bulletin # 61 - manitoba filebulletin #61 effective: august 17, 2009 02319977 02319985 02319993...

The following amendments will take effect on August 17, 2009.

The amended Manitoba Specified Drug Regulation and Drug Interchangeability Formulary Regulation will beavailable on the Manitoba Health websitehttp://www.gov.mb.ca/health/mdbif on the effectivedate of August 17, 2009.

Bulletin 61 is currently available for download:http://www.gov.mb.ca/health/mdbif/bulletin61.pdf

Inside This IssuePart 1 Additions -2Part 2 Additions Page 2-4Part 3 Additions Page 5-6New Interchangeable Categories Page 7-8New Interchangeable Products Page 8-13Product Deletions Page 13-14Category Deletions Page 14Interchangeable Product Price Changes Page 14-20Discontinued Products Page 20-21Manufacturer Updates Page 22

BULLETIN # 61Manitoba Drug Benefits and

Interchangeability Formulary Amendments

Bulletin #61Effective: August 17, 2009

DIN TRADE NAME GENERIC STRENGTH FORM MFR*02296063 Apo-Bicalutamide bicalutamide 50 mg Tablet APX022911340229114202291150

Apo-Cilazapril cilazapril1 mg

2.5 mg5 mg

Tablet APX

0229103702291045022910530229106102291088

Apo-Diltiaz TZ diltiazem HCl

120 mg180 mg240 mg300 mg360 mg

Capsule APX

02293358 Apo-Gabapentin gabapentin 600 mg Tablet APX02325381 Apo-Ramipril ramipril 15 mg Capsule APX0231719202317206

Apri 21Apri 28

desogestrel/ethinyl estradiol 0.15mg/0.03 mg Tablet APX

023056820230569002305704

Co Famciclovir famciclovir125 mg250 mg500 mg

Tablet COB

02302403 Gen-Bicalutamide bicalutamide 50 mg Tablet GPM

02321149 Gen-Nifedipine Extended Release nifedipine 60 mg Tablet GPM

0229786802297876 Gen-Odansetron odansetron 4 mg

8 mg Tablet GPM

02301148023011560230116402301172

Gen-Ramipril ramipril

1.25 mg2.5 mg

5 mg10 mg

Capsule GPM

023102790231028702310295

Gen-Venlafaxine XR venlafaxine37.5 mg

75 mg150 mg

Tablet GPM

0231340502313413 Jamp-Citalopram citalopram 20 mg

40 mg Tablet JPC

0231368502313693 Jamp-Ondansetron ondansetron 4 mg

8 mg Tablet JPC

02322250Medroxyprogesterone Acetate Injectable Suspension

medroxyprogesterone acetate 150 mg/ mL Injection SDZ

02313731 Novo-Cilazapril/HCTZ cilazapril/HCTZ 5 mg/12.5 mg Tablet NOP02304163 Novo-Clonidine clonidine 0.025 mg Tablet NOP

02324199 Novo-Etidronatecal etidronate/calcium carbonate 400 mg/500 mg Tablet NOP

0230276402302772 Novo-Morphine SR morphine sulfate 15 mg

30 mg Tablet NOP

02307898 Novo-Oxycodone/Acetaminophen oxycodone/acetaminophen 5 mg/325 mg Tablet NOP

Part 1 Additions

1 of 22


023199770231998502319993

pms-Oxycodone oxycodone HCl5 mg

10 mg20 mg

Tablet PMS

023190550231906302319071

Ran-Gabapentin gabapentin100 mg300 mg400 mg

Capsule RAN

02310503023105110231053802310546

Ran-Ramipril ramipril

1.25 mg2.5 mg

5 mg10 mg

Capsule RAN

02311194 ratio-Ramipril ramipril 15 mg Capsule RAN*Abbreviation of Manufacturers' Names

0228403002284049 Apo-Desmopressin desmopressin 0.1 mg

0.2 mg Tablet APX

(a) Diabetes insipidus;(b) Enuresis in children refractory to alternative agents.

0228470702284715 Apo-Levofloxacin levofloxacin 250 mg

500 mg Tablet APX

(a) Step-down care following hospital separation in patients treated with parenteral antibiotics;(b) Treatment of gram-negative infections resistant to standard therapy;(c) Treatment of infections in persons allergic to alternative agents (eg. penicillins, cephalosporins and sulfonamides);(d) Treatment of bacterial prostatitis;(e) Treatment of respiratory infections in patients failing or likely to fail or intolerant of penicillins,cephalosporins and/or macrolides;(f) Treatment of diabetic foot infections.

02292378022923860229239402292408

Apo-Pramipexole pramipexole

0.25 mg0.5 mg

1 mg1.5 mg

Tablet APX

For the treatment of idiopathic Parkinson's Disease.

Part 2 Additions

2 of 22


0231542402315432 Co Levofloxacin levofloxacin 250 mg

500 mg Tablet COB


02297302022973100229732902297337

Co Pramipexole pramipexole

0.25 mg0.5 mg

1 mg1.5 mg

Tablet COB

For the treatment of idiopathic Parkinson's Disease.

0231397902313987 Gen-Levofloxacin levofloxacin 250 mg

500 mg Tablet GPM


0231515702315165 Novo-Azithromycin azithromycin 20 mg/mL

40 mg/mL Suspension NOP

For the treatment of otitis media in patients not responding to or intolerant of alternative antibiotics (eg. amoxicillin and erythromycin).

02314630023146490231465702314665

Novo-Fentanyl fentanyl

25 mcg50 mcg75 mcg

100 mcg

Patch NOP

For the treatment of pain in patients unable to tolerate oral analgesics or when there is failure to adequately control pain with oral analgesics or in patients in whom oral analgesics are deemedinappropiate.

