Bulletin 49 FINAL

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BULLETIN # 49
Manitoba Drug Benefits and
Interchangeability Formulary Amendments
The following amendments will take effect on
February 9, 2006.
The amended Manitoba Specified Drug Regulation and
Drug Interchangeability Formulary Regulation will be
available on the Manitoba Health website
http://www.gov.mb.ca/health/mdbif on the effective
date of February 9, 2006.
Bulletin 49 is currently available for download:
http://www.gov.mb.ca/health/mdbif/bulletin49.pdf
Inside This Issue
Part 1 Additions
Part 2 Additions
Part 3 Additions
Not Recommended
New Interchangeable Categories
New Interchangeable Products
Product Deletions
Category Deletions
Interchangeable Product Price Changes
Discontinued Products
Manufacturers Update
Page
Page
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Page
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Page
1-2
2-4
5-6
6-7
7-10
10-12
12-13
13
13-20
20-21
21-23
Bulletin #49
Effective: February 9, 2006
Part 1 Additions
DIN
TRADE NAME
GENERIC
02267640
Apo-Medroxy
medroxyprogesterone
acetate
02267217
02239090
00716693
02271931
02271958
02258528
Asacol
Atacand
Cortoderm
mesalamin
candesartan cilexetil
hydrocortisone
Co Zopiclone
zopiclone
Edecrin
02257378
Gen-Amilazide
ethacrynic acid
amiloride/
hydrochlorothiazide
02257092
02257106
02257114
02263351
02263378
02263386
02269074
02269082
02266660
02271605
02271613
02271821
02271648
02271656
02248457
02248860
02248861
02248862
02262991
02263009
02263017
02267985
02267993
02268027
02268035
02268043
02268051
02268000
02268019
02268078
02267969
02267977
Gen-Pravastatin
pravastatin sodium
Gen-Topiramate
topiramate
Lipidil EZ
fenofibrate
Novo-Atenol
atenolol
Novo-Diltiazem ER
diltiazem hcl
Novo-Gabapentin
gabapentin
Novo-Topiramate
topiramate
pms-Topiramate
topiramate
Ran-Atenolol
atenolol
Ran-Carvedilol
carvedilol
Ran-Citalopram
citalopram
Ran-Domperidone
domperidone
Ran-Lovastatin
lovastatin
STRENGTH
FORM
MFR*
100 mg
Tablets
APX
800 mg
4 mg
0.1%
5 mg
7.5 mg
25 mg
Tablets
Tablets
Ointment
PGP
AZC
TAR
Tablets
COB
Tablets
MFX
5/50 mg
Tablets
GPM
Tablets
GPM
Tablets
GPM
Tablets
FFR
Tablets
NOP
Tablets
NOP
Tablets
NOP
Tablets
NOP
Tablets
PMS
Tablets
RAN
Tablets
RAN
Tablets
RAN
Tablets
RAN
Tablets
RAN
10 mg
20 mg
40 mg
25 mg
100 mg
200 mg
48 mg
145 mg
25 mg
120 mg
180 mg
240 mg
300 mg
360 mg
600 mg
25 mg
100 mg
200 mg
25 mg
100 mg
200 mg
50 mg
100 mg
3.125 mg
6.25 mg
12.5 mg
25 mg
20 mg
40 mg
10 mg
20 mg
40 mg
1 of 23
Bulletin #49
Effective: February 9, 2006
02269031
02269058
02267918
02267926
Ran-Metformin
metformin hcl
Ran-Zopiclone
zopiclone
02270927
ratio-Mirtazapine
mirtazapine
02256827
02256835
02256843
ratio-Topiramate
02248610
02248611
Reyataz
500 mg
850 mg
5 mg
7.5 mg
Tablets
RAN
Tablets
RAN
30 mg
Tablets
RPH
topiramate
25 mg
100 mg
200 mg
Tablets
RPH
atazanavir sulfate
150 mg
200 mg
Capsules
BMS
Tablets
RXP
Tablets
RXP
02245918
02245919
02245920
02245921
02245922
Rhoxal-diltiazem T
diltiazem hcl
120 mg
180 mg
240 mg
300 mg
360 mg
02260050
02260069
02267837
Rhoxal-topiramate
topiramate
25 mg
100 mg
200 mg
02266938
Taro-Clindamycin
clindamycin
Taro-Simvastatin
simvastatin
Telzir
Yasmin 21
Yasmin 28
fosamprenavir calcium
drospirenone/
ethinyl estradiol
02265885
02265893
02265907
02261545
02261723
02261731
1% Topical Solution
TAR
10 mg
20 mg
40 mg
700 mg
Tablets
TAR
Tablets
GSK
3 mg/30 mcg
Tablets
BEX
02247423
azithromycin
250 mg
Tablets
Apo-Azithromycin
- For the treatment of patients:
(a) not responding to or intolerant of alternative antibiotics (eg. amoxicillin and
erythromycin);
(b) with mycobacterial infections due to mycobacterium avium and mycobacterium
intracellulare;
(c) with sexually transmitted disease due to Chlamydia.
APX
02263130
Apo-Ciproflox
*Abbreviation of Manufacturers' Names
Part 2 Additions and Amendments
Ophthalmic
Solution
- For the treatment of ophthalmic infections caused by gram-negative organisms
or those not responding to alternative agents.
ciprofloxacin hydrochloride
0.3%
APX
2 of 23
Bulletin #49
Effective: February 9, 2006
02268388
02268396
50 mg
Tablets
100 mg
- For the treatment of ACUTE migraine attacks in patients where standard therapy has
failed - to a maximum of 144 tablets per benefit year.
Apo-Sumatriptan
sumatriptan
APX
02255340
Co Azithromycin
azithromycin
250 mg
Tablet
- For the treatment of patients:
(a) not responding to or intolerant of alternative antibiotics (eg. amoxicillin and
erythromycin);
(b) with mycobacterial infections due to mycobacterium avium and mycobacterium
intracellulare;
(c) with sexually transmitted disease due to Chlamydia.
COB
02256088
Co Azithromycin
azithromycin
600 mg
Tablet
- For the treatment of patients with mycobacterial infections due to mycobacterium avium
and mycobacterium intracellulare.
COB
02257890
02257904
50 mg
Tablet
100 mg
- For the treatment of ACUTE migraine attacks in patients where standard therapy has
failed - to a maximum of 144 tablets per benefit year.
02268914
02268922
50 mg
Tablets
100 mg
- For the treatment of ACUTE migraine attacks in patients where standard therapy has
failed - to a maximum of 144 tablets per benefit year.
02267846
Novo-Azithromycin
aithromycin
250 mg
Tablet
- For the treatment of patients:
(a) not responding to or intolerant of alternative antibiotics (eg. amoxicillin and
erythromycin);
(b) with mycobacterial infections due to mycobacterium avium and mycobacterium
intracellulare;
(c) with sexually transmitted disease due to Chlamydia.
02239367
Novo-Sumatriptan
Co Sumatriptan
Gen-Sumatriptan
sumatriptan
sumatriptan
sumatriptan
100 mg
Tablets
COB
GPM
NOP
NOP
- For the treatment of ACUTE migraine attacks in patients where standard therapy has
failed - to a maximum of 144 tablets per benefit year.
