bulletin # 66 - province of manitoba | home page · · 2011-10-250.4690 0.4691 price in dollars...

The following amendments will take effect on November 24, 2011.

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 November 24, 2011.

Bulletin 66 is currently available for download:http://www.gov.mb.ca/health/mdbif/bulletin66.pdf

BULLETIN # 66Manitoba Drug Benefits and

Interchangeability Formulary Amendments

Inside This IssuePart 1 Additions -2Part 2 Additions Page 3Part 3 Additions Page 3-6New Interchangeable Categories Page 6-10New Interchangeable Products Page 10-13Product Deletions Page 13-15Category Deletions Page 15-16Interchangeable Product Price Changes Page 16-25Manufacturer Updates Page 25-26

Bulletin #66Effective: November 24, 2011

DIN TRADE NAME GENERIC STRENGTH FORM MFR*023653400236535902365367

Apo-Candesartan candesartan4 mg8 mg

16 mgTablet APX

02299615 Apo-Dorzo-Timop dorzolamide/timolol maleate 20 mg/5 mg/mLOphthalmic

DropsAPX

022998010229982802299836

Auro-Mirtazapine OD mirtazapine15 mg30 mg45 mg

Tablet AUP

02325985 Bicalutamide bicalutamide 50 mg Tablet ACC022983090229117702291185

Champix varenicline0.5 mg/1 mg

0.5 mg1 mg

KitTabletTablet

PFI

023280700232808902328100

CO Irbesartan irbesartan75 mg

150 mg300 mg

Tablet COB

023573990235740202357410

CO Irbesartan HCT irbesartan/HCTZ150/12.5 mg300/12.5 mg

300/25 mgTablet COB

0232565902325667023256750232568302325691

CO Olanzapine olanzapine

2.5 mg5 mg

7.5 mg10 mg15 mg

Tablet COB

0229634902296357

CO Ondansetron ondansetron4 mg8 mg

Tablet COB

02331748 CO Valacyclovir valacyclovir 500 mg Tablet COB02337487023374950233750902337517

CO Valsartan valsartan

40 mg80 mg

160 mg320 mg

Tablet COB

023597900235980402359812023598200235983902359847

Mint-Risperidon risperidone

0.25 mg0.5 mg

1 mg2 mg3 mg4 mg

Tablet MPH

02243005 Mirena(moved from Part 3)

levonorgestrel 52 mg Implant BAY

0236737802367386

Mylan-Ranitidine ranitdine150 mg300 mg

Tablet MYL

02357593 Norvir ritonavir 100 mg Tablet ABB00905920 One Touch Delica - - Lancet LIF

Part 1 Additions

1 of 26


023170600231707902317087

pms-Irbesartan irbesartan75 mg

150 mg300 mg

Tablet PMS

023285180232852602328534

pms-Irbesartan HCTZ irbesartan/HCTZ150/12.5 mg300/12.5 mg

300/25 mgTablet PMS

02352230023522490235225702352265

Ran-Enalapril enalapril

2.5 mg5 mg

10 mg20 mg

Tablet RAN

023632080236321602363224

Ran-Irbesartan HCTZ irbesartan/HCTZ150/12.5 mg300/12.5 mg

300/25 mgTablet RAN

023630620236310002363119

Ran-Valsartan valsartan40 mg80 mg

160 mgTablet RAN

023163900231640402316412

ratio-Irbesartan irbesartan75 mg

150 mg300 mg

Tablet RPH

023305120233052002330539

ratio-Irbesartan HCTZ irbesartan HCTZ150/12.5 mg300/12.5 mg

300/25 mgTablet RPH

023269570232696502326973

Sandoz Candesartan candesartan4 mg8 mg

16 mgTablet SDZ

0235418702354195

Sandoz Metoprolol(type L)

metoprolol50 mg

100 mgTablet SDZ

023159710231599802316005

Teva-Irbesartan irbesartan75 mg

150 mg300 mg

Tablet TEV

023160130231602102316048

Teva-Irbesartan HCTZ irbesartan/HCTZ150/12.5 mg300/12.5 mg

300/25 mgTablet TEV

02352893 Teva-Nevirapine nevirapine 200 mg Tablet TEV02356643023566510235667802356686

Teva-Valsartan valsartan

40 mg80 mg

160 mg320 mg

Tablet TEV

0235699602357003023570110235703802357046

Teva-Valsartan HCTZ valsartan/HCTZ

80/12.5 mg160/12.5 mg

160/25 mg320/12.5 mg

320/25 mg

Tablet TEV

*Abbreviation of Manufacturers' Names

2 of 26


02365383 Apo-Finasteride finasteride 5 mg Tablet APXFor the treatment of symptomatic benign prostatic hyperplasia.

02354462 CO Finasteride finasteride 5 mg Tablet COBFor the treatment of symptomatic benign prostatic hyperplasia.

0236142602361434

Ran-Clarithromycin clarithromycin250 mg500 mg

Tablet RAN

For treatment of patients:(a) Not responding to or intolerant of alternative antibiotics (eg. amoxicillin and erythromycin);(b) With mycobacterial infections due to mycobacterium avium and mycobacterium intracellular; and(c) In combination therapy in the treatment of H. Pylori.

02313960 Teva-Zolmitriptan zolmitriptan 2.5 mg Tablet TEVFor the treatment of ACUTE migraine attacks in patients where standard therapy has failed - to a maximum of 144 tablets per benefit year.

02342545 Teva-Zolmitriptan OD zolmitriptan 2.5 mg Tablet TEVFor the treatment of ACUTE migraine attacks in patients where standard therapy has failed - to a maximum of 144 tablets per benefit year.

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

023034420230345002303469

Accel-Pioglitazone pioglitazone15 mg30 mg45 mg

Tablet ACC

As per pioglitazone criteria (http://www.gov.mb.ca/health/mdbif/edsnotice.pdf)

0229381102293838

Apo-Lansoprazole lansoprazole15 mg30 mg

Tablet APX

As per PPI criteria (see Bulletin 50).

Part 3 Additions

Part 2 Additions

3 of 26


02353687 Apo-Risedronate risedronate 35 mg Tablet APXAs per risedronate criteria (http://www.gov.mb.ca/health/mdbif/edsnotice.pdf)

023214750232148302321491

CO Repaglinide repaglinide0.5 mg

1 mg2 mg

Tablet COB

As per repaglinide criteria (http://www.gov.mb.ca/health/mdbif/edsnotice.pdf)

023264770232648502326493

Mint-Pioglitazone pioglitazone15 mg30 mg45 mg

Tablet MPH

As per pioglitazone criteria (http://www.gov.mb.ca/health/mdbif/edsnotice.pdf)

023394390233944702339455

Mylan-Galantamine ER galantamine8 mg

16 mg24 mg

Capsule MYL

As per galantamine criteria (http://www.gov.mb.ca/health/mdbif/edsnotice.pdf)

02282097 Orencia abatacept 250 mg/vial Injection BMSFor treatment of patients over 18 years of age who have moderate to severe active rheumatoid arthritisand who have failed treatment with at least 3 DMARDs (disease-modifying antirheumatic drugs) therapiesone of which is methotrexate and/or leflunomide unless intolerance or contraindications to these agents is documented. One combination therapy of DMARDs must also be tried.

Request for coverage must be made by a Manitoba physician who is a specialist in rheumatology.

