New Interchangeable Products Approved and Benefit Status ......MYLAN-Fentanyl Matrix 12mcg/hr Patch...
Transcript of New Interchangeable Products Approved and Benefit Status ......MYLAN-Fentanyl Matrix 12mcg/hr Patch...
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs January 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has
been established for the following products. Benefit status is effective January 7, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS
JANUARY 7, 2013
MRP/PRP*
JANUARY 28, 2013 MFR
atovaquone 250mg & proguanil hydrochloride 100mg tab
Teva-Atovaquone Proguanil 250/100mg Tab
02380927 Not Insured TEV
Malarone 250/100mg Tab 02238151 Not Insured GSK
clopidogrel 300mg tab
Teva-Clopidogrel 300mg Tab 02388065 Not Insured TEV
Plavix 300mg Tab 02330555 Not Insured SAV
polymyxin B 10,000unit/mL & trimethoprim 1mg/mL oph sol
Sandoz Polytrimethoprim Oph Sol
02239234 Not Insured SDZ
Polytrim Oph Sol 02011956 Not Insured ALL
Existing Categories: Benefit status is effective January 7, 2013 and the existing MRP or PRP for each existing
category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS
JANUARY 7, 2013
MRP/PRP*
JANUARY 7, 2013 MFR
alendronate 5mg tab
RAN-Alendronate 5mg Tab 02384698 Not Insured RAN
alendronate 10mg tab
RAN-Alendronate 10mg Tab 02384701 DNP E (SFC) 0.6981 RAN
alendronate 70mg tab
RAN-Alendronate 70mg Tab 02384728 DNP E (SFC) 3.5201 RAN
bisoprolol 5mg tab
Bisoprolol 5mg Tab 02391589 DNP SF 0.1391 SAS
Page 2 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS
JANUARY 7, 2013
MRP/PRP*
JANUARY 7, 2013 MFR
bisoprolol 10mg tab
Bisoprolol 10mg Tab 02391597 DNP SF 0.2030 SAS
bupropion 100mg SR tab
Bupropion SR 100mg Tab 02391562 DNP SFC 0.2167 SAS
bupropion 150mg SR tab
Bupropion SR 150mg Tab 02391570 DNP SFC 0.3236 SAS
candesartan 32mg tab
Sandoz Candesartan 32mg Tab 02392267 DNP SF 0.4193 SDZ
ciprofloxacin 0.3% oph sol
Sandoz Ciprofloxacin 0.3% Oph Sol
02387131 DNPO E (SF) 0.7920 SDZ
cyproterone 50mg tab
MED-Cyproterone 50mg Tab 02390760 DNP SFC 1.5283 GMP
esomeprazole 20mg tab
MYLAN-Esomeprazole 20mg Tab
02383039 Not Insured MYL
losartan 50mg & hydrochlorothiazide 12.5mg tab
CO Losartan/HCT 50/12.5mg Tab
02388251 DNP SF 0.4407 COB
losartan 100mg & hydrochlorothiazide 12.5mg tab
CO Losartan/HCT 100/12.5mg Tab
02388278 DNP SF 0.4314 COB
losartan 100mg & hydrochlorothiazide 25mg tab
CO Losartan/HCT 100/25mg Tab
02388286 DNP SF 0.4407 COB
ropinirole 0.25mg tab
Jamp-Ropinirole 0.25mg Tab 02352338 DNP SF 0.0993 JPC
RAN-Ropinirole 0.25mg Tab 02314037 DNP SF 0.0993 RAN
Page 3 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS
JANUARY 7, 2013
MRP/PRP*
JANUARY 7, 2013 MFR
ropinirole 1mg tab
Jamp-Ropinirole 1mg Tab 02352346 DNP SF 0.3974 JPC
RAN-Ropinirole 1mg Tab 02314053 DNP SF 0.3974 RAN
ropinirole 2mg tab
Jamp-Ropinirole 2mg Tab 02352354 DNP SF 0.4371 JPC
RAN-Ropinirole 2mg Tab 02314061 DNP SF 0.4371 RAN
ropinirole 5mg tab
Jamp-Ropinirole 5mg Tab 02352362 DNP SF 1.2034 JPC
RAN-Ropinirole 5mg Tab 02314088 DNP SF 1.2034 RAN
simvastatin 10mg tab
Jamp-Simvastatin 10mg Tab 02375605 DNP SF 0.7081 JPC
tramadol 37.5mg & acetaminophen 325mg tab
Mint-Tramadol/Acet 37.5/325mg Tab
02389800 Not Insured MNT
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs February 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective February 11, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS FEBRUARY 11, 2013
MRP/PRP* MARCH 4, 2013
MFR
clarithromycin 25mg/mL o/l Accel-Clarithromycin 125mg/5mL O/L 02390442 DNP E (SFC) 0.2047 ACC
Biaxin 125mg/5mL O/L 02146908 DNP E (SFC) 0.2047 ABB
clarithromycin 50mg/mL o/l Accel-Clarithromycin 250mg/5mL O/L 02390450 DNP E (SFC) 0.3998 ACC
Biaxin 250mg/5mL O/L 02244641 DNP E (SFC) 0.3998 ABB
entecavir 0.5mg tab
Apo-Entecavir 0.5mg Tab 02396955 Under Review APX
Baraclude 0.5mg Tab 02282224 DNP E (SF) BRI
fluvastatin 20mg cap
Teva-Fluvastatin 20mg Cap 02299224 Under Review TEV
Lescol 20mg Cap 02061562 DNP SF NVR
fluvastatin 40mg cap
Teva-Fluvastatin 40mg Cap 02299232 Under Review TEV
Lescol 40mg Cap 02061570 DNP SF NVR Existing Categories: Benefit status is effective February 11, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS FEBRUARY 11, 2013
MRP/PRP* FEBRUARY 11, 2013
MFR
entacapone 200mg tab
MYLAN-Entacapone 200mg Tab 02390337 DNP E (SF) 0.5687 MYL fluorometholone 0.1% oph susp
Sandoz Fluorometholone 0.1% Oph Susp 00432814 DNPO SF 1.7880 SDZ
Page 2 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS FEBRUARY 11, 2013
MRP/PRP* FEBRUARY 11, 2013
MFR
hydromorphone HCl 1mg tab
Apo-Hydromorphone 1mg Tab 02364115 D SFC 0.0959 APX
hydromorphone HCl 2mg tab
Apo-Hydromorphone 2mg Tab 02364123 D SFC 0.1417 APX
hydromorphone HCl 4mg tab
Apo-Hydromorphone 4mg Tab 02364131 D SFC 0.2240 APX
hydromorphone HCl 8mg tab
Apo-Hydromorphone 8mg Tab 02364158 D SFC 0.3528 APX
