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FORMULARY OCTOBER 2011

Formulary KODE ATC

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Page 1: Formulary KODE ATC

FORMULARY

OCTOBER 2011

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July 2011 was the last printed publication of the Nova Scotia Formulary

Monthly updates of the Nova Scotia Formulary

are published online and can be accessed at:

www.nspharmacare.ca

Copyright ©1996 Nova Scotia Department of Health and Wellness. All rights reserved. No part of this publication may be reproduced, photocopied, stored on a retrieval system, or transmitted without the express written consent of the publisher.

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TABLE OF CONTENTS

INTRODUCTION ................................................................................................................................................... I 

How to Use the Formulary ................................................................................................................................................... i Legend ............................................................................................................................................................................... iv 

ATC CLASSIFICATION OF DRUGS ................................................................................................................... 1 

A - Alimentary Tract & Metabolism ..................................................................................................................................... 1 B - Blood and Blood Forming Organs ............................................................................................................................... 19 C - Cardiovascular System ............................................................................................................................................... 25 D - Dermatologicals .......................................................................................................................................................... 57 G - Genito-Urinary System & Sex Hormones ................................................................................................................... 67 H - Systemic Hormonal Preparations, Excluding Sex Hormones ..................................................................................... 77 J - General Antiinfectives, Systemic ................................................................................................................................. 83 L - Antineoplastics and Immunomodulating Agents ......................................................................................................... 99 M - Musculo-Skeletal System ......................................................................................................................................... 107 N - Nervous System ........................................................................................................................................................ 117 P - Antiparasitic Products, Insecticides and Repellents ................................................................................................. 159 R - Respiratory System ................................................................................................................................................... 161 S - Sensory Organs ........................................................................................................................................................ 169 V - Various ...................................................................................................................................................................... 177 

MISCELLANEOUS

Diabetic Supplies Benefit List ................................................................................................................................... MISC-1 Ostomy Supplies Benefit List ................................................................................................................................... MISC-4

APPENDICES

Appendix I - Abbreviations Appendix II - Abbreviations of Manufacturers’ Names Appendix III - Criteria for Coverage of Exception Status Drugs

PRODUCT INDEX

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October 2011 Page i

INTRODUCTION

The Nova Scotia Formulary details which drugs and supplies are benefits under the Nova Scotia Seniors' Pharmacare Program, Family Pharmacare Program, Diabetes Assistance Program, Community Services Pharmacare Programs and Drug Assistance for Cancer Patients. Each pharmacy has been provided with a Formulary, as well as any physicians who specifically request a subscription. Updates will be issued semi-annually. An on-line searchable formulary is kept current and is available at www.nspharmacare.ca. The ATC Classification System All medications are classified according to the Anatomical Therapeutic Chemical (ATC) Classification System which is used by the World Health Organization for pharmacoepidemiological purposes and by the Patented Medicine Prices Review Board for pricing purposes. The ATC Classification System groups chemically similar products according to their site of action and facilitates the comparison of new medicines with previously available medicines. There are fourteen main groups in the ATC system:

A Alimentary tract and metabolism B Blood and blood forming organs C Cardiovascular system D Dermatologicals G Genito-urinary system and sex hormones H Systemic hormonal preparations, excluding sex hormones J General antiinfectives, systemic L Antineoplastic and immunomodulating agents M Musculo-skeletal system N Nervous system P Antiparasitic products, insecticides and repellents R Respiratory system S Sensory organs V Various

Each group is subdivided into anatomical, therapeutic and chemical subgroups as shown in the Legend. A drug may be given more than one ATC code. If it is available in two or more strengths or formulations with clearly different therapeutic uses, the drug would appear in various categories depending on its different forms. If a drug has more than one clinical indication, the main indication is chosen for the listing of the various brands and strengths of this drug.

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October 2011 Page ii

Interchangeability, Maximum Reimbursable Price (MRP) and Pharmacare Reimbursement Price (PRP) The Formulary indicates those products which have been deemed interchangeable by the Drugs and Therapeutics Committee of the Nova Scotia Department of Health and Wellness (see the Legend). For generic products that meet the criteria for interchangeability a Maximum Reimbursable Price (MRP) may be applied. MRP is the maximum price established by the Pharmacare Programs for an interchangeable generic drug. MRP is applied to those drugs which are Pharmacare benefits, and have been deemed interchangeable (e.g., brand name drugs and their generic equivalents) The MRP is the maximum amount that the Pharmacare Programs will reimburse providers for one unit (tablet, capsule, millilitre, etc.) of a drug. For each interchangeable, generic drug category, a maximum reimbursable price per unit (e.g., tablet, capsule, millilitre) is determined by calculating a percentage of the cost of the equivalent brand name drug. The percentage the MRP is based on will be 35%, but is phased in as follows:

July 1, 2011: 45% of the cost of the price of the equivalent brand drug January 1, 2012: 40% of the cost of the price of the equivalent brand drug July 1, 2012: 35% of the cost of the price of the equivalent brand drug

Some generic drugs may have exceptions to the MRP formula, and their MRP will also be included in the Reimbursement List. Exemptions to the MRP are available for beneficiaries who have experienced side effects with lower cost alternatives. A request must be received from the prescriber detailing the reaction. Providers shall not charge any cost difference between the MRP of the drug and amount reimbursed by the Pharmacare Programs unless the beneficiary requests the higher priced drug. If the beneficiary requests the higher priced drug the extra cost is not counted toward their annual maximum copayment or annual maximum deductible. In addition, a Pharmacare Reimbursement Price (PRP) is the maximum cost assigned to:

certain groups of drugs that are similar in effect; specific services for which coverage is established; certain unit dose and special delivery formats that are also available in less expensive bulk formats; and certain supplies that are used for the same function.

The PRP is the maximum amount the Pharmacare Program reimburses providers for one unit of a drug (tablet, capsule, millilitre, etc.) supply or service. Providers may charge the beneficiary the portion of their AAC that exceeds the PRP. The extra cost is not counted toward the beneficiary’s annual maximum copayment or annual maximum deductible. In all pricing categories, except AAC, the Pharmacare Programs will reimburse pharmacies the lesser of the amount submitted, or as applicable, MRP, or PRP. Prescriber The Formulary provides prescriber codes (see Legend) associated with each benefit under the Pharmacare Programs. These codes indicate which benefits will be reimbursed when prescribed by a specific prescriber.

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The Nova Scotia Government Pharmacare Programs

1. Seniors' Pharmacare Program - available to all Nova Scotia seniors 65 years or older who have a valid Nova Scotia Health Card, and do not have private drug coverage.

2. Community Services Pharmacare Programs - The Department of Community Services provides drug

benefits as part of the Income Assistance Programs (including Special Needs Pharmacare and Transitional Pharmacare), the Low Income Pharmacare Program for Children, Services for Persons with Disabilities and the Children in Care Programs. Eligibility is determined by the Department of Community Services.

3. Drug Assistance for Cancer Patients, an income based assistance program covering medication for the treatment of cancer.

4. Diabetes Assistance Program, an income based assistance program covering medication and supplies

needed for diabetes treatment.

5. Under 65-Long Term Care (LTC) Pharmacare, provides drug coverage for long term care residents under 65 years of age who have no drug insurance.

6. Family Pharmacare Program, an income based program available to all Nova Scotians with a valid Nova

Scotia Health Card who are not currently receiving drug benefits through Seniors', Community Services, Diabetes Assistance or the Under 65-Long Term Care Pharmacare Programs.

The benefit status of medications reimbursed under these programs are indicated, in the fourth column of the ATC classification, by the letters S (Seniors' Pharmacare), F (Community Services Pharmacare / Under 65-Long Term Care Pharmacare / Family Pharmacare), C (Drug Assistance for Cancer Patients), D (Diabetes Assistance) or E (Exception Status Drug - see Appendix III). If this column is blank, the product is not a benefit under any of these programs.

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October 2011 Page iv

Miscellaneous Section Diabetes and ostomy supplies are listed in this section. These products are benefits under the Seniors' and Community Services Pharmacare Programs and are cross-referenced in the appropriate ATC classification. Diabetes supplies are also benefits under the Diabetes Assistance Program.

Legend 

1. Therapeutic Main Group 2. Therapeutic Subgroup 3. Chemical/Therapeutic Subgroup 4. Subgroup for Chemical Substance 5. Brand or Manufacturer's Name of the Drug, including dosage form and/or route and strength 6. Prescriber Codes:

D - Physician / Dentist N - Nurse Practitioner P - Pharmacist M - Midwife O - Prescribing Optometrist

7. Benefit Status (plans for which the product is a benefit): S - Seniors' Pharmacare F - Community Services Pharmacare

- Under 65-Long Term Care Pharmacare - Family Pharmacare

C - Drug Assistance for Cancer Patients D - Diabetes Assistance Program E - Exception status applies (see Appendix III)

8. Drug Identification Number (DIN) 9. Abbreviation of Manufacturer (see Appendix II) 10. Interchangeable Product Group Box 11. Interchangeable Product Heading 12. MRP = Maximum Reimbursable Price

PRP = Pharmacare Reimbursement Price

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October 2011 Alimentary Tract and Metabolism – 1

A01 STOMATOLOGICAL PREPARATIONS A01A STOMATOLOGICAL PREPARATIONS

A01AB ANTIINFECTIVES AND ANTISEPTICS FOR LOCAL ORAL TREATMENT

A01AB03 CHLORHEXIDINE chlorhexidine 0.12% oral rinse Apo-Chlorhexidine 0.12% Oral Rinse 02242329 APX Perichlor 0.12% Oral Rinse 02240433 PMS Peridex 0.12% Oral Rinse 02237452 ZIA

A01AB22 DOXYCYCLINE

Periostat 20mg Cap 02247104 PMS A01AC CORTICOSTEROIDS FOR LOCAL ORAL TREATMENT

A01AC01 TRIAMCINOLONE triamcinolone acetonide 0.1% oral paste Oracort 0.1% Oral Paste DNP MRP SF 01964054 TAR Kenalog 0.1% in Orabase (discontinued)

A01AD OTHER AGENTS FOR LOCAL ORAL TREATMENT

A01AD02 BENZYDAMINE benzydamine 0.15% oral rinse Apo-Benzydamine 0.15% Oral Rinse DNP MRP E 02239044 APX Novo-Benzydamine 0.15% Oral Rinse DNP MRP E 02310422 TEV pms-Benzydamine 0.15% Oral Rinse DNP MRP E 02229777 PMS Novo-Benzydamine 0.15% Oral Rinse (discontinued) Tantum Oral Rinse (discontinued)

A02 DRUGS FOR ACID RELATED DISORDERS A02A ANTACIDS

A02AB ALUMINIUM COMPOUNDS

A02AB01 ALUMINIUM HYDROXIDE Basaljel 500mg Cap DNP SF 02135620 AUR

A02AD COMBINATIONS AND COMPLEXES OF ALUMINIUM, CALCIUM AND MAGNESIUM COMPOUNDS

A02AD01 ANTACIDS, ORDINARY SALT COMBINATIONS Diovol Regular O/L 01966529 CHU

A02AF ANTACIDS WITH ANTIFLATULENTS

A02AF02 ANTACIDS, ORDINARY SALT COMBINATIONS AND ANTIFLATULENTS Diovol Plus O/L 00116815 CHU Diovol Plus Tab 00116882 CHU Mylanta Double St Tab 02019787 JNJ

A02B DRUGS FOR PEPTIC ULCER AND GASTRO-ESOPHAGEAL REFLUX DISEASE (GERD)

A02BA H2-RECEPTOR ANTAGONISTS

A02BA01 CIMETIDINE cimetidine 200mg tab Apo-Cimetidine 200mg Tab DNP SF 00584215 APX Tagamet 200mg Tab (discontinued)

cimetidine 300mg tab Apo-Cimetidine 300mg Tab DNP MRP SF 00487872 APX MYLAN-Cimetidine 300mg Tab DNP MRP SF 02227444 MYL Nu-Cimet 300mg Tab DNP MRP SF 00865818 NXP Tagamet 300mg Tab (discontinued)

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October 2011 Alimentary Tract and Metabolism – 2

cimetidine 400mg tab Apo-Cimetidine 400mg Tab DNP MRP SF 00600059 APX MYLAN-Cimetidine 400mg Tab DNP MRP SF 02227452 MYL Nu-Cimet 400mg Tab DNP MRP SF 00865826 NXP Tagamet 400mg Tab (discontinued)

cimetidine 600mg tab Apo-Cimetidine 600mg Tab DNP MRP SF 00600067 APX MYLAN-Cimetidine 600mg Tab DNP MRP SF 02227460 MYL Nu-Cimet 600mg Tab DNP MRP SF 00865834 NXP Tagamet 600mg Tab (discontinued)

cimetidine 800mg tab Apo-Cimetidine 800mg Tab DNP SF 00749494 APX Tagamet 800mg Tab (discontinued)

A02BA02 RANITIDINE

ranitidine 25mg/mL inj Ranitidine 25mg/mL Inj DNP MRP SFC 02256711 SDZ Zantac 25mg/mL Inj DNP MRP SFC 02212366 GSK

ranitidine 15mg/mL o/l Apo-Ranitidine 15mg/mL O/L DNP MRP SFC 02280833 APX Novo-Ranitidine 15mg/mL O/L DNP MRP SFC 02242940 TEV Zantac 15mg/mL O/L (discontinued)

ranitidine 75mg tab Apo-Ranitidine 75mg Tab 02230507 APX Zantac 75mg Tab 02230287 JNJ

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

ranitidine 300mg tab Apo-Ranitidine 300mg Tab DNP MRP SFC 00733067 APX CO Ranitidine 300mg Tab DNP MRP SFC 02248571 COB MYLAN-Ranitidine 300mg Tab DNP MRP SFC 02207788 MYL Myl-Ranitidine 300mg Tab DNP MRP SFC 02367386 MYL Novo-Ranidine 300mg Tab DNP MRP SFC 00828556 TEV Nu-Ranit 300mg Tab DNP MRP SFC 00865745 NXP pms-Ranitidine 300mg Tab DNP MRP SFC 02242454 PMS RAN-Ranitidine 300mg Tab DNP MRP SFC 02336502 RAN Ranitidine 300mg Tab DNP MRP SFC 02353024 SAS ratio-Ranitidine 300mg Tab DNP MRP SFC 00828688 TEV Sandoz Ranitidine 300mg Tab DNP MRP SFC 02243230 SDZ Zantac 300mg Tab DNP MRP SFC 02212358 GSK

A02BA03 FAMOTIDINE

famotidine 10mg/mL inj Famotidine Omega 10mg/mL Inj DNP SF 02247745 OMG Pepcid 10mg/mL Inj (discontinued)

famotidine 10mg/mL inj (pf) Famotidine Omega (PF) 10mg/mL Inj DNP SF 02247735 OMG Pepcid (PF)10mg/mL Inj (discontinued)

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October 2011 Alimentary Tract and Metabolism – 3

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

famotidine 40mg tab Apo-Famotidine 40mg Tab DNP PRP SF 01953834 APX Famotidine 40mg Tab DNP PRP SF 02351110 SAS MYLAN-Famotidine 40mg Tab DNP PRP SF 02196026 MYL Novo-Famotidine 40mg Tab DNP PRP SF 02022141 TEV Nu-Famotidine 40mg Tab DNP PRP SF 02024209 NXP Pepcid 40mg Tab DNP PRP SF 00710113 FRS

A02BA04 NIZATIDINE

nizatidine 150mg cap Apo-Nizatidine 150mg Cap DNP PRP SF 02220156 APX Novo-Nizatidine 150mg Cap DNP PRP SF 02240457 TEV pms-Nizatidine 150mg Cap DNP PRP SF 02177714 PMS Axid 150mg Cap DNP PRP SF 00778338 MMT

nizatidine 300mg cap Apo-Nizatidine 300mg Cap DNP PRP SF 02220164 APX Novo-Nizatidine 300mg Cap DNP PRP SF 02240458 TEV pms-Nizatidine 300mg Cap DNP PRP SF 02177722 PMS Axid 300mg Cap DNP PRP SF 00778346 MMT

A02BB PROSTAGLANDINS

A02BB01 MISOPROSTOL misoprostol 100mcg tab Misoprostol 100mcg Tab DNPM MRP SF 02244022 AAP Cytotec 100mcg Tab (discontinued)

misoprostol 200mcg tab Misoprostol 200mcg Tab DNPM SF 02244023 AAP Cytotec 200mcg Tab (discontinued)

A02BC PROTON PUMP INHIBITORS

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

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

omeprazole 10mg cap/tab MYLAN-Omeprazole 10mg Cap DNP MRP SFC1 02329425 MYL Losec 10mg Tab DNP MRP SFC1 02230737 AZE

1 Omeprazole and rabeprazole are exception status when a daily dose exceeds 20mg. Please refer to Appendix III for criteria.

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October 2011 Alimentary Tract and Metabolism – 4

omeprazole 20mg cap/tab Apo-Omeprazole 20mg Cap DNP MRP SFC1 02245058 APX MYLAN-Omeprazole 20mg Cap DNP MRP SFC1 02329433 MYL Novo-Omeprazole Delayed-Release 20mg Tab DNP MRP SFC1 02295415 TEV Omeprazole 20mg Cap DNP MRP SFC1 02348691 SAS pms-Omeprazole DR 20mg Tab DNP MRP SFC1 02310260 PMS ratio-Omeprazole 20mg Tab DNP MRP SFC1 02260867 TEV Losec 20mg Tab DNP MRP SFC1 02190915 AZE

A02BC02 PANTOPRAZOLE

pantoprazole 20mg EC tab Apo-Pantoprazole 20mg Tab DNP MRP E 02292912 APX Novo-Pantoprazole 20mg Tab DNP MRP E 02285479 TEV pms-Pantoprazole 20mg DR Tab 02307863 PMS RAN-Pantoprazole 20mg Tab DNP MRP E 02305038 RAN ratio-Pantoprazole 20mg DR Tab DNP MRP E 02308681 TEV Sandoz Pantoprazole 20mg DR Tab DNP MRP E 02301075 SDZ Pantoloc 20mg Tab DNP MRP E 02241804 NYC

pantoprazole 40mg EC tab Apo-Pantoprazole 40mg Tab DNP MRP E 02292920 APX CO Pantoprazole 40mg DR Tab DNP MRP E 02300486 COB MYLAN-Pantoprazole 40mg DR Tab DNP MRP E 02299585 MYL Novo-Pantoprazole 40mg Tab DNP MRP E 02285487 TEV pms-Pantoprazole 40mg DR Tab DNP MRP E 02307871 PMS RAN-Pantoprazole 40mg Tab DNP MRP E 02305046 RAN ratio-Pantoprazole 40mg DR Tab DNP MRP E 02308703 TEV Sandoz Pantoprazole 40mg DR Tab DNP MRP E 02301083 SDZ Pantoloc 40mg Tab DNP MRP E 02229453 NYC

Tecta 40mg Tab DNP SFC2 02267233 NYC

A02BC03 LANSOPRAZOLE lansoprazole 15mg cap Apo-Lansoprazole 15mg DR Cap DNP MRP E 02293811 APX Lansoprazole 15mg DR Cap DNP MRP E 02357682 SAS MYLAN-Lansoprazole 15mg DR Cap DNP MRP E 02353830 MYL Novo-Lansoprazole 15mg DR Cap DNP MRP E 02280515 TEV Prevacid 15mg Cap DNP MRP E 02165503 ABB

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

Prevacid FasTab 15mg Tab DNP E 02249464 ABB Prevacid FasTab 30mg Tab DNP E 02249472 ABB

A02BC04 RABEPRAZOLE

rabeprazole 10mg EC tab Apo-Rabeprazole 10mg EC Tab DNP MRP SFC1 02345579 APX Novo-Rabeprazole 10mg Tab DNP MRP SFC1 02296632 TEV pms-Rabeprazole 10mg EC Tab DNP MRP SFC1 02310805 PMS Rabeprazole EC 10mg Tab DNP MRP SFC1 02356511 SAS RAN-Rabeprazole 10mg Tab DNP MRP SFC1 02298074 RAN Sandoz Rabeprazole 10mg EC Tab DNP MRP SFC1 02314177 SDZ Pariet 10mg Tab DNP MRP SFC1 02243796 JAN

1 Omeprazole and rabeprazole are exception status when the daily dose exceeds 20mg. Please refer to Appendix III for criteria. 2 Tecta is exception status when the daily dose exceeds 40mg. Please refer to Appendix III for criteria.

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October 2011 Alimentary Tract and Metabolism – 5

rabeprazole 20mg EC tab Apo-Rabeprazole 20mg EC Tab DNP MRP SFC1 02345587 APX Novo-Rabeprazole 20mg Tab DNP MRP SFC1 02296640 TEV pms-Rabeprazole 20mg EC Tab DNP MRP SFC1 02310813 PMS Rabeprazole EC 20mg Tab DNP MRP SFC1 02356538 SAS RAN-Rabeprazole 20mg Tab DNP MRP SFC1 02298082 RAN Sandoz Rabeprazole 20mg EC Tab DNP MRP SFC1 02314185 SDZ Pariet 20mg Tab DNP MRP SFC1 02243797 JAN

A02BC05 ESOMEPRAZOLE

Nexium 20mg Tab 02244521 AZE esomeprazole 40mg tab Apo-Esomeprazole 40mg DR Tab 02339102 APX Nexium 40mg Tab 02244522 AZE

A02BD COMBINATIONS FOR ERADICATION OF HELICOBACTER PYLORI

A02BD99 LANSOPRAZOLE, CLARITHROMYCIN AND AMOXICILLIN Hp-PAC DNP E 02238525 ABB

A02BX OTHER DRUGS FOR PEPTIC ULCER AND GASTRO-ESOPHAGEAL REFLUX DISEASE (GERD)

A02BX02 SUCRALFATE Sulcrate 1g/5mL Plus Susp DNP SF 02103567 AXC

sucralfate 1g tab Apo-Sucralfate 1g Tab DNP MRP SF 02125250 APX Novo-Sucralate 1g Tab DNP MRP SF 02045702 TEV Nu-Sucralfate 1g Tab DNP MRP SF 02134829 NXP Sulcrate 1g Tab DNP MRP SF 02100622 AXC

A03 DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS A03A DRUGS FOR FUNCTIONAL BOWEL DISORDERS

A03AA SYNTHETIC ANTICHOLINERGICS, ESTERS WITH TERTIARY AMINO GROUP

A03AA05 TRIMEBUTINE Trimebutine 100mg Tab DNP SFC 02245663 AAP

trimebutine 200mg tab Trimebutine 200mg Tab DNP MRP SFC 02245664 AAP Modulon 200mg Tab DNP MRP SFC 00803499 AXC

A03AA07 DICYCLOVERINE (DICYCLOMINE)

Dicyclomine 10mg/mL Inj 00392812 SDZ Bentylol 10mg/5mL Syr DNP SFC 02102978 AXC Bentylol 10mg Tab DNP SFC 02103087 AXC Bentylol 20mg Tab DNP SFC 02103095 AXC

A03AB SYNTHETIC ANTICHOLINERGICS, QUATERNARY AMMONIUM COMPOUNDS

A03AB02 GLYCOPYRROLATE (GLYCOPYRRONIUM) Glycopyrrolate 0.2mg/mL Inj DNP SFC 02039508 SDZ

A03AD PAPAVERINE AND DERIVATIVES

A03AD01 PAPAVERINE Papaverine HCl 32.5mg/mL Inj 00009881 SDZ

1 Omeprazole and rabeprazole are exception status when the daily dose exceeds 20mg. Please refer to Appendix III for criteria.

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October 2011 Alimentary Tract and Metabolism – 6

A03AX OTHER DRUGS FOR FUNCTIONAL BOWEL DISORDERS

A03AX04 PINAVERIUM Dicetel 50mg Tab DNP SFC 01950592 ABB Dicetel 100mg Tab DNP SFC 02230684 ABB

A03AX13 SILICONES

Ovol 80 (80mg) Tab 00292990 CHU

A03B BELLADONNA AND DERIVATIVES, PLAIN

A03BA BELLADONNA ALKALOIDS, TERTIARY AMINES

A03BA01 ATROPINE Atropine Sulfate 0.4mg/mL Inj DNP SFC 00392782 SDZ Atropine Sulfate 0.6mg/mL Inj DNP SFC 00392693 SDZ

A03BA03 HYOSCYAMINE

Levsin 0.125mg SL Tab DNP SFC 00125857 AXS

A03C ANTISPASMODICS IN COMBINATION WITH PSYCHOLEPTICS

A03CA SYNTHETIC ANTICHOLINERGIC AGENTS IN COMBINATION WITH PSYCHOLEPTICS

A03CA02 CLIDINIUM AND PSYCHOLEPTICS chlordiazepoxide HCl 5mg & clidinium Br 2.5mg cap Apo-Chlorax 5/2.5mg Cap D MRP SFC 00618454 APX Librax Cap D MRP SFC 00115630 VLN

A03E ANTISPASMODICS AND ANTICHOLINERGICS IN COMBINATION WITH OTHER DRUGS

A03ED ANTISPASMODICS IN COMBINATION WITH OTHER DRUGS

A03ED99 ANTISPASMODICS, COMBINATIONS Bellergal Spacetabs D SFC 00176141 TRI

A03F PROPULSIVES

A03FA PROPULSIVES

A03FA01 METOCLOPRAMIDE Metoclopramide 5mg/mL Inj DNP SFC 02185431 SDZ

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

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

metoclopramide HCl 10mg tab Apo-Metoclop 10mg Tab DNP MRP SFC 00842834 APX Nu-Metoclopramide 10mg Tab DNP MRP SFC 02143283 NXP pms-Metoclopramide 10mg Tab DNP MRP SFC 02230432 PMS Maxeran 10mg Tab (discontinued)

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A03FA03 DOMPERIDONE domperidone maleate 10mg tab Apo-Domperidone 10mg Tab DNPM MRP SFC 02103613 APX Domperidone 10mg Tab DNPM MRP SFC 02350440 SAS MYLAN-Domperidone 10mg Tab DNPM MRP SFC 02278669 MYL Novo-Domperidone 10mg Tab DNPM MRP SFC 02157195 TEV Nu-Domperidone 10mg Tab DNPM MRP SFC 02231477 NXP pms-Domperidone 10mg Tab DNPM MRP SFC 02236466 PMS RAN-Domperidone 10mg Tab DNPM MRP SFC 02268078 RAN ratio-Domperidone 10mg Tab DNPM MRP SFC 01912070 TEV Motilium 10mg Tab (discontinued)

A04 ANTIEMETICS AND ANTINAUSEANTS A04A ANTIEMETICS AND ANTINAUSEANTS

A04AA SEROTONIN (5-HT3) ANTAGONISTS

A04AA01 ONDANSETRON Zofran 2mg/mL Inj 02213745 GSK

ondansetron 4mg/5mL o/l Ondansetron 4mg/5mL O/L DNP MRP E 02291967 AAP Zofran 4mg/5mL O/L DNP MRP E 02229639 GSK

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

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

Zofran 4mg ODT Tab DNP PRP E 02239372 GSK Zofran 8mg ODT Tab DNP PRP E 02239373 GSK

A04AA02 GRANISETRON

granisetron 1 mg tab Granisetron 1mg Tab DNP MRP E 02308894 AAP Kytril 1mg Tab DNP MRP E 02185881 HLR

A04AA04 DOLASETRON

Anzemet 100mg Tab DNP E 02231379 SAV

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October 2011 Alimentary Tract and Metabolism – 8

A04AD OTHER ANTIEMETICS

A04AD01 SCOPOLAMINE Scopolamine 0.4mg/mL Inj DNP SFC 00541869 HOS Scopolamine 0.6mg/mL Inj DNP SFC 00541877 HOS

scopolamine 20mg/mL inj Hyoscine Butylbromide 20mg/mL Inj DNP SF 02229868 SDZ Buscopan 20mg/mL Inj (discontinued)

Buscopan 10mg Tab DNP SF 00363812 BOE Transderm-V 1.5mg Patch 00550094 NVR

A04AD10 DRONABINOL (DELTA-9-TETRAHYDROCANNABINOL)

Marinol 2.5mg Cap D E 00611190 ABB Marinol 5mg Cap D E 00611204 ABB

A04AD11 NABILONE (CANNABINOID (THC) DERIVATIVES)

Cesamet 0.25mg Cap D E 02312263 VLN Cesamet 0.5mg Cap D E 02256193 VLN Cesamet 1mg Cap D E 00548375 VLN

A04AD12 APREPITANT

Emend 80mg Cap DNP E 02298791 FRS Emend 125mg Cap DNP E 02298805 FRS Emend Tri-Pack Cap DNP E 02298813 FRS

A04AD99 DIMENHYDRINATE

dimenhydrinate 10mg/mL IV inj Dimenhydrinate 10mg/mL IV Amp DNP SFC 00392731 SDZ Gravol 10mg/mL IV Amp (discontinued)

dimenhydrinate 50mg/mL IM inj Dimenhydrinate 50mg/mL IM Inj DNP MRP SFC 00392537 SDZ Gravol l 50mg/mL IM Inj DNP MRP SFC 00013579 CHU

Gravol 15mg/5mL O/L 00230197 CHU Gravol 50mg Tab 00013803 CHU Gravol 25mg Supp 00783595 CHU Gravol 100mg Supp 00013609 CHU Dimenhydrinate 50mg Supp 00392553 SDZ Dimenhydrinate 100mg (Adult) Supp 00392545 SDZ

A05 BILE AND LIVER THERAPY A05A BILE THERAPY

A05AA BILE ACID PREPARATIONS

A05AA02 URSODIOL (URSODEOXYCHOLIC ACID) ursodiol 250mg tab pms-Ursodiol C 250mg Tab D MRP E 02273497 PMS Urso 250mg Tab D MRP E 02238984 AXC

ursodiol 500mg tab pms-Ursodiol C 500mg Tab D MRP E 02273500 PMS Urso DS 500mg Tab D MRP E 02245894 AXC

A05AA99 DEHYDROCHOLIC ACID

Dycholium 300mg Tab D SF 02162148 NNC

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October 2011 Alimentary Tract and Metabolism – 9

A06 LAXATIVES A06A LAXATIVES

A06AA SOFTENERS, EMOLLIENTS

A06AA02 DOCUSATE SODIUM Colace 100mg Cap DNP C 02106256 WLS Colace 10mg/mL Drp DNP C 02090163 WLS Colace 20mg/5mL Syrup DNP C 02086018 WLS Docusate Sodium 100mg Cap DNP C 00716731 TAR Jamp-Docusate Sodium 100mg Cap DNP C 02245946 JPC Novo-Docusate 100mg Cap DNP C 02020084 TEV pms-Docusate Sodium 100mg Cap DNP C 00703494 PMS pms-Docusate Sodium 10mg Drp DNP C 00880140 PMS pms-Docusate Sodium 4mg/mL Syr DNP C 00703508 PMS ratio-Docusate Sodium 100mg Cap DNP C 00870196 TEV ratio-Docusate Sodium 20mg/5mL Syr DNP C 00870226 TEV Selax 100mg Cap DNP C 00514888 ODN Selax 20mg/5mL USP DNP C 00695033 ODN

A06AB CONTACT LAXATIVES

A06AB02 BISACODYL Apo-Bisacodyl 10mg Supp (discontinued) Apo-Bisacodyl 5mg Tab DNP C 00545023 APX Dulcolax 5mg Supp DNP C 00003867 BOE Dulcolax 10mg Supp DNP C 00003875 BOE Dulcolax ECT 5mg Tab DNP C 00254142 BOE Jamp-Bisacodyl 5mg Tab DNP C 02246039 JPC pms-Bisacodyl 10mg Supp DNP C 00582883 PMS pms-Bisacodyl 5mg Tab DNP C 00587273 PMS

A06AB06 SENNA GLYCOSIDES

Jamp-Sennosides 8.6mg Tab DNP C 80009595 JPC Sandoz Sennosides 8.6mg Tab DNP C 02089653 SDZ Sandoz Sennosides 12mg Tab DNP C 02089645 SDZ Senokot 15mg/3g Granules DNP C 00026042 PFR Senokot 1.7mg/mL Syr DNP C 00367729 PFR Senokot 8.6mg Tab DNP C 00026158 PFR

A06AB56 SENNA GLYCOSIDES, COMBINATIONS

Senokot S 8.6mg/50mg Tab DNP C 00026123 PFR A06AD OSMOTICALLY ACTING LAXATIVES

A06AD10 MINERAL SALTS IN COMBINATION CoLyte Powder for Solution DNP C 00677442 ZYM Peglyte Powder for Solution DNP C 00777838 PDP

A06AD11 LACTULOSE

pms-Lactulose 667mg/mL O/L DNP E 00703486 PMS

lactulose 667mg/mL o/l Apo-Lactulose 667mg/mL O/L DNP MRP E 02242814 APX Jamp-Lactulose 667mg/mL O/L DNP MRP E 02295881 JPC ratio-Lactulose 667mg/mL O/L DNP MRP E 00854409 TEV Teva-Lactulose 667mg/mL O/L DNP MRP E 02331551 TEV Chronulac 667mg/mL O/L (discontinued)

A06AD19 MAGNESIUM CITRATE

Citro Mag 50mg/mL O/L DNP C 00262609 ROG

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October 2011 Alimentary Tract and Metabolism – 10

A06AH MISCELLANEOUS GI DRUGS

A06AH01 METHYLNALTREXONE BROMIDE Relistor 20mg/mL Inj 02308215 PFI

A07 ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS A07A INTESTINAL ANTIINFECTIVES

A07AA ANTIBIOTICS

A07AA02 NYSTATIN pms-Nystatin 100,000iu/mL Oral Susp DNP SFC 00792667 PMS

nystatin 100,000iu o/l ratio-Nystatin 100,000iu/mL Oral Drops DNP MRP SFC 02194201 TEV Mycostatin 100,000iu/mL Oral Susp (discontinued)

ratio-Nystatin 500,000iu Oral Tab DNP SFC 02194198 TEV

A07AA06 PAROMOMYCIN

Humatin 250mg Cap 02078759 ERF A07BB BISMUTH PREPARATIONS

A07BB99 BISMUTH SUBSALICYLATE PeptoBismol 17.6mg/mL O/L 02097079 WNC

A07D ANTIPROPULSIVES

A07DA ANTIPROPULSIVES

A07DA01 DIPHENOXYLATE Lomotil 2.5mg Tab D SFC 00036323 PFI

A07DA02 OPIUM

Sandoz Opium & Belladonna 65mg/15mg Supp D SFC 01901869 SDZ

A07DA03 LOPERAMIDE loperamide 2mg caplet Apo-Loperamide 2mg Caplet DNP MRP SFC 02212005 APX Novo-Loperamide 2mg Caplet DNP MRP SFC 02132591 TEV pms-Loperamide 2mg Caplet DNP MRP SFC 02228351 PMS Sandoz Loperamide 2mg Caplet DNP MRP SFC 02257564 SDZ Imodium 2mg Caplet DNP MRP SFC 02183862 JNJ APC-Loperamide 2mg Caplet (discontinued) Diarr-eze 2mg Caplet (discontinued)

Jamp-Loperamide 2mg Tab DNP SFC 02256452 JPC

loperamide HCl 0.2mg/mL o/l pms-Loperamide 0.2mg/mL O/L DNP SFC 02016095 PMS Imodium 0.2mg/mL O/L (discontinued)

A07E INTESTINAL ANTIINFLAMMATORY AGENTS

A07EA CORTICOSTEROIDS ACTING LOCALLY

A07EA02 HYDROCORTISONE Cortenema 100mg/60mL Susp DNP SF 02112736 AXC Cortifoam DNP SF 00579335 PAL

A07EA04 BETAMETHASONE

Betnesol 5mg/100mL Retention Enema DNP SF 02060884 PAL

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October 2011 Alimentary Tract and Metabolism – 11

A07EA06 BUDESONIDE Entocort 3mg Cap DNP SF 02229293 AZE Entocort 0.02mg/mL Enema DNP SF 02052431 AZE

A07EB ANTIALLERGIC AGENTS, EXCLUDING CORTICOSTEROIDS

A07EB01 CROMOGLYCATE SODIUM Nalcrom 100mg Cap DNP SF 00500895 SAV

A07EC AMINOSALICYLIC ACID AND SIMILAR AGENTS

A07EC01 SULFASALAZINE pms-Sulfasalazine 500mg Tab DNP SF 00598461 PMS Salazopyrin 500mg Tab DNP SF 02064480 PFI pms-Sulfasalazine EC 500mg Tab DNP SF 00598488 PMS Salazopyrin 500mg Entabs DNP SF 02064472 PFI

A07EC02 5-AMINOSALICYLIC ACID (MESALAMINE)

Pentasa 1g/100mL Rectal Susp DNP SF 02153521 FEI Pentasa 4g/100mL Rectal Susp DNP SF 02153556 FEI Salofalk 2g/60g Rectal Susp DNP SF 02112795 AXC Salofalk 4g/60g Rectal Susp DNP SF 02112809 AXC Salofalk 500mg Supp DNP SF 02112760 AXC Pentasa 1g Supp DNP SF 02153564 FEI Salofalk 1g Supp DNP SF 02242146 AXC Mezavant 1.2g Tab DNP SF 02297558 SHI Asacol 400mg Tab DNP SF 01997580 WNC Mesasal 500mg Tab DNP SF 01914030 GSK Pentasa 500mg Tab DNP SF 02099683 FEI Salofalk 500mg Tab DNP SF 02112787 AXC Asacol 800 (800mg) Tab DNP SF 02267217 WNC

A07EC03 OLSALAZINE (5-ASA)

Dipentum 250mg Cap DNP SF 02063808 UCB

A07F ANTIDIARRHEAL MICROORGANISMS

A07FA ANTIDIARRHEAL MICROORGANISMS

A07FA01 LACTIC ACID PRODUCING ORGANISMS Bacid Cap DNP SF 01927906 ERF

A08 ANTIOBESITY PREPARATIONS, EXCLUDING DIET PRODUCTS A08A ANTIOBESITY PREPARATIONS, EXCLUDING DIET PRODUCTS

A08AA CENTRALLY ACTING ANTIOBESITY PRODUCTS

A08AA10 SIBUTRAMINE sibutramine 10mg cap Apo-Sibutramine 10mg Cap (discontinued) Meridia 10mg Cap (discontinued)

sibutramine 15mg cap Apo-Sibutramine 15mg Cap (discontinued) Meridia 15mg Cap (discontinued)

A08AB PERIPHERALLY ACTING ANTIOBESITY PRODUCTS

A08AB01 ORLISTAT Xenical 120mg Cap 02240325 HLR

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October 2011 Alimentary Tract and Metabolism – 12

A09 DIGESTIVES, INCLUDING ENZYMES A09A DIGESTIVES, INCLUDING ENZYMES

A09AA ENZYME PREPARATIONS

A09AA02 MULTIENZYMES (LIPASE, PROTEASE, ETC) Cotazym Cap DNP SF 00263818 SCH Cotazym ECS 4 Cap DNP SF 02181215 SCH Cotazym ECS 8 Cap DNP SF 00502790 SCH Cotazym ECS 20 Cap DNP SF 00821373 SCH Cotazym-65B Cap DNP SF 00456233 SCH Pancrease MT 4 Cap DNP SF 00789445 JAN Pancrease MT 10 Cap DNP SF 00789437 JAN Pancrease MT 16 Cap DNP SF 00789429 JAN Creon 5 Minimicrospheres DNP SF 02239007 ABB Creon 10 Minimicrospheres DNP SF 02200104 ABB Creon 20 Minimicrospheres DNP SF 02239008 ABB Creon 25 Minimicrospheres DNP SF 01985205 ABB Ultrase MS4 Cap DNP SF 02203324 AXC Ultrase MT12 Cap DNP SF 02045834 AXC Ultrase MT20 Cap DNP SF 02045869 AXC Viokase Tab DNP SF 02230019 AXC Viokase 16 Tab DNP SF 02241933 AXC

A09AA03 PEPSIN

Fermentol 100mg/30mL Liq DNP SF 00378739 CHU A10 DRUGS USED IN DIABETES A10A INSULINS AND ANALOGUES

A10AB INSULINS AND ANALOGUES FOR INJECTION, FAST-ACTING

A10AB01 INSULIN (HUMAN) Humulin R Cartridges DNP SFD 01959220 LIL Humulin R Insulin DNP SFD 00586714 LIL Novolin GE Toronto Insulin DNP SFD 02024233 NNO Novolin GE Toronto Penfill DNP SFD 02024284 NNO

A10AB04 INSULIN LISPRO

Humalog Cartridges DNP E3 02229705 LIL Humalog Insulin DNP E3 02229704 LIL Humalog KwikPen DNP E3 02229705 LIL

A10AB05 INSULIN ASPART

NovoRapid 100iu/mL Penfill Ins DNP E3 02244353 NNO NovoRapid 100iu/mL Vial Ins DNP E3 02245397 NNO NovoMix 30 Penfill 02265435 NNO

A10AB06 INSULIN GLULISINE

Apidra 3mL Cartridges DNP E3 02279479 SAV Apidra 3mL Prefilled Pen DNP E3 02294346 SAV Apidra 10mL Vial DNP E3 02279460 SAV

A10AC INSULINS AND ANALOGUES FOR INJECTION, INTERMEDIATE-ACTING

A10AC01 INSULIN (HUMAN) Humulin N Cartridges DNP SFD 01959239 LIL Humulin N Insulin DNP SFD 00587737 LIL Novolin GE NPH Insulin DNP SFD 02024225 NNO Novolin GE NPH Penfill DNP SFD 02024268 NNO Humulin L Insulin (discontinued)

3 Insulin Lispro, Insulin Aspart and Insulin Glulisine are full benefits for children 18 years and younger. For coverage in adults refer to

criteria in Appendix III.

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A10AD INSULINS AND ANALOGUES FOR INJECTION, INTERMEDIATE-ACTING COMBINED WITH FAST-ACTING

A10AD01 INSULIN (HUMAN) Humulin 30/70 Cartridges DNP SFD 01959212 LIL Humulin 30/70 Insulin DNP SFD 00795879 LIL Novolin GE 30/70 Insulin DNP SFD 02024217 NNO Novolin GE 30/70 Penfill DNP SFD 02025248 NNO Novolin GE 40/60 Penfill DNP SFD 02024314 NNO Novolin GE 50/50 Penfill DNP SFD 02024322 NNO

A10AD04 INSULIN LISPRO

Humalog Mix25 Cartridges 02240294 LIL Humalog Mix50 Cartridges 02240297 LIL Humalog Mix25 Vial 02240296 LIL

A10AE INSULINS AND ANALOGUES FOR INJECTION, LONG-ACTING

A10AE04 INSULIN GLARGINE Lantus 100iu/mL Vial 02245689 SAV

A10AE05 INSULIN DETEMIR

Levemir 100iu/mL Penfill 02271842 NNO

A10B BLOOD GLUCOSE LOWERING DRUGS, EXCLUDING INSULINS

A10BA BIGUANIDES

A10BA02 METFORMIN metformin HCl 500mg tab Apo-Metformin 500mg Tab DNP MRP SFD 02167786 APX CO Metformin 500mg Tab DNP MRP SFD 02257726 COB Metformin 500mg Tab DNP MRP SFD 02353377 SAS MYLAN-Metformin 500mg Tab DNP MRP SFD 02148765 MYL Novo-Metformin 500mg Tab DNP MRP SFD 02045710 TEV Nu-Metformin 500mg Tab DNP MRP SFD 02162822 NXP pms-Metformin 500mg Tab DNP MRP SFD 02223562 PMS RAN-Metformin 500mg Tab DNP MRP SFD 02269031 RAN ratio-Metformin 500mg Tab DNP MRP SFD 02242974 TEV Sandoz Metformin FC 500mg Tab DNP MRP SFD 02246820 SDZ Metformin 500mg Tab DNP MRP SFD 02242794 MEL Glucophage 500mg Tab DNP MRP SFD 02099233 SAV

metformin HCl 850mg tab Apo-Metformin 850mg Tab DNP MRP SFD 02229785 APX CO Metformin 850mg Tab DNP MRP SFD 02257734 COB Metformin 850mg Tab DNP MRP SFD 02353385 SAS MYLAN-Metformin 850mg Tab DNP MRP SFD 02229656 MYL Novo-Metformin 850mg Tab DNP MRP SFD 02230475 TEV Nu-Metformin 850mg Tab DNP MRP SFD 02229517 NXP pms-Metformin 850mg Tab DNP MRP SFD 02242589 PMS RAN-Metformin 850mg Tab DNP MRP SFD 02269058 RAN ratio-Metformin 850mg Tab DNP MRP SFD 02242931 TEV Sandoz Metformin FC 850mg Tab DNP MRP SFD 02246821 SDZ Glucophage 850mg Tab DNP MRP SFD 02162849 SAV Zym-Metformin 850mg Tab (discontinued)

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A10BB SULFONAMIDES, UREA DERIVATIVES

A10BB01 GLYBURIDE (GLIBENCLAMIDE) glyburide 2.5mg tab Apo-Glyburide 2.5mg Tab DNP MRP SFD 01913654 APX Glyburide 2.5mg Tab DNP MRP SFD 02350459 SAS MYLAN-Glybe 2.5mg Tab DNP MRP SFD 00808733 MYL Novo-Glyburide 2.5mg Tab DNP MRP SFD 01913670 TEV Nu-Glyburide 2.5mg Tab DNP MRP SFD 02020734 NXP ratio-Glyburide 2.5mg Tab DNP MRP SFD 01900927 TEV Sandoz Glyburide 2.5mg Tab DNP MRP SFD 02248008 SDZ Diabeta 2.5mg Tab DNP MRP SFD 02224550 SAV Euglucon 2.5mg Tab (discontinued)

glyburide 5mg tab Apo-Glyburide 5mg Tab DNP MRP SFD 01913662 APX Euglucon 5mg Tab DNP MRP SFD 00720941 PMS Glyburide 5mg Tab DNP MRP SFD 02350467 SAS MYLAN-Glybe 5mg Tab DNP MRP SFD 00808741 MYL Novo-Glyburide 5mg Tab DNP MRP SFD 01913689 TEV Nu-Glyburide 5mg Tab DNP MRP SFD 02020742 NXP pms-Glyburide 5mg Tab DNP MRP SFD 02236734 PMS ratio-Glyburide 5mg Tab DNP MRP SFD 01900935 TEV Sandoz Glyburide 5mg Tab DNP MRP SFD 02248009 SDZ Diabeta 5mg Tab DNP MRP SFD 02224569 SAV

A10BB02 CHLORPROPAMIDE

Apo-Chlorpropamide 100mg Tab 00399302 APX

chlorpropamide 250mg tab Apo-Chlorpropamide 250mg Tab 00312711 APX Diabinese 250mg Tab (discontinued)

A10BB03 TOLBUTAMIDE

tolbutamide 500mg tab Tolbutamide 500mg Tab DNP MRP SFD 00312762 AAP Mobenol 500mg Tab (discontinued)

A10BB09 GLICLAZIDE

gliclazide MR 30mg tab Apo-Gliclazide MR 30mg Tab DNP MRP SFD 02297795 AAP Diamicron MR 30mg Tab DNP MRP SFD 02242987 SEV

gliclazide 80mg tab Apo-Gliclazide 80mg Tab DNP PRP SFD 02245247 APX Gliclazide 80mg Tab DNP PRP SFD 02287072 SAS MYLAN-Gliclazide 80mg Tab DNP PRP SFD 02229519 MYL Novo-Gliclazide 80mg Tab DNP PRP SFD 02238103 TEV pms-Gliclazide 80mg Tab (discontinued) Diamicron 80mg Tab DNP PRP SFD 00765996 SEV

A10BB12 GLIMEPIRIDE

glimepiride 1mg tab Apo-Glimepiride 1mg Tab 02295377 APX Novo-Glimepiride 1mg Tab 02273756 TEV ratio-Glimepiride 1mg Tab 02273101 TEV Sandoz Glimepiride 1mg Tab 02269589 SDZ Amaryl 1mg Tab 02245272 SAV

glimepiride 2mg tab Apo-Glimepiride 2mg Tab 02295385 APX Novo-Glimepiride 2mg Tab 02273764 TEV ratio-Glimepiride 2mg Tab 02273128 TEV Sandoz Glimepiride 2mg Tab 02269597 SDZ Amaryl 2mg Tab 02245273 SAV

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October 2011 Alimentary Tract and Metabolism – 15

glimepiride 4mg tab Apo-Glimepiride 4mg Tab 02295393 APX Novo-Glimepiride 4mg Tab 02273772 TEV ratio-Glimepiride 4mg Tab 02273136 TEV Sandoz Glimepiride 4mg Tab 02269619 SDZ Amaryl 4mg Tab 02245274 SAV

A10BD COMBINATIONS OF ORAL BLOOD GLUCOSE LOWERING DRUGS

A10BD03 METFORMIN AND ROSIGLITAZONE Avandamet 1/500mg Tab 02247085 GSK Avandamet 2/500mg Tab 02247086 GSK Avandamet 4/500mg Tab 02247087 GSK Avandamet 2/1000mg Tab 02248440 GSK Avandamet 4/1000mg Tab 02248441 GSK

A10BD07 METFORMIN AND SITAGLIPTIN Janumet 50/500mg Tab DNP E 02333856 FRS Janumet 50/850mg Tab DNP E 02333864 FRS Janumet 50/1000mg Tab DNP E 02333872 FRS A10BF ALPHA GLUCOSIDASE INHIBITORS

A10BF01 ACARBOSE Glucobay 50mg Tab DNP SFD 02190885 BAY Glucobay 100mg Tab DNP SFD 02190893 BAY

A10BG THIAZOLINEDIONES

A10BG02 ROSIGLITAZONE Avandia 2mg Tab 02241112 GSK Avandia 4mg Tab 02241113 GSK Avandia 8mg Tab 02241114 GSK

A10BG03 PIOGLITAZONE

pioglitazone 15mg tab Accel Pioglitazone 15mg Tab 02303442 ACC Apo-Pioglitazone 15mg Tab DNP MRP E 02302942 APX CO Pioglitazone 15mg Tab DNP MRP E 02302861 COB MINT-Pioglitazone 15mg Tab DNP MRP E 02326477 MNT MYLAN-Pioglitazone 15mg Tab DNP MRP E 02298279 MYL Novo-Pioglitazone 15mg Tab DNP MRP E 02274914 TEV phl-Pioglitazone 15mg Tab DNP MRP E 02307669 PHL pms-Pioglitazone 15mg Tab DNP MRP E 02303124 PMS ratio-Pioglitazone 15mg Tab DNP MRP E 02301423 TEV Sandoz Pioglitazone 15mg Tab DNP MRP E 02297906 SDZ Zym-Pioglitazone 15mg Tab DNP MRP E 02320754 ZYM Actos 15mg Tab DNP MRP E 02242572 TAK

pioglitazone 30mg tab Accel Pioglitazone 30mg Tab 02303450 ACC Apo-Pioglitazone 30mg Tab DNP MRP E 02302950 APX CO Pioglitazone 30mg Tab DNP MRP E 02302888 COB Jamp-Pioglitazone 30mg Tab DNP MRP E 02365529 JPC MINT-Pioglitazone 30mg Tab DNP MRP E 02326485 MNT MYLAN-Pioglitazone 30mg Tab DNP MRP E 02298287 MYL Novo-Pioglitazone 30mg Tab DNP MRP E 02274922 TEV phl-Pioglitazone 30mg Tab DNP MRP E 02307677 PHL Pioglitazone 30mg Tab DNP MRP E 02339587 AHC pms-Pioglitazone 30mg Tab DNP MRP E 02303132 PMS ratio-Pioglitazone 30mg Tab DNP MRP E 02301431 TEV Sandoz Pioglitazone 30mg Tab DNP MRP E 02297914 SDZ Zym-Pioglitazone 30mg Tab DNP MRP E 02320762 ZYM Actos 30mg Tab DNP MRP E 02242573 TAK

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October 2011 Alimentary Tract and Metabolism – 16

pioglitazone 45mg tab Accel Pioglitazone 45mg Tab 02303469 ACC Apo-Pioglitazone 45mg Tab DNP MRP E 02302977 APX CO Pioglitazone 45mg Tab DNP MRP E 02302896 COB Jamp-Pioglitazone 45mg Tab DNP MRP E 02365537 JPC MINT-Pioglitazone 45mg Tab DNP MRP E 02326493 MNT MYLAN-Pioglitazone 45mg Tab DNP MRP E 02298295 MYL Novo-Pioglitazone 45mg Tab DNP MRP E 02274930 TEV phl-Pioglitazone 45mg Tab DNP MRP E 02307723 PHL Pioglitazone 45mg Tab DNP MRP E 02339595 AHC pms-Pioglitazone 45mg Tab DNP MRP E 02303140 PMS ratio-Pioglitazone 45mg Tab DNP MRP E 02301458 TEV Sandoz Pioglitazone 45mg Tab DNP MRP E 02297922 SDZ Zym-Pioglitazone 45mg Tab DNP MRP E 02320770 ZYM Actos 45mg Tab DNP MRP E 02242574 TAK

A10BH DIPEPTIDYL PEPTIDASE-4 (DDP-4) INHIBITORS

A10BH01 SITAGLIPTIN Januvia 100mg Tab DNP E 02303922 FRS

A10BH03 SAXAGLIPTIN Onglyza 5mg Tab 02333554 BRI A10BX OTHER BLOOD GLUCOSE LOWERING DRUGS, EXCLUDING INSULINS

A10BX02 REPAGLINIDE repaglinide 0.5mg tab CO Repaglinide 0.5mg Tab 02321475 COB pms-Repaglinide 0.5mg Tab 02354926 PMS Sandoz Repaglinide 0.5mg Tab 02357453 SDZ GlucoNorm 0.5mg Tab 02239924 NNO repaglinide 1mg tab CO Repaglinide 1mg Tab 02321483 COB pms-Repaglinide 1mg Tab 02354934 PMS Sandoz Repaglinide 1mg Tab 02357461 SDZ GlucoNorm 1mg Tab 02239925 NNO

repaglinide 2mg tab CO Repaglinide 2mg Tab 02321491 COB pms-Repaglinide 2mg Tab 02354942 PMS Sandoz Repaglinide 2mg Tab 02357488 SDZ GlucoNorm 2mg Tab 02239926 NNO

A10BX03 NATEGLINIDE

Starlix 60mg Tab 02245438 NVR Starlix 120mg Tab 02245439 NVR

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

A11CC VITAMIN D AND ANALOGUES

A11CC01 ERGOCALCIFEROL Drisdol 8,288iu/mL Sol (discontinued) Erdol 8,288iu/mL Sol DNP SF 80003615 ODN

A11CC03 ALFACALCIDOL

One-Alpha 0.25mcg Cap DNP SF 00474517 LEO One-Alpha 1mcg Cap DNP SF 00474525 LEO One-Alpha 2mcg O/L DNP SF 02240329 LEO

A11CC04 CALCITRIOL

Rocaltrol 0.25mcg Cap DNP SF 00481823 HLR Rocaltrol 0.5mcg Cap DNP SF 00481815 HLR Rocaltrol 1mcg/mL O/L DNP SF 00824291 HLR

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October 2011 Alimentary Tract and Metabolism – 17

A11D VITAMIN B1, PLAIN AND IN COMBINATION WITH VITAMIN B6 AND B12

A11DA VITAMIN B1, PLAIN

A11DA01 THIAMINE (VIT B1) thiamine (vit B1) 100mg/mL inj Thiamiject 100mg/mL Inj (Omega) DNP MRP SF 02193221 OMG Thiamine 100mg/mL Inj DNP MRP SF 02243525 CYI Vitamin B1 100mg/mL Inj DNP MRP SF 00816078 SDZ Betaxin 100mg/mL Inj (discontinued)

A12 REPLACEMENT PREPARATIONS A12B POTASSIUM

A12BA POTASSIUM

A12BA01 POTASSIUM CHLORIDE Micro-K 8mEq Extencap DNP SFC 02042304 PAL

potassium chloride 1.33mEq/mL o/l pms-Potassium Chloride 20mEq/15mL DNP MRP SFC 02238604 PMS K-10 Sol 20mEq/15mL DNP MRP SFC 01918303 GSK

Slow-K 8mEq Tab DNP SFC 00074225 NVR K-Dur 20mEq Tab DNP SFC 00713376 SCH

A12BA02 POTASSIUM CITRATE

K-Lyte 25mEq Eff Tab DNP SFC 02085992 WLS

A12C OTHER MINERAL SUPPLEMENTS

A12CC MAGNESIUM

A12CC99 MAGNESIUM GLUCOHEPTONATE Jamp-Magnesium 5mg/mL O/L DNP E 80009357 JPC Magnesium-Odan 5mg/mL O/L DNP E 80004109 ODN Rougier-Magnesium 5mg/mL O/L DNP E 00026697 ROG

A12CX OTHER MINERAL PRODUCTS

A12CX99 SODIUM PHOSPHATE Phosphate-Novartis 500mg Eff Tab DNP SF 00225819 NVR

A14 ANABOLIC AGENTS FOR SYSTEMIC USE A14A ANABOLIC STEROIDS

A14AB ESTREN DERIVATIVES

A14AB01 NANDROLONE Deca-Durabolin 100mg/mL Inj D SFC 00270687 SCH

A16 OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS A16A OTHER ALIMENTARY TRACT AND METABOLISM PRODUCTS

A16AA AMINO ACIDS AND DERIVATIVES

A16AA01 LEVOCARNITINE Carnitor 1g/5mL Inj DNP E 02144344 LYP Carnitor 100mg/mL O/L DNP E 02144336 LYP Carnitor 330mg Tab DNP E 02144328 LYP

A16AA06 BETAINE

Cystadane 1g Powder for Oral Sol 02238526 ORP

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October 2011 Alimentary Tract and Metabolism – 18

A16AB ENZYMES

A16AB05 LARONIDASE Aldurazyme 0.58mg/mL Inj 02254506 GZM

A16AB07 ALGLUCOSIDASE ALFA

Myozyme 50mg Pdr for Inj DNP E 02284863 GZM

A16AB09 IDURSULFASE Elaprase 2mg/mL Inj 02296314 PAL

A16AX VARIOUS ALIMENTARY TRACT AND METABOLISM PRODUCTS

A16AX02 ANETHOLE TRITHONE Sialor 25mg Tab (discontinued)

A16AX06 MIGLUSTAT

Zavesca 100mg Cap 02250519 ACT

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October 2011 Blood and Blood Forming Organs – 19

B01 ANTITHROMBOTIC AGENTS B01A ANTITHROMBOTIC AGENTS

B01AA VITAMIN K ANTAGONISTS

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

warfarin 2mg tab Apo-Warfarin 2mg Tab DNP MRP SFC 02242925 APX MYLAN-Warfarin 2mg Tab DNP MRP SFC 02244463 MYL Novo-Warfarin 2mg Tab DNP MRP SFC 02265281 TEV Taro-Warfarin 2mg Tab DNP MRP SFC 02242681 TAR Warfarin 2mg Tab DNP MRP SFC 02344033 SAS Coumadin 2mg Tab DNP MRP SFC 01918338 BRI

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

warfarin 3mg tab Apo-Warfarin 3mg Tab DNP MRP SFC 02245618 APX MYLAN-Warfarin 3mg Tab DNP MRP SFC 02287498 MYL Novo-Warfarin 3mg Tab DNP MRP SFC 02265311 TEV Taro-Warfarin 3mg Tab DNP MRP SFC 02242683 TAR Warfarin 3mg Tab DNP MRP SFC 02344068 SAS Coumadin 3mg Tab DNP MRP SFC 02240205 BRI

warfarin 4mg tab Apo-Warfarin 4mg Tab DNP MRP SFC 02242927 APX MYLAN-Warfarin 4mg Tab DNP MRP SFC 02244465 MYL Novo-Warfarin 4mg Tab DNP MRP SFC 02265338 TEV Taro-Warfarin 4mg Tab DNP MRP SFC 02242684 TAR Warfarin 4mg Tab DNP MRP SFC 02344076 SAS Coumadin 4mg Tab DNP MRP SFC 02007959 BRI

warfarin 5mg tab Apo-Warfarin 5mg Tab DNP MRP SFC 02242928 APX MYLAN-Warfarin 5mg Tab DNP MRP SFC 02244466 MYL Novo-Warfarin 5mg Tab DNP MRP SFC 02265346 TEV Taro-Warfarin 5mg Tab DNP MRP SFC 02242685 TAR Warfarin 5mg Tab DNP MRP SFC 02344084 SAS Coumadin 5mg Tab DNP MRP SFC 01918354 BRI

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

warfarin 7.5mg tab MYLAN-Warfarin 7.5mg Tab DNP MRP SFC 02287528 MYL Taro-Warfarin 7.5mg Tab DNP MRP SFC 02242697 TAR Warfarin 7.5mg Tab DNP MRP SFC 02344106 SAS

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October 2011 Blood and Blood Forming Organs – 20

warfarin 10mg tab Apo-Warfarin 10mg Tab DNP MRP SFC 02242929 APX MYLAN-Warfarin 10mg Tab DNP MRP SFC 02244467 MYL Taro-Warfarin 10mg Tab DNP MRP SFC 02242687 TAR Warfarin 10mg Tab DNP MRP SFC 02344114 SAS Coumadin 10mg Tab DNP MRP SFC 01918362 BRI

B01AA07 ACENOCOUMAROL

Sintrom 1mg Tab DNP SFC 00010383 PAL Sintrom 4mg Tab DNP SFC 00010391 PAL

B01AB HEPARIN GROUP

B01AB01 HEPARIN Heparin 100iu/mL USP Inj DNP SFC 00725315 HOS Heparin 100iu/mL Inj DNP SFC 00727520 LEO Heparin 1,000iu/mL Inj DNP SFC 00453811 LEO Heparin 10,000iu/mL Inj DNP SFC 00579718 LEO Heparin 25,000iu/mL Inj DNP SFC 00453781 LEO

B01AB04 DALTEPARIN

Fragmin 2,500iu [anti-Xa] 0.2/mL Syringe Inj DNP SFC 02132621 PFI Fragmin 5,000iu [anti-Xa] 0.2/mL Syringe Inj DNP SFC 02132648 PFI Fragmin 7,500iu [anti-Xa] 0.3/mL Syringe Inj DNP SFC 02352648 PFI Fragmin 10,000iu [anti-Xa] 0.4/mL Syringe Inj DNP SFC 02352656 PFI Fragmin 12,500iu [anti-Xa] 0.5/mL Syringe Inj DNP SFC 02352664 PFI Fragmin 15,000iu [anti-Xa] 0.6/mL Syringe Inj DNP SFC 02352672 PFI Fragmin 18,000iu [anti-Xa] 0.72/mL Syringe Inj DNP SFC 02352680 PFI Fragmin 10,000iu [anti-Xa]/mL Amp Inj DNP SFC 02132664 PFI Fragmin 25,000iu [anti-Xa]/mL Vial Inj DNP SFC 02231171 PFI

B01AB05 ENOXAPARIN

Lovenox 30mg/0.3mL Syringe Inj DNP SFC 02012472 SAV Lovenox 100mg/mL Syringe Inj DNP SFC 02236883 SAV Lovenox 100mg/mL Vial Inj DNP SFC 02236564 SAV Lovenox HP 150mg/mL Syringe Inj DNP SFC 02242692 SAV

B01AB10 TINZAPARIN

Innohep 2,500iu, 0.25mL DNP SFC 02229755 LEO Innohep 3,500iu, 0.35mL DNP SFC 02358158 LEO Innohep 4,500iu, 0.45mL DNP SFC 02358166 LEO Innohep 10,000iu, 0.5mL DNP SFC 02231478 LEO Innohep 14,000iu, 0.7mL DNP SFC 02358174 LEO Innohep 18,000iu, 0.9mL DNP SFC 02358182 LEO

B01AC PLATELET AGGREGATION INHIBITORS EXCLUDING HEPARIN

B01AC04 CLOPIDOGREL Plavix 75mg Tab DNP E 02238682 BRI

B01AC05 TICLOPIDINE

ticlopidine 250mg tab Apo-Ticlopidine 250mg Tab DNP MRP E 02237701 APX MYLAN-Ticlopidine 250mg Tab DNP MRP E 02239744 MYL Novo-Ticlopidine 250mg Tab DNP MRP E 02236848 TEV Ticlopidine 250mg Tab DNP MRP E 02343045 SAS Sandoz Ticlopidine 250mg Tab (discontinued) Ticlid 250mg Tab (discontinued)

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October 2011 Blood and Blood Forming Organs – 21

B01AC07 DIPYRIDAMOLE dipyridamole 25mg tab Apo-Dipyridamole-FC 25mg Tab DNP MRP SF 00895644 APX Persantine 25mg Tab (discontinued)

dipyridamole 50mg tab Apo-Dipyridamole-FC 50mg Tab DNP MRP SF 00895652 APX Persantine 50mg Tab DNP MRP SF 00067393 BOE

dipyridamole 75mg tab Apo-Dipyridamole-FC 75mg Tab DNP MRP SF 00895660 APX Persantine 75mg Tab DNP MRP SF 00452092 BOE

B01AC21 TREPROSTINIL

Remodulin 1mg/mL Inj 02246552 UTC Remodulin 2.5mg/mL Inj 02246553 UTC Remodulin 5mg/mL Inj 02246554 UTC Remodulin 10mg/mL Inj 02246555 UTC

B01AC22 PRASUGREL Effient 10mg Tab 02349124 NVR

B01AC30 PLATELET AGGREGATION INHIBITORS, COMBINATIONS Aggrenox 200/25mg Cap DNP E 02242119 BOE

B01AE DIRECT THROMBIN INHIBITORS

B01AE07 DABIGATRAN ETEXILATE Pradax 75mg Cap 02312433 BOE Pradax 110mg Cap 02312441 BOE

B01AX OTHER ANTITHROMBOTIC AGENTS

B01AX05 FONDAPARINUX Arixtra 2.5mg/0.5mL Inj 02245531 GSK

B01AX06 RIVAROXABAN

Xarelto 10mg Tab DNP E 02316986 BAY B02 ANTIHEMORRHAGICS B02A ANTIFIBRINOLYTICS

B02AA AMINO ACIDS

B02AA02 TRANEXAMIC ACID tranexamic acid 100mg/mL inj Tranexamic Acid 100mg/mL Inj 02246365 SDZ Cyklokapron 100mg/mL Inj 02064413 PFI

Cyklokapron 500mg Tab DNP SF 02064405 PFI

B02B VITAMIN K AND OTHER HEMOSTATICS

B02BA VITAMIN K

B02BA01 PHYTONADIONE Vitamin K1 2mg/mL Inj DNPM SF 00781878 SDZ Vitamin K1 10mg/mL Inj DNPM SF 00804312 SDZ

B02BX04 ROMIPLOSTIM Nplate 250ug/0.5mL Inj 02322854 AGA Nplate 500ug/mL Inj 02322862 AGA

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October 2011 Blood and Blood Forming Organs – 22

B03 ANTIANEMIC PREPARATIONS B03A IRON PREPARATIONS

B03AA IRON BIVALENT, ORAL PREPARATIONS

B03AA02 FERROUS FUMARATE Palafer 300mg Cap 01923420 GCH Palafer 300mg/5mL Susp 01923439 GCH

B03AA03 FERROUS GLUCONATE

ferrous gluconate 300mg tab APC-Ferrous Gluconate 300mg Tab 00545031 APX Apo-Ferrous Gluconate 300mg Tab 00545031 APX Novo-Ferrogluc 300mg Tab (discontinued) 00021458 TEV Novo-Ferrogluc 300mg Tab 80000435 TEV

B03AA07 FERROUS SULFATE

pms-Ferrous Sulfate 75mg/0.6mL Drops 02222574 PMS Fer-In-Sol 150mg/5mL Syrup 00017884 MJO Slow Fe 160mg Tab 00623520 NNC

B03AC IRON TRIVALENT, PARENTERAL PREPARATIONS

B03AC01 DEXTRIFERRON (IRON DEXTRAN) DexIron 50mg/mL Inj DNP SFC 02205963 MYL Infufer 50mg/mL Inj DNP SFC 02221780 SDZ

B03AC02 SACCHARATED IRON OXIDE

Venofer 20mg/mL Inj DNP E 02243716 MYL B03AD IRON IN COMBINATION WITH FOLIC ACID

B03AD03 FERROUS SULFATE Slow-Fe Folic Tab 00795208 NNC

B03AE IRON IN OTHER COMBINATIONS

B03AE02 IRON, MULTIVITAMINS AND FOLIC ACID Palafer CF Cap 01923455 GCH

B03AE04 IRON, MULTIVITAMINS AND MINERALS

PregVit Tab 02246067 DUI

B03B VITAMIN B12 AND FOLIC ACID

B03BA VITAMIN B12 (CYANOCOBALAMIN AND DERIVATIVES)

B03BA01 CYANOCOBALAMIN cyanocobalamin 100mcg/mL inj Vitamin B12 100mcg/mL Inj DNP MRP E 02241500 SDZ Vitamin B12 100mcg/mL Inj (discontinued) HOS

Cyanocobalamin 1,000mcg/mL Inj DNP E 01987003 CYI Vitamin B12 1,000mcg/mL Inj DNP E 00521515 SDZ Vitamin B12 250mcg Tab 00502758 SWS Vitamin B12 500mcg Tab DNP SE 00689726 SWS Vitamin B12 1,000mcg Tab DNP SE 02237736 SWS

B03BA51 CYANOCOBALAMIN, COMBINATIONS

Vitamin B12 1,000mcg Tab w Folic Acid DNP SE 02243119 SWS B03BB FOLIC ACID AND DERIVATIVES

B03BB01 FOLIC ACID Folic Acid 5mg/mL Inj DNPM SFC 00816086 SDZ Folic Acid 1mg Tab 00687138 SWS Folic Acid 1mg Tab 02236747 WAM Apo-Folic Acid 5mg Tab DNPM SFC 00426849 APX

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October 2011 Blood and Blood Forming Organs – 23

B03X OTHER ANTIANEMIC PREPARATIONS

B03XA OTHER ANTIANEMIC PREPARATIONS

B03XA01 ERYTHROPOIETIN Eprex 1,000iu/0.5mL Syringe Inj DNP E 02231583 JAN Eprex 2,000iu/0.5mL Syringe Inj DNP E 02231584 JAN Eprex 3,000iu/0.3mL Syringe Inj DNP E 02231585 JAN Eprex 4,000iu/0.4mL Syringe Inj DNP E 02231586 JAN Eprex 5,000iu/0.5mL Syringe Inj DNP E 02243400 JAN Eprex 6,000iu/0.6mL Syringe Inj DNP E 02243401 JAN Eprex 8,000iu/0.8mL Syringe Inj DNP E 02243403 JAN Eprex 10,000iu/mL Syringe Inj DNP E 02231587 JAN Eprex 20,000iu/0.5mL Syringe Inj DNP E 02243239 JAN Eprex 30,000iu/0.75mL Syringe Inj DNP E 02288680 JAN Eprex 40,000iu/mL Syringe Inj DNP E 02240722 JAN Eprex 20,000iu/mL Multidose vial (discontinued)

B03XA02 DARBEPOETIN

Aranesp 25mcg/mL Syringe Inj DNP E 02246354 AGA Aranesp 40mcg/mL Syringe Inj DNP E 02246355 AGA Aranesp 100mcg/mL Syringe Inj DNP E 02246357 AGA Aranesp 200mcg/mL Syringe Inj DNP E 02246358 AGA Aranesp 500mcg/mL Syringe Inj DNP E 02246360 AGA

B05 BLOOD SUBSTITUTES AND PERFUSION SOLUTIONS B05B I.V. SOLUTIONS

B05BA SOLUTIONS FOR PARENTERAL NUTRITION

B05BA03 CARBOHYDRATES Dextrose 50% Inj DNPM SF 00037974 HOS

B05C IRRIGATING SOLUTIONS

B05CA ANTIINFECTIVES

B05CA10 ANTIINFECTIVES, COMBINATIONS Neosporin Irrigating Sol DNP SF 00666157 GSK

B05CB SALT SOLUTIONS

B05CB01 SODIUM CHLORIDE Sodium Chloride Irr Sol DNP SF 00786160 BAX

B05X I.V. SOLUTION ADDITIVES

B05XA ELECTROLYTE SOLUTIONS

B05XA03 SODIUM CHLORIDE Sodium Chloride 9mg/mL Inj DNPM SFC 00037796 HOS Sodium Chloride 9mg/mL Inj DNPM SFC 00624748 AZE Sodium Chloride 146mg/mL Inj DNPM SFC 00262005 HOS

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October 2011 Blood and Blood Forming Organs – 24

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October 2011 Cardiovascular System – 25

C01 CARDIAC THERAPY C01A CARDIAC GLYCOSIDES

C01AA DIGITALIS GLYCOSIDES

C01AA05 DIGOXIN digoxin 0.05mg/mL inj Digoxin 0.05mg/mL Inj 02048272 SDZ Lanoxin 0.05mg/mL Inj (discontinued)

digoxin 0.25mg/mL inj Digoxin 0.25mg/mL Inj 02048264 SDZ Lanoxin 0.25mg/mL Inj (discontinued)

Lanoxin 0.05mg/mL Elx DNP SF 02242320 PMS

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

digoxin 0.125mg tab Toloxin 0.125mg Tab DNP MRP SF 02335719 MMT Lanoxin 0.125mg Tab (discontinued)

digoxin 0.25mg tab Toloxin 0.25mg Tab DNP MRP SF 02335727 MMT Lanoxin 0.25mg Tab (discontinued)

C01B ANTIARRHYTHMICS, CLASS I AND III

C01BA ANTIARRHYTHMICS, CLASS IA

C01BA02 PROCAINAMIDE procainamide 100mg/mL inj Procainamide 100mg/mL Inj 02184486 SDZ Pronestyl 100mg/mL Inj (discontinued)

Procan SR 250mg Tab DNP SF 00638692 ERF Procan SR 500mg Tab DNP SF 00638676 ERF Procan SR 750mg Tab DNP SF 00638684 ERF

C01BA03 DISOPYRAMIDE

Rythmodan 100mg Cap DNP SF 02224801 SAV Rythmodan 150mg Cap DNP SF 02224828 SAV Rythmodan-LA 250mg Tab (discontinued)

C01BB ANTIARRHYTHMICS, CLASS IB

C01BB02 MEXILETINE mexiletine 100mg cap Novo-Mexiletine 100mg Cap DNP MRP SF 02230359 TEV Mexitil 100mg Cap (discontinued)

mexiletine 200mg cap Novo-Mexiletine 200mg Cap DNP MRP SF 02230360 TEV Mexitil 200mg Cap (discontinued)

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October 2011 Cardiovascular System – 26

C01BC ANTIARRHYTHMICS, CLASS IC

C01BC03 PROPAFENONE propafenone 150mg tab Apo-Propafenone 150mg Tab DNP MRP SF 02243324 APX MYLAN-Propafenone 150mg Tab DNP MRP SF 02245372 MYL pms-Propafenone 150mg Tab DNP MRP SF 02294559 PMS Propafenone 150mg Tab DNP MRP SF 02343053 SAS Rythmol 150mg Tab DNP MRP SF 00603708 ABB

propafenone 300mg tab Apo-Propafenone 300mg Tab DNP MRP SF 02243325 APX MYLAN-Propafenone 300mg Tab DNP MRP SF 02245373 MYL pms-Propafenone 300mg Tab DNP MRP SF 02294575 PMS Propafenone 300mg Tab DNP MRP SF 02343061 SAS Rythmol 300mg Tab DNP MRP SF 00603716 ABB

C01BC04 FLECAINIDE

flecainide 50mg tab Flecainide 50mg Tab DNP MRP SF 02275538 AAP Tambocor 50mg Tab DNP MRP SF 01966197 GWP

flecainide 100mg tab Flecainide 100mg Tab DNP MRP SF 02275546 AAP Tambocor 100mg Tab DNP MRP SF 01966200 GWP

C01BD ANTIARRHYTHMICS, CLASS III

C01BD01 AMIODARONE amiodarone HCl 50mg/mL inj Amiodarone 50mg/mL Inj 02242325 SDZ Cordarone 50mg/mL Inj (discontinued)

pms-Amiodarone 100mg Tab DNP SF 02292173 PMS

amiodarone 200mg tab Amiodarone 200mg Tab DNP MRP SF 02364336 SAS Apo-Amiodarone 200mg Tab DNP MRP SF 02246194 APO MYLAN-Amiodarone 200mg Tab DNP MRP SF 02240604 MYL Novo-Amiodarone 200mg Tab DNP MRP SF 02239835 TEV phl-Amiodarone 200mg Tab DNP MRP SF 02245781 PHL pms-Amiodarone 200mg Tab DNP MRP SF 02242472 PMS ratio-Amiodarone 200mg Tab DNP MRP SF 02240071 TEV Sandoz Amiodarone 200mg Tab DNP MRP SF 02243836 SDZ Cordarone 200mg Tab DNP MRP SF 02036282 PFI

C01BD02 BRETYLIUM TOSYLATE

bretylium tosylate 50mg/mL inj Bretylium Tosylate 50mg/mL Inj 02185377 SDZ Bretylate 50mg/mL Inj (discontinued)

C01BD07 DRONEDARONE Multaq 400mg Tab 02330989 SAV

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October 2011 Cardiovascular System – 27

C01C CARDIAC STIMULANTS EXCLUDING CARDIAC GLYCOSIDES

C01CA ADRENERGIC AND DOPAMINERGIC AGENTS

C01CA03 NOREPINEPHRINE norepinephrine 1mg/mL inj Norepinephrine Bitartrate 1mg/mL Inj 00893285 SDZ Levophed 1mg/mL Inj 02241981 HOS

C01CA06 PHENYLEPHRINE

phenylephrine 10mg/mL inj Phenylephrine 10mg/mL Inj DNP MRP SF 01953583 SDZ Neo-Synephrine 10mg/mL Inj DNP MRP SF 02241980 HOS

C01CA07 DOBUTAMINE

dobutamine 12.5mg/mL inj Dobutamine 12.5mg/mL Inj DNP SF 02242010 SDZ Dobutrex 12.5mg/mL Inj (discontinued)

C01CA17 MIDODRINE

midodrine 2.5mg tab Midodrine 2.5mg Tab DNP SF 02278677 AAP Amatine 2.5mg Tab (discontinued)

midodrine 5mg tab Midodrine 5mg Tab DNP SF 02278685 AAP Amatine 5mg Tab (discontinued)

C01CA24 EPINEPHRINE

Epinephrine 1:1000 Inj DNPM SF 00721891 HOS Epipen Jr. 1:2000 (0.15mg/dose) Inj DNPM SF4 00578657 KNG Epipen 1:1000 (0.3mg/dose) Inj DNPM SF4 00509558 KNG Twinject 0.15mg Auto-Injector DNPM SF4 02268205 PAL Twinject 0.3mg Auto-Injector DNPM SF4 02247310 PAL

C01D VASODILATORS USED IN CARDIAC DISEASES

C01DA ORGANIC NITRATES

C01DA02 NITROGLYCERIN (GLYCERYL TRINITRATE) Nitroglycerin 5mg/mL Inj DNPM SF 00860778 SDZ Nitrol 2% Oint DNPM SF 01926454 PAL Minitran 0.2mg/hr Patch DNPM SF 02162806 GWP Nitro-Dur 0.2mg/hr Patch DNPM SF 01911910 SCH Transderm-Nitro 0.2mg/hr Patch DNPM SF 00584223 NVR Trinipatch 0.2mg/hr Patch DNPM SF 02230732 PAL Minitran 0.4mg/hr Patch DNPM SF 02163527 GWP Nitro-Dur 0.4mg/hr Patch DNPM SF 01911902 SCH Transderm-Nitro 0.4mg/hr Patch DNPM SF 00852384 NVR Trinipatch 0.4mg/hr Patch DNPM SF 02230733 PAL Minitran 0.6mg/hr Patch DNPM SF 02163535 GWP Nitro-Dur 0.6mg/hr Patch DNPM SF 01911929 SCH Transderm-Nitro 0.6mg/hr Patch DNPM SF 02046156 NVR Trinipatch 0.6mg/hr Patch DNPM SF 02230734 PAL Nitro-Dur 0.8mg/hr Patch DNPM SF 02011271 SCH

nitroglycerin 0.4mg/dose pumpspray Rho-Nitro Pumpspray 0.4mg/dose DNPM MRP SF 02238998 SDZ Nitrolingual Pumpspray 0.4mg/dose DNPM MRP SF 02231441 SAV

MYLAN-Nitro 0.4mg/dose SL Spray DNPM SF 02243588 MYL Nitrostat 0.3mg Tab DNPM SF 00037613 PFI Nitrostat 0.6mg Tab DNPM SF 00037621 PFI

4 Epipen and Twinject have a quantity limit of two injections per fiscal year. The prescriber may submit a request to the Pharmacare

office for consideration should beneficiaries require more than two injections per fiscal year.

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October 2011 Cardiovascular System – 28

C01DA08 ISOSORBIDE DINITRATE isosorbide dinitrate 5mg SL tab ISDN 5mg Tab DNP MRP SF 00670944 AAP Isordil Sublingual 5mg Tab (discontinued)

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

isosorbide dinitrate 30mg tab ISDN 30mg Tab DNP MRP SF 00441694 AAP Isordil 30mg Tab (discontinued)

C01DA14 ISOSORBIDE MONONITRATE

isosorbide mononitrate 60mg SR tab Apo-ISMN 60mg Tab DNP MRP SF 02272830 APX pms-ISMN 60mg SR Tab DNP MRP SF 02301288 PMS Imdur 60mg ER Tab DNP MRP SF 02126559 AZE

C02 ANTIHYPERTENSIVES C02A ANTIADRENERGIC AGENTS, CENTRALLY ACTING

C02AB METHYLDOPA

C02AB02 METHYLDOPA (RACEMIC) methyldopa 125mg tab Methyldopa 125mg Tab DNP MRP SF 00360252 AAP Aldomet 125mg Tab (discontinued)

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

methyldopa 500mg tab Methyldopa 500mg Tab DNP MRP SF 00426830 AAP Aldomet 500mg Tab (discontinued)

C02AC IMIDAZOLINE RECEPTOR AGONISTS

C02AC01 CLONIDINE clonidine HCl 0.025mg tab Apo-Clonidine 0.025mg Tab DNP MRP SF 02248732 APX Clonidine 0.025mg Tab DNP MRP SF 02361299 SAS Novo-Clonidine 0.025mg Tab DNP MRP SF 02304163 TEV Dixarit 0.025mg Tab DNP MRP SF 00519251 BOE

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

clonidine HCl 0.2mg tab Apo-Clonidine 0.2mg Tab DNP MRP SF 00868957 APX Clonidine 0.2mg Tab DNP MRP SF 02361310 SAS Novo-Clonidine 0.2mg Tab DNP MRP SF 02046148 TEV Nu-Clonidine 0.2mg Tab DNP MRP SF 01913220 NXP Catapres 0.2mg Tab DNP MRP SF 00291889 BOE

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C02C ANTIADRENERGIC AGENTS, PERIPHERALLY ACTING

C02CA ALPHA-ADRENOCEPTOR ANTAGONISTS

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

prazosin HCl 2mg tab Apo-Prazo 2mg Tab DNP MRP SF 00882828 APX Novo-Prazin 2mg Tab DNP MRP SF 01934201 TEV Nu-Prazo 2mg Tab DNP MRP SF 01913808 NXP Minipres 2mg Tab (discontinued)

prazosin HCl 5mg tab Apo-Prazo 5mg Tab DNP MRP SF 00882836 APX Novo-Prazin 5mg Tab DNP MRP SF 01934228 TEV Nu-Prazo 5mg Tab DNP MRP SF 01913816 NXP Minipres 5mg Tab (discontinued)

C02CA04 DOXAZOSIN

doxazosin 1mg tab Apo-Doxazosin 1mg Tab DNP MRP SF 02240588 APX MYLAN-Doxazosin 1mg Tab DNP MRP SF 02240498 MYL Novo-Doxazosin 1mg Tab DNP MRP SF 02242728 TEV pms-Doxazosin 1mg Tab DNP MRP SF 02244527 PMS Cardura-1 1mg Tab DNP MRP SF 01958100 PFI

doxazosin 2mg tab Apo-Doxazosin 2mg Tab DNP MRP SF 02240589 APX MYLAN-Doxazosin 2mg Tab DNP MRP SF 02240499 MYL Novo-Doxazosin 2mg Tab DNP MRP SF 02242729 TEV pms-Doxazosin 2mg Tab DNP MRP SF 02244528 PMS Cardura-2 2mg Tab DNP MRP SF 01958097 PFI

doxazosin 4mg tab Apo-Doxazosin 4mg Tab DNP MRP SF 02240590 APX MYLAN-Doxazosin 4mg Tab DNP MRP SF 02240500 MYL Novo-Doxazosin 4mg Tab DNP MRP SF 02242730 TEV pms-Doxazosin 4mg Tab DNP MRP SF 02244529 PMS Cardura-4 4mg Tab DNP MRP SF 01958119 PFI

C02D ARTERIOLAR SMOOTH MUSCLE, AGENTS ACTING ON

C02DB HYDRAZINOPHTHALAZINE DERIVATIVES

C02DB02 HYDRALAZINE Apresoline 20mg/mL Inj DNP SF 00723754 STR

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

hydralazine HCl 25mg tab Apo-Hydralazine 25mg Tab DNP SF 00441627 APX Apresoline 25mg Tab (discontinued)

hydralazine HCl 50mg tab Apo-Hydralazine 50mg Tab DNP SF 00441635 APX Apresoline 50mg Tab (discontinued)

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October 2011 Cardiovascular System – 30

C02DC PYRIMIDINE DERIVATIVES

C02DC01 MINOXIDIL Loniten 2.5mg Tab DNP SF 00514497 PFI Loniten 10mg Tab DNP SF 00514500 PFI

C02K OTHER ANTIHYPERTENSIVES

C02KX OTHER ANTIHYPERTENSIVES

C02KX01 BOSENTAN Tracleer 62.5mg Tab DNP E 02244981 ACT Tracleer 125mg Tab DNP E 02244982 ACT

C02KX02 AMBRISENTAN

Volibris 5mg Tab DNP E 02307065 GSK Volibris 10mg Tab DNP E 02307073 GSK

C02KX03 SITAXENTAN

Thelin 100mg Cap 02295636 PFI C03 DIURETICS C03A LOW-CEILING DIURETICS, THIAZIDES

C03AA THIAZIDES, PLAIN

C03AA03 HYDROCHLOROTHIAZIDE

hydrochlorothiazide 12.5mg tab Apo-Hydro 12.5mg Tab DNP MRP SF 02327856 APX pms-Hydrochlorothiazide 12.5mg Tab DNP MRP SF 02274086 PMS

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

hydrochlorothiazide 50mg tab Apo-Hydro 50mg Tab DNP MRP SF 00312800 APX Novo-Hydrazide 50mg Tab DNP MRP SF 00021482 TEV pms-Hydrochlorothiazide 50mg Tab DNP MRP SF 02247387 PMS Hydrodiuril 50mg Tab (discontinued)

hydrochlorothiazide 100mg tab Apo-Hydro 100mg Tab DNP MRP SF 00644552 APX Hydrodiuril 100mg Tab (discontinued)

C03B LOW-CEILING DIURETICS, EXCLUDING THIAZIDES

C03BA SULFONAMIDES, PLAIN

C03BA04 CHLORTHALIDONE Chlorthalidone 50mg Tab DNP SF 00360279 AAP

C03BA08 METOLAZONE

Zaroxolyn 2.5mg Tab DNP SF 00888400 SAV

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October 2011 Cardiovascular System – 31

C03BA11 INDAPAMIDE indapamide 1.25mg tab Apo-Indapamide 1.25mg Tab 02245246 APX MYLAN-Indapamide 1.25mg Tab 02240067 MYL pms-Indapamide 1.25mg Tab 02239619 PMS Lozide 1.25mg Tab 02179709 SEV

indapamide 2.5mg tab Apo-Indapamide 2.5mg Tab 02223678 APX MYLAN-Indapamide 2.5mg Tab 02153483 MYL Novo-Indapamide 2.5mg Tab 02231184 TEV Nu-Indapamide 2.5mg Tab 02223597 NXP pms-Indapamide 2.5mg Tab 02239620 PMS Lozide 2.5mg Tab 00564966 SEV

C03C HIGH-CELING DIURETICS

C03CA SULFONAMIDES, PLAIN

C03CA01 FUROSEMIDE Furosemide 10mg/mL Inj DNP SF 00527033 SDZ Lasix 10mg/mL Sol DNP SF 02224720 SAV

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

furosemide 40mg tab Apo-Furosemide 40mg Tab DNP MRP SF 00362166 APX Furosemide 40mg Tab DNP MRP SF 02351439 SAS Novo-Semide 40mg Tab DNP MRP SF 00337749 TEV Lasix 40mg Tab DNP MRP SF 02224704 SAV

furosemide 80mg tab Apo-Furosemide 80mg Tab DNP MRP SF 00707570 APX Furosemide 80mg Tab DNP MRP SF 02351447 SAS Novo-Semide 80mg Tab DNP MRP SF 00765953 TEV Lasix 80mg Tab (discontinued)

Lasix Special 500mg Tab DNP SF 02224755 SAV

C03CA02 BUMETANIDE

Burinex 1mg Tab DNP SF 00728284 LEO Burinex 5mg Tab DNP SF 00728276 LEO

C03CC ARYLOXYACETIC ACID DERIVATIVES

C03CC01 ETACRYNIC ACID Edecrin 25mg Tab DNP SF 02258528 VAL

C03D POTASSIUM-SPARING AGENTS

C03DA ALDOSTERONE ANTAGONISTS

C03DA01 SPIRONOLACTONE spironolactone 25mg tab Novo-Spiroton 25mg Tab DNP MRP SF 00613215 TEV Aldactone 25mg Tab DNP MRP SF 00028606 PFI

spironolactone 100mg tab Novo-Spiroton 100mg Tab DNP MRP SF 00613223 TEV Aldactone 100mg Tab DNP MRP SF 00285455 PFI

C03DA04 EPLERENONE Inspra 25mg Tab 02323052 PFI Inspra 50mg Tab 02323060 PFI

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October 2011 Cardiovascular System – 32

C03DB OTHER POTASSIUM-SPARING AGENTS

C03DB01 AMILORIDE amiloride 5mg tab Apo-Amiloride 5mg Tab DNP MRP SF 02249510 AAP Midamor 5mg Tab (discontinued)

C03E DIURETICS AND POTASSIUM-SPARING AGENTS IN COMBINATION

C03EA LOW-CEILING DIURETICS AND POTASSIUM-SPARING AGENTS

C03EA01 HYDROCHLOROTHIAZIDE AND POTASSIUM-SPARING AGENTS hydrochlorothiazide 50mg & amiloride HCl 5mg tab Apo-Amilzide 5-50 Tab DNP MRP SF 00784400 APX MYLAN-Amilazide 5/50 Tab DNP MRP SF 02257378 MYL Novamilor 5/50 Tab DNP MRP SF 01937219 TEV Nu-Amilzide 5/50 Tab DNP MRP SF 00886106 NXP Moduret 5/50 Tab (discontinued)

hydrochlorothiazide 25mg & spironolactone 25mg tab Novo-Spirozine 25mg Tab DNP MRP SF 00613231 TEV Aldactazide 25mg Tab DNP MRP SF 00180408 PFI

hydrochlorothiazide 50mg & spironolactone 50mg tab Novo-Spirozine 50mg Tab DNP MRP SF 00657182 TEV Aldactazide 50mg Tab DNP MRP SF 00594377 PFI

hydrochlorothiazide 25mg & triamterene 50mg tab Apo-Triazide 50-25 Tab DNP MRP SF 00441775 APX Novo-Triamzide 50/25 Tab DNP MRP SF 00532657 TEV Nu-Triazide 50/25 Tab DNP MRP SF 00865532 NXP Dyazide 50/25 Tab (discontinued)

C04 PERIPHERAL VASODILATORS C04A PERIPHERAL VASODILATORS

C04AB IMIDAZOLINE DERIVATIVES

C04AB01 PHENTOLAMINE Phentolamine Mesylate 5mg/mL Inj 02243737 SDZ

C04AD PURINE DERIVATIVES

C04AD03 PENTOXIFYLLINE pentoxifylline 400mg tab Apo-Pentoxifylline SR 400mg Tab DNP MRP E 02230090 APX Trental 400mg Tab DNP MRP E 02221977 SAV Nu-Pentoxifylline SR 400mg Tab (discontinued)

C04AE ERGOT ALKALOIDS

C04AE01 ERGOLOID MESYLATES Hydergine 1mg Tab 00176176 STR

C05 VASOPROTECTIVES C05A AGENTS FOR TREATMENT OF HEMORRHOIDS AND ANAL FISSURES FOR TOPICAL USE

C05AA CORTICOSTEROIDS

C05AA01 HYDROCORTISONE hydrocortisone 0.5% oint Anodan-HC Oint DNPM MRP SF 02128446 ODN Sandoz Anuzinc HC Oint DNPM MRP SF 02247691 SDZ Anusol-HC Oint DNPM MRP SF 00505773 JNJ

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October 2011 Cardiovascular System – 33

hydrocortisone 10mg supp Anodan-HC Supp DNPM MRP SF 02236399 ODN Sandoz Anuzinc HC Supp DNPM MRP SF 02242798 SDZ Anusol-HC Supp DNPM MRP SF 00476285 JNJ

ratio-Hemcort HC Oint DNPM SF 00607789 TEV ratio-Hemcort HC Supp DNPM SF 00607797 TEV Proctofoam HC Aer DNPM SF 00363014 DUI

hydrocortisone, framycetin sulfate & cinchocaine HCl oint Proctol Oint DNPM MRP SF 02247322 ODN ratio-Proctosone Oint DNPM MRP SF 02226383 TEV Sandoz Proctomyxin HC Oint DNPM MRP SF 02242527 SDZ Proctosedyl Oint DNPM MRP SF 02223252 AXC

hydrocortisone, framycetin sulfate & cinchocaine HCl supp Proctol Supp DNPM MRP SF 02247882 ODN ratio-Proctosone Supp DNPM MRP SF 02226391 TEV Sandoz Proctomyxin HC Supp DNPM MRP SF 02242528 SDZ Proctosedyl Supp DNPM MRP SF 02223260 AXC

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

hydrocortisone, pramoxine supp Proctodan-HC Supp DNPM MRP SF 02240851 ODN Sandoz Anuzinc HC Plus Supp DNPM MRP SF 02242797 SDZ Anugesic-HC Supp DNPM MRP SF 00476242 JNJ

C05AD LOCAL ANESTHETICS

C05AD07 PRAMOXINE (PRAMOCAINE) Tronothane 1% Cr DNP SF 01963104 ABB

C05B ANTIVARICOSE THERAPY

C05BA HEPARINS OR HEPARINOIDS FOR TOPICAL USE

C05BA04 PENTOSAN POLYSULFATE SODIUM Elmiron 100mg Cap DNP SF 02029448 JAN

C07 BETA BLOCKING AGENTS C07A BETA BLOCKING AGENTS

C07AA BETA BLOCKING AGENTS, NON-SELECTIVE

C07AA03 PINDOLOL pindolol 5mg tab Apo-Pindol 5mg Tab DNP MRP SF 00755877 APX Novo-Pindol 5mg Tab DNP MRP SF 00869007 TEV Nu-Pindol 5mg Tab DNP MRP SF 00886149 NXP pms-Pindolol 5mg Tab DNP MRP SF 02231536 PMS Sandoz Pindolol 5mg Tab DNP MRP SF 02261782 SDZ Visken 5mg Tab DNP MRP SF 00417270 NVR

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

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October 2011 Cardiovascular System – 34

pindolol 15mg tab Apo-Pindol 15mg Tab DNP MRP SF 00755893 APX Novo-Pindol 15mg Tab DNP MRP SF 00869023 TEV Nu-Pindol 15mg Tab DNP MRP SF 00886130 NXP pms-Pindolol 15mg Tab DNP MRP SF 02231539 PMS Sandoz Pindolol 15mg Tab DNP MRP SF 02261804 SDZ Visken 15mg Tab DNP MRP SF 00417289 NVR

C07AA05 PROPRANOLOL

Inderal-LA 60mg Cap DNP SF 02042231 PFI Inderal-LA 80mg Cap DNP SF 02042258 PFI Inderal-LA 120mg Cap DNP SF 02042266 PFI Inderal-LA 160mg Cap DNP SF 02042274 PFI Propranolol HCL 1mg/mL Inj 02225883 SDZ

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

propranolol 20mg tab Apo-Propranolol 20mg Tab DNP MRP SF 00663719 APX Novo-Pranol 20mg Tab DNP MRP SF 00740675 TEV Inderal 20mg Tab (discontinued)

propranolol 40mg tab Apo-Propranolol 40mg Tab DNP MRP SF 00402753 APX Novo-Pranol 40mg Tab DNP MRP SF 00496499 TEV Inderal 40mg Tab (discontinued)

propranolol 80mg tab Apo-Propranolol 80mg Tab DNP MRP SF 00402761 APX Novo-Pranol 80mg Tab DNP MRP SF 00496502 TEV Inderal 80mg Tab (discontinued)

propranolol 120mg tab Apo-Propranolol 120mg Tab DNP MRP SF 00504335 APX Inderal 120mg Tab (discontinued)

C07AA06 TIMOLOL

timolol maleate 5mg tab Apo-Timol 5mg Tab DNP MRP SF 00755842 APX Novo-Timol 5mg Tab DNP MRP SF 01947796 TEV Nu-Timolol 5mg Tab DNP MRP SF 02044609 NXP Blocadren 5mg Tab (discontinued)

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

timolol maleate 20mg tab Apo-Timol 20mg Tab DNP MRP SF 00755869 APX Novo-Timol 20mg Tab DNP MRP SF 01947826 TEV Blocadren 20mg Tab (discontinued)

