PEI PROVINCIAL INTERCHANGEABLE DRUG LIST

Transcription

1 PEI PROVINCIAL INTERCHANGEABLE DRUG LIST QUARTERLY UPDATE JULY 15, 2018

2 PROVINCIAL INTERCHANGEABLE DRUG LIST INTRODUCTION The Provincial Interchangeable Drug List (PIDL) is a listing of interchangeable pharmaceutical products. It is not a benefit formulary and has no relationship to the PEI Pharmacare MRP (Interchangeable/Maximum Reimbursable Price) list or the PEI Pharmacare Formulary. The PIDL identifies groups (interchangeable categories) of commonly used drugs which have therapeutic equivalence, and are listed by ATC code. Drugs which are typically considered hospital use only drugs are not included on this list. An interchangeable pharmaceutical product is defined as one which contains identical amounts of the same active ingredient(s) in a similar dosage form; interchangeable products do not necessarily contain the same non-medicinal ingredients. Submission Process The process for adding medications to the Provincial Interchangeable Drug List (PIDL) became effect July 1, All submissions for the addition of products to the Provincial Interchangeable Drug List (PIDL) must be made electronically by only. Fax, paper, or CD (compact disk) submissions will not be accepted. All documents must be in an Adobe Acrobat PDF format. Pre-Notice of Compliance (NOC) submissions will not be accepted. Submissions will be reviewed and the Provincial Interchangeable Drug List (PIDL) updated quarterly. The complete submission must be received at least 30 days in advance. Submissions must be sent to: PEI Pharmacare( PIDL Submissions) Health PEI P.O. Box 2000, 20 Fitzroy St. Charlottetown, PE C1A 7N8 pharmservices@ihis.org The subject of all submissions must be PIDL Submission. submissions must not exceed 5 megabytes in size. Submissions may be sent as compressed zip files. An confirmation will be sent to manufacturers to notify them that submissions are considered to be complete. Questions regarding the submission will also be sent to manufacturers by . Submissions will be reviewed by drug program staff. PEI Pharmacare will not be responsible for any errors or omissions in submissions noted by manufacturers.

3 Submission Requirements The following information must be contained in the submission and should be compiled in the following order: 1. Cover Letter or Executive Summary. 2. The name, phone number, and address of a person that may be contacted regarding the submission. 3. Copy of the Notice of Compliance (NOC) issued by Health Canada or, for drug products without a Notice of Compliance, the Drug Notification Form. 4. At least one of the following types of evidence that each dosage form and strength of the submitted product is interchangeable with the same dosage forms and strengths of the original product: a. The dosage form, strength, formula, manufacturing process, and testing standards of the submitted drug product are identical to those of the original drug product to which it is compared (i.e. the new product is an ultra-generic of the original drug product). OR b. The drug product is designated by Health Canada as being equivalent to the original product the drug product is being compared with, through designation of the original drug product as the Canadian Reference Product under the Food and Drug Regulations (Canada). OR c. If; The drug product that Health Canada identifies in the Notice of Compliance as the Canadian Reference Product is not listed as interchangeable in the PEI Pharmacare Formulary. OR The drug product has a Health Canada designated DIN however no Notice of Compliance has been issued by Health Canada (neither the brand nor the generic have a Notice of Compliance). OR The generic product has a Health Canada designated Notice of Compliance of the New Drug Submission (NDS) type. This Notice of Compliance submission type does not explicitly state any reference, Canadian or otherwise. OR The generic product has a non- Canadian Reference Product. OR Line extensions. Then; The drug product being submitted for interchangeability must be listed as interchangeable in three or more Canadian jurisdictions and at least one of those jurisdictions must be an Atlantic province. 5. Copy of the Health Canada approved Product Monograph. 6. A signed letter authorizing unrestricted communication regarding the drug product between PEI Pharmacare and a. Other federal, provincial, and territorial (F/P/T) drug programs b. F/P/T health authorities and related facilities c. Health Canada

4 d. Patented Medicine Prices Review Board (PMPRB) e. Canadian Agency for Drugs and Technologies in Health (CADTH)

5 Determination of Interchangeability Products may be designated as being interchangeable if: 1. The new product contains the same amounts of the same active ingredients in a similar dosage form as the listed products. AND 2. The manufacturer provides the following evidence of interchangeability with the listed products: a. The dosage form, strength, formula, manufacturing process, and testing standards of the submitted drug product are identical to those of the original drug product to which it is compared (i.e. the new product is an ultra-generic of the original drug product). OR b. The drug product is designated by Health Canada as being equivalent to the original product the drug product is being compared with, through designation of the original drug product as the Canadian Reference Product the Food and Drug Regulations (Canada). OR c. If; The drug product that Health Canada identifies in the Notice of Compliance as the Canadian Reference Product is not listed as interchangeable in the PEI Pharmacare Formulary. OR The drug product has a Health Canada designated DIN however no Notice of Compliance has been issued by Health Canada (neither the brand nor the generic have a Notice of Compliance). OR The generic product has a Health Canada designated Notice of Compliance of the New Drug Submission (NDS) type. This Notice of Compliance submission type does not explicitly state any reference, Canadian or otherwise. OR The generic product has a non- Canadian Reference Product. OR Line extensions. Then; The drug product being submitted for interchangeability must be listed as interchangeable in three or more Canadian jurisdictions and at least one of those jurisdictions must be an Atlantic province. PEI Pharmacare may refuse to designate a product as being interchangeable, although it meets the above conditions, if drug program staff considers it advisable in the public interest to do so.

6 The ATC Classification System All medications are classified according to the Anatomical Therapeutic Chemical (ATC) Classification System which is used by the World Health Organization for pharmacoepidemiological purposes and by the Patented Medicine Prices Review Board for pricing purposes. The ATC Classification System groups chemically similar products according to their site of action and facilitates the comparison of new medicines with previously available medicines. There are fourteen main groups in the ATC system: A B C D G H J L M N P R S V Alimentary tract and metabolism Blood and blood forming organs Cardiovascular system Dermatologicals Genito-urinary system and sex hormones Systemic hormonal preparations, excluding sex hormones General antiinfectives, systemic Antineoplastic and immunomodulating agents Musculo-skeletal system Nervous system Antiparasitic products, insecticides and repellents Respiratory system Sensory organs Various Each group is subdivided into anatomical, therapeutic and chemical subgroups as shown in the Legend. A drug may be given more than one ATC code. If it is available in two or more strengths or formulations with clearly different therapeutic uses, the drug would appear in various categories depending on its different forms. If a drug has more than one clinical indication, the main indication is chosen for the listing of the various brands and strengths of this drug.

7 Legend 1 3 A04 A04A A04AA ANTIEMETICS AND ANTINAUSEANTS ANTIEMETICS AND ANTINAUSEANTS SEROTONIN (5 HT3) ANTAGONISTS 2 4 A04AA01 ONDANSETRON 5 ondansetron 4mg/5ml o/l Apo-Ondansetron 4mg/5ml o/l AAA 7 Zofran 4mg/5ml o/l GSK 8 ondansetron 4mg tab Mar-Ondansetron 4mg tab MAR Novo-Ondansetron 4mg tab NOP RAN-Ondansetron 4mg tab RAN Sandoz Ondansetron 4mg tab SDZ Jamp-Ondansetron 4mg tab JPC ratio-ondansetron 4mg tab RPH pms-ondansetron 4mg tab PMS Zofran 4mg tab GSK MYLAN-Ondansetron 4mg tab MYL phl-ondansetron 4mg tab PHL CO Ondansetron 4mg tab COB Apo-Ondansetron 4mg tab APX Ondansetron-Odan 4mg tab ODN MINT- Ondansetron 4mg tab MNT 1. Therapeutic Main Group 2. Therapeutic Subgroup 3. Chemical/Therapeutic Subgroup 4. Subgroup for Chemical Substance 5. Interchangeable Product Heading 6. Drug Identification Number (DIN) 7. Abbreviation of Manufacturer (see Appendix I) 8. Interchangeable Product Category