3 of 22


0224826202248263 Novo-Levofloxacin levofloxacin 250 mg

500 mg Tablet NOP


0228467702284685 pms-Levofloxacin levofloxacin 250 mg

500 mg Tablet PMS


0229863502298643 Sandoz Levofloxacin levofloxacin 250 mg

500 mg Tablet SDZ


02320312 Sandoz Methylphenidate SR methylphenidate HCl 20 mg Tablet SDZ

For treatment of attention deficit disorder and narcolepsy.

4 of 22


The following products will be considered for Pharmacare reimbursement upon an individual prescriber/patientrequest basis.

022953770229538502295393

Apo-Glimepiride glimepiride1 mg2 mg4 mg

Tablet APX

For patients poorly controlled on maximum doses of glyburide or gliclazide and metforminand diet (unless metformin is contraindicated because of renal/hepatic dysfunction orG.I. intolerance.)

02279215 Apo-Raloxifene raloxifene 60 mg Tablet APXFor the treatment of patients with:(a) Osteoporotic fractures;(b) Osteoporosis diagnosed with bone mineral density (BMD) measurements by any approved technology, e.g. a T score of < - 2.5; or(c) x-ray diagnosis of osteoporosis.

NOTE: Concurrent calcium and vitamin D supplementation is recommended.

0229984402299852 Celsentri maraviroc 150 mg

300 mg Tablet PFI

(a) For patients who have CCR5 tropic viruses, and (b) who have documented resistance to at least one agent from each of the three major classes of antiretroviral agents (nucleoside reverse transcriptase inhibitors, non-nucleoside reversetranscriptase inhibitors, protease inhibitors).

0231922502319233 Gen-Leflunomide leflunomide 10 mg

20 mg Tablet GPM

For the treatment of Rheumatoid Arthritis failing at least two (2) disease modifyingantirheumatic drugs (DMARDs).

02256452 Jamp-Loperamide loperamide 2 mg Tablet JPCFor the treatment of:(a) An ileostomy or a colostomy;(b) Bowel resection, including short bowel syndrome;(c) Inflammatory Bowel Diseases, i.e. Crohn's Disease, Ulcerative Colitis (this may include nonspecific colitis, microscopic colitis), and "diabetic gut" (neuropathy of the gut);(d) Cancer, including chemotherapy or radiation therapy;(e) HIV/AIDS;(f) Fecal incontinence.

Part 3 Additions

5 of 22


02309556Novo-Cyproterone/Ethinyl Estradiol

cyproterone/ethinyl estradiol 2 mg/0.035 mg Tablet NOP

(a) Treatment of severe refractory acne.(b) Hirsutism not responding to standard therapy.

02312298 Novo-Raloxifene raloxifene 60 mg Tablet NOP(a) Osteoporotic fractures OR(b) Osteoporosis diagnosed with bone mineral density measurements by any approved technology, i.e. a T score of < -2.5 OR(c) X-ray diagnosis of osteoporosis, i.e. NOT osteopenia PLUS(d) Concurrent calcium and Vitamin D therapy is recommended.

0224966902249685

Pamidronate Disodium Omega pamidronate disodium 3 mg/mL

9 mg/mL Injection OMA

For the treatment of:(a) Patients unable to absorb oral medications due to Crohn's Disease or other absorption problems.(b) Ankylosing Spondylitis resistant to conventional treatment with acetaminophen and NSAID's.

022557070225572302255758

Risperdal Consta risperidone25 mg

37.5 mg50 mg

Injection JAN

For patients:(a) With a history of non-adherence, as evidenced by outcomes such as repeated hospitalizations, or(b) Who have tried one or more antipsychotic agents, and who continue to be inadequately controlled, orare experiencing significant side effects such as EPS.

02274906 Truvada emtricitabine/tenofovir 200/300 mg Tablet GILFor treatment as a dual nucleoside/nucleotide option for treatment of HIV patients where the virus is susceptible to both these agents and efavirenz is not indicated due to adverse effects or antiretroviral resistance.

02316986 Xarelto rivaroxaban 10 mg Tablet BAYFor the propholaxis of venous thromboembolism following total knee replacement or total hip replacement surgery, for up to two weeks, as an alternative to low molecular weight heparins.

6 of 22


The following new interchangeable categories and products were added:

Generic Name - Strength - FormDIN Trade Name Manufacturer

Desogestrel/Ethinyl Estradiol - 0.15/0.03 mg - Tablet $02042487 Marvelon 21 ORG02317192 Apri 21 APX

Desogestrel/Ethinyl Estradiol - 0.15/0.03 mg - Tablet $02042479 Marvelon 28 ORG02317206 Apri 28 APX

Levofloxaxin - 250 mg - Tablet $02236841 Levaquin JAN02298635 Sandoz Levofloxacin SDZ02284707 Apo-Levofloxacin APX02315424 Co Levofloxacin COB02313979 Gen-Levofloxacin GPM02248262 Novo-Levofloxacin NOP02284677 pms-Levofloxacin PMS

Levofloxaxin - 500 mg - Tablet $02236842 Levaquin JAN02298643 Sandoz Levofloxacin SDZ02284715 Apo-Levofloxacin APX02315432 Co Levofloxacin COB02313987 Gen-Levofloxacin GPM02248263 Novo-Levofloxacin NOP02284685 pms-Levofloxacin PMS

Medroxyprogesterone Acetate - 150 mg/mL - Injection $ per vial00585092 Depo-Provera UPJ

02322250 Medroxyprogesterone Acetate Injectable Suspension SDZ

Nifedipine - 60 mg - Extended Release Tablet $02155990 Adalat XL BAY02321149 Gen-Nifedipine GPM