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C07AA07 SOTALOL sotalol 80mg tab Apo-Sotalol 80mg Tab DNP MRP SF 02210428 APX CO Sotalol 80mg Tab DNP MRP SF 02270625 COB MYLAN-Sotalol 80mg Tab DNP MRP SF 02229778 MYL Novo-Sotalol 80mg Tab DNP MRP SF 02231181 TEV Nu-Sotalol 80mg Tab DNP MRP SF 02200996 NXP pms-Sotalol 80mg Tab DNP MRP SF 02238326 PMS ratio-Sotalol 80mg Tab DNP MRP SF 02084228 TEV Sandoz Sotalol 80mg Tab DNP MRP SF 02257831 SDZ Sotacor 80mg Tab (discontinued)

sotalol 160mg tab Apo-Sotalol 160mg Tab DNP MRP SF 02167794 APX CO Sotalol 160mg Tab DNP MRP SF 02270633 COB MYLAN-Sotalol 160mg Tab DNP MRP SF 02229779 MYL Novo-Sotalol 160mg Tab DNP MRP SF 02231182 TEV Nu-Sotalol 160mg Tab DNP MRP SF 02163772 NXP pms-Sotalol 160mg Tab DNP MRP SF 02238327 PMS ratio-Sotalol 160mg Tab DNP MRP SF 02084236 TEV Sandoz Sotalol 160mg Tab DNP MRP SF 02257858 SDZ Sotacor 160mg Tab (discontinued)

C07AA12 NADOLOL nadolol 40mg tab Apo-Nadol 40mg Tab DNP MRP SF 00782505 APX Novo-Nadolol 40mg Tab DNP MRP SF 02126753 TEV Corgard 40mg Tab (discontinued)

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

nadolol 160mg tab Apo-Nadol 160mg Tab DNP MRP SF 00782475 APX Corgard 160mg Tab (discontinued)

C07AB BETA BLOCKING AGENTS, SELECTIVE

C07AB02 METOPROLOL Apo-Metoprolol 25mg Tab DNP SF 02246010 APX MYLAN-Metoprolol (Type L) 25mg Tab DNP SF 02302055 MYL pms-Metoprolol-L 25mg Tab DNP SF 02248855 PMS

metoprolol tartrate 50mg tab Apo-Metoprolol 50mg Tab DNP MRP SF 00618632 APX Apo-Metoprolol-L 50mg Tab DNP MRP SF 00749354 APX Metoprolol Film-Coated 50mg Tab DNP MRP SF 02350394 SAS MYLAN-Metoprolol (Type L) 50mg Tab DNP MRP SF 02174545 MYL Novo-Metoprol 50mg Tab (pink) DNP MRP SF 00648035 TEV Nu-Metop 50mg Tab DNP MRP SF 00865605 NXP pms-Metoprolol-L 50mg Tab DNP MRP SF 02230803 PMS Sandoz Metoprolol (Type L) 50mg Tab DNP MRP SF 02247875 SDZ Sandoz Metoprolol (Type L) 50mg Tab DNP MRP SF 02354187 SDZ Lopresor 50mg Tab DNP MRP SF 00397423 NVR Betaloc 50mg Tab (discontinued)

Novo-Metoprol 50mg Tab (white) DNP SF 00842648 TEV

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

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

metoprolol tartrate 200mg SR tab Apo-Metoprolol SR 200mg Tab DNP MRP SF 02285177 APX Sandoz Metoprolol SR 200mg Tab DNP MRP SF 02303418 SDZ Lopresor SR 200mg Tab DNP MRP SF 00534560 NVR

Novo-Metoprol 100mg Tab (white) DNP SF 00842656 TEV Betaloc Durules 200mg Tab (discontinued)

C07AB03 ATENOLOL

atenolol 25mg tab phl-Atenolol 25mg Tab DNP MRP SF 02247182 PHL pms-Atenolol 25mg Tab DNP MRP SF 02246581 PMS

MYLAN-Atenolol 25mg Tab DNP SF 02303647 MYL Teva-Atenol 25mg Tab DNP SF 02266660 TEV

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

atenolol 100mg tab Apo-Atenol 100mg Tab DNP MRP SF 00773697 APX CO Atenolol 100mg Tab DNP MRP SF 02255553 COB MINT-Atenol 100mg Tab DNP MRP SF 02368048 MNT MYLAN-Atenolol 100mg Tab DNP MRP SF 02147432 MYL Novo-Atenol 100mg Tab DNP MRP SF 01912054 TEV Nu-Atenol 100mg Tab DNP MRP SF 00886122 NXP phl-Atenolol 100mg Tab DNP MRP SF 02238318 PHL pms-Atenolol 100mg Tab DNP MRP SF 02237601 PMS RAN-Atenolol 100mg Tab DNP MRP SF 02267993 RAN ratio-Atenolol 100mg Tab DNP MRP SF 02171805 TEV Sandoz Atenolol 100mg Tab DNP MRP SF 02231733 SDZ Tenormin 100mg Tab DNP MRP SF 02039540 AZE

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C07AB04 ACEBUTOLOL acebutolol HCl 100mg tab Acebutolol 100mg Tab DNP MRP SF 02286246 SAS Apo-Acebutolol 100mg Tab DNP MRP SF 02147602 APX MYLAN-Acebutolol 100mg Tab DNP MRP SF 02237721 MYL MYLAN-Acebutolol (Type S) 100mg Tab DNP MRP SF 02237885 MYL Novo-Acebutolol 100mg Tab DNP MRP SF 02204517 TEV Nu-Acebutolol 100mg Tab DNP MRP SF 02165546 NXP Sandoz Acebutolol 100mg Tab 02257599 SDZ Rhotral 100mg Tab DNP MRP SF 01910140 SAV Sectral 100mg Tab (discontinued) Monitan 100mg Tab (discontinued)

acebutolol HCl 200mg tab Acebutolol 200mg Tab DNP MRP SF 02286254 SAS Apo-Acebutolol 200mg Tab DNP MRP SF 02147610 APX MYLAN-Acebutolol 200mg Tab DNP MRP SF 02237722 MYL MYLAN-Acebutolol (Type S) 200mg Tab DNP MRP SF 02237886 MYL Novo-Acebutolol 200mg Tab DNP MRP SF 02204525 TEV Nu-Acebutolol 200mg Tab DNP MRP SF 02165554 NXP Rhotral 200mg Tab DNP MRP SF 01910159 SAV Sectral 200mg Tab DNP MRP SF 01926551 SAV Monitan 200mg Tab (discontinued)

acebutolol HCl 400mg tab Acebutolol 400mg Tab DNP MRP SF 02286262 SAS Apo-Acebutolol 400mg Tab DNP MRP SF 02147629 APX MYLAN-Acebutolol 400mg Tab DNP MRP SF 02237723 MYL MYLAN-Acebutolol (Type S) 400mg Tab DNP MRP SF 02237887 MYL Novo-Acebutolol 400mg Tab DNP MRP SF 02204533 TEV Nu-Acebutolol 400mg Tab DNP MRP SF 02165562 NXP Sandoz Acebutolol 400mg Tab 02257610 SDZ Rhotral 400mg Tab DNP MRP SF 01910167 SAV Sectral 400mg Tab DNP MRP SF 01926578 SAV Monitan 400mg Tab (discontinued)

C07AB07 BISOPROLOL

bisoprolol 5mg tab Apo-Bisoprolol 5mg Tab DNP MRP SF 02256134 APX Novo-Bisoprolol 5mg Tab DNP MRP SF 02267470 TEV pms-Bisoprolol 5mg Tab DNP MRP SF 02302632 PMS Sandoz Bisoprolol 5mg Tab DNP MRP SF 02247439 SDZ Monocor 5mg Tab (discontinued)

bisoprolol 10mg tab Apo-Bisoprolol 10mg Tab DNP MRP SF 02256177 APX Novo-Bisoprolol 10mg Tab DNP MRP SF 02267489 TEV pms-Bisoprolol 10mg Tab DNP MRP SF 02302640 PMS Sandoz Bisoprolol 10mg Tab DNP MRP SF 02247440 SDZ Monocor 10mg Tab (discontinued)

C07AG ALPHA AND BETA BLOCKING AGENTS

C07AG01 LABETALOL labetalol 5mg/mL inj Labetalol 5mg/mL Inj 02231689 SDZ Trandate 5mg/mL Inj (discontinued)

Trandate 100mg Tab DNP SF 02106272 PAL Trandate 200mg Tab DNP SF 02106280 PAL

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October 2011 Cardiovascular System – 38

C07AG02 CARVEDILOL carvedilol 3.125mg tab Apo-Carvedilol 3.125mg Tab DNP MRP E 02247933 APX MYLAN-Carvedilol 3.125mg Tab DNP MRP E 02347512 MYL phl-Carvedilol 3.125mg Tab DNP MRP E 02248752 PHL pms-Carvedilol 3.125mg Tab DNP MRP E 02245914 PMS RAN-Carvedilol 3.125mg Tab DNP MRP E 02268027 RAN ratio-Carvedilol 3.125mg Tab DNP MRP E 02252309 TEV Zym-Carvedilol 3.125mg Tab DNP MRP E 02338068 ZYM Coreg 3.125mg Tab (discontinued)

carvedilol 6.25mg tab Apo-Carvedilol 6.25mg Tab DNP MRP E 02247934 APX MYLAN-Carvedilol 6.25mg Tab DNP MRP E 02347520 MYL phl-Carvedilol 6.25mg Tab DNP MRP E 02248753 PHL pms-Carvedilol 6.25mg Tab DNP MRP E 02245915 PMS RAN-Carvedilol 6.25mg Tab DNP MRP E 02268035 RAN ratio-Carvedilol 6.25mg Tab DNP MRP E 02252317 TEV Zym-Carvedilol 6.25mg Tab DNP MRP E 02338092 ZYM Coreg 6.25mg Tab (discontinued)

carvedilol 12.5mg tab Apo-Carvedilol 12.5mg Tab DNP MRP E 02247935 APX MYLAN-Carvedilol 12.5mg Tab DNP MRP E 02347555 MYL phl-Carvedilol 12.5mg Tab DNP MRP E 02248754 PHL pms-Carvedilol 12.5mg Tab DNP MRP E 02245916 PMS RAN-Carvedilol 12.5mg Tab DNP MRP E 02268043 RAN ratio-Carvedilol 12.5mg Tab DNP MRP E 02252325 TEV Zym-Carvedilol 12.5mg Tab DNP MRP E 02338106 ZYM Coreg 12.5mg Tab (discontinued)

carvedilol 25mg tab Apo-Carvedilol 25mg Tab DNP MRP E 02247936 APX MYLAN-Carvedilol 25mg Tab DNP MRP E 02347571 MYL phl-Carvedilol 25mg Tab DNP MRP E 02248755 PHL pms-Carvedilol 25mg Tab DNP MRP E 02245917 PMS RAN-Carvedilol 25mg Tab DNP MRP E 02268051 RAN ratio-Carvedilol 25mg Tab DNP MRP E 02252333 TEV Zym-Carvedilol 25mg Tab DNP MRP E 02338114 ZYM Coreg 25mg Tab (discontinued)

C07C BETA BLOCKING AGENTS AND OTHER DIURETICS

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

C07CA03 PINDOLOL AND OTHER DIURETICS Viskazide 10/25 Tab DNP SF 00568627 NVR Viskazide 10/50 Tab DNP SF 00568635 NVR

C07CB BETA BLOCKING AGENTS, SELECTIVE, AND OTHER DIURETICS

C07CB03 ATENOLOL AND OTHER DIURETICS atenolol 50mg & chlorthalidone 25mg tab Apo-Atenidone 50/25 Tab DNP MRP SF 02248763 APX Novo-Atenolthalidone 50/25 Tab DNP MRP SF 02302918 TEV Tenoretic 50/25 Tab DNP MRP SF 02049961 AZE

atenolol 100mg & chlorthalidone 25mg tab Apo-Atenidone 100/25 Tab DNP MRP SF 02248764 APX Novo-Atenolthalidone 100/25 Tab DNP MRP SF 02302926 TEV Tenoretic 100/25 Tab DNP MRP SF 02049988 AZE

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C08 CALCIUM CHANNEL BLOCKERS C08C SELECTIVE CALCIUM CHANNEL BLOCKERS WITH MAINLY VASCULAR EFFECTS

C08CA DIHYDROPYRIDINE DERIVATIVES

C08CA01 AMLODIPINE pms-Amlodipine 2.5mg Tab DNP SF 02295148 PMS

amlodipine 5mg tab Amlodipine 5mg Tab DNP MRP SF 02331284 SAS Apo-Amlodipine 5mg Tab DNP MRP SF 02273373 APX CO Amlodipine 5mg Tab DNP MRP SF 02297485 COB GD-Amlodipine 5mg Tab DNP MRP SF 02280132 GMD Jamp-Amlodipine 5mg Tab DNP MRP SF 02331071 JPC MINT-Amlodipine 5mg Tab DNP MRP SF 02362651 MNT MYLAN-Amlodipine 5mg Tab DNP MRP SF 02272113 MYL Novo-Amlodipine 5mg Tab DNP MRP SF 02250497 TEV phl-Amlodipine 5mg Tab DNP MRP SF 02326779 PHL pms-Amlodipine 5mg Tab DNP MRP SF 02284065 PMS RAN-Amlodipine 5mg Tab DNP MRP SF 02321858 RAN ratio-Amlodipine 5mg Tab DNP MRP SF 02259605 TEV Sandoz Amlodipine 5mg Tab DNP MRP SF 02284383 SDZ Septa-Amlodipine 5mg Tab DNP MRP SF 02357712 SPT Norvasc 5mg Tab DNP MRP SF 00878928 PFI

amlodipine 10mg tab Amlodipine 10mg Tab DNP MRP SF 02331292 SAS Apo-Amlodipine 10mg Tab DNP MRP SF 02273381 APX CO Amlodipine 10mg Tab DNP MRP SF 02297493 COB GD-Amlodipine 10mg Tab DNP MRP SF 02280140 GMD Jamp-Amlodipine 10mg Tab DNP MRP SF 02331098 JPC MINT-Amlodipine 10mg Tab DNP MRP SF 02362678 MNT MYLAN-Amlodipine 10mg Tab DNP MRP SF 02272121 MYL Novo-Amlodipine 10mg Tab DNP MRP SF 02250500 TEV phl-Amlodipine 10mg Tab DNP MRP SF 02326787 PHL pms-Amlodipine 10mg Tab DNP MRP SF 02284073 PMS RAN-Amlodipine 10mg Tab DNP MRP SF 02321866 RAN ratio-Amlodipine 10mg Tab DNP MRP SF 02259613 TEV Sandoz Amlodipine 10mg Tab DNP MRP SF 02284391 SDZ Septa-Amlodipine 10mg Tab DNP MRP SF 02357720 SPT Norvasc 10mg Tab DNP MRP SF 00878936 PFI

C08CA02 FELODIPINE

felodipine 5mg tab Sandoz Felodipine 5mg Tab DNP MRP SF 02280264 SDZ Plendil 5mg Tab DNP MRP SF 00851779 AZE

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

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

felodipine 10mg tab Sandoz Felodipine 10mg Tab DNP MRP SF 02280272 SDZ Renedil 10mg Tab DNP MRP SF 02222000 SAV

Plendil 2.5mg ER Tab DNP SF 02057778 AZE Renedil 2.5mg ER Tab DNP SF 02221985 SAV

C08CA05 NIFEDIPINE

nifedipine 5mg cap Nifedipine 5mg Cap DNP MRP SF 00725110 AAP Adalat 5mg Cap (discontinued)

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nifedipine 10mg cap Nifedipine 10mg Cap DNP SF 00755907 AAP Adalat 10mg Cap (discontinued)

Adalat XL 20mg Tab DNP SF 02237618 BAY

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

nifedipine 60mg ER tab MYLAN-Nifedipine ER 60mg Tab DNP MRP SF 02321149 MYL Adalat XL 60mg Tab DNP MRP SF 02155990 BAY

C08CA06 NIMODIPINE

Nimotop 30mg Tab DNP SF 02325926 BAY

C08CA55 NIFEDIPINE, COMBINATIONS Adalat XL Plus 81mg & 20mg Tab Kit 02313766 BAY Adalat XL Plus 81mg & 30mg Tab Kit 02313774 BAY Adalat XL Plus 81mg & 60mg Tab Kit 02313782 BAY

C08D SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS

C08DA PHENYLALKYLAMINE DERIVATIVES

C08DA01 VERAPAMIL verapamil 2.5mg/mL inj Verapamil 2.5mg/mL Inj 02166739 SDZ Isoptin IV 2.5mg/mL Inj (discontinued)

verapamil HCl 80mg tab Apo-Verap 80mg Tab DNP MRP SF 00782483 APX MYLAN-Verapamil 80mg Tab DNP MRP SF 02237921 MYL Nu-Verap 80mg Tab DNP MRP SF 00886033 NXP Isoptin 80mg Tab (discontinued)

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

verapamil 120mg SR tab Apo-Verap SR 120mg Tab 02246893 APX MYLAN-Verapamil SR 120mg Tab 02210347 MYL Isoptin SR 120mg Tab 01907123 ABB

verapamil 180mg SR tab Apo-Verap SR 180mg Tab DNP MRP SF 02246894 APX MYLAN-Verapamil SR 180mg Tab DNP MRP SF 02210355 MYL Isoptin SR 180mg Tab DNP MRP SF 01934317 ABB

verapamil 240mg SR tab Apo-Verap SR 240mg Tab DNP MRP SF 02246895 APX MYLAN-Verapamil SR 240mg Tab DNP MRP SF 02210363 MYL Novo-Veramil SR 240mg Tab DNP MRP SF 02211920 TEV pms-Verapamil SR 240mg Tab DNP MRP SF 02237791 PMS Isoptin SR 240mg Tab DNP MRP SF 00742554 ABB

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C08DB BENZOTHIAZEPINE DERIVATIVES

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

diltiazem 180mg CD cap Apo-Diltiaz CD 180mg Cap DNP MRP SF 02230998 APX Novo-Diltazem CD 180mg Cap DNP MRP SF 02242539 TEV Nu-Diltiaz CD 180mg Cap DNP MRP SF 02231053 NXP pms-Diltiazem CD 180mg Cap DNP MRP SF 02355760 PMS ratio-Diltiazem CD 180mg Cap DNP MRP SF 02229782 TEV Sandoz Diltiazem CD 180mg Cap DNP MRP SF 02243339 SDZ Cardizem CD 180mg Cap DNP MRP SF 02097257 BVL

diltiazem 240mg CD cap Apo-Diltiaz CD 240mg Cap DNP MRP SF 02230999 APX Novo-Diltazem CD 240mg Cap DNP MRP SF 02242540 TEV Nu-Diltiaz CD 240mg Cap DNP MRP SF 02231054 NXP pms-Diltiazem CD 240mg Cap DNP MRP SF 02355779 PMS ratio-Diltiazem CD 240mg Cap DNP MRP SF 02229783 TEV Sandoz Diltiazem CD 240mg Cap DNP MRP SF 02243340 SDZ Cardizem CD 240mg Cap DNP MRP SF 02097265 BVL

diltiazem 300mg CD cap Apo-Diltiaz CD 300mg Cap DNP MRP SF 02229526 APX Novo-Diltazem CD 300mg Cap DNP MRP SF 02242541 TEV pms-Diltiazem CD 300mg Cap DNP MRP SF 02355787 PMS ratio-Diltiazem CD 300mg Cap DNP MRP SF 02229784 TEV Sandoz Diltiazem CD 300mg Cap DNP MRP SF 02243341 SDZ Cardizem CD 300mg Cap DNP MRP SF 02097273 BVL

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

diltiazem 180mg ER cap Apo-Diltiaz TZ 180mg Cap DNP MRP SF 02291045 APX Novo-Diltazem ER 180mg Cap DNP MRP SF 02271613 TEV Sandoz Diltiazem T 180mg Cap DNP MRP SF 02245919 SDZ Tiazac ER 180mg Cap DNP MRP SF 02231151 BVL

diltiazem 240mg ER cap Apo-Diltiaz TZ 240mg Cap DNP MRP SF 02291053 APX Novo-Diltazem ER 240mg Cap DNP MRP SF 02271621 TEV Sandoz Diltiazem T 240mg Cap DNP MRP SF 02245920 SDZ Tiazac ER 240mg Cap DNP MRP SF 02231152 BVL

diltiazem 300mg ER cap Apo-Diltiaz TZ 300mg Cap DNP MRP SF 02291061 APX Novo-Diltazem ER 300mg Cap DNP MRP SF 02271648 TEV Sandoz Diltiazem T 300mg Cap DNP MRP SF 02245921 SDZ Tiazac ER 300mg Cap DNP MRP SF 02231154 BVL

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diltiazem 360mg ER cap Apo-Diltiaz TZ 360mg Cap DNP MRP SF 02291088 APX Novo-Diltazem ER 360mg Cap DNP MRP SF 02271656 TEV Sandoz Diltiazem T 360mg Cap DNP MRP SF 02245922 SDZ Tiazac ER 360mg Cap DNP MRP SF 02231155 BVL

diltiazem 5mg/mL inj Diltiazem Hydrochloride 5mg/mL Inj 02244728 SDZ Cardizem 5mg/mL Inj (discontinued)

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

diltiazem HCl 60mg tab Apo-Diltiaz 60mg Tab DNP MRP SF 00771384 APX Novo-Diltazem 60mg Tab DNP MRP SF 00862932 TEV Nu-Diltiaz 60mg Tab DNP MRP SF 00886076 NXP Cardizem 60mg Tab (discontinued)

Tiazac XC 120mg Tab DNP SF 02256738 BVL Tiazac XC 180mg Tab DNP SF 02256746 BVL Tiazac XC 240mg Tab DNP SF 02256754 BVL Tiazac XC 300mg Tab DNP SF 02256762 BVL Tiazac XC 360mg Tab DNP SF 02256770 BVL

C09 AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM C09A ANGIOTENSIN-CONVERTING ENZYME (ACE) INHIBITORS, PLAIN

C09AA ANGIOTENSIN-CONVERTING ENZYME (ACE) INHIBITORS, PLAIN

C09AA01 CAPTOPRIL Apo-Capto 6.25mg Tab DNP SF 01999559 APX

captopril 12.5mg tab Apo-Capto 12.5mg Tab DNP MRP SF 00893595 APX MYLAN-Captopril 12.5mg Tab DNP MRP SF 02163551 MYL Novo-Captoril 12.5mg Tab DNP MRP SF 01942964 TEV Nu-Capto 12.5mg Tab DNP MRP SF 01913824 NXP pms-Captopril 12.5mg Tab DNP MRP SF 02230203 PMS Capoten 12.5mg Tab (discontinued)

captopril 25mg tab Apo-Capto 25mg Tab DNP MRP SF 00893609 APX MYLAN-Captopril 25mg Tab DNP MRP SF 02163578 MYL Novo-Captoril 25mg Tab DNP MRP SF 01942972 TEV Nu-Capto 25mg Tab DNP MRP SF 01913832 NXP pms-Captopril 25mg Tab DNP MRP SF 02230204 PMS Capoten 25mg Tab DNP MRP SF 00546283 BRI

captopril 50mg tab Apo-Capto 50mg Tab DNP MRP SF 00893617 APX MYLAN-Captopril 50mg Tab DNP MRP SF 02163586 MYL Novo-Captoril 50mg Tab DNP MRP SF 01942980 TEV Nu-Capto 50mg Tab DNP MRP SF 01913840 NXP pms-Captopril 50mg Tab DNP MRP SF 02230205 PMS Capoten 50mg Tab (discontinued)

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captopril 100mg tab Apo-Capto 100mg Tab DNP MRP SF 00893625 APX MYLAN-Captopril 100mg Tab DNP MRP SF 02163594 MYL Novo-Captoril 100mg Tab DNP MRP SF 01942999 TEV Nu-Capto 100mg Tab DNP MRP SF 01913859 NXP pms-Captopril 100mg Tab DNP MRP SF 02230206 PMS Capoten 100mg Tab (discontinued)

C09AA02 ENALAPRIL

enalapril 2.5mg tab Apo-Enalapril 2.5mg Tab DNP MRP SF 02020025 APX CO Enalapril 2.5mg Tab DNP MRP SF 02291878 COB MYLAN-Enalapril 2.5mg Tab DNP MRP SF 02300036 MYL Novo-Enalapril 2.5mg Tab DNP MRP SF 02300680 TEV pms-Enalapril 2.5mg Tab 02300079 PMS RAN-Enalapril 2.5mg Tab DNP MRP SF 02352230 RAN Sandoz Enalapril 2.5mg Tab DNP MRP SF 02299933 SDZ Vasotec 2.5mg Tab DNP MRP SF 00851795 FRS ratio-Enalapril 2.5mg Tab (discontinued)

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

enalapril 10mg tab Apo-Enalapril 10mg Tab DNP MRP SF 02019892 APX CO Enalapril 10mg Tab DNP MRP SF 02291894 COB MYLAN-Enalapril 10mg Tab DNP MRP SF 02300052 MYL Novo-Enalapril 10mg Tab DNP MRP SF 02233006 TEV RAN-Enalapril 10mg Tab DNP MRP SF 02352257 RAN pms-Enalapril 10mg Tab DNP MRP SF 02300095 PMS Sandoz Enalapril 10mg Tab DNP MRP SF 02299968 SDZ Vasotec 10mg Tab DNP MRP SF 00670901 FRS ratio-Enalapril 10mg Tab (discontinued)

enalapril 20mg tab Apo-Enalapril 20mg Tab DNP MRP SF 02019906 APX CO Enalapril 20mg Tab DNP MRP SF 02291908 COB MYLAN-Enalapril 20mg Tab DNP MRP SF 02300060 MYL Novo-Enalapril 20mg Tab DNP MRP SF 02233007 TEV RAN-Enalapril 20mg Tab DNP MRP SF 02352265 RAN pms-Enalapril 20mg Tab 02300109 PMS Sandoz Enalapril 20mg Tab DNP MRP SF 02299976 SDZ Vasotec 20mg Tab DNP MRP SF 00670928 FRS ratio-Enalapril 20mg Tab (discontinued)

C09AA03 LISINOPRIL

lisinopril 5mg tab Apo-Lisinopril 5mg Tab DNP MRP SF 02217481 APX CO Lisinopril 5mg Tab DNP MRP SF 02271443 COB MYLAN-Lisinopril 5mg Tab DNP MRP SF 02274833 MYL Novo-Lisinopril P 5mg Tab DNP MRP SF 02285061 TEV Novo-Lisinopril Z 5mg Tab DNP MRP SF 02285118 TEV pms-Lisinopril 5mg Tab DNP MRP SF 02292203 PMS RAN-Lisinopril 5mg Tab DNP MRP SF 02294230 RAN ratio-Lisinopril P 5mg Tab DNP MRP SF 02256797 TEV ratio-Lisinopril Z 5mg Tab DNP MRP SF 02299879 TEV Sandoz Lisinopril 5mg Tab DNP MRP SF 02289199 SDZ Prinivil 5mg Tab DNP MRP SF 00839388 FRS Zestril 5mg Tab DNP MRP SF 02049333 AZE

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lisinopril 10mg tab Apo-Lisinopril 10mg Tab DNP MRP SF 02217503 APX CO Lisinopril 10mg Tab DNP MRP SF 02271451 COB MYLAN-Lisinopril 10mg Tab DNP MRP SF 02274841 MYL Novo-Lisinopril P 10mg Tab DNP MRP SF 02285088 TEV Novo-Lisinopril Z 10mg Tab DNP MRP SF 02285126 TEV pms-Lisinopril 10mg Tab DNP MRP SF 02292211 PMS RAN-Lisinopril 10mg Tab DNP MRP SF 02294249 RAN ratio-Lisinopril P 10mg Tab DNP MRP SF 02256800 TEV ratio-Lisinopril Z 10mg Tab DNP MRP SF 02299887 TEV Sandoz Lisinopril 10mg Tab DNP MRP SF 02289202 SDZ Prinivil 10mg Tab DNP MRP SF 00839396 FRS Zestril 10mg Tab DNP MRP SF 02049376 AZE

lisinopril 20mg tab Apo-Lisinopril 20mg Tab DNP MRP SF 02217511 APX CO Lisinopril 20mg Tab DNP MRP SF 02271478 COB MYLAN-Lisinopril 20mg Tab DNP MRP SF 02274868 MYL Novo-Lisinopril P 20mg Tab DNP MRP SF 02285096 TEV Novo-Lisinopril Z 20mg Tab DNP MRP SF 02285134 TEV pms-Lisinopril 20mg Tab DNP MRP SF 02292238 PMS RAN-Lisinopril 20mg Tab DNP MRP SF 02294257 RAN ratio-Lisinopril P 20mg Tab DNP MRP SF 02256819 TEV ratio-Lisinopril Z 20mg Tab DNP MRP SF 02299895 TEV Sandoz Lisinopril 20mg Tab DNP MRP SF 02289229 SDZ Prinivil 20mg Tab DNP MRP SF 00839418 FRS Zestril 20mg Tab DNP MRP SF 02049384 AZE

C09AA04 PERINDOPRIL

Coversyl 2mg Tab 02123274 SEV Coversyl 4mg Tab DNP SF 02123282 SEV Coversyl 8mg Tab DNP SF 02246624 SEV

C09AA05 RAMIPRIL

ramipril 1.25mg cap/tab Apo-Ramipril 1.25mg Cap DNP MRP SF 02251515 APX CO Ramipril 1.25mg Cap DNP MRP SF 02295482 COB Jamp-Ramipril 1.25mg Cap DNP MRP SF 02331101 JPC MYLAN-Ramipril 1.25mg Cap DNP MRP SF 02301148 MYL pms-Ramipril 1.25mg Cap DNP MRP SF 02295369 PMS RAN-Ramipril 1.25mg Cap DNP MRP SF 02310503 RAN ratio-Ramipril 1.25mg Cap DNP MRP SF 02287692 TEV Sandoz Ramipril 1.25mg Tab DNP MRP SF 02291398 SDZ Altace 1.25mg Cap DNP MRP SF 02221829 SAV Ramipril 1.25mg Cap (discontinued)

ramipril 2.5mg cap/tab Apo-Ramipril 2.5mg Cap DNP MRP SF 02251531 APX CO Ramipril 2.5mg Cap DNP MRP SF 02295490 COB Jamp-Ramipril 2.5mg Cap DNP MRP SF 02331128 JPC MYLAN-Ramipril 2.5mg Cap DNP MRP SF 02301156 MYL Novo-Ramipril 2.5mg Cap DNP MRP SF 02247945 TEV pms-Ramipril 2.5mg Cap DNP MRP SF 02247917 PMS RAN-Ramipril 2.5mg Cap DNP MRP SF 02310511 RAN ratio-Ramipril 2.5mg Cap DNP MRP SF 02287706 TEV Sandoz Ramipril 2.5mg Tab DNP MRP SF 02291401 SDZ Altace 2.5mg Cap DNP MRP SF 02221837 SAV

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

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

ramipril 15mg cap Apo-Ramipril 15mg Cap DNP MRP SF 02325381 APX ratio-Ramipril 15mg Cap DNP MRP SF 02311194 TEV Altace 15mg Cap DNP MRP SF 02281112 SAV

C09AA06 QUINAPRIL

Accupril 5mg Tab DNP SF 01947664 PFI Accupril 10mg Tab DNP SF 01947672 PFI Accupril 20mg Tab DNP SF 01947680 PFI Accupril 40mg Tab DNP SF 01947699 PFI

C09AA07 BENAZEPRIL

benazepril 5mg tab Benazepril 5mg Tab DNP MRP SF 02290332 AAP Lotensin 5mg Tab DNP MRP SF 00885835 NVR

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

benazepril 20mg tab Benazepril 20mg Tab DNP MRP SF 02273918 AAP Lotensin 20mg Tab DNP MRP SF 00885851 NVR

C09AA08 CILAZAPRIL

cilazapril 1mg tab Apo-Cilazapril 1mg Tab DNP MRP SF 02291134 APX Cilazapril 1mg Tab DNP MRP SF 02350963 SAS MYLAN-Cilazapril 1mg Tab DNP MRP SF 02283778 MYL Novo-Cilazapril 1mg Tab DNP MRP SF 02266350 TEV pms-Cilazapril 1mg Tab DNP MRP SF 02280442 PMS Inhibace 1mg Tab (discontinued)

cilazapril 2.5mg tab Apo-Cilazapril 2.5mg Tab DNP MRP SF 02291142 APX Cilazapril 2.5mg Tab DNP MRP SF 02350971 SAS MYLAN-Cilazapril 2.5mg Tab DNP MRP SF 02283786 MYL Novo-Cilazapril 2.5mg Tab DNP MRP SF 02266369 TEV pms-Cilazapril 2.5mg Tab DNP MRP SF 02280450 PMS Inhibace 2.5mg Tab DNP MRP SF 01911473 HLR

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cilazapril 5mg tab Apo-Cilazapril 5mg Tab DNP MRP SF 02291150 APX Cilazapril 5mg Tab DNP MRP SF 02350998 SAS MYLAN-Cilazapril 5mg Tab DNP MRP SF 02283794 MYL Novo-Cilazapril 5mg Tab DNP MRP SF 02266377 TEV pms-Cilazapril 5mg Tab DNP MRP SF 02280469 PMS Inhibace 5mg Tab DNP MRP SF 01911481 HLR

C09AA09 FOSINOPRIL

fosinopril 10mg tab Apo-Fosinopril 10mg Tab DNP MRP SF 02266008 APX Jamp-Fosinopril 10mg Tab DNP MRP SF 02331004 JPC MYLAN-Fosinopril 10mg Tab DNP MRP SF 02262401 MYL Novo-Fosinopril 10mg Tab DNP MRP SF 02247802 TEV RAN-Fosinopril 10mg Tab DNP MRP SF 02294524 RAN Monopril 10mg Tab DNP MRP SF 01907107 BRI

fosinopril 20mg tab Apo-Fosinopril 20mg Tab DNP MRP SF 02266016 APX Jamp-Fosinopril 20mg Tab DNP MRP SF 02331012 JPC MYLAN-Fosinopril 20mg Tab DNP MRP SF 02262428 MYL Novo-Fosinopril 20mg Tab DNP MRP SF 02247803 TEV RAN-Fosinopril 20mg Tab DNP MRP SF 02294532 RAN Monopril 20mg Tab DNP MRP SF 01907115 BRI

C09AA10 TRANDOLAPRIL

Mavik 0.5mg Cap 02231457 ABB Mavik 1mg Cap DNP SF 02231459 ABB Mavik 2mg Cap DNP SF 02231460 ABB Mavik 4mg Cap DNP SF 02239267 ABB

C09B ANGIOTENSIN-CONVERTING ENZYME (ACE) INHIBITORS, COMBINATIONS

C09BA ANGIOTENSIN-CONVERTING ENZYME (ACE) INHIBITORS AND DIURETICS

C09BA02 ENALAPRIL AND DIURETICS enalapril 5mg & hydrochlorothiazide 12.5mg tab Apo-Enalapril Maleate/HCTZ 5/12.5mg Tab DNP MRP SF 02352923 APX Novo-Enalapril/HCTZ 5/12.5mg Tab DNP MRP SF 02300222 TEV Vaseretic 5/12.5mg Tab (discontinued)

enalapril 10mg & hydrochlorothiazide 25mg tab Apo-Enalapril Maleate/HCTZ 10/25mg Tab DNP MRP SF 02352931 APX Novo-Enalapril/HCTZ 10/25mg Tab DNP MRP SF 02300230 TEV Vaseretic 10/25mg Tab DNP MRP SF 00657298 FRS

C09BA03 LISINOPRIL AND DIURETICS

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

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

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lisinopril 20mg & hydrochlorothiazide 25mg tab Apo-Lisinopril/HCTZ 20/25mg Tab DNP MRP SF 02261995 APX Lisinopril/HCTZ 20mg/25mg Tab (Type Z) DNP MRP SF 02362961 SAS MYLAN-Lisinopril/HCTZ 20/25mg Tab DNP MRP SF 02297752 MYL Novo-Lisinopril/HCTZ 20/25mg Tab (Type P) DNP MRP SF 02302152 TEV Novo-Lisinopril/HCTZ 20/25mg Tab (Type Z) DNP MRP SF 02301784 TEV Zestoretic 20/25mg Tab DNP MRP SF 02045729 AZE Prinzide 20/25mg Tab (discontinued)

Sandoz Lisinopril HCT 10/12.5mg Tab 02302365 SDZ Sandoz Lisinopril HCT 20/12.5mg Tab 02302373 SDZ Sandoz Lisinopril HCT 20/25mg Tab 02302381 SDZ

C09BA04 PERINDOPRIL AND DIURETICS

Coversyl Plus 4/1.25mg Tab DNP SF 02246569 SEV Coversyl Plus HD 8/2.5mg Tab DNP SF 02321653 SEV Coversyl Plus LD 2/0.625mg Tab 02246568 SEV

C09BA05 RAMIPRIL AND DIURETICS

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

ramipril 5mg & hydrochlorothiazide 12.5mg tabpms-Ramipril-HCTZ 5/12.5mg Tab DNP MRP SF 02342146 PMS Altace HCT 5/12.5mg Tab DNP MRP SF 02283158 SAV ramipril 10mg & hydrochlorothiazide 12.5mg tab pms-Ramipril-HCTZ 10/12.5mg Tab DNP MRP SF 02342154 PMS Altace HCT 10/12.5mg Tab DNP MRP SF 02283166 SAV ramipril 5mg & hydrochlorothiazide 25mg tabpms-Ramipril-HCTZ 5/25mg Tab DNP MRP SF 02342162 PMS Altace HCT 5/25mg Tab DNP MRP SF 02283174 SAV

ramipril 10mg & hydrochlorothiazide 25mg tab pms-Ramipril-HCTZ 10/25mg Tab DNP MRP SF 02342170 PMS Altace HCT 10/25mg Tab DNP MRP SF 02283182 SAV

C09BA06 QUINAPRIL AND DIURETICS Accuretic 10/12.5mg Tab DNP SF 02237367 PFI Accuretic 20/12.5mg Tab DNP SF 02237368 PFI Accuretic 20/25mg Tab DNP SF 02237369 PFI

C09BA08 CILAZAPRIL AND DIURETICS

cilazapril 5mg & hydrochlorothiazide 12.5mg tab Apo-Cilazapril/HCTZ 5/12.5mg Tab DNP MRP SF 02284987 APX Inhibace Plus 5/12.5mg Tab DNP MRP SF 02181479 HLR Novo-Cilazapril/HCTZ 5mg/12.5mg Tab DNP MRP SF 02313731 TEV

C09BB ANGIOTENSIN-CONVERTING ENZYME (ACE) INHIBITORS AND CALCIUM CHANNEL BLOCKERS

C09BB10 TRANDOLAPRIL AND VERAPAMIL Tarka 2/240mg Tab 02240946 ABB Tarka 4/240mg Tab 02238097 ABB

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C09C ANGIOTENSIN II ANTAGONISTS, PLAIN

C09CA ANGIOTENSIN II ANTAGONISTS, PLAIN

C09CA01 LOSARTAN Cozaar 25mg Tab DNP SF 02182815 FRS Cozaar 50mg Tab DNP SF 02182874 FRS Cozaar 100mg Tab DNP SF 02182882 FRS

C09CA02 EPROSARTAN

Teveten 400mg Tab DNP SF 02240432 ABB Teveten 600mg Tab DNP SF 02243942 ABB

C09CA03 VALSARTAN

valsartan 40mg tab CO-Valsartan 40mg Tab 02337487 COB RAN-Valsartan 40mg Tab 02363062 RAN Sandoz Valsartan 40mg Tab 02356740 SDZ Teva-Valsartan 40mg Tab 02356643 TEV Diovan 40mg Tab 02270528 NVR valsartan 80mg tab CO Valsartan 80mg Tab DNP MRP SF 02337495 COB RAN-Valsartan 80mg Tab DNP MRP SF 02363100 RAN Sandoz Valsartan 80mg Tab DNP MRP SF 02356759 SDZ Teva-Valsartan 80mg Tab DNP MRP SF 02356651 TEV Diovan 80mg Tab DNP MRP SF 02244781 NVR valsartan 160mg tab CO Valsartan 160mg Tab DNP MRP SF 02337509 COB RAN-Valsartan 160mg Tab DNP MRP SF 02363119 RAN Sandoz Valsartan 160mg Tab DNP MRP SF 02356767 SDZ Teva-Valsartan 160mg Tab DNP MRP SF 02356678 TEV Diovan 160mg Tab DNP MRP SF 02244782 NVR valsartan 320mg tab CO Valsartan 320mg Tab DNP MRP SF 02337517 COB Sandoz Valsartan 320mg Tab DNP MRP SF 02356775 SDZ Teva-Valsartan 320mg Tab DNP MRP SF 02356686 TEV Diovan 320mg Tab DNP MRP SF 02289504 NVR

C09CA04 IRBESARTAN irbesartan 75mg tab CO-Irbesartan 75mg Tab DNP MRP SF 02328070 COB pms-Irbesartan 75mg Tab DNP MRP SF 02317060 PMS ratio-Irbesartan 75mg Tab DNP MRP SF 02316390 TEV Sandoz Irbesartan 75mg Tab DNP MRP SF 02328461 SDZ Teva-Irbesartan 75mg Tab DNP MRP SF 02315971 TEV Avapro 75mg Tab DNP MRP SF 02237923 BRI irbesartan 150mg tab CO Irbesartan 150mg Tab DNP MRP SF 02328089 COB pms-Irbesartan 150mg Tab DNP MRP SF 02317079 PMS ratio-Irbesartan 150mg Tab DNP MRP SF 02316404 TEV Sandoz Irbesartan 150mg Tab DNP MRP SF 02328488 SDZ Teva-Irbesartan 150mg Tab DNP MRP SF 02315998 TEV Avapro 150mg Tab DNP MRP SF 02237924 BRI irbesartan 300mg tab CO Irbesartan 300mg Tab DNP MRP SF 02328100 COB pms-Irbesartan 300mg Tab DNP MRP SF 02317087 PMS ratio-Irbesartan 300mg Tab DNP MRP SF 02316412 TEV Sandoz Irbesartan 300mg Tab DNP MRP SF 02328496 SDZ Teva-Irbesartan 300mg Tab DNP MRP SF 02316005 TEV Avapro 300mg Tab DNP MRP SF 02237925 BRI

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C09CA06 CANDESARTAN candesartan 4mg tab Apo-Candesartan 4mg Tab 02365340 APX Sandoz Candesartan 4mg Tab 02326957 SDZ Atacand 4mg Tab 02239090 AZE

candesartan 8mg tab Apo-Candesartan 8mg Tab DNP MRP SF 02365359 APX Sandoz Candesartan 8mg Tab DNP MRP SF 02326965 SDZ Atacand 8mg Tab DNP MRP SF 02239091 AZE

candesartan 16mg tab Apo-Candesartan 16mg Tab DNP MRP SF 02365367 APX Sandoz Candesartan 16mg Tab DNP MRP SF 02326973 SDZ Atacand 16mg Tab DNP MRP SF 02239092 AZE

Atacand 32mg Tab DNP SF 02311658 AZE

C09CA07 TELMISARTAN

Micardis 40mg Tab DNP SF 02240769 BOE Micardis 80mg Tab DNP SF 02240770 BOE

C09CA08 OLMESARTAN MEDOXOMIL

Olmetec 20mg Tab DNP SF 02318660 SCO Olmetec 40mg Tab DNP SF 02318679 SCO

C09D ANGIOTENSIN II ANTAGONISTS, COMBINATIONS

C09DA ANGIOTENSIN II ANTAGONISTS AND DIURETICS

C09DA01 LOSARTAN AND DIURETICS Hyzaar 50/12.5mg Tab DNP SF 02230047 FRS Hyzaar 100/12.5mg Tab DNP SF 02297841 FRS Hyzaar DS 100/25mg Tab DNP SF 02241007 FRS

C09DA02 EPROSARTAN AND DIURETICS

Teveten Plus 600mg/12.5mg Tab DNP SF 02253631 ABB

C09DA03 VALSARTAN AND DIURETICS valsartan 80mg & hydrochlorothiazide 12.5mg tabSandoz Valsartan/HCT 80/12.5mg Tab DNP MRP SF 02356694 SDZ Teva-Valsartan/HCTZ 80/12.5mg Tab DNP MRP SF 02356996 TEV Diovan-HCT 80/12.5mg Tab DNP MRP SF 02241900 NVR valsartan 160mg & hydrochlorothiazide 12.5mg tabSandoz Valsartan/HCT 160/12.5mg Tab DNP MRP SF 02356708 SDZ Teva-Valsartan/HCTZ 160/12.5mg Tab DNP MRP SF 02357003 TEV Diovan-HCT 160/12.5mg Tab DNP MRP SF 02241901 NVR valsartan 160mg & hydrochlorothiazide 25mg tabSandoz Valsartan/HCT 160/25mg Tab DNP MRP SF 02356716 SDZ Teva-Valsartan/HCTZ 160/25mg Tab DNP MRP SF 02357011 TEV Diovan-HCT 160/25mg Tab DNP MRP SF 02246955 NVR valsartan 320mg & hydrochlorothiazide 12.5mg tabSandoz Valsartan/HCT 320/12.5mg Tab DNP MRP SF 02356724 SDZ Teva-Valsartan/HCT 320/12.5mg Tab DNP MRP SF 02357038 TEV Dilovan-HCT 320/12.5 Tab DNP MRP SF 02308908 NVR valsartan 320mg & hydrochlorothiazide 25mg tabSandoz Valsartan/HCT 320/25mg Tab DNP MRP SF 02356732 SDZ Teva-Valsartan/HCT 320/25mg Tab DNP MRP SF 02357046 TEV Diovan-HCT 320/25mg Tab DNP MRP SF 02308916 NVR

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C09DA04 IRBESARTAN AND DIURETICS irbesartan 150mg & hydrochlorothiazide 12.5mg tabCO Irbesartan/HCT 150/12.5mg Tab DNP MRP SF 02357399 COB pms-Irbesartran-HCTZ 150/12.5mg Tab DNP MRP SF 02328518 PMS RAN-Irbesartan HCTZ 150/12.5mg Tab DNP MRP SF 02363208 RAN ratio-Irbesartan HCTZ 150/12.5mg Tab DNP MRP SF 02330512 TEV Sandoz Irbesartan HCT 150/12.5mg Tab DNP MRP SF 02337428 SDZ Teva-Irbesartan/HCTZ 150/12.5mg Tab DNP MRP SF 02316013 TEV Avalide 150/12.5mg Tab DNP MRP SF 02241818 BRI irbesartan 300mg & hydrochlorothiazide 12.5mg tabCO Irbesartan/HCT 300/12.5mg Tab DNP MRP SF 02357402 COB pms-Irbesartran-HCTZ 300/12.5mg Tab DNP MRP SF 02328526 PMS RAN-Irbesartan HCTZ 300/12.5mg Tab DNP MRP SF 02363216 RAN ratio-Irbesartan HCTZ 300/12.5mg Tab DNP MRP SF 02330520 TEV Sandoz Irbesartan HCT 300/12.5mg Tab DNP MRP SF 02337436 SDZ Teva-Irbesartan/HCTZ 300/12.5mg Tab DNP MRP SF 02316021 TEV Avalide 300/12.5mg Tab DNP MRP SF 02241819 BRI irbesartan 300mg & hydrochlorothiazide 25mg tabCO Irbesartan/HCT 300/25mg Tab DNP MRP SF 02357410 COB pms-Irbesartran-HCTZ 300/25mg Tab DNP MRP SF 02328534 PMS RAN-Irbesartan HCTZ 300/25mg Tab DNP MRP SF 02363224 RAN ratio-Irbesartan HCTZ 300/25mg Tab DNP MRP SF 02330539 TEV Sandoz Irbesartan HCT 300/25mg Tab DNP MRP SF 02337444 SDZ Teva-Irbesartan/HCTZ 300/25mg Tab DNP MRP SF 02316048 TEV Avalide 300/25mg Tab DNP MRP SF 02280213 BRI

C09DA06 CANDERSARTAN AND DIURETICS

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

C09DA07 TELMISARTAN AND DIURETICS

Micardis Plus 80/12.5mg Tab DNP SF 02244344 BOE Micardis Plus 80/25mg Tab DNP SF 02318709 BOE

C09DA08 OLMESARTAN MEDOXOMIL AND DIURETICS

Olmetec Plus 20mg/12.5mg Tab DNP SF 02319616 SCO Olmetec Plus 40mg/12.5mg Tab DNP SF 02319624 SCO Olmetec Plus 40mg/25mg Tab DNP SF 02319632 SCO

C09X RENIN-ANGIOTENSIN-ALDOSTERON SYSTEM INHIBITORS

C09XA RENIN INHIBITORS

C09XA02 ALISKIREN Rasilez 150mg Tab 02302063 NVR Rasilez 300mg Tab 02302071 NVR

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C10 LIPID MODIFYING AGENTS C10A LIPID MODIFYING AGENTS, PLAIN

C10AA HMG-CoA REDUCTASE INHIBITORS

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

simvastatin 10mg tab Apo-Simvastatin 10mg Tab DNP MRP SF 02247012 APX CO Simvastatin 10mg Tab DNP MRP SF 02248104 COB Jamp-Simvastatin 10mg Tab DNP MRP SF 02331039 JPC MYLAN-Simvastatin 10mg Tab DNP MRP SF 02246583 MYL Novo-Simvastatin 10mg Tab DNP MRP SF 02250152 TEV phl-Simvastatin 10mg Tab DNP MRP SF 02281554 PHL pms-Simvastatin 10mg Tab DNP MRP SF 02269260 PMS RAN-Simvastatin 10mg Tab DNP MRP SF 02329158 RAN ratio-Simvastatin 10mg Tab DNP MRP SF 02247068 TEV Sandoz Simvastatin 10mg Tab DNP MRP SF 02247828 SDZ Simvastatin 10mg Tab DNP MRP SF 02284731 SAS Zocor 10mg Tab DNP MRP SF 00884332 FRS

simvastatin 20mg tab Apo-Simvastatin 20mg Tab DNP MRP SF 02247013 APX CO Simvastatin 20mg Tab DNP MRP SF 02248105 COB Jamp-Simvastatin 20mg Tab DNP MRP SF 02331047 JPC MYLAN-Simvastatin 20mg Tab DNP MRP SF 02246737 MYL Novo-Simvastatin 20mg Tab DNP MRP SF 02250160 TEV phl-Simvastatin 20mg Tab DNP MRP SF 02281562 PHL pms-Simvastatin 20mg Tab DNP MRP SF 02269279 PMS RAN-Simvastatin 20mg Tab DNP MRP SF 02329166 RAN ratio-Simvastatin 20mg Tab DNP MRP SF 02247069 TEV Sandoz Simvastatin 20mg Tab DNP MRP SF 02247830 SDZ Simvastatin 20mg Tab DNP MRP SF 02284758 SAS Zocor 20mg Tab DNP MRP SF 00884340 FRS

simvastatin 40mg tab Apo-Simvastatin 40mg Tab DNP MRP SF 02247014 APX CO Simvastatin 40mg Tab DNP MRP SF 02248106 COB Jamp-Simvastatin 40mg Tab DNP MRP SF 02331055 JPC MYLAN-Simvastatin 40mg Tab DNP MRP SF 02246584 MYL Novo-Simvastatin 40mg Tab DNP MRP SF 02250179 TEV phl-Simvastatin 40mg Tab DNP MRP SF 02281570 PHL pms-Simvastatin 40mg Tab DNP MRP SF 02269287 PMS RAN-Simvastatin 40mg Tab DNP MRP SF 02329174 RAN ratio-Simvastatin 40mg Tab DNP MRP SF 02247070 TEV Sandoz Simvastatin 40mg Tab DNP MRP SF 02247831 SDZ Simvastatin 40mg Tab DNP MRP SF 02284766 SAS Zocor 40mg Tab DNP MRP SF 00884359 FRS

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simvastatin 80mg tab Apo-Simvastatin 80mg Tab DNP MRP SF 02247015 APX CO Simvastatin 80mg Tab DNP MRP SF 02248107 COB Jamp-Simvastatin 80mg Tab DNP MRP SF 02331063 JPC MYLAN-Simvastatin 80mg Tab DNP MRP SF 02246585 MYL Novo-Simvastatin 80mg Tab DNP MRP SF 02250187 TEV phl-Simvastatin 80mg Tab DNP MRP SF 02281589 PHL pms-Simvastatin 80mg Tab DNP MRP SF 02269295 PMS RAN-Simvastatin 80mg Tab DNP MRP SF 02329182 RAN ratio-Simvastatin 80mg Tab DNP MRP SF 02247071 TEV Sandoz Simvastatin 80mg Tab DNP MRP SF 02247833 SDZ Simvastatin 80mg Tab DNP MRP SF 02284774 SAS Zocor 80mg Tab DNP MRP SF 02240332 FRS

C10AA02 LOVASTATIN

lovastatin 20mg tab Apo-Lovastatin 20mg Tab DNP MRP SF 02220172 APX CO Lovastatin 20mg Tab DNP MRP SF 02248572 COB Lovastatin 20mg Tab DNP MRP SF 02353229 SAS MYLAN-Lovastatin 20mg Tab DNP MRP SF 02243127 MYL Novo-Lovastatin 20mg Tab DNP MRP SF 02246542 TEV pms-Lovastatin 20mg Tab DNP MRP SF 02246013 PMS ratio-Lovastatin 20mg Tab DNP MRP SF 02245822 TEV Sandoz Lovastatin 20mg Tab DNP MRP SF 02247056 SDZ Mevacor 20mg Tab DNP MRP SF 00795860 FRS RAN-Lovastatin 20mg Tab (discontinued)

lovastatin 40mg tab Apo-Lovastatin 40mg Tab DNP MRP SF 02220180 APX CO Lovastatin 40mg Tab DNP MRP SF 02248573 COB Lovastatin 40mg Tab DNP MRP SF 02353237 SAS MYLAN-Lovastatin 40mg Tab DNP MRP SF 02243129 MYL Novo-Lovastatin 40mg Tab DNP MRP SF 02246543 TEV pms-Lovastatin 40mg Tab DNP MRP SF 02246014 PMS ratio-Lovastatin 40mg Tab DNP MRP SF 02245823 TEV Sandoz Lovastatin 40mg Tab DNP MRP SF 02247057 SDZ Mevacor 40mg Tab DNP MRP SF 00795852 FRS RAN-Lovastatin 40mg Tab (discontinued)

C10AA03 PRAVASTATIN

pravastatin 10mg tab Apo-Pravastatin 10mg Tab DNP MRP SF 02243506 APX CO Pravastatin 10mg Tab DNP MRP SF 02248182 COB Jamp-Pravastatin 10mg Tab DNP MRP SF 02330954 JPC MINT-Pravastatin 10mg Tab DNP MRP SF 02317451 MNT MYLAN-Pravastatin 10mg Tab DNP MRP SF 02257092 MYL Novo-Pravastatin 10mg Tab DNP MRP SF 02247008 TEV Nu-Pravastatin 10mg Tab DNP MRP SF 02244350 NXP Pravastatin 10mg Tab DNP MRP SF 02249766 MEL pms-Pravastatin 10mg Tab DNP MRP SF 02247655 PMS Pravastatin 10mg Tab DNP MRP SF 02356546 SAS RAN-Pravastatin 10mg Tab DNP MRP SF 02284421 RAN Sandoz Pravastatin 10mg Tab DNP MRP SF 02247856 SDZ Pravachol 10mg Tab DNP MRP SF 00893749 BRI ratio-Pravastatin 10mg Tab (discontinued)

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pravastatin 20mg tab Apo-Pravastatin 20mg Tab DNP MRP SF 02243507 APX CO Pravastatin 20mg Tab DNP MRP SF 02248183 COB Jamp-Pravastatin 20mg Tab DNP MRP SF 02330962 JPC MINT-Pravastatin 20mg Tab DNP MRP SF 02317478 MNT MYLAN-Pravastatin 20mg Tab DNP MRP SF 02257106 MYL Novo-Pravastatin 20mg Tab DNP MRP SF 02247009 TEV Nu-Pravastatin 20mg Tab DNP MRP SF 02244351 NXP Pravastatin 20mg Tab DNP MRP SF 02249774 MEL pms-Pravastatin 20mg Tab DNP MRP SF 02247656 PMS Pravastatin 20mg Tab DNP MRP SF 02356554 SAS RAN-Pravastatin 20mg Tab DNP MRP SF 02284448 RAN Sandoz Pravastatin 20mg Tab DNP MRP SF 02247857 SDZ Pravachol 20mg Tab DNP MRP SF 00893757 BRI ratio-Pravastatin 20mg Tab (discontinued)

pravastatin 40mg tab Apo-Pravastatin 40mg Tab DNP MRP SF 02243508 APX CO Pravastatin 40mg Tab DNP MRP SF 02248184 COB Jamp-Pravastatin 40mg Tab DNP MRP SF 02330970 JPC MINT-Pravastatin 40mg Tab DNP MRP SF 02317486 MNT MYLAN-Pravastatin 40mg Tab DNP MRP SF 02257114 MYL Novo-Pravastatin 40mg Tab DNP MRP SF 02247010 TEV Nu-Pravastatin 40mg Tab DNP MRP SF 02244352 NXP Pravastatin 40mg Tab DNP MRP SF 02249782 MEL pms-Pravastatin 40mg Tab DNP MRP SF 02247657 PMS Pravastatin 40mg Tab DNP MRP SF 02356562 SAS RAN-Pravastatin 40mg Tab DNP MRP SF 02284456 RAN Sandoz Pravastatin 40mg Tab DNP MRP SF 02247858 SDZ Pravachol 40mg Tab DNP MRP SF 02222051 BRI ratio-Pravastatin 40mg Tab (discontinued)

C10AA04 FLUVASTATIN

Lescol 20mg Cap DNP SF 02061562 NVR Lescol 40mg Cap DNP SF 02061570 NVR Lescol XL 80mg Cap DNP SF 02250527 NVR

C10AA05 ATORVASTATIN

atorvastatin 10mg tab Apo-Atorvastatin 10mg Tab DNP MRP SF 02295261 APX Atorvastatin 10mg Tab DNP MRP SF 02348624 TEV Atorvastatin 10mg Tab DNP MRP SF 02348705 SAS CO Atorvastatin 10mg Tab DNP MRP SF 02310899 COB GD-Atorvastatin 10mg Tab DNP MRP SF 02288346 GMD Novo-Atorvastatin 10mg Tab DNP MRP SF 02302675 TEV pms-Atorvastatin 10mg Tab DNP MRP SF 02313448 PMS RAN-Atorvastatin 10mg Tab DNP MRP SF 02313707 RAN ratio-Atorvastatin 10mg Tab DNP MRP SF 02350297 TEV Sandoz Atorvastatin 10mg Tab DNP MRP SF 02324946 SDZ Lipitor 10mg Tab 02230711 PFI

atorvastatin 20mg tab Apo-Atorvastatin 20mg Tab DNP MRP SF 02295288 APX Atorvastatin 20mg Tab DNP MRP SF 02348632 TEV Atorvastatin 20mg Tab DNP MRP SF 02348713 SAS CO Atorvastatin 20mg Tab DNP MRP SF 02310902 COB GD-Atorvastatin 20mg Tab DNP MRP SF 02288354 GMD Novo-Atorvastatin 20mg Tab DNP MRP SF 02302683 TEV pms-Atorvastatin 20mg Tab DNP MRP SF 02313456 PMS RAN-Atorvastatin 20mg Tab DNP MRP SF 02313715 RAN ratio-Atorvastatin 20mg Tab DNP MRP SF 02350319 TEV Sandoz Atorvastatin 20mg Tab DNP MRP SF 02324954 SDZ Lipitor 20mg Tab 02230713 PFI

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atorvastatin 40mg tab Apo-Atorvastatin 40mg Tab DNP MRP SF 02295296 APX Atorvastatin 40mg Tab DNP MRP SF 02348640 TEV Atorvastatin 40mg Tab DNP MRP SF 02348721 SAS CO Atorvastatin 40mg Tab DNP MRP SF 02310910 COB GD-Atorvastatin 40mg Tab DNP MRP SF 02288362 GMD Novo-Atorvastatin 40mg Tab DNP MRP SF 02302691 TEV pms-Atorvastatin 40mg Tab DNP MRP SF 02313464 PMS RAN-Atorvastatin 40mg Tab DNP MRP SF 02313723 RAN ratio-Atorvastatin 40mg Tab DNP MRP SF 02350327 TEV Sandoz Atorvastatin 40mg Tab DNP MRP SF 02324962 SDZ Lipitor 40mg Tab 02230714 PFI

atorvastatin 80mg tab Apo-Atorvastatin 80mg Tab DNP MRP SF 02295318 APX Atorvastatin 80mg Tab DNP MRP SF 02348659 TEV Atorvastatin 80mg Tab DNP MRP SF 02348748 SAS CO Atorvastatin 80mg Tab DNP MRP SF 02310929 COB GD-Atorvastatin 80mg Tab DNP MRP SF 02288370 GMD Novo-Atorvastatin 80mg Tab DNP MRP SF 02302713 TEV pms-Atorvastatin 80mg Tab DNP MRP SF 02313472 PMS RAN-Atorvastatin 80mg Tab DNP MRP SF 02313758 RAN ratio-Atorvastatin 80mg Tab DNP MRP SF 02350335 TEV Sandoz Atorvastatin 80mg Tab DNP MRP SF 02324970 SDZ Lipitor 80mg Tab 02243097 PFI

C10AA07 ROSUVASTATIN Crestor 5mg Tab 02265540 AZE Crestor 10mg Tab DNP SF 02247162 AZE Crestor 20mg Tab DNP SF 02247163 AZE Crestor 40mg Tab DNP SF 02247164 AZE

C10AA53 PRAVASTATIN, COMBINATIONS

PravASA 81/10mg Tab 02272415 PAL PravASA 81/20mg Tab 02272423 PAL PravASA 81/40mg Tab 02272431 PAL

C10AB FIBRATES

C10AB02 BEZAFIBRATE Bezalip 400mg SR Tab DNP SF 02083523 TRB

C10AB04 GEMFIBROZIL

gemfibrozil 300mg cap Apo-Gemfibrozil 300mg Cap DNP MRP SF 01979574 APX MYLAN-Gemfibrozil 300mg Cap DNP MRP SF 02185407 MYL Novo-Gemfibrozil 300mg Cap DNP MRP SF 02241704 TEV Nu-Gemfibrozil 300mg Cap DNP MRP SF 02058456 NXP pms-Gemfibrozil 300mg Cap DNP MRP SF 02239951 PMS Lopid 300mg Cap DNP MRP SF 00599026 PFI

gemfibrozil 600mg tab Apo-Gemfibrozil 600mg Tab DNP MRP SF 01979582 APX MYLAN-Gemfibrozil 600mg Tab DNP MRP SF 02230476 MYL Novo-Gemfibrozil 600mg Tab DNP MRP SF 02142074 TEV Nu-Gemfibrozil 600mg Tab DNP MRP SF 02058464 NXP pms-Gemfibrozil 600mg Tab DNP MRP SF 02230183 PMS Lopid 600mg Tab (discontinued)

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C10AB05 FENOFIBRATE fenofibrate 67mg cap Apo-Feno-Micro 67mg Cap DNP MRP SF 02243180 APX Novo-Fenofibrate Micronized 67mg Cap DNP MRP SF 02243551 TEV Lipidil Micro 67mg Cap (discontinued)

Apo-Fenofibrate 100mg Cap DNP SF 02225980 APX

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

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

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

Lipidil EZ 48mg Tab 02269074 ABB Lipidil EZ 145mg Tab 02269082 ABB

C10AC BILE ACID SEQUESTRANTS

C10AC01 CHOLESTYRAMINE cholestyramine powder pouches Olestyr 4g/9g Pdr DNP SF 02210320 MMT Olestyr 4g/5g Pdr* DNP SF 00890960 MMT Questran Pdr and Light Pdr 4g/dose (discontinued)

*This formulation is Sugar Reduced

C10AC02 COLESTIPOL

Colestid Granules 5g/pack DNP SF 00642975 PFI Colestid Orange Gran 5g/pack DNP SF 02132699 PFI Colestid 1g Tab DNP SF 02132680 PFI

C10AD NICOTINIC ACID AND DERIVATIVES

C10AD02 NICOTINIC ACID Niaspan 500mg Tab 02262347 SEP Niaspan 750mg Tab 02262355 SEP Niaspan 1,000mg Tab 02262339 SEP

C10AX OTHER LIPID MODIFYING AGENTS

C10AX09 EZETIMIBE Ezetrol 10mg Tab DNP E 02247521 FRS

C10B LIPID MODIFYING AGENTS, COMBINATIONS

C10BA HMG-CoA REDUCTASE INHIBITORS IN COMBINATION WITH OTHER LIPID MODIFYING AGENTS

C10BA01 LOVASTATIN AND NICOTINIC ACID Advicor 20/500mg Tab DNP SF 02270439 SEP Advicor 20/1000mg Tab DNP SF 02270447 SEP Advicor 40/1000mg Tab DNP SF 02293501 SEP

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C10BX HMG-CoA REDUCTASE INHIBITORS, OTHER COMBINATIONS

C10BX03 ATORVASTATIN AND AMLODIPINE Caduet 5/10mg Tab DNP SF 02273233 PFI Caduet 5/20mg Tab DNP SF 02273241 PFI Caduet 5/40mg Tab DNP SF 02273268 PFI Caduet 5/80mg Tab DNP SF 02273276 PFI Caduet 10/10mg Tab DNP SF 02273284 PFI Caduet 10/20mg Tab DNP SF 02273292 PFI Caduet 10/40mg Tab DNP SF 02273306 PFI Caduet 10/80mg Tab DNP SF 02273314 PFI

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D01 ANTIFUNGALS FOR DERMATOLOGICAL USE D01A ANTIFUNGALS FOR TOPICAL USE

D01AA ANTIBIOTICS

D01AA01 NYSTATIN Nyaderm 100,000 iu/g Cr DNPM SFC 00716871 TAR ratio-Nystatin 100,000 iu/g Cr DNPM SFC 02194236 TEV ratio-Nystatin 100,000 iu/g Oint DNPM SFC 02194228 TEV Mycostatin 100,000 iu/g Pdr (discontinued)

D01AC IMIDAZOLE AND TRIAZOLE DERIVATIVES

D01AC01 CLOTRIMAZOLE clotrimazole 1% cr Clotrimaderm 1% Cr DNPM MRP SFC 00812382 TAR Canesten 1% Cr DNPM MRP SFC 02150867 YNO

Canesten 1% Sol DNPM SFC 02150875 BAY

D01AC02 MICONAZOLE

Micatin 2% Cr DNPM SFC 02085852 WLS Monistat 2% Derm Cr DNPM SFC 02126567 JNJ

D01AC08 KETOCONAZOLE

ketoconazole 2% cr Ketoderm 2% Cr DNP MRP SFC 02245662 TPH Nizoral 2% Cr (discontinued)

D01AC20 IMIDAZOLE DERIVATIVES, COMBINATIONS

Hydrocortisone Pdr 1-2.5% in Clotrimazole Cr DNP SF 00999474 CPD Lotriderm Cr DNP SFC 00611174 SCH

D01AE OTHER ANTIFUNGALS FOR TOPICAL USE

D01AE12 SALICYLIC ACID Salicylic Acid Oint DNP SF 00900788 CPD

D01AE13 SELENIUM SULFIDE

Versel 2.5% Lot 00594601 VAL

D01AE14 CICLOPIROX Loprox 1% Cr DNP SFC 02221802 SAV Loprox 1% Lot DNP SFC 02221810 SAV Stieprox 1.5% Shampoo 02247228 STI

ciclopirox 8% w/w top sol Apo-Ciclopirox 8% w/w Top Sol 02298953 APX Penlac 8% w/w Top Sol 02250535 SAV

D01AE15 TERBINAFINE

Lamisil 1% Cr DNP SFC 02031094 NVR Lamisil 1% Top Spray DNP SFC 02238703 NVR

D01AE18 TOLNAFTATE

Tinactin 10mg/g Cr 00576034 SCH

D01AE22 NAFTIFINE Naftin 1% Cr DNP SFC 02011255 ALL Naftin 1% Gel DNP SFC 02011263 ALL

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D01B ANTIFUNGALS FOR SYSTEMIC USE

D01BA ANTIFUNGALS FOR SYSTEMIC USE

D01BA02 TERBINAFINE terbinafine 250mg tab Apo-Terbinafine 250mg Tab DNP MRP E 02239893 APX Auro-Terbinafine 250mg Tab DNP MRP E 02320134 ARO CO Terbinafine 250mg Tab DNP MRP E 02254727 COB MYLAN-Terbinafine 250mg Tab DNP MRP E 02242503 MYL Novo-Terbinafine 250mg Tab DNP MRP E 02240346 TEV pms-Terbinafine 250mg Tab DNP MRP E 02294273 PMS Sandoz Terbinafine 250mg Tab DNP MRP E 02262177 SDZ Terbinafine 250mg Tab DNP MRP E 02353121 SAS Lamisil 250mg Tab DNP MRP E 02031116 NVR

D03 PREPARATIONS FOR TREATMENT OF WOUNDS AND ULCERS D03A CICATRIZANTS

D03AX OTHER CICATRIZANTS

D03AX06 BECAPLERMIN Regranex 0.01% Top Gel 02239405 JAN

D03B ENZYMES

D03BA PROTEOLYTIC ENZYMES

D03BA02 COLLAGENASE (CLOSTRIDIOPEPITIDASE) Santyl 250u/g Oint DNP SF 02063670 SNE

D04 ANTIPRURITICS, INCLUDING ANTIHISTAMINES, ANESTHETICS, ETC. D04A ANTIPRURITICS, INCLUDING ANTIHISTAMINES, ANESTHETICS, ETC.

D04AB ANESTHETICS FOR TOPICAL USE

D04AB01 LIDOCAINE lidocaine 5% oint Lidodan 5% Oint DNPM MRP SFC 02083795 ODN Xylocaine 5% Oint DNPM MRP SFC 00001961 AZE

Xylocaine 2% Jelly DNPM SFC 00001694 AZE Xylocaine 4% Topical Liq DNPM SFC 00049816 AZE Lidodan 2% Viscous Liq DNPM SFC 01968823 ODN pms-Lidocaine 2% Viscous Liq DNPM SFC 00811874 PMS Xylocaine 2% Viscous Liq DNPM SFC 00001686 AZE Magic Mouthwash O/L DNPM SFC 00999022 CPD Xylocaine 12mg/dose Endotracheal Spray 02003767 AZE

D04AX OTHER ANTIPRURITICS

D04AX99 DOXEPIN Zonalon 5% Cr 02142147 MDS

D05 ANTIPSORIATICS D05A ANTIPSORIATICS FOR TOPICAL USE

D05AA TARS

D05AA99 COAL TAR LCD (coal tar) Preparations DNP SF 00358494 CPD LCD 20% USP DNP SF 00358495 ODN Tar Pomade DNP SF 00901121 CPD

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D05AC ANTRACEN DERIVATIVES

D05AC01 ANTHRALIN (DITHRANOL) Anthranol 0.1% Cr DNP SF 00537594 MED Anthranol 0.2% Cr DNP SF 00537608 MED Anthrascalp 0.4% Lot DNP SF 00695351 MED Anthraforte 1% Oint DNP SF 00566756 MED Anthraforte 2% Oint DNP SF 00566748 MED Anthralin 0.4% Oint DNP SF 00901113 CPD Anthralin Weak 0.2% Oint DNP SF 00901105 CPD Anthralin Soft 0.05% Paste DNP SF 00902063 CPD Anthralin Soft 0.1% Paste DNP SF 00900907 CPD Anthralin Soft 0.2% Paste DNP SF 00900915 CPD

D05AD PSORALENS FOR TOPICAL USE

D05AD02 METHOXSALEN Oxsoralen 1% Lot DNP SF 01907476 VLN

D05AX OTHER ANTIPSORIATICS FOR TOPICAL USE

D05AX02 CALCIPOTRIOL Dovonex 50mcg/g Oint DNP E 01976133 LEO Dovonex 50mcg/g Cr DNP E 02150956 LEO Dovonex 50mcg/mL Scalp Sol DNP E 02194341 LEO

D05AX03 CALCITRIOL Silkis 3ug/G Oint 02338572 GAC

D05AX05 TAZAROTENE Tazorac 0.05% Gel DNP E 02230784 ALL Tazorac 0.1% Gel DNP E 02230785 ALL

D05AX52 CALCIPOTRIOL, COMBINATIONS

Dovobet 50mcg/0.5mg/g Oint 02244126 LEO

D05B ANTIPSORIATICS FOR SYSTEMIC USE

D05BA PSORALENS FOR SYSTEMIC USE

D05BA02 METHOXSALEN Oxsoralen 10mg Cap DNP SF 01946374 VLN Oxsoralen Ultra 10mg Cap DNP SF 00252654 VLN

D05BB RETINOIDS FOR TREATMENT OF PSORIASIS

D05BB02 ACITRETIN Soriatane 10mg Cap DNP SF 02070847 TRB Soriatane 25mg Cap DNP SF 02070863 TRB

D06 ANTIBIOTICS AND CHEMOTHERAPEUTICS FOR DERMATOLOGICAL USE D06A ANTIBIOTICS FOR TOPICAL USE

D06AX OTHER ANTIBIOTICS FOR TOPICAL USE

D06AX01 FUSIDIC ACID Fucidin 2% Cr DNP SF 00586668 LEO Fucidin 2% Oint DNP SF 00586676 LEO

D06AX04 NEOMYCIN

Neosporin Cr DNP SF 00666203 GSK Neosporin Oint DNP SF 00666122 GSK

D06AX05 BACITRACIN

Bacitracin 50,000iu Pdr/Vial DNP SF 00030708 PFI

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D06AX07 GENTAMICIN ratio-Gentamicin 0.1% Cr DNP SF 00805386 TEV ratio-Gentamicin 0.1% Oint DNP SF 00805025 TEV

D06AX09 MUPIROCIN

Bactroban 2% Cr DNPM SF 02239757 GCH

mupirocin 2% oint Taro-Mupirocin 2% Oint DNPM MRP SF 02279983 TAR Bactroban 2% Oint DNPM MRP SF 01916947 GCH

D06AX30 ANTIBIOTICS, COMBINATIONS

Soframycin Oint DNP SF 02224879 ERF

D06B CHEMOTHERAPEUTICS FOR TOPICAL USE

D06BA SULFONAMIDES

D06BA01 SILVER SULFADIAZINE Flamazine 1% Cr DNP SFC 00323098 SNE

D06BB ANTIVIRALS

D06BB01 IDOXURIDINE idoxuridine 0.1% sol Sandoz Idoxuridine 0.1% Sol DNP SFC 02237187 SDZ Herplex-D 0.1% Sol (discontinued)

D06BB03 ACYCLOVIR

Zovirax 5% Oint 00569771 GSK

D06BB04 PODOPHYLLOTOXIN Podofilm 250mg/mL Liq DNP SF 00598208 PAL Condyline 0.5% Top Sol DNP SF 01945149 CDX Wartec 0.5% Top Sol DNP SF 02074788 PAL

D06BB10 IMIQUIMOD

Aldara 5% Cr DNP E 02239505 GWP D06BX OTHER CHEMOTHERAPEUTICS

D06BX01 METRONIDAZOLE MetroCream 0.75% Cr DNP SFC 02226839 GAC Noritate 1% Cr DNP SFC 02156091 SAV Rosasol 1% Cr DNP SFC 02242919 STI MetroGel 1% Gel DNP SFC 02297809 GAC MetroLotion 0.75% Lot DNP SFC 02248206 GAC

D07 CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS D07A CORTICOSTEROIDS, PLAIN

D07AA CORTICOSTEROIDS, WEAK (GROUP I)

D07AA02 HYDROCORTISONE Hydrocortisone 0.5% in Dermabase Cr 00903124 CPD Hydrocortisone 0.5% in Glaxal Base Cr 00903159 CPD Emo-Cort 1% Cr DNP SF 00192597 STI Hyderm 1% Cr DNP SF 00716839 TAR Hydrocortisone 1% in Dermabase Cr 00903132 CPD Hydrocortisone 1% in Glaxal Base Cr 00903167 CPD Prevex HC 1% Cr DNP SF 00804533 STI Emo-Cort 2.5% Cr DNP SF 00595799 STI Emo-Cort 1% Lot DNP SF 00192600 STI Sarna HC 1% Lot DNP SF 00578541 STI Emo-Cort 2.5% Lot DNP SF 00595802 STI Sarna HC 2.5% Lot DNP SF 00856711 STI Cortoderm 1% Oint DNP SF 00716693 TAR

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Hydrocorisone 0.5% in Soft Petrolatum Oint 00903175 CPD Hydrocorisone 1% in Soft Petrolatum Oint 00903183 CPD

hydrocortisone valerate 0.2% cr Hydroval 0.2% Cr DNP MRP SF 02242984 TPH Westcort 0.2% Cr (discontinued)

Hydroval 0.2% Oint DNP SF 02242985 TPH

D07AB CORTICOSTEROIDS, MODERATELY POTENT (GROUP II)

D07AB01 CLOBETASONE Spectro Eczemacare Medicated Cream DNP SF 02214415 GCH

D07AB08 DESONIDE

desonide 0.05% cr pms-Desonide 0.05% Cr DNP MRP SF 02229315 PMS Tridesilon 0.05% Cr (discontinued)

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

Desocort 0.05% Oint DNP SF 02115522 GAC Desocort 0.05% Top Lot DNP SF 02115514 GAC

D07AB09 TRIAMCINOLONE

Aristocort C 0.5% Cr 02194066 VAL Aristocort R 0.1% Cr DNP SF 02194058 VAL Triaderm 0.025% Cr DNP SF 00716952 TAR Triaderm 0.1% Cr DNP SF 00716960 TAR Aristocort R 0.1% Oint DNP SF 02194031 VAL Triaderm 0.1% Oint DNP SF 00716987 TAR

D07AC CORTICOSTEROIDS, POTENT (GROUP III)

D07AC01 BETAMETHASONE betamethasone dipropionate 0.05% cr Taro-Sone 0.05% Cr DNPM MRP SF 01925350 TAR Diprosone 0.05% Cr DNPM MRP SF 00323071 SCH

ratio-Topisone 0.05% Cr DNPM MRP SF 00804991 TEV

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

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

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

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

betamethasone dipropionate 0.05% oint ratio-Topisone 0.05% Oint DNPM MRP SF 00805009 TEV Diprosone 0.05% Oint DNPM MRP SF 00344923 SCH

betamethasone 17 valerate 0.05% cr Betaderm 0.05% Cr DNPM MRP SF 00716618 TAR Celestoderm-V 0.05% Cr (discontinued)

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ratio-Ectosone 0.05% Cr DNPM SF 00535427 TEV ratio-Ectosone 0.05% Lot DNPM SF 00653209 TEV Betaderm 0.05% Oint DNPM SF 00716642 TAR

betamethasone 17 valerate 0.1% cr Betaderm 0.1% Cr DNPM MRP SF 00716626 TAR Celestoderm-V 0.1% Cr (discontinued)

ratio-Ectosone 0.1% Cr DNPM SF 00535435 TEV Prevex B 0.1% Cr DNPM SF 00804541 STI ratio-Ectosone 1% Lot DNPM SF 00750050 TEV Betaderm 0.1% Oint DNPM SF 00716650 TAR Betaderm 0.1% Scalp Lot DNPM SF 00716634 TAR ratio-Ectosone 0.1% Scalp Lot DNPM SF 00653217 TEV

D07AC03 DESOXIMETASONE

Topicort Mild 0.05% Cr DNP SF 02221918 SAV Topicort 0.25% Cr DNP SF 02221896 SAV Topicort 0.05% Gel DNP SF 02221926 SAV Topicort 0.25% Oint DNP SF 02221934 SAV

D07AC04 FLUOCINOLONE ACETONIDE

FS-Shampoo 0.01% 02129078 HLZ Derma-Smoothe FS 0.01% Top Oil DNP SF 00873292 HLZ

D07AC06 DIFLUCORTOLONE

Nerisone 0.1% Cr DNP SF 00587826 STI Nerisone 0.1% Oily Cr DNP SF 00587818 STI Nerisone 0.1% Oint DNP SF 00587834 STI

D07AC08 FLUOCINONIDE

Lidemol 0.05% Cr DNP SF 02163152 VAL Tiamol 0.05% Cr DNP SF 00598933 TPH

fluocinonide 0.05% cr Lyderm 0.05% Cr DNP MRP SF 00716863 TPH Lidex 0.05% Cr DNP MRP SF 02161923 VAL

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

fluocinonide 0.05% oint Lyderm 0.05% Oint DNP MRP SF 02236996 TPH Lidex 0.05% Oint DNP MRP SF 02161966 VAL

D07AC11 AMCINONIDE

amcinonide 0.1% cr ratio-Amcinonide 0.1% Cr DNP MRP SF 02247098 TEV Taro-Amcinonide 0.1% Cr DNP MRP SF 02246714 TAR Cyclocort 0.1% Cr DNP MRP SF 02192284 STI

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

amcinonide 0.1% oint ratio-Amcinonide 0.1% Oint DNP MRP SF 02247096 TEV Cyclocort 0.1% Oint DNP MRP SF 02192268 STI

D07AC13 MOMETASONE

mometasone 0.1% cr Taro-Mometasone 0.1% Cr DNP MRP SF 02367157 SCH Elocom 0.1% Cr DNP MRP SF 00851744 SCH

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

mometasone 0.1% oint ratio-Mometasone 0.1% Oint DNP MRP SF 02248130 TEV Taro-Mometasone 0.1% Oint DNP MRP SF 02264749 TAR Elocom 0.1% Oint DNP MRP SF 00851736 SCH

D07AD CORTICOSTEROIDS, VERY POTENT (GROUP IV)

D07AD01 CLOBETASOL clobetasol 17-propionate 0.05% cr MYLAN-Clobetasol 0.05% Cr DNP MRP SF 02024187 MYL Novo-Clobetasol 0.05% Cr DNP MRP SF 02093162 TEV pms-Clobetasol 0.05% Cr DNP MRP SF 02232191 PMS ratio-Clobetasol 0.05% Cr DNP MRP SF 01910272 TEV Taro-Clobetasol 0.05% Cr DNP MRP SF 02245523 TAR Dermovate 0.05% Cr DNP MRP SF 02213265 TPH

clobetasol 17-propionate 0.05% oint MYLAN-Clobetasol 0.05% Oint DNP MRP SF 02026767 MYL Novo-Clobetasol 0.05% Oint DNP MRP SF 02126192 TEV pms-Clobetasol 0.05% Oint DNP MRP SF 02309548 PMS ratio-Clobetasol 0.05% Oint DNP MRP SF 01910280 TEV Taro-Clobetasol 0.05% Oint DNP MRP SF 02245524 TAR Dermovate 0.05% Oint DNP MRP SF 02213273 TPH pms-Clobetasol 0.05% Oint (discontinued) 02232193 PMS

clobetasol 17-propionate 0.05% scalp lot MYLAN-Clobetasol 0.05% Scalp Lot DNP MRP SF 02216213 MYL pms-Clobetasol 0.05% Scalp Lot DNP MRP SF 02232195 PMS ratio-Clobetasol 0.05% Scalp Lot DNP MRP SF 01910299 TEV Taro-Clobetasol 0.05% Scalp Lot DNP MRP SF 02245522 TAR Dermovate 0.05% Scalp Lot DNP MRP SF 02213281 TPH

D07C CORTICOSTEROIDS, COMBINATIONS WITH ANTIBIOTICS

D07CA CORTICOSTEROIDS, WEAK, COMBINATIONS WITH ANTIBIOTICS

D07CA01 HYDROCORTISONE AND ANTIBIOTICS Fucidin H 1% Cr 02238578 LEO Cortisporin Oint 00666246 GSK Vioform HC Cr 00074500 PAL

D07CB CORTICOSTEROIDS, MODERATELY POTENT, COMBINATIONS WITH ANTIBIOTICS

D07CB01 TRIAMCINOLONE AND ANTIBIOTICS triamcinolone 0.1%, nystatin, neomycin & gramicidin cr Viaderm KC Cr 00717002 TAR Kenacomb Cr (discontinued)

triamcinolone 0.1%, nystatin, neomycin & gramicidin oint Viaderm KC Oint 00717029 TAR Kenacomb Oint (discontinued)

D07CB05 FLUMETASONE AND ANTIBIOTICS

Locacorten Vioform Cr 00074462 PAL

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D07CC CORTICOSTEROIDS, POTENT, COMBINATIONS WITH ANTIBIOTICS

D07CC01 BETAMETHASONE AND ANTIBIOTICS Valisone G Oint 00232351 VAL Valisone G Cream 00177016 VAL

D07X CORTICOSTEROIDS, OTHER COMBINATIONS

D07XA CORTICOSTEROIDS, WEAK, OTHER COMBINATIONS

D07XA01 HYDROCORTISONE Pramox HC 1% Cr DNP SF 00770957 DPT Uremol HC 1% Cr DNP SF 00503134 STI Pramox HC 1% Lot DNP SF 01954210 DPT Uremol HC 1% Lot DNP SF 00560022 STI

D07XC CORTICOSTEROIDS, POTENT, OTHER COMBINATIONS

D07XC01 BETAMETHASONE Diprosalic Oint DNP SF 00578436 SCH Xamiol 0.5mg/g/50mcg/g Gel DNP E 02319012 LEO bethamethasone dipropionate 0.05% & salicylic acid 2% lot ratio-Topisalic Lot DNP MRP SF 02245688 TEV Diprosalic Lot DNP MRP SF 00578428 SCH

D07XC04 DIFLUCORTOLONE

Nerisalic Oily Cr DNP SF 02028719 STI D08 ANTISEPTICS AND DISINFECTANTS D08A ANTISEPTICS AND DISINFECTANTS

D08AE PHENOL AND DERIVATIVES

D08AE01 HEXACHLOROPHENE pHisoHex 3% Liq DNP SF 02017733 SAV

D08AG IODINE PRODUCTS

D08AG02 POVIDONE-IODINE Betadine 10% Oint 00254339 PFR Betadine 10% Sol 00158348 PFR

D08AJ BENZETHONIUM CHLORIDE, COMBINATIONS

D08AJ58 BENZETHONIUM CHLORIDE, COMBINATIONS Buro-Sol 2.36g/Pack Pdr DNP SF 00579947 STI

D09 MEDICATED DRESSINGS D09A MEDICATED DRESSINGS

D09AA OINTMENT DRESSINGS WITH ANTIINFECTIVES

D09AA01 FRAMYCETIN Sofra-Tulle 1% 10cm x 10cm DNP SF 01988840 ERF Sofra-Tulle 1% 10cm x 30cm DNP SF 01987682 ERF

D10 ANTI-ACNE PREPARATIONS D10A ANTI-ACNE PREPARATIONS FOR TOPICAL USE

D10AA CORTICOSTEROIDS, COMBINATIONS FOR TREATMENT OF ACNE

D10AA02 METHYLPREDNISOLONE Medrol Acne Lot DNP F 00252395 PFI Neo-Medrol Acne Lot DNP F 00195057 PFI

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D10AB PREPARATIONS CONTAINING SULFUR

D10AB02 SULPHUR Sulfacet-R Lot DNP F 02220407 SAV

D10AD RETINOIDS FOR TOPICAL USE IN ACNE

D10AD01 TRETINOIN Stieva-A 0.01% Cr DNP FE5 00657204 STI Stieva-A 0.025% Cr DNP FE5 00578576 STI Retin-A 0.05% Cr DNP FE5 00443794 JNJ Stieva-A 0.05% Cr DNP FE5 00518182 STI Retin-A 0.1% Cr DNP FE5 00870021 JNJ Stieva-A 0.1% Forte Cr DNP FE5 00662348 STI Retin-A 0.01% Gel DNP FE5 00870013 JNJ Retin-A 0.025% Gel DNP FE5 00443816 JNJ Stieva-A 0.025% Gel DNP FE5 00587966 STI Stieva-A 0.05% Gel DNP FE5 00641863 STI Vitamin A Acid 0.05% Gel DNP FE5 01926489 SAV

D10AE PEROXIDES

D10AE01 BENZOYL PEROXIDE PanOxyl 10% Bar DNP F 00527661 STI PanOxyl 10% Gel DNP F 00263699 STI PanOxyl 20% Gel DNP F 00373036 STI BenOxyl 20% Lot (discontinued) Oxyderm 10% Lot DNP F 00432938 VLN Solugel 4% Gel 01975382 STI Solugel 8% Gel 02019825 STI

D10AF ANTINFECTIVES FOR TREATMENT OF ACNE

D10AF01 CLINDAMYCIN clindamycin 1% top sol Taro-Clindamycin 1% Sol DNP MRP F 02266938 TAR Dalacin T 1% Sol DNP MRP F 00582301 PFI

D10AF51 CLINDAMYCIN, COMBINATIONS

BenzaClin Gel 02248472 SAV Clindoxyl Gel 02243158 STI

D10AF52 ERYTHROMYCIN, COMBINATIONS

Stievamycin Regular Gel DNP F 01905112 STI Stievamycin Forte Gel DNP F 01945262 STI Stievamycin Mild Gel DNP F 02015994 STI

D10AX OTHER ANTI-ACNE PREPARATIONS FOR TOPICAL USE D10AX03 AZELAIC ACID

Finacea 15% Gel DNP SFC 02270811 BAY

D10B ANTI-ACNE PREPARATIONS FOR SYSTEMIC USE

D10BA RETINOIDS FOR TREATMENT OF ACNE

D10BA01 ISOTRETINOIN isotretinoin 10mg cap Clarus 10mg Cap DNP MRP F 02257955 MYL Accutane 10mg Cap DNP MRP F 00582344 HLR

isotretinoin 40mg cap Clarus 40mg Cap DNP MRP F 02257963 MYL Accutane 40mg Cap DNP MRP F 00582352 HLR

5Full benefit for beneficiaries 30 years and under. For coverage in beneficiaries over the age of 30, please refer to criteria in Appendix III.

