Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Generic Name
Nom Générique
Strength
Dosage
Tradename
Marque de Commerce
DIN
PIN
MFR
FAB
MAP
PAM
Unit
UnitéAbacavir / Abacavir Tab/Co. Orl 300 mg Ziagen 02240357 VIV 3.4828 Tablet / comprime
Apo-Abacavir 02396769 APX 3.4828 Tablet / comprime
Mint-Abacavir 02480956 MNT 3.4828 Tablet / comprime
Acamprosate / Acamprosate SRT/Co.L.L. Orl 333 mg Campral 02293269 MYL 0.8000 Tablet / comprime
Acarbose / Acarbose Tab/Co. Orl 50 mg Glucobay 02190885 BAY 0.2021 Tablet / comprime
Mar-Acarbose 02494078 MAR 0.2021 Tablet / comprime
Tab/Co. Orl 100 mg Glucobay 02190893 BAY 0.2799 Tablet / comprime
Mar-Acarbose 02494086 MAR 0.2799 Tablet / comprime
Acebutolol / Acebutolol Tab/Co. Orl 100 mg Apo-Acebutolol 02147602 APX 0.0787 Tablet / comprime
Teva-Acebutolol 02204517 TEV 0.0787 Tablet / comprime
Tab/Co. Orl 200 mg Apo-Acebutolol 02147610 APX 0.1177 Tablet / comprime
Teva-Acebutolol 02204525 TEV 0.1177 Tablet / comprime
Tab/Co. Orl 400 mg Apo-Acebutolol 02147629 APX 0.2466 Tablet / comprime
Teva-Acebutolol 02204533 TEV 0.2466 Tablet / comprime
Acetaminophen / Caffeine / Codeine / Acetaminophene /
Cafeine / Codeine
Tab/Co. Orl 300 mg / 15 mg / 15 mg Tylenol No.2 02163934 JAN 0.0847 Tablet / comprime
Teva-Lenoltec #2 00653241 TEV 0.0847 Tablet / comprime
Tab/Co. Orl 300 mg / 15 mg / 30 mg Tylenol No.3 02163926 JAN 0.1625 Tablet / comprime
Teva-Lenoltec #3 00653276 TEV 0.0889 Tablet / comprime
Acetaminophen / Codeine / Acetaminophene / Codeine Tab/Co. Orl 300 mg / 30 mg Teva-Emtec-30 00608882 TEV 0.1300 Tablet / comprime
Tab/Co. Orl 300 mg / 60 mg Tylenol No.4 02163918 JAN 0.1605 Tablet / comprime
Teva-Lenoltec #4 00621463 TEV 0.1605 Tablet / comprime
Acetaminophen / Oxycodone / Acetaminophene / Oxycodone Tab/Co. Orl 325 mg / 5 mg Apo-Oxycodone/Acet 02324628 APX 0.1285 Tablet / comprime
Oxycodone/Acet 02361361 SAS 0.1285 Tablet / comprime
Sandoz Oxycodone/Acetaminophen 02307898 SDZ 0.1285 Tablet / comprime
Teva-Oxycocet 00608165 TEV 0.1285 Tablet / comprime
Acetazolamide / Acetazolamide Tab/Co. Orl 250 mg Acetazolamide 00545015 AAP 0.1262 Tablet / comprime
Acetylcysteine / Acetylcysteine Liq/Liq Inh 200 mg/mL Acetylcysteine 02243098 SDZ 0.7000 Millilitre / millilitre
Acetylsalicylic Acid / Acide Acetylsalicylique ECT/Co.Ent Orl 81 mg ASA 02449277 TLI 0.0530 Tablet / comprime
ASA EC 02426811 SAS 0.0530 Tablet / comprime
ASA EC 02244993 PMS 0.0530 Tablet / comprime
Equate daily low-dose EC 02243801 PMS 0.0530 Tablet / comprime
Exact Coated daily low dose ASA 02243896 PMS 0.0530 Tablet / comprime
Praxis ASA 02283700 PDP 0.0530 Tablet / comprime
ECT/Co.Ent Orl 325 mg ASATAB EC 02352427 ODN 0.0280 Tablet / comprime
Enteric Coated ASA 02010526 TAN 0.0280 Tablet / comprime
Novasen 00216666 TEV 0.0280 Tablet / comprime
Acetylsalicylic Acid / Caffeine / Butalbital / Acide
Acetylsalicylique / Cafeine / Butalbital
Cap/Caps Orl 330 mg / 40 mg / 50 mg Fiorinal 00226327 TRB 1.4687 Capsule / capsule
Teva-Tecnal 00608238 TEV 1.4687 Capsule / capsule
Tab/Co. Orl 330 mg / 40 mg / 50 mg Teva-Tecnal 00608211 TEV 1.0397 Tablet / comprime
Acetylsalicylic Acid / Caffeine / Codeine / Butalbital / Acide
Acetylsalicylique / Cafeine / Codeine / Butalbital
Cap/Caps Orl 330 mg / 40 mg / 15mg
/ 50 mg
Fiorinal C1/4 00176192 TRB 1.5749 Capsule / capsule
Teva-Tecnal C1/4 00608203 TEV 1.5749 Capsule / capsule
Cap/Caps Orl 330 mg / 40 mg / 30mg
/ 50 mg
Fiorinal C1/2 00176206 TRB 1.9285 Capsule / capsule
Teva-Tecnal C1/2 00608181 TEV 1.9285 Capsule / capsule
Acitretin / Acitretine Cap/Caps Orl 10 mg Soriatane 02070847 ALL 1.2965 Capsule / capsule
Mint-Acitretin 02468840 MNT 1.2965 Capsule / capsule
Taro-Acitretin 02466074 TAR 1.2965 Capsule / capsule
Cap/Caps Orl 25 mg Soriatane 02070863 ALL 2.2770 Capsule / capsule
Mint-Acitretin 02468859 MNT 2.2770 Capsule / capsule
Taro-Acitretin 02466082 TAR 2.2770 Capsule / capsule
Acyclovir / Acyclovir Ont/Ont Top 5% Zovirax 00569771 VLN 12.3114 Gram / gramme
Apo-Acyclovir 02477130 APX 12.3114 Gram / gramme
Tab/Co. Orl 200 mg Apo-Acyclovir 02207621 APX 0.6397 Tablet / comprime
Mylan-Acyclovir 02242784 MYL 0.6397 Tablet / comprime
Teva-Acyclovir 02285959 TEV 0.6397 Tablet / comprime
Tab/Co. Orl 400 mg Apo-Acyclovir 02207648 APX 1.2700 Tablet / comprime
Mylan-Acyclovir 02242463 MYL 1.2700 Tablet / comprime
Teva-Acyclovir 02285967 TEV 1.2700 Tablet / comprime
Tab/Co. Orl 800 mg Apo-Acyclovir 02207656 APX 1.2673 Tablet / comprime
Mylan-Acyclovir 02242464 MYL 1.2673 Tablet / comprime
Teva-Acyclovir 02285975 TEV 1.2673 Tablet / comprime
Adefovir Dipivoxil / Adefovir Dipivoxil Tab/Co. Orl 10 mg Hepsera 02247823 GIL 18.2518 Tablet / comprime
Apo-Adefovir 02420333 APX 18.2518 Tablet / comprime
Alendronic Acid / Acide Alendronique Tab/Co. Orl 10 mg Alendronate Sodium 02381486 AHI 0.4987 Tablet / comprime
Apo-Alendronate 02248728 APX 0.4987 Tablet / comprime
Auro-Alendronate 02388545 ARO 0.4987 Tablet / comprime
Ran-Alendronate 02384701 RAN 0.4987 Tablet / comprime
