UPDATE AZ Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 31, 2013 SUMMARY OF CHANGES

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1 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 Interchangeable Product(s) 7 Manufacturer Requested Discontinued Drug(s) 8 Drug Benefit Price(s) 9 New Manufacturer Name(s) 10 Not-A-Benefit Drug(s) 11 Therapeutic Note Change(s) 12 Trade Name Change(s) 13 New Diabetic Testing Agent(s) 14 Index 15 Page 1

2 New Single Source Drug(s) DIN PRODUCT GENERIC NAME MFR DBP NYDA 50% w/w Top Sol-50mL Pk DIMETHICONE GPB Stelara 90mg/mL Inj Sol-Pref Syr Pk USTEKINUMAB JAN Reason for Use Code 419 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 involvement 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 2

3 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 Stelara 45mg to be administered at weeks 0, 4 and every 12 weeks thereafter. Alternatively, 90mg may be used in patients with a body weight of over 100 kg. In patients weighing over 100 kg, both the 45mg and 90mg doses were shown to be efficacious. However, 90mg was efficacious in a higher percentage of these patients. If the patient has not responded after 12 weeks of treatment, the physician should consider switching to an alternative biologic agent. LU Authorization Period: 1 year Page 3

4 DIN PRODUCT GENERIC NAME MFR DBP Xeomin 50 LD50 Units Pd for Inj-Vial Pk CLOSTRIDIUM BOTULINUM NEUROTOXIN TYPE A MEZ Reason for Use Code 130 Clinical Criteria To reduce the subjective symptoms and objective signs of cervical dystonia (spasmodic torticollis) in adults. LU Authorization Period: 1 Year 412 For the management of focal spasticity, due to stroke or spinal cord injury in adults. LU Authorization Period: 1 Year 421 For the treatment of blepharospasm associated with dystonia, including benign essential blepharospasm or VII nerve disorders in adults. LU Authorization Period: 1 Year Note: Xeomin should be administered personally by a neurologist or a physician with equivalent post-graduate training and experience with neuromuscular disorders. Page 4

5 New Multi-Source Drug(s) DIN BRAND STRENGTH DOSAGE FORM MFR DBP Apo-Quinapril 5mg Tab APX Apo-Quinapril 10mg Tab APX Apo-Quinapril 20mg Tab APX Apo-Quinapril 40mg Tab APX (Interchangeable with Accupril) Apo-Quinapril/HCTZ 10mg & 12.5mg Tab APX Apo-Quinapril/HCTZ 20mg & 12.5mg Tab APX Apo-Quinapril/HCTZ 20mg & 25mg Tab APX (Interchangeable with Accuretic) Apo-Valganciclovir 450mg Tab APX (Interchangeable with Valcyte) Reason for Use Code 374 Clinical Criteria For the treatment of CMV retinitis in patients with AIDS LU Authorization Period: 1 Year Jamp-Losartan HCTZ 50mg & 12.5mg Tab JPC (Interchangeable with Hyzaar) Jamp-Losartan HCTZ 100mg & 25mg Tab JPC (Interchangeable with Hyzaar DS) Sandoz Quetiapine XRT 50mg ER Tab TEV Sandoz Quetiapine XRT 150mg ER Tab TEV Sandoz Quetiapine XRT 200mg ER Tab TEV Sandoz Quetiapine XRT 300mg ER Tab TEV Sandoz Quetiapine XRT 400mg ER Tab TEV (Interchangeable with Seroquel XR) Page 5

6 DIN BRAND STRENGTH DOSAGE FORM MFR DBP Teva-Capecitabine 150mg Tab TEV Teva-Capecitabine 500mg Tab TEV (Interchangeable with Xeloda) Reason for Use Code 346 Clinical Criteria For the first-line treatment of patients with metastatic colorectal cancer in whom combination chemotherapy is not recommended. NOTE: Not to be used in patients who have failed 5-flurouracil. LU Authorization Period: Indefinite. 360 For the treatment of metastatic breast cancer where patients have progressed after prior chemotherapy. LU Authorization Period: Indefinite. 406 For adjuvant treatment of stage 3 or high risk stage 2* colon cancer in patients who have completed surgery (within three months), who would normally be candidates for adjuvant chemotherapy with 5FU/LV. *high risk stage 2 colon cancer is defined as one of the following: - obstruction, - perforation, - poorly differentiated adenocarcinoma, - inadequate lymph node sampling, - T4 tumour. LU Authorization Period: 6 Months. 409 As part of the CAPOX regimen for the first-line and second-line treatment of metastatic colorectal cancer. LU Authorization Period: Indefinite. 426 In combination with trastuzumab and cisplatin for the treatment of patients with HER2-positive metastatic adenocarcinoma of the stomach or gastro-esophageal junction who have not received prior anti-cancer treatment for their metastatic disease. LU Authorization Period: Indefinite. 427 For the neo-adjuvant treatment of rectal cancer. LU Authorization Period: Indefinite. Page 6