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D11 OTHER DERMATOLOGICAL PREPARATIONS D11A OTHER DERMATOLOGICAL PREPARATIONS

D11AG MISC. SKIN AND MUCOUS MEMBRANE AGENTS

D11AG01 TACROLIMUS Protopic 0.03% Oint DNP E 02244149 AST Protopic 0.1% Oint DNP E 02244148 AST

D11AG02 PIMECROLIMUS

Elidel 1% Cr 02247238 NVR D11AX OTHER DERMATOLOGICALS

D11AX01 MINOXIDIL minoxidil 20mg/mL top sol Apo-Gain 20mg/mL Top Sol 00885754 APX Rogaine 20mg/mL Top Sol (discontinued)

D11AX10 FINASTERIDE

finasteride 1mg tab pms-Finasteride 1mg Tab 02320169 PMS Propecia 1mg Tab 02238213 FRS

D11AX99 AMINOBENZOATE POTASSIUM, SYSTEMIC

Potaba 500mg Cap DNP SF 00611271 GLE Potaba 500mg Tab DNP SF 00550175 GLE

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G01 GYNECOLOGICAL ANTI-INFECTIVES AND ANTISEPTICS G01A ANTI-INFECTIVES/ANTISEPTICS, EXCLUDING COMBINATIONS WITH CORTICOSTEROIDS

G01AA ANTIBIOTICS

G01AA01 NYSTATIN Nyaderm 100,000 iu/dose Vag Cr DNP SFC 00716901 TAR ratio-Nystatin 500,000 iu/dose Vag Cr DNP SFC 02194163 TEV

G01AA10 CLINDAMYCIN

Dalacin 100mg/dose Vag Cr DNP FC 02060604 PAL

G01AA51 NYSTATIN, COMBINATIONS Flagystatin Vag Cr DNP SFC 01926845 SAV Flagystatin Vag Ovules DNP SFC 01926829 SAV

G01AF IMIDAZOLE DERIVATIVES

G01AF01 METRONIDAZOLE Flagyl 10% Vag Cr DNP SFC 01926861 SAV Flagyl 500mg Vag Tab DNP SFC 01926888 SAV NidaGel 0.75% Vag Gel DNP SFC 02125226 GWP

G01AF02 CLOTRIMAZOLE

clotrimazole 1% vag cr Clotrimaderm 1% Vag Cr DNP MRP SFC 00812366 TAR Canesten 6 Vag Cr (6 day) DNP MRP SFC 02150891 YNO

clotrimazole 2% vag cr Clotrimaderm 2% Vag Cr DNP MRP SFC 00812374 TAR Canesten 3 Vag Cr (3 day) DNP MRP SFC 02150905 YNO

Canesten 1 Vag Cr DNP SFC 02150883 YNO Canesten 1 Vag Cr Combi-Pak DNP SFC 02230509 YNO Canesten 1 Comfortab Combi-Pak (1 day) DNP SFC 02264102 YNO Canesten 3 Comfortab Combi-Pak (3 day) DNP SFC 02264099 YNO

G01AF04 MICONAZOLE

miconazole 2% vag cr Micozole 2% Vag Cr DNP MRP SFC 02231106 TAR Monistat 7 (2%) Vag Cr DNP MRP SFC 02084309 JNJ

Monistat 3 Dual-Pak DNP SFC 02126249 JNJ Monistat 7 Dual-Pak DNP SFC 02126257 JNJ Monistat 3 (400mg) Vag Ovules DNP SFC 02126605 JNJ

G01AF15 BUTOCONAZOLE

Gynazole.1 Vag Cr 02248417 FEI G01AG TRIAZOLE DERIVATIVES

G01AG02 TERCONAZOLE Terazol-3 Dual Pak 02130874 JAN

G01AX OTHER ANTI-INFECTIVES AND ANTISEPTICS

G01AX11 POVIDONE-IODINE Betadine 200mg Vag Supp 00026050 PFR

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G02 OTHER GYNECOLOGICALS G02A OXYTOCICS

G02AD PROSTAGLANDINS

G02AD02 DINOPROSTONE Prostin E2 0.5mg Tab DNPM SF 00400688 PAL

G02B CONTRACEPTIVES

G02BA INTRAUTERINE CONTRACEPTIVES

G02BA03 PLASTIC IUD WITH PROGESTOGEN Mirena IUD 52mg/insert DNP F 02243005 BAY

G02BB VAGINAL RING WITH PROGESTOGEN AND ESTROGEN

G02BB01 ETHINYL ESTRADIOL AND ETONOGESTREL NuvaRing 02253186 SCH

G02C OTHER GYNECOLOGICALS

G02CB PROLACTINE INHIBITORS

G02CB01 BROMOCRIPTINE bromocriptine mesylate 2.5mg tab Apo-Bromocriptine 2.5mg Tab DNP MRP SFC 02087324 APX pms-Bromocriptine 2.5mg Tab DNP MRP SFC 02231702 PMS Parlodel 2.5mg Tab (discontinued)

bromocriptine mesylate 5mg cap Apo-Bromocriptine 5mg Cap DNP MRP SFC 02230454 APX pms-Bromocriptine 5mg Cap DNP MRP SFC 02236949 PMS Parlodel 5mg Cap (discontinued)

G02CB03 CABERGOLINE

cabergoline 0.5mg tab CO Cabergoline 0.5mg Tab DNP MRP E 02301407 COB Dostinex 0.5mg Tab DNP MRP E 02242471 PAL

G02CB04 QUINAGOLIDE

Norprolac 0.025mg Tab DNP E 02223740 FEI Norprolac 0.05mg Tab DNP E 02223759 FEI Norprolac 0.075mg Tab DNP E 02223767 FEI Norprolac 0.15mg Tab DNP E 02223775 FEI

G03 SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM G03A HORMONAL CONTRACEPTIVES FOR SYSTEMIC USE

G03AA PROGESTOGENS AND ESTROGENS, FIXED COMBINATIONS

G03AA01 ETHYNODIOL AND ESTROGEN Demulen 30 Tab 21 Day DNP F 00469327 PFI Demulen 30 Tab 28 Day DNP F 00471526 PFI

G03AA05 NORETHINDRONE AND ESTROGEN

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

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Select 1/35 Tab 21 Day DNP F 02197502 PFI Select 1/35 Tab 28 Day DNP F 02199297 PFI

G03AA06 NORGESTREL AND ESTROGEN

Ovral Tab 28 Day DNP F 02043041 PFI

G03AA07 LEVONORGESTREL AND ESTROGEN levonorgestrel 0.10mg & ethinyl estradiol 0.02mg tab (21) Aviane Tab 21 Day DNP MRP F 02298538 APX Alesse Tab 21 Day DNP MRP F 02236974 PFI

levonorgestrel 0.10mg & ethinyl estradiol 0.02mg tab (28) Aviane Tab 28 Day DNP MRP F 02298546 APX Alesse Tab 28 Day DNP MRP F 02236975 PFI

levonorgestrel 0.15mg & ethinyl estradiol 0.03mg tab (21) Portia Tab 21 Day DNP MRP F 02295946 APX Min-Ovral Tab 21 Day DNP MRP F 02042320 PFI

levonorgestrel 0.15mg & ethinyl estradiol 0.03mg tab (28) Portia Tab 28 Day DNP MRP F 02295954 APX Min-Ovral Tab 28 Day DNP MRP F 02042339 PFI

Seasonale Tab (91 Day) 02296659 WNC

G03AA09 DESOGESTREL AND ESTROGEN

Linessa Tab 21 Day DNP F 02272903 SCH Linessa Tab 28 Day DNP F 02257238 SCH Orthocept Tab 28 Day DNP F 02042533 JAN

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

desogestrel 150mcg and ethiny estradiol 30mcg tab (28) Apri 28 Tab 28 Day DNP MRP F 02317206 APX Marvelon Tab 28 Day DNP MRP F 02042479 SCH

G03AA11 NORGESTIMATE AND ESTROGEN

Cyclen Tab 21 Day DNP F 01968440 JAN Cyclen Tab 28 Day DNP F 01992872 JAN

G03AA12 DROSPIRENONE AND ESTROGEN

Yasmin Tab 21 Day DNP F 02261723 BAY Yasmin Tab 28 Day DNP F 02261731 BAY Yaz 3mg/0.02mg Tab 02321157 BAY

G03AA13 NORELGESTROMIN AND ESTROGEN Evra 0.6/6mg Patch 02248297 JAN

G03AB PROGESTOGENS AND ESTROGENS, SEQUENTIAL PREPARATIONS

G03AB03 LEVONORGESTREL AND ESTROGEN Triquilar Tab 21 Day DNP F 00707600 BAY Triquilar Tab 28 Day DNP F 00707503 BAY

G03AB04 NORETHINDRONE AND ESTROGEN

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

G03AB11 NORGESTIMATE AND ESTROGEN

Tri-Cyclen Tab 21 Day DNP F 02028700 JAN Tri-Cyclen Tab 28 Day DNP F 02029421 JAN Tri-Cyclen Lo Tab 21 Day DNP F 02258560 JAN Tri-Cyclen Lo Tab 28 Day DNP F 02258587 JAN

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G03AC PROGESTOGENS

G03AC01 NORETHINDRONE Micronor Tab 28 Day DNP SF 00037605 JAN

G03AC03 LEVONORGESTREL

Plan B 0.75mg Tab DNP F 02241674 PAL

G03AC06 MEDROXYPROGESTERONE Depo-Provera 50mg/mL Inj DNP SFC 00030848 PFI

Medroxyprogesterone acetate 150mg/mL inj Medroxyprogesterone Acetate 150mg/mL Inj DNP MRP SFC 02322250 SDZ Depo-Provera 150mg/mL Inj DNP MRP SFC 00585092 PFI

G03B ANDROGENS

G03BA 3-OXOANDROSTEN (4) DERIVATIVES

G03BA03 TESTOSTERONE testosterone undercanoate 40mg cap pms-Testosterone 40mg Cap D MRP SFC 02322498 PMS Andriol 40mg Cap D MRP SFC 00782327 SCH

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

Delatestryl 200mg/mL Inj D SFC 00029246 THR Androderm 2.5mg (12.2mg)/24 hr Patch D E 02239653 PAL Androderm 5mg (24.3mg)/24 hr Patch D E 02245972 PAL Androgel 2.5g/pkt Top Gel D E 02245345 ABB Androgel 5g/pkt Top Gel D E 02245346 ABB Testim 1% Top Gel D E 02280248 PAL

G03C ESTROGENS

G03CA NATURAL AND SEMISYNTHETIC ESTROGENS, PLAIN

G03CA03 ESTRADIOL estradiol 50mcg/day patch Sandoz Estradiol Derm 50 (50mcg/day patch) DNP MRP E 02246967 SDZ Estradot Patch (50mcg/day) DNP MRP E 02244000 NVR

estradiol 50mcg/day patch Sandoz Estradiol Derm 50 (50mcg/day patch) DNP MRP E 02246967 SDZ Vivelle Patch (50mcg/day) (discontinued)

estradiol 75mcg/day patch Sandoz Estradiol Derm 75 (75mcg/day patch) DNP MRP E 02246968 SDZ Estradot Patch (75mcg/day) DNP MRP E 02244001 NVR

estradiol 75mcg/day patch Sandoz Estradiol Derm 75 (75mcg/day patch) DNP MRP E 02246968 SDZ Vivelle Patch (75mcg/day) (discontinued)

estradiol 100mcg/day patch Sandoz Estradiol Derm 100 (100mcg/day patch) DNP MRP E 02246969 SDZ Estradot Patch (100mcg/day) DNP MRP E 02244002 NVR

estradiol 100mcg/day patch Sandoz Estradiol Derm 100 (100mcg/day patch) DNP MRP E 02246969 SDZ Vivelle Patch (100mcg/day) (discontinued)

Climara 25 (25mcg/day, 2mg/patch) DNP E 02247499 BAY Climara 50 (50mcg/day, 3.9mg/patch) DNP E 02231509 BAY Climara 75 (75mcg/day, 5.7mg/patch) DNP E 02247500 BAY

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Climara 100 (100mcg/day, 7.8mg/patch) DNP E 02231510 BAY Estraderm-25 (25mcg/day, 2mg/patch) DNP E 00756849 NVR Estraderm-100 (100mcg/day, 8mg/patch) DNP E 00756792 NVR Estradot Patch (25mcg/day) DNP E 02245676 NVR Estradot Patch (37.5mcg/day) DNP E 02243999 NVR Oesclim (25mcg/day, 5mg/patch) 02243722 TRI Oesclim (50mcg/day, 10mg/patch) 02243724 TRI Estrace 0.5mg Tab DNP SFC 02225190 SHI Estrace 1mg Tab DNP SFC 02148587 SHI Estrace 2mg Tab DNP SFC 02148595 SHI Estring 7.5mcg/24 hr Vag Ring DNP SFC 02168898 PAL Estrogel 0.06% Top Gel DNP E 02238704 SCH Vagifem 10mcg Vag Tab DNP SFC 02325462 NNO Vagifem 25mcg Vag Tab DNP SFC 02241332 NNO

G03CA07 ESTRONE

Estragyn Vag Cr DNP SFC 00727369 TRI Ogen 0.625mg Tab DNP SFC 02089793 PFI Ogen 2.5mg Tab DNP SFC 02089777 PFI

G03CA57 CONJUGATED ESTROGENS

Premarin 25mg/vial Inj DNP SFC 02043386 PFI Premarin 0.625mg/g Vag Cr DNP SFC 02043440 PFI Premarin 0.3mg Tab DNP SFC 02043394 PFI C.E.S. 0.625mg Tab DNP SFC 00265470 VLN Premarin 0.625mg Tab DNP SFC 02043408 PFI Premarin 1.25mg Tab DNP SFC 02043424 PFI

G03D PROGESTOGENS

G03DA PREGNEN (4) DERIVATIVES

G03DA02 MEDROXYPROGESTERONE medroxyprogesterone acetate 2.5mg tab Apo-Medroxy 2.5mg Tab DNP MRP SFC 02244726 APX Novo-Medrone 2.5mg Tab DNP MRP SFC 02221284 TEV Provera 2.5mg Tab DNP MRP SFC 00708917 PFI

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

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

medroxyprogesterone acetate 100mg tab Apo-Medroxy 100mg Tab DNP MRP SFC 02267640 APX Provera 100mg Tab DNP MRP SFC 00030945 PFI

G03DA04 PROGESTERONE

Prometrium 100mg Cap 02166704 SCH

G03F PROGESTOGENS AND ESTROGENS IN COMBINATION

G03FA PROGESTOGENS AND ESTROGENS, COMBINATIONS

G03FA01 NORETHINDRONE AND ESTROGEN Estalis 140/50mcg Transdermal Patch DNP E 02241835 NVR Estalis 250/50mcg Transdermal Patch DNP E 02241837 NVR Fem HRT 1mg/4mcg Tab 02242531 PFI

G03FA12 MEDROXYPROGESTERONE AND ESTROGEN

Premplus 0.625/2.5mg Tab 02242878 PFI Premplus 0.625/5mg Tab 02242879 PFI

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G03FB PROGESTOGENS AND ESTROGENS, SEQUENTIAL PREPARATIONS

G03FB05 NORETHISTERONE AND ESTROGEN Estalis-Sequi Patch 250/50 (discontinued) Estracomb Patch (discontinued)

G03G GONADOTROPHINS AND OTHER OVULATION STIMULANTS

G03GB OVULATION STIMULANTS, SYNTHETICS

G03GB02 CLOMIFENE Clomid 50mg Tab 02091879 SAV Serophene 50mg Tab 00893722 EMD

G03H ANTIANDROGENS

G03HA ANTIANDROGENS, PLAIN

G03HA01 CYPROTERONE cyproterone 50mg tab Cyproterone 50mg Tab DNP MRP SFC 02245898 AAP Androcur 50mg Tab DNP MRP SFC 00704431 PMS

G03HB ANTIANDROGENS AND ESTROGENS

G03HB01 CYPROTERONE AND ESTROGEN cyproterone acetate 2mg & ethinyl estradiol 0.035mg tab Cyestra-35 Tab 02290308 PMS Novo-Cyproterone/Ethinyl Estradiol 2mg/0.035mg Tab 02309556 TEV Diane-35 Tab 02233542 BAY

G03X OTHER SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM

G03XA ANTIGONADOTROPHINS AND SIMILAR AGENTS

G03XA01 DANAZOL Cyclomen 50mg Cap DNP SF 02018144 SAV Cyclomen 100mg Cap DNP SF 02018152 SAV Cyclomen 200mg Cap DNP SF 02018160 SAV

G03XC SELECTIVE ESTROGEN RECEPTOR MODULATORS

G03XC01 RALOXIFENE raloxifene 60mg tab Apo-Raloxifene 60mg Tab DNP MRP E 02279215 APX Novo-Raloxifene 60mg Tab DNP MRP E 02312298 TEV Evista 60mg Tab DNP MRP E 02239028 LIL

G04 UROLOGICALS G04B OTHER UROLOGICALS, INCLUDING ANTISPASMODICS

G04BD URINARY ANTISPASMODICS

G04BD02 FLAVOXATE flavoxate 200mg tab Apo-Flavoxate 200mg Tab 02244842 APX Urispas 200mg Tab 00728179 PAL

G04BD04 OXYBUTYNIN

oxybutynin 1mg/mL o/l pms-Oxybutynin 1mg/mL O/L DNP MRP SF 02223376 PMS Ditropan 1mg/mL O/L (discontinued)

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oxybutynin 5mg tab Apo-Oxybutynin 5mg Tab DNP MRP SF 02163543 APX MYLAN-Oxybutynin 5mg Tab DNP MRP SF 02230800 MYL Novo-Oxybutynin 5mg Tab DNP MRP SF 02230394 TEV Nu-Oxybutyn 5mg Tab DNP MRP SF 02158590 NXP Oxybutynin 5mg Tab DNP MRP SF 02350238 SAS pms-Oxybutynin 5mg Tab DNP MRP SF 02240550 PMS Ditropan 5mg Tab (discontinued)

Ditropan XL 5mg Tab DNP E 02243960 JAN Ditropan XL 10mg Tab DNP E 02243961 JAN Uromax 10mg Tab DNP E 02273578 PFR Uromax 15mg Tab DNP E 02273586 PFR Oxytrol Patch (3.9mg/day 36mg/patch) 02254735 PAL

G04BD07 TOLTERODINE

Detrol 1mg Tab DNP E 02239064 PFI Detrol 2mg Tab DNP E 02239065 PFI Detrol LA 2mg Cap DNP E 02244612 PFI Detrol LA 4mg Cap DNP E 02244613 PFI

G04BD08 SOLIFENACIN

Vesicare 5mg Tab DNP E 02277263 AST Vesicare 10mg Tab DNP E 02277271 AST

G04BD09 TROSPIUM

Trosec 20mg Tab DNP E 02275066 SEP

G04BD10 DARIFENACIN Enablex 7.5mg Tab DNP E 02273217 NVR Enablex 15mg Tab DNP E 02273225 NVR

G04BE DRUGS USED IN ERECTILE DYSFUNCTION

G04BE03 SILDENAFIL sildenafil 20mg tab ratio-Sildenafil-R 20mg Tab DNP MRP E 02319500 TEV Revatio 20mg Tab DNP MRP E 02279401 PFI

Viagra 25mg Tab 02239766 PFI Viagra 50mg Tab 02239767 PFI Viagra 100mg Tab 02239768 PFI

G04BE08 TADALAFIL

Adcirca 20mg Tab 02338327 LIL G04BX OTHER UROLOGICALS

G04BX01 MAGNESIUM HYDROXIDE Urologic G Irr Sol DNP SF 00039373 HOS Urologic G 1/2 Irr Sol DNP SF 00039365 HOS

G04BX13 DIMETHYL SULFOXIDE

dimethyl sulfoxide 500mg/g (50%) irr sol Dimethyl Sulfoxide 500mg/g (50%) Irr Sol DNP MRP SF 02243231 SDZ Rimso-50 (50%) Irr Sol DNP MRP SF 00493392 BCH

G04C DRUGS USED IN BENIGN PROSTATIC HYPERTROPHY

G04CA ALPHA-ADRENORECEPTOR ANTAGONISTS

G04CA01 ALFUZOSIN alfuzosin 10mg extended release tab Apo-Alfuzosin 10mg Tab 02315866 APX Novo-Alfuzosin PR 10mg Tab 02314282 TEV Sandoz Alfuzosin 10mg Tab 02304678 SDZ Xatral 10mg Tab 02245565 SAV

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G04CA02 TAMSULOSIN tamsulosin 0.4mg sustained release cap MYLAN-Tamsulosin 0.4mg Cap 02298570 MYL Novo-Tamsulosin 0.4mg Cap 02281392 TEV RAN-Tamsulosin 0.4mg Cap 02294885 RAN ratio-Tamsulosin 0.4mg Cap 02294265 TEV Sandoz Tamsulosin 0.4mg CR Cap 02295121 SDZ Flomax 0.4mg Cap (discontinued)

tamsulosin 0.4mg sustained release cap/tab Jamp-Tamsulosin 0.4mg Cap 02352419 JPC Sandoz Tamsulosin 0.4mg CR Cap 02295121 SDZ Sandoz Tamsulosin 0.4mg CR Tab 02340208 SDZ Flomax 0.4mg CR Tab 02270102 BOE

G04CA03 TERAZOSIN

terazosin 1mg tab Apo-Terazosin 1mg Tab DNP MRP SF 02234502 APX Nu-Terazosin 1mg Tab DNP MRP SF 02233047 NXP pms-Terazosin 1mg Tab DNP MRP SF 02243518 PMS ratio-Terazosin 1mg Tab DNP MRP SF 02218941 TEV Terazosin 1mg Tab DNP MRP SF 02350475 SAS Teva-Terazosin 1mg Tab DNP MRP SF 02230805 TEV Hytrin 1mg Tab DNP MRP SF 00818658 ABB

terazosin 2mg tab Apo-Terazosin 2mg Tab DNP MRP SF 02234503 APX Nu-Terazosin 2mg Tab DNP MRP SF 02233048 NXP pms-Terazosin 2mg Tab DNP MRP SF 02243519 PMS ratio-Terazosin 2mg Tab DNP MRP SF 02218968 TEV Terazosin 2mg Tab DNP MRP SF 02350483 SAS Teva-Terazosin 2mg Tab DNP MRP SF 02230806 TEV Hytrin 2mg Tab DNP MRP SF 00818682 ABB

terazosin 5mg tab Apo-Terazosin 5mg Tab DNP MRP SF 02234504 APX Nu-Terazosin 5mg Tab DNP MRP SF 02233049 NXP pms-Terazosin 5mg Tab DNP MRP SF 02243520 PMS ratio-Terazosin 5mg Tab DNP MRP SF 02218976 TEV Terazosin 5mg Tab DNP MRP SF 02350491 SAS Teva-Terazosin 5mg Tab DNP MRP SF 02230807 TEV Hytrin 5mg Tab DNP MRP SF 00818666 ABB

terazosin 10mg tab Apo-Terazosin 10mg Tab DNP MRP SF 02234505 APX Nu-Terazosin 10mg Tab DNP MRP SF 02233050 NXP pms-Terazosin 10mg Tab DNP MRP SF 02243521 PMS ratio-Terazosin 10mg Tab DNP MRP SF 02218984 TEV Terazosin 10mg Tab DNP MRP SF 02350505 SAS Teva-Terazosin 10mg Tab DNP MRP SF 02230808 TEV Hytrin 10mg Tab DNP MRP SF 00818674 ABB

G04CB TESTOSTERONE-5-ALPHA REDUCTASE INHIBITORS

G04CB01 FINASTERIDE finasteride 5mg CO Finasteride 5mg Tab DNP MRP E 02354462 COB Finasteride 5mg Tab DNP MRP E 02355043 AHC Jamp-Finasteride 5mg Tab DNP MRP E 02357224 JPC MYLAN-Finasteride 5mg Tab DNP MRP E 02356058 MYL Novo-Finasteride 5mg Tab DNP MRP E 02348500 TEV pms-Finasteride 5mg Tab DNP MRP E 02310112 PMS ratio-Finasteride 5mg Tab DNP MRP E 02306905 TEV Sandoz Finasteride 5mg Tab DNP MRP E 02322579 SDZ Proscar 5mg Tab DNP MRP E 02010909 FRS

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G04CB02 DUTASTERIDE Avodart 0.5mg Cap 02247813 GSK

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H01 PITUITARY, HYPOTHALAMIC HORMONES, AND ANALOGUES H01A ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

H01AC SOMATROPHIN AND SOMATROPHIN AGONISTS

H01AC01 SOMATROPIN Humatrope 1mg/mL Inj DNP E 00745626 LIL Humatrope 6mg/vial Inj DNP E 02243077 LIL Humatrope 12mg/vial Inj DNP E 02243078 LIL Humatrope 24mg/vial Inj DNP E 02243079 LIL Nutropin 5mg/vial Inj DNP E 02216183 HLR Nutropin 10mg/vial Inj DNP E 02216191 HLR Nutropin AQ 10mg/vial Inj DNP E 02229722 HLR Nutropin AQ Pen Cartridge DNP E 02249002 HLR Omnitrope 5mg/1.5mL 02325063 SDZ Omnitrope 10mg/1.5mL 02325071 SDZ Omnitrope 5.8mg/vial 02325055 SDZ Saizen 3.33mg/vial Inj DNP E 02215136 EMD Saizen 5mg/vial Inj DNP E 02237971 EMD Saizen 8.8mg/vial Inj DNP E 02272083 EMD

H01AX OTHER ANTERIOR PITUITARY LOBE HORMONES AND ANALOGUES

H01AX01 PEGVISOMANT Somavert 10mg/vial Inj 02272199 PFI Somavert 15mg/vial Inj 02272202 PFI Somavert 20mg/vial Inj 02272210 PFI

H01B POSTERIOR PITUITARY LOBE HORMONES

H01BA VASOPRESSIN AND ANALOGUES

H01BA01 VASOPRESSIN vasopressin 20units/mL usp inj Vasopressin 20units/mL USP Inj 02247938 SDZ Pressyn 20units/mL USP Inj 00693820 FEI Pressyn AR 20units/mL USP Inj 02246133 FEI

H01BA02 DESMOPRESSIN

DDAVP 100mcg/mL Rhinyle Drops 00402516 FEI DDAVP 4mcg/mL Inj 00873993 FEI Octostim 15mcg/mL Inj 02024179 FEI

desmopressin 10mcg/dose nasal sp Desmopressin 10mcg/dose Nasal Sp 02242465 AAP DDAVP 10mcg/dose Nasal Sp 00836362 FEI

Octostim 1.5mg/mL Nasal Spray 02237860 FEI

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

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

Minirin 0.1mg Tab 02246500 FEI DDAVP MELT 60mcg Tab DNP PRP F6 02284995 FEI

6 Full benefit for children 16 years and under.

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DDAVP MELT 120mcg Tab DNP PRP F6 02285002 FEI DDAVP MELT 240mcg Tab DNP F6 02285010 FEI

H01C HYPOTHALAMIC HORMONES

H01CA GONADOTROPIN-RELEASING HORMONES

H01CA02 NAFARELIN Synarel 2mg/mL Sol DNP SFC 02188783 PFI

H01CA03 HISTRELIN

Vantas 50mg/vial Inj 02278383 PAL H01CB ANTIGROWTH HORMONE

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

octreotide 100mcg/mL inj Octreotide Acetate Omega 100mcg/mL Inj DNP MRP SFC 02248640 HOS Sandostatin 100mcg/mL Inj DNP MRP SFC 00839205 NVR

octreotide 200mcg/mL inj Octreotide Acetate Omega 200mcg/mL Inj DNP MRP SFC 02248642 HOS Sandostatin 200mcg/mL Inj DNP MRP SFC 02049392 NVR

octreotide 500mcg/mL inj Octreotide Acetate Omega 500mcg/mL Inj DNP MRP SFC 02248641 HOS Sandostatin 500mcg/mL Inj DNP MRP SFC 00839213 NVR

Sandostatin LAR 10mg/vial Inj DNP SFC 02239323 NVR Sandostatin LAR 20mg/vial Inj DNP SFC 02239324 NVR Sandostatin LAR 30mg/vial Inj DNP SFC 02239325 NVR

H01CB03 LANREOTIDE

Somatuline Autogel 60mg/03.mL Syringe Inj DNP SFC 02283395 TER Somatuline Autogel 90mg/03.mL Syringe Inj DNP SFC 02283409 TER Somatuline Autogel 120mg/03.mL Syringe Inj DNP SFC 02283417 TER

H02 CORTICOSTEROIDS FOR SYSTEMIC USE H02A CORTICOSTEROIDS FOR SYSTEMIC USE, PLAIN

H02AA MINERALOCORTICOIDS

H02AA02 FLUDROCORTISONE Florinef 0.1mg Tab DNP SFC 02086026 PAL

H02AB GLUCOCORTICOIDS

H02AB01 BETAMETHASONE betamethasone 6mg/mL inj Betaject 6mg/mL Inj DNP MRP SFC 02237835 SDZ Celestone 6mg/mL Soluspan Inj DNP MRP SFC 00028096 SCH

___________________________ 6 Full benefit for children 16 years and under.

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H02AB02 DEXAMETHASONE dexamethasone 4mg/mL inj Dexamethasone 4mg/mL Inj DNP MRP SFC 01977547 CYI Dexamethasone 4mg/mL Inj DNP MRP SFC 00664227 SDZ Decadron 4mg/mL Inj (discontinued)

Dexamethasone 10mg/mL Inj DNP SFC 02204274 OMG Dexamethasone 10mg/mL Inj DNP SFC 00874582 SDZ pms-Dexamethasone 10mg/mL Inj DNP SFC 00783900 PMS

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

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

pms-Dexamethasone 2mg Tab DNP SFC 02279363 PMS

dexamethasone 4mg tab Apo-Dexamethasone 4mg Tab DNP MRP SFC 02250055 APX pms-Dexamethasone 4mg Tab DNP MRP SFC 01964070 PMS Dexasone 4mg Tab DNP MRP SFC 00489158 VLN Decadron 4mg Tab (discontinued)

H02AB04 METHYLPREDNISOLONE

methylprednisolone acetate 40mg/vial inj Methylprednisolone Acetate 40mg/vial Inj DNP MRP SFC 02245407 SDZ Depo-Medrol 40mg/mL Aq Multidose Inj DNP MRP SFC 01934333 PFI

methylprednisolone acetate 80mg/vial inj Methylprednisolone Acetate 80mg/vial Inj DNP MRP SFC 02245408 SDZ Depo-Medrol 80mg/mL Aq Multidose Inj DNP MRP SFC 01934341 PFI

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

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

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

methylprednisolone sodium succinate 125mg/vial injMethylprednisolone Sod. Succ. 125mg/vial Inj DNP MRP SFC 02231894 TEV Solu-Medrol 125mg/vial Inj (discontinued)

methylprednisolone sodium succinate 500mg/vial inj Methylprednisolone Sod. Succ. 500mg/vial Inj DNP MRP SFC 02231895 TEV Solu-Medrol 500mg/vial Inj DNP MRP SFC 00030678 PFI

methylprednisolone sodium succinate 1g/vial inj Methylprednisolone Sod. Succ. 1g/vial Inj DNP MRP SFC 02241229 TEV Solu-Medrol 1g/vial Inj DNP MRP SFC 00036137 PFI

Solu-Medrol Act-O-Vial 1g Inj DNP SFC 02063697 PFI Solu-Medrol Act-O-Vial 40mg Inj DNP SFC 02063719 PFI Solu-Medrol Act-O-Vial 125mg Inj DNP SFC 02063727 PFI Solu-Medrol Act-O-Vial 500mg Inj DNP SFC 02063700 PFI

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Depo-Medrol 20mg/mL Aq Multidose Inj DNP SFC 01934325 PFI Medrol 4mg Tab DNP SFC 00030988 PFI Medrol 16mg Tab DNP SFC 00036129 PFI

H02AB06 PREDNISOLONE

prednisolone sodium phosphare 1mg/mL o/l pms-Prednisolone 1mg/mL O/L DNP MRP SFC 02245532 PMS Pediapred 1mg/mL O/L DNP MRP SFC 02230619 SAV

H02AB07 PREDNISONE

prednisone 1mg tab Apo-Prednisone 1mg Tab DNP MRP SFC 00598194 APX Winpred 1mg Tab DNP MRP SFC 00271373 VLN

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

prednisone 50mg tab Apo-Prednisone 50mg Tab DNP MRP SFC 00550957 APX Novo-Prednisone 50mg Tab DNP MRP SFC 00232378 TEV Deltasone 50mg Tab (discontinued)

H02AB08 TRIAMCINOLONE triamcinolone 10mg/mL inj Triamcinolone 10mg/mL Inj DNP MRP SFC 02229540 SDZ Kenalog-10 (10mg/mL) Inj DNP MRP SFC 01999761 WSQ

Aristospan 20mg/mL Inj Susp DNP SFC 02194155 VAL

triamcinolone 40mg/mL inj Triamcinolone 40mg/mL Inj DNP MRP SFC 01977563 CYI Triamcinolone 40mg/mL Inj DNP MRP SFC 02229550 SDZ Kenalog-40 (40mg/mL) Inj DNP MRP SFC 01999869 WSQ

H02AB09 HYDROCORTISONE

Solu-Cortef 1g/vial Inj DNP SFC 00030635 PFI Solu-Cortef 100mg/vial Inj DNP SFC 00030600 PFI Solu-Cortef 250mg/vial Inj DNP SFC 00030619 PFI Solu-Cortef 500mg/vial Inj DNP SFC 00030627 PFI Cortef 10mg Tab DNP SFC 00030910 PFI Cortef 20mg Tab DNP SFC 00030929 PFI

H02AB10 CORTISONE

Cortisone Acetate 25mg Tab DNP SFC 00280437 VLN

H02B CORTICOSTEROIDS FOR SYSTEMIC USE, COMBINATIONS

H02BX CORTICOSTEROIDS FOR SYSTEMIC USE, COMBINATIONS

H02BX01 METHYLPREDNISOLONE, COMBINATIONS Depo-Medrol 40mg/mL w Lidocaine Inj DNP SFC 00260428 PFI

H03 THYROID THERAPY H03A THYROID PREPARATIONS

H03AA THYROID HORMONES

H03AA01 LEVOTHYROXINE SODIUM Synthroid 0.025mg Tab DNP SF 02172062 ABB Synthroid 0.05mg Tab DNP SF 02172070 ABB Synthroid 0.075mg Tab DNP SF 02172089 ABB Synthroid 0.088mg Tab DNP SF 02172097 ABB Synthroid 0.1mg Tab DNP SF 02172100 ABB Synthroid 0.112mg Tab DNP SF 02171228 ABB Synthroid 0.125mg Tab DNP SF 02172119 ABB Synthroid 0.137mg Tab 02233852 ABB

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Synthroid 0.15mg Tab DNP SF 02172127 ABB Synthroid 0.175mg Tab DNP SF 02172135 ABB Synthroid 0.2mg Tab DNP SF 02172143 ABB Synthroid 0.3mg Tab DNP SF 02172151 ABB Eltroxin 50mcg Tab DNP SF 02213192 TRI Eltroxin 100mcg Tab DNP SF 02213206 TRI Eltroxin 150mcg Tab DNP SF 02213214 TRI Eltroxin 200mcg Tab DNP SF 02213222 TRI Eltroxin 300mcg Tab DNP SF 02213230 TRI

H03AA02 LIOTHYRONINE SODIUM

Cytomel 5mcg Tab DNP SF 01919458 KNG Cytomel 25mcg Tab DNP SF 01919466 KNG

H03AA05 THYROID GLAND PREPARATIONS

Thyroid 30mg Tab DNP SF 00023949 ERF Thyroid 60mg Tab DNP SF 00023957 ERF Thyroid 125mg Tab DNP SF 00023965 ERF

H03B ANTITHYROID PREPARATIONS

H03BA THIOURACILS

H03BA02 PROPYLTHIOURACIL Propyl-Thyracil 50mg Tab DNP SF 00010200 PAL Propyl-Thyracil 100mg Tab DNP SF 00010219 PAL

H03BB SULPHUR-CONTAINING IMIDAZOLE DERIVATIVES

H03BB02 METHIMAZOLE (THIAMAZOLE) Tapazole 5mg Tab DNP SF 00015741 PAL Tapazole 10mg Tab DNP SF 02296039 PAL

H04 PANCREATIC HORMONES H04A GLYCOGENOLYTIC HORMONES

H04AA GLYCOGENOLYTIC HORMONES

H04AA01 GLUCAGON Glucagon 1mg/vial Inj DNP SFD 02243297 LIL GlucaGen 1mg/vial DNP SFD 02333619 NNO GlucaGen Hypokit 1mg/vial DNP SFD 02333627 NNO

H05 CALCIUM HOMEOSTASIS H05A PARATHYROID HORMONES AND ANALOGUES

H05AA PARATHYROID HORMONES AND ANALOGUES

H05AA02 TERIPARATIDE Forteo 250mcg/mL Inj 02254689 LIL

H05B ANTI-PARATHYROID AGENTS

H05BA CALCITONIN PREPARATIONS

H05BA01 CALCITONIN (SALMON SYNTHETIC) Calcimar 200iu/mL Inj DNP SFC 01926691 SAV

calcitonin 200iu/dose nasal spray Apo-Calcitonin 200iu/dose Nasal Sp DNP MRP E 02247585 APX Sandoz Calcitonin NS 200iu/dose Nasal Sp DNP MRP E 02261766 SDZ Miacalcin 200iu/dose Nasal Sp DNP MRP E 02240775 NVR

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HO5BX OTHER ANTI-PARATHYROID AGENTS

H05BX01 CINACALET Sensipar 30mg Tab 02257130 AGA Sensipar 60mg Tab 02257149 AGA Sensipar 90mg Tab 02257157 AGA

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J01 ANTIBACTERIALS FOR SYSTEMIC USE J01A TETRACYCLINES

J01AA TETRACYCLINES

J01AA02 DOXYCYCLINE doxycycline 100mg cap Doxycin 100mg Cap 00817120 RIV pms-Doxycycline 100mg Cap (discontinued)

doxycycline 100mg cap Apo-Doxy 100mg Cap DNPM MRP SFC 00740713 APX Doxycycline 100mg Cap DNPM MRP SFC 02351234 SAS Novo-Doxylin 100mg Cap DNPM MRP SFC 00725250 TEV Nu-Doxycycline 100mg Cap DNPM MRP SFC 02044668 NXP Vibramycin 100mg Cap DNPM MRP SFC 00024368 PFI

doxycycline 100mg tab Apo-Doxy 100mg Tab DNPM MRP SFC 00874256 APX Doxycycline 100mg Tab DNPM MRP SFC 02351242 SAS Novo-Doxylin 100mg Tab DNPM MRP SFC 02158574 TEV Vibra-Tabs C-Pak (discontinued)

Doxycin 100mg Tab DNPM SFC 00860751 RIV

J01AA07 TETRACYCLINE

tetracycline 250mg cap Tetra 250mg Cap DNP SFC 00580929 AAP Nu-Tetra 250mg Cap (discontinued)

J01AA08 MINOCYCLINE

minocycline HCl 50mg cap Apo-Minocycline 50mg Cap DNP MRP SFC 02084090 APX MYLAN-Minocycline 50mg Cap DNP MRP SFC 02230735 MYL Minocycline 50mg Cap DNP MRP SFC 02287226 SAS Novo-Minocycline 50mg Cap DNP MRP SFC 02108143 TEV pms-Minocycline 50mg Cap DNP MRP SFC 02294419 PMS Sandoz Minocycline 50mg Cap DNP MRP SFC 02237313 SDZ Minocin 50mg Cap DNP MRP SFC 02173514 STI ratio-Minocycline 50mg Cap (discontinued)

minocycline HCl 100mg cap Apo-Minocycline 100mg Cap DNP MRP SFC 02084104 APX MYLAN-Minocycline 100mg Cap DNP MRP SFC 02230736 MYL Minocycline 100mg Cap DNP MRP SFC 02287234 SAS Novo-Minocycline 100mg Cap DNP MRP SFC 02108151 TEV pms-Minocycline 100mg Cap DNP MRP SFC 02294427 PMS Sandoz Minocycline 100mg Cap DNP MRP SFC 02237314 SDZ ratio-Minocycline 100mg Cap (discontinued) Minocin 100mg Cap (discontinued)

J01B AMPHENICOLS

J01BA AMPHENICOLS

J01BA01 CHLORAMPHENICOL Chloromycetin Succinate 1g/vial Inj DNP SFC 00312363 ERF

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J01C BETA-LACTAM ANTIBACTERIALS, PENICILLINS

J01CA PENICILLINS WITH EXTENDED SPECTRUM

J01CA01 AMPICILLIN ampicillin 250mg cap Novo-Ampicillin 250mg Cap DNPM MRP SFC 00020877 TEV Penbritin 250mg Cap (discontinued)

ampicillin 500mg cap Novo-Ampicillin 500mg Cap DNPM MRP SFC 00020885 TEV Penbritin 500mg Cap (discontinued)

J01CA02 PIVAMPICILLIN

Pondocillin 35mg/mL Susp DNP SFC 00582239 LEO

J01CA04 AMOXICILLIN amoxicillin 250mg cap Amoxicillin 250mg Cap DNP MRP SFC 02352710 SAS Apo-Amoxi 250mg Cap DNP MRP SFC 00628115 APX MYLAN-Amoxicillin 250mg Cap DNP MRP SFC 02238171 MYL Novamoxin 250mg Cap DNP MRP SFC 00406724 TEV Nu-Amoxi 250mg Cap DNP MRP SFC 00865567 NXP pms-Amoxicillin 250mg Cap DNP MRP SFC 02230243 PMS Amoxil 250mg Cap (discontinued)

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

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

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

amoxicillin 250mg chewable tab Amoxicillin 250mg Chew Tab DNP MRP SFC 02352737 SAS Novamoxin 250mg Chew Tab DNP MRP SFC 02036355 TEV Amoxil 250mg Chew Tab (discontinued)

J01CA06 BACAMPICILLIN

Penglobe 400mg Tab DNP SFC 00627127 AZE

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J01CA08 PIVMECILLINAM Selexid 200mg Tab DNP SFC 00657212 LEO

J01CA12 PIPERACILLIN

piperacillin 2g/vial inj Piperacillin 2g/vial Inj 02246640 HOS Pipracil-PWS 2g/vial Inj (discontinued)

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

piperacillin 4g/vial inj Piperacillin 4g/vial Inj 02246642 HOS Pipracil-PWS 4g/vial Inj (discontinued)

J01CE BETA-LACTAMASE SENSITIVE PENCILLINS

J01CE02 PHENOXYMETHYLPENICILLIN (PENICILLIN V) Apo-Pen VK 125mg/5mL Susp DNP SFC 00642223 APX Pen-Vee 180mg/5mL Susp (discontinued) Pen-Vee 300mg/5mL Susp (discontinued)

penicillin V potassium 60mg/mL o/l Apo-Pen VK 300mg/5mL Susp DNP MRP SFC 00642231 APX Novo-Pen-VK 300mg/5mL Susp DNP MRP SFC 00391603 TEV PVF 500 (300mg/5mL) Susp (discontinued)

penicillin V potassium 300mg tab Apo-Pen VK 300mg Tab DNP MRP SFC 00642215 APX Novo-Pen-VK 300mg Tab DNP MRP SFC 00021202 TEV Nu-Pen VK 300mg Tab DNP MRP SFC 00717568 NXP PVF K 300mg Tab (discontinued)

J01CF BETA-LACTAMASE RESISTANT PENICILLINS

J01CF02 CLOXACILLIN cloxacillin 250mg cap Novo-Cloxin 250mg Cap DNPM MRP SFC 00337765 TEV Apo-Cloxi 250mg Cap (discontinued) Nu-Cloxi 250mg Cap (discontinued) Orbenin 250mg Cap (discontinued)

cloxacillin 500mg cap Novo-Cloxin 500mg Cap DNPM MRP SFC 00337773 TEV Apo-Cloxi 500mg Cap (discontinued) Nu-Cloxi 500mg Cap (discontinued) Orbenin 500mg Cap (discontinued)

cloxacillin 25mg/mL o/l Novo-Cloxin 125mg/5mL Susp DNPM MRP SFC 00337757 TEV Apo-Cloxi 125mg/5mL Susp (discontinued) Nu-Cloxi 125mg/5mL Susp (discontinued) Orbenin 125mg/5mL Susp (discontinued)

J01CR COMBINATIONS OF PENICILLINS, INCLUDING BETA-LACTAMASE INHIBITOR

J01CR02 AMOXICILLIN AND ENZYME INHIBITOR Clavulin-200 (200mg/5mL) Susp DNPM SFC 02238831 GSK Clavulin-400 (400mg/5mL) Susp DNPM SFC 02238830 GSK

amoxicillin & enzyme inhibitor 125mg/5mL susp Apo-Amoxi Clav 125mg/5mL Susp DNPM MRP SFC 02243986 APX ratio-Aclavulanate 125mg/5mL Susp DNPM MRP SFC 02244646 TEV Clavulin-125F (125mg/5mL) Susp DNPM MRP SFC 01916882 GSK

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amoxicillin & enzyme inhibitor 250mg/5mL susp Apo-Amoxi Clav 250mg/5mL Susp DNPM MRP SFC 02243987 APX ratio-Aclavulanate 250mg/5mL Susp DNPM MRP SFC 02244647 TEV Clavulin-250F (250mg/5mL) Susp DNPM MRP SFC 01916874 GSK

amoxicillin & enzyme inhibitor 400mg/5mL susp Apo-Amoxi Clav 400mg/5mL Susp DNPM MRP SFC 02288559 APX Clavulin-400 (400mg/5mL) Susp DNPM MRP SFC 02238830 GSK

amoxicillin & enzyme inhibitor 250mg tab Apo-Amoxi Clav 250mg Tab DNPM MRP SFC 02243350 APX Clavulin-250 (250mg) Tab (discontinued)

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

amoxicillin & enzyme inhibitor 875mg tab Apo-Amoxi Clav 875mg Tab DNPM MRP SFC 02245623 APX Novo-Clavamoxin 875 (875mg) Tab DNPM MRP SFC 02248138 TEV ratio-Aclavulanate 875mg Tab DNPM MRP SFC 02247021 TEV Clavulin-875 (875mg) Tab DNPM MRP SFC 02238829 GSK

J01CR05 PIPERACILLIN AND ENZYME INHIBITOR

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

piperacillin sodium & enzyme inhibitor 3g/vial inj Piperacillin & Tazobactam 3g/vial Inj (Apotex) 02308452 APX Tazocin 3g/vial Inj 02170795 PFI

piperacillin sodium & enzyme inhibitor 4g/vial inj Piperacillin & Tazobactam 4g/vial Inj (Apotex) 02308460 APX Tazocin 4g/vial Inj 02170809 PFI

J01D OTHER BETA-LACTAM ANTIBACTERIALS

J01DB FIRST-GENERATION CEPHALOSPORINS

J01DB01 CEPHALEXIN Novo-Lexin 250mg Cap DNPM SFC 00342084 TEV Novo-Lexin 500mg Cap DNPM SFC 00342114 TEV

cephalexin monohydrate 25mg o/l Novo-Lexin 125mg/5mL Susp DNPM MRP SFC 00342106 TEV Keflex 125mg/5mL Susp (discontinued)

cephalexin monohydrate 50mg o/l Novo-Lexin 250mg/5mL Susp DNPM MRP SFC 00342092 TEV Keflex 250mg/5mL Susp (discontinued)

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

cephalexin monohydrate 500mg tab Apo-Cephalex 500mg Tab DNPM MRP SFC 00768715 APX Novo-Lexin 500mg Tab DNPM MRP SFC 00583421 TEV Nu-Cephalex 500mg Tab DNPM MRP SFC 00865885 NXP Keflex 500mg Tab (discontinued)

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J01DB04 CEFAZOLIN cefazolin sodium 500mg/vial inj Cefazolin Sodium 500mg/vial Inj DNPM MRP SFC 02108119 TEV Cefazolin Sodium 500mg/vial Inj DNPM MRP SFC 02308932 SDZ

cefazolin sodium 1g/vial inj Cefazolin Sodium 1g/vial Inj DNPM MRP SFC 02297205 APX Cefazolin Sodium 1g/vial Inj DNPM MRP SFC 02108127 TEV Cefazolin Sodium 1g/vial Inj DNPM MRP SFC 02308959 SDZ

cefazolin sodium 10g/vial inj Cefazolin Sodium 10g/vial Inj 02297213 APX Cefazolin Sodium 10g/vial Inj 02108135 TEV

J01DB05 CEFADROXIL

cefadroxil 500mg cap Apo-Cefadroxil 500mg Cap DNP MRP SFC 02240774 APX Novo-Cefadroxil 500mg Cap DNP MRP SFC 02235134 TEV Duricef 500mg Cap (discontinued)

J01DC SECOND-GENERATION CEPHALOSPORINS

J01DC02 CEFUROXIME Ceftin 125mg/5mL O/L DNP SFC 02212307 GSK

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

cefuroxime axetil 500mg tab Apo-Cefuroxime 500mg Tab DNP MRP SFC 02244394 APX ratio-Cefuroxime 500mg Tab DNP MRP SFC 02242657 TEV Ceftin 500mg Tab DNP MRP SFC 02212285 GSK

J01DC04 CEFACLOR

cefaclor 250mg cap Ceclor 250mg Cap DNP SFC 00465186 MMT Apo-Cefaclor 250mg Cap (discontinued) Nu-Cefaclor 250mg Cap (discontinued)

cefaclor 500mg cap Ceclor 500mg Cap DNP SFC 00465194 MMT Apo-Cefaclor 500mg Cap (discontinued) Nu-Cefaclor 500mg Cap (discontinued)

Ceclor 125mg/5mL Susp DNP SFC 00465208 MMT Ceclor 250mg/5mL Susp DNP SFC 00465216 MMT

J01DC10 CEFPROZIL

cefprozil 125mg/5mL o/l Apo-Cefprozil 125mg/5mL O/L DNP MRP SFC 02293943 APX RAN-Cefprozil 125mg/5mL O/L DNP MRP SFC 02329204 RAN Sandoz Cefprozil 125mg/5mL O/L DNP MRP SFC 02303426 SDZ Cefzil 125mg/5mL O/L DNP MRP SFC 02163675 BRI

cefprozil 250mg/5mL o/l Apo-Cefprozil 250mg/5mL O/L DNP MRP SFC 02293951 APX RAN-Cefprozil 250mg/5mL O/L DNP MRP SFC 02293579 RAN Sandoz Cefprozil 250mg/5mL O/L DNP MRP SFC 02303434 SDZ Cefzil 250mg/5mL O/L DNP MRP SFC 02163683 BRI

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

cefprozil 500mg tab Apo-Cefprozil 500mg Tab DNP MRP SFC 02293005 APX RAN-Cefprozil 500mg Tab DNP MRP SFC 02293536 RAN Sandoz Cefprozil 500mg Tab DNP MRP SFC 02302187 SDZ Cefzil 500mg Tab DNP MRP SFC 02163667 BRI

J01DD THIRD-GENERATION CEPHALOSPORINS

J01DD01 CEFOTAXIME Claforan 0.5g/vial Inj DNP SFC 02225085 SAV Claforan 1g/vial Inj DNP SFC 02225093 SAV

J01DD02 CEFTAZIDIME

Fortaz 1g/vial Inj DNP SFC 02212218 GSK Fortaz 2g/vial Inj DNP SFC 02212226 GSK Fortaz 6g/vial Inj DNP SFC 02212234 GSK

J01DD04 CEFTRIAXONE

ceftriaxone 0.25g/vial inj Ceftriaxone 0.25g/vial Inj DNP MRP SFC 02292866 APX Rocephin 0.25g/vial Inj DNP MRP SFC 00657387 HLR

ceftriaxone 1g/vial inj Ceftriaxone 1g/vial Inj DNP MRP SFC 02292874 APX Ceftriaxone 1g/vial Inj DNP MRP SFC 02292270 SDZ Rocephin 1g/vial Inj DNP MRP SFC 00657417 HLR

ceftriaxone 2g/vial inj Ceftriaxone 2g/vial Inj DNP MRP SFC 02292882 APX Ceftriaxone 2g/vial Inj DNP MRP SFC 02292289 SDZ Rocephin 2g/vial Inj (discontinued)

ceftriaxone 10g/vial inj Ceftriaxone 10g/vial Inj 02292904 APX Rocephin 10g/vial Inj (discontinued)

J01DD08 CEFIXIME

Suprax 100mg/5mL Susp DNP SFC 00868965 SAV Suprax 400mg Tab DNP SFC 00868981 SAV

J01DE01 CEFEPIME (HYDROCHLORIDE)

Cefepime 2g/vial inj Cefepime for injection 2g/vial Inj 02319039 APX Maxipime 2g/vial Inj 02163640 BRI

J01DH CARBAPENEMS

J01DH51 IMIPENEM AND ENZYME INHIBITOR Primaxin 250mg/vial Inj DNP SFC 00717274 FRS Primaxin 500mg/vial Inj DNP SFC 00717282 FRS

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J01E SULFONAMIDES AND TRIMETHOPRIM

J01EA TRIMETHOPRIM AND DERIVATIVES

J01EA01 TRIMETHOPRIM trimethoprim 100mg tab Trimethoprim 100mg Tab DNPM MRP SFC 02243116 AAP Proloprim 100mg Tab (discontinued)

trimethoprim 200mg tab Trimethoprim 200mg Tab DNPM MRP SFC 02243117 AAP Proloprim 200mg Tab (discontinued)

J01EE COMBINATIONS OF SULFONAMIDES AND TRIMETHOPRIM, INCLUDING DERIVATIVES

J01EE01 SULFAMETHOXAZOLE AND TRIMETHOPRIM sulfamethoxazole 40mg & trimethoprim 8mg/mL o/l Novo-Trimel 40/8mg Susp DNPM MRP SFC 00726540 TEV Septra 40/8mg Susp (discontinued)

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

sulfamethoxazole 800mg & trimethoprim 160mg tab Apo-Sulfatrim DS 800/160mg Tab DNPM MRP SFC 00445282 APX Novo-Trimel 800/160mg Tab DNPM MRP SFC 00510645 TEV Nu-Cotrimox DS 800/160mg Tab DNPM MRP SFC 00865729 NXP Septra 800/160mg Tab (discontinued)

Apo-Sulfatrim 100/20mg Tab DNPM SFC 00445266 APX

J01F MACROLIDES, LINCOSAMIDES AND STREPTOGRAMINS

J01FA MACROLIDES

J01FA01 ERYTHROMYCIN erythromycin base 250mg cap Apo-Erythro-EC 250mg Cap DNPM MRP SFC 00726672 AAP ERYC 250mg Cap DNPM MRP SFC 00607142 PFI *Interchangeability does not apply if the capsule must be opened to administer the contents (e.g. sprinkle on food or administer via a tube).

erythromycin base 333mg cap Apo-Erythro-EC 333mg Cap DNPM MRP SFC 01925938 AAP ERYC 333mg Cap DNPM MRP SFC 00873454 PFI *Interchangeability does not apply if the capsule must be opened to administer the contents (e.g. sprinkle on food or administer via a tube).

Apo-Erythro Base 250mg Tab DNPM SFC 00682020 AAP Novo-Rythro EST 250mg/5mL Susp DNPM SFC 00262595 TEV

erythromycin ethylsuccinate 40mg/mL o/l Novo-Rythro EES 200mg/5mL Susp DNPM MRP SFC 00605859 TEV EES-200 (200mg/5mL) Granules (discontinued)

erythromycin ethylsuccinate 80mg/mL o/l Novo-Rythro EES 400mg/5mL Susp DNPM MRP SFC 00652318 TEV EES-400 (400mg/5mL) Granules (discontinued)

erythromycin ethylsuccinate 600mg tab Erythro-ES 600mg Tab DNPM MRP SFC 00637416 AAP EES-600 (600mg) Tab (discontinued)

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Erythro-S 250mg Tab DNPM SFC 00545678 AAP Erythro-S 500mg Tab DNPM SFC 00688568 AAP

J01FA02 SPIRAMYCIN

Rovamycine 250mg Cap DNP SFC 01927825 ODN Rovamycine 500mg Cap DNP SFC 01927817 ODN

J01FA09 CLARITHROMYCIN

Biaxin 125mg/5mL O/L DNP E 02146908 ABB Biaxin 250mg/5mL O/L DNP E 02244641 ABB

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

Biaxin XL 500mg Tab DNP E 02244756 ABB

clarithromycin 500mg tab Apo-Clarithromycin 500mg Tab DNP MRP E 02274752 APX MYLAN-Clarithromycin 500mg Tab DNP MRP E 02248857 MYL pms-Clarithromycin 500mg Tab DNP MRP E 02247574 PMS RAN-Clarithromycin 500mg Tab DNP MRP E 02361434 RAN ratio-Clarithromycin 500mg Tab DNP MRP E 02247819 TEV Sandoz Clarithromycin 500mg Tab DNP MRP E 02266547 SDZ Biaxin BID 500mg Tab DNP MRP E 02126710 ABB

J01FA10 AZITHROMYCIN

Zithromax 500mg/vial Inj 02239952 PFI

azithromycin pos 100mg/5mL susp Azithromycin POS 100mg/5mL Susp DNPM MRP E 02332388 SDZ Novo-Azithromycin POS 100mg/5mL Susp DNPM MRP E 02315157 TEV pms-Azithromycin POS 100mg/5mL Susp DNPM MRP E 02274388 PMS Zithromax POS 100mg/5mL Susp DNPM MRP E 02223716 PFI

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

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

azithromycin 600mg tab Azithromycin 600mg Tab DNPM MRP E 02330911 SAS CO Azithromycin 600mg Tab DNPM MRP E 02256088 COB pms-Azithromycin 600mg Tab DNPM MRP E 02261642 PMS Zithromax 600mg Tab DNPM MRP E 02231143 PFI

J01FA15 TELITHROMYCIN

Ketek 400mg Tab 02247520 SAV

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J01FF LINCOSAMIDES

J01FF01 CLINDAMYCIN Dalacin C 75mg/5mL Granules DNPM SFC 00225851 PFI

clindamycin 150mg cap Apo-Clindamycin 150mg Cap DNPM MRP SFC 02245232 APX MYLAN-Clindamycin 150mg Cap DNPM MRP SFC 02258331 MYL Novo-Clindamycin 150mg Cap DNPM MRP SFC 02241709 TEV Dalacin C 150mg Cap DNPM MRP SFC 00030570 PFI

clindamycin 300mg cap Apo-Clindamycin 300mg Cap DNPM MRP SFC 02245233 APX MYLAN-Clindamycin 300mg Cap DNPM MRP SFC 02258358 MYL Novo-Clindamycin 300mg Cap DNPM MRP SFC 02241710 TEV Dalacin C 300mg Cap DNPM MRP SFC 02182866 PFI

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

clindamycin 150mg/mL (bulk) inj Clindamycin 150mg/mL Inj DNPM MRP SFC 02230535 SDZ Dalacin C Phos 150mg/mL Inj DNPM MRP SFC 00260436 PFI

J01FF02 LINCOMYCIN

Lincocin 300mg/mL Inj 00030732 PFI

J01G AMINOGLYCOSIDE ANTIBACTERIALS

J01GB OTHER AMINOGLYCOSIDES

J01GB01 TOBRAMYCIN tobramycin 10mg/mL inj Tobramycin 10mg/mL Inj DNP MRP SFC 02241209 SDZ Nebcin 10mg/mL Inj (discontinued)

tobramycin 40mg/mL inj Tobramycin 40mg/mL Inj DNP SFC 02241210 SDZ Nebcin 40mg/mL Inj (discontinued)

J01GB03 GENTAMICIN

gentamicin 40mg/mL inj Gentamicin 40mg/mL Inj DNP MRP SFC 02242652 SDZ Garamycin 40mg/mL Inj (discontinued)

J01GB06 AMIKACIN

amikacin 250mg/mL inj Amikacin 250mg/mL Inj 02242971 SDZ Amikin 250mg/mL Inj (discontinued)

J01M QUINOLONE ANTIBACTERIALS

J01MA FLUOROQUINOLONES

J01MA01 OFLOXACIN Ofloxacin 200mg Tab DNP E 02231529 AAP Novo-Ofloxacin 200mg Tab (discontinued)

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

ofloxacin 400mg tab Ofloxacin 400mg Tab DNP E 02231532 AAP Floxin 400mg Tab (discontinued)

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J01MA02 CIPROFLOXACIN Cipro 100mg/mL O/L DNPM E 02237514 BAY

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

ciprofloxacin 500mg tab Apo-Ciproflox 500mg Tab DNPM MRP E 02229522 APX Ciprofloxacin 500mg Tab DNPM MRP E 02353326 SAS CO Ciprofloxacin 500mg Tab DNPM MRP E 02247340 COB MINT-Ciprofloxacin 500mg Tab DNPM MRP E 02317435 MNT MYLAN-Ciprofloxacin 500mg Tab DNPM MRP E 02245648 MYL Novo-Ciprofloxacin 500mg Tab DNPM MRP E 02161745 TEV pms-Ciprofloxacin 500mg Tab DNPM MRP E 02248438 PMS RAN-Ciproflox 500mg Tab DNPM MRP E 02303736 RAN ratio-Ciprofloxacin 500mg Tab DNPM MRP E 02246826 TEV Sandoz Ciprofloxacin 500mg Tab DNPM MRP E 02248757 SDZ Cipro 500mg Tab DNPM MRP E 02155966 BAY RAN-Ciprofloxacin 500mg Tab (discontinued)

ciprofloxacin 750mg tab Apo-Ciproflox 750mg Tab DNPM MRP E 02229523 APX Ciprofloxacin 750mg Tab DNPM MRP E 02353334 SAS CO Ciprofloxacin 750mg Tab DNPM MRP E 02247341 COB MINT-Ciprofloxacin 750mg Tab DNPM MRP E 02317443 MNT MYLAN-Ciprofloxacin 750mg Tab DNPM MRP E 02245649 MYL Novo-Ciprofloxacin 750mg Tab DNPM MRP E 02161753 TEV pms-Ciprofloxacin 750mg Tab DNPM MRP E 02248439 PMS RAN-Ciproflox 750mg Tab DNPM MRP E 02303744 RAN ratio-Ciprofloxacin 750mg Tab DNPM MRP E 02246827 TEV Sandoz Ciprofloxacin 750mg Tab DNPM MRP E 02248758 SDZ Cipro 750mg Tab DNPM MRP E 02155974 BAY RAN-Ciprofloxacin 750mg Tab (discontinued)

Cipro XL 500mg Tab 02247916 BAY Cipro XL 1,000mg Tab DNPM E 02251787 BAY

J01MA06 NORFLOXACIN

norfloxacin 400mg tab Apo-Norflox 400mg Tab DNP MRP E 02229524 APX CO Norfloxacin 400mg Tab DNP MRP E 02269627 COB Novo-Norfloxacin 400mg Tab DNP MRP E 02237682 TEV pms-Norfloxacin 400mg Tab DNP MRP E 02246596 PMS Noroxin 400mg Tab (discontinued)

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LEVOFLOXACIN levofloxacin 250mg tab Apo-Levofloxacin 250mg Tab DNP MRP E 02284707 APX CO Levofloxacin 250mg Tab DNP MRP E 02315424 COB MYLAN-Levofloxacin 250mg Tab DNP MRP E 02313979 MYL Novo-Levofloxacin 250mg Tab DNP MRP E 02248262 TEV pms-Levofloxacin 250mg Tab DNP MRP E 02284677 PMS Sandoz Levofloxacin 250mg Tab DNP MRP E 02298635 SDZ Levaquin 250mg Tab DNP MRP E 02236841 JAN

levofloxacin 500mg tab Apo-Levofloxacin 500mg Tab DNP MRP E 02284715 APX CO Levofloxacin 500mg Tab DNP MRP E 02315432 COB MYLAN-Levofloxacin 500mg Tab DNP MRP E 02313987 MYL Novo-Levofloxacin 500mg Tab DNP MRP E 02248263 TEV pms-Levofloxacin 500mg Tab DNP MRP E 02284685 PMS Sandoz Levofloxacin 500mg Tab DNP MRP E 02298643 SDZ Levaquin 500mg Tab DNP MRP E 02236842 JAN

levofloxacin 750mg tab Apo-Levofloxacin 750mg Tab 02325942 APX CO Levofloxacin 750mg Tab 02315440 COB Novo-Levofloxacin 750mg Tab 02285649 TEV pms-Levofloxacin 750mg Tab 02305585 PMS Sandoz Levofloxacin 750mg Tab 02298651 SDZ Levaquin 750mg Tab 02246804 JAN

Levaquin 5mg/mL Inj (premix) 02236839 JAN

J01MA14 MOXIFLOXACIN

Avelox 400mg Tab DNP E 02242965 BAY

J01X OTHER ANTIBACTERIALS

J01XA GLYCOPEPTIDE ANTIBACTERIALS

J01XA01 VANCOMYCIN Vancocin 125mg Cap DNPM E 00800430 IRO Vancocin 250mg Cap DNPM E 00788716 IRO

vancomycin 500mg/vial inj pms-Vancomycin 500mg/vial Inj DNPM MRP SFC 02241820 PMS Vancocin CP 500mg/vial Inj (discontinued)

vancomycin HCI 500mg/vial inj Val-Vanco 500mg/vial Inj DNPM MRP SFC 02342855 VAL Sterile Vancomycin HCI 500mg/vial Inj DNPM MRP SFC 02230191 HOS

vancomycin 1g/vial inj pms-Vancomycin 1g/vial Inj DNPM MRP SFC 02241821 PMS Vancocin CP 1g/vial Inj (discontinued)

vancomycin HCI 1g/vial inj Val-Vanco 1000mg/vial Inj DNPM MRP SFC 02342863 VAL Sterile Vancomycin HCI 1g/vial Inj DNPM MRP SFC 02230192 HOS

J01XC STEROID ANTIBACTERIALS

J01XC01 FUSIDIC ACID Fucidin 250mg Tab DNP SFC 01934252 LEO

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J01XD IMIDAZOLE DERIVATIVES

J01XD01 METRONIDAZOLE metronidazole 250mg tab Metronidazole 250mg Tab DNPM MRP SFC 00545066 AAP Flagyl 250mg Tab (discontinued)

metronidazole 500mg cap Metronidazole 500mg Cap 02248562 AAP pms-Metronidazole 500mg Cap 00783137 PMS Flagyl 500mg Cap 01926853 SAV

J01XE NITROFURAN DERIVATIVES

J01XE01 NITROFURANTOIN nitrofurantoin 50mg cap Novo-Furantoin 50mg Cap DNPM MRP SFC 02231015 TEV Macrodantin 50mg Cap (discontinued)

nitrofurantoin 100mg cap Novo-Furantoin 100mg Cap 02231016 TEV Macrodantin 100mg Cap (discontinued)

Nitrofurantoin 50mg Tab DNPM SFC 00319511 AAP Nitrofurantoin 100mg Tab 00312738 AAP Macrobid 100mg Cap DNPM SFC 02063662 WNC

J01XX OTHER ANTIBACTERIALS

J01XX05 METHENAMINE Hip-Rex 1g Tab DNP SFC 01966081 GWP Mandelamine 500mg Tab DNP SFC 00499013 ERF

J01XX08 LINEZOLID

Zyvoxam 600mg Tab DNP E 02243684 PFI

J01XX09 DAPTOMYCIN Cubicin 500mg Vial 02299909 SEP

J02 ANTIMYCOTICS FOR SYSTEMIC USE J02A ANTIMYCOTICS FOR SYSTEMIC USE

J02AA ANTIBIOTICS

J02AA01 AMPHOTERICIN Fungizone 50mg/vial Inj DNP SFC 00029149 BRI

J02AB IMIDAZOLE DERIVATIVES

J02AB02 KETOCONAZOLE ketoconazole 200mg tab Apo-Ketoconazole 200mg Tab DNP MRP SFC 02237235 APX Novo-Ketoconazole 200mg Tab DNP MRP SFC 02231061 TEV Nu-Ketocon 200mg Tab DNP MRP SFC 02122197 NXP Nizoral 200mg Tab (discontinued)

J02AC TRIAZOLE DERIVATIVES

J02AC01 FLUCONAZOLE fluconazole 2mg/mL inj Diflucan 2mg/mL Inj 00891835 PFI Fluconazole 2mg/mL Inj 02248443 SDZ

Diflucan POS 10mg/mL DNP E 02024152 PFI

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

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

fluconazole 150mg cap Apo-Fluconazole 150mg Cap DNP MRP SFC 02241895 APX pms-Fluconazole 150mg Cap DNP MRP SFC 02282348 PMS Diflucan 150mg Cap (discontinued)

J02AC02 ITRACONAZOLE

Sporanox 100mg Cap DNP E 02047454 JAN

J02AC03 VORICONAZOLE Vfend 50mg Tab DNP E 02256460 PFI Vfend 200mg Tab DNP E 02256479 PFI

J02AC04 POSACONAZOLE

Posanol 40mg/mL Susp 02293404 SCH J04 ANTIMYCOBACTERIALS J04A DRUGS FOR TREATMENT OF TUBERCULOSIS

J04AB ANTIBIOTICS

J04AB02 RIFAMPIN (RIFAMPICIN) rifampin 150mg cap Rifadin 150mg Cap DNP MRP SFC 02091887 SAV Rofact 150mg Cap DNP MRP SFC 00393444 VLN

rifampin 300mg cap Rifadin 300mg Cap DNP MRP SFC 02092808 SAV Rofact 300mg Cap DNP MRP SFC 00343617 VLN

J04AB04 RIFABUTIN

Mycobutin 150mg Cap DNP SFC 02063786 PFI J04AC HYDRAZIDES

J04AC01 ISONIAZID pms-Isoniazid 300mg Tab DNP SFC 00577804 PMS Isotamine 300mg Tab DNP SFC 00272655 VLN

J04AK OTHER DRUGS FOR TREATMENT OF TUBERCULOSIS

J04AK01 PYRAZINAMIDE Tebrazid 500mg Tab DNP SFC 00283991 VLN

J04AK02 ETHAMBUTOL

Etibi 100mg Tab DNP SFC 00247960 VLN

ethambutol 400mg tab Etibi 400mg Tab DNP SFC 00247979 VLN Myambutol 400mg Tab (discontinued)

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J04AM COMBINATIONS OF DRUGS FOR TREATMENT OF TUBERCULOSIS

J04AM02 RIFAMPIN AND ISONIAZID Rifater Tab 02148625 SAV

J04B DRUGS FOR TREATMENT OF LEPRA

J04BA DRUGS FOR TREATMENT OF LEPRA

J04BA02 DAPSONE Dapsone 100mg Tab DNP SFC 02041510 JCB

J05 ANTIVIRALS FOR SYSTEMIC USE J05A DIRECT ACTING ANTIVIRALS

J05AB NUCLEOSIDES AND NUCLEOTIDES EXCLUDING REVERSE TRANSCRIPTASE INHIBITORS

J05AB01 ACYCLOVIR Zovirax 200mg/5mL O/L DNPM SFC 00886157 GSK

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

acyclovir 400mg tab Acyclovir 400mg Tab DNPM MRP SFC 02286564 SAS Apo-Acyclovir 400mg Tab DNPM MRP SFC 02207648 APX MYLAN-Acyclovir 400mg Tab DNPM MRP SFC 02242463 MYL Novo-Acyclovir 400mg Tab DNPM MRP SFC 02285967 TEV Nu-Acyclovir 400mg Tab DNPM MRP SFC 02197413 NXP ratio-Acyclovir 400mg Tab DNPM MRP SFC 02078635 TEV Zovirax 400mg Tab DNPM MRP SFC 01911627 GSK

acyclovir 800mg tab Acyclovir 800mg Tab DNPM MRP SFC 02286572 SAS Apo-Acyclovir 800mg Tab DNPM MRP SFC 02207656 APX MYLAN-Acyclovir 800mg Tab DNPM MRP SFC 02242464 MYL Novo-Acyclovir 800mg Tab DNPM MRP SFC 02285975 TEV Nu-Acyclovir 800mg Tab DNPM MRP SFC 02197421 NXP ratio-Acyclovir 800mg Tab DNPM MRP SFC 02078651 TEV Zovirax Zostab 800mg Tab DNPM MRP SFC 01911635 GSK

J05AB06 GANCICLOVIR

Cytovene 500mg/vial Inj 02162695 HLR

J05AB09 FAMCICLOVIR famciclovir 125mg tab Apo-Famciclovir 125mg Tab DNP MRP SFC 02292025 APX CO Famciclovir 125mg Tab DNP MRP SFC 02305682 COB pms-Famciclovir 125mg Tab DNP MRP SFC 02278081 PMS Sandoz Famciclovir 125mg Tab DNP MRP SFC 02278634 SDZ Famvir 125mg Tab DNP MRP SFC 02229110 NVR

famciclovir 250mg tab Apo-Famciclovir 250mg Tab DNP MRP SFC 02292041 APX CO Famciclovir 250mg Tab DNP MRP SFC 02305690 COB pms-Famciclovir 250mg Tab DNP MRP SFC 02278103 PMS Sandoz Famciclovir 250mg Tab DNP MRP SFC 02278642 SDZ Famvir 250mg Tab DNP MRP SFC 02229129 NVR

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famciclovir 500mg tab Apo-Famciclovir 500mg Tab DNP MRP SFC 02292068 APX CO Famciclovir 500mg Tab DNP MRP SFC 02305704 COB pms-Famciclovir 500mg Tab DNP MRP SFC 02278111 PMS Sandoz Famciclovir 500mg Tab DNP MRP SFC 02278650 SDZ Famvir 500mg Tab DNP MRP SFC 02177102 NVR

J05AB11 VALACYCLOVIR

valacyclovir 500mg tab Apo-Valacyclovir 500mg Tab DNPM MRP SFC 02295822 APX CO Valacyclovir 500mg Tab DNPM MRP SFC 02331748 COB MYLAN-Valacyclovir 500mg Tab DNPM MRP SFC 02351579 MYL pms-Valacyclovir 500mg Tab DNPM MRP SFC 02298457 PMS Valtrex 500mg Tab DNPM MRP SFC 02219492 GSK

J05AB14 VALGANCICLOVIR

Valcyte 450mg Tab DNP E 02245777 HLR J05AE PROTEASE INHIBITORS

J05AE01 SAQUINAVIR Invirase 200mg Cap 02216965 HLR Invirase 500mg Tab 02279320 HLR

J05AE02 INDINAVIR

Crixivan 200mg Cap 02229161 FRS Crixivan 400mg Cap 02229196 FRS

J05AE03 RITONAVIR

Norvir 80mg/mL O/L 02229145 ABB

J05AE04 NELFINAVIR Viracept 625mg Tab 02248761 PFI

J05AE07 FOSAMPRENAVIR

Telzir 50mg/mL Susp 02261553 GSK Telzir 700mg Tab 02261545 GSK

J05AE08 ATAZANAVIR

Reyataz 150mg Cap 02248610 BRI Reyataz 200mg Cap 02248611 BRI Reyataz 300mg Cap 02294176 BRI

J05AE09 TIPRANAVIR

Aptivus 250mg Cap 02273322 BOE

J05AE10 DARUNAVIR Prezista 75mg Tab 02338432 JAN Prezista 300mg Tab 02284057 JAN Prezista 400mg Tab 02324016 JAN

J05AE30 PROTEASE INHIBITORS, COMBINATIONS Keletra 100/25mg Pediatric Tab 02312301 ABB Kaletra 200/50mg Tab 02285533 ABB

J05AF NUCLEOSIDE AND NUCLEOTIDE REVERSE TRANSCRIPTASE INHIBITORS

J05AF01 ZIDOVUDINE zidovudine 100mg cap Apo-Zidovudine 100mg Cap 01946323 APX Retrovir 100mg Cap 01902660 GSK

J05AF04 STAVUDINE

Zerit 15mg Cap 02216086 BRI Zerit 20mg Cap 02216094 BRI Zerit 30mg Cap 02216108 BRI Zerit 40mg Cap 02216116 BRI

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J05AF05 LAMIVUDINE Heptovir 100mg Tab DNP E 02239193 VIV 3TC 10mg/mL O/L 02192691 GSK 3TC 150mg Tab 02192683 GSK 3TC 300mg Tab 02247825 GSK

J05AF07 TENOFOVIR DISOPROXIL

Viread 300mg Tab DNP E 02247128 GIL

J05AF08 ADEFOVIR DIPIVOXIL Hepsera 10mg Tab DNP E 02247823 GIL

J05AF10 ENTECAVIR

Baraclude 0.5mg Tab DNP E 02282224 BRI

J05AF11 TELBIVUDINE Sebivo 600mg Tab 02288389 NVR

J05AG NONNUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITORS

J05AG01 NEVIRAPINE nevirapine 200mg tab Auro-Nevirapine 200mg Tab 02318601 ARO Teva-Nevirapine 200mg Tab 02352893 TEV Viramune 200mg Tab 02238748 BOE

J05AG04 ETRAVIRINE

Intelence 100mg Tab 02306778 JAN J05AH NEURAMINIDASE INHIBITORS

J05AH01 ZANAMIVIR Relenza 5mg Pdr for Inhalation DNP E 02240863 GSK

J05AH02 OSELTAMIVIR

Tamiflu 30mg Cap DNP E 02304848 HLR Tamiflu 45mg Cap DNP E 02304856 HLR Tamiflu 75mg Cap DNP E 02241472 HLR Tamiflu 12mg/mL Susp DNP E 02245549 HLR Tamiflu 15mg/mL Oral Susp DNP E 00903521 CPD

J05AR ANTIVIRALS FOR TREATMENT OF HIV INFECTIONS, COMBINATION

J05AR02 LAMIVUDINE AND ABACAVIR Kivexa Tab 02269341 GSB

J05AR03 TENOFOVIR DISOPROXIL AND EMTRICITABINE

Truvada Tab 02274906 GIL

J05AR06 EMTRICITABINE, TENOFOVIR DISOPROXIL AND EFAVIRENZ Atripla Tab 02300699 GIL

J05AX OTHER ANTIVIRALS

J05AX07 ENFUVIRTIDE Fuzeon 108mg/vial Inj 02247725 HLR

J05AX08 RALTEGRAVIR

Isentress 400mg Tab 02301881 FRS

J05AX09 MARAVIROC Celsentri 150mg Tab 02299844 VIV Celsentri 300mg Tab 02299852 VIV

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L01 ANTINEOPLASTIC AGENTS L01A ALKYLATING AGENTS

L01AA NITROGEN MUSTARD ANALOGUES

L01AA01 CYCLOPHOSPHAMIDE Procytox 25mg Tab DNP SFC 02241795 BAX Procytox 50mg Tab DNP SFC 02241796 BAX

L01AA02 CHLORAMBUCIL

Leukeran 2mg Tab DNP SFC 00004626 GSK

L01AA03 MELPHALAN Alkeran 2mg Tab DNP SFC 00004715 GSK

L01AA05 MECHLORETHAMINE (CHLORMETHINE)

Mustargen 10mg/vial Inj DNP SFC 00016063 VLH L01AB ALKYL SULPHONATES

L01AB01 BUSULFAN Myleran 2mg Tab DNP SFC 00004618 GSK

L01AD NITROSOUREAS

L01AD02 LOMUSTINE CeeNU 10mg Cap DNP SFC 00360430 BRI CeeNU 40mg Cap DNP SFC 00360422 BRI CeeNU 100mg Cap DNP SFC 00360414 BRI

L01AX OTHER ALKYLATING AGENTS

L01AX03 TEMOZOLOMIDE Temodal 5mg Cap DNP E 02241093 SCH Temodal 20mg Cap DNP E 02241094 SCH Temodal 100mg Cap DNP E 02241095 SCH Temodal 140mg Cap DNP E 02312794 SCH Temodal 180mg Cap DNP E 02312816 SCH Temodal 250mg Cap DNP E 02241096 SCH

L01B ANTIMETABOLITES

L01BA FOLIC ACID ANALOGUES

L01BA01 METHOTREXATE Methotrexate 10mg/mL Inj DNP SFC 02182947 HOS Methotrexate 25mg/mL Inj DNP SFC 02182777 HOS Methotrexate 25mg/mL Inj (PF) DNP SFC 02182971 HOS Methotrexate 25mg/mL Inj (PF) DNP SFC 02182955 HOS Methotrexate 25mg/mL Inj DNP SFC 02099705 TEV

methotrexate 2.5mg tab Apo-Methotrexate 2.5mg Tab DNP MRP SFC 02182963 APX ratio-Methotrexate Sodium 2.5mg Tab DNP MRP SFC 02244798 TEV Methotrexate 2.5mg Tab DNP MRP SFC 02170698 PFI

Methotrexate 10mg Tab DNP SFC 02182750 HOS

L01BB PURINE ANALOGUES

L01BB02 MERCAPTOPURINE Purinethol 50mg Tab DNP SFC 00004723 TEV

L01BB03 THIOGUANINE

Lanvis 40mg Tab DNP SFC 00282081 GSK

L01BB05 FLUDARABINE Fludara 10mg Tab DNP E 02246226 GZM

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L01BC02 FLUOROURACIL Efudex 5% Cr DNP SFC 00330582 VLN Fluorouracil 50mg/vial Inj DNP SFC 00012882 SDZ

L01BC05 GEMCITABINE gemcitabine hydrochloride 1g/vial injGemcitabine 1g/vial Inj 02324210 AHC Gemzar 1g/vial Inj 02230309 LIL

L01BC06 CAPECITABINE Xeloda 150mg Tab DNP E 02238453 HLR Xeloda 500mg Tab DNP E 02238454 HLR

L01C PLANT ALKALOIDS AND OTHER NATURAL PRODUCTS

L01CA VINCA ALKALOIDS AND ANALOGUES

L01CA04 VINORELBINE Navelbine 10mg/mL Inj 02091283 GSK

L01CB PODOPHYLLOTOXIN DERIVATIVES

L01CB01 ETOPOSIDE Vepesid 50mg Cap DNP SFC 00616192 BRI

L01CD TAXANES L01CD02 DOCETAXEL

docetaxel 10mg/mL inj (2mL)Docetaxel 10mg/mL Inj (2mL) 02361957 HOS Taxotere 20mg Inj 02177099 SAV

docetaxel 10mg/mL inj (8mL)Docetaxel 10mg.mL Inj (8mL) 02361957 HOS Taxotere 80mg Inj 02177080 SAV

L01D ANTINEOPLASTIC AGENTS

L01DB ANTHRACYCLINES AND RELATED SUBSTANCES

L01DB03 EPIRUBICIN epirubicin HCI 2mg/mL injEpiriubicin HCI 2mg/mL Inj 02303892 AHC Pharmorubicin PFS 2mg/mL Inj 02065703 PFI

L01X OTHER ANTINEOPLASTIC AGENTS

L01XB METHYLHYDRAZINES

LO1XB01 PROCARBAZINE Matulane 50mg Cap DNP SFC 00012750 QGT

L01XC MONOCLONAL ANTIBODIES

L01XC02 RITUXIMAB Rituxan 10mg/mL Inj DNP E 02241927 HLR

L01XE PROTEIN KINASE INHIBITORS

L01XE01 IMATINIB Gleevec 100mg Cap DNP E 02244725 NVR Gleevec 100mg Tab DNP E 02253275 NVR Gleevec 400mg Tab DNP E 02253283 NVR

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L01XE02 GEFITINIB

Iressa 250mg Tab 02248676 AZE

L01XE03 ERLOTINIB Tarceva 100mg Tab DNP E 02269015 HLR Tarceva 150mg Tab DNP E 02269023 HLR

L01XE04 SUNITINIB

Sutent 12.5mg Cap DNP E 02280795 PFI Sutent 25mg Cap DNP E 02280809 PFI Sutent 50mg Cap DNP E 02280817 PFI

L01XE05 SORAFENIB

Nexavar 200mg Tab DNP E 02284227 BAY L01XE06 DASATINIB

Sprycel 20mg Cap DNP E 02293129 BRI Sprycel 50mg Cap DNP E 02293137 BRI Sprycel 70mg Cap DNP E 02293145 BRI Sprycel 100mg Cap DNP E 02320193 BRI

L01XE07 LAPATINIB Tykerb 250mg Tab DNP E 02326442 GSK

L01XE08 NILOTINIB Tasigna 200mg Cap DNP E 02315874 NVR

L01XX OTHER ANTINEOPLASTIC AGENTS

L01XX03 ALTRETAMINE Hexalen 50mg Cap DNP E 02126230 MGI

L01XX05 HYDROXYUREA (HYDROXYCARBAMIDE) hydroxyurea 500mg cap Apo-Hydroxyurea 500mg Cap DNP MRP SFC 02247937 APX Hydroxyurea 500mg Cap DNP MRP SFC 02343096 SAS MYLAN-Hydroxyurea 500mg Cap DNP MRP SFC 02242920 MYL Hydrea 500mg Cap DNP MRP SFC 00465283 BRI

L01XX11 ESTRAMUSTINE

Emcyt 140mg Tab DNP SFC 02063794 PFI

L01XX35 ANAGRELIDE anagrelide 0.5mg cap MYLAN-Anagrelide 0.5mg Cap DNP MRP E 02253054 MYL Sandoz Anagrelide 0.5mg Cap DNP MRP E 02260107 SDZ Agrylin 0.5mg Cap DNP MRP E 02236859 SHI

L02 ENDOCRINE THERAPY L02A HORMONES AND RELATED AGENTS

L02AB PROGESTOGENS

L02AB01 MEGESTROL Megace OS 40mg/mL O/L DNP SFC 02168979 BRI

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

megestrol acetate 160mg tab Megestrol 160mg Tab DNP SFC 02195925 AAP Megace 160mg Tab (discontinued)

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L02AE GONADOTROPHIN RELEASING HORMONE ANALOGUES

L02AE01 BUSERELIN Suprefact 1mg/mL Nasal Sol DNP SFC 02225158 SAV Suprefact Depot 6.3mg (2 month) Implant DNP SFC 02228955 SAV Suprefact Depot 9.45mg (3 month) Implant DNP SFC 02240749 SAV

L02AE02 LEUPROLIDE (LEUPRORELIN)

Lupron 5mg/mL Inj DNP SFC 00727695 ABB Lupron Depot 7.5mg (monthly) Inj Kit DNP SFC 00836273 ABB Lupron Depot 3.75mg (monthly) Inj Kit DNP SF 00884502 ABB Lupron Depot 11.25mg (3 month) SR Inj Kit DNP SF 02239834 ABB Eligard 22.5mg (3 month) Inj Kit DNP SFC 02248240 SAV Lupron Depot 22.5mg (3 month) SR Inj Kit DNP SFC 02230248 ABB Lupron Depot 30mg (4 month) SR Inj Kit DNP SFC 02239833 ABB Eligard 45mg (6 month) Inj Kit DNP SFC 02268892 SAV

L02AE03 GOSERELIN

Zoladex Depot 3.6mg/syringe Inj DNP SFC 02049325 AZE Zoladex LA 10.8mg/syringe (3 month) Inj DNP SFC 02225905 AZE

L02AE04 TRIPTORELIN

Trelstar Depot 3.75mg/vial Inj DNP SFC 02240000 PAL Trelstar LA 11.25mg/vial Inj DNP SFC 02243856 PAL

L02B HORMONE ANTAGONISTS AND RELATED AGENTS

L02BA ANTI-ESTROGENS

L02BA01 TAMOXIFEN tamoxifen citrate 10mg tab Apo-Tamox 10mg Tab DNP MRP SFC 00812404 APX MYLAN-Tamoxifen 10mg Tab DNP MRP SFC 02088428 MYL Novo-Tamoxifen 10mg Tab DNP MRP SFC 00851965 TEV Nolvadex 10mg Tab (discontinued) Tamofen 10mg Tab (discontinued)

tamoxifen citrate 20mg tab Apo-Tamox 20mg Tab DNP MRP SFC 00812390 APX MYLAN-Tamoxifen 20mg Tab DNP MRP SFC 02089858 MYL Novo-Tamoxifen 20mg Tab DNP MRP SFC 00851973 TEV Nolvadex-D 20mg Tab DNP MRP SFC 02048485 AZE Tamofen 20mg Tab (discontinued)

L02BB ANTI-ANDROGENS

L02BB01 FLUTAMIDE flutamide 250mg tab Apo-Flutamide 250mg Tab DNP MRP SFC 02238560 APX Novo-Flutamide 250mg Tab DNP MRP SFC 02230089 TEV pms-Flutamide 250mg Tab DNP MRP SFC 02230104 PMS Euflex 250mg Tab DNP MRP SFC 00637726 SCH

L02BB02 NILUTAMIDE

Anandron 50mg Tab DNP SFC 02221861 SAV

L02BB03 BICALUTAMIDE bicalutamide 50mg tab Apo-Bicalutamide 50mg Tab DNP MRP SFC 02296063 APX Bicalutamide 50mg Tab DNP MRP SFC 02325985 AHC CO Bicalutamide 50mg Tab DNP MRP SFC 02274337 COB Jamp-Bicalutamide 50mg Tab DNP MRP SFC 02357216 JPC MYLAN-Bicalutamide 50mg Tab DNP MRP SFC 02302403 MYL Novo-Bicalutamide 50mg Tab DNP MRP SFC 02270226 TEV pms-Bicalutamide 50mg Tab DNP MRP SFC 02275589 PMS ratio-Bicalutamide 50mg Tab DNP MRP SFC 02277700 TEV Sandoz Bicalutamide 50mg Tab DNP MRP SFC 02276089 SDZ Casodex 50mg Tab DNP MRP SFC 02184478 AZE

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L02BG ENZYME INHIBITORS

L02BG03 ANASTROZOLE Arimidex 1mg Tab DNP SFC 02224135 AZE

L02BG04 LETROZOLE

letrozole 2.5 tab Letrozole 2.5mg Tab DNP MRP SFC 02338459 AHC Letrozole 2.5mg Tab DNP MRP SFC 02348969 COB Letrozole 2.5mg Tab DNP MRP SFC 02347997 TEV MED-Letrozole 2.5mg Tab DNP MRP SFC 02322315 GMP pms-Letrozole 2.5mg Tab DNP MRP SFC 02309114 PMS Sandoz Letrozole 2.5mg Tab DNP MRP SFC 02344815 SDZ Femara 2.5mg Tab DNP MRP SFC 02231384 NVR

L02BG06 EXEMESTANE

Aromasin 25mg Tab DNP SFC 02242705 PFI L02BX OTHER HORMONE ANTAGONISTS AND RELATED AGENTS L02BX02 DEGARELIX Firmagon 80mg/vial DNP SFC 02337029 FEI Firmagon 120mg/vial DNP SFC 02337037 FEI

L03 IMMUNOSTIMULANTS L03A IMMUNOSTIMULANTS

L03AA COLONY STIMULATING FACTORS

L03AA02 FILGRASTIM Neupogen 300mcg/mL Inj 01968017 AGA

L03AA13 PEGFILGRASTIM

Neulasta 10mg/mL Inj 02249790 AGA L03AB INTERFERONS

L03AB05 INTERFERON ALPHA-2B Intron A 6,000,000iu/mL Inj (albumin free) DNP E 02238674 SCH Intron A 10,000,000iu/vial Inj DNP E 02223406 SCH Intron A 10,000,000iu/mL Inj (albumin free) DNP E 02238675 SCH Intron A 18,000,000iu/vial Inj DNP E 02231651 SCH Intron A 15,000,000iu Multidose Pen DNP E 02240693 SCH Intron A 25,000,000iu Multidose Pen DNP E 02240694 SCH Intron A 50,000,000iu Multidose Pen DNP E 02240695 SCH

L03AB07 INTERFERON BETA-1A

Avonex 30mcg/1.1mL Inj 02237770 BIG Avonex PS 30mcg/0.5mL Inj 02269201 BIG Rebif 22mcg/0.5mL Inj 02237319 EMD Rebif 44mcg/0.5mL Inj 02237320 EMD Rebif Pack 8.8mcg/0.2mL / 22mcg/0.5mL Inj 02281708 EMD Rebif 22mcg Multidose Cartridges 02318253 EMD Rebif 44mcg Mulitdose Cartridges 02318261 EMD

L03AB08 INTERFERON BETA-1B

Betaseron 0.3mg/vial Inj 02169649 BAY Betaseron Initiation Pack 02169649 BAY Extavia 0.3mg/vial Inj 02337819 NVR

L03AB11 PEGINTERFERON ALFA-2A

Pegasys 180mcg/0.5mL Syr Inj DNP E 02248077 HLR Pegasys 180mcg/vial Inj DNP E 02248078 HLR

L03AB60 RIBAVIRIN, COMBINATIONS

Pegasys RBV 180mcg/mL Inj / 200mg Tab DNP E 02253410 HLR Pegasys RBV 180mcg/0.5mL Inj / 200mg Tab DNP E 02253429 HLR

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Pegetron Redipen 80mcg/0.5mL Inj / 200mg Cap DNP E 02254581 SCH Pegetron Redipen 100mcg/0.5mL Inj / 200mg Cap DNP E 02254603 SCH Pegetron Redipen 120mcg/0.5mL Inj / 200mg Cap DNP E 02254638 SCH Pegetron Redipen 150mcg/0.5mL Inj / 200mg Cap DNP E 02254646 SCH Pegetron 50mcg/mL Inj / 200mg Cap DNP E 02246026 SCH Pegetron 80mcg/mL Inj / 200mg Cap DNP E 02246027 SCH Pegetron 100mcg/mL Inj / 200mg Cap DNP E 02246028 SCH Pegetron 120mcg/mL Inj / 200mg Cap DNP E 02246029 SCH Pegetron 150mcg/mL Inj / 200mg Cap DNP E 02246030 SCH

L03AX OTHER CYTOKINES AND IMMUNOMODULATORS/-STIMULANTS

L03AX03 BCG VACCINE ImmuCyst BCG Therapeutic 3.5CFU/vial Inj DNP SFC 02194376 AVP

L03AX13 GLATIRAMER ACETATE

Copaxone 20mg/mL Syr Inj 02245619 TMP L04 IMMUNOSUPPRESSANTS L04A IMMUNOSUPPRESSANTS

L04AA SELECTIVE IMMUNOSUPPRESSANTS

L04AA06 MYCOPHENOLIC ACID Cellcept 250mg Cap 02192748 HLR Myfortic 180mg Tab 02264560 NVR Myfortic 360mg Tab 02264579 NVR Cellcept 500mg Tab 02237484 HLR

L04AA13 LEFLUNOMIDE

leflunomide 10mg tab Apo-Leflunomide 10mg Tab DNP MRP E 02256495 APX Leflunomide 10mg Tab DNP MRP E 02351668 SAS MYLAN-Leflunomide 10mg Tab DNP MRP E 02319225 MYL Novo-Leflunomide 10mg Tab DNP MRP E 02261251 TEV pms-Leflunomide 10mg Tab DNP MRP E 02288265 PMS Sandoz Leflunomide 10mg Tab DNP MRP E 02283964 SDZ Arava 10mg Tab DNP MRP E 02241888 SAV

leflunomide 20mg tab Apo-Leflunomide 20mg Tab DNP MRP E 02256509 APX Leflunomide 20mg Tab DNP MRP E 02351676 SAS MYLAN-Leflunomide 20mg Tab DNP MRP E 02319233 MYL Novo-Leflunomide 20mg Tab DNP MRP E 02261278 TEV pms-Leflunomide 20mg Tab DNP MRP E 02288273 PMS Sandoz Leflunomide 20mg Tab DNP MRP E 02283972 SDZ Arava 20mg Tab DNP MRP E 02241889 SAV

L04AA15 ALEFACEPT

Amevive 15mg/0.5mL Pdr for Inj 02259052 AST

L04AA24 ABATACEPT Orencia 250mg/vial Inj DNP E 02282097 BRI

L04AB TUMOR NECROSIS FACTOR ALPHA (TNF–a) INHIBITORS

L04AB01 ETANERCEPT Enbrel 25mg Pdr for Inj DNP E 02242903 AGA Enbrel 50mg/mL Inj DNP E 02274728 AGA

L04AB02 INFLIXIMAB

Remicade 100mg Pdr for Inj DNP E 02244016 SCH

L04AB04 ADALIMUMAB Humira 40mg/0.8mL Pen (PIN 97799757) DNP E 02258595 ABB Humira 40mg/0.8mL Syringe Inj (PIN 97799756) DNP E 02258595 ABB

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L04AB05 CERTOLIZUMAB PEGOL

Cimzia 200mg/mL 02331675 UCB

L04AB06 GOLIMUMAB Simponi 50mg/0.5mL Autoinjector DNP E 02324784 SCH Simponi 50mg/0.5mL Pre-filled Syringe DNP E 02324776 SCH L04AC INTERLEUKIN INHIBITORS

L04AC03 ANAKINRA Kineret 100mg/Syringe Inj 02245913 BVT

L04AC05 USTEKINUMAB

Stelara 45mg/0.5mL Syringe Inj DNP E 02320673 JAN

L04AC07 TOCILIZUMAB Actemra 80mg/4mL Inj DNP E 02350092 HLR Actemra 200mg/10mL Inj DNP E 02350106 HLR Actemra 400mg/20mL Inj DNP E 02350114 HLR L04AC08 CANAKINUMAB Ilaris 150mg/vial Inj 02344939 NVR

L04AD CALCINEURIN INHIBITORS

L04AD01 CYCLOSPORINE Neoral 10mg Cap DNP E 02237671 NVR

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

cyclosporine 50mg cap Sandoz Cyclosporine 50mg Cap DNP MRP E 02247074 SDZ Neoral 50mg Cap DNP MRP E 02150662 NVR

cyclosporine 100mg cap Sandoz Cyclosporine 100mg Cap DNP MRP E 02242821 SDZ Neoral 100mg Cap DNP MRP E 02150670 NVR

cyclosporine 100mg/mL o/l Apo-Cyclosporine 100mg/mL O/L DNP MRP E 02244324 APX Neoral 100mg/mL O/L DNP MRP E 02150697 NVR

L04AD02 TACROLIMUS

Advagraf 0.5mg ER Cap 02296462 AST Advagraf 1mg ER Cap 02296470 AST Advagraf 3mg Cap 02331667 AST Advagraf 5mg ER Cap 02296489 AST

L04AX OTHER IMMUNOSUPPRESSANTS

L04AX01 AZATHIOPRINE

azathioprine 50mg tab Apo-Azathioprine 50mg Tab DNP MRP SFC 02242907 APX Azathioprine 50mg Tab DNP MRP SFC 02343002 SAS MYLAN-Azathioprine 50mg Tab DNP MRP SFC 02231491 MYL Novo-Azathioprine 50mg Tab DNP MRP SFC 02236819 TEV Imuran 50mg Tab DNP MRP SFC 00004596 TRI

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L04AX04 LENALIDOMIDE Revlimid 5mg Cap DNP E 02304899 CEL Revlimid 10mg Cap DNP E 02304902 CEL Revlimid 15mg Cap DNP E 02317699 CEL Revlimid 25mg Cap DNP E 02317710 CEL

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M01 ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS M01A ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS

M01AB ACETIC ACID DERIVATIVES AND RELATED SUBSTANCES

M01AB01 INDOMETHACIN indomethacin 25mg cap Apo-Indomethacin 25mg Cap DNPM MRP SFC 00611158 APX Novo-Methacin 25mg Cap DNPM MRP SFC 00337420 TEV Nu-Indo 25mg Cap DNPM MRP SFC 00865850 NXP Indocid 25mg Cap (discontinued)

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

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

indomethacin 100mg supp ratio-Indomethacin100mg Supp DNPM MRP SFC 01934139 TEV Sandoz Indomethacin 100mg Supp DNPM MRP SFC 02231800 SDZ Indocid 100mg Supp (discontinued)

M01AB02 SULINDAC

sulindac 150mg tab Apo-Sulin 150mg Tab DNP PRP SF 00778354 APX Novo-Sundac 150mg Tab DNP PRP SF 00745588 TEV Nu-Sulindac 150mg Tab DNP PRP SF 02042576 NXP Clinoril 150mg Tab (discontinued)

sulindac 200mg tab Apo-Sulin 200mg Tab DNP PRP SF 00778362 APX Novo-Sundac 200mg Tab DNP PRP SF 00745596 TEV Nu-Sulindac 200mg Tab DNP PRP SF 02042584 NXP Clinoril 200mg Tab (discontinued)

M01AB05 DICLOFENAC

diclofenac potassium 50mg tab Apo-Diclo Rapide 50mg Tab 02243433 APX Diclofenac Potassium 50mg Tab 02351684 SAS Novo-Difenac-K 50mg Tab 02239355 TEV pms-Diclofenac-K 50mg Tab 02239753 PMS Sandoz Diclofenac Rapide 50mg Tab 02261774 SDZ Voltaren Rapide 50mg Tab 00881635 NVR

diclofenac sodium 50mg supp pms-Diclofenac 50mg Supp DNPM MRP SF 02231506 PMS Sandoz Diclofenac 50mg Supp DNPM MRP SF 02261928 SDZ Voltaren 50mg Supp DNPM MRP SF 00632724 NVR

diclofenac sodium 100mg supp pms-Diclofenac 100mg Supp DNPM MRP SF 02231508 PMS Sandoz Diclofenac 100mg Supp DNPM MRP SF 02261936 SDZ Voltaren 100mg Supp DNPM MRP SF 00632732 NVR

diclofenac sodium 25mg EC tab Apo-Diclo 25mg Tab DNPM PRP SF 00839175 APX Novo-Difenac 25mg Tab DNPM PRP SF 00808539 TEV pms-Diclofenac 25mg Tab DNPM PRP SF 02302616 PMS Nu-Diclo 25mg Tab DNPM PRP SF 00886017 NXP Sandoz Diclofenac 25mg Tab DNPM PRP SF 02261952 SDZ Voltaren 25mg Tab (discontinued)

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

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

diclofenac sodium 100mg SR tab Apo-Diclo SR 100mg Tab DNPM PRP SF 02091194 APX Novo-Difenac SR 100mg Tab DNPM PRP SF 02048698 TEV pms-Diclofenac SR 100mg Tab DNPM PRP SF 02231505 PMS Sandoz Diclofenac SR 100mg Tab DNPM PRP SF 02261944 SDZ Voltaren SR 100mg Tab DNPM PRP SF 00590827 NVR

M01AB08 ETODOLAC

etodolac 200mg cap Etodolac 200mg Cap DNP PRP SF 02232317 AAP Ultradol 200mg Cap (discontinued)

etodolac 300mg cap Etodolac 300mg Cap DNP PRP SF 02232318 AAP Ultradol 300mg Cap (discontinued)

M01AB15 KETOROLAC

Toradol 10mg/mL Inj DNP SF 02162644 HLR

ketorolac 30mg/mL inj Ketorolac 30mg/mL Inj DNP SF 02239944 SDZ Toradol 30mg/mL Inj (discontinued)

ketorolac 10mg tab Apo-Ketorolac 10mg Tab 02229080 APX Novo-Ketorolac 10mg Tab 02230201 TEV Nu-Ketorolac 10mg Tab 02237910 NXP Toradol 10mg Tab 02162660 HLR

M01AB55 DICLOFENAC, COMBINATIONS

Arthrotec 50mg Tab DNP SF 01917056 PFI Arthrotec 75mg Tab DNP SF 02229837 PFI

M01AC OXICAMS

M01AC01 PIROXICAM piroxicam 10mg cap Apo-Piroxicam 10mg Cap DNP PRP SF 00642886 APX Novo-Pirocam 10mg Cap DNP PRP SF 00695718 TEV Nu-Pirox 10mg Cap DNP PRP SF 00865761 NXP Feldene 10mg Cap (discontinued)

piroxicam 20mg cap Apo-Piroxicam 20mg Cap DNP PRP SF 00642894 APX Novo-Pirocam 20mg Cap DNP PRP SF 00695696 TEV Nu-Pirox 20mg Cap DNP PRP SF 00865788 NXP Feldene 20mg Cap (discontinued)

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piroxicam 20mg supp pms-Piroxicam 20mg Supp DNP MRP SF 02154463 PMS Feldene 20mg Supp (discontinued)

M01AC02 TENOXICAM

tenoxicam 20mg tab Tenoxicam 20mg Tab DNP PRP SF 02230661 AAP Mobiflex 20mg Tab (discontinued)

M01AC06 MELOXICAM

meloxicam 7.5mg tab Apo-Meloxicam 7.5mg Tab DNP PRP SF 02248973 APX CO Meloxicam 7.5mg Tab DNP PRP SF 02250012 COB Meloxicam 7.5mg Tab DNP PRP SF 02353148 SAS MYLAN-Meloxicam 7.5mg Tab DNP PRP SF 02255987 MYL Novo-Meloxicam 7.5mg Tab DNP PRP SF 02258315 TEV phl-Meloxicam 7.5mg Tab DNP PRP SF 02248607 PHL pms-Meloxicam 7.5mg Tab DNP PRP SF 02248267 PMS ratio-Meloxicam 7.5mg Tab DNP PRP SF 02247889 TEV Mobicox 7.5mg Tab DNP PRP SF 02242785 BOE

meloxicam 15mg tab Apo-Meloxicam 15mg Tab DNP MRP SF 02248974 APX CO Meloxicam 15mg Tab DNP MRP SF 02250020 COB Meloxicam 15mg Tab DNP MRP SF 02353156 SAS MYLAN-Meloxicam 15mg Tab DNP MRP SF 02255995 MYL Novo-Meloxicam 15mg Tab DNP MRP SF 02258323 TEV phl-Meloxicam 15mg Tab DNP MRP SF 02248608 PHL pms-Meloxicam 15mg Tab DNP MRP SF 02248268 PMS ratio-Meloxicam 15mg Tab DNP MRP SF 02248031 TEV Mobicox 15mg Tab DNP MRP SF 02242786 BOE

M01AE PROPIONIC ACID DERIVATIVES

M01AE01 IBUPROFEN Apo-Ibuprofen 200mg Tab 00441643 APX

ibuprofen 300mg tab Apo-Ibuprofen 300mg Tab DNP MRP SFC 00441651 APX Motrin IB 300mg Tab DNP MRP SFC 02242632 JNJ Motrin 300mg Tab (discontinued)

ibuprofen 400mg tab APC-Ibuprofen 400mg Tab DNP MRP SFC 00506052 APX Apo-Ibuprofen 400mg Tab DNP MRP SFC 00506052 APX Jamp-Ibuprofen 400mg Tab DNP MRP SFC 02317338 JPC Motrin IB 400mg Tab DNP MRP SFC 02242658 JNJ Novo-Profen 400mg Tab DNP MRP SFC 00629340 TEV pms-Ibuprofen 400mg Tab 00836133 PMS Motrin 400mg Tab (discontinued)

ibuprofen 600mg tab Apo-Ibuprofen 600mg Tab DNP MRP SFC 00585114 APX Novo-Profen 600mg Tab DNP MRP SFC 00629359 TEV Nu-Ibuprofen 600mg Tab DNP MRP SFC 02020726 NXP Motrin 600mg Tab (discontinued)

M01AE02 NAPROXEN

Naprosyn 25mg/mL Susp DNPM SF 02162431 HLR

naproxen 500mg supp pms-Naproxen 500mg Supp DNPM MRP SFC 02017237 PMS Naprosyn 500mg Supp (discontinued)