montelukast 10mg tab
Jamp-Montelukast 10mg Tab 02391422 DNP E (SF) 0.8276 JPC
nabilone 0.5mg cap
CO Nabilone 0.5mg Cap 02393581 D E (SFC) 1.0859 COB
nabilone 1mg cap
CO Nabilone 1mg Cap 02393603 D E (SFC) 2.1718 COB
olanzapine 2.5mg tab
CO Olanzapine 2.5mg Tab 02325659 DNP E (SF) 0.6290 COB
olanzapine 5mg tab
CO Olanzapine 5mg Tab 02325667 DNP E (SF) 1.2580 COB
olanzapine 7.5mg tab
CO Olanzapine 7.5mg Tab 02325675 DNP E (SF) 1.8871 COB
olanzapine 10mg tab
CO Olanzapine 10mg Tab 02325683 DNP E (SF) 2.5161 COB
olanzapine 15mg tab
CO Olanzapine 15mg Tab 02325691 DNP E (SF) 3.7741 COB
Page 3 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS FEBRUARY 11, 2013
MRP/PRP* FEBRUARY 11, 2013
MFR
olanzapine 20mg tab
CO Olanzapine 20mg Tab 02325713 Not Insured COB
telmisartan 40mg tab
CO Telmisartan 40mg Tab 02393247 DNP SF 0.3954 COB
telmisartan 80mg tab
CO Telmisartan 80mg Tab 02393255 DNP SF 0.3954 COB telmisartan 80mg & hydrochlorothiazide 12.5mg tab
Telmisartan/HCTZ 80/12.5mg Tab 02395355 DNP SF 0.3954 SAS telmisartan 80mg & hydrochlorothiazide 25mg tab
Telmisartan/HCTZ 80/25mg Tab 02395363 DNP SF 0.3954 SAS
zopiclone 5mg tab
MINT-Zopiclone 5mg Tab 02391716 DNP SFC 0.2231 MNT
Changes to Benefit Status: The following product will no longer be an eligible benefit as of February 11, 2013
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS FEBRUARY 11, 2013
MRP/PRP* FEBRUARY 11, 2013
MFR
fluorometholone 0.1% oph susp pms-Fluorometholone 0.1% Oph Susp 02238568 Not Insured PMS
Page 1 of 6 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs March 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective March 11, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* APRIL 1, 2013
MFR
pregabalin 25mg cap
GD-Pregabalin 25mg Cap 02360136 Not Insured GMD
pms-Pregabalin 25mg Cap 02359596 Not Insured PMS
Teva-Pregabalin 25mg Cap 02361159 Not Insured TEV
Lyrica 25mg Cap 02268418 Not Insured PFI
pregabalin 50mg cap
GD-Pregabalin 50mg Cap 02360144 Not Insured GMD
pms-Pregabalin 50mg Cap 02359618 Not Insured PMS
Teva-Pregabalin 50mg Cap 02361175 Not Insured TEV
Lyrica 50mg Cap 02268426 Not Insured PFI
pregabalin 75mg cap
GD-Pregabalin 75mg Cap 02360152 Not Insured GMD
pms-Pregablin 75mg Cap 02359626 Not Insured PMS
Teva-Pregabalin 75mg Cap 02361183 Not Insured TEV
Lyrica 75mg Cap 02268434 Not Insured PFI
pregabalin 150mg cap
GD-Pregabalin 150mg Cap 02360179 Not Insured GMD
pms-Pregabalin 150mg Cap 02359634 Not Insured PMS
Teva-Pregablin 150mg Cap 02361205 Not Insured TEV
Lyrica 150mg Cap 02268450 Not Insured PFI
pregabalin 225mg cap
GD-Pregabalin 225mg Cap 02360195 Not Insured GMD
Page 2 of 6 New Interchangeable Products
New Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* APRIL 1, 2013
MFR
pms-Pregabalin 225mg Cap 02398079 Not Insured PMS
Teva-Pregabalin 225mg Cap 02361221 Not Insured TEV
Lyrica 225mg Cap 02268477 Not Insured PFI
pregablin 300mg cap
GD-Pregabalin 300mg Cap 02360209 Not Insured GMD
pms-Pregabalin 300mg Cap 02359642 Not Insured PMS
Teva-Pregabalin 300mg Cap 02361248 Not Insured TEV
Lyrica 300mg Cap 02268485 Not Insured PFI
tetrabenazine 25mg tab
pms-Tetrabenazine 25mg Tab 02402424 DNP SF 4.8551 PMS
Nitoman 25mg Tab 02199270 DNP SF 4.8551 BVL
Existing Categories: Benefit status is effective March 11, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* MARCH 11, 2013
MFR
anastrozole 1mg tab
MINT-Anastrozole 1mg Tab 02393573 DNP SFC 1.7821 MNT candesartan 16mg & hydrochlorothiazide 12.5mg tab
Candesartan/HCTZ 16/12.5mg Tab 02394804 DNP SF 0.4193 SAS
ciprofloxacin 250mg tab
Auro-Ciprofloxacin 250mg Tab 02381907 DNP E (SFC) 0.8660 ARO
ciprofloxacin 500mg tab
Auro-Ciprofloxacin 500mg Tab 02381923 DNP E (SFC) 0.9770 ARO
ciprofloxacin 750mg tab
Auro-Ciprofloxacin 750mg Tab 02381931 DNP E (SFC) 1.7891 ARO
Page 3 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* MARCH 11, 2013
MFR
clarithromycin 250mg tab
Teva-Clarithromycin 250mg Tab 02248804 DNP E (SFC) 0.5770 TEV
clarithromycin 500mg tab
Teva-Clarithromycin 500mg Tab 02248805 DNP E (SFC) 1.6293 TEV
fentanyl 12mcg/hr patch MYLAN-Fentanyl Matrix 12mcg/hr Patch 02396696 D E (SFC) 2.2300 MYL
fentanyl 25mcg/hr patch MYLAN-Fentanyl Matrix 25mcg/hr Patch 02396718 D E (SFC) 4.0236 MYL
fentanyl 50mcg/hr patch MYLAN-Fentanyl Matrix 50mcg/hr Patch 02396726 D E (SFC) 7.5719 MYL
fentanyl 75mcg/hr patch MYLAN-Fentanyl Matrix 75mcg/hr Patch 02396734 D E (SFC) 10.6498 MYL
fentanyl 100mcg/hr patch MYLAN-Fentanyl Matrix 100mcg/hr Patch 02396742 D E (SFC) 13.2559 MYL
fluoxetine 10mg cap
Auro-Fluoxetine 10mg Cap 02385627 DNP SFC 0.8650 ARO
fluoxetine 20mg cap
Auro-Fluoxetine 20mg Cap 02385635 DNP SFC 0.6438 ARO
lamotrigine 25mg tab
Auro-Lamotrigine 25mg Tab 02381354 DNP SF 0.1310 ARO
lamotrigine 100mg tab
Auro-Lamotrigine 100mg Tab 02381362 DNP SF 0.5229 ARO
lamotrigine 150mg tab
