Nova Scotia Formulary Updates Updates Prescriber …novascotia.ca/dhw/pharmacare/pharmacists_bulletins/...FEBRUARY 2013 • VOLUME 13-01 PHARMACISTS’ EDITION Nova Scotia Formulary

FEBRUARY 2013 • VOLUME 13-01

PHARMACISTS’ EDITION

Nova Scotia Formulary

Updates

Nova Scotia Formulary Updates

Prescriber Validation

www.medavie.bluecross.ca\healthprofessionals

PAGE 2 OF 5 PHARMACISTS’ EDITION

VOLUME 13-01

Criteria Update – Botox® (200u/vial Inj)

February 1, 2013

PRODUCT STRENGTH DIN PRESCRIBER BENEFIT STATUS

MFR

Botox® (onabotulinumtoxin A)

Criteria Update – Actemra® (Tocilizumab)

February 1, 2013


MFR

Actemra® (tocilizumab)


VOLUME 13-01

Insured Pediatric Compounded Solutions

New Diabetic Products

February 1, 2013

PRODUCT DIN/PIN PRODUCT

NUMBER PRESCRIBER

BENEFIT STATUS

MFR

New Line of Ostomy Products

February 1, 2013


VOLUME 13-01

Non-Insured Products


MFR

Rapaflo® (sildosin)


MFR

Targin® (naloxone/oxycodone)

Standardization of Package Sizes

FORM QUANTITY FORM QUANTITY


VOLUME 13-01

Standardization of Package Sizes Continued…

FORM QUANTITY

FEBRUARY 2013

Appendix I Alternate Prescriber Numbers

The following physicians previously had alternate billing numbers. As of Feb 15, 2013 please use their respective College of Physicians and Surgeons of Nova Scotia (CPSNS) license numbers when billing claims to Nova Scotia Pharmacare.

SURNAME TOWN/CITY SURNAME TOWN/CITY AGO, C HALIFAX MACINTOSH, REBECCA HALIFAX ALLAN, PATRICIA ANTIGONISH MACKAY, THOMAS HALIFAX ARCHIBALD, JOHN SYDNEY MACKNIGHT, CHRIS HALIFAX BARRY, ANNE KENTVILLE MACNEIL, MARY HALIFAX BETHUNE, GRAEME HALIFAX MARSH, LORNE HALIFAX BOWIE, DENNIS HALIFAX MCGIBNEY, KIERON TRURO BUCHHOLZ, KENNETH ANNAPOLIS ROYAL MCNEILL, LAURIE BRIDGEWATER CHEEVERS, PAUL YARMOUTH MILNE, P RONALD HALIFAX CLARK, ALEXANDER HALIFAX MORSE, DAVID LUNENBURG COMEAU, ALBAN SAULNIERVILLE MORSE, EWART BRIDGEWATER COOPER, ROBERT PICTOU NADER, NABIL AMHERST CRASWELL, DONALD MIDDLETON O'BRIEN, BRIAN HALIFAX DAS, BIJON HALIFAX ORLIK, BENJAMIN HALIFAX DAVIS, HEATHER KENTVILLE PEARCE, PATRICIA HALIFAX DESROSIERS, JACQUES HALIFAX PESTELL, DEBBIE HALIFAX DEVITT, JAMES HAMMONDS PLAINS REID, DANIEL DARTMOUTH DICKINSON, JOHN HALIFAX RICHARDSON, C GLEN HALIFAX ELLIOTT, CHRISTOPHER NEW GLASGOW RIIVES, MAI HALIFAX FELTMATE, MARY TRURO ROGERS, JOHN SYDNEY GHENEA, IRINA NORTH SYDNEY RONDEAU, RONALD OXFORD GILLIS, GRANT HALIFAX ROY, GREGORY DARTMOUTH GUPTILL, JONI DARTMOUTH SAWLER, MARGARET WAVERLEY HAMILTON, JOHN ANTIGONISH SCHAFFNER, JOHN PORT WILLIAMS HANADA, EDWIN HALIFAX SCOTT, TRACY HALIFAX HEGARTY, RAYMOND ANTIGONISH SLAYTER, IAN ANTIGONISH HIMMELMAN, DONALD PLEASANTVILLE SMITH, CHERYL SCOTSBURN HORREY, KATHLEEN HALIFAX SMITH, MURDOCK SYDNEY HUMAYUN, MUHAMMAD DARTMOUTH SMITH, PETER DARTMOUTH JARVIS, CARL HALIFAX STACEY, COOPER DARTMOUTH JHA, UMESH HALIFAX STEVENS, SARAH HALIFAX JOHNSTON, CHRISTOPHER FALL RIVER TRITES, JONATHAN HALIFAX JOLLYMORE, GEORGE CHESTER WAWER, ANDREW NORTH SYDNEY JOST, ELLEN HALIFAX WAWER, URSULA BEDFORD KHALIL, HISHAM BEDFORD WERTLEN, WINSTON YARMOUTH KIRBY, RONALD HALIFAX WOOD, WILLIAM BEDFORD KNIGHT, DEBORAH DARTMOUTH LANGILLE, KENNETH AYLESFORD LUDMAN, MARK HALIFAX MACDONALD, KAREN ANTIGONISH MACDONALD, KAREN HALIFAX MACGIBBON, S LOIS BEDFORD MACINTOSH, DONALD HALIFAX

FEBRUARY 2013

Appendix II Insured Pediatric Compounded Solutions

COMPOUND PIN COMPOUND PIN acetazolamide oral suspension 00903403 nitrazepam oral suspension 00903215

allopurinol oral suspension 00903171 nitrofurantoin oral suspension 00903209

amiodarone oral suspension 00903325 propranolol oral suspension 00999155

amlodipine oral suspension 00903749 pyrazinamide oral suspension 00903781

atenolol oral syrup 00903346 sotalol oral suspension 00903782

azathioprine oral suspension 00903187 spironolactone oral suspension 00999107

baclofen oral suspension 00903511 sulfasalazine oral suspension 00903449

carvedilol oral suspension 00903641 verapamil oral suspension 00903009

clonazepam oral suspension 00903559

clonidine oral suspension 00999330

clotrimazole oral suspension 00903061

dexamethasone oral suspension 00903062

domperidone oral suspension 00903085

enalapril oral suspension 00903554

hydralazine oral suspension 00903591

hydrochlorothiazide oral suspension 00999106

hydrocortisone oral suspension 00903296

indomethacin oral suspension 00903250

labetolol oral suspension 00903077

lamotrigine oral suspension 00903381

lansoprazole oral suspension 00903192

lisinopril oral suspension 00903266

methimazole oral suspension 00903779

metolazone oral suspension 00903780

metoprolol oral suspension 00999104

metronidazole oral suspension 00903238

nadolol oral syrup 00903406

naproxen oral suspension 00999135

MARCH 2013 • VOLUME 13-02 PHARMACISTS’ EDITION


Pan-Canadian Generic Price Initiative – Changes to Maximum Reimbursable Price (MRP) New Exception Status Benefits - Zelboraf® - Sensipar® - Toviaz® Criteria Update - Rituxan® - Tasigna® Update to Reimbursement List PRP Reminder about Prescription Adaptation Eligibility

Nova Scotia Formulary Updates Pan-Canadian Generic Price Initiative - Changes to Maximum Reimbursable Price (MRP) On January 18, 2013 the Council of the Federation announced the pan-Canadian Competitive Value Price Initiative for Generic Drugs. Nova Scotia participated in this initiative along with other provinces and territories. Further information on the announcement is available at http://www.councilofthefederation.ca/pdfs/NR-CoF-Generic%20drugs%20(Final)-Jan%2018.pdf. The confirmation of the pricing for this initiative is now complete and includes the following interchangeable categories. Note that the prices will change effective April 1, 2013 and the new MRP will be effective April 1, 2013. A copy of the April Reimbursement List can be found with the electronic copy of the bulletin at

http://novascotia.ca/health/Pharmacare/info_pro/pharmacare-news.asp.

PRODUCT NEW MRP

amlodipine 5mg tab 0.2417

amlodipine 10mg tab 0.3587

atorvastatin 10mg tab 0.3138




omeprazole 20mg cap 0.4117

rabeprazole 10mg EC tab 0.1204

rabeprazole 20mg EC tab 0.2408

http://www.councilofthefederation.ca/pdfs/NR-CoF-Generic%20drugs%20(Final)-Jan%2018.pdf�

http://www.councilofthefederation.ca/pdfs/NR-CoF-Generic%20drugs%20(Final)-Jan%2018.pdf�

http://novascotia.ca/health/Pharmacare/info_pro/pharmacare-news.asp�


VOLUME 13-02

Pan-Canadian Generic Price Initiative Continued…

PRODUCT NEW MRP

ramipril 1.25mg cap 0.1274

ramipril 2.5mg cap 0.1470

ramipril 5mg cap 0.1470

ramipril 10mg cap 0.1862

venlafaxine 37.5mg ER cap 0.1643

venlafaxine 75mg ER cap 0.3285

venlafaxine 150mg ER cap 0.3469 New Exception Status Benefits The following product was reviewed by the pCODR expert advisory committee (pERC) and will be listed as an exception status benefit, with the following criteria, effective March 4, 2013.

PRODUCT STRENGTH DIN PRESCRIBER BENEFIT STATUS MFR

Zelboraf® (vemurafenib)

240mg tablet 02380242 DNP E HLR

Criteria • as a first line, single agent for the treatment of BRAF V600 mutation positive unresectable or metastatic melanoma in patients with an ECOG performance status (PS) of ≤ 1

• for BRAF V600 mutation positive patients who have progressed after first line treatment prior to vemurafenib availability, funding of vemurafenib as a second line agent may be considered

Decision Highlights • One open-label randomized controlled trial compared vemurafenib with dacarbazine in previously untreated patients with unresectable stage IIIC or IV melanoma who were positive for the BRAF V600 mutation. This study showed a net clinical benefit with vemurafenib therapy versus dacarbazine.

• Approved dosage of vemurafenib is 960mg (4x240mg tablets) twice daily, continued until disease progression.

A Pharmacare reimbursement price of $50.4980 per tablet has been assigned. Also please note, if the claim exceeds a value of $9,999.99, the claim must be divided and processed as two separate transactions:

• The first transaction should be submitted using the DIN 02380242 and the quantity should be adjusted so the total claim (including the ingredient cost, professional fee, and markup) does not exceed $9,999.99. This claim will allow markup to the $250 maximum.

• The second transaction should be submitted with the remaining quantity using the PIN 00903786. This PIN will only pay ingredient cost.

• The copay and deductible will be applied to both claims for beneficiaries enrolled in the Seniors’ and Family Pharmacare Programs.


VOLUME 13-02

New Exception Status Benefits Continued… The following product will be listed as an exception status benefit, with the following criteria, effective March 4, 2013.


Sensipar® (cinacalcet)

30mg 60mg 90mg

02257130 02257149 02257157

DNP DNP DNP

E E E

AGA AGA AGA

Criteria • For the treatment of patients with chronic kidney disease on dialysis with severe secondary hyperparathyroidism who

- are not responding to optimal doses of Vitamin D analogues or phosphate binders (calcium or non-calcium based) AND are either not a surgical candidate due to surgical or anesthetic risk OR awaiting kidney transplant

- in addition laboratory findings must confirm serum phosphate >1.8mmol/L, serum calcium ≥2.2mmol/L and iPTH >88pmol/L on more than one occasion at least 6 weeks apart

- ongoing laboratory investigations must include serum calcium, albumin, phosphorous weekly for three weeks and iPTH every 6 weeks

- coverage for cinacalcet will be renewed if there is a greater than 30% decrease in iPTH after at least 3 months with escalating dose, indicating the patient is responding

- approval period 12 months, provided there has been a greater than 30% decrease in iPTH as stated above

The following product was reviewed by the Canadian Drug Expert Committee (CDEC) and will be listed as an exception status benefit, with the following criteria, effective March 4, 2013.


Toviaz® (fesoterodine fumerate)

4mg tab 8mg tab

02380021 02380048

DNP DNP

E E

PFI PFI

Criteria • for the treatment of over-active bladder (not stress incontinence) for patients who cannot tolerate immediate release oxybutynin after an adequate trial (e.g. 3 months)

• a three month trial will be approved initially with assessment of the effectiveness of this therapy required if further coverage is considered

Decision Highlights • In three double-blind, randomized controlled trials in patients with overactive bladder, fesoterodine produced similar reductions in daily urinary urge incontinence and micturition events as sustained release tolterodine.


VOLUME 13-02

Criteria Update – Rituxan® Please note that effective March 4, 2013, the criteria for Rituxan will be updated to include the following:


Rituxan® (rituximab)

10mg/mL 02241927 DNP E HLR

Criteria • for the induction of remission in patients with severely active granulomatosis with polyangitis (GPA) or microscopic polyangitis (MPA) who have severe intolerance or other contraindication to cyclophosphamide, or who have failed an adequate trial of cyclophosphamide

Decision Highlights • GPA (also known as Wegner’s Granulomatosis) and MPA are the two major forms of systemic vasculitis associated with the presense of anti-neutrophil cytoplasmic antibodies (ANCAs). The pro-inflammatory effects of ANCA produce endothelial injury and tissue damage.

• In one double-blind RCT, rituximab was reported to be non-inferior, but not superior, to oral cyclophosphamide for inducing remission in patients with severely active GPA or MPA, based on the number of patients who achieved complete remission at six months.

• The approved dose is 375mg/m2 as an IV infusion once weekly for four weeks. • The committee considered an adequate trial of cyclophosphamide to be six IV pulses

or 3 months of oral therapy. Criteria Update – Tasigna® Please note that effective March 4, 2013, the criteria for Tasigna will be updated to the following:


Tasigna® (nilotinib)

150mg cap 200mg cap

02368250 02315874

DNP DNP

E E

NVR NVR

Criteria First Line: • As a single first line agent for the treatment of adults with chronic phase CML Second Line: • As a single second line agent for the treatment of adults with chronic or accelerated

phase CML with resistance or intolerance to prior therapy These second line criteria include:

1. Patients with CML in chronic phase who are intolerant to oral tyrosine kinase inhibitors (TKIs) (i.e. imatinib or dasatinib or both)

2. Patients with CML in chronic phase who are resistant to imatinib 3. Patients with CML that have progressed to accelerated phase while on imatinib

therapy • In any one patient, only two of the TKIs will be funded within these criteria during their

lifetime • If a patient develops grade 3 or 4 toxicity to one of the TKIs used within 3 months of

initiating therapy, access to a third agent will be funded • Sequential use of nilotinib and dasatinib is not permitted except in the circumstance

described above (i.e. grade 3 or 4 toxicity)


VOLUME 13-02

Update to Reimbursement List PRP The following products will have Pharmacare Reimbursement prices, as noted below, effective March 4, 2013.

PRODUCT PRP

omeprazole 10mg cap 0.2059

vemurafenib (Zelboraf) 240mg tab 50.4980


VOLUME 13-02

Reminder about Prescription Adaptation Eligibility

Prescription adaptation (PA) is an insured service under all the Pharmacare Programs when it is performed as follows:

1. Refusal to fill a drug monitored by the Prescription Monitoring Program. 2. For a clinical reason to enhance patient outcomes such as dose, duration, adverse drug reaction,

or intolerance. Note: Changes in prescription quantity not related to a dose or duration change or changes in formulation are not insured PA services.

To qualify for the program:

• The individual must be a beneficiary of a Nova Scotia Pharmacare Program. • The beneficiary must give informed and voluntary consent as described in the Nova Scotia College

of Pharmacist Standards of Practice for Prescribing Drugs by Pharmacists. Pharmacists must comply with all applicable Nova Scotia College of Pharmacists, Standards of Practice for Prescribing Drugs by Pharmacists. Documentation of consent, assessment, monitoring plan and notification to the prescriber of the medication that being adapted is to be kept on file in the pharmacy for at least three years for audit purposes.

• Pharmacists must submit an adverse drug reaction (ADR) report if the adaptation is done for a clinical reason such as an adverse drug reaction or intolerance to a drug. A copy of the Health Canada ADR report is to be kept on file in the pharmacy for at least three years for audit purposes.

All information on the documentation required can be found under Nova Scotia College of Pharmacists, Standards of Practice for Prescribing Drugs by Pharmacists. Forms can be found on the Nova Scotia College of Pharmacists website or the Pharmacy Association of Nova Scotia website.

Helpful reminders:

• Changes in prescription quantity not related to a dose or duration change or changes in formulation are not insured PA services. Any changes required for compliance packaging must be authorized by the original prescriber. Changes made to match the quantity prescribed to a commercially available package size are also not eligible.

• Prescription adaptations are not paid for substituting another strength in the case of a manufacturer shortage (e.g., Synthroid® 0.2mg changed to 2 x Synthroid® 0.1mg)

• In the case where the prescriber has written a prescription for a drug and/or strength that does not exist, pharmacists cannot follow the two step claims process outlined in the Pharmacists’ Guide. In these cases they can bill for the adaptation, then process the adapted prescription and ensure the situation is documented clearly.

• Refusal to fill is only reimbursed for drugs monitored by the Prescription Monitoring Program, no other drugs are eligible under for this service (e.g., diazepam, clonazepam, cyclobenzaprine)

• Refusal to fill is only paid when in the pharmacist’s professional judgment, a prescription is falsified or adulterated, when there is suspected multi-pharmacy, multi doctoring, or there is potential for overuse or abuse. Refusing to fill a part fill earlier than indicated on the original prescription by the prescriber is not eligible.

REIMBURSEMENT LIST - April 2013

NOVA SCOTIA PHARMACARE PROGRAMS

21

Key: 1. MRP = Maximum reimbursable price. The beneficiary is not to be charged any cost difference between the actual acquisition cost of the drug and the MRP.

2. PRP = Pharmacare reimbursement price. The beneficiary is always to be charged the cost difference between the actual acquisition cost of the drug and the PRP unless a PRP exception has been approved.

Version: NS Pharmacare Reimbursement List Effective April 2013 Page 1 of 87

Generic Name and Strength DIN Brand MFR MRP PRPabiraterone 250mg cap (exception status) 02371065 Zytiga 250mg cap JAN 30.7417acebutolol HCl 100mg tab 02286246 Acebutolol 100mg tab SAS 0.1175

02147602 Apo-Acebutolol 100mg tab APX 0.117502237885 MYLAN-Acebutolol (Type S) 100mg tab MYL 0.117502237721 MYLAN-Acebutolol 100mg tab MYL 0.117502204517 Novo-Acebutolol 100mg tab TEV 0.117501926543 Sectral 100mg tab SAV 0.1175

acebutolol HCl 200mg tab 02286254 Acebutolol 200mg tab SAS 0.176202147610 Apo-Acebutolol 200mg tab APX 0.176202237886 MYLAN-Acebutolol (Type S) 200mg tab MYL 0.176202237722 MYLAN-Acebutolol 200mg tab MYL 0.176202204525 Novo-Acebutolol 200mg tab TEV 0.176201926551 Sectral 200mg tab SAV 0.1762

acebutolol HCl 400mg tab 02286262 Acebutolol 400mg tab SAS 0.350702147629 Apo-Acebutolol 400mg tab APX 0.350702237887 MYLAN-Acebutolol (Type S) 400mg tab MYL 0.350702237723 MYLAN-Acebutolol 400mg tab MYL 0.350702204533 Novo-Acebutolol 400mg tab TEV 0.350701926578 Sectral 400mg tab SAV 0.3507

acetaminophen 325mg & oxycodone 5mg tab

02324628 Apo-Oxycodone/Acet 5/325mg tab APX 0.1285

01916548 Endocet tab BRI 0.128502361361 Oxycodone/Acet 5/325mg tab SAS 0.128501916475 Percocet tab BRI 0.128500608165 ratio-Oxycocet tab TEV 0.128502307898 Sandoz-Oxycodone Acet tab SDZ 0.1285

acetazolamide 250mg tab 00545015 Acetazolamide tablets 250mg AAP 0.1343acetylcysteine 200mg/mL inj 02243098 Acetylcysteine 200mg/mL inj SDZ 0.6800

02091526 Mucomyst 200mg/mL inj WLS 0.6800acetylsalicylic acid 325mg EC tab 00010332 Entrophen 325mg EC tab PDP 0.0280

00216666 Novasen 325mg EC tab TEV 0.028002284529 pms-ASA 325mg EC tab PMS 0.0280

acetylsalicylic acid 650mg EC tab 00010340 Entrophen 650mg EC tab PDP 0.035200229296 Novasen 650mg EC tab TEV 0.0352

acetylsalicylic acid 330mg, butalbital 50mg, caffeine 40mg & codeine phosphate 15mg cap

00176192 Fiorinal C1/4 cap NVR 0.6446

00608203 ratio-Tecnal C1/4 cap TEV 0.6446acetylsalicylic acid 330mg, butalbital 50mg, caffeine 40mg & codeine phosphate 30mg cap

00176206 Fiorinal C1/2 cap NVR 0.7896

00608181 ratio-Tecnal C1/2 cap TEV 0.7896acetylsalicylic acid 330mg, butalbital 50mg & caffeine 40mg cap

00226327 Fiorinal cap NVR 0.6014

00608238 ratio-Tecnal cap TEV 0.6014acyclovir 200mg tab 02286556 Acyclovir 200mg tab SAS 0.6397



21




Generic Name and Strength DIN Brand MFR MRP PRPacyclovir 200mg tab 02207621 Apo-Acyclovir 200mg tab APX 0.6397

02242784 MYLAN-Acyclovir 200mg tab MYL 0.639702285959 Novo-Acyclovir 200mg tab TEV 0.639702078627 ratio-Acyclovir 200mg tab TEV 0.639700634506 Zovirax 200mg tab GSK 0.6397

acyclovir 400mg tab 02286564 Acyclovir 400mg tab SAS 1.270002207648 Apo-Acyclovir 400mg tab APX 1.270002242463 MYLAN-Acyclovir 400mg tab MYL 1.270002285967 Novo-Acyclovir 400mg tab TEV 1.270002078635 ratio-Acyclovir 400mg tab TEV 1.270001911627 Zovirax 400mg tab GSK 1.2700

acyclovir 800mg tab 02286572 Acyclovir 800mg tab SAS 1.774202207656 Apo-Acyclovir 800mg tab APX 1.774202242464 MYLAN-Acyclovir 800mg tab MYL 1.774202285975 Novo-Acyclovir 800mg tab TEV 1.774202078651 ratio-Acyclovir 800mg tab TEV 1.7742

adalimumab 50mg/mL inj (exception status)

02258595 Humira 40mg/0.8mL inj ABB 989.2813

97799756 Humira 40mg/0.8mL pen ABB 989.281397799757 Humira 40mg/0.8mL syringe inj ABB 989.2813

alendronate 10mg tab (exception status) 02248728 Apo-Alendronate 10mg tab APX 0.698102201011 Fosamax 10mg tab (discontinued) FRS 0.698102270129 MYLAN-Alendronate 10mg tab MYL 0.698102384701 RAN-Alendronate 10mg tab RAN 0.698102288087 Sandoz Alendronate 10mg tab SDZ 0.698102247373 Teva-Alendronate 10mg tab TEV 0.6981

alendronate 40mg tab (exception status) 02258102 CO Alendronate 40mg tab COB 3.055702201038 Fosamax 40mg tab FRS 3.0557

alendronate 70mg tab (exception status) 02352966 Alendronate 70mg tab SAS 3.520102299712 Alendronate-FC 70mg tab PHL 3.520102248730 Apo-Alendronate 70mg tab APX 3.520102258110 CO Alendronate 70mg tab COB 3.520102245329 Fosamax 70mg tab FRS 3.520102385031 Jamp-Alendronate 70mg tab JPC 3.520102286335 MYLAN-Alendronate 70mg tab MYL 3.520102284006 pms-Alendronate-FC 70mg tab PMS 3.520102384728 RAN-Alendronate 70mg tab RAN 3.520102288109 Sandoz Alendronate 70mg tab SDZ 3.520102261715 Teva-Alendronate 70mg tab TEV 3.5201

allopurinol 100mg tab 00402818 Zyloprim 100mg tab AAP 0.0846allopurinol 200mg tab 00479799 Zyloprim 200mg tab AAP 0.1411allopurinol 300mg tab 00402796 Zyloprim 300mg tab AAP 0.2306alprazolam 0.25mg tab 02349191 Alprazolam 0.25mg tab SAS 0.0760

00865397 Apo-Alpraz 0.25mg tab APX 0.076002137534 MYLAN-Alprazolam 0.25mg tab MYL 0.0760



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Generic Name and Strength DIN Brand MFR MRP PRPalprazolam 0.25mg tab 01913484 Teva-Alprazolam 0.25mg tab TEV 0.0760

00548359 Xanax 0.25mg tab PFI 0.0760alprazolam 0.5mg tab 02349205 Alprazolam 0.5mg tab SAS 0.0920

00865400 Apo-Alpraz 0.5mg tab APX 0.092002137542 MYLAN-Alprazolam 0.5mg tab MYL 0.092001913492 Teva-Alprazolam 0.5mg tab TEV 0.092000548367 Xanax 0.5mg tab PFI 0.0920

amantadine HCl 100mg cap 02139200 MYLAN-Amantadine 100mg cap MYL 0.517901990403 pms-Amantadine 100mg cap PMS 0.5179

amantadine HCl 10mg/mL o/l 02022826 pms-Amantadine 10mg/mL syrup PMS 0.1005amcinonide 0.1% cr 02192284 Cyclocort 0.1% cr STI 0.1953

02247098 ratio-Amcinonide 0.1% cr TEV 0.195302246714 Taro-Amcinonide 0.1% cr TAR 0.1953

amcinonide 0.1% lot 02192276 Cyclocort 0.1% lot STI 0.271402247097 ratio-Amcinonide 0.1% lot TEV 0.2714

amcinonide 0.1% oint 02192268 Cyclocort 0.1% oint STI 0.377602247096 ratio-Amcinonide 0.1% oint TEV 0.3776

amiloride 5mg tab 02249510 Midamor 5mg tab AAP 0.29485-aminosalicylic acid 400mg tab 01997580 Asacol 400mg tab WNC 0.4039

02171929 Novo-5-ASA 400mg EC tab TEV 0.4039amiodarone 200mg tab 02364336 Amiodarone 200mg tab SAS 0.7206

02246194 Apo-Amiodarone 200mg tab APX 0.720602036282 Cordarone 200mg tab WAY 0.720602240604 MYLAN-Amiodarone 200mg tab MYL 0.720602245781 phl-Amiodarone 200mg tab PHL 0.720602242472 pms-Amiodarone 200mg tab PMS 0.720602240071 ratio-Amiodarone 200mg tab (discontinued) TEV 0.720602243836 Sandoz Amiodarone 200mg tab SDZ 0.720602239835 Teva-Amiodarone 200mg tab TEV 0.7206

amitriptyline 10mg tab 00335053 Elavil 10mg tab AAP 0.0721amitriptyline 25mg tab 00335061 Elavil 25mg tab AAP 0.1314amitriptyline 50mg tab 00335088 Elavil 50mg tab AAP 0.2547amitriptyline 75mg tab 00754129 Elavil 75mg tab AAP 0.3943amlodipine 5mg tab 02331284 Amlodipine 5mg tab SAS 0.2417

02378760 Amlodipine-ODAN 5mg tab ODN 0.241702273373 Apo-Amlodipine 5mg tab APX 0.241702297485 CO Amlodipine 5mg tab COB 0.241702280132 GD-Amlodipine 5mg tab GMD 0.241702331071 Jamp-Amlodipine 5mg tab JPC 0.241702357194 Jamp-Amlodipine 5mg tab JPC 0.241702371715 Mar-Amlodipine 5mg tab MAR 0.241702362651 MINT-Amlodipine 5mg tab MNT 0.241702272113 MYLAN-Amlodipine 5mg tab MYL 0.241700878928 Norvasc 5mg tab PFI 0.2417



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Generic Name and Strength DIN Brand MFR MRP PRPamlodipine 5mg tab 02326779 phl-Amlodipine 5mg tab PHL 0.2417

02284065 pms-Amlodipine 5mg tab PMS 0.241702321858 RAN-Amlodipine 5mg tab RAN 0.241702259605 ratio-Amlodipine 5mg tab TEV 0.241702284383 Sandoz Amlodipine 5mg tab SDZ 0.241702357712 Septa-Amlodipine 5mg tab SPT 0.241702250497 Teva-Amlodipine 5mg tab TEV 0.2417

amlodipine 10mg tab 02331292 Amlodipine 10mg tab SAS 0.358702378779 Amlodipine-ODAN 10mg tab ODN 0.358702273381 Apo-Amlodipine 10mg tab APX 0.358702297493 CO Amlodipine 10mg tab COB 0.358702280140 GD-Amlodipine 10mg tab GMD 0.358702331098 Jamp-Amlodipine 10mg tab JPC 0.358702357208 Jamp-Amlodipine 10mg tab JPC 0.358702371723 Mar-Amlodipine 10mg tab MAR 0.358702362678 MINT-Amlodipine 10mg tab MNT 0.358702272121 MYLAN-Amlodipine 10mg tab MYL 0.358700878936 Norvasc 10mg tab PFI 0.358702326787 phl-Amlodipine 10mg tab PHL 0.358702284073 pms-Amlodipine 10mg tab PMS 0.358702321866 RAN-Amlodipine 10mg tab RAN 0.358702259613 ratio-Amlodipine 10mg tab TEV 0.358702284391 Sandoz Amlodipine 10mg tab SDZ 0.358702357720 Septa-Amlodipine 10mg tab SPT 0.358702250500 Teva-Amlodipine 10mg tab TEV 0.3587

amlodipine 5mg & atorvastatin 10mg tab 02273233 Caduet 5/10mg tab PFI 1.031002362759 GD-Amlodipine/Atorvastatin 5/10mg tab GMD 1.0310








amoxicillin & enzyme inhibitor 125mg/5mL susp

02243986 Apo-Amoxi Clav 125mg/5mL susp APX 0.0517

01916882 Clavulin-125F 125mg/5mL susp GSK 0.051702244646 ratio-Aclavulanate 125mg/5mL susp TEV 0.0517



21




Generic Name and Strength DIN Brand MFR MRP PRPamoxicillin & enzyme inhibitor 250mg/5mL susp


01916874 Clavulin-250F 250mg/5mL susp GSK 0.086902244647 ratio-Aclavulanate 250mg/5mL susp TEV 0.0869

amoxicillin & enzyme inhibitor 400mg/5mL susp


02238830 Clavulin-400 400mg/5mL susp GSK 0.1969amoxicillin & enzyme inhibitor 250mg tab 02243350 Apo-Amoxi Clav 250mg tab APX 0.9375amoxicillin & enzyme inhibitor 500mg tab 02243351 Apo-Amoxi Clav 500mg tab APX 0.6673

01916858 Clavulin-500F 500mg tab GSK 0.667302243771 ratio-Aclavulanate 500mg tab TEV 0.6673

amoxicillin & enzyme inhibitor 875mg tab 02245623 Apo-Amoxi Clav 875mg tab APX 0.777102238829 Clavulin-875 (875mg) tab GSK 0.777102248138 Novo-Clavamoxin-875 (875mg) tab TEV 0.777102247021 ratio-Aclavulanate 875mg tab TEV 0.7771

amoxicillin 250mg cap 02352710 Amoxicillin 250mg cap SAS 0.175000628115 Apo-Amoxi 250mg cap APX 0.175002238171 MYLAN-Amoxicillin 250mg cap MYL 0.175000406724 Novamoxin 250mg cap TEV 0.175002230243 pms-Amoxicillin 250mg cap PMS 0.1750

amoxicillin 500mg cap 02352729 Amoxicillin 500mg cap SAS 0.341700628123 Apo-Amoxi 500mg cap APX 0.341702238172 MYLAN-Amoxicillin 500mg cap MYL 0.341700406716 Novamoxin 500mg cap TEV 0.341702230244 pms-Amoxicillin 500mg cap PMS 0.3417

amoxicillin 250mg chewable tab 02036355 Novamoxin 250mg chew tab TEV 0.6156amoxicillin 25mg/mL o/l 02352745 Amoxicillin 125mg susp SAS 0.0353

02352761 Amoxicillin Sugar-Reduced 25mg/mL o/l SAS 0.035300628131 Apo-Amoxi 25mg/mL o/l APX 0.035300628131 Apo-Amoxi Sugar Free 25mg/mL o/l APX 0.035300452149 Novamoxin 25mg/mL o/l TEV 0.035301934171 Novamoxin Sugar-Reduced 25mg/mL o/l TEV 0.035302230245 pms-Amoxicillin 25mg/mL o/l PMS 0.0353

amoxicillin 50mg/mL o/l 02352753 Amoxicillin 250mg susp SAS 0.054002352788 Amoxicillin Sugar-Reduced 50mg/mL o/l SAS 0.054000628158 Apo-Amoxi 50mg/mL o/l APX 0.054000628158 Apo-Amoxi Sugar Free 50mg/mL o/l APX 0.054000452130 Novamoxin 50mg/mL o/l TEV 0.054001934163 Novamoxin Sugar-Reduced 50mg/mL o/l TEV 0.054002230246 pms-Amoxicillin 50mg/mL o/l PMS 0.0540

ampicillin 250mg cap 00020877 Novo-Ampicillin 250mg cap TEV 0.3796ampicillin 500mg cap 00020885 Novo-Ampicillin 500mg cap TEV 0.7091anagrelide 0.5mg cap (exception status) 02236859 Agrylin 0.5mg cap SHI 2.6361

02253054 MYLAN-Anagrelide 0.5mg cap MYL 2.636102260107 Sandoz Anagrelide 0.5mg cap SDZ 2.6361



21




Generic Name and Strength DIN Brand MFR MRP PRPanastrozole 1mg tab 02374420 Apo-Anastrozole 1mg tab APX 1.7821

02224135 Arimidex 1mg tab AZE 1.782102394898 CO Anastrozole 1mg tab COB 1.782102339080 Jamp-Anastrozole 1mg tab JPC 1.782102379562 Mar-Anastrozole 1mg tab MAR 1.782102379104 MED-Anastrozole 1mg tab GMP 1.782102393573 MINT-Anastrozole 1mg tab MNT 1.782102361418 MYLAN-Anastrozole 1mg tab MYL 1.782102320738 pms-Anastrozole 1mg tab PMS 1.782102328690 RAN-Anastrozole 1mg tab RAN 1.782102338467 Sandoz Anastrozole 1mg tab SDZ 1.782102365650 Taro-Anastrozole 1mg tab TAR 1.782102313049 Teva-Anastrozole 1mg tab TEV 1.7821

atenolol 25mg tab 02247182 phl-Atenolol 25mg tab PHL 0.094602246581 pms-Atenolol 25mg tab PMS 0.0946

atenolol 50mg tab 00773689 Apo-Atenol 50mg tab APX 0.206902255545 CO Atenolol 50mg tab COB 0.206902367564 Jamp-Atenolol 50mg tab JPC 0.206902371987 Mar-Atenolol 50mg tab MAR 0.206902368021 MINT-Atenol 50mg tab MNT 0.206902146894 MYLAN-Atenolol 50mg tab MYL 0.206902238316 phl-Atenolol 50mg tab PHL 0.206902237600 pms-Atenolol 50mg tab PMS 0.206902267985 RAN-Atenol 50mg tab RAN 0.206902171791 ratio-Atenolol 50mg tab TEV 0.206902231731 Sandoz Atenolol 50mg tab SDZ 0.206902368641 Septa-Atenolol 50mg tab SPT 0.206902039532 Tenormin 50mg tab AZE 0.2069

atenolol 100mg tab 00773697 Apo-Atenol 100mg tab APX 0.340102255553 CO Atenolol 100mg tab COB 0.340102367572 Jamp-Atenolol 100mg tab JPC 0.340102371995 Mar-Atenolol 100mg tab MAR 0.340102368048 MINT-Atenol 100mg tab MNT 0.340102147432 MYLAN-Atenolol 100mg tab MYL 0.340102238318 phl-Atenolol 100mg tab PHL 0.340102237601 pms-Atenolol 100mg tab PMS 0.340102267993 RAN-Atenolol 100mg tab RAN 0.340102171805 ratio-Atenolol 100mg tab TEV 0.340102231733 Sandoz Atenolol 100mg tab SDZ 0.340102368668 Septa-Atenolol 100mg tab SPT 0.340102039540 Tenormin 100mg tab AZE 0.340101912054 Teva-Atenolol 100mg tab TEV 0.3401

atenolol 50mg & chlorthalidone 25mg tab 02248763 Apo-Atenidone 50/25mg tab APX 0.319502049961 Tenoretic 50/25mg tab AZE 0.319502302918 Teva-Atenolol/Chlorthalidone 50/25mg tab TEV 0.3195



21




Generic Name and Strength DIN Brand MFR MRP PRPatenolol 100mg & chlorthalidone 25mg tab 02248764 Apo-Atenidone 100/25mg tab APX 0.5236

02049988 Tenoretic 100/25mg tab AZE 0.523602302926 Teva-Atenolol/Chlorthalidone 100/25mg tab TEV 0.5236

atorvastatin 10mg tab 02295261 Apo-Atorvastatin 10mg tab APX 0.313802348705 Atorvastatin 10mg tab (SAS) SAS 0.313802310899 CO Atorvastatin 10mg tab COB 0.313802288346 GD-Atorvastatin 10mg tab GMD 0.313802230711 Lipitor 10mg tab PFI 0.313802373203 MYLAN-Atorvastatin 10mg tab MYL 0.313802302675 Novo-Atorvastatin 10mg tab TEV 0.313802313448 pms-Atorvastatin 10mg tab PMS 0.313802313707 RAN-Atorvastatin 10mg tab RAN 0.313802350297 ratio-Atorvastatin 10mg tab TEV 0.313802324946 Sandoz Atorvastatin 10mg tab SDZ 0.3138



atorvastatin 80mg tab 02295318 Apo-Atorvastatin 80mg tab APX 0.421602348748 Atorvastatin 80mg tab (SAS) SAS 0.421602310929 CO Atorvastatin 80mg tab COB 0.421602288370 GD-Atorvastatin 80mg tab GMD 0.421602243097 Lipitor 80mg tab PFI 0.421602373246 MYLAN-Atorvastatin 80mg tab MYL 0.421602302713 Novo-Atorvastatin 80mg tab TEV 0.421602313472 pms-Atorvastatin 80mg tab PMS 0.4216



21




Generic Name and Strength DIN Brand MFR MRP PRPatorvastatin 80mg tab 02313758 RAN-Atorvastatin 80mg tab RAN 0.4216

02350335 ratio-Atorvastatin 80mg tab TEV 0.421602324970 Sandoz Atorvastatin 80mg tab SDZ 0.4216

azathioprine 50mg tab 02242907 Apo-Azathioprine 50mg tab APX 0.336602343002 Azathioprine 50mg tab SAS 0.336600004596 Imuran 50mg tab GSK 0.336602231491 MYLAN-Azathioprine 50mg tab MYL 0.336602236819 Teva-Azathioprine 50mg tab TEV 0.3366

azithromycin 250mg tab (exception status) 02247423 Apo-Azithromycin 250mg tab APX 1.7290

02330881 Azithromycin 250mg tab SAS 1.729002255340 CO Azithromycin 250mg tab COB 1.729002274531 GD-Azithromycin 250mg tab GMD 1.729002278359 MYLAN-Azithromycin 250mg tab MYL 1.729002267845 Novo-Azithromycin 250mg tab TEV 1.729002278588 phl-Azithromycin 250mg tab PHL 1.729002261634 pms-Azithromycin 250mg tab PMS 1.729002275287 ratio-Azithromycin 250mg tab TEV 1.729002265826 Sandoz Azithromycin 250mg tab SDZ 1.729002212021 Zithromax 250mg tab PFI 1.7290

azithromycin 600mg tab (exception status) 02330911 Azithromycin 600mg tab SAS 6.0000

02256088 CO Azithromycin 600mg tab COB 6.000002261642 pms-Azithromycin 600mg tab PMS 6.000002231143 Zithromax 600mg tab PFI 6.0000

azithromycin pos 100mg/5mL susp (exception status)

02315157 Novo-Azithromycin Pediatric 100mg/5mL susp TEV 0.3956

02274388 pms-Azithromycin POS 100mg/5mL susp PMS 0.395602332388 Sandoz Azithromycin POS 100mg/5mL susp SDZ 0.395602223716 Zithromax POS 100mg/5mL susp PFI 0.3956

azithromycin pos 200mg/5mL susp (exception status)

02315165 Novo-Azithromycin Pediatric 200mg/5mL susp TEV 0.5604

02274396 pms-Azithromycin POS 200mg/5mL susp PMS 0.560402332396 Sandoz Azithromycin POS 200mg/5mL susp SDZ 0.560402223724 Zithromax POS 200mg/5mL susp PFI 0.5604

baclofen 10mg tab 02139332 Apo-Baclofen 10mg tab APX 0.240302287021 Baclofen 10mg tab SAS 0.240300455881 Lioresal 10mg tab NVR 0.240302088398 MYLAN-Baclofen 10mg tab MYL 0.240302236963 phl-Baclofen 10mg tab PHL 0.240302063735 pms-Baclofen 10mg tab PMS 0.240302236507 ratio-Baclofen 10mg tab TEV 0.2403

baclofen 20mg tab 02139391 Apo-Baclofen 20mg tab APX 0.467602287048 Baclofen 20mg tab SAS 0.467600636576 Lioresal DS 20mg tab NVR 0.467602088401 MYLAN-Baclofen 20mg tab MYL 0.4676



21




Generic Name and Strength DIN Brand MFR MRP PRPbaclofen 20mg tab 02236964 phl-Baclofen 20mg tab PHL 0.4676

02063743 pms-Baclofen 20mg tab PMS 0.467602236508 ratio-Baclofen 20mg tab TEV 0.4676

beclomethasone dipropionate 50mcg/dose aqueous nasal spray

02238796 Apo-Beclo 50mcg/dose aq nasal sp APX 0.0613

02172712 MYLAN-Beclo 50mcg/dose aq nasal sp MYL 0.0613benazepril 5mg tab 02290332 Benazepril 5mg tab AAP 0.6051

00885835 Lotensin 5mg tab NVR 0.6051benazepril 10mg tab 02290340 Benazepril 10mg tab AAP 0.7156

00885843 Lotensin 10mg tab (discontinued) NVR 0.7156benazepril 20mg tab 02273918 Benazepril 20mg tab AAP 0.8210

00885851 Lotensin 20mg tab NVR 0.8210benztropine mesylate 2mg tab 00426857 Benztropine 2mg tab PMS 0.0503

00587265 pms-Benztropine 2mg tab (discontinued) PMS 0.0503benzydamine 0.15% oral rinse (exception status)