Legend on last page / Légende à la dernière page
September / septembre 2020 Page 1
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Sandoz Alendronate 02288087 SDZ 0.4987 Tablet / comprime
Teva-Alendronate 02247373 TEV 0.4987 Tablet / comprime
Tab/Co. Orl 70 mg Fosamax 02245329 FRS 2.1014 Tablet / comprime
Alendronate 02299712 SIV 2.1014 Tablet / comprime
Alendronate 02352966 SAS 2.1014 Tablet / comprime
Alendronate Sodium 02381494 AHI 2.1014 Tablet / comprime
Alendronate-70 02303078 PDL 2.1014 Tablet / comprime
Apo-Alendronate 02248730 APX 2.1014 Tablet / comprime
Auro-Alendronate 02388553 ARO 2.1014 Tablet / comprime
Jamp-Alendronate 02385031 JPC 2.1014 Tablet / comprime
Mint-Alendronate 02394871 MNT 2.1014 Tablet / comprime
Sandoz Alendronate 02288109 SDZ 2.1014 Tablet / comprime
Teva-Alendronate 02261715 TEV 2.1014 Tablet / comprime
pms-Alendronate FC 02284006 PMS 2.1014 Tablet / comprime
Alendronic Acid and Colecalciferol / Acide Alendronique et
Colecalciferol
Tab/Co. Orl 70 mg / 5 600 IU Fosavance 02314940 FRS 1.2174 Tablet / comprime
Apo-Alendronate/Vitamin D3 02454475 APX 1.2174 Tablet / comprime
Sandoz Alendronate/Cholecalciferol 02429160 SDZ 1.2174 Tablet / comprime
Teva-Alendronate/Cholecalciferol 02403641 TEV 1.2174 Tablet / comprime
Allopurinol / Allopurinol Tab/Co. Orl 100 mg Zyloprim 00402818 AAP 0.0780 Tablet / comprime
Apo-Allopurinol 02402769 APX 0.0780 Tablet / comprime
Mar-Allopurinol 02396327 MAR 0.0780 Tablet / comprime
Tab/Co. Orl 200 mg Zyloprim 00479799 AAP 0.1300 Tablet / comprime
Apo-Allopurinol 02402777 APX 0.1300 Tablet / comprime
Mar-Allopurinol 02396335 MAR 0.1300 Tablet / comprime
Tab/Co. Orl 300 mg Zyloprim 00402796 AAP 0.2125 Tablet / comprime
Apo-Allopurinol 02402785 APX 0.2125 Tablet / comprime
Mar-Allopurinol 02396343 MAR 0.2125 Tablet / comprime
Almotriptan / Almotriptan Tab/Co. Orl 12.5 mg Almotriptan 02466821 SAS 2.3478 Tablet / comprime
Mylan-Almotriptan 02398443 MYL 2.3478 Tablet / comprime
Sandoz Almotriptan 02405334 SDZ 2.3478 Tablet / comprime
Teva-Almotriptan 02434849 TEV 2.3478 Tablet / comprime
Alprazolam / Alprazolam Tab/Co. Orl 0.25 mg Xanax 00548359 UJC 0.0609 Tablet / comprime
Alprazolam 02349191 SAS 0.0609 Tablet / comprime
Apo-Alpraz 00865397 APX 0.0609 Tablet / comprime
Jamp-Alprazolam 02400111 JPC 0.0609 Tablet / comprime
Teva-Alprazolam 01913484 TEV 0.0609 Tablet / comprime
Tab/Co. Orl 0.5 mg Xanax 00548367 UJC 0.0728 Tablet / comprime
Alprazolam 02349205 SAS 0.0728 Tablet / comprime
Apo-Alpraz 00865400 APX 0.0728 Tablet / comprime
Jamp-Alprazolam 02400138 JPC 0.0728 Tablet / comprime
Teva-Alprazolam 01913492 TEV 0.0728 Tablet / comprime
Amantadine / Amantadine Cap/Caps Orl 100 mg pdp-Amantadine Hydrochloride 01990403 PDP 0.5252 Capsule / capsule
Syr/Sir. Orl 10 mg/mL pdp-Amantadine 02022826 PDP 0.1098 Millilitre / millilitre
Ambrisentan / Ambrisentan Tab/Co. Orl 5 mg Volibris 02307065 GSK 106.3288 Tablet / comprime P
Apo-Ambrisentan 02475375 APX 106.3288 Tablet / comprime P
Tab/Co. Orl 10 mg Volibris 02307073 GSK 106.3288 Tablet / comprime P
Apo-Ambrisentan 02475383 APX 106.3288 Tablet / comprime P
Amcinonide / Amcinonide Crm/Cr. Top 0.1% Taro-Amcinonide 02246714 TAR 0.1955 Gram / gramme
Amikacin / Amikacine Liq/Liq Inj 250 mg/mL Amikacin 02242971 SDZ 44.5720 Millilitre / millilitre
Amiloride / Amiloride Tab/Co. Orl 5 mg Midamor 02249510 AAP 0.2771 Tablet / comprime
Amiodarone / Amiodarone Tab/Co. Orl 100 mg pms-Amiodarone 02292173 PMS 0.8593 Tablet / comprime
Tab/Co. Orl 200 mg Amiodarone 02364336 SAS 0.3706 Tablet / comprime
Amiodarone 02385465 SIV 0.3706 Tablet / comprime
Apo-Amiodarone 02246194 APX 0.3706 Tablet / comprime
Sandoz Amiodarone 02243836 SDZ 0.3706 Tablet / comprime
Teva-Amiodarone 02239835 TEV 0.3706 Tablet / comprime
pms-Amiodarone 02242472 PMS 0.3706 Tablet / comprime
Amitriptyline / Amitriptyline Tab/Co. Orl 10 mg Elavil 00335053 AAP 0.0435 Tablet / comprime
Amitriptyline 00370991 PDL 0.0435 Tablet / comprime
Apo-Amitriptyline 02403137 APX 0.0435 Tablet / comprime
Tab/Co. Orl 25 mg Elavil 00335061 AAP 0.0829 Tablet / comprime
Amitriptyline 00371009 PDL 0.0829 Tablet / comprime
Apo-Amitriptyline 02403145 APX 0.0829 Tablet / comprime
Tab/Co. Orl 50 mg Elavil 00335088 AAP 0.1540 Tablet / comprime
Apo-Amitriptyline 02403153 APX 0.1540 Tablet / comprime
Tab/Co. Orl 75 mg Elavil 00754129 AAP 0.3634 Tablet / comprime
Apo-Amitriptyline 02403161 APX 0.3634 Tablet / comprime
Amlodipine / Amlodipine Tab/Co. Orl 2.5 mg Amlodipine 02385783 SIV 0.0767 Tablet / comprime
Amlodipine 02326795 PDL 0.0767 Tablet / comprime
Amlodipine Besylate 02419556 AHI 0.0767 Tablet / comprime
Mar-Amlodipine 02371707 MAR 0.0767 Tablet / comprime
NRA-Amlodipine 02476452 NRA 0.0767 Tablet / comprime
Sandoz Amlodipine 02330474 SDZ 0.0767 Tablet / comprime
September / septembre 2020 Page 2
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
pharma-Amlodipine 02469022 PMS 0.0767 Tablet / comprime
