UPDATE AB Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 25, 2011 SUMMARY OF CHANGES
|
|
- Marsha Harmon
- 5 years ago
- Views:
Transcription
1 UPDATE AB Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 25, 2011 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 5 Off Formulary Interchangeable Product(s) 7 Manufacturer Requested Discontinued Drug(s) 8 Drug Benefit Price(s) 9 New Manufacturer Name(s) 10 Status Change(s) from Limited Use to General Benefit 11 Trade Name Change(s) 13 Index 14 Page 1
2 New Single Source Drug(s) DIN PRODUCT GENERIC NAME MFR DBP Abilify 2mg Tab ARIPIPRAZOLE BQU Abilify 5mg Tab ARIPIPRAZOLE BQU Abilify 10mg Tab ARIPIPRAZOLE BQU Abilify 15mg Tab ARIPIPRAZOLE BQU Abilify 20mg Tab ARIPIPRAZOLE BQU Abilify 30mg Tab ARIPIPRAZOLE BQU Notes: For the treatment of schizophrenia and related psychotic disorders after failure, intolerance or contraindication to at least one less expensive antipsychotic alternative. Not indicated for the treatment of dementia or dementia-related behavioral problems in the elderly. Page 2
3 DIN PRODUCT GENERIC NAME MFR DBP Enbrel SureClick 50mg/mL Pref AutoInj ETANERCEPT IMU Reason for Use Code 418 Clinical Criteria For the treatment of severe* plaque psoriasis in patients 18 years of age or older who have experienced failure, intolerance, or have a contraindication to adequate trials of several standard therapies**. Claims for the first 6 months must be written by a dermatologist. Monitoring of patients is required to determine if continuation of therapy beyond 12 weeks is required. Patients not responding adequately at 12 weeks should have treatment discontinued. * Definition of severe plaque psoriasis: Body Surface Area (BSA) involvement of at least 10%, or involvement of the face, hands, feet or genital regions, AND Psoriasis Area and Severity Index (PASI) score of at least 10 (not required if there is involvemnet of the face, hands, feet or genital regions), AND Dermatology Life Quality Index (DLQI) score of at least 10. ** Definition of failure, intolerance or contraindication to adequate trials of standard therapies: 6 month trial of at least 3 topical agents including vitamin D analogues and steroids, AND 12 week trial of phototherapy (unless not accessible), AND 6 month trial of at least 2 systemic, oral agents used alone or in combination Methotrexate 15-30mg per week Acitretin (could have been used with phototherapy) Cyclosporine Continued on next page. Page 3
4 DIN PRODUCT GENERIC NAME MFR DBP. Continued from previous page Reason for Use Code Clinical Criteria Maintenance/Renewal: After 3 months of therapy, patients who respond to therapy should have: At least a 50% reduction in PASI, AND at least a 50% reduction in BSA involvement, AND at least a 5 point reduction in DLQI score Approvals will only allow for standard dosing for Enbrel (Etanercept): the recommended dose is 50mg subcutaneous twice weekly for 12 weeks followed by maintenance therapy at 25-50mg subcutaneous once weekly. The Committee to Evaluate Drugs noted that this is the Manufacturer's recommended dosing regimen, as approved by Health Canada. If the patient has not responded adequately after 12 weeks of treatment at the Health Canada approved dose, higher doses are not recommended and the physician should consider switching to an alternative biologic agent. LU Authorization Period: 1 year Nimotop 30mg Tab NIMODIPINE BAH Reason for Use Code 42 Clinical Criteria As adjunctive therapy to improve the neurologic outcome following Subarachnoid haemorrhage during the acute management period (within 4 days of haemorrhage). LU Authorization Period: 1 Year. 43 As prophylaxis of ischemia if surgery is delayed. LU Authorization Period: 1 Year. Page 4
5 New Multi-Source Drug(s) DIN BRAND STRENGTH DOSAGE FORM MFR DBP Alprazolam 0.25mg Tab SAI Alprazolam 0.5mg Tab SAI (Interchangeable with Xanax) Amiodarone 200mg Tab SAI (Interchangeable with Cordarone) Carvedilol 3.125mg Tab SAI Carvedilol 6.25mg Tab SAI Carvedilol 12.5mg Tab SAI Carvedilol 25mg Tab SAI (Interchangeable with Coreg) Reason for Use Code 183 Clinical Criteria a) NYHA Class II or III Congestive Heart Failure (CHF); and b) Currently being treated with an angiotension converting enzyme (ACE) inhibitor, diuretics with or without digoxin, or previously treated, and failed these agents; and c) An ejection fraction less than or equal to 35%; and d) At least one episode of symptomatic CHF within a 12 month period while receiving optimal management LU Authorization Period: Indefinite Domperidone 10mg Tab SAI (Interchangeable with Motilium) Diclofenac SR 75mg LA Tab SAI (Interchangeable with Voltaren SR) Page 5
6 DIN BRAND STRENGTH DOSAGE FORM MFR DBP Fenofibrate-S 160mg Tab SAI (Interchangeable with Lipidil Supra) Gd-Amlodipine/Atorvastatin 5mg & 10mg Tab GEM Gd-Amlodipine/Atorvastatin 5mg & 20mg Tab GEM Gd-Amlodipine/Atorvastatin 5mg & 40mg Tab GEM Gd-Amlodipine/Atorvastatin 5mg & 80mg Tab GEM Gd-Amlodipine/Atorvastatin 10mg & 10mg Tab GEM Gd-Amlodipine/Atorvastatin 10mg & 20mg Tab GEM Gd-Amlodipine/Atorvastatin 10mg & 40mg Tab GEM Gd-Amlodipine/Atorvastatin 10mg & 80mg Tab GEM (Interchangeable with Caduet) Note: Patients should be stabilized on a statin or a calcium channel blocker before being initiated on Amlodipine Besylate & Atorvastatin Calcium Glyburide 2.5mg Tab SAI Glyburide 5mg Tab SAI (Interchangeable with Diabeta) Lisinopril/HCTZ (Type Z) 10mg & 12.5mg Tab SAI Lisinopril/HCTZ (Type Z) 20mg & 12.5mg Tab SAI (Interchangeable with Zestoretic) Oxybutynin 5mg Tab SAI (Interchangeable with Ditropan) Oxycodone/Acet 5mg & 325mg Tab SAI (Interchangeable with Percocet) Trazodone 50mg Tab SAI Trazodone 100mg Tab SAI (Interchangeable with Desyrel) Trazodone 150mg Tab SAI (Interchangeable with Desyrel Dividose) Page 6
7 Off Formulary Interchangeable Product(s) DIN BRAND STRENGTH DOSAGE FORM MFR UNIT COST Amoxicillin 250mg Chewable Tab SAI (Interchangeable with Amoxil) Fenofibrate-S 100mg Tab SAI (Interchangeable with Lipidil Supra) Naproxen EC 250mg Ent Tab SAI Naproxen EC 375mg Ent Tab SAI Naproxen EC 500mg Ent Tab SAI (Interchangeable with Naprosyn E) PMS-Azithromycin 600mg Tab PMS (Interchangeable with Zithromax) Teva-Zolmitriptan 2.5mg Tab TEV (Interchangeable with Zomig) Teva-Zolmitriptan OD 2.5mg Orally Disintegrating Tab (Interchangeable with Zomig Rapimelt) TEV Page 7
8 Manufacturer Requested Discontinued Drug(s) Please note that these discontinued products will remain on the formulary until the current stock is depleted. DIN BRAND STRENGTH DOSAGE FORM MFR Temodal 180mg Cap SCH Page 8
9 Drug Benefit Price(s) DIN BRAND STRENGTH DOSAGE FORM MFR DBP Coversyl 2mg Tab SEV Coversyl 4mg Tab SEV Coversyl 8mg Tab SEV Coversyl Plus 4mg & 1.25mg Tab SEV Coversyl Plus HD 8mg & 2.5mg Tab SEV Coversyl Plus LD 2mg & 0.625mg Tab SEV Flunarizine 5mg Cap AAP Mylan-Zolmitriptan 2.5mg Tab MYL PMS-Zolmitriptan 2.5mg Tab PMS PMS-Zolmitriptan ODT 2.5mg Orally Disintegrating PMS Tab Silkis 3mcg/g Oint GAC Sulcrate 1g Tab BFI Sulcrate Suspension Plus 1g/5mL Oral Susp BFI Tetracycline 250mg Cap AAP Page 9
10 New Manufacturer Name(s) DIN BRAND STRENGTH DOSAGE FORM MFR Levaquin 250mg Tab JAN Levaquin 500mg Tab JAN Levaquin 750mg Tab JAN Zym-Citalopram 20mg Tab MEL Zym-Citalopram 40mg Tab MEL Page 10
11 Status Change(s) from Limited Use to General Benefit DIN BRAND STRENGTH DOSAGE FORM MFR DBP Acyclovir 800mg Tab SAI Apo-Acyclovir 800mg Tab APX Apo-Lamotrigine 25mg Tab APX Apo-Lamotrigine 100mg Tab APX Apo-Lamotrigine 150mg Tab APX Apo-Topiramate 25mg Tab APX Apo-Topiramate 100mg Tab APX Apo-Topiramate 200mg Tab APX Auro-Topiramate 25mg Tab AUR Auro-Topiramate 100mg Tab AUR Auro-Topiramate 200mg Tab AUR Co Topiramate 25mg Tab COB Co Topiramate 100mg Tab COB Co Topiramate 200mg Tab COB Lamictal 25mg Tab GSK Lamictal 100mg Tab GSK Lamictal 150mg Tab GSK Lamotrigine 25mg Tab SAI Lamotrigine 100mg Tab SAI Lamotrigine 150mg Tab SAI Mint-Topiramate 25mg Tab MIN Mint-Topiramate 100mg Tab MIN Mint-Topiramate 200mg Tab MIN Mylan-Acyclovir 800mg Tab MYL Mylan-Lamotrigine 25mg Tab MYL Mylan-Lamotrigine 100mg Tab MYL Mylan-Lamotrigine 150mg Tab MYL Mylan-Topiramate 25mg Tab MYL Mylan-Topiramate 100mg Tab MYL Mylan-Topiramate 200mg Tab MYL Novo-Acyclovir 800mg Tab NOP Novo-Lamotrigine 25mg Tab NOP Novo-Lamotrigine 100mg Tab NOP Novo-Lamotrigine 150mg Tab NOP Novo-Topiramate 25mg Tab NOP Novo-Topiramate 100mg Tab NOP Novo-Topiramate 200mg Tab NOP Nu-Acyclovir 800mg Tab NXP Phl-Topiramate 25mg Tab PHE Phl-Topiramate 100mg Tab PHE Phl-Topiramate 200mg Tab PHE PMS-Lamotrigine 25mg Tab PMS PMS-Lamotrigine 100mg Tab PMS PMS-Lamotrigine 150mg Tab PMS PMS-Topiramate 25mg Tab PMS PMS-Topiramate 100mg Tab PMS Page 11