3.31323.1080

3.5070

3.1080

5.8752

3.5070

3.10803.1080

3.1080

5.2066

New Interchangeable Categories

0.65690.4375

0.49270.3281

Price in Dollars

3.50703.5070

3.5070

1.7158

29.8425

22.0000

1.0312

3.7387

7 of 22


Oxycodone HCl - 5 mg - Tablet $02231934 Oxy IR PUR02319977 pms-Oxycodone PMS

Oxycodone HCl - 10 mg - Tablet $02240131 Oxy IR PUR02319985 pms-Oxycodone PMS

Raloxifene - 60 mg - Tablet $02239028 Evista LIL02279215 Apo-Raloxifene APX02312298 Novo-Raloxifene NOP

Ramipril - 15 mg - Capsule $02281112 Altace SAA02325381 Apo-Ramipril APX02311194 ratio-Ramipril RPH

The following products have been added to existing interchangeable drug categories:

Azithromycin - 20 mg/mL - Oral Suspension $ per mL02315157 Novo-Azithromycin NOP

Azithromycin - 40 mg/mL - Oral Suspension $ per mL02315165 Novo-Azithromycin NOP

Bicalutamide - 50 mg - Tablet $02296063 Apo-Bicalutamide APX02302403 Gen-Bicalutamide GPM

Cilazapril - 1 mg - Tablet $02291134 Apo-Cilazapril APX

Cilazapril - 2.5 mg - Tablet $02291142 Apo-Cilazapril APX

0.7467

1.2080

0.8132

1.3752

0.4284

0.9759

0.28320.1776

0.41720.2760

New Interchangeable Products

4.0572

0.3717

4.0572

1.0580

2.0170

1.3752

8 of 22


Cilazapril - 5 mg - Tablet $02291150 Apo-Cilazapril APX

Cilazapril/HCTZ - 5 mg/12.5 mg - Tablet $02313731 Novo-Cilazapril/HCTZ NOP

Citalopram - 20 mg - Tablet $02313405 Jamp-Citalopram JPC

Citalopram - 40 mg - Tablet $02313413 Jamp-Citalopram JPC

Clonidine - 0.025 mg - Tablet $02304163 Novo-Clonidine NOP

Cyproterone/Ethinyl Estradiol - 2 mg/0.035 mg - Tablet $

02309556 Novo-Cyproterone/Ethinyl Estradiol NOP

Desmopressin - 0.1 mg - Tablet $02284030 Apo-Desmopressin APX

Desmopressin - 0.2 mg - Tablet $02284049 Apo-Desmopressin APX

Diltiazem HCl - 120 mg - Capsule $02291037 Apo-Diltiaz TZ APX



0.4977

0.8968

0.1817

0.8250

0.8250

0.6761

1.1114

0.9913

1.9826

0.5094

0.6254

9 of 22




Etidronate Disodium/Calcium Carbonate - 400 mg/500 mg - Tablet per kit02324199 Novo-Etidronatecal NOP

Famciclovir - 125 mg - Tablet $02305682 Co Famciclovir COB



Fentanyl - 25 mcg - Tablet $ per patch02314630 Novo-Fentanyl NOP




Gabapentin - 100 mg - Capsule $02319055 Ran-Gabapentin RAN


5.9500

0.6130

0.2520

11.2000

15.7500

19.6000

1.3522

2.0240

2.7200

4.2280

1.1210

29.9900

10 of 22



Gabapentin - 600 mg - Capsule $02293358 Apo-Gabapentin APX

Glimepiride - 1 mg - Tablet $02295377 Apo-Glimepiride APX



Leflunomide - 10 mg - Tablet $02319225 Gen-Leflunomide GPM

Leflunomide - 20 mg - Tablet $02319233 Gen-Leflunomide GPM

Loperamide - 2 mg - Tablet $02256452 Jamp-Loperamide JPC

Methylphenidate - 20 mg - Tablet $

02320312 Sandoz Methylphenidate SR SDZ

Morphine Sulfate - 15 mg - Tablet $02302764 Novo-Morphine SR NOP

Morphine Sulfate - 30 mg - Tablet $02302772 Novo-Morphine SR NOP 0.5664

0.7305

0.3751

0.4900

0.4900

0.4229

1.3045

0.4900

0.2600

6.0417

6.0417

11 of 22


Ondansetron - 4 mg - Tablet $02297868 Gen-Ondansetron GPM02313685 Jamp-Ondansetron JPC

Ondansetron - 8 mg - Tablet $02297876 Gen-Ondansetron GPM02313693 Jamp-Ondansetron JPC

Oxycodone/Acetaminophen - 5 mg/325 mg - Tablet $

02307898 Novo-Oxycodone/Acetaminophen NOP

Oxycodone HCl - 20 mg - Tablet $02319993 pms-Oxycodone PMS

Pamidronate Disodium - 3 mg/mL - Injection $ Per mL

02249669 Pamidronate Disodium Omega OMA

Pamidronate Disodium - 9 mg/mL - Injection $ Per mL

02249685 Pamidronate Disodium Omega OMA

Pramipexole - 0.25 mg - Tablet $02292378 Apo-Pramipexole APX02297302 Co Pramipexole COB

Pramipexole - 0.5 mg - Tablet $02292386 Apo-Pramipexole APX02297310 Co Pramipexole COB

Pramipexole - 1 mg - Tablet $02292394 Apo-Pramipexole APX02297329 Co Pramipexole COB

Pramipexole - 1.5 mg - Tablet $02292408 Apo-Pramipexole APX02297337 Co Pramipexole COB 1.3860

1.3860

1.3860

1.3860

0.6930

0.4358

0.1285

7.54507.3000

1.3860

0.6930

1.3860

26.5050

11.5166

8.8350

11.0000

12 of 22


Ramipril - 1.25 mg - Capsule $02301148 Gen-Ramipril GPM02310503 Ran Ramipril RAN

Ramipril - 2.5 mg - Capsule $02301156 Gen-Ramipril GPM02310511 Ran Ramipril RAN

Ramipril - 5 mg - Capsule $02301164 Gen-Ramipril GPM02310538 Ran Ramipril RAN

Ramipril - 10 mg - Capsule $02301172 Gen-Ramipril GPM02310546 Ran Ramipril RAN

Venlafaxine - 37.5 mg - Capsule $02310279 Gen-Venlafaxine XR GPM

Venlafaxine - 75 mg - Capsule $02310287 Gen-Venlafaxine XR GPM

Venlafaxine - 150 mg - Capsule $02310295 Gen-Venlafaxine XR GPM

The following products have been deleted.