8 Additions to the Quarterly Provincial Interchangeable Drug List (PIDL) July 2018 ACT-DEXTROAMPHETAMINE SR 15MG CAPSULE ACT-METHYLPHENIDATE ER 18MG TABLET ACT-METHYLPHENIDATE ER 27MG TABLET ACT-METHYLPHENIDATE ER 36MG TABLET ACT-METHYLPHENIDATE ER 54MG TABLET ALMOTRIPTAN 12.5MG TABLET APO-ARIPIPRAZOLE 2MG TABLET APO-ARIPIPRAZOLE 5MG TABLET APO-ARIPIPRAZOLE 10MG TABLET APO-ARIPIPRAZOLE 15MG TABLET APO-ARIPIPRAZOLE 20MG TABLET APO-ARIPIPRAZOLE 30MG TABLET APO-METFORMIN ER 500MG TABLET APO-QUETIAPINE XR 50MG TABLET APO-QUETIAPINE XR 150MG TABLET APO-QUETIAPINE XR 200MG TABLET APO-QUETIAPINE XR 300MG TABLET APO-QUETIAPINE XR 400MG TABLET APO-VARENICLINE 0.5MG TABLET APO-VARENICLINE 1MG TABLET APO-VARENICLINE 0.5MG/1MG TABLET DOSE PACK AURO-METRONIDAZOLE 500MG CAPSULE AURO-PRAVASTATIN 10MG TABLET AURO-PRAVASTATIN 20MG TABLET AURO-PRAVASTATIN 40MG TABLET AURO-ZIPRASIDONE 20MG TABLET AURO-ZIPRASIDONE 40MG TABLET AURO-ZIPRASIDONE 60MG TABLET AURO-ZIPRASIDONE 80MG TABLET DONEPEZIL 5MG TABLET DONEPEZIL 10MG TABLET JAMP-ENTECAVIR 0.5MG TABLET JAMP-RISPERIDONE 1MG/ML ORAL SOLUTION JAMP-RIZATRIPTAN ODT 5MG TABLET JAMP-RIZATRIPTAN ODT 10MG TABLET MINT-ESCITALOPRAM 10MG TABLET MINT-ESCITALOPRAM 20MG TABLET

9 MINT-HYDRALAZINE 10MG TABLET NAT-OSELTAMIVIR 30MG CAPSULE NAT-OSELTAMIVIR 45MG CAPSULE NAT-TENOFOVIR 300MG TABLET PHARMA-SIMVASTATIN 5MG TABLET PHARMA-SIMVASTATIN 10MG TABLET PHARMA-SIMVASTATIN 80MG TABLET PMS-NITROFURANTOIN 100MG CAPSULE PMS-TENOFOVIR 300MG TABLET PMS-TRANDOLAPRIL 2MG CAPSULE PMS-TRANDOLAPRIL 4MG CAPSULE RAN-FENOFIBRATE E 145MG TABLET RAN-GLICLAZIDE 30MG EXTENDED RELEASE TABLET RAN-RAMIPRIL HCTZ 5MG & 12.5MG TABLET RAN-RAMIPRIL HCTZ 10MG & 12.5MG TABLET RAN-RAMIPRIL HCTZ 10MG & 25MG TABLET TARO-ACITRETIN 25MG CAPSULE TEVA-CYCLOSPORINE 0.05% OPH EMULSION

10 A01 A01A A01AB STOMATOLOGICAL PREPARATIONS STOMATOLOGICAL PREPARATIONS ANTIINFECTIVES AND ANTISEPTICS FOR LOCAL ORAL TREATMENT A01AB03 CHLORHEXIDINE chlorhexidine 0.12% oral rinse Peridex 0.12% oral rinse MDA Perichlor 0.12% oral rinse PMS A01AC CORTICOSTEROIDS FOR LOCAL ORAL TREATMENT A01AC01 TRIAMCINOLONE triamcinolone acetonide 0.1% oral paste Oracort 0.1% Paste TAR Kenalog 0.1% in Orabase (discontinued) A01AD OTHER AGENTS FOR LOCAL ORAL TREATMENT A01AD02 BENZYDAMINE benzydamine 0.15% oral rinse Novo-Benzydamine 0.15% oral rinse (discontinued) NOP Apo-Benzydamine 0.15% oral rinse (discontinued) APX Pharxia 0.15% oral rinse PEN pms-benzydamine 0.15% oral rinse PMS Sun Benz 0.15% oral rinse (discontinued) SUN Odan-Benzydamine 0.15% oral rinse ODN Tantum oral rinse (discontinued) A02 A02B A02BA DRUGS FOR ACID RELATED DISORDERS DRUGS FOR PEPTIC ULCER AND GASTRO ESOPHAGEAL REFLUX DISEASE (GERD) H2 RECEPTOR ANTAGONISTS A02BA01 CIMETIDINE cimetidine 200mg tab Apo-Cimetidine 200mg tab APX Tagamet 200mg tab (discontinued) cimetidine 300mg tab Apo-Cimetidine 300mg tab APX MYLAN-Cimetidine 300mg tab MYL Nu-Cimet 300mg tab (discontinued) NXP Tagamet 300mg tab (discontinued) cimetidine 400mg tab MYLAN-Cimetidine 400mg tab MYL Apo-Cimetidine 400mg tab APX 1

11 Nu-Cimet 400mg tab (discontinued) NXP Tagamet 400mg tab (discontinued) cimetidine 600mg tab Apo-Cimetidine 600mg tab APX MYLAN-Cimetidine 600mg tab (discontinued) MYL Nu-Cimet 600mg tab (discontinued) NXP Tagamet 600mg tab (discontinued) cimetidine 800mg tab Apo-Cimetidine 800mg tab APX Tagamet 800mg tab (discontinued) A02BA02 RANITIDINE ranitidine 15mg/ml o/l Apo-Ranitidine 15mg/ml o/l APX Novo-Ranidine 15mg/ml o/l NOP Zantac 15mg/ml o/l GSK Zantac 15mg/ml o/l (discontinued) ranitidine 75mg tab Apo Ranitidine 75mg tab APX Zantac 75mg tab MCL ranitidine 150mg tab Novo-Ranidine 150mg tab (discontinued) NOP Sandoz Ranitidine 150mg tab SDZ CO Ranitidine 150mg tab COB Zantac 150mg tab (discontinued) GSK pms-ranitidine 150mg tab PMS ratio-ranitidine 150mg tab (discontinued) RPH Apo-Ranitidine 150mg tab APX MYLAN-Ranitidine 150mg tab (disctontinued) MYL Ranitidine 150mg tab SNS RAN-Ranitidine 150mg tab RAN Myl-Ranitidine 150mg tab (discontinued) MYL Ranitidine 150mg tab SIV Nu-Ranit 150mg tab (discontinued) NXP ranitidine 300mg tab ratio-ranitidine 300mg tab RPH CO Ranitidine 300mg tab COB pms-ranitidine 300mg tab PMS MYLAN-Ranitidine 300mg tab (discontinued) MYL Novo-Ranidine 300mg tab (discontinued) NOP Zantac 300mg tab (discontinued) GSK Apo-Ranitidine 300mg tab APX 2

