new interchangeable products approved and benefit status

47
A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective . CO Candesartan 32mg Tab 02376555 DNP SF 0.8795 COB Atacand 32mg Tab 02311658 DNP SF 0.8765 AZE Apo-Clopidogrel 75mg Tab 02252767 DNP E(SF) 1.1837 APX CO Clopidogrel 75mg Tab 02303027 DNP E(SF) 1.1837 COB MYLAN-Clopidogrel 75mg Tab 02351536 DNP E(SF) 1.1837 MYL Sandoz Clopidogrel 75mg Tab 02359316 DNP E(SF) 1.1837 SDZ Teva-Clopidogrel 75mg Tab 02293161 DNP E(SF) 1.1837 TEV Plavix 75mg Tab 02238682 DNP E(SF) 1.1837 BRI Benefit status is effective and the existing MRP or PRP for each existing category will apply. CO Betahistine 16mg Tab 02374757 DNP E(SF) 0.4091 COB CO Betahistine 24mg Tab 02374765 DNP E(SF) 0.5730 COB CO Candesartan 4mg Tab 02376520 COB CO Candesartan 8mg Tab 02376539 DNP SF 0.5200 COB

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Page 1: New Interchangeable Products Approved and Benefit Status

Page 1 of 4New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs January 2012New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has

been established for the following products. Benefit status is effective January 9, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUSJANUARY 9, 2012

MRP/PRP*JANUARY 30, 2012 MFR

candesartan 32mg tabCO Candesartan 32mg Tab 02376555 DNP SF 0.8795 COB

Atacand 32mg Tab 02311658 DNP SF 0.8765 AZE

clopidogrel 75mg tabApo-Clopidogrel 75mg Tab 02252767 DNP E(SF) 1.1837 APX

CO Clopidogrel 75mg Tab 02303027 DNP E(SF) 1.1837 COB

MYLAN-Clopidogrel 75mg Tab 02351536 DNP E(SF) 1.1837 MYL

Sandoz Clopidogrel 75mg Tab 02359316 DNP E(SF) 1.1837 SDZ

Teva-Clopidogrel 75mg Tab 02293161 DNP E(SF) 1.1837 TEV

Plavix 75mg Tab 02238682 DNP E(SF) 1.1837 BRI

Existing Categories: Benefit status is effective January 9, 2012 and the existing MRP or PRP for each existing

category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUSJANUARY 9, 2012

MRP/PRP*JANUARY 9, 2012 MFR

betahistine 16mg tabCO Betahistine 16mg Tab 02374757 DNP E(SF) 0.4091 COB

betahistine 24mg tabCO Betahistine 24mg Tab 02374765 DNP E(SF) 0.5730 COB

candesartan 4mg tabCO Candesartan 4mg Tab 02376520 Not Insured COB

candesartan 8mg tabCO Candesartan 8mg Tab 02376539 DNP SF 0.5200 COB

Page 2: New Interchangeable Products Approved and Benefit Status

Page 2 of 4New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUSJANUARY 9, 2012

MRP/PRP*JANUARY 9, 2012 MFR

candesartan 16mg tabCO Candesartan 16mg Tab 02376547 DNP SF 0.5200 COB

finasteride 5mg tabApo-Finasteride 5mg Tab 02365383 DNP E(SF) 0.8397 APX

irbesartan 75mg tabIrbesartan 75mg Tab 02372347 DNP SF 0.5444 SAS

irbesartan 150mg tabIrbesartan 150mg Tab 02372371 DNP SF 0.5444 SAS

irbesartan 300mg tabIrbesartan 300mg Tab 02372398 DNP SF 0.5444 SAS

irbesartan 150mg & hydrochlorothiazide 12.5mg tabIrbesartan/HCTZ 150/12.5mg Tab

02372886 DNP SF 0.5444 SAS

irbesartan 300mg & hydrochlorothiazide 12.5mg tabIrbesartan/HCTZ 300/12.5mg Tab

02372894 DNP SF 0.5444 SAS

irbesartan 300mg & hydrochlorothiazide 25mg tabIrbesartan/HCTZ 300/25mg Tab

02372908 DNP SF 0.5407 SAS

latanoprost 50mcg/mL oph solCO Latanoprost 0.005% Oph Sol

02254786 DNP SF 8.2140 COB

lisinopril 10mg & hydrochlorothiazide 12.5mg tabSandoz Lisinopril-HCT10/12.5mg Tab

02302365 DNP SF 0.3858 SDZ

lisinopril 20mg & hydrochlorothiazide 12.5mg tabSandoz Lisinopril-HCT20/12.5mg Tab

02302373 DNP SF 0.4635 SDZ

Page 3: New Interchangeable Products Approved and Benefit Status

Page 3 of 4New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUSJANUARY 9, 2012

MRP/PRP*JANUARY 9, 2012 MFR

lisinopril 20mg & hydrochlorothiazide 25mg tabSandoz Lisinopril-HCT20/25mg Tab

02302381 DNP SF 0.4635 SDZ

olanzapine 2.5mg tabOlanzapine 2.5mg Tab 02372819 DNP E(SF) 0.8087 SAS

olanzapine 5mg tabOlanzapine 5mg Tab 02372827 DNP E(SF) 1.6175 SAS

olanzapine 7.5mg tabOlanzapine 7.5mg Tab 02372835 DNP E(SF) 2.4262 SAS

olanzapine 10mg tabOlanzapine 10mg Tab 02372843 DNP E(SF) 3.2350 SAS

olanzapine 15mg tabOlanzapine 15mg Tab 02372851 DNP E(SF) 4.8524 SAS

olanzapine ODT 5mg tabApo-Olanzapine ODT 5mg Tab

02360616 DNP E(SF) 1.6086 APX

Olanzapine ODT 5mg Tab 02352974 DNP E(SF) 1.6086 SAS

olanzapine ODT 10mg tabOlanzapine ODT 10mg Tab 02352982 DNP E(SF) 3.2143 SAS

olanzapine ODT 15mg tabOlanzapine ODT 15mg Tab 02352990 DNP E(SF) 4.8200 SAS

pantoprazole 40mg tabPantoprazole 40mg Tab 02370808 DNP E(SF) 0.9098 SAS

ramipril 2.5mg capRamipril 2.5mg Cap 02374846 DNP SF 0.3600 SAS

Page 4: New Interchangeable Products Approved and Benefit Status

Page 4 of 4New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUSJANUARY 9, 2012

MRP/PRP*JANUARY 9, 2012 MFR

ramipril 5mg capRamipril 5mg Cap 02374854 DNP SF 0.3600 SAS

ramipril 10mg capRamipril 10mg Cap 02374862 DNP SF 0.4559 SAS

simvastatin 5mg tabMar-Simvastatin 5mg Tab 02375036 DNP SF 0.4629 MAR

MINT-Simvastatin 5mg Tab 02372932 DNP SF 0.4629 MNT

simvastatin 10mg tabMar-Simvastatin 10mg Tab 02375044 DNP SF 0.9104 MAR

MINT-Simvastatin 10mg Tab 02372940 DNP SF 0.9104 MNT

simvastatin 20mg tabMar-Simvastatin 20mg Tab 02375052 DNP SF 1.1252 MAR

MINT-Simvastatin 20mg Tab 02372959 DNP SF 1.1252 MNT

simvastatin 40mg tabMar-Simvastatin 40mg Tab 02375060 DNP SF 1.1252 MAR

MINT-Simvastatin 40mg Tab 02372967 DNP SF 1.1252 MNT

simvastatin 80mg tabMar-Simvastatin 80mg Tab 02375079 DNP SF 1.1252 MAR

Page 5: New Interchangeable Products Approved and Benefit Status

Page 1 of 3 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs February 2012

New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective February 6, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS FEBRUARY 6, 2012

MRP/PRP* FEBRUARY 27, 2012

MFR

risperidone ODT 3mg tab

pms-Risperidone ODT 3mg Tab 02370697 DNP SF 2.2913 PMS

Risperdal M-Tab (3mg) 02268086 DNP SF 2.2913 JAN

risperidone ODT 4mg tab

pms-Risperidone ODT 4mg Tab 02370700 DNP SF 3.0638 PMS

Risperdal M-Tab (4mg) 02268094 DNP SF 3.0638 JAN

telmisartan 40mg tab

Sandoz Telmisartan 40mg Tab 02375958 DNP SF 0.4518 SDZ

Teva-Telmisartan 40mg Tab 02320177 DNP SF 0.4518 TEV

Micardis 40mg Tab 02240769 DNP SF 0.4518 BOE

telmisartan 80mg tab

Sandoz Telmisartan 80mg Tab 02375966 DNP SF 0.4518 SDZ

Teva-Telmisartan 80mg Tab 02320185 DNP SF 0.4518 TEV

Micardis 80mg Tab 02240770 DNP SF 0.4518 BOE

timolol maleate 0.25% oph gel Timolol Maleate-EX 0.25% Oph Gel 02242275 DNP SF 2.5920 SDZ

Timoptic-XE 0.25% Oph Gel 02171880 DNP SF 2.5920 FRS

timolol maleate 0.5% oph gel Timolol Maleate-EX 0.5% Oph Gel 02242276 DNP SF 2.7300 SDZ