Auro-Lamotrigine 150mg Tab 02381370 DNP SF 0.7706 ARO
Page 4 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* MARCH 11, 2013
MFR
montelukast 4mg chewtab
Apo-Montelukast 4mg Chewtab 02377608 DNP E (SF) 0.5104 APX
montelukast 5mg chewtab
Apo-Montelukast 5mg Chewtab 02377616 DNP E (SF) 0.5635 APX
ofloxacin 0.3% oph sol
Sandoz Ofloxacin 0.3% Oph Sol 02247189 DNPO E (SF) 0.8561 SDZ
ondansetron 4mg tab
Septa-Ondansetron 4mg Tab 02376091 DNP E (SFC) 3.5778* SPT
ondansetron 8mg tab
Septa-Ondansetron 8mg Tab 02376105 DNP E (SFC) 7.1555 SPT
paroxetine 20mg tab
Auro-Paroxetine 20mg Tab 02383284 DNP SFC 0.6320 ARO
paroxetine 30mg tab
Auro-Paroxetine 30mg Tab 02383292 DNP SFC 0.6714 ARO
pioglitazone 15mg tab
Auro-Pioglitazone 15mg Tab 02384906 DNP E (SFD) 0.8324 ARO
pioglitazone 30mg tab
Auro-Pioglitazone 30mg Tab 02384914 DNP E (SFD) 1.1662 ARO
pioglitazone 45mg tab
Auro-Pioglitazone 45mg Tab 02384922 DNP E (SFD) 1.7535 ARO
ramipril 1.25mg cap/tab
RAN-Ramipril 1.25mg Cap 02310503 DNP SF 0.2427 RAN
ramipril 2.5mg cap/tab
RAN-Ramipril 2.5mg Cap 02310511 DNP SF 0.2800 RAN
Page 5 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* MARCH 11, 2013
MFR
ramipril 5mg cap/tab
RAN-Ramipril 5mg Cap 02310538 DNP SF 0.2800 RAN
ramipril 10mg cap/tab
RAN-Ramipril 10mg Cap 02310546 DNP SF 0.3546 RAN
rosuvastatin 5mg tab
Jamp-Rosuvastatin 5mg Tab 02391252 Not Insured JPC
rosuvastatin 10mg tab
Jamp-Rosuvastatin 10mg Tab 02391260 DNP SF 0.4760 JPC
rosuvastatin 20mg tab
Jamp-Rosuvastatin 20mg Tab 02391279 DNP SF 0.5950 JPC
rosuvastatin 40mg tab
Jamp-Rosuvastatin 40mg Tab 02391287 DNP SF 0.6965 JPC
sildenafil 25mg tab
Myl-Sildenafil 25mg Tab 02392577 Not Insured MYL
RAN-Sildenafil 25mg Tab 02383101 Not Insured RAN
sildenafil 50mg tab
Myl-Sildenafil 50mg Tab 02392585 Not Insured MYL
RAN-Sildenafil 50mg Tab 02383128 Not Insured RAN
sildenafil 100mg tab
Myl-Sildenafil 100mg Tab 02392593 Not Insured MYL
RAN-Sildenafil 100mg Tab 02383136 Not Insured RAN
simvastatin 5mg tab
Jamp-Simvastatin 5mg tab 02375591 DNP SF 0.3600 JPC
Page 6 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* MARCH 11, 2013
MFR
telmisartan 80mg & hydrochlorothiazide 12.5mg tab
CO Telmisartan/HCT 80/12.5mg Tab 02393263 DNP SF 0.3954 COB telmisartan 80mg & hydrochlorothiazide 25mg tab CO Telmisartan/HCT 80/25mg Tab 02393271 DNP SF 0.3954 COB
zopiclone 7.5mg tab
MINT-Zopiclone 7.5mg Tab 02391724 Not Insured MNT Changes to Benefit Status: As a result of recent pricing changes, the following product(s) will be eligible benefits as of March 11, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* APRIL 1, 2013
MFR
entecavir 0.5mg tab
Apo-Entecavir 0.5mg Tab 02396955 DNP E (SF) 16.5000 APX
Baraclude 0.5mg Tab 02282224 DNP E (SF) 16.5000 BRI
fluvastatin 20mg cap
Teva-Fluvastatin 20mg Cap 02299224 DNP SF 0.7048 TEV
Lescol 20mg Cap 02061562 DNP SF 0.7048 NVR
fluvastatin 40mg cap
Teva-Fluvastatin 40mg Cap 02299232 DNP SF 0.9896 TEV
Lescol 40mg Cap 02061570 DNP SF 0.9896 NVR
Page 1 of 4 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs April 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective April 8, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 8, 2013
MRP/PRP* APRIL 29, 2013
MFR
candesartan 32mg & hydrochlorothiazide 12.5mg tab
Apo-Candesartan/HCTZ 32/12.5mg Tab 02395126 DNP SF 0.8985 APX
Atacand Plus 32/12.5mg Tab 02332922 DNP SF 0.8985 AZE candesartan 32mg & hydrochlorothiazide 25mg tab Apo-Candesartan/HCTZ 32/25mg Tab 02395134 DNP SF 0.8985 APX
Atacand Plus 32/25mg Tab 02332957 DNP SF 0.8985 AZE
quetiapine 50mg ER tab
Teva-Quetiapine XR 50mg Tab 02395444 Not Insured TEV
Seroquel XR 50mg Tab 02300184 Not Insured AZE
quetiapine 150mg ER tab
Teva-Quetiapine XR 150mg Tab 02395452 Not Insured TEV
Seroquel XR 150mg Tab 02321513 Not Insured AZE
quetiapine 200mg ER tab
Teva-Quetiapine XR 200mg Tab 02395460 Not Insured TEV
Seroquel XR 200mg Tab 02300192 Not Insured AZE
quetiapine 300mg ER tab
Teva-Quetiapine XR 300mg Tab 02395479 Not Insured TEV
Seroquel XR 300mg Tab 02300206 Not Insured AZE
quetiapine 400mg ER tab
Teva-Quetiapine XR 400mg Tab 02395487 Not Insured TEV
Seroquel XR 400mg Tab 02300214 Not Insured AZE
Page 2 of 4 New Interchangeable Products
Existing Categories: Benefit status is effective April 8, 2013 and the existing MRP or PRP for each existing
category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 8, 2013
MRP/PRP* APRIL 8, 2013
MFR
fluoxetine 10mg cap
Mar-Fluoxetine 10mg Cap 02392909 DNP SFC 0.8650 MAR
fluoxetine 20mg cap
Mar-Fluoxetine 20mg Cap 02392917 DNP SFC 0.6438 MAR
irbesartan 150mg & hydrochlorothiazide 12.5mg tab
Apo-Irbesartan-HCTZ 150/12.5mg Tab 02387646 DNP SF 0.4234 APX irbesartan 300mg & hydrochlorothiazide 12.5mg tab
Apo-Irbesartan-HCTZ 300/12.5mg Tab 02387654 DNP SF 0.4234 APX irbesartan 300mg & hydrochlorothiazide 25mg tab