02343541 Prolia denosumab 60 mg/mL Injection AGA1. Female patients with Post Menopausal Osteoporosis (PMO) at high risk for fracture and satisfy at leasttwo of the following three criteria:▫ Age > 75 years;▫ A prior fragility fracture;▫ A bone mineral density (BMD) T-score ≤ -2.5; or2. Female patients with PMO with a serious intolerance to oral bisphosphonates or for who oral bisphosphonates are contraindicated.

02244016 Remicade infliximab 10 mg/mL Injection JANPsoriatic ArthritisFor treatment of patients over 18 years of age who have active psoriatic arthritis who have failed treatment with at least 3 DMARD therapies, one of which is methotrexate and/or leflunomide unless intolerance or contraindication to these agents is documented. One combination therapy of DMARD must also be tried.

4 of 26


Initial application information should include information on disease activity such as thenumber of tender joins, swollen joints, erythrocyte sedimentation rate and C-reactive protein value.


Ankylosing SpondylitisFor the treatment of patients with active ankylosing spondylitis who have failed to respond to an adequatetrial of at least three different non-steroidal anti-inflammatory drugs (NSAIDs) and, in patients with peripheral joint involvement, who have failed to respond to methotrexate or sulfasalazine.


PsoriasisFor the treatment of adult patients with severe plaque psoriasis with one or more of the following:▫ Psoriasis Area and Severity Index (PASI) ≥ 10;▫ Body Surface Area (BSA) > 10 percent;▫ Dermatology Life Quality Index (DLQI) > 10;▫ Significant involvement of the face, hands, feet or genital region; AND▫ Failure to respond to, contraindications to, intolerant of or unable to access methotrexate, cyclosporineand/or phototherapy.

The initial request is approved for a maximum of 4 months. For continued coverage the physician must confirm the patient's response to treatment and demonstration of treatment clinical benefits:≥ 50 percent reduction in the PASI score with ≥ point improvement in the DLQI; OR≥ 75 percent reduction in the PASI score; OR≥ 50 percent reduction in the BSA with significant improvement of the face, hands, feet or genital region.

Request for coverage must be made by a Manitoba physician who is a specialist in dermatology.

Ulcerative ColitisFor the treatment of patients with moderately to severly active ulcerative colitis who have had aninadequate response to conventional therapy including 5-aminosalicylate compounds, corticosteroidsand immunomodulators.

Request for coverage must be made by a Manitoba physician who is a specialist in gastroenterology.

023574530235746102357488

Sandoz Repaglinide repaglinide0.5 mg

1 mg2 mg

Tablet SDZ

As per repaglinide criteria (http://www.gov.mb.ca/health/mdbif/edsnotice.pdf)

0227726302277271

Vesicare solifenacin5 mg

10 mgTablet ASP

For the treatment of overactive bladder in adults who cannot tolerate or have insufficient response to an adequate trial of immediate-release oxybutynin.

02316986 Xarelto rivaroxaban 10 mg Tablet BAYFor the prophylaxis of venous thromboembolism following total knee replacement for up to two (2) weeks, and following total hip replacement surgery for up to five (5) weeks, as an alternative to low molecular weight heparins.

5 of 26


02324032 Xeominclostridium botulinum neurotox

100 IU Injection MPG

For the treatment of hypertonicity disorders of the 7th nerve such as blepharospasm including benign essential blepharospasm and hemifacial spasm in adults.

To reduce the subjective symptoms and objective signs of cervical dystonia (spasmodic torticollis)in adults.

The following new interchangeable categories and products were added:

Generic Name - Strength - Form

DIN Trade Name Manufacturer

Candesartan - 4 mg - Tablet $02339090 Atacand AZC02365340 Apo-Candesartan APX02326957 Sadoz Candesartan SDZ



Dorzolamide/Timolol Maleate - 20 mg/5 mg/mL - Ophthalmic Drops $02240113 Cosopt MFX02299615 Apo-Dorzo/Timop APX

Galantamine - 8 mg - Capsule $02266717 Reminyl ER JAN02339439 Mylan-Galantamine ER MYL

1.29000.4691

1.2900

6.25102.5569

0.4690

0.2800

5.48602.4930

0.2800

0.4690

0.4691

Price in Dollars

New Interchangeable Categories

0.7700

6 of 26




Irbesartan - 75 mg - Tablet $02237923 Avapro SQU02328070 CO Irbesartan COB02317060 pms-Irbesartan PMS02316390 ratio-Irbesartan RPH02315971 Teva-Irbesartan TEV

Irbesartan - 150 mg - Tablet $02237925 Avapro SQU02328089 CO Irbesartan COB02317079 pms-Irbesartan PMS02316404 ratio-Irbesartan RPH02315998 Teva-Irbesartan TEV

Irbesartan - 300 mg - Tablet $02237924 Avapro SQU02328100 Irbesartan COB02317087 pms-Irbesartan PMS02316412 ratio-Irbesartan RPH02316005 Teva-Irbesartan TEV

Irbesartan/hydrochlorothiazide - 150/12.5 mg - Tablet $02241818 Avalide SQU02357399 CO Irbesartan/HCT COB02328518 pms-Irbesartan-HCTZ PMS02363208 Ran-Irbesartan/HCTZ RAN02330512 ratio-Irbesartan HCTZ RPH02316021 Teva-Irbesartan/HCTZ TEV

2.4930

0.4839

5.4860

0.4839

2.4930

5.4860

0.48390.4839

0.4839

1.3506

0.4839

1.3506

0.4839

0.4839

1.3506

0.4839

0.4839

0.4839

0.4839

0.4839

0.4839

0.48390.4839

0.4839

1.3506

7 of 26


Irbesartan/hydrochlorothiazide - 300/12.5 mg - Tablet $02241819 Avalide SQU02357402 CO Irbesartan/HCT COB02328526 pms-Irbesartan-HCTZ PMS02363216 Ran-Irbesartan/HCTZ RAN02330520 ratio-Irbesartan HCTZ RPH02316021 Teva-Irbesartan/HCTZ TEV

Irbesartan/hydrochlorothiazide - 300/25 mg - Tablet $02280213 Avalide SQU02357410 CO Irbesartan/HCT COB02328534 pms-Irbesartan-HCTZ PMS02363224 Ran-Irbesartan/HCTZ RAN02330539 ratio-Irbesartan HCTZ RPH02316048 Teva-Irbesartan/HCTZ TEV

Nevirapine - 200 mg - Tablet $02238748 Viramune BOE02352893 Teva-Nevirapine TEV

Repaglinide - 0.5 mg - Tablet $02239924 Gluconorm NOO02357453 Sandoz Repaglinide SDZ02321475 CO Repaglinide COB

Repaglinide - 1 mg - Tablet $02239925 Gluconorm NOO02357461 Sandoz Repaglinide SDZ02321483 CO Repaglinide COB

Repaglinide - 2 mg - Tablet $02239926 Gluconorm NOO02321491 Co Repaglinide COB02357488 Sandoz Repaglinide SDZ

Valsartan - 40 mg - Tablet $02270528 Diovan NVT02337487 CO Valsartan COB02363062 Ran-Valsartan RAN02356643 Teva-Valsartan TEV