Timoptic-XE 0.5% Oph Gel 02171899 DNP SF 2.7300 FRS

Page 6: New Interchangeable Products Approved and Benefit Status

Page 2 of 3 New Interchangeable Products

Existing Categories: Benefit status is effective February 6, 2012 and the existing MRP or PRP for each

existing category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS FEBRUARY 6, 2012

MRP/PRP* FEBRUARY 6, 2012

MFR

amlodipine 5mg tab

Jamp-Amlodipine 5mg Tab 02357194 DNP SF 0.5127 JPC

atorvastatin 10mg tab MYLAN-Atorvastatin 10mg Tab 02373203 DNP SF 0.5824 MYL

atorvastatin 20mg tab MYLAN-Atorvastatin 20mg Tab 02373211 DNP SF 0.7280 MYL

atorvastatin 40mg tab MYLAN-Atorvastatin 40mg Tab 02373238 DNP SF 0.7826 MYL

atorvastatin 80mg tab MYLAN-Atorvastatin 80mg Tab 02373246 DNP SF 0.7826 MYL

dilitazem 120mg CD cap

CO Diltiazem CD 120mg Cap 02370611 DNP SF 0.5914 COB

diltiazem 180mg CD cap

CO Diltiazem CD 180mg Cap 02370638 DNP SF 0.7850 COB

diltiazem 240mg CD cap

CO Diltiazem CD 240mg Cap 02370646 DNP SF 1.0412 COB

diltiazem 120mg ER cap

CO Diltiazem T 120mg Cap 02370441 DNP SF 0.3413 COB

diltiazem 180mg ER cap

CO Diltiazem T 180mg Cap 02370492 DNP SF 0.4622 COB

diltiazem 240mg ER cap

CO Diltiazem T 240mg Cap 02370506 DNP SF 0.6131 COB

diltiazem 300mg ER cap

CO Diltiazem T 300mg Cap 02370514 DNP SF 0.7551 COB

Page 7: New Interchangeable Products Approved and Benefit Status

Page 3 of 3 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS FEBRUARY 6, 2012

MRP/PRP* FEBRUARY 6, 2012

MFR

diltiazem 360mg ER cap

CO Diltiazem T 360mg Cap 02370522 DNP SF 0.9245 COB

fenofibrate 100mg tab

Fenofibrate-S 100mg Tab 02356570 DNP SF 0.5407 SAS

fenofibrate 160mg tab

Fenofibrate-S 160mg Tab 02356589 DNP SF 0.4985 SAS

lisinopril 5mg tab

Jamp-Lisinopril 5mg Tab 02361531 DNP SF 0.5387 JPC

lisinopril 10mg tab

Jamp-Lisinopril 10mg Tab 02361558 DNP SF 0.6473 JPC

lisinopril 20mg tab

Jamp-Lisinopril 20mg Tab 02361566 DNP SF 0.7779 JPC

montelukast 10mg tab

Apo-Montelukast 10mg Tab 02374609 DNP E(SF) 0.9459 APX

Page 8: New Interchangeable Products Approved and Benefit Status

Page 1 of 7 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs March 2012

New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective March 12, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 12, 2012

MRP/PRP* APRIL 2, 2012

MFR

5-aminosalicylic acid 400mg tab

Novo-5-ASA 400mg EC Tab 02171929 DNP SF 0.3960 TEV

Asacol 400mg Tab 01997580 DNP SF 0.3960 WNC betamethasone 17 valerate 0.05% cr

Betaderm 0.05% Cr 00716618 DNPM SF 0.0596 TAR

Celestoderm-V/2 0.05% Cr 02357860 DNPM SF 0.0596 VAL betamethasone 17 valerate 0.1% cr

Betaderm 0.1% Cr 00716626 DNPM SF 0.0889 TAR

Celestoderm-V 0.1% Cr 02357844 DNPM SF 0.0889 VAL carbamazepine 20mg/mL oral liquid

Taro-Carbamazepine 100mg/5mL O/L 02367394 Not Insured TAR

Tegretol 100mg/5mL O/L 02194333 Not Insured NVR

losartan 25mg tab

CO Losartan 25mg Tab 02354829 DNP SF 0.5036 COB

MYLAN-Losartan 25mg Tab 02368277 DNP SF 0.5036 MYL

pms-Losartan 25mg Tab 02309750 DNP SF 0.5036 PMS

Sandoz Losartan 25mg Tab 02313332 DNP SF 0.5036 SDZ

Cozaar 25mg tab 02182815 DNP SF 0.5036 FRS

losartan 50mg tab

Apo-Losartan 50mg Tab 02353504 DNP SF 0.5036 APX

Page 9: New Interchangeable Products Approved and Benefit Status

Page 2 of 7 New Interchangeable Products

New Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 12, 2012

MRP/PRP* APRIL 2, 2012

MFR

CO Losartan 50mg Tab 02354837 DNP SF 0.5036 COB

MYLAN-Losartan 50mg Tab 02368285 DNP SF 0.5036 MYL

pms-Losartan 50mg Tab 02309769 DNP SF 0.5036 PMS

Sandoz Losartan 50mg Tab 02313340 DNP SF 0.5036 SDZ

Teva-Losartan 50mg Tab 02357968 DNP SF 0.5036 TEV

Cozaar 50mg Tab 02182874 DNP SF 0.5036 FRS

losartan 100mg tab

Apo-Losartan 100mg Tab 02353512 DNP SF 0.5036 APX

CO Losartan 100mg Tab 02354845 DNP SF 0.5036 COB

MYLAN-Losartan 100mg Tab 02368293 DNP SF 0.5036 MYL

pms-Losartan 100mg Tab 02309777 DNP SF 0.5036 PMS

Sandoz Losartan 100mg Tab 02313359 DNP SF 0.5036 SDZ

Teva-Losartan 100mg Tab 02357976 DNP SF 0.5036 TEV

Cozaar 100mg Tab 02182882 DNP SF 0.5036 FRS losartan 50mg & hydrochlorothiazide 12.5mg tab

Apo-Losartan/HCTZ 50/12.5mg Tab 02371235 DNP SF 0.5036 APX MYLAN-Losartan HCTZ 50/12.5mg Tab 02378078 DNP SF 0.5036 MYL Sandoz Losartan HCT 50/12.5mg Tab 02313375 DNP SF 0.5036 SDZ

Hyzaar 50/12.5mg Tab 02230047 DNP SF 0.5036 FRS losartan 100mg & hydrochlorothiazide 12.5mg Tab

Apo-Losartan/HCTZ 100/12.5mg Tab 02371243 DNP SF 0.4931 APX MYLAN-Losartan HCTZ 100/12.5mg Tab 02378086 DNP SF 0.4931 MYL Sandoz Losartan HCT 100/12.5mg Tab 02362449 DNP SF 0.4931 SDZ

Page 10: New Interchangeable Products Approved and Benefit Status

Page 3 of 7 New Interchangeable Products

New Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 12, 2012

MRP/PRP* APRIL 2, 2012

MFR

Teva-Losartan/HCTZ 100/12.5mg Tab 02377144 DNP SF 0.4931 TEV

Hyzaar 100/12.5mg Tab 02297841 DNP SF 0.4931 FRS losartan 100mg & hydrochlorothiazide 25mg tab

Apo-Losartan/HCTZ 100/25mg Tab 02371251 DNP SF 0.5036 APX MYLAN-Losartan HCTZ 100/25mg Tab 02378094 DNP SF 0.5036 MYL

Sandoz Losartan HCT DS 100/25mg Tab 02313383 DNP SF 0.5036 SDZ Teva-Losartan/HCTZ 100/25mg Tab 02377152 DNP SF 0.5036 TEV

Hyzaar DS 100/25mg Tab 02241007 DNP SF 0.5036 FRS

rizatriptan ODT 5mg tab

CO Rizatriptan ODT 5mg Tab 02374730 DNP E(SF) 5.9280 COB Sandoz Rizatriptan ODT 5mg Tab 02351870 DNP E(SF) 5.9280 SDZ

Maxalt RPD 5mg Wafers 02240518 DNP E(SF) 5.9280 FRS

rizatriptan ODT 10mg tab

CO Rizatriptan ODT 10mg Tab 02374749 DNP E(SF) 5.9280 COB Sandoz Rizatriptan ODT 10mg Tab 02351889 DNP E(SF) 5.9280 SDZ

Maxalt RPD 10mg Wafers 02240519 DNP E(SF) 5.9280 FRS telmisartan 80mg & hydrochlorothiazide 12.5mg tab

MYLAN-Telmisartan HCTZ 80/12.5mg Tab 02373564 DNP SF 0.4518 MYL

Micardis Plus 80/12.5mg Tab 02244344 DNP SF 0.4518 BOE telmisartan 80mg & hydrochlorothiazide 25mg tab