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

naproxen 250mg tab Apo-Naproxen 250mg Tab DNPM MRP SFC 00522651 APX Naproxen 250mg Tab DNPM MRP SFC 02350750 SAS Novo-Naprox 250mg Tab DNPM MRP SFC 00565350 TEV Nu-Naprox 250mg Tab DNPM MRP SFC 00865648 NXP Naprosyn 250mg Tab (discontinued)

naproxen 375mg tab Apo-Naproxen 375mg Tab DNPM MRP SFC 00600806 APX Naproxen 375mg Tab DNPM MRP SFC 02350769 SAS Novo-Naprox 375mg Tab DNPM MRP SFC 00627097 TEV Nu-Naprox 375mg Tab DNPM MRP SFC 00865656 NXP Naprosyn 375mg Tab (discontinued)

naproxen 500mg tab Apo-Naproxen 500mg Tab DNPM MRP SFC 00592277 APX Naproxen 500mg Tab DNPM MRP SFC 02350777 SAS Novo-Naprox 500mg Tab DNPM MRP SFC 00589861 TEV Nu-Naprox 500mg Tab DNPM MRP SFC 00865664 NXP Naprosyn 500mg Tab (discontinued)

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

naproxen 375mg EC tab Apo-Naproxen 375mg EC Tab DNPM PRP SFC 02246700 APX MYLAN-Naproxen 375mg EC Tab DNPM PRP SFC 02243432 MYL Naproxen 375mg EC Tab DNPM PRP SFC 02350793 SAS Novo-Naprox 375mg EC Tab DNPM PRP SFC 02243313 TEV pms-Naproxen 375mg EC Tab DNPM PRP SFC 02294702 PMS Naprosyn-E 375mg EC Tab DNPM PRP SFC 02162415 HLR

naproxen 500mg EC tab Apo-Naproxen 500mg EC Tab DNPM PRP SFC 02246701 APX MYLAN-Naproxen 500mg EC Tab DNPM PRP SFC 02241024 MYL Naproxen 500mg EC Tab DNPM PRP SFC 02350807 SAS Novo-Naprox 500mg EC Tab DNPM PRP SFC 02243314 TEV pms-Naproxen 500mg EC Tab DNPM PRP SFC 02294710 PMS Naprosyn-E 500mg EC Tab DNPM PRP SFC 02162423 HLR

naproxen 750mg SR tab Naprosyn SR 750mg Tab DNPM PRP SFC 02162466 HLR Apo-Naproxen 750mg Tab (discontinued)

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

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

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M01AE03 KETOPROFEN ketoprofen 50mg Cap Apo-Keto 50mg Cap DNP PRP SFC 00790427 AAP Orudis 50mg Cap (discontinued)

ketoprofen 50mg EC tab Apo-Keto-E 50mg Tab DNP PRP SFC 00790435 AAP Orudis-E 50mg Tab (discontinued)

pms-Ketoprofen 100mg supp DNP SFC 02015951 PMS ketoprofen 100mg EC tab Apo-Keto-E 100mg Tab DNP PRP SFC 00842664 AAP Orudis-E 100mg Tab (discontinued)

ketoprofen 200mg SR tab Apo-Keto SR 200mg Tab DNP PRP SFC 02172577 AAP Orudis-SR 200mg Tab (discontinued)

M01AE09 FLURBIPROFEN

flurbiprofen 50mg tab Apo-Flurbiprofen 50mg Tab DNP PRP SF 01912046 APX Novo-Flurprofen 50mg Tab DNP PRP SF 02100509 TEV Nu-Flurbiprofen 50mg Tab DNP PRP SF 02020661 NXP Ansaid 50mg Tab (discontinued)

flurbiprofen 100mg tab Apo-Flurbiprofen 100mg Tab DNP PRP SF 01912038 APX Novo-Flurprofen 100mg Tab DNP PRP SF 02100517 TEV Nu-Flurbiprofen 100mg Tab DNP PRP SF 02020688 NXP Ansaid 100mg Tab (discontinued)

M01AE11 TIAPROFENIC ACID

tiaprofenic acid 200mg tab Apo-Tiaprofenic 200mg Tab DNP PRP SF 02136112 APX Novo-Tiaprofenic 200mg Tab DNP PRP SF 02179679 TEV Surgam 200mg Tab (discontinued)

tiaprofenic acid 300mg tab Apo-Tiaprofenic 300mg Tab DNP PRP SF 02136120 APX Novo-Tiaprofenic 300mg Tab DNP PRP SF 02179687 TEV Nu-Tiaprofenic 300mg Tab DNP PRP SF 02146886 NXP Surgam 300mg Tab (discontinued)

M01AE12 OXAPROZIN

oxaprozin 600mg tab Apo-Oxaprozin 600mg Tab 02243661 APX Daypro 600mg Tab (discontinued)

M01AG FENAMATES

M01AG01 MEFENAMIC ACID mefenamic acid 250mg cap Apo-Mefenamic 250mg Cap DNP F 02229452 AAP Ponstan 250mg Cap (discontinued)

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M01AH COXIBS

M01AH01 CELECOXIB Celebrex 100mg Cap DNP PRP SF 02239941 PFI Celebrex 200mg Cap DNP PRP SF 02239942 PFI

M01AX OTHER ANTIINFLAMMATORY AND ANTIRHEUMATIC AGENTS, NON-STEROIDS

M01AX01 NABUMETONE nabumetone 500mg tab Apo-Nabumetone 500mg Tab DNP PRP SF 02238639 APX MYLAN-Nabumetone 500mg Tab DNP PRP SF 02244563 MYL Nabumetone 500mg Tab DNP PRP SF 02343282 SAS Novo-Nabumetone 500mg Tab DNP PRP SF 02240867 TEV Relafen 500mg Tab (discontinued)

nabumetone 750mg tab Novo-Nabumetone 750mg Tab DNP PRP SF 02240868 TEV Relafen 750mg Tab (discontinued)

M01C SPECIFIC ANTIRHEUMATIC AGENTS

M01CB GOLD PREPARATIONS

M01CB01 SODIUM AUROTHIOMALATE sodium aurothiomalate 10mg/mL inj Sodium Aurothiomalate 10mg/mL Inj DNP MRP SF 02245456 SDZ Myochrysine 10mg/mL Inj DNP MRP SF 01927620 SAV

sodium aurothiomalate 25mg/mL inj Sodium Aurothiomalate 25mg/mL Inj DNP MRP SF 02245457 SDZ Myochrysine 25mg/mL Inj (discontinued)

sodium aurothiomalate 50mg/mL inj Sodium Aurothiomalate 50mg/mL Inj DNP MRP SF 02245458 SDZ Myochrysine 50mg/mL Inj DNP MRP SF 01927604 SAV

M01CB03 AURANOFIN

Ridaura 3mg Cap DNP SF 01916823 XPI M01CC PENICILLAMINE AND SIMILAR AGENTS

M01CC01 PENICILLAMINE Cuprimine 250mg Cap DNP SF 00016055 VAL

M02 TOPICAL PRODUCTS FOR JOINT AND MUSCULAR PAIN M02A TOPICAL PRODUCTS FOR JOINT AND MUSCULAR PAIN

M02AA ANTIINFLAMMATORY PREPARATIONS, NON-STEROIDS FOR TOPICAL USE

M02AA15 DICLOFENAC Pennsaid 1.5% Top Sol 02247265 PAL

M02AX OTHER TOPICAL PRODUCTS FOR JOINT AND MUSCULAR PAIN

M02AX03 DIMETHYL SULFOXIDE Kemsol 70% Sol DNP SF 00376167 AXS

M03 MUSCLE RELAXANTS M03A MUSCLE RELAXANTS, PERIPHERALLY ACTING AGENTS

M03AX OTHER MUSCLE RELAXANTS, PERIPHERALLY ACTING AGENTS

M03AX01 BOTULINUM TOXIN Botox 100u/vial Inj DNP E 01981501 ALL Botox 200u/vial Inj 00999505 ALL Xeomin 100u/vial Inj DNP E 02324032 MRZ

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M03B MUSCLE RELAXANTS, CENTRALLY ACTING AGENTS

M03BA CARBAMIC ACID ESTERS

M03BA03 METHOCARBAMOL Robaxin 500mg Tab 01930990 WCH Robaxin 750mg Tab 01932187 WCH

M03BA53 METHOCARBAMOL, COMBINATIONS EXCLUDING PSYCHOLEPTICS

Methoxacet Caplet 02230521 ROG Methoxisal Caplet 00868868 ROG Methoxacet-C1/8 Caplet 02236872 ROG Methoxisal-C1/4 Caplet 01966367 ROG Methoxisal-C1/8 Caplet 01941895 ROG Methoxisal-C1/2 Caplet 01966375 ROG Robaxacet Caplet 02026805 WCH Robaxacet Tab 01930974 WCH Robaxacet-8 Tab 01934767 WCH Robaxisal C1/4 Tab 01934783 WCH Robaxisal C1/2 Tab 01934791 WCH

M03BC ETHERS, CHEMICALLY CLOSE TO ANTIHISTAMINES

M03BC01 ORPHENADRINE (CITRATE) orphenadrine 100mg tab Norflex 100mg Tab 01966154 GWP Sandoz Orphenadrine 100mg Tab 02243559 SDZ

Orfenace 100mg Tab 02047535 STR

M03BX OTHER CENTRALLY ACTING AGENTS

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

baclofen 20mg tab Apo-Baclofen 20mg Tab DNP MRP SF 02139391 APX Baclofen 20mg Tab DNP MRP SF 02287048 SAS MYLAN-Baclofen 20mg Tab DNP MRP SF 02088401 MYL Nu-Baclo 20mg Tab DNP MRP SF 02136104 NXP phl-Baclofen 20mg Tab DNP MRP SF 02236964 PHL pms-Baclofen 20mg Tab DNP MRP SF 02063743 PMS ratio-Baclofen 20mg Tab DNP MRP SF 02236508 TEV Lioresal DS 20mg Tab DNP MRP SF 00636576 NVR

Lioresal Intrathecal 0.05mg/mL 02131048 NVR Lioresal Intrathecal 0.5mg/mL 02131056 NVR Lioresal Intrathecal 2mg/mL 02131064 NVR

M03BX02 TIZANIDINE

tizanidine 4mg tab Apo-Tizanidine 4mg Tab DNP MRP E 02259893 APX MYLAN-Tizanidine 4mg Tab DNP MRP E 02272059 MYL Zanaflex 4mg Tab DNP MRP E 02239170 PAL

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M03BX08 CYCLOBENZAPRINE cyclobenzaprine HCl 10mg tab Apo-Cyclobenzaprine 10mg Tab DNP MRP SF 02177145 APX Cyclobenzaprine 10mg Tab DNP MRP SF 02287064 SAS MYLAN-Cyclobenzaprine 10mg Tab DNP MRP SF 02231353 MYL Novo-Cycloprine 10mg Tab DNP MRP SF 02080052 TEV Nu-Cyclobenzaprine 10mg Tab DNP MRP SF 02171848 NXP phl-Cyclobenzaprine 10mg Tab DNP MRP SF 02249359 PHL pms-Cyclobenzaprine 10mg Tab DNP MRP SF 02212048 PMS ratio-Cyclobenzaprine 10mg Tab (discontinued) Flexeril 10mg Tab (discontinued)

M03C MUSCLE RELAXANTS, DIRECTLY ACTING AGENTS

M03CA DANTROLENE AND DERIVATIVES

M03CA01 DANTROLENE Dantrium 25mg Cap DNP SF 01997602 MTP Dantrium 100mg Cap DNP SF 01997653 MTP

M04 ANTIGOUT PREPARATIONS M04A ANTIGOUT PREPARATIONS

M04AA PREPARATIONS INHIBITING URIC ACID PRODUCTION

M04AA01 ALLOPURINOL allopurinol 100mg tab Zyloprim 100mg Tab DNP MRP SFC 00402818 AAP Novo-Purol 100mg Tab (discontinued) Zyloprim 100mg Tab (discontinued) 00004588 GSK

allopurinol 200mg tab Zyloprim 200mg Tab DNP MRP SFC 00479799 AAP Novo-Purol 200mg Tab (discontinued) Zyloprim 200mg Tab (discontinued) 00506370 GSK

allopurinol 300mg tab Zyloprim 300mg Tab DNP MRP SFC 00402796 AAP Novo-Purol 300mg Tab (discontinued) Zyloprim 300mg Tab (discontinued) 00294322 GSK

M04AA03 FEBUXOSTAT Uloric 80mg Tab DNP E 02357380 TAK

M04AB PREPARATIONS INCREASING URIC ACID EXCRETION

M04AB01 PROBENECID Benuryl 500mg Tab DNP SF 00294926 VLN

M04AB02 SULFINPYRAZONE

sulfinpyrazone 200mg tab Sulfinpyrazone 200mg Tab DNP MRP SFC 00441767 AAP Anturan 200mg Tab (discontinued)

M04AC PREPARATIONS WITH NO EFFECT ON URIC ACID METABOLISM

M04AC01 COLCHICINE Colchicine 0.6mg Tab DNP SF 00572349 ODN Colchicine 1mg Tab DNP SF 00621374 ODN

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M05 DRUGS FOR TREATMENT OF BONE DISEASES M05B DRUGS AFFECTING BONE STRUCTURE AND MINERALIZATION

M05BA BISPHOSPHONATES

M05BA01 ETIDRONIC ACID (ETIDRONATE) etidronate 200mg tab CO Etidronate 200mg Tab DNP MRP SFC 02248686 COB MYLAN-Etidronate 200mg Tab DNP MRP SFC 02245330 MYL Didronel 200mg Tab (discontinued)

M05BA02 CLODRONIC ACID (CLODRONATE)

Bonefos 400mg Cap DNP SFC 01984845 BAY Bonefos 60mg/mL Inj 01984837 BAY

M05BA03 PAMIDRONIC ACID (PAMIDRONATE)

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

pamidronate disodium 90mg/vial inj Pamidronate Disodium Omega 90mg/mL Inj 02249685 OMG Aredia 90mg/vial Inj 02059789 NVR

M05BA04 ALENDRONIC ACID (ALENDRONATE)

Fosamax 70mg/75mL Oral Sol 02248625 FRS

alendronate 5mg tab Apo-Alendronate 5mg Tab 02248727 APX Sandoz Alendronate 5mg Tab 02288079 SDZ Fosamax 5mg Tab 02233055 FRS

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

alendronate 40mg tab CO Alendronate 40mg Tab DNP MRP E 02258102 COB Fosamax 40mg Tab DNP MRP E 02201038 FRS

alendronate 70mg tab Alendronate 70mg Tab DNP MRP E 02352966 SAS Alendronate-FC 70mg Tab DNP MRP E 02299712 MEL Apo-Alendronate 70mg Tab DNP MRP E 02248730 APX CO Alendronate 70mg Tab DNP MRP E 02258110 COB MYLAN-Alendronate 70mg Tab DNP MRP E 02286335 MYL Teva-Alendronate 70mg Tab DNP MRP E 02261715 TEV pms-Alendronate-FC 70mg Tab DNP MRP E 02284006 PMS Sandoz Alendronate 70mg Tab DNP MRP E 02288109 SDZ Fosamax 70mg Tab DNP MRP E 02245329 FRS ratio-Alendronate 70mg Tab (discontinued)

M05BA07 RISEDRONIC ACID (RISEDRONATE)

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

risedronate 30mg tab Novo-Risedronate 30mg Tab DNP MRP E 02298384 TEV Actonel 30mg Tab DNP MRP E 02239146 WNC

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risedronate 35mg tab Apo-Risedronate 35mg Tab DNP MRP E 02353687 APX Novo-Risedronate 35mg Tab DNP MRP E 02298392 TEV pms-Risedronate 35mg Tab DNP MRP E 02302209 PMS ratio-Risedronate 35mg Tab DNP MRP E 02319861 TEV Sandoz Risedronate 35mg Tab DNP MRP E 02327295 SDZ Actonel 35mg Tab DNP MRP E 02246896 WNC

Actonel 150mg Tab 02316838 WNC

M05BA08 ZOLEDRONIC ACID Aclasta 5mg/100mL Inj DNP E 02269198 NVR Zometa 4mg/vial Inj (discontinued)

M05BB BISPHOSPHONATES, COMBINATIONS

M05BB01 ETIDRONIC ACID AND CALCIUM, SEQUENTIAL etidronic disodium 400mg & calcium carbonate 500mg tab, sequential kit CO Etidrocal Kit DNP MRP SFC 02263866 COB Etidrocal Kit DNP MRP SFC 02353210 SAS MYLAN-Eti-Cal Carepac DNP MRP SFC 02247323 MYL Novo-Etidronatecal Kit DNP MRP SFC 02324199 TEV Didrocal Kit DNP MRP SFC 02176017 WNC

M05BB03 ALENDRONIC ACID AND COLECALCIFEROL

Fosavance Tab 70mg/2800 IU 02276429 FRS Fosavance Tab 70mg/5600 IU DNP E 02314940 FRS

M05BX OTHER DRUGS AFFECTING BONE STRUCTURE AND MINERALIZATION M05BX04 DENOSUMAB Prolia 60mg/mL Inj DNP E 02343541 AGA

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N01 ANESTHETICS N01A ANESTHETICS, GENERAL

N01AH OPIOID ANESTHETICS

N01AH01 FENTANYL fentanyl citrate 50mcg/mL inj Fentanyl Citrate 50mcg/mL Inj 02240434 SDZ Fentanyl Citrate 50mcg/mL Inj 00888346 HOS

N01AH02 ALFENTANIL

alfentanil 500mcg/mL inj Alfentanil 500mcg/mL Inj 02248181 SDZ Alfenta 500mcg/mL Inj (discontinued)

N01AH03 SUFENTANIL

sufentanil citrate 50mcg/mL inj Sufentanil Citrate 50mcg/mL Inj D SFC 02244147 SDZ Sufenta 50mcg/mL Inj (discontinued)

N01AX OTHER GENERAL ANESTHETICS

N01AX03 KETAMINE ketamine 10mg/mL inj Ketamine 10mg/mL Inj 02246795 SDZ Ketalar 10mg/mL Inj 00224391 ERF

ketamine 50mg/mL inj Ketamine 50mg/mL Inj 02246796 SDZ Ketalar 50mg/mL Inj 00224405 ERF

N01B ANESTHETICS, LOCAL

N01BA ESTERS OF AMINOBENZOIC ACID

N01BA03 TETRACAINE Pontocaine 20mg/vial Inj DNP SFC 02241978 HOS

N01BB AMIDES

N01BB01 BUPIVACAINE Marcaine 0.25% Inj DNPM SFC 02241918 HOS Sensorcaine 0.25% Inj DNPM SFC 01976141 AZE Marcaine 0.5% Inj DNPM SFC 02241919 HOS Sensorcaine 0.5% Inj DNPM SFC 01976168 AZE

N01BB02 LIDOCAINE

Xylocaine 1% Inj DNPM SFC 00001732 AZE Xylocaine 1% (with perservative) DNPM SFC 02302411 AZE Xylocaine 2% Inj DNPM SFC 00036641 AZE Xylocaine 2% (with perservative) DNPM SFC 02302438 AZE Xylocaine 2% Jelly Inj DNPM SFC 00385484 AZE

N01BB52 LIDOCAINE, COMBINATIONS

Xylocaine 2% W Epine Inj DNPM SFC 00284106 AZE N02 ANALGESICS N02A OPIOIDS

N02AA NATURAL OPIUM ALKALOIDS

N02AA01 MORPHINE Kadian 10mg Cap D SFC 02242163 ABB Kadian 20mg Cap D SFC 02184435 ABB Kadian 50mg Cap D SFC 02184443 ABB Kadian 100mg Cap D SFC 02184451 ABB M-Eslon ER 10mg Cap D SFC 02019930 SAV M-Eslon ER 15mg Cap D SFC 02177749 SAV

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M-Eslon ER 30mg Cap D SFC 02019949 SAV M-Eslon ER 60mg Cap D SFC 02019957 SAV M-Eslon ER 100mg Cap D SFC 02019965 SAV M-Eslon ER 200mg Cap D SFC 02177757 SAV Morphine HP 25mg/mL Inj D SFC 00676411 SDZ Morphine HP 50mg/mL Inj D SFC 00617288 SDZ Morphine LP Epidural 0.5mg/mL Inj D SFC 02021056 SDZ Morphine LP Epidural 1mg/mL Inj D SFC 02021048 SDZ Morphine Sulfate 2mg/mL Inj D SFC 01964437 SDZ Morphine Sulfate 2mg/mL Inj D SFC 02242484 SDZ

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

morphine sulfate 15mg/mL inj Morphine Sulfate 15mg/mL Inj D MRP SFC 00392561 SDZ Morphine Sulfate 15mg/mL Inj (ABB - discontinued)

MOS-20 (20mg) Tab D SFC 00690201 VLN MOS-SR 30mg Tab D SFC 00776181 VLN MOS-SR 60mg Tab D SFC 00776203 VLN MOS Sulphate 5mg Tab D SFC 02009773 VLN MOS Sulphate 10mg Tab D SFC 02009765 VLN MOS Sulphate 25mg Tab D SFC 02009749 VLN MOS Sulphate 50mg Tab D SFC 02009706 VLN

morphine sulfate 15mg SR tab Morphine SR 15mg Tab D MRP SFC 02350815 SAS Novo-Morphine SR 15mg Tab D MRP SFC 02302764 TEV Sandoz Morphine SR 15mg Tab D MRP SFC 02244790 SDZ MS Contin 15mg Tab D MRP SFC 02015439 PFR pms-Morphine Sulfate 15mg SR Tab (discontinued)

morphine sulfate 30mg SR tab Morphine SR 30mg Tab D MRP SFC 02350890 SAS Novo-Morphine SR 30mg Tab D MRP SFC 02302772 TEV Sandoz Morphine SR 30mg Tab D MRP SFC 02244791 SDZ MS Contin 30mg Tab D MRP SFC 02014297 PFR

morphine sulfate 60mg SR tab Morphine SR 60mg Tab D MRP SFC 02350912 SAS Novo-Morphine SR 60mg Tab D MRP SFC 02302780 TEV Sandoz Morphine SR 60mg Tab D MRP SFC 02244792 SDZ MS Contin 60mg Tab D MRP SFC 02014300 PFR pms-Morphine Sulfate SR 60mg Tab (discontinued)

morphine sulfate 100mg SR tab Morpine SR 100mg Tab D MRP SFC 02350920 SAS Novo-Morphine SR 100mg Tab D MRP SFC 02302799 TEV MS Contin 100mg Tab D MRP SFC 02014319 PFR

morphine sulfate 200mg SR tab Morphine SR 200mg Tab D MRP SFC 02350947 SAS Novo-Morphine SR 200mg Tab D MRP SFC 02302802 TEV MS Contin 200mg Tab D MRP SFC 02014327 PFR pms-Morphine Sulfate SR 200mg Tab (discontinued)

MS-IR 5mg Tab D SFC 02014203 PFR MS-IR 10mg Tab D SFC 02014211 PFR MS-IR 20mg Tab D SFC 02014238 PFR MS-IR 30mg Tab D SFC 02014254 PFR ratio-Morphine 1mg/mL Syr D SFC 00607762 TEV ratio-Morphine 5mg/mL Syr D SFC 00607770 TEV ratio-Morphine 10mg/mL Syr D SFC 00690783 TEV Statex 20mg/mL Drops D SFC 00621935 PAL Statex 50mg/mL Drops D SFC 00705799 PAL

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Statex 10mg Supp D SFC 00632201 PAL Statex 20mg Supp D SFC 00596965 PAL Statex 30mg Supp D SFC 00639389 PAL Statex 1mg/mL Syr D SFC 00591467 PAL Statex 5mg/mL Syr D SFC 00591475 PAL Statex 5mg Tab D SFC 00594652 PAL Statex 10mg Tab D SFC 00594644 PAL Statex 25mg Tab (discontinued) Statex 50mg Tab (discontinued)

N02AA03 HYDROMORPHONE

Hydromorph Contin 3mg Cap D SFC 02125323 PFR Hydromorph Contin 6mg Cap D SFC 02125331 PFR Hydromorph Contin 12mg Cap D SFC 02125366 PFR Hydromorph Contin 18mg Cap D SFC 02243562 PFR Hydromorph Contin 24mg Cap D SFC 02125382 PFR Hydromorph Contin 30mg Cap D SFC 02125390 PFR

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

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

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

hydromorphone 50mg/mL inj Hydromorphone HP 50mg/mL Inj D MRP SFC 02146126 SDZ Dilaudid XP 50mg/mL Inj D MRP SFC 02145863 PFR

hydromorphone 1mg/mL oral sol pms-Hydromorphone 1mg/mL Oral Sol D MRP SFC 01916386 PMS Dilaudid 1mg/mL Oral Sol D MRP SFC 00786535 PFR

Dilaudid 250mg/vial Sterile Pdr D SFC 02085895 PFR

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

hydromorphone HCl 2mg tab pms-Hydromorphone 2mg Tab D MRP SFC 00885436 PMS Dilaudid 2mg Tab D MRP SFC 00125083 PFR

hydromorphone HCl 4mg tab pms-Hydromorphone 4mg Tab D MRP SFC 00885401 PMS Dilaudid 4mg Tab D MRP SFC 00125121 PFR

hydromorphone HCl 8mg tab pms-Hydromorphone 8mg Tab D MRP SFC 00885428 PMS Dilaudid 8mg Tab D MRP SFC 00786543 PFR

Junista 4mg Tab 02337266 JAN Junista 8mg Tab 02337274 JAN Junista 16mg Tab 02337282 JAN Junista 32mg Tab 02337290 JAN

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N02AA05 OXYCODONE OxyContin 5mg CR Tab D E 02258129 PFR OxyContin 10mg CR Tab D E 02202441 PFR OxyContin 15mg CR Tab D E 02323192 PFR OxyContin 20mg CR Tab D E 02202468 PFR OxyContin 30mg CR Tab D E 02323206 PFR OxyContin 40mg CR Tab D E 02202476 PFR OxyContin 60mg CR Tab D E 02323214 PFR OxyContin 80mg CR Tab D E 02202484 PFR Supeudol 10mg Supp D SFC 00392480 SDZ Supeudol 20mg Supp D SFC 00392472 SDZ

oxycodone 5mg tab pms-Oxycodone 5mg Tab D MRP SFC 02319977 PMS Oxy-IR 5mg Tab D MRP SFC 02231934 PFR

oxycodone 5mg tab pms-Oxycodone 5mg Tab D MRP SFC 02319977 PMS Supeudol 5mg Tab D MRP SFC 00789739 SDZ

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

oxycodone 10mg tab pms-Oxycodone 10mg Tab D MRP SFC 02319985 PMS Supeudol 10mg Tab D MRP SFC 00443948 SDZ

oxycodone 20mg tab pms-Oxycodone 20mg Tab D MRP SFC 02319993 PMS Oxy-IR 20mg Tab D MRP SFC 02240132 PFR

oxycodone 20mg tab pms-Oxycodone 20mg Tab D MRP SFC 02319993 PMS Supeudol 20mg Tab 02262983 SDZ

N02AA59 CODEINE, COMBINATIONS EXCL. PSYCHOLEPTICS

Atasol 30 Tab D SFC 00293512 CHU ratio-Emtec Tab D SFC 00608882 TEV ratio-Lenoltec #3 Tab D SFC 00653276 TEV ratio-Lenoltec #4 Tab D SFC 00621463 TEV Tylenol #3 Tab D SFC 02163926 JAN Tylenol #4 Tab D SFC 02163918 JAN 292 Tab D SFC 02238645 PDP

N02AB PHENYLPIPERIDINE DERIVATIVES

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

pethidine 75mg/mL inj Meperidine 75mg/mL Inj D MRP SFC 00725757 SDZ Demerol 75mg/mL Inj (discontinued)

pethidine 100mg/mL inj Meperidine 100mg/mL Inj D MRP SFC 00725749 SDZ Demerol 100mg/mL Inj (discontinued)

Demerol 50mg Tab 02138018 SAV

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N02AB03 FENTANYL fentanyl 12mcg/hr patch pms-Fentanyl MTX 12mcg/hr Patch D MRP E 02341379 PMS RAN-Fentanyl MTX 12mcg/hr Patch D MRP E 02330105 RAN ratio-Fentanyl 12mcg/hr Patch D MRP E 02311925 TEV Sandoz Fentanyl 12mcg/hr Patch D MRP E 02327112 SDZ Duragesic 12mcg/hr Patch (discontinued)

fentanyl 25mcg/hr patch Duragesic MAT 25mcg/hr Patch D MRP E 02275813 JAN Novo-Fentanyl 25mcg/hr Patch D MRP E 02314630 TEV pms-Fentanyl MTX 25mcg/hr Patch D MRP E 02341387 PMS RAN-Fentanyl 25mcg/hr Patch D MRP E 02249391 RAN RAN-Fentanyl MTX 25mcg/hr Patch D MRP E 02330113 RAN ratio-Fentanyl 25mcg/hr Patch D MRP E 02282941 TEV Sandoz Fentanyl 25mcg/hr Patch D MRP E 02327120 SDZ Duragesic 25mcg/hr Patch (discontinued) 01937383 JAN

fentanyl 50mcg/hr patch Duragesic MAT 50mcg/hr Patch D MRP E 02275821 JAN Novo-Fentanyl 50mcg/hr Patch D MRP E 02314649 TEV pms-Fentanyl MTX 50mcg/hr Patch D MRP E 02341395 PMS RAN-Fentanyl 50mcg/hr Patch D MRP E 02249413 RAN RAN-Fentanyl MTX 50mcg/hr Patch D MRP E 02330121 RAN ratio-Fentanyl 50mcg/hr Patch D MRP E 02282968 TEV Sandoz Fentanyl 50mcg/hr Patch D MRP E 02327147 SDZ Duragesic 50mcg/hr Patch (discontinued) 01937391 JAN

fentanyl 75mcg/hr patch Duragesic MAT 75mcg/hr Patch D MRP E 02275848 JAN Novo-Fentanyl 75mcg/hr Patch D MRP E 02314657 TEV pms-Fentanyl MTX 75mcg/hr Patch D MRP E 02341409 PMS RAN-Fentanyl 75mcg/hr Patch D MRP E 02249421 RAN RAN-Fentanyl MTX 75mcg/hr Patch D MRP E 02330148 RAN ratio-Fentanyl 75mcg/hr Patch D MRP E 02282976 TEV Sandoz Fentanyl 75mcg/hr Patch D MRP E 02327155 SDZ Duragesic 75mcg/hr Patch (discontinued) 01937405 JAN

fentanyl 100mcg/hr patch Duragesic MAT 100mcg/hr Patch D MRP E 02275856 JAN Novo-Fentanyl 100mcg/hr Patch D MRP E 02314665 TEV pms-Fentanyl MTX 100mcg/hr Patch D MRP E 02341417 PMS RAN-Fentanyl 100mcg/hr Patch D MRP E 02249448 RAN RAN-Fentanyl MTX 100mcg/hr Patch D MRP E 02330156 RAN ratio-Fentanyl 100mcg/hr Patch D MRP E 02282984 TEV Sandoz Fentanyl 100mcg/hr Patch D MRP E 02327163 SDZ Duragesic 100mcg/hr Patch (discontinued) 01937413 JAN

N02AC DIPHENYLPROPYLAMINE DERIVATIVES

N02AC04 DEXTROPROPOXYPHENE Darvon N 100mg Pulvule 00261432 PAL

N02AD BENZOMORPHAN DERIVATIVES

N02AD01 PENTAZOCINE Talwin 30mg/mL Inj 02241976 HOS Talwin 50mg Tab 02137984 HOS

N02AF MORPHINAN DERIVATIVES

N02AF01 BUTORPHANOL butorphanol 10mg/mL nasal sp Apo-Butorphanol Nasal Sp D E 02242504 APX Stadol NS 10mg/mL Nasal Sp (discontinued)

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N02AX OTHER OPIOIDS

N02AX02 TRAMADOL Ralivia 100mg Tab 02299194 BVL Ralivia 200mg Tab 02299208 BVL Ralivia 300mg Tab 02299216 BVL Zytram XL 150mg Tab 02286424 PFR Zytram XL 200mg Tab 02286432 PFR Zytram XL 300mg Tab 02286440 PFR Zytram XL 400mg Tab 02286459 PFR

N02AX52 TRAMADOL, COMBINATIONS

Tramadol 37.5 mg & acetaminophen 325mg tab Apo-Tramadol/Acet Tab 02336790 APX Tramacet Tab 02264846 JAN

N02B OTHER ANALGESICS AND ANTIPYRETICS

N02BA SALICYLIC ACID AND DERIVATIVES

N02BA01 ACETYLSALICYLIC ACID acetylsalicylic acid 325mg EC tab Novasen 325mg Tab DNP MRP SFC 00216666 TEV pms-ASA EC 325mg Tab DNP MRP SFC 02284529 PMS Entrophen 325mg Tab DNP MRP SFC 00010332 PDP

Enteric Coated ASA 325mg Tab DNP SFC 02010526 JPC

acetylsalicylic acid 650mg EC tab Novasen 650mg Tab DNP MRP SFC 00229296 TEV Entrophen 650mg Tab DNP MRP SFC 00010340 PDP pms-ASA EC 650mg Tab (discontinued)

Enteric Coated ASA 650mg Tab DNP SFC 00794244 JPC Entrophen 500mg Tab (discontinued)

N02BA11 DIFLUNISAL

diflunisal 250mg tab Apo-Diflunisal 250mg Tab DNP PRP SFC 02039486 APX Novo-Diflunisal 250mg Tab DNP PRP SFC 02048493 TEV Dolobid 250mg Tab (discontinued)

diflunisal 500mg tab Apo-Diflunisal 500mg Tab DNP PRP SFC 02039494 APX Dolobid 500mg Tab (discontinued)

N02BA51 ACETYLSALICYLIC ACID (ASA), COMBINATIONS EXCL. PSYCHOLEPTICS

ratio-Oxycodan Tab D SFC 00608157 TEV 282 Tab D SFC 02234510 PDP

N02BA71 ACETYLSALICYLIC ACID (ASA), COMBINATIONS WITH PSYCHOLEPTICS

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

acetylsalicylic acid 330mg, butalbital 50mg, caffeine 40mg & codeine phosphate 15mg cap ratio-Tecnal C1/4 Cap D MRP SFC 00608203 TEV Fiorinal C1/4 Cap D MRP SFC 00176192 NVR

acetylsalicylic acid 330mg, butalbital 50mg, caffeine 40mg & codeine phosphate 30mg cap ratio-Tecnal C1/2 Cap D MRP SFC 00608181 TEV Fiorinal C1/2 Cap D MRP SFC 00176206 NVR

ratio-Tecnal Tab D SFC 00608211 TEV Fiorinal Tab (discontinued)

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N02BE ANILIDES

N02BE01 ACETAMINOPHEN (PARACETAMOL) Tylenol 325mg Caplets 00723894 JNJ Tylenol 325mg Tab 00559393 JNJ Tylenol 500mg Caplets 00723908 JNJ Tylenol 500mg Tab 00559407 JNJ Assorted Generic Brands

N02BE51 ACETAMINOPHEN, COMB. EXCL. PSYCHOLEPTICS

acetaminophen 325mg & oxycodone 5mg tab Apo-Oxycodone/Acet 5/325mg Tab D MRP SFC 02324628 APX Sandoz Oxycodone/Acet 5/325mg Tab D MRP SFC 02307898 SDZ ratio-Oxycocet Tab D MRP SFC 00608165 TEV Endocet Tab D MRP SFC 01916548 BRI Percocet Tab D MRP SFC 01916475 BRI

Percocet Demi Tab D SFC 01916491 BRI Atasol 15 Tab D SFC 00293504 CHU ratio-Lenoltec #2 Tab D SFC 00653241 TEV Tylenol #2 Tab D SFC 02163934 JAN pms-Acetaminophen W Codeine Elx D SFC 00816027 PMS Tylenol W Codeine Elx D SFC 02163942 JAN

N02BG OTHER ANALGESICS AND ANTIPYRETICS

N02BG04 FLOCTAFENINE floctafenine 200mg tab Floctafenine 200mg Tab DNP PRP SFC 02244680 AAP Idarac 200mg Tab (discontinued)

floctafenine 400mg tab Floctafenine 400mg Tab DNP PRP SFC 02244681 AAP Idarac 400mg Tab (discontinued)

N02BG99 CANNABINOID DERIVATIVES, COMBINATIONS

Sativex Spray 02266121 BAY

N02C ANTIMIGRAINE PREPARATIONS

N02CA ERGOT ALKALOIDS

N02CA01 DIHYDROERGOTAMINE dihydroergotamine 1mg/mL inj Dihydroergotamine 1mg/mL Inj DNP MRP SF 02241163 SDZ Dihydroergotamine 1mg/mL Inj DNP MRP SF 00027243 STR

Migranal 4mg/mL Nasal Spray DNP SF 02228947 STR

N02CA52 ERGOTAMINE, COMBINATIONS EXCLUDING PSYCHOLEPTICS

Ergodryl Cap DNP SF 00156086 ERF Gravergol Cap DNP SF 00116858 AXS Cafergot Tab DNP SF 00176095 NVR

NO2CC SELECTIVE SEROTONIN (5HT) - RECEPTOR AGONISTS

N02CC01 SUMATRIPTAN Imitrex 5mg Nasal Spray DNP E 02230418 GSK Imitrex 20mg Nasal Spray DNP E 02230420 GSK

sumatriptan 12mg/mL injSumatriptan SUN 6mg/0.5mL Inj DNP MRP E 02361698 TAR Imitrex 6mg/0.5mL Inj DNP MRP E 02212188 GSK

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sumatriptan 25mg tab CO Sumatriptan 25mg Tab 02257882 COB MYLAN-Sumatriptan 25mg Tab 02268906 MYL Novo-Sumatriptan DF 25mg Tab 02286815 TEV pms-Sumatriptan 25mg Tab 02256428 PMS Sumatriptan 25mg Tab 02286513 SAS Imitrex DF 25mg Tab (discontinued)

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

sumatriptan 100mg tab Apo-Sumatriptan 100mg Tab DNP MRP E 02268396 APX CO Sumatriptan 100mg Tab DNP MRP E 02257904 COB MYLAN-Sumatriptan 100mg Tab DNP MRP E 02268922 MYL Novo-Sumatriptan 100mg Tab DNP MRP E 02239367 TEV Novo-Sumatriptan DF 100mg Tab DNP MRP E 02286831 TEV pms-Sumatriptan 100mg Tab DNP MRP E 02256444 PMS Sandoz Sumatriptan 100mg Tab DNP MRP E 02263033 SDZ Sumatriptan 100mg Tab DNP MRP E 02286548 SAS Imitrex DF 100mg Tab DNP MRP E 02212161 GSK

N02CC02 NARATRIPTAN

naratriptan 1mg tab Novo-Naratriptan 1mg Tab DNP MRP E 02314290 TEV Amerge 1mg Tab DNP MRP E 02237820 GSK

naratriptan 2.5mg tab Novo-Naratriptan 2.5mg Tab DNP MRP E 02314304 TEV Sandoz Naratriptan 2.5mg Tab DNP MRP E 02322323 SDZ Amerge 2.5mg Tab DNP MRP E 02237821 GSK

N02CC03 ZOLMITRIPTAN

zolmitriptan 2.5mg tab MYLAN-Zolmitriptan 2.5mg Tab DNP MRP E 02369036 MYL pms-Zolmitriptan 2.5mg Tab DNP MRP E 02324229 PMS Sandoz Zolmitriptan 2.5mg Tab DNP MRP E 02362988 SDZ Teva Zolmitriptan 2.5mg Tab DNP MRP E 02313960 TEV Zomig 2.5mg Tab DNP MRP E 02238660 AZE zolmitriptan ODT 2.5mg tabpms-Zolmitriptan ODT 2.5mg Tab DNP MRP E 02324768 PMS Sandoz Zolmitripran ODT 2.5mg Tab DNP MRP E 02362996 SDZ Teva-Zolmitriptan OD 2.5mg Tab DNP MRP E 02342545 TEV Zomig Rapimelt 2.5mg Tab DNP MRP E 02243045 AZE Zomig 2.5mg Nasal Spray DNP E 02248992 AZE Zomig 5mg Nasal Spray DNP E 02248993 AZE

N02CC04 RIZATRIPTAN

Maxalt 5mg Tab DNP E 02240520 FRS Maxalt 10mg Tab DNP E 02240521 FRS Maxalt RPD 5mg Wafers DNP E 02240518 FRS Maxalt RPD 10mg Wafers DNP E 02240519 FRS

N02CC05 ALMOTRIPTAN

Axert 6.25mg Tab DNP E 02248128 JNJ Axert 12.5mg Tab DNP E 02248129 JNJ

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N02CC06 ELETRIPTAN Relpax 20mg Tab 02256290 PFI Relpax 40mg Tab 02256304 PFI

N02CX OTHER ANTIMIGRAINE PREPARATIONS

N02CX01 PIZOTIFEN Sandomigran DS 1mg Tab DNP SF 00511552 PAL Sandomigran 0.5mg Tab DNP SF 00329320 PAL

N03 ANTIEPILEPTICS N03A ANTIEPILEPTICS

N03AA BARBITURATES AND DERIVATIVES

N03AA02 PHENOBARBITAL pms-Phenobarbital 5mg/mL Elixir D SFC 00645575 PMS pms-Phenobarbital 15mg Tab D SFC 00178799 PMS pms-Phenobarbital 30mg Tab D SFC 00178802 PMS pms-Phenobarbital 60mg Tab D SFC 00178810 PMS pms-Phenobarbital 100mg Tab D SFC 00178829 PMS

N03AA03 PRIMIDONE

primidone 125mg tab Primidone 125mg Tab D MRP SF 00399310 AAP Mysoline 125mg Tab (discontinued)

primidone 250mg tab Primidone 250mg Tab D MRP SF 00396761 AAP Mysoline 250mg Tab (discontinued)

N03AB HYDANTOIN DERIVATIVES

N03AB02 PHENYTOIN Dilantin 30mg Cap DNP SFC 00022772 PFI Dilantin 100mg Cap DNP SFC 00022780 PFI Dilantin 50mg Infatabs DNP SFC 00023698 PFI Dilantin-30 (6mg/mL) Susp DNP SFC 00023442 PFI

phenytoin 25mg/mL susp Taro-Phenytoin 25mg/mL Susp DNP MRP SFC 02250896 TAR Dilantin-125 (25mg/mL) Susp DNP MRP SFC 00023450 PFI

N03AD SUCCINIMIDE DERIVATIVES

N03AD01 ETHOSUXIMIDE Zarontin 250mg Cap DNP SF 00022799 ERF Zarontin 250mg/5mL Syr DNP SF 00023485 ERF

N03AD03 METHSUXIMIDE (MESUXIMIDE)

Celontin 300mg Cap DNP SF 00022802 ERF N03AE BENZODIAZEPINE DERIVATIVES

N03AE01 CLONAZEPAM pms-Clonazepam 0.25mg Tab D SF 02179660 PMS

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

clonazepam 1mg tab phl-Clonazepam 1mg Tab D MRP SF 02145235 PHL pms-Clonazepam 1mg Tab D MRP SF 02048728 PMS CO Clonazepam 1mg Tab D SF 02270668 COB Sandoz Clonazepam 1mg Tab D SF 02233982 SDZ

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

N03AF CARBOXAMIDE DERIVATIVES

N03AF01 CARBAMAZEPINE Tegretol 100mg/5mL O/L 02194333 NVR

carbamazepine 100mg chewable tab pms-Carbamazepine 100mg Chewtab DNP MRP SFC 02231542 PMS Sandoz Carbamazepine 100mg Chewtab DNP MRP SFC 02261855 SDZ Taro-Carbamazepine 100mg Chewtab DNP MRP SFC 02244403 TAR Tegretol 100mg Chewtab DNP MRP SFC 00369810 NVR

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

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

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

carbamazepine 400mg CR tab MYLAN-Carbamazepine CR 400mg Tab DNP MRP SFC 02241883 MYL pms-Carbamazepine CR 400mg Tab DNP MRP SFC 02231544 PMS Sandoz Carbamazepine CR 400mg Tab DNP MRP SFC 02261847 SDZ Tegretol CR 400mg Tab DNP MRP SFC 00755583 NVR

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NO3AF02 OXCARBAZEPINE Trileptal 60mg/mL O/L DNP E 02244673 NVR

oxcarbazepine 150mg tab Apo-Oxcarbazepine 150mg Tab DNP MRP E 02284294 APX Trileptal 150mg Tab DNP MRP E 02242067 NVR

oxcarbazepine 300mg tab Apo-Oxcarbazepine 300mg Tab DNP MRP E 02284308 APX Trileptal 300mg Tab DNP MRP E 02242068 NVR

oxcarbazepine 600mg tab Apo-Oxcarbazepine 600mg Tab DNP MRP E 02284316 APX Trileptal 600mg Tab DNP MRP E 02242069 NVR

N03AG FATTY ACID DERIVATIVES

N03AG01 VALPROIC ACID (DIVALPROEX SODIUM) valproic acid 250mg cap Apo-Valproic 250mg Cap DNP MRP SF 02238048 APX MYLAN-Valproic 250mg Cap DNP MRP SF 02184648 MYL Novo-Valproic 250mg Cap DNP MRP SF 02100630 TEV Nu-Valproic 250mg Cap DNP MRP SF 02237830 NXP pms-Valproic 250mg Cap DNP MRP SF 02230768 PMS ratio-Valproic 250mg Cap DNP MRP SF 02140047 TEV Depakene 250mg Cap DNP MRP SF 00443840 ABB

valproic acid 500mg EC cap Novo-Valproic 500mg Cap DNP MRP SF 02218321 TEV pms-Valproic EC 500mg Cap DNP MRP SF 02229628 PMS Depakene 500mg Cap (discontinued)

valproic acid 50mg/mL syr Apo-Valproic 50mg/mL Syr DNP MRP SF 02238370 APX pms-Valproic 50mg/mL Syr DNP MRP SF 02236807 PMS ratio-Valproic 50mg/mL Syr DNP MRP SF 02140063 TEV Depakene 50mg/mL Syr DNP MRP SF 00443832 ABB

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

divalproex sodium 250mg tab Apo-Divalproex 250mg Tab DNP MRP SF 02239699 APX Novo-Divalproex 250mg Tab DNP MRP SF 02239702 TEV Nu-Divalproex 250mg Tab DNP MRP SF 02239518 NXP Epival 250mg Tab DNP MRP SF 00596426 ABB

divalproex sodium 500mg tab Apo-Divalproex 500mg Tab DNP MRP SF 02239700 APX Novo-Divalproex 500mg Tab DNP MRP SF 02239703 TEV Nu-Divalproex 500mg Tab DNP MRP SF 02239519 NXP Epival 500mg Tab DNP MRP SF 00596434 ABB

N03AG04 VIGABATRIN

Sabril 500mg Tab DNP E 02065819 VLH Sabril 0.5g Sachets DNP E 02068036 VLH

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N03AX OTHER ANTIEPILEPTICS

N03AX09 LAMOTRIGINE Lamictal 5mg Chewable Tab DNP SF 02240115 GSK

lamotrigine 25mg tab Apo-Lamotrigine 25mg Tab DNP MRP SF 02245208 APX Lamotrigine 25mg Tab DNP MRP SF 02343010 SAS MYLAN-Lamotrigine 25mg Tab DNP MRP SF 02265494 MYL Novo-Lamotrigine 25mg Tab DNP MRP SF 02248232 TEV pms-Lamotrigine 25mg Tab DNP MRP SF 02246897 PMS ratio-Lamotrigine 25mg Tab DNP MRP SF 02243352 TEV Lamictal 25mg Tab DNP MRP SF 02142082 GSK

lamotrigine 100mg tab Apo-Lamotrigine 100mg Tab DNP MRP SF 02245209 APX Lamotrigine 100mg Tab DNP MRP SF 02343029 SAS MYLAN-Lamotrigine 100mg Tab DNP MRP SF 02265508 MYL Novo-Lamotrigine 100mg Tab DNP MRP SF 02248233 TEV pms-Lamotrigine 100mg Tab DNP MRP SF 02246898 PMS ratio-Lamotrigine 100mg Tab DNP MRP SF 02243353 TEV Lamictal 100mg Tab DNP MRP SF 02142104 GSK

lamotrigine 150mg tab Apo-Lamotrigine 150mg Tab DNP MRP SF 02245210 APX Lamotrigine 150mg Tab DNP MRP SF 02343037 SAS MYLAN-Lamotrigine 150mg Tab DNP MRP SF 02265516 MYL Novo-Lamotrigine 150mg Tab DNP MRP SF 02248234 TEV pms-Lamotrigine 150mg Tab DNP MRP SF 02246899 PMS ratio-Lamotrigine 150mg Tab DNP MRP SF 02246963 TEV Lamictal 150mg Tab DNP MRP SF 02142112 GSK

N03AX11 TOPIRAMATE

Topamax 15mg Sprinkle Cap DNP E 02239907 JAN Topamax 25mg Sprinkle Cap DNP E 02239908 JAN

topiramate 25mg tab Apo-Topiramate 25mg Tab DNP MRP E 02279614 APX CO Topiramate 25mg Tab DNP MRP E 02287765 COB MINT-Topiramate 25mg Tab DNP MRP E 02315645 MNT MYLAN-Topiramate 25mg Tab DNP MRP E 02263351 MYL Novo-Topiramate 25mg Tab DNP MRP E 02248860 TEV phl-Topiramate 25mg Tab DNP MRP E 02271184 PHL pms-Topiramate 25mg Tab DNP MRP E 02262991 PMS Sandoz Topiramate 25mg Tab DNP MRP E 02260050 SDZ Topiramate 25mg Tab DNP MRP E 02356856 SAS Zym-Topiramate 25mg Tab DNP MRP E 02325136 ZYM Topamax 25mg Tab DNP MRP E 02230893 JAN ratio-Topiramate 25mg Tab (discontinued)

pms-Topiramate 50mg Tab DNP E 02312085 PMS

topiramate 100mg tab Apo-Topiramate 100mg Tab DNP MRP E 02279630 APX CO Topiramate 100mg Tab DNP MRP E 02287773 COB MINT-Topiramate 100mg Tab DNP MRP E 02315653 MNT MYLAN-Topiramate 100mg Tab DNP MRP E 02263378 MYL Novo-Topiramate 100mg Tab DNP MRP E 02248861 TEV phl-Topiramate 100mg Tab DNP MRP E 02271192 PHL pms-Topiramate 100mg Tab DNP MRP E 02263009 PMS Sandoz Topiramate 100mg Tab DNP MRP E 02260069 SDZ Topiramate 100mg Tab DNP MRP E 02356864 SAS Zym-Topiramate 100mg Tab DNP MRP E 02325144 ZYM Topamax 100mg Tab DNP MRP E 02230894 JAN ratio-Topiramate 100mg Tab (discontinued)

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topiramate 200mg tab Apo-Topiramate 200mg Tab DNP MRP E 02279649 APX CO Topiramate 200mg Tab DNP MRP E 02287781 COB MINT-Topiramate 200mg Tab DNP MRP E 02315661 MNT MYLAN-Topiramate 200mg Tab DNP MRP E 02263386 MYL Novo-Topiramate 200mg Tab DNP MRP E 02248862 TEV phl-Topiramate 200mg Tab DNP MRP E 02271206 PHL pms-Topiramate 200mg Tab DNP MRP E 02263017 PMS Sandoz Topiramate 200mg Tab DNP MRP E 02267837 SDZ Topiramate 200mg Tab DNP MRP E 02356872 SAS Zym-Topiramate 200mg Tab DNP MRP E 02325152 ZYM Topamax 200mg Tab DNP MRP E 02230896 JAN ratio-Topiramate 200mg Tab (discontinued)

N03AX12 GABAPENTIN

gabapentin 100mg cap Apo-Gabapentin 100mg Cap DNP MRP SFC 02244304 APX CO Gabapentin 100mg Cap DNP MRP SFC 02256142 COB Gabapentin 100mg Cap DNP MRP SFC 02353245 SAS GD-Gabapentin 100mg Cap DNP MRP SFC 02285819 GMD MYLAN-Gabapentin 100mg Cap DNP MRP SFC 02248259 MYL Novo-Gabapentin 100mg Cap DNP MRP SFC 02244513 TEV Gabapentin 100mg Cap DNP MRP SFC 02246314 MEL pms-Gabapentin 100mg Cap DNP MRP SFC 02243446 PMS RAN-Gabapentin 100mg Cap DNP MRP SFC 02319055 RAN ratio-Gabapentin 100mg Cap DNP MRP SFC 02260883 TEV Neurontin 100mg Cap DNP MRP SFC 02084260 PFI

gabapentin 300mg cap Apo-Gabapentin 300mg Cap DNP MRP SFC 02244305 APX CO Gabapentin 300mg Cap DNP MRP SFC 02256150 COB Gabapentin 300mg Cap DNP MRP SFC 02353253 SAS GD-Gabapentin 300mg Cap DNP MRP SFC 02285827 GMD MYLAN-Gabapentin 300mg Cap DNP MRP SFC 02248260 MYL Gabapentin 300mg Cap DNP MRP SFC 02246315 MEL pms-Gabapentin 300mg Cap DNP MRP SFC 02243447 PMS RAN-Gabapentin 300mg Cap DNP MRP SFC 02319063 RAN ratio-Gabapentin 300mg Cap DNP MRP SFC 02260891 TEV Teva-Gabapentin 300mg Cap DNP MRP SFC 02244514 TEV Neurontin 300mg Cap DNP MRP SFC 02084279 PFI

gabapentin 400mg cap Apo-Gabapentin 400mg Cap DNP MRP SFC 02244306 APX CO Gabapentin 400mg Cap DNP MRP SFC 02256169 COB Gabapentin 400mg Cap DNP MRP SFC 02353261 SAS GD-Gabapentin 400mg Cap DNP MRP SFC 02285835 GMD MYLAN-Gabapentin 400mg Cap DNP MRP SFC 02248261 MYL Novo-Gabapentin 400mg Cap DNP MRP SFC 02244515 TEV Gabapentin 400mg Cap DNP MRP SFC 02246316 MEL pms-Gabapentin 400mg Cap DNP MRP SFC 02243448 PMS RAN-Gapapentin 400mg Cap DNP MRP SFC 02319071 RAN ratio-Gabapentin 400mg Cap DNP MRP SFC 02260905 TEV Neurontin 400mg Cap DNP MRP SFC 02084287 PFI

gabapentin 600mg tab Apo-Gabapentin 600mg Tab DNP MRP SFC 02293358 APX GD-Gabapentin 600mg Tab DNP MRP SFC 02285843 GMD Novo-Gabapentin 600mg Tab DNP MRP SFC 02248457 TEV Neurontin 600mg Tab DNP MRP SFC 02239717 PFI pms-Gabapentin 600mg Tab 02255898 PMS ratio-Gabapentin 600mg Tab (discontinued)

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gabapentin 800mg tab Apo-Gabapentin 800mg Tab DNP MRP SFC 02293366 APX GD-Gabapentin 800mg Tab DNP MRP SFC 02285851 GMD Novo-Gabapentin 800mg Tab DNP MRP SFC 02247346 TEV ratio-Gabapentin 800mg Tab DNP MRP SFC 02260921 TEV Neurontin 800mg Tab DNP MRP SFC 02239718 PFI pms-Gabapentin 800mg Tab 02255901 PMS

N03AX14 LEVETIRACETAM

levetiracetam 250mg tab Apo-Levetiracetam 250mg Tab DNP MRP E 02285924 APX CO Levetiracetam 250mg Tab DNP MRP E 02274183 COB pms-Levetiracetam 250mg Tab DNP MRP E 02296101 PMS Levetiracetam 250mg Tab DNP MRP E 02353342 SAS Keppra 250mg Tab DNP MRP E 02247027 UCB

levetiracetam 500mg tab Apo-Levetiracetam 500mg Tab DNP MRP E 02285932 APX CO Levetiracetam 500mg Tab DNP MRP E 02274191 COB Levetiracetam 500mg Tab DNP MRP E 02353350 SAS pms-Levetiracetam 500mg Tab DNP MRP E 02296128 PMS Keppra 500mg Tab DNP MRP E 02247028 UCB

levetiracetam 750mg tab Apo-Levetiracetam 750mg Tab DNP MRP E 02285940 APX CO Levetiracetam 750mg Tab DNP MRP E 02274205 COB Levetiracetam 750mg Tab DNP MRP E 02353369 SAS pms-Levetiracetam 750mg Tab DNP MRP E 02296136 PMS Keppra 750mg Tab DNP MRP E 02247029 UCB

N03AX16 PREGABALIN

Lyrica 25mg Cap 02268418 PFI Lyrica 50mg Cap 02268426 PFI Lyrica 75mg Cap 02268434 PFI Lyrica 150mg Cap 02268450 PFI Lyrica 300mg Cap 02268485 PFI

N03AX18 LACOSAMIDE Vimpat 50mg Tab DNP E 02357615 UCB Vimpat 100mg Tab DNP E 02357623 UCB Vimpat 150mg Tab DNP E 02357631 UCB Vimpat 200mg Tab DNP E 02357658 UCB N04 ANTI-PARKINSON DRUGS N04A ANTICHOLINERGIC AGENTS

N04AA TERTIARY AMINES

N04AA01 TRIHEXYPHENIDYL Trihexyphenidyl 2mg Tab DNP SF 00545058 AAP Trihexyphenidyl 5mg Tab DNP SF 00545074 AAP

N04AA04 PROCYCLIDINE

procyclidine HCl 0.5mg/mL o/l pms-Procyclidine 0.5mg/mL Elx DNP MRP SF 00587362 PMS Kemadrin 0.5mg/mL O/L (discontinued)

procyclidine HCl 5mg tab pms-Procyclidine 5mg Tab DNP MRP SF 00587354 PMS Kemadrin 5mg Tab (discontinued)

N04AA05 ETHOPROPAZINE (PROFENAMINE)

Parsitan 50mg Tab DNP SF 01927744 ERF

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N04AC ETHERS OF TROPINE OR TROPINE DERIVATIVES

N04AC01 BENZTROPINE pms-Benztropine 1mg Tab DNP SF 00706531 PMS

benztropine mesylate 2mg tab Apo-Benztropine 2mg Tab DNP MRP SF 00426857 APX pms-Benztropine 2mg Tab DNP MRP SF 00587265 PMS Cogentin 2mg Tab (discontinued)

N04B DOPAMINERGIC AGENTS

N04BA DOPA AND DOPA DERIVATIVES

N04BA02 LEVODOPA AND DECARBOXYLASE INHIBITOR Duodopa 5mg/20mg/mL Intratestional Gel 02292165 ABB Prolopa 50-12.5 Cap DNP SF 00522597 HLR Prolopa 100-25 Cap DNP SF 00386464 HLR Prolopa 200-50 Cap DNP SF 00386472 HLR

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

levodopa 100mg & carbidopa 25mg tab Apo-Levocarb 100/25 Tab DNP MRP SF 02195941 APX Novo-Levocarbidopa 100/25 Tab DNP MRP SF 02244495 TEV Nu-Levocarb 100/25 Tab DNP MRP SF 02182823 NXP Sinemet 100/25 Tab DNP MRP SF 00513997 FRS

levodopa 200mg & carbidopa 50mg tab Levocarb CR 200/50 Tab DNP SF 02245211 AAP Sinemet CR 200/50 Tab DNP SF 00870935 FRS

levodopa 250mg & carbidopa 25mg tab Apo-Levocarb 250/25 Tab DNP MRP SF 02195968 APX Novo-Levocarbidopa 250/25 Tab DNP MRP SF 02244496 TEV Sinemet 250/25 Tab DNP MRP SF 00328219 FRS

levodopa 100mg & carbidopa 25mg CR tab Apo-Levocarb CR 100/25mg Tab DNP MRP SF 02272873 AAP Sinemet CR 100/25mg Tab DNP MRP SF 02028786 FRS

N04BA03 LEVODOPA, DECARBOXYLASE INHIBITOR AND COMT INHIBITOR

Stalevo 50mg Tab DNP E 02305933 NVR Stalevo 75mg Tab DNP E 02337827 NVR Stalevo 100mg Tab DNP E 02305941 NVR Stalevo 125mg Tab DNP E 02337835 NVR Stalevo 150mg Tab DNP E 02305968 NVR

N04BB ADAMANTANE DERIVATIVES

N04BB01 AMANTADINE amantadine HCl 100mg cap MYLAN-Amantadine 100mg Cap DNP MRP SF 02139200 MYL pms-Amantadine 100mg Cap DNP MRP SF 01990403 PMS Endantadine 100mg Cap (discontinued) Symmetrel 100mg Cap (discontinued)

amantadine HCl 10mg/mL o/l pms-Amantadine 10mg/mL Syr DNP SF 02022826 PMS Symmetrel 10mg/mL Syr (discontinued)

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N04BC DOPAMINE AGONISTS

N04BC04 ROPINIROLE ropinirole 0.25mg tab CO Ropinirole 0.25mg Tab DNP MRP SF 02316846 COB pms-Ropinirole 0.25mg Tab DNP MRP SF 02326590 PMS Ropinirole 0.25mg Tab DNP MRP SF 02353040 SAS ReQuip 0.25mg Tab DNP MRP SF 02232565 GSK

RAN-Ropinirole 0.25mg Tab 02314037 RAN

ropinirole 1mg tab CO Ropinirole 1mg Tab DNP MRP SF 02316854 COB pms-Ropinirole 1mg Tab DNP MRP SF 02326612 PMS Ropinirole 1mg Tab DNP MRP SF 02353059 SAS ReQuip 1mg Tab DNP MRP SF 02232567 GSK

RAN-Ropinirole 1mg Tab 02314053 RAN

ropinirole 2mg tab CO Ropinirole 2mg Tab DNP MRP SF 02316862 COB pms-Ropinirole 2mg Tab DNP MRP SF 02326620 PMS Ropinirole 2mg Tab DNP MRP SF 02353067 SAS ReQuip 2mg Tab DNP MRP SF 02232568 GSK

RAN-Ropinirole 2mg Tab 02314061 RAN

ropinirole 5mg tab CO Ropinirole 5mg Tab DNP MRP SF 02316870 COB pms-Ropinirole 5mg Tab DNP MRP SF 02326639 PMS Ropinirole 5mg Tab DNP MRP SF 02353075 SAS ReQuip 5mg Tab DNP MRP SF 02232569 GSK

RAN-Ropinirole 5mg Tab 02314088 RAN

N04BC05 PRAMIPEXOLE

pramipexole 0.25mg tab Apo-Pramipexole 0.25mg Tab DNP MRP SF 02292378 APX CO Pramipexole 0.25mg Tab DNP MRP SF 02297302 COB Novo-Pramipexole 0.25mg Tab DNP MRP SF 02269309 TEV pms-Pramipexole 0.25mg Tab DNP MRP SF 02290111 PMS Sandoz Pramipexole 0.25mg Tab DNP MRP SF 02315262 SDZ Mirapex 0.25mg Tab DNP MRP SF 02237145 BOE

pramipexole 0.5mg tab Apo-Pramipexole 0.5mg Tab 02292386 APX CO Pramipexole 0.5mg Tab 02297310 COB Novo-Pramipexole 0.5mg Tab 02269317 TEV pms-Pramipexole 0.5mg Tab 02290138 PMS Mirapex 0.5mg Tab 02241594 BOE

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

pramipexole 1.5mg tab Apo-Pramipexole 1.5mg Tab DNP MRP SF 02292408 APX CO Pramipexole 1.5mg Tab DNP MRP SF 02297337 COB Novo-Pramipexole 1.5mg Tab DNP MRP SF 02269333 TEV pms-Pramipexole 1.5mg Tab DNP MRP SF 02290154 PMS Sandoz Pramipexole 1.5mg Tab DNP MRP SF 02315297 SDZ Mirapex 1.5mg Tab DNP MRP SF 02237147 BOE

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N04BD MONOAMINE OXIDASE B INHIBITORS

N04BD01 SELEGILINE selegiline 5mg tab Apo-Selegiline 5mg Tab DNP MRP SF 02230641 APX MYLAN-Selegiline 5mg Tab DNP MRP SF 02231036 MYL Novo-Selegiline 5mg Tab DNP MRP SF 02068087 TEV Nu-Selegiline 5mg Tab DNP MRP SF 02230717 NXP pms-Selegiline 5mg Tab (discontinued) Eldepryl 5mg Tab (discontinued)

N04BD02 RASAGILINE

Azilect 0.5mg Tab 02284642 TMP Azilect 1mg Tab 02284650 TMP

N04BX OTHER DOPAMINERGIC AGENTS

N04BX02 ENTACAPONE Comtan 200mg Tab DNP E 02243763 NVR

N05 PSYCHOLEPTICS N05A ANTIPSYCHOTICS

N05AA PHENOTHIAZINE WITH ALIPHATIC SIDE-CHAIN

N05AA01 CHLORPROMAZINE chlorpromazine 25mg/mL inj Chlorpromazine 25mg/mL Inj DNP MRP SFC 00743518 SDZ Largactil 25mg/mL Inj (discontinued)

Novo-Chlorpromazine 25mg Tab DNP SFC 00232823 TEV Novo-Chlorpromazine 50mg Tab DNP SFC 00232807 TEV Novo-Chlorpromazine 100mg Tab DNP SFC 00232831 TEV

N05AA02 METHOTRIMEPRAZINE (LEVOMEPROMAZINE)

Nozinan 25mg/mL Inj DNP SFC 01927698 SAV

methotrimeprazine 2mg tab Apo-Methoprazine 2mg Tab DNP MRP SFC 02238403 APX Nozinan 2mg Tab (discontinued)

methotrimeprazine 5mg tab Apo-Methoprazine 5mg Tab DNP SFC 02238404 APX Nozinan 5mg Tab (discontinued)

methotrimeprazine 25mg tab Apo-Methoprazine 25mg Tab DNP SFC 02238405 APX Nozinan 25mg Tab (discontinued)

methotrimeprazine 50mg tab Apo-Methoprazine 50mg Tab DNP SFC 02238406 APX Nozinan 50mg Tab (discontinued)

N05AB PHENOTHIAZINES WITH PIPERAZINE STRUCTURE

N05AB02 FLUPHENAZINE fluphenazine decanoate 25mg/mL inj pms-Fluphenazine 25mg/mL Inj (discontinued) Modecate 25mg/mL Inj (discontinued)

Fluphenazine Omega 25mg/mL Inj DNP SFC 02239636 OMG

fluphenazine decanoate 100mg/mL inj Modecate Concentrate 100mg/mL Inj DNP SFC 00755575 BRI pms-Fluphenazine 100mg/mL Inj (discontinued)

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Apo-Fluphenazine 1mg Tab DNP SFC 00405345 APX Apo-Fluphenazine 2mg Tab DNP SFC 00410632 APX Apo-Fluphenazine 5mg Tab DNP SFC 00405361 APX pms-Fluphenazine 5mg Tab DNP SFC 00726354 PMS

N05AB03 PERPHENAZINE

Perphenazine 2mg Tab DNP SFC 00335134 AAP

perphenazine 4mg tab Perphenazine 4mg Tab DNP MRP SFC 00335126 AAP Trilafon 4mg Tab (discontinued)

Perphenazine 8mg Tab DNP SFC 00335118 AAP Perphenazine 16mg Tab DNP SFC 00335096 AAP

N05AB04 PROCHLORPERAZINE

prochlorperazine 5mg/mL inj Prochlorperazine 5mg/mL Inj DNP MRP SFC 00789747 SDZ Stemetil 5mg/mL Inj (discontinued)

pms-Prochlorperazine 5mg Tab DNP SFC 00753661 PMS pms-Prochloperazine 10mg Tab DNP SFC 00753637 PMS

Prochlorperazine 10mg Supp DNP SFC 00789720 SDZ

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

prochlorperazine 10mg tab Apo-Prochlorazine 10mg Tab DNP MRP SFC 00886432 APX Stemetil 10mg Tab (discontinued)

N05AB06 TRIFLUOPERAZINE

trifluoperazine 1mg tab Trifluoperazine 1mg Tab DNP MRP SFC 00345539 AAP Stelazine 1mg Tab (discontinued)

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

trifluoperazine 5mg tab Trifluoperazine 5mg Tab DNP MRP SFC 00312746 AAP Stelazine 5mg Tab (discontinued)

trifluoperazine 10mg tab Trifluoperazine 10mg Tab DNP MRP SFC 00326836 AAP Stelazine 10mg Tab (discontinued)

Trifluoperazine 20mg Tab DNP SFC 00595942 AAP

N05AB08 THIOPROPERAZINE

Majeptil 10mg Tab DNP SFC 01927639 ERF N05AC PHENOTHIAZINES WITH PIPERIDINE STRUCTURE

N05AC01 PERICYAZINE (PROPERICYAZINE) Neuleptil 5mg Cap 01926780 ERF Neuleptil 10mg Cap 01926772 ERF Neuleptil 20mg Cap 01926764 ERF Neuleptil 10mg/mL Oral Drops 01926756 ERF

N05AC04 PIPOTIAZINE

Piportil L4 25mg/mL Inj DNP SFC 01926667 SAV Piportil L4 50mg/mL Inj DNP SFC 01926675 SAV

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N05AD BUTYROPHENONE DERIVATIVES

N05AD01 HALOPERIDOL Haloperidol 5mg/mL Inj DNP SFC 00808652 SDZ

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

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

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

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

haloperidol 2mg tab Apo-Haloperidol 2mg Tab DNP MRP SFC 00396826 APX Novo-Peridol 2mg Tab DNP MRP SFC 00363669 TEV Haldol 2mg Tab (discontinued)

haloperidol 5mg tab Apo-Haloperidol 5mg Tab DNP MRP SFC 00396834 APX Novo-Peridol 5mg Tab DNP MRP SFC 00363650 TEV Haldol 5mg Tab (discontinued)

haloperidol 10mg tab Apo-Haloperidol 10mg Tab DNP MRP SFC 00463698 APX Novo-Peridol 10mg Tab DNP MRP SFC 00713449 TEV Haldol 10mg Tab (discontinued)

Haldol 2mg/mL O/L (discontinued) Novo-Peridol 20mg Tab 00768820 TEV ratio-Haloperidol 0.5mg Tab DNP SFC 00552135 TEV ratio-Haloperidol 1mg Tab DNP SFC 00552143 TEV ratio-Haloperidol 2mg Tab DNP SFC 00728292 TEV ratio-Haloperidol 5mg Tab DNP SFC 00647969 TEV ratio-Haloperidol 10mg Tab DNP SFC 00728306 TEV

N05AD08 DROPERIDOL

Droperidol 2.5mg/mL Inj DNP SFC 02167832 SDZ N05AE INDOLE DERIVATIVES

N05AE04 ZIPRASIDONE Zeldox 20mg Cap DNP E 02298597 PFI Zeldox 40mg Cap DNP E 02298600 PFI Zeldox 60mg Cap DNP E 02298619 PFI Zeldox 80mg Cap DNP E 02298627 PFI

N05AF THIOXANTHENE DERIVATIVES

N05AF01 FLUPENTHIXOL Fluanxol Depot 10% Inj DNP SFC 02156040 VLH Fluanxol Depot 2% Inj DNP SFC 02156032 VLH Fluanxol 0.5mg Tab DNP SFC 02156008 VLH Fluanxol 3mg Tab DNP SFC 02156016 VLH

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N05AF04 THIOTHIXENE

Navane 2mg Cap DNP SFC 00024430 ERF Navane 5mg Cap DNP SFC 00024449 ERF Navane 10mg Cap DNP SFC 00024457 ERF

N05AF05 ZUCLOPENTHIXOL

Clopixol-Acuphase 50mg/mL Inj 02230405 VLH Clopixol-Depot 200mg/mL Inj 02230406 VLH Clopixol 10mg Tab 02230402 VLH Clopixol 25mg Tab 02230403 VLH

N05AG DIPHENYLBUTYLPIPERIDINE DERIVATIVES

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

pimozide 4mg tab Apo-Pimozide 4mg Tab DNP MRP SFC 02245433 APX Orap 4mg Tab DNP MRP SFC 00313823 PMS

N05AH DIAZEPINES, OXAZEPINES AND THIAZEPINES

N05AH01 LOXAPINE Loxapac 50mg/mL IM Inj DNP SFC 02169991 SDZ pms-Loxapine 2.5mg Tab DNP SFC 02242868 PMS

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

loxapine 10mg tab pms-Loxapine 10mg Tab DNP SFC 02230838 PMS Loxapac 10mg Tab (discontinued)

loxapine 25mg tab pms-Loxapine 25mg Tab DNP SFC 02230839 PMS Loxapac 25mg Tab (discontinued)

loxapine 50mg tab pms-Loxapine 50mg Tab DNP SFC 02230840 PMS Loxapac 50mg Tab (discontinued)

N05AH02 CLOZAPINE

clozapine 25mg tab Apo-Clozapine 25mg Tab 02248034 APX Gen-Clozapine 25mg Tab 02247243 MYL Clozaril 25mg Tab 00894737 NVR

Gen-Clozapine 50mg Tab 02305003 MYL

clozapine 100mg tab Apo-Clozapine 100mg Tab 02248035 APX Gen-Clozapine 100mg Tab 02247244 MYL Clozaril 100mg Tab 00894745 NVR

Gen-Clozapine 200mg Tab 02305011 MYL

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N05AH03 OLANZAPINE Zyprexa 10mg/vial Inj 02247099 LIL

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

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

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

olanzapine 10mg tab Apo-Olanzapine 10mg Tab DNP MRP E 02281821 APX MYLAN-Olanzapine 10mg Tab DNP MRP E 02337908 MYL Novo-Olanzapine 10mg Tab DNP MRP E 02276747 TEV pms-Olanzapine 10mg Tab DNP MRP E 02303175 PMS Sandoz Olanzapine 10mg Tab DNP MRP E 02310384 SDZ Zyprexa 10mg Tab DNP MRP E 02229285 LIL

olanzapine 15mg tab Apo-Olanzapine 15mg Tab DNP MRP E 02281848 APX MYLAN-Olanzapine 15mg Tab DNP MRP E 02337916 MYL Novo-Olanzapine 15mg Tab DNP MRP E 02276755 TEV pms-Olanzapine 15mg Tab DNP MRP E 02303183 PMS Sandoz Olanzapine 15mg Tab DNP MRP E 02310392 SDZ Zyprexa 15mg Tab DNP MRP E 02238850 LIL

olanzapine 20mg tab Apo-Olanzapine 20mg Tab 02333015 APX Teva-Olanzapine 20mg Tab 02359707 TEV Zyprexa 20mg Tab 02238851 LIL

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

olanzapine ODT 10mg tab Apo-Olanzapine ODT 10mg Tab DNP MRP E 02360624 APX CO Olanzapine ODT 10mg Tab DNP MRP E 02327570 COB Novo-Olanzapine OD 10mg Tab DNP MRP E 02321351 TEV pms-Olanzapine ODT 10mg Tab DNP MRP E 02303205 PMS Sandoz Olanzapine ODT 10mg Tab DNP MRP E 02327783 SDZ Zyprexa Zydis 10mg Tab DNP MRP E 02243087 LIL

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olanzapine ODT 15mg tab Apo-Olanzapine ODT 15mg Tab DNP MRP E 02360632 APX CO Olanzapine ODT 15mg Tab DNP MRP E 02327589 COB Novo-Olanzapine OD 15mg Tab DNP MRP E 02321378 TEV pms-Olanzapine ODT 15mg Tab DNP MRP E 02303213 PMS Sandoz Olanzapine ODT 15mg Tab DNP MRP E 02327791 SDZ Zyprexa Zydis 15mg Tab DNP MRP E 02243088 LIL

olanzapine ODT 20mg tab Apo-Olanzapine ODT 20mg Tab DNP MRP E 02360640 APX CO Olanzapine ODT 20mg Tab DNP MRP E 02327597 COB Novo-Olanzapine ODT 20mg Tab DNP MRP E 02321386 TEV Sandoz Olanzapine ODT 20mg Tab DNP MRP E 02327805 SDZ Zyprexa Zydis 20mg Tab DNP MRP E 02243089 LIL

N05AH04 QUETIAPINE

quetiapine 25mg tab Apo-Quetiapine 25mg Tab DNP MRP SF 02313901 APX CO Quetiapine 25mg Tab DNP MRP SF 02316080 COB Jamp-Quetiapine 25mg Tab DNP MRP SF 02330415 JPC MYLAN-Quetiapine 25mg Tab DNP MRP SF 02307804 MYL Novo-Quetiapine 25mg Tab DNP MRP SF 02284235 TEV phl-Quetiapine 25mg Tab DNP MRP SF 02299054 PHL pms-Quetiapine 25mg Tab DNP MRP SF 02296551 PMS Quetiapine 25mg Tab DNP MRP SF 02353164 SAS Sandoz Quetiapine 25mg Tab DNP MRP SF 02313995 SDZ Seroquel 25mg Tab DNP MRP SF 02236951 AZE ratio-Quetiapine 25mg Tab (discontinued)

quetiapine 100mg tab Apo-Quetiapine 100mg Tab DNP MRP SF 02313928 APX CO Quetiapine 100mg Tab DNP MRP SF 02316099 COB Jamp-Quetiapine 100mg Tab DNP MRP SF 02330423 JPC MYLAN-Quetiapine 100mg Tab DNP MRP SF 02307812 MYL Novo-Quetiapine 100mg Tab DNP MRP SF 02284243 TEV phl-Quetiapine 100mg Tab DNP MRP SF 02299062 PHL pms-Quetiapine 100mg Tab DNP MRP SF 02296578 PMS Quetiapine 100mg Tab DNP MRP SF 02353172 SAS Sandoz Quetiapine 100mg Tab DNP MRP SF 02314002 SDZ Seroquel 100mg Tab DNP MRP SF 02236952 AZE ratio-Quetiapine 100mg Tab (discontinued)

Novo-Quetiapine 150mg Tab DNP SF 02284251 TEV

quetiapine 200mg tab Apo-Quetiapine 200mg Tab DNP MRP SF 02313936 APX CO Quetiapine 200mg Tab DNP MRP SF 02316110 COB Jamp-Quetiapine 200mg Tab DNP MRP SF 02330458 JPC MYLAN-Quetiapine 200mg Tab DNP MRP SF 02307839 MYL Novo-Quetiapine 200mg Tab DNP MRP SF 02284278 TEV phl-Quetiapine 200mg Tab DNP MRP SF 02299089 PHL pms-Quetiapine 200mg Tab DNP MRP SF 02296594 PMS Quetiapine 200mg Tab DNP MRP SF 02353199 SAS Sandoz Quetiapine 200mg Tab DNP MRP SF 02314010 SDZ Seroquel 200mg Tab DNP MRP SF 02236953 AZE ratio-Quetiapine 200mg Tab (discontinued)

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quetiapine 300mg tab Apo-Quetiapine 300mg Tab DNP MRP SF 02313944 APX CO Quetiapine 300mg Tab DNP MRP SF 02316129 COB Jamp-Quetiapine 300mg Tab DNP MRP SF 02330466 JPC MYLAN-Quetiapine 300mg Tab DNP MRP SF 02307847 MYL Novo-Quetiapine 300mg Tab DNP MRP SF 02284286 TEV phl-Quetiapine 300mg Tab DNP MRP SF 02299097 PHL pms-Quetiapine 300mg Tab DNP MRP SF 02296608 PMS Quetiapine 300mg Tab DNP MRP SF 02353202 SAS Sandoz Quetiapine 300mg Tab DNP MRP SF 02314029 SDZ Seroquel 300mg Tab DNP MRP SF 02244107 AZE ratio-Quetiapine 300mg Tab (discontinued)

N05AN LITHIUM

N05AN01 LITHIUM lithium 150mg cap Apo-Lithium Carbonate 150mg Cap DNP MRP SFC 02242837 APX pms-Lithium Carbonate 150mg Cap DNP MRP SFC 02216132 PMS Carbolith 150mg Cap DNP MRP SFC 00461733 VLN

lithium 150mg cap Apo-Lithium Carbonate 150mg Cap DNP MRP SFC 02242837 APX Lithane 150mg Cap DNP MRP SFC 02013231 ERF

lithium 300mg cap Apo-Lithium Carbonate 300mg Cap DNP MRP SFC 02242838 APX pms-Lithium Carbonate 300mg Cap DNP MRP SFC 02216140 PMS Carbolith 300mg Cap DNP MRP SFC 00236683 VLN

lithium 300mg cap Apo-Lithium Carbonate 300mg Cap DNP MRP SFC 02242838 APX Lithane 300mg Cap DNP MRP SFC 00406775 ERF

lithium 600mg cap pms-Lithium Carbonate 600mg Cap DNP MRP SFC 02216159 PMS Carbolith 600mg Cap DNP MRP SFC 02011239 VLN

lithium 300mg SR cap Lithmax SR 300mg Tab DNP SFC 02266695 AAP Duralith 300mg Tab (discontinued)

N05AX OTHER ANTIPSYCHOTICS

N05AX08 RISPERIDONE Risperdal Consta 25mg/2mL Inj DNP E 02255707 JAN Risperdal Consta 37.5mg/2mL Inj DNP E 02255723 JAN Risperdal Consta 50mg/2mL Inj DNP E 02255758 JAN

risperidone 1mg/mL o/l Apo-Risperidone 1mg/mL O/L DNP MRP SF 02280396 APX pms-Risperidone 1mg/mL O/L DNP MRP SF 02279266 PMS Risperdal 1mg/mL O/L DNP MRP SF 02236950 JAN

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

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

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

risperidone 2mg tab Apo-Risperidone 2mg Tab DNP MRP SF 02282143 APX CO Risperidone 2mg Tab DNP MRP SF 02282615 COB Jamp-Risperidone 2mg Tab DNP MRP SF 02359553 JPC MINT-Risperidon 2mg Tab DNP MRP SF 02359820 MNT MYLAN-Risperidone 2mg Tab DNP MRP SF 02282275 MYL Novo-Risperidone 2mg Tab DNP MRP SF 02264218 TEV phl-Risperidone 2mg Tab DNP MRP SF 02258463 PHL pms-Risperidone 2mg Tab DNP MRP SF 02252031 PMS RAN-Risperidone 2mg Tab DNP MRP SF 02280930 RAN RBX-Risperidone 2mg Tab DNP MRP SF 02328348 RAN Risperidone 2mg Tab DNP MRP SF 02356910 SAS Sandoz Risperidone 2mg Tab DNP MRP SF 02279819 SDZ Risperdal 2mg Tab DNP MRP SF 02025299 JAN

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risperidone 3mg tab Apo-Risperidone 3mg Tab DNP MRP SF 02282151 APX CO Risperidone 3mg Tab DNP MRP SF 02282623 COB Jamp-Risperidone 3mg Tab DNP MRP SF 02359561 JPC MINT-Risperidon 3mg Tab DNP MRP SF 02359839 MNT MYLAN-Risperidone 3mg Tab DNP MRP SF 02282283 MYL Novo-Risperidone 3mg Tab DNP MRP SF 02264226 TEV phl-Risperidone 3mg Tab DNP MRP SF 02258471 PHL pms-Risperidone 3mg Tab DNP MRP SF 02252058 PMS RAN-Risperidone 3mg Tab DNP MRP SF 02280949 RAN RBX-Risperidone 3mg Tab DNP MRP SF 02328364 RAN Risperidone 3mg Tab DNP MRP SF 02356929 SAS Sandoz Risperidone 3mg Tab DNP MRP SF 02279827 SDZ Risperdal 3mg Tab DNP MRP SF 02025302 JAN

risperidone 4mg tab Apo-Risperidone 4mg Tab DNP MRP SF 02282178 APX CO Risperidone 4mg Tab DNP MRP SF 02282631 COB Jamp-Risperidone 4mg Tab DNP MRP SF 02359588 JPC MINT-Risperidon 4mg Tab DNP MRP SF 02359847 MNT MYLAN-Risperidone 4mg Tab DNP MRP SF 02282291 MYL Novo-Risperidone 4mg Tab DNP MRP SF 02264234 TEV phl-Risperidone 4mg Tab DNP MRP SF 02258498 PHL pms-Risperidone 4mg Tab DNP MRP SF 02252066 PMS RAN-Risperidone 4mg Tab DNP MRP SF 02280957 RAN RBX-Risperidone 4mg Tab DNP MRP SF 02328372 RAN Risperidone 4mg Tab DNP MRP SF 02356937 SAS Sandoz Risperidone 4mg Tab DNP MRP SF 02279835 SDZ Risperdal 4mg Tab DNP MRP SF 02025310 JAN

risperidone ODT 1mg tabpms-Risperidone ODT 1mg Tab DNP MRP SF 02291789 PMS Risperdal M-Tab (1mg) DNP MRP SF 02247705 JAN

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

Risperdal M-Tab (0.5mg) DNP SF 02247704 JAN Risperdal M-Tab (3mg) DNP SF 02268086 JAN Risperdal M-Tab (4mg) DNP SF 02268094 JAN

N05AX12 ARIPIPRAZOLE

Abilify 2mg Tab DNP E 02322374 BRI Abilify 5mg Tab DNP E 02322382 BRI Abilify 10mg Tab DNP E 02322390 BRI Abilify 15mg Tab DNP E 02322404 BRI Abilify 20mg Tab DNP E 02322412 BRI Abilify 30mg Tab DNP E 02322455 BRI

N05B ANXIOLYTICS

N05BA BENZODIAZEPINE DERIVATIVES

N05BA01 DIAZEPAM Diastat 5mg/mL Rectal Gel 02238162 VLN

diazepam 5mg/mL inj Diazepam 5mg/mL Inj D MRP SFC 00399728 SDZ Valium 5mg/mL Inj (discontinued)

Diazemuls 5mg/mL Inj D SFC 02065614 PFI pms-Diazepam 1mg/mL O/L D SFC 00891797 PMS Apo-Diazepam 2mg Tab D SFC 00405329 APX pms-Diazepam 2mg Tab D SFC 02247490 PMS pms-Diazepam 5mg Tab D SFC 02247491 PMS

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diazepam 5mg tab Apo-Diazepam 5mg Tab D MRP SFC 00362158 APX Valium 5mg Tab D MRP SFC 00013285 HLR Vivol 5mg Tab 00013765 AXS

diazepam 10mg tab Apo-Diazepam 10mg Tab D MRP SFC 00405337 APX Vivol 10mg Tab 00013773 AXS Valium 10mg Tab (discontinued)

pms-Diazepam 10mg Tab D SFC 02247492 PMS

N05BA02 CHLORDIAZEPOXIDE

Apo-Chlordiazepoxide 5mg Cap D SFC 00522724 APX Apo-Chlordiazepoxide 10mg Cap D SFC 00522988 APX Apo-Chlordiazepoxide 25mg Cap D SFC 00522996 APX

N05BA04 OXAZEPAM

Apo-Oxazepam 10mg Tab D SFC 00402680 APX

oxazepam 15mg tab Apo-Oxazepam 15mg Tab D MRP SFC 00402745 APX Serax 15mg Tab (discontinued)

oxazepam 30mg tab Apo-Oxazepam 30mg Tab D MRP SFC 00402737 APX Serax 30mg Tab (discontinued)

N05BA05 CLORAZEPATE DIPOTASSIUM

clorazepate dipotassium 3.75mg cap Apo-Clorazepate 3.75mg Cap D SFC 00860689 APX Tranxene 3.75mg Cap (discontinued)

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

clorazepate dipotassium 15mg cap Apo-Clorazepate 15mg Cap D SFC 00860697 APX Tranxene 15mg Cap (discontinued)

N05BA06 LORAZEPAM

lorazepam 4mg/mL inj Lorazepam 4mg/mL Inj D MRP SFC 02243278 SDZ Ativan 4mg/mL Inj (discontinued)

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

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

lorazepam 2mg tab Apo-Lorazepam 2mg Tab D MRP SFC 00655767 APX Lorazepam 2mg Tab D MRP SFC 02351099 SAS Novo-Lorazem 2mg Tab D MRP SFC 00637750 TEV pms-Lorazepam 2mg Tab D MRP SFC 00728209 PMS Ativan 2mg Tab D MRP SFC 02041448 PFI

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Ativan 0.5mg SL Tab 02041456 PFI Ativan 1mg SL Tab 02041464 PFI Ativan 2mg SL Tab 02041472 PFI

N05BA08 BROMAZEPAM

bromazepam 1.5mg tab Apo-Bromazepam 1.5mg Tab D MRP SFC 02177153 APX Lectopam 1.5mg Tab (discontinued)

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

bromazepam 6mg tab Apo-Bromazepam 6mg Tab D MRP SFC 02177188 APX Novo-Bromazepam 6mg Tab D MRP SFC 02230585 TEV Lectopam 6mg Tab D MRP SFC 00518131 HLR

N05BA09 CLOBAZAM

clobazam 10mg tab Apo-Clobazam 10mg Tab D MRP SF 02244638 APX Novo-Clobazam 10mg Tab D MRP SF 02238334 TEV pms-Clobazam 10mg Tab D MRP SF 02244474 PMS Frisium 10mg Tab D MRP SF 02221799 LBK

N05BA12 ALPRAZOLAM

alprazolam 0.25mg tab Alprazolam 0.25mg Tab D MRP SFC 02349191 SAS Apo-Alpraz 0.25mg Tab D MRP SFC 00865397 APX MYLAN-Alprazolam 0.25mg Tab D MRP SFC 02137534 MYL Novo-Alprazol 0.25mg Tab D MRP SFC 01913484 TEV Xanax 0.25mg Tab D MRP SFC 00548359 PFI

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

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

alprazolam 2mg tab Apo-Alpraz 2mg Tab 02243612 APX MYLAN-Alprazolam 2mg Tab 02229814 MYL Xanax 2mg Tab 00813958 PFI

N05BB DIPHENYLMETHANE DERIVATIVES

N05BB01 HYDROXYZINE hydroxyzine HCl 10mg cap Apo-Hydroxyzine 10mg Cap DNP MRP E 00646059 APX Novo-Hydroxyzin 10mg Cap DNP MRP E 00738824 TEV Atarax 10mg Cap (discontinued)

hydroxyzine HCl 25mg cap Apo-Hydroxyzine 25mg Cap DNP MRP E 00646024 APX Novo-Hydroxyzin 25mg Cap DNP MRP E 00738832 TEV Atarax 25mg Cap (discontinued)

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hydroxyzine HCl 50mg cap Apo-Hydroxyzine 50mg Cap DNP MRP E 00646016 APX Novo-Hydroxyzin 50mg Cap DNP MRP E 00738840 TEV Atarax 50mg Cap (discontinued)

hydroxyzine 50mg/mL inj Hydroxyzine 50mg/mL Inj 00742813 SDZ Atarax 50mg/mL Inj (discontinued)

Atarax 2mg/mL Syr DNP E 00024694 ERF

N05BE AZASPIRODECANEDIONE DERIVATIVES

N05BE01 BUSPIRONE buspirone HCl 10mg tab Apo-Buspirone 10mg Tab DNP MRP SFC 02211076 APX Novo-Buspirone 10mg Tab DNP MRP SFC 02231492 TEV Nu-Buspirone 10mg Tab DNP MRP SFC 02207672 NXP pms-Buspirone 10mg Tab DNP MRP SFC 02230942 PMS Buspar 10mg Tab (discontinued)

N05C HYPNOTICS AND SEDATIVES

N05CC ALDEHYDES AND DERIVATIVES

N05CC01 CHLORAL HYDRATE pms-Chloral Hydrate 100mg/mL Syr DNP SFC 00792659 PMS

N05CD BENZODIAZEPINE DERIVATIVES

N05CD01 FLURAZEPAM flurazepam 15mg cap Apo-Flurazepam 15mg Cap 00521698 APX Dalmane 15mg Cap 00012696 VLN

flurazepam 30mg cap Apo-Flurazepam 30mg Cap 00521701 APX Dalmane 30mg Cap 00012718 VLN

Somnol 30mg Cap 00483818 AXS Somnol 15mg Tab 00483826 AXS

N05CD02 NITRAZEPAM

nitrazepam 5mg tab Apo-Nitrazepam 5mg Tab 02245230 APX Sandoz Nitrazepam 5mg Tab 02234003 SDZ Mogadon 5mg Tab 00511528 VLN Nitrazadon 5mg Tab 02229654 VLN

nitrazepam 10mg tab Apo-Nitrazepam 10mg Tab 02245231 APX Sandoz Nitrazepam 10mg Tab 02234007 SDZ Mogadon 10mg Tab 00511536 VLN Nitrazadon 10mg Tab 02229655 VLN

N05CD05 TRIAZOLAM

Apo-Triazo 0.125mg Tab D SFC 00808563 APX Apo-Triazo 0.25mg Tab D SFC 00808571 APX Halcion 0.125mg Tab (discontinued) Halcion 0.25mg Tab (discontinued)

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N05CD07 TEMAZEPAM temazepam 15mg cap Apo-Temazepam 15mg Cap D MRP SFC 02225964 APX CO Temazepam 15mg Cap D MRP SFC 02244814 COB Novo-Temazepam 15mg Cap D MRP SFC 02230095 TEV ratio-Temazepam 15mg Cap D MRP SFC 02243023 TEV Restoril 15mg Cap D MRP SFC 00604453 SEP

temazepam 30mg cap Apo-Temazepam 30mg Cap D MRP SFC 02225972 APX CO Temazepam 30mg Cap D MRP SFC 02244815 COB Novo-Temazepam 30mg Cap D MRP SFC 02230102 TEV ratio-Temazepam 30mg Cap D MRP SFC 02243024 TEV Restoril 30mg Cap D MRP SFC 00604461 SEP pms-Temazepam 30mg Cap (discontinued)

N05CD08 MIDAZOLAM

midazolam 1mg/mL inj Midazolam 1mg/mL Inj D MRP E 02240285 SDZ Versed 1mg/mL Inj (discontinued)

midazolam 5mg/mL inj Midazolam 5mg/mL Inj D MRP E 02240286 SDZ Versed 5mg/mL Inj (discontinued)

N05CF BENZODIAZEPINE RELATED DRUGS

N05CF01 ZOPICLONE zopiclone 5mg tab Apo-Zopiclone 5mg Tab DNP MRP SFC 02245077 APX CO Zopiclone 5mg Tab DNP MRP SFC 02271931 COB MYLAN-Zopiclone 5mg Tab DNP MRP SFC 02296616 MYL Novo-Zopiclone 5mg Tab DNP MRP SFC 02251450 TEV phl-Zopiclone 5mg Tab DNP MRP SFC 02294052 PHL pms-Zopiclone 5mg Tab DNP MRP SFC 02243426 PMS RAN-Zopiclone 5mg Tab DNP MRP SFC 02267918 RAN ratio-Zopiclone 5mg Tab DNP MRP SFC 02246534 TEV Sandoz Zopiclone 5mg Tab DNP MRP SFC 02257572 SDZ Zopiclone 5mg Tab DNP MRP SFC 02344122 SAS Imovane 5mg Tab DNP MRP SFC 02216167 SAV

zopiclone 7.5mg tab Apo-Zopiclone 7.5mg Tab 02218313 APX CO Zopiclone 7.5mg Tab 02271958 COB MYLAN-Zopiclone 7.5mg Tab 02238596 MYL Novo-Zopiclone 7.5mg Tab 02251469 TEV Nu-Zopiclone 7.5mg Tab 02228270 NXP phl-Zopiclone 7.5mg Tab 02294060 PHL pms-Zopiclone 7.5mg Tab 02240606 PMS RAN-Zopiclone 7.5mg Tab 02267926 RAN ratio-Zopiclone 7.5mg Tab 02242481 TEV Rhovane 7.5mg Tab 02008203 SAV Sandoz Zopiclone 7.5mg Tab 02257580 SDZ Zopiclone 7.5mg Tab 02282445 SAS Imovane 7.5mg Tab 01926799 SAV

N06 PSYCHOANALEPTICS N06A ANTIDEPRESSANTS

N06AA NON-SELECTIVE MONAMINE REUPTAKE INHIBITORS

N06AA01 DESIPRAMINE

desipramine 10mg tab Apo-Desipramine 10mg Tab DNP MRP SFC 02216248 APX Norpramin 10mg Tab (discontinued)

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desipramine 25mg tab Apo-Desipramine 25mg Tab DNP MRP SFC 02216256 APX Norpramin 25mg Tab (discontinued)

desipramine 50mg tab Apo-Desipramine 50mg Tab DNP MRP SFC 02216264 APX Norpramin 50mg Tab (discontinued)

desipramine 75mg tab Apo-Desipramine 75mg Tab DNP MRP SFC 02216272 APX Norpramin 75mg Tab (discontinued)

desipramine 100mg tab Apo-Desipramine 100mg Tab DNP MRP SFC 02216280 APX Norpramin 100mg Tab (discontinued)

N06AA02 IMIPRAMINE

Imipramine 10mg Tab DNP SFC 00360201 AAP

imipramine 25mg tab Imipramine 25mg Tab DNP MRP SFC 00312797 AAP Tofranil 25mg Tab (discontinued)

imipramine 50mg tab Imipramine 50mg Tab DNP MRP SFC 00326852 AAP Tofranil 50mg Tab (discontinued)

Imipramine 75mg Tab DNP SFC 00644579 AAP

N06AA04 CLOMIPRAMINE

clomipramine 10mg tab Apo-Clomipramine 10mg Tab DNP MRP SFC 02040786 APX CO Clomipramine 10mg Tab DNP MRP SFC 02244816 COB Anafranil 10mg Tab DNP MRP SFC 00330566 SEP

clomipramine 25mg tab Apo-Clomipramine 25mg Tab DNP MRP SFC 02040778 APX CO Clomipramine 25mg Tab DNP MRP SFC 02244817 COB Anafranil 25mg Tab DNP MRP SFC 00324019 SEP

clomipramine 50mg tab Apo-Clomipramine 50mg Tab DNP MRP SFC 02040751 APX CO Clomipramine 50mg Tab DNP MRP SFC 02244818 COB MYLAN-Clomipramine 50mg Tab DNP MRP SFC 02139367 MYL Anafranil 50mg Tab DNP MRP SFC 00402591 SEP

N06AA06 TRIMIPRAMINE

trimipramine 12.5mg tab Trimipramine 12.5mg Tab DNP MRP SFC 00740799 AAP Surmontil 12.5mg Tab (discontinued)

trimipramine 25mg tab Trimipramine 25mg Tab DNP MRP SFC 00740802 AAP Surmontil 25mg Tab (discontinued)

trimipramine 50mg tab Trimipramine 50mg Tab DNP MRP SFC 00740810 AAP Surmontil 50mg Tab (discontinued)

trimipramine 75mg cap Trimipramine 75mg Cap DNP MRP SFC 02070987 AAP Surmontil 75mg Cap (discontinued)

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trimipramine 100mg tab Trimipramine 100mg Tab DNP MRP SFC 00740829 AAP Surmontil 100mg Tab (discontinued)

