Ontario Drug Benefit Formulary/Comparative Drug Index
|
|
|
- Brent William Fitzgerald
- 5 years ago
- Views:
Transcription
1 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 Policy and Strategy Branch Ontario Public Drug Programs Ministry of Health and Long-Term Care Visit Formulary Downloads: Edition 43
2 Table of Contents New Multi-Source Products... 3 Drug Benefit Price (DBP) Changes... 4 Delisted Products
3 New Multi-Source Products DIN/PIN Brand Name Strength Dosage Form Mfr DBP Atenolol 50mg Tab SAI Atenolol 100mg Tab SAI (Interchangeable with Tenormin) 3
4 Drug Benefit Price (DBP) Changes The Drug Benefit Prices (DBP) of the following 59 generic molecules on the Ontario Drug Benefit (ODB) Formulary will be reduced. The changes are listed by Generic Name, Strength, Dosage Form and DBP. For a list of price changes by individual DIN/PIN, please see the link on page 9. Generic Name Strength Dosage Form DBP Alendronate 70mg Tab Amiodarone HCl 200mg Tab Amlodipine 5mg Tab Amlodipine 10mg Tab Anastrozole 1mg Tab Atenolol 50mg Tab Atenolol 100mg Tab Atorvastatin Calcium 10mg Tab Atorvastatin Calcium 20mg Tab Atorvastatin Calcium 40mg Tab Atorvastatin Calcium 80mg Tab Azithromycin 250mg Tab Bicalutamide 50mg Tab Bisoprolol Fumarate 5mg Tab Bisoprolol Fumarate 10mg Tab Candesartan Cilexetil 8mg Tab Candesartan Cilexetil 16mg Tab Candesartan Cilexetil 32mg Tab Candesartan Cilexetil & Hydrochlorothiazide 16mg & 12.5mg Tab Candesartan Cilexetil & Hydrochlorothiazide 32mg & 12.5mg Tab Carvedilol 3.125mg Tab Carvedilol 6.25mg Tab Carvedilol 12.5mg Tab Carvedilol 25mg Tab
5 Drug Benefit Price (DBP) Changes (Continued) Generic Name Strength Dosage Form DBP Celecoxib 100mg Cap Celecoxib 200mg Cap Ciprofloxacin 250mg Tab Ciprofloxacin 500mg Tab Ciprofloxacin 750mg Tab Citalopram Hydrobromide 20mg Tab Citalopram Hydrobromide 40mg Tab Clonazepam 0.5mg Tab Clonazepam 2mg Tab Clopidogrel Bisulfate 75mg Tab Domperidone Maleate 10mg Tab Donepezil HCl 5mg Tab Donepezil HCl 10mg Tab Dutasteride 0.5mg Cap Escitalopram 10mg Tab Escitalopram 20mg Tab Ezetimibe 10mg Tab Famciclovir 500mg Tab Finasteride 5mg Tab Fluoxetine HCl 20mg Cap Gabapentin 100mg Cap Gabapentin 300mg Cap Gabapentin 400mg Cap Imatinib Mesylate 100mg Tab Imatinib Mesylate 400mg Tab Irbesartan 75mg Tab Irbesartan 150mg Tab Irbesartan 300mg Tab Irbesartan & Hydrochlorothiazide 300mg & 25mg Tab Irbesartan & Hydrochlorothiazide 150mg & 12.5mg Tab Irbesartan & Hydrochlorothiazide 300mg & 12.5mg Tab
6 Drug Benefit Price (DBP) Changes (Continued) Generic Name Strength Dosage Form DBP Lamotrigine 25mg Tab Lamotrigine 100mg Tab Lamotrigine 150mg Tab Levetiracetam 250mg Tab Levetiracetam 500mg Tab Levetiracetam 750mg Tab Metformin HCl 500mg Tab Montelukast Sodium 4mg Chew Tab Mycophenolate Mofetil 250mg Cap Mycophenolate Mofetil 500mg Tab Olanzapine 2.5mg Tab Olanzapine 5mg Tab Olanzapine 5mg Rapid Dissolve Tab Olanzapine 7.5mg Tab Olanzapine 10mg Tab Olanzapine 10mg Rapid Dissolve Tab Olanzapine 15mg Tab Olanzapine 15mg Rapid Dissolve Tab Omeprazole 20mg Cap/DR Cap/DR Tab Omeprazole 20mg Cap/DR Cap Omeprazole Magnesium 20mg DR Cap/DR Tab Pantoprazole Sodium 40mg Ent Tab Paroxetine HCl 20mg Tab Paroxetine HCl 30mg Tab Pramipexole Dihydrochloride Monohydrate 0.25mg Tab Pramipexole Dihydrochloride Monohydrate 1mg Tab Pramipexole Dihydrochloride Monohydrate 1.5mg Tab Pravastatin Sodium 10mg Tab Pravastatin Sodium 20mg Tab Pravastatin Sodium 40mg Tab