12 Sandoz Ranitidine 300mg tab SDZ Ranitidine 300mg tab SNS RAN-Ranitidine 300mg tab RAN Myl-Ranitidine 300mg tab (discontinued) MYL Ranitidine 300mg tab SIV Nu-Ranit 300mg tab (discontinued) NXP A02BA03 FAMOTIDINE famotidine 20mg tab Famotidine 20mg tab SNS Pepcid 20mg tab (discontinued) MSD Apo-Famotidine 20mg tab APX Novo-Famotidine 20mg tab NOP MYLAN-Famotidine 20mg tab MYL Ratio-Famotidine 20mg tab RPH Nu-Famotidine 20mg tab (discontinued) NXP famotidine 40mg tab Pepcid 40mg tab (discontinued) MSD Apo-Famotidine 40mg tab APX Novo-Famotidine 40mg tab NOP MYLAN-Famotidine 40mg tab (discontinued) MYL Famotidine 40mg tab SNS Ratio-Famotidine 40mg tab RPH Nu-Famotidine 40mg tab (discontinued) NXP A02BA04 NIZATIDINE nizatidine 150mg cap Novo-Nizatidine 150mg cap (discontinued) NOP Axid 150mg cap PEN Apo-Nizatidine 150mg cap (discontinued) APX pms-nizatidine 150mg cap (discontinued) PMS nizatidine 300mg cap Novo-Nizatidine 300mg cap (discontinued) NOP Apo-Nizatidine 300mg cap (discontinued) APX pms-nizatidine 300mg cap (discontinued) PMS Axid 300mg cap (discontinued) PEN A02BB PROSTAGLANDINS A02BB01 MISOPROSTOL misoprostol 100mcg tab Misoprostol 100mcg tab AAA Cytotec 100mcg tab (discontinued) misoprostol 200mcg tab 3

13 Misoprostol 200mcg tab AAA Cytotec 200mcg tab (discontinued) A02BC PROTON PUMP INHIBITORS A02BC01 OMEPRAZOLE omeprazole 10mg cap MYLAN Omeprazole 10mg cap MYL Sandoz Omeprazole 10mg cap SDZ Losec 10mg cap AZE omeprazole 20mg cap Apo-Omeprazole 20mg cap APX Sandoz Omeprazole 20mg cap SDZ pms-omeprazole 20mg cap PMS MYLAN-Omeprazole 20mg cap (discontinued) MYL Ran-Omeprazole 20mg cap RAN omeprazole-20 20mg cap SIV Losec 20mg cap AZE omeprazole 10mg cap/tab Teva-Omeprazole 10mg tab TEV Losec 10mg tab AZE omeprazole 20mg delayed release tab ratio-omeprazole 20mg tab RPH Losec 20mg tab AZE pms-omeprazole DR 20mg tab PMS Omeprazole 20mg cap SNS Novo-Omeprazole Delayed-Release 20mg tab TEV Jamp-Omeprazole DR 20mg tab JPC Omeprazole Magnesium 20mg tab ACH Van-Omeprazole 20mg tab VAN Nat-Omeprazole 20mg DR tab NAT Ran-Omeprazole 20mg delayed release tab RAN A02BC02 PANTOPRAZOLE pantoprazole 20mg EC tab ratio-pantoprazole 20mg DR tab RPH Pantoloc 20mg DR tab NYC Apo-Pantoprazole 20mg DR tab APX Sandoz Pantoprazole 20mg DR tab SDZ RAN-Pantoprazole 20mg DR tab RAN pantoprazole 20mg tab (discontinued) SIV Jamp-Pantoprazole EC 20mg tab JPC Pantoprazole DR 20mg tab SIV Novo-Pantoprazole 20mg DR tab NOP 4

14 pantoprazole 40mg EC tab Novo-Pantoprazole 40mg DR tab NOP ratio-pantoprazole 40mg DR tab RPH Apo-Pantoprazole 40mg DR tab APX MYLAN-Pantoprazole 40mg DR tab MYL CO Pantoprazole 40mg DR tab COB Sandoz Pantoprazole 40mg DR tab SDZ RAN-Pantoprazole 40mg DR tab RAN pms-pantoprazole 40mg DR tab PMS Pantoloc 40mg DR tab NYC Pantoprazole 40mg tab (discontinued) SIV Jamp-Pantoprazole EC 40mg tab JPC Mint-Pantoprazole 40mg tab MNT Abbott-Pantoprazole 40mg tab (discontinued) ABB Mar-Pantoprazole 40mg tab MAR Pantoprazole 40mg tab PMS Auro-Pantoprazole 40mg tab ARO Pantoprazole DR 40mg tab SIV Pantoprazole 40mg tab SNS pantoprazole magnesium 40mg tab Tecta 40mg tab TAK Mylan-Pantoprazole T 40mg tab MYL Teva-Pantoprazole Magnesium 40mg tab TEV Pantoprazole T 40mg tab SNS Pantoprazole Magnesium 40mg tab ALH A02BC03 LANSOPRAZOLE lansoprazole 15mg cap MYLAN-Lansoprazole 15mg DR cap MYL Apo-Lansoprazole 15mg DR cap APX Novo-Lansoprazole 15mg DR cap NOP Prevacid 15mg cap ABB Pms-Lansoprazole 15mg cap PMS Sandoz-Lansoprazole 15mg cap SDZ Ran-Lansoprazole 15mg cap RAN Lansoprazole 15mg DR cap PMS Lansoprazole 15mg DR cap SIV Lansoprazole 15mg DR cap SNS lansoprazole 30mg cap Prevacid 30mg cap ABB MYLAN-Lansoprazole 30mg DR cap MYL Novo-Lansoprazole 30mg DR cap NOP Apo-Lansoprazole 30mg DR cap APX Pms-Lansoprazole 30mg cap PMS 5

15 Sandoz-Lansoprazole 30mg cap SDZ Ran-Lansoprazole 30mg cap RAN Lansoprazole-30 30mg cap SIV Lansoprazole 30mg DR cap PMS Lansoprazole 30mg DR cap SNS A02BC04 RABEPRAZOLE rabeprazole 10mg EC tab Pariet 10mg EC tab JAN Novo-Rabeprazole 10mg EC tab TEV RAN-Rabeprazole 10mg EC tab RAN pms-rabeprazole 10mg EC tab PMS Sandoz Rabeprazole 10mg EC tab SDZ Apo-Rabeprazole 10mg tab APX Rabeprazole EC 10mg tab SNS Mylan-Rabeprazole 10mg tab (discontinued) MYL Rabeprazole 10mg tab SIV Abbott-Rabeprazole 10mg tab (discontinued) ABB Pat-Rabeprazole 10mg tab (discontinued) PAT rabeprazole 20mg EC tab pms-rabeprazole 20mg EC tab PMS Sandoz Rabeprazole 20mg EC tab SDZ RAN-Rabeprazole 20mg EC tab RAN Novo-Rabeprazole 20mg EC tab TEV Pariet 20mg EC tab JAN Apo-Rabeprazole 20mg tab APX Rabeprazole EC 20mg tab SNS Mylan-Rabeprazole 20mg tab (discontinued) MYL Rabeprazole EC 20mg tab SIV Abbott-Rabeprazole 20mg tab (discontinued) ABB Pat-Rabeprazole 20mg tab (discontinued) PAT A02BC05 ESOMEPRAZOLE esomeprazole 20mg tab Apo-Esomeprazole 20mg DR tab APX Ran-Esomeprazole 20mg tab RAN esomeprazole 20mg tab SIV Act-Esomeprazole 20mg tab ATV Nexium 20mg tab AZE esomeprazole 40mg tab/cap Apo-Esomeprazole 40mg DR tab APX Pms-Esomeprazole 40mg DR cap PMS Esomeprazole 40mg tab SNS Ran-Esomeprazole 40mg tab RAN Esomeprazole 40mg tab SIV 6

