skip to content
Primary navigation

Program HH Medication Program (ADAP) Formulary

Sorted by alphabetical order

A | B | C | D | E | F | G | H | I | K | L | M | N | O | P | R | S | T | V | Z

A

A/T/S, AKNE-MYCIN, C-SOLVE-2, EMGEL, ERY, ERYCETTE, ERYDERM, ERYGEL, ERYMAX, ERY-SOL, ERYTHRA-DERM, ERYTHROMYCIN, ERYTRO, ROMYCIN, STATICIN, THERAMYCIN Z (ERYTHROMYCIN BASE/ETHANOL)

ABILIFY (ARIPIPROZOLE)

ACHROMYCIN, ALA-TET, BIOCYCLINE, BRODSPEC, CEN-TET, CENTET-250, CYCLATET, CYCLINE-250, CYCLINEX, D.R. T-CYCLINE, DELTAMYCIN, DESAMYCIN, D-MYCIN, EMTET-500, J-MYCIN, MARTET, M-TET, M-TETRA 250, NORTET, PANMYCIN, PC TET, PIRACAPS, RETET, ROBITET, SAROCYCLINE, SK-TETRACYCLINE HCL, SUMYCIN, SUMYCIN 250, SUMYCIN 500, SUMYCIN SYRUP, TEGA-CYCLINE, TELINE, TET-CY, TET-CY, TETRA 500, TETRACAP, TETRACLOR 250, TETRACLOR L, TETRA-CO, TETRACYCLINE, TETRACYCLINE HCL, TETRACYCLINE HYDROCHLORIDE, TETRACYN, TETRACYN INTRAMUSCULAR, TETRACYREX, TETRALAN, TETRAM, TETRAMAX (TETRACYCLINE)

A-CILLIN, AMOXICILLIN, AMOXIL, COLMOX, ENTAMOX, LAROTID, MOX-I 250, MOXILIN, POLYMOX, SENOX, SUMOX, , TRIMOX, WYMOX, WELLAMOX (AMOXICILLIN TRIHYDRATE)

ACTICORT, AK-CORT, ALA-CORT, ALBACORT, ALLERCORT, ANTI-ITCH SCALP RELIEF, AQUANIL HC, BACTINE, BETA HC, BETA-CORT, BETA-HC, CALDECORT, CETACORT, COMPLEX A, CORTAID, CORT-DOME, CORTIFAIR, CORTINAL, CORTIZONE-10, CORTIZONE-10 SCALP ITCH RELIEF, CORTRIL, D.R. HYDROCORT, DERMACORT, DERMASONE, DERMOL HC, ELDECORT, EPICORT, EPISONE, GLY-CORT, HC-JEL, HI-COR, HYCORT, HYDRO LOTION, HYDROCORT, HYDROCORTEX, HYDROCORTISOL, HYDROCORTISONE, HYDROCORTISONE ACETATE, HYDROMAR, HYDRO-TEX, HYTONE, INSTACORT, IVOCORT-DP, KORT, LACTICARE-HC, LEMODERM, LEXOCORT FORTE, MEDIGEL H+, NOGENIC HC, NUPERCAINAL HC, NUTRACORT, P.P.C., PC-HC, PENECORT, PREPARATION H, PROCORT, Q-U-CORT, RACET SE, RECORT PLUS, REDERM, SARNOL-HC, SCALP CORT, SCALP-AID, SYNACORT, TEGA-CORT, TEGA-CORT-FORTE, TEGRIN HC PSORIASIS, TEXACORT SCALP, ULCORT, YEAST-X (HYDROCORTISONE)

ADAPIN, DOXEPIN HCL, SINEQUAN (DOXEPIN)

AGENERASE (AMPRENAVIR/VITAMIN E)

AK-GENT, ED-MYCIN, GARAMYCIN, GENOPTIC, GENTACIDIN, GENTACIN, GENTAFAIR, GENTAK, GENTAMAR, GENTAMICIN SULFATE, GENTASOL, GENTRASUL, G-MYTICIN, I-GENT, INFA-GEN, QUALAMYCIN, SPECTRO-GENTA, STORZ-G (GENTAMICIN SULFATE)