N06AA09 AMITRIPTYLINE

amitriptyline 10mg tab Elavil 10mg Tab DNP MRP SFC 00335053 AAP Elavil 10mg Tab (discontinued) 00016322 MSD

amitriptyline 25mg tab Elavil 25mg Tab DNP MRP SFC 00335061 AAP Elavil 25mg Tab (discontinued) 00016330 MSD

amitriptyline 50mg tab Elavil 50mg Tab DNP MRP SFC 00335088 AAP Elavil 50mg Tab (discontinued) 00016349 MSD

amitriptyline 75mg tab Elavil 75mg Tab DNP MRP SFC 00754129 AAP Elavil 75mg Tab (discontinued) 00354295 MSD

N06AA10 NORTRIPTYLINE nortriptyline 10mg cap Apo-Nortriptyline 10mg Cap DNP MRP SFC 02223511 APX Novo-Nortriptyline 10mg Cap DNP MRP SFC 02231781 TEV Nu-Nortriptyline 10mg Cap DNP MRP SFC 02223139 NXP pms-Nortriptyline 10mg Cap DNP MRP SFC 02177692 PMS Aventyl 10mg Cap DNP MRP SFC 00015229 PMS

nortriptyline 25mg cap Apo-Nortriptyline 25mg Cap DNP MRP SFC 02223538 APX Novo-Nortriptyline 25mg Cap DNP MRP SFC 02231782 TEV Nu-Nortriptyline 25mg Cap DNP MRP SFC 02223147 NXP pms-Nortriptyline 25mg Cap DNP MRP SFC 02177706 PMS Aventyl 25mg Cap DNP MRP SFC 00015237 PMS

N06AA12 DOXEPIN

doxepin HCl 10mg cap Apo-Doxepin 10mg Cap DNP MRP SFC 02049996 APX Sinequan 10mg Cap DNP MRP SFC 00024325 ERF

doxepin HCl 25mg cap Apo-Doxepin 25mg Cap DNP MRP SFC 02050005 APX Novo-Doxepin 25mg Cap DNP MRP SFC 01913425 TEV Sinequan 25mg Cap DNP MRP SFC 00024333 ERF

doxepin HCl 50mg cap Apo-Doxepin 50mg Cap DNP MRP SFC 02050013 APX Novo-Doxepin 50mg Cap DNP MRP SFC 01913433 TEV Sinequan 50mg Cap DNP MRP SFC 00024341 ERF

doxepin HCl 75mg cap Apo-Doxepin 75mg Cap DNP MRP SFC 02050021 APX Novo-Doxepin 75mg Cap DNP MRP SFC 01913441 TEV Sinequan 75mg Cap DNP MRP SFC 00400750 ERF

doxepin HCl 100mg cap Apo-Doxepin 100mg Cap DNP MRP SFC 02050048 APX Novo-Doxepin 100mg Cap DNP MRP SFC 01913468 TEV Sinequan 100mg Cap DNP MRP SFC 00326925 ERF

doxepin HCl 150mg cap Novo-Doxepin 150mg Cap DNP MRP SFC 01913476 TEV Sinequan 150mg Cap (discontinued)

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N06AA21 MAPROTILINE maprotiline 25mg tab Novo-Maprotiline 25mg Tab DNP MRP SFC 02158612 TEV Ludiomil 25mg Tab (discontinued)

maprotiline 50mg tab Novo-Maprotiline 50mg Tab DNP MRP SFC 02158620 TEV Ludiomil 50mg Tab (discontinued)

maprotiline 75mg tab Novo-Maprotiline 75mg Tab DNP MRP SFC 02158639 TEV Ludiomil 75mg Tab (discontinued)

N06AB SELECTIVE SEROTONIN REUPTAKE INHIBITORS

N06AB03 FLUOXETINE fluoxetine 10mg cap Apo-Fluoxetine 10mg Cap DNP MRP SFC 02216353 APX CO Fluoxetine 10mg Cap DNP MRP SFC 02242177 COB Fluoxetine 10mg Cap DNP MRP SFC 02286068 SAS MYLAN-Fluoxetine 10mg Cap DNP MRP SFC 02237813 MYL Novo-Fluoxetine 10mg Cap DNP MRP SFC 02216582 TEV Nu-Fluoxetine 10mg Cap DNP MRP SFC 02192756 NXP phl-Fluoxetine 10mg Cap DNP MRP SFC 02223481 PHL pms-Fluoxetine 10mg Cap DNP MRP SFC 02177579 PMS ratio-Fluoxetine 10mg Cap DNP MRP SFC 02241371 TEV Sandoz Fluoxetine 10mg Cap DNP MRP SFC 02243486 SDZ Zym-Fluoxetine 10mg Cap DNP MRP SFC 02302659 ZYM Prozac 10mg Cap DNP MRP SFC 02018985 LIL

fluoxetine 20mg cap Apo-Fluoxetine 20mg Cap DNP MRP SFC 02216361 APX CO Fluoxetine 20mg Cap DNP MRP SFC 02242178 COB Fluoxetine 20mg Cap DNP MRP SFC 02286076 SAS MYLAN-Fluoxetine 20mg Cap DNP MRP SFC 02237814 MYL Novo-Fluoxetine 20mg Cap DNP MRP SFC 02216590 TEV Nu-Fluoxetine 20mg Cap DNP MRP SFC 02192764 NXP phl-Fluoxetine 20mg Cap DNP MRP SFC 02223503 PHL pms-Fluoxetine 20mg Cap DNP MRP SFC 02177587 PMS ratio-Fluoxetine 20mg Cap DNP MRP SFC 02241374 TEV Sandoz Fluoxetine 20mg Cap DNP MRP SFC 02243487 SDZ Zym-Fluoxetine 20mg Cap DNP MRP SFC 02302667 ZYM Prozac 20mg Cap DNP MRP SFC 00636622 LIL

FXT 40 (40mg) Cap DNP SFC 02245283 SEP

fluoxetine 20mg/5mL syr Apo-Fluoxetine 20mg/5mL Syr 02231328 APX Prozac 20mg/5mL Syr (discontinued)

N06AB04 CITALOPRAM

citialopram 10mg tab phl-Citalopram 10mg Tab DNP MRP SFC 02273543 PHL pms-Citalopram 10mg Tab DNP MRP SFC 02270609 PMS

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citalopram 20mg tab Apo-Citalopram 20mg Tab DNP MRP SFC 02246056 APX Citalopram 20mg Tab DNP MRP SFC 02353660 SAS Citalopram-Odan 20mg Tab DNP MRP SFC 02306239 ODN CO Citalopram 20mg Tab DNP MRP SFC 02248050 COB Jamp-Citalopram 20mg Tab DNP MRP SFC 02313405 JPC MINT-Citalopram 20mg Tab DNP MRP SFC 02304686 MNT MYLAN-Citalopram 20mg Tab DNP MRP SFC 02246594 MYL NG-Citalopram 20mg Tab 02322781 NGP Novo-Citalopram 20mg Tab DNP MRP SFC 02293218 TEV phl-Citalopram 20mg Tab DNP MRP SFC 02248944 PHL pms-Citalopram 20mg Tab DNP MRP SFC 02248010 PMS RAN-Citalo 20mg Tab DNP MRP SFC 02285622 RAN ratio-Citalopram 20mg Tab DNP MRP SFC 02252112 TEV Sandoz Citalopram 20mg Tab DNP MRP SFC 02248170 SDZ Septa-Citalopram 20mg Tab DNP MRP SFC 02355272 SPT Celexa 20mg Tab DNP MRP SFC 02239607 VLH Novo-Citalopram 20mg Tab (discontinued) RAN-Citalopram 20mg Tab (discontinued)

CTP30 (30mg) Tab DNP SFC 02296152 SEP

citalopram 40mg tab Apo-Citalopram 40mg Tab DNP MRP SFC 02246057 APX Citalopram 40mg Tab DNP MRP SFC 02353679 SAS Citalopram-Odan 40mg Tab DNP MRP SFC 02306247 ODN CO Citalopram 40mg Tab DNP MRP SFC 02248051 COB Jamp-Citalopram 40mg Tab DNP MRP SFC 02313413 JPC MINT-Citalopram 40mg Tab DNP MRP SFC 02304694 MNT MYLAN-Citalopram 40mg Tab DNP MRP SFC 02246595 MYL NG-Citalopram 40mg Tab 02322803 NGP Novo-Citalopram 40mg Tab DNP MRP SFC 02293226 TEV phl-Citalopram 40mg Tab DNP MRP SFC 02248945 PHL pms-Citalopram 40mg Tab DNP MRP SFC 02248011 PMS RAN-Citalo 40mg Tab DNP MRP SFC 02285630 RAN ratio-Citalopram 40mg Tab DNP MRP SFC 02252120 TEV Sandoz Citalopram 40mg Tab DNP MRP SFC 02248171 SDZ Septa-Citalopram 40mg Tab DNP MRP SFC 02355280 SPT Celexa 40mg Tab DNP MRP SFC 02239608 VLH Novo-Citalopram 40mg Tab (discontinued) RAN-Citalopram 40mg Tab (discontinued)

N06AB05 PAROXETINE

paroxetine 10mg tab Apo-Paroxetine 10mg Tab 02240907 APX CO Paroxetine 10mg Tab 02262746 COB MYLAN-Paroxetine10mg Tab 02248012 MYL Novo-Paroxetine 10mg Tab 02248556 TEV Paroxetine 10mg Tab 02282844 SAS pms-Paroxetine10mg Tab 02247750 PMS ratio-Paroxetine10mg Tab 02247810 TEV Sandoz Paroxetine 10mg Tab 02269422 SDZ Paxil 10mg Tab 02027887 GSK

paroxetine 20mg tab Apo-Paroxetine 20mg Tab DNP MRP SFC 02240908 APX CO Paroxetine 20mg Tab DNP MRP SFC 02262754 COB MYLAN-Paroxetine 20mg Tab DNP MRP SFC 02248013 MYL Novo-Paroxetine 20mg Tab DNP MRP SFC 02248557 TEV Paroxetine 20mg Tab DNP MRP SFC 02282852 SAS Paroxetine 20mg Tab DNP MRP SFC 02248451 MEL pms-Paroxetine 20mg Tab DNP MRP SFC 02247751 PMS ratio-Paroxetine 20mg Tab DNP MRP SFC 02247811 TEV Sandoz Paroxetine 20mg Tab DNP MRP SFC 02269430 SDZ Paxil 20mg Tab DNP MRP SFC 01940481 GSK Sandoz Paroxetine 20mg Tab (discontinued)

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paroxetine 30mg tab Apo-Paroxetine 30mg Tab DNP MRP SFC 02240909 APX CO Paroxetine 30mg Tab DNP MRP SFC 02262762 COB MYLAN-Paroxetine 30mg Tab DNP MRP SFC 02248014 MYL Novo-Paroxetine 30mg Tab DNP MRP SFC 02248558 TEV Paroxetine 30mg Tab DNP MRP SFC 02282860 SAS Paroxetine 30mg Tab DNP MRP SFC 02248452 MEL pms-Paroxetine 30mg Tab DNP MRP SFC 02247752 PMS ratio-Paroxetine 30mg Tab DNP MRP SFC 02247812 TEV Sandoz Paroxetine 30mg Tab DNP MRP SFC 02269449 SDZ Paxil 30mg Tab DNP MRP SFC 01940473 GSK

pms-Paroxetine 40mg Tab DNP SFC 02293749 PMS

N06AB06 SERTRALINE

sertraline 25mg cap Apo-Sertraline 25mg Cap DNP MRP SFC 02238280 APX CO Sertraline 25mg Cap DNP MRP SFC 02287390 COB GD-Sertraline 25mg Cap DNP MRP SFC 02273683 GMD MYLAN-Sertraline 25mg Cap DNP MRP SFC 02242519 MYL Novo-Sertraline 25mg Cap DNP MRP SFC 02240485 TEV phl-Sertraline 25mg Cap DNP MRP SFC 02245824 PHL pms-Sertraline 25mg Cap DNP MRP SFC 02244838 PMS ratio-Sertraline 25mg Cap DNP MRP SFC 02245787 TEV Sandoz Sertraline 25mg Cap DNP MRP SFC 02245159 SDZ Sertraline 25mg Cap DNP MRP SFC 02353520 SAS Zoloft 25mg Cap DNP MRP SFC 02132702 PFI

sertraline 50mg cap Apo-Sertraline 50mg Cap DNP MRP SFC 02238281 APX CO Sertraline 50mg Cap DNP MRP SFC 02287404 COB GD-Sertraline 50mg Cap DNP MRP SFC 02273691 GMD MYLAN-Sertraline 50mg Cap DNP MRP SFC 02242520 MYL Novo-Sertraline 50mg Cap DNP MRP SFC 02240484 TEV phl-Sertraline 50mg Cap DNP MRP SFC 02245825 PHL pms-Sertraline 50mg Cap DNP MRP SFC 02244839 PMS ratio-Sertraline 50mg Cap DNP MRP SFC 02245788 TEV Sandoz Sertraline 50mg Cap DNP MRP SFC 02245160 SDZ Sertraline 50mg Cap DNP MRP SFC 02353539 SAS Zoloft 50mg Cap DNP MRP SFC 01962817 PFI

sertraline 100mg cap Apo-Sertraline 100mg Cap DNP MRP SFC 02238282 APX CO Sertraline 100mg Cap DNP MRP SFC 02287412 COB GD-Sertraline 100mg Cap DNP MRP SFC 02273705 GMD MYLAN-Sertraline 100mg Cap DNP MRP SFC 02242521 MYL Novo-Sertraline 100mg Cap DNP MRP SFC 02240481 TEV phl-Sertraline 100mg Cap DNP MRP SFC 02245826 PHL pms-Sertraline 100mg Cap DNP MRP SFC 02244840 PMS ratio-Sertraline 100mg Cap DNP MRP SFC 02245789 TEV Sandoz Sertraline 100mg Cap DNP MRP SFC 02245161 SDZ Sertraline 100mg Cap DNP MRP SFC 02353547 SAS Zoloft 100mg Cap DNP MRP SFC 01962779 PFI

N06AB08 FLUVOXAMINE

fluvoxamine 50mg tab Apo-Fluvoxamine 50mg Tab DNP MRP SFC 02231329 APX CO Fluvoxamine 50mg Tab DNP MRP SFC 02255529 COB Novo-Fluvoxamine 50mg Tab DNP MRP SFC 02239953 TEV Nu-Fluvoxamine 50mg Tab DNP MRP SFC 02231192 NXP pms-Fluvoxamine 50mg Tab DNP MRP SFC 02240682 PMS ratio-Fluvoxamine 50mg Tab DNP MRP SFC 02218453 TEV Luvox 50mg Tab DNP MRP SFC 01919342 ABB

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fluvoxamine 100mg tab Apo-Fluvoxamine 100mg Tab DNP MRP SFC 02231330 APX CO Fluvoxamine 100mg Tab DNP MRP SFC 02255537 COB Novo-Fluvoxamine 100mg Tab DNP MRP SFC 02239954 TEV Nu-Fluvoxamine 100mg Tab DNP MRP SFC 02231193 NXP pms-Fluvoxamine 100mg Tab DNP MRP SFC 02240683 PMS ratio-Fluvoxamine 100mg Tab DNP MRP SFC 02218461 TEV Luvox 100mg Tab DNP MRP SFC 01919369 ABB

N06AB10 ESCITALOPRAM

Cipralex 10mg Tab 02263238 VLH Cipralex 20mg Tab 02263254 VLH

N06AF MONOAMINE OXIDASE INHIBITORS, NON-SELECTIVE

N06AF03 PHENELZINE Nardil 15mg Tab DNP SFC 00476552 ERF

N06AF04 TRANYLCYPROMINE

Parnate 10mg Tab DNP SFC 01919598 GSK N06AG MONOAMINE OXIDASE A INHIBITORS

N06AG02 MOCLOBEMIDE moclobemide 100mg tab Apo-Moclobemide 100mg Tab DNP MRP SFC 02232148 APX Novo-Moclobemide 100mg Tab DNP MRP SFC 02239746 TEV Nu-Moclobemide 100mg Tab DNP MRP SFC 02237111 NXP Manerix 100mg Tab (discontinued)

moclobemide 150mg tab Apo-Moclobemide 150mg Tab DNP MRP SFC 02232150 APX Novo-Moclobemide 150mg Tab DNP MRP SFC 02239747 TEV Nu-Moclobemide 150mg Tab DNP MRP SFC 02237112 NXP Manerix 150mg Tab DNP MRP SFC 00899356 MVL

moclobemide 300mg tab Apo-Moclobemide 300mg Tab DNP MRP SFC 02240456 APX Novo-Moclobemide 300mg Tab DNP MRP SFC 02239748 TEV Manerix 300mg Tab DNP MRP SFC 02166747 MVL pms-Moclobemide 300mg Tab (discontinued)

N06AX OTHER ANTIDEPRESSANTS

N06AX02 TRYPTOPHAN Tryptan 250mg Tab DNP E 02239326 VLN

tryptophan 500mg cap Apo-Tryptophan 500mg Cap DNP MRP E 02248540 APX pms-Tryptophan 500mg Cap 02241023 PMS ratio-Tryptophan 500mg Cap DNP MRP E 02240334 TEV Tryptan 500mg Cap DNP MRP E 00718149 VLN

tryptophan 500mg tab Apo-Tryptophan 500mg Tab DNP MRP E 02248538 APX ratio-Tryptophan 500mg Tab DNP MRP E 02240333 TEV Tryptan 500mg Tab DNP MRP E 02029456 VLN

Tryptan 750mg Tab DNP E 02239327 VLN

tryptophan 1g tab Apo-Tryptophan 1g Tab DNP MRP E 02248539 APX ratio-Tryptophan 1g Tab DNP MRP E 02237250 TEV Tryptan 1g Tab DNP MRP E 00654531 VLN

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N06AX05 TRAZODONE trazodone 50mg tab Apo-Trazodone 50mg Tab DNP MRP SFC 02147637 APX MYLAN-Trazodone 50mg Tab DNP MRP SFC 02231683 MYL Novo-Trazodone 50mg Tab DNP MRP SFC 02144263 TEV Nu-Trazodone 50mg Tab DNP MRP SFC 02165384 NXP phl-Trazodone 50mg Tab DNP MRP SFC 02236941 PHL pms-Trazodone 50mg Tab DNP MRP SFC 01937227 PMS Trazodone 50mg Tab DNP MRP SFC 02348772 SAS ratio-Trazodone 50mg Tab (discontinued) Desyrel 50mg Tab (discontinued)

pms-Trazodone 75mg Tab DNP SFC 02237339 PMS

trazodone 100mg tab Apo-Trazodone 100mg Tab DNP MRP SFC 02147645 APX MYLAN-Trazodone 100mg Tab DNP MRP SFC 02231684 MYL Novo-Trazodone 100mg Tab DNP MRP SFC 02144271 TEV Nu-Trazodone 100mg Tab DNP MRP SFC 02165392 NXP phl-Trazodone 100mg Tab DNP MRP SFC 02236942 PHL pms-Trazodone 100mg Tab DNP MRP SFC 01937235 PMS Trazodone 100mg Tab DNP MRP SFC 02348780 SAS ratio-Trazodone 100mg Tab (discontinued) Desyrel 100mg Tab (discontinued)

trazodone 150mg tab Apo-Trazodone 150mg Tab DNP MRP SFC 02147653 APX Novo-Trazodone 150mg Tab DNP MRP SFC 02144298 TEV Nu-Trazodone-D 150mg Tab DNP MRP SFC 02165406 NXP Trazodone 150mg Tab DNP MRP SFC 02348799 SAS ratio-Trazodone 150mg Tab (discontinued) Desyrel 150mg Tab (discontinued)

N06AX11 MIRTAZAPINE

Mirtazapine 15mg Tab DNP SFC 02281732 MEL Sandoz Mirtazapine 15mg Tab DNP SFC 02250594 SDZ Zym-Mirtazapine 15mg Tab DNP SFC 02325179 ZYM

mirtazapine 30mg tab Apo-Mirtazapine 30mg Tab DNP MRP SFC 02286629 APX MYLAN-Mirtazapine 30mg Tab DNP MRP SFC 02256118 MYL Novo-Mirtazapine 30mg Tab DNP MRP SFC 02259354 TEV Mirtazapine 30mg Tab DNP MRP SFC 02252279 MEL pms-Mirtazapine 30mg Tab DNP MRP SFC 02248762 PMS ratio-Mirtazapine 30mg Tab DNP MRP SFC 02270927 TEV Sandoz Mirtazapine 30mg Tab DNP MRP SFC 02250608 SDZ Zym-Mirtazapine 30mg Tab DNP MRP SFC 02325187 ZYM Remeron 30mg Tab DNP MRP SFC 02243910 SCH

mirtazapine 15mg RD tab Auro-Mirtazapine OD 15mg Tab DNP MRP SFC 02299801 ARO Novo-Mirtazapine OD 15mg Tab DNP MRP SFC 02279894 TEV Remeron RD 15mg Tab DNP MRP SFC 02248542 SCH

mirtazapine 30mg RD tab Auro-Mirtazapine OD 30mg Tab DNP MRP SFC 02299828 ARO Novo-Mirtazapine OD 30mg Tab DNP MRP SFC 02279908 TEV Remeron RD 30mg Tab DNP MRP SFC 02248543 SCH

mirtazapine 45mg RD tab Auro-Mirtazapine OD 45mg Tab DNP MRP SFC 02299836 ARO Novo-Mirtazapine OD 45mg Tab DNP MRP SFC 02279916 TEV Remeron RD 45mg Tab DNP MRP SFC 02248544 SCH

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N06AX12 BUPROPION bupropion 100mg SR tab pms-Bupropion SR 100mg Tab DNP MRP SFC 02325373 PMS ratio-Bupropion SR 100mg Tab DNP MRP SFC 02285657 TEV Sandoz Bupropion SR 100mg Tab DNP MRP SFC 02275074 SDZ Wellbutrin SR 100mg Tab (discontinued)

bupropion 150mg SR tab pms-Bupropion SR 150mg Tab DNP MRP SFC 02313421 PMS ratio-Bupropion SR 150mg Tab DNP MRP SFC 02285665 TEV Sandoz Bupropion SR 150mg Tab DNP MRP SFC 02275082 SDZ Wellbutrin SR 150mg Tab DNP MRP SFC 02237825 BVL

Wellbutrin XL 150mg Tab DNP SFC 02275090 BVL Wellbutrin XL 300mg Tab DNP SFC 02275104 BVL

N06AX16 VENLAFAXINE

venlafaxine 37.5mg ER capApo-Venlafaxine XR 37.5mg Cap DNP MRP SFC 02331683 APX CO Venlafaxine XR 37.5mg Cap DNP MRP SFC 02304317 COB MYLAN-Venlafaxine XR 37.5mg Cap DNP MRP SFC 02310279 MYL Novo-Venlafaxine XR 37.5mg Cap DNP MRP SFC 02275023 TEV pms-Venlafaxine XR 37.5mg Cap DNP MRP SFC 02278545 PMS ratio-Venlafaxine XR 37.5mg Cap DNP MRP SFC 02273969 TEV Sandoz Venlafaxine XR 37.5mg Cap DNP MRP SFC 02310317 SDZ Venlafaxine XR 37.5mg Cap DNP MRP SFC 02354713 SAS Effexor XR 37.5mg Cap DNP MRP SFC 02237279 PFI

venlafaxine 75mg ER capApo-Venlafaxine XR 75mg Cap DNP MRP SFC 02331691 APX CO Venlafaxine XR 75mg Cap DNP MRP SFC 02304325 COB MYLAN-Venlafaxine XR 75mg Cap DNP MRP SFC 02310287 MYL Novo-Venlafaxine XR 75mg Cap DNP MRP SFC 02275031 TEV pms-Venlafaxine XR 75mg Cap DNP MRP SFC 02278553 PMS ratio-Venlafaxine XR 75mg Cap DNP MRP SFC 02273977 TEV Sandoz Venlafaxine XR 75mg Cap DNP MRP SFC 02310325 SDZ Venlafaxine XR 75mg Cap DNP MRP SFC 02354721 SAS Effexor XR 75mg Cap DNP MRP SFC 02237280 PFI

venlafaxine 150mg ER capApo-Venlafaxine XR 150mg Cap DNP MRP SFC 02331705 APX CO Venlafaxine XR 150mg Cap DNP MRP SFC 02304333 COB MYLAN-Venlafaxine XR 150mg Cap DNP MRP SFC 02310295 MYL Novo-Venlafaxine XR 150mg Cap DNP MRP SFC 02275058 TEV pms-Venlafaxine XR 150mg Cap DNP MRP SFC 02278561 PMS ratio-Venlafaxine XR 150mg Cap DNP MRP SFC 02273985 TEV Sandoz Venlafaxine XR 150mg Cap DNP MRP SFC 02310333 SDZ Venlafaxine XR 150mg Cap DNP MRP SFC 02354748 SAS Effexor XR 150mg Cap DNP MRP SFC 02237282 PFI

N06AX21 DULOXETINE

Cymbalta 30mg Cap DNP E 02301482 LIL Cymbalta 60mg Cap DNP E 02301490 LIL

N06AX23 DESVENLAFAXINE Pristiq 50mg ER Tab 02321092 PFI Pristiq 100mg ER Tab 02321106 PFI

N06B PSYCHOSTIMULANTS, AGENTS USED FOR ADHD AND NOOTROPICS

N06BA CENTRALLY ACTING SYMPATHOMIMETICS

N06BA01 AMPHETAMINES Adderall XR 5mg Cap 02248808 SHI Adderall XR 10mg Cap 02248809 SHI Adderall XR 15mg Cap 02248810 SHI

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Adderall XR 20mg Cap 02248811 SHI Adderall XR 25mg Cap 02248812 SHI Adderall XR 30mg Cap 02248813 SHI

N06BA02 DEXAMPHETAMINE

Dexedrine Spansule 10mg Cap D SFC 01924559 PAL Dexedrine Spansule 15mg Cap D SFC 01924567 PAL Dexedrine 5mg Tab D SFC 01924516 PAL

N06BA04 METHYLPHENIDATE

Apo-Methylphenidate 5mg Tab D SFC 02273950 APX pms-Methylphenidate 5mg Tab D SFC 02234749 PMS

methylphenidate 10mg tab Apo-Methylphenidate 10mg Tab D MRP SFC 02249324 APX pms-Methylphenidate 10mg Tab D MRP SFC 00584991 PMS Ritalin 10mg Tab D MRP SFC 00005606 NVR

methylphenidate 20mg tab Apo-Methylphenidate 20mg Tab D MRP SFC 02249332 APX pms-Methylphenidate 20mg Tab D MRP SFC 00585009 PMS Ritalin 20mg Tab D MRP SFC 00005614 NVR

methylphenidate 20mg SR tab Apo-Methylphenidate SR 20mg Tab D MRP SFC 02266687 APX Ritalin SR 20mg Tab D MRP SFC 00632775 NVR Sandoz Methylphenidate SR 20mg Tab D MRP SFC 02320312 SDZ

Biphentin 10mg Cap D E 02277166 PFR Biphentin 15mg Cap D E 02277131 PFR Biphentin 20mg Cap D E 02277158 PFR Biphentin 30mg Cap D E 02277174 PFR Biphentin 40mg Cap D E 02277182 PFR Biphentin 50mg Cap D E 02277190 PFR Biphentin 60mg Cap D E 02277204 PFR Biphentin 80mg Cap D E 02277212 PFR methylphenidate 18mg ER tab Novo-Methylphenidate ER-C 18mg Tab 02315068 TEV Concerta 18mg Tab 02247732 JAN

methylphenidate 27mg ER tab Novo-Methylphenidate ER-C 27mg Tab 02315076 TEV Concerta 27mg Tab 02250241 JAN

methylphenidate 36mg ER tab Novo-Methylphenidate ER-C 36mg Tab 02315084 TEV Concerta 36mg Tab 02247733 JAN

methylphenidate 54mg ER tab Novo-Methylphenidate ER-C 54mg Tab 02315092 TEV Concerta 54mg Tab 02247734 JAN

N06BA07 MODAFINIL

modafinil 100mg tab Apo-Modafinil 100mg Tab 02285398 AAP Alertec 100mg Tab 02239665 SHI

N06BA09 ATOMOXETINE

atomoxetine 10mg cap Apo-Atomoxtine 10mg Cap 02318024 APX Novo-Atomoxetine 10mg Cap 02314541 TEV Strattera 10mg Cap 02262800 LIL

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atomoxetine 18mg cap Apo-Atomoxetine 18mg Cap 02318032 APX Novo-Atomoxetine 18mg Cap 02314568 TEV Strattera 18mg Cap 02262819 LIL atomoxetine 25mg cap Apo-Atomoxetine 25mg Cap 02318040 APX Novo-Atomoxetine 25mg Cap 02314576 TEV Strattera 25mg Cap 02262827 LIL atomoxetine 40mg cap Apo-Atomoxetine 40mg Cap 02318059 APX Novo-Atomoxetine 40mg Cap 02314584 TEV Strattera 40mg Cap 02262835 LIL atomoxetine 60mg cap Apo-Atomoxetine 60mg Cap 02318067 APX Novo-Atomoxetine 60mg Cap 02314592 TEV Strattera 60mg Cap 02262843 LIL

atomoxetine 80mg cap Apo-Atomoxetine 80mg Cap 02318075 APX Strattera 80mg Cap 02279347 LIL

atomoxetine 100mg capApo-Atomoxetine 100mg Cap 02318083 APX Strattera 100mg Cap 02279355 LIL

N06BA12 LISDEXAMFETAMINE Vyvanse 20mg Cap 02347156 SHI

Vyvanse 30mg Cap 02322951 SHI Vycanse 40mg Cap 02347164 SHI Vyvanse 50mg Cap 02322978 SHI Vyvanse 60mg Cap 02347172 SHI

N06C PSYCHOLEPTICS AND PSYCHOANALEPTICS IN COMBINATION

N06CA ANTIDEPRESSANTS IN COMBINATION WITH PSYCHOLEPTICS

N06CA01 AMITRIPTYLINE AND PSYCHOLEPTICS pms-Levazine 4/25 Tab 00590509 PMS

N06D ANTI-DEMENTIA DRUGS

N06DA ANTICHOLINESTERASES

N06DA02 DONEPEZIL Aricept 5mg Tab DNP E 02232043 PFI Aricept 10mg Tab DNP E 02232044 PFI Aricept RDT 5mg Tab 02269457 PFI Aricept RDT 10mg Tab 02269465 PFI

N06DA03 RIVASTIGMINE

rivastigmine 1.5mg cap Apo-Rivastigmine 1.5mg Cap DNP MRP E 02336715 APX MYLAN-Rivastigmine 1.5mg Cap DNP MRP E 02332809 MYL Novo-Rivastigmine 1.5mg Cap DNP MRP E 02305984 TEV pms-Rivastigmine 1.5mg Cap DNP MRP E 02306034 PMS ratio-Rivastigmine 1.5mg Cap DNP MRP E 02311283 TEV Sandoz Rivastigmine 1.5mg Cap DNP MRP E 02324563 SDZ Exelon 1.5mg Cap DNP MRP E 02242115 NVR

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rivastigmine 3mg cap Apo-Rivastigmine 3mg Cap DNP MRP E 02336723 APX MYLAN-Rivastigmine 3mg Cap DNP MRP E 02332817 MYL Novo-Rivastigmine 3mg Cap DNP MRP E 02305992 TEV pms-Rivastigmine 3mg Cap DNP MRP E 02306042 PMS ratio-Rivastigmine 3mg Cap DNP MRP E 02311291 TEV Sandoz Rivastigmine 3mg Cap DNP MRP E 02324571 SDZ Exelon 3mg Cap DNP MRP E 02242116 NVR

rivastigmine 4.5mg cap Apo-Rivastigmine 4.5mg Cap DNP MRP E 02336731 APX MYLAN-Rivastigmine 4.5mg Cap DNP MRP E 02332825 MYL Novo-Rivastigmine 4.5mg Cap DNP MRP E 02306018 TEV pms-Rivastigmine 4.5mg Cap DNP MRP E 02306050 PMS ratio-Rivastigmine 4.5mg Cap DNP MRP E 02311305 TEV Sandoz Rivastigmine 4.5mg Cap DNP MRP E 02324598 SDZ Exelon 4.5mg Cap DNP MRP E 02242117 NVR

rivastigmine 6mg cap Apo-Rivastigmine 6mg Cap DNP MRP E 02336758 APX MYLAN-Rivastigmine 6mg Cap DNP MRP E 02332833 MYL Novo-Rivastigmine 6mg Cap DNP MRP E 02306026 TEV pms-Rivastigmine 6mg Cap DNP MRP E 02306069 PMS ratio-Rivastigmine 6mg Cap DNP MRP E 02311313 TEV Sandoz Rivastigmine 6mg Cap DNP MRP E 02324601 SDZ Exelon 6mg Cap DNP MRP E 02242118 NVR

Exelon 2mg/mL O/L DNP E 02245240 NVR Exelon Patch 5 (4.6mg/24hr) 02302845 NVR Exelon Patch 10 (9.5mg/24hr) 02302853 NVR

N06DA04 GALANTAMINE

galantamine 8mg ER capPAT-Galantamine ER 8mg Cap DNP MRP E 02316943 PPH Reminyl ER 8mg Cap DNP MRP E 02266717 JAN galantamine 16mg ER capPAT-Galantamine ER 16mg Cap DNP MRP E 02316951 PPH Reminyl ER 16mg Cap DNP MRP E 02266725 JAN galantamine 24mg ER capPAT-Galantamine ER 24mg Cap DNP MRP E 02316978 PPH Reminyl ER 24mg Cap DNP MRP E 02266733 JAN

N06DX OTHER ANTI-DEMENTIA DRUGS

N06DX01 MEMANTINE memantine 10mg tab Apo-Memantine 10mg Tab 02366487 APX CO Memantine 10mg Tab 02324067 COB pms-Memantine 10mg Tab 02321130 PMS ratio-Memantine 10mg Tab 02320908 TEV Ebixa 10mg Tab 02260638 VLH

N07 OTHER NERVOUS SYSTEM DRUGS N07A PARASYMPATHOMIMETICS

N07AA ANTICHOLINESTERASES

N07AA01 NEOSTIGMINE Neostigmine Methylsulfate 0.5mg/mL Inj 00874957 SDZ Neostigmine Methylsulfate 1mg/mL Inj 00885282 SDZ Neostigmine Methylsulfate 2.5mg/mL Inj 01915436 SDZ Prostigmin 15mg Tab DNP SF 00869945 VLN

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N07AA02 PYRIDOSTIGMINE

Mestinon 180mg SR Tab DNP SF 00869953 VLN Mestinon 60mg Tab DNP SF 00869961 VLN

N07AB CHOLINE ESTERS

N07AB02 BETHANECHOL Duvoid 10mg Tab DNP SF 01947958 PAL

bethanechol chloride 25mg tab Duvoid 25mg Tab DNP SF 01947931 PAL Urecholine 25mg Tab (discontinued)

Duvoid 50mg Tab DNP SF 01947923 PAL

N07AX OTHER PARASYMPATHOMIMETICS

N07AX01 PILOCARPINE Salagen 5mg Tab DNP E 02216345 PFI

N07B DRUGS USED IN ADDICTIVE DISORDERS

N07BA DRUGS USED IN NICOTINE DEPENDENCE

N07BA02 BUPROPION Zyban 150mg Tab 02238441 BVL

N07BB DRUGS USED IN ALCOHOL DEPENDENCE

N07BB01 DISULFIRAM Disulfiram 250mg Cap DNP SF 00903079 CPD

N07BB03 ACAMPROSATE

Campral 333mg Tab DNP E 02293269 MYL

N07BB04 NALTREXONE ReVia 50mg Tab DNP E 02213826 APX

N07BC DRUGS USED IN OPIOID DEPENDENCE

N07BC02 METHADONE Metadol 1mg/mL O/L 02247694 PAL Metadol 10mg/mL O/L 02241377 PAL Methadone (o/l compound) D E 00999734 CPD Metadol 1mg Tab D E 02247698 PAL Metadol 5mg Tab D E 02247699 PAL Metadol 10mg Tab D E 02247700 PAL Metadol 25mg Tab D E 02247701 PAL

N07BC51 BUPRENORPHINE, COMBINATIONS

Suboxone 2mg/0.5mg SL Tab D E 02295695 SCH Suboxone 8mg/2mg SL Tab D E 02295709 SCH

N07C ANTIVERTIGO PREPARATIONS

N07CA ANTIVERTIGO PREPARATIONS

N07CA01 BETAHISTINE betahistine 16mg tab Novo-Betahistine 16mg Tab DNP MRP E 02280191 TEV Serc 16mg Tab DNP MRP E 02243878 ABB

betahistine 24mg tab Novo-Betahistine 24mg Tab DNP MRP E 02280205 TEV Serc 24mg Tab DNP MRP E 02247998 ABB

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N07CA03 FLUNARIZINE flunarizine 5mg cap Flunarizine 5mg Cap DNP MRP SF 02246082 AAP Sibelium 5mg Cap (discontinued)

N07X OTHER NERVOUS SYSTEM DRUGS

N07XX OTHER NERVOUS SYSTEM DRUGS

N07XX02 RILUZOLE Rilutek 50mg Tab DNP E 02242763 SAV

N07XX06 TETRABENAZINE

Nitoman 25mg Tab DNP SF 02199270 BVL

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P01 ANTIPROTOZOALS P01A AGENTS AGAINST AMOEBIASIS AND OTHER PROTOZOAL DISEASES

P01AA HYDROXYQUINOLINE DERIVATIVES

P01AA99 IODOQUINOL (DIIODOHYDROXYQUINOLINE) Diodoquin 650mg Tab DNP SF 01997750 GLE

P01AX OTHER AGENTS AGAINST AMOEBIASIS AND OTHER PROTOZOAL DISEASES

P01AX06 ATOVAQUONE Mepron 150mg/mL Oral Susp DNP SF 02217422 GSK

P01B ANTIMALARIALS

P01BA AMINOQUINOLINES

P01BA01 CHLOROQUINE chloroquine phosphate 250mg tab Novo-Chloroquine 250mg Tab DNP MRP SF 00021261 TEV Aralen 250mg Tab (discontinued)

P01BA02 HYDROXYCHLOROQUINE

hydroxychloroquine 200mg tab Apo-Hydroxyquine 200mg Tab DNP MRP SF 02246691 APX MYLAN-Hydroxychloroquine 200mg Tab DNP MRP SF 02252600 MYL Plaquenil 200mg Tab DNP MRP SF 02017709 SAV

P01BA03 PRIMAQUINE

Primaquine 15mg Tab DNP SF 02017776 SAV P01BC METHANOLQUINOLINES

P01BC01 QUININE Apo-Quinine 200mg Cap DNP SF 02254514 APX Quinine-Odan 200mg Cap DNP SF 00695440 ODN

quinine sulfate 200mg cap Novo-Quinine 200mg Cap DNP MRP SF 00021008 TEV Quinine 200mg Cap (discontinued)

quinine sulfate 300mg cap Novo-Quinine 300mg Cap DNP SF 00021016 TEV Quinine 300mg Cap (discontinued)

Apo-Quinine 300mg Cap DNP SF 02254522 APX Quinine-Odan 300mg Cap DNP SF 00695459 ODN Quinine-Odan 300mg Tab DNP SF 00695432 ODN

P01BC02 MEFLOQUINE

mefloquine 250mg tab Mefloquine 250mg Tab 02244366 AAP Larium 250mg Tab 02018055 HLR

P01BD DIAMINOPYRIMIDINES

P01BD01 PYRIMETHAMINE Daraprim 25mg Tab DNP SF 00004774 GSK

P02 ANTHELMINTICS P02C ANTINEMATODALS AGENTS

P02CA BENZIMIDAZOLE DERIVATIVES

P02CA01 MEBENDAZOLE Vermox 100mg Tab DNP SF 00556734 JAN

P02CA02 THIABENDAZOLE

Mintezol 500mg Tab DNP SF 00140228 FRS

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P03 ECTOPARASITICIDES, INCL. SCABICIDES, INSECTICIDES AND REPELLENTS P03A ECTOPARASITICIDES, INCL. SCABICIDES

P03AX OTHER ECTOPARASITICIDES, INCL. SCABICIDES

P03AX99 ISOPROPYL MYRISTATE Resultz 50% Top Sol 02279592 NYC

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R01 NASAL PREPARATIONS R01A DECONGESTANTS AND OTHER NASAL PREPARATIONS FOR TOPICAL USE

R01AB SYMPATHOMINETICS, COMBINATIONS EXCLUDING CORTICOSTEROIDS

R01AB01 PHENYLEPHRINE Soframycin Nasal Spray DNP SF 02224860 ERF

R01AC ANTIALLERGIC AGENTS, EXCLUDING CORTICOSTEROIDS

R01AC01 CROMOGLYCATE SODIUM cromoglycate sodium 2% nasal sol Rhinaris-CS Anti-Allergic Nasal Mist DNP SF 01950541 PMS Rynacrom 2% Nasal Sol (discontinued)

R01AC02 LEVOCABASTINE

Livostin 0.5mg/mL Nasal Spray DNP SF 02020017 JAN R01AD CORTICOSTEROIDS

R01AD01 BECLOMETHASONE beclomethasone dipropionate 50mcg/dose aqueous nasal spray Apo-Beclo 50mcg/dose Acq Nasal Sp DNP MRP SFC 02238796 APX MYLAN-Beclo 50mcg/dose Acq Nasal Spray DNP MRP SFC 02172712 MYL Nu-Beclomethasone 50mcg/dose Acq Nasal Sp DNP MRP SFC 02238577 NXP Beconase 50mcg/dose Acq Nasal Sp (discontinued)

R01AD04 FLUNISOLIDE

flunisolide 25mcg/dose nasal mist Apo-Flunisolide 25mcg/dose Nasal Spray 02239288 APX Rhinalar 25mcg/dose Nasal Mist (discontinued)

R01AD05 BUDESONIDE

budesonide 64mcg/dose aqueous nasal spray MYLAN-Budesonide AQ 64mcg/dose Nasal Spray DNP MRP SF 02241003 MYL Rhinocort 64mcg/dose Aqua Nasal Spray DNP MRP SF 02231923 AZE

MYLAN-Budesonide AQ 100mcg/dose Nasal Spray DNP SF 02230648 MYL Rhinocort 100mcg/dose Turbuhaler DNP SF 02035324 AZE

R01AD08 FLUTICASONE

fluticasone 50mcg/dose nasal spray Apo-Fluticasone 50mcg/dose Nasal Spray 02294745 APX ratio-Fluticasone 50mcg/dose Nasal Spray 02296071 TEV Flonase 50mcg/dose Nasal Spray 02213672 GSK

R01AD09 MOMETASONE

Nasonex 0.05% Nasal Spray DNP F7 02238465 SCH

R01AD11 TRIAMCINOLONE Nasacort AQ 55mcg/dose Nasal Spray 02213834 SAV

R01AX OTHER NASAL PREPARATIONS

R01AX03 IPRATROPIUM BROMIDE ipratropium bromide 0.3% nasal spray (21mcg/dose) pms-Ipratropium 21mcg/dose Nasal Spray DNP MRP SF 02239627 PMS Atrovent 21mcg/dose Nasal Spray DNP MRP SF 02163705 BOE

ipratropium bromide 0.6% nasal spray (42mcg/dose) Apo-Ipravent 42mcg/dose Nasal Spray DNP MRP SF 02246084 APX Atrovent 42mcg/dose Nasal Spray DNP MRP SF 02163713 BOE

7Full benefit for children aged 3 to 11 years.

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R01AX10 VARIOUS Dey-Pak Sodium Chloride Inhalation Sol 0.9% DNP SF 02058235 DLU

R03 DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES R03A ADRENERGICS, INHALANTS

R03AC SELECTIVE BETA2-ADRENOCEPTOR AGONISTS

R03AC02 SALBUTAMOL salbutamol 5mg/mL inh sol pms-Salbutamol 5mg/mL Resp Sol DNPM MRP E 02069571 PMS ratio-Salbutamol 5mg/mL Resp Sol DNPM MRP E 00860808 TEV Sandoz Salbutamol 5mg/mL Resp Sol DNPM MRP E 02154412 SDZ Ventolin 5mg/mL Resp Sol DNPM MRP E 02213486 GSK

salbutamol 0.5mg/mL unit dose inh sol pms-Salbutamol 0.5mg/mL Polynebs DNPM PRP E 02208245 PMS ratio-Salbutamol 0.5mg/mL Nebules DNPM PRP E 02239365 TEV Ventolin 0.5mg/mL Nebules (discontinued)

salbutamol 1mg/mL unit dose inh sol MYLAN-Salbutamol 1mg/mL Sterinebs DNPM PRP E 01926934 MYL pms-Salbutamol 1mg/mL Polynebs DNPM PRP E 02208229 PMS ratio-Salbutamol 1mg/mL Nebules DNPM PRP E 01986864 TEV Ventolin 1mg/mL Nebules DNPM PRP E 02213419 GSK

salbutamol 2mg/mL unit dose inh sol MYLAN-Salbutamol 2mg/mL Sterinebs DNPM PRP E 02173360 MYL pms-Salbutamol 2mg/mL Polynebs DNPM PRP E 02208237 PMS ratio-Salbutamol 2mg/mL Nebules DNPM PRP E 02239366 TEV Ventolin 2mg/mL Nebules DNPM PRP E 02213427 GSK

salbutamol 100mcg/dose oral inh Airomir 100mcg/act Inh DNPM MRP SF 02232570 GWP Apo-Salvent 100mcg/dose CFC Free Inh DNPM MRP SF 02245669 APX Ventolin HFA 100mcg/dose Inh DNPM MRP SF 02241497 GSK

Ventolin 200mcg/dose Diskus DNPM SFC 02243115 GSK

R03AC03 TERBUTALINE

Bricanyl 0.5mg/dose Turbuhaler DNP SF 00786616 AZE

R03AC12 SALMETEROL Serevent 50mcg/dose Diskus DNP E 02231129 GSK Serevent 50mcg/dose Diskhaler DNP E 02214261 GSK

R03AC13 FORMOTEROL

Foradil 12mcg Cap for Inhalation DNP E 02230898 NVR Oxeze 6mcg/dose Turbuhaler DNP E 02237225 AZE Oxeze 12mcg/dose Turbuhaler DNP E 02237224 AZE

R03AK ADRENERGICS AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

R03AK03 FENOTEROL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES Duovent UDV Inh Sol 02148633 BOE

R03AK04 SALBUTAMOL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

ipratropium bromide 200mcg/mL & salbutamol 1mg/mL unit dose inh sol MYLAN-Combo Sterinebs DNP MRP E 02272695 MYL ratio-IPRA SAL Inh Sol DNP MRP E 02243789 TEV Combivent UDV Inh Sol DNP MRP E 02231675 BOE

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R03AK06 SALMETEROL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES Advair 50/100mcg Diskus DNP E 02240835 GSK Advair 50/250mcg Diskus DNP E 02240836 GSK Advair 50/500mcg Diskus DNP E 02240837 GSK Advair HFA 25/125mcg/dose Inh DNP E 02245126 GSK Advair HFA 25/250mcg/dose Inh DNP E 02245127 GSK

R03AK07 FORMOTEROL AND OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

Symbicort 100/6mcg Turbuhaler DNP E 02245385 AZE Symbicort 200/6mcg Turbuhaler DNP E 02245386 AZE

R03B OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES, INHALANTS

R03BA GLUCOCORTICOIDS

R03BA01 BECLOMETHASONE QVAR 50mcg/dose Inh DNP SFC 02242029 GWP QVAR 100mcg/dose Inh DNP SFC 02242030 GWP

R03BA02 BUDESONIDE

Pulmicort 0.125mg/mL Nebuamps DNP E 02229099 AZE Pulmicort 0.25mg/mL Nebuamps DNP E 01978918 AZE Pulmicort 0.5mg/mL Nebuamps DNP E 01978926 AZE Pulmicort 100mcg/dose Turbuhaler DNP SF 00852074 AZE Pulmicort 200mcg/dose Turbuhaler DNP SF 00851752 AZE Pulmicort 400mcg/dose Turbuhaler DNP SF 00851760 AZE

R03BA05 FLUTICASONE

Flovent Diskus 50mcg DNP SF 02237244 GSK Flovent Diskus 100mcg DNP SF 02237245 GSK Flovent Diskus 250mcg DNP SF 02237246 GSK Flovent Diskus 500mcg DNP SF 02237247 GSK Flovent HFA 50mcg/act Inh DNP SF 02244291 GSK Flovent HFA 125mcg/act Inh DNP SF 02244292 GSK Flovent HFA 250mcg/act Inh DNP SF 02244293 GSK

R03BA08 CICLESONIDE

Alvesco 100mcg/dose Inh DNP SF 02285606 NYC Alvesco 200mcg/dose Inh DNP SF 02285614 NYC Omnaris 50mcg/dose Nasal Spray 02303671 NYC

R03BB ANTICHOLINERGICS

R03BB01 IPRATROPIUM BROMIDE ipratropium bromide 250mcg/mL inh sol (20mL) Apo-Ipravent 250mcg/mL Inh Sol DNP MRP E 02126222 APX MYLAN-Ipratropium 250mcg/mL Inh Sol DNP MRP E 02239131 MYL Novo-Ipramide 250mcg/mL Inh Sol DNP MRP E 02210479 TEV pms-Ipratropium 250mcg/mL Inh Sol DNP MRP E 02231136 PMS Atrovent 250mcg/mL Inh Sol (discontinued)

ipratropium bromide 125mcg/mL unit dose inh sol (2mL) pms-Ipratropium 125mcg/mL Polynebs DNP PRP E 02231135 PMS ratio-Ipratropium 125mcg/mL Nebules DNP PRP E 02097176 TEV Atrovent 125mcg/mL UDV (discontinued)

ipratropium bromide 250mcg/mL unit dose inh sol (1mL) MYLAN-Ipratropium 250mcg/mL Sterinebs DNP PRP E 02216221 MYL pms-Ipratropium 250mcg/mL Polynebs DNP PRP E 02231244 PMS ratio-Ipratropium 250mcg/mL Nebules DNP PRP E 02097168 TEV Atrovent 250mcg/mL UDV (discontinued)

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ipratropium bromide 250mcg/mL unit dose inh sol (2mL) MYLAN-Ipratropium 250mcg/mL Sterinebs DNP PRP E 02216221 MYL pms-Ipratropium 250mcg/mL Polynebs DNP PRP E 02231245 PMS ratio-Ipratropium 250mcg/mL Nebules DNP PRP E 02097168 TEV Atrovent 250mcg/mL UDV (discontinued)

Atrovent HFA 20mcg/dose Inhaler DNP SFC 02247686 BOE

R03BB04 TIOTROPIUM BROMIDE

Spiriva 18mcg Cap for Inh DNP E 02246793 BOE R03BC ANTIALLERGIC AGENTS, EXCLUDING CORTICOSTEROIDS

R03BC01 CROMOGLYCATE SODIUM cromoglycate sodium 1% unit dose inh sol pms-Sodium Cromoglycate 1% Neb Sol DNP E 02046113 PMS Intal 1% Neb Sol (discontinued)

R03C ADRENERGICS FOR SYSTEMIC USE

R03CB NON-SELECTIVE BETA-ADRENOCEPTOR AGONISTS

R03CB03 ORCIPRENALINE orciprenaline 2mg/mL syr Apo-Orciprenaline 2mg/mL Syr DNP MRP SF 02236783 APX Alupent 2mg/mL Syr (discontinued)

R03CC SELECTIVE BETA2-ADRENOCEPTOR AGONISTS

R03CC02 SALBUTAMOL salbutamol 0.4mg/mL o/l pms-Salbutamol 0.4mg/mL O/L (discontinued) Ventolin 0.4mg/mL O/L (discontinued)

salbutamol 2mg tab Apo-Salvent 2mg Tab DNP MRP SFC 02146843 APX Ventolin 2mg Tab (discontinued)

salbutamol 4mg tab Apo-Salvent 4mg Tab DNP MRP SFC 02146851 APX Ventolin 4mg Tab (discontinued)

R03CC03 TERBUTALINE

Bricanyl 2.5mg Tab DNP SF 00335355 AZE

R03D OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

R03DA XANTHINES

R03DA02 OXTRIPHYLLINE (CHOLINE THEOPHYLLINATE) Choledyl 20mg/mL Elx DNP SF 00476366 ERF

R03DA04 THEOPHYLLINE

theophylline 5.3mg/mL o/l pms-Theophylline 5.3mg/mL Elx DNP SF 00575151 PMS Elixophyllin 5.3mg/mL Elx (discontinued)

Theolair 80mg/15mL Liq DNP SF 01966219 GWP Apo-Theo LA 100mg Tab DNP SF 00692689 APX Novo-Theophyl SR 100mg Tab DNP SF 02230085 TEV

theophylline 200mg SR tab Novo-Theophyl SR 200mg Tab DNP MRP SF 02230086 TEV Theo-DUR 200mg Tab (discontinued)

Apo-Theo LA 200mg Tab DNP SF 00692697 APX

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theophylline 300mg SR tab Novo-Theophyl SR 300mg Tab DNP MRP SF 02230087 TEV Theo-DUR 300mg Tab (discontinued)

Apo-Theo LA 300mg Tab DNP SF 00692700 APX Uniphyl 400mg Tab DNP SF 02014165 PFR Uniphyl 600mg Tab DNP SF 02014181 PFR

R03DA05 AMINOPHYLLINE

Phyllocontin 225mg Tab (discontinued) DNP SF 02014270 PFR Phyllocontin 350mg Tab (discontinued) DNP SF 02014289 PFR

R03DA54 THEOPHYLLINE, COMBINATIONS EXCLUDING PSYCHOLEPTICS

Choledyl Expectorant DNP SF 00476374 ERF ratio-Bronc O/L DNP SF 00317225 TEV

R03DC LEUKOTRIENE RECEPTOR ANTAGONISTS

R03DC01 ZAFIRLUKAST Accolate 20mg Tab DNP E 02236606 AZE

R03DC03 MONTELUKAST

Singulair 4mg/pkt Granules DNP E 02247997 FRS Singulair 4mg Chewtabs DNP E 02243602 FRS Singulair 5mg Chewtabs DNP E 02238216 FRS Singulair 10mg Tab DNP E 02238217 FRS

R03DX OTHER SYSTEMIC DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES

R03DX05 OMALIZUMAB Xolair 150mg/vial Inj 02260565 NVR

R03DX07 ROFLUMILAST

Daxas 500mcg Tab 02359456 NYC R05 COUGH AND COLD PREPARATIONS R05C EXPECTORANTS, EXCLUDING COMBINATIONS WITH COUGH SUPPRESSANTS

R05CA EXPECTORANTS

R05CA03 GUAIFENESIN Robitussin 20mg/mL O/L 01931032 WCH

R05CB MUCOLYTICS

R05CB01 ACETYLCYSTEINE acetylcysteine 200mg/mL inj Acetylcysteine 200mg/mL Inj DNP MRP SF 02243098 SDZ Mucomyst 20% Inj DNP MRP SF 02091526 WLS

R05D COUGH SUPPRESSANTS, EXCLUDING COMBINATIONS WITH EXPECTORANTS

R05DA OPIUM ALKALOIDS AND DERIVATIVES

R05DA04 CODEINE Codeine Contin 50mg Tab D E 02230302 PFR Codeine Contin 100mg Tab D E 02163748 PFR Codeine Contin 150mg Tab D E 02163780 PFR Codeine Contin 200mg Tab D E 02163799 PFR Codeine Phosphate 30mg/mL Inj 00544884 SDZ Linctus Codeine Blanc 0.2% Liq D SFC 00380571 ATL Codeine Phosphate 4.7mg/mL Syr D SFC 00050024 ATL ratio-Codeine 5mg/mL Syr D SFC 00779474 TEV pms-Codeine 15mg Tab (discontinued) ratio-Codeine 15mg Tab D SFC 00593435 TEV ratio-Codeine 30mg Tab D SFC 00593451 TEV

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R06 ANTIHISTAMINES FOR SYSTEMIC USE R06A ANTIHISTAMINES FOR SYSTEMIC USE

R06AA AMINOALKYL ETHERS

R06AA02 DIPHENHYDRAMINE Benadryl 25mg Caplets 02017849 JNJ Benadryl 12.5mg/5mL Elx 02019736 JNJ Diphenhydramine 50mg/mL Inj 00596612 SDZ

R06AA09 DOXYLAMINE

Diclectin Tab DNPM SFC 00609129 DUI R06AE PIPERAZINE DERIVATIVES

R06AE05 MECLIZINE (MECLOZINE) Bonamine 25mg Tab DNP SF 00220442 JNJ

R06AE07 CETIRIZINE

Reactine 5mg Tab DNP E 02223546 JNJ

cetirizine 10mg tab APC-Cetirizine 10mg Tab DNP MRP E 02231603 APX Apo-Cetirizine 10mg Tab DNP MRP E 02231603 APX Extra Strength Allergy Relief 10mg Tab DNP MRP E 02315955 PDP Reactine 10mg Tab DNP MRP E 02223554 JNJ

R06AX OTHER ANTIHISTAMINES FOR SYSTEMIC USE

R06AX13 LORATADINE Claritin 1mg/mL Syr 02019973 SCH

loratadine 10mg tab APC-Loratadine 10mg Tab DNP MRP E 02243880 APX Apo-Loratadine 10mg Tab DNP MRP E 02243880 APX Claritin 10mg Tab DNP MRP E 00782696 SCH

R06AX17 KETOTIFEN

ketotifen fumarate 1mg/5mL syr Novo-Ketotifen 1mg/5mL Syr DNP SF 02176084 TEV Zaditen 1mg/5mL Syr (discontinued)

ketotifen fumarate 1mg tab Novo-Ketotifen 1mg Tab DNP MRP SF 02230730 TEV Zaditen 1mg Tab DNP MRP SF 00577308 TEV

R06AX26 FEXOFENADINE

Allegra 60mg Tab 02231462 SAV Allegra 120mg Tab 02242819 SAV

R06AX27 DESLORATADINE

desloratadine 5mg tab Desloratadine Allergy Control 5mg Tab 02298155 PDP Aerius 5mg Tab 02243919 SCH

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R07 OTHER RESPIRATORY SYSTEM PRODUCTS R07A OTHER RESPIRATORY SYSTEM PRODUCTS

R07AX OTHER RESPIRATORY SYSTEM PRODUCTS

R07AX01 OTHER RESPIRATORY SYSTEM PRODUCTS AreoChamber AC-Boyz DNP FC 96899976 TMI AreoChamber AC-Girlz DNP FC 96899975 TMI AeroChamber Adult DNP SFC 96899993 TMI AeroChamber Max Adult DNP SFC 96899997 TMI AeroChamber Adult with Mask DNP SFC 96899998 TMI AeroChamber Max Adult with Mask DNP SFC 96899994 TMI AeroChamber Infant with Mask DNP FC 96899999 TMI AeroChamber Max Infant with Mask DNP FC 96899996 TMI AeroChamber Pediatric with Mask DNP FC 96899992 TMI AeroChamber Plus Flow-Vu with Mask (Lg) DNP SFC 96899969 TMI AeroChamber Plus Flow-Vu with Mask (Med) DNP SFC 96899970 TMI AeroChamber Plus Flow-Vu with Mouthpiece DNP SFC 96899968 TMI AeroChamber Plus Flow-Vu with Mask (Sm) DNP FC 96899971 TMI AeroChamber Max Pediatric with Mask DNP FC 96899995 TMI

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S01 OPHTHALMOLOGICALS S01A ANTIINFECTIVES

S01AA ANTIBIOTICS

S01AA01 CHLORAMPHENICOL Pentamycetin 1% Oph Oint DNPO SF 01980564 SDZ Pentamycetin 0.25% Oph Sol DNPO SF 01980556 SDZ Pentamycetin 0.5% Oph Sol DNPO SF 02164051 SDZ

S01AA07 FRAMYCETIN

Soframycin 0.5% Oph Oint DNPO SF 02224895 ERF Soframycin 0.5% Oph Sol DNPO SF 02224887 ERF

S01AA11 GENTAMICIN

gentamicin 0.3% oph oint Sandoz Gentamicin 0.3% Oph Oint DNPO SF 02230888 SDZ Garamycin 0.3% Oph Oint (discontinued)

gentamicin 0.3% oph sol pms-Gentamicin 0.3% Oph Sol 00776521 PMS Sandoz Gentamicin 0.3% Oph Sol DNPO MRP SF 02229440 SDZ Garamycin 0.3% Oph Sol DNPO MRP SF 00512192 SCH

Alcomicin 0.3% Oph Sol DNPO SF 00436771 ALC

S01AA12 TOBRAMYCIN

Tobrex 0.3% Oph Oint DNPO SF 00614254 ALC

tobramycin 0.3% oph sol Sandoz Tobramycin 0.3% Oph Sol DNPO MRP SF 02241755 SDZ Tobrex 0.3% Oph Sol DNPO MRP SF 00513962 ALC pms-Tobramycin 0.3% Oph Sol (discontinued)

S01AA13 FUSIDIC ACID

Fucithalmic 1% Oph Sol 02243862 LEO

S01AA17 ERYTHROMYCIN pms-Erythromycin 0.5% Oph Oint DNPMO SF 01912755 PMS

S01AA30 ANTIBIOTICS (OPHTHALMIC), COMBINATIONS

Polytrim Oph Sol 02011956 ALL S01AB SULFONAMIDES

S01AB04 SULFACETAMIDE sulfonamides sodium 10% oph oint Cetamide 10% Oph Oint DNPO SF 00252522 ALC Sodium Sulamyd 10% Oph Oint (discontinued)

Sodium Sulamyd 10% Oph Sol DNPO SF 00028053 SDZ

S01AD ANTIVIRALS

S01AD02 TRIFLURIDINE trifluridine 1% oph sol Sandoz Trifluridine 1% Oph Sol DNPO MRP SF 02248529 SDZ Viroptic 1% Oph Sol DNPO MRP SF 00687456 THR

S01AX OTHER ANTIINFECTIVES

S01AX11 OFLOXACIN ofloxacin 0.3% oph sol Apo-Ofloxacin 0.3% Oph Sol DNPO MRP E 02248398 APX pms-Ofloxacin 0.3% Oph Sol DNPO MRP E 02252570 PMS Ocuflox 0.3% Oph Sol DNPO MRP E 02143291 ALL

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S01AX13 CIPROFLOXACIN Ciloxan 0.3% Oph Oint DNPO E 02200864 ALC

ciprofloxacin 0.3% oph sol Apo-Ciproflox 0.3% Oph Sol DNPO MRP E 02263130 APX pms-Ciprofloxacin 0.3% Oph Sol DNPO MRP E 02253933 PMS Ciloxan 0.3% Oph Sol DNPO MRP E 01945270 ALC

S01AX21 GATIFLOXACIN

Zymar 0.3% Oph Sol 02257270 ALL

S01AX22 MOXIFLOXACIN Vigamox 0.5% Oph Sol 02252260 ALC

S01B ANTIINFLAMMATORY AGENTS

S01BA CORTICOSTEROIDS, PLAIN

S01BA01 DEXAMETHASONE Maxidex 0.1% Oph Oint DNPO SF 00042579 ALC Maxidex 0.1% Oph Susp DNPO SF 00042560 ALC

S01BA02 HYDROCORTISONE

Cortamed 2.5% Oph Oint DNPO SF 01980661 SDZ

S01BA04 PREDNISOLONE prednisolone acetate 0.12% oph susp Sandoz Prednisolone 0.12% Oph Susp DNPO MRP SF 01916181 SDZ Pred Mild 0.12% Oph Susp DNPO MRP SF 00299405 ALL

prednisolone acetate 1% oph susp ratio-Prednisolone 1% Oph Susp DNPO MRP SF 00700401 TEV Sandoz Prednisolone 1% Oph Susp DNPO MRP SF 01916203 SDZ Pred Forte 1% Oph Susp DNPO MRP SF 00301175 ALL

Diopred 1% Oph Susp DNPO SF 02023768 SDZ

S01BA07 FLUOROMETHOLONE

fluorometholone 0.1% oph sol pms-Fluorometholone 0.1% Liquifilm Oph Sol DNPO MRP SF 02238568 PMS FML 0.1% Liquifilm Oph Sol DNPO MRP SF 00247855 ALL

FML Forte 0.25% Oph Sol DNPO SF 00707511 ALL Flarex 0.1% Oph Sol DNPO SF 00756784 ALC

S01BA14 LOTEPREDNOL Lotemax 0.5% Oph Susp 02321114 BSH

S01BC ANTIINFLAMMATORY AGENTS, NON STEROIDS

S01BC03 DICLOFENAC Voltaren 0.1% Ophtha Oph Sol DNPO SF 01940414 ALC

S01BC05 KETOROLAC

ketorolac 0.5% oph sol Apo-Ketorolac 0.5% Oph Sol DNPO MRP SF 02245821 APX ratio-Ketorolac 0.5% Oph Sol DNPO MRP SF 02247461 TEV Acular 0.5% Oph Sol DNPO MRP SF 01968300 ALL

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S01C ANTIINFLAMMATORY AGENTS AND ANTIINFECTIVES IN COMBINATION

S01CA CORTICOSTEROIDS AND ANTIINFECTIVES IN COMBINATION

S01CA01 DEXAMETHASONE AND ANTIINFECTIVES Maxitrol Oph Oint DNPO SF 00358177 ALC Tobradex Oph Oint DNPO SF 00778915 ALC Tobradex Oph Sol DNPO SF 00778907 ALC Maxitrol Oph Susp DNPO SF 00042676 ALC

S01CA02 PREDNISOLONE AND ANTIINFECTIVES

Blephamide Oph Oint DNPO SF 00307246 ALL Blephamide Oph Sol DNPO SF 00807788 ALL

S01CA03 HYDROCORTISONE AND ANTIINFECTIVES

hydrocortisone & antiinfectives oph oint Sandoz Cortimyxin Oph Oint DNPO MRP SF 02242485 SDZ Cortisporin Oph Oint (discontinued)

S01E ANTIGLAUCOMA PREPARATIONS AND MIOTICS

S01EA SYMPATHOMIMETICS IN GLAUCOMA THERAPY

S01EA03 APRACLONIDINE Iopidine 0.5% Oph Sol DNP SF 02076306 ALC

S01EA05 BRIMONIDINE

brimonidine 0.15% oph sol Apo-Brimonidine P 0.15% Oph Sol 02301334 APX Alphagan P 0.15% Oph Sol 02248151 ALL

brimonidine 0.2% oph sol Apo-Brimonidine 0.2% Oph Sol DNP MRP SF 02260077 APX pms-Brimonidine 0.2% Oph Sol DNP MRP SF 02246284 PMS ratio-Brimonidine 0.2% Oph Sol DNP MRP SF 02243026 TEV Sandoz Brimonidine 0.2% Oph Sol DNP MRP SF 02305429 SDZ Alphagan 0.2% Oph Sol DNP MRP SF 02236876 ALL

S01EB PARASYMPATHOMIMETICS

S01EB01 PILOCARPINE Pilopine HS 4% Oph Gel DNP SF 00575240 ALC Isopto Carpine 1% Oph Sol DNP SF 00000841 ALC Isopto Carpine 2% Oph Sol DNP SF 00000868 ALC Isopto Carpine 4% Oph Sol DNP SF 00000884 ALC

S01EB02 CARBACHOL

Isopto Carbachol 1.5% Oph Sol DNP SF 00000655 ALC Isopto Carbachol 3% Oph Sol DNP SF 00000663 ALC

S01EC CARBONIC ANHYDRASE INHIBITORS

S01EC01 ACETAZOLAMIDE acetazolamide 250mg tab Acetazolamide Tablets 250mg DNP MRP SF 00545015 AAP Diamox 250mg Tab (discontinued)

S01EC03 DORZOLAMIDE

dorzolamide HCI 2% oph solSandoz Dorzolamide 2% Oph Sol DNP MRP SF 02316307 SDZ Trusopt 2% Oph Sol DNP MRP SF 02216205 FRS Trusopt 2% (PF) Oph Sol 02269090 FRS

S01EC04 BRINZOLAMIDE

Azopt 1% Oph Sol DNP SF 02238873 ALC

S01EC05 METHAZOLAMIDE Methazolamide 50mg Tab DNP SF 02245882 AAP

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S01ED BETA BLOCKING AGENTS

S01ED01 TIMOLOL timolol maleate 0.25% oph gel Timoptic-XE 0.25% Oph Gel DNP SF 02171880 FRS Timolol Maleate-EX 0.25% Oph Gel (discontinued)

timolol maleate 0.5% oph gel Timoptic-XE 0.5% Oph Gel DNP SF 02171899 FRS Timolol Maleate-EX 0.5% Oph Gel (discontinued)

Apo-Timop 0.5% Oph Gel DNP SF 02290812 APX

timolol maleate 0.25% oph sol Apo-Timop 0.25% Oph Sol DNP MRP SF 00755826 APX MYLAN-Timolol 0.25% Oph Sol DNP MRP SF 00893773 MYL Sandoz Timolol 0.25% Oph Sol DNP MRP SF 02166712 SDZ pms-Timolol 0.25% Oph Sol (discontinued) Timoptic 0.25% Oph Sol (discontinued)

timolol maleate 0.5% oph sol Apo-Timop 0.5% Oph Sol DNP MRP SF 00755834 APX MYLAN-Timolol 0.5% Oph Sol DNP MRP SF 00893781 MYL Sandoz Timolol 0.5% Oph Sol DNP MRP SF 02166720 SDZ Timoptic 0.5% Oph Sol DNP MRP SF 00451207 FRS pms-Timolol 0.5% Oph Sol (discontinued)

S01ED02 BETAXOLOL

Betoptic-S 0.25% Oph Susp DNP SF 01908448 ALC

S01ED03 LEVOBUNOLOL levobunolol HCl 0.25% oph sol ratio-Levobunolol 0.25% Oph Sol DNP MRP SF 02031159 TEV Betagan 0.25% Oph Sol (discontinued)

levobunolol HCl 0.5% oph sol pms-Levobunolol 0.5% Oph Sol DNP MRP SF 02237991 PMS ratio-Levobunolol 0.5% Oph Sol DNP MRP SF 02031167 TEV Sandoz Levobunolol 0.5% Oph Sol DNP MRP SF 02241716 SDZ Betagan 0.5% Oph Sol DNP MRP SF 00637661 ALL

S01ED51 TIMOLOL, COMBINATIONS

Azarga Oph Susp DNP SF 02331624 ALC Combigan Oph Sol DNP SF 02248347 ALL dorzolamide HCI 2% & timolol maleate 0.5% oph solApo-Dorzo-Timop 2%/0.5% Oph Sol DNP MRP SF 02299615 APX Sandoz Dorzolamide/Timolol 2%/0.5% Oph Sol DNP MRP SF 02344351 SDZ Cosopt Oph Sol DNP MRP SF 02240113 FRS

Cosopt (PF) Oph Sol 02258692 FRS Duo Trav Oph Sol DNP SF 02278251 ALC Xalacom Oph Sol DNP SF 02246619 PFI

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S01EE PROSTAGLANDIN ANALOGUES

S01EE01 LATANOPROST latanoprost 50mcg/mL oph sol Apo-Latanoprost 0.005% Oph Sol DNP MRP SF 02296527 APX Xalatan 0.005% Oph Sol DNP MRP SF 02231493 PFI

S01EE03 BIMATOPROST

Lumigan 0.03% Oph Sol DNP SF 02245860 ALL Lumigan RC 0.01% Oph Sol DNP SF 02324997 ALL

S01EE04 TRAVOPROST

Travatan 0.004% Oph Sol DNP SF 02244896 ALC Travatan Z 0.004% Oph Sol DNP SF 02318008 ALC

S01F MYDRIATICS AND CYCLOPLEGICS

S01FA ANTICHOLINERGICS

S01FA01 ATROPINE Atropine 1% Oph Oint DNPO SF 00252484 ALC Isopto Atropine 1% Oph Sol DNPO SF 00035017 ALC

S01FA04 CYCLOPENTOLATE

Cyclogyl 1.0% Oph Sol DNPO SF 00252506 ALC

S01FA05 HOMATROPINE Isopto Homatropine 2% Sol DNPO SF 00000779 ALC Isopto Homatropine 5% Sol DNPO SF 00000787 ALC

S01FA06 TROPICAMIDE

Mydriacyl 0.5% Oph Sol DNPO SF 00000981 ALC Mydriacyl 1% Oph Sol DNPO SF 00001007 ALC Diotrope 1% Oph Sol DNPO SF 02023679 AKN

S01G DECONGESTANTS AND ANTIALLERGICS

S01GA SYMPATHOMIMETICS USED AS DECONGESTANTS

S01GA05 PHENYLEPHRINE Mydfrin 2.5% Oph Sol DNPO SF 00465763 ALC

S01GX OTHER ANTIALLERGICS

S01GX01 CROMOGLYCATE SODIUM cromoglycate sodium 2% oph sol Cromolyn 2% Oph Sol DNPO MRP SF 02009277 PDP Opticrom 2% Oph Sol DNPO MRP SF 02230621 ALL

S01GX02 LEVOCABASTINE

Livostin 0.5mg/mL Oph Sol (discontinued)

S01GX06 EMEDASTINE Emadine 0.5% Oph Drops DNPO SF 02237355 ALC

S01GX08 KETOTIFEN

Zaditor 0.25% Oph Sol 02242324 NVO

S01GX09 OLOPATADINE Patanol 0.1% Oph Sol 02233143 ALC

S01H LOCAL ANESTHETICS

S01HA LOCAL ANESTHETICS

S01HA04 PROXYMETACAINE Alcaine 0.5% Drops DNPO SF 00035076 ALC

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S01L OCULAR VASCULAR DISORDER AGENTS

S01LA ANTINEOVASCULARISATION AGENTS

S01LA01 VERTEPORFIN Visudyne 15mg/vial Inj DNP E 02242367 NVO

S01LA03 PEGAPTANIB

Macugen 0.3mg/90mcl Prefilled Syringe 02267225 PFI

S01X OTHER OPHTHALMOLOGICALS

S01XA OTHER OPHTHALMOLOGICALS

S01XA03 SODIUM CHLORIDE, HYPERTONIC Muro 128 (5%) Oph Oint DNPO SF 00750816 BSH

sodium chloride, hypertonic 5% oph sol Sandoz Sodium Chloride 5% Oph Sol DNPO MRP SF 02245735 SDZ Muro 128 (5%) Oph Sol DNPO MRP SF 00750824 BSH

S01XA18 CICLOSPORIN

Restasis 0.05% 02355655 ALL

S01XA20 ARTIFICIAL TEARS AND OTHER INDIFFERENT PREPARATIONS GenTeal 0.3% Oph Gel DNPO SF 02242977 ALC GenTeal 3mg/g Oph Sol DNPO SF 02231289 ALC Refresh Celluvisc 1% Liq DNPO E 00870153 ALL Refresh 1% Liquigel 02244650 ALL Duolube Oph Oint DNPO SF 02125706 BSH Refresh Lacri-Lube Oph Oint 00210889 ALL Tears Naturale P.M. Oph Oint 02082519 ALC Hypotears Oph Oint 02133288 ALC TearGel Oph Oint DNPO SF 00999491 ALC

artificial tears 0.5% oph sol Sandoz Eyelube 0.5% Oph Sol 00889806 SDZ Isopto Tears 0.5% Oph Sol 00000809 ALC

artificial tears 1% oph sol Sandoz Eyelube 1% Oph Sol 00874965 SDZ Isopto Tears 1% Oph Sol 00000817 ALC

Artificial Tears 1.4% Oph Sol 02229570 PDP Artificial Tears Extra Oph Sol 02229632 PDP Bion Tears Oph Sol 02216051 ALC Hylashield 0.15%/0.4% Allets 00999176 IMD Hypotears 1% Oph Sol DNPO SF 02133253 ALC Liquifilm Tears 1.4% Oph Sol 00045616 ALL Moisture Oph Sol DNPO SF 02131978 BSH Refresh 1.4% Oph Sol DNPO E 02138670 ALL Refresh Plus 0.5% Oph Sol DNPO E 02049260 ALL Refresh Tears 0.5% Oph Sol DNPO E 02231008 ALL Tears Naturale Oph Sol 00390291 ALC Tears Naturale II Oph Sol DNPO SF 00743445 ALC Tears Naturale Free Oph Sol DNPO E 01943308 ALC Tears Plus 1.4% Oph Sol 00579408 ALL

S02 OTOLOGICALS S02A ANTIINFECTIVES

S02AA ANTIINFECTIVES

S02AA14 GENTAMICIN gentamicin 0.3% otic sol Sandoz Gentamicin 0.3% Otic Sol DNP MRP SF 02229441 SDZ Garamycin 0.3% Otic Sol DNP MRP SF 00512184 SCH

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pms-Gentamicin 0.3% Otic Sol (discontinued)

S02AA30 ANTIINFECTIVES, COMBINATIONS Buro-Sol Otic Sol DNP SF 00674222 STI

S02C CORTICOSTEROIDS AND ANTIIFECTIVES IN COMBINATION

S02CA CORTICOSTEROIDS AND ANTIINFECTIVES IN COMBINATION

S02CA02 FLUMETASONE AND ANTIINFECTIVES Locacorten Vioform Otic Sol DNP SF 00074454 PAL

S02CA03 HYDROCORTISONE AND ANTIINFECTIVES

polymyxin b sulfate, neomycin sulfate & hydrocortisone otic sol Sandoz Cortimyxin Otic Sol DNP MRP SF 02230386 SDZ Cortisporin Otic Sol DNP MRP SF 01912828 GSK

S02CA06 DEXAMETHASONE AND ANTIINFECTIVES

Ciprodex Otic Susp DNP E 02252716 ALC S03 OPHTHALMOLOGICAL AND OTOLOGICAL PREPARATIONS S03A ANTIINFECTIVES

S03AA ANTIINFECTIVES

S03AA30 ANTIINFECTIVES, COMBINATIONS polymixin b sulfate, neomycin sulfate & gramicidin oph/otic sol Optimyxin Plus Oph/Otic Sol DNPO MRP SF 00807435 SDZ Neosporin Oph/Otic Sol (discontinued)

S03B CORTICOSTEROIDS

S03BA CORTICOSTEROIDS

S03BA01 DEXAMETHASONE dexamethasone 0.1% oph/otic sol Sandoz Dexamethasone 0.1% Oph/Otic Sol DNPO SF 00739839 SDZ Decadron 0.1% Oph/Otic Sol (discontinued)

S03C CORTICOSTEROIDS AND ANTIINFECTIVES IN COMBINATION

S03CA CORTICOSTEROIDS AND ANTIINFECTIVES IN COMBINATION

S03CA01 DEXAMETHASONE AND ANTIINFECTIVES dexamethasone, framycetin sulfate & gramicidin oph/otic sol Sandoz Opticort Oph/Otic Sol DNPO MRP SF 02247920 SDZ Sofracort Oph/Otic Sol DNPO MRP SF 02224623 SAV

S03CA04 HYDROCORTISONE AND ANTIINFECTIVES

Pentamycetin HC Oph/Otic Oint DNPO SF 01980580 SDZ Pentamycetin HC Oph/Otic Susp DNPO SF 01980572 SDZ

S03CA06 BETAMETHASONE AND ANTIINFECTIVES

betamethasone & gentamicin oph/otic sol Sandoz Pentasone Oph/Otic Sol DNPO MRP SF 02244999 SDZ Garasone Oph/Otic Sol DNPO MRP SF 00682217 SCH

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V01 ALLERGENS V01A ALLERGENS

V01AA ALLERGEN EXTRACTS

V01AA02 GRASS POLLEN Pollinex-R Inj DNP E 00464988 AGT

V01AA20 VARIOUS

Allergy Serum DNP E 00999938 VAR V03 ALL OTHER THERAPEUTIC PRODUCTS V03A ALL OTHER THERAPEUTIC PRODUCTS

V03AB ANTIDOTES

V03AB15 NALOXONE naloxone 0.4mg/mL inj Naloxone 0.4mg/mL Inj 02148706 SDZ Narcan 0.4mg/mL Inj (discontinued)

naloxone 1mg/mL inj Naloxone 1mg/mL Inj 02148714 SDZ Narcan 1mg/mL Inj (discontinued)

V03AB25 FLUMAZENIL

flumazenil 0.1mg/mL inj Anexate 0.1mg/mL Inj 00874019 HLR Flumazenil 0.1mg/mL Inj 02249561 SDZ

V03AC IRON CHELATING AGENTS

V03AC01 DEFEROXAMINE deferoxamine 500mg/vial inj Desferrioxamine 500mg/vial Inj DNP MRP SF 02241600 HOS pms-Deferoxamine 500mg/vial Inj DNP MRP SF 02242055 PMS Desferal 500mg/vial Inj DNP MRP SF 01981242 NVR

Desferal 2g/vial Inj DNP SF 01981250 NVR

V03AC03 DEFERASIROX

Exjade 125mg Tab for Susp DNP E 02287420 NVR Exjade 250mg Tab for Susp DNP E 02287439 NVR Exjade 500mg Tab for Susp DNP E 02287447 NVR

V03AE DRUGS FOR TREATMENT OF HYPERKALEMIA AND HYPERPHOSPHATEMIA

V03AE01 POLYSTYRENE SULFONATE Kayexalate Powder DNP SF 02026961 SAV pms-Sodium Polystyrene Sulfonate Pd DNP SF 00755338 PMS pms-Sodium Polystyrene Sulfonate Susp DNP SF 00769541 PMS

V03AE02 SEVELAMER

Renagel 800mg Tab DNP E 02244310 GZM

V03AE03 LANTHANUM CARBONATE Fosrenol 250mg Tab 02287145 SHI Fosrenol 500mg Tab 02287153 SHI Fosrenol 750mg Tab 02287161 SHI Fosrenol 1,000mg Tab 02287188 SHI

V03AE99 CALCIUM ACETATE

Phoslo 667mg Tab 02229437 MYL

Page 186: Formulary KODE ATC

October 2011 Various – 178

V03AF DETOXIFYING AGENTS FOR ANTINEOPLASTIC TREATMENT

V03AF03 CALCIUM FOLINATE Lederle Leucovorin 5mg Tab DNP SFC 02170493 PFI

V03AH DRUGS FOR TREATMENT OF HYPOGLYCEMIA

V03AH01 DIAZOXIDE Proglycem 100mg Cap DNP SF 00503347 SCH

V04 DIAGNOSTIC AGENTS V04C OTHER DIAGNOSTIC AGENTS

V04CA TESTS FOR DIABETES

V04CA02 GLUCOSE Diabetic Testing Strips DNP SFD *Diabetic Supplies Benefit List

V04CJ TESTS FOR THYREOIDEA FUNCTION

V04CJ01 THYROTROPIN Thyrogen 0.9mg/mL Inj DNP E 02246016 GZM

V07 ALL OTHER NON-THERAPEUTIC PRODUCTS V07A ALL OTHER NON-THERAPEUTIC PRODUCTS

V07AB SOLVENTS AND DILUTING AGENTS, INCLUDING IRRIGATING SOLUTIONS

VO7AB99 STERILE WATER Bacteriostatic Water for Inj DNP SF 00038202 HOS Sterile Water for Inj DNP SF 00624721 AZE Sterile Water for Inj (WP) DNP SF 02142546 HOS

V07AS STOMI EQUIPMENT

V07AS01 STOMI EQUIPMENT *Ostomy Supplies Benefit List DNP SFC

V07AY OTHER NON-THERAPEUTIC AUXILIARY PRODUCTS

V07AY03 MISCELLANEOUS DEVICES Infusion Pump Cassette DNP SFC 00999970 VAR

V07AY04 INSULIN SYRINGES

*Diabetic Supplies Benefit List DNP SFD

V07AY05 INSULIN PEN NEEDLES *Diabetic Supplies Benefit List DNP SFD

V07AY06 DIABETIC LANCETS

*Diabetic Supplies Benefit List DNP SFD

V07AY90 PLACEBO Placebo DNP SFC 00999008 CPD Placebo Tab DNP SFC 00501190 ODN

Page 187: Formulary KODE ATC

Diabetic Supplies Benefit List

October 2011 MISCELLANEOUS –1

PIN PRODUCT DESCRIPTION PKG SIZE PRODUCT# MFR

INSULIN PEN NEEDLES 97799527 BD Ultra-Fine Nano Pen Needles 32g x 4mm 100 320144 BTD

