PEI PROVINCIAL INTERCHANGEABLE DRUG LIST

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Transcription:

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 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, 2012. All submissions for the addition of products to the Provincial Interchangeable Drug List (PIDL) must be made electronically by email 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 email: pharmservices@ihis.org The subject of all email submissions must be PIDL Submission. Email submissions must not exceed 5 megabytes in size. Submissions may be sent as compressed zip files. An email 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 email. Submissions will be reviewed by drug program staff. PEI Pharmacare will not be responsible for any errors or omissions in submissions noted by manufacturers.

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 email 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

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

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.

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.

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 6 02291967 AAA 7 Zofran 4mg/5ml o/l 02229639 GSK 8 ondansetron 4mg tab Mar-Ondansetron 4mg tab 02371731 MAR Novo-Ondansetron 4mg tab 02264056 NOP RAN-Ondansetron 4mg tab 02312247 RAN Sandoz Ondansetron 4mg tab 02274310 SDZ Jamp-Ondansetron 4mg tab 02313685 JPC ratio-ondansetron 4mg tab 02278529 RPH pms-ondansetron 4mg tab 02258188 PMS Zofran 4mg tab 02213567 GSK MYLAN-Ondansetron 4mg tab 02297868 MYL phl-ondansetron 4mg tab 02278618 PHL CO Ondansetron 4mg tab 02296349 COB Apo-Ondansetron 4mg tab 02288184 APX Ondansetron-Odan 4mg tab 02306212 ODN MINT- Ondansetron 4mg tab 02305259 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

Additions to the Quarterly Provincial Interchangeable Drug List (PIDL) July 2018 ACT-DEXTROAMPHETAMINE SR 15MG CAPSULE 02448327 ACT-METHYLPHENIDATE ER 18MG TABLET 02441934 ACT-METHYLPHENIDATE ER 27MG TABLET 02441942 ACT-METHYLPHENIDATE ER 36MG TABLET 02441950 ACT-METHYLPHENIDATE ER 54MG TABLET 02441969 ALMOTRIPTAN 12.5MG TABLET 02466821 APO-ARIPIPRAZOLE 2MG TABLET 02471086 APO-ARIPIPRAZOLE 5MG TABLET 02471094 APO-ARIPIPRAZOLE 10MG TABLET 02471108 APO-ARIPIPRAZOLE 15MG TABLET 02471116 APO-ARIPIPRAZOLE 20MG TABLET 02471124 APO-ARIPIPRAZOLE 30MG TABLET 02471132 APO-METFORMIN ER 500MG TABLET 02305062 APO-QUETIAPINE XR 50MG TABLET 02457229 APO-QUETIAPINE XR 150MG TABLET 02457237 APO-QUETIAPINE XR 200MG TABLET 02457245 APO-QUETIAPINE XR 300MG TABLET 02457253 APO-QUETIAPINE XR 400MG TABLET 02457261 APO-VARENICLINE 0.5MG TABLET 02419882 APO-VARENICLINE 1MG TABLET 02419890 APO-VARENICLINE 0.5MG/1MG TABLET DOSE PACK 02435675 AURO-METRONIDAZOLE 500MG CAPSULE 02470284 AURO-PRAVASTATIN 10MG TABLET 02458977 AURO-PRAVASTATIN 20MG TABLET 02458985 AURO-PRAVASTATIN 40MG TABLET 02458993 AURO-ZIPRASIDONE 20MG TABLET 02449544 AURO-ZIPRASIDONE 40MG TABLET 02449552 AURO-ZIPRASIDONE 60MG TABLET 02449560 AURO-ZIPRASIDONE 80MG TABLET 02449560 DONEPEZIL 5MG TABLET 02426846 DONEPEZIL 10MG TABLET 02426854 JAMP-ENTECAVIR 0.5MG TABLET 02467232 JAMP-RISPERIDONE 1MG/ML ORAL SOLUTION 02454319 JAMP-RIZATRIPTAN ODT 5MG TABLET 02465086 JAMP-RIZATRIPTAN ODT 10MG TABLET 02465094 MINT-ESCITALOPRAM 10MG TABLET 02407418 MINT-ESCITALOPRAM 20MG TABLET 02407434

MINT-HYDRALAZINE 10MG TABLET 02468778 NAT-OSELTAMIVIR 30MG CAPSULE 02472635 NAT-OSELTAMIVIR 45MG CAPSULE 02472643 NAT-TENOFOVIR 300MG TABLET 02472511 PHARMA-SIMVASTATIN 5MG TABLET 02469979 PHARMA-SIMVASTATIN 10MG TABLET 02469987 PHARMA-SIMVASTATIN 80MG TABLET 02470012 PMS-NITROFURANTOIN 100MG CAPSULE 02455676 PMS-TENOFOVIR 300MG TABLET 02453940 PMS-TRANDOLAPRIL 2MG CAPSULE 02357771 PMS-TRANDOLAPRIL 4MG CAPSULE 02357798 RAN-FENOFIBRATE E 145MG TABLET 02454696 RAN-GLICLAZIDE 30MG EXTENDED RELEASE TABLET 02463571 RAN-RAMIPRIL HCTZ 5MG & 12.5MG TABLET 02449447 RAN-RAMIPRIL HCTZ 10MG & 12.5MG TABLET 02449455 RAN-RAMIPRIL HCTZ 10MG & 25MG TABLET 02449471 TARO-ACITRETIN 25MG CAPSULE 02466082 TEVA-CYCLOSPORINE 0.05% OPH EMULSION 02462486

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 02237452 MDA Perichlor 0.12% oral rinse 02240433 PMS A01AC CORTICOSTEROIDS FOR LOCAL ORAL TREATMENT A01AC01 TRIAMCINOLONE triamcinolone acetonide 0.1% oral paste Oracort 0.1% Paste 01964054 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) 02310422 NOP Apo-Benzydamine 0.15% oral rinse (discontinued) 02239044 APX Pharxia 0.15% oral rinse 02229777 PEN pms-benzydamine 0.15% oral rinse 02239537 PMS Sun Benz 0.15% oral rinse (discontinued) 02226820 SUN Odan-Benzydamine 0.15% oral rinse 02463105 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 00584215 APX Tagamet 200mg tab (discontinued) cimetidine 300mg tab Apo-Cimetidine 300mg tab 00487872 APX MYLAN-Cimetidine 300mg tab 02227444 MYL Nu-Cimet 300mg tab (discontinued) 00865818 NXP Tagamet 300mg tab (discontinued) cimetidine 400mg tab MYLAN-Cimetidine 400mg tab 02227452 MYL Apo-Cimetidine 400mg tab 00600059 APX 1