02256436
02256444
50 mg
Tablets
100 mg
- For the treatment of ACUTE migraine attacks in patients where standard therapy has
failed - to a maximum of 144 tablets per benefit year.
pms-Sumatriptan
sumatriptan
PMS
3 of 23
Bulletin #49
Effective: February 9, 2006
02267934
02267942
02267950
250 mg
Tablets
500 mg
750 mg
(a) Step-down care following hospital seperation in patients treated with parenteral
antibiotics;
(b) treatment of pseudomonal infections or resistant gram-negative infections;
(c) treatment of resistant Gonococcal infections;
(d) treatment of infections in persons allergic to alternative agents (eg. penicillins,
cephalosporins and sulfonamides);
(e) treatment of infections in immunocompromised patients;
(f) treatment of diabetic foot infections and complications of orthopedic surgery.
Ran-Ciprofloxacin
02271583
02271591
ratio-Sumatriptan
02263025
02263033
Rhoxal-sumatriptan
02265826
ciprofloxacin
50 mg
Tablets
100 mg
- For the treatment of ACUTE migraine attacks in patients where standard therapy has
failed - to a maximum of 144 tablets per benefit year.
sumatriptan
50 mg
Tablets
100 mg
- For the treatment of ACUTE migraine attacks in patients where standard therapy has
failed - to a maximum of 144 tablets per benefit year.
sumatriptan
Sandoz Azithromycin azithromycin
250 mg
Tablet
- For the treatment of patients:
(a) not responding to or intolerant of alternative antibiotics (eg. amoxicillin and
erythromycin);
(b) with mycobacterial infections due to mycobacterium avium and mycobacterium
intracellulare;
(c) with sexually transmitted disease due to Chlamydia.
RAN
RPH
RXP
SDZ
Part 2 Deletions
00189421
Anapolon
oxymetholone
50 mg
02229863
Dynabac
dirithromycin
250 mg
00782742
01997645
00643025
02204584
02204576
Flexeril
Macrodantin
Noroxin
Protropin
Protropin
cyclobenzaprine hcl
nitrofurantoin
norfloxacin
somatrem/water
somatrem/water
10 mg
100 mg
400 mg
5 mg/10 mL
10 mg/10 mL
Tablet
Enteric Coated
Tablets
Tablet
Capsule
Tablet
Kit
Kit
SYN
LIL
JAN
PGP
MSD
HLR
HLR
4 of 23
Bulletin #49
Effective: February 9, 2006
Part 3
The following products will be considered for Pharmacare reimbursement upon an individual
prescriber/patient request basis.
02270110
Gen-Alendronate
alendronate
5 mg
Tablets
GPM
- For patients with renal failure and documented osteoporosis (decreased dose is required).
02270129
Gen-Alendronate
alendronate
10 mg
Tablets
GPM
- For the treatment of patients with:
(a) osteoporotic fractures;
(b) Osteoporosis diagnosed with bone mineral density (BMD) measurements by any
approved technology, ie., a T score of ≤ -2.5; or
(c) x-ray diagnosis of osteoporosis
Note: Concurrent calcium and vitamin D supplementation is recommended.
02253275
02264560
02264579
Gleevec
imatinib mesylate
For the treatment of patients with:
(a) Gastrointestinal Stromal Tumors (GIST);
(b) first line therapy for Chronic Myeloid Leukemia (CML).
Myfortic
mycophenolate sodium
100 mg
Tablets
NVT
180 mg
360 mg
Tablets
NVT
For the prophylaxis of organ rejection in patients receiving allogeneic renal transplants.
02273179
pms-Alendronate
alendronate sodium
70 mg
Tablets
- For the treatment of patients with:
(a) osteoporotic fractures;
(b) Osteoporosis diagnosed with bone mineral density (BMD) measurements by any
approved technology, ie., a T score of ≤ -2.5; or
(c) x-ray diagnosis of osteoporosis;
PMS
NOTE: Concurrent calcium and vitamin D supplementation is recommended.
02273101
02273128
02273136
1 mg
Tablets
2 mg
4 mg
- For patients poorly controlled on maximum doses of glyburide or gliclazide and metformin
and diet (unless metformin is contraindicated because of renal/hepatic dysfunction or
G.I. intolerance).
ratio-Glimepiride
glimepiride
RPH
5 of 23
Bulletin #49
Effective: February 9, 2006
02269589
02269597
02269619
02242067
02242068
02242069
1 mg
Tablets
2 mg
4 mg
- For patients poorly controlled on maximum doses of glyburide or gliclazide and metformin
and diet (unless metformin is contraindicated because of renal/hepatic dysfunction or
G.I. intolerance).
Rhoxal-Glimepiride
glimepiride
Trileptal
oxcarbazepine
150 mg
300 mg
600 mg
Tablets
RXP
NVT
For the treatment of patients with refractory partial epilepsy;
(a) when intolerant to other anticonvulsant therapy;
(b) adjunct therapy when current anticonvulsant therapies are not providing adequate seizure
control.
02244673
oxcarbazepine
Trileptal
60 mg/mL Oral Suspension
NVT
For the treatment of patients with refractory partial epilepsy;
(a) when intolerant to other anticonvulsant therapy;
(b) adjunct therapy when current anticonvulsant therapies are not providing adequate seizure
control.
Not Recommended for Pharmacare
Drugs reviewed but not recommended for Pharmacare reimbursement at this time:
02259052
02247085
02247086
02247087
02248440
02248441
Allergy Vaccines
Amevive
02252716
Ciprodex