7 Off Formulary Interchangeable Product(s) DIN BRAND STRENGTH DOSAGE FORM MFR UNIT COST Apo-Lorazepam Sublingual 0.5mg SLTab APX Apo-Lorazepam Sublingual 1mg SLTab APX Apo-Lorazepam Sublingual 2mg SLTab APX (Interchangeable with Ativan Sublingual Tab) 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 Novo-Ferrogluc 300mg Tab NOP PMS-Ciprofloxacin 0.3% Oph Sol-5mL Pk PMS PMS-Fluvoxamine 50mg Tab PMS PMS-Fluvoxamine 100mg Tab PMS PMS-Oxtriphylline 20mg/mL O/L PMS Page 8

9 Drug Benefit Price(s) DIN BRAND STRENGTH DOSAGE FORM MFR DBP Apo-Ferrous Gluconate 300mg Tab APX Cubicin 500mg/10mL Pd for Inj -10mL Vial Pk SUO Dipentum 250mg Cap UCB Metrogel 1% Top Gel GAC Novo-Profen 200mg Tab NOP Thyrogen 0.9mg/mL Inj Pd-2x1.1mg Vial Pk GZM Vimpat 50mg Tab UCB Vimpat 100mg Tab UCB Vimpat 150mg Tab UCB Vimpat 200mg Tab UCB Page 9

10 New Manufacturer Name(s) DIN BRAND STRENGTH DOSAGE FORM MFR Apo-Pentoxifylline 400mg SR Tab AAP Page 10

11 Not-A-Benefit Drug(s) DIN BRAND STRENGTH DOSAGE FORM MFR Zamine mg & 0.03mg Tab-21 Pk APX (Interchangeable with Yasmin 21) Zamine mg & 0.03mg Tab-28 Pk APX (Interchangeable with Yasmin 28) Page 11

12 Therapeutic Note Change(s) DIN BRAND STRENGTH DOSAGE FORM MFR Isentress 400mg Tab MFC For use in combination with an optimized regimen, for the treatment of HIV-1 infection in treatment-experienced adult patients who cannot achieve complete viral suppression on multiple prior anti-retroviral regimens AND who have one of the following:. HIV-1 strains with documented resistance to at least one drug in each of the major classes of anti-retrovirals: protease inhibitors (Pls), non-nucleoside reverse transcriptase inhibitors (NNRTIs) and nucleoside reverse transcriptase inhibitors (NRTIs); OR. serious class-effect intolerance to Pls, NNRTIs and/or NRTIs precluding treatment with that antiretroviral class As part of a HIV treatment regimen for treatment-naive adult patients. Note: For the treatment of HIV/AIDS, the prescriber must be approved for the Facilitated Access mechanism. Page 12

13 Trade Name Change(s) DIN BRAND STRENGTH DOSAGE FORM MFR Pentoxifylline SR 400mg SR Tab APX Page 13

14 New Diabetic Testing Agent(s) PIN PRODUCT MFR COST/ UNIT AMT MOH PAYS AMT PATIENT PAYS MyGlucoHealth Test Strips EHS Page 14