02239044 Apo-Benzydamine 0.15% oral rinse (discontinued) APX 0.0290

02310422 Novo-Benzydamine 0.15% oral rinse TEV 0.029002229777 pms-Benzydamine 0.15% oral rinse PMS 0.0290

betahistine 16mg tab (exception status) 02374757 CO Betahistine 16mg tab COB 0.177002280191 Novo-Betahistine 16mg tab TEV 0.177002243878 Serc 16mg tab SPH 0.1770

betahistine 24mg tab (exception status) 02374765 CO Betahistine 24mg tab COB 0.393302280205 Novo-Betahistine 24mg tab TEV 0.393302247998 Serc 24mg tab SPH 0.3933

betamethasone 6mg/mL inj 02237835 Betaject 6mg/mL inj SDZ 9.530000028096 Celestone soluspan 6mg/mL inj SCH 9.5300

betamethasone 17 valerate 0.05% cr 00716618 Betaderm 0.05% cr TAR 0.059602357860 Celestoderm-V/2 0.05% cr VAL 0.0596

betamethasone 17 valerate 0.1% cr 00716626 Betaderm 0.1% cr TAR 0.088902357844 Celestoderm-V 0.1% cr VAL 0.0889

betamethasone dipropionate 0.05% cr 00323071 Diprosone 0.05% cr SCH 0.204801925350 Taro-Sone 0.05% cr TAR 0.2048

betamethasone dipropionate 0.05% glycol cr

00688622 Diprolene 0.05% glycol cr SCH 0.5187

00849650 ratio-Topilene 0.05% glycol cr TEV 0.5187betamethasone dipropionate 0.05% glycol lot

00862975 Diprolene 0.05% glycol lot SCH 0.5620

01927914 ratio-Topilene 0.05% glycol lot TEV 0.5620betamethasone dipropionate 0.05% glycol oint

00629367 Diprolene 0.05% glycol oint SCH 0.5187

00849669 ratio-Topilene 0.05% glycol oint TEV 0.5187betamethasone dipropionate 0.05% lot 00417246 Diprosone 0.05% lot SCH 0.1980

00809187 ratio-Topisone 0.05% lot TEV 0.1980betamethasone dipropionate 0.05% oint 00344923 Diprosone 0.05% oint SCH 0.2152

00805009 ratio-Topisone 0.05% oint TEV 0.2152



21




Generic Name and Strength DIN Brand MFR MRP PRPbethamethasone dipropionate 0.05% & salicylic acid 2% lot

00578428 Diprosalic 0.05%/2% lot SCH 0.4228

02245688 ratio-Topisalic 0.05%/2% lot TEV 0.4228bicalutamide 50mg tab 02296063 Apo-Bicalutamide 50mg tab APX 2.3188

02325985 Bicalutamide 50mg tab AHC 2.318802184478 Casodex 50mg tab AZE 2.318802274337 CO Bicalutamide 50mg tab COB 2.318802357216 Jamp-Bicalutamide 50mg tab JPC 2.318802302403 MYLAN-Bicalutamide 50mg tab MYL 2.318802270226 Novo-Bicalutamide 50mg tab TEV 2.318802275589 pms-Bicalutamide 50mg tab PMS 2.318802371324 RAN-Bicalutamide 50mg Tab RAN 2.318802277700 ratio-Bicalutamide 50mg tab TEV 2.318802276089 Sandoz Bicalutamide 50mg tab SDZ 2.3188

bisoprolol 5mg tab 02256134 Apo-Bisoprolol 5mg tab APX 0.139102391589 Bisoprolol 5mg tab SAS 0.139102384418 MYLAN-Bisoprolol 5mg tab MYL 0.139102267470 Novo-Bisoprolol 5mg tab TEV 0.139102302632 pms-Bisoprolol 5mg tab PMS 0.139102247439 Sandoz Bisoprolol 5mg tab SDZ 0.1391

bisoprolol 10mg tab 02256177 Apo-Bisoprolol 10mg tab APX 0.203002391597 Bisoprolol 10mg tab SAS 0.203002384426 MYLAN-Bisoprolol 10mg tab MYL 0.203002267489 Novo-Bisoprolol 10mg tab TEV 0.203002302640 pms-Bisoprolol 10mg tab PMS 0.203002247440 Sandoz Bisoprolol 10mg tab SDZ 0.2030

boceprevir 200mg cap (exception status) 02370816 Victrelis 200mg cap FRS 13.5625bosentan 62.5mg tab (exception status) 02386194 CO Bosentan 62.5mg tab COB 22.4625

02383497 MYLAN-Bosentan 62.5mg tab MYL 22.462502383012 pms-Bosentan 62.5mg tab PMS 22.462502386275 Sandoz Bosentan 62.5mg tab SDZ 22.462502244981 Tracleer 62.5mg tab ACT 22.4625

bosentan 125mg tab (exception status) 02386208 CO Bosentan 125mg tab COB 22.462502383500 MYLAN-Bosentan 125mg tab MYL 22.462502383020 pms-Bosentan 125mg tab PMS 22.462502386283 Sandoz Bosentan 125mg tab SDZ 22.462502244982 Tracleer 125mg tab ACT 22.4625

brimonidine 0.2% oph sol 02236876 Alphagan 0.2% oph sol ALL 1.155002260077 Apo-Brimonidine 0.2% oph sol APX 1.155002246284 pms-Brimonidine 0.2% oph sol PMS 1.155002243026 ratio-Brimonidine 0.2% oph sol TEV 1.155002305429 Sandoz Brimonidine 0.2% oph sol SDZ 1.1550

bromazepam 1.5mg tab 02177153 Apo-Bromazepam 1.5mg tab APX 0.0693bromazepam 3mg tab 02177161 Apo-Bromazepam 3mg tab APX 0.0525

00518123 Lectopam 3mg tab HLR 0.0525



21




Generic Name and Strength DIN Brand MFR MRP PRPbromazepam 3mg tab 02230584 Novo-Bromazepam 3mg tab TEV 0.0525bromazepam 6mg tab 02177188 Apo-Bromazepam 6mg tab APX 0.0767

00518131 Lectopam 6mg tab HLR 0.076702230585 Novo-Bromazepam 6mg tab TEV 0.0767

bromocriptine mesylate 2.5mg tab 02087324 Apo-Bromocriptine 2.5mg tab APX 0.9782bromocriptine mesylate 5mg cap 02230454 Apo-Bromocriptine 5mg cap APX 1.4644budesonide 64mcg/dose aqueous nasal spray

02241003 MYLAN-Budesonide 64mcg/mL aq nasal spray MYL 0.0843

02231923 Rhinocort 64mcg/mL aq nasal spray AZE 0.0843bupropion 100mg SR tab 02391562 Bupropion 100mg SR tab SAS 0.2167

02325373 pms-Bupropion 100mg SR tab PMS 0.216702285657 ratio-Bupropion 100mg SR tab TEV 0.216702275074 Sandoz Bupropion 100mg SR tab SDZ 0.2167

bupropion 150mg SR tab 02391570 Bupropion 150mg SR tab SAS 0.323602313421 pms-Bupropion 150mg SR tab PMS 0.323602285665 ratio-Bupropion 150mg SR tab TEV 0.323602275082 Sandoz Bupropion 150mg SR tab SDZ 0.323602237825 Wellbutrin 150mg SR tab BVL 0.3236

buspirone HCl 10mg tab 02211076 Apo-Buspirone 10mg tab APX 0.379802231492 Novo-Buspirone 10mg tab TEV 0.379802230942 pms-Buspirone 10mg tab PMS 0.3798

butorphanol 10mg/mL nasal sp (exception status)

02242504 Apo-Butorphanol nasal sp APX 3.7683

cabergoline 0.5mg tab (exception status) 02301407 CO Cabergoline 0.5mg tab COB 10.523802242471 Dostinex 0.5mg tab SQI 10.5238

calcitonin 200iu/dose nasal spray (exception status)

02247585 Apo-Calcitonin 200iu/dose nasal spray APX 1.7254

02240775 Miacalcin 200iu/dose nasal spray NVR 1.725402261766 Sandoz Calcitonin NS 200iu/dose nasal spray SDZ 1.7254

candesartan 8mg tab 02365359 Apo-Candesartan 8mg tab APX 0.410002239091 Atacand 8mg tab AZE 0.410002388928 Candesartan 8mg tab SAS 0.410002379279 Candesartan Cilexetil 8mg tab AHI 0.410002376539 CO Candesartan 8mg tab COB 0.410002386518 Jamp-Candesartan 8mg tab JPC 0.410002379139 MYLAN-Candesartan 8mg tab MYL 0.410002391198 pms-Candesartan 8mg tab PMS 0.410002326965 Sandoz Candesartan 8mg tab SDZ 0.410002366312 Teva-Candesartan 8mg tab TEV 0.4100

candesartan 16mg tab 02365367 Apo-Candesartan 16mg tab APX 0.410002239092 Atacand 16mg tab AZE 0.410002388936 Candesartan 16mg tab SAS 0.410002379287 Candesartan Cilexetil 16mg tab AHI 0.410002376547 CO Candesartan 16mg tab COB 0.410002386526 Jamp-Candesartan 16mg tab JPC 0.4100



21




Generic Name and Strength DIN Brand MFR MRP PRPcandesartan 16mg tab 02379147 MYLAN-Candesartan 16mg tab MYL 0.4100

02391201 pms-Candesartan 16mg tab PMS 0.410002326973 Sandoz Candesartan 16mg tab SDZ 0.410002366320 Teva-Candesartan 16mg tab TEV 0.4100

candesartan 32mg tab 02311658 Atacand 32mg tab AZE 0.419302379295 Candesartan Cilexetil 32mg tab AHI 0.419302376555 CO Candesartan 32mg tab COB 0.419302386534 Jamp-Candesartan 32mg tab JPC 0.419302379155 MYLAN-Candesartan 32mg tab MYL 0.419302391228 pms-Candesartan 32mg tab PMS 0.419302392267 Sandoz Candesartan 32mg tab SDZ 0.419302366339 Teva-Candesartan 32mg tab TEV 0.4193

candesartan 16mg & hydrochlorothiazide 12.5mg tab

02367866 Apo-Candesartan/HCTZ 16/12.5mg tab APX 0.4193

02244021 Atacand Plus 16/12.5mg tab AZE 0.419302394804 Candesartan/HCTZ 16/12.5mg tab SAS 0.419302388650 CO Candesartan/HCT 16/12.5mg tab COB 0.419302374897 MYLAN-Candesartan HCTZ 16/12.5mg tab MYL 0.419302391295 pms-Candesartan HCTZ 16/12.5mg tab PMS 0.419302327902 Sandoz Candesartan Plus 16/12.5mg tab SDZ 0.4193

captopril 12.5mg tab 00893595 Apo-Capto 12.5mg tab APX 0.106002163551 MYLAN-Captopril 12.5mg tab MYL 0.106001942964 Novo-Captoril 12.5mg tab TEV 0.1060

captopril 25mg tab 00893609 Apo-Capto 25mg tab APX 0.150002163578 MYLAN-Captopril 25mg tab MYL 0.150001942972 Novo-Captoril 25mg tab TEV 0.1500

captopril 50mg tab 00893617 Apo-Capto 50mg tab APX 0.279500546291 Capoten 50mg tab (discontinued) BRI 0.279502163586 MYLAN-Captopril 50mg tab MYL 0.279501942980 Novo-Captoril 50mg tab TEV 0.2795

captopril 100mg tab 00893625 Apo-Capto 100mg tab APX 0.519802163594 MYLAN-Captopril 100mg tab MYL 0.519801942999 Novo-Captoril 100mg tab TEV 0.5198

carbamazepine 200mg tab 00402699 Apo-Carbamazepine 200mg tab (discontinued) APX 0.079500010405 Tegretol 200mg tab NVR 0.079500782718 Teva-Carbamazepine 200mg tab TEV 0.0795

carbamazepine 100mg chewable tab 02231542 pms-Carbamazepine 100mg chewable tab PMS 0.057202261855 Sandoz Carbamazepine 100mg chewable tab SDZ 0.057202244403 Taro-Carbamazepine 100mg chewable tab TAR 0.057200369810 Tegretol 100mg chewable tab NVR 0.0572

carbamazepine 200mg chewable tab 02231540 pms-Carbamazepine 200mg chewable tab PMS 0.112802261863 Sandoz Carbamazepine 200mg chewable tab SDZ 0.112802244404 Taro-Carbamazepine 200mg chewable tab TAR 0.112800665088 Tegretol 200mg chewable tab NVR 0.1128

carbamazepine 200mg cr tab 02241882 MYLAN-Carbamazepine 200mg CR tab MYL 0.1401



21




Generic Name and Strength DIN Brand MFR MRP PRPcarbamazepine 200mg cr tab 02231543 pms-Carbamazepine 200mg CR tab PMS 0.1401

02261839 Sandoz Carbamazepine 200mg CR tab SDZ 0.140100773611 Tegretol 200mg CR tab NVR 0.1401

carbamazepine 400mg cr tab 02241883 MYLAN-Carbamazepine 400mg CR tab MYL 0.280102231544 pms-Carbamazepine 400mg CR tab PMS 0.280102261847 Sandoz Carbamazepine 400mg CR tab SDZ 0.280100755583 Tegretol 400mg CR tab NVR 0.2801

carvedilol 3.125mg tab (exception status) 02247933 Apo-Carvedilol 3.125mg tab APX 0.472802364913 Carvedilol 3.125mg tab SAS 0.472802368897 Jamp-Carvedilol 3.125mg tab JPC 0.472802347512 MYLAN-Carvedilol 3.125mg tab MYL 0.472802248752 phl-Carvedilol 3.125mg tab PHL 0.472802245914 pms-Carvedilol 3.125mg tab PMS 0.472802268027 RAN-Carvedilol 3.125mg tab RAN 0.472802252309 ratio-Carvedilol 3.125mg tab TEV 0.472802338068 Zym-Carvedilol 3.125mg tab ZYM 0.4728



carvedilol 25mg tab (exception status) 02247936 Apo-Carvedilol 25mg tab APX 0.472802364956 Carvedilol 25mg tab SAS 0.472802368927 Jamp-Carvedilol 25mg tab JPC 0.472802347571 MYLAN-Carvedilol 25mg tab MYL 0.472802248755 phl-Carvedilol 25mg tab PHL 0.472802245917 pms-Carvedilol 25mg tab PMS 0.472802268051 RAN-Carvedilol 25mg tab RAN 0.472802252333 ratio-Carvedilol 25mg tab TEV 0.472802338114 Zym-Carvedilol 25mg tab ZYM 0.4728

cefadroxil 500mg cap 02240774 Apo-Cefadroxil 500mg cap APX 0.842102235134 Novo-Cefadroxil 500mg cap TEV 0.8421



21




Generic Name and Strength DIN Brand MFR MRP PRPcefazolin sodium 500mg/vial inj 02108119 Cefazolin Sodium 500mg/vial inj TEV 4.0000

02308932 Cefazolin Sodium 500mg/vial inj SDZ 4.0000cefazolin sodium 1g/vial inj 02108127 Cefazolin Sodium 1g/vial inj TEV 6.0000

02297205 Cefazolin Sodium 1g/vial inj APX 6.000002308959 Cefazolin Sodium 1g/vial inj SDZ 6.0000

cefprozil 125mg/5mL o/l 02293943 Apo-Cefprozil 125mg/5mL o/l APX 0.059302347261 Auro-Cefprozil 125mg/5mL Susp ARO 0.059302163675 Cefzil 125mg/5mL o/l BRI 0.059302329204 RAN-Cefprozil 125mg/5mL o/l RAN 0.059302303426 Sandoz Cefprozil 125mg/5mL o/l SDZ 0.0593

cefprozil 250mg/5mL o/l 02293951 Apo-Cefprozil 250mg/5mL o/l APX 0.118502347288 Auro-Cefprozil 250mg/5mL Susp ARO 0.118502163683 Cefzil 250mg/5mL o/l BRI 0.118502293579 RAN-Cefprozil 250mg/5mL o/l RAN 0.118502303434 Sandoz Cefprozil 250mg/5mL o/l SDZ 0.1185

cefprozil 250mg tab 02292998 Apo-Cefprozil 250mg tab APX 0.606402347245 Auro-Cefprozil 250mg tab ARO 0.606402163659 Cefzil 250mg tab BRI 0.606402293528 RAN-Cefprozil 250mg tab RAN 0.606402302179 Sandoz Cefprozil 250mg tab SDZ 0.6064

cefprozil 500mg tab 02293005 Apo-Cefprozil 500mg tab APX 1.189102347253 Auro-Cefprozil 500mg tab ARO 1.189102163667 Cefzil 500mg tab BRI 1.189102293536 RAN-Cefprozil 500mg tab RAN 1.189102302187 Sandoz Cefprozil 500mg tab SDZ 1.1891

ceftriaxone 0.25g/vial inj 02292866 Ceftriaxone 0.25g/vial inj APX 7.525000657387 Rocephin 0.25g/vial inj (discontinued) HLR 7.5250

ceftriaxone 1g/vial inj 02292874 Ceftriaxone 1g/vial inj (APX) APX 12.495002292270 Ceftriaxone 1g/vial inj (SDZ) SDZ 12.495000657417 Rocephin 1g/vial inj (discontinued) HLR 12.4950

ceftriaxone 2g/vial inj 02292882 Ceftriaxone 2g/vial inj (APX) APX 24.140002292289 Ceftriaxone 2g/vial inj (SDZ) SDZ 24.1400

cefuroxime axetil 250mg tab 02244393 Apo-Cefuroxime 250mg tab APX 0.723702344823 Auro-Cefuroxime 250mg tab ARO 0.723702212277 Ceftin 250mg tab GSK 0.723702242656 ratio-Cefuroxime 250mg tab TEV 0.7237

cefuroxime axetil 500mg tab 02244394 Apo-Cefuroxime 500mg tab APX 1.433702344831 Auro-Cefuroxime 500mg tab ARO 1.433702212285 Ceftin 500mg tab GSK 1.433702242657 ratio-Cefuroxime 500mg tab TEV 1.4337

celecoxib 100mg cap 02239941 Celebrex 100mg cap PFI 0.2625celecoxib 200mg cap 02239942 Celebrex 200mg cap PFI 0.5250cephalexin monohydrate 25mg o/l 00342106 Novo-Lexin 125mg/5mL susp TEV 0.0860cephalexin monohydrate 50mg o/l 00342092 Novo-Lexin 250mg/5mL susp TEV 0.1351



21




Generic Name and Strength DIN Brand MFR MRP PRPcephalexin monohydrate 250mg tab 00768723 Apo-Cephalex 250mg tab APX 0.2250

00583413 Novo-Lexin 250mg tab TEV 0.2250cephalexin monohydrate 500mg tab 00768715 Apo-Cephalex 500mg tab APX 0.4500

00583421 Novo-Lexin 500mg tab TEV 0.4500cetirizine 10mg tab (exception status) 02231603 APC-Cetirizine 10mg tab APX 0.4083

02231603 Apo-Cetirizine 10mg tab APX 0.408302315955 Extra Strength Allergy Relief 10mg tab PDP 0.408302223554 Reactine 10mg tab JNJ 0.4083

chlordiazepoxide HCl 5mg & clidinium Br 2.5mg cap

00618454 Apo-Chlorax 5mg/2.5mg cap APX 0.2231

00115630 Librax 5mg/2.5mg cap VLN 0.2231chloroquine phosphate 250mg tab 00021261 Novo-Chloroquine 250mg tab TEV 0.4020chlorpromazine 25mg/mL inj 00743518 Chlorpromazine 25mg/mL inj SDZ 1.1100cilazapril 1mg tab 02291134 Apo-Cilazapril 1mg tab APX 0.2492

02350963 Cilazapril 1mg tab SAS 0.249202283778 MYLAN-Cilazapril 1mg tab MYL 0.249202266350 Novo-Cilazapril 1mg tab TEV 0.249202280442 pms-Cilazapril 1mg tab PMS 0.2492

cilazapril 2.5mg tab 02291142 Apo-Cilazapril 2.5mg tab APX 0.251302350971 Cilazapril 2.5mg tab SAS 0.251301911473 Inhibace 2.5mg tab HLR 0.251302283786 MYLAN-Cilazapril 2.5mg tab MYL 0.251302266369 Novo-Cilazapril 2.5mg tab TEV 0.251302280450 pms-Cilazapril 2.5mg tab PMS 0.2513

cilazapril 5mg tab 02291150 Apo-Cilazapril 5mg tab APX 0.291902350998 Cilazapril 5mg tab SAS 0.291901911481 Inhibace 5mg tab HLR 0.291902283794 MYLAN-Cilazapril 5mg tab MYL 0.291902266377 Novo-Cilazapril 5mg tab TEV 0.291902280469 pms-Cilazapril 5mg tab PMS 0.2919

cilazapril 5mg & hydrochlorothiazide 12.5mg tab

02284987 Apo-Cilazapril/HCTZ 5mg/12.5mg tab APX 0.4170

02181479 Inhibace Plus 5mg/12.5mg tab HLR 0.417002313731 Novo-Cilazapril/HCTZ 5mg/12.5mg tab TEV 0.4170

cimetidine 200mg tab 00584215 Apo-Cimetidine 200mg tab APX 0.0860cimetidine 300mg tab 00487872 Apo-Cimetidine 300mg tab APX 0.0860

02227444 MYLAN-Cimetidine 300mg tab MYL 0.0860cimetidine 400mg tab 00600059 Apo-Cimetidine 400mg tab APX 0.1350

02227452 MYLAN-Cimetidine 400mg tab MYL 0.1350cimetidine 600mg tab 00600067 Apo-Cimetidine 600mg tab APX 0.1702

02227460 MYLAN-Cimetidine 600mg tab MYL 0.1702cimetidine 800mg tab 00749494 Apo-Cimetidine 800mg tab APX 0.2530ciprofloxacin 0.3% oph sol (exception status)

01945270 Ciloxan 0.3% oph sol ALC 0.7920

02253933 pms-Ciprofloxacin 0.3% oph sol PMS 0.7920



21




Generic Name and Strength DIN Brand MFR MRP PRPciprofloxacin 0.3% oph sol (exception status)

02387131 Sandoz Ciprofloxacin 0.3% oph sol SDZ 0.7920

ciprofloxacin 250mg tab (exception status) 02229521 Apo-Ciproflox 250mg tab APX 0.866002381907 Auro-Ciprofloxacin 250mg tab ARO 0.866002155958 Cipro 250mg tab BAY 0.866002353318 Ciprofloxacin 250mg tab SAS 0.866002247339 CO Ciprofloxacin 250mg tab COB 0.866002380358 Jamp-Ciprofloxacin 250mg tab JPC 0.866002379686 Mar-Ciprofloxacin 250mg tab MAR 0.866002317427 MINT-Ciprofloxacin 250mg tab MNT 0.866002245647 MYLAN-Ciprofloxacin 250mg tab MYL 0.866002161737 Novo-Ciprofloxacin 250mg tab TEV 0.866002248437 pms-Ciprofloxacin 250mg tab PMS 0.866002303728 RAN-Ciproflox 250mg tab RAN 0.866002246825 ratio-Ciprofloxacin 250mg tab TEV 0.866002248756 Sandoz Ciprofloxacin 250mg tab SDZ 0.866002379627 Septa-Ciprofloxacin 250mg tab SPT 0.8660

ciprofloxacin 500mg tab (exception status) 02229522 Apo-Ciproflox 500mg tab APX 0.977002381923 Auro-Ciprofloxacin 500mg tab ARO 0.977002155966 Cipro 500mg tab BAY 0.977002353326 Ciprofloxacin 500mg tab SAS 0.977002247340 CO Ciprofloxacin 500mg tab COB 0.977002380366 Jamp-Ciprofloxacin 500mg tab JPC 0.977002379694 Mar-Ciprofloxacin 500mg tab MAR 0.977002317435 MINT-Ciprofloxacin 500mg tab MNT 0.977002245648 MYLAN-Ciprofloxacin 500mg tab MYL 0.977002161745 Novo-Ciprofloxacin 500mg tab TEV 0.977002248438 pms-Ciprofloxacin 500mg tab PMS 0.977002303736 RAN-Ciproflox 500mg tab RAN 0.977002246826 ratio-Ciprofloxacin 500mg tab TEV 0.977002248757 Sandoz Ciprofloxacin 500mg tab SDZ 0.977002379635 Septa-Ciprofloxacin 500mg tab SPT 0.9770

ciprofloxacin 750mg tab (exception status) 02229523 Apo-Ciproflox 750mg tab APX 1.789102381931 Auro-Ciprofloxacin 750mg tab ARO 1.789102155974 Cipro 750mg tab BAY 1.789102353334 Ciprofloxacin 750mg tab SAS 1.789102247341 CO Ciprofloxacin 750mg tab COB 1.789102380374 Jamp-Ciprofloxacin 750mg tab JPC 1.789102379708 Mar-Ciprofloxacin 750mg tab MAR 1.789102317443 MINT-Ciprofloxacin 750mg tab MNT 1.789102245649 MYLAN-Ciprofloxacin 750mg tab MYL 1.789102161753 Novo-Ciprofloxacin 750mg tab TEV 1.789102248439 pms-Ciprofloxacin 750mg tab PMS 1.789102303744 RAN-Ciproflox 750mg tab RAN 1.789102246827 ratio-Ciprofloxacin 750mg tab TEV 1.7891



21




Generic Name and Strength DIN Brand MFR MRP PRPciprofloxacin 750mg tab (exception status) 02248758 Sandoz Ciprofloxacin 750mg tab SDZ 1.7891

02379643 Septa-Ciprofloxacin 750mg tab SPT 1.7891citialopram 10mg tab 02273543 phl-Citalopram 10mg tab PHL 0.4464

02270609 pms-Citalopram 10mg tab PMS 0.4464citalopram 20mg tab 02246056 Apo-Citalopram 20mg tab APX 0.4661

02275562 Auro-Citalopram 20mg tab ARO 0.466102239607 Celexa 20mg tab VLH 0.466102353660 Citalopram 20mg tab SAS 0.466102306239 Citalopram-Odan 20mg tab ODN 0.466102248050 CO Citalopram 20mg tab COB 0.466102313405 Jamp-Citalopram 20mg tab JPC 0.466102371898 Mar-Citalopram 20mg tab MAR 0.466102304686 MINT-Citalopram 20mg tab MNT 0.466102246594 MYLAN-Citalopram 20mg tab MYL 0.466102293218 Novo-Citalopram 20mg tab TEV 0.466102248944 phl-Citalopram 20mg tab PHL 0.466102248010 pms-Citalopram 20mg tab PMS 0.466102285622 RAN-Citalo 20mg tab RAN 0.466102252112 ratio-Citalopram 20mg tab TEV 0.466102248170 Sandoz Citalopram 20mg tab SDZ 0.466102355272 Septa-Citalopram 20mg tab SPT 0.4661

citalopram 40mg tab 02246057 Apo-Citalopram 40mg tab APX 0.466102275570 Auro-Citalopram 40mg tab ARO 0.466102239608 Celexa 40mg tab VLH 0.466102353679 Citalopram 40mg tab SAS 0.466102306247 Citalopram-Odan 40mg tab ODN 0.466102248051 CO Citalopram 40mg tab COB 0.466102313413 Jamp-Citalopram 40mg tab JPC 0.466102371901 Mar-Citalopram 40mg tab MAR 0.466102304694 MINT-Citalopram 40mg tab MNT 0.466102246595 MYLAN-Citalopram 40mg tab MYL 0.466102293226 Novo-Citalopram 40mg tab TEV 0.466102248945 phl-Citalopram 40mg tab PHL 0.466102248011 pms-Citalopram 40mg tab PMS 0.466102285630 RAN-Citalo 40mg tab RAN 0.466102252120 ratio-Citalopram 40mg tab TEV 0.466102248171 Sandoz Citalopram 40mg tab SDZ 0.466102355280 Septa-Citalopram 40mg tab SPT 0.4661

clarithromycin 250mg tab (exception status)

02274744 Apo-Clarithromycin 250mg tab APX 0.5770

01984853 Biaxin BID 250mg tab ABB 0.577002248856 MYLAN-Clarithromycin 250mg tab MYL 0.577002247573 pms-Clarithromycin 250mg tab PMS 0.577002361426 RAN-Clarithromycin 250mg tab RAN 0.5770



21




Generic Name and Strength DIN Brand MFR MRP PRPclarithromycin 250mg tab (exception status)

02247818 ratio-Clarithromycin 250mg tab TEV 0.5770

02266539 Sandoz Clarithromycin 250mg tab SDZ 0.577002248804 Teva-Clarithromycin 250mg tab TEV 0.5770

clarithromycin 500mg tab (exception status)

02274752 Apo-Clarithromycin 500mg tab APX 1.6293

02126710 Biaxin BID 500mg tab ABB 1.629302248857 MYLAN-Clarithromycin 500mg tab MYL 1.629302247574 pms-Clarithromycin 500mg tab PMS 1.629302361434 RAN-Clarithromycin 500mg tab RAN 1.629302247819 ratio-Clarithromycin 500mg tab TEV 1.629302266547 Sandoz Clarithromycin 500mg tab SDZ 1.629302248805 Teva-Clarithromycin 500mg tab TEV 1.6293

clarithromycin 25mg/mL o/l (exception status)

02390442 Accel-Clarithromycin 125mg/5mL o/l ACC 0.2047

02146908 Biaxin 125mg/5mL o/l ABB 0.2047clarithromycin 50mg/mL o/l (exception status)

02390450 Accel-Clarithromycin 250mg/5mL o/l ACC 0.3998

02244641 Biaxin 250mg/5mL o/l ABB 0.3998clindamycin 150mg/mL (bulk) inj 02230535 Clindamycin 150mg/mL (bulk) inj SDZ 3.3250

00260436 Dalacin C Phos 150mg/mL (bulk) inj PFI 3.3250clindamycin 150mg cap 02245232 Apo-Clindamycin 150mg cap APX 0.3294

00030570 Dalacin C 150mg cap PFI 0.329402258331 MYLAN-Clindamycin 150mg cap MYL 0.329402241709 Teva-Clindamycin 150mg cap TEV 0.3294

clindamycin 300mg cap 02245233 Apo-Clindamycin 300mg cap APX 0.658802182866 Dalacin C 300mg cap PFI 0.658802258358 MYLAN-Clindamycin 300mg cap MYL 0.658802241710 Novo-Clindamycin 300mg cap TEV 0.6588

clindamycin 150mg/mL inj 02230540 Clindamycin 150mg/mL inj SDZ 3.325000260436 Dalacin C Phos 150mg/mL inj PFI 3.3250

clindamycin 1% top sol 00582301 Dalacin T 1% top sol PFI 0.226002266938 Taro-Clindamycin 1% top sol TAR 0.2260

clobazam 10mg tab 02244638 Apo-Clobazam 10mg tab APX 0.153802221799 Frisium 10mg tab OVN 0.153802238334 Novo-Clobazam 10mg tab TEV 0.153802244474 pms-Clobazam 10mg tab PMS 0.1538

clobetasol 17-propionate 0.05% cr 02213265 Dermovate 0.05% cr TPH 0.227902024187 MYLAN-Clobetasol 0.05% cr MYL 0.227902093162 Novo-Clobetasol 0.05% cr TEV 0.227902309521 pms-Clobetasol 0.05% cr PMS 0.227902232191 pms-Clobetasol 0.05% cr (discontinued) PMS 0.227901910272 ratio-Clobetasol 0.05% cr TEV 0.227902245523 Taro-Clobetasol 0.05% cr TAR 0.2279

clobetasol 17-propionate 0.05% oint 02213273 Dermovate 0.05% oint TPH 0.227902026767 MYLAN-Clobetasol 0.05% oint MYL 0.2279



21




Generic Name and Strength DIN Brand MFR MRP PRPclobetasol 17-propionate 0.05% oint 02126192 Novo-Clobetasol 0.05% oint TEV 0.2279

02309548 pms-Clobetasol 0.05% oint PMS 0.227901910280 ratio-Clobetasol 0.05% oint TEV 0.227902245524 Taro-Clobetasol 0.05% oint TAR 0.2279

clobetasol 17-propionate 0.05% scalp lot 02213281 Dermovate 0.05% scalp lot TPH 0.199002216213 MYLAN-Clobetasol 0.05% scalp lot MYL 0.199002232195 pms-Clobetasol 0.05% scalp lot PMS 0.199001910299 ratio-Clobetasol 0.05% scalp lot TEV 0.199002245522 Taro-Clobetasol 0.05% scalp lot TAR 0.1990

clomipramine 10mg tab 00330566 Anafranil 10mg tab ORX 0.129002040786 Apo-Clomipramine 10mg tab APX 0.129002244816 CO Clomipramine 10mg tab COB 0.1290



clonazepam 0.5mg tab 02177889 Apo-Clonazepam 0.5mg tab APX 0.069402270641 CO Clonazepam 0.5mg tab COB 0.069402230950 MYLAN-Clonazepam 0.5mg tab MYL 0.069402239024 Novo-Clonazepam 0.5mg tab TEV 0.069402236948 phl-Clonazepam-R 0.5mg tab PHL 0.069402048701 pms-Clonazepam 0.5mg tab PMS 0.069402207818 pms-Clonazepam-R 0.5mg tab PMS 0.069400382825 Rivotril 0.5mg tab HLR 0.069402233960 Sandoz Clonazepam 0.5mg tab SDZ 0.069402345676 Zym-Clonazepam 0.5mg tab ZYM 0.0694

clonazepam 1mg tab 02145235 phl-Clonazepam 1mg tab PHL 0.148702048728 pms-Clonazepam 1mg tab PMS 0.1487

clonazepam 2mg tab 02177897 Apo-Clonazepam 2mg tab APX 0.119602270676 CO Clonazepam 2mg tab COB 0.119602230951 MYLAN-Clonazepam 2mg tab MYL 0.119602239025 Novo-Clonazepam 2mg tab TEV 0.119602145243 phl-Clonazepam 2mg tab PHL 0.119602048736 pms-Clonazepam 2mg tab PMS 0.119600382841 Rivotril 2mg tab HLR 0.119602233985 Sandoz Clonazepam 2mg tab SDZ 0.119602303337 Zym-Clonazepam 2mg tab ZYM 0.1196

clonidine HCl 0.025mg tab 00519251 Dixarit 0.025mg tab BOE 0.152302304163 Novo-Clonidine 0.025mg tab TEV 0.1523

clonidine HCl 0.1mg tab 00259527 Catapres 0.1mg tab BOE 0.135802046121 Novo-Clonidine 0.1mg tab TEV 0.1358

clonidine HCl 0.2mg tab 00291889 Catapres 0.2mg tab BOE 0.2424



21




Generic Name and Strength DIN Brand MFR MRP PRPclonidine HCl 0.2mg tab 02046148 Novo-Clonidine 0.2mg tab TEV 0.2424clopidogrel 75mg tab (exception status) 02252767 Apo-Clopidogrel 75mg tab APX 0.9206

02303027 CO Clopidogrel 75mg tab COB 0.920602351536 MYLAN-Clopidogrel 75mg tab MYL 0.920602238682 Plavix 75mg tab BRI 0.920602348004 pms-Clopidogrel 75mg tab PMS 0.920602379813 RAN-Clopidogrel 75mg tab RAN 0.920602359316 Sandoz Clopidogrel 75mg tab SDZ 0.920602293161 Teva-Clopidogrel 75mg tab TEV 0.9206

clorazepate dipotassium 3.75mg cap 00860689 Apo-Clorazepate 3.75mg cap APX 0.1476clorazepate dipotassium 7.5mg cap 00860700 Apo-Clorazepate 7.5mg cap APX 0.1810clorazepate dipotassium 15mg cap 00860697 Apo-Clorazepate 15mg cap APX 0.3259clotrimazole 1% cr 02150867 Canesten 1% cr YNO 0.0884

00812382 Clotrimaderm 1% cr TAR 0.0884clotrimazole 1% vag cr 02150891 Canesten 1% vag cr YNO 0.1750

00812366 Clotrimaderm 1% vag cr TAR 0.1750clotrimazole 2% vag cr 02150905 Canesten 2% vag cr YNO 0.3500

00812374 Clotrimaderm 2% vag cr TAR 0.3500cloxacillin 250mg cap 00337765 Novo-Cloxin 250mg cap TEV 0.3515cloxacillin 500mg cap 00337773 Novo-Cloxin 500mg cap TEV 0.6646cloxacillin 25mg/mL o/l 00337757 Novo-Cloxin 25mg/mL o/l TEV 0.0855cromoglycate sodium 1% unit dose inh sol 02046113 pms-Sodium Cromoglycate 1% neb sol PMS 0.8351cromoglycate sodium 2% nasal sol 01950541 Rhinaris-CS Anti-Allergic nasal mist PMS 0.5292cromoglycate sodium 2% oph sol 02009277 Cromolyn 2% oph sol PDP 0.9500

02230621 Opticrom 2% oph sol ALL 0.9500cyanocobalamin 100mcg/mL inj 02241500 Vitamin B12 100mcg/mL inj SDZ 1.4500cyclobenzaprine HCl 10mg tab 02177145 Apo-Cyclobenzaprine 10mg tab APX 0.3727

02348853 Auro-Cyclobenzaprine 10mg tab ARO 0.372702287064 Cyclobenzaprine 10mg tab SAS 0.372702357127 Jamp-Cyclobenzaprine 10mg tab JPC 0.372702231353 MYLAN-Cyclobenzaprine 10mg tab MYL 0.372702080052 Novo-Cycloprine 10mg tab TEV 0.372702249359 phl-Cyclobenzaprine 10mg tab PHL 0.372702212048 pms-Cyclobenzaprine 10mg tab PMS 0.3727

cyclosporine 25mg cap (exception status) 02150689 Neoral 25mg cap NVR 1.305002247073 Sandoz Cyclosporine 25mg cap SDZ 1.3050

cyclosporine 50mg cap (exception status) 02150662 Neoral 50mg cap NVR 2.545002247074 Sandoz Cyclosporine 50mg cap SDZ 2.5450

cyclosporine 100mg cap (exception status) 02150670 Neoral 100mg cap NVR 5.0900

02242821 Sandoz Cyclosporine 100mg cap SDZ 5.0900cyclosporine 100mg/mL o/l (exception status)

02244324 Apo-Cyclosporine 100mg/mL o/l APX 3.7708

02150697 Neoral 100mg/mL o/l NVR 3.7708



21




Generic Name and Strength DIN Brand MFR MRP PRPcyproterone 50mg tab 00704431 Androcur 50mg tab PMS 1.5283

02245898 Cyproterone 50mg tab AAP 1.528302390760 MED-Cyproterone 50mg tab GMP 1.5283

dasatinib 50mg cap (exception status) 02293137 Sprycel 50mg cap BRI 78.0658dasatinib 100mg cap (exception status) 02320193 Sprycel 100mg cap BRI 154.4823deferasirox 125mg tab (exception status) 02287420 Exjade 125mg tab for susp NVR 11.0714deferasirox 250mg tab (exception status) 02287439 Exjade 250mg tab for susp NVR 22.1421deferasirox 500mg tab (exception status) 02287447 Exjade 500mg tab for susp NVR 44.2850deferoxamine 500mg/vial inj 01981242 Desferal 500mg/vial inj NVR 7.4800

02241600 Desferrioxamine 500mg/vial inj HOS 7.480002242055 pms-Deferoxamine 500mg/vial inj PMS 7.4800

desipramine 10mg tab 02216248 Apo-Desipramine 10mg tab APX 0.3804desipramine 25mg tab 02216256 Apo-Desipramine 25mg tab APX 0.3804desipramine 50mg tab 02216264 Apo-Desipramine 50mg tab APX 0.6704desipramine 75mg tab 02216272 Apo-Desipramine 75mg tab APX 0.8915desipramine 100mg tab 02216280 Apo-Desipramine 100mg tab APX 0.8915desmopressin 0.1mg tab (exception status)

02284030 Apo-Desmopressin 0.1mg tab APX 0.4626

00824305 DDAVP 0.1mg tab FEI 0.462602287730 Novo-Desmopressin 0.1mg tab TEV 0.462602304368 pms-Desmopressin 0.1mg tab PMS 0.4626

desmopressin 0.2mg tab (exception status)

02284049 Apo-Desmopressin 0.2mg tab APX 0.9251

00824143 DDAVP 0.2mg tab FEI 0.925102287749 Novo-Desmopressin 0.2mg tab TEV 0.925102304376 pms-Desmopressin 0.2mg tab PMS 0.9251

desmopressin 60mcg SL tab (exception status)

02284995 DDAVP Melt 60mcg SL tab FEI 0.4626

desmopressin 120mcg SL tab (exception status)

02285002 DDAVP Melt 120mcg SL tab FEI 0.9251

desogestrel 150mcg and ethinyl estradiol 30mcg tab (21)

02317192 Apri 21 tab 21 day APX 0.5436

02042487 Marvelon 21 tab 21 day ORG 0.5436desogestrel 150mcg and ethinyl estradiol 30mcg tab (28)

02317206 Apri 28 tab 28 day APX 0.4077

02042479 Marvelon 28 tab 28 day ORG 0.4077desonide 0.05% cr 02229315 pms-Desonide 0.05% cr PMS 0.3349desonide 0.05% oint 02229323 pms-Desonide 0.05% oint PMS 0.3177dexamethasone 0.5mg tab 02261081 Apo-Dexamethasone 0.5mg tab APX 0.1095

01964976 pms-Dexamethasone 0.5mg tab PMS 0.1095dexamethasone 0.75mg tab 01964968 pms-Dexamethasone 0.75mg tab PMS 0.4500dexamethasone 4mg tab 02250055 Apo-Dexamethasone 4mg tab APX 0.4265

00489158 Dexasone 4mg tab VLN 0.426501964070 pms-Dexamethasone 4mg tab PMS 0.4265

dexamethasone 4mg/mL inj 01977547 Dexamethasone 4mg/mL inj CYI 1.6060



21




Generic Name and Strength DIN Brand MFR MRP PRPdexamethasone 4mg/mL inj 00664227 Dexamethasone 4mg/mL inj SDZ 1.6060dexamethasone 0.1% oph/otic sol 00739839 Sandoz Dexamethasone 0.1% oph/otic sol SDZ 1.4060diazepam 5mg tab 00362158 Apo-Diazepam 5mg tab APX 0.0650

00013285 Valium 5mg tab HLR 0.0650diazepam 10mg tab 00405337 Apo-Diazepam 10mg tab APX 0.0867diazepam 5mg/mL inj 00399728 Diazepam 5mg/mL inj SDZ 0.7850diclofenac sodium 25mg EC tab 00839175 Apo-Diclo 25mg EC tab APX 0.1094