12 DIN BRAND STRENGTH DOSAGE FORM MFR DBP PMS-Topiramate 200mg Tab PMS Ratio-Acyclovir 800mg Tab RPH Ratio-Lamotrigine 25mg Tab RPH Ratio-Lamotrigine 100mg Tab RPH Ratio-Lamotrigine 150mg Tab RPH Ratio-Topiramate 25mg Tab RPH Ratio-Topiramate 100mg Tab RPH Ratio-Topiramate 200mg Tab RPH Sandoz-Topiramate 25mg Tab SDZ Sandoz-Topiramate 100mg Tab SDZ Sandoz-Topiramate 200mg Tab SDZ Topamax 25mg Tab JNO Topamax 100mg Tab JNO Topamax 200mg Tab JNO Topiramate 25mg Tab SAI Topiramate 100mg Tab SAI Topiramate 200mg Tab SAI Zovirax 800mg Tab GSK Zym-Topiramate 25mg Tab ZYN Zym-Topiramate 100mg Tab ZYN Zym-Topiramate 200mg Tab ZYN Page 12
13 Trade Name Change(s) DIN BRAND STRENGTH DOSAGE FORM MFR Citalopram 20mg Tab ZYN Citalopram 40mg Tab ZYN Page 13
14 CONSOLIDATED INDEX mg Tab PEN P 10 3TC 10mg/mL O/L GSK H VIH X 21 3TC 150mg Tab GSK H VIH X 21 3TC 300mg Tab GSK H VIH X 21 5-AMINOSALICYLIC ACID E 3 H 3 5-Benzagel 5% Gel NOV F 6 Abilify 2mg Tab BQU AB 2 Abilify 5mg Tab BQU AB 2 Abilify 10mg Tab BQU AB 2 Abilify 15mg Tab BQU AB 2 Abilify 20mg Tab BQU AB 2 Abilify 30mg Tab BQU AB 2 Accel Pioglitazone 15mg Tab ACC L 16 Accel Pioglitazone 30mg Tab ACC L 16 Accel Pioglitazone 45mg Tab ACC L 16 Accupril 5mg Tab PFI Q PFI Y 7 Accupril 10mg Tab PFI Q PFI Y 7 Accupril 20mg Tab PFI Q PFI Y 7 Accupril 40mg Tab PFI Q PFI Y 7 Accuretic 10mg & 12.5mg Tab PFI Q PFI Y 7 Accuretic 20mg & 12.5mg Tab PFI Q PFI Y 7 Accuretic 20mg & 25mg Tab PFI H PFI Q PFI Y 7 ACEBUTOLOL Z 4 Acebutolol 100mg Tab SAI Z 4 Acebutolol 200mg Tab SAI Z 4 Acebutolol 400mg Tab SAI Z 4 Acetaminophen Extra Strength 500mg Tab DPC S DPC Z 26 Acetazolamide 250mg Tab APX X 28 AcetOxyl 5% Gel STI M STI U 12 AcetOxyl 10% Gel STI M STI U 12 ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE E 8 Page 14
15 ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & E 8 CODEINE PHOSPHATE Aclasta 5mg/100mL Inj Sol-100mL Pk NOV C NOV H 7 Actemra 80mg/4mL Inj Sol-Vial Pk HLR Y 7 Actemra 200mg/10mL Inj Sol-Vial Pk HLR Y 7 Actemra 400mg/20mL Inj Sol-Vial Pk HLR Y 7 Actonel 5mg Tab PGP A 11 Actonel 30mg Tab PGP A 11 Actonel 35mg Tab PGP A PGP R PGP W 15 Actonel 150mg Tab PGP J PGP W WAR Y 9 Actos 15mg Tab TAK L TAK X 10 Actos 30mg Tab TAK L TAK X 10 Actos 45mg Tab TAK L TAK X 10 ACYCLOVIR Z 5 Z 20 Acyclovir 200mg Tab SAI Z 20 Acyclovir 400mg Tab SAI Z 20 Acyclovir 800mg Tab SAI Z SAI AB 11 Adalat PA 10 10mg LA Tab BAH X 25 Adalat PA 20 20mg LA Tab BAH X 25 Adalat XL 20mg ER Tab BAY F BAY O 16 Adalat XL 30mg ER Tab BAY F BAY O BAY T 11 Adalat XL 60mg ER Tab BAY F BAY T 11 ADALIMUMAB I 2 Adderall XR 5mg ER Cap SHI H SHI Q SHI X 10 Adderall XR 10mg ER Cap SHI H SHI Q SHI X 10 Adderall XR 15mg ER Cap SHI H SHI Q SHI X 10 Adderall XR 20mg ER Cap SHI H SHI Q SHI X 10 Page 15
16 Adderall XR 25mg ER Cap SHI H SHI Q SHI X 10 Adderall XR 30mg ER Cap SHI H SHI Q SHI X 10 Adrenalin 30mg/30mL Inj Sol-30mL Pk ERF C ERF F ERF P ERF X 10 Advagraf 0.5mg ER Cap ASE H 2 Advagraf 1mg ER Cap ASE H 2 Advagraf 3mg ER Cap ASE W 2 Advagraf 5mg ER Cap ASE H 2 Advair /125mcg/Metered Dose Inh-120 Dose Pk GSK H 7 Advair /250mcg/Metered Dose Inh-120 Dose Pk GSK H 7 Advair Diskus 50/100mcg Inh-60 Dose Pk GSK H 7 Advair Diskus 50/250mcg Inh-60 Dose Pk GSK H 7 Advair Diskus 50/500mcg Inh-60 Dose Pk GSK H 7 Agenerase 50mg Cap GSK H GSK Q 23 Agenerase 150mg Cap GSK H GSK Q 23 Agenerase 15mg/mL O/L GSK H GSK Q 23 Airomir HFA 100mcg/Metered Dose Inh-200 dose Pk GRA U MMH U 16 Alcomicin 0.3% Oph Sol ALC M ALC U 12 Aldactazide-25 25mg & 25mg Tab PFI H PFI Q 14 Aldactazide-50 50mg & 50mg Tab PFI H PFI Q 14 Aldactone 25mg Tab PFI H PFI Q 14 Aldactone 100mg Tab PFI H PFI Q 14 ALENDRONATE N 2 Z 6 Alendronate 70mg Tab SAI Z 6 Alendronate-FC 70mg Tab PHE V 15 ALENDRONATE & CHOLECALCIFEROL J 2 Alesse 20mcg & 100mcg Tab-21 Pk WAY H WAY Y 7 Alesse 20mcg & 100mcg Tab-28 Pk WAY H WAY Y 7 ALFUZOSIN HYDROCHLORIDE C 3 X 5 ALISKIREN D 3 Page 16
17 Alkeran 2mg Tab GSK H 7 Allerdryl 25mg Cap VAL M 14 Allerdryl 50mg Cap VAL N 9 Alomide 0.1% Oph Sol ALC X 10 ALPRAZOLAM AB 5 Alprazolam 0.25mg Tab SAI AB 5 Alprazolam 0.5mg Tab SAI AB 5 Altace Cap 1.25mg SAV H 7 Altace Cap 2.5mg SAV H 7 Altace Cap 5mg SAV H 7 Altace Cap 10mg SAV H 7 Altace HCT 2.5mg & 12.5mg Tab SAV R SAV Z 24 Altace HCT 5mg & 12.5mg Tab SAV H SAV R SAV X 10 Altace HCT 5mg & 25mg Tab SAV H SAV R SAV X 10 Altace HCT 10mg & 12.5mg Tab SAV H SAV R SAV X 10 Altace HCT 10mg & 25mg Tab SAV H SAV R SAV X 10 Alvesco 100mcg/Actuation Inh-120 Dose Pk NYC H NYC Q NYC R NYC X 10 Alvesco 200mcg/Actuation Inh-120 Dose Pk NYC H NYC Q NYC R NYC X 10 Amatine 2.5mg Tab SHI Q SHI U 8 Amatine 5mg Tab SHI Q SHI U 8 Amiodarone 200mg Tab SAI AB 5 AMIODARONE HCL R 5 AB 5 AMLODIPINE L 3 O 2 Q 5 S1 5 W 8 Z 6 Amlodipine 5mg Tab SAI Z 6 Amlodipine Tablets 5mg Tab RAN O 2 Page 17
18 RAN S 2 Amlodipine 10mg Tab SAI Z 6 Amlodipine Tablets 10mg Tab RAN O RAN S 2 AMLODIPINE/ATORVASTATIN AB 6 AMOXICILLIN C 9 AB 7 Amoxicillin 250mg Chewable Tab SAI AB 7 Amytal Sodium 60mg Cap LIL M LIL U 12 Amytal Sodium 200mg Cap LIL M LIL U 12 Anandron 50mg Tab SAV X 10 Androderm 12.2mg Transdermal Patch PAL Q PAL X 10 Androgel 1% 2.5g Foil Packet SPH A 11 Ansaid 50mg Tab PFI Q 14 Ansaid 100mg Tab PFI Q 14 Anthraforte 1 1% Oint MEI F 6 Anthraforte 2 2% Oint MEI F 6 Anthranol 0.1% Cr MEI F 6 Anthranol 0.2% Cr MEI F 6 Anthranol 0.4% Cr MEI F 6 Anusol 0.5% Oint PFI M PFI U PFI W 16 Anzemet 50mg Tab SAV H 7 Anzemet 100mg Tab SAV H 7 Apidra 100U/mL Inj Sol-5x3mL Pk SAV K 2 Apidra 100U/mL Inj Sol-5x3mL SoloSTAR Pref Pen SAV W SAV X 10 Apidra 100U/mL Inj Sol-10mL Vial SAV K SAV X 10 Apidra 100U/mL Inj 5x3mL-Cart ClickStar Pen SAV R 2 Apo-Acebutolol 100mg Tab APX S 2 Apo-Acebutolol 200mg Tab APX S 2 Apo-Acebutolol 400mg Tab APX S 2 Apo-Acetaminophen 325mg Tab APX Z 24 Apo-Acetaminophen 500mg Tab APX Z 24 Apo-Acetazolamide 250mg Tab APX H AAP X 21 Apo-Acyclovir 800mg Tab APX S APX AB 11 Apo-Alendronate 10mg Tab APX S 2 Apo-Alendronate 70mg Tab APX S 2 Apo-Alfuzosin 10mg Prolong-Rel Tab APX C APX D 9 Apo-Alpraz 0.25mg Tab APX S 2 Apo-Alpraz 0.5mg Tab APX S 2 Page 18
19 Apo-Amiloride 5mg Tab APX H 7 Apo-Amilzide 5mg & 50mg Tab APX S 2 Apo-Amiodarone 200mg Tab APX S 2 Apo-Amitriptyline 10mg Tab APX R AAP Y 9 Apo-Amitriptyline 25mg Tab APX R AAP Y 9 Apo-Amitriptyline 50mg Tab APX R AAP Y 9 Apo-Amlodipine 5mg Tab APX L APX S 2 Apo-Amlodipine 10mg Tab APX L APX S 2 Apo-Amoxi 250mg Cap APX V 13 Apo-Amoxi 500mg Cap APX V 13 Apo-Amoxi 25mg/mL O/L APX V 13 Apo-Amoxi 50mg/mL O/L APX V 13 Apo-Amoxi Clav 250mg & 125mg Tab APX R 14 Apo-Amoxi Clav 875mg & 125mg Tab APX S 2 Apo-Atenidone 50 & 25mg Tab APX A 11 Apo-Atenidone 100 & 25mg Tab APX A 11 Apo-Atenol 50mg Tab APX S 2 Apo-Atenol 100mg Tab APX S 2 Apo-Atomoxetine 10mg Cap APX V 5 Apo-Atomoxetine 18mg Cap APX V 5 Apo-Atomoxetine 25mg Cap APX V 5 Apo-Atomoxetine 40mg Cap APX V 5 Apo-Atomoxetine 60mg Cap APX V 5 Apo-Atomoxetine 80mg Cap APX V 5 Apo-Atomoxetine 100mg Cap APX V 5 Apo-Atorvastatin 10mg Tab APX R1 2 Apo-Atorvastatin 20mg Tab APX R1 2 Apo-Atorvastatin 40mg Tab APX R1 2 Apo-Atorvastatin 80mg Tab APX R1 2 Apo-Azathioprine 50mg Tab APX S 2 Apo-Azithromycin 250mg Tab APX S 2 Apo-Baclofen 10mg Tab APX S 2 Apo-Baclofen 20mg Tab APX S 2 Apo-Benazepril 5mg Tab APX R AAP X 21 Apo-Benazepril 10mg Tab APX R AAP X 21 Apo-Benazepril 20mg Tab APX R AAP X 21 Apo-Bicalutamide 50mg Tab APX S 2 Apo-Bisoprolol 5mg Tab APX S 2 Apo-Bisoprolol 10mg Tab APX S 2 Apo-Brimonidine 0.2% Oph Sol APX S 2 Apo-Brimonidine P 0.15% Oph Sol APX B 2 Page 19