pms-Amlodipine 02295148 PMS 0.0767 Tablet / comprime
Tab/Co. Orl 5 mg Norvasc 00878928 UJC 0.1343 Tablet / comprime
Act Amlodipine 02297485 ATV 0.1343 Tablet / comprime
Amlodipine 02385791 SIV 0.1343 Tablet / comprime
Amlodipine 02331284 SAS 0.1343 Tablet / comprime
Amlodipine 02429217 JPC 0.1343 Tablet / comprime
Amlodipine 02326809 PDL 0.1343 Tablet / comprime
Amlodipine Besylate 02419564 AHI 0.1343 Tablet / comprime
Apo-Amlodipine 02273373 APX 0.1343 Tablet / comprime
Auro-Amlodipine 02397072 ARO 0.1343 Tablet / comprime
Mar-Amlodipine 02371715 MAR 0.1343 Tablet / comprime
Mint-Amlodipine 02362651 MNT 0.1343 Tablet / comprime
Mylan-Amlodipine 02272113 MYL 0.1343 Tablet / comprime
NRA-Amlodipine 02476460 NRA 0.1343 Tablet / comprime
Ran-Amlodipine 02321858 RAN 0.1343 Tablet / comprime
Sandoz Amlodipine 02284383 SDZ 0.1343 Tablet / comprime
Septa-Amlodipine 02357712 SPT 0.1343 Tablet / comprime
Teva-Amlodipine 02250497 TEV 0.1343 Tablet / comprime
pharma-Amlodipine 02469030 PMS 0.1343 Tablet / comprime
Tab/Co. Orl 10 mg Norvasc 00878936 UJC 0.1993 Tablet / comprime
Act Amlodipine 02297493 ATV 0.1993 Tablet / comprime
Amlodipine 02331292 SAS 0.1993 Tablet / comprime
Amlodipine 02429225 JPC 0.1993 Tablet / comprime
Amlodipine 02326817 PDL 0.1993 Tablet / comprime
Amlodipine 02385805 SIV 0.1993 Tablet / comprime
Amlodipine Besylate 02419572 AHI 0.1993 Tablet / comprime
Apo-Amlodipine 02273381 APX 0.1993 Tablet / comprime
Auro-Amlodipine 02397080 ARO 0.1993 Tablet / comprime
Mar-Amlodipine 02371723 MAR 0.1993 Tablet / comprime
Mint-Amlodipine 02362678 MNT 0.1993 Tablet / comprime
Mylan-Amlodipine 02272121 MYL 0.1993 Tablet / comprime
NRA-Amlodipine 02476479 NRA 0.1993 Tablet / comprime
Ran-Amlodipine 02321866 RAN 0.1993 Tablet / comprime
Sandoz Amlodipine 02284391 SDZ 0.1993 Tablet / comprime
Septa-Amlodipine 02357720 SPT 0.1993 Tablet / comprime
Teva-Amlodipine 02250500 TEV 0.1993 Tablet / comprime
pharma-Amlodipine 02469049 PMS 0.1993 Tablet / comprime
Amoxicillin / Amoxicilline Cap/Caps Orl 250 mg Amoxicillin 02352710 SAS 0.0672 Capsule / capsule
Apo-Amoxi 00628115 APX 0.0672 Capsule / capsule
Auro-Amoxicillin 02388073 ARO 0.0672 Capsule / capsule
Jamp-Amoxicillin 02433060 JPC 0.0672 Capsule / capsule
Novamoxin 00406724 TEV 0.0672 Capsule / capsule
Cap/Caps Orl 500 mg Amoxicillin 02352729 SAS 0.1308 Capsule / capsule
Amoxicillin 02401509 SIV 0.1308 Capsule / capsule
Apo-Amoxi 00628123 APX 0.1308 Capsule / capsule
Auro-Amoxicillin 02388081 ARO 0.1308 Capsule / capsule
Jamp-Amoxicillin 02433079 JPC 0.1308 Capsule / capsule
Novamoxin 00406716 TEV 0.1308 Capsule / capsule
Pws/Pds. Orl 25 mg Apo-Amoxi 00628131 APX 0.0353 Millilitre / millilitre
Novamoxin 00452149 TEV 0.0353 Millilitre / millilitre
Novamoxin 125 (sugar-reduced) 01934171 TEV 0.0353 Millilitre / millilitre
Pws/Pds. Orl 50 mg Amoxicillin 02352753 SAS 0.0540 Millilitre / millilitre
Amoxicillin 02401541 SIV 0.0540 Millilitre / millilitre
Amoxicillin (sugar-reduced) 02352788 SAS 0.0540 Millilitre / millilitre
Apo-Amoxi 00628158 APX 0.0540 Millilitre / millilitre
Apo-Amoxi (Sugar-Free) 02230880 APX 0.0540 Millilitre / millilitre
Novamoxin 00452130 TEV 0.0540 Millilitre / millilitre
Novamoxin 125 (sugar-reduced) 01934163 TEV 0.0540 Millilitre / millilitre
TabC/Co.C. Orl 125 mg Novamoxin chew 02036347 TEV 0.4584 Tablet / comprime
TabC/Co.C. Orl 250 mg Novamoxin chew 02036355 TEV 0.7512 Tablet / comprime
Amoxicillin / Clavulanic Acid / Amoxicilline / Acide Clavulanique Tab/Co. Orl 250 mg / 125 mg Apo-Amoxi Clav 02243350 APX 0.9375 Tablet / comprime
Tab/Co. Orl 500 mg / 125 mg Clavulin-500 F 01916858 GSK 0.7555 Tablet / comprime
Apo-Amoxi Clav 02243351 APX 0.7555 Tablet / comprime
Sandoz Amoxi-Clav 02482576 SDZ 0.7555 Tablet / comprime
Tab/Co. Orl 875 mg / 125 mg Clavulin 02238829 GSK 0.5551 Tablet / comprime
Apo-Amoxi Clav 02245623 APX 0.5551 Tablet / comprime
Sandoz Amoxi-Clav 02482584 SDZ 0.5551 Tablet / comprime
Ampicillin / Ampicilline Cap/Caps Orl 250 mg Teva-Ampicillin 00020877 TEV 0.3796 Capsule / capsule
Cap/Caps Orl 500 mg Teva-Ampicillin 00020885 TEV 0.7197 Capsule / capsule
Pws/Pds. Inj 500 mg Ampicillin Sodium 00872652 TEV 2.1500 Vial / fiole
Pws/Pds. Inj 1 g Ampicillin Sodium 01933345 TEV 3.6000 Vial / fiole
Pws/Pds. Inj 2 g Ampicillin Sodium 01933353 TEV 7.2000 Vial / fiole
September / septembre 2020 Page 3
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Anagrelide / Anagrelide Cap/Caps Orl 0.5 mg Agrylin 02236859 SHI 6.2662 Capsule / capsule
Sandoz Anagrelide 02260107 SDZ 2.6361 Capsule / capsule
pms-Anagrelide 02274949 PMS 2.6361 Capsule / capsule
Anastrozole / Anastrozole Tab/Co. Orl 1 mg Arimidex 02224135 AZE 0.9522 Tablet / comprime
Act Anastrozole 02394898 TEV 0.9522 Tablet / comprime
Anastrozole 02351218 AHI 0.9522 Tablet / comprime
Anastrozole 02442736 SAS 0.9522 Tablet / comprime
Apo-Anastrozole 02374420 APX 0.9522 Tablet / comprime
CCP-Anastrozole 02458799 CCM 0.9522 Tablet / comprime
