DELAWARE HEALTH AND SOCIAL SERVICES _______________________________________________________________ Division of Public Health _______________________________________________________________
Delaware AIDS Drug Assistance Program (ADAP) Formulary as of September 27, 2011
Antiretrovirals Abacavir (Ziagen) Abacavir/lamivudine (Epzicom)
Amprenavir (Agenerase) Atazanavir (Reyataz) Complera (emtricitabine, rilpivirine and tenofovir) Darunavir (Prezista) Delavirdine (Rescriptor) Didanosine (ddI, Videx, Videx EC[all strengths]) Edurant (rilpivirine) Efavirenz (Sustiva-all strengths) Efavirenz/Emtricitabine/Tenofovir (Atripla) Emtricitabine (Emtriva) Enfuvirtide (Fuzeon) Etravirine (Intelence) Fosamprenavir (Lexiva) Indinavir (Crixivan) Lamivudine (3TC, Epivir all strengths) Lopinavir/Ritonavir (Kaletra) Maraviroc (Selzentry)– Pre-approval a must (call 302-744-1050) Nelfinavir (Viracept – all strengths) Nevirapine (Viramune) Raltegravir (Isentress) Ritonavir (Norvir) Saquinavir (Invirase [all strengths] or Fortovase) Stavudine (d4T, Zerit, Zerit XR) Tenofovir (Viread) Tenofovir disoproxil/emtricitabine (Truvada) Tipranavir (Aptivus) Zidovudine (AZT, Retrovir) Zidovudine/Lamivudine (Combivir) Zidovudine/Lamivudine/Abacavir (Trizivir) Clients on prescriptions other than antiretrovirals or treatments for opportunistic infections require documentation on file at their physicians’ office stating that THE DISORDER IS RELATED TO OR EXACERBATED BY HIV/AIDS. DELAWARE HEALTH AND SOCIAL SERVICES _______________________________________________________________ Division of Public Health _______________________________________________________________
Delaware AIDS Drug Assistance Program (ADAP) Formulary as of September 27, 2011
Antivirals/Antifungals/Antimicrobials Antivirals Antimicrobials
Interferon Alfa-2b+ Ribavirin (Intron A+
Rebetrol, Rebetron, Peg-Intron)i
Dicloxacillin (Dycill, Dynapen, Pathocill)
Pegasys (Peginterferon alfa-2a) i
Doxycycline (Vibramycin, Doxy, Doxychel,
Isoniazid (INH)Levofloxacin (Levaquin)Moxifloxacin (Avelox)
Antifungals
Penicillin (Pen Vee K, Veetids, Beepen-VK,
RifampinSulfadiazine (Microsulfon)Sulfamethoxazole/Trimethoprim (Bactrim,
Antimicrobials
Antibiotics (all types, all manufactures)*
Amoxicillin & Clavulanate Potassium (Augmentin)Ampicillin (Omnipen, Principen)Atovaquone (Mepron)Azithromycin (Zithromax)
Clients on prescriptions other than antiretrovirals or treatments for opportunistic infections require documentation on file at their physicians’ office stating that THE DISORDER IS RELATED TO OR EXACERBATED BY HIV/AIDS. DELAWARE HEALTH AND SOCIAL SERVICES _______________________________________________________________ Division of Public Health _______________________________________________________________
Delaware AIDS Drug Assistance Program (ADAP) Formulary as of September 27, 2011
Gastrointestinal Agents/Nutritional Supplements/Appetite Stimulants/Antidiarrheals Gastrointestinal Agents Nutritional Supplements/Appetite stimulants
Famotidine (Pepcid)Hemorrhoidal Creams & Suppository (All brands)Lansoprazole (Prevacid)
Antidiarrheals
Pancrease Enzymes (All commerciallyavailable formulations, generics)
Antiemetic
Promethazine (Phenergan, various generics)
Inhalers/Bronchodilators/Oral Steroids/Asthma Prophylaxis Clients on prescriptions other than antiretrovirals or treatments for opportunistic infections require documentation on file at their physicians’ office stating that THE DISORDER IS RELATED TO OR EXACERBATED BY HIV/AIDS. DELAWARE HEALTH AND SOCIAL SERVICES _______________________________________________________________ Division of Public Health _______________________________________________________________
Delaware AIDS Drug Assistance Program (ADAP) Formulary as of September 27, 2011
Antidepressants/Antipsychotics/Agents for Sleep