00808539 Novo-Difenac 25mg EC tab TEV 0.109402302616 pms-Diclofenac 25mg EC tab PMS 0.109402261952 Sandoz Diclofenac 25mg EC tab SDZ 0.1094

diclofenac sodium 50mg EC tab 00839183 Apo-Diclo 50mg EC tab APX 0.233302352397 Diclofenac Sodium 50mg tab SAS 0.233300808547 Novo-Difenac 50mg EC tab TEV 0.233302302624 pms-Diclofenac 50mg EC tab PMS 0.233302261960 Sandoz Diclofenac 50mg EC tab SDZ 0.233300514012 Voltaren 50mg EC tab NVR 0.2333

diclofenac sodium 75mg SR tab 02162814 Apo-Diclo 75mg SR tab APX 0.350002352400 Diclofenac Sodium 75mg SR tab SAS 0.350002158582 Novo-Difenac 75mg SR tab TEV 0.350002231504 pms-Diclofenac 75mg SR tab PMS 0.350002261901 Sandoz Diclofenac 75mg SR tab SDZ 0.350000782459 Voltaren 75mg SR tab NVR 0.3500

diclofenac sodium 100mg SR tab 02091194 Apo-Diclo 100mg SR tab APX 0.578802048698 Novo-Difenac 100mg SR tab TEV 0.578802231505 pms-Diclofenac 100mg SR tab PMS 0.578802261944 Sandoz Diclofenac 100mg SR tab SDZ 0.578800590827 Voltaren 100mg SR tab NVR 0.5788

diclofenac sodium 50mg supp 02231506 pms-Diclofenac 50mg supp PMS 0.467002261928 Sandoz Diclofenac 50mg supp SDZ 0.467000632724 Voltaren 50mg supp NVR 0.4670

diclofenac sodium 100mg supp 02231508 pms-Diclofenac 100mg supp PMS 0.628602261936 Sandoz Diclofenac 100mg supp SDZ 0.628600632732 Voltaren 100mg supp NVR 0.6286

diflunisal 250mg tab 02039486 Apo-Diflunisal 250mg tab APX 0.175002048493 Novo-Diflunisal 250mg tab TEV 0.1750

diflunisal 500mg tab 02039494 Apo-Diflunisal 500mg tab APX 0.3500dihydroergotamine 1mg/mL inj 02241163 Dihydroergotamine 1mg/mL inj SDZ 3.7933diltiazem 120mg CD cap 02230997 Apo-Diltiaz 120mg CD cap APX 0.5174

02097249 Cardizem 120mg CD cap BVL 0.517402370611 CO Diltiazem CD 120mg cap COB 0.517402242538 Novo-Diltazem 120mg CD cap TEV 0.517402355752 pms-Diltiazem CD 120mg cap PMS 0.517402229781 ratio-Diliazem 120mg CD cap (discontinued) TEV 0.517402243338 Sandoz Diltiazem 120mg CD cap SDZ 0.5174



21




Generic Name and Strength DIN Brand MFR MRP PRPdiltiazem 180mg CD cap 02230998 Apo-Diltiaz 180mg CD cap APX 0.6869

02097257 Cardizem 180mg CD cap BVL 0.686902370638 CO Diltiazem CD 180mg cap COB 0.686902242539 Novo-Diltazem 180mg CD cap TEV 0.686902355760 pms-Diltiazem CD 180mg cap PMS 0.686902229782 ratio-Diliazem 180mg CD cap (discontinued) TEV 0.686902243339 Sandoz Diltiazem 180mg CD cap SDZ 0.6869

diltiazem 240mg CD cap 02230999 Apo-Diltiaz 240mg CD cap APX 0.911102097265 Cardizem 240mg CD cap BVL 0.911102370646 CO Diltiazem CD 240mg cap COB 0.911102242540 Novo-Diltazem 240mg CD cap TEV 0.911102355779 pms-Diltiazem CD 240mg cap PMS 0.911102229783 ratio-Diliazem 240mg CD cap (discontinued) TEV 0.911102243340 Sandoz Diltiazem 240mg CD cap SDZ 0.9111

diltiazem 300mg CD cap 02229526 Apo-Diltiaz 300mg CD cap APX 1.138802097273 Cardizem 300mg CD cap BVL 1.138802370654 CO Diltiazem CD 300mg cap COB 1.138802242541 Novo-Diltazem 300mg CD cap TEV 1.138802355787 pms-Diltiazem CD 300mg cap PMS 1.138802229784 ratio-Diliazem 300mg CD cap (discontinued) TEV 1.138802243341 Sandoz Diltiazem 300mg CD cap SDZ 1.1388

diltiazem 120mg ER cap 02291037 Apo-Diltiaz TZ 120mg ER cap APX 0.298702370441 CO Diltiazem T 120mg cap COB 0.298702271605 Novo-Diltiazem HCL 120mg ER cap TEV 0.298702245918 Sandoz Diltiazem T 120mg ER cap SDZ 0.298702231150 Tiazac 120mg ER cap BVL 0.2987




diltiazem 360mg ER cap 02291088 Apo-Diltiaz TZ 360mg ER cap APX 0.808902370522 CO Diltiazem T 360mg cap COB 0.808902271656 Novo-Diltiazem HCL 360mg ER cap TEV 0.808902245922 Sandoz Diltiazem T 360mg ER cap SDZ 0.8089



21




Generic Name and Strength DIN Brand MFR MRP PRPdiltiazem 360mg ER cap 02231155 Tiazac 360mg ER cap BVL 0.8089diltiazem HCl 30mg tab 00771376 Apo-Diltiaz 30mg tab APX 0.1866

00862924 Novo-Diltazem 30mg tab TEV 0.1866diltiazem HCl 60mg tab 00771384 Apo-Diltiaz 60mg tab APX 0.3273

00862932 Novo-Diltazem 60mg tab TEV 0.3273dimenhydrinate 10mg/mL IV inj 00392731 Dimenhydrinate 10mg/mL IV amp SDZ 0.3520dimenhydrinate 50mg/mL IM inj 00392537 Dimenhydrinate 50mg/mL IM inj SDZ 1.1500

00013579 Gravol I 50mg/mL IM inj CHU 1.1500dimethyl sulfoxide 500mg/g (50%) irr sol 02243231 Dimethyl Sulfoxide 50% irr sol SDZ 1.1840

00493392 Rimso 50% irr sol BCH 1.1840dipyridamole 25mg tab 00895644 Apo-Dipyridamole-FC 25mg tab APX 0.2633dipyridamole 50mg tab 00895652 Apo-Dipyridamole-FC 50mg tab APX 0.2932dipyridamole 75mg tab 00895660 Apo-Dipyridamole-FC 75mg tab APX 0.4397divalproex sodium 125mg tab 02239698 Apo-Divalproex 125mg tab APX 0.1032

00596418 Epival 125mg tab ABB 0.103202239701 Novo-Divalproex 125mg tab TEV 0.1032

divalproex sodium 250mg tab 02239699 Apo-Divalproex 250mg tab APX 0.185500596426 Epival 250mg tab ABB 0.185502239702 Novo-Divalproex 250mg tab TEV 0.1855

divalproex sodium 500mg tab 02239700 Apo-Divalproex 500mg tab APX 0.371100596434 Epival 500mg tab ABB 0.371102239703 Novo-Divalproex 500mg tab TEV 0.3711

dobutamine 12.5mg/mL inj 02242010 Dobutamine 12.5mg/mL inj SDZ 1.4885domperidone maleate 10mg tab 02103613 Apo-Domperidone 10mg tab APX 0.0832

02350440 Domperidone 10mg tab SAS 0.083202369206 Jamp-Domperidone 10mg tab JPC 0.083202278669 MYLAN-Domperidone 10mg tab MYL 0.083202236466 pms-Domperidone 10mg tab PMS 0.083202268078 RAN-Domperidone 10mg tab RAN 0.083201912070 ratio-Domperidone 10mg tab TEV 0.083202157195 Teva-Domperidone 10mg tab TEV 0.0832

dorzolamide HCI 2% oph sol 02316307 Sandoz Dorzolamide 2% oph sol SDZ 1.327902216205 Trusopt 2% oph sol MSD 1.3279

dorzolamide HCI 2% & timolol maleate 0.5% oph sol

02299615 Apo-Dorzo-Timop 2%/0.5% oph sol APX 2.0097

02240113 Cosopt 2%/0.5% oph sol MSD 2.009702344351 Sandoz Dorzolamide/Timolol 2%/0.5% oph sol SDZ 2.009702320525 Teva-Dorzotimol 2%/0.5% oph sol TEV 2.0097

doxazosin 1mg tab 02240588 Apo-Doxazosin 1mg tab APX 0.198901958100 Cardura-1 1mg tab PFI 0.198902240498 MYLAN-Doxazosin 1mg tab MYL 0.198902242728 Novo-Doxazosin 1mg tab TEV 0.198902244527 pms-Doxazosin 1mg tab PMS 0.1989

doxazosin 2mg tab 02240589 Apo-Doxazosin 2mg tab APX 0.2385



21




Generic Name and Strength DIN Brand MFR MRP PRPdoxazosin 2mg tab 01958097 Cardura-2 2mg tab PFI 0.2385

02240499 MYLAN-Doxazosin 2mg tab MYL 0.238502242729 Novo-Doxazosin 2mg tab TEV 0.238502244528 pms-Doxazosin 2mg tab PMS 0.2385

doxazosin 4mg tab 02240590 Apo-Doxazosin 4mg tab APX 0.310201958119 Cardura-4 4mg tab PFI 0.310202240500 MYLAN-Doxazosin 4mg tab MYL 0.310202242730 Novo-Doxazosin 4mg tab TEV 0.310202244529 pms-Doxazosin 4mg tab PMS 0.3102

doxepin HCl 10mg cap 02049996 Apo-Doxepin 10mg cap APX 0.188900024325 Sinequan 10mg cap ERF 0.1889

doxepin HCl 25mg cap 02050005 Apo-Doxepin 25mg cap APX 0.214001913425 Novo-Doxepin 25mg cap TEV 0.214000024333 Sinequan 25mg cap ERF 0.2140




doxepin HCl 150mg cap 01913476 Novo-Doxepin 150mg cap TEV 1.1507doxycycline 100mg cap 00740713 Apo-Doxy 100mg cap APX 0.5949

02351234 Doxycycline 100mg cap SAS 0.594900725250 Novo-Doxylin 100mg cap TEV 0.594900024368 Vibramycin 100mg cap PFI 0.5949

doxycycline 100mg tab (Vibra-tabs) 00874256 Apo-Doxy 100mg tab APX 0.586002351242 Doxycycline 100mg tab SAS 0.586002158574 Novo-Doxylin 100mg tab TEV 0.5860

enalapril 2.5mg tab 02020025 Apo-Enalapril 2.5mg tab APX 0.273702291878 CO Enalapril 2.5mg tab COB 0.273702300036 MYLAN-Enalapril 2.5mg tab MYL 0.273702300680 Novo-Enalapril 2.5mg tab TEV 0.273702352230 RAN-Enalapril 2.5mg tab RAN 0.273702299933 Sandoz Enalapril 2.5mg tab SDZ 0.273700851795 Vasotec 2.5mg tab FRS 0.2737

enalapril 5mg tab 02019884 Apo-Enalapril 5mg tab APX 0.323902291886 CO Enalapril 5mg tab COB 0.323902300044 MYLAN-Enalapril 5mg tab MYL 0.323902233005 Novo-Enalapril 5mg tab TEV 0.323902352249 RAN-Enalapril 5mg tab RAN 0.323902299941 Sandoz Enalapril 5mg tab SDZ 0.3239



21




Generic Name and Strength DIN Brand MFR MRP PRPenalapril 5mg tab 00708879 Vasotec 5mg tab FRS 0.3239enalapril 10mg tab 02019892 Apo-Enalapril 10mg tab APX 0.3891

02291894 CO Enalapril 10mg tab COB 0.389102300052 MYLAN-Enalapril 10mg tab MYL 0.389102233006 Novo-Enalapril 10mg tab TEV 0.389102352257 RAN-Enalapril 10mg tab RAN 0.389102299968 Sandoz Enalapril 10mg tab SDZ 0.389100670901 Vasotec 10mg tab FRS 0.3891

enalapril 20mg tab 02019906 Apo-Enalapril 20mg tab APX 0.469602291908 CO Enalapril 20mg tab COB 0.469602300060 MYLAN-Enalapril 20mg tab MYL 0.469602233007 Novo-Enalapril 20mg tab TEV 0.469602352265 RAN-Enalapril 20mg tab RAN 0.469602299976 Sandoz Enalapril 20mg tab SDZ 0.469600670928 Vasotec 20mg tab FRS 0.4696

enalapril 5mg & hydrochlorothiazide 12.5mg tab

02352923 Apo-Enalapril Maleate/HCTZ 5/12.5mg tab APX 0.4941

02300222 Novo-Enalapril/HCTZ 5/12.5mg tab TEV 0.4941enalapril 10mg & hydrochlorothiazide 25mg tab

02352931 Apo-Enalapril Maleate/HCTZ 10/25mg tab APX 0.6108

02300230 Novo-Enalapril/HCTZ 10/25mg tab TEV 0.610800657298 Vaseretic 10/25mg tab FRS 0.6108

entacapone 200mg tab (exception status) 02243763 Comtan 200mg tab NVR 0.568702390337 MYLAN-Entacapone 200mg tab MYL 0.568702380005 Sandoz Entacapone 200mg tab SDZ 0.568702375559 Teva-Entacapone 200mg tab TEV 0.5687

entecavir 0.5mg tab (exception status) 02396955 Apo-Entecavir 0.5mg tab APX 16.500002282224 Baraclude 0.5mg tab BRI 16.5000

erythromycin base 250mg cap 00726672 Apo-Erythro-EC 250mg cap AAP 0.423200607142 ERYC 250mg cap PFI 0.4232

erythromycin base 333mg cap 01925938 Apo-Erythro-EC 333mg cap AAP 0.470000873454 ERYC 333mg cap PFI 0.4700

erythromycin ethylsuccinate 600mg tab 00637416 Erythro-ES 600mg tab AAP 0.3649erythromycin ethylsuccinate 40mg/mL o/l 00605859 Novo-Rythro EES 200mg/5mL susp TEV 0.0923erythromycin ethylsuccinate 80mg/mL o/l 00652318 Novo-Rythro EES 400mg/5mL susp TEV 0.1398erythropoeietin 2,000iu/mL inj (exception status)

02231583 Eprex 1,000iu/0.5mL syringe inj JAN 30.9225

erythropoeietin 4,000iu/mL inj (exception status)










21




Generic Name and Strength DIN Brand MFR MRP PRPerythropoeietin 10,000iu/mL inj (exception status)





02231587 Eprex 10,000iu/mL syringe inj JAN 154.6125






02240722 Eprex 40,000iu/mL syringe inj JAN 450.3944

estradiol 50mcg/day patch (exception status)

02244000 Estradot 50mcg/day patch NVR 2.4125

02246967 Sandoz Estradiol Derm 50mcg/day patch SDZ 2.4125estradiol 75mcg/day patch (exception status)


02246968 Sandoz Estradiol Derm 75mcg/day patch SDZ 2.5875estradiol 100mcg/day patch (exception status)


02246969 Sandoz Estradiol Derm 100mcg/day patch SDZ 2.7375etanercept 25mg powder for inj (exception status)

02242903 Enbrel 25mg Pdr for inj AGA 210.7558

etanercept 50mg/mL inj (exception status) 02274728 Enbrel 50mg/mL inj AGA 421.6364etidronate 200mg tab 02248686 CO Etidronate 200mg tab COB 0.4997

02245330 MYLAN-Etidronate 200mg tab MYL 0.4997etidronic disodium 400mg & calcium carbonate 500mg tab, sequential kit (exception status)

02263866 CO Etidrocal sequential kit COB 19.9900

02176017 Didrocal sequential kit WNC 19.990002353210 Etidrocal kit SAS 19.990002247323 MYLAN-Eti-Cal carepac MYL 19.990002324199 Novo-Etidronatecal kit TEV 19.9900

etodolac 200mg cap 02232317 Etodolac 200mg cap AAP 0.3500etodolac 300mg cap 02232318 Etodolac 300mg cap AAP 0.3500everolimus 2.5mg tab (exception status) 02369257 Afinitor 2.5mg tab NVR 201.8100everolimus 5mg tab (exception status) 02339501 Afinitor 5mg tab NVR 201.8100everolimus 10mg tab (exception status) 02339528 Afinitor 10mg tab NVR 201.8100exemestane 25mg tab 02242705 Aromasin 25mg tab PFI 3.9008

02390183 CO Exemestane 25mg tab COB 3.9008famciclovir 125mg tab 02292025 Apo-Famciclovir 125mg tab APX 1.3940

02305682 CO Famciclovir 125mg tab COB 1.394002229110 Famvir 125mg tab NVR 1.394002278081 pms-Famciclovir 125mg tab PMS 1.394002278634 Sandoz Famciclovir 125mg tab SDZ 1.3940

famciclovir 250mg tab 02292041 Apo-Famciclovir 250mg tab APX 1.873302305690 CO Famciclovir 250mg tab COB 1.8733



21




Generic Name and Strength DIN Brand MFR MRP PRPfamciclovir 250mg tab 02229129 Famvir 250mg tab NVR 1.8733

02278103 pms-Famciclovir 250mg tab PMS 1.873302278642 Sandoz Famciclovir 250mg tab SDZ 1.8733

famciclovir 500mg tab 02292068 Apo-Famciclovir 500mg tab APX 2.426002305704 CO Famciclovir 500mg tab COB 2.426002177102 Famvir 500mg tab NVR 2.426002278111 pms-Famciclovir 500mg tab PMS 2.426002278650 Sandoz Famciclovir 500mg tab SDZ 2.4260

famotidine 20mg tab 01953842 Apo-Famotidine 20mg tab APX 0.180002351102 Famotidine 20mg tab SAS 0.180002196018 MYLAN-Famotidine 20mg tab MYL 0.180002022133 Novo-Famotidine 20mg tab TEV 0.180000710121 Pepcid 20mg tab FRS 0.1800

famotidine 40mg tab 01953834 Apo-Famotidine 40mg tab APX 0.360002351110 Famotidine 40mg tab SAS 0.360002196026 MYLAN-Famotidine 40mg tab MYL 0.360002022141 Novo-Famotidine 40mg tab TEV 0.360000710113 Pepcid 40mg tab (discontinued) FRS 0.3600

famotidine 10mg/mL inj 02247745 Famotidine Omega 10mg/mL inj HOS 1.9850famotidine 10mg/mL inj (pf) 02247735 Famotidine Omega (PF) 10mg/mL inj HOS 1.9850felodipine 5mg tab (Plendil) 00851779 Plendil 5mg tab AZE 0.4620

02280264 Sandoz Felodipine 5mg tab SDZ 0.4620felodipine 10mg tab (Plendil) 00851787 Plendil 10mg tab AZE 0.6733

02280272 Sandoz Felodipine 10mg tab SDZ 0.6733felodipine 5mg tab (Renedil) 02221993 Renedil 5mg tab SAV 0.4620

02280264 Sandoz Felodipine 5mg tab SDZ 0.4620felodipine 10mg tab (Renedil) 02222000 Renedil 10mg tab SAV 0.6733

02280272 Sandoz Felodipine 10mg tab SDZ 0.6733fenofibrate 67mg cap 02243180 Apo-Feno-Micro 67mg cap APX 0.4325

02243551 Novo-Fenofibrate Micronized 67mg cap TEV 0.4325fenofibrate 100mg tab 02246859 Apo-Feno-Super 100mg tab APX 0.5407

02356570 Fenofibrate-S 100mg tab SAS 0.540702241601 Lipidil Supra 100mg tab SPH 0.540702289083 Novo-Fenofibrate S 100mg tab TEV 0.540702288044 Sandoz Fenofibrate S 100mg tab SDZ 0.5407

fenofibrate 160mg tab 02246860 Apo-Feno-Super 160mg tab APX 0.436202356589 Fenofibrate-S 160mg tab SAS 0.436202241602 Lipidil Supra 160mg tab SPH 0.436202289091 Novo-Fenofibrate S 160mg tab TEV 0.436202288052 Sandoz Fenofibrate S 160mg tab SDZ 0.4362

fenofibrate 200mg cap 02239864 Apo-Feno-Micro 200mg cap APX 0.381202286092 Fenofibrate Micro 200mg cap SAS 0.381202146959 Lipidil Micro 200mg cap SPH 0.381202240210 MYLAN-Fenofibrate Micro 200mg cap MYL 0.3812



21




Generic Name and Strength DIN Brand MFR MRP PRPfenofibrate 200mg cap 02243552 Novo-Fenofibrate Micronized 200mg cap TEV 0.3812

02273551 pms-Fenofibrate Micro 200mg cap PMS 0.381202250039 ratio-Fenofibrate MC 200mg cap TEV 0.3812

fentanyl 12mcg/hr patch (exception status) 02396696 MYLAN-Fentanyl Matrix 12mcg/hr patch MYL 2.2300

02341379 pms-Fentanyl MTX 12mcg/hr patch PMS 2.230002330105 RAN-Fentanyl MTX 12mcg/hr patch RAN 2.230002311925 ratio-Fentanyl 12mcg/hr patch TEV 2.230002327112 Sandoz Fentanyl 12mcg/hr patch SDZ 2.2300

fentanyl 25mcg/hr patch (exception status) 02275813 Duragesic MAT 25mcg/hr patch JAN 4.0236

02396718 MYLAN-Fentanyl Matrix 25mcg/hr patch MYL 4.023602314630 Novo-Fentanyl 25mcg/hr patch TEV 4.023602341387 pms-Fentanyl MTX 25mcg/hr patch PMS 4.023602330113 RAN-Fentanyl MTX 25mcg/hr patch RAN 4.023602282941 ratio-Fentanyl 25mcg/hr patch TEV 4.023602327120 Sandoz Fentanyl 25mcg/hr patch SDZ 4.0236





fentanyl 100mcg/hr patch (exception status)

02275856 Duragesic MAT 100mcg/hr patch JAN 13.2559


finasteride 5mg tab 02365383 Apo-Finasteride 5mg tab APX 0.653102354462 CO Finasteride 5mg tab COB 0.653102355043 Finasteride 5mg tab AHC 0.653102357224 Jamp-Finasteride 5mg tab JPC 0.653102389878 MINT-Finasteride 5mg tab MNT 0.6531



21




Generic Name and Strength DIN Brand MFR MRP PRPfinasteride 5mg tab 02356058 MYLAN-Finasteride 5mg tab MYL 0.6531

02348500 Novo-Finasteride 5mg tab TEV 0.653102310112 pms-Finasteride 5mg tab PMS 0.653102010909 Proscar 5mg tab FRS 0.653102371820 RAN-Finasteride 5mg tab RAN 0.653102306905 ratio-Finasteride 5mg tab TEV 0.653102322579 Sandoz Finasteride 5mg tab SDZ 0.6531

flecainide 50mg tab 02275538 Flecainide 50mg tab AAP 0.429201966197 Tambocor 50mg tab MDS 0.4292

flecainide 100mg tab 02275546 Flecainide 100mg tab AAP 0.858501966200 Tambocor 100mg tab MDS 0.8585

floctafenine 200mg tab 02244680 Floctafenine 200mg tab AAP 0.1167floctafenine 400mg tab 02244681 Floctafenine 400mg tab AAP 0.2333fluconazole 50mg tab 02237370 Apo-Fluconazole 50mg tab APX 1.8066

02281260 CO Fluconazole 50mg tab COB 1.806602245292 MYLAN-Fluconazole 50mg tab MYL 1.806602236978 Novo-Fluconazole 50mg tab TEV 1.806602245643 pms-Fluconazole 50mg tab PMS 1.8066

fluconazole 100mg tab 02237371 Apo-Fluconazole 100mg tab APX 3.204802281279 CO Fluconazole 100mg tab COB 3.204802245293 MYLAN-Fluconazole 100mg tab MYL 3.204802236979 Novo-Fluconazole 100mg tab TEV 3.204802245644 pms-Fluconazole 100mg tab PMS 3.2048

fluconazole 150mg cap 02241895 Apo-Fluconazole 150mg cap APX 7.072502282348 pms-Fluconazole 150mg cap PMS 7.0725

flunarizine 5mg cap 02246082 Flunarizine 5mg cap AAP 0.7817fluocinonide 0.05% cr 02161923 Lidex 0.05% cr VAL 0.2444

00716863 Lyderm 0.05% cr TPH 0.2444fluocinonide 0.05% gel 02236997 Lyderm 0.05% gel TPH 0.3418

02161974 Topsyn 0.05% gel MDS 0.3418fluocinonide 0.05% oint 02161966 Lidex 0.05% oint VAL 0.3370

02236996 Lyderm 0.05% oint TPH 0.3370fluorometholone 0.1% oph susp 00247855 FML Liquifilm 0.1% oph susp ALL 1.7880

00432814 Sandoz Fluorometholone 0.1% oph susp SDZ 1.7880fluoxetine 10mg cap 02216353 Apo-Fluoxetine 10mg cap APX 0.8650

02385627 Auro-Fluoxetine 10mg cap ARO 0.865002242177 CO Fluoxetine 10mg cap COB 0.865002286068 Fluoxetine 10mg cap SAS 0.865002380560 MINT-Fluoxetine 10mg cap MNT 0.865002237813 MYLAN-Fluoxetine 10mg cap MYL 0.865002223481 phl-Fluoxetine 10mg cap PHL 0.865002177579 pms-Fluoxetine 10mg cap PMS 0.865002018985 Prozac 10mg cap LIL 0.865002241371 ratio-Fluoxetine 10mg cap TEV 0.8650



21




Generic Name and Strength DIN Brand MFR MRP PRPfluoxetine 10mg cap 02243486 Sandoz Fluoxetine 10mg cap SDZ 0.8650

02216582 Teva-Fluoxetine 10mg cap TEV 0.865002302659 Zym-Fluoxetine 10mg cap ZYM 0.8650

fluoxetine 20mg cap 02216361 Apo-Fluoxetine 20mg cap APX 0.643802385635 Auro-Fluoxetine 20mg cap ARO 0.643802242178 CO Fluoxetine 20mg cap COB 0.643802286076 Fluoxetine 20mg cap SAS 0.643802383241 Fluoxetine BP 20mg cap AHI 0.643802386402 Jamp-Fluoxetine 20mg cap JPC 0.643802380579 MINT-Fluoxetine 20mg cap MNT 0.643802237814 MYLAN-Fluoxetine 20mg cap MYL 0.643802223503 phl-Fluoxetine 20mg cap PHL 0.643802177587 pms-Fluoxetine 20mg cap PMS 0.643800636622 Prozac 20mg cap LIL 0.643802241374 ratio-Fluoxetine 20mg cap TEV 0.643802243487 Sandoz Fluoxetine 20mg cap SDZ 0.643802216590 Teva-Fluoxetine 20mg cap TEV 0.643802302667 Zym-Fluoxetine 20mg cap ZYM 0.6438

flurbiprofen 50mg tab 00647942 Ansaid 50mg tab (discontinued) PFI 0.175001912046 Apo-Flurbiprofen 50mg tab APX 0.175002100509 Novo-Flurprofen 50mg tab TEV 0.1750

flurbiprofen 100mg tab 00600792 Ansaid 100mg tab (discontinued) PFI 0.303901912038 Apo-Flurbiprofen 100mg tab APX 0.303902100517 Novo-Flurprofen 100mg tab TEV 0.3039

flutamide 250mg tab 02238560 Apo-Flutamide 250mg tab APX 1.353000637726 Euflex 250mg tab SCH 1.353002230089 Novo-Flutamide 250mg tab TEV 1.353002230104 pms-Flutamide 250mg tab PMS 1.3530

fluvastatin 20mg cap 02061562 Lescol 20mg cap NVR 0.704802299224 Teva-Fluvastatin 20mg cap TEV 0.7048

fluvastatin 40mg cap 02061570 Lescol 40mg cap NVR 0.989602299232 Teva-Fluvastatin 40mg cap TEV 0.9896

fluvoxamine 50mg tab 02231329 Apo-Fluvoxamine 50mg tab APX 0.300002255529 CO Fluvoxamine 50mg tab COB 0.300001919342 Luvox 50mg tab SPH 0.300002239953 Novo-Fluvoxamine 50mg tab TEV 0.300002240682 pms-Fluvoxamine 50mg tab PMS 0.300002218453 ratio-Fluvoxamine 50mg tab TEV 0.3000

fluvoxamine 100mg tab 02231330 Apo-Fluvoxamine 100mg tab APX 0.539202255537 CO Fluvoxamine 100mg tab COB 0.539201919369 Luvox 100mg tab SPH 0.539202239954 Novo-Fluvoxamine 100mg tab TEV 0.539202240683 pms-Fluvoxamine 100mg tab PMS 0.539202218461 ratio-Fluvoxamine 100mg tab TEV 0.5392



21




Generic Name and Strength DIN Brand MFR MRP PRPfosinopril 10mg tab 02266008 Apo-Fosinopril 10mg tab APX 0.3049

02331004 Jamp-Fosinopril 10mg tab JPC 0.304901907107 Monopril 10mg tab BRI 0.304902262401 MYLAN-Fosinopril 10mg tab MYL 0.304902294524 RAN-Fosinopril 10mg tab RAN 0.304902247802 Teva-Fosinopril 10mg tab TEV 0.3049

fosinopril 20mg tab 02266016 Apo-Fosinopril 20mg tab APX 0.366602331012 Jamp-Fosinopril 20mg tab JPC 0.366601907115 Monopril 20mg tab BRI 0.366602262428 MYLAN-Fosinopril 20mg tab MYL 0.366602294532 RAN-Fosinopril 20mg tab RAN 0.366602247803 Teva-Fosinopril 20mg tab TEV 0.3666

furosemide 20mg tab 00396788 Apo-Furosemide 20mg tab APX 0.037302351420 Furosemide 20mg tab SAS 0.037302224690 Lasix 20mg tab (discontinued) SAV 0.037300337730 Novo-Semide 20mg tab TEV 0.0373

furosemide 40mg tab 00362166 Apo-Furosemide 40mg tab APX 0.055802351439 Furosemide 40mg tab SAS 0.055802224704 Lasix 40mg tab SAV 0.055800337749 Novo-Semide 40mg tab TEV 0.0558

furosemide 80mg tab 00707570 Apo-Furosemide 80mg tab APX 0.122002351447 Furosemide 80mg tab SAS 0.122000765953 Novo-Semide 80mg tab TEV 0.1220

gabapentin 100mg cap 02244304 Apo-Gabapentin 100mg cap APX 0.146002321203 Auro-Gabapentin 100mg cap ARO 0.146002256142 CO Gabapentin 100mg cap COB 0.146002353245 Gabapentin 100mg cap SAS 0.146002285819 GD-Gabapentin 100mg cap GMD 0.146002361469 Jamp-Gabapentin 100mg cap JPC 0.146002248259 MYLAN-Gabapentin 100mg cap MYL 0.146002084260 Neurontin 100mg cap PFI 0.146002246314 phl-Gabapentin 100mg cap PHL 0.146002243446 pms-Gabapentin 100mg cap PMS 0.146002319055 RAN-Gabapentin 100mg cap RAN 0.146002244513 Teva-Gabapentin 100mg cap TEV 0.1460

gabapentin 300mg cap 02244305 Apo-Gabapentin 300mg cap APX 0.355302321211 Auro-Gabapentin 300mg cap ARO 0.355302256150 CO Gabapentin 300mg cap COB 0.355302353253 Gabapentin 300mg cap SAS 0.355302285827 GD-Gabapentin 300mg cap GMD 0.355302361485 Jamp-Gabapentin 300mg cap JPC 0.355302248260 MYLAN-Gabapentin 300mg cap MYL 0.355302084279 Neurontin 300mg cap PFI 0.355302246315 phl-Gabapentin 300mg cap PHL 0.355302243447 pms-Gabapentin 300mg cap PMS 0.3553



21




Generic Name and Strength DIN Brand MFR MRP PRPgabapentin 300mg cap 02319063 RAN-Gabapentin 300mg cap RAN 0.3553

02244514 Teva-Gabapentin 300mg cap TEV 0.3553gabapentin 400mg cap 02244306 Apo-Gabapentin 400mg cap APX 0.4233

02321238 Auro-Gabapentin 400mg cap ARO 0.423302256169 CO Gabapentin 400mg cap COB 0.423302353261 Gabapentin 400mg cap SAS 0.423302285835 GD-Gabapentin 400mg cap GMD 0.423302361493 Jamp-Gabapentin 400mg cap JPC 0.423302248261 MYLAN-Gabapentin 400mg cap MYL 0.423302084287 Neurontin 400mg cap PFI 0.423302246316 phl-Gabapentin 400mg cap PHL 0.423302243448 pms-Gabapentin 400mg cap PMS 0.423302319071 RAN-Gabapentin 400mg cap RAN 0.423302260905 ratio-Gabapentin 400mg cap TEV 0.423302244515 Teva-Gabapentin 400mg cap TEV 0.4233

gabapentin 600mg tab 02293358 Apo-Gabapentin 600mg tab APX 0.635002285843 GD-Gabapentin 600mg tab GMD 0.635002239717 Neurontin 600mg tab PFI 0.635002248457 Teva-Gabapentin 600mg tab TEV 0.6350

gabapentin 800mg tab 02293366 Apo-Gabapentin 800mg tab APX 0.846702285851 GD-Gabapentin 800mg tab GMD 0.846702239718 Neurontin 800mg tab PFI 0.846702247346 Teva-Gabapentin 800mg tab TEV 0.8467

galantamine 8mg ER cap (exception status)

02339439 MYLAN-Galantamine ER 8mg cap MYL 1.7451

02316943 PAT-Galantamine ER 8mg cap PPH 1.745102266717 Reminyl ER 8mg cap JAN 1.745102377950 Teva-Galantamine ER 8mg cap TEV 1.7451







gemfibrozil 300mg cap 01979574 Apo-Gemfibrozil 300mg cap APX 0.171702185407 MYLAN-Gemfibrozil 300mg cap MYL 0.171702241704 Novo-Gemfibrozil 300mg cap TEV 0.171702239951 pms-Gemfibrozil 300mg cap PMS 0.1717

gemfibrozil 600mg tab 01979582 Apo-Gemfibrozil 600mg tab APX 0.515702230476 MYLAN-Gemfibrozil 600mg tab MYL 0.515702142074 Novo-Gemfibrozil 600mg tab TEV 0.5157



21




Generic Name and Strength DIN Brand MFR MRP PRPgemfibrozil 600mg tab 02230183 pms-Gemfibrozil 600mg tab PMS 0.5157gentamicin 40mg/mL inj 02242652 Gentamicin 40mg/mL inj SDZ 2.9650gentamicin 0.3% otic sol 02229441 Sandoz Gentamicin 0.3% otic sol (discontinued) SDZ 1.0320gliclazide 80mg tab 02245247 Apo-Gliclazide 80mg tab APX 0.1304

00765996 Diamicron 80mg tab SEV 0.130402287072 Gliclazide 80mg tab SAS 0.130402229519 MYLAN-Gliclazide 80mg tab MYL 0.130402238103 Novo-Gliclazide 80mg tab TEV 0.1304

gliclazide MR 30mg tab 02242987 Diamicron MR 30mg tab SEV 0.152402297795 Gliclazide MR 30mg tab AAP 0.1524

glucose testing strips 97799824 Accu-Chek Advantage (100) BOM 0.740097799823 Accu-Chek Advantage (50) BOM 0.740097799814 Accu-Chek AVIVA (100) BOM 0.740097799815 Accu-Chek AVIVA (50) BOM 0.740097799962 Accu-Chek Compact (102) BOM 0.740097799963 Accu-Chek Compact (51) BOM 0.740097799497 Accu-Chek Mobile BG Test Strip Cassette (100) BOM 0.740097799496 Accu-Chek Mobile BG Test Strip Cassette (50) BOM 0.740097799748 Ascensia Breeze 2 Disc (100) BDD 0.740097799749 Ascensia Breeze 2 Disc (50) BDD 0.740097799702 Ascensia Contour (100) BDD 0.740097799703 Ascensia Contour (50) BDD 0.740097799465 BGStar Test Strips (100) SAV 0.675097799464 BGStar Test Strips (50) SAV 0.740097799459 Contour NEXT BG Test Strips (100) BDD 0.698997799460 Contour NEXT BG Test Strips (50) BDD 0.740097799564 EZ Oracle (100) THI 0.738197799829 FreeStyle (100) MID 0.733597799827 FreeStyle (50) MID 0.740097799597 FreeStyle Lite (100) MID 0.733597799596 FreeStyle Lite (50) MID 0.740097799770 iTest (50) AUT 0.691097799458 MyGlucoHealth Glucose Test Strips (50) EHS 0.673097799583 NovaMax (100) NBM 0.740097799584 NovaMax (50) NBM 0.740097799582 On-Call Plus (100) ACO 0.630097799580 On-Call Plus (25) ACO 0.700097799581 On-Call Plus (50) ACO 0.670097799976 OneTouch (100) LFS 0.738197799977 OneTouch (50) LFS 0.740097799982 OneTouch FastTake (100) LFS 0.738197799983 OneTouch FastTake (50) LFS 0.740097799985 OneTouch Ultra (100) LFS 0.738197799986 OneTouch Ultra (50) LFS 0.740097799475 OneTouch Verio Test Strips (100) LFS 0.6943



21




Generic Name and Strength DIN Brand MFR MRP PRPglucose testing strips 97799476 OneTouch Verio Test Strips (50) LFS 0.7400

97799840 Precision Xtra (100) MID 0.732597799841 Precision Xtra (50) MID 0.740097799451 Rapid Response Blood Glucose Test Strip (50) BTX 0.710097799478 Rightest GS100 Test Strips (100) BNM 0.558097799479 Rightest GS100 Test Strips (50) BNM 0.573097799601 Sidekick Blood Glucose HOM 0.444497799532 TRUEtest (100) HOM 0.574197799531 TRUEtest (50) HOM 0.574297799602 TrueTrack (100) HOM 0.385997799603 TrueTrack (50) HOM 0.4444

glyburide 2.5mg tab 01913654 Apo-Glyburide 2.5mg tab APX 0.039302224550 Diabeta 2.5mg tab SAV 0.039302350459 Glyburide 2.5mg tab SAS 0.039300808733 MYLAN-Glybe 2.5mg tab MYL 0.039301900927 ratio-Glyburide 2.5mg tab TEV 0.039302248008 Sandoz Glyburide 2.5mg tab SDZ 0.039301913670 Teva-Glyburide 2.5mg tab TEV 0.0393

glyburide 5mg tab 01913662 Apo-Glyburide 5mg tab APX 0.068302224569 Diabeta 5mg tab SAV 0.068300720941 Euglucon 5mg tab (discontinued) PMS 0.068302350467 Glyburide 5mg tab SAS 0.068300808741 MYLAN-Glybe 5mg tab MYL 0.068302236734 pms-Glyburide 5mg tab PMS 0.068301900935 ratio-Glyburide 5mg tab TEV 0.068302248009 Sandoz Glyburide 5mg tab SDZ 0.068301913689 Teva-Glyburide 5mg tab TEV 0.0683

granisetron 1 mg tab (exception status) 02308894 Granisetron 1mg tab AAP 14.6475haloperidol 0.5mg tab 00396796 Apo-Haloperidol 0.5mg tab APX 0.0360

00363685 Novo-Peridol 0.5mg tab TEV 0.0360haloperidol 1mg tab 00396818 Apo-Haloperidol 1mg tab APX 0.0614

00363677 Novo-Peridol 1mg tab TEV 0.0614haloperidol 2mg tab 00396826 Apo-Haloperidol 2mg tab APX 0.1050



00713449 Novo-Peridol 10mg tab TEV 0.1330haloperidol LA 50mg/mL inj 02130297 Haloperidol LA 50mg/mL inj SDZ 7.3600haloperidol LA 100mg/mL inj 02130300 Haloperidol LA 100mg/mL inj SDZ 14.7167hydralazine HCl 10mg tab 00441619 Apo-Hydralazine 10mg tab APX 0.1347hydralazine HCl 25mg tab 00441627 Apo-Hydralazine 25mg tab APX 0.2314hydralazine HCl 50mg tab 00441635 Apo-Hydralazine 50mg tab APX 0.3633hydrochlorothiazide 12.5mg tab 02327856 Apo-Hydro 12.5mg tab APX 0.0322



21




Generic Name and Strength DIN Brand MFR MRP PRPhydrochlorothiazide 12.5mg tab 02274086 pms-Hydrochlorothiazide 12.5mg tab PMS 0.0322hydrochlorothiazide 25mg tab 00326844 Apo-Hydro 25mg tab APX 0.0257

02360594 Hydrochlorothiazide 25mg tab SAS 0.025702247386 pms-Hydrochlorothiazide 25mg tab PMS 0.025700021474 Teva-Hydrochlorothiazide 25mg tab TEV 0.0257

hydrochlorothiazide 50mg tab 00312800 Apo-Hydro 50mg tab APX 0.035802360608 Hydrochlorothiazide 50mg tab SAS 0.035800021482 Novo-Hydrazide 50mg tab TEV 0.035802247387 pms-Hydrochlorothiazide 50mg tab PMS 0.0358

hydrochlorothiazide 100mg tab 00644552 Apo-Hydro 100mg tab APX 0.1232hydrochlorothiazide 50mg & amiloride HCl 5mg tab

00784400 Apo-Amilzide 50mg/5mg tab APX 0.1293

02257378 MYLAN-Amilazide 50mg/5mg tab (discontinued) MYL 0.129301937219 Novamilor 50mg/5mg tab TEV 0.1293

hydrochlorothiazide 25mg & spironolactone 25mg tab

00180408 Aldactazide 25/25mg tab PFI 0.1078

00613231 Novo-Spirozine 25/25mg tab TEV 0.1078hydrochlorothiazide 50mg & spironolactone 50mg tab

00594377 Aldactazide 50/50mg tab PFI 0.2281

00657182 Novo-Spirozine 50/50mg tab TEV 0.2281hydrochlorothiazide 25mg & triamterene 50mg tab

00441775 Apo-Triazide 25/50mg tab APX 0.0608

00532657 Novo-Triamzide 25/50mg tab TEV 0.0608hydrocortisone & antiinfectives oph oint 02242485 Sandoz Cortimyxin oph oint (discontinued) SDZ 3.6143hydrocortisone 0.5% oint 02128446 Anodan-HC 0.5% oint ODN 0.4130

00505773 Anusol-HC 0.5% oint JNJ 0.413002247691 Sandoz Anuzinc HC 0.5% oint SDZ 0.4130

hydrocortisone 10mg supp 02236399 Anodan-HC 10mg supp ODN 0.607500476285 Anusol-HC 10mg supp JNJ 0.607502242798 Sandoz Anuzinc HC 10mg supp SDZ 0.6075

hydrocortisone valerate 0.2% cr 02242984 Hydroval 0.2% cr TPH 0.1212hydrocortisone, framycetin sulfate & cinchocaine HCl oint