0.4657

1.2804

0.4657

0.48390.4839

0.1339

0.1421

0.48060.4806

1.3506

0.4806

5.70382.2222

0.4839

0.4657

0.4806

0.3342

0.15400.1476

0.4839

1.3349

0.4839

0.1367

0.3474

0.1392

0.3610

0.4806

8 of 26




Valsartan - 320 mg - Tablet $02289504 Diovan NVT02337517 CO Valsartan COB02356686 Teva-Valsartan TEV

Valsartan/Hydrochlorothiazide - 80/12.5 mg - Tablet $02241900 Diovan HCTZ NVT02356996 Teva-Valsartan HCTZ TEV


Valsartan/Hydrochlorothiazide - 160/25 mg - Tablet $02246955 Diovan HCTZ NVT02357011 Teva-Valsartan HCTZ TEV


Valsartan/Hydrochlorothiazide - 320/25 mg - Tablet $02308916 Diovan HCTZ NVT02357046 Teva-Valsartan HCTZ TEV

1.3018

1.30160.4733

1.2815

0.4658

0.4732

0.4732

1.2815

0.4548

1.30160.4733

1.3016

0.45481.2825

1.3016

0.4733

0.4733

0.4733

0.4733

0.4733

0.4658

9 of 26


Zolmitriptan - 2.5 mg - Tablet $02238660 Zomig AZC02313960 Teva-Zolmitriptan TEV

Zolmitriptan - 2.5 mg - Orally Disintegrating Tablet $02243045 Zomig OD AZC02342545 Teva-Zolmitriptan OD TEV

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

Bicalutamide - 50 mg - Tablet $02325985 Bicalutamide ACH

Clarithromycin - 250 mg - Tablet $02361426 Ran-Clarithromycin RAN

Clarithromycin - 500 mg - Tablet $02361434 Ran-Clarithromycin RAN

Enalapril - 2.5 mg - Tablet $02352230 Ran-Enalapril RAN

Enalapril - 5 mg - Tablet $02352249 Ran-Enalapril RAN



Finasteride - 5 mg - Tablet $02365383 Apo-Finasteride APX02354462 CO Finasteride COB

5.3333

**1.0905

15.08845.3333

15.1000

New Interchangeable Products

**0.7412**0.7412

**2.1909

**0.7612

**0.9205

**0.5325

**4.0072

**0.6318

10 of 26


Lansoprazole - 15 mg - Tablet $02293811 Apo-Lansoprazole APX

Lansoprazole - 30 mg - Tablet $02293838 Apo-Lansoprazole APX

Metoprolol - 50 mg - Tablet $02354187 Sandoz Metoprolol (type L) SDZ

Metoprolol - 100 mg - Tablet $02354195 Sandoz Metoprolol (type L) SDZ

Mirtazapine - 15 mg - Orally Disintigrating Tablet $02299801 Auro-Mirtazapine OD AUP



Olanzapine - 2.5 mg - Tablet $02325659 CO Olanzapine COB

Olanzapine - 5 mg - Tablet $02325667 CO Olanzapine COB

Olanzapine - 7.5 mg - Tablet $02325675 CO Olanzapine COB



**2.8755

**0.9072

**0.5897

**0.6318

**0.1225

**4.3132

**2.1566

**0.7189

**0.2106

**1.4378

**0.9072

**0.2223

11 of 26


Ondansetron - 4 mg - Tablet $02296349 CO Ondansetron COB

Ondansetron - 8 mg - Tablet $02296357 CO Ondansetron COB

Pioglitazone - 15 mg - Tablet $02303442 Accel-Pioglitazone ACC02326477 Mint-Pioglitazone MPH



Ranitidine - 150 mg - Tablet $02367378 Mylan-Ranitidine MYL

Ranitidine - 300 mg - Tablet $02367386 Mylan-Ranitidine MYL

Risedronate - 35 mg - Tablet $02353687 Apo-Risdronate APX

Risperidone - 0.25 mg - Tablet $02359790 Mint-Risperidon MPH

Risperidone - 0.5 mg - Tablet $02359804 Mint-Risperidon MPH

Risperidone - 1 mg - Tablet $02359812 Mint-Risperidon MPH

**0.3816

**0.1908

**5.3592

**0.3475

**0.4800

**4.4067

**0.2075

**1.9580

**0.9295

**8.1776

**1.3022

**1.9580

**0.9295

**1.3022

12 of 26





Valacyclovir - 500 mg - Tablet $02331748 CO Valacyclovir COB

The following products have been deleted.

01934392 Amantine midodrine 2.5 mg Tablets01934406 Amantine midodrine 5 mg Tablets00754595 Apo-Bisacodyl bisacodyl 10 mg Suppositories02230263 Apo-Cefaclor cefaclor 250 mg Capsules02230264 Apo-Cefaclor cefaclor 500 mg Capsules00618292 Apo-Cloxi cloxicillin 250 mg Capsule00618284 Apo-Cloxi cloxicillin 500 mg Capsule00644633 Apo-Cloxi cloxicillin 125 mg/5 mL Oral Suspension

02244842 Apo-Flavoxate flavoxate 200 mg Tablet02177072 Apo-Naproxen SR naproxen 750 mg Tablets00187585 BenOxyl benzoyl peroxide 20% Lotion00603821 Buspar buspirone 10 mg Tablets00546291 Capoten captopril 50 mg Tablets02323419 CO Fluconazole fluconazole 150 mg Capsule00579378 Desryl trazodone 100 mg Tablets02141442 Diflucan-150 fluconazole 150 mg Capsule02280345 Duragesic fentanyl 12 mcg Patch00641154 Emo-Cort hydrocortisone 2.5% Scalp Lotion00720933 Euglucon glyburide 2.5 mg Tablets02245283 FXT 40 fluoxetine 40 mg Capsule02192705 Gen-Bromazepam bromazepam 1.5 mg Tablet02192713 Gen-Bromazepam bromazepam 3 mg Tablet02192712 Gen-Bromazepam bromazepam 6 mg Tablet02229838 Gen-Medroxy medroxyprogesterone 2.5 mg Tablet

**1.9167

Product Deletions

**0.9583

**1.4375

**1.3569

13 of 26


02229839 Gen-Medroxy medroxyprogesterone 5 mg Tablet02229840 Gen-Medroxy medroxyprogesterone 10 mg Tablet02246046 Gen-Nizatidine nizatidine 150 mg Tablet02246047 Gen-Nizatidine nizatidine 300 mg Tablet02057808 Gen-Pindolol pindolol 5 mg Tablet02057816 Gen-Pindolol pindolol 10 mg Tablet02057824 Gen-Pindolol pindolol 15 mg Tablet02171813 Gen-Piroxicam piroxicam 10 mg Tablet02171821 Gen-Piroxicam piroxicam 20 mg Tablet01916564 Hycomine ammonium chloride 1 mg/mL Syrup00659606 Lopid gemfibrozil 600 mg Tablet00599026 Lopid gemfibrozil 300 mg Capsule

02245860 Lumigan bimatoprost 0.03%Ophthalmic

Solution02173506 Minocin minocycline 100 mg Capsules02230874 Mylan-Buspirone buspirone 10 mg Tablet02229723 Mylan-Cyproterone cyproterone 50 mg Tablets02265133 Mylan-Divalproex divalproex 125 mg Tablet02265141 Mylan-Divalproex divalproex 250 mg Tablet02265168 Mylan-Divalproex divalproex 500 mg Tablet02245697 Mylan-Fluconazole fluconazole 150 mg Capsule