Jamp-Anastrozole 02339080 JPC 0.9522 Tablet / comprime
Mar-Anastrozole 02379562 MAR 0.9522 Tablet / comprime
Mint-Anastrozole 02393573 MNT 0.9522 Tablet / comprime
Nat-Anastrozole 02417855 NAT 0.9522 Tablet / comprime
Sandoz Anastrozole 02338467 SDZ 0.9522 Tablet / comprime
Taro-Anastrozole 02365650 TAR 0.9522 Tablet / comprime
pms-Anastrozole 02320738 PMS 0.9522 Tablet / comprime
Aripiprazole / Aripiprazole Tab/Co. Orl 2 mg Abilify 02322374 OTS 0.8092 Tablet / comprime
Apo-Aripiprazole 02471086 APX 0.8092 Tablet / comprime
Auro-Aripiprazole 02460025 ARO 0.8092 Tablet / comprime
Mint-Aripiprazole 02483556 MNT 0.8092 Tablet / comprime
Sandoz Aripiprazole 02473658 SDZ 0.8092 Tablet / comprime
Teva-Aripiprazole 02464144 TEV 0.8092 Tablet / comprime
pms-Aripiprazole 02466635 PMS 0.8092 Tablet / comprime
Tab/Co. Orl 5 mg Abilify 02322382 OTS 0.9046 Tablet / comprime
Apo-Aripiprazole 02471094 APX 0.9046 Tablet / comprime
Auro-Aripiprazole 02460033 ARO 0.9046 Tablet / comprime
Mint-Aripiprazole 02483564 MNT 0.9046 Tablet / comprime
Sandoz Aripiprazole 02473666 SDZ 0.9046 Tablet / comprime
Teva-Aripiprazole 02464152 TEV 0.9046 Tablet / comprime
pms-Aripiprazole 02466643 PMS 0.9046 Tablet / comprime
Tab/Co. Orl 10 mg Abilify 02322390 OTS 1.0754 Tablet / comprime
Apo-Aripiprazole 02471108 APX 1.0754 Tablet / comprime
Auro-Aripiprazole 02460041 ARO 1.0754 Tablet / comprime
Mint-Aripiprazole 02483572 MNT 1.0754 Tablet / comprime
Sandoz Aripiprazole 02473674 SDZ 1.0754 Tablet / comprime
Teva-Aripiprazole 02464160 TEV 1.0754 Tablet / comprime
pms-Aripiprazole 02466651 PMS 1.0754 Tablet / comprime
Tab/Co. Orl 15 mg Abilify 02322404 OTS 1.2692 Tablet / comprime
Apo-Aripiprazole 02471116 APX 1.2692 Tablet / comprime
Auro-Aripiprazole 02460068 ARO 1.2692 Tablet / comprime
Mint-Aripiprazole 02483580 MNT 1.2692 Tablet / comprime
Sandoz Aripiprazole 02473682 SDZ 1.2692 Tablet / comprime
Teva-Aripiprazole 02464179 TEV 1.2692 Tablet / comprime
pms-Aripiprazole 02466678 PMS 1.2692 Tablet / comprime
Tab/Co. Orl 20 mg Abilify 02322412 OTS 1.0017 Tablet / comprime
Apo-Aripiprazole 02471124 APX 1.0017 Tablet / comprime
Auro-Aripiprazole 02460076 ARO 1.0017 Tablet / comprime
Mint-Aripiprazole 02483599 MNT 1.0017 Tablet / comprime
Sandoz Aripiprazole 02473690 SDZ 1.0017 Tablet / comprime
Teva-Aripiprazole 02464187 TEV 1.0017 Tablet / comprime
pms-Aripiprazole 02466686 PMS 1.0017 Tablet / comprime
Tab/Co. Orl 30 mg Abilify 02322455 OTS 1.0017 Tablet / comprime
Apo-Aripiprazole 02471132 APX 1.0017 Tablet / comprime
Auro-Aripiprazole 02460084 ARO 1.0017 Tablet / comprime
Mint-Aripiprazole 02483602 MNT 1.0017 Tablet / comprime
Sandoz Aripiprazole 02473704 SDZ 1.0017 Tablet / comprime
Teva-Aripiprazole 02464195 TEV 1.0017 Tablet / comprime
pms-Aripiprazole 02466694 PMS 1.0017 Tablet / comprime
Atazanavir / Atazanavir Cap/Caps Orl 150 mg Reyataz 02248610 BRI 5.6771 Capsule / capsule
Mylan-Atazanavir 02456877 MYL 5.6771 Capsule / capsule
Teva-Atazanavir 02443791 TEV 5.6771 Capsule / capsule
Cap/Caps Orl 200 mg Reyataz 02248611 BRI 5.7104 Capsule / capsule
Mylan-Atazanavir 02456885 MYL 5.7104 Capsule / capsule
Teva-Atazanavir 02443813 TEV 5.7104 Capsule / capsule
Cap/Caps Orl 300 mg Reyataz 02294176 BRI 11.2165 Capsule / capsule
Mylan-Atazanavir 02456893 MYL 11.2165 Capsule / capsule
Teva-Atazanavir 02443821 TEV 11.2165 Capsule / capsule
Atenolol / Atenolol Tab/Co. Orl 25 mg Jamp-Atenolol 02367556 JPC 0.0521 Tablet / comprime
Mar-Atenolol 02371979 MAR 0.0521 Tablet / comprime
Mint-Atenolol 02368013 MNT 0.0521 Tablet / comprime
Taro-Atenolol 02373963 SUN 0.0521 Tablet / comprime
Teva-Atenolol 02266660 TEV 0.0521 Tablet / comprime
pms-Atenolol 02246581 PMS 0.0521 Tablet / comprime
Tab/Co. Orl 50 mg Tenormin 02039532 AZE 0.1107 Tablet / comprime
September / septembre 2020 Page 4
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Act Atenolol 02255545 ATV 0.1107 Tablet / comprime
Apo-Atenol 00773689 APX 0.1107 Tablet / comprime
Atenolol 02466465 SAS 0.1107 Tablet / comprime
Atenolol 02238316 SIV 0.1107 Tablet / comprime
Jamp-Atenolol 02367564 JPC 0.1107 Tablet / comprime
Mar-Atenolol 02371987 MAR 0.1107 Tablet / comprime
Mint-Atenolol 02368021 MNT 0.1107 Tablet / comprime
Taro-Atenolol 02267985 SUN 0.1107 Tablet / comprime
Teva-Atenolol 02171791 TEV 0.1107 Tablet / comprime
pms-Atenolol 02237600 PMS 0.1107 Tablet / comprime
Tab/Co. Orl 100 mg Tenormin 02039540 AZE 0.1821 Tablet / comprime
Act Atenolol 02255553 ATV 0.1821 Tablet / comprime
Apo-Atenol 00773697 APX 0.1821 Tablet / comprime
Atenolol 02238318 SIV 0.1821 Tablet / comprime
Atenolol 02466473 SAS 0.1821 Tablet / comprime
Jamp-Atenolol 02367572 JPC 0.1821 Tablet / comprime
Mar-Atenolol 02371995 MAR 0.1821 Tablet / comprime
Mint-Atenolol 02368048 MNT 0.1821 Tablet / comprime
Taro-Atenolol 02267993 SUN 0.1821 Tablet / comprime
Teva-Atenolol 02171805 TEV 0.1821 Tablet / comprime
pms-Atenolol 02237601 PMS 0.1821 Tablet / comprime