MYLAN-Telmisartan HCTZ 80/25mg Tab 02373572 DNP SF 0.4518 MYL

Micardis Plus 80/25mg Tab 02318709 DNP SF 0.4518 BOE

Page 11: New Interchangeable Products Approved and Benefit Status

Page 4 of 7 New Interchangeable Products

Existing Categories: Benefit status is effective March 12, 2012 and the existing MRP or PRP for each existing

category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 12, 2012

MRP/PRP* MARCH 12, 2012

MFR

amlodipine 10mg tab

Jamp-Amlodipine 10mg 02357208 DNP SF 0.7610 JPC

cefprozil 25mg/mL o/l Auro-Cefprozil 125mg/5mL Susp 02347261 DNP SFC 0.0677 ARO

cefprozil 50mg/mL o/l Auro-Cefprozil 250mg/5mL Susp 02347288 DNP SFC 0.1354 ARO

cefuroxime axetil 250mg tab

Auro-Cefuroxime 250mg Tab 02344823 DNP SFC 0.7237 ARO

cefuroxime axetil 500mg tab

Auro-Cefuroxime 500mg Tab 02344831 DNP SFC 1.4337 ARO

citalopram 20mg tab

Mar-Citalopram 20mg Tab 02371898 DNP SFC 0.5327 MAR

citalopram 40mg tab

Mar-Citalopram 40mg Tab 02371901 DNP SFC 0.5327 MAR

clopidogrel 75mg tab

pms-Clopidogrel 75mg Tab 02348004 DNP E (SF) 1.0522 PMS

cyclobenzaprine 10mg tab Auro-Cyclobenzaprine 10mg Tab 02348853 DNP SF 0.3765 ARO

diltiazem 300mg CD cap

CO Diltiazem CD 300mg Cap 02370654 DNP SF 1.3015 COB

galantamine 8mg ER cap MYLAN-Galantamine ER 8mg Cap 02339439 DNP E (SF) 1.9944 MYL

galantamine 16mg ER cap MYLAN-Galantamine ER 16mg Cap 02339447 DNP E (SF) 1.9944 MYL

galantamine 24mg ER cap MYLAN-Galantamine ER 24mg Cap 02339455 DNP E (SF) 1.9944 MYL

hydromorphone 1mg tab Teva-Hydromorphone 1mg Tab 02319403 D SFC 0.0959 TEV

Page 12: New Interchangeable Products Approved and Benefit Status

Page 5 of 7 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 12, 2012

MRP/PRP* MARCH 12, 2012

MFR

hydromorphone 2mg tab Teva-Hydromorphone 2mg Tab 02319411 D SFC 0.1417 TEV

hydromorphone 4mg tab Teva-Hydromorphone 4mg Tab 02319438 D SFC 0.2240 TEV

hydromorphone 8mg tab Teva-Hydromorphone 8mg Tab 02319446 D SFC 0.3528 TEV

letrozole 2.5mg tab

Mar-Letrozole 2.5mg Tab 02373424 DNP SFC 2.3613 MAR

Myl-Letrozole 2.5mg Tab 02372169 DNP SFC 2.3613 MYL

RAN-Letrozole 2.5mg Tab 02372282 DNP SFC 2.3613 RAN

montelukast 10mg tab MYLAN-Montelukast 10mg Tab 02368226 DNP E(SF) 0.9459 MYL

ondansetron 4mg tab

Mar-Ondansetron 4mg Tab 02371731 DNP E(SFC) 4.0899* MAR

ondansetron 8mg tab

Mar-Ondansetron 8mg Tab 02371758 DNP E(SFC) 8.1777 MAR

risedronate 35mg tab MYLAN-Risedronate 35mg Tab 02357984 DNP E(SFC) 4.7200 MYL Tamsulosin 0.4mg sustained release cap/tab Apo-Tamsulosin CR 0.4mg Tab 02362406 Not Insured APX

telmisartan 40mg tab MYLAN-Telmisartan 40mg Tab 02376717 DNP SF 0.4518 MYL

telmisartan 80mg tab MYLAN-Telmisartan 80mg Tab 02376725 DNP SF 0.4518 MYL

topiramate 25mg tab

Auro-Topiramate 25mg Tab 02345803 DNP E(SF) 0.5005 ARO

Page 13: New Interchangeable Products Approved and Benefit Status

Page 6 of 7 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 12, 2012

MRP/PRP* MARCH 12, 2012

MFR

topiramate 100mg tab

Auro-Topiramate 100mg Tab 02345838 DNP E(SF) 0.9486 ARO

topiramate 200mg tab

Auro-Topiramate 200mg Tab 02345846 DNP E(SF) 1.4166 ARO valsartan 80mg & hydrochlorothiazide 12.5mg tab

MYLAN-Valsartan HCTZ 80/12.5mg Tab 02373734 DNP SF 0.4772 MYL valsartan 160mg & hydrochlorothiazide 12.5mg tab

MYLAN-Valsartan HCTZ 160/12.5mg Tab 02373742 DNP SF 0.4788 MYL valsartan 160mg & hydrochlorothiazide 25mg tab

MYLAN-Valsartan HCTZ 160/25mg Tab 02373750 DNP SF 0.4776 MYL

valsartan 320mg & hydrochlorothiazide 12.5mg tab

MYLAN-Valsartan HCTZ 320/12.5mg Tab 02373769 DNP SF 0.4804 MYL

valsartan 320mg & hydrochlorothiazide 25mg tab

MYLAN-Valsartan HCTZ 320/25mg Tab 02373777 DNP SF 0.4776 MYL

venlafaxine 37.5mg ER cap GD-Venlafaxine XR 37.5mg Cap 02360020 DNP SF 0.3632 GMD

venlafaxine 75mg ER cap

GD-Venlafaxine XR 75mg Cap 02360039 DNP SF 0.7264 GMD

venlafaxine 150mg ER cap GD-Venlafaxine XR 150mg Cap 02360047 DNP SF 0.7669 GMD

Page 14: New Interchangeable Products Approved and Benefit Status

Page 7 of 7 New Interchangeable Products

Non-Interchangeable and Non-Insured: The following product(s) were not recommended to list as insured benefits under the Nova Scotia Pharmacare Programs.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 12, 2012

MRP/PRP* MARCH 12, 2012

MFR

MINT-Simvastatin 80mg Tab 02372975 Not Insured MNT

Page 15: New Interchangeable Products Approved and Benefit Status

Page 1 of 4 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs April 2012

New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective April 9, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 9, 2012

MRP/PRP* APRIL 30, 2012

MFR

esomeprazole 20mg tab Apo-Esomeprazole DR 20mg Tab 02339099 Not Insured APX

Nexium 20mg Tab 02244521 Not Insured AZE

rosuvastatin 5mg tab

Apo-Rosuvastatin 5mg Tab 02337975 Not Insured APX

CO Rosuvastatin 5mg Tab 02339765 Not Insured COB

MYLAN-Rosuvastatin 5mg Tab 02381265 Not Insured MYL

pms-Rosuvastatin 5mg Tab 02378523 Not Insured PMS

Sandoz Rosuvastatin 5mg Tab 02338726 Not Insured SDZ

Teva-Rosuvastatin 5mg Tab 02354608 Not Insured TEV

Crestor 5mg Tab 02265540 Not Insured AZE

rosuvastatin 10mg tab

Apo-Rosuvastatin 10mg Tab 02337983 DNP SF 0.5440 APX

CO Rosuvastatin 10mg Tab 02339773 DNP SF 0.5440 COB

MYLAN-Rosuvastatin 10mg Tab 02381273 DNP SF 0.5440 MYL

pms-Rosuvastatin 10mg Tab 02378531 DNP SF 0.5440 PMS

Sandoz Rosuvastatin 10mg Tab 02338734 DNP SF 0.5440 SDZ

Teva-Rosuvastatin 10mg Tab 02354616 DNP SF 0.5440 TEV

Crestor 10mg Tab 02247162 DNP SF 0.5440 AZE

rosuvastatin 20 mg tab

Apo-Rosuvastatin 20mg Tab 02337991 DNP SF 0.6800 APX

Page 16: New Interchangeable Products Approved and Benefit Status

Page 2 of 4 New Interchangeable Products

New Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 9, 2012

MRP/PRP* APRIL 30, 2012

MFR

CO Rosuvastatin 20mg Tab 02339781 DNP SF 0.6800 COB MYLAN-Rosuvastatin 20mg Tab 02381281 DNP SF 0.6800 MYL

pms-Rosuvastatin 20mg Tab 02378558 DNP SF 0.6800 PMS Sandoz Rosuvastatin 20mg Tab 02338742 DNP SF 0.6800 SDZ

Teva-Rosuvastatin 20mg Tab 02354624 DNP SF 0.6800 TEV

Crestor 20mg Tab 02247163 DNP SF 0.6800 AZE

rosuvastatin 40mg tab

Apo-Rosuvastatin 40mg Tab 02338009 DNP SF 0.7960 APX

CO Rosuvastatin 40mg Tab 02339803 DNP SF 0.7960 COB MYLAN-Rosuvastatin 40mg Tab 02381303 DNP SF 0.7960 MYL

pms-Rosuvastatin 40mg Tab 02378566 DNP SF 0.7960 PMS Sandoz Rosuvastatin 40mg Tab 02338750 DNP SF 0.7960 SDZ

Teva-Rosuvastatin 40mg Tab 02354632 DNP SF 0.7960 TEV

Crestor 40mg Tab 02247164 DNP SF 0.7960 AZE

Existing Categories: Benefit status is effective April 9, 2012 and the existing MRP or PRP for each existing category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 9, 2012