ciprofloxacin HCl/dexamethasone
0.3%/0.1%
02247916
Cipro XL
ciprofloxacin
500 mg
02265540
Crestor
rosuvastatin calcium
5 mg
02248297
Evra
02248417
02248676
02247520
02246804
02262347
02262355
02262339
Gynazole.1
Iressa
Ketek
Levaquin
Avandamet
Niaspan
allergen extracts
alefacept
rosiglitazone maleate/
metformin hcl
norelgestromin/
ethinyl estradiol
butoconazole nitrate
gefitinib
telithromycin
levofloxacin
niacin
-15 mg/0.5 mL
1 mg/500 mg
2 mg/500 mg
4 mg/500 mg
2 mg/1000 mg
4 mg/1000 mg
6 mg/0.6 mg
2%
250 mg
400 mg
750 mg
500 mg
750 mg
1000 mg
Injection
Injection
ACL
BIG
Tablets
GSK
Otic Solution
ALC
Modified Release
Tablet
BAY
Tablets
AZC
Transdermal
Patches
Vaginal Cream
Tablets
Tablets
Tablets
FER
AZC
AVE
JAN
Tablets
ORX
JAN
6 of 23
Bulletin #49
Effective: February 9, 2006
02247104
02256290
02256304
02246552
02246553
02246554
02246555
02249057
02257130
02257149
02257157
02243716
doxycycline
Periostat
20 mg
20 mg
40 mg
1 mg/mL
2.5 mg/mL
5 mg/mL
10 mg/mL
1 mg/mL
30 mg
60 mg
90 mg
20 mg/mL
eletriptan hydrobromide
Relpax
treprostinil sodium
Remodulin
Replagal
agalsidase alfa
Senispar
cinacalcet HCl
iron sucrose
Venofer
02252260
Vigamox
moxifloxacin HCl
02250519
Zavesca
miglustat
Capsules
PMS
Tablets
PFI
Injection
UNT
Injection
TKT
Tablets
AGA
Injection
LUI
0.5% Ophthalmic Solution
100 mg
Capsules
ALC
ACT
New Interchangeable Categories
The following new interchangeable categories and products were added:
Generic Name - Strength - Form
DIN
Trade Name
Manufacturer
Price in Dollars
Azithromycin - 250 mg - Tablet
02212021
02255340
02247423
02267845
02265826
Zithromax
Co Azithromycin
Apo-Azithromycin
Novo-Azithromycin
Sandoz Azithromycin
PFI
COB
APX
NOP
SDZ
$
5.9003
4.1785
3.7986
3.7986
3.7986
Azithromycin - 600 mg - Tablet
02231143
02256088
Zithromax
Co Azithromycin
PFI
COB
$
14.1603
9.2261
Clindamycin - 0.1% - Topical Solution
00582301
Dalacin T
02266938
Taro-Clindamycin
UPJ
TAR
$
0.3504
0.2486
Diltiazem HCl - 120 mg - Tablet
02231150
02271605
02245918
BIV
NOP
RXP
$
0.9339
0.6225
0.6225
Tiazac ER
Novo-Diltiazem ER
Rhoxal-diltiazem T
7 of 23
Bulletin #49
Effective: February 9, 2006
Diltiazem HCl - 180 mg - Tablet
02231151
02271613
02245919
Tiazac ER
Novo-Diltiazem ER
Rhoxal-diltiazem T
BIV
NOP
RXP
$
1.2397
0.8264
0.8264
Diltiazem HCl - 240 mg - Tablet
02231152
02271821
02245920
Tiazac ER
Novo-Diltiazem ER
Rhoxal-diltiazem T
BIV
NOP
RXP
$
1.6442
1.0961
1.0961
Diltiazem HCl - 300 mg - Tablet
02231154
02271648
02245921
Tiazac ER
Novo-Diltiazem ER
Rhoxal-diltiazem T
BIV
NOP
RXP
$
2.0553
1.3702
1.3701
BIV
NOP
RXP
$
2.4792
1.6528
1.6527
Diltiazem HCl - 360 mg - Tablet
02231155
02271656
02245922
Tiazac ER
Novo-Diltiazem ER
Rhoxal-diltiazem T
Gabapentin - 600 mg - Tablet
02239717
02248457
Neurontin
Novo-Gabapentin
PFI
NOP
$
2.0802
1.3095
Glimepiride - 1 mg - Tablet
02245272
02273101
02269589
Amaryl
ratio-Glimepiride
Rhoxal-glimepiride
AVE
RPH
RXP
$
0.8085
0.5390
0.5390
AVE
RPH
RXP
$
0.8894
0.5390
0.5390
AVE
RPH
RXP
$
0.9702
0.5390
0.5390
Glimepiride - 2 mg - Tablet
02245273
02273128
02269597
Glimepiride - 4 mg - Tablet
02245274
02273136
02269619
Amaryl
ratio-Glimepiride
Rhoxal-glimepiride
Amaryl
ratio-Glimepiride
Rhoxal-glimepiride
8 of 23
Bulletin #49
Effective: February 9, 2006
Medroxyprogesterone Acetate - 100 mg - Tablets
00030945
02267640
Provera
Apo-Medroxy
UPJ
APX
$
1.4646
0.9397
Sumatriptan - 50 mg - Tablets
02212153
02257890
02268388
02268914
02256436
02271583
02263025
Imitrex DF
Co Sumatriptan
Apo-Sumatriptan
Gen-Sumatriptan
pms-Sumatriptan
ratio-Sumatriptan
Rhoxal-sumatriptan
GSK
COB
APX
GPM
PMS
RPH
RXP
$
14.9573
10.9687
9.9717
9.9715
9.9715
9.9715
9.9715
Sumatriptan - 100 mg - Tablets
02212161
02257904
02268922
02239367
02256444
02271591
02263033
02268396
Imitrex DF
Co Sumatriptan
Gen-Sumatriptan
Novo-Sumatriptan
pms-Sumatriptan
ratio-Sumatriptan
Rhoxal-sumatriptan
Apo-Sumatriptan
GSK
COB
GPM
NOP
PMS
RPH
RXP
APX
$
17.2183
12.0840
10.9854
10.9854
10.9854
10.9854
10.9854
10.9850
Topiramate - 25 mg - Tablets
02230893
02263351
02248860
02262991
02256827
02260050
Topamax
Gen-Topiramate
Novo-Topiramate
pms-Topiramate
ratio-Topiramate
Rhoxal-topiramate
JAN
GPM
NOP
PMS
RPH
RXP
$
1.3055
0.8085
0.8085
0.8085
0.8085
0.8085
Topiramate - 100 mg - Tablets
02230894
02263378
02248861
02263009
02256835
02260069
Topamax
Gen-Topiramate
Novo-Topiramate
pms-Topiramate
ratio-Topiramate
Rhoxal-topiramate
JAN
GPM
NOP
PMS
RPH
RXP
$
2.4743
1.5323
1.5323
1.5323
1.5323
1.5323
9 of 23
Bulletin #49
Effective: February 9, 2006
Topiramate - 200 mg - Tablets
02230896
02263386
02248862
02263017
02256843
02267837
Topamax
Gen-Topiramate
Novo-Topiramate
pms-Topiramate
ratio-Topiramate
Rhoxal-topiramate
JAN
GPM
NOP
PMS
RPH
RXP
$
3.9163
2.4255
2.4255
2.4255
2.4255
2.4255
New Interchangeable Products
The following products have been added to existing interchangeable drug categories:
Alendronate Sodium - 5 mg - Tablets
02270110
Gen-Alendronate
GPM
$
1.1407
Alendronate Sodium - 10 mg - Tablets
02270129
Gen-Alendronate
GPM
$
1.2163
Alendronate Sodium - 70 mg - Tablets
02273179
pms-Alendronate
PMS
$
6.1325
Amiloride HCL/Hydrochlorothiazide - 5/50 mg - Tablets
02257378
Gen-Amilazide
GPM
$
0.2109
Atenolol - 50 mg - Tablets
02267985
Ran-Atenolol
RAN
$
0.4252
Atenolol - 100 mg - Tablets
02267993
Ran-Atenolol
RAN
$
0.6991
Carvedilol - 3.125 mg - Tablets
02268027
Ran-Carvedilol
RAN
$
0.9682
Carvedilol - 6.25 mg - Tablets
02268035
Ran-Carvedilol
RAN
$
0.9682
Carvedilol - 12.5 mg - Tablets
02268043
Ran-Carvedilol
RAN
$
0.9682
10 of 23
Bulletin #49
Effective: February 9, 2006
Carvedilol - 25 mg - Tablets
02268051
RAN
$
0.9682
Ciprofloxacin - 0.3% - Ophthalmic Solution
02263130
Apo-Ciproflox
APX
$
1.4100
Ciprofloxacin - 250 mg - Tablets
02267934
Ran Ciprofloxacin
RAN
$
1.8813
Ciprofloxacin - 500 mg - Tablets
02267942
Ran Ciprofloxacin
RAN
$
2.1224
Ciprofloxacin - 750 mg - Tablets
02267950
Ran Ciprofloxacin
RAN
$
4.0029
Citalopram - 20 mg - Tablets
02268000
Ran-Citalopram
RAN
$
1.0588
Citalopram - 40 mg - Tablets
02268019
Ran-Citalopram
RAN
$
1.0588
Domperidone - 10 mg - Tablets
02268078
Ran-Domperidone
RAN
$
0.1811
Lovastatin - 20 mg - Tablets
02267969
Ran-Lovastatin
RAN
$
1.3197
Lovastatin - 40 mg - Tablets
02267977
Ran-Lovastatin
RAN
$
2.4342
Metformin - 500 mg - Tablets
02269031
Ran-Metformin
RAN
$
0.1472
Metformin - 850 mg - Tablets
02269058
Ran-Metformin
RAN
$
0.2525
Ran-Carvedilol
11 of 23
Bulletin #49
Effective: February 9, 2006
Mirtazapine - 30 mg - Tablets
02270927
ratio-mirtazapine
RPH
$
0.8593
Pravastatin Sodium - 10 mg - Tablets
02257092
Gen-Pravastatin
GPM
$
1.0483
Pravastatin Sodium - 20 mg - Tablets
02257106
Gen-Pravastatin
GPM
$
1.2368
Pravastatin Sodium - 40 mg - Tablets
02257114
Gen-Pravastatin
GPM
$
1.4898
TAR
$
1.2335
TAR
$
1.5246
Simvastatin - 10 mg - Tablets
02265885
Simvastatin - 20 mg - Tablets
02265893
Taro-Simvastatin
Taro-Simvastatin
Simvastatin - 40 mg - Tablets
02265907
Taro-Simvastatin
TAR
$
1.5246
Zopiclone - 5 mg - Tablets
02267918
Ran-Zopiclone
RAN
$
0.2700
Zopiclone - 7.5 mg - Tablets
02267926
Ran-Zopiclone
RAN
$
0.5670
** The price change has resulted in a change to the lowest price in the category.
( ) Denotes the price of the lowest generic product in the product category.
Product Deletions
The following products have been deleted (notification was provided in Bulletin 48).
02162679
02017539
02194058
Anapolon
Aralen
Aristocort R
oxymetholone
chloroquine phosphate
triamcinolone acetonide
50 mg
250 MG
0.1%
Tablet
Tablet
Cream
12 of 23
Bulletin #49
Effective: February 9, 2006
02194031
02154854
Aristocort R
DTIC-DOME
triamcinolone acetonide
dacarbazine
02229863
Dynabac
dirithromycin
00782742
Flexeril
cyclobenzaprine HCl
Novo-Difenac
diclofenac sodium
Protropin
somatrem/water
ratio-Sulfasalazine
sulfasalazine
Rhoxal-famotidine
famitodine
Rhoxal-lovastatin
Rhoxal-simvastatin
lovastatin
simvastatin
02239657
Solu-Crom
sodium cromoglycate
00028053
Sulamyd
sulfacetamide sodium USP
02221926
Topicort
desoximetasone
02174677
02174685
01916742
01959263
00685933
02240622
02240623
02247056
02247827
0.1%
200 mg
Ointment
Vials
Enteric Coated
250 mg
Tablet
10 mg
Tablet
50 mg
100 mg
10 mg/20 mL
5 mg/10 mL
500 mg
20 mg
40 mg
20 mg
5 mg
2%
100mg/mL
0.05%
Suppositories
Kit
Tablet
Capsule
Tablet
Tablet
Ophthalmic
Solution
Ophthalmic
Solution
Gel
* Note DIN 01926667 - Piportil L4 will not be deleted as published in Bulletin #48. The 3x1 mL presentation will be discontinued only.
Category Deletions
- Chloroquine Phosphate - 250 mg - Tablets
- Nitrofurantoin Macrocrystals - 100 mg - Capsules
- Prednisolone Sodium Phosphate - 5 mg/5 mL - Oral Solution
- Triamcinolone Acetonide - 0.1% - Topical Ointment
Interchangeable Product Price Changes
The following changes in prices have occurred:
02248730
00402818
00479799
00402796
00335053
00335061
00335088
00628123
00628131
00628131
00628158
Apo-Alendronate
Apo-Allopurinol
Apo-Allopurinol
Apo-Allopurinol
Apo-Amitriptyline
Apo-Amitriptyline
Apo-Amitriptyline
Apo-Amoxi
Apo-Amoxi
Apo-Amoxi SF
Apo-Amoxi
alendronate sodium
allopurinol
allopurinol
allopurinol
amitriptyline
amitriptyline
amitriptyline
amoxicillin
amoxicillin
amoxicillin
amoxicillin
($)
70 mg
100 mg
200 mg
300 mg
10 mg
25 mg
50 mg
500 mg
125 mg/5 mL
125 mg/5 mL
250 mg/5mL
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Capsule
Oral Liquid
Oral Liquid
Oral Liquid
6.1325
0.0858
0.1430
0.2338
0.0572
0.1095
0.2035
0.2211
0.0220
0.0220
0.0330
13 of 23
Bulletin #49
Effective: February 9, 2006
00628158
Apo-Amoxi SF
02243350
Apo-Amoxi Clav
02245623
Apo-Amoxi-Clav
00545023
00754595
02087324
02230454
02211076
02247585
00682047
00682039
00893595
00893609
00893617
00402699
02247933
02247934
02247935
02247936
02230263
02230264
Apo-Bisacodyl
Apo-Bisacodyl
Apo-Bromocriptine
Apo-Bromocriptine
Apo-Buspirone
Apo-Calcitonin
Apo-Cal
Apo-Cal
Apo-Capto
Apo-Capto
Apo-Capto
Apo-Carbamazepine
Apo-Carvedilol
Apo-Carvedilol
Apo-Carvedilol
Apo-Carvedilol
Apo-Cefaclor
Apo-Cefaclor
00618454
Apo-Chlorax
00312711
00487872
00600059
00600067
