Ryan White Part B Formulary

Medications are listed below by generic and brand name.  They are grouped by indication or use.  The indication or use must be HIV-related.

GENERIC NAME BRAND NAME (must use generic when available)
Anti-Anxiety
alprazolam Xanax
diazepam Valium
lorazepam Ativan
triazolam Halcion
Anti-Bacterial
amoxicillin Amoxil
amoxicillin/clavulanic acid Augmentin
cefuroxime Ceftin
cephalexin Keflex
ciprofloxacin Cipro
dicloxacillin
doxycycline Vibramycin
moxifloxacin Avelox
mupirocin Bactroban
nitrofurantoin Macrobid
penicillin
Anti-Coagulant 
warfarin Coumadin
Anti-Infective
betamethasone/clotrimazole Lotrisone
clotrimazole Lotrimin, Mycelex
clotrimazole troches Mycelex Troches
ketoconazole Nizoral
metronidazole Flagyl
nystatin Mycostatin Susp.
Anti-Viral
valacyclovir Valtrex
oseltamivir Tamiflu
zanamivir Relenza
Cardiac
amlodipine Norvasc
atenolol Tenormin
clonidine Catapres
diltiazem Cardizem
doxazosin Cardura
enalapril Vasotec
fosinopril Monopril
irbesartan Avapro
labetolol Trandate
lisinopril Zestril
losartan Cozaar
metoprolol Lopressor
potassium
propranolol Inderal
verapamil Covera, Calan
Dermatologic
fluocinonide Lidex
imiquimod Aldara Cream
bacitracin/neomycin/polymyxin B Neosporin
triamcinolone:Eucerin (compound)
Diarrhea
diphenoxylate/atropine Lomotil, Lonox
loperamide Imodium
Diuretic
furosemide Lasix
hydrochlorothiazide
spironolactone Aldactone
Hormone
levothyroxine Synthroid
prednisone Deltasone
testosterone Androderm, Androdgel, Oxandrin
Pain
acetaminophen/codeine Tylenol 3
butalbital/acetaminophen/caffeine Fioricet
celecoxib Celebrex
fentanyl Duragesic
hydrocodone Hycodan, Lortab, Vicodin
hydromorphone Dilaudid
methadone Dolophine
morphine sulphate MS Contin
naproxen sodium Naprosyn, Alleve
oxycodone Roxicodone, OxyContin
propoxyphene Darvon, Darvocet
tramadol Ultram
Respiratory
albuterol Ventolin, Accuneb, Duoneb, Proventil
beclomethasone QVAR
guaifenesin/codeine
salmeterol Serevent
Seizures
carbamazepine Tegretol
clonazepam Klonopin
divalproex sodium Depakote
phenytoin Dilantin
Sleep
temazepam Restoril
zolpidem Ambien
Wasting
dronabinol Marinol
Vaccine
meningococcal conjugate