NM Medication Assistance Program

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New Mexico AIDS InfoNet

Fact Sheet Number 331

NEW MEXICO MEDICATION

ASSISTANCE PROGRAM

WHAT IS THE MEDICATION ASSISTANCE PROGRAM?
WHO IS ELIGIBLE?
HOW ARE MEDICATIONS ORDERED?
WHAT MEDICATIONS ARE COVERED?
FOR MORE INFORMATION

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WHAT IS THE MEDICATION

ASSISTANCE PROGRAM?

The Medication Assistance Program provides specific medications

to HIV positive people in New Mexico. The central pharmacy of

the New Mexico Department of Health provides home delivery of

medications to clients who can not otherwise pay for them. The

program is funded by a combination of federal and state funds.

In other states, this type of program is known as an AIDS Drug

Assistance Program or ADAP.

WHO IS ELIGIBLE?

New Mexico residents with HIV infection may participate in the

Medication Assistance Program if:

They have a gross monthly income of 300% of the federal poverty
level or less (currently $2,215 for a single person). Note: You

can find the current federal poverty guidelines on the Internet

at: http://aspe.hhs.gov/poverty/poverty.htm
They have cash assets of less than $10,000
They have an updated ACCESS form on file with the Department
of Health.

A physical address is required for delivery of medications.

Clients who do not have a physical address must make special arrangements

for deliveries.

The Department of Health will notify the State Pharmacy when

a client is enrolled in the program.

HOW ARE MEDICATIONS

ORDERED?

Client prescriptions must be called in to the State Pharmacy in

Santa Fe at 505 827-2884 or 800 254-4689 by the

client’s physician.

WHAT MEDICATIONS

ARE COVERED?

The Medication Assistance Program provides medications used for

the management of HIV disease and related conditions. The list

of covered medications is called the “formulary”. The

formulary is changed from time to time depending on the amount

of funding available for the program and as new anti-HIV drugs

are approved.

The formulary as of March 2000 includes the following medications.

Drugs marked with an asterisk (*) require approval of the Medical

Director for initial or repeat prescription.

I. ANTI-HIV DRUGS

a. Nucleoside analogue reverse transcriptase inhibitors (nukes)

1. Zidovudine (AZT; Retrovir®)

2. Didanosine (ddI; Videx®)

3. Zalcitabine (ddC; Hivid®)

4. Stavudine (d4T; Zerit®)

5. Lamivudine (3TC; Epivir®)

6. Combivir® (combination

of zidovudine and lamivudine)

7. Abacavir (Ziagen®)

8. Trizivir® (combination

of zidovudine, lamivudine and abacavir)

9. Tenofovir (Viread®), nucleotide

analogue

b. Non-nucleoside reverse transcriptase inhibitors (NNRTIs)

1. Nevirapine (Viramune®)

2. Delavirdine (Rescriptor®)

3. Efavirenz (Sustiva®)

c. HIV Protease Inhibitors (PIs)

1. Saquinavir (Invirase®)

2. Saquinavir (Fortovase®)

3. Ritonavir (Norvir®)

4. Indinavir (Crixivan®)

5. Nelfinavir (Viracept®)

6. Amprenavir (Agenerase®)

7. Kaletra(®) (combination

of ritonavir and lopinavir)

d. Other: Hydroxyurea (Hydrea®)

II. OTHER ANTIVIRAL MEDICATIONS

1. Acyclovir (Zovirax®)

2. Valacyclovir (Valtrex®)

3. (*) Famciclovir (Famvir®)

4. Ganciclovir (Cytovene® ) (* for capsules)

5. Foscarnet (Foscavir®)

6. Valganciclovir (Valcyte®)

III. BIOLOGICALS

1. (*) Erythropoietin (Epogen®)

2. (*) Filagastrim (G-CSF; Neupogen®)

IV. ANTIMYCOBACTERIAL AGENTS

1. Ethambutol (Myambutol®)

2. Rifabutin (Mycobutin®)

V. ANTIBACTERIAL AGENTS

1. Clarithromycin (Biaxin®)

2. Azithromycin (Zithromax®)

3. Ciprofloxacin (Cipro®)

4. (*) Amikacin (Amikin®)

VI. ANTIPARASITIC AGENTS

1. Trimethoprim/sulfamethoxazole (Bactrim-DS;

Septra-DS) and TMP/SMX for injection

2. Dapsone

3. Pentamidine for inhalation (Nebupent®) and injection (Pentam®)

4. Clindamycin (Cleocin®)

5. Trimethoprim (Proloprim®)

6. Sulfadiazine

7. Clofazimine (Lamprene®)

8. (*) Atovaquone (Mepron®)

9. Metronidazole (Flagyl®)

10. Pyrimethamine (Daraprim®)

11. Primaquine

VII. ANTIFUNGAL AGENTS

1. Amphotericin-B

2. Clotrimazole troches (Mycelex®)

3. (*) Fluconazole (Diflucan®)

4. (*) Itraconazole (Sporanox)

5. Ketoconazole tablets and cream (Nizoral®)

6. Nystatin (Mycostatin®) suspension

VIII. APPETITE STIMULANT: Megestrol (Megace®)

IX. BLOOD LIPID LOWERING AGENTS

1. Atorvastatin (Lipitor®)

2. Pravastatin (Pravachol®)

3. Gemfibrozil (Lopid®)

X. INSULIN RESISTANCE TREATMENT:

Metformin (Glucophage®)

XI. MULTIVITAMINS

1. Centrum Silver®

2. Prenatal-S ®

XII. SKIN CARE:

1. Tegrin® Shampoo

2. Nizoral Cream

XIII. ANTIDEPRESSANT: Sertraline (Zoloft®)

XIV. MISCELLANEOUS: Leucovorin calcium

XV. CONTRACEPTIVE METHODS AND INFORMATION (These require

a signed Department of Health consent form.)

Condoms with or without nonoxynol-9
Spermicidal foam, VCF spermicidal film
Implants for women (sent only to doctors): Depo-Provera,
Norplant
Fertility Awareness book, charts, videotape, ovulation thermometer,
“All Methods” counseling pamphlet
Reproductive information for people with HIV

Oral contraceptives (birth control pills):