000749494
02040778
02040751
00868949
00868957
00860697
00860689
00860700
00618292
00618284
02177145
02039486
02039494
00363766
00895644
00895652
00895660
02240588
02240589
02240590
Apo-Chlorpropamide
Apo-Cimetidine
Apo-Cimetidine
Apo-Cimetidine
Apo-Cimetidine
Apo-Clomipramine
Apo-Clomipramine
Apo-Clonidine
Apo-Clonidine
Apo-Clorazepate
Apo-Clorazepate
Apo-Clorazepate
Apo-Cloxi
Apo-Cloxi
Apo-Cyclobenzaprine
Apo-Diflunisal
Apo-Diflunisal
Apo-Dimenhydrinate
Apo-Dipyridamole-FC
Apo-Dipyridamole-FC
Apo-Dipyridamole-FC
Apo-Doxazosin
Apo-Doxazosin
Apo-Doxazosin
amoxicillin
amoxicillin/
clavulanic acid
amoxicillin/
clavulanic acid
bisacodyl
bisacodyl
bromocriptine mesylate
bromocriptine mesylate
buspirone hcl
calcitonin
calcium carbonate
calcium carbonate
captopril
captopril
captopril
carbamazepine
carvedilol
carvedilol
carvedilol
carvedilol
cefaclor
cefaclor
chlordiazepoxide/
clidinium
chlorpropamide
cimetidine
cimetidine
cimetidine
cimetidine
clomipramine
clomipramine
clonidine
clonidine
clorazepate dipotassium
clorazepate dipotassium
clorazepate dipotassium
cloxacillin sodium
cloxacillin sodium
cyclobenzaprine hcl
diflunisal
diflunisal
dimenhydrinate
dipyridamole
dipyridamole
dipyridamole
doxazosin mesylate
doxazosin mesylate
doxazosin mesylate
250 mg/5mL
Oral Liquid
0.0330
250 mg/125 mL
Tablet
0.6722
875/125 mg
Tablet
1.3872
5 mg
10 mg
2.5 mg
5 mg
10 mg
200 IU/mL
250 mg
500 mg
12.5 mg
25 mg
50 mg
200 mg
3.125 mg
6.25 mg
12.5 mg
25 mg
250 mg
500 mg
Tablet
Tablet
Tablet
Capsule
Tablet
Nasal Spray
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Capsule
Capsule
0.0594
0.5995
**0.5998
**1.0682
0.7173
1.8979
0.0226
0.0319
0.2332
0.3300
0.6149
0.0875
0.8801
0.8801
0.8801
0.8801
1.0667
2.0942
5/2.5 mg
Capsule
0.2222
250 mg
300 mg
400 mg
600 mg
800 mg
25 mg
50 mg
0.1 mg
0.2 mg
15 mg
3.75 mg
7.5 mg
250 mg
500 mg
10 mg
250 mg
500 mg
50 mg
25 mg
50 mg
75 mg
1 mg
2 mg
4 mg
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Capsule
Capsule
Capsule
Capsule
Capsule
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
0.0460
0.0946
0.1485
0.1892
0.2783
0.2437
0.4486
0.1942
0.3464
0.4242
0.1174
0.2119
0.1092
0.2141
0.4142
0.6211
0.7597
0.0248
0.1575
0.3150
0.4726
0.3812
0.4574
0.5946
14 of 23
Bulletin #49
Effective: February 9, 2006
02049996
02050048
02050056
02050005
02050013
02050021
00874256
00726672
01925938
01953842
01953834
00545031
02237370
02237371
02241895
02216353
02216361
00521698
00521701
00426849
00396788
00362166
01979574
01979582
01913654
01913662
00441619
00441627
00441635
00326844
00312800
00646059
00646024
00646016
00441651
00506052
00585114
00360201
00312797
00326852
02243827
00441686
00441694
02243538
02245210
02256495
02256509
02217481
02217503
Apo-Doxepin
Apo-Doxepin
Apo-Doxepin
Apo-Doxepin
Apo-Doxepin
Apo-Doxepin
Apo-Doxy
Apo-Erythro EC
Apo-Erythro EC
Apo-Famotidine
Apo-Famotidine
Apo-Ferrous
Gluconate
Apo-Fluconazole
Apo-Fluconazole
Apo-Fluconazole
Apo-Fluoxetine
Apo-Fluoxetine
Apo-Flurazepam
Apo-Flurazepam
Apo-Folic
Apo-Furesomide
Apo-Furesomide
Apo-Gemfibrozil
Apo-Gemfibrozil
Apo-Glyburide
Apo-Glyburide
Apo-Hydralazine
Apo-Hydralazine
Apo-Hydralazine
Apo-Hydro
Apo-Hydro
Apo-Hydroxyzine
Apo-Hydroxyzine
Apo-Hydroxyzine
Apo-Ibuprofen
Apo-Ibuprofen
Apo-Ibuprofen
Apo-Imipramine
Apo-Imipramine
Apo-Imipramine
Apo-Ipravent
Apo-ISDN
Apo-ISDN
Apo-Labetalol
Apo-Lamotrigine
Apo-Leflunomide
Apo-Leflunomide
Apo-Lisinopril
Apo-Lisinopril
doxepin
doxepin
doxepin
doxepin
doxepin
doxepin
doxycycline
erythromycin
erythromycin
famotidine
famotidine
10 mg
100 mg
150 mg
25 mg
50 mg
75 mg
100 mg
250 mg
333 mg
20 mg
40 mg
Capsule
Capsule
Capsule
Capsule
Capsule
Capsule
Tablet
Capsule
Capsule
Tablet
Tablet
0.1920
0.8264
1.2397
0.2354
0.4368
0.6272
0.6446
0.4191
0.4655
0.6486
1.1673
ferrous gluconate
300 mg
Tablet
0.0281
fluconazole
fluconazole
fluconazole
fluoxetine
fluoxetine
flurazepam hcl
flurazepam hcl
folic acid
furesomide
furesomide
gemfibrozil
gemfibrozil
glyburide
glyburide
hydralazine
hydralazine
hydralazine
hydrochlorothiazide
hydrochlorothiazide
hydroxyzine hcl
hydroxyzine hcl
hydroxyzine hcl
ibuprofen
ibuprofen
ibuprofen
imipramine hcl
imipramine hcl
imipramine hcl
ipratriopium bromide
isosorbide dinitrate
isosorbide dinitrate
labetalol
lamotrigine
leflunomide
leflunomide
lisinopril
lisinopril
50 mg
100 mg
150 mg
10 mg
20 mg
15 mg
30 mg
5 mg
20 mg
40 mg
300 mg
600 mg
2.5 mg
5 mg
10 mg
25 mg
50 mg
25 mg
50 mg
10 mg
25 mg
50 mg
300 mg
400 mg
600 mg
10 mg
25 mg
50 mg
125 mcg/mL
10 mg
30 mg
100 mg
150 mg
10 mg
20 mg
5 mg
10 mg
Tablet
Tablet
Capsule
Capsule
Capsule
Capsule
Capsule
Tablet
Tablet
Tablet
Capsule
Capsule
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Capsule
Capsule
Capsule
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Sterules
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
3.4393
6.1012
**10.1035
1.2950
1.1123
0.0891
0.1023
0.0444
0.0490
0.0737
0.3260
0.8272
0.0432
0.0751
0.1129
0.1940
0.3047
0.0523
0.0715
0.1228
0.1568
0.2275
0.0759
0.1111
0.0512
0.1141
0.1815
0.3372
0.4153
0.0393
0.0921
0.2175
1.3783
**6.6458
**6.6458
0.5927
0.7121
15 of 23
Bulletin #49
Effective: February 9, 2006
02217511
00655740
00655759