AK-POLY-BAC, AQUAPHOR WITH ANTIBIOTIC, BACITRACIN ZINC & POLYMYXIN-B, BACITRACIN/POLYMYXIN, BIOTRES, DOUBLE ANTIBIOTIC, FIRST AID SPRAY, I-POLYSPOR, MULTI-ANTIBIOTIC, OCUMYCIN, POLYCIDIN, POLYCIN-B, POLYSPORIN, POLYTRACIN, SPECTRO-POLYTRACIN (BACITRACIN/POLYMYXIN B SULFATE)

AK-TRACIN, BACIGUENT, BACITRACIN, BACITRACIN POWDER, BACTERICIN, BACTICIN, FIRST AID ANTIBIOTIC BACITRACIN, SPECTRO-BACITRACIN (BACITRACIN)

ALBENZA, ALBENDAZOLE (ALBENDAZOLE - heterocyclic organic compound used for getting rid of worms)

ALDARA (IMIQUIMOD)

ALINIA (NITZOXANIDE)

ALOE VESTA, ANTIFUNGAL CREAM, BAZA, BREEZEE MIST, CRUEX, DERMAGRAN AF, DIABET-X PLUS, GYNE-STAT-7, MICADERM, MICATIN, MICONAZOLE 3, MICONAZOLE 7, MICONAZOLE NITRATE, MICRO-GUARD, MITRAZOL, MONISTAT 1, MONISTAT 3, MONISTAT 7, MONISTAT DUAL-PAK, MONISTAT-DERM, M-ZOLE, ONY-CLEAR, PODACTIN, THERACURE, TRIPLE CARE ANTIFUNGAL, ZEASORB-AF (MICONAZOLE) AMBIEN (ZOLPIDEM)

AMITID, AMITRIPTYLINE HCL, ELAVIL, EMITRIP, ENDEP, ENOVIL, E-VILL 10, Q.E.L, RE-LIVE, SK-AMITRIPTYLINE, STABANIL, VANATRIP (AMITRIPTYLINE HCL)

AMITRIPTYLINE W/PERPHENAZINE, ETRAFON 2-10, PER-TRIP, TRIAVIL 2-10 (AMITRIPTYLINE HCL/PERPHENAZINE)

ANCOBON (FLUCYTOSINE)

ANDRODERM (ANDRODERM)

ANDROGEL (ANDROGEL)

ANTI-DIARRHEA, DIAMODE, IMODIUM, IMODIUM A-D, IMODIUM ADVANCED, IMOTIL, IMPERIM, KAO-PAVERIN, KAOPECTATE 1-D, K-PEK II, LOPERAMIDE, LOPERAMIDE HCL/SIMETHICONE, MAALOX ANTI-DIARRHEAL, PEPTO DIARRHEA CONTROL, UNI-A/D (LOPERAMIDE HCL)

ANTIFUNGAL, CLOTRIM ANTIFUNGAL, CLOTRIMAZOLE, CLOTRIMAZOLE AF, CLOTRIMAZOLE ANTIFUNGAL, CLOTRIMAZOLE-7, DESENEX, FEMCARE, FUNGOID, GYNE-LOTRIMIN, LOTRIMIN, MYCELEX, MYCELEX TWIN PACK, MYCELEX-7, MYCELEX-G, VAGINAL 3-DAY (CLOTRIMAZOLE)

ANUCORT-HC (HYDROCORTISONE ACETATE)

AORACILLIN B, BEEPEN VK, BETAPEN VK, BONCOCILLIN VK, CAROPEN VK, CEN PEN VK, COCILLIN VK, COR VK, DELTAPEN VK, LANACILLIN VK, LEDERCILLIN VK, MARPEN VK, M-CILLIN VK, ORA VK, PC PEN V K, PENICILLIN V, PEN-VEE K, PFIZERPEN VK, REPEN VK, ROBICILLIN VK, SK-PENICILLIN VK, UTICILLIN VK, V-CILLIN K, VEETIDS 125, WINCILLIN VK (PENICILLIN V POTASSIUM)

APTIVUS (TIPRANAVIR)

ATRETOL, CARBAMAZEPINE, CARBATROL, EPITOL, TEGRETOL (CARBAMAZEPINE)