15 CONSOLIDATED INDEX PRODUCT, STRENGTH & DOSAGE FORM DIN MFR UPDATE PAGE 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 BQU AH BQU AT 12 Abilify 5mg Tab BQU AB BQU AH BQU AT 12 Abilify 10mg Tab BQU AB BQU AH BQU AT 12 Abilify 15mg Tab BQU AB BQU AH BQU AT 12 Abilify 20mg Tab BQU AB BQU AH BQU AT 12 Abilify 30mg Tab BQU AB BQU AH BQU AT 12 Accel Citalopram Tablets 20mg Tab ACC AP 2 Accel Citalopram Tablets 40mg Tab ACC AP 2 Accel Clarithromycin 125mg/5mL Ped Gran ACC AP 2 Accel Clarithromycin 250mg/5mL Susp ACC AP 2 Accel Pioglitazone 15mg Tab ACC L 16 Accel Pioglitazone 30mg Tab ACC L 16 Accel Pioglitazone 45mg Tab ACC L 16 Accu-Chek Mobile Blood Glucose Strip ROD AW 16 Accupril 5mg Tab PFI Q PFI Y PFI AG PFI AP 10 Accupril 10mg Tab PFI Q PFI Y PFI AG PFI AP 10 Accupril 20mg Tab PFI Q PFI Y PFI AG PFI AP 10 Accupril 40mg Tab PFI Q 14 Page 15

16 PFI Y PFI AG PFI AP 10 Accuretic 10mg & 12.5mg Tab PFI Q PFI Y PFI AG PFI AP 10 Accuretic 20mg & 12.5mg Tab PFI Q PFI Y PFI AG PFI AP 10 Accuretic 20mg & 25mg Tab PFI H PFI Q PFI Y 7 ACEBUTOLOL Z 4 Acebutolol 100mg Tab SAI Z SAI AD 18 Acebutolol 200mg Tab SAI Z SAI AD 18 Acebutolol 400mg Tab SAI Z SAI AD 18 ACETAMINOPHEN AE 6 Acetaminophen Tab 325mg DPC AF DPC AH 12 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 ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & E 8 Aclasta 5mg/100mL Inj Sol-100mL Pk NOV C NOV H NOV AK 17 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 WAR AC WAR AG WAR AV 7 Actonel 30mg Tab PGP A WAR AC WAR AG WAR AV 7 Actonel 35mg Tab PGP A PGP R PGP W WAR AC 12 Actonel 150mg Tab PGP J PGP W WAR Y 9 Page 16

17 WAR AV 7 Actonel DR 35mg DR Tab WAR AE WAR AN 6 Actos 15mg Tab TAK L TAK X TAK AG TAK AT 12 Actos 30mg Tab TAK L TAK X TAK AG TAK AT 12 Actos 45mg Tab TAK L TAK X TAK AG TAK AT 12 Acular 0.5% Oph Sol ALL AP 10 Acuvail 0.45% Oph Sol-0.4mL Vial Pk ALL AT 2 ACYCLOVIR Z 5 Z 20 Acyclovir 200mg Tab SAI Z SAI AD 18 Acyclovir 400mg Tab SAI Z SAI AD 18 Acyclovir 800mg Tab SAI Z SAI AB SAI AD 18 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 BAY AD 21 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 Adcirca 20mg Tab LIL AT 12 Adderall XR 5mg ER Cap SHI H SHI Q SHI X SHI AD SHI AP 10 Adderall XR 10mg ER Cap SHI H SHI Q SHI X SHI AD SHI AP 10 Adderall XR 15mg ER Cap SHI H SHI Q SHI X SHI AD SHI AP 10 Adderall XR 20mg ER Cap SHI H 2 Page 17

18 SHI Q SHI X SHI AD SHI AP 10 Adderall XR 25mg ER Cap SHI H SHI Q SHI X SHI AD SHI AP 10 Adderall XR 30mg ER Cap SHI H SHI Q SHI X SHI AD SHI AP 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 GSK AT 12 Advair /250mcg/Metered Dose Inh-120 Dose Pk GSK H GSK AT 12 Advair Diskus 50/100mcg Inh-60 Dose Pk GSK H GSK AT 12 Advair Diskus 50/250mcg Inh-60 Dose Pk GSK H GSK AT 12 Advair Diskus 50/500mcg Inh-60 Dose Pk GSK H GSK AT 12 Afinitor 5mg Tab NOV AT 12 Afinitor 10mg Tab NOV AT 12 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 Aggrenox 200mg/25mg Cap BOE AJ 9 Airomir HFA 100mcg/Metered Dose Inh-200 dose Pk GRA U MMH U GRA AL 10 AJ-Pip/Taz 2g & 250mg Inj Pd-Vial Pk AJC AO 10 AJ-Pip/Taz 3g & 375mg Inj Pd-Vial Pk AJC AO 10 AJ-Pip/Taz 4g & 500mg Inj Pd-Vial Pk AJC AO 10 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 7 Page 18