00655767
02220172
02220180
Apo-Lisinopril
Apo-Lorazepam
Apo-Lorazepam
Apo-Lorazepam
Apo-Lovastatin
Apo-Lovastatin
lisinopril
lorazepam
lorazepam
lorazepam
lovastatin
lovastatin
20 mg
0.5 mg
1 mg
2 mg
20 mg
40 mg
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
0.8557
0.0395
0.0492
0.0769
1.1998
2.2129
02182963
Apo-Methotrexate
methotrexate
2.5 mg
Tablet
0.6958
02246010
Apo-Metoprolol
metoprolol tartrate
25 mg
Tablet
0.0707
00618632
Apo-Metoprolol
metoprolol tartrate
50 mg
Tablet
0.1348
00749354
Apo-Metoprolol
(Type L)
metoprolol tartrate
50 mg
Tablet
0.1348
00618640
Apo-Metoprolol
metoprolol tartrate
100 mg
Tablet
0.2445
00751170
Apo-Metoprolol
(Type L)
metoprolol tartrate
100 mg
Tablet
0.2445
02248562
Apo-Metronidazole
metronidazole
500 mg
Capsule
0.6740
00522678
Apo-Naproxen
naproxen
125 mg
Tablet
0.0839
02220156
Apo-Nizatidine
nizatidine
150 mg
Capsule
0.5816
02220164
Apo-Nizatidine
nizatidine
300 mg
Capsule
1.0538
02229524
Apo-Norflox
norfloxacin
400 mg
Tablet
1.5088
02231529
Apo-Oflox
ofloxacin
200 mg
Tablet
1.4345
02231531
02231532
02240908
02240909
00642223
00642231
00642215
00335134
00335126
02245432
02245433
02243506
02243507
02243508
00882801
00882828
00882836
00312770
00550957
00399310
Apo-Oflox
Apo-Oflox
Apo-Paroxetine
Apo-Paroxetine
Apo-Pen VK
Apo-Pen VK
Apo-Pen VK
Apo-Perphenazine
Apo-Perphenazine
Apo-Pimozide
Apo-Pimozide
Apo-Pravastatin
Apo-Pravastatin
Apo-Pravastatin
Apo-Prazo
Apo-Prazo
Apo-Prazo
Apo-Prednisone
Apo-Prednisone
Apo-Primidone
ofloxacin
ofloxacin
paroxetine
paroxetine
penicillin v potassium
penicillin v potassium
penicillin v potassium
perphenazine
perphenazine
pimozide
pimozide
pravastatin
pravastatin
pravastatin
prazosin
prazosin
prazosin
prednisone
prednisone
primidone
Tablet
Tablet
Tablet
Tablet
Oral Liquid
Oral Liquid
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
1.6855
1.6855
1.1019
1.1712
0.0491
0.0358
0.0413
0.0673
0.0815
0.2507
0.4550
1.0483
1.2367
1.4897
0.2261
0.3070
0.4187
0.0286
0.1205
0.0523
300 mg
400 mg
20 mg
30 mg
125 mg/5 mL
300 mg/5 mL
300 mg
2 mg
4 mg
2 mg
4 mg
10 mg
20 mg
40 mg
1 mg
2 mg
5 mg
5 mg
50 mg
125 mg
16 of 23
Bulletin #49
Effective: February 9, 2006
00396761
00402788
00663719
00402753
00402761
02146843
02146851
02245669
02238280
02238281
02238282
02247011
02247012
02247013
02247014
02247015
Apo-Primidone
Apo-Propranolol
Apo-Propranolol
Apo-Propranolol
Apo-Propranolol
Apo-Salvent
Apo-Salvent
Apo-Salvent
Apo-Sertraline
Apo-Sertraline
Apo-Sertraline
Apo-Simvastatin
Apo-Simvastatin
Apo-Simvastatin
Apo-Simvastatin
Apo-Simvastatin
primidone
propranolol
propranolol
propranolol
propranolol
salbutamol
salbutamol
salbutamol
sertraline
sertraline
sertraline
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
trimethoprim/
sulfamethoxazole
00846465
Apo-Sulfatrim
00445274
Apo-Sulfatrim
00445282
Apo-Sulfatrim DS
00441759
00441767
00812390
02239893
00580929
02237701
00755842
00755850
00755869
Apo-Sulfinpyrazone
Apo-Sulfinpyrazone
Apo-Tamox
Apo-Terbinafine
Apo-Tetra
Apo-Ticlopidine
Apo-Timolol
Apo-Timolol
Apo-Timolol
trimethoprim/
sulfamethoxazole
sulfinpyrazone
sulfinpyrazone
tamoxifen
terbinafine
tetracycline hydrochloride
ticlopidine hcl
timolol maleate
timolol maleate
timolol maleate
00755826
Apo-Timop
timolol maleate
0.25%
00755834
Apo-Timop
timolol maleate
0.50%
00312762
Apo-Tolbutamide
00441775
Apo-Triazide
02059762
Aredia IV
tolbutamide
triamterene/
hydrochlorothiazide
pamidronate disodium
02241600
Desferrioxamine
Mesilate
deferoxamine mesylate
00519251
Dixarit
clonidine hcl
02244000
Estradot
estradiol-17B
trimethoprim/
sulfamethoxazole
250 mg
10 mg
20 mg
40 mg
80 mg
2 mg
4 mg
100 mcg
25 mg
50 mg
100 mg
5 mg
10 mg
20 mg
40 mg
80 mg
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Inhaler
Capsule
Capsule
Capsule
Tablet
Tablet
Tablet
Tablet
Tablet
40/80 mg /mL Oral Suspension
0.0825
0.0211
0.0381
**0.0383
**0.0644
0.1089
0.1821
0.0425
0.5544
1.1088
1.2128
0.6237
1.2335
1.5246
1.5246
1.5246
0.0218
400/80 mg
Tablet
0.0530
800/160 mg
Tablet
0.1343
Tablet
Tablet
Tablet
Tablet
Capsule
Tablet
Tablet
Tablet
Tablet
Ophthalmic
Solution
0.1540
0.2178
0.3850
2.7767
0.0699
0.7574
0.1999
0.3119
0.6237
100 mg
200 mg
20 mg
250 mg
250 mg
250 mg
5 mg
10 mg
20 mg
1.7050
Ophthalmic
Solution
Tablet
0.0908
50/25 mg
Tablet
0.0669
3 mg/mL
Injection
17.8453
Powder for
Injection
14.0250
Tablets
0.2992
Transdermal
Patch
2.7899
500 mg
500 mg
0.025 mg
50 ug
2.0460
17 of 23
Bulletin #49
Effective: February 9, 2006
02244001
Estradot
estradiol-17B
75 ug
Transdermal
Patch
2.9948
02244002
Estradot
estradiol-17B
100 ug
Transdermal
Patch
3.1474
02247749
Fluconazole Omega
fluconazole
2mg/mL
Injection
0.4026
02233055
02201011
02201038
02245329
02256118
02216167
00455881
00636576
00397423
00397431
00795860
00795852
Fosamax
Fosamax
Fosamax
Fosamax
Gen-Mirtazapine
Imovane
Lioresal
Lioresal DS
Lopressor
Lopressor
Mevacor
Mevacor
5 mg
10 mg
40 mg
70 mg
30 mg
5 mg
10 mg
20 mg
50 mg
100 mg
20 mg
40 mg
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
02240775
Miacalcin NS
200 IU
Nasal Spray
2.0225
02150697
02150689
02150662
02150670
02261715
02231432
02231433
02058405
02058413
01913204
02004828
02004836
