Antivirals - Therapeutic Classification

Antivirals - Drugs


Generic Name(s)	Strength	Dosage Form	ICD Code
Acyclovir And Hydrocortisone	2 gm or 5 gm/5%	Cream	Y41.5
Adefovir dipivoxil		Injection	Y41.5
Atazanavir	100mg,150mg,200mg,300mg	Capsules	Y41.5
Baloxavir marboxil	20 mg, 40 mg	Tablet
Docosanol			Y41.5
lamivudine - zidovudine			Y41.5
Letermovir	240 mg, 480 mg	Tablet, Injection
Peginterferon Alfa 2 B	296 mcg, 444 mcg, 888 mcg lyophilized powder per single-use vial	Injection	Y41.5
Penciclovir	1.5gm/1%	Cream	Y41.5
Rilpivirine	25mg	Tablets	Y41.5
Sofosbuvir	400 mg	Tablet
Sofosbuvir, velpatasvir, and voxilaprevir	400 mg, 100 mg, 100 mg	Tablet
Tecovirimat	200 mg	Capsule
Telaprevir	375mg	Tablets	Y41.5
Telbivudine	600mg, 300ml	Tablets, Oral Solution	Y41.5
Tipranavir	250mg,100mg/mL	Capsules, Oral Solution	Y41.5
Trifluridine	1%	Solution	Y41.5
Valganciclovir	450mg	Tablet	Y41.5
Zanamivir	5mg, 5mg	Inhalation Powder, Capsule	Y41.5

Chemokine receptor antagonists
Generic Name(s)	Strength	Dosage Form	ICD Code
Maraviroc	150mg, 300mg	Tablet	Y41.5

Integrase strand transfer inhibitors
Generic Name(s)	Strength	Dosage Form	ICD Code
Raltegravir	400 mg	Tablet	Y41.5

NNRTIs
Generic Name(s)	Strength	Dosage Form	ICD Code
Nevirapine	200 mg, 50 mg per 5 mL	Tablet, Suspension	Y41.5

Protease Inhibitor
Generic Name(s)	Strength	Dosage Form	ICD Code
Boceprevir	200mg	Capsules	Y41.5

Protease inhibitors
Generic Name(s)	Strength	Dosage Form	ICD Code
Glecaprevir and Pibrentasvir	100mg / 40mg	Tablet

Purine nucleosides
Generic Name(s)	Strength	Dosage Form	ICD Code
Acyclovir	200mg, 400g, 200mg/5ml	Capsule, Tablet, Liquid, Solution	Y41.5
Cidofovir	75 mg/mL	Injection	Y41.5
Famciclovir	125mg, 250mg, 500mg	Tablet	Y41.5
Ganciclovir	10ml	Injection	Y41.5
Valacyclovir	500mg, 1gm	Caplet	Y41.5