7 Drug Benefit Price (DBP) Changes (Continued) Generic Name Strength Dosage Form DBP Pregabalin 25mg Cap Pregabalin 50mg Cap Pregabalin 75mg Cap Pregabalin 150mg Cap Pregabalin 300mg Cap Quetiapine 25mg Tab Quetiapine 100mg Tab Quetiapine 200mg Tab Quetiapine 300mg Tab Rabeprazole Sodium 10mg Tab Rabeprazole Sodium 20mg Tab Ramipril 1.25mg Cap Ramipril 2.5mg Cap Ramipril 5mg Cap Ramipril 10mg Cap Ranitidine HCl 150mg Tab Ranitidine HCl 300mg Tab Risedronate Sodium 35mg Tab Risperidone 0.25mg Tab Risperidone 0.5mg Tab Risperidone 1mg Tab Risperidone 2mg Tab Risperidone 3mg Tab Risperidone 4mg Tab Rosuvastatin Calcium 5mg Tab Rosuvastatin Calcium 10mg Tab Rosuvastatin Calcium 20mg Tab Rosuvastatin Calcium 40mg Tab Sertraline HCl 25mg Cap Sertraline HCl 50mg Cap Sertraline HCl 100mg Cap
8 Drug Benefit Price (DBP) Changes (Continued) Generic Name Strength Dosage Form DBP Simvastatin 5mg Tab Simvastatin 10mg Tab Simvastatin 20mg Tab Simvastatin 40mg Tab Simvastatin 80mg Tab Solifenacin Succinate 5mg Tab Solifenacin Succinate 10mg Tab Telmisartan 40mg Tab Telmisartan 80mg Tab Telmisartan & Hydrochlorothiazide 80mg & 12.5mg Tab Telmisartan & Hydrochlorothiazide 80mg & 25mg Tab Topiramate 25mg Tab Topiramate 100mg Tab Topiramate 200mg Tab Valacyclovir 500mg Tab Valsartan 320mg Tab Valsartan 80mg Tab Valsartan 160mg Tab Valsartan & Hydrochlorothiazide 80mg & 12.5mg Tab Valsartan & Hydrochlorothiazide 320mg & 25mg Tab Valsartan & Hydrochlorothiazide 320mg & 12.5mg Tab Valsartan & Hydrochlorothiazide 160mg & 25mg Tab Valsartan & Hydrochlorothiazide 160mg & 12.5mg Tab Venlafaxine HCl 37.5mg ER Cap Venlafaxine HCl 75mg ER Cap Venlafaxine HCl 150mg ER Cap
9 Drug Benefit Price (DBP) Changes (Continued) To view the DBP changes by DIN/PIN, the ministry has posted an Excel file with the details of the listing changes for download and review (Edition 43: Pan-Canadian Select Molecule Price Initiative for Generic Drugs Drug Benefit Price Changes April 2018). It is accessible from the ministry s website: 9
10 Delisted Products DIN/PIN Brand Name Strength Dosage Form Mfr Co Candesartan/HCT 16mg & 12.5mg Tab COB Co Escitalopram 10mg Tab COB Co Escitalopram 20mg Tab COB Co Paroxetine 30mg Tab COB Co Topiramate 25mg Tab COB Co Topiramate 100mg Tab COB Co Topiramate 200mg Tab COB Ecl-Citalopram 20mg Tab ECL Ecl-Citalopram 40mg Tab ECL Ecl-Metformin 500mg Tab ECL Gd-Azithromycin 250mg Tab GEM Gd-Gabapentin 300mg Cap GEM Gd-Pregabalin 25mg Cap GEM Gd-Pregabalin 50mg Cap GEM Gd-Pregabalin 75mg Cap GEM Gd-Pregabalin 150mg Cap GEM Gd-Pregabalin 300mg Cap GEM Gd-Sertraline 25mg Cap GEM Gd-Sertraline 50mg Cap GEM Gd-Sertraline 100mg Cap GEM Gd-Topiramate 25mg Tab GEM Gd-Topiramate 100mg Tab GEM Gd-Topiramate 200mg Tab GEM Gd-Venlafaxine XR 37.5mg ER Cap GEM Gd-Venlafaxine XR 75mg ER Cap GEM Gd-Venlafaxine XR 150mg ER Cap GEM 10
11 Delisted Products (Continued) DIN/PIN Brand Name Strength Dosage Form Mfr Jamp-Amlodipine 5mg Tab JPC Jamp-Citalopram 20mg Tab JPC Jamp-Citalopram 40mg Tab JPC Jamp-Metformin Blackberry 500mg Tab JPC Jamp-Pregabalin 300mg Cap JPC Mint-Ciprofloxacin 250mg Tab MIN Mint-Ciprofloxacin 500mg Tab MIN Mint-Ciprofloxacin 750mg Tab MIN Mint-Citalopram 20mg Tab MIN Mint-Citalopram 40mg Tab MIN Mylan-Carvedilol 3.125mg Tab MYL Mylan-Carvedilol 6.25mg Tab MYL Mylan-Carvedilol 12.5mg Tab MYL Mylan-Ciprofloxacin 750mg Tab MYL Mylan-Clonazepam 0.5mg Tab MYL Mylan-Gabapentin 100mg Cap MYL Mylan-Gabapentin 300mg Cap MYL Mylan-Gabapentin 400mg Cap MYL Mylan-Irbesartan 300mg Tab MYL Mylan-Montelukast 4mg Chew Tab MYL Mylan-Pravastatin 20mg Tab MYL Mylan-Rabeprazole 10mg Tab MYL Mylan-Risedronate 35mg Tab MYL Mylan-Risperidone 1mg Tab MYL Mylan-Risperidone 2mg Tab MYL Mylan-Risperidone 3mg Tab MYL Mylan-Risperidone 4mg Tab MYL Mylan-Valsartan 160mg Tab MYL Novo-Ciprofloxacin 500mg Tab NOP Novo-Ciprofloxacin 750mg Tab NOP 11