20 APX C APX M 15 Apo-Bromazepam 3mg Tab APX S 2 Apo-Bromazepam 6mg Tab APX S 2 Apo-Calcitonin Nasal Spray 200IU Metered Dose Nas Sp-2x APX X 8 DosePk Apo-C 100mg Tab APX X 25 Apo-C 250mg Tab APX X 25 Apo-C 1000mg Tab APX X 25 Apo-Candesartan 4mg Tab APX Z 6 Apo-Candesartan 8mg Tab APX Z 6 Apo-Candesartan 16mg Tab APX Z 6 Apo-Carbamazepine 200mg Tab APX Z 24 Apo-Carbamazepine CR 200mg LA Tab APX M APX P 16 Apo-Carbamazepine CR 400mg LA Tab APX M APX P 16 Apo-Carvedilol 3.125mg Tab APX S 2 Apo-Carvedilol 6.25mg Tab APX S 2 Apo-Carvedilol 12.5mg Tab APX S 2 Apo-Carvedilol 25mg Tab APX S 2 Apo-Cefaclor 250mg Cap APX V 6 Apo-Cefaclor 500mg Cap APX V 6 Apo-Cefaclor 25mg/mL Oral Susp APX P APX X 24 Apo-Cefaclor 50mg/mL Oral Susp APX P APX X 24 Apo-Cefaclor 375mg/5mL Oral Susp APX I 7 Apo-Cefprozil 125mg/5mL Oral Susp-75mL Pk APX R APX R APX X 10 Apo-Cefprozil 125mg/5mL Oral Susp-100mL Pk APX R APX R APX R APX X 10 Apo-Cefprozil 250mg/5mL Oral Susp-75mL Pk APX R APX R APX X 10 Apo-Cefprozil 250mg/5mL Oral Susp-100mL Pk APX R APX R APX R APX X 10 Apo-Cefprozil 250mg Tab APX X 10 Apo-Cefprozil 500mg Tab APX X 10 Apo-Cetirizine 10mg Tab APX O 16 Apo-Chlordiazepoxide 5mg Cap APX H 7 Apo-Chlordiazepoxide 10mg Cap APX H 7 Apo-Chlordiazepoxide 25mg Cap APX H 7 Apo-Chlorthalidone 50mg Tab APX H 7 Page 20
21 AAP X 21 Apo-Chlorthalidone 100mg Tab APX S APX Z 26 Apo-Cilazapril 1mg Tab APX S 2 Apo-Cilazapril 2.5mg Tab APX S 2 Apo-Cilazapril 5mg Tab APX S 2 Apo-Cilazapril/HCTZ 5mg/12.5mg Tab APX H APX J 8 Apo-Cimetidine 200mg Tab APX Z 24 Apo-Cimetidine 600mg Tab APX S 2 Apo-Ciproflox 0.3% Oph Sol-5mL Pk APX R 10 Apo-Ciproflox 250mg Tab APX S 2 Apo-Ciproflox 500mg Tab APX S 2 Apo-Ciproflox 750mg Tab APX S 2 Apo-Citalopram 20mg Tab APX S 2 Apo-Citalopram 40mg Tab APX S 2 Apo-Clarithromycin 250mg Tab APX S 2 Apo-Clindamycin 150mg Cap APX S 2 Apo-Clindamycin 300mg Cap APX S 2 Apo-Clobazam 10mg Tab APX S 2 Apo-Clonazepam 0.5mg Tab APX S 2 Apo-Clonazepam 2mg Tab APX S 3 Apo-Clorazepate 3.75mg Cap APX R 14 Apo-Clorazepate 7.5mg Cap APX R 14 Apo-Clorazepate 15mg Cap APX R 14 Apo-Cloxi 250mg Cap APX V 13 Apo-Cloxi 500mg Cap APX V 13 Apo-Cloxi 25mg/mL O/L APX V 13 Apo-Cromolyn 1% Inh Sol-2mL Pk APX H 19 Apo-Cromolyn 2% Nas Sol-26mL Pk APX S APX Z 26 Apo-Cyclosporine Oral Solution 100mg/mL O/L APX F 3 Apo-Cyproterone 50mg Tab AAP X 21 Apo-Desipramine 25mg Tab APX R 14 Apo-Desipramine 50mg Tab APX Z 24 Apo-Desipramine 75mg Tab APX Z 24 Apo-Desmopressin 10mcg/Metered Dose Nas Sp-2.5mL Pk APX H AAP X 21 Apo-Desmopressin 0.1mg Tab APX S 3 Apo-Desmopressin 0.2mg Tab APX S 3 Apo-Dexamethasone 0.5mg Tab APX S 3 Apo-Dexamethasone 4mg Tab APX S 3 Apo-Diclo 25mg Ent Tab APX F APX S 3 Apo-Diclo 50mg Ent Tab APX S 3 Apo-Diclo SR 75mg LA Tab APX S APX U 9 Apo-Diclo SR 100mg LA Tab APX S APX U 9 Page 21
22 Apo-Diflunisal 250mg Tab APX Z 24 Apo-Diflunisal 500mg Tab APX H 7 Apo-Digoxin mg Tab APX K APX M 13 Apo-Digoxin 0.125mg Tab APX N APX S APX S 32 Apo-Digoxin 0.25mg Tab APX N APX S APX S 32 Apo-Diltiaz CD 120mg LA Cap APX S 3 Apo-Diltiaz CD 180mg LA Cap APX S 3 Apo-Diltiaz CD 240mg LA Cap APX S 3 Apo-Diltiaz CD 300mg LA Cap APX S 3 Apo-Diltiaz SR 60mg LA Cap APX H APX P APX S APX X 24 Apo-Diltiaz SR 90mg LA Cap APX H APX P APX S APX X 24 Apo-Diltiaz SR 120mg LA Cap APX H APX P APX S APX X 24 Apo-Diltiaz TZ 120mg SR Cap APX F APX S 3 Apo-Diltiaz TZ 180mg SR Cap APX F APX S 3 Apo-Diltiaz TZ 240mg SR Cap APX F APX S 3 Apo-Diltiaz TZ 300mg SR Cap APX F APX S 3 Apo-Diltiaz TZ 360mg SR Cap APX F APX S 3 Apo-Dipyridamole 25mg Tab APX G 7 Apo-Dipyridamole 50mg Tab APX G 7 Apo-Dipyridamole 75mg Tab APX G 7 Apo-Divalproex 125mg Ent Tab APX S 3 Apo-Divalproex 250mg Ent Tab APX S 3 Apo-Divalproex 500mg Ent Tab APX S 3 Apo-Domperidone 10mg Tab APX S 3 Apo-Doxazosin 1mg Tab APX S 3 Apo-Doxazosin 2mg Tab APX S 3 Apo-Doxazosin 4mg Tab APX S 3 Apo-Doxepin 10mg Cap APX H 7 Apo-Doxy-Tabs 100mg Tab APX I 13 Apo-Enalapril 2.5mg Tab APX E1 3 Page 22
23 APX V1 4 Apo-Enalapril 5mg Tab APX E APX V1 4 Apo-Enalapril 10mg Tab APX E APX V1 4 Apo-Enalapril 20mg Tab APX E APX V1 4 Apo-Enalapril Maleate/HCTZ 5mg & 12.5mg Tab APX X 8 Apo-Enalapril Maleate/HCTZ 10mg & 25mg Tab APX X 8 Apo-Erythro 250mg Tab APX H 7 Apo-Erythro-ES 600mg Tab APX H AAP X 21 Apo-Erythro-S 250mg Tab APX H AAP X 21 Apo-Erythro-S 500mg Tab APX H AAP X 21 Apo-Esomeprazole 20mg DR Tab APX W 9 Apo-Esomeprazole 40mg DR Tab APX W 9 Apo-Famciclovir 500mg Tab APX S 3 Apo-Famotidine 20mg Tab APX S 3 Apo-Famotidine 40mg Tab APX S 3 Apo-Feno-Micro 200mg Cap APX X 10 Apo-Feno-Super 100mg Tab APX D 10 Apo-Feno-Super 160mg Tab APX F APX S 3 Apo-Fenofibrate 100mg Cap APX J 8 Apo-Finasteride 5mg Tab APX AA 3 Apo-Flecainide 50mg Tab APX H AAP X 21 Apo-Flecainide 100mg Tab APX H AAP X 21 Apo-Floctafenine 200mg Tab APX H AAP X 21 Apo-Floctafenine 400mg Tab APX H AAP X 21 Apo-Fluconazole 50mg Tab APX S 3 Apo-Fluconazole 100mg Tab APX S 3 Apo-Fluconazole mg Cap APX S 3 Apo-Flunarizine 5mg Cap AAP X 21 Apo-Flunisolide 0.025% Nas Sp-25mL Pk APX J 8 Apo-Fluoxetine 20mg Cap APX S 3 Apo-Fluphenazine 1mg Tab APX H 8 Apo-Fluphenazine 2mg Tab APX H 8 Apo-Fluvoxamine 50mg Tab APX S 3 Apo-Fluvoxamine 100mg Tab APX S 3 Apo-Fosinopril 10mg Tab APX S 3 Apo-Fosinopril 20mg Tab APX S 3 Apo-Gabapentin 100mg Cap APX S APX U 17 Page 23
24 APX U 18 Apo-Gabapentin 300mg Cap APX S APX U APX U 18 Apo-Gabapentin 400mg Cap APX S APX U APX U 18 Apo-Gabapentin 600mg Tab APX A 14 Apo-Gabapentin 800mg Tab APX A 14 Apo-Gemfibrozil 300mg Cap APX S 3 Apo-Gliclazide MR 30mg SR Tab APX A APX C 7 Apo-Gliclazide 80mg Tab APX S 3 Apo-Glyburide 2.5mg Tab APX S 3 Apo-Glyburide 5mg Tab APX S 3 Apo-Granisetron 1mg Tab APX I AAP X 21 Apo-Haloperidol 10mg Tab APX Z 24 Apo-Hydralazine 10mg Tab APX Z 24 Apo-Hydralazine 25mg Tab APX R 14 Apo-Hydralazine 50mg Tab APX Z 24 Apo-Hydro 12.5mg Tab APX Q 11 Apo-Hydro 25 25mg Tab APX S 3 Apo-Hydro 50 50mg Tab APX S 3 Apo-Ibuprofen 200mg Tab APX Z 24 Apo-Ibuprofen 300mg Tab APX Z 24 Apo-Ibuprofen 400mg Tab APX Z 24 Apo-Ibuprofen 600mg Tab APX Z 24 Apo-Imipramine 10mg Tab APX H AAP X 21 Apo-Imipramine 25mg Tab APX H AAP X 21 Apo-Imipramine 50mg Tab APX H AAP X 21 Apo-Indapamide 1.25mg Tab APX S 3 Apo-Indapamide 2.5mg Tab APX S 3 Apo-Ipravent 0.03% Nasal Spray APX H APX Q 23 Apo-Ipravent 0.06% Nasal Spray APX J 10 Apo-Ipravent Inhalation Solution 250mcg/mL Inh Sol-20mL Pk APX S 3 Apo-ISDN 5mg SL Tab APX H AAP X 21 Apo-ISDN 10mg Tab APX H AAP X 21 Apo-ISDN 30mg Tab APX H AAP X 21 Apo-Keto 50mg Cap APX H 8 Apo-Keto-E 50mg Ent Tab APX J 8 Page 24
25 Apo-Keto-E 100mg Ent Tab APX H 8 Apo-Keto SR 200mg LA Tab APX H 8 Apo-Ketorolac 10mg Tab APX B 7 Apo-Labetalol 100mg Tab APX H APX L APX Q 23 Apo-Labetalol 200mg Tab APX H APX L APX Q 23 Apo-Lamotrigine 25mg Tab APX S APX AB 11 Apo-Lamotrigine 100mg Tab APX S APX AB 11 Apo-Lamotrigine 150mg Tab APX S APX AB 11 Apo-Lansoprazole 15mg DR Cap APX K APX N APX S 4 Apo-Lansoprazole 30mg DR Cap APX K APX N APX S 4 Apo-Leflunomide 10mg Tab APX S APX AA 11 Apo-Leflunomide 20mg Tab APX S APX AA 11 Apo-Letrozole 2.5mg Tab APX X 4 Apo-Levobunolol 0.5% Oph Sol APX S APX Z 26 Apo-Levocarb CR 100mg & 25mg Tab APX K 5 Apo-Levocarb CR 200mg & 50mg Tab APX H APX S APX Z 26 Apo-Levofloxacin 250mg Tab APX L APX S 4 Apo-Levofloxacin 500mg Tab APX L APX S 4 Apo-Levofloxacin 750mg Tab APX L 16 Apo-Lisinopril 5mg Tab APX X APX X 10 Apo-Lisinopril 10mg Tab APX X APX X 10 Apo-Lisinopril 20mg Tab APX X APX X 10 Apo-Lisinopril/HCTZ 10 & 12.5mg Tab APX S 4 Apo-Lisinopril/HCTZ 20 & 12.5mg Tab APX S 4 Apo-Lisinopril/HCTZ 20 & 25mg Tab APX A 14 Apo-Lithium Carbonate SR 300mg ER Tab APX N 6 Apo-Loperamide 2mg Caplet APX S 4 Apo-Lovastatin 20mg Tab APX S 4 Page 25
26 Apo-Lovastatin 40mg Tab APX S 4 Apo-Loxapine 5mg Tab APX H APX Q 23 Apo-Loxapine 10mg Tab APX H APX Q 23 Apo-Loxapine 25mg Tab APX H APX Q 23 Apo-Loxapine 50mg Tab APX H APX Q 23 Apo-Medroxy 2.5mg Tab APX S 4 Apo-Medroxy 5mg Tab APX S 4 Apo-Medroxy 10mg Tab APX S 4 Apo-Medroxy 100mg Tab APX H 8 Apo-Mefenamic 250mg Cap APX R 14 Apo-Mefloquine 250mg Tab AAP X 21 Apo-Megestrol 40mg Tab APX H AAP X 21 Apo-Megestrol 160mg Tab APX J AAP X 21 Apo-Meloxicam 7.5mg Tab APX S 4 Apo-Meloxicam 15mg Tab APX S 4 Apo-Metformin 500mg Tab APX S 4 Apo-Metformin ER 500mg ER Tab APX R 10 Apo-Methazolamide 50mg Tab APX H AAP X 21 Apo-Methoprazine 2mg Tab APX H 8 Apo-Methyldopa 125mg Tab APX H AAP X 21 Apo-Methyldopa 250mg Tab APX H AAP X 21 Apo-Methyldopa 500mg Tab APX H AAP X 21 Apo-Methylphenidate 10mg Tab APX X 10 Apo-Methylphenidate ER 54mg SR Tab APX U 11 Apo-Methylphenidate SR 20mg ER Tab APX J 8 Apo-Metoprolol 50mg Tab APX S 4 Apo-Metoprolol 100mg Tab APX S 4 Apo-Metoprolol (Type L) 50mg Tab APX S 4 Apo-Metoprolol (Type L) 100mg Tab APX S 4 Apo-Metoprolol SR 100mg LA Tab APX C 7 Apo-Metoprolol SR 200mg LA Tab APX C 7 Apo-Metronidazole 250mg Tab APX H AAP X 21 Apo-Metronidazole 500mg Cap APX R AAP X 21 Apo-Midodrine 2.5mg Tab APX H AAP X 21 Apo-Midodrine 5mg Tab APX H AAP X 21 Page 26