Nu-Cimet 400mg tab (discontinued) 00865826 NXP Tagamet 400mg tab (discontinued) cimetidine 600mg tab Apo-Cimetidine 600mg tab 00600067 APX MYLAN-Cimetidine 600mg tab (discontinued) 02227460 MYL Nu-Cimet 600mg tab (discontinued) 00865834 NXP Tagamet 600mg tab (discontinued) cimetidine 800mg tab Apo-Cimetidine 800mg tab 00749494 APX Tagamet 800mg tab (discontinued) A02BA02 RANITIDINE ranitidine 15mg/ml o/l Apo-Ranitidine 15mg/ml o/l 02280833 APX Novo-Ranidine 15mg/ml o/l 02242940 NOP Zantac 15mg/ml o/l 02212374 GSK Zantac 15mg/ml o/l (discontinued) ranitidine 75mg tab Apo Ranitidine 75mg tab 02230507 APX Zantac 75mg tab 02230287 MCL ranitidine 150mg tab Novo-Ranidine 150mg tab (discontinued) 00828564 NOP Sandoz Ranitidine 150mg tab 02243229 SDZ CO Ranitidine 150mg tab 02248570 COB Zantac 150mg tab (discontinued) 02212331 GSK pms-ranitidine 150mg tab 02242453 PMS ratio-ranitidine 150mg tab (discontinued) 00828823 RPH Apo-Ranitidine 150mg tab 00733059 APX MYLAN-Ranitidine 150mg tab (disctontinued) 02207761 MYL Ranitidine 150mg tab 02353016 SNS RAN-Ranitidine 150mg tab 02336480 RAN Myl-Ranitidine 150mg tab (discontinued) 02367378 MYL Ranitidine 150mg tab 02385953 SIV Nu-Ranit 150mg tab (discontinued) 00865737 NXP ranitidine 300mg tab ratio-ranitidine 300mg tab 00828688 RPH CO Ranitidine 300mg tab 02248571 COB pms-ranitidine 300mg tab 02242454 PMS MYLAN-Ranitidine 300mg tab (discontinued) 02207788 MYL Novo-Ranidine 300mg tab (discontinued) 00828556 NOP Zantac 300mg tab (discontinued) 02212358 GSK Apo-Ranitidine 300mg tab 00733067 APX 2

Sandoz Ranitidine 300mg tab 02243230 SDZ Ranitidine 300mg tab 02353024 SNS RAN-Ranitidine 300mg tab 02336502 RAN Myl-Ranitidine 300mg tab (discontinued) 02367386 MYL Ranitidine 300mg tab 02385961 SIV Nu-Ranit 300mg tab (discontinued) 00865745 NXP A02BA03 FAMOTIDINE famotidine 20mg tab Famotidine 20mg tab 02351102 SNS Pepcid 20mg tab (discontinued) 00710121 MSD Apo-Famotidine 20mg tab 01953842 APX Novo-Famotidine 20mg tab 02022133 NOP MYLAN-Famotidine 20mg tab 02196018 MYL Ratio-Famotidine 20mg tab 02242327 RPH Nu-Famotidine 20mg tab (discontinued) 02024195 NXP famotidine 40mg tab Pepcid 40mg tab (discontinued) 00710113 MSD Apo-Famotidine 40mg tab 01953834 APX Novo-Famotidine 40mg tab 02022141 NOP MYLAN-Famotidine 40mg tab (discontinued) 02196026 MYL Famotidine 40mg tab 02351110 SNS Ratio-Famotidine 40mg tab 02242328 RPH Nu-Famotidine 40mg tab (discontinued) 02024209 NXP A02BA04 NIZATIDINE nizatidine 150mg cap Novo-Nizatidine 150mg cap (discontinued) 02240457 NOP Axid 150mg cap 00778338 PEN Apo-Nizatidine 150mg cap (discontinued) 02220156 APX pms-nizatidine 150mg cap (discontinued) 02177714 PMS nizatidine 300mg cap Novo-Nizatidine 300mg cap (discontinued) 02240458 NOP Apo-Nizatidine 300mg cap (discontinued) 02220164 APX pms-nizatidine 300mg cap (discontinued) 02177722 PMS Axid 300mg cap (discontinued) 00778346 PEN A02BB PROSTAGLANDINS A02BB01 MISOPROSTOL misoprostol 100mcg tab Misoprostol 100mcg tab 02244022 AAA Cytotec 100mcg tab (discontinued) misoprostol 200mcg tab 3

Misoprostol 200mcg tab 02244023 AAA Cytotec 200mcg tab (discontinued) A02BC PROTON PUMP INHIBITORS A02BC01 OMEPRAZOLE omeprazole 10mg cap MYLAN Omeprazole 10mg cap 02329425 MYL Sandoz Omeprazole 10mg cap 02296438 SDZ Losec 10mg cap 02119579 AZE omeprazole 20mg cap Apo-Omeprazole 20mg cap 02245058 APX Sandoz Omeprazole 20mg cap 02296446 SDZ pms-omeprazole 20mg cap 02320851 PMS MYLAN-Omeprazole 20mg cap (discontinued) 02329433 MYL Ran-Omeprazole 20mg cap 02403617 RAN omeprazole-20 20mg cap 02411857 SIV Losec 20mg cap 00846503 AZE omeprazole 10mg cap/tab Teva-Omeprazole 10mg tab 02295407 TEV Losec 10mg tab 02230737 AZE omeprazole 20mg delayed release tab ratio-omeprazole 20mg tab 02260867 RPH Losec 20mg tab 02190915 AZE pms-omeprazole DR 20mg tab 02310260 PMS Omeprazole 20mg cap 02348691 SNS Novo-Omeprazole Delayed-Release 20mg tab 02295415 TEV Jamp-Omeprazole DR 20mg tab 02420198 JPC Omeprazole Magnesium 20mg tab 02416549 ACH Van-Omeprazole 20mg tab 02432404 VAN Nat-Omeprazole 20mg DR tab 02439549 NAT Ran-Omeprazole 20mg delayed release tab 02374870 RAN A02BC02 PANTOPRAZOLE pantoprazole 20mg EC tab ratio-pantoprazole 20mg DR tab 02308681 RPH Pantoloc 20mg DR tab 02241804 NYC Apo-Pantoprazole 20mg DR tab 02292912 APX Sandoz Pantoprazole 20mg DR tab 02301075 SDZ RAN-Pantoprazole 20mg DR tab 02305038 RAN pantoprazole 20mg tab (discontinued) 02385740 SIV Jamp-Pantoprazole EC 20mg tab 02408414 JPC Pantoprazole DR 20mg tab 02428172 SIV Novo-Pantoprazole 20mg DR tab 02285479 NOP 4

pantoprazole 40mg EC tab Novo-Pantoprazole 40mg DR tab 02285487 NOP ratio-pantoprazole 40mg DR tab 02308703 RPH Apo-Pantoprazole 40mg DR tab 02292920 APX MYLAN-Pantoprazole 40mg DR tab 02299585 MYL CO Pantoprazole 40mg DR tab 02300486 COB Sandoz Pantoprazole 40mg DR tab 02301083 SDZ RAN-Pantoprazole 40mg DR tab 02305046 RAN pms-pantoprazole 40mg DR tab 02307871 PMS Pantoloc 40mg DR tab 02229453 NYC Pantoprazole 40mg tab (discontinued) 02385759 SIV Jamp-Pantoprazole EC 40mg tab 02357054 JPC Mint-Pantoprazole 40mg tab 02417448 MNT Abbott-Pantoprazole 40mg tab (discontinued) 02412969 ABB Mar-Pantoprazole 40mg tab 02416565 MAR Pantoprazole 40mg tab 02437945 PMS Auro-Pantoprazole 40mg tab 02415208 ARO Pantoprazole DR 40mg tab 02428180 SIV Pantoprazole 40mg tab 02370808 SNS pantoprazole magnesium 40mg tab Tecta 40mg tab 02267233 TAK Mylan-Pantoprazole T 40mg tab 02408570 MYL Teva-Pantoprazole Magnesium 40mg tab 02440628 TEV Pantoprazole T 40mg tab 02466147 SNS Pantoprazole Magnesium 40mg tab 02441853 ALH A02BC03 LANSOPRAZOLE lansoprazole 15mg cap MYLAN-Lansoprazole 15mg DR cap 02353830 MYL Apo-Lansoprazole 15mg DR cap 02293811 APX Novo-Lansoprazole 15mg DR cap 02280515 NOP Prevacid 15mg cap 02165503 ABB Pms-Lansoprazole 15mg cap 02395258 PMS Sandoz-Lansoprazole 15mg cap 02385643 SDZ Ran-Lansoprazole 15mg cap 02402610 RAN Lansoprazole 15mg DR cap 02433001 PMS Lansoprazole 15mg DR cap 02385767 SIV Lansoprazole 15mg DR cap 02357682 SNS lansoprazole 30mg cap Prevacid 30mg cap 02165511 ABB MYLAN-Lansoprazole 30mg DR cap 02353849 MYL Novo-Lansoprazole 30mg DR cap 02280523 NOP Apo-Lansoprazole 30mg DR cap 02293838 APX Pms-Lansoprazole 30mg cap 02395266 PMS 5