12 Delisted Products (Continued) DIN/PIN Brand Name Strength Dosage Form Mfr Phl-Atenolol 50mg Tab PHE Phl-Atenolol 100mg Tab PHE Phl-Carvedilol 3.125mg Tab PHE Phl-Carvedilol 6.25mg Tab PHE Phl-Carvedilol 12.5mg Tab PHE Phl-Carvedilol 25mg Tab PHE PMS-Bisoprolol 5mg Tab PMS PMS-Bisoprolol 10mg Tab PMS PMS-Valsartan 160mg Tab PMS PMS-Valsartan 320mg Tab PMS Telmisartan-HCTZ 80mg & 12.5mg Tab PMS Telmisartan-HCTZ 80mg & 25mg Tab PMS Ran-Alendronate 70mg Tab RAN Ran-Finasteride 5mg Tab RAN Ran-Levetiracetam 250mg Tab RAN Ran-Levetiracetam 500mg Tab RAN Ran-Levetiracetam 750mg Tab RAN Ran-Montelukast 4mg Chew Tab RAN Ran-Olanzapine 2.5mg Tab RAN Ran-Olanzapine 7.5mg Tab RAN Ran-Omeprazole DR Tab 20mg DR Tab RAN Ran-Sertraline 25mg Cap RAN Ran-Sertraline 50mg Cap RAN Ran-Solifenacin 10mg Tab RAN Sandoz Ramipril Tab 1.25mg Tab SDZ Sandoz Ramipril Tab 2.5mg Tab SDZ Sandoz Ramipril Tab 5mg Tab SDZ Sandoz Ramipril Tab 10mg Tab SDZ Zinda-Anastrozole 1mg Tab STA 12
13
Product 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
PNEC 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
UPDATE 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
PRINCE 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
UPDATE 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
SHORT 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
Highlighted 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
Highlighted 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
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
UPDATE 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
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
UPDATE 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
UPDATE 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
PRESCRIPTION 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
UPDATE 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
PRESCRIPTION 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
PEI 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
PRINCE 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
UPDATE 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
UPDATE AB Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 25, 2011 SUMMARY OF CHANGES
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
NB 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
HPLC&LC-MS/MS 用試薬キット対応一覧表 - ( 株 ) 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
MHPILMCD 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
Value-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
UPDATE 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
COVERAGE 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
Value-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
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 Price Effective Date Prev Price Reason 77264 24590801 KEVZARA 150 MG/1.14 ML SYRINGE 268.4211 5/11/2018 New Add Newly
PRSMEDDPRSMCC1 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
Value-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
GCN 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
HPMMCR 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
Discovery 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
YES = 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
AFFINITY 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.
Current 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
