HIV Antiretroviral Coding Charts for ARIES Input

CHART A CLASSES OF MEDICATIONS  Combination  “NUKES”  “NON-NUKES”  PROTEASE INHIBITORS  ENTRY /  INTEGRASE Nucleotide/Nucleoside Non-nucleoside (“-navirs”) FUSION INHIBITORS Meds Reverse Transcriptase Reverse Transcriptase Inhibitors Inhibitors INHBITORS ATRIPLA* (TRIPLE THERAPY)  Emtriva  Intelence  Agenerase  Prezista  Fuzeon  Isentress (efavirenz/emtricitabine/tenofovir) (emtricitabine) (etravirine) (amprenavir) (darunavir) (enfuvirtide) (raltegravir)  Epivir  Rescriptor  Aptivus  Reyataz  Selzentry COMPLERA* (TRIPLE THERAPY) (lamivudine) (delavirdine) (tipranavir) (atazanavir) (maraviroc) (rilpivirine/tenofovir/emtricitabine  Retrovir  Sustiva  Crixivan  Viracept

COMBIVIR (zidovudine) (efavirenz) (indinavir) (nelfinavir) (lamivudine/zidovudine)  Videx  Viramune  Invirase (didanosine) (nevirapine) (saquinavir) o Norvir* EPZICOM  Viread  Edurant  Kaletra (ritonavir) (abacavir/lamivudine) (tenofovir) (rilpivirine) (lopinavir/  Zerit ritonavir) *Ritonavir is used as a booster and does not TRUVADA (stavudine)  Lexiva count as one of the (emtricitabine/tenofovir)  Ziagen (fosamprenavir) HAART medications (abacavir) TRIZIVIR* (DUAL THERAPY) (abacavir/lamivudine/zidovudine) CHART B CODING GUIDELINES AND EXAMPLES  Only one color ( or  or  or  or ) MONOtherapy o Example: Epivir (lamivudine) o Example: Kaletra (lopinavir/ ritonavir)  Combination drug only (Combivir, Epzicom, Truvada, or Trizivir) DUAL Therapy  Only two different colors (i.e. each from a different class) o Example: Retrovir (zidovudine) + Viramune (nevirapine)  At least two of the same color (i.e. same class) and a different color (i.e. another class) TRIPLE Therapy o Example: Atripla (efavirenz + emtricitabine + tenofovir) or Complera (rilpivirine + emtricitabine + tenofovir) Classification (= HAART*) o Example: Reyataz (atazanavir) + Epivir (lamivudine) + Viread (tenofovir) + Norvir (ritonavir)

o Example: Prezista (darunavir) + Truvada (emtricitabine + tenofovir) *HAART = Highly Active  Three different colors (i.e. each from a different class) Antiretroviral Therapy o Example: Prezista (darunavir) + Norvir (ritonavir) + Intelence (etravirine) + Isentress (raltegravir)

G:\CSGA\CM Working Group\HAART Treatment Adherence\ARV Medication Coding Chart Documents - Final\Field_Study_-_ART_Medication_Coding_Chart_for_ARIES_Input_-_Final.docx Updated 10/2011