Apo-Irbesartan-HCTZ 300/25mg Tab 02387662 DNP SF 0.4206 APX
olanzapine ODT 5mg tab
Mar-Olanzapine ODT 5mg Tab 02389088 DNP E (SF) 1.2511 MAR
olanzapine ODT 10mg tab
Mar-Olanzapine ODT 10mg Tab 02389096 DNP E (SF) 2.5000 MAR
olanzapine ODT 15mg tab
Mar-Olanzapine ODT 15mg Tab 02389118 DNP E (SF) 3.7489 MAR
olanzapine ODT 20mg tab
Mar-Olanzapine ODT 20mg Tab 02389126 DNP E (SF) 5.9376 MAR
sildenafil 25mg tab
Sandoz Sildenafil 25mg Tab 02318806 Not Insured SDZ
sildenafil 50mg tab
Sandoz Sildenafil 50mg Tab 02318814 Not Insured SDZ
Page 3 of 4 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 8, 2013
MRP/PRP* APRIL 8, 2013
MFR
sildenafil 100mg tab
Sandoz Sildenafil 100mg Tab 02318822 Not Insured SDZ
simvastatin 5mg tab
Simvastatin-ODAN 5mg Tab 02378884 DNP SF 0.3600 ODN
simvastatin 10mg tab
Simvastatin-ODAN 10mg Tab 02378892 DNP SF 0.7081 ODN
simvastatin 20mg tab
Simvastatin-ODAN 20mg Tab 02378906 DNP SF 0.8751 ODN
simvastatin 40mg tab
Simvastatin-ODAN 40mg Tab 02378914 DNP SF 0.8751 ODN
simvastatin 80mg tab
Simvastatin-ODAN 80mg Tab 02378922 DNP SF 0.8751 ODN
terazosin 1mg tab
MYLAN-Terazosin 1mg Tab 02396289 DNP SF 0.2616 MYL
terazosin 2mg tab
MYLAN-Terazosin 2mg Tab 02396297 DNP SF 0.3325 MYL
terazosin 5mg tab
MYLAN-Terazosin 5mg Tab 02396300 DNP SF 0.4515 MYL
terazosin 10mg tab
MYLAN-Terazosin 10mg Tab 02396319 DNP SF 0.6609 MYL
zopiclone 5mg tab
Mar-Zopiclone 5mg Tab 02386771 DNP SFC 0.2231 MAR
Septa-Zopiclone 5mg Tab 02386909 DNP SFC 0.2231 SPT
Page 4 of 4 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 8, 2013
MRP/PRP* APRIL 8, 2013
MFR
zopiclone 7.5mg tab
Mar-Zopiclone 7.5mg Tab 02386798 Not Insured MAR
Septa-Zopiclone 7.5mg Tab 02386917 Not Insured SPT
9 Full benefit for children aged 3 to 11 years.
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs May 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective May 6, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MAY 6, 2013
MRP/PRP* MAY 27, 2013
MFR
mometasone 50mcg/mL nasal spray Apo-Mometasone 0.05% Nasal Spray 02403587 DNP F9 0.1549 APX
Nasonex 0.05% Nasal Spray 02238465 DNP F9 0.1549 SCH
tranexamic acid 500mg tab
Tranexamic Acid 500mg Tab 02401231 DNP SF 0.8757 STR
Cyklokapron 500mg Tab 02064405 DNP SF 0.8757 PFI Existing Categories: Benefit status is effective May 6, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MAY 6, 2013
MRP/PRP* MAY 6, 2013
MFR
clopidogrel 300mg tab
Apo-Clopidogrel 300mg Tab 02398591 Not Insured APX
fentanyl 25mcg/hr patch
CO Fentanyl 25mcg/hr Patch 02386852 D E 4.0236 COB
fentanyl 50mcg/hr patch
CO Fentanyl 50mcg/hr Patch 02386879 D E 7.5719 COB
fentanyl 75mcg/hr patch
CO Fentanyl 75mcg/hr Patch 02386887 D E 10.6498 COB
fentanyl 100mcg/hr patch
CO Fentanyl 100mcg/hr Patch 02386895 D E 13.2559 COB
fluoxetine 10mg cap
Fluoxetine BP 10mg Cap 02393441 DNP SFC 0.8650 AHI
Page 2 of 4 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MAY 6, 2013
MRP/PRP* MAY 6, 2013
MFR
gabapentin 600mg tab
Gabapentin 600mg Tab 02392526 DNP SFC 0.6350 AHI
MYLAN-Gabapentin 600mg Tab 02397471 DNP SFC 0.6350 MYL
gabapentin 800mg tab
Gabapentin 800mg Tab 02392534 DNP SFC 0.8467 AHI
MYLAN-Gabapentin 800mg Tab 02397498 DNP SFC 0.8467 MYL
pioglitazone 15mg tab
Pioglitazone 15mg Tab 02391600 DNP E 0.8324 AHI
pregabalin 25mg cap
CO Pregabalin 25mg Cap 02402912 Not Insured COB
RAN-Pregabalin 25mg Cap 02392801 Not Insured RAN
Sandoz Pregabalin 25mg Cap 02390817 Not Insured SDZ
pregabalin 50mg cap
CO Pregabalin 50mg Cap 02402920 Not Insured COB
RAN-Pregabalin 50mg Cap 02392828 Not Insured RAN
Sandoz Pregabalin 50mg Cap 02390825 Not Insured SDZ
pregabalin 75mg cap
CO Pregabalin 75mg Cap 02402939 Not Insured COB
RAN-Pregabalin 75mg Cap 02392836 Not Insured RAN
Sandoz Pregabalin 75mg Cap 02390833 Not Insured SDZ
pregabalin 150mg cap
CO Pregabalin 150mg Cap 02402955 Not Insured COB
RAN-Pregabalin 150mg Cap 02392844 Not Insured RAN
Sandoz Pregabalin 150mg Cap 02390841 Not Insured SDZ
Page 3 of 4 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MAY 6, 2013
MRP/PRP* MAY 6, 2013
MFR
pregabalin 225mg cap
CO Pregabalin 225mg Cap 02402971 Not Insured COB
RAN-Pregabalin 225mg Cap 02392852 Not Insured RAN
pregabalin 300mg cap
CO Pregabalin 300mg Cap 02402998 Not Insured COB
RAN-Pregabalin 300mg Cap 02392860 Not Insured RAN
Sandoz Pregabalin 300mg Cap 02390868 Not Insured SDZ ramipril 2.5mg & hydrochlorothiazide 12.5mg tab
Teva-Ramipril/HCTZ 2.5/12.5mg Tab 02388332 DNP SF 0.2093 TEV ramipril 5mg & hydrochlorothiazide 12.5mg tab
Teva-Ramipril/HCTZ 5/12.5mg Tab 02388340 DNP SF 0.2069 TEV ramipril 5mg & hydrochlorothiazide 25mg tab Teva-Ramipril/HCTZ 5/25mg Tab 02388367 DNP SF 0.2069 TEV ramipril 10mg & hydrochlorothiazide 12.5mg tab
Teva-Ramipril/HCTZ 10/12.5mg Tab 02388359 DNP SF 0.2633 TEV ramipril 10mg & hydrochlorothiazide 25mg tab Teva-Ramipril/HCTZ 10/25mg Tab 02388375 DNP SF 0.2633 TEV
rizatriptan 5mg tab
Apo-Rizatriptan 5mg Tab 02393468 DNP E 5.1870 APX
rizatriptan 10mg tab
Apo-Rizatriptan 10mg Tab 02393476 DNP E 5.1870 APX
Page 4 of 4 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MAY 6, 2013
MRP/PRP* MAY 6, 2013
MFR
telmisartan 80mg & hydrochlorothiazide 12.5mg tab
pms-Telmisartan-HCTZ 80/12.5mg Tab 02401665 DNP SF 0.3954 PMS telmisartan 80mg & hydrochlorothiazide 25mg tab pms-Telmisartan-HCTZ 80/25mg Tab 02401673 DNP SF 0.3954 PMS
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs June 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective June 10, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JUNE 10, 2013
MRP/PRP* JULY 1, 2013
MFR
colchicine 0.6mg tab
pms-Colchicine 0.6mg Tab 02402181 DNP SF 0.2565 PMS
Colchicine 0.6mg Tab 00572349 DNP SF 0.2565 ODN
desogestrel 150mcg and ethiny estradiol 30mcg tab (21)
Freya Tab 21 Day 02396491 DNP F 0.5032 MYL
Marvelon Tab 21 Day 02042487 DNP F 0.5032 SCH
desogestrel 150mcg and ethiny estradiol 30mcg tab (28)
Freya Tab 28 Day 02396610 DNP F 0.3774 MYL
Marvelon Tab 28 Day 02042479 DNP F 0.3774 SCH
latanoprost 50mcg/mL & timolol maleate 5mg/mL oph sol