MRP/PRP* APRIL 9, 2012

MFR

atomoxetine 18mg cap MYLAN-Atomoxetine 18mg Cap 02378930 Not Insured MYL

atomoxetine 25mg cap

MYLAN-Atomoxetine 25mg Cap 02378949 Not Insured MYL

atomoxetine 40mg cap MYLAN-Atomoxetine 40mg Cap 02378957 Not Insured MYL

Page 17: New Interchangeable Products Approved and Benefit Status

Page 3 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 9, 2012

MRP/PRP* APRIL 9, 2012

MFR

atomoxetine 60mg cap MYLAN-Atomoxetine 60mg Cap 02378965 Not Insured MYL clobetasol 17-propionate 0.05% cr

pms-Clobetasol 0.05% Cr 02309521 DNP SF 0.2605 PMS

levetiracetam 250mg tab Auro-Levetiracetam 250mg Tab 02375249 DNP E(SF) 0.8000 ARO

levetiracetam 500mg tab Auro-Levetiracetam 500mg Tab 02375257 DNP E(SF) 0.9750 ARO

levetiracetam 750mg tab Auro-Levetiracetam 750mg Tab 02375265 DNP E(SF) 1.3500 ARO

mirtazapine 30mg tab

Mirtazapine 30mg Tab 02370689 DNP SFC 0.5208 SAS

omeprazole 20mg cap/tab

RAN-Omeprazole 20mg Tab 02374870 DNP SFC 1.1000 RAN

sertraline 25mg cap

RAN-Sertraline 25mg Cap 02374552 DNP SFC 0.3216 RAN

sertraline 50mg cap

RAN-Sertraline 50mg Cap 02374560 DNP SFC 0.6432 RAN

sertraline 100mg cap

RAN-Sertraline 100mg Cap 02374579 DNP SFC 0.6740 RAN telmisartan 80mg & hydrochlorothiazide 12.5mg tab

Teva-Telmisartan HCTZ 80/12.5mg Tab 02330288 DNP SF 0.4518 TEV

Page 18: New Interchangeable Products Approved and Benefit Status

Page 4 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 9, 2012

MRP/PRP* APRIL 9, 2012

MFR

telmisartan 80mg & hydrochlorothiazide 25mg tab

Teva-Telmisartan HCTZ 80/25mg Tab 02379252 DNP SF 0.4518 TEV

Page 19: New Interchangeable Products Approved and Benefit Status

Page 1 of 1 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs April 2012

New Categories: Benefit status is effective April 23, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 23, 2012

MRP/PRP*

MFR

mycophenolic acid 250mg cap

Apo-Mycophenolate 250mg Cap 02352559 Not Insured APX

MYLAN-Mycophenolate 250mg Cap 02371154 Not Insured MYL

Novo-Mycophenolate 250mg Cap 02364883 Not Insured TEV Sandoz Mycophenolate Mofetil 250mg Cap 02320630 Not Insured SDZ

Cellcept 250mg Cap 02192748 Not Insured HLR

mycophenolic acid 500mg cap

Apo-Mycophenolate 500mg Tab 02352567 Not Insured APX

CO Mycophenolate 500mg Tab 02379996 Not Insured COB MYLAN-Mycophenolate 500mg Tab 02370549 Not Insured MYL Novo-Mycophenolate 500mg Tab 02348675 Not Insured TEV

Sandoz Mycophenolate Mofetil 500mg Tab 02313855 Not Insured SDZ

Cellcept 500mg Tab 02237484 Not Insured HLR

Page 20: New Interchangeable Products Approved and Benefit Status

Page 1 of 2 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs May 2012

New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective May 7, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MAY 7, 2012

MRP/PRP* MAY 28, 2012

MFR

entacapone 200mg tab

Sandoz Entacapone 200mg Tab 02380005 DNP E (SF) 0.6416 SDZ

Teva-Entacapone 200mg Tab 02375559 DNP E (SF) 0.6416 TEV

Comtan 200mg Tab 02243763 DNP E (SF) 0.6416 NVR

nabilone 0.5mg cap

pms-Nabilone 0.5mg Cap 02380900 D E (SFC) 1.2410 PMS

RAN-Nabilone 0.5mg Cap 02358085 D E (SFC) 1.2410 RAN

Cesamet 0.5mg Cap 02256193 D E (SFC) 1.2410 VLN

nabilone 1mg cap

pms-Nabilone 1mg Cap 02380919 D E (SFC) 2.4820 PMS

RAN-Nabilone 1mg Cap 02358093 D E (SFC) 2.4820 RAN

Cesamet 1mg Cap 00548375 D E (SFC) 2.4820 VLN

Existing Categories: Benefit status is effective May 7, 2012 and the existing MRP or PRP for each existing category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MAY 7, 2012

MRP/PRP* MAY 7, 2012

MFR

finasteride 5mg tab

RAN-Finasteride 5mg Tab 02371820 DNP E (SF) 0.7464 RAN

fluoxetine 10mg cap

MINT-Fluoxetine 10mg Cap 02380560 DNP SFC 0.8650 MNT

fluoxetine 20mg cap

MINT-Fluoxetine 20mg Cap 02380579 DNP SFC 0.7357 MNT

Page 21: New Interchangeable Products Approved and Benefit Status

Page 2 of 2 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MAY 7, 2012

MRP/PRP* MAY 7, 2012

MFR

losartan 25mg tab

Apo-Losartan 25mg Tab 02379058 DNP SF 0.5036 APX

metformin 500mg tab

Mar-Metformin 500mg Tab 02378620 DNP SFD 0.0953 MAR

Metformin 500mg Tab 02378841 DNP SFD 0.0953 MAR

metformin 850mg tab

Mar-Metformin 850mg Tab 02378639 DNP SFD 0.1536 MAR

Metformin 850mg Tab 02378868 DNP SFD 0.1536 MAR

rosuvastatin 5mg tab

RAN-Rosuvastatin 5mg Tab 02382644 Not Insured RAN

rosuvastatin 10mg tab

RAN-Rosuvastatin 10mg Tab 02382652 DNP SF 0.5440 RAN

rosuvastatin 20mg tab

RAN-Rosuvastatin 20mg Tab 02382660 DNP SF 0.6800 RAN

rosuvastatin 40mg tab

RAN-Rosuvastatin 40mg Tab 02382679 DNP SF 0.7960 RAN

valacyclovir 1000mg tab

pms-Valacyclovir 1000mg Tab Not Insured PMS

venlafaxine 37.5mg ER cap

RAN-Venlafaxine XR 37.5mg Cap

02380072 DNP SFC 0.3632 RAN

venlafaxine 75mg ER cap

RAN-Venlafaxine XR 75mg Cap

02380080 DNP SFC 0.7264 RAN

venlafaxine 150mg ER cap

RAN-Venlafaxine XR 150mg Cap

02380099 DNP SFC 0.7669 RAN

Page 22: New Interchangeable Products Approved and Benefit Status

Page 1 of 3 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs June 2012

New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective June 11, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JUNE 11, 2012

MRP/PRP* JULY 2, 2012

MFR

risedronate 150mg tab

Apo-Risedronate 150mg Tab 02377721 Not Insured APX

Actonel 150mg Tab 02316838 Not Insured WNC

rizatriptan 5mg tab

Mar-Rizatriptan 5mg Tab 02379651 DNP E(SF) 5.9280 MAR

Maxalt 5mg Tab 02240520 DNP E(SF) 5.9280 FRS

rizatriptan 10mg tab

Mar-Rizatriptan 10mg Tab 02379678 DNP E(SF) 5.9280 MAR

Maxalt 10mg Tab 02240521 DNP E(SF) 5.9280 FRS

Existing Categories: Benefit status is effective June 11, 2012 and the existing MRP or PRP for each existing category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JUNE 11, 2012

MRP/PRP* JUNE 11, 2012

MFR

bicalutamide 50mg tab

RAN-Bicalutamide 50mg Tab 02371324 DNP SFC 2.6500 RAN

candesartan 8mg tab

Teva-Candesartan 8mg Tab 02366312 DNP SF 0.4600 TEV

candesartan 16mg tab

Teva-Candesartan 16mg Tab 02366320 DNP SF 0.4600 TEV

candesartan 32mg tab

Teva-Candesartan 32mg Tab 02366339 DNP SF 0.5864 TEV

Page 23: New Interchangeable Products Approved and Benefit Status

Page 2 of 3 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JUNE 11, 2012

MRP/PRP* JUNE 11, 2012

MFR

cefprozil 250mg tab

Auro-Cefprozil 250mg Tab 02347245 DNP SFC 0.6931 ARO

cefprozil 500mg tab

Auro-Cefprozil 500mg Tab 02347253 DNP SFC 1.3590 ARO

galantamine 8mg ER cap

Teva-Galantamine ER 8mg Cap

02377950 DNP E(SF) 1.9944 TEV

galantamine 16mg ER cap

Teva-Galantamine ER 16mg Cap

02377969 DNP E(SF) 1.9944 TEV

galantamine 24mg ER cap

Teva-Galantamine ER 24mg Cap

02377977 DNP E(SF) 1.9944 TEV

losartan 25mg tab

Teva-Losartan 25mg Tab 02380838 DNP SF 0.5036 TEV

losartan 50mg & hydrochlorothiazide 12.5mg tab

Teva-Losartan/HCTZ 50/12.5mg Tab

02358263 DNP SF 0.5036 TEV

nabilone 0.5mg cap

Teva-Nabilone 0.5mg Cap 02384884 DNP E(SFC) 1.2410 TEV

nabilone 1mg cap

Teva-Nabilone 1mg Cap 02384892 DNP E(SFC) 2.4820 TEV

risedronate 35mg tab

Risedronate 35mg Tab 02370255 DNP E(SFC) 4.7200 SAS

rizatriptan ODT 5mg tab

MYLAN-Rizatriptan ODT 5mg Tab

02379198 DNP E(SF) 5.9280 MYL

rizatriptan ODT 10mg tab

MYLAN-Rizatriptan ODT 10mg Tab

02379201 DNP E(SF) 5.9280 MYL

Page 24: New Interchangeable Products Approved and Benefit Status

Page 3 of 3 New Interchangeable Products

Non-Interchangeable and Non-Insured: The following product(s) were not recommended to list as insured benefits under the Nova Scotia Pharmacare Programs.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JUNE 11, 2012

MRP/PRP* JUNE 11, 2012

MFR

ciprofloxacin 250mg tab

Mar-Ciprofloxacin 250mg Tab 02379686 Not Insured MAR

ciprofloxacin 500mg tab

Mar-Ciprofloxacin 500mg Tab 02379694 Not Insured MAR

ciprofloxacin 750mg tab

Mar-Ciprofloxacin 750mg Tab 02379708 Not Insured MAR

Page 25: New Interchangeable Products Approved and Benefit Status

Page 1 of 4 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs July 2012

New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective July 9, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 9, 2012

MRP/PRP* JULY 30, 2012

MFR

bosentan 62.5mg tab

CO Bosentan 62.5mg Tab 02386194 DNP E(SF) 22.4625 COB

pms-Bosentan 62.5mg Tab 02383012 DNP E(SF) 22.4625 PMS

Tracleer 62.5mg Tab 02244981 DNP E(SF) 22.4625 ACT

bosentan 125mg tab

CO Bosentan 125mg Tab 02386208 DNP E(SF) 22.4625 COB

pms-Bosentan 125mg Tab 02383020 DNP E(SF) 22.4625 PMS

Tracleer 125mg Tab 02244982 DNP E(SF) 22.4625 ACT

lamivudine 150mg & zidovudine 300mg tab

Apo-Lamivudine-Zidovudine 150/300mg Tab

02375540 Not Insured APX

Combivir 150/300mg Tab 02239213 Not Insured VIV

Existing Categories: Benefit status is effective July 9, 2012 and the existing MRP or PRP for each existing category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 9, 2012

MRP/PRP* JULY 9, 2012

MFR

amlodipine 5mg tab

Amlodipine-ODAN 5mg Tab 02378760 DNP SF 0.5127 ODN

amlodipine 10mg tab

Amlodipine-ODAN 10mg Tab 02378779 DNP SF 0.7610 ODN

atenolol 50mg tab

Septa-Atenolol 50mg Tab 02368641 DNP SF 0.2364 SPT

Page 26: New Interchangeable Products Approved and Benefit Status

Page 2 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 9, 2012

MRP/PRP* JULY 9, 2012

MFR

atenolol 100mg tab

Septa-Atenolol 100mg Tab 02368668 DNP SF 0.3887 SPT

atomoxetine 80mg cap

MYLAN-Atomoxetine 80mg Cap

02378973 Not Insured MYL

atomoxetine 100mg cap

MYLAN-Atomoxetine 100mg Cap

02378981 Not Insured MYL

candesartan 4mg tab

MYLAN-Candesartan 4mg Tab 02379120 Not Insured MYL

candesartan 8mg tab

MYLAN-Candesartan 8mg Tab 02379139 DNP SF 0.4600 MYL

candesartan 16mg tab

MYLAN-Candesartan 16mg Tab

02379147 DNP SF 0.4600 MYL

candesartan 32mg tab

MYLAN-Candesartan 32mg Tab

02379155 DNP SF 0.5864 MYL

carvedilol 3.125mg tab

Jamp-Carvedilol 3.125mg Tab 02368897 DNP E(SF) 0.8001 JPC

carvedilol 6.25mg tab

Jamp-Carvedilol 6.25mg Tab 02368900 DNP E(SF) 0.8001 JPC

carvedilol 12.5mg tab

Jamp-Carvedilol 12.5mg Tab 02368919 DNP E(SF) 0.8001 JPC

carvedilol 25mg tab

Jamp-Carvedilol 25mg Tab 02368927 DNP E(SF) 0.8001 JPC

ciprofloxacin 250mg tab

Septa-Ciprofloxacin 250mg Tab

02379627 DNPM E(SFC) 0.9897 SPT

Page 27: New Interchangeable Products Approved and Benefit Status

Page 3 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 9, 2012

MRP/PRP* JULY 9, 2012

MFR

ciprofloxacin 500mg tab

Septa-Ciprofloxacin 500mg Tab

02379635 DNPM E(SFC) 1.1166 SPT

ciprofloxacin 750mg tab

Septa-Ciprofloxacin 750mg Tab

02379643 DNPM E(SFC) 2.0447 SPT

cyclobenzaprine HCl 10mg tab

Jamp-Cyclobenzaprine 10mg Tab

02357127 DNP SF 0.3765 JPC

domperidone maleate 10mg tab

Jamp-Domperidone 10mg Tab 02369206 DNPM SFC 0.1496 JPC

indapamide 1.25mg tab

Jamp-Indapamide 1.25mg Tab 02373904 Not Insured JPC

indapamide 2.5mg tab

Jamp-Indapamide 2.5mg Tab 02373912 Not Insured JPC

irbesartan 75mg tab

MYLAN-Irebesartan 75mg Tab 02347296 DNP SF 0.4839 MYL

irbesartan 150mg tab

MYLAN-Irbesartan 150mg Tab 02347318 DNP SF 0.4839 MYL

irbesartan 300mg tab

MYLAN-Irbesartan 300mg Tab 02347326 DNP SF 0.4839 MYL

mirtazapine 15mg RD tab

GD-Mirtazapine OD 15mg Tab 02352826 DNP SFC 0.1607 GMD

mirtazapine 30mg RD tab

GD-Mirtazapine OD 30mg Tab 02352834 DNP SFC 0.3213 GMD

mirtazapine 45mg RD tab

GD-Mirtazapine OD 45mg Tab 02352842 DNP SFC 0.4820 GMD

Page 28: New Interchangeable Products Approved and Benefit Status

Page 4 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 9, 2012

MRP/PRP* JULY 9, 2012

MFR

paroxetine 10mg tab

Jamp-Paroxetine 10mg Tab 02368862 Not Insured JPC

paroxetine 20mg tab

Jamp-Paroxetine 20mg Tab 02368870 DNP SFC 0.7222 JPC

paroxetine 30mg tab

Jamp-Paroxetine 30mg Tab 02368889 DNP SFC 0.7673 JPC

risedronate 35mg tab

Jamp-Risedronate 35mg Tab 02368552 DNP E(SFC) 4.7200 JPC

tramadol 37.5mg & acetaminophen 325mg tab

CO Tramadol/Acet 37.5/325mg Tab

02383209 Not Insured COB

valsartan 40mg tab

pms-Valsartan 40mg Tab 02312999 DNP SF 0.4657 PMS

valsartan 80mg tab

pms-Valsartan 80mg Tab 02313006 DNP SF 0.4786 PMS

valsartan 160mg tab

pms-Valsartan 160mg Tab 02313014 DNP SF 0.4797 PMS

valsartan 320mg tab

pms-Valsartan 320mg Tab 02344564 DNP SF 0.4663 PMS

Page 29: New Interchangeable Products Approved and Benefit Status

Page 1 of 4 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs August 2012

New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective August 7, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 7, 2012

MRP/PRP* AUGUST 28, 2012

MFR

vancomycin 125mg cap

Vancomycin HCl 125mg Cap 02377470 DNP E(SFC) 5.6300 LYP

Vancocin 125mg Cap 00800430 DNP E(SFC) 5.6300 IRO

vancomycin 250mg cap

Vancomycin HCl 250mg Cap 02377489 DNP E(SFC) 11.2500 LYP

Vancocin 250mg Cap 00788716 DNP E(SFC) 11.2500 IRO Existing Categories: Benefit status is effective August 7, 2012 and the existing MRP or PRP for each existing category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 7, 2012

MRP/PRP* AUGUST 7, 2012

MFR

atomoxetine 10mg cap

pms-Atomoxetine 10mg Cap 02381028 Not Insured PMS

atomoxetine 18mg cap

pms-Atomoxetine 18mg Cap 02381036 Not Insured PMS

atomoxetine 25mg cap

pms-Atomoxetine 25mg Cap 02381044 Not Insured PMS

atomoxetine 40mg cap

pms-Atomoxetine 40mg Cap 02381052 Not Insured PMS

atomoxetine 60mg cap

pms-Atomoxetine 60mg Cap 02381060 Not Insured PMS

bosentan 62.5mg tab

MYLAN-Bosentan 62.5mg Tab 02383497 DNP E(SF) 22.4625 MYL

Page 30: New Interchangeable Products Approved and Benefit Status

Page 2 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 7, 2012

MRP/PRP* AUGUST 7, 2012

MFR

Sandoz Bosentan 62.5mg Tab 02386275 DNP E(SF) 22.4625 SDZ

bosentan 125mg tab

MYLAN-Bosentan 125mg Tab 02383500 DNP E(SF) 22.4625 MYL

Sandoz Bosentan 125mg Tab 02386283 DNP E(SF) 22.4625 SDZ

ciprofloxacin 250mg tab

Mar-Ciprofloxacin 250mg Tab 02379686 DNP E(SFC) 0.8660 MAR

ciprofloxacin 500mg tab

Mar-Ciprofloxacin 500mg Tab 02379694 DNP E(SFC) 0.9770 MAR

ciprofloxacin 750mg tab

Mar-Ciprofloxacin 750mg Tab 02379708 DNP E(SFC) 1.7891 MAR

clopidogrel 75mg tab

RAN-Clopidogrel 75mg Tab 02379813 DNP E(SF) 0.9206 RAN

letrozole 2.5mg tab

Apo-Letrozole 2.5mg Tab 02358514 DNP SFC 2.0662 APX

montelukast 4mg chewtab MYLAN-Montelukast 4mg Chewtab 02380749 DNP E(SF) 0.5104 MYL

montelukast 5mg chewtab MYLAN-Montelukast 5mg Chewtab 02380757 DNP E(SF) 0.5635 MYL

montelukast 10mg tab

Montelukast 10mg Tab 02379333 DNP E(SF) 0.8276 SAS

olanzapine ODT 5mg tab MYLAN-Olanzapine ODT 5mg Tab 02382709 DNP E(SF) 1.2511 MYL

olanzapine ODT 10mg tab MYLAN-Olanzapine ODT 10mg Tab 02382717 DNP E(SF) 2.5000 MYL

Page 31: New Interchangeable Products Approved and Benefit Status

Page 3 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 7, 2012

MRP/PRP* AUGUST 7, 2012

MFR

olanzapine ODT 15mg tab MYLAN-Olanzapine ODT 15mg Tab 02382725 DNP E(SF) 3.7489 MYL

olanzapine ODT 20mg tab MYLAN-Olanzapine ODT 20mg Tab 02382733 DNP E(SF) 5.9376 MYL

pioglitazone 15mg tab

RAN-Pioglitazone 15mg Tab 02375850 DNP E(SF) 0.8324 RAN

pioglitazone 30mg tab

RAN-Pioglitazone 30mg Tab 02375869 DNP E(SF) 1.1662 RAN

pioglitazone 45mg tab

RAN-Pioglitazone 45mg Tab 02375877 DNP E(SF) 1.7535 RAN

rabeprazole 10mg EC tab

PAT-Rabeprazole 10mg Tab 02381737 DNP SFC 0.2341 PPH

rabeprazole 20mg EC tab

PAT-Rabeprazole 20mg Tab 02381745 DNP SFC 0.4682 PPH

raloxifene 60mg tab

CO Raloxifene 60mg Tab 02358840 DNP E(SF) 0.8457 COB

sertraline 25mg cap

Jamp-Sertraline 25mg Cap 02357143 DNP SFC 0.2814 JPC

sertraline 50mg cap

Jamp-Sertraline 50mg Cap 02357151 DNP SFC 0.5628 JPC

sertraline 100mg cap

Jamp-Sertraline 100mg Cap 02357178 DNP SFC 0.5898 JPC

sotalol 160mg tab

Jamp-Sotalol 160mg Tab 02368625 DNP SF 0.2273 JPC

Page 32: New Interchangeable Products Approved and Benefit Status

Page 4 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 7, 2012

MRP/PRP* AUGUST 7, 2012

MFR

terbinafine 250mg tab

GD-Terbinafine 250mg Tab 02352818 DNP E(SF) 1.8526 GMD

topiramate 25mg tab

GD-Topiramate 25mg Tab 02352850 DNP E(SF) 0.4379 GMD

topiramate 100mg tab

GD-Topiramate 100mg Tab 02352877 DNP E(SF) 0.8300 GMD

topiramate 200mg tab

GD-Topiramate 200mg Tab 02352885 DNP E(SF) 1.2395 GMD

valsartan 40mg tab

Apo-Valsartan 40mg Tab 02371510 DNP SF 0.4075 APX

MYLAN-Valsartan 40mg Tab 02383527 DNP SF 0.4075 MYL

valsartan 80mg tab

Apo-Valsartan 80mg Tab 02371529 DNP SF 0.4188 APX

MYLAN-Valsartan 80mg Tab 02383535 DNP SF 0.4188 MYL

valsartan 160mg tab

Apo-Valsartan 160mg Tab 02371537 DNP SF 0.4198 APX

MYLAN-Valsartan 160mg Tab 02383543 DNP SF 0.4198 MYL

valsartan 320mg tab

Apo-Valsartan 320mg Tab 02371545 DNP SF 0.4080 APX

MYLAN-Valsartan 320mg Tab 02383551 DNP SF 0.4080 MYL

zopiclone 7.5mg tab

Jamp-Zopiclone 7.5mg Tab 02356805 Not Insured JPC

Page 33: New Interchangeable Products Approved and Benefit Status

Page 1 of 2 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs September 2012

New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective September 4, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS SEPTEMBER 4, 2012

MRP/PRP* SEPTEMBER 25, 2012

MFR

exemestane 25mg tab

CO Exemestane 25mg Tab 02390183 DNP SFC 3.9008 COB

Aromasin 25mg Tab 02242705 DNP SFC 3.9008 PFI

Existing Categories: Benefit status is effective September 4, 2012 and the existing MRP or PRP for each existing category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS SEPTEMBER 4, 2012

MRP/PRP* SEPTEMBER 4, 2012

MFR

alendronate 70mg tab

Jamp-Alendronate 70mg Tab 02385031 DNP E (SFC) 3.5201 JPC

ciprofloxacin 250mg tab

Jamp-Ciprofloxacin 250mg Tab

02380358 DNPM E (SFC) 0.8660 JPC

ciprofloxacin 500mg tab

Jamp-Ciprofloxacin 500mg Tab

02380366 DNPM E (SFC) 0.9770 JPC

ciprofloxacin 750mg tab

Jamp-Ciprofloxacin 750mg Tab

02380374 DNPM E (SFC) 1.7891 JPC

fluoxetine 20mg cap

Fluoxetine BP 20mg Cap 02383241 DNP SFC 0.6438 AHI

Jamp-Fluoxetine 20mg Cap 02386402 DNP SFC 0.6438 JPC

gabapentin 100mg cap

Jamp-Gabapentin 100mg Cap 02361469 DNP SFC 0.1460 JPC

gabapentin 300mg cap

Jamp-Gabapentin 300mg Cap 02361485 DNP SFC 0.3553 JPC

Page 34: New Interchangeable Products Approved and Benefit Status

Page 2 of 2 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS SEPTEMBER 4, 2012

MRP/PRP* SEPTEMBER 4, 2012

MFR

gabapentin 400mg cap

Jamp-Gabapentin 400mg cap 02361493 DNP SFC 0.4233 JPC

lamivudine 150mg & zidovudine 300mg tab

Teva-Lamivudine/Zidovudine 150mg/300mg Tab

02387247 Not Insured TEV

metformin 500mg tab

Jamp-Metformin 500mg Tab 02380196 DNP SFD 0.0834 JPC

metformin 850mg tab

Jamp-Metformin 850mg Tab 02380218 DNP SFD 0.1205 JPC

metoprolol tartrate 50mg tab

Jamp-Metoprolol-L 50mg Tab 02356821 DNP SF 0.0940 JPC

metoprolol tartrate 100mg tab

Jamp-Metoprolol-L 100mg Tab 02356848 DNP SF 0.2050 JPC

montelukast 4mg chewtab

Montelukast 4mg Chewtab 02379317 DNP E (SF) 0.5104 SAS

montelukast 5mg chewtab

Montelukast 5mg Chewtab 02379325 DNP E (SF) 0.5635 SAS

mycophenolic acid 500mg tab

Jamp-Mycophenolate 500mg Tab

02380382 Not Insured JPC

sotalol 80mg tab

Jamp-Sotalol 80mg Tab 02368617 DNP SF 0.2966 JPC

Page 35: New Interchangeable Products Approved and Benefit Status

Page 1 of 5 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs October 2012

New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective October 9, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 9, 2012

MRP/PRP* OCTOBER 30, 2012

MFR

anastrazole 1mg tab

Sandoz Anastrazole 1mg Tab 02338467 DNP SFC 1.7821 SDZ

Arimidex 1mg Tab 02224135 DNP SFC 1.7821 AZE

candesartan 16mg & hydrochlorothiazide 12.5mg tab

Apo-Candesartan/HCTZ 16/12.5mg Tab

02367866 DNP SF 0.4193 APX

CO Candesartan/HCT 16/12.5mg Tab

02388650 DNP SF 0.4193 COB

MYLAN-Candesartan HCTZ 16/12.5mg Tab 02374897 DNP SF 0.4193 MYL

pms-Candesartan HCTZ 16/12.5mg Tab 02391295 DNP SF 0.4193 PMS

Sandoz Candesartan Plus 16/12.5mg Tab 02327902 DNP SF 0.4193 SDZ

Atacand Plus 16/12.5mg Tab 02244021 DNP SF 0.4193 AZE

lamivudine 100mg tab

Apo-Lamivudine HBV 100mg Tab 02393239 DNP E (SF) 3.5316 APX

Heptovir 100mg Tab 02239193 DNP E (SF) 3.5316 VIV

lamivudine 150mg tab

Apo-Lamivudine 150mg Tab 02369052 Not Insured APX

3TC 150mg Tab 02192683 Not Insured GSK

lamivudine 300mg tab

Apo-Lamivudine 300mg Tab 02369060 Not Insured APX

3TC 300mg Tab 02247825 Not Insured GSK

Page 36: New Interchangeable Products Approved and Benefit Status

Page 2 of 5 New Interchangeable Products

New Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 9, 2012

MRP/PRP* OCTOBER 30, 2012

MFR

riluzole 50mg tab

Apo-Riluzole 50mg Tab 02352583 DNP E (SF) 7.3630 APX

Rilutek 50mg Tab 02242763 DNP E (SF) 7.3630 SAV

topotecan 1mg/mL inj

Topotecan HCl 1mg/mL Inj (4mL Vial) 02379422 Not Insured HOS

Hycamtin 4mg/vial Inj 02231116 Not Insured GSK

Existing Categories: Benefit status is effective October 9, 2012 and the existing MRP or PRP for each existing category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 9, 2012