02232987 Mylan-Salbutamol salbutamol 5 mg/mLInhalation Solution

00893781 Mylan-Timolol timolol maleate 0.5%Ophthalmic

Solution01995227 Mylan-Triazolam triazolam 0.125 mg Tablet01913506 Mylan-Triazolam triazolam 0.25 mg Tablet02232872 Novo-Cyproterone cyproterone 50 mg Tablets00364282 Novo-Purol allopurinol 100 mg Tablet00565342 Novo-Purol allopurinol 200 mg Tablet00363693 Novo-Purol allopurinol 300 mg Tablet02231432 Nu-Cefaclor cefaclor 250 mg Capsule02231433 Nu-Cefaclor cefaclor 500 mg Capsule00717584 Nu-Cloxi cloxicillin 250 mg Capsule00717592 Nu-Cloxi cloxicillin 500 mg Capsule

00717630 Nu-Cloxi cloxicillin 125 mg/5 mL Oral Suspension

02230401 Nu-Pentoxifylline SR pentoxifylline 400 mg Tablet02043033 Ovral ethinyl estradiol/norgestrel 50/250 mcg Tablets02014270 Phyllocontin aminophylline 225 mg Tablets02014289 Phyllocontin aminophylline 350 mg Tablets00892505 pms-Acetaminophen acetaminophen 500 mg Tablets02229718 pms-Cimetidine cimetidine 300 mg Tablet02229719 pms-Cimetidine cimetidine 400 mg Tablet02229720 pms-Cimetidine cimetidine 600 mg Tablet02294826 pms-Clindamycin clindamycin 150 mg Capsule02294834 pms-Clindamycin clindamycin 300 mg Capsule01946277 pms-Desipramine desipramine 50 mg Tablets

14 of 26


01946242 pms-Desipramine desipramine 75 mg Tablets02091275 pms-Fluphenazine fluphenazine 25 mg/mL Injection02241928 pms-Fluphenazine fluphenazine 100 mg/mL Injection02255944 pms-Fosinopril fosinopril 10 mg Tablet02230889 pms-Gentamicin gentamicin 0.3% Otic Solution

00776521 pms-Gentamicin gentamicin 0.3%Ophthalmic

Solution02236733 pms-Glyburide glyburide 2.5 mg Tablet

02246627pms-Medroxyprogesterone

medroxyprogesterone 2.5 mg Tablet


medroxyprogesterone 5 mg Tablet


medroxyprogesterone 10 mg Tablet

02232903 pms-Methotrimeprazine methotrimeprazine 5 mg Tablets02244125 pms-Misoprostol misoprostol 200 mcg Tablets02243218 pms-Moclobemide moclobemide 150 mg Tablets02243219 pms-Moclobemide moclobemide 300 mg Tablets02270862 pms-Mometasone mometasone 0.1% Ointment02245284 pms-Morphine SR morphine sulfate 15 mg Tablets02245285 pms-Morphine SR morphine sulfate 30 mg Tablets02245287 pms-Morphine SR morphine sulfate 100 mg Tablets00582255 pms-Propranolol propranolol 10 mg Tablet00582263 pms-Propranolol propranolol 40 mg Tablet00582271 pms-Propranolol propranolol 80 mg Tablet02091186 pms-Salbutamol salbutamol 0.4 mg/mL Solution02238209 pms-Sucralfate sucralfate 1 g Tablet02273039 pms-Temazepam temazepam 15 mg Capsule02240807 pms-Terbinafine terbinafine 250 mg Tablet02230828 pms-Tiaprofenic tiaprofenic 300 mg Tablet02240445 pms-Tryptophan tryptophan 500 mg Tablets02230202 pms-Tryptophan tryptophan 1 g Tablet02284057 Prezista darunavir 300 mg Tablet00030945 Provera medroxyprogesterone 100 mg Tablet02247097 ratio-Amcinonide amcinonide 0.1% Lotion02247096 ratio-Amcinonide amcinonide 0.1% Ointment01968432 ratio-Pentoxifylline pentoxifylline 400 mg Tablet00578568 Stieva-A tretinoin 0.025% Liquid00613215 Teva-Spiroton spironolactone 25 mg Tablet00613223 Teva-Spiroton spironolactone 100 mg Tablet

00613231 Teva-Spirozinespironolactone/hydrochlorothiazide

25/25 mg Tablet

00657182 Teva-Spirozinespironolactone/hydrochlorothiazide

50/50 mg Tablet

15 of 26


02298376 Teva-Risderonate risedronate 5 mg Tablet02298384 Teva-Risderonate risedronate 30 mg Tablet00010472 Tofranil imipramine 25 mg Tablet00010480 Tofranil imipramine 50 mg Tablet02212374 Zantac ranitidine 15 mg/mL Oral Solution

- Amoxicillin/Clavulanic Acid - 400 mg/57 mg/5 mL - - Medroxyprogesterone Acetate - 100 mg -

Oral Suspension Tablet

- Benzoyl Peroxide in Water - 5% - Gel - Minoxidil - 2% - Topical Solution

- Bromazepam - 1.5 mg - Tablets - Misoprostol - 200 mcg - Tablets

- Cholestyramine Resin - 4g/Dose - Oral Powder - Morphine - 10 mg/mL - Oral Liquid

- Cloxicillin - 250 mg - Capsules - Oxaprozin - 600 mg - Tablets

- Cloxicillin - 500 mg - Capsules - Pentoxifylline - 400 mg - Tablets

- Cloxicillin - 125 mg/5 mL - Oral Suspension - Pimozide - 2 mg - Tablets

- Cyproterone - 50 mg - Tablets - Pimozide - 4 mg - Tablets

- Dipryrudamole - 50 mg - Tablets - Sodium Aurothiomalate - 10 mg/mL - Injection

- Dpryridamole - 75 mg - Tablets - Timolol Maleate - 0.5% - Ophthalmic Solution

- Erythromycin Base - 250 mg - Enteric Pellet Capsules (Gel Forming)

- Fluphenazine Decanoate - 100 mg/mL - Injection - Trentinoin - 0.01% - Topical Cream

- Gentamicin Sulfate - 0.3% - Ophthalmic Ointment - Trentinoin - 0.025% - Topical Cream

- Gliclazide - 30 mg - Tablets - Triazolam - 0.125 mg - Tablets

- Imipramine - 50 mg - Tablets - Trimethoprim Sulfate/Polymyxin B - 1 mg/

- Ketorolac - 30 mg/mL - Injection 10,000 U/mL - Ophthalmic Solution

- Ketotifen - 1 mg/5 mL - Oral Liquid

The following changes in prices have occurred: ($)

02341093 Accel-Amlodipine amlodipine 5 mg Tablet **0.415002341107 Accel-Amlodipine amlodipine 10 mg Tablet **0.620002242572 Actos pioglitazone 15 mg Tablet 2.616202242573 Actos pioglitazone 30 mg Tablet 3.665102242574 Actos pioglitazone 45 mg Tablet 5.510902236859 Agrylin anagrelide 0.5 mg Tablet 5.8533

00001147 Albalon naphazoline 0.1%Ophthalmic

Solution0.6336

02239665 Alertec modafinil 100 mg Tablet 1.4150

Interchangeable Product Price Changes

Category Deletions

16 of 26


00180408 Aldactazide spironolactone/HCTZ 25 mg Tablet 0.143800594377 Aldactazide spironolactone/HCTZ 50 mg Tablet 0.304900028606 Aldactone spironolactone 25 mg Tablet 0.143800285455 Aldactone spironolactone 100 mg Tablet 0.3388