Atenolol / Chlorthalidone / Atenolol / Chlorthalidone Tab/Co. Orl 50 mg / 25 mg Tenoretic 02049961 AZE 0.3195 Tablet / comprime
AA-Atenidone 02248763 AAP 0.3195 Tablet / comprime
Tab/Co. Orl 100 mg / 25 mg Tenoretic 02049988 AZE 0.5236 Tablet / comprime
AA-Atenidone 02248764 AAP 0.5236 Tablet / comprime
Atomoxetine / Atomoxetine Cap/Caps Orl 10 mg Strattera 02262800 LIL 0.5106 Capsule / capsule
Apo-Atomoxetine 02318024 APX 0.5106 Capsule / capsule
Atomoxetine 02467747 SAS 0.5106 Capsule / capsule
Atomoxetine 02445883 SIV 0.5106 Capsule / capsule
Auro-Atomoxetine 02471485 ARO 0.5106 Capsule / capsule
Sandoz Atomoxetine 02386410 SDZ 0.5106 Capsule / capsule
Teva-Atomoxetine 02314541 TEV 0.5106 Capsule / capsule
pms-Atomoxetine 02381028 PMS 0.5106 Capsule / capsule
Cap/Caps Orl 18 mg Strattera 02262819 LIL 0.5748 Capsule / capsule
Apo-Atomoxetine 02318032 APX 0.5748 Capsule / capsule
Atomoxetine 02445905 SIV 0.5748 Capsule / capsule
Atomoxetine 02467755 SAS 0.5748 Capsule / capsule
Auro-Atomoxetine 02471493 ARO 0.5748 Capsule / capsule
Sandoz Atomoxetine 02386429 SDZ 0.5748 Capsule / capsule
Teva-Atomoxetine 02314568 TEV 0.5748 Capsule / capsule
pms-Atomoxetine 02381036 PMS 0.5748 Capsule / capsule
Cap/Caps Orl 25 mg Strattera 02262827 LIL 0.6420 Capsule / capsule
Apo-Atomoxetine 02318040 APX 0.6420 Capsule / capsule
Atomoxetine 02445913 SIV 0.6420 Capsule / capsule
Atomoxetine 02467763 SAS 0.6420 Capsule / capsule
Auro-Atomoxetine 02471507 ARO 0.6420 Capsule / capsule
Sandoz Atomoxetine 02386437 SDZ 0.6420 Capsule / capsule
Teva-Atomoxetine 02314576 TEV 0.6420 Capsule / capsule
pms-Atomoxetine 02381044 PMS 0.6420 Capsule / capsule
Cap/Caps Orl 40 mg Strattera 02262835 LIL 0.7369 Capsule / capsule
Apo-Atomoxetine 02318059 APX 0.7369 Capsule / capsule
Atomoxetine 02445948 SIV 0.7369 Capsule / capsule
Atomoxetine 02467771 SAS 0.7369 Capsule / capsule
Auro-Atomoxetine 02471515 ARO 0.7369 Capsule / capsule
Sandoz Atomoxetine 02386445 SDZ 0.7369 Capsule / capsule
Teva-Atomoxetine 02314584 TEV 0.7369 Capsule / capsule
pms-Atomoxetine 02381052 PMS 0.7369 Capsule / capsule
Cap/Caps Orl 60 mg Strattera 02262843 LIL 0.8092 Capsule / capsule
Apo-Atomoxetine 02318067 APX 0.8092 Capsule / capsule
Atomoxetine 02467798 SAS 0.8092 Capsule / capsule
Atomoxetine 02445956 SIV 0.8092 Capsule / capsule
Auro-Atomoxetine 02471523 ARO 0.8092 Capsule / capsule
Sandoz Atomoxetine 02386453 SDZ 0.8092 Capsule / capsule
Teva-Atomoxetine 02314592 TEV 0.8092 Capsule / capsule
pms-Atomoxetine 02381060 PMS 0.8092 Capsule / capsule
Cap/Caps Orl 80 mg Strattera 02279347 LIL 1.2193 Capsule / capsule
Apo-Atomoxetine 02318075 APX 1.2193 Capsule / capsule
Atomoxetine 02467801 SAS 1.2193 Capsule / capsule
Auro-Atomoxetine 02471531 ARO 1.2193 Capsule / capsule
Sandoz Atomoxetine 02386461 SDZ 1.2193 Capsule / capsule
Teva-Atomoxetine 02362511 TEV 1.2193 Capsule / capsule
Cap/Caps Orl 100 mg Strattera 02279355 LIL 1.3382 Capsule / capsule
Apo-Atomoxetine 02318083 APX 1.3382 Capsule / capsule
Atomoxetine 02467828 SAS 1.3382 Capsule / capsule
September / septembre 2020 Page 5
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Auro-Atomoxetine 02471558 ARO 1.3382 Capsule / capsule
Sandoz Atomoxetine 02386488 SDZ 1.3382 Capsule / capsule
Atorvastatin / Atorvastatine Tab/Co. Orl 10 mg Lipitor 02230711 UJC 0.1743 Tablet / comprime
ACH-Atorvastatin Calcium 02457741 AHI 0.1743 Tablet / comprime
Apo-Atorvastatin 02295261 APX 0.1743 Tablet / comprime
Atorvastatin 02346486 PDL 0.1743 Tablet / comprime
Atorvastatin 02411350 SIV 0.1743 Tablet / comprime
Auro-Atorvastatin 02407256 ARO 0.1743 Tablet / comprime
Jamp-Atorvastatin 02391058 JPC 0.1743 Tablet / comprime
Mar-Atorvastatin 02454017 MAR 0.1743 Tablet / comprime
Mint-Atorvastatin 02479508 MNT 0.1743 Tablet / comprime
Mylan-Atorvastatin 02392933 MYL 0.1743 Tablet / comprime
NRA-Atorvastatin 02476517 NRA 0.1743 Tablet / comprime
Reddy-Atorvastatin 02417936 RCH 0.1743 Tablet / comprime
Sandoz Atorvastatin 02324946 SDZ 0.1743 Tablet / comprime
Taro-Atorvastatin 02313707 SUN 0.1743 Tablet / comprime
Teva-Atorvastatin 02310899 TEV 0.1743 Tablet / comprime
pms-Atorvastatin 02477149 PMS 0.1743 Tablet / comprime
pms-Atorvastatin 02399377 PMS 0.1743 Tablet / comprime
Tab/Co. Orl 20 mg Lipitor 02230713 UJC 0.2179 Tablet / comprime
ACH-Atorvastatin Calcium 02457768 AHI 0.2179 Tablet / comprime
Apo-Atorvastatin 02295288 APX 0.2179 Tablet / comprime
Atorvastatin 02411369 SIV 0.2179 Tablet / comprime
Atorvastatin 02346494 PDL 0.2179 Tablet / comprime
Auro-Atorvastatin 02407264 ARO 0.2179 Tablet / comprime
Jamp-Atorvastatin 02391066 JPC 0.2179 Tablet / comprime
Mar-Atorvastatin 02454025 MAR 0.2179 Tablet / comprime
Mint-Atorvastatin 02479516 MNT 0.2179 Tablet / comprime
Mylan-Atorvastatin 02392941 MYL 0.2179 Tablet / comprime
NRA-Atorvastatin 02476525 NRA 0.2179 Tablet / comprime
Reddy-Atorvastatin 02417944 RCH 0.2179 Tablet / comprime
Sandoz Atorvastatin 02324954 SDZ 0.2179 Tablet / comprime