19 PFI Q 14 Aldactone 100mg Tab PFI H PFI Q 14 ALENDRONATE N 2 Z 6 AI 2 AJ AK 9 AL 3 AR 2 Alendronate 70mg Tab SAI Z SAI AD 18 Alendronate-FC 70mg Tab PHE V 15 ALENDRONATE & CHOLECALCIFEROL J 2 Alendronate Sodium Tablets 5mg Tab ACH AK 9 Alendronate Sodium Tablets 10mg Tab ACH AI 2 Alendronate Sodium Tablets 70mg Tab ACH AI 2 Alesse 20mcg & 100mcg Tab-21 Pk WAY H WAY Y WAY AG WAY AP PFI AP 15 Alesse 21 20mcg & 100mcg Tab-21 Pk WAY AP 19 Alesse 20mcg & 100mcg Tab-28 Pk WAY H WAY Y WAY AG WAY AP PFI AP 15 Alesse 28 20mcg & 100mcg Tab-28 Pk WAY AP 19 ALFUZOSIN HYDROCHLORIDE C 3 X 5 ALISKIREN D 3 ALITRETINOIN AT 4 Alkeran 2mg Tab GSK H TRT AE TRT AG 10 Allerdryl 25mg Cap VAL M 14 Allerdryl 50mg Cap VAL N 9 ALLOPURINOL AQ 3 ALMOTRIPTAN AY 8 Alomide 0.1% Oph Sol ALC X ALC AG ALC AT 12 Alphagan 0.2% Oph Sol ALL AP 10 Alphagan P 0.15% Oph Sol ALL AP 10 ALPRAZOLAM AB 5 AU 3 Alprazolam 0.25mg Tab SAI AB SAI AD 18 Alprazolam 0.5mg Tab SAI AB SAI AD 18 Altace Cap 1.25mg SAV H SAV AG SAV AT 12 Page 19

20 Altace Cap 2.5mg SAV H SAV AG SAV AT 12 Altace Cap 5mg SAV H SAV AG SAV AT 12 Altace Cap 10mg SAV H SAV AG SAV AT 12 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 SAV AG 10 Altace HCT 10mg & 25mg Tab SAV H SAV R SAV X SAV AG 10 Alvesco 100mcg/Actuation Inh-120 Dose Pk NYC H NYC Q NYC R NYC X NYC AG NYC AT 12 Alvesco 200mcg/Actuation Inh-120 Dose Pk NYC H NYC Q NYC R NYC X NYC AG NYC AT 12 Alysena 21 20mcg & 100mcg Tab-21Pk APX AN 2 Alysena 28 20mcg & 100mcg Tab-28Pk APX AN 2 Amatine 2.5mg Tab SHI Q SHI U SHI AE 16 Amatine 5mg Tab SHI Q SHI U SHI AE 16 Amiodarone 200mg Tab SAI AB SAI AD 18 AMIODARONE HCL R 5 AB 5 AMLODIPINE L 3 O 2 Q 5 S1 5 W 8 Page 20

21 Z 6 AD 7 AE 6 AI 2 AT 6 Amlodipine 5mg Tab SAI Z SAI AD 18 Amlodipine 10mg Tab SAI Z SAI AD 18 Amlodipine-Odan 5mg Tab ODN AI ODN AS 2 Amlodipine-Odan 10mg Tab ODN AI ODN AS 2 Amlodipine Tablets 5mg Tab RAN O RAN S RAN AS 2 Amlodipine Tablets 10mg Tab RAN O RAN S RAN AS 2 AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM AB 6 AY 6 AMOXICILLIN C 9 AB 7 AO 4 Amoxicillin 250mg Chewable Tab SAI AB 7 Amoxicillin 250mg Chew Tab SAI AD 18 Amytal Sodium 60mg Cap LIL M LIL U 12 Amytal Sodium 200mg Cap LIL M LIL U 12 Anandron 50mg Tab SAV X SAV AG SAV AT 12 ANASTROZOLE AL 7 AO 3 AP 3 Anastrozole 1mg Tab ACH AO 3 Androderm 12.2mg Transdermal Patch PAL Q PAL X PAL AG WAT AM WAT AU 7 Androgel 1% 2.5g Foil Packet SPH A SPH AE SPH AR 6 Androgel 1% 5.0g Foil Packet SPH AE SPH AR 6 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 Page 21