00010529 Anturan sulfinpyrazone 200 mg Tablet00495611 Blocadren timolol maleate 20 mg Tablet02097389 Cardizem diltiazem HCl 60 mg Tablet00265489 C.E.S. conjugated estrogen 1.25 mg Tablet

00602833 Cytoxan cyclophosphamide 1 g Powder for Solution

00602949 Cytoxan cyclophosphamide 2 g Powder for Solution

00344877 Cytoxan cyclophosphamide 25 mg Tablet02243530 Estalis-Sequi 250/50 estriodol/norethindrone 250/50 mcg Patch

0.6650

0.4550

0.5250

0.4200

0.5000

0.50000.5250

Product Deletions

0.5879

1.1758

1.2414

0.6300

13 of 22


02243643 Kaletra lopinavir/ritonavir 133.3/33.3 mg Capsule01999788 Kenalog triamcinolone 1 mg/g Oral Ointment00611212 Marinol tetrahydrocannabinols 10 mg Capsule00514217 M.O.S. morphine HCl 5 mg/mL Liquid02004674 Mycostatin nystatin 100,000U/g Powder02245480 pms-Flavoxate flavoxate 200 mg Tablet02235898 pms-Nifedipine nifedipine 10 mg Capsule02275252 ratio-Fosinopril fosinopril 10 mg Tablet02275260 ratio-Fosinopril fosinopril 20 mg Tablet01927752 Stemetil prochlorperazine 5 mg Tablet02221950 Surgam tiaprofenic acid 300 mg Tablet01926330 Surmontil trimipramine 50 mg Tablet01914006 Symmetrel amantadine 100 mg Capsule01926497 Vitamin A trentinoin 0.01% Cream01926519 Vitamin A trentinoin 0.05% Cream01926500 Vitamin A trentinoin 0.25% Cream01926527 Vitamin A trentinoin 0.1% Cream00294853 Vitamin B1 thiamine 100 mg Tablet00268607 Vitamin B6 thiamine 25 mg Tablet00263958 Vitamin B6 thiamine 100 mg Tablet02237824 Wellbutrin SR bupropion HCl 100 mg Tablet01910132 Westcort hydrocortisone 0.2% Ointment00600784 Zaditen ketotifen 1 mg/5 mL Oral Liquid00294322 Zyloprim allopurinol 300 mg Tablet

- Allopurinol - 300 mg - Tablets- Amantadine HCl - 10 mg/mL - Syrup- Cyclophosamide - 50 mg - Tablets- Hydrocortisone Valerate - 0.2% - Ointment

The following changes in prices have occurred: ($)

00180408 Aldactazide spironolactone/HCTZ 25 mg Tablet 0.140800594377 Aldactazide spironolactone/HCTZ 50 mg Tablet 0.298600028606 Aldactone spironolactone 25 mg Tablet 0.140800285455 Aldactone spironolactone 100 mg Tablet 0.3319

02236974 Alesse levonorgestrol/ethinyl estradiol 100 mcg/20 mcg Tablet 0.7596

02236975 Alesse levonorgestrol/ethinyl estradiol 100 mcg/20 mcg Tablet 0.5697

Category Deletions

Interchangeable Product Price Changes

14 of 22


02221829 Altace ramipril 1.25 mg Capsule 0.762702221837 Altace ramipril 2.5 mg Capsule 0.879902221845 Altace ramipril 5 mg Capsule 0.879902221853 Altace ramipril 10 mg Capsule 1.114602245272 Amaryl glimepiride 1 mg Tablet 0.891502245273 Amaryl glimepiride 2 mg Tablet 0.980802245274 Amaryl glimepiride 4 mg Tablet 1.069700647942 Ansaid flurbiprofen 50 mg Tablet 0.563700600792 Ansaid flurbiprofen 100 mg Tablet 0.7379

00618454 Apo-Chlorax chlordiazepoxide/clindium 5/2.5 mg Capsule **0.2330

02284987 Apo-Cilazapril/HCTZ cilazapril/HCTZ 5/12.5 mg Tablet 0.625402242465 Apo-Desmopressin desmopressin 10 mcg Spray **14.160002039494 Apo-Diflunisal diflusinal 500 mg Tablet 0.715002222973 Apo-Diltiaz SR diltiazem 120 mg Capsule 1.121300895652 Apo-Dipyridamole dipyridamole 50 mg Tablet **0.293200895660 Apo-Dipyridamole dipyridamole 75 mg Tablet **0.439702049996 Apo-Doxepin doxepin 10 mg Capsule **0.188900726672 Apo-Erythro EC erythromycin 250 mg Capsule **0.390001925938 Apo-Erythro EC erythromycin 333 mg Capsule **0.433202225980 Apo-Fenofibrate fenofibrate 100 mg Capsule **0.610502275546 Apo-Flecainide flecainide 100 mg Tablet **0.791202275538 Apo-Flecainide flecainide 50 mg Tablet **0.395602239288 Apo-Flunisolide flunisolide 0.025% Nasal Spray **0.059400312797 Apo-Imipramine imipramine 25 mg Tablet **0.235300326852 Apo-Imipramine imipramine 50 mg Tablet **0.380702246084 Apo-Ipravent ipratropium bromide 0.06% Nasal Spray **1.490000842664 Apo-Keto-E ketoprofen 100 mg Tablet **0.682302243538 Apo-Labetalol labetalol 100 mg Tablet **0.202402245211 Apo-Levocarb CR levodopa/carbidopa 200/50 mg Tablet **0.945702267640 Apo-Medroxy medroxyprogesterone 100 mg Tablet **0.915302244366 Apo-Melfloquine melfloquine 250 mg Tablet **3.695002195925 Apo-Megestrol megestrol 160 mg Tablet **4.263002195917 Apo-Megestrol megestrol 40 mg Tablet **1.0073