02247322 Proctol oint ODN 0.5960

02223252 Proctosedyl oint AXC 0.596002226383 ratio-Proctosone oint TEV 0.596002242527 Sandoz Proctomyxin HC oint SDZ 0.5960

hydrocortisone, framycetin sulfate & cinchocaine HCl supp

02247882 Proctol supp ODN 0.7925

02223260 Proctosedyl supp AXC 0.792502226391 ratio-Proctosone supp TEV 0.792502242528 Sandoz Proctomyxin HC supp SDZ 0.7925

hydrocortisone, pramoxine oint 00505781 Anugesic-HC oint JNJ 0.731702234466 Proctodan-HC oint ODN 0.731702247692 Sandoz Anuzinc HC Plus oint (discontinued) SDZ 0.7317

hydrocortisone, pramoxine supp 00476242 Anugesic-HC supp JNJ 1.087502240851 Proctodan-HC supp ODN 1.0875



21




Generic Name and Strength DIN Brand MFR MRP PRPhydrocortisone, pramoxine supp 02242797 Sandoz Anuzinc HC Plus supp SDZ 1.0875hydromorphone 2mg/mL inj 00627100 Dilaudid 2mg/mL inj PFR 1.1380

02145901 Hydromorphone 2mg/mL inj SDZ 1.1380hydromorphone 10mg/mL inj 00622133 Dilaudid HP 10mg/mL inj PFR 2.7500

02145928 Hydromorphone HP 10mg/mL inj SDZ 2.7500hydromorphone 20mg/mL inj 02145936 Hydromorphone HP 20mg/mL inj SDZ 4.5100hydromorphone 50mg/mL inj 02146126 Hydromorphone HP 50mg/mL inj SDZ 13.1500hydromorphone 1mg/mL oral sol 00786535 Dilaudid 1mg/mL oral sol PFR 0.0665

01916386 pms-Hydromorphone 1mg/mL oral sol PMS 0.0665hydromorphone HCl 1mg tab 02364115 Apo-Hydromorphone 1mg tab APX 0.0959

00705438 Dilaudid 1mg tab PFR 0.095900885444 pms-Hydromorphone 1mg tab PMS 0.095902319403 Teva-Hydromorphone 1mg tab TEV 0.0959

hydromorphone HCl 2mg tab 02364123 Apo-Hydromorphone 2mg tab APX 0.141700125083 Dilaudid 2mg tab PFR 0.141700885436 pms-Hydromorphone 2mg tab PMS 0.141702319411 Teva-Hydromorphone 2mg tab TEV 0.1417



hydroxychloroquine 200mg tab 02246691 Apo-Hydroxyquine 200mg tab APX 0.262002252600 MYLAN-Hydroxychloroquine 200mg tab MYL 0.262002017709 Plaquenil 200mg tab SAV 0.2620

hydroxyurea 500mg cap 00465283 Hydrea 500mg cap BRI 1.020302343096 Hydroxyurea 500mg cap SAS 1.020302242920 MYLAN-Hydroxyurea 500mg cap MYL 1.0203

hydroxyzine HCl 10mg cap (exception status)

00646059 Apo-Hydroxyzine 10mg cap APX 0.1116

00738824 Novo-Hydroxyzin 10mg cap TEV 0.1116hydroxyzine HCl 25mg cap (exception status)


00738832 Novo-Hydroxyzin 25mg cap TEV 0.1425hydroxyzine HCl 50mg cap (exception status)


00738840 Novo-Hydroxyzin 50mg cap TEV 0.2068ibuprofen 300mg tab 00441651 Apo-Ibuprofen 300mg tab APX 0.1087

02242632 Motrin IB 300mg tab JNJ 0.1087ibuprofen 400mg tab 00506052 APC-Ibuprofen 400mg tab APX 0.0372

00506052 Apo-Ibuprofen 400mg tab APX 0.037202317338 Jamp-Ibuprofen 400mg tab JPC 0.0372



21




Generic Name and Strength DIN Brand MFR MRP PRPibuprofen 400mg tab 02242658 Motrin IB 400mg tab JNJ 0.0372

00629340 Novo-Profen 400mg tab TEV 0.0372ibuprofen 600mg tab 00585114 Apo-Ibuprofen 600mg tab APX 0.1313

00629359 Novo-Profen 600mg tab TEV 0.1313idoxuridine 0.1% sol 02237187 Sandoz Idoxuridine 0.1% sol (discontinued) SDZ 4.9900imatinib 100mg tab (exception status) 02253275 Gleevec 100mg tab NVR 29.5926imatinib 400mg tab (exception status) 02253283 Gleevec 400mg tab NVR 118.3702imipramine 25mg tab 00312797 Imipramine 25mg tab AAP 0.2682imipramine 50mg tab 00326852 Imipramine 50mg tab AAP 0.5232indomethacin 25mg cap 00611158 Apo-Indomethacin 25mg cap (discontinued) APX 0.0871

00337420 Novo-Methacin 25mg cap TEV 0.0871indomethacin 50mg cap 00611166 Apo-Indomethacin 50mg cap (discontinued) APX 0.1511

00337439 Novo-Methacin 50mg cap TEV 0.1511indomethacin 50mg supp 02231799 Sandoz Indomethacin 50mg supp SDZ 0.8400indomethacin 100mg supp 01934139 ratio-Indomethacin 100mg supp TEV 0.8920

02231800 Sandoz Indomethacin 100mg supp SDZ 0.8920infliximab 100mg IV inj (exception status) 02244016 Remicade 100mg pdr for inj SCH 1050.4970ipratropium bromide 200mcg/mL & salbutamol 1mg/mL unit dose inh sol (exception status)

02231675 Combivent UD inh sol BOE 0.2936

02272695 MYLAN-Combo Sterinebs UD inh sol MYL 0.293602243789 ratio-IPRA SAL UD inh sol TEV 0.2936

ipratropium bromide 125mcg/mL unit dose inh sol (2mL) (exception status)

02231135 pms-Ipratropium 125mcg/mL UD inh sol PMS 0.1579

02097176 ratio-Ipratropium 125mcg/mL UD inh sol TEV 0.1579ipratropium bromide 250mcg/mL inh sol (20mL) (exception status)

02126222 Apo-Ipravent 250mcg/mL inh sol (20mL) APX 0.3157

02239131 MYLAN-Ipratropium 250mcg/mL inh sol (20mL) MYL 0.315702210479 Novo-Ipramide 250mcg/mL inh sol (20mL) TEV 0.315702231136 pms-Ipratropium 250mcg/mL inh sol (20mL) PMS 0.3157


02216221 MYLAN-Ipratropium 250mcg/mL UD inh sol (1mL) MYL 0.3157

02231244 pms-Ipratropium 250mcg/mL UD inh sol (1mL) PMS 0.315702097168 ratio-Ipratropium 250mcg/mL UD inh sol (1mL) TEV 0.3157


02216221 MYLAN-Ipratropium 250mcg/mL UD inh sol (2mL) MYL 0.3157

02231245 pms-Ipratropium 250mcg/mL UD inh sol (2mL) PMS 0.315702097168 ratio-Ipratropium 250mcg/mL UD inh sol (2mL) TEV 0.3157

ipratropium bromide 0.3% nasal spray (21mcg/dose)

02163705 Atrovent 0.3% nasal spray BOE 0.0508

02239627 pms-Ipratropium 0.3% nasal spray PMS 0.0508ipratropium bromide 0.6% nasal spray (42mcg/dose)

02246084 Apo-Ipravent 0.6% nasal spray APX 0.1355

02163713 Atrovent 0.6% nasal spray BOE 0.1355irbesartan 75mg tab 02386968 Apo-Irbesartan 75mg tab APX 0.4234

02237923 Avapro 75mg tab BRI 0.4234



21




Generic Name and Strength DIN Brand MFR MRP PRPirbesartan 75mg tab 02328070 CO Irbesartan 75mg tab COB 0.4234

02372347 Irbesartan 75mg tab SAS 0.423402347296 MYLAN-Irbesartan 75mg tab MYL 0.423402317060 pms-Irbesartan 75mg tab PMS 0.423402316390 ratio-Irbesartan 75mg tab TEV 0.423402328461 Sandoz Irbesartan 75mg SDZ 0.423402315971 Teva-Irbesartan 75mg tab TEV 0.4234

irbesartan 150mg tab 02386976 Apo-Irbesartan 150mg tab APX 0.423402237924 Avapro 150mg tab BRI 0.423402328089 CO Irbesartan 150mg tab COB 0.423402372371 Irbesartan 150mg tab SAS 0.423402347318 MYLAN-Irbesartan 150mg tab MYL 0.423402317079 pms-Irbesartan 150mg tab PMS 0.423402316404 ratio-Irbesartan 150mg tab TEV 0.423402328488 Sandoz Irbesartan 150mg tab SDZ 0.423402315998 Teva-Irbesartan 150mg tab TEV 0.4234

irbesartan 300mg tab 02386984 Apo-Irbesartan 300mg tab APX 0.423402237925 Avapro 300mg tab BRI 0.423402328100 CO Irbesartan 300mg tab COB 0.423402372398 Irbesartan 300mg tab SAS 0.423402347326 MYLAN-Irbesartan 300mg tab MYL 0.423402317087 pms-Irbesartan 300mg tab PMS 0.423402316412 ratio-Irbesartan 300mg tab TEV 0.423402328496 Sandoz Irbesartan 300mg tab SDZ 0.423402316005 Teva-Irbesartan 300mg tab TEV 0.4234

irbesartan 150mg & hydrochlorothiazide 12.5mg tab

02241818 Avalide 150/12.5mg tab BRI 0.4234

02357399 CO Irbesartan/HCT 150/12.5mg tab COB 0.423402372886 Irbesartan/HCTZ 150/12.5mg tab SAS 0.423402328518 pms-Irbesartan-HCTZ 150/12.5 mg tab PMS 0.423402363208 RAN-Irbesartan HCTZ 150/12.5mg tab RAN 0.423402330512 ratio-Irbesartan HCTZ 150/12.5 mg tab TEV 0.423402337428 Sandoz Irbesartan HCT 150/12.5mg tab SDZ 0.423402316013 Teva-Irbesartan/HCTZ 150/12.5mg tab TEV 0.4234

irbesartan 300mg & hydrochlorothiazide 12.5mg tab

02241819 Avalide 300/12.5mg tab BRI 0.4234

02357402 CO Irbesartan/HCT 300/12.5mg tab COB 0.423402372894 Irbesartan/HCTZ 300/12.5mg tab SAS 0.423402328526 pms-Irbesartan-HCTZ 300/12.5 mg tab PMS 0.423402363216 RAN-Irbesartan HCTZ 300/12.5mg tab RAN 0.423402330520 ratio-Irbesartan HCTZ 300/12.5 mg tab TEV 0.423402337436 Sandoz Irbesartan HCT 300/12.5mg tab SDZ 0.423402316021 Teva-Irbesartan/HCTZ 300/12.5mg tab TEV 0.4234

irbesartan 300mg & hydrochlorothiazide 25mg tab

02357410 CO Irbesartan/HCT 300/25mg tab COB 0.4206

02372908 Irbesartan/HCTZ 300/25mg tab SAS 0.4206



21




Generic Name and Strength DIN Brand MFR MRP PRPirbesartan 300mg & hydrochlorothiazide 25mg tab

02328534 pms-Irbesartan-HCTZ 300/25 mg tab PMS 0.4206

02363224 RAN-Irbesartan HCTZ 300/25mg tab RAN 0.420602330539 ratio-Irbesartan HCTZ 300/25 mg tab TEV 0.420602337444 Sandoz Irbesartan HCT 300/25mg tab SDZ 0.420602316048 Teva-Irbesartan/HCTZ 300/25mg tab TEV 0.4206

isosorbide dinitrate 5mg SL tab 00670944 ISDN 5mg tab AAP 0.0674isosorbide dinitrate 10mg tab 00441686 ISDN 10mg tab AAP 0.0397isosorbide dinitrate 30mg tab 00441694 ISDN 30mg tab AAP 0.0930isosorbide mononitrate 60mg SR tab 02272830 Apo-ISMN 60mg SR tab APX 0.3523

02126559 Imdur 60mg ER tab AZE 0.352302301288 pms-ISMN 60mg SR tab PMS 0.3523

isotretinoin 10mg cap 00582344 Accutane 10mg cap HLR 0.931302257955 Clarus 10mg cap MYL 0.9313

isotretinoin 40mg cap 00582352 Accutane 40mg cap HLR 1.900302257963 Clarus 40mg cap MYL 1.9003

ketoconazole 2% cr 02245662 Ketoderm 2% cr TPH 0.3166ketoconazole 200mg tab 02237235 Apo-Ketoconazole 200mg tab APX 0.9393

02231061 Novo-Ketoconazole 200mg tab TEV 0.9393ketoprofen 50mg cap 00790427 Apo-Keto 50mg cap AAP 0.1750ketoprofen 50mg EC tab 00790435 Apo-Keto-E 50mg EC tab AAP 0.1750ketoprofen 100mg EC tab 00842664 Apo-Keto-E 100mg EC tab AAP 0.3500ketoprofen 200mg SR tab 02172577 Ketoprofen SR 200mg EC tab AAP 0.7000ketorolac 30mg/mL inj 02239944 Ketorolac 30mg/mL inj SDZ 4.3000ketorolac 0.5% oph sol 01968300 Acular 0.5% oph sol ALL 1.6000

02245821 Apo-Ketorolac 0.5% oph sol APX 1.600002247461 ratio-Ketorolac 0.5% oph sol TEV 1.6000

ketotifen fumarate 1mg tab 02230730 Novo-Ketotifen 1mg tab TEV 1.672200577308 Zaditen 1mg tab TEV 1.6722

ketotifen fumarate 1mg/5mL syr 02176084 Novo-Ketotifen 1mg/5mL inj TEV 0.1330lactulose 667mg/mL o/l (exception status) 02242814 Apo-Lactulose 667mg/mL o/l APX 0.0145

02295881 Jamp-Lactulose 667mg/mL o/l JPC 0.014500854409 ratio-Lactulose 667mg/mL o/l TEV 0.014502331551 Teva-Lactulose 667mg/mL o/l TEV 0.0145

lamivudine 100mg tab (exception status) 02393239 Apo-Lamivudine HBV 100mg Tab APX 3.531602239193 Heptovir 100mg Tab VIV 3.5316

lamotrigine 25mg tab 02245208 Apo-Lamotrigine 25mg tab APX 0.131002381354 Auro-Lamotrigine 25mg tab ARO 0.131002142082 Lamictal 25mg tab GSK 0.131002343010 Lamotrigine 25mg tab SAS 0.131002265494 MYLAN-Lamotrigine 25mg tab MYL 0.131002248232 Novo-Lamotrigine 25mg tab TEV 0.131002246897 pms-Lamotrigine 25mg tab PMS 0.131002243352 ratio-Lamotrigine 25mg tab TEV 0.1310



21




Generic Name and Strength DIN Brand MFR MRP PRPlamotrigine 100mg tab 02245209 Apo-Lamotrigine 100mg tab APX 0.5229

02381362 Auro-Lamotrigine 100mg tab ARO 0.522902142104 Lamictal 100mg tab GSK 0.522902343029 Lamotrigine 100mg tab SAS 0.522902265508 MYLAN-Lamotrigine 100mg tab MYL 0.522902248233 Novo-Lamotrigine 100mg tab TEV 0.522902246898 pms-Lamotrigine 100mg tab PMS 0.522902243353 ratio-Lamotrigine 100mg tab TEV 0.5229

lamotrigine 150mg tab 02245210 Apo-Lamotrigine 150mg tab APX 0.770602381370 Auro-Lamotrigine 150mg tab ARO 0.770602142112 Lamictal 150mg tab GSK 0.770602343037 Lamotrigine 150mg tab SAS 0.770602265516 MYLAN-Lamotrigine 150mg tab MYL 0.770602248234 Novo-Lamotrigine 150mg tab TEV 0.770602246899 pms-Lamotrigine 150mg tab PMS 0.770602246963 ratio-Lamotrigine 150mg tab TEV 0.7706

lancets 97799689 Abbott Thin (200) MID 0.044597799691 Abbott Thin 28g (100) MID 0.050097799494 Accu-Chek Fastclix Lancets (102) BOM 0.050097799495 Accu-Chek Fastclix Lancets (204) BOM 0.050097799817 Accu-Chek Multiclix (102) BOM 0.050097799816 Accu-Chek Multiclix (204) BOM 0.050097799946 Accu-Chek Softclix (100) BOM 0.050097799945 Accu-Chek Softclix (200) BOM 0.050097799942 Accu-Chek Softclix Pro (200) BOM 0.050097799917 Ascensia Microlet BDD 0.050097799918 Ascensia Microlet (100) BDD 0.050097799882 BD Ultra-Fine 33g (100) (discontinued) BTD 0.050097799883 BD Ultra-Fine 33g (200) BTD 0.049597799466 BGStar Lancets (100) SAV 0.050097799540 EZ Health (100) THI 0.050097799825 Finger Stix (200) BDD 0.050097799826 FreeStyle (100) MID 0.050097799766 iTest 28g (100) AUT 0.046597799767 iTest 33g (100) AUT 0.040497799592 Medlance Plus Lite 25g (200) MPD 0.050097799591 Medlance Plus Universal 21G (200) MPD 0.050097799810 MPD Thin MPD 0.031897799807 MPD Ultra Thin (100) MPD 0.031897799431 OneTouch Delica 30G (100) LFS 0.050097799501 OneTouch Delica 33G (100) LFS 0.050097799765 OneTouch Sure Soft (200) LFS 0.050097799970 OneTouch Ultra Soft (100) LFS 0.050097799948 Safe-T-Pro (200) BOM 0.0500

lansoprazole 15mg cap (exception status) 02293811 Apo-Lansoprazole 15mg DR cap APX 0.3500



21




Generic Name and Strength DIN Brand MFR MRP PRPlansoprazole 15mg cap (exception status) 02357682 Lansoprazole 15mg DR cap SAS 0.3500

02353830 MYLAN-Lansoprazole 15mg DR cap MYL 0.350002280515 Novo-Lansoprazole 15mg DR cap TEV 0.350002165503 Prevacid 15mg cap ABB 0.350002385643 Sandoz Lansoprazole 15mg DR cap SDZ 0.3500

lansoprazole 30mg cap (exception status) 02293838 Apo-Lansoprazole 30mg DR cap APX 0.700002357690 Lansoprazole 30mg DR cap SAS 0.700002353849 MYLAN-Lansoprazole 30mg DR cap MYL 0.700002280523 Novo-Lansoprazole 30mg DR cap TEV 0.700002165511 Prevacid 30mg cap ABB 0.700002385651 Sandoz Lansoprazole 30mg DR cap SDZ 0.7000

latanopost 50mcg/mL oph sol 02296527 Apo-Latanoprost 0.005% oph sol APX 3.854202254786 CO Latanoprost 0.005% oph sol COB 3.854202373041 GD-Lantanoprost 0.005% oph sol GMD 3.854202231493 Xalatan 0.005% oph sol PFI 3.8542

leflunomide 10mg tab (exception status) 02256495 Apo-Leflunomide 10mg tab APX 3.759702241888 Arava 10mg tab SAV 3.759702351668 Leflunomide 10mg tab SAS 3.759702319225 MYLAN-Leflunomide 10mg tab MYL 3.759702261251 Novo-Leflunomide 10mg tab TEV 3.759702288265 pms-Leflunomide 10mg tab PMS 3.759702283964 Sandoz Leflunomide 10mg tab SDZ 3.7597

leflunomide 20mg tab (exception status) 02256509 Apo-Leflunomide 20mg tab APX 3.759702241889 Arava 20mg tab SAV 3.759702351676 Leflunomide 20mg tab SAS 3.759702319233 MYLAN-Leflunomide 20mg tab MYL 3.759702261278 Novo-Leflunomide 20mg tab TEV 3.759702288273 pms-Leflunomide 20mg tab PMS 3.759702283972 Sandoz Leflunomide 20mg tab SDZ 3.7597

letrozole 2.5 tab 02358514 Apo-Letrozole 2.5mg tab APX 2.066202231384 Femara 2.5mg tab NVR 2.066202373009 Jamp-Letrozole 2.5mg tab JPC 2.066202338459 Letrozole 2.5mg tab (AHI) AHI 2.066202348969 Letrozole 2.5mg tab (COB) COB 2.066202347997 Letrozole 2.5mg tab (TEV) TEV 2.066202373424 Mar-Letrozole 2.5mg tab MAR 2.066202322315 MED-Letrozole 2.5mg tab GMP 2.066202372169 Myl-Letrozole 2.5mg tab MYL 2.066202309114 pms-Letrozole 2.5mg tab PMS 2.066202372282 RAN-Letrozole 2.5mg tab RAN 2.066202344815 Sandoz Letrozole 2.5mg tab SDZ 2.0662

levetiracetam 250mg tab (exception status)

02285924 Apo-Levetiracetam 250mg tab APX 0.8000

02375249 Auro-Levetiracetam 250mg tab ARO 0.8000



21




Generic Name and Strength DIN Brand MFR MRP PRPlevetiracetam 250mg tab (exception status)

02274183 CO Levetiracetam 250mg tab COB 0.8000

02247027 Keppra 250mg tab UCB 0.800002353342 Levetiracetam 250mg tab SAS 0.800002296101 pms-Levetiracetam 250mg tab PMS 0.8000



02375257 Auro-Levetiracetam 500mg tab ARO 0.975002274191 CO Levetiracetam 500mg tab COB 0.975002247028 Keppra 500mg tab UCB 0.975002353350 Levetiracetam 500mg tab SAS 0.975002296128 pms-Levetiracetam 500mg tab PMS 0.9750



02375265 Auro-Levetiracetam 750mg tab ARO 1.350002274205 CO Levetiracetam 750mg tab COB 1.350002247029 Keppra 750mg tab UCB 1.350002353369 Levetiracetam 750mg tab SAS 1.350002296136 pms-Levetiracetam 750mg tab PMS 1.3500

levobunolol HCl 0.25% oph sol 02031159 ratio-Levobunolol 0.25% oph sol TEV 1.914302241715 Sandoz Levobunolol 0.25% oph sol (discontinued) SDZ 1.9143

levobunolol HCl 0.5% oph sol 00637661 Betagan 0.5% oph sol ALL 1.151502237991 pms-Levobunolol 0.5% oph sol PMS 1.151502031167 ratio-Levobunolol 0.5% oph sol TEV 1.151502241716 Sandoz Levobunolol 0.5% oph sol SDZ 1.1515

levodopa 100mg & carbidopa 10mg tab 02195933 Apo-Levocarb 100/10mg tab APX 0.187702244494 Novo-Levocarbidopa 100/10mg tab TEV 0.187700355658 Sinemet 100/10mg tab FRS 0.1877



levodopa 100mg & carbidopa 25mg cr tab 02272873 Apo-Levocarb CR 100/25mg tab AAP 0.556202028786 Sinemet CR 100/25mg tab FRS 0.5562

levodopa 200mg & carbidopa 50mg cr tab 02245211 Levocarb CR 200/50mg tab AAP 1.085000870935 Sinemet CR 200/50mg tab FRS 1.0850

levofloxacin 250mg tab (exception status) 02284707 Apo-Levofloxacin 250mg tab APX 1.853802315424 CO Levofloxacin 250mg tab COB 1.853802236841 Levaquin 250mg tab JAN 1.853802313979 MYLAN-Levofloxacin 250mg tab MYL 1.853802248262 Novo-Levofloxacin 250mg tab TEV 1.853802284677 pms-Levofloxacin 250mg tab PMS 1.853802298635 Sandoz Levofloxacin 250mg tab SDZ 1.8538



21




Generic Name and Strength DIN Brand MFR MRP PRPlevofloxacin 500mg tab (exception status) 02284715 Apo-Levofloxacin 500mg tab APX 2.1125

02315432 CO Levofloxacin 500mg tab COB 2.112502236842 Levaquin 500mg tab JAN 2.112502313987 MYLAN-Levofloxacin 500mg tab MYL 2.112502248263 Novo-Levofloxacin 500mg tab TEV 2.112502284685 pms-Levofloxacin 500mg tab PMS 2.112502298643 Sandoz Levofloxacin 500mg tab SDZ 2.1125

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

02236974 Alesse 21 Day WAY 0.4636

02387875 Alysena 21 Day APX 0.463602298538 Aviane 21 Day (discontinued) APX 0.463602388138 ESME 21 Day MYL 0.4636


02236975 Alesse 28 Day WAY 0.3477

02387883 Alysena 28 Day APX 0.347702298546 Aviane 28 Day (discontinued) APX 0.347702388146 ESME 28 Day MYL 0.3477


02042320 Min-Ovral 21 Day WAY 0.4636

02295946 Portia 21 Day APX 0.4636levonorgestrel 0.15mg & ethinyl estradiol 0.03mg tab (28)

02042339 Min-Ovral 28 Day WAY 0.3477

02295954 Portia 28 Day APX 0.3477lidocaine 5% oint 02083795 Lidodan 5% oint ODN 0.3967

00001961 Xylocaine 5% oint AZE 0.3967linezolid 600mg tab 02243684 Zyvoxam 600mg tab PFI 78.2560lisinopril 5mg tab 02217481 Apo-Lisinopril 5mg tab APX 0.2100

02271443 CO Lisinopril 5mg tab COB 0.210002361531 Jamp-Lisinopril 5mg tab JPC 0.210002274833 MYLAN-Lisinopril 5mg tab MYL 0.210002285061 Novo-Lisinopril (Type P) 5mg tab TEV 0.210002285118 Novo-Lisinopril (Type Z) 5mg tab TEV 0.210002292203 pms-Lisinopril 5mg tab PMS 0.210000839388 Prinivil 5mg tab FRS 0.210002294230 RAN-Lisinopril 5mg tab RAN 0.210002256797 ratio-Lisinopril P 5mg tab TEV 0.210002299879 ratio-Lisinopril Z 5mg tab TEV 0.210002289199 Sandoz Lisinopril 5mg tab SDZ 0.210002049333 Zestril 5mg tab AZE 0.2100

lisinopril 10mg tab 02217503 Apo-Lisinopril 10mg tab APX 0.252202271451 CO Lisinopril 10mg tab COB 0.252202361558 Jamp-Lisinopril 10mg tab JPC 0.252202274841 MYLAN-Lisinopril 10mg tab MYL 0.252202285126 Novo-Lisinopril Z 10mg tab TEV 0.252202292211 pms-Lisinopril 10mg tab PMS 0.252200839396 Prinivil 10mg tab FRS 0.2522



21




Generic Name and Strength DIN Brand MFR MRP PRPlisinopril 10mg tab 02294249 RAN-Lisinopril 10mg tab RAN 0.2522

02256800 ratio-Lisinopril P 10mg tab TEV 0.252202299887 ratio-Lisinopril Z 10mg tab TEV 0.252202289202 Sandoz Lisinopril 10mg tab SDZ 0.252202285088 Teva-Lisinopril (Type P) 10mg tab TEV 0.252202049376 Zestril 10mg tab AZE 0.2522

lisinopril 20mg tab 02217511 Apo-Lisinopril 20mg tab APX 0.303202271478 CO Lisinopril 20mg tab COB 0.303202361566 Jamp-Lisinopril 20mg tab JPC 0.303202274868 MYLAN-Lisinopril 20mg tab MYL 0.303202285134 Novo-Lisinopril Z 20mg tab TEV 0.303202292238 pms-Lisinopril 20mg tab PMS 0.303200839418 Prinivil 20mg tab FRS 0.303202294257 RAN-Lisinopril 20mg tab RAN 0.303202256819 ratio-Lisinopril P 20mg tab (discontinued) TEV 0.303202299895 ratio-Lisinopril Z 20mg tab TEV 0.303202289229 Sandoz Lisinopril 20mg tab SDZ 0.303202285096 Teva-Lisinopril (Type P) 20mg tab TEV 0.303202049384 Zestril 20mg tab AZE 0.3032

lisinopril 10mg & hydrochlorothiazide 12.5mg tab

02261979 Apo-Lisinopril/HCTZ 10/12.5mg tab APX 0.3001

02362945 Lisinopril/HCTZ 10/12.5mg (Type Z) tab SAS 0.300102297736 MYLAN-Lisinopril/HCTZ 10/12.5mg tab MYL 0.300102302136 Novo-Lisinopril/HCTZ (Type P) 10/12.5mg tab TEV 0.300102301768 Novo-Lisinopril/HCTZ (Type Z) 10/12.5mg tab TEV 0.300102302365 Sandoz Lisinopril HCT 10/12.5mg tab SDZ 0.300102103729 Zestoretic 10/12.5mg tab AZE 0.3001

lisinopril 20mg & hydrochlorothiazide 12.5mg tab

02261987 Apo-Lisinopril/HCTZ 20/12.5mg tab APX 0.3605

02362953 Lisinopril/HCTZ 20/12.5mg (Type Z) tab SAS 0.360502297744 MYLAN-Lisinopril/HCTZ 20/12.5mg tab MYL 0.360502302144 Novo-Lisinopril/HCTZ (Type P) 20/12.5mg tab TEV 0.360500884413 Prinzide 20/12.5mg tab FRS 0.360502302373 Sandoz Lisinopril HCT 20/12.5mg tab SDZ 0.360502301776 Teva-Lisinopril/HCTZ (Type Z) 20/12.5mg tab TEV 0.360502045737 Zestoretic 20/12.5mg tab AZE 0.3605

lisinopril 20mg & hydrochlorothiazide 25mg tab

02261995 Apo-Lisinopril/HCTZ 20/25mg tab APX 0.3605

02362961 Lisinopril/HCTZ 20/25mg (Type Z) tab SAS 0.360502297752 MYLAN-Lisinopril/HCTZ 20/25mg tab MYL 0.360502302152 Novo-Lisinopril/HCTZ (Type P) 20/25mg tab TEV 0.360502301784 Novo-Lisinopril/HCTZ (Type Z) 20/25mg tab TEV 0.360502302381 Sandoz Lisinopril HCT 20/25mg tab SDZ 0.360502045729 Zestoretic 20/25mg tab AZE 0.3605

lithium 300mg SR tab 02266695 Lithmax SR 300mg tab AAP 0.2708lithium 150mg cap (Carbolith) 02242837 Apo-Lithium Carbonate 150mg cap APX 0.0422



21




Generic Name and Strength DIN Brand MFR MRP PRPlithium 150mg cap (Carbolith) 00461733 Carbolith 150mg cap VLN 0.0422

02216132 pms-Lithium Carbonate 150mg cap PMS 0.0422lithium 300mg cap (Carbolith) 02242838 Apo-Lithium Carbonate 300mg cap APX 0.0443

00236683 Carbolith 300mg cap VLN 0.044302216140 pms-Lithium Carbonate 300mg cap PMS 0.0443

lithium 600mg cap 02011239 Carbolith 600mg cap VLN 0.153002216159 pms-Lithium Carbonate 600mg cap PMS 0.1530

lithium 150mg cap (Lithane) 02242837 Apo-Lithium Carbonate 150mg cap APX 0.042202013231 Lithane 150mg cap ERF 0.0422

lithium 300mg cap (Lithane) 02242838 Apo-Lithium Carbonate 300mg cap APX 0.044300406775 Lithane 300mg cap ERF 0.0443

loperamide 2mg caplet 02212005 Apo-Loperamide 2mg caplet APX 0.125502183862 Imodium 2mg caplet JNJ 0.125502132591 Novo-Loperamide 2mg caplet TEV 0.125502228351 pms-Loperamide 2mg caplet PMS 0.125502257564 Sandoz Loperamide 2mg caplet SDZ 0.1255

loperamide HCl 0.2mg/mL o/l 02016095 pms-Loperamide 0.2mg/mL o/l PMS 0.1050loratadine 10mg tab (exception status) 02243880 APC-Loratadine 10mg tab APX 0.6267

02243880 Apo-Loratadine 10mg tab APX 0.626700782696 Claritin 10mg tab SCH 0.6267

lorazepam 0.5mg tab 00655740 Apo-Lorazepam 0.5mg tab APX 0.035902041413 Ativan 0.5mg tab WAY 0.035902351072 Lorazepam 0.5mg tab SAS 0.035900711101 Novo-Lorazem 0.5mg tab TEV 0.035900728187 pms-Lorazepam 0.5mg tab PMS 0.0359

lorazepam 1mg tab 00655759 Apo-Lorazepam 1mg tab APX 0.044702041421 Ativan 1mg tab WAY 0.044702351080 Lorazepam 1mg tab SAS 0.044700637742 Novo-Lorazem 1mg tab TEV 0.044700728195 pms-Lorazepam 1mg tab PMS 0.0447

lorazepam 2mg tab 00655767 Apo-Lorazepam 2mg tab APX 0.069902041448 Ativan 2mg tab WAY 0.069902351099 Lorazepam 2mg tab SAS 0.069900637750 Novo-Lorazem 2mg tab TEV 0.069900728209 pms-Lorazepam 2mg tab PMS 0.0699

lorazepam 4mg/mL inj 02243278 Lorazepam 4mg/mL inj SDZ 2.9900losartan 25mg tab 02379058 Apo-Losartan 25mg tab APX 0.4407

02354829 CO Losartan 25mg tab COB 0.440702182815 Cozaar 25mg tab FRS 0.440702388863 Losartan 25mg tab SAS 0.440702368277 MYLAN-Losartan 25mg tab MYL 0.440702309750 pms-Losartan 25mg tab PMS 0.440702313332 Sandoz Losartan 25mg tab SDZ 0.440702380838 Teva-Losartan 25mg tab TEV 0.4407



21




Generic Name and Strength DIN Brand MFR MRP PRPlosartan 50mg tab 02353504 Apo-Losartan 50mg tab APZ 0.4407

02354837 CO Losartan 50mg tab COB 0.440702182874 Cozaar 50mg tab FRS 0.440702388871 Losartan 50mg tab SAS 0.440702368285 MYLAN-Losartan 50mg tab MYL 0.440702309769 pms-Losartan 50mg tab PMS 0.440702313340 Sandoz Losartan 50mg tab SDZ 0.440702357968 Teva-Losartan 50mg tab TEV 0.4407

losartan 100mg tab 02353512 Apo-Losartan 100mg tab APX 0.440702354845 CO Losartan 100mg tab COB 0.440702182882 Cozaar 100mg tab FRS 0.440702388898 Losartan 100mg tab SAS 0.440702368293 MYLAN-Losartan 100mg tab MYL 0.440702309777 pms-Losartan 100mg tab PMS 0.440702313359 Sandoz Losartan 100mg tab SDZ 0.440702357976 Teva-Losartan 100mg tab TEV 0.4407

losartan 50mg & hydrochlorothiazide 12.5mg tab

02371235 Apo-Losartan/HCTZ 50/12.5mg tab APX 0.4407

02388251 CO Losartan/HCT 50/12.5mg tab COB 0.440702230047 Hyzaar 50/12.5mg tab FRS 0.440702378078 MYLAN-Losartan HCTZ 50/12.5mg tab MYL 0.440702392224 pms-Losartan-HCTZ 50/12.5mg tab PMS 0.440702313375 Sandoz Losartan HCT 50/12.5mg tab SDZ 0.440702358263 Teva-Losartan/HCTZ 50/12.5mg tab TEV 0.4407

losartan 100mg & hydrochlorothiazide 12.5mg tab

02371243 Apo-Losartan HCTZ 100/12.5mg tab APX 0.4314

02388278 CO Losartan/HCT 100/12.5mg tab COB 0.431402297841 Hyzaar 100/12.5mg tab FRS 0.431402378086 MYLAN-Losartan HCTZ 100/12.5mg tab MYL 0.431402392232 pms-Losartan-HCTZ 100/12.5mg tab PMS 0.431402362449 Sandoz Losartan HCT 100/12.5mg tab SDZ 0.431402377144 Teva-Losartan/HCTZ 100/12.5mg tab TEV 0.4314

losartan 100mg & hydrochlorothiazide 25mg tab

02371251 Apo-Losartan HCTZ 100/25mg tab APX 0.4407

02388286 CO Losartan/HCT 100/25mg tab COB 0.440702241007 Hyzaar DS 100/25mg tab FRS 0.440702378094 MYLAN-Losartan HCTZ 100/25mg tab MYL 0.440702392240 pms-Losartan-HCTZ 100/25mg tab PMS 0.440702313383 Sandoz Losartan HCT DS 100/25mg tab SDZ 0.440702377152 Teva-Losartan/HCTZ 100/25mg tab TEV 0.4407

lovastatin 20mg tab 02220172 Apo-Lovastatin 20mg tab APX 0.723102248572 CO Lovastatin 20mg tab COB 0.723102353229 Lovastatin 20mg tab SAS 0.723100795860 Mevacor 20mg tab FRS 0.723102243127 MYLAN-Lovastatin 20mg tab MYL 0.723102246542 Novo-Lovastatin 20mg tab TEV 0.7231



21




Generic Name and Strength DIN Brand MFR MRP PRPlovastatin 20mg tab 02246013 pms-Lovastatin 20mg tab PMS 0.7231

02245822 ratio-Lovastatin 20mg tab TEV 0.723102247056 Sandoz Lovastatin 20mg tab SDZ 0.7231

lovastatin 40mg tab 02220180 Apo-Lovastatin 40mg tab APX 1.320802248573 CO Lovastatin 40mg tab COB 1.320802353237 Lovastatin 40mg tab SAS 1.320800795852 Mevacor 40mg tab FRS 1.320802243129 MYLAN-Lovastatin 40mg tab MYL 1.320802246543 Novo-Lovastatin 40mg tab TEV 1.320802246014 pms-Lovastatin 40mg tab PMS 1.320802245823 ratio-Lovastatin 40mg tab TEV 1.320802247057 Sandoz Lovastatin 40mg tab SDZ 1.3208

loxapine 5mg tab 02230837 Xylac 5mg tab PMS 0.1790loxapine 10mg tab 02230838 Xylac 10mg tab PMS 0.2979loxapine 25mg tab 02230839 Xylac 25mg tab PMS 0.4617loxapine 50mg tab 02230840 Xylac 50mg tab PMS 0.6155maprotiline 25mg tab 02158612 Novo-Maprotiline 25mg tab TEV 0.5687maprotiline 50mg tab 02158620 Novo-Maprotiline 50mg tab TEV 1.0769maprotiline 75mg tab 02158639 Novo-Maprotiline 75mg tab TEV 1.4707medroxyprogesterone acetate 2.5mg tab 02244726 Apo-Medroxy 2.5mg tab APX 0.0642

02221284 Novo-Medrone 2.5mg tab TEV 0.064200708917 Provera 2.5mg tab PFI 0.0642

medroxyprogesterone acetate 5mg tab 02244727 Apo-Medroxy 5mg tab APX 0.127002221292 Novo-Medrone 5mg tab TEV 0.127000030937 Provera 5mg tab PFI 0.1270

medroxyprogesterone acetate 10mg tab 02277298 Apo-Medroxy 10mg tab APX 0.257702221306 Novo-Medrone 10mg tab TEV 0.257700729973 Provera 10mg tab PFI 0.2577

medroxyprogesterone acetate 100mg tab 02267640 Apo-Medroxy 100mg tab APX 1.2057medroxyprogesterone acetate 150mg/mL inj

00585092 Depo-Provera 150mg/mL inj PFI 22.0000

02322250 Medroxyprogesterone Acetate 150mg/mL inj SDZ 22.0000mefenamic acid 250mg cap 02229452 Apo-Mefenamic 250mg cap AAP 0.5412megestrol 40mg tab 02195917 Megestrol 40mg tab AAP 1.0929megestrol 160mg tab 02195925 Megestrol 160mg tab AAP 4.6254meloxicam 7.5mg tab 02248973 Apo-Meloxicam 7.5mg tab APX 0.2804

02250012 CO Meloxicam 7.5mg tab COB 0.280402353148 Meloxicam 7.5mg tab SAS 0.280402242785 Mobicox 7.5mg tab BOE 0.280402255987 MYLAN-Meloxicam 7.5mg tab MYL 0.280402258315 Novo-Meloxicam 7.5mg tab TEV 0.280402248607 phl-Meloxicam 7.5mg tab PHL 0.280402248267 pms-Meloxicam 7.5mg tab PMS 0.2804

meloxicam 15mg tab 02248974 Apo-Meloxicam 15mg tab APX 0.3235



21




Generic Name and Strength DIN Brand MFR MRP PRPmeloxicam 15mg tab 02250020 CO Meloxicam 15mg tab COB 0.3235

02353156 Meloxicam 15mg tab SAS 0.323502242786 Mobicox 15mg tab BOE 0.323502255995 MYLAN-Meloxicam 15mg tab MYL 0.323502248608 phl-Meloxicam 15mg tab PHL 0.323502248268 pms-Meloxicam 15mg tab PMS 0.323502258323 Teva-Meloxicam 15mg tab TEV 0.3235

metformin HCl 500mg tab 02167786 Apo-Metformin 500mg tab APX 0.083402257726 CO Metformin 500mg tab COB 0.083402099233 Glucophage 500mg tab SAV 0.083402380196 Jamp-Metformin 500mg tab JPC 0.083402380722 Jamp-Metformin Blackberry 500mg tab JPC 0.083402378620 Mar-Metformin 500mg tab MAR 0.083402378841 Metformin 500mg tab (MAR) MAR 0.083402242794 Metformin 500mg tab (MEL) MEL 0.083402353377 Metformin 500mg tab (SAS) SAS 0.083402148765 MYLAN-Metformin 500mg tab MYL 0.083402045710 Novo-Metformin 500mg tab TEV 0.083402223562 pms-Metformin 500mg tab PMS 0.083402269031 RAN-Metformin 500mg tab RAN 0.083402242974 ratio-Metformin 500mg tab TEV 0.083402246820 Sandoz Metformin FC 500mg tab SDZ 0.083402379767 Septa-Metformin 500mg tab SPT 0.0834

metformin HCl 850mg tab 02229785 Apo-Metformin 850mg tab APX 0.120502257734 CO Metformin 850mg tab COB 0.120502162849 Glucophage 850mg tab SAV 0.120502380218 Jamp-Metformin 850mg tab JPC 0.120502380730 Jamp-Metformin Blackberry 850mg tab JPC 0.120502378639 Mar-Metformin 850mg tab MAR 0.120502378868 Metformin 850mg tab (MAR) MAR 0.120502353385 Metformin 850mg tab (SAS) SAS 0.120502229656 MYLAN-Metformin 850mg tab MYL 0.120502230475 Novo-Metformin 850mg tab TEV 0.120502242589 pms-Metformin 850mg tab PMS 0.120502269058 RAN-Metformin 850mg tab RAN 0.120502242931 ratio-Metformin 850mg tab TEV 0.120502246821 Sandoz Metformin FC 850mg tab SDZ 0.120502379775 Septa-Metformin 850mg tab SPT 0.1205

methotrexate 2.5mg tab 02182963 Apo-Methotrexate 2.5mg tab APX 0.632502170698 Methotrexate 2.5mg tab WAY 0.632502244798 ratio-Methotrexate Sodium 2.5mg tab TEV 0.6325

methotrimeprazine 2mg tab 02238403 Apo-Methoprazine 2mg tab APX 0.0685methotrimeprazine 5mg tab 02238404 Apo-Methoprazine 5mg tab APX 0.0991methotrimeprazine 25mg tab 02238405 Apo-Methoprazine 25mg tab APX 0.2547methotrimeprazine 50mg tab 02238406 Apo-Methoprazine 50mg tab APX 0.3857