Sandoz Latanoprost/Timolol 50mcg/5mg/mL Oph Sol
02394685 DNP SF 4.4280 SDZ
Xalacom Oph Sol 02246619 DNP SF 4.4280 ALC
nabilone 0.25mg cap
Teva-Nabilone 0.25mg Cap 02392925 D E 1.1634 TEV
Cesamet 0.25mg Cap 02312263 D E 1.1634 VLN
olopatadine 0.1% oph sol
Apo-Olopatadine 0.1% Oph Sol 02305054 Not Insured APX
Patanol 0.1% Oph Sol 02233143 Not Insured ALC
Page 2 of 3 New Interchangeable Products
Existing Categories: Benefit status is effective June 10, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JUNE 10, 2013
MRP/PRP* JUNE 10, 2013
MFR
allopurinol 100mg tab
Apo-Allopurinol 100mg Tab 02402769 DNP SFC 0.0780 APX
Mar-Allopurinol 100mg Tab 02396327 DNP SFC 0.0780 MAR
allopurinol 200mg tab
Apo-Allopurinol 200mg Tab 02402777 DNP SFC 0.1300 APX
Mar-Allopurinol 200mg Tab 02396335 DNP SFC 0.1300 MAR
allopurinol 300mg tab
Apo-Allopurinol 300mg Tab 02402785 DNP SFC 0.2125 APX
Mar-Allopurinol 300mg Tab 02396343 DNP SFC 0.2125 MAR
clindamycin 150mg cap
Clindamycin 150mg Cap 02400529 DNPM SFC 0.3294 SAS
clindamycin 300mg cap
Clindamycin 300mg Cap 02400537 DNPM SFC 0.6588 SAS
clopidogrel 75mg tab
Clopidogrel 75mg Tab 02400553 DNP E 0.9206 SAS
irebesartan 150mg & hydrochlorothiazide 12.5mg tab
MINT-Irbesartan/HCTZ 150/12.5mg Tab
02392992 DNP SF 0.4234 MNT
irbesartan 300mg & hydrochlorothiazide 12.5mg tab
MINT-Irbesartan/HCTZ 300/12.5mg Tab
02393018 DNP SF 0.4234 MNT
irbesartan 300mg & hydrochlorothiazide 25mg tab
MINT-Irbesartan/HCTZ 300/25mg Tab
02393026 DNP SF 0.4206 MNT
Page 3 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JUNE 10, 2013
MRP/PRP* JUNE 10, 2013
MFR
losartan 50mg & hydrochlorothiazide 12.5mg tab
MINT-Losartan/HCTZ 50/12.5mg Tab
02389657 DNP SF 0.4407 MNT
losartan 100mg & hydrochlorothiazide 12.5mg tab
MINT-Losartan/HCTZ 100/12.5mg Tab
02389665 DNP SF 0.4314 MNT
losartan 100mg & hydrochlorothiazide 25mg tab
MINT-Losartan/HCTZ DS 100/25mg Tab
02389673 DNP SF 0.4407 MNT
tramadol 37.5mg & acetaminophen 325mg tab
pms-Tramadol/Acet 37.5/325mg Tab
02401657 Not Insured PMS
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs July
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective July 8, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 8, 2013
MRP/PRP* JULY 29, 2013
MFR
fenofibrate 48mg tab
Sandoz Fenofibrate E 48mg Tab 02390698 Not Insured SDZ
Lipidil EZ 48mg Tab 02269074 Not Insured ABB
fenofibrate 145mg tab Sandoz Fenofibrate E 145mg Tab 02390701 Not Insured SDZ
Lipidil EZ 145mg Tab 02269082 Not Insured ABB Existing Categories: Benefit status is effective July 8, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 8, 2013
MRP/PRP* JULY 8, 2013
MFR
atorvastatin 10mg tab
pms-Atorvastatin 10mg Tab 02399377 DNP SF 0.3138 PMS
atorvastatin 20mg tab
pms-Atorvastatin 20mg Tab 02399385 DNP SF 0.3922 PMS
atorvastatin 40mg tab
pms-Atorvastatin 40mg Tab 02399393 DNP SF 0.4216 PMS
atorvastatin 80mg tab
pms-Atorvastatin 80mg Tab 02399407 DNP SF 0.4216 PMS
diltiazem 120mg CD cap
Diltiazem CD 120mg Cap 02400421 DNP SF 0.5174 SAS
diltiazem 180mg CD cap
Diltiazem CD 180mg Cap 02400448 DNP SF 0.6869 SAS
Page 2 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 8, 2013
MRP/PRP* JULY 8, 2013
MFR
diltiazem 240mg CD cap
Diltiazem CD 240mg Cap 02400456 DNP SF 0.9111 SAS
diltiazem 300mg CD cap
Diltiazem CD 300mg Cap 02400464 DNP SF 1.1388 SAS
divalproex sodium 125mg tab
Divalproex 125mg Tab 02400499 DNP SF 0.1032 SAS
divalproex sodium 250mg tab
Divalproex 250mg Tab 02400502 DNP SF 0.1855 SAS
divalproex sodium 500mg tab
Divalproex 500mg Tab 02400510 DNP SF 0.3711 SAS
enalapril 2.5mg tab
Enalapril 2.5mg Tab 02400650 DNP SF 0.2737 SAS
enalapril 5mg tab
Enalapril 5mg Tab 02400669 DNP SF 0.3239 SAS
enalapril 10mg tab
Enalapril 10mg Tab 02400677 DNP SF 0.3891 SAS
enalapril 20mg tab
Enalapril 20mg Tab 02400685 DNP SF 0.4696 SAS
fluvastatin 20mg cap
Sandoz Fluvastatin 20mg Cap 02400235 DNP SF 0.3155 SDZ
fluvastatin 40mg cap
Sandoz Fluvastatin 40mg Cap 02400243 DNP SF 0.4433 SDZ latanoprost 50mcg/mL & timolol maleate 5mg/mL oph sol
GD-Latanoprost/Timolol 50mcg/5mg/mL Oph Sol 02373068 DNP SF 4.4280 GMD
Page 3 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 8, 2013
MRP/PRP* JULY 8, 2013
MFR
pregabalin 25mg cap
Apo-Pregabalin 25mg Cap 02394235 Not Insured APX
pregabalin 50mg cap
Apo-Pregabalin 50mg Cap 02394243 Not Insured APX
pregabalin 75mg cap
Apo-Pregabalin 75mg Cap 02394251 Not Insured APX
pregabalin 150mg cap
Apo-Pregabalin 150mg Cap 02394278 Not Insured APX
pregabalin 300mg cap
Apo-Pregabalin 300mg Cap 02394294 Not Insured APX
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs August 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective August 12, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 12, 2013
MRP/PRP* SEPTEMBER 2, 2013
MFR
drospirenone 3mg & ethinyl estradiol 0.03mg tab (28)
Zarah Tab 28 Day 02385066 DNP F 0.3220 COB
Yasmin Tab 28 Day 02261731 DNP F 0.3220 BAY
ketotifen 0.25% oph sol
Ketotifen 0.25% Oph Sol 02400871 Not Insured STR
Zaditor 0.25% Oph Sol 02242324 Not Insured NVO
ondansetron OD 4mg tab/film
Ondissolve ODF 4mg Film 02389983 DNP E 3.5778* TAK
Zofran 4mg ODT Tab 02239372 DNP E 3.5778* GSK
ondansetron OD 8mg tab/film
Ondissolve ODF 8mg Film 02389991 DNP E 6.9900 TAK
Zofran 8mg ODT Tab 02239373 DNP E 6.9900 GSK
pilocarpine 5mg tab
Pilocarpine 5mg Tab 02402483 DNP E 0.7805 STR
Salagen 5mg Tab 02216345 DNP E 0.7805 PFI
quinapril 5mg tab
Apo-Quinapril 5mg Tab 02248499 DNP SF 0.6867 APX
Accupril 5mg Tab 01947664 DNP SF 0.6867 PFI
quinapril 10mg tab
Apo-Quinapril 10mg Tab 02248500 DNP SF 0.6867 APX
Accupril 10mg Tab 01947672 DPN SF 0.6867 PFI
Page 2 of 3 New Interchangeable Products
New Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 12, 2013
MRP/PRP* SEPTEMBER 2, 2013
MFR
quinapril 20mg tab
Apo-Quinapril 20mg Tab 02248501 DNP SF 0.6867 APX
Accupril 20mg Tab 01947680 DNP SF 0.6867 PFI
quinapril 40mg tab
Apo-Quinapril 40mg Tab 02248502 DNP SF 0.6867 APX
Accupril 40mg Tab 01947699 DNP SF 0.6867 PFI
valganciclovir 450mg tab
Apo-Valganciclovir 450mg Tab 02393824 DNP E 19.7305 APX
Valcyte 450mg Tab 02245777 DNP E 19.7305 HLR Existing Categories: Benefit status is effective August 12, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 12, 2013
MRP/PRP* AUGUST 12, 2013
MFR
amitriptyline 10mg tab
Apo-Amitriptyline 10mg Tab 02403137 DNP SFC 0.0664 APX
amitriptyline 25mg tab
Apo-Amitriptyline 25mg Tab 02403145 DNP SFC 0.1211 APX
amitriptyline 50mg tab
Apo-Amitriptyline 50mg Tab 02403153 DNP SFC 0.2347 APX
amitriptyline 75mg tab
Apo-Amitriptyline 75mg Tab 02403161 DNP SFC 0.3634 APX
candesartan 32mg tab
Apo-Candesartan 32mg Tab 02399105 DNP SF 0.4193 APX
ceftriaxone 1g/vial inj
Ceftriaxone 1g/vial Inj 02287633 DNP SFC 12.4950 TEV
Page 3 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 12, 2013
MRP/PRP* AUGUST 12, 2013
MFR
dorzolamide HCl 2% & timolol maleate 0.5% oph sol CO DorzoTimolol 2%/0.5% Oph Sol 02404389 DNP SF 2.0097 COB
galantamine 8mg ER cap
pms-Galantamine ER 8mg Cap 02398370 DNP E 1.7451 PMS
galantamine 16mg ER cap
pms-Galantamine ER 16mg Cap 02398389 DNP E 1.7451 PMS
galantamine 24mg ER cap
pms-Galantamine ER 24mg Cap 02398397 DNP E 1.7451 PMS
lansoprazole 15mg cap
pms-Lansoprazole 15mg Cap 02395258 DNP E 0.3500* PMS
lansoprazole 30mg cap pms-Lansoprazole 30mg DR Cap 02395266 DNP E 0.7000 PMS
nevirapine 200mg tab
pms-Nevirapine 200mg Tab 02405776 Not Insured PMS piperacillin sodium & enzyme inhibitor 4g/vial inj
AJ-Pip/Taz 4g/vial Inj 02395146 Not Insured AJP
pregabalin 225mg cap
Apo-Pregabalin 225mg Cap 02394286 Not Insured APX
Page 1 of 2 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs September 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective September 9, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS SEPTEMBER 9, 2013
MRP/PRP* SEPTEMBER 30, 2013
MFR
diclofenac 50mg & misoprostol 200mcg tab
CO Diclo-Miso 50mg Tab 02397145 DNP SF 0.4541 COB
Arthrotec 50mg Tab 01917056 DNP SF 0.4541 PFI
diclofenac 75mg & misoprostol 200mcg tab
CO Diclo-Miso 75mg Tab 02397153 DNP SF 0.6179 COB
Arthrotec 75mg Tab 02229837 DNP SF 0.6179 PFI
imatinib 100mg tab
Apo-Imatinib 100mg Tab 02355337 DNP E 9.5460 APX
Teva-Imatinib 100mg Tab 02399806 DNP E 9.5460 TEV
Gleevec 100mg Tab 02253275 DNP E 9.5460 NVR
imatinib 400mg tab
Apo-Imatinib 400mg Tab 02355345 DNP E 39.1840 APX
Teva-Imatinib 400mg Tab 02399814 DNP E 39.1840 TEV
Gleevec 400mg Tab 02253283 DNP E 39.1840 NVR
levonorgestrel 0.75mg tab
Next Choice 0.75mg Tab 02364905 DNP F 7.7400 COB
Plan B 0.75mg Tab 02241674 DNP F 7.7400 PAL
Existing Categories: Benefit status is effective September 9, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS SEPTEMBER 9, 2013
MRP/PRP* SEPTEMBER 9, 2013
MFR
candesartan 4mg tab
RAN-Candesartan 4mg Tab 02380684 Not Insured RAN
Page 2 of 2 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS SEPTEMBER 9, 2013
MRP/PRP* SEPTEMBER 9, 2013
MFR
candesartan 8mg tab
RAN-Candesartan 8mg Tab 02380692 DNP SF 0.4100 RAN
candesartan 16mg tab
RAN-Candesartan 16mg Tab 02380706 DNP SF 0.4100 RAN
cilazapril 2.5mg tab
CO Cilazapril 2.5mg Tab 02285215 DNP SF 0.2513 COB
cilazapril 5mg tab
CO Cilazapril 5mg Tab 02285223 DNP SF 0.2919 COB
fentanyl 12mcg/hr patch
CO Fentanyl 12mcg/hr Patch 02386844 D E 2.2300 COB
levonorgestrel 0.15mg & ethinyl estradiol 0.03mg tab (21)
Ovima Tab 21 Day 02387085 DNP F 0.5075 APX
levonorgestrel 0.15mg & ethinyl estradiol 0.03mg tab (28)
Ovima Tab 28 Day 02387093 DNP F 0.3806 APX
montelukast 10mg tab
RAN-Montelukast 10mg Tab 02389517 DNP E 0.8276 RAN
nabilone 0.25mg cap
RAN-Nabilone 0.25mg Cap 02358077 Not Insured RAN
olopatadine 0.1% oph sol
Sandoz Olopatadine 0.1% Oph Sol
02358913 Not Insured SDZ
simvastatin 80mg tab
MINT-Simvastatin 80mg Tab 02372975 DNP SF 0.8751 MNT
Page 1 of 6 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs October 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective October 7, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 7, 2013
MRP/PRP* OCTOBER 28, 2013
MFR
efavirenz 600mg tab
MYLAN-Efavirenz 600mg Tab 02381524 Not Insured MYL
Teva-Efavirenz 600mg Tab 02389762 Not Insured TEV
Sustiva 600mg Tab 02246045 Not Insured BRI gemcitabine hydrochloride 200mg/vial Inj
Gemcitabine 38mg/mL Inj (200mg Vial) 02402831 Not Insured
HOS
Gemzar 38mg/mL Inj (200mg Vial) 02230308 Not Insured LIL
temozolomide 20mg cap
CO Temozolomide 20mg Cap 02395274 DNP E 22.7194 COB
Temodal 20mg Cap 02241094 DNP E 22.7194 FRS
temozolomide 100mg cap
CO Temozolomide 100mg Cap 02395282 DNP E 113.5966 COB
Temodal 100mg Cap 02241095 DNP E 113.5966 FRS
temozolomide 140mg cap
CO Temozolomide 140mg Cap 02395290 DNP E 159.0358 COB
Temodal 140mg Cap 02312794 DNP E 159.0358 FRS
temozolomide 250mg cap
CO Temozolomide 250mg Cap 02395312 DNP E 283.9834 COB
Temodal 250mg Cap 02241096 DNP E 283.9834 FRS
Page 2 of 6 New Interchangeable Products
Existing Categories: Benefit status is effective October 7, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 7, 2013
MRP/PRP* OCTOBER 7, 2013
MFR
gemcitabine hydrochloride 1g/vial Inj
Gemcitabine 38mg/mL Inj (1g Vial) 02402831 Not Insured HOS
amitriptyline 10mg tab
pms-Amitriptyline 10mg Tab 00654523 DNP SFC 0.0664 PMS
amitriptyline 25mg tab
pms-Amitriptyline 25mg Tab 00654515 DNP SFC 0.1211 PMS
amitriptyline 50mg tab
pms-Amitriptyline 50mg Tab 00654507 DNP SFC 0.2347 PMS
amlodipine 5mg & atorvastatin 10mg tab
pms-Amlodipine/Atorvastatin 5/10mg Tab 02404222 DNP SF 1.0310 PMS
amlodipine 5mg & atorvastatin 20mg tab
pms-Amlodipine/Atorvastatin 5/20mg Tab 02404230 DNP SF 1.1766 PMS
amlodipine 10mg & atorvastatin 10mg tab
pms-Amlodipine/Atorvastatin 10/10mg Tab 02404249 DNP SF 1.2483 PMS
amlodipine 10mg & atorvastatin 20mg tab
pms-Amlodipine/Atorvastatin 10/20mg Tab 02404257 DNP SF 1.3939 PMS
amoxicillin 250mg cap
Auro-Amoxicillin 250mg Cap 02388073 DNP SFC 0.1750 ARO
amoxicillin 500mg cap
Auro-Amoxicillin 500mg Cap 02388081 DNP SFC 0.3417 ARO
Page 3 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 7, 2013
MRP/PRP* OCTOBER 7, 2013
MFR
lansoprazole 15mg cap
RAN-Lansoprazole 15mg Cap 02402610 DNP E 0.3500* RAN