27 Apo-Mirtazapine 30mg Tab APX S 4 Apo-Misoprostol 100mcg Tab APX H AAP X 21 Apo-Misoprostol 200mcg Tab APX H AAP X 21 Apo-Moclobemide 150mg Tab APX S 4 Apo-Moclobemide 300mg Tab APX S 4 Apo-Naproxen 125mg Tab APX H 8 Apo-Naproxen 500mg Tab APX Z 24 Apo-Naproxen SR 750mg SR Tab APX H APX Y 6 Apo-Nifed 5mg Cap APX H AAP X 21 Apo-Nifed 10mg Cap APX J AAP X 21 Apo-Nifed PA 10mg LA Tab APX H APX P APX S APX X 24 Apo-Nifed PA 20mg LA Tab APX H APX P APX S APX X 24 Apo-Nitrazepam 5mg Tab APX X 10 Apo-Nitrazepam 10mg Tab APX X 10 Apo-Nitrofurantoin 50mg Tab APX H AAP X 21 Apo-Nitrofurantoin 100mg Tab APX H AAP X 21 Apo-Nizatidine 150mg Cap APX S 4 Apo-Nizatidine 300mg Cap APX S 4 Apo-Norflox 400mg Tab APX S 4 Apo-Nortriptyline 10mg Cap APX S 4 Apo-Nortriptyline 25mg Cap APX S 4 Apo-Oflox 200mg Tab AAP X 21 Apo-Oflox 300mg Tab AAP X 21 Apo-Oflox 400mg Tab AAP X 21 Apo-Ofloxacin 0.3% Oph Sol APX Z 24 Apo-Olanzapine 2.5mg Tab APX O APX P APX S 4 Apo-Olanzapine 5mg Tab APX O APX P APX S 4 Apo-Olanzapine 7.5mg Tab APX O APX P APX S 4 Apo-Olanzapine 10mg Tab APX O APX P 10 Page 27
28 APX S 4 Apo-Olanzapine 15mg Tab APX O APX P APX S 4 Apo-Olanzapine 20mg Tab APX O 19 Apo-Olanzapine ODT 5mg Rapid Dissolve Tab APX Y 3 Apo-Olanzapine ODT 10mg Rapid Dissolve Tab APX Y 3 Apo-Olanzapine ODT 15mg Rapid Dissolve Tab APX Y 3 Apo-Olanzapine ODT 20mg Rapid Dissolve Tab APX Y 5 Apo-Omeprazole 20mg Cap APX S 4 Apo-Omeprazole 20mg Cap APX S 4 Apo-Ondansetron 4mg/5mL O/L APX I AAP X 21 Apo-Ondansetron 4mg Tab APX S 4 Apo-Ondansetron 8mg Tab APX S 4 Apo-Orciprenaline 2mg/mL O/L APX R 14 Apo-Oxybutynin 5mg Tab APX S 4 Apo-Oxycodone/Acet 5mg & 325mg Tab APX L 3 Apo-Pantoprazole 40mg Ent Tab APX S 4 Apo-Paroxetine 20mg Tab APX S 4 Apo-Paroxetine 30mg Tab APX S 4 Apo-Pen V-K 60mg/mL O/L APX V 13 Apo-Pen V-K 300mg Tab APX V 13 Apo-Pentoxifylline 400mg SR Tab APX Z 24 Apo-Perindopril 8mg Tab APX S 32 Apo-Perphenazine 2mg Tab APX H AAP X 22 Apo-Perphenazine 4mg Tab APX H AAP X 22 Apo-Perphenazine 8mg Tab APX H AAP X 22 Apo-Perphenazine 16mg Tab APX H AAP X 22 Apo-Pindol 5mg Tab APX S 4 Apo-Pindol 10mg Tab APX S 4 Apo-Pindol 15mg Tab APX S 4 Apo-Piroxicam 10mg Cap APX S 4 Apo-Piroxicam 20mg Cap APX S 4 Apo-Pramipexole 0.25mg Tab APX S 4 Apo-Pramipexole 1mg Tab APX S 5 Apo-Pramipexole 1.5mg Tab APX S 5 Apo-Pravastatin 10mg Tab APX S 5 Apo-Pravastatin 20mg Tab APX S 5 Apo-Pravastatin 40mg Tab APX S 5 Apo-Prednisone 1mg Tab APX H 8 Apo-Prednisone 50mg Tab APX R 14 Apo-Primidone 125mg Tab APX H AAP X 22 Apo-Primidone 250mg Tab APX H 8 Page 28
29 AAP X 22 Apo-Propafenone 150mg Tab APX S 5 Apo-Propafenone 300mg Tab APX S 5 Apo-Propranolol 10mg Tab APX S 5 Apo-Propranolol 20mg Tab APX X 10 Apo-Propranolol 40mg Tab APX S 5 Apo-Propranolol 80mg Tab APX S 5 Apo-Propranolol 120mg Tab APX H 8 Apo-Quetiapine 25mg Tab APX D APX S 5 Apo-Quetiapine 100mg Tab APX D APX S 5 Apo-Quetiapine 200mg Tab APX D APX E APX S 5 Apo-Quetiapine 300mg Tab APX D APX E APX S 5 Apo-Rabeprazole 10mg Tab APX R APX S 5 Apo-Rabeprazole 20mg Tab APX R APX S 5 Apo-Raloxifene 60mg Tab APX I APX M 10 Apo-Ramipril 1.25mg Cap APX S 5 Apo-Ramipril 2.5mg Cap APX S 5 Apo-Ramipril 5mg Cap APX S 5 Apo-Ramipril 10mg Cap APX S 5 Apo-Ramipril 15mg Cap APX J 10 Apo-Ranitidine 150mg Tab APX S APX X 10 Apo-Ranitidine 300mg Tab APX S APX X 10 Apo-Risedronate 35mg Tab APX U 3 Apo-Risperidone 1mg/mL O/L APX X 10 Apo-Risperidone 0.25mg Tab APX S 5 Apo-Risperidone 0.5mg Tab APX S 5 Apo-Risperidone 1mg Tab APX S 5 Apo-Risperidone 2mg Tab APX S 5 Apo-Risperidone 3mg Tab APX S 5 Apo-Risperidone 4mg Tab APX S 5 Apo-Rivastigmine 1.5mg Cap APX P APX S 5 Apo-Rivastigmine 3mg Cap APX P APX S 5 Apo-Rivastigmine 4.5mg Cap APX P APX S 5 Apo-Rivastigmine 6mg Cap APX P APX S 5 Page 29
30 Apo-Ropinirole 0.25mg Tab APX Q APX S 5 Apo-Ropinirole 1mg Tab APX Q APX S 5 Apo-Ropinirole 2mg Tab APX Q APX S 5 Apo-Ropinirole 5mg Tab APX Q APX S 5 Apo-Salvent 100mcg/Metered Dose Inh-200 dose Pk APX S 32 Apo-Salvent 2mg Tab APX H 8 Apo-Salvent 4mg Tab APX H 9 Apo-Salvent CFC Free 100mcg/Metered Dose Inh-200 dose Pk APX N 7 Apo-Salvent Ipravent Sterules 500mcg/2.5mg/2.5mL Inh Sol- 2.5mL Pk APX V APX A APX K 11 Apo-Salvent Sterule 1mg/mL Inh Sol-2.5mL Pk APX H 19 Apo-Salvent Sterule 2mg/mL Inh Sol-2.5mL Pk APX H 19 Apo-Sibutramine 10mg Cap APX P 15 Apo-Selegiline 5mg Tab APX S 5 Apo-Sertraline 25mg Cap APX S 5 Apo-Sertraline 50mg Cap APX S 5 Apo-Sertraline 100mg Cap APX S 5 Apo-Sibutramine 15mg Cap APX P 15 Apo-Simvastatin 5mg Tab APX S 5 Apo-Simvastatin 10mg Tab APX S 5 Apo-Simvastatin 20mg Tab APX S 5 Apo-Simvastatin 40mg Tab APX S 5 Apo-Simvastatin 80mg Tab APX S 5 Apo-Sucralfate 1g Tab APX S 5 Apo-Sulfinpyrazone 200mg Tab APX H AAP X 22 Apo-Temazepam 15mg Cap APX S 5 Apo-Temazepam 30mg Cap APX S 5 Apo-Terazosin 1mg Tab APX S 6 Apo-Terazosin 2mg Tab APX S 6 Apo-Terazosin 5mg Tab APX S 6 Apo-Terazosin 10mg Tab APX S 5 Apo-Tetra 250mg Cap APX H AAP X 22 Apo-Ticlopidine 250mg Tab APX S 6 Apo-Timop 0.25% Oph Sol APX S 6 Apo-Timop 0.5% Oph Sol APX S 6 Apo-Timop Gel 0.5% Oph Gellan Sol APX W 3 Apo-Topiramate 25mg Tab APX S APX AB 11 Apo-Topiramate 100mg Tab APX S APX AB 11 Page 30
31 Apo-Topiramate 200mg Tab APX S APX AB 11 Apo-Tramadol/Acet 37.5mg & 325mg Tab APX P 15 Apo-Trazodone 50mg Tab APX X 10 Apo-Trazodone 100mg Tab APX X 10 Apo-Trazodone D 150mg Tab APX X 10 Apo-Triazo 0.125mg Tab APX Z 24 Apo-Triazo 0.25mg Tab APX Z 24 Apo-Trifluoperazine 1mg Tab APX H AAP X 22 Apo-Trifluoperazine 2mg Tab APX H AAP X 22 Apo-Trifluoperazine 5mg Tab APX H AAP X 22 Apo-Trifluoperazine 10mg Tab APX H AAP X 22 Apo-Trihex 2mg Tab APX H AAP X 22 Apo-Trihex 5mg Tab APX H AAP X 22 Apo-Trimebutine 100mg Tab AAP X 22 Apo-Trimebutine 200mg Tab AAP X 22 Apo-Trimethoprim 100mg Tab APX H AAP X 22 Apo-Trimethoprim 200mg Tab APX H AAP X 22 Apo-Trimip 75mg Cap APX H 9 Apo-Trimip 12.5mg Tab APX H 9 Apo-Trimip 25mg Tab APX J 8 Apo-Trimip 50mg Tab APX J 8 Apo-Trimip 100mg Tab APX J 8 Apo-Valacyclovir 500mg Tab APX A APX S 6 Apo-Valacyclovir 1000mg Tab APX U 7 Apo-Valproic 250mg Cap APX S 6 Apo-Valproic 50mg/mL O/L APX S 6 Apo-Venlafaxine XR 37.5mg ER Cap APX Q APX S 6 Apo-Venlafaxine XR 75mg ER Cap APX Q APX S 6 Apo-Venlafaxine XR 150mg ER Cap APX Q APX S 6 Apo-Verap SR 240mg LA Tab APX S 6 Apo-Warfarin 1mg Tab APX X 11 Apo-Warfarin 2mg Tab APX X 11 Apo-Warfarin 2.5mg Tab APX X 11 Apo-Warfarin 3mg Tab APX X 11 Apo-Warfarin 4mg Tab APX X 11 Apo-Warfarin 5mg Tab APX X 11 Page 31
32 Apo-Warfarin 10mg Tab APX X 11 Apo-Zidovudine 100mg Cap APX J 10 Apri mg & 0.03mg Tab-21 Pk APX H 4 Apri mg & 0.03mg Tab-28 Pk APX H 4 Aranesp 150mcg/0.3mL Pref Syr-0.3mL Pk AMG Z 31 Aranesp 200mcg/0.4mL Pref Syr-0.4mL Pk AMG X AMG Z 31 Aranesp 300mcg/0.6mL Pref Syr-0.6mL Pk AMG X AMG Z 31 Aranesp 500mcg/1.0mL Pref Syr-1.0mL Pk AMG X AMG Z 31 Arava 10mg Tab SAV X SAV AA 11 Arava 20mg Tab SAV X SAV AA 11 Aredia 3mg/mL Inj Sol-10mL Vial NOV C 10 Aredia 6mg/mL Inj Sol-10mL Vial NOV H 21 Aredia 9mg/mL Inj Sol-10mL Vial NOV C 10 Aricept 5mg Tab PFI Q 14 Aricept 10mg Tab PFI Q 14 Arimidex 1mg Tab AZC X 11 ARIPIPRAZOLE AB 2 Arixtra 2.5mg Inj-0.5mL Pk GSK H 9 Aromasin 25mg Tab PFI Q PFI Y 7 Artane 0.4mg/mL O/L LED A 16 Arthrotec 50 50mg & 200mcg Tab PFI Q PFI Y 7 Arthrotec 75 75mg & 200mcg Tab PFI Q PFI Y 7 Asacol 400mg Tab PGP M PGP W WAR X 22 Asacol 800mg Tab PGP M PGP W WAR X 22 Ascensia Elite Strip BAL P 13 Atacand 4mg Tab AZC X 11 Atacand 8mg Tab AZC X 11 Atacand 16mg Tab AZC X 11 Atacand 32mg Tab AZC I AZC X 11 Atacand Plus 16mg & 12.5mg Tab AZC X 11 Atacand Plus 32mg & 12.5mg Tab AZC S AZC X 11 Atacand Plus 32mg & 25mg Tab AZC S AZC X 11 ATENOLOL R 5 ATOMOXETINE HCL V 5 Page 32