02266687 Apo-Methylphenidate SR methylphenidate 20 mg Tablet **0.4229

02278677 Apo-Midodrine midodrine 2.5 mg Tablet **0.337802278685 Apo-Midodrine midodrine 5 mg Tablet **0.563002244023 Apo-Misoprostol misoprostol 200 mcg Tablet **0.430302177072 Apo-Naproxen SR naproxen 750 mg Tablet **1.004800755907 Apo-Nifed nifedipine 10 mg Capsule **0.487702197448 Apo-Nifed PA nifedipine 10 mg Tablet **0.443202181525 Apo-Nifed PA nifedipine 20 mg Tablet **0.693002243661 Apo-Oxaprozin oxaprozin 600 mg Tablet **0.552000598194 Apo-Prednisone prednisone 1 mg Tablet **0.107200399310 Apo-Primidone primidone 125 mg Tablet **0.055300396761 Apo-Primidone primidone 250 mg Tablet **0.087002146843 Apo-Salvent salbutamol 2 mg Tablet **0.127402146851 Apo-Salvent salbutamol 4 mg Tablet **0.213400441767 Apo-Sulfinpyrazone sulfinpyrazone 200 mg Capsule **0.2997

15 of 22


02230661 Apo-Tenoxicam tenoxicam 20 mg Tablet **1.155200580929 Apo-Tetra tetracycline 250 mg Tablet **0.065700312762 Apo-Tolbutamide tolbutamide 500 mg Tablet **0.108902245664 Apo-Trimebutine trimebutine 200 mg Tablet **0.523500740829 Apo-Trimip trimipramine 100 mg Tablet **0.927300740802 Apo-Trimip trimipramine 25 mg Tablet **0.277600740810 Apo-Trimip trimipramine 50 mg Tablet **0.543401946323 Apo-Zidovudine zidovudine 100 mg Capsule **1.275000015229 Aventyl nortriptyline 10 mg Capsule 0.231000015237 Aventyl nortriptyline 25 mg Capsule 0.467001925180 Benzac benzoyl peroxide 5% Gel **0.146700603821 Buspar buspirone 10 mg Tablet 1.170102097249 Cardizem CD diltiazem HCl 120 mg Capsule 1.552602097257 Cardizem CD diltiazem HCl 180 mg Capsule 2.060902097265 Cardizem CD diltiazem HCl 240 mg Capsule 2.733502097273 Cardizem CD diltiazem HCl 300 mg Capsule 3.417001958100 Cardura doxazosin 1 mg Tablet 0.623201958097 Cardura doxazosin 2 mg Tablet 0.747501958119 Cardura doxazosin 4 mg Tablet 0.971902163659 Cefzil cefprozil 250 mg Tablet 1.906002163667 Cefzil cefprozil 500 mg Tablet 3.7372

02163675 Cefzil cefprozil 125 mg/5 mL Oral Suspension 0.1863

02163683 Cefzil cefprozil 250 mg/5mL Oral Suspension 0.3725

02212277 Ceftin cefuroxime 250 mg Tablet 1.780602212285 Ceftin cefuroxime 500 mg Tablet 3.527402239607 Celexa citalopram 20 mg Tablet 1.464902239608 Celexa citalopram 40 mg Tablet 1.4649

02238830 Clavulin amoxicillin/clavulanic acid 400 mg Suspension 0.3029

00068756 CoActifed triprolidine/pseudoeph-edrine/codeine N/A Syrup 0.1911

00068594 CoActifed triprolidine/pseudoeph-edrine/codeine N/A Syrup 0.1744

01912828 Cortisporin polymyxin/neomycin/hydrocortisone N/A Otic Solution 1.4091

02091879 Clomid clomiphene 50 mg Tablet 5.950301918311 Coumadin warfarin 1 mg Tablet 0.343201918338 Coumadin warfarin 2 mg Tablet 0.362901918346 Coumadin warfarin 2.5 mg Tablet 0.290602240205 Coumadin warfarin 3 mg Tablet 0.449902007959 Coumadin warfarin 4 mg Tablet 0.449901918354 Coumadin warfarin 5 mg Tablet 0.291101918362 Coumadin warfarin 10 mg Tablet 0.522302192284 Cyclocort amcinonide 0.1% Cream 0.599902192276 Cyclocort amcinonide 0.1% Lotion 0.504402192268 Cyclocort amcinonide 0.1% Ointment 0.5999

16 of 22


00582301 Dalacin T clindamycin 1% Topical Solution 0.335202027860 Daypro oxaprozin 600 mg Caplets 0.7674

00030783 Depo-Testosterone testosterone cypionate 100 mg/mL Injection 2.9062

00579351 Desyrel tarzodone 50 mg Tablet 0.243602224550 Diabeta glyburide 2.5 mg Tablet 0.141202224569 Diabeta glyburide 5 mg Tablet 0.2527