97799897 BD Ultra-Fine II Pen Needles, 12.7mm, 29g 100 320223 BTD

97799896 BD Ultra-Fine III Mini Pen Needles, 5mm, 31g 100 320145 BTD

97799895 BD Ultra-Fine III Short Pen Needles. 8mm, 31g 100 320108 BTD

97799566 Insupen, 29g x 12mm 100 22988 DOM

97799567 Insupen, 30g x 8mm 100 22987 DOM

97799568 Insupen, 31g x 8mm 100 22990 DOM

97799569 Insupen, 31g x 6mm 100 22989 DOM

97799570 Insupen, 32g x 8mm 100 22984 DOM

97799571 Insupen, 32g x 6mm 100 22983 DOM

97799909 Novofine Pen Needles 28g X 12mm 100 890037 NNO

97799910 Novofine Pen Needles 30g X 8mm 100 890187 NNO

97799911 Novofine Pen Needles 30g X 6mm 100 890237 NNO

97799764 Novofine ETW Pen Needles 32g 100 86601 NNO

97799561 SUPER-FINE Pen Needles (Micro 29g 12.7mm) 100 933427927 PMS

97799563 SUPER-FINE Pen Needles (Micro 31g 5mm) 100 933427297 PMS

97799562 SUPER-FINE Pen Needles (XTRA 31g 8mm) 100 933427279 PMS

97799527 Ulticare Pen Needles 29g x 12mm 100 09512 DRX

97799545 Ulticare Pen Needles 31g x 6mm 100 09563 DRX

97799544 Ulticare Pen Needles 31g x 8mm 100 09583 DRX

97799991 Unifine Pen Needles 29g x 12mm 100 OMAM3529 AUT

97799993 Unifine Pen Needles 31g x 6mm 100 OMAM3590 AUT

97799992 Unifine Pen Needles 31g x 8mm 100 OMAM3530 AUT

INSULIN SYRINGES 97799889 BD Ultra-Fine Syringes, 1cc, 29g 100 320411 BTD

97799887 BD Ultra-Fine Syringes, 0.3cc, 29g 100 320431 BTD

97799888 BD Ultra-Fine Syringes, 0.5cc, 29g 100 320466 BTD

97799886 BD Ultra-Fine II Syringes, 0.3cc, 30g 100 320438 BTD

97799885 BD Ultra-Fine II Syringes, 0.5cc. 30g 100 320468 BTD

97799890 BD Ultra-Fine II Syringes, 1cc, 30g 100 320469 BTD

97799760 BD Ultra-Fine II Short Half-Unit Syringes, 0.3cc, 31g 100 320440 BTD

97799786 Monoject Syringes 0.3cc, 29 x 1/2" 100 8881600145 TYC

97799783 Monoject Syringes 0.3cc, 30g x 5/16" 100 8881600800 TYC

97799780 Monoject Syringes 0.5cc, 25g x 5/8" 100 1188528012 TYC

97799788 Monoject Syringes 0.5cc, 28g x 1/2" 100 8881600004 TYC

97799785 Monoject Syringes 0.5cc, 29g x 1/2" 100 8881600350 TYC

97799782 Monoject Syringes 0.5cc, 30g x 5/16" 100 8881600700 TYC

97799779 Monoject Syringes 1cc, 25g x 5/8" 100 1188125058 TYC

97799778 Monoject Syringes 1cc, 27g x 1/2" 100 1188127012 TYC

97799787 Monoject Syringes 1cc, 28g x 1/2" 100 8881601101 TYC

97799777 Monoject Syringes 1cc, 28g x 1/2" 100 1188128012 TYC

97799784 Monoject Syringes 1cc, 29g x 1/2" 100 8881601358 TYC

97799781 Monoject Syringes 1cc, 30g x 5/16" 100 8881601600 TYC

97799999 UltiCare Syringes 0.3cc, 29g 100 UC09239 AUT

97799996 UltiCare Syringes 0.3cc, 30g 100 UC09339 AUT

97799998 UltiCare Syringes 0.5cc, 29g 100 UC09259 AUT

97799995 UltiCare Syringes 0.5cc, 30g 100 UC09359 AUT

97799997 UltiCare Syringes 1cc, 29g 100 UC09219 AUT

97799994 UltiCare Syringes 1cc, 30g 100 UC09319 AUT

Page 188: Formulary KODE ATC

Diabetic Supplies Benefit List

October 2011 MISCELLANEOUS –2

PIN PRODUCT DESCRIPTION PKG SIZE PRODUCT# MFR

LANCETS *97799691 Abbott Thin 28g Lancets 100 7004302 MID

*97799689 Abbott Thin 28g Lancets 200 9868203 MID

*97799494 Accu-Chek Fastclix Lancets 102 05353807001 BOM

*97799495 Accu-Chek Fastclix Lancets 204 05353815001 BOM

*97799817 Accu-Chek Multiclix Lancets 102 4466314119 BOM

*97799816 Accu-Chek Multiclix Lancets 204 4466349119 BOM

*97799946 Accu-Chek Softclix Lancets 100 3146707 BOM

*97799945 Accu-Chek Softclix Lancets 200 3146693 BOM

*97799942 Accu-Chek Softclix Pro Lancets 200 3038157 BOM

*97799917 Ascensia Microlet Lancets 200 6550PC BDD

*97799918 Ascensia Microlet Lancets 100 6546BA BDD

*97799882 BD Ultra-Fine Lancets 100 326571 BTD

*97799883 BD Ultra-Fine Lancets 200 326572 BTD

*97799540 EZ Health Lancets 100 GMH-L3 THI

*97799825 Finger Stix Lancets 200 5965 BDD

*97799826 FreeStyle Lancets 100 83001 MID

*97799767 iTest Lancets 33g 100 IT31003 AUT

*97799766 iTest Lancets 28g 100 IT31005 AUT

*97799592 Medlance Plus Lite Lancets 25g 200 1381 MPD

*97799591 Medlance Plus Universal Lancets 21g 200 1382 MPD

*97799810 MPD Thin Lancets 100 P0555/P0455 MPD

*97799807 MPD Ultra Thin Lancets 100 P0465/P0565 MPD

*97799501 One-Touch Delica Lancets 100 022-142 LFS

*97799765 One-Touch SureSoft Lancets 21g 200 021-139 LFS

*97799970 One-Touch UltraSoft 100 020432 LFS

*97799948 Safe-T-Pro Lancets 200 2210916 BOM

TESTING STRIPS 97799916 Acetest 100 2381 BDD

*97799823 Accu-Chek Advantage Glucose Test Strips 50 2030578 BOM

*97799824 Accu-Chek Advantage Glucose Test Strips 100 2030551 BOM

*97799815 Accu-Chek AVIVA Test Strips 50 4454308164 BOM

*97799814 Accu-Chek AVIVA Test Strips 100 4538412164 BOM

*97799963 Accu-Chek Compact Test Strips 51 3021475 BOM

*97799962 Accu-Chek Compact Test Strips 102 3021475/102 BOM

*97799496 Accu-Chek Mobile BG Test Strip Cassette 50 05127670119 BOM

*97799497 Accu-Chek Mobile BG Test Strip Cassette 100 05190843119 BOM

97799851 Albustix 100 2870U BDD

*97799749 Ascensia Breeze 2 Test Strip Disc 50 1469 BDD

*97799748 Ascensia Breeze 2 Test Strip Disc 100 1470 BDD

*97799703 Ascensia Contour Test Strip 50 7081B BDD

*97799702 Ascensia Contour Test Strip 100 7091B BDD

97799950 Chemstrip 4-MD 50 704784 BOM

97799953 Chemstrip-9 100 398411 BOM

97799958 Chemstrip-BG (Accu-Chek) 50 1179446 BOM

97799957 Chemstrip-BG Glucose Strips (Visual Testing) 25 318710 BOM

97799951 Chemstrip-GP 100 200743 BOM

97799956 Chemstrip uGK Glucose and Ketone Strips 50 647705 BOM

* Pharmacare Reimbursement Price

Page 189: Formulary KODE ATC

Diabetic Supplies Benefit List

October 2011 MISCELLANEOUS –3

PIN PRODUCT DESCRIPTION PKG SIZE PRODUCT# MFR

97799915 Clinitest 100 2101 BDD

97799914 Diastix 50 2806 BDD

97799925 Elite Blood Glucose Test Strips 25 3912A BDD

*97799564 EZ Oracle Test Strips 100 GMH-B1S100 THI

*97799827 FreeStyle Blood Glucose Test Strips 50 82055 MID

*97799829 FreeStyle Blood Glucose Test Strips 100 82058 MID

*97799596 FreeStyle Lite Test Strips 50 6.99074E+11 MID

*97799597 FreeStyle Lite Test Strips 100 6.99074E+11 MID

97799849 Hemastix 50 2524A BDD

*97799770 iTest Blood Glucose Test Strips 50 IT31002 AUT

97799912 Keto-Diastix 100 2882U BDD

97799913 Ketostix 50 2880U BDD

97799854 Labstix 100 2810A BDD

97799853 Multistix 100 2820A BDD

*97799584 NovaMax Test Strips 50 43894 NBM

*97799583 NovaMax Test Strips 100 43955 NBM

*97799580 On-Call Plus Test Strips 25 1130069002 ACO

*97799581 On-Call Plus Test Strips 50 1130088501 ACO

*97799582 On-Call Plus Test Strips 100 1130089001 ACO

*97799977 One-Touch Test Strips 50 010-501 LFS

*97799976 One-Touch Test Strips 100 010-638 LFS

*97799983 One-Touch FastTake Blood Glucose Test Strips 50 010-455 LFS

*97799982 One-Touch FastTake Blood Glucose Test Strips 100 010-456 LFS

*97799986 One-Touch Ultra Test Strips 50 020-383 LFS

*97799985 One-Touch Ultra Test Strips 100 020-384 LFS

*97799476 One-Touch Verio Test Strips 50 022279 LFS

*97799475 One-Touch Verio Test Strips 100 022439 LFS

*97799841 Precision Xtra Test Strips 50 99786 MID

*97799840 Precision Xtra Test Strips 100 99059 MID

*97799531 TRUEtest Blood Glucose Test Strips 50 E3i20-81 HOM

*97799532 TRUEtest Blood Glucose Test Strips 100 E3i20-80 HOM

*97799603 TrueTrack Blood Glucose Test Strip 50 A-3120-81 HOM

*97799602 TrueTrack Blood Glucose Test Strip 100 A-3120-80 HOM

*97799601 Sidekick Blood Glucose Testing System 50/kit K-05011-47/D-4120-81 HOM

97799852 Uristix 100 2855U BDD _______________________________

* Pharmacare Reimbursement Price

Page 190: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 4

PIN PRODUCT DESCRIPTION PROD.# MFR

SKIN BARRIER / ADHESIVES 95099150 Adapt Barrier Strips 79400 HOL

95099149 Adapt Convex Barrier Rings 79520 HOL

95099148 Adapt Convex Barrier Rings 79530 HOL

95099147 Adapt Convex Barrier Rings 79540 HOL

95099151 Adapt Paste 79300 HOL

95099146 Adapt Skin Barrier Rings 7805 HOL

95099145 Adapt Skin Barrier Rings 7806 HOL

95099144 Adapt Skin Barrier Rings 7807 HOL

95099143 Adapt Skin Barrier Rings 7808 HOL

95099870 Allkare Protective Barrier Wipe 37439 CON

95099871 Allkare Protective Barrier Wipe 37444 CON

95098876 Coloplast Ostomy Paste 2650 COL

95098875 Coloplast Ostomy Strip Paste 2655 COL

95098866 Coloplast Prep Barrier 925 COL

95098867 Coloplast Prep Barrier Wipe 2041 COL

95098879 Coloplast Skin Barrier 3210 COL

95098878 Coloplast Skin Barrier 3215 COL

95098877 Coloplast Skin Barrier 3220 COL

95098872 Coloplast Skin Barrier Rings 2320 COL

95098871 Coloplast Skin Barrier Rings 2325 COL

95098870 Coloplast Skin Barrier Rings 2330 COL

95098869 Coloplast Skin Barrier Rings 2340 COL

95098868 Coloplast Skin Barrier Rings 2350 COL

95099861 Eakin Cohesive Seals 839001 CON

95099860 Eakin Cohesive Seals 839002 CON

95098352 Eakin Cohesive Seals - Slim 839005 CON

95099859 Eakin Cohesive Skin Barrier 839003 CON

95099858 Eakin Cohesive Skin Barrier 839004 CON

95099157 Flextend Ext Wear Skin Barrier 8800 HOL

95099156 Flextend Ext Wear Skin Barrier 8801 HOL 95098268 FormaFlex Shape-to-Fit Skin

Barrier 14102 HOL

95098267 FormaFlex Shape-to-Fit Skin Barrier

14103 HOL

95098266 FormaFlex Shape-to-Fit Skin Barrier

14104 HOL

95099153 Hollihesive Skin Barrier 7700 HOL

95099152 Hollihesive Skin Barrier 7701 HOL

95099132 Medical Adhesive 7730 HOL

95099142 Premium Powder 7906 HOL

95099155 Premium Skin Barrier 7800 HOL

95099154 Premium Skin Barrier 7801 HOL

95099134 Skin Gel Protective Wipes 7917 HOL

93299587 Skin-Prep Protective Barrier 420279 SNE

93299586 Skin-Prep Protective Barrier 420425 SNE

95099864 Stomahesive Paste Tube 183910 CON

95099880 Stomahesive Protective Pdr 25510 CON

95099879 Stomahesive Skin Barrier 21712 CON

95099878 Stomahesive Skin Barrier 21715 CON

95099868 Urihesive Strips 173929 CON

PIN PRODUCT DESCRIPTION PROD.# MFR

SKIN BARRIERS or WAFERS w FLANGE (2 PIECE) 95099118 Assura E-E Wear 2831 COL

95099117 Assura E-E Wear 2832 COL

95099116 Assura E-E Wear 2833 COL

95099105 Assura E-E Wear 14232 COL

95099104 Assura E-E Wear 14233 COL

95099103 Assura E-E Wear 14234 COL

95099102 Assura E-E Wear 14235 COL

95099101 Assura E-E Wear 14236 COL

95099100 Assura E-E Wear 14237 COL

95099099 Assura E-E Wear 14238 COL

95099098 Assura E-E Wear 14239 COL

95099115 Assura E-E Wear 14243 COL

95099114 Assura E-E Wear 14246 COL

95099113 Assura E-E Wear 14249 COL

95099112 Assura E-E Wear 14250 COL

95099111 Assura E-E Wear 14251 COL

95099110 Assura E-E Wear 14252 COL

95099109 Assura E-E Wear 14254 COL

95099108 Assura E-E Wear 14255 COL

95099107 Assura E-E Wear 14257 COL

95099106 Assura E-E Wear 14258 COL

95098554 Assura E-E Wear 14281 COL

95098553 Assura E-E Wear 14282 COL

95098552 Assura E-E Wear 14283 COL

95098551 Assura E-E Wear 14291 COL

95098550 Assura E-E Wear 14292 COL

95098549 Assura E-E Wear 14293 COL

95098548 Assura E-E Wear 14294 COL

95098547 Assura E-E Wear 14295 COL

95098546 Assura E-E Wear 14296 COL

95098545 Assura E-E Wear 14297 COL

95098544 Assura E-E Wear 14298 COL

95098888 Assura Pediatric 2181 COL

95099097 Assura Std Wear 2881 COL

95099096 Assura Std Wear 2882 COL

95099095 Assura Std Wear 2883 COL

95099082 Assura Std Wear 12701 COL

95099081 Assura Std Wear 12702 COL

95099080 Assura Std Wear 12703 COL

95099079 Assura Std Wear 12704 COL

95099078 Assura Std Wear 12705 COL

95099077 Assura Std Wear 12706 COL

95099076 Assura Std Wear 12707 COL

95099075 Assura Std Wear 12708 COL

95099074 Assura Std Wear 12709 COL

95099094 Assura Std Wear 12716 COL

95099093 Assura Std Wear 12719 COL

95099089 Assura Std Wear 12840 COL

95099088 Assura Std Wear 12841 COL

95099087 Assura Std Wear 12842 COL

95099086 Assura Std Wear 12844 COL

Page 191: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 5

PIN PRODUCT DESCRIPTION PROD.# MFR

95099085 Assura Std Wear 12845 COL

95099084 Assura Std Wear 12847 COL

95099083 Assura Std Wear 12848 COL

95099092 Assura Std Wear 14261 COL

95099091 Assura Std Wear 14262 COL

95099090 Assura Std Wear 14263 COL

95099073 Assura Std Wear 14271 COL

95099072 Assura Std Wear 14272 COL

95099071 Assura Std Wear 14273 COL

95099070 Assura Std Wear 14274 COL

95099069 Assura Std Wear 14275 COL

95099068 Assura Std Wear 14276 COL

95099067 Assura Std Wear 14277 COL

95099066 Assura Std Wear 14278 COL

95099534 CenterPointLock Floating 3702 HOL

95099533 CenterPointLock Floating 3703 HOL

95099532 CenterPointLock Floating 3704 HOL

95099531 CenterPointLock Floating 3706 HOL

95099535 CenterPointLock Floating 3707 HOL

95099539 CenterPointLock Floating 3722 HOL

95099538 CenterPointLock Floating 3723 HOL

95099537 CenterPointLock Floating 3724 HOL

95099536 CenterPointLock Floating 3726 HOL

95099540 CenterPointLock Floating 3727 HOL

95099525 CenterPointLock Floating 3730 HOL

95099524 CenterPointLock Floating 3731 HOL

95099523 CenterPointLock Floating 3732 HOL

95099522 CenterPointLock Floating 3733 HOL

95099521 CenterPointLock Floating 3734 HOL

95099520 CenterPointLock Floating 3735 HOL

95099519 CenterPointLock Floating 3736 HOL

95099518 CenterPointLock Floating 3737 HOL

95099517 CenterPointLock Floating 3738 HOL

95099516 CenterPointLock Floating 3739 HOL

95099529 CenterPointLock Floating 3742 HOL

95099527 CenterPointLock Floating 3743 HOL

95099530 CenterPointLock Floating 3747 HOL

95099528 CenterPointLock Floating 3748 HOL

95099526 CenterPointLock Floating 3749 HOL

95099544 CenterPointLock Floating 3762 HOL

95099543 CenterPointLock Floating 3763 HOL

95099542 CenterPointLock Floating 3764 HOL

95099541 CenterPointLock Floating 3766 HOL

95099545 CenterPointLock Floating 3767 HOL

95099515 CenterPointLock Floating 37310 HOL

95099514 CenterPointLock Floating 37311 HOL

95099512 CenterPointLock Premier Flex 8722 HOL

95099511 CenterPointLock Premier Flex 8723 HOL

95099510 CenterPointLock Premier Flex 8724 HOL

95099513 CenterPointLock Premier Flex 8727 HOL

95099489 CenterPointLock Premier Flex 8731 HOL

95099488 CenterPointLock Premier Flex 8732 HOL

PIN PRODUCT DESCRIPTION PROD.# MFR

95099487 CenterPointLock Premier Flex 8733 HOL

95099486 CenterPointLock Premier Flex 8734 HOL

95099485 CenterPointLock Premier Flex 8735 HOL

95099484 CenterPointLock Premier Flex 8736 HOL

95099483 CenterPointLock Premier Flex 8737 HOL

95099482 CenterPointLock Premier Flex 8738 HOL

95099509 CenterPointLock Premier Flex 8743 HOL

95099508 CenterPointLock Premier Flex 8744 HOL

95099507 CenterPointLock Premier Flex 8745 HOL

95099506 CenterPointLock Premier Flex 8746 HOL

95099505 CenterPointLock Premier Flex 8747 HOL

95099504 CenterPointLock Premier Flex 8748 HOL

95099502 CenterPointLock Premier Flex 8752 HOL

95099501 CenterPointLock Premier Flex 8753 HOL

95099500 CenterPointLock Premier Flex 8754 HOL

95099503 CenterPointLock Premier Flex 8757 HOL

95099492 CenterPointLock Premier Flex 8774 HOL

95099491 CenterPointLock Premier Flex 8778 HOL

95099490 CenterPointLock Premier Flex 87711 HOL

95098837 Easiflex E-E Wear 14301 COL

95098836 Easiflex E-E Wear 14302 COL

95098835 Easiflex E-E Wear 14303 COL

95098977 Easiflex E-E Wear 14304 COL

95098839 Easiflex E-E Wear 14305 COL

95098838 Easiflex E-E Wear 14306 COL

95098543 Easiflex Std Wear 14309 COL

95098468 Easiflex Std Wear 14401 COL

95098477 Easiflex Std Wear 14402 COL

95098467 Easiflex Std Wear 14403 COL

95098466 Easiflex Std Wear 14406 COL

95099906 Esteem Synergy Dura Mold 409268 CON

95099905 Esteem Synergy Dura Mold 409269 CON

95099904 Esteem Synergy Dura Mold 409270 CON

95099919 Esteem Synergy Stomahesive 403948 CON

95099924 Esteem Synergy Stomahesive 405456 CON

95099923 Esteem Synergy Stomahesive 405457 CON

95099922 Esteem Synergy Stomahesive 405458 CON

95099921 Esteem Synergy Stomahesive 405467 CON

95099920 Esteem Synergy Stomahesive 405468 CON

95099917 Esteem Synergy Stomahesive 405472 CON

95099916 Esteem Synergy Stomahesive 405473 CON

95099915 Esteem Synergy Stomahesive 405474 CON

95099914 Esteem Synergy Stomahesive 405475 CON

95099913 Esteem Synergy Stomahesive 405476 CON

95099912 Esteem Synergy Stomahesive 405477 CON

95099911 Esteem Synergy Stomahesive 405478 CON

95099910 Esteem Synergy Stomahesive 405479 CON

95099909 Esteem Synergy Stomahesive 405480 CON

95099908 Esteem Synergy Stomahesive 405481 CON

95099907 Esteem Synergy Stomahesive 405482 CON

95099918 Esteem Synergy Stomahesive 405483 CON

95098269 First Choice Drainable 8131 HOL

Page 192: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 6

PIN PRODUCT DESCRIPTION PROD.# MFR

95098731 New Image Flat w Tape 14301 HOL

95098730 New Image Flat w Tape 14302 HOL

95098729 New Image Flat w Tape 14303 HOL

95098728 New Image Flat w Tape 14304 HOL

95098727 New Image Flat w Tape 14305 HOL

95098726 New Image Flat w Tape 14306 HOL

95098725 New Image Flat w Tape 14307 HOL

95098724 New Image Flat w Tape 14308 HOL

95098532 New Image Flat w Tape 14309 HOL

95098723 New Image Flat w Tape 14701 HOL

95098722 New Image Flat w Tape 14702 HOL

95098721 New Image Flat w Tape 14703 HOL

95098720 New Image Flat w Tape 14704 HOL

95098719 New Image Flat w Tape 14705 HOL

95098718 New Image Flat w Tape 14706 HOL

95098717 New Image Flat w Tape 14707 HOL

95098716 New Image Flat w Tape 14708 HOL

95098531 New Image Flat w Tape 14709 HOL

95098707 New Image Flat w/o Tape 16101 HOL

95098706 New Image Flat w/o Tape 16102 HOL

95098705 New Image Flat w/o Tape 16103 HOL

95098704 New Image Flat w/o Tape 16104 HOL

95098703 New Image Flat w/o Tape 16105 HOL

95098702 New Image Flat w/o Tape 16106 HOL

95098701 New Image Flat w/o Tape 16107 HOL

95098700 New Image Flat w/o Tape 16108 HOL

95098715 New Image Flat w/o Tape 16401 HOL

95098714 New Image Flat w/o Tape 16402 HOL

95098713 New Image Flat w/o Tape 16403 HOL

95098712 New Image Flat w/o Tape 16404 HOL

95098711 New Image Flat w/o Tape 16405 HOL

95098710 New Image Flat w/o Tape 16406 HOL

95098709 New Image Flat w/o Tape 16407 HOL

95098708 New Image Flat w/o Tape 16408 HOL

95099646 New Image Floating 14202 HOL

95099645 New Image Floating 14203 HOL

95099644 New Image Floating 14204 HOL

95099612 New Image Floating 14402 HOL

95099611 New Image Floating 14403 HOL

95099610 New Image Floating 14404 HOL

95099609 New Image Floating 14503 HOL

95099608 New Image Floating 14504 HOL

95099607 New Image Floating 14505 HOL

95099606 New Image Floating 14506 HOL

95099643 New Image Floating 14602 HOL

95099642 New Image Floating 14603 HOL

95099641 New Image Floating 14604 HOL

95099605 New Image Floating 14802 HOL

95099604 New Image Floating 14803 HOL

95099603 New Image Floating 14804 HOL

95098522 New Image Floating 14901 HOL

95098521 New Image Floating 14902 HOL

PIN PRODUCT DESCRIPTION PROD.# MFR

95099602 New Image Floating 14903 HOL

95099601 New Image Floating 14904 HOL

95099600 New Image Floating 14905 HOL

95099599 New Image Floating 14906 HOL

95098520 New Image Floating 14907 HOL

95098519 New Image Floating 14908 HOL

95098518 New Image Floating 14909 HOL

95098517 New Image Floating 14910 HOL

95098516 New Image Floating 14911 HOL

95099640 New Image Floating 15202 HOL

95099639 New Image Floating 15203 HOL

95099638 New Image Floating 15204 HOL

95099598 New Image Floating 15402 HOL

95099597 New Image Floating 15403 HOL

95099596 New Image Floating 15404 HOL

95099595 New Image Floating 15503 HOL

95099594 New Image Floating 15504 HOL

95099593 New Image Floating 15505 HOL

95099592 New Image Floating 15506 HOL

95099637 New Image Floating 15602 HOL

95099636 New Image Floating 15603 HOL

95099635 New Image Floating 15604 HOL

95099591 New Image Floating 15802 HOL

95099590 New Image Floating 15803 HOL

95099589 New Image Floating 15804 HOL

95099588 New Image Floating 15903 HOL

95099587 New Image Floating 15904 HOL

95099586 New Image Floating 15905 HOL

95099585 New Image Floating 15906 HOL

95099628 New Image Stationary 16301 HOL

95099627 New Image Stationary 16302 HOL

95099626 New Image Stationary 16303 HOL

95099625 New Image Stationary 16304 HOL

95099624 New Image Stationary 16305 HOL

95099623 New Image Stationary 16306 HOL

95099622 New Image Stationary 16307 HOL

95099621 New Image Stationary 16308 HOL

95099620 New Image Stationary 16701 HOL

95099619 New Image Stationary 16702 HOL

95099618 New Image Stationary 16703 HOL

95099617 New Image Stationary 16704 HOL

95099616 New Image Stationary 16705 HOL

95099615 New Image Stationary 16706 HOL

95099614 New Image Stationary 16707 HOL

95099613 New Image Stationary 16708 HOL

95099167 Pouchkins Pediatric 3770 HOL

95098333 Sensura Flex Skin 10101 COL

95098332 Sensura Flex Skin 10102 COL

95098377 Sensura Flex Skin 10103 COL

95098327 Sensura Flex Skin 10108 COL

95098326 Sensura Flex Skin 10111 COL

95098325 Sensura Flex Skin 10113 COL

Page 193: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 7

PIN PRODUCT DESCRIPTION PROD.# MFR

95098324 Sensura Flex Skin 10114 COL

95098323 Sensura Flex Skin 10116 COL

95098322 Sensura Flex Skin 10117 COL

95098283 Sensura Flex Skin 11301 COL

95098282 Sensura Flex Skin 11302 COL

95098281 Sensura Flex Skin 11303 COL

95098277 Sensura Flex Skin 11307 COL

95098275 Sensura Flex Skin 11312 COL

95098274 Sensura Flex Skin 11313 COL

95098273 Sensura Flex Skin 11314 COL

95098272 Sensura Flex Skin 11315 COL

95098363 Sensura Flex Skin 11316 COL

95098414 Sensura Std Wear 10011 COL

95098411 Sensura Std Wear 10012 COL

95098410 Sensura Std Wear 10013 COL

95098413 Sensura Std Wear 10021 COL

95098409 Sensura Std Wear 10022 COL

95098408 Sensura Std Wear 10023 COL

95098412 Sensura Std Wear 10031 COL

95098407 Sensura Std Wear 10032 COL

95098406 Sensura Std Wear 11011 COL

95098403 Sensura Std Wear 11012 COL

95098405 Sensura Std Wear 11021 COL

95098402 Sensura Std Wear 11022 COL

95098401 Sensura Std Wear 11023 COL

95098400 Sensura Std Wear 11024 COL

95098404 Sensura Std Wear 11031 COL

95098399 Sensura Std Wear 11032 COL

95099825 Sur-Fit AutoLock Dura Flex 401304 CON

95099824 Sur-Fit AutoLock Dura Flex 401305 CON

95099823 Sur-Fit AutoLock Dura Flex 401306 CON

95099822 Sur-Fit AutoLock Dura Flex 401307 CON

95099821 Sur-Fit AutoLock Dura Flex 401308 CON

95099820 Sur-Fit AutoLock Dura Flex 401429 CON

95099819 Sur-Fit AutoLock Dura Flex 401430 CON

95099818 Sur-Fit AutoLock Dura Flex 401431 CON

95099817 Sur-Fit AutoLock Dura Flex 401432 CON

95099701 Sur-Fit Natura Dura Flex 401905 CON

95099673 Sur-Fit Natura Dura Flex 413153 CON

95099672 Sur-Fit Natura Dura Flex 413154 CON

95099671 Sur-Fit Natura Dura Flex 413155 CON

95099670 Sur-Fit Natura Dura Flex 413156 CON

95099669 Sur-Fit Natura Dura Flex 413157 CON

95099668 Sur-Fit Natura Dura Flex 413159 CON

95099667 Sur-Fit Natura Dura Flex 413160 CON

95099666 Sur-Fit Natura Dura Flex 413161 CON

95099665 Sur-Fit Natura Dura Flex 413162 CON

95099664 Sur-Fit Natura Dura Flex 413163 CON

95099663 Sur-Fit Natura Dura Flex 413164 CON

95099662 Sur-Fit Natura Dura Flex 413165 CON

95099661 Sur-Fit Natura Dura Flex 413166 CON

95099660 Sur-Fit Natura Dura Flex 413167 CON

PIN PRODUCT DESCRIPTION PROD.# MFR

95099659 Sur-Fit Natura Dura Flex 413168 CON

95099658 Sur-Fit Natura Dura Low Prof 413177 CON

95099657 Sur-Fit Natura Dura Low Prof 413178 CON

95099656 Sur-Fit Natura Dura Low Prof 413179 CON

95099655 Sur-Fit Natura Dura Low Prof 413180 CON

95099653 Sur-Fit Natura Dura Low Prof 413182 CON

95099654 Sur-Fit Natura Dura Low Prof 413181 CON

95099652 Sur-Fit Natura Dura Low Prof 413183 CON

95099651 Sur-Fit Natura Dura Low Prof 413184 CON

95099650 Sur-Fit Natura Dura Low Prof 413185 CON

95099649 Sur-Fit Natura Dura Low Prof 413186 CON

95099648 Sur-Fit Natura Dura Low Prof 413187 CON

95099647 Sur-Fit Natura Dura Low Prof 413188 CON

95099676 Sur-Fit Natura Dura Mold 404592 CON

95099675 Sur-Fit Natura Dura Mold 404593 CON

95099674 Sur-Fit Natura Dura Mold 404594 CON

95098486 Sur-Fit Natura Dura Mold 411800 CON

95098484 Sur-Fit Natura Dura Mold 411802 CON

95098482 Sur-Fit Natura Dura Mold 411804 CON

95098480 Sur-Fit Natura Dura Mold 411806 CON

95099855 Sur-Fit Natura Little Ones 401925 CON

95099787 Sur-Fit Natura Stoma Flex 125257 CON

95099786 Sur-Fit Natura Stoma Flex 125258 CON

95099785 Sur-Fit Natura Stoma Flex 125259 CON

95099784 Sur-Fit Natura Stoma Flex 125260 CON

95099783 Sur-Fit Natura Stoma Flex 125261 CON

95099782 Sur-Fit Natura Stoma Flex 125262 CON

95099781 Sur-Fit Natura Stoma Flex 125263 CON

95099780 Sur-Fit Natura Stoma Flex 125264 CON

95099779 Sur-Fit Natura Stoma Flex 125265 CON

95099778 Sur-Fit Natura Stoma Flex 125266 CON

95099777 Sur-Fit Natura Stoma Flex 125267 CON

95099776 Sur-Fit Natura Stoma Flex 125268 CON

95099775 Sur-Fit Natura Stoma Flex 125269 CON

95099774 Sur-Fit Natura Stoma Flex 125270 CON

95099773 Sur-Fit Natura Stoma Flex 125271 CON

95099772 Sur-Fit Natura Stoma Flex 125272 CON

95099771 Sur-Fit Natura Stoma Flex 125273 CON

95099770 Sur-Fit Natura Stoma Flex 125274 CON

95099769 Sur-Fit Natura Stoma Flex 125275 CON

95099768 Sur-Fit Natura Stoma Flex 125276 CON

95099767 Sur-Fit Natura Stoma Flex 125277 CON

95098485 Sur-Fit Natura Stoma Mold 411801 CON

95098483 Sur-Fit Natura Stoma Mold 411803 CON

95098481 Sur-Fit Natura Stoma Mold 411805 CON

95098479 Sur-Fit Natura Stoma Mold 411807 CON

95099706 Sur-Fit Natura Stomahesive 401573 CON

95099705 Sur-Fit Natura Stomahesive 401574 CON

95099704 Sur-Fit Natura Stomahesive 401575 CON

95099703 Sur-Fit Natura Stomahesive 401576 CON

95099702 Sur-Fit Natura Stomahesive 401577 CON

95099700 Sur-Fit Natura Stomahesive 401906 CON

Page 194: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 8

PIN PRODUCT DESCRIPTION PROD.# MFR

POUCHES (OPEN-CLOSED) (2 PIECE) 95098996 Assura Easiclose Drainable 13870 COL

95099065 Assura Easiclose Drainable 13924 COL

95099063 Assura Easiclose Drainable 13925 COL

95099062 Assura Easiclose Drainable 13926 COL

95099061 Assura Easiclose Drainable 13964 COL

95099060 Assura Easiclose Drainable 13965 COL

95099059 Assura Easiclose Drainable 13966 COL

95099058 Assura Easiclose Drainable 13974 COL

95099057 Assura Easiclose Drainable 13975 COL

95099056 Assura Easiclose Drainable 13976 COL

95099055 Assura Easiclose Drainable 13984 COL

95099054 Assura Easiclose Drainable 13985 COL

95099053 Assura Easiclose Drainable 13986 COL

95098461 Assura Easiclose Drainable 14492 COL

95098476 Assura Easiclose Drainable 14493 COL

95098478 Assura Easiclose Drainable 14494 COL

95098475 Assura Easiclose Drainable 14495 COL

95098470 Assura Easiclose Drainable 14496 COL

95098474 Assura Easiclose Drainable 14497 COL

95098514 Assura Easiclose Drainable 14498 COL

95098886 Assura Pediatric Drainable 14681 COL

95098887 Assura Pediatric Drainable 14691 COL

95098840 Assura Pediatric Urostomy 1789 COL

95099031 Assura Two-Piece Closed 12344 COL

95099030 Assura Two-Piece Closed 12345 COL

95099029 Assura Two-Piece Closed 12346 COL

95099034 Assura Two-Piece Closed 12354 COL

95099033 Assura Two-Piece Closed 12355 COL

95099032 Assura Two-Piece Closed 12356 COL

95099025 Assura Two-Piece Closed 12374 COL

95099024 Assura Two-Piece Closed 12375 COL

95099023 Assura Two-Piece Closed 12376 COL

95099028 Assura Two-Piece Closed 12384 COL

95099027 Assura Two-Piece Closed 12385 COL

95099026 Assura Two-Piece Closed 12386 COL

95099052 Assura Two-Piece Drainable 2741 COL

95099051 Assura Two-Piece Drainable 2742 COL

95099050 Assura Two-Piece Drainable 2743 COL

95099046 Assura Two-Piece Drainable 2791 COL

95099045 Assura Two-Piece Drainable 2792 COL

95099044 Assura Two-Piece Drainable 2793 COL

95099049 Assura Two-Piece Drainable 2821 COL

95099048 Assura Two-Piece Drainable 2822 COL

95099047 Assura Two-Piece Drainable 2823 COL

95098420 Assura Urostomy 14224 COL

95098419 Assura Urostomy 14225 COL

95098418 Assura Urostomy 14226 COL

95098417 Assura Urostomy 14227 COL

95098416 Assura Urostomy 14228 COL

95098415 Assura Urostomy 14229 COL

PIN PRODUCT DESCRIPTION PROD.# MFR

95099035 Assura Urostomy Night Bag 21365 COL

95099446 CenterPointLock Closed 3342 HOL

95099445 CenterPointLock Closed 3343 HOL

95099444 CenterPointLock Closed 3344 HOL

95099447 CenterPointLock Closed 3347 HOL

95099476 CenterPointLock Drainable 3802 HOL

95099475 CenterPointLock Drainable 3803 HOL

95099474 CenterPointLock Drainable 3804 HOL

95099473 CenterPointLock Drainable 3806 HOL

95099477 CenterPointLock Drainable 3807 HOL

95099471 CenterPointLock Drainable 3812 HOL

95099470 CenterPointLock Drainable 3813 HOL

95099469 CenterPointLock Drainable 3814 HOL

95099472 CenterPointLock Drainable 3817 HOL

95099459 CenterPointLock Drainable 3832 HOL

95099458 CenterPointLock Drainable 3833 HOL

95099457 CenterPointLock Drainable 3834 HOL

95099460 CenterPointLock Drainable 3837 HOL

95099480 CenterPointLock Drainable 3842 HOL

95099479 CenterPointLock Drainable 3843 HOL

95099478 CenterPointLock Drainable 3844 HOL

95099481 CenterPointLock Drainable 3847 HOL

95099467 CenterPointLock Drainable 3872 HOL

95099466 CenterPointLock Drainable 3873 HOL

95099465 CenterPointLock Drainable 3874 HOL

95099463 CenterPointLock Drainable 3892 HOL

95099462 CenterPointLock Drainable 3893 HOL

95099461 CenterPointLock Drainable 3894 HOL

95099464 CenterPointLock Drainable 3897 HOL

95099442 CenterPointLock Premier 8342 HOL

95099441 CenterPointLock Premier 8343 HOL

95099440 CenterPointLock Premier 8344 HOL

95099443 CenterPointLock Premier 8347 HOL

95099451 CenterPointLock Premier 8812 HOL

95099450 CenterPointLock Premier 8813 HOL

95099449 CenterPointLock Premier 8814 HOL

95099448 CenterPointLock Premier 8816 HOL

95099452 CenterPointLock Premier 8817 HOL

95099455 CenterPointLock Premier 8842 HOL

95099454 CenterPointLock Premier 8843 HOL

95099453 CenterPointLock Premier 8844 HOL

95099456 CenterPointLock Premier 8847 HOL

95099430 CenterPointLock Premier 8902 HOL

95099429 CenterPointLock Premier 8903 HOL

95099428 CenterPointLock Premier 8904 HOL

95099431 CenterPointLock Premier 8907 HOL

95099438 CenterPointLock Stoma Cap 3402 HOL

95099437 CenterPointLock Stoma Cap 3403 HOL

95099436 CenterPointLock Stoma Cap 3404 HOL

95099439 CenterPointLock Stoma Cap 3407 HOL

95099434 CenterPointLock Urostomy 3902 HOL

95099433 CenterPointLock Urostomy 3903 HOL

Page 195: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 9

PIN PRODUCT DESCRIPTION PROD.# MFR

95099432 CenterPointLock Urostomy 3904 HOL

95099435 CenterPointLock Urostomy 3907 HOL

95098817 Easiflex Closed 14311 COL

95098815 Easiflex Closed 14312 COL

95098809 Easiflex Closed 14314 COL

95098818 Easiflex Closed 14316 COL

95098816 Easiflex Closed 14317 COL

95098810 Easiflex Closed 14319 COL

95098813 Easiflex Closed 14326 COL

95098811 Easiflex Closed 14327 COL

95098807 Easiflex Closed 14329 COL

95098814 Easiflex Closed 14331 COL

95098812 Easiflex Closed 14332 COL

95098808 Easiflex Closed 14334 COL

95098820 Easiflex Closed 14371 COL

95098819 Easiflex Closed 14372 COL

95098830 Easiflex Drainable w Easiclose 14341 COL

95098829 Easiflex Drainable w Easiclose 14342 COL

95098823 Easiflex Drainable w Easiclose 14344 COL

95098832 Easiflex Drainable w Easiclose 14346 COL

95098831 Easiflex Drainable w Easiclose 14347 COL

95098826 Easiflex Drainable w Easiclose 14349 COL

95098825 Easiflex Drainable w Easiclose 14356 COL

95098824 Easiflex Drainable w Easiclose 14357 COL

95098821 Easiflex Drainable w Easiclose 14359 COL

95098828 Easiflex Drainable w Easiclose 14361 COL

95098827 Easiflex Drainable w Easiclose 14362 COL

95098822 Easiflex Drainable w Easiclose 14364 COL

95098834 Easiflex Drainable w Easiclose 14376 COL

95098833 Easiflex Drainable w Easiclose 14377 COL

95098464 Easiflex Drainable w Easiclose 14520 COL

95098463 Easiflex Drainable w Easiclose 14521 COL

95098465 Easiflex Drainable w Easiclose 14524 COL

95098488 Easiflex Drainable w Easiclose 14525 COL

95098542 Easiflex Drainable w Easiclose 14527 COL

95098462 Easiflex Drainable w Easiclose 14528 COL

95098487 Easiflex Drainable w Easiclose 14529 COL

95099927 Esteem Synergy Closed 403946 CON

95099932 Esteem Synergy Closed 405430 CON

95099931 Esteem Synergy Closed 405431 CON

95099930 Esteem Synergy Closed 405432 CON

95099929 Esteem Synergy Closed 405436 CON

95099928 Esteem Synergy Closed 405437 CON

95099926 Esteem Synergy Closed 405441 CON

95099925 Esteem Synergy Closed 405442 CON

95098653 Esteem Synergy Drainable 403995 CON

95098652 Esteem Synergy Drainable 403997 CON

95099939 Esteem Synergy Drainable 405400 CON

95099938 Esteem Synergy Drainable 405401 CON

95099937 Esteem Synergy Drainable 405402 CON

95099936 Esteem Synergy Drainable 405403 CON

95099935 Esteem Synergy Drainable 405404 CON

PIN PRODUCT DESCRIPTION PROD.# MFR

95099934 Esteem Synergy Drainable 405405 CON

95099933 Esteem Synergy Drainable 405406 CON

95099899 Esteem Synergy Drainable 410803 CON

95099898 Esteem Synergy Drainable 410804 CON

95099933 Esteem Synergy Drainable 410805 CON

95099897 Esteem Synergy Drainable 410806 CON

95099896 Esteem Synergy Drainable 410807 CON

95099895 Esteem Synergy Drainable 410808 CON

95099894 Esteem Synergy Drainable 410809 CON

95098739 Esteem Synergy Invisiclose 410810 CON

95098738 Esteem Synergy Invisiclose 410811 CON

95098737 Esteem Synergy Invisiclose 410812 CON

95098736 Esteem Synergy Invisiclose 410813 CON

95098735 Esteem Synergy Invisiclose 410814 CON

95098734 Esteem Synergy Invisiclose 410815 CON

95098733 Esteem Synergy Invisiclose 413353 CON

95098732 Esteem Synergy Invisiclose 413354 CON

95098651 Esteem Synergy Urostomy 405446 CON

95098650 Esteem Synergy Urostomy 405447 CON

95098644 Esteem Synergy Urostomy 405448 CON

95098643 Esteem Synergy Urostomy 405449 CON

95098642 Esteem Synergy Urostomy 405450 CON

95098647 Esteem Synergy Urostomy 405451 CON

95098646 Esteem Synergy Urostomy 405452 CON

95098645 Esteem Synergy Urostomy 405453 CON

95098649 Esteem Synergy Urostomy 405454 CON

95098530 New Image Closed 18332 HOL

95098529 New Image Closed 18333 HOL

95098528 New Image Closed 18334 HOL

95098627 New Image Closed 18362 HOL

95098626 New Image Closed 18363 HOL

95098625 New Image Closed 18364 HOL

95098624 New Image Closed 18372 HOL

95098623 New Image Closed 18373 HOL

95098622 New Image Closed 18374 HOL

95098527 New Image Closed Mini 18352 HOL

95098526 New Image Closed Mini 18353 HOL

95098525 New Image Closed Mini 18354 HOL

95099569 New Image Drainable 18102 HOL

95099568 New Image Drainable 18103 HOL

95099567 New Image Drainable 18104 HOL

95099572 New Image Drainable 18122 HOL

95099571 New Image Drainable 18123 HOL

95099570 New Image Drainable 18124 HOL

95099563 New Image Drainable 18142 HOL

95099562 New Image Drainable 18143 HOL

95099561 New Image Drainable 18144 HOL

95099566 New Image Drainable 18202 HOL

95099565 New Image Drainable 18203 HOL

95099564 New Image Drainable 18204 HOL

95098636 New Image Dr Lock'n Roll 18282 HOL

95098635 New Image Dr Lock'n Roll 18283 HOL

Page 196: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 10

PIN PRODUCT DESCRIPTION PROD.# MFR

95098634 New Image Dr Lock'n Roll 18284 HOL

95098639 New Image Dr Lock'n Roll 18292 HOL

95098638 New Image Dr Lock'n Roll 18293 HOL

95098637 New Image Dr Lock'n Roll 18294 HOL

95099548 New Image Irrigator Drain 18152 HOL

95099547 New Image Irrigator Drain 18153 HOL

95099546 New Image Irrigator Drain 18154 HOL

95098633 New Image Lock'n Roll 18003 HOL

95098632 New Image Lock'n Roll 18004 HOL

95098631 New Image Lock'n Roll 18006 HOL

95099584 New Image Lock'n Roll 18112 HOL

95099583 New Image Lock'n Roll 18113 HOL

95099582 New Image Lock'n Roll 18114 HOL

95099581 New Image Lock'n Roll 18132 HOL

95099580 New Image Lock'n Roll 18133 HOL

95099579 New Image Lock'n Roll 18134 HOL

95098630 New Image Lock'n Roll 18173 HOL

95098629 New Image Lock'n Roll 18174 HOL

95099578 New Image Lock'n Roll 18182 HOL

95099577 New Image Lock'n Roll 18183 HOL

95099576 New Image Lock'n Roll 18184 HOL

95099575 New Image Lock'n Roll 18192 HOL

95099574 New Image Lock'n Roll 18193 HOL

95099573 New Image Lock'n Roll 18194 HOL

95098618 New Image Mini 18392 HOL

95098617 New Image Mini 18393 HOL

95098616 New Image Mini 18394 HOL

95099557 New Image Urostomy 18402 HOL

95099556 New Image Urostomy 18403 HOL

95099555 New Image Urostomy 18404 HOL

95099560 New Image Urostomy 18412 HOL

95099559 New Image Urostomy 18413 HOL

95099558 New Image Urostomy 18414 HOL

95098615 New Image Urostomy 18422 HOL

95098614 New Image Urostomy 18423 HOL

95099166 Pouchkins Pediatric Drainable 3771 HOL

95099165 Pouchkins Pediatric Urostomy 3772 HOL

95098385 Sensura Closed 10154 COL

95098384 Sensura Closed 10155 COL

95098383 Sensura Closed 10156 COL

95098382 Sensura Closed 10164 COL

95098381 Sensura Closed 10165 COL

95098380 Sensura Closed 10166 COL

95098320 Sensura Closed 10904 COL

95098319 Sensura Closed 10905 COL

95098318 Sensura Closed 10914 COL

95098317 Sensura Closed 10915 COL

95098376 Sensura Closed 10918 COL

95098398 Sensura Easiclose 11114 COL

95098397 Sensura Easiclose 11115 COL

95098396 Sensura Easiclose 11116 COL

95098395 Sensura Easiclose 11124 COL

PIN PRODUCT DESCRIPTION PROD.# MFR

95098394 Sensura Easiclose 11125 COL

95098393 Sensura Easiclose 11126 COL

95098390 Sensura Easiclose 11194 COL

95098389 Sensura Easiclose 11195 COL

95098388 Sensura Easiclose 11196 COL

95098392 Sensura Easiclose 11135 COL

95098391 Sensura Easiclose 11136 COL

95098387 Sensura Easiclose 11185 COL

95098386 Sensura Easiclose 11186 COL

95098360 Sensura Flex Dr Pouch 11514 COL

95098359 Sensura Flex Dr Pouch 11515 COL

95098358 Sensura Flex Dr Pouch 11518 COL

95098356 Sensura Flex Dr Pouch 11615 COL

95098354 Sensura Flex Dr Pouch 11618 COL

95098311 Sensura Urostomy Pouch 11821 COL

95098310 Sensura Urostomy Pouch 11822 COL

95098309 Sensura Urostomy Pouch 11824 COL

95098308 Sensura Urostomy Pouch 11825 COL

95098307 Sensura Urostomy Pouch 11827 COL

95098306 Sensura Urostomy Pouch 11828 COL

95099698 Sur-Fit Natura Flange Cap 401908 CON

95099697 Sur-Fit Natura Flange Cap 401909 CON

95099696 Sur-Fit Natura Flange Cap 401910 CON

95099807 Sur-Fit AutoLock Accuseal 401452 CON

95099806 Sur-Fit AutoLock Accuseal 401453 CON

95099805 Sur-Fit AutoLock Accuseal 401460 CON

95099804 Sur-Fit AutoLock Accuseal 401461 CON

95099803 Sur-Fit AutoLock Accuseal 401462 CON

95099802 Sur-Fit AutoLock Accuseal 401463 CON

95099801 Sur-Fit AutoLock Accuseal 401464 CON

95099800 Sur-Fit AutoLock Accuseal 401465 CON

95099791 Sur-Fit AutoLock Closed 401677 CON

95099790 Sur-Fit AutoLock Closed 401678 CON

95099789 Sur-Fit AutoLock Closed 401679 CON

95099788 Sur-Fit AutoLock Closed 401680 CON

95099816 Sur-Fit AutoLock Drainable 401434 CON

95099815 Sur-Fit AutoLock Drainable 401435 CON

95099814 Sur-Fit AutoLock Drainable 401436 CON

95099813 Sur-Fit AutoLock Drainable 401437 CON

95099812 Sur-Fit AutoLock Drainable 401439 CON

95099811 Sur-Fit AutoLock Drainable 401440 CON

95099810 Sur-Fit AutoLock Drainable 401441 CON

95099809 Sur-Fit AutoLock Drainable 401442 CON

95099808 Sur-Fit AutoLock Drainable 401443 CON

95099723 Sur-Fit Natura Accuseal 401542 CON

95099722 Sur-Fit Natura Accuseal 401543 CON

95099721 Sur-Fit Natura Accuseal 401544 CON

95099720 Sur-Fit Natura Accuseal 401545 CON

95099719 Sur-Fit Natura Accuseal 401546 CON

95099718 Sur-Fit Natura Accuseal 401547 CON

95099717 Sur-Fit Natura Accuseal 401548 CON

95099716 Sur-Fit Natura Accuseal 401549 CON

Page 197: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 11

PIN PRODUCT DESCRIPTION PROD.# MFR

95099715 Sur-Fit Natura Accuseal 401550 CON

95099714 Sur-Fit Natura Accuseal 401551 CON

95099713 Sur-Fit Natura Accuseal 401552 CON

95099712 Sur-Fit Natura Accuseal 401553 CON

95099711 Sur-Fit Natura Accuseal 401554 CON

95099710 Sur-Fit Natura Accuseal 401555 CON

95099732 Sur-Fit Natura Bendable 401533 CON

95099731 Sur-Fit Natura Bendable 401534 CON

95099730 Sur-Fit Natura Bendable 401535 CON

95099729 Sur-Fit Natura Bendable 401536 CON

95099728 Sur-Fit Natura Bendable 401537 CON

95099727 Sur-Fit Natura Bendable 401538 CON

95099726 Sur-Fit Natura Bendable 401539 CON

95099725 Sur-Fit Natura Bendable 401540 CON

95099724 Sur-Fit Natura Bendable 401541 CON

95099744 Sur-Fit Natura Closed 401521 CON

95099743 Sur-Fit Natura Closed 401522 CON

95099742 Sur-Fit Natura Closed 401523 CON

95099741 Sur-Fit Natura Closed 401524 CON

95099740 Sur-Fit Natura Closed 401525 CON

95099739 Sur-Fit Natura Closed 401526 CON

95099738 Sur-Fit Natura Closed 401527 CON

95099737 Sur-Fit Natura Closed 401528 CON

95099760 Sur-Fit Natura Drainable 401500 CON

95099759 Sur-Fit Natura Drainable 401501 CON

95099758 Sur-Fit Natura Drainable 401502 CON

95099757 Sur-Fit Natura Drainable 401503 CON

95099756 Sur-Fit Natura Drainable 401504 CON

95099755 Sur-Fit Natura Drainable 401505 CON

95099754 Sur-Fit Natura Drainable 401506 CON

95099753 Sur-Fit Natura Drainable 401507 CON

95099752 Sur-Fit Natura Drainable 401508 CON

95099751 Sur-Fit Natura Drainable 401509 CON

95099750 Sur-Fit Natura Drainable 401510 CON

95099749 Sur-Fit Natura Drainable 401511 CON

95099748 Sur-Fit Natura Drainable 401512 CON

95099747 Sur-Fit Natura Drainable 401513 CON

95099746 Sur-Fit Natura Drainable 401514 CON

95099745 Sur-Fit Natura Drainable 401515 CON

95099689 Sur-Fit Natura Drainable 404014 CON

95099688 Sur-Fit Natura Drainable 404015 CON

95099687 Sur-Fit Natura Drainable 404016 CON

95099686 Sur-Fit Natura Drainable 404017 CON

95099685 Sur-Fit Natura Drainable 404018 CON

95098759 Sur-Fit Natura Drainable 404025 CON

95098758 Sur-Fit Natura Drainable 404026 CON

95098757 Sur-Fit Natura Drainable 404027 CON

95098756 Sur-Fit Natura Drainable 404028 CON

95098755 Sur-Fit Natura Drainable 404029 CON

95098754 Sur-Fit Natura Drainable 404030 CON

95098753 Sur-Fit Natura Drainable 404031 CON

95098752 Sur-Fit Natura Drainable 404032 CON

PIN PRODUCT DESCRIPTION PROD.# MFR

95098751 Sur-Fit Natura Drainable 404033 CON

95098750 Sur-Fit Natura Drainable 404034 CON

95098696 Sur-Fit Natura Drainable 411263 CON

95098695 Sur-Fit Natura Drainable 411264 CON

95098694 Sur-Fit Natura Drainable 411265 CON

95098693 Sur-Fit Natura Drainable 411266 CON

95098692 Sur-Fit Natura Drainable 411267 CON

95098686 Sur-Fit Natura Drainable 411288 CON

95098685 Sur-Fit Natura Drainable 411289 CON

95098684 Sur-Fit Natura Drainable 411290 CON

95098683 Sur-Fit Natura Drainable 411291 CON

95098682 Sur-Fit Natura Drainable 411292 CON

95098691 Sur-Fit Natura Drainable 411489 CON

95098690 Sur-Fit Natura Drainable 411490 CON

95098689 Sur-Fit Natura Drainable 411491 CON

95098688 Sur-Fit Natura Drainable 411492 CON

95098687 Sur-Fit Natura Drainable 411493 CON

95098539 Sur-Fit Natura Invisiclose 411309 CON

95098538 Sur-Fit Natura Invisiclose 411310 CON

95098537 Sur-Fit Natura Invisiclose 411311 CON

95098536 Sur-Fit Natura Invisiclose 411312 CON

95098535 Sur-Fit Natura Invisiclose 411360 CON

95098534 Sur-Fit Natura Invisiclose 411361 CON

95098533 Sur-Fit Natura Invisiclose 411362 CON

95098743 Sur-Fit Natura Invisiclose 413311 CON

95098742 Sur-Fit Natura Invisiclose 413312 CON

95098741 Sur-Fit Natura Invisiclose 413313 CON

95098740 Sur-Fit Natura Invisiclose 413314 CON

95098749 Sur-Fit Natura Invisiclose 413332 CON

95098748 Sur-Fit Natura Invisiclose 413333 CON

95098747 Sur-Fit Natura Invisiclose 413334 CON

95098746 Sur-Fit Natura Invisiclose 413335 CON

95098745 Sur-Fit Natura Invisiclose 413336 CON

95099854 Sur-Fit Natura Little Ones 401927 CON

95099853 Sur-Fit Natura Little Ones 401928 CON

95099852 Sur-Fit Natura Little Ones 401929 CON

95099851 Sur-Fit Natura Little Ones Mini 401930 CON

95099736 Sur-Fit Natura Mini 401529 CON

95099735 Sur-Fit Natura Mini 401530 CON

95099734 Sur-Fit Natura Mini 401531 CON

95099733 Sur-Fit Natura Mini 401532 CON

ONE-PIECE SYSTEMS 95099977 Active Life Closed-End 650408 CON

95099977 Active Life Closed-End 650408 CON

95099976 Active Life Closed-End 650422 CON

95099976 Active Life Closed-End 650422 CON

95099987 Active Life Drainable 22764 CON

95099986 Active Life Drainable 22765 CON

95099985 Active Life Drainable 22766 CON

95099984 Active Life Drainable 22767 CON

Page 198: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 12

PIN PRODUCT DESCRIPTION PROD.# MFR

95099983 Active Life Drainable 22768 CON

95099982 Active Life Drainable 22769 CON

95099981 Active Life Drainable 22771 CON

95098795 Active Life Drainable 125330 CON

95098794 Active Life Drainable 125331 CON

95098792 Active Life Drainable 125333 CON

95098791 Active Life Drainable 125334 CON

95098790 Active Life Drainable 125335 CON

95098789 Active Life Drainable 125336 CON

95098788 Active Life Drainable 125338 CON

95098787 Active Life Drainable 125339 CON

95098786 Active Life Drainable 125340 CON

95098785 Active Life Drainable 125341 CON

95098784 Active Life Drainable 125342 CON

95098783 Active Life Drainable 125343 CON

95099980 Active Life Drainable 400598 CON

95099979 Active Life Drainable 400599 CON

95099978 Active Life Drainable 650803 CON

95098782 Active Life Dr Durahesive 125352 CON

95098781 Active Life Dr Durahesive 125353 CON

95098780 Active Life Dr Durahesive 125354 CON

95098779 Active Life Dr Durahesive 125355 CON

95098778 Active Life Dr Durahesive 125356 CON

95098777 Active Life Dr Durahesive 125357 CON

95098776 Active Life Dr Durahesive 125358 CON

95098775 Active Life Dr Durahesive 125359 CON

95098774 Active Life Dr Durahesive 125360 CON

95098773 Active Life Dr Durahesive 125361 CON

95098772 Active Life Dr Durahesive 125362 CON

95098771 Active Life Dr Durahesive 125363 CON

95098770 Active Life Dr Durahesive 125364 CON

95098769 Active Life Dr Durahesive 125365 CON

95098768 Active Life Dr Durahesive 125366 CON

95098767 Active Life Dr Durahesive 125367 CON

95098766 Active Life Dr Durahesive 125368 CON

95098765 Active Life Dr Durahesive 125369 CON

95099955 Active Life Dr Durahesive 175777 CON

95099954 Active Life Dr Durahesive 175778 CON

95099953 Active Life Dr Durahesive 175779 CON

95099952 Active Life Dr Durahesive 175780 CON

95099946 Active Life Durahesive 650828 CON

95099945 Active Life Durahesive 650829 CON

95099944 Active Life Durahesive 650830 CON

95099943 Active Life Durahesive 650831 CON

95099857 Active Life Little Ones 20917 CON

95099856 Active Life Little Ones 20922 CON

95099974 Active Life Pre-Cut Closed 175769 CON

95099973 Active Life Pre-Cut Closed 175770 CON

95099972 Active Life Pre-Cut Closed 175771 CON

95099971 Active Life Pre-Cut Closed 175772 CON

95099970 Active Life Pre-Cut Closed 175773 CON

95099969 Active Life Pre-Cut Closed 413142 CON

PIN PRODUCT DESCRIPTION PROD.# MFR

95099968 Active Life Pre-Cut Closed 413143 CON

95099967 Active Life Pre-Cut Closed 413144 CON

95099966 Active Life Pre-Cut Closed 413145 CON

95099965 Active Life Pre-Cut Closed 413146 CON

95099975 Active Life Stoma Cap 175611 CON

95099940 Active Life Uros Durahesive 64927 CON

95099942 Active Life Uros Durahesive 650832 CON

95099941 Active Life Uros Durahesive 650833 CON

95098991 Assura Drainable 13874 COL

95098990 Assura Drainable 13875 COL

95098989 Assura Drainable 13876 COL

95099064 Assura Drainable 14106 COL

95098995 Assura Drainable 14173 COL

95098994 Assura Drainable 14174 COL

95098993 Assura Drainable 14175 COL

95098992 Assura Drainable 14176 COL

95098996 Assura Drainable w Easiclose 13870 COL

95099007 Assura Drainable w Easiclose 14196 COL

95098802 Assura Drainable w Easiclose 14414 COL

95098801 Assura Drainable w Easiclose 14415 COL

95098800 Assura Drainable w Easiclose 14421 COL

95098799 Assura Drainable w Easiclose 14422 COL

95098798 Assura Drainable w Easiclose 14423 COL

95098797 Assura Drainable w Easiclose 14424 COL

95099016 Assura E-E Wear Drainable 12415 COL

95099015 Assura E-E Wear Drainable 12416 COL

95099018 Assura E-E Wear Drainable 12418 COL

95099017 Assura E-E Wear Drainable 12419 COL

95099012 Assura E-E Wear Drainable 12432 COL

95099011 Assura E-E Wear Drainable 12433 COL

95099014 Assura E-E Wear Drainable 12455 COL

95099013 Assura E-E Wear Drainable 12456 COL

95099010 Assura E-E Wear Urostomy 12471 COL

95099009 Assura E-E Wear Urostomy 12472 COL

95098882 Assura Pediatric Closed 2120 COL

95098881 Assura Pediatric Closed 2125 COL

95098883 Assura Pediatric Drainable 2115 COL

95098880 Assura Pediatric Urostomy 8009 COL

95098900 Assura Std Wear Closed 12100 COL

95098919 Assura Std Wear Closed 12110 COL

95098899 Assura Std Wear Closed 12130 COL

95098893 Assura Std Wear Closed 12134 COL

95098892 Assura Std Wear Closed 12135 COL

95098891 Assura Std Wear Closed 12136 COL

95098890 Assura Std Wear Closed 12137 COL

95098918 Assura Std Wear Closed 12140 COL

95098912 Assura Std Wear Closed 12144 COL

95098913 Assura Std Wear Closed 12145 COL

95098911 Assura Std Wear Closed 12146 COL

95098910 Assura Std Wear Closed 12147 COL

95098898 Assura Std Wear Closed 12170 COL

95098908 Assura Std Wear Closed 12174 COL

Page 199: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 13

PIN PRODUCT DESCRIPTION PROD.# MFR

95098907 Assura Std Wear Closed 12175 COL

95098906 Assura Std Wear Closed 12176 COL

95098905 Assura Std Wear Closed 12177 COL

95098897 Assura Std Wear Closed 14431 COL

95098896 Assura Std Wear Closed 14432 COL

95098917 Assura Std Wear Closed 14434 COL

95098916 Assura Std Wear Closed 14435 COL

95098895 Assura Std Wear Closed 14441 COL

95098894 Assura Std Wear Closed 14442 COL

95098915 Assura Std Wear Closed 14444 COL

95098914 Assura Std Wear Closed 14445 COL

95098904 Assura Std Wear Closed 14451 COL

95098903 Assura Std Wear Closed 14452 COL

95098902 Assura Std Wear Closed 14453 COL

95098901 Assura Std Wear Closed 14454 COL

95099006 Assura Std Wear Dr Easiclose 13840 COL

95099005 Assura Std Wear Dr Easiclose 13844 COL

95099004 Assura Std Wear Dr Easiclose 13845 COL

95099003 Assura Std Wear Dr Easiclose 13846 COL

95099001 Assura Std Wear Dr Easiclose 13860 COL

95099002 Assura Std Wear Dr Easiclose 14103 COL

95099000 Assura Std Wear Dr Easiclose 14163 COL

95098999 Assura Std Wear Dr Easiclose 14164 COL

95098998 Assura Std Wear Dr Easiclose 14165 COL

95098997 Assura Std Wear Dr Easiclose 14166 COL

95098806 Assura Std Wear Dr Easiclose 14404 COL

95098805 Assura Std Wear Dr Easiclose 14405 COL

95098804 Assura Std Wear Dr Easiclose 14411 COL

95098803 Assura Std Wear Dr Easiclose 14412 COL

95098515 Assura Std Wear Dr Easiclose 14491 COL

95098959 Assura Std Wear Drainable 2490 COL

95098962 Assura Std Wear Drainable 2520 COL

95098949 Assura Std Wear Drainable 2524 COL

95098948 Assura Std Wear Drainable 2525 COL

95098947 Assura Std Wear Drainable 2526 COL

95098946 Assura Std Wear Drainable 2527 COL

95098964 Assura Std Wear Drainable 12532 COL

95098963 Assura Std Wear Drainable 12533 COL

95098958 Assura Std Wear Drainable 12851 COL

95098957 Assura Std Wear Drainable 12962 COL

95098956 Assura Std Wear Drainable 12963 COL

95098955 Assura Std Wear Drainable 12964 COL

95098954 Assura Std Wear Drainable 12965 COL

95098953 Assura Std Wear Drainable 12966 COL

95098952 Assura Std Wear Drainable 12967 COL

95098951 Assura Std Wear Drainable 12968 COL

95098950 Assura Std Wear Drainable 12969 COL

95098961 Assura Std Wear Drainable 13705 COL

95098960 Assura Std Wear Drainable 13706 COL

95098945 Assura Std Wear Drainable 13721 COL

95098944 Assura Std Wear Drainable 13722 COL

95098943 Assura Std Wear Drainable 13723 COL

PIN PRODUCT DESCRIPTION PROD.# MFR

95098942 Assura Std Wear Drainable 13724 COL

95098941 Assura Std Wear Drainable 13725 COL

95098940 Assura Std Wear Drainable 13726 COL

95098939 Assura Std Wear Drainable 13727 COL

95098938 Assura Std Wear Drainable 13728 COL

95098937 Assura Std Wear Drainable 13729 COL

95098931 Assura Std Wear Urostomy 5580 COL

95098927 Assura Std Wear Urostomy 5585 COL

95098930 Assura Std Wear Urostomy 12595 COL

95098929 Assura Std Wear Urostomy 12596 COL

95098926 Assura Std Wear Urostomy 12991 COL

95098925 Assura Std Wear Urostomy 12992 COL

95098924 Assura Std Wear Urostomy 12993 COL

95098923 Assura Std Wear Urostomy 12994 COL

95098922 Assura Std Wear Urostomy 12995 COL

95098921 Assura Std Wear Urostomy 12996 COL

95098920 Assura Std Wear Urostomy 12997 COL

95098889 Assura Stoma Cap 2501 COL

95099022 Assura Stoma Cap 2801 COL

95099021 Assura Stoma Cap 2802 COL

95099290 Contour Stoma Cap 1796 HOL

95099327 First Choice Closed 3450 HOL

95099326 First Choice Closed 3452 HOL

95099322 First Choice Closed 3454 HOL

95099321 First Choice Closed 3455 HOL

95099325 First Choice Closed 3458 HOL

95099323 First Choice Closed 3459 HOL

95099320 First Choice Closed 3490 HOL

95099319 First Choice Closed 3491 HOL

95099318 First Choice Closed 3492 HOL

95099317 First Choice Closed 3493 HOL

95099316 First Choice Closed 3494 HOL

95099315 First Choice Closed 3495 HOL

95099314 First Choice Closed 3496 HOL

95099313 First Choice Closed 3497 HOL

95099312 First Choice Closed 3498 HOL

95099311 First Choice Closed 3499 HOL

95099334 First Choice Closed 3520 HOL

95099333 First Choice Closed 3522 HOL

95099331 First Choice Closed 3523 HOL

95099329 First Choice Closed 3524 HOL

95099328 First Choice Closed 3525 HOL

95099332 First Choice Closed 3528 HOL

95099330 First Choice Closed 3529 HOL

95099354 First Choice Drainable 3610 HOL

95099353 First Choice Drainable 3611 HOL

95099352 First Choice Drainable 3612 HOL

95099351 First Choice Drainable 3613 HOL

95099350 First Choice Drainable 3614 HOL

95099349 First Choice Drainable 3615 HOL

95099348 First Choice Drainable 3616 HOL

95099347 First Choice Drainable 3617 HOL

Page 200: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 14

PIN PRODUCT DESCRIPTION PROD.# MFR

95099346 First Choice Drainable 3618 HOL

95099345 First Choice Drainable 3619 HOL

95099362 First Choice Drainable 3630 HOL

95099360 First Choice Drainable 3632 HOL

95099358 First Choice Drainable 3633 HOL

95099356 First Choice Drainable 3634 HOL

95099355 First Choice Drainable 3635 HOL

95099361 First Choice Drainable 3637 HOL

95099359 First Choice Drainable 3638 HOL

95099357 First Choice Drainable 3639 HOL

95099344 First Choice Drainable 3680 HOL

95099343 First Choice Drainable 3681 HOL

95099342 First Choice Drainable 3682 HOL

95099341 First Choice Drainable 3683 HOL

95099340 First Choice Drainable 3684 HOL

95099337 First Choice Drainable Kit 3636 HOL

95099310 First Choice Urostomy 1460 HOL

95099309 First Choice Urostomy 1462 HOL

95099307 First Choice Urostomy 1463 HOL

95099308 First Choice Urostomy 1468 HOL

95099304 First Choice Urostomy 1481 HOL

95099303 First Choice Urostomy 1482 HOL

95099302 First Choice Urostomy 1483 HOL

95099301 First Choice Urostomy 1484 HOL

95099300 First Choice Urostomy 1485 HOL

95099299 First Choice Urostomy 1486 HOL

95099298 First Choice Urostomy 1487 HOL

95099297 First Choice Urostomy 1488 HOL

95099296 First Choice Urostomy 1489 HOL

95099295 First Choice Urostomy Kit 1466 HOL

95099199 Hollister Closed 3142 HOL

95099197 Hollister Closed 3143 HOL

95099195 Hollister Closed 3144 HOL

95099194 Hollister Closed 3145 HOL

95099198 Hollister Closed 3148 HOL

95099196 Hollister Closed 3149 HOL

95099181 Lo-Profile Urostomy 1432 HOL

95099179 Lo-Profile Urostomy 1433 HOL

95099177 Lo-Profile Urostomy 1434 HOL

95099180 Lo-Profile Urostomy 1438 HOL

95099178 Lo-Profile Urostomy 1439 HOL

95099174 Pouchkins Pediatric 3777 HOL

95099173 Pouchkins Pediatric 3778 HOL

95098378 Pouchkins Pediatric 3796 HOL

95099171 Pouchkins Pediatric 9766 HOL

95099168 Pouchkins Pediatric 9767 HOL

95099170 Pouchkins Pediatric 9768 HOL

95099169 Pouchkins Pediatric 9769 HOL

95098593 Premier Closed 82100 HOL

95098592 Premier Closed 82125 HOL

95098641 Premier Closed 82300 HOL

95098597 Premier Closed 82325 HOL

PIN PRODUCT DESCRIPTION PROD.# MFR

95098596 Premier Closed 82330 HOL

95098595 Premier Closed 82335 HOL

95098591 Premier Closed 92130 HOL

95098590 Premier Closed 92135 HOL

95099393 Premier Drainable 8610 HOL

95099392 Premier Drainable 8611 HOL

95099391 Premier Drainable 8612 HOL

95099390 Premier Drainable 8613 HOL

95099389 Premier Drainable 8614 HOL

95099388 Premier Drainable 8615 HOL

95099387 Premier Drainable 8616 HOL

95099386 Premier Drainable 8617 HOL

95099385 Premier Drainable 8618 HOL

95099384 Premier Drainable 8619 HOL

95099396 Premier Drainable 8624 HOL

95099395 Premier Drainable 8628 HOL

95099404 Premier Drainable 8631 HOL

95099402 Premier Drainable 8632 HOL

95099400 Premier Drainable 8633 HOL

95099398 Premier Drainable 8634 HOL

95099397 Premier Drainable 8635 HOL

95099403 Premier Drainable 8637 HOL

95099401 Premier Drainable 8638 HOL

95099399 Premier Drainable 8639 HOL

95099411 Premier Drainable 8641 HOL

95099409 Premier Drainable 8642 HOL

95099407 Premier Drainable 8643 HOL

95099405 Premier Drainable 8644 HOL

95099410 Premier Drainable 8647 HOL

95099408 Premier Drainable 8648 HOL

95099406 Premier Drainable 8649 HOL

95099394 Premier Drainable 86211 HOL

95098588 Premier Drainable 88300 HOL

95098586 Premier Drainable 88700 HOL

95098609 Premier Drainable Lock'n Roll 88325 HOL

95098608 Premier Drainable Lock'n Roll 88330 HOL

95098607 Premier Drainable Lock'n Roll 88335 HOL

95098606 Premier Drainable Lock'n Roll 88340 HOL

95098601 Premier Drainable Lock'n Roll 88725 HOL

95098600 Premier Drainable Lock'n Roll 88730 HOL

95098599 Premier Drainable Lock'n Roll 88735 HOL

95098598 Premier Drainable Lock'n Roll 88740 HOL

95098661 Premier Lock'n Roll 8504 HOL

95098660 Premier Lock'n Roll 8508 HOL

95098668 Premier Lock'n Roll 8510 HOL

95098667 Premier Lock'n Roll 8511 HOL

95098666 Premier Lock'n Roll 8512 HOL

95098665 Premier Lock'n Roll 8513 HOL

95098664 Premier Lock'n Roll 8514 HOL

95098663 Premier Lock'n Roll 8515 HOL

95098670 Premier Lock'n Roll 8524 HOL

95098669 Premier Lock'n Roll 8528 HOL

Page 201: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 15

PIN PRODUCT DESCRIPTION PROD.# MFR

95098681 Premier Lock'n Roll 8531 HOL

95098680 Premier Lock'n Roll 8532 HOL

95098679 Premier Lock'n Roll 8533 HOL

95098678 Premier Lock'n Roll 8538 HOL

95098677 Premier Lock'n Roll 8539 HOL

95098676 Premier Lock'n Roll 8551 HOL

95098675 Premier Lock'n Roll 8552 HOL

95098674 Premier Lock'n Roll 8553 HOL

95098673 Premier Lock'n Roll 8558 HOL

95098672 Premier Lock'n Roll 8559 HOL

95098659 Premier Lock'n Roll 8590 HOL

95098658 Premier Lock'n Roll 8591 HOL

95098657 Premier Lock'n Roll 8592 HOL

95098656 Premier Lock'n Roll 8593 HOL

95098655 Premier Lock'n Roll 8594 HOL

95098654 Premier Lock'n Roll 8595 HOL

95098375 Premier Lock'n Roll 8596 HOL

95098374 Premier Lock'n Roll 8597 HOL

95098373 Premier Lock'n Roll 8598 HOL

95098372 Premier Lock'n Roll 8599 HOL

95098662 Premier Lock'n Roll 85011 HOL

95098371 Premier Lock'n Roll 85116 HOL

95098370 Premier Lock'n Roll 85117 HOL

95098369 Premier Lock'n Roll 85118 HOL

95098368 Premier Lock'n Roll 85119 HOL

95098671 Premier Lock'n Roll 85211 HOL

95099383 Premier Urostomy 8460 HOL

95099381 Premier Urostomy 8462 HOL

95099379 Premier Urostomy 8463 HOL

95099377 Premier Urostomy 8464 HOL

95099382 Premier Urostomy 8467 HOL

95099380 Premier Urostomy 8468 HOL

95099378 Premier Urostomy 8469 HOL

95099376 Premier Urostomy 8474 HOL

95099375 Premier Urostomy 8478 HOL

95099373 Premier Urostomy 8480 HOL

95099372 Premier Urostomy 8481 HOL

95099371 Premier Urostomy 8482 HOL

95099370 Premier Urostomy 8483 HOL

95099369 Premier Urostomy 8484 HOL

95099368 Premier Urostomy 8485 HOL

95099367 Premier Urostomy 8486 HOL

95099366 Premier Urostomy 8487 HOL

95099365 Premier Urostomy 8488 HOL

95099364 Premier Urostomy 8489 HOL

95099374 Premier Urostomy 84711 HOL

95099276 Premium Closed 3552 HOL

95099274 Premium Closed 3553 HOL

95099272 Premium Closed 3554 HOL

95099271 Premium Closed 3555 HOL

95099270 Premium Closed 3556 HOL

95099275 Premium Closed 3558 HOL

PIN PRODUCT DESCRIPTION PROD.# MFR

95099273 Premium Closed 3559 HOL

95099287 Premium Drainable 3603 HOL

95099285 Premium Drainable 3604 HOL

95099284 Premium Drainable 3605 HOL

95099283 Premium Drainable 3606 HOL

95099288 Premium Drainable 3608 HOL

95099286 Premium Drainable 3609 HOL

95099282 Premium Drainable 3662 HOL

95099280 Premium Drainable 3663 HOL

95099278 Premium Drainable 3664 HOL

95099277 Premium Drainable 3665 HOL

95099281 Premium Drainable 3668 HOL

95099279 Premium Drainable 3669 HOL

95098379 Sensura Easiclose 15821 COL

95098458 Sensura Maxi Closed 15405 COL

95098457 Sensura Maxi Closed 15406 COL

95098456 Sensura Maxi Closed 15407 COL

95098455 Sensura Maxi Closed 15408 COL

95098448 Sensura Maxi Closed 15470 COL

95098447 Sensura Maxi Closed 15472 COL

95098446 Sensura Maxi Closed 15473 COL

95098445 Sensura Maxi Closed 15474 COL

95098444 Sensura Maxi Closed 15480 COL

95098443 Sensura Maxi Closed 15482 COL

95098442 Sensura Maxi Closed 15483 COL

95098441 Sensura Maxi Closed 15484 COL

95098460 Sensura Midi Closed 15403 COL

95098459 Sensura Midi Closed 15404 COL

95098454 Sensura Midi Closed 15412 COL

95098453 Sensura Midi Closed 15413 COL

95098452 Sensura Midi Closed 15414 COL

95098451 Sensura Midi Closed 15415 COL

95098450 Sensura Midi Closed 15441 COL

95098449 Sensura Midi Closed 15450 COL

95098438 Sensura Maxi 15521 COL

95098437 Sensura Maxi 15522 COL

95098436 Sensura Maxi 15523 COL

95098435 Sensura Maxi 15524 COL

95098434 Sensura Maxi 15531 COL

95098433 Sensura Maxi 15532 COL

95098432 Sensura Maxi 15533 COL

95098431 Sensura Maxi 15534 COL

95098428 Sensura Maxi 15605 COL

95098427 Sensura Maxi 15606 COL

95098426 Sensura Maxi 15607 COL

95098425 Sensura Maxi 15608 COL

95098424 Sensura Maxi 15632 COL

95098423 Sensura Maxi 15633 COL

95098422 Sensura Maxi 15634 COL

95098421 Sensura Maxi 15635 COL

95098440 Sensura Midi 15501 COL

95098439 Sensura Midi 15511 COL

Page 202: Formulary KODE ATC

Ostomy Supplies Benefit List

October 2011 MISCELLANEOUS – 16

PIN PRODUCT DESCRIPTION PROD.# MFR

95098430 Sensura Midi 15603 COL

95098429 Sensura Midi 15604 COL

95099185 Stoma Cap 3184 HOL

95099186 Stoma Cap 3186 HOL

MISCELLANEOUS 95098862 Assura Irrigation Sleeve 1003 COL

95098861 Assura Irrigation Sleeve 12834 COL

95098860 Assura Irrigation Sleeve 12835 COL

95098859 Assura Irrigation Sleeve 12836 COL

95099426 CenterPointLock Irrig Sleeve 3822 HOL

95099425 CenterPointLock Irrig Sleeve 3823 HOL

95099424 CenterPointLock Irrig Sleeve 3824 HOL

95099423 CenterPointLock Irrig Sleeve 3826 HOL

95099427 CenterPointLock Irrig Sleeve 3827 HOL

95099163 Cone Irrigator Kit 7721 HOL

95099866 ConvaTec Pouch Closure 175635 CON

95099123 Drainable Pouch Clamp 8770 HOL

95098857 Drainable Pouch Clamp 9500 COL

95099865 DuoLock Pouch Closure 175652 CON

PIN PRODUCT DESCRIPTION PROD.# MFR

95099160 Irrigator Sleeve w Closure 7724 HOL

95099161 Irrigator Sleeve w Closure 7728 HOL

95099548 New Image Irrigation Sleeve 18152 HOL

95099547 New Image Irrigation Sleeve 18153 HOL

95099546 New Image Irrigation Sleeve 18154 HOL

95099799 Sur-Fit AutoLock Convex Insrt 401614 CON

95099795 Sur-Fit AutoLock Convex Insrt 401618 CON

95099684 Sur-Fit Natura Convex Inserts 404006 CON

95099683 Sur-Fit Natura Convex Inserts 404007 CON

95099682 Sur-Fit Natura Convex Inserts 404008 CON

95099681 Sur-Fit Natura Convex Inserts 404009 CON

95099680 Sur-Fit Natura Convex Inserts 404010 CON

95099679 Sur-Fit Natura Convex Inserts 404011 CON

95099678 Sur-Fit Natura Convex Inserts 404012 CON

95099677 Sur-Fit Natura Convex Inserts 404013 CON

95099766 Sur-Fit Natura Irrig Closure 175650 CON

95099695 Sur-Fit Natura Irrig Sleeve 401911 CON

95099694 Sur-Fit Natura Irrig Sleeve 401912 CON

95099693 Sur-Fit Natura Irrig Sleeve 401913 CON

95099692 Sur-Fit Natura Irrig Sleeve 401914 CON

Page 203: Formulary KODE ATC

Appendix I – Abbreviations

October 2011 Appendix I – 1

Aer Aerosol

Amp Ampoule

Cap Capsule

CFU Colony Forming Units

Chewtab Chewable Tablet

Cr Cream

CD Controlled Distribution

CR Controlled Release

DR Delayed Release

Drp Drops

EC Enteric Coated

Eff Effervescent

Elx Elixir

ER Extended Release

FC Film Coated

g Gram

Gran Granules

IM Intramuscular

Inh Inhaler

Inj Injection

Ins Insulin

IR Immediate Release

Irr Irrigation

iu International Unit

IV Intravenous

LA Long Acting

Liq Liquid

Lot Lotion

mcg Microgram

mcl Microliter

mEq Milli-equivalent

mg Milligram

mL Milliliter

MR Modified Release

Nas Nasal

Neb Nebules

OD Orally Disintegrating

O/L Oral Liquid

Oint Ointment

Oph Ophthalmic

Otic Ear

Pck Package

Pdr Powder

PF Preservative Free

pkt Packet

Pl. Ampule Plastic Ampule

POS Powder for Oral Solution

Resp Respirator

RD Rapid Dissolving

RPD Rapid Disintegrating

SL Sublingual

Sod Chl Sodium Cloride

Sol Solution

Sp Spray

SR Slow Release

Supp Suppository

Susp Suspension

Syr Syrup

Tab Tablet

TCT Tincture

UDV Unit Dose Vial

USP United States Pharmacopeia

Vag Vaginal

w/w By Weight

XL Extended Release

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Appendix II – Abbreviations of Manufacturers’ Names

Octobert 2011 Appendix II – 1

AAP AA Pharma Inc. ABB Abbott Laboratories Ltd. ACC Accel Pharma Inc. ACO Magnum Pharmaceutics ACT Actelion Pharmaceuticals Canada Inc. AGA Amgen Canada Inc. AHC Accord Healthcare Inc. AKN Dioptic Laboratories ALC Alcon Canada Inc. ALL Allergan Inc. APX Apotex Inc. ARO Auro Pharma Inc AST Astellas Pharma Canada Inc. ATL Laboratoire Atlas Inc. AUR Aurium Pharma Inc. AUT Auto Control Medical Inc. AVD Alveda Pharma AVP Sanofi Pasteur Limited AXC Axcan Pharma Inc. AXS Axxess Pharma Inc. AZE AstraZeneca Canada Inc. BAX Baxter Corporation BAY Bayer Inc. BCH Bioniche Inc. BDD Bayer HealthCare, Diabetes Care Division BIG Biogen Idec Canada Inc. BOE Boehringer Ingelheim (Canada) Ltd. BOM Roche Diagnostics, Div.of Hoffmann-LaRoche BRI Bristol-Myers Squibb Canada Inc. BSH Baush & Lomb Canada Inc. BTD Becton Dickinson Canada BVL Biovail Pharmaceuticals Canada BVT Biovitrum CDX Canderm Pharmaca Inc. CEL Celgene CHU Church and Dwight Canada Corp. COB Cobalt Pharmaceuticals Company COL Coloplast Canada CON ConvaTec Canada Ltd CPD manually compounded CYI Cytex Pharmaceuticals Inc. DPT Dermtek Pharmaceuticals Ltd. DUI Duchesnay Inc. EMD EMD Serono Canada Inc. ERF ERFA Canada Inc. FEI Ferring Inc. FRS Merck Frosst Canada Ltd. GAC Galderma Canada Inc. GCH GlaxoSmithKline Consumer Healthcare Inc. GIL Gilead Sciences Inc. GLE Glenwood Laboratories Canada Ltd. GMD GenMed, A Division of Pfizer Canada Inc. GSK GlaxoSmithKline Inc. GWP Graceway Pharmaceuticals GZM Genzyme Canada Inc. HLR Hoffmann-LaRoche Limited HLZ Hill Dermaceuticals, Inc. HOL Hollister Limited HOM Home Diagnostics Inc.

HOS Hospira Healthcare Corporation IMD I-Med Pharma Inc. IRO Iroko International LP JAN Janssen-Ortho Inc. JCB Jacobus Pharmaceutical Company Inc. JNJ Johnson & Johnson Inc. JPC Jamp Pharma Corporation KNG King Pharma Canada Ltd. LBK Lundbeck Inc. LEO Leo Pharma Inc. LFS Lifescan Canada Ltd. LIL Eli Lilly Canada Inc. LYP Pharmaceutical Partners of Canada Inc. MDS Medicis Canada Ltd. MED Medican Technologies Inc. MEL Mediapharm Inc. MGI MGI Pharma Inc. MID Abbott Diabetes Care / Medisense MJO Mead Johnson (Canada) Inc MMT MM Therapeutics Inc. MNT Mint Pharmaceuticals Inc. MOL Molnlycke Health Care Inc. MPD Medical Plastic Devices Inc. MYL Mylan Pharmaceuticals ULC. MVL Meda Valeant Pharma Canada NBM Nova Biomedical NEO Neolab Inc. NGP Next Generation Pharma Inc. NNC Novartis Consumer Health Canada Inc. NNO Novo Nordisk Canada Inc. NVO Novartis Ophthalmics NVR Novartis Pharmaceuticals Canada Inc. NXP Nu-Pharm Inc. NYC Nycomed Canada Inc. ODN Odan Laboratories Ltd. OMG Omega Laboratories Ltd. ORB Orbus Pharma Inc. ORG Organon Canada Ltd. ORP Orphan Medical Inc. PAL Paladin Labs Inc. PDP PendoPharm, Division of Pharmascience Inc. PER Perrigo International PFI Pfizer Canada Inc. PFR Purdue Pharma PHL Pharmel Inc. PMS Pharmascience Inc. PPB Proval Pharma Division of Servier Canada Inc. QGT Sigma-Tau Pharmaceuticals Inc. RAN Ranbaxy Pharmaceuticals Canada Inc. RIV Riva Laboratoire Inc. ROG Rougier Pharma, Division of ratiopharm Inc. SAS Sanis Health Inc SAV Sanofi-Aventis Canada Inc. SCH Schering-Plough (Canada) Inc. SDZ Sandoz Canada Incorporated SEP Sunovion Pharmaceuticals Canada Inc. SEV Servier Canada Inc. SHI Shire Canada Inc. SNE Smith & Nephew Inc.

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Appendix II – Abbreviations of Manufacturers’ Names

Octobert 2011 Appendix II – 2

STI Stiefel Canada Inc. STR SteriMax Inc. SWS Swiss Herbal Remedies Ltd. TAK Takeda Canada Inc. TAR Taro Pharmaceuticals Inc. TER Tercica Inc. TEV Teva Canada Ltd. THI Tremblay Harrison Inc. THR Theramed Corporation TMI Trudell Medical International TMP Teva Neuroscience Canada TPH TaroPharma, Div. of Taro Pharmaceuticals Inc. TRB Tribute Pharma Canada Inc TRI Triton Pharma Inc. TYC Tyco Healthcare UCB UCB Pharma Canada Inc. UTC United Therapeutics Corporation VAL Valeo Pharma Inc. VAR various manufacturers VCO Virco Pharmaceuticals (Canada) Inc. VIV ViiV Health Care Inc. VLH Lundbeck Canada Inc. VLN Valeant Canada Limited WAM Wampole Brands Inc. WCH Wyeth Consumer HealthCare Inc. WNC Warner Chilcott Canada Co WLS Wellspring Pharmaceutical Canada Corp. WSQ Westwood Squibb, Div.of Bristol-Myers Squibb XPI Xediton Pharmaceuticals Inc. YNO Bayer Inc., Consumer Care Division ZIA Zila Pharmaceuticals Inc. ZYM Zymcan Pharmaceuticals Inc.

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Appendix III – Criteria for Coverage of Exception Status Drugs

NOTE: Exception status drugs for Drug Assistance for Cancer Patients are indicated by an asterisk (*).

October 2011 Appendix III – 1

Coverage of exception status drugs will be approved according to the following criteria upon review of a prescriber's written request. Included with the Nova Scotia Formulary are forms for Exception Status Drug requests, which may be used to facilitate the approval process. As an alternative to sending a written request to the Pharmacare office, certain exception status drugs have been assigned criteria codes. To allow for on-line payment of these drugs, the criteria code may be provided by the prescriber on the prescription or confirmed by the pharmacist. The use of these codes offers the prescriber and the pharmacist access to immediate coverage for patients who clearly meet the exception status criteria. The criteria codes are indicated within the following exception criteria. ABATACEPT (Orencia 250mg/vial Injection) - for patients with a diagnosis of active rheumatoid arthritis (RA) who:

· have not responded or who have had intolerable toxicity to an adequate trial1 of combination therapy of at least two traditional DMARDs2 or

· if combination therapy is not an option, an adequate trial1 of at least three traditional DMARDs2 in sequence as monotherapy and

· patients must have had an adequate trial1 of leflunomide. Exceptions can be considered in cases where leflunomide is contraindicated or not tolerated

- therapy must include methotrexate alone or in combination unless contraindicated or not tolerated - written request of a rheumatologist or prescriber with a specialty in rheumatology - coverage will be approved initially for 16 weeks. Can be reassessed for yearly coverage dependent on patient

achieving an improvement in symptoms of at least 20% _______________________________ 1 An adequate trial is 5 months for IM gold, 6 months for penicillamine, 4 months for hydroxychloroquine and 3 months for

all other traditional DMARDs as well as leflunomide, infliximab and etanercept. 2 Traditional agents include methotrexate, IM gold, sulfasalazine, hydroxychloroquine, azathioprine, chloroquine,

penicillamine and cyclosporine. ACAMPROSATE (Campral 333mg Tablet) - for treatment in patients who have been abstinent from alcohol for at least four days and who have contraindications

to naltrexone (i.e., acute hepatitis, liver failure or currently receiving opioids) ADALIMUMAB (Humira 40mg/vial Injection) - See Anti-Tumor Necrosis Factor (TNF) Agents ADEFOVIR DIPIVOXIL (Hepsera 10mg Tablet) - in combination with lamivudine in patients who:

· have developed failure to lamivudine (increase in HBV DNA of 1 log10iu/mL over the nadir measured on two separate occasions within an interval of at least one month, after the first 3 months of lamivudine therapy) AND

· when failure to lamivudine is not due to poor adherence to therapy - coverage approved for 1 year *ALENDRONATE (Fosamax 10mg, 40mg, 70mg Tablet and generic brands) - for the treatment of osteoporosis associated with documented fragility fracture - for the treatment of osteoporosis without documented fracture when the patient is at high 10 year fracture risk (using

fracture risk tables) - as prophylaxis of corticosteroid induced osteoporosis in a patient who will be or has been on systemic corticosteroid

therapy for > 3 months - for the treatment of Paget’s disease of bone (6 month limit) - other requests reviewed on a case by case basis

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NOTE: Exception status drugs for Drug Assistance for Cancer Patients are indicated by an asterisk (*).

October 2011 Appendix III – 2

*ALENDRONATE, VITAMIN D3, (Fosavance 70mg/5600IU) - for the treatment of osteoporosis associated with documented fragility fracture - for the treatment of osteoporosis without documented fracture when the patient is at high 10 year fracture risk (using

fracture risk tables) - as prophylaxis of corticosteroid induced osteoporosis in a patient who will be or has been on systemic corticosteroid

therapy for > 3 months ALGLUCOSIDASE ALFA (Myozyme 50mg Powder for Injection)

- for the treatment of infantile onset Pompe disease in patients who have had the onset of symptoms and confirmed cardiomyopathy before the age of 12 months AND

- participation in the long-term evaluation of the efficacy of treatment by periodic medical assessment as outlined in the monitoring of therapy guidelines

- initial approval is for 6 months. Continued coverage will be based on evaluation of the efficacy of treatment by regular medical assessment as outlined in the monitoring and discontinuation of therapy guidelines (available from the Pharmacare Office upon request).

ALLERGEN IMMUNOTHERAPY (Allergy Serum, Pollinex-R Injection) - for immunotherapy with specific, standardized allergenic material, administered in high-dose schedules for carefully

selected patients with a diagnosis of: · IgE mediated anaphylactic reactions to insect stings or · severe, seasonal (lasting two or more years) or perennial IgE dependent allergic rhinoconjunctivitis when optimal drug

therapy and allergen avoidance have not been sufficiently effective in controlling symptoms or · IgE mediated allergic asthma, specifically where there is a clear temporal association between exposure and signs

and symptoms of asthma and when optimal drug therapy and avoidance measures have not been sufficiently effective in controlling symptoms

NOTE: The allergy serum must be dispensed from a pharmacy on prescription from a prescriber. Initial authorization is for two years, and can be continued for up to five years if improvement is noted. ALMOTRIPTAN (Axert 6.25mg, 12.5mg Tablet) - See Selective 5HT1 - Receptor Agonists *ALTRETAMINE (Hexalen 50mg Capsule) - written request from an oncologist or prescriber with a specialty in oncology - for the treatment of ovarian carcinoma AMBRISENTAN (Volibris 5mg, 10mg Tablet) - for the treatment of patients with at least Class III pulmonary arterial hypertension (PAH), either idiopathic or associated

with connective tissue disease who have failed therapy with sildenafil or who have contraindications to sildenafil. - diagnosis must be confirmed by right heart catheterization - request must be from a PAH specialist ANAGRELIDE (Agrylin 0.5mg Capsule and generic brands) Nova Scotia Seniors' Pharmacare Program: - for the treatment of essential thrombocythemia (ET) in patients who have: · failed hydroxyurea therapy (does not provide sufficient platelet reduction) or · intolerable side effects from hydroxyurea therapy Community Services Pharmacare Programs: - for the treatment of essential thrombocythemia (ET) as an alternative to hydroxyurea ANTI-TUMOR NECROSIS FACTOR (TNF) AGENTS (Adalimumab, Etanercept, Golimumab, Infliximab) Ankylosing Spondylitis (Adalimumab, Etanercept, Golimumab) - for the treatment of patients with moderate to severe ankylosing spondylitis (e.g., Bath AS Disease Activity Index

(BASDAI) score 4 on 10 point scale) who: · have axial symptoms** and who have failed to respond to the sequential use of at least 2 NSAIDs at the optimum

dose for a minimum period of 3 months observation, or in whom NSAIDs are contraindicated OR · have peripheral symptoms and who have failed to respond to, or have contraindications to, the sequential use of at

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NOTE: Exception status drugs for Drug Assistance for Cancer Patients are indicated by an asterisk (*).

October 2011 Appendix III – 3

least 2 NSAIDs at the optimum dose for a minimum period of 3 months observation and have had an inadequate response to an optimal dose or maximal tolerated dose of a DMARD

· must be prescribed by a rheumatologist or prescriber with a specialty in rheumatology · requests for renewal must include information showing the beneficial effects of the treatment, specifically: - a decrease of at least 2 points on the BASDAI scale, compared with the pre-treatment score; OR - patient and expert opinion of an adequate clinical response as indicated by a significant functional improvement

(measured by outcomes such as HAQ or "ability to return to work") ** Patients with recurrent uveitis (2 or more episodes within 12 months) as a complication of axial disease, do not

require a trial of 2 NSAIDs. Initial Coverage Duration and Maximum Dosage approved: Adalimumab - initial period 6 months, maximum dose of 40mg every two weeks and not in combination with other anti-TNF agents Etanercept - initial period 6 months, maximum dose of 50mg per week and not in combination with other anti-TNF agents Golimumab - initial period 16 weeks, maximum dose 50mg per month and not in combination with other anti-TNF agents Crohn's Disease (Adalimumab) - for patients with moderate to severely active Crohn’s disease and are: · refractory or have contraindications to an adequate course of 5-aminosalicylic acid and corticosteroids and other

immunosuppressive therapy · initial reimbursement is restricted to an induction dose of 150mg followed by 80mg · clinical response to be assessed twelve weeks after the first induction dose and maintenance therapy approved in

responders only at a dose not exceeding 40mg every two weeks Crohn's Disease (Infliximab) - for treatment of Crohn’s disease in adults, when prescribed by a gastroenterologist or physician with a specialty in

gastroenterology: · in patients with moderate to severe active disease refractory to 5-ASA products AND glucocorticoids (e.g.,

prednisone) AND immunosuppressive therapy (azathioprine or 6-mercaptopurine or methotrexate)**. Initial approval of infliximab will be for a single infusion of 5mg/kg/dose. A second infusion may be warranted in patients not responding to the first infusion or in patients responding initially but then worsening before maintenance therapy is effective. Request for approval beyond induction therapy will be considered on a case by case basis

· in patients with fistulizing disease who have actively draining perianal or enterocutaneous fistula(e) that have recurred or persisted despite a course of appropriate antibiotic therapy (e.g., metronidazole +/-ciprofloxacin for a minimum of 3 weeks) AND immunosuppressive therapy (azathioprine or 6-mercaptopurine or methotrexate)**. Initial approval is for three infusions of infliximab of 5mg/kg/dose at 0, 2 and 6 week intervals

** Patients who are very ill and not candidates for surgery may qualify for infliximab therapy without a trial of AZA, 6-MP or

MTX, as they may require a more rapid onset of response. Juvenile Rheumatoid Arthritis (Etanercept) - for the treatment of moderate to severely active, polyarticular juvenile rheumatoid arthritis in children (age 4-17) who

have not responded to adequate treatment with one or more DMARDs for at least 3 months or have intolerance to DMARDs, and do not have a contraindication to etanercept

Psoriasis (Adalimumab, Etanercept, Infliximab) - for patients with severe, debilitating chronic plaque psoriasis (PsO) who meet all of the following criteria: · Body Surface Area (BSA) involvement of >10% and/or significant involvement of the face, hands, feet or genital region · failure to respond to, contraindications to or intolerant of methotrexate and cyclosporine · failure to respond to, intolerant of or unable to access phototherapy - written request of a dermatologist or prescriber with a specialty in dermatology

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October 2011 Appendix III – 4

- continued coverage is dependent on evidence of improvement, specifically: · 75% reduction in the Psoriasis Area and Severity Index (PASI) score, or · 50% reduction in PASI with a 5 point improvement in DLQI (Dermatology Life Quality Index), or · significant reduction in BSA involved, with consideration of important regions such as the face, hands, feet or genitals - concurrent use of biologics not approved Initial duration and maximum dosage approved: Adalimumab - initial approval for a maximum of 16 weeks - maximum dosage for ongoing coverage is 40mg every two weeks Etanercept - initial approval for a maximum of 12 weeks - maximum dosage approved: 50mg biweekly for the initial 12 weeks then 50mg weekly thereafter Infliximab - initial approval for a maximum of 12 weeks - dosage restricted to infliximab 5mg/kg 0, 2 and 6 weeks then every 8 weeks Psoriatic Arthritis (Adalimumab, Golimumab) - for patients with active psoriatic arthritis who meet all of the following: · have at least three active and tender joints · have not responded to an adequate trial with two DMARDs or have an intolerance or contraindication to DMARDs · not used in combination with other TNF antagonists - written request of a rheumatologist or prescriber with a specialty in rheumatology - after initial coverage period, can be reassessed for yearly coverage dependent on patient achieving an improvement in

symptoms of at least 20% Initial Coverage Duration and Maximum Dosage approved: Adalimumab - initial period 3 months, maximum dose of 40mg every two weeks Golimumab - initial period 3 months, maximum dose 50mg per month Psoriatic Arthritis (Etanercept) - for the treatment of active psoriatic arthritis in patients who have not responded to an adequate trial with two DMARDs

or who have an intolerance or contraindication to DMARDs - written request of a rheumatologist or prescriber with a specialty in rheumatology - coverage will be approved initially for 3 months. Can be reassessed for yearly coverage dependent on patient achieving

an improvement in symptoms of at least 20% Rheumatoid Arthritis (Adalimumab, Etanercept, Golimumab, Infliximab) - for patients with a diagnosis of active rheumatoid arthritis (RA) who: · have not responded or who have had intolerable toxicity to an adequate trial1 of combination therapy of at least two

traditional DMARDs2 or · if combination therapy is not an option, an adequate trial1 of at least three traditional DMARDs2 in sequence as

monotherapy and · patients must have had an adequate trial1 of leflunomide. Exceptions can be considered in cases where leflunomide

is contraindicated or not tolerated - therapy must include methotrexate alone or in combination unless contraindicated or not tolerated - written request of a rheumatologist or prescriber with a specialty in rheumatology - after initial coverage period, can be reassessed for yearly coverage dependent on patient achieving an improvement in

symptoms of at least 20% Initial Coverage Duration and Maximum Dosage approved: Adalimumab - initial coverage period 6 months, maximum dose of 40mg every two weeks Etanercept - initial coverage period 6 months Golimumab - initial coverage period 16 weeks, maximum dose 50mg per month Infliximab - initial coverage period 6 months

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NOTE: Exception status drugs for Drug Assistance for Cancer Patients are indicated by an asterisk (*).

October 2011 Appendix III – 5

_______________________________ 1 An adequate trial is 5 months for IM gold, 6 months for penicillamine, 4 months for hydroxychloroquine and 3 months for

all other traditional DMARDs as well as leflunomide, infliximab and etanercept. 2 Traditional agents include methotrexate, IM gold, sulfasalazine, hydroxychloroquine, azathioprine, chloroquine,

penicillamine and cyclosporine. *Please note that the concurrent use of anti-TNF agents will not be approved. *APREPITANT (Emend 80mg, 125mg, Tri-Pack Capsules) - in combination with a 5-HT3 antagonist and dexamethasone in adult cancer patients treated with chemotherapy that

includes cisplatin as a single day therapy greater than or equal to () 70mg/m2 to prevent acute and delayed nausea and vomiting.

· aprepitant will only be used with single day cisplatin-based therapy 70mg/m2 (and not multiple day cisplatin chemotherapy)

· aprepitant will not be used in patients receiving moderately emetogenic cancer chemotherapy or radiotherapy · the 5-HT3 antagonist should only be used on the first day of cisplatin therapy with aprepitant continuing on Day 2 and

Day 3 ARIPIPRAZOLE (Abilify 2mg, 5mg, 10mg, 15mg, 20mg and 30mg Tab) - for the treatment of schizophrenia and schizoaffective disorders in patients who have a contraindication to quetiapine

and risperidone, or have failed a trial of quetiapine and risperidone due to intolerance or lack of response ARTIFICIAL TEARS, PRESERVATIVE FREE (Celluvisc, Refresh, Refresh Plus, Refresh Tears, Tears Naturale Free) - for patients with a diagnosis of dry eye requiring frequent daily doses of artificial tears, to prevent sensitivity to

preservatives or in patients in whom preservative sensitivity is suspected - written request from an ophthalmologist or optometrist confirming the diagnosis will be required to initiate coverage *AZITHROMYCIN (Zithromax POS 100mg/5mL, 200mg/5mL and 250mg, 600mg Tablet and generic brands) - for the treatment of pneumonia in clients over 65 years of age [Criteria Code 65] - for the treatment of infections requiring a macrolide (including community acquired pneumonia in patients < 65 years of

age) when there is documented intolerance to erythromycin [Criteria Code 02] - for the treatment of infections when alternatives are not available due to documented patient allergies [Criteria Code

03] - for the treatment of infections when alternatives are not available due to serious intolerance to other agents [Criteria

Code 04] - for the treatment of chlamydia trachomatis as a single dose of 1g (4 tablets) [Criteria Code 05] - for the prevention of mycobacterium avium complex (MRP) [Criteria Code 06] - for the treatment of infections requiring a macrolide antibiotic when the patient is taking medications that would interact

with erythromycin [Criteria Code 07] - for the treatment of moderate to severe exacerbations of chronic bronchitis [Criteria Code 08] *BENZYDAMINE HCL (Tantum 0.15% Oral Rinse and generic brands) - for oncology patients only BETAHISTINE (Serc 16mg, 24mg Tablet and generic brands) - for the symptomatic treatment of recurrent episodes of vertigo associated with Meniere's disease BETAMETHASONE, CALCIPOTRIOL (Xamiol 0.5mg/g/50mcg/g Gel) - for the treatment of scalp psoriasis after: · failure of a topical steroid · the use of a topical steroid and calcipotriol together as single agents

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October 2011 Appendix III – 6

BOSENTAN (Tracleer 62.5mg, 125mg Tablet) - written initial request from a pulmonary arterial hypertension (PAH) specialist only - diagnosis of PAH should be confirmed by right heart catheterization - IPAH (functional class III and IV) · for the treatment of patients with World Health Organization (WHO) functional class III and IV idiopathic pulmonary

arterial hypertension (IPAH) who do not demonstrate vasoreactivity on testing or who do demonstrate vasoreactivity on testing but fail a trial of calcium channel blockers (CCB) or are intolerant to CCB

- PAH secondary to scleroderma, congenital heart disease or HIV (functional class III and IV) · for the treatment of patients with World Health Organization (WHO) functional class III and IV pulmonary arterial

hypertension (PAH) associated with scleroderma, congenital heart disease or HIV who do not respond to conventional therapy

BUDESONIDE (Pulmicort Nebuamps 0.125mg/mL, 0.25mg/mL, 0.5mg/mL Suspension) - See Wet Nebulization Solutions BUPRENORPHINE AND NALOXONE (Suboxone 2mg/0.5mg, 8mg/2mg Sublingual Tablet) - for the treatment of opioid dependence for patients in whom methadone is contraindicated (e.g., patients at high risk of,

or with, QT prolongation, or hypersensitivity to methadone) - must be prescribed by a physician licensed to prescribe methadone for opioid dependence BUTORPHANOL (10mg/mL Nasal Spray and generic brands) - for the treatment of migraine, upon the request of a neurologist, prescriber with a specialty in neurology or a specialist in

pain management, when conventional forms of therapy are ineffective or inappropriate CABERGOLINE (Dostinex 0.5mg Tablet and generic brands) - for the treatment of micro- or macro-adenoma of the pituitary after failure of bromocriptine (as determined by prolactin

levels) or if bromocriptine is not tolerated CALCIPOTRIOL (Dovonex 50mcg/g Ointment, Cream and 50mcg/mL Scalp Solution) - for the treatment of psoriasis when conventional therapies have been ineffective or inappropriate *CALCITONIN, INTRANASAL (Miacalcin 200iu Nasal Spray and generic brands) - for the treatment of osteoporosis associated with documented fragility fracture when alendronate, risedronate and

raloxifene are not tolerated or are contraindicated - for the treatment of osteoporosis without documented fracture when patient is at high 10 year fracture risk (using

fracture risk tables) and alendronate, risedronate and raloxifene are not tolerated or are contraindicated - for the treatment of pain associated with osteoporotic fragility fractures, bone metastases or pathological fractures (short

term up to 3 months) - other requests reviewed on a case by case basis *CAPECITABINE (Xeloda 150mg and 500mg Tablet) - for treatment of metastatic breast cancer as monotherapy in patients who have failed or cannot tolerate taxane-based

therapy and who have an ECOG performance status of 0-2 - as a single agent in patients who have documented evidence of metastatic colorectal cancer, with an ECOG

performance status of 0-2, who choose not to receive combination chemotherapy (5-FU/LV/irinotecan) and/or are unable to tolerate first line therapy. This includes patients who are chemotherapy naive or who have progressed 6 months after completion of adjuvant 5-FU/LV therapy

- for adjuvant treatment of patients with stage III (Dukes’ C) colon cancer and ECOG status 0-1 when prescribed by an oncologist

- requests must be from an oncologist or a prescriber with a specialty in oncology, and approval will be granted for three months, to be renewed as required; in stage III colon cancer, coverage approved for 6 months

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NOTE: Exception status drugs for Drug Assistance for Cancer Patients are indicated by an asterisk (*).