33 W 9 ATORVASTATIN R1 2 S1 5 Atripla 600mg/300mg/200mg Tab BQU A BQU H BQU U BQU X 11 Atropine Sulfate 1% Oph Oint-3.5g Pk ALC M ALC U 12 Auro-Mirtazapine OD 15mg Orally Disintegrating Tab AUR Y 3 Auro-Mirtazapine OD 30mg Orally Disintegrating Tab AUR Y 3 Auro-Mirtazapine OD 45mg Orally Disintegrating Tab AUR Y 3 Auro-Nevirapine 200mg Tab AUR X 4 Auro-Terbinafine 250mg Tab AUR AA 6 Auro-Topiramate 25mg Tab AUR AA AUR AB 11 Auro-Topiramate 100mg Tab AUR AA AUR AB 11 Auro-Topiramate 200mg Tab AUR AA AUR AB 11 Avalide 150 & 12.5mg Tab SAV H SAV X 11 Avalide 300 & 12.5mg Tab SAV H SAV X 11 Avalide 300 & 25mg Tab SAV H SAV X 11 Avapro 75mg Tab SAV H SAV X 11 Avapro 150mg Tab SAV H SAV X 11 Avapro 300mg Tab SAV H SAV X 11 Avelox 400mg Tab BAY F BAY W 12 Avodart 0.5mg Cap GSK H 9 Azarga 1% & 0.5% Oph Susp-5mL Pk ALC R ALC X 11 AZATHIOPRINE AA 4 Azathioprine 50mg Tab SAI AA 4 AZELAIC ACID AA 2 AZITHROMYCIN J 3 P 3 Q 7 X 4 Z 6 Z 20 AB 7 Azithromycin 250mg Tab SAI Z 6 Azithromycin 600mg Tab SAI Z 20 Page 33
34 Azopt 1% Oph Susp ALC X 11 BACLOFEN R 5 AA 4 Baclofen 10mg Tab SAI AA 4 Baclofen 20mg Tab SAI AA 4 Bactroban 2% Cr GSK H GSK X 11 Bactroban 2% Oint GSK H GSK X 11 Benazepril 5mg Tab APX X 28 Benazepril 10mg Tab APX X 28 Benazepril 20mg Tab APX X 28 Benoxyl 5% Lot STI H STI W 10 Benoxyl 10% Lot STI H STI U 8 Benoxyl 20% Lot STI H STI W 10 Benzac W5 5% Gel GAC X 11 BenzaClin 1% & 5% Top Gel SAV X 11 Betaderm 0.05% Cr TAR V 13 Betaderm 0.1% Cr TAR V 13 Betadine 10% Vag Gel PFP Y 11 Betadine 10% Vag Sol PFP Y 11 BETAHISTINE DIHYDROCHLORIDE X 8 Betaloc 50mg Tab AZC L AZC Q 22 Betaloc 100mg Tab AZC L AZC Q 22 Betaseron 9,600,000IU Inj Pref Syr-0.3mg Pk BAH A 8 Betnesol 5mg/100mL Enema-100mL Pk SQI F PAL H PAL Q PAL X 11 Betoptic S 0.25% Oph Susp ALC X 11 Bezalip 400mg SR Tab AGP K AGP Q AGP X 11 Biaxin 125mg/5mL Ped Gran ABB G ABB Q 14 Biaxin 250mg/5mL Susp ABB G ABB Q 14 Biaxin 250mg Tab ABB G ABB Q 14 BICALUTAMIDE S1 3 W 3 Bicalutamide Tablets ACH S1 3 BIMATOPROST ALL T 4 Biphentin 10mg ER Cap PFP K 2 Page 34
35 PFP Q PFP X 11 Biphentin 15mg ER Cap PFP K PFP Q PFP X 11 Biphentin 20mg ER Cap PFP K PFP Q PFP X 11 Biphentin 30mg ER Cap PFP K PFP Q PFP X 11 Biphentin 40mg ER Cap PFP K PFP Q PFP X 11 Biphentin 50mg ER Cap PFP K PFP Q PFP X 11 Biphentin 60mg ER Cap PFP K PFP X 11 Biphentin 80mg ER Cap PFP K PFP Q PFP X 11 Bonefos 400mg Cap BAY F BAY P 10 Boost 1.0 Standard 1.06kcal/mL Liq-237mL Pk NES E 7 Boost 1.5 Plus Calories 1.5kcal/mL Liq-237mL Pk NES E 7 Boost Fruit Flavoured Beverage Liq-235mL Pk NES E 7 Boost Fruit Flavoured Beverage Liq-237mL Pk NES R 18 Botox 50U/Vial Pd Inj-50U Vial Pk ALL Z 2 Botox 100U/Vial Pd Inj-100U Vial Pk ALL A ALL O 20 Botox 200U/Vial Pd Inj-200U Vial Pk ALL Z 2 BOTULINUM TOXIN TYPE A Z 2 Breeze 2 Strip BAH E 10 Brevicon 0.035mg & 0.5mg Tab-21 Pk PFI Q 14 Brevicon 0.035mg & 0.5mg Tab-28 Pk PFI Q 14 Brevicon 1/ mg & 1mg Tab-21 Pk PFI Q 14 Brevicon 1/ mg & 1mg Tab-28 Pk PFI Q 14 Bricanyl Turbuhaler 0.5mg/Dose Inh-200 Dose Pk AZC X 11 BRIMONIDINE A 6 B 2 BRIMONIDINE TARTRATE & TIMOLOL MALEATE A 2 BRINZOLAMIDE & TIMOLOL MALEATE R 2 BUPROPION HCL E 3 X 6 Z 3 C.E.S mg Tab VAL X 11 C.E.S. 1.25mg Tab VAL B VAL Q 23 Page 35
36 Caduet 5mg/10mg Tab PFI O 16 Caduet 5mg/20mg Tab PFI O 16 Caduet 5mg/40mg Tab PFI O 16 Caduet 5mg/80mg Tab PFI O 16 Caduet 10mg/20mg Tab PFI O 16 Cafergot 1mg & 100mg Tab NOV H NOV T NOV X 11 Calcimar 400IU/2mL Inj Sol-2mL Pk SAV H SAV X 11 CALCIPOTRIOL & BETAMETHASONE DIPROPIONATE X 2 CALCITONIN (SALMON SYNTHETIC) X 8 CALCITRIOL Z 3 CANDESARTAN CILEXETIL I 2 Z 6 CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE S1 2 Capoten 12.5mg Tab BQU J BQU Q 22 Capoten 50mg Tab BQU W 10 Capoten 100mg Tab BQU H 17 Captopril 12.5mg Tab ZYN Q ZYN X 24 Captopril 25mg Tab ZYN Q ZYN X 24 Captopril 50mg Tab ZYN Q ZYN X 24 Captopril 100mg Tab ZYN Q ZYN X 24 Carbolith 150mg Cap VAL X 11 Carbolith 300mg Cap VAL X 12 Cardizem 30mg Tab BIO H BIO M BIO Q BIO U 11 Cardizem 60mg Tab BIO B BIO H BIO Q BIO U 11 Cardizem CD 120mg LA Cap BIO H BIO Q BIO X 12 Cardizem CD 180mg LA Cap BIO H BIO Q BIO X 12 Cardizem CD 240mg LA Cap BIO H BIO Q BIO X 12 Cardizem CD 300mg LA Cap BIO H BIO Q 15 Page 36
37 BIO X 12 Cardizem-SR 60mg LA Cap CRY X 25 Cardizem-SR 90mg LA Cap CRY X 25 Cardizem-SR 120mg LA Cap CRY X 25 Cardura-1 1mg Tab AZC Y 7 Cardura-2 2mg Tab AZC Y 7 Cardura-4 4mg Tab AZC Y 7 CARVEDILOL P 4 Q 8 R 4 AB 5 Carvedilol 3.125mg Tab SAI AB 5 Carvedilol 6.25mg Tab SAI AB 5 Carvedilol 12.5mg Tab SAI AB 5 Carvedilol 25mg Tab SAI AB 5 Captopril 12.5mg Tab ZYN S 32 Captopril 25mg Tab ZYN S 32 Captopril 50mg Tab ZYN S 32 Captopril 100mg Tab ZYN S 32 Casodex 50mg Tab AZC X 12 Cedocard SR 20mg LA Tab PMS X 25 CeeNU 10mg Cap BQU H BQU Q BQU X 12 CeeNU 40mg Cap BQU H BQU Q BQU X 12 CeeNU 100mg Cap BQU H BQU Q BQU X 12 Cefazolin for Injection 1g/Vial Inj Pd-Vial Pk ORC R 10 Cefazolin for Injection 10g/Vial Inj Pd-Vial Pk ORC R 10 CEFAZOLIN SODIUM R 10 CEFEPIME I 13 Cefepime for Injection 1g Inj Pd-Vial Pk APX I 13 Cefepime for Injection 2g Inj Pd-Vial Pk APX I 13 CEFPROZIL D 4 O 2 P 3 R 4 Cefprozil Powder for Oral Suspension 250mg/5mL Oral Susp- 75mL Pk RAN R 4 Cefprozil Powder for Oral Suspension 250mg/5mL Oral Susp- 100mL Pk RAN S RAN R RAN S 6 Cefprozil Tablets 250mg Tab RAN P RAN S 6 Cefprozil Tablets 500mg Tab RAN O 2 Page 37
UPDATE AQ Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective February 28, 2013 SUMMARY OF CHANGES
UPDATE AQ Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective February 28, 2013 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 3 Off Formulary
More informationUPDATE AH Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective May 29, 2012 SUMMARY OF CHANGES
UPDATE AH Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective May 29, 2012 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 3 Off Formulary
More informationUPDATE AC Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective December 15, 2011 SUMMARY OF CHANGES
UPDATE AC Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective December 15, 2011 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 5 Off Formulary
More informationUPDATE AL Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective 28 September, 2012 SUMMARY OF CHANGES
UPDATE AL Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective 28 September, 2012 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 3 Off
More informationUPDATE AZ Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 31, 2013 SUMMARY OF CHANGES
UPDATE AZ Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 31, 2013 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 5 Off Formulary
More informationUPDATE AY Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective September 27, 2013 SUMMARY OF CHANGES
UPDATE AY Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective September 27, 2013 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 4 Off
More informationUPDATE AX Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective August 29, 2013 SUMMARY OF CHANGES
UPDATE AX Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective August 29, 2013 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 4 Off Formulary
More informationUPDATE AV Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective June 27, 2013 SUMMARY OF CHANGES
UPDATE AV Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective June 27, 2013 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 3 Off Formulary
More informationOntario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 43 Pan-Canadian Select Molecule Price Initiative for Generic Drugs Effective April 1, 2018 Drug Programs
More informationUPDATE AD Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective January 19, 2012 SUMMARY OF CHANGES
UPDATE AD Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective January 19, 2012 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 3 Off Formulary
More informationUPDATE Q Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective April 23, 2010 SUMMARY OF CHANGES
UPDATE Q Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective April 23, 2010 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 4 Off Formulary