Lithium Carbonat e (Lithobid, all others)
Oral Hypoglycemics/Insulinii
Glyburide (DiaBeta, Micronase, generic) *
Insulins (all types, all manufacturers) *
Metformin (Glucophage, Glucopahage XR,Fortamet)*
iiOther FDA Approved supplies for management of Diabetes Mellitus (limited to syringes, alcohol swabs, blood glucose monitors, lancets, and test strips) Clients on prescriptions other than antiretrovirals or treatments for opportunistic infections require documentation on file at their physicians’ office stating that THE DISORDER IS RELATED TO OR EXACERBATED BY HIV/AIDS. DELAWARE HEALTH AND SOCIAL SERVICES _______________________________________________________________ Division of Public Health _______________________________________________________________
Delaware AIDS Drug Assistance Program (ADAP) Formulary as of September 27, 2011
Pain Medications Nonnarcotic analgesics Narcotic analgesics
Diclofenac (Cataflam, Voltaren, generics)
Morphine Sulfate (Avinza, MSIR, Oramorph
Nabumetone (Relafen)Naproxen (Aleve, Anaprox, Naprosyn,Naprelan)Oxaprozin (Daypro)Piroxicam (Feldene, generics)Sulindac (Clinoril)Tolmentin (Tolectin)Tramadol (Ultram)
Vaccines Topical Medications Clients on prescriptions other than antiretrovirals or treatments for opportunistic infections require documentation on file at their physicians’ office stating that THE DISORDER IS RELATED TO OR EXACERBATED BY HIV/AIDS. DELAWARE HEALTH AND SOCIAL SERVICES _______________________________________________________________ Division of Public Health _______________________________________________________________
Delaware AIDS Drug Assistance Program (ADAP) Formulary as of September 27, 2011
Lipid Lowering Agents
Niacin (Niaspan, Nicotinic Acid, Slo-Niacin,
Antihypertensives/Cardiac Medications-combination products of those listed below also
Nifedipine (Adalat, Adalat CC, Procardia,
Telmisartan/Hydrochlorothiazide (Micardis
Lisinopril (Prinivil, Zestril, all generics)
Clients on prescriptions other than antiretrovirals or treatments for opportunistic infections require documentation on file at their physicians’ office stating that THE DISORDER IS RELATED TO OR EXACERBATED BY HIV/AIDS. DELAWARE HEALTH AND SOCIAL SERVICES _______________________________________________________________ Division of Public Health _______________________________________________________________
Delaware AIDS Drug Assistance Program (ADAP) Formulary as of September 27, 2011
Prescription Antihistamines (including combination products) Agents for Osteopenia/Osteoporosis Miscellaneous
Triamcino lone 1% Dental Paste(Aristocort)
Anticonvulsants The following ADAP medications may not require a prescription
Dexchlorpheniramine (Polaramine, various)
Famotidine (Pepcid)Ferrous Sulfate (Feosol, Mol-Iron, Slow Fe)
Clients on prescriptions other than antiretrovirals or treatments for opportunistic infections require documentation on file at their physicians’ office stating that THE DISORDER IS RELATED TO OR EXACERBATED BY HIV/AIDS.
Research Report Olive leaf extract as a hypoglycemic agent in both human diabetic subjects and in rats. published: march 2nd 2013 Wainstein J, Ganz T, Boaz M, Bar Dayan Y, Dolev E, Kerem Z, contact: apimanu Spain S.L. Avenida Amanecer de Espana 23 Diabetes Unit, E. Wolfson Medical Center, Holon, Israel. Abstract Olive tree (Olea europaea L.) leaves have been wid
CONTRATO PRESTACIÓN DE SERVICIOS PROVEEDORES Y/O CONTRATISTAS En SANTIAGO de Chile se celebra el presente contrato por medios electrónicos entre la empresa Achilles Chile, en adelante Achilles, filial de Achilles Group, en adelante “ la empresa ” y el proveedor o contratista, según los términos y condiciones que pasan a expresarse: I.- Condiciones Generales 1. El contrato t
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