01913794
01913808
01913816
02044609
02044625
Neoral
Neoral
Neoral
Neoral
Novo-Alendronate
Nu-Cefaclor
Nu-Cefaclor
Nu-Diflunisal
Nu-Diflunisal
Nu-Hydral
Nu-Hydral
Nu-Hydral
Nu-Prazo
Nu-Prazo
Nu-Prazo
Nu-Timolol
Nu-Timolol
100 mg/mL
25 mg
50 mg
100 mg
70 mg
250 mg
500 mg
250 mg
500 mg
10 mg
25 mg
50 mg
1 mg
2 mg
5 mg
5 mg
20 mg
Oral Solution
Capsule
Capsule
Capsule
Tablet
Capsule
Capsule
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
5.5304
1.5950
3.1097
6.2216
**6.1325
0.9697
1.9038
0.5646
0.6906
0.1026
0.1764
0.2770
0.2055
0.2791
0.3806
0.1817
0.5670
00865532
Nu-Triazide
alendronate sodium
alendronate sodium
alendronate sodium
alendronate sodium
mirtazapine
zopiclone
baclofen
baclofen
metoprolol tartrate
metoprolol tartrate
lovastatin
lovastatin
calcitonin
(salmon synthetic)
cyclosporine
cyclosporine
cyclosporine
cyclosporine
alendronate sodium
cefaclor
cefaclor
diflunisal
diflunisal
hydralazine
hydralazine
hydralazine
prazosin
prazosin
prazosin
timolol maleate
timolol maleate
hydrochlorothiazide/
triamterene
02248639
Octreotide Acetate
Omega
02248640
02248641
1.4810
1.8800
3.8404
9.4800
**0.8580
0.3948
0.5773
1.1236
0.2402
0.4925
1.8547
3.4207
25/50 mg
Tablet
0.6080
octreotide acetate
50 ug/mL
Injection
5.2140
Octreotide Acetate
Omega
octreotide acetate
100 ug/mL
Injection
9.8450
Octreotide Acetate
Omega
octreotide acetate
500 ug/mL
Injection
46.2550
18 of 23
Bulletin #49
Effective: February 9, 2006
02248642
Octreotide Acetate
Omega
octreotide acetate
02244550
Pamidronate Disodium
02244552
1000 ug/mL
Injection
18.9310
pamidronate disodium
3 mg/mL
Injection
17.3250
Pamidronate Disodium
pamidronate disodium
9 mg/mL
Injection
49.2800
00371033
00568643
00710121
00710113
Parlodel
Parlodel
Pepcid
Pepcid
bromocriptine mesylate
bromocriptine mesylate
famotidine
famotidine
1.1327
2.0173
1.0024
1.8224
02246284
pms-Brimonidine
brimonidine
02244769
00598461
00839388
00839396
00839418
pms-Mometasone
pms-Sulfasalazine
Prinivil
Prinivil
Prinivil
002108194
Prinzide
mometasone furoate
sulfasalazine
lisinopril
lisinopril
lisinopril
lisinopril/
hydrochlorothiazide
Tablet
Capsule
Tablet
Tablet
Ophthalmic
Solution
Ointment
Tablet
Tablet
Tablet
Tablet
10/12.5 mg
Tablet
0.6667
00884413
Prinzide
lisinopril/
hydrochlorothiazide
20/12.5 mg
Tablet
0.8012
00884421
Prinzide
lisinopril/
hydrochlorothiazide
20/25 mg
Tablet
0.8012
02243026
ratio-Brimonidine
brimonidine
02248130
00005614
00839191
00839205
02049392
00839213
ratio-Mometasone
Ritalin
Sandostatin
Sandostatin
Sandostatin
Sandostatin
02247692
Sandoz Anuzinc Plus
mometasone furoate
methylphenidate hcl
octreotide acetate
octreotide acetate
octreotide acetate
octreotide acetate
pramoxine hcl/
hydrocortisone acetate/
zinc sulfate
02242797
Sab-Anuzinc HC Plus
02242527
Sandoz Proctomyxin
HC
02242528
Sab-Proctomyxin HC
02248529
Sab-Trifluridine
2.5 mg
5 mg
20 mg
40 mg
0.2%
0.1%
500 mg
5 mg
10 mg
20 mg
0.2%
0.1%
20 mg
50 ug/mL
100 ug/mL
200 ug/mL
500 ug/mL
10 mg/
5 mg/
5 mg per g
pramoxine hcl/
zinc sulfate monohydrate
hydrocortisone acetate
20 mg/
10 mg/
10 mg
framycetin sulfate/
esculin/
hydrocortisone/
dibucaine hcl
framycetin sulfate/
esculin/
hydrocortisone/
dibucaine hcl
10 mg/
10 mg/
5 mg/
5 mg
10 mg/
10 mg/
5 mg/
5 mg
trifluridine
1%
2.2880
0.3843
0.2312
0.5547
0.6667
0.8014
Ophthalmic
Solution
Ointment
Tablet
Injection
Injection
Injection
Injection
0.3843
0.5337
5.4890
10.3620
19.9320
48.6970
Ointment
0.8830
Suppository
1.1037
Ointment
0.5955
Suppository
0.7920
Ophthalmic
Solution
3.2663
2.2880
19 of 23
Bulletin #49
Effective: February 9, 2006
00010405
Tegretol
carbamazepine
200 mg
00369810
Tegretol
carbamazepine
100 mg
00665088
Tegretol
carbamazepine
200 mg
00773611
Tegretol CR
carbamazepine
200 mg
ControlledRelease Tablets
0.3497
00755583
Tegretol CR
carbamazepine
400 mg
ControlledRelease Tablets
0.6993
00451193
Timoptic
timolol maleate
0.25%
00451207
Timoptic
timolol maleate
0.50%
00010472
00010480
00417270
00443174
00417289
00632724
00632732
00514012
00881635
Tofranil
Tofranil
Visken
Visken
Visken
Voltaren
Voltaren
Voltaren
Voltaren Rapide
imipramine hcl
imipramine hcl
pindolol
pindolol
pindolol
diclofenac sodium
diclofenac sodium
diclofenac sodium
diclofenac potassium
00782459
Voltaren SR
diclofenac sodium
75 mg
00590827
Voltaren SR
diclofenac sodium
100 mg
00884324
00884332
00884340
00884359
02240332
Zocor
Zocor
Zocor
Zocor
Zocor
simvastatin
simvastatin
simvastatin
simvastatin
simvastatin
25 mg
50 mg
5 mg
10 mg
15 mg
50 mg
100 mg
50 mg
50 mg
5 mg
10 mg
20 mg
40 mg
80 mg
Tablet
Chewable
Tablets
Chewable
Tablets
Ophthalmic
Solution
Ophthalmic
Solution
Tablet
Tablet
Tablet
Tablet
Tablet
Suppository
Suppository
Tablet
Tablet
Slow-Release
Tablets
Slow-Release
Tablets
Tablet
Tablet
Tablet
Tablet
Tablet
0.3403
0.1478
0.2816
2.7650
3.2710
0.2725
0.5065
0.4925
0.8411
1.2201
1.1217
1.5103
0.7472
0.7161
1.0500
1.4966
0.9640
1.9070
2.3567
2.3567
2.3567
** The price change has resulted in a change to the lowest price in the category.
( ) Denotes the price of the lowest generic product in the product category.
Discontinued Products
The following products will be deleted with the next Formulary amendments.
