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ADAP Formulary Database Background

“A1” Opportunistic Infection Medications (A1 OIs)

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Table

“A1” Opportunistic Infection Medications (A1 OIs)

State/Territory acyclovir (Zovirax) amphotericin B deoxycholate (Fungizone) azithromycin (Zithromax) cidofovir (Vistide) clarithromycin (Biaxin) clindamycin (Cleocin) ethambutol (Myambutol) famciclovir (Famvir) fluconazole (Difulcan) flucytosine (Ancobon) foscarnet (Foscavir) ganciclovir (Cytovene) immune globulin, intravenous isoniazid, INH (Lanizid, Nydrazid) itraconazole (Sporonox) leucovorin, folinic acid levofloxacin (Levaquin) liposomal amphotericin B (AmBisome) liposomal doxorubicin (Doxil) metronidazole (Flagyl, MetroCream, Metrogel, MetroLotion, Noritate, Rosadan) moxifloxacin (Avalox) nitazoxanide (Alinia) pentamidine (Nebupent) prednisone (Deltasone, Liquid Pred, Metocorten, Orasone, Panasol, Prednicen-M, Sterapred) primaquine pyrazinamide, PZA (Rifater) pyrimethamine (Daraprim) rifabutin (Mycobutin) rifampin, RIF (Rifadin, Rimactane) sulfadiazine, oral generic (Microsulfon) trimethoprim-sulfamethoxazole, TMP/SMX (Bactrim, Septra) valacyclovir (Valtrex) valganciclovir (Valcyte) vancomycin (Vancocin)
Alabama Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes No
Alaska Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes No No No No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes No
Arizona Yes No Yes No Yes Yes Yes No Yes No No No No Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes
Arkansas Yes No Yes No Yes Yes Yes No Yes No No No No No Yes Yes No No No Yes No No No Yes No No No Yes No Yes Yes Yes Yes No
California Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes No No Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes
Colorado Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes
Connecticut Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Delaware NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR
District of Columbia Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes No Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes
Florida Yes No Yes No Yes Yes Yes No Yes No No No No Yes Yes Yes Yes No No Yes No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No
Georgia Yes No Yes No Yes Yes Yes Yes Yes No No No No Yes Yes Yes No No No Yes No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No
Guam No No No No No No No No No No No No No No No No No No No No No No No No No No No No No No Yes No Yes No
Hawaii Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Idaho Yes No Yes No Yes Yes Yes No No No No No No No No No Yes No No Yes No No Yes Yes No No Yes Yes Yes No Yes Yes Yes Yes
Illinois Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Indiana Yes No Yes No Yes Yes Yes No Yes Yes No No Yes Yes Yes Yes Yes No No Yes Yes No Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes
Iowa Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Kansas Yes No Yes No Yes Yes Yes Yes No No No Yes No No No Yes No No No Yes No Yes Yes No Yes No Yes Yes No Yes Yes Yes Yes No
Kentucky Yes No Yes No Yes No Yes No Yes No No No No Yes Yes Yes No No No No No No No No Yes No Yes Yes Yes Yes Yes No Yes No
Louisiana Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No No No No No No Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes No
Maine Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Maryland Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Massachusetts Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Michigan Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes Yes No No Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No
Minnesota Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Mississippi Yes No Yes No Yes Yes Yes No Yes No No No No Yes Yes Yes No No No No No No Yes No No Yes Yes Yes Yes Yes Yes Yes Yes No
Missouri Yes No Yes Yes Yes Yes Yes Yes Yes Yes No Yes No Yes Yes Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Montana Yes Yes Yes No Yes Yes Yes No Yes No Yes Yes No Yes Yes Yes No No No No No No Yes No No Yes Yes Yes Yes Yes Yes Yes Yes No
Nebraska Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Nevada Yes No Yes No Yes Yes Yes No Yes No Yes No No No Yes No Yes No No No Yes Yes No Yes Yes No Yes Yes No Yes No Yes Yes No
New Hampshire Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
New Jersey Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
New Mexico Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
New York Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
North Carolina Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes No No Yes Yes No Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No
North Dakota Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Ohio Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Oklahoma Yes No Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes Yes No No Yes Yes No Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes
Oregon Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Pennsylvania Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Puerto Rico No No Yes No No Yes No No Yes No No No No No Yes Yes No No No No No No Yes No No No Yes No No Yes Yes Yes Yes No
Rhode Island Yes No Yes No Yes No Yes No Yes No Yes Yes No Yes Yes Yes No No No No No No Yes No Yes No Yes Yes No Yes Yes Yes Yes No
South Carolina Yes No Yes No No Yes Yes No Yes No No No No No Yes No Yes No No Yes Yes No No Yes No No No Yes No No Yes Yes Yes No
South Dakota Yes No Yes No Yes No Yes Yes Yes No No No No No Yes Yes Yes No No No No No Yes No No No Yes Yes No No Yes Yes Yes No
Tennessee No No Yes No Yes Yes Yes No Yes No No No No No Yes No No No No Yes No No Yes No Yes No Yes Yes No Yes Yes Yes Yes No
Texas Yes No Yes No Yes Yes Yes Yes Yes No No Yes No Yes Yes Yes No No No No No No Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes No
Utah Yes No Yes No Yes Yes Yes No Yes No No No No Yes Yes Yes Yes No No Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes
Vermont Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes No No No Yes Yes No No Yes No No No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes No
Virginia Yes No Yes No Yes Yes Yes Yes Yes No No No No Yes Yes Yes Yes No No No No No No Yes Yes Yes Yes Yes Yes Yes Yes No Yes No
Washington Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
West Virginia Yes No Yes No Yes Yes Yes Yes Yes No Yes Yes No No Yes No No No No No No No Yes No No No Yes Yes No No Yes Yes Yes No
Wisconsin Yes No Yes Yes Yes Yes Yes Yes Yes No Yes Yes No No Yes No Yes Yes Yes Yes Yes Yes Yes No No No Yes Yes No Yes Yes Yes Yes No
Wyoming Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes