Formulary KODE ATC

FORMULARY
OCTOBER 2011
July 2011 was the last printed publication of

the Nova Scotia Formulary
Monthly updates of the Nova Scotia
Formulary
are published online and can be accessed
at:
www.nspharmacare.ca
Copyright 1996 Nova Scotia Department of Health and Wellness. All rights reserved. No part of this publication may be reproduced,
photocopied, stored on a retrieval system, or transmitted without the express written consent of the publisher.
TABLE OF CONTENTS
INTRODUCTION ...................................................................................................................................................I
How to Use the Formulary ................................................................................................................................................... i
Legend ............................................................................................................................................................................... iv
ATC CLASSIFICATION OF DRUGS ...................................................................................................................1

A - Alimentary Tract & Metabolism ..................................................................................................................................... 1
B - Blood and Blood Forming Organs ............................................................................................................................... 19
C - Cardiovascular System ............................................................................................................................................... 25
D - Dermatologicals .......................................................................................................................................................... 57
G - Genito-Urinary System & Sex Hormones ................................................................................................................... 67
H - Systemic Hormonal Preparations, Excluding Sex Hormones ..................................................................................... 77
J - General Antiinfectives, Systemic ................................................................................................................................. 83
L - Antineoplastics and Immunomodulating Agents ......................................................................................................... 99
M - Musculo-Skeletal System ......................................................................................................................................... 107
N - Nervous System ........................................................................................................................................................ 117
P - Antiparasitic Products, Insecticides and Repellents ................................................................................................. 159
R - Respiratory System ................................................................................................................................................... 161
S - Sensory Organs ........................................................................................................................................................ 169
V - Various ...................................................................................................................................................................... 177
MISCELLANEOUS
Diabetic Supplies Benefit List................................................................................................................................... MISC-1
Ostomy Supplies Benefit List ................................................................................................................................... MISC-4
APPENDICES
Appendix I - Abbreviations
Appendix II - Abbreviations of Manufacturers Names
Appendix III - Criteria for Coverage of Exception Status Drugs
PRODUCT INDEX
INTRODUCTION
The Nova Scotia Formulary details which drugs and supplies are benefits under the Nova Scotia Seniors'
Pharmacare Program, Family Pharmacare Program, Diabetes Assistance Program, Community Services
Pharmacare Programs and Drug Assistance for Cancer Patients.
Each pharmacy has been provided with a Formulary, as well as any physicians who specifically request a
subscription. Updates will be issued semi-annually. An on-line searchable formulary is kept current and is available
at www.nspharmacare.ca.
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.
October 2011
Page i
Interchangeability, Maximum Reimbursable Price (MRP) and Pharmacare Reimbursement Price (PRP)
The Formulary indicates those products which have been deemed interchangeable by the Drugs and Therapeutics
Committee of the Nova Scotia Department of Health and Wellness (see the Legend). For generic products that
meet the criteria for interchangeability a Maximum Reimbursable Price (MRP) may be applied. MRP is the maximum
price established by the Pharmacare Programs for an interchangeable generic drug. MRP is applied to those drugs
which are Pharmacare benefits, and have been deemed interchangeable (e.g., brand name drugs and their generic
equivalents) The MRP is the maximum amount that the Pharmacare Programs will reimburse providers for one unit
(tablet, capsule, millilitre, etc.) of a drug.
For each interchangeable, generic drug category, a maximum reimbursable price per unit (e.g., tablet, capsule,
millilitre) is determined by calculating a percentage of the cost of the equivalent brand name drug. The percentage
the MRP is based on will be 35%, but is phased in as follows:
July 1, 2011: 45% of the cost of the price of the equivalent brand drug
January 1, 2012: 40% of the cost of the price of the equivalent brand drug
July 1, 2012: 35% of the cost of the price of the equivalent brand drug
Some generic drugs may have exceptions to the MRP formula, and their MRP will also be included in the
Reimbursement List. Exemptions to the MRP are available for beneficiaries who have experienced side effects with
lower cost alternatives. A request must be received from the prescriber detailing the reaction.
Providers shall not charge any cost difference between the MRP of the drug and amount reimbursed by the
Pharmacare Programs unless the beneficiary requests the higher priced drug. If the beneficiary requests the higher
priced drug the extra cost is not counted toward their annual maximum copayment or annual maximum deductible.
In addition, a Pharmacare Reimbursement Price (PRP) is the maximum cost assigned to:
certain groups of drugs that are similar in effect;

specific services for which coverage is established;
certain unit dose and special delivery formats that are also available in less expensive bulk formats; and
certain supplies that are used for the same function.
The PRP is the maximum amount the Pharmacare Program reimburses providers for one unit of a drug (tablet,
capsule, millilitre, etc.) supply or service.
Providers may charge the beneficiary the portion of their AAC that exceeds the PRP. The extra cost is not counted
toward the beneficiarys annual maximum copayment or annual maximum deductible.
In all pricing categories, except AAC, the Pharmacare Programs will reimburse pharmacies the lesser of the amount
submitted, or as applicable, MRP, or PRP.
Prescriber
The Formulary provides prescriber codes (see Legend) associated with each benefit under the Pharmacare
Programs. These codes indicate which benefits will be reimbursed when prescribed by a specific prescriber.
October 2011
Page ii
The Nova Scotia Government Pharmacare Programs

1. Seniors' Pharmacare Program - available to all Nova Scotia seniors 65 years or older who have a valid
Nova Scotia Health Card, and do not have private drug coverage.
2. Community Services Pharmacare Programs - The Department of Community Services provides drug
benefits as part of the Income Assistance Programs (including Special Needs Pharmacare and Transitional
Pharmacare), the Low Income Pharmacare Program for Children, Services for Persons with Disabilities and
the Children in Care Programs. Eligibility is determined by the Department of Community Services.
3. Drug Assistance for Cancer Patients, an income based assistance program covering medication for the
treatment of cancer.
4. Diabetes Assistance Program, an income based assistance program covering medication and supplies
needed for diabetes treatment.
5. Under 65-Long Term Care (LTC) Pharmacare, provides drug coverage for long term care residents under
65 years of age who have no drug insurance.
6. Family Pharmacare Program, an income based program available to all Nova Scotians with a valid Nova
Scotia Health Card who are not currently receiving drug benefits through Seniors', Community Services,
Diabetes Assistance or the Under 65-Long Term Care Pharmacare Programs.
The benefit status of medications reimbursed under these programs are indicated, in the fourth column of the ATC
classification, by the letters S (Seniors' Pharmacare), F (Community Services Pharmacare / Under 65-Long Term
Care Pharmacare / Family Pharmacare), C (Drug Assistance for Cancer Patients), D (Diabetes Assistance) or E
(Exception Status Drug - see Appendix III). If this column is blank, the product is not a benefit under any of these
programs.
October 2011
Page iii
Miscellaneous Section
Diabetes and ostomy supplies are listed in this section. These products are benefits under the Seniors' and
Community Services Pharmacare Programs and are cross-referenced in the appropriate ATC classification.
Diabetes supplies are also benefits under the Diabetes Assistance Program.
Legend
1.
2.
3.
4.
5.
6.
Therapeutic Main Group

Therapeutic Subgroup
Chemical/Therapeutic Subgroup
Subgroup for Chemical Substance
Brand or Manufacturer's Name of the Drug, including dosage form and/or route and strength
Prescriber Codes:
D - Physician / Dentist
N - Nurse Practitioner
P - Pharmacist
M - Midwife
O - Prescribing Optometrist
7. Benefit Status (plans for which the product is a benefit):
S - Seniors' Pharmacare
F - Community Services Pharmacare
- Under 65-Long Term Care Pharmacare
- Family Pharmacare
C - Drug Assistance for Cancer Patients
D - Diabetes Assistance Program
E - Exception status applies (see Appendix III)
8. Drug Identification Number (DIN)
9. Abbreviation of Manufacturer (see Appendix II)
10. Interchangeable Product Group Box
11. Interchangeable Product Heading
12. MRP = Maximum Reimbursable Price
PRP = Pharmacare Reimbursement Price
October 2011
Page iv
A01
STOMATOLOGICAL PREPARATIONS
A01A STOMATOLOGICAL PREPARATIONS

A01AB ANTIINFECTIVES AND ANTISEPTICS FOR LOCAL ORAL TREATMENT
A01AB03
A01AB22
CHLORHEXIDINE
chlorhexidine 0.12% oral rinse
Apo-Chlorhexidine 0.12% Oral Rinse
Perichlor 0.12% Oral Rinse
Peridex 0.12% Oral Rinse
02242329
02240433
02237452
APX
PMS
ZIA
DOXYCYCLINE
Periostat 20mg Cap
02247104
PMS
A01AC CORTICOSTEROIDS FOR LOCAL ORAL TREATMENT

A01AC01
TRIAMCINOLONE
triamcinolone acetonide 0.1% oral paste
Oracort 0.1% Oral Paste
Kenalog 0.1% in Orabase (discontinued)
DNP
MRP
SF
01964054
TAR
DNP
DNP
DNP
MRP
MRP
MRP
E
E
E
02239044
02310422
02229777
APX
TEV
PMS
SF
02135620
AUR
A01AD OTHER AGENTS FOR LOCAL ORAL TREATMENT

A01AD02
A02
BENZYDAMINE
benzydamine 0.15% oral rinse
Apo-Benzydamine 0.15% Oral Rinse
Novo-Benzydamine 0.15% Oral Rinse
pms-Benzydamine 0.15% Oral Rinse
Novo-Benzydamine 0.15% Oral Rinse (discontinued)
Tantum Oral Rinse (discontinued)
DRUGS FOR ACID RELATED DISORDERS
A02A ANTACIDS
A02AB ALUMINIUM COMPOUNDS
A02AB01
ALUMINIUM HYDROXIDE
Basaljel 500mg Cap
DNP
A02AD COMBINATIONS AND COMPLEXES OF ALUMINIUM, CALCIUM AND MAGNESIUM COMPOUNDS

A02AD01
ANTACIDS, ORDINARY SALT COMBINATIONS

Diovol Regular O/L
01966529
CHU
00116815
00116882
02019787
CHU
CHU
JNJ
SF
00584215
APX
SF
SF
SF
00487872
02227444
00865818
APX
MYL
NXP
A02AF ANTACIDS WITH ANTIFLATULENTS

A02AF02
ANTACIDS, ORDINARY SALT COMBINATIONS AND ANTIFLATULENTS

Diovol Plus O/L
Diovol Plus Tab
Mylanta Double St Tab
A02B DRUGS FOR PEPTIC ULCER AND GASTRO-ESOPHAGEAL REFLUX DISEASE (GERD)
A02BA H2-RECEPTOR ANTAGONISTS
A02BA01
CIMETIDINE
cimetidine 200mg tab
Apo-Cimetidine 200mg Tab
Tagamet 200mg Tab (discontinued)
MYLAN-Cimetidine 300mg Tab
Nu-Cimet 300mg Tab
October 2011
DNP
DNP
DNP
DNP
MRP
MRP
MRP
Alimentary Tract and Metabolism 1
A02BA02

Nu-Cimet 400mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00600059
02227452
00865826
APX
MYL
NXP

Nu-Cimet 600mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00600067
02227460
00865834
APX
MYL
NXP

DNP
SF
00749494
APX
RANITIDINE
ranitidine 25mg/mL inj
Ranitidine 25mg/mL Inj
Zantac 25mg/mL Inj
ranitidine 15mg/mL o/l
Apo-Ranitidine 15mg/mL O/L
Novo-Ranitidine 15mg/mL O/L
Zantac 15mg/mL O/L (discontinued)
DNP
DNP
MRP
MRP
SFC
SFC
02256711
02212366
SDZ
GSK
DNP
DNP
MRP
MRP
SFC
SFC
02280833
02242940
APX
TEV
02230507
02230287
APX
JNJ
ranitidine 75mg tab

Apo-Ranitidine 75mg Tab
Zantac 75mg Tab
A02BA03
ranitidine 150mg tab

CO Ranitidine 150mg Tab
MYLAN-Ranitidine 150mg Tab
Myl-Ranitidine 150mg Tab
Novo-Ranidine 150mg Tab
Nu-Ranit 150mg Tab
pms-Ranitidine 150mg Tab
RAN-Ranitidine 150mg Tab
Ranitidine 150mg Tab
ratio-Ranitidine 150mg Tab
Sandoz Ranitidine 150mg Tab
Zantac 150mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
00733059
02248570
02207761
02367378
00828564
00865737
02242453
02336480
02353016
00828823
02243229
02212331
APX
COB
MYL
MYL
TEV
NXP
PMS
RAN
SAS
TEV
SDZ
GSK
ranitidine 300mg tab

CO Ranitidine 300mg Tab
MYLAN-Ranitidine 300mg Tab
Myl-Ranitidine 300mg Tab
Novo-Ranidine 300mg Tab
Nu-Ranit 300mg Tab
pms-Ranitidine 300mg Tab
RAN-Ranitidine 300mg Tab
Ranitidine 300mg Tab
ratio-Ranitidine 300mg Tab
Sandoz Ranitidine 300mg Tab
Zantac 300mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
00733067
02248571
02207788
02367386
00828556
00865745
02242454
02336502
02353024
00828688
02243230
02212358
APX
COB
MYL
MYL
TEV
NXP
PMS
RAN
SAS
TEV
SDZ
GSK
DNP
SF
02247745
OMG
DNP
SF
02247735
OMG
FAMOTIDINE
famotidine 10mg/mL inj
Famotidine Omega 10mg/mL Inj
Pepcid 10mg/mL Inj (discontinued)
famotidine 10mg/mL inj (pf)
Famotidine Omega (PF) 10mg/mL Inj
Pepcid (PF)10mg/mL Inj (discontinued)
October 2011
A02BA04
famotidine 20mg tab

Apo-Famotidine 20mg Tab
Famotidine 20mg Tab
MYLAN-Famotidine 20mg Tab
Novo-Famotidine 20mg Tab
Nu-Famotidine 20mg Tab
Pepcid 20mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
PRP
PRP
PRP
PRP
PRP
PRP
SF
SF
SF
SF
SF
SF
01953842
02351102
02196018
02022133
02024195
00710121
APX
SAS
MYL
TEV
NXP
FRS
famotidine 40mg tab

Apo-Famotidine 40mg Tab
Famotidine 40mg Tab
MYLAN-Famotidine 40mg Tab
Novo-Famotidine 40mg Tab
Nu-Famotidine 40mg Tab
Pepcid 40mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
PRP
PRP
PRP
PRP
PRP
PRP
SF
SF
SF
SF
SF
SF
01953834
02351110
02196026
02022141
02024209
00710113
APX
SAS
MYL
TEV
NXP
FRS
NIZATIDINE
nizatidine 150mg cap
Apo-Nizatidine 150mg Cap
Novo-Nizatidine 150mg Cap
pms-Nizatidine 150mg Cap
Axid 150mg Cap
DNP
DNP
DNP
DNP
PRP
PRP
PRP
PRP
SF
SF
SF
SF
02220156
02240457
02177714
00778338
APX
TEV
PMS
MMT
nizatidine 300mg cap

Apo-Nizatidine 300mg Cap
Novo-Nizatidine 300mg Cap
pms-Nizatidine 300mg Cap
Axid 300mg Cap
DNP
DNP
DNP
DNP
PRP
PRP
PRP
PRP
SF
SF
SF
SF
02220164
02240458
02177722
00778346
APX
TEV
PMS
MMT
DNPM
MRP
SF
02244022
AAP
SF
02244023
AAP
A02BB PROSTAGLANDINS
A02BB01
MISOPROSTOL
misoprostol 100mcg tab
Misoprostol 100mcg Tab
Cytotec 100mcg Tab (discontinued)
misoprostol 200mcg tab
Misoprostol 200mcg Tab
Cytotec 200mcg Tab (discontinued)
DNPM
A02BC PROTON PUMP INHIBITORS

A02BC01
OMEPRAZOLE
omeprazole 10mg cap
MYLAN-Omeprazole 10mg Cap
Sandoz Omeprazole 10mg Cap
Losec 10mg Cap
DNP
DNP
DNP
PRP
PRP
PRP
SFC1
SFC1
SFC1
02329425
02296438
02119579
MYL
SDZ
AZE
omeprazole 20mg cap

Apo-Omeprazole 20mg Cap
Omeprazole 20mg Cap
pms-Omeprazole 20mg Cap
Sandoz Omeprazole 20mg Cap
Losec 20mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SFC1
SFC1
SFC1
SFC1
SFC1
SFC1
02245058
02329433
02348691
02320851
02296446
00846503
APX
MYL
SAS
PMS
SDZ
AZE
omeprazole 10mg cap/tab

Losec 10mg Tab
DNP
DNP
MRP
MRP
SFC1
SFC1
02329425
02230737
MYL
AZE
Omeprazole and rabeprazole are exception status when a daily dose exceeds 20mg. Please refer to Appendix III for criteria.
October 2011
omeprazole 20mg cap/tab

Apo-Omeprazole 20mg Cap
Novo-Omeprazole Delayed-Release 20mg Tab
Omeprazole 20mg Cap
pms-Omeprazole DR 20mg Tab
ratio-Omeprazole 20mg Tab
Losec 20mg Tab
A02BC02
A02BC03
A02BC04
1
2
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC1
SFC1
SFC1
SFC1
SFC1
SFC1
SFC1
02245058
02329433
02295415
02348691
02310260
02260867
02190915
APX
MYL
TEV
SAS
PMS
TEV
AZE
DNP
DNP
MRP
MRP
E
E
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
E
E
E
E
02292912
02285479
02307863
02305038
02308681
02301075
02241804
APX
TEV
PMS
RAN
TEV
SDZ
NYC
pantoprazole 40mg EC tab

Apo-Pantoprazole 40mg Tab
CO Pantoprazole 40mg DR Tab
MYLAN-Pantoprazole 40mg DR Tab
Novo-Pantoprazole 40mg Tab
pms-Pantoprazole 40mg DR Tab
RAN-Pantoprazole 40mg Tab
ratio-Pantoprazole 40mg DR Tab
Sandoz Pantoprazole 40mg DR Tab
Pantoloc 40mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
02292920
02300486
02299585
02285487
02307871
02305046
02308703
02301083
02229453
APX
COB
MYL
TEV
PMS
RAN
TEV
SDZ
NYC
Tecta 40mg Tab
DNP
SFC2
02267233
NYC
LANSOPRAZOLE
lansoprazole 15mg cap
Apo-Lansoprazole 15mg DR Cap
Lansoprazole 15mg DR Cap
MYLAN-Lansoprazole 15mg DR Cap
Novo-Lansoprazole 15mg DR Cap
Prevacid 15mg Cap
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
02293811
02357682
02353830
02280515
02165503
APX
SAS
MYL
TEV
ABB
lansoprazole 30mg cap

Apo-Lansoprazole 30mg DR Cap
Lansoprazole 30mg DR Cap
MYLAN-Lansoprazole 30mg DR Cap
Novo-Lansoprazole 30mg DR Cap
Prevacid 30mg Cap
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
02293838
02357690
02353849
02280523
02165511
APX
SAS
MYL
TEV
ABB
Prevacid FasTab 15mg Tab

Prevacid FasTab 30mg Tab
DNP
DNP
E
E
02249464
02249472
ABB
ABB
RABEPRAZOLE
rabeprazole 10mg EC tab
Apo-Rabeprazole 10mg EC Tab
Novo-Rabeprazole 10mg Tab
pms-Rabeprazole 10mg EC Tab
Rabeprazole EC 10mg Tab
RAN-Rabeprazole 10mg Tab
Sandoz Rabeprazole 10mg EC Tab
Pariet 10mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SFC1
SFC1
SFC1
SFC1
SFC1
SFC1
SFC1
02345579
02296632
02310805
02356511
02298074
02314177
02243796
APX
TEV
PMS
SAS
RAN
SDZ
JAN
PANTOPRAZOLE
pantoprazole 20mg EC tab
Apo-Pantoprazole 20mg Tab
Novo-Pantoprazole 20mg Tab
pms-Pantoprazole 20mg DR Tab
RAN-Pantoprazole 20mg Tab
ratio-Pantoprazole 20mg DR Tab
Sandoz Pantoprazole 20mg DR Tab
Pantoloc 20mg Tab
MRP
MRP
MRP
MRP
MRP
MRP
MRP
Omeprazole and rabeprazole are exception status when the daily dose exceeds 20mg. Please refer to Appendix III for criteria.
Tecta is exception status when the daily dose exceeds 40mg. Please refer to Appendix III for criteria.
October 2011
rabeprazole 20mg EC tab

Apo-Rabeprazole 20mg EC Tab
Novo-Rabeprazole 20mg Tab
pms-Rabeprazole 20mg EC Tab
Rabeprazole EC 20mg Tab
RAN-Rabeprazole 20mg Tab
Sandoz Rabeprazole 20mg EC Tab
Pariet 20mg Tab
A02BC05
SFC1
SFC1
SFC1
SFC1
SFC1
SFC1
SFC1
02345587
02296640
02310813
02356538
02298082
02314185
02243797
APX
TEV
PMS
SAS
RAN
SDZ
JAN
ESOMEPRAZOLE
Nexium 20mg Tab
02244521
AZE
esomeprazole 40mg tab

Apo-Esomeprazole 40mg DR Tab
Nexium 40mg Tab
02339102
02244522
APX
AZE
02238525
ABB
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
A02BD COMBINATIONS FOR ERADICATION OF HELICOBACTER PYLORI

A02BD99
LANSOPRAZOLE, CLARITHROMYCIN AND AMOXICILLIN

DNP
Hp-PAC
A02BX OTHER DRUGS FOR PEPTIC ULCER AND GASTRO-ESOPHAGEAL REFLUX DISEASE (GERD)
A02BX02
A03
SUCRALFATE
Sulcrate 1g/5mL Plus Susp
DNP
sucralfate 1g tab
Apo-Sucralfate 1g Tab
Novo-Sucralate 1g Tab
Nu-Sucralfate 1g Tab
Sulcrate 1g Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
02103567
AXC
SF
SF
SF
SF
02125250
02045702
02134829
02100622
APX
TEV
NXP
AXC
SFC
02245663
AAP
SFC
SFC
02245664
00803499
AAP
AXC
SFC
SFC
SFC
00392812
02102978
02103087
02103095
SDZ
AXC
AXC
AXC
SFC
02039508
SDZ
00009881
SDZ
DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS
A03A DRUGS FOR FUNCTIONAL BOWEL DISORDERS

A03AA SYNTHETIC ANTICHOLINERGICS, ESTERS WITH TERTIARY AMINO GROUP
A03AA05
A03AA07
TRIMEBUTINE
Trimebutine 100mg Tab
DNP
trimebutine 200mg tab

Trimebutine 200mg Tab
Modulon 200mg Tab
DNP
DNP
DICYCLOVERINE (DICYCLOMINE)
Dicyclomine 10mg/mL Inj
Bentylol 10mg/5mL Syr
Bentylol 10mg Tab
Bentylol 20mg Tab
DNP
DNP
DNP
MRP
MRP
A03AB SYNTHETIC ANTICHOLINERGICS, QUATERNARY AMMONIUM COMPOUNDS

A03AB02
GLYCOPYRROLATE (GLYCOPYRRONIUM)
Glycopyrrolate 0.2mg/mL Inj
DNP
A03AD PAPAVERINE AND DERIVATIVES

A03AD01
PAPAVERINE
Papaverine HCl 32.5mg/mL Inj
Omeprazole and rabeprazole are exception status when the daily dose exceeds 20mg. Please refer to Appendix III for criteria.
October 2011
A03AX OTHER DRUGS FOR FUNCTIONAL BOWEL DISORDERS

A03AX04
A03AX13
PINAVERIUM
Dicetel 50mg Tab
Dicetel 100mg Tab
SFC
SFC
DNP
DNP
SILICONES
Ovol 80 (80mg) Tab
01950592
02230684
ABB
ABB
00292990
CHU
A03B BELLADONNA AND DERIVATIVES, PLAIN

A03BA BELLADONNA ALKALOIDS, TERTIARY AMINES
A03BA01
A03BA03
ATROPINE
Atropine Sulfate 0.4mg/mL Inj
Atropine Sulfate 0.6mg/mL Inj
DNP
DNP
SFC
SFC
00392782
00392693
SDZ
SDZ
HYOSCYAMINE
Levsin 0.125mg SL Tab
DNP
SFC
00125857
AXS
00618454
00115630
APX
VLN
A03C ANTISPASMODICS IN COMBINATION WITH PSYCHOLEPTICS

A03CA SYNTHETIC ANTICHOLINERGIC AGENTS IN COMBINATION WITH PSYCHOLEPTICS
A03CA02
CLIDINIUM AND PSYCHOLEPTICS

chlordiazepoxide HCl 5mg & clidinium Br 2.5mg cap
D
Apo-Chlorax 5/2.5mg Cap
Librax Cap
D
MRP
MRP
SFC
SFC
A03E
ANTISPASMODICS AND ANTICHOLINERGICS IN COMBINATION WITH OTHER DRUGS
A03ED ANTISPASMODICS IN COMBINATION WITH OTHER DRUGS
A03ED99
ANTISPASMODICS, COMBINATIONS
Bellergal Spacetabs
SFC
00176141
TRI
METOCLOPRAMIDE
Metoclopramide 5mg/mL Inj
DNP
SFC
02185431
SDZ
A03F
PROPULSIVES
A03FA PROPULSIVES
A03FA01
October 2011
metoclopramide HCl 1mg o/l

pms-Metoclopramide 1mg/mL Liq
Maxeran 1mg/mL O/L (discontinued)
DNP
MRP
SFC
02230433
PMS
metoclopramide HCl 5mg tab

Apo-Metoclop 5mg Tab
Nu-Metoclopramide 5mg Tab
pms-Metoclopramide 5mg Tab
Maxeran 5mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
00842826
02143275
02230431
APX
NXP
PMS
metoclopramide HCl 10mg tab

Apo-Metoclop 10mg Tab
Nu-Metoclopramide 10mg Tab
pms-Metoclopramide 10mg Tab
Maxeran 10mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
00842834
02143283
02230432
APX
NXP
PMS
A03FA03
A04
DOMPERIDONE
domperidone maleate 10mg tab
Apo-Domperidone 10mg Tab
Domperidone 10mg Tab
MYLAN-Domperidone 10mg Tab
Novo-Domperidone 10mg Tab
Nu-Domperidone 10mg Tab
pms-Domperidone 10mg Tab
RAN-Domperidone 10mg Tab
ratio-Domperidone 10mg Tab
Motilium 10mg Tab (discontinued)
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02103613
02350440
02278669
02157195
02231477
02236466
02268078
01912070
APX
SAS
MYL
TEV
NXP
PMS
RAN
TEV
02213745
GSK
ANTIEMETICS AND ANTINAUSEANTS
A04A ANTIEMETICS AND ANTINAUSEANTS

A04AA SEROTONIN (5-HT3) ANTAGONISTS
A04AA01
A04AA02
A04AA04
October 2011
ONDANSETRON
Zofran 2mg/mL Inj
ondansetron 4mg/5mL o/l
Ondansetron 4mg/5mL O/L
Zofran 4mg/5mL O/L
DNP
DNP
MRP
MRP
E
E
02291967
02229639
AAP
GSK
ondansetron 4mg tab

Apo-Ondansetron 4mg Tab
CO Ondansetron 4mg Tab
Jamp-Ondansetron 4mg Tab
MINT-Ondansetron 4mg Tab
MYLAN-Ondansetron 4mg Tab
Novo-Ondansetron 4mg Tab
Ondansetron-Odan 4mg Tab
phl-Ondansetron 4mg Tab
pms-Ondansetron 4mg Tab
RAN-Ondansetron 4mg Tab
ratio-Ondansetron 4mg Tab
Sandoz Ondansetron 4mg Tab
Zofran 4mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
PRP
PRP
PRP
PRP
PRP
PRP
PRP
PRP
PRP
PRP
PRP
PRP
PRP
E
E
E
E
E
E
E
E
E
E
E
E
E
02288184
02296349
02313685
02305259
02297868
02264056
02306212
02278618
02258188
02312247
02278529
02274310
02213567
APX
COB
JPC
MNT
MYL
TEV
ODN
PHL
PMS
RAN
TEV
SDZ
GSK
ondansetron 8mg tab

Apo-Ondansetron 8mg Tab
CO Ondansetron 8mg Tab
Jamp-Ondansetron 8mg Tab
MINT-Ondansetron 8mg Tab
MYLAN-Ondansetron 8mg Tab
Novo-Ondansetron 8mg Tab
Ondansetron-Odan 8mg Tab
phl-Ondansetron 8mg Tab
pms-Ondansetron 8mg Tab
RAN-Ondansetron 8mg Tab
ratio-Ondansetron 8mg Tab
Sandoz Ondansetron 8mg Tab
Zofran 8mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
E
E
E
E
02288192
02296357
02313693
02305267
02297876
02264064
02306220
02278626
02258196
02312255
02278537
02274329
02213575
APX
COB
JPC
MNT
MYL
TEV
ODN
PHL
PMS
RAN
TEV
SDZ
GSK
Zofran 4mg ODT Tab

Zofran 8mg ODT Tab
DNP
DNP
PRP
PRP
E
E
02239372
02239373
GSK
GSK
GRANISETRON
granisetron 1 mg tab
Granisetron 1mg Tab
Kytril 1mg Tab
DNP
DNP
MRP
MRP
E
E
02308894
02185881
AAP
HLR
DOLASETRON
Anzemet 100mg Tab
DNP
02231379
SAV
A04AD OTHER ANTIEMETICS

A04AD01
SCOPOLAMINE
Scopolamine 0.4mg/mL Inj
Scopolamine 0.6mg/mL Inj
DNP
DNP
SFC
SFC
00541869
00541877
HOS
HOS
DNP
SF
02229868
SDZ
DNP
SF
00363812
00550094
BOE
NVR
DRONABINOL (DELTA-9-TETRAHYDROCANNABINOL)
Marinol 2.5mg Cap
D
D
Marinol 5mg Cap
E
E
00611190
00611204
ABB
ABB
NABILONE (CANNABINOID (THC) DERIVATIVES)

Cesamet 0.25mg Cap
Cesamet 0.5mg Cap
Cesamet 1mg Cap
D
D
D
E
E
E
02312263
02256193
00548375
VLN
VLN
VLN
APREPITANT
Emend 80mg Cap
Emend 125mg Cap
Emend Tri-Pack Cap
DNP
DNP
DNP
E
E
E
02298791
02298805
02298813
FRS
FRS
FRS
DNP
SFC
00392731
SDZ
SFC
SFC
00392537
00013579
SDZ
CHU
00230197
00013803
00783595
00013609
00392553
00392545
CHU
CHU
CHU
CHU
SDZ
SDZ
scopolamine 20mg/mL inj

Hyoscine Butylbromide 20mg/mL Inj
Buscopan 20mg/mL Inj (discontinued)
Buscopan 10mg Tab
Transderm-V 1.5mg Patch
A04AD10
A04AD11
A04AD12
A04AD99
DIMENHYDRINATE
dimenhydrinate 10mg/mL IV inj
Dimenhydrinate 10mg/mL IV Amp
Gravol 10mg/mL IV Amp (discontinued)
dimenhydrinate 50mg/mL IM inj
Dimenhydrinate 50mg/mL IM Inj
Gravol l 50mg/mL IM Inj
DNP
DNP
MRP
MRP
Gravol 15mg/5mL O/L

Gravol 50mg Tab
Gravol 25mg Supp
Gravol 100mg Supp
Dimenhydrinate 50mg Supp
Dimenhydrinate 100mg (Adult) Supp
A05
BILE AND LIVER THERAPY
A05A BILE THERAPY

A05AA BILE ACID PREPARATIONS
A05AA02
A05AA99
October 2011
URSODIOL (URSODEOXYCHOLIC ACID)

ursodiol 250mg tab
pms-Ursodiol C 250mg Tab
Urso 250mg Tab
D
D
MRP
MRP
E
E
02273497
02238984
PMS
AXC
ursodiol 500mg tab

pms-Ursodiol C 500mg Tab
Urso DS 500mg Tab
D
D
MRP
MRP
E
E
02273500
02245894
PMS
AXC
DEHYDROCHOLIC ACID
Dycholium 300mg Tab
SF
02162148
NNC
A06
LAXATIVES
A06A LAXATIVES
A06AA SOFTENERS, EMOLLIENTS
A06AA02
DOCUSATE SODIUM
Colace 100mg Cap
Colace 10mg/mL Drp
Colace 20mg/5mL Syrup
Docusate Sodium 100mg Cap
Jamp-Docusate Sodium 100mg Cap
Novo-Docusate 100mg Cap
pms-Docusate Sodium 100mg Cap
pms-Docusate Sodium 10mg Drp
pms-Docusate Sodium 4mg/mL Syr
ratio-Docusate Sodium 100mg Cap
ratio-Docusate Sodium 20mg/5mL Syr
Selax 100mg Cap
Selax 20mg/5mL USP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
C
C
C
C
C
C
C
C
C
C
C
C
C
02106256
02090163
02086018
00716731
02245946
02020084
00703494
00880140
00703508
00870196
00870226
00514888
00695033
WLS
WLS
WLS
TAR
JPC
TEV
PMS
PMS
PMS
TEV
TEV
ODN
ODN
BISACODYL
Apo-Bisacodyl 10mg Supp (discontinued)
Apo-Bisacodyl 5mg Tab
Dulcolax 5mg Supp
Dulcolax 10mg Supp
Dulcolax ECT 5mg Tab
Jamp-Bisacodyl 5mg Tab
pms-Bisacodyl 10mg Supp
pms-Bisacodyl 5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
C
C
C
C
C
C
C
00545023
00003867
00003875
00254142
02246039
00582883
00587273
APX
BOE
BOE
BOE
JPC
PMS
PMS
SENNA GLYCOSIDES
Jamp-Sennosides 8.6mg Tab
Sandoz Sennosides 8.6mg Tab
Sandoz Sennosides 12mg Tab
Senokot 15mg/3g Granules
Senokot 1.7mg/mL Syr
Senokot 8.6mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
C
C
C
C
C
C
80009595
02089653
02089645
00026042
00367729
00026158
JPC
SDZ
SDZ
PFR
PFR
PFR
SENNA GLYCOSIDES, COMBINATIONS

Senokot S 8.6mg/50mg Tab
DNP
00026123
PFR
MINERAL SALTS IN COMBINATION

CoLyte Powder for Solution
Peglyte Powder for Solution
DNP
DNP
C
C
00677442
00777838
ZYM
PDP
LACTULOSE
pms-Lactulose 667mg/mL O/L
DNP
00703486
PMS
E
E
E
E
02242814
02295881
00854409
02331551
APX
JPC
TEV
TEV
00262609
ROG
A06AB CONTACT LAXATIVES

A06AB02
A06AB06
A06AB56
A06AD OSMOTICALLY ACTING LAXATIVES

A06AD10
A06AD11
lactulose 667mg/mL o/l

Apo-Lactulose 667mg/mL O/L
Jamp-Lactulose 667mg/mL O/L
ratio-Lactulose 667mg/mL O/L
Teva-Lactulose 667mg/mL O/L
Chronulac 667mg/mL O/L (discontinued)
A06AD19
October 2011
MAGNESIUM CITRATE
Citro Mag 50mg/mL O/L
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
A06AH MISCELLANEOUS GI DRUGS

A06AH01
A07
METHYLNALTREXONE BROMIDE
Relistor 20mg/mL Inj
02308215
PFI
SFC
00792667
PMS
SFC
02194201
TEV
SFC
02194198
TEV
02078759
ERF
02097079
WNC
ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS
A07A INTESTINAL ANTIINFECTIVES

A07AA ANTIBIOTICS
A07AA02
A07AA06
NYSTATIN
pms-Nystatin 100,000iu/mL Oral Susp
DNP
nystatin 100,000iu o/l

ratio-Nystatin 100,000iu/mL Oral Drops
Mycostatin 100,000iu/mL Oral Susp (discontinued)
DNP
ratio-Nystatin 500,000iu Oral Tab
DNP
MRP
PAROMOMYCIN
Humatin 250mg Cap
A07BB BISMUTH PREPARATIONS

A07BB99
BISMUTH SUBSALICYLATE
PeptoBismol 17.6mg/mL O/L
A07D ANTIPROPULSIVES
A07DA ANTIPROPULSIVES
A07DA01
A07DA02
A07DA03
DIPHENOXYLATE
Lomotil 2.5mg Tab
SFC
00036323
PFI
OPIUM
Sandoz Opium & Belladonna 65mg/15mg Supp
SFC
01901869
SDZ
SFC
SFC
SFC
SFC
SFC
02212005
02132591
02228351
02257564
02183862
APX
TEV
PMS
SDZ
JNJ
DNP
SFC
02256452
JPC
DNP
SFC
02016095
PMS
HYDROCORTISONE
Cortenema 100mg/60mL Susp
Cortifoam
DNP
DNP
SF
SF
02112736
00579335
AXC
PAL
BETAMETHASONE
Betnesol 5mg/100mL Retention Enema
DNP
SF
02060884
PAL
LOPERAMIDE
loperamide 2mg caplet
Apo-Loperamide 2mg Caplet
Novo-Loperamide 2mg Caplet
pms-Loperamide 2mg Caplet
Sandoz Loperamide 2mg Caplet
Imodium 2mg Caplet
APC-Loperamide 2mg Caplet (discontinued)
Diarr-eze 2mg Caplet (discontinued)
Jamp-Loperamide 2mg Tab
loperamide HCl 0.2mg/mL o/l
pms-Loperamide 0.2mg/mL O/L
Imodium 0.2mg/mL O/L (discontinued)
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
A07E
INTESTINAL ANTIINFLAMMATORY AGENTS
A07EA CORTICOSTEROIDS ACTING LOCALLY
A07EA02
A07EA04
October 2011
A07EA06
BUDESONIDE
Entocort 3mg Cap
Entocort 0.02mg/mL Enema
DNP
DNP
SF
SF
02229293
02052431
AZE
AZE
DNP
SF
00500895
SAV
SULFASALAZINE
pms-Sulfasalazine 500mg Tab
Salazopyrin 500mg Tab
pms-Sulfasalazine EC 500mg Tab
Salazopyrin 500mg Entabs
DNP
DNP
DNP
DNP
SF
SF
SF
SF
00598461
02064480
00598488
02064472
PMS
PFI
PMS
PFI
5-AMINOSALICYLIC ACID (MESALAMINE)

Pentasa 1g/100mL Rectal Susp
Pentasa 4g/100mL Rectal Susp
Salofalk 2g/60g Rectal Susp
Salofalk 4g/60g Rectal Susp
Salofalk 500mg Supp
Pentasa 1g Supp
Salofalk 1g Supp
Mezavant 1.2g Tab
Asacol 400mg Tab
Mesasal 500mg Tab
Pentasa 500mg Tab
Salofalk 500mg Tab
Asacol 800 (800mg) Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02153521
02153556
02112795
02112809
02112760
02153564
02242146
02297558
01997580
01914030
02099683
02112787
02267217
FEI
FEI
AXC
AXC
AXC
FEI
AXC
SHI
WNC
GSK
FEI
AXC
WNC
OLSALAZINE (5-ASA)
Dipentum 250mg Cap
DNP
SF
02063808
UCB
DNP
SF
01927906
ERF
02240325
HLR
A07EB ANTIALLERGIC AGENTS, EXCLUDING CORTICOSTEROIDS

A07EB01
CROMOGLYCATE SODIUM
Nalcrom 100mg Cap
A07EC AMINOSALICYLIC ACID AND SIMILAR AGENTS

A07EC01
A07EC02
A07EC03
A07F
ANTIDIARRHEAL MICROORGANISMS
A07FA ANTIDIARRHEAL MICROORGANISMS
A07FA01
A08
LACTIC ACID PRODUCING ORGANISMS

Bacid Cap
ANTIOBESITY PREPARATIONS, EXCLUDING DIET PRODUCTS
A08A ANTIOBESITY PREPARATIONS, EXCLUDING DIET PRODUCTS

A08AA CENTRALLY ACTING ANTIOBESITY PRODUCTS
A08AA10
SIBUTRAMINE
sibutramine 10mg cap
Apo-Sibutramine 10mg Cap (discontinued)
Meridia 10mg Cap (discontinued)
sibutramine 15mg cap
Apo-Sibutramine 15mg Cap (discontinued)
Meridia 15mg Cap (discontinued)
A08AB PERIPHERALLY ACTING ANTIOBESITY PRODUCTS

A08AB01
October 2011
ORLISTAT
Xenical 120mg Cap
A09
DIGESTIVES, INCLUDING ENZYMES
A09A DIGESTIVES, INCLUDING ENZYMES

A09AA ENZYME PREPARATIONS
A09AA02
A09AA03
A10
MULTIENZYMES (LIPASE, PROTEASE, ETC)

Cotazym Cap
Cotazym ECS 4 Cap
Cotazym ECS 8 Cap
Cotazym ECS 20 Cap
Cotazym-65B Cap
Pancrease MT 4 Cap
Pancrease MT 10 Cap
Pancrease MT 16 Cap
Creon 5 Minimicrospheres
Ultrase MS4 Cap
Ultrase MT12 Cap
Ultrase MT20 Cap
Viokase Tab
Viokase 16 Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
00263818
02181215
00502790
00821373
00456233
00789445
00789437
00789429
02239007
02200104
02239008
01985205
02203324
02045834
02045869
02230019
02241933
SCH
SCH
SCH
SCH
SCH
JAN
JAN
JAN
ABB
ABB
ABB
ABB
AXC
AXC
AXC
AXC
AXC
PEPSIN
Fermentol 100mg/30mL Liq
DNP
SF
00378739
CHU
INSULIN (HUMAN)
Humulin R Cartridges
Humulin R Insulin
Novolin GE Toronto Insulin
Novolin GE Toronto Penfill
DNP
DNP
DNP
DNP
SFD
SFD
SFD
SFD
01959220
00586714
02024233
02024284
LIL
LIL
NNO
NNO
INSULIN LISPRO
Humalog Cartridges
Humalog Insulin
Humalog KwikPen
DNP
DNP
DNP
E3
E3
E3
02229705
02229704
02229705
LIL
LIL
LIL
DNP
DNP
E3
E3
02244353
02245397
02265435
NNO
NNO
NNO
DNP
DNP
DNP
E3
E3
E3
02279479
02294346
02279460
SAV
SAV
SAV
SFD
SFD
SFD
SFD
01959239
00587737
02024225
02024268
LIL
LIL
NNO
NNO
DRUGS USED IN DIABETES
A10A INSULINS AND ANALOGUES

A10AB INSULINS AND ANALOGUES FOR INJECTION, FAST-ACTING
A10AB01
A10AB04
A10AB05
A10AB06
INSULIN ASPART
NovoRapid 100iu/mL Penfill Ins
NovoRapid 100iu/mL Vial Ins
NovoMix 30 Penfill
INSULIN GLULISINE
Apidra 3mL Cartridges
Apidra 3mL Prefilled Pen
Apidra 10mL Vial
A10AC INSULINS AND ANALOGUES FOR INJECTION, INTERMEDIATE-ACTING

A10AC01
INSULIN (HUMAN)
Humulin N Cartridges
Humulin N Insulin
Novolin GE NPH Insulin
Novolin GE NPH Penfill
Humulin L Insulin (discontinued)
DNP
DNP
DNP
DNP
Insulin Lispro, Insulin Aspart and Insulin Glulisine are full benefits for children 18 years and younger. For coverage in adults refer to
criteria in Appendix III.
October 2011
A10AD INSULINS AND ANALOGUES FOR INJECTION, INTERMEDIATE-ACTING COMBINED WITH FAST-ACTING
A10AD01
A10AD04
INSULIN (HUMAN)
Humulin 30/70 Cartridges
Humulin 30/70 Insulin
Novolin GE 30/70 Insulin
Novolin GE 30/70 Penfill
SFD
SFD
SFD
SFD
SFD
SFD
01959212
00795879
02024217
02025248
02024314
02024322
LIL
LIL
NNO
NNO
NNO
NNO
02240294
02240297
02240296
LIL
LIL
LIL
INSULIN GLARGINE
Lantus 100iu/mL Vial
02245689
SAV
INSULIN DETEMIR
Levemir 100iu/mL Penfill
02271842
NNO
DNP
DNP
DNP
DNP
DNP
DNP
INSULIN LISPRO
Humalog Mix25 Cartridges
Humalog Mix50 Cartridges
Humalog Mix25 Vial
A10AE INSULINS AND ANALOGUES FOR INJECTION, LONG-ACTING

A10AE04
A10AE05
A10B BLOOD GLUCOSE LOWERING DRUGS, EXCLUDING INSULINS

A10BA BIGUANIDES
A10BA02
METFORMIN
metformin HCl 500mg tab
Apo-Metformin 500mg Tab
CO Metformin 500mg Tab
Metformin 500mg Tab
MYLAN-Metformin 500mg Tab
Novo-Metformin 500mg Tab
Nu-Metformin 500mg Tab
pms-Metformin 500mg Tab
RAN-Metformin 500mg Tab
ratio-Metformin 500mg Tab
Sandoz Metformin FC 500mg Tab
Metformin 500mg Tab
Glucophage 500mg Tab
metformin HCl 850mg tab
Apo-Metformin 850mg Tab
CO Metformin 850mg Tab
Metformin 850mg Tab
MYLAN-Metformin 850mg Tab
Novo-Metformin 850mg Tab
Nu-Metformin 850mg Tab
pms-Metformin 850mg Tab
RAN-Metformin 850mg Tab
ratio-Metformin 850mg Tab
Sandoz Metformin FC 850mg Tab
Glucophage 850mg Tab
Zym-Metformin 850mg Tab (discontinued)
October 2011
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
02167786
02257726
02353377
02148765
02045710
02162822
02223562
02269031
02242974
02246820
02242794
02099233
APX
COB
SAS
MYL
TEV
NXP
PMS
RAN
TEV
SDZ
MEL
SAV
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
02229785
02257734
02353385
02229656
02230475
02229517
02242589
02269058
02242931
02246821
02162849
APX
COB
SAS
MYL
TEV
NXP
PMS
RAN
TEV
SDZ
SAV
A10BB SULFONAMIDES, UREA DERIVATIVES

A10BB01
GLYBURIDE (GLIBENCLAMIDE)
glyburide 2.5mg tab
Apo-Glyburide 2.5mg Tab
Glyburide 2.5mg Tab
MYLAN-Glybe 2.5mg Tab
Novo-Glyburide 2.5mg Tab
Nu-Glyburide 2.5mg Tab
ratio-Glyburide 2.5mg Tab
Sandoz Glyburide 2.5mg Tab
Diabeta 2.5mg Tab
Euglucon 2.5mg Tab (discontinued)
glyburide 5mg tab
Apo-Glyburide 5mg Tab
Euglucon 5mg Tab
Glyburide 5mg Tab
MYLAN-Glybe 5mg Tab
Novo-Glyburide 5mg Tab
Nu-Glyburide 5mg Tab
pms-Glyburide 5mg Tab
ratio-Glyburide 5mg Tab
Sandoz Glyburide 5mg Tab
Diabeta 5mg Tab
A10BB02
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
01913654
02350459
00808733
01913670
02020734
01900927
02248008
02224550
APX
SAS
MYL
TEV
NXP
TEV
SDZ
SAV
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
SFD
01913662
00720941
02350467
00808741
01913689
02020742
02236734
01900935
02248009
02224569
APX
PMS
SAS
MYL
TEV
NXP
PMS
TEV
SDZ
SAV
00399302
APX
00312711
APX
CHLORPROPAMIDE
Apo-Chlorpropamide 100mg Tab
chlorpropamide 250mg tab
Apo-Chlorpropamide 250mg Tab
Diabinese 250mg Tab (discontinued)
A10BB03
A10BB09
TOLBUTAMIDE
tolbutamide 500mg tab
Tolbutamide 500mg Tab
Mobenol 500mg Tab (discontinued)
DNP
MRP
SFD
00312762
AAP
DNP
DNP
MRP
MRP
SFD
SFD
02297795
02242987
AAP
SEV
DNP
DNP
DNP
DNP
PRP
PRP
PRP
PRP
SFD
SFD
SFD
SFD
02245247
02287072
02229519
02238103
APX
SAS
MYL
TEV
DNP
PRP
SFD
00765996
SEV
GLIMEPIRIDE
glimepiride 1mg tab
Apo-Glimepiride 1mg Tab
Novo-Glimepiride 1mg Tab
ratio-Glimepiride 1mg Tab
Sandoz Glimepiride 1mg Tab
Amaryl 1mg Tab
02295377
02273756
02273101
02269589
02245272
APX
TEV
TEV
SDZ
SAV
glimepiride 2mg tab

Amaryl 2mg Tab
02295385
02273764
02273128
02269597
02245273
APX
TEV
TEV
SDZ
SAV
GLICLAZIDE
gliclazide MR 30mg tab
Apo-Gliclazide MR 30mg Tab
Diamicron MR 30mg Tab
gliclazide 80mg tab
Apo-Gliclazide 80mg Tab
Gliclazide 80mg Tab
MYLAN-Gliclazide 80mg Tab
Novo-Gliclazide 80mg Tab
pms-Gliclazide 80mg Tab (discontinued)
Diamicron 80mg Tab
A10BB12
October 2011
glimepiride 4mg tab

Amaryl 4mg Tab
02295393
02273772
02273136
02269619
02245274
APX
TEV
TEV
SDZ
SAV
02247085
02247086
02247087
02248440
02248441
GSK
GSK
GSK
GSK
GSK
A10BD COMBINATIONS OF ORAL BLOOD GLUCOSE LOWERING DRUGS

A10BD03
A10BD07
METFORMIN AND ROSIGLITAZONE

Avandamet 1/500mg Tab
METFORMIN AND SITAGLIPTIN
Janumet 50/500mg Tab
DNP
DNP
DNP
E
E
E
02333856
02333864
02333872
FRS
FRS
FRS
DNP
DNP
SFD
SFD
02190885
02190893
BAY
BAY
02241112
02241113
02241114
GSK
GSK
GSK
A10BF ALPHA GLUCOSIDASE INHIBITORS

A10BF01
ACARBOSE
Glucobay 50mg Tab
Glucobay 100mg Tab
A10BG THIAZOLINEDIONES
A10BG02
A10BG03
October 2011
ROSIGLITAZONE
Avandia 2mg Tab
Avandia 4mg Tab
Avandia 8mg Tab
PIOGLITAZONE
pioglitazone 15mg tab
Accel Pioglitazone 15mg Tab
Apo-Pioglitazone 15mg Tab
CO Pioglitazone 15mg Tab
MINT-Pioglitazone 15mg Tab
MYLAN-Pioglitazone 15mg Tab
Novo-Pioglitazone 15mg Tab
phl-Pioglitazone 15mg Tab
pms-Pioglitazone 15mg Tab
ratio-Pioglitazone 15mg Tab
Sandoz Pioglitazone 15mg Tab
Zym-Pioglitazone 15mg Tab
Actos 15mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
E
E
02303442
02302942
02302861
02326477
02298279
02274914
02307669
02303124
02301423
02297906
02320754
02242572
ACC
APX
COB
MNT
MYL
TEV
PHL
PMS
TEV
SDZ
ZYM
TAK

Jamp-Pioglitazone 30mg Tab
Pioglitazone 30mg Tab
Actos 30mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
E
E
E
E
02303450
02302950
02302888
02365529
02326485
02298287
02274922
02307677
02339587
02303132
02301431
02297914
02320762
02242573
ACC
APX
COB
JPC
MNT
MYL
TEV
PHL
AHC
PMS
TEV
SDZ
ZYM
TAK

Jamp-Pioglitazone 45mg Tab
Pioglitazone 45mg Tab
Actos 45mg Tab
E
E
E
E
E
E
E
E
E
E
E
E
E
02303469
02302977
02302896
02365537
02326493
02298295
02274930
02307723
02339595
02303140
02301458
02297922
02320770
02242574
ACC
APX
COB
JPC
MNT
MYL
TEV
PHL
AHC
PMS
TEV
SDZ
ZYM
TAK
02303922
FRS
02333554
BRI
REPAGLINIDE
repaglinide 0.5mg tab
CO Repaglinide 0.5mg Tab
pms-Repaglinide 0.5mg Tab
Sandoz Repaglinide 0.5mg Tab
GlucoNorm 0.5mg Tab
02321475
02354926
02357453
02239924
COB
PMS
SDZ
NNO
repaglinide 1mg tab

CO Repaglinide 1mg Tab
pms-Repaglinide 1mg Tab
Sandoz Repaglinide 1mg Tab
GlucoNorm 1mg Tab
02321483
02354934
02357461
02239925
COB
PMS
SDZ
NNO
repaglinide 2mg tab

CO Repaglinide 2mg Tab
pms-Repaglinide 2mg Tab
Sandoz Repaglinide 2mg Tab
GlucoNorm 2mg Tab
02321491
02354942
02357488
02239926
COB
PMS
SDZ
NNO
NATEGLINIDE
Starlix 60mg Tab
Starlix 120mg Tab
02245438
02245439
NVR
NVR
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
A10BH DIPEPTIDYL PEPTIDASE-4 (DDP-4) INHIBITORS

A10BH01
A10BH03
SITAGLIPTIN
Januvia 100mg Tab
DNP
SAXAGLIPTIN
Onglyza 5mg Tab
A10BX OTHER BLOOD GLUCOSE LOWERING DRUGS, EXCLUDING INSULINS

A10BX02
A10BX03
A11
VITAMINS AND MINERALS
A11C VITAMIN A AND D, INCLUDING COMBINATIONS OF THE TWO

A11CC VITAMIN D AND ANALOGUES
A11CC01
A11CC03
A11CC04
October 2011
ERGOCALCIFEROL
Drisdol 8,288iu/mL Sol (discontinued)
Erdol 8,288iu/mL Sol
DNP
SF
80003615
ODN
ALFACALCIDOL
One-Alpha 0.25mcg Cap
One-Alpha 1mcg Cap
One-Alpha 2mcg O/L
DNP
DNP
DNP
SF
SF
SF
00474517
00474525
02240329
LEO
LEO
LEO
CALCITRIOL
Rocaltrol 0.25mcg Cap
Rocaltrol 0.5mcg Cap
Rocaltrol 1mcg/mL O/L
DNP
DNP
DNP
SF
SF
SF
00481823
00481815
00824291
HLR
HLR
HLR
A11D VITAMIN B1, PLAIN AND IN COMBINATION WITH VITAMIN B6 AND B12
A11DA VITAMIN B1, PLAIN
A11DA01
A12
THIAMINE (VIT B1)

thiamine (vit B1) 100mg/mL inj
Thiamiject 100mg/mL Inj (Omega)
Thiamine 100mg/mL Inj
Vitamin B1 100mg/mL Inj
Betaxin 100mg/mL Inj (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02193221
02243525
00816078
OMG
CYI
SDZ
SFC
02042304
PAL
SFC
SFC
02238604
01918303
PMS
GSK
REPLACEMENT PREPARATIONS
A12B POTASSIUM
A12BA POTASSIUM
A12BA01
A12BA02
POTASSIUM CHLORIDE
Micro-K 8mEq Extencap
DNP
potassium chloride 1.33mEq/mL o/l

pms-Potassium Chloride 20mEq/15mL
K-10 Sol 20mEq/15mL
DNP
DNP
Slow-K 8mEq Tab

K-Dur 20mEq Tab
DNP
DNP
SFC
SFC
00074225
00713376
NVR
SCH
POTASSIUM CITRATE
K-Lyte 25mEq Eff Tab
DNP
SFC
02085992
WLS
DNP
DNP
DNP
E
E
E
80009357
80004109
00026697
JPC
ODN
ROG
DNP
SF
00225819
NVR
SFC
00270687
SCH
DNP
DNP
DNP
E
E
E
02144344
02144336
02144328
LYP
LYP
LYP
02238526
ORP
MRP
MRP
A12C OTHER MINERAL SUPPLEMENTS

A12CC MAGNESIUM
A12CC99
MAGNESIUM GLUCOHEPTONATE
Jamp-Magnesium 5mg/mL O/L
Magnesium-Odan 5mg/mL O/L
Rougier-Magnesium 5mg/mL O/L
A12CX OTHER MINERAL PRODUCTS

A12CX99
A14
SODIUM PHOSPHATE
Phosphate-Novartis 500mg Eff Tab
ANABOLIC AGENTS FOR SYSTEMIC USE
A14A ANABOLIC STEROIDS

A14AB ESTREN DERIVATIVES
A14AB01
A16
NANDROLONE
Deca-Durabolin 100mg/mL Inj
OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS
A16A OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

A16AA AMINO ACIDS AND DERIVATIVES
A16AA01
A16AA06
October 2011
LEVOCARNITINE
Carnitor 1g/5mL Inj
Carnitor 100mg/mL O/L
Carnitor 330mg Tab
BETAINE
Cystadane 1g Powder for Oral Sol
A16AB ENZYMES
A16AB05
A16AB07
A16AB09
LARONIDASE
Aldurazyme 0.58mg/mL Inj
ALGLUCOSIDASE ALFA
Myozyme 50mg Pdr for Inj
IDURSULFASE
Elaprase 2mg/mL Inj
DNP
02254506
GZM
02284863
GZM
02296314
PAL
02250519
ACT
A16AX VARIOUS ALIMENTARY TRACT AND METABOLISM PRODUCTS

A16AX02
ANETHOLE TRITHONE
Sialor 25mg Tab (discontinued)
A16AX06
MIGLUSTAT
Zavesca 100mg Cap
October 2011
B01
ANTITHROMBOTIC AGENTS
B01A ANTITHROMBOTIC AGENTS

B01AA VITAMIN K ANTAGONISTS
B01AA03
October 2011
WARFARIN
warfarin 1mg tab
Apo-Warfarin 1mg Tab
MYLAN-Warfarin 1mg Tab
Novo-Warfarin 1mg Tab
Taro-Warfarin 1mg Tab
Warfarin 1mg Tab
Coumadin 1mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
02242924
02244462
02265273
02242680
02344025
01918311
APX
MYL
TEV
TAR
SAS
BRI
warfarin 2mg tab

Warfarin 2mg Tab
Coumadin 2mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
02242925
02244463
02265281
02242681
02344033
01918338
APX
MYL
TEV
TAR
SAS
BRI
warfarin 2.5mg tab

Apo-Warfarin 2.5mg Tab
MYLAN-Warfarin 2.5mg Tab
Novo-Warfarin 2.5mg Tab
Taro-Warfarin 2.5mg Tab
Warfarin 2.5mg Tab
Coumadin 2.5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
02242926
02244464
02265303
02242682
02344041
01918346
APX
MYL
TEV
TAR
SAS
BRI
warfarin 3mg tab

Warfarin 3mg Tab
Coumadin 3mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
02245618
02287498
02265311
02242683
02344068
02240205
APX
MYL
TEV
TAR
SAS
BRI
warfarin 4mg tab

Warfarin 4mg Tab
Coumadin 4mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
02242927
02244465
02265338
02242684
02344076
02007959
APX
MYL
TEV
TAR
SAS
BRI
warfarin 5mg tab

Warfarin 5mg Tab
Coumadin 5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
02242928
02244466
02265346
02242685
02344084
01918354
APX
MYL
TEV
TAR
SAS
BRI
warfarin 6mg tab

Warfarin 6mg Tab
Coumadin 6mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02287501
02242686
02344092
02240206
MYL
TAR
SAS
BRI
warfarin 7.5mg tab

MYLAN-Warfarin 7.5mg Tab
Taro-Warfarin 7.5mg Tab
Warfarin 7.5mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02287528
02242697
02344106
MYL
TAR
SAS
Blood and Blood Forming Organs 19
B01AA07
warfarin 10mg tab

Warfarin 10mg Tab
Coumadin 10mg Tab
DNP
DNP
DNP
DNP
DNP
ACENOCOUMAROL
Sintrom 1mg Tab
Sintrom 4mg Tab
SFC
SFC
SFC
SFC
SFC
02242929
02244467
02242687
02344114
01918362
APX
MYL
TAR
SAS
BRI
DNP
DNP
SFC
SFC
00010383
00010391
PAL
PAL
HEPARIN
Heparin 100iu/mL USP Inj
Heparin 100iu/mL Inj
Heparin 1,000iu/mL Inj
DNP
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
SFC
00725315
00727520
00453811
00579718
00453781
HOS
LEO
LEO
LEO
LEO
DALTEPARIN
Fragmin 2,500iu [anti-Xa] 0.2/mL Syringe Inj
Fragmin 10,000iu [anti-Xa]/mL Amp Inj
Fragmin 25,000iu [anti-Xa]/mL Vial Inj
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02132621
02132648
02352648
02352656
02352664
02352672
02352680
02132664
02231171
PFI
PFI
PFI
PFI
PFI
PFI
PFI
PFI
PFI
ENOXAPARIN
Lovenox 30mg/0.3mL Syringe Inj
Lovenox 100mg/mL Syringe Inj
Lovenox 100mg/mL Vial Inj
Lovenox HP 150mg/mL Syringe Inj
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
02012472
02236883
02236564
02242692
SAV
SAV
SAV
SAV
TINZAPARIN
Innohep 2,500iu, 0.25mL
DNP
DNP
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
SFC
SFC
02229755
02358158
02358166
02231478
02358174
02358182
LEO
LEO
LEO
LEO
LEO
LEO
DNP
02238682
BRI
E
E
E
E
02237701
02239744
02236848
02343045
APX
MYL
TEV
SAS
MRP
MRP
MRP
MRP
MRP
B01AB HEPARIN GROUP

B01AB01
B01AB04
B01AB05
B01AB10
B01AC PLATELET AGGREGATION INHIBITORS EXCLUDING HEPARIN

B01AC04
B01AC05
October 2011
CLOPIDOGREL
Plavix 75mg Tab
TICLOPIDINE
ticlopidine 250mg tab
Apo-Ticlopidine 250mg Tab
MYLAN-Ticlopidine 250mg Tab
Novo-Ticlopidine 250mg Tab
Ticlopidine 250mg Tab
Sandoz Ticlopidine 250mg Tab (discontinued)
Ticlid 250mg Tab (discontinued)
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
B01AC07
B01AC21
B01AC22
B01AC30
DIPYRIDAMOLE
dipyridamole 25mg tab
Apo-Dipyridamole-FC 25mg Tab
Persantine 25mg Tab (discontinued)
DNP
MRP
SF
00895644
APX

Persantine 50mg Tab
DNP
DNP
MRP
MRP
SF
SF
00895652
00067393
APX
BOE

Persantine 75mg Tab
DNP
DNP
MRP
MRP
SF
SF
00895660
00452092
APX
BOE
TREPROSTINIL
Remodulin 1mg/mL Inj
Remodulin 2.5mg/mL Inj
02246552
02246553
02246554
02246555
UTC
UTC
UTC
UTC
PRASUGREL
Effient 10mg Tab
02349124
NVR
02242119
BOE
02312433
02312441
BOE
BOE
02245531
GSK
02316986
BAY
02246365
02064413
SDZ
PFI
PLATELET AGGREGATION INHIBITORS, COMBINATIONS

DNP
Aggrenox 200/25mg Cap
B01AE DIRECT THROMBIN INHIBITORS

B01AE07
DABIGATRAN ETEXILATE
Pradax 75mg Cap
Pradax 110mg Cap
B01AX OTHER ANTITHROMBOTIC AGENTS

B01AX05
B01AX06
B02
FONDAPARINUX
Arixtra 2.5mg/0.5mL Inj
RIVAROXABAN
Xarelto 10mg Tab
DNP
ANTIHEMORRHAGICS
B02A ANTIFIBRINOLYTICS
B02AA AMINO ACIDS
B02AA02
TRANEXAMIC ACID
tranexamic acid 100mg/mL inj
Tranexamic Acid 100mg/mL Inj
Cyklokapron 100mg/mL Inj
Cyklokapron 500mg Tab
DNP
SF
02064405
PFI
DNPM
DNPM
SF
SF
00781878
00804312
SDZ
SDZ
02322854
02322862
AGA
AGA
B02B VITAMIN K AND OTHER HEMOSTATICS

B02BA VITAMIN K
B02BA01
B02BX04
October 2011
PHYTONADIONE
Vitamin K1 2mg/mL Inj
Vitamin K1 10mg/mL Inj
ROMIPLOSTIM
Nplate 250ug/0.5mL Inj
Nplate 500ug/mL Inj
B03
ANTIANEMIC PREPARATIONS
B03A IRON PREPARATIONS

B03AA IRON BIVALENT, ORAL PREPARATIONS
B03AA02
B03AA03
B03AA07
FERROUS FUMARATE
Palafer 300mg Cap
Palafer 300mg/5mL Susp
01923420
01923439
GCH
GCH
FERROUS GLUCONATE
ferrous gluconate 300mg tab
APC-Ferrous Gluconate 300mg Tab
Apo-Ferrous Gluconate 300mg Tab
Novo-Ferrogluc 300mg Tab (discontinued)
Novo-Ferrogluc 300mg Tab
00545031
00545031
00021458
80000435
APX
APX
TEV
TEV
FERROUS SULFATE
pms-Ferrous Sulfate 75mg/0.6mL Drops
Fer-In-Sol 150mg/5mL Syrup
Slow Fe 160mg Tab
02222574
00017884
00623520
PMS
MJO
NNC
B03AC IRON TRIVALENT, PARENTERAL PREPARATIONS

B03AC01
B03AC02
DEXTRIFERRON (IRON DEXTRAN)

DexIron 50mg/mL Inj
Infufer 50mg/mL Inj
DNP
DNP
SFC
SFC
02205963
02221780
MYL
SDZ
SACCHARATED IRON OXIDE

Venofer 20mg/mL Inj
DNP
02243716
MYL
00795208
NNC
IRON, MULTIVITAMINS AND FOLIC ACID

Palafer CF Cap
01923455
GCH
IRON, MULTIVITAMINS AND MINERALS

PregVit Tab
02246067
DUI
02241500
SDZ
HOS
DNP
DNP
E
E
DNP
DNP
SE
SE
01987003
00521515
00502758
00689726
02237736
CYI
SDZ
SWS
SWS
SWS
DNP
SE
02243119
SWS
DNPM
SFC
DNPM
SFC
00816086
00687138
02236747
00426849
SDZ
SWS
WAM
APX
B03AD IRON IN COMBINATION WITH FOLIC ACID

B03AD03
FERROUS SULFATE
Slow-Fe Folic Tab
B03AE IRON IN OTHER COMBINATIONS

B03AE02
B03AE04
B03B VITAMIN B12 AND FOLIC ACID

B03BA VITAMIN B12 (CYANOCOBALAMIN AND DERIVATIVES)
B03BA01
CYANOCOBALAMIN
cyanocobalamin 100mcg/mL inj
Vitamin B12 100mcg/mL Inj
Vitamin B12 100mcg/mL Inj (discontinued)
Cyanocobalamin 1,000mcg/mL Inj
Vitamin B12 1,000mcg/mL Inj
Vitamin B12 250mcg Tab
Vitamin B12 500mcg Tab
Vitamin B12 1,000mcg Tab
B03BA51
CYANOCOBALAMIN, COMBINATIONS
Vitamin B12 1,000mcg Tab w Folic Acid
DNP
MRP
B03BB FOLIC ACID AND DERIVATIVES

B03BB01
October 2011
FOLIC ACID
Folic Acid 5mg/mL Inj
Folic Acid 1mg Tab
Folic Acid 1mg Tab
Apo-Folic Acid 5mg Tab
B03X
OTHER ANTIANEMIC PREPARATIONS
B03XA OTHER ANTIANEMIC PREPARATIONS
B03XA01
B03XA02
B05
ERYTHROPOIETIN
Eprex 1,000iu/0.5mL Syringe Inj
Eprex 10,000iu/mL Syringe Inj
Eprex 40,000iu/mL Syringe Inj
Eprex 20,000iu/mL Multidose vial (discontinued)
DARBEPOETIN
Aranesp 25mcg/mL Syringe Inj
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
E
E
E
E
E
E
E
E
E
E
E
02231583
02231584
02231585
02231586
02243400
02243401
02243403
02231587
02243239
02288680
02240722
JAN
JAN
JAN
JAN
JAN
JAN
JAN
JAN
JAN
JAN
JAN
DNP
DNP
DNP
DNP
DNP
E
E
E
E
E
02246354
02246355
02246357
02246358
02246360
AGA
AGA
AGA
AGA
AGA
DNPM
SF
00037974
HOS
DNP
SF
00666157
GSK
DNP
SF
00786160
BAX
DNPM
DNPM
DNPM
SFC
SFC
SFC
00037796
00624748
00262005
HOS
AZE
HOS
BLOOD SUBSTITUTES AND PERFUSION SOLUTIONS
B05B I.V. SOLUTIONS

B05BA SOLUTIONS FOR PARENTERAL NUTRITION
B05BA03
CARBOHYDRATES
Dextrose 50% Inj
B05C IRRIGATING SOLUTIONS

B05CA ANTIINFECTIVES
B05CA10
ANTIINFECTIVES, COMBINATIONS
Neosporin Irrigating Sol
B05CB SALT SOLUTIONS

B05CB01
SODIUM CHLORIDE
Sodium Chloride Irr Sol
B05X
I.V. SOLUTION ADDITIVES
B05XA ELECTROLYTE SOLUTIONS
B05XA03
October 2011
SODIUM CHLORIDE
Sodium Chloride 9mg/mL Inj
October 2011
C01
CARDIAC THERAPY
C01A CARDIAC GLYCOSIDES

C01AA DIGITALIS GLYCOSIDES
C01AA05
DIGOXIN
digoxin 0.05mg/mL inj
Digoxin 0.05mg/mL Inj
Lanoxin 0.05mg/mL Inj (discontinued)
02048272
SDZ
02048264
SDZ
SF
02242320
PMS
digoxin 0.25mg/mL inj

Digoxin 0.25mg/mL Inj
Lanoxin 0.25mg/mL Inj (discontinued)
Lanoxin 0.05mg/mL Elx
DNP
digoxin 0.0625mg tab

Toloxin 0.0625mg Tab
Lanoxin 0.0625mg Tab (discontinued)
DNP
MRP
SF
02335700
MMT
digoxin 0.125mg tab

Toloxin 0.125mg Tab
DNP
MRP
SF
02335719
MMT
digoxin 0.25mg tab

Toloxin 0.25mg Tab
DNP
MRP
SF
02335727
MMT
02184486
SDZ
C01B ANTIARRHYTHMICS, CLASS I AND III

C01BA ANTIARRHYTHMICS, CLASS IA
C01BA02
C01BA03
PROCAINAMIDE
procainamide 100mg/mL inj
Procainamide 100mg/mL Inj
Pronestyl 100mg/mL Inj (discontinued)
Procan SR 250mg Tab
Procan SR 500mg Tab
Procan SR 750mg Tab
DNP
DNP
DNP
SF
SF
SF
00638692
00638676
00638684
ERF
ERF
ERF
DISOPYRAMIDE
Rythmodan 100mg Cap
Rythmodan 150mg Cap
Rythmodan-LA 250mg Tab (discontinued)
DNP
DNP
SF
SF
02224801
02224828
SAV
SAV
C01BB ANTIARRHYTHMICS, CLASS IB

C01BB02
MEXILETINE
mexiletine 100mg cap
Novo-Mexiletine 100mg Cap
Mexitil 100mg Cap (discontinued)
mexiletine 200mg cap
Novo-Mexiletine 200mg Cap
Mexitil 200mg Cap (discontinued)
October 2011
DNP
MRP
SF
02230359
TEV
DNP
MRP
SF
02230360
TEV
Cardiovascular System 25
C01BC ANTIARRHYTHMICS, CLASS IC

C01BC03
PROPAFENONE
propafenone 150mg tab
Apo-Propafenone 150mg Tab
MYLAN-Propafenone 150mg Tab
pms-Propafenone 150mg Tab
MRP
MRP
SF
SF
SF
SF
SF
02243324
02245372
02294559
02343053
00603708
APX
MYL
PMS
SAS
ABB
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
02243325
02245373
02294575
02343061
00603716
APX
MYL
PMS
SAS
ABB
FLECAINIDE
flecainide 50mg tab
Flecainide 50mg Tab
Tambocor 50mg Tab
DNP
DNP
MRP
MRP
SF
SF
02275538
01966197
AAP
GWP
flecainide 100mg tab

Flecainide 100mg Tab
Tambocor 100mg Tab
DNP
DNP
MRP
MRP
SF
SF
02275546
01966200
AAP
GWP
02242325
SDZ
SF
02292173
PMS
SF
SF
SF
SF
SF
SF
SF
SF
SF
02364336
02246194
02240604
02239835
02245781
02242472
02240071
02243836
02036282
SAS
APO
MYL
TEV
PHL
PMS
TEV
SDZ
PFI
02185377
SDZ
02330989
SAV
DNP
DNP
DNP
MRP
MRP
MRP
Rythmol 150mg Tab
DNP
DNP
propafenone 300mg tab

Apo-Propafenone 300mg Tab
MYLAN-Propafenone 300mg Tab
pms-Propafenone 300mg Tab
Propafenone 300mg Tab
Rythmol 300mg Tab
Propafenone 150mg Tab
C01BC04
C01BD ANTIARRHYTHMICS, CLASS III

C01BD01
C01BD02
C01BD07
October 2011
AMIODARONE
amiodarone HCl 50mg/mL inj
Amiodarone 50mg/mL Inj
Cordarone 50mg/mL Inj (discontinued)
pms-Amiodarone 100mg Tab
DNP
amiodarone 200mg tab

Amiodarone 200mg Tab
Apo-Amiodarone 200mg Tab
MYLAN-Amiodarone 200mg Tab
Novo-Amiodarone 200mg Tab
phl-Amiodarone 200mg Tab
pms-Amiodarone 200mg Tab
ratio-Amiodarone 200mg Tab
Sandoz Amiodarone 200mg Tab
Cordarone 200mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
BRETYLIUM TOSYLATE
bretylium tosylate 50mg/mL inj
Bretylium Tosylate 50mg/mL Inj
Bretylate 50mg/mL Inj (discontinued)
DRONEDARONE
Multaq 400mg Tab
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
C01C CARDIAC STIMULANTS EXCLUDING CARDIAC GLYCOSIDES

C01CA ADRENERGIC AND DOPAMINERGIC AGENTS
C01CA03
C01CA06
C01CA07
C01CA17
NOREPINEPHRINE
norepinephrine 1mg/mL inj
Norepinephrine Bitartrate 1mg/mL Inj
Levophed 1mg/mL Inj
00893285
02241981
SDZ
HOS
SF
SF
01953583
02241980
SDZ
HOS
DNP
SF
02242010
SDZ
DNP
SF
02278677
AAP
DNP
SF
02278685
AAP
DNPM
DNPM
DNPM
DNPM
DNPM
SF
SF4
SF4
SF4
SF4
00721891
00578657
00509558
02268205
02247310
HOS
KNG
KNG
PAL
PAL
NITROGLYCERIN (GLYCERYL TRINITRATE)

Nitroglycerin 5mg/mL Inj
Nitrol 2% Oint
Minitran 0.2mg/hr Patch
Nitro-Dur 0.2mg/hr Patch
Transderm-Nitro 0.2mg/hr Patch
Trinipatch 0.2mg/hr Patch
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
00860778
01926454
02162806
01911910
00584223
02230732
02163527
01911902
00852384
02230733
02163535
01911929
02046156
02230734
02011271
SDZ
PAL
GWP
SCH
NVR
PAL
GWP
SCH
NVR
PAL
GWP
SCH
NVR
PAL
SCH
nitroglycerin 0.4mg/dose pumpspray

Rho-Nitro Pumpspray 0.4mg/dose
Nitrolingual Pumpspray 0.4mg/dose
DNPM
DNPM
SF
SF
02238998
02231441
SDZ
SAV
MYLAN-Nitro 0.4mg/dose SL Spray

Nitrostat 0.3mg Tab
Nitrostat 0.6mg Tab
DNPM
DNPM
DNPM
SF
SF
SF
02243588
00037613
00037621
MYL
PFI
PFI
PHENYLEPHRINE
phenylephrine 10mg/mL inj
Phenylephrine 10mg/mL Inj
Neo-Synephrine 10mg/mL Inj
DOBUTAMINE
dobutamine 12.5mg/mL inj
Dobutamine 12.5mg/mL Inj
Dobutrex 12.5mg/mL Inj (discontinued)
MIDODRINE
midodrine 2.5mg tab
Midodrine 2.5mg Tab
Amatine 2.5mg Tab (discontinued)
midodrine 5mg tab
Midodrine 5mg Tab
Amatine 5mg Tab (discontinued)
C01CA24
EPINEPHRINE
Epinephrine 1:1000 Inj
Epipen Jr. 1:2000 (0.15mg/dose) Inj
Epipen 1:1000 (0.3mg/dose) Inj
Twinject 0.15mg Auto-Injector
Twinject 0.3mg Auto-Injector
DNP
DNP
MRP
MRP
C01D VASODILATORS USED IN CARDIAC DISEASES

C01DA ORGANIC NITRATES
C01DA02
MRP
MRP
Epipen and Twinject have a quantity limit of two injections per fiscal year. The prescriber may submit a request to the Pharmacare
office for consideration should beneficiaries require more than two injections per fiscal year.
October 2011
C01DA08
C01DA14
C02
ISOSORBIDE DINITRATE
isosorbide dinitrate 5mg SL tab
ISDN 5mg Tab
Isordil Sublingual 5mg Tab (discontinued)
DNP
MRP
SF
00670944
AAP
isosorbide dinitrate 10mg tab

ISDN 10mg Tab
Isordil 10mg Tab (discontinued)
DNP
MRP
SF
00441686
AAP
isosorbide dinitrate 30mg tab

ISDN 30mg Tab
Isordil 30mg Tab (discontinued)
DNP
MRP
SF
00441694
AAP
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02272830
02301288
02126559
APX
PMS
AZE
DNP
MRP
SF
00360252
AAP
methyldopa 250mg tab

Methyldopa 250mg Tab
Aldomet 250mg Tab (discontinued)
DNP
MRP
SF
00360260
AAP

DNP
MRP
SF
00426830
AAP
CLONIDINE
clonidine HCl 0.025mg tab
Apo-Clonidine 0.025mg Tab
Clonidine 0.025mg Tab
Novo-Clonidine 0.025mg Tab
Dixarit 0.025mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02248732
02361299
02304163
00519251
APX
SAS
TEV
BOE

Clonidine 0.1mg Tab
Nu-Clonidine 0.1mg Tab
Catapres 0.1mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
00868949
02361302
02046121
01913786
00259527
APX
SAS
TEV
NXP
BOE

Clonidine 0.2mg Tab
Nu-Clonidine 0.2mg Tab
Catapres 0.2mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
00868957
02361310
02046148
01913220
00291889
APX
SAS
TEV
NXP
BOE
ISOSORBIDE MONONITRATE
isosorbide mononitrate 60mg SR tab
Apo-ISMN 60mg Tab
pms-ISMN 60mg SR Tab
Imdur 60mg ER Tab
ANTIHYPERTENSIVES
C02A ANTIADRENERGIC AGENTS, CENTRALLY ACTING

C02AB METHYLDOPA
C02AB02
METHYLDOPA (RACEMIC)
C02AC IMIDAZOLINE RECEPTOR AGONISTS

C02AC01
October 2011
C02C ANTIADRENERGIC AGENTS, PERIPHERALLY ACTING

C02CA ALPHA-ADRENOCEPTOR ANTAGONISTS
C02CA01
C02CA04
PRAZOSIN
prazosin HCl 1mg tab
Apo-Prazo 1mg Tab
Novo-Prazin 1mg Tab
Nu-Prazo 1mg Tab
Minipres 1mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00882801
01934198
01913794
APX
TEV
NXP

Apo-Prazo 2mg Tab
Novo-Prazin 2mg Tab
Nu-Prazo 2mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00882828
01934201
01913808
APX
TEV
NXP

Apo-Prazo 5mg Tab
Novo-Prazin 5mg Tab
Nu-Prazo 5mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00882836
01934228
01913816
APX
TEV
NXP
DOXAZOSIN
doxazosin 1mg tab
Apo-Doxazosin 1mg Tab
MYLAN-Doxazosin 1mg Tab
Novo-Doxazosin 1mg Tab
pms-Doxazosin 1mg Tab
Cardura-1 1mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
02240588
02240498
02242728
02244527
01958100
APX
MYL
TEV
PMS
PFI
doxazosin 2mg tab

Cardura-2 2mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
02240589
02240499
02242729
02244528
01958097
APX
MYL
TEV
PMS
PFI
doxazosin 4mg tab

Cardura-4 4mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
02240590
02240500
02242730
02244529
01958119
APX
MYL
TEV
PMS
PFI
DNP
SF
00723754
STR
hydralazine HCl 10mg tab

Apo-Hydralazine 10mg Tab
Apresoline 10mg Tab (discontinued)
DNP
SF
00441619
APX

DNP
SF
00441627
APX

DNP
SF
00441635
APX
C02D ARTERIOLAR SMOOTH MUSCLE, AGENTS ACTING ON

C02DB HYDRAZINOPHTHALAZINE DERIVATIVES
C02DB02
October 2011
HYDRALAZINE
Apresoline 20mg/mL Inj
C02DC PYRIMIDINE DERIVATIVES

C02DC01
MINOXIDIL
Loniten 2.5mg Tab
Loniten 10mg Tab
DNP
DNP
SF
SF
00514497
00514500
PFI
PFI
BOSENTAN
Tracleer 62.5mg Tab
Tracleer 125mg Tab
DNP
DNP
E
E
02244981
02244982
ACT
ACT
AMBRISENTAN
Volibris 5mg Tab
Volibris 10mg Tab
DNP
DNP
E
E
02307065
02307073
GSK
GSK
02295636
PFI
C02K OTHER ANTIHYPERTENSIVES

C02KX OTHER ANTIHYPERTENSIVES
C02KX01
C02KX02
C02KX03
C03
SITAXENTAN
Thelin 100mg Cap
DIURETICS
C03A LOW-CEILING DIURETICS, THIAZIDES

C03AA THIAZIDES, PLAIN
C03AA03
HYDROCHLOROTHIAZIDE
hydrochlorothiazide 12.5mg tab
Apo-Hydro 12.5mg Tab
pms-Hydrochlorothiazide 12.5mg Tab
DNP
DNP
MRP
MRP
SF
SF
02327856
02274086
APX
PMS
hydrochlorothiazide 25mg tab

Apo-Hydro 25mg Tab
Novo-Hydrazide 25mg Tab
pms-Hydrochlorothiazide 25mg Tab
Hydrodiuril 25mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00326844
00021474
02247386
APX
TEV
PMS

Apo-Hydro 50mg Tab
Novo-Hydrazide 50mg Tab
pms-Hydrochlorothiazide 50mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00312800
00021482
02247387
APX
TEV
PMS

Apo-Hydro 100mg Tab
DNP
MRP
SF
00644552
APX
C03B LOW-CEILING DIURETICS, EXCLUDING THIAZIDES

C03BA SULFONAMIDES, PLAIN
C03BA04
C03BA08
October 2011
CHLORTHALIDONE
Chlorthalidone 50mg Tab
DNP
SF
00360279
AAP
METOLAZONE
Zaroxolyn 2.5mg Tab
DNP
SF
00888400
SAV
C03BA11
INDAPAMIDE
indapamide 1.25mg tab
Apo-Indapamide 1.25mg Tab
MYLAN-Indapamide 1.25mg Tab
pms-Indapamide 1.25mg Tab
Lozide 1.25mg Tab
02245246
02240067
02239619
02179709
APX
MYL
PMS
SEV
indapamide 2.5mg tab

Apo-Indapamide 2.5mg Tab
MYLAN-Indapamide 2.5mg Tab
Novo-Indapamide 2.5mg Tab
Nu-Indapamide 2.5mg Tab
pms-Indapamide 2.5mg Tab
Lozide 2.5mg Tab
02223678
02153483
02231184
02223597
02239620
00564966
APX
MYL
TEV
NXP
PMS
SEV
SF
SF
00527033
02224720
SDZ
SAV
C03C HIGH-CELING DIURETICS

C03CA SULFONAMIDES, PLAIN
C03CA01
C03CA02
FUROSEMIDE
Furosemide 10mg/mL Inj
Lasix 10mg/mL Sol
DNP
DNP
furosemide 20mg tab

Apo-Furosemide 20mg Tab
Furosemide 20mg Tab
Novo-Semide 20mg Tab
Lasix 20mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
00396788
02351420
00337730
02224690
APX
SAS
TEV
SAV
furosemide 40mg tab

Furosemide 40mg Tab
Lasix 40mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
00362166
02351439
00337749
02224704
APX
SAS
TEV
SAV
furosemide 80mg tab

Furosemide 80mg Tab
Lasix 80mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00707570
02351447
00765953
APX
SAS
TEV
Lasix Special 500mg Tab
DNP
SF
02224755
SAV
BUMETANIDE
Burinex 1mg Tab
Burinex 5mg Tab
DNP
DNP
SF
SF
00728284
00728276
LEO
LEO
DNP
SF
02258528
VAL
C03CC ARYLOXYACETIC ACID DERIVATIVES

C03CC01
ETACRYNIC ACID
Edecrin 25mg Tab
C03D POTASSIUM-SPARING AGENTS
C03DA ALDOSTERONE ANTAGONISTS
C03DA01
C03DA04
October 2011
SPIRONOLACTONE
spironolactone 25mg tab
Novo-Spiroton 25mg Tab
Aldactone 25mg Tab
DNP
DNP
MRP
MRP
SF
SF
00613215
00028606
TEV
PFI
spironolactone 100mg tab

Novo-Spiroton 100mg Tab
Aldactone 100mg Tab
DNP
DNP
MRP
MRP
SF
SF
00613223
00285455
TEV
PFI
02323052
02323060
PFI
PFI
EPLERENONE
Inspra 25mg Tab
Inspra 50mg Tab
C03DB OTHER POTASSIUM-SPARING AGENTS

C03DB01
AMILORIDE
amiloride 5mg tab
Apo-Amiloride 5mg Tab
Midamor 5mg Tab (discontinued)
DNP
MRP
SF
02249510
AAP
SF
SF
SF
SF
00784400
02257378
01937219
00886106
APX
MYL
TEV
NXP
C03E
DIURETICS AND POTASSIUM-SPARING AGENTS IN COMBINATION
C03EA LOW-CEILING DIURETICS AND POTASSIUM-SPARING AGENTS
C03EA01
HYDROCHLOROTHIAZIDE AND POTASSIUM-SPARING AGENTS

hydrochlorothiazide 50mg & amiloride HCl 5mg tab
Apo-Amilzide 5-50 Tab
DNP
MRP
DNP
MRP
MYLAN-Amilazide 5/50 Tab
Novamilor 5/50 Tab
DNP
MRP
DNP
MRP
Nu-Amilzide 5/50 Tab
Moduret 5/50 Tab (discontinued)
hydrochlorothiazide 25mg & spironolactone 25mg tab
Novo-Spirozine 25mg Tab
DNP
Aldactazide 25mg Tab
DNP
MRP
MRP
SF
SF
00613231
00180408
TEV
PFI
hydrochlorothiazide 50mg & spironolactone 50mg tab

Novo-Spirozine 50mg Tab
DNP
DNP
Aldactazide 50mg Tab
MRP
MRP
SF
SF
00657182
00594377
TEV
PFI
MRP
MRP
MRP
SF
SF
SF
00441775
00532657
00865532
APX
TEV
NXP
02243737
SDZ
02230090
02221977
APX
SAV
00176176
STR
02128446
02247691
00505773
ODN
SDZ
JNJ
hydrochlorothiazide 25mg & triamterene 50mg tab

Apo-Triazide 50-25 Tab
DNP
DNP
Novo-Triamzide 50/25 Tab
Nu-Triazide 50/25 Tab
DNP
Dyazide 50/25 Tab (discontinued)
C04
PERIPHERAL VASODILATORS
C04A PERIPHERAL VASODILATORS

C04AB IMIDAZOLINE DERIVATIVES
C04AB01
PHENTOLAMINE
Phentolamine Mesylate 5mg/mL Inj
C04AD PURINE DERIVATIVES

C04AD03
PENTOXIFYLLINE
pentoxifylline 400mg tab
Apo-Pentoxifylline SR 400mg Tab
Trental 400mg Tab
Nu-Pentoxifylline SR 400mg Tab (discontinued)
DNP
DNP
MRP
MRP
E
E
C04AE ERGOT ALKALOIDS

C04AE01
C05
ERGOLOID MESYLATES
Hydergine 1mg Tab
VASOPROTECTIVES
C05A AGENTS FOR TREATMENT OF HEMORRHOIDS AND ANAL FISSURES FOR TOPICAL USE
C05AA CORTICOSTEROIDS
C05AA01
October 2011
HYDROCORTISONE
hydrocortisone 0.5% oint
Anodan-HC Oint
Sandoz Anuzinc HC Oint
Anusol-HC Oint
DNPM
DNPM
DNPM
MRP
MRP
MRP
SF
SF
SF
hydrocortisone 10mg supp

Anodan-HC Supp
Sandoz Anuzinc HC Supp
Anusol-HC Supp
DNPM
DNPM
DNPM
ratio-Hemcort HC Oint
ratio-Hemcort HC Supp
Proctofoam HC Aer
DNPM
DNPM
DNPM
SF
SF
SF
02236399
02242798
00476285
ODN
SDZ
JNJ
SF
SF
SF
00607789
00607797
00363014
TEV
TEV
DUI
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02247322
02226383
02242527
02223252
ODN
TEV
SDZ
AXC
hydrocortisone, framycetin sulfate & cinchocaine HCl supp

Proctol Supp
DNPM
MRP
DNPM
MRP
ratio-Proctosone Supp
Sandoz Proctomyxin HC Supp
DNPM
MRP
DNPM
MRP
Proctosedyl Supp
SF
SF
SF
SF
02247882
02226391
02242528
02223260
ODN
TEV
SDZ
AXC
hydrocortisone, pramoxine oint

Proctodan-HC Oint
Sandoz Anuzinc HC Plus Oint
Anugesic-HC Oint
DNPM
DNPM
DNPM
MRP
MRP
MRP
SF
SF
SF
02234466
02247692
00505781
ODN
SDZ
JNJ
hydrocortisone, pramoxine supp

Proctodan-HC Supp
Sandoz Anuzinc HC Plus Supp
Anugesic-HC Supp
DNPM
DNPM
DNPM
MRP
MRP
MRP
SF
SF
SF
02240851
02242797
00476242
ODN
SDZ
JNJ
DNP
SF
01963104
ABB
DNP
SF
02029448
JAN
hydrocortisone, framycetin sulfate & cinchocaine HCl oint

Proctol Oint
DNPM
ratio-Proctosone Oint
DNPM
DNPM
Sandoz Proctomyxin HC Oint
Proctosedyl Oint
DNPM
MRP
MRP
MRP
C05AD LOCAL ANESTHETICS

C05AD07
PRAMOXINE (PRAMOCAINE)
Tronothane 1% Cr
C05B ANTIVARICOSE THERAPY

C05BA HEPARINS OR HEPARINOIDS FOR TOPICAL USE
C05BA04
C07
PENTOSAN POLYSULFATE SODIUM

Elmiron 100mg Cap
BETA BLOCKING AGENTS
C07A BETA BLOCKING AGENTS

C07AA BETA BLOCKING AGENTS, NON-SELECTIVE
C07AA03
October 2011
PINDOLOL
pindolol 5mg tab
Apo-Pindol 5mg Tab
Novo-Pindol 5mg Tab
Nu-Pindol 5mg Tab
pms-Pindolol 5mg Tab
Sandoz Pindolol 5mg Tab
Visken 5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
00755877
00869007
00886149
02231536
02261782
00417270
APX
TEV
NXP
PMS
SDZ
NVR
pindolol 10mg tab

Apo-Pindol 10mg Tab
Novo-Pindol 10mg Tab
Nu-Pindol 10mg Tab
Visken 10mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
00755885
00869015
00886009
02231537
02261790
00443174
APX
TEV
NXP
PMS
SDZ
NVR
pindolol 15mg tab

Apo-Pindol 15mg Tab
Novo-Pindol 15mg Tab
Nu-Pindol 15mg Tab
Visken 15mg Tab
C07AA05
C07AA06
October 2011
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
00755893
00869023
00886130
02231539
02261804
00417289
APX
TEV
NXP
PMS
SDZ
NVR
SF
SF
SF
SF
02042231
02042258
02042266
02042274
02225883
PFI
PFI
PFI
PFI
SDZ
PROPRANOLOL
Inderal-LA 60mg Cap
Inderal-LA 80mg Cap
Inderal-LA 120mg Cap
Inderal-LA 160mg Cap
Propranolol HCL 1mg/mL Inj
DNP
DNP
DNP
DNP
propranolol 10mg tab

Apo-Propranolol 10mg Tab
Novo-Pranol 10mg Tab
Inderal 10mg Tab (discontinued)
DNP
DNP
MRP
MRP
SF
SF
00402788
00496480
APX
TEV

DNP
DNP
MRP
MRP
SF
SF
00663719
00740675
APX
TEV

DNP
DNP
MRP
MRP
SF
SF
00402753
00496499
APX
TEV

DNP
DNP
MRP
MRP
SF
SF
00402761
00496502
APX
TEV

DNP
MRP
SF
00504335
APX
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00755842
01947796
02044609
APX
TEV
NXP
timolol maleate 10mg tab

Apo-Timol 10mg Tab
Novo-Timol 10mg Tab
Nu-Timolol 10mg Tab
Blocadren 10mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00755850
01947818
02044617
APX
TEV
NXP

Apo-Timol 20mg Tab
Novo-Timol 20mg Tab
DNP
DNP
MRP
MRP
SF
SF
00755869
01947826
APX
TEV
TIMOLOL
Apo-Timol 5mg Tab
Novo-Timol 5mg Tab
Nu-Timolol 5mg Tab
C07AA07
SOTALOL
sotalol 80mg tab
Apo-Sotalol 80mg Tab
CO Sotalol 80mg Tab
MYLAN-Sotalol 80mg Tab
Novo-Sotalol 80mg Tab
Nu-Sotalol 80mg Tab
pms-Sotalol 80mg Tab
ratio-Sotalol 80mg Tab
Sandoz Sotalol 80mg Tab
Sotacor 80mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
02210428
02270625
02229778
02231181
02200996
02238326
02084228
02257831
APX
COB
MYL
TEV
NXP
PMS
TEV
SDZ
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
02167794
02270633
02229779
02231182
02163772
02238327
02084236
02257858
APX
COB
MYL
TEV
NXP
PMS
TEV
SDZ
DNP
DNP
MRP
MRP
SF
SF
00782505
02126753
APX
TEV
nadolol 80mg tab

Apo-Nadol 80mg Tab
Novo-Nadolol 80mg Tab
Corgard 80mg Tab (discontinued)
DNP
DNP
MRP
MRP
SF
SF
00782467
02126761
APX
TEV
nadolol 160mg tab

Apo-Nadol 160mg Tab
DNP
MRP
SF
00782475
APX
SF
SF
SF
02246010
02302055
02248855
APX
MYL
PMS
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
00618632
00749354
02350394
02174545
00648035
00865605
02230803
02247875
02354187
00397423
APX
APX
SAS
MYL
TEV
NXP
PMS
SDZ
SDZ
NVR
SF
00842648
TEV
sotalol 160mg tab

Apo-Sotalol 160mg Tab
CO Sotalol 160mg Tab
MYLAN-Sotalol 160mg Tab
Novo-Sotalol 160mg Tab
Nu-Sotalol 160mg Tab
pms-Sotalol 160mg Tab
ratio-Sotalol 160mg Tab
Sandoz Sotalol 160mg Tab
Sotacor 160mg Tab (discontinued)
C07AA12
NADOLOL
nadolol 40mg tab
Apo-Nadol 40mg Tab
Novo-Nadolol 40mg Tab
C07AB BETA BLOCKING AGENTS, SELECTIVE

C07AB02
October 2011
METOPROLOL
Apo-Metoprolol 25mg Tab
MYLAN-Metoprolol (Type L) 25mg Tab
pms-Metoprolol-L 25mg Tab
DNP
DNP
DNP
metoprolol tartrate 50mg tab

Apo-Metoprolol-L 50mg Tab
Metoprolol Film-Coated 50mg Tab
Novo-Metoprol 50mg Tab (pink)
Nu-Metop 50mg Tab
Sandoz Metoprolol (Type L) 50mg Tab
Lopresor 50mg Tab
Betaloc 50mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
Novo-Metoprol 50mg Tab (white)
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
metoprolol tartrate 100mg tab

Apo-Metoprolol-L 100mg Tab
Metoprolol Film-Coated 100mg Tab
Novo-Metoprol 100mg Tab (blue)
Nu-Metop 100mg Tab
Lopresor 100mg Tab
Betaloc 100mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
00618640
00751170
02350408
02174553
00648043
00865613
02230804
02247876
02354195
00397431
APX
APX
SAS
MYL
TEV
NXP
PMS
SDZ
SDZ
NVR
metoprolol tartrate 100mg SR tab

Apo-Metoprolol SR 100mg Tab
Sandoz Metoprolol SR 100mg Tab
Lopresor SR 100mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02285169
02303396
00658855
APX
SDZ
NVR
metoprolol tartrate 200mg SR tab

Apo-Metoprolol SR 200mg Tab
Sandoz Metoprolol SR 200mg Tab
Lopresor SR 200mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02285177
02303418
00534560
APX
SDZ
NVR
SF
00842656
TEV
SF
SF
02247182
02246581
PHL
PMS
SF
SF
02303647
02266660
MYL
TEV
Novo-Metoprol 100mg Tab (white)

Betaloc Durules 200mg Tab (discontinued)
C07AB03
October 2011
DNP
ATENOLOL
atenolol 25mg tab
phl-Atenolol 25mg Tab
pms-Atenolol 25mg Tab
DNP
DNP
MYLAN-Atenolol 25mg Tab

Teva-Atenol 25mg Tab
DNP
DNP
atenolol 50mg tab

Apo-Atenol 50mg Tab
CO Atenolol 50mg Tab
MINT-Atenol 500mg Tab
Novo-Atenol 50mg Tab
Nu-Atenol 50mg Tab
RAN-Atenolol 50mg Tab
ratio-Atenolol 50mg Tab
Sandoz Atenolol 50mg Tab
Tenormin 50mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
00773689
02255545
02368021
02146894
01912062
00886114
02238316
02237600
02267985
02171791
02231731
02039532
APX
COB
MNT
MYL
TEV
NXP
PHL
PMS
RAN
TEV
SDZ
AZE
atenolol 100mg tab

Apo-Atenol 100mg Tab
CO Atenolol 100mg Tab
MINT-Atenol 100mg Tab
Novo-Atenol 100mg Tab
Nu-Atenol 100mg Tab
RAN-Atenolol 100mg Tab
ratio-Atenolol 100mg Tab
Sandoz Atenolol 100mg Tab
Tenormin 100mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
00773697
02255553
02368048
02147432
01912054
00886122
02238318
02237601
02267993
02171805
02231733
02039540
APX
COB
MNT
MYL
TEV
NXP
PHL
PMS
RAN
TEV
SDZ
AZE
MRP
MRP
C07AB04
ACEBUTOLOL
acebutolol HCl 100mg tab
Acebutolol 100mg Tab
Apo-Acebutolol 100mg Tab
MYLAN-Acebutolol 100mg Tab
MYLAN-Acebutolol (Type S) 100mg Tab
Novo-Acebutolol 100mg Tab
Nu-Acebutolol 100mg Tab
Sandoz Acebutolol 100mg Tab
Rhotral 100mg Tab
Sectral 100mg Tab (discontinued)
Monitan 100mg Tab (discontinued)
Rhotral 200mg Tab
Sectral 200mg Tab
Sandoz Acebutolol 400mg Tab
Rhotral 400mg Tab
Sectral 400mg Tab
C07AB07
BISOPROLOL
bisoprolol 5mg tab
Apo-Bisoprolol 5mg Tab
Novo-Bisoprolol 5mg Tab
pms-Bisoprolol 5mg Tab
Sandoz Bisoprolol 5mg Tab
Monocor 5mg Tab (discontinued)
bisoprolol 10mg tab
Apo-Bisoprolol 10mg Tab
Novo-Bisoprolol 10mg Tab
pms-Bisoprolol 10mg Tab
Sandoz Bisoprolol 10mg Tab
Monocor 10mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02286246
02147602
02237721
02237885
02204517
02165546
02257599
01910140
SAS
APX
MYL
MYL
TEV
NXP
SDZ
SAV
DNP
MRP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
02286254
02147610
02237722
02237886
02204525
02165554
01910159
01926551
SAS
APX
MYL
MYL
TEV
NXP
SAV
SAV
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
DNP
DNP
MRP
MRP
SF
SF
02286262
02147629
02237723
02237887
02204533
02165562
02257610
01910167
01926578
SAS
APX
MYL
MYL
TEV
NXP
SDZ
SAV
SAV
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02256134
02267470
02302632
02247439
APX
TEV
PMS
SDZ
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02256177
02267489
02302640
02247440
APX
TEV
PMS
SDZ
02231689
SDZ
02106272
02106280
PAL
PAL
C07AG ALPHA AND BETA BLOCKING AGENTS

C07AG01
LABETALOL
labetalol 5mg/mL inj
Labetalol 5mg/mL Inj
Trandate 5mg/mL Inj (discontinued)
Trandate 100mg Tab
Trandate 200mg Tab
October 2011
DNP
DNP
SF
SF
C07AG02
CARVEDILOL
carvedilol 3.125mg tab
Apo-Carvedilol 3.125mg Tab
MYLAN-Carvedilol 3.125mg Tab
phl-Carvedilol 3.125mg Tab
pms-Carvedilol 3.125mg Tab
RAN-Carvedilol 3.125mg Tab
ratio-Carvedilol 3.125mg Tab
Zym-Carvedilol 3.125mg Tab
Coreg 3.125mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02247933
02347512
02248752
02245914
02268027
02252309
02338068
APX
MYL
PHL
PMS
RAN
TEV
ZYM

DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02247934
02347520
02248753
02245915
02268035
02252317
02338092
APX
MYL
PHL
PMS
RAN
TEV
ZYM

DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02247935
02347555
02248754
02245916
02268043
02252325
02338106
APX
MYL
PHL
PMS
RAN
TEV
ZYM
carvedilol 25mg tab

Apo-Carvedilol 25mg Tab
MYLAN-Carvedilol 25mg Tab
phl-Carvedilol 25mg Tab
pms-Carvedilol 25mg Tab
RAN-Carvedilol 25mg Tab
ratio-Carvedilol 25mg Tab
Zym-Carvedilol 25mg Tab
Coreg 25mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02247936
02347571
02248755
02245917
02268051
02252333
02338114
APX
MYL
PHL
PMS
RAN
TEV
ZYM
SF
SF
00568627
00568635
NVR
NVR
C07C BETA BLOCKING AGENTS AND OTHER DIURETICS

C07CA BETA BLOCKING AGENTS, NON-SELECTIVE, AND OTHER DIURETICS
C07CA03
PINDOLOL AND OTHER DIURETICS

Viskazide 10/25 Tab
Viskazide 10/50 Tab
DNP
DNP
C07CB BETA BLOCKING AGENTS, SELECTIVE, AND OTHER DIURETICS

C07CB03
October 2011
ATENOLOL AND OTHER DIURETICS

atenolol 50mg & chlorthalidone 25mg tab
Apo-Atenidone 50/25 Tab
Novo-Atenolthalidone 50/25 Tab
Tenoretic 50/25 Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02248763
02302918
02049961
APX
TEV
AZE
atenolol 100mg & chlorthalidone 25mg tab

Apo-Atenidone 100/25 Tab
Novo-Atenolthalidone 100/25 Tab
Tenoretic 100/25 Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02248764
02302926
02049988
APX
TEV
AZE
C08
CALCIUM CHANNEL BLOCKERS
C08C SELECTIVE CALCIUM CHANNEL BLOCKERS WITH MAINLY VASCULAR EFFECTS

C08CA DIHYDROPYRIDINE DERIVATIVES
C08CA01
C08CA02
C08CA05
October 2011
AMLODIPINE
pms-Amlodipine 2.5mg Tab
DNP
amlodipine 5mg tab

Amlodipine 5mg Tab
Apo-Amlodipine 5mg Tab
CO Amlodipine 5mg Tab
GD-Amlodipine 5mg Tab
Jamp-Amlodipine 5mg Tab
MINT-Amlodipine 5mg Tab
MYLAN-Amlodipine 5mg Tab
Novo-Amlodipine 5mg Tab
phl-Amlodipine 5mg Tab
pms-Amlodipine 5mg Tab
RAN-Amlodipine 5mg Tab
ratio-Amlodipine 5mg Tab
Sandoz Amlodipine 5mg Tab
Septa-Amlodipine 5mg Tab
Norvasc 5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
amlodipine 10mg tab

Amlodipine 10mg Tab
Apo-Amlodipine 10mg Tab
CO Amlodipine 10mg Tab
GD-Amlodipine 10mg Tab
Jamp-Amlodipine 10mg Tab
MINT-Amlodipine 10mg Tab
MYLAN-Amlodipine 10mg Tab
Novo-Amlodipine 10mg Tab
phl-Amlodipine 10mg Tab
pms-Amlodipine 10mg Tab
RAN-Amlodipine 10mg Tab
ratio-Amlodipine 10mg Tab
Sandoz Amlodipine 10mg Tab
Septa-Amlodipine 10mg Tab
Norvasc 10mg Tab
SF
02295148
PMS
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02331284
02273373
02297485
02280132
02331071
02362651
02272113
02250497
02326779
02284065
02321858
02259605
02284383
02357712
00878928
SAS
APX
COB
GMD
JPC
MNT
MYL
TEV
PHL
PMS
RAN
TEV
SDZ
SPT
PFI
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02331292
02273381
02297493
02280140
02331098
02362678
02272121
02250500
02326787
02284073
02321866
02259613
02284391
02357720
00878936
SAS
APX
COB
GMD
JPC
MNT
MYL
TEV
PHL
PMS
RAN
TEV
SDZ
SPT
PFI
FELODIPINE
felodipine 5mg tab
Sandoz Felodipine 5mg Tab
Plendil 5mg Tab
DNP
DNP
MRP
MRP
SF
SF
02280264
00851779
SDZ
AZE
felodipine 5mg tab

Renedil 5mg Tab
DNP
DNP
MRP
MRP
SF
SF
02280264
02221993
SDZ
SAV
felodipine 10mg tab

Plendil 10mg Tab
DNP
DNP
MRP
MRP
SF
SF
02280272
00851787
SDZ
AZE
felodipine 10mg tab

Renedil 10mg Tab
DNP
DNP
MRP
MRP
SF
SF
02280272
02222000
SDZ
SAV
Plendil 2.5mg ER Tab

Renedil 2.5mg ER Tab
DNP
DNP
SF
SF
02057778
02221985
AZE
SAV
SF
00725110
AAP
NIFEDIPINE
nifedipine 5mg cap
Nifedipine 5mg Cap
Adalat 5mg Cap (discontinued)
DNP
MRP
C08CA06
C08CA55
nifedipine 10mg cap

Nifedipine 10mg Cap
Adalat 10mg Cap (discontinued)
DNP
SF
00755907
AAP
Adalat XL 20mg Tab
DNP
SF
02237618
BAY
nifedipine 30mg ER tab

MYLAN-Nifedipine ER 30mg Tab
Adalat XL 30mg Tab
DNP
DNP
MRP
MRP
SF
SF
02349167
02155907
MYL
BAY
nifedipine 60mg ER tab

MYLAN-Nifedipine ER 60mg Tab
Adalat XL 60mg Tab
DNP
DNP
MRP
MRP
SF
SF
02321149
02155990
MYL
BAY
NIMODIPINE
Nimotop 30mg Tab
DNP
SF
02325926
BAY
02313766
02313774
02313782
BAY
BAY
BAY
02166739
SDZ
NIFEDIPINE, COMBINATIONS
Adalat XL Plus 81mg & 20mg Tab Kit
C08D SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS

C08DA PHENYLALKYLAMINE DERIVATIVES
C08DA01
VERAPAMIL
verapamil 2.5mg/mL inj
Verapamil 2.5mg/mL Inj
Isoptin IV 2.5mg/mL Inj (discontinued)
verapamil HCl 80mg tab
Apo-Verap 80mg Tab
MYLAN-Verapamil 80mg Tab
Nu-Verap 80mg Tab
Isoptin 80mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00782483
02237921
00886033
APX
MYL
NXP
verapamil HCl 120mg tab

Apo-Verap 120mg Tab
MYLAN-Verapamil 120mg Tab
Nu-Verap 120mg Tab
Isoptin 120mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00782491
02237922
00886041
APX
MYL
NXP
02246893
02210347
01907123
APX
MYL
ABB
verapamil 120mg SR tab

Apo-Verap SR 120mg Tab
MYLAN-Verapamil SR 120mg Tab
Isoptin SR 120mg Tab
October 2011

DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02246894
02210355
01934317
APX
MYL
ABB

Novo-Veramil SR 240mg Tab
pms-Verapamil SR 240mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
02246895
02210363
02211920
02237791
00742554
APX
MYL
TEV
PMS
ABB
C08DB BENZOTHIAZEPINE DERIVATIVES

C08DB01
October 2011
DILTIAZEM
diltiazem 120mg CD cap
Apo-Diltiaz CD 120mg Cap
Novo-Diltazem CD 120mg Cap
Nu-Diltiaz CD 120mg Cap
pms-Diltiazem CD 120mg Cap
ratio-Diltiazem CD 120mg Cap
Sandoz Diltiazem CD 120mg Cap
Cardizem CD 120mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02230997
02242538
02231052
02355752
02229781
02243338
02097249
APX
TEV
NXP
PMS
TEV
SDZ
BVL

DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02230998
02242539
02231053
02355760
02229782
02243339
02097257
APX
TEV
NXP
PMS
TEV
SDZ
BVL

DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02230999
02242540
02231054
02355779
02229783
02243340
02097265
APX
TEV
NXP
PMS
TEV
SDZ
BVL

DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02229526
02242541
02355787
02229784
02243341
02097273
APX
TEV
PMS
TEV
SDZ
BVL
diltiazem 120mg ER cap

Apo-Diltiaz TZ 120mg Cap
Novo-Diltazem ER 120mg Cap
Sandoz Diltiazem T 120mg Cap
Tiazac ER 120mg Cap
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02291037
02271605
02245918
02231150
APX
TEV
SDZ
BVL

Tiazac ER 180mg Cap
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02291045
02271613
02245919
02231151
APX
TEV
SDZ
BVL

Tiazac ER 240mg Cap
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02291053
02271621
02245920
02231152
APX
TEV
SDZ
BVL

Tiazac ER 300mg Cap
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02291061
02271648
02245921
02231154
APX
TEV
SDZ
BVL

Tiazac ER 360mg Cap
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
diltiazem 5mg/mL inj

Diltiazem Hydrochloride 5mg/mL Inj
Cardizem 5mg/mL Inj (discontinued)
C09
02291088
02271656
02245922
02231155
APX
TEV
SDZ
BVL
02244728
SDZ
diltiazem HCl 30mg tab

Apo-Diltiaz 30mg Tab
Novo-Diltazem 30mg Tab
Nu-Diltiaz 30mg Tab
Cardizem 30mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00771376
00862924
00886068
APX
TEV
NXP
diltiazem HCl 60mg tab

Apo-Diltiaz 60mg Tab
Novo-Diltazem 60mg Tab
Nu-Diltiaz 60mg Tab
Cardizem 60mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00771384
00862932
00886076
APX
TEV
NXP
Tiazac XC 120mg Tab

Tiazac XC 180mg Tab
Tiazac XC 240mg Tab
Tiazac XC 300mg Tab
Tiazac XC 360mg Tab
DNP
DNP
DNP
DNP
DNP
SF
SF
SF
SF
SF
02256738
02256746
02256754
02256762
02256770
BVL
BVL
BVL
BVL
BVL
DNP
SF
01999559
APX
AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM
C09A ANGIOTENSIN-CONVERTING ENZYME (ACE) INHIBITORS, PLAIN

C09AA ANGIOTENSIN-CONVERTING ENZYME (ACE) INHIBITORS, PLAIN
C09AA01
CAPTOPRIL
Apo-Capto 6.25mg Tab
captopril 12.5mg tab
Apo-Capto 12.5mg Tab
MYLAN-Captopril 12.5mg Tab
Novo-Captoril 12.5mg Tab
Nu-Capto 12.5mg Tab
pms-Captopril 12.5mg Tab
Capoten 12.5mg Tab (discontinued)
captopril 25mg tab
Apo-Capto 25mg Tab
MYLAN-Captopril 25mg Tab
Novo-Captoril 25mg Tab
Nu-Capto 25mg Tab
pms-Captopril 25mg Tab
Capoten 25mg Tab
captopril 50mg tab
Apo-Capto 50mg Tab
Nu-Capto 50mg Tab
Capoten 50mg Tab (discontinued)
October 2011
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
00893595
02163551
01942964
01913824
02230203
APX
MYL
TEV
NXP
PMS
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
00893609
02163578
01942972
01913832
02230204
00546283
APX
MYL
TEV
NXP
PMS
BRI
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
00893617
02163586
01942980
01913840
02230205
APX
MYL
TEV
NXP
PMS
captopril 100mg tab

Apo-Capto 100mg Tab
Nu-Capto 100mg Tab
Capoten 100mg Tab (discontinued)
C09AA02
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
00893625
02163594
01942999
01913859
02230206
APX
MYL
TEV
NXP
PMS
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02020025
02291878
02300036
02300680
02300079
02352230
02299933
00851795
APX
COB
MYL
TEV
PMS
RAN
SDZ
FRS
enalapril 5mg tab

Apo-Enalapril 5mg Tab
CO Enalapril 5mg Tab
MYLAN-Enalapril 5mg Tab
Novo-Enalapril 5mg Tab
pms-Enalapril 5mg Tab
RAN-Enalapril 5mg Tab
Sandoz Enalapril 5mg Tab
Vasotec 5mg Tab
ratio-Enalapril 5mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
02019884
02291886
02300044
02233005
02300087
02352249
02299941
00708879
APX
COB
MYL
TEV
PMS
RAN
SDZ
FRS
enalapril 10mg tab

Vasotec 10mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
02019892
02291894
02300052
02233006
02352257
02300095
02299968
00670901
APX
COB
MYL
TEV
RAN
PMS
SDZ
FRS
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
DNP
DNP
MRP
MRP
SF
SF
02019906
02291908
02300060
02233007
02352265
02300109
02299976
00670928
APX
COB
MYL
TEV
RAN
PMS
SDZ
FRS
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02217481
02271443
02274833
02285061
02285118
02292203
02294230
02256797
02299879
02289199
00839388
02049333
APX
COB
MYL
TEV
TEV
PMS
RAN
TEV
TEV
SDZ
FRS
AZE
ENALAPRIL
enalapril 2.5mg tab
Apo-Enalapril 2.5mg Tab
CO Enalapril 2.5mg Tab
MYLAN-Enalapril 2.5mg Tab
Novo-Enalapril 2.5mg Tab
pms-Enalapril 2.5mg Tab
RAN-Enalapril 2.5mg Tab
Sandoz Enalapril 2.5mg Tab
Vasotec 2.5mg Tab
ratio-Enalapril 2.5mg Tab (discontinued)
enalapril 20mg tab

Vasotec 20mg Tab
C09AA03
October 2011
LISINOPRIL
lisinopril 5mg tab
Apo-Lisinopril 5mg Tab
CO Lisinopril 5mg Tab
MYLAN-Lisinopril 5mg Tab
Novo-Lisinopril P 5mg Tab
Novo-Lisinopril Z 5mg Tab
pms-Lisinopril 5mg Tab
RAN-Lisinopril 5mg Tab
ratio-Lisinopril P 5mg Tab
ratio-Lisinopril Z 5mg Tab
Sandoz Lisinopril 5mg Tab
Prinivil 5mg Tab
Zestril 5mg Tab
C09AA04
C09AA05
lisinopril 10mg tab

Prinivil 10mg Tab
Zestril 10mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02217503
02271451
02274841
02285088
02285126
02292211
02294249
02256800
02299887
02289202
00839396
02049376
APX
COB
MYL
TEV
TEV
PMS
RAN
TEV
TEV
SDZ
FRS
AZE
lisinopril 20mg tab

Prinivil 20mg Tab
Zestril 20mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02217511
02271478
02274868
02285096
02285134
02292238
02294257
02256819
02299895
02289229
00839418
02049384
APX
COB
MYL
TEV
TEV
PMS
RAN
TEV
TEV
SDZ
FRS
AZE
PERINDOPRIL
Coversyl 2mg Tab
Coversyl 4mg Tab
Coversyl 8mg Tab
DNP
DNP
SF
SF
02123274
02123282
02246624
SEV
SEV
SEV
RAMIPRIL
ramipril 1.25mg cap/tab
Apo-Ramipril 1.25mg Cap
CO Ramipril 1.25mg Cap
Jamp-Ramipril 1.25mg Cap
MYLAN-Ramipril 1.25mg Cap
pms-Ramipril 1.25mg Cap
RAN-Ramipril 1.25mg Cap
ratio-Ramipril 1.25mg Cap
Sandoz Ramipril 1.25mg Tab
Altace 1.25mg Cap
Ramipril 1.25mg Cap (discontinued)
ramipril 2.5mg cap/tab
Apo-Ramipril 2.5mg Cap
CO Ramipril 2.5mg Cap
Jamp-Ramipril 2.5mg Cap
MYLAN-Ramipril 2.5mg Cap
Novo-Ramipril 2.5mg Cap
pms-Ramipril 2.5mg Cap
RAN-Ramipril 2.5mg Cap
ratio-Ramipril 2.5mg Cap
Sandoz Ramipril 2.5mg Tab
Altace 2.5mg Cap
October 2011
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
02251515
02295482
02331101
02301148
02295369
02310503
02287692
02291398
02221829
APX
COB
JPC
MYL
PMS
RAN
TEV
SDZ
SAV
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02251531
02295490
02331128
02301156
02247945
02247917
02310511
02287706
02291401
02221837
APX
COB
JPC
MYL
TEV
PMS
RAN
TEV
SDZ
SAV
C09AA06
C09AA07
C09AA08
ramipril 5mg cap/tab

Apo-Ramipril 5mg Cap
CO Ramipril 5mg Cap
Jamp-Ramipril 5mg Cap
MYLAN-Ramipril 5mg Cap
Novo-Ramipril 5mg Cap
pms-Ramipril 5mg Cap
RAN-Ramipril 5mg Cap
ratio-Ramipril 5mg Cap
Sandoz Ramipril 5mg Tab
Altace 5mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02251574
02295504
02331136
02301164
02247946
02247918
02310538
02287714
02291428
02221845
APX
COB
JPC
MYL
TEV
PMS
RAN
TEV
SDZ
SAV
ramipril 10mg cap/tab

CO Ramipril 10mg Cap
Jamp-Ramipril 10mg Cap
MYLAN-Ramipril 10mg Cap
Novo-Ramipril 10mg Cap
pms-Ramipril 10mg Cap
RAN-Ramipril 10mg Cap
Sandoz Ramipril 10mg Tab
Altace 10mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02251582
02295512
02331144
02301172
02247947
02247919
02310546
02287722
02291436
02221853
APX
COB
JPC
MYL
TEV
PMS
RAN
TEV
SDZ
SAV
ramipril 15mg cap

Altace 15mg Cap
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02325381
02311194
02281112
APX
TEV
SAV
QUINAPRIL
Accupril 5mg Tab
Accupril 10mg Tab
Accupril 20mg Tab
Accupril 40mg Tab
DNP
DNP
DNP
DNP
SF
SF
SF
SF
01947664
01947672
01947680
01947699
PFI
PFI
PFI
PFI
BENAZEPRIL
benazepril 5mg tab
Benazepril 5mg Tab
Lotensin 5mg Tab
DNP
DNP
MRP
MRP
SF
SF
02290332
00885835
AAP
NVR
benazepril 10mg tab

Benazepril 10mg Tab
Lotensin 10mg Tab
DNP
DNP
MRP
MRP
SF
SF
02290340
00885843
AAP
NVR
benazepril 20mg tab

Benazepril 20mg Tab
Lotensin 20mg Tab
DNP
DNP
MRP
MRP
SF
SF
02273918
00885851
AAP
NVR
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
02291134
02350963
02283778
02266350
02280442
APX
SAS
MYL
TEV
PMS
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02291142
02350971
02283786
02266369
02280450
01911473
APX
SAS
MYL
TEV
PMS
HLR
CILAZAPRIL
cilazapril 1mg tab
Apo-Cilazapril 1mg Tab
Cilazapril 1mg Tab
MYLAN-Cilazapril 1mg Tab
Novo-Cilazapril 1mg Tab
pms-Cilazapril 1mg Tab
Inhibace 1mg Tab (discontinued)
cilazapril 2.5mg tab
Apo-Cilazapril 2.5mg Tab
Cilazapril 2.5mg Tab
MYLAN-Cilazapril 2.5mg Tab
Novo-Cilazapril 2.5mg Tab
pms-Cilazapril 2.5mg Tab
Inhibace 2.5mg Tab
October 2011
C09AA09
C09AA10
cilazapril 5mg tab

Apo-Cilazapril 5mg Tab
Cilazapril 5mg Tab
MYLAN-Cilazapril 5mg Tab
Novo-Cilazapril 5mg Tab
pms-Cilazapril 5mg Tab
Inhibace 5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02291150
02350998
02283794
02266377
02280469
01911481
APX
SAS
MYL
TEV
PMS
HLR
FOSINOPRIL
fosinopril 10mg tab
Apo-Fosinopril 10mg Tab
Jamp-Fosinopril 10mg Tab
MYLAN-Fosinopril 10mg Tab
Novo-Fosinopril 10mg Tab
RAN-Fosinopril 10mg Tab
Monopril 10mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02266008
02331004
02262401
02247802
02294524
01907107
APX
JPC
MYL
TEV
RAN
BRI
fosinopril 20mg tab

Apo-Fosinopril 20mg Tab
Jamp-Fosinopril 20mg Tab
MYLAN-Fosinopril 20mg Tab
Novo-Fosinopril 20mg Tab
RAN-Fosinopril 20mg Tab
Monopril 20mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02266016
02331012
02262428
02247803
02294532
01907115
APX
JPC
MYL
TEV
RAN
BRI
TRANDOLAPRIL
Mavik 0.5mg Cap
Mavik 1mg Cap
Mavik 2mg Cap
Mavik 4mg Cap
DNP
DNP
DNP
SF
SF
SF
02231457
02231459
02231460
02239267
ABB
ABB
ABB
ABB
C09B ANGIOTENSIN-CONVERTING ENZYME (ACE) INHIBITORS, COMBINATIONS

C09BA ANGIOTENSIN-CONVERTING ENZYME (ACE) INHIBITORS AND DIURETICS
C09BA02
C09BA03
October 2011
ENALAPRIL AND DIURETICS

enalapril 5mg & hydrochlorothiazide 12.5mg tab
Apo-Enalapril Maleate/HCTZ 5/12.5mg Tab
Novo-Enalapril/HCTZ 5/12.5mg Tab
Vaseretic 5/12.5mg Tab (discontinued)
DNP
DNP
MRP
MRP
SF
SF
02352923
02300222
APX
TEV
enalapril 10mg & hydrochlorothiazide 25mg tab

Apo-Enalapril Maleate/HCTZ 10/25mg Tab
Novo-Enalapril/HCTZ 10/25mg Tab
Vaseretic 10/25mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02352931
02300230
00657298
APX
TEV
FRS
LISINOPRIL AND DIURETICS

lisinopril 10mg & hydrochlorothiazide 12.5mg tab
Apo-Lisinopril/HCTZ 10/12.5mg Tab
Lisinopril/HCTZ 10mg/12.5mg Tab (Type Z)
MYLAN-Lisinopril/HCTZ 10/12.5mg Tab
Novo-Lisinopril/HCTZ 10/12.5mg Tab (Type P)
Novo-Lisinopril/HCTZ 10/12.5mg Tab (Type Z)
Prinzide 10/12.5mg Tab
Zestoretic 10/12.5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02261979
02362945
02297736
02302136
02301768
02108194
02103729
APX
SAS
MYL
TEV
TEV
FRS
AZE
lisinopril 20mg & hydrochlorothiazide 12.5mg tab

Apo-Lisinopril/HCTZ 20/12.5mg Tab
Lisinopril/HCTZ 20mg/12.5mg Tab (Type Z)
MYLAN-Lisinopril/HCTZ 20/12.5mg Tab
Novo-Lisinopril/HCTZ 20/12.5mg Tab (Type P)
Novo-Lisinopril/HCTZ 20/12.5mg Tab (Type Z)
Prinzide 20/12.5mg Tab
Zestoretic 20/12.5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02261987
02362953
02297744
02302144
02301776
00884413
02045737
APX
SAS
MYL
TEV
TEV
FRS
AZE
lisinopril 20mg & hydrochlorothiazide 25mg tab

Apo-Lisinopril/HCTZ 20/25mg Tab
Lisinopril/HCTZ 20mg/25mg Tab (Type Z)
MYLAN-Lisinopril/HCTZ 20/25mg Tab
Novo-Lisinopril/HCTZ 20/25mg Tab (Type P)
Novo-Lisinopril/HCTZ 20/25mg Tab (Type Z)
Zestoretic 20/25mg Tab
Prinzide 20/25mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02261995
02362961
02297752
02302152
02301784
02045729
APX
SAS
MYL
TEV
TEV
AZE
02302365
02302373
02302381
SDZ
SDZ
SDZ
SF
SF
02246569
02321653
02246568
SEV
SEV
SEV
Sandoz Lisinopril HCT 10/12.5mg Tab

Sandoz Lisinopril HCT 20/12.5mg Tab
Sandoz Lisinopril HCT 20/25mg Tab
C09BA04
C09BA05
C09BA06
C09BA08
PERINDOPRIL AND DIURETICS

Coversyl Plus 4/1.25mg Tab
Coversyl Plus HD 8/2.5mg Tab
Coversyl Plus LD 2/0.625mg Tab
DNP
DNP
RAMIPRIL AND DIURETICS

ramipril 2.5mg & hydrochlorothiazide 12.5mg tab
pms-Ramipril-HCTZ 2.5/12.5mg Tab
Altace HCT 2.5/12.5mg Tab
DNP
DNP
MRP
MRP
SF
SF
02342138
02283131
PMS
SAV
ramipril 5mg & hydrochlorothiazide 12.5mg tab

pms-Ramipril-HCTZ 5/12.5mg Tab
Altace HCT 5/12.5mg Tab
DNP
DNP
MRP
MRP
SF
SF
02342146
02283158
PMS
SAV
ramipril 10mg & hydrochlorothiazide 12.5mg tab

pms-Ramipril-HCTZ 10/12.5mg Tab
Altace HCT 10/12.5mg Tab
DNP
DNP
MRP
MRP
SF
SF
02342154
02283166
PMS
SAV
ramipril 5mg & hydrochlorothiazide 25mg tab

pms-Ramipril-HCTZ 5/25mg Tab
Altace HCT 5/25mg Tab
DNP
DNP
MRP
MRP
SF
SF
02342162
02283174
PMS
SAV
ramipril 10mg & hydrochlorothiazide 25mg tab

pms-Ramipril-HCTZ 10/25mg Tab
Altace HCT 10/25mg Tab
DNP
DNP
MRP
MRP
SF
SF
02342170
02283182
PMS
SAV
QUINAPRIL AND DIURETICS

Accuretic 10/12.5mg Tab
Accuretic 20/12.5mg Tab
Accuretic 20/25mg Tab
DNP
DNP
DNP
SF
SF
SF
02237367
02237368
02237369
PFI
PFI
PFI
CILAZAPRIL AND DIURETICS

cilazapril 5mg & hydrochlorothiazide 12.5mg tab
Apo-Cilazapril/HCTZ 5/12.5mg Tab
Inhibace Plus 5/12.5mg Tab
Novo-Cilazapril/HCTZ 5mg/12.5mg Tab
DNP
DNP
DNP
SF
SF
SF
02284987
02181479
02313731
APX
HLR
TEV
MRP
MRP
MRP
C09BB ANGIOTENSIN-CONVERTING ENZYME (ACE) INHIBITORS AND CALCIUM CHANNEL BLOCKERS

C09BB10
October 2011
TRANDOLAPRIL AND VERAPAMIL

Tarka 2/240mg Tab
Tarka 4/240mg Tab
02240946
02238097
ABB
ABB
C09C ANGIOTENSIN II ANTAGONISTS, PLAIN

C09CA ANGIOTENSIN II ANTAGONISTS, PLAIN
C09CA01
C09CA02
C09CA03
C09CA04
October 2011
LOSARTAN
Cozaar 25mg Tab
Cozaar 50mg Tab
Cozaar 100mg Tab
DNP
DNP
DNP
SF
SF
SF
02182815
02182874
02182882
FRS
FRS
FRS
EPROSARTAN
Teveten 400mg Tab
Teveten 600mg Tab
DNP
DNP
SF
SF
02240432
02243942
ABB
ABB
02337487
02363062
02356740
02356643
02270528
COB
RAN
SDZ
TEV
NVR
VALSARTAN
valsartan 40mg tab
CO-Valsartan 40mg Tab
RAN-Valsartan 40mg Tab
Sandoz Valsartan 40mg Tab
Teva-Valsartan 40mg Tab
Diovan 40mg Tab
valsartan 80mg tab
CO Valsartan 80mg Tab
Diovan 80mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
02337495
02363100
02356759
02356651
02244781
COB
RAN
SDZ
TEV
NVR
valsartan 160mg tab

Diovan 160mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
02337509
02363119
02356767
02356678
02244782
COB
RAN
SDZ
TEV
NVR
valsartan 320mg tab

Diovan 320mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02337517
02356775
02356686
02289504
COB
SDZ
TEV
NVR
IRBESARTAN
irbesartan 75mg tab
CO-Irbesartan 75mg Tab
pms-Irbesartan 75mg Tab
ratio-Irbesartan 75mg Tab
Sandoz Irbesartan 75mg Tab
Teva-Irbesartan 75mg Tab
Avapro 75mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02328070
02317060
02316390
02328461
02315971
02237923
COB
PMS
TEV
SDZ
TEV
BRI
irbesartan 150mg tab

CO Irbesartan 150mg Tab
Avapro 150mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02328089
02317079
02316404
02328488
02315998
02237924
COB
PMS
TEV
SDZ
TEV
BRI
irbesartan 300mg tab

CO Irbesartan 300mg Tab
Avapro 300mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02328100
02317087
02316412
02328496
02316005
02237925
COB
PMS
TEV
SDZ
TEV
BRI
C09CA06
C09CA07
C09CA08
CANDESARTAN
candesartan 4mg tab
Apo-Candesartan 4mg Tab
Sandoz Candesartan 4mg Tab
Atacand 4mg Tab
02365340
02326957
02239090
APX
SDZ
AZE
candesartan 8mg tab

Atacand 8mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02365359
02326965
02239091
APX
SDZ
AZE
candesartan 16mg tab

Atacand 16mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02365367
02326973
02239092
APX
SDZ
AZE
Atacand 32mg Tab
DNP
SF
02311658
AZE
TELMISARTAN
Micardis 40mg Tab
Micardis 80mg Tab
DNP
DNP
SF
SF
02240769
02240770
BOE
BOE
OLMESARTAN MEDOXOMIL
Olmetec 20mg Tab
Olmetec 40mg Tab
DNP
DNP
SF
SF
02318660
02318679
SCO
SCO
LOSARTAN AND DIURETICS

Hyzaar 50/12.5mg Tab
Hyzaar 100/12.5mg Tab
Hyzaar DS 100/25mg Tab
DNP
DNP
DNP
SF
SF
SF
02230047
02297841
02241007
FRS
FRS
FRS
EPROSARTAN AND DIURETICS

Teveten Plus 600mg/12.5mg Tab
DNP
SF
02253631
ABB
VALSARTAN AND DIURETICS

valsartan 80mg & hydrochlorothiazide 12.5mg tab
Sandoz Valsartan/HCT 80/12.5mg Tab
Teva-Valsartan/HCTZ 80/12.5mg Tab
Diovan-HCT 80/12.5mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02356694
02356996
02241900
SDZ
TEV
NVR

DNP
DNP
Teva-Valsartan/HCTZ 160/12.5mg Tab
Diovan-HCT 160/12.5mg Tab
DNP
MRP
MRP
MRP
SF
SF
SF
02356708
02357003
02241901
SDZ
TEV
NVR
valsartan 160mg & hydrochlorothiazide 25mg tab

Sandoz Valsartan/HCT 160/25mg Tab
Teva-Valsartan/HCTZ 160/25mg Tab
Diovan-HCT 160/25mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02356716
02357011
02246955
SDZ
TEV
NVR

DNP
Teva-Valsartan/HCT 320/12.5mg Tab
DNP
DNP
Dilovan-HCT 320/12.5 Tab
MRP
MRP
MRP
SF
SF
SF
02356724
02357038
02308908
SDZ
TEV
NVR
valsartan 320mg & hydrochlorothiazide 25mg tab

Sandoz Valsartan/HCT 320/25mg Tab
Teva-Valsartan/HCT 320/25mg Tab
Diovan-HCT 320/25mg Tab
MRP
MRP
MRP
SF
SF
SF
02356732
02357046
02308916
SDZ
TEV
NVR
C09D ANGIOTENSIN II ANTAGONISTS, COMBINATIONS

C09DA ANGIOTENSIN II ANTAGONISTS AND DIURETICS
C09DA01
C09DA02
C09DA03
October 2011
DNP
DNP
DNP
C09DA04
C09DA06
C09DA07
C09DA08
IRBESARTAN AND DIURETICS

irbesartan 150mg & hydrochlorothiazide 12.5mg tab
CO Irbesartan/HCT 150/12.5mg Tab
DNP
DNP
pms-Irbesartran-HCTZ 150/12.5mg Tab
RAN-Irbesartan HCTZ 150/12.5mg Tab
DNP
DNP
ratio-Irbesartan HCTZ 150/12.5mg Tab
Sandoz Irbesartan HCT 150/12.5mg Tab
DNP
DNP
Teva-Irbesartan/HCTZ 150/12.5mg Tab
Avalide 150/12.5mg Tab
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02357399
02328518
02363208
02330512
02337428
02316013
02241818
COB
PMS
RAN
TEV
SDZ
TEV
BRI
irbesartan 300mg & hydrochlorothiazide 12.5mg tab

CO Irbesartan/HCT 300/12.5mg Tab
DNP
pms-Irbesartran-HCTZ 300/12.5mg Tab
DNP
DNP
RAN-Irbesartan HCTZ 300/12.5mg Tab
ratio-Irbesartan HCTZ 300/12.5mg Tab
DNP
DNP
Sandoz Irbesartan HCT 300/12.5mg Tab
Teva-Irbesartan/HCTZ 300/12.5mg Tab
DNP
DNP
Avalide 300/12.5mg Tab
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02357402
02328526
02363216
02330520
02337436
02316021
02241819
COB
PMS
RAN
TEV
SDZ
TEV
BRI
irbesartan 300mg & hydrochlorothiazide 25mg tab

CO Irbesartan/HCT 300/25mg Tab
DNP
pms-Irbesartran-HCTZ 300/25mg Tab
DNP
DNP
RAN-Irbesartan HCTZ 300/25mg Tab
DNP
ratio-Irbesartan HCTZ 300/25mg Tab
Sandoz Irbesartan HCT 300/25mg Tab
DNP
DNP
Teva-Irbesartan/HCTZ 300/25mg Tab
Avalide 300/25mg Tab
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02357410
02328534
02363224
02330539
02337444
02316048
02280213
COB
PMS
RAN
TEV
SDZ
TEV
BRI
CANDERSARTAN AND DIURETICS

Atacand Plus 16/12.5mg Tab
Atacand Plus 32/12.5mg Tab
Atacand Plus 32/25mg Tab
DNP
DNP
DNP
SF
SF
SF
02244021
02332922
02332957
AZE
AZE
AZE
TELMISARTAN AND DIURETICS

Micardis Plus 80/12.5mg Tab
Micardis Plus 80/25mg Tab
DNP
DNP
SF
SF
02244344
02318709
BOE
BOE
OLMESARTAN MEDOXOMIL AND DIURETICS

Olmetec Plus 20mg/12.5mg Tab
Olmetec Plus 40mg/12.5mg Tab
Olmetec Plus 40mg/25mg Tab
DNP
DNP
DNP
SF
SF
SF
02319616
02319624
02319632
SCO
SCO
SCO
02302063
02302071
NVR
NVR
C09X
RENIN-ANGIOTENSIN-ALDOSTERON SYSTEM INHIBITORS
C09XA RENIN INHIBITORS
C09XA02
October 2011
ALISKIREN
Rasilez 150mg Tab
Rasilez 300mg Tab
C10
LIPID MODIFYING AGENTS
C10A LIPID MODIFYING AGENTS, PLAIN

C10AA HMG-CoA REDUCTASE INHIBITORS
C10AA01
October 2011
SIMVASTATIN
simvastatin 5mg tab
Apo-Simvastatin 5mg Tab
CO Simvastatin 5mg Tab
Jamp-Simvastatin 5mg Tab
MYLAN-Simvastatin 5mg Tab
Novo-Simvastatin 5mg Tab
phl-Simvastatin 5mg Tab
pms-Simvastatin 5mg Tab
RAN-Simvastatin 5mg Tab
Simvastatin 5mg Tab
Zocor 5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02247011
02248103
02331020
02246582
02250144
02281546
02269252
02329131
02284723
00884324
APX
COB
JPC
MYL
TEV
PHL
PMS
RAN
SAS
FRS
simvastatin 10mg tab

ratio-Simvastatin 10mg Tab
Sandoz Simvastatin 10mg Tab
Simvastatin 10mg Tab
Zocor 10mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02247012
02248104
02331039
02246583
02250152
02281554
02269260
02329158
02247068
02247828
02284731
00884332
APX
COB
JPC
MYL
TEV
PHL
PMS
RAN
TEV
SDZ
SAS
FRS

Zocor 20mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02247013
02248105
02331047
02246737
02250160
02281562
02269279
02329166
02247069
02247830
02284758
00884340
APX
COB
JPC
MYL
TEV
PHL
PMS
RAN
TEV
SDZ
SAS
FRS

Zocor 40mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02247014
02248106
02331055
02246584
02250179
02281570
02269287
02329174
02247070
02247831
02284766
00884359
APX
COB
JPC
MYL
TEV
PHL
PMS
RAN
TEV
SDZ
SAS
FRS

Zocor 80mg Tab
C10AA02
LOVASTATIN
lovastatin 20mg tab
Apo-Lovastatin 20mg Tab
CO Lovastatin 20mg Tab
Lovastatin 20mg Tab
MYLAN-Lovastatin 20mg Tab
Novo-Lovastatin 20mg Tab
pms-Lovastatin 20mg Tab
ratio-Lovastatin 20mg Tab
Sandoz Lovastatin 20mg Tab
Mevacor 20mg Tab
RAN-Lovastatin 20mg Tab (discontinued)
lovastatin 40mg tab
Apo-Lovastatin 40mg Tab
CO Lovastatin 40mg Tab
Lovastatin 40mg Tab
MYLAN-Lovastatin 40mg Tab
Novo-Lovastatin 40mg Tab
pms-Lovastatin 40mg Tab
ratio-Lovastatin 40mg Tab
Sandoz Lovastatin 40mg Tab
Mevacor 40mg Tab
RAN-Lovastatin 40mg Tab (discontinued)
C10AA03
October 2011
PRAVASTATIN
pravastatin 10mg tab
Apo-Pravastatin 10mg Tab
CO Pravastatin 10mg Tab
Jamp-Pravastatin 10mg Tab
MINT-Pravastatin 10mg Tab
MYLAN-Pravastatin 10mg Tab
Novo-Pravastatin 10mg Tab
Nu-Pravastatin 10mg Tab
Pravastatin 10mg Tab
pms-Pravastatin 10mg Tab
RAN-Pravastatin 10mg Tab
Sandoz Pravastatin 10mg Tab
Pravachol 10mg Tab
ratio-Pravastatin 10mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02247015
02248107
02331063
02246585
02250187
02281589
02269295
02329182
02247071
02247833
02284774
02240332
APX
COB
JPC
MYL
TEV
PHL
PMS
RAN
TEV
SDZ
SAS
FRS
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
02220172
02248572
02353229
02243127
02246542
02246013
02245822
02247056
00795860
APX
COB
SAS
MYL
TEV
PMS
TEV
SDZ
FRS
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
02220180
02248573
02353237
02243129
02246543
02246014
02245823
02247057
00795852
APX
COB
SAS
MYL
TEV
PMS
TEV
SDZ
FRS
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02243506
02248182
02330954
02317451
02257092
02247008
02244350
02249766
02247655
02356546
02284421
02247856
00893749
APX
COB
JPC
MNT
MYL
TEV
NXP
MEL
PMS
SAS
RAN
SDZ
BRI
C10AA04
C10AA05

Pravachol 20mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02243507
02248183
02330962
02317478
02257106
02247009
02244351
02249774
02247656
02356554
02284448
02247857
00893757
APX
COB
JPC
MNT
MYL
TEV
NXP
MEL
PMS
SAS
RAN
SDZ
BRI

Pravachol 40mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02243508
02248184
02330970
02317486
02257114
02247010
02244352
02249782
02247657
02356562
02284456
02247858
02222051
APX
COB
JPC
MNT
MYL
TEV
NXP
MEL
PMS
SAS
RAN
SDZ
BRI
SF
SF
SF
02061562
02061570
02250527
NVR
NVR
NVR
FLUVASTATIN
Lescol 20mg Cap
Lescol 40mg Cap
Lescol XL 80mg Cap
ATORVASTATIN
atorvastatin 10mg tab
Apo-Atorvastatin 10mg Tab
Atorvastatin 10mg Tab
CO Atorvastatin 10mg Tab
GD-Atorvastatin 10mg Tab
Novo-Atorvastatin 10mg Tab
pms-Atorvastatin 10mg Tab
RAN-Atorvastatin 10mg Tab
ratio-Atorvastatin 10mg Tab
Sandoz Atorvastatin 10mg Tab
Lipitor 10mg Tab
Lipitor 20mg Tab
October 2011
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02295261
02348624
02348705
02310899
02288346
02302675
02313448
02313707
02350297
02324946
02230711
APX
TEV
SAS
COB
GMD
TEV
PMS
RAN
TEV
SDZ
PFI
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02295288
02348632
02348713
02310902
02288354
02302683
02313456
02313715
02350319
02324954
02230713
APX
TEV
SAS
COB
GMD
TEV
PMS
RAN
TEV
SDZ
PFI
C10AA07
C10AA53

Lipitor 40mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02295296
02348640
02348721
02310910
02288362
02302691
02313464
02313723
02350327
02324962
02230714
APX
TEV
SAS
COB
GMD
TEV
PMS
RAN
TEV
SDZ
PFI

Lipitor 80mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02295318
02348659
02348748
02310929
02288370
02302713
02313472
02313758
02350335
02324970
02243097
APX
TEV
SAS
COB
GMD
TEV
PMS
RAN
TEV
SDZ
PFI
02265540
02247162
02247163
02247164
AZE
AZE
AZE
AZE
02272415
02272423
02272431
PAL
PAL
PAL
SF
02083523
TRB
ROSUVASTATIN
Crestor 5mg Tab
Crestor 10mg Tab
Crestor 20mg Tab
Crestor 40mg Tab
SF
SF
SF
DNP
DNP
DNP
PRAVASTATIN, COMBINATIONS
PravASA 81/10mg Tab
PravASA 81/20mg Tab
PravASA 81/40mg Tab
C10AB FIBRATES
C10AB02
C10AB04
BEZAFIBRATE
Bezalip 400mg SR Tab
DNP
GEMFIBROZIL
gemfibrozil 300mg cap
Apo-Gemfibrozil 300mg Cap
MYLAN-Gemfibrozil 300mg Cap
Novo-Gemfibrozil 300mg Cap
Nu-Gemfibrozil 300mg Cap
pms-Gemfibrozil 300mg Cap
Lopid 300mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
01979574
02185407
02241704
02058456
02239951
00599026
APX
MYL
TEV
NXP
PMS
PFI
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
01979582
02230476
02142074
02058464
02230183
APX
MYL
TEV
NXP
PMS
gemfibrozil 600mg tab

Apo-Gemfibrozil 600mg Tab
MYLAN-Gemfibrozil 600mg Tab
Novo-Gemfibrozil 600mg Tab
Nu-Gemfibrozil 600mg Tab
pms-Gemfibrozil 600mg Tab
Lopid 600mg Tab (discontinued)
October 2011
C10AB05
FENOFIBRATE
fenofibrate 67mg cap
Apo-Feno-Micro 67mg Cap
Novo-Fenofibrate Micronized 67mg Cap
Lipidil Micro 67mg Cap (discontinued)
DNP
DNP
MRP
MRP
SF
SF
02243180
02243551
APX
TEV
SF
02225980
APX
Apo-Fenofibrate 100mg Cap
DNP
fenofibrate 200mg cap

Apo-Feno-Micro 200mg Cap
Fenofibrate Micro 200mg Cap
MYLAN-Fenofibrate Micro 200mg Cap
Novo-Fenofibrate Micronized 200mg Cap
pms-Fenofibrate Micro 200mg Cap
ratio-Fenofibrate MC 200mg Cap
Lipidil Micro 200mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02239864
02286092
02240210
02243552
02273551
02250039
02146959
APX
SAS
MYL
TEV
PMS
TEV
ABB
fenofibrate 100mg tab

Apo-Feno-Super 100mg Tab
Novo-Fenofibrate-S 100mg Tab
Sandoz Fenofibrate S 100mg Tab
Lipidil Supra 100mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02246859
02289083
02288044
02241601
APX
TEV
SDZ
ABB
fenofibrate 160mg tab

Apo-Feno-Super 160mg Tab
Novo-Fenofibrate-S 160mg Tab
Sandoz Fenofibrate S 160mg Tab
Lipidil Supra 160mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02246860
02289091
02288052
02241602
APX
TEV
SDZ
ABB
02269074
02269082
ABB
ABB
Lipidil EZ 48mg Tab

Lipidil EZ 145mg Tab
C10AC BILE ACID SEQUESTRANTS
C10AC01
CHOLESTYRAMINE
cholestyramine powder pouches
Olestyr 4g/9g Pdr
Olestyr 4g/5g Pdr*
Questran Pdr and Light Pdr 4g/dose (discontinued)
DNP
DNP
SF
SF
02210320
00890960
MMT
MMT
DNP
DNP
DNP
SF
SF
SF
00642975
02132699
02132680
PFI
PFI
PFI
02262347
02262355
02262339
SEP
SEP
SEP
02247521
FRS
*This formulation is Sugar Reduced
C10AC02
COLESTIPOL
Colestid Granules 5g/pack
Colestid Orange Gran 5g/pack
Colestid 1g Tab
C10AD NICOTINIC ACID AND DERIVATIVES

C10AD02
NICOTINIC ACID
Niaspan 500mg Tab
Niaspan 750mg Tab
Niaspan 1,000mg Tab
C10AX OTHER LIPID MODIFYING AGENTS

C10AX09
EZETIMIBE
Ezetrol 10mg Tab
DNP
C10B LIPID MODIFYING AGENTS, COMBINATIONS

C10BA HMG-CoA REDUCTASE INHIBITORS IN COMBINATION WITH OTHER LIPID MODIFYING AGENTS
C10BA01
October 2011
LOVASTATIN AND NICOTINIC ACID

Advicor 20/500mg Tab
DNP
DNP
DNP
SF
SF
SF
02270439
02270447
02293501
SEP
SEP
SEP
C10BX HMG-CoA REDUCTASE INHIBITORS, OTHER COMBINATIONS

C10BX03
October 2011
ATORVASTATIN AND AMLODIPINE

Caduet 5/10mg Tab
Caduet 5/20mg Tab
Caduet 5/40mg Tab
Caduet 5/80mg Tab
Caduet 10/10mg Tab
Caduet 10/20mg Tab
Caduet 10/40mg Tab
Caduet 10/80mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SF
SF
SF
SF
SF
SF
SF
SF
02273233
02273241
02273268
02273276
02273284
02273292
02273306
02273314
PFI
PFI
PFI
PFI
PFI
PFI
PFI
PFI
D01
ANTIFUNGALS FOR DERMATOLOGICAL USE
D01A ANTIFUNGALS FOR TOPICAL USE

D01AA ANTIBIOTICS
D01AA01
NYSTATIN
Nyaderm 100,000 iu/g Cr
ratio-Nystatin 100,000 iu/g Cr
ratio-Nystatin 100,000 iu/g Oint
Mycostatin 100,000 iu/g Pdr (discontinued)
DNPM
DNPM
DNPM
SFC
SFC
SFC
00716871
02194236
02194228
TAR
TEV
TEV
SFC
SFC
00812382
02150867
TAR
YNO
D01AC IMIDAZOLE AND TRIAZOLE DERIVATIVES

D01AC01
D01AC02
D01AC08
D01AC20
CLOTRIMAZOLE
clotrimazole 1% cr
Clotrimaderm 1% Cr
Canesten 1% Cr
DNPM
DNPM
Canesten 1% Sol
DNPM
SFC
02150875
BAY
MICONAZOLE
Micatin 2% Cr
Monistat 2% Derm Cr
DNPM
DNPM
SFC
SFC
02085852
02126567
WLS
JNJ
SFC
02245662
TPH
DNP
DNP
SF
SFC
00999474
00611174
CPD
SCH
DNP
SF
00900788
CPD
00594601
VAL
02221802
02221810
02247228
SAV
SAV
STI
02298953
02250535
APX
SAV
02031094
02238703
NVR
NVR
00576034
SCH
02011255
02011263
ALL
ALL
KETOCONAZOLE
ketoconazole 2% cr
Ketoderm 2% Cr
Nizoral 2% Cr (discontinued)
IMIDAZOLE DERIVATIVES, COMBINATIONS
Hydrocortisone Pdr 1-2.5% in Clotrimazole Cr
Lotriderm Cr
DNP
MRP
MRP
MRP
D01AE OTHER ANTIFUNGALS FOR TOPICAL USE

D01AE12
D01AE13
D01AE14
SALICYLIC ACID
Salicylic Acid Oint
SELENIUM SULFIDE
Versel 2.5% Lot
CICLOPIROX
Loprox 1% Cr
Loprox 1% Lot
Stieprox 1.5% Shampoo
DNP
DNP
SFC
SFC
ciclopirox 8% w/w top sol

Apo-Ciclopirox 8% w/w Top Sol
Penlac 8% w/w Top Sol
D01AE15
D01AE18
D01AE22
October 2011
TERBINAFINE
Lamisil 1% Cr
Lamisil 1% Top Spray
DNP
DNP
SFC
SFC
TOLNAFTATE
Tinactin 10mg/g Cr
NAFTIFINE
Naftin 1% Cr
Naftin 1% Gel
DNP
DNP
SFC
SFC
Dermatologicals 57
D01B ANTIFUNGALS FOR SYSTEMIC USE

D01BA ANTIFUNGALS FOR SYSTEMIC USE
D01BA02
D03
TERBINAFINE
terbinafine 250mg tab
Apo-Terbinafine 250mg Tab
Auro-Terbinafine 250mg Tab
CO Terbinafine 250mg Tab
MYLAN-Terbinafine 250mg Tab
Novo-Terbinafine 250mg Tab
pms-Terbinafine 250mg Tab
Sandoz Terbinafine 250mg Tab
Terbinafine 250mg Tab
Lamisil 250mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
02239893
02320134
02254727
02242503
02240346
02294273
02262177
02353121
02031116
APX
ARO
COB
MYL
TEV
PMS
SDZ
SAS
NVR
02239405
JAN
SF
02063670
SNE
SFC
SFC
02083795
00001961
ODN
AZE
SFC
SFC
SFC
SFC
SFC
SFC
00001694
00049816
01968823
00811874
00001686
00999022
02003767
AZE
AZE
ODN
PMS
AZE
CPD
AZE
02142147
MDS
00358494
00358495
00901121
CPD
ODN
CPD
PREPARATIONS FOR TREATMENT OF WOUNDS AND ULCERS
D03A CICATRIZANTS
D03AX OTHER CICATRIZANTS
D03AX06
BECAPLERMIN
Regranex 0.01% Top Gel
D03B ENZYMES
D03BA PROTEOLYTIC ENZYMES
D03BA02
D04
COLLAGENASE (CLOSTRIDIOPEPITIDASE)
Santyl 250u/g Oint
DNP
ANTIPRURITICS, INCLUDING ANTIHISTAMINES, ANESTHETICS, ETC.
D04A ANTIPRURITICS, INCLUDING ANTIHISTAMINES, ANESTHETICS, ETC.

D04AB ANESTHETICS FOR TOPICAL USE
D04AB01
LIDOCAINE
lidocaine 5% oint
Lidodan 5% Oint
Xylocaine 5% Oint
Xylocaine 2% Jelly
Xylocaine 4% Topical Liq
Lidodan 2% Viscous Liq
pms-Lidocaine 2% Viscous Liq
Xylocaine 2% Viscous Liq
Magic Mouthwash O/L
Xylocaine 12mg/dose Endotracheal Spray
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
MRP
MRP
D04AX OTHER ANTIPRURITICS

D04AX99
D05
DOXEPIN
Zonalon 5% Cr
ANTIPSORIATICS
D05A ANTIPSORIATICS FOR TOPICAL USE

D05AA TARS
D05AA99
October 2011
COAL TAR
LCD (coal tar) Preparations
LCD 20% USP
Tar Pomade
DNP
DNP
DNP
SF
SF
SF
Dermatologicals 58
D05AC ANTRACEN DERIVATIVES

D05AC01
ANTHRALIN (DITHRANOL)
Anthranol 0.1% Cr
Anthranol 0.2% Cr
Anthrascalp 0.4% Lot
Anthraforte 1% Oint
Anthraforte 2% Oint
Anthralin 0.4% Oint
Anthralin Weak 0.2% Oint
Anthralin Soft 0.05% Paste
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
00537594
00537608
00695351
00566756
00566748
00901113
00901105
00902063
00900907
00900915
MED
MED
MED
MED
MED
CPD
CPD
CPD
CPD
CPD
DNP
SF
01907476
VLN
DNP
DNP
DNP
E
E
E
01976133
02150956
02194341
LEO
LEO
LEO
02338572
GAC
02230784
02230785
ALL
ALL
02244126
LEO
D05AD PSORALENS FOR TOPICAL USE

D05AD02
METHOXSALEN
Oxsoralen 1% Lot
D05AX OTHER ANTIPSORIATICS FOR TOPICAL USE

D05AX02
D05AX03
D05AX05
D05AX52
CALCIPOTRIOL
Dovonex 50mcg/g Oint
Dovonex 50mcg/g Cr
Dovonex 50mcg/mL Scalp Sol
CALCITRIOL
Silkis 3ug/G Oint
TAZAROTENE
Tazorac 0.05% Gel
Tazorac 0.1% Gel
DNP
DNP
E
E
CALCIPOTRIOL, COMBINATIONS
Dovobet 50mcg/0.5mg/g Oint
D05B ANTIPSORIATICS FOR SYSTEMIC USE

D05BA PSORALENS FOR SYSTEMIC USE
D05BA02
METHOXSALEN
Oxsoralen 10mg Cap
Oxsoralen Ultra 10mg Cap
DNP
DNP
SF
SF
01946374
00252654
VLN
VLN
DNP
DNP
SF
SF
02070847
02070863
TRB
TRB
D05BB RETINOIDS FOR TREATMENT OF PSORIASIS

D05BB02
D06
ACITRETIN
Soriatane 10mg Cap
Soriatane 25mg Cap
ANTIBIOTICS AND CHEMOTHERAPEUTICS FOR DERMATOLOGICAL USE
D06A ANTIBIOTICS FOR TOPICAL USE

D06AX OTHER ANTIBIOTICS FOR TOPICAL USE
D06AX01
D06AX04
D06AX05
October 2011
FUSIDIC ACID
Fucidin 2% Cr
Fucidin 2% Oint
DNP
DNP
SF
SF
00586668
00586676
LEO
LEO
NEOMYCIN
Neosporin Cr
Neosporin Oint
DNP
DNP
SF
SF
00666203
00666122
GSK
GSK
BACITRACIN
Bacitracin 50,000iu Pdr/Vial
DNP
SF
00030708
PFI
Dermatologicals 59
D06AX07
D06AX09
D06AX30
GENTAMICIN
ratio-Gentamicin 0.1% Cr
ratio-Gentamicin 0.1% Oint
DNP
DNP
SF
SF
00805386
00805025
TEV
TEV
MUPIROCIN
Bactroban 2% Cr
DNPM
SF
02239757
GCH
mupirocin 2% oint
Taro-Mupirocin 2% Oint
Bactroban 2% Oint
DNPM
DNPM
SF
SF
02279983
01916947
TAR
GCH
ANTIBIOTICS, COMBINATIONS
Soframycin Oint
DNP
SF
02224879
ERF
DNP
SFC
00323098
SNE
DNP
SFC
02237187
SDZ
00569771
GSK
MRP
MRP
D06B CHEMOTHERAPEUTICS FOR TOPICAL USE

D06BA SULFONAMIDES
D06BA01
SILVER SULFADIAZINE
Flamazine 1% Cr
D06BB ANTIVIRALS
D06BB01
D06BB03
D06BB04
D06BB10
IDOXURIDINE
idoxuridine 0.1% sol
Sandoz Idoxuridine 0.1% Sol
Herplex-D 0.1% Sol (discontinued)
ACYCLOVIR
Zovirax 5% Oint
PODOPHYLLOTOXIN
Podofilm 250mg/mL Liq
Condyline 0.5% Top Sol
Wartec 0.5% Top Sol
DNP
DNP
DNP
SF
SF
SF
00598208
01945149
02074788
PAL
CDX
PAL
IMIQUIMOD
Aldara 5% Cr
DNP
02239505
GWP
DNP
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
SFC
02226839
02156091
02242919
02297809
02248206
GAC
SAV
STI
GAC
GAC
00903124
00903159
00192597
00716839
00903132
00903167
00804533
00595799
00192600
00578541
00595802
00856711
00716693
CPD
CPD
STI
TAR
CPD
CPD
STI
STI
STI
STI
STI
STI
TAR
D06BX OTHER CHEMOTHERAPEUTICS

D06BX01
D07
METRONIDAZOLE
MetroCream 0.75% Cr
Noritate 1% Cr
Rosasol 1% Cr
MetroGel 1% Gel
MetroLotion 0.75% Lot
CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS
D07A CORTICOSTEROIDS, PLAIN

D07AA CORTICOSTEROIDS, WEAK (GROUP I)
D07AA02
October 2011
HYDROCORTISONE
Hydrocortisone 0.5% in Dermabase Cr
Hydrocortisone 0.5% in Glaxal Base Cr
Emo-Cort 1% Cr
Hyderm 1% Cr
Hydrocortisone 1% in Dermabase Cr
Hydrocortisone 1% in Glaxal Base Cr
Prevex HC 1% Cr
Emo-Cort 2.5% Cr
Emo-Cort 1% Lot
Sarna HC 1% Lot
Emo-Cort 2.5% Lot
Sarna HC 2.5% Lot
Cortoderm 1% Oint
DNP
DNP
SF
SF
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SF
SF
SF
SF
SF
SF
SF
Dermatologicals 60
Hydrocorisone 0.5% in Soft Petrolatum Oint

Hydrocorisone 1% in Soft Petrolatum Oint
hydrocortisone valerate 0.2% cr
Hydroval 0.2% Cr
Westcort 0.2% Cr (discontinued)
Hydroval 0.2% Oint
00903175
00903183
CPD
CPD
SF
02242984
TPH
DNP
SF
02242985
TPH
DNP
SF
02214415
GCH
DNP
MRP
D07AB CORTICOSTEROIDS, MODERATELY POTENT (GROUP II)

D07AB01
D07AB08
D07AB09
CLOBETASONE
Spectro Eczemacare Medicated Cream
DESONIDE
desonide 0.05% cr
pms-Desonide 0.05% Cr
Tridesilon 0.05% Cr (discontinued)
DNP
MRP
SF
02229315
PMS
desonide 0.05% oint

pms-Desonide 0.05% Oint
Tridesilon 0.05% Oint (discontinued)
DNP
MRP
SF
02229323
PMS
Desocort 0.05% Oint

Desocort 0.05% Top Lot
DNP
DNP
SF
SF
02115522
02115514
GAC
GAC
TRIAMCINOLONE
Aristocort C 0.5% Cr
Aristocort R 0.1% Cr
Triaderm 0.025% Cr
Triaderm 0.1% Cr
Aristocort R 0.1% Oint
Triaderm 0.1% Oint
DNP
DNP
DNP
DNP
DNP
SF
SF
SF
SF
SF
02194066
02194058
00716952
00716960
02194031
00716987
VAL
VAL
TAR
TAR
VAL
TAR
D07AC CORTICOSTEROIDS, POTENT (GROUP III)

D07AC01
BETAMETHASONE
betamethasone dipropionate 0.05% cr
Taro-Sone 0.05% Cr
Diprosone 0.05% Cr
DNPM
DNPM
MRP
MRP
SF
SF
01925350
00323071
TAR
SCH
ratio-Topisone 0.05% Cr
DNPM
MRP
SF
00804991
TEV
betamethasone dipropionate 0.05% glycol cr

ratio-Topilene 0.05% Glycol Cr
Diprolene 0.05% Glycol Cr
DNPM
DNPM
MRP
MRP
SF
SF
00849650
00688622
TEV
SCH
betamethasone dipropionate 0.05% glycol lot

ratio-Topilene 0.05% Glycol Lot
Diprolene 0.05% Glycol Lot
DNPM
DNPM
MRP
MRP
SF
SF
01927914
00862975
TEV
SCH
betamethasone dipropionate 0.05% glycol oint

ratio-Topilene 0.05% Glycol Oint
Diprolene 0.05% Glycol Oint
DNPM
DNPM
MRP
MRP
SF
SF
00849669
00629367
TEV
SCH
betamethasone dipropionate 0.05% lot

ratio-Topisone 0.05% Lot
Diprosone 0.05% Lot
DNPM
DNPM
MRP
MRP
SF
SF
00809187
00417246
TEV
SCH
betamethasone dipropionate 0.05% oint

ratio-Topisone 0.05% Oint
Diprosone 0.05% Oint
DNPM
DNPM
MRP
MRP
SF
SF
00805009
00344923
TEV
SCH
DNPM
MRP
SF
00716618
TAR
betamethasone 17 valerate 0.05% cr

Betaderm 0.05% Cr
Celestoderm-V 0.05% Cr (discontinued)
October 2011
Dermatologicals 61
D07AC03
D07AC04
D07AC06
D07AC08
D07AC11
D07AC13
October 2011
SF
SF
SF
00535427
00653209
00716642
TEV
TEV
TAR
SF
00716626
TAR
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
SF
SF
SF
SF
SF
SF
00535435
00804541
00750050
00716650
00716634
00653217
TEV
STI
TEV
TAR
TAR
TEV
DESOXIMETASONE
Topicort Mild 0.05% Cr
Topicort 0.25% Cr
Topicort 0.05% Gel
Topicort 0.25% Oint
DNP
DNP
DNP
DNP
SF
SF
SF
SF
02221918
02221896
02221926
02221934
SAV
SAV
SAV
SAV
FLUOCINOLONE ACETONIDE
FS-Shampoo 0.01%
Derma-Smoothe FS 0.01% Top Oil
DNP
SF
02129078
00873292
HLZ
HLZ
DIFLUCORTOLONE
Nerisone 0.1% Cr
Nerisone 0.1% Oily Cr
Nerisone 0.1% Oint
DNP
DNP
DNP
SF
SF
SF
00587826
00587818
00587834
STI
STI
STI
FLUOCINONIDE
Lidemol 0.05% Cr
Tiamol 0.05% Cr
DNP
DNP
SF
SF
02163152
00598933
VAL
TPH
fluocinonide 0.05% cr
Lyderm 0.05% Cr
Lidex 0.05% Cr
DNP
DNP
MRP
MRP
SF
SF
00716863
02161923
TPH
VAL
fluocinonide 0.05% gel

Lyderm 0.05% Gel
Lidex 0.05% Gel
DNP
DNP
MRP
MRP
SF
SF
02236997
02161974
TPH
VAL
fluocinonide 0.05% oint

Lyderm 0.05% Oint
Lidex 0.05% Oint
DNP
DNP
MRP
MRP
SF
SF
02236996
02161966
TPH
VAL
AMCINONIDE
amcinonide 0.1% cr
ratio-Amcinonide 0.1% Cr
Taro-Amcinonide 0.1% Cr
Cyclocort 0.1% Cr
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02247098
02246714
02192284
TEV
TAR
STI
amcinonide 0.1% lot

ratio-Amcinonide 0.1% Lot
Cyclocort 0.1% Lot
DNP
DNP
MRP
MRP
SF
SF
02247097
02192276
TEV
STI
amcinonide 0.1% oint

ratio-Amcinonide 0.1% Oint
Cyclocort 0.1% Oint
DNP
DNP
MRP
MRP
SF
SF
02247096
02192268
TEV
STI
MOMETASONE
mometasone 0.1% cr
Taro-Mometasone 0.1% Cr
Elocom 0.1% Cr
DNP
DNP
MRP
MRP
SF
SF
02367157
00851744
SCH
SCH
ratio-Ectosone 0.05% Cr
ratio-Ectosone 0.05% Lot
Betaderm 0.05% Oint
DNPM
DNPM
DNPM
betamethasone 17 valerate 0.1% cr

Betaderm 0.1% Cr
Celestoderm-V 0.1% Cr (discontinued)
DNPM
ratio-Ectosone 0.1% Cr
Prevex B 0.1% Cr
ratio-Ectosone 1% Lot
Betaderm 0.1% Oint
Betaderm 0.1% Scalp Lot
ratio-Ectosone 0.1% Scalp Lot
MRP
Dermatologicals 62
mometasone 0.1% lot

Taro-Mometasone 0.1% Lot
Elocom 0.1% Lot
DNP
DNP
MRP
MRP
SF
SF
02266385
00871095
TAR
SCH
mometasone 0.1% oint

ratio-Mometasone 0.1% Oint
Taro-Mometasone 0.1% Oint
Elocom 0.1% Oint
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02248130
02264749
00851736
TEV
TAR
SCH
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02024187
02093162
02232191
01910272
02245523
02213265
MYL
TEV
PMS
TEV
TAR
TPH
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02026767
02126192
02309548
01910280
02245524
02213273
02232193
MYL
TEV
PMS
TEV
TAR
TPH
PMS
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
02216213
02232195
01910299
02245522
02213281
MYL
PMS
TEV
TAR
TPH
02238578
00666246
00074500
LEO
GSK
PAL
00717002
TAR
00717029
TAR
00074462
PAL
D07AD CORTICOSTEROIDS, VERY POTENT (GROUP IV)

D07AD01
CLOBETASOL
clobetasol 17-propionate 0.05% cr
MYLAN-Clobetasol 0.05% Cr
Novo-Clobetasol 0.05% Cr
pms-Clobetasol 0.05% Cr
ratio-Clobetasol 0.05% Cr
Taro-Clobetasol 0.05% Cr
Dermovate 0.05% Cr
clobetasol 17-propionate 0.05% oint
MYLAN-Clobetasol 0.05% Oint
Novo-Clobetasol 0.05% Oint
pms-Clobetasol 0.05% Oint
ratio-Clobetasol 0.05% Oint
Taro-Clobetasol 0.05% Oint
Dermovate 0.05% Oint
pms-Clobetasol 0.05% Oint (discontinued)
clobetasol 17-propionate 0.05% scalp lot
MYLAN-Clobetasol 0.05% Scalp Lot
pms-Clobetasol 0.05% Scalp Lot
ratio-Clobetasol 0.05% Scalp Lot
Taro-Clobetasol 0.05% Scalp Lot
Dermovate 0.05% Scalp Lot
D07C CORTICOSTEROIDS, COMBINATIONS WITH ANTIBIOTICS

D07CA CORTICOSTEROIDS, WEAK, COMBINATIONS WITH ANTIBIOTICS
D07CA01
HYDROCORTISONE AND ANTIBIOTICS

Fucidin H 1% Cr
Cortisporin Oint
Vioform HC Cr
D07CB CORTICOSTEROIDS, MODERATELY POTENT, COMBINATIONS WITH ANTIBIOTICS

D07CB01
TRIAMCINOLONE AND ANTIBIOTICS

triamcinolone 0.1%, nystatin, neomycin & gramicidin cr
Viaderm KC Cr
Kenacomb Cr (discontinued)
triamcinolone 0.1%, nystatin, neomycin & gramicidin oint
Viaderm KC Oint
Kenacomb Oint (discontinued)
D07CB05
October 2011
FLUMETASONE AND ANTIBIOTICS

Locacorten Vioform Cr
Dermatologicals 63
D07CC CORTICOSTEROIDS, POTENT, COMBINATIONS WITH ANTIBIOTICS

D07CC01
BETAMETHASONE AND ANTIBIOTICS

Valisone G Oint
Valisone G Cream
00232351
00177016
VAL
VAL
D07X
CORTICOSTEROIDS, OTHER COMBINATIONS
D07XA CORTICOSTEROIDS, WEAK, OTHER COMBINATIONS
D07XA01
HYDROCORTISONE
Pramox HC 1% Cr
Uremol HC 1% Cr
Pramox HC 1% Lot
Uremol HC 1% Lot
DNP
DNP
DNP
DNP
SF
SF
SF
SF
00770957
00503134
01954210
00560022
DPT
STI
DPT
STI
DNP
DNP
SF
E
00578436
02319012
SCH
LEO
bethamethasone dipropionate 0.05% & salicylic acid 2% lot

ratio-Topisalic Lot
DNP
MRP
Diprosalic Lot
DNP
MRP
SF
SF
02245688
00578428
TEV
SCH
DIFLUCORTOLONE
Nerisalic Oily Cr
DNP
SF
02028719
STI
DNP
SF
02017733
SAV
00254339
00158348
PFR
PFR
D07XC CORTICOSTEROIDS, POTENT, OTHER COMBINATIONS

D07XC01
D07XC04
D08
BETAMETHASONE
Diprosalic Oint
Xamiol 0.5mg/g/50mcg/g Gel
ANTISEPTICS AND DISINFECTANTS
D08A ANTISEPTICS AND DISINFECTANTS

D08AE PHENOL AND DERIVATIVES
D08AE01
HEXACHLOROPHENE
pHisoHex 3% Liq
D08AG IODINE PRODUCTS

D08AG02
POVIDONE-IODINE
Betadine 10% Oint
Betadine 10% Sol
D08AJ BENZETHONIUM CHLORIDE, COMBINATIONS

D08AJ58
D09
BENZETHONIUM CHLORIDE, COMBINATIONS

Buro-Sol 2.36g/Pack Pdr
DNP
SF
00579947
STI
DNP
DNP
SF
SF
01988840
01987682
ERF
ERF
DNP
DNP
F
F
00252395
00195057
PFI
PFI
MEDICATED DRESSINGS
D09A MEDICATED DRESSINGS

D09AA OINTMENT DRESSINGS WITH ANTIINFECTIVES
D09AA01
D10
FRAMYCETIN
Sofra-Tulle 1% 10cm x 10cm
Sofra-Tulle 1% 10cm x 30cm
ANTI-ACNE PREPARATIONS
D10A ANTI-ACNE PREPARATIONS FOR TOPICAL USE

D10AA CORTICOSTEROIDS, COMBINATIONS FOR TREATMENT OF ACNE
D10AA02
October 2011
METHYLPREDNISOLONE
Medrol Acne Lot
Neo-Medrol Acne Lot
Dermatologicals 64
D10AB PREPARATIONS CONTAINING SULFUR

D10AB02
SULPHUR
Sulfacet-R Lot
DNP
02220407
SAV
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
FE5
FE5
FE5
FE5
FE5
FE5
FE5
FE5
FE5
FE5
FE5
00657204
00578576
00443794
00518182
00870021
00662348
00870013
00443816
00587966
00641863
01926489
STI
STI
JNJ
STI
JNJ
STI
JNJ
JNJ
STI
STI
SAV
DNP
DNP
DNP
F
F
F
00527661
00263699
00373036
STI
STI
STI
DNP
00432938
01975382
02019825
VLN
STI
STI
F
F
02266938
00582301
TAR
PFI
02248472
02243158
SAV
STI
D10AD RETINOIDS FOR TOPICAL USE IN ACNE

D10AD01
TRETINOIN
Stieva-A 0.01% Cr
Stieva-A 0.025% Cr
Retin-A 0.05% Cr
Stieva-A 0.05% Cr
Retin-A 0.1% Cr
Stieva-A 0.1% Forte Cr
Retin-A 0.01% Gel
Retin-A 0.025% Gel
Stieva-A 0.025% Gel
Stieva-A 0.05% Gel
Vitamin A Acid 0.05% Gel
D10AE PEROXIDES
D10AE01
BENZOYL PEROXIDE
PanOxyl 10% Bar
PanOxyl 10% Gel
PanOxyl 20% Gel
BenOxyl 20% Lot (discontinued)
Oxyderm 10% Lot
Solugel 4% Gel
Solugel 8% Gel
D10AF ANTINFECTIVES FOR TREATMENT OF ACNE

D10AF01
D10AF51
D10AF52
CLINDAMYCIN
clindamycin 1% top sol
Taro-Clindamycin 1% Sol
Dalacin T 1% Sol
DNP
DNP
MRP
MRP
CLINDAMYCIN, COMBINATIONS
BenzaClin Gel
Clindoxyl Gel
ERYTHROMYCIN, COMBINATIONS
Stievamycin Regular Gel
Stievamycin Forte Gel
Stievamycin Mild Gel
DNP
DNP
DNP
F
F
F
01905112
01945262
02015994
STI
STI
STI
DNP
SFC
02270811
BAY
D10AX OTHER ANTI-ACNE PREPARATIONS FOR TOPICAL USE

D10AX03
AZELAIC ACID
Finacea 15% Gel
D10B ANTI-ACNE PREPARATIONS FOR SYSTEMIC USE

D10BA RETINOIDS FOR TREATMENT OF ACNE
D10BA01
ISOTRETINOIN
isotretinoin 10mg cap
Clarus 10mg Cap
Accutane 10mg Cap
DNP
DNP
MRP
MRP
F
F
02257955
00582344
MYL
HLR
isotretinoin 40mg cap

Clarus 40mg Cap
Accutane 40mg Cap
DNP
DNP
MRP
MRP
F
F
02257963
00582352
MYL
HLR
Full benefit for beneficiaries 30 years and under. For coverage in beneficiaries over the age of 30, please refer to criteria in
Appendix III.
October 2011
Dermatologicals 65
D11
OTHER DERMATOLOGICAL PREPARATIONS
D11A OTHER DERMATOLOGICAL PREPARATIONS

D11AG MISC. SKIN AND MUCOUS MEMBRANE AGENTS
D11AG01
D11AG02
TACROLIMUS
Protopic 0.03% Oint
Protopic 0.1% Oint
DNP
DNP
E
E
PIMECROLIMUS
Elidel 1% Cr
02244149
02244148
AST
AST
02247238
NVR
00885754
APX
02320169
02238213
PMS
FRS
00611271
00550175
GLE
GLE
D11AX OTHER DERMATOLOGICALS

D11AX01
D11AX10
D11AX99
October 2011
MINOXIDIL
minoxidil 20mg/mL top sol
Apo-Gain 20mg/mL Top Sol
Rogaine 20mg/mL Top Sol (discontinued)
FINASTERIDE
finasteride 1mg tab
pms-Finasteride 1mg Tab
Propecia 1mg Tab
AMINOBENZOATE POTASSIUM, SYSTEMIC
Potaba 500mg Cap
Potaba 500mg Tab
DNP
DNP
SF
SF
Dermatologicals 66
G01
GYNECOLOGICAL ANTI-INFECTIVES AND ANTISEPTICS
G01A ANTI-INFECTIVES/ANTISEPTICS, EXCLUDING COMBINATIONS WITH CORTICOSTEROIDS

G01AA ANTIBIOTICS
G01AA01
G01AA10
G01AA51
NYSTATIN
Nyaderm 100,000 iu/dose Vag Cr
ratio-Nystatin 500,000 iu/dose Vag Cr
DNP
DNP
SFC
SFC
00716901
02194163
TAR
TEV
CLINDAMYCIN
Dalacin 100mg/dose Vag Cr
DNP
FC
02060604
PAL
NYSTATIN, COMBINATIONS
Flagystatin Vag Cr
Flagystatin Vag Ovules
DNP
DNP
SFC
SFC
01926845
01926829
SAV
SAV
METRONIDAZOLE
Flagyl 10% Vag Cr
Flagyl 500mg Vag Tab
NidaGel 0.75% Vag Gel
DNP
DNP
DNP
SFC
SFC
SFC
01926861
01926888
02125226
SAV
SAV
GWP
CLOTRIMAZOLE
clotrimazole 1% vag cr
Clotrimaderm 1% Vag Cr
Canesten 6 Vag Cr (6 day)
DNP
DNP
MRP
MRP
SFC
SFC
00812366
02150891
TAR
YNO
clotrimazole 2% vag cr
Clotrimaderm 2% Vag Cr
Canesten 3 Vag Cr (3 day)
DNP
DNP
MRP
MRP
SFC
SFC
00812374
02150905
TAR
YNO
Canesten 1 Vag Cr
Canesten 1 Vag Cr Combi-Pak
Canesten 1 Comfortab Combi-Pak (1 day)
Canesten 3 Comfortab Combi-Pak (3 day)
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
02150883
02230509
02264102
02264099
YNO
YNO
YNO
YNO
MICONAZOLE
miconazole 2% vag cr
Micozole 2% Vag Cr
Monistat 7 (2%) Vag Cr
DNP
DNP
SFC
SFC
02231106
02084309
TAR
JNJ
Monistat 3 Dual-Pak
Monistat 7 Dual-Pak
Monistat 3 (400mg) Vag Ovules
DNP
DNP
DNP
SFC
SFC
SFC
02126249
02126257
02126605
JNJ
JNJ
JNJ
02248417
FEI
02130874
JAN
00026050
PFR
G01AF IMIDAZOLE DERIVATIVES

G01AF01
G01AF02
G01AF04
G01AF15
BUTOCONAZOLE
Gynazole.1 Vag Cr
MRP
MRP
G01AG TRIAZOLE DERIVATIVES

G01AG02
TERCONAZOLE
Terazol-3 Dual Pak
G01AX OTHER ANTI-INFECTIVES AND ANTISEPTICS

G01AX11
October 2011
POVIDONE-IODINE
Betadine 200mg Vag Supp
Genito-Urinary System & Sex Hormones 67
G02
OTHER GYNECOLOGICALS
G02A OXYTOCICS
G02AD PROSTAGLANDINS
G02AD02
DINOPROSTONE
Prostin E2 0.5mg Tab
DNPM
SF
00400688
PAL
DNP
02243005
BAY
02253186
SCH
G02B CONTRACEPTIVES
G02BA INTRAUTERINE CONTRACEPTIVES
G02BA03
PLASTIC IUD WITH PROGESTOGEN

Mirena IUD 52mg/insert
G02BB VAGINAL RING WITH PROGESTOGEN AND ESTROGEN

G02BB01
ETHINYL ESTRADIOL AND ETONOGESTREL

NuvaRing
G02C OTHER GYNECOLOGICALS

G02CB PROLACTINE INHIBITORS
G02CB01
BROMOCRIPTINE
bromocriptine mesylate 2.5mg tab
Apo-Bromocriptine 2.5mg Tab
pms-Bromocriptine 2.5mg Tab
Parlodel 2.5mg Tab (discontinued)
DNP
DNP
MRP
MRP
SFC
SFC
02087324
02231702
APX
PMS
DNP
DNP
MRP
MRP
SFC
SFC
02230454
02236949
APX
PMS
CABERGOLINE
cabergoline 0.5mg tab
CO Cabergoline 0.5mg Tab
Dostinex 0.5mg Tab
DNP
DNP
MRP
MRP
E
E
02301407
02242471
COB
PAL
QUINAGOLIDE
Norprolac 0.025mg Tab
DNP
DNP
DNP
DNP
E
E
E
E
02223740
02223759
02223767
02223775
FEI
FEI
FEI
FEI
bromocriptine mesylate 5mg cap

Apo-Bromocriptine 5mg Cap
pms-Bromocriptine 5mg Cap
Parlodel 5mg Cap (discontinued)
G02CB03
G02CB04
G03
SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM
G03A HORMONAL CONTRACEPTIVES FOR SYSTEMIC USE

G03AA PROGESTOGENS AND ESTROGENS, FIXED COMBINATIONS
G03AA01
G03AA05
October 2011
ETHYNODIOL AND ESTROGEN

Demulen 30 Tab 21 Day
Demulen 30 Tab 28 Day
DNP
DNP
F
F
00469327
00471526
PFI
PFI
NORETHINDRONE AND ESTROGEN

Brevicon 0.5/35 Tab 21 Day
Brevicon 0.5/35 Tab 28 Day
Brevicon 1/35 Tab 21 Day
Brevicon 1/35 Tab 28 Day
LoEstrin 1.5/30 Tab 21 Day
LoEstrin 1.5/30 Tab 28 Day
MinEstrin 1/20 Tab 21 Day
MinEstrin 1/20 Tab 28 Day
Ortho 0.5/35 Tab 21 Day
Ortho 0.5/35 Tab 28 Day
Ortho 1/35 Tab 28 Day
Ortho 1/35 Tab 21 Day
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
F
F
F
F
F
F
F
F
F
F
F
F
02187086
02187094
02189054
02189062
00297143
00353027
00315966
00343838
00317047
00340731
00372838
00372846
PFI
PFI
PFI
PFI
PAL
PAL
PAL
PAL
JAN
JAN
JAN
JAN
G03AA06
G03AA07
Select 1/35 Tab 21 Day

Select 1/35 Tab 28 Day
DNP
DNP
F
F
02197502
02199297
PFI
PFI
NORGESTREL AND ESTROGEN

Ovral Tab 28 Day
DNP
02043041
PFI
LEVONORGESTREL AND ESTROGEN

levonorgestrel 0.10mg & ethinyl estradiol 0.02mg tab (21)
Aviane Tab 21 Day
DNP
Alesse Tab 21 Day
DNP
MRP
MRP
F
F
02298538
02236974
APX
PFI

Aviane Tab 28 Day
DNP
Alesse Tab 28 Day
DNP
MRP
MRP
F
F
02298546
02236975
APX
PFI

Portia Tab 21 Day
DNP
DNP
Min-Ovral Tab 21 Day
MRP
MRP
F
F
02295946
02042320
APX
PFI

Portia Tab 28 Day
DNP
DNP
Min-Ovral Tab 28 Day
MRP
MRP
F
F
02295954
02042339
APX
PFI
02296659
WNC
F
F
F
02272903
02257238
02042533
SCH
SCH
JAN
Seasonale Tab (91 Day)

G03AA09
G03AA11
G03AA12
G03AA13
DESOGESTREL AND ESTROGEN

Linessa Tab 21 Day
Linessa Tab 28 Day
Orthocept Tab 28 Day
DNP
DNP
DNP
desogestrel 150mcg and ethiny estradiol 30mcg tab (21)

DNP
Apri 21 Tab 21 Day
DNP
Marvelon Tab 21 Day
MRP
MRP
F
F
02317192
02042487
APX
SCH
desogestrel 150mcg and ethiny estradiol 30mcg tab (28)

Apri 28 Tab 28 Day
DNP
DNP
Marvelon Tab 28 Day
MRP
MRP
F
F
02317206
02042479
APX
SCH
DNP
DNP
F
F
01968440
01992872
JAN
JAN
DNP
DNP
F
F
02261723
02261731
02321157
BAY
BAY
BAY
02248297
JAN
NORGESTIMATE AND ESTROGEN

Cyclen Tab 21 Day
Cyclen Tab 28 Day
DROSPIRENONE AND ESTROGEN
Yasmin Tab 21 Day
Yasmin Tab 28 Day
Yaz 3mg/0.02mg Tab
NORELGESTROMIN AND ESTROGEN
Evra 0.6/6mg Patch
G03AB PROGESTOGENS AND ESTROGENS, SEQUENTIAL PREPARATIONS

G03AB03
G03AB04
G03AB11
October 2011
LEVONORGESTREL AND ESTROGEN

Triquilar Tab 21 Day
Triquilar Tab 28 Day
DNP
DNP
F
F
00707600
00707503
BAY
BAY

Ortho 7/7/7 Tab 21 Day
Ortho 7/7/7 Tab 28 Day
Synphasic Tab 21 Day
Synphasic Tab 28 Day
DNP
DNP
DNP
DNP
F
F
F
F
00602957
00602965
02187108
02187116
JAN
JAN
PFI
PFI
NORGESTIMATE AND ESTROGEN

Tri-Cyclen Tab 21 Day
Tri-Cyclen Tab 28 Day
Tri-Cyclen Lo Tab 21 Day
Tri-Cyclen Lo Tab 28 Day
DNP
DNP
DNP
DNP
F
F
F
F
02028700
02029421
02258560
02258587
JAN
JAN
JAN
JAN
G03AC PROGESTOGENS
G03AC01
G03AC03
G03AC06
NORETHINDRONE
Micronor Tab 28 Day
DNP
SF
00037605
JAN
LEVONORGESTREL
Plan B 0.75mg Tab
DNP
02241674
PAL
MEDROXYPROGESTERONE
Depo-Provera 50mg/mL Inj
DNP
SFC
00030848
PFI
Medroxyprogesterone acetate 150mg/mL inj

Medroxyprogesterone Acetate 150mg/mL Inj
Depo-Provera 150mg/mL Inj
DNP
DNP
MRP
MRP
SFC
SFC
02322250
00585092
SDZ
PFI
TESTOSTERONE
testosterone undercanoate 40mg cap
pms-Testosterone 40mg Cap
Andriol 40mg Cap
D
D
MRP
MRP
SFC
SFC
02322498
00782327
PMS
SCH
testosterone cypionate 100mg/mL Inj

Testosterone Cypionate 100mg/mL Inj
Depo-Testosterone 100mg/mL Inj
D
D
MRP
MRP
SFC
SFC
02246063
00030783
SDZ
PFI
Delatestryl 200mg/mL Inj

Androderm 2.5mg (12.2mg)/24 hr Patch
Androderm 5mg (24.3mg)/24 hr Patch
Androgel 2.5g/pkt Top Gel
Androgel 5g/pkt Top Gel
Testim 1% Top Gel
D
D
D
D
D
D
SFC
E
E
E
E
E
00029246
02239653
02245972
02245345
02245346
02280248
THR
PAL
PAL
ABB
ABB
PAL
G03B ANDROGENS
G03BA 3-OXOANDROSTEN (4) DERIVATIVES
G03BA03
G03C ESTROGENS
G03CA NATURAL AND SEMISYNTHETIC ESTROGENS, PLAIN
G03CA03
ESTRADIOL
estradiol 50mcg/day patch
Sandoz Estradiol Derm 50 (50mcg/day patch)
Estradot Patch (50mcg/day)
DNP
DNP
MRP
MRP
E
E
02246967
02244000
SDZ
NVR
DNP
MRP
02246967
SDZ
DNP
DNP
MRP
MRP
E
E
02246968
02244001
SDZ
NVR
DNP
MRP
02246968
SDZ
DNP
DNP
MRP
MRP
E
E
02246969
02244002
SDZ
NVR

Vivelle Patch (100mcg/day) (discontinued)
DNP
MRP
02246969
SDZ
Climara 25 (25mcg/day, 2mg/patch)

Climara 50 (50mcg/day, 3.9mg/patch)
DNP
DNP
DNP
E
E
E
02247499
02231509
02247500
BAY
BAY
BAY

October 2011

Estraderm-25 (25mcg/day, 2mg/patch)
Estraderm-100 (100mcg/day, 8mg/patch)
Estradot Patch (37.5mcg/day)
Oesclim (25mcg/day, 5mg/patch)
Oesclim (50mcg/day, 10mg/patch)
Estrace 0.5mg Tab
Estrace 1mg Tab
Estrace 2mg Tab
Estring 7.5mcg/24 hr Vag Ring
Estrogel 0.06% Top Gel
Vagifem 10mcg Vag Tab
Vagifem 25mcg Vag Tab
G03CA07
G03CA57
DNP
DNP
DNP
DNP
DNP
E
E
E
E
E
SFC
SFC
SFC
SFC
E
SFC
SFC
02231510
00756849
00756792
02245676
02243999
02243722
02243724
02225190
02148587
02148595
02168898
02238704
02325462
02241332
BAY
NVR
NVR
NVR
NVR
TRI
TRI
SHI
SHI
SHI
PAL
SCH
NNO
NNO
DNP
DNP
DNP
DNP
DNP
DNP
DNP
ESTRONE
Estragyn Vag Cr
Ogen 0.625mg Tab
Ogen 2.5mg Tab
DNP
DNP
DNP
SFC
SFC
SFC
00727369
02089793
02089777
TRI
PFI
PFI
CONJUGATED ESTROGENS
Premarin 25mg/vial Inj
Premarin 0.625mg/g Vag Cr
Premarin 0.3mg Tab
C.E.S. 0.625mg Tab
Premarin 0.625mg Tab
Premarin 1.25mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
SFC
SFC
02043386
02043440
02043394
00265470
02043408
02043424
PFI
PFI
PFI
VLN
PFI
PFI
G03D PROGESTOGENS
G03DA PREGNEN (4) DERIVATIVES
G03DA02
G03DA04
MEDROXYPROGESTERONE
medroxyprogesterone acetate 2.5mg tab
Apo-Medroxy 2.5mg Tab
Novo-Medrone 2.5mg Tab
Provera 2.5mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02244726
02221284
00708917
APX
TEV
PFI
medroxyprogesterone acetate 5mg tab

Apo-Medroxy 5mg Tab
Novo-Medrone 5mg Tab
Provera 5mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02244727
02221292
00030937
APX
TEV
PFI

Apo-Medroxy 10mg Tab
Novo-Medrone 10mg Tab
Provera 10mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02277298
02221306
00729973
APX
TEV
PFI

Apo-Medroxy 100mg Tab
Provera 100mg Tab
DNP
DNP
MRP
MRP
SFC
SFC
02267640
00030945
APX
PFI
02166704
SCH
02241835
02241837
02242531
NVR
NVR
PFI
02242878
02242879
PFI
PFI
PROGESTERONE
Prometrium 100mg Cap
G03F
PROGESTOGENS AND ESTROGENS IN COMBINATION
G03FA PROGESTOGENS AND ESTROGENS, COMBINATIONS
G03FA01
G03FA12
October 2011

Estalis 140/50mcg Transdermal Patch
Estalis 250/50mcg Transdermal Patch
Fem HRT 1mg/4mcg Tab
MEDROXYPROGESTERONE AND ESTROGEN
Premplus 0.625/2.5mg Tab
Premplus 0.625/5mg Tab
DNP
DNP
E
E
G03FB PROGESTOGENS AND ESTROGENS, SEQUENTIAL PREPARATIONS

G03FB05
NORETHISTERONE AND ESTROGEN

Estalis-Sequi Patch 250/50 (discontinued)
Estracomb Patch (discontinued)
G03G GONADOTROPHINS AND OTHER OVULATION STIMULANTS

G03GB OVULATION STIMULANTS, SYNTHETICS
G03GB02
CLOMIFENE
Clomid 50mg Tab
Serophene 50mg Tab
02091879
00893722
SAV
EMD
02245898
00704431
AAP
PMS
02290308
02309556
02233542
PMS
TEV
BAY
SF
SF
SF
02018144
02018152
02018160
SAV
SAV
SAV
E
E
E
02279215
02312298
02239028
APX
TEV
LIL
02244842
00728179
APX
PAL
02223376
PMS
G03H ANTIANDROGENS
G03HA ANTIANDROGENS, PLAIN
G03HA01
CYPROTERONE
cyproterone 50mg tab
Cyproterone 50mg Tab
Androcur 50mg Tab
DNP
DNP
MRP
MRP
SFC
SFC
G03HB ANTIANDROGENS AND ESTROGENS

G03HB01
CYPROTERONE AND ESTROGEN

cyproterone acetate 2mg & ethinyl estradiol 0.035mg tab
Cyestra-35 Tab
Novo-Cyproterone/Ethinyl Estradiol 2mg/0.035mg Tab
Diane-35 Tab
G03X OTHER SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM

G03XA ANTIGONADOTROPHINS AND SIMILAR AGENTS
G03XA01
DANAZOL
Cyclomen 50mg Cap
Cyclomen 100mg Cap
Cyclomen 200mg Cap
DNP
DNP
DNP
G03XC SELECTIVE ESTROGEN RECEPTOR MODULATORS

G03XC01
G04
RALOXIFENE
raloxifene 60mg tab
Apo-Raloxifene 60mg Tab
Novo-Raloxifene 60mg Tab
Evista 60mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
UROLOGICALS
G04B OTHER UROLOGICALS, INCLUDING ANTISPASMODICS

G04BD URINARY ANTISPASMODICS
G04BD02
G04BD04
October 2011
FLAVOXATE
flavoxate 200mg tab
Apo-Flavoxate 200mg Tab
Urispas 200mg Tab
OXYBUTYNIN
oxybutynin 1mg/mL o/l
pms-Oxybutynin 1mg/mL O/L
Ditropan 1mg/mL O/L (discontinued)
DNP
MRP
SF
oxybutynin 5mg tab

Apo-Oxybutynin 5mg Tab
MYLAN-Oxybutynin 5mg Tab
Novo-Oxybutynin 5mg Tab
Nu-Oxybutyn 5mg Tab
Oxybutynin 5mg Tab
pms-Oxybutynin 5mg Tab
Ditropan 5mg Tab (discontinued)
SF
SF
SF
SF
SF
SF
02163543
02230800
02230394
02158590
02350238
02240550
APX
MYL
TEV
NXP
SAS
PMS
DNP
DNP
DNP
DNP
E
E
E
E
02243960
02243961
02273578
02273586
02254735
JAN
JAN
PFR
PFR
PAL
TOLTERODINE
Detrol 1mg Tab
Detrol 2mg Tab
Detrol LA 2mg Cap
Detrol LA 4mg Cap
DNP
DNP
DNP
DNP
E
E
E
E
02239064
02239065
02244612
02244613
PFI
PFI
PFI
PFI
SOLIFENACIN
Vesicare 5mg Tab
Vesicare 10mg Tab
DNP
DNP
E
E
02277263
02277271
AST
AST
TROSPIUM
Trosec 20mg Tab
DNP
02275066
SEP
DARIFENACIN
Enablex 7.5mg Tab
Enablex 15mg Tab
DNP
DNP
E
E
02273217
02273225
NVR
NVR
E
E
02319500
02279401
TEV
PFI
Viagra 25mg Tab

Viagra 50mg Tab
Viagra 100mg Tab
02239766
02239767
02239768
PFI
PFI
PFI
TADALAFIL
Adcirca 20mg Tab
02338327
LIL
SF
SF
00039373
00039365
HOS
HOS
SF
SF
02243231
00493392
SDZ
BCH
02315866
02314282
02304678
02245565
APX
TEV
SDZ
SAV
Ditropan XL 5mg Tab

Ditropan XL 10mg Tab
Uromax 10mg Tab
Uromax 15mg Tab
Oxytrol Patch (3.9mg/day 36mg/patch)
G04BD07
G04BD08
G04BD09
G04BD10
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
G04BE DRUGS USED IN ERECTILE DYSFUNCTION

G04BE03
G04BE08
SILDENAFIL
sildenafil 20mg tab
ratio-Sildenafil-R 20mg Tab
Revatio 20mg Tab
DNP
DNP
MRP
MRP
G04BX OTHER UROLOGICALS

G04BX01
G04BX13
MAGNESIUM HYDROXIDE
Urologic G Irr Sol
Urologic G 1/2 Irr Sol
DNP
DNP
DIMETHYL SULFOXIDE
dimethyl sulfoxide 500mg/g (50%) irr sol
Dimethyl Sulfoxide 500mg/g (50%) Irr Sol
Rimso-50 (50%) Irr Sol
DNP
DNP
MRP
MRP
G04C DRUGS USED IN BENIGN PROSTATIC HYPERTROPHY

G04CA ALPHA-ADRENORECEPTOR ANTAGONISTS
G04CA01
October 2011
ALFUZOSIN
alfuzosin 10mg extended release tab
Apo-Alfuzosin 10mg Tab
Novo-Alfuzosin PR 10mg Tab
Sandoz Alfuzosin 10mg Tab
Xatral 10mg Tab
G04CA02
TAMSULOSIN
tamsulosin 0.4mg sustained release cap
MYLAN-Tamsulosin 0.4mg Cap
Novo-Tamsulosin 0.4mg Cap
RAN-Tamsulosin 0.4mg Cap
ratio-Tamsulosin 0.4mg Cap
Sandoz Tamsulosin 0.4mg CR Cap
Flomax 0.4mg Cap (discontinued)
tamsulosin 0.4mg sustained release cap/tab
Jamp-Tamsulosin 0.4mg Cap
Sandoz Tamsulosin 0.4mg CR Cap
Sandoz Tamsulosin 0.4mg CR Tab
Flomax 0.4mg CR Tab
G04CA03
02298570
02281392
02294885
02294265
02295121
MYL
TEV
RAN
TEV
SDZ
02352419
02295121
02340208
02270102
JPC
SDZ
SDZ
BOE
TERAZOSIN
terazosin 1mg tab
Apo-Terazosin 1mg Tab
Nu-Terazosin 1mg Tab
pms-Terazosin 1mg Tab
ratio-Terazosin 1mg Tab
Terazosin 1mg Tab
Teva-Terazosin 1mg Tab
Hytrin 1mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02234502
02233047
02243518
02218941
02350475
02230805
00818658
APX
NXP
PMS
TEV
SAS
TEV
ABB
terazosin 2mg tab

Terazosin 2mg Tab
Hytrin 2mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02234503
02233048
02243519
02218968
02350483
02230806
00818682
APX
NXP
PMS
TEV
SAS
TEV
ABB
terazosin 5mg tab

Terazosin 5mg Tab
Hytrin 5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02234504
02233049
02243520
02218976
02350491
02230807
00818666
APX
NXP
PMS
TEV
SAS
TEV
ABB
terazosin 10mg tab

Terazosin 10mg Tab
Hytrin 10mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02234505
02233050
02243521
02218984
02350505
02230808
00818674
APX
NXP
PMS
TEV
SAS
TEV
ABB
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
02354462
02355043
02357224
02356058
02348500
02310112
02306905
02322579
02010909
COB
AHC
JPC
MYL
TEV
PMS
TEV
SDZ
FRS
G04CB TESTOSTERONE-5-ALPHA REDUCTASE INHIBITORS

G04CB01
October 2011
FINASTERIDE
finasteride 5mg
CO Finasteride 5mg Tab
Finasteride 5mg Tab
Jamp-Finasteride 5mg Tab
MYLAN-Finasteride 5mg Tab
Novo-Finasteride 5mg Tab
pms-Finasteride 5mg Tab
ratio-Finasteride 5mg Tab
Sandoz Finasteride 5mg Tab
Proscar 5mg Tab
G04CB02
October 2011
DUTASTERIDE
Avodart 0.5mg Cap
02247813
GSK
October 2011
H01
PITUITARY, HYPOTHALAMIC HORMONES, AND ANALOGUES
H01A
ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES
H01AC SOMATROPHIN AND SOMATROPHIN AGONISTS

H01AC01
SOMATROPIN
Humatrope 1mg/mL Inj
Humatrope 6mg/vial Inj
Nutropin 5mg/vial Inj
Nutropin 10mg/vial Inj
Nutropin AQ 10mg/vial Inj
Nutropin AQ Pen Cartridge
Omnitrope 5mg/1.5mL
Omnitrope 10mg/1.5mL
Omnitrope 5.8mg/vial
Saizen 3.33mg/vial Inj
Saizen 5mg/vial Inj
Saizen 8.8mg/vial Inj
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
E
E
E
E
E
E
E
E
00745626
02243077
02243078
02243079
02216183
02216191
02229722
02249002
02325063
02325071
02325055
02215136
02237971
02272083
LIL
LIL
LIL
LIL
HLR
HLR
HLR
HLR
SDZ
SDZ
SDZ
EMD
EMD
EMD
DNP
DNP
DNP
E
E
E
02272199
02272202
02272210
PFI
PFI
PFI
VASOPRESSIN
vasopressin 20units/mL usp inj
Vasopressin 20units/mL USP Inj
Pressyn 20units/mL USP Inj
Pressyn AR 20units/mL USP Inj
02247938
00693820
02246133
SDZ
FEI
FEI
DESMOPRESSIN
DDAVP 100mcg/mL Rhinyle Drops
DDAVP 4mcg/mL Inj
Octostim 15mcg/mL Inj
00402516
00873993
02024179
FEI
FEI
FEI
desmopressin 10mcg/dose nasal sp

Desmopressin 10mcg/dose Nasal Sp
DDAVP 10mcg/dose Nasal Sp
02242465
00836362
AAP
FEI
Octostim 1.5mg/mL Nasal Spray
02237860
FEI
H01AX OTHER ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

H01AX01
PEGVISOMANT
Somavert 10mg/vial Inj
H01B POSTERIOR PITUITARY LOBE HORMONES

H01BA VASOPRESSIN AND ANALOGUES
H01BA01
H01BA02
desmopressin 0.1mg tab

Apo-Desmopressin 0.1mg Tab
Novo-Desmopressin 0.1mg Tab
pms-Desmopressin 0.1mg Tab
DDAVP 0.1mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
F6
F6
F6
F6
02284030
02287730
02304368
00824305
APX
TEV
PMS
FEI
desmopressin 0.2mg tab

Apo-Desmopressin 0.2mg Tab
pms-Desmopressin 0.2mg Tab
Novo-Desmopressin 0.2mg Tab
DDAVP 0.2mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
F6
F6
F6
F6
02284049
02304376
02287749
00824143
APX
PMS
TEV
FEI
Minirin 0.1mg Tab

DDAVP MELT 60mcg Tab
DNP
PRP
F6
02246500
02284995
FEI
FEI
Full benefit for children 16 years and under.
October 2011
Systemic Hormonal Preparations, Excluding Sex Hormones 77

DNP
DNP
PRP
F6
F6
02285002
02285010
FEI
FEI
SFC
02188783
PFI
02278383
PAL
H01C HYPOTHALAMIC HORMONES

H01CA GONADOTROPIN-RELEASING HORMONES
H01CA02
H01CA03
NAFARELIN
Synarel 2mg/mL Sol
DNP
HISTRELIN
Vantas 50mg/vial Inj
H01CB ANTIGROWTH HORMONE

H01CB02
H01CB03
H02
OCTREOTIDE
octreotide 50mcg/mL inj
Octreotide Acetate Omega 50mcg/mL Inj
Sandostatin 50mcg/mL Inj
DNP
DNP
MRP
MRP
SFC
SFC
02248639
00839191
HOS
NVR

DNP
DNP
MRP
MRP
SFC
SFC
02248640
00839205
HOS
NVR

DNP
DNP
MRP
MRP
SFC
SFC
02248642
02049392
HOS
NVR

DNP
DNP
MRP
MRP
SFC
SFC
02248641
00839213
HOS
NVR
Sandostatin LAR 10mg/vial Inj

DNP
DNP
DNP
SFC
SFC
SFC
02239323
02239324
02239325
NVR
NVR
NVR
LANREOTIDE
Somatuline Autogel 60mg/03.mL Syringe Inj
DNP
DNP
DNP
SFC
SFC
SFC
02283395
02283409
02283417
TER
TER
TER
DNP
SFC
02086026
PAL
SFC
SFC
02237835
00028096
SDZ
SCH
CORTICOSTEROIDS FOR SYSTEMIC USE
H02A CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

H02AA MINERALOCORTICOIDS
H02AA02
FLUDROCORTISONE
Florinef 0.1mg Tab
H02AB GLUCOCORTICOIDS
H02AB01
BETAMETHASONE
betamethasone 6mg/mL inj
Betaject 6mg/mL Inj
Celestone 6mg/mL Soluspan Inj
DNP
DNP
MRP
MRP
___________________________
6
Full benefit for children 16 years and under.
October 2011
H02AB02
H02AB04
October 2011
DEXAMETHASONE
dexamethasone 4mg/mL inj
Dexamethasone 4mg/mL Inj
Decadron 4mg/mL Inj (discontinued)
DNP
DNP
MRP
MRP
SFC
SFC
01977547
00664227
CYI
SDZ
SFC
SFC
SFC
02204274
00874582
00783900
OMG
SDZ
PMS

pms-Dexamethasone 10mg/mL Inj
DNP
DNP
DNP
dexamethasone 0.5mg tab

Apo-Dexamethasone 0.5mg Tab
pms-Dexamethasone 0.5mg Tab
Decadron 0.5mg Tab (discontinued)
DNP
DNP
MRP
MRP
SFC
SFC
02261081
01964976
APX
PMS
dexamethasone 0.75mg tab

pms-Dexamethasone 0.75mg Tab
Decadron 0.75mg Tab (discontinued)
DNP
MRP
SFC
01964968
PMS
pms-Dexamethasone 2mg Tab
DNP
SFC
02279363
PMS
dexamethasone 4mg tab

Apo-Dexamethasone 4mg Tab
pms-Dexamethasone 4mg Tab
Dexasone 4mg Tab
Decadron 4mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02250055
01964070
00489158
APX
PMS
VLN
METHYLPREDNISOLONE
methylprednisolone acetate 40mg/vial inj
Methylprednisolone Acetate 40mg/vial Inj
Depo-Medrol 40mg/mL Aq Multidose Inj
DNP
DNP
MRP
MRP
SFC
SFC
02245407
01934333
SDZ
PFI
methylprednisolone acetate 80mg/vial inj

Methylprednisolone Acetate 80mg/vial Inj
DNP
DNP
MRP
MRP
SFC
SFC
02245408
01934341
SDZ
PFI
methylprednisolone acetate 40mg/vial inj (pf)

Methylprednisolone Acetate 40mg/vial Inj (PF)
Depo-Medrol 40mg/mL Aq Multidose Inj (PF)
DNP
DNP
MRP
MRP
SFC
SFC
02245400
00030759
SDZ
PFI
methylprednisolone acetate 80mg/vial inj (pf)

Methylprednisolone Acetate 80mg/vial Inj (PF)
Depo-Medrol 80mg/mL Aq Multidose Inj (PF)
DNP
DNP
MRP
MRP
SFC
SFC
02245406
00030767
SDZ
PFI
methylprednisolone sodium succinate 40mg/vial inj

Methylprednisolone Sod. Succ. 40mg/vial Inj
DNP
Solu-Medrol 40mg/vial Inj (discontinued)
MRP
SFC
02231893
TEV

DNP
Solu-Medrol 125mg/vial Inj (discontinued)
MRP
SFC
02231894
TEV

DNP
Solu-Medrol 500mg/vial Inj
DNP
MRP
MRP
SFC
SFC
02231895
00030678
TEV
PFI
methylprednisolone sodium succinate 1g/vial inj

Methylprednisolone Sod. Succ. 1g/vial Inj
Solu-Medrol 1g/vial Inj
DNP
DNP
MRP
MRP
SFC
SFC
02241229
00036137
TEV
PFI
Solu-Medrol Act-O-Vial 1g Inj

Solu-Medrol Act-O-Vial 40mg Inj
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
02063697
02063719
02063727
02063700
PFI
PFI
PFI
PFI
H02AB06
H02AB07
H02AB08
H02AB09
H02AB10

Medrol 4mg Tab
Medrol 16mg Tab
DNP
DNP
DNP
SFC
SFC
SFC
01934325
00030988
00036129
PFI
PFI
PFI
PREDNISOLONE
prednisolone sodium phosphare 1mg/mL o/l
pms-Prednisolone 1mg/mL O/L
Pediapred 1mg/mL O/L
DNP
DNP
MRP
MRP
SFC
SFC
02245532
02230619
PMS
SAV
PREDNISONE
prednisone 1mg tab
Apo-Prednisone 1mg Tab
Winpred 1mg Tab
DNP
DNP
MRP
MRP
SFC
SFC
00598194
00271373
APX
VLN
prednisone 5mg tab

Novo-Prednisone 5mg Tab
Deltasone 5mg Tab (discontinued)
DNP
DNP
MRP
MRP
SFC
SFC
00312770
00021695
APX
TEV
prednisone 50mg tab

Novo-Prednisone 50mg Tab
Deltasone 50mg Tab (discontinued)
DNP
DNP
MRP
MRP
SFC
SFC
00550957
00232378
APX
TEV
TRIAMCINOLONE
triamcinolone 10mg/mL inj
Triamcinolone 10mg/mL Inj
Kenalog-10 (10mg/mL) Inj
DNP
DNP
MRP
MRP
SFC
SFC
02229540
01999761
SDZ
WSQ
Aristospan 20mg/mL Inj Susp
DNP
SFC
02194155
VAL
triamcinolone 40mg/mL inj

Kenalog-40 (40mg/mL) Inj
DNP
DNP
DNP
SFC
SFC
SFC
01977563
02229550
01999869
CYI
SDZ
WSQ
HYDROCORTISONE
Solu-Cortef 1g/vial Inj
Solu-Cortef 100mg/vial Inj
Cortef 10mg Tab
Cortef 20mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
SFC
SFC
00030635
00030600
00030619
00030627
00030910
00030929
PFI
PFI
PFI
PFI
PFI
PFI
CORTISONE
Cortisone Acetate 25mg Tab
DNP
SFC
00280437
VLN
DNP
SFC
00260428
PFI
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SF
SF
SF
SF
SF
SF
SF
02172062
02172070
02172089
02172097
02172100
02171228
02172119
02233852
ABB
ABB
ABB
ABB
ABB
ABB
ABB
ABB
MRP
MRP
MRP
H02B CORTICOSTEROIDS FOR SYSTEMIC USE, COMBINATIONS

H02BX CORTICOSTEROIDS FOR SYSTEMIC USE, COMBINATIONS
H02BX01
H03
METHYLPREDNISOLONE, COMBINATIONS
Depo-Medrol 40mg/mL w Lidocaine Inj
THYROID THERAPY
H03A THYROID PREPARATIONS

H03AA THYROID HORMONES
H03AA01
October 2011
LEVOTHYROXINE SODIUM
Synthroid 0.025mg Tab
Synthroid 0.1mg Tab
H03AA02
H03AA05

Synthroid 0.2mg Tab
Synthroid 0.3mg Tab
Eltroxin 50mcg Tab
Eltroxin 100mcg Tab
Eltroxin 150mcg Tab
Eltroxin 200mcg Tab
Eltroxin 300mcg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SF
SF
SF
SF
SF
SF
SF
SF
SF
02172127
02172135
02172143
02172151
02213192
02213206
02213214
02213222
02213230
ABB
ABB
ABB
ABB
TRI
TRI
TRI
TRI
TRI
LIOTHYRONINE SODIUM
Cytomel 5mcg Tab
Cytomel 25mcg Tab
DNP
DNP
SF
SF
01919458
01919466
KNG
KNG
THYROID GLAND PREPARATIONS

Thyroid 30mg Tab
Thyroid 60mg Tab
Thyroid 125mg Tab
DNP
DNP
DNP
SF
SF
SF
00023949
00023957
00023965
ERF
ERF
ERF
DNP
DNP
SF
SF
00010200
00010219
PAL
PAL
DNP
DNP
SF
SF
00015741
02296039
PAL
PAL
DNP
DNP
DNP
SFD
SFD
SFD
02243297
02333619
02333627
LIL
NNO
NNO
02254689
LIL
SFC
01926691
SAV
E
E
E
02247585
02261766
02240775
APX
SDZ
NVR
H03B ANTITHYROID PREPARATIONS

H03BA THIOURACILS
H03BA02
PROPYLTHIOURACIL
Propyl-Thyracil 50mg Tab
Propyl-Thyracil 100mg Tab
H03BB SULPHUR-CONTAINING IMIDAZOLE DERIVATIVES

H03BB02
H04
METHIMAZOLE (THIAMAZOLE)
Tapazole 5mg Tab
Tapazole 10mg Tab
PANCREATIC HORMONES
H04A GLYCOGENOLYTIC HORMONES

H04AA GLYCOGENOLYTIC HORMONES
H04AA01
H05
GLUCAGON
Glucagon 1mg/vial Inj
GlucaGen 1mg/vial
GlucaGen Hypokit 1mg/vial
CALCIUM HOMEOSTASIS
H05A PARATHYROID HORMONES AND ANALOGUES

H05AA PARATHYROID HORMONES AND ANALOGUES
H05AA02
TERIPARATIDE
Forteo 250mcg/mL Inj
H05B ANTI-PARATHYROID AGENTS

H05BA CALCITONIN PREPARATIONS
H05BA01
October 2011
CALCITONIN (SALMON SYNTHETIC)

Calcimar 200iu/mL Inj
DNP
calcitonin 200iu/dose nasal spray

Apo-Calcitonin 200iu/dose Nasal Sp
Sandoz Calcitonin NS 200iu/dose Nasal Sp
Miacalcin 200iu/dose Nasal Sp
DNP
DNP
DNP
MRP
MRP
MRP
HO5BX OTHER ANTI-PARATHYROID AGENTS

H05BX01
October 2011
CINACALET
Sensipar 30mg Tab
Sensipar 60mg Tab
Sensipar 90mg Tab
02257130
02257149
02257157
AGA
AGA
AGA
J01
ANTIBACTERIALS FOR SYSTEMIC USE
J01A
TETRACYCLINES
J01AA TETRACYCLINES
J01AA02
DOXYCYCLINE
doxycycline 100mg cap
Doxycin 100mg Cap
pms-Doxycycline 100mg Cap (discontinued)
doxycycline 100mg cap
Apo-Doxy 100mg Cap
Doxycycline 100mg Cap
Novo-Doxylin 100mg Cap
Nu-Doxycycline 100mg Cap
Vibramycin 100mg Cap
J01AA07
J01AA08
00817120
RIV
DNPM
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
00740713
02351234
00725250
02044668
00024368
APX
SAS
TEV
NXP
PFI
doxycycline 100mg tab

Apo-Doxy 100mg Tab
Doxycycline 100mg Tab
Novo-Doxylin 100mg Tab
Vibra-Tabs C-Pak (discontinued)
DNPM
DNPM
DNPM
MRP
MRP
MRP
SFC
SFC
SFC
00874256
02351242
02158574
APX
SAS
TEV
Doxycin 100mg Tab
DNPM
SFC
00860751
RIV
DNP
SFC
00580929
AAP
TETRACYCLINE
tetracycline 250mg cap
Tetra 250mg Cap
Nu-Tetra 250mg Cap (discontinued)
MINOCYCLINE
minocycline HCl 50mg cap
Apo-Minocycline 50mg Cap
MYLAN-Minocycline 50mg Cap
Minocycline 50mg Cap
Novo-Minocycline 50mg Cap
pms-Minocycline 50mg Cap
Sandoz Minocycline 50mg Cap
Minocin 50mg Cap
ratio-Minocycline 50mg Cap (discontinued)
minocycline HCl 100mg cap
Apo-Minocycline 100mg Cap
MYLAN-Minocycline 100mg Cap
Minocycline 100mg Cap
Novo-Minocycline 100mg Cap
pms-Minocycline 100mg Cap
Sandoz Minocycline 100mg Cap
ratio-Minocycline 100mg Cap (discontinued)
Minocin 100mg Cap (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02084090
02230735
02287226
02108143
02294419
02237313
02173514
APX
MYL
SAS
TEV
PMS
SDZ
STI
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
02084104
02230736
02287234
02108151
02294427
02237314
APX
MYL
SAS
TEV
PMS
SDZ
SFC
00312363
ERF
J01B
AMPHENICOLS
J01BA AMPHENICOLS
J01BA01
October 2011
CHLORAMPHENICOL
Chloromycetin Succinate 1g/vial Inj
DNP
General Antiinfectives, Systemic 83
J01C
BETA-LACTAM ANTIBACTERIALS, PENICILLINS
J01CA PENICILLINS WITH EXTENDED SPECTRUM
J01CA01
AMPICILLIN
ampicillin 250mg cap
Novo-Ampicillin 250mg Cap
Penbritin 250mg Cap (discontinued)
ampicillin 500mg cap
Novo-Ampicillin 500mg Cap
Penbritin 500mg Cap (discontinued)
J01CA02
J01CA04
J01CA06
October 2011
PIVAMPICILLIN
Pondocillin 35mg/mL Susp
AMOXICILLIN
amoxicillin 250mg cap
Amoxicillin 250mg Cap
Apo-Amoxi 250mg Cap
MYLAN-Amoxicillin 250mg Cap
Novamoxin 250mg Cap
Nu-Amoxi 250mg Cap
pms-Amoxicillin 250mg Cap
Amoxil 250mg Cap (discontinued)
DNPM
MRP
SFC
00020877
TEV
DNPM
MRP
SFC
00020885
TEV
SFC
00582239
LEO
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
02352710
00628115
02238171
00406724
00865567
02230243
SAS
APX
MYL
TEV
NXP
PMS
amoxicillin 500mg cap

Amoxicillin 500mg Cap
Apo-Amoxi 500mg Cap
MYLAN-Amoxicillin 500mg Cap
Novamoxin 500mg Cap
Nu-Amoxi 500mg Cap
pms-Amoxicillin 500mg Cap
Amoxil 500mg Cap (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
02352729
00628123
02238172
00406716
00865575
02230244
SAS
APX
MYL
TEV
NXP
PMS
amoxicillin 25mg/mL o/l

Amoxicillin 125mg Susp
Amoxicillin Sugar Reduced 25mg/mL O/L
Apo-Amoxi 125mg Susp
Apo-Amoxi Sugar Free 125mg Susp
Novamoxin 125mg Susp
Novamoxin Sugar Reduced 25mg/mL O/L
Nu-Amoxi 125mg Susp
pms-Amoxicillin 25mg/mL Susp
Amoxil 25mg/mL Susp (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02352745
02352761
00628131
00628131
00452149
01934171
00865540
02230245
SAS
SAS
APX
APX
TEV
TEV
NXP
PMS
amoxicillin 50mg/mL o/l

Amoxicillin 250mg Susp
Amoxicillin Sugar Reduced 50mg/mL O/L
Apo-Amoxi 250mg Susp
Apo-Amoxi Sugar Free 250mg Susp
Novamoxin 250mg Susp
Novamoxin Sugar Reduced 50mg/mL O/L
Nu-Amoxi 250mg Susp
pms-Amoxicillin 50mg/mL Susp
Amoxil 50mg/mL Susp (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02352753
02352788
00628158
00628158
00452130
01934163
00865559
02230246
SAS
SAS
APX
APX
TEV
TEV
NXP
PMS
amoxicillin 250mg chewable tab

Amoxicillin 250mg Chew Tab
Novamoxin 250mg Chew Tab
Amoxil 250mg Chew Tab (discontinued)
DNP
DNP
MRP
MRP
SFC
SFC
02352737
02036355
SAS
TEV
SFC
00627127
AZE
BACAMPICILLIN
Penglobe 400mg Tab
DNP
J01CA08
J01CA12
PIVMECILLINAM
Selexid 200mg Tab
SFC
00657212
LEO
02246640
HOS
piperacillin 3g/vial inj

Piperacillin 3g/vial Inj
Pipracil-PWS 3g/vial Inj (discontinued)
02246641
HOS

02246642
HOS
SFC
00642223
APX
DNP
PIPERACILLIN
J01CE BETA-LACTAMASE SENSITIVE PENCILLINS

J01CE02
J01CF
PHENOXYMETHYLPENICILLIN (PENICILLIN V)
Apo-Pen VK 125mg/5mL Susp
Pen-Vee 180mg/5mL Susp (discontinued)
Pen-Vee 300mg/5mL Susp (discontinued)
DNP
penicillin V potassium 60mg/mL o/l

Apo-Pen VK 300mg/5mL Susp
Novo-Pen-VK 300mg/5mL Susp
PVF 500 (300mg/5mL) Susp (discontinued)
DNP
DNP
MRP
MRP
SFC
SFC
00642231
00391603
APX
TEV
penicillin V potassium 300mg tab

Apo-Pen VK 300mg Tab
Novo-Pen-VK 300mg Tab
Nu-Pen VK 300mg Tab
PVF K 300mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
00642215
00021202
00717568
APX
TEV
NXP
DNPM
MRP
SFC
00337765
TEV
DNPM
MRP
SFC
00337773
TEV
DNPM
MRP
SFC
00337757
TEV
SFC
SFC
02238831
02238830
GSK
GSK
SFC
SFC
SFC
02243986
02244646
01916882
APX
TEV
GSK
BETA-LACTAMASE RESISTANT PENICILLINS

J01CF02
CLOXACILLIN
cloxacillin 250mg cap
Novo-Cloxin 250mg Cap
Apo-Cloxi 250mg Cap (discontinued)
Nu-Cloxi 250mg Cap (discontinued)
Orbenin 250mg Cap (discontinued)
cloxacillin 500mg cap
Novo-Cloxin 500mg Cap
Apo-Cloxi 500mg Cap (discontinued)
Nu-Cloxi 500mg Cap (discontinued)
Orbenin 500mg Cap (discontinued)
cloxacillin 25mg/mL o/l
Novo-Cloxin 125mg/5mL Susp
Apo-Cloxi 125mg/5mL Susp (discontinued)
Nu-Cloxi 125mg/5mL Susp (discontinued)
Orbenin 125mg/5mL Susp (discontinued)
J01CR COMBINATIONS OF PENICILLINS, INCLUDING BETA-LACTAMASE INHIBITOR

J01CR02
October 2011
AMOXICILLIN AND ENZYME INHIBITOR

Clavulin-200 (200mg/5mL) Susp
DNPM
DNPM
amoxicillin & enzyme inhibitor 125mg/5mL susp

Apo-Amoxi Clav 125mg/5mL Susp
ratio-Aclavulanate 125mg/5mL Susp
Clavulin-125F (125mg/5mL) Susp
DNPM
DNPM
DNPM
MRP
MRP
MRP

ratio-Aclavulanate 250mg/5mL Susp
Clavulin-250F (250mg/5mL) Susp
DNPM
DNPM
DNPM
MRP
MRP
MRP
SFC
SFC
SFC
02243987
02244647
01916874
APX
TEV
GSK

DNPM
DNPM
MRP
MRP
SFC
SFC
02288559
02238830
APX
GSK
DNPM
MRP
SFC
02243350
APX
amoxicillin & enzyme inhibitor 500mg tab

Apo-Amoxi Clav 500mg Tab
ratio-Aclavulanate 500mg Tab
Clavulin-500F (500mg) Tab
DNPM
DNPM
DNPM
MRP
MRP
MRP
SFC
SFC
SFC
02243351
02243771
01916858
APX
TEV
GSK

Novo-Clavamoxin 875 (875mg) Tab
ratio-Aclavulanate 875mg Tab
Clavulin-875 (875mg) Tab
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02245623
02248138
02247021
02238829
APX
TEV
TEV
GSK
PIPERACILLIN AND ENZYME INHIBITOR

piperacillin sodium & enzyme inhibitor 2g/vial inj
Piperacillin & Tazobactam 2g/vial Inj (Apotex)
Tazocin 2g/vial Inj
02308444
02170817
APX
PFI

Tazocin 3g/vial Inj
02308452
02170795
APX
PFI

Tazocin 4g/vial Inj
02308460
02170809
APX
PFI
SFC
SFC
00342084
00342114
TEV
TEV

Clavulin-250 (250mg) Tab (discontinued)
J01CR05
J01D
OTHER BETA-LACTAM ANTIBACTERIALS
J01DB FIRST-GENERATION CEPHALOSPORINS
J01DB01
October 2011
CEPHALEXIN
Novo-Lexin 250mg Cap
Novo-Lexin 500mg Cap
DNPM
DNPM
cephalexin monohydrate 25mg o/l

Novo-Lexin 125mg/5mL Susp
Keflex 125mg/5mL Susp (discontinued)
DNPM
MRP
SFC
00342106
TEV
cephalexin monohydrate 50mg o/l

Novo-Lexin 250mg/5mL Susp
Keflex 250mg/5mL Susp (discontinued)
DNPM
MRP
SFC
00342092
TEV
cephalexin monohydrate 250mg tab

Apo-Cephalex 250mg Tab
Novo-Lexin 250mg Tab
Nu-Cephalex 250mg Tab
Keflex 250mg Tab (discontinued)
DNPM
DNPM
DNPM
MRP
MRP
MRP
SFC
SFC
SFC
00768723
00583413
00865877
APX
TEV
NXP
cephalexin monohydrate 500mg tab

Apo-Cephalex 500mg Tab
Novo-Lexin 500mg Tab
Nu-Cephalex 500mg Tab
Keflex 500mg Tab (discontinued)
DNPM
DNPM
DNPM
MRP
MRP
MRP
SFC
SFC
SFC
00768715
00583421
00865885
APX
TEV
NXP
J01DB04
CEFAZOLIN
cefazolin sodium 500mg/vial inj
Cefazolin Sodium 500mg/vial Inj
Cefazolin Sodium 500mg/vial Inj
DNPM
DNPM
MRP
MRP
SFC
SFC
02108119
02308932
TEV
SDZ
cefazolin sodium 1g/vial inj

Cefazolin Sodium 1g/vial Inj
DNPM
DNPM
DNPM
MRP
MRP
MRP
SFC
SFC
SFC
02297205
02108127
02308959
APX
TEV
SDZ
02297213
02108135
APX
TEV
SFC
SFC
02240774
02235134
APX
TEV
SFC
02212307
GSK
cefazolin sodium 10g/vial inj

J01DB05
CEFADROXIL
cefadroxil 500mg cap
Apo-Cefadroxil 500mg Cap
Novo-Cefadroxil 500mg Cap
Duricef 500mg Cap (discontinued)
DNP
DNP
MRP
MRP
J01DC SECOND-GENERATION CEPHALOSPORINS

J01DC02
J01DC04
CEFUROXIME
Ceftin 125mg/5mL O/L
DNP
cefuroxime axetil 250mg tab

Apo-Cefuroxime 250mg Tab
ratio-Cefuroxime 250mg Tab
Ceftin 250mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02244393
02242656
02212277
APX
TEV
GSK
cefuroxime axetil 500mg tab

Apo-Cefuroxime 500mg Tab
ratio-Cefuroxime 500mg Tab
Ceftin 500mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02244394
02242657
02212285
APX
TEV
GSK
DNP
SFC
00465186
MMT
DNP
SFC
00465194
MMT
Ceclor 125mg/5mL Susp

Ceclor 250mg/5mL Susp
DNP
DNP
SFC
SFC
00465208
00465216
MMT
MMT
CEFPROZIL
cefprozil 125mg/5mL o/l
Apo-Cefprozil 125mg/5mL O/L
RAN-Cefprozil 125mg/5mL O/L
Sandoz Cefprozil 125mg/5mL O/L
Cefzil 125mg/5mL O/L
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02293943
02329204
02303426
02163675
APX
RAN
SDZ
BRI
cefprozil 250mg/5mL o/l

Apo-Cefprozil 250mg/5mL O/L
RAN-Cefprozil 250mg/5mL O/L
Sandoz Cefprozil 250mg/5mL O/L
Cefzil 250mg/5mL O/L
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02293951
02293579
02303434
02163683
APX
RAN
SDZ
BRI
CEFACLOR
cefaclor 250mg cap
Ceclor 250mg Cap
Apo-Cefaclor 250mg Cap (discontinued)
Nu-Cefaclor 250mg Cap (discontinued)
cefaclor 500mg cap
Ceclor 500mg Cap
Apo-Cefaclor 500mg Cap (discontinued)
Nu-Cefaclor 500mg Cap (discontinued)
J01DC10
October 2011
cefprozil 250mg tab

Apo-Cefprozil 250mg Tab
RAN-Cefprozil 250mg Tab
Sandoz Cefprozil 250mg Tab
Cefzil 250mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02292998
02293528
02302179
02163659
APX
RAN
SDZ
BRI
cefprozil 500mg tab

Apo-Cefprozil 500mg Tab
RAN-Cefprozil 500mg Tab
Sandoz Cefprozil 500mg Tab
Cefzil 500mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02293005
02293536
02302187
02163667
APX
RAN
SDZ
BRI
J01DD THIRD-GENERATION CEPHALOSPORINS

J01DD01
J01DD02
J01DD04
CEFOTAXIME
Claforan 0.5g/vial Inj
Claforan 1g/vial Inj
DNP
DNP
SFC
SFC
02225085
02225093
SAV
SAV
CEFTAZIDIME
Fortaz 1g/vial Inj
Fortaz 2g/vial Inj
Fortaz 6g/vial Inj
DNP
DNP
DNP
SFC
SFC
SFC
02212218
02212226
02212234
GSK
GSK
GSK
CEFTRIAXONE
ceftriaxone 0.25g/vial inj
Ceftriaxone 0.25g/vial Inj
Rocephin 0.25g/vial Inj
DNP
DNP
MRP
MRP
SFC
SFC
02292866
00657387
APX
HLR
ceftriaxone 1g/vial inj

Ceftriaxone 1g/vial Inj
Rocephin 1g/vial Inj
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02292874
02292270
00657417
APX
SDZ
HLR
DNP
DNP
MRP
MRP
SFC
SFC
02292882
02292289
APX
SDZ
02292904
APX
00868965
00868981
SAV
SAV
02319039
02163640
APX
BRI
00717274
00717282
FRS
FRS

Rocephin 2g/vial Inj (discontinued)
Rocephin 10g/vial Inj (discontinued)
J01DD08
J01DE01
CEFIXIME
Suprax 100mg/5mL Susp
Suprax 400mg Tab
DNP
DNP
SFC
SFC
CEFEPIME (HYDROCHLORIDE)
Cefepime 2g/vial inj
Cefepime for injection 2g/vial Inj
Maxipime 2g/vial Inj
J01DH CARBAPENEMS
J01DH51
October 2011
IMIPENEM AND ENZYME INHIBITOR

Primaxin 250mg/vial Inj
Primaxin 500mg/vial Inj
DNP
DNP
SFC
SFC
J01E
SULFONAMIDES AND TRIMETHOPRIM
J01EA TRIMETHOPRIM AND DERIVATIVES
J01EA01
TRIMETHOPRIM
trimethoprim 100mg tab
Trimethoprim 100mg Tab
Proloprim 100mg Tab (discontinued)
trimethoprim 200mg tab
Trimethoprim 200mg Tab
Proloprim 200mg Tab (discontinued)
J01EE
DNPM
MRP
SFC
02243116
AAP
DNPM
MRP
SFC
02243117
AAP
COMBINATIONS OF SULFONAMIDES AND TRIMETHOPRIM, INCLUDING DERIVATIVES

J01EE01
SULFAMETHOXAZOLE AND TRIMETHOPRIM

sulfamethoxazole 40mg & trimethoprim 8mg/mL o/l
Novo-Trimel 40/8mg Susp
DNPM
Septra 40/8mg Susp (discontinued)
MRP
SFC
00726540
TEV
sulfamethoxazole 400mg & trimethoprim 80mg tab

Apo-Sulfatrim 400/80mg Tab
DNPM
DNPM
Novo-Trimel 400/80mg Tab
Nu-Cotrimox 400/80mg Tab
DNPM
Septra 400/80mg Tab (discontinued)
MRP
MRP
MRP
SFC
SFC
SFC
00445274
00510637
00865710
APX
TEV
NXP
sulfamethoxazole 800mg & trimethoprim 160mg tab

Apo-Sulfatrim DS 800/160mg Tab
DNPM
DNPM
Novo-Trimel 800/160mg Tab
Nu-Cotrimox DS 800/160mg Tab
DNPM
Septra 800/160mg Tab (discontinued)
MRP
MRP
MRP
SFC
SFC
SFC
00445282
00510645
00865729
APX
TEV
NXP
SFC
00445266
APX
SFC
SFC
00726672
00607142
AAP
PFI
01925938
00873454
AAP
PFI
SFC
SFC
00682020
00262595
AAP
TEV
Apo-Sulfatrim 100/20mg Tab
DNPM
J01F
MACROLIDES, LINCOSAMIDES AND STREPTOGRAMINS
J01FA MACROLIDES
J01FA01
ERYTHROMYCIN
erythromycin base 250mg cap
Apo-Erythro-EC 250mg Cap
ERYC 250mg Cap
DNPM
DNPM
MRP
MRP
*Interchangeability does not apply if the capsule must be opened to administer the contents
(e.g. sprinkle on food or administer via a tube).
erythromycin base 333mg cap

Apo-Erythro-EC 333mg Cap
ERYC 333mg Cap
DNPM
DNPM
MRP
MRP
SFC
SFC
*Interchangeability does not apply if the capsule must be opened to administer the contents
(e.g. sprinkle on food or administer via a tube).
October 2011
Apo-Erythro Base 250mg Tab

Novo-Rythro EST 250mg/5mL Susp
DNPM
DNPM
erythromycin ethylsuccinate 40mg/mL o/l

Novo-Rythro EES 200mg/5mL Susp
EES-200 (200mg/5mL) Granules (discontinued)
DNPM
MRP
SFC
00605859
TEV
erythromycin ethylsuccinate 80mg/mL o/l

Novo-Rythro EES 400mg/5mL Susp
EES-400 (400mg/5mL) Granules (discontinued)
DNPM
MRP
SFC
00652318
TEV
erythromycin ethylsuccinate 600mg tab

Erythro-ES 600mg Tab
EES-600 (600mg) Tab (discontinued)
DNPM
MRP
SFC
00637416
AAP
J01FA02
J01FA09
J01FA10
J01FA15
October 2011
Erythro-S 250mg Tab

Erythro-S 500mg Tab
DNPM
DNPM
SFC
SFC
00545678
00688568
AAP
AAP
SPIRAMYCIN
Rovamycine 250mg Cap
Rovamycine 500mg Cap
DNP
DNP
SFC
SFC
01927825
01927817
ODN
ODN
CLARITHROMYCIN
Biaxin 125mg/5mL O/L
Biaxin 250mg/5mL O/L
DNP
DNP
E
E
02146908
02244641
ABB
ABB
clarithromycin 250mg tab

Apo-Clarithromycin 250mg Tab
MYLAN-Clarithromycin 250mg Tab
pms-Clarithromycin 250mg Tab
RAN-Clarithromycin 250mg Tab
ratio-Clarithromycin 250mg Tab
Sandoz Clarithromycin 250mg Tab
Biaxin BID 250mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
E
E
E
E
E
E
E
02274744
02248856
02247573
02361426
02247818
02266539
01984853
APX
MYL
PMS
RAN
TEV
SDZ
ABB
Biaxin XL 500mg Tab
DNP
02244756
ABB
clarithromycin 500mg tab

Apo-Clarithromycin 500mg Tab
MYLAN-Clarithromycin 500mg Tab
pms-Clarithromycin 500mg Tab
RAN-Clarithromycin 500mg Tab
ratio-Clarithromycin 500mg Tab
Sandoz Clarithromycin 500mg Tab
Biaxin BID 500mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
E
E
E
E
E
E
E
02274752
02248857
02247574
02361434
02247819
02266547
02126710
APX
MYL
PMS
RAN
TEV
SDZ
ABB
02239952
PFI
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
AZITHROMYCIN
Zithromax 500mg/vial Inj
azithromycin pos 100mg/5mL susp
Azithromycin POS 100mg/5mL Susp
Novo-Azithromycin POS 100mg/5mL Susp
pms-Azithromycin POS 100mg/5mL Susp
Zithromax POS 100mg/5mL Susp
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
E
E
E
E
02332388
02315157
02274388
02223716
SDZ
TEV
PMS
PFI
azithromycin pos 200mg/5mL susp

Azithromycin POS 200mg/5mL Susp
Novo-Azithromycin POS 200mg/5mL Susp
pms-Azithromycin POS 200mg/5mL Susp
Zithromax POS 200mg/5mL Susp
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
E
E
E
E
02332396
02315165
02274396
02223724
SDZ
TEV
PMS
PFI
azithromycin 250mg tab

Apo-Azithromycin 250mg Tab
Azithromycin 250mg Tab
CO Azithromycin 250mg Tab
GD-Azithromycin 250mg Tab
MYLAN-Azithromycin 250mg Tab
Novo-Azithromycin 250mg Tab
phl-Azithromycin 250mg Tab
pms-Azithromycin 250mg Tab
ratio-Azithromycin 250mg Tab
Sandoz Azithromycin 250mg Tab
Zithromax 250mg Tab
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
E
E
02247423
02330881
02255340
02274531
02278359
02267845
02278588
02261634
02275287
02265826
02212021
APX
SAS
COB
GMD
MYL
TEV
PHL
PMS
TEV
SDZ
PFI
azithromycin 600mg tab

Azithromycin 600mg Tab
CO Azithromycin 600mg Tab
pms-Azithromycin 600mg Tab
Zithromax 600mg Tab
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
E
E
E
E
02330911
02256088
02261642
02231143
SAS
COB
PMS
PFI
02247520
SAV
TELITHROMYCIN
Ketek 400mg Tab
J01FF
LINCOSAMIDES
J01FF01
J01FF02
CLINDAMYCIN
Dalacin C 75mg/5mL Granules
DNPM
clindamycin 150mg cap

Apo-Clindamycin 150mg Cap
MYLAN-Clindamycin 150mg Cap
Novo-Clindamycin 150mg Cap
Dalacin C 150mg Cap
DNPM
DNPM
DNPM
DNPM
clindamycin 300mg cap

Apo-Clindamycin 300mg Cap
MYLAN-Clindamycin 300mg Cap
Novo-Clindamycin 300mg Cap
Dalacin C 300mg Cap
SFC
00225851
PFI
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02245232
02258331
02241709
00030570
APX
MYL
TEV
PFI
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02245233
02258358
02241710
02182866
APX
MYL
TEV
PFI
clindamycin 150mg/mL inj

Clindamycin 150mg/mL Inj
Dalacin C Phos 150mg/mL Inj
DNPM
DNPM
MRP
MRP
SFC
SFC
02230540
00260436
SDZ
PFI
clindamycin 150mg/mL (bulk) inj

Clindamycin 150mg/mL Inj
Dalacin C Phos 150mg/mL Inj
DNPM
DNPM
MRP
MRP
SFC
SFC
02230535
00260436
SDZ
PFI
00030732
PFI
SFC
02241209
SDZ
SFC
02241210
SDZ
SFC
02242652
SDZ
02242971
SDZ
LINCOMYCIN
Lincocin 300mg/mL Inj
J01G
AMINOGLYCOSIDE ANTIBACTERIALS
J01GB OTHER AMINOGLYCOSIDES
J01GB01
TOBRAMYCIN
tobramycin 10mg/mL inj
Tobramycin 10mg/mL Inj
Nebcin 10mg/mL Inj (discontinued)
tobramycin 40mg/mL inj
Tobramycin 40mg/mL Inj
Nebcin 40mg/mL Inj (discontinued)
J01GB03
J01GB06
GENTAMICIN
gentamicin 40mg/mL inj
Gentamicin 40mg/mL Inj
Garamycin 40mg/mL Inj (discontinued)
DNP
MRP
DNP
DNP
MRP
AMIKACIN
amikacin 250mg/mL inj
Amikacin 250mg/mL Inj
Amikin 250mg/mL Inj (discontinued)
J01M
QUINOLONE ANTIBACTERIALS
J01MA FLUOROQUINOLONES
J01MA01
October 2011
OFLOXACIN
Ofloxacin 200mg Tab
Novo-Ofloxacin 200mg Tab (discontinued)
DNP
02231529
AAP
ofloxacin 300mg tab

Ofloxacin 300mg Tab
Floxin 300mg Tab (discontinued)
DNP
02231531
AAP
ofloxacin 400mg tab

Ofloxacin 400mg Tab
Floxin 400mg Tab (discontinued)
DNP
02231532
AAP
J01MA02
CIPROFLOXACIN
Cipro 100mg/mL O/L
October 2011
02237514
BAY
ciprofloxacin 250mg tab

Apo-Ciproflox 250mg Tab
Ciprofloxacin 250mg Tab
CO Ciprofloxacin 250mg Tab
MINT-Ciprofloxacin 250mg Tab
MYLAN-Ciprofloxacin 250mg Tab
Novo-Ciprofloxacin 250mg Tab
pms-Ciprofloxacin 250mg Tab
RAN-Ciproflox 250mg Tab
ratio-Ciprofloxacin 250mg Tab
Sandoz Ciprofloxacin 250mg Tab
Cipro 250mg Tab
RAN-Ciprofloxacin 250mg Tab (discontinued)
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
E
E
02229521
02353318
02247339
02317427
02245647
02161737
02248437
02303728
02246825
02248756
02155958
APX
SAS
COB
MNT
MYL
TEV
PMS
RAN
TEV
SDZ
BAY

Cipro 500mg Tab
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
E
E
02229522
02353326
02247340
02317435
02245648
02161745
02248438
02303736
02246826
02248757
02155966
APX
SAS
COB
MNT
MYL
TEV
PMS
RAN
TEV
SDZ
BAY

Cipro 750mg Tab
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
E
E
02229523
02353334
02247341
02317443
02245649
02161753
02248439
02303744
02246827
02248758
02155974
APX
SAS
COB
MNT
MYL
TEV
PMS
RAN
TEV
SDZ
BAY
02247916
02251787
BAY
BAY
E
E
E
E
02229524
02269627
02237682
02246596
APX
COB
TEV
PMS
Cipro XL 500mg Tab

Cipro XL 1,000mg Tab
J01MA06
DNPM
NORFLOXACIN
norfloxacin 400mg tab
Apo-Norflox 400mg Tab
CO Norfloxacin 400mg Tab
Novo-Norfloxacin 400mg Tab
pms-Norfloxacin 400mg Tab
Noroxin 400mg Tab (discontinued)
DNPM
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
J01MA14
LEVOFLOXACIN
levofloxacin 250mg tab
Apo-Levofloxacin 250mg Tab
CO Levofloxacin 250mg Tab
MYLAN-Levofloxacin 250mg Tab
Novo-Levofloxacin 250mg Tab
pms-Levofloxacin 250mg Tab
Sandoz Levofloxacin 250mg Tab
Levaquin 250mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02284707
02315424
02313979
02248262
02284677
02298635
02236841
APX
COB
MYL
TEV
PMS
SDZ
JAN

MYLAN-Levofloxacin 500mg Tab
Levaquin 500mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02284715
02315432
02313987
02248263
02284685
02298643
02236842
APX
COB
MYL
TEV
PMS
SDZ
JAN

Levaquin 750mg Tab
02325942
02315440
02285649
02305585
02298651
02246804
APX
COB
TEV
PMS
SDZ
JAN
Levaquin 5mg/mL Inj (premix)
02236839
JAN
MOXIFLOXACIN
Avelox 400mg Tab
DNP
02242965
BAY
DNPM
DNPM
E
E
00800430
00788716
IRO
IRO
J01X
OTHER ANTIBACTERIALS
J01XA GLYCOPEPTIDE ANTIBACTERIALS
J01XA01
VANCOMYCIN
Vancocin 125mg Cap
Vancocin 250mg Cap
vancomycin 500mg/vial inj
pms-Vancomycin 500mg/vial Inj
Vancocin CP 500mg/vial Inj (discontinued)
vancomycin HCI 500mg/vial inj
Val-Vanco 500mg/vial Inj
Sterile Vancomycin HCI 500mg/vial Inj
vancomycin 1g/vial inj
pms-Vancomycin 1g/vial Inj
Vancocin CP 1g/vial Inj (discontinued)
vancomycin HCI 1g/vial inj
Val-Vanco 1000mg/vial Inj
Sterile Vancomycin HCI 1g/vial Inj
DNPM
MRP
SFC
02241820
PMS
DNPM
DNPM
MRP
MRP
SFC
SFC
02342855
02230191
VAL
HOS
DNPM
MRP
SFC
02241821
PMS
DNPM
DNPM
MRP
MRP
SFC
SFC
02342863
02230192
VAL
HOS
SFC
01934252
LEO
J01XC STEROID ANTIBACTERIALS

J01XC01
October 2011
FUSIDIC ACID
Fucidin 250mg Tab
DNP
J01XD IMIDAZOLE DERIVATIVES

J01XD01
METRONIDAZOLE
metronidazole 250mg tab
Metronidazole 250mg Tab
Flagyl 250mg Tab (discontinued)
DNPM
MRP
SFC
metronidazole 500mg cap

Metronidazole 500mg Cap
pms-Metronidazole 500mg Cap
Flagyl 500mg Cap
J01XE
NITROFURANTOIN
nitrofurantoin 50mg cap
Novo-Furantoin 50mg Cap
Macrodantin 50mg Cap (discontinued)
DNPM
MRP
SFC
nitrofurantoin 100mg cap

Novo-Furantoin 100mg Cap
Macrodantin 100mg Cap (discontinued)
02248562
00783137
01926853
AAP
PMS
SAV
02231015
TEV
02231016
TEV
AAP
AAP
WNC
DNPM
SFC
DNPM
SFC
00319511
00312738
02063662
METHENAMINE
Hip-Rex 1g Tab
Mandelamine 500mg Tab
DNP
DNP
SFC
SFC
01966081
00499013
GWP
ERF
LINEZOLID
Zyvoxam 600mg Tab
DNP
02243684
PFI
02299909
SEP
SFC
00029149
BRI
SFC
SFC
SFC
02237235
02231061
02122197
APX
TEV
NXP
00891835
02248443
PFI
SDZ
02024152
PFI
Nitrofurantoin 50mg Tab

Nitrofurantoin 100mg Tab
Macrobid 100mg Cap
OTHER ANTIBACTERIALS
J01XX05
J01XX08
J01XX09
J02
AAP
NITROFURAN DERIVATIVES
J01XE01
J01XX
00545066
DAPTOMYCIN
Cubicin 500mg Vial
ANTIMYCOTICS FOR SYSTEMIC USE
J02A
ANTIMYCOTICS FOR SYSTEMIC USE
J02AA ANTIBIOTICS
J02AA01
AMPHOTERICIN
Fungizone 50mg/vial Inj
DNP
J02AB IMIDAZOLE DERIVATIVES

J02AB02
KETOCONAZOLE
ketoconazole 200mg tab
Apo-Ketoconazole 200mg Tab
Novo-Ketoconazole 200mg Tab
Nu-Ketocon 200mg Tab
Nizoral 200mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
J02AC TRIAZOLE DERIVATIVES

J02AC01
FLUCONAZOLE
fluconazole 2mg/mL inj
Diflucan 2mg/mL Inj
Fluconazole 2mg/mL Inj
Diflucan POS 10mg/mL
October 2011
DNP
J02AC02
J02AC03
J02AC04
J04
fluconazole 50mg tab

Apo-Fluconazole 50mg Tab
CO Fluconazole 50mg Tab
MYLAN-Fluconazole 50mg Tab
Novo-Fluconazole 50mg Tab
pms-Fluconazole 50mg Tab
Diflucan 50mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02237370
02281260
02245292
02236978
02245643
APX
COB
MYL
TEV
PMS
fluconazole 100mg tab

Apo-Fluconazole 100mg Tab
CO Fluconazole 100mg Tab
MYLAN-Fluconazole 100mg Tab
Novo-Fluconazole 100mg Tab
pms-Fluconazole 100mg Tab
Diflucan 100mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02237371
02281279
02245293
02236979
02245644
APX
COB
MYL
TEV
PMS
fluconazole 150mg cap

Apo-Fluconazole 150mg Cap
pms-Fluconazole 150mg Cap
Diflucan 150mg Cap (discontinued)
DNP
DNP
MRP
MRP
SFC
SFC
02241895
02282348
APX
PMS
ITRACONAZOLE
Sporanox 100mg Cap
DNP
02047454
JAN
VORICONAZOLE
Vfend 50mg Tab
Vfend 200mg Tab
DNP
DNP
E
E
02256460
02256479
PFI
PFI
02293404
SCH
POSACONAZOLE
Posanol 40mg/mL Susp
ANTIMYCOBACTERIALS
J04A
DRUGS FOR TREATMENT OF TUBERCULOSIS
J04AB ANTIBIOTICS
J04AB02
J04AB04
RIFAMPIN (RIFAMPICIN)
rifampin 150mg cap
Rifadin 150mg Cap
Rofact 150mg Cap
DNP
DNP
MRP
MRP
SFC
SFC
02091887
00393444
SAV
VLN
rifampin 300mg cap

Rifadin 300mg Cap
Rofact 300mg Cap
DNP
DNP
MRP
MRP
SFC
SFC
02092808
00343617
SAV
VLN
RIFABUTIN
Mycobutin 150mg Cap
DNP
SFC
02063786
PFI
ISONIAZID
pms-Isoniazid 300mg Tab
Isotamine 300mg Tab
DNP
DNP
SFC
SFC
00577804
00272655
PMS
VLN
PYRAZINAMIDE
Tebrazid 500mg Tab
DNP
SFC
00283991
VLN
ETHAMBUTOL
Etibi 100mg Tab
DNP
SFC
00247960
VLN
DNP
SFC
00247979
VLN
J04AC HYDRAZIDES
J04AC01
J04AK OTHER DRUGS FOR TREATMENT OF TUBERCULOSIS

J04AK01
J04AK02
ethambutol 400mg tab

Etibi 400mg Tab
Myambutol 400mg Tab (discontinued)
October 2011
J04AM COMBINATIONS OF DRUGS FOR TREATMENT OF TUBERCULOSIS

J04AM02
RIFAMPIN AND ISONIAZID

Rifater Tab
02148625
SAV
02041510
JCB
SFC
00886157
GSK
J04B
DRUGS FOR TREATMENT OF LEPRA
J04BA DRUGS FOR TREATMENT OF LEPRA
J04BA02
J05
DAPSONE
Dapsone 100mg Tab
SFC
DNP
ANTIVIRALS FOR SYSTEMIC USE
J05A
DIRECT ACTING ANTIVIRALS
J05AB NUCLEOSIDES AND NUCLEOTIDES EXCLUDING REVERSE TRANSCRIPTASE INHIBITORS
J05AB01
J05AB06
J05AB09
October 2011
ACYCLOVIR
Zovirax 200mg/5mL O/L
DNPM
acyclovir 200mg tab

Acyclovir 200mg Tab
Apo-Acyclovir 200mg Tab
MYLAN-Acyclovir 200mg Tab
Novo-Acyclovir 200mg Tab
Nu-Acyclovir 200mg Tab
ratio-Acyclovir 200mg Tab
Zovirax 200mg Tab
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02286556
02207621
02242784
02285959
02197405
02078627
00634506
SAS
APX
MYL
TEV
NXP
TEV
GSK
acyclovir 400mg tab

Acyclovir 400mg Tab
Zovirax 400mg Tab
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02286564
02207648
02242463
02285967
02197413
02078635
01911627
SAS
APX
MYL
TEV
NXP
TEV
GSK
acyclovir 800mg tab

Acyclovir 800mg Tab
Zovirax Zostab 800mg Tab
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02286572
02207656
02242464
02285975
02197421
02078651
01911635
SAS
APX
MYL
TEV
NXP
TEV
GSK
02162695
HLR
GANCICLOVIR
Cytovene 500mg/vial Inj
FAMCICLOVIR
famciclovir 125mg tab
Apo-Famciclovir 125mg Tab
CO Famciclovir 125mg Tab
pms-Famciclovir 125mg Tab
Sandoz Famciclovir 125mg Tab
Famvir 125mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02292025
02305682
02278081
02278634
02229110
APX
COB
PMS
SDZ
NVR

Famvir 250mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02292041
02305690
02278103
02278642
02229129
APX
COB
PMS
SDZ
NVR
J05AB11
J05AB14

Famvir 500mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02292068
02305704
02278111
02278650
02177102
APX
COB
PMS
SDZ
NVR
VALACYCLOVIR
valacyclovir 500mg tab
Apo-Valacyclovir 500mg Tab
CO Valacyclovir 500mg Tab
MYLAN-Valacyclovir 500mg Tab
pms-Valacyclovir 500mg Tab
Valtrex 500mg Tab
DNPM
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02295822
02331748
02351579
02298457
02219492
APX
COB
MYL
PMS
GSK
VALGANCICLOVIR
Valcyte 450mg Tab
DNP
02245777
HLR
SAQUINAVIR
Invirase 200mg Cap
Invirase 500mg Tab
02216965
02279320
HLR
HLR
INDINAVIR
Crixivan 200mg Cap
Crixivan 400mg Cap
02229161
02229196
FRS
FRS
RITONAVIR
Norvir 80mg/mL O/L
02229145
ABB
NELFINAVIR
Viracept 625mg Tab
02248761
PFI
FOSAMPRENAVIR
Telzir 50mg/mL Susp
Telzir 700mg Tab
02261553
02261545
GSK
GSK
ATAZANAVIR
Reyataz 150mg Cap
Reyataz 200mg Cap
Reyataz 300mg Cap
02248610
02248611
02294176
BRI
BRI
BRI
TIPRANAVIR
Aptivus 250mg Cap
02273322
BOE
DARUNAVIR
Prezista 75mg Tab
Prezista 300mg Tab
Prezista 400mg Tab
02338432
02284057
02324016
JAN
JAN
JAN
PROTEASE INHIBITORS, COMBINATIONS

Keletra 100/25mg Pediatric Tab
Kaletra 200/50mg Tab
02312301
02285533
ABB
ABB
ZIDOVUDINE
zidovudine 100mg cap
Apo-Zidovudine 100mg Cap
Retrovir 100mg Cap
01946323
01902660
APX
GSK
STAVUDINE
Zerit 15mg Cap
Zerit 20mg Cap
Zerit 30mg Cap
Zerit 40mg Cap
02216086
02216094
02216108
02216116
BRI
BRI
BRI
BRI
J05AE PROTEASE INHIBITORS

J05AE01
J05AE02
J05AE03
J05AE04
J05AE07
J05AE08
J05AE09
J05AE10
J05AE30
J05AF
NUCLEOSIDE AND NUCLEOTIDE REVERSE TRANSCRIPTASE INHIBITORS

J05AF01
J05AF04
October 2011
J05AF05
J05AF07
J05AF08
J05AF10
J05AF11
LAMIVUDINE
Heptovir 100mg Tab
3TC 10mg/mL O/L
3TC 150mg Tab
3TC 300mg Tab
DNP
02239193
02192691
02192683
02247825
VIV
GSK
GSK
GSK
TENOFOVIR DISOPROXIL
Viread 300mg Tab
DNP
02247128
GIL
ADEFOVIR DIPIVOXIL
Hepsera 10mg Tab
DNP
02247823
GIL
ENTECAVIR
Baraclude 0.5mg Tab
DNP
02282224
BRI
02288389
NVR
NEVIRAPINE
nevirapine 200mg tab
Auro-Nevirapine 200mg Tab
Teva-Nevirapine 200mg Tab
Viramune 200mg Tab
02318601
02352893
02238748
ARO
TEV
BOE
ETRAVIRINE
Intelence 100mg Tab
02306778
JAN
TELBIVUDINE
Sebivo 600mg Tab
J05AG NONNUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITORS

J05AG01
J05AG04
J05AH NEURAMINIDASE INHIBITORS

J05AH01
J05AH02
ZANAMIVIR
Relenza 5mg Pdr for Inhalation
DNP
02240863
GSK
OSELTAMIVIR
Tamiflu 30mg Cap
Tamiflu 45mg Cap
Tamiflu 75mg Cap
Tamiflu 12mg/mL Susp
Tamiflu 15mg/mL Oral Susp
DNP
DNP
DNP
DNP
DNP
E
E
E
E
E
02304848
02304856
02241472
02245549
00903521
HLR
HLR
HLR
HLR
CPD
LAMIVUDINE AND ABACAVIR

Kivexa Tab
02269341
GSB
TENOFOVIR DISOPROXIL AND EMTRICITABINE

Truvada Tab
02274906
GIL
EMTRICITABINE, TENOFOVIR DISOPROXIL AND EFAVIRENZ

Atripla Tab
02300699
GIL
ENFUVIRTIDE
Fuzeon 108mg/vial Inj
02247725
HLR
RALTEGRAVIR
Isentress 400mg Tab
02301881
FRS
MARAVIROC
Celsentri 150mg Tab
Celsentri 300mg Tab
02299844
02299852
VIV
VIV
J05AR ANTIVIRALS FOR TREATMENT OF HIV INFECTIONS, COMBINATION

J05AR02
J05AR03
J05AR06
J05AX OTHER ANTIVIRALS

J05AX07
J05AX08
J05AX09
October 2011
L01
ANTINEOPLASTIC AGENTS
L01A
ALKYLATING AGENTS
L01AA NITROGEN MUSTARD ANALOGUES
L01AA01
L01AA02
L01AA03
L01AA05
CYCLOPHOSPHAMIDE
Procytox 25mg Tab
Procytox 50mg Tab
DNP
DNP
SFC
SFC
02241795
02241796
BAX
BAX
CHLORAMBUCIL
Leukeran 2mg Tab
DNP
SFC
00004626
GSK
MELPHALAN
Alkeran 2mg Tab
DNP
SFC
00004715
GSK
MECHLORETHAMINE (CHLORMETHINE)
Mustargen 10mg/vial Inj
DNP
SFC
00016063
VLH
DNP
SFC
00004618
GSK
DNP
DNP
DNP
SFC
SFC
SFC
00360430
00360422
00360414
BRI
BRI
BRI
DNP
DNP
DNP
DNP
DNP
DNP
E
E
E
E
E
E
02241093
02241094
02241095
02312794
02312816
02241096
SCH
SCH
SCH
SCH
SCH
SCH
METHOTREXATE
Methotrexate 10mg/mL Inj
Methotrexate 25mg/mL Inj (PF)
Methotrexate 25mg/mL Inj (PF)
DNP
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
SFC
02182947
02182777
02182971
02182955
02099705
HOS
HOS
HOS
HOS
TEV
methotrexate 2.5mg tab

Apo-Methotrexate 2.5mg Tab
ratio-Methotrexate Sodium 2.5mg Tab
Methotrexate 2.5mg Tab
DNP
DNP
DNP
SFC
SFC
SFC
02182963
02244798
02170698
APX
TEV
PFI
Methotrexate 10mg Tab
DNP
SFC
02182750
HOS
MERCAPTOPURINE
Purinethol 50mg Tab
DNP
SFC
00004723
TEV
THIOGUANINE
Lanvis 40mg Tab
DNP
SFC
00282081
GSK
FLUDARABINE
Fludara 10mg Tab
DNP
02246226
GZM
L01AB ALKYL SULPHONATES

L01AB01
BUSULFAN
Myleran 2mg Tab
L01AD NITROSOUREAS
L01AD02
LOMUSTINE
CeeNU 10mg Cap
CeeNU 40mg Cap
CeeNU 100mg Cap
L01AX OTHER ALKYLATING AGENTS

L01AX03
TEMOZOLOMIDE
Temodal 5mg Cap
Temodal 20mg Cap
Temodal 100mg Cap
Temodal 140mg Cap
Temodal 180mg Cap
Temodal 250mg Cap
L01B
ANTIMETABOLITES
L01BA FOLIC ACID ANALOGUES
L01BA01
MRP
MRP
MRP
L01BB PURINE ANALOGUES

L01BB02
L01BB03
L01BB05
October 2011
Antineoplastics and Immunomodulating Agents 99
L01BC02
L01BC05
L01BC06
FLUOROURACIL
Efudex 5% Cr
Fluorouracil 50mg/vial Inj
00330582
00012882
VLN
SDZ
02324210
02230309
AHC
LIL
02238453
02238454
HLR
HLR
02091283
GSK
00616192
BRI
DOCETAXEL
docetaxel 10mg/mL inj (2mL)
Docetaxel 10mg/mL Inj (2mL)
Taxotere 20mg Inj
02361957
02177099
HOS
SAV
docetaxel 10mg/mL inj (8mL)

Docetaxel 10mg.mL Inj (8mL)
Taxotere 80mg Inj
02361957
02177080
HOS
SAV
02303892
02065703
AHC
PFI
DNP
DNP
SFC
SFC
GEMCITABINE
gemcitabine hydrochloride 1g/vial inj
Gemcitabine 1g/vial Inj
Gemzar 1g/vial Inj
CAPECITABINE
Xeloda 150mg Tab
Xeloda 500mg Tab
DNP
DNP
E
E
L01C
PLANT ALKALOIDS AND OTHER NATURAL PRODUCTS
L01CA VINCA ALKALOIDS AND ANALOGUES
L01CA04
VINORELBINE
Navelbine 10mg/mL Inj
L01CB PODOPHYLLOTOXIN DERIVATIVES

L01CB01
ETOPOSIDE
Vepesid 50mg Cap
DNP
SFC
L01CD TAXANES
L01CD02
L01D
ANTINEOPLASTIC AGENTS
L01DB ANTHRACYCLINES AND RELATED SUBSTANCES
L01DB03
EPIRUBICIN
epirubicin HCI 2mg/mL inj
Epiriubicin HCI 2mg/mL Inj
Pharmorubicin PFS 2mg/mL Inj
L01X
OTHER ANTINEOPLASTIC AGENTS
L01XB METHYLHYDRAZINES
LO1XB01
PROCARBAZINE
Matulane 50mg Cap
DNP
SFC
00012750
QGT
DNP
02241927
HLR
DNP
DNP
DNP
E
E
E
02244725
02253275
02253283
NVR
NVR
NVR
L01XC MONOCLONAL ANTIBODIES

L01XC02
RITUXIMAB
Rituxan 10mg/mL Inj
L01XE PROTEIN KINASE INHIBITORS

L01XE01
October 2011
IMATINIB
Gleevec 100mg Cap
Gleevec 100mg Tab
Gleevec 400mg Tab
L01XE02
L01XE03
L01XE04
L01XE05
L01XE06
L01XE07
L01XE08
GEFITINIB
Iressa 250mg Tab
02248676
AZE
ERLOTINIB
Tarceva 100mg Tab
Tarceva 150mg Tab
DNP
DNP
E
E
02269015
02269023
HLR
HLR
SUNITINIB
Sutent 12.5mg Cap
Sutent 25mg Cap
Sutent 50mg Cap
DNP
DNP
DNP
E
E
E
02280795
02280809
02280817
PFI
PFI
PFI
SORAFENIB
Nexavar 200mg Tab
DNP
02284227
BAY
DASATINIB
Sprycel 20mg Cap
Sprycel 50mg Cap
Sprycel 70mg Cap
Sprycel 100mg Cap
DNP
DNP
DNP
DNP
E
E
E
E
02293129
02293137
02293145
02320193
BRI
BRI
BRI
BRI
LAPATINIB
Tykerb 250mg Tab
DNP
02326442
GSK
NILOTINIB
Tasigna 200mg Cap
DNP
02315874
NVR
ALTRETAMINE
Hexalen 50mg Cap
DNP
02126230
MGI
HYDROXYUREA (HYDROXYCARBAMIDE)
hydroxyurea 500mg cap
Apo-Hydroxyurea 500mg Cap
Hydroxyurea 500mg Cap
MYLAN-Hydroxyurea 500mg Cap
Hydrea 500mg Cap
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
02247937
02343096
02242920
00465283
APX
SAS
MYL
BRI
ESTRAMUSTINE
Emcyt 140mg Tab
DNP
SFC
02063794
PFI
ANAGRELIDE
anagrelide 0.5mg cap
MYLAN-Anagrelide 0.5mg Cap
Sandoz Anagrelide 0.5mg Cap
Agrylin 0.5mg Cap
DNP
DNP
DNP
E
E
E
02253054
02260107
02236859
MYL
SDZ
SHI
DNP
SFC
02168979
BRI
megestrol acetate 40mg tab

Megestrol 40mg Tab
Megace 40mg Tab (discontinued)
DNP
SFC
02195917
AAP
megestrol acetate 160mg tab

Megestrol 160mg Tab
Megace 160mg Tab (discontinued)
DNP
SFC
02195925
AAP
L01XX OTHER ANTINEOPLASTIC AGENTS

L01XX03
L01XX05
L01XX11
L01XX35
L02
MRP
MRP
MRP
MRP
MRP
MRP
MRP
ENDOCRINE THERAPY
L02A
HORMONES AND RELATED AGENTS
L02AB PROGESTOGENS
L02AB01
October 2011
MEGESTROL
Megace OS 40mg/mL O/L
L02AE GONADOTROPHIN RELEASING HORMONE ANALOGUES

L02AE01
L02AE02
L02AE03
L02AE04
BUSERELIN
Suprefact 1mg/mL Nasal Sol
Suprefact Depot 6.3mg (2 month) Implant
Suprefact Depot 9.45mg (3 month) Implant
DNP
DNP
DNP
SFC
SFC
SFC
02225158
02228955
02240749
SAV
SAV
SAV
LEUPROLIDE (LEUPRORELIN)
Lupron 5mg/mL Inj
Lupron Depot 7.5mg (monthly) Inj Kit
Lupron Depot 3.75mg (monthly) Inj Kit
Lupron Depot 11.25mg (3 month) SR Inj Kit
Eligard 22.5mg (3 month) Inj Kit
Lupron Depot 22.5mg (3 month) SR Inj Kit
Lupron Depot 30mg (4 month) SR Inj Kit
Eligard 45mg (6 month) Inj Kit
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SFC
SFC
SF
SF
SFC
SFC
SFC
SFC
00727695
00836273
00884502
02239834
02248240
02230248
02239833
02268892
ABB
ABB
ABB
ABB
SAV
ABB
ABB
SAV
GOSERELIN
Zoladex Depot 3.6mg/syringe Inj
Zoladex LA 10.8mg/syringe (3 month) Inj
DNP
DNP
SFC
SFC
02049325
02225905
AZE
AZE
TRIPTORELIN
Trelstar Depot 3.75mg/vial Inj
Trelstar LA 11.25mg/vial Inj
DNP
DNP
SFC
SFC
02240000
02243856
PAL
PAL
L02B
HORMONE ANTAGONISTS AND RELATED AGENTS
L02BA ANTI-ESTROGENS
L02BA01
TAMOXIFEN
tamoxifen citrate 10mg tab
Apo-Tamox 10mg Tab
MYLAN-Tamoxifen 10mg Tab
Novo-Tamoxifen 10mg Tab
Nolvadex 10mg Tab (discontinued)
Tamofen 10mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
00812404
02088428
00851965
APX
MYL
TEV
tamoxifen citrate 20mg tab

Apo-Tamox 20mg Tab
MYLAN-Tamoxifen 20mg Tab
Novo-Tamoxifen 20mg Tab
Nolvadex-D 20mg Tab
Tamofen 20mg Tab (discontinued)
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
00812390
02089858
00851973
02048485
APX
MYL
TEV
AZE
FLUTAMIDE
flutamide 250mg tab
Apo-Flutamide 250mg Tab
Novo-Flutamide 250mg Tab
pms-Flutamide 250mg Tab
Euflex 250mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02238560
02230089
02230104
00637726
APX
TEV
PMS
SCH
NILUTAMIDE
Anandron 50mg Tab
DNP
SFC
02221861
SAV
BICALUTAMIDE
bicalutamide 50mg tab
Apo-Bicalutamide 50mg Tab
Bicalutamide 50mg Tab
CO Bicalutamide 50mg Tab
Jamp-Bicalutamide 50mg Tab
MYLAN-Bicalutamide 50mg Tab
Novo-Bicalutamide 50mg Tab
pms-Bicalutamide 50mg Tab
ratio-Bicalutamide 50mg Tab
Sandoz Bicalutamide 50mg Tab
Casodex 50mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02296063
02325985
02274337
02357216
02302403
02270226
02275589
02277700
02276089
02184478
APX
AHC
COB
JPC
MYL
TEV
PMS
TEV
SDZ
AZE
L02BB ANTI-ANDROGENS
L02BB01
L02BB02
L02BB03
October 2011
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
L02BG ENZYME INHIBITORS

L02BG03
L02BG04
L02BG06
ANASTROZOLE
Arimidex 1mg Tab
DNP
LETROZOLE
letrozole 2.5 tab
Letrozole 2.5mg Tab
Letrozole 2.5mg Tab
Letrozole 2.5mg Tab
MED-Letrozole 2.5mg Tab
pms-Letrozole 2.5mg Tab
Sandoz Letrozole 2.5mg Tab
Femara 2.5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
EXEMESTANE
Aromasin 25mg Tab
SFC
02224135
AZE
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02338459
02348969
02347997
02322315
02309114
02344815
02231384
AHC
COB
TEV
GMP
PMS
SDZ
NVR
DNP
SFC
02242705
PFI
DNP
DNP
SFC
SFC
02337029
02337037
FEI
FEI
FILGRASTIM
Neupogen 300mcg/mL Inj
01968017
AGA
PEGFILGRASTIM
Neulasta 10mg/mL Inj
02249790
AGA
02238674
02223406
02238675
02231651
02240693
02240694
02240695
SCH
SCH
SCH
SCH
SCH
SCH
SCH
INTERFERON BETA-1A
Avonex 30mcg/1.1mL Inj
Avonex PS 30mcg/0.5mL Inj
Rebif 22mcg/0.5mL Inj
Rebif 44mcg/0.5mL Inj
Rebif Pack 8.8mcg/0.2mL / 22mcg/0.5mL Inj
Rebif 22mcg Multidose Cartridges
Rebif 44mcg Mulitdose Cartridges
02237770
02269201
02237319
02237320
02281708
02318253
02318261
BIG
BIG
EMD
EMD
EMD
EMD
EMD
INTERFERON BETA-1B
Betaseron 0.3mg/vial Inj
Betaseron Initiation Pack
Extavia 0.3mg/vial Inj
02169649
02169649
02337819
BAY
BAY
NVR
MRP
MRP
MRP
MRP
MRP
MRP
MRP
L02BX OTHER HORMONE ANTAGONISTS AND RELATED AGENTS

L02BX02
L03
DEGARELIX
Firmagon 80mg/vial
Firmagon 120mg/vial
IMMUNOSTIMULANTS
L03A
IMMUNOSTIMULANTS
L03AA COLONY STIMULATING FACTORS
L03AA02
L03AA13
L03AB INTERFERONS
L03AB05
L03AB07
L03AB08
L03AB11
L03AB60
October 2011
INTERFERON ALPHA-2B
Intron A 6,000,000iu/mL Inj (albumin free)
Intron A 10,000,000iu/vial Inj
Intron A 10,000,000iu/mL Inj (albumin free)
Intron A 18,000,000iu/vial Inj
Intron A 15,000,000iu Multidose Pen
DNP
DNP
DNP
DNP
DNP
DNP
DNP
E
E
E
E
E
E
E
PEGINTERFERON ALFA-2A
Pegasys 180mcg/0.5mL Syr Inj
Pegasys 180mcg/vial Inj
DNP
DNP
E
E
02248077
02248078
HLR
HLR
RIBAVIRIN, COMBINATIONS
Pegasys RBV 180mcg/mL Inj / 200mg Tab
Pegasys RBV 180mcg/0.5mL Inj / 200mg Tab
DNP
DNP
E
E
02253410
02253429
HLR
HLR
Pegetron Redipen 80mcg/0.5mL Inj / 200mg Cap

Pegetron 50mcg/mL Inj / 200mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
E
E
E
E
E
E
E
E
E
02254581
02254603
02254638
02254646
02246026
02246027
02246028
02246029
02246030
SCH
SCH
SCH
SCH
SCH
SCH
SCH
SCH
SCH
DNP
SFC
02194376
AVP
02245619
TMP
02192748
02264560
02264579
02237484
HLR
NVR
NVR
HLR
L03AX OTHER CYTOKINES AND IMMUNOMODULATORS/-STIMULANTS

L03AX03
L03AX13
L04
BCG VACCINE
ImmuCyst BCG Therapeutic 3.5CFU/vial Inj
GLATIRAMER ACETATE
Copaxone 20mg/mL Syr Inj
IMMUNOSUPPRESSANTS
L04A
IMMUNOSUPPRESSANTS
L04AA SELECTIVE IMMUNOSUPPRESSANTS
L04AA06
L04AA13
L04AA15
L04AA24
MYCOPHENOLIC ACID
Cellcept 250mg Cap
Myfortic 180mg Tab
Myfortic 360mg Tab
Cellcept 500mg Tab
LEFLUNOMIDE
leflunomide 10mg tab
Apo-Leflunomide 10mg Tab
Leflunomide 10mg Tab
MYLAN-Leflunomide 10mg Tab
Novo-Leflunomide 10mg Tab
pms-Leflunomide 10mg Tab
Sandoz Leflunomide 10mg Tab
Arava 10mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02256495
02351668
02319225
02261251
02288265
02283964
02241888
APX
SAS
MYL
TEV
PMS
SDZ
SAV
leflunomide 20mg tab

Apo-Leflunomide 20mg Tab
Leflunomide 20mg Tab
MYLAN-Leflunomide 20mg Tab
Novo-Leflunomide 20mg Tab
pms-Leflunomide 20mg Tab
Sandoz Leflunomide 20mg Tab
Arava 20mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02256509
02351676
02319233
02261278
02288273
02283972
02241889
APX
SAS
MYL
TEV
PMS
SDZ
SAV
02259052
AST
ALEFACEPT
Amevive 15mg/0.5mL Pdr for Inj
ABATACEPT
Orencia 250mg/vial Inj
DNP
02282097
BRI
ETANERCEPT
Enbrel 25mg Pdr for Inj
Enbrel 50mg/mL Inj
DNP
DNP
E
E
02242903
02274728
AGA
AGA
INFLIXIMAB
Remicade 100mg Pdr for Inj
DNP
02244016
SCH
ADALIMUMAB
Humira 40mg/0.8mL Pen (PIN 97799757)
Humira 40mg/0.8mL Syringe Inj (PIN 97799756)
DNP
DNP
E
E
02258595
02258595
ABB
ABB
L04AB TUMOR NECROSIS FACTOR ALPHA (TNFa) INHIBITORS

L04AB01
L04AB02
L04AB04
October 2011
L04AB05
L04AB06
CERTOLIZUMAB PEGOL
Cimzia 200mg/mL
GOLIMUMAB
Simponi 50mg/0.5mL Autoinjector
Simponi 50mg/0.5mL Pre-filled Syringe
E
E
DNP
DNP
02331675
UCB
02324784
02324776
SCH
SCH
02245913
BVT
L04AC INTERLEUKIN INHIBITORS

L04AC03
L04AC05
L04AC07
L04AC08
ANAKINRA
Kineret 100mg/Syringe Inj
USTEKINUMAB
Stelara 45mg/0.5mL Syringe Inj
DNP
02320673
JAN
TOCILIZUMAB
Actemra 80mg/4mL Inj
DNP
DNP
DNP
E
E
E
02350092
02350106
02350114
HLR
HLR
HLR
02344939
NVR
02237671
NVR
CANAKINUMAB
Ilaris 150mg/vial Inj
L04AD CALCINEURIN INHIBITORS

L04AD01
L04AD02
CYCLOSPORINE
Neoral 10mg Cap
DNP
cyclosporine 25mg cap

Sandoz Cyclosporine 25mg Cap
Neoral 25mg Cap
DNP
DNP
MRP
MRP
E
E
02247073
02150689
SDZ
NVR

Neoral 50mg Cap
DNP
DNP
MRP
MRP
E
E
02247074
02150662
SDZ
NVR

Neoral 100mg Cap
DNP
DNP
MRP
MRP
E
E
02242821
02150670
SDZ
NVR
cyclosporine 100mg/mL o/l

Apo-Cyclosporine 100mg/mL O/L
Neoral 100mg/mL O/L
DNP
DNP
MRP
MRP
E
E
02244324
02150697
APX
NVR
02296462
02296470
02331667
02296489
AST
AST
AST
AST
02242907
02343002
02231491
02236819
00004596
APX
SAS
MYL
TEV
TRI
TACROLIMUS
Advagraf 0.5mg ER Cap
Advagraf 1mg ER Cap
Advagraf 3mg Cap
Advagraf 5mg ER Cap
L04AX OTHER IMMUNOSUPPRESSANTS

L04AX01
October 2011
AZATHIOPRINE
azathioprine 50mg tab
Apo-Azathioprine 50mg Tab
Azathioprine 50mg Tab
MYLAN-Azathioprine 50mg Tab
Novo-Azathioprine 50mg Tab
Imuran 50mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
L04AX04
October 2011
LENALIDOMIDE
Revlimid 5mg Cap
Revlimid 10mg Cap
Revlimid 15mg Cap
Revlimid 25mg Cap
DNP
DNP
DNP
DNP
E
E
E
E
02304899
02304902
02317699
02317710
CEL
CEL
CEL
CEL
M01
ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS
M01A ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS

M01AB ACETIC ACID DERIVATIVES AND RELATED SUBSTANCES
M01AB01
M01AB02
INDOMETHACIN
indomethacin 25mg cap
Apo-Indomethacin 25mg Cap
Novo-Methacin 25mg Cap
Nu-Indo 25mg Cap
Indocid 25mg Cap (discontinued)
DNPM
DNPM
DNPM
MRP
MRP
MRP
SFC
SFC
SFC
00611158
00337420
00865850
APX
TEV
NXP
indomethacin 50mg cap

Apo-Indomethacin 50mg Cap
Novo-Methacin 50mg Cap
Nu-Indo 50mg Cap
Indocid 50mg Cap (discontinued)
DNPM
DNPM
DNPM
MRP
MRP
MRP
SFC
SFC
SFC
00611166
00337439
00865869
APX
TEV
NXP
indomethacin 50mg supp

Sandoz Indomethacin 50mg Supp
Indocid 50mg Supp (discontinued)
DNPM
MRP
SFC
02231799
SDZ
indomethacin 100mg supp

ratio-Indomethacin100mg Supp
Sandoz Indomethacin 100mg Supp
Indocid 100mg Supp (discontinued)
DNPM
DNPM
MRP
MRP
SFC
SFC
01934139
02231800
TEV
SDZ
DNP
DNP
DNP
PRP
PRP
PRP
SF
SF
SF
00778354
00745588
02042576
APX
TEV
NXP
DNP
DNP
DNP
PRP
PRP
PRP
SF
SF
SF
00778362
00745596
02042584
APX
TEV
NXP
02243433
02351684
02239355
02239753
02261774
00881635
APX
SAS
TEV
PMS
SDZ
NVR
SULINDAC
sulindac 150mg tab
Apo-Sulin 150mg Tab
Novo-Sundac 150mg Tab
Nu-Sulindac 150mg Tab
Clinoril 150mg Tab (discontinued)
sulindac 200mg tab
Apo-Sulin 200mg Tab
Novo-Sundac 200mg Tab
Nu-Sulindac 200mg Tab
Clinoril 200mg Tab (discontinued)
M01AB05
DICLOFENAC
diclofenac potassium 50mg tab
Apo-Diclo Rapide 50mg Tab
Diclofenac Potassium 50mg Tab
Novo-Difenac-K 50mg Tab
pms-Diclofenac-K 50mg Tab
Sandoz Diclofenac Rapide 50mg Tab
Voltaren Rapide 50mg Tab
diclofenac sodium 50mg supp
pms-Diclofenac 50mg Supp
Sandoz Diclofenac 50mg Supp
Voltaren 50mg Supp
DNPM
DNPM
DNPM
MRP
MRP
MRP
SF
SF
SF
02231506
02261928
00632724
PMS
SDZ
NVR
diclofenac sodium 100mg supp

pms-Diclofenac 100mg Supp
Sandoz Diclofenac 100mg Supp
Voltaren 100mg Supp
DNPM
DNPM
DNPM
MRP
MRP
MRP
SF
SF
SF
02231508
02261936
00632732
PMS
SDZ
NVR
DNPM
DNPM
DNPM
DNPM
DNPM
PRP
PRP
PRP
PRP
PRP
SF
SF
SF
SF
SF
00839175
00808539
02302616
00886017
02261952
APX
TEV
PMS
NXP
SDZ
diclofenac sodium 25mg EC tab

Apo-Diclo 25mg Tab
Novo-Difenac 25mg Tab
pms-Diclofenac 25mg Tab
Nu-Diclo 25mg Tab
Sandoz Diclofenac 25mg Tab
Voltaren 25mg Tab (discontinued)
October 2011
Musculo-Skeletal System 107
M01AB08
diclofenac sodium 50mg EC tab

Apo-Diclo 50mg Tab
Diclofenac Sodium 50mg Tab
Novo-Difenac 50mg Tab
Nu-Diclo 50mg Tab
pms-Diclofenac 50mg Tab
Sandoz Diclofenac 50mg Tab
Voltaren 50mg Tab
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
PRP
PRP
PRP
PRP
PRP
PRP
PRP
SF
SF
SF
SF
SF
SF
SF
00839183
02352397
00808547
00886025
02302624
02261960
00514012
APX
SAS
TEV
NXP
PMS
SDZ
NVR
diclofenac sodium 75mg SR tab

Apo-Diclo SR 75mg Tab
Diclofenac Sodium SR 75mg Tab
Novo-Difenac SR 75mg Tab
pms-Diclofenac SR 75mg Tab
Sandoz Diclofenac SR 75mg Tab
Voltaren SR 75mg Tab
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
PRP
PRP
PRP
PRP
PRP
PRP
SF
SF
SF
SF
SF
SF
02162814
02352400
02158582
02231504
02261901
00782459
APX
SAS
TEV
PMS
SDZ
NVR
diclofenac sodium 100mg SR tab

Apo-Diclo SR 100mg Tab
Novo-Difenac SR 100mg Tab
pms-Diclofenac SR 100mg Tab
Sandoz Diclofenac SR 100mg Tab
Voltaren SR 100mg Tab
DNPM
DNPM
DNPM
DNPM
DNPM
PRP
PRP
PRP
PRP
PRP
SF
SF
SF
SF
SF
02091194
02048698
02231505
02261944
00590827
APX
TEV
PMS
SDZ
NVR
DNP
PRP
SF
02232317
AAP
DNP
PRP
SF
02232318
AAP
DNP
SF
02162644
HLR
DNP
SF
02239944
SDZ
02229080
02230201
02237910
02162660
APX
TEV
NXP
HLR
SF
SF
01917056
02229837
PFI
PFI
ETODOLAC
etodolac 200mg cap
Etodolac 200mg Cap
Ultradol 200mg Cap (discontinued)
etodolac 300mg cap
Etodolac 300mg Cap
Ultradol 300mg Cap (discontinued)
M01AB15
KETOROLAC
Toradol 10mg/mL Inj
ketorolac 30mg/mL inj
Ketorolac 30mg/mL Inj
Toradol 30mg/mL Inj (discontinued)
ketorolac 10mg tab
Apo-Ketorolac 10mg Tab
Novo-Ketorolac 10mg Tab
Nu-Ketorolac 10mg Tab
Toradol 10mg Tab
M01AB55
DICLOFENAC, COMBINATIONS
Arthrotec 50mg Tab
Arthrotec 75mg Tab
DNP
DNP
M01AC OXICAMS
M01AC01
PIROXICAM
piroxicam 10mg cap
Apo-Piroxicam 10mg Cap
Novo-Pirocam 10mg Cap
Nu-Pirox 10mg Cap
Feldene 10mg Cap (discontinued)
piroxicam 20mg cap
Apo-Piroxicam 20mg Cap
Novo-Pirocam 20mg Cap
Nu-Pirox 20mg Cap
Feldene 20mg Cap (discontinued)
October 2011
DNP
DNP
DNP
PRP
PRP
PRP
SF
SF
SF
00642886
00695718
00865761
APX
TEV
NXP
DNP
DNP
DNP
PRP
PRP
PRP
SF
SF
SF
00642894
00695696
00865788
APX
TEV
NXP
piroxicam 20mg supp

pms-Piroxicam 20mg Supp
Feldene 20mg Supp (discontinued)
M01AC02
M01AC06
DNP
MRP
SF
02154463
PMS
DNP
PRP
SF
02230661
AAP
MELOXICAM
meloxicam 7.5mg tab
Apo-Meloxicam 7.5mg Tab
CO Meloxicam 7.5mg Tab
Meloxicam 7.5mg Tab
MYLAN-Meloxicam 7.5mg Tab
Novo-Meloxicam 7.5mg Tab
phl-Meloxicam 7.5mg Tab
pms-Meloxicam 7.5mg Tab
ratio-Meloxicam 7.5mg Tab
Mobicox 7.5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
PRP
PRP
PRP
PRP
PRP
PRP
PRP
PRP
PRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
02248973
02250012
02353148
02255987
02258315
02248607
02248267
02247889
02242785
APX
COB
SAS
MYL
TEV
PHL
PMS
TEV
BOE
meloxicam 15mg tab

Apo-Meloxicam 15mg Tab
CO Meloxicam 15mg Tab
Meloxicam 15mg Tab
MYLAN-Meloxicam 15mg Tab
Novo-Meloxicam 15mg Tab
phl-Meloxicam 15mg Tab
pms-Meloxicam 15mg Tab
ratio-Meloxicam 15mg Tab
Mobicox 15mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
02248974
02250020
02353156
02255995
02258323
02248608
02248268
02248031
02242786
APX
COB
SAS
MYL
TEV
PHL
PMS
TEV
BOE
00441643
APX
TENOXICAM
tenoxicam 20mg tab
Tenoxicam 20mg Tab
Mobiflex 20mg Tab (discontinued)
M01AE PROPIONIC ACID DERIVATIVES

M01AE01
IBUPROFEN
Apo-Ibuprofen 200mg Tab
ibuprofen 300mg tab
Motrin IB 300mg Tab
Motrin 300mg Tab (discontinued)
ibuprofen 400mg tab
APC-Ibuprofen 400mg Tab
Jamp-Ibuprofen 400mg Tab
Motrin IB 400mg Tab
Novo-Profen 400mg Tab
pms-Ibuprofen 400mg Tab
ibuprofen 600mg tab
Novo-Profen 600mg Tab
Nu-Ibuprofen 600mg Tab
M01AE02
NAPROXEN
Naprosyn 25mg/mL Susp
naproxen 500mg supp
pms-Naproxen 500mg Supp
Naprosyn 500mg Supp (discontinued)
October 2011
DNP
DNP
MRP
MRP
SFC
SFC
00441651
02242632
APX
JNJ
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
00506052
00506052
02317338
02242658
00629340
00836133
APX
APX
JPC
JNJ
TEV
PMS
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
00585114
00629359
02020726
APX
TEV
NXP
SF
02162431
HLR
SFC
02017237
PMS
DNPM
DNPM
MRP
naproxen 125mg tab

Apo-Naproxen 125mg Tab
Naprosyn 125mg Tab (discontinued)
DNPM
PRP
SFC
00522678
APX
naproxen 250mg tab

Naproxen 250mg Tab
Novo-Naprox 250mg Tab
Nu-Naprox 250mg Tab
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
00522651
02350750
00565350
00865648
APX
SAS
TEV
NXP
naproxen 375mg tab

Naproxen 375mg Tab
Nu-Naprox 375mg Tab
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
00600806
02350769
00627097
00865656
APX
SAS
TEV
NXP
naproxen 500mg tab

Naproxen 500mg Tab
Nu-Naprox 500mg Tab
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
00592277
02350777
00589861
00865664
APX
SAS
TEV
NXP
naproxen 250mg EC tab

Apo-Naproxen 250mg EC Tab
Naproxen 250mg EC Tab
Novo-Naprox 250mg EC Tab
Naprosyn-E 250mg EC Tab
DNPM
DNPM
DNPM
DNPM
PRP
PRP
PRP
PRP
SFC
SFC
SFC
SFC
02246699
02350785
02243312
02162792
APX
SAS
TEV
HLR

MYLAN-Naproxen 375mg EC Tab
pms-Naproxen 375mg EC Tab
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
PRP
PRP
PRP
PRP
PRP
PRP
SFC
SFC
SFC
SFC
SFC
SFC
02246700
02243432
02350793
02243313
02294702
02162415
APX
MYL
SAS
TEV
PMS
HLR

MYLAN-Naproxen 500mg EC Tab
pms-Naproxen 500mg EC Tab
DNPM
DNPM
DNPM
DNPM
DNPM
DNPM
PRP
PRP
PRP
PRP
PRP
PRP
SFC
SFC
SFC
SFC
SFC
SFC
02246701
02241024
02350807
02243314
02294710
02162423
APX
MYL
SAS
TEV
PMS
HLR
DNPM
PRP
SFC
02162466
HLR
naproxen sodium 275mg tab

Apo-Napro-Na 275mg Tab
Naproxen Sodium 275mg Tab
Novo-Naprox Sodium 275mg Tab
Anaprox 275mg Tab
DNPM
DNPM
DNPM
DNPM
PRP
PRP
PRP
PRP
SF
SF
SF
SF
00784354
02351013
00778389
02162725
APX
SAS
TEV
HLR
naproxen sodium 550mg tab

Apo-Napro-Na DS 550mg Tab
Naproxen Sodium DS 550mg Tab
Novo-Naprox Sodium 550mg Tab
Anaprox DS 550mg Tab
DNPM
DNPM
DNPM
DNPM
PRP
PRP
PRP
PRP
SF
SF
SF
SF
01940309
02351021
02026600
02162717
APX
SAS
TEV
HLR
naproxen 750mg SR tab

Naprosyn SR 750mg Tab
Apo-Naproxen 750mg Tab (discontinued)
October 2011
M01AE03
KETOPROFEN
ketoprofen 50mg Cap
Apo-Keto 50mg Cap
Orudis 50mg Cap (discontinued)
ketoprofen 50mg EC tab
Apo-Keto-E 50mg Tab
Orudis-E 50mg Tab (discontinued)
pms-Ketoprofen 100mg supp
M01AE09
SFC
00790427
AAP
DNP
PRP
SFC
00790435
AAP
SFC
02015951
PMS
DNP
DNP
PRP
SFC
00842664
AAP
ketoprofen 200mg SR tab

Apo-Keto SR 200mg Tab
Orudis-SR 200mg Tab (discontinued)
DNP
PRP
SFC
02172577
AAP
DNP
DNP
DNP
PRP
PRP
PRP
SF
SF
SF
01912046
02100509
02020661
APX
TEV
NXP
DNP
DNP
DNP
PRP
PRP
PRP
SF
SF
SF
01912038
02100517
02020688
APX
TEV
NXP
DNP
DNP
PRP
PRP
SF
SF
02136112
02179679
APX
TEV
DNP
DNP
DNP
PRP
PRP
PRP
SF
SF
SF
02136120
02179687
02146886
APX
TEV
NXP
02243661
APX
02229452
AAP
FLURBIPROFEN
flurbiprofen 50mg tab
Apo-Flurbiprofen 50mg Tab
Novo-Flurprofen 50mg Tab
Nu-Flurbiprofen 50mg Tab
Ansaid 50mg Tab (discontinued)
TIAPROFENIC ACID
tiaprofenic acid 200mg tab
Apo-Tiaprofenic 200mg Tab
Novo-Tiaprofenic 200mg Tab
Surgam 200mg Tab (discontinued)
tiaprofenic acid 300mg tab
Apo-Tiaprofenic 300mg Tab
Novo-Tiaprofenic 300mg Tab
Nu-Tiaprofenic 300mg Tab
Surgam 300mg Tab (discontinued)
M01AE12
PRP
ketoprofen 100mg EC tab

Apo-Keto-E 100mg Tab
Orudis-E 100mg Tab (discontinued)
flurbiprofen 100mg tab

Apo-Flurbiprofen 100mg Tab
Novo-Flurprofen 100mg Tab
Nu-Flurbiprofen 100mg Tab
Ansaid 100mg Tab (discontinued)
M01AE11
DNP
OXAPROZIN
oxaprozin 600mg tab
Apo-Oxaprozin 600mg Tab
Daypro 600mg Tab (discontinued)
M01AG FENAMATES
M01AG01
October 2011
MEFENAMIC ACID
mefenamic acid 250mg cap
Apo-Mefenamic 250mg Cap
Ponstan 250mg Cap (discontinued)
DNP
M01AH COXIBS
M01AH01
CELECOXIB
Celebrex 100mg Cap
Celebrex 200mg Cap
DNP
DNP
PRP
PRP
SF
SF
02239941
02239942
PFI
PFI
M01AX OTHER ANTIINFLAMMATORY AND ANTIRHEUMATIC AGENTS, NON-STEROIDS

M01AX01
NABUMETONE
nabumetone 500mg tab
Apo-Nabumetone 500mg Tab
MYLAN-Nabumetone 500mg Tab
Nabumetone 500mg Tab
Novo-Nabumetone 500mg Tab
Relafen 500mg Tab (discontinued)
DNP
DNP
DNP
DNP
PRP
PRP
PRP
PRP
SF
SF
SF
SF
02238639
02244563
02343282
02240867
APX
MYL
SAS
TEV
DNP
PRP
SF
02240868
TEV
DNP
DNP
MRP
MRP
SF
SF
02245456
01927620
SDZ
SAV
DNP
MRP
SF
02245457
SDZ
sodium aurothiomalate 50mg/mL inj

Sodium Aurothiomalate 50mg/mL Inj
Myochrysine 50mg/mL Inj
DNP
DNP
MRP
MRP
SF
SF
02245458
01927604
SDZ
SAV
AURANOFIN
Ridaura 3mg Cap
DNP
SF
01916823
XPI
DNP
SF
00016055
VAL
02247265
PAL
nabumetone 750mg tab

Novo-Nabumetone 750mg Tab
Relafen 750mg Tab (discontinued)
M01C SPECIFIC ANTIRHEUMATIC AGENTS

M01CB GOLD PREPARATIONS
M01CB01
SODIUM AUROTHIOMALATE
Myochrysine 10mg/mL Inj
Myochrysine 25mg/mL Inj (discontinued)
M01CB03
M01CC PENICILLAMINE AND SIMILAR AGENTS

M01CC01
M02
PENICILLAMINE
Cuprimine 250mg Cap
TOPICAL PRODUCTS FOR JOINT AND MUSCULAR PAIN
M02A TOPICAL PRODUCTS FOR JOINT AND MUSCULAR PAIN

M02AA ANTIINFLAMMATORY PREPARATIONS, NON-STEROIDS FOR TOPICAL USE
M02AA15
DICLOFENAC
Pennsaid 1.5% Top Sol
M02AX OTHER TOPICAL PRODUCTS FOR JOINT AND MUSCULAR PAIN

M02AX03
M03
DIMETHYL SULFOXIDE
Kemsol 70% Sol
DNP
SF
00376167
AXS
DNP
DNP
01981501
00999505
02324032
ALL
ALL
MRZ
MUSCLE RELAXANTS
M03A MUSCLE RELAXANTS, PERIPHERALLY ACTING AGENTS

M03AX OTHER MUSCLE RELAXANTS, PERIPHERALLY ACTING AGENTS
M03AX01
October 2011
BOTULINUM TOXIN
Botox 100u/vial Inj
Botox 200u/vial Inj
Xeomin 100u/vial Inj
M03B MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS

M03BA CARBAMIC ACID ESTERS
M03BA03
M03BA53
METHOCARBAMOL
Robaxin 500mg Tab
Robaxin 750mg Tab
01930990
01932187
WCH
WCH
METHOCARBAMOL, COMBINATIONS EXCLUDING PSYCHOLEPTICS

Methoxacet Caplet
Methoxisal Caplet
Methoxacet-C1/8 Caplet
Methoxisal-C1/4 Caplet
Robaxacet Caplet
Robaxacet Tab
Robaxacet-8 Tab
Robaxisal C1/4 Tab
Robaxisal C1/2 Tab
02230521
00868868
02236872
01966367
01941895
01966375
02026805
01930974
01934767
01934783
01934791
ROG
ROG
ROG
ROG
ROG
ROG
WCH
WCH
WCH
WCH
WCH
ORPHENADRINE (CITRATE)
orphenadrine 100mg tab
Norflex 100mg Tab
Sandoz Orphenadrine 100mg Tab
01966154
02243559
GWP
SDZ
Orfenace 100mg Tab
02047535
STR
M03BC ETHERS, CHEMICALLY CLOSE TO ANTIHISTAMINES

M03BC01
M03BX OTHER CENTRALLY ACTING AGENTS

M03BX01
BACLOFEN
baclofen 10mg tab
Apo-Baclofen 10mg Tab
Baclofen 10mg Tab
MYLAN-Baclofen 10mg Tab
Nu-Baclo 10mg Tab
phl-Baclofen 10mg Tab
pms-Baclofen 10mg Tab
ratio-Baclofen 10mg Tab
Lioresal 10mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
02139332
02287021
02088398
02136090
02236963
02063735
02236507
00455881
APX
SAS
MYL
NXP
PHL
PMS
TEV
NVR
baclofen 20mg tab

Apo-Baclofen 20mg Tab
Baclofen 20mg Tab
MYLAN-Baclofen 20mg Tab
Nu-Baclo 20mg Tab
phl-Baclofen 20mg Tab
pms-Baclofen 20mg Tab
ratio-Baclofen 20mg Tab
Lioresal DS 20mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
02139391
02287048
02088401
02136104
02236964
02063743
02236508
00636576
APX
SAS
MYL
NXP
PHL
PMS
TEV
NVR
02131048
02131056
02131064
NVR
NVR
NVR
02259893
02272059
02239170
APX
MYL
PAL
Lioresal Intrathecal 0.05mg/mL

Lioresal Intrathecal 0.5mg/mL
Lioresal Intrathecal 2mg/mL
M03BX02
October 2011
TIZANIDINE
tizanidine 4mg tab
Apo-Tizanidine 4mg Tab
MYLAN-Tizanidine 4mg Tab
Zanaflex 4mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
E
E
E
M03BX08
CYCLOBENZAPRINE
cyclobenzaprine HCl 10mg tab
Apo-Cyclobenzaprine 10mg Tab
Cyclobenzaprine 10mg Tab
MYLAN-Cyclobenzaprine 10mg Tab
Novo-Cycloprine 10mg Tab
Nu-Cyclobenzaprine 10mg Tab
phl-Cyclobenzaprine 10mg Tab
pms-Cyclobenzaprine 10mg Tab
ratio-Cyclobenzaprine 10mg Tab (discontinued)
Flexeril 10mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02177145
02287064
02231353
02080052
02171848
02249359
02212048
APX
SAS
MYL
TEV
NXP
PHL
PMS
SF
SF
01997602
01997653
MTP
MTP
SFC
00402818
AAP
00004588
GSK
00479799
AAP
00506370
GSK
00402796
AAP
00294322
GSK
M03C MUSCLE RELAXANTS, DIRECTLY ACTING AGENTS

M03CA DANTROLENE AND DERIVATIVES
M03CA01
M04
DANTROLENE
Dantrium 25mg Cap
Dantrium 100mg Cap
DNP
DNP
ANTIGOUT PREPARATIONS
M04A ANTIGOUT PREPARATIONS

M04AA PREPARATIONS INHIBITING URIC ACID PRODUCTION
M04AA01
ALLOPURINOL
allopurinol 100mg tab
Zyloprim 100mg Tab
Novo-Purol 100mg Tab (discontinued)
Zyloprim 100mg Tab (discontinued)
Zyloprim 200mg Tab
Zyloprim 300mg Tab
M04AA03
FEBUXOSTAT
Uloric 80mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
DNP
02357380
TAK
DNP
SF
00294926
VLN
SFC
00441767
AAP
SF
SF
00572349
00621374
ODN
ODN
M04AB PREPARATIONS INCREASING URIC ACID EXCRETION

M04AB01
M04AB02
PROBENECID
Benuryl 500mg Tab
SULFINPYRAZONE
sulfinpyrazone 200mg tab
Sulfinpyrazone 200mg Tab
Anturan 200mg Tab (discontinued)
DNP
MRP
M04AC PREPARATIONS WITH NO EFFECT ON URIC ACID METABOLISM

M04AC01
October 2011
COLCHICINE
Colchicine 0.6mg Tab
Colchicine 1mg Tab
DNP
DNP
M05
DRUGS FOR TREATMENT OF BONE DISEASES
M05B DRUGS AFFECTING BONE STRUCTURE AND MINERALIZATION

M05BA BISPHOSPHONATES
M05BA01
M05BA02
M05BA03
M05BA04
ETIDRONIC ACID (ETIDRONATE)

etidronate 200mg tab
CO Etidronate 200mg Tab
MYLAN-Etidronate 200mg Tab
Didronel 200mg Tab (discontinued)
SFC
SFC
02248686
02245330
COB
MYL
SFC
01984845
01984837
BAY
BAY
PAMIDRONIC ACID (PAMIDRONATE)

pamidronate acid (pamidronate)
Pamidronate 30mg/vial Inj
Aredia 30mg/vial Inj
02249669
02059762
OMG
NVR
pamidronate disodium 90mg/vial inj

Pamidronate Disodium Omega 90mg/mL Inj
Aredia 90mg/vial Inj
02249685
02059789
OMG
NVR
ALENDRONIC ACID (ALENDRONATE)

Fosamax 70mg/75mL Oral Sol
02248625
FRS
alendronate 5mg tab

Apo-Alendronate 5mg Tab
Sandoz Alendronate 5mg Tab
Fosamax 5mg Tab
02248727
02288079
02233055
APX
SDZ
FRS
CLODRONIC ACID (CLODRONATE)

Bonefos 400mg Cap
Bonefos 60mg/mL Inj
October 2011
MRP
MRP
DNP
alendronate 10mg tab

MYLAN-Alendronate 10mg Tab
Teva-Alendronate 10mg Tab
Fosamax 10mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
02248728
02270129
02247373
02288087
02201011
APX
MYL
TEV
SDZ
FRS

CO Alendronate 40mg Tab
Fosamax 40mg Tab
DNP
DNP
MRP
MRP
E
E
02258102
02201038
COB
FRS
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
02352966
02299712
02248730
02258110
02286335
02261715
02284006
02288109
02245329
SAS
MEL
APX
COB
MYL
TEV
PMS
SDZ
FRS
RISEDRONIC ACID (RISEDRONATE)

risedronate 5mg tab
Novo-Risedronate 5mg Tab
Actonel 5mg Tab
DNP
DNP
MRP
MRP
E
E
02298376
02242518
TEV
WNC
risedronate 30mg tab

Actonel 30mg Tab
DNP
DNP
MRP
MRP
E
E
02298384
02239146
TEV
WNC

Alendronate 70mg Tab
Alendronate-FC 70mg Tab
CO Alendronate 70mg Tab
MYLAN-Alendronate 70mg Tab
Teva-Alendronate 70mg Tab
pms-Alendronate-FC 70mg Tab
Fosamax 70mg Tab
ratio-Alendronate 70mg Tab (discontinued)
M05BA07
DNP
DNP
risedronate 35mg tab

Apo-Risedronate 35mg Tab
pms-Risedronate 35mg Tab
ratio-Risedronate 35mg Tab
Sandoz Risedronate 35mg Tab
Actonel 35mg Tab
02353687
02298392
02302209
02319861
02327295
02246896
APX
TEV
PMS
TEV
SDZ
WNC
02316838
WNC
02269198
NVR
ETIDRONIC ACID AND CALCIUM, SEQUENTIAL

etidronic disodium 400mg & calcium carbonate 500mg tab, sequential kit
CO Etidrocal Kit
DNP
MRP
SFC
DNP
MRP
SFC
Etidrocal Kit
MYLAN-Eti-Cal Carepac
DNP
MRP
SFC
DNP
MRP
SFC
Novo-Etidronatecal Kit
Didrocal Kit
DNP
MRP
SFC
02263866
02353210
02247323
02324199
02176017
COB
SAS
MYL
TEV
WNC
ALENDRONIC ACID AND COLECALCIFEROL

Fosavance Tab 70mg/2800 IU
Fosavance Tab 70mg/5600 IU
02276429
02314940
FRS
FRS
02343541
AGA
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
Actonel 150mg Tab

M05BA08
ZOLEDRONIC ACID
Aclasta 5mg/100mL Inj
Zometa 4mg/vial Inj (discontinued)
DNP
M05BB BISPHOSPHONATES, COMBINATIONS

M05BB01
M05BB03
DNP
M05BX OTHER DRUGS AFFECTING BONE STRUCTURE AND MINERALIZATION

M05BX04
October 2011
DENOSUMAB
Prolia 60mg/mL Inj
DNP
N01
ANESTHETICS
N01A ANESTHETICS, GENERAL

N01AH OPIOID ANESTHETICS
N01AH01
N01AH02
N01AH03
FENTANYL
fentanyl citrate 50mcg/mL inj
Fentanyl Citrate 50mcg/mL Inj
Fentanyl Citrate 50mcg/mL Inj
02240434
00888346
SDZ
HOS
02248181
SDZ
02244147
SDZ
KETAMINE
ketamine 10mg/mL inj
Ketamine 10mg/mL Inj
Ketalar 10mg/mL Inj
02246795
00224391
SDZ
ERF
ketamine 50mg/mL inj

Ketamine 50mg/mL Inj
Ketalar 50mg/mL Inj
02246796
00224405
SDZ
ERF
ALFENTANIL
alfentanil 500mcg/mL inj
Alfentanil 500mcg/mL Inj
Alfenta 500mcg/mL Inj (discontinued)
SUFENTANIL
sufentanil citrate 50mcg/mL inj
Sufentanil Citrate 50mcg/mL Inj
Sufenta 50mcg/mL Inj (discontinued)
SFC
N01AX OTHER GENERAL ANESTHETICS

N01AX03
N01B ANESTHETICS, LOCAL

N01BA ESTERS OF AMINOBENZOIC ACID
N01BA03
TETRACAINE
Pontocaine 20mg/vial Inj
DNP
SFC
02241978
HOS
BUPIVACAINE
Marcaine 0.25% Inj
Sensorcaine 0.25% Inj
Marcaine 0.5% Inj
Sensorcaine 0.5% Inj
DNPM
DNPM
DNPM
DNPM
SFC
SFC
SFC
SFC
02241918
01976141
02241919
01976168
HOS
AZE
HOS
AZE
LIDOCAINE
Xylocaine 1% Inj
Xylocaine 1% (with perservative)
Xylocaine 2% Inj
Xylocaine 2% (with perservative)
Xylocaine 2% Jelly Inj
DNPM
DNPM
DNPM
DNPM
DNPM
SFC
SFC
SFC
SFC
SFC
00001732
02302411
00036641
02302438
00385484
AZE
AZE
AZE
AZE
AZE
LIDOCAINE, COMBINATIONS
Xylocaine 2% W Epine Inj
DNPM
SFC
00284106
AZE
D
D
D
D
D
D
SFC
SFC
SFC
SFC
SFC
SFC
02242163
02184435
02184443
02184451
02019930
02177749
ABB
ABB
ABB
ABB
SAV
SAV
N01BB AMIDES
N01BB01
N01BB02
N01BB52
N02
ANALGESICS
N02A OPIOIDS
N02AA NATURAL OPIUM ALKALOIDS
N02AA01
October 2011
MORPHINE
Kadian 10mg Cap
Kadian 20mg Cap
Kadian 50mg Cap
Kadian 100mg Cap
M-Eslon ER 10mg Cap
M-Eslon ER 15mg Cap
Nervous System 117
M-Eslon ER 30mg Cap

M-Eslon ER 60mg Cap
M-Eslon ER 100mg Cap
M-Eslon ER 200mg Cap
Morphine HP 25mg/mL Inj
Morphine HP 50mg/mL Inj
Morphine LP Epidural 0.5mg/mL Inj
Morphine LP Epidural 1mg/mL Inj
Morphine Sulfate 2mg/mL Inj
D
D
D
D
D
D
D
D
D
D
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02019949
02019957
02019965
02177757
00676411
00617288
02021056
02021048
01964437
02242484
SAV
SAV
SAV
SAV
SDZ
SDZ
SDZ
SDZ
SDZ
SDZ
morphine sulfate 10mg/mL inj

Morphine Sulfate 10mg/mL Inj (ABB - discontinued)
MRP
SFC
00392588
SDZ
morphine sulfate 15mg/mL inj

Morphine Sulfate 15mg/mL Inj (ABB - discontinued)
MRP
SFC
00392561
SDZ
MOS-20 (20mg) Tab

MOS-SR 30mg Tab
MOS-SR 60mg Tab
MOS Sulphate 5mg Tab
D
D
D
D
D
D
D
SFC
SFC
SFC
SFC
SFC
SFC
SFC
00690201
00776181
00776203
02009773
02009765
02009749
02009706
VLN
VLN
VLN
VLN
VLN
VLN
VLN
morphine sulfate 15mg SR tab

Morphine SR 15mg Tab
Novo-Morphine SR 15mg Tab
Sandoz Morphine SR 15mg Tab
MS Contin 15mg Tab
pms-Morphine Sulfate 15mg SR Tab (discontinued)
D
D
D
D
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02350815
02302764
02244790
02015439
SAS
TEV
SDZ
PFR
D
D
D
D
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02350890
02302772
02244791
02014297
SAS
TEV
SDZ
PFR
D
D
D
D
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02350912
02302780
02244792
02014300
SAS
TEV
SDZ
PFR
D
D
D
MRP
MRP
MRP
SFC
SFC
SFC
02350920
02302799
02014319
SAS
TEV
PFR

MS Contin 200mg Tab
pms-Morphine Sulfate SR 200mg Tab (discontinued)
D
D
D
MRP
MRP
MRP
SFC
SFC
SFC
02350947
02302802
02014327
SAS
TEV
PFR
MS-IR 5mg Tab

MS-IR 10mg Tab
MS-IR 20mg Tab
MS-IR 30mg Tab
ratio-Morphine 1mg/mL Syr
Statex 20mg/mL Drops
Statex 50mg/mL Drops
D
D
D
D
D
D
D
D
D
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02014203
02014211
02014238
02014254
00607762
00607770
00690783
00621935
00705799
PFR
PFR
PFR
PFR
TEV
TEV
TEV
PAL
PAL

MS Contin 30mg Tab
MS Contin 60mg Tab
pms-Morphine Sulfate SR 60mg Tab (discontinued)
Morpine SR 100mg Tab
MS Contin 100mg Tab
October 2011
Nervous System 118
Statex 10mg Supp

Statex 20mg Supp
Statex 30mg Supp
Statex 1mg/mL Syr
Statex 5mg/mL Syr
Statex 5mg Tab
Statex 10mg Tab
Statex 25mg Tab (discontinued)
Statex 50mg Tab (discontinued)
N02AA03
D
D
D
D
D
D
D
SFC
SFC
SFC
SFC
SFC
SFC
SFC
00632201
00596965
00639389
00591467
00591475
00594652
00594644
PAL
PAL
PAL
PAL
PAL
PAL
PAL
HYDROMORPHONE
Hydromorph Contin 3mg Cap
D
D
D
D
D
D
SFC
SFC
SFC
SFC
SFC
SFC
02125323
02125331
02125366
02243562
02125382
02125390
PFR
PFR
PFR
PFR
PFR
PFR
hydromorphone 2mg/mL inj

Hydromorphone 2mg/mL Inj
Dilaudid 2mg/mL Inj
D
D
MRP
MRP
SFC
SFC
02145901
00627100
SDZ
PFR

Hydromorphone HP 10mg/mL Inj
Dilaudid HP 10mg/mL Inj
D
D
MRP
SFC
SFC
02145928
00622133
SDZ
PFR

Dilaudid HP Plus 20mg/mL Inj
D
D
MRP
MRP
SFC
SFC
02145936
02146118
SDZ
PFR

Dilaudid XP 50mg/mL Inj
D
D
MRP
MRP
SFC
SFC
02146126
02145863
SDZ
PFR
hydromorphone 1mg/mL oral sol

pms-Hydromorphone 1mg/mL Oral Sol
Dilaudid 1mg/mL Oral Sol
D
D
MRP
MRP
SFC
SFC
01916386
00786535
PMS
PFR
Dilaudid 250mg/vial Sterile Pdr
SFC
02085895
PFR
hydromorphone HCl 1mg tab

pms-Hydromorphone 1mg Tab
Dilaudid 1mg Tab
D
D
MRP
MRP
SFC
SFC
00885444
00705438
PMS
PFR

Dilaudid 2mg Tab
D
D
MRP
MRP
SFC
SFC
00885436
00125083
PMS
PFR

Dilaudid 4mg Tab
D
D
MRP
MRP
SFC
SFC
00885401
00125121
PMS
PFR

Dilaudid 8mg Tab
D
D
MRP
MRP
SFC
SFC
00885428
00786543
PMS
PFR
02337266
02337274
02337282
02337290
JAN
JAN
JAN
JAN
Junista 4mg Tab

Junista 8mg Tab
Junista 16mg Tab
Junista 32mg Tab
October 2011
Nervous System 119
N02AA05
OXYCODONE
OxyContin 5mg CR Tab
Supeudol 10mg Supp
Supeudol 20mg Supp
D
D
D
D
D
D
D
D
D
D
oxycodone 5mg tab

pms-Oxycodone 5mg Tab
Oxy-IR 5mg Tab
D
D
oxycodone 5mg tab

Supeudol 5mg Tab
E
E
E
E
E
E
E
E
SFC
SFC
02258129
02202441
02323192
02202468
02323206
02202476
02323214
02202484
00392480
00392472
PFR
PFR
PFR
PFR
PFR
PFR
PFR
PFR
SDZ
SDZ
MRP
MRP
SFC
SFC
02319977
02231934
PMS
PFR
D
D
MRP
MRP
SFC
SFC
02319977
00789739
PMS
SDZ
oxycodone 10mg tab

Oxy-IR 10mg Tab
D
D
MRP
MRP
SFC
SFC
02319985
02240131
PMS
PFR
oxycodone 10mg tab

Supeudol 10mg Tab
D
D
MRP
MRP
SFC
SFC
02319985
00443948
PMS
SDZ
oxycodone 20mg tab

Oxy-IR 20mg Tab
D
D
MRP
MRP
SFC
SFC
02319993
02240132
PMS
PFR
MRP
SFC
02319993
02262983
PMS
SDZ
SFC
SFC
SFC
SFC
SFC
SFC
SFC
00293512
00608882
00653276
00621463
02163926
02163918
02238645
CHU
TEV
TEV
TEV
JAN
JAN
PDP
oxycodone 20mg tab

Supeudol 20mg Tab
N02AA59
CODEINE, COMBINATIONS EXCL. PSYCHOLEPTICS

Atasol 30 Tab
D
D
ratio-Emtec Tab
ratio-Lenoltec #3 Tab
D
D
Tylenol #3 Tab
D
D
Tylenol #4 Tab
292 Tab
D
N02AB PHENYLPIPERIDINE DERIVATIVES

N02AB02
PETHIDINE (MEPERIDINE)
pethidine 50mg/mL inj
Meperidine 50mg/mL Inj
Demerol 50mg/mL Inj (discontinued)
MRP
SFC
00725765
SDZ

MRP
SFC
00725757
SDZ

MRP
SFC
00725749
SDZ
02138018
SAV
Demerol 50mg Tab
October 2011
Nervous System 120
N02AB03
FENTANYL
fentanyl 12mcg/hr patch
pms-Fentanyl MTX 12mcg/hr Patch
RAN-Fentanyl MTX 12mcg/hr Patch
ratio-Fentanyl 12mcg/hr Patch
Sandoz Fentanyl 12mcg/hr Patch
Duragesic 12mcg/hr Patch (discontinued)
D
D
D
D
MRP
MRP
MRP
MRP
E
E
E
E
02341379
02330105
02311925
02327112
PMS
RAN
TEV
SDZ

Duragesic MAT 25mcg/hr Patch
Novo-Fentanyl 25mcg/hr Patch
RAN-Fentanyl 25mcg/hr Patch
D
D
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02275813
02314630
02341387
02249391
02330113
02282941
02327120
01937383
JAN
TEV
PMS
RAN
RAN
TEV
SDZ
JAN

D
D
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02275821
02314649
02341395
02249413
02330121
02282968
02327147
01937391
JAN
TEV
PMS
RAN
RAN
TEV
SDZ
JAN

D
D
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02275848
02314657
02341409
02249421
02330148
02282976
02327155
01937405
JAN
TEV
PMS
RAN
RAN
TEV
SDZ
JAN

D
D
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02275856
02314665
02341417
02249448
02330156
02282984
02327163
01937413
JAN
TEV
PMS
RAN
RAN
TEV
SDZ
JAN
00261432
PAL
02241976
02137984
HOS
HOS
02242504
APX
N02AC DIPHENYLPROPYLAMINE DERIVATIVES

N02AC04
DEXTROPROPOXYPHENE
Darvon N 100mg Pulvule
N02AD BENZOMORPHAN DERIVATIVES

N02AD01
PENTAZOCINE
Talwin 30mg/mL Inj
Talwin 50mg Tab
N02AF MORPHINAN DERIVATIVES

N02AF01
October 2011
BUTORPHANOL
butorphanol 10mg/mL nasal sp
Apo-Butorphanol Nasal Sp
Stadol NS 10mg/mL Nasal Sp (discontinued)
Nervous System 121
N02AX OTHER OPIOIDS

N02AX02
N02AX52
TRAMADOL
Ralivia 100mg Tab
Ralivia 200mg Tab
Ralivia 300mg Tab
Zytram XL 150mg Tab
Zytram XL 200mg Tab
Zytram XL 300mg Tab
Zytram XL 400mg Tab
02299194
02299208
02299216
02286424
02286432
02286440
02286459
BVL
BVL
BVL
PFR
PFR
PFR
PFR
TRAMADOL, COMBINATIONS
Tramadol 37.5 mg & acetaminophen 325mg tab
Apo-Tramadol/Acet Tab
Tramacet Tab
02336790
02264846
APX
JAN
SFC
SFC
SFC
00216666
02284529
00010332
TEV
PMS
PDP
SFC
02010526
JPC
SFC
SFC
00229296
00010340
TEV
PDP
SFC
00794244
JPC
N02B OTHER ANALGESICS AND ANTIPYRETICS

N02BA SALICYLIC ACID AND DERIVATIVES
N02BA01
ACETYLSALICYLIC ACID
acetylsalicylic acid 325mg EC tab
Novasen 325mg Tab
pms-ASA EC 325mg Tab
Entrophen 325mg Tab
DNP
DNP
DNP
Enteric Coated ASA 325mg Tab
DNP
acetylsalicylic acid 650mg EC tab

Novasen 650mg Tab
Entrophen 650mg Tab
pms-ASA EC 650mg Tab (discontinued)
DNP
DNP
Enteric Coated ASA 650mg Tab

Entrophen 500mg Tab (discontinued)
N02BA11
DIFLUNISAL
diflunisal 250mg tab
Apo-Diflunisal 250mg Tab
Novo-Diflunisal 250mg Tab
Dolobid 250mg Tab (discontinued)
N02BA71
MRP
MRP
DNP
DNP
DNP
PRP
PRP
SFC
SFC
02039486
02048493
APX
TEV
DNP
PRP
SFC
02039494
APX
ACETYLSALICYLIC ACID (ASA), COMBINATIONS EXCL. PSYCHOLEPTICS

D
SFC
ratio-Oxycodan Tab
282 Tab
D
SFC
00608157
02234510
TEV
PDP
ACETYLSALICYLIC ACID (ASA), COMBINATIONS WITH PSYCHOLEPTICS

acetylsalicylic acid 330mg, butalbital 50mg & caffeine 40mg cap
ratio-Tecnal Cap
D
MRP
SFC
D
MRP
SFC
Fiorinal Cap
00608238
00226327
TEV
NVR
diflunisal 500mg tab

Apo-Diflunisal 500mg Tab
Dolobid 500mg Tab (discontinued)
N02BA51
MRP
MRP
MRP
acetylsalicylic acid 330mg, butalbital 50mg, caffeine 40mg & codeine phosphate 15mg cap
ratio-Tecnal C1/4 Cap
D
MRP
SFC
00608203
TEV
Fiorinal C1/4 Cap
D
MRP
SFC
00176192
NVR
acetylsalicylic acid 330mg, butalbital 50mg, caffeine 40mg & codeine phosphate 30mg cap
ratio-Tecnal C1/2 Cap
D
MRP
SFC
00608181
TEV
Fiorinal C1/2 Cap
D
MRP
SFC
00176206
NVR
ratio-Tecnal Tab
Fiorinal Tab (discontinued)
October 2011
SFC
00608211
TEV
Nervous System 122
N02BE ANILIDES
N02BE01
N02BE51
ACETAMINOPHEN (PARACETAMOL)
Tylenol 325mg Caplets
Tylenol 325mg Tab
Tylenol 500mg Caplets
Tylenol 500mg Tab
Assorted Generic Brands
ACETAMINOPHEN, COMB. EXCL. PSYCHOLEPTICS
acetaminophen 325mg & oxycodone 5mg tab
Apo-Oxycodone/Acet 5/325mg Tab
D
Sandoz Oxycodone/Acet 5/325mg Tab
D
D
ratio-Oxycocet Tab
Endocet Tab
D
D
Percocet Tab
Percocet Demi Tab
Atasol 15 Tab
Tylenol #2 Tab
pms-Acetaminophen W Codeine Elx
Tylenol W Codeine Elx
MRP
MRP
MRP
MRP
MRP
D
D
D
D
D
D
00723894
00559393
00723908
00559407
JNJ
JNJ
JNJ
JNJ
SFC
SFC
SFC
SFC
SFC
02324628
02307898
00608165
01916548
01916475
APX
SDZ
TEV
BRI
BRI
SFC
SFC
SFC
SFC
SFC
SFC
01916491
00293504
00653241
02163934
00816027
02163942
BRI
CHU
TEV
JAN
PMS
JAN
N02BG OTHER ANALGESICS AND ANTIPYRETICS

N02BG04
FLOCTAFENINE
floctafenine 200mg tab
Floctafenine 200mg Tab
Idarac 200mg Tab (discontinued)
floctafenine 400mg tab
Floctafenine 400mg Tab
Idarac 400mg Tab (discontinued)
N02BG99
DNP
PRP
SFC
02244680
AAP
DNP
PRP
SFC
02244681
AAP
02266121
BAY
SF
SF
02241163
00027243
SDZ
STR
SF
02228947
STR
SF
SF
SF
00156086
00116858
00176095
ERF
AXS
NVR
E
E
02230418
02230420
GSK
GSK
E
E
02361698
02212188
TAR
GSK
CANNABINOID DERIVATIVES, COMBINATIONS

Sativex Spray
N02C ANTIMIGRAINE PREPARATIONS

N02CA ERGOT ALKALOIDS
N02CA01
N02CA52
DIHYDROERGOTAMINE
dihydroergotamine 1mg/mL inj
Dihydroergotamine 1mg/mL Inj
Dihydroergotamine 1mg/mL Inj
DNP
DNP
Migranal 4mg/mL Nasal Spray
DNP
MRP
MRP
ERGOTAMINE, COMBINATIONS EXCLUDING PSYCHOLEPTICS

DNP
Ergodryl Cap
Gravergol Cap
DNP
DNP
Cafergot Tab
NO2CC SELECTIVE SEROTONIN (5HT) - RECEPTOR AGONISTS

N02CC01
October 2011
SUMATRIPTAN
Imitrex 5mg Nasal Spray
Imitrex 20mg Nasal Spray
DNP
DNP
sumatriptan 12mg/mL inj

Sumatriptan SUN 6mg/0.5mL Inj
Imitrex 6mg/0.5mL Inj
DNP
DNP
MRP
MRP
Nervous System 123
sumatriptan 25mg tab

CO Sumatriptan 25mg Tab
MYLAN-Sumatriptan 25mg Tab
Novo-Sumatriptan DF 25mg Tab
pms-Sumatriptan 25mg Tab
Sumatriptan 25mg Tab
Imitrex DF 25mg Tab (discontinued)
N02CC02
N02CC03
N02CC04
N02CC05
October 2011
02257882
02268906
02286815
02256428
02286513
COB
MYL
TEV
PMS
SAS

Apo-Sumatriptan 50mg Tab
ratio-Sumatriptan 50mg Tab
Sandoz Sumatriptan 50mg Tab
Imitrex DF 50mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
02268388
02257890
02268914
02286823
02256436
02271583
02263025
02286521
02212153
APX
COB
MYL
TEV
PMS
TEV
SDZ
SAS
GSK

Apo-Sumatriptan 100mg Tab
Novo-Sumatriptan 100mg Tab
Sandoz Sumatriptan 100mg Tab
Imitrex DF 100mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
02268396
02257904
02268922
02239367
02286831
02256444
02263033
02286548
02212161
APX
COB
MYL
TEV
TEV
PMS
SDZ
SAS
GSK
NARATRIPTAN
naratriptan 1mg tab
Novo-Naratriptan 1mg Tab
Amerge 1mg Tab
DNP
DNP
MRP
MRP
E
E
02314290
02237820
TEV
GSK
naratriptan 2.5mg tab

Novo-Naratriptan 2.5mg Tab
Sandoz Naratriptan 2.5mg Tab
Amerge 2.5mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
E
E
E
02314304
02322323
02237821
TEV
SDZ
GSK
ZOLMITRIPTAN
zolmitriptan 2.5mg tab
MYLAN-Zolmitriptan 2.5mg Tab
pms-Zolmitriptan 2.5mg Tab
Sandoz Zolmitriptan 2.5mg Tab
Teva Zolmitriptan 2.5mg Tab
Zomig 2.5mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
02369036
02324229
02362988
02313960
02238660
MYL
PMS
SDZ
TEV
AZE
zolmitriptan ODT 2.5mg tab

pms-Zolmitriptan ODT 2.5mg Tab
Sandoz Zolmitripran ODT 2.5mg Tab
Teva-Zolmitriptan OD 2.5mg Tab
Zomig Rapimelt 2.5mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
E
E
E
E
02324768
02362996
02342545
02243045
PMS
SDZ
TEV
AZE
Zomig 2.5mg Nasal Spray

Zomig 5mg Nasal Spray
DNP
DNP
E
E
02248992
02248993
AZE
AZE
RIZATRIPTAN
Maxalt 5mg Tab
Maxalt 10mg Tab
Maxalt RPD 5mg Wafers
Maxalt RPD 10mg Wafers
DNP
DNP
DNP
DNP
E
E
E
E
02240520
02240521
02240518
02240519
FRS
FRS
FRS
FRS
ALMOTRIPTAN
Axert 6.25mg Tab
Axert 12.5mg Tab
DNP
DNP
E
E
02248128
02248129
JNJ
JNJ
Nervous System 124
N02CC06
ELETRIPTAN
Relpax 20mg Tab
Relpax 40mg Tab
02256290
02256304
PFI
PFI
N02CX OTHER ANTIMIGRAINE PREPARATIONS

N02CX01
N03
PIZOTIFEN
Sandomigran DS 1mg Tab
Sandomigran 0.5mg Tab
DNP
DNP
SF
SF
00511552
00329320
PAL
PAL
D
D
D
D
D
SFC
SFC
SFC
SFC
SFC
00645575
00178799
00178802
00178810
00178829
PMS
PMS
PMS
PMS
PMS
ANTIEPILEPTICS
N03A ANTIEPILEPTICS
N03AA BARBITURATES AND DERIVATIVES
N03AA02
N03AA03
PHENOBARBITAL
pms-Phenobarbital 5mg/mL Elixir
pms-Phenobarbital 15mg Tab
PRIMIDONE
primidone 125mg tab
Primidone 125mg Tab
Mysoline 125mg Tab (discontinued)
primidone 250mg tab
Primidone 250mg Tab
Mysoline 250mg Tab (discontinued)
MRP
SF
00399310
AAP
MRP
SF
00396761
AAP
SFC
SFC
SFC
SFC
00022772
00022780
00023698
00023442
PFI
PFI
PFI
PFI
SFC
SFC
02250896
00023450
TAR
PFI
N03AB HYDANTOIN DERIVATIVES

N03AB02
PHENYTOIN
Dilantin 30mg Cap
Dilantin 100mg Cap
Dilantin 50mg Infatabs
Dilantin-30 (6mg/mL) Susp
DNP
DNP
DNP
DNP
phenytoin 25mg/mL susp

Taro-Phenytoin 25mg/mL Susp
Dilantin-125 (25mg/mL) Susp
DNP
DNP
MRP
MRP
N03AD SUCCINIMIDE DERIVATIVES

N03AD01
N03AD03
ETHOSUXIMIDE
Zarontin 250mg Cap
Zarontin 250mg/5mL Syr
DNP
DNP
SF
SF
00022799
00023485
ERF
ERF
METHSUXIMIDE (MESUXIMIDE)
Celontin 300mg Cap
DNP
SF
00022802
ERF
SF
02179660
PMS
N03AE BENZODIAZEPINE DERIVATIVES

N03AE01
October 2011
CLONAZEPAM
pms-Clonazepam 0.25mg Tab
Nervous System 125
clonazepam 0.5mg tab

Apo-Clonazepam 0.5mg Tab
CO Clonazepam 0.5mg Tab
MYLAN-Clonazepam 0.5mg Tab
Novo-Clonazepam 0.5mg Tab
phl-Clonazepam-R 0.5mg Tab
pms-Clonazepam 0.5mg Tab
pms-Clonazepam-R 0.5mg Tab
Sandoz Clonazepam 0.5mg Tab
Zym-Clonazepam 0.5mg Tab
Rivotril 0.5mg Tab
ratio-Clonazepam 0.5mg Tab (discontinued)
D
D
D
D
D
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02177889
02270641
02230950
02239024
02236948
02048701
02207818
02233960
02345676
00382825
APX
COB
MYL
TEV
PHL
PMS
PMS
SDZ
ZYM
HLR
clonazepam 1mg tab

phl-Clonazepam 1mg Tab
pms-Clonazepam 1mg Tab
D
D
MRP
MRP
SF
SF
02145235
02048728
PHL
PMS
CO Clonazepam 1mg Tab

Sandoz Clonazepam 1mg Tab
D
D
SF
SF
02270668
02233982
COB
SDZ
clonazepam 2mg tab

Apo-Clonazepam 2mg Tab
CO Clonazepam 2mg Tab
MYLAN-Clonazepam 2mg Tab
Novo-Clonazepam 2mg Tab
phl-Clonazepam 2mg Tab
pms-Clonazepam 2mg Tab
Sandoz Clonazepam 2mg Tab
Zym-Clonazepam 2mg Tab
Rivotril 2mg Tab
ratio-Clonazepam 2mg Tab (discontinued)
D
D
D
D
D
D
D
D
D
SF
SF
SF
SF
SF
SF
SF
SF
SF
02177897
02270676
02230951
02239025
02145243
02048736
02233985
02303337
00382841
APX
COB
MYL
TEV
PHL
PMS
SDZ
ZYM
HLR
02194333
NVR
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
N03AF CARBOXAMIDE DERIVATIVES

N03AF01
October 2011
CARBAMAZEPINE
Tegretol 100mg/5mL O/L
carbamazepine 100mg chewable tab
pms-Carbamazepine 100mg Chewtab
Sandoz Carbamazepine 100mg Chewtab
Taro-Carbamazepine 100mg Chewtab
Tegretol 100mg Chewtab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02231542
02261855
02244403
00369810
PMS
SDZ
TAR
NVR
carbamazepine 200mg chewable tab

pms-Carbamazepine 200mg Chewtab
Sandoz Carbamazepine 200mg Chewtab
Taro-Carbamazepine 200mg Chewtab
Tegretol 200mg Chewtab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02231540
02261863
02244404
00665088
PMS
SDZ
TAR
NVR
carbamazepine 200mg tab

Apo-Carbamazepine 200mg Tab
Novo-Carbamaz 200mg Tab
Tegretol 200mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
00402699
00782718
00010405
APX
TEV
NVR
carbamazepine 200mg CR tab

MYLAN-Carbamazepine CR 200mg Tab
pms-Carbamazepine CR 200mg Tab
Sandoz Carbamazepine CR 200mg Tab
Tegretol CR 200mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02241882
02231543
02261839
00773611
MYL
PMS
SDZ
NVR
carbamazepine 400mg CR tab

MYLAN-Carbamazepine CR 400mg Tab
pms-Carbamazepine CR 400mg Tab
Sandoz Carbamazepine CR 400mg Tab
Tegretol CR 400mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02241883
02231544
02261847
00755583
MYL
PMS
SDZ
NVR
Nervous System 126
NO3AF02
OXCARBAZEPINE
Trileptal 60mg/mL O/L
DNP
oxcarbazepine 150mg tab

Apo-Oxcarbazepine 150mg Tab
Trileptal 150mg Tab
DNP
DNP

Trileptal 300mg Tab
Trileptal 600mg Tab
02244673
NVR
MRP
MRP
E
E
02284294
02242067
APX
NVR
DNP
DNP
MRP
MRP
E
E
02284308
02242068
APX
NVR
DNP
DNP
MRP
MRP
E
E
02284316
02242069
APX
NVR
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02238048
02184648
02100630
02237830
02230768
02140047
00443840
APX
MYL
TEV
NXP
PMS
TEV
ABB
DNP
DNP
MRP
MRP
SF
SF
02218321
02229628
TEV
PMS
valproic acid 50mg/mL syr

Apo-Valproic 50mg/mL Syr
pms-Valproic 50mg/mL Syr
ratio-Valproic 50mg/mL Syr
Depakene 50mg/mL Syr
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02238370
02236807
02140063
00443832
APX
PMS
TEV
ABB
divalproex sodium 125mg tab

Apo-Divalproex 125mg Tab
Novo-Divalproex 125mg Tab
Nu-Divalproex 125mg Tab
Epival 125mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02239698
02239701
02239517
00596418
APX
TEV
NXP
ABB

Epival 250mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02239699
02239702
02239518
00596426
APX
TEV
NXP
ABB

Epival 500mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02239700
02239703
02239519
00596434
APX
TEV
NXP
ABB
VIGABATRIN
Sabril 500mg Tab
Sabril 0.5g Sachets
DNP
DNP
E
E
02065819
02068036
VLH
VLH
N03AG FATTY ACID DERIVATIVES

N03AG01
VALPROIC ACID (DIVALPROEX SODIUM)

valproic acid 250mg cap
Apo-Valproic 250mg Cap
MYLAN-Valproic 250mg Cap
Novo-Valproic 250mg Cap
Nu-Valproic 250mg Cap
pms-Valproic 250mg Cap
ratio-Valproic 250mg Cap
Depakene 250mg Cap
valproic acid 500mg EC cap
Novo-Valproic 500mg Cap
pms-Valproic EC 500mg Cap
Depakene 500mg Cap (discontinued)
N03AG04
October 2011
Nervous System 127
N03AX OTHER ANTIEPILEPTICS

N03AX09
N03AX11
October 2011
LAMOTRIGINE
Lamictal 5mg Chewable Tab
DNP
lamotrigine 25mg tab

Apo-Lamotrigine 25mg Tab
Lamotrigine 25mg Tab
MYLAN-Lamotrigine 25mg Tab
Novo-Lamotrigine 25mg Tab
pms-Lamotrigine 25mg Tab
ratio-Lamotrigine 25mg Tab
Lamictal 25mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP

Lamictal 100mg Tab
SF
02240115
GSK
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02245208
02343010
02265494
02248232
02246897
02243352
02142082
APX
SAS
MYL
TEV
PMS
TEV
GSK
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02245209
02343029
02265508
02248233
02246898
02243353
02142104
APX
SAS
MYL
TEV
PMS
TEV
GSK

Lamictal 150mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
02245210
02343037
02265516
02248234
02246899
02246963
02142112
APX
SAS
MYL
TEV
PMS
TEV
GSK
TOPIRAMATE
Topamax 15mg Sprinkle Cap
Topamax 25mg Sprinkle Cap
DNP
DNP
E
E
02239907
02239908
JAN
JAN
E
E
E
E
E
E
E
E
E
E
E
02279614
02287765
02315645
02263351
02248860
02271184
02262991
02260050
02356856
02325136
02230893
APX
COB
MNT
MYL
TEV
PHL
PMS
SDZ
SAS
ZYM
JAN
02312085
PMS
E
E
E
E
E
E
E
E
E
E
E
02279630
02287773
02315653
02263378
02248861
02271192
02263009
02260069
02356864
02325144
02230894
APX
COB
MNT
MYL
TEV
PHL
PMS
SDZ
SAS
ZYM
JAN
topiramate 25mg tab

Apo-Topiramate 25mg Tab
CO Topiramate 25mg Tab
MINT-Topiramate 25mg Tab
MYLAN-Topiramate 25mg Tab
Novo-Topiramate 25mg Tab
phl-Topiramate 25mg Tab
pms-Topiramate 25mg Tab
Sandoz Topiramate 25mg Tab
Topiramate 25mg Tab
Zym-Topiramate 25mg Tab
Topamax 25mg Tab
ratio-Topiramate 25mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
topiramate 100mg tab

Topiramate 100mg Tab
Topamax 100mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
Nervous System 128
topiramate 200mg tab

Topiramate 200mg Tab
Topamax 200mg Tab
N03AX12
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
E
E
E
E
02279649
02287781
02315661
02263386
02248862
02271206
02263017
02267837
02356872
02325152
02230896
APX
COB
MNT
MYL
TEV
PHL
PMS
SDZ
SAS
ZYM
JAN
GABAPENTIN
gabapentin 100mg cap
Apo-Gabapentin 100mg Cap
CO Gabapentin 100mg Cap
Gabapentin 100mg Cap
GD-Gabapentin 100mg Cap
MYLAN-Gabapentin 100mg Cap
Novo-Gabapentin 100mg Cap
pms-Gabapentin 100mg Cap
RAN-Gabapentin 100mg Cap
ratio-Gabapentin 100mg Cap
Neurontin 100mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02244304
02256142
02353245
02285819
02248259
02244513
02246314
02243446
02319055
02260883
02084260
APX
COB
SAS
GMD
MYL
TEV
MEL
PMS
RAN
TEV
PFI

RAN-Gabapentin 300mg Cap
Teva-Gabapentin 300mg Cap
Neurontin 300mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02244305
02256150
02353253
02285827
02248260
02246315
02243447
02319063
02260891
02244514
02084279
APX
COB
SAS
GMD
MYL
MEL
PMS
RAN
TEV
TEV
PFI

Novo-Gabapentin 400mg Cap
RAN-Gapapentin 400mg Cap
Neurontin 400mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02244306
02256169
02353261
02285835
02248261
02244515
02246316
02243448
02319071
02260905
02084287
APX
COB
SAS
GMD
MYL
TEV
MEL
PMS
RAN
TEV
PFI
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02293358
02285843
02248457
02239717
02255898
APX
GMD
TEV
PFI
PMS
gabapentin 600mg tab

Apo-Gabapentin 600mg Tab
GD-Gabapentin 600mg Tab
Novo-Gabapentin 600mg Tab
Neurontin 600mg Tab
pms-Gabapentin 600mg Tab
ratio-Gabapentin 600mg Tab (discontinued)
October 2011
Nervous System 129
gabapentin 800mg tab

Apo-Gabapentin 800mg Tab
GD-Gabapentin 800mg Tab
Novo-Gabapentin 800mg Tab
ratio-Gabapentin 800mg Tab
Neurontin 800mg Tab
pms-Gabapentin 800mg Tab
N03AX14
N03AX16
N03AX18
N04
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02293366
02285851
02247346
02260921
02239718
02255901
APX
GMD
TEV
TEV
PFI
PMS
LEVETIRACETAM
levetiracetam 250mg tab
Apo-Levetiracetam 250mg Tab
CO Levetiracetam 250mg Tab
pms-Levetiracetam 250mg Tab
Levetiracetam 250mg Tab
Keppra 250mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
02285924
02274183
02296101
02353342
02247027
APX
COB
PMS
SAS
UCB

Keppra 500mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
02285932
02274191
02353350
02296128
02247028
APX
COB
SAS
PMS
UCB

Keppra 750mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
02285940
02274205
02353369
02296136
02247029
APX
COB
SAS
PMS
UCB
02268418
02268426
02268434
02268450
02268485
PFI
PFI
PFI
PFI
PFI
PREGABALIN
Lyrica 25mg Cap
Lyrica 50mg Cap
Lyrica 75mg Cap
Lyrica 150mg Cap
Lyrica 300mg Cap
LACOSAMIDE
Vimpat 50mg Tab
Vimpat 100mg Tab
Vimpat 150mg Tab
Vimpat 200mg Tab
DNP
DNP
DNP
DNP
E
E
E
E
02357615
02357623
02357631
02357658
UCB
UCB
UCB
UCB
DNP
DNP
SF
SF
00545058
00545074
AAP
AAP
ANTI-PARKINSON DRUGS
N04A ANTICHOLINERGIC AGENTS

N04AA TERTIARY AMINES
N04AA01
N04AA04
TRIHEXYPHENIDYL
Trihexyphenidyl 2mg Tab
Trihexyphenidyl 5mg Tab
PROCYCLIDINE
procyclidine HCl 0.5mg/mL o/l
pms-Procyclidine 0.5mg/mL Elx
Kemadrin 0.5mg/mL O/L (discontinued)
procyclidine HCl 5mg tab
pms-Procyclidine 5mg Tab
Kemadrin 5mg Tab (discontinued)
N04AA05
October 2011
ETHOPROPAZINE (PROFENAMINE)
Parsitan 50mg Tab
DNP
MRP
SF
00587362
PMS
DNP
MRP
SF
00587354
PMS
SF
01927744
ERF
DNP
Nervous System 130
N04AC ETHERS OF TROPINE OR TROPINE DERIVATIVES

N04AC01
BENZTROPINE
pms-Benztropine 1mg Tab
benztropine mesylate 2mg tab
Apo-Benztropine 2mg Tab
pms-Benztropine 2mg Tab
Cogentin 2mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
SF
00706531
PMS
SF
SF
00426857
00587265
APX
PMS
SF
SF
SF
02292165
00522597
00386464
00386472
ABB
HLR
HLR
HLR
N04B DOPAMINERGIC AGENTS

N04BA DOPA AND DOPA DERIVATIVES
N04BA02
N04BA03
LEVODOPA AND DECARBOXYLASE INHIBITOR

Duodopa 5mg/20mg/mL Intratestional Gel
Prolopa 50-12.5 Cap
Prolopa 100-25 Cap
Prolopa 200-50 Cap
DNP
DNP
DNP
levodopa 100mg & carbidopa 10mg tab

Apo-Levocarb 100/10 Tab
Novo-Levocarbidopa 100/10 Tab
Nu-Levocarb 100/10 Tab
Sinemet 100/10 Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02195933
02244494
02182831
00355658
APX
TEV
NXP
FRS

Nu-Levocarb 100/25 Tab
Sinemet 100/25 Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02195941
02244495
02182823
00513997
APX
TEV
NXP
FRS

Levocarb CR 200/50 Tab
Sinemet CR 200/50 Tab
DNP
DNP
SF
SF
02245211
00870935
AAP
FRS

Sinemet 250/25 Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02195968
02244496
00328219
APX
TEV
FRS
levodopa 100mg & carbidopa 25mg CR tab

Apo-Levocarb CR 100/25mg Tab
Sinemet CR 100/25mg Tab
DNP
DNP
MRP
MRP
SF
SF
02272873
02028786
AAP
FRS
E
E
E
E
E
02305933
02337827
02305941
02337835
02305968
NVR
NVR
NVR
NVR
NVR
SF
SF
02139200
01990403
MYL
PMS
SF
02022826
PMS
LEVODOPA, DECARBOXYLASE INHIBITOR AND COMT INHIBITOR

Stalevo 50mg Tab
DNP
Stalevo 75mg Tab
DNP
DNP
Stalevo 100mg Tab
Stalevo 125mg Tab
DNP
DNP
Stalevo 150mg Tab
N04BB ADAMANTANE DERIVATIVES

N04BB01
October 2011
AMANTADINE
amantadine HCl 100mg cap
MYLAN-Amantadine 100mg Cap
pms-Amantadine 100mg Cap
Endantadine 100mg Cap (discontinued)
Symmetrel 100mg Cap (discontinued)
DNP
DNP
amantadine HCl 10mg/mL o/l

pms-Amantadine 10mg/mL Syr
Symmetrel 10mg/mL Syr (discontinued)
DNP
MRP
MRP
Nervous System 131
N04BC DOPAMINE AGONISTS

N04BC04
ROPINIROLE
ropinirole 0.25mg tab
CO Ropinirole 0.25mg Tab
pms-Ropinirole 0.25mg Tab
Ropinirole 0.25mg Tab
ReQuip 0.25mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
RAN-Ropinirole 0.25mg Tab

ropinirole 1mg tab
CO Ropinirole 1mg Tab
pms-Ropinirole 1mg Tab
Ropinirole 1mg Tab
ReQuip 1mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
RAN-Ropinirole 1mg Tab

ropinirole 2mg tab
Ropinirole 2mg Tab
ReQuip 2mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF

ropinirole 5mg tab
Ropinirole 5mg Tab
ReQuip 5mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF

N04BC05
PRAMIPEXOLE
pramipexole 0.25mg tab
Apo-Pramipexole 0.25mg Tab
CO Pramipexole 0.25mg Tab
Novo-Pramipexole 0.25mg Tab
pms-Pramipexole 0.25mg Tab
Sandoz Pramipexole 0.25mg Tab
Mirapex 0.25mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF

Mirapex 0.5mg Tab
October 2011
02316846
02326590
02353040
02232565
COB
PMS
SAS
GSK
02314037
RAN
02316854
02326612
02353059
02232567
COB
PMS
SAS
GSK
02314053
RAN
02316862
02326620
02353067
02232568
COB
PMS
SAS
GSK
02314061
RAN
02316870
02326639
02353075
02232569
COB
PMS
SAS
GSK
02314088
RAN
02292378
02297302
02269309
02290111
02315262
02237145
APX
COB
TEV
PMS
SDZ
BOE
02292386
02297310
02269317
02290138
02241594
APX
COB
TEV
PMS
BOE
pramipexole 1mg tab

Apo-Pramipexole 1mg Tab
CO Pramipexole 1mg Tab
Novo-Pramipexole 1mg Tab
pms-Pramipexole 1mg Tab
Sandoz Pramipexole 1mg Tab
Mirapex 1mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02292394
02297329
02269325
02290146
02315289
02237146
APX
COB
TEV
PMS
SDZ
BOE

Sandoz Pramipexole 1.5mg Tab
Mirapex 1.5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
02292408
02297337
02269333
02290154
02315297
02237147
APX
COB
TEV
PMS
SDZ
BOE
Nervous System 132
N04BD MONOAMINE OXIDASE B INHIBITORS

N04BD01
N04BD02
SELEGILINE
selegiline 5mg tab
Apo-Selegiline 5mg Tab
MYLAN-Selegiline 5mg Tab
Novo-Selegiline 5mg Tab
Nu-Selegiline 5mg Tab
pms-Selegiline 5mg Tab (discontinued)
Eldepryl 5mg Tab (discontinued)
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02230641
02231036
02068087
02230717
APX
MYL
TEV
NXP
02284642
02284650
TMP
TMP
02243763
NVR
SFC
00743518
SDZ
RASAGILINE
Azilect 0.5mg Tab
Azilect 1mg Tab
N04BX OTHER DOPAMINERGIC AGENTS

N04BX02
N05
ENTACAPONE
Comtan 200mg Tab
DNP
PSYCHOLEPTICS
N05A ANTIPSYCHOTICS
N05AA PHENOTHIAZINE WITH ALIPHATIC SIDE-CHAIN
N05AA01
N05AA02
CHLORPROMAZINE
chlorpromazine 25mg/mL inj
Chlorpromazine 25mg/mL Inj
Largactil 25mg/mL Inj (discontinued)
DNP
MRP
Novo-Chlorpromazine 25mg Tab

DNP
DNP
DNP
SFC
SFC
SFC
00232823
00232807
00232831
TEV
TEV
TEV
METHOTRIMEPRAZINE (LEVOMEPROMAZINE)
Nozinan 25mg/mL Inj
DNP
SFC
01927698
SAV
SFC
02238403
APX
methotrimeprazine 2mg tab

Apo-Methoprazine 2mg Tab
Nozinan 2mg Tab (discontinued)
DNP

DNP
SFC
02238404
APX

DNP
SFC
02238405
APX

DNP
SFC
02238406
APX
Fluphenazine Omega 25mg/mL Inj
DNP
SFC
02239636
OMG
fluphenazine decanoate 100mg/mL inj

Modecate Concentrate 100mg/mL Inj
pms-Fluphenazine 100mg/mL Inj (discontinued)
DNP
SFC
00755575
BRI
MRP
N05AB PHENOTHIAZINES WITH PIPERAZINE STRUCTURE

N05AB02
October 2011
FLUPHENAZINE
fluphenazine decanoate 25mg/mL inj
pms-Fluphenazine 25mg/mL Inj (discontinued)
Modecate 25mg/mL Inj (discontinued)
Nervous System 133
N05AB03
N05AB04
N05AB06
N05AB08
Apo-Fluphenazine 1mg Tab

pms-Fluphenazine 5mg Tab
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
00405345
00410632
00405361
00726354
APX
APX
APX
PMS
PERPHENAZINE
Perphenazine 2mg Tab
DNP
SFC
00335134
AAP
SFC
00335126
AAP
SFC
SFC
00335118
00335096
AAP
AAP
SFC
00789747
SDZ
SFC
SFC
SFC
00753661
00753637
00789720
PMS
PMS
SDZ
perphenazine 4mg tab

Trilafon 4mg Tab (discontinued)
DNP

DNP
DNP
PROCHLORPERAZINE
prochlorperazine 5mg/mL inj
Prochlorperazine 5mg/mL Inj
Stemetil 5mg/mL Inj (discontinued)
DNP
MRP
MRP
pms-Prochlorperazine 5mg Tab

pms-Prochloperazine 10mg Tab
Prochlorperazine 10mg Supp
DNP
DNP
DNP
prochlorperazine 5mg tab

Apo-Prochlorazine 5mg Tab
Stemetil 5mg Tab (discontinued)
DNP
MRP
SFC
00886440
APX
prochlorperazine 10mg tab

Apo-Prochlorazine 10mg Tab
Stemetil 10mg Tab (discontinued)
DNP
MRP
SFC
00886432
APX
DNP
MRP
SFC
00345539
AAP
trifluoperazine 2mg tab

Trifluoperazine 2mg Tab
Stelazine 2mg Tab (discontinued)
DNP
MRP
SFC
00312754
AAP

DNP
MRP
SFC
00312746
AAP

DNP
MRP
SFC
00326836
AAP
DNP
SFC
00595942
AAP
THIOPROPERAZINE
Majeptil 10mg Tab
DNP
SFC
01927639
ERF
01926780
01926772
01926764
01926756
ERF
ERF
ERF
ERF
01926667
01926675
SAV
SAV
TRIFLUOPERAZINE
N05AC PHENOTHIAZINES WITH PIPERIDINE STRUCTURE

N05AC01
N05AC04
October 2011
PERICYAZINE (PROPERICYAZINE)
Neuleptil 5mg Cap
Neuleptil 10mg Cap
Neuleptil 20mg Cap
Neuleptil 10mg/mL Oral Drops
PIPOTIAZINE
Piportil L4 25mg/mL Inj
Piportil L4 50mg/mL Inj
DNP
DNP
SFC
SFC
Nervous System 134
N05AD BUTYROPHENONE DERIVATIVES

N05AD01
N05AD08
HALOPERIDOL
Haloperidol 5mg/mL Inj
DNP
SFC
00808652
SDZ
haloperidol LA 50mg/mL inj

Haloperidol LA 50mg/mL Inj
Haldol LA 50mg/mL Inj (discontinued)
DNP
MRP
SFC
02130297
SDZ
haloperidol LA 100mg/mL inj

Haloperidol LA 100mg/mL Inj
Haldol LA 100mg/mL Inj (discontinued)
DNP
MRP
SFC
02130300
SDZ
haloperidol 0.5mg tab

Apo-Haloperidol 0.5mg Tab
Novo-Peridol 0.5mg Tab
Haldol 0.5mg Tab (discontinued)
DNP
DNP
MRP
MRP
SFC
SFC
00396796
00363685
APX
TEV
haloperidol 1mg tab

Apo-Haloperidol 1mg Tab
Novo-Peridol 1mg Tab
Haldol 1mg Tab (discontinued)
DNP
DNP
MRP
MRP
SFC
SFC
00396818
00363677
APX
TEV
haloperidol 2mg tab

DNP
DNP
MRP
MRP
SFC
SFC
00396826
00363669
APX
TEV
haloperidol 5mg tab

DNP
DNP
MRP
MRP
SFC
SFC
00396834
00363650
APX
TEV
haloperidol 10mg tab

DNP
DNP
MRP
MRP
SFC
SFC
00463698
00713449
APX
TEV
Haldol 2mg/mL O/L (discontinued)

ratio-Haloperidol 0.5mg Tab
ratio-Haloperidol 1mg Tab
DNP
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
SFC
00768820
00552135
00552143
00728292
00647969
00728306
TEV
TEV
TEV
TEV
TEV
TEV
DROPERIDOL
Droperidol 2.5mg/mL Inj
DNP
SFC
02167832
SDZ
DNP
DNP
DNP
DNP
E
E
E
E
02298597
02298600
02298619
02298627
PFI
PFI
PFI
PFI
DNP
DNP
DNP
DNP
SFC
SFC
SFC
SFC
02156040
02156032
02156008
02156016
VLH
VLH
VLH
VLH
N05AE INDOLE DERIVATIVES

N05AE04
ZIPRASIDONE
Zeldox 20mg Cap
Zeldox 40mg Cap
Zeldox 60mg Cap
Zeldox 80mg Cap
N05AF THIOXANTHENE DERIVATIVES

N05AF01
October 2011
FLUPENTHIXOL
Fluanxol Depot 10% Inj
Fluanxol Depot 2% Inj
Fluanxol 0.5mg Tab
Fluanxol 3mg Tab
Nervous System 135
N05AF04
N05AF05
THIOTHIXENE
Navane 2mg Cap
Navane 5mg Cap
Navane 10mg Cap
SFC
SFC
SFC
DNP
DNP
DNP
ZUCLOPENTHIXOL
Clopixol-Acuphase 50mg/mL Inj
Clopixol-Depot 200mg/mL Inj
Clopixol 10mg Tab
Clopixol 25mg Tab
00024430
00024449
00024457
ERF
ERF
ERF
02230405
02230406
02230402
02230403
VLH
VLH
VLH
VLH
N05AG DIPHENYLBUTYLPIPERIDINE DERIVATIVES

N05AG02
PIMOZIDE
pimozide 2mg tab
Apo-Pimozide 2mg Tab
Orap 2mg Tab
DNP
DNP
MRP
MRP
SFC
SFC
02245432
00313815
APX
PMS
pimozide 4mg tab

Apo-Pimozide 4mg Tab
Orap 4mg Tab
DNP
DNP
MRP
MRP
SFC
SFC
02245433
00313823
APX
PMS
DNP
DNP
SFC
SFC
02169991
02242868
SDZ
PMS
loxapine 5mg tab

pms-Loxapine 5mg Tab
Loxapac 5mg Tab (discontinued)
DNP
SFC
02230837
PMS
loxapine 10mg tab

DNP
SFC
02230838
PMS
loxapine 25mg tab

DNP
SFC
02230839
PMS
loxapine 50mg tab

DNP
SFC
02230840
PMS
CLOZAPINE
clozapine 25mg tab
Apo-Clozapine 25mg Tab
Gen-Clozapine 25mg Tab
Clozaril 25mg Tab
02248034
02247243
00894737
APX
MYL
NVR
02305003
MYL
clozapine 100mg tab

Apo-Clozapine 100mg Tab
Clozaril 100mg Tab
02248035
02247244
00894745
APX
MYL
NVR
02305011
MYL
N05AH DIAZEPINES, OXAZEPINES AND THIAZEPINES

N05AH01
N05AH02
October 2011
LOXAPINE
Loxapac 50mg/mL IM Inj
pms-Loxapine 2.5mg Tab
Nervous System 136
N05AH03
OLANZAPINE
Zyprexa 10mg/vial Inj
LIL
olanzapine 2.5mg tab

Apo-Olanzapine 2.5mg Tab
MYLAN-Olanzapine 2.5mg Tab
Novo-Olanzapine 2.5mg Tab
pms-Olanzapine 2.5mg Tab
Sandoz Olanzapine 2.5mg Tab
Zyprexa 2.5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
02281791
02337878
02276712
02303116
02310341
02229250
APX
MYL
TEV
PMS
SDZ
LIL
olanzapine 5mg tab

Apo-Olanzapine 5mg Tab
MYLAN-Olanzapine 5mg Tab
Novo-Olanzapine 5mg Tab
pms-Olanzapine 5mg Tab
Sandoz Olanzapine 5mg Tab
Zyprexa 5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
02281805
02337886
02276720
02303159
02310368
02229269
APX
MYL
TEV
PMS
SDZ
LIL
olanzapine 7.5mg tab

Apo-Olanzapine 7.5mg Tab
MYLAN-Olanzapine 7.5mg Tab
Novo-Olanzapine 7.5mg Tab
pms-Olanzapine 7.5mg Tab
Sandoz Olanzapine 7.5mg Tab
Zyprexa 7.5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
02281813
02337894
02276739
02303167
02310376
02229277
APX
MYL
TEV
PMS
SDZ
LIL
olanzapine 10mg tab

Zyprexa 10mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
02281821
02337908
02276747
02303175
02310384
02229285
APX
MYL
TEV
PMS
SDZ
LIL
olanzapine 15mg tab

Zyprexa 15mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
02281848
02337916
02276755
02303183
02310392
02238850
APX
MYL
TEV
PMS
SDZ
LIL
02333015
02359707
02238851
APX
TEV
LIL
olanzapine 20mg tab

Teva-Olanzapine 20mg Tab
Zyprexa 20mg Tab
October 2011
02247099
olanzapine ODT 5mg tab

CO Olanzapine ODT 5mg Tab
Novo-Olanzapine OD 5mg Tab
pms-Olanzapine ODT 5mg Tab
Sandoz Olanzapine ODT 5mg Tab
Zyprexa Zydis 5mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
02327562
02321343
02303191
02327775
02243086
COB
TEV
PMS
SDZ
LIL

Apo-Olanzapine ODT 10mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
02360624
02327570
02321351
02303205
02327783
02243087
APX
COB
TEV
PMS
SDZ
LIL
Nervous System 137
N05AH04

DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
02360632
02327589
02321378
02303213
02327791
02243088
APX
COB
TEV
PMS
SDZ
LIL

Novo-Olanzapine ODT 20mg Tab
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
02360640
02327597
02321386
02327805
02243089
APX
COB
TEV
SDZ
LIL
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02313901
02316080
02330415
02307804
02284235
02299054
02296551
02353164
02313995
02236951
APX
COB
JPC
MYL
TEV
PHL
PMS
SAS
SDZ
AZE
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02313928
02316099
02330423
02307812
02284243
02299062
02296578
02353172
02314002
02236952
APX
COB
JPC
MYL
TEV
PHL
PMS
SAS
SDZ
AZE
SF
02284251
TEV
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02313936
02316110
02330458
02307839
02284278
02299089
02296594
02353199
02314010
02236953
APX
COB
JPC
MYL
TEV
PHL
PMS
SAS
SDZ
AZE
QUETIAPINE
quetiapine 25mg tab
Apo-Quetiapine 25mg Tab
CO Quetiapine 25mg Tab
Jamp-Quetiapine 25mg Tab
MYLAN-Quetiapine 25mg Tab
Novo-Quetiapine 25mg Tab
phl-Quetiapine 25mg Tab
pms-Quetiapine 25mg Tab
Quetiapine 25mg Tab
Sandoz Quetiapine 25mg Tab
Seroquel 25mg Tab
ratio-Quetiapine 25mg Tab (discontinued)
quetiapine 100mg tab
Quetiapine 100mg Tab
Seroquel 100mg Tab
Seroquel 200mg Tab
October 2011
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
Nervous System 138

Seroquel 300mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02313944
02316129
02330466
02307847
02284286
02299097
02296608
02353202
02314029
02244107
APX
COB
JPC
MYL
TEV
PHL
PMS
SAS
SDZ
AZE
LITHIUM
lithium 150mg cap
Apo-Lithium Carbonate 150mg Cap
pms-Lithium Carbonate 150mg Cap
Carbolith 150mg Cap
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02242837
02216132
00461733
APX
PMS
VLN
lithium 150mg cap

Lithane 150mg Cap
DNP
DNP
MRP
MRP
SFC
SFC
02242837
02013231
APX
ERF
lithium 300mg cap

Carbolith 300mg Cap
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02242838
02216140
00236683
APX
PMS
VLN
lithium 300mg cap

Lithane 300mg Cap
DNP
DNP
MRP
MRP
SFC
SFC
02242838
00406775
APX
ERF
lithium 600mg cap

Carbolith 600mg Cap
DNP
DNP
MRP
MRP
SFC
SFC
02216159
02011239
PMS
VLN
DNP
SFC
02266695
AAP
RISPERIDONE
Risperdal Consta 25mg/2mL Inj
Risperdal Consta 37.5mg/2mL Inj
Risperdal Consta 50mg/2mL Inj
DNP
DNP
DNP
E
E
E
02255707
02255723
02255758
JAN
JAN
JAN
risperidone 1mg/mL o/l

Apo-Risperidone 1mg/mL O/L
pms-Risperidone 1mg/mL O/L
Risperdal 1mg/mL O/L
DNP
DNP
DNP
SF
SF
SF
02280396
02279266
02236950
APX
PMS
JAN
N05AN LITHIUM
N05AN01
lithium 300mg SR cap

Lithmax SR 300mg Tab
Duralith 300mg Tab (discontinued)
N05AX OTHER ANTIPSYCHOTICS
N05AX08
October 2011
MRP
MRP
MRP
Nervous System 139
October 2011
risperidone 0.25mg tab

Apo-Risperidone 0.25mg Tab
CO Risperidone 0.25mg Tab
Jamp-Risperidone 0.25mg Tab
MINT-Risperidon 0.25mg Tab
MYLAN-Risperidone 0.25mg Tab
Novo-Risperidone 0.25mg Tab
phl-Risperidone 0.25mg Tab
pms-Risperidone 0.25mg Tab
RAN-Risperidone 0.25mg Tab
RBX-Risperidone 0.25mg Tab
Risperidone 0.25mg Tab
Sandoz Risperidone 0.25mg Tab
Risperdal 0.25mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02282119
02282585
02359529
02359790
02282240
02282690
02258439
02252007
02280906
02328305
02356880
02303655
02240551
APX
COB
JPC
MNT
MYL
TEV
PHL
PMS
RAN
RAN
SAS
SDZ
JAN
risperidone 0.5mg tab

Apo-Risperidone 0.5mg Tab
CO Risperidone 0.5mg Tab
Jamp-Risperidone 0.5mg Tab
MINT-Risperidon 0.5mg Tab
MYLAN-Risperidon 0.5mg Tab
Novo-Risperidone 0.5mg Tab
phl-Risperidone 0.5mg Tab
pms-Risperidone 0.5mg Tab
RAN-Risperidone 0.5mg Tab
RBX-Risperidone 0.5mg Tab
Risperidone 0.5mg Tab
Sandoz Risperidone 0.5mg Tab
Risperdal 0.5mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02282127
02282593
02359537
02359804
02282259
02264188
02258447
02252015
02280914
02328313
02356899
02303663
02240552
APX
COB
JPC
MNT
MYL
TEV
PHL
PMS
RAN
RAN
SAS
SDZ
JAN
risperidone 1mg tab

Apo-Risperidone 1mg Tab
CO Risperidone 1mg Tab
Jamp-Risperidone 1mg Tab
MINT-Risperidon 1mg Tab
MYLAN-Risperidone 1mg Tab
Novo-Risperidone 1mg Tab
phl-Risperidone 1mg Tab
pms-Risperidone 1mg Tab
RAN-Risperidone 1mg Tab
RBX-Risperidone 1mg Tab
Risperidone 1mg Tab
Sandoz Risperidone 1mg Tab
Risperdal 1mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02282135
02282607
02359545
02359812
02282267
02264196
02258455
02252023
02280922
02328321
02356902
02279800
02025280
APX
COB
JPC
MNT
MYL
TEV
PHL
PMS
RAN
RAN
SAS
SDZ
JAN
risperidone 2mg tab

Risperidone 2mg Tab
Risperdal 2mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02282143
02282615
02359553
02359820
02282275
02264218
02258463
02252031
02280930
02328348
02356910
02279819
02025299
APX
COB
JPC
MNT
MYL
TEV
PHL
PMS
RAN
RAN
SAS
SDZ
JAN
Nervous System 140
N05AX12
risperidone 3mg tab

Risperidone 3mg Tab
Risperdal 3mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02282151
02282623
02359561
02359839
02282283
02264226
02258471
02252058
02280949
02328364
02356929
02279827
02025302
APX
COB
JPC
MNT
MYL
TEV
PHL
PMS
RAN
RAN
SAS
SDZ
JAN
risperidone 4mg tab

Risperidone 4mg Tab
Risperdal 4mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
02282178
02282631
02359588
02359847
02282291
02264234
02258498
02252066
02280957
02328372
02356937
02279835
02025310
APX
COB
JPC
MNT
MYL
TEV
PHL
PMS
RAN
RAN
SAS
SDZ
JAN
risperidone ODT 1mg tab

pms-Risperidone ODT 1mg Tab
Risperdal M-Tab (1mg)
DNP
DNP
MRP
MRP
SF
SF
02291789
02247705
PMS
JAN
Risperidone ODT 2mg tab

pms-Risperidone ODT 2mg Tab
DNP
DNP
MRP
MRP
SF
SF
02291797
02247706
PMS
JAN
Risperdal M-Tab (0.5mg)

DNP
DNP
DNP
SF
SF
SF
02247704
02268086
02268094
JAN
JAN
JAN
ARIPIPRAZOLE
Abilify 2mg Tab
Abilify 5mg Tab
Abilify 10mg Tab
Abilify 15mg Tab
Abilify 20mg Tab
Abilify 30mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
E
E
E
E
E
E
02322374
02322382
02322390
02322404
02322412
02322455
BRI
BRI
BRI
BRI
BRI
BRI
02238162
VLN
SFC
00399728
SDZ
SFC
SFC
SFC
SFC
SFC
02065614
00891797
00405329
02247490
02247491
PFI
PMS
APX
PMS
PMS
N05B ANXIOLYTICS
N05BA BENZODIAZEPINE DERIVATIVES
N05BA01
October 2011
DIAZEPAM
Diastat 5mg/mL Rectal Gel
diazepam 5mg/mL inj
Diazepam 5mg/mL Inj
Valium 5mg/mL Inj (discontinued)
Diazemuls 5mg/mL Inj

pms-Diazepam 1mg/mL O/L
Apo-Diazepam 2mg Tab
pms-Diazepam 2mg Tab
D
D
D
D
D
MRP
Nervous System 141
diazepam 5mg tab

Valium 5mg Tab
Vivol 5mg Tab
diazepam 10mg tab
Vivol 10mg Tab
Valium 10mg Tab (discontinued)
N05BA02
N05BA04
N05BA05
N05BA06
October 2011
D
D
MRP
MRP
SFC
SFC
00362158
00013285
00013765
APX
HLR
AXS
MRP
SFC
00405337
00013773
APX
AXS
SFC
02247492
PMS
CHLORDIAZEPOXIDE
Apo-Chlordiazepoxide 5mg Cap
D
D
D
SFC
SFC
SFC
00522724
00522988
00522996
APX
APX
APX
OXAZEPAM
Apo-Oxazepam 10mg Tab
SFC
00402680
APX
oxazepam 15mg tab

Serax 15mg Tab (discontinued)
MRP
SFC
00402745
APX
oxazepam 30mg tab

Serax 30mg Tab (discontinued)
MRP
SFC
00402737
APX
SFC
00860689
APX
clorazepate dipotassium 7.5mg cap

Apo-Clorazepate 7.5mg Cap
Tranxene 7.5mg Cap (discontinued)
SFC
00860700
APX
clorazepate dipotassium 15mg cap

Apo-Clorazepate 15mg Cap
Tranxene 15mg Cap (discontinued)
SFC
00860697
APX
CLORAZEPATE DIPOTASSIUM
clorazepate dipotassium 3.75mg cap
Apo-Clorazepate 3.75mg Cap
Tranxene 3.75mg Cap (discontinued)
LORAZEPAM
lorazepam 4mg/mL inj
Lorazepam 4mg/mL Inj
Ativan 4mg/mL Inj (discontinued)
MRP
SFC
02243278
SDZ
lorazepam 0.5mg tab

Apo-Lorazepam 0.5mg Tab
Lorazepam 0.5mg Tab
Novo-Lorazem 0.5mg Tab
pms-Lorazepam 0.5mg Tab
Ativan 0.5mg Tab
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
00655740
02351072
00711101
00728187
02041413
APX
SAS
TEV
PMS
PFI
lorazepam 1mg tab

Apo-Lorazepam 1mg Tab
Lorazepam 1mg Tab
Novo-Lorazem 1mg Tab
pms-Lorazepam 1mg Tab
Ativan 1mg Tab
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
00655759
02351080
00637742
00728195
02041421
APX
SAS
TEV
PMS
PFI
lorazepam 2mg tab

Apo-Lorazepam 2mg Tab
Lorazepam 2mg Tab
Novo-Lorazem 2mg Tab
pms-Lorazepam 2mg Tab
Ativan 2mg Tab
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
00655767
02351099
00637750
00728209
02041448
APX
SAS
TEV
PMS
PFI
Nervous System 142
Ativan 0.5mg SL Tab

Ativan 1mg SL Tab
Ativan 2mg SL Tab
N05BA08
N05BA09
N05BA12
BROMAZEPAM
bromazepam 1.5mg tab
Apo-Bromazepam 1.5mg Tab
Lectopam 1.5mg Tab (discontinued)
02041456
02041464
02041472
PFI
PFI
PFI
MRP
SFC
02177153
APX
bromazepam 3mg tab

Apo-Bromazepam 3mg Tab
Novo-Bromazepam 3mg Tab
Lectopam 3mg Tab
D
D
D
MRP
MRP
MRP
SFC
SFC
SFC
02177161
02230584
00518123
APX
TEV
HLR
bromazepam 6mg tab

Apo-Bromazepam 6mg Tab
Novo-Bromazepam 6mg Tab
Lectopam 6mg Tab
D
D
D
MRP
MRP
MRP
SFC
SFC
SFC
02177188
02230585
00518131
APX
TEV
HLR
CLOBAZAM
clobazam 10mg tab
Apo-Clobazam 10mg Tab
Novo-Clobazam 10mg Tab
pms-Clobazam 10mg Tab
Frisium 10mg Tab
D
D
D
D
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02244638
02238334
02244474
02221799
APX
TEV
PMS
LBK
ALPRAZOLAM
alprazolam 0.25mg tab
Alprazolam 0.25mg Tab
Apo-Alpraz 0.25mg Tab
MYLAN-Alprazolam 0.25mg Tab
Novo-Alprazol 0.25mg Tab
Xanax 0.25mg Tab
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02349191
00865397
02137534
01913484
00548359
SAS
APX
MYL
TEV
PFI
alprazolam 0.5mg tab

Alprazolam 0.5mg Tab
Apo-Alpraz 0.5mg Tab
MYLAN-Alprazolam 0.5mg Tab
Novo-Alprazol 0.5mg Tab
Xanax 0.5mg Tab
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02349205
00865400
02137542
01913492
00548367
SAS
APX
MYL
TEV
PFI
alprazolam 1mg tab

Apo-Alpraz 1mg Tab
MYLAN-Alprazolam 1mg Tab
Xanax 1mg Tab
02243611
02229813
00723770
APX
MYL
PFI
alprazolam 2mg tab

Apo-Alpraz 2mg Tab
MYLAN-Alprazolam 2mg Tab
Xanax 2mg Tab
02243612
02229814
00813958
APX
MYL
PFI
N05BB DIPHENYLMETHANE DERIVATIVES

N05BB01
HYDROXYZINE
hydroxyzine HCl 10mg cap
Apo-Hydroxyzine 10mg Cap
Novo-Hydroxyzin 10mg Cap
Atarax 10mg Cap (discontinued)
October 2011
DNP
DNP
MRP
MRP
E
E
00646059
00738824
APX
TEV
DNP
DNP
MRP
MRP
E
E
00646024
00738832
APX
TEV
Nervous System 143

00646016
00738840
APX
TEV
00742813
SDZ
00024694
ERF
SFC
SFC
SFC
SFC
02211076
02231492
02207672
02230942
APX
TEV
NXP
PMS
SFC
00792659
PMS
FLURAZEPAM
flurazepam 15mg cap
Apo-Flurazepam 15mg Cap
Dalmane 15mg Cap
00521698
00012696
APX
VLN
flurazepam 30mg cap

Apo-Flurazepam 30mg Cap
Dalmane 30mg Cap
00521701
00012718
APX
VLN
Somnol 30mg Cap

Somnol 15mg Tab
00483818
00483826
AXS
AXS
NITRAZEPAM
nitrazepam 5mg tab
Apo-Nitrazepam 5mg Tab
Sandoz Nitrazepam 5mg Tab
Mogadon 5mg Tab
Nitrazadon 5mg Tab
02245230
02234003
00511528
02229654
APX
SDZ
VLN
VLN
nitrazepam 10mg tab

Apo-Nitrazepam 10mg Tab
Sandoz Nitrazepam 10mg Tab
Mogadon 10mg Tab
Nitrazadon 10mg Tab
02245231
02234007
00511536
02229655
APX
SDZ
VLN
VLN
00808563
00808571
APX
APX
DNP
DNP
MRP
MRP
E
E
hydroxyzine 50mg/mL inj

Hydroxyzine 50mg/mL Inj
Atarax 50mg/mL Inj (discontinued)
Atarax 2mg/mL Syr
DNP
N05BE AZASPIRODECANEDIONE DERIVATIVES

N05BE01
BUSPIRONE
buspirone HCl 10mg tab
Apo-Buspirone 10mg Tab
Novo-Buspirone 10mg Tab
Nu-Buspirone 10mg Tab
pms-Buspirone 10mg Tab
Buspar 10mg Tab (discontinued)
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
N05C HYPNOTICS AND SEDATIVES

N05CC ALDEHYDES AND DERIVATIVES
N05CC01
CHLORAL HYDRATE
pms-Chloral Hydrate 100mg/mL Syr
DNP
N05CD BENZODIAZEPINE DERIVATIVES

N05CD01
N05CD02
N05CD05
October 2011
TRIAZOLAM
Apo-Triazo 0.125mg Tab
Apo-Triazo 0.25mg Tab
Halcion 0.125mg Tab (discontinued)
Halcion 0.25mg Tab (discontinued)
D
D
SFC
SFC
Nervous System 144
N05CD07
TEMAZEPAM
temazepam 15mg cap
Apo-Temazepam 15mg Cap
CO Temazepam 15mg Cap
Novo-Temazepam 15mg Cap
ratio-Temazepam 15mg Cap
Restoril 15mg Cap
temazepam 30mg cap
Apo-Temazepam 30mg Cap
CO Temazepam 30mg Cap
Novo-Temazepam 30mg Cap
ratio-Temazepam 30mg Cap
Restoril 30mg Cap
pms-Temazepam 30mg Cap (discontinued)
N05CD08
MIDAZOLAM
midazolam 1mg/mL inj
Midazolam 1mg/mL Inj
Versed 1mg/mL Inj (discontinued)
midazolam 5mg/mL inj
Midazolam 5mg/mL Inj
Versed 5mg/mL Inj (discontinued)
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02225964
02244814
02230095
02243023
00604453
APX
COB
TEV
TEV
SEP
D
D
D
D
D
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02225972
02244815
02230102
02243024
00604461
APX
COB
TEV
TEV
SEP
MRP
02240285
SDZ
MRP
02240286
SDZ
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02245077
02271931
02296616
02251450
02294052
02243426
02267918
02246534
02257572
02344122
02216167
APX
COB
MYL
TEV
PHL
PMS
RAN
TEV
SDZ
SAS
SAV
02218313
02271958
02238596
02251469
02228270
02294060
02240606
02267926
02242481
02008203
02257580
02282445
01926799
APX
COB
MYL
TEV
NXP
PHL
PMS
RAN
TEV
SAV
SDZ
SAS
SAV
02216248
APX
N05CF BENZODIAZEPINE RELATED DRUGS

N05CF01
ZOPICLONE
zopiclone 5mg tab
Apo-Zopiclone 5mg Tab
CO Zopiclone 5mg Tab
MYLAN-Zopiclone 5mg Tab
Novo-Zopiclone 5mg Tab
phl-Zopiclone 5mg Tab
pms-Zopiclone 5mg Tab
RAN-Zopiclone 5mg Tab
ratio-Zopiclone 5mg Tab
Sandoz Zopiclone 5mg Tab
Zopiclone 5mg Tab
Imovane 5mg Tab
zopiclone 7.5mg tab
Apo-Zopiclone 7.5mg Tab
CO Zopiclone 7.5mg Tab
MYLAN-Zopiclone 7.5mg Tab
Novo-Zopiclone 7.5mg Tab
Nu-Zopiclone 7.5mg Tab
phl-Zopiclone 7.5mg Tab
pms-Zopiclone 7.5mg Tab
RAN-Zopiclone 7.5mg Tab
ratio-Zopiclone 7.5mg Tab
Rhovane 7.5mg Tab
Sandoz Zopiclone 7.5mg Tab
Zopiclone 7.5mg Tab
Imovane 7.5mg Tab
N06
PSYCHOANALEPTICS
N06A ANTIDEPRESSANTS
N06AA NON-SELECTIVE MONAMINE REUPTAKE INHIBITORS
N06AA01
DESIPRAMINE
desipramine 10mg tab
Apo-Desipramine 10mg Tab
Norpramin 10mg Tab (discontinued)
October 2011
DNP
MRP
SFC
Nervous System 145
N06AA02
N06AA04
N06AA06
October 2011

DNP
MRP
SFC
02216256
APX

DNP
MRP
SFC
02216264
APX

DNP
MRP
SFC
02216272
APX

DNP
MRP
SFC
02216280
APX
SFC
00360201
AAP
IMIPRAMINE
Imipramine 10mg Tab
DNP
imipramine 25mg tab

Imipramine 25mg Tab
Tofranil 25mg Tab (discontinued)
DNP
MRP
SFC
00312797
AAP
imipramine 50mg tab

Imipramine 50mg Tab
Tofranil 50mg Tab (discontinued)
DNP
MRP
SFC
00326852
AAP
Imipramine 75mg Tab
DNP
SFC
00644579
AAP
CLOMIPRAMINE
clomipramine 10mg tab
Apo-Clomipramine 10mg Tab
CO Clomipramine 10mg Tab
Anafranil 10mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02040786
02244816
00330566
APX
COB
SEP

Anafranil 25mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02040778
02244817
00324019
APX
COB
SEP

MYLAN-Clomipramine 50mg Tab
Anafranil 50mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02040751
02244818
02139367
00402591
APX
COB
MYL
SEP
DNP
MRP
SFC
00740799
AAP
trimipramine 25mg tab

Trimipramine 25mg Tab
Surmontil 25mg Tab (discontinued)
DNP
MRP
SFC
00740802
AAP

DNP
MRP
SFC
00740810
AAP
trimipramine 75mg cap

Trimipramine 75mg Cap
Surmontil 75mg Cap (discontinued)
DNP
MRP
SFC
02070987
AAP
TRIMIPRAMINE
trimipramine 12.5mg tab
Trimipramine 12.5mg Tab
Surmontil 12.5mg Tab (discontinued)
Nervous System 146

N06AA09
N06AA10
N06AA12
DNP
MRP
SFC
00740829
AAP
DNP
MRP
SFC
00335053
00016322
AAP
MSD
amitriptyline 25mg tab

Elavil 25mg Tab
Elavil 25mg Tab (discontinued)
DNP
MRP
SFC
00335061
00016330
AAP
MSD

Elavil 50mg Tab
DNP
MRP
SFC
00335088
00016349
AAP
MSD

Elavil 75mg Tab
DNP
MRP
SFC
00754129
00354295
AAP
MSD
NORTRIPTYLINE
nortriptyline 10mg cap
Apo-Nortriptyline 10mg Cap
Novo-Nortriptyline 10mg Cap
Nu-Nortriptyline 10mg Cap
pms-Nortriptyline 10mg Cap
Aventyl 10mg Cap
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02223511
02231781
02223139
02177692
00015229
APX
TEV
NXP
PMS
PMS
nortriptyline 25mg cap

Apo-Nortriptyline 25mg Cap
Novo-Nortriptyline 25mg Cap
Nu-Nortriptyline 25mg Cap
pms-Nortriptyline 25mg Cap
Aventyl 25mg Cap
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
02223538
02231782
02223147
02177706
00015237
APX
TEV
NXP
PMS
PMS
DOXEPIN
doxepin HCl 10mg cap
Apo-Doxepin 10mg Cap
Sinequan 10mg Cap
DNP
DNP
MRP
MRP
SFC
SFC
02049996
00024325
APX
ERF

Novo-Doxepin 25mg Cap
Sinequan 25mg Cap
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02050005
01913425
00024333
APX
TEV
ERF

Sinequan 50mg Cap
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02050013
01913433
00024341
APX
TEV
ERF

Sinequan 75mg Cap
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02050021
01913441
00400750
APX
TEV
ERF

Sinequan 100mg Cap
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02050048
01913468
00326925
APX
TEV
ERF
DNP
MRP
SFC
01913476
TEV
AMITRIPTYLINE
Elavil 10mg Tab

Sinequan 150mg Cap (discontinued)
October 2011
Nervous System 147
N06AA21
MAPROTILINE
maprotiline 25mg tab
Novo-Maprotiline 25mg Tab
Ludiomil 25mg Tab (discontinued)
DNP
MRP
SFC
02158612
TEV

DNP
MRP
SFC
02158620
TEV

DNP
MRP
SFC
02158639
TEV
FLUOXETINE
fluoxetine 10mg cap
Apo-Fluoxetine 10mg Cap
CO Fluoxetine 10mg Cap
Fluoxetine 10mg Cap
MYLAN-Fluoxetine 10mg Cap
Novo-Fluoxetine 10mg Cap
Nu-Fluoxetine 10mg Cap
phl-Fluoxetine 10mg Cap
pms-Fluoxetine 10mg Cap
ratio-Fluoxetine 10mg Cap
Sandoz Fluoxetine 10mg Cap
Zym-Fluoxetine 10mg Cap
Prozac 10mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02216353
02242177
02286068
02237813
02216582
02192756
02223481
02177579
02241371
02243486
02302659
02018985
APX
COB
SAS
MYL
TEV
NXP
PHL
PMS
TEV
SDZ
ZYM
LIL
fluoxetine 20mg cap

Apo-Fluoxetine 20mg Cap
CO Fluoxetine 20mg Cap
Fluoxetine 20mg Cap
MYLAN-Fluoxetine 20mg Cap
Novo-Fluoxetine 20mg Cap
Nu-Fluoxetine 20mg Cap
phl-Fluoxetine 20mg Cap
pms-Fluoxetine 20mg Cap
ratio-Fluoxetine 20mg Cap
Sandoz Fluoxetine 20mg Cap
Zym-Fluoxetine 20mg Cap
Prozac 20mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02216361
02242178
02286076
02237814
02216590
02192764
02223503
02177587
02241374
02243487
02302667
00636622
APX
COB
SAS
MYL
TEV
NXP
PHL
PMS
TEV
SDZ
ZYM
LIL
FXT 40 (40mg) Cap
DNP
SFC
02245283
SEP
02231328
APX
02273543
02270609
PHL
PMS
N06AB SELECTIVE SEROTONIN REUPTAKE INHIBITORS

N06AB03
fluoxetine 20mg/5mL syr

Apo-Fluoxetine 20mg/5mL Syr
Prozac 20mg/5mL Syr (discontinued)
N06AB04
October 2011
CITALOPRAM
citialopram 10mg tab
phl-Citalopram 10mg Tab
pms-Citalopram 10mg Tab
DNP
DNP
MRP
MRP
SFC
SFC
Nervous System 148
citalopram 20mg tab

Apo-Citalopram 20mg Tab
Citalopram 20mg Tab
Citalopram-Odan 20mg Tab
CO Citalopram 20mg Tab
Jamp-Citalopram 20mg Tab
MINT-Citalopram 20mg Tab
MYLAN-Citalopram 20mg Tab
NG-Citalopram 20mg Tab
Novo-Citalopram 20mg Tab
RAN-Citalo 20mg Tab
ratio-Citalopram 20mg Tab
Sandoz Citalopram 20mg Tab
Septa-Citalopram 20mg Tab
Celexa 20mg Tab
Novo-Citalopram 20mg Tab (discontinued)
RAN-Citalopram 20mg Tab (discontinued)
CTP30 (30mg) Tab
citalopram 40mg tab
Apo-Citalopram 40mg Tab
Citalopram 40mg Tab
Citalopram-Odan 40mg Tab
CO Citalopram 40mg Tab
Jamp-Citalopram 40mg Tab
MINT-Citalopram 40mg Tab
MYLAN-Citalopram 40mg Tab
NG-Citalopram 40mg Tab
Novo-Citalopram 40mg Tab
RAN-Citalo 40mg Tab
ratio-Citalopram 40mg Tab
Sandoz Citalopram 40mg Tab
Septa-Citalopram 40mg Tab
Celexa 40mg Tab
Novo-Citalopram 40mg Tab (discontinued)
RAN-Citalopram 40mg Tab (discontinued)
N06AB05
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
DNP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02246056
02353660
02306239
02248050
02313405
02304686
02246594
02322781
02293218
02248944
02248010
02285622
02252112
02248170
02355272
02239607
APX
SAS
ODN
COB
JPC
MNT
MYL
NGP
TEV
PHL
PMS
RAN
TEV
SDZ
SPT
VLH
SFC
02296152
SEP
02246057
02353679
02306247
02248051
02313413
02304694
02246595
02322803
02293226
02248945
02248011
02285630
02252120
02248171
02355280
02239608
APX
SAS
ODN
COB
JPC
MNT
MYL
NGP
TEV
PHL
PMS
RAN
TEV
SDZ
SPT
VLH
02240907
02262746
02248012
02248556
02282844
02247750
02247810
02269422
02027887
APX
COB
MYL
TEV
SAS
PMS
TEV
SDZ
GSK
02240908
02262754
02248013
02248557
02282852
02248451
02247751
02247811
02269430
01940481
APX
COB
MYL
TEV
SAS
MEL
PMS
TEV
SDZ
GSK
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
PAROXETINE
paroxetine 10mg tab
Apo-Paroxetine 10mg Tab
CO Paroxetine 10mg Tab
MYLAN-Paroxetine10mg Tab
Novo-Paroxetine 10mg Tab
Paroxetine 10mg Tab
pms-Paroxetine10mg Tab
ratio-Paroxetine10mg Tab
Sandoz Paroxetine 10mg Tab
Paxil 10mg Tab
paroxetine 20mg tab
MYLAN-Paroxetine 20mg Tab
Paroxetine 20mg Tab
Paroxetine 20mg Tab
pms-Paroxetine 20mg Tab
ratio-Paroxetine 20mg Tab
Paxil 20mg Tab
Sandoz Paroxetine 20mg Tab (discontinued)
October 2011
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
Nervous System 149
N06AB06
N06AB08
October 2011
paroxetine 30mg tab

MYLAN-Paroxetine 30mg Tab
Paroxetine 30mg Tab
Paroxetine 30mg Tab
ratio-Paroxetine 30mg Tab
Paxil 30mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SERTRALINE
sertraline 25mg cap
Apo-Sertraline 25mg Cap
CO Sertraline 25mg Cap
GD-Sertraline 25mg Cap
MYLAN-Sertraline 25mg Cap
Novo-Sertraline 25mg Cap
phl-Sertraline 25mg Cap
pms-Sertraline 25mg Cap
ratio-Sertraline 25mg Cap
Sandoz Sertraline 25mg Cap
Sertraline 25mg Cap
Zoloft 25mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
sertraline 50mg cap

Sertraline 50mg Cap
Zoloft 50mg Cap
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02240909
02262762
02248014
02248558
02282860
02248452
02247752
02247812
02269449
01940473
APX
COB
MYL
TEV
SAS
MEL
PMS
TEV
SDZ
GSK
SFC
02293749
PMS
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02238280
02287390
02273683
02242519
02240485
02245824
02244838
02245787
02245159
02353520
02132702
APX
COB
GMD
MYL
TEV
PHL
PMS
TEV
SDZ
SAS
PFI
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02238281
02287404
02273691
02242520
02240484
02245825
02244839
02245788
02245160
02353539
01962817
APX
COB
GMD
MYL
TEV
PHL
PMS
TEV
SDZ
SAS
PFI
sertraline 100mg cap

Sertraline 100mg Cap
Zoloft 100mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02238282
02287412
02273705
02242521
02240481
02245826
02244840
02245789
02245161
02353547
01962779
APX
COB
GMD
MYL
TEV
PHL
PMS
TEV
SDZ
SAS
PFI
FLUVOXAMINE
fluvoxamine 50mg tab
Apo-Fluvoxamine 50mg Tab
CO Fluvoxamine 50mg Tab
Novo-Fluvoxamine 50mg Tab
Nu-Fluvoxamine 50mg Tab
pms-Fluvoxamine 50mg Tab
ratio-Fluvoxamine 50mg Tab
Luvox 50mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02231329
02255529
02239953
02231192
02240682
02218453
01919342
APX
COB
TEV
NXP
PMS
TEV
ABB
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
Nervous System 150
fluvoxamine 100mg tab

Apo-Fluvoxamine 100mg Tab
CO Fluvoxamine 100mg Tab
Novo-Fluvoxamine 100mg Tab
Nu-Fluvoxamine 100mg Tab
pms-Fluvoxamine 100mg Tab
ratio-Fluvoxamine 100mg Tab
Luvox 100mg Tab
N06AB10
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
ESCITALOPRAM
Cipralex 10mg Tab
Cipralex 20mg Tab
02231330
02255537
02239954
02231193
02240683
02218461
01919369
APX
COB
TEV
NXP
PMS
TEV
ABB
02263238
02263254
VLH
VLH
N06AF MONOAMINE OXIDASE INHIBITORS, NON-SELECTIVE

N06AF03
N06AF04
PHENELZINE
Nardil 15mg Tab
DNP
SFC
00476552
ERF
TRANYLCYPROMINE
Parnate 10mg Tab
DNP
SFC
01919598
GSK
N06AG MONOAMINE OXIDASE A INHIBITORS

N06AG02
MOCLOBEMIDE
moclobemide 100mg tab
Apo-Moclobemide 100mg Tab
Novo-Moclobemide 100mg Tab
Nu-Moclobemide 100mg Tab
Manerix 100mg Tab (discontinued)
Nu-Moclobemide 150mg Tab
Manerix 150mg Tab
Manerix 300mg Tab
pms-Moclobemide 300mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02232148
02239746
02237111
APX
TEV
NXP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02232150
02239747
02237112
00899356
APX
TEV
NXP
MVL
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02240456
02239748
02166747
APX
TEV
MVL
02239326
VLN
APX
PMS
TEV
VLN
N06AX OTHER ANTIDEPRESSANTS

N06AX02
TRYPTOPHAN
Tryptan 250mg Tab
tryptophan 500mg cap
Apo-Tryptophan 500mg Cap
pms-Tryptophan 500mg Cap
ratio-Tryptophan 500mg Cap
Tryptan 500mg Cap
October 2011
DNP
DNP
MRP
DNP
DNP
MRP
MRP
E
E
02248540
02241023
02240334
00718149
tryptophan 500mg tab

Apo-Tryptophan 500mg Tab
ratio-Tryptophan 500mg Tab
Tryptan 500mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
E
E
E
02248538
02240333
02029456
APX
TEV
VLN
Tryptan 750mg Tab
DNP
02239327
VLN
tryptophan 1g tab
Apo-Tryptophan 1g Tab
ratio-Tryptophan 1g Tab
Tryptan 1g Tab
DNP
DNP
DNP
E
E
E
02248539
02237250
00654531
APX
TEV
VLN
MRP
MRP
MRP
Nervous System 151
N06AX05
TRAZODONE
trazodone 50mg tab
Apo-Trazodone 50mg Tab
MYLAN-Trazodone 50mg Tab
Novo-Trazodone 50mg Tab
Nu-Trazodone 50mg Tab
phl-Trazodone 50mg Tab
pms-Trazodone 50mg Tab
Trazodone 50mg Tab
ratio-Trazodone 50mg Tab (discontinued)
Desyrel 50mg Tab (discontinued)
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
trazodone 100mg tab

MYLAN-Trazodone 100mg Tab
Nu-Trazodone 100mg Tab
phl-Trazodone 100mg Tab
Trazodone 100mg Tab
trazodone 150mg tab
Nu-Trazodone-D 150mg Tab
Trazodone 150mg Tab
N06AX11
October 2011
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02147637
02231683
02144263
02165384
02236941
01937227
02348772
APX
MYL
TEV
NXP
PHL
PMS
SAS
SFC
02237339
PMS
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02147645
02231684
02144271
02165392
02236942
01937235
02348780
APX
MYL
TEV
NXP
PHL
PMS
SAS
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02147653
02144298
02165406
02348799
APX
TEV
NXP
SAS
SFC
SFC
SFC
02281732
02250594
02325179
MEL
SDZ
ZYM
MIRTAZAPINE
Mirtazapine 15mg Tab
Sandoz Mirtazapine 15mg Tab
Zym-Mirtazapine 15mg Tab
DNP
DNP
DNP
mirtazapine 30mg tab

Apo-Mirtazapine 30mg Tab
MYLAN-Mirtazapine 30mg Tab
Novo-Mirtazapine 30mg Tab
Mirtazapine 30mg Tab
pms-Mirtazapine 30mg Tab
ratio-Mirtazapine 30mg Tab
Sandoz Mirtazapine 30mg Tab
Zym-Mirtazapine 30mg Tab
Remeron 30mg Tab
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02286629
02256118
02259354
02252279
02248762
02270927
02250608
02325187
02243910
APX
MYL
TEV
MEL
PMS
TEV
SDZ
ZYM
SCH
mirtazapine 15mg RD tab

Auro-Mirtazapine OD 15mg Tab
Novo-Mirtazapine OD 15mg Tab
Remeron RD 15mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02299801
02279894
02248542
ARO
TEV
SCH

Remeron RD 30mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02299828
02279908
02248543
ARO
TEV
SCH

Remeron RD 45mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02299836
02279916
02248544
ARO
TEV
SCH
Nervous System 152
N06AX12
N06AX16
N06AX21
N06AX23
BUPROPION
bupropion 100mg SR tab
pms-Bupropion SR 100mg Tab
ratio-Bupropion SR 100mg Tab
Sandoz Bupropion SR 100mg Tab
Wellbutrin SR 100mg Tab (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SFC
SFC
SFC
02325373
02285657
02275074
PMS
TEV
SDZ
bupropion 150mg SR tab

pms-Bupropion SR 150mg Tab
ratio-Bupropion SR 150mg Tab
Sandoz Bupropion SR 150mg Tab
Wellbutrin SR 150mg Tab
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
02313421
02285665
02275082
02237825
PMS
TEV
SDZ
BVL
Wellbutrin XL 150mg Tab

Wellbutrin XL 300mg Tab
DNP
DNP
SFC
SFC
02275090
02275104
BVL
BVL
VENLAFAXINE
venlafaxine 37.5mg ER cap
Apo-Venlafaxine XR 37.5mg Cap
CO Venlafaxine XR 37.5mg Cap
MYLAN-Venlafaxine XR 37.5mg Cap
Novo-Venlafaxine XR 37.5mg Cap
pms-Venlafaxine XR 37.5mg Cap
ratio-Venlafaxine XR 37.5mg Cap
Sandoz Venlafaxine XR 37.5mg Cap
Venlafaxine XR 37.5mg Cap
Effexor XR 37.5mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02331683
02304317
02310279
02275023
02278545
02273969
02310317
02354713
02237279
APX
COB
MYL
TEV
PMS
TEV
SDZ
SAS
PFI
venlafaxine 75mg ER cap

Apo-Venlafaxine XR 75mg Cap
CO Venlafaxine XR 75mg Cap
MYLAN-Venlafaxine XR 75mg Cap
Novo-Venlafaxine XR 75mg Cap
pms-Venlafaxine XR 75mg Cap
ratio-Venlafaxine XR 75mg Cap
Sandoz Venlafaxine XR 75mg Cap
Venlafaxine XR 75mg Cap
Effexor XR 75mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02331691
02304325
02310287
02275031
02278553
02273977
02310325
02354721
02237280
APX
COB
MYL
TEV
PMS
TEV
SDZ
SAS
PFI
venlafaxine 150mg ER cap

Apo-Venlafaxine XR 150mg Cap
CO Venlafaxine XR 150mg Cap
MYLAN-Venlafaxine XR 150mg Cap
Novo-Venlafaxine XR 150mg Cap
pms-Venlafaxine XR 150mg Cap
ratio-Venlafaxine XR 150mg Cap
Sandoz Venlafaxine XR 150mg Cap
Venlafaxine XR 150mg Cap
Effexor XR 150mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
SFC
02331705
02304333
02310295
02275058
02278561
02273985
02310333
02354748
02237282
APX
COB
MYL
TEV
PMS
TEV
SDZ
SAS
PFI
DULOXETINE
Cymbalta 30mg Cap
Cymbalta 60mg Cap
DNP
DNP
E
E
02301482
02301490
LIL
LIL
02321092
02321106
PFI
PFI
02248808
02248809
02248810
SHI
SHI
SHI
DESVENLAFAXINE
Pristiq 50mg ER Tab
Pristiq 100mg ER Tab
N06B PSYCHOSTIMULANTS, AGENTS USED FOR ADHD AND NOOTROPICS

N06BA CENTRALLY ACTING SYMPATHOMIMETICS
N06BA01
October 2011
AMPHETAMINES
Adderall XR 5mg Cap
Adderall XR 10mg Cap
Nervous System 153

N06BA02
N06BA04
N06BA07
N06BA09
October 2011
02248811
02248812
02248813
SHI
SHI
SHI
DEXAMPHETAMINE
Dexedrine Spansule 10mg Cap
Dexedrine Spansule 15mg Cap
Dexedrine 5mg Tab
D
D
D
SFC
SFC
SFC
01924559
01924567
01924516
PAL
PAL
PAL
METHYLPHENIDATE
Apo-Methylphenidate 5mg Tab
pms-Methylphenidate 5mg Tab
D
D
SFC
SFC
02273950
02234749
APX
PMS
methylphenidate 10mg tab

Ritalin 10mg Tab
D
D
D
MRP
MRP
MRP
SFC
SFC
SFC
02249324
00584991
00005606
APX
PMS
NVR
methylphenidate 20mg tab

Ritalin 20mg Tab
D
D
D
MRP
MRP
MRP
SFC
SFC
SFC
02249332
00585009
00005614
APX
PMS
NVR
methylphenidate 20mg SR tab

Apo-Methylphenidate SR 20mg Tab
Ritalin SR 20mg Tab
Sandoz Methylphenidate SR 20mg Tab
D
D
D
MRP
MRP
MRP
SFC
SFC
SFC
02266687
00632775
02320312
APX
NVR
SDZ
Biphentin 10mg Cap

Biphentin 15mg Cap
Biphentin 20mg Cap
Biphentin 30mg Cap
Biphentin 40mg Cap
Biphentin 50mg Cap
Biphentin 60mg Cap
Biphentin 80mg Cap
D
D
D
D
D
D
D
D
E
E
E
E
E
E
E
E
02277166
02277131
02277158
02277174
02277182
02277190
02277204
02277212
PFR
PFR
PFR
PFR
PFR
PFR
PFR
PFR
methylphenidate 18mg ER tab

Novo-Methylphenidate ER-C 18mg Tab
Concerta 18mg Tab
02315068
02247732
TEV
JAN

Concerta 27mg Tab
02315076
02250241
TEV
JAN

Concerta 36mg Tab
02315084
02247733
TEV
JAN

Concerta 54mg Tab
02315092
02247734
TEV
JAN
MODAFINIL
modafinil 100mg tab
Apo-Modafinil 100mg Tab
Alertec 100mg Tab
02285398
02239665
AAP
SHI
ATOMOXETINE
atomoxetine 10mg cap
Apo-Atomoxtine 10mg Cap
Novo-Atomoxetine 10mg Cap
Strattera 10mg Cap
02318024
02314541
02262800
APX
TEV
LIL
Nervous System 154
N06BA12

Apo-Atomoxetine 18mg Cap
Strattera 18mg Cap
02318032
02314568
02262819
APX
TEV
LIL

Strattera 25mg Cap
02318040
02314576
02262827
APX
TEV
LIL

Strattera 40mg Cap
02318059
02314584
02262835
APX
TEV
LIL

Strattera 60mg Cap
02318067
02314592
02262843
APX
TEV
LIL

Strattera 80mg Cap
02318075
02279347
APX
LIL

Strattera 100mg Cap
02318083
02279355
APX
LIL
LISDEXAMFETAMINE
Vyvanse 20mg Cap
Vyvanse 30mg Cap
Vycanse 40mg Cap
Vyvanse 50mg Cap
Vyvanse 60mg Cap
02347156
02322951
02347164
02322978
02347172
SHI
SHI
SHI
SHI
SHI
00590509
PMS
E
E
02232043
02232044
02269457
02269465
PFI
PFI
PFI
PFI
E
E
E
E
E
E
E
02336715
02332809
02305984
02306034
02311283
02324563
02242115
APX
MYL
TEV
PMS
TEV
SDZ
NVR
N06C PSYCHOLEPTICS AND PSYCHOANALEPTICS IN COMBINATION

N06CA ANTIDEPRESSANTS IN COMBINATION WITH PSYCHOLEPTICS
N06CA01
AMITRIPTYLINE AND PSYCHOLEPTICS

pms-Levazine 4/25 Tab
N06D ANTI-DEMENTIA DRUGS

N06DA ANTICHOLINESTERASES
N06DA02
N06DA03
October 2011
DONEPEZIL
Aricept 5mg Tab
Aricept 10mg Tab
Aricept RDT 5mg Tab
Aricept RDT 10mg Tab
RIVASTIGMINE
rivastigmine 1.5mg cap
Apo-Rivastigmine 1.5mg Cap
MYLAN-Rivastigmine 1.5mg Cap
Novo-Rivastigmine 1.5mg Cap
pms-Rivastigmine 1.5mg Cap
ratio-Rivastigmine 1.5mg Cap
Sandoz Rivastigmine 1.5mg Cap
Exelon 1.5mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
Nervous System 155
rivastigmine 3mg cap

Apo-Rivastigmine 3mg Cap
MYLAN-Rivastigmine 3mg Cap
Novo-Rivastigmine 3mg Cap
pms-Rivastigmine 3mg Cap
ratio-Rivastigmine 3mg Cap
Sandoz Rivastigmine 3mg Cap
Exelon 3mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02336723
02332817
02305992
02306042
02311291
02324571
02242116
APX
MYL
TEV
PMS
TEV
SDZ
NVR
rivastigmine 4.5mg cap

Apo-Rivastigmine 4.5mg Cap
MYLAN-Rivastigmine 4.5mg Cap
Novo-Rivastigmine 4.5mg Cap
pms-Rivastigmine 4.5mg Cap
ratio-Rivastigmine 4.5mg Cap
Sandoz Rivastigmine 4.5mg Cap
Exelon 4.5mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02336731
02332825
02306018
02306050
02311305
02324598
02242117
APX
MYL
TEV
PMS
TEV
SDZ
NVR
rivastigmine 6mg cap

Apo-Rivastigmine 6mg Cap
MYLAN-Rivastigmine 6mg Cap
Novo-Rivastigmine 6mg Cap
pms-Rivastigmine 6mg Cap
ratio-Rivastigmine 6mg Cap
Sandoz Rivastigmine 6mg Cap
Exelon 6mg Cap
DNP
DNP
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
MRP
MRP
E
E
E
E
E
E
E
02336758
02332833
02306026
02306069
02311313
02324601
02242118
APX
MYL
TEV
PMS
TEV
SDZ
NVR
02245240
02302845
02302853
NVR
NVR
NVR
Exelon 2mg/mL O/L

Exelon Patch 5 (4.6mg/24hr)
Exelon Patch 10 (9.5mg/24hr)
N06DA04
DNP
GALANTAMINE
galantamine 8mg ER cap
PAT-Galantamine ER 8mg Cap
Reminyl ER 8mg Cap
DNP
DNP
MRP
MRP
E
E
02316943
02266717
PPH
JAN

Reminyl ER 16mg Cap
DNP
DNP
MRP
MRP
E
E
02316951
02266725
PPH
JAN

Reminyl ER 24mg Cap
DNP
DNP
MRP
MRP
E
E
02316978
02266733
PPH
JAN
02366487
02324067
02321130
02320908
02260638
APX
COB
PMS
TEV
VLH
00874957
00885282
01915436
00869945
SDZ
SDZ
SDZ
VLN
N06DX OTHER ANTI-DEMENTIA DRUGS

N06DX01
N07
MEMANTINE
memantine 10mg tab
Apo-Memantine 10mg Tab
CO Memantine 10mg Tab
pms-Memantine 10mg Tab
ratio-Memantine 10mg Tab
Ebixa 10mg Tab
OTHER NERVOUS SYSTEM DRUGS
N07A PARASYMPATHOMIMETICS
N07AA ANTICHOLINESTERASES
N07AA01
October 2011
NEOSTIGMINE
Neostigmine Methylsulfate 0.5mg/mL Inj
Neostigmine Methylsulfate 1mg/mL Inj
Neostigmine Methylsulfate 2.5mg/mL Inj
Prostigmin 15mg Tab
DNP
SF
Nervous System 156
N07AA02
PYRIDOSTIGMINE
Mestinon 180mg SR Tab
Mestinon 60mg Tab
DNP
DNP
SF
SF
00869953
00869961
VLN
VLN
DNP
SF
01947958
PAL
bethanechol chloride 25mg tab

Duvoid 25mg Tab
Urecholine 25mg Tab (discontinued)
DNP
SF
01947931
PAL
Duvoid 50mg Tab
DNP
SF
01947923
PAL
DNP
02216345
PFI
02238441
BVL
N07AB CHOLINE ESTERS

N07AB02
BETHANECHOL
Duvoid 10mg Tab
N07AX OTHER PARASYMPATHOMIMETICS

N07AX01
PILOCARPINE
Salagen 5mg Tab
N07B DRUGS USED IN ADDICTIVE DISORDERS

N07BA DRUGS USED IN NICOTINE DEPENDENCE
N07BA02
BUPROPION
Zyban 150mg Tab
N07BB DRUGS USED IN ALCOHOL DEPENDENCE

N07BB01
N07BB03
N07BB04
DISULFIRAM
Disulfiram 250mg Cap
DNP
SF
00903079
CPD
ACAMPROSATE
Campral 333mg Tab
DNP
02293269
MYL
NALTREXONE
ReVia 50mg Tab
DNP
02213826
APX
PAL
PAL
CPD
PAL
PAL
PAL
PAL
N07BC DRUGS USED IN OPIOID DEPENDENCE

N07BC02
N07BC51
METHADONE
Metadol 1mg/mL O/L
Metadol 10mg/mL O/L
Methadone (o/l compound)
Metadol 1mg Tab
Metadol 5mg Tab
Metadol 10mg Tab
Metadol 25mg Tab
D
D
D
D
D
E
E
E
E
E
02247694
02241377
00999734
02247698
02247699
02247700
02247701
BUPRENORPHINE, COMBINATIONS
Suboxone 2mg/0.5mg SL Tab
Suboxone 8mg/2mg SL Tab
D
D
E
E
02295695
02295709
SCH
SCH
N07C ANTIVERTIGO PREPARATIONS

N07CA ANTIVERTIGO PREPARATIONS
N07CA01
October 2011
BETAHISTINE
betahistine 16mg tab
Novo-Betahistine 16mg Tab
Serc 16mg Tab
DNP
DNP
MRP
MRP
E
E
02280191
02243878
TEV
ABB
betahistine 24mg tab

Novo-Betahistine 24mg Tab
Serc 24mg Tab
DNP
DNP
MRP
MRP
E
E
02280205
02247998
TEV
ABB
Nervous System 157
N07CA03
FLUNARIZINE
flunarizine 5mg cap
Flunarizine 5mg Cap
Sibelium 5mg Cap (discontinued)
DNP
MRP
SF
02246082
AAP
N07X
OTHER NERVOUS SYSTEM DRUGS
N07XX OTHER NERVOUS SYSTEM DRUGS
N07XX02
N07XX06
October 2011
RILUZOLE
Rilutek 50mg Tab
DNP
02242763
SAV
TETRABENAZINE
Nitoman 25mg Tab
DNP
SF
02199270
BVL
Nervous System 158
P01
ANTIPROTOZOALS
P01A AGENTS AGAINST AMOEBIASIS AND OTHER PROTOZOAL DISEASES

P01AA HYDROXYQUINOLINE DERIVATIVES
P01AA99
IODOQUINOL (DIIODOHYDROXYQUINOLINE)
Diodoquin 650mg Tab
DNP
SF
01997750
GLE
SF
02217422
GSK
P01AX OTHER AGENTS AGAINST AMOEBIASIS AND OTHER PROTOZOAL DISEASES

P01AX06
ATOVAQUONE
Mepron 150mg/mL Oral Susp
DNP
P01B
ANTIMALARIALS
P01BA AMINOQUINOLINES
P01BA01
P01BA02
P01BA03
CHLOROQUINE
chloroquine phosphate 250mg tab
Novo-Chloroquine 250mg Tab
Aralen 250mg Tab (discontinued)
DNP
MRP
SF
00021261
TEV
HYDROXYCHLOROQUINE
hydroxychloroquine 200mg tab
Apo-Hydroxyquine 200mg Tab
MYLAN-Hydroxychloroquine 200mg Tab
Plaquenil 200mg Tab
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
02246691
02252600
02017709
APX
MYL
SAV
PRIMAQUINE
Primaquine 15mg Tab
DNP
SF
02017776
SAV
DNP
DNP
SF
SF
02254514
00695440
APX
ODN
SF
00021008
TEV
P01BC METHANOLQUINOLINES
P01BC01
P01BC02
QUININE
Apo-Quinine 200mg Cap
Quinine-Odan 200mg Cap
quinine sulfate 200mg cap
Novo-Quinine 200mg Cap
Quinine 200mg Cap (discontinued)
DNP
quinine sulfate 300mg cap

Novo-Quinine 300mg Cap
Quinine 300mg Cap (discontinued)
DNP
SF
00021016
TEV
Apo-Quinine 300mg Cap

Quinine-Odan 300mg Cap
Quinine-Odan 300mg Tab
DNP
DNP
DNP
SF
SF
SF
02254522
00695459
00695432
APX
ODN
ODN
02244366
02018055
AAP
HLR
MRP
MEFLOQUINE
mefloquine 250mg tab
Mefloquine 250mg Tab
Larium 250mg Tab
P01BD DIAMINOPYRIMIDINES
P01BD01
P02
PYRIMETHAMINE
Daraprim 25mg Tab
DNP
SF
00004774
GSK
MEBENDAZOLE
Vermox 100mg Tab
DNP
SF
00556734
JAN
THIABENDAZOLE
Mintezol 500mg Tab
DNP
SF
00140228
FRS
ANTHELMINTICS
P02C
ANTINEMATODALS AGENTS
P02CA BENZIMIDAZOLE DERIVATIVES
P02CA01
P02CA02
October 2011
Antiparasitic Products, Insecticides and Repellents 159
P03
ECTOPARASITICIDES, INCL. SCABICIDES, INSECTICIDES AND REPELLENTS
P03A ECTOPARASITICIDES, INCL. SCABICIDES

P03AX OTHER ECTOPARASITICIDES, INCL. SCABICIDES
P03AX99
October 2011
ISOPROPYL MYRISTATE
Resultz 50% Top Sol
02279592
NYC
Antiparasitic Products, Insecticides and Repellents 160
R01
NASAL PREPARATIONS
R01A DECONGESTANTS AND OTHER NASAL PREPARATIONS FOR TOPICAL USE

R01AB SYMPATHOMINETICS, COMBINATIONS EXCLUDING CORTICOSTEROIDS
R01AB01
PHENYLEPHRINE
Soframycin Nasal Spray
DNP
SF
02224860
ERF
DNP
SF
01950541
PMS
DNP
SF
02020017
JAN
SFC
SFC
SFC
02238796
02172712
02238577
APX
MYL
NXP
02239288
APX
SF
SF
02241003
02231923
MYL
AZE
SF
SF
02230648
02035324
MYL
AZE
02294745
02296071
02213672
APX
TEV
GSK
02238465
SCH
02213834
SAV
R01AC ANTIALLERGIC AGENTS, EXCLUDING CORTICOSTEROIDS

R01AC01
R01AC02
CROMOGLYCATE SODIUM
cromoglycate sodium 2% nasal sol
Rhinaris-CS Anti-Allergic Nasal Mist
Rynacrom 2% Nasal Sol (discontinued)
LEVOCABASTINE
Livostin 0.5mg/mL Nasal Spray
R01AD CORTICOSTEROIDS
R01AD01
R01AD04
R01AD05
R01AD08
R01AD09
R01AD11
BECLOMETHASONE
beclomethasone dipropionate 50mcg/dose aqueous nasal spray
DNP
MRP
Apo-Beclo 50mcg/dose Acq Nasal Sp
DNP
MRP
MYLAN-Beclo 50mcg/dose Acq Nasal Spray
Nu-Beclomethasone 50mcg/dose Acq Nasal Sp
DNP
MRP
Beconase 50mcg/dose Acq Nasal Sp (discontinued)
FLUNISOLIDE
flunisolide 25mcg/dose nasal mist
Apo-Flunisolide 25mcg/dose Nasal Spray
Rhinalar 25mcg/dose Nasal Mist (discontinued)
BUDESONIDE
budesonide 64mcg/dose aqueous nasal spray
MYLAN-Budesonide AQ 64mcg/dose Nasal Spray
Rhinocort 64mcg/dose Aqua Nasal Spray
DNP
DNP
MYLAN-Budesonide AQ 100mcg/dose Nasal Spray

Rhinocort 100mcg/dose Turbuhaler
DNP
DNP
MRP
MRP
FLUTICASONE
fluticasone 50mcg/dose nasal spray
Apo-Fluticasone 50mcg/dose Nasal Spray
ratio-Fluticasone 50mcg/dose Nasal Spray
Flonase 50mcg/dose Nasal Spray
MOMETASONE
Nasonex 0.05% Nasal Spray
F7
DNP
TRIAMCINOLONE
Nasacort AQ 55mcg/dose Nasal Spray
R01AX OTHER NASAL PREPARATIONS

R01AX03
IPRATROPIUM BROMIDE
ipratropium bromide 0.3% nasal spray (21mcg/dose)
DNP
pms-Ipratropium 21mcg/dose Nasal Spray
Atrovent 21mcg/dose Nasal Spray
DNP
MRP
MRP
SF
SF
02239627
02163705
PMS
BOE
ipratropium bromide 0.6% nasal spray (42mcg/dose)

Apo-Ipravent 42mcg/dose Nasal Spray
DNP
DNP
Atrovent 42mcg/dose Nasal Spray
MRP
MRP
SF
SF
02246084
02163713
APX
BOE
Full benefit for children aged 3 to 11 years.
October 2011
Respiratory System 161
R01AX10
R03
VARIOUS
Dey-Pak Sodium Chloride Inhalation Sol 0.9%
DNP
SF
02058235
DLU
DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES
R03A ADRENERGICS, INHALANTS

R03AC SELECTIVE BETA2-ADRENOCEPTOR AGONISTS
R03AC02
SALBUTAMOL
salbutamol 5mg/mL inh sol
pms-Salbutamol 5mg/mL Resp Sol
ratio-Salbutamol 5mg/mL Resp Sol
Sandoz Salbutamol 5mg/mL Resp Sol
Ventolin 5mg/mL Resp Sol
DNPM
DNPM
DNPM
DNPM
MRP
MRP
MRP
MRP
E
E
E
E
02069571
00860808
02154412
02213486
PMS
TEV
SDZ
GSK
DNPM
DNPM
PRP
PRP
E
E
02208245
02239365
PMS
TEV
salbutamol 1mg/mL unit dose inh sol

MYLAN-Salbutamol 1mg/mL Sterinebs
pms-Salbutamol 1mg/mL Polynebs
ratio-Salbutamol 1mg/mL Nebules
Ventolin 1mg/mL Nebules
DNPM
DNPM
DNPM
DNPM
PRP
PRP
PRP
PRP
E
E
E
E
01926934
02208229
01986864
02213419
MYL
PMS
TEV
GSK
salbutamol 2mg/mL unit dose inh sol

MYLAN-Salbutamol 2mg/mL Sterinebs
pms-Salbutamol 2mg/mL Polynebs
ratio-Salbutamol 2mg/mL Nebules
Ventolin 2mg/mL Nebules
DNPM
DNPM
DNPM
DNPM
PRP
PRP
PRP
PRP
E
E
E
E
02173360
02208237
02239366
02213427
MYL
PMS
TEV
GSK
salbutamol 100mcg/dose oral inh

Airomir 100mcg/act Inh
Apo-Salvent 100mcg/dose CFC Free Inh
Ventolin HFA 100mcg/dose Inh
DNPM
DNPM
DNPM
MRP
MRP
MRP
SF
SF
SF
02232570
02245669
02241497
GWP
APX
GSK
Ventolin 200mcg/dose Diskus
DNPM
SFC
02243115
GSK
TERBUTALINE
Bricanyl 0.5mg/dose Turbuhaler
DNP
SF
00786616
AZE
SALMETEROL
Serevent 50mcg/dose Diskus
Serevent 50mcg/dose Diskhaler
DNP
DNP
E
E
02231129
02214261
GSK
GSK
FORMOTEROL
Foradil 12mcg Cap for Inhalation
Oxeze 6mcg/dose Turbuhaler
Oxeze 12mcg/dose Turbuhaler
DNP
DNP
DNP
E
E
E
02230898
02237225
02237224
NVR
AZE
AZE
FENOTEROL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

Duovent UDV Inh Sol
02148633
BOE
SALBUTAMOL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

ipratropium bromide 200mcg/mL & salbutamol 1mg/mL unit dose inh sol
MYLAN-Combo Sterinebs
DNP
MRP
E
02272695
ratio-IPRA SAL Inh Sol
DNP
MRP
E
02243789
DNP
MRP
E
02231675
Combivent UDV Inh Sol
MYL
TEV
BOE
salbutamol 0.5mg/mL unit dose inh sol

pms-Salbutamol 0.5mg/mL Polynebs
ratio-Salbutamol 0.5mg/mL Nebules
Ventolin 0.5mg/mL Nebules (discontinued)
R03AC03
R03AC12
R03AC13
R03AK ADRENERGICS AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

R03AK03
R03AK04
October 2011
R03AK06
R03AK07
SALMETEROL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

DNP
E
02240835
Advair 50/100mcg Diskus
DNP
E
02240836
DNP
E
02240837
Advair HFA 25/125mcg/dose Inh
DNP
E
02245126
DNP
E
02245127
Advair HFA 25/250mcg/dose Inh
GSK
GSK
GSK
GSK
GSK
FORMOTEROL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

Symbicort 100/6mcg Turbuhaler
DNP
E
02245385
DNP
E
02245386
Symbicort 200/6mcg Turbuhaler
AZE
AZE
R03B OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES, INHALANTS

R03BA GLUCOCORTICOIDS
R03BA01
R03BA02
R03BA05
R03BA08
BECLOMETHASONE
QVAR 50mcg/dose Inh
QVAR 100mcg/dose Inh
DNP
DNP
SFC
SFC
02242029
02242030
GWP
GWP
BUDESONIDE
Pulmicort 0.125mg/mL Nebuamps
Pulmicort 100mcg/dose Turbuhaler
DNP
DNP
DNP
DNP
DNP
DNP
E
E
E
SF
SF
SF
02229099
01978918
01978926
00852074
00851752
00851760
AZE
AZE
AZE
AZE
AZE
AZE
FLUTICASONE
Flovent Diskus 50mcg
Flovent HFA 50mcg/act Inh
DNP
DNP
DNP
DNP
DNP
DNP
DNP
SF
SF
SF
SF
SF
SF
SF
02237244
02237245
02237246
02237247
02244291
02244292
02244293
GSK
GSK
GSK
GSK
GSK
GSK
GSK
DNP
DNP
SF
SF
02285606
02285614
02303671
NYC
NYC
NYC
MRP
MRP
MRP
MRP
E
E
E
E
02126222
02239131
02210479
02231136
APX
MYL
TEV
PMS
ipratropium bromide 125mcg/mL unit dose inh sol (2mL)

DNP
pms-Ipratropium 125mcg/mL Polynebs
DNP
ratio-Ipratropium 125mcg/mL Nebules
Atrovent 125mcg/mL UDV (discontinued)
PRP
PRP
E
E
02231135
02097176
PMS
TEV

MYLAN-Ipratropium 250mcg/mL Sterinebs
DNP
DNP
DNP
PRP
PRP
PRP
E
E
E
02216221
02231244
02097168
MYL
PMS
TEV
CICLESONIDE
Alvesco 100mcg/dose Inh
Alvesco 200mcg/dose Inh
Omnaris 50mcg/dose Nasal Spray
R03BB ANTICHOLINERGICS
R03BB01
October 2011
IPRATROPIUM BROMIDE
ipratropium bromide 250mcg/mL inh sol (20mL)
Apo-Ipravent 250mcg/mL Inh Sol
MYLAN-Ipratropium 250mcg/mL Inh Sol
Novo-Ipramide 250mcg/mL Inh Sol
pms-Ipratropium 250mcg/mL Inh Sol
Atrovent 250mcg/mL Inh Sol (discontinued)
DNP
DNP
DNP
DNP

MYLAN-Ipratropium 250mcg/mL Sterinebs
DNP
DNP
DNP
R03BB04
PRP
PRP
PRP
E
E
E
02216221
02231245
02097168
MYL
PMS
TEV
Atrovent HFA 20mcg/dose Inhaler
DNP
SFC
02247686
BOE
TIOTROPIUM BROMIDE
Spiriva 18mcg Cap for Inh
DNP
02246793
BOE
DNP
02046113
PMS
R03BC ANTIALLERGIC AGENTS, EXCLUDING CORTICOSTEROIDS

R03BC01
CROMOGLYCATE SODIUM
cromoglycate sodium 1% unit dose inh sol
pms-Sodium Cromoglycate 1% Neb Sol
Intal 1% Neb Sol (discontinued)
R03C ADRENERGICS FOR SYSTEMIC USE

R03CB NON-SELECTIVE BETA-ADRENOCEPTOR AGONISTS
R03CB03
ORCIPRENALINE
orciprenaline 2mg/mL syr
Apo-Orciprenaline 2mg/mL Syr
Alupent 2mg/mL Syr (discontinued)
DNP
MRP
SF
02236783
APX
salbutamol 2mg tab

Apo-Salvent 2mg Tab
Ventolin 2mg Tab (discontinued)
DNP
MRP
SFC
02146843
APX
salbutamol 4mg tab

Apo-Salvent 4mg Tab
Ventolin 4mg Tab (discontinued)
DNP
MRP
SFC
02146851
APX
SF
00335355
AZE
DNP
SF
00476366
ERF
DNP
SF
00575151
PMS
Theolair 80mg/15mL Liq

Apo-Theo LA 100mg Tab
Novo-Theophyl SR 100mg Tab
DNP
DNP
DNP
SF
SF
SF
01966219
00692689
02230085
GWP
APX
TEV
theophylline 200mg SR tab

Theo-DUR 200mg Tab (discontinued)
DNP
SF
02230086
TEV
DNP
SF
00692697
APX
R03CC SELECTIVE BETA2-ADRENOCEPTOR AGONISTS

R03CC02
R03CC03
SALBUTAMOL
salbutamol 0.4mg/mL o/l
pms-Salbutamol 0.4mg/mL O/L (discontinued)
Ventolin 0.4mg/mL O/L (discontinued)
TERBUTALINE
Bricanyl 2.5mg Tab
DNP
R03D OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

R03DA XANTHINES
R03DA02
R03DA04
October 2011
OXTRIPHYLLINE (CHOLINE THEOPHYLLINATE)

Choledyl 20mg/mL Elx
THEOPHYLLINE
theophylline 5.3mg/mL o/l
pms-Theophylline 5.3mg/mL Elx
Elixophyllin 5.3mg/mL Elx (discontinued)
MRP
R03DA05
R03DA54
theophylline 300mg SR tab

Theo-DUR 300mg Tab (discontinued)
DNP

Uniphyl 400mg Tab
Uniphyl 600mg Tab
AMINOPHYLLINE
Phyllocontin 225mg Tab (discontinued)
Phyllocontin 350mg Tab (discontinued)
SF
02230087
TEV
DNP
DNP
DNP
SF
SF
SF
00692700
02014165
02014181
APX
PFR
PFR
DNP
DNP
SF
SF
02014270
02014289
PFR
PFR
SF
SF
00476374
00317225
ERF
TEV
MRP
THEOPHYLLINE, COMBINATIONS EXCLUDING PSYCHOLEPTICS

DNP
Choledyl Expectorant
ratio-Bronc O/L
DNP
R03DC LEUKOTRIENE RECEPTOR ANTAGONISTS

R03DC01
R03DC03
ZAFIRLUKAST
Accolate 20mg Tab
DNP
02236606
AZE
MONTELUKAST
Singulair 4mg/pkt Granules
Singulair 4mg Chewtabs
Singulair 5mg Chewtabs
Singulair 10mg Tab
DNP
DNP
DNP
DNP
E
E
E
E
02247997
02243602
02238216
02238217
FRS
FRS
FRS
FRS
OMALIZUMAB
Xolair 150mg/vial Inj
02260565
NVR
ROFLUMILAST
Daxas 500mcg Tab
02359456
NYC
01931032
WCH
SF
SF
02243098
02091526
SDZ
WLS
D
D
D
D
E
E
E
E
D
D
D
SFC
SFC
SFC
02230302
02163748
02163780
02163799
00544884
00380571
00050024
00779474
PFR
PFR
PFR
PFR
SDZ
ATL
ATL
TEV
D
D
SFC
SFC
00593435
00593451
TEV
TEV
R03DX OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

R03DX05
R03DX07
R05
COUGH AND COLD PREPARATIONS
R05C EXPECTORANTS, EXCLUDING COMBINATIONS WITH COUGH SUPPRESSANTS

R05CA EXPECTORANTS
R05CA03
GUAIFENESIN
Robitussin 20mg/mL O/L
R05CB MUCOLYTICS
R05CB01
ACETYLCYSTEINE
acetylcysteine 200mg/mL inj
Acetylcysteine 200mg/mL Inj
Mucomyst 20% Inj
DNP
DNP
MRP
MRP
R05D COUGH SUPPRESSANTS, EXCLUDING COMBINATIONS WITH EXPECTORANTS

R05DA OPIUM ALKALOIDS AND DERIVATIVES
R05DA04
October 2011
CODEINE
Codeine Contin 50mg Tab
Codeine Phosphate 30mg/mL Inj
Linctus Codeine Blanc 0.2% Liq
Codeine Phosphate 4.7mg/mL Syr
ratio-Codeine 5mg/mL Syr
pms-Codeine 15mg Tab (discontinued)
ratio-Codeine 15mg Tab
ratio-Codeine 30mg Tab
R06
ANTIHISTAMINES FOR SYSTEMIC USE
R06A ANTIHISTAMINES FOR SYSTEMIC USE

R06AA AMINOALKYL ETHERS
R06AA02
R06AA09
DIPHENHYDRAMINE
Benadryl 25mg Caplets
Benadryl 12.5mg/5mL Elx
Diphenhydramine 50mg/mL Inj
DOXYLAMINE
Diclectin Tab
02017849
02019736
00596612
JNJ
JNJ
SDZ
DNPM
SFC
00609129
DUI
MECLIZINE (MECLOZINE)
Bonamine 25mg Tab
DNP
SF
00220442
JNJ
CETIRIZINE
Reactine 5mg Tab
DNP
02223546
JNJ
cetirizine 10mg tab

APC-Cetirizine 10mg Tab
Apo-Cetirizine 10mg Tab
Extra Strength Allergy Relief 10mg Tab
Reactine 10mg Tab
DNP
DNP
DNP
DNP
E
E
E
E
02231603
02231603
02315955
02223554
APX
APX
PDP
JNJ
02019973
SCH
E
E
E
02243880
02243880
00782696
APX
APX
SCH
SF
02176084
TEV
SF
SF
02230730
00577308
TEV
TEV
FEXOFENADINE
Allegra 60mg Tab
Allegra 120mg Tab
02231462
02242819
SAV
SAV
DESLORATADINE
desloratadine 5mg tab
Desloratadine Allergy Control 5mg Tab
Aerius 5mg Tab
02298155
02243919
PDP
SCH
R06AE PIPERAZINE DERIVATIVES

R06AE05
R06AE07
MRP
MRP
MRP
MRP
R06AX OTHER ANTIHISTAMINES FOR SYSTEMIC USE

R06AX13
LORATADINE
Claritin 1mg/mL Syr
loratadine 10mg tab
APC-Loratadine 10mg Tab
Apo-Loratadine 10mg Tab
Claritin 10mg Tab
R06AX17
KETOTIFEN
ketotifen fumarate 1mg/5mL syr
Novo-Ketotifen 1mg/5mL Syr
Zaditen 1mg/5mL Syr (discontinued)
ketotifen fumarate 1mg tab
Novo-Ketotifen 1mg Tab
Zaditen 1mg Tab
R06AX26
R06AX27
October 2011
DNP
DNP
DNP
MRP
MRP
MRP
DNP
DNP
DNP
MRP
MRP
R07
OTHER RESPIRATORY SYSTEM PRODUCTS
R07A OTHER RESPIRATORY SYSTEM PRODUCTS

R07AX OTHER RESPIRATORY SYSTEM PRODUCTS
R07AX01
October 2011
OTHER RESPIRATORY SYSTEM PRODUCTS

AreoChamber AC-Boyz
AreoChamber AC-Girlz
AeroChamber Adult
AeroChamber Max Adult
AeroChamber Adult with Mask
AeroChamber Max Adult with Mask
AeroChamber Infant with Mask
AeroChamber Max Infant with Mask
AeroChamber Pediatric with Mask
AeroChamber Plus Flow-Vu with Mask (Lg)
AeroChamber Plus Flow-Vu with Mask (Med)
AeroChamber Plus Flow-Vu with Mouthpiece
AeroChamber Plus Flow-Vu with Mask (Sm)
AeroChamber Max Pediatric with Mask
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
DNP
FC
FC
SFC
SFC
SFC
SFC
FC
FC
FC
SFC
SFC
SFC
FC
FC
96899976
96899975
96899993
96899997
96899998
96899994
96899999
96899996
96899992
96899969
96899970
96899968
96899971
96899995
TMI
TMI
TMI
TMI
TMI
TMI
TMI
TMI
TMI
TMI
TMI
TMI
TMI
TMI
October 2011
S01
OPHTHALMOLOGICALS
S01A ANTIINFECTIVES
S01AA ANTIBIOTICS
S01AA01
S01AA07
S01AA11
S01AA12
CHLORAMPHENICOL
Pentamycetin 1% Oph Oint
Pentamycetin 0.25% Oph Sol
Pentamycetin 0.5% Oph Sol
DNPO
DNPO
DNPO
SF
SF
SF
01980564
01980556
02164051
SDZ
SDZ
SDZ
FRAMYCETIN
Soframycin 0.5% Oph Oint
Soframycin 0.5% Oph Sol
DNPO
DNPO
SF
SF
02224895
02224887
ERF
ERF
DNPO
SF
02230888
SDZ
SF
SF
00776521
02229440
00512192
PMS
SDZ
SCH
GENTAMICIN
gentamicin 0.3% oph oint
Sandoz Gentamicin 0.3% Oph Oint
Garamycin 0.3% Oph Oint (discontinued)
gentamicin 0.3% oph sol
pms-Gentamicin 0.3% Oph Sol
Sandoz Gentamicin 0.3% Oph Sol
Garamycin 0.3% Oph Sol
DNPO
DNPO
Alcomicin 0.3% Oph Sol
DNPO
SF
00436771
ALC
TOBRAMYCIN
Tobrex 0.3% Oph Oint
DNPO
SF
00614254
ALC
SF
SF
02241755
00513962
SDZ
ALC
02243862
LEO
01912755
PMS
02011956
ALL
tobramycin 0.3% oph sol

Sandoz Tobramycin 0.3% Oph Sol
Tobrex 0.3% Oph Sol
pms-Tobramycin 0.3% Oph Sol (discontinued)
S01AA13
S01AA17
S01AA30
DNPO
DNPO
MRP
MRP
MRP
MRP
FUSIDIC ACID
Fucithalmic 1% Oph Sol
ERYTHROMYCIN
pms-Erythromycin 0.5% Oph Oint
SF
DNPMO
ANTIBIOTICS (OPHTHALMIC), COMBINATIONS

Polytrim Oph Sol
S01AB SULFONAMIDES
S01AB04
SULFACETAMIDE
sulfonamides sodium 10% oph oint
Cetamide 10% Oph Oint
Sodium Sulamyd 10% Oph Oint (discontinued)
DNPO
SF
00252522
ALC
Sodium Sulamyd 10% Oph Sol
DNPO
SF
00028053
SDZ
TRIFLURIDINE
trifluridine 1% oph sol
Sandoz Trifluridine 1% Oph Sol
Viroptic 1% Oph Sol
DNPO
DNPO
MRP
MRP
SF
SF
02248529
00687456
SDZ
THR
DNPO
DNPO
DNPO
MRP
MRP
MRP
E
E
E
02248398
02252570
02143291
APX
PMS
ALL
S01AD ANTIVIRALS
S01AD02
S01AX OTHER ANTIINFECTIVES

S01AX11
October 2011
OFLOXACIN
ofloxacin 0.3% oph sol
Apo-Ofloxacin 0.3% Oph Sol
pms-Ofloxacin 0.3% Oph Sol
Ocuflox 0.3% Oph Sol
Sensory Organs 169
S01AX13
S01AX21
S01AX22
CIPROFLOXACIN
Ciloxan 0.3% Oph Oint
DNPO
ciprofloxacin 0.3% oph sol

Apo-Ciproflox 0.3% Oph Sol
pms-Ciprofloxacin 0.3% Oph Sol
Ciloxan 0.3% Oph Sol
DNPO
DNPO
DNPO
02200864
ALC
E
E
E
02263130
02253933
01945270
APX
PMS
ALC
GATIFLOXACIN
Zymar 0.3% Oph Sol
02257270
ALL
MOXIFLOXACIN
Vigamox 0.5% Oph Sol
02252260
ALC
MRP
MRP
MRP
S01B
ANTIINFLAMMATORY AGENTS
S01BA CORTICOSTEROIDS, PLAIN
S01BA01
S01BA02
S01BA04
S01BA07
S01BA14
DEXAMETHASONE
Maxidex 0.1% Oph Oint
Maxidex 0.1% Oph Susp
DNPO
DNPO
SF
SF
00042579
00042560
ALC
ALC
HYDROCORTISONE
Cortamed 2.5% Oph Oint
DNPO
SF
01980661
SDZ
PREDNISOLONE
prednisolone acetate 0.12% oph susp
Sandoz Prednisolone 0.12% Oph Susp
Pred Mild 0.12% Oph Susp
DNPO
DNPO
MRP
MRP
SF
SF
01916181
00299405
SDZ
ALL
prednisolone acetate 1% oph susp

ratio-Prednisolone 1% Oph Susp
Sandoz Prednisolone 1% Oph Susp
Pred Forte 1% Oph Susp
DNPO
DNPO
DNPO
MRP
MRP
MRP
SF
SF
SF
00700401
01916203
00301175
TEV
SDZ
ALL
Diopred 1% Oph Susp
DNPO
SF
02023768
SDZ
FLUOROMETHOLONE
fluorometholone 0.1% oph sol
pms-Fluorometholone 0.1% Liquifilm Oph Sol
FML 0.1% Liquifilm Oph Sol
DNPO
DNPO
SF
SF
02238568
00247855
PMS
ALL
FML Forte 0.25% Oph Sol

Flarex 0.1% Oph Sol
DNPO
DNPO
SF
SF
00707511
00756784
ALL
ALC
02321114
BSH
SF
01940414
ALC
SF
SF
SF
02245821
02247461
01968300
APX
TEV
ALL
MRP
MRP
LOTEPREDNOL
Lotemax 0.5% Oph Susp
S01BC ANTIINFLAMMATORY AGENTS, NON STEROIDS

S01BC03
S01BC05
October 2011
DICLOFENAC
Voltaren 0.1% Ophtha Oph Sol
DNPO
KETOROLAC
ketorolac 0.5% oph sol
Apo-Ketorolac 0.5% Oph Sol
ratio-Ketorolac 0.5% Oph Sol
Acular 0.5% Oph Sol
DNPO
DNPO
DNPO
MRP
MRP
MRP
Sensory Organs 170
S01C
ANTIINFLAMMATORY AGENTS AND ANTIINFECTIVES IN COMBINATION
S01CA CORTICOSTEROIDS AND ANTIINFECTIVES IN COMBINATION
S01CA01
S01CA02
S01CA03
DEXAMETHASONE AND ANTIINFECTIVES

Maxitrol Oph Oint
Tobradex Oph Oint
Tobradex Oph Sol
Maxitrol Oph Susp
DNPO
DNPO
DNPO
DNPO
SF
SF
SF
SF
00358177
00778915
00778907
00042676
ALC
ALC
ALC
ALC
PREDNISOLONE AND ANTIINFECTIVES

Blephamide Oph Oint
Blephamide Oph Sol
DNPO
DNPO
SF
SF
00307246
00807788
ALL
ALL
SF
02242485
SDZ
SF
02076306
ALC
02301334
02248151
APX
ALL
SF
SF
SF
SF
SF
02260077
02246284
02243026
02305429
02236876
APX
PMS
TEV
SDZ
ALL
HYDROCORTISONE AND ANTIINFECTIVES

hydrocortisone & antiinfectives oph oint
Sandoz Cortimyxin Oph Oint
Cortisporin Oph Oint (discontinued)
DNPO
MRP
S01E
ANTIGLAUCOMA PREPARATIONS AND MIOTICS
S01EA SYMPATHOMIMETICS IN GLAUCOMA THERAPY
S01EA03
S01EA05
APRACLONIDINE
Iopidine 0.5% Oph Sol
DNP
BRIMONIDINE
brimonidine 0.15% oph sol
Apo-Brimonidine P 0.15% Oph Sol
Alphagan P 0.15% Oph Sol
brimonidine 0.2% oph sol
Apo-Brimonidine 0.2% Oph Sol
pms-Brimonidine 0.2% Oph Sol
ratio-Brimonidine 0.2% Oph Sol
Sandoz Brimonidine 0.2% Oph Sol
Alphagan 0.2% Oph Sol
DNP
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
MRP
S01EB PARASYMPATHOMIMETICS
S01EB01
S01EB02
PILOCARPINE
Pilopine HS 4% Oph Gel
Isopto Carpine 1% Oph Sol
DNP
DNP
DNP
DNP
SF
SF
SF
SF
00575240
00000841
00000868
00000884
ALC
ALC
ALC
ALC
CARBACHOL
Isopto Carbachol 1.5% Oph Sol
Isopto Carbachol 3% Oph Sol
DNP
DNP
SF
SF
00000655
00000663
ALC
ALC
S01EC CARBONIC ANHYDRASE INHIBITORS

S01EC01
S01EC03
ACETAZOLAMIDE
acetazolamide 250mg tab
Acetazolamide Tablets 250mg
Diamox 250mg Tab (discontinued)
DORZOLAMIDE
dorzolamide HCI 2% oph sol
Sandoz Dorzolamide 2% Oph Sol
Trusopt 2% Oph Sol
DNP
MRP
SF
00545015
AAP
DNP
DNP
MRP
MRP
SF
SF
02316307
02216205
SDZ
FRS
02269090
FRS
Trusopt 2% (PF) Oph Sol

S01EC04
S01EC05
October 2011
BRINZOLAMIDE
Azopt 1% Oph Sol
DNP
SF
02238873
ALC
METHAZOLAMIDE
Methazolamide 50mg Tab
DNP
SF
02245882
AAP
Sensory Organs 171
S01ED BETA BLOCKING AGENTS

S01ED01
TIMOLOL
timolol maleate 0.25% oph gel
Timoptic-XE 0.25% Oph Gel
Timolol Maleate-EX 0.25% Oph Gel (discontinued)
DNP
SF
02171880
FRS
timolol maleate 0.5% oph gel

Timoptic-XE 0.5% Oph Gel
Timolol Maleate-EX 0.5% Oph Gel (discontinued)
DNP
SF
02171899
FRS
Apo-Timop 0.5% Oph Gel
DNP
SF
02290812
APX
timolol maleate 0.25% oph sol

Apo-Timop 0.25% Oph Sol
MYLAN-Timolol 0.25% Oph Sol
Sandoz Timolol 0.25% Oph Sol
pms-Timolol 0.25% Oph Sol (discontinued)
Timoptic 0.25% Oph Sol (discontinued)
timolol maleate 0.5% oph sol
Apo-Timop 0.5% Oph Sol
MYLAN-Timolol 0.5% Oph Sol
Sandoz Timolol 0.5% Oph Sol
Timoptic 0.5% Oph Sol
pms-Timolol 0.5% Oph Sol (discontinued)
S01ED02
S01ED03
S01ED51
BETAXOLOL
Betoptic-S 0.25% Oph Susp
LEVOBUNOLOL
levobunolol HCl 0.25% oph sol
ratio-Levobunolol 0.25% Oph Sol
Betagan 0.25% Oph Sol (discontinued)
DNP
DNP
DNP
MRP
MRP
MRP
SF
SF
SF
00755826
00893773
02166712
APX
MYL
SDZ
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
00755834
00893781
02166720
00451207
APX
MYL
SDZ
FRS
SF
01908448
ALC
DNP
DNP
MRP
SF
02031159
TEV
levobunolol HCl 0.5% oph sol

pms-Levobunolol 0.5% Oph Sol
ratio-Levobunolol 0.5% Oph Sol
Sandoz Levobunolol 0.5% Oph Sol
Betagan 0.5% Oph Sol
DNP
DNP
DNP
DNP
MRP
MRP
MRP
MRP
SF
SF
SF
SF
02237991
02031167
02241716
00637661
PMS
TEV
SDZ
ALL
TIMOLOL, COMBINATIONS
Azarga Oph Susp
Combigan Oph Sol
DNP
DNP
SF
SF
02331624
02248347
ALC
ALL
SF
SF
SF
02299615
02344351
02240113
APX
SDZ
FRS
SF
SF
02258692
02278251
02246619
FRS
ALC
PFI
dorzolamide HCI 2% & timolol maleate 0.5% oph sol

Apo-Dorzo-Timop 2%/0.5% Oph Sol
DNP
DNP
Sandoz Dorzolamide/Timolol 2%/0.5% Oph Sol
Cosopt Oph Sol
DNP
Cosopt (PF) Oph Sol
Duo Trav Oph Sol
Xalacom Oph Sol
October 2011
DNP
DNP
MRP
MRP
MRP
Sensory Organs 172
S01EE PROSTAGLANDIN ANALOGUES

S01EE01
S01EE03
S01EE04
LATANOPROST
latanoprost 50mcg/mL oph sol
Apo-Latanoprost 0.005% Oph Sol
Xalatan 0.005% Oph Sol
DNP
DNP
BIMATOPROST
Lumigan 0.03% Oph Sol
Lumigan RC 0.01% Oph Sol
TRAVOPROST
Travatan 0.004% Oph Sol
Travatan Z 0.004% Oph Sol
SF
SF
02296527
02231493
APX
PFI
DNP
DNP
SF
SF
02245860
02324997
ALL
ALL
DNP
DNP
SF
SF
02244896
02318008
ALC
ALC
ATROPINE
Atropine 1% Oph Oint
Isopto Atropine 1% Oph Sol
DNPO
DNPO
SF
SF
00252484
00035017
ALC
ALC
CYCLOPENTOLATE
Cyclogyl 1.0% Oph Sol
DNPO
SF
00252506
ALC
HOMATROPINE
Isopto Homatropine 2% Sol
Isopto Homatropine 5% Sol
DNPO
DNPO
SF
SF
00000779
00000787
ALC
ALC
TROPICAMIDE
Mydriacyl 0.5% Oph Sol
Mydriacyl 1% Oph Sol
Diotrope 1% Oph Sol
DNPO
DNPO
DNPO
SF
SF
SF
00000981
00001007
02023679
ALC
ALC
AKN
DNPO
SF
00465763
ALC
SF
SF
02009277
02230621
PDP
ALL
SF
02237355
ALC
KETOTIFEN
Zaditor 0.25% Oph Sol
02242324
NVO
OLOPATADINE
Patanol 0.1% Oph Sol
02233143
ALC
00035076
ALC
MRP
MRP
S01F
MYDRIATICS AND CYCLOPLEGICS
S01FA ANTICHOLINERGICS
S01FA01
S01FA04
S01FA05
S01FA06
S01G DECONGESTANTS AND ANTIALLERGICS

S01GA SYMPATHOMIMETICS USED AS DECONGESTANTS
S01GA05
PHENYLEPHRINE
Mydfrin 2.5% Oph Sol
S01GX OTHER ANTIALLERGICS

S01GX01
CROMOGLYCATE SODIUM
cromoglycate sodium 2% oph sol
Cromolyn 2% Oph Sol
Opticrom 2% Oph Sol
S01GX02
LEVOCABASTINE
Livostin 0.5mg/mL Oph Sol (discontinued)
S01GX06
EMEDASTINE
Emadine 0.5% Oph Drops
S01GX08
S01GX09
DNPO
DNPO
DNPO
MRP
MRP
S01H
LOCAL ANESTHETICS
S01HA LOCAL ANESTHETICS
S01HA04
October 2011
PROXYMETACAINE
Alcaine 0.5% Drops
DNPO
SF
Sensory Organs 173
S01L
OCULAR VASCULAR DISORDER AGENTS
S01LA ANTINEOVASCULARISATION AGENTS
S01LA01
S01LA03
VERTEPORFIN
Visudyne 15mg/vial Inj
02242367
NVO
02267225
PFI
SF
00750816
BSH
SF
SF
02245735
00750824
SDZ
BSH
02355655
ALL
02242977
02231289
00870153
02244650
02125706
00210889
02082519
02133288
00999491
ALC
ALC
ALL
ALL
BSH
ALL
ALC
ALC
ALC
artificial tears 0.5% oph sol

Sandoz Eyelube 0.5% Oph Sol
Isopto Tears 0.5% Oph Sol
00889806
00000809
SDZ
ALC
artificial tears 1% oph sol

Sandoz Eyelube 1% Oph Sol
Isopto Tears 1% Oph Sol
00874965
00000817
SDZ
ALC
Artificial Tears 1.4% Oph Sol

Artificial Tears Extra Oph Sol
Bion Tears Oph Sol
Hylashield 0.15%/0.4% Allets
Hypotears 1% Oph Sol
Liquifilm Tears 1.4% Oph Sol
Moisture Oph Sol
Refresh 1.4% Oph Sol
Refresh Plus 0.5% Oph Sol
Refresh Tears 0.5% Oph Sol
Tears Naturale Oph Sol
Tears Naturale II Oph Sol
Tears Naturale Free Oph Sol
Tears Plus 1.4% Oph Sol
02229570
02229632
02216051
00999176
02133253
00045616
02131978
02138670
02049260
02231008
00390291
00743445
01943308
00579408
PDP
PDP
ALC
IMD
ALC
ALL
BSH
ALL
ALL
ALL
ALC
ALC
ALC
ALL
02229441
00512184
SDZ
SCH
DNP
PEGAPTANIB
Macugen 0.3mg/90mcl Prefilled Syringe
S01X
OTHER OPHTHALMOLOGICALS
S01XA OTHER OPHTHALMOLOGICALS
S01XA03
S01XA18
S01XA20
S02
SODIUM CHLORIDE, HYPERTONIC

Muro 128 (5%) Oph Oint
DNPO
sodium chloride, hypertonic 5% oph sol

Sandoz Sodium Chloride 5% Oph Sol
Muro 128 (5%) Oph Sol
DNPO
DNPO
MRP
MRP
CICLOSPORIN
Restasis 0.05%
ARTIFICIAL TEARS AND OTHER INDIFFERENT PREPARATIONS
GenTeal 0.3% Oph Gel
DNPO
DNPO
GenTeal 3mg/g Oph Sol
Refresh Celluvisc 1% Liq
DNPO
Refresh 1% Liquigel
Duolube Oph Oint
DNPO
Refresh Lacri-Lube Oph Oint
Tears Naturale P.M. Oph Oint
Hypotears Oph Oint
TearGel Oph Oint
DNPO
SF
SF
E
SF
SF
DNPO
SF
DNPO
DNPO
DNPO
DNPO
SF
E
E
E
DNPO
DNPO
SF
E
OTOLOGICALS
S02A ANTIINFECTIVES
S02AA ANTIINFECTIVES
S02AA14
October 2011
GENTAMICIN
gentamicin 0.3% otic sol
Sandoz Gentamicin 0.3% Otic Sol
Garamycin 0.3% Otic Sol
DNP
DNP
MRP
MRP
SF
SF
Sensory Organs 174
pms-Gentamicin 0.3% Otic Sol (discontinued)

S02AA30
Buro-Sol Otic Sol
DNP
SF
00674222
STI
DNP
SF
00074454
PAL

polymyxin b sulfate, neomycin sulfate & hydrocortisone otic sol
Sandoz Cortimyxin Otic Sol
DNP
MRP
DNP
MRP
Cortisporin Otic Sol
SF
SF
02230386
01912828
SDZ
GSK

Ciprodex Otic Susp
02252716
ALC
SF
00807435
SDZ
SF
00739839
SDZ

dexamethasone, framycetin sulfate & gramicidin oph/otic sol
Sandoz Opticort Oph/Otic Sol
DNPO
MRP
Sofracort Oph/Otic Sol
DNPO
MRP
SF
SF
02247920
02224623
SDZ
SAV

Pentamycetin HC Oph/Otic Oint
Pentamycetin HC Oph/Otic Susp
DNPO
DNPO
SF
SF
01980580
01980572
SDZ
SDZ
BETAMETHASONE AND ANTIINFECTIVES

betamethasone & gentamicin oph/otic sol
Sandoz Pentasone Oph/Otic Sol
Garasone Oph/Otic Sol
DNPO
DNPO
SF
SF
02244999
00682217
SDZ
SCH
S02C
CORTICOSTEROIDS AND ANTIIFECTIVES IN COMBINATION
S02CA02
S02CA03
S02CA06
S03
FLUMETASONE AND ANTIINFECTIVES

Locacorten Vioform Otic Sol
DNP
OPHTHALMOLOGICAL AND OTOLOGICAL PREPARATIONS
S03A ANTIINFECTIVES
S03AA ANTIINFECTIVES
S03AA30
polymixin b sulfate, neomycin sulfate & gramicidin oph/otic sol
DNPO
MRP
Optimyxin Plus Oph/Otic Sol
Neosporin Oph/Otic Sol (discontinued)
S03B
CORTICOSTEROIDS
S03BA CORTICOSTEROIDS
S03BA01
DEXAMETHASONE
dexamethasone 0.1% oph/otic sol
Sandoz Dexamethasone 0.1% Oph/Otic Sol
Decadron 0.1% Oph/Otic Sol (discontinued)
DNPO
S03C
CORTICOSTEROIDS AND ANTIINFECTIVES IN COMBINATION
S03CA01
S03CA04
S03CA06
October 2011
MRP
MRP
Sensory Organs 175
October 2011
Sensory Organs 176
V01
ALLERGENS
V01A ALLERGENS
V01AA ALLERGEN EXTRACTS
V01AA02
V01AA20
V03
GRASS POLLEN
Pollinex-R Inj
DNP
00464988
AGT
VARIOUS
Allergy Serum
DNP
00999938
VAR
02148706
SDZ
02148714
SDZ
00874019
02249561
HLR
SDZ
SF
SF
SF
02241600
02242055
01981242
HOS
PMS
NVR
ALL OTHER THERAPEUTIC PRODUCTS
V03A ALL OTHER THERAPEUTIC PRODUCTS

V03AB ANTIDOTES
V03AB15
NALOXONE
naloxone 0.4mg/mL inj
Naloxone 0.4mg/mL Inj
Narcan 0.4mg/mL Inj (discontinued)
naloxone 1mg/mL inj
Naloxone 1mg/mL Inj
Narcan 1mg/mL Inj (discontinued)
V03AB25
FLUMAZENIL
flumazenil 0.1mg/mL inj
Anexate 0.1mg/mL Inj
Flumazenil 0.1mg/mL Inj
V03AC IRON CHELATING AGENTS

V03AC01
V03AC03
DEFEROXAMINE
deferoxamine 500mg/vial inj
Desferrioxamine 500mg/vial Inj
pms-Deferoxamine 500mg/vial Inj
Desferal 500mg/vial Inj
DNP
DNP
DNP
Desferal 2g/vial Inj
DNP
SF
01981250
NVR
DEFERASIROX
Exjade 125mg Tab for Susp
DNP
DNP
DNP
E
E
E
02287420
02287439
02287447
NVR
NVR
NVR
MRP
MRP
MRP
V03AE DRUGS FOR TREATMENT OF HYPERKALEMIA AND HYPERPHOSPHATEMIA

V03AE01
V03AE02
V03AE03
V03AE99
October 2011
POLYSTYRENE SULFONATE
Kayexalate Powder
pms-Sodium Polystyrene Sulfonate Pd
pms-Sodium Polystyrene Sulfonate Susp
DNP
DNP
DNP
SF
SF
SF
02026961
00755338
00769541
SAV
PMS
PMS
SEVELAMER
Renagel 800mg Tab
DNP
02244310
GZM
LANTHANUM CARBONATE
Fosrenol 250mg Tab
Fosrenol 500mg Tab
Fosrenol 750mg Tab
Fosrenol 1,000mg Tab
02287145
02287153
02287161
02287188
SHI
SHI
SHI
SHI
CALCIUM ACETATE
Phoslo 667mg Tab
02229437
MYL
Various 177
V03AF DETOXIFYING AGENTS FOR ANTINEOPLASTIC TREATMENT

V03AF03
CALCIUM FOLINATE
Lederle Leucovorin 5mg Tab
DNP
SFC
02170493
PFI
DNP
SF
00503347
SCH
DNP
SFD
DNP
02246016
GZM
DNP
DNP
DNP
SF
SF
SF
00038202
00624721
02142546
HOS
AZE
HOS
DNP
SFC
MISCELLANEOUS DEVICES
Infusion Pump Cassette
DNP
SFC
00999970
VAR
INSULIN SYRINGES
*Diabetic Supplies Benefit List
DNP
SFD
INSULIN PEN NEEDLES

DNP
SFD
DIABETIC LANCETS
DNP
SFD
PLACEBO
Placebo
Placebo Tab
DNP
DNP
SFC
SFC
00999008
00501190
CPD
ODN
V03AH DRUGS FOR TREATMENT OF HYPOGLYCEMIA

V03AH01
V04
DIAZOXIDE
Proglycem 100mg Cap
DIAGNOSTIC AGENTS
V04C
OTHER DIAGNOSTIC AGENTS
V04CA TESTS FOR DIABETES
V04CA02
GLUCOSE
Diabetic Testing Strips
V04CJ TESTS FOR THYREOIDEA FUNCTION

V04CJ01
V07
THYROTROPIN
Thyrogen 0.9mg/mL Inj
ALL OTHER NON-THERAPEUTIC PRODUCTS
V07A ALL OTHER NON-THERAPEUTIC PRODUCTS

V07AB SOLVENTS AND DILUTING AGENTS, INCLUDING IRRIGATING SOLUTIONS
VO7AB99
STERILE WATER
Bacteriostatic Water for Inj
Sterile Water for Inj
Sterile Water for Inj (WP)
V07AS STOMI EQUIPMENT

V07AS01
STOMI EQUIPMENT
*Ostomy Supplies Benefit List
V07AY OTHER NON-THERAPEUTIC AUXILIARY PRODUCTS

V07AY03
V07AY04
V07AY05
V07AY06
V07AY90
October 2011
Various 178
Diabetic Supplies Benefit List

PIN
PKG SIZE
PRODUCT#
MFR
INSULIN PEN NEEDLES

97799527
BD Ultra-Fine Nano Pen Needles 32g x 4mm
97799897
BD Ultra-Fine II Pen Needles, 12.7mm, 29g
97799896
BD Ultra-Fine III Mini Pen Needles, 5mm, 31g
97799895
BD Ultra-Fine III Short Pen Needles. 8mm, 31g
97799566
Insupen, 29g x 12mm
97799567
Insupen, 30g x 8mm
97799568
Insupen, 31g x 8mm
97799569
Insupen, 31g x 6mm
97799570
Insupen, 32g x 8mm
97799571
Insupen, 32g x 6mm
97799909
Novofine Pen Needles 28g X 12mm
97799910
97799911
97799764
Novofine ETW Pen Needles 32g
97799561
SUPER-FINE Pen Needles (Micro 29g 12.7mm)
97799563
SUPER-FINE Pen Needles (Micro 31g 5mm)
97799562
SUPER-FINE Pen Needles (XTRA 31g 8mm)
97799527
Ulticare Pen Needles 29g x 12mm
97799545
97799544
97799991
Unifine Pen Needles 29g x 12mm
97799993
97799992
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
320144
320223
320145
320108
22988
22987
22990
22989
22984
22983
890037
890187
890237
86601
933427927
933427297
933427279
09512
09563
09583
OMAM3529
OMAM3590
OMAM3530
BTD
BTD
BTD
BTD
DOM
DOM
DOM
DOM
DOM
DOM
NNO
NNO
NNO
NNO
PMS
PMS
PMS
DRX
DRX
DRX
AUT
AUT
AUT
INSULIN SYRINGES
97799889
BD Ultra-Fine Syringes, 1cc, 29g
97799887
BD Ultra-Fine Syringes, 0.3cc, 29g
97799888
BD Ultra-Fine Syringes, 0.5cc, 29g
97799886
BD Ultra-Fine II Syringes, 0.3cc, 30g
97799885
BD Ultra-Fine II Syringes, 0.5cc. 30g
97799890
BD Ultra-Fine II Syringes, 1cc, 30g
97799760
BD Ultra-Fine II Short Half-Unit Syringes, 0.3cc, 31g
97799786
Monoject Syringes 0.3cc, 29 x 1/2"
97799783
Monoject Syringes 0.3cc, 30g x 5/16"
97799780
97799788
97799785
97799782
97799779
Monoject Syringes 1cc, 25g x 5/8"
97799778
97799787
97799777
97799784
97799781
97799999
UltiCare Syringes 0.3cc, 29g
97799996
97799998
97799995
97799997
UltiCare Syringes 1cc, 29g
97799994
UltiCare Syringes 1cc, 30g
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
100
320411
320431
320466
320438
320468
320469
320440
8881600145
8881600800
1188528012
8881600004
8881600350
8881600700
1188125058
1188127012
8881601101
1188128012
8881601358
8881601600
UC09239
UC09339
UC09259
UC09359
UC09219
UC09319
BTD
BTD
BTD
BTD
BTD
BTD
BTD
TYC
TYC
TYC
TYC
TYC
TYC
TYC
TYC
TYC
TYC
TYC
TYC
AUT
AUT
AUT
AUT
AUT
AUT
October 2011
PRODUCT DESCRIPTION
MISCELLANEOUS 1

PIN
PRODUCT DESCRIPTION
LANCETS
*97799691
*97799689
*97799494
*97799495
*97799817
*97799816
*97799946
*97799945
*97799942
*97799917
*97799918
*97799882
*97799883
*97799540
*97799825
*97799826
*97799767
*97799766
*97799592
*97799591
*97799810
*97799807
*97799501
*97799765
*97799970
*97799948
Abbott Thin 28g Lancets

Abbott Thin 28g Lancets
Accu-Chek Fastclix Lancets
Accu-Chek Fastclix Lancets
Accu-Chek Multiclix Lancets
Accu-Chek Multiclix Lancets
Accu-Chek Softclix Lancets
Accu-Chek Softclix Lancets
Accu-Chek Softclix Pro Lancets
Ascensia Microlet Lancets
Ascensia Microlet Lancets
BD Ultra-Fine Lancets
BD Ultra-Fine Lancets
EZ Health Lancets
Finger Stix Lancets
FreeStyle Lancets
iTest Lancets 33g
iTest Lancets 28g
Medlance Plus Lite Lancets 25g
Medlance Plus Universal Lancets 21g
MPD Thin Lancets
MPD Ultra Thin Lancets
One-Touch Delica Lancets
One-Touch SureSoft Lancets 21g
One-Touch UltraSoft
Safe-T-Pro Lancets
TESTING STRIPS
97799916
Acetest
*97799823 Accu-Chek Advantage Glucose Test Strips
*97799824 Accu-Chek Advantage Glucose Test Strips
*97799815 Accu-Chek AVIVA Test Strips
*97799814 Accu-Chek AVIVA Test Strips
*97799963 Accu-Chek Compact Test Strips
*97799962 Accu-Chek Compact Test Strips
*97799496 Accu-Chek Mobile BG Test Strip Cassette
*97799497 Accu-Chek Mobile BG Test Strip Cassette
97799851
Albustix
*97799749 Ascensia Breeze 2 Test Strip Disc
*97799748 Ascensia Breeze 2 Test Strip Disc
*97799703 Ascensia Contour Test Strip
*97799702 Ascensia Contour Test Strip
97799950
Chemstrip 4-MD
97799953
Chemstrip-9
97799958
Chemstrip-BG (Accu-Chek)
97799957
Chemstrip-BG Glucose Strips (Visual Testing)
97799951
Chemstrip-GP
97799956
Chemstrip uGK Glucose and Ketone Strips
PKG SIZE
PRODUCT#
MFR
100
200
102
204
102
204
100
200
200
200
100
100
200
100
200
100
100
100
200
200
100
100
100
200
100
200
7004302
9868203
05353807001
05353815001
4466314119
4466349119
3146707
3146693
3038157
6550PC
6546BA
326571
326572
GMH-L3
5965
83001
IT31003
IT31005
1381
1382
P0555/P0455
P0465/P0565
022-142
021-139
020432
2210916
MID
MID
BOM
BOM
BOM
BOM
BOM
BOM
BOM
BDD
BDD
BTD
BTD
THI
BDD
MID
AUT
AUT
MPD
MPD
MPD
MPD
LFS
LFS
LFS
BOM
100
50
100
50
100
51
102
50
100
100
50
100
50
100
50
100
50
25
100
50
2381
2030578
2030551
4454308164
4538412164
3021475
3021475/102
05127670119
05190843119
2870U
1469
1470
7081B
7091B
704784
398411
1179446
318710
200743
647705
BDD
BOM
BOM
BOM
BOM
BOM
BOM
BOM
BOM
BDD
BDD
BDD
BDD
BDD
BOM
BOM
BOM
BOM
BOM
BOM
* Pharmacare Reimbursement Price

October 2011
MISCELLANEOUS 2

PIN
PRODUCT DESCRIPTION
97799915
97799914
97799925
*97799564
*97799827
*97799829
*97799596
*97799597
97799849
*97799770
97799912
97799913
97799854
97799853
*97799584
*97799583
*97799580
*97799581
*97799582
*97799977
*97799976
*97799983
*97799982
*97799986
*97799985
*97799476
*97799475
*97799841
*97799840
*97799531
*97799532
*97799603
*97799602
*97799601
97799852
Clinitest
Diastix
Elite Blood Glucose Test Strips
EZ Oracle Test Strips
FreeStyle Blood Glucose Test Strips
FreeStyle Blood Glucose Test Strips
FreeStyle Lite Test Strips
FreeStyle Lite Test Strips
Hemastix
iTest Blood Glucose Test Strips
Keto-Diastix
Ketostix
Labstix
Multistix
NovaMax Test Strips
NovaMax Test Strips
On-Call Plus Test Strips
One-Touch Test Strips
One-Touch Test Strips
One-Touch FastTake Blood Glucose Test Strips
One-Touch FastTake Blood Glucose Test Strips
One-Touch Ultra Test Strips
One-Touch Ultra Test Strips
One-Touch Verio Test Strips
One-Touch Verio Test Strips
Precision Xtra Test Strips
Precision Xtra Test Strips
TRUEtest Blood Glucose Test Strips
TRUEtest Blood Glucose Test Strips
TrueTrack Blood Glucose Test Strip
TrueTrack Blood Glucose Test Strip
Sidekick Blood Glucose Testing System
Uristix
PKG SIZE
100
50
25
100
50
100
50
100
50
50
100
50
100
100
50
100
25
50
100
50
100
50
100
50
100
50
100
50
100
50
100
50
100
50/kit
100
PRODUCT#
MFR
2101
2806
3912A
GMH-B1S100
82055
82058
6.99074E+11
6.99074E+11
2524A
IT31002
2882U
2880U
2810A
2820A
43894
43955
1130069002
1130088501
1130089001
010-501
010-638
010-455
010-456
020-383
020-384
022279
022439
99786
99059
E3i20-81
E3i20-80
A-3120-81
A-3120-80
K-05011-47/D-4120-81
2855U
BDD
BDD
BDD
THI
MID
MID
MID
MID
BDD
AUT
BDD
BDD
BDD
BDD
NBM
NBM
ACO
ACO
ACO
LFS
LFS
LFS
LFS
LFS
LFS
LFS
LFS
MID
MID
HOM
HOM
HOM
HOM
HOM
BDD
_______________________________
* Pharmacare Reimbursement Price
October 2011
MISCELLANEOUS 3
Ostomy Supplies Benefit List

PIN
PRODUCT DESCRIPTION
SKIN BARRIER / ADHESIVES

95099150
Adapt Barrier Strips
95099149
Adapt Convex Barrier Rings
95099148
95099147
95099151
Adapt Paste
95099146
Adapt Skin Barrier Rings
95099145
95099144
95099143
95099870
Allkare Protective Barrier Wipe
95099871
Allkare Protective Barrier Wipe
95098876
Coloplast Ostomy Paste
95098875
Coloplast Ostomy Strip Paste
95098866
Coloplast Prep Barrier
95098867
Coloplast Prep Barrier Wipe
95098879
Coloplast Skin Barrier
95098878
95098877
95098872
Coloplast Skin Barrier Rings
95098871
95098870
95098869
95098868
95099861
Eakin Cohesive Seals
95099860
Eakin Cohesive Seals
95098352
Eakin Cohesive Seals - Slim
95099859
Eakin Cohesive Skin Barrier
95099858
Eakin Cohesive Skin Barrier
95099157
Flextend Ext Wear Skin Barrier
95099156
Flextend Ext Wear Skin Barrier
95098268
FormaFlex Shape-to-Fit Skin
Barrier
95098267
Barrier
95098266
Barrier
95099153
Hollihesive Skin Barrier
95099152
Hollihesive Skin Barrier
95099132
Medical Adhesive
95099142
Premium Powder
95099155
Premium Skin Barrier
95099154
Premium Skin Barrier
95099134
Skin Gel Protective Wipes
93299587
Skin-Prep Protective Barrier
93299586
Skin-Prep Protective Barrier
95099864
Stomahesive Paste Tube
95099880
Stomahesive Protective Pdr
95099879
Stomahesive Skin Barrier
95099878
Stomahesive Skin Barrier
95099868
Urihesive Strips
October 2011
PROD.#
MFR
79400
79520
79530
79540
79300
7805
7806
7807
7808
37439
37444
2650
2655
925
2041
3210
3215
3220
2320
2325
2330
2340
2350
839001
839002
839005
839003
839004
8800
8801
14102
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
CON
CON
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
CON
CON
CON
CON
CON
HOL
HOL
HOL
14103
HOL
14104
HOL
7700
7701
7730
7906
7800
7801
7917
420279
420425
183910
25510
21712
21715
173929
HOL
HOL
HOL
HOL
HOL
HOL
HOL
SNE
SNE
CON
CON
CON
CON
CON
PIN
PRODUCT DESCRIPTION
PROD.#
SKIN BARRIERS or WAFERS w FLANGE (2 PIECE)
95099118
Assura E-E Wear
2831
95099117
Assura E-E Wear
2832
95099116
Assura E-E Wear
2833
95099105
Assura E-E Wear
14232
95099104
Assura E-E Wear
14233
95099103
Assura E-E Wear
14234
95099102
Assura E-E Wear
14235
95099101
Assura E-E Wear
14236
95099100
Assura E-E Wear
14237
95099099
Assura E-E Wear
14238
95099098
Assura E-E Wear
14239
95099115
Assura E-E Wear
14243
95099114
Assura E-E Wear
14246
95099113
Assura E-E Wear
14249
95099112
Assura E-E Wear
14250
95099111
Assura E-E Wear
14251
95099110
Assura E-E Wear
14252
95099109
Assura E-E Wear
14254
95099108
Assura E-E Wear
14255
95099107
Assura E-E Wear
14257
95099106
Assura E-E Wear
14258
95098554
Assura E-E Wear
14281
95098553
Assura E-E Wear
14282
95098552
Assura E-E Wear
14283
95098551
Assura E-E Wear
14291
95098550
Assura E-E Wear
14292
95098549
Assura E-E Wear
14293
95098548
Assura E-E Wear
14294
95098547
Assura E-E Wear
14295
95098546
Assura E-E Wear
14296
95098545
Assura E-E Wear
14297
95098544
Assura E-E Wear
14298
95098888
Assura Pediatric
2181
95099097
Assura Std Wear
2881
95099096
Assura Std Wear
2882
95099095
Assura Std Wear
2883
95099082
Assura Std Wear
12701
95099081
Assura Std Wear
12702
95099080
Assura Std Wear
12703
95099079
Assura Std Wear
12704
95099078
Assura Std Wear
12705
95099077
Assura Std Wear
12706
95099076
Assura Std Wear
12707
95099075
Assura Std Wear
12708
95099074
Assura Std Wear
12709
95099094
Assura Std Wear
12716
95099093
Assura Std Wear
12719
95099089
Assura Std Wear
12840
95099088
Assura Std Wear
12841
95099087
Assura Std Wear
12842
95099086
Assura Std Wear
12844
MFR
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
MISCELLANEOUS 4

PIN
95099085
95099084
95099083
95099092
95099091
95099090
95099073
95099072
95099071
95099070
95099069
95099068
95099067
95099066
95099534
95099533
95099532
95099531
95099535
95099539
95099538
95099537
95099536
95099540
95099525
95099524
95099523
95099522
95099521
95099520
95099519
95099518
95099517
95099516
95099529
95099527
95099530
95099528
95099526
95099544
95099543
95099542
95099541
95099545
95099515
95099514
95099512
95099511
95099510
95099513
95099489
95099488
October 2011
PRODUCT DESCRIPTION
Assura Std Wear
Assura Std Wear
Assura Std Wear
Assura Std Wear
Assura Std Wear
Assura Std Wear
Assura Std Wear
Assura Std Wear
Assura Std Wear
Assura Std Wear
Assura Std Wear
Assura Std Wear
Assura Std Wear
Assura Std Wear
CenterPointLock Floating
CenterPointLock Premier Flex
PROD.#
12845
12847
12848
14261
14262
14263
14271
14272
14273
14274
14275
14276
14277
14278
3702
3703
3704
3706
3707
3722
3723
3724
3726
3727
3730
3731
3732
3733
3734
3735
3736
3737
3738
3739
3742
3743
3747
3748
3749
3762
3763
3764
3766
3767
37310
37311
8722
8723
8724
8727
8731
8732
MFR
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
PIN
95099487
95099486
95099485
95099484
95099483
95099482
95099509
95099508
95099507
95099506
95099505
95099504
95099502
95099501
95099500
95099503
95099492
95099491
95099490
95098837
95098836
95098835
95098977
95098839
95098838
95098543
95098468
95098477
95098467
95098466
95099906
95099905
95099904
95099919
95099924
95099923
95099922
95099921
95099920
95099917
95099916
95099915
95099914
95099913
95099912
95099911
95099910
95099909
95099908
95099907
95099918
95098269
PRODUCT DESCRIPTION
Easiflex E-E Wear
Easiflex E-E Wear
Easiflex E-E Wear
Easiflex E-E Wear
Easiflex E-E Wear
Easiflex E-E Wear
Easiflex Std Wear
Easiflex Std Wear
Easiflex Std Wear
Easiflex Std Wear
Easiflex Std Wear
Esteem Synergy Dura Mold
Esteem Synergy Stomahesive
First Choice Drainable
PROD.#
8733
8734
8735
8736
8737
8738
8743
8744
8745
8746
8747
8748
8752
8753
8754
8757
8774
8778
87711
14301
14302
14303
14304
14305
14306
14309
14401
14402
14403
14406
409268
409269
409270
403948
405456
405457
405458
405467
405468
405472
405473
405474
405475
405476
405477
405478
405479
405480
405481
405482
405483
8131
MFR
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
HOL
MISCELLANEOUS 5

PIN
95098731
95098730
95098729
95098728
95098727
95098726
95098725
95098724
95098532
95098723
95098722
95098721
95098720
95098719
95098718
95098717
95098716
95098531
95098707
95098706
95098705
95098704
95098703
95098702
95098701
95098700
95098715
95098714
95098713
95098712
95098711
95098710
95098709
95098708
95099646
95099645
95099644
95099612
95099611
95099610
95099609
95099608
95099607
95099606
95099643
95099642
95099641
95099605
95099604
95099603
95098522
95098521
October 2011
PRODUCT DESCRIPTION
New Image Flat w Tape
New Image Flat w/o Tape
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
PROD.#
14301
14302
14303
14304
14305
14306
14307
14308
14309
14701
14702
14703
14704
14705
14706
14707
14708
14709
16101
16102
16103
16104
16105
16106
16107
16108
16401
16402
16403
16404
16405
16406
16407
16408
14202
14203
14204
14402
14403
14404
14503
14504
14505
14506
14602
14603
14604
14802
14803
14804
14901
14902
MFR
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
PIN
95099602
95099601
95099600
95099599
95098520
95098519
95098518
95098517
95098516
95099640
95099639
95099638
95099598
95099597
95099596
95099595
95099594
95099593
95099592
95099637
95099636
95099635
95099591
95099590
95099589
95099588
95099587
95099586
95099585
95099628
95099627
95099626
95099625
95099624
95099623
95099622
95099621
95099620
95099619
95099618
95099617
95099616
95099615
95099614
95099613
95099167
95098333
95098332
95098377
95098327
95098326
95098325
PRODUCT DESCRIPTION
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Floating
New Image Stationary
Pouchkins Pediatric
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
PROD.#
14903
14904
14905
14906
14907
14908
14909
14910
14911
15202
15203
15204
15402
15403
15404
15503
15504
15505
15506
15602
15603
15604
15802
15803
15804
15903
15904
15905
15906
16301
16302
16303
16304
16305
16306
16307
16308
16701
16702
16703
16704
16705
16706
16707
16708
3770
10101
10102
10103
10108
10111
10113
MFR
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
COL
COL
COL
COL
COL
COL
MISCELLANEOUS 6

PIN
95098324
95098323
95098322
95098283
95098282
95098281
95098277
95098275
95098274
95098273
95098272
95098363
95098414
95098411
95098410
95098413
95098409
95098408
95098412
95098407
95098406
95098403
95098405
95098402
95098401
95098400
95098404
95098399
95099825
95099824
95099823
95099822
95099821
95099820
95099819
95099818
95099817
95099701
95099673
95099672
95099671
95099670
95099669
95099668
95099667
95099666
95099665
95099664
95099663
95099662
95099661
95099660
October 2011
PRODUCT DESCRIPTION
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Flex Skin
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sensura Std Wear
Sur-Fit AutoLock Dura Flex
Sur-Fit Natura Dura Flex
PROD.#
10114
10116
10117
11301
11302
11303
11307
11312
11313
11314
11315
11316
10011
10012
10013
10021
10022
10023
10031
10032
11011
11012
11021
11022
11023
11024
11031
11032
401304
401305
401306
401307
401308
401429
401430
401431
401432
401905
413153
413154
413155
413156
413157
413159
413160
413161
413162
413163
413164
413165
413166
413167
MFR
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
PIN
95099659
95099658
95099657
95099656
95099655
95099653
95099654
95099652
95099651
95099650
95099649
95099648
95099647
95099676
95099675
95099674
95098486
95098484
95098482
95098480
95099855
95099787
95099786
95099785
95099784
95099783
95099782
95099781
95099780
95099779
95099778
95099777
95099776
95099775
95099774
95099773
95099772
95099771
95099770
95099769
95099768
95099767
95098485
95098483
95098481
95098479
95099706
95099705
95099704
95099703
95099702
95099700
PRODUCT DESCRIPTION
Sur-Fit Natura Dura Low Prof
Sur-Fit Natura Dura Mold
Sur-Fit Natura Little Ones
Sur-Fit Natura Stoma Flex
Sur-Fit Natura Stoma Mold
Sur-Fit Natura Stomahesive
PROD.#
413168
413177
413178
413179
413180
413182
413181
413183
413184
413185
413186
413187
413188
404592
404593
404594
411800
411802
411804
411806
401925
125257
125258
125259
125260
125261
125262
125263
125264
125265
125266
125267
125268
125269
125270
125271
125272
125273
125274
125275
125276
125277
411801
411803
411805
411807
401573
401574
401575
401576
401577
401906
MFR
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
MISCELLANEOUS 7

PIN
PRODUCT DESCRIPTION
POUCHES (OPEN-CLOSED) (2 PIECE)

95098996
Assura Easiclose Drainable
95099065
95099063
95099062
95099061
95099060
95099059
95099058
95099057
95099056
95099055
95099054
95099053
95098461
95098476
95098478
95098475
95098470
95098474
95098514
95098886
Assura Pediatric Drainable
95098887
95098840
Assura Pediatric Urostomy
95099031
Assura Two-Piece Closed
95099030
95099029
95099034
95099033
95099032
95099025
95099024
95099023
95099028
95099027
95099026
95099052
Assura Two-Piece Drainable
95099051
95099050
95099046
95099045
95099044
95099049
95099048
95099047
95098420
Assura Urostomy
95098419
Assura Urostomy
95098418
Assura Urostomy
95098417
Assura Urostomy
95098416
Assura Urostomy
95098415
Assura Urostomy
October 2011
PROD.#
MFR
13870
13924
13925
13926
13964
13965
13966
13974
13975
13976
13984
13985
13986
14492
14493
14494
14495
14496
14497
14498
14681
14691
1789
12344
12345
12346
12354
12355
12356
12374
12375
12376
12384
12385
12386
2741
2742
2743
2791
2792
2793
2821
2822
2823
14224
14225
14226
14227
14228
14229
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
PIN
95099035
95099446
95099445
95099444
95099447
95099476
95099475
95099474
95099473
95099477
95099471
95099470
95099469
95099472
95099459
95099458
95099457
95099460
95099480
95099479
95099478
95099481
95099467
95099466
95099465
95099463
95099462
95099461
95099464
95099442
95099441
95099440
95099443
95099451
95099450
95099449
95099448
95099452
95099455
95099454
95099453
95099456
95099430
95099429
95099428
95099431
95099438
95099437
95099436
95099439
95099434
95099433
PRODUCT DESCRIPTION
Assura Urostomy Night Bag
CenterPointLock Closed
CenterPointLock Drainable
CenterPointLock Premier
CenterPointLock Stoma Cap
CenterPointLock Urostomy
PROD.#
21365
3342
3343
3344
3347
3802
3803
3804
3806
3807
3812
3813
3814
3817
3832
3833
3834
3837
3842
3843
3844
3847
3872
3873
3874
3892
3893
3894
3897
8342
8343
8344
8347
8812
8813
8814
8816
8817
8842
8843
8844
8847
8902
8903
8904
8907
3402
3403
3404
3407
3902
3903
MFR
COL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
MISCELLANEOUS 8

PIN
95099432
95099435
95098817
95098815
95098809
95098818
95098816
95098810
95098813
95098811
95098807
95098814
95098812
95098808
95098820
95098819
95098830
95098829
95098823
95098832
95098831
95098826
95098825
95098824
95098821
95098828
95098827
95098822
95098834
95098833
95098464
95098463
95098465
95098488
95098542
95098462
95098487
95099927
95099932
95099931
95099930
95099929
95099928
95099926
95099925
95098653
95098652
95099939
95099938
95099937
95099936
95099935
October 2011
PRODUCT DESCRIPTION
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Closed
Easiflex Drainable w Easiclose
Esteem Synergy Closed
Esteem Synergy Drainable
PROD.#
3904
3907
14311
14312
14314
14316
14317
14319
14326
14327
14329
14331
14332
14334
14371
14372
14341
14342
14344
14346
14347
14349
14356
14357
14359
14361
14362
14364
14376
14377
14520
14521
14524
14525
14527
14528
14529
403946
405430
405431
405432
405436
405437
405441
405442
403995
403997
405400
405401
405402
405403
405404
MFR
HOL
HOL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
PIN
95099934
95099933
95099899
95099898
95099933
95099897
95099896
95099895
95099894
95098739
95098738
95098737
95098736
95098735
95098734
95098733
95098732
95098651
95098650
95098644
95098643
95098642
95098647
95098646
95098645
95098649
95098530
95098529
95098528
95098627
95098626
95098625
95098624
95098623
95098622
95098527
95098526
95098525
95099569
95099568
95099567
95099572
95099571
95099570
95099563
95099562
95099561
95099566
95099565
95099564
95098636
95098635
PRODUCT DESCRIPTION
Esteem Synergy Invisiclose
Esteem Synergy Urostomy
New Image Closed
New Image Closed
New Image Closed
New Image Closed
New Image Closed
New Image Closed
New Image Closed
New Image Closed
New Image Closed
New Image Closed Mini
New Image Drainable
New Image Drainable
New Image Drainable
New Image Drainable
New Image Drainable
New Image Drainable
New Image Drainable
New Image Drainable
New Image Drainable
New Image Drainable
New Image Drainable
New Image Drainable
New Image Dr Lock'n Roll
PROD.#
405405
405406
410803
410804
410805
410806
410807
410808
410809
410810
410811
410812
410813
410814
410815
413353
413354
405446
405447
405448
405449
405450
405451
405452
405453
405454
18332
18333
18334
18362
18363
18364
18372
18373
18374
18352
18353
18354
18102
18103
18104
18122
18123
18124
18142
18143
18144
18202
18203
18204
18282
18283
MFR
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
MISCELLANEOUS 9

PIN
95098634
95098639
95098638
95098637
95099548
95099547
95099546
95098633
95098632
95098631
95099584
95099583
95099582
95099581
95099580
95099579
95098630
95098629
95099578
95099577
95099576
95099575
95099574
95099573
95098618
95098617
95098616
95099557
95099556
95099555
95099560
95099559
95099558
95098615
95098614
95099166
95099165
95098385
95098384
95098383
95098382
95098381
95098380
95098320
95098319
95098318
95098317
95098376
95098398
95098397
95098396
95098395
October 2011
PRODUCT DESCRIPTION
New Image Irrigator Drain
New Image Lock'n Roll
New Image Mini
New Image Mini
New Image Mini
New Image Urostomy
New Image Urostomy
New Image Urostomy
New Image Urostomy
New Image Urostomy
New Image Urostomy
New Image Urostomy
New Image Urostomy
Pouchkins Pediatric Drainable
Pouchkins Pediatric Urostomy
Sensura Closed
Sensura Closed
Sensura Closed
Sensura Closed
Sensura Closed
Sensura Closed
Sensura Closed
Sensura Closed
Sensura Closed
Sensura Closed
Sensura Closed
Sensura Easiclose
Sensura Easiclose
Sensura Easiclose
Sensura Easiclose
PROD.#
18284
18292
18293
18294
18152
18153
18154
18003
18004
18006
18112
18113
18114
18132
18133
18134
18173
18174
18182
18183
18184
18192
18193
18194
18392
18393
18394
18402
18403
18404
18412
18413
18414
18422
18423
3771
3772
10154
10155
10156
10164
10165
10166
10904
10905
10914
10915
10918
11114
11115
11116
11124
MFR
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
PIN
95098394
95098393
95098390
95098389
95098388
95098392
95098391
95098387
95098386
95098360
95098359
95098358
95098356
95098354
95098311
95098310
95098309
95098308
95098307
95098306
95099698
95099697
95099696
95099807
95099806
95099805
95099804
95099803
95099802
95099801
95099800
95099791
95099790
95099789
95099788
95099816
95099815
95099814
95099813
95099812
95099811
95099810
95099809
95099808
95099723
95099722
95099721
95099720
95099719
95099718
95099717
95099716
PRODUCT DESCRIPTION
Sensura Easiclose
Sensura Easiclose
Sensura Easiclose
Sensura Easiclose
Sensura Easiclose
Sensura Easiclose
Sensura Easiclose
Sensura Easiclose
Sensura Easiclose
Sensura Flex Dr Pouch
Sensura Urostomy Pouch
Sur-Fit Natura Flange Cap
Sur-Fit AutoLock Accuseal
Sur-Fit AutoLock Closed
Sur-Fit AutoLock Drainable
Sur-Fit Natura Accuseal
PROD.#
11125
11126
11194
11195
11196
11135
11136
11185
11186
11514
11515
11518
11615
11618
11821
11822
11824
11825
11827
11828
401908
401909
401910
401452
401453
401460
401461
401462
401463
401464
401465
401677
401678
401679
401680
401434
401435
401436
401437
401439
401440
401441
401442
401443
401542
401543
401544
401545
401546
401547
401548
401549
MFR
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
MISCELLANEOUS 10

PIN
95099715
95099714
95099713
95099712
95099711
95099710
95099732
95099731
95099730
95099729
95099728
95099727
95099726
95099725
95099724
95099744
95099743
95099742
95099741
95099740
95099739
95099738
95099737
95099760
95099759
95099758
95099757
95099756
95099755
95099754
95099753
95099752
95099751
95099750
95099749
95099748
95099747
95099746
95099745
95099689
95099688
95099687
95099686
95099685
95098759
95098758
95098757
95098756
95098755
95098754
95098753
95098752
October 2011
PRODUCT DESCRIPTION
Sur-Fit Natura Bendable
Sur-Fit Natura Closed
Sur-Fit Natura Drainable
PROD.#
401550
401551
401552
401553
401554
401555
401533
401534
401535
401536
401537
401538
401539
401540
401541
401521
401522
401523
401524
401525
401526
401527
401528
401500
401501
401502
401503
401504
401505
401506
401507
401508
401509
401510
401511
401512
401513
401514
401515
404014
404015
404016
404017
404018
404025
404026
404027
404028
404029
404030
404031
404032
MFR
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
PIN
95098751
95098750
95098696
95098695
95098694
95098693
95098692
95098686
95098685
95098684
95098683
95098682
95098691
95098690
95098689
95098688
95098687
95098539
95098538
95098537
95098536
95098535
95098534
95098533
95098743
95098742
95098741
95098740
95098749
95098748
95098747
95098746
95098745
95099854
95099853
95099852
95099851
95099736
95099735
95099734
95099733
PRODUCT DESCRIPTION
Sur-Fit Natura Invisiclose
Sur-Fit Natura Little Ones Mini
Sur-Fit Natura Mini
Sur-Fit Natura Mini
Sur-Fit Natura Mini
Sur-Fit Natura Mini
ONE-PIECE SYSTEMS
95099977
Active Life Closed-End
95099977
95099976
95099976
95099987
Active Life Drainable
95099986
95099985
95099984
PROD.#
404033
404034
411263
411264
411265
411266
411267
411288
411289
411290
411291
411292
411489
411490
411491
411492
411493
411309
411310
411311
411312
411360
411361
411362
413311
413312
413313
413314
413332
413333
413334
413335
413336
401927
401928
401929
401930
401529
401530
401531
401532
MFR
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
650408
650408
650422
650422
22764
22765
22766
22767
CON
CON
CON
CON
CON
CON
CON
CON
MISCELLANEOUS 11

PIN
95099983
95099982
95099981
95098795
95098794
95098792
95098791
95098790
95098789
95098788
95098787
95098786
95098785
95098784
95098783
95099980
95099979
95099978
95098782
95098781
95098780
95098779
95098778
95098777
95098776
95098775
95098774
95098773
95098772
95098771
95098770
95098769
95098768
95098767
95098766
95098765
95099955
95099954
95099953
95099952
95099946
95099945
95099944
95099943
95099857
95099856
95099974
95099973
95099972
95099971
95099970
95099969
October 2011
PRODUCT DESCRIPTION
Active Life Dr Durahesive
Active Life Durahesive
Active Life Little Ones
Active Life Little Ones
Active Life Pre-Cut Closed
PROD.#
22768
22769
22771
125330
125331
125333
125334
125335
125336
125338
125339
125340
125341
125342
125343
400598
400599
650803
125352
125353
125354
125355
125356
125357
125358
125359
125360
125361
125362
125363
125364
125365
125366
125367
125368
125369
175777
175778
175779
175780
650828
650829
650830
650831
20917
20922
175769
175770
175771
175772
175773
413142
MFR
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
PIN
95099968
95099967
95099966
95099965
95099975
95099940
95099942
95099941
95098991
95098990
95098989
95099064
95098995
95098994
95098993
95098992
95098996
95099007
95098802
95098801
95098800
95098799
95098798
95098797
95099016
95099015
95099018
95099017
95099012
95099011
95099014
95099013
95099010
95099009
95098882
95098881
95098883
95098880
95098900
95098919
95098899
95098893
95098892
95098891
95098890
95098918
95098912
95098913
95098911
95098910
95098898
95098908
PRODUCT DESCRIPTION
Active Life Stoma Cap
Active Life Uros Durahesive
Assura Drainable
Assura Drainable
Assura Drainable
Assura Drainable
Assura Drainable
Assura Drainable
Assura Drainable
Assura Drainable
Assura Drainable w Easiclose
Assura E-E Wear Drainable
Assura E-E Wear Urostomy
Assura E-E Wear Urostomy
Assura Pediatric Closed
Assura Pediatric Closed
Assura Pediatric Urostomy
Assura Std Wear Closed
PROD.#
413143
413144
413145
413146
175611
64927
650832
650833
13874
13875
13876
14106
14173
14174
14175
14176
13870
14196
14414
14415
14421
14422
14423
14424
12415
12416
12418
12419
12432
12433
12455
12456
12471
12472
2120
2125
2115
8009
12100
12110
12130
12134
12135
12136
12137
12140
12144
12145
12146
12147
12170
12174
MFR
CON
CON
CON
CON
CON
CON
CON
CON
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
MISCELLANEOUS 12

PIN
95098907
95098906
95098905
95098897
95098896
95098917
95098916
95098895
95098894
95098915
95098914
95098904
95098903
95098902
95098901
95099006
95099005
95099004
95099003
95099001
95099002
95099000
95098999
95098998
95098997
95098806
95098805
95098804
95098803
95098515
95098959
95098962
95098949
95098948
95098947
95098946
95098964
95098963
95098958
95098957
95098956
95098955
95098954
95098953
95098952
95098951
95098950
95098961
95098960
95098945
95098944
95098943
October 2011
PRODUCT DESCRIPTION
Assura Std Wear Dr Easiclose
Assura Std Wear Drainable
PROD.#
12175
12176
12177
14431
14432
14434
14435
14441
14442
14444
14445
14451
14452
14453
14454
13840
13844
13845
13846
13860
14103
14163
14164
14165
14166
14404
14405
14411
14412
14491
2490
2520
2524
2525
2526
2527
12532
12533
12851
12962
12963
12964
12965
12966
12967
12968
12969
13705
13706
13721
13722
13723
MFR
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
PIN
95098942
95098941
95098940
95098939
95098938
95098937
95098931
95098927
95098930
95098929
95098926
95098925
95098924
95098923
95098922
95098921
95098920
95098889
95099022
95099021
95099290
95099327
95099326
95099322
95099321
95099325
95099323
95099320
95099319
95099318
95099317
95099316
95099315
95099314
95099313
95099312
95099311
95099334
95099333
95099331
95099329
95099328
95099332
95099330
95099354
95099353
95099352
95099351
95099350
95099349
95099348
95099347
PRODUCT DESCRIPTION
Assura Std Wear Urostomy
Assura Stoma Cap
Assura Stoma Cap
Assura Stoma Cap
Contour Stoma Cap
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
First Choice Closed
PROD.#
13724
13725
13726
13727
13728
13729
5580
5585
12595
12596
12991
12992
12993
12994
12995
12996
12997
2501
2801
2802
1796
3450
3452
3454
3455
3458
3459
3490
3491
3492
3493
3494
3495
3496
3497
3498
3499
3520
3522
3523
3524
3525
3528
3529
3610
3611
3612
3613
3614
3615
3616
3617
MFR
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
MISCELLANEOUS 13

PIN
95099346
95099345
95099362
95099360
95099358
95099356
95099355
95099361
95099359
95099357
95099344
95099343
95099342
95099341
95099340
95099337
95099310
95099309
95099307
95099308
95099304
95099303
95099302
95099301
95099300
95099299
95099298
95099297
95099296
95099295
95099199
95099197
95099195
95099194
95099198
95099196
95099181
95099179
95099177
95099180
95099178
95099174
95099173
95098378
95099171
95099168
95099170
95099169
95098593
95098592
95098641
95098597
October 2011
PRODUCT DESCRIPTION
First Choice Drainable Kit
First Choice Urostomy
First Choice Urostomy Kit
Hollister Closed
Hollister Closed
Hollister Closed
Hollister Closed
Hollister Closed
Hollister Closed
Lo-Profile Urostomy
Lo-Profile Urostomy
Lo-Profile Urostomy
Lo-Profile Urostomy
Lo-Profile Urostomy
Pouchkins Pediatric
Pouchkins Pediatric
Pouchkins Pediatric
Pouchkins Pediatric
Pouchkins Pediatric
Pouchkins Pediatric
Pouchkins Pediatric
Premier Closed
Premier Closed
Premier Closed
Premier Closed
PROD.#
3618
3619
3630
3632
3633
3634
3635
3637
3638
3639
3680
3681
3682
3683
3684
3636
1460
1462
1463
1468
1481
1482
1483
1484
1485
1486
1487
1488
1489
1466
3142
3143
3144
3145
3148
3149
1432
1433
1434
1438
1439
3777
3778
3796
9766
9767
9768
9769
82100
82125
82300
82325
MFR
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
PIN
95098596
95098595
95098591
95098590
95099393
95099392
95099391
95099390
95099389
95099388
95099387
95099386
95099385
95099384
95099396
95099395
95099404
95099402
95099400
95099398
95099397
95099403
95099401
95099399
95099411
95099409
95099407
95099405
95099410
95099408
95099406
95099394
95098588
95098586
95098609
95098608
95098607
95098606
95098601
95098600
95098599
95098598
95098661
95098660
95098668
95098667
95098666
95098665
95098664
95098663
95098670
95098669
PRODUCT DESCRIPTION
Premier Closed
Premier Closed
Premier Closed
Premier Closed
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable
Premier Drainable Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
PROD.#
82330
82335
92130
92135
8610
8611
8612
8613
8614
8615
8616
8617
8618
8619
8624
8628
8631
8632
8633
8634
8635
8637
8638
8639
8641
8642
8643
8644
8647
8648
8649
86211
88300
88700
88325
88330
88335
88340
88725
88730
88735
88740
8504
8508
8510
8511
8512
8513
8514
8515
8524
8528
MFR
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
MISCELLANEOUS 14

PIN
95098681
95098680
95098679
95098678
95098677
95098676
95098675
95098674
95098673
95098672
95098659
95098658
95098657
95098656
95098655
95098654
95098375
95098374
95098373
95098372
95098662
95098371
95098370
95098369
95098368
95098671
95099383
95099381
95099379
95099377
95099382
95099380
95099378
95099376
95099375
95099373
95099372
95099371
95099370
95099369
95099368
95099367
95099366
95099365
95099364
95099374
95099276
95099274
95099272
95099271
95099270
95099275
October 2011
PRODUCT DESCRIPTION
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Lock'n Roll
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premier Urostomy
Premium Closed
Premium Closed
Premium Closed
Premium Closed
Premium Closed
Premium Closed
PROD.#
8531
8532
8533
8538
8539
8551
8552
8553
8558
8559
8590
8591
8592
8593
8594
8595
8596
8597
8598
8599
85011
85116
85117
85118
85119
85211
8460
8462
8463
8464
8467
8468
8469
8474
8478
8480
8481
8482
8483
8484
8485
8486
8487
8488
8489
84711
3552
3553
3554
3555
3556
3558
MFR
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
PIN
95099273
95099287
95099285
95099284
95099283
95099288
95099286
95099282
95099280
95099278
95099277
95099281
95099279
95098379
95098458
95098457
95098456
95098455
95098448
95098447
95098446
95098445
95098444
95098443
95098442
95098441
95098460
95098459
95098454
95098453
95098452
95098451
95098450
95098449
95098438
95098437
95098436
95098435
95098434
95098433
95098432
95098431
95098428
95098427
95098426
95098425
95098424
95098423
95098422
95098421
95098440
95098439
PRODUCT DESCRIPTION
Premium Closed
Premium Drainable
Premium Drainable
Premium Drainable
Premium Drainable
Premium Drainable
Premium Drainable
Premium Drainable
Premium Drainable
Premium Drainable
Premium Drainable
Premium Drainable
Premium Drainable
Sensura Easiclose
Sensura Maxi Closed
Sensura Maxi Closed
Sensura Maxi Closed
Sensura Maxi Closed
Sensura Maxi Closed
Sensura Maxi Closed
Sensura Maxi Closed
Sensura Maxi Closed
Sensura Maxi Closed
Sensura Maxi Closed
Sensura Maxi Closed
Sensura Maxi Closed
Sensura Midi Closed
Sensura Midi Closed
Sensura Midi Closed
Sensura Midi Closed
Sensura Midi Closed
Sensura Midi Closed
Sensura Midi Closed
Sensura Midi Closed
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Maxi
Sensura Midi
Sensura Midi
PROD.#
3559
3603
3604
3605
3606
3608
3609
3662
3663
3664
3665
3668
3669
15821
15405
15406
15407
15408
15470
15472
15473
15474
15480
15482
15483
15484
15403
15404
15412
15413
15414
15415
15441
15450
15521
15522
15523
15524
15531
15532
15533
15534
15605
15606
15607
15608
15632
15633
15634
15635
15501
15511
MFR
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
HOL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
COL
MISCELLANEOUS 15

PIN
95098430
95098429
95099185
95099186
PRODUCT DESCRIPTION
Sensura Midi
Sensura Midi
Stoma Cap
Stoma Cap
MISCELLANEOUS
95098862
Assura Irrigation Sleeve
95098861
95098860
95098859
95099426
CenterPointLock Irrig Sleeve
95099425
95099424
95099423
95099427
95099163
Cone Irrigator Kit
95099866
ConvaTec Pouch Closure
95099123
Drainable Pouch Clamp
95098857
Drainable Pouch Clamp
95099865
DuoLock Pouch Closure
October 2011
PROD.#
15603
15604
3184
3186
MFR
COL
COL
HOL
HOL
1003
12834
12835
12836
3822
3823
3824
3826
3827
7721
175635
8770
9500
175652
COL
COL
COL
COL
HOL
HOL
HOL
HOL
HOL
HOL
CON
HOL
COL
CON
PIN
95099160
95099161
95099548
95099547
95099546
95099799
95099795
95099684
95099683
95099682
95099681
95099680
95099679
95099678
95099677
95099766
95099695
95099694
95099693
95099692
PRODUCT DESCRIPTION
Irrigator Sleeve w Closure
Irrigator Sleeve w Closure
New Image Irrigation Sleeve
Sur-Fit AutoLock Convex Insrt
Sur-Fit AutoLock Convex Insrt
Sur-Fit Natura Convex Inserts
Sur-Fit Natura Irrig Closure
Sur-Fit Natura Irrig Sleeve
PROD.#
7724
7728
18152
18153
18154
401614
401618
404006
404007
404008
404009
404010
404011
404012
404013
175650
401911
401912
401913
401914
MFR
HOL
HOL
HOL
HOL
HOL
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
CON
MISCELLANEOUS 16
Appendix I Abbreviations
Aer
Aerosol
MR
Modified Release
Amp
Ampoule
Nas
Nasal
Cap
Capsule
Neb
Nebules
CFU
Colony Forming Units
OD
Orally Disintegrating
Chewtab
Chewable Tablet
O/L
Oral Liquid
Cr
Cream
Oint
Ointment
CD
Controlled Distribution
Oph
Ophthalmic
CR
Controlled Release
Otic
Ear
DR
Delayed Release
Pck
Package
Drp
Drops
Pdr
Powder
EC
Enteric Coated
PF
Preservative Free
Eff
Effervescent
pkt
Packet
Elx
Elixir
Pl. Ampule
Plastic Ampule
ER
Extended Release
POS
Powder for Oral Solution
FC
Film Coated
Resp
Respirator
Gram
RD
Rapid Dissolving
Gran
Granules
RPD
Rapid Disintegrating
IM
Intramuscular
SL
Sublingual
Inh
Inhaler
Sod Chl
Sodium Cloride
Inj
Injection
Sol
Solution
Ins
Insulin
Sp
Spray
IR
Immediate Release
SR
Slow Release
Irr
Irrigation
Supp
Suppository
iu
International Unit
Susp
Suspension
IV
Intravenous
Syr
Syrup
LA
Long Acting
Tab
Tablet
Liq
Liquid
TCT
Tincture
Lot
Lotion
UDV
Unit Dose Vial
mcg
Microgram
USP
United States Pharmacopeia
mcl
Microliter
Vag
Vaginal
mEq
Milli-equivalent
w/w
By Weight
mg
Milligram
XL
Extended Release
mL
Milliliter
October 2011
Appendix I 1
Appendix II Abbreviations of Manufacturers Names

AAP
ABB
ACC
ACO
ACT
AGA
AHC
AKN
ALC
ALL
APX
ARO
AST
ATL
AUR
AUT
AVD
AVP
AXC
AXS
AZE
BAX
BAY
BCH
BDD
BIG
BOE
BOM
BRI
BSH
BTD
BVL
BVT
CDX
CEL
CHU
COB
COL
CON
CPD
CYI
DPT
DUI
EMD
ERF
FEI
FRS
GAC
GCH
GIL
GLE
GMD
GSK
GWP
GZM
HLR
HLZ
HOL
HOM
AA Pharma Inc.
Abbott Laboratories Ltd.
Accel Pharma Inc.
Magnum Pharmaceutics
Actelion Pharmaceuticals Canada Inc.
Amgen Canada Inc.
Accord Healthcare Inc.
Dioptic Laboratories
Alcon Canada Inc.
Allergan Inc.
Apotex Inc.
Auro Pharma Inc
Astellas Pharma Canada Inc.
Laboratoire Atlas Inc.
Aurium Pharma Inc.
Auto Control Medical Inc.
Alveda Pharma
Sanofi Pasteur Limited
Axcan Pharma Inc.
Axxess Pharma Inc.
AstraZeneca Canada Inc.
Baxter Corporation
Bayer Inc.
Bioniche Inc.
Bayer HealthCare, Diabetes Care Division
Biogen Idec Canada Inc.
Boehringer Ingelheim (Canada) Ltd.
Roche Diagnostics, Div.of Hoffmann-LaRoche
Bristol-Myers Squibb Canada Inc.
Baush & Lomb Canada Inc.
Becton Dickinson Canada
Biovail Pharmaceuticals Canada
Biovitrum
Canderm Pharmaca Inc.
Celgene
Church and Dwight Canada Corp.
Cobalt Pharmaceuticals Company
Coloplast Canada
ConvaTec Canada Ltd
manually compounded
Cytex Pharmaceuticals Inc.
Dermtek Pharmaceuticals Ltd.
Duchesnay Inc.
EMD Serono Canada Inc.
ERFA Canada Inc.
Ferring Inc.
Merck Frosst Canada Ltd.
Galderma Canada Inc.
GlaxoSmithKline Consumer Healthcare Inc.
Gilead Sciences Inc.
Glenwood Laboratories Canada Ltd.
GenMed, A Division of Pfizer Canada Inc.
GlaxoSmithKline Inc.
Graceway Pharmaceuticals
Genzyme Canada Inc.
Hoffmann-LaRoche Limited
Hill Dermaceuticals, Inc.
Hollister Limited
Home Diagnostics Inc.
Octobert 2011
HOS
IMD
IRO
JAN
JCB
JNJ
JPC
KNG
LBK
LEO
LFS
LIL
LYP
MDS
MED
MEL
MGI
MID
MJO
MMT
MNT
MOL
MPD
MYL
MVL
NBM
NEO
NGP
NNC
NNO
NVO
NVR
NXP
NYC
ODN
OMG
ORB
ORG
ORP
PAL
PDP
PER
PFI
PFR
PHL
PMS
PPB
QGT
RAN
RIV
ROG
SAS
SAV
SCH
SDZ
SEP
SEV
SHI
SNE
Hospira Healthcare Corporation

I-Med Pharma Inc.
Iroko International LP
Janssen-Ortho Inc.
Jacobus Pharmaceutical Company Inc.
Johnson & Johnson Inc.
Jamp Pharma Corporation
King Pharma Canada Ltd.
Lundbeck Inc.
Leo Pharma Inc.
Lifescan Canada Ltd.
Eli Lilly Canada Inc.
Pharmaceutical Partners of Canada Inc.
Medicis Canada Ltd.
Medican Technologies Inc.
Mediapharm Inc.
MGI Pharma Inc.
Abbott Diabetes Care / Medisense
Mead Johnson (Canada) Inc
MM Therapeutics Inc.
Mint Pharmaceuticals Inc.
Molnlycke Health Care Inc.
Medical Plastic Devices Inc.
Mylan Pharmaceuticals ULC.
Meda Valeant Pharma Canada
Nova Biomedical
Neolab Inc.
Next Generation Pharma Inc.
Novartis Consumer Health Canada Inc.
Novo Nordisk Canada Inc.
Novartis Ophthalmics
Novartis Pharmaceuticals Canada Inc.
Nu-Pharm Inc.
Nycomed Canada Inc.
Odan Laboratories Ltd.
Omega Laboratories Ltd.
Orbus Pharma Inc.
Organon Canada Ltd.
Orphan Medical Inc.
Paladin Labs Inc.
PendoPharm, Division of Pharmascience Inc.
Perrigo International
Pfizer Canada Inc.
Purdue Pharma
Pharmel Inc.
Pharmascience Inc.
Proval Pharma Division of Servier Canada Inc.
Sigma-Tau Pharmaceuticals Inc.
Ranbaxy Pharmaceuticals Canada Inc.
Riva Laboratoire Inc.
Rougier Pharma, Division of ratiopharm Inc.
Sanis Health Inc
Sanofi-Aventis Canada Inc.
Schering-Plough (Canada) Inc.
Sandoz Canada Incorporated
Sunovion Pharmaceuticals Canada Inc.
Servier Canada Inc.
Shire Canada Inc.
Smith & Nephew Inc.
Appendix II 1
Appendix II Abbreviations of Manufacturers Names

STI
STR
SWS
TAK
TAR
TER
TEV
THI
THR
TMI
TMP
TPH
TRB
TRI
TYC
UCB
UTC
VAL
VAR
VCO
VIV
VLH
VLN
WAM
WCH
WNC
WLS
WSQ
XPI
YNO
ZIA
ZYM
Stiefel Canada Inc.

SteriMax Inc.
Swiss Herbal Remedies Ltd.
Takeda Canada Inc.
Taro Pharmaceuticals Inc.
Tercica Inc.
Teva Canada Ltd.
Tremblay Harrison Inc.
Theramed Corporation
Trudell Medical International
Teva Neuroscience Canada
TaroPharma, Div. of Taro Pharmaceuticals Inc.
Tribute Pharma Canada Inc
Triton Pharma Inc.
Tyco Healthcare
UCB Pharma Canada Inc.
United Therapeutics Corporation
Valeo Pharma Inc.
various manufacturers
Virco Pharmaceuticals (Canada) Inc.
ViiV Health Care Inc.
Lundbeck Canada Inc.
Valeant Canada Limited
Wampole Brands Inc.
Wyeth Consumer HealthCare Inc.
Warner Chilcott Canada Co
Wellspring Pharmaceutical Canada Corp.
Westwood Squibb, Div.of Bristol-Myers Squibb
Xediton Pharmaceuticals Inc.
Bayer Inc., Consumer Care Division
Zila Pharmaceuticals Inc.
Zymcan Pharmaceuticals Inc.
Octobert 2011
Appendix II 2
Appendix III Criteria for Coverage of Exception Status Drugs

Coverage of exception status drugs will be approved according to the following criteria upon review of a prescriber's
written request. Included with the Nova Scotia Formulary are forms for Exception Status Drug requests, which may be
used to facilitate the approval process.
As an alternative to sending a written request to the Pharmacare office, certain exception status drugs have been
assigned criteria codes. To allow for on-line payment of these drugs, the criteria code may be provided by the prescriber
on the prescription or confirmed by the pharmacist. The use of these codes offers the prescriber and the pharmacist
access to immediate coverage for patients who clearly meet the exception status criteria. The criteria codes are indicated
within the following exception criteria.
ABATACEPT (Orencia 250mg/vial Injection)

-
for patients with a diagnosis of active rheumatoid arthritis (RA) who:
have not responded or who have had intolerable toxicity to an adequate trial1 of combination therapy of at least
two traditional DMARDs2 or
if combination therapy is not an option, an adequate trial1 of at least three traditional DMARDs2 in sequence as
monotherapy and
patients must have had an adequate trial1 of leflunomide. Exceptions can be considered in cases where
leflunomide is contraindicated or not tolerated
- therapy must include methotrexate alone or in combination unless contraindicated or not tolerated
- written request of a rheumatologist or prescriber with a specialty in rheumatology
- coverage will be approved initially for 16 weeks. Can be reassessed for yearly coverage dependent on patient
achieving an improvement in symptoms of at least 20%
_______________________________
An adequate trial is 5 months for IM gold, 6 months for penicillamine, 4 months for hydroxychloroquine and 3 months for
all other traditional DMARDs as well as leflunomide, infliximab and etanercept.
Traditional agents include methotrexate, IM gold, sulfasalazine, hydroxychloroquine, azathioprine, chloroquine,
penicillamine and cyclosporine.
ACAMPROSATE (Campral 333mg Tablet)

-
for treatment in patients who have been abstinent from alcohol for at least four days and who have contraindications
to naltrexone (i.e., acute hepatitis, liver failure or currently receiving opioids)
ADALIMUMAB (Humira 40mg/vial Injection)

-
See Anti-Tumor Necrosis Factor (TNF) Agents
ADEFOVIR DIPIVOXIL (Hepsera 10mg Tablet)

-
in combination with lamivudine in patients who:
have developed failure to lamivudine (increase in HBV DNA of 1 log10iu/mL over the nadir measured on two
separate occasions within an interval of at least one month, after the first 3 months of lamivudine therapy) AND
when failure to lamivudine is not due to poor adherence to therapy

coverage approved for 1 year
*ALENDRONATE (Fosamax 10mg, 40mg, 70mg Tablet and generic brands)

-
for the treatment of osteoporosis associated with documented fragility fracture

for the treatment of osteoporosis without documented fracture when the patient is at high 10 year fracture risk (using
fracture risk tables)
as prophylaxis of corticosteroid induced osteoporosis in a patient who will be or has been on systemic corticosteroid
therapy for > 3 months
for the treatment of Pagets disease of bone (6 month limit)
other requests reviewed on a case by case basis
NOTE: Exception status drugs for Drug Assistance for Cancer Patients are indicated by an asterisk (*).
October 2011
Appendix III 1
*ALENDRONATE, VITAMIN D3, (Fosavance 70mg/5600IU)

-
for the treatment of osteoporosis associated with documented fragility fracture

for the treatment of osteoporosis without documented fracture when the patient is at high 10 year fracture risk (using
as prophylaxis of corticosteroid induced osteoporosis in a patient who will be or has been on systemic corticosteroid
ALGLUCOSIDASE ALFA (Myozyme 50mg Powder for Injection)

- for the treatment of infantile onset Pompe disease in patients who have had the onset of symptoms and confirmed
cardiomyopathy before the age of 12 months AND
- participation in the long-term evaluation of the efficacy of treatment by periodic medical assessment as outlined in
the monitoring of therapy guidelines
- initial approval is for 6 months. Continued coverage will be based on evaluation of the efficacy of treatment by
regular medical assessment as outlined in the monitoring and discontinuation of therapy guidelines (available
from the Pharmacare Office upon request).
ALLERGEN IMMUNOTHERAPY (Allergy Serum, Pollinex-R Injection)

- for immunotherapy with specific, standardized allergenic material, administered in high-dose schedules for carefully
selected patients with a diagnosis of:
IgE mediated anaphylactic reactions to insect stings or
severe, seasonal (lasting two or more years) or perennial IgE dependent allergic rhinoconjunctivitis when optimal drug
therapy and allergen avoidance have not been sufficiently effective in controlling symptoms or
IgE mediated allergic asthma, specifically where there is a clear temporal association between exposure and signs
and symptoms of asthma and when optimal drug therapy and avoidance measures have not been sufficiently effective
in controlling symptoms
NOTE: The allergy serum must be dispensed from a pharmacy on prescription from a prescriber. Initial
authorization is for two years, and can be continued for up to five years if improvement is noted.
ALMOTRIPTAN (Axert 6.25mg, 12.5mg Tablet)

- See Selective 5HT1 - Receptor Agonists
*ALTRETAMINE (Hexalen 50mg Capsule)

- written request from an oncologist or prescriber with a specialty in oncology
- for the treatment of ovarian carcinoma
AMBRISENTAN (Volibris 5mg, 10mg Tablet)

- for the treatment of patients with at least Class III pulmonary arterial hypertension (PAH), either idiopathic or associated
with connective tissue disease who have failed therapy with sildenafil or who have contraindications to sildenafil.
- diagnosis must be confirmed by right heart catheterization
- request must be from a PAH specialist
ANAGRELIDE (Agrylin 0.5mg Capsule and generic brands)

Nova Scotia Seniors' Pharmacare Program:
- for the treatment of essential thrombocythemia (ET) in patients who have:
failed hydroxyurea therapy (does not provide sufficient platelet reduction) or
intolerable side effects from hydroxyurea therapy
Community Services Pharmacare Programs:
- for the treatment of essential thrombocythemia (ET) as an alternative to hydroxyurea
ANTI-TUMOR NECROSIS FACTOR (TNF) AGENTS (Adalimumab, Etanercept, Golimumab, Infliximab)

Ankylosing Spondylitis (Adalimumab, Etanercept, Golimumab)
- for the treatment of patients with moderate to severe ankylosing spondylitis (e.g., Bath AS Disease Activity Index
(BASDAI) score 4 on 10 point scale) who:
have axial symptoms** and who have failed to respond to the sequential use of at least 2 NSAIDs at the optimum
dose for a minimum period of 3 months observation, or in whom NSAIDs are contraindicated OR
have peripheral symptoms and who have failed to respond to, or have contraindications to, the sequential use of at
October 2011
Appendix III 2
least 2 NSAIDs at the optimum dose for a minimum period of 3 months observation and have had an inadequate
response to an optimal dose or maximal tolerated dose of a DMARD
must be prescribed by a rheumatologist or prescriber with a specialty in rheumatology
requests for renewal must include information showing the beneficial effects of the treatment, specifically:
- a decrease of at least 2 points on the BASDAI scale, compared with the pre-treatment score; OR
- patient and expert opinion of an adequate clinical response as indicated by a significant functional improvement
(measured by outcomes such as HAQ or "ability to return to work")
** Patients with recurrent uveitis (2 or more episodes within 12 months) as a complication of axial disease, do not
require a trial of 2 NSAIDs.
Initial Coverage Duration and Maximum Dosage approved:
Adalimumab - initial period 6 months, maximum dose of 40mg every two weeks and not in combination with other
anti-TNF agents
Etanercept
- initial period 6 months, maximum dose of 50mg per week and not in combination with other anti-TNF
agents
Golimumab
- initial period 16 weeks, maximum dose 50mg per month and not in combination with other anti-TNF
agents
Crohn's Disease (Adalimumab)
- for patients with moderate to severely active Crohns disease and are:
refractory or have contraindications to an adequate course of 5-aminosalicylic acid and corticosteroids and other
immunosuppressive therapy
initial reimbursement is restricted to an induction dose of 150mg followed by 80mg
clinical response to be assessed twelve weeks after the first induction dose and maintenance therapy approved in
responders only at a dose not exceeding 40mg every two weeks
Crohn's Disease (Infliximab)
- for treatment of Crohns disease in adults, when prescribed by a gastroenterologist or physician with a specialty in
gastroenterology:
in patients with moderate to severe active disease refractory to 5-ASA products AND glucocorticoids (e.g.,
prednisone) AND immunosuppressive therapy (azathioprine or 6-mercaptopurine or methotrexate)**. Initial approval
of infliximab will be for a single infusion of 5mg/kg/dose. A second infusion may be warranted in patients not
responding to the first infusion or in patients responding initially but then worsening before maintenance therapy is
effective. Request for approval beyond induction therapy will be considered on a case by case basis
in patients with fistulizing disease who have actively draining perianal or enterocutaneous fistula(e) that have
recurred or persisted despite a course of appropriate antibiotic therapy (e.g., metronidazole +/-ciprofloxacin for a
minimum of 3 weeks) AND immunosuppressive therapy (azathioprine or 6-mercaptopurine or methotrexate)**. Initial
approval is for three infusions of infliximab of 5mg/kg/dose at 0, 2 and 6 week intervals
** Patients who are very ill and not candidates for surgery may qualify for infliximab therapy without a trial of AZA, 6-MP or
MTX, as they may require a more rapid onset of response.
Juvenile Rheumatoid Arthritis (Etanercept)
- for the treatment of moderate to severely active, polyarticular juvenile rheumatoid arthritis in children (age 4-17) who
have not responded to adequate treatment with one or more DMARDs for at least 3 months or have intolerance to
DMARDs, and do not have a contraindication to etanercept
Psoriasis (Adalimumab, Etanercept, Infliximab)
- for patients with severe, debilitating chronic plaque psoriasis (PsO) who meet all of the following criteria:
Body Surface Area (BSA) involvement of >10% and/or significant involvement of the face, hands, feet or genital region
failure to respond to, contraindications to or intolerant of methotrexate and cyclosporine
failure to respond to, intolerant of or unable to access phototherapy
- written request of a dermatologist or prescriber with a specialty in dermatology
October 2011
Appendix III 3
- continued coverage is dependent on evidence of improvement, specifically:

75% reduction in the Psoriasis Area and Severity Index (PASI) score, or
50% reduction in PASI with a 5 point improvement in DLQI (Dermatology Life Quality Index), or
significant reduction in BSA involved, with consideration of important regions such as the face, hands, feet or genitals
- concurrent use of biologics not approved
Initial duration and maximum dosage approved:
Adalimumab - initial approval for a maximum of 16 weeks
- maximum dosage for ongoing coverage is 40mg every two weeks
Etanercept
- initial approval for a maximum of 12 weeks
- maximum dosage approved: 50mg biweekly for the initial 12 weeks then 50mg weekly thereafter
Infliximab
- dosage restricted to infliximab 5mg/kg 0, 2 and 6 weeks then every 8 weeks
Psoriatic Arthritis (Adalimumab, Golimumab)
- for patients with active psoriatic arthritis who meet all of the following:
have at least three active and tender joints
have not responded to an adequate trial with two DMARDs or have an intolerance or contraindication to DMARDs
not used in combination with other TNF antagonists
- after initial coverage period, can be reassessed for yearly coverage dependent on patient achieving an improvement in
symptoms of at least 20%
Adalimumab - initial period 3 months, maximum dose of 40mg every two weeks
Golimumab
- initial period 3 months, maximum dose 50mg per month
Psoriatic Arthritis (Etanercept)

- for the treatment of active psoriatic arthritis in patients who have not responded to an adequate trial with two DMARDs
or who have an intolerance or contraindication to DMARDs
- coverage will be approved initially for 3 months. Can be reassessed for yearly coverage dependent on patient achieving
an improvement in symptoms of at least 20%
Rheumatoid Arthritis (Adalimumab, Etanercept, Golimumab, Infliximab)
- for patients with a diagnosis of active rheumatoid arthritis (RA) who:
have not responded or who have had intolerable toxicity to an adequate trial1 of combination therapy of at least two
traditional DMARDs2 or
if combination therapy is not an option, an adequate trial1 of at least three traditional DMARDs2 in sequence as
monotherapy and
patients must have had an adequate trial1 of leflunomide. Exceptions can be considered in cases where leflunomide
is contraindicated or not tolerated
- after initial coverage period, can be reassessed for yearly coverage dependent on patient achieving an improvement in
Adalimumab - initial coverage period 6 months, maximum dose of 40mg every two weeks
Etanercept
- initial coverage period 6 months
Golimumab
- initial coverage period 16 weeks, maximum dose 50mg per month
Infliximab
- initial coverage period 6 months
October 2011
Appendix III 4
_______________________________
1
*Please note that the concurrent use of anti-TNF agents will not be approved.
*APREPITANT (Emend 80mg, 125mg, Tri-Pack Capsules)

- in combination with a 5-HT3 antagonist and dexamethasone in adult cancer patients treated with chemotherapy that
includes cisplatin as a single day therapy greater than or equal to () 70mg/m2 to prevent acute and delayed nausea
and vomiting.
aprepitant will only be used with single day cisplatin-based therapy 70mg/m2 (and not multiple day cisplatin
chemotherapy)
aprepitant will not be used in patients receiving moderately emetogenic cancer chemotherapy or radiotherapy
the 5-HT3 antagonist should only be used on the first day of cisplatin therapy with aprepitant continuing on Day 2 and
Day 3
ARIPIPRAZOLE (Abilify 2mg, 5mg, 10mg, 15mg, 20mg and 30mg Tab)
- for the treatment of schizophrenia and schizoaffective disorders in patients who have a contraindication to quetiapine
and risperidone, or have failed a trial of quetiapine and risperidone due to intolerance or lack of response
ARTIFICIAL TEARS, PRESERVATIVE FREE (Celluvisc, Refresh, Refresh Plus, Refresh Tears, Tears
Naturale Free)
- for patients with a diagnosis of dry eye requiring frequent daily doses of artificial tears, to prevent sensitivity to
preservatives or in patients in whom preservative sensitivity is suspected
- written request from an ophthalmologist or optometrist confirming the diagnosis will be required to initiate coverage
*AZITHROMYCIN (Zithromax POS 100mg/5mL, 200mg/5mL and 250mg, 600mg Tablet and generic brands)
- for the treatment of pneumonia in clients over 65 years of age [Criteria Code 65]
- for the treatment of infections requiring a macrolide (including community acquired pneumonia in patients < 65 years of
age) when there is documented intolerance to erythromycin [Criteria Code 02]
- for the treatment of infections when alternatives are not available due to documented patient allergies [Criteria Code
03]
- for the treatment of infections when alternatives are not available due to serious intolerance to other agents [Criteria
Code 04]
- for the treatment of chlamydia trachomatis as a single dose of 1g (4 tablets) [Criteria Code 05]
- for the prevention of mycobacterium avium complex (MRP) [Criteria Code 06]
- for the treatment of infections requiring a macrolide antibiotic when the patient is taking medications that would interact
with erythromycin [Criteria Code 07]
- for the treatment of moderate to severe exacerbations of chronic bronchitis [Criteria Code 08]
*BENZYDAMINE HCL (Tantum 0.15% Oral Rinse and generic brands)

- for oncology patients only
BETAHISTINE (Serc 16mg, 24mg Tablet and generic brands)

- for the symptomatic treatment of recurrent episodes of vertigo associated with Meniere's disease
BETAMETHASONE, CALCIPOTRIOL (Xamiol 0.5mg/g/50mcg/g Gel)

- for the treatment of scalp psoriasis after:
failure of a topical steroid
the use of a topical steroid and calcipotriol together as single agents
October 2011
Appendix III 5
BOSENTAN (Tracleer 62.5mg, 125mg Tablet)

- written initial request from a pulmonary arterial hypertension (PAH) specialist only
- diagnosis of PAH should be confirmed by right heart catheterization
- IPAH (functional class III and IV)
for the treatment of patients with World Health Organization (WHO) functional class III and IV idiopathic pulmonary
arterial hypertension (IPAH) who do not demonstrate vasoreactivity on testing or who do demonstrate vasoreactivity
on testing but fail a trial of calcium channel blockers (CCB) or are intolerant to CCB
- PAH secondary to scleroderma, congenital heart disease or HIV (functional class III and IV)
for the treatment of patients with World Health Organization (WHO) functional class III and IV pulmonary arterial
hypertension (PAH) associated with scleroderma, congenital heart disease or HIV who do not respond to conventional
therapy
BUDESONIDE (Pulmicort Nebuamps 0.125mg/mL, 0.25mg/mL, 0.5mg/mL Suspension)

- See Wet Nebulization Solutions
BUPRENORPHINE AND NALOXONE (Suboxone 2mg/0.5mg, 8mg/2mg Sublingual Tablet)

- for the treatment of opioid dependence for patients in whom methadone is contraindicated (e.g., patients at high risk of,
or with, QT prolongation, or hypersensitivity to methadone)
- must be prescribed by a physician licensed to prescribe methadone for opioid dependence
BUTORPHANOL (10mg/mL Nasal Spray and generic brands)

- for the treatment of migraine, upon the request of a neurologist, prescriber with a specialty in neurology or a specialist in
pain management, when conventional forms of therapy are ineffective or inappropriate
CABERGOLINE (Dostinex 0.5mg Tablet and generic brands)

- for the treatment of micro- or macro-adenoma of the pituitary after failure of bromocriptine (as determined by prolactin
levels) or if bromocriptine is not tolerated
CALCIPOTRIOL (Dovonex 50mcg/g Ointment, Cream and 50mcg/mL Scalp Solution)

- for the treatment of psoriasis when conventional therapies have been ineffective or inappropriate
*CALCITONIN, INTRANASAL (Miacalcin 200iu Nasal Spray and generic brands)

- for the treatment of osteoporosis associated with documented fragility fracture when alendronate, risedronate and
raloxifene are not tolerated or are contraindicated
- for the treatment of osteoporosis without documented fracture when patient is at high 10 year fracture risk (using
fracture risk tables) and alendronate, risedronate and raloxifene are not tolerated or are contraindicated
- for the treatment of pain associated with osteoporotic fragility fractures, bone metastases or pathological fractures (short
term up to 3 months)
- other requests reviewed on a case by case basis
*CAPECITABINE (Xeloda 150mg and 500mg Tablet)

- for treatment of metastatic breast cancer as monotherapy in patients who have failed or cannot tolerate taxane-based
therapy and who have an ECOG performance status of 0-2
- as a single agent in patients who have documented evidence of metastatic colorectal cancer, with an ECOG
performance status of 0-2, who choose not to receive combination chemotherapy (5-FU/LV/irinotecan) and/or are
unable to tolerate first line therapy. This includes patients who are chemotherapy naive or who have progressed 6
months after completion of adjuvant 5-FU/LV therapy
- for adjuvant treatment of patients with stage III (Dukes C) colon cancer and ECOG status 0-1 when prescribed by an
oncologist
- requests must be from an oncologist or a prescriber with a specialty in oncology, and approval will be granted for three
months, to be renewed as required; in stage III colon cancer, coverage approved for 6 months
October 2011
Appendix III 6
CARVEDILOL (Coreg 3.125mg, 6.25mg, 12.5mg, 25mg Tablet and generic brands)
- for the treatment of stable symptomatic heart failure with systolic dysfunction (i.e., left ventricular ejection fraction
(LVEF) less than or equal to 40%)
CETIRIZINE (Reactine 5mg, 10mg Tablet and generic brands)

- for chronic urticaria, defined as the presence of hives or lesions for longer than six weeks, which has responded to
treatment with cetirizine
CHOLINESTERASE INHIBITORS (ChEI) (Donepezil, Galantamine, Rivastigmine)

- for the treatment of patients with a diagnosis of mild to moderate probable Alzheimers Disease or possible Alzheimer's
Disease with vascular component, with Lewy bodies or other (as specified), who meet the following criteria:
Initiation of coverage in a cholinesterase inhibitor (ChEI)-naive patient:
Coverage is provided for an initial 90 days when all the following criteria are met:
- a Mini-Mental State Examination (MMSE) score of 10 to 30;
- a Functional Assessment Staging Test (FAST) score of 4 to 5; and
- three target symptoms have been established which will be monitored on an ongoing basis to assist in determining
clinical meaningfulness
Continuation of coverage for a second 90 day period:
Coverage can be extended an additional 90 days if:
- there is demonstrated stabilization or improvement in at least one target symptom after initial 90 days of therapy
Continuation of coverage for 6 month periods:
Coverage is continued in 6 month increments when:
- the information provided indicates the patient is in the mild to moderate stage of Alzheimer's Disease
- a MMSE and FAST score must be provided 6 months after starting a ChEI and then only annually thereafter
Initiation of coverage with a second ChEI for a patient who has previously taken no more than one other ChEI:
Coverage of a second ChEI can be provided for an initial 90 days if:
- the reason for discontinuing the first ChEI is indicated; and
- any changes in target symptoms are indicated
Coverage for a second ChEI is provided in the same manner as the first ChEI (i.e., 90 days, second 90 days, then
continuation in 6 month periods if criteria are met).
NOTE : Specialized requests forms, which have been developed for each coverage period, must be submitted for
continuation of coverage.
CIPROFLOXACIN, OPHTHALMIC (Ciloxan 0.3% Ophthalmic Solution and generic brands and Ointment)
- See Fluoroquinolones, Ophthalmic
*CIPROFLOXACIN, ORAL (Cipro 100mg/mL Oral Liquid and 250mg, 500mg, 750mg Tablet and generic
brands)
- See Fluoroquinolones, Oral
*CIPROFLOXACIN XL, ORAL (Cipro XL 1000mg Tablet)

- for the oral treatment of gram-negative infections in complicated urinary tract infections, for which other oral agents are
not effective or available [Criteria Code 10]
- for the oral treatment of acute uncomplicated pyelonephritis [Criteria Code 11]
CIPROFLOXACIN & DEXAMETHASONE, OTIC (Ciprodex Otic Suspension)

- for the treatment of patients with acute otitis media with otorrhea through tympanostomy tubes [Criteria Code 01]
- for the treatment of patients with acute otitis externa in the presence of a tympanostomy tube or known perforation of
the tympanic membrane [Criteria Code 02]
October 2011
Appendix III 7
*CLARITHROMYCIN (Biaxin 250mg, 500mg, XL 500mg Tablet, generic brands and 125mg/5mL, 250mg/5mL
Oral Liquid)
- for the treatment of pneumonia in clients over 65 years of age [Criteria Code 65]
- for the treatment of infections requiring a macrolide (including community acquired pneumonia in patients <65 years of
age) when there is a documented intolerance to erythromycin [Criteria Code 02]
- for the treatment of infections when alternatives are not available due to documented patient allergies [Criteria Code
03]
- for the treatment of infections when alternatives are not available due to serious intolerance to other agents [Criteria
Code 04]
- for the eradication of Helicobacter pylori infections when used in combination regimens for the treatment of peptic ulcer
disease for a one week duration [Criteria Code 12]
- for the prevention and treatment of mycobacterium avium complex (MRP) [Criteria Code 06]
- for the treatment of moderate to severe exacerbations of chronic bronchitis [Criteria Code 07]
CLOPIDOGREL (Plavix 75mg Tablet)

- for the secondary prevention of the following vascular ischemic events in patients with a history of symptomatic
atherosclerotic disease, including:
ischemic stroke/ transient ischemic attack (TIA) in patients with a documented severe allergy to ASA or who
experience a recurrent thrombotic event (stroke, symptoms of TIA) while taking ASA or a GI hemorrhage while on
ASA,
myocardial infarction (MI) in patients with a documented severe allergy to ASA or who experience a GI hemorrhage
while on ASA,
peripheral vascular disease (PVD) in patients with a documented severe allergy to ASA or who experience a GI
hemorrhage while on ASA,
unstable angina in patients with a documented severe allergy to ASA or who experience a GI hemorrhage while on
ASA
- in patients with intravascular stent implantation, the coverage period following insertion is:
Bare Metal Stent(s) (BMS) - 30 days
Drug Eluting Stent(s) (DES) - 12 months
NOTE: The [Criteria Code 30] may be used for the initial 30 days coverage period for all types of intravascular
stent implantation. For coverage beyond the initial 30 day online approval a written request from the
prescriber is required.
- for patients with non-ST-segment elevation acute coronary syndrome (ACS) (i.e., unstable angina or non-ST-segment
elevation myocardial infarction), in combination with ASA, for a coverage period of 3 months coverage. Coverage for 12
months is available for high risk patients:
with a second ACS within 12 months, or
with complex or extensive coronary artery disease (CAD) e.g., diffuse 3 vessel CAD not amenable to
revascularization, or
who have had a previous stroke, TIA or have symptomatic PVD
- other requests on a case by case basis
CLOSTRIDIUM BOTULINUM TOXIN TYPE A (Botox 100iu/vial Injection)

- for the treatment of the following Health Canada approved indications:
focal spasticity following stroke in adults
equinus foot deformity in cerebral palsy patients 2 years of age and older
cervical dystonia
blepharospasm, hemifacial spasm (VII nerve disorder) and strabismus in patients 12 years of age and older
CLOSTRIDIUM BOTULINUM TYPE A (Xeomin 100u/vial)

- for the treatment of blepharospasm and cervical dystonia (spasmodic torticollis)
October 2011
Appendix III 8
*CODEINE, SUSTAINED RELEASE (Codeine Contin 50mg, 100mg, 150mg and 200mg Tablet)
- for the treatment of mild to moderate chronic pain syndrome, if pain has been controlled by doses less than 200mg q12h
- patients may be considered candidates if they are achieving good pain control from immediate-release plain codeine
preparations but prefer the convenience of a long-acting preparation, or if they are achieving good pain control from
acetaminophen or ASA plus codeine preparations but are limited by the acetaminophen content to no greater than 12
tablets per day
- not insured for the treatment of acute pain (e.g., post-operative pain)
CROMOGLYCATE SODIUM (pms-Sodium Cromoglycate1% Nebulizer Solution)

*CYANOCOBALAMIN, INJECTION (Cyanocobalamin, Vitamin B12 100mcg/mL and 1000mcg/mL Injection)

- for the treatment of documented cyanocobalamin deficiency, when the oral route is inappropriate or contraindicated
(criteria applies to all Programs)
*CYANOCOBALAMIN, ORAL (Vitamin B12 500mcg and 1,000mcg Tablet)
- for the treatment of documented cyanocobalamin deficiency in recipients of the Community Services Pharmacare
Program, Family Pharmacare Program and Drug Assistance for Cancer Patients; oral cyanocobalamin is fully insured
for Seniors' Pharmacare Program
*CYANOCOBALAMIN, ORAL IN COMBINATION (Vitamin B12 1000mcg SL Tablet with Folic Acid)
- for the treatment of documented cyanocobalamin deficiency in recipients of the Community Services Pharmacare
Program, Family Pharmacare Program and Drug Assistance for Cancer Patients; oral cyanocobalamin is fully insured
for Seniors' Pharmacare Program
CYCLOSPORINE (Neoral 10mg, 25mg, 50mg, 100mg Capsule and 100mg/mL Oral Liquid and generic
brands)
- for the treatment of severe psoriasis
- for the treatment of severe rheumatoid arthritis
*DARBEPOETIN (Aranesp Syringe Injection)

- for the treatment of transfusion dependent patients with hematologic malignancies who have a baseline anemia of
90g/L and whose transfusion requirements are 2 units of packed red blood cells per month over 3 months
- initial approval for 12 weeks with the documentation of dose, hemoglobin and therapeutic outcome (number of
transfusions)
- approval of further 12 week cycles are dependent on evidence of satisfactory clinical response or reduced treatment
requirement to less than 2 units of PRBC monthly
NOTE: Specialized request forms are used to request coverage for darbepoetin.
DARIFENACIN (Enablex 7.5mg, 15mg Tablet)

- See Urinary Antispasmodics, Long-Acting
DASATINIB (Sprycel 20mg, 50mg, 70mg Tablet)

- as a single agent for the treatment of adults with chronic, accelerated or blast phase chronic myelogenous leukemia
(CML) and Philadelphia chromosome acute lymphoblastic leukemia (Ph ALL) with resistance or intolerance to prior
therapy including imatinib
- coverage approved for 6 months
DEFERASIROX (Exjade 125mg, 250mg, 500mg Tablet for Suspension)

- for the treatment of patients who require iron chelation and deferoxamine is contraindicated
October 2011
Appendix III 9
DENOSUMAB (Prolia 60mg/mL pre-filled syringe)

- for women with postmenopausal osteoporosis for whom bisphosphonates are contraindicated due to hypersensitivity or
abnormalities of the esophagus (e.g., esophageal stricture or achalasia) and have at least two of the following:
age >75 years
a prior fragility fracture
a bone mineral density (BMD) T-score -2.5
DIPYRIDAMOLE & ASA (Aggrenox 200/25mg Capsule)

- for the secondary prevention of ischemic stroke/transient ischemic attack (TIA) in patients who have experienced a
recurrent thrombotic event (stroke, symptoms of TIA) while taking ASA
*DOLASETRON (Anzemet 50mg, 100mg Tablet)

- See Serotonin (5-HT3) Antagonists
Recommended dose is 100mg orally 1 hour pre-chemotherapy.
DONEPEZIL (Aricept 5mg, 10mg Tablet)

- See Cholinesterase Inhibitors (ChEI)
DRONABINOL (Marinol 2.5mg, 5mg Capsule)

- for the treatment of severe nausea and vomiting associated with cancer chemotherapy in patients who have failed a
traditional stepwise approach to antiemetic therapy
- for second line treatment of acquired immune deficiency syndrome (AIDS)-related anorexia associated with
weight loss
DULOXETINE (Cymbalta 30mg, 60mg Capsule)

- for the treatment of neuropathic pain in diabetic patients who are unresponsive to adequate courses of two alternative
agents, such as tricyclic antidepressants and anticonvulsants
- dose limited to a maximum of 60mg per day
ENTACAPONE (Comtan 200mg Tablet)

- for the treatment of Parkinson's disease as adjunctive therapy in patients who are not well controlled and are
experiencing significant "wearing off" symptoms despite optimal therapy with a levodopa and a decarboxylase inhibitor
ENTECAVIR (Baraclude 0.5mg Tablet)

- for the treatment of chronic hepatitis B infection in patients with:
documented cirrhosis on radiologic or histologic grounds AND
a HBV DNA concentration above 2000iu/mL
EPINEPHRINE (Epipen 1:000, Epipen Jr. 1:2000 Injection and Twinject 0.15mg, 0.3mg Auto-Injector)
- for the emergency treatment of anaphylactic reactions, when out of reach of immediate medical attention
NOTE : Regular benefit, but with a quantity limit of two injections per fiscal year. Additional units require an exception
status request.
*ERLOTINIB (Tarceva 100mg, 150mg Tablet)

- as monotherapy for the treatment of patients with locally advanced or metastatic NSCLC after failure of at least one
prior chemotherapy regimen and whose EGFR expression status is positive or unknown
- coverage approved for 6 months
October 2011
Appendix III 10
*ERYTHROPOIETIN (Eprex Multidose Vial and Syringe Injection)

- for the treatment of transfusion dependent patients with hematologic malignancies who have a baseline anemia of
90g/L and whose transfusion requirements are 2 units of packed red blood cells per month over 3 months
- initial approval for 12 weeks with the documentation of dose, hemoglobin and therapeutic outcome (number of
transfusions)
- approval of further 12 week cycles are dependent on evidence of satisfactory clinical response or reduced treatment
requirement to less than 2 units of PRBC monthly
- if transfusion requirements increase to 2 units/ month (over a 3 month period), one dose increase may be attempted
(maximum dose 60,000iu per week)
NOTE: Specialized request forms are used to request coverage for erythropoietin.
*ESTRADIOL (Climara, Estraderm, Estradot Transdermal Patch, Estrogel Topical Gel and generic brands)
*ESTRADIOL/NORETHINDRONE ACETATE (Estalis Transdermal Patch)
- for the treatment of menopausal symptoms in women who cannot tolerate the oral forms of hormone replacement
therapy
ETANERCEPT (Enbrel 25mg Powder For Injection and 50mg/Ml Injection)

- See Anti-Tumor Necrosis Factor (TNF) Agents
EZETIMIBE (Ezetrol 10mg Tablet)

- for the treatment of hypercholesterolemia, as adjunctive therapy with statins, in patients who have not reached
treatment goals on maximum tolerated statin therapy alone
- for the treatment of hypercholesterolemia, as monotherapy, in patients who are intolerant to statins and, when
appropriate, fibrates
FEBUXOSTAT (Uloric 80mg Tablet)

- for the treatment of symptomatic gout in patients who have documented hypersensitivity to allopurinol
FENOTEROL (Berotec 1mg/mL Solution)

*FENTANYL (Fentanyl 12mcg/hr, 25mcg/hr, 50mcg/hr, 75mcg/hr, 100mcg/hr Transdermal System Generic
Brands)
- for the treatment of malignant or chronic non-malignant pain in adult patients who were previously receiving continuous
opioid administration (i.e., not opioid naive), or who are unable to take oral therapy
FINASTERIDE (Proscar 5mg Tablet and generic brands)

- for the treatment of benign prostatic hypertrophy (BPH) when alpha-antagonists are contraindicated, not tolerated or
failed
- for the treatment of benign prostatic hypertrophy (BPH) in combination with an alpha-antagonist when alpha-antagonist
therapy has been tried as monotherapy and a partial response has been observed
*FLUCONAZOLE (Diflucan Pos 10mg/mL)

- for the treatment of oropharyngeal candidiasis when nystatin has failed, or for systemic infections when oral tablets are
not an option
*FLUDARABINE (Fludara 10mg Tablet)

- for the treatment of chronic lymphocytic leukemia (CLL), in patients with an ECOG performance status of 0-2, when:
the patient has failed to respond or relapsed during or after previous therapy with an alkylating agent, and
intravenous administration is not desirable
FLUOROQUINOLONES, OPHTHALMIC (Ciprofloxacin, Ofloxacin)

- for the treatment of eye infections upon the order of an ophthalmologist, ophthalmology resident, prescribing optometrist
or other prescriber who has a specialty in ophthalmology [Criteria Code 01]
October 2011
Appendix III 11
*FLUOROQUINOLONES, ORAL (Ciprofloxacin, Norfloxacin, Ofloxacin)

- for the treatment of patients intolerant or allergic (hypersensitivity reaction) to all other effective oral agents [Criteria
Code 01]
- for the treatment of aerobic, gram-negative infections which are resistant to other suitable oral agents [Criteria Code
02]
- for the oral treatment of multi-resistant, aerobic, gram-negative infections traditionally requiring parenteral therapy (e.g.,
osteomyelitis, complicated urinary tract infections, bacterial pneumonia in cystic fibrosis, prostatitis) for which other oral
agents are not effective or available [Criteria Code 03]
- for infections due to Pseudomonas aeruginosa (ciprofloxacin is the preferred agent) [Criteria Code 04]
- for the treatment of necrotizing (malignant) otitis externa [Criteria Code 05]
- for the prevention of endophthalmitis in patients who have had cataract surgery involving an unplanned vitrectomy
(ciprofloxacin) [Criteria Code 06]
*FLUOROQUINOLONES, RESPIRATORY (Levofloxacin, Moxifloxacin)

- for the completion of therapy instituted in the hospital setting for the treatment of nosocomial pneumonia, community
acquired pneumonia (CAP) or acute exacerbation of chronic bronchitis (AECB) [Criteria Code 01]
- for the treatment of severe pneumonia in nursing home patients [Criteria Code 02]
- for the treatment1 of CAP in patients with comorbidity2 upon radiographic confirmation of pneumonia, or who have failed
first line therapies (macrolide, doxycycline, amoxicillin-clavulanate) [Criteria Code 03]
- for the treatment1 of AECB in complicated patients3 who have failed treatment with one of the following: amoxicillin,
doxycycline, TMP-SMX, cefuroxime, macrolide, ketolide or amoxicillin-clavulanate [Criteria Code 04]
________________________________
1
If treated with an antibiotic within the past 3 months choose an antibiotic from a different class.
Comorbidity includes chronic lung disease, malignancy, diabetes, liver failure, renal failure, congestive heart failure, use
of antibiotics or steroids in the past 3 months, suspected macroaspiration, hospitalization within last 3 months,
HIV/AIDS, smoking, malnutrition or acute weight loss.
3
Complicated AECB defined as increased cough and sputum, sputum purulence and increased dyspnea and FEV1 <
50% predicted or FEV1 50% - 65% and one of the following: 4 exacerbations per year, ischemic heart disease,
chronic oral steroid use or antibiotic use in past 3 months
2
FORMOTEROL (Foradil 12ug Capsule For Inhalation and Oxeze 6mcg/Dose, 12mcg/Dose Turbuhaler)
- See Long-Acting Beta2-Agonists
FORMOTEROL, IN COMBINATION (Symbicort 100/6mcg, 200/6mcg Turbuhaler)

- See Long-Acting Beta2-Agonists/Inhaled Corticosteroids
GALANTAMINE (Reminyl Er 8mg, 16mg, 24mg Capsule and generic brands)

GOLIMUMAB (Simponi 50mg/0.5ml Autoinjector and Prefilled Syringe)

*GRANISETRON (Kytril 1mg Tablet and generic brands)

NOTE: Recommended dose is 2mg orally 1 hour pre-chemotherapy or 1mg 1 hour pre-chemotherapy and 1mg
12 hours post-chemotherapy.
HYDROXYZINE (10mg, 25mg, 50mg Capsule, generic brands and Atarax Syrup)
- for chronic urticaria, defined as the presence of hives or lesions for longer than six weeks, which has responded
to treatment with hydroxyzine
October 2011
Appendix III 12
*IMATINIB (Gleevec 100mg Capsule and 100mg, 400mg Tablet)

- as a single agent for adult patients with a histological diagnosis of localized primary GIST (KIT (CD-117)-positive)
following surgical complete resection and at a high risk or recurrence.
risk of recurrence is dependent on location, size and mitotic rate. Specific parameters for considering adjuvant
therapy after resection of GIST along the gastrointestinal tract may include but are not limited to:
gastric: any tumor >3cm where the mitotic rate is >5/50 high powered fields (HPFs). Adjuvant treatment
could be considered where the mitotic rate is <5HPFs and tumor >10cm
duodenal, small bowel, peritoneal, colorectal: any tumor where the mitotic rate is >5.
- for the treatment of chronic myelogenous leukemia (CML), as a single agent, in patients who have documented
evidence of Philadelphia chromosome positive CML, with an ECOG performance status of 0-2 and who are in blast
crisis, accelerated phase, or chronic phase or
- as a secondary treatment in patients who demonstrate a hematologic relapse or cytogenetic progression after
interferon-alpha (INF-a) therapy
- requests for other indications will be reviewed on a case by case basis
- written request of an oncologist required
- coverage approved for one year
IMIQUIMOD (Aldara 5% Cream)
- for the treatment of external genital and perianal warts and condyloma acuminata in adults
- for the treatment of actinic keratosis on the head and neck in patients who have failed treatment with 5FU and
cryotherapy
- for the treatment of biopsy-confirmed primary superficial basal cell carcinoma:
with a tumor diameter of 2cm AND
located on the trunk, neck or extremities (excluding hands and feet) AND
where surgery or eradication therapy is not medically indicated
- recurrent lesions in previously irradiated area OR
- multiple lesions, too numerous to irradiate or remove surgically
approval period: 6 weeks
NOTE: Surgical management should be considered first-line for superficial basal cell carcinoma in most patients,
especially for isolated lesions
INFLIXIMAB (Remicade 100mg Powder For Injection)

INSULIN ASPART (Novorapid 100iu/Ml Penfill and Vial)

INSULIN GLULISINE (Apidra 3ml Prefilled Pen, 10ml Vial And Cartidges)
INSULIN LISPRO (Humalog Insulin, Cartridges and Kwikpen)
- regular benefit for children 18 years and younger, under Community Services, Family Pharmacare and Diabetes
Assistance Programs
- for the management of Type I and Type II diabetes mellitus in patients 19 years of age and older, who are:
undergoing intensive therapy, i.e., administering three or more injections of insulin per day including basal insulin,
and
testing blood glucose levels 4-6 times per day
*INTERFERON ALPHA-2B (Intron-A Injection and Multidose Pen)

-
written request of an oncologist only

for hairy cell leukemia
for AIDS-related Kaposi's sarcoma
for chronic hepatitis B or C
for chronic myelogenous leukemia (CML)
for thrombocytosis associated with CML
for malignant melanoma
for basal cell carcinoma
*IPRATROPIUM BROMIDE (250mcg/mL Inhaled Solutions - See Formulary Listings For Product Names)
October 2011
Appendix III 13
*IPRATROPIUM BROMIDE, IN COMBINATION (Combivent Inhaled Solution and generic brands)

*ITRACONAZOLE (Sporanox 100mg Capsule)

- for the treatment of severe systemic fungal infections
- for the treatment of severe or resistant fungal infections in immunocompromised patients
- for the treatment of severe onychomycosis caused by dermatophyte fungi as diagnosed by a dermatologist, attending
physician or prescriber with a specialty in dermatology
LACOSAMIDE (Vimpat 50mg, 100mg, 150mg, 200mg Tablet)

- as adjunctive treatment for patients with refractory partial-onset seizures who meet all of the following criteria:
are under the care of a physician experienced in the treatment of epilepsy, and
are currently receiving two or more antiepileptic drugs, and
in whom all other antiepileptic drugs are ineffective or not appropriate
*LACTULOSE (667mg/mL Oral Liquid, generic brands)

- for portal systemic encephalopathy
- for pneumatosis cystoides intestinalis
LAMIVUDINE (Heptovir 100mg Tablet)

- for the treatment of hepatitis B, upon written request of a specialist
- therapy is approved for one year, with reassessment required at that time
LANSOPRAZOLE (Prevacid FasTab 15mg, 30mg Tablet)

- for patients who require the use of a proton pump inhibitor and require administration through a feeding tube.
LANSOPRAZOLE (Prevacid 15mg, 30mg Capsule and generic brands)

- See Proton Pump Inhibitors
LANSOPRAZOLE, AMOXICILLIN AND CLARITHROMYCIN IN COMBINATION (HP-Pac)

- helicobacter pylori eradication for a one week duration [Criteria Code 01]
*LAPATINIB (Tykerb 250mg Tablet)

In combination with capecitabine as a treatment option in patients with HER2 positive advanced or Metastic
Breast Cancer (MBC) with trastuzumab refractory disease (previously treated with trastuzumab alone or in combination
with chemotherapy such as taxane and/or vinorelbine) who have an ECOG performance status of 0 to 2 and choose to
receive systemic chemotherapy. Patients with previous exposure to capecitabine are not
considered eligible
LEFLUNOMIDE (Arava 10mg, 20mg Tablet and generic brands)

- written request from a rheumatologist or prescriber with a specialty in rheumatology
- for patients with a diagnosis of active rheumatoid arthritis (RA) who
have not responded or who have had intolerable toxicity to an adequate trial1 of combination therapy of at least two
traditional DMARDs2 or
if combination therapy is not an option, an adequate trial of at least three traditional DMARDs in sequence as
monotherapy
- coverage will be approved initially for 6 months. Can be reassessed for yearly coverage dependent on patient achieving
an improvement in symptoms of at least 20%
________________________________
1
October 2011
Appendix III 14
LENALIDOMIDE (Revlimid Cap)
in combination with dexamethasone in adult patients with progressive multiple myeloma (MM) after at least one
previous treatment, not resistant to dexamethasone, documented measurable disease and an ECOG performance
status of 0-2
LEUKOTRIENE RECEPTOR ANTAGONISTS (Montelukast, Zafirlukast)

- for the treatment of moderate to severe asthma in adults and children who:
despite compliance are not adequately controlled with a moderate or high dose inhaled corticosteroid and require
additional symptom control (e.g., cough, awakening at night, missing activities such as school, work or social activities
because of asthma symptoms) and
require increasing amounts of short-acting beta2-agonists, indicative of poor control
LEVETIRACETAM (Keppra 250mg, 500mg, 750mg Tablet and generic brands)

- as adjunctive therapy in the management of patients with epilepsy who are not satisfactorily controlled by conventional
therapy
LEVOCARNITINE (Carnitor 1g/5mL Injection, 100mg/mL Oral Liquid and 300mg Tablet)
- for the treatment of primary systemic carnitine deficiency
LEVODOPA AND CARBIDOPA AND ENTACAPONE (Stalevo 50mg, 75mg, 100mg, 125mg, 150mg Tablet)
- for the treatment of Parkinsons disease as adjunctive therapy in patients who:
are not well controlled and are experiencing significant wearing off symptoms despite optimal therapy with
levodopa/carbidopa
were not well controlled and experienced significant wearing off symptoms despite optimal therapy with
levodopa/carbidopa and are currently using levodopa/carbidopa and entacapone separately
*LEVOFLOXACIN (Levaquin 250mg, 500mg Tablet and generic brands)

- See Fluoroquinolones, Respiratory
LINEZOLID (Zyvoxam 600mg Tablet)

- written request from an infectious disease specialist or prescriber with a specialty in infectious diseases
- for the treatment of proven vancomycin-resistant enterococci (VRE) infections
- for the treatment of proven methicillin-resistant staphylococcus aureus or epidermidis (MRSA/MRSE) infections in those
patients who are unresponsive to, or intolerant of vancomycin
LONG-ACTING BETA2-AGONISTS (Formoterol, Salmeterol)

LONG-ACTING BETA2-AGONISTS/INHALED CORTICOSTEROIDS (Formoterol, In Combination; Salmeterol,
In Combination)
Asthma
- for the treatment of moderate to severe asthma in patients who:
are compliant with inhaled corticosteroids at a dose of any one of the following:
- >400mcg/day budesonide
- >250mcg/day beclomethasone dipropionate or
- >250mcg/day fluticasone propionate and
require additional symptom control, (e.g., cough, awakening at night, missing activities such as school, work or social
activities because of asthma symptoms); and
require increasing amounts of short-acting beta2-agonists, indicative of poor control
October 2011
Appendix III 15
Chronic Obstructive Pulmonary Disease

- for the treatment of chronic obstructive pulmonary disease (COPD), if symptoms persist after 2-3 months of short-acting
bronchodilator therapy (i.e., salbutamol at a maximum dose of 8 puffs/day or ipratropium at maximum dose of 12
puffs/day)
- coverage can be provided without a trial of short-acting agent if:
there is spirometric evidence of at least moderate to severe airflow obstruction, (i.e., postbronchodilator values FEV1 <
60% and FEV1/FVC ratio < 0.7), and significant symptoms (i.e., MRC score of 3-5*)
- combination therapy with tiotropium and a long-acting beta2 agonist/inhaled corticosteroid will only be considered if:
there is spirometric evidence of at least moderate to severe airflow obstruction (postbronchodilator values FEV1 < 60%
and FEV1/FVC ratio < 0.7), and significant symptoms (i.e., MRC score of 3-5*) and
there is evidence of one or more moderate-to-severe exacerbations per year, on average, for 2 consecutive years
requiring antibiotics and/or systemic (oral or intravenous) corticosteroids
NOTE: Coverage of combination therapy with tiotropium and a long-acting beta2 agonist (without an inhaled
corticosteroid) will not be considered due to insufficient evidence to support substantial benefit.
If spirometry cannot be obtained, reasons must be clearly explained and other evidence regarding severity
of condition must be provided for consideration (i.e., MRC scale). Spirometry reports from any point in time
will be accepted.
* Canadian Thoracic Society COPD Classification By Symptom/Disability:
Moderate - (MRC 3-4) Shortness of breath from COPD causing the patient to stop after walking about 100
meters (or after a few minutes) on the level.
Severe - (MRC 5) Shortness of breath from COPD resulting in the patient being too breathless to leave the
house or breathless after undressing, or the presence of chronic respiratory failure or clinical signs of right heart
failure.
MRC= Medical Research Council Dyspnea Scale
LORATADINE (Claritin 10mg Tablet and generic brands)

- for chronic urticaria, defined as the presence of hives or lesions for longer than six weeks, which has responded to
treatment with loratadine
MAGNESIUM GLUCOHEPTONATE (5mg/mL Solution and generic brands)

- for the treatment of hypomagnesemia
METFORMIN AND ROSIGLITAZONE (Avandamet 1/500mg, 2/500mg, 4/500mg, 2/1000mg, 4/1000mg

Tablet)
- for the treatment of type II diabetes in patients currently stabilized on equivalent strengths of metformin and
rosiglitazone
*METHADONE (Metadol 1mg, 5mg, 10mg, 25mg Tablet)

- for the management of severe chronic or malignant pain as an alternative to other opiates
- written request of a physician authorized to prescribe methadone
*METHADONE, ORAL LIQUID (Methadone o/l Compound)

- for the management of severe chronic or malignant pain as an alternative to other opiates
- for the management of patients undergoing therapy for drug dependence
- written request of a physician authorized to prescribe methadone
October 2011
Appendix III 16
METHYLPHENIDATE (Biphentin 10mg, 15mg, 20mg 30mg, 40mg, 50mg, 60mg and 80mg Capsule)
- for patients 6-18 years of age diagnosed with attention deficit hyperactivity disorder (ADHD) who require 12-hour
continuous coverage due to academic and/or psychosocial needs, and who meet the following:
patients who demonstrate significant and problematic disruptive behaviour or who have problems with inattention that
interfere with learning AND
prescribed by or in consultation with a specialist in pediatric psychiatry, pediatrics, general practitioners or other
prescribers with expertise in ADHD AND
have been tried on immediate release and slow release methylphenidate with unsatisfactory results
*MIDAZOLAM (1mg/mL, 5mg/mL Injection and generic brands)

- for adjunctive therapy of pain management in palliative care patients outside the hospital setting [Criteria Code 01]
MONTELUKAST (Singulair 4mg, 5mg Chewtabs, 4mg/pkt Granules and 10mg Tablets)
- See Leukotriene Receptor Antagonists
*MOXIFLOXACIN (Avelox 400mg Tablet)

- See Fluoroquinolones, Respiratory
NABILONE (Cesamet 0.25mg, 0.5mg and 1mg Capsule)

For the management of severe nausea and vomiting associated with cancer chemotherapy
NALTREXONE (Revia 50mg Tablet)

- for the treatment of alcohol dependence, as an adjunct to a comprehensive psychotherapeutic or psychological
alcoholism counseling program to support abstinence, and reduce the risk of relapse
- eligibility is initially restricted to a three month period with reassessment at that time for further coverage
NARATRIPTAN (Amerge 1mg, 2.5mg Tablet and generic brands)

NILOTINIB (Tasigna 200mg Cap)

- As a single line agent for the treatment of adults with chronic or accelerated phase CML with resistance or intolerance to
prior therapy. This would include:
Patients with CML in chronic phase who are intolerant to imatinib or dasatinib or both
Patients with CML in chronic phase who are resistant to imatinib 600mg/day
Patients with CML that have progressed to accelerated phase while on imatinib
- Sequential use of dasatinib and nilotinib is not permitted except in the circumstance described above (i.e. intolerance)
- Coverage approved for 6 months
*NORFLOXACIN (400mg Tablet, generic brands)

OFLOXACIN, OPHTHALMIC (Ocuflox 0.3% Ophthalmic Solution and generic brands)

- See Fluoroquinolones, Ophthalmic
*OFLOXACIN, ORAL (300mg and 400mg Tablet and generic brands)

OLANZAPINE (Zyprexa 2.5mg, 5mg, 7.5mg, 10mg, 15mg Tablet and generic brands)
- for the treatment of schizophrenia and related psychotic disorders upon the written request of a psychiatrist, either first
line or upon failure of other antipsychotic agents
- for the acute treatment of manic or mixed episodes in bipolar I disorder in patients with intolerance or a history of failure
to one other atypical antipsychotic
- for maintenance therapy in patients with bipolar disease who are currently stabilized on olanzapine
October 2011
Appendix III 17
OLANZAPINE, ORAL DISINTEGRATING (Zyprexa Zydis 5mg, 10mg, 15mg, 20mg Tablet and generic
brands)
- for the use in patients who meet the criteria for treatment with regular release oral olanzapine and who have difficulty
swallowing
OMEPRAZOLE (Losec 10mg, 20mg Capsule/Tablet and generic brands)

NOTE: Omeprazole is available as a full benefit if the dose does not exceed the standard dose of 20mg per
day (maximum of 400 tablets/capsules per year). If the dosage is greater than 20mg per day then
the criteria for coverage must be met.
*ONDANSETRON (Zofran 4mg, 8mg Tablet, 4mg/5mL Oral Liquid and generic brands and ODT Tablet)
NOTE: Only requests for the oral dosage forms are eligible for consideration. Although the dose may vary, usually a
single oral 8mg dose pre-chemotherapy is sufficient to control symptoms. As well, some patients may require
additional therapy up to 48 hours after the last dose of chemotherapy or last radiation treatment. Benefit beyond
48 hours has not been established and is therefore, not insured.
OSELTAMIVIR (Tamiflu 30mg, 45mg, 75mg Capsule, 12mg/mL Oral Suspension)

- for the treatment of long-term care residents with clinically suspected or lab confirmed influenza A or B. A clinically
suspected case is one in which the patient meets the criteria of influenza-like illness and there is confirmation of
influenza A or B circulating within the facility or surrounding community
- for the prophylaxis of influenza A or B in long-term care residents where the facility has an outbreak
- a protocol has been developed by Public Health for the treatment of patients in long-term care facilities. The facility must
contact the Medical Officer of Health or local Public Health Office, who will notify the Pharmacare office (or dispensing
pharmacy after office hours) if coverage is required
OXCARBAZEPINE (Trileptal 60mg/mL Oral Liquid and 150mg, 300mg, 600mg Tablet and generic brands)
- for the treatment of epileptic seizures in patients who have had an inadequate response to or are intolerant of at least
three other formulary agents (prior or current use) including carbamazepine
OXYBUTYNIN XL (Ditropan XL and Uromax 5mg, 10mg Tablet)

*OXYCODONE, SUSTAINED RELEASE (Oxycontin 5mg, 10mg, 15mg, 20mg, 30mg 40mg, 60mg and 80mg
Tablet)
- for the treatment of moderate to severe chronic pain syndromes, as an alternative to morphine or hydromorphone
- not insured for the treatment of acute pain (e.g., post-operative pain)
PANTOPRAZOLE MAGNESIUM (Tecta 40mg Tablet)

NOTE: Pantoprazole magnesium is available as a full benefit if the dose does not exceed the standard dose of 40mg per
day (maximum of 400 tablets per year). If the dosage is greater than 40mg per day then the criteria for coverage
must be met.
PANTOPRAZOLE SODIUM (Pantoloc 20mg, 40mg Ec Tablet and generic brands)

October 2011
Appendix III 18
PEGINTERFERON ALFA-2A (Pegasys 180mcg Injection)

- for the treatment of hepatitis C in patients who are treatment naive, upon the written request of a hepatologist or
prescriber with a specialty in hepatitis
- a 24 week period will be initially approved at which time a further request will be required documenting the patients
response. If a positive response occurs, coverage can be continued for an additional 24 weeks (48 weeks total)
- for the treatment of HBeAg negative Chronic Hepatitis B (CHB) patients with compensated liver disease, liver
inflammation and evidence of viral replication with demonstrated intolerance to or failure of lamivudine therapy, upon
written request of a hepatologist or prescriber with a specialty in hepatitis. Maximum duration of coverage is 48 weeks
PEGINTERFERON ALFA-2A AND RIBAVIRIN (Pegasys RBV Injection/Tablet)

- a 24 week period will initially be approved at which time a further request will be required documenting the patient's
response. If a positive response occurs, coverage can be continued for an additional 24 weeks (48 weeks total)
PEGINTERFERON ALFA-2B AND RIBAVIRIN (Pegetron and Pegetron Redipen Injection/Capsule)

- a 24 week period will initially be approved at which time a further request will be required documenting the patient's
response. If a positive response occurs, coverage can be continued for an additional 24 weeks (48 weeks total).
PENTOXIFYLLINE (Trental 400mg Tablet and generic brands)

- for the treatment of patients with ulcers due to ischemia of critical limbs
PILOCARPINE, ORAL (Salagen 5mg Tablet)

- for oncology patients only
- for the treatment of the symptoms of xerostomia due to salivary gland hypofunction caused by radiotherapy for cancer of
the head and neck
PIOGLITAZONE (Actos 15mg, 30mg, 45mg Tablet and generic brands)

- for treatment of Type II diabetes in patients who have:
inadequate glycemic control on optimal doses of sulfonylurea and metformin; or
demonstrated intolerance or contraindication to metformin and are on optimal doses of sulfonylurea; or
demonstrated intolerance or contraindication to sulfonylurea and are on optimal does of metformin
- patients must have a recent A1C of < 10% unless insulin therapy is inappropriate for the patient. Duration of intial
approval will be 6 months; further coverage will require demonstrated evidence of efficacy (a reduction of A1C of 0.7
observed to continue coverage)
PROTON PUMP INHIBITORS (PPIs)

-
Omeprazole, Rabeprazole, and Pantoprazole magnesium (higher than standard daily doses)
failed standard daily doses of full benefit PPIs (20mg of omeprazole, 20mg of rabeprazole or 40mg of pantoprazole
magnesium)
- coverage duration: 8 week trial, followed by up to one year of coverage. Use beyond the 8 week trial will be considered if
step down to standard dose is not successful
NOTE: Omeprazole, rabeprazole and pantoprazole magnesium are available as full benefits if the dose does not
exceed the standard dose of 20mg per day for omeprazole and rabeprazole and 40mg per day for
pantoprazole magnesium (maximum of 400 tablets/capsules per year).
Pantoprazole Sodium and Lansoprazole
- failure of a trial of all open benefit PPIs (omeprazole, rabeprazole, and pantoprazole magnesium)
- coverage duration: yearly coverage
QUINAGOLIDE (Norprolac 0.025mg, 0.05mg, 0.075mg, 0.15mg Tablet)

- for the treatment of hyperprolactinemia (idiopathic or originating from a prolactin secreting micro or macro-adenoma of
the pituitary) after failure of bromocriptine (as determined by prolactin levels) or if bromocriptine is not tolerated
October 2011
Appendix III 19
RABEPRAZOLE (Pariet 10mg, 20mg Tablet and generic brands)

NOTE: Rabeprazole is available as a full benefit if the dose does not exceed the standard dose of 20mg per day
(maximum of 400 tablets per year). If the dosage is greater than 20mg per day then the criteria for coverage
must be met.
RALOXIFENE (Evista 60mg and generic brands)

- for the treatment of postmenopausal osteoporosis associated with documented fragility fracture when bisphosphonates
are not tolerated or are contraindicated
- for the treatment of postmenopausal osteoporosis without documented fractures when patient is at high 10 year fracture
risk (using fracture risk tables) and bisphosphonates are not tolerated or are contraindicated
RILUZOLE (Rilutek 50mg Tablet)

- for the treatment of amyotrophic lateral sclerosis (ALS) or Lou Gehrigs Disease, when initiated by a neurologist with
expertise in the management of ALS, when the patient has:
probable or definite diagnosis of ALS
ALS symptoms for less than five years
FVC >60% predicted upon initiation of therapy
no tracheostomy for invasive ventilation
- coverage to be reviewed every six months
- coverage cannot be renewed once the patient has a tracheostomy for the purpose of invasive ventilation or mechanical
ventilation
*RISEDRONATE (Actonel 5mg, 30mg, 35mg Tablet and generic brands)

- for the treatment of osteoporosis associated with documented fracture
- for the treatment of osteoporosis without documented fracture when patient is at high 10 year fracture risk (using
- as prophylaxis of corticosteroid induced osteoporosis in patients who will be, or have been, on systemic corticosteroid
- Pagets disease of bone (2 month limit, one re-treatment course may be considered)
RISPERIDONE (Risperdal Consta 25mg/mL, 37.5mg/Ml, 50mg/2mL Injection)

- for patients having problems with compliance on an oral antipsychotic or
- for patients who are currently receiving a conventional depot antipsychotic and are experiencing significant side effects
(EPS or TD) or lack of efficacy
RITUXIMAB (Rituxan 10mg/mL Injection)

- for the treatment of adult patients with severe active rheumatoid arthritis who have failed to respond to an adequate trial
with an anti-TNF agent
- cannot be used concomitantly with anti-TNF agents
- written request from a rheumatologist or prescriber with a specialty in rheumatology
- approval for re-treatment with rituximab will only be considered for patients who have achieved a response, followed by
a subsequent loss of effect and, after an interval of no less than six months from the previous dose
RIVAROXABAN (Xarelto 10mg Tablet)

- for the prophylaxis of venous thromboembolism following total knee replacement or total hip replacement, for up to two
weeks, as an alternative to low molecular weight heparins
- dose limited to 10mg per day for up to two weeks supply only
RIVASTIGMINE (Exelon 2mg/mL Oral Liquid And 1.5mg, 3mg, 4.5mg, 6mg Capsule and generic brands)
RIZATRIPTAN (Maxalt 5mg, 10mg Tablets and 5mg, 10mg Wafers)

October 2011
Appendix III 20
*SACCHARATED IRON OXIDE (Venofer 20mg/mL Injection)

- for patients in whom parenteral iron is indicated and who have had a hypersensitivity or anaphylactic reaction to IV iron
dextran
*SALBUTAMOL (0.5mg/mL, 1mg/mL, 2mg/mL Unit Dose Inhaled Solution And 5mg/mL Inhaled Solution- See
Formulary Listings For Product Names)
*SALBUTAMOL, IN COMBINATION (Combivent Inhaled Solution and generic brands)

SALMETEROL (Serevent 50mcg/dose Diskhaler and 50mcg/dose Diskus)

- See Long-Acting Beta2-Agonists
SALMETEROL IN COMBINATION (Advair 50/100mcg, 50/250mcg, 50/500mcg Diskus and HFA 25/125
mcg/dose, HFA 25/250 mcg/dose Inhaler)
- See Long-Acting Beta2-Agonists/Inhaled Corticosteroids
SELECTIVE 5HT1 - RECEPTOR AGONISTS (Almotriptan Tablets, Naratriptan Tablets, Rizatriptan Tablets &
Wafers, Sumatriptan Nasal Spray, Zolmitriptan Tablets & Nasal Spray)
- for the treatment of migraine1 headache of moderate2 intensity when other therapies (e.g., NSAIDs, acetaminophen,
DHE spray) are not effective, AND patients have not responded to oral sumatriptan.
- for the treatment of migraine1 headache of severe2 or ultra severe2 intensity when patients have not responded to oral
sumatriptan
NOTE: Coverage limited to 18 doses every 3 months 3.
1.
As diagnosed based on current Canadian Guidelines

Definitions: Moderate - pain is distracting causing need to slow down and limit activities; Severe - pain affects ability to
concentrate and very difficult to continue with daily activities; Ultra severe - unable to speak or think clearly, not able to
function, likely lying down or sleeping.
3.
A quantity limit of 6 doses per month will be instituted for all clients. This will be adjudicated by limiting the quantity
payable each quarter (e.g., Jan to Mar) to 18 doses*. Patients with >3 migraines/month who are on prophylactic
therapy may qualify for additional doses, upon written request.
* Please note: One dose = one tablet, one wafer, one spray or one 0.5mL pre-filled syringe.
2
*SEROTONIN (5-HT3) ANTAGONISTS (Dolasetron, Granisetron, Ondansetron)
- for the treatment of emesis in patients who are:

receiving moderately or severely emetogenic chemotherapy [Criteria Code 01] or
receiving intravenous chemotherapy or radiotherapy and who have not experienced adequate control with other
available antiemetics [Criteria Code 02] or
receiving intravenous chemotherapy or radiotherapy and who are experiencing intolerable side effects to other
antiemetics, including steroids and anti-dopaminergic agents [Criteria Code 03]
NOTE: Use of criteria codes is limited to appropriate doses pre and post chemotherapy or radiation. Criteria codes
must not be used for claims related to other causes of nausea and vomiting or for long term, daily management
of nausea and vomiting.
SEVELAMER (Renagel 800mg Tablet)

- upon the written request of a nephrologist or other prescriber within the Provincial Dialysis Program
- for the treatment of hyperphosphatemia (>1.8 mmol/L) and calciphylaxis (calcific arteriolopathy) or hypercalcemia after
failure on a magnesium-based binder
NOTE: The initial coverage will be for a three-month period. Renewals will be at six month intervals when there has
been a significant reduction in phosphate levels (a decrease of more than 0.7mmol of phosphate).
October 2011
Appendix III 21
SILDENAFIL (Revatio 20mg Tablet and generic brands)

- written request from a pulmonary arterial hypertension (PAH) specialist only
- diagnosis of PAH should be confirmed by right heart catheterization
- dose of sildenafil will be limited to 20mg tid
- IPAH (functional class III)
for the treatment of patients with World Health Organization (WHO) functional class III idiopathic pulmonary arterial
hypertension (IPAH) who do not demonstrate vasoreactivity on testing, or who do demonstrate vasoreactivity on
testing but fail a trial of calcium channel blockers (CCB), or are intolerant to CCB
- PAH secondary to connective tissue disease (functional class III)
for the treatment of patients with World Health Organization (WHO) functional class III pulmonary hypertension
associated with connective tissue disease who do not respond to conventional therapy
SITAGLIPTIN (Januvia 100mg Tablet)

- for treatment of Type II diabetes in patients who have:
inadequate glycemic control on optimal doses of sulfonylurea and metformin; or
demonstrated intolerance or contraindication to metformin and are on optimal doses of sulfonylurea; or
demonstrated intolerance or contraindication to sulfonylurea and are on optimal doses of metformin;
patients must have a recent A1C of <10% unless insulin therapy is inappropriate for the patient. Duration of initial approval will
be 6 months; further coverage will require demonstrated evidence of efficacy (a reduction of A1C of 0.7 observed to continue
coverage)
SITAGLIPTIN AND METFORMIN (Janumet 50/500mg, 50/850mg, and 50/1000mg Tablet)

- for combination treatment of type 2 diabetes mellitus for patients already stabilized on combination treatment with the
individual components of metformin and sitagliptin
SOLIFENACIN (Vesicare 5mg, 10mg Tablet)

SOMATROPIN (Humatrope, Nutropin, Nutropin Aq, Saizen Injection)

- for treatment of growth hormone deficiency in patients with Turner Syndrome, upon the request of an endocrinologist or
prescriber with a specialty in endocrinology
NOTE: The larger 8.8mg/vial format can be approved when suitable for dosing requirements, if it does not result in drug
wastage.
*SORAFENIB (Nexavar 200mg Tablet)

- as a single agent first line systemic therapy option in adult patients with a diagnosis of hepatocellular carcinoma (HCC)
with Child-Pugh Class A liver dysfunction (mild hepatic impairment) with ECOG performance status 0-1; and who have
either progression of disease, or who are not candidates for curative intent treatments (transplantation, hepatic
resection), or other well established palliative interventions (ablation, transcatheter arterial chemo-embolization (TACE),
internal radiation)
- as a single agent for second line treatment of patients with documented evidence of histologically confirmed advanced
or metastatic clear cell renal cell carcinoma, considered to be intermediate or low risk (according to Memorial SloanKettering (MSKCC) prognostic score), have an ECOG performance status of 0 or 1 and progressed after prior cytokine
therapy (or intolerance) within the previous 8 months. In any one patient all of the following conditions must be met:
Sorafenib may be a second line option only after cytokine therapy
Sorafenib may not be used after another tyrosine kinase inhibitor (i.e., sunitinib) as sequential therapy
In the event of severe toxicity within the first 8 weeks of therapy, a switch to another tyrosine kinase inhibitor (i.e.,
sunitinib) may be allowed
- coverage approved for 5 months with reassessment
October 2011
Appendix III 22
SUMATRIPTAN (Imitrex 50mg, 100mg Tablet and generic brands)
- for the treatment of migraine1 headache when:

migraines are moderate2 in severity and other therapies (e.g., NSAIDs, acetaminophen, DHE spray) are not effective,
or
migraine attacks are severe2 or ultra severe2
1.

3.
2.
SUMATRIPTAN (Imitrex 6mg/Syringe Injection)
- for the treatment of migraine1 headache of moderate2 intensity when other therapies (e.g., NSAIDs, acetaminophen,
DHE spray) are not effective, AND oral and nasal triptans are not appropriate
- for the treatment of migraine1 headache of severe2 or ultra severe2 intensity when oral and nasal triptans are not
appropriate
1.

3.
2.
*SUNITINIB (Sutent 12.5mg, 25mg, 50mg Capsule)

- as a single agent first line treatment in patients with documented evidence of histologically confirmed advanced or
metastatic clear cell renal cell carcinoma who have an ECOG performance status of 0 or 1. In any one patient all of the
following conditions must be met:
Sunitinib may be a first line option
Sunitinib may not be used after another tyrosine kinase inhibitor (i.e., sorafenib) as sequential therapy.
In the event of severe toxicity within the first 8 weeks of therapy, a switch to another tyrosine kinase inhibitor (i.e.,
sorafenib) may be allowed
- as a single agent for the treatment of advanced gastrointestinal stromal tumor (GIST) patients after failure of imatinib
due to intolerance or resistance
- coverage approved for 9 months with reassessment
TACROLIMUS (Protopic 0.03%, 0.1% Ointment)

- for children greater than 2 years of age with refractory atopic dermatitis. Coverage will be renewed yearly
- for the intermittent use for moderate to severe atopic dermatitis in adults who have:
failed or are intolerant to a site appropriate strength of corticosteroid therapy (i.e., low potency on face versus
intermediate to high potency for trunk and extremities)
TAZAROTENE (Tazorac 0.05%, 0.1% Gel)

- for use in psoriasis therapy when conventional therapies have been ineffective or inappropriate
October 2011
Appendix III 23
*TEMOZOLOMIDE (Temodal 5mg, 20mg, 100mg, 200mg Capsule)

- in combination with radiotherapy (concomitant therapy) and as adjuvant therapy (post radiation for 6 cycles) for newly
diagnosed high grade glioma patients with a good performance status (PS) (Karnofsky 60) and who choose to receive
first line systemic chemotherapy
- use as a single agent may be considered for patients with recurrent high grade glioma and a good PS (Karnofsky 60)
who have not previously been treated with first line combination (temozolomide and radiation) therapy
- use as a single agent may be considered for patients with high grade glioma who have recurrent disease occurring
during their initial adjuvant therapy. Other systemic treatment options such as etoposide, nitrosourea based therapy or
a clinical trial should be considered for patients who recur immediately following temozolomide therapy. Rechallenge
with temozolomide could be considered for patients with a temozolomide free interval of six months
TENOFOVIR DISOPROXIL (Viread 300mg Tablet)

- for the treatment of chronic hepatitis B infection in patients with:
documented cirrhosis on radiologic or histologic grounds AND
a HBV DNA concentration above 2000iu/mL
TERBINAFINE (Lamisil 250mg Tablet and generic brands)

- for the treatment of severe onychomycosis caused by dermatophyte fungi as diagnosed by a dermatologist, attending
prescriber with a specialty in dermatology
TESTOSTERONE, TOPICAL (Androderm Patch, Androgel Gel Packet & Testim Gel)
- for the treatment of congenital and acquired primary or secondary hypogonadism in males with a specific
diagnosis of:
Primary: cryptorchidism, Klinefelter's, orchidectomy, and other established causes
Secondary: pituitary-hypothalamic injury due to tumors, trauma, radiation
deficiency should be clearly demonstrated by clinical features and confirmed by two separate biochemical tests
before initiating any therapy
NOTE: Maximum dose approved is 5g per day or a 5mg patch per day.
This will be adjudicated by limiting the quantity payable each quarter (e.g. Jan-Mar) to:
120 Androderm Patches (2.5mg or 5mg Patch);
300g of Androgel 2.5g gel (packet);
600g of Androgel 5g gel (packet); or
600g of Testim Gel.
Please be reminded that topical gels are to be billed per gram (not per packet).
THYROTROPIN (Thyrogen 0.9mg/mL Injection)

- to monitor for recurrence and metastatic disease, in patients who have documented evidence of thyroid cancer and who
have undergone appropriate surgical and/or medical management. This includes:
primary use in patients with inability to raise an endogenous TSH level (25 mu/L) with thyroid hormone withdrawal
primary use in cases of documented morbidity in patients for whom severe hypothyroidism could be life-threatening
secondary use in patients with previous thyroid hormone withdrawal resulting in a documented life-threatening event
- as a single agent for the preparation of radioiodine remnant ablation in patients with papillary or follicular thyroid cancer
who have undergone thyroidectomy as treatment for thyroid cancer
thyrotropin is a reasonable alternate to thyroid hormone withdrawal in patients who are unable to tolerate the
prolonged hypothyroid state or who cannot achieve satisfactory elevation of endogenous TSH
thyrotropin may be used in new patients or patients with previously incomplete remnant ablation or who have a
recurrence of thyroid cancer and require therapeutic remnant ablation
TICLOPIDINE (Ticlid 250mg Tablet and generic brands)

- for the secondary prevention of ischemic stroke or transient ischemic attack (TIA) in patients with a documented severe
allergy to ASA or who experience a recurrent thrombotic event (stroke, symptoms of TIA) while taking ASA [Criteria
Code 01]
- for the prevention of thrombosis in patients post intracoronary stent implantation for a period of up to 30 days following
insertion [Criteria Code 02]
- other requests on a case by case basis
October 2011
Appendix III 24
TIOTROPIUM BROMIDE (Spiriva 18mcg Cap For Inhalation)

- for the treatment of chronic obstructive pulmonary disease (COPD), if symptoms persist after 2-3 months of short-acting
bronchodilator therapy (i.e., salbutamol at a maximum dose of 8 puffs/day or ipratropium at maximum dose of 12
puffs/day)
- coverage can be provided without a trial of short-acting agent if:
there is spirometric evidence of at least moderate to severe airflow obstruction, (i.e., postbronchodilator values FEV1
< 60% and FEV1/FVC ratio < 0.7), and significant symptoms (i.e., MRC score of 3-5**)
- combination therapy with tiotropium and a long-acting beta2 agonist/inhaled corticosteroid will only be considered if:
there is spirometric evidence of at least moderate to severe airflow obstruction (postbronchodilator values FEV1 <
60% and FEV1/FVC ratio < 0.7), and significant symptoms (i.e., MRC score of 3-5**) and
there is evidence of one or more moderate-to-severe exacerbations per year, on average, for 2 consecutive years
requiring antibiotics and/or systemic (oral or intravenous) corticosteroids
NOTE: Coverage of combination therapy with tiotropium and a long-acting beta2 agonist (without an inhaled
corticosteroid) will not be considered due to insufficient evidence to support substantial benefit.
If spirometry cannot be obtained, reasons must be clearly explained and other evidence regarding
severity of condition must be provided for consideration (i.e., MRC scale). Spirometry reports from any
point in time will be accepted.
__________________________
** Canadian Thoracic Society COPD Classification By Symptom/Disability:
Moderate - (MRC 3-4) Shortness of breath from COPD causing the patient to stop after walking about 100
meters (or after a few minutes) on the level.
Severe - (MRC 5) Shortness of breath from COPD resulting in the patient being too breathless to leave the
house or breathless after undressing, or the presence of chronic respiratory failure or clinical signs of right heart
failure.
MRC= Medical Research Council Dyspnea Scale
TIZANIDINE (Zanaflex 4mg Tablet and generic brands)

- for the treatment of spasticity resulting from traumatic brain injury, multiple sclerosis (MS), spinal cord injury (SCI) or
cerebral vascular accident (CVA) in patients for whom baclofen is not indicated, ineffective or not tolerated
TOCLIZUMAB (Actemra 80mg/4mL, 200mg/10mL, 400mg/20mL Injection)
for patients with a diagnosis of moderate-to-severely active RA who have failed to resond to an adequate trial of
both disease-modifying antirheumatic drugs (DMARDs) and a tumour necrosis factor (TNF)-alpha inhibitor
therapy must include methotrexate unless contraindicated or not tolerated
written request of rheumatologist or prescriber with a specialty in rheumatology
intial coverage for 16 weeks at dose of 4mg/kg, yearly coverage dependent on patient achieving an improvement in
maximum dose: 800 mg every 4 weeks
TOLTERODINE (Detrol 1mg, 2mg and Detrol LA 2mg, 4mg Tablet)

TOPIRAMATE (Topamax 25mg, 100mg, 200mg Tablet and generic brands and Topamax 15mg, 25mg
Sprinkle Capsule)
- for adjunctive management of epilepsy not satisfactorily controlled by conventional therapy
TRETINOIN (Vitamin A Acid Topical Preparations)

- regular benefit for beneficiaries 30 years and under
- for treatment of actinic keratosis in benificiaries over the age of 30
TROSPIUM (Trosec 20mg Tablet)

October 2011
Appendix III 25
TRYPTOPHAN (Tryptan 500mg Capsule and 500mg, 750mg, 1g Tablet and generic brands)
- as an adjunct for the treatment of depression in the management of patients suffering from bipolar affective disorders
URINARY ANTISPASMODICS, LONG-ACTING (Darifenacin, Oxybutynin XL, Tolterodine, Trospium,

Solifenacin)
- for the treatment of over-active bladder (not stress incontinence) after a reasonable trial of oxybutynin immediaterelease (IR) is not tolerated
- a three month trial will be approved initially with assessment of the effectiveness of this therapy required if further
coverage is considered
URSODIOL (Urso 250mg, DS 500mg Tablet)

- for dissolution of radiolucent, noncalcified gallstones of less than 20mm size for patients who cannot undergo a
cholecystectomy
- for management of cholestatic liver disease such as primary biliary cirrhosis
USTEKINUMAB (Stelara 45mg/0.5mL Injection)

- for patients with severe, debilitating chronic plaque psoriasis (PsO) who meet all of the following criteria:
Body Surface Area (BSA) involvement of >10% and/or significant involvement of the face, hands, feet or
genitals
failure to respond to, contraindication to or intolerant of methotrexate and cyclosporine
failure to respond to, intolerant of or unable to access phototherapy
- written request of a dermatologist or prescriber with a specialty in dermatology
- continued coverage is dependent on evidence of improvement, specifically:
75% reduction in the Psoriasis Area and Severity Index (PASI) score, or
50% reduction in PASI with a 5 point improvement in DLQI (Dermatology Life Quality Index), or
significant reduction in BSA involved, with consideration of important regions such as the face, hands, feet or
genitals
- concurrent use of biologics not approved
- dosage restricted to 45mg at 0, 4 and 16 weeks, response must be assessed prior to fourth dose
- maintenance dosing every 12 weeks
VALGANCICLOVIR (Valcyte 450mg Tablet)

- for the treatment of cytomegalovirus (CMV) retinitis in HIV-positive patients, upon the request of an infectious disease
specialist or prescriber with a specialty in infectious disease
- for the prevention of CMV disease post kidney, heart, liver or kidney-pancreas transplantation in patients at high-risk
(D+ / R-) (i.e., donor positive/recipient negative). Coverage will be for a maximum of 90 days
VANCOMYCIN (Vancocin 125mg, 250mg Capsule)

- for the treatment of pseudomembranous colitis (PMC) when patients have not responded to initial therapy with
metronidazole, or for initial treatment of severe PMC, or when drug interactions or intolerance, prevent the use of
metronidazole [Criteria Code 01]
VERTEPORFIN (Visudyne 15mg/vial Injection)

- for the treatment of wet age-related macular degeneration (AMD) as prescribed by an authorized ophthalmologist
[Criteria Code 01]
VIGABATRIN (Sabril 0.5g Sachet and 500mg Tablet)

- for adjunctive management of epilepsy not satisfactorily controlled by conventional therapy
VITAMIN B12, INJECTION
- See Cyanocobalamin, Injection
VITAMIN B12, ORAL
- See Cyanocobalamin, Oral
October 2011
Appendix III 26
VORICONAZOLE (Vfend 50mg, 200mg Tablet)

- for the treatment of patients with invasive aspergillosis
- for the treatment of invasive candidiasis (proven on culture) with documented resistance to fluconazole
WET NEBULIZATION SOLUTIONS (Budesonide, Cromoglycate Sodium, Fenoterol, Ipratropium Bromide,

Salbutamol)
- for adult patients with a vital capacity of 900mL or less
- for adult patients with a respiratory rate greater than 25 breaths/minute
- for patients who have demonstrated they cannot follow instructions, cannot hold the spacer device or cannot hold the
device long enough to actuate it
ZAFIRLUKAST (Accolate 20mg Tablet)

- See Leukotriene Receptor Antagonists
ZANAMIVIR (Relenza 5mg Powder For Inhalation)

- for the treatment of long-term care residents with clinically suspected or lab confirmed influenza A or B, when there is
documented resistance to oseltamivir or when oseltamivir is contraindicated. A clinically suspected case is one in which
the patient meets the criteria of influenza-like illness and there is confirmation of influenza A or B circulating within the
facility or surrounding community
- for the prophylaxis of influenza A or B in long term care residents where the facility has an
outbreak, when there is documented resistance to oseltamivir or when oseltamivir is contraindicated.
- a protocol has been developed by Public Health for the treatment of patients in long-term care facilities. The facility must
contact the Medical Officer of Health or local Public Health Office, who will notify the Pharmacare office (or dispensing
pharmacy after office hours) if coverage is required
ZIPRASIDONE (Zeldox 20mg, 40mg, 60mg, 80mg Capsule)

- for the treatment of schizophrenia and schizoaffective disorder
ZOLEDRONIC ACID (Aclasta 5mg/100ml Injection)

- for the treatment of Pagets disease
ZOLMITRIPTAN (Zomig, Zomig Rapimelt 2.5mg Tablet)

October 2011
Appendix III 27
October 2011
Appendix III 28
Product Index
282 .................................................................................. 122
292 .................................................................................. 120
3TC ...................................................................................98
5-aminosalicylic acid ......................................................11
abatacept .......................................................................104
Abilify .............................................................................. 141
acamprosate ..................................................................157
acarbose ..........................................................................15
Accel Pioglitazone ....................................................... 15, 16
Accolate .......................................................................... 165
Accupril .............................................................................45
Accuretic ...........................................................................47
Accutane ...........................................................................65
acebutolol ........................................................................37
Acebutolol .........................................................................37
acenocoumarol ...............................................................20
acetaminophen..............................................................123
acetaminophen, comb. excl. psycholeptics ............... 123
acetazolamide ...............................................................171
acetylcysteine ...............................................................165
Acetylcysteine ................................................................. 165
acetylsalicylic acid (ASA) .............................................122
acetylsalicylic acid (ASA) comb. w psycholeptics..... 122
acetylsalicylic acid (ASA), comb. excl. psycholeptics
...................................................................................122
acitretin ............................................................................59
Aclasta ............................................................................ 116
Actemra........................................................................... 105
Actonel ....................................................................115, 116
Actos ........................................................................... 15, 16
Acular .............................................................................. 170
acyclovir ....................................................................60, 96
Adalat ..........................................................................39, 40
Adalat XL ..........................................................................40
Adalat XL Plus ..................................................................40
adalimumab ...................................................................104
Adcirca ..............................................................................73
Adderall XR ............................................................. 153, 154
adefovir dipivoxil ............................................................98
Advagraf.......................................................................... 105
Advair .............................................................................. 163
Advicor ..............................................................................55
Aerius .............................................................................. 166
AeroChamber.................................................................. 167
AeroChamber Max .......................................................... 167
Aggrenox...........................................................................21
Agrylin ............................................................................. 101
Airomir ............................................................................ 162
Alcaine ............................................................................ 173
Alcomicin......................................................................... 169
Aldactazide .......................................................................32
Aldactone ..........................................................................31
Aldara ...............................................................................60
Aldomet .............................................................................28
Aldurazyme .......................................................................18
alefacept ........................................................................104
alendronate....................................................................115
Alendronate..................................................................... 115
Alendronate-FC............................................................... 115
alendronic acid..............................................................115
alendronic acid and colecalciferol ..............................116
Alertec ............................................................................. 154
Alesse ...............................................................................69
alfacalcidol ......................................................................16
Alfenta ............................................................................. 117
October 2011
alfentanil ....................................................................... 117

Alfentanil ........................................................................ 117
alfuzosin ......................................................................... 73
algucosidase alfa ........................................................... 18
aliskiren .......................................................................... 50
Alkeran ............................................................................. 99
Allegra ............................................................................ 166
Allergy Serum................................................................. 177
allopurinol ..................................................................... 114
almotriptan ................................................................... 124
Alphagan ........................................................................ 171
Alphagan P .................................................................... 171
alprazolam .................................................................... 143
Alprazolam ..................................................................... 143
Altace ..........................................................................44, 45
Altace HCT ....................................................................... 47
altretamine .................................................................... 101
aluminum hydroxide ........................................................ 1
Alupent ........................................................................... 164
Alvesco .......................................................................... 163
amantadine ................................................................... 131
Amaryl .........................................................................14, 15
Amatine ............................................................................ 27
ambrisentan .................................................................... 30
amcinonide ..................................................................... 62
Amerge .......................................................................... 124
Amevive ......................................................................... 104
amikacin .......................................................................... 91
Amikacin .......................................................................... 91
Amikin .............................................................................. 91
amiloride ......................................................................... 32
aminobenzoate potassium, systemic ........................... 66
aminophylline ............................................................... 165
amiodarone ..................................................................... 26
Amiodarone ...................................................................... 26
amitriptyline .................................................................. 147
amitriptyline amd psycholeptics................................. 155
amlodipine ...................................................................... 39
amoxicillin ...................................................................... 84
Amoxicillin ........................................................................ 84
amoxicillin and enzyme inhibitor .................................. 85
Amoxicillin Sugar Reduced .............................................. 84
Amoxil .............................................................................. 84
amphetamines .............................................................. 153
amphotericin................................................................... 94
ampicillin ........................................................................ 84
Anafranil ......................................................................... 146
anagrelide ..................................................................... 101
anakinra ........................................................................ 105
Anandron ....................................................................... 102
Anaprox .......................................................................... 110
Anaprox DS .................................................................... 110
anastrozole ................................................................... 103
Andriol .............................................................................. 70
Androcur .......................................................................... 72
Androderm ....................................................................... 70
Androgel ........................................................................... 70
anethole trithone ............................................................ 18
Anexate .......................................................................... 177
Anodan-HC .................................................................32, 33
Ansaid ............................................................................ 111
antacids, ordinary salt comb........................................... 1
antacids, ordinary salt comb. and antiflatulents ........... 1
Anthraforte ....................................................................... 59
anthralin .......................................................................... 59
Product Index 1
Product Index
Anthralin ............................................................................59
Anthranol...........................................................................59
Anthrascalp .......................................................................59
antibiotics (ophthalmic), comb. ...................................169
antibiotics, comb. ...........................................................60
antiinfectives, comb. .............................................. 23, 175
antispasmodics, comb. ....................................................6
Anturan ........................................................................... 114
Anugesic-HC .....................................................................33
Anusol-HC................................................................... 32, 33
Anzemet ..............................................................................7
APC-Cetirizine ................................................................ 166
APC-Ferrous Gluconate ....................................................22
APC-Ibuprofen ................................................................ 109
APC-Loperamide ..............................................................10
APC-Loratadine .............................................................. 166
Apidra ...............................................................................12
Apo-Acebutolol..................................................................37
Apo-Acyclovir ....................................................................96
Apo-Alendronate ............................................................. 115
Apo-Alfuzosin ....................................................................73
Apo-Alpraz ...................................................................... 143
Apo-Amiloride ...................................................................32
Apo-Amilzide .....................................................................32
Apo-Amiodarone ...............................................................26
Apo-Amlodipine.................................................................39
Apo-Amoxi ........................................................................84
Apo-Amoxi Clav .......................................................... 85, 86
Apo-Atenidone ..................................................................38
Apo-Atenol ........................................................................36
Apo-Atomoxetine ............................................................155
Apo-Atomoxtine ..............................................................154
Apo-Atorvastatin ......................................................... 53, 54
Apo-Azathioprine ............................................................ 105
Apo-Azithromycin ..............................................................90
Apo-Baclofen .................................................................. 113
Apo-Beclo ....................................................................... 161
Apo-Benztropine ............................................................. 131
Apo-Benzydamine ...............................................................1
Apo-Bicalutamide ............................................................ 102
Apo-Bisacodyl .....................................................................9
Apo-Bisoprolol...................................................................37
Apo-Brimonidine ............................................................. 171
Apo-Brimonidine P .......................................................... 171
Apo-Bromazepam ........................................................... 143
Apo-Bromocriptine ............................................................68
Apo-Buspirone ................................................................ 144
Apo-Butorphanol ............................................................. 121
Apo-Calcitonin...................................................................81
Apo-Candesartan ..............................................................49
Apo-Capto ................................................................... 42, 43
Apo-Carbamazepine ....................................................... 126
Apo-Carvedilol ..................................................................38
Apo-Cefaclor .....................................................................87
Apo-Cefadroxil ..................................................................87
Apo-Cefprozil .............................................................. 87, 88
Apo-Cefuroxime ................................................................87
Apo-Cephalex ...................................................................86
Apo-Cetirizine ................................................................. 166
Apo-Chlorax ........................................................................6
Apo-Chlordiazepoxide ..................................................... 142
Apo-Chlorhexidine ..............................................................1
Apo-Chlorpropamide .........................................................14
Apo-Chlorthalidone ...........................................................30
Apo-Ciclopirox...................................................................57
Apo-Cilazapril.............................................................. 45, 46
October 2011
Apo-Cilazapril/HCTZ ........................................................ 47
Apo-Cimetidine............................................................... 1, 2
Apo-Ciproflox ............................................................92, 170
Apo-Ciprofloxacin ............................................................. 92
Apo-Citalopram .............................................................. 149
Apo-Clarithromycin........................................................... 90
Apo-Clindamycin .............................................................. 91
Apo-Clobazam ............................................................... 143
Apo-Clomipramine ......................................................... 146
Apo-Clonazepam ........................................................... 126
Apo-Clonidine................................................................... 28
Apo-Clorazepate ............................................................ 142
Apo-Cloxi ......................................................................... 85
Apo-Clozapine................................................................ 136
Apo-Cyclobenzaprine ..................................................... 114
Apo-Cyclosporine ........................................................... 105
Apo-Cyproterone .............................................................. 72
Apo-Desipramine ....................................................145, 146
Apo-Desmopressin........................................................... 77
Apo-Dexamethasone ....................................................... 79
Apo-Diazepam ........................................................141, 142
Apo-Diclo ................................................................107, 108
Apo-Diflunisal ................................................................. 122
Apo-Diltiaz ........................................................................ 42
Apo-Diltiaz CD.................................................................. 41
Apo-Diltiaz TZ .............................................................41, 42
Apo-Dipyridamole............................................................. 21
Apo-Dipyridamole-FC ....................................................... 21
Apo-Divalproex............................................................... 127
Apo-Domperidone .............................................................. 7
Apo-Dorzo-Timop ........................................................... 172
Apo-Doxazosin ................................................................. 29
Apo-Doxepin .................................................................. 147
Apo-Doxy ......................................................................... 83
Apo-Enalapril.................................................................... 43
Apo-Enalapril Maleate/HCTZ ........................................... 46
Apo-Erythro ...................................................................... 89
Apo-Erythro-EC ................................................................ 89
Apo-Erythro-ES ................................................................ 89
Apo-Erythro-S .................................................................. 90
Apo-Esomeprazole............................................................. 5
Apo-Etodolac ................................................................. 108
Apo-Famciclovir ..........................................................96, 97
Apo-Famotidine .................................................................. 3
Apo-Feno-Micro ............................................................... 55
Apo-Feno-Super............................................................... 55
Apo-Ferrous Gluconate .................................................... 22
Apo-Flavoxate .................................................................. 72
Apo-Flecainide ................................................................. 26
Apo-Floctafenine ............................................................ 123
Apo-Fluconazole .............................................................. 95
Apo-Flunarizine .............................................................. 158
Apo-Flunisolide .............................................................. 161
Apo-Fluoxetine ............................................................... 148
Apo-Fluphenazine .......................................................... 134
Apo-Flurazepam............................................................. 144
Apo-Flurbiprofen ............................................................ 111
Apo-Flutamide ................................................................ 102
Apo-Fluticasone ............................................................. 161
Apo-Fluvoxamine ....................................................150, 151
Apo-Folic Acid .................................................................. 22
Apo-Fosinopril .................................................................. 46
Apo-Furosemide............................................................... 31
Apo-Gabapentin ......................................................129, 130
Apo-Gain .......................................................................... 66
Apo-Gemfibrozil ............................................................... 54
Product Index 2
Product Index
Apo-Gliclazide ...................................................................14
Apo-Glimepiride .......................................................... 14, 15
Apo-Glyburide ...................................................................14
Apo-Granisetron..................................................................7
Apo-Haloperidol .............................................................. 135
Apo-Hydralazine ...............................................................29
Apo-Hydro .........................................................................30
Apo-Hydroxyquine .......................................................... 159
Apo-Hydroxyurea ............................................................ 101
Apo-Hydroxyzine..................................................... 143, 144
Apo-Ibuprofen ................................................................. 109
Apo-Imipramine............................................................... 146
Apo-Indapamide................................................................31
Apo-Indomethacin ........................................................... 107
Apo-Ipravent ........................................................... 161, 163
Apo-ISDN ..........................................................................28
Apo-ISMN .........................................................................28
Apo-Keto ......................................................................... 111
Apo-Ketoconazole .............................................................94
Apo-Keto-E ..................................................................... 111
Apo-Ketorolac ......................................................... 108, 170
Apo-Lactulose .....................................................................9
Apo-Lamotrigine.............................................................. 128
Apo-Lansoprazole ...............................................................4
Apo-Latanoprost ............................................................. 173
Apo-Leflunomide ............................................................. 104
Apo-Levetiracetam .......................................................... 130
Apo-Levocarb.................................................................. 131
Apo-Levofloxacin ..............................................................93
Apo-Lisinopril .............................................................. 43, 44
Apo-Lisinopril/HCTZ .................................................... 46, 47
Apo-Lithium Carbonate ................................................... 139
Apo-Loperamide ...............................................................10
Apo-Loratadine ............................................................... 166
Apo-Lovastatin ..................................................................52
Apo-Medroxy.....................................................................71
Apo-Mefenamic ............................................................... 111
Apo-Mefloquine ............................................................... 159
Apo-Megestrol................................................................. 101
Apo-Meloxicam ............................................................... 109
Apo-Memantine............................................................... 156
Apo-Metformin ..................................................................13
Apo-Methazolamide ........................................................ 171
Apo-Methoprazine ........................................................... 133
Apo-Methotrexate .............................................................99
Apo-Methyldopa ................................................................28
Apo-Methylphenidate ...................................................... 154
Apo-Metoclop ......................................................................6
Apo-Metoprolol............................................................ 35, 36
Apo-Metoprolol SR ............................................................36
Apo-Metoprolol-L ........................................................ 35, 36
Apo-Metronidazole ............................................................94
Apo-Midodrine...................................................................27
Apo-Minocycline................................................................83
Apo-Mirtazapine .............................................................. 152
Apo-Misoprostol ..................................................................3
Apo-Moclobemide ........................................................... 151
Apo-Modafinil .................................................................. 154
Apo-Nabumetone ............................................................ 112
Apo-Nadol .........................................................................35
Apo-Napro-Na ................................................................. 110
Apo-Napro-Na DS ........................................................... 110
Apo-Naproxen ................................................................. 110
Apo-Nitrazepam .............................................................. 144
Apo-Nitrofurantoin .............................................................94
Apo-Nizatidine.....................................................................3
October 2011
Apo-Norflox ...................................................................... 92
Apo-Nortriptyline ............................................................ 147
Apo-Oflox ......................................................................... 91
Apo-Ofloxacin................................................................. 169
Apo-Olanzapine ......................................................137, 138
Apo-Omeprazole ............................................................ 3, 4
Apo-Ondansetron ............................................................... 7
Apo-Orciprenaline .......................................................... 164
Apo-Oxaprozin ............................................................... 111
Apo-Oxazepam .............................................................. 142
Apo-Oxcarbazepine ....................................................... 127
Apo-Oxybutynin................................................................ 73
Apo-Oxycodone/Acet ..................................................... 123
Apo-Pantoprazole .............................................................. 4
Apo-Paroxetine .......................................................149, 150
Apo-Pen VK ..................................................................... 85
Apo-Pentoxifylline ............................................................ 32
Apo-Perphenazine ......................................................... 134
Apo-Pimozide ................................................................. 136
Apo-Pindol ..................................................................33, 34
Apo-Pioglitazone .........................................................15, 16
Apo-Piroxicam ................................................................ 108
Apo-Pramipexole............................................................ 132
Apo-Pravastatin...........................................................52, 53
Apo-Prazo ........................................................................ 29
Apo-Prednisone ............................................................... 80
Apo-Primidone ............................................................... 125
Apo-Prochlorazine.......................................................... 134
Apo-Propafenone ............................................................. 26
Apo-Propranolol ............................................................... 34
Apo-Quetiapine .......................................................138, 139
Apo-Quinine ................................................................... 159
Apo-Rabeprazole ........................................................... 4, 5
Apo-Raloxifene................................................................. 72
Apo-Ramipril ...............................................................44, 45
Apo-Ranitidine.................................................................... 2
Apo-Risedronate ............................................................ 116
Apo-Risperidone .............................................139, 140, 141
Apo-Rivastigmine ....................................................155, 156
Apo-Salvent ............................................................162, 164
Apo-Selegiline ................................................................ 133
Apo-Sertraline ................................................................ 150
Apo-Sibutramine .............................................................. 11
Apo-Simvastatin ..........................................................51, 52
Apo-Sotalol ...................................................................... 35
Apo-Sucralfate ................................................................... 5
Apo-Sulfatrim ................................................................... 89
Apo-Sulfatrim DS ............................................................. 89
Apo-Sulfinpyrazone ........................................................ 114
Apo-Sulin ....................................................................... 107
Apo-Sumatriptan ............................................................ 124
Apo-Tamox .................................................................... 102
Apo-Temazepam............................................................ 145
Apo-Tenoxicam .............................................................. 109
Apo-Terazosin .................................................................. 74
Apo-Terbinafine................................................................ 58
Apo-Tetra ......................................................................... 83
Apo-Theo ....................................................................... 164
Apo-Theo LA .................................................................. 165
Apo-Tiaprofenic .............................................................. 111
Apo-Ticlopidine ................................................................ 20
Apo-Timol ......................................................................... 34
Apo-Timop ..................................................................... 172
Apo-Tizanidine ............................................................... 113
Apo-Tolbutamide .............................................................. 14
Apo-Topiramate ......................................................128, 129
Product Index 3
Product Index
Apo-Tramadol /Acet Tab ................................................. 122
Apo-Trazodone ............................................................... 152
Apo-Triazide......................................................................32
Apo-Triazo ...................................................................... 144
Apo-Trifluoperazine ......................................................... 134
Apo-Trihex ...................................................................... 130
Apo-Trimebutine .................................................................5
Apo-Trimethoprim .............................................................89
Apo-Trimip ...................................................................... 146
Apo-Tryptophan .............................................................. 151
Apo-Valacyclovir ...............................................................97
Apo-Valproic ................................................................... 127
Apo-Venlafaxine.............................................................. 153
Apo-Verap .........................................................................40
Apo-Warfarin ............................................................... 19, 20
Apo-Zidovudine .................................................................97
Apo-Zopiclone ................................................................. 145
apraclonidine.................................................................171
aprepitant...........................................................................8
Apresoline .........................................................................29
Apri 21 ..............................................................................69
Apri 28 ..............................................................................69
Aptivus ..............................................................................97
Aralen ............................................................................. 159
Aranesp ............................................................................23
Arava .............................................................................. 104
Aredia ............................................................................. 115
AreoChamber.................................................................. 167
Aricept ............................................................................. 155
Arimidex .......................................................................... 103
Aristocort ...........................................................................61
Aristospan .........................................................................80
Arixtra ...............................................................................21
Aromasin ......................................................................... 103
Arthrotec ......................................................................... 108
artificial tears.................................................................174
Artificial Tears ................................................................. 174
Asacol ...............................................................................11
Atacand .............................................................................49
Atacand Plus .....................................................................50
Atarax ..................................................................... 143, 144
Atasol ...................................................................... 120, 123
atazanavir ........................................................................97
atenolol and other diuretics ...........................................38
Ativan ...................................................................... 142, 143
atomoxetine ...................................................................154
atorvastatin......................................................................53
Atorvastatin ................................................................. 53, 54
atorvastatin and amlodipine ..........................................56
atovaquone ....................................................................159
Atripla ................................................................................98
atropine ......................................................................6, 173
Atropine ......................................................................6, 173
Atrovent .......................................................... 161, 163, 164
auranofin........................................................................112
Auro-Mirtazapine ............................................................. 152
Auro-Nevirapine ................................................................98
Auro-Terbinafine ...............................................................58
Avalide ..............................................................................50
Avandamet ........................................................................15
Avandia .............................................................................15
Avapro ..............................................................................48
Avelox ...............................................................................93
Aventyl ............................................................................ 147
Aviane ...............................................................................69
Avodart .............................................................................75
October 2011
Avonex ........................................................................... 103

Axert ............................................................................... 124
Axid .................................................................................... 3
Azarga ............................................................................ 172
azathioprine .................................................................. 105
Azathioprine ................................................................... 105
Azilect ............................................................................ 133
azithromycin ................................................................... 90
Azithromycin .................................................................... 90
Azopt .............................................................................. 171
bacampicillin .................................................................. 84
Bacid ................................................................................ 11
bacitracin ........................................................................ 59
Bacitracin ......................................................................... 59
baclofen ........................................................................ 113
Baclofen ......................................................................... 113
Bacteriostatic Water ....................................................... 178
Bactroban ......................................................................... 60
Baraclude ......................................................................... 98
Basaljel .............................................................................. 1
BCG vaccine ................................................................. 104
becaplermin .................................................................... 58
beclomethasone ....................................................161, 163
Beconase ....................................................................... 161
Bellergal ............................................................................. 6
Benadryl ......................................................................... 166
benazepril ....................................................................... 45
Benoxyl ............................................................................ 65
Bentylol .............................................................................. 5
Benuryl ........................................................................... 114
BenzaClin ......................................................................... 65
benzethonium chloride, comb. ..................................... 64
benzoyl peroxide ............................................................ 65
benztropine ................................................................... 131
benzydamine .................................................................... 1
Betaderm ....................................................................61, 62
Betadine ......................................................................64, 67
Betagan .......................................................................... 172
betahistimine ................................................................ 157
betaine ............................................................................ 17
Betaject ............................................................................ 78
Betaloc ........................................................................35, 36
betamethasone ..............................................10, 61, 64, 78
betamethasone and antibiotics..................................... 64
betamethasone and antiinfectives.............................. 175
Betaseron ....................................................................... 103
Betaxin ............................................................................. 17
betaxolol ....................................................................... 172
bethanechol .................................................................. 157
Betnesol ........................................................................... 10
Betoptic-S ...................................................................... 172
bezafibrate ...................................................................... 54
Bezalip ............................................................................. 54
Biaxin ............................................................................... 90
bicalutamide ................................................................. 102
Biclutamide .................................................................... 102
bimatoprost .................................................................. 173
Bion Tears ...................................................................... 174
Biphentin ........................................................................ 154
bisacodyl .......................................................................... 9
bismuth subsalicylate .................................................... 10
bisoprolol ........................................................................ 37
Blephamide .................................................................... 171
Blocadren ......................................................................... 34
Bonamine ....................................................................... 166
Bonefos .......................................................................... 115
Product Index 4
Product Index
bosentan ..........................................................................30
Botox ............................................................................... 112
botulinum toxin .............................................................112
Bretylate ............................................................................26
bretylium tosylate ...........................................................26
Bretylium Tosylate ............................................................26
Brevicon ............................................................................68
Bricanyl ................................................................... 162, 164
brimonidine ...................................................................171
brinzolamide ..................................................................171
bromazepam ..................................................................143
bromocriptine ..................................................................68
budesonide ...................................................... 11, 161, 163
bumetanide ......................................................................31
bupivacaine ...................................................................117
buprenorphine, comb. ..................................................157
bupropion .............................................................. 153, 157
Burinex ..............................................................................31
Buro-Sol .................................................................... 64, 175
Buscopan ............................................................................8
buserelin ........................................................................102
Buspar ............................................................................ 144
buspirone.......................................................................144
busulfan ...........................................................................99
butoconazole ...................................................................67
butorphanol ...................................................................121
C.E.S. ...............................................................................71
cabergoline ......................................................................68
Caduet ..............................................................................56
Cafergot .......................................................................... 123
Calcimar ............................................................................81
calcipotriol .......................................................................59
calcipotriol, comb. ..........................................................59
calcitonin (salmon synthetic).........................................81
calcitriol ...........................................................................16
calcium acetate .............................................................177
calcium folinate .............................................................178
Campral .......................................................................... 157
candesartan .....................................................................49
candesartan and diuretics..............................................50
Canesten.....................................................................57, 67
cannabinoid (thc) derivatives ..........................................8
cannabinoid derivatives, comb....................................123
capecitabine ..................................................................100
Capoten ......................................................................42, 43
captopril ...........................................................................42
carbachol .......................................................................171
carbamazepine ..............................................................126
carbohydrates .................................................................23
Carbolith.......................................................................... 139
Cardizem...........................................................................42
Cardizem CD ....................................................................41
Cardura .............................................................................29
Carnitor .............................................................................17
carvedilol .........................................................................38
Casodex .......................................................................... 102
Catapres ...........................................................................28
Ceclor ...............................................................................87
CeeNU ..............................................................................99
cefaclor ............................................................................87
cefadroxil .........................................................................87
cefazolin...........................................................................87
Cefazolin Sodium ..............................................................87
cefepime ..........................................................................88
Cefepime...........................................................................88
cefixime............................................................................88
October 2011
cefotaxime ...................................................................... 88
cefprozil .......................................................................... 87
ceftazidime ..................................................................... 88
Ceftin................................................................................ 87
ceftriaxone ...................................................................... 88
Ceftriaxone ....................................................................... 88
cefuroxime ...................................................................... 87
Cefzil ...........................................................................87, 88
Celebrex ......................................................................... 112
celecoxib ....................................................................... 112
Celestoderm-V ............................................................61, 62
Celestone ......................................................................... 78
Celexa ............................................................................ 149
Cellcept .......................................................................... 104
Celontin .......................................................................... 125
Celsentri ........................................................................... 98
cephalexin ...................................................................... 86
Cesamet ............................................................................. 8
Cetamide ........................................................................ 169
cetirizine ....................................................................... 166
chloral hydrate ............................................................. 144
chlorambucil ................................................................... 99
chloramphenicol .....................................................83, 169
chlordiazepoxide .......................................................... 142
chlorhexidine .................................................................... 1
chlormethine................................................................... 99
Chloromycetin Succinate ................................................. 83
chloroquine................................................................... 159
chlorpromazine ............................................................ 133
Chlorpromazine .............................................................. 133
chlorpropamide .............................................................. 14
chlorthalidone ................................................................ 30
Choledyl ..................................................................164, 165
cholestyramine ............................................................... 55
choline theophyllinate ................................................. 164
Chronulac ........................................................................... 9
ciclesonide ................................................................... 163
ciclopirox ........................................................................ 57
cilazapril .......................................................................... 45
Cilazapril .....................................................................45, 46
cilazapril and diuretics .................................................. 47
Ciloxan ........................................................................... 170
cimetidine ......................................................................... 1
Cimzia ............................................................................ 105
cinacalet .......................................................................... 82
Cipralex .......................................................................... 151
Cipro ................................................................................ 92
Ciprodex ......................................................................... 175
ciprofloxacin ............................................................92, 170
Ciprofloxacin .................................................................... 92
Citalopram-Odan ............................................................ 149
Citro Mag ........................................................................... 9
Claforan ........................................................................... 88
clarithromycin ................................................................ 90
Claritin ............................................................................ 166
Clarus ............................................................................... 65
Clavulin .......................................................................85, 86
clidinium and psycholeptics ........................................... 6
Climara ........................................................................70, 71
clindamycin .........................................................65, 67, 91
Clindamycin ..................................................................... 91
clindamycin, comb. ........................................................ 65
Clindoxyl Gel .................................................................... 65
Clinoril ............................................................................ 107
clobazam ....................................................................... 143
clobetasol ....................................................................... 63
Product Index 5
Product Index
clobetasone .....................................................................61
clodronate......................................................................115
clodronic acid................................................................115
Clomid ...............................................................................72
clomifene .........................................................................72
clomipramine.................................................................146
clonazepam ...................................................................125
clonidine ..........................................................................28
Clonidine ...........................................................................28
clopidogrel.......................................................................20
Clopixol ........................................................................... 136
Clopixol-Acuphase .......................................................... 136
Clopixol-Depot ................................................................ 136
clorazepate dipotassium ..............................................142
clostridiopepitidase ........................................................58
Clotrimaderm .............................................................. 57, 67
clotrimazole ...............................................................57, 67
cloxacillin.........................................................................85
clozapine........................................................................136
Clozaril ............................................................................ 136
CO Alendronate .............................................................. 115
CO Amlodipine ..................................................................39
CO Atenolol.......................................................................36
CO Atorvastatin........................................................... 53, 54
CO Azithromycin ...............................................................90
CO Bicalutamide ............................................................. 102
CO Cabergoline ................................................................68
CO Ciprofloxacin ...............................................................92
CO Citalopram ................................................................ 149
CO Clomipramine ........................................................... 146
CO Clonazepam ............................................................. 126
CO Enalapril......................................................................43
CO Etidrocal.................................................................... 116
CO Etidronate ................................................................. 115
CO Famciclovir ........................................................... 96, 97
CO Finasteride ..................................................................74
CO Fluconazole ................................................................95
CO Fluoxetine ................................................................. 148
CO Fluvoxamine ..................................................... 150, 151
CO Gabapentin ............................................................... 129
CO Irbesartan ...................................................................48
CO Irbesartan/HCT ...........................................................50
CO Levetiracetam ........................................................... 130
CO Levofloxacin................................................................93
CO Lisinopril ............................................................... 43, 44
CO Lovastatin ...................................................................52
CO Meloxicam ................................................................ 109
CO Metformin....................................................................13
CO Norfloxacin..................................................................92
CO Olanzapine ....................................................... 137, 138
CO Ondansetron .................................................................7
CO Pantoprazole ................................................................4
CO Paroxetine ........................................................ 149, 150
CO Pioglitazone .......................................................... 15, 16
CO Pramipexole.............................................................. 132
CO Pravastatin............................................................ 52, 53
CO Quetiapine ........................................................ 138, 139
CO Ramipril ................................................................ 44, 45
CO Ranitidine......................................................................2
CO Repaglinide.................................................................16
CO Risperidone ...................................................... 140, 141
CO Ropinirole ................................................................. 132
CO Sertraline .................................................................. 150
CO Simvastatin ........................................................... 51, 52
CO Sotalol.........................................................................35
CO Sumatriptan .............................................................. 124
October 2011
CO Temazepam ............................................................. 145

CO Terbinafine ................................................................. 58
CO Topiramate........................................................128, 129
CO Valacyclovir................................................................ 97
CO Valsartan.................................................................... 48
CO Venlafaxine .............................................................. 153
CO Zopiclone ................................................................. 145
coal tar ............................................................................ 58
codeine ......................................................................... 165
Codeine Contin .............................................................. 165
Codeine Phosphate........................................................ 165
Codeine, comb. excl. psycholeptics........................... 120
Cogentin ......................................................................... 131
CO-Irbesartan .................................................................. 48
Colace ................................................................................ 9
colchicine ..................................................................... 114
Colchicine ...................................................................... 114
Colestid ............................................................................ 55
Colestid Orange ............................................................... 55
colestipol ........................................................................ 55
collagenase .................................................................... 58
CoLyte ................................................................................ 9
Combigan ....................................................................... 172
Combivent ...................................................................... 162
Comtan .......................................................................... 133
Concerta ........................................................................ 154
Condyline ......................................................................... 60
conjugated estrogens .................................................... 71
Copaxone ....................................................................... 104
Cordarone ........................................................................ 26
Coreg ............................................................................... 38
Corgard ............................................................................ 35
Cortamed ....................................................................... 170
Cortef ............................................................................... 80
Cortenema ....................................................................... 10
Cortifoam ......................................................................... 10
cortisone ......................................................................... 80
Cortisone Acetate............................................................. 80
Cortisporin .........................................................63, 171, 175
Cortoderm ........................................................................ 60
Cosopt ............................................................................ 172
Cotazym ........................................................................... 12
Cotazym ECS................................................................... 12
Cotazym-65B ................................................................... 12
Coumadin ....................................................................19, 20
Coversyl ........................................................................... 44
Coversyl Plus ................................................................... 47
Cozaar ............................................................................. 48
Creon ............................................................................... 12
Crestor ............................................................................. 54
Crixivan ............................................................................ 97
cromoglycate sodium .............................11, 161, 164, 173
Cromolyn ........................................................................ 173
CTP30 ............................................................................ 149
Cubicin ............................................................................. 94
Cuprimine ....................................................................... 112
cyanocobalamin ............................................................. 22
Cyanocobalamin .............................................................. 22
cyanocobalamin, comb. ................................................ 22
Cyclen .............................................................................. 69
cyclobenzaprine ........................................................... 114
Cyclobenzaprine ............................................................ 114
Cyclocort .......................................................................... 62
Cyclogyl ......................................................................... 173
Cyclomen ......................................................................... 72
cyclopentolate .............................................................. 173
Product Index 6
Product Index
cyclophosphamide .........................................................99
cyclosporine ..................................................................105
Cyestra-35 ........................................................................72
Cyklokapron ......................................................................21
Cymbalta ......................................................................... 153
cyproterone .....................................................................72
cyproterone and estrogen ..............................................72
Cystadane .........................................................................17
Cytomel .............................................................................81
Cytotec ................................................................................3
Cytovene ...........................................................................96
dabigatran etexilate ........................................................21
Dalacin ..............................................................................67
Dalacin C ..........................................................................91
Dalacin C Phos .................................................................91
Dalacin T ...........................................................................65
Dalmane.......................................................................... 144
dalteparin .........................................................................20
danazol.............................................................................72
Dantrium ......................................................................... 114
dantrolene......................................................................114
dapsone ...........................................................................96
Dapsone............................................................................96
daptomycin ......................................................................94
Daraprim ......................................................................... 159
darunavir..........................................................................97
Darvon N ......................................................................... 121
dasatinib ........................................................................101
Daypro ............................................................................ 111
DDAVP .......................................................................77, 78
Decadron .................................................................. 79, 175
Deca-Durabolin .................................................................17
deferasirox.....................................................................177
deferoxamine.................................................................177
degarelix ........................................................................ 103
dehydrocholic acid ...........................................................8
Delatestryl .........................................................................70
delta-9-tetrahydrocannabinol...........................................8
Deltasone ..........................................................................80
Demerol .......................................................................... 120
Demulen............................................................................68
Depakene........................................................................ 127
Depo-Medrol ............................................................... 79, 80
Depo-Provera....................................................................70
Depo-Testosterone ...........................................................70
Derma-Smoothe................................................................62
Dermovate ........................................................................63
Desferal .......................................................................... 177
Desferrioxamine .............................................................. 177
desipramine ...................................................................145
desloratadine.................................................................166
Desloratadine Allergy Control ......................................... 166
desmopressin..................................................................77
Desocort............................................................................61
desogestrel and estrogen ..............................................69
desonide ..........................................................................61
desoximetasone ..............................................................62
Desyrel ............................................................................ 152
Detrol ................................................................................73
Detrol LA ...........................................................................73
dexamethasone ............................................... 79, 170, 175
Dexamethasone ................................................................79
dexamethasone and antiinfectives ...................... 171, 175
dexamphetamine...........................................................154
Dexasone ..........................................................................79
Dexedrine........................................................................ 154
October 2011
DexIron ............................................................................ 22
dextriferron ..................................................................... 22
dextropropoxyphene ................................................... 121
Dextrose ........................................................................... 23
Diabeta ............................................................................. 14
diabetic insulin pen needles ....................................... 178
diabetic insulin syringes ............................................. 178
diabetic lancets ............................................................ 178
Diabinese ......................................................................... 14
Diamicron ......................................................................... 14
Diamox ........................................................................... 171
Diane-35 .......................................................................... 72
Diarr-eze .......................................................................... 10
Diastat ............................................................................ 141
Diazemuls ...................................................................... 141
diazepam ....................................................................... 141
Diazepam ....................................................................... 141
diazoxide ....................................................................... 178
Dicetel ................................................................................ 6
Diclectin ......................................................................... 166
diclofenac ......................................................107, 112, 170
Diclofenac Potassium ..................................................... 107
Diclofenac Sodium ......................................................... 108
diclofenac, comb. ......................................................... 108
dicyclomine ...................................................................... 5
Dicyclomine ........................................................................ 5
dicycloverine .................................................................... 5
Didrocal Kit ..................................................................... 116
Didronel .......................................................................... 115
Diflucan .......................................................................94, 95
diflucortolone ............................................................62, 64
diflunisal ....................................................................... 122
digoxin ............................................................................ 25
Digoxin ............................................................................. 25
dihydroergotamine....................................................... 123
Dihydroergotamine ......................................................... 123
diiodohydroxyquinoline .............................................. 159
Dilantin ........................................................................... 125
Dilaudid .......................................................................... 119
Dilaudid HP .................................................................... 119
Dilaudid XP .................................................................... 119
Dilovan-HCT..................................................................... 49
diltiazem .......................................................................... 41
Diltiazem Hydrochloride ................................................... 42
dimenhydrinate ................................................................ 8
Dimenhydrinate .................................................................. 8
dimethyl sulfoxide...................................................73, 112
Dimethyl Sulfoxide ........................................................... 73
dinoprostone .................................................................. 68
Diodoquin ....................................................................... 159
Diopred .......................................................................... 170
Diotrope ......................................................................... 173
Diovan .............................................................................. 48
Diovan-HCT ..................................................................... 49
Diovol ................................................................................. 1
Dipentum .......................................................................... 11
diphenhydramine ......................................................... 166
Diphenhydramine ........................................................... 166
diphenoxylate ................................................................. 10
Diprolene .......................................................................... 61
Diprosalic ......................................................................... 64
Diprosone ......................................................................... 61
dipyridamole ................................................................... 21
disopyramide .................................................................. 25
disulfiram ...................................................................... 157
Disulfiram ....................................................................... 157
Product Index 7
Product Index
dithranol...........................................................................59
Ditropan ......................................................................72, 73
divalproex sodium ........................................................127
Dixarit ................................................................................28
dobutamine......................................................................27
Dobutamine.......................................................................27
Dobutrex ...........................................................................27
docusate sodium ..............................................................9
Docusate Sodium................................................................9
dolasetron..........................................................................7
Dolobid ............................................................................ 122
domperidone .............................................................7, 108
Domperidone ......................................................................7
donepezil .......................................................................155
dorzolamide ...................................................................171
Dostinex ............................................................................68
Dovobet ............................................................................59
Dovonex ............................................................................59
doxazosin ........................................................................29
doxepin .................................................................... 58, 147
Doxycin .............................................................................83
doxycycline .................................................................1, 83
Doxycycline .......................................................................83
doxylamine ....................................................................166
Drisdol ...............................................................................16
dronabinol .........................................................................8
droperidol ......................................................................135
Droperidol ....................................................................... 135
drospirenone and estrogen............................................69
Dulcolax ..............................................................................9
duloxetine ......................................................................153
DULOXETINE ................................................................. 153
Duo Trav ......................................................................... 172
Duodopa ......................................................................... 131
Duolube .......................................................................... 174
Duovent UDV .................................................................. 162
Duragesic ........................................................................ 121
Duralith ........................................................................... 139
Duricef ..............................................................................87
dutasteride.......................................................................75
Duvoid ............................................................................. 157
Dyazide .............................................................................32
Dycholium ...........................................................................8
Ebixa ............................................................................... 156
Edecrin ..............................................................................31
EES ...................................................................................89
Effexor ............................................................................ 153
Efudex ............................................................................. 100
Elaprase ............................................................................18
Elavil ............................................................................... 147
Eldepryl ........................................................................... 133
eletriptan ........................................................................125
Elidel .................................................................................66
Eligard ............................................................................. 102
Elixophyllin ...................................................................... 164
Elmiron ..............................................................................33
Elocom ........................................................................62, 63
Eltroxin ..............................................................................81
Emadine .......................................................................... 173
Emcyt .............................................................................. 101
emedastine ....................................................................173
Emend ................................................................................8
Emo-Cort...........................................................................60
Enablex .............................................................................73
enalapril ...........................................................................43
enalapril and diurtetics ...................................................46
October 2011
Enbrel ............................................................................. 104