MRP/PRP* OCTOBER 9, 2012

MFR

atomoxetine 10mg cap

Sandoz Atomoxetine 10mg Cap

02386410 Not Insured SDZ

atomoxetine 18mg cap

Sandoz Atomoxetine 18mg Cap

02386429 Not Insured SDZ

atomoxetine 25mg cap

Sandoz Atomoxetine 25mg Cap

02386437 Not Insured SDZ

atomoxetine 40mg cap

Sandoz Atomoxetine 40mg Cap

02386445 Not Insured SDZ

atomoxetine 60mg cap

Sandoz Atomoxetine 60mg Cap

02386453 Not Insured SDZ

atomoxetine 80mg cap

Sandoz Atomoxetine 80mg Cap

02386461 Not Insured SDZ

atomoxetine 100mg cap

Sandoz Atomoxetine 100mg Cap

02386488 Not Insured SDZ

Page 37: New Interchangeable Products Approved and Benefit Status

Page 3 of 5 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 9, 2012

MRP/PRP* OCTOBER 9, 2012

MFR

bisoprolol 5mg tab

MYLAN-Bisoprolol 5mg Tab 02384418 DNP SF 0.1391 MYL

bisoprolol 10mg tab

MYLAN-Bisoprolol 10mg Tab 02384426 DNP SF 0.2030 MYL

esomeprazole 40mg tab

MYLAN-Esomeprazole 40mg Tab

02383047 Not Insured MYL

finasteride 5mg tab

MINT-Finasteride 5mg Tab 02389878 DNP E (SF) 0.6531 MNT

irbesartan 75mg tab

Apo-Irbesartan 75mg Tab 02386968 DNP SF 0.4234 APX

irbesartan 150mg tab

Apo-Irbesartan 150mg Tab 02386976 DNP SF 0.4234 APX

irbesartan 300mg tab

Apo-Irbesartan 300mg Tab 02386984 DNP SF 0.4234 APX

lansoprazole 15mg cap

Sandoz Lansoprazole 15mg DR Cap

02385643 DNP E (SF) 0.3500* SDZ

lansoprazole 30mg cap

Sandoz Lansoprazole 30mg DR Cap

02385651 DNP E (SF) 0.7000 SDZ

letrozole 2.5mg tab

Jamp-Letrozole 2.5mg Tab 02373009 DNP SFC 2.0662 JPC

losartan 50mg & hydrochlorothiazide 12.5mg tab

pms-Losartan-HCTZ 50/12.5mg Tab

02392224 DNP SF 0.4407 PMS

Page 38: New Interchangeable Products Approved and Benefit Status

Page 4 of 5 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 9, 2012

MRP/PRP* OCTOBER 9, 2012

MFR

losartan 100mg & hydrochlorothiazide 12.5mg tab

pms-Losartan-HCTZ 100/12.5mg Tab

02392232 DNP SF 0.4314 PMS

losartan 100mg & hydrochlorothiazide 25mg tab

pms-Losartan-HCTZ 100/25mg Tab

02392240 DNP SF 0.4407 PMS

metformin 500mg tab

Septa-Metformin 500mg Tab 02379767 DNP SFD 0.0834 SPT

metformin 850mg tab

Septa-Metformin 850mg Tab 02379775 DNP SFD 0.1205 SPT

nevirapine 200mg tab

MYLAN-Nevirapine 200mg Tab

02387727 Not Insured MYL

rizatriptan 5mg tab

Jamp-Rizatriptan 5mg Tab 02380455 DNP E (SF) 5.1870 JPC

rizatriptan 10mg tab

CO Rizatriptan 10mg Tab 02381702 DNP E (SF) 5.1870 COB

Jamp-Rizatriptan 10mg Tab 02380463 DNP E (SF) 5.1870 JPC

salbutamol 100mcg/dose oral inh

Novo-Salbutamol HFA 100mcg/act Inh

02326450 DNPM SFC 0.0325 TEV

telmisartan 40mg tab

pms-Telmisartan 40mg Tab 02391236 DNP SF 0.3954 PMS

telmisartan 80mg tab

pms-Telmisartan 80mg Tab 02391244 DNP SF 0.3954 PMS

tobramycin 40mg/mL inj

Tobramycin 40mg/mL Inj 02382814 DNP SFC 3.2100 AJP

Page 39: New Interchangeable Products Approved and Benefit Status

Page 5 of 5 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 9, 2012

MRP/PRP* OCTOBER 9, 2012

MFR

tramadol 37.5mg & acetaminophen 325mg tab

Jamp-Acet-Tramadol 325/37.5mg Tab

02388308 Not Insured JPC

Mar-Tramadol/Acet 37.5/325mg Tab

02388324 Not Insured MAR

Teva-Tramadol/Acetaminophen 37.5/325mg Tab

02347180 Not Insured TEV

valsartan 80mg & hydrochlorothiazide 12.5mg tab

Apo-Valsartan/HCTZ 80/12.5mg Tab

02382547 DNP SF 0.4176 APX

valsartan 160mg & hydrochlorothiazide 12.5mg tab

Apo-Valsartan/HCTZ 160/12.5mg Tab

02382555 DNP SF 0.4190 APX

valsartan 160mg & hydrochlorothiazide 25mg tab

Apo-Valsartan/HCTZ 160/25mg Tab

02382563 DNP SF 0.4179 APX

valsartan 320mg & hydrochlorothiazide 12.5mg tab

Apo-Valsartan/HCTZ 320/12.5mg Tab

02382571 DNP SF 0.4204 APX

valsartan 320mg & hydrochlorothiazide 25mg tab

Apo-Valsartan/HCTZ 320/25mg Tab

02382598 DNP SF 0.4179 APX

Page 40: New Interchangeable Products Approved and Benefit Status

Page 1 of 4 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs November 2012

New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective November 13, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 13, 2012

MRP/PRP* DECEMBER 4, 2012

MFR

eletriptan 20mg tab

GD-Eletriptan 20mg Tab 02342235 Not Insured GMD

Relpax 20mg Tab 02256290 Not Insured PFI

eletriptan 40mg tab

GD-Eletriptan 40mg Tab 02342243 Not Insured GMD

Relpax 40mg Tab 02256304 Not Insured PFI Existing Categories: Benefit status is effective November 13, 2012 and the existing MRP or PRP for each existing category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 13, 2012

MRP/PRP* NOVEMBER 13, 2012

MFR

anastrozole 1mg tab

Apo-Anastrozole 1mg Tab 02374420 DNP SFC 1.7821 APX

CO Anastrozole 1mg Tab 02394898 DNP SFC 1.7821 COB

Jamp-Anastrozole 1mg Tab 02339080 DNP SFC 1.7821 JPC

MED-Anastrozole 1mg Tab 02379104 DNP SFC 1.7821 GMP

MYLAN-Anastrozole 1mg Tab 02361418 DNP SFC 1.7821 MYL

pms-Anastrozole 1mg Tab 02320738 DNP SFC 1.7821 PMS

RAN-Anastrozole 1mg Tab 02328690 DNP SFC 1.7821 RAN

Teva-Anastrozole 1mg Tab 02313049 DNP SFC 1.7821 TEV

candesartan 4mg tab

Candesartan 4mg Tab 02388901 Not Insured SAS

Jamp-Candesartan 4mg Tab 02386496 Not Insured JPC

Page 41: New Interchangeable Products Approved and Benefit Status

Page 2 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 13, 2012

MRP/PRP* NOVEMBER 13, 2012

MFR

pms-Candesartan 4mg Tab 02391171 Not Insured PMS

candesartan 8mg tab

Candesartan 8mg Tab 02388928 DNP SF 0.4100 SAS

Jamp-Candesartan 8mg Tab 02386518 DNP SF 0.4100 JPC

pms-Candesartan 8mg Tab 02391198 DNP SF 0.4100 PMS

candesartan 16mg tab

Candesartan 16mg Tab 02388936 DNP SF 0.4100 SAS

Jamp-Candesartan 16mg Tab 02386526 DNP SF 0.4100 JPC

pms-Candesartan 16mg Tab 02391201 DNP SF 0.4100 PMS

candesartan 32mg tab

Jamp-Candesartan 32mg Tab 02386534 DNP SF 0.4193 JPC

pms-Candesartan 32mg Tab 02391228 DNP SF 0.4193 PMS

citalopram 20mg tab

Auro-Citalopram 20mg Tab 02275562 DNP SFC 0.4661 ARO

citalopram 40mg tab

Auro-Citalopram 40mg Tab 02275570 DNP SFC 0.4661 ARO levonorgestrel 0.10mg & ethinyl estradiol 0.02mg tab (21)