More informationProduct Selection Committee / Comité de sélection des produits
New Brunswick Pharmaceutical Society and New Brunswick Department of Health Product Selection Committee / Comité de sélection des produits L Ordre des pharmaciens P.O. Box / C.P. 5100, Fredericton NB E3B
More informationHighlighted medications are NOT covered by Wal-Mart's Plan!!
Important Roanoke Rapids Extensions Gene Minton (Owner, CEO) x140 Drew Huggins (COO) - x114 Angela Coggins (Pharmacy Manager) x111 Dial All Pharmacists on Duty x168 (No waiting on hold!!) DRUGCO GENERICS
More informationPRINCE EDWARD ISLAND DRUG PROGRAMS INTERCHANGEABLE/MAXIMUM REIMBURSABLE PRICE LIST EFFECTIVE DATE APRIL 22, 2019
PRINCE EDWARD ISLAND DRUG PROGRAMS INTERCHANGEABLE/MAXIMUM REIMBURSABLE PRICE LIST EFFECTIVE DATE APRIL 22, 2019 An interchangeable product is defined as one containing the same amounts of the same active
More informationHighlighted medications are NOT covered by Wal-Mart's Plan!!
Important Roanoke Rapids Extensions Gene Minton (Owner, CEO) x140 Drew Huggins (COO) - x114 Angela Coggins (Pharmacy Manager) x111 Dial All Pharmacists on Duty x168 (No waiting on hold!!) DRUGCO GENERICS
More informationPRINCE EDWARD ISLAND DRUG PROGRAMS INTERCHANGEABLE/MAXIMUM ALLOWABLE COST LIST. EFFECTIVE DATE January 18, 2010
The Interchangeable/Maximum Allowable Cost (MAC) List identifies the interchangeable products covered by the PEI Drug Programs and sets the maximum amount that pharmacies will be reimbursed for products
More informationUPDATE 12 Ontario Drug Benefit Formulary/Comparative Drug Index No. 40 Effective MAY 16, 2008 SUMMARY OF CHANGES
UPDATE 12 Ontario Drug Benefit Formulary/Comparative Drug Index No. 40 Effective MAY 16, 2008 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 3 Manufacturer
More informationValue-Priced Medication List
Value-Priced Medication List In addition to the discounts on thousands of brand-name and most other generic medications that Walgreens Prescription Savings Club members enjoy, club members receive greater
More informationValue-Priced Medication List
Value-Priced Medication List In addition to the discounts on thousands of brand-name and most other generic medications that Walgreens Prescription Savings Club members enjoy, club members receive greater
More informationPEI PROVINCIAL INTERCHANGEABLE DRUG LIST
PEI PROVINCIAL INTERCHANGEABLE DRUG LIST QUARTERLY UPDATE JULY 15, 2018 PROVINCIAL INTERCHANGEABLE DRUG LIST INTRODUCTION The Provincial Interchangeable Drug List (PIDL) is a listing of interchangeable
More informationValue-Priced Medication List
Value-Priced Medication List In addition to the discounts on thousands of brand-name and all generic medications that Walgreens Prescription Savings Club members enjoy, club members may now receive even
More informationMHPILMCD RXMCDP OXYCODON ACETAMINOPHEN /11/2018 New Add Newly Added NDC
Published 5/15/2018 Changes effective 5/8/2018 to 5/14/2018 GCN NDC Label Name MAC Effective Date Previous Price Reason 77264 24590801 KEVZARA 150 MG/1.14 ML SYRINGE 236.8421 5/11/2018 New Add Newly Added
More informationGCN NDC Label Name MAC Price Effective Date Prev Price Reason DICYCLOMINE 20 MG/2 ML VIAL /23/2018 New Add Newly Added NDC
GCN NDC Label Name MAC Price Effective Date Prev Price Reason 4922 517198001 DICYCLOMINE 20 MG/2 ML VIAL 1.2870 2/23/2018 New Add Newly Added NDC 4922 517198005 DICYCLOMINE 20 MG/2 ML VIAL 1.2870 2/23/2018
More informationPRESCRIPTION DRUG PROGRAM FORMULARY UPDATES Value Formulary July 1, 2018 Updates. Formulary. Alternatives
PRESCRIPTION DRUG PROGRAM FORMULARY UPDATES Value July 1, 2018 Updates Drug Name oseltamivir sus 6mg/ml (Brand = Tamiflu ) carvedilol cap ER 10mg, 20mg, 40mg, 80mg (Brand = Coreg CR ) timolol maleate sol
More informationPRSMEDDPRSMCC1 PRSMEDDPRSMPACE PRSMEDCPRSMPACE
Published 5/15/2018 Changes effective 5/8/2018 to 5/14/2018 GCN NDC Label Name MAC Price Effective Date Prev Price Reason 77264 24590801 KEVZARA 150 MG/1.14 ML SYRINGE 363.1579 5/11/2018 New Add Newly
More informationHPMMCR MHPMICOMP MHPILCOMPB
Published 5/15/2018 Changes Effective 5/8/2018 to 5/14/2018 GCN NDC Label Name MAC Price Effective Date Prev Price Reason 77264 24590801 KEVZARA 150 MG/1.14 ML SYRINGE 236.8421 5/11/2018 New Add Newly
More informationPRESCRIPTION DRUG PROGRAM FORMULARY UPDATES Select Formulary July 1, 2018 Updates Formulary. Alternatives
oseltamivir sus 6mg/ml (Brand = Tamiflu ) carvedilol cap ER 10mg, 20mg, 40mg, 80mg (Brand = Coreg CR ) timolol maleate sol 0.5% (Brand = Istalol Sol 0.5% OP) tenofovir 300mg (Brand = Viread ) efavirenz
More informationOXYCODON ACETAMINOPHEN /11/2018 New Add Newly Added NDC
Published 5/15/2018 Changes Effective 5/8/2018 to 5/14/2018 GCN NDC Label Name MAC Price Effective Date Prev Price Reason 77264 24590801 KEVZARA 150 MG/1.14 ML SYRINGE 268.4211 5/11/2018 New Add Newly
More informationNB Drug Plans Formulary Update
Bulletin #972 March 22, 2018 NB Drug Formulary Update Please find attached a list of generic drug product updates for the New Brunswick Drug Formulary. Generic drug product additions New generic products
More informationCurrent Effective Date
Drug Form Current Effective Date MAC price Date Updated Acarbose 100mg TABS 0.65500 6/26/2008 6/26/2008 Acarbose 25mg TABS 0.55500 6/26/2008 6/26/2008 Acarbose 50mg TABS 0.55500 6/26/2008 6/26/2008 Accu-check
More informationHPLC&LC-MS/MS 用試薬ã‚ット対応一覧表 - ( æ ª ) エスエイエス ( )
Acebutolol Ajmaline Alanine Alprazolam MassTox TDM Series A Benzodiazepines 2 Amiodarone Amisulpride MassTox TDM Series A Neuroleptics 2 Amitriptyline MassTox TDM Series A Tricyclic Antidepressants TCA
More informationSHORT DATED OFFERING SHEET (BY PRODUCT NAME) AS OF
16729-089-10 Finasteride 1mg 30ct Tablet; Film Coated Propecia Accord 1 09/30/2018 $ 1.51 65862-595-05 Divalproex ER 500mg 500 Tablet Depakote ER Aurobindo 2 09/30/2018 $ 104.54 67877-251-30 Triamcinolone
More informationCOVERAGE DETERMINATION REQUEST FORM
Atypical Antipsychotics-3 Medicare (Vraylar) Member/Subscriber Number: Fax: Phone: Date of Birth: Office Contact: Group Number: NPI: State Lic ID: Address: Address: City, State ZIP: City, State ZIP: Primary
More informationPrescription Pharmaceuticals DETAIL & PRICES AVAILABLE UPON REQUEST. All Available Products, Details & Prices Available Upon Enquiry GENERICS
Prescription Pharmaceuticals DETAIL & PRICES AVAILABLE UPON REQUEST GENERICS 1157494 ACARBOSE TABS 50MG 90 1157502 ACARBOSE TABS 100MG 90 7874894 ACECLOFENAC TABS 100MG 60 7843915 ACETAZOLAMIDE TABS 250MG
More informationPNEC Calculated from Chronic Data. 5-fluorouracil Vestel et al abiraterone acetate Vestel et al. 2016
These predicted no-effect concentrations, PNECs, are provided to facilitate environmental risk assessment of pharmaceuticals in surface water downstream of the mixing zone (i.e., not at the point of discharge
More informationDiscovery Health PBR formulary and benchmark pricing
Discovery Health PBR formulary and benchmark pricing Period: 2017 Quarter 1 and 2 Implementation date: 1 January 2017 PBR is a voluntarily program which is designed to additionally remunerate pharmacists
More informationCanadian Pharmaceutical Corporation Products
SUPPLIER EXCAN DISTRIBUTORS INC. 3390 MIDLAND AVENUE, UNIT #9 SCARBOROUGH, ONTARIO M1V 5K3, CANADA TEL: 416-261-2611 / FAX: 416-261-2417 E-mail: excandist@rogers.com DATE: Visit our website @ www.excan.com
More informationApotex Products Canada
Apotex Products Canada Updated December 21, 2017 www.apotex.ca/products Apotex Products Canada NATIONAL CUSTOMER CONTACT INFORMATION Toll Free: 1-877-427-6839 Toll Free Fax: 1-800-665-2854 Email: orderdesk@apotex.com
More informationBESTMED MEDICINE FORMULARY FOR CDL-CHRONIC (CHRONIC DISEASE LIST) CONDITIONS
BESTMED MEDICINE FORMULARY FOR CDL-CHRONIC (CHRONIC DISEASE LIST) CONDITIONS Benefits are subject to the following: Pre-authorisation BESTmed guidelines BESTmed protocols Mediscor Reference Price (MRP)
More informationBESTMED MEDICINE FORMULARY FOR CDL-CHRONIC (CHRONIC DISEASE LIST) CONDITIONS
BESTMED MEDICINE FORMULARY FOR CDL-CHRONIC (CHRONIC DISEASE LIST) CONDITIONS Benefits are subject to the following: Pre-authorisation BESTmed guidelines BESTmed protocols Mediscor Reference Price (MRP)