ATRIPLA (EFAVIRENZ/EMTRICITAB/TENOFOVIR)

AUGMENTIN, AMOX TR-POTASSIUM CLAVULANATE (AMOX TR/POTASSIUM CLAVULANATE)

AVELOX (MOXIFLOXACIN HCL)

AVENTYL HCL, NORTRIPTYLINE HCL, PAMELOR (NORTRIPTYLINE)

AVLOSULFON, DAPSONE (DAPSONE)

AZITHROMYCIN, ZITHROMAX (AZITHROMYCIN)

B

BACITRACIN ZINC, ZINC BACITRACIN (BACITRACIN ZINC)

BACTRIM, BETHAPRIM, BETHAPRIM DS, CHERAGAN W/TMP, COFATRIM FORTE, COMOXOL, COTRIM, COTRIM DOUBLE-STRENGTH, COTRIM I.V., COTRIM SINGLE-STRENGTH, DYNABAC DS, DYNASEP DS, KIDTRIM DS, SEPTRA, SULFAMETHOPRIM, SULFAMETHOXAZOLE/TRIMETHOPRIM, SULFAPRIM, SULFATRIM, SULFOXAPRIM DS, SULFOXAPRIM SS, SULMEPRIM, SULTREX, SULTRIM-DS, TRIAZOLE, TRIM-SULF D/S, TRISULFAM, TRISUPRIM, UROPLUS DS, UROPLUS SS (SULFAMETHOXAZOLE/TRIMETHOPRIM)

BARACLUDE (ENTECAVIR)

BARSTATIN, BIO-STATIN, MYCOSTATIN, MYCOTIC, NILSTAT, NYSTATIN, NYSTAT-RX, NYSTEX (NYSTATIN)

BENEMID, PARBENEM, PROBALAN, PROBENECID, PROBENIMEAD, PROCID, SK-PROBENECID (PROBENECID - used to treat gout)

BIAXIN, CLARITHROMYCIN (CLARITHROMYCIN)

BRISTAMYCIN, CEN-MYCIN, D.R. ERYCIN, ERYTHROBON, ERYTHROCIN STEARATE, ERYTHROCOT, ETHRIL 250. KENMYCIN 250, M-MYCIN, MY-E FILM, PC MYCIN, PFIZER-E, SK-ERYTHROMYCIN, WINTROCIN, WYAMYCIN SE.E.S., E-MYCIN E, ERYPED, PEDIAMYCIN, WYAMYCIN E (ERYTHROMYCIN ETHYLSUCCINATE, STEARATE)

BUCONAZOLE (BUCONAZOLE)

BUDEPRION SR, WELLBUTRIN, ZYBAN (BUPROPION HCL)

C

CARNITOR, VITACARN (LEVOCARNITINE - WITH SUCROSE)

CEFADROXIL HYDRATE, CEFADROXIL MONOHYDRATE, DURICEF, ULTRACEF (CEFADROXIL HYDRATE)

CELEXA, CITALOPRAM HBR, CITALOPRAM HYDROBROMIDE (CITALOPRAM)

CEPHALEXIN, CEPHALEXIN MH, CEPHALEXIN MONOHYDRATE, C-LEXIN, ENTACEPH, BIOCEF, CEFANEX, ED A-CEPH, KEFLET, ZARTAN (CEPHALEXIN)

CHLORHEXIDINE GLUCONATE, PERIDEX, PERIOGARD (CHLORHEXIDINE GLUCONATE)

CHOLESTYRAMINE, LOCHOLESTCHOLYBAR, QUESTRANCHOLESTYRAMINE LIGHT, PREVALITE, QUESTRAN LIGHT (CHOLESTYRAMINE)

CIPRO, CIPROFLOXACIN HCL (CIPROFLOXACIN)

CLEOCIN HCL, CLINDAMYCIN HCL,CLEOCIN PALMITATE, CLEOCIN PHOSPHATE/D5W (CLINDAMYCIN HCL,PALIMATE, PHOSPHATE/D5W)

CLEOCIN PHOSPHATE, CLINDAMYCIN PHOSPHATE (CLINDAMYCIN PHOSPHATE)