Sandoz-Lansoprazole 30mg cap 02385651 SDZ Ran-Lansoprazole 30mg cap 02402629 RAN Lansoprazole-30 30mg cap 02410389 SIV Lansoprazole 30mg DR cap 02433028 PMS Lansoprazole 30mg DR cap 02357690 SNS A02BC04 RABEPRAZOLE rabeprazole 10mg EC tab Pariet 10mg EC tab 02243796 JAN Novo-Rabeprazole 10mg EC tab 02296632 TEV RAN-Rabeprazole 10mg EC tab 02298074 RAN pms-rabeprazole 10mg EC tab 02310805 PMS Sandoz Rabeprazole 10mg EC tab 02314177 SDZ Apo-Rabeprazole 10mg tab 02345579 APX Rabeprazole EC 10mg tab 02356511 SNS Mylan-Rabeprazole 10mg tab (discontinued) 02408392 MYL Rabeprazole 10mg tab 02385449 SIV Abbott-Rabeprazole 10mg tab (discontinued) 02422638 ABB Pat-Rabeprazole 10mg tab (discontinued) 02381737 PAT rabeprazole 20mg EC tab pms-rabeprazole 20mg EC tab 02310813 PMS Sandoz Rabeprazole 20mg EC tab 02314185 SDZ RAN-Rabeprazole 20mg EC tab 02298082 RAN Novo-Rabeprazole 20mg EC tab 02296640 TEV Pariet 20mg EC tab 02243797 JAN Apo-Rabeprazole 20mg tab 02345587 APX Rabeprazole EC 20mg tab 02356538 SNS Mylan-Rabeprazole 20mg tab (discontinued) 02408406 MYL Rabeprazole EC 20mg tab 02385457 SIV Abbott-Rabeprazole 20mg tab (discontinued) 02422646 ABB Pat-Rabeprazole 20mg tab (discontinued) 02381745 PAT A02BC05 ESOMEPRAZOLE esomeprazole 20mg tab Apo-Esomeprazole 20mg DR tab 02339099 APX Ran-Esomeprazole 20mg tab 02423979 RAN esomeprazole 20mg tab 02442493 SIV Act-Esomeprazole 20mg tab 02423855 ATV Nexium 20mg tab 02244521 AZE esomeprazole 40mg tab/cap Apo-Esomeprazole 40mg DR tab 02339102 APX Pms-Esomeprazole 40mg DR cap 02379171 PMS Esomeprazole 40mg tab 02431173 SNS Ran-Esomeprazole 40mg tab 02423987 RAN Esomeprazole 40mg tab 02442507 SIV 6

Act-Esomeprazole 40mg tab 02426863 ATV Nexium 40mg tab 02244522 AZE A02BX OTHER DRUGS FOR PEPTIC ULCER AND GASTRO ESOPHAGEAL REFLUX DISEASE (GERD) A02BX02 SUCRALFATE sucralfate 1g tab Novo-Sucralate 1g tab 02045702 NOP Sulcrate 1g tab 02100622 AXC Apo-Sucralfate 1g tab 02125250 APX Nu-Sucralfate 1g tab (discontinued) 02134829 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 00803499 AXC Apo-Trimebutine 200mg tab 02245664 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) 00392693 SDZ Atropine Sulfate 0.6mg/ml inj Sol (1ml) (discontinued) 00497258 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 00618454 APX Librax cap 00115630 VAL A03F A03FA PROPULSIVES PROPULSIVES A03FA01 METOCLOPRAMIDE metoclopramide HCl 1mg o/l Pms-Metoclopramide Oral Sol 1mg/ml 02230433 PMS Maxeran 1mg/ml o/l (discontinued) 7

metoclopramide HCl 5mg tab Apo-Metoclop 5mg tab (discontinued) 00842826 APX pms-metoclopramide 5mg tab 02230431 PMS Nu-Metoclopramide 5mg tab (discontinued) 02143275 NXP Maxeran 5mg tab (discontinued) metoclopramide HCl 10mg tab pms-metoclopramide 10mg tab 02230432 PMS Apo-Metoclop 10mg tab (discontinued) 00842834 APX Nu-Metoclopramide 10mg tab (discontinued) 02143283 NXP Maxeran 10mg tab (discontinued) A03FA03 DOMPERIDONE domperidone maleate 10mg tab Domperidone 10mg tab 02350440 SNS Apo-Domperidone 10mg tab 02103613 APX pms-domperidone 10mg tab 02236466 PMS RAN-Domperidone 10mg tab 02268078 RAN MYLAN-Domperidone 10mg tab (discontinued) 02278669 MYL Novo-Domperidone 10mg tab (discontinued) 02157195 TEV ratio-domperidone 10mg tab 01912070 RPH Jamp-Domperidone 10mg tab 02369206 JPC Mar-Domperidone 10mg tab 02403870 MAR Domperidone 10mg tab 02238341 SIV Nu-Domperidone 10mg tab (discontinued) 02231477 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 02291967 AAA Zofran 4mg/5ml o/l 02229639 NVR ondansetron 4mg tab Mar-Ondansetron 4mg tab 02371731 MAR Novo-Ondansetron 4mg tab 02264056 NOP RAN-Ondansetron 4mg tab 02312247 RAN Sandoz Ondansetron 4mg tab 02274310 SDZ Jamp-Ondansetron 4mg tab 02313685 JPC ratio-ondansetron 4mg tab (discontinued) 02278529 RPH pms-ondansetron 4mg tab 02258188 PMS Zofran 4mg tab 02213567 NVR Septa-Ondansetron 4mg tab 02376091 SPT 8

MYLAN-Ondansetron 4mg tab 02297868 MYL phl-ondansetron 4mg tab 02278618 PHL CO Ondansetron 4mg tab 02296349 COB Apo-Ondansetron 4mg tab 02288184 APX Ondansetron-Odan 4mg tab (discontinued) 02306212 ODN Ondansetron 4mg tab 02421402 SNS Nat-Ondansetron 4mg tab 02417839 NAT Van-Ondansetron 4mg tab 02448440 VAN MINT- Ondansetron 4mg tab 02305259 MNT ondansetron 8mg tab Mar-Ondansetron 8mg tab 02371758 MAR CO Ondansetron 8mg tab 02296357 COB pms-ondansetron 8mg tab 02258196 PMS Novo-Ondansetron 8mg tab 02264064 TEV Sandoz Ondansetron 8mg tab 02274329 SDZ ratio-ondansetron 8mg tab (discontinued) 02278537 RPH phl-ondansetron 8mg tab 02278626 PHL Zofran 8mg tab 02213575 NVR MYLAN-Ondansetron 8mg tab 02297876 MYL MINT-Ondansetron 8mg tab 02305267 MNT Septa-Ondansetron 8mg tab 02376105 SPT Ondansetron-Odan 8mg tab (discontinued) 02306220 ODN RAN-Ondansetron 8mg tab 02312255 RAN Ondansetron 8mg tab 02421410 SNS Jamp-Ondansetron 8mg tab 02313693 JPC Nat-Ondansetron 8mg tab 02417847 NAT Van-Ondansetron 8mg tab 02448467 VAN Apo-Ondansetron 8mg tab 02288192 APX ondansetron odt 4mg tab Zofran ODT 4mg tab 02239372 NVR Sandoz-Ondansetron odt 4mg tab 02444674 SDZ ondansetron odt 8mg tab Zofran ODT 8mg tab 02239373 NVR Sandoz-Ondansetron odt 8mg tab 02444682 SDZ A04AA02 GRANISETRON granisetron 1 mg tab Apo-Granisetron 1mg tab 02308894 APX Nat-Granisetron 1mg tab 02452359 NAT Kytril 1mg tab 02185881 HLR A04AD OTHER ANTIEMETICS A04AD01 SCOPOLAMINE 9