More informationYES = formulary NO = non-formulary NO BENEFT = excluded
Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP) This price represents the reasonable price in the market place for a particular
More informationEnvisionRxPlus (PDP) 2017 Comprehensive Formulary. (List of Covered Drugs)
EnvisionRxPlus (PDP) 2017 Comprehensive Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission 17453,
More informationMagellan Rx Medicare Basic (PDP) 2019 Formulary
Magellan Rx Medicare Basic (PDP) 2019 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE S WE COVER IN THIS PLAN Formulary File 19170, Version 19 This formulary
More informationThe electronic Medicines Compendium ( emc )
1 www.medicineslearningportal.org The electronic Medicines Compendium ( emc ) Learning outcomes By the end of this learning module you will be able to describe the role of the electronic Medicines Compendium
More informationCompendium of Notified Ceiling Prices NLEM 2011
Compendium of Notified Ceiling Prices NLEM 2011 The Compendium of Notified Ceiling Prices of Scheduled Drugs as per NLEM 2011 has been brought out with the objective of disseminating information related
More information2016 Formulary Annual Notice of Change. Medicare Advantage Plans (MAPD)
2016 Formulary Annual Notice of Change Updated: October 1, 2015 Medicare Advantage Plans (MAPD) This is a listing of the changes that have occurred to the 2016 MAPD formulary. For a complete list, please
More informationPUBLIC PROCUREMENT AUTHORITY
PUBLIC PROCUREMENT AUTHORITY DEVELOPMENT OF DATABASE / RECORD OF PRICES FOR COMMON USER ITEMS AVERAGE PRICE LIST OF COMMON USER ITEMS Prepared p by: y Presented to FAS CONSULT The Chief Executive Public
More informationAFFINITY MEDICARE. Passport Essentials (HMO) Passport Essentials NYC (HMO) Solutions (HMO-SNP) Ultimate (HMO-SNP)
20 18 AFFINITY MEDICARE Passport Essentials (HMO) Passport Essentials NYC (HMO) Solutions (HMO-SNP) Ultimate (HMO-SNP) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN.
More informationPUBLIC PROCUREMENT AUTHORITY
REPUBLIC OF GHANA PUBLIC PROCUREMENT AUTHORITY UPDATE OF PRICES FOR COMMON USER ITEMS Prepared by: Presented to FAS CONSULT LTD. The Chief Executive Public Procurement Authority P. O. Box GP. 17494 P.M.B
More informationRelease Document for ChartMaker 2016 (fv6.1.4) Last Updated: 04/19/2016
Release Document for ChartMaker 2016 (fv6.1.4) Last Updated: 04/19/2016 ChartMaker Clinical ***Please note that the ChartMaker Medical Suite can no longer be installed on computers using the Windows XP
More informationPUBLIC PROCUREMENT AUTHORITY UPDATE OF PRICES FOR COMMON USER ITEMS
PUBLIC PROCUREMENT AUTHORITY UPDATE OF PRICES FOR COMMON USER ITEMS Prepared by: Presented to FAS CONSULT The Chief Executive Public Procurement Authority P.M.B 30 Ministries P. O. Box GP. 17494 Accra
More informationYES = formulary NO = non-formulary NO BENEFIT = excluded
Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP) This price represents the reasonable price in the market place for a particular
More informationPrescription Drug List
Your 2016 Prescription Drug List Effective January 1, 2016 Oxford Connecticut Traditional Three- Please read: This document contains information about commonly prescribed medications. For additional information:
More informationPrescription Drug List
Your 2016 Prescription Drug List Effective January 1, 2016 Oxford Connecticut Advantage Three- Please read: This document contains information about commonly prescribed medications. For additional information:
More information2017 Formulary Annual Notice of Change
Updated: October 10, 2016 2017 Formulary Annual Notice of Change Commercial 5 Tier - Qualified Health Plans (QHP) This is a listing of the changes that have occurred to the 2017 Commercial Qualified Health
More informationDoxepin (sinequan) 10 Mg Capsule
Doxepin (sinequan) 10 Mg Capsule sinequan package insert sinequan online doxepin 5 mg for sleep sinequan salad sinequan toxicity sinequan 10 mg doxepin mylan 4250 sinequan for migraine sinequan benefits
More informationPrescription Drug List
Your 2015 Prescription Drug List Effective January 1, 2015 Oxford Connecticut Advantage Three- Please read: This document contains information about commonly prescribed medications. For additional information:
More informationMedtech32 WDHB SafeRx Update
Medtech32 WDHB SafeRx Update Release Notes These Release Notes contain important information for all Medtech Users. Please ensure that they are circulated amongst all your staff. We suggest that they are
More informationDESCRIPTION FORMULA UNIT PACK
HUMAN PRODUCTS LIST - TABLETS DESCRIPTION FORMULA UNIT PACK ALLUCID TABLETS Each tablet contains:- 100 Dried Alluminium Hydroxide B.P 120mg Magnesium Trisilicate B.P 250mg ALLUCID TABLETS (with 'G' Mark)
More informationEmblem Medicaid 4Q18 Formulary Updates
AFLURIA 2018-2019 SYRINGE Added to Formulary (BRAND) 10/1/2018 AFLURIA 2018-2019 VIAL Added to Formulary (BRAND) 10/1/2018 AFLURIA QUAD 2018-2019 SYRINGE Added to Formulary (BRAND) 10/1/2018 AFLURIA QUAD
More informationPrescription Drug List
Your 2016 Prescription Drug List Effective July 1, 2016 Oxford Connecticut Traditional Three- Please read: This document contains information about commonly prescribed medications. For more information:
More informationRelease Document for ChartMaker 2016 (fv6.1.4) Last Updated: 04/19/2016
Release Document for ChartMaker 2016 (fv6.1.4) Last Updated: 04/19/2016 ChartMaker Clinical ***Please note that the ChartMaker Medical Suite can no longer be installed on computers using the Windows XP
More informationBorders Formulary Committee. Annual report 2012/13
Borders Formulary Committee Annual report 2012/13 1. Purpose Borders Formulary Committee is a sub committee of the Area Drug and Therapeutics Committee and is accountable to the Strategy Group. Its purpose
More informationPrescription Drug List
Your 2017 Four- Prescription Drug List effective January 1, 2017 Connecticut Advantage Four- Please read: This document contains information about commonly prescribed medications. This Prescription Drug
More informationYES = formulary NO = non-formulary NO BENEFIT = excluded
Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP) This price represents the reasonable price in the market place for a particular
More informationMedicare Blue Choice Optimum (HMO-POS) Medicare Blue Choice Select (HMO-POS) Medicare Blue Choice Value (HMO) Medicare Blue Choice Value Plus (HMO)
A nonprofit independent licensee of the Blue Cross Blue Shield Association Medicare Blue Choice Optimum (HMO-POS) Medicare Blue Choice Select (HMO-POS) Medicare Blue Choice Value (HMO) Medicare Blue Choice
More informationExcellus BlueCross BlueShield Medicare Employer Group Plans
Excellus BlueCross BlueShield Medicare Employer Group Plans A nonprofit independent licensee of the Blue Cross Blue Shield Association 2019 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT
More informationChartMaker Clinical Release Notes ChartMaker 2016 (fv6.2.2)
ChartMaker Clinical Release Notes ChartMaker 2016 (fv6.2.2) ***Please note that the ChartMaker Medical Suite can no longer be installed on computers using the Windows XP or Windows 2003 Server operating
More informationDRUS OPEN TENDER PRICE BID -127 ITEMS
1/8 DRUS OPEN TENDER PRICE BID -127 ITEMS ANNEXURE -VIII 1 2 3 4 5 6 7 8 9 10 11 SL.No CP NO GENERIC NAME FORM UNIT OF MEASURE APPROX QUANTITY PER 2 YEARS BRAND NAME RATE PER UNIT OF MEASURE GST RATE WITH
More informationVertiSep TM UPS. HPLC Columns. VertiSep TM UPS HPLC Columns
Ultra performance silica with excellent stability, efficiency and column-to-column reproducibility Ultra-high surface area offer ultra high resolution for gradient elution of difficulty separation compounds
More informationItem Description Packaging Price
Aciclovir 200mg tab (Virest) box of 25's 615.00 Aciclovir 400mg tab (Virest) box of 25's 1006.25 Allopurinol 100mg tab (Elavil) box of 100's 60.00 Allopurinol 100mg tab (Scheele-Generic) box of 100's 60.00
More informationPharmaceutics Laboratory PHM188P, Spring 2017 Syllabus/First Day Handout