Taro-Atorvastatin 02313715 SUN 0.2179 Tablet / comprime
Teva-Atorvastatin 02310902 TEV 0.2179 Tablet / comprime
pms-Atorvastatin 02477157 PMS 0.2179 Tablet / comprime
pms-Atorvastatin 02399385 PMS 0.2179 Tablet / comprime
Tab/Co. Orl 40 mg Lipitor 02230714 UJC 0.2342 Tablet / comprime
ACH-Atorvastatin Calcium 02457776 AHI 0.2342 Tablet / comprime
Apo-Atorvastatin 02295296 APX 0.2342 Tablet / comprime
Atorvastatin 02411377 SIV 0.2342 Tablet / comprime
Atorvastatin 02346508 PDL 0.2342 Tablet / comprime
Auro-Atorvastatin 02407272 ARO 0.2342 Tablet / comprime
Jamp-Atorvastatin 02391074 JPC 0.2342 Tablet / comprime
Mar-Atorvastatin 02454033 MAR 0.2342 Tablet / comprime
Mint-Atorvastatin 02479524 MNT 0.2342 Tablet / comprime
Mylan-Atorvastatin 02392968 MYL 0.2342 Tablet / comprime
NRA-Atorvastatin 02476533 NRA 0.2342 Tablet / comprime
Reddy-Atorvastatin 02417952 RCH 0.2342 Tablet / comprime
Sandoz Atorvastatin 02324962 SDZ 0.2342 Tablet / comprime
Taro-Atorvastatin 02313723 SUN 0.2342 Tablet / comprime
Teva-Atorvastatin 02310910 TEV 0.2342 Tablet / comprime
pms-Atorvastatin 02399393 PMS 0.2342 Tablet / comprime
pms-Atorvastatin 02477165 PMS 0.2342 Tablet / comprime
Tab/Co. Orl 80 mg Lipitor 02243097 UJC 0.2342 Tablet / comprime
ACH-Atorvastatin Calcium 02457784 AHI 0.2342 Tablet / comprime
Apo-Atorvastatin 02295318 APX 0.2342 Tablet / comprime
Atorvastatin 02411385 SIV 0.2342 Tablet / comprime
Atorvastatin 02346516 PDL 0.2342 Tablet / comprime
Auro-Atorvastatin 02407280 ARO 0.2342 Tablet / comprime
Jamp-Atorvastatin 02391082 JPC 0.2342 Tablet / comprime
Mar-Atorvastatin 02454041 MAR 0.2342 Tablet / comprime
Mylan-Atorvastatin 02392976 MYL 0.2342 Tablet / comprime
NRA-Atorvastatin 02476541 NRA 0.2342 Tablet / comprime
Reddy-Atorvastatin 02417960 RCH 0.2342 Tablet / comprime
Sandoz Atorvastatin 02324970 SDZ 0.2342 Tablet / comprime
Taro-Atorvastatin 02313758 SUN 0.2342 Tablet / comprime
Teva-Atorvastatin 02310929 TEV 0.2342 Tablet / comprime
pms-Atorvastatin 02477173 PMS 0.2342 Tablet / comprime
pms-Atorvastatin 02399407 PMS 0.2342 Tablet / comprime
Atorvastatin and Amlodipine / Atorvastatine et Amlodipine Tab/Co. Orl 10 mg / 5 mg Caduet 02273233 UJC 0.5802 Tablet / comprime
Apo-Amlodipine-Atorvastatin 02411253 APX 0.5802 Tablet / comprime
GD-Amlodipine/Atorvastatin 02362759 UJC 0.5802 Tablet / comprime
pms-Amlodipine/Atorvastatin 02404222 PMS 0.5802 Tablet / comprime
Tab/Co. Orl 10 mg / 10 mg Caduet 02273284 UJC 0.6125 Tablet / comprime
September / septembre 2020 Page 6
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Apo-Amlodipine-Atorvastatin 02411318 APX 0.6125 Tablet / comprime
GD-Amlodipine/Atorvastatin 02362791 UJC 0.6125 Tablet / comprime
pms-Amlodipine/Atorvastatin 02404249 PMS 0.6125 Tablet / comprime
Tab/Co. Orl 20 mg / 5 mg Caduet 02273241 UJC 0.6842 Tablet / comprime
Apo-Amlodipine-Atorvastatin 02411261 APX 0.6842 Tablet / comprime
GD-Amlodipine/Atorvastatin 02362767 UJC 0.6842 Tablet / comprime
pms-Amlodipine/Atorvastatin 02404230 PMS 0.6842 Tablet / comprime
Tab/Co. Orl 20 mg / 10 mg Caduet 02273292 UJC 0.7636 Tablet / comprime
Apo-Amlodipine-Atorvastatin 02411326 APX 0.7636 Tablet / comprime
GD-Amlodipine/Atorvastatin 02362805 UJC 0.7636 Tablet / comprime
pms-Amlodipine/Atorvastatin 02404257 PMS 0.7636 Tablet / comprime
Tab/Co. Orl 40 mg / 5 mg Caduet 02273268 UJC 0.7232 Tablet / comprime
Apo-Amlodipine-Atorvastatin 02411288 APX 0.7232 Tablet / comprime
GD-Amlodipine/Atorvastatin 02362775 UJC 0.7232 Tablet / comprime
Tab/Co. Orl 40 mg / 10 mg Caduet 02273306 UJC 0.8000 Tablet / comprime
Apo-Amlodipine-Atorvastatin 02411334 APX 0.8000 Tablet / comprime
GD-Amlodipine/Atorvastatin 02362813 UJC 0.8000 Tablet / comprime
Tab/Co. Orl 80 mg / 5 mg Caduet 02273276 UJC 0.7232 Tablet / comprime
Apo-Amlodipine-Atorvastatin 02411296 APX 0.7232 Tablet / comprime
GD-Amlodipine/Atorvastatin 02362783 UJC 0.7232 Tablet / comprime
Tab/Co. Orl 80 mg / 10 mg Caduet 02273314 UJC 0.8000 Tablet / comprime
Apo-Amlodipine-Atorvastatin 02411342 APX 0.8000 Tablet / comprime
GD-Amlodipine/Atorvastatin 02362821 UJC 0.8000 Tablet / comprime
Atropine / Atropine Dps/Gttes Oph 1% Isopto Atropine 00035017 ALC 0.5490 Millilitre / millilitre
Atropine 02023695 PST 0.5490 Millilitre / millilitre
Azathioprine / Azathioprine Tab/Co. Orl 50 mg Imuran 00004596 APN 0.2405 Tablet / comprime
Apo-Azathioprine 02242907 APX 0.2405 Tablet / comprime
Teva-Azathioprine 02236819 TEV 0.2405 Tablet / comprime
Azithromycin / Azithromycine Pws/Pds. Orl 100 mg/5 mL Zithromax 02223716 PFI 0.3726 Millilitre / millilitre
Auro-Azithromycin 02482363 ARO 0.3726 Millilitre / millilitre
Azithromycin 02274388 PMS 0.3726 Millilitre / millilitre
Sandoz Azithromycin 02332388 SDZ 0.3726 Millilitre / millilitre
Pws/Pds. Orl 200 mg/5 mL Zithromax 02223724 PFI 0.5280 Millilitre / millilitre
Auro-Azithromycin 02482371 ARO 0.5280 Millilitre / millilitre
Azithromycin 02274396 PMS 0.5280 Millilitre / millilitre