02236974 Alesse 21levonorgestrel/ethinyl estradiol

100/20 mcg Tablet 0.7732

02236975 Alesse 28levonorgestrel/ethinyl estradiol

100/20 mcg Tablet 0.5799

02281112 Altace ramipril 15 mg Capsule 1.234202245272 Amaryl glimipiride 1 mg Tablet 0.910802245273 Amaryl glimipiride 2 mg Tablet 1.002502245274 Amaryl glimipiride 4 mg Tablet 1.093100647942 Ansaid flurbiprofen 50 mg Tablet 0.565300600792 Ansaid flurbiprofen 100 mg Tablet 0.740100726672 Apo-Erythro EC erythromycin 250 mg Capsule **0.409500396788 Apo-Furosemide furosemide 20 mg Tablet **0.044500312800 Apo-Hydro hydrochlorothiazide 50 mg Tablet 0.065002246691 Apo-Hydroxyquine hydroxyquine 200 mg Tablet **0.330102241888 Arava leflunomide 10 mg Tablet 11.816202241889 Arava leflunomide 20 mg Tablet 11.816202041413 Ativan lorazepam 0.5 mg Tablet 0.039502041421 Ativan lorazepam 1 mg Tablet 0.049202041448 Ativan lorazepam 2 mg Tablet 0.076900015229 Aventyl nortriptyline 10 mg Capsule 0.247400015237 Aventyl nortriptyline 25 mg Capsule 0.497601925180 Benzac benzoyl peroxide 5% Gel 0.165002237835 Betaject betamethasone 6 mg/mL Injection **9.340000461733 Carbolith lithium carbonate 150 mg Tablet 0.127600236683 Carbolith lithium carbonate 300 mg Tablet 0.099202011239 Carbolith lithium carbonate 600 mg Tablet 0.190102097249 Cardizem CD diltiazem 120 mg Tablet 1.626302097257 Cardizem CD diltiazem 180 mg Tablet 2.158802097265 Cardizem CD diltiazem 240 mg Tablet 2.863502097273 Cardizem CD diltiazem 300 mg Tablet 3.579201958100 Cardura doxazosin 1 mg Tablet 0.636301958097 Cardura doxazosin 2 mg Tablet 0.763201958119 Cardura doxazosin 4 mg Tablet 0.992502184478 Casodex bicalutamide 50 mg Tablet 6.625002163659 Cefzil cefprozil 250 mg Tablet 1.930002163667 Cefzil cefprozil 500 mg Tablet 3.7840

02163675 Cefzil O.S cefprozil 125 mg/5 mL Oral Suspension 0.1887

02163683 Cefzil O.S cefprozil 250 mg/5 mL Oral Suspension 0.3770

01945270 Ciloxan ciprofloxacin 0.3%Ophthalmic

Solution2.1767

02327562 CO Olanzapine ODT olanzapine 5 mg Tablet **1.544302327570 CO Olanzapine ODT olanzapine 10 mg Tablet **3.0858

17 of 26


02327589 CO Olanzapine ODT olanzapine 15 mg Tablet **4.627202297302 CO Pramipexole pramipexole 0.25 mg Tablet **0.454102297310 CO Pramipexole pramipexole 0.5 mg Tablet **1.135502297329 CO Pramipexole pramipexole 1 mg Tablet **0.908402297337 CO Pramipexole pramipexole 1.5 mg Tablet **0.908402036282 Coradarone isosorbide dinitrate 200 mg Tablet 2.305602112736 Cortenema hydrocortisone 100 mg/60 mL Enema 7.183001918311 Coumadin warfarin 1 mg Tablet 0.360801918338 Coumadin warfarin 2 mg Tablet 0.381701918346 Coumadin warfarin 2.5 mg Tablet 0.305302240205 Coumadin warfarin 3 mg Tablet 0.473002007959 Coumadin warfarin 4 mg Tablet 0.473001918354 Coumadin warfarin 5 mg Tablet 0.305801918362 Coumadin warfarin 10 mg Tablet 0.548900030570 Dalacin C clindamycin 150 mg Capsule 0.997102182866 Dalacin C clindamycin 300 mg Capsule 1.994200582301 Dalacin T clindamycin 1% Topical Solution 0.342500836362 DDAVP desmopressin 10 mcg Spray 20.768000824305 DDAVP desmopressin 0.1 mg Tablet 1.453900824143 DDAVP desmopressin 0.2 mg Tablet 2.907700443840 Depakene valproic acid 250 mg Capsule 0.611900443832 Depakene valproic acid 50 mg/mL Syrup 0.1275

00585092 Depo-Proveramedroxyprogesterone acetate

150 mg/mL Injection 29.7784

01981242 Desferal desferoxamine 500 mg Tablet 15.010602242465 Desmopressin desmopressin 10 mcg Spray 14.868002224550 Diabeta glyburide 2.5 mg Tablet 0.143402224569 Diabeta glyburide 5 mg Tablet 0.256700891835 Diflucan fluconazole 2 mg/mL Injection 0.5878

00023450 Dilantin phenytoin 125 mg Oral Suspension 0.0519

00688622 Diprolene betamethasone 15 g Cream 0.5705

00578428 Diprosalicbetamethasone/salicyclic acid

0.5/20/mg/g Lotion 0.4917

02275813 Duragesic MAT fentanyl 25 mcg Patch 12.645602275821 Duragesic MAT fentanyl 50 mcg Patch 23.798302275848 Duragesic MAT fentanyl 75 mcg Patch 33.471302275856 Duragesic MAT fentanyl 100 mcg Patch 41.661402237279 Effexor XR venlafaxine 37.5 mg Capsule 1.017202237280 Effexor XR venlafaxine 75 mg Capsule 2.033602237282 Effexor XR venlafaxine 150 mg Capsule 2.147200851736 Elocom mometasone 0.1% Ointment 0.743200596418 Epival divalproex 125 mg Tablet 0.324300596426 Epival divalproex 250 mg Tablet 0.582900596434 Epival divalproex 500 mg Tablet 1.166400607142 Eryc erythromycin 250 mg Capsule 0.540802244000 Estradot estradiol 17B 50 mcg Patch 3.026402244001 Estradot estradiol 17B 75 mcg Patch 3.2382

18 of 26


02229110 Famvir famciclovir 125 mg Tablet 3.149302229129 Famvir famciclovir 250 mg Tablet 4.271302177102 Famvir famciclovir 500 mg Tablet 7.624602231384 Femara letrozole 2.5 mg Tablet 6.493702201011 Fosamax alendronate 10 mg Tablet 2.2590