16 Act-Esomeprazole 40mg tab ATV Nexium 40mg tab AZE A02BX OTHER DRUGS FOR PEPTIC ULCER AND GASTRO ESOPHAGEAL REFLUX DISEASE (GERD) A02BX02 SUCRALFATE sucralfate 1g tab Novo-Sucralate 1g tab NOP Sulcrate 1g tab AXC Apo-Sucralfate 1g tab APX Nu-Sucralfate 1g tab (discontinued) NXP A03 A03A A03AA DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS DRUGS FOR FUNCTIONAL BOWEL DISORDERS SYNTHETIC ANTICHOLINERGICS, ESTERS WITH TERTIARY AMINO GROUP A03AA05 TRIMEBUTINE trimebutine 200mg tab Modulon 200mg tab AXC Apo-Trimebutine 200mg tab AAA A03B A03BA BELLADONNA AND DERIVATIVES, PLAIN BELLADONNA ALKALOIDS, TERTIARY AMINES A03BA01 ATROPINE atropine Sulfate 0.6mg/ml inj Sol (1ml) Atropine Sulfate 0.6mg/ml inj Sol (1ml) SDZ Atropine Sulfate 0.6mg/ml inj Sol (1ml) (discontinued) HOS A03C A03CA ANTISPASMODICS IN COMBINATION WITH PSYCHOLEPTICS SYNTHETIC ANTICHOLINERGIC AGENTS IN COMBINATION WITH PSYCHOLEPTICS A03CA02 CLIDINIUM AND PSYCHOLEPTICS chlordiazepoxide HCl 5mg & clidinium Br 2.5mg cap Apo Chlorax 5/2.5mg cap APX Librax cap VAL A03F A03FA PROPULSIVES PROPULSIVES A03FA01 METOCLOPRAMIDE metoclopramide HCl 1mg o/l Pms-Metoclopramide Oral Sol 1mg/ml PMS Maxeran 1mg/ml o/l (discontinued) 7

17 metoclopramide HCl 5mg tab Apo-Metoclop 5mg tab (discontinued) APX pms-metoclopramide 5mg tab PMS Nu-Metoclopramide 5mg tab (discontinued) NXP Maxeran 5mg tab (discontinued) metoclopramide HCl 10mg tab pms-metoclopramide 10mg tab PMS Apo-Metoclop 10mg tab (discontinued) APX Nu-Metoclopramide 10mg tab (discontinued) NXP Maxeran 10mg tab (discontinued) A03FA03 DOMPERIDONE domperidone maleate 10mg tab Domperidone 10mg tab SNS Apo-Domperidone 10mg tab APX pms-domperidone 10mg tab PMS RAN-Domperidone 10mg tab RAN MYLAN-Domperidone 10mg tab (discontinued) MYL Novo-Domperidone 10mg tab (discontinued) TEV ratio-domperidone 10mg tab RPH Jamp-Domperidone 10mg tab JPC Mar-Domperidone 10mg tab MAR Domperidone 10mg tab SIV Nu-Domperidone 10mg tab (discontinued) NXP Motilium 10mg tab (discontinued) A04 A04A A04AA ANTIEMETICS AND ANTINAUSEANTS ANTIEMETICS AND ANTINAUSEANTS SEROTONIN (5 HT3) ANTAGONISTS A04AA01 ONDANSETRON ondansetron 4mg/5ml o/l Apo-Ondansetron 4mg/5ml o/l AAA Zofran 4mg/5ml o/l NVR ondansetron 4mg tab Mar-Ondansetron 4mg tab MAR Novo-Ondansetron 4mg tab NOP RAN-Ondansetron 4mg tab RAN Sandoz Ondansetron 4mg tab SDZ Jamp-Ondansetron 4mg tab JPC ratio-ondansetron 4mg tab (discontinued) RPH pms-ondansetron 4mg tab PMS Zofran 4mg tab NVR Septa-Ondansetron 4mg tab SPT 8

18 MYLAN-Ondansetron 4mg tab MYL phl-ondansetron 4mg tab PHL CO Ondansetron 4mg tab COB Apo-Ondansetron 4mg tab APX Ondansetron-Odan 4mg tab (discontinued) ODN Ondansetron 4mg tab SNS Nat-Ondansetron 4mg tab NAT Van-Ondansetron 4mg tab VAN MINT- Ondansetron 4mg tab MNT ondansetron 8mg tab Mar-Ondansetron 8mg tab MAR CO Ondansetron 8mg tab COB pms-ondansetron 8mg tab PMS Novo-Ondansetron 8mg tab TEV Sandoz Ondansetron 8mg tab SDZ ratio-ondansetron 8mg tab (discontinued) RPH phl-ondansetron 8mg tab PHL Zofran 8mg tab NVR MYLAN-Ondansetron 8mg tab MYL MINT-Ondansetron 8mg tab MNT Septa-Ondansetron 8mg tab SPT Ondansetron-Odan 8mg tab (discontinued) ODN RAN-Ondansetron 8mg tab RAN Ondansetron 8mg tab SNS Jamp-Ondansetron 8mg tab JPC Nat-Ondansetron 8mg tab NAT Van-Ondansetron 8mg tab VAN Apo-Ondansetron 8mg tab APX ondansetron odt 4mg tab Zofran ODT 4mg tab NVR Sandoz-Ondansetron odt 4mg tab SDZ ondansetron odt 8mg tab Zofran ODT 8mg tab NVR Sandoz-Ondansetron odt 8mg tab SDZ A04AA02 GRANISETRON granisetron 1 mg tab Apo-Granisetron 1mg tab APX Nat-Granisetron 1mg tab NAT Kytril 1mg tab HLR A04AD OTHER ANTIEMETICS A04AD01 SCOPOLAMINE 9

19 scopolamine 20mg/ml inj Hyoscine Butylbromide 20mg/ml inj SDZ Buscopan 20mg/ml inj (discontinued) A04AD11 NABILONE (CANNABINOID (THC) DERIVATIVES) nabilone 0.25mg cap Cesamet 0.25mg cap VAL Ran-Nabilone 0.25mg cap RAN Teva-Nabilone 0.25mg cap TEV nabilone 0.5mg cap Cesamet 0.5mg cap VAL Ran-Nabilone 0.5mg cap (discontinued) RAN Pms-Nabilone 0.5mg cap PMS Teva-Nabilone 0.5mg cap TEV Co-Nabilone 0.5mg cap COB nabilone 1mg cap Cesamet 1mg cap VAL Ran-Nabilone 1mg cap RAN Pms-Nabilone 1mg cap PMS Teva-Nabilone 1mg cap TEV C0-Nabilone 1mg cap COB A04AD99 DIMENHYDRINATE dimenhydrinate 10mg/ml IV inj Dimenhydrinate 10mg/ml Iv Amp SDZ Gravol 10mg/ml IV Amp (discontinued) dimenhydrinate 50mg/ml IM inj Dimenhydrinate IM inj USP 50mg/ml liq SDZ Gravol 50mg/ml IM inj CDC dimenhydrinate 50mg tab Gravol 50mg tab CDC Novo-Dimenate 50mg tab NOP Apo-Dimenhydrinate 50mg tab (discontinued) APX dimenhydrinate 50mg supp Gravol 100mg supp CDC Sandoz-Dimenhydrinate 100mg supp SDZ A05 A05A A05AA BILE AND LIVER THERAPY BILE THERAPY BILE ACID PREPARATIONS 10

20 A05AA02 URSODIOL (URSODEOXYCHOLIC ACID) ursodiol 250mg tab pms-ursodiol C 250mg tab PMS ursodiol 250mg tab GLP Urso 250mg tab AXC ursodiol 500mg tab Urso DS 500mg tab AXC Ursodiol 500mg tab GLP pms-ursodiol C 500mg tab PMS A06 A06A A06AA LAXATIVES LAXATIVES SOFTENERS, EMOLLIENTS A06AA02 DOCUSATE SODIUM docusate sodium 100mg cap Pms-Docusate Sodium 100mg cap PMS Docusate Sodium 100mg cap TAR Ratio-Docusate Sodium 100mg cap RPH Novo-Docusate 100mg cap NOP Colace 100mg cap WES Docusate sodium 100mg cap SNS Apo-Docusate Sodium 100mg cap APX docusate sodium 4mg/ml syr Pms-Docusate Sodium 4mg/ml syr PMS Colace 4mg/ml syr WES Ratio-Docusate Sodium 4mg/ml syr RPH A06AB CONTACT LAXATIVES A06AB02 BISACODYL bisacodyl 5mg EC tab Dulcolax 5mg EC tab BOE Apo-Bisacodyl 5mg EC tab APX Pms-Bisacodyl 5mg EC tab (discontinued) PMS bisacodyl 10mg supp Dulcolax 10mg supp BOE Ratio-Bisacodyl 10mg supp (discontinued) RPH Jamp-Bisacodyl 10mg supp JPC Pms-Bisacodyl 10mg supp (discontinued) PMS Apo-Bisacodyl 10mg supp (discontinued) APX 11