21




Generic Name and Strength DIN Brand MFR MRP PRPmethyldopa 125mg tab 00360252 Methyldopa 125mg tab AAP 0.1074methyldopa 250mg tab 00360260 Methyldopa 250mg tab AAP 0.1555methyldopa 500mg tab 00426830 Methyldopa 500mg tab AAP 0.2753methylphenidate 10mg tab 02249324 Apo-Methylphenidate 10mg tab APX 0.1271

00584991 pms-Methylphenidate 10mg tab PMS 0.127100005606 Ritalin 10mg tab NVR 0.1271

methylphenidate 20mg tab 02249332 Apo-Methylphenidate 20mg tab APX 0.235900585009 pms-Methylphenidate 20mg tab PMS 0.235900005614 Ritalin 20mg tab NVR 0.2359

methylphenidate 18mg ER tab 02247732 Concerta 18mg tab JAN 1.427602315068 Novo-Methylphenidate ER-C 18mg tab TEV 1.4276




methylphenidate 20mg SR tab 02266687 Apo-Methylphenidate 20mg SR tab APX 0.282000632775 Ritalin 20mg SR tab NVR 0.282002320312 Sandoz Methylphenidate 20mg SR tab SDZ 0.2820

methylprednisolone acetate 40mg/vial inj 01934333 Depo-Medrol 40mg/mL inj PFI 4.515002245407 Methylprednisolone Acetate 40mg/mL inj SDZ 4.5150

methylprednisolone acetate 80mg/vial inj 01934341 Depo-Medrol 80mg/mL inj PFI 6.990002245408 Methylprednisolone Acetate 80mg/mL inj SDZ 6.9900

methylprednisolone acetate 40mg/vial inj (pf)

00030759 Depo-Medrol 40mg/mL inj (PF) PFI 4.7250

02245400 Methylprednisolone Acetate 40mg/mL inj (PF) SDZ 4.7250methylprednisolone acetate 80mg/vial inj (pf)

00030767 Depo-Medrol 80mg/mL inj (PF) PFI 9.0300

02245406 Methylprednisolone Acetate 80mg/mL inj (PF) SDZ 9.0300methylprednisolone sodium succinate 40mg/vial inj

02231893 Methylprednisolone Sod. Succ. 40mg/vial inj TEV 4.2966

methylprednisolone sodium succinate 125mg/vial inj

02231894 Methylprednisolone Sod. Succ. 125mg/vial inj TEV 9.3500

methylprednisolone sodium succinate 500mg/vial inj

02231895 Methylprednisolone Sod Succ 500mg/vial inj TEV 22.2002

00030678 Solu-Medrol 500mg/vial inj PFI 22.2002methylprednisolone sodium succinate 1g/vial inj

02241229 Methylprednisolone Sod Succ 1g/vial inj TEV 31.0000

00036137 Solu-Medrol 1g/vial inj PFI 31.0000metoclopramide HCl 5mg tab 00842826 Apo-Metoclop 5mg tab (discontinued) APX 0.0556

02230431 pms-Metoclopramide 5mg tab PMS 0.0556metoclopramide HCl 10mg tab 00842834 Apo-Metoclop 10mg tab (discontinued) APX 0.0583

02230432 pms-Metoclopramide 10mg tab PMS 0.0583metoclopramide HCl 1mg o/l 02230433 pms-Metoclopramide 1mg/mL liq PMS 0.0486metoprolol tartrate 50mg tab 00618632 Apo-Metoprolol 50mg tab APX 0.0940



21




Generic Name and Strength DIN Brand MFR MRP PRPmetoprolol tartrate 50mg tab 00749354 Apo-Metoprolol-L 50mg tab APX 0.0940

02356821 Jamp-Metoprolol-L 50mg tab JPC 0.094000397423 Lopresor 50mg tab NVR 0.094002350394 Metoprolol Film-Coated 50mg tab SAS 0.094002174545 MYLAN-Metoprolol (Type L) 50mg tab MYL 0.094002230803 pms-Metoprolol-L 50mg tab PMS 0.094002354187 Sandoz Metoprolol (Type L) 50mg tab SDZ 0.094002247875 Sandoz Metoprolol (Type L) 50mg tab (discontinued)SDZ 0.094000648035 Teva-Metoprolol 50mg tab TEV 0.0940

metoprolol tartrate 100mg tab 00618640 Apo-Metoprolol 100mg tab APX 0.205000751170 Apo-Metoprolol-L 100mg tab APX 0.205002356848 Jamp-Metoprolol-L 100mg tab JPC 0.205000397431 Lopresor 100mg tab NVR 0.205002350408 Metoprolol Film-Coated 100mg tab SAS 0.205002174553 MYLAN-Metoprolol (Type L) 100mg tab MYL 0.205002230804 pms-Metoprolol-L 100mg tab PMS 0.205002354195 Sandoz Metoprolol (Type L) 100mg tab SDZ 0.205000648043 Teva-Metoprolol 100mg tab TEV 0.2050

metoprolol tartrate 100mg SR tab 02285169 Apo-Metoprolol 100mg SR tab APX 0.124800658855 Lopresor 100mg SR tab NVR 0.124802303396 Sandoz Metoprolol 100mg SR tab SDZ 0.1248

metoprolol tartrate 200mg SR tab 02285177 Apo-Metoprolol 200mg SR tab APX 0.249900534560 Lopresor 200mg SR tab NVR 0.249902303418 Sandoz Metoprolol 200mg SR tab SDZ 0.2499

metronidazole 250mg tab 00545066 Metronidazole 250mg tab AAP 0.0749mexiletine 100mg cap 02230359 Novo-Mexiletine 100mg cap TEV 1.0203mexiletine 200mg cap 02230360 Novo-Mexiletine 200mg cap TEV 1.3663miconazole 2% vag cr 02231106 Micozole 2% vag cr TAR 0.1511

02084309 Monistat 7 2% vag cr JNJ 0.1511midazolam 1mg/mL inj 02240285 Midazolam 1mg/mL inj SDZ 0.7800midazolam 5mg/mL inj 02240286 Midazolam 5mg/mL inj SDZ 4.1000midodrine 2.5mg tab 02278677 Midodrine 2.5mg tab AAP 0.3665midodrine 5mg tab 02278685 Midodrine 5mg tab AAP 0.6109minocycline HCl 50mg cap 02084090 Apo-Minocycline 50mg cap APX 0.3064

02287226 Minocycline 50mg cap SAS 0.306402230735 MYLAN-Minocycline 50mg cap MYL 0.306402108143 Novo-Minocycline 50mg cap TEV 0.306402294419 pms-Minocycline 50mg cap PMS 0.306402237313 Sandoz Minocycline 50mg cap SDZ 0.3064

minocycline HCl 100mg cap 02084104 Apo-Minocycline 100mg cap APX 0.591202287234 Minocycline 100mg cap SAS 0.591202230736 MYLAN-Minocycline 100mg cap MYL 0.591202108151 Novo-Minocycline 100mg cap TEV 0.591202294427 pms-Minocycline 100mg cap PMS 0.5912



21




Generic Name and Strength DIN Brand MFR MRP PRPminocycline HCl 100mg cap 02237314 Sandoz Minocycline 100mg cap SDZ 0.5912mirtazapine 30mg tab 02286629 Apo-Mirtazapine 30mg tab APX 0.4557

02370689 Mirtazapine 30mg tab SAS 0.455702256118 MYLAN-Mirtazapine 30mg tab MYL 0.455702259354 Novo-Mirtazapine 30mg tab TEV 0.455702252279 phl-Mirtazapine 30mg tab PHL 0.455702248762 pms-Mirtazapine 30mg tab PMS 0.455702243910 Remeron 30mg tab ORG 0.455702250608 Sandoz Mirtazapine 30mg tab SDZ 0.455702325187 Zym-Mirtazapine 30mg tab ZYM 0.4557

mirtazapine 15mg RD tab 02299801 Auro-Mirtazapine OD 15mg tab ARO 0.140602352826 GD-Mirtazapine OD 15mg tab GMD 0.140602279894 Novo-Mirtazapine 15mg OD tab TEV 0.140602248542 Remeron 15mg RD tab ORG 0.1406



misoprostol 100mcg tab 02244022 Misoprostol 100mcg tab AAP 0.2804misoprostol 200mcg tab 02244023 Misoprostol 200mcg tab AAP 0.4669moclobemide 100mg tab 02232148 Apo-Moclobemide 100mg tab APX 0.2520

02239746 Novo-Moclobemide 100mg tab TEV 0.2520moclobemide 150mg tab 02232150 Apo-Moclobemide 150mg tab APX 0.2120

00899356 Manerix 150mg tab MVL 0.212002239747 Novo-Moclobemide 150mg tab TEV 0.2120

moclobemide 300mg tab 02240456 Apo-Moclobemide 300mg tab APX 0.416402166747 Manerix 300mg tab MVL 0.416402239748 Novo-Moclobemide 300mg tab TEV 0.4164

mometasone 0.1% cr 00851744 Elocom 0.1% cr SCH 0.526202367157 Taro-Mometasone 0.1% cr TAR 0.5262

mometasone 0.1% lot 00871095 Elocom 0.1% lot SCH 0.312402266385 Taro-Mometasone 0.1% lot TAR 0.3124

mometasone 0.1% oint 00851736 Elocom 0.1% oint SCH 0.270102248130 ratio-Mometasone 0.1% oint TEV 0.270102264749 Taro-Mometasone 0.1% oint TAR 0.2701

montelukast 4mg granules (exception status)

02358611 Sandoz Montelukast 4mg granules SDZ 0.1276

02247997 Singulair 4mg/pkt granules FRS 0.1276montelukast 4mg chewtab (exception status)

02377608 Apo-Montelukast 4mg chewtab APX 0.5104

02379317 Montelukast 4mg chewtab SAS 0.5104



21




Generic Name and Strength DIN Brand MFR MRP PRPmontelukast 4mg chewtab (exception status)

02380749 MYLAN-Montelukast 4mg chewtab MYL 0.5104

02354977 pms-Montelukast 4mg chewtab PMS 0.510402330385 Sandoz Montelukast 4mg chewtab SDZ 0.510402243602 Singulair 4mg chewtab FRS 0.510402355507 Teva-Montelukast 4mg chewtab TEV 0.5104

montelukast 5mg chewtab (exception status)

02377616 Apo-Montelukast 5mg chewtab APX 0.5635

02379325 Montelukast 5mg chewtab SAS 0.563502380757 MYLAN-Montelukast 5mg chewtab MYL 0.563502354985 pms-Montelukast 5mg chewtab PMS 0.563502330393 Sandoz Montelukast 5mg chewtab SDZ 0.563502238216 Singulair 5mg chewtab FRS 0.563502355515 Teva-Montelukast 5mg chewtab TEV 0.5635

montelukast 10mg tab (exception status) 02374609 Apo-Montelukast 10mg tab APX 0.827602391422 Jamp-Montelukast 10mg tab JPC 0.827602379236 Montelukast 10mg tab (AHI) AHI 0.827602379333 Montelukast 10mg tab (SAS) SAS 0.827602368226 MYLAN-Montelukast 10mg tab MYL 0.827602373947 pms-Montelukast FC 10mg tab PMS 0.827602328593 Sandoz Montelukast 10mg tab SDZ 0.827602238217 Singulair 10mg tab FRS 0.827602355523 Teva-Montelukast 10mg tab TEV 0.8276

morphine sulfate 15mg SR tab 02350815 Morphine SR 15mg tab SAS 0.231702015439 MS Contin 15mg SR tab PFR 0.231702302764 Novo-Morphine 15mg SR tab TEV 0.231702244790 Sandoz Morphine 15mg SR tab SDZ 0.2317

morphine sulfate 30mg SR tab 02350890 Morphine SR 30mg tab SAS 0.350002014297 MS Contin 30mg SR tab PFR 0.350002302772 Novo-Morphine 30mg SR tab TEV 0.350002244791 Sandoz Morphine 30mg SR tab SDZ 0.3500

morphine sulfate 60mg SR tab 02350912 Morphine SR 60mg tab SAS 0.616702014300 MS Contin 60mg SR tab PFR 0.616702302780 Novo-Morphine 60mg SR tab TEV 0.616702245286 pms-Morphine Sulfate 60mg SR tab (discontinued) PMS 0.616702244792 Sandoz Morphine 60mg SR tab SDZ 0.6167

morphine sulfate 100mg SR tab 02350920 Morphine SR 100mg tab SAS 0.940102014319 MS Contin 100mg SR tab PFR 0.940102302799 Novo-Morphine 100mg SR tab TEV 0.9401

morphine sulfate 200mg SR tab 02350947 Morphine SR 200mg tab SAS 1.747902014327 MS Contin 200mg SR tab PFR 1.747902302802 Novo-Morphine 200mg SR tab TEV 1.7479

morphine sulfate 10mg/mL inj 00392588 Morphine Sulfate 10mg/mL inj SDZ 0.9900morphine sulfate 15mg/mL inj 00392561 Morphine Sulfate 15mg/mL inj SDZ 1.0050mupirocin 2% oint 01916947 Bactroban 2% oint GSK 0.3453



21




Generic Name and Strength DIN Brand MFR MRP PRPmupirocin 2% oint 02279983 Taro-Mupirocin 2% oint TAR 0.3453nabilone 0.5mg cap (exception status) 02256193 Cesamet 0.5mg cap VLN 1.0859

02393581 CO Nabilone 0.5mg cap COB 1.085902380900 pms-Nabilone 0.5mg cap PMS 1.085902358085 RAN-Nabilone 0.5mg cap RAN 1.085902384884 Teva-Nabilone 0.5mg cap TEV 1.0859

nabilone 1mg cap (exception status) 00548375 Cesamet 1mg cap VLN 2.171802393603 CO Nabilone 1mg cap COB 2.171802380919 pms-Nabilone 1mg cap PMS 2.171802358093 RAN-Nabilone 1mg cap RAN 2.171802384892 Teva-Nabilone 1mg cap TEV 2.1718

nabumetone 500mg tab 02238639 Apo-Nabumetone 500mg tab APX 0.175002244563 MYLAN-Nabumetone 500mg tab MYL 0.175002240867 Novo-Nabumetone 500mg tab TEV 0.1750

nabumetone 750mg tab 02240868 Novo-Nabumetone 750mg tab TEV 0.3500nadolol 40mg tab 00782505 Apo-Nadol 40mg tab APX 0.2465

02126753 Novo-Nadolol 40mg tab TEV 0.2465nadolol 80mg tab 00782467 Apo-Nadol 80mg tab APX 0.3515

02126761 Novo-Nadolol 80mg tab TEV 0.3515nadolol 160mg tab 00782475 Apo-Nadol 160mg tab APX 1.2046naproxen 125mg tab 00522678 Apo-Naproxen 125mg tab APX 0.0781naproxen 250mg tab 00522651 Apo-Naproxen 250mg tab APX 0.1068

02350750 Naproxen 250mg tab SAS 0.106800565350 Teva-Naproxen 250mg tab TEV 0.1068

naproxen 375mg tab 00600806 Apo-Naproxen 375mg tab APX 0.145802350769 Naproxen 375mg tab SAS 0.145800627097 Teva-Naproxen 375mg tab TEV 0.1458

naproxen 500mg tab 00592277 Apo-Naproxen 500mg tab APX 0.211002350777 Naproxen 500mg tab SAS 0.211000589861 Teva-Naproxen 500mg tab TEV 0.2110

naproxen 250mg EC tab 02246699 Apo-Naproxen 250mg EC tab APX 0.143402162792 Naprosyn-E 250mg EC tab HLR 0.143402350785 Naproxen 250mg EC tab SAS 0.143402243312 Novo-Naprox 250mg EC tab TEV 0.1434

naproxen 375mg EC tab 02246700 Apo-Naproxen 375mg EC tab APX 0.188002243432 MYLAN-Naproxen 375mg EC tab MYL 0.188002162415 Naprosyn-E 375mg EC tab HLR 0.188002350793 Naproxen 375mg EC tab SAS 0.188002294702 pms-Naproxen 375mg EC tab PMS 0.188002243313 Teva-Naproxen-EC 375mg tab TEV 0.1880

naproxen 500mg EC tab 02246701 Apo-Naproxen 500mg EC tab APX 0.339602241024 MYLAN-Naproxen 500mg EC tab MYL 0.339602162423 Naprosyn-E 500mg EC tab HLR 0.339602350807 Naproxen 500mg EC tab SAS 0.3396



21




Generic Name and Strength DIN Brand MFR MRP PRPnaproxen 500mg EC tab 02243314 Novo-Naprox 500mg EC tab TEV 0.3396

02294710 pms-Naproxen 500mg EC tab PMS 0.3396naproxen sodium 275mg tab 02162725 Anaprox 275mg tab HLR 0.1750

00784354 Apo-Napro-Na 275mg tab APX 0.175002351013 Naproxen Sodium 275mg tab SAS 0.175000778389 Teva-Naproxen Sodium 275mg tab TEV 0.1750

naproxen sodium 550mg tab 02162717 Anaprox DS 550mg tab HLR 0.350001940309 Apo-Napro-Na DS 550mg tab APX 0.350002351021 Naproxen Sodium DS 550mg tab SAS 0.350002026600 Teva-Naproxen Sodium DS 550mg tab TEV 0.3500

naproxen 500mg supp 02017237 pms-Naproxen 500mg supp PMS 0.9639naratriptan 1mg tab (exception status) 02237820 Amerge 1mg tab GSK 7.7950

02314290 Novo-Naratriptan 1mg tab TEV 7.7950naratriptan 2.5mg tab (exception status) 02237821 Amerge 2.5mg tab GSK 6.1438

02314304 Novo-Naratriptan 2.5mg tab TEV 6.143802322323 Sandoz Naratriptan 2.5mg tab SDZ 6.1438

nifedipine 5mg cap 00725110 Nifedipine 5mg cap AAP 0.3992nifedipine 10mg tab 00755907 Nifedipine 10mg tab AAP 0.5292nifedipine 30mg ER tab 02155907 Adalat XL 30mg tab BAY 0.6171

02349167 MYLAN-Nifedipine 30mg ER tab MYL 0.6171nifedipine 60mg ER tab 02155990 Adalat XL 60mg tab BAY 0.9374

02321149 MYLAN-Nifedipine 60mg ER tab MYL 0.9374nilotinib 150mg cap (exception status) 02368250 Tasigna 150mg cap NVR 29.5926nilotinib 200mg cap (exception status) 02315874 Tasigna 200mg cap NVR 42.0054nitrofurantoin 50mg cap 02231015 Novo-Furantoin 50mg cap TEV 0.3984nitroglycerin 0.4mg/dose pumpspray 02231441 Nitrolingual 0.4mg/dose pumpspray SAV 0.0423

02238998 Rho-Nitro 0.4mg/dose pumpspray SDZ 0.0423nizatidine 150mg cap 02220156 Apo-Nizatidine 150mg cap APX 0.1800

00778338 Axid 150mg cap MMT 0.180002240457 Novo-Nizatidine 150mg cap TEV 0.180002177714 pms-Nizatidine 150mg cap PMS 0.1800

nizatidine 300mg cap 02220164 Apo-Nizatidine 300mg cap APX 0.360000778346 Axid 300mg cap MMT 0.360002240458 Novo-Nizatidine 300mg cap TEV 0.360002177722 pms-Nizatidine 300mg cap PMS 0.3600

norfloxacin 400mg tab (exception status) 02229524 Apo-Norflox 400mg tab APX 0.793402269627 CO Norfloxacin 400mg tab COB 0.793402237682 Novo-Norfloxacin 400mg tab TEV 0.793402246596 pms-Norfloxacin 400mg tab PMS 0.7934

nortriptyline 10mg cap 02223511 Apo-Nortriptyline 10mg cap APX 0.078700015229 Aventyl 10mg cap PHL 0.078702231781 Novo-Nortriptyline 10mg cap TEV 0.078702177692 pms-Nortriptyline 10mg cap PMS 0.0787

nortriptyline 25mg cap 02223538 Apo-Nortriptyline 25mg cap APX 0.1583



21




Generic Name and Strength DIN Brand MFR MRP PRPnortriptyline 25mg cap 00015237 Aventyl 25mg cap PHL 0.1583

02231782 Novo-Nortriptyline 25mg cap TEV 0.158302177706 pms-Nortriptyline 25mg cap PMS 0.1583

nystatin 100,000iu o/l 02194201 ratio-Nystatin 100,000iu/mL oral drops TEV 0.0740octreotide 50mcg/mL inj 02248639 Octreotide Acetate Omega 50mcg/mL inj HOS 2.2140

00839191 Sandostatin 50mcg/mL inj NVR 2.2140octreotide 100mcg/mL inj 02248640 Octreotide Acetate Omega 100mcg/mL inj HOS 4.1680



00839213 Sandostatin 500mcg/mL inj NVR 19.5960ofloxacin 300mg tab (exception status) 02231531 Ofloxacin 300mg tab AAP 1.6625ofloxacin 400mg tab (exception status) 02231532 Ofloxacin 400mg tab AAP 1.6625ofloxacin 0.3% oph sol (exception status) 02248398 Apo-Ofloxacin 0.3% oph sol APX 0.8561

02143291 Ocuflox 0.3% oph sol ALL 0.856102252570 pms-Ofloxacin 0.3% oph sol (discontinued) PMS 0.856102247189 Sandoz Ofloxacin 0.3% oph sol SDZ 0.8561

olanzapine 2.5mg tab (exception status) 02281791 Apo-Olanzapine 2.5mg tab APX 0.629002325659 CO Olanzapine 2.5mg tab COB 0.629002337878 MYLAN-Olanzapine 2.5mg tab MYL 0.629002372819 Olanzapine 2.5mg tab SAS 0.629002303116 pms-Olanzapine 2.5mg tab PMS 0.629002310341 Sandoz Olanzapine 2.5mg tab SDZ 0.629002276712 Teva-Olanzapine 2.5mg tab TEV 0.629002229250 Zyprexa 2.5mg tab LIL 0.6290

olanzapine 5mg tab (exception status) 02281805 Apo-Olanzapine 5mg tab APX 1.258002325667 CO Olanzapine 5mg tab COB 1.258002337886 MYLAN-Olanzapine 5mg tab MYL 1.258002372827 Olanzapine 5mg tab SAS 1.258002303159 pms-Olanzapine 5mg tab PMS 1.258002310368 Sandoz Olanzapine 5mg tab SDZ 1.258002276720 Teva-Olanzapine 5mg tab TEV 1.258002229269 Zyprexa 5mg tab LIL 1.2580

olanzapine 7.5mg tab (exception status) 02281813 Apo-Olanzapine 7.5mg tab APX 1.887102325675 CO Olanzapine 7.5mg tab COB 1.887102337894 MYLAN-Olanzapine 7.5mg tab MYL 1.887102372835 Olanzapine 7.5mg tab SAS 1.887102303167 pms-Olanzapine 7.5mg tab PMS 1.887102310376 Sandoz Olanzapine 7.5mg tab SDZ 1.887102276739 Teva-Olanzapine 7.5mg tab TEV 1.887102229277 Zyprexa 7.5mg tab LIL 1.8871

olanzapine 10mg tab (exception status) 02281821 Apo-Olanzapine 10mg tab APX 2.516102325683 CO Olanzapine 10mg tab COB 2.5161



21




Generic Name and Strength DIN Brand MFR MRP PRPolanzapine 10mg tab (exception status) 02337908 MYLAN-Olanzapine 10mg tab MYL 2.5161

02372843 Olanzapine 10mg tab SAS 2.516102303175 pms-Olanzapine 10mg tab PMS 2.516102310384 Sandoz Olanzapine 10mg tab SDZ 2.516102276747 Teva-Olanzapine 10mg tab TEV 2.516102229285 Zyprexa 10mg tab LIL 2.5161

olanzapine 15mg tab (exception status) 02281848 Apo-Olanzapine 15mg tab APX 3.774102325691 CO Olanzapine 15mg tab COB 3.774102337916 MYLAN-Olanzapine 15mg tab MYL 3.774102372851 Olanzapine 15mg tab SAS 3.774102303183 pms-Olanzapine 15mg tab PMS 3.774102310392 Sandoz Olanzapine 15mg tab SDZ 3.774102276755 Teva-Olanzapine 15mg tab TEV 3.774102238850 Zyprexa 15mg tab LIL 3.7741

olanzapine ODT 5mg tab (exception status)

02360616 Apo-Olanzapine ODT 5mg tab APX 1.2511

02327562 CO Olanzapine ODT 5mg tab COB 1.251102382709 MYLAN-Olanzapine ODT 5mg tab MYL 1.251102352974 Olanzapine ODT 5mg tab SAS 1.251102303191 pms-Olanzapine ODT 5mg tab PMS 1.251102327775 Sandoz Olanzapine ODT 5mg tab SDZ 1.251102321343 Teva-Olanzapine OD 5mg tab TEV 1.251102243086 Zyprexa Zydis 5mg tab LIL 1.2511









02327597 CO Olanzapine ODT 20mg tab COB 5.937602382733 MYLAN-Olanzapine ODT 20mg tab MYL 5.937602327805 Sandoz Olanzapine ODT 20mg tab SDZ 5.9376



21




Generic Name and Strength DIN Brand MFR MRP PRPolanzapine ODT 20mg tab (exception status)

02321386 Teva-Olanzapine OD 20mg tab TEV 5.9376

02243089 Zyprexa Zydis 20mg tab LIL 5.9376omeprazole 10mg cap 02119579 Losec 10mg cap AZE 0.2059

02329425 MYLAN-Omeprazole 10mg cap MYL 0.205902296438 Sandoz Omeprazole 10mg cap SDZ 0.2059

omeprazole 20mg cap 02245058 Apo-Omeprazole 20mg cap APX 0.411700846503 Losec 20mg cap AZE 0.411702329433 MYLAN-Omeprazole 20mg cap MYL 0.411702348691 Omeprazole 20mg cap SAS 0.411702320851 pms-Omeprazole 20mg cap PMS 0.411702296446 Sandoz Omeprazole 20mg cap SDZ 0.4117

omeprazole 10mg cap/tab 02230737 Losec 10mg tab AZE 0.205902329425 MYLAN-Omeprazole 10mg cap MYL 0.2059

omeprazole 20mg cap/tab 02245058 Apo-Omeprazole 20mg cap APX 0.411702190915 Losec 20mg tab AZE 0.411702329433 MYLAN-Omeprazole 20mg cap MYL 0.411702295415 Novo-Omeprazole Delayed-Release 20mg tab TEV 0.411702348691 Omeprazole 20mg cap SAS 0.411702310260 pms-Omeprazole DR 20mg tab PMS 0.411702374870 RAN-Omeprazole 20mg tab RAN 0.411702260867 ratio-Omeprazole 20mg tab TEV 0.4117

ondansetron 4mg tab (exception status) 02288184 Apo-Ondansetron 4mg tab APX 3.577802296349 CO Ondansetron 4mg tab COB 3.577802313685 Jamp-Ondansetron 4mg tab JPC 3.577802371731 Mar-Ondansetron 4mg tab MAR 3.577802305259 MINT- Ondansetron 4mg tab MNT 3.577802297868 MYLAN-Ondansetron 4mg tab MYL 3.577802264056 Novo-Ondansetron 4mg tab TEV 3.577802306212 Ondansetron-Odan 4mg tab ODN 3.577802278618 phl-Ondansetron 4mg tab PHL 3.577802258188 pms-Ondansetron 4mg tab PMS 3.577802312247 RAN-Ondansetron 4mg tab RAN 3.577802278529 ratio-Ondansetron 4mg tab TEV 3.577802274310 Sandoz Ondansetron 4mg tab SDZ 3.577802376091 Septa-Ondansetron 4mg tab SPT 3.577802213567 Zofran 4mg tab GSK 3.5778

ondansetron 8mg tab (exception status) 02288192 Apo-Ondansetron 8mg tab APX 7.155502296357 CO Ondansetron 8mg tab COB 7.155502313693 Jamp-Ondansetron 8mg tab JPC 7.155502371758 Mar-Ondansetron 8mg tab MAR 7.155502305267 MINT-Ondansetron 8mg tab MNT 7.155502297876 MYLAN-Ondansetron 8mg tab MYL 7.155502306220 Ondansetron-Odan 8mg tab ODN 7.155502278626 phl-Ondansetron 8mg tab PHL 7.1555



21




Generic Name and Strength DIN Brand MFR MRP PRPondansetron 8mg tab (exception status) 02258196 pms-Ondansetron 8mg tab PMS 7.1555

02312255 RAN-Ondansetron 8mg tab RAN 7.155502278537 ratio-Ondansetron 8mg tab TEV 7.155502274329 Sandoz Ondansetron 8mg tab SDZ 7.155502376105 Septa-Ondansetron 8mg tab SPT 7.155502264064 Teva-Ondansetron 8mg tab TEV 7.155502213575 Zofran 8mg tab GSK 7.1555

ondansetron 4mg ODT tab (exception status)

02239372 Zofran 4mg ODT tab GSK 3.5778

ondansetron 8mg ODT tab (exception status)

02239373 Zofran 8mg ODT tab GSK 7.1555

ondansetron 4mg/5mL o/l (exception status)

02291967 Ondansetron 4mg/5mL o/l AAP 1.5856

02229639 Zofran 4mg/5mL o/l GSK 1.5856orciprenaline 2mg/mL syr 02236783 Apo-Orciprenaline 2mg/mL syr APX 0.0574oxazepam 15mg tab 00402745 Apo-Oxazepam 15mg tab APX 0.0560oxazepam 30mg tab 00402737 Apo-Oxazepam 30mg tab APX 0.0764oxcarbazepine 150mg tab (exception status)

02284294 Apo-Oxcarbazepine 150mg tab APX 0.6209

02242067 Trileptal 150mg tab NVR 0.6209oxcarbazepine 300mg tab (exception status)


02242068 Trileptal 300mg tab NVR 0.9102oxcarbazepine 600mg tab (exception status)


02242069 Trileptal 600mg tab NVR 1.8204oxybutynin 5mg tab 02163543 Apo-Oxybutynin 5mg tab APX 0.1508

02230800 MYLAN-Oxybutynin 5mg tab MYL 0.150802230394 Novo-Oxybutynin 5mg tab TEV 0.150802350238 Oxybutynin 5mg tab SAS 0.150802240550 pms-Oxbytynin 5mg tab PMS 0.1508

oxybutynin 1mg/mL o/l 02223376 pms-Oxybutynin 1mg/mL o/l PMS 0.1183oxycodone 5mg tab (Supeudol) 02319977 pms-Oxycodone 5mg tab PMS 0.1776

00789739 Supeudol 5mg tab SDZ 0.1776oxycodone 10mg tab (Supeudol) 02319985 pms-Oxycodone 10mg tab PMS 0.2760

00443948 Supeudol 10mg tab SDZ 0.2760oxycodone 5mg tab (Oxy-IR) 02231934 Oxy-IR 5mg tab PFR 0.1776

02319977 pms-Oxycodone 5mg tab PMS 0.1776oxycodone 10mg tab (Oxy-IR) 02240131 Oxy-IR 10mg tab PFR 0.2760

02319985 pms-Oxycodone 10mg tab PMS 0.2760oxycodone 20mg tab 02240132 Oxy-IR 20mg tab PFR 0.4538

02319993 pms-Oxycodone 20mg tab PMS 0.4538pantoprazole 20mg EC tab (exception status)

02292912 Apo-Pantoprazole 20mg DR tab APX 0.3538

02241804 Pantoloc 20mg DR tab NYC 0.353802305038 RAN-Pantoprazole 20mg DR tab RAN 0.3538



21




Generic Name and Strength DIN Brand MFR MRP PRPpantoprazole 20mg EC tab (exception status)

02301075 Sandoz Pantoprazole 20mg DR tab SDZ 0.3538

02285479 Teva-Pantoprazole 20mg DR tab TEV 0.3538pantoprazole 40mg EC tab (exception status)

02292920 Apo-Pantoprazole 40mg DR tab APX 0.7076

02300486 CO Pantoprazole 40mg DR tab COB 0.707602299585 MYLAN-Pantoprazole 40mg DR tab MYL 0.707602229453 Pantoloc 40mg DR tab NYC 0.707602370808 Pantoprazole 40mg tab SAS 0.707602307871 pms-Pantoprazole 40mg DR tab PMS 0.707602305046 RAN-Pantoprazole 40mg DR tab RAN 0.707602301083 Sandoz Pantoprazole 40mg DR tab SDZ 0.707602285487 Teva-Pantoprazole 40mg DR tab TEV 0.7076

paroxetine 20mg tab 02240908 Apo-Paroxetine 20mg tab APX 0.632002383284 Auro-Paroxetine 20mg tab ARO 0.632002262754 CO Paroxetine 20mg tab COB 0.632002368870 Jamp-Paroxetine 20mg tab JPC 0.632002248013 MYLAN-Paroxetine 20mg tab MYL 0.632002282852 Paroxetine 20mg tab SAS 0.632001940481 Paxil 20mg tab GSK 0.632002248451 phl-Paroxetine 20mg tab PHL 0.632002247751 pms-Paroxetine 20mg tab PMS 0.632002247811 ratio-Paroxetine 20mg tab TEV 0.632002269430 Sandoz Paroxetine 20mg tab SDZ 0.632002248557 Teva-Paroxetine 20mg tab TEV 0.6320

paroxetine 30mg tab 02240909 Apo-Paroxetine 30mg tab APX 0.671402383292 Auro-Paroxetine 30mg tab ARO 0.671402262762 CO Paroxetine 30mg tab COB 0.671402368889 Jamp-Paroxetine 30mg tab JPC 0.671402248014 MYLAN-Paroxetine 30mg tab MYL 0.671402282860 Paroxetine 30mg tab SAS 0.671401940473 Paxil 30mg tab GSK 0.671402248452 phl-Paroxetine 30mg tab PHL 0.671402247752 pms-Paroxetine 30mg tab PMS 0.671402247812 ratio-Paroxetine 30mg tab TEV 0.671402269449 Sandoz Paroxetine 30mg tab SDZ 0.671402248558 Teva-Paroxetine 30mg tab TEV 0.6714

pazopanib 200mg tab (exception status) 02352303 Votrient 200mg tab GSK 37.0000peginterferon alfa-2B 80mcg, boceprevir 200mg & ribavirin 200mg kit (exception status)

02371448 Victrelis Triple 80mcg Inj/200mg/200mg cap FRS 2878.0168

peginterferon alfa-2B 100mcg, boceprevir 200mg & ribavirin 200mg kit (exception status)


peginterferon alfa-2B 120mcg, boceprevir 200mg & ribavirin 200mg kit (exception status)




21




Generic Name and Strength DIN Brand MFR MRP PRPpeginterferon alfa-2B 150mcg, boceprevir 200mg & ribavirin 200mg kit (exception status)


penicillin V potassium 300mg tab 00642215 Apo-Pen VK 300mg tab APX 0.071000021202 Novo-Pen-VK 300mg tab TEV 0.0710

penicillin V potassium 60mg/mL o/l 00642231 Apo-Pen VK 60mg/mL o/l APX 0.047200391603 Novo-Pen-VK 60mg/mL o/l TEV 0.0472

pentoxifylline 400mg tab (exception status) 02230090 Apo-Pentoxifylline 400mg SR tab APX 0.5846

02221977 Trental 400mg tab SAV 0.5846perphenazine 4mg tab 00335126 Perphenazine 4mg tab AAP 0.0823pethidine 50mg/mL inj 00725765 Meperidine 50mg/mL inj SDZ 0.9600pethidine 75mg/mL inj 00725757 Meperidine 75mg/mL inj SDZ 1.0100pethidine 100mg/mL inj 00725749 Meperidine 100mg/mL inj SDZ 1.0700phenylephrine 10mg/mL inj 02241980 Neo-Synephrine 10mg/mL inj HOS 4.4300

01953583 Phenylephrine 10mg/mL inj SDZ 4.4300phenytoin 25mg/mL susp 00023450 Dilantin-125 25mg/mL susp PFI 0.0311

02250896 Taro-Phenytoin 25mg/mL susp TAR 0.0311pimozide 2mg tab 02245432 Apo-Pimozide 2mg tab APX 0.3093

00313815 Orap 2mg tab PHL 0.3093pimozide 4mg tab 02245433 Apo-Pimozide 4mg tab APX 0.4136

00313823 Orap 4mg tab PHL 0.4136pindolol 5mg tab 00755877 Apo-Pindol 5mg tab APX 0.2050

00869007 Novo-Pindol 5mg tab TEV 0.205002231536 pms-Pindolol 5mg tab PMS 0.205002261782 Sandoz Pindolol 5mg tab SDZ 0.205000417270 Visken 5mg tab NVR 0.2050

pindolol 10mg tab 00755885 Apo-Pindol 10mg tab APX 0.350000869015 Novo-Pindol 10mg tab TEV 0.350002231537 pms-Pindolol 10mg tab PMS 0.350002261790 Sandoz Pindolol 10mg tab SDZ 0.350000443174 Visken 10mg tab NVR 0.3500

pindolol 15mg tab 00755893 Apo-Pindol 15mg tab APX 0.507800869023 Novo-Pindol 15mg tab TEV 0.507802231539 pms-Pindolol 15mg tab PMS 0.507802261804 Sandoz Pindolol 15mg tab SDZ 0.507800417289 Visken 15mg tab NVR 0.5078

pioglitazone 15mg tab (exception status) 02242572 Actos 15mg tab LIL 0.832402302942 Apo-Pioglitazone 15mg tab APX 0.832402384906 Auro-Pioglitazone 15mg tab ARO 0.832402302861 CO Pioglitazone 15mg tab COB 0.832402326477 MINT-Pioglitazone 15mg tab MNT 0.832402298279 MYLAN-Pioglitazone 15mg tab MYL 0.832402274914 Novo-Pioglitazone 15mg tab TEV 0.832402307669 phl-Pioglitazone 15mg tab PHL 0.8324



21




Generic Name and Strength DIN Brand MFR MRP PRPpioglitazone 15mg tab (exception status) 02303124 pms-Pioglitazone 15mg tab PMS 0.8324

02375850 RAN-Pioglitazone 15mg tab RAN 0.832402301423 ratio-Pioglitazone 15mg tab TEV 0.832402297906 Sandoz Pioglitazone 15mg tab SDZ 0.832402320754 Zym-Pioglitazone 15mg tab ZYM 0.8324

pioglitazone 30mg tab (exception status) 02242573 Actos 30mg tab LIL 1.166202302950 Apo-Pioglitazone 30mg tab APX 1.166202384914 Auro-Pioglitazone 30mg tab ARO 1.166202302888 CO Pioglitazone 30mg tab COB 1.166202326485 MINT-Pioglitazone 30mg tab MNT 1.166202298287 MYLAN-Pioglitazone 30mg tab MYL 1.166202274922 Novo-Pioglitazone 30mg tab TEV 1.166202307677 phl-Pioglitazone 30mg tab PHL 1.166202339587 Pioglitazone 30mg tab AHI 1.166202303132 pms-Pioglitazone 30mg tab PMS 1.166202375869 RAN-Pioglitazone 30mg tab RAN 1.166202301431 ratio-Pioglitazone 30mg tab (discontinued) TEV 1.166202297914 Sandoz Pioglitazone 30mg tab SDZ 1.166202320762 Zym-Pioglitazone 30mg tab ZYM 1.1662

pioglitazone 45mg tab (exception status) 02242574 Actos 45mg tab LIL 1.753502302977 Apo-Pioglitazone 45mg tab APX 1.753502384922 Auro-Pioglitazone 45mg tab ARO 1.753502302896 CO Pioglitazone 45mg tab COB 1.753502326493 MINT-Pioglitazone 45mg tab MNT 1.753502298295 MYLAN-Pioglitazone 45mg tab MYL 1.753502274930 Novo-Pioglitazone 45mg tab TEV 1.753502307723 phl-Pioglitazone 45mg tab PHL 1.753502339595 Pioglitazone 45mg tab AHI 1.753502303140 pms-Pioglitazone 45mg tab PMS 1.753502375877 RAN-Pioglitazone 45mg tab RAN 1.753502301458 ratio-Pioglitazone 45mg tab TEV 1.753502297922 Sandoz Pioglitazone 45mg tab SDZ 1.753502320770 Zym-Pioglitazone 45mg tab ZYM 1.7535

piroxicam 10mg cap 00642886 Apo-Piroxicam 10mg cap APX 0.321100695718 Novo-Pirocam 10mg cap TEV 0.3211

piroxicam 20mg cap 00642894 Apo-Piroxicam 20mg cap APX 0.519600695696 Novo-Pirocam 20mg cap TEV 0.5196

piroxicam 20mg supp 02154463 pms-Piroxicam 20mg supp PMS 2.2329polymixin b sulfate, neomycin sulfate & gramicidin oph/otic sol

00807435 Optimyxin Plus oph/otic sol (discontinued) SDZ 0.8230

polymyxin b sulfate, neomycin sulfate & hydrocortisone otic sol

01912828 Cortisporin otic sol GSK 1.1400

02230386 Sandoz Cortimyxin otic sol SDZ 1.1400potassium chloride 1.33mEq/mL o/l 80024360 K-10 1.33mEq/mL o/l GSK 0.0158



21




Generic Name and Strength DIN Brand MFR MRP PRPpotassium chloride 1.33mEq/mL o/l 02238604 pms-Potassium Chloride 1.33mEq/mL o/l PMS 0.0158pramipexole 0.25mg tab 02292378 Apo-Pramipexole 0.25mg tab APX 0.3680