00512192 Garamycin gentamicin 5 mg/mLOphthalmic

Drops0.4466

00682217 Garasone betamethasone/gentamicin 3 mg/1 mg/mLOphthalmic/Otic

Drops1.4095

02280132 GD-Amlodipine amlodipine 5 mg Tablet 0.531902280140 GD-Amlodipine amlodipine 10 mg Tablet 0.789602301148 Gen-Ramipril ramipril 1.25 mg Tablet **0.299602301156 Gen-Ramipril ramipril 2.5 mg Tablet **0.345602301164 Gen-Ramipril ramipril 5 mg Tablet **0.345602301172 Gen-Ramipril ramipril 10 mg Tablet **0.437802310279 Gen-Venlafaxine XR venlafaxine 37.5 mg Capsule 0.392302310287 Gen-Venlafaxine XR venlafaxine 75 mg Capsule 0.784502310295 Gen-Venlafaxine XR venlafaxine 150 mg Capsule 0.828302099233 Glucophage metformin 500 mg Tablet 0.298802162849 Glucophage metformin 850 mg Tablet 0.378700818658 Hytrin terazosin 1 mg Tablet 0.822100818682 Hytrin terazosin 2 mg Tablet 1.044900818666 Hytrin terazosin 5 mg Tablet 1.320000818674 Hytrin terazosin 10 mg Tablet 2.077202126559 Imdur isosorbide-5-monohydrate 60 mg Tablet 0.678802216167 Imovane zopiclone 5 mg Tablet 1.106401926799 Imovane zopiclone 7.5 mg Tablet 1.397001907123 Isoptin SR verapamil 120 mg Tablet 1.509601934317 Isoptin SR verapamil 180 mg Tablet 1.704600742554 Isoptin SR verapamil 240 mg Tablet 2.273202313405 Jamp-Citalopram citalopram 20 mg Tablet **0.575302313413 Jamp-Citalopram citalopram 40 mg Tablet **0.575302026961 Kayaexalate sodium polystyrene 1 mcg/g Powder 0.196401999761 Kenalog triamcinolone 10 mg/mL Injection 3.575001999869 Kenalog triamcinolone 40 mg/mL Injection 8.250002247027 Keppra levetiracetam 250 mg Tablet 1.818202247028 Keppra levetiracetam 500 mg Tablet 2.215802247029 Keppra levetiracetam 750 mg Tablet 3.068002239944 Ketorolac ketorolac 30 mg/mL Injection **4.100002224690 Lasix furosemide 20 mg Tablet 0.093502224704 Lasix furosemide 40 mg Tablet 0.143802236841 Levaquin levofloxacin 250 mg Tablet 5.826302236842 Levaquin levofloxacin 500 mg Tablet 6.639202230711 Lipitor atorvastatin 10 mg Tablet 1.863402230713 Lipitor atorvastatin 20 mg Tablet 2.329202230714 Lipitor atorvastatin 40 mg Tablet 2.503902243097 Lipitor atorvastatin 80 mg Tablet 2.504000455881 Lioresal baclofen 10 mg Tablet 0.7552

19 of 26


00636576 Lioresal D.S baclofen 20 mg Tablet 1.469800397423 Lopressor metoprolol 50 mg Tablet 0.314100397431 Lopressor metoprolol 100 mg Tablet 0.644300658855 Lopressor SR metoprolol 100 mg Tablet 0.351800534560 Lopressor SR metoprolol 200 mg Tablet 0.638502190915 Losec omeprazole 20 mg Tablet 2.263301919342 Luvox fluvoxamine 50 mg Tablet 0.942701919369 Luvox fluvoxamine 100 mg Tablet 1.4527

02042487 Marvelon 21desogestrel/ethinyl estradiol

0.15/0.3 mg Tablet 0.7973

02042479 Marvelon 28desogestrel/ethinyl estradiol

0.15/0.3 mg Tablet 0.5980

02244366 Mefloquine mefloquine 250 mg Tablet **3.879800795860 Mevacor lovastatin 20 mg Tablet 2.274500795852 Mevacor lovastatin 40 mg Tablet 4.151002240775 Miacalcin NS synthetic calcium (salmon) 200 IU Nasal Spray 2.4715

02042320 Min-Ovrallevonorgestrel/ethinyl estradiol

150/30 mcg Tablet 0.7732

02285398 Modafinil modafinil 100 mg Tablet **0.975800511528 Mogadon nitrazepam 5 mg Tablet 0.159800511536 Mogadon nitrazepam 10 mg Tablet 0.239101907107 Monopril fosinopril 10 mg Tablet 0.987301907115 Monopril fosinopril 20 mg Tablet 1.188002015439 MS Contin morphine sulfate 15 mg Tablet 0.773702014297 MS Contin morphine sulfate 30 mg Tablet 1.109902014300 MS Contin morphine sulfate 60 mg Tablet 1.954702014319 MS Contin morphine sulfate 100 mg Tablet 2.981002014327 MS Contin morphine sulfate 200 mg Tablet 5.541802014203 MS IR morphine sulfate 5 mg Tablet 0.135302014211 MS IR morphine sulfate 10 mg Tablet 0.210102238171 Mylan-Amoxicillin amoxicillin 250 mg Tablet 0.175002278359 Mylan-Azithromycin azithromycin 250 mg Tablet 3.108402283778 Mylan-Cilazapril cilazapril 1 mg Tablet 0.371702283786 Mylan-Cilazapril cilazapril 2.5 mg Tablet 0.428402283794 Mylan-Cilazapril cilazapril 5 mg Tablet 0.497702245647 Mylan-Ciprofloxacin ciprofloxacin 250 mg Tablet 1.399202245648 Mylan-Ciprofloxacin ciprofloxacin 500 mg Tablet 1.578602245649 Mylan-Ciprofloxacin ciprofloxacin 750 mg Tablet 2.977402246594 Mylan-Citalopram citalopram 20 mg Tablet 0.825002246595 Mylan-Citalopram citalopram 40 mg Tablet 0.825002258331 Mylan-Clindamycin clindamycin 150 mg Tablet 0.489002258358 Mylan-Clindamycin clindamycin 300 mg Tablet 0.978002245292 Mylan-Fluconazole fluconazole 50 mg Tablet 3.126602262401 Mylan-Fosinopril fosinopril 10 mg Tablet 0.497702262428 Mylan-Fosinopril fosinopril 20 mg Tablet 0.598502248259 Mylan-Gabapentin gabapentin 100 mg Tablet 0.252002248260 Mylan-Gabapentin gabapentin 300 mg Tablet 0.613002248261 Mylan-Gabapentin gabapentin 400 mg Tablet 0.7305

20 of 26


02185407 Mylan-Gemfibrozil gemfibrozil 300 mg Tablet 0.326002229519 Mylan-Gliclazide gliclazide 80 mg Tablet 0.279002353830 Mylan-Lansoprazole lansoprazole 15 mg Tablet 0.864002353849 Mylan-Lansoprazole lansoprazole 30 mg Tablet 0.864002230735 Mylan-Minocycline minocycline 50 mg Tablet 0.535002230736 Mylan-Minocycline minocycline 100 mg Tablet 1.033202243432 Mylan-Naproxen EC naproxen 375 mg Tablet 0.367502241024 Mylan-Naproxen EC naproxen 500 mg Tablet 0.689402297868 Mylan-Ondansetron ondansetron 4 mg Tablet 7.300002297876 Mylan-Ondansetron ondansetron 8 mg Tablet 11.000002248012 Mylan-Paroxetine paroxetine 10 mg Tablet 1.043002248013 Mylan-Paroxetine paroxetine 20 mg Tablet 1.001702248014 Mylan-Paroxetine paroxetine 30 mg Tablet 1.064702257092 Mylan-Pravastatin pravastatin 10 mg Tablet 0.953002257106 Mylan-Pravastatin pravastatin 20 mg Tablet 1.124302257114 Mylan-Pravastatin pravastatin 40 mg Tablet 1.354302245372 Mylan-Propafenone propafenone 150 mg Tablet 0.427502245373 Mylan-Propafenone propafenone 300 mg Tablet 0.753702307839 Mylan-Quetiapine quetiapine 200 mg Tablet 1.852702282240 Mylan-Risperidone risperidone 0.25 mg Tablet 0.261502282259 Mylan-Risperidone risperidone 0.5 mg Tablet 0.437902282267 Mylan-Risperidone risperidone 1 mg Tablet 0.604802282275 Mylan-Risperidone risperidone 2 mg Tablet 1.207502282283 Mylan-Risperidone risperidone 3 mg Tablet 1.811302282291 Mylan-Risperidone risperidone 4mg Tablet 2.4150