21 A06AB06 SENNA GLYCOSIDES senna glycosides 8.6mg tab Senokot 8.6mg tab PFR Pms-Sennosides 8.6mg tab PMS A06AD OSMOTICALLY ACTING LAXATIVES A06AD11 LACTULOSE lactulose 667mg/ml o/l Apo-Lactulose 667mg/ml o/l APX ratio-lactulose 667mg/ml o/l RPH Pms-Lactulose 667mg/ml sol PMS lactulose 667mg/ml o/l SNS Lactulose 667mg/ml o/l JPC Chronulac 667mg/ml o/l (discontinued) A07 A07A A07AA ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS INTESTINAL ANTIINFECTIVES ANTIBIOTICS A07AA02 A07AA09 NYSTATIN nystatin 100,000iu o/l RATIO-NYSTATIN ORAL DPS IU/ml RPH Pms-Nystatin u/ml susp PMS Jamp-Nystatin 100,000u/ml oral susp JPC Mycostatin 100,000iu/ml Oral Susp (discontinued) VANCOMYCIN vancomycin hcl 125mg caps Vancocin 125mg mg caps MRS Jamp-Vancomycin 125mg caps JPC Vancomycin Hydrochloride 125mg caps PPC vancomycin hcl 250mg caps Vancocin 250mg caps MRS Jamp-Vancomycin 250mg caps JPC Vancomycin Hydrochloride 250mg caps PPC A07D A07DA ANTIPROPULSIVES ANTIPROPULSIVES A07DA03 LOPERAMIDE loperamide 2mg caplet Apo-Loperamide 2mg caplet APX Novo-Loperamide 2mg caplet NOP Imodium 2mg caplet MCL 12

22 pms-loperamide 2mg caplet PMS Sandoz Loperamide 2mg caplet (discontinued) SDZ Diarr-eze 2mg caplet PEN loperamide HCl 0.2mg/ml o/l Pms-Loperamide Sol 0.2mg/ml inj PMS Imodium 0.2mg/ml o/l (discontinued) A07E A07EC INTESTINAL ANTIINFLAMMATORY AGENTS AMINOSALICYLIC ACID AND SIMILAR AGENTS A07EC01 SULFASALAZINE sulfasalazine 500mg tab Pms-Sulfasalazine 500mg tab PMS Salazopyrin 500mg tab PFI sulfasalazine 500mg ent tab Pms-Sulfasalazine 500mg Ent tab PMS Salazopyrin EN 500mg tab PFI A07EC02 5 AMINOSALICYLIC ACID (MESALAMINE) 5-aminosalicylic acid 400mg tab Novo-5-ASA 400mg EC tab TEV Asacol 400mg tab WCC A10 A10B A10BA DRUGS USED IN DIABETES BLOOD GLUCOSE LOWERING DRUGS, EXCLUDING INSULINS BIGUANIDES A10BA02 METFORMIN metformin HCl 500mg tab RAN-Metformin 500mg tab RAN MYLAN-Metformin 500mg tab MYL Glucophage 500mg tab AVN Novo-Metformin 500mg tab NOP pms-metformin 500mg tab PMS ratio-metformin 500mg tab RPH Sandoz Metformin FC 500mg tab SDZ Apo-Metformin 500mg tab APX CO Metformin 500mg tab COB Metformin 500mg tab SNS Glycon 500mg tab VAL Mar-Metformin 500mg tab MAR Metformin 500mg tab MAR Mint-Metformin 500mg tab MNT Septa-Metformin 500mg tab SPT 13

23 Nu-Metformin 500mg tab (discontinued) NXP Jamp-Metformin 500mg tab JPC Metformin 500mg tab SIV Auro-Metformin 500mg tab ARO Jamp-Metformin Blackberry 500mg tab JPC metformin HCl 850mg tab Glucophage 850mg tab AVN Apo-Metformin 850mg tab APX Novo-Metformin 850mg tab NOP pms-metformin 850mg tab PMS ratio-metformin 850mg tab RPH Sandoz Metformin FC 850mg tab SDZ Co Metformin 850mg tab COB RAN-Metformin 850mg tab RAN MYLAN-Metformin 850mg tab MYL Metformin 850mg tab SNS Mar-Metformin 850mg tab MAR Mint-Metformin 850mg tab MNT Metformin 850mg tab MAR Septa-Metformin 850mg tab SPT Nu-Metformin 850mg tab (discontinued) NXP Jamp-Metformin 850mg tab JPC Metformin 850mg tab SIV Auro-Metformin 850mg tab ARO Jamp-Metformin Blackberry 850mg tab JPC metformin HCI 500mg ER tab Glumetza ER 500mg tab VAL Apo-Metformin ER 500mg tab APX metformin HCI 1000mg ER tab Glumetza ER 1000mg tab VAL Apo-Metformin ER 1000mg tab APX A10BB SULFONAMIDES, UREA DERIVATIVES A10BB01 GLYBURIDE (GLIBENCLAMIDE) glyburide 2.5mg tab Apo-Glyburide 2.5mg tab APX Novo-Glyburide 2.5mg tab TEV Diabeta 2.5mg tab AVN Sandoz Glyburide 2.5mg tab (discontinued) SDZ Glyburide 2.5mg tab SNS MYLAN-Glybe 2.5mg tab (discontinued) MYL ratio-glyburide 2.5mg tab (discontinued) RPH Nu-Glyburide 2.5mg tab (discontinued) NXP 14

24 Euglucon 2.5mg tab (discontinued) glyburide 5mg tab ratio-glyburide 5mg tab (discontinued) RPH pms-glyburide 5mg tab PMS Glyburide 5mg tab (discontinued) SNS Diabeta 5mg tab AVN Apo-Glyburide 5mg tab APX MYLAN-Glybe 5mg tab (discontinued) MYL Euglucon 5mg tab PMS Sandoz Glyburide 5mg tab (discontinued) SDZ Novo-Glyburide 5mg tab TEV Nu-Glyburide 5mg tab (discontinued) NXP A10BB02 A10BB03 A10BB09 CHLORPROPAMIDE chlorpropamide 250mg tab Apo-Chlorpropamide 250mg tab APX Diabinese 250mg tab (discontinued) TOLBUTAMIDE tolbutamide 500mg tab Tolbutamide tab 500mg tab AAA Mobenol 500mg tab (discontinued) GLICLAZIDE gliclazide MR 30mg tab Diamicron 30mg MR tab SEV Mint-Gliclazide 30mg MR tab MNT Act-Gliclazide 30mg MR tab (discontinued) ATV Mylan-Gliclazide MR 30mg tab MYL Sandoz-Gliclazide MR 30mg tab SDZ Ran-Gliclazide MR 30mg tab RAN Apo-Gliclazide 30mg MR tab APX gliclazide MR 60mg tab Diamicron MR 60mg tab SEV Mint-Gliclazide MR 60mg tab MNT Sandoz-Gliclazide MR 60mg tab SDZ Ran-Gliclazide MR 60mg tab RAN Apo-Gliclazide MR 60mg tab APX gliclazide 80mg tab Diamicron 80mg tab SEV MYLAN-Gliclazide 80mg tab (discontinued) MYL Apo-Gliclazide 80mg tab APX Novo-Gliclazide 80mg tab NOP Gliclazide 80mg tab SNS 15