02297302 CO Pramipexole 0.25mg tab COB 0.368002237145 Mirapex 0.25mg tab BOE 0.368002376350 MYLAN-Pramipexole 0.25mg tab MYL 0.368002269309 Novo-Pramipexole 0.25mg tab TEV 0.368002290111 pms-Pramipexole 0.25mg tab PMS 0.368002315262 Sandoz Pramipexole 0.25mg tab SDZ 0.3680

pramipexole 1mg tab 02292394 Apo-Pramipexole 1mg tab APX 0.736002297329 CO Pramipexole 1mg tab COB 0.736002237146 Mirapex 1mg tab BOE 0.736002376377 MYLAN-Pramipexole 1mg tab MYL 0.736002269325 Novo-Pramipexole 1mg tab TEV 0.736002290146 pms-Pramipexole 1mg tab PMS 0.736002315289 Sandoz Pramipexole 1mg tab SDZ 0.7360

pramipexole 1.5mg tab 02292408 Apo-Pramipexole 1.5mg tab APX 0.736002297337 CO Pramipexole 1.5mg tab COB 0.736002237147 Mirapex 1.5mg tab BOE 0.736002376385 MYLAN-Pramipexole 1.5mg tab MYL 0.736002269333 Novo-Pramipexole 1.5mg tab TEV 0.736002290154 pms-Pramipexole 1.5mg tab PMS 0.736002315297 Sandoz Pramipexole 1.5mg tab SDZ 0.7360

pravastatin 10mg tab 02243506 Apo-Pravastatin 10mg tab APX 0.567002248182 CO Pravastatin 10mg tab COB 0.567002330954 Jamp-Pravastatin 10mg tab JPC 0.567002317451 MINT-Pravastatin 10mg tab MNT 0.567002257092 MYLAN-Pravastatin 10mg tab MYL 0.567002247008 Novo-Pravastatin 10mg tab TEV 0.567002249766 phl-Pravastatin 10mg tab PHL 0.567002247655 pms-Pravastatin 10mg tab PMS 0.567000893749 Pravachol 10mg tab BRI 0.567002356546 Pravastatin 10mg tab SAS 0.567002284421 RAN-Pravastatin 10mg tab RAN 0.567002247856 Sandoz Pravastatin 10mg tab SDZ 0.5670

pravastatin 20mg tab 02243507 Apo-Pravastatin 20mg tab APX 0.668902248183 CO Pravastatin 20mg tab COB 0.668902330962 Jamp-Pravastatin 20mg tab JPC 0.668902317478 MINT-Pravastatin 20mg tab MNT 0.668902257106 MYLAN-Pravastatin 20mg tab MYL 0.668902247009 Novo-Pravastatin 20mg tab TEV 0.668902249774 phl-Pravastatin 20mg tab PHL 0.668902247656 pms-Pravastatin 20mg tab PMS 0.668900893757 Pravachol 20mg tab BRI 0.668902356554 Pravastatin 20mg tab SAS 0.668902284448 RAN-Pravastatin 20mg tab RAN 0.6689



21




Generic Name and Strength DIN Brand MFR MRP PRPpravastatin 20mg tab 02247857 Sandoz Pravastatin 20mg tab SDZ 0.6689pravastatin 40mg tab 02243508 Apo-Pravastatin 40mg tab APX 0.8057

02248184 CO Pravastatin 40mg tab COB 0.805702330970 Jamp-Pravastatin 40mg tab JPC 0.805702317486 MINT-Pravastatin 40mg tab MNT 0.805702257114 MYLAN-Pravastatin 40mg tab MYL 0.805702247010 Novo-Pravastatin 40mg tab TEV 0.805702249782 phl-Pravastatin 40mg tab PHL 0.805702247657 pms-Pravastatin 40mg tab PMS 0.805702222051 Pravachol 40mg tab BRI 0.805702356562 Pravastatin 40mg tab SAS 0.805702284456 RAN-Pravastatin 40mg tab RAN 0.805702247858 Sandoz Pravastatin 40mg tab SDZ 0.8057

prazosin HCl 1mg tab 00882801 Apo-Prazo 1mg tab APX 0.137101934198 Novo-Prazin 1mg tab TEV 0.1371



prednisolone acetate 1% oph susp 00301175 Pred Forte 1% oph susp ALL 1.940000700401 ratio-Prednisolone 1% oph susp TEV 1.940001916203 Sandoz Prednisolone 1% oph susp SDZ 1.9400

prednisolone sodium phosphate 1mg/mL o/l

02230619 Pediapred oral sol SAV 0.0936

02245532 pms-Prednisolone oral sol PMS 0.0936prednisone 1mg tab 00598194 Apo-Prednisone 1mg tab APX 0.1072

00271373 Winpred 1mg tab VLN 0.1072prednisone 5mg tab 00312770 Apo-Prednisone 5mg tab APX 0.0401

00021695 Novo-Prednisone 5mg tab TEV 0.0401prednisone 50mg tab 00550957 Apo-Prednisone 50mg tab APX 0.1735

00232378 Novo-Prednisone 50mg tab TEV 0.1735primidone 125mg tab 00399310 Primidone 125mg tab AAP 0.0600primidone 250mg tab 00396761 Primidone 250mg tab AAP 0.0944prochlorperazine 5mg tab 00886440 Apo-Prochlorazine 5mg tab APX 0.1659prochlorperazine 10mg tab 00886432 Apo-Prochlorazine 10mg tab APX 0.2025prochlorperazine 5mg/mL inj 00789747 Prochlorperazine 5mg/mL inj SDZ 1.0450procyclidine HCl 5mg tab 00587354 pms-Procyclidine 5mg tab PMS 0.1396procyclidine HCl 0.5mg/mL o/l 00587362 pms-Procyclidine 0.5mg/mL elx PMS 0.2730propafenone 150mg tab 02243324 Apo-Propafenone 150mg tab APX 0.4227

02245372 MYLAN-Propafenone 150mg tab MYL 0.422702294559 pms-Propafenone 150mg tab PMS 0.422702343053 Propafenone 150mg tab SAS 0.422700603708 Rythmol 150mg tab ABB 0.4227

propafenone 300mg tab 02243325 Apo-Propafenone 300mg tab APX 0.7450



21




Generic Name and Strength DIN Brand MFR MRP PRPpropafenone 300mg tab 02245373 MYLAN-Propafenone 300mg tab MYL 0.7450

02294575 pms-Propafenone 300mg tab PMS 0.745002343061 Propafenone 300mg tab SAS 0.745000603716 Rythmol 300mg tab ABB 0.7450

propranolol 10mg tab 00402788 Apo-Propranolol 10mg tab APX 0.019200496480 Novo-Pranol 10mg tab TEV 0.0192




propranolol 120mg tab 00504335 Apo-Propranolol 120mg tab APX 0.3091quetiapine 25mg tab 02313901 Apo-Quetiapine 25mg tab APX 0.1779

02316080 CO Quetiapine 25mg tab COB 0.177902330415 Jamp-Quetiapine 25mg tab JPC 0.177902307804 MYLAN-Quetiapine 25mg tab MYL 0.177902284235 Novo-Quetiapine 25mg tab TEV 0.177902299054 phl-Quetiapine 25mg tab PHL 0.177902296551 pms-Quetiapine 25mg tab PMS 0.177902353164 Quetiapine 25mg tab SAS 0.177902313995 Sandoz Quetiapine 25mg tab SDZ 0.177902236951 Seroquel 25mg tab AZE 0.1779

quetiapine 100mg tab 02313928 Apo-Quetiapine 100mg tab APX 0.474602316099 CO Quetiapine 100mg tab COB 0.474602330423 Jamp-Quetiapine 100mg tab JPC 0.474602307812 MYLAN-Quetiapine 100mg tab MYL 0.474602284243 Novo-Quetiapine 100mg tab TEV 0.474602299062 phl-Quetiapine 100mg tab PHL 0.474602296578 pms-Quetiapine 100mg tab PMS 0.474602353172 Quetiapine 100mg tab SAS 0.474602314002 Sandoz Quetiapine 100mg tab SDZ 0.474602236952 Seroquel 100mg tab AZE 0.4746

quetiapine 200mg tab 02313936 Apo-Quetiapine 200mg tab APX 0.953002316110 CO Quetiapine 200mg tab COB 0.953002330458 Jamp-Quetiapine 200mg tab JPC 0.953002307839 MYLAN-Quetiapine 200mg tab MYL 0.953002284278 Novo-Quetiapine 200mg tab TEV 0.953002299089 phl-Quetiapine 200mg tab PHL 0.953002296594 pms-Quetiapine 200mg tab PMS 0.953002353199 Quetiapine 200mg tab SAS 0.953002314010 Sandoz Quetiapine 200mg tab SDZ 0.953002236953 Seroquel 200mg tab AZE 0.9530

quetiapine 300mg tab 02313944 Apo-Quetiapine 300mg tab APX 1.3906



21




Generic Name and Strength DIN Brand MFR MRP PRPquetiapine 300mg tab 02316129 CO Quetiapine 300mg tab COB 1.3906

02330466 Jamp-Quetiapine 300mg tab JPC 1.390602307847 MYLAN-Quetiapine 300mg tab MYL 1.390602284286 Novo-Quetiapine 300mg tab TEV 1.390602299097 phl-Quetiapine 300mg tab PHL 1.390602296608 pms-Quetiapine 300mg tab PMS 1.390602353202 Quetiapine 300mg tab SAS 1.390602314029 Sandoz Quetiapine 300mg tab SDZ 1.390602244107 Seroquel 300mg tab AZE 1.3906

quinine sulfate 200mg cap 00021008 Novo-Quinine 200mg cap TEV 0.2481quinine sulfate 300mg cap 00021016 Novo-Quinine 300mg cap TEV 0.3893rabeprazole 10mg EC tab 02345579 Apo-Rabeprazole 10mg EC tab APX 0.1204

02243796 Pariet 10mg EC tab JAN 0.120402381737 PAT-Rabeprazole 10mg tab PPH 0.120402310805 pms-Rabeprazole 10mg EC tab PMS 0.120402356511 Rabeprazole EC 10mg tab SAS 0.120402298074 RAN-Rabeprazole 10mg EC tab RAN 0.120402314177 Sandoz Rabeprazole 10mg EC tab SDZ 0.120402296632 Teva-Rabeprazole-EC 10mg tab TEV 0.1204

rabeprazole 20mg EC tab 02345587 Apo-Rabeprazole 20mg EC tab APX 0.240802243797 Pariet 20mg EC tab JAN 0.240802381745 PAT-Rabeprazole 20mg tab PPH 0.240802310813 pms-Rabeprazole 20mg EC tab PMS 0.240802356538 Rabeprazole EC 20mg tab SAS 0.240802298082 RAN-Rabeprazole 20mg EC tab RAN 0.240802314185 Sandoz Rabeprazole 20mg EC tab SDZ 0.240802296640 Teva-Rabeprazole-EC 20mg tab TEV 0.2408

raloxifene 60mg tab (exception status) 02279215 Apo-Raloxifene 60mg tab APX 0.845702358840 CO Raloxifene 60mg tab COB 0.845702239028 Evista 60mg tab LIL 0.845702312298 Novo-Raloxifene 60mg tab TEV 0.845702358921 pms-Raloxifene 60mg tab PMS 0.8457

ramipril 1.25mg cap/tab 02221829 Altace 1.25mg cap SAV 0.127402251515 Apo-Ramipril 1.25mg cap APX 0.127402295482 CO Ramipril 1.25mg cap COB 0.127402331101 Jamp-Ramipril 1.25mg cap JPC 0.127402301148 MYLAN-Ramipril 1.25mg cap MYL 0.127402295369 pms-Ramipril 1.25mg cap PMS 0.127402310503 RAN-Ramipril 1.25mg cap RAN 0.127402291398 Sandoz Ramipril 1.25mg tab SDZ 0.1274

ramipril 2.5mg cap/tab 02221837 Altace 2.5mg cap SAV 0.147002251531 Apo-Ramipril 2.5mg cap APX 0.147002295490 CO Ramipril 2.5mg cap COB 0.147002331128 Jamp-Ramipril 2.5mg cap JPC 0.147002301156 MYLAN-Ramipril 2.5mg cap MYL 0.1470



21




Generic Name and Strength DIN Brand MFR MRP PRPramipril 2.5mg cap/tab 02247917 pms-Ramipril 2.5mg cap PMS 0.1470

02374846 Ramipril 2.5mg cap SAS 0.147002310511 RAN-Ramipril 2.5mg cap RAN 0.147002291401 Sandoz Ramipril 2.5mg tab SDZ 0.147002247945 Teva-Ramipril 2.5mg cap TEV 0.1470

ramipril 5mg cap/tab 02221845 Altace 5mg cap SAV 0.147002251574 Apo-Ramipril 5mg cap APX 0.147002295504 CO Ramipril 5mg cap COB 0.147002331136 Jamp-Ramipril 5mg cap JPC 0.147002301164 MYLAN-Ramipril 5mg cap MYL 0.147002247918 pms-Ramipril 5mg cap PMS 0.147002374854 Ramipril 5mg cap SAS 0.147002310538 RAN-Ramipril 5mg cap RAN 0.147002291428 Sandoz Ramipril 5mg tab SDZ 0.147002247946 Teva-Ramipril 5mg cap TEV 0.1470

ramipril 10mg cap/tab 02221853 Altace 10mg cap SAV 0.186202251582 Apo-Ramipril 10mg cap APX 0.186202295512 CO Ramipril 10mg cap COB 0.186202331144 Jamp-Ramipril 10mg cap JPC 0.186202301172 MYLAN-Ramipril 10mg cap MYL 0.186202247919 pms-Ramipril 10mg cap PMS 0.186202374862 Ramipril 10mg cap SAS 0.186202310546 RAN-Ramipril 10mg cap RAN 0.186202291436 Sandoz Ramipril 10mg tab SDZ 0.186202247947 Teva-Ramipril 10mg cap TEV 0.1862

ramipril 15mg cap 02281112 Altace 15mg cap SAV 0.813202325381 Apo-Ramipril 15mg cap APX 0.8132

ramipril 2.5mg & hydrochlorothiazide 12.5mg tab

02283131 Altace HCT 2.5/12.5mg tab SAV 0.2250

02342138 pms-Ramipril-HCTZ 2.5/12.5mg tab PMS 0.2250ramipril 5mg & hydrochlorothiazide 12.5mg tab

02283158 Altace HCT 5/12.5mg tab SAV 0.2263

02342146 pms-Ramipril-HCTZ 5/12.5mg tab PMS 0.2263ramipril 5mg & hydrochlorothiazide 25mg tab

02283174 Altace HCT 5/25mg tab SAV 0.2263

02342162 pms-Ramipril-HCTZ 5/25mg tab PMS 0.2263ramipril 10mg & hydrochlorothiazide 12.5mg tab

02283166 Altace HCT 10/12.5mg tab SAV 0.2865

02342154 pms-Ramipril-HCTZ 10/12.5mg tab PMS 0.2865ramipril 10mg & hydrochlorothiazide 25mg tab

02283182 Altace HCT 10/25mg tab SAV 0.2865

02342170 pms-Ramipril-HCTZ 10/25mg tab PMS 0.2865ranitidine 150mg tab 00733059 Apo-Ranitidine 150mg tab APX 0.1800

02248570 CO Ranitidine 150mg tab COB 0.180002367378 Myl-Ranitidine 150mg tab MYL 0.180002207761 MYLAN-Ranitidine 150mg tab MYL 0.1800



21




Generic Name and Strength DIN Brand MFR MRP PRPranitidine 150mg tab 00828564 Novo-Ranidine 150mg tab TEV 0.1800

02242453 pms-Ranitidine 150mg tab PMS 0.180002336480 RAN-Ranitidine 150mg tab RAN 0.180002353016 Ranitidine 150mg tab SAS 0.180000828823 ratio-Ranitidine 150mg tab TEV 0.180002243229 Sandoz Ranitidine 150mg tab SDZ 0.180002212331 Zantac 150mg tab GSK 0.1800

ranitidine 300mg tab 00733067 Apo-Ranitidine 300mg tab APX 0.360002248571 CO Ranitidine 300mg tab COB 0.360002367386 Myl-Ranitidine 300mg tab MYL 0.360002207788 MYLAN-Ranitidine 300mg tab MYL 0.360000828556 Novo-Ranidine 300mg tab TEV 0.360002242454 pms-Ranitidine 300mg tab PMS 0.360002336502 RAN-Ranitidine 300mg tab RAN 0.360002353024 Ranitidine 300mg tab SAS 0.360002243230 Sandoz Ranitidine 300mg tab SDZ 0.360002212358 Zantac 300mg tab GSK 0.3600

ranitidine 25mg/mL inj 02256711 Ranitidine 25mg/mL inj SDZ 1.331002212366 Zantac 25mg/mL inj GSK 1.3310

ranitidine 15mg/mL o/l 02280833 Apo-Ranitidine 15mg/mL o/l APX 0.093202242940 Novo-Ranidine 15mg/mL o/l TEV 0.0932

rifampin 150mg cap 02091887 Rifadin 150mg cap SAV 0.655200393444 Rofact 150mg cap VLN 0.6552

rifampin 300mg cap 02092808 Rifadin 300mg cap SAV 1.031100343617 Rofact 300mg cap VLN 1.0311

riluzole 50mg tab (exception status) 02352583 Apo-Riluzole 50mg tab APX 3.436102390299 MYLAN-Riluzole 50mg tab MYL 3.436102242763 Rilutek 50mg tab SAV 3.4361

risedronate 5mg tab (exception status) 02242518 Actonel 5mg tab WNC 1.389702298376 Teva-Risedronate 5mg tab TEV 1.3897

risedronate 30mg tab (exception status) 02239146 Actonel 30mg tab WNC 9.003302298384 Teva-Risedronate 30mg tab TEV 9.0033

risedronate 35mg tab (exception status) 02246896 Actonel 35mg tab WNC 4.130002353687 Apo-Risedronate 35mg tab APX 4.130002368552 Jamp-Risedronate 35mg tab JPC 4.130002357984 MYLAN-Risedronate 35mg tab MYL 4.130002302209 pms-Risedronate 35mg tab PMS 4.130002319861 ratio-Risedronate 35mg tab TEV 4.130002370255 Risedronate 35mg tab SAS 4.130002327295 Sandoz-Risedronate 35mg tab SDZ 4.130002298392 Teva-Risedronate 35mg tab TEV 4.1300

risperidone 0.25mg tab 02282119 Apo-Risperidone 0.25mg tab APX 0.184002282585 CO Risperidone 0.25mg tab COB 0.184002359529 Jamp-Risperidone 0.25mg tab JPC 0.1840



21




Generic Name and Strength DIN Brand MFR MRP PRPrisperidone 0.25mg tab 02371766 Mar-Risperidone 0.25mg tab MAR 0.1840

02359790 MINT Risperidone 0.25mg tab MNT 0.184002282240 MYLAN-Risperidone 0.25mg tab MYL 0.184002282690 Novo-Risperidone 0.25mg tab TEV 0.184002258439 phl-Risperidone 0.25mg tab PHL 0.184002252007 pms-Risperidone 0.25mg tab PMS 0.184002328305 RAN-Risperidone 0.25mg tab RAN 0.184002240551 Risperdal 0.25mg tab JAN 0.184002356880 Risperidone 0.25mg tab SAS 0.184002303655 Sandoz Risperidone 0.25mg tab SDZ 0.1840

risperidone 0.5mg tab 02282127 Apo-Risperidone 0.5mg tab APX 0.308202282593 CO Risperidone 0.5mg tab COB 0.308202359537 Jamp-Risperidone 0.5mg tab JPC 0.308202371774 Mar-Risperidone 0.5mg tab MAR 0.308202359804 MINT Risperidone 0.5mg tab MNT 0.308202282259 MYLAN-Risperidone 0.5mg tab MYL 0.308202264188 Novo-Risperidone 0.5mg tab TEV 0.308202258447 phl-Risperidone 0.5mg tab PHL 0.308202252015 pms-Risperidone 0.5mg tab PMS 0.308202328313 RAN-Risperidone 0.5mg tab RAN 0.308202240552 Risperdal 0.5mg tab JAN 0.308202356899 Risperidone 0.5mg tab SAS 0.308202303663 Sandoz Risperidone 0.5mg tab SDZ 0.3082

risperidone 1mg tab 02282135 Apo-Risperidone 1mg tab APX 0.425802282607 CO Risperidone 1mg tab COB 0.425802359545 Jamp-Risperidone 1mg tab JPC 0.425802371782 Mar-Risperidone 1mg tab MAR 0.425802359812 MINT Risperidone 1mg tab MNT 0.425802282267 MYLAN-Risperidone 1mg tab MYL 0.425802264196 Novo-Risperidone 1mg tab TEV 0.425802258455 phl-Risperidone 1mg tab PHL 0.425802252023 pms-Risperidone 1mg tab PMS 0.425802328321 RAN-Risperidone 1mg tab RAN 0.425802025280 Risperdal 1mg tab JAN 0.425802356902 Risperidone 1mg tab SAS 0.425802279800 Sandoz Risperidone 1mg tab SDZ 0.4258

risperidone 2mg tab 02282143 Apo-Risperidone 2mg tab APX 0.850002282615 CO Risperidone 2mg tab COB 0.850002359553 Jamp-Risperidone 2mg tab JPC 0.850002371790 Mar-Risperidone 2mg tab MAR 0.850002359820 MINT-Risperidone 2mg tab MNT 0.850002282275 MYLAN-Risperidone 2mg tab MYL 0.850002264218 Novo-Risperidone 2mg tab TEV 0.850002258463 phl-Risperidone 2mg tab PHL 0.850002252031 pms-Risperidone 2mg tab PMS 0.8500



21




Generic Name and Strength DIN Brand MFR MRP PRPrisperidone 2mg tab 02328348 RAN-Risperidone 2mg tab RAN 0.8500

02025299 Risperdal 2mg tab JAN 0.850002356910 Risperidone 2mg tab SAS 0.850002279819 Sandoz Risperidone 2mg tab SDZ 0.8500



risperidone ODT 1mg tab 02291789 pms-Risperidone ODT 1mg tab PMS 0.772702247705 Risperdal M-tab (1mg) JAN 0.7727




risperidone 1mg/mL o/l 02280396 Apo-Risperidone 1mg/mL o/l APX 0.480202279266 pms-Risperidone 1mg/mL o/l PMS 0.480202236950 Risperdal 1mg/mL o/l JAN 0.4802

rituximab 10mg/mL inj (exception status) 02241927 Rituxan 10mg/mL inj HLR 55.6063rivastigmine 1.5mg cap (exception status) 02336715 Apo-Rivastigmine 1.5mg cap APX 0.9121

02242115 Exelon 1.5mg cap NVR 0.9121



21




Generic Name and Strength DIN Brand MFR MRP PRPrivastigmine 1.5mg cap (exception status) 02332809 MYLAN-Rivastigmine 1.5mg cap MYL 0.9121

02305984 Novo-Rivastigmine 1.5mg cap TEV 0.912102306034 pms-Rivastigmine 1.5mg cap PMS 0.912102311283 ratio-Rivastigmine 1.5mg cap TEV 0.912102324563 Sandoz Rivastigmine 1.5mg cap SDZ 0.9121

rivastigmine 3mg cap (exception status) 02336723 Apo-Rivastigmine 3mg cap APX 0.912102242116 Exelon 3mg cap NVR 0.912102332817 MYLAN-Rivastigmine 3mg cap MYL 0.912102305992 Novo-Rivastigmine 3mg cap TEV 0.912102306042 pms-Rivastigmine 3mg cap PMS 0.912102311291 ratio-Rivastigmine 3mg cap TEV 0.912102324571 Sandoz Rivastigmine 3mg cap SDZ 0.9121

rivastigmine 4.5mg cap (exception status) 02336731 Apo-Rivastigmine 4.5mg cap APX 0.912102242117 Exelon 4.5mg cap NVR 0.912102332825 MYLAN-Rivastigmine 4.5mg cap MYL 0.912102306018 Novo-Rivastigmine 4.5mg cap TEV 0.912102306050 pms-Rivastigmine 4.5mg cap PMS 0.912102311305 ratio-Rivastigmine 4.5mg cap TEV 0.912102324598 Sandoz Rivastigmine 4.5mg cap SDZ 0.9121

rivastigmine 6mg cap (exception status) 02336758 Apo-Rivastigmine 6mg cap APX 0.912102242118 Exelon 6mg cap NVR 0.912102332833 MYLAN-Rivastigmine 6mg cap MYL 0.912102306026 Novo-Rivastigmine 6mg cap TEV 0.912102306069 pms-Rivastigmine 6mg cap (discontinued) PMS 0.912102311313 ratio-Rivastigmine 6mg cap TEV 0.912102324601 Sandoz Rivastigmine 6mg cap SDZ 0.9121

rizatriptan 5mg tab (exception status) 02380455 Jamp-Rizatriptan 5mg tab JPC 5.187002379651 Mar-Rizatriptan 5mg tab MAR 5.1870

rizatriptan 10mg tab (exception status) 02381702 CO Rizatriptan 10mg tab COB 5.187002380463 Jamp-Rizatriptan 10mg tab JPC 5.187002379678 Mar-Rizatriptan 10mg tab MAR 5.187002240521 Maxalt 10mg tab FRS 5.1870

rizatriptan ODT 5mg tab (exception status) 02374730 CO Rizatriptan ODT 5mg tab COB 5.1870

02240518 Maxalt RPD 5mg wafers FRS 5.187002379198 MYLAN-Rizatriptan ODT 5mg tab MYL 5.187002393360 pms-Rizatriptan RDT 5mg tab PMS 5.187002351870 Sandoz Rizatriptan ODT 5mg tab SDZ 5.1870

rizatriptan ODT 10mg tab (exception status)

02374749 CO Rizatriptan ODT 10mg tab COB 5.1870

02240519 Maxalt RPD 10mg wafers FRS 5.187002379201 MYLAN-Rizatriptan ODT 10mg tab MYL 5.187002393379 pms-Rizatriptan RDT 10mg tab PMS 5.187002351889 Sandoz Rizatriptan ODT 10mg tab SDZ 5.1870



21




Generic Name and Strength DIN Brand MFR MRP PRPropinirole 0.25mg tab 02316846 CO Ropinirole 0.25mg tab COB 0.0993

02352338 Jamp-Ropinirole 0.25mg tab JPC 0.099302326590 pms-Ropinirole 0.25mg tab PMS 0.099302314037 RAN-Ropinirole 0.25mg tab RAN 0.099302232565 ReQuip 0.25mg tab GSK 0.099302353040 Ropinirole 0.25mg tab SAS 0.0993

ropinirole 1mg tab 02316854 CO Ropinirole 1mg tab COB 0.397402352346 Jamp-Ropinirole 1mg tab JPC 0.397402326612 pms-Ropinirole 1mg tab PMS 0.397402314053 RAN-Ropinirole 1mg tab RAN 0.397402232567 ReQuip 1mg tab GSK 0.397402353059 Ropinirole 1mg tab SAS 0.3974

ropinirole 2mg tab 02316862 CO Ropinirole 2mg tab COB 0.437102352354 Jamp-Ropinirole 2mg tab JPC 0.437102326620 pms-Ropinirole 2mg tab PMS 0.437102314061 RAN-Ropinirole 2mg tab RAN 0.437102232568 ReQuip 2mg tab GSK 0.437102353067 Ropinirole 2mg tab SAS 0.4371

ropinirole 5mg tab 02316870 CO Ropinirole 5mg tab COB 1.203402352362 Jamp-Ropinirole 5mg tab JPC 1.203402326639 pms-Ropinirole 5mg tab PMS 1.203402314088 RAN-Ropinirole 5mg tab RAN 1.203402232569 ReQuip 5mg tab NVR 1.203402353075 Ropinirole 5mg tab SAS 1.2034

rosuvastatin 10mg tab 02337983 Apo-Rosuvastatin 10mg tab APX 0.476002339773 CO Rosuvastatin 10mg tab COB 0.476002247162 Crestor 10mg tab AZE 0.476002391260 Jamp-Rosuvastatin 10mg tab JPC 0.476002381273 MYLAN-Rosuvastatin 10mg tab MYL 0.476002378531 pms-Rosuvastatin 10mg tab PMS 0.476002382652 RAN-Rosuvastatin 10mg tab RAN 0.476002338734 Sandoz Rosuvastatin 10mg tab SDZ 0.476002354616 Teva-Rosuvastatin 10mg tab TEV 0.4760

rosuvastatin 20mg tab 02337991 Apo-Rosuvastatin 20mg tab APX 0.595002339781 CO Rosuvastatin 20mg tab COB 0.595002247163 Crestor 20mg tab AZE 0.595002391279 Jamp-Rosuvastatin 20mg tab JPC 0.595002381281 MYLAN-Rosuvastatin 20mg tab MYL 0.595002378558 pms-Rosuvastatin 20mg tab PMS 0.595002382660 RAN-Rosuvastatin 20mg tab RAN 0.595002338742 Sandoz Rosuvastatin 20mg tab SDZ 0.595002354624 Teva-Rosuvastatin 20mg tab TEV 0.5950

rosuvastatin 40mg tab 02338009 Apo-Rosuvastatin 40mg tab APX 0.696502339803 CO Rosuvastatin 40mg tab COB 0.696502247164 Crestor 40mg tab AZE 0.6965



21




Generic Name and Strength DIN Brand MFR MRP PRProsuvastatin 40mg tab 02391287 Jamp-Rosuvastatin 40mg tab JPC 0.6965

02381303 MYLAN-Rosuvastatin 40mg tab MYL 0.696502378566 pms-Rosuvastatin 40mg tab PMS 0.696502382679 RAN-Rosuvastatin 40mg tab RAN 0.696502338750 Sandoz Rosuvastatin 40mg tab SDZ 0.696502354632 Teva-Rosuvastatin 40mg tab TEV 0.6965

salbutamol 100mcg/dose oral inh 02232570 Airomir 100mcg/dose oral inh MDS 0.032502245669 Apo-Salvent CFC Free 100mcg/dose oral inh APX 0.032502326450 Novo-Salbutamol HFA 100mcg/dose oral inh TEV 0.032502241497 Ventolin HFA 100mcg/dose oral inh GSK 0.0325

salbutamol 5mg/mL inh sol (exception status)

02069571 pms-Salbutamol 5mg/mL inh sol 10mL PMS 0.3511

00860808 ratio-Salbutamol 5mg/mL inh sol 10mL TEV 0.351102154412 Sandoz Salbutamol 5mg/mL inh sol 10mL SDZ 0.351102213486 Ventolin 5mg/mL inh sol 10mL GSK 0.3511

salbutamol 2mg tab 02146843 Apo-Salvent 2mg tab APX 0.1274salbutamol 4mg tab 02146851 Apo-Salvent 4mg tab APX 0.2134salbutamol 0.5mg/mL unit dose inh sol (exception status)

02208245 pms-Salbutamol 0.5mg/mL UD inh sol PMS 0.0293

02239365 ratio-Salbutamol 0.5mg/mL UD inh sol TEV 0.0293salbutamol 1mg/mL unit dose inh sol (exception status)

01926934 MYLAN-Salbutamol 1mg/mL UD inh sol MYL 0.0585

02208229 pms-Salbutamol 1mg/mL UD inh sol PMS 0.058501986864 ratio-Salbutamol 1mg/mL UD inh sol TEV 0.058502213419 Ventolin 1mg/mL UD inh sol GSK 0.0585

salbutamol 2mg/mL unit dose inh sol (exception status)

02173360 MYLAN-Salbutamol 2mg/mL UD inh sol MYL 0.1170

02208237 pms-Salbutamol 2mg/mL UD inh sol PMS 0.117002239366 ratio-Salbutamol 2mg/mL UD inh sol TEV 0.117002213427 Ventolin 2mg/mL UD inh sol GSK 0.1170

scopolamine 20mg/mL inj 02229868 Hyoscine Butylbromide 20mg/mL inj SDZ 4.5150selegiline 5mg tab 02230641 Apo-Selegiline 5mg tab APX 0.7030

02231036 MYLAN-Selegiline 5mg tab MYL 0.703002068087 Novo-Selegiline 5mg tab TEV 0.7030

sertraline 25mg cap 02238280 Apo-Sertraline 25mg cap APX 0.281402287390 CO Sertraline 25mg cap COB 0.281402273683 GD-Sertraline 25mg cap GMD 0.281402357143 Jamp-Sertraline 25mg cap JPC 0.281402242519 MYLAN-Sertraline 25mg cap MYL 0.281402240485 Novo-Sertraline 25mg cap TEV 0.281402245824 phl-Sertraline 25mg cap PHL 0.281402244838 pms-Sertraline 25mg cap PMS 0.281402374552 RAN-Sertraline 25mg cap RAN 0.281402245159 Sandoz Sertraline 25mg cap SDZ 0.281402353520 Sertraline 25mg cap SAS 0.281402132702 Zoloft 25mg cap PFI 0.2814



21




Generic Name and Strength DIN Brand MFR MRP PRPsertraline 50mg cap 02238281 Apo-Sertraline 50mg cap APX 0.5628

02287404 CO Sertraline 50mg cap COB 0.562802273691 GD-Sertraline 50mg cap GMD 0.562802357151 Jamp-Sertraline 50mg cap JPC 0.562802242520 MYLAN-Sertraline 50mg cap MYL 0.562802240484 Novo-Sertraline 50mg cap TEV 0.562802245825 phl-Sertraline 50mg cap PHL 0.562802244839 pms-Sertraline 50mg cap PMS 0.562802374560 RAN-Sertraline 50mg cap RAN 0.562802245160 Sandoz Sertraline 50mg cap SDZ 0.562802353539 Sertraline 50mg cap SAS 0.562801962817 Zoloft 50mg cap PFI 0.5628

sertraline 100mg cap 02238282 Apo-Sertraline 100mg cap APX 0.589802287412 CO Sertraline 100mg cap COB 0.589802273705 GD-Sertraline 100mg cap GMD 0.589802357178 Jamp-Sertraline 100mg cap JPC 0.589802242521 MYLAN-Sertraline 100mg cap MYL 0.589802245826 phl-Sertraline 100mg cap PHL 0.589802244840 pms-Sertraline 100mg cap PMS 0.589802374579 RAN-Sertraline 100mg cap RAN 0.589802245161 Sandoz Sertraline 100mg cap SDZ 0.589802353547 Sertraline 100mg cap SAS 0.589802240481 Teva-Sertraline 100mg cap TEV 0.589801962779 Zoloft 100mg cap PFI 0.5898

sildenafil 20mg tab 02319500 ratio-Sildenafil-R 20mg tab TEV 7.439902279401 Revatio 20mg tab PFI 7.4399

simvastatin 5mg tab 02247011 Apo-Simvastatin 5mg tab APX 0.360002248103 CO Simvastatin 5mg tab COB 0.360002375591 Jamp-Simvastatin 5mg tab JPC 0.360002331020 Jamp-Simvastatin 5mg tab (discontinued) JPC 0.360002375036 Mar-Simvastatin 5mg tab MAR 0.360002372932 MINT-Simvastatin 5mg tab MNT 0.360002246582 MYLAN-Simvastatin 5mg tab MYL 0.360002281546 phl-Simvastatin 5mg tab PHL 0.360002269252 pms-Simvastatin 5mg tab PMS 0.360002329131 RAN-Simvastatin 5mg tab RAN 0.360002284723 Simvastatin 5mg tab SAS 0.360002250144 Teva-Simvastatin 5mg tab TEV 0.360000884324 Zocor 5mg tab FRS 0.3600

simvastatin 10mg tab 02247012 Apo-Simvastatin 10mg tab APX 0.708102248104 CO Simvastatin 10mg tab COB 0.708102375605 Jamp-Simvastatin 10mg tab JPC 0.708102331039 Jamp-Simvastatin 10mg tab (discontinued) JPC 0.708102375044 Mar-Simvastatin 10mg tab MAR 0.708102372940 MINT-Simvastatin 10mg tab MNT 0.7081



21




Generic Name and Strength DIN Brand MFR MRP PRPsimvastatin 10mg tab 02246583 MYLAN-Simvastatin 10mg tab MYL 0.7081

02250152 Novo-Simvastatin 10mg tab TEV 0.708102281554 phl-Simvastatin 10mg tab PHL 0.708102269260 pms-Simvastatin 10mg tab PMS 0.708102329158 RAN-Simvastatin 10mg tab RAN 0.708102247828 Sandoz Simvastatin 10mg tab SDZ 0.708102284731 Simvastatin 10mg tab SAS 0.708100884332 Zocor 10mg tab FRS 0.7081

simvastatin 20mg tab 02247013 Apo-Simvastatin 20mg tab APX 0.875102248105 CO Simvastatin 20mg tab COB 0.875102375613 Jamp-Simvastatin 20mg tab JPC 0.875102331047 Jamp-Simvastatin 20mg tab (discontinued) JPC 0.875102375052 Mar-Simvastatin 20mg tab MAR 0.875102372959 MINT-Simvastatin 20mg tab MNT 0.875102246737 MYLAN-Simvastatin 20mg tab MYL 0.875102250160 Novo-Simvastatin 20mg tab TEV 0.875102281562 phl-Simvastatin 20mg tab PHL 0.875102269279 pms-Simvastatin 20mg tab PMS 0.875102329166 RAN-Simvastatin 20mg tab RAN 0.875102247830 Sandoz Simvastatin 20mg tab SDZ 0.875102284758 Simvastatin 20mg tab SAS 0.875100884340 Zocor 20mg tab FRS 0.8751

simvastatin 40mg tab 02247014 Apo-Simvastatin 40mg tab APX 0.875102248106 CO Simvastatin 40mg tab COB 0.875102375621 Jamp-Simvastatin 40mg tab JPC 0.875102331055 Jamp-Simvastatin 40mg tab (discontinued) JPC 0.875102375060 Mar-Simvastatin 40mg tab MAR 0.875102372967 MINT-Simvastatin 40mg tab MNT 0.875102246584 MYLAN-Simvastatin 40mg tab MYL 0.875102281570 phl-Simvastatin 40mg tab PHL 0.875102269287 pms-Simvastatin 40mg tab PMS 0.875102329174 RAN-Simvastatin 40mg tab RAN 0.875102247831 Sandoz Simvastatin 40mg tab SDZ 0.875102284766 Simvastatin 40mg tab SAS 0.875102250179 Teva-Simvastatin 40mg tab TEV 0.875100884359 Zocor 40mg tab FRS 0.8751

simvastatin 80mg tab 02247015 Apo-Simvastatin 80mg tab APX 0.875102248107 CO Simvastatin 80mg tab COB 0.875102375648 Jamp-Simvastatin 80mg tab JPC 0.875102331063 Jamp-Simvastatin 80mg tab (discontinued) JPC 0.875102375079 Mar-Simvastatin 80mg tab MAR 0.875102246585 MYLAN-Simvastatin 80mg tab MYL 0.875102281589 phl-Simvastatin 80mg tab PHL 0.875102269295 pms-Simvastatin 80mg tab PMS 0.875102329182 RAN-Simvastatin 80mg tab RAN 0.8751



21




Generic Name and Strength DIN Brand MFR MRP PRPsimvastatin 80mg tab 02247833 Sandoz Simvastatin 80mg tab SDZ 0.8751

02284774 Simvastatin 80mg tab SAS 0.875102250187 Teva-Simvastatin 80mg tab TEV 0.875102240332 Zocor 80mg tab FRS 0.8751

sodium aurothiomalate 10mg/mL inj 01927620 Myochrysine 10mg/mL inj SAV 9.660002245456 Sodium Aurothiomalate 10mg/mL inj SDZ 9.6600

sodium aurothiomalate 25mg/mL inj 02245457 Sodium Aurothiomalate 25mg/mL inj SDZ 11.7100sodium aurothiomalate 50mg/mL inj 01927604 Myochrysine 50mg/mL inj SAV 18.2100

02245458 Sodium Aurothiomalate 50mg/mL inj SDZ 18.2100sorafenib 200mg tab (exception status) 02284227 Nexavar 200mg tab BAY 48.8928sotalol 80mg tab 02210428 Apo-Sotalol 80mg tab APX 0.2966

02270625 CO Sotalol 80mg tab (discontinued) COB 0.296602368617 Jamp-Sotalol 80mg tab JPC 0.296602229778 MYLAN-Sotalol 80mg tab MYL 0.296602231181 Novo-Sotalol 80mg tab TEV 0.296602238326 pms-Sotalol 80mg tab PMS 0.296602084228 ratio-Sotalol 80mg tab TEV 0.296602257831 Sandoz Sotalol 80mg tab SDZ 0.2966

sotalol 160mg tab 02167794 Apo-Sotalol 160mg tab APX 0.227302270633 CO Sotalol 160mg tab (discontinued) COB 0.227302368625 Jamp-Sotalol 160mg tab JPC 0.227302229779 MYLAN-Sotalol 160mg tab MYL 0.227302231182 Novo-Sotalol 160mg tab TEV 0.227302238327 pms-Sotalol 160mg tab PMS 0.227302084236 ratio-Sotalol 160mg tab TEV 0.2273

spironolactone 25mg tab 00028606 Aldactone 25mg tab PFI 0.105700613215 Novo-Spiroton 25mg tab TEV 0.1057

spironolactone 100mg tab 00285455 Aldactone 100mg tab PFI 0.246100613223 Novo-Spiroton 100mg tab TEV 0.2461

sucralfate 1g tab 02125250 Apo-Sucralfate 1g tab APX 0.192402045702 Novo-Sucralate 1g tab TEV 0.192402100622 Sulcrate 1g tab AXC 0.1924

sufentanil citrate 50mcg/mL inj 02244147 Sufentanil Citrate 50mcg/mL inj SDZ 6.8300sulfamethoxazole 400mg & trimethoprim 80mg tab

00445274 Apo-Sulfatrim 400/80mg tab APX 0.0482

00510637 Novo-Trimel 400/80mg tab TEV 0.0482sulfamethoxazole 800mg & trimethoprim 160mg tab

00445282 Apo-Sulfatrim 800/160mg DS tab APX 0.1221

00510645 Novo-Trimel 800/160mg DS tab TEV 0.1221sulfamethoxazole 40mg & trimethoprim 8mg/mL o/l

00726540 Novo-Trimel 40/8mg susp TEV 0.0929

sulfinpyrazone 200mg tab 00441767 Sulfinpyrazone 200mg tab AAP 0.3252sulindac 150mg tab 00778354 Apo-Sulin 150mg tab APX 0.3500

00745588 Novo-Sundac 150mg tab TEV 0.3500sulindac 200mg tab 00778362 Apo-Sulin 200mg tab APX 0.3500



21




Generic Name and Strength DIN Brand MFR MRP PRPsulindac 200mg tab 00745596 Novo-Sundac 200mg tab TEV 0.3500sumatriptan 50mg tab (exception status) 02268388 Apo-Sumatriptan 50mg tab APX 7.1350

02257890 CO Sumatriptan 50mg tab COB 7.135002212153 Imitrex DF 50mg tab GSK 7.135002268914 MYLAN-Sumatriptan 50mg tab MYL 7.135002286823 Novo-Sumatriptan DF 50mg tab TEV 7.135002256436 pms-Sumatriptan 50mg tab PMS 7.135002263025 Sandoz Sumatriptan 50mg tab SDZ 7.135002286521 Sumatriptan 50mg tab SAS 7.1350

sumatriptan 100mg tab (exception status) 02268396 Apo-Sumatriptan 100mg tab APX 7.860002257904 CO Sumatriptan 100mg tab COB 7.860002212161 Imitrex DF 100mg tab GSK 7.860002268922 MYLAN-Sumatriptan 100mg tab MYL 7.860002239367 Novo-Sumatriptan 100mg tab TEV 7.860002286831 Novo-Sumatriptan DF 100mg tab TEV 7.860002256444 pms-Sumatriptan 100mg tab PMS 7.860002263033 Sandoz Sumatriptan 100mg tab SDZ 7.860002286548 Sumatriptan 100mg tab SAS 7.8600

sumatriptan 12mg/mL inj (exception status)