Pharmaceutics Laboratory PHM188P, Spring 2017 Syllabus/First Day Handout Course Description: This course will introduce the student to the knowledge and skills of fundamental mathematical calculations
More informationMedical Apps for Your ipad: Lexi-Comp Instructions (Fall 2010)
1 Health Sciences Library (HSL) Medical Apps for Your ipad: Lexi-Comp Instructions (Fall 2010) www.nosm.ca/library askthelibrary@nosm.ca Table of Contents 2 Table of Contents... 2 The Health Sciences Library
More informationPUBLIC PROCUREMENT AUTHORITY
REPUBLIC OF GHANA PUBLIC PROCUREMENT AUTHORITY UPDATE OF PRICES FOR COMMON USER ITEMS Prepared by: Presented to FAS CONSULT LTD. The Chief Executive Public Procurement Authority P. O. Box GP. 17494 P.M.B
More informationProblems in Designing Huge Datawarehouses and Datamarts
Association for Information Systems AIS Electronic Library (AISeL) AMCIS 2003 Proceedings Americas Conference on Information Systems (AMCIS) December 2003 Problems in Designing Huge Datawarehouses and
More information4-Tier Drug Program. Preferred Drug List. Powered By:
4-Tier Drug Program Preferred Drug List Powered By: PHARMACY NETWORK Your prescription card is accepted at over 54,000 participating pharmacies throughout the United States. The network includes pharmacy
More informationBESTMED MEDICINE FORMULARY FOR CDL-CHRONIC (CHRONIC DISEASE LIST) CONDITIONS
BESTMED MEDICINE FORMULARY FOR CDL-CHRONIC (CHRONIC DISEASE LIST) CONDITIONS Benefits are subject to the following: Pre-authorisation BESTmed guidelines BESTmed protocols Mediscor Reference Price (MRP)
More informationAtorvastatin Tablets 20 Mg La Thuoc Gi
Atorvastatin Tablets 20 Mg La Thuoc Gi Maybe you are curious about whether there is travel journey on the horizon. price of atorvastatin Also, some Alberta pharmacists can give injections and prescribe
More information2017 Drug Formulary. Effective November For members covered through large employer groups with a 3-tier in-network pharmacy
Effective November 2017 2017 Drug Formulary For members covered through large employer groups with a 3-tier in-network pharmacy benefit or members with an out-of-network pharmacy benefit Access PPO Alliance
More informationSMS Text Messaging: A Ubiquitous Tool for Cheaper Medicine in the Philippines
SMS Text Messaging: A Ubiquitous Tool for Cheaper Medicine in the Philippines Simonette Alzona Nisperos*, Yoshiyori Urano* *Graduate School of Global Information and Telecommunication Studies, Faculty
More informationVenous Access Smart Chart GENERIC BRAND ph OSMOLARITY PIV Acyclovir Zovirax <600 * Amikacin Amikin <600 * Amiodarone Cordarone 4.
Venous Access Smart Chart GENERIC BRAND ph OSMOLARIT PIV Acyclovir Zovirax 10.5-11.8
More informationPractice Partner EMR. Pre-Load/Scanning. Pre-Load and Scanning Manual HealthPoint Medical Group and Practice Partner System
Practice Partner EMR Pre-Load/Scanning Document Version: EMR_v1.05 Software Version: 9.5.2 Date: 02/29/2012 1 2011 HealthPoint Medical Group and Practice Partner System About This Document Confidentiality
More information2019 Drug Formulary. Effective April For federal employees and retirees on the Federal Employees Health Benefits Program
Effective April 2019 2019 Drug Formulary For federal employees and retirees on the Federal Employees Health Benefits Program All plans offered and underwritten by Kaiser Foundation Health Plan of Washington
More informationUsing Micromedex. Terri Wilson Unit Assistant Director & Pharmacy Liaison Librarian Harrington Library of the Health Sciences.
Using Micromedex Terri Wilson Unit Assistant Director & Pharmacy Liaison Librarian Harrington Library of the Health Sciences Fall 2012 What is Micromedex? Micromedex is an indexing database that provides
More informationAtorvastatin Cost Costco
Atorvastatin Cost Costco Recibi, segn bloomberg diferencia de generic atorvastatin online Pills are monochromatic locus is to tell the additional master's degree such as the state's produce the united
More information2019 Drug Formulary. Effective March For federal employees and retirees on the Federal Employees Health Benefits Program
Effective March 2019 2019 Drug Formulary For federal employees and retirees on the Federal Employees Health Benefits Program All plans offered and underwritten by Kaiser Foundation Health Plan of Washington
More informationThe innovative Swiss pharmaceutical company. Olfen TM. Flexibility in treatment of pain
The innovative Swiss pharmaceutical company Olfen TM Flexibility in treatment of pain Olfen TM Active ingredient: Diclofenac sodium Olfen TM - Flexibility in treatment of pain Linda Kötter-Spirgi May 7,
More information2018 Drug Formulary. Effective October For large employer groups with a 5-tier in-network pharmacy benefit. PEBB SoundChoice.
Effective October 2018 2018 Drug Formulary For large employer groups with a 5-tier in-network pharmacy benefit PEBB SoundChoice PEBB Value All plans offered and underwritten by Kaiser Foundation Health
More informationclinical rotation companion tutorial
This tutorial will teach you how to utilize every aspect of PEPID Clinical Rotation Companion and is organized by the tool bar at the top of the online application. At the end, you will find a quiz, which
More informationProScript. Monitor Dosage System User Guide. Helpdesk Phone number:
ProScript Monitor Dosage System User Guide Helpdesk Phone number: 01923 851835 v2.58.1.25 Rx Systems 2005-2008 Table of Contents INTRODUCTION.... 2 PROCESSING FROM A PRESCRIPTION... 3 PATIENT ALREADY IN
More informationMedicus TYVASO Information Architecture & Site Map v.1.4 May 14, 2009
Medicus TYVASO Site Design - May 19, 2009 - version 1.4 Page 1 of 10 Medicus TYVASO Architecture & v.1.4 May 14, 2009 Full Medicus TYVASO Site Design - May 19, 2009 - version 1.4 Page 2 of 10 The Architecture
More informationTutorial: Palm / PDA
professional clinical rotation nursing companion suite tutorial Clinical Rotation Companion Tutorial: Palm / PDA This tutorial will teach you how to utilize every aspect of PEPID Clinical Rotation Companion
More informationFREE PRESCRIPTIONS * * $5 OFF THE STANDARD SUBSIDISED PRESCRIPTION CHARGE
FREE PRESCRIPTIONS * * $5 OFF THE STANDARD SUBSIDISED PRESCRIPTION CHARGE ABOUT US Kia ora! Chemist Warehouse is excited to open its doors in New Zealand and make the very best healthcare available to
More informationPrimary care Plus suite tutorial
Primary Care Plus Suite Tutorial: Online This tutorial will teach you how to utilize every aspect of PEPID Primary Care Plus Suite and is organized by the tool bar at the top of the online application.
More informationMultidophilus 24 $18.96
ALL PRICES VALID THRU OCTOBER 2016 The g d apple - Monthly Messenger 2016 Visit www.thegoodapple.com for all our Products P52615 Super Seed Fiber RETAIL $26.98 SIZE 600 Grams $20.24 Super Seed is a powerful
More information2006 IEHK BASIC UNIT ( 1 complete IEHK = 10 Basic unit)
2006 IEHK BASIC UNIT ( 1 complete IEHK = 10 Basic unit) 1 20 100 tabs. 2 10 1000 tabs. 3 30 1000 caps. 4 10 1 btl. 5 10 1 btl. 6 20 1000 tabs. 7 40 1 cont. 8 20 1000 tabs. 9 40 50 sach. 10 10 1000 tabs.
More informationoncology nursing suite tutorial
This tutorial will teach you how to utilize every aspect of PEPID Oncology Nursing Suite and is organized by the tool bar at the top of the online application. At the end, you will find a quiz, which will
More informationU.S. PHARMACEUTICAL APPLICATION
1 1650 N Indianwood Avenue, Broken Arrow, OK 74012 Phone: 918.250.8101 Fax: 918.250.1281 Email: order@blessing.org www.blessing.org U.S. PHARMACEUTICAL APPLICATION *PLEASE FILL OUT COMPLETELY*A NEW APPLICATION
More informationALL PAGES OF THE ORDER FORM HAVE TO BE FAXED SPECIAL NOTICES
ALL PAGES OF THE ORDER FORM HAVE TO BE FAXED SPECIAL NOTICES Notice: Please check the "ship to" address to make sure it is correct. Incorrect shipping addresses will incur a surcharge of $12 per box in
More informationprofessional oncology nursing suite tutorial
professional Oncology Nursing Suite Tutorial: BlackBerry This tutorial will teach you how to utilize every aspect of PEPID Oncology Nursing Suite and is organized by the main navigation menu which can
More information