) zidovudine / lamivudine Combivir AZT + 3TC amitriptyline Elavil zidovudine / lamivudine / abacavir Trizivir AZT + 3TC + ABC bupropion Wellbutrin Other citalopram Celexa cobicistat Tybost COBI or /c fluoxetine Prozac Protease Inhibitors (PI) paroxetine Paxil amprenavir Agenerase APV sertaline Zoloft atazanavir Reyataz ATV trazodone Desyrel atazanavir / cobicistat Evotaz ATV + COBI venlafaxine Effexor darunavir Prezista DRV Other darunavir / cobicistat Prezcobix DRV + COBI Generic Name(s) Trade Name(s) fosamprenavir Lexiva FPV imiquimod - indinavir Crixivan IDV loperamide Immodium nelfinavir Viracept NFV megestrol acetate► - ritonavir Norvir RTV or /r prenatal vitamins - saquinavir (hard gel cap) Invirase SQV promethazine HCl (any brand name) tipranavir Aptivus TPV testosterone - lopinavir + ritonavir Kaletra LPV/r, LPV + RTV vitamin D LEGEND AF = alafenamide fumarate, DF = disoproxil fumarate ▲ Generic available in cream form only ◄ Generic available only in 250mg and 600mg tablets ► Requires pre-authorization for long term use over six (6) months ● Available only in 100mg & 200mg tablets.
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