02176017 Didrocal etidronate disodium/calcium carbonate 400/1250 mg Kit 46.1780

02141442 Diflucan fluconazole 150 mg Capsule 16.0124

00023450 Dilantin phenytoin sodium 25 mg/mL Oral Suspension 0.0508

02237279 Effexor XR venlafaxine HCl 37.5 mg Capsule 0.998802237280 Effexor XR venlafaxine HCl 75 mg Capsule 1.997802237282 Effexor XR venlafaxine HCl 150 mg Capsule 2.109002244001 Estradot estradiol-17b 75 mcg Patch 3.224402244002 Estradot estradiol-17b 100 mcg Patch 3.403202213672 Flonase fluticasone 50 mcg Inhaler 0.274902099233 Glucophage metformin 500 mg Tablet 0.294202162849 Glucophage metformin 850 mg Tablet 0.372702212161 Imitrex DF sumatriptan 100 mg Tablet 17.987802212153 Imitrex DF sumatriptan 50 mg Tablet 16.329100004596 Imuran azathioprine 50 mg Tablet 1.058002026961 Kayexalate sodium polystyrene 1 mcg/g Powder 0.193301918303 K-10 potassium chloride 1.33 mEq/mL Solution 0.017001999761 Kenalog-10 triamcinolone 10 mg/mL Injection 3.394601999869 Kenalog-20 triamcinolone 40 mg/mL Injection 7.887002142104 Lamictal lamotrigine 100 mg Tablet 1.643402142112 Lamictal lamotrigine 150 mg Tablet 2.422402142082 Lamictal lamotrigine 25 mg Tablet 0.411702224690 Lasix furosemide 20 mg Tablet 0.092202224704 Lasix furosemide 40 mg Tablet 0.141500455881 Lioresal baclofen 10 mg Tablet 0.701700636576 Lioresal DS baclofen 20 mg Tablet 1.365700599026 Lopid gemfibrozil 300 mg Capsule 0.566800659606 Lopid gemfibrozil 600 mg Capsule 1.134500397423 Lopressor metoprolol 50 mg Tablet 0.291900397431 Lopressor metoprolol 100 mg Tablet 0.598700658855 Lopressor SR metoprolol 100 mg Tablet 0.327000534560 Lopressor SR metoprolol 200 mg Tablet 0.593300885835 Lotensin benazepril 5 mg Tablet 0.818000885843 Lotensin benazepril 10 mg Tablet 0.967300885851 Lotensin benazepril 20 mg Tablet 1.109901919342 Luvox fluvoxamine 50 mg Tablet 0.926201919369 Luvox fluvoxamine 100 mg Tablet 1.664700731323 Megace megestrol acetate 160 mg Tablet 6.698402240775 Miacalcin NS synthetic calcitonin 200 IU Nasal Spray 2.2963

02042320 Min-Ovral levonorgestrol/ethinyl estradiol 150 mcg/30 mcg Tablet 0.7596

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02042339 Min-Ovral levonorgestrol/ethinyl estradiol 150 mcg/30 mcg Tablet 0.5697

02173514 Minocin mincycline 50 mg Capsule 0.674102173506 Minocin mincycline 100 mg Capsule 1.300701907107 Monopril fosinopril 10 mg Tablet 0.958301907115 Monopril fosinopril 20 mg Tablet 1.152301927604 Myochrysine sodium aurothiomalate 10 mg/mL Injection 23.848501927604 Myochrysine sodium aurothiomalate 50 mg/mL Injection 12.661302150689 Neoral cyclosporin 25 mg Capsule 1.450002084260 Neurontin gabapentin 100 mg Capsule 0.457802239717 Neurontin gabapentin 600 mg Tablet 1.989802231441 Nitrolingual nitroglycerin 0.4 mg Pumpspray 0.077002058413 Nu-Diflunisal diflunisal 500 mg Tablet 0.715002223600 Nu-Fenofibrate fenofibrate 100 mg Capsule 0.610502185415 Nu-Megestrol megestrol 40 mg Tablet 1.007302185423 Nu-Megestrol megestrol 160 mg Tablet 4.263000865591 Nu-Nifed nifedipine 10 mg Capsule 0.487702212102 Nu-Nifedipine-PA nifedipine 10 mg Tablet 0.443202200937 Nu-Nifedipine-PA nifedipine 20 mg Tablet 0.693002165368 Nu-Salbutamol salbutamol 2 mg Tablet 0.127402165376 Nu-Salbutamol salbutamol 4 mg Tablet 0.213402045699 Nu-Sulfinpyrazone sulfinpyrazone 200 mg Tablet 0.299700717606 Nu-Tetra tetracycline 250 mg Capsule 0.065702020602 Nu-Trimipramine trimipramine 25 mg Tablet 0.277602020610 Nu-Trimipramine trimipramine 50 mg Tablet 0.543402020629 Nu-Trimipramine trimipramine 100 mg Tablet 0.927302214849 Panoxyl benzoyl peroxide 10% Gel 0.136802027887 Paxil paroxetine 10 mg Tablet 1.861201940481 Paxil paroxetine 20 mg Tablet 1.986201940473 Paxil paroxetine 30 mg Tablet 2.110202230619 Pediapred prednisolone 5 mg/5 mL Oral Liquid 0.1346

01916475 Percocet oxycodone/acetaminphen 5/325 mg Tablet 0.8069

01916572 Percodan oxycodone/asa 5/325 mg Tablet 0.972102210320 pms-Cholestyramine cholestyramine resin 4 g Powder **1.477400890960 pms-Cholestyramine cholestyramine resin 4 g Powder **1.4774

02238568 pms-Flurometholone flurometholone 0.1% Ophthalmic Suspension **1.8160

00741817 pms-Hydroxyzine hydroxyzine 2 mg/mL Syrup **0.0449

02238604 pms-Potassium Chloride potassium chloride 20 meq/15 mL Solution **0.0144