October 2011 Appendix III – 7

CARVEDILOL (Coreg 3.125mg, 6.25mg, 12.5mg, 25mg Tablet and generic brands) - for the treatment of stable symptomatic heart failure with systolic dysfunction (i.e., left ventricular ejection fraction

(LVEF) less than or equal to 40%) CETIRIZINE (Reactine 5mg, 10mg Tablet and generic brands) - for chronic urticaria, defined as the presence of hives or lesions for longer than six weeks, which has responded to

treatment with cetirizine CHOLINESTERASE INHIBITORS (ChEI) (Donepezil, Galantamine, Rivastigmine) - for the treatment of patients with a diagnosis of mild to moderate probable Alzheimer’s Disease or possible Alzheimer's

Disease with vascular component, with Lewy bodies or other (as specified), who meet the following criteria: · Initiation of coverage in a cholinesterase inhibitor (ChEI)-naive patient: Coverage is provided for an initial 90 days when all the following criteria are met: - a Mini-Mental State Examination (MMSE) score of 10 to 30; - a Functional Assessment Staging Test (FAST) score of 4 to 5; and

- three target symptoms have been established which will be monitored on an ongoing basis to assist in determining clinical meaningfulness

· Continuation of coverage for a second 90 day period: Coverage can be extended an additional 90 days if: - there is demonstrated stabilization or improvement in at least one target symptom after initial 90 days of therapy

· Continuation of coverage for 6 month periods: Coverage is continued in 6 month increments when: - the information provided indicates the patient is in the mild to moderate stage of Alzheimer's Disease - a MMSE and FAST score must be provided 6 months after starting a ChEI and then only annually thereafter · Initiation of coverage with a second ChEI for a patient who has previously taken no more than one other ChEI:

Coverage of a second ChEI can be provided for an initial 90 days if: - the reason for discontinuing the first ChEI is indicated; and - any changes in target symptoms are indicated

Coverage for a second ChEI is provided in the same manner as the first ChEI (i.e., 90 days, second 90 days, then continuation in 6 month periods if criteria are met). NOTE : Specialized requests forms, which have been developed for each coverage period, must be submitted for continuation of coverage. CIPROFLOXACIN, OPHTHALMIC (Ciloxan 0.3% Ophthalmic Solution and generic brands and Ointment) - See Fluoroquinolones, Ophthalmic *CIPROFLOXACIN, ORAL (Cipro 100mg/mL Oral Liquid and 250mg, 500mg, 750mg Tablet and generic brands) - See Fluoroquinolones, Oral *CIPROFLOXACIN XL, ORAL (Cipro XL 1000mg Tablet) - for the oral treatment of gram-negative infections in complicated urinary tract infections, for which other oral agents are

not effective or available [Criteria Code 10] - for the oral treatment of acute uncomplicated pyelonephritis [Criteria Code 11] CIPROFLOXACIN & DEXAMETHASONE, OTIC (Ciprodex Otic Suspension) - for the treatment of patients with acute otitis media with otorrhea through tympanostomy tubes [Criteria Code 01] - for the treatment of patients with acute otitis externa in the presence of a tympanostomy tube or known perforation of

the tympanic membrane [Criteria Code 02]

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October 2011 Appendix III – 8

*CLARITHROMYCIN (Biaxin 250mg, 500mg, XL 500mg Tablet, generic brands and 125mg/5mL, 250mg/5mL Oral Liquid) - for the treatment of pneumonia in clients over 65 years of age [Criteria Code 65] - for the treatment of infections requiring a macrolide (including community acquired pneumonia in patients <65 years of

age) when there is a documented intolerance to erythromycin [Criteria Code 02] - for the treatment of infections when alternatives are not available due to documented patient allergies [Criteria Code

03] - for the treatment of infections when alternatives are not available due to serious intolerance to other agents [Criteria

Code 04] - for the eradication of Helicobacter pylori infections when used in combination regimens for the treatment of peptic ulcer

disease for a one week duration [Criteria Code 12] - for the prevention and treatment of mycobacterium avium complex (MRP) [Criteria Code 06] - for the treatment of moderate to severe exacerbations of chronic bronchitis [Criteria Code 07] CLOPIDOGREL (Plavix 75mg Tablet) - for the secondary prevention of the following vascular ischemic events in patients with a history of symptomatic

atherosclerotic disease, including: · ischemic stroke/ transient ischemic attack (TIA) in patients with a documented severe allergy to ASA or who

experience a recurrent thrombotic event (stroke, symptoms of TIA) while taking ASA or a GI hemorrhage while on ASA,

· myocardial infarction (MI) in patients with a documented severe allergy to ASA or who experience a GI hemorrhage while on ASA,

· peripheral vascular disease (PVD) in patients with a documented severe allergy to ASA or who experience a GI hemorrhage while on ASA,

· unstable angina in patients with a documented severe allergy to ASA or who experience a GI hemorrhage while on ASA

- in patients with intravascular stent implantation, the coverage period following insertion is: Bare Metal Stent(s) (BMS) - 30 days Drug Eluting Stent(s) (DES) - 12 months NOTE: The [Criteria Code 30] may be used for the initial 30 days coverage period for all types of intravascular stent implantation. For coverage beyond the initial 30 day online approval a written request from the prescriber is required. - for patients with non-ST-segment elevation acute coronary syndrome (ACS) (i.e., unstable angina or non-ST-segment

elevation myocardial infarction), in combination with ASA, for a coverage period of 3 months coverage. Coverage for 12 months is available for high risk patients:

· with a second ACS within 12 months, or · with complex or extensive coronary artery disease (CAD) e.g., diffuse 3 vessel CAD not amenable to

revascularization, or · who have had a previous stroke, TIA or have symptomatic PVD - other requests on a case by case basis CLOSTRIDIUM BOTULINUM TOXIN TYPE A (Botox 100iu/vial Injection) - for the treatment of the following Health Canada approved indications: · focal spasticity following stroke in adults · equinus foot deformity in cerebral palsy patients 2 years of age and older · cervical dystonia · blepharospasm, hemifacial spasm (VII nerve disorder) and strabismus in patients 12 years of age and older CLOSTRIDIUM BOTULINUM TYPE A (Xeomin 100u/vial) - for the treatment of blepharospasm and cervical dystonia (spasmodic torticollis)

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October 2011 Appendix III – 9

*CODEINE, SUSTAINED RELEASE (Codeine Contin 50mg, 100mg, 150mg and 200mg Tablet) - for the treatment of mild to moderate chronic pain syndrome, if pain has been controlled by doses less than 200mg q12h - patients may be considered candidates if they are achieving good pain control from immediate-release plain codeine

preparations but prefer the convenience of a long-acting preparation, or if they are achieving good pain control from acetaminophen or ASA plus codeine preparations but are limited by the acetaminophen content to no greater than 12 tablets per day

- not insured for the treatment of acute pain (e.g., post-operative pain) CROMOGLYCATE SODIUM (pms-Sodium Cromoglycate1% Nebulizer Solution) - See Wet Nebulization Solutions *CYANOCOBALAMIN, INJECTION (Cyanocobalamin, Vitamin B12 100mcg/mL and 1000mcg/mL Injection) - for the treatment of documented cyanocobalamin deficiency, when the oral route is inappropriate or contraindicated (criteria applies to all Programs) *CYANOCOBALAMIN, ORAL (Vitamin B12 500mcg and 1,000mcg Tablet) - for the treatment of documented cyanocobalamin deficiency in recipients of the Community Services Pharmacare

Program, Family Pharmacare Program and Drug Assistance for Cancer Patients; oral cyanocobalamin is fully insured for Seniors' Pharmacare Program

*CYANOCOBALAMIN, ORAL IN COMBINATION (Vitamin B12 1000mcg SL Tablet with Folic Acid) - for the treatment of documented cyanocobalamin deficiency in recipients of the Community Services Pharmacare

Program, Family Pharmacare Program and Drug Assistance for Cancer Patients; oral cyanocobalamin is fully insured for Seniors' Pharmacare Program

CYCLOSPORINE (Neoral 10mg, 25mg, 50mg, 100mg Capsule and 100mg/mL Oral Liquid and generic brands) - for the treatment of severe psoriasis - for the treatment of severe rheumatoid arthritis *DARBEPOETIN (Aranesp Syringe Injection) - for the treatment of transfusion dependent patients with hematologic malignancies who have a baseline anemia of

90g/L and whose transfusion requirements are 2 units of packed red blood cells per month over 3 months - initial approval for 12 weeks with the documentation of dose, hemoglobin and therapeutic outcome (number of

transfusions) - approval of further 12 week cycles are dependent on evidence of satisfactory clinical response or reduced treatment

requirement to less than 2 units of PRBC monthly NOTE: Specialized request forms are used to request coverage for darbepoetin. DARIFENACIN (Enablex 7.5mg, 15mg Tablet) - See Urinary Antispasmodics, Long-Acting DASATINIB (Sprycel 20mg, 50mg, 70mg Tablet) - as a single agent for the treatment of adults with chronic, accelerated or blast phase chronic myelogenous leukemia

(CML) and Philadelphia chromosome acute lymphoblastic leukemia (Ph ALL) with resistance or intolerance to prior therapy including imatinib

- coverage approved for 6 months DEFERASIROX (Exjade 125mg, 250mg, 500mg Tablet for Suspension) - for the treatment of patients who require iron chelation and deferoxamine is contraindicated

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October 2011 Appendix III – 10

DENOSUMAB (Prolia 60mg/mL pre-filled syringe) - for women with postmenopausal osteoporosis for whom bisphosphonates are contraindicated due to hypersensitivity or

abnormalities of the esophagus (e.g., esophageal stricture or achalasia) and have at least two of the following: · age >75 years · a prior fragility fracture · a bone mineral density (BMD) T-score ≤ -2.5

DIPYRIDAMOLE & ASA (Aggrenox 200/25mg Capsule) - for the secondary prevention of ischemic stroke/transient ischemic attack (TIA) in patients who have experienced a

recurrent thrombotic event (stroke, symptoms of TIA) while taking ASA *DOLASETRON (Anzemet 50mg, 100mg Tablet) - See Serotonin (5-HT3) Antagonists Recommended dose is 100mg orally 1 hour pre-chemotherapy. DONEPEZIL (Aricept 5mg, 10mg Tablet) - See Cholinesterase Inhibitors (ChEI) DRONABINOL (Marinol 2.5mg, 5mg Capsule) - for the treatment of severe nausea and vomiting associated with cancer chemotherapy in patients who have failed a

traditional stepwise approach to antiemetic therapy - for second line treatment of acquired immune deficiency syndrome (AIDS)-related anorexia associated with weight loss DULOXETINE (Cymbalta 30mg, 60mg Capsule) - for the treatment of neuropathic pain in diabetic patients who are unresponsive to adequate courses of two alternative

agents, such as tricyclic antidepressants and anticonvulsants - dose limited to a maximum of 60mg per day ENTACAPONE (Comtan 200mg Tablet) - for the treatment of Parkinson's disease as adjunctive therapy in patients who are not well controlled and are

experiencing significant "wearing off" symptoms despite optimal therapy with a levodopa and a decarboxylase inhibitor ENTECAVIR (Baraclude 0.5mg Tablet) - for the treatment of chronic hepatitis B infection in patients with: · documented cirrhosis on radiologic or histologic grounds AND · a HBV DNA concentration above 2000iu/mL EPINEPHRINE (Epipen 1:000, Epipen Jr. 1:2000 Injection and Twinject 0.15mg, 0.3mg Auto-Injector) - for the emergency treatment of anaphylactic reactions, when out of reach of immediate medical attention NOTE : Regular benefit, but with a quantity limit of two injections per fiscal year. Additional units require an exception

status request. *ERLOTINIB (Tarceva 100mg, 150mg Tablet) - as monotherapy for the treatment of patients with locally advanced or metastatic NSCLC after failure of at least one

prior chemotherapy regimen and whose EGFR expression status is positive or unknown - coverage approved for 6 months

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October 2011 Appendix III – 11

*ERYTHROPOIETIN (Eprex Multidose Vial and Syringe Injection) - for the treatment of transfusion dependent patients with hematologic malignancies who have a baseline anemia of

90g/L and whose transfusion requirements are 2 units of packed red blood cells per month over 3 months - initial approval for 12 weeks with the documentation of dose, hemoglobin and therapeutic outcome (number of

transfusions) - approval of further 12 week cycles are dependent on evidence of satisfactory clinical response or reduced treatment

requirement to less than 2 units of PRBC monthly - if transfusion requirements increase to 2 units/ month (over a 3 month period), one dose increase may be attempted

(maximum dose 60,000iu per week) NOTE: Specialized request forms are used to request coverage for erythropoietin. *ESTRADIOL (Climara, Estraderm, Estradot Transdermal Patch, Estrogel Topical Gel and generic brands) *ESTRADIOL/NORETHINDRONE ACETATE (Estalis Transdermal Patch) - for the treatment of menopausal symptoms in women who cannot tolerate the oral forms of hormone replacement

therapy ETANERCEPT (Enbrel 25mg Powder For Injection and 50mg/Ml Injection) - See Anti-Tumor Necrosis Factor (TNF) Agents EZETIMIBE (Ezetrol 10mg Tablet) - for the treatment of hypercholesterolemia, as adjunctive therapy with statins, in patients who have not reached

treatment goals on maximum tolerated statin therapy alone - for the treatment of hypercholesterolemia, as monotherapy, in patients who are intolerant to statins and, when

appropriate, fibrates FEBUXOSTAT (Uloric 80mg Tablet) - for the treatment of symptomatic gout in patients who have documented hypersensitivity to allopurinol FENOTEROL (Berotec 1mg/mL Solution) - See Wet Nebulization Solutions *FENTANYL (Fentanyl 12mcg/hr, 25mcg/hr, 50mcg/hr, 75mcg/hr, 100mcg/hr Transdermal System Generic Brands) - for the treatment of malignant or chronic non-malignant pain in adult patients who were previously receiving continuous

opioid administration (i.e., not opioid naive), or who are unable to take oral therapy FINASTERIDE (Proscar 5mg Tablet and generic brands) - for the treatment of benign prostatic hypertrophy (BPH) when alpha-antagonists are contraindicated, not tolerated or

failed - for the treatment of benign prostatic hypertrophy (BPH) in combination with an alpha-antagonist when alpha-antagonist

therapy has been tried as monotherapy and a partial response has been observed *FLUCONAZOLE (Diflucan Pos 10mg/mL) - for the treatment of oropharyngeal candidiasis when nystatin has failed, or for systemic infections when oral tablets are

not an option *FLUDARABINE (Fludara 10mg Tablet) - for the treatment of chronic lymphocytic leukemia (CLL), in patients with an ECOG performance status of 0-2, when: · the patient has failed to respond or relapsed during or after previous therapy with an alkylating agent, and · intravenous administration is not desirable FLUOROQUINOLONES, OPHTHALMIC (Ciprofloxacin, Ofloxacin) - for the treatment of eye infections upon the order of an ophthalmologist, ophthalmology resident, prescribing optometrist

or other prescriber who has a specialty in ophthalmology [Criteria Code 01]

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October 2011 Appendix III – 12

*FLUOROQUINOLONES, ORAL (Ciprofloxacin, Norfloxacin, Ofloxacin) - for the treatment of patients intolerant or allergic (hypersensitivity reaction) to all other effective oral agents [Criteria

Code 01] - for the treatment of aerobic, gram-negative infections which are resistant to other suitable oral agents [Criteria Code

02] - for the oral treatment of multi-resistant, aerobic, gram-negative infections traditionally requiring parenteral therapy (e.g.,

osteomyelitis, complicated urinary tract infections, bacterial pneumonia in cystic fibrosis, prostatitis) for which other oral agents are not effective or available [Criteria Code 03]

- for infections due to Pseudomonas aeruginosa (ciprofloxacin is the preferred agent) [Criteria Code 04] - for the treatment of necrotizing (malignant) otitis externa [Criteria Code 05] - for the prevention of endophthalmitis in patients who have had cataract surgery involving an unplanned vitrectomy

(ciprofloxacin) [Criteria Code 06] *FLUOROQUINOLONES, RESPIRATORY (Levofloxacin, Moxifloxacin) - for the completion of therapy instituted in the hospital setting for the treatment of nosocomial pneumonia, community

acquired pneumonia (CAP) or acute exacerbation of chronic bronchitis (AECB) [Criteria Code 01] - for the treatment of severe pneumonia in nursing home patients [Criteria Code 02] - for the treatment1 of CAP in patients with comorbidity2 upon radiographic confirmation of pneumonia, or who have failed

first line therapies (macrolide, doxycycline, amoxicillin-clavulanate) [Criteria Code 03] - for the treatment1 of AECB in complicated patients3 who have failed treatment with one of the following: amoxicillin,

doxycycline, TMP-SMX, cefuroxime, macrolide, ketolide or amoxicillin-clavulanate [Criteria Code 04] ________________________________ 1 If treated with an antibiotic within the past 3 months choose an antibiotic from a different class. 2 Comorbidity includes chronic lung disease, malignancy, diabetes, liver failure, renal failure, congestive heart failure, use

of antibiotics or steroids in the past 3 months, suspected macroaspiration, hospitalization within last 3 months, HIV/AIDS, smoking, malnutrition or acute weight loss.

3 Complicated AECB defined as increased cough and sputum, sputum purulence and increased dyspnea and FEV1 < 50% predicted or FEV1 50% - 65% and one of the following: 4 exacerbations per year, ischemic heart disease, chronic oral steroid use or antibiotic use in past 3 months

FORMOTEROL (Foradil 12ug Capsule For Inhalation and Oxeze 6mcg/Dose, 12mcg/Dose Turbuhaler) - See Long-Acting Beta2-Agonists FORMOTEROL, IN COMBINATION (Symbicort 100/6mcg, 200/6mcg Turbuhaler) - See Long-Acting Beta2-Agonists/Inhaled Corticosteroids GALANTAMINE (Reminyl Er 8mg, 16mg, 24mg Capsule and generic brands) - See Cholinesterase Inhibitors (ChEI) GOLIMUMAB (Simponi 50mg/0.5ml Autoinjector and Prefilled Syringe) - See Anti-Tumor Necrosis Factor (TNF) Agents *GRANISETRON (Kytril 1mg Tablet and generic brands) - See Serotonin (5-HT3) Antagonists NOTE: Recommended dose is 2mg orally 1 hour pre-chemotherapy or 1mg 1 hour pre-chemotherapy and 1mg 12 hours post-chemotherapy. HYDROXYZINE (10mg, 25mg, 50mg Capsule, generic brands and Atarax Syrup) - for chronic urticaria, defined as the presence of hives or lesions for longer than six weeks, which has responded to treatment with hydroxyzine

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October 2011 Appendix III – 13

*IMATINIB (Gleevec 100mg Capsule and 100mg, 400mg Tablet) - as a single agent for adult patients with a histological diagnosis of localized primary GIST (KIT (CD-117)-positive) following surgical complete resection and at a high risk or recurrence.

· risk of recurrence is dependent on location, size and mitotic rate. Specific parameters for considering adjuvant therapy after resection of GIST along the gastrointestinal tract may include but are not limited to:

gastric: any tumor >3cm where the mitotic rate is >5/50 high powered fields (HPFs). Adjuvant treatment could be considered where the mitotic rate is <5HPFs and tumor >10cm

duodenal, small bowel, peritoneal, colorectal: any tumor where the mitotic rate is >5. - for the treatment of chronic myelogenous leukemia (CML), as a single agent, in patients who have documented

evidence of Philadelphia chromosome positive CML, with an ECOG performance status of 0-2 and who are in blast crisis, accelerated phase, or chronic phase or

- as a secondary treatment in patients who demonstrate a hematologic relapse or cytogenetic progression after interferon-alpha (INF-a) therapy

- requests for other indications will be reviewed on a case by case basis - written request of an oncologist required - coverage approved for one year IMIQUIMOD (Aldara 5% Cream) - for the treatment of external genital and perianal warts and condyloma acuminata in adults - for the treatment of actinic keratosis on the head and neck in patients who have failed treatment with 5FU and

cryotherapy - for the treatment of biopsy-confirmed primary superficial basal cell carcinoma:

· with a tumor diameter of ≤ 2cm AND · located on the trunk, neck or extremities (excluding hands and feet) AND · where surgery or eradication therapy is not medically indicated

- recurrent lesions in previously irradiated area OR - multiple lesions, too numerous to irradiate or remove surgically

· approval period: 6 weeks NOTE: Surgical management should be considered first-line for superficial basal cell carcinoma in most patients,

especially for isolated lesions INFLIXIMAB (Remicade 100mg Powder For Injection) - See Anti-Tumor Necrosis Factor (TNF) Agents INSULIN ASPART (Novorapid 100iu/Ml Penfill and Vial) INSULIN GLULISINE (Apidra 3ml Prefilled Pen, 10ml Vial And Cartidges) INSULIN LISPRO (Humalog Insulin, Cartridges and Kwikpen) - regular benefit for children 18 years and younger, under Community Services, Family Pharmacare and Diabetes

Assistance Programs - for the management of Type I and Type II diabetes mellitus in patients 19 years of age and older, who are:

· undergoing intensive therapy, i.e., administering three or more injections of insulin per day including basal insulin, and

· testing blood glucose levels 4-6 times per day *INTERFERON ALPHA-2B (Intron-A Injection and Multidose Pen) - written request of an oncologist only - for hairy cell leukemia - for AIDS-related Kaposi's sarcoma - for chronic hepatitis B or C - for chronic myelogenous leukemia (CML) - for thrombocytosis associated with CML - for malignant melanoma - for basal cell carcinoma *IPRATROPIUM BROMIDE (250mcg/mL Inhaled Solutions - See Formulary Listings For Product Names) - See Wet Nebulization Solutions

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October 2011 Appendix III – 14

*IPRATROPIUM BROMIDE, IN COMBINATION (Combivent Inhaled Solution and generic brands) - See Wet Nebulization Solutions *ITRACONAZOLE (Sporanox 100mg Capsule) - for the treatment of severe systemic fungal infections - for the treatment of severe or resistant fungal infections in immunocompromised patients - for the treatment of severe onychomycosis caused by dermatophyte fungi as diagnosed by a dermatologist, attending

physician or prescriber with a specialty in dermatology LACOSAMIDE (Vimpat 50mg, 100mg, 150mg, 200mg Tablet) - as adjunctive treatment for patients with refractory partial-onset seizures who meet all of the following criteria:

· are under the care of a physician experienced in the treatment of epilepsy, and · are currently receiving two or more antiepileptic drugs, and · in whom all other antiepileptic drugs are ineffective or not appropriate

*LACTULOSE (667mg/mL Oral Liquid, generic brands) - for portal systemic encephalopathy - for pneumatosis cystoides intestinalis LAMIVUDINE (Heptovir 100mg Tablet) - for the treatment of hepatitis B, upon written request of a specialist - therapy is approved for one year, with reassessment required at that time LANSOPRAZOLE (Prevacid FasTab 15mg, 30mg Tablet) - for patients who require the use of a proton pump inhibitor and require administration through a feeding tube. LANSOPRAZOLE (Prevacid 15mg, 30mg Capsule and generic brands) - See Proton Pump Inhibitors LANSOPRAZOLE, AMOXICILLIN AND CLARITHROMYCIN IN COMBINATION (HP-Pac) - helicobacter pylori eradication for a one week duration [Criteria Code 01] *LAPATINIB (Tykerb 250mg Tablet) · In combination with capecitabine as a treatment option in patients with HER2 positive advanced or Metastic

Breast Cancer (MBC) with trastuzumab refractory disease (previously treated with trastuzumab alone or in combination with chemotherapy such as taxane and/or vinorelbine) who have an ECOG performance status of 0 to 2 and choose to receive systemic chemotherapy. Patients with previous exposure to capecitabine are not considered eligible

LEFLUNOMIDE (Arava 10mg, 20mg Tablet and generic brands) - written request from a rheumatologist or prescriber with a specialty in rheumatology - for patients with a diagnosis of active rheumatoid arthritis (RA) who · have not responded or who have had intolerable toxicity to an adequate trial1 of combination therapy of at least two

traditional DMARDs2 or · if combination therapy is not an option, an adequate trial of at least three traditional DMARDs in sequence as

monotherapy - therapy must include methotrexate alone or in combination unless contraindicated or not tolerated - coverage will be approved initially for 6 months. Can be reassessed for yearly coverage dependent on patient achieving

an improvement in symptoms of at least 20% ________________________________ 1 An adequate trial is 5 months for IM gold, 6 months for penicillamine, 4 months for hydroxychloroquine and 3 months for

all other traditional DMARDs as well as leflunomide, infliximab and etanercept. 2 Traditional agents include methotrexate, IM gold, sulfasalazine, hydroxychloroquine, azathioprine, chloroquine,

penicillamine and cyclosporine.

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October 2011 Appendix III – 15

LENALIDOMIDE (Revlimid Cap) · in combination with dexamethasone in adult patients with progressive multiple myeloma (MM) after at least one

previous treatment, not resistant to dexamethasone, documented measurable disease and an ECOG performance status of 0-2

LEUKOTRIENE RECEPTOR ANTAGONISTS (Montelukast, Zafirlukast) - for the treatment of moderate to severe asthma in adults and children who: · despite compliance are not adequately controlled with a moderate or high dose inhaled corticosteroid and require

additional symptom control (e.g., cough, awakening at night, missing activities such as school, work or social activities because of asthma symptoms) and

· require increasing amounts of short-acting beta2-agonists, indicative of poor control LEVETIRACETAM (Keppra 250mg, 500mg, 750mg Tablet and generic brands) - as adjunctive therapy in the management of patients with epilepsy who are not satisfactorily controlled by conventional

therapy LEVOCARNITINE (Carnitor 1g/5mL Injection, 100mg/mL Oral Liquid and 300mg Tablet) - for the treatment of primary systemic carnitine deficiency LEVODOPA AND CARBIDOPA AND ENTACAPONE (Stalevo 50mg, 75mg, 100mg, 125mg, 150mg Tablet) - for the treatment of Parkinson’s disease as adjunctive therapy in patients who: · are not well controlled and are experiencing significant “wearing off” symptoms despite optimal therapy with

levodopa/carbidopa · were not well controlled and experienced significant “wearing off” symptoms despite optimal therapy with

levodopa/carbidopa and are currently using levodopa/carbidopa and entacapone separately *LEVOFLOXACIN (Levaquin 250mg, 500mg Tablet and generic brands) - See Fluoroquinolones, Respiratory LINEZOLID (Zyvoxam 600mg Tablet) - written request from an infectious disease specialist or prescriber with a specialty in infectious diseases - for the treatment of proven vancomycin-resistant enterococci (VRE) infections - for the treatment of proven methicillin-resistant staphylococcus aureus or epidermidis (MRSA/MRSE) infections in those

patients who are unresponsive to, or intolerant of vancomycin LONG-ACTING BETA2-AGONISTS (Formoterol, Salmeterol) LONG-ACTING BETA2-AGONISTS/INHALED CORTICOSTEROIDS (Formoterol, In Combination; Salmeterol, In Combination) Asthma - for the treatment of moderate to severe asthma in patients who: · are compliant with inhaled corticosteroids at a dose of any one of the following: - >400mcg/day budesonide - >250mcg/day beclomethasone dipropionate or - >250mcg/day fluticasone propionate and · require additional symptom control, (e.g., cough, awakening at night, missing activities such as school, work or social

activities because of asthma symptoms); and · require increasing amounts of short-acting beta2-agonists, indicative of poor control

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October 2011 Appendix III – 16

Chronic Obstructive Pulmonary Disease - for the treatment of chronic obstructive pulmonary disease (COPD), if symptoms persist after 2-3 months of short-acting

bronchodilator therapy (i.e., salbutamol at a maximum dose of 8 puffs/day or ipratropium at maximum dose of 12 puffs/day)

- coverage can be provided without a trial of short-acting agent if: · there is spirometric evidence of at least moderate to severe airflow obstruction, (i.e., postbronchodilator values FEV1 <

60% and FEV1/FVC ratio < 0.7), and significant symptoms (i.e., MRC score of 3-5*) - combination therapy with tiotropium and a long-acting beta2 agonist/inhaled corticosteroid will only be considered if:

· there is spirometric evidence of at least moderate to severe airflow obstruction (postbronchodilator values FEV1 < 60% and FEV1/FVC ratio < 0.7), and significant symptoms (i.e., MRC score of 3-5*) and

· there is evidence of one or more moderate-to-severe exacerbations per year, on average, for 2 consecutive years requiring antibiotics and/or systemic (oral or intravenous) corticosteroids

NOTE: Coverage of combination therapy with tiotropium and a long-acting beta2 agonist (without an inhaled

corticosteroid) will not be considered due to insufficient evidence to support substantial benefit. If spirometry cannot be obtained, reasons must be clearly explained and other evidence regarding severity of condition must be provided for consideration (i.e., MRC scale). Spirometry reports from any point in time will be accepted. * Canadian Thoracic Society COPD Classification By Symptom/Disability: Moderate - (MRC 3-4) Shortness of breath from COPD causing the patient to stop after walking about 100 meters (or after a few minutes) on the level. Severe - (MRC 5) Shortness of breath from COPD resulting in the patient being too breathless to leave the house or breathless after undressing, or the presence of chronic respiratory failure or clinical signs of right heart failure. MRC= Medical Research Council Dyspnea Scale LORATADINE (Claritin 10mg Tablet and generic brands) - for chronic urticaria, defined as the presence of hives or lesions for longer than six weeks, which has responded to

treatment with loratadine MAGNESIUM GLUCOHEPTONATE (5mg/mL Solution and generic brands) - for the treatment of hypomagnesemia METFORMIN AND ROSIGLITAZONE (Avandamet 1/500mg, 2/500mg, 4/500mg, 2/1000mg, 4/1000mg Tablet) - for the treatment of type II diabetes in patients currently stabilized on equivalent strengths of metformin and

rosiglitazone *METHADONE (Metadol 1mg, 5mg, 10mg, 25mg Tablet) - for the management of severe chronic or malignant pain as an alternative to other opiates - written request of a physician authorized to prescribe methadone *METHADONE, ORAL LIQUID (Methadone o/l Compound) - for the management of severe chronic or malignant pain as an alternative to other opiates - for the management of patients undergoing therapy for drug dependence - written request of a physician authorized to prescribe methadone

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October 2011 Appendix III – 17

METHYLPHENIDATE (Biphentin 10mg, 15mg, 20mg 30mg, 40mg, 50mg, 60mg and 80mg Capsule) - for patients 6-18 years of age diagnosed with attention deficit hyperactivity disorder (ADHD) who require 12-hour

continuous coverage due to academic and/or psychosocial needs, and who meet the following: · patients who demonstrate significant and problematic disruptive behaviour or who have problems with inattention that

interfere with learning AND · prescribed by or in consultation with a specialist in pediatric psychiatry, pediatrics, general practitioners or other

prescribers with expertise in ADHD AND · have been tried on immediate release and slow release methylphenidate with unsatisfactory results *MIDAZOLAM (1mg/mL, 5mg/mL Injection and generic brands) - for adjunctive therapy of pain management in palliative care patients outside the hospital setting [Criteria Code 01] MONTELUKAST (Singulair 4mg, 5mg Chewtabs, 4mg/pkt Granules and 10mg Tablets) - See Leukotriene Receptor Antagonists *MOXIFLOXACIN (Avelox 400mg Tablet) - See Fluoroquinolones, Respiratory NABILONE (Cesamet 0.25mg, 0.5mg and 1mg Capsule) · For the management of severe nausea and vomiting associated with cancer chemotherapy NALTREXONE (Revia 50mg Tablet) - for the treatment of alcohol dependence, as an adjunct to a comprehensive psychotherapeutic or psychological

alcoholism counseling program to support abstinence, and reduce the risk of relapse - eligibility is initially restricted to a three month period with reassessment at that time for further coverage NARATRIPTAN (Amerge 1mg, 2.5mg Tablet and generic brands) - See Selective 5HT1 - Receptor Agonists NILOTINIB (Tasigna 200mg Cap) - As a single line agent for the treatment of adults with chronic or accelerated phase CML with resistance or intolerance to

prior therapy. This would include: · Patients with CML in chronic phase who are intolerant to imatinib or dasatinib or both · Patients with CML in chronic phase who are resistant to imatinib 600mg/day · Patients with CML that have progressed to accelerated phase while on imatinib

- Sequential use of dasatinib and nilotinib is not permitted except in the circumstance described above (i.e. intolerance) - Coverage approved for 6 months *NORFLOXACIN (400mg Tablet, generic brands) - See Fluoroquinolones, Oral OFLOXACIN, OPHTHALMIC (Ocuflox 0.3% Ophthalmic Solution and generic brands) - See Fluoroquinolones, Ophthalmic *OFLOXACIN, ORAL (300mg and 400mg Tablet and generic brands) - See Fluoroquinolones, Oral OLANZAPINE (Zyprexa 2.5mg, 5mg, 7.5mg, 10mg, 15mg Tablet and generic brands) - for the treatment of schizophrenia and related psychotic disorders upon the written request of a psychiatrist, either first

line or upon failure of other antipsychotic agents - for the acute treatment of manic or mixed episodes in bipolar I disorder in patients with intolerance or a history of failure

to one other atypical antipsychotic - for maintenance therapy in patients with bipolar disease who are currently stabilized on olanzapine

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October 2011 Appendix III – 18

OLANZAPINE, ORAL DISINTEGRATING (Zyprexa Zydis 5mg, 10mg, 15mg, 20mg Tablet and generic brands) - for the use in patients who meet the criteria for treatment with regular release oral olanzapine and who have difficulty

swallowing OMEPRAZOLE (Losec 10mg, 20mg Capsule/Tablet and generic brands) - See Proton Pump Inhibitors NOTE: Omeprazole is available as a full benefit if the dose does not exceed the standard dose of 20mg per day (maximum of 400 tablets/capsules per year). If the dosage is greater than 20mg per day then the criteria for coverage must be met. *ONDANSETRON (Zofran 4mg, 8mg Tablet, 4mg/5mL Oral Liquid and generic brands and ODT Tablet) - See Serotonin (5-HT3) Antagonists NOTE: Only requests for the oral dosage forms are eligible for consideration. Although the dose may vary, usually a

single oral 8mg dose pre-chemotherapy is sufficient to control symptoms. As well, some patients may require additional therapy up to 48 hours after the last dose of chemotherapy or last radiation treatment. Benefit beyond 48 hours has not been established and is therefore, not insured.

OSELTAMIVIR (Tamiflu 30mg, 45mg, 75mg Capsule, 12mg/mL Oral Suspension) - for the treatment of long-term care residents with clinically suspected or lab confirmed influenza A or B. A clinically

suspected case is one in which the patient meets the criteria of influenza-like illness and there is confirmation of influenza A or B circulating within the facility or surrounding community

- for the prophylaxis of influenza A or B in long-term care residents where the facility has an outbreak - a protocol has been developed by Public Health for the treatment of patients in long-term care facilities. The facility must

contact the Medical Officer of Health or local Public Health Office, who will notify the Pharmacare office (or dispensing pharmacy after office hours) if coverage is required

OXCARBAZEPINE (Trileptal 60mg/mL Oral Liquid and 150mg, 300mg, 600mg Tablet and generic brands) - for the treatment of epileptic seizures in patients who have had an inadequate response to or are intolerant of at least

three other formulary agents (prior or current use) including carbamazepine OXYBUTYNIN XL (Ditropan XL and Uromax 5mg, 10mg Tablet) - See Urinary Antispasmodics, Long-Acting *OXYCODONE, SUSTAINED RELEASE (Oxycontin 5mg, 10mg, 15mg, 20mg, 30mg 40mg, 60mg and 80mg Tablet) - for the treatment of moderate to severe chronic pain syndromes, as an alternative to morphine or hydromorphone - not insured for the treatment of acute pain (e.g., post-operative pain) PANTOPRAZOLE MAGNESIUM (Tecta 40mg Tablet) - See Proton Pump Inhibitors NOTE: Pantoprazole magnesium is available as a full benefit if the dose does not exceed the standard dose of 40mg per

day (maximum of 400 tablets per year). If the dosage is greater than 40mg per day then the criteria for coverage must be met.

PANTOPRAZOLE SODIUM (Pantoloc 20mg, 40mg Ec Tablet and generic brands) - See Proton Pump Inhibitors

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PEGINTERFERON ALFA-2A (Pegasys 180mcg Injection) - for the treatment of hepatitis C in patients who are treatment naive, upon the written request of a hepatologist or

prescriber with a specialty in hepatitis - a 24 week period will be initially approved at which time a further request will be required documenting the patient’s

response. If a positive response occurs, coverage can be continued for an additional 24 weeks (48 weeks total) - for the treatment of HBeAg negative Chronic Hepatitis B (CHB) patients with compensated liver disease, liver

inflammation and evidence of viral replication with demonstrated intolerance to or failure of lamivudine therapy, upon written request of a hepatologist or prescriber with a specialty in hepatitis. Maximum duration of coverage is 48 weeks

PEGINTERFERON ALFA-2A AND RIBAVIRIN (Pegasys RBV Injection/Tablet) - for the treatment of hepatitis C in patients who are treatment naive, upon the written request of a hepatologist or

prescriber with a specialty in hepatitis - a 24 week period will initially be approved at which time a further request will be required documenting the patient's

response. If a positive response occurs, coverage can be continued for an additional 24 weeks (48 weeks total) PEGINTERFERON ALFA-2B AND RIBAVIRIN (Pegetron and Pegetron Redipen Injection/Capsule) - for the treatment of hepatitis C in patients who are treatment naive, upon the written request of a hepatologist or

prescriber with a specialty in hepatitis - a 24 week period will initially be approved at which time a further request will be required documenting the patient's

response. If a positive response occurs, coverage can be continued for an additional 24 weeks (48 weeks total). PENTOXIFYLLINE (Trental 400mg Tablet and generic brands) - for the treatment of patients with ulcers due to ischemia of critical limbs PILOCARPINE, ORAL (Salagen 5mg Tablet) - for oncology patients only - for the treatment of the symptoms of xerostomia due to salivary gland hypofunction caused by radiotherapy for cancer of

the head and neck PIOGLITAZONE (Actos 15mg, 30mg, 45mg Tablet and generic brands) - for treatment of Type II diabetes in patients who have:

· inadequate glycemic control on optimal doses of sulfonylurea and metformin; or · demonstrated intolerance or contraindication to metformin and are on optimal doses of sulfonylurea; or · demonstrated intolerance or contraindication to sulfonylurea and are on optimal does of metformin

- patients must have a recent A1C of < 10% unless insulin therapy is inappropriate for the patient. Duration of intial approval will be 6 months; further coverage will require demonstrated evidence of efficacy (a reduction of A1C of 0.7 observed to continue coverage)

PROTON PUMP INHIBITORS (PPIs) Omeprazole, Rabeprazole, and Pantoprazole magnesium (higher than standard daily doses)

- failed standard daily doses of full benefit PPIs (20mg of omeprazole, 20mg of rabeprazole or 40mg of pantoprazole magnesium)

- coverage duration: 8 week trial, followed by up to one year of coverage. Use beyond the 8 week trial will be considered if step down to standard dose is not successful

NOTE: Omeprazole, rabeprazole and pantoprazole magnesium are available as full benefits if the dose does not exceed the standard dose of 20mg per day for omeprazole and rabeprazole and 40mg per day for pantoprazole magnesium (maximum of 400 tablets/capsules per year). Pantoprazole Sodium and Lansoprazole

- failure of a trial of all open benefit PPIs (omeprazole, rabeprazole, and pantoprazole magnesium) - coverage duration: yearly coverage

QUINAGOLIDE (Norprolac 0.025mg, 0.05mg, 0.075mg, 0.15mg Tablet) - for the treatment of hyperprolactinemia (idiopathic or originating from a prolactin secreting micro or macro-adenoma of

the pituitary) after failure of bromocriptine (as determined by prolactin levels) or if bromocriptine is not tolerated

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RABEPRAZOLE (Pariet 10mg, 20mg Tablet and generic brands) - See Proton Pump Inhibitors NOTE: Rabeprazole is available as a full benefit if the dose does not exceed the standard dose of 20mg per day

(maximum of 400 tablets per year). If the dosage is greater than 20mg per day then the criteria for coverage must be met.

RALOXIFENE (Evista 60mg and generic brands) - for the treatment of postmenopausal osteoporosis associated with documented fragility fracture when bisphosphonates

are not tolerated or are contraindicated - for the treatment of postmenopausal osteoporosis without documented fractures when patient is at high 10 year fracture

risk (using fracture risk tables) and bisphosphonates are not tolerated or are contraindicated - other requests reviewed on a case by case basis RILUZOLE (Rilutek 50mg Tablet) - for the treatment of amyotrophic lateral sclerosis (ALS) or Lou Gehrig’s Disease, when initiated by a neurologist with

expertise in the management of ALS, when the patient has: · probable or definite diagnosis of ALS · ALS symptoms for less than five years · FVC >60% predicted upon initiation of therapy · no tracheostomy for invasive ventilation - coverage to be reviewed every six months - coverage cannot be renewed once the patient has a tracheostomy for the purpose of invasive ventilation or mechanical

ventilation *RISEDRONATE (Actonel 5mg, 30mg, 35mg Tablet and generic brands) - for the treatment of osteoporosis associated with documented fracture - for the treatment of osteoporosis without documented fracture when patient is at high 10 year fracture risk (using

fracture risk tables) - as prophylaxis of corticosteroid induced osteoporosis in patients who will be, or have been, on systemic corticosteroid

therapy for > 3 months - Paget’s disease of bone (2 month limit, one re-treatment course may be considered) - other requests reviewed on a case by case basis RISPERIDONE (Risperdal Consta 25mg/mL, 37.5mg/Ml, 50mg/2mL Injection) - for patients having problems with compliance on an oral antipsychotic or - for patients who are currently receiving a conventional depot antipsychotic and are experiencing significant side effects

(EPS or TD) or lack of efficacy RITUXIMAB (Rituxan 10mg/mL Injection) - for the treatment of adult patients with severe active rheumatoid arthritis who have failed to respond to an adequate trial

with an anti-TNF agent - cannot be used concomitantly with anti-TNF agents - written request from a rheumatologist or prescriber with a specialty in rheumatology - approval for re-treatment with rituximab will only be considered for patients who have achieved a response, followed by

a subsequent loss of effect and, after an interval of no less than six months from the previous dose RIVAROXABAN (Xarelto 10mg Tablet) - for the prophylaxis of venous thromboembolism following total knee replacement or total hip replacement, for up to two

weeks, as an alternative to low molecular weight heparins - dose limited to 10mg per day for up to two weeks supply only RIVASTIGMINE (Exelon 2mg/mL Oral Liquid And 1.5mg, 3mg, 4.5mg, 6mg Capsule and generic brands) - See Cholinesterase Inhibitors (ChEI) RIZATRIPTAN (Maxalt 5mg, 10mg Tablets and 5mg, 10mg Wafers) - See Selective 5HT1 - Receptor Agonists

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*SACCHARATED IRON OXIDE (Venofer 20mg/mL Injection) - for patients in whom parenteral iron is indicated and who have had a hypersensitivity or anaphylactic reaction to IV iron

dextran *SALBUTAMOL (0.5mg/mL, 1mg/mL, 2mg/mL Unit Dose Inhaled Solution And 5mg/mL Inhaled Solution- See Formulary Listings For Product Names) - See Wet Nebulization Solutions *SALBUTAMOL, IN COMBINATION (Combivent Inhaled Solution and generic brands) - See Wet Nebulization Solutions SALMETEROL (Serevent 50mcg/dose Diskhaler and 50mcg/dose Diskus) - See Long-Acting Beta2-Agonists SALMETEROL IN COMBINATION (Advair 50/100mcg, 50/250mcg, 50/500mcg Diskus and HFA 25/125 mcg/dose, HFA 25/250 mcg/dose Inhaler) - See Long-Acting Beta2-Agonists/Inhaled Corticosteroids SELECTIVE 5HT1 - RECEPTOR AGONISTS (Almotriptan Tablets, Naratriptan Tablets, Rizatriptan Tablets & Wafers, Sumatriptan Nasal Spray, Zolmitriptan Tablets & Nasal Spray) - for the treatment of migraine1 headache of moderate2 intensity when other therapies (e.g., NSAIDs, acetaminophen,

DHE spray) are not effective, AND patients have not responded to oral sumatriptan. - for the treatment of migraine1 headache of severe2 or ultra severe2 intensity when patients have not responded to oral

sumatriptan NOTE: Coverage limited to 18 doses every 3 months 3. 1. As diagnosed based on current Canadian Guidelines 2 Definitions: Moderate - pain is distracting causing need to slow down and limit activities; Severe - pain affects ability to

concentrate and very difficult to continue with daily activities; Ultra severe - unable to speak or think clearly, not able to function, likely lying down or sleeping.

3. A quantity limit of 6 doses per month will be instituted for all clients. This will be adjudicated by limiting the quantity payable each quarter (e.g., Jan to Mar) to 18 doses*. Patients with >3 migraines/month who are on prophylactic therapy may qualify for additional doses, upon written request.

* Please note: One dose = one tablet, one wafer, one spray or one 0.5mL pre-filled syringe. *SEROTONIN (5-HT3) ANTAGONISTS (Dolasetron, Granisetron, Ondansetron) - for the treatment of emesis in patients who are: · receiving moderately or severely emetogenic chemotherapy [Criteria Code 01] or · receiving intravenous chemotherapy or radiotherapy and who have not experienced adequate control with other

available antiemetics [Criteria Code 02] or · receiving intravenous chemotherapy or radiotherapy and who are experiencing intolerable side effects to other

antiemetics, including steroids and anti-dopaminergic agents [Criteria Code 03] NOTE: Use of criteria codes is limited to appropriate doses pre and post chemotherapy or radiation. Criteria codes

must not be used for claims related to other causes of nausea and vomiting or for long term, daily management of nausea and vomiting.

SEVELAMER (Renagel 800mg Tablet) - upon the written request of a nephrologist or other prescriber within the Provincial Dialysis Program - for the treatment of hyperphosphatemia (>1.8 mmol/L) and calciphylaxis (calcific arteriolopathy) or hypercalcemia after

failure on a magnesium-based binder NOTE: The initial coverage will be for a three-month period. Renewals will be at six month intervals when there has

been a significant reduction in phosphate levels (a decrease of more than 0.7mmol of phosphate).

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SILDENAFIL (Revatio 20mg Tablet and generic brands) - written request from a pulmonary arterial hypertension (PAH) specialist only - diagnosis of PAH should be confirmed by right heart catheterization - dose of sildenafil will be limited to 20mg tid - IPAH (functional class III) · for the treatment of patients with World Health Organization (WHO) functional class III idiopathic pulmonary arterial

hypertension (IPAH) who do not demonstrate vasoreactivity on testing, or who do demonstrate vasoreactivity on testing but fail a trial of calcium channel blockers (CCB), or are intolerant to CCB

- PAH secondary to connective tissue disease (functional class III) · for the treatment of patients with World Health Organization (WHO) functional class III pulmonary hypertension

associated with connective tissue disease who do not respond to conventional therapy SITAGLIPTIN (Januvia 100mg Tablet) - for treatment of Type II diabetes in patients who have:

· inadequate glycemic control on optimal doses of sulfonylurea and metformin; or · demonstrated intolerance or contraindication to metformin and are on optimal doses of sulfonylurea; or · demonstrated intolerance or contraindication to sulfonylurea and are on optimal doses of metformin; · patients must have a recent A1C of <10% unless insulin therapy is inappropriate for the patient. Duration of initial approval will

be 6 months; further coverage will require demonstrated evidence of efficacy (a reduction of A1C of 0.7 observed to continue coverage)

· SITAGLIPTIN AND METFORMIN (Janumet 50/500mg, 50/850mg, and 50/1000mg Tablet) - for combination treatment of type 2 diabetes mellitus for patients already stabilized on combination treatment with the

individual components of metformin and sitagliptin SOLIFENACIN (Vesicare 5mg, 10mg Tablet) - See Urinary Antispasmodics, Long-Acting SOMATROPIN (Humatrope, Nutropin, Nutropin Aq, Saizen Injection) - for treatment of growth hormone deficiency in patients with Turner Syndrome, upon the request of an endocrinologist or

prescriber with a specialty in endocrinology NOTE: The larger 8.8mg/vial format can be approved when suitable for dosing requirements, if it does not result in drug

wastage. *SORAFENIB (Nexavar 200mg Tablet) - as a single agent first line systemic therapy option in adult patients with a diagnosis of hepatocellular carcinoma (HCC)

with Child-Pugh Class A liver dysfunction (mild hepatic impairment) with ECOG performance status 0-1; and who have either progression of disease, or who are not candidates for curative intent treatments (transplantation, hepatic resection), or other well established palliative interventions (ablation, transcatheter arterial chemo-embolization (TACE), internal radiation)

- as a single agent for second line treatment of patients with documented evidence of histologically confirmed advanced or metastatic clear cell renal cell carcinoma, considered to be intermediate or low risk (according to Memorial Sloan-Kettering (MSKCC) prognostic score), have an ECOG performance status of 0 or 1 and progressed after prior cytokine therapy (or intolerance) within the previous 8 months. In any one patient all of the following conditions must be met:

· Sorafenib may be a second line option only after cytokine therapy · Sorafenib may not be used after another tyrosine kinase inhibitor (i.e., sunitinib) as sequential therapy · In the event of severe toxicity within the first 8 weeks of therapy, a switch to another tyrosine kinase inhibitor (i.e.,

sunitinib) may be allowed - coverage approved for 5 months with reassessment

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SUMATRIPTAN (Imitrex 50mg, 100mg Tablet and generic brands) - for the treatment of migraine1 headache when:

· migraines are moderate2 in severity and other therapies (e.g., NSAIDs, acetaminophen, DHE spray) are not effective, or

· migraine attacks are severe2 or ultra severe2

NOTE: Coverage limited to 18 doses every 3 months 3. 1. As diagnosed based on current Canadian Guidelines 2. Definitions: Moderate - pain is distracting causing need to slow down and limit activities; Severe - pain affects ability to

concentrate and very difficult to continue with daily activities; Ultra severe - unable to speak or think clearly, not able to function, likely lying down or sleeping.

3. A quantity limit of 6 doses per month will be instituted for all clients. This will be adjudicated by limiting the quantity payable each quarter (e.g., Jan to Mar) to 18 doses*. Patients with >3 migraines/month who are on prophylactic therapy may qualify for additional doses, upon written request.

* Please note: One dose = one tablet, one wafer, one spray or one 0.5mL pre-filled syringe. SUMATRIPTAN (Imitrex 6mg/Syringe Injection) - for the treatment of migraine1 headache of moderate2 intensity when other therapies (e.g., NSAIDs, acetaminophen,

DHE spray) are not effective, AND oral and nasal triptans are not appropriate - for the treatment of migraine1 headache of severe2 or ultra severe2 intensity when oral and nasal triptans are not

appropriate NOTE: Coverage limited to 18 doses every 3 months 3. 1. As diagnosed based on current Canadian Guidelines 2. Definitions: Moderate - pain is distracting causing need to slow down and limit activities; Severe - pain affects ability to

concentrate and very difficult to continue with daily activities; Ultra severe - unable to speak or think clearly, not able to function, likely lying down or sleeping.

3. A quantity limit of 6 doses per month will be instituted for all clients. This will be adjudicated by limiting the quantity payable each quarter (e.g., Jan to Mar) to 18 doses*. Patients with >3 migraines/month who are on prophylactic therapy may qualify for additional doses, upon written request.

* Please note: One dose = one tablet, one wafer, one spray or one 0.5mL pre-filled syringe. *SUNITINIB (Sutent 12.5mg, 25mg, 50mg Capsule) - as a single agent first line treatment in patients with documented evidence of histologically confirmed advanced or

metastatic clear cell renal cell carcinoma who have an ECOG performance status of 0 or 1. In any one patient all of the following conditions must be met:

· Sunitinib may be a first line option · Sunitinib may not be used after another tyrosine kinase inhibitor (i.e., sorafenib) as sequential therapy. · In the event of severe toxicity within the first 8 weeks of therapy, a switch to another tyrosine kinase inhibitor (i.e.,

sorafenib) may be allowed - as a single agent for the treatment of advanced gastrointestinal stromal tumor (GIST) patients after failure of imatinib

due to intolerance or resistance - coverage approved for 9 months with reassessment TACROLIMUS (Protopic 0.03%, 0.1% Ointment) - for children greater than 2 years of age with refractory atopic dermatitis. Coverage will be renewed yearly - for the intermittent use for moderate to severe atopic dermatitis in adults who have: · failed or are intolerant to a site appropriate strength of corticosteroid therapy (i.e., low potency on face versus

intermediate to high potency for trunk and extremities) TAZAROTENE (Tazorac 0.05%, 0.1% Gel) - for use in psoriasis therapy when conventional therapies have been ineffective or inappropriate

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*TEMOZOLOMIDE (Temodal 5mg, 20mg, 100mg, 200mg Capsule) - in combination with radiotherapy (concomitant therapy) and as adjuvant therapy (post radiation for 6 cycles) for newly

diagnosed high grade glioma patients with a good performance status (PS) (Karnofsky 60) and who choose to receive first line systemic chemotherapy

- use as a single agent may be considered for patients with recurrent high grade glioma and a good PS (Karnofsky 60) who have not previously been treated with first line combination (temozolomide and radiation) therapy

- use as a single agent may be considered for patients with high grade glioma who have recurrent disease occurring during their initial adjuvant therapy. Other systemic treatment options such as etoposide, nitrosourea based therapy or a clinical trial should be considered for patients who recur immediately following temozolomide therapy. Rechallenge with temozolomide could be considered for patients with a temozolomide free interval of six months

TENOFOVIR DISOPROXIL (Viread 300mg Tablet) - for the treatment of chronic hepatitis B infection in patients with: · documented cirrhosis on radiologic or histologic grounds AND · a HBV DNA concentration above 2000iu/mL TERBINAFINE (Lamisil 250mg Tablet and generic brands) - for the treatment of severe onychomycosis caused by dermatophyte fungi as diagnosed by a dermatologist, attending

prescriber with a specialty in dermatology TESTOSTERONE, TOPICAL (Androderm Patch, Androgel Gel Packet & Testim Gel) - for the treatment of congenital and acquired primary or secondary hypogonadism in males with a specific diagnosis of: · Primary: cryptorchidism, Klinefelter's, orchidectomy, and other established causes · Secondary: pituitary-hypothalamic injury due to tumors, trauma, radiation · deficiency should be clearly demonstrated by clinical features and confirmed by two separate biochemical tests before initiating any therapy NOTE: Maximum dose approved is 5g per day or a 5mg patch per day. This will be adjudicated by limiting the quantity payable each quarter (e.g. Jan-Mar) to: · 120 Androderm Patches (2.5mg or 5mg Patch); · 300g of Androgel 2.5g gel (packet); · 600g of Androgel 5g gel (packet); or · 600g of Testim Gel. Please be reminded that topical gels are to be billed per gram (not per packet). THYROTROPIN (Thyrogen 0.9mg/mL Injection) - to monitor for recurrence and metastatic disease, in patients who have documented evidence of thyroid cancer and who

have undergone appropriate surgical and/or medical management. This includes: · primary use in patients with inability to raise an endogenous TSH level (25 mu/L) with thyroid hormone withdrawal · primary use in cases of documented morbidity in patients for whom severe hypothyroidism could be life-threatening · secondary use in patients with previous thyroid hormone withdrawal resulting in a documented life-threatening event - as a single agent for the preparation of radioiodine remnant ablation in patients with papillary or follicular thyroid cancer

who have undergone thyroidectomy as treatment for thyroid cancer · thyrotropin is a reasonable alternate to thyroid hormone withdrawal in patients who are unable to tolerate the

prolonged hypothyroid state or who cannot achieve satisfactory elevation of endogenous TSH · thyrotropin may be used in new patients or patients with previously incomplete remnant ablation or who have a

recurrence of thyroid cancer and require therapeutic remnant ablation TICLOPIDINE (Ticlid 250mg Tablet and generic brands) - for the secondary prevention of ischemic stroke or transient ischemic attack (TIA) in patients with a documented severe

allergy to ASA or who experience a recurrent thrombotic event (stroke, symptoms of TIA) while taking ASA [Criteria Code 01]

- for the prevention of thrombosis in patients post intracoronary stent implantation for a period of up to 30 days following insertion [Criteria Code 02]

- other requests on a case by case basis

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TIOTROPIUM BROMIDE (Spiriva 18mcg Cap For Inhalation) - for the treatment of chronic obstructive pulmonary disease (COPD), if symptoms persist after 2-3 months of short-acting

bronchodilator therapy (i.e., salbutamol at a maximum dose of 8 puffs/day or ipratropium at maximum dose of 12 puffs/day)

- coverage can be provided without a trial of short-acting agent if: · there is spirometric evidence of at least moderate to severe airflow obstruction, (i.e., postbronchodilator values FEV1

< 60% and FEV1/FVC ratio < 0.7), and significant symptoms (i.e., MRC score of 3-5**) - combination therapy with tiotropium and a long-acting beta2 agonist/inhaled corticosteroid will only be considered if: · there is spirometric evidence of at least moderate to severe airflow obstruction (postbronchodilator values FEV1 <

60% and FEV1/FVC ratio < 0.7), and significant symptoms (i.e., MRC score of 3-5**) and · there is evidence of one or more moderate-to-severe exacerbations per year, on average, for 2 consecutive years

requiring antibiotics and/or systemic (oral or intravenous) corticosteroids NOTE: Coverage of combination therapy with tiotropium and a long-acting beta2 agonist (without an inhaled corticosteroid) will not be considered due to insufficient evidence to support substantial benefit. If spirometry cannot be obtained, reasons must be clearly explained and other evidence regarding severity of condition must be provided for consideration (i.e., MRC scale). Spirometry reports from any point in time will be accepted. __________________________ ** Canadian Thoracic Society COPD Classification By Symptom/Disability: Moderate - (MRC 3-4) Shortness of breath from COPD causing the patient to stop after walking about 100 meters (or after a few minutes) on the level. Severe - (MRC 5) Shortness of breath from COPD resulting in the patient being too breathless to leave the house or breathless after undressing, or the presence of chronic respiratory failure or clinical signs of right heart failure. MRC= Medical Research Council Dyspnea Scale TIZANIDINE (Zanaflex 4mg Tablet and generic brands) - for the treatment of spasticity resulting from traumatic brain injury, multiple sclerosis (MS), spinal cord injury (SCI) or

cerebral vascular accident (CVA) in patients for whom baclofen is not indicated, ineffective or not tolerated TOCLIZUMAB (Actemra 80mg/4mL, 200mg/10mL, 400mg/20mL Injection)

· for patients with a diagnosis of moderate-to-severely active RA who have failed to resond to an adequate trial of both disease-modifying antirheumatic drugs (DMARDs) and a tumour necrosis factor (TNF)-alpha inhibitor

· therapy must include methotrexate unless contraindicated or not tolerated · written request of rheumatologist or prescriber with a specialty in rheumatology · intial coverage for 16 weeks at dose of 4mg/kg, yearly coverage dependent on patient achieving an improvement in

symptoms of at least 20% · maximum dose: 800 mg every 4 weeks

TOLTERODINE (Detrol 1mg, 2mg and Detrol LA 2mg, 4mg Tablet) - See Urinary Antispasmodics, Long-Acting TOPIRAMATE (Topamax 25mg, 100mg, 200mg Tablet and generic brands and Topamax 15mg, 25mg Sprinkle Capsule) - for adjunctive management of epilepsy not satisfactorily controlled by conventional therapy TRETINOIN (Vitamin A Acid Topical Preparations) - regular benefit for beneficiaries 30 years and under - for treatment of actinic keratosis in benificiaries over the age of 30 TROSPIUM (Trosec 20mg Tablet) - See Urinary Antispasmodics, Long-Acting

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TRYPTOPHAN (Tryptan 500mg Capsule and 500mg, 750mg, 1g Tablet and generic brands) - as an adjunct for the treatment of depression in the management of patients suffering from bipolar affective disorders URINARY ANTISPASMODICS, LONG-ACTING (Darifenacin, Oxybutynin XL, Tolterodine, Trospium, Solifenacin) - for the treatment of over-active bladder (not stress incontinence) after a reasonable trial of oxybutynin immediate-

release (IR) is not tolerated - a three month trial will be approved initially with assessment of the effectiveness of this therapy required if further

coverage is considered URSODIOL (Urso 250mg, DS 500mg Tablet) - for dissolution of radiolucent, noncalcified gallstones of less than 20mm size for patients who cannot undergo a

cholecystectomy - for management of cholestatic liver disease such as primary biliary cirrhosis USTEKINUMAB (Stelara 45mg/0.5mL Injection) - for patients with severe, debilitating chronic plaque psoriasis (PsO) who meet all of the following criteria: · Body Surface Area (BSA) involvement of >10% and/or significant involvement of the face, hands, feet or genitals · failure to respond to, contraindication to or intolerant of methotrexate and cyclosporine · failure to respond to, intolerant of or unable to access phototherapy - written request of a dermatologist or prescriber with a specialty in dermatology - continued coverage is dependent on evidence of improvement, specifically: · 75% reduction in the Psoriasis Area and Severity Index (PASI) score, or · 50% reduction in PASI with a 5 point improvement in DLQI (Dermatology Life Quality Index), or · significant reduction in BSA involved, with consideration of important regions such as the face, hands, feet or genitals - concurrent use of biologics not approved - initial approval for a maximum of 16 weeks - dosage restricted to 45mg at 0, 4 and 16 weeks, response must be assessed prior to fourth dose - maintenance dosing every 12 weeks VALGANCICLOVIR (Valcyte 450mg Tablet) - for the treatment of cytomegalovirus (CMV) retinitis in HIV-positive patients, upon the request of an infectious disease

specialist or prescriber with a specialty in infectious disease - for the prevention of CMV disease post kidney, heart, liver or kidney-pancreas transplantation in patients at high-risk

(D+ / R-) (i.e., donor positive/recipient negative). Coverage will be for a maximum of 90 days VANCOMYCIN (Vancocin 125mg, 250mg Capsule) - for the treatment of pseudomembranous colitis (PMC) when patients have not responded to initial therapy with

metronidazole, or for initial treatment of severe PMC, or when drug interactions or intolerance, prevent the use of metronidazole [Criteria Code 01]

VERTEPORFIN (Visudyne 15mg/vial Injection) - for the treatment of wet age-related macular degeneration (AMD) as prescribed by an authorized ophthalmologist

[Criteria Code 01] VIGABATRIN (Sabril 0.5g Sachet and 500mg Tablet) - for adjunctive management of epilepsy not satisfactorily controlled by conventional therapy VITAMIN B12, INJECTION - See Cyanocobalamin, Injection VITAMIN B12, ORAL - See Cyanocobalamin, Oral

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VORICONAZOLE (Vfend 50mg, 200mg Tablet) - for the treatment of patients with invasive aspergillosis - for the treatment of invasive candidiasis (proven on culture) with documented resistance to fluconazole WET NEBULIZATION SOLUTIONS (Budesonide, Cromoglycate Sodium, Fenoterol, Ipratropium Bromide, Salbutamol) - for adult patients with a vital capacity of 900mL or less - for adult patients with a respiratory rate greater than 25 breaths/minute - for patients who have demonstrated they cannot follow instructions, cannot hold the spacer device or cannot hold the

device long enough to actuate it - other requests reviewed on a case by case basis ZAFIRLUKAST (Accolate 20mg Tablet) - See Leukotriene Receptor Antagonists ZANAMIVIR (Relenza 5mg Powder For Inhalation) - for the treatment of long-term care residents with clinically suspected or lab confirmed influenza A or B, when there is

documented resistance to oseltamivir or when oseltamivir is contraindicated. A clinically suspected case is one in which the patient meets the criteria of influenza-like illness and there is confirmation of influenza A or B circulating within the facility or surrounding community

- for the prophylaxis of influenza A or B in long term care residents where the facility has an outbreak, when there is documented resistance to oseltamivir or when oseltamivir is contraindicated. - a protocol has been developed by Public Health for the treatment of patients in long-term care facilities. The facility must

contact the Medical Officer of Health or local Public Health Office, who will notify the Pharmacare office (or dispensing pharmacy after office hours) if coverage is required

ZIPRASIDONE (Zeldox 20mg, 40mg, 60mg, 80mg Capsule) - for the treatment of schizophrenia and schizoaffective disorder ZOLEDRONIC ACID (Aclasta 5mg/100ml Injection) - for the treatment of Paget’s disease ZOLMITRIPTAN (Zomig, Zomig Rapimelt 2.5mg Tablet) - See Selective 5HT1 - Receptor Agonists

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October 2011 Appendix III – 28

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Product Index

October 2011 Product Index – 1

282 .................................................................................. 122 292 .................................................................................. 120 3TC ................................................................................... 98 5-aminosalicylic acid ...................................................... 11 abatacept ....................................................................... 104 Abilify .............................................................................. 141 acamprosate .................................................................. 157 acarbose .......................................................................... 15 Accel Pioglitazone ....................................................... 15, 16 Accolate .......................................................................... 165 Accupril ............................................................................. 45 Accuretic ........................................................................... 47 Accutane ........................................................................... 65 acebutolol ........................................................................ 37 Acebutolol ......................................................................... 37 acenocoumarol ............................................................... 20 acetaminophen .............................................................. 123 acetaminophen, comb. excl. psycholeptics ............... 123 acetazolamide ............................................................... 171 acetylcysteine ............................................................... 165 Acetylcysteine ................................................................. 165 acetylsalicylic acid (ASA) ............................................. 122 acetylsalicylic acid (ASA) comb. w psycholeptics ..... 122 acetylsalicylic acid (ASA), comb. excl. psycholeptics

................................................................................... 122 acitretin ............................................................................ 59 Aclasta ............................................................................ 116 Actemra........................................................................... 105 Actonel .................................................................... 115, 116 Actos ........................................................................... 15, 16 Acular .............................................................................. 170 acyclovir .................................................................... 60, 96 Adalat .......................................................................... 39, 40 Adalat XL .......................................................................... 40 Adalat XL Plus .................................................................. 40 adalimumab ................................................................... 104 Adcirca .............................................................................. 73 Adderall XR ............................................................. 153, 154 adefovir dipivoxil ............................................................ 98 Advagraf.......................................................................... 105 Advair .............................................................................. 163 Advicor .............................................................................. 55 Aerius .............................................................................. 166 AeroChamber .................................................................. 167 AeroChamber Max .......................................................... 167 Aggrenox........................................................................... 21 Agrylin ............................................................................. 101 Airomir ............................................................................ 162 Alcaine ............................................................................ 173 Alcomicin......................................................................... 169 Aldactazide ....................................................................... 32 Aldactone .......................................................................... 31 Aldara ............................................................................... 60 Aldomet ............................................................................. 28 Aldurazyme ....................................................................... 18 alefacept ........................................................................ 104 alendronate .................................................................... 115 Alendronate ..................................................................... 115 Alendronate-FC ............................................................... 115 alendronic acid .............................................................. 115 alendronic acid and colecalciferol .............................. 116 Alertec ............................................................................. 154 Alesse ............................................................................... 69 alfacalcidol ...................................................................... 16 Alfenta ............................................................................. 117

alfentanil ....................................................................... 117 Alfentanil ........................................................................ 117 alfuzosin ......................................................................... 73 algucosidase alfa ........................................................... 18 aliskiren .......................................................................... 50 Alkeran ............................................................................. 99 Allegra ............................................................................ 166 Allergy Serum................................................................. 177 allopurinol ..................................................................... 114 almotriptan ................................................................... 124 Alphagan ........................................................................ 171 Alphagan P .................................................................... 171 alprazolam .................................................................... 143 Alprazolam ..................................................................... 143 Altace ..........................................................................44, 45 Altace HCT ....................................................................... 47 altretamine .................................................................... 101 aluminum hydroxide ........................................................ 1 Alupent ........................................................................... 164 Alvesco .......................................................................... 163 amantadine ................................................................... 131 Amaryl .........................................................................14, 15 Amatine ............................................................................ 27 ambrisentan .................................................................... 30 amcinonide ..................................................................... 62 Amerge .......................................................................... 124 Amevive ......................................................................... 104 amikacin .......................................................................... 91 Amikacin .......................................................................... 91 Amikin .............................................................................. 91 amiloride ......................................................................... 32 aminobenzoate potassium, systemic ........................... 66 aminophylline ............................................................... 165 amiodarone ..................................................................... 26 Amiodarone ...................................................................... 26 amitriptyline .................................................................. 147 amitriptyline amd psycholeptics ................................. 155 amlodipine ...................................................................... 39 amoxicillin ...................................................................... 84 Amoxicillin ........................................................................ 84 amoxicillin and enzyme inhibitor .................................. 85 Amoxicillin Sugar Reduced .............................................. 84 Amoxil .............................................................................. 84 amphetamines .............................................................. 153 amphotericin................................................................... 94 ampicillin ........................................................................ 84 Anafranil ......................................................................... 146 anagrelide ..................................................................... 101 anakinra ........................................................................ 105 Anandron ....................................................................... 102 Anaprox .......................................................................... 110 Anaprox DS .................................................................... 110 anastrozole ................................................................... 103 Andriol .............................................................................. 70 Androcur .......................................................................... 72 Androderm ....................................................................... 70 Androgel ........................................................................... 70 anethole trithone ............................................................ 18 Anexate .......................................................................... 177 Anodan-HC .................................................................32, 33 Ansaid ............................................................................ 111 antacids, ordinary salt comb. .......................................... 1 antacids, ordinary salt comb. and antiflatulents ........... 1 Anthraforte ....................................................................... 59 anthralin .......................................................................... 59

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Product Index

October 2011 Product Index – 2

Anthralin ............................................................................ 59 Anthranol........................................................................... 59 Anthrascalp ....................................................................... 59 antibiotics (ophthalmic), comb. ................................... 169 antibiotics, comb. ........................................................... 60 antiinfectives, comb. .............................................. 23, 175 antispasmodics, comb. .................................................... 6 Anturan ........................................................................... 114 Anugesic-HC ..................................................................... 33 Anusol-HC ................................................................... 32, 33 Anzemet .............................................................................. 7 APC-Cetirizine ................................................................ 166 APC-Ferrous Gluconate .................................................... 22 APC-Ibuprofen ................................................................ 109 APC-Loperamide .............................................................. 10 APC-Loratadine .............................................................. 166 Apidra ............................................................................... 12 Apo-Acebutolol .................................................................. 37 Apo-Acyclovir .................................................................... 96 Apo-Alendronate ............................................................. 115 Apo-Alfuzosin .................................................................... 73 Apo-Alpraz ...................................................................... 143 Apo-Amiloride ................................................................... 32 Apo-Amilzide ..................................................................... 32 Apo-Amiodarone ............................................................... 26 Apo-Amlodipine ................................................................. 39 Apo-Amoxi ........................................................................ 84 Apo-Amoxi Clav .......................................................... 85, 86 Apo-Atenidone .................................................................. 38 Apo-Atenol ........................................................................ 36 Apo-Atomoxetine ............................................................ 155 Apo-Atomoxtine .............................................................. 154 Apo-Atorvastatin ......................................................... 53, 54 Apo-Azathioprine ............................................................ 105 Apo-Azithromycin .............................................................. 90 Apo-Baclofen .................................................................. 113 Apo-Beclo ....................................................................... 161 Apo-Benztropine ............................................................. 131 Apo-Benzydamine ............................................................... 1 Apo-Bicalutamide ............................................................ 102 Apo-Bisacodyl ..................................................................... 9 Apo-Bisoprolol ................................................................... 37 Apo-Brimonidine ............................................................. 171 Apo-Brimonidine P .......................................................... 171 Apo-Bromazepam ........................................................... 143 Apo-Bromocriptine ............................................................ 68 Apo-Buspirone ................................................................ 144 Apo-Butorphanol ............................................................. 121 Apo-Calcitonin ................................................................... 81 Apo-Candesartan .............................................................. 49 Apo-Capto ................................................................... 42, 43 Apo-Carbamazepine ....................................................... 126 Apo-Carvedilol .................................................................. 38 Apo-Cefaclor ..................................................................... 87 Apo-Cefadroxil .................................................................. 87 Apo-Cefprozil .............................................................. 87, 88 Apo-Cefuroxime ................................................................ 87 Apo-Cephalex ................................................................... 86 Apo-Cetirizine ................................................................. 166 Apo-Chlorax ........................................................................ 6 Apo-Chlordiazepoxide ..................................................... 142 Apo-Chlorhexidine .............................................................. 1 Apo-Chlorpropamide ......................................................... 14 Apo-Chlorthalidone ........................................................... 30 Apo-Ciclopirox ................................................................... 57 Apo-Cilazapril .............................................................. 45, 46

Apo-Cilazapril/HCTZ ........................................................ 47 Apo-Cimetidine ............................................................... 1, 2 Apo-Ciproflox ............................................................ 92, 170 Apo-Ciprofloxacin ............................................................. 92 Apo-Citalopram .............................................................. 149 Apo-Clarithromycin ........................................................... 90 Apo-Clindamycin .............................................................. 91 Apo-Clobazam ............................................................... 143 Apo-Clomipramine ......................................................... 146 Apo-Clonazepam ........................................................... 126 Apo-Clonidine................................................................... 28 Apo-Clorazepate ............................................................ 142 Apo-Cloxi ......................................................................... 85 Apo-Clozapine................................................................ 136 Apo-Cyclobenzaprine ..................................................... 114 Apo-Cyclosporine ........................................................... 105 Apo-Cyproterone .............................................................. 72 Apo-Desipramine .................................................... 145, 146 Apo-Desmopressin ........................................................... 77 Apo-Dexamethasone ....................................................... 79 Apo-Diazepam ........................................................ 141, 142 Apo-Diclo ................................................................ 107, 108 Apo-Diflunisal ................................................................. 122 Apo-Diltiaz ........................................................................ 42 Apo-Diltiaz CD.................................................................. 41 Apo-Diltiaz TZ .............................................................41, 42 Apo-Dipyridamole ............................................................. 21 Apo-Dipyridamole-FC ....................................................... 21 Apo-Divalproex ............................................................... 127 Apo-Domperidone .............................................................. 7 Apo-Dorzo-Timop ........................................................... 172 Apo-Doxazosin ................................................................. 29 Apo-Doxepin .................................................................. 147 Apo-Doxy ......................................................................... 83 Apo-Enalapril.................................................................... 43 Apo-Enalapril Maleate/HCTZ ........................................... 46 Apo-Erythro ...................................................................... 89 Apo-Erythro-EC ................................................................ 89 Apo-Erythro-ES ................................................................ 89 Apo-Erythro-S .................................................................. 90 Apo-Esomeprazole ............................................................. 5 Apo-Etodolac ................................................................. 108 Apo-Famciclovir ..........................................................96, 97 Apo-Famotidine .................................................................. 3 Apo-Feno-Micro ............................................................... 55 Apo-Feno-Super ............................................................... 55 Apo-Ferrous Gluconate .................................................... 22 Apo-Flavoxate .................................................................. 72 Apo-Flecainide ................................................................. 26 Apo-Floctafenine ............................................................ 123 Apo-Fluconazole .............................................................. 95 Apo-Flunarizine .............................................................. 158 Apo-Flunisolide .............................................................. 161 Apo-Fluoxetine ............................................................... 148 Apo-Fluphenazine .......................................................... 134 Apo-Flurazepam ............................................................. 144 Apo-Flurbiprofen ............................................................ 111 Apo-Flutamide ................................................................ 102 Apo-Fluticasone ............................................................. 161 Apo-Fluvoxamine .................................................... 150, 151 Apo-Folic Acid .................................................................. 22 Apo-Fosinopril .................................................................. 46 Apo-Furosemide ............................................................... 31 Apo-Gabapentin ...................................................... 129, 130 Apo-Gain .......................................................................... 66 Apo-Gemfibrozil ............................................................... 54

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October 2011 Product Index – 3

Apo-Gliclazide ................................................................... 14 Apo-Glimepiride .......................................................... 14, 15 Apo-Glyburide ................................................................... 14 Apo-Granisetron .................................................................. 7 Apo-Haloperidol .............................................................. 135 Apo-Hydralazine ............................................................... 29 Apo-Hydro ......................................................................... 30 Apo-Hydroxyquine .......................................................... 159 Apo-Hydroxyurea ............................................................ 101 Apo-Hydroxyzine ..................................................... 143, 144 Apo-Ibuprofen ................................................................. 109 Apo-Imipramine ............................................................... 146 Apo-Indapamide ................................................................ 31 Apo-Indomethacin ........................................................... 107 Apo-Ipravent ........................................................... 161, 163 Apo-ISDN .......................................................................... 28 Apo-ISMN ......................................................................... 28 Apo-Keto ......................................................................... 111 Apo-Ketoconazole ............................................................. 94 Apo-Keto-E ..................................................................... 111 Apo-Ketorolac ......................................................... 108, 170 Apo-Lactulose ..................................................................... 9 Apo-Lamotrigine .............................................................. 128 Apo-Lansoprazole ............................................................... 4 Apo-Latanoprost ............................................................. 173 Apo-Leflunomide ............................................................. 104 Apo-Levetiracetam .......................................................... 130 Apo-Levocarb .................................................................. 131 Apo-Levofloxacin .............................................................. 93 Apo-Lisinopril .............................................................. 43, 44 Apo-Lisinopril/HCTZ .................................................... 46, 47 Apo-Lithium Carbonate ................................................... 139 Apo-Loperamide ............................................................... 10 Apo-Loratadine ............................................................... 166 Apo-Lovastatin .................................................................. 52 Apo-Medroxy ..................................................................... 71 Apo-Mefenamic ............................................................... 111 Apo-Mefloquine ............................................................... 159 Apo-Megestrol ................................................................. 101 Apo-Meloxicam ............................................................... 109 Apo-Memantine ............................................................... 156 Apo-Metformin .................................................................. 13 Apo-Methazolamide ........................................................ 171 Apo-Methoprazine ........................................................... 133 Apo-Methotrexate ............................................................. 99 Apo-Methyldopa ................................................................ 28 Apo-Methylphenidate ...................................................... 154 Apo-Metoclop ...................................................................... 6 Apo-Metoprolol ............................................................ 35, 36 Apo-Metoprolol SR ............................................................ 36 Apo-Metoprolol-L ........................................................ 35, 36 Apo-Metronidazole ............................................................ 94 Apo-Midodrine ................................................................... 27 Apo-Minocycline ................................................................ 83 Apo-Mirtazapine .............................................................. 152 Apo-Misoprostol .................................................................. 3 Apo-Moclobemide ........................................................... 151 Apo-Modafinil .................................................................. 154 Apo-Nabumetone ............................................................ 112 Apo-Nadol ......................................................................... 35 Apo-Napro-Na ................................................................. 110 Apo-Napro-Na DS ........................................................... 110 Apo-Naproxen ................................................................. 110 Apo-Nitrazepam .............................................................. 144 Apo-Nitrofurantoin ............................................................. 94 Apo-Nizatidine ..................................................................... 3

Apo-Norflox ...................................................................... 92 Apo-Nortriptyline ............................................................ 147 Apo-Oflox ......................................................................... 91 Apo-Ofloxacin................................................................. 169 Apo-Olanzapine ...................................................... 137, 138 Apo-Omeprazole ............................................................ 3, 4 Apo-Ondansetron ............................................................... 7 Apo-Orciprenaline .......................................................... 164 Apo-Oxaprozin ............................................................... 111 Apo-Oxazepam .............................................................. 142 Apo-Oxcarbazepine ....................................................... 127 Apo-Oxybutynin ................................................................ 73 Apo-Oxycodone/Acet ..................................................... 123 Apo-Pantoprazole .............................................................. 4 Apo-Paroxetine ....................................................... 149, 150 Apo-Pen VK ..................................................................... 85 Apo-Pentoxifylline ............................................................ 32 Apo-Perphenazine ......................................................... 134 Apo-Pimozide ................................................................. 136 Apo-Pindol ..................................................................33, 34 Apo-Pioglitazone .........................................................15, 16 Apo-Piroxicam ................................................................ 108 Apo-Pramipexole ............................................................ 132 Apo-Pravastatin ...........................................................52, 53 Apo-Prazo ........................................................................ 29 Apo-Prednisone ............................................................... 80 Apo-Primidone ............................................................... 125 Apo-Prochlorazine .......................................................... 134 Apo-Propafenone ............................................................. 26 Apo-Propranolol ............................................................... 34 Apo-Quetiapine ....................................................... 138, 139 Apo-Quinine ................................................................... 159 Apo-Rabeprazole ........................................................... 4, 5 Apo-Raloxifene ................................................................. 72 Apo-Ramipril ...............................................................44, 45 Apo-Ranitidine.................................................................... 2 Apo-Risedronate ............................................................ 116 Apo-Risperidone ............................................. 139, 140, 141 Apo-Rivastigmine .................................................... 155, 156 Apo-Salvent ............................................................ 162, 164 Apo-Selegiline ................................................................ 133 Apo-Sertraline ................................................................ 150 Apo-Sibutramine .............................................................. 11 Apo-Simvastatin ..........................................................51, 52 Apo-Sotalol ...................................................................... 35 Apo-Sucralfate ................................................................... 5 Apo-Sulfatrim ................................................................... 89 Apo-Sulfatrim DS ............................................................. 89 Apo-Sulfinpyrazone ........................................................ 114 Apo-Sulin ....................................................................... 107 Apo-Sumatriptan ............................................................ 124 Apo-Tamox .................................................................... 102 Apo-Temazepam ............................................................ 145 Apo-Tenoxicam .............................................................. 109 Apo-Terazosin .................................................................. 74 Apo-Terbinafine ................................................................ 58 Apo-Tetra ......................................................................... 83 Apo-Theo ....................................................................... 164 Apo-Theo LA .................................................................. 165 Apo-Tiaprofenic .............................................................. 111 Apo-Ticlopidine ................................................................ 20 Apo-Timol ......................................................................... 34 Apo-Timop ..................................................................... 172 Apo-Tizanidine ............................................................... 113 Apo-Tolbutamide .............................................................. 14 Apo-Topiramate ...................................................... 128, 129

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Product Index

October 2011 Product Index – 4

Apo-Tramadol /Acet Tab ................................................. 122 Apo-Trazodone ............................................................... 152 Apo-Triazide ...................................................................... 32 Apo-Triazo ...................................................................... 144 Apo-Trifluoperazine ......................................................... 134 Apo-Trihex ...................................................................... 130 Apo-Trimebutine ................................................................. 5 Apo-Trimethoprim ............................................................. 89 Apo-Trimip ...................................................................... 146 Apo-Tryptophan .............................................................. 151 Apo-Valacyclovir ............................................................... 97 Apo-Valproic ................................................................... 127 Apo-Venlafaxine .............................................................. 153 Apo-Verap ......................................................................... 40 Apo-Warfarin ............................................................... 19, 20 Apo-Zidovudine ................................................................. 97 Apo-Zopiclone ................................................................. 145 apraclonidine ................................................................. 171 aprepitant ........................................................................... 8 Apresoline ......................................................................... 29 Apri 21 .............................................................................. 69 Apri 28 .............................................................................. 69 Aptivus .............................................................................. 97 Aralen ............................................................................. 159 Aranesp ............................................................................ 23 Arava .............................................................................. 104 Aredia ............................................................................. 115 AreoChamber .................................................................. 167 Aricept ............................................................................. 155 Arimidex .......................................................................... 103 Aristocort ........................................................................... 61 Aristospan ......................................................................... 80 Arixtra ............................................................................... 21 Aromasin ......................................................................... 103 Arthrotec ......................................................................... 108 artificial tears ................................................................. 174 Artificial Tears ................................................................. 174 Asacol ............................................................................... 11 Atacand ............................................................................. 49 Atacand Plus ..................................................................... 50 Atarax ..................................................................... 143, 144 Atasol ...................................................................... 120, 123 atazanavir ........................................................................ 97 atenolol and other diuretics ........................................... 38 Ativan ...................................................................... 142, 143 atomoxetine ................................................................... 154 atorvastatin ...................................................................... 53 Atorvastatin ................................................................. 53, 54 atorvastatin and amlodipine .......................................... 56 atovaquone .................................................................... 159 Atripla ................................................................................ 98 atropine ...................................................................... 6, 173 Atropine ...................................................................... 6, 173 Atrovent .......................................................... 161, 163, 164 auranofin ........................................................................ 112 Auro-Mirtazapine ............................................................. 152 Auro-Nevirapine ................................................................ 98 Auro-Terbinafine ............................................................... 58 Avalide .............................................................................. 50 Avandamet ........................................................................ 15 Avandia ............................................................................. 15 Avapro .............................................................................. 48 Avelox ............................................................................... 93 Aventyl ............................................................................ 147 Aviane ............................................................................... 69 Avodart ............................................................................. 75

Avonex ........................................................................... 103 Axert ............................................................................... 124 Axid .................................................................................... 3 Azarga ............................................................................ 172 azathioprine .................................................................. 105 Azathioprine ................................................................... 105 Azilect ............................................................................ 133 azithromycin ................................................................... 90 Azithromycin .................................................................... 90 Azopt .............................................................................. 171 bacampicillin .................................................................. 84 Bacid ................................................................................ 11 bacitracin ........................................................................ 59 Bacitracin ......................................................................... 59 baclofen ........................................................................ 113 Baclofen ......................................................................... 113 Bacteriostatic Water ....................................................... 178 Bactroban ......................................................................... 60 Baraclude ......................................................................... 98 Basaljel .............................................................................. 1 BCG vaccine ................................................................. 104 becaplermin .................................................................... 58 beclomethasone .................................................... 161, 163 Beconase ....................................................................... 161 Bellergal ............................................................................. 6 Benadryl ......................................................................... 166 benazepril ....................................................................... 45 Benoxyl ............................................................................ 65 Bentylol .............................................................................. 5 Benuryl ........................................................................... 114 BenzaClin ......................................................................... 65 benzethonium chloride, comb. ..................................... 64 benzoyl peroxide ............................................................ 65 benztropine ................................................................... 131 benzydamine .................................................................... 1 Betaderm ....................................................................61, 62 Betadine ......................................................................64, 67 Betagan .......................................................................... 172 betahistimine ................................................................ 157 betaine ............................................................................ 17 Betaject ............................................................................ 78 Betaloc ........................................................................35, 36 betamethasone .............................................. 10, 61, 64, 78 betamethasone and antibiotics ..................................... 64 betamethasone and antiinfectives .............................. 175 Betaseron ....................................................................... 103 Betaxin ............................................................................. 17 betaxolol ....................................................................... 172 bethanechol .................................................................. 157 Betnesol ........................................................................... 10 Betoptic-S ...................................................................... 172 bezafibrate ...................................................................... 54 Bezalip ............................................................................. 54 Biaxin ............................................................................... 90 bicalutamide ................................................................. 102 Biclutamide .................................................................... 102 bimatoprost .................................................................. 173 Bion Tears ...................................................................... 174 Biphentin ........................................................................ 154 bisacodyl .......................................................................... 9 bismuth subsalicylate .................................................... 10 bisoprolol ........................................................................ 37 Blephamide .................................................................... 171 Blocadren ......................................................................... 34 Bonamine ....................................................................... 166 Bonefos .......................................................................... 115

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Product Index

October 2011 Product Index – 5

bosentan .......................................................................... 30 Botox ............................................................................... 112 botulinum toxin ............................................................. 112 Bretylate ............................................................................ 26 bretylium tosylate ........................................................... 26 Bretylium Tosylate ............................................................ 26 Brevicon ............................................................................ 68 Bricanyl ................................................................... 162, 164 brimonidine ................................................................... 171 brinzolamide .................................................................. 171 bromazepam .................................................................. 143 bromocriptine .................................................................. 68 budesonide ...................................................... 11, 161, 163 bumetanide ...................................................................... 31 bupivacaine ................................................................... 117 buprenorphine, comb. .................................................. 157 bupropion .............................................................. 153, 157 Burinex .............................................................................. 31 Buro-Sol .................................................................... 64, 175 Buscopan ............................................................................ 8 buserelin ........................................................................ 102 Buspar ............................................................................ 144 buspirone ....................................................................... 144 busulfan ........................................................................... 99 butoconazole ................................................................... 67 butorphanol ................................................................... 121 C.E.S. ............................................................................... 71 cabergoline ...................................................................... 68 Caduet .............................................................................. 56 Cafergot .......................................................................... 123 Calcimar ............................................................................ 81 calcipotriol ....................................................................... 59 calcipotriol, comb. .......................................................... 59 calcitonin (salmon synthetic) ......................................... 81 calcitriol ........................................................................... 16 calcium acetate ............................................................. 177 calcium folinate ............................................................. 178 Campral .......................................................................... 157 candesartan ..................................................................... 49 candesartan and diuretics .............................................. 50 Canesten..................................................................... 57, 67 cannabinoid (thc) derivatives .......................................... 8 cannabinoid derivatives, comb. ................................... 123 capecitabine .................................................................. 100 Capoten ...................................................................... 42, 43 captopril ........................................................................... 42 carbachol ....................................................................... 171 carbamazepine .............................................................. 126 carbohydrates ................................................................. 23 Carbolith.......................................................................... 139 Cardizem........................................................................... 42 Cardizem CD .................................................................... 41 Cardura ............................................................................. 29 Carnitor ............................................................................. 17 carvedilol ......................................................................... 38 Casodex .......................................................................... 102 Catapres ........................................................................... 28 Ceclor ............................................................................... 87 CeeNU .............................................................................. 99 cefaclor ............................................................................ 87 cefadroxil ......................................................................... 87 cefazolin........................................................................... 87 Cefazolin Sodium .............................................................. 87 cefepime .......................................................................... 88 Cefepime........................................................................... 88 cefixime............................................................................ 88

cefotaxime ...................................................................... 88 cefprozil .......................................................................... 87 ceftazidime ..................................................................... 88 Ceftin ................................................................................ 87 ceftriaxone ...................................................................... 88 Ceftriaxone ....................................................................... 88 cefuroxime ...................................................................... 87 Cefzil ...........................................................................87, 88 Celebrex ......................................................................... 112 celecoxib ....................................................................... 112 Celestoderm-V ............................................................61, 62 Celestone ......................................................................... 78 Celexa ............................................................................ 149 Cellcept .......................................................................... 104 Celontin .......................................................................... 125 Celsentri ........................................................................... 98 cephalexin ...................................................................... 86 Cesamet ............................................................................. 8 Cetamide ........................................................................ 169 cetirizine ....................................................................... 166 chloral hydrate ............................................................. 144 chlorambucil ................................................................... 99 chloramphenicol ..................................................... 83, 169 chlordiazepoxide .......................................................... 142 chlorhexidine .................................................................... 1 chlormethine................................................................... 99 Chloromycetin Succinate ................................................. 83 chloroquine................................................................... 159 chlorpromazine ............................................................ 133 Chlorpromazine .............................................................. 133 chlorpropamide .............................................................. 14 chlorthalidone ................................................................ 30 Choledyl .................................................................. 164, 165 cholestyramine ............................................................... 55 choline theophyllinate ................................................. 164 Chronulac ........................................................................... 9 ciclesonide ................................................................... 163 ciclopirox ........................................................................ 57 cilazapril .......................................................................... 45 Cilazapril .....................................................................45, 46 cilazapril and diuretics .................................................. 47 Ciloxan ........................................................................... 170 cimetidine ......................................................................... 1 Cimzia ............................................................................ 105 cinacalet .......................................................................... 82 Cipralex .......................................................................... 151 Cipro ................................................................................ 92 Ciprodex ......................................................................... 175 ciprofloxacin ............................................................ 92, 170 Ciprofloxacin .................................................................... 92 Citalopram-Odan ............................................................ 149 Citro Mag ........................................................................... 9 Claforan ........................................................................... 88 clarithromycin ................................................................ 90 Claritin ............................................................................ 166 Clarus ............................................................................... 65 Clavulin .......................................................................85, 86 clidinium and psycholeptics ........................................... 6 Climara ........................................................................70, 71 clindamycin ......................................................... 65, 67, 91 Clindamycin ..................................................................... 91 clindamycin, comb. ........................................................ 65 Clindoxyl Gel .................................................................... 65 Clinoril ............................................................................ 107 clobazam ....................................................................... 143 clobetasol ....................................................................... 63

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October 2011 Product Index – 6

clobetasone ..................................................................... 61 clodronate ...................................................................... 115 clodronic acid ................................................................ 115 Clomid ............................................................................... 72 clomifene ......................................................................... 72 clomipramine ................................................................. 146 clonazepam ................................................................... 125 clonidine .......................................................................... 28 Clonidine ........................................................................... 28 clopidogrel ....................................................................... 20 Clopixol ........................................................................... 136 Clopixol-Acuphase .......................................................... 136 Clopixol-Depot ................................................................ 136 clorazepate dipotassium .............................................. 142 clostridiopepitidase ........................................................ 58 Clotrimaderm .............................................................. 57, 67 clotrimazole ............................................................... 57, 67 cloxacillin ......................................................................... 85 clozapine ........................................................................ 136 Clozaril ............................................................................ 136 CO Alendronate .............................................................. 115 CO Amlodipine .................................................................. 39 CO Atenolol ....................................................................... 36 CO Atorvastatin ........................................................... 53, 54 CO Azithromycin ............................................................... 90 CO Bicalutamide ............................................................. 102 CO Cabergoline ................................................................ 68 CO Ciprofloxacin ............................................................... 92 CO Citalopram ................................................................ 149 CO Clomipramine ........................................................... 146 CO Clonazepam ............................................................. 126 CO Enalapril ...................................................................... 43 CO Etidrocal .................................................................... 116 CO Etidronate ................................................................. 115 CO Famciclovir ........................................................... 96, 97 CO Finasteride .................................................................. 74 CO Fluconazole ................................................................ 95 CO Fluoxetine ................................................................. 148 CO Fluvoxamine ..................................................... 150, 151 CO Gabapentin ............................................................... 129 CO Irbesartan ................................................................... 48 CO Irbesartan/HCT ........................................................... 50 CO Levetiracetam ........................................................... 130 CO Levofloxacin ................................................................ 93 CO Lisinopril ............................................................... 43, 44 CO Lovastatin ................................................................... 52 CO Meloxicam ................................................................ 109 CO Metformin .................................................................... 13 CO Norfloxacin .................................................................. 92 CO Olanzapine ....................................................... 137, 138 CO Ondansetron ................................................................. 7 CO Pantoprazole ................................................................ 4 CO Paroxetine ........................................................ 149, 150 CO Pioglitazone .......................................................... 15, 16 CO Pramipexole .............................................................. 132 CO Pravastatin ............................................................ 52, 53 CO Quetiapine ........................................................ 138, 139 CO Ramipril ................................................................ 44, 45 CO Ranitidine ...................................................................... 2 CO Repaglinide ................................................................. 16 CO Risperidone ...................................................... 140, 141 CO Ropinirole ................................................................. 132 CO Sertraline .................................................................. 150 CO Simvastatin ........................................................... 51, 52 CO Sotalol ......................................................................... 35 CO Sumatriptan .............................................................. 124

CO Temazepam ............................................................. 145 CO Terbinafine ................................................................. 58 CO Topiramate ........................................................ 128, 129 CO Valacyclovir ................................................................ 97 CO Valsartan.................................................................... 48 CO Venlafaxine .............................................................. 153 CO Zopiclone ................................................................. 145 coal tar ............................................................................ 58 codeine ......................................................................... 165 Codeine Contin .............................................................. 165 Codeine Phosphate ........................................................ 165 Codeine, comb. excl. psycholeptics ........................... 120 Cogentin ......................................................................... 131 CO-Irbesartan .................................................................. 48 Colace ................................................................................ 9 colchicine ..................................................................... 114 Colchicine ...................................................................... 114 Colestid ............................................................................ 55 Colestid Orange ............................................................... 55 colestipol ........................................................................ 55 collagenase .................................................................... 58 CoLyte ................................................................................ 9 Combigan ....................................................................... 172 Combivent ...................................................................... 162 Comtan .......................................................................... 133 Concerta ........................................................................ 154 Condyline ......................................................................... 60 conjugated estrogens .................................................... 71 Copaxone ....................................................................... 104 Cordarone ........................................................................ 26 Coreg ............................................................................... 38 Corgard ............................................................................ 35 Cortamed ....................................................................... 170 Cortef ............................................................................... 80 Cortenema ....................................................................... 10 Cortifoam ......................................................................... 10 cortisone ......................................................................... 80 Cortisone Acetate ............................................................. 80 Cortisporin ......................................................... 63, 171, 175 Cortoderm ........................................................................ 60 Cosopt ............................................................................ 172 Cotazym ........................................................................... 12 Cotazym ECS................................................................... 12 Cotazym-65B ................................................................... 12 Coumadin ....................................................................19, 20 Coversyl ........................................................................... 44 Coversyl Plus ................................................................... 47 Cozaar ............................................................................. 48 Creon ............................................................................... 12 Crestor ............................................................................. 54 Crixivan ............................................................................ 97 cromoglycate sodium ............................. 11, 161, 164, 173 Cromolyn ........................................................................ 173 CTP30 ............................................................................ 149 Cubicin ............................................................................. 94 Cuprimine ....................................................................... 112 cyanocobalamin ............................................................. 22 Cyanocobalamin .............................................................. 22 cyanocobalamin, comb. ................................................ 22 Cyclen .............................................................................. 69 cyclobenzaprine ........................................................... 114 Cyclobenzaprine ............................................................ 114 Cyclocort .......................................................................... 62 Cyclogyl ......................................................................... 173 Cyclomen ......................................................................... 72 cyclopentolate .............................................................. 173

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October 2011 Product Index – 7

cyclophosphamide ......................................................... 99 cyclosporine .................................................................. 105 Cyestra-35 ........................................................................ 72 Cyklokapron ...................................................................... 21 Cymbalta ......................................................................... 153 cyproterone ..................................................................... 72 cyproterone and estrogen .............................................. 72 Cystadane ......................................................................... 17 Cytomel ............................................................................. 81 Cytotec ................................................................................ 3 Cytovene ........................................................................... 96 dabigatran etexilate ........................................................ 21 Dalacin .............................................................................. 67 Dalacin C .......................................................................... 91 Dalacin C Phos ................................................................. 91 Dalacin T ........................................................................... 65 Dalmane.......................................................................... 144 dalteparin ......................................................................... 20 danazol............................................................................. 72 Dantrium ......................................................................... 114 dantrolene ...................................................................... 114 dapsone ........................................................................... 96 Dapsone............................................................................ 96 daptomycin ...................................................................... 94 Daraprim ......................................................................... 159 darunavir.......................................................................... 97 Darvon N ......................................................................... 121 dasatinib ........................................................................ 101 Daypro ............................................................................ 111 DDAVP ....................................................................... 77, 78 Decadron .................................................................. 79, 175 Deca-Durabolin ................................................................. 17 deferasirox ..................................................................... 177 deferoxamine ................................................................. 177 degarelix ........................................................................ 103 dehydrocholic acid ........................................................... 8 Delatestryl ......................................................................... 70 delta-9-tetrahydrocannabinol ........................................... 8 Deltasone .......................................................................... 80 Demerol .......................................................................... 120 Demulen............................................................................ 68 Depakene........................................................................ 127 Depo-Medrol ............................................................... 79, 80 Depo-Provera .................................................................... 70 Depo-Testosterone ........................................................... 70 Derma-Smoothe ................................................................ 62 Dermovate ........................................................................ 63 Desferal .......................................................................... 177 Desferrioxamine .............................................................. 177 desipramine ................................................................... 145 desloratadine ................................................................. 166 Desloratadine Allergy Control ......................................... 166 desmopressin .................................................................. 77 Desocort............................................................................ 61 desogestrel and estrogen .............................................. 69 desonide .......................................................................... 61 desoximetasone .............................................................. 62 Desyrel ............................................................................ 152 Detrol ................................................................................ 73 Detrol LA ........................................................................... 73 dexamethasone ............................................... 79, 170, 175 Dexamethasone ................................................................ 79 dexamethasone and antiinfectives ...................... 171, 175 dexamphetamine ........................................................... 154 Dexasone .......................................................................... 79 Dexedrine........................................................................ 154

DexIron ............................................................................ 22 dextriferron ..................................................................... 22 dextropropoxyphene ................................................... 121 Dextrose ........................................................................... 23 Diabeta ............................................................................. 14 diabetic insulin pen needles ....................................... 178 diabetic insulin syringes ............................................. 178 diabetic lancets ............................................................ 178 Diabinese ......................................................................... 14 Diamicron ......................................................................... 14 Diamox ........................................................................... 171 Diane-35 .......................................................................... 72 Diarr-eze .......................................................................... 10 Diastat ............................................................................ 141 Diazemuls ...................................................................... 141 diazepam ....................................................................... 141 Diazepam ....................................................................... 141 diazoxide ....................................................................... 178 Dicetel ................................................................................ 6 Diclectin ......................................................................... 166 diclofenac ...................................................... 107, 112, 170 Diclofenac Potassium ..................................................... 107 Diclofenac Sodium ......................................................... 108 diclofenac, comb. ......................................................... 108 dicyclomine ...................................................................... 5 Dicyclomine ........................................................................ 5 dicycloverine .................................................................... 5 Didrocal Kit ..................................................................... 116 Didronel .......................................................................... 115 Diflucan .......................................................................94, 95 diflucortolone ............................................................62, 64 diflunisal ....................................................................... 122 digoxin ............................................................................ 25 Digoxin ............................................................................. 25 dihydroergotamine ....................................................... 123 Dihydroergotamine ......................................................... 123 diiodohydroxyquinoline .............................................. 159 Dilantin ........................................................................... 125 Dilaudid .......................................................................... 119 Dilaudid HP .................................................................... 119 Dilaudid XP .................................................................... 119 Dilovan-HCT..................................................................... 49 diltiazem .......................................................................... 41 Diltiazem Hydrochloride ................................................... 42 dimenhydrinate ................................................................ 8 Dimenhydrinate .................................................................. 8 dimethyl sulfoxide ................................................... 73, 112 Dimethyl Sulfoxide ........................................................... 73 dinoprostone .................................................................. 68 Diodoquin ....................................................................... 159 Diopred .......................................................................... 170 Diotrope ......................................................................... 173 Diovan .............................................................................. 48 Diovan-HCT ..................................................................... 49 Diovol ................................................................................. 1 Dipentum .......................................................................... 11 diphenhydramine ......................................................... 166 Diphenhydramine ........................................................... 166 diphenoxylate ................................................................. 10 Diprolene .......................................................................... 61 Diprosalic ......................................................................... 64 Diprosone ......................................................................... 61 dipyridamole ................................................................... 21 disopyramide .................................................................. 25 disulfiram ...................................................................... 157 Disulfiram ....................................................................... 157