25 A10BB12 GLIMEPIRIDE glimepiride 1mg tab Amaryl 1mg tab AVN Sandoz-Glimipiride 1mg tab SDZ Ratio-Glimipiride 1mg tab (discontinued) RPH Novo-Glimipiride 1mg tab (discontinued) NOP Apo-Glimipiride 1mg tab APX glimepiride 2mg tab Amaryl 2mg tab AVN Sandoz-Glimipiride 2mg tab SDZ Ratio-Glimipiride 2mg tab (discontinued) RPH Novo-Glimipiride 2mg tab (discontinued) NOP Apo-Glimipiride 2mg tab APX glimepiride 4mg tab Amaryl 4mg tab AVN Sandoz-Glimipiride 4mg tab SDZ Ratio-Glimipiride 4mg tab (discontinued) RPH Novo-Glimipiride 4mg tab (discontinued) NOP Apo-Glimipiride 4mg tab APX A10BG THIAZOLINEDIONES ROSIGLITAZONE rosiglitazone 2mg tab Avandia 2mg tab GSK Apo-Rosiglitazone 2mg tab APX rosiglitazone 4mg tab Avandia 4mg tab GSK Apo-Rosiglitazone 4mg tab APX rosiglitazone 8mg tab Avandia 8mg tab GSK Apo-Rosiglitazone 8mg tab APX A10BG03 PIOGLITAZONE pioglitazone 15mg tab Apo-Pioglitazone 15mg tab APX MYLAN-Pioglitazone 15mg tab MYL phl-pioglitazone 15mg tab PHL Actos 15mg tab TAK MINT-Pioglitazone 15mg tab MNT pms-pioglitazone 15mg tab PMS Auro--Pioglitazone 15mg tab ARO 16

26 ratio-pioglitazone 15mg tab (discontinued) RPH Pioglitazone Hydrochloride 15mg tab ACH Sandoz Pioglitazone 15mg tab SDZ Novo-Pioglitazone 15mg tab NOP Jamp-Pioglitzazone 15mg tab JPC CO Pioglitazone 15mg tab COB Ran-Pioglitazone 15mg tab RAN Van-Pioglitazone 15mg tab VAN Accel Pioglitazone 15mg tab ACC pioglitazone 30mg tab MINT-Pioglitazone 30mg tab MNT MYLAN-Pioglitazone 30mg tab MYL ratio-pioglitazone 30mg tab (discontinued) RPH CO Pioglitazone 30mg tab COB Pioglitazone 30mg tab ACH Auro-Pioglitazone 30mg tab ARO pms-pioglitazone 30mg tab PMS Apo-Pioglitazone 30mg tab APX phl-pioglitazone 30mg tab PHL Sandoz Pioglitazone 30mg tab SDZ Actos 30mg tab TAK Novo-Pioglitazone 30mg tab NOP Ran-Pioglitazone 30mg tab RAN Accel Pioglitazone 30mg tab ACC Van-Pioglitazone 30mg tab VAN Jamp-Pioglitazone 30mg tab JPC pioglitazone 45mg tab phl-pioglitazone 45mg tab PHL Pioglitazone 45mg tab ACH ratio-pioglitazone 45mg tab (discontinued) RPH Actos 45mg tab TAK Novo-Pioglitazone 45mg tab NOP CO Pioglitazone 45mg tab COB Sandoz Pioglitazone 45mg tab SDZ Auro-Pioglitazone 45mg tab ARO MYLAN-Pioglitazone 45mg tab MYL pms-pioglitazone 45mg tab PMS MINT-Pioglitazone 45mg tab MNT Apo-Pioglitazone 45mg tab APX Ran-Pioglitazone 45mg tab RAN Accel Pioglitazone 45mg tab ACC Van-Pioglitazone 45mg tab VAN Jamp-Pioglitazone 45mg tab JPC 17

27 A10BX OTHER BLOOD GLUCOSE LOWERING DRUGS, EXCLUDING INSULINS A10BX02 REPAGLINIDE repaglinide 0.5mg tab CO Repaglinide 0.5mg tab COB pms-repaglinide 0.5mg tab PMS Apo-Repaglinide 0.5mg tab APX Sandoz Repaglinide 0.5mg tab SDZ Auro-Repaglinide 0.5mg tab ARO GlucoNorm 0.5mg tab NNO repaglinide 1mg tab CO Repaglinide 1mg tab COB pms-repaglinide 1mg tab PMS Apo-Repaglinide 1mg tab APX Auro-Repaglinide 1mg tab ARO Sandoz Repaglinide 1mg tab SDZ GlucoNorm 1mg tab NNO repaglinide 2mg tab CO Repaglinide 2mg tab COB pms-repaglinide 2mg tab PMS Apo-Repaglinide 2mg tab APX Sandoz Repaglinide 2mg tab SDZ Auro-Repaglinide 2mg tab ARO GlucoNorm 2mg tab NNO A11 A11CC VITAMINS AND MINERALS VITAMIN D AND ANALOGUES A11CC04 CALCITRIOL calcitriol 0.25mcg cap Rocaltrol 0.25mcg cap HLR Calcitriol-Odan 0.25mcg cap ODN calcitriol 0.50mcg cap Rocaltrol 0.50mcg cap HLR Calcitriol-Odan 0.50mcg cap ODN A11D A11DA VITAMIN B1, PLAIN AND IN COMBINATION WITH VITAMIN B6 AND B12 VITAMIN B1, PLAIN A11DA01 THIAMINE (VIT B1) thiamine (vit B1) 100mg/ml inj Thiamiject 100mg/ml inj (Omega) OMG Thiamine 100mg/ml inj CYT 18

28 Vitamin B1 100mg/ml inj SDZ Betaxin 100mg/ml inj (discontinued) A12 A12B A12BA REPLACEMENT PREPARATIONS POTASSIUM POTASSIUM A12BA01 POTASSIUM CHLORIDE potassium chloride 8mmol long acting tab Apo-K 8Mmol Long Acting tab (discontinued) APX Sandoz-K 8Mmol Long acting tab SDZ Slow-K 8Mmol Long Acting tab (discontinued) NVR B01 B01A B01AA ANTITHROMBOTIC AGENTS ANTITHROMBOTIC AGENTS VITAMIN K ANTAGONISTS B01AA03 WARFARIN warfarin 1mg tab Novo-Warfarin 1mg tab (discontinued) NOP Coumadin 1mg tab BMS Taro-Warfarin 1mg tab TAR Apo-Warfarin 1mg tab APX MYLAN-Warfarin 1mg tab (discontinued) MYL Warfarin 1mg tab (discontinued) SNS warfarin 2mg tab Warfarin 2mg tab (discontinued) SNS Novo-Warfarin 2mg tab (discontinued) NOP Coumadin 2mg tab BMS MYLAN-Warfarin 2mg tab (discontinued) MYL Taro-Warfarin 2mg tab TAR Apo-Warfarin 2mg tab APX warfarin 2.5mg tab Warfarin 2.5mg tab (discontinued) SNS Novo-Warfarin 2.5mg tab (discontinued) NOP MYLAN-Warfarin 2.5mg tab (discontinued) MYL Apo-Warfarin 2.5mg tab APX Coumadin 2.5mg tab BMS Taro-Warfarin 2.5mg tab TAR warfarin 3mg tab Warfarin 3mg tab (discontinued) SNS Coumadin 3mg tab BMS Taro-Warfarin 3mg tab TAR 19