02245532 pms-Prednisolone prednisolone 5 mg/mL Oral Solution **0.0753

00708917 Provera medroxyprogesterone acetate 2.5 mg Tablet 0.1762

00729973 Provera medroxyprogesterone acetate 10 mg Tablet 0.7067

00030945 Provera medroxyprogesterone acetate 100 mg Tablet 1.3700

00636622 Prozac fluoxetine 10 mg Capsule 2.021702018985 Prozac fluoxetine 20 mg Capsule 2.0233

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02221993 Renedil felodipine 5 mg Tablet 0.795102222000 Renedil felodipine 10 mg Tablet 1.191801902660 Retrovir zidovudine 100 mg Capsule 2.007902091887 Rifadin rifampin 150 mg Capsule 0.847802092808 Rifadin rifampin 300 mg Capsule 1.334200005606 Ritalin methylphenidate 10 mg Tablet 0.371300005614 Ritalin methylphenidate 20 mg Tablet 0.648700632775 Ritalin SR methylphenidate 20 mg Tablet 0.651402064480 Salazopyrin sulfasalazine 500 mg Tablet 0.275501926543 Sectral acebutalol 100 mg Tablet 0.363501926551 Sectral acebutalol 200 mg Tablet 0.545201926578 Sectral acebutalol 400 mg Tablet 1.084902243878 Serc betahistine 16 mg Tablet 0.486702247998 Serc betahistine 24 mg Tablet 0.730000355658 Sinemet levodop/carbidopa 100 mg/10 mg Tablet 0.478300513997 Sinemet levodop/carbidopa 100 mg/25 mg Tablet 0.714200328219 Sinemet levodop/carbidopa 250 mg/25 mg Tablet 0.800200070935 Sinemet CR levodop/carbidopa 200 mg/50 mg Tablet 1.4386

02224623 Sofracort framycetin/gramicidin/dexamethasone

5/0.05/0.5 mg/mL

Otic/Ophthalmic

Solution1.9662

00578576 Stieva-A tretinoin 0.025% Cream 0.321700518182 Stieva-A tretinoin 0.5% Cream 0.321700662348 Stieva-A tretinoin 0.1% Cream 0.321700587966 Stieva-A tretinoin 0.025% Gel 0.321700641863 Stieva-A tretinoin 0.05% Gel 0.321702262983 Supeudol oxycodone HCl 20 mg Tablet 0.435801926624 Tamofen tamoxifen 10 mg Tablet 0.212301926632 Tamofen tamoxifen 20 mg Tablet 0.424500010405 Tegretol carbamazepine 200 mg Tablet 0.405700369810 Tegretol carbamazepine 100 mg Tablet 0.167000665088 Tegretol carbamazepine 200 mg Tablet 0.329500773611 Tegretol CR carbamazepine 200 mg Tablet 0.409000755583 Tegretol CR carbamazepine 400 mg Tablet 0.8179

02246063 Testosterone Cypionate

testosterone cypionate 100 mg/mL Injection 2.1300

02231151 Tiazac diltiazem HCl 180 mg Capsule 1.271202231152 Tiazac diltiazem HCl 240 mg Capsule 1.686102231155 Tiazac diltiazem HCl 360 mg Capsule 2.542402221977 Trental pentoxifylline 400 mg Tablet 0.857502242068 Trileptal oxcarbazepine 300 mg Tablet 1.820502242069 Trileptal oxcarbazepine 600 mg Tablet 3.641002219492 Valtrex valacyclovir 500 mg Tablet 3.731702241497 Ventolin salbutamol 100 mcg Inhaler 0.076702213427 Ventolin salbutamol 2 mg/mL Nebules 0.863802213419 Ventolin salbutamol 1 mg/mL Nebules 0.4548

02213486 Ventolin salbutamol 5 mg/mL Respirator Solution 1.1033

00578452 Vibra-Tabs doxycycline 100 mg Tablet 1.866500417270 Visken pindolol 5 mg Tablet 0.5998

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00443174 Visken pindolol 10 mg Tablet 1.022300417289 Visken pindolol 15 mg/mL Tablet 1.483000632724 Voltaren diclofenac sodium 50 mg Suppository 1.363700632732 Voltaren diclofenac sodium 100 mg Suppository 1.835600514012 Voltaren diclofenac sodium 50 mg Tablet 0.908200881635 Voltaren Rapide diclofenac potassium 50 mg Tablet 0.870600782459 Voltaren SR diclofenac sodium 75 mg Tablet 1.276200590827 Voltaren SR diclofenac sodium 100 mg Tablet 1.819002237825 Wellbutrin SR bupropion HCl 150 mg Tablet 1.011100548359 Xanax alprazolam 0.25 mg Tablet 0.267900548367 Xanax alprazolam 0.5 mg Tablet 0.320300723770 Xanax alprazolam 1 mg Tablet 0.576400813958 Xanax TS alprazolam 2 mg Tablet 1.024502212374 Zantac ranitidine 15 mg/mL Oral Solution 0.229402212358 Zantac ranitidine 300 mg Tablet 0.396002212021 Zithromax azithromycin 250 mg Tablet 5.417902231143 Zithromax azithromycin 600 mg Tablet 13.002802223716 Zithromax azithromycin 100 mg/5 mL Suspension 1.171202223724 Zithromax azithromycin 200 mg/5 mL Suspension 1.659602229639 Zofran odansetron 4 mg/5 mL Solution 2.248702213567 Zofran odansetron 4 mg Tablet 14.737802213575 Zofran odansetron 8 mg Tablet 22.488402132702 Zoloft sertraline 25 mg Capsule 0.881801962817 Zoloft sertraline 50 mg Capsule 1.763601962779 Zoloft sertraline 100 mg Capsule 1.848000634506 Zovirax acyclovir 200 mg Tablet 1.407401911627 Zovirax acyclovir 400 mg Tablet 2.835701911635 Zovirax acyclovir 800 mg Tablet 5.5762