GD-Azithromycin 02274574 GMD 0.5280 Millilitre / millilitre
Sandoz Azithromycin 02332396 SDZ 0.5280 Millilitre / millilitre
pms-Azithromycin 02418460 PMS 0.5280 Millilitre / millilitre
Pws/Pds. Inj 500 mg Zithromax 02239952 PFI 22.7130 Vial / fiole
Tab/Co. Orl 250 mg Zithromax 02212021 PFI 0.9410 Tablet / comprime
Apo-Azithromycin Z 02415542 APX 0.9410 Tablet / comprime
Azithromycin 02442434 SIV 0.9410 Tablet / comprime
Azithromycin 02330881 SAS 0.9410 Tablet / comprime
Jamp-Azithromycin 02452308 JPC 0.9410 Tablet / comprime
Mar-Azithromycin 02452324 MAR 0.9410 Tablet / comprime
NRA-Azithromycin 02479680 NRA 0.9410 Tablet / comprime
Sandoz Azithromycin 02265826 SDZ 0.9410 Tablet / comprime
Teva-Azithromycin 02267845 TEV 0.9410 Tablet / comprime
pms-Azithromycin 02261634 PMS 0.9410 Tablet / comprime
Tab/Co. Orl 600 mg pms-Azithromycin 02261642 PMS 10.6652 Tablet / comprime
Baclofen / Baclofene Liq/Liq Int 0.05 mg/mL Lioresal 02131048 NVR 7.5160 Millilitre / millilitre
Baclofen 02457059 TLG 7.5160 Millilitre / millilitre
Liq/Liq Int 0.5 mg/mL Lioresal 02131056 NVR 5.6328 Millilitre / millilitre
Baclofen 02457067 TLG 5.6328 Millilitre / millilitre
Liq/Liq Int 2 mg/mL Lioresal 02131064 NVR 22.5334 Millilitre / millilitre
Baclofen 02457075 TLG 22.5334 Millilitre / millilitre
Tab/Co. Orl 10 mg Lioresal 00455881 NVR 0.1595 Tablet / comprime
Apo-Baclofen 02139332 APX 0.1595 Tablet / comprime
Baclofen 02287021 SAS 0.1595 Tablet / comprime
Mylan-Baclofen 02088398 MYL 0.1595 Tablet / comprime
pms-Baclofen 02063735 PMS 0.1595 Tablet / comprime
Tab/Co. Orl 20 mg Apo-Baclofen 02139391 APX 0.3104 Tablet / comprime
Baclofen 02287048 SAS 0.3104 Tablet / comprime
Mylan-Baclofen 02088401 MYL 0.3104 Tablet / comprime
pms-Baclofen 02063743 PMS 0.3104 Tablet / comprime
Beclomethasone / Beclomethasone Aem/Aem. Nas 50 mcg Apo-Beclomethasone AQ 02238796 APX 0.0613 Dose / dose
Mylan-Beclo AQ 02172712 MYL 0.0613 Dose / dose
Benazepril / Benazepril Tab/Co. Orl 5 mg Benazepril 02290332 AAP 0.8333 Tablet / comprime
Tab/Co. Orl 10 mg Benazepril 02290340 AAP 0.9870 Tablet / comprime
Tab/Co. Orl 20 mg Benazepril 02273918 AAP 1.1311 Tablet / comprime
Benzatropine / Benzytropine Tab/Co. Orl 1 mg pdp-Benztropine 00706531 PDP 0.0522 Tablet / comprime
Tab/Co. Orl 2 mg pdp-Benztropine 00426857 PDP 0.0464 Tablet / comprime
Benzydamine / Benzydamine Liq/Liq Buc 0.15% pms-Benzydamine 02239537 PMS 0.0325 Millilitre / millilitre
Betahistine / Betahistine Tab/Co. Orl 8 mg Auro-Betahistine 02449145 ARO 0.1232 Tablet / comprime
September / septembre 2020 Page 7
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Teva-Betahistine 02280183 TEV 0.1232 Tablet / comprime
Tab/Co. Orl 16 mg Serc 02243878 BGP 0.1106 Tablet / comprime
Auro-Betahistine 02449153 ARO 0.1106 Tablet / comprime
Betahistine 02466449 SAS 0.1106 Tablet / comprime
Teva-Betahistine 02280191 TEV 0.1106 Tablet / comprime
pms-Betahistine 02330210 PMS 0.1106 Tablet / comprime
Tab/Co. Orl 24 mg Serc 02247998 BGP 0.1659 Tablet / comprime
Auro-Betahistine 02449161 ARO 0.1659 Tablet / comprime
Betahistine 02466457 SAS 0.1659 Tablet / comprime
Teva-Betahistine 02280205 TEV 0.1659 Tablet / comprime
pms-Betahistine 02330237 PMS 0.1659 Tablet / comprime
Betamethasone / Salicylic Acid / Betamethasone / Acide
Salicylique
Lot/Lot Top 0.5 mg / 20 mg Diprosalic 00578428 FRS 0.4512 Gram / gramme
ratio-Topisalic 02245688 TEV 0.4512 Gram / gramme
Betamethasone Dipropionate / Dipropionate De Betamethasone Crm/Cr. Top 0.05% Diprosone 00323071 FRS 0.2046 Gram / gramme
Teva-Topisone 00804991 TEV 0.2046 Gram / gramme
Crm/Cr. Top 0.05% Teva-Topilene 00849650 TEV 0.5186 Gram / gramme
Lot/Lot Top 0.05% Diprosone 00417246 FRS 0.1980 Gram / gramme
Teva-Topisone 00809187 TEV 0.1980 Gram / gramme
Lot/Lot Top 0.05% Teva-Topilene 01927914 TEV 0.2696 Gram / gramme
Ont/Ont Top 0.05% Diprosone 00344923 FRS 0.2152 Gram / gramme
Teva-Topisone 00805009 TEV 0.2152 Gram / gramme
Ont/Ont Top 0.05% Diprolene Glycol 00629367 FRS 0.5187 Gram / gramme
Teva-Topilene Glycol 00849669 TEV 0.5187 Gram / gramme
Betamethasone Valerate / Valerate De Betamethasone Crm/Cr. Top 0.05% Celestoderm V/2 02357860 VLN 0.0596 Gram / gramme
Betaderm 00716618 TAR 0.0596 Gram / gramme
Teva-Ectosone Mild 00535427 TEV 0.0596 Gram / gramme
Crm/Cr. Top 0.1% Betaderm 00716626 TAR 0.0889 Gram / gramme
Celestoderm V 02357844 PMS 0.0889 Gram / gramme
Teva-Ectosone 00535435 TEV 0.0889 Gram / gramme
Lot/Lot Top 0.05% Teva-Ectosone Mild 00653209 TEV 0.2375 Gram / gramme
Lot/Lot Top 0.1% Betaderm 00716634 TAR 0.0852 Gram / gramme
Teva-Ectosone Scalp 00653217 TEV 0.0852 Gram / gramme
Lot/Lot Top 0.1% Teva-Ectosone 00750050 TEV 0.3125 Gram / gramme
Ont/Ont Top 0.05% Celestoderm V/2 02357879 VLN 0.0596 Gram / gramme
Betaderm 00716642 TAR 0.0596 Gram / gramme
Ont/Ont Top 0.1% Celestoderm V 02357852 VLN 0.0889 Gram / gramme
Betaderm 00716650 TAR 0.0889 Gram / gramme
Bicalutamide / Bicalutamide Tab/Co. Orl 50 mg Casodex 02184478 AZE 1.2690 Tablet / comprime