Canadian 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
BESTMED 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)
SUPPORTING INFORMATION. Prediction of Synthetic Accessibility Based on Commercially Available Compound Databases
UPPRTIG IRMATI Prediction of ynthetic Accessibility Based on Commercially Available Compound Databases Yoshifumi ukunishi 1,2 *, Takashi Kurosawa 2,3, Yoshiaki Mikami 2,3, and aruki akamura 4 1 Molecular
Magellan 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
Prescription 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
The 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
UPDATE 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
YES = 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
BESTMED 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)
EnvisionRxPlus (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,
Release 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
Atorvastatin 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
2017 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
Release 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
Atorvastatin 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
Apotex 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
2016 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
Excellus 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
Atorvastatin 40 Mg Price Walmart
Atorvastatin 40 Mg Price Walmart 1 atorvastatin canada 2 caduet 5/10 mg pret 3 pfizer caduet coupon 4 atorvastatin 80 mg in acute coronary syndrome 5 atorvastatin fenofibrate uses 6 atorvastatin cost Punitives
BESTMED 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)
Medicare 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
YES = 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
Simultaneous Determination and Validation of Olmesartan Medoximil and Metoprolol Tartarate by Analytical Technique RP-HPLC
Simultaneous Determination and Validation of Olmesartan Medoximil and Metoprolol Tartarate by Analytical Technique RP-HPLC J. Sandya Rani 1, N. Devanna 2, J. Mamatha 3 1,2 Department of chemistry, Jawaharlal
Doxepin (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
ChartMaker 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
PUBLIC 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
PUBLIC 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
ALL 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
5.6 First Databank and Micromedex Cleanup Steps for Customers with PHA and RXM
5.6 First Databank and Micromedex Cleanup Steps for Customers with PHA and RXM This article outlines the steps for cleaning up recycled NDCs in the Pharmacy and RXM application in the 5.6 release for customers
U.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
MedKeeper Hub Administrator Manual Formulary Management
Hub Administrator Manual Formulary Management All rights reserved Copyrights Copyright 2008. All rights reserved. Hub is a trademark of. Clinical Pharmacology is a trademark of Gold Standard Inc. Applicable
Establishing and Executing Cleaning Validation
Establishing and Executing Cleaning Validation in a Risk-Based Environment Richard J. Forsyth AAPS Annual Meeting November 12, 2007 Determination and Use of Visible Residue Limits (VRL) Agenda Limits Viewing
PUBLIC 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
WHODrug B3- and C3-formats
2017 WHODrug s Implementation Guide November 2017 INSPIRE. ENGAGE. TRANSFORM. s Table of contents 1. Introduction... 3 2. Background... 3 3. Implementation timeline... 4 4. Description of the B3/C3 formats...