scopolamine 20mg/ml inj Hyoscine Butylbromide 20mg/ml inj 02229868 SDZ Buscopan 20mg/ml inj (discontinued) A04AD11 NABILONE (CANNABINOID (THC) DERIVATIVES) nabilone 0.25mg cap Cesamet 0.25mg cap 02312263 VAL Ran-Nabilone 0.25mg cap 02358077 RAN Teva-Nabilone 0.25mg cap 02392925 TEV nabilone 0.5mg cap Cesamet 0.5mg cap 02256193 VAL Ran-Nabilone 0.5mg cap (discontinued) 02358085 RAN Pms-Nabilone 0.5mg cap 02380900 PMS Teva-Nabilone 0.5mg cap 02384884 TEV Co-Nabilone 0.5mg cap 02393581 COB nabilone 1mg cap Cesamet 1mg cap 00548375 VAL Ran-Nabilone 1mg cap 02358093 RAN Pms-Nabilone 1mg cap 02380919 PMS Teva-Nabilone 1mg cap 02384892 TEV C0-Nabilone 1mg cap 02393603 COB A04AD99 DIMENHYDRINATE dimenhydrinate 10mg/ml IV inj Dimenhydrinate 10mg/ml Iv Amp 00392731 SDZ Gravol 10mg/ml IV Amp (discontinued) dimenhydrinate 50mg/ml IM inj Dimenhydrinate IM inj USP 50mg/ml liq 00392537 SDZ Gravol 50mg/ml IM inj 00013579 CDC dimenhydrinate 50mg tab Gravol 50mg tab 00013803 CDC Novo-Dimenate 50mg tab 00021423 NOP Apo-Dimenhydrinate 50mg tab (discontinued) 00363766 APX dimenhydrinate 50mg supp Gravol 100mg supp 00013609 CDC Sandoz-Dimenhydrinate 100mg supp 00392545 SDZ A05 A05A A05AA BILE AND LIVER THERAPY BILE THERAPY BILE ACID PREPARATIONS 10

A05AA02 URSODIOL (URSODEOXYCHOLIC ACID) ursodiol 250mg tab pms-ursodiol C 250mg tab 02273497 PMS ursodiol 250mg tab 02426900 GLP Urso 250mg tab 02238984 AXC ursodiol 500mg tab Urso DS 500mg tab 02245894 AXC Ursodiol 500mg tab 02426919 GLP pms-ursodiol C 500mg tab 02273500 PMS A06 A06A A06AA LAXATIVES LAXATIVES SOFTENERS, EMOLLIENTS A06AA02 DOCUSATE SODIUM docusate sodium 100mg cap Pms-Docusate Sodium 100mg cap 00703494 PMS Docusate Sodium 100mg cap 00716731 TAR Ratio-Docusate Sodium 100mg cap 00870196 RPH Novo-Docusate 100mg cap 02020084 NOP Colace 100mg cap 02106256 WES Docusate sodium 100mg cap 02426838 SNS Apo-Docusate Sodium 100mg cap 02245079 APX docusate sodium 4mg/ml syr Pms-Docusate Sodium 4mg/ml syr 00703508 PMS Colace 4mg/ml syr 02086018 WES Ratio-Docusate Sodium 4mg/ml syr 00870226 RPH A06AB CONTACT LAXATIVES A06AB02 BISACODYL bisacodyl 5mg EC tab Dulcolax 5mg EC tab 00254142 BOE Apo-Bisacodyl 5mg EC tab 00545023 APX Pms-Bisacodyl 5mg EC tab (discontinued) 00587273 PMS bisacodyl 10mg supp Dulcolax 10mg supp 00003875 BOE Ratio-Bisacodyl 10mg supp (discontinued) 00404802 RPH Jamp-Bisacodyl 10mg supp 02361450 JPC Pms-Bisacodyl 10mg supp (discontinued) 00582883 PMS Apo-Bisacodyl 10mg supp (discontinued) 00754595 APX 11

A06AB06 SENNA GLYCOSIDES senna glycosides 8.6mg tab Senokot 8.6mg tab 00026158 PFR Pms-Sennosides 8.6mg tab 00896411 PMS A06AD OSMOTICALLY ACTING LAXATIVES A06AD11 LACTULOSE lactulose 667mg/ml o/l Apo-Lactulose 667mg/ml o/l 02242814 APX ratio-lactulose 667mg/ml o/l 00854409 RPH Pms-Lactulose 667mg/ml sol 00703486 PMS lactulose 667mg/ml o/l 02412268 SNS Lactulose 667mg/ml o/l 02295881 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 100000IU/ml 02194201 RPH Pms-Nystatin 100000u/ml susp 00792667 PMS Jamp-Nystatin 100,000u/ml oral susp 02433443 JPC Mycostatin 100,000iu/ml Oral Susp (discontinued) VANCOMYCIN vancomycin hcl 125mg caps Vancocin 125mg mg caps 00788716 MRS Jamp-Vancomycin 125mg caps 02407744 JPC Vancomycin Hydrochloride 125mg caps 02377470 PPC vancomycin hcl 250mg caps Vancocin 250mg caps 00788716 MRS Jamp-Vancomycin 250mg caps 02407752 JPC Vancomycin Hydrochloride 250mg caps 02377489 PPC A07D A07DA ANTIPROPULSIVES ANTIPROPULSIVES A07DA03 LOPERAMIDE loperamide 2mg caplet Apo-Loperamide 2mg caplet 02212005 APX Novo-Loperamide 2mg caplet 02132591 NOP Imodium 2mg caplet 02183862 MCL 12

pms-loperamide 2mg caplet 02228351 PMS Sandoz Loperamide 2mg caplet (discontinued) 02257564 SDZ Diarr-eze 2mg caplet 02229552 PEN loperamide HCl 0.2mg/ml o/l Pms-Loperamide Sol 0.2mg/ml inj 02016095 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 00598461 PMS Salazopyrin 500mg tab 02064480 PFI sulfasalazine 500mg ent tab Pms-Sulfasalazine 500mg Ent tab 00598488 PMS Salazopyrin EN 500mg tab 02064472 PFI A07EC02 5 AMINOSALICYLIC ACID (MESALAMINE) 5-aminosalicylic acid 400mg tab Novo-5-ASA 400mg EC tab 02171929 TEV Asacol 400mg tab 01997580 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 02269031 RAN MYLAN-Metformin 500mg tab 02148765 MYL Glucophage 500mg tab 02099233 AVN Novo-Metformin 500mg tab 02045710 NOP pms-metformin 500mg tab 02223562 PMS ratio-metformin 500mg tab 02242974 RPH Sandoz Metformin FC 500mg tab 02246820 SDZ Apo-Metformin 500mg tab 02167786 APX CO Metformin 500mg tab 02257726 COB Metformin 500mg tab 02353377 SNS Glycon 500mg tab 02229516 VAL Mar-Metformin 500mg tab 02378620 MAR Metformin 500mg tab 02378841 MAR Mint-Metformin 500mg tab 02388766 MNT Septa-Metformin 500mg tab 02379767 SPT 13