22 Anusol 0.5% Oint PFI M PFI U PFI W 16 Anzemet 50mg Tab SAV H 7 Anzemet 100mg Tab SAV H SAV AG SAV AT 12 Apidra 100U/mL Inj Sol-5x3mL Pk SAV K 2 Apidra 100U/mL Inj Sol-5x3mL SoloSTAR Pref Pen SAV W SAV X SAV AG SAV AT 12 Apidra 100U/mL Inj Sol-10mL Vial SAV K SAV X SAV AG SAV AT 12 Apidra 100U/mL Inj 5x3mL-Cart ClickStar Pen SAV R SAV AG SAV AT 12 APIXABAN AX 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-Acetaminophen Caplets 325mg Caplet APX AE 6 Apo-Acetaminophen Caplets 500mg Capelt APX AE 6 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 APX AQ 7 Apo-Allopurinol 100mg Tab AAP AG APX AW 14 Apo-Allopurinol 200mg Tab AAP AG APX AW 14 Apo-Allopurinol 300mg Tab AAP AG APX AW 14 Apo-Almotriptan 6.25mg Tab APX AY 8 Apo-Almotriptan 12.5mg Tab APX AY 8 Apo-Alpraz 0.25mg Tab APX S 2 Apo-Alpraz 0.5mg Tab APX S 2 Apo-Amiloride 5mg Tab APX H AAP AK 15 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 Page 22

23 Apo-Amitriptyline 50mg Tab APX R AAP Y 9 Apo-Amlodipine 5mg Tab APX L APX S APX AS 2 Apo-Amlodipine 10mg Tab APX L APX S APX AS 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 50mg & 12.5mg/mL O/L APX AT 12 Apo-Amoxi Clav 250mg & 125mg Tab APX R 14 Apo-Amoxi Clav 875mg & 125mg Tab APX S 2 Apo-Anastrozel 1mg Tab APX AO 3 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 R APX AS 3 Apo-Atorvastatin 20mg Tab APX R APX AS 3 Apo-Atorvastatin 40mg Tab APX R APX AS 3 Apo-Atorvastatin 80mg Tab APX R APX AS 3 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-Benztropine 2mg Tab PMS AN 7 Apo-Benzydamine 0.15% Oral Rinse APX AK APX AV 10 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 APX C APX M 15 Page 23

24 Apo-Bromazepam 1.5mg Tab APX AU 7 Apo-Bromazepam 3mg Tab APX S 2 Apo-Bromazepam 6mg Tab APX S 2 Apo-Bromocriptine 2.5mg Tab APX AG AAP AU 9 Apo-Bromocriptine 5mg Cap APX AG AAP AU 9 Apo-C 100mg Tab APX X 25 Apo-C 250mg Tab APX X 25 Apo-C 1000mg Tab APX X 25 Apo-Cal 250 Eq to 250mg Elemental Calcium Tab APX AC 14 Apo-Cal 500 Eq to 500mg Elemental Calcium Tab APX AC 14 Apo-Calcitonin Nasal Spray 200IU Metered Dose Nas Sp-2x APX X APX AY 13 Apo-Candesartan 4mg Tab APX Z 6 Apo-Candesartan 8mg Tab APX Z 6 Apo-Candesartan 16mg Tab APX Z 6 Apo-Candesartan 32mg Tab APX AQ 3 Apo-Candesartan/HCTZ 16mg & 12.5mg Tab APX AN 2 Apo-Candesartan/HCTZ 32mg & 12.5mg Tab APX AQ 3 Apo-Candesartan/HCTZ 32mg & 25mg Tab APX AQ 3 Apo-Carbamazepine 200mg Tab APX Z APX AK APX AV 10 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 APX AE 18 Apo-Cefaclor 500mg Cap APX V APX AE 18 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 19 Page 24