lansoprazole 30mg cap
RAN-Lansoprazole 30mg Cap 02402629 DNP E 0.7000 RAN
letrozole 2.5mg tab
Teva-Letrozole 2.5mg Tab 02343657 DNP SFC 2.0662 TEV Levonorgestrel 0.10mg & ethinyl estradiol 0.02mg tab(28)
Lutera Tab 28 Day 02401207 DNP F 0.3477 COB
losartan 25mg tab
RAN-Losartan 25mg Tab 02404451 DNP SF 0.4407 RAN
losartan 50mg tab
RAN-Losartan 50mg Tab 02404478 DNP SF 0.4407 RAN
losartan 100mg tab
RAN-Losartan 100mg Tab 02404486 DNP SF 0.4407 RAN
midazolam 1mg/mL inj
Midazolam 1mg/mL Inj 02382873 D E 0.7800 SDZ
midazolam 5mg/mL inj
Midazolam 5mg/mL Inj 02382903 D E 4.1000 SDZ
montelukast 4mg chewtab
RAN-Montelukast 4mg Chewtab 02402793 DNP E 0.5104 RAN
Montelukast 5mg chewtab
RAN-Montelukast 5mg Chewtab 02402807 DNP E 0.5635 RAN
Page 4 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 7, 2013
MRP/PRP* OCTOBER 7, 2013
MFR
olanzapine 2.5mg tab
RAN-Olanzapine 2.5mg Tab 02403064 DNP E 0.6290 RAN
olanzapine 5mg tab
RAN-Olanzapine 5mg Tab 02403072 DNP E 1.2580 RAN
olanzapine 7.5mg tab
RAN-Olanzapine 7.5mg Tab 02403080 DNP E 1.8871 RAN
olanzapine 10mg tab
RAN-Olanzapine 10mg Tab 02403099 DNP E 2.5161 RAN
omeprazole 20mg cap
RAN-Omeprazole 20mg Cap 02403617 DNP SFC* 0.4117 RAN
pregabalin 25mg cap
Pregabalin 25mg Cap 02405539 Not Insured SAS
pregabalin 50mg cap
Pregabalin 50mg Cap 02405547 Not Insured SAS
pregabalin 75mg cap
Pregabalin 75mg Cap 02405555 Not Insured SAS
pregabalin 150mg cap
Pregabalin 150mg Cap 02405563 Not Insured SAS
pregabalin 300mg cap
Pregabalin 300mg Cap 02405598 Not Insured SAS
quetiapine 25mg tab
RAN-Quetiapine 25mg Tab 02397099 DNP SF 0.1779 RAN
quetiapine 100mg tab
RAN-Quetiapine 100mg Tab 02397102 DNP SF 0.4746 RAN
Page 5 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 7, 2013
MRP/PRP* OCTOBER 7, 2013
MFR
quetiapine 200mg tab
RAN-Quetiapine 200mg Tab 02397110 DNP SF 0.9530 RAN
quetiapine 300mg tab
RAN-Quetiapine 300mg Tab 02397129 DNP SF 1.3906 RAN
rosuvastatin 5mg tab
Rosuvastatin 5mg Tab 02405628 Not Insured SAS
rosuvastatin 10mg tab
Rosuvastatin 10mg Tab 02405636 DNP SF 0.4760 SAS
rosuvastatin 20mg tab
Rosuvastatin 20mg Tab 02405644 DNP SF 0.5950 SAS
rosuvastatin 40mg tab
Rosuvastatin 40mg Tab 02405652 DNP SF 0.6965 SAS
sildenafil 25mg tab
MINT-Sildenafil 25mg Tab 02393069 Not Insured MINT
sildenafil 50mg tab
MINT-Sildenafil 50mg Tab 02393077 Not Insured MINT
Sildenafil 50mg Tab 02406152 Not Insured SAS
sildenafil 100mg tab
MINT-Sildenafil 100mg Tab 02393085 Not Insured MINT
Sildenafil 100mg Tab 02406160 Not Insured SAS
Page 6 of 6 New Interchangeable Products
Non-Interchangeable and Non-Insured: The following product(s) were not recommended to list as insured benefits under the Nova Scotia Pharmacare Programs.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MRP/PRP* MFR drospirenone 3mg & ethinyl estradiol 0.03mg Tab(21)
Zarah Tab 21 Day 02385058 Not Insured COB
candesartan 32mg tab
RAN-Candesartan 32mg Tab 02380714 Not Insured RAN leveonorgestrel 0.10mg & ethinyl estradiol 0.02mg tab(21)
Lutera Tab 21 Day 02401185 Not Insured COB
olanzapine 15mg tab
RAN-Olanzapine 15mg Tab 02403102 Not Insured RAN
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs November 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective November 12, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 12, 2013
MRP/PRP* DECEMBER 3, 2013
MFR
almotriptan 6.25mg tab
MYLAN-Almotriptan 6.25mg Tab 02398435 DNP E 7.0434 MYL
Axert 6.25mg Tab 02248128 DNP E 7.0434 JNJ
almotriptan 12.5mg tab
MYLAN-Almotriptan 12.5mg Tab 02398443 DNP E 7.0434 MYL
Sandoz Almotriptan 12.5mg Tab 02405334 DNP E 7.0434 SDZ
Axert 12.5mg Tab 02248129 DNP E 7.0434 JNJ
capecitabine 150mg tab
Teva-Capecitabine 150mg Tab 02400022 DNP E 1.3725 TEV
Xeloda 150mg Tab 02238453 DNP E 1.3725 HLR
capecitabine 500mg tab
Teva-Capecitabine 500mg Tab 02400030 DNP E 4.5750 TEV
Xeloda 500mg Tab 02238454 DNP E 4.5750 HLR
quinapril 10mg & hydrochlorothiazide 12.5mg tab
Apo-Quinapril/HCTZ 10/12.5mg Tab
02408767 DNP SF 0.6865 APX
Accuretic 10/12.5mg Tab 02237367 DNP SF 0.6865 PFI
quinapril 20mg & hydrochlorothiazide 12.5mg tab
Apo-Quinapril/HCTZ 20/12.5mg Tab
02408775 DNP SF 0.6865 APX
Accuretic 20/12.5mg Tab 02237368 DNP SF 0.6865 PFI
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New Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 12, 2013
MRP/PRP* DECEMBER 3, 2013
MFR
quinapril 20mg & hydrochlorothiazide 25mg tab
Apo-Quinapril/HCTZ 20/25mg Tab
02408783 DNP SF 0.6512 APX
Accuretic 20/25mg Tab 02237369 DNP SF 0.6512 PFI
Existing Categories: Benefit status is effective November 12, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 12, 2013
MRP/PRP* NOVEMBER 12, 2013
MFR
alendronate 10mg tab
MINT-Alendronate 10mg Tab 02394863 DNP E 0.6981 MNT
alendronate 70mg tab
MINT-Alendronate 70mg Tab 02394871 DNP E 3.5201 MNT
levetiracetam 250mg tab
RAN-Levetiracetam 250mg Tab 02396106 DNP E 0.8000 RAN
levetiracetam 500mg tab
RAN-Levetiracetam 500mg Tab 02396114 DNP E 0.9750 RAN
levetiracetam 750mg tab
RAN-Levetiracetam 750mg Tab 02396122 DNP E 1.3500 RAN
quetiapine 50mg ER tab
Sandoz Quetiapine XRT 50mg Tab
02407671 Not Insured SDZ
quetiapine 150mg ER tab
Sandoz Quetiapine XRT 150mg Tab
02407698 Not Insured SDZ
quetiapine 200mg ER tab
Sandoz Quetiapine XRT 200mg Tab
02407701 Not Insured SDZ
quetiapine 300mg ER tab
Sandoz Quetiapine XRT 300mg Tab
02407728 Not Insured SDZ
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Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 12, 2013
MRP/PRP* NOVEMBER 12, 2013
MFR
quetiapine 400 ER tab
Sandoz Quetiapine XRT 400mg Tab
02407736 Not Insured SDZ
rabeprazole 10mg EC tab
MYLAN-Rabeprazole 10mg Tab 02408392 DNP SFC 0.1204 MYL
rabeprazole 20mg EC tab
MYLAN-Rabeprazole 20mg Tab 02408406 DNP SFC 0.2408 MYL
risedronate 150mg tab
MYLAN-Risedronate 150mg Tab 02397773 Not Insured MYL
rosuvastatin 5mg tab
MINT-Rosuvastatin 5mg Tab 02397781 Not Insured MNT
rosuvastatin 10mg tab
MINT-Rosuvastatin 10mg Tab 02397803 DNP SF 0.4760 MNT
rosuvastatin 20mg tab