02212188 Imitrex 6mg/0.5mL inj refill cartridge GSK 61.7200

00999446 Imitrex 6mg/0.5mL inj stat dose kit GSK 61.720000901886 Imitrex 6mg/0.5mL inj unit dose GSK 61.720002361698 Sumatriptan SUN 6mg/0.5mL inj TAR 61.7200

sunitinib 12.5mg cap (exception status) 02280795 Sutent 12.5mg cap PFI 68.5207sunitinib 25mg cap (exception status) 02280809 Sutent 25mg cap PFI 137.0402sunitinib 50mg cap (exception status) 02280817 Sutent 50mg cap PFI 274.0807tamoxifen citrate 10mg tab 00812404 Apo-Tamox 10mg tab APX 0.1750

02088428 MYLAN-Tamoxifen 10mg tab MYL 0.175000851965 Novo-Tamoxifen 10mg tab TEV 0.1750

tamoxifen citrate 20mg tab 00812390 Apo-Tamox 20mg tab APX 0.350002089858 MYLAN-Tamoxifen 20mg tab MYL 0.350002048485 Nolvadex-D 20mg tab AZE 0.350000851973 Novo-Tamoxifen 20mg tab TEV 0.3500

telaprevir 375mg tab (exception status) 02371553 Incivek 375mg tab VTX 75.278300999627 Incivek 375mg tab VTX 75.2783

telmisartan 40mg tab 02393247 CO Telmisartan 40mg tab COB 0.395402240769 Micardis 40mg tab BOE 0.395402376717 MYLAN-Telmisartan 40mg tab MYL 0.395402391236 pms-Telmisartan 40mg tab PMS 0.395402375958 Sandoz Telmisartan 40mg tab SDZ 0.395402388944 Telmisartan 40mg tab SAS 0.395402320177 Teva-Telmisartan 40mg tab TEV 0.3954

telmisartan 80mg tab 02393255 CO Telmisartan 80mg tab COB 0.395402240770 Micardis 80mg tab BOE 0.395402376725 MYLAN-Telmisartan 80mg tab MYL 0.3954



21




Generic Name and Strength DIN Brand MFR MRP PRPtelmisartan 80mg tab 02391244 pms-Telmisartan 80mg tab PMS 0.3954

02375966 Sandoz Telmisartan 80mg tab SDZ 0.395402388952 Telmisartan 80mg tab SAS 0.395402320185 Teva-Telmisartan 80mg tab TEV 0.3954

telmisartan 80mg & hydrochlorothiazide 12.5mg tab

02393263 CO Telmisartan/HCT 80/12.5mg tab COB 0.3954

02244344 Micardis Plus 80/12.5mg tab BOE 0.395402373564 MYLAN-Telmisartan HCTZ 80/12.5mg tab MYL 0.395402393557 Sandoz Telmisartan HCTZ 80/12.5mg tab SDZ 0.395402395355 Telmisartan/HCTZ 80/12.5mg tab SAS 0.395402330288 Teva-Telmisartan HCTZ 80/12.5mg tab TEV 0.3954

telmisartan 80mg & hydrochlorothiazide 25mg tab

02393271 CO Telisartan/HCT 80/25mg tab COB 0.3954

02318709 Micardis Plus 80/25mg tab BOE 0.395402373572 MYLAN-Telmisartan HCTZ 80/25mg tab MYL 0.395402393565 Sandoz Telmisartan HCTZ 80/25mg tab SDZ 0.395402395363 Telmisartan/HCTZ 80/25mg tab SAS 0.395402379252 Teva-Telmisartan HCTZ 80/25mg tab TEV 0.3954

temazepam 15mg cap 02225964 Apo-Temazepam 15mg cap APX 0.069902244814 CO Temazepam 15mg cap COB 0.069902230095 Novo-Temazepam 15mg cap TEV 0.069900604453 Restoril 15mg cap ORX 0.0699

temazepam 30mg cap 02225972 Apo-Temazepam 30mg cap APX 0.084702244815 CO Temazepam 30mg cap COB 0.084702230102 Novo-Temazepam 30mg cap TEV 0.084700604461 Restoril 30mg cap ORX 0.0847

temozolomide 20mg cap (exception status)

02241094 Temodal 20mg cap SCH 32.8680







tenoxicam 20mg tab 02230661 Tenoxicam 20mg tab AAP 0.7000terazosin 1mg tab 02234502 Apo-Terazosin 1mg tab APX 0.2616

00818658 Hytrin 1mg tab ABB 0.261602243518 pms-Terazosin 1mg tab PMS 0.261602218941 ratio-Terazosin 1mg tab TEV 0.261602350475 Terazosin 1mg tab SAS 0.261602230805 Teva-Terazosin 1mg tab TEV 0.2616

terazosin 2mg tab 02234503 Apo-Terazosin 2mg tab APX 0.332500818682 Hytrin 2mg tab ABB 0.332502243519 pms-Terazosin 2mg tab PMS 0.332502218968 ratio-Terazosin 2mg tab TEV 0.332502350483 Terazosin 2mg tab SAS 0.3325



21




Generic Name and Strength DIN Brand MFR MRP PRPterazosin 2mg tab 02230806 Teva-Terazosin 2mg tab TEV 0.3325terazosin 5mg tab 02234504 Apo-Terazosin 5mg tab APX 0.4515

00818666 Hytrin 5mg tab ABB 0.451502243520 pms-Terazosin 5mg tab PMS 0.451502218976 ratio-Terazosin 5mg tab TEV 0.451502350491 Terazosin 5mg tab SAS 0.451502230807 Teva-Terazosin 5mg tab TEV 0.4515

terazosin 10mg tab 02234505 Apo-Terazosin 10mg tab APX 0.660900818674 Hytrin 10mg tab ABB 0.660902243521 pms-Terazosin 10mg tab PMS 0.660902218984 ratio-Terazosin 10mg tab TEV 0.660902350505 Terazosin 10mg tab SAS 0.660902230808 Teva-Terazosin 10mg tab TEV 0.6609

terbinafine 250mg tab (exception status) 02239893 Apo-Terbinafine 250mg tab APX 1.852602320134 Auro-Terbinafine 250mg tab ARO 1.852602254727 CO Terbinafine 250mg tab COB 1.852602352818 GD-Terbinafine 250mg tab GMD 1.852602357070 Jamp-Terbinafine 250mg tab JPC 1.852602031116 Lamisil 250mg tab NVR 1.852602242503 MYLAN-Terbinafine 250mg tab MYL 1.852602240346 Novo-Terbinafine 250mg tab TEV 1.852602294273 pms-Terbinafine 250mg tab PMS 1.852602262177 Sandoz Terbinafine 250mg tab SDZ 1.852602353121 Terbinafine 250mg tab SAS 1.8526

testosterone cypionate 100mg/mL inj 00030783 Depo-Testosterone 100mg/mL inj PFI 2.358002246063 Testosterone Cypionate 100mg/mL inj SDZ 2.3580

testosterone undercanoate 40mg cap 00782327 Andriol 40mg cap SCH 0.765002322498 pms-Testosterone 40mg cap PMS 0.7650

tetrabenazine 25mg tab 02199270 Nitoman 25mg tab BVL 4.855102402424 pms-Tetrabenazine 25mg tab PMS 4.8551

tetracycline 250mg cap 00580929 Tetracycline 250mg cap AAP 0.0713theophylline 200mg SR tab 02230086 Novo-Theophyl SR 200mg tab TEV 0.1350theophylline 300mg SR tab 02230087 Novo-Theophyl SR 300mg tab TEV 0.1817thiamine (vit B1) 100mg/mL inj 02193221 Thiamiject 100mg/mL inj (OMG) OMG 1.1880

02243525 Thiamine 100mg/mL inj CYI 1.1880tiaprofenic acid 200mg tab 02136112 Apo-Tiaprofenic 200mg tab APX 0.2333

02179679 Novo-Tiaprofenic 200mg tab TEV 0.2333tiaprofenic acid 300mg tab 02136120 Apo-Tiaprofenic 300mg tab APX 0.3257

02179687 Novo-Tiaprofenic 300mg tab TEV 0.3257ticlopidine 250mg tab (exception status) 02237701 Apo-Ticlopidine 250mg tab APX 0.4398

02239744 MYLAN-Ticlopidine 250mg tab MYL 0.439802236848 Novo-Ticlopidine 250mg tab TEV 0.439802243587 Sandoz Ticlopidine 250mg tab (discontinued) SDZ 0.439802343045 Ticlopidine 250mg tab SAS 0.4398



21




Generic Name and Strength DIN Brand MFR MRP PRPtimolol maleate 0.25% oph gel 02242275 Timolol Maleate-EX 0.25% oph gel SDZ 2.5920

02171880 Timoptic-XE 0.25% oph gel FRS 2.5920timolol maleate 0.5% oph gel 02242276 Timolol Maleate-EX 0.5% oph gel SDZ 2.7300

02171899 Timoptic-XE 0.5% oph gel FRS 2.7300timolol maleate 0.25% oph sol 00755826 Apo-Timop 0.25% oph sol APX 0.9678

00893773 MYLAN-Timolol 0.25% oph sol (discontinued) MYL 0.967802083353 pms-Timolol 0.25% oph sol PMS 0.967802166712 Sandoz Timolol 0.25% oph sol SDZ 0.9678

timolol maleate 0.5% oph sol 00755834 Apo-Timop 0.5% oph sol APX 1.275400893781 MYLAN-Timolol 0.5% oph sol (discontinued) MYL 1.275402083345 pms-Timolol 0.5% oph sol PMS 1.275402166720 Sandoz Timolol 0.5% oph sol SDZ 1.275400451207 Timoptic 0.5% oph sol FRS 1.2754

timolol maleate 5mg tab 00755842 Apo-Timol 5mg tab APX 0.164901947796 Novo-Timol 5mg tab TEV 0.1649



tizanidine 4mg tab (exception status) 02259893 Apo-Tizanidine 4mg tab APX 0.368602272059 MYLAN-Tizanidine 4mg tab MYL 0.368602239170 Zanaflex 4mg tab SQI 0.3686

tobramycin 10mg/mL inj 02241209 Tobramycin 10mg/mL inj SDZ 2.3150tobramycin 40mg/mL inj 02382814 Tobramycin 40mg/mL inj (AJP) AJP 3.2100

02241210 Tobramycin 40mg/mL inj (SDZ) SDZ 3.2100tobramycin 0.3% oph sol 02241755 Sandoz Tobramycin 0.3% oph sol SDZ 0.5948

00513962 Tobrex 0.3% oph sol ALC 0.5948tolbutamide 500mg tab 00312762 Tolbutamide 500mg tab AAP 0.1182topiramate 25mg tab (exception status) 02279614 Apo-Topiramate 25mg tab APX 0.4379

02345803 Auro-Topiramate 25mg tab ARO 0.437902287765 CO Topiramate 25mg tab COB 0.437902352850 GD-Topiramate 25mg tab GMD 0.437902315645 MINT-Topiramate 25mg tab MNT 0.437902263351 MYLAN-Topiramate 25mg tab MYL 0.437902248860 Novo-Topiramate 25mg tab TEV 0.437902271184 phl-Topiramate 25mg tab PHL 0.437902262991 pms-Topiramate 25mg tab PMS 0.437902260050 SandozTopiramate 25mg tab SDZ 0.437902230893 Topamax 25mg tab JAN 0.437902356856 Topiramate 25mg tab SAS 0.437902325136 Zym-Topiramate 25mg tab ZYM 0.4379

topiramate 100mg tab (exception status) 02279630 Apo-Topiramate 100mg tab APX 0.830002345838 Auro-Topiramate 100mg tab ARO 0.830002287773 CO Topiramate 100mg tab COB 0.8300



21




Generic Name and Strength DIN Brand MFR MRP PRPtopiramate 100mg tab (exception status) 02352877 GD-Topiramate 100mg tab GMD 0.8300

02315653 MINT-Topiramate 100mg tab MNT 0.830002263378 MYLAN-Topiramate 100mg tab MYL 0.830002248861 Novo-Topiramate 100mg tab TEV 0.830002271192 phl-Topiramate 100mg tab PHL 0.830002263009 pms-Topiramate 100mg tab PMS 0.830002260069 Sandoz Topiramate 100mg tab SDZ 0.830002230894 Topamax 100mg tab JAN 0.830002356864 Topiramate 100mg tab SAS 0.830002325144 Zym-Topiramate 100mg tab ZYM 0.8300

topiramate 200mg tab (exception status) 02279649 Apo-Topiramate 200mg tab APX 1.239502345846 Auro-Topiramate 200mg tab ARO 1.239502287781 CO Topiramate 200mg tab COB 1.239502352885 GD-Topiramate 200mg tab GMD 1.239502315661 MINT-Topiramate 200mg tab MNT 1.239502263386 MYLAN-Topiramate 200mg tab MYL 1.239502248862 Novo-Topiramate 200mg tab TEV 1.239502271206 phl-Topiramate 200mg tab PHL 1.239502263017 pms-Topiramate 200mg tab PMS 1.239502267837 Sandoz Topiramate 200mg tab SDZ 1.239502230896 Topamax 200mg tab JAN 1.239502356872 Topiramate 200mg tab SAS 1.239502325152 Zym-Topiramate 200mg tab ZYM 1.2395

trazodone 50mg tab 02147637 Apo-Trazodone 50mg tab APX 0.077502236941 phl-Trazodone 50mg tab PHL 0.077501937227 pms-Trazodone 50mg tab PMS 0.077502144263 Teva-Trazodone 50mg tab TEV 0.077502348772 Trazodone 50mg tab SAS 0.0775

trazodone 100mg tab 02147645 Apo-Trazodone 100mg tab APX 0.138502236942 phl-Trazodone 100mg tab PHL 0.138501937235 pms-Trazodone 100mg tab PMS 0.138502144271 Teva-Trazodone 100mg tab TEV 0.138502348780 Trazodone 100mg tab SAS 0.1385

trazodone 150mg tab 02147653 Apo-Trazodone 150mg tab APX 0.203502144298 Teva-Trazodone 150mg tab TEV 0.203502348799 Trazodone 150mg tab SAS 0.2035

triamcinolone acetonide 0.1% oral paste 01964054 Oracort 0.1% Paste TAR 0.9267triamcinolone 10mg/mL inj 01999761 Kenalog-10 10mg/mL inj WSQ 2.6760

02229540 Triamcinolone 10mg/mL inj SDZ 2.6760triamcinolone 40mg/mL inj 01999869 Kenalog-40 40mg/mL inj WSQ 4.7700

01977563 Triamcinolone 40mg/mL inj CYI 4.770002229550 Triamcinolone 40mg/mL inj SDZ 4.7700

trifluoperazine 1mg tab 00345539 Trifluoperazine 1mg tab AAP 0.1454trifluoperazine 2mg tab 00312754 Trifluoperazine 2mg tab AAP 0.1908



21




Generic Name and Strength DIN Brand MFR MRP PRPtrifluoperazine 5mg tab 00312746 Trifluoperazine 5mg tab AAP 0.2526trifluoperazine 10mg tab 00326836 Trifluoperazine 10mg tab AAP 0.3028trimebutine 200mg tab 00803499 Modulon 200mg tab AXC 0.5680

02245664 Trimebutine 200mg tab AAP 0.5680trimethoprim 100mg tab 02243116 Trimethoprim 100mg tab AAP 0.2785trimethoprim 200mg tab 02243117 Trimethoprim 200mg tab AAP 0.5722trimipramine 12.5mg tab 00740799 Trimipramine 12.5mg tab AAP 0.2339trimipramine 25mg tab 00740802 Trimipramine FCT 25mg tab AAP 0.3012trimipramine 50mg tab 00740810 Trimipramine 50mg tab AAP 0.5896trimipramine 75mg cap 02070987 Trimipramine 75mg cap AAP 0.7936trimipramine 100mg tab 00740829 Trimipramine 100mg tab AAP 1.0061tryptophan 500mg tab (exception status) 02248538 Apo-Tryptophan 500mg tab APX 0.3563

02240333 ratio-Tryptophan 500mg tab TEV 0.356302029456 Tryptan 500mg tab VLN 0.3563

tryptophan 1g tab (exception status) 02248539 Apo-Tryptophan 1g tab APX 0.712602237250 ratio-Tryptophan 1g tab TEV 0.712600654531 Tryptan 1g tab VLN 0.7126

tryptophan 500mg cap (exception status) 02248540 Apo-Tryptophan 500mg cap APX 0.356302240334 ratio-Tryptophan 500mg cap TEV 0.356300718149 Tryptan 500mg cap VLN 0.3563

ursodiol 250mg tab (exception status) 02273497 pms-Ursodiol C 250mg tab PMS 0.989502238984 Urso 250mg tab AXC 0.9895

ursodiol 500mg tab (exception status) 02273500 pms-Ursodiol C 500mg tab PMS 1.876902245894 Urso DS 500mg tab AXC 1.8769

ustekinumab 90mg/mL inj (exception status)

02320673 Stelara 45mg/0.5mL syringe inj JAN 9967.1138

valacyclovir 500mg tab 02295822 Apo-Valacyclovir 500mg tab APX 1.187402331748 CO-Valacyclovir 500mg tab COB 1.187402351579 MYLAN-Valacyclovir 500mg tab MYL 1.187402298457 pms-Valacyclovir 500mg tab PMS 1.187402219492 Valtrex 500mg tab GSK 1.1874

valproic acid 250mg cap 02238048 Apo-Valproic 250mg cap APX 0.194700443840 Depakene 250mg cap ABB 0.194702184648 MYLAN-Valproic 250mg cap MYL 0.194702100630 Novo-Valproic 250mg cap TEV 0.194702230768 pms-Valproic 250mg cap PMS 0.1947

valproic acid 500mg EC cap 02229628 pms-Valproic 500mg EC cap PMS 0.5197valproic acid 50mg/mL syr 02238370 Apo-Valproic 50mg/mL syr APX 0.0406

00443832 Depakene 50mg/mL syr ABB 0.040602236807 pms-Valproic 50mg/mL syr PMS 0.040602140063 ratio-Valproic 50mg/mL syr TEV 0.0406

valsartan 40mg tab 02371510 Apo-Valsartan 40mg tab APX 0.407502337487 CO Valsartan 40mg tab COB 0.407502270528 Diovan 40mg tab NVR 0.4075



21




Generic Name and Strength DIN Brand MFR MRP PRPvalsartan 40mg tab 02383527 MYLAN-Valsartan 40mg tab MYL 0.4075

02312999 pms-Valsartan 40mg tab PMS 0.407502363062 RAN-Valsartan 40mg tab RAN 0.407502356740 Sandoz Valsartan 40mg tab SDZ 0.407502356643 Teva-Valsartan 40mg tab TEV 0.407502366940 Valsartan 40mg tab SAS 0.4075

valsartan 80mg tab 02371529 Apo-Valsartan 80mg tab APX 0.418802337495 CO Valsartan 80mg tab COB 0.418802244781 Diovan 80mg tab NVR 0.418802383535 MYLAN-Valsartan 80mg tab MYL 0.418802313006 pms-Valsartan 80mg tab PMS 0.418802363100 RAN-Valsartan 80mg tab RAN 0.418802356759 Sandoz Valsartan 80mg tab SDZ 0.418802356651 Teva-Valsartan 80mg tab TEV 0.418802366959 Valsartan 80mg tab SAS 0.4188

valsartan 160mg tab 02371537 Apo-Valsartan 160mg tab APX 0.419802337509 CO Valsartan 160mg tab COB 0.419802244782 Diovan 160mg tab NVR 0.419802383543 MYLAN-Valsartan 160mg tab MYL 0.419802313014 pms-Valsartan 160mg tab PMS 0.419802363119 RAN-Valsartan 160mg tab RAN 0.419802356767 Sandoz Valsartan 160mg tab SDZ 0.419802356678 Teva-Valsartan 160mg tab TEV 0.419802366967 Valsartan 160mg tab SAS 0.4198

valsartan 320mg tab 02371545 Apo-Valsartan 320mg tab APX 0.408002337517 CO Valsartan 320mg tab COB 0.408002289504 Diovan 320mg tab NVR 0.408002383551 MYLAN-Valsartan 320mg tab MYL 0.408002344564 pms-Valsartan 320mg tab PMS 0.408002356775 Sandoz Valsartan 320mg tab SDZ 0.408002356686 Teva-Valsartan 320mg tab TEV 0.408002366975 Valsartan 320mg tab SAS 0.4080

valsartan 80mg & hydrochlorothiazide 12.5mg tab

02382547 Apo-Valsartan/HCTZ 80/12.5mg tab APX 0.4176

02241900 Diovan-HCT 80/12.5mg tab NVR 0.417602373734 MYLAN-Valsartan HCTZ 80/12.5mg tab MYL 0.417602356694 Sandoz Valsartan/HCT 80/12.5mg tab SDZ 0.417602356996 Teva-Valsartan/HCTZ 80/12.5mg tab TEV 0.417602367009 Valsartan HCT 80/12.5mg tab SAS 0.4176



02241901 Diovan-HCT 160/12.5mg tab NVR 0.419002373742 MYLAN-Valsartan HCTZ 160/12.5mg tab MYL 0.419002356708 Sandoz Valsartan/HCT 160/12.5mg tab SDZ 0.419002357003 Teva-Valsartan/HCTZ 160/12.5mg tab TEV 0.4190



21




Generic Name and Strength DIN Brand MFR MRP PRPvalsartan 160mg & hydrochlorothiazide 12.5mg tab

02367017 Valsartan HCT 160/12.5mg tab SAS 0.4190

valsartan 160mg & hydrochlorothiazide 25mg tab

02382563 Apo-Valsartan/HCTZ 160/25mg tab APX 0.4179

02246955 Diovan-HCT 160/25mg tab NVR 0.417902373750 MYLAN-Valsartan HCTZ 160/25mg tab MYL 0.417902356716 Sandoz Valsartan/HCT 160/25mg tab SDZ 0.417902357011 Teva-Valsartan/HCTZ 160/25mg tab TEV 0.417902367025 Valsartan HCT 160/25mg tab SAS 0.4179



02308908 Diovan-HCT 320/12.5mg tab NVR 0.420402373769 MYLAN-Valsartan HCTZ 320/12.5mg tab MYL 0.420402356724 Sandoz Valsartan/HCT 320/12.5mg tab SDZ 0.420402357038 Teva-Valsartan/HCTZ 320/12.5mg tab TEV 0.420402367033 Valsartan HCT 320/12.5mg tab SAS 0.4204

valsartan 320mg & hydrochlorothiazide 25mg tab

02382598 Apo-Valsartan/HCTZ 320/25mg tab APX 0.4179

02308916 Diovan-HCT 320/25mg tab NVR 0.417902373777 MYLAN-Valsartan HCTZ 320/25mg tab MYL 0.417902356732 Sandoz Valsartan/HCT 320/25mg tab SDZ 0.417902357046 Teva-Valsartan/HCTZ 320/25mg tab TEV 0.417902367041 Valsartan HCT 320/25mg tab SAS 0.4179

vancomycin HCl 125mg cap (exception status)

00800430 Vancocin 125mg cap MRS 6.1090

02377470 Vancomycin HCl 125mg cap PPC 6.1090vancomycin HCl 250mg cap (exception status)

00788716 Vancocin 250mg cap MRS 12.2065

02377489 Vancomycin HCl 250mg cap PPC 12.2065vancomycin HCI 500mg/vial inj 02230191 Sterile Vancomycin HCI 500mg/vial inj HOS 33.6893

02342855 Val-Vanco 500mg/vial inj VAL 33.6893vancomycin HCI 1g/vial inj 02230192 Sterile Vancomycin HCI 1g/vial inj HOS 64.0042

02342863 Val-Vanco 1000mg/vial inj VAL 64.0042vancomycin 500mg/vial inj 02241820 pms-Vancomycin 500mg/vial inj PMS 33.6893vancomycin 1g/vial inj 02241821 pms-Vancomycin 1g/vial inj PMS 64.0042venlafaxine 37.5mg ER cap 02331683 Apo-Venlafaxine 37.5mg XR cap APX 0.1643

02304317 CO Venlafaxine 37.5mg XR cap COB 0.164302237279 Effexor 37.5mg XR cap WAY 0.164302360020 GD-Venlafaxine XR 37.5mg cap GMD 0.164302310279 MYLAN-Venlafaxine 37.5mg XR cap MYL 0.164302278545 pms-Venlafaxine 37.5mg XR cap PMS 0.164302380072 RAN-Venlafaxine 37.5mg XR cap RAN 0.164302273969 ratio-Venlafaxine 37.5mg XR cap TEV 0.164302310317 Sandoz Venlafaxine 37.5mg XR cap SDZ 0.164302275023 Teva-Venlafaxine XR 37.5mg cap TEV 0.164302354713 Venlafaxine 37.5mg XR cap SAS 0.1643



21




Generic Name and Strength DIN Brand MFR MRP PRPvenlafaxine 75mg ER cap 02331691 Apo-Venlafaxine 75mg XR cap APX 0.3285

02304325 CO Venlafaxine 75mg XR cap COB 0.328502237280 Effexor 75mg XR cap WAY 0.328502360039 GD-Venlafaxine XR 75mg cap GMD 0.328502310287 MYLAN-Venlafaxine 75mg XR cap MYL 0.328502275031 Novo-Venlafaxine 75mg XR cap TEV 0.328502278553 pms-Venlafaxine 75mg XR cap PMS 0.328502380080 RAN-Venlafaxine 75mg XR cap RAN 0.328502273977 ratio-Venlafaxine 75mg XR cap TEV 0.328502310325 Sandoz Venlafaxine 75mg XR cap SDZ 0.328502354721 Venlafaxine 75mg XR cap SAS 0.3285

venlafaxine 150mg ER cap 02331705 Apo-Venlafaxine 150mg XR cap APX 0.346902304333 CO Venlafaxine 150mg XR cap COB 0.346902237282 Effexor 150mg XR cap WAY 0.346902360047 GD-Venlafaxine XR 150mg cap GMD 0.346902310295 MYLAN-Venlafaxine 150mg XR cap MYL 0.346902278561 pms-Venlafaxine 150mg XR cap PMS 0.346902380099 RAN-Venlafaxine 150mg XR cap RAN 0.346902273985 ratio-Venlafaxine 150mg XR cap TEV 0.346902310333 Sandoz Venlafaxine 150mg XR cap SDZ 0.346902275058 Teva-Venlafaxine XR 150mg cap TEV 0.346902354748 Venlafaxine 150mg XR cap SAS 0.3469

verapamil HCl 80mg tab 00782483 Apo-Verap 80mg tab APX 0.273502237921 MYLAN-Verapamil 80mg tab MYL 0.2735

verapamil HCl 120mg tab 00782491 Apo-Verap 120mg tab APX 0.425002237922 MYLAN-Verapamil 120mg tab MYL 0.4250

verapamil 180mg SR tab 02246894 Apo-Verap 180mg SR tab APX 0.542401934317 Isoptin 180mg SR tab ABB 0.542402210355 MYLAN-Verapamil 180mg SR tab MYL 0.5424

verapamil 240mg SR tab 02246895 Apo-Verap 240mg SR tab APX 0.723300742554 Isoptin 240mg SR tab ABB 0.723302210363 MYLAN-Verapamil 240mg SR tab MYL 0.723302211920 Novo-Veramil 240mg SR tab TEV 0.723302237791 pms-Verapamil 240mg SR tab PMS 0.7233

warfarin 1mg tab 02242924 Apo-Warfarin 1mg tab APX 0.111401918311 Coumadin 1mg tab BRI 0.111402244462 MYLAN-Warfarin 1mg tab MYL 0.111402265273 Novo-Warfarin 1mg tab TEV 0.111402242680 Taro-Warfarin 1mg tab TAR 0.111402344025 Warfarin 1mg tab SAS 0.1114

warfarin 2mg tab 02242925 Apo-Warfarin 2mg tab APX 0.117801918338 Coumadin 2mg tab BRI 0.117802244463 MYLAN-Warfarin 2mg tab MYL 0.117802265281 Novo-Warfarin 2mg tab TEV 0.117802242681 Taro-Warfarin 2mg tab TAR 0.1178



21




Generic Name and Strength DIN Brand MFR MRP PRPwarfarin 2mg tab 02344033 Warfarin 2mg tab SAS 0.1178warfarin 2.5mg tab 02242926 Apo-Warfarin 2.5mg tab APX 0.0943

01918346 Coumadin 2.5mg tab BRI 0.094302244464 MYLAN-Warfarin 2.5mg tab MYL 0.094302265303 Novo-Warfarin 2.5mg tab TEV 0.094302242682 Taro-Warfarin 2.5mg tab TAR 0.094302344041 Warfarin 2.5mg tab SAS 0.0943




warfarin 6mg tab 02240206 Coumadin 6mg tab BRI 0.175302287501 MYLAN-Warfarin 6mg tab MYL 0.1753

warfarin 7.5mg tab 02287528 MYLAN-Warfarin 7.5mg tab MYL 0.301402242697 Taro-Warfarin 7.5mg tab TAR 0.3014

warfarin 10mg tab 02242929 Apo-Warfarin 10mg tab APX 0.169501918362 Coumadin 10mg tab BRI 0.169502244467 MYLAN-Warfarin 10mg tab MYL 0.169502242687 Taro-Warfarin 10mg tab TAR 0.169502344114 Warfarin 10mg tab SAS 0.1695

zolmitriptan 2.5mg tab (exception status) 02369036 MYLAN-Zolmitriptan 2.5mg tab MYL 4.800802324229 pms-Zolmitriptan 2.5mg tab PMS 4.800802362988 Sandoz Zolmitriptan 2.5mg tab SDZ 4.800802313960 Teva-Zolmitriptan 2.5mg tab TEV 4.800802238660 Zomig 2.5mg tab AZE 4.8008

zolmitriptan ODT 2.5mg tab (exception status)

02387158 MYLAN-Zolmitriptan ODT 2.5mg tab MYL 4.8008

02324768 pms-Zolmitriptan ODT 2.5mg tab PMS 4.800802362996 Sandoz Zolmitriptan ODT 2.5mg tab SDZ 4.800802342545 Teva-Zolmitriptan OD 2.5mg tab TEV 4.800802243045 Zomig Rapimelt 2.5mg tab AZE 4.8008



21




Generic Name and Strength DIN Brand MFR MRP PRPzopiclone 5mg tab 02245077 Apo-Zopiclone 5mg tab APX 0.2231

02271931 CO Zopiclone 5mg tab COB 0.223102216167 Imovane 5mg tab SAV 0.223102391716 MINT-Zopiclone 5mg tab MNT 0.223102296616 MYLAN-Zopiclone 5mg tab MYL 0.223102251450 Novo-Zopiclone 5mg tab TEV 0.223102294052 phl-Zopiclone 5mg tab PHL 0.223102243426 pms-Zopiclone 5mg tab PMS 0.223102267918 RAN-Zopiclone 5mg tab RAN 0.223102246534 ratio-Zopiclone 5mg tab TEV 0.223102257572 Sandoz Zopiclone 5mg tab SDZ 0.223102344122 Zopiclone 5mg tab SAS 0.2231

MAY 2013 • VOLUME 13-03 PHARMACISTS’ EDITION


Benefit Status Change: Clarithromycin and Azithromycin

Criteria Update

- Triptans

New Exception Status Benefits

- Zenhale - Trajenta

New Products

Changes to the Nova Scotia Formulary

Auditor’s Corner


Benefit Status Change: Clarithromycin and Azithromycin Effective June 1, 2013, as a result of a recommendation of the Atlantic Expert Advisory Committee: Clarithromycin will be listed as a regular benefit in the Nova Scotia Pharmacare Programs (no longer requiring a criteria code or special authorization request).

Clarithromycin is considered a first line alternative for community acquired pneumonia in a previously healthy, low risk adult patient with no risk factors for drug-resistant S. pneumonia (doxycycline is also a recommended first line alternative).

Clarithromycin should be reserved as an alternative first line therapy for “simple” exacerbations of chronic bronchitis when other first line agents (including amoxicillin, doxycycline, or cefuroxime) are not appropriate due to its diminished activity versus H. influenza.

Clarithromycin should not be routinely used for the first line treatment of uncomplicated upper respiratory tract infections such as pharyngitis and sinusitis because of limited evidence of superiority over the first line agents such as penicillin V and amoxicillin.

Azithromycin will continue to be listed as a restricted benefit. Evidence suggests azithromycin may promote macrolide resistance to a greater extent than the use of clarithromycin, therefore coverage will be reserved for the following distinct treatment areas:

The treatment of infections requiring a macrolide antibiotic when the patient has a documented intolerance to clarithromycin [Criteria Code 02]

The treatment of chlamydia trachomatis as a single dose of 1g [Criteria Code 05]

The treatment and prevention of mycobacterium avium complex (MAC) [Criteria Code 06]

The treatment of infections requiring a macrolide antibiotic when the patient is taking medications that would significantly interact with erythromycin/clarithromycin [Criteria Code 07]


VOLUME 13-03

Benefit Status Change: Clarithromycin and Azithromycin Continued… Decision Highlights The macrolides have an established place in therapy in lower respiratory tract infections, infections caused by Mycobacterium avium complex (MAC), infections caused by Helicobacter pylori and sexually transmitted diseases, including Chlamydia trachomatis. Compared to erythromycin, azithromycin and clarithromycin have improved kinetic and dynamic properties (bioavailability, tissue penetration), acid stability and tolerability, as well as a broader spectrum of activity. Azithromycin and clarithromycin also have potential limitations. Azithromycin has a longer half-life and remains in tissue at sub-inhibitory concentrations for extended periods of time which may promote macrolide resistance. Clarithromycin inhibits the CYPP3A4 enzyme system and has a number of potential drug interactions to consider. Health care providers should also be mindful of risk of prolonged QT interval and cardiac arrhythmia. Criteria Update – Triptans Please note that effective June 1, 2013, the criteria for all insured Selective 5HT1 Receptor Agonists will be updated to the following: Sumatriptan 50mg & 100mg Tablet, Naratriptan Tablet, Rizatriptan Tablet & Wafer, Zolmitriptan Tablet - 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 - coverage limited to 18 doses/3 months3

patients with >3 migraines/month on average despite prophylactic therapy may be considered for up to a maximum of 12 doses/30days

Almotriptan Tablet, Zolmitiptan Nasal Spray, Sumatriptan 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, zolmitriptan, rizatriptan and naratriptan.

for the treatment of migraine1 headache of severe2 or ultra severe2 intensity when patients have not responded to oral sumatriptan, zolmitriptan, rizatriptan, and/or naratriptan.

- coverage limited to 18 doses/3 months3 patients with >3 migraines/month on average despite prophylactic therapy may be considered for

up to a maximum of 12 doses/30 days


VOLUME 13-03

Criteria Update – Triptans Continued… Sumatriptan 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.

- coverage limited to 18 doses/3 months3 patients with >3 migraines/month on average despite prophylactic therapy may be considered for

up to a maximum of 12 doses/30 days 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 Reimbursement will be available for a maximum quantity of 18 triptan doses per quarter (e.g., Jan to Mar) regardless of the agent(s) used within the 90 day period. New Exception Status Benefits The following products were reviewed by the Canadian Drug Expert Committee (CDEC) and will be listed as exception status benefits, with the following criteria, effective June 1, 2013.


Zenhale® (mometasone & formeterol)

50/5mcg Inh 100/5mcg Inh 200/5mcg Inh

02361744 02361752 02361760

DNP E(SF) FRS

Criteria for the treatment of moderate to severe asthma in patients who: are compliant with inhaled corticosteroids at optimal doses; 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

Decision Highlights Zenhale is a fixed dose combination of an inhaled corticosteroid (mometasone furoate) and a long acting beta agonist (formoterol fumarate dehydrate) indicated for the maintenance treatment of asthma in adults and children 12 years of age and older who are not adequately controlled on asthma controller medications.

Three randomized trials demonstrated that combination use of mometasone/formoterol was more efficacious than mometasone monotherapy for improving lung function in patients with asthma, as measured by FEV1.

Zenhale is not indicated for the use in patients whose asthma can be successfully managed by inhaled corticosteroids along with occasional use of rapid onset, short duration, inhaled beta2-agonist


VOLUME 13-03

New Exception Status Benefits Continued…


Trajenta® (linagliptin) 5mg Tab 02370921 DNP E(SF) BOE

Criteria for the treatment of Type II diabetes for patients with: inadequate glycemic control on metformin and a sulfonylurea; and for whom insulin is not an option

Decision Highlights Linagliptin is a selective DPP-4 inhibitor. The recommended dose is 5mg once daily.

One RCT of patients with inadequate glycemic control on a combination of metformin and a sulfonylurea demonstrated a reduction of A1C with linagliptin therapy (MD-0.62%).

A national CADTH Therapeutic Review Panel recommended that NPH insulin is the preferred next therapeutic option in patients who are not adequately controlled on metformin and a sulfonylurea. Linagliptin will only be insured in patients who are not able to use insulin.

New Products The following products are new listings to the Nova Scotia Formulary, effective June 1, 2013. The benefit status within the Nova Scotia Pharmacare Programs is indicated.


Creon 6mg Minimicrospheres 80025653 DNP SF ABB

Tamiflu 6mg/mL Susp 02381842 Not Insured

HLR

Mar-Atenolol 25mg Tab 02371979 DNP SF MAR

Amlodipine-ODAN 2.5mg Tab 02378744 DNP SF ODN

Allerject 0.15mg/0.15mL Inj 02382059 DNPM SF1 SAV

Allerject 0.3mg/0.3mL Inj 02382067 DNPM SF1 SAV

1 Allerject has 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.


VOLUME 13-03

Changes to the Nova Scotia Formulary Beginning in June 2013, the Nova Scotia Formulary will have a new look. It will continue to be updated on a monthly basis in a searchable, PDF file. Some of the new features are:

Maximum Reimbursable Price (MRP)/Pharmacare Reimbursement Price (PRP) will be indicated and will replace the current reimbursement list

Manufacturer List Prices (MLP) will be indicated for all non-interchangeable benefits Interchangeability will be indicated by a Y or an N Available in an Excel file for system uploads


VOLUME 13-03

Auditors Corner – Pharmacy Closing or Transferring Ownership As indicated in the Tariff Agreement between the Pharmacy Association of Nova Scotia and the Nova Scotia Department of Health and Wellness, if your pharmacy is closing or changing ownership, it is your responsibility to notify our office within 30 days in advance of transfer/closing. This information will be retained in confidence, but a close-out prescription audit is required. New providers and providers who have changed ownership are required to complete the following forms provided by Pharmacare:

Registration of the Pharmacy form, providing information to establish the pharmacy as an authorized provider of pharmaceutical services under the Pharmacare Programs.

Confirmation of Agreement form, as acceptance of the Tariff Agreement. MSI Provider Business Arrangement form, authorizing direct payment to the pharmacy’s account. Provider Accreditation Application form, to request accreditation of the pharmacy’s software

package and to accept the Terms and Conditions of MSI Provider Accreditation. Certification of Responsibility for Electronic Claims Submission form, to accept legal responsible

and liability for the accuracy and validity of all claims submitted to Medavie Blue Cross via telecommunications.

For more information, or to advise of a change you may contact our office using one of the following:

E-mail: [email protected] Phone: (902) 496-7560, 496-7190, and 496-7107 Toll-free: 1-866-553-0585 Fax: 1-877-910-4674

JULY 2013 • VOLUME 13-04 PHARMACISTS’ EDITION


Benefit Status Change: Proton Pump Inhibitors New Exception Status Benefits - Gilenya® - Invega Sustenna® - Onbrez® Non-Insured Products - Lodalis® - Fampyra® - Latuda® New Diabetic Product Exception Status Criteria Reminder Prescriber Validation Prescriber License Numbers Palliative Home Care Drug Coverage Program Update Calcitonin Intranasal Criteria Code Auditor’s Corner

Nova Scotia Formulary Updates Benefit Status Change: Proton Pump Inhibitors As a result of a recent utilization review of proton pump inhibitors (PPIs) and differences in costs within this category, the benefit status of PPIs is being reviewed. It should be noted that studies indicate that there are no clinically important differences among standard doses of PPIs. As an initial stage:

• Effective September 1, 2013, Tecta® 40mg (pantoprazole magnesium) will be moved from a regular benefit to an exception status benefit (requiring special authorization).

Patients currently using Tecta® will be grandfathered for coverage, pending additional analysis of PPI prescribing, utilization and costs. Please note that using higher than regular dosing of PPIs should rarely be required as regular dosing provides potent acid suppression and similar healing rates. In the exceptional instance where higher doses are required (e.g. double dosing), using the lowest cost PPI (rabeprazole 20mg) is encouraged. To this end, and to reduce the administrative burden for practitioners and patients, effective August 1, 2013:

• The maximum yearly quantity limit for rabeprazole (currently 425 tablets) will be removed. Going forward, patients requiring double dosing of a PPI will be expected to use rabeprazole first.

• The current quantity limit for other PPIs will remain unchanged (maximum 425 caps/tab per year).

Please see Page 2 for full coverage information. Prescribers are reminded that, for uncomplicated acid-peptic disease, the lowest amount of acid suppression for the shortest length of time should be used and the need for acid suppressive therapy should be regularly reassessed.


VOLUME 13-04

Comparative Costs and Benefit Status of PPIs (effective September 1, 2013)

DRUG BENEFIT STATUS REIMBURSEMENT LEVELS

Rabeprazole 10mg Open $0.1204 Rabeprazole 20mg Open $0.2408 Omeprazole 10mg Open – at standard dose

(up to 425 tabs/caps per year) $0.2059*

Omeprazole 20mg Open – at standard dose (up to 425 tabs/caps per year)

$0.4117

Pantoprazole magnesium 40mg (Tecta®)

Exception $0.7500

Pantoprazole sodium 20mg Exception $0.3538* Pantoprazole sodium 40mg Exception $0.7076 Lansoprazole 15mg Exception $0.3500* Lansoprazole 30mg Exception $0.7000

Esomeprazole 20mg Not Insured $1.8690 Esomeprazole 40mg Not Insured $1.8690

*Reimbursement level of omeprazole 10mg, pantoprazole 20mg and lansoprazole 15mg are based on 50% of the cost of the standard dose. The manufacturer list prices are $0.8167, $1.2750 and $0.7000 respectively, therefore patients would be responsible to pay the difference for these strengths. Funding Criteria for Insured PPIs Rabeprazole: Full benefit, no special authorization required Omeprazole: Standard dose: full benefit at usual daily dose (e.g. 20mg per day). Maximum 425 tabs/caps per year. Double dose: requires special authorization and must have failed standard daily doses of both omeprazole and rabeprazole. 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. Pantoprazole Sodium, Pantoprazole Magnesium and Lansoprazole: Standard dose: failure of a trial of all open benefit PPIs (omeprazole, rabeprazole). Maximum 425 tabs/caps per year. Double dose: failure of standard dose of requested agent and double doses of rabeprazole. Coverage duration: 8 week trial, followed by up to one year of coverage. Use beyond an 8 week trial will be considered if step down to standard dose is not successful. Note that concerns have been raised regarding a potential increased risk of clostridium difficile, hip fractures, iron and B12 deficiency and gastric polyps associated with PPI use. Therapy should regularly reassessed. Consider the role of lifestyle adjustments and the use of OTC products (e.g. alginates, antacids and H2 blockers) for appropriate patients.


