HIV Medications

Preferred HIV Medications:  

• Abacavir Sulfate (Ziagen®)
  
• Abacavir Sulfate-Lamivudine (Epzicom®)
• Abacavir Sulfate-Lamivudine-Zidovudine (Trizivir®) 
• Abacavir-Dolutegravir-Lamivudine (Triumeq®)
• Amprenavir (Agenerase®)
• Atazanavir Sulfate  (Reyataz®)
• Atazanavir Sulfate-Cobicistat (Evotaz®)
• Bictegravir-Emtricitabine-Tenofovir AF (Biktarvy®) 
• Cabotegravir (Apretude®)
• Cabotegravir-Rilpivirine (Cabenuva®)
• Cobicistat (Tybost®)
• Darunavir Ethanolate (Prezista®)
• Darunavir-Cobic-Emtricitab-Tenofov AF (Symtuza®)
• Darunavir-Cobicistat (Prezcobix®)
• Delavirdine Mesylate (Rescriptor®)
• Didanosine (Videx®)
• Dolutegravir Sodium (Tivicay®)
• Dolutegravir Sodium-Lamivudine (Dovato®) 
• Dolutegravir Sodium-Rilpivirine HCl (Juluca®)
• Doravirine (Pifeltro™)
• Doravirine-Islagtravir (Idvynso™)
• Doravirine-Lamivudine-Tenofovir DF (Delstrigo™)
• Efavirenz (Sustiva®)
• Efavirenz-Emtricitabine-Tenofovir DF (Atripla®)
• Efavirenz-Lamivudine-Tenofovir DF (Symfi®)
• Efavirenz-Lamivudine-Tenofovir DF (Symfi Lo™) 
• Elvitegrav-Cobic-Emtricitab-Tenofov AF (Genvoya®)
• Elvitegravir (Vitekta®)
• Emtricitabine (Emtriva®)
• Emtricitabine-Rilpivirine-Tenofovir AF (Odefsey®)
• Emtricitabine-Tenofovir Alafenamide Fumarate (Descovy®)
• Emtricitabine-Tenofovir Disoproxil Fumarate (Truvada®)
• Enfuvirtide (Fuzeon®)
• Etravirine (Intelence®)
• Fosamprenavir Calcium (Lexiva®) 
• Ibalizumab-uiyk (Trogarzo®)
• Indinavir Sulfate (Crixivan®)
• Lamivudine (Epivir®)
• Lamivudine-Tenofovir Disoproxil Fumarate (Cimduo®)
• Lamivudine-Zidovudine (Combivir®)
• Lopinavir-Ritonavir (Kaletra®)
• Maraviroc (Selzentry®)
• Nelfinavir Mesylate (Viracept®)
• Nevirapine (Viramune®)
• Raltegravir Potassium (Isentress®)
• Rilpivirine HCl (Edurant®)
• Ritonavir (Norvir®)
• Saquinavir (Fortovase®)
• Stavudine (Zerit®) 
• Tenofovir Disoproxil Fumarate (Viread®)
• Tipranavir (Aptivus®)
• Lenacapavir (Yeztugo®)
• Zalcitabine (Hivid®)
• Zidovudine (Retrovir®)
  

Brand name products which do not have supplemental rebate agreements in place will require a PA if there is a generic equivalent available.