02173360Mylan-Salbutamol Sterinebs

salbutamol 5 mg/2.5 mL Nebules 0.5084

02242519 Mylan-Sertraline sertraline 25 mg Tablet 0.504002242520 Mylan-Sertraline sertraline 50 mg Tablet 1.008002242521 Mylan-Sertraline sertraline 100 mg Tablet 1.102502246582 Mylan-Simvastatin simvastatin 5 mg Tablet 0.567002246583 Mylan-Simvastatin simvastatin 10 mg Tablet 1.121402246737 Mylan-Simvastatin simvastatin 20 mg Tablet 1.386002246584 Mylan-Simvastatin simvastatin 40 mg Tablet 1.386002246585 Mylan-Simvastatin simvastatin 80 mg Tablet 1.386002229779 Mylan-Sotalol sotalol 160 mg Tablet 0.6492

00893773 Mylan-Timolol timolol maleate 0.25%Ophthalmic

Solution1.5500

02263351 Mylan-Topiramate topiramate 25 mg Tablet 0.661502263378 Mylan-Topiramate topiramate 100 mg Tablet 1.253702263386 Mylan-Topiramate topiramate 200 mg Tablet 1.984501927620 Myochrysine sodium aurothiomalate 10 mg/mL Injection 12.859001927604 Myochrysine sodium aurothiomalate 50 mg/mL Injection 24.222002084260 Neurontin gabapentin 100 mg Capsule 0.467202084279 Neurontin gabapentin 300 mg Capsule 1.136602084287 Neurontin gabapentin 400 mg Capsule 1.354502231441 Nitrolingual nitroglycerin 200 DS Pumpspray 0.0782

21 of 26


00878928 Norvasc amlodipine 5 mg Tablet 1.435300878936 Norvasc amlodipine 10 mg Tablet 2.130502280515 Novo-Lansoprazole DR lansoprazole 15 mg Tablet 0.864002280523 Novo-Lansoprazole DR lansoprazole 30 mg Tablet 0.864002314290 Novo-Naratriptan naratriptan 1 mg Tablet **6.715102314304 Novo-Naratriptan naratriptan 2.5 mg Tablet **7.076002321343 Novo-Olanzapine OD olanzapine 5 mg Tablet 1.544302321351 Novo-Olanzapine OD olanzapine 10 mg Tablet 3.085802321378 Novo-Olanzapine OD olanzapine 15 mg Tablet **4.627202312298 Novo-Raloxifene raloxifene 60 mg Tablet **1.103802298376 Novo-Risedronate risedronate 5 mg Tablet **0.826202298392 Novo-Risedronate risedronate 35 mg Tablet **4.196902298384 Novo-Risedronate risedronate 30 mg Tablet **5.352502291967 Ondansetron ondansetron 4 mg/5 mL Oral Solution **1.534502244552 Pamidronate Disodium pamidronate disodium 9 mg/mL Injection 36.300002230619 Pediapred prednisolone 5 mg/5 mL Oral Liquid 0.136800710121 Pepcid famotidine 20 mg Tablet 1.185700710113 Pepcid famotidine 40 mg Tablet 2.198601916475 Percocet oxycodone/acetaminophen 5 mg/325 mg Tablet 0.847602017709 Plaquenil hydroxychloroquinine 200 mg Tablet 0.658602057778 Plendil felodipine 2.5 mg Tablet 0.523000851779 Plendil felodipine 5 mg Tablet 0.699000851787 Plendil felodipine 10 mg Tablet 1.0487

02238568 pms-Fluorometholone fluorometholone 0.1%Ophthalmic Suspension

1.9074

00741817 pms-Hydroxyzine hydroxyzine 5 mg/mL Syrup 0.046502216159 pms-Lithium Carbonate lithium carbonate 600 mg Capsule 0.1683

02240363 pms-polytrimethoprim trimethoprim/polymyxin 0.1%Ophthalmic

Solution**2.4739

02245532 pms-Prednisolone prednisolone 5 mg/5 mL Liquid 0.092100755338 pms-Sod Polystyrene sodium polystyrene 1 mcg/g Powder 0.163000598461 pms-Sulfasalazine sulfasalazine 500 mg Tablet 0.2369

02239577 pms-Tobramycin tobramycin 0.3%Ophthalmic Suspension

1.2452

00708917 Proveramedroxyprogesterone acetate

2.5 mg Tablet 0.1799


5 mg Tablet 0.3556


10 mg Tablet 0.7215

00839388 Prinivil lisinopril 5 mg Tablet 0.660000839396 Prinivil lisinopril 10 mg Tablet 0.792900839418 Prinivil lisinopril 20 mg Tablet 0.953302108194 Prinzide lisinopril/HCTZ 10/12.5 mg Tablet 0.817100884413 Prinzide lisinopril/HCTZ 20/12.5 mg Tablet 0.981802294524 Ran-Fosinopril fosinopril 10 mg Tablet **0.487802294532 Ran-Fosinopril fosinopril 20 mg Tablet **0.5866

22 of 26


02221985 Renedil felodipine 2.5 mg Tablet **0.592202231923 Rhinocort Aqua budesonide 64 mcg Aerosol Inhaler 0.087502091887 Rifadin rifampin 150 mg Capsule 0.866502092808 Rifadin rifampin 300 mg Capsule 1.363700005606 Ritalin methylphenidate 10 mg Tablet 0.399600005614 Ritalin methylphenidate 20 mg Tablet 0.698100632775 Ritalin SR methylphenidate 20 mg Tablet 0.701002243910 Remeron mirtazapine 30 mg Tablet 1.432202248542 Remeron RD mirtazapine 15 mg Tablet 0.441902248543 Remeron RD mirtazapine 30 mg Tablet 0.883802248544 Remeron RD mirtazapine 45 mg Tablet 1.325700603708 Rhythmol propafenone 150 mg Tablet 1.328400603716 Rhythmol propafenone 300 mg Tablet 2.341400839191 Sandostatin octreotide 50 mcg Injection 5.599000839205 Sandostatin octreotide 100 mcg Injection **10.568800839213 Sandostatin octreotide 500 mcg Injection **49.671702049392 Sandostatin octreotide 200 mcg Injection **20.3320

02230386 Sandoz Cortimyxinpolymyxin/neomycin/hydrocortisone

10000 U/3.5 mL Otic Solution **1.1400

02246967 Sandoz Estradiol Derm estradiol 17B 50 mcg Patch **2.413002246968 Sandoz Estradiol Derm estradiol 17B 75 mcg Patch **2.587502246969 Sandoz Estradiol Derm estradiol 17B 100 mcg Patch **2.7375