MINT-Rosuvastatin 20mg Tab 02397811 DNP SF 0.5950 MNT
rosuvastatin 40mg tab
MINT-Rosuvastatin 40mg Tab 02397838 DNP SF 0.6965 MNT
tetrabenazine 25mg tab
Tetrabenazine 25mg Tab 02401338 DNP SF 3.3746 STR
Page 1 of 6 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs December 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective December 9, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 30, 2013
MFR
alendronic acid 70mg & cholecalciferol 2800 IU tab Teva-Alendronate/Cholecalciferol 70mg/2800 IU Tab
02403633 Not Insured TEV
Fosavance 70mg/2800 IU Tab 02276429 Not Insured FRS
alendronic acid 70mg & cholecalciferol 5600 IU tab
Teva-Alendronate/Cholecalciferol 70mg/5600 Tab
02403641 DNP E 2.7975 TEV
Fosavance 70mg/5600 IU Tab 02314940 DNP E 2.7975 FRS
bupropion 150mg XL tab MYLAN-Bupropion XL 150mg Tab 02382075 DNP SFC 0.3982 MYL
Wellbutrin XL 150mg Tab 02275090 DNP SFC 0.3982 VLN
bupropion 300mg XL tab MYLAN-Bupropion XL 300mg Tab 02382083 DNP SFC 0.7963 MYL
Wellbutrin XL 300mg Tab 02275104 DNP SFC 0.7963 VLN
cetirizine 20mg tab
pms-Cetirizine 20mg Tab 02315963 Not Insured PMS
Reactine 20mg Tab 01900978 Not Insured JNJ
nitroglycerin 0.2mg/hr patch
MYLAN-Nitro 0.2mg/hr Patch 02407442 DNPM SF 0.4463 MYL
Nitro-Dur 0.2mg/hr Patch 01911910 DNPM SF 0.4463 FRS
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PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 30, 2013
MFR
nitroglycerin 0.4mg/hr patch
MYLAN-Nitro 0.4mg/hr Patch 02407450 DNPM SF 0.4704 MYL
Nitro-Dur 0.4mg/hr Patch 01911902 DNPM SF 0.4704 FRS
nitroglycerin 0.6mg/hr patch
MYLAN-Nitro 0.6mg/hr Patch 02407469 DNPM SF 0.4704 MYL
Nitro-Dur 0.6mg/hr Patch 01911929 DNPM SF 0.4704 FRS
nitroglycerin 0.8mg/hr patch
MYLAN-Nitro 0.8mg/hr Patch 02407477 DNPM SF 0.8743 MYL
Nitro-Dur 0.8mg/hr Patch 02011271 DNPM SF 0.8743 FRS Existing Categories: Benefit status is effective December 9, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 9, 2013
MFR
alendronate 5mg tab
Alendronate Sodium 5mg Tab 02381478 Not Insured AHI
alendronate 10mg tab
Alendronate Sodium 10mg Tab 02381486 DNP E 0.6981 AHI
alendronate 70mg tab
Alendronate Sodium 70mg Tab 02381494 DNP E 3.5201 AHI
amlodipine 5mg tab
Auro-Amlodipine 5mg Tab 02397072 DNP SF 0.2417 ARO
amlodipine 10mg tab
Auro-Amlodipine 10mg Tab 02397080 DNP SF 0.3587 ARO
anastrozole 1mg tab
Anastrozole 1mg Tab 02351218 DNP SFC 1.7821 AHI
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Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 9, 2013
MFR
candesartan 16mg & hydrochlorothiazide 12.5mg tab
Teva-Candesartan/HCTZ 16/12.5mg Tab 02395541 DNP SF 0.4193 TEV candesartan 32mg & hdyrochlorothiazide 12.5mg tab
Teva-Candesartan/HCTZ 32/12.5mg Tab 02395568 DNP SF 0.5990 TEV
clarithromycin 25mg/mL o/l
Clarithromycin 125mg/mL O/L 02408988 DNP SFC 0.2047 SAS
clarithromycin 50mg/mL o/l
Clarithromycin 250mg/mL O/L 02408996 DNP SFC 0.3998 SAS
clopidogrel 75mg tab
MINT-Clopidogrel 75mg Tab 02408910 DNP E 0.9206 MNT
fluoxetine 10mg cap
Jamp-Fluoxetine 10mg Cap 02401894 DNP SFC 0.8650 JPC
RAN-Fluoxetine 10mg Cap 02405695 DNP SFC 0.8650 RAN
fluoxetine 20mg cap
RAN-Fluoxetine 20mg Cap 02405709 DNP SFC 0.6438 RAN
irbesartan 75mg tab
Auro-Irbesartan 75mg Tab 02406098 DNP SF 0.4234 ARO
RAN-Irbesartan 75mg Tab 02406810 DNP SF 0.4234 RAN
irbesartan 150mg tab
Auro-Irbesartan 150mg Tab 02406101 DNP SF 0.4234 ARO
RAN-Irbesartan 150mg Tab 02406829 DNP SF 0.4234 RAN
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Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 9, 2013
MFR
irbesartan 300mg tab
Auro-Irbesartan 300mg Tab 02406128 DNP SF 0.4234 ARO
RAN-Irbesartan 300mg Tab 02406837 DNP SF 0.4234 ARO
lisinopril 5mg tab
Auro-Lisinopril 5mg Tab 02394472 DNP SF 0.2100 ARO
lisinopril 10mg tab
Auro-Lisinopril 10mg Tab 02394480 DNP SF 0.2522 ARO
lisinopril 20mg tab
Auro-Lisinopril 20mg Tab 02394499 DNP SF 0.3032 ARO
meloxicam 7.5mg tab
Auro-Meloxicam 7.5mg Tab 02390884 DNP SF 0.2804 ARO
meloxicam 15mg tab
Auro-Meloxicam 15mg Tab 02390892 DNP SF 0.3235 ARO
montelukast 10mg tab
Auro-Montelukast 10mg Tab 02401274 DNP E 0.8276 ARO
pioglitazone 15mg tab
Jamp-Pioglitazone 15mg Tab 02397307 DNP E 0.8324 JPC
quetiapine 25mg tab
Auro-Quetiapine 25mg Tab 02390205 DNP SF 0.1779 ARO
quetiapine 100mg tab
Auro-Quetiapine 100mg Tab 02390213 DNP SF 0.4746 ARO
quetiapine 200mg tab
Auro-Quetiapine 200mg Tab 02390248 DNP SF 0.9530 ARO
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Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 9, 2013
MFR
quetiapine 300mg tab
Auro-Quetiapine 300mg Tab 02390256 DNP SF 1.3906 ARO
ramipril 1.25mg cap/tab
Auro-Ramipril 1.25mg Cap 02387387 DNP SF 0.1274 ARO
ramipril 2.5mg cap/tab
Auro-Ramipril 2.5mg Cap 02387395 DNP SF 0.1470 ARO
ramipril 5mg cap/tab
Auro-Ramipril 5mg Cap 02387409 DNP SF 0.1470 ARO
ramipril 10mg cap/tab
Auro-Ramipril 10mg Cap 02387417 DNP SF 0.1862 ARO
sertraline 25mg cap
Auro-Sertraline 25mg Cap 02390906 DNP SFC 0.2814 ARO
sertraline 50mg cap
Auro-Sertraline 50mg Cap 02390914 DNP SFC 0.5628 ARO
sertraline 100mg cap
Auro-Sertraline 100mg Cap 02390922 DNP SFC 0.5898 ARO
sildenafil 25mg tab
pms-Sildenafil 25mg Tab 02317559 Not Insured PMS
sildenafil 50mg tab
pms-Sildenafil 50mg Tab 02317575 Not Insured PMS
sildenafil 100mg tab
pms-Sildenafil 100mg Tab 02317583 Not Insured PMS tamsulosin 0.4mg sustained release cap/tab
Teva-Tamsulosin CR 0.4mg Tab 02368242 DNP SF 0.2168 TEV
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Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 9, 2013
MFR
tetrabenazine 25mg tab
Apo-Tetrabenazine 25mg Tab 02407590 Not Insured APX
valacyclovir 500mg tab
Auro-Valacyclovir 500mg Tab 02405040 DNPM SFC 1.1874 ARO
zopiclone 5mg tab
Jamp-Zopiclone 5mg Tab 02406969 DNP SFC 0.2231 JPC
Changes to Benefit Status: As a result of recent pricing changes, the following product will no longer be eligible benefits as of December 9, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 9, 2013
MFR
tetrabenazine 25mg tab
Tetrabenazine 25mg Tab 02410338 Not Insured STR