25 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 AAP AR 8 Apo-Chlordiazepoxide 10mg Cap APX H AAP AR 8 Apo-Chlordiazepoxide 25mg Cap APX H AAP AR 8 Apo-Chlorthalidone 50mg Tab APX H 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-Clonidine 0.025mg Tab APX AK APX AV 11 Apo-Clonidine 0.1mg Tab APX AK APX AV 10 Apo-Clonidine 0.2mg Tab APX AK APX AV 10 Apo-Clopidogrel 75mg Tab APX AD APX AR 10 Apo-Clopidogrel 300mg Tab APX AV 5 Apo-Clorazepate 3.75mg Cap APX R AAP AX 12 Apo-Clorazepate 7.5mg Cap APX R AAP AX 12 Apo-Clorazepate 15mg Cap APX R AAP AX 12 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 Page 25

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 AAP AW 13 Apo-Desipramine 50mg Tab APX Z AAP AW 13 Apo-Desipramine 75mg Tab APX Z AAP AW 13 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 Apo-Diflunisal 250mg Tab APX Z APX AY 11 Apo-Diflunisal 500mg Tab APX H APX AY 9 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 3 Page 26

27 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-Dorzo-Timop 2% & 0.5% Oph Sol APX AC 5 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-Eletriptan 20mg Tab APX AU 5 Apo-Eletriptan 40mg Tab APX AU 5 Apo-Enalapril 2.5mg Tab APX E 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-Entacapone 200mg Tab APX AH 3 Apo-Entecavir 0.5mg Tab APX AP 6 Apo-Erythro 250mg Tab APX H AAP AK 15 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-Fentanyl Matrix 25mcg/hr Trans Patch APX AY 4 Apo-Fentanyl Matrix 50mcg/hr Trans Patch APX AY 4 Apo-Fentanyl Matrix 75mcg/hr Trans Patch APX AY 4 Apo-Fentanyl Matrix 100mcg/hr Trans Patch APX AY 4 Page 27

28 Apo-FerrousGluconate 300mg Tab APX AZ 9 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 APX AU 7 Apo-Fluoxetine 20mg Cap APX S 3 Apo-Fluphenazine 1mg Tab APX H 8 Apo-Fluphenazine 2mg Tab APX H 8 Apo-Flurazepam 30mg Cap APX AG 10 Apo-Flurazepam 100mg Tab APX AG 10 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-Furosemide 40mg Tab APX AT 12 Apo-Gabapentin 100mg Cap APX S APX U 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 80mg Tab APX S 3 Apo-Gliclazide MR 30mg SR Tab APX A APX C AAP AG 21 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 0.5mg Tab APX AT 12 Apo-Haloperidol 1mg Tab APX AT 12 Apo-Haloperidol 2mg Tab APX AT APX AT 12 Apo-Haloperidol 5mg Tab APX AT APX AT 12 Apo-Haloperidol 10mg Tab APX Z APX AT 12 Page 28

29 Apo-Hydralazine 10mg Tab APX Z AAP AU 9 Apo-Hydralazine 25mg Tab APX R AAP AU 9 Apo-Hydralazine 50mg Tab APX Z AAP AU 9 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-Hydromorphone 1mg Tab APX AI 2 Apo-Hydromorphone 2mg Tab APX AI 2 Apo-Hydromorphone 4mg Tab APX AI 2 Apo-Hydromorphone 8mg Tab APX AI 29 Apo-Hydroxyurea 500mg Cap APX AJ APX AV 10 Apo-Ibuprofen 200mg Tab APX Z APX AU 7 Apo-Ibuprofen 300mg Tab APX Z 24 Apo-Ibuprofen 400mg Tab APX Z 24 Apo-Ibuprofen 600mg Tab APX Z 24 Apo-Imatinib 100mg Tab APX AU 2 Apo-Imatinib 400mg Tab APX AU 2 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-Indomethacin 25mg Cap APX AK APX AV 10 Apo-Indomethacin 50mg Cap APX AK APX AV 10 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-Irbesartan 75mg Tab APX AK 2 Apo-Irbesartan 150mg Tab APX AK 2 Apo-Irbesartan 300mg Tab APX AK 2 Apo-Irbesartan/HCTZ 150mg & 12.5mg Tab APX AR 2 Apo-Irbesartan/HCTZ 300mg & 12.5mg Tab APX AR 2 Apo-Irbesartan/HCTZ 300mg & 25mg Tab APX AR 2 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 AAP AH 11 Apo-Keto-E 50mg Ent Tab APX J AAP AH 11 Page 29