** The price change has resulted in a change to the lowest price in the category.

The following products will be deleted with the next Formulary amendments.02237651 Apo-Loxapine loxapine 5 mg Tablet02237652 Apo-Lozapine loxapine 10 mg Tablet02237653 Apo-Loxapine loxapine 25 mg Tablet02237654 Apo-Loxapine loxapine 50 mg Tablet00312789 Apo-Phenylbutazone phenylbutazone 100 mg Tablet02231676 Covera-HS verapamil 180 mg Tablet02231677 Covera-HS verapamil 240 mg Tablet00344885 Cytoxan cyclophosamide 50 mg Tablet01997629 Didronel etidronate disodium 200 mg Tablet00507245 Duricef cefadroxil 500 mg Tablet02248239 Eligard leuprolide 7.5 mg Injection02206072 Eprex epoetin alfa 20,000 IU/mL Vial01934252 Fucidin fusidate sodium 250 mg Tablet

Discontinued Products

20 of 22


00453811 Heparin Leo heparin sodium 1,000 IU/mL Vial01916564 Hycomine n/a 1 mg/mL Syrup00731323 Megace megestrol acetate 160 mg Tablet02155923 Nimotop nimodipine 30 mg Capsule01913239 Nu-Alpraz alprazolam 0.25 mg Tablet01913247 Nu-Alpraz alprazolam 0.5 mg Tablet02171856 Nu-Bromazepam bromazepam 1.5 mg Tablet02171864 Nu-Bromazepam bromazepam 3 mg Tablet02171872 Nu-Bromazepam bromazepam 6 mg Tablet02231691 Novo-Cefaclor cefaclor 250 mg Capsule02231693 Novo-Cefaclor cefaclor 500 mg Capsule02173344 Nu-Clonazepam clonazepam 0.5 mg Tablet02173352 Nu-Clonazepam clonazepam 1 mg Tablet

02231785 Nou-Ipratropium Plastic Ampoules ipratropium bromide 250 mcg/mL Unit Dose Vial

02218305 Nu-Ketotifen ketotifen 1 mg/5 mL Oral Liquid00865672 Nu-Loraz lorazepam 0.5 mg Tablet00865680 Nu-Loraz lorazepam 1 mg Tablet00865699 Nu-Loraz lorazepam 2 mg Tablet02237534 Nu-Loxapine loxapine 5 mg Tablet02237535 Nu-Loxapine loxapine 10 mg Tablet02237536 Nu-Loxapine loxapine 25 mg Tablet02237537 Nu-Loxapine loxapine 50 mg Tablet01964399 Nu-Prochlor prochlorperazine 5 mg Tablet01964402 Nu-Prochlor prochlorperazine 10 mg Tablet02165368 Nu-Salbutamol salbutamol 2 mg Tablet02165376 Nu-Salbutamol salbutamol 4 mg Tablet

02231783 Nu-Salbutamol salbutamol 2.5 mg/2.5 mL Nebulizer Solution

02231784 Nu-Salbutamol salbutamol 5 mg/2.5 mL Nebulizer Solution

02231671 Nu-Cromolyn Plastic Ampoules sodium cromoglycate 1% Nebulizer

Solution02223579 Nu-Temazepam temazepam 15 mg Capsule02223589 Nu-Temazepam temazepam 30 mg Capsule

00865753 Nu-Cotrimex trimethoprim/sulfamethoxazole

40 mg/200 mg/5 mL Oral Suspension

02245426 pms-Digoxin digoxin 0.0625 mg Tablet02245427 pms-Digoxin digoxin 0.125 mg Tablet02245428 pms-Digoxin digoxin 0.25 mg Tablet02254719 Sandoz Gliclazide gliclazide 80 mg Tablet00846341 Sibelium flunarizine 5 mg Capsule01913999 Symmetrel amantadine 10 mg/mL Syrup01962728 Ultravate halobetasol 0.05% Ointment

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The following product has had a name change:

01950541Rhinaris-CS Anti-Allergic Nasal Mist(old name - Cromolyn Nasal Mist)

cromolyn sodium 2% Nasal Spray

The following products have been tranfserred to JHP Pharmaceuticals (JHP):01997602 Dantrium dantrolene sodium 25 mg Capsule01997653 Dantrium dantrolene sodium 100 mg Capsule01997572 Dantrium dantrolene sodium N/A IV

The following products have been tranfserred to Paladin Labs (PAL):02230732 Trinipatch nitroglycerin 0.2 mg Patch02230733 Trinipatch nitroglycerin 0.4 mg Patch02230734 Trinipatch nitroglycerin 0.6 mg Patch

The following products will be distributed by Takeda Canada (TAK):02242572 Actos pioglitazone 15 mg Tablet02242573 Actos pioglitazone 30 mg Tablet02242574 Actos pioglitazone 45 mg Tablet

The following products have been tranfserred to Tribute Pharma Canada (TPC):02083523 Bezalip SR bezafibrate 400 mg Tablet02070847 Soriatane acitretin 10 mg Capsule02070863 Soriatane acitretin 25 mg Capsule

The following product has been transferred to UCB Pharma (UCB):02063808 Dipentum olsalazine sodium 250 mg Tablet

The following product has been transferred to a Natural Health Product Number (NPN):80001408(old DIN - 00645923)

Dipentum olsalazine sodium 250 mg Tablet

Manufacturer Updates

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bulletin # 61 - manitoba filebulletin #61 effective: august 17, 2009 02319977 02319985 02319993...

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