Endantadine ................................................................... 131
Endocet .......................................................................... 123
enfuvirtide ....................................................................... 98
enoxaparin ...................................................................... 20
entacapone ................................................................... 133
entecavir ......................................................................... 98
Enteric Coated ASA ....................................................... 122
Entocort ............................................................................ 11
Entrophen ...................................................................... 122
epinephrine ..................................................................... 27
Epinephrine ...................................................................... 27
Epipen .............................................................................. 27
Epiriubicin ...................................................................... 100
epirubicin ...................................................................... 100
Epival ............................................................................. 127
eplerenone ...................................................................... 31
Eprex................................................................................ 23
eprosartan ...................................................................... 48
eprosartan and diuretics ............................................... 49
Erdol ................................................................................. 16
ergocalciferol.................................................................. 16
Ergodryl .......................................................................... 123
ergoloid mesylates......................................................... 32
ergotamine, comb. excluding psycholeptics ............. 123
erlotinib ......................................................................... 101
ERYC ............................................................................... 89
erythromycin ...........................................................89, 169
erythromycin, comb. ...................................................... 65
erythropoietin ................................................................. 23
escitalopram ................................................................. 151
esomeprazole ................................................................... 5
Estalis .............................................................................. 71
Estalis-Sequi .................................................................... 72
Estrace ............................................................................. 71
Estracomb ........................................................................ 72
Estraderm ........................................................................ 71
estradiol .......................................................................... 70
Estradot .......................................................................70, 71
estramustine ................................................................. 101
Estring .............................................................................. 71
Estrogel ............................................................................ 71
estrone ............................................................................ 71
etacrynic acid ................................................................. 31
etanercept ..................................................................... 104
ethambutol ...................................................................... 95
ethopropazine............................................................... 130
ethosuximide ................................................................ 125
ethynodiol and estrogen ............................................... 68
Etibi .................................................................................. 95
Etidrocal Kit .................................................................... 116
etidronate ...................................................................... 115
etidronic acid ................................................................ 115
etidronic acid and calcium .......................................... 116
etodolac ........................................................................ 108
etoposide ...................................................................... 100
etravirine ......................................................................... 98
Euflex ............................................................................. 102
Euglucon .......................................................................... 14
Eumovate ......................................................................... 61
Evista ............................................................................... 72
Evra.................................................................................. 69
Exelon .....................................................................155, 156
Exelon Patch .................................................................. 156
exemestane .................................................................. 103
Exjade ............................................................................ 177
Product Index 8
Product Index
Extra Strength Allergy Relief ........................................... 166
ezetimibe..........................................................................55
Ezetrol ...............................................................................55
famciclovir .......................................................................96
famotidine ..........................................................................2
Famotidine ..........................................................................3
Famotidine Omega .............................................................2
Famvir .........................................................................96, 97
febuxostat ...................................................................... 114
Feldene ...................................................................108, 109
felodipine .........................................................................39
Fem HRT ..........................................................................71
Femara ........................................................................... 103
fenofibrate .......................................................................55
Fenofibrate Micro ..............................................................55
fenoterol & other obst. airway disease drugs ............ 162
fentanyl .................................................................. 117, 121
Fentanyl Citrate............................................................... 117
Fer-In-Sol ..........................................................................22
Fermentol ..........................................................................12
ferrous fumarate .............................................................22
ferrous glucconate ..........................................................22
ferrous sulfate .................................................................22
fexofenadine ..................................................................166
filgrastim ........................................................................103
Finacea .............................................................................65
finasteride ........................................................................74
Finasteride ........................................................................74
Fiorinal ............................................................................ 122
Firmagon ......................................................................... 103
Flagyl .......................................................................... 67, 94
Flagystatin.........................................................................67
Flamazine .........................................................................60
Flarex .............................................................................. 170
flavoxate ..........................................................................72
flecainide .........................................................................26
Flexeril ............................................................................ 114
flocatafenine ..................................................................123
Flomax ..............................................................................74
Flonase ........................................................................... 161
Florinef ..............................................................................78
Flovent ............................................................................ 163
Floxin ................................................................................91
Fluanxol .......................................................................... 135
Fluanxol Depot ................................................................ 135
fluconazole ......................................................................94
Fluconazole.......................................................................94
Fludara ..............................................................................99
fludarabine.......................................................................99
fludrocortisone................................................................78
flumazenil ......................................................................177
Flumazenil....................................................................... 177
flumetasone and antibiotics...........................................63
flumetasone and antiinfectives....................................175
flunarizine ......................................................................158
flunisolide ......................................................................161
fluocinolone acetonide ...................................................62
fluocinonide.....................................................................62
fluorometholone............................................................170
fluorouracil ....................................................................100
Fluorouracil ..................................................................... 100
fluoxetine .......................................................................148
Fluoxetine ....................................................................... 148
flupenthixol....................................................................135
fluphenazine ..................................................................133
flurazepam .....................................................................144
October 2011
flurbiprofen ................................................................... 111

flutamide ....................................................................... 102
fluticasone .............................................................161, 163
fluvastatin ....................................................................... 53
fluvoxamine .................................................................. 150
FML ................................................................................ 170
FML Forte ...................................................................... 170
folic acid ......................................................................... 22
Folic Acid ......................................................................... 22
fondaparinux .................................................................. 21
Foradil ............................................................................ 162
formoterol ..................................................................... 162
formoterol & other obst. airway disease drugs ......... 163
Fortaz ............................................................................... 88
Forteo............................................................................... 81
Fosamax ........................................................................ 115
fosamprenavir ................................................................ 97
Fosavance ..................................................................... 116
fosinopril ......................................................................... 46
Fosrenol ......................................................................... 177
Fragmin ............................................................................ 20
framycetin ................................................................64, 169
Frisium ........................................................................... 143
FS-Shampoo .................................................................... 62
Fucidin ..................................................................59, 63, 93
Fucithalmic ..................................................................... 169
Fungizone ........................................................................ 94
furosemide ...................................................................... 31
Furosemide ...................................................................... 31
fusidic acid ..............................................................59, 169
fusididic acid .................................................................. 93
Fuzeon ............................................................................. 98
FXT 40 ........................................................................... 148
gabapentin .................................................................... 129
Gabapentin .................................................................... 129
galantamine .................................................................. 156
ganciclovir ...................................................................... 96
Garamycin .........................................................91, 169, 174
Garasone ....................................................................... 175
gatifloxacin ................................................................... 170
GD-Amlodipine ................................................................. 39
GD-Atorvastatin...........................................................53, 54
GD-Azithromycin .............................................................. 90
GD-Gabapentin .......................................................129, 130
GD-Sertraline ................................................................. 150
gefitinib ......................................................................... 101
gemcitabine .................................................................. 100
Gemcitabine ................................................................... 100
gemfibrozil ...................................................................... 54
Gemzar .......................................................................... 100
Gen-Clozapine ............................................................... 136
gentamicin .................................................60, 91, 169, 174
Gentamicin ....................................................................... 91
GenTeal ......................................................................... 174
glatiramer acetate ........................................................ 104
Gleevec .......................................................................... 100
glibenclamide ................................................................. 14
gliclazide ......................................................................... 14
glimepiride ...................................................................... 14
GlucaGen ......................................................................... 81
GlucaGen Hypokit ............................................................ 81
glucagon ......................................................................... 81
Glucagon .......................................................................... 81
Glucobay .......................................................................... 15
GlucoNorm ....................................................................... 16
Glucophage ...................................................................... 13
Product Index 9
Product Index
glucose ..........................................................................178
glyburide ..........................................................................14
Glyburide...........................................................................14
glyceryl trinitrate .............................................................27
glycopyrolate.....................................................................5
Glycopyrrolate .....................................................................5
glycopyrronium .................................................................5
golimumab ..................................................................... 105
goserelin ........................................................................102
granisetron ........................................................................7
grass pollen ...................................................................177
Gravergol ........................................................................ 123
Gravol .................................................................................8
guaifenesin ....................................................................165
Gynazole ...........................................................................67
Halcion ............................................................................ 144
Haldol .............................................................................. 135
Haldol LA ........................................................................ 135
haloperidol.....................................................................135
Haloperidol ...................................................................... 135
Haloperidol LA ................................................................ 135
heparin .............................................................................20
Heparin .............................................................................20
Hepsera ............................................................................98
Heptovir ............................................................................98
Herplex-D ..........................................................................60
hexachlorophene ............................................................64
Hexalen ........................................................................... 101
Hip-Rex .............................................................................94
histrelin ............................................................................78
homatropine ..................................................................173
Hp-PAC ...............................................................................5
Humalog......................................................................12, 13
Humatin ............................................................................10
Humatrope ........................................................................77
Humira ............................................................................ 104
Humulin Insulin .................................................................13
Humulin L Insulin ..............................................................12
Humulin N Insulin ..............................................................12
Humulin R Insulin ..............................................................12
Hydergine..........................................................................32
Hyderm .............................................................................60
hydralazine ......................................................................29
Hydrea ............................................................................ 101
hydrochloride ..................................................................88
hydrochlorothiazide ........................................................30
hydrochlorothiazide and potassium-sparing agents ...32
Hydrocorisone ...................................................................61
hydrocortisone ................................ 10, 32, 60, 64, 80, 170
Hydrocortisone ...................................................... 57, 60, 61
hydrocortisone and antibiotics......................................63
hydrocortisone and antiinfectives ....................... 171, 175
Hydrodiuril .........................................................................30
Hydromorph Contin ......................................................... 119
hydromorphone ............................................................119
Hydromorphone .............................................................. 119
Hydromorphone HP ........................................................ 119
Hydroval ............................................................................61
hydroxycarbamide ........................................................101
hydroxychloroquine .....................................................159
hydroxyurea ..................................................................101
Hydroxyurea.................................................................... 101
hydroxyzine ...................................................................143
Hydroxyzine .................................................................... 144
Hylashield ....................................................................... 174
Hyoscine Butylbromide .......................................................8
October 2011
hyoscyamine .................................................................... 6
Hypotears ....................................................................... 174
Hytrin................................................................................ 74
Hyzaar .............................................................................. 49
ibuprofen ...................................................................... 109
Idarac ............................................................................. 123
idoxuridine ...................................................................... 60
idursulfase ...................................................................... 18
imatinib ......................................................................... 100
Imdur ................................................................................ 28
imidazole derivatives, comb.......................................... 57
imipenem and enzyme inhibitor.................................... 88
imipramine .................................................................... 146
imiquimod ....................................................................... 60
Imitrex ............................................................................ 123
Imitrex DF ...................................................................... 124
ImmuCyst ....................................................................... 104
Imodium ........................................................................... 10
Imovane ......................................................................... 145
Imuran ............................................................................ 105
indapamide ..................................................................... 31
Inderal .............................................................................. 34
Inderal-LA ........................................................................ 34
indinavir .......................................................................... 97
Indocid ........................................................................... 107
indomethacin ................................................................ 107
infliximab ...................................................................... 104
Infufer ............................................................................... 22
Infusion Pump Cassette ................................................. 178
Inhibace ......................................................................45, 46
Inhibace Plus ................................................................... 47
Inspra ............................................................................... 31
insulin (human) .........................................................12, 13
insulin aspart .................................................................. 12
insulin detemir................................................................ 13
insulin glargine............................................................... 13
insulin glulisine .............................................................. 12
insulin lispro ..............................................................12, 13
Intal ................................................................................ 164
Intelence .......................................................................... 98
interferon alpha-2b....................................................... 103
interferon beta-1a ......................................................... 103
interferon beta-1b......................................................... 103
Intron A .......................................................................... 103
Invirase ............................................................................ 97
iodoquinol ..................................................................... 159
Iopidine .......................................................................... 171
ipratropium bromide .............................................161, 163
iresartan and diuretics................................................... 50
Iressa ............................................................................. 101
iron, multivitamins and folic acid ................................. 22
iron, multivitamins and minerals .................................. 22
Isentress .......................................................................... 98
isoniazid .......................................................................... 95
isopropyl myristate ...................................................... 160
Isoptin .............................................................................. 40
Isoptin IV .......................................................................... 40
Isopto Atropine ............................................................... 173
Isopto Carbachol ............................................................ 171
Isopto Carpine ................................................................ 171
Isopto Homatropine ........................................................ 173
Isopto Tears ................................................................... 174
Isordil ............................................................................... 28
isosorbide dinitrate ........................................................ 28
isosorbide mononitrate ................................................. 28
Isotamine ......................................................................... 95
Product Index 10
Product Index
isotretinoin ......................................................................65
itraconazole .....................................................................95
IUD with progestogen .....................................................68
Jamp-Amlodipine ..............................................................39
Jamp-Bicalutamide ......................................................... 102
Jamp-Bisacodyl ...................................................................9
Jamp-Citalopram............................................................. 149
Jamp-Docusate Sodium ......................................................9
Jamp-Finasteride ..............................................................74
Jamp-Fosinopril ................................................................46
Jamp-Ibuprofen ............................................................... 109
Jamp-Lactulose...................................................................9
Jamp-Loperamide .............................................................10
Jamp-Magnesium .............................................................17
Jamp-Ondansetron .............................................................7
Jamp-Pioglitazone ...................................................... 15, 16
Jamp-Pravastatin ........................................................ 52, 53
Jamp-Quetiapine ..................................................... 138, 139
Jamp-Ramipril ............................................................. 44, 45
Jamp-Risperidone ................................................... 140, 141
Jamp-Sennosides ...............................................................9
Jamp-Simvastatin ....................................................... 51, 52
Jamp-Tamsulosin..............................................................74
Janumet ............................................................................15
Januvia .............................................................................16
Junista ............................................................................ 119
K-10 ..................................................................................17
Kadian ............................................................................. 117
Kaletra ..............................................................................97
Kayexalate ...................................................................... 177
K-Dur ................................................................................17
Keflex ................................................................................86
Keletra ..............................................................................97
Kemadrin......................................................................... 130
Kemsol ............................................................................ 112
Kenacomb .........................................................................63
Kenalog .........................................................................1, 80
Keppra ............................................................................ 130
Ketalar ............................................................................ 117
ketamine ........................................................................117
Ketamine ......................................................................... 117
Ketek .................................................................................90
ketoconazole .............................................................57, 94
Ketoderm ..........................................................................57
ketoprofen .....................................................................111
ketorolac ................................................................ 108, 170
Ketorolac ......................................................................... 108
ketotifen ................................................................. 166, 173
Kineret ............................................................................ 105
Kivexa ...............................................................................98
K-Lyte ...............................................................................17
Kytril ....................................................................................7
labetalol ...........................................................................37
Labetalol ...........................................................................37
lactic acid producing organisms ...................................11
lactulose ............................................................................9
Lamictal .......................................................................... 128
Lamisil ......................................................................... 57, 58
lamivudine .......................................................................98
lamivudine and abacavir ................................................98
lamotrigine.....................................................................128
Lamotrigine ..................................................................... 128
Lanoxin .............................................................................25
lanreotide .........................................................................78
lansoprazole ......................................................................4
Lansoprazole ......................................................................4
October 2011
lansoprazole, clarithromycin and amoxicillin ................ 5

lanthanum carbonate ................................................... 177
Lantus .............................................................................. 13
Lanvis ............................................................................... 99
lapatinib ........................................................................ 101
Largactil ......................................................................... 133
Larium ............................................................................ 159
laronidase ....................................................................... 18
Lasix................................................................................. 31
Lasix Special .................................................................... 31
latanoprost ................................................................... 173
LCD (coal tar) ................................................................... 58
Lectopam ....................................................................... 143
Lederle Leucovorin......................................................... 178
leflunomide ................................................................... 104
Leflunomide ................................................................... 104
lenaidomide .................................................................. 106
Lescol............................................................................... 53
letrozole ........................................................................ 103
Letrozole ........................................................................ 103
Leukeran .......................................................................... 99
leuprolide ...................................................................... 102
leuprorelin .................................................................... 102
Levaquin .......................................................................... 93
Levemir ............................................................................ 13
Levetiracetam................................................................. 130
levitracetam .................................................................. 130
levobunolol ................................................................... 172
levocabastine ........................................................161, 173
levocarnitine ................................................................... 17
levodopa and decarboxylase inhibitor ....................... 131
levodopa, decarboxylase inhibitor and comt inhibitor
.................................................................................. 131
levofloxacin .................................................................... 93
levomepromazine ......................................................... 133
levonorgestrel ................................................................ 70
levonorgestrel and estrogen ......................................... 69
Levophed ......................................................................... 27
levothyroxine sodium .................................................... 80
Levsin................................................................................. 6
Librax ................................................................................. 6
Lidemol ............................................................................ 62
Lidex ................................................................................ 62
lidocaine ..................................................................58, 117
lidocaine, comb. ........................................................... 117
Lidodan ............................................................................ 58
Lincocin ............................................................................ 91
lincomycin ...................................................................... 91
Linctus Codeine Blanc ................................................... 165
Linessa ............................................................................. 69
linezolid ........................................................................... 94
Lioresal .......................................................................... 113
Lioresal DS .................................................................... 113
Lioresal Intrathecal ......................................................... 113
liothyronine sodium ....................................................... 81
Lipidil EZ .......................................................................... 55
Lipidil Micro ...................................................................... 55
Lipidil Supra ..................................................................... 55
Lipitor ..........................................................................53, 54
Liquifilm Tears ................................................................ 174
lisdexamfetamine ......................................................... 155
lisinopril .......................................................................... 43
lisinopril and diuretics ................................................... 46
Lisinopril/HCTZ ...........................................................46, 47
Lithane ........................................................................... 139
lithium ........................................................................... 139
Product Index 11
Product Index
Livostin .................................................................... 161, 173
Locacorten Vioform ................................................... 63, 175
LoEstrin .............................................................................68
Lomotil ..............................................................................10
lomustine .........................................................................99
Loniten ..............................................................................30
loperamide .......................................................................10
Lopid .................................................................................54
Lopresor ...................................................................... 35, 36
Loprox ...............................................................................57
loratadine .......................................................................166
lorazepam ......................................................................142
Lorazepam ...................................................................... 142
losartan ............................................................................48
losartan and diuretics .....................................................49
Losec ..............................................................................3, 4
Lotemax .......................................................................... 170
Lotensin ............................................................................45
loteprednol .................................................................... 170
Lotriderm ...........................................................................57
Lovastatin..........................................................................52
lovastatin and nicotinic acid ..........................................55
Lovenox ............................................................................20
Loxapac .......................................................................... 136
loxapine .........................................................................136
Lozide ...............................................................................31
Ludiomil .......................................................................... 148
Lumigan .......................................................................... 173
Lupron ............................................................................. 102
Luvox ......................................................................150, 151
Lyderm ..............................................................................62
Lyrica .............................................................................. 130
Macrobid ...........................................................................94
Macrodantin ......................................................................94
Macugen ......................................................................... 174
Magic Mouthwash .............................................................58
magnesium citrate ............................................................9
magnesium glucoheptonate ..........................................17
magnesium hydroxide ....................................................73
Magnesium-Odan .............................................................17
Majeptil ........................................................................... 134
Mandelamine ....................................................................94
Manerix ........................................................................... 151
maprotiline.....................................................................148
maraviroc .........................................................................98
Marcaine ......................................................................... 117
Marinol ................................................................................8
Marvelon ...........................................................................69
Matulane ......................................................................... 100
Mavik ................................................................................46
Maxalt ............................................................................. 124
Maxeran ..............................................................................6
Maxidex .......................................................................... 170
Maxipime...........................................................................88
Maxitrol ........................................................................... 171
mebendazole .................................................................159
mechlorethamine ............................................................99
meclizine ........................................................................166
meclozine.......................................................................166
MED-Letrozole ................................................................ 103
Medrol .........................................................................64, 80
medroxyprogesterone .............................................. 70, 71
Medroxyprogesterone Acetate ..........................................70
medroxyprogesterone and estrogen .............................71
mefenamic acid .............................................................111
mefloquine .....................................................................159
October 2011
Megace .......................................................................... 101

Megace OS .................................................................... 101
megestrol ...................................................................... 101
meloxicam .................................................................... 109
Meloxicam ...................................................................... 109
melphalan ....................................................................... 99
meperidine .................................................................... 120
Meperidine ..................................................................... 120
Mepron ........................................................................... 159
mercaptopurine .............................................................. 99
Meridia ............................................................................. 11
mesalamine .................................................................... 11
Mesasal ............................................................................ 11
M-Eslon ...................................................................117, 118
Mestinon ........................................................................ 157
mesuximide .................................................................. 125
Metadol .......................................................................... 157
metformin ....................................................................... 13
Metformin ......................................................................... 13
metformin and rosiglitazone ......................................... 15
methadone .................................................................... 157
Methadone ..................................................................... 157
methazolamide ............................................................. 171
methenamine .................................................................. 94
methimazole ................................................................... 81
methocarbamol ............................................................ 113
methocarbamol, comb. excluding psycholeptics ..... 113
methotrexate................................................................... 99
Methotrexate .................................................................... 99
methotrimeprazine ....................................................... 133
Methoxacet .................................................................... 113
Methoxisal ...................................................................... 113
methoxsalen ................................................................... 59
methsuximide ............................................................... 125
methyldopa (racemic) .................................................... 28
methylnaltrexone bromide ............................................ 10
methylphenidate........................................................... 154
methylprednisolone ..................................................64, 79
Methylprednisolone Acetate ............................................. 79
Methylprednisolone Sod. Succ. ........................................ 79
methylprednisolone, comb............................................ 80
metoclopamide ................................................................. 6
Metoclopramide.................................................................. 6
metolazone ..................................................................... 30
metoprolol ...................................................................... 35
Metoprolol ...................................................................35, 36
MetroCream ..................................................................... 60
MetroGel .......................................................................... 60
MetroLotion ...................................................................... 60
metronidazole ......................................................60, 67, 94
Mevacor ........................................................................... 52
mexiletine ....................................................................... 25
Mexitil ............................................................................... 25
Mezavant ......................................................................... 11
Miacalcin .......................................................................... 81
Micardis ............................................................................ 49
Micardis Plus .................................................................... 50
Micatin .............................................................................. 57
miconazole ................................................................57, 67
Micozole ........................................................................... 67
Micro-K ............................................................................. 17
Micronor ........................................................................... 70
Midamor ........................................................................... 32
midazolam .................................................................... 145
Midazolam ...................................................................... 145
midodrine ........................................................................ 27
Product Index 12
Product Index
miglustat ..........................................................................18
Migranal .......................................................................... 123
mineral salts in comb. ......................................................9
MinEstrin ...........................................................................68
Minipres ............................................................................29
Minirin ...............................................................................77
Minitran .............................................................................27
Minocin .............................................................................83
minocycline .....................................................................83
Min-Ovral ..........................................................................69
minoxidil ....................................................................30, 66
MINT-Amlodipine ..............................................................39
MINT-Atenol ......................................................................36
MINT-Ciprofloxacin ...........................................................92
MINT-Citalopram............................................................. 149
Mintezol .......................................................................... 159
MINT-Ondansetron .............................................................7
MINT-Pioglitazone ...................................................... 15, 16
MINT-Pravastatin ........................................................ 52, 53
MINT-Risperidon ............................................................. 140
MINT-Risperidone ........................................................... 140
MINT-Topiramate .................................................... 128, 129
Mirapex ........................................................................... 132
Mirena ...............................................................................68
mirtazapine ....................................................................152
misoprostol .......................................................................3
Mobenol ............................................................................14
Mobicox .......................................................................... 109
Mobiflex .......................................................................... 109
moclombemide..............................................................151
modafinil ........................................................................154
Modecate ........................................................................ 133
Modulon ..............................................................................5
Moduret .............................................................................32
Mogadon ......................................................................... 144
Moisture .......................................................................... 174
mometasone ..................................................................161
Monistat ...................................................................... 57, 67
Monitan .............................................................................37
Monocor ............................................................................37
Monopril ............................................................................46
montelukast ...................................................................165
morphine........................................................................117
Morphine ......................................................................... 118
Morphine HP ................................................................... 118
Morphine LP.................................................................... 118
Morphine Sulfate ............................................................. 118
Morpine ........................................................................... 118
MOS ................................................................................ 118
MOS Sulphate................................................................. 118
Motilium...............................................................................7
Motrin .............................................................................. 109
Motrin IB.......................................................................... 109
moxifloxacin ............................................................ 93, 170
MS Contin ....................................................................... 118
MS-IR .............................................................................. 118
Mucomyst........................................................................ 165
Multaq ...............................................................................26
multienzymes ..................................................................12
mupirocin.........................................................................60
Muro 128 ......................................................................... 174
Mustargen .........................................................................99
Myambutol ........................................................................95
Mycobutin..........................................................................95
mycophenolic acid ........................................................104
Mycostatin ................................................................... 10, 57
October 2011
Mydfrin ........................................................................... 173

Mydriacyl ........................................................................ 173
Myfortic .......................................................................... 104
MYLAN-Acebutolol ........................................................... 37
MYLAN-Acyclovir ............................................................. 96
MYLAN-Alendronate ...................................................... 115
MYLAN-Alprazolam........................................................ 143
MYLAN-Amantadine ...................................................... 131
MYLAN-Amilazide ............................................................ 32
MYLAN-Amiodarone ........................................................ 26
MYLAN-Amlodipine .......................................................... 39
MYLAN-Amoxicillin........................................................... 84
MYLAN-Anagrelide ........................................................ 101
MYLAN-Atenolol............................................................... 36
MYLAN-Azathioprine...................................................... 105
MYLAN-Azithromycin ....................................................... 90
MYLAN-Baclofen............................................................ 113
MYLAN-Beclo................................................................. 161
MYLAN-Bicalutamide ..................................................... 102
MYLAN-Budesonide....................................................... 161
MYLAN-Captopril ........................................................42, 43
MYLAN-Carbamazepine ................................................ 126
MYLAN-Carvedilol............................................................ 38
MYLAN-Cilazapril ........................................................45, 46
MYLAN-Cimetidine......................................................... 1, 2
MYLAN-Ciprofloxacin ....................................................... 92
MYLAN-Citalopram ........................................................ 149
MYLAN-Clarithromycin ..................................................... 90
MYLAN-Clindamycin ........................................................ 91
MYLAN-Clobetasol........................................................... 63
MYLAN-Clomipramine ................................................... 146
MYLAN-Clonazepam ..................................................... 126
MYLAN-Combo Sterinebs .............................................. 162
MYLAN-Cyclobenzaprine ............................................... 114
MYLAN-Domperidone ........................................................ 7
MYLAN-Doxazosin ........................................................... 29
MYLAN-Enalapril.............................................................. 43
MYLAN-Eti-Cal ............................................................... 116
MYLAN-Etidronate ......................................................... 115
MYLAN-Famotidine ............................................................ 3
MYLAN-Fenofibrate Micro ................................................ 55
MYLAN-Finasteride .......................................................... 74
MYLAN-Fluconazole ........................................................ 95
MYLAN-Fluoxetine ......................................................... 148
MYLAN-Fosinopril ............................................................ 46
MYLAN-Gabapentin ....................................................... 129
MYLAN-Gemfibrozil ......................................................... 54
MYLAN-Gliclazide ............................................................ 14
MYLAN-Glybe .................................................................. 14
MYLAN-Hydroxychloroquine .......................................... 159
MYLAN-Hydroxyurea ..................................................... 101
MYLAN-Indapamide ......................................................... 31
MYLAN-Ipratropium ................................................163, 164
MYLAN-Lamotrigine ....................................................... 128
MYLAN-Lansoprazole ........................................................ 4
MYLAN-Leflunomide ...................................................... 104
MYLAN-Levofloxacin........................................................ 93
MYLAN-Lisinopril ........................................................43, 44
MYLAN-Lisinopril/HCTZ ..............................................46, 47
MYLAN-Lovastatin ........................................................... 52
MYLAN-Meloxicam ........................................................ 109
MYLAN-Metformin............................................................ 13
MYLAN-Metoprolol ......................................................35, 36
MYLAN-Minocycline ......................................................... 83
MYLAN-Mirtazapine ....................................................... 152
MYLAN-Nabumetone ..................................................... 112
Product Index 13
Product Index
MYLAN-Naproxen ........................................................... 110
MYLAN-Nifedipine ER ......................................................40
MYLAN-Nitro .....................................................................27
MYLAN-Olanzapine ........................................................ 137
MYLAN-Omeprazole ....................................................... 3, 4
MYLAN-Ondansetron ..........................................................7
MYLAN-Oxybutynin ..........................................................73
MYLAN-Pantoprazole .........................................................4
MYLAN-Paroxetine ................................................. 149, 150
MYLAN-Pioglitazone ................................................... 15, 16
MYLAN-Pravastatin .................................................... 52, 53
MYLAN-Propafenone ........................................................26
MYLAN-Quetiapine ................................................. 138, 139
MYLAN-Ramipril ......................................................... 44, 45
MYLAN-Ranitidine ..............................................................2
MYLAN-Risperidone ............................................... 140, 141
MYLAN-Rivastigmine .............................................. 155, 156
MYLAN-Salbutamol ........................................................ 162
MYLAN-Selegiline ........................................................... 133
MYLAN-Sertraline ........................................................... 150
MYLAN-Simvastatin .................................................... 51, 52
MYLAN-Sotalol .................................................................35
MYLAN-Sumatriptan ....................................................... 124
Mylanta ...............................................................................1
MYLAN-Tamoxifen .......................................................... 102
MYLAN-Tamsulosin ..........................................................74
MYLAN-Terbinafine ..........................................................58
MYLAN-Ticlopidine ...........................................................20
MYLAN-Timolol ............................................................... 172
MYLAN-Tizanidine .......................................................... 113
MYLAN-Topiramate ................................................ 128, 129
MYLAN-Trazodone ......................................................... 152
MYLAN-Valacyclovir .........................................................97
MYLAN-Valproic ............................................................. 127
MYLAN-Venlafaxine ........................................................ 153
MYLAN-Verapamil ............................................................40
MYLAN-Warfarin ......................................................... 19, 20
MYLAN-Zolmitriptan ........................................................ 124
MYLAN-Zopiclone ........................................................... 145
Myleran .............................................................................99
Myl-Ranitidine .....................................................................2
Myochrysine .................................................................... 112
Myozyme...........................................................................18
Mysoline .......................................................................... 125
nabilone .............................................................................8
nabumetone...................................................................112
Nabumetone ................................................................... 112
nadolol .............................................................................35
nafarelin ...........................................................................78
naftifine ............................................................................57
Naftin ................................................................................57
Nalcrom.............................................................................11
naloxone ........................................................................177
Naloxone ......................................................................... 177
naltrexone ......................................................................157
nandrolone ......................................................................17
Naprosyn................................................................. 109, 110
Naprosyn-E ..................................................................... 110
naproxen ........................................................................109
Naproxen ........................................................................ 110
Naproxen Sodium ........................................................... 110
Naproxen Sodium DS ..................................................... 110
naratriptan .....................................................................124
Narcan ............................................................................ 177
Nardil .............................................................................. 151
Nasacort AQ ................................................................... 161
October 2011
Nasonex ......................................................................... 161

nateglinide ...................................................................... 16
Navane ........................................................................... 136
Navelbine ....................................................................... 100
Nebcin .............................................................................. 91
nelfinavir ......................................................................... 97
Neo-Medrol Acne ............................................................. 64
neomycin ........................................................................ 59
Neoral ............................................................................ 105
Neosporin ............................................................23, 59, 175
neostigmine .................................................................. 156
Neostigmine Methylsulfate ............................................. 156
Neo-Synephrine ............................................................... 27
Nerisalic ........................................................................... 64
Nerisone ........................................................................... 62
Neulasta ......................................................................... 103
Neuleptil ......................................................................... 134
Neupogen ...................................................................... 103
Neurontin ................................................................129, 130
Nexavar .......................................................................... 101
Nexium ............................................................................... 5
NG-Citalopram ............................................................... 149
Niaspan ............................................................................ 55
nicotinic acid .................................................................. 55
NidaGel ............................................................................ 67
nifedipine ........................................................................ 39
nifedipine, comb............................................................. 40
nilotinib ......................................................................... 101
nilutamide ..................................................................... 102
nimodipine ...................................................................... 40
Nimotop ............................................................................ 40
Nitoman .......................................................................... 158
Nitrazadon ...................................................................... 144
nitrazepam .................................................................... 144
Nitro-Dur .......................................................................... 27
nitrofurantoin.................................................................. 94
nitroglycerin ................................................................... 27
Nitroglycerin ..................................................................... 27
Nitrol ................................................................................. 27
Nitrolingual ....................................................................... 27
Nitrostat ............................................................................ 27
nizatidine .......................................................................... 3
Nizoral .........................................................................57, 94
Nolvadex ........................................................................ 102
Nolvadex-D .................................................................... 102
norelgestromin and estrogen........................................ 69
norepinephrine ............................................................... 27
Norepinephrine Bitartrate ................................................. 27
norethindrone ................................................................. 70
norethindrone and estrogen ..............................68, 69, 71
norethisterone and estrogen......................................... 72
Norflex ............................................................................ 113
norfloxacin ...................................................................... 92
norgestimate and estrogen ........................................... 69
norgestrel and estrogen ................................................ 69
Noritate ............................................................................ 60
Noroxin ............................................................................. 92
Norpramin ...............................................................145, 146
Norprolac ......................................................................... 68
nortriptyline .................................................................. 147
Norvasc ............................................................................ 39
Norvir ............................................................................... 97
Novamilor ......................................................................... 32
Novamoxin ....................................................................... 84
Novasen ......................................................................... 122
Novo-Acebutolol ............................................................... 37
Product Index 14
Product Index
Novo-Acyclovir ..................................................................96
Novo-Alendronate ........................................................... 115
Novo-Alfuzosin ..................................................................73
Novo-Alprazol ................................................................. 143
Novo-Amiodarone .............................................................26
Novo-Amlodipine...............................................................39
Novo-Ampicillin .................................................................84
Novo-Atenol ......................................................................36
Novo-Atenolthalidone ........................................................38
Novo-Atomoxetine .................................................. 154, 155
Novo-Atorvastatin ....................................................... 53, 54
Novo-Azathioprine .......................................................... 105
Novo-Azithromycin ............................................................90
Novo-Benzydamine .............................................................1
Novo-Betahistine............................................................. 157
Novo-Bicalutamide .......................................................... 102
Novo-Bisoprolol.................................................................37
Novo-Bromazepam ......................................................... 143
Novo-Buspirone .............................................................. 144
Novo-Captoril .............................................................. 42, 43
Novo-Carbamaz .............................................................. 126
Novo-Cefadroxil ................................................................87
Novo-Chloroquine ........................................................... 159
Novo-Cilazapril............................................................ 45, 46
Novo-Cilazapril/HCTZ .......................................................47
Novo-Ciprofloxacin ............................................................92
Novo-Citalopram ............................................................. 149
Novo-Clavamoxin ..............................................................86
Novo-Clindamycin .............................................................91
Novo-Clobazam .............................................................. 143
Novo-Clobetasol ...............................................................63
Novo-Clonazepam .......................................................... 126
Novo-Clonidine .................................................................28
Novo-Cloxin ......................................................................85
Novo-Cycloprine ............................................................. 114
Novo-Cyproterone/Ethinyl Estradiol ..................................72
Novo-Desmopressin .........................................................77
Novo-Difenac .......................................................... 107, 108
Novo-Difenac-K............................................................... 107
Novo-Diflunisal ................................................................ 122
Novo-Diltazem ..................................................................42
Novo-Diltazem CD ............................................................41
Novo-Diltazem ER ...................................................... 41, 42
Novo-Divalproex ............................................................. 127
Novo-Docusate ...................................................................9
Novo-Domperidone .............................................................7
Novo-Doxazosin................................................................29
Novo-Doxepin ................................................................. 147
Novo-Doxylin.....................................................................83
Novo-Enalapril ..................................................................43
Novo-Enalapril/HCTZ ........................................................46
Novo-Etidronatecal Kit .................................................... 116
Novo-Famotidine .................................................................3
Novo-Fenofibrate ..............................................................55
Novo-Fenofibrate Micronized ............................................55
Novo-Fenofibrate-S ...........................................................55
Novo-Fentanyl................................................................. 121
Novo-Ferrogluc .................................................................22
Novo-Finasteride ...............................................................74
Novo-Fluconazole .............................................................95
Novo-Fluoxetine .............................................................. 148
Novo-Flurprofen .............................................................. 111
Novo-Flutamide............................................................... 102
Novo-Fluvoxamine .................................................. 150, 151
Novo-Fosinopril .................................................................46
Novo-Furantoin .................................................................94
October 2011
Novo-Gabapentin ....................................................129, 130

Novo-Gemfibrozil ............................................................. 54
Novo-Gliclazide ................................................................ 14
Novo-Glimepiride ........................................................14, 15
Novo-Glyburide ................................................................ 14
Novo-Hydrazide ............................................................... 30
Novo-Hydroxyzin .....................................................143, 144
Novo-Indapamide ............................................................. 31
Novo-Ipramide................................................................ 163
Novo-Ketoconazole .......................................................... 94
Novo-Ketorolac .............................................................. 108
Novo-Ketotifen ............................................................... 166
Novo-Lamotrigine ........................................................... 128
Novo-Lansoprazole ............................................................ 4
Novo-Leflunomide .......................................................... 104
Novo-Levocarbidopa ...................................................... 131
Novo-Levofloxacin............................................................ 93
Novo-Lexin ....................................................................... 86
Novolin GE Insulin.......................................................12, 13
Novo-Lisinopril ................................................................. 43
Novo-Lisinopril P .............................................................. 44
Novo-Lisinopril Z .........................................................43, 44
Novo-Lisinopril/HCTZ ..................................................46, 47
Novo-Loperamide............................................................. 10
Novo-Lorazem................................................................ 142
Novo-Lovastatin ............................................................... 52
Novo-Maprotiline ............................................................ 148
Novo-Medrone ................................................................. 71
Novo-Meloxicam ............................................................ 109
Novo-Metformin................................................................ 13
Novo-Methacin ............................................................... 107
Novo-Methylphenidate ................................................... 154
Novo-Metoprol.............................................................35, 36
Novo-Mexiletine ............................................................... 25
Novo-Minocycline ............................................................. 83
Novo-Mirtazapine ........................................................... 152
NovoMix ........................................................................... 12
Novo-Moclobemide ........................................................ 151
Novo-Morphine............................................................... 118
Novo-Nabumetone ......................................................... 112
Novo-Nadolol ................................................................... 35
Novo-Naprox .................................................................. 110
Novo-Naprox Sodium ..................................................... 110
Novo-Naratriptan ............................................................ 124
Novo-Nizatidine .................................................................. 3
Novo-Norfloxacin.............................................................. 92
Novo-Nortriptyline .......................................................... 147
Novo-Ofloxacin................................................................. 91
Novo-Olanzapine ....................................................137, 138
Novo-Omeprazole Delayed-Release .................................. 4
Novo-Ondansetron ............................................................. 7
Novo-Oxybutynin.............................................................. 73
Novo-Pantoprazole ............................................................ 4
Novo-Paroxetine .....................................................149, 150
Novo-Pen-VK ................................................................... 85
Novo-Peridol .................................................................. 135
Novo-Pindol ................................................................33, 34
Novo-Pioglitazone .......................................................15, 16
Novo-Pirocam ................................................................ 108
Novo-Pramipexole.......................................................... 132
Novo-Pranol ..................................................................... 34
Novo-Pravastatin.........................................................52, 53
Novo-Prazin ..................................................................... 29
Novo-Prednisone ............................................................. 80
Novo-Profen ................................................................... 109
Novo-Quetiapine .....................................................138, 139
Product Index 15
Product Index
Novo-Quinine .................................................................. 159
Novo-Rabeprazole .......................................................... 4, 5
Novo-Raloxifene ...............................................................72
Novo-Ramipril ............................................................. 44, 45
Novo-Ranidine ....................................................................2
Novo-Ranitidine ..................................................................2
Novo-Risedronate ................................................... 115, 116
Novo-Risperidone ................................................... 140, 141
Novo-Rivastigmine .................................................. 155, 156
Novo-Rythro EES..............................................................89
Novo-Rythro EST ..............................................................89
Novo-Selegiline ............................................................... 133
Novo-Semide ....................................................................31
Novo-Sertraline ............................................................... 150
Novo-Simvastatin ........................................................ 51, 52
Novo-Sotalol .....................................................................35
Novo-Spiroton ...................................................................31
Novo-Spirozine .................................................................32
Novo-Sucralate ...................................................................5
Novo-Sumatriptan DF ..................................................... 124
Novo-Sundac .................................................................. 107
Novo-Tamoxifen.............................................................. 102
Novo-Tamsulosin ..............................................................74
Novo-Temazepam .......................................................... 145
Novo-Terazosin.................................................................74
Novo-Terbinafine ..............................................................58
Novo-Theophyl........................................................ 164, 165
Novo-Tiaprofenic ............................................................. 111
Novo-Ticlopidine ...............................................................20
Novo-Timol........................................................................34
Novo-Topiramate .................................................... 128, 129
Novo-Trazodone ............................................................. 152
Novo-Triamzide.................................................................32
Novo-Trimel ......................................................................89
Novo-Valproic ................................................................. 127
Novo-Venlafaxine ............................................................ 153
Novo-Veramil ....................................................................40
Novo-Warfarin ...................................................................19
Novo-Zopiclone ............................................................... 145
Nozinan ........................................................................... 133
Nplate ...............................................................................21
Nu-Acebutolol ...................................................................37
Nu-Acyclovir ......................................................................96
Nu-Amilzide.......................................................................32
Nu-Amoxi ..........................................................................84
Nu-Atenol ..........................................................................36
Nu-Baclo ......................................................................... 113
Nu-Beclomethasone ....................................................... 161
Nu-Buspirone .................................................................. 144
Nu-Capto.....................................................................42, 43
Nu-Cefaclor .......................................................................87
Nu-Cephalex .....................................................................86
Nu-Cimet ......................................................................... 1, 2
Nu-Clonidine .....................................................................28
Nu-Cloxi ............................................................................85
Nu-Cotrimox ......................................................................89
Nu-Cotrimox DS ................................................................89
Nu-Cyclobenzaprine ....................................................... 114
Nu-Diclo .................................................................. 107, 108
Nu-Diltiaz ..........................................................................42
Nu-Diltiaz CD ....................................................................41
Nu-Divalproex ................................................................. 127
Nu-Domperidone .................................................................7
Nu-Doxycycline .................................................................83
Nu-Famotidine ....................................................................3
Nu-Fluoxetine.................................................................. 148
October 2011
Nu-Flurbiprofen .............................................................. 111

Nu-Fluvoxamine ......................................................150, 151
Nu-Gemfibrozil ................................................................. 54
Nu-Glyburide .................................................................... 14
Nu-Ibuprofen .................................................................. 109
Nu-Indapamide................................................................. 31
Nu-Indo .......................................................................... 107
Nu-Ketocon ...................................................................... 94
Nu-Ketorolac .................................................................. 108
Nu-Levocarb .................................................................. 131
Nu-Metformin ................................................................... 13
Nu-Metoclopramide ............................................................ 6
Nu-Metop ....................................................................35, 36
Nu-Moclobemide ............................................................ 151
Nu-Naprox ...................................................................... 110
Nu-Nortriptyline .............................................................. 147
Nu-Oxybutyn .................................................................... 73
Nu-Pen VK ....................................................................... 85
Nu-Pentoxifylline .............................................................. 32
Nu-Pindol ....................................................................33, 34
Nu-Pirox ......................................................................... 108
Nu-Pravastatin ............................................................52, 53
Nu-Prazo .......................................................................... 29
Nu-Ranit ............................................................................. 2
Nu-Selegiline .................................................................. 133
Nu-Sotalol ........................................................................ 35
Nu-Sucralfate ..................................................................... 5
Nu-Sulindac ................................................................... 107
Nu-Terazosin.................................................................... 74
Nu-Tetra ........................................................................... 83
Nu-Tiaprofenic................................................................ 111
Nu-Timolol ........................................................................ 34
Nu-Trazodone ................................................................ 152
Nu-Trazodone-D ............................................................ 152
Nu-Triazide ...................................................................... 32
Nutropin ........................................................................... 77
Nu-Valproic .................................................................... 127
NuvaRing ......................................................................... 68
Nu-Verap .......................................................................... 40
Nu-Zopiclone .................................................................. 145
Nyaderm .....................................................................57, 67
nystatin ................................................................10, 57, 67
nystatin, comb. ............................................................... 67
Octostim ........................................................................... 77
octreotide ........................................................................ 78
Octreotide Acetate Omega ............................................... 78
Ocuflox ........................................................................... 169
Oesclim ............................................................................ 71
ofloxacin ..................................................................91, 169
Ogen ................................................................................ 71
olanzapine .................................................................... 137
Olestyr .............................................................................. 55
olmesartan medoxomil .................................................. 49
olmesartan medoxomil and diuretics ........................... 50
Olmetec ............................................................................ 49
Olmetec Plus .................................................................... 50
olopatadine ................................................................... 173
olsalazine ........................................................................ 11
omalizumab .................................................................. 165
omeprazole ....................................................................... 3
Omeprazole ................................................................... 3, 4
Omnaris ......................................................................... 163
Omnitrope ........................................................................ 77
ondansetron ..................................................................... 7
Ondansetron-Odan ............................................................ 7
One-Alpha ........................................................................ 16
Product Index 16
Product Index
Onglyza .............................................................................16
opium ...............................................................................10
Opticrom ......................................................................... 173
Optimyxin Plus ................................................................ 175
Oracort ................................................................................1
Orap ................................................................................136
Orbenin .............................................................................85
orciprenaline .................................................................164
Orencia ........................................................................... 104
Orfenace ......................................................................... 113
orlistat ..............................................................................11
orphenadrine (citrate) ...................................................113
Ortho ........................................................................... 68, 69
Orthocept ..........................................................................69
Orudis ............................................................................. 111
Orudis-E .......................................................................... 111
oseltamivir .......................................................................98
other nasal preparations, comb...................................162
other respiratory system products ..............................167
Ovol ....................................................................................6
Ovral .................................................................................69
oxaprozin .......................................................................111
oxazepam.......................................................................142
oxcarbazepine ...............................................................127
Oxeze ............................................................................. 162
Oxsoralen..........................................................................59
oxtriphylline...................................................................164
oxybutynin .......................................................................72
Oxybutynin ........................................................................73
oxycodone .....................................................................120
OxyContin ....................................................................... 120
Oxyderm ...........................................................................65
Oxy-IR ............................................................................. 120
Oxytrol ..............................................................................73
Palafer ..............................................................................22
Palafer CF .........................................................................22
pamidronate ..................................................................115
Pamidronate.................................................................... 115
Pamidronate Disodium Omega ....................................... 115
pamidronic acid ............................................................115
Pancrease MT...................................................................12
Panoxyl .............................................................................65
PanOxyl ............................................................................65
Pantoloc ..............................................................................4
pantoprazole......................................................................4
papaverine .........................................................................5
Papaverine ..........................................................................5
paracetamol ...................................................................123
Pariet .............................................................................. 4, 5
Parlodel .............................................................................68
Parnate ........................................................................... 151
paromycin ........................................................................10
paroxetine ......................................................................149
Paroxetine ............................................................... 149, 150
Parsitan ........................................................................... 130
Patanol ............................................................................ 173
PAT-Galantamine ........................................................... 156
Paxil ........................................................................ 149, 150
Pediapred..........................................................................80
pegaptanib .....................................................................174
Pegasys .......................................................................... 103
Pegetron ......................................................................... 104
pegfilgrastim .................................................................103
peginterferon alfa-2a ....................................................103
Peglyte ................................................................................9
pegvisomant ....................................................................77
October 2011
Penbritin ........................................................................... 84
Penglobe .......................................................................... 84
penicillamine ................................................................ 112
penicillin v ...................................................................... 85
Penlac .............................................................................. 57
Pennsaid ........................................................................ 112
Pentamycetin ..........................................................169, 175
Pentasa ............................................................................ 11
pentazocine .................................................................. 121
pentosan polysulfate sodium........................................ 33
pentoxifylline .................................................................. 32
Pen-Vee ........................................................................... 85
Pepcid ............................................................................ 2, 3
pepsin ............................................................................. 12
PeptoBismol ..................................................................... 10
Percocet ......................................................................... 123
Perichlor ............................................................................. 1
pericyazine ................................................................... 134
Peridex ............................................................................... 1
perindopril ...................................................................... 44
perindopril and diuretics ............................................... 47
Periostat ............................................................................. 1
perphenazine ................................................................ 134
Persantine ........................................................................ 21
pethidine ....................................................................... 120
Pharmorubicin ................................................................ 100
phenelzine .................................................................... 151
phenoxymethylpenicillin ............................................... 85
phentolamine .................................................................. 32
Phentolamine Mesylate .................................................... 32
phenylephrine..................................................27, 161, 173
Phenylephrine .................................................................. 27
phenytoin ...................................................................... 125
pHisoHex ......................................................................... 64
phl-Amiodarone ................................................................ 26
phl-Amlodipine ................................................................. 39
phl-Atenolol ...................................................................... 36
phl-Azithromycin............................................................... 90
phl-Baclofen ................................................................... 113
phl-Carvedilol ................................................................... 38
phl-Citalopram .........................................................148, 149
phl-Clonazepam ............................................................. 126
phl-Cyclobenzaprine ...................................................... 114
phl-Fluoxetine................................................................. 148
phl-Gabapentin............................................................... 129
phl-Meloxicam ................................................................ 109
phl-Mirtazapine............................................................... 152
phl-Ondansetron ................................................................ 7
phl-Paroxetine .........................................................149, 150
phl-Pioglitazone...........................................................15, 16
phl-Pravastatin ............................................................52, 53
phl-Quetiapine .........................................................138, 139
phl-Risperidone .......................................................140, 141
phl-Sertraline .................................................................. 150
phl-Simvastatin............................................................51, 52
phl-Topiramate ........................................................128, 129
phl-Trazodone ................................................................ 152
phl-Zopiclone.................................................................. 145
Phoslo ............................................................................ 177
Phosphate-Novartis.......................................................... 17
Phyllocontin .................................................................... 165
phytonadione.................................................................. 21
pilocarpine .............................................................157, 171
Pilopine HS .................................................................... 171
pimecrolimus .................................................................. 66
pimozide ....................................................................... 136
Product Index 17
Product Index
pinaverium .........................................................................6
pindolol ............................................................................33
pindolol and other diuretics ...........................................38
pioglitazone .....................................................................15
Pioglitazone ................................................................ 15, 16
piperacillin .......................................................................85
Piperacillin.........................................................................85
piperacillin and enzyme inhibitor ..................................86
Piperacillin and Tazobactam .............................................86
Piportil L4 ........................................................................ 134
pipotiazine .....................................................................134
Pipracil-PWS .....................................................................85
piroxicam .......................................................................108
pivampicillin ....................................................................84
pivmecillinam ..................................................................85
pizotifen .........................................................................125
placebo ..........................................................................178
Placebo ........................................................................... 178
Plan B ...............................................................................70
Plaquenil ......................................................................... 159
platelet aggregation inhibitors, comb. ..........................21
Plavix ................................................................................20
Plendil ...............................................................................39
pms-Acetaminophen ....................................................... 123
pms-Alendronate-FC ....................................................... 115
pms-Amantadine ............................................................. 131
pms-Amiodarone ...............................................................26
pms-Amlodipine ................................................................39
pms-Amoxicillin .................................................................84
pms-ASA ......................................................................... 122
pms-atenolol .....................................................................36
pms-Atenolol .....................................................................36
pms-Atorvastatin ......................................................... 53, 54
pms-Azithromycin .............................................................90
pms-Baclofen .................................................................. 113
pms-Benztropine ............................................................. 131
pms-Benzydamine ..............................................................1
pms-Bicalutamide ........................................................... 102
pms-Bisacodyl.....................................................................9
pms-Bisoprolol ..................................................................37
pms-Brimonidine ............................................................. 171
pms-Bromocriptine ............................................................68
pms-Bupropion................................................................ 153
pms-Buspirone ................................................................ 144
pms-Captopril.............................................................. 42, 43
pms-Carbamazepine ....................................................... 126
pms-Carvedilol ..................................................................38
pms-Chloral Hydrate ....................................................... 144
pms-Cilazapril ............................................................. 45, 46
pms-Ciprofloxacin ..................................................... 92, 170
pms-Citalopram....................................................... 148, 149
pms-Clarithromycin ...........................................................90
pms-Clobazam ................................................................ 143
pms-Clobetasol .................................................................63
pms-Clonazepam .................................................... 125, 126
pms-Clonazepam-R ........................................................ 126
pms-Codeine................................................................... 165
pms-Cyclobenzaprine ..................................................... 114
pms-Deferoxamine .......................................................... 177
pms-Desmopressin ...........................................................77
pms-Desonide ...................................................................61
pms-Dexamethasone ........................................................79
pms-Diazepam ........................................................ 141, 142
pms-Diclofenac ....................................................... 107, 108
pms-Diclofenac-K............................................................ 107
pms-Docusate Sodium ........................................................9
October 2011
pms-Domperidone.............................................................. 7
pms-Doxazosin ................................................................ 29
pms-Doxycycline .............................................................. 83
pms-Enalapril ................................................................... 43
pms-Erythromycin .......................................................... 169
pms-Famciclovir ..........................................................96, 97
pms-Fenofibrate Micro ..................................................... 55
pms-Fentanyl ................................................................. 121
pms-Fentanyl MTX ......................................................... 121
pms-Ferrous Sulfate......................................................... 22
pms-Finasteride ..........................................................66, 74
pms-Fluconazole .............................................................. 95
pms-Fluorometholone .................................................... 170
pms-Fluoxetine............................................................... 148
pms-Fluphenazine...................................................133, 134
pms-Flutamide ............................................................... 102
pms-Fluvoxamine ....................................................150, 151
pms-Gabapentin......................................................129, 130
pms-Gemfibrozil ............................................................... 54
pms-Gentamicin ......................................................169, 175
pms-Gliclazide.................................................................. 14
pms-Glyburide .................................................................. 14
pms-Hydrochlorothiazide ................................................. 30
pms-Hydromorphone ..................................................... 119
pms-Ibuprofen ................................................................ 109
pms-Indapamide .............................................................. 31
pms-Ipratropium ..............................................161, 163, 164
pms-Irbesartan ................................................................. 48
pms-Irbesartran-HCTZ ..................................................... 50
pms-ISMN ........................................................................ 28
pms-Isoniazid ................................................................... 95
pms-Ketoprofen.............................................................. 111
pms-Lactulose .................................................................... 9
pms-Lamotrigine ............................................................ 128
pms-Leflunomide............................................................ 104
pms-Letrozole ................................................................ 103
pms-Levazine ................................................................. 155
pms-Levetiracetam......................................................... 130
pms-Levobunolol ............................................................ 172
pms-Levofloxacin ............................................................. 93
pms-Lidocaine .................................................................. 58
pms-Lisinopril ..............................................................43, 44
pms-Lithium Carbonate .................................................. 139
pms-Loperamide .............................................................. 10
pms-Lovastatin ................................................................. 52
pms-Loxapine................................................................. 136
pms-Meloxicam .............................................................. 109
pms-memantine ............................................................. 156
pms-Metformin ................................................................. 13
pms-Methylphenidate ..................................................... 154
pms-Metoclopramide.......................................................... 6
pms-Metoprolol-L ........................................................35, 36
pms-Minocycline .............................................................. 83
pms-Mirtazapine............................................................. 152
pms-Moclobemide .......................................................... 151
pms-Morphine Sulfate .................................................... 118
pms-Naproxen.........................................................109, 110
pms-Nizatidine ................................................................... 3
pms-Norfloxacin ............................................................... 92
pms-Nortriptyline ............................................................ 147
pms-Nystatin .................................................................... 10
pms-Ofloxacin ................................................................ 169
pms-Olanzapine ......................................................137, 138
pms-Omeprazole............................................................ 3, 4
pms-Ondansetron .............................................................. 7
pms-Oxybutynin ..........................................................72, 73
Product Index 18
Product Index
pms-Oxycodone .............................................................. 120
pms-Pantoprazole ...............................................................4
pms-Paroxetine ....................................................... 149, 150
pms-Phenobarbital .......................................................... 125
pms-Pindolol ............................................................... 33, 34
pms-Pioglitazone ........................................................ 15, 16
pms-Piroxicam ................................................................ 109
pms-Potassium Chloride ...................................................17
pms-Pramipexole ............................................................ 132
pms-Pravastatin .......................................................... 52, 53
pms-Prednisolone .............................................................80
pms-Prochloperazine ...................................................... 134
pms-Prochlorperazine ..................................................... 134
pms-Procyclidine ............................................................. 130
pms-Propafenone .............................................................26
pms-Quetiapine....................................................... 138, 139
pms-Rabeprazole ............................................................ 4, 5
pms-Ramipril ............................................................... 44, 45
pms-Ramipril-HCTZ ..........................................................47
pms-Ranitidine ....................................................................2
pms-Repaglinide ...............................................................16
pms-Risedronate............................................................. 116
pms-Risperidone ............................................. 139, 140, 141
pms-Rivastigmine ................................................... 155, 156
pms-Ropinirole ................................................................ 132
pms-Salbutamol ...................................................... 162, 164
pms-Selegiline ................................................................ 133
pms-Sertraline................................................................. 150
pms-Simvastatin ......................................................... 51, 52
pms-Sodium Cromoglycate ............................................. 164
pms-Sodium Polystyrene Sulfonate ................................ 177
pms-Sotalol .......................................................................35
pms-Sulfasalazine .............................................................11
pms-Sumatriptan............................................................. 124
pms-Temazepam ............................................................ 145
pms-Terazosin ..................................................................74
pms-Terbinafine ................................................................58
pms-Testosterone .............................................................70
pms-Theophylline ............................................................ 164
pms-Timolol .................................................................... 172
pms-Tobramycin ............................................................. 169
pms-Topiramate ...................................................... 128, 129
pms-Trazodone ............................................................... 152
pms-Tryptophan .............................................................. 151
pms-Ursodiol C ...................................................................8
pms-Valacyclovir ...............................................................97
pms-Valproic ................................................................... 127
pms-Vancomycin ..............................................................93
pms-Venlafaxine ............................................................. 153
pms-Verapamil ..................................................................40
pms-Zolmitriptan ............................................................. 124
pms-Zopiclone ................................................................ 145
Podofilm ............................................................................60
podophyllotoxin ..............................................................60
Pollinex-R........................................................................ 177
polystyrene sulfonate ...................................................177
Polytrim ........................................................................... 169
Pondocillin.........................................................................84
Ponstan ........................................................................... 111
Pontocaine ...................................................................... 117
Portia ................................................................................69
posaconazole ..................................................................95
Posanol .............................................................................95
Potaba ..............................................................................66
potassium chloride .........................................................17
potassium citrate ............................................................17
October 2011
povidone-iodine ........................................................64, 67
Pradax .............................................................................. 21
pramipexole .................................................................. 132
pramocaine ..................................................................... 33
Pramox HC ...................................................................... 64
pramoxine ....................................................................... 33
Pravachol ....................................................................52, 53
PravASA .......................................................................... 54
pravastatin ...................................................................... 52
Pravastatin ..................................................................52, 53
pravastatin, comb. ......................................................... 54
prazosin .......................................................................... 29
Pred Forte ...................................................................... 170
Pred Mild ........................................................................ 170
prednisolone............................................................80, 170
prednisolone and antiinfectives ................................. 171
prednisone ...................................................................... 80
pregabalin ..................................................................... 130
PregVit ............................................................................. 22
Premarin .......................................................................... 71
Premplus .......................................................................... 71
Pressyn ............................................................................ 77
Prevacid ............................................................................. 4
Prevex B .......................................................................... 62
Prevex HC ........................................................................ 60
Prezista ............................................................................ 97
primaquine .................................................................... 159
Primaquine ..................................................................... 159
Primaxin ........................................................................... 88
primidone ...................................................................... 125
Prinivil .........................................................................43, 44
Prinzide .......................................................................46, 47
Pristiq ............................................................................. 153
probenecid .................................................................... 114
procainamide .................................................................. 25
Procainamide ................................................................... 25
Procan .............................................................................. 25
procarbazine ................................................................. 100
prochlorperazine .......................................................... 134
Prochlorperazine ............................................................ 134
Proctodan-HC .................................................................. 33
Proctofoam HC................................................................. 33
Proctol .............................................................................. 33
Proctosedyl ...................................................................... 33
procyclidine .................................................................. 130
Procytox ........................................................................... 99
profenamine.................................................................. 130
progesterone .................................................................. 71
Proglycem ...................................................................... 178
Prolopa ........................................................................... 131
Proloprim .......................................................................... 89
Prometrium ...................................................................... 71
Pronestyl .......................................................................... 25
propafenone ................................................................... 26
Propafenone .................................................................... 26
Propecia ........................................................................... 66
propericyazine .............................................................. 134
propranolol ..................................................................... 34
Propranolol ....................................................................... 34
propylthiouracil .............................................................. 81
Propyl-Thyracil ................................................................. 81
Proscar ............................................................................. 74
Prostigmin ...................................................................... 156
Prostin .............................................................................. 68
protease inhibitors, comb. ............................................ 97
Protopic ............................................................................ 66
Product Index 19
Product Index
Provastatin ........................................................................53
Provera .............................................................................71
proxymetacaine.............................................................173
Prozac ............................................................................. 148
Pulmicort ......................................................................... 163
Purinethol ..........................................................................99
PVF 500 ............................................................................85
PVF K ...............................................................................85
pyrazinamide ...................................................................95
pyridostigmine ..............................................................157
pyrimethamine ..............................................................159
Questran ...........................................................................55
quetiapine ......................................................................138
Quetiapine............................................................... 138, 139
quinagolide ......................................................................68
quinapril ...........................................................................45
quinapril and diuretics....................................................47
quinine ...........................................................................159
Quinine ........................................................................... 159
Quinine-Odan.................................................................. 159
QVAR .............................................................................. 163
rabeprazole ........................................................................4
Rabeprazole.................................................................... 4, 5
Ralivia ............................................................................. 122
raloxifene .........................................................................72
raltegravir ........................................................................98
ramipril .............................................................................44
Ramipril .............................................................................44
ramipril and diuretics .....................................................47
RAN-Amlodipine ...............................................................39
RAN-Atenolol ....................................................................36
RAN-Atorvastatin ........................................................ 53, 54
RAN-Carvedilol .................................................................38
RAN-Cefprozil ............................................................. 87, 88
RAN-Ciproflox ...................................................................92
RAN-Ciprofloxacin ............................................................92
RAN-Citalo ...................................................................... 149
RAN-Citalopram .............................................................. 149
RAN-Clarithromycin ..........................................................90
RAN-Domperidone ..............................................................7
RAN-Enalapril ...................................................................43
RAN-Fentanyl ................................................................. 121
RAN-Fentanyl MTX ......................................................... 121
RAN-Gabapentin............................................................. 129
RAN-Gapapentin............................................................. 129
ranitidine ............................................................................2
Ranitidine ............................................................................2
RAN-Lisinopril ............................................................. 43, 44
RAN-Lovastatin .................................................................52
RAN-Metformin .................................................................13
RAN-Ondansetron ..............................................................7
RAN-Pantoprazole ..............................................................4
RAN-Pravastatin ......................................................... 52, 53
RAN-Rabeprazole ........................................................... 4, 5
RAN-Ramipril .............................................................. 44, 45
RAN-Ranitidine ...................................................................2
RAN-Risperidone .................................................... 140, 141
RAN-Ropinirole ............................................................... 132
RAN-Simvastatin ......................................................... 51, 52
RAN-Tamsulosin ...............................................................74
RAN-Valsartan ..................................................................48
RAN-Zopiclone................................................................ 145
rasagiline .......................................................................133
Rasilez ..............................................................................50
ratio-Aclavulanate ....................................................... 85, 86
ratio-Acyclovir ...................................................................96
October 2011
ratio-Alendronate............................................................ 115
ratio-Amcinonide .............................................................. 62
ratio-Amiodarone.............................................................. 26
ratio-Amlodipine ............................................................... 39
ratio-Atenolol .................................................................... 36
ratio-Atorvastatin .........................................................53, 54
ratio-Azithromycin ............................................................ 90
ratio-Baclofen ................................................................. 113
ratio-Bicalutamide .......................................................... 102
ratio-Brimonidine ............................................................ 171
ratio-Bronc ..................................................................... 165
ratio-Bupropion............................................................... 153
ratio-Carvedilol ................................................................. 38
ratio-Cefuroxime............................................................... 87
ratio-Ciprofloxacin ............................................................ 92
ratio-Citalopram.............................................................. 149
ratio-Clarithromycin .......................................................... 90
ratio-Clobetasol ................................................................ 63
ratio-Clonazepam ........................................................... 126
ratio-Codeine.................................................................. 165
ratio-Cyclobenzaprine .................................................... 114
ratio-Diltiazem CD ............................................................ 41
ratio-Docusate Sodium ....................................................... 9
ratio-Domperidone ............................................................. 7
ratio-Ectosone .................................................................. 62
ratio-Emtec ..................................................................... 120
ratio-Enalapril ................................................................... 43
ratio-Fenofibrate MC ........................................................ 55
ratio-Fentanyl ................................................................. 121
ratio-Finasteride ............................................................... 74
ratio-Fluoxetine .............................................................. 148
ratio-Fluticasone............................................................. 161
ratio-Fluvoxamine....................................................150, 151
ratio-Gabapentin .....................................................129, 130
ratio-Gentamicin ............................................................... 60
ratio-Glimepiride ..........................................................14, 15
ratio-Glyburide.................................................................. 14
ratio-Haloperidol ............................................................. 135
ratio-Hemcort HC ............................................................. 33
ratio-Indomethacin ......................................................... 107
ratio-IPRA SAL ............................................................... 162
ratio-Ipratropium ......................................................163, 164
ratio-Irbesartan ................................................................. 48
ratio-Irbesartan-HCTZ ...................................................... 50
ratio-Ketorolac ................................................................ 170
ratio-Lactulose.................................................................... 9
ratio-Lamotrigine ............................................................ 128
ratio-Lenoltec ..........................................................120, 123
ratio-Levobunolol............................................................ 172
ratio-Lisinopril P ..........................................................43, 44
ratio-Lisinopril Z...........................................................43, 44
ratio-Lovastatin................................................................. 52
ratio-Meloxicam .............................................................. 109
ratio-Memantine ............................................................. 156
ratio-Metformin ................................................................. 13
ratio-Methotrexate Sodium ............................................... 99
ratio-Minocycline .............................................................. 83
ratio-Mirtazapine ............................................................ 152
ratio-Mometasone ............................................................ 63
ratio-Morphine ................................................................ 118
ratio-Nystatin .........................................................10, 57, 67
ratio-Omeprazole ............................................................... 4
ratio-Ondansetron .............................................................. 7
ratio-Oxycocet ................................................................ 123
ratio-Oxycodan ............................................................... 122
ratio-Pantoprazole .............................................................. 4
Product Index 20
Product Index
ratio-Paroxetine....................................................... 149, 150
ratio-Pioglitazone ........................................................ 15, 16
ratio-Pravastatin .......................................................... 52, 53
ratio-Prednisolone ........................................................... 170
ratio-Proctosone................................................................33
ratio-Quetiapine ...................................................... 138, 139
ratio-Ramipril............................................................... 44, 45
ratio-Ranitidine ....................................................................2
ratio-Risedronate ............................................................ 116
ratio-Rivastigmine ................................................... 155, 156
ratio-Salbutamol .............................................................. 162
ratio-Sertraline ................................................................ 150
ratio-Sildenafil-R ...............................................................73
ratio-Simvastatin ......................................................... 51, 52
ratio-Sotalol .......................................................................35
ratio-Sumatriptan ............................................................ 124
ratio-Tamsulosin ...............................................................74
ratio-Tecnal ..................................................................... 122
ratio-Temazepam ............................................................ 145
ratio-Terazosin ..................................................................74
ratio-Topilene ....................................................................61
ratio-Topiramate...................................................... 128, 129
ratio-Topisalic....................................................................64
ratio-Topisone ...................................................................61
ratio-Trazodone............................................................... 152
ratio-Tryptophan.............................................................. 151
ratio-Valproic ................................................................... 127
ratio-Venlafaxine ............................................................. 153
ratio-Zopiclone ................................................................ 145
RBX-Risperidone .................................................... 140, 141
Reactine .......................................................................... 166
Rebif ............................................................................... 103
Refresh ........................................................................... 174
Refresh Celluvisc ............................................................ 174
Refresh Lacri-Lube ......................................................... 174
Refresh Plus ................................................................... 174
Refresh Tears ................................................................. 174
Regranex ..........................................................................58
Relafen ........................................................................... 112
Relenza .............................................................................98
Relistor ..............................................................................10
Relpax ............................................................................. 125
Remeron ......................................................................... 152
Remicade ........................................................................ 104
Reminyl ........................................................................... 156
Remodulin .........................................................................21
Renagel .......................................................................... 177
Renedil ..............................................................................39
repaglinide .......................................................................16
ReQuip ............................................................................ 132
Restoril ............................................................................ 145
Resultz ............................................................................ 160
Retin-A ..............................................................................65
Retrovir .............................................................................97
Revatio ..............................................................................73
ReVia .............................................................................. 157
Revlimid .......................................................................... 106
Reyataz .............................................................................97
Rhinalar .......................................................................... 161
Rhinaris-CS..................................................................... 161
Rhinocort......................................................................... 161
Rho-Nitro...........................................................................27
Rhotral ..............................................................................37
Rhovane.......................................................................... 145
ribavirin, comb. .............................................................103
Ridaura ........................................................................... 112
October 2011
rifabutin ........................................................................... 95
Rifadin .............................................................................. 95
rifampicin ........................................................................ 95
rifampin ........................................................................... 95
rifampin and isoniazid ................................................... 96
Rifater .............................................................................. 96
Rilutek ............................................................................ 158
riluzole .......................................................................... 158
Rimso-50 .......................................................................... 73
risedronate ................................................................... 115
risedronic acid.............................................................. 115
Risperdal .........................................................139, 140, 141
Risperdal Consta............................................................ 139
risperidone ............................................................139, 141
Risperidone .................................................................... 140
Ritalin ............................................................................. 154
ritonavir ........................................................................... 97
Rituxan ........................................................................... 100
rituximab ....................................................................... 100
rivaroxaban ..................................................................... 21
rivastigmine .................................................................. 155
Rivotril ............................................................................ 126
rizatriptan ...................................................................... 124
Robaxacet ...................................................................... 113
Robaxin .......................................................................... 113
Robaxisal C .................................................................... 113
Robitussin ...................................................................... 165
Rocaltrol ........................................................................... 16
Rocephin .......................................................................... 88
Rofact ............................................................................... 95
Rogaine ............................................................................ 66
ropinirole ...................................................................... 132
Ropinirole ....................................................................... 132
Rosasol ............................................................................ 60
rosiglitazone ................................................................... 15
rosuvastatin .................................................................... 54
Rougier-Magnesium ......................................................... 17
Rovamycine ..................................................................... 90
Rynacrom ....................................................................... 161
Rythmodan ....................................................................... 25
Rythmodan-LA ................................................................. 25
Rythmol ............................................................................ 26
Sabril .............................................................................. 127
saccharated iron oxide .................................................. 22
Saizen .............................................................................. 77
Salagen .......................................................................... 157
Salazopyrin ...................................................................... 11
salbutamol .............................................................162, 164
salbutamol & other obst. airway disease drugs ........ 162
salicylic acid ................................................................... 57
Salicylic Acid .................................................................... 57
salmeterol ..................................................................... 162
salmeterol & other obst. airway disease drugs ......... 163
Salofalk ............................................................................ 11
Sandomigran .................................................................. 125
Sandomigran DS ............................................................ 125
Sandostatin ...................................................................... 78
Sandoz Acebutolol ........................................................... 37
Sandoz Alendronate....................................................... 115
Sandoz Alfuzosin ............................................................. 73
Sandoz Amiodarone......................................................... 26
Sandoz Amlodipine .......................................................... 39
Sandoz Anagrelide ......................................................... 101
Sandoz Anuzinc ..........................................................32, 33
Sandoz Atenolol ............................................................... 36
Sandoz Atorvastatin ....................................................53, 54
Product Index 21
Product Index
Sandoz Azithromycin ........................................................90
Sandoz Bicalutamide ...................................................... 102
Sandoz Bisoprolol .............................................................37
Sandoz Brimonidine ........................................................ 171
Sandoz Bupropion .......................................................... 153
Sandoz Calcitonin .............................................................81
Sandoz Candesartan ........................................................49
Sandoz Carbamazepine ................................................. 126
Sandoz Cefprozil......................................................... 87, 88
Sandoz Ciprofloxacin ........................................................92
Sandoz Citalopram ......................................................... 149
Sandoz Clarithromycin ......................................................90
Sandoz Clonazepam .......................................................126
Sandoz Cortimyxin .................................................. 171, 175
Sandoz Cyclosporine ...................................................... 105
Sandoz Dexamethasone ................................................. 175
Sandoz Diclofenac .................................................. 107, 108
Sandoz Diltiazem CD ........................................................41
Sandoz Diltiazem T ..................................................... 41, 42
Sandoz Dorzolamide/Timolol .......................................... 172
Sandoz Enalapril ...............................................................43
Sandoz Estradiol Derm .....................................................70
Sandoz Eyelube .............................................................. 174
Sandoz Famciclovir ..................................................... 96, 97
Sandoz Felodipine ............................................................39
Sandoz Fenofibrate S .......................................................55
Sandoz Fentanyl ............................................................. 121
Sandoz Finasteride ...........................................................74
Sandoz Fluoxetine .......................................................... 148
Sandoz Gentamicin ................................................. 169, 174
Sandoz Glimepiride ..................................................... 14, 15
Sandoz Glyburide .............................................................14
Sandoz Idoxuridine ...........................................................60
Sandoz Indomethacin ..................................................... 107
Sandoz Irbesartan .............................................................48
Sandoz Irbesartan HCT ....................................................50
Sandoz Leflunomide ....................................................... 104
Sandoz Letrozole ............................................................ 103
Sandoz Levobunolol ....................................................... 172
Sandoz Levofloxacin .........................................................93
Sandoz Lisinopril ......................................................... 43, 44
Sandoz Lisinopril HCT ......................................................47
Sandoz Loperamide ..........................................................10
Sandoz Lovastatin ............................................................52
Sandoz Metformin .............................................................13
Sandoz Methylphenidate ................................................ 154
Sandoz Metoprolol ...................................................... 35, 36
Sandoz Minocycline ..........................................................83
Sandoz Mirtazapine ........................................................ 152
Sandoz Morphine ............................................................ 118
Sandoz Naratriptan ......................................................... 124
Sandoz Nitrazepam ........................................................ 144
Sandoz Olanzapine ......................................................... 137
Sandoz Omeprazole ...........................................................3
Sandoz Ondansetron ..........................................................7
Sandoz Opium & Belladonna ............................................10
Sandoz Opticort .............................................................. 175
Sandoz Orphenadrine ..................................................... 113
Sandoz Oxycodone ......................................................... 123
Sandoz Pantoprazole ..........................................................4
Sandoz Paroxetine .................................................. 149, 150
Sandoz Pentasone .......................................................... 175
Sandoz Pindolol .......................................................... 33, 34
Sandoz Pioglitazone ................................................... 15, 16
Sandoz Pramipexole ....................................................... 132
Sandoz Pravastatin ..................................................... 52, 53
October 2011
Sandoz Prednisolone ..................................................... 170

Sandoz Proctomyxin ........................................................ 33
Sandoz Quetiapine..................................................138, 139
Sandoz Ramipril ..........................................................44, 45
Sandoz Ranitidine .............................................................. 2
Sandoz Risedronate....................................................... 116
Sandoz Risperidone ................................................140, 141
Sandoz Rivastigmine ..............................................155, 156
Sandoz Salbutamol ........................................................ 162
Sandoz Sennosides ........................................................... 9
Sandoz Sertraline........................................................... 150
Sandoz Simvastatin ....................................................51, 52
Sandoz Sodium Chloride ............................................... 174
Sandoz Sotalol ................................................................. 35
Sandoz Sumatriptan....................................................... 124
Sandoz Tamsulosin.......................................................... 74
Sandoz Terbinafine .......................................................... 58
Sandoz Ticlopidine ........................................................... 20
Sandoz Timolol .............................................................. 172
Sandoz Tobramycin ....................................................... 169
Sandoz Topiramate .................................................128, 129
Sandoz Trifluridine ......................................................... 169
Sandoz Valsartan ............................................................. 48
Sandoz Valsartan/HCT .................................................... 49
Sandoz Venlafaxine ....................................................... 153
Sandoz Zolmitripran ....................................................... 124
Sandoz Zolmitriptan ....................................................... 124
Sandoz Zopiclone .......................................................... 145
Sandoz-Irbesartan............................................................ 48
Sandoz-Olanzapine.................................................137, 138
Sandoz-Rabeprazole ..................................................... 4, 5
Santyl ............................................................................... 58
saquinavir ....................................................................... 97
Sarna HC ......................................................................... 60
Sativex ........................................................................... 123
scopolamine ..................................................................... 8
Scopolamine ...................................................................... 8
Seasonale ........................................................................ 69
Sebivo .............................................................................. 98
Sectral .............................................................................. 37
Selax .................................................................................. 9
Select ............................................................................... 69
selegiline ....................................................................... 133
selenium sulfide ............................................................. 57
Selexid ............................................................................. 85
senna glycosides ............................................................. 9
senna glycosides, comb. ................................................. 9
Senokot .............................................................................. 9
Sensipar ........................................................................... 82
Sensorcaine ................................................................... 117
Septa-Amlodipine ............................................................. 39
Septra .............................................................................. 89
Serax.............................................................................. 142
Serc................................................................................ 157
Serevent ......................................................................... 162
Serophene ....................................................................... 72
Seroquel ..................................................................138, 139
sertraline ....................................................................... 150
Sertraline ........................................................................ 150
sevelamer ..................................................................... 177
Sialor ................................................................................ 18
Sibelium ......................................................................... 158
sibutramine ..................................................................... 11
sildenafil ......................................................................... 73
silicones ............................................................................ 6
Silkis ................................................................................. 59
Product Index 22
Product Index
silver sulfadiazine ...........................................................60
Simponi ........................................................................... 105
simvastatin ......................................................................51
Simvastatin ................................................................. 51, 52
Sinemet ........................................................................... 131
Sinequan ......................................................................... 147
Singulair .......................................................................... 165
Sintrom .............................................................................20
sitagliptin .........................................................................16
sitagliptin/metformin ......................................................15
sitaxentan ........................................................................30
Slow Fe .............................................................................22
Slow-Fe Folic ....................................................................22
Slow-K ..............................................................................17
sodium aurothiomalate.................................................112
Sodium Aurothiomalate ................................................... 112
sodium chloride ..............................................................23
Sodium Chloride ...............................................................23
sodium chloride, hypertonic ........................................174
sodium phosphate ..........................................................17
Sodium Sulamyd ............................................................. 169
Sofracort ......................................................................... 175
Soframycin ........................................................ 60, 161, 169
Sofra-Tulle ........................................................................64
solifenacin .......................................................................73
soltalol .............................................................................35
Solu-Cortef ........................................................................80
Solugel ..............................................................................65
Solu-Medrol.......................................................................79
somatropin ......................................................................77
Somatuline Autogel ...........................................................78
Somavert...........................................................................77
Somnol ............................................................................ 144
sorafenib ........................................................................101
Soriatane...........................................................................59
Sotacor .............................................................................35
spiramycin .......................................................................90
Spiriva ............................................................................. 164
spironolactone ................................................................31
Sporanox...........................................................................95
Sprycel ............................................................................ 101
Stadol .............................................................................. 121
Stalevo ............................................................................ 131
Starlix ................................................................................16
Statex ...................................................................... 118, 119
stavudine .........................................................................97
Stelara ............................................................................ 105
Stelazine ......................................................................... 134
Stemetil ........................................................................... 134
Sterile Vancomycin HCI ....................................................93
sterile water ...................................................................178
Sterile Water ................................................................... 178
Stieprox .............................................................................57
Stieva-A ............................................................................65
Stievamycin.......................................................................65
Strattera .................................................................. 154, 155
Suboxone ........................................................................ 157
sucralfate ...........................................................................5
Sufenta ........................................................................... 117
sufentanil .......................................................................117
Sufentanil Citrate ............................................................ 117
Sulcrate ...............................................................................5
suldinpyrazone..............................................................114
sulfacetamide ................................................................169
Sulfacet-R .........................................................................65
sulfamethoxazole and thrimethoprim ...........................89
October 2011
sulfasazine ...................................................................... 11
sulindac ........................................................................ 107
sulphur ............................................................................ 65
sumatriptan................................................................... 123
Sumatriptan .............................................................123, 124
sunitinib ........................................................................ 101
Supeudol ........................................................................ 120
Suprax .............................................................................. 88
Suprefact ........................................................................ 102
Surgam .......................................................................... 111
Surmontil .................................................................146, 147
Sutent ............................................................................. 101
Symbicort ....................................................................... 163
Symmetrel ...................................................................... 131
Synarel ............................................................................. 78
Synphasic ........................................................................ 69
Synthroid .....................................................................80, 81
tacrolimus ................................................................66, 105
Tagamet ......................................................................... 1, 2
Talwin ............................................................................. 121
Tambocor ......................................................................... 26
Tamiflu ............................................................................. 98
Tamofen ......................................................................... 102
tamoxifen ...................................................................... 102
tamsulosin ...................................................................... 74
Tantum Oral Rinse ............................................................. 1
Tapazole .......................................................................... 81
Tar Pomade ..................................................................... 58
Tarceva .......................................................................... 101
Tarka ................................................................................ 47
Taro-Amcinonide .............................................................. 62
Taro-Carbamazepine ..................................................... 126
Taro-Clindamycin ............................................................. 65
Taro-Clobetasol................................................................ 63
Taro-Mometasone ............................................................ 63
Taro-Mupirocin ................................................................. 60
Taro-Phenytoin............................................................... 125
Taro-Sone ........................................................................ 61
Taro-Warfarin ..............................................................19, 20
Tasigna .......................................................................... 101
tazarotene ....................................................................... 59
Tazocin ............................................................................ 86
Tazorac ............................................................................ 59
TearGel .......................................................................... 174
Tears Naturale ............................................................... 174
Tears Plus ...................................................................... 174
Tebrazid ........................................................................... 95
Tecta .................................................................................. 4
Tegretol .......................................................................... 126
telbivudine ...................................................................... 98
telithromycin................................................................... 90
telmisartan ...................................................................... 49
telmisartan and diuretics ............................................... 50
Telzir ................................................................................ 97
temazepam ................................................................... 145
Temodal ........................................................................... 99
temozolomide ................................................................. 99
tenofovir disoproxil and emtricitabine ......................... 98
tenofovir disproxil .......................................................... 98
Tenoretic .......................................................................... 38
Tenormin .......................................................................... 36
tenoxicam ..................................................................... 109
Terazol-3 .......................................................................... 67
terazosin ......................................................................... 74
Terazosin ......................................................................... 74
terbinafine ..................................................................57, 58
Product Index 23
Product Index
Terbinafine ........................................................................58
terbutaline.............................................................. 162, 164
terconazole ......................................................................67
teriparatide ......................................................................81
Testim ...............................................................................70
testosterone ....................................................................70
Testosterone Cypionate ....................................................70
tetrabenazine .................................................................158
tetracaine .......................................................................117
tetracycline ......................................................................83
Teva Zolmitriptan ............................................................ 124
Teva-Irbesartan.................................................................48
Teva-Irbesartan/HCTZ ......................................................50
Teva-Lactulose ...................................................................9
Teva-Nevirapine................................................................98
Teva-Valsartan..................................................................48
Teva-Valsartan/HCT .........................................................49
Teva-Valsartan/HCTZ .......................................................49
Teva-Zolmitriptan ............................................................ 124
Teveten ....................................................................... 48, 49
Thelin ................................................................................30
Theo-DUR ............................................................... 164, 165
Theolair ........................................................................... 164
theophylline ...................................................................164
theophylline, comb. exclding psycholeptics .............. 165
thiabendazole ................................................................159
thiamazole .......................................................................81
Thiamiject..........................................................................17
Thiamine ...........................................................................17
thiamine (Vit B1) ..............................................................17
thioguanine......................................................................99
thioproperazine .............................................................134
thiothixene .....................................................................136
Thyrogen ......................................................................... 178
Thyroid ..............................................................................81
thyroid gland preparations.............................................81
thyrotropin .....................................................................178
Tiamol ...............................................................................62
tiaprofenic acid .............................................................111
Tiazac ER ................................................................... 41, 42
Tiazac XC .........................................................................42
Ticlid .................................................................................20
ticlopidine ........................................................................20
Ticlopidine .........................................................................20
timolol ...................................................................... 34, 172
Timolol Maleate-EX ......................................................... 172
timolol, comb.................................................................172
Timoptic .......................................................................... 172
Timoptic-XE .................................................................... 172
Tinactin .............................................................................57
tinzaparin .........................................................................20
tiotropium bromide .......................................................164
tipranavir..........................................................................97
tizandine ........................................................................113
Tobradex ......................................................................... 171
tobramycin............................................................... 91, 169
Tobramycin .......................................................................91
Tobrex ............................................................................. 169
Tofranil ............................................................................ 146
tolbutamide......................................................................14
tolnaftate ..........................................................................57
Toloxin ..............................................................................25
tolterodine .......................................................................73
Topamax ................................................................. 128, 129
Topicort .............................................................................62
topiramate......................................................................128
October 2011
Topiramate ..............................................................128, 129

Toradol ........................................................................... 108
Tracleer ............................................................................ 30
Tramacet ........................................................................ 122
tramadol ........................................................................ 122
tramadol, comb. ........................................................... 122
Trandate ........................................................................... 37
trandolapril and verapamil ............................................ 47
trandolparil ..................................................................... 46
tranexamic acid .............................................................. 21
Tranexamic Acid .............................................................. 21
Transderm-Nitro ............................................................... 27
Transderm-V ...................................................................... 8
Tranxene ........................................................................ 142
tranylcypromine ........................................................... 151
Travatan ......................................................................... 173
Travatan Z ...................................................................... 173
travoprost ..................................................................... 173
Trazedone ...................................................................... 152
trazodone ...................................................................... 152
Trazodone ...................................................................... 152
Trelstar ........................................................................... 102
Trental .............................................................................. 32
treprostinil ...................................................................... 21
tretinoin ........................................................................... 65
Triaderm ........................................................................... 61
triamcinolone.................................................1, 61, 80, 161
Triamcinolone................................................................... 80
triamicinolone and antibiotics ...................................... 63
triazolam ....................................................................... 144
Tri-Cyclen ......................................................................... 69
Tridesilon ......................................................................... 61
trifluoperazine .............................................................. 134
trifluridine ..................................................................... 169
trihexyphenidyl............................................................. 130
Trilafon ........................................................................... 134
Trileptal .......................................................................... 127
trimebutine ....................................................................... 5
trimethoprim ................................................................... 89
trimipramine ................................................................. 146
Trinipatch ......................................................................... 27
Triquilar ............................................................................ 69
Tronothane ....................................................................... 33
tropicamide ................................................................... 173
Trosec .............................................................................. 73
trospium .......................................................................... 73
Trusopt ........................................................................... 171
Truvada ............................................................................ 98
Tryptan ........................................................................... 151
tryptophan .................................................................... 151
Twinject ............................................................................ 27
Tykerb ............................................................................ 101
Tylenol ....................................................................120, 123
Uloric .............................................................................. 114
Ultradol ........................................................................... 108
Ultrase .............................................................................. 12
Uniphyl ........................................................................... 165
Urecholine ...................................................................... 157
Uremol HC ....................................................................... 64
Urispas ............................................................................. 72
Urologic G ........................................................................ 73
Uromax ............................................................................ 73
Urso ................................................................................... 8
ursodeoxycholic acid ...................................................... 8
ursodiol ............................................................................. 8
ustekinumab ................................................................. 105
Product Index 24
Product Index
Vagifem .............................................................................71
valacyclovir .....................................................................97
Valcyte ..............................................................................97
valganciclovir ..................................................................97
Valisone G ........................................................................64
Valium ..................................................................... 141, 142
valproic acid ..................................................................127
valsartan ..........................................................................48
valsartan and diuretics ...................................................49
Valtrex ...............................................................................97
Val-Vanco .........................................................................93
Vancocin ...........................................................................93
Vancocin CP .....................................................................93
vancomycin .....................................................................93
Vantas ...............................................................................78
Vaseretic ...........................................................................46
vasopressin .....................................................................77
Vasopressin ......................................................................77
Vasotec .............................................................................43
venlafaxine ....................................................................153
Venlafaxine ..................................................................... 153
Venofer .............................................................................22
Ventolin ................................................................... 162, 164
Vepesid ........................................................................... 100
verapamil .........................................................................40
Verapamil ..........................................................................40
Vermox ........................................................................... 159
Versed ............................................................................ 145
Versel ................................................................................57
verteporfin .....................................................................174
Vesicare ............................................................................73
Vfend ................................................................................95
Viaderm KC.......................................................................63
Viagra ...............................................................................73
Vibramycin ........................................................................83
Vibra-Tabs ........................................................................83
vigabatrin .......................................................................127
Vigamox .......................................................................... 170
vinorelbine .....................................................................100
Vioform HC .......................................................................63
Viokase .............................................................................12
Viracept .............................................................................97
Viramune...........................................................................98
Viread ...............................................................................98
Viroptic ............................................................................ 169
Viskazide...........................................................................38
Visken .........................................................................33, 34
Visudyne ......................................................................... 174
Vitamin A Acid...................................................................65
Vitamin B1 .........................................................................17
Vitamin B12 ........................................................................22
Vitamin K1 .........................................................................21
Vivelle ...............................................................................70
Vivol ................................................................................ 142
Volibris ..............................................................................30
Voltaren .......................................................... 107, 108, 170
voriconazole ....................................................................95
Vyvanse .......................................................................... 155
warfarin ............................................................................19
Warfarin ...................................................................... 19, 20
October 2011
Wartec .............................................................................. 60
Wellbutrin ....................................................................... 153
Wellbutrin XL .................................................................. 153
Westcort ........................................................................... 61
Winpred ............................................................................ 80
Xalacom ......................................................................... 172
Xalatan ........................................................................... 173
Xamiol .............................................................................. 64
Xanax ............................................................................. 143
Xarelto .............................................................................. 21
Xatral ................................................................................ 73
Xeloda ............................................................................ 100
Xenical ............................................................................. 11
Xeomin ........................................................................... 112
Xolair .............................................................................. 165
Xylocaine ..................................................................58, 117
Yasmin ............................................................................. 69
Zaditen ........................................................................... 166
Zaditor ............................................................................ 173
zafirlukast ..................................................................... 165
Zanaflex ......................................................................... 113
zanamivir ........................................................................ 98
Zantac ................................................................................ 2
Zarontin .......................................................................... 125
Zaroxolyn ......................................................................... 30
Zavesca ........................................................................... 18
Zeldox ............................................................................ 135
Zerit .................................................................................. 97
Zestoretic ....................................................................46, 47
Zestril ..........................................................................43, 44
zidovudine ...................................................................... 97
ziprasidone ................................................................... 135
Zithromax ......................................................................... 90
Zocor ...........................................................................51, 52
Zofran................................................................................. 7
Zoladex .......................................................................... 102
zoledronic acid ............................................................. 116
zolmitriptan ................................................................... 124
Zoloft .............................................................................. 150
Zometa ........................................................................... 116
Zomig ............................................................................. 124
Zonalon ............................................................................ 58
zopiclone ...................................................................... 145
Zopiclone ....................................................................... 145
Zovirax ........................................................................60, 96
zuclopenthixol .............................................................. 136
Zyban ............................................................................. 157
Zyloprim ......................................................................... 114
Zymar ............................................................................. 170
Zym-Carvedilol ................................................................. 38
Zym-Clonazepam ........................................................... 126
Zym-Fluoxetine .............................................................. 148
Zym-Metformin ................................................................. 13
Zym-Mirtazapine ............................................................ 152
Zym-Pioglitazone ........................................................15, 16
Zym-Topiramate ......................................................128, 129
Zyprexa ...................................................................137, 138
Zytram ............................................................................ 122
Zyvoxam .......................................................................... 94
Product Index 25

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FORMULARY

July 2011 was the last printed publication of

ATC CLASSIFICATION OF DRUGS ...................................................................................................................1

Alimentary tract and metabolism

certain groups of drugs that are similar in effect;

The Nova Scotia Government Pharmacare Programs

Therapeutic Main Group

A01A STOMATOLOGICAL PREPARATIONS

A01AC CORTICOSTEROIDS FOR LOCAL ORAL TREATMENT

A01AD OTHER AGENTS FOR LOCAL ORAL TREATMENT

DRUGS FOR ACID RELATED DISORDERS

A02AD COMBINATIONS AND COMPLEXES OF ALUMINIUM, CALCIUM AND MAGNESIUM COMPOUNDS

ANTACIDS, ORDINARY SALT COMBINATIONS

A02AF ANTACIDS WITH ANTIFLATULENTS

ANTACIDS, ORDINARY SALT COMBINATIONS AND ANTIFLATULENTS

Alimentary Tract and Metabolism 1

cimetidine 400mg tab

cimetidine 600mg tab

cimetidine 800mg tab

ranitidine 75mg tab

ranitidine 150mg tab

ranitidine 300mg tab

Alimentary Tract and Metabolism 2

famotidine 20mg tab

famotidine 40mg tab

nizatidine 300mg cap

A02BC PROTON PUMP INHIBITORS

omeprazole 20mg cap

omeprazole 10mg cap/tab

Alimentary Tract and Metabolism 3

omeprazole 20mg cap/tab

pantoprazole 40mg EC tab

Tecta 40mg Tab

lansoprazole 30mg cap

Prevacid FasTab 15mg Tab

Alimentary Tract and Metabolism 4

rabeprazole 20mg EC tab

esomeprazole 40mg tab

A02BD COMBINATIONS FOR ERADICATION OF HELICOBACTER PYLORI

LANSOPRAZOLE, CLARITHROMYCIN AND AMOXICILLIN

DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS

A03A DRUGS FOR FUNCTIONAL BOWEL DISORDERS

trimebutine 200mg tab

A03AB SYNTHETIC ANTICHOLINERGICS, QUATERNARY AMMONIUM COMPOUNDS

A03AD PAPAVERINE AND DERIVATIVES

Alimentary Tract and Metabolism 5

A03AX OTHER DRUGS FOR FUNCTIONAL BOWEL DISORDERS

A03B BELLADONNA AND DERIVATIVES, PLAIN

A03C ANTISPASMODICS IN COMBINATION WITH PSYCHOLEPTICS

CLIDINIUM AND PSYCHOLEPTICS

metoclopramide HCl 1mg o/l

metoclopramide HCl 5mg tab

metoclopramide HCl 10mg tab

Alimentary Tract and Metabolism 6

ANTIEMETICS AND ANTINAUSEANTS

A04A ANTIEMETICS AND ANTINAUSEANTS

ondansetron 4mg tab

ondansetron 8mg tab

Zofran 4mg ODT Tab

Alimentary Tract and Metabolism 7

A04AD OTHER ANTIEMETICS

NABILONE (CANNABINOID (THC) DERIVATIVES)

scopolamine 20mg/mL inj