Nu-Metformin 500mg tab (discontinued) 02162822 NXP Jamp-Metformin 500mg tab 02380196 JPC Metformin 500mg tab 02405733 SIV Auro-Metformin 500mg tab 02438275 ARO Jamp-Metformin Blackberry 500mg tab 02380722 JPC metformin HCl 850mg tab Glucophage 850mg tab 02162849 AVN Apo-Metformin 850mg tab 02229785 APX Novo-Metformin 850mg tab 02230475 NOP pms-metformin 850mg tab 02242589 PMS ratio-metformin 850mg tab 02242931 RPH Sandoz Metformin FC 850mg tab 02246821 SDZ Co Metformin 850mg tab 02257734 COB RAN-Metformin 850mg tab 02269058 RAN MYLAN-Metformin 850mg tab 02229656 MYL Metformin 850mg tab 02353385 SNS Mar-Metformin 850mg tab 02378639 MAR Mint-Metformin 850mg tab 02388774 MNT Metformin 850mg tab 02378868 MAR Septa-Metformin 850mg tab 02379775 SPT Nu-Metformin 850mg tab (discontinued) 02229517 NXP Jamp-Metformin 850mg tab 02380218 JPC Metformin 850mg tab 02385368 SIV Auro-Metformin 850mg tab 02438283 ARO Jamp-Metformin Blackberry 850mg tab 02380730 JPC metformin HCI 500mg ER tab Glumetza ER 500mg tab 02268493 VAL Apo-Metformin ER 500mg tab 02305062 APX metformin HCI 1000mg ER tab Glumetza ER 1000mg tab 02300451 VAL Apo-Metformin ER 1000mg tab 02460653 APX A10BB SULFONAMIDES, UREA DERIVATIVES A10BB01 GLYBURIDE (GLIBENCLAMIDE) glyburide 2.5mg tab Apo-Glyburide 2.5mg tab 01913654 APX Novo-Glyburide 2.5mg tab 01913670 TEV Diabeta 2.5mg tab 02224550 AVN Sandoz Glyburide 2.5mg tab (discontinued) 02248008 SDZ Glyburide 2.5mg tab 02350459 SNS MYLAN-Glybe 2.5mg tab (discontinued) 00808733 MYL ratio-glyburide 2.5mg tab (discontinued) 01900927 RPH Nu-Glyburide 2.5mg tab (discontinued) 02020734 NXP 14

Euglucon 2.5mg tab (discontinued) glyburide 5mg tab ratio-glyburide 5mg tab (discontinued) 01900935 RPH pms-glyburide 5mg tab 02236734 PMS Glyburide 5mg tab (discontinued) 02350467 SNS Diabeta 5mg tab 02224569 AVN Apo-Glyburide 5mg tab 01913662 APX MYLAN-Glybe 5mg tab (discontinued) 00808741 MYL Euglucon 5mg tab 00720941 PMS Sandoz Glyburide 5mg tab (discontinued) 02248009 SDZ Novo-Glyburide 5mg tab 01913689 TEV Nu-Glyburide 5mg tab (discontinued) 02020742 NXP A10BB02 A10BB03 A10BB09 CHLORPROPAMIDE chlorpropamide 250mg tab Apo-Chlorpropamide 250mg tab 00312711 APX Diabinese 250mg tab (discontinued) TOLBUTAMIDE tolbutamide 500mg tab Tolbutamide tab 500mg tab 00312762 AAA Mobenol 500mg tab (discontinued) GLICLAZIDE gliclazide MR 30mg tab Diamicron 30mg MR tab 02242987 SEV Mint-Gliclazide 30mg MR tab 02423286 MNT Act-Gliclazide 30mg MR tab (discontinued) 02429764 ATV Mylan-Gliclazide MR 30mg tab 02438658 MYL Sandoz-Gliclazide MR 30mg tab 02461323 SDZ Ran-Gliclazide MR 30mg tab 02463571 RAN Apo-Gliclazide 30mg MR tab 02297795 APX gliclazide MR 60mg tab Diamicron MR 60mg tab 02356422 SEV Mint-Gliclazide MR 60mg tab 02423294 MNT Sandoz-Gliclazide MR 60mg tab 02461331 SDZ Ran-Gliclazide MR 60mg tab 02439328 RAN Apo-Gliclazide MR 60mg tab 02407124 APX gliclazide 80mg tab Diamicron 80mg tab 00765996 SEV MYLAN-Gliclazide 80mg tab (discontinued) 02229519 MYL Apo-Gliclazide 80mg tab 02245247 APX Novo-Gliclazide 80mg tab 02238103 NOP Gliclazide 80mg tab 02287072 SNS 15

A10BB12 GLIMEPIRIDE glimepiride 1mg tab Amaryl 1mg tab 02245272 AVN Sandoz-Glimipiride 1mg tab 02269589 SDZ Ratio-Glimipiride 1mg tab (discontinued) 02273101 RPH Novo-Glimipiride 1mg tab (discontinued) 02273756 NOP Apo-Glimipiride 1mg tab 02295377 APX glimepiride 2mg tab Amaryl 2mg tab 02245273 AVN Sandoz-Glimipiride 2mg tab 02269597 SDZ Ratio-Glimipiride 2mg tab (discontinued) 02273128 RPH Novo-Glimipiride 2mg tab (discontinued) 02273764 NOP Apo-Glimipiride 2mg tab 02295385 APX glimepiride 4mg tab Amaryl 4mg tab 02245274 AVN Sandoz-Glimipiride 4mg tab 02269619 SDZ Ratio-Glimipiride 4mg tab (discontinued) 02273136 RPH Novo-Glimipiride 4mg tab (discontinued) 02273772 NOP Apo-Glimipiride 4mg tab 02295393 APX A10BG THIAZOLINEDIONES ROSIGLITAZONE rosiglitazone 2mg tab Avandia 2mg tab 02241112 GSK Apo-Rosiglitazone 2mg tab 02403366 APX rosiglitazone 4mg tab Avandia 4mg tab 02241113 GSK Apo-Rosiglitazone 4mg tab 02403374 APX rosiglitazone 8mg tab Avandia 8mg tab 02241114 GSK Apo-Rosiglitazone 8mg tab 02403382 APX A10BG03 PIOGLITAZONE pioglitazone 15mg tab Apo-Pioglitazone 15mg tab 02302942 APX MYLAN-Pioglitazone 15mg tab 02298279 MYL phl-pioglitazone 15mg tab 02307669 PHL Actos 15mg tab 02242572 TAK MINT-Pioglitazone 15mg tab 02326477 MNT pms-pioglitazone 15mg tab 02303124 PMS Auro--Pioglitazone 15mg tab 02384906 ARO 16

ratio-pioglitazone 15mg tab (discontinued) 02301423 RPH Pioglitazone Hydrochloride 15mg tab 02391600 ACH Sandoz Pioglitazone 15mg tab 02297906 SDZ Novo-Pioglitazone 15mg tab 02274914 NOP Jamp-Pioglitzazone 15mg tab 02397307 JPC CO Pioglitazone 15mg tab 02302861 COB Ran-Pioglitazone 15mg tab 02375850 RAN Van-Pioglitazone 15mg tab 02434121 VAN Accel Pioglitazone 15mg tab 02303442 ACC pioglitazone 30mg tab MINT-Pioglitazone 30mg tab 02326485 MNT MYLAN-Pioglitazone 30mg tab 02298287 MYL ratio-pioglitazone 30mg tab (discontinued) 02301431 RPH CO Pioglitazone 30mg tab 02302888 COB Pioglitazone 30mg tab 02339587 ACH Auro-Pioglitazone 30mg tab 02384914 ARO pms-pioglitazone 30mg tab 02303132 PMS Apo-Pioglitazone 30mg tab 02302950 APX phl-pioglitazone 30mg tab 02307677 PHL Sandoz Pioglitazone 30mg tab 02297914 SDZ Actos 30mg tab 02242573 TAK Novo-Pioglitazone 30mg tab 02274922 NOP Ran-Pioglitazone 30mg tab 02375869 RAN Accel Pioglitazone 30mg tab 02303450 ACC Van-Pioglitazone 30mg tab 02434148 VAN Jamp-Pioglitazone 30mg tab 02365529 JPC pioglitazone 45mg tab phl-pioglitazone 45mg tab 02307723 PHL Pioglitazone 45mg tab 02339595 ACH ratio-pioglitazone 45mg tab (discontinued) 02301458 RPH Actos 45mg tab 02242574 TAK Novo-Pioglitazone 45mg tab 02274930 NOP CO Pioglitazone 45mg tab 02302896 COB Sandoz Pioglitazone 45mg tab 02297922 SDZ Auro-Pioglitazone 45mg tab 02384922 ARO MYLAN-Pioglitazone 45mg tab 02298295 MYL pms-pioglitazone 45mg tab 02303140 PMS MINT-Pioglitazone 45mg tab 02326493 MNT Apo-Pioglitazone 45mg tab 02302977 APX Ran-Pioglitazone 45mg tab 02375877 RAN Accel Pioglitazone 45mg tab 02303469 ACC Van-Pioglitazone 45mg tab 02434156 VAN Jamp-Pioglitazone 45mg tab 02365537 JPC 17