OptumRx quick reference guide
OptumRx quick reference guide Our website, optumrx.com is a fast, safe and secure way to manage your prescription benefits online. This quick reference guide illustrates how to use the tools and features
Using Drug Resources iphone Version. FSU College of Medicine Nancy Clark
Using Drug Resources iphone Version FSU College of Medicine 2011 2012 2012 Nancy Clark Table of Contents Topic Page Drug References on the Library Web site 3 Accessing Library Resources Off Campus using
Medicare Advantage Flex, Medicare Advantage $0 Premium Plans: Preferred Drug List Changes
ACTEMRA SYRINGE ACTHAR HP GEL INJECTABLE CORICOSTEROID (SOLU MEDROL, DEPO MEDROL) AUBAGIO TABLET BETASERON INJECTION 0.3MG, TYSABRI INJECTION 300MG/15ML, GILENYA CAPSULE 0.5MG AVONEX 30MCG PEN & PEN KIT
Mock-Up Labels and Packages Certification Form for Prescription Products. Notifiable Change. Jamp-Amlodipine. Amlodipine Besylate
l+i Health Canada Sante Canada Your health and safety... our priority. Votre sante et votre securite... notre priorite. Protected A Mock-Up Labels and Packages Certification Form for Prescription Products
Emblem 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
OptumRx Quick Reference Guide
OptumRx Our website, www.optumrx.com is a fast, safe and secure way to manage your prescription benefits online. This quick reference guide illustrates how to use the tools and features that will help
The GAPS Framework. To develop national healthcare ICT systems, countries need to work on 4 important fundamental topics.
IV. The GAPS Framework To develop national healthcare ICT systems, countries need to work on 4 important fundamental topics. National Health Information Systems Blueprint (the Architecture) A Health Information
- Monthly Messenger. Visit for our Online Catalog. RETAIL $27.99 SIZE 60 Vcaps. 25% Savings. Product number P56614.
ALL PRICES VALID THRU July 2018 ALL PRODUCT SUBJECT TO AVAILABILITY Visit www.thegoodapple.com for our Online Catalog P56196 Herbal Pause $20.99 RETAIL $27.99 SIZE 60 Vcaps Herbal Pause with EstroG- 100
2006 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.
DRUS 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
SOCRATES GP V2.3 RELEASE NOTES
SOCRATES GP V2.3 RELEASE NOTES Last Updated 21 September 2016 Contents 1. EULA... 3 2. Notifications > Delivery Error SMS Messages... 3 3. Patient Maintenance... 4 3.1. 4. Patient Registration > SMS Consent...
Ordering New & Refill Prescriptions Online With Costco Mail Order
Ordering New & Refill Prescriptions Online With Costco Mail Order Last updated: 09/2018 Register an Account Visit: pharmacy.costco.com Click Sign In/Register and then Create Account to get started on your
Introduction. Characteristics. Chemical Formula. General Properties of Fujicalin. Application. Application in Probiotics.
The Unique DCPA Dibasic Calcium Phosphate Anhydrous designed to function as a direct compression excipient with high exceptional flow and compression characteristics Table of Contents Introduction...