02230888 Sandoz Gentamicin gentamicin 0.3%Ophthalmic Ointment

1.4286

02327775Sandoz Olanzapine ODT

olanzapine 5 mg Tablet 1.5443





01926543 Sectral acebutalol 100 mg Tablet 0.369201926551 Sectral acebutalol 200 mg Tablet 0.553901926578 Sectral acebutalol 400 mg Tablet 1.102102236951 Seroquel quetiapine 25 mg Tablet 0.508302236952 Seroquel quetiapine 100 mg Tablet 1.356002236953 Seroquel quetiapine 200 mg Tablet 2.722802244107 Seroquel quetiapine 300 mg Tablet 3.973000355658 Sinemet levodopa/carbidopa 100/10 mg Tablet 0.514200513997 Sinemet levodopa/carbidopa 100/25 mg Tablet 0.767700328219 Sinemet levodopa/carbidopa 250/25 mg Tablet 0.8571

02224623 Sofracortframycetin/gramicidin/dexamethasone

5/0.5/0.5%Ophthalmic/Otic

Drops1.9965

02100622 Sulcrate sulcrafate 1 G Tablet 0.610400010405 Tegretol carbamazepine 200 mg Tablet 0.436600369810 Tegretol carbamazepine 100 mg Tablet 0.179800665088 Tegretol carbamazepine 200 mg Tablet 0.354700773611 Tegretol CR carbamazepine 200 mg Tablet 0.4403

23 of 26


00755583 Tegretol CR carbamazepine 400 mg Tablet 0.880202049961 Tenoretic atenolol/chlorthalidone 50/25 mg Tablet 0.657302049988 Tenoretic atenolol/chlorthalidone 100/25 mg Tablet 1.077002039532 Tenormin atenolol 50 mg Tablet 0.591002039540 Tenormin atenolol 100 mg Tablet 0.9717

00451207 Timoptic timlolol maleate 0.5%Ophthamlic

Solution4.0079

02171880 Timoptic-XE timlolol maleate 0.25%Ophthamlic

Solution4.2782

02171899 Timoptic-XE timlolol maleate 0.5%Ophthamlic

Solution5.1190

00513962 Tobradex tobramycin 0.3%Ophthalmic Suspension

1.8693

02245664 Trimebutine trimebutine 200 mg Tablet **0.549700718149 Tryptan l-tryptophan 500 mg Capsule 0.797102029456 Tryptan l-tryptophan 500 mg Tablet 0.797100654531 Tryptan l-tryptophan 1 G Tablet 1.594302238984 Urso ursodiol 250 mg Tablet 1.464700657298 Vaseretic enalapril/HCTZ 10/25 mg Tablet 1.259900851795 Vasotec enalapril 2.5 mg Tablet 0.860600708879 Vasotec enalapril 5 mg Tablet 1.018000670901 Vasotec enalapril 10 mg Tablet 1.223100670928 Vasotec enalapril 20 mg Tablet 1.476000417270 Visken pindolol 5 mg Tablet 0.644300443174 Visken pindolol 10 mg Tablet 1.100200417289 Visken pindolol 15 mg Tablet 1.596001926462 Vitamin A Acid tretinoin 0.1% Gel 0.317301926470 Vitamin A Acid tretinoin 0.025% Gel 0.317301926489 Vitamin A Acid tretinoin 0.05% Gel **0.317300632724 Voltaren diclofenac 50 mg Suppository 1.467800632732 Voltaren diclofenac 100 mg Suppository 1.975600514012 Voltaren diclofenac 50 mg Tablet 0.977400881635 Voltaren Rapide diclofenac 50 mg Tablet 0.937002237825 Wellbutrin SR bupropion 150 mg Tablet 1.017200548359 Xanax alprazolam 0.25 mg Tablet 0.273500548367 Xanax alprazolam 0.5 mg Tablet 0.327100723770 Xanax alprazolam 1 mg Tablet 0.594400813958 Xanax TS alprazolam 2 mg Tablet 1.056402245565 Xatral alfuzosin 10 mg Tablet 1.110102103729 Zestoretic lisinopril/HCTZ 10/12.5 mg Tablet 0.857302045737 Zestoretic lisinopril/HCTZ 20/12.5 mg Tablet 1.030102045729 Zestoretic lisinopril/HCTZ 20/25 mg Tablet 1.030102049333 Zestril lisinopril 5 mg Tablet 0.554302049376 Zestril lisinopril 10 mg Tablet 0.666002049384 Zestril lisinopril 20 mg Tablet 0.800002212021 Zithromax azithromycin 250 mg Tablet 5.5319

24 of 26


02231443 Zithromax azithromycin 600 mg Tablet 13.2763

02223716 Zithromax azithromycin 20 mg/mL Oral Suspension 1.1961

02223724 Zithromax azithromycin 40 mg/mL Oral Suspension 1.6948

00884324 Zocor simvastatin 5 mg Tablet 1.131502132702 Zoloft sertraline 25 mg Capsule 0.900401962817 Zoloft sertraline 50 mg Capsule 1.800601962779 Zoloft sertraline 100 mg Capsule 1.8869

The following products have been transferred from Teva Canada to Sandoz Canada Inc.

02307898Sandoz Oxycodone/Acetaminophen(was Novo-Oxycodone Acet)

oxycodone/acetaminophen 5 mg/325 mg Tablet

02244790 Sandoz Morphine SR(was ratio-Morphine SR)

morphine sulfate 15 mg Tablet





The following products have been transferred from Pharmascience to MM Therapeutics

00890960 Olestyr(was pms-Cholestyramine)

cholestyramine resin 4 g/Dose Oral Powder

02210320 Olestyr(was pms-Cholestyramine)

cholestyramine resin 4 g/Dose Oral Powder

The following products have been transferred from Paladin to Teva Canada

00577308 Zaditen ketotifen 1 mg Tablet00600784 Zaditen ketotifen 1 mg/5 mL Syrup

The following products have been transferred from Bristol Myer Squibb to Valeant Canada

01962701 Ultravate halobetasol 0.05% Cream01962728 Ultravate halobetasol 0.05% Ointment

The following products have been transferred from Bayer to Pharmascience

00704431 Androcur cyproterone 50 mg Tablets

Manufacturer Updates

25 of 26


The following products have been transferred from Merck Frosst to Janssen Inc.

02244016 Remicade infliximab 100 mg/vial Injection

0232478402324776

Simponi golimunab50 mg/0.5 mL50 mg/0.5 mL

AutoinjectorPre-Filled Syringe

The following products have been transferred from Merck Frosst to Reckitt Benckiser Healthcare Ltd.

0229569502295709

Suboxone buprenorphine/naloxone2/0.5 mg

8/2 mgSublingual Tablet

The following products have been transferred from Pharmascience to Paladin Labs

02290308 CyEstra-35 cyproterone/ethinyl estradiol 2/0.035 mg Tablet

The following products have been transferred from Sanofi-Aventis to Sandoz

02338998 Rho-Nitro Pumpsoray nitroglycerine 0.4 mg Spray

The following product has had a name change:

02161974 Lidex(was Topsyn)

fluocinonide 0.05% Gel

The following company has had a name change from Janssen-Ortho Inc. To Janssen Inc

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bulletin # 66 - province of manitoba | home page · · 2011-10-250.4690 0.4691 price in dollars...

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