new interchangeable products approved and benefit status
TRANSCRIPT
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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