COMBIVIR (LAMIVUDINE/ZIDOVUDINE)

COMPAZINE, COMPRO, PROCHLORPERAZINE, PROCHLORPERAZINE EDISYLATE, PROCHLORPERAZINE MALEATE (PROCHLORPERAZINE)

COMPLERA (COMPLERA)

CONDYLOX (PODOFILOX)

COPEGUS, REBETOL, RIBASPHERE, RIBAVIRIN (RIBAVIRIN)

CRESTOR (ROSUVASTATIN CALCIUM)

CRIXIVAN (INDINAVIR SULFATE)

CYMBALTA (DULOXETINE)

D

DARAPRIM, PYRIMETHAMINE (PYRIMETHAMINE)

DECONIL, ETNOFRIL, IMAVATE, IMIPRAMINE HCL, IMIPRAMINE PAMOATE, JANIMINE, NORFRANIL, SK-PRAMINE, TOFRANIL, TOFRANIL-PM (IMIPRAMINE)

DELTASONE, FERNISONE, LIQUID PRED, LISACORT, METICORTEN, ORASONE 1, ORASONE 10, ORASONE 20, ORASONE 5, ORASONE 50, PANASOL, PAN-SONE, PREDNICEN-M, PREDNISONE, PRONAX, SK-PREDNISONE, STERAPRED (PREDNISONE)

DENAVIR (PENCILCOVIR)

DEPAKOTE, DIVALPROEX SODIUM (DIVALPROEX SODIUM)

DESIPRAMINE HCL, NORPRAMIN, PERTOFRANE (DESIPRAMINE)

DESMOPRESSIN ACETATE (DESMOPRESSIN - NONREFRIGERATED)

DESYREL, TRAZODONE HCL, TRIALODINE (TRAZODONE)

DIA-PECK, DIATRO, DIMOTAL, DIPHENATOL, DIPHENOXYLATE W/ATROPINE, DIRID, ENOXA, KENTIL, LATROPINE, LOFENE, LOFLO, LOGEN, LOMANATE, LOMOCOT, LOMODIX, LOMOQUEL, LOMOTIL, LOMOXATE, LONOX, LO-REX, LOTABS, LO-TROL, LOW-QUEL, MOSLOW, NOR-MIL, SK-DIPHENOXYLATE W/ATROPINE, SLOTIL, UNI LOM, UNI-LOM, VI-ATRO (DIPHENOXYLATE HCL/ATROP SULF)

DICLOXACILLIN SODIUM, DYCILL, DYNAPEN, PATHOCIL (DICLOXACILLIN SODIUM)

DIFLUCAN, FLUCONAZOLE (FLUCONAZOLE)

DILANTIN, DIPHEN, DIPHENLHYDANTOIN SODIUM, DIPHENTIN, DITAN, LORANTOIN, PHENYTOIN, PHENTOIN SODIUM, PHENYLTOIN SODIUM, PHENYTOIN PROMPT, PHENYTOIN PROMPT SODIUM, PHENYTOIN SODIUM, PHENYTOIN SODIUM EXTENDED, PHENYTEX EXTENDED (PHENYTOIN)

DITROPAN (OXYBUTYNIN CHLORIDE)

DOXYCYCLINE MONOHYDRATE, MONODOXAK-RAMYCIN, ARLADOX, BIO-TAB, DORYX, DOXI FILM, DOXY-D, DOXYGEN, DOXY-LEMMON, DOXY-TABS, ED DOXY-CAPS, PERIOSTAT, POLY V, SK-DOXYCYCLINE HYCLATE, T-VIBRA, VIBRACIN, VIBRAMYCIN, VIBRA-TABS (DOXYCYCLINE HYCLATE, MONOHYDRATE)

DRONABINOL, MARINOL (DRONABINOL)

DYNACIN, MINOCIN, MINOCYCLINE HCL, VECTRIN (MINOCYCLINE)

E

ECONAZOLE NITRATE, SPECTAZOLE (ECONAZOLE NITRATE)

EDURANT (RILPIVIRINE)

EFFEXOR, VENLAFAXINE HCL (VENLAFAXINE)

EGRIFTA (TESAMORELIN)

EMTRIVA (EMTRICITABINE)