VOLUME 13-04

New Exception Status Benefits The following products have been reviewed by the Canadian Drug Expert Committee (CDEC) and will be listed as exception status benefits, with the following criteria effective August 1, 2013.

PRODUCT DIN PRESCRIBER PRP BENEFIT STATUS MFR

Gilenya® 0.5mg Cap (fingolimod)

02365480 DNP 93.4888 E NVR

Criteria for the treatment of patients with relapsing remitting multiple sclerosis (RRMS) who meet all of the following criteria: • failure to respond to full and adequate courses* of at least one interferon or

glatiramer acetate or documented intolerance** to both therapies. • one or more clinically disabling relapses in the previous year. • significant increase in T2 lesion load compared with that from a previous MRI scan

(i.e. 3 or more new lesions) or at least one gadolinium-enhancing lesion. • requested and followed by a neurologist experienced in the management of RRMS • recent expanded disability status scale (EDSS) score of 5.5 or less (i.e. patients must

be able to ambulate at least 100 meters without assistance).

Dosage: 0.5mg daily Approval period: 1 year

Exclusions: • not funded in combination with other disease modifying therapies • not funded in patients with an EDSS>5.5 • not funded in patients who have had a heart attack or stroke in the last six

months of funding request, patients with a history of sick sinus syndrome, atrioventricular block, significant QT prolongations, bradycardia, ischemic heart disease, or congestive heart failure

• not funded in patients <18 years of age • not funded due to needle phobia or preference for oral therapy over injection in

patients without clinical contraindications to interferon or glatiramer therapy • Note: skin reactions at the site of injection do not qualify as contraindications to

interferon or glatiramer therapy

Renewal: • EDSS score ≤ 5.5 (i.e. patients must be able to ambulate at least 100 meters

without assistance). Date and details of the most recent neurological examination and EDSS scores must be provided (exam must have occurred within that last 90 days) AND

• Patients must be stable or have experienced no more than 1 disabling attack/relapse in the past year

Of Note:

*Failure to respond to full and adequate courses: defined as a trial of at least 6 months of interferon or glatiramer therapy AND experienced at least one disabling relapse (attack) while on interferon or glatiramer therapy **Intolerance is defined as: documented serious adverse effects or contraindications that are incompatible with further use of that class of drug


VOLUME 13-04

New Exception Status Benefits Continued…


Invega Sustenna® (paliperidone)

50mg/0.5mL Inj 75mg/0.75mL Inj 100mg/mL Inj 150mg/1.5mL Inj

02354217 02354225 02354233 02354241

DNP E JAN

Criteria • 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 Decision Highlights • Paliperidone is depot injection (injected once monthly) indicated for the treatment of

schizophrenia. Paliperidone is a pro-drug of risperidone.


Onbrez® (indacaterol)

75mcg Micronized powder for inhalation

02376938 DNP E NVR

Criteria 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: MRC= Medical Research Council Dyspnea Scale

Decision Highlights • In two 12 week studies comparing indacaterol with placebo, indacaterol was associated with improvements in trough FEV1 (mean difference 0.12L and 0.14L)


VOLUME 13-04

Non-Insured Products The following products were reviewed by the Canadian Drug Expert Committee (CDEC) and were not recommended to be listed as insured benefits within the Nova Scotia Pharmacare Programs.


Lodalis® (colesevelam)

625mg Tablet 02373955 Not Insured VLN

Decision Highlights • Colesevelam is more costly than other bile acid sequestrants and there are no randomized controlled trials directly comparing colesevelam with other bile acid sequestrants.

PRODUCT STRENGTH DIN PRESCRIBER BENEFIT

STATUS MFR Fampyra® (fampridine)

10mg SR Tablet 02379910 Not Insured BIG

Decision Highlights • In two phase three trials, fampridine treated groups reported statistically significant improvements in walking speed, however no between-treatment differences in quality of life was reported and the estimated cost per quality adjusted life year (QALY) is high.

PRODUCT STRENGTH DIN PRESCRIBER BENEFIT

STATUS MFR Latuda® (lurasidone)

40mgTablet 80mg Tablet 120mg Tablet

02387751 02387778 02387786

Not Insured SUN

Decision Highlights • There is insufficient evidence from randomized controlled trials to establish the comparative efficacy of lurasidone relative to other less costly antipsychotics for acute treatment of schizophrenia.

Delisted Products The Atlantic Expert Advisory Committee recommended Bezalip be delisted from the Atlantic Provincial Formularies. Effective June 15, 2013, Bezalip was delisted as a benefit under the Nova Scotia Pharmacare Programs.


Bezalip (bezafibrate) 400mg SR tab 02083523 DNP Delisted TRB Decision Highlights • Bezafibrate is more costly than any other fiber acid derivative or statin and does

not offer any significant therapeutic advantages in clinical or safety outcomes compared to other fibrates.


VOLUME 13-04

New Diabetic Product The following product is a new listing to the Nova Scotia Formulary, effective August 1, 2013. The benefit status within the Nova Scotia Pharmacare Programs is indicated.

PRODUCT DIN/PIN PRODUCT NUMBER PRESCRIBER BENEFIT

STATUS MFR BD Ultra-Fine Syringes, 0.3cc, 31g

97799425 324919 DNP SFD BTD

Exception Status Criteria Reminder The Nova Scotia Pharmacare Programs no longer provides printed booklets containing current exception status criteria. Any booklets still remaining should be disposed of. The current criteria can be found on the Pharmacare website, www.nspharmacare.ca, under Exception Status Drugs section and can also be found under Appendix III in the NS Formulary. Prescriber Validation As previously advised, effective September 23, 2013, all pharmacists who prescribe (including continued care prescriptions) for Nova Scotia Pharmacare clients must be registered with Medavie Blue Cross in order to submit these claims. After registering, pharmacists will use their NSCP license number as their prescriber identification instead of 71111. Registration forms are available at www.medavie.bluecross.ca\healthprofessionals. Should you have any questions please contact Medavie Customer Service Centre 1-800-667-4511. When system changes take effect in September, the prescriber for each prescription will be validated based on provincial license number, province and provider type. As a result, the alternate prescriber numbers that had been assigned for some physicians will no longer be required. Effective September 23, 2013, please use the physician’s CPSNS licence number in lieu of these numbers. Provider number 9999 should only be used when the provider number cannot be located. Prescriber License Numbers Prescriber license numbers are readily available online from respective licensing authorities. Therefore, prescriber lists for physicians, nurse practitioners and optometrists will no longer be provided as bulletin attachments. If needed, the following websites can be consulted: http://www.cpsns.ns.ca/ (College of Physicians and Surgeons-Physician Search) http://www.crnns.ca (Nurse Practitioner- Licensing Roster) http://www.nsco.ca/ (Registered Optometrists)

http://www.medavie.bluecross.ca/healthprofessionals

http://www.cpsns.ns.ca/

http://www.crnns.ca/

http://www.nsco.ca/


VOLUME 13-04

Palliative Home Care Drug Coverage Program Update In the February 2012 Pharmacare News Bulletin, details of the Palliative Home Care Drug Coverage Program were provided. This program was effective February 1, 2012 and is intended for use in end-of-life care at home. We are currently in the process of evaluating the program and as part of this are moving toward an online claims submission process. This will streamline the process for all involved and reduce the effort required to process these claims. We are working toward an implementation in late 2013, but will provide an update once it has been confirmed.

Some reminders about the program:

• A valid prescription is required for medications that can be purchased over the counter. Hand written or cash register receipts will not be accepted.

• An official prescription receipt or report is required for reimbursement. Faxes or photocopies will not be accepted.

• The program does not provide coverage for any supplies or medical equipment, such a diabetic, wound or ostomy supplies

• Medication Authorization Forms are valid for six months from the effective date. Claims submitted with forms that are greater than six months old are not eligible.

Please contact Pharmaceutical Services at 902-424-1596 with any questions regarding the program.

Calcitonin Intranasal Criteria Code Please remember; Criteria Code 90 is available for use for calcitonin intranasal, for the following criteria only:

• for the treatment of pain associated with osteoporotic fragility fractures, bone metastases or pathological fractures (short term up to 3 months)

The code is limited for use to a maximum of 3 months, once per year. The prescriber may submit a request to the Pharmacare office for consideration for beneficiaries who require therapy beyond 3 months. Auditor’s Corner REMINDER In order to avoid an audit recovery for Pharmacist Prescribing, Continued Care Prescriptions (CCP) and AMRS/BMRS the following documentation is required:

• Pharmacist Prescribing - the pharmacist must sign or initial the prescription as the prescriber thereby assuming full responsibility for the prescription.

• Continued Care Prescription- must include either the notification sent to the physician or the notation “CCP” on the hard copy. Also, the CCP must be signed or initialled by the pharmacist thereby assuming full responsibility for the prescription.

• BMRS - a consent form signed by both the pharmacist and patient, and a comprehensive drug review list also signed by both the pharmacist and the patient, must be available for review during the onsite audit.

• AMRS - a consent form signed by both pharmacist and patient and all pertinent documentation must be available for review during the onsite audit.

SEPTEMBER 2013 • VOLUME 13-05 PHARMACISTS’ EDITION


Administration of Publicly Funded Influenza Vaccinations by Pharmacists

Palliative Home Care Drug Coverage Program – Electronic Adjudication

New Exception Status Benefits

Pregabalin & Gabapentin

New Benefit

Tamsulosin CR

Criteria Update

Incivek and Victrelis

Compounded Methadone Products Using Methadose™

Included With This Bulletin PHCDC Program Covered Drugs

Nova Scotia Formulary Updates Administration of Publicly Funded Influenza Vaccinations by Pharmacists The new Pharmacy Act and associated regulations (including the Registration, Licensing and Professional Accountability Regulations and the Pharmacy Practice Regulations) were approved by the provincial government and came into effect August 6, 2013. With the development and approval of the standards of practice by the Nova Scotia College of Pharmacists (NSCP), pharmacists now have the authority to administer drugs by injection provided they meet the required training and application expectations set out by the Regulations and Standards of Practice. Obtaining Publicly Funded Influenza Vaccine Note: Only those pharmacies who have been in contact with PANS and

assigned a quantity of vaccine from the dedicated supply will receive publicly funded influenza vaccine.

A dedicated supply of publicly funded influenza vaccine, multi dose vials of Fluviral, is available for participating pharmacies to order at no charge from one of two wholesalers. Lawtons and Sobeys Pharmacies will receive publicly funded influenza vaccine from their company’s wholesale division, while all other participating pharmacies will receive it from McKesson. Note: Procedures for accessing additional vaccine, if available, will be

communicated later in the influenza season. Both Fluviral and Agriflu may be available later in the influenza season.

Wholesalers will not accept returns of vaccine. Unused vaccine may be transferred to other pharmacies if needed. Please retain outdated or damaged vaccine and a process for return will be communicated later in the influenza season.


VOLUME 13-05

Administration of Publicly Funded Influenza Vaccinations by Pharmacists Continued… Lawtons and Sobeys Wholesale

The publicly funded supply of vaccine will be available to participating pharmacies starting October 9, 2013.

Lawtons and Sobeys stores will receive an automatic distribution of the vaccine on October 9th.

Quantities will be communicated prior to the distribution.

McKesson The publicly funded supply of vaccine will be available to participating pharmacies starting October 9, 2013.

Pharmacies do not need to create a McKesson order for vaccine; it will be processed automatically by

McKesson.

The automatic order will only be for the quantity allocated for your pharmacy confirmed by PANS.

McKesson is setting up a prebooking event where orders will be entered automatically based on the per store allocation confirmed by PANS.

The order will arrive between October 9th and 11th with your regular McKesson order.

Billing for Vaccine Administration During the 2013/2014 influenza season participating pharmacies will be able to access publicly funded influenza vaccine supply. A fee of $11.50 will be paid for the administration of the vaccine, as per the agreement between the Department of Health and Wellness and the Pharmacy Association of Nova Scotia (PANS). The fee can be billed to the Pharmacare Programs electronically beginning October 15, 2013 in the following manner:

All residents of NS are eligible to have their influenza vaccinations administered by their pharmacists and billed to Pharmacare provided they have a valid Nova Scotia health card. Patients who do not have a health card should contact their local Public Health office for information on immunization.

Residents with valid Nova Scotia health cards receive influenza vaccine free of charge. There are no

copayments or deductibles associated with the vaccine.

In order to bill Pharmacare in the patient’s insurance field, use the Nova Scotia Health card number as the patient ID and a carrier ID of NS. If the patient is already set up in your system with Pharmacare coverage (e.g., Seniors’ Pharmacare, Family Pharmacare) a separate patient file does not have to be set up.

Claims should be submitted using the DIN of the vaccine administered to the patient, unless the patient is

pregnant, or is a child receiving a second vaccine dose. In these instances the following PINS are to be used:

Pregnant Women – Agriflu® PIN 93899922 – Fluviral® PIN 93899921


VOLUME 13-05

Administration of Publicly Funded Influenza Vaccinations by Pharmacists Continued…

Second Dose for Children – Agriflu® PIN 93899920 – Fluviral® PIN 93899919

Participating pharmacies will be able to access the publicly funded vaccines at no charge, so claims should

be submitted with the administration fee in the dispensing fee field. Pharmacies will not be reimbursed for ingredient costs or markups for these claims.

Public Health Resources for Influenza Season Materials used by Public Health to promote influenza vaccination and educate the public, along with the Respiratory Watch Report are available on their website at: www.novascotia.ca/hpp/cdpc/resources/respiratory-diseases.asp

Palliative Home Care Drug Coverage Program – Electronic Adjudication

The Palliative Home Care Drug Coverage Program was developed to support end of life care at home and began with a manual claims submission process in February 2012. Effective October 15, 2013 the program will move to an online claims submission process. This will streamline the process for all involved and reduce the effort required to process these claims. Eligibility Eligibility of the program will not change. The Palliative Care team in each DHA will determine individual eligibility and will forward completed Medication Authorization forms to the Pharmacare office. The pharmacy will submit the claims with the Nova Scotia health card number as the patient identification number and a carrier ID of NS. Note: It may take up to two business days to have system eligibility set up for new clients in the program. If a new

client’s eligibility is not in the system, claims may reject with the message “CLIENT ID ERROR. If you are having claims rejected and you have the patient’s Medication Authorization Form you can fax it to 902-494-7423 or 1-855-640-7423.

Coverage Renewal Patients are eligible under the program for six months from the date on the Medication Authorization Form. Renewal of coverage is completed by the Palliative Care team in the DHA and forwarded to the Pharmacare office to extend coverage. Other Coverage Patients are eligible for the program if they are enrolled in another Pharmacare Program. The adjudication system will automatically coordinate amongst the Pharmacare plans as claims are submitted using the patient’s Nova Scotia health card number. Patients are eligible for the program if they have private insurance. The program is the payer of last resort. All claims are to be submitted to private insurance first, before being submitted to the program. Cost Share There are no copayments, deductibles or premiums associated with the program.


VOLUME 13-05

Palliative Home Care Drug Coverage Program – Electronic Adjudication Continued… Pricing All claims will be subject to the Tariff Agreement between The Department of Health and Wellness and the Pharmacy Association of Nova Scotia. Claims should be submitted following Pharmacare pricing policies as set out in the Pharmacists’ Guide and Pharmacare News Bulletins. Claims Incurred Prior to October 15, 2013 Any claims incurred prior to October 15 should continue to be manually submitted to the Department of Health and Wellness for payment. Pharmacies must submit a copy of the Medication Authorization form, along with the original prescription receipts, within six months of the date of service, to:

Palliative Home Care Drug Coverage Program c/o Pharmaceutical Services, Department of Health and Wellness

1894 Barrington Street, PO Box 488 Halifax, NS B3J 2R8

Eligible Drugs All drugs eligible under the program will be regular benefits and do not require prior authorization. Please see enclosed reference chart for a list of insured medication categories. Contact Information Any questions regarding the program should be directed to Palliative Home Care Drug Coverage Program at 496-5680 or 1-800-305-5026.


VOLUME 13-05

New Exception Status Benefits – Pregabalin & Gabapentin

The Atlantic Expert Advisory Committee has reviewed the evidence for the use of pregabalin and gabapentin in the treatment of neuropathic pain and has recommended that both products be listed as exception status benefits effective October 15, 2013: Criteria: For the treatment of neuropathic pain (e.g. diabetic neuropathy, postherpetic neuropathy) in patients who have failed a trial of a tricylic antidepressant (e.g. amitriptyline, desipramine, imipramine, nortriptyline). Note: Patients who are already stabilized on gabapentin therapy have been grandfathered for coverage and, in

addition, have also been approved for coverage for pregabalin. The following pregabalin categories are insured at the indicated MRPs. Please refer to the NS Formulary (October 2013) for the specific products insured.

PRODUCT PRESCRIBER BENEFIT STATUS

MRP (NOVEMBER 5, 2013)

pregabalin 25mg cap DNP E 0.2881






New Benefit – Tamsulosin CR Based on a review of the Atlantic Expert Advisory Committee, effective October 1, 2013, tamsulosin 0.4mg CR will become a full benefit in the Pharmacare Programs with the indicated MRP.

PRODUCT DIN MRP (OCTOBER 22, 2013) PRESCRIBER BENEFIT

STATUS MFR

tamsulosin 0.4mg sustained release cap/tab

Apo-Tamsulosin 0.4mg CR Tab 02362406 0.2168 DNP SF APX

Sandoz Tamsulosin 0.4mg CR Cap

02295121 0.2168 DNP SF SDZ

Sandoz Tamsulosin 0.4mg CR Tab

02340208 0.2168 DNP SF SDZ

Flomax 0.4mg CR Tab 02270102 0.2168 DNP SF BOE


VOLUME 13-05

Criteria Update – boceprevir (Incivek) and telaprevir (Victrelis) The Canadian Drug Expert Committee has recently reviewed their recommendation for funding of boceprevir and telaprevir for the treatment of chronic hepatitis C virus (HCV). Based on this review, effective October 1, 2013, the coverage criteria will be adjusted to remove the reference to HIV status, allowing for coverage in patients who are co-infected with HCV/HIV when other coverage criteria are met. Compounded Methadone products using Methadose™

Pharmacists are advised that they may choose to use Methadose™ (methadone) Oral Concentrate USP 10mg/ml solution (02394618) to prepare compounded methadone solutions that are billed to the Pharmacare Programs. All usual standards of practice and billing procedures apply. Regardless of whether a 10mg/mL stock solution compounded from methadone powder or a commercially prepared 10mg/mL methadone solutions is used in preparing the individual patient dose, the final product (individual patient dose q.s. to 100mL with Tang) is billed using the PIN 00999734 which is payable at an MLP of $0.0050/mg plus 10.5%.

PHARMACISTS’ EDITION VOLUME 13-05

Nova Scotia Palliative Home Care Drug Coverage Program Insured Medications

Analgesics

Opioid analgesics NSAID Acetaminophen

Dermatological Agents Corticosteroids Antifungals Antibiotics

Respiratory Agents Cough preparations Bronchodilators Antihistamines Inhaled corticosteroids Inhaled anticholinergics

(ipratropium, tiotropium)

Anti-infective Agents (for dermatologic and systemic use)

Antibiotics Antivirals (acyclovir,

famciclovir, valacyclovir) Antifungals

(clotrimazole, miconazole, terconazole, fluconazole, nystatin, ketoconazole)

Diabetes Agents Insulin Gliclazide Metformin Rosiglitazone Glyburide

Cardiovascular Agents Antiarrythmics (flecainide,

mexiletene) Nitrates Beta blockers Calcium channel blockers Diuretics ACE inhibitors ARBs

Bone Metabolism Regulators Bisphosphonates

(pamidronate, clodronate, zoledronic acid)

Anticoagulants Agents Warfarin Heparin LMWHs

Miscellaneous Hemorrhoidal Agents Systemic corticosteroids Iron, folic acid, magnesium

CNS Agents Anticonvulsants

(gabapentin,pregabalin, carbamazepine, lamotrigine, phenytoin, phenobarbital, topiramate, valproic acid)

Antidepressants Antipsychotics Stimulants

(methylphenidate, modafinil, dextroamphetamine)

Benzodiazpines Sedatives

Gastrointestinal Agents Antidiarrheals Antiemetics

(dimenhydrinate, prochlorperazine, domperidone, metoclopramide, promethazine, ondansetron, granisetron, dolasetron, nabilone, octreotide)

Antispasmodics (atropine, glycopyrrolate, hyoscyamine, scopolamine)

Laxatives PPIs H2 antagonists

NOVEMBER 2013 • VOLUME 13-06 PHARMACISTS’ EDITION


Administration of Publicly Funded Influenza Vaccinations by Pharmacists New Exception Status Benefits - Eliquis - Xalkori Criteria Update - Xarelto - Sutent New Diabetic Products Non-Insured Products - Apprilon - Stribild - Votrient Auditors Corner

Nova Scotia Formulary Updates Administration of Publicly Funded Influenza Vaccinations by Pharmacists By now, all participating pharmacies have received their initial supply of publicly funded influenza vaccine and information from their local Public Health office on how to request additional supply. Pharmacies are reminded of the following key points:

• Additional supply may include pre-filled syringes of Agriflu, in addition to the multi-dose vials of Fluviral.

• Public Health offices deal with many providers and must consider all of their requirements equally. Every attempt will be made to satisfy all requests, but there is no guarantee any provider will get the total amount of publicly funded vaccine requested.

• Please allow time for your request to be considered. Same day responses cannot be guaranteed and influenza clinics should not be planned without confirming supply is available.

• The process for each Public Health office varies. In order to minimize delays in processing requests, all providers who access publicly funded influenza vaccine must ensure any necessary forms are completed fully and all processes are followed (e.g., delivery and pick up of vaccine, cold chain requirements).

• All providers are responsible for any transportation or distribution costs to obtain additional vaccine supply.

Billing for Vaccine Administration During the 2013/2014 influenza season participating pharmacies will be able to access publicly funded influenza vaccine supply. A fee of $11.50 will be paid for the administration of the vaccine, as per the agreement between the Department of Health and Wellness and the Pharmacy Association of Nova Scotia (PANS). All Nova Scotians receive influenza vaccine free of charge. There are no copayments or deductibles associated with the vaccine.


VOLUME 13-06

Administration of Publicly Funded Influenza Vaccinations by Pharmacists Continued… A new billing process has been developed to ensure all Nova Scotians have more ways to get the influenza vaccine this year to help protect themselves and others from influenza. Now all Nova Scotians are eligible to have their influenza vaccinations administered by their pharmacists and billed to Pharmacare, regardless of whether or not they have a valid Nova Scotia health card.

The fee can be billed to the Pharmacare Programs electronically in the following manner:

• In order to bill Pharmacare in the patient’s insurance field, use the Nova Scotia Health card number as the

patient ID and a carrier ID of NS. If the patient is already set up in your system with Pharmacare coverage (e.g., Seniors’ Pharmacare, Family Pharmacare) a separate patient file does not have to be set up.

• Effective November 26, 2013 pharmacies may immunize patients without a Nova Scotia health card, and should use the dummy patient ID 7777777777.

• All reasonable attempts should be made to obtain the Nova Scotia health card number, and this dummy ID should only be used in those cases where a patient does not have a valid Nova Scotia health card (e.g., students from out of province).

• Claims should be submitted using the DIN of the vaccine administered to the patient, unless the patient is

pregnant, or is a child receiving a second vaccine dose. In these instances the following PINS are to be used:

o Pregnant Women – Agriflu® PIN 93899922 – Fluviral® PIN 93899921

o Second Dose for Children – Agriflu® PIN 93899920 – Fluviral® PIN 93899919

• The quantity entered for the claim should be per ml, as per the Standardization of Package Sizes section in the

Pharmacists’ Guide.


VOLUME 13-06

New Exception Status Benefits The following product has been reviewed by the Canadian Drug Expert Committee (CDEC) and will be listed as exception status benefit, with the following criteria effective December 1, 2013.


Eliquis® (apixaban)

2.5mg Tab 5mg Tab

02377233 02397714

DNP DNP

E E

BRI BRI

Criteria • Inclusion Criteria: At-risk patients with non-valvular atrial fibrillation (AF) who require apixaban for the prevention of stroke and systemic embolism AND in whom:

- Anticoagulation is inadequate following at least a 2-month trial on warfarin; OR

- Anticoagulation with warfarin is contraindicated or not possible due to inability to regularly monitor via International Normalized Ratio (INR) testing (i.e. no access to INR testing services at a laboratory, clinic, pharmacy, and at home)

• Exclusion Criteria:

Patients with impaired renal function (creatinine clearance or estimated glomerular filtration rate < 25 mL/min) OR ≥ 75 years of age and without documented stable renal function OR hemodynamically significant rheumatic valvular heart disease, especially mitral stenosis; OR prosthetic heart valves

• Notes:

a. At risk patients with non valvular atrial fibrillation are defined as those with a CHADS2 score of ≥ 1. Prescribers may consider an antiplatelet regimen or oral anticoagulation for patients with CHADS2 score of ≥ 1.

b. Inadequate anticoagulation is defined as INR testing results that are outside the desired INR range for at least 35% of the tests during the monitoring period (i.e. adequate anticoagulation is defined as INR test results that are within the desired INR range for at least 65% of the tests during the monitoring period).

c. Documented stable renal function is defined as creatinine or estimated glomerular filtration rate maintained for at least 3 months.

d. Dosing: the usual recommended dose is 5mg twice daily; a reduced dose of apixaban 2.5mg twice daily is recommended for patients with at least two [2] of the following: age ≥ 80 years, body weight ≤ 60kg, or serum creatinine ≥ 133 micromole/litre.

e. Since renal impairment can increase bleeding risk, renal function should be regularly monitored. Other factors that increase bleeding risk should also be assessed and monitored (see apixaban Product Monograph).

f. Patients starting apixaban should have ready access to appropriate medical services to manage a major bleeding event.

g. There is currently no data to support that apixaban provides adequate anticoagulation in patients with rheumatic valvular disease or those with prosthetic heart valves. As a result, apixaban is not recommended for these patient populations.


VOLUME 13-06

New Exception Status Benefits – Continued… The following product has been reviewed by the pCODR Expert Review Committee and will be listed as exception status benefits, with the following criteria effective December 1, 2013.


Xalkori® (crizotinib) 200mg Cap 250mg Cap

02384256 02384264

DNP DNP

E E

PFI PFI

Criteria • As a second-line therapy for patients with ALK-positive advanced non-small cell lung cancer with ECOG performance status ≤ 2.

Decision Highlights • In previously treated patients, crizotinib was associated with an increase in progression free survival (7.7 months versus 3.0 months) and an improved quality of life versus standard of care chemotherapy.

Criteria Update – rivaroxaban (Xarelto®) Please note that effective December 1, 2013, the criteria for Xarelto® will be updated to include the following:


Xarelto® (rivaroxaban)

15mg Tab 20mg Tab

02378604 02378612

DNP DNP

E E

BAY BAY

New Criteria • Inclusion Criteria: Treatment of deep vein thrombosis (DVT) without symptomatic pulmonary embolism (PE) Coverage Period: up to 6 months

• Notes: a. The recommended dose of rivaroxaban for patients initiating DVT treatment is

15mg twice daily for 3 weeks, followed by 20mg once daily. b. Drug plan coverage for rivaroxaban is an alternative to heparin/warfarin. When

used for greater than 6 months, rivaroxaban is more costly than heparin/warfarin. As such, patients with an intended duration of therapy greater than 6 months should be considered for initiation on heparain/warfarin.

• Since renal impairment can increase bleeding risk, it is important to monitor renal function regularly. Other factors that increase bleeding risks should also be assessed and monitored (see rivaroxaban product monograph)

Decision Highlights • In one large randomized controlled trial of patients with DVT without symptomatic PE, rivaroxaban was non-inferior to a standard regimen of enoxaparin plus vitamin K antagonist. The majority of patients received treatment for six months or less; limited comparative clinical data is available for treatment durations exceeding six months. Treatment durations greater than six months are more costly than enoxaparin plus a vitamin K antagonist.


VOLUME 13-06

Criteria Update – sunitinib (Sutent®) Please note that effective December 1, 2013, the criteria for Sutent® will be updated to include the following:


Sutent® (sunitinib)

12.5mg Tab 25mg Tab 50mg Tab

02280795 02280809 02280817

DNP DNP DNP

E E E

PFI PFI PFI

New Criteria • For the treatment of patients with progressive, unresectable, well or moderately differentiated, locally advanced or metastatic pancreatic neuroendocrine tumors (pNET) with good performance status (ECOG 0-2), until disease progression

Decision Highlights • The Committee was satisfied there was a net clinical benefit based on the magnitude of the observed hazard ratio for risk of death and the observed progression-free survival difference between sunitinib and placebo (11.4 months versus 5.5 months)

New Diabetic Products The following products are new listings to the Nova Scotia Formulary, effective December 1, 2013. The benefit status and reimbursement price within the Nova Scotia Pharmacare Programs is indicated.

PRODUCT DIN/PIN MRP PRESCRIBER BENEFIT STATUS MFR

Medi+Sure BG Test Strip 97799403 0.4900 DNP SFD MSR Medi+Sure Soft 30G Twist Lancet (Purple)

97799388 0.0490 DNP SFD MSR

Medi+Sure Soft 33G Twist Lancet (Beige)

97799388 0.0490 DNP SFD MSR

Non-Insured Products The following products were reviewed by the Canadian Drug Expert Committee (CDEC) and were not recommended to be listed as insured benefits under the Nova Scotia Pharmacare Programs.


Apprilon® (doxycycline monohydrate)

40mg Cap 02373955 N/A Not Insured GAL

Decision Highlights • Addition clinical benefit of Apprilon® is uncertain and alternative treatments for inflammatory rosacea are currently available and are more cost-effective.


VOLUME 13-06

Non Insured Products – Continued… The following product will not be insured in the Pharmacare Programs, however, it will be funded through the Exception Drug Fund (CDHA) as per other HIV medications.


Stribild ® (elvitegravir/cobicistat/ emtricitabine/tenofovir)

150mg/150mg/ 200mg/ 300mg Tab

02397137 N/A Not Insured GIL

The following product was reviewed by the pCODR Expert Review Committee for the treatment of soft tissue sarcoma (new indication) and the recommendation was not to list.


Votrient® (pazopanib)

200mg Tab 02352303 N/A Not Insured GSK

Decision Highlights • For the treatment of soft tissue sarcoma, compared with placebo, pazopanib conferred modest progression free survival, no overall survival benefit, no measured improvement in quality of life, and the therapy was not shown to be cost effective.

Auditors Corner Audit Criteria for Administration of the Influenza Vaccine Required documentation to be available at the time of audit includes: • Signed Patient Consent and Disclosure form • Signed Confirmation of Agreement on file with Nova Scotia Pharmacare Pharmacy Closing or Transferring Ownership As indicated in the Tariff Agreement between the Pharmacy Association of Nova Scotia and the Nova Scotia Department of Health and Wellness, if your pharmacy is closing or changing ownership, it is your responsibility to notify our office within 30 days in advance of transfer/closing. This information will be retained in confidence. A close-out prescription audit is required. You may contact our office at [email protected] or 496-7011 or toll free 1-866-553-0585.

DECEMBER 2013 • VOLUME 13-07 PHARMACISTS’ EDITION


Updates to Minimum Day Supply Rule New Exception Status Benefits - Monurol - Seebri New Benefits - Pataday - Patanol - Zaditor New Products Non-Insured Products - Aloxi - Aloxi IV - Samsca - Sublinox Basic Medication Review Service Advanced Medication Review Service Standard Package Size Reminder Standardization of Package Sizes Publicly Funded Vaccines in Nova Scotia Changes to the Pharmacists' Guide

Nova Scotia Formulary Updates Updates to Minimum Day Supply Rule The following is a list of ATC categories that have been added to the existing ATC categories list for which refill claims for drugs and products must be for a minimum of 28 day supply. The complete list of all ATC categories for which refill claims must be for a minimum of 28 day supply will be in the next update of the Pharmacists' Guide.

ATC CODE DESCRIPTOR

A02A Antacids A02B Drugs for Peptic Ulcer and Gastroesophageal Reflux Disease

(GERD) A06 Laxatives A07E Intestinal Anti-Inflammatory Agents A09 Digestives, Including Enzymes A11 Vitamins B01AC Platelet Aggregation Inhibitors Excl. Heparin B03 Antianaemic Preparations M01A Anti-Inflammatory/Antirheumatic Prod., Non-Steroids M04A Antigout Preparations N02BA01 Acetylaslicylic Acid N02BA11 Diflunisal N02BG04 Floctafenine N03AD Succinimide Derivatives N03AF Carboxamide Derivatives N03AG Fatty Acid Derivatives N03AX09 Lamotrigine N03AX11 Topiramate


VOLUME 13-07

Updates to Minimum Day Supply Rule Continued…

ATC CODE DESCRIPTOR N03AX14 Levetiracetam N03AX18 Lacosamide N04 Anti-Parkinson Drugs N07C Antivertigo Preparations S01X Other Ophthalmologicals

New Exception Status Benefits The following product has been reviewed by the Atlantic Expert Advisory Committee (AEAC) and will be listed as an exception status benefit with the following criteria, effective December 30, 2013.


Monurol® (fosfomycin tromethamine)

3 g/sachet 02240335 DNP E TRI

Criteria • For the treatment of uncomplicated urinary tract infections in adult female patients where:

• The infecting organism is resistant to other oral agents [Criteria Code 01] OR

• Other less costly treatments are not tolerated [Criteria Code 02]

Decision Highlights • Monurol® (fosfomycin) is indicated for the treatment of uncomplicated urinary tract infections. It is not indicated for treatment of pyelonephritis or perinephric abscess. Although more expensive, fosfomycin is a useful option for patients intolerant and/or resistant to nitrofurantoin and TMP-SMX.

• Note: The committee also noted that fluoroquinolones are not recommended for the treatment of uncomplicated urinary tract infections and should be reserved for severe infections or intolerance to other antibiotics.


VOLUME 13-07

New Exception Status Benefits Continued… The following product has been reviewed by the Canadian Drug Expert Committee (CDEC) and will be listed as an exception status benefit with the following criteria, effective December 30, 2013.


Seebri® (glycopyrronium bromide)

50mcg Cap for Inh

02394936 DNP E NVR

Criteria • 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 glycopyrronium 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

** 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

Decision Highlights • Seebri Breezehaler® (glycopyrronium) is an alternative long-acting anticholinergic for the treatment of COPD in patients who meet the same eligibility criteria as tiotropium. GLOW-1, GLOW-2, and a network meta-analysis suggested that glycopyrronium and tiotropium have similar efficacy for improving lung function in patients with COPD.


VOLUME 13-07

New Benefits Based on a review by the Atlantic Expert Advisory Committee (AEAC), effective December 30, 2013, the following products will be listed as benefits under the Nova Scotia Pharmacare Programs.


Pataday 0.2% Oph Sol 02362171 DNP SF ALC Patanol 0.1% Oph Sol 02233143 DNP SF ALC Zaditor 0.25% Oph Sol 02242324 DNP SF NVO

New Products Based on a review by the Atlantic Expert Advisory Committee (AEAC), effective December 30, 2013, the following products will be listed as benefits under the Nova Scotia Pharmacare Programs. Where applicable, established coverage criteria will apply.


Pegetron Clearclick1 80mcg/0.5mL Inj/200mg Cap

02254581 DNP E FRS


02254603 DNP E FRS


02254638 DNP E FRS


02254646 DNP E FRS

Sialor 25mg Tab 02240344 DNP Not Insured PMS Stelara 90mg/1.0mL

Syringe Inj 02320681 DNP E JAN

Xeomin 50 LD50 units/vial

02371081 DNP E MRZ

1 Pegetron Clearclick is the replacement product for Pegetron Redipen. The Clearclick injector device is the only difference between the products. Non-Insured Products The following products were reviewed by the Canadian Drug Expert Committee (CDEC) and were not recommended to be listed as benefits under the Nova Scotia Pharmacare Programs.


Aloxi® (palonosetron) 0.5mg Cap 02381729 N/A Not Insured EIS Decision Highlights • Clinical evidence supporting oral palonosetron superiority to oral ondansetron was

not established and the costs of oral palonosetron are higher.


VOLUME 13-07

Non-Insured Products Continued…


Aloxi IV® (palonosetron) 0.25mg/5mL Inj 02381710 N/A Not Insured EIS Decision Highlights • The cost-effectiveness is uncertain.


Samsca® (tolvaptan) 15mg Tab 30mg Tab

02370468 02370476

N/A N/A

Not Insured Not Insured

OTS OTS

Decision Highlights • Tolvaptan was not considered to be cost-effective in patients with heart failure and non-hypovolemic hyponatremia, and there was insufficient evidence that treatment with tolvaptan provides clinical benefits for mortality, morbidity, or reduced length of hospitalization relative to alternatives or placebo.


Sublinox® (zolpidem tartrate)

5mg SL Tab 10mg SL Tab

02391678 02370433

N/A N/A

Not Insured Not Insured

MVL MVL

Decision Highlights • There are no studies comparing sublingual zolpidem against other treatments for insomnia that are currently marketed in Canada; therefore, there is insufficient evidence to determine clinical benefit versus other hypnotics for the treatment of acute, short-term insomnia.

Basic Medication Review Service Basic Medication Review Service (BMRS) – approximately 20 to 30 minutes to complete - is an insured service under all the Pharmacare Programs, except the Under 65 – LTC Program. To qualify for the program:

• The individual must be a beneficiary of a Nova Scotia Pharmacare Program, except the Under 65 – LTC Program.

• The beneficiary must agree with their pharmacist that they are a suitable candidate for the program and sign a consent form which, along with all other documentation, is to be kept on file in the pharmacy for at least three years for audit purposes.

• The beneficiary must not reside in a nursing home, home for special care, or be receiving medication in compliance packaging.

• The beneficiary must meet with the pharmacist for an in-person consultation. • The beneficiary must be taking 3 or more prescription medications that are used for the treatment of chronic

conditions, and are covered by the Pharmacare Programs. • The beneficiary must be provided with a comprehensive drug review list that is dated and authorized with

the pharmacist’s and the patient’s signatures.


VOLUME 13-07

Advanced Medication Review Service Advanced Medication Review Service (AMRS) – approximately one and one-half hours to complete - is an insured service under the Nova Scotia Seniors’ Pharmacare Program. Pharmacies are required to complete the Pharmacy sign-up form and fax it to the Pharmacy Association of Nova Scotia (PANS) prior to offering the service to their patients.* It is important for the pharmacy to be registered for billing and audit purposes. To qualify for the program, beneficiaries must:

• Be beneficiaries of the Nova Scotia Seniors’ Pharmacare Program. • Agree with their pharmacist that they are a suitable candidate for the program. A signed consent form with

the pharmacist’s and patient’s signatures, and all documentation are to be kept on file in the pharmacy for at least three years for audit purposes.

• Not reside in a nursing home, home for special care, or be receiving medication in compliance packaging. • Be taking 4 or more prescription medications; OR taking one of the following:

- methyldopa - indomethacin - cyclobenzaprine - diazepam - chlordiazepoxide - clorazepate - amitriptyline

• Have at least one of the following diseases: - asthma - diabetes - hypertension - hyperlipidemia - congestive heart failure - chronic obstructive pulmonary disease - arthritis

Standard Package Size Reminder The Nova Scotia Pharmacare Programs has been receiving a significant number of claims with incorrect entries in the “Quantity” field. Some of the more common examples are listed below:

QUANTITY ENTRIES PRODUCT DOSAGE FORM INCORRECT CORRECT

Remicade (infliximab) Powder for injection 100 mg 1 vial Lantus (insulin glargine) 100 U/mL cartridge 1500 U, 5 Vials, 1 Box 15 mL Lantus (insulin glargine) Solostar 3mL Pens 1500 U, 5 Pens, 1Box 15 mL


VOLUME 13-07

Standardization of Package Sizes Providers are reminded that claims to the Pharmacare Programs must be billed according to the following Standardized Package Sizes.

FORM QUANTITY FORM QUANTITY

Aerosols Per dose Nasal sprays Per dose Capsules Per capsule Nebules Per ml

Creams Per gram Ointments Per gram

Enemas Per ml Oral contraceptives As 21 or 28

Gels Per gram Ostomy supplies Per item (e.g., 20 pouches)

Inhalers Per dose Patches Per patch

Insulins (vials, penfills, cartridges) Per ml Powders Per gram

Kits Per kit Powder Injectables Per vial

Lancets Per lancet Suppositories Per suppository

Liquids Injectables Per ml Tablets Per tablet

Liquids (except methadone) Per ml Testing strips Per testing strip

Liquid methadone Per mg Other:

FORM QUANTITY Package/Kits of more than one drug Per package

(e.g., HP-Pac®, Monistat 3 Dual-Pack®, Didrocal®) Packages of blood glucose testing strips with built-in meter Per test strip

(e.g., Sidekick® Blood Glucose Testing System) Publicly Funded Vaccines in Nova Scotia The new Pharmacy Act and associated regulations including the Registration, Licensing and Professional Accountability Regulations and the Pharmacy Practice Regulations were approved by the provincial government and came into effect August 6, 2013. With the development and approval of the standards of practice by the Nova Scotia College of Pharmacists (NSCP), pharmacists now have the authority to administer drugs by injection provided they meet the required training and application expectations set out by the Regulations and Standards of Practice. With this change, a dedicated supply of publicly funded influenza vaccine was made available to participating pharmacies as part of the provincial immunization program. The influenza vaccine is available free of charge to all Nova Scotians from many health care providers, including pharmacists.


VOLUME 13-07

Publicly Funded Vaccines in Nova Scotia Continued… Although the influenza vaccine is the only publicly funded vaccine that can be accessed through community pharmacies, there are other vaccines that pharmacies can provide to their patients. In order to ensure that all patients are aware of which vaccines are publicly funded and available free of charge from other immunization providers, Public Health has included information in the NS Immunization Manual. Please refer to chapter ten for information on public funded vaccines using the following link: http://novascotia.ca/dhw/cdpc/documents/Immunization-Manual.pdf With these documents you can help ensure patients have the most up to date information on which vaccines are eligible free of charge from other immunization providers in Nova Scotia, and if applicable, any specific conditions that may apply. Any questions on these documents should be directed to your local Public Health office. Changes to the Pharmacists' Guide Please note that the Pharmacists' Guide will no longer be provided in print form. An electronic version of the Pharmacists' Guide is available on the Pharmacare website. The next update will be available online in January, 2014.

http://novascotia.ca/dhw/cdpc/documents/Immunization-Manual.pdf

Documents

Nova Scotia Formulary Updates Updates Prescriber …novascotia.ca/dhw/pharmacare/pharmacists_bulletins/...FEBRUARY 2013 • VOLUME 13-01 PHARMACISTS’ EDITION Nova Scotia Formulary