OptumRx quick reference guide
OptumRx quick reference guide Our website, optumrx.com is a fast, safe and secure way to manage your prescription benefits online. This quick reference guide illustrates how to use the tools and features
Multidophilus 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
Borders 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
A guide to using NHS Evidence
A guide to using NHS Evidence www.evidence.nhs.uk This guide is for pharmacy, medicines management and other healthcare professionals and prescribers in primary care and secondary care. It aims to help
COMPASS LABORATORY SERVICES COLLECTION PROCEDURES AND FAQS
COMPASS LABORATORY SERVICES COLLECTION PROCEDURES AND FAQS COMPANY CONTACTS For any questions regarding your account, specimen collection, IT troubleshooting, or to order more supplies, please contact
User Manual. Ver. (9.1.0)
User Manual Ver. (9.1.0) Preface Rising is a highly focused product specialist in the field of Financial Market especially, Secondary Market Back Office Solution. No. of Back Office solutions with us.
TABLE OF CONTENTS INSCRIBE SHORTCUT PROGRAM USING ASR-ENHANCED SHORTCUTS
INSCRIBE SHORTCUT PROGRAM USING ASR-ENHANCED SHORTCUTS TABLE OF CONTENTS WEEK 12: ALT + G, ALT + L, F11 or SHIFT + CTRL + P, CTRL + 0, ALT + TAB... 2 ALT + G (Jump to Gender)... 2 ALT + L (Jump to Location)...
TOH Portal Services Expansion. Privacy Impact Assessment Summary
TOH Portal Services Expansion Privacy Impact Assessment Summary Copyright Notice Copyright 2011, ehealth Ontario All rights reserved Trademarks No part of this document may be reproduced in any form, including
Market Advisor TOOLS GUIDE
Market Advisor TOOLS GUIDE Market Advisor TOOLS GUIDE 1 Market Advisor Updated Tools - NEW FEATURES: For current users of our Market Advisor suite of quoting tools, here is an overview of our newest features.
MNsure s New Tools for Open Enrollment 2018
MNsure s New Tools for Open Enrollment 2018 Courtesy call back option for the MNsure Contact Center Courtesy call back Available to consumers calling MNsure s Contact Center (went live in October 2017)
MedKeeper User Manual
MedKeeper User Manual MedKeeper Copyrights Copyright 2008 MedKeeper.. MedKeeper Hub is a trademark of MedKeeper. Clinical Pharmacology is a trademark of Gold Standard Inc. Applicable FARS/DFARS restrictions
(C, ) Hospira, Inc., 275 North Field Drive, Lake Forest, IL 60045, USA
Hospira, Inc., 275 North Field Drive, Lake Forest, IL 60045, USA 430-98302-002 (C, 2016-06) Hospira UK Limited Horizon, Honey Lane, Hurley, Maidenhead, SL6 6RJ, UK Notes: Hospira MedNet Meds Software User
YourHealthAlliance.org Overview for Providers and Office Personnel
YourHealthAlliance.org Overview for Providers and Office Personnel Table of Contents 1. Registration 2. Announcements 3. Account Settings 4. Claims and Claim Reprocessing Inquiries 5. Attach to Member
Report on Forensic Science Application
Report on Forensic Science Application Assignment #4 Vikramaditya Jakkula [10917554] Introduction The goal of the assignment is to develop an ANN system which could classify a piece of glass from a beer
PUBLIC 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
MemoCare Introduction PROTOCOL. An initiative of. August Table of Contents
MemoCare Introduction PROTOCOL This document provides information on how to use the MemoCare program. August 2013 Version 2.0 Table of Contents Program Objective... 2 Configure Options...2 Patient Enrolment
B-100 Complex $16.49
ALL PRICES VALID THRU July 2016 The g d apple - Monthly Messenger 2016 Visit www.thegoodapple.com for our Online Catalog P12090 Super Digestaway RETAIL $23.19 SIZE 180 Caps $13.91 Dietary Supplement Enzymes