00002534
02041375
02041391
02194066
02194155
02220385
Antabuse
Antabuse
Antabuse
Aristocort C
Aristospan
Benzagel
disulfiram
disulfiram
disulfiram
triamcinolone acetonide
triamcinolone hexacetonide
benzoyl peroxide
250 mg
250 mg
500 mg
0.1%
20 mg/mL
10%
Tablet
Tablet
Tablet
Cream
Vial
Gel
20 of 23
Bulletin #49
Effective: February 9, 2006
02061031
Climacteron
testosterone/estradiol
-
00261238
Intal Spincaps
sodium cromoglycate
20 mg/pck
00891762
00891770
00583782
02017601
02017628
02017636
02017687
02051850
02020696
02020718
00865621
01917021
02247364
02230321
02230322
Ionamin
Ionamin
EES 600
Hytakerol
Idarac
Idarac
NegGram
Nu-Erythromycin
Nu-Ibuprofen
Nu-Ibuprofen
Nu-Naprox
Prozac
ratio-Methylphenidate
ratio-Methylphenidate
ratio-Methylphenidate
phentermine resin
phentermine resin
erythromycin ethylsuccinate
dihydrotachysterol
floctafenine
floctafenine
nalidixic acid
erythromycin
Ibuprofen
Ibuprofen
Naproxen
fluoxetine
methylphenidate
methylphenidate
methylphenidate
00685925
ratio-Sulfasalazine EN
sulfasalazine
500 mg
02240862
Seroquel
quetiapine
150 mg
15 mg
30 mg
600 mg
0.125 mg
200 mg
400 mg
500 mg
250 mg
300 mg
400 mg
125 mg
20 mg/5mL
5 mg
10 mg
20 mg
Injection
Inhalation
Powder
Capsule
Capsule
Tablet
Capsule
Tablet
Tablet
Caplet
Tablet
Tablet
Tablet
Tablet
Oral Liquid
Tablet
Tablet
Tablet
Enteric Coated
Tablet
Tablet
Manufacturer Updates
The following products have been transferred to Aventis Pharma Inc. (AVE):
01926861
01927655
01927663
01927671
01927698
01926624
01926632
Flagyl
Nozinan
Nozinan
Nozinan
Nozinan
Tamofen
Tamofen
metronidazole
methotrimeprazine maleate
methotrimeprazine maleate
methotrimeprazine maleate
methotrimeprazine maleate
tamoxifen
tamoxifen
10% Vaginal Cream
5 mg
Tablet
25 mg
Tablet
50 mg
Tablet
25 mg/mL
Injection
10 mg
Tablet
20 mg
Tablet
The following products have been transferred to ERFA Canada Inc. (ERF):
00155365
00155357
00582212
00024694
00024376
00024384
00024392
00024589
00022802
02230988
Adrenalin Chloride
Adrenalin Chloride
AMSA
Atarax
Atarax
Atarax
Atarax
Atarax
Celontin
Cerebyx
epinephrine
epinephrine
amsacrine
hydroxyzine hcl
hydroxyzine hcl
hydroxyzine hcl
hydroxyzine hcl
hydroxyzine hcl
methsuximide
fosphenytoin sodium
1 mg/mL
1 mg/mL
50 mg/mL
2 mg/mL
10 mg
25 mg
50 mg/mL
50 mg/mL
300 mg
75 mg/mL
Injection
Injection
Injection
Syrup
Capsule
Capsule
Capsule
Injection
Capsule
Injection
21 of 23
Bulletin #49
Effective: February 9, 2006
00312363
Chloromycetin Succinate chloramphenicol
1g
00476366
Chloledyl
oxtriphylline
100 mg/5 mL
00476374
Chloledyl
oxtriphylline
-
00503436
00536709
00476420
Chloledyl
Chloledyl
Coly-Mycin
00156086
Ergodryl
02078759
00224391
00224405
02013231
00406775
00499013
00560952
00560960
00560979
00476552
00024430
00024449
00024457
00023760
00023795
00023809
00023817
00638692
00638676
00638684
00476714
00476722
00326925
00024325
00024333
00024341
00400750
00584274
00023965
00023949
00023957
00022799
00023485
Humatin
Ketalar
Ketalar
Lithane
Lithane
Mandelamine
Minipress
Minipress
Minipress
Nardil
Navane
Navane
Navane
Norlutate
Phenobarbital
Phenobarbital
Phenobarbital
Procan SR
Procan SR
Procan SR
Pyridium
Pyridium
Sinequan
Sinequan
Sinequan
Sinequan
Sinequan
Sinequan
Thyroid
Thyroid
Thyroid
Zarontin
Zarontin
oxtriphylline
oxtriphylline
colistin
caffeine citrate/
diphenhydramine hcl
ergotamine tartrate
paromomycin
ketamine
ketamine
lithium carbonate
lithium carbonate
methenamine mandelate
prazosin
prazosin
prazosin
phenelzine
thiothixene
thiothixene
thiothixene
norethinfrone acetate
phenobarbital
phenobarbital
phenobarbital
procainamide hcl
procainamide hcl
procainamide hcl
phenazopyridine hcl
phenazopyridine hcl
doxepin
doxepin
doxepin
doxepin
doxepin
doxepin
thyroid
thyroid
thyroid
ethosuximide
ethosuximide
400 mg
600 mg
150 mg
Injection
Elixir
Expectorant
Elixer
Tablet
Tablet
Injection
-
Capsule
250 mg
10 mg/mL
50 mg/mL
150 mg
300 mg
500 mg
1 mg
2 mg
5 mg
15 mg
2 mg
5 mg
10 mg
5 mg
15 mg
30 mg
60 mg
250 mg
500 mg
750 mg
100 mg
200 mg
100 mg
10 mg
25 mg
50 mg
75 mg
150 mg
125 mg
30 mg
60 mg
250 mg
250 mg/5 mL
Capsule
Injection
Injection
Capsule
Capsule
Tablet
Tablet
Tablet
Tablet
Tablet
Capsule
Capsule
Capsule
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Capsule
Capsule
Capsule
Capsule
Capsule
Capsule
Tablet
Tablet
Tablet
Capsule
Injection
22 of 23
Bulletin #49
Effective: February 9, 2006
The following product has been transferred to Pendopharm (PPI):
02234510
00010332
00010340
00329320
00511552
00010383
00010391
282 Tablets
Entrophen
Entrophen
Sandomigran
Sandomigran DS
Sintrom
Sintrom
acetylsalicylic acid/codeine
acetylsalicylic acid
acetylsalicylic acid
pizotyline maleate
pizotyline maleate
acenocoumarol
acenocoumarol
15 mg
325 mg
650 mg
0.5 mg
1 mg
1 mg
4 mg
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
Tablet
The following products have been transferred to Wellspring Pharmaceutical
Canada Corp. (WSP):
02086018
02106256
Colace
Colace
02085992
K-Lyte
02089580
K-Lyte CL
docusate sodium
docusate sodium
citric acid/ potassium
bicarbonate
20 mg/5 mL
100 mg
-
potassium chloride
-
Oral Liquid
Capsules
Tablet
(effervescent)
Powder for
Solution
Notice of DIN change for Genpharm (GPM):
02272695
(old DIN
02246066)
Gen-Combo Sterinebs
0.5/
2.5 mg/
2.5 mL
Inhalation
Solution
amoxicillin/clavulanic acid
250 mg/
125 mg
Tablets
amoxicillin/clavulanic acid
500 mg/
125 mg
Tablets
amoxicillin/clavulanic acid
875 mg/
125 mg
Tablets
ipratropium
bromide/salbutamol sulfate
Notice of product name change for ratiopharm (RPH):
02243770
02243771
02247021
02244646
02244647
ratio-ACLAVULANATE
(previously: ratio-Amoxi Clav)
ratio-ACLAVULANATE
(previously: ratio-Amoxi Clav)
ratio-ACLAVULANATE
(previously: ratio-Amoxi Clav)
ratio-ACLAVULANATE
(previously: ratio-Amoxi Clav)
ratio-ACLAVULANATE
(previously: ratio-Amoxi Clav)
amoxicillin/clavulanic acid
amoxicillin/clavulanic acid
25 mg/
6.25 mg/ Oral Suspension
mL
50 mg/
12.5 mg/ Oral Suspension
mL
Notice of Company Merger:
Sabex Inc. and RhoxalPharma Inc. have merged to become SANDOZ INC. (SDZ).
23 of 23
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