A10BX OTHER BLOOD GLUCOSE LOWERING DRUGS, EXCLUDING INSULINS A10BX02 REPAGLINIDE repaglinide 0.5mg tab CO Repaglinide 0.5mg tab 02321475 COB pms-repaglinide 0.5mg tab 02354926 PMS Apo-Repaglinide 0.5mg tab 02355663 APX Sandoz Repaglinide 0.5mg tab 02357453 SDZ Auro-Repaglinide 0.5mg tab 02424258 ARO GlucoNorm 0.5mg tab 02239924 NNO repaglinide 1mg tab CO Repaglinide 1mg tab 02321483 COB pms-repaglinide 1mg tab 02354934 PMS Apo-Repaglinide 1mg tab 02355671 APX Auro-Repaglinide 1mg tab 02424266 ARO Sandoz Repaglinide 1mg tab 02357461 SDZ GlucoNorm 1mg tab 02239925 NNO repaglinide 2mg tab CO Repaglinide 2mg tab 02321491 COB pms-repaglinide 2mg tab 02354942 PMS Apo-Repaglinide 2mg tab 02355698 APX Sandoz Repaglinide 2mg tab 02357488 SDZ Auro-Repaglinide 2mg tab 02424274 ARO GlucoNorm 2mg tab 02239926 NNO A11 A11CC VITAMINS AND MINERALS VITAMIN D AND ANALOGUES A11CC04 CALCITRIOL calcitriol 0.25mcg cap Rocaltrol 0.25mcg cap 00481823 HLR Calcitriol-Odan 0.25mcg cap 02431637 ODN calcitriol 0.50mcg cap Rocaltrol 0.50mcg cap 00481815 HLR Calcitriol-Odan 0.50mcg cap 02431645 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) 02193221 OMG Thiamine 100mg/ml inj 02243525 CYT 18

Vitamin B1 100mg/ml inj 00816078 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) 00602884 APX Sandoz-K 8Mmol Long acting tab 02246734 SDZ Slow-K 8Mmol Long Acting tab (discontinued) 00074225 NVR B01 B01A B01AA ANTITHROMBOTIC AGENTS ANTITHROMBOTIC AGENTS VITAMIN K ANTAGONISTS B01AA03 WARFARIN warfarin 1mg tab Novo-Warfarin 1mg tab (discontinued) 02265273 NOP Coumadin 1mg tab 01918311 BMS Taro-Warfarin 1mg tab 02242680 TAR Apo-Warfarin 1mg tab 02242924 APX MYLAN-Warfarin 1mg tab (discontinued) 02244462 MYL Warfarin 1mg tab (discontinued) 02344025 SNS warfarin 2mg tab Warfarin 2mg tab (discontinued) 02344033 SNS Novo-Warfarin 2mg tab (discontinued) 02265281 NOP Coumadin 2mg tab 01918338 BMS MYLAN-Warfarin 2mg tab (discontinued) 02244463 MYL Taro-Warfarin 2mg tab 02242681 TAR Apo-Warfarin 2mg tab 02242925 APX warfarin 2.5mg tab Warfarin 2.5mg tab (discontinued) 02344041 SNS Novo-Warfarin 2.5mg tab (discontinued) 02265303 NOP MYLAN-Warfarin 2.5mg tab (discontinued) 02244464 MYL Apo-Warfarin 2.5mg tab 02242926 APX Coumadin 2.5mg tab 01918346 BMS Taro-Warfarin 2.5mg tab 02242682 TAR warfarin 3mg tab Warfarin 3mg tab (discontinued) 02344068 SNS Coumadin 3mg tab 02240205 BMS Taro-Warfarin 3mg tab 02242683 TAR 19

Apo-Warfarin 3mg tab 02245618 APX Novo-Warfarin 3mg tab (discontinued) 02265311 NOP MYLAN-Warfarin 3mg tab (discontinued) 02287498 MYL warfarin 4mg tab Warfarin 4mg tab (discontinued) 02344076 SNS Taro-Warfarin 4mg tab 02242684 TAR Coumadin 4mg tab 02007959 BMS MYLAN-Warfarin 4mg tab (discontinued) 02244465 MYL Novo-Warfarin 4mg tab (discontinued) 02265338 NOP Apo-Warfarin 4mg tab 02242927 APX warfarin 5mg tab Novo-Warfarin 5mg tab (discontinued) 02265346 NOP MYLAN-Warfarin 5mg tab (discontinued) 02244466 MYL Apo-Warfarin 5mg tab 02242928 APX Coumadin 5mg tab 01918354 BMS Warfarin 5mg tab (discontinued) 02344084 SNS Taro-Warfarin 5mg tab 02242685 TAR warfarin 6mg tab Coumadin 6mg tab 02240206 BMS Taro-Warfarin 6mg tab 02242686 TAR MYLAN-Warfarin 6mg tab (discontinued) 02287501 MYL Warfarin 6mg tab 02344092 SNS warfarin 7.5mg tab MYLAN-Warfarin 7.5mg tab 02287528 MYL Taro Warfarin 7.5mg tab 02242697 TAR Warfarin 7.5mg tab 02344106 SNS warfarin 10mg tab Warfarin 10mg tab (discontinued) 02344114 SNS Taro-Warfarin 10mg tab 02242687 TAR Apo-Warfarin 10mg tab 02242929 APX MYLAN-Warfarin 10mg tab (discontinued) 02244467 MYL Coumadin 10mg tab 01918362 BMS B01AB HEPARIN GROUP B01AB01 HEPARIN heparin 100U/ml Lock Flush Sol Heparin 100U/ml Lock Flush Sol (discontinued) 00725315 HOS Heparin 100U/ml Lock Flush Sol 00727520 LEO Hepalean-Lok 100U/ml Lock Flush Sol 00740578 SCH B01AC PLATELET AGGREGATION INHIBITORS EXCLUDING HEPARIN 20