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October 2011 Product Index – 8

dithranol........................................................................... 59 Ditropan ...................................................................... 72, 73 divalproex sodium ........................................................ 127 Dixarit ................................................................................ 28 dobutamine ...................................................................... 27 Dobutamine ....................................................................... 27 Dobutrex ........................................................................... 27 docusate sodium .............................................................. 9 Docusate Sodium ................................................................ 9 dolasetron .......................................................................... 7 Dolobid ............................................................................ 122 domperidone ............................................................. 7, 108 Domperidone ...................................................................... 7 donepezil ....................................................................... 155 dorzolamide ................................................................... 171 Dostinex ............................................................................ 68 Dovobet ............................................................................ 59 Dovonex ............................................................................ 59 doxazosin ........................................................................ 29 doxepin .................................................................... 58, 147 Doxycin ............................................................................. 83 doxycycline ................................................................. 1, 83 Doxycycline ....................................................................... 83 doxylamine .................................................................... 166 Drisdol ............................................................................... 16 dronabinol ......................................................................... 8 droperidol ...................................................................... 135 Droperidol ....................................................................... 135 drospirenone and estrogen ............................................ 69 Dulcolax .............................................................................. 9 duloxetine ...................................................................... 153 DULOXETINE ................................................................. 153 Duo Trav ......................................................................... 172 Duodopa ......................................................................... 131 Duolube .......................................................................... 174 Duovent UDV .................................................................. 162 Duragesic ........................................................................ 121 Duralith ........................................................................... 139 Duricef .............................................................................. 87 dutasteride ....................................................................... 75 Duvoid ............................................................................. 157 Dyazide ............................................................................. 32 Dycholium ........................................................................... 8 Ebixa ............................................................................... 156 Edecrin .............................................................................. 31 EES ................................................................................... 89 Effexor ............................................................................ 153 Efudex ............................................................................. 100 Elaprase ............................................................................ 18 Elavil ............................................................................... 147 Eldepryl ........................................................................... 133 eletriptan ........................................................................ 125 Elidel ................................................................................. 66 Eligard ............................................................................. 102 Elixophyllin ...................................................................... 164 Elmiron .............................................................................. 33 Elocom ........................................................................ 62, 63 Eltroxin .............................................................................. 81 Emadine .......................................................................... 173 Emcyt .............................................................................. 101 emedastine .................................................................... 173 Emend ................................................................................ 8 Emo-Cort........................................................................... 60 Enablex ............................................................................. 73 enalapril ........................................................................... 43 enalapril and diurtetics ................................................... 46

Enbrel ............................................................................. 104 Endantadine ................................................................... 131 Endocet .......................................................................... 123 enfuvirtide ....................................................................... 98 enoxaparin ...................................................................... 20 entacapone ................................................................... 133 entecavir ......................................................................... 98 Enteric Coated ASA ....................................................... 122 Entocort ............................................................................ 11 Entrophen ...................................................................... 122 epinephrine ..................................................................... 27 Epinephrine ...................................................................... 27 Epipen .............................................................................. 27 Epiriubicin ...................................................................... 100 epirubicin ...................................................................... 100 Epival ............................................................................. 127 eplerenone ...................................................................... 31 Eprex ................................................................................ 23 eprosartan ...................................................................... 48 eprosartan and diuretics ............................................... 49 Erdol ................................................................................. 16 ergocalciferol.................................................................. 16 Ergodryl .......................................................................... 123 ergoloid mesylates ......................................................... 32 ergotamine, comb. excluding psycholeptics ............. 123 erlotinib ......................................................................... 101 ERYC ............................................................................... 89 erythromycin ........................................................... 89, 169 erythromycin, comb. ...................................................... 65 erythropoietin ................................................................. 23 escitalopram ................................................................. 151 esomeprazole ................................................................... 5 Estalis .............................................................................. 71 Estalis-Sequi .................................................................... 72 Estrace ............................................................................. 71 Estracomb ........................................................................ 72 Estraderm ........................................................................ 71 estradiol .......................................................................... 70 Estradot .......................................................................70, 71 estramustine ................................................................. 101 Estring .............................................................................. 71 Estrogel ............................................................................ 71 estrone ............................................................................ 71 etacrynic acid ................................................................. 31 etanercept ..................................................................... 104 ethambutol ...................................................................... 95 ethopropazine ............................................................... 130 ethosuximide ................................................................ 125 ethynodiol and estrogen ............................................... 68 Etibi .................................................................................. 95 Etidrocal Kit .................................................................... 116 etidronate ...................................................................... 115 etidronic acid ................................................................ 115 etidronic acid and calcium .......................................... 116 etodolac ........................................................................ 108 etoposide ...................................................................... 100 etravirine ......................................................................... 98 Euflex ............................................................................. 102 Euglucon .......................................................................... 14 Eumovate ......................................................................... 61 Evista ............................................................................... 72 Evra .................................................................................. 69 Exelon ..................................................................... 155, 156 Exelon Patch .................................................................. 156 exemestane .................................................................. 103 Exjade ............................................................................ 177

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October 2011 Product Index – 9

Extra Strength Allergy Relief ........................................... 166 ezetimibe.......................................................................... 55 Ezetrol ............................................................................... 55 famciclovir ....................................................................... 96 famotidine .......................................................................... 2 Famotidine .......................................................................... 3 Famotidine Omega ............................................................. 2 Famvir ......................................................................... 96, 97 febuxostat ...................................................................... 114 Feldene ................................................................... 108, 109 felodipine ......................................................................... 39 Fem HRT .......................................................................... 71 Femara ........................................................................... 103 fenofibrate ....................................................................... 55 Fenofibrate Micro .............................................................. 55 fenoterol & other obst. airway disease drugs ............ 162 fentanyl .................................................................. 117, 121 Fentanyl Citrate ............................................................... 117 Fer-In-Sol .......................................................................... 22 Fermentol .......................................................................... 12 ferrous fumarate ............................................................. 22 ferrous glucconate .......................................................... 22 ferrous sulfate ................................................................. 22 fexofenadine .................................................................. 166 filgrastim ........................................................................ 103 Finacea ............................................................................. 65 finasteride ........................................................................ 74 Finasteride ........................................................................ 74 Fiorinal ............................................................................ 122 Firmagon ......................................................................... 103 Flagyl .......................................................................... 67, 94 Flagystatin ......................................................................... 67 Flamazine ......................................................................... 60 Flarex .............................................................................. 170 flavoxate .......................................................................... 72 flecainide ......................................................................... 26 Flexeril ............................................................................ 114 flocatafenine .................................................................. 123 Flomax .............................................................................. 74 Flonase ........................................................................... 161 Florinef .............................................................................. 78 Flovent ............................................................................ 163 Floxin ................................................................................ 91 Fluanxol .......................................................................... 135 Fluanxol Depot ................................................................ 135 fluconazole ...................................................................... 94 Fluconazole ....................................................................... 94 Fludara .............................................................................. 99 fludarabine ....................................................................... 99 fludrocortisone ................................................................ 78 flumazenil ...................................................................... 177 Flumazenil ....................................................................... 177 flumetasone and antibiotics ........................................... 63 flumetasone and antiinfectives .................................... 175 flunarizine ...................................................................... 158 flunisolide ...................................................................... 161 fluocinolone acetonide ................................................... 62 fluocinonide ..................................................................... 62 fluorometholone ............................................................ 170 fluorouracil .................................................................... 100 Fluorouracil ..................................................................... 100 fluoxetine ....................................................................... 148 Fluoxetine ....................................................................... 148 flupenthixol .................................................................... 135 fluphenazine .................................................................. 133 flurazepam ..................................................................... 144

flurbiprofen ................................................................... 111 flutamide ....................................................................... 102 fluticasone ............................................................. 161, 163 fluvastatin ....................................................................... 53 fluvoxamine .................................................................. 150 FML ................................................................................ 170 FML Forte ...................................................................... 170 folic acid ......................................................................... 22 Folic Acid ......................................................................... 22 fondaparinux .................................................................. 21 Foradil ............................................................................ 162 formoterol ..................................................................... 162 formoterol & other obst. airway disease drugs ......... 163 Fortaz ............................................................................... 88 Forteo ............................................................................... 81 Fosamax ........................................................................ 115 fosamprenavir ................................................................ 97 Fosavance ..................................................................... 116 fosinopril ......................................................................... 46 Fosrenol ......................................................................... 177 Fragmin ............................................................................ 20 framycetin ................................................................ 64, 169 Frisium ........................................................................... 143 FS-Shampoo .................................................................... 62 Fucidin .................................................................. 59, 63, 93 Fucithalmic ..................................................................... 169 Fungizone ........................................................................ 94 furosemide ...................................................................... 31 Furosemide ...................................................................... 31 fusidic acid .............................................................. 59, 169 fusididic acid .................................................................. 93 Fuzeon ............................................................................. 98 FXT 40 ........................................................................... 148 gabapentin .................................................................... 129 Gabapentin .................................................................... 129 galantamine .................................................................. 156 ganciclovir ...................................................................... 96 Garamycin ......................................................... 91, 169, 174 Garasone ....................................................................... 175 gatifloxacin ................................................................... 170 GD-Amlodipine ................................................................. 39 GD-Atorvastatin ...........................................................53, 54 GD-Azithromycin .............................................................. 90 GD-Gabapentin ....................................................... 129, 130 GD-Sertraline ................................................................. 150 gefitinib ......................................................................... 101 gemcitabine .................................................................. 100 Gemcitabine ................................................................... 100 gemfibrozil ...................................................................... 54 Gemzar .......................................................................... 100 Gen-Clozapine ............................................................... 136 gentamicin ................................................. 60, 91, 169, 174 Gentamicin ....................................................................... 91 GenTeal ......................................................................... 174 glatiramer acetate ........................................................ 104 Gleevec .......................................................................... 100 glibenclamide ................................................................. 14 gliclazide ......................................................................... 14 glimepiride ...................................................................... 14 GlucaGen ......................................................................... 81 GlucaGen Hypokit ............................................................ 81 glucagon ......................................................................... 81 Glucagon .......................................................................... 81 Glucobay .......................................................................... 15 GlucoNorm ....................................................................... 16 Glucophage ...................................................................... 13

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October 2011 Product Index – 10

glucose .......................................................................... 178 glyburide .......................................................................... 14 Glyburide........................................................................... 14 glyceryl trinitrate ............................................................. 27 glycopyrolate ..................................................................... 5 Glycopyrrolate ..................................................................... 5 glycopyrronium ................................................................. 5 golimumab ..................................................................... 105 goserelin ........................................................................ 102 granisetron ........................................................................ 7 grass pollen ................................................................... 177 Gravergol ........................................................................ 123 Gravol ................................................................................. 8 guaifenesin .................................................................... 165 Gynazole ........................................................................... 67 Halcion ............................................................................ 144 Haldol .............................................................................. 135 Haldol LA ........................................................................ 135 haloperidol ..................................................................... 135 Haloperidol ...................................................................... 135 Haloperidol LA ................................................................ 135 heparin ............................................................................. 20 Heparin ............................................................................. 20 Hepsera ............................................................................ 98 Heptovir ............................................................................ 98 Herplex-D .......................................................................... 60 hexachlorophene ............................................................ 64 Hexalen ........................................................................... 101 Hip-Rex ............................................................................. 94 histrelin ............................................................................ 78 homatropine .................................................................. 173 Hp-PAC ............................................................................... 5 Humalog...................................................................... 12, 13 Humatin ............................................................................ 10 Humatrope ........................................................................ 77 Humira ............................................................................ 104 Humulin Insulin ................................................................. 13 Humulin L Insulin .............................................................. 12 Humulin N Insulin .............................................................. 12 Humulin R Insulin .............................................................. 12 Hydergine.......................................................................... 32 Hyderm ............................................................................. 60 hydralazine ...................................................................... 29 Hydrea ............................................................................ 101 hydrochloride .................................................................. 88 hydrochlorothiazide ........................................................ 30 hydrochlorothiazide and potassium-sparing agents ... 32 Hydrocorisone ................................................................... 61 hydrocortisone ................................ 10, 32, 60, 64, 80, 170 Hydrocortisone ...................................................... 57, 60, 61 hydrocortisone and antibiotics ...................................... 63 hydrocortisone and antiinfectives ....................... 171, 175 Hydrodiuril ......................................................................... 30 Hydromorph Contin ......................................................... 119 hydromorphone ............................................................ 119 Hydromorphone .............................................................. 119 Hydromorphone HP ........................................................ 119 Hydroval ............................................................................ 61 hydroxycarbamide ........................................................ 101 hydroxychloroquine ..................................................... 159 hydroxyurea .................................................................. 101 Hydroxyurea .................................................................... 101 hydroxyzine ................................................................... 143 Hydroxyzine .................................................................... 144 Hylashield ....................................................................... 174 Hyoscine Butylbromide ....................................................... 8

hyoscyamine .................................................................... 6 Hypotears ....................................................................... 174 Hytrin ................................................................................ 74 Hyzaar .............................................................................. 49 ibuprofen ...................................................................... 109 Idarac ............................................................................. 123 idoxuridine ...................................................................... 60 idursulfase ...................................................................... 18 imatinib ......................................................................... 100 Imdur ................................................................................ 28 imidazole derivatives, comb.......................................... 57 imipenem and enzyme inhibitor .................................... 88 imipramine .................................................................... 146 imiquimod ....................................................................... 60 Imitrex ............................................................................ 123 Imitrex DF ...................................................................... 124 ImmuCyst ....................................................................... 104 Imodium ........................................................................... 10 Imovane ......................................................................... 145 Imuran ............................................................................ 105 indapamide ..................................................................... 31 Inderal .............................................................................. 34 Inderal-LA ........................................................................ 34 indinavir .......................................................................... 97 Indocid ........................................................................... 107 indomethacin ................................................................ 107 infliximab ...................................................................... 104 Infufer ............................................................................... 22 Infusion Pump Cassette ................................................. 178 Inhibace ......................................................................45, 46 Inhibace Plus ................................................................... 47 Inspra ............................................................................... 31 insulin (human) .........................................................12, 13 insulin aspart .................................................................. 12 insulin detemir ................................................................ 13 insulin glargine ............................................................... 13 insulin glulisine .............................................................. 12 insulin lispro ..............................................................12, 13 Intal ................................................................................ 164 Intelence .......................................................................... 98 interferon alpha-2b ....................................................... 103 interferon beta-1a ......................................................... 103 interferon beta-1b ......................................................... 103 Intron A .......................................................................... 103 Invirase ............................................................................ 97 iodoquinol ..................................................................... 159 Iopidine .......................................................................... 171 ipratropium bromide ............................................. 161, 163 iresartan and diuretics ................................................... 50 Iressa ............................................................................. 101 iron, multivitamins and folic acid ................................. 22 iron, multivitamins and minerals .................................. 22 Isentress .......................................................................... 98 isoniazid .......................................................................... 95 isopropyl myristate ...................................................... 160 Isoptin .............................................................................. 40 Isoptin IV .......................................................................... 40 Isopto Atropine ............................................................... 173 Isopto Carbachol ............................................................ 171 Isopto Carpine ................................................................ 171 Isopto Homatropine ........................................................ 173 Isopto Tears ................................................................... 174 Isordil ............................................................................... 28 isosorbide dinitrate ........................................................ 28 isosorbide mononitrate ................................................. 28 Isotamine ......................................................................... 95

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October 2011 Product Index – 11

isotretinoin ...................................................................... 65 itraconazole ..................................................................... 95 IUD with progestogen ..................................................... 68 Jamp-Amlodipine .............................................................. 39 Jamp-Bicalutamide ......................................................... 102 Jamp-Bisacodyl ................................................................... 9 Jamp-Citalopram ............................................................. 149 Jamp-Docusate Sodium ...................................................... 9 Jamp-Finasteride .............................................................. 74 Jamp-Fosinopril ................................................................ 46 Jamp-Ibuprofen ............................................................... 109 Jamp-Lactulose ................................................................... 9 Jamp-Loperamide ............................................................. 10 Jamp-Magnesium ............................................................. 17 Jamp-Ondansetron ............................................................. 7 Jamp-Pioglitazone ...................................................... 15, 16 Jamp-Pravastatin ........................................................ 52, 53 Jamp-Quetiapine ..................................................... 138, 139 Jamp-Ramipril ............................................................. 44, 45 Jamp-Risperidone ................................................... 140, 141 Jamp-Sennosides ............................................................... 9 Jamp-Simvastatin ....................................................... 51, 52 Jamp-Tamsulosin .............................................................. 74 Janumet ............................................................................ 15 Januvia ............................................................................. 16 Junista ............................................................................ 119 K-10 .................................................................................. 17 Kadian ............................................................................. 117 Kaletra .............................................................................. 97 Kayexalate ...................................................................... 177 K-Dur ................................................................................ 17 Keflex ................................................................................ 86 Keletra .............................................................................. 97 Kemadrin......................................................................... 130 Kemsol ............................................................................ 112 Kenacomb ......................................................................... 63 Kenalog ......................................................................... 1, 80 Keppra ............................................................................ 130 Ketalar ............................................................................ 117 ketamine ........................................................................ 117 Ketamine ......................................................................... 117 Ketek ................................................................................. 90 ketoconazole ............................................................. 57, 94 Ketoderm .......................................................................... 57 ketoprofen ..................................................................... 111 ketorolac ................................................................ 108, 170 Ketorolac ......................................................................... 108 ketotifen ................................................................. 166, 173 Kineret ............................................................................ 105 Kivexa ............................................................................... 98 K-Lyte ............................................................................... 17 Kytril .................................................................................... 7 labetalol ........................................................................... 37 Labetalol ........................................................................... 37 lactic acid producing organisms ................................... 11 lactulose ............................................................................ 9 Lamictal .......................................................................... 128 Lamisil ......................................................................... 57, 58 lamivudine ....................................................................... 98 lamivudine and abacavir ................................................ 98 lamotrigine ..................................................................... 128 Lamotrigine ..................................................................... 128 Lanoxin ............................................................................. 25 lanreotide ......................................................................... 78 lansoprazole ...................................................................... 4 Lansoprazole ...................................................................... 4

lansoprazole, clarithromycin and amoxicillin ................ 5 lanthanum carbonate ................................................... 177 Lantus .............................................................................. 13 Lanvis ............................................................................... 99 lapatinib ........................................................................ 101 Largactil ......................................................................... 133 Larium ............................................................................ 159 laronidase ....................................................................... 18 Lasix ................................................................................. 31 Lasix Special .................................................................... 31 latanoprost ................................................................... 173 LCD (coal tar) ................................................................... 58 Lectopam ....................................................................... 143 Lederle Leucovorin ......................................................... 178 leflunomide ................................................................... 104 Leflunomide ................................................................... 104 lenaidomide .................................................................. 106 Lescol ............................................................................... 53 letrozole ........................................................................ 103 Letrozole ........................................................................ 103 Leukeran .......................................................................... 99 leuprolide ...................................................................... 102 leuprorelin .................................................................... 102 Levaquin .......................................................................... 93 Levemir ............................................................................ 13 Levetiracetam................................................................. 130 levitracetam .................................................................. 130 levobunolol ................................................................... 172 levocabastine ........................................................ 161, 173 levocarnitine ................................................................... 17 levodopa and decarboxylase inhibitor ....................... 131 levodopa, decarboxylase inhibitor and comt inhibitor

.................................................................................. 131 levofloxacin .................................................................... 93 levomepromazine ......................................................... 133 levonorgestrel ................................................................ 70 levonorgestrel and estrogen ......................................... 69 Levophed ......................................................................... 27 levothyroxine sodium .................................................... 80 Levsin ................................................................................. 6 Librax ................................................................................. 6 Lidemol ............................................................................ 62 Lidex ................................................................................ 62 lidocaine .................................................................. 58, 117 lidocaine, comb. ........................................................... 117 Lidodan ............................................................................ 58 Lincocin ............................................................................ 91 lincomycin ...................................................................... 91 Linctus Codeine Blanc ................................................... 165 Linessa ............................................................................. 69 linezolid ........................................................................... 94 Lioresal .......................................................................... 113 Lioresal DS .................................................................... 113 Lioresal Intrathecal ......................................................... 113 liothyronine sodium ....................................................... 81 Lipidil EZ .......................................................................... 55 Lipidil Micro ...................................................................... 55 Lipidil Supra ..................................................................... 55 Lipitor ..........................................................................53, 54 Liquifilm Tears ................................................................ 174 lisdexamfetamine ......................................................... 155 lisinopril .......................................................................... 43 lisinopril and diuretics ................................................... 46 Lisinopril/HCTZ ...........................................................46, 47 Lithane ........................................................................... 139 lithium ........................................................................... 139

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October 2011 Product Index – 12

Livostin .................................................................... 161, 173 Locacorten Vioform ................................................... 63, 175 LoEstrin ............................................................................. 68 Lomotil .............................................................................. 10 lomustine ......................................................................... 99 Loniten .............................................................................. 30 loperamide ....................................................................... 10 Lopid ................................................................................. 54 Lopresor ...................................................................... 35, 36 Loprox ............................................................................... 57 loratadine ....................................................................... 166 lorazepam ...................................................................... 142 Lorazepam ...................................................................... 142 losartan ............................................................................ 48 losartan and diuretics ..................................................... 49 Losec .............................................................................. 3, 4 Lotemax .......................................................................... 170 Lotensin ............................................................................ 45 loteprednol .................................................................... 170 Lotriderm ........................................................................... 57 Lovastatin.......................................................................... 52 lovastatin and nicotinic acid .......................................... 55 Lovenox ............................................................................ 20 Loxapac .......................................................................... 136 loxapine ......................................................................... 136 Lozide ............................................................................... 31 Ludiomil .......................................................................... 148 Lumigan .......................................................................... 173 Lupron ............................................................................. 102 Luvox ...................................................................... 150, 151 Lyderm .............................................................................. 62 Lyrica .............................................................................. 130 Macrobid ........................................................................... 94 Macrodantin ...................................................................... 94 Macugen ......................................................................... 174 Magic Mouthwash ............................................................. 58 magnesium citrate ............................................................ 9 magnesium glucoheptonate .......................................... 17 magnesium hydroxide .................................................... 73 Magnesium-Odan ............................................................. 17 Majeptil ........................................................................... 134 Mandelamine .................................................................... 94 Manerix ........................................................................... 151 maprotiline ..................................................................... 148 maraviroc ......................................................................... 98 Marcaine ......................................................................... 117 Marinol ................................................................................ 8 Marvelon ........................................................................... 69 Matulane ......................................................................... 100 Mavik ................................................................................ 46 Maxalt ............................................................................. 124 Maxeran .............................................................................. 6 Maxidex .......................................................................... 170 Maxipime........................................................................... 88 Maxitrol ........................................................................... 171 mebendazole ................................................................. 159 mechlorethamine ............................................................ 99 meclizine ........................................................................ 166 meclozine ....................................................................... 166 MED-Letrozole ................................................................ 103 Medrol ......................................................................... 64, 80 medroxyprogesterone .............................................. 70, 71 Medroxyprogesterone Acetate .......................................... 70 medroxyprogesterone and estrogen ............................. 71 mefenamic acid ............................................................. 111 mefloquine ..................................................................... 159

Megace .......................................................................... 101 Megace OS .................................................................... 101 megestrol ...................................................................... 101 meloxicam .................................................................... 109 Meloxicam ...................................................................... 109 melphalan ....................................................................... 99 meperidine .................................................................... 120 Meperidine ..................................................................... 120 Mepron ........................................................................... 159 mercaptopurine .............................................................. 99 Meridia ............................................................................. 11 mesalamine .................................................................... 11 Mesasal ............................................................................ 11 M-Eslon ................................................................... 117, 118 Mestinon ........................................................................ 157 mesuximide .................................................................. 125 Metadol .......................................................................... 157 metformin ....................................................................... 13 Metformin ......................................................................... 13 metformin and rosiglitazone ......................................... 15 methadone .................................................................... 157 Methadone ..................................................................... 157 methazolamide ............................................................. 171 methenamine .................................................................. 94 methimazole ................................................................... 81 methocarbamol ............................................................ 113 methocarbamol, comb. excluding psycholeptics ..... 113 methotrexate................................................................... 99 Methotrexate .................................................................... 99 methotrimeprazine ....................................................... 133 Methoxacet .................................................................... 113 Methoxisal ...................................................................... 113 methoxsalen ................................................................... 59 methsuximide ............................................................... 125 methyldopa (racemic) .................................................... 28 methylnaltrexone bromide ............................................ 10 methylphenidate ........................................................... 154 methylprednisolone ..................................................64, 79 Methylprednisolone Acetate ............................................. 79 Methylprednisolone Sod. Succ. ........................................ 79 methylprednisolone, comb............................................ 80 metoclopamide ................................................................. 6 Metoclopramide .................................................................. 6 metolazone ..................................................................... 30 metoprolol ...................................................................... 35 Metoprolol ...................................................................35, 36 MetroCream ..................................................................... 60 MetroGel .......................................................................... 60 MetroLotion ...................................................................... 60 metronidazole ...................................................... 60, 67, 94 Mevacor ........................................................................... 52 mexiletine ....................................................................... 25 Mexitil ............................................................................... 25 Mezavant ......................................................................... 11 Miacalcin .......................................................................... 81 Micardis ............................................................................ 49 Micardis Plus .................................................................... 50 Micatin .............................................................................. 57 miconazole ................................................................57, 67 Micozole ........................................................................... 67 Micro-K ............................................................................. 17 Micronor ........................................................................... 70 Midamor ........................................................................... 32 midazolam .................................................................... 145 Midazolam ...................................................................... 145 midodrine ........................................................................ 27

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October 2011 Product Index – 13

miglustat .......................................................................... 18 Migranal .......................................................................... 123 mineral salts in comb. ...................................................... 9 MinEstrin ........................................................................... 68 Minipres ............................................................................ 29 Minirin ............................................................................... 77 Minitran ............................................................................. 27 Minocin ............................................................................. 83 minocycline ..................................................................... 83 Min-Ovral .......................................................................... 69 minoxidil .................................................................... 30, 66 MINT-Amlodipine .............................................................. 39 MINT-Atenol ...................................................................... 36 MINT-Ciprofloxacin ........................................................... 92 MINT-Citalopram ............................................................. 149 Mintezol .......................................................................... 159 MINT-Ondansetron ............................................................. 7 MINT-Pioglitazone ...................................................... 15, 16 MINT-Pravastatin ........................................................ 52, 53 MINT-Risperidon ............................................................. 140 MINT-Risperidone ........................................................... 140 MINT-Topiramate .................................................... 128, 129 Mirapex ........................................................................... 132 Mirena ............................................................................... 68 mirtazapine .................................................................... 152 misoprostol ....................................................................... 3 Mobenol ............................................................................ 14 Mobicox .......................................................................... 109 Mobiflex .......................................................................... 109 moclombemide .............................................................. 151 modafinil ........................................................................ 154 Modecate ........................................................................ 133 Modulon .............................................................................. 5 Moduret ............................................................................. 32 Mogadon ......................................................................... 144 Moisture .......................................................................... 174 mometasone .................................................................. 161 Monistat ...................................................................... 57, 67 Monitan ............................................................................. 37 Monocor ............................................................................ 37 Monopril ............................................................................ 46 montelukast ................................................................... 165 morphine ........................................................................ 117 Morphine ......................................................................... 118 Morphine HP ................................................................... 118 Morphine LP .................................................................... 118 Morphine Sulfate ............................................................. 118 Morpine ........................................................................... 118 MOS ................................................................................ 118 MOS Sulphate ................................................................. 118 Motilium............................................................................... 7 Motrin .............................................................................. 109 Motrin IB.......................................................................... 109 moxifloxacin ............................................................ 93, 170 MS Contin ....................................................................... 118 MS-IR .............................................................................. 118 Mucomyst ........................................................................ 165 Multaq ............................................................................... 26 multienzymes .................................................................. 12 mupirocin ......................................................................... 60 Muro 128 ......................................................................... 174 Mustargen ......................................................................... 99 Myambutol ........................................................................ 95 Mycobutin.......................................................................... 95 mycophenolic acid ........................................................ 104 Mycostatin ................................................................... 10, 57

Mydfrin ........................................................................... 173 Mydriacyl ........................................................................ 173 Myfortic .......................................................................... 104 MYLAN-Acebutolol ........................................................... 37 MYLAN-Acyclovir ............................................................. 96 MYLAN-Alendronate ...................................................... 115 MYLAN-Alprazolam ........................................................ 143 MYLAN-Amantadine ...................................................... 131 MYLAN-Amilazide ............................................................ 32 MYLAN-Amiodarone ........................................................ 26 MYLAN-Amlodipine .......................................................... 39 MYLAN-Amoxicillin ........................................................... 84 MYLAN-Anagrelide ........................................................ 101 MYLAN-Atenolol ............................................................... 36 MYLAN-Azathioprine ...................................................... 105 MYLAN-Azithromycin ....................................................... 90 MYLAN-Baclofen ............................................................ 113 MYLAN-Beclo................................................................. 161 MYLAN-Bicalutamide ..................................................... 102 MYLAN-Budesonide ....................................................... 161 MYLAN-Captopril ........................................................42, 43 MYLAN-Carbamazepine ................................................ 126 MYLAN-Carvedilol ............................................................ 38 MYLAN-Cilazapril ........................................................45, 46 MYLAN-Cimetidine ......................................................... 1, 2 MYLAN-Ciprofloxacin ....................................................... 92 MYLAN-Citalopram ........................................................ 149 MYLAN-Clarithromycin ..................................................... 90 MYLAN-Clindamycin ........................................................ 91 MYLAN-Clobetasol ........................................................... 63 MYLAN-Clomipramine ................................................... 146 MYLAN-Clonazepam ..................................................... 126 MYLAN-Combo Sterinebs .............................................. 162 MYLAN-Cyclobenzaprine ............................................... 114 MYLAN-Domperidone ........................................................ 7 MYLAN-Doxazosin ........................................................... 29 MYLAN-Enalapril .............................................................. 43 MYLAN-Eti-Cal ............................................................... 116 MYLAN-Etidronate ......................................................... 115 MYLAN-Famotidine ............................................................ 3 MYLAN-Fenofibrate Micro ................................................ 55 MYLAN-Finasteride .......................................................... 74 MYLAN-Fluconazole ........................................................ 95 MYLAN-Fluoxetine ......................................................... 148 MYLAN-Fosinopril ............................................................ 46 MYLAN-Gabapentin ....................................................... 129 MYLAN-Gemfibrozil ......................................................... 54 MYLAN-Gliclazide ............................................................ 14 MYLAN-Glybe .................................................................. 14 MYLAN-Hydroxychloroquine .......................................... 159 MYLAN-Hydroxyurea ..................................................... 101 MYLAN-Indapamide ......................................................... 31 MYLAN-Ipratropium ................................................ 163, 164 MYLAN-Lamotrigine ....................................................... 128 MYLAN-Lansoprazole ........................................................ 4 MYLAN-Leflunomide ...................................................... 104 MYLAN-Levofloxacin ........................................................ 93 MYLAN-Lisinopril ........................................................43, 44 MYLAN-Lisinopril/HCTZ ..............................................46, 47 MYLAN-Lovastatin ........................................................... 52 MYLAN-Meloxicam ........................................................ 109 MYLAN-Metformin ............................................................ 13 MYLAN-Metoprolol ......................................................35, 36 MYLAN-Minocycline ......................................................... 83 MYLAN-Mirtazapine ....................................................... 152 MYLAN-Nabumetone ..................................................... 112

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MYLAN-Naproxen ........................................................... 110 MYLAN-Nifedipine ER ...................................................... 40 MYLAN-Nitro ..................................................................... 27 MYLAN-Olanzapine ........................................................ 137 MYLAN-Omeprazole ....................................................... 3, 4 MYLAN-Ondansetron .......................................................... 7 MYLAN-Oxybutynin .......................................................... 73 MYLAN-Pantoprazole ......................................................... 4 MYLAN-Paroxetine ................................................. 149, 150 MYLAN-Pioglitazone ................................................... 15, 16 MYLAN-Pravastatin .................................................... 52, 53 MYLAN-Propafenone ........................................................ 26 MYLAN-Quetiapine ................................................. 138, 139 MYLAN-Ramipril ......................................................... 44, 45 MYLAN-Ranitidine .............................................................. 2 MYLAN-Risperidone ............................................... 140, 141 MYLAN-Rivastigmine .............................................. 155, 156 MYLAN-Salbutamol ........................................................ 162 MYLAN-Selegiline ........................................................... 133 MYLAN-Sertraline ........................................................... 150 MYLAN-Simvastatin .................................................... 51, 52 MYLAN-Sotalol ................................................................. 35 MYLAN-Sumatriptan ....................................................... 124 Mylanta ............................................................................... 1 MYLAN-Tamoxifen .......................................................... 102 MYLAN-Tamsulosin .......................................................... 74 MYLAN-Terbinafine .......................................................... 58 MYLAN-Ticlopidine ........................................................... 20 MYLAN-Timolol ............................................................... 172 MYLAN-Tizanidine .......................................................... 113 MYLAN-Topiramate ................................................ 128, 129 MYLAN-Trazodone ......................................................... 152 MYLAN-Valacyclovir ......................................................... 97 MYLAN-Valproic ............................................................. 127 MYLAN-Venlafaxine ........................................................ 153 MYLAN-Verapamil ............................................................ 40 MYLAN-Warfarin ......................................................... 19, 20 MYLAN-Zolmitriptan ........................................................ 124 MYLAN-Zopiclone ........................................................... 145 Myleran ............................................................................. 99 Myl-Ranitidine ..................................................................... 2 Myochrysine .................................................................... 112 Myozyme........................................................................... 18 Mysoline .......................................................................... 125 nabilone ............................................................................. 8 nabumetone ................................................................... 112 Nabumetone ................................................................... 112 nadolol ............................................................................. 35 nafarelin ........................................................................... 78 naftifine ............................................................................ 57 Naftin ................................................................................ 57 Nalcrom............................................................................. 11 naloxone ........................................................................ 177 Naloxone ......................................................................... 177 naltrexone ...................................................................... 157 nandrolone ...................................................................... 17 Naprosyn................................................................. 109, 110 Naprosyn-E ..................................................................... 110 naproxen ........................................................................ 109 Naproxen ........................................................................ 110 Naproxen Sodium ........................................................... 110 Naproxen Sodium DS ..................................................... 110 naratriptan ..................................................................... 124 Narcan ............................................................................ 177 Nardil .............................................................................. 151 Nasacort AQ ................................................................... 161

Nasonex ......................................................................... 161 nateglinide ...................................................................... 16 Navane ........................................................................... 136 Navelbine ....................................................................... 100 Nebcin .............................................................................. 91 nelfinavir ......................................................................... 97 Neo-Medrol Acne ............................................................. 64 neomycin ........................................................................ 59 Neoral ............................................................................ 105 Neosporin ............................................................ 23, 59, 175 neostigmine .................................................................. 156 Neostigmine Methylsulfate ............................................. 156 Neo-Synephrine ............................................................... 27 Nerisalic ........................................................................... 64 Nerisone ........................................................................... 62 Neulasta ......................................................................... 103 Neuleptil ......................................................................... 134 Neupogen ...................................................................... 103 Neurontin ................................................................ 129, 130 Nexavar .......................................................................... 101 Nexium ............................................................................... 5 NG-Citalopram ............................................................... 149 Niaspan ............................................................................ 55 nicotinic acid .................................................................. 55 NidaGel ............................................................................ 67 nifedipine ........................................................................ 39 nifedipine, comb. ............................................................ 40 nilotinib ......................................................................... 101 nilutamide ..................................................................... 102 nimodipine ...................................................................... 40 Nimotop ............................................................................ 40 Nitoman .......................................................................... 158 Nitrazadon ...................................................................... 144 nitrazepam .................................................................... 144 Nitro-Dur .......................................................................... 27 nitrofurantoin .................................................................. 94 nitroglycerin ................................................................... 27 Nitroglycerin ..................................................................... 27 Nitrol ................................................................................. 27 Nitrolingual ....................................................................... 27 Nitrostat ............................................................................ 27 nizatidine .......................................................................... 3 Nizoral .........................................................................57, 94 Nolvadex ........................................................................ 102 Nolvadex-D .................................................................... 102 norelgestromin and estrogen ........................................ 69 norepinephrine ............................................................... 27 Norepinephrine Bitartrate ................................................. 27 norethindrone ................................................................. 70 norethindrone and estrogen .............................. 68, 69, 71 norethisterone and estrogen......................................... 72 Norflex ............................................................................ 113 norfloxacin ...................................................................... 92 norgestimate and estrogen ........................................... 69 norgestrel and estrogen ................................................ 69 Noritate ............................................................................ 60 Noroxin ............................................................................. 92 Norpramin ............................................................... 145, 146 Norprolac ......................................................................... 68 nortriptyline .................................................................. 147 Norvasc ............................................................................ 39 Norvir ............................................................................... 97 Novamilor ......................................................................... 32 Novamoxin ....................................................................... 84 Novasen ......................................................................... 122 Novo-Acebutolol ............................................................... 37

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Novo-Acyclovir .................................................................. 96 Novo-Alendronate ........................................................... 115 Novo-Alfuzosin .................................................................. 73 Novo-Alprazol ................................................................. 143 Novo-Amiodarone ............................................................. 26 Novo-Amlodipine ............................................................... 39 Novo-Ampicillin ................................................................. 84 Novo-Atenol ...................................................................... 36 Novo-Atenolthalidone ........................................................ 38 Novo-Atomoxetine .................................................. 154, 155 Novo-Atorvastatin ....................................................... 53, 54 Novo-Azathioprine .......................................................... 105 Novo-Azithromycin ............................................................ 90 Novo-Benzydamine ............................................................. 1 Novo-Betahistine ............................................................. 157 Novo-Bicalutamide .......................................................... 102 Novo-Bisoprolol ................................................................. 37 Novo-Bromazepam ......................................................... 143 Novo-Buspirone .............................................................. 144 Novo-Captoril .............................................................. 42, 43 Novo-Carbamaz .............................................................. 126 Novo-Cefadroxil ................................................................ 87 Novo-Chloroquine ........................................................... 159 Novo-Cilazapril ............................................................ 45, 46 Novo-Cilazapril/HCTZ ....................................................... 47 Novo-Ciprofloxacin ............................................................ 92 Novo-Citalopram ............................................................. 149 Novo-Clavamoxin .............................................................. 86 Novo-Clindamycin ............................................................. 91 Novo-Clobazam .............................................................. 143 Novo-Clobetasol ............................................................... 63 Novo-Clonazepam .......................................................... 126 Novo-Clonidine ................................................................. 28 Novo-Cloxin ...................................................................... 85 Novo-Cycloprine ............................................................. 114 Novo-Cyproterone/Ethinyl Estradiol .................................. 72 Novo-Desmopressin ......................................................... 77 Novo-Difenac .......................................................... 107, 108 Novo-Difenac-K ............................................................... 107 Novo-Diflunisal ................................................................ 122 Novo-Diltazem .................................................................. 42 Novo-Diltazem CD ............................................................ 41 Novo-Diltazem ER ...................................................... 41, 42 Novo-Divalproex ............................................................. 127 Novo-Docusate ................................................................... 9 Novo-Domperidone ............................................................. 7 Novo-Doxazosin ................................................................ 29 Novo-Doxepin ................................................................. 147 Novo-Doxylin ..................................................................... 83 Novo-Enalapril .................................................................. 43 Novo-Enalapril/HCTZ ........................................................ 46 Novo-Etidronatecal Kit .................................................... 116 Novo-Famotidine ................................................................. 3 Novo-Fenofibrate .............................................................. 55 Novo-Fenofibrate Micronized ............................................ 55 Novo-Fenofibrate-S ........................................................... 55 Novo-Fentanyl ................................................................. 121 Novo-Ferrogluc ................................................................. 22 Novo-Finasteride ............................................................... 74 Novo-Fluconazole ............................................................. 95 Novo-Fluoxetine .............................................................. 148 Novo-Flurprofen .............................................................. 111 Novo-Flutamide ............................................................... 102 Novo-Fluvoxamine .................................................. 150, 151 Novo-Fosinopril ................................................................. 46 Novo-Furantoin ................................................................. 94

Novo-Gabapentin .................................................... 129, 130 Novo-Gemfibrozil ............................................................. 54 Novo-Gliclazide ................................................................ 14 Novo-Glimepiride ........................................................14, 15 Novo-Glyburide ................................................................ 14 Novo-Hydrazide ............................................................... 30 Novo-Hydroxyzin ..................................................... 143, 144 Novo-Indapamide ............................................................. 31 Novo-Ipramide................................................................ 163 Novo-Ketoconazole .......................................................... 94 Novo-Ketorolac .............................................................. 108 Novo-Ketotifen ............................................................... 166 Novo-Lamotrigine ........................................................... 128 Novo-Lansoprazole ............................................................ 4 Novo-Leflunomide .......................................................... 104 Novo-Levocarbidopa ...................................................... 131 Novo-Levofloxacin ............................................................ 93 Novo-Lexin ....................................................................... 86 Novolin GE Insulin .......................................................12, 13 Novo-Lisinopril ................................................................. 43 Novo-Lisinopril P .............................................................. 44 Novo-Lisinopril Z .........................................................43, 44 Novo-Lisinopril/HCTZ ..................................................46, 47 Novo-Loperamide ............................................................. 10 Novo-Lorazem................................................................ 142 Novo-Lovastatin ............................................................... 52 Novo-Maprotiline ............................................................ 148 Novo-Medrone ................................................................. 71 Novo-Meloxicam ............................................................ 109 Novo-Metformin ................................................................ 13 Novo-Methacin ............................................................... 107 Novo-Methylphenidate ................................................... 154 Novo-Metoprol.............................................................35, 36 Novo-Mexiletine ............................................................... 25 Novo-Minocycline ............................................................. 83 Novo-Mirtazapine ........................................................... 152 NovoMix ........................................................................... 12 Novo-Moclobemide ........................................................ 151 Novo-Morphine ............................................................... 118 Novo-Nabumetone ......................................................... 112 Novo-Nadolol ................................................................... 35 Novo-Naprox .................................................................. 110 Novo-Naprox Sodium ..................................................... 110 Novo-Naratriptan ............................................................ 124 Novo-Nizatidine .................................................................. 3 Novo-Norfloxacin .............................................................. 92 Novo-Nortriptyline .......................................................... 147 Novo-Ofloxacin ................................................................. 91 Novo-Olanzapine .................................................... 137, 138 Novo-Omeprazole Delayed-Release .................................. 4 Novo-Ondansetron ............................................................. 7 Novo-Oxybutynin .............................................................. 73 Novo-Pantoprazole ............................................................ 4 Novo-Paroxetine ..................................................... 149, 150 Novo-Pen-VK ................................................................... 85 Novo-Peridol .................................................................. 135 Novo-Pindol ................................................................33, 34 Novo-Pioglitazone .......................................................15, 16 Novo-Pirocam ................................................................ 108 Novo-Pramipexole .......................................................... 132 Novo-Pranol ..................................................................... 34 Novo-Pravastatin .........................................................52, 53 Novo-Prazin ..................................................................... 29 Novo-Prednisone ............................................................. 80 Novo-Profen ................................................................... 109 Novo-Quetiapine ..................................................... 138, 139

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Novo-Quinine .................................................................. 159 Novo-Rabeprazole .......................................................... 4, 5 Novo-Raloxifene ............................................................... 72 Novo-Ramipril ............................................................. 44, 45 Novo-Ranidine .................................................................... 2 Novo-Ranitidine .................................................................. 2 Novo-Risedronate ................................................... 115, 116 Novo-Risperidone ................................................... 140, 141 Novo-Rivastigmine .................................................. 155, 156 Novo-Rythro EES .............................................................. 89 Novo-Rythro EST .............................................................. 89 Novo-Selegiline ............................................................... 133 Novo-Semide .................................................................... 31 Novo-Sertraline ............................................................... 150 Novo-Simvastatin ........................................................ 51, 52 Novo-Sotalol ..................................................................... 35 Novo-Spiroton ................................................................... 31 Novo-Spirozine ................................................................. 32 Novo-Sucralate ................................................................... 5 Novo-Sumatriptan DF ..................................................... 124 Novo-Sundac .................................................................. 107 Novo-Tamoxifen .............................................................. 102 Novo-Tamsulosin .............................................................. 74 Novo-Temazepam .......................................................... 145 Novo-Terazosin ................................................................. 74 Novo-Terbinafine .............................................................. 58 Novo-Theophyl ........................................................ 164, 165 Novo-Tiaprofenic ............................................................. 111 Novo-Ticlopidine ............................................................... 20 Novo-Timol ........................................................................ 34 Novo-Topiramate .................................................... 128, 129 Novo-Trazodone ............................................................. 152 Novo-Triamzide ................................................................. 32 Novo-Trimel ...................................................................... 89 Novo-Valproic ................................................................. 127 Novo-Venlafaxine ............................................................ 153 Novo-Veramil .................................................................... 40 Novo-Warfarin ................................................................... 19 Novo-Zopiclone ............................................................... 145 Nozinan ........................................................................... 133 Nplate ............................................................................... 21 Nu-Acebutolol ................................................................... 37 Nu-Acyclovir ...................................................................... 96 Nu-Amilzide ....................................................................... 32 Nu-Amoxi .......................................................................... 84 Nu-Atenol .......................................................................... 36 Nu-Baclo ......................................................................... 113 Nu-Beclomethasone ....................................................... 161 Nu-Buspirone .................................................................. 144 Nu-Capto..................................................................... 42, 43 Nu-Cefaclor ....................................................................... 87 Nu-Cephalex ..................................................................... 86 Nu-Cimet ......................................................................... 1, 2 Nu-Clonidine ..................................................................... 28 Nu-Cloxi ............................................................................ 85 Nu-Cotrimox ...................................................................... 89 Nu-Cotrimox DS ................................................................ 89 Nu-Cyclobenzaprine ....................................................... 114 Nu-Diclo .................................................................. 107, 108 Nu-Diltiaz .......................................................................... 42 Nu-Diltiaz CD .................................................................... 41 Nu-Divalproex ................................................................. 127 Nu-Domperidone ................................................................. 7 Nu-Doxycycline ................................................................. 83 Nu-Famotidine .................................................................... 3 Nu-Fluoxetine .................................................................. 148

Nu-Flurbiprofen .............................................................. 111 Nu-Fluvoxamine ...................................................... 150, 151 Nu-Gemfibrozil ................................................................. 54 Nu-Glyburide .................................................................... 14 Nu-Ibuprofen .................................................................. 109 Nu-Indapamide ................................................................. 31 Nu-Indo .......................................................................... 107 Nu-Ketocon ...................................................................... 94 Nu-Ketorolac .................................................................. 108 Nu-Levocarb .................................................................. 131 Nu-Metformin ................................................................... 13 Nu-Metoclopramide ............................................................ 6 Nu-Metop ....................................................................35, 36 Nu-Moclobemide ............................................................ 151 Nu-Naprox ...................................................................... 110 Nu-Nortriptyline .............................................................. 147 Nu-Oxybutyn .................................................................... 73 Nu-Pen VK ....................................................................... 85 Nu-Pentoxifylline .............................................................. 32 Nu-Pindol ....................................................................33, 34 Nu-Pirox ......................................................................... 108 Nu-Pravastatin ............................................................52, 53 Nu-Prazo .......................................................................... 29 Nu-Ranit ............................................................................. 2 Nu-Selegiline .................................................................. 133 Nu-Sotalol ........................................................................ 35 Nu-Sucralfate ..................................................................... 5 Nu-Sulindac ................................................................... 107 Nu-Terazosin.................................................................... 74 Nu-Tetra ........................................................................... 83 Nu-Tiaprofenic................................................................ 111 Nu-Timolol ........................................................................ 34 Nu-Trazodone ................................................................ 152 Nu-Trazodone-D ............................................................ 152 Nu-Triazide ...................................................................... 32 Nutropin ........................................................................... 77 Nu-Valproic .................................................................... 127 NuvaRing ......................................................................... 68 Nu-Verap .......................................................................... 40 Nu-Zopiclone .................................................................. 145 Nyaderm .....................................................................57, 67 nystatin ................................................................ 10, 57, 67 nystatin, comb. ............................................................... 67 Octostim ........................................................................... 77 octreotide ........................................................................ 78 Octreotide Acetate Omega ............................................... 78 Ocuflox ........................................................................... 169 Oesclim ............................................................................ 71 ofloxacin .................................................................. 91, 169 Ogen ................................................................................ 71 olanzapine .................................................................... 137 Olestyr .............................................................................. 55 olmesartan medoxomil .................................................. 49 olmesartan medoxomil and diuretics ........................... 50 Olmetec ............................................................................ 49 Olmetec Plus .................................................................... 50 olopatadine ................................................................... 173 olsalazine ........................................................................ 11 omalizumab .................................................................. 165 omeprazole ....................................................................... 3 Omeprazole ................................................................... 3, 4 Omnaris ......................................................................... 163 Omnitrope ........................................................................ 77 ondansetron ..................................................................... 7 Ondansetron-Odan ............................................................ 7 One-Alpha ........................................................................ 16

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Onglyza ............................................................................. 16 opium ............................................................................... 10 Opticrom ......................................................................... 173 Optimyxin Plus ................................................................ 175 Oracort ................................................................................ 1 Orap ................................................................................ 136 Orbenin ............................................................................. 85 orciprenaline ................................................................. 164 Orencia ........................................................................... 104 Orfenace ......................................................................... 113 orlistat .............................................................................. 11 orphenadrine (citrate) ................................................... 113 Ortho ........................................................................... 68, 69 Orthocept .......................................................................... 69 Orudis ............................................................................. 111 Orudis-E .......................................................................... 111 oseltamivir ....................................................................... 98 other nasal preparations, comb. .................................. 162 other respiratory system products .............................. 167 Ovol .................................................................................... 6 Ovral ................................................................................. 69 oxaprozin ....................................................................... 111 oxazepam ....................................................................... 142 oxcarbazepine ............................................................... 127 Oxeze ............................................................................. 162 Oxsoralen.......................................................................... 59 oxtriphylline ................................................................... 164 oxybutynin ....................................................................... 72 Oxybutynin ........................................................................ 73 oxycodone ..................................................................... 120 OxyContin ....................................................................... 120 Oxyderm ........................................................................... 65 Oxy-IR ............................................................................. 120 Oxytrol .............................................................................. 73 Palafer .............................................................................. 22 Palafer CF ......................................................................... 22 pamidronate .................................................................. 115 Pamidronate .................................................................... 115 Pamidronate Disodium Omega ....................................... 115 pamidronic acid ............................................................ 115 Pancrease MT ................................................................... 12 Panoxyl ............................................................................. 65 PanOxyl ............................................................................ 65 Pantoloc .............................................................................. 4 pantoprazole ...................................................................... 4 papaverine ......................................................................... 5 Papaverine .......................................................................... 5 paracetamol ................................................................... 123 Pariet .............................................................................. 4, 5 Parlodel ............................................................................. 68 Parnate ........................................................................... 151 paromycin ........................................................................ 10 paroxetine ...................................................................... 149 Paroxetine ............................................................... 149, 150 Parsitan ........................................................................... 130 Patanol ............................................................................ 173 PAT-Galantamine ........................................................... 156 Paxil ........................................................................ 149, 150 Pediapred.......................................................................... 80 pegaptanib ..................................................................... 174 Pegasys .......................................................................... 103 Pegetron ......................................................................... 104 pegfilgrastim ................................................................. 103 peginterferon alfa-2a .................................................... 103 Peglyte ................................................................................ 9 pegvisomant .................................................................... 77

Penbritin ........................................................................... 84 Penglobe .......................................................................... 84 penicillamine ................................................................ 112 penicillin v ...................................................................... 85 Penlac .............................................................................. 57 Pennsaid ........................................................................ 112 Pentamycetin .......................................................... 169, 175 Pentasa ............................................................................ 11 pentazocine .................................................................. 121 pentosan polysulfate sodium ........................................ 33 pentoxifylline .................................................................. 32 Pen-Vee ........................................................................... 85 Pepcid ............................................................................ 2, 3 pepsin ............................................................................. 12 PeptoBismol ..................................................................... 10 Percocet ......................................................................... 123 Perichlor ............................................................................. 1 pericyazine ................................................................... 134 Peridex ............................................................................... 1 perindopril ...................................................................... 44 perindopril and diuretics ............................................... 47 Periostat ............................................................................. 1 perphenazine ................................................................ 134 Persantine ........................................................................ 21 pethidine ....................................................................... 120 Pharmorubicin ................................................................ 100 phenelzine .................................................................... 151 phenoxymethylpenicillin ............................................... 85 phentolamine .................................................................. 32 Phentolamine Mesylate .................................................... 32 phenylephrine .................................................. 27, 161, 173 Phenylephrine .................................................................. 27 phenytoin ...................................................................... 125 pHisoHex ......................................................................... 64 phl-Amiodarone ................................................................ 26 phl-Amlodipine ................................................................. 39 phl-Atenolol ...................................................................... 36 phl-Azithromycin ............................................................... 90 phl-Baclofen ................................................................... 113 phl-Carvedilol ................................................................... 38 phl-Citalopram ......................................................... 148, 149 phl-Clonazepam ............................................................. 126 phl-Cyclobenzaprine ...................................................... 114 phl-Fluoxetine................................................................. 148 phl-Gabapentin ............................................................... 129 phl-Meloxicam ................................................................ 109 phl-Mirtazapine ............................................................... 152 phl-Ondansetron ................................................................ 7 phl-Paroxetine ......................................................... 149, 150 phl-Pioglitazone ...........................................................15, 16 phl-Pravastatin ............................................................52, 53 phl-Quetiapine ......................................................... 138, 139 phl-Risperidone ....................................................... 140, 141 phl-Sertraline .................................................................. 150 phl-Simvastatin ............................................................51, 52 phl-Topiramate ........................................................ 128, 129 phl-Trazodone ................................................................ 152 phl-Zopiclone.................................................................. 145 Phoslo ............................................................................ 177 Phosphate-Novartis .......................................................... 17 Phyllocontin .................................................................... 165 phytonadione .................................................................. 21 pilocarpine ............................................................. 157, 171 Pilopine HS .................................................................... 171 pimecrolimus .................................................................. 66 pimozide ....................................................................... 136

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Product Index

October 2011 Product Index – 18

pinaverium ......................................................................... 6 pindolol ............................................................................ 33 pindolol and other diuretics ........................................... 38 pioglitazone ..................................................................... 15 Pioglitazone ................................................................ 15, 16 piperacillin ....................................................................... 85 Piperacillin ......................................................................... 85 piperacillin and enzyme inhibitor .................................. 86 Piperacillin and Tazobactam ............................................. 86 Piportil L4 ........................................................................ 134 pipotiazine ..................................................................... 134 Pipracil-PWS ..................................................................... 85 piroxicam ....................................................................... 108 pivampicillin .................................................................... 84 pivmecillinam .................................................................. 85 pizotifen ......................................................................... 125 placebo .......................................................................... 178 Placebo ........................................................................... 178 Plan B ............................................................................... 70 Plaquenil ......................................................................... 159 platelet aggregation inhibitors, comb. .......................... 21 Plavix ................................................................................ 20 Plendil ............................................................................... 39 pms-Acetaminophen ....................................................... 123 pms-Alendronate-FC ....................................................... 115 pms-Amantadine ............................................................. 131 pms-Amiodarone ............................................................... 26 pms-Amlodipine ................................................................ 39 pms-Amoxicillin ................................................................. 84 pms-ASA ......................................................................... 122 pms-atenolol ..................................................................... 36 pms-Atenolol ..................................................................... 36 pms-Atorvastatin ......................................................... 53, 54 pms-Azithromycin ............................................................. 90 pms-Baclofen .................................................................. 113 pms-Benztropine ............................................................. 131 pms-Benzydamine .............................................................. 1 pms-Bicalutamide ........................................................... 102 pms-Bisacodyl ..................................................................... 9 pms-Bisoprolol .................................................................. 37 pms-Brimonidine ............................................................. 171 pms-Bromocriptine ............................................................ 68 pms-Bupropion ................................................................ 153 pms-Buspirone ................................................................ 144 pms-Captopril .............................................................. 42, 43 pms-Carbamazepine ....................................................... 126 pms-Carvedilol .................................................................. 38 pms-Chloral Hydrate ....................................................... 144 pms-Cilazapril ............................................................. 45, 46 pms-Ciprofloxacin ..................................................... 92, 170 pms-Citalopram ....................................................... 148, 149 pms-Clarithromycin ........................................................... 90 pms-Clobazam ................................................................ 143 pms-Clobetasol ................................................................. 63 pms-Clonazepam .................................................... 125, 126 pms-Clonazepam-R ........................................................ 126 pms-Codeine ................................................................... 165 pms-Cyclobenzaprine ..................................................... 114 pms-Deferoxamine .......................................................... 177 pms-Desmopressin ........................................................... 77 pms-Desonide ................................................................... 61 pms-Dexamethasone ........................................................ 79 pms-Diazepam ........................................................ 141, 142 pms-Diclofenac ....................................................... 107, 108 pms-Diclofenac-K ............................................................ 107 pms-Docusate Sodium ........................................................ 9

pms-Domperidone .............................................................. 7 pms-Doxazosin ................................................................ 29 pms-Doxycycline .............................................................. 83 pms-Enalapril ................................................................... 43 pms-Erythromycin .......................................................... 169 pms-Famciclovir ..........................................................96, 97 pms-Fenofibrate Micro ..................................................... 55 pms-Fentanyl ................................................................. 121 pms-Fentanyl MTX ......................................................... 121 pms-Ferrous Sulfate ......................................................... 22 pms-Finasteride ..........................................................66, 74 pms-Fluconazole .............................................................. 95 pms-Fluorometholone .................................................... 170 pms-Fluoxetine ............................................................... 148 pms-Fluphenazine ................................................... 133, 134 pms-Flutamide ............................................................... 102 pms-Fluvoxamine .................................................... 150, 151 pms-Gabapentin ...................................................... 129, 130 pms-Gemfibrozil ............................................................... 54 pms-Gentamicin ...................................................... 169, 175 pms-Gliclazide.................................................................. 14 pms-Glyburide .................................................................. 14 pms-Hydrochlorothiazide ................................................. 30 pms-Hydromorphone ..................................................... 119 pms-Ibuprofen ................................................................ 109 pms-Indapamide .............................................................. 31 pms-Ipratropium .............................................. 161, 163, 164 pms-Irbesartan ................................................................. 48 pms-Irbesartran-HCTZ ..................................................... 50 pms-ISMN ........................................................................ 28 pms-Isoniazid ................................................................... 95 pms-Ketoprofen .............................................................. 111 pms-Lactulose .................................................................... 9 pms-Lamotrigine ............................................................ 128 pms-Leflunomide ............................................................ 104 pms-Letrozole ................................................................ 103 pms-Levazine ................................................................. 155 pms-Levetiracetam ......................................................... 130 pms-Levobunolol ............................................................ 172 pms-Levofloxacin ............................................................. 93 pms-Lidocaine .................................................................. 58 pms-Lisinopril ..............................................................43, 44 pms-Lithium Carbonate .................................................. 139 pms-Loperamide .............................................................. 10 pms-Lovastatin ................................................................. 52 pms-Loxapine................................................................. 136 pms-Meloxicam .............................................................. 109 pms-memantine ............................................................. 156 pms-Metformin ................................................................. 13 pms-Methylphenidate ..................................................... 154 pms-Metoclopramide .......................................................... 6 pms-Metoprolol-L ........................................................35, 36 pms-Minocycline .............................................................. 83 pms-Mirtazapine ............................................................. 152 pms-Moclobemide .......................................................... 151 pms-Morphine Sulfate .................................................... 118 pms-Naproxen......................................................... 109, 110 pms-Nizatidine ................................................................... 3 pms-Norfloxacin ............................................................... 92 pms-Nortriptyline ............................................................ 147 pms-Nystatin .................................................................... 10 pms-Ofloxacin ................................................................ 169 pms-Olanzapine ...................................................... 137, 138 pms-Omeprazole ............................................................ 3, 4 pms-Ondansetron .............................................................. 7 pms-Oxybutynin ..........................................................72, 73

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Product Index

October 2011 Product Index – 19

pms-Oxycodone .............................................................. 120 pms-Pantoprazole ............................................................... 4 pms-Paroxetine ....................................................... 149, 150 pms-Phenobarbital .......................................................... 125 pms-Pindolol ............................................................... 33, 34 pms-Pioglitazone ........................................................ 15, 16 pms-Piroxicam ................................................................ 109 pms-Potassium Chloride ................................................... 17 pms-Pramipexole ............................................................ 132 pms-Pravastatin .......................................................... 52, 53 pms-Prednisolone ............................................................. 80 pms-Prochloperazine ...................................................... 134 pms-Prochlorperazine ..................................................... 134 pms-Procyclidine ............................................................. 130 pms-Propafenone ............................................................. 26 pms-Quetiapine ....................................................... 138, 139 pms-Rabeprazole ............................................................ 4, 5 pms-Ramipril ............................................................... 44, 45 pms-Ramipril-HCTZ .......................................................... 47 pms-Ranitidine .................................................................... 2 pms-Repaglinide ............................................................... 16 pms-Risedronate ............................................................. 116 pms-Risperidone ............................................. 139, 140, 141 pms-Rivastigmine ................................................... 155, 156 pms-Ropinirole ................................................................ 132 pms-Salbutamol ...................................................... 162, 164 pms-Selegiline ................................................................ 133 pms-Sertraline ................................................................. 150 pms-Simvastatin ......................................................... 51, 52 pms-Sodium Cromoglycate ............................................. 164 pms-Sodium Polystyrene Sulfonate ................................ 177 pms-Sotalol ....................................................................... 35 pms-Sulfasalazine ............................................................. 11 pms-Sumatriptan ............................................................. 124 pms-Temazepam ............................................................ 145 pms-Terazosin .................................................................. 74 pms-Terbinafine ................................................................ 58 pms-Testosterone ............................................................. 70 pms-Theophylline ............................................................ 164 pms-Timolol .................................................................... 172 pms-Tobramycin ............................................................. 169 pms-Topiramate ...................................................... 128, 129 pms-Trazodone ............................................................... 152 pms-Tryptophan .............................................................. 151 pms-Ursodiol C ................................................................... 8 pms-Valacyclovir ............................................................... 97 pms-Valproic ................................................................... 127 pms-Vancomycin .............................................................. 93 pms-Venlafaxine ............................................................. 153 pms-Verapamil .................................................................. 40 pms-Zolmitriptan ............................................................. 124 pms-Zopiclone ................................................................ 145 Podofilm ............................................................................ 60 podophyllotoxin .............................................................. 60 Pollinex-R........................................................................ 177 polystyrene sulfonate ................................................... 177 Polytrim ........................................................................... 169 Pondocillin ......................................................................... 84 Ponstan ........................................................................... 111 Pontocaine ...................................................................... 117 Portia ................................................................................ 69 posaconazole .................................................................. 95 Posanol ............................................................................. 95 Potaba .............................................................................. 66 potassium chloride ......................................................... 17 potassium citrate ............................................................ 17

povidone-iodine ........................................................64, 67 Pradax .............................................................................. 21 pramipexole .................................................................. 132 pramocaine ..................................................................... 33 Pramox HC ...................................................................... 64 pramoxine ....................................................................... 33 Pravachol ....................................................................52, 53 PravASA .......................................................................... 54 pravastatin ...................................................................... 52 Pravastatin ..................................................................52, 53 pravastatin, comb. ......................................................... 54 prazosin .......................................................................... 29 Pred Forte ...................................................................... 170 Pred Mild ........................................................................ 170 prednisolone............................................................ 80, 170 prednisolone and antiinfectives ................................. 171 prednisone ...................................................................... 80 pregabalin ..................................................................... 130 PregVit ............................................................................. 22 Premarin .......................................................................... 71 Premplus .......................................................................... 71 Pressyn ............................................................................ 77 Prevacid ............................................................................. 4 Prevex B .......................................................................... 62 Prevex HC ........................................................................ 60 Prezista ............................................................................ 97 primaquine .................................................................... 159 Primaquine ..................................................................... 159 Primaxin ........................................................................... 88 primidone ...................................................................... 125 Prinivil .........................................................................43, 44 Prinzide .......................................................................46, 47 Pristiq ............................................................................. 153 probenecid .................................................................... 114 procainamide .................................................................. 25 Procainamide ................................................................... 25 Procan .............................................................................. 25 procarbazine ................................................................. 100 prochlorperazine .......................................................... 134 Prochlorperazine ............................................................ 134 Proctodan-HC .................................................................. 33 Proctofoam HC ................................................................. 33 Proctol .............................................................................. 33 Proctosedyl ...................................................................... 33 procyclidine .................................................................. 130 Procytox ........................................................................... 99 profenamine.................................................................. 130 progesterone .................................................................. 71 Proglycem ...................................................................... 178 Prolopa ........................................................................... 131 Proloprim .......................................................................... 89 Prometrium ...................................................................... 71 Pronestyl .......................................................................... 25 propafenone ................................................................... 26 Propafenone .................................................................... 26 Propecia ........................................................................... 66 propericyazine .............................................................. 134 propranolol ..................................................................... 34 Propranolol ....................................................................... 34 propylthiouracil .............................................................. 81 Propyl-Thyracil ................................................................. 81 Proscar ............................................................................. 74 Prostigmin ...................................................................... 156 Prostin .............................................................................. 68 protease inhibitors, comb. ............................................ 97 Protopic ............................................................................ 66

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Product Index

October 2011 Product Index – 20

Provastatin ........................................................................ 53 Provera ............................................................................. 71 proxymetacaine ............................................................. 173 Prozac ............................................................................. 148 Pulmicort ......................................................................... 163 Purinethol .......................................................................... 99 PVF 500 ............................................................................ 85 PVF K ............................................................................... 85 pyrazinamide ................................................................... 95 pyridostigmine .............................................................. 157 pyrimethamine .............................................................. 159 Questran ........................................................................... 55 quetiapine ...................................................................... 138 Quetiapine............................................................... 138, 139 quinagolide ...................................................................... 68 quinapril ........................................................................... 45 quinapril and diuretics.................................................... 47 quinine ........................................................................... 159 Quinine ........................................................................... 159 Quinine-Odan .................................................................. 159 QVAR .............................................................................. 163 rabeprazole ........................................................................ 4 Rabeprazole .................................................................... 4, 5 Ralivia ............................................................................. 122 raloxifene ......................................................................... 72 raltegravir ........................................................................ 98 ramipril ............................................................................. 44 Ramipril ............................................................................. 44 ramipril and diuretics ..................................................... 47 RAN-Amlodipine ............................................................... 39 RAN-Atenolol .................................................................... 36 RAN-Atorvastatin ........................................................ 53, 54 RAN-Carvedilol ................................................................. 38 RAN-Cefprozil ............................................................. 87, 88 RAN-Ciproflox ................................................................... 92 RAN-Ciprofloxacin ............................................................ 92 RAN-Citalo ...................................................................... 149 RAN-Citalopram .............................................................. 149 RAN-Clarithromycin .......................................................... 90 RAN-Domperidone .............................................................. 7 RAN-Enalapril ................................................................... 43 RAN-Fentanyl ................................................................. 121 RAN-Fentanyl MTX ......................................................... 121 RAN-Gabapentin ............................................................. 129 RAN-Gapapentin ............................................................. 129 ranitidine ............................................................................ 2 Ranitidine ............................................................................ 2 RAN-Lisinopril ............................................................. 43, 44 RAN-Lovastatin ................................................................. 52 RAN-Metformin ................................................................. 13 RAN-Ondansetron .............................................................. 7 RAN-Pantoprazole .............................................................. 4 RAN-Pravastatin ......................................................... 52, 53 RAN-Rabeprazole ........................................................... 4, 5 RAN-Ramipril .............................................................. 44, 45 RAN-Ranitidine ................................................................... 2 RAN-Risperidone .................................................... 140, 141 RAN-Ropinirole ............................................................... 132 RAN-Simvastatin ......................................................... 51, 52 RAN-Tamsulosin ............................................................... 74 RAN-Valsartan .................................................................. 48 RAN-Zopiclone ................................................................ 145 rasagiline ....................................................................... 133 Rasilez .............................................................................. 50 ratio-Aclavulanate ....................................................... 85, 86 ratio-Acyclovir ................................................................... 96

ratio-Alendronate ............................................................ 115 ratio-Amcinonide .............................................................. 62 ratio-Amiodarone .............................................................. 26 ratio-Amlodipine ............................................................... 39 ratio-Atenolol .................................................................... 36 ratio-Atorvastatin .........................................................53, 54 ratio-Azithromycin ............................................................ 90 ratio-Baclofen ................................................................. 113 ratio-Bicalutamide .......................................................... 102 ratio-Brimonidine ............................................................ 171 ratio-Bronc ..................................................................... 165 ratio-Bupropion ............................................................... 153 ratio-Carvedilol ................................................................. 38 ratio-Cefuroxime ............................................................... 87 ratio-Ciprofloxacin ............................................................ 92 ratio-Citalopram .............................................................. 149 ratio-Clarithromycin .......................................................... 90 ratio-Clobetasol ................................................................ 63 ratio-Clonazepam ........................................................... 126 ratio-Codeine.................................................................. 165 ratio-Cyclobenzaprine .................................................... 114 ratio-Diltiazem CD ............................................................ 41 ratio-Docusate Sodium ....................................................... 9 ratio-Domperidone ............................................................. 7 ratio-Ectosone .................................................................. 62 ratio-Emtec ..................................................................... 120 ratio-Enalapril ................................................................... 43 ratio-Fenofibrate MC ........................................................ 55 ratio-Fentanyl ................................................................. 121 ratio-Finasteride ............................................................... 74 ratio-Fluoxetine .............................................................. 148 ratio-Fluticasone ............................................................. 161 ratio-Fluvoxamine .................................................... 150, 151 ratio-Gabapentin ..................................................... 129, 130 ratio-Gentamicin ............................................................... 60 ratio-Glimepiride ..........................................................14, 15 ratio-Glyburide.................................................................. 14 ratio-Haloperidol ............................................................. 135 ratio-Hemcort HC ............................................................. 33 ratio-Indomethacin ......................................................... 107 ratio-IPRA SAL ............................................................... 162 ratio-Ipratropium ...................................................... 163, 164 ratio-Irbesartan ................................................................. 48 ratio-Irbesartan-HCTZ ...................................................... 50 ratio-Ketorolac ................................................................ 170 ratio-Lactulose.................................................................... 9 ratio-Lamotrigine ............................................................ 128 ratio-Lenoltec .......................................................... 120, 123 ratio-Levobunolol ............................................................ 172 ratio-Lisinopril P ..........................................................43, 44 ratio-Lisinopril Z ...........................................................43, 44 ratio-Lovastatin ................................................................. 52 ratio-Meloxicam .............................................................. 109 ratio-Memantine ............................................................. 156 ratio-Metformin ................................................................. 13 ratio-Methotrexate Sodium ............................................... 99 ratio-Minocycline .............................................................. 83 ratio-Mirtazapine ............................................................ 152 ratio-Mometasone ............................................................ 63 ratio-Morphine ................................................................ 118 ratio-Nystatin ......................................................... 10, 57, 67 ratio-Omeprazole ............................................................... 4 ratio-Ondansetron .............................................................. 7 ratio-Oxycocet ................................................................ 123 ratio-Oxycodan ............................................................... 122 ratio-Pantoprazole .............................................................. 4

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Product Index

October 2011 Product Index – 21

ratio-Paroxetine ....................................................... 149, 150 ratio-Pioglitazone ........................................................ 15, 16 ratio-Pravastatin .......................................................... 52, 53 ratio-Prednisolone ........................................................... 170 ratio-Proctosone ................................................................ 33 ratio-Quetiapine ...................................................... 138, 139 ratio-Ramipril ............................................................... 44, 45 ratio-Ranitidine .................................................................... 2 ratio-Risedronate ............................................................ 116 ratio-Rivastigmine ................................................... 155, 156 ratio-Salbutamol .............................................................. 162 ratio-Sertraline ................................................................ 150 ratio-Sildenafil-R ............................................................... 73 ratio-Simvastatin ......................................................... 51, 52 ratio-Sotalol ....................................................................... 35 ratio-Sumatriptan ............................................................ 124 ratio-Tamsulosin ............................................................... 74 ratio-Tecnal ..................................................................... 122 ratio-Temazepam ............................................................ 145 ratio-Terazosin .................................................................. 74 ratio-Topilene .................................................................... 61 ratio-Topiramate ...................................................... 128, 129 ratio-Topisalic .................................................................... 64 ratio-Topisone ................................................................... 61 ratio-Trazodone ............................................................... 152 ratio-Tryptophan .............................................................. 151 ratio-Valproic ................................................................... 127 ratio-Venlafaxine ............................................................. 153 ratio-Zopiclone ................................................................ 145 RBX-Risperidone .................................................... 140, 141 Reactine .......................................................................... 166 Rebif ............................................................................... 103 Refresh ........................................................................... 174 Refresh Celluvisc ............................................................ 174 Refresh Lacri-Lube ......................................................... 174 Refresh Plus ................................................................... 174 Refresh Tears ................................................................. 174 Regranex .......................................................................... 58 Relafen ........................................................................... 112 Relenza ............................................................................. 98 Relistor .............................................................................. 10 Relpax ............................................................................. 125 Remeron ......................................................................... 152 Remicade ........................................................................ 104 Reminyl ........................................................................... 156 Remodulin ......................................................................... 21 Renagel .......................................................................... 177 Renedil .............................................................................. 39 repaglinide ....................................................................... 16 ReQuip ............................................................................ 132 Restoril ............................................................................ 145 Resultz ............................................................................ 160 Retin-A .............................................................................. 65 Retrovir ............................................................................. 97 Revatio .............................................................................. 73 ReVia .............................................................................. 157 Revlimid .......................................................................... 106 Reyataz ............................................................................. 97 Rhinalar .......................................................................... 161 Rhinaris-CS ..................................................................... 161 Rhinocort......................................................................... 161 Rho-Nitro........................................................................... 27 Rhotral .............................................................................. 37 Rhovane.......................................................................... 145 ribavirin, comb. ............................................................. 103 Ridaura ........................................................................... 112

rifabutin ........................................................................... 95 Rifadin .............................................................................. 95 rifampicin ........................................................................ 95 rifampin ........................................................................... 95 rifampin and isoniazid ................................................... 96 Rifater .............................................................................. 96 Rilutek ............................................................................ 158 riluzole .......................................................................... 158 Rimso-50 .......................................................................... 73 risedronate ................................................................... 115 risedronic acid .............................................................. 115 Risperdal ......................................................... 139, 140, 141 Risperdal Consta ............................................................ 139 risperidone ............................................................ 139, 141 Risperidone .................................................................... 140 Ritalin ............................................................................. 154 ritonavir ........................................................................... 97 Rituxan ........................................................................... 100 rituximab ....................................................................... 100 rivaroxaban ..................................................................... 21 rivastigmine .................................................................. 155 Rivotril ............................................................................ 126 rizatriptan ...................................................................... 124 Robaxacet ...................................................................... 113 Robaxin .......................................................................... 113 Robaxisal C .................................................................... 113 Robitussin ...................................................................... 165 Rocaltrol ........................................................................... 16 Rocephin .......................................................................... 88 Rofact ............................................................................... 95 Rogaine ............................................................................ 66 ropinirole ...................................................................... 132 Ropinirole ....................................................................... 132 Rosasol ............................................................................ 60 rosiglitazone ................................................................... 15 rosuvastatin .................................................................... 54 Rougier-Magnesium ......................................................... 17 Rovamycine ..................................................................... 90 Rynacrom ....................................................................... 161 Rythmodan ....................................................................... 25 Rythmodan-LA ................................................................. 25 Rythmol ............................................................................ 26 Sabril .............................................................................. 127 saccharated iron oxide .................................................. 22 Saizen .............................................................................. 77 Salagen .......................................................................... 157 Salazopyrin ...................................................................... 11 salbutamol ............................................................. 162, 164 salbutamol & other obst. airway disease drugs ........ 162 salicylic acid ................................................................... 57 Salicylic Acid .................................................................... 57 salmeterol ..................................................................... 162 salmeterol & other obst. airway disease drugs ......... 163 Salofalk ............................................................................ 11 Sandomigran .................................................................. 125 Sandomigran DS ............................................................ 125 Sandostatin ...................................................................... 78 Sandoz Acebutolol ........................................................... 37 Sandoz Alendronate ....................................................... 115 Sandoz Alfuzosin ............................................................. 73 Sandoz Amiodarone ......................................................... 26 Sandoz Amlodipine .......................................................... 39 Sandoz Anagrelide ......................................................... 101 Sandoz Anuzinc ..........................................................32, 33 Sandoz Atenolol ............................................................... 36 Sandoz Atorvastatin ....................................................53, 54

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Product Index

October 2011 Product Index – 22

Sandoz Azithromycin ........................................................ 90 Sandoz Bicalutamide ...................................................... 102 Sandoz Bisoprolol ............................................................. 37 Sandoz Brimonidine ........................................................ 171 Sandoz Bupropion .......................................................... 153 Sandoz Calcitonin ............................................................. 81 Sandoz Candesartan ........................................................ 49 Sandoz Carbamazepine ................................................. 126 Sandoz Cefprozil ......................................................... 87, 88 Sandoz Ciprofloxacin ........................................................ 92 Sandoz Citalopram ......................................................... 149 Sandoz Clarithromycin ...................................................... 90 Sandoz Clonazepam ....................................................... 126 Sandoz Cortimyxin .................................................. 171, 175 Sandoz Cyclosporine ...................................................... 105 Sandoz Dexamethasone ................................................. 175 Sandoz Diclofenac .................................................. 107, 108 Sandoz Diltiazem CD ........................................................ 41 Sandoz Diltiazem T ..................................................... 41, 42 Sandoz Dorzolamide/Timolol .......................................... 172 Sandoz Enalapril ............................................................... 43 Sandoz Estradiol Derm ..................................................... 70 Sandoz Eyelube .............................................................. 174 Sandoz Famciclovir ..................................................... 96, 97 Sandoz Felodipine ............................................................ 39 Sandoz Fenofibrate S ....................................................... 55 Sandoz Fentanyl ............................................................. 121 Sandoz Finasteride ........................................................... 74 Sandoz Fluoxetine .......................................................... 148 Sandoz Gentamicin ................................................. 169, 174 Sandoz Glimepiride ..................................................... 14, 15 Sandoz Glyburide ............................................................. 14 Sandoz Idoxuridine ........................................................... 60 Sandoz Indomethacin ..................................................... 107 Sandoz Irbesartan ............................................................. 48 Sandoz Irbesartan HCT .................................................... 50 Sandoz Leflunomide ....................................................... 104 Sandoz Letrozole ............................................................ 103 Sandoz Levobunolol ....................................................... 172 Sandoz Levofloxacin ......................................................... 93 Sandoz Lisinopril ......................................................... 43, 44 Sandoz Lisinopril HCT ...................................................... 47 Sandoz Loperamide .......................................................... 10 Sandoz Lovastatin ............................................................ 52 Sandoz Metformin ............................................................. 13 Sandoz Methylphenidate ................................................ 154 Sandoz Metoprolol ...................................................... 35, 36 Sandoz Minocycline .......................................................... 83 Sandoz Mirtazapine ........................................................ 152 Sandoz Morphine ............................................................ 118 Sandoz Naratriptan ......................................................... 124 Sandoz Nitrazepam ........................................................ 144 Sandoz Olanzapine ......................................................... 137 Sandoz Omeprazole ........................................................... 3 Sandoz Ondansetron .......................................................... 7 Sandoz Opium & Belladonna ............................................ 10 Sandoz Opticort .............................................................. 175 Sandoz Orphenadrine ..................................................... 113 Sandoz Oxycodone ......................................................... 123 Sandoz Pantoprazole .......................................................... 4 Sandoz Paroxetine .................................................. 149, 150 Sandoz Pentasone .......................................................... 175 Sandoz Pindolol .......................................................... 33, 34 Sandoz Pioglitazone ................................................... 15, 16 Sandoz Pramipexole ....................................................... 132 Sandoz Pravastatin ..................................................... 52, 53

Sandoz Prednisolone ..................................................... 170 Sandoz Proctomyxin ........................................................ 33 Sandoz Quetiapine .................................................. 138, 139 Sandoz Ramipril ..........................................................44, 45 Sandoz Ranitidine .............................................................. 2 Sandoz Risedronate ....................................................... 116 Sandoz Risperidone ................................................ 140, 141 Sandoz Rivastigmine .............................................. 155, 156 Sandoz Salbutamol ........................................................ 162 Sandoz Sennosides ........................................................... 9 Sandoz Sertraline ........................................................... 150 Sandoz Simvastatin ....................................................51, 52 Sandoz Sodium Chloride ............................................... 174 Sandoz Sotalol ................................................................. 35 Sandoz Sumatriptan ....................................................... 124 Sandoz Tamsulosin .......................................................... 74 Sandoz Terbinafine .......................................................... 58 Sandoz Ticlopidine ........................................................... 20 Sandoz Timolol .............................................................. 172 Sandoz Tobramycin ....................................................... 169 Sandoz Topiramate ................................................. 128, 129 Sandoz Trifluridine ......................................................... 169 Sandoz Valsartan ............................................................. 48 Sandoz Valsartan/HCT .................................................... 49 Sandoz Venlafaxine ....................................................... 153 Sandoz Zolmitripran ....................................................... 124 Sandoz Zolmitriptan ....................................................... 124 Sandoz Zopiclone .......................................................... 145 Sandoz-Irbesartan ............................................................ 48 Sandoz-Olanzapine ................................................. 137, 138 Sandoz-Rabeprazole ..................................................... 4, 5 Santyl ............................................................................... 58 saquinavir ....................................................................... 97 Sarna HC ......................................................................... 60 Sativex ........................................................................... 123 scopolamine ..................................................................... 8 Scopolamine ...................................................................... 8 Seasonale ........................................................................ 69 Sebivo .............................................................................. 98 Sectral .............................................................................. 37 Selax .................................................................................. 9 Select ............................................................................... 69 selegiline ....................................................................... 133 selenium sulfide ............................................................. 57 Selexid ............................................................................. 85 senna glycosides ............................................................. 9 senna glycosides, comb. ................................................. 9 Senokot .............................................................................. 9 Sensipar ........................................................................... 82 Sensorcaine ................................................................... 117 Septa-Amlodipine ............................................................. 39 Septra .............................................................................. 89 Serax .............................................................................. 142 Serc ................................................................................ 157 Serevent ......................................................................... 162 Serophene ....................................................................... 72 Seroquel .................................................................. 138, 139 sertraline ....................................................................... 150 Sertraline ........................................................................ 150 sevelamer ..................................................................... 177 Sialor ................................................................................ 18 Sibelium ......................................................................... 158 sibutramine ..................................................................... 11 sildenafil ......................................................................... 73 silicones ............................................................................ 6 Silkis ................................................................................. 59

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silver sulfadiazine ........................................................... 60 Simponi ........................................................................... 105 simvastatin ...................................................................... 51 Simvastatin ................................................................. 51, 52 Sinemet ........................................................................... 131 Sinequan ......................................................................... 147 Singulair .......................................................................... 165 Sintrom ............................................................................. 20 sitagliptin ......................................................................... 16 sitagliptin/metformin ...................................................... 15 sitaxentan ........................................................................ 30 Slow Fe ............................................................................. 22 Slow-Fe Folic .................................................................... 22 Slow-K .............................................................................. 17 sodium aurothiomalate................................................. 112 Sodium Aurothiomalate ................................................... 112 sodium chloride .............................................................. 23 Sodium Chloride ............................................................... 23 sodium chloride, hypertonic ........................................ 174 sodium phosphate .......................................................... 17 Sodium Sulamyd ............................................................. 169 Sofracort ......................................................................... 175 Soframycin ........................................................ 60, 161, 169 Sofra-Tulle ........................................................................ 64 solifenacin ....................................................................... 73 soltalol ............................................................................. 35 Solu-Cortef ........................................................................ 80 Solugel .............................................................................. 65 Solu-Medrol ....................................................................... 79 somatropin ...................................................................... 77 Somatuline Autogel ........................................................... 78 Somavert........................................................................... 77 Somnol ............................................................................ 144 sorafenib ........................................................................ 101 Soriatane........................................................................... 59 Sotacor ............................................................................. 35 spiramycin ....................................................................... 90 Spiriva ............................................................................. 164 spironolactone ................................................................ 31 Sporanox........................................................................... 95 Sprycel ............................................................................ 101 Stadol .............................................................................. 121 Stalevo ............................................................................ 131 Starlix ................................................................................ 16 Statex ...................................................................... 118, 119 stavudine ......................................................................... 97 Stelara ............................................................................ 105 Stelazine ......................................................................... 134 Stemetil ........................................................................... 134 Sterile Vancomycin HCI .................................................... 93 sterile water ................................................................... 178 Sterile Water ................................................................... 178 Stieprox ............................................................................. 57 Stieva-A ............................................................................ 65 Stievamycin ....................................................................... 65 Strattera .................................................................. 154, 155 Suboxone ........................................................................ 157 sucralfate ........................................................................... 5 Sufenta ........................................................................... 117 sufentanil ....................................................................... 117 Sufentanil Citrate ............................................................ 117 Sulcrate ............................................................................... 5 suldinpyrazone .............................................................. 114 sulfacetamide ................................................................ 169 Sulfacet-R ......................................................................... 65 sulfamethoxazole and thrimethoprim ........................... 89

sulfasazine ...................................................................... 11 sulindac ........................................................................ 107 sulphur ............................................................................ 65 sumatriptan................................................................... 123 Sumatriptan ............................................................. 123, 124 sunitinib ........................................................................ 101 Supeudol ........................................................................ 120 Suprax .............................................................................. 88 Suprefact ........................................................................ 102 Surgam .......................................................................... 111 Surmontil ................................................................. 146, 147 Sutent ............................................................................. 101 Symbicort ....................................................................... 163 Symmetrel ...................................................................... 131 Synarel ............................................................................. 78 Synphasic ........................................................................ 69 Synthroid .....................................................................80, 81 tacrolimus ................................................................ 66, 105 Tagamet ......................................................................... 1, 2 Talwin ............................................................................. 121 Tambocor ......................................................................... 26 Tamiflu ............................................................................. 98 Tamofen ......................................................................... 102 tamoxifen ...................................................................... 102 tamsulosin ...................................................................... 74 Tantum Oral Rinse ............................................................. 1 Tapazole .......................................................................... 81 Tar Pomade ..................................................................... 58 Tarceva .......................................................................... 101 Tarka ................................................................................ 47 Taro-Amcinonide .............................................................. 62 Taro-Carbamazepine ..................................................... 126 Taro-Clindamycin ............................................................. 65 Taro-Clobetasol ................................................................ 63 Taro-Mometasone ............................................................ 63 Taro-Mupirocin ................................................................. 60 Taro-Phenytoin ............................................................... 125 Taro-Sone ........................................................................ 61 Taro-Warfarin ..............................................................19, 20 Tasigna .......................................................................... 101 tazarotene ....................................................................... 59 Tazocin ............................................................................ 86 Tazorac ............................................................................ 59 TearGel .......................................................................... 174 Tears Naturale ............................................................... 174 Tears Plus ...................................................................... 174 Tebrazid ........................................................................... 95 Tecta .................................................................................. 4 Tegretol .......................................................................... 126 telbivudine ...................................................................... 98 telithromycin................................................................... 90 telmisartan ...................................................................... 49 telmisartan and diuretics ............................................... 50 Telzir ................................................................................ 97 temazepam ................................................................... 145 Temodal ........................................................................... 99 temozolomide ................................................................. 99 tenofovir disoproxil and emtricitabine ......................... 98 tenofovir disproxil .......................................................... 98 Tenoretic .......................................................................... 38 Tenormin .......................................................................... 36 tenoxicam ..................................................................... 109 Terazol-3 .......................................................................... 67 terazosin ......................................................................... 74 Terazosin ......................................................................... 74 terbinafine ..................................................................57, 58

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Terbinafine ........................................................................ 58 terbutaline .............................................................. 162, 164 terconazole ...................................................................... 67 teriparatide ...................................................................... 81 Testim ............................................................................... 70 testosterone .................................................................... 70 Testosterone Cypionate .................................................... 70 tetrabenazine ................................................................. 158 tetracaine ....................................................................... 117 tetracycline ...................................................................... 83 Teva Zolmitriptan ............................................................ 124 Teva-Irbesartan ................................................................. 48 Teva-Irbesartan/HCTZ ...................................................... 50 Teva-Lactulose ................................................................... 9 Teva-Nevirapine ................................................................ 98 Teva-Valsartan .................................................................. 48 Teva-Valsartan/HCT ......................................................... 49 Teva-Valsartan/HCTZ ....................................................... 49 Teva-Zolmitriptan ............................................................ 124 Teveten ....................................................................... 48, 49 Thelin ................................................................................ 30 Theo-DUR ............................................................... 164, 165 Theolair ........................................................................... 164 theophylline ................................................................... 164 theophylline, comb. exclding psycholeptics .............. 165 thiabendazole ................................................................ 159 thiamazole ....................................................................... 81 Thiamiject .......................................................................... 17 Thiamine ........................................................................... 17 thiamine (Vit B1) .............................................................. 17 thioguanine ...................................................................... 99 thioproperazine ............................................................. 134 thiothixene ..................................................................... 136 Thyrogen ......................................................................... 178 Thyroid .............................................................................. 81 thyroid gland preparations ............................................. 81 thyrotropin ..................................................................... 178 Tiamol ............................................................................... 62 tiaprofenic acid ............................................................. 111 Tiazac ER ................................................................... 41, 42 Tiazac XC ......................................................................... 42 Ticlid ................................................................................. 20 ticlopidine ........................................................................ 20 Ticlopidine ......................................................................... 20 timolol ...................................................................... 34, 172 Timolol Maleate-EX ......................................................... 172 timolol, comb. ................................................................ 172 Timoptic .......................................................................... 172 Timoptic-XE .................................................................... 172 Tinactin ............................................................................. 57 tinzaparin ......................................................................... 20 tiotropium bromide ....................................................... 164 tipranavir.......................................................................... 97 tizandine ........................................................................ 113 Tobradex ......................................................................... 171 tobramycin ............................................................... 91, 169 Tobramycin ....................................................................... 91 Tobrex ............................................................................. 169 Tofranil ............................................................................ 146 tolbutamide ...................................................................... 14 tolnaftate .......................................................................... 57 Toloxin .............................................................................. 25 tolterodine ....................................................................... 73 Topamax ................................................................. 128, 129 Topicort ............................................................................. 62 topiramate ...................................................................... 128

Topiramate .............................................................. 128, 129 Toradol ........................................................................... 108 Tracleer ............................................................................ 30 Tramacet ........................................................................ 122 tramadol ........................................................................ 122 tramadol, comb. ........................................................... 122 Trandate ........................................................................... 37 trandolapril and verapamil ............................................ 47 trandolparil ..................................................................... 46 tranexamic acid .............................................................. 21 Tranexamic Acid .............................................................. 21 Transderm-Nitro ............................................................... 27 Transderm-V ...................................................................... 8 Tranxene ........................................................................ 142 tranylcypromine ........................................................... 151 Travatan ......................................................................... 173 Travatan Z ...................................................................... 173 travoprost ..................................................................... 173 Trazedone ...................................................................... 152 trazodone ...................................................................... 152 Trazodone ...................................................................... 152 Trelstar ........................................................................... 102 Trental .............................................................................. 32 treprostinil ...................................................................... 21 tretinoin ........................................................................... 65 Triaderm ........................................................................... 61 triamcinolone ................................................. 1, 61, 80, 161 Triamcinolone................................................................... 80 triamicinolone and antibiotics ...................................... 63 triazolam ....................................................................... 144 Tri-Cyclen ......................................................................... 69 Tridesilon ......................................................................... 61 trifluoperazine .............................................................. 134 trifluridine ..................................................................... 169 trihexyphenidyl ............................................................. 130 Trilafon ........................................................................... 134 Trileptal .......................................................................... 127 trimebutine ....................................................................... 5 trimethoprim ................................................................... 89 trimipramine ................................................................. 146 Trinipatch ......................................................................... 27 Triquilar ............................................................................ 69 Tronothane ....................................................................... 33 tropicamide ................................................................... 173 Trosec .............................................................................. 73 trospium .......................................................................... 73 Trusopt ........................................................................... 171 Truvada ............................................................................ 98 Tryptan ........................................................................... 151 tryptophan .................................................................... 151 Twinject ............................................................................ 27 Tykerb ............................................................................ 101 Tylenol .................................................................... 120, 123 Uloric .............................................................................. 114 Ultradol ........................................................................... 108 Ultrase .............................................................................. 12 Uniphyl ........................................................................... 165 Urecholine ...................................................................... 157 Uremol HC ....................................................................... 64 Urispas ............................................................................. 72 Urologic G ........................................................................ 73 Uromax ............................................................................ 73 Urso ................................................................................... 8 ursodeoxycholic acid ...................................................... 8 ursodiol ............................................................................. 8 ustekinumab ................................................................. 105

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Vagifem ............................................................................. 71 valacyclovir ..................................................................... 97 Valcyte .............................................................................. 97 valganciclovir .................................................................. 97 Valisone G ........................................................................ 64 Valium ..................................................................... 141, 142 valproic acid .................................................................. 127 valsartan .......................................................................... 48 valsartan and diuretics ................................................... 49 Valtrex ............................................................................... 97 Val-Vanco ......................................................................... 93 Vancocin ........................................................................... 93 Vancocin CP ..................................................................... 93 vancomycin ..................................................................... 93 Vantas ............................................................................... 78 Vaseretic ........................................................................... 46 vasopressin ..................................................................... 77 Vasopressin ...................................................................... 77 Vasotec ............................................................................. 43 venlafaxine .................................................................... 153 Venlafaxine ..................................................................... 153 Venofer ............................................................................. 22 Ventolin ................................................................... 162, 164 Vepesid ........................................................................... 100 verapamil ......................................................................... 40 Verapamil .......................................................................... 40 Vermox ........................................................................... 159 Versed ............................................................................ 145 Versel ................................................................................ 57 verteporfin ..................................................................... 174 Vesicare ............................................................................ 73 Vfend ................................................................................ 95 Viaderm KC ....................................................................... 63 Viagra ............................................................................... 73 Vibramycin ........................................................................ 83 Vibra-Tabs ........................................................................ 83 vigabatrin ....................................................................... 127 Vigamox .......................................................................... 170 vinorelbine ..................................................................... 100 Vioform HC ....................................................................... 63 Viokase ............................................................................. 12 Viracept ............................................................................. 97 Viramune........................................................................... 98 Viread ............................................................................... 98 Viroptic ............................................................................ 169 Viskazide........................................................................... 38 Visken ......................................................................... 33, 34 Visudyne ......................................................................... 174 Vitamin A Acid ................................................................... 65 Vitamin B1 ......................................................................... 17 Vitamin B12 ........................................................................ 22 Vitamin K1 ......................................................................... 21 Vivelle ............................................................................... 70 Vivol ................................................................................ 142 Volibris .............................................................................. 30 Voltaren .......................................................... 107, 108, 170 voriconazole .................................................................... 95 Vyvanse .......................................................................... 155 warfarin ............................................................................ 19 Warfarin ...................................................................... 19, 20

Wartec .............................................................................. 60 Wellbutrin ....................................................................... 153 Wellbutrin XL .................................................................. 153 Westcort ........................................................................... 61 Winpred ............................................................................ 80 Xalacom ......................................................................... 172 Xalatan ........................................................................... 173 Xamiol .............................................................................. 64 Xanax ............................................................................. 143 Xarelto .............................................................................. 21 Xatral ................................................................................ 73 Xeloda ............................................................................ 100 Xenical ............................................................................. 11 Xeomin ........................................................................... 112 Xolair .............................................................................. 165 Xylocaine .................................................................. 58, 117 Yasmin ............................................................................. 69 Zaditen ........................................................................... 166 Zaditor ............................................................................ 173 zafirlukast ..................................................................... 165 Zanaflex ......................................................................... 113 zanamivir ........................................................................ 98 Zantac ................................................................................ 2 Zarontin .......................................................................... 125 Zaroxolyn ......................................................................... 30 Zavesca ........................................................................... 18 Zeldox ............................................................................ 135 Zerit .................................................................................. 97 Zestoretic ....................................................................46, 47 Zestril ..........................................................................43, 44 zidovudine ...................................................................... 97 ziprasidone ................................................................... 135 Zithromax ......................................................................... 90 Zocor ...........................................................................51, 52 Zofran ................................................................................. 7 Zoladex .......................................................................... 102 zoledronic acid ............................................................. 116 zolmitriptan ................................................................... 124 Zoloft .............................................................................. 150 Zometa ........................................................................... 116 Zomig ............................................................................. 124 Zonalon ............................................................................ 58 zopiclone ...................................................................... 145 Zopiclone ....................................................................... 145 Zovirax ........................................................................60, 96 zuclopenthixol .............................................................. 136 Zyban ............................................................................. 157 Zyloprim ......................................................................... 114 Zymar ............................................................................. 170 Zym-Carvedilol ................................................................. 38 Zym-Clonazepam ........................................................... 126 Zym-Fluoxetine .............................................................. 148 Zym-Metformin ................................................................. 13 Zym-Mirtazapine ............................................................ 152 Zym-Pioglitazone ........................................................15, 16 Zym-Topiramate ...................................................... 128, 129 Zyprexa ................................................................... 137, 138 Zytram ............................................................................ 122 Zyvoxam .......................................................................... 94