ESME Tab 21 Day 02388138 DNP F 0.4636 MYL levonorgestrel 0.10mg & ethinyl estradiol 0.02mg tab (28)

ESME Tab 28 Day 02388146 DNP F 0.3477 MYL

losartan 25mg tab

Losartan 25mg Tab 02388863 DNP SF 0.4407 SAS

losartan 50mg tab

Losartan 50mg Tab 02388871 DNP SF 0.4407 SAS

Page 42: New Interchangeable Products Approved and Benefit Status

Page 3 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 13, 2012

MRP/PRP* NOVEMBER 13, 2012

MFR

losartan 100mg tab

Losartan 100mg Tab 02388898 DNP SF 0.4407 SAS

metformin 500mg tab Jamp-Metformin Blackberry 500mg Tab 02380722 DNP SFD 0.0834 JPC

metformin 850mg tab Jamp-Metformim Blackberry 850mg Tab 02380730 DNP SFD 0.1205 JPC

montelukast 10mg tab

Montelukast 10mg Tab 02379236 DNP E (SF) 0.8276 AHI mycophenolic acid 250mg cap Jamp-Mycophenolate 250mg Cap 02386399 Not Insured JPC

pramipexole 0.25mg tab MYLAN-Pramipexole 0.25mg Tab 02376350 DNP SF 0.3680 MYL

pramipexole 0.5mg tab MYLAN-Pramipexole 0.5mg Tab 02376369 Not Insured MYL

pramipexole 1mg tab

MYLAN-Pramipexole 1mg Tab 02376377 DNP SF 0.7360 MYL

pramipexole 1.5mg tab MYLAN-Pramipexole 1.5mg Tab 02376385 DNP SF 0.7360 MYL

repaglinide 0.5mg tab

Apo-Repaglinide 0.5mg Tab 02355663 Not Insured APX

repaglinide 1mg tab

Apo-Repaglinide 1mg Tab 02355671 Not Insured APX

repaglinide 2mg tab

Apo-Repaglinide 2mg Tab 02355698 Not Insured APX

Page 43: New Interchangeable Products Approved and Benefit Status

Page 4 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 13, 2012

MRP/PRP* NOVEMBER 13, 2012

MFR

riluzole 50mg tab

MYLAN-Riluzole 50mg Tab 02390299 DNP E (SF) 3.4361 MYL

simvastatin 20mg tab

Jamp-Simvastatin 20mg Tab 02375613 DNP SF 0.8751 JPC

simvastatin 40mg tab

Jamp-Simvastatin 40mg Tab 02375621 DNP SF 0.8751 JPC

simvastatin 80mg tab

Jamp-Simvastatin 80mg Tab 02375648 DNP SF 0.8751 JPC

telmisartan 40mg tab

Telmisartan 40mg Tab 02388944 DNP SF 0.3954 SAS

telmisartan 80mg tab

Telmisartan 80mg Tab 02388952 DNP SF 0.3954 SAS tramadol 37.5mg & acetaminophen 325mg tab RAN-Tramadol/Acet 37.5/325mg Tab 02388197 Not Insured RAN

Tramaphen-ODAN 37.5/325mg Tab 02388294 Not Insured ODN

zolmitriptan ODT 2.5mg tab MYLAN-Zolmitriptan ODT 2.5mg Tab 02387158 DNP E (SF) 4.8008 MYL

Page 44: New Interchangeable Products Approved and Benefit Status

Page 1 of 4 New Interchangeable Products

New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs December 2012

New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective December 10, 2012.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 10, 2012

MRP/PRP* DECEMBER 31, 2012

MFR

sildenafil 25mg tab

Apo-Sildenafil 25mg Tab 02248201 Not Insured APX

CO Sildenafil 25mg Tab 02372053 Not Insured COB

Novo-Sildenafil 25mg Tab 02308738 Not Insured TEV

pms-Sildenafil 25mg Tab 02371626 Not Insured PMS

Viagra 25mg Tab 02239766 Not Insured PFI

sildenafil 50mg tab

Apo-Sildenafil 50mg Tab 02248202 Not Insured APX

CO Sildenafil 50mg Tab 02372061 Not Insured COB

Novo-Sildenafil 50mg Tab 02308746 Not Insured TEV

pms-Sildenafil 50mg Tab 02371634 Not Insured PMS

Viagra 50mg Tab 02239767 Not Insured PFI

sildenafil 100mg tab

Apo-Sildenafil 100mg Tab 02248203 Not Insured APX

CO Sildenafil 100mg Tab 02372088 Not Insured COB

Novo-Sildenafil 100mg Tab 02308754 Not Insured TEV

pms-Sildenafil 100mg Tab 02371642 Not Insured PMS

Viagra 100mg Tab 02239768 Not Insured PFI

Page 45: New Interchangeable Products Approved and Benefit Status

Page 2 of 4 New Interchangeable Products

Existing Categories: Benefit status is effective December 10, 2012 and the existing MRP or PRP for each existing category will apply.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 10, 2012

MRP/PRP* DECEMBER 10, 2012

MFR

anastrozole 1mg tab

Mar-Anastrozole 1mg Tab 02379562 DNP SFC 1.7821 MAR

Taro-Anastrozole 1mg Tab 02365650 DNP SFC 1.7821 TAR

candesartan 4mg tab

Candesartan Cilexetil 4mg Tab 02379260 Not Insured AHI

candesartan 8mg tab

Candesartan Cilexetil 8mg Tab 02379279 DNP SF 0.4100 AHI

candesartan 16mg tab

Candesartan Cilexetil 16mg Tab 02379287 DNP SF 0.4100 AHI

candesartan 32mg tab

Candesartan Cilexetil 32mg Tab 02379295 DNP SF 0.4193 AHI

levonorgestrel 0.10mg & ethinyl estradiol 0.02mg tab (21)

Alysena Tab 21 Day 02387875 DNP F 0.4636 APX

levonorgestrel 0.10mg & ethinyl estradiol 0.02mg tab (28)

Alysena Tab 28 Day 02387883 DNP F 0.3477 APX

rizatriptan ODT 5mg tab

pms-Rizatriptan RDT 5mg Tab 02393360 DNP E (SF) 5.1870 PMS

rizatriptan ODT 10mg tab

pms-Rizatriptan RDT 10mg Tab 02393379 DNP E (SF) 5.1870 PMS

telmisartan 80mg & hydrochlorothiazide 12.5mg tab

Sandoz Telmisartan HCT 80/12.5mg Tab

02393557 DNP SF 0.3954 SDZ

Page 46: New Interchangeable Products Approved and Benefit Status

Page 3 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 10, 2012

MRP/PRP* DECEMBER 10, 2012

MFR

telmisartan 80mg & hydrochlorothiazide 25mg tab

Sandoz Telmisartan HCT 80/25mg Tab

02393565 DNP SF 0.3954 SDZ

terbinafine 250mg tab

Jamp-Terbinafine 250mg Tab 02357070 DNP E (SF) 1.8526 JPC

tramadol 37.5mg & acetaminophen 325mg tab

PAT-Tramadol/Acet 37.5/325mg Tab

02389274 Not Insured PPH

valsartan 40mg tab

Valsartan 40mg Tab 02366940 DNP SF 0.4075 SAS

valsartan 80mg tab

Valsartan 80mg Tab 02366959 DNP SF 0.4188 SAS

valsartan 160mg tab

Valsartan 160mg Tab 02366967 DNP SF 0.4198 SAS

valsartan 320mg tab

Valsartan 320mg Tab 02366975 DNP SF 0.4080 SAS

valsartan 80mg & hydrochlorothiazide 12.5mg tab

Valsartan HCT 80/12.5mg Tab 02367009 DNP SF 0.4176 SAS

valsartan 160mg & hydrochlorothiazide 12.5mg tab

Valsartan HCT 160/12.5mg Tab 02367017 DNP SF 0.4190 SAS

valsartan 160mg & hydrochlorothiazide 25mg tab

Valsartan HCT 160/25mg Tab 02367025 DNP SF 0.4179 SAS

valsartan 320mg & hydrochlorothiazide 12.5mg tab

Valsartan HCT 320/12.5mg Tab 02367033 DNP SF 0.4204 SAS

Page 47: New Interchangeable Products Approved and Benefit Status

Page 4 of 4 New Interchangeable Products

Existing Categories Continued…

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 10, 2012

MRP/PRP* DECEMBER 10, 2012

MFR

valsartan 320mg & hydrochlorothiazide 25mg tab

Valsartan HCT 320/25mg Tab 02367041 DNP SF 0.4179 SAS

Non-Interchangeable and Non-Insured: The following product was not recommended to list as an interchangeable, insured benefit under the Nova Scotia Pharmacare Programs.

PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 10, 2012

MRP/PRP* DECEMBER 10, 2012

MFR

latanoprost 50mcg/mL oph sol

Sandoz Latanoprost 0.005% Oph Sol

02367335 Not Insured SDZ