29 Apo-Warfarin 3mg tab APX Novo-Warfarin 3mg tab (discontinued) NOP MYLAN-Warfarin 3mg tab (discontinued) MYL warfarin 4mg tab Warfarin 4mg tab (discontinued) SNS Taro-Warfarin 4mg tab TAR Coumadin 4mg tab BMS MYLAN-Warfarin 4mg tab (discontinued) MYL Novo-Warfarin 4mg tab (discontinued) NOP Apo-Warfarin 4mg tab APX warfarin 5mg tab Novo-Warfarin 5mg tab (discontinued) NOP MYLAN-Warfarin 5mg tab (discontinued) MYL Apo-Warfarin 5mg tab APX Coumadin 5mg tab BMS Warfarin 5mg tab (discontinued) SNS Taro-Warfarin 5mg tab TAR warfarin 6mg tab Coumadin 6mg tab BMS Taro-Warfarin 6mg tab TAR MYLAN-Warfarin 6mg tab (discontinued) MYL Warfarin 6mg tab SNS warfarin 7.5mg tab MYLAN-Warfarin 7.5mg tab MYL Taro Warfarin 7.5mg tab TAR Warfarin 7.5mg tab SNS warfarin 10mg tab Warfarin 10mg tab (discontinued) SNS Taro-Warfarin 10mg tab TAR Apo-Warfarin 10mg tab APX MYLAN-Warfarin 10mg tab (discontinued) MYL Coumadin 10mg tab BMS B01AB HEPARIN GROUP B01AB01 HEPARIN heparin 100U/ml Lock Flush Sol Heparin 100U/ml Lock Flush Sol (discontinued) HOS Heparin 100U/ml Lock Flush Sol LEO Hepalean-Lok 100U/ml Lock Flush Sol SCH B01AC PLATELET AGGREGATION INHIBITORS EXCLUDING HEPARIN 20

30 B01AC04 CLOPIDOGREL clopidogrel 75mg tab Apo-Clopidogrel 75mg tab APX CO Clopidogrel 75mg tab COB Mylan-Clopidogrel 75mg tab (discontinued) MYL Sandoz Clopidogrel 75mg tab SDZ Clopidogrel 75mg tab SNS Mint-Clopidogrel 75mg tab MNT Teva-Clopidogrel 75mg tab TEV Plavix 75mg tab AVN pms-clopidogrel 75mg tab PMS clopidogrel 75mg tab SIV Abbott-Clopidogrel 75mg tab (discontinued) ABB Auro-Clopidogrel 75mg tab ARO Jamp-Clopidogrel 75mg tab JPC Mar-Clopidogrel 75mg tab MAR Ran-Clopidogrel 75mg tab RAN clopidogrel 300mg tab Plavix 300mg tab AVN Apo-Clopidogrel 300mg tab APX B01AC05 B01AC07 TICLOPIDINE ticlopidine 250mg tab Apo-Ticlopidine 250mg tab AAA Ticlopidine 250mg tab (discontinued) SNS Novo-Ticlopidine 250mg tab (discontinued) NOP Sandoz Ticlopidine 250mg tab (discontinued) SDZ MYLAN-Ticlopidine 250mg tab MYL Pms-Ticlopidine 250mg tab PMS Nu-Ticlopidine 250mg tab (discontinued) NXP DIPYRIDAMOLE dipyridamole 25mg tab Apo-Dipyridamole-Fc tab 25mg APX Persantine 25mg tab (discontinued) dipyridamole 50mg tab Persantine 50mg tab BOE Apo-Dipyridamole-FC 50mg tab APX dipyridamole 75mg tab Apo-Dipyridamole-FC 75mg tab APX Persantine 75mg tab (discontinued) BO1AX OTHER ANTITHROMBOTIC AGENTS 21

31 B01AX05 FONDAPARINUX fondaparinux 2.5mg/0.5ml injection Arixtra 2.5mg/0.5ml injection GCH fondaparinux 2.5mg/0.5ml injection DRL fondaparinux 7.5mg/0.5ml injection Arixtra 7.5mg/0.5ml injection GCH fondaparinux 7.5mg/0.5ml injection DRL B02 B02A B02AA ANTIHEMORRHAGICS ANTIFIBRINOLYTICS AMINO ACIDS B02AA02 TRANEXAMIC ACID tranexamic acid 100mg/ml inj Cyklokapron 100mg/ml inj PFI Tranexamic Acid 100mg/ml inj SDZ tranexamic acid 500mg tab Cyklokapron 500mg tab PFI Gd-Tranexamic Acid 500mg tab GMD Tranexamic Acid 500mg tab STE B03 B03A B03AA ANTIANEMIC PREPARATIONS IRON PREPARATIONS IRON BIVALENT, ORAL PREPARATIONS B03AA03 B03AA07 FERROUS GLUCONATE ferrous gluconate 300mg tab Novo-Ferrogluc 300mg tab NOP Ferrous Gluconate 300mg tab JPC Apo-Ferrous Gluconate 300mg tab APX FERROUS SULFATE ferrous sulphate 300mg tab Ferrous Sulfate 300mg tab JPC Pms-Ferrous Sulfate 300mg tab PMS Apo-Ferrous Sulfate 300mg tab APX B03AC IRON TRIVALENT, PARENTERAL PREPARATIONS B03AC01 DEXTRIFERRON (IRON DEXTRAN) iron dextran complex 50mg/ml inj Dexiron 50mg/ml inj - 2ml BHC Infufer 50mg/ml inj - 2ml SDZ 22

32 B03B B03BA VITAMIN B12 AND FOLIC ACID VITAMIN B12 (CYANOCOBALAMIN AND DERIVATIVES) B03BA01 CYANOCOBALAMIN cyanocobalamin 100mcg/ml inj Vitamin B12 100mcg/ml inj SDZ Vitamin B12 100mcg/ml inj (discontinued) cyanocobalamin 1000mcg/ml inj Vitamin B mcg/ml inj - 10ml SDZ Cyanocobalamin 1000mcg/ml inj - 10ml MYL Cyanocobalamin 1000mcg/ml inj - 10ml STE B03BB B03BB01 FOLIC ACID AND DERIVATIVES folic acid 5mg tablet Apo-Folic acid 5mg tab APX Euro-Folic acid 5mg tab SDZ Jamp-Folic acid 5mg tab JPC C01 C01A C01AA CARDIAC THERAPY CARDIAC GLYCOSIDES DIGITALIS GLYCOSIDES C01AA05 DIGOXIN digoxin 0.05mg/ml inj Digoxin 0.05mg/ml inj SDZ Lanoxin 0.05mg/ml inj (discontinued) digoxin 0.25mg/ml inj Digoxin 0.25 mg/ml inj Sol SDZ Lanoxin 0.25mg/ml inj (discontinued) digoxin mg tab Toloxin mg tab PEN Lanoxin mg tab (discontinued) digoxin 0.125mg tab Toloxin 0.125mg tab PEN Lanoxin 0.125mg tab (discontinued) digoxin 0.25mg tab Toloxin 0.25mg tab PEN Lanoxin 0.25mg tab (discontinued) C01B ANTIARRHYTHMICS, CLASS I AND III 23

33 C01BA ANTIARRHYTHMICS, CLASS IA C01BA02 PROCAINAMIDE procainamide 100mg/ml inj Procainamide 100mg/ml inj SDZ Pronestyl 100mg/ml inj (discontinued) C01BB ANTIARRHYTHMICS, CLASS IB C01BB02 MEXILETINE mexiletine 100mg cap Novo-Mexiletine cap 100mg NOP Mexitil 100mg cap (discontinued) mexiletine 200mg cap Novo-Mexiletine cap 200mg NOP Mexitil 200mg cap (discontinued) C01BC ANTIARRHYTHMICS, CLASSIC C01BC03 PROPAFENONE propafenone 150mg tab pms-propafenone 150mg tab (discontinued) PMS Propafenone 150mg tab SNS Myl-Propafenone 150mg tab (discontinued) MYL Rythmol 150mg tab ABB Mylan-Propafenone 150mg tab MYL Apo-Propafenone 150mg tab APX propafenone 300mg tab Rythmol 300mg tab ABB Myl-Propafenone 300mg tab (discontinued) MYL pms-propafenone 300mg tab (discontinued) PMS Propafenone 300mg tab SNS Mylan-Propafenone 300mg tab MYL Apo-Propafenone 300mg tab APX C01BC04 FLECAINIDE flecainide 50mg tab Tambocor 50mg tab (discontinued) MDC Auro-Flecainide 50mg tab ARO Apo-Flecainide 50mg tab APX flecainide 100mg tab Tambocor 100mg tab (discontinued) MDC Auro-Flecainde 100mg tab ARO Apo-Flecainide 100mg tab APX 24