B01AC04 CLOPIDOGREL clopidogrel 75mg tab Apo-Clopidogrel 75mg tab 02252767 APX CO Clopidogrel 75mg tab 02303027 COB Mylan-Clopidogrel 75mg tab (discontinued) 02351536 MYL Sandoz Clopidogrel 75mg tab 02359316 SDZ Clopidogrel 75mg tab 02400553 SNS Mint-Clopidogrel 75mg tab 02408910 MNT Teva-Clopidogrel 75mg tab 02293161 TEV Plavix 75mg tab 02238682 AVN pms-clopidogrel 75mg tab 02348004 PMS clopidogrel 75mg tab 02385813 SIV Abbott-Clopidogrel 75mg tab (discontinued) 02412942 ABB Auro-Clopidogrel 75mg tab 02416837 ARO Jamp-Clopidogrel 75mg tab 02415550 JPC Mar-Clopidogrel 75mg tab 02422255 MAR Ran-Clopidogrel 75mg tab 02379813 RAN clopidogrel 300mg tab Plavix 300mg tab 02330555 AVN Apo-Clopidogrel 300mg tab 02398591 APX B01AC05 B01AC07 TICLOPIDINE ticlopidine 250mg tab Apo-Ticlopidine 250mg tab 02237701 AAA Ticlopidine 250mg tab (discontinued) 02343045 SNS Novo-Ticlopidine 250mg tab (discontinued) 02236848 NOP Sandoz Ticlopidine 250mg tab (discontinued) 02243587 SDZ MYLAN-Ticlopidine 250mg tab 02239744 MYL Pms-Ticlopidine 250mg tab 02243327 PMS Nu-Ticlopidine 250mg tab (discontinued) 02237560 NXP DIPYRIDAMOLE dipyridamole 25mg tab Apo-Dipyridamole-Fc tab 25mg 00895644 APX Persantine 25mg tab (discontinued) dipyridamole 50mg tab Persantine 50mg tab 00067393 BOE Apo-Dipyridamole-FC 50mg tab 00895652 APX dipyridamole 75mg tab Apo-Dipyridamole-FC 75mg tab 00895660 APX Persantine 75mg tab (discontinued) BO1AX OTHER ANTITHROMBOTIC AGENTS 21

B01AX05 FONDAPARINUX fondaparinux 2.5mg/0.5ml injection Arixtra 2.5mg/0.5ml injection 02245531 GCH fondaparinux 2.5mg/0.5ml injection 02406853 DRL fondaparinux 7.5mg/0.5ml injection Arixtra 7.5mg/0.5ml injection 02258056 GCH fondaparinux 7.5mg/0.5ml injection 02406896 DRL B02 B02A B02AA ANTIHEMORRHAGICS ANTIFIBRINOLYTICS AMINO ACIDS B02AA02 TRANEXAMIC ACID tranexamic acid 100mg/ml inj Cyklokapron 100mg/ml inj 02064413 PFI Tranexamic Acid 100mg/ml inj 02246365 SDZ tranexamic acid 500mg tab Cyklokapron 500mg tab 02064405 PFI Gd-Tranexamic Acid 500mg tab 02409097 GMD Tranexamic Acid 500mg tab 02401231 STE B03 B03A B03AA ANTIANEMIC PREPARATIONS IRON PREPARATIONS IRON BIVALENT, ORAL PREPARATIONS B03AA03 B03AA07 FERROUS GLUCONATE ferrous gluconate 300mg tab Novo-Ferrogluc 300mg tab 00021458 NOP Ferrous Gluconate 300mg tab 00031097 JPC Apo-Ferrous Gluconate 300mg tab 00545031 APX FERROUS SULFATE ferrous sulphate 300mg tab Ferrous Sulfate 300mg tab 00031100 JPC Pms-Ferrous Sulfate 300mg tab 00586323 PMS Apo-Ferrous Sulfate 300mg tab 01912518 APX B03AC IRON TRIVALENT, PARENTERAL PREPARATIONS B03AC01 DEXTRIFERRON (IRON DEXTRAN) iron dextran complex 50mg/ml inj Dexiron 50mg/ml inj - 2ml 02205963 BHC Infufer 50mg/ml inj - 2ml 02221780 SDZ 22

B03B B03BA VITAMIN B12 AND FOLIC ACID VITAMIN B12 (CYANOCOBALAMIN AND DERIVATIVES) B03BA01 CYANOCOBALAMIN cyanocobalamin 100mcg/ml inj Vitamin B12 100mcg/ml inj 02241500 SDZ Vitamin B12 100mcg/ml inj (discontinued) cyanocobalamin 1000mcg/ml inj Vitamin B12 1000mcg/ml inj - 10ml 00521515 SDZ Cyanocobalamin 1000mcg/ml inj - 10ml 02413795 MYL Cyanocobalamin 1000mcg/ml inj - 10ml 01987003 STE B03BB B03BB01 FOLIC ACID AND DERIVATIVES folic acid 5mg tablet Apo-Folic acid 5mg tab 00426849 APX Euro-Folic acid 5mg tab 02285673 SDZ Jamp-Folic acid 5mg tab 02366061 JPC C01 C01A C01AA CARDIAC THERAPY CARDIAC GLYCOSIDES DIGITALIS GLYCOSIDES C01AA05 DIGOXIN digoxin 0.05mg/ml inj Digoxin 0.05mg/ml inj 02048272 SDZ Lanoxin 0.05mg/ml inj (discontinued) digoxin 0.25mg/ml inj Digoxin 0.25 mg/ml inj Sol 02048264 SDZ Lanoxin 0.25mg/ml inj (discontinued) digoxin 0.0625mg tab Toloxin 0.0625mg tab 02335700 PEN Lanoxin 0.0625mg tab (discontinued) digoxin 0.125mg tab Toloxin 0.125mg tab 02335719 PEN Lanoxin 0.125mg tab (discontinued) digoxin 0.25mg tab Toloxin 0.25mg tab 02335727 PEN Lanoxin 0.25mg tab (discontinued) C01B ANTIARRHYTHMICS, CLASS I AND III 23

C01BA ANTIARRHYTHMICS, CLASS IA C01BA02 PROCAINAMIDE procainamide 100mg/ml inj Procainamide 100mg/ml inj 02184486 SDZ Pronestyl 100mg/ml inj (discontinued) C01BB ANTIARRHYTHMICS, CLASS IB C01BB02 MEXILETINE mexiletine 100mg cap Novo-Mexiletine cap 100mg 02230359 NOP Mexitil 100mg cap (discontinued) mexiletine 200mg cap Novo-Mexiletine cap 200mg 02230360 NOP Mexitil 200mg cap (discontinued) C01BC ANTIARRHYTHMICS, CLASSIC C01BC03 PROPAFENONE propafenone 150mg tab pms-propafenone 150mg tab (discontinued) 02294559 PMS Propafenone 150mg tab 02343053 SNS Myl-Propafenone 150mg tab (discontinued) 02245372 MYL Rythmol 150mg tab 00603708 ABB Mylan-Propafenone 150mg tab 02457172 MYL Apo-Propafenone 150mg tab 02243324 APX propafenone 300mg tab Rythmol 300mg tab 00603716 ABB Myl-Propafenone 300mg tab (discontinued) 02245373 MYL pms-propafenone 300mg tab (discontinued) 02294575 PMS Propafenone 300mg tab 02343061 SNS Mylan-Propafenone 300mg tab 02457164 MYL Apo-Propafenone 300mg tab 02243325 APX C01BC04 FLECAINIDE flecainide 50mg tab Tambocor 50mg tab (discontinued) 01966197 MDC Auro-Flecainide 50mg tab 02459957 ARO Apo-Flecainide 50mg tab 02275538 APX flecainide 100mg tab Tambocor 100mg tab (discontinued) 01966200 MDC Auro-Flecainde 100mg tab 02459965 ARO Apo-Flecainide 100mg tab 02275546 APX 24