30 Apo-Keto-E 100mg Ent Tab APX H AAP AI 9 Apo-Keto SR 200mg LA Tab APX H AAP AG 21 Apo-Ketorolac 0.5% Oph Sol APX AY 11 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-Lactulose Solution 667mg/mL O/L APX AL 18 Apo-Lamivudine 150mg Tab APX AJ 5 Apo-Lamivudine 300mg Tab APX AJ 5 Apo-Lamivudine HBV 100mg Tab APX AN 5 Apo-Lamivudine-Zidovudine 150mg & 300mg Tab APX AJ 5 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-Latanoprost 0.005% Oph Sol-2.5mL Pk APX AC 5 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 AAP AG 21 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 Page 30

31 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-Lorazepam Sublingual 0.5mg SLTab APX AZ 7 Apo-Lorazepam Sublingual 1mg SLTab APX AZ 7 Apo-Lorazepam Sublingual 2mg SLTab APX AZ 7 Apo-Losartan 25mg Tab APX AF 2 Apo-Losartan 50mg Tab APX AF 2 Apo-Losartan 100mg Tab APX AF 2 Apo-Losartan/HCTZ 50mg & 12.5mg Tab APX AF 2 Apo-Losartan/HCTZ 100mg & 12.5mg Tab APX AF 2 Apo-Losartan/HCTZ 100mg & 25mg Tab APX AF 2 Apo-Lovastatin 20mg Tab APX S 4 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 APX AG 10 Apo-Mefenamic 250mg Cap APX R AAP AG 21 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-Memantine 10mg Tab APX AC 10 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 AAP AU 9 Apo-Methoprazine 5mg Tab APX AC AAP AU 9 Apo-Methoprazine 25mg Tab APX AC AAP AU 9 Apo-Methoprazine 50mg Tab APX AC AAP AU 9 Apo-Methyldopa 125mg Tab APX H AAP X 21 Apo-Methyldopa 250mg Tab APX H AAP X 21 Page 31

32 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-Metoclop 5mg Tab APX AK APX AV 10 Apo-Metoclop 10mg Tab APX AK APX AV 10 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 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-Modafinil 100mg Tab AAP AL 11 Apo-Montelukast 4mg Chew Tab APX AE 6 Apo-Montelukast 5mg Chew Tab APX AE 10 Apo-Montelukast 10mg Tab APX AD 16 Apo-Mycophenolate 250mg Cap APX AD 4 Apo-Mycophenolate 500mg Tab APX AD 4 Apo-Nadol 40mg Tab APX AY 11 Apo-Nadol 80mg Tab APX AY 11 Apo-Nadol 160mg Tab APX AC 11 Apo-Naproxen 125mg Tab APX H 8 Apo-Naproxen 500mg Tab APX Z 24 Apo-Naproxen SR 750mg SR Tab APX H APX Y APX AJ 12 Apo-Naratriptan 1mg Tab APX AV 5 Apo-Naratriptan 2.5mg Tab APX AV 5 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 Page 32

33 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-Nitroglycerin 0.4mg/Metered Dose Spray-200 Dose PK APX AY 4 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 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-Olopatadine 0.1% Oph Sol APX AP 6 Apo-Omeprazole 20mg Cap APX S APX AS 4 Apo-Omeprazole 20mg Cap APX S APX AS 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-Oxcarbazepine 300mg Tab APX AK 14 Apo-Oxcarbazepine 600mg Tab APX AK 14 Apo-Oxybutynin 5mg Tab APX S 4 Apo-Oxycodone/Acet 5mg & 325mg Tab APX L 3 Page 33

34 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 APX AY 9 Apo-Pen V-K 300mg Tab APX V APX AU 7 Apo-Pentoxifylline 400mg SR Tab APX Z AAP AZ 10 Apo-Perindopril 8mg Tab APX S APX AF 10 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-Pimozide 2mg Tab APX AC 11 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 APX AF APX AU 7 Apo-Pregabalin 25mg Cap APX AT APX AW 12 Apo-Pregabalin 50mg Cap APX AT APX AW 12 Apo-Pregabalin 75mg Cap APX AT APX AW 12 Apo-Pregabalin 150mg Cap APX AT APX AW 12 Apo-Pregabalin 225mg Cap APX AT 9 Apo-Pregabalin 300mg Cap APX AT APX AW 12 Apo-Primidone 125mg Tab APX H AAP X 22 Apo-Primidone 250mg Tab APX H AAP X 22 Apo-Prochlorazine 5mg Tab APX AC 11 Apo-Prochlorazine 10mg Tab APX AC 11 Apo-Propafenone 150mg Tab APX S 5 Apo-Propafenone 300mg Tab APX S 5 Page 34