34 C01BD ANTIARRHYTHMICS, CLASS III C01BD01 AMIODARONE amiodarone 200mg tab Sandoz Amiodarone 200mg tab SDZ Cordarone 200mg tab (discontinued) WAY MYLAN-Amiodarone 200mg tab MYL ratio-amiodarone 200mg tab (discontinued) SDZ Apo-Amiodarone 200mg tab APX phl-amiodarone 200mg tab PHL Novo-Amiodarone 200mg tab TEV pms-amiodarone 200mg tab PMS Amiodarone 200mg tab SIV Sanis-Amiodarone 200mg tab SNS C01C C01CA CARDIAC STIMULANTS EXCLUDING CARDIAC GLYCOSIDES ADRENERGIC AND DOPAMINERGIC AGENTS C01CA17 MIDODRINE midodrine 2.5mg tab Midodrine 2.5mg tab AAA Amatine 2.5mg tab (discontinued) midodrine 5mg tab Midodrine 5mg tab AAA Amatine 5mg tab (discontinued) C01CA24 EPINEPHRINE epinephrine inj Usp 1mg/ml inj sol (1ml) Epinephrine inj Usp 1mg/ml inj Sol (1ml) HOS Adrenaline Chloride 1mg/ml inj Sol (1ml) ERF C01D C01DA VASODILATORS USED IN CARDIAC DISEASES ORGANIC NITRATES C01DA02 NITROGLYCERIN (GLYCERYL TRINITRATE) nitroglycerin 0.4mg/dose pumpspray Nitrolingual 0.4mg/dose pumpspray AVN Rho-Nitro 0.4mg/dose pumpspray SDZ Apo-Nitroglycerin 0.4mg/dose pumpspray APX Mylan-Nitro SL sp dose MYL NITROGLYCERIN 0.2MG/HR TRANSDERMAL PATCH nitroglycerin 0.2mg/hr transdermal patch Nitro-Dur 0.2mg/hr transdermal patch MSD Mylan-Nitro Patch 0.2mg/hr transdermal patch MYL 25

35 NITROGLYCERIN 0.4MG/HR TRANSDERMAL PATCH nitroglycerin 0.4mg/hr transdermal patch Nitro-Dur 0.4mg/hr transdermal patch MSD Mylan-Nitro Patch 0.4mg/hr transdermal patch MYL NITROGLYCERIN 0.6MG/HR TRANSDERMAL PATCH nitroglycerin 0.6mg/hr transdermal patch Nitro-Dur 0.6mg/hr transdermal patch MSD Mylan-Nitro patch 0.6mg/hr transdermal patch MYL C01DA08 NITROGLYCERIN 0.8MG/HR TRANSDERMAL PATCH nitroglycerin 0.8mg/hr transdermal patch Nitro-Dur 0.8mg/hr transdermal patch MSD Mylan-Nitro Patch 0.8mg/hr transdermal patch MYL ISOSORBIDE DINITRATE isosorbide dinitrate 5mg SL tab Isdn S/L tab 5mg AAA Isordil Sublingual 5mg tab (discontinued) isosorbide dinitrate 10mg tab Isdn tab 10mg AAA Isordil 10mg tab (discontinued) isosorbide dinitrate 30mg tab Isdn tab 30mg AAA Isordil 30mg tab (discontinued) C01DA14 ISOSORBIDE MONONITRATE isosorbide mononitrate 60mg SR tab pms-ismn 60mg SR tab PMS Imdur 60mg ER tab AZE Apo-ISMN 60mg SR tab APX C02 C02A C02AB ANTIHYPERTENSIVES ANTIADRENERGIC AGENTS, CENTRALLY ACTING METHYLDOPA C02AB02 METHYLDOPA (RACEMIC) methyldopa 125mg tab Methyldopa tab 125mg AAA Aldomet 125mg tab (discontinued) methyldopa 250mg tab Methyldopa tab 250mg AAA Aldomet 250mg tab (discontinued) 26

36 methyldopa 500mg tab Methyldopa tab 500mg AAA Aldomet 500mg tab (discontinued) C02AC IMIDAZOLINE RECEPTOR AGONISTS C02AC01 CLONIDINE clonidine HCl 0.025mg tab Novo-Clonidine 0.025mg tab NOP Apo-Clonidine 0.025mg tab APX Dixarit 0.025mg tab (discontinued) BOE Clonidine 0.025mg tab (discontinued) clonidine HCl 0.1mg tab Catapres 0.1mg tab (discontinued) BOE Apo-Clonidine 0.1mg tab APX Teva-Clonidine 0.1mg tab TEV Mint-Clonidine 0.1mg tab MNT Nu-Clonidine 0.1mg tab (discontinued) NXP Nu Clonidine 0.1mg tab (discontinued) clonidine HCl 0.2mg tab Teva-Clonidine 0.2mg tab TEV Mint-Clonidine 0.2mg tab MNT Apo-Clonidine 0.2mg tab (discontinued) APX Catapres 0.2mg tab (discontinued) BOE Nu-Clonidine 0.2mg tab (discontinued) NXP Clonidine 0.2mg tab (discontinued) C02C C02CA ANTIADRENERGIC AGENTS, PERIPHERALLY ACTING ALPHA ADRENOCEPTOR ANTAGONISTS C02CA01 PRAZOSIN prazosin HCl 1mg tab Apo-Prazo 1mg tab APX Novo-Prazin 1mg tab NOP Nu-Prazo 1mg tab (discontinued) NXP Minipres 1mg tab (discontinued) prazosin HCl 2mg tab Apo-Prazo 2mg tab APX Novo-Prazin 2mg tab NOP Nu-Prazo 2mg tab (discontinued) NXP Minipres 2mg tab (discontinued) prazosin HCl 5mg tab 27

37 Apo-Prazo 5mg tab APX Novo-Prazin 5mg tab NOP Nu-Prazo 5mg tab (discontinued) NXP Minipres 5mg tab (discontinued) C02CA04 DOXAZOSIN doxazosin 1mg tab Novo-Doxazosin 1mg tab NOP pms-doxazosin 1mg tab (discontinued) PMS Cardura-1 1mg tab AZE MYLAN-Doxazosin 1mg tab (discontinued) MYL Apo-Doxazosin 1mg tab APX doxazosin 2mg tab Novo-Doxazosin 2mg tab NOP Apo-Doxazosin 2mg tab APX MYLAN-Doxazosin 2mg tab (discontinued) MYL pms-doxazosin 2mg tab (discontinued) PMS Cardura-2 2mg tab AZE doxazosin 4mg tab Apo-Doxazosin 4mg tab APX Novo-Doxazosin 4mg tab NOP MYLAN-Doxazosin 4mg tab (discontinued) MYL Cardura-4 4mg tab AZE pms-doxazosin 4mg tab (discontinued) PMS C02D C02DB ARTERIOLAR SMOOTH MUSCLE, AGENTS ACTING ON HYDRAZINOPHTHALAZINE DERIVATIVES C02DB02 HYDRALAZINE hydralazine HCl 10mg tab Apo-Hydralazine 10mg tab APX Jamp-Hydralazine 10mg tab JPC Mint-Hydralazine 10mg tab MNT Apresoline 10mg tab (discontinued) hydralazine HCl 25mg tab Apo-Hydralazine 25mg tab APX Jamp-Hydralazine 25mg tab JPC Mint-Hydralazine 25mg tab MNT Apresoline 25mg tab (discontinued) hydralazine HCl 50mg tab Apo-Hydralazine 50mg tab APX Jamp-Hydralazine 50mg tab JPC 28