ENABLEX (DARIFENACIN HYDROBROMIDE)

EPIVIR (LAMIVUDINE)

EPOGEN, PROCRIT (EPOETIN ALFA)

EPZICOM (ABACAVIR SULFATE/LAMIVUDINE)

ERY-TAB, T-STAT (ERYTHROMYCIN BASE)

ETHAMBUTOL HCL, MYAMBUTOL (ETHAMBUTOL HCL)

EVOTAZ (ATAZANAVIR SULFATE/COBICISTAT)

F

FAMOTIDINE (PEPCID)

FAMVIR (FAMCICLOVIR)

FEMSTAT, GYNAZOLE-1 (BUTOCONAZOLE NITRATE)

FLAGYL, METIZOL, METRAZOLE, METRIC 21, METROCREAM, METROGEL, METROLOTION, METRONID, METRONIDAZOLE, METROZOLE, METRYL, NORITATE, PROGYL, PROTOSTAT, SATRIC, SK-METRONIDAZOLE, VANDAZOLE (METRONIDAZOLE)

FLUOXETINE HCL, PROZAC, PROZAC WEEKLY, RAPIFLUX, SARAFEM (FLUOXETINE HCL)

FLUVOXAMINE MALEATE, LUVOX (FLUVOXAMINE MALEATE)

FORTOVASE, INVIRASE, SAQUINAVIR, SAQUINAVIR MESYLATE (SAQUINAVIR)

FOSCARNET (FOSCAVIR)

FULYZAQ (CROFELEMER)

FURAREX, NITROFURANTOIN, MACRODANTIN, MACROBID (NITROFURANTOIN)

FUZEON (ENFUVIRTIDE)

G

GABAPENTIN, NEURONTIN (GABAPENTIN)

GEMCOR, GEMFIBROZIL, LOPID (GEMFIBROZIL)

GENVOYA (ELVITEGRAVIR/ COBICISTAT/ EMTRICITABINE/ TENOFOVIR ALAFENAMIDE FUMARATE)

H

HEPSERA (ADEFOVIR DIPIVOXIL)

HUMATIN, PAROMOMYCIN SULFATE (PAROMOMYCIN)

I

INCIVEK (TELAPREVIR)

INTELENCE (ETRAVIRINE)

ISENTRESS (RALTEGRAVIR POTASSIUM)

ITRACONAZOLE, SPORANOX (ITRACONAZOLE)

K

KALETRA (LOPINAVIR/RITONAVIR)

KEPPRA (LEVETIRACETAM)

KETOCONAZOLE, NIZORAL (KETOCONAZOLE)

L

LAMICTAL (LAMOTRIGINE)

LATUDA (LURASIDONE HCI)

LESCOL (FLUVASTATIN SODIUM)

LEUCOVORIN CALCIUM, WELLCOVORIN (LEUCOVORIN CALCIUM)

LEVAQUIN, QUIXIN (LEVOFLOXACIN)

LEXAPRO (ESCITALOPRAM OXALATE)

LEXIVA (FOSAMPRENAVIR CALCIUM)

LIMBITROL, AMITRIPTYLINE/CHLORDIAZEPOXIDE (AMITRIP HCL/CHLORDIAZEPOXIDE)

LIPITOR (ATORVASTATIN CALCIUM)

LOVASTATIN, MEVACOR (LOVASTATIN)

LUDIOMIL, MAPROTILINE HCL (MAPROTILINE HCL)

M

MARPLAN (ISOCARBOXAZID)

MEGACE, MEGESTROL ACETATE, PALLACE (MEGESTROL ACETATE)

MEPRON (ATOVAQUONE)

MICROSULFON, SULFADIAZINE (SULFADIAZINE)

MIRTAZAPINE, REMERON (MIRTAZAPINE)

MUPIROCIN 2% OINTMENT (MUPIROCIN 2% OINTMENT)

MYCOBUTIN (RIFABUTIN)

MYSOLINE, PRIMIDONE, STERASOLINE (PRIMIDONE)

N

NEBUPENT, PENTACARINAT, PENTAM 300, PENTAMIDINE ISETHIONATE (PENTAMIDINE)

NEUPOGEN (FILGRASTIM)