35 Apo-Propranolol 10mg Tab APX S APX AT 11 Apo-Propranolol 20mg Tab APX X 10 Apo-Propranolol 40mg Tab APX S APX AT 11 Apo-Propranolol 80mg Tab APX S APX AT 11 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-Quinapril 5mg Tab APX AZ 5 Apo-Quinapril 10mg Tab APX AZ 5 Apo-Quinapril 20mg Tab APX AZ 5 Apo-Quinapril 40mg Tab APX AZ 5 Apo-Quinapril/HCTZ 10mg & 12.5mg Tab APX AZ 5 Apo-Quinapril/HCTZ 20mg & 12.5mg Tab APX AZ 5 Apo-Quinapril/HCTZ 20mg & 25mg Tab APX AZ 5 Apo-Rabeprazole 10mg Tab APX R APX S APX AS 4 Apo-Rabeprazole 20mg Tab APX R APX S APX AS 4 Apo-Raloxifene 60mg Tab APX I APX M 10 Apo-Ramipril 1.25mg Cap APX S 5 Apo-Ramipril Cap 1.25mg APX AS 5 Apo-Ramipril 2.5mg Cap APX S 5 Apo-Ramipril Cap 2.5mg APX AS 5 Apo-Ramipril 5mg Cap APX S 5 Apo-Ramipril Cap 5mg APX AS 5 Apo-Ramipril 10mg Cap APX S 5 Apo-Ramipril Cap 10mg APX AS 5 Apo-Ramipril 15mg Cap APX J 10 Apo-Ranitidine 15mg/mL Oral Sol APX AT 12 Apo-Ranitidine 150mg Tab APX S APX X 10 Apo-Ranitidine 300mg Tab APX S APX X 10 Apo-Repaglinide 0.5mg Tab APX AE 10 Apo-Repaglinide 1mg Tab APX AE 10 Apo-Repaglinide 2mg Tab APX AE 10 Apo-Riluzole 50mg Tab APX AN 5 Apo-Risedronate 35mg Tab APX U 3 Apo-Risedronate 150mg Tab APX AI 2 Apo-Risperidone 1mg/mL O/L APX X 10 Page 35

36 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 Apo-Rizatriptian 5mg Tab APX AO 10 Apo-Rizatriptian 10mg Tab APX AO 10 Apo-Rizatriptan RPD 5mg Orally Disintegrating Tab APX AV 5 Apo-Rizatriptan RPD 10mg Orally Disintegrating Tab APX AV 5 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-Rosuvastatin 5mg Tab APX AH 3 Apo-Rosuvastatin 10mg Tab APX AH 3 Apo-Rosuvastatin 20mg Tab APX AH 3 Apo-Rosuvastatin 40mg Tab APX AH 3 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 APX V 8 Apo-Salvent Ipravent Sterules 500mcg/2.5mg/2.5mL Inh Sol 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-Sildenafil 25mg Tab APX AP 6 Apo-Sildenafil 50mg Tab APX AP 6 Apo-Sildenafil 100mg Tab APX AP 6 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 Page 36

37 Apo-Sulfinpyrazone 200mg Tab APX H AAP X 22 Apo-Tamsulosin CR Tab 0.4mg APX AC APX AO 20 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-Tiaprofenic 200mg Tab APX AT 11 Apo-Tiaprofenic 300mg Tab APX AT 11 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 APX AY 11 Apo-Topiramate 25mg Tab APX S APX AB 11 Apo-Topiramate 100mg Tab APX S APX AB 11 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 AAP AX 12 Apo-Triazo 0.25mg Tab APX Z AAP AX 12 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 AAP AC 12 Apo-Trimip 12.5mg Tab APX H 9 Page 37

UPDATE 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 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

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