C01BD ANTIARRHYTHMICS, CLASS III C01BD01 AMIODARONE amiodarone 200mg tab Sandoz Amiodarone 200mg tab 02243836 SDZ Cordarone 200mg tab (discontinued) 02036282 WAY MYLAN-Amiodarone 200mg tab 02240604 MYL ratio-amiodarone 200mg tab (discontinued) 02240071 SDZ Apo-Amiodarone 200mg tab 02246194 APX phl-amiodarone 200mg tab 02245781 PHL Novo-Amiodarone 200mg tab 02239835 TEV pms-amiodarone 200mg tab 02242472 PMS Amiodarone 200mg tab 02385465 SIV Sanis-Amiodarone 200mg tab 02364336 SNS C01C C01CA CARDIAC STIMULANTS EXCLUDING CARDIAC GLYCOSIDES ADRENERGIC AND DOPAMINERGIC AGENTS C01CA17 MIDODRINE midodrine 2.5mg tab Midodrine 2.5mg tab 02278677 AAA Amatine 2.5mg tab (discontinued) midodrine 5mg tab Midodrine 5mg tab 02278685 AAA Amatine 5mg tab (discontinued) C01CA24 EPINEPHRINE epinephrine inj Usp 1mg/ml inj sol (1ml) Epinephrine inj Usp 1mg/ml inj Sol (1ml) 00721891 HOS Adrenaline Chloride 1mg/ml inj Sol (1ml) 00155357 ERF C01D C01DA VASODILATORS USED IN CARDIAC DISEASES ORGANIC NITRATES C01DA02 NITROGLYCERIN (GLYCERYL TRINITRATE) nitroglycerin 0.4mg/dose pumpspray Nitrolingual 0.4mg/dose pumpspray 02231441 AVN Rho-Nitro 0.4mg/dose pumpspray 02238998 SDZ Apo-Nitroglycerin 0.4mg/dose pumpspray 02393433 APX Mylan-Nitro SL sp - 200 dose 02243588 MYL NITROGLYCERIN 0.2MG/HR TRANSDERMAL PATCH nitroglycerin 0.2mg/hr transdermal patch Nitro-Dur 0.2mg/hr transdermal patch 01911910 MSD Mylan-Nitro Patch 0.2mg/hr transdermal patch 02407442 MYL 25

NITROGLYCERIN 0.4MG/HR TRANSDERMAL PATCH nitroglycerin 0.4mg/hr transdermal patch Nitro-Dur 0.4mg/hr transdermal patch 01911902 MSD Mylan-Nitro Patch 0.4mg/hr transdermal patch 02407450 MYL NITROGLYCERIN 0.6MG/HR TRANSDERMAL PATCH nitroglycerin 0.6mg/hr transdermal patch Nitro-Dur 0.6mg/hr transdermal patch 01911929 MSD Mylan-Nitro patch 0.6mg/hr transdermal patch 02407469 MYL C01DA08 NITROGLYCERIN 0.8MG/HR TRANSDERMAL PATCH nitroglycerin 0.8mg/hr transdermal patch Nitro-Dur 0.8mg/hr transdermal patch 02011271 MSD Mylan-Nitro Patch 0.8mg/hr transdermal patch 02407477 MYL ISOSORBIDE DINITRATE isosorbide dinitrate 5mg SL tab Isdn S/L tab 5mg 00670944 AAA Isordil Sublingual 5mg tab (discontinued) isosorbide dinitrate 10mg tab Isdn tab 10mg 00441686 AAA Isordil 10mg tab (discontinued) isosorbide dinitrate 30mg tab Isdn tab 30mg 00441694 AAA Isordil 30mg tab (discontinued) C01DA14 ISOSORBIDE MONONITRATE isosorbide mononitrate 60mg SR tab pms-ismn 60mg SR tab 02301288 PMS Imdur 60mg ER tab 02126559 AZE Apo-ISMN 60mg SR tab 02272830 APX C02 C02A C02AB ANTIHYPERTENSIVES ANTIADRENERGIC AGENTS, CENTRALLY ACTING METHYLDOPA C02AB02 METHYLDOPA (RACEMIC) methyldopa 125mg tab Methyldopa tab 125mg 00360252 AAA Aldomet 125mg tab (discontinued) methyldopa 250mg tab Methyldopa tab 250mg 00360260 AAA Aldomet 250mg tab (discontinued) 26

methyldopa 500mg tab Methyldopa tab 500mg 00426830 AAA Aldomet 500mg tab (discontinued) C02AC IMIDAZOLINE RECEPTOR AGONISTS C02AC01 CLONIDINE clonidine HCl 0.025mg tab Novo-Clonidine 0.025mg tab 02304163 NOP Apo-Clonidine 0.025mg tab 02248732 APX Dixarit 0.025mg tab (discontinued) 00519251 BOE Clonidine 0.025mg tab (discontinued) clonidine HCl 0.1mg tab Catapres 0.1mg tab (discontinued) 00259527 BOE Apo-Clonidine 0.1mg tab 00868949 APX Teva-Clonidine 0.1mg tab 02046121 TEV Mint-Clonidine 0.1mg tab 02462192 MNT Nu-Clonidine 0.1mg tab (discontinued) 01913786 NXP Nu Clonidine 0.1mg tab (discontinued) clonidine HCl 0.2mg tab Teva-Clonidine 0.2mg tab 02046148 TEV Mint-Clonidine 0.2mg tab 02462206 MNT Apo-Clonidine 0.2mg tab (discontinued) 00868957 APX Catapres 0.2mg tab (discontinued) 00291889 BOE Nu-Clonidine 0.2mg tab (discontinued) 01913220 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 00882801 APX Novo-Prazin 1mg tab 01934198 NOP Nu-Prazo 1mg tab (discontinued) 01913794 NXP Minipres 1mg tab (discontinued) prazosin HCl 2mg tab Apo-Prazo 2mg tab 00882828 APX Novo-Prazin 2mg tab 01934201 NOP Nu-Prazo 2mg tab (discontinued) 01913808 NXP Minipres 2mg tab (discontinued) prazosin HCl 5mg tab 27

Apo-Prazo 5mg tab 00882836 APX Novo-Prazin 5mg tab 01934228 NOP Nu-Prazo 5mg tab (discontinued) 01913816 NXP Minipres 5mg tab (discontinued) C02CA04 DOXAZOSIN doxazosin 1mg tab Novo-Doxazosin 1mg tab 02242728 NOP pms-doxazosin 1mg tab (discontinued) 02244527 PMS Cardura-1 1mg tab 01958100 AZE MYLAN-Doxazosin 1mg tab (discontinued) 02240498 MYL Apo-Doxazosin 1mg tab 02240588 APX doxazosin 2mg tab Novo-Doxazosin 2mg tab 02242729 NOP Apo-Doxazosin 2mg tab 02240589 APX MYLAN-Doxazosin 2mg tab (discontinued) 02240499 MYL pms-doxazosin 2mg tab (discontinued) 02244528 PMS Cardura-2 2mg tab 01958097 AZE doxazosin 4mg tab Apo-Doxazosin 4mg tab 02240590 APX Novo-Doxazosin 4mg tab 02242730 NOP MYLAN-Doxazosin 4mg tab (discontinued) 02240500 MYL Cardura-4 4mg tab 01958119 AZE pms-doxazosin 4mg tab (discontinued) 02244529 PMS C02D C02DB ARTERIOLAR SMOOTH MUSCLE, AGENTS ACTING ON HYDRAZINOPHTHALAZINE DERIVATIVES C02DB02 HYDRALAZINE hydralazine HCl 10mg tab Apo-Hydralazine 10mg tab 00441619 APX Jamp-Hydralazine 10mg tab 02457865 JPC Mint-Hydralazine 10mg tab 02468778 MNT Apresoline 10mg tab (discontinued) hydralazine HCl 25mg tab Apo-Hydralazine 25mg tab 00441627 APX Jamp-Hydralazine 25mg tab 02457873 JPC Mint-Hydralazine 25mg tab 02468786 MNT Apresoline 25mg tab (discontinued) hydralazine HCl 50mg tab Apo-Hydralazine 50mg tab 00441635 APX Jamp-Hydralazine 50mg tab 02457881 JPC 28