NIACOR, NIASPAN, NICOLAR (NIACIN)

NORVIR (RITONAVIR)

NOXAFIL (POSACONAZOLE)

NYDRAZID (ISONIAZID/VITAMIN B6)

O

OLYSIO (SIMEPREVIR)

P

PAROXETINE HCL, PAXIL (PAROXETINE)

PEGASYS (PEGINTERFERON ALFA-2A)

PEGINTRON REDIPEN (PEGINTERFERON ALFA-2B)

PEPCID (FAMOTIDINE)

PERPHENAZINE-AMITRIPTYLINE, TRIAVIL 10-2 (PERPHENAZINE/AMITRIPTYLINE HCL)

PRAVACHOL, PRAVASTATIN SODIUM (PRAVASTATIN)

PREVACID (LANSOPRAZOLE)

PREZCOBIX (DARUNAVIR/COBICISTAT)

PREZISTA (DARUNAVIR ETHANOLATE)

PRILOSEC (OMEPRAZOLE)

PRIMAQUIN PHOSPHATE, PRIMAQUINE (PRIMAQUINE - treat pneumonia)

PROTONIX, PROTONIX IV (PANTOPRAZOLE)

PYRAZINAMIDE (PYRAZINAMIDE - treat tuberculosis)

R

RANITIDINE HCL, TALADINE, ZANTAC (RANITIDINE)

REGLAN (METOCLOPRAMIDE)

RELENZA (RELENZA)

RESCRIPTOR (DELAVIRDINE MESYLATE)

RETROVIR, ZIDOVUDINE (ZIDOVUDINE)

REYATAZ (ATAZANAVIR SULFATE)

RIFADIN, RIFAMPIN, RIMACTANE (RIFAMPIN)

RIFAMATE, RIMACTANE/INH (RIFAMPIN/ISONIAZID)

S

SANCTURA (TROSPIUM CHLORIDE)

SELZENTRY (MARAVIROC)

SEROQUEL (QUETIAPINE)

SEROSTIM (SOMATROPIN)

SERTRALINE HCL, ZOLOFT (SERTRALINE)

SILVADENE, SILVER SULFADIAZIN, SSD, THERMAZENE (SILVER SULFADIAZINE)

SIMVASTATIN, ZOCOR (SIMVASTATIN)

SOVALDI (SOFUSBUVIR)

STRIBILD (ELVITEGRAVIR/COBISTAT/EMTRICITABINE/TENOFOVIR)

SURMONTIL, TRIMIPRAMINE MALEATE (TRIMIPRAMINE MALEATE)

SUSTIVA (EFAVIRENZ)

T

TAMIFLU (TAMIFLU)

TERAZOL 3, TERAZOL 7 (TERCONAZOLE)

TIVICAY (DOLUTEGRAVIR)

TRICOR (FENOFIBRATE NANOCRYSTALLIZED)

TRIUMEQ (ABACAVIR SULFATE/LAMIVUDINE/DOLUTEGRAVIR)

TRIZIVIR (ABACAVIR/LAMIVUDINE/ZIDOVUDINE)

TRUVADA (EMTRICITABINE/TENOFOVIR)

TYBOST (COBICISTAT)

V

VALCYTE, VALGANCICLOVIR HYDROCHLORIDE (VALGANCICLOVIR)

VALTREX, VALACYCLOVIR HCL (VALACYCLOVIR)

VANTIN (CEFPODOXIME)

VFEND (VORICONAZOLE)

VICTRELIS (BOCEPRIVIR)

VIDEX (DIDANOSINE/MAG/AL NACB/SODIUM CIT)

VIEKIRA PAK (OMBITA/PARITAP/RITON/DASABUVIR)

VIRACEPT (NELFINAVIR MESYLATE)

VIRAMUNE (NEVIRAPINE)

VIREAD, TENOFOVIR DISOPROXIL FUMARATE (TENOFOVIR)

Z

ZERIT (STAVUDINE)

ZIAGEN (ABACAVIR SULFATE)

ZOFRAN (ONDANSETRON)

ZOVIRAX, ACYCLOVIR, ACYCLOVIR SODIUM (ACYCLOVIR)

back to top