Apo-Bicalutamide 02296063 APX 1.2690 Tablet / comprime
Bicalutamide 02382423 SIV 1.2690 Tablet / comprime
Bicalutamide 02325985 AHI 1.2690 Tablet / comprime
Jamp-Bicalutamide 02357216 JPC 1.2690 Tablet / comprime
Teva-Bicalutamide 02270226 TEV 1.2690 Tablet / comprime
pms-Bicalutamide 02275589 PMS 1.2690 Tablet / comprime
Bimatoprost / Bimatoprost Liq/Liq Oph 0.03% Vistitan 02429063 SDZ 9.1936 Millilitre / millilitre
Bisoprolol / Bisoprolol Tab/Co. Orl 5 mg Apo-Bisoprolol 02256134 APX 0.0715 Tablet / comprime
Bisoprolol 02495562 SIV 0.0715 Tablet / comprime
Bisoprolol 02383055 SIV 0.0715 Tablet / comprime
Bisoprolol 02391589 SAS 0.0715 Tablet / comprime
Mint-Bisoprolol 02465612 MNT 0.0715 Tablet / comprime
Sandoz Bisoprolol 02494035 SDZ 0.0715 Tablet / comprime
Sandoz Bisoprolol 02247439 SDZ 0.0715 Tablet / comprime
Teva-Bisoprolol 02267470 TEV 0.0715 Tablet / comprime
Tab/Co. Orl 10 mg Apo-Bisoprolol 02256177 APX 0.1044 Tablet / comprime
Bisoprolol 02495570 SIV 0.1044 Tablet / comprime
Bisoprolol 02391597 SAS 0.1044 Tablet / comprime
Bisoprolol 02383063 SIV 0.1044 Tablet / comprime
Mint-Bisoprolol 02465620 MNT 0.1044 Tablet / comprime
Sandoz Bisoprolol 02247440 SDZ 0.1044 Tablet / comprime
Sandoz Bisoprolol 02494043 SDZ 0.1044 Tablet / comprime
Teva-Bisoprolol 02267489 TEV 0.1044 Tablet / comprime
Bosentan / Bosentan Tab/Co. Orl 62.5 mg Tracleer 02244981 JAN 16.0447 Tablet / comprime P
Nat-Bosentan 02467984 NAT 16.0447 Tablet / comprime P
Sandoz Bosentan 02386275 SDZ 16.0447 Tablet / comprime P
Taro-Bosentan 02483130 TAR 16.0447 Tablet / comprime P
pms-Bosentan 02383012 PMS 16.0447 Tablet / comprime P
Tab/Co. Orl 125 mg Tracleer 02244982 JAN 16.0447 Tablet / comprime P
Nat-Bosentan 02467992 NAT 16.0447 Tablet / comprime P
Sandoz Bosentan 02386283 SDZ 16.0447 Tablet / comprime P
Taro-Bosentan 02483149 TAR 16.0447 Tablet / comprime P
pms-Bosentan 02383020 PMS 16.0447 Tablet / comprime P
Brimonidine / Brimonidine Liq/Liq Oph 0.15% Alphagan P 02248151 ALL 3.7165 Millilitre / millilitre
Brimonidine P 02301334 AAP 1.9320 Millilitre / millilitre
September / septembre 2020 Page 8
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Liq/Liq Oph 0.2% Alphagan 02236876 ALL 1.1550 Millilitre / millilitre
Apo-Brimonidine 02260077 APX 1.1550 Millilitre / millilitre
Sandoz Brimonidine 02305429 SDZ 1.1550 Millilitre / millilitre
pms-Brimonidine 02246284 PMS 1.1550 Millilitre / millilitre
Bromazepam / Bromazepam Tab/Co. Orl 3 mg Teva-Bromazepam 02230584 TEV 0.0375 Tablet / comprime
Tab/Co. Orl 6 mg Teva-Bromazepam 02230585 TEV 0.0548 Tablet / comprime
Bromocriptine / Bromocriptine Cap/Caps Orl 5 mg Bromocriptine 02230454 AAP 1.5251 Capsule / capsule
Tab/Co. Orl 2.5 mg Bromocriptine 02087324 AAP 1.0188 Tablet / comprime
Budesonide / Budesonide Aem/Aem. Nas 64 mcg Rhinocort Aqua 02231923 JNJ 0.0843 Dose / dose
Mylan-Budesonide AQ 02241003 MYL 0.0843 Dose / dose
Aem/Aem. Nas 100 mcg Mylan-Budesonide AQ 02230648 MYL 0.0772 Dose / dose
Sus/Susp Inh 0.5 mg/mL Pulmicort Nebuamp 01978926 AZE 0.9558 Millilitre / millilitre
Teva-Budesonide 02465957 TEV 0.6839 Millilitre / millilitre
Buprenorphine / Naloxone / Buprenorphine / Naloxone Slt/Co.S.L. Orl 2 mg / 0.5 mg Suboxone 02295695 IUK 1.3350 Tablet / comprime
Act Buprenorphine/Naloxone 02453908 TEV 1.3350 Tablet / comprime
pms-Buprenorphine/Naloxone 02424851 PMS 1.3350 Tablet / comprime
Slt/Co.S.L. Orl 8 mg / 2 mg Suboxone 02295709 IUK 2.3650 Tablet / comprime
Act Buprenorphine/Naloxone 02453916 TEV 2.3650 Tablet / comprime
pms-Buprenorphine/Naloxone 02424878 PMS 2.3650 Tablet / comprime
Bupropion / Bupropion ERT/Co.L.P. Orl 150 mg Wellbutrin XL 02275090 VLN 0.1463 Tablet / comprime
Mylan-Bupropion XL 02382075 MYL 0.1463 Tablet / comprime
Taro-Bupropion XL 02475804 SUN 0.1463 Tablet / comprime
Teva-Bupropion XL 02439654 TEV 0.1463 Tablet / comprime
ERT/Co.L.P. Orl 300 mg Wellbutrin XL 02275104 VLN 0.2927 Tablet / comprime
Mylan-Bupropion XL 02382083 MYL 0.2927 Tablet / comprime
Taro-Bupropion XL 02475812 SUN 0.2927 Tablet / comprime
Teva-Bupropion XL 02439662 TEV 0.2927 Tablet / comprime
SRT/Co.L.L. Orl 100 mg Bupropion SR 02391562 SAS 0.1547 Tablet / comprime
Sandoz Bupropion SR 02275074 SDZ 0.1547 Tablet / comprime
SRT/Co.L.L. Orl 150 mg Wellbutrin SR 02237825 VLN 0.2298 Tablet / comprime
Bupropion SR 02391570 SAS 0.2298 Tablet / comprime
Sandoz Bupropion SR 02275082 SDZ 0.2298 Tablet / comprime
Buspirone / Buspirone Tab/Co. Orl 10 mg Apo-Buspirone 02211076 APX 0.3517 Tablet / comprime
Teva-Buspirone 02231492 TEV 0.3517 Tablet / comprime
pms-Buspirone 02230942 PMS 0.3517 Tablet / comprime
Cabergoline / Cabergoline Tab/Co. Orl 0.5 mg Dostinex 02242471 PAL 18.8175 Tablet / comprime
Apo-Cabergoline 02455897 APX 12.3941 Tablet / comprime
Calcitriol / Calcitriol Cap/Caps Orl 0.25 mcg Rocaltrol 00481823 HLR 0.3536 Capsule / capsule
Calcitriol-Odan 02431637 ODN 0.3536 Capsule / capsule
Taro-Calcitriol 02485710 TAR 0.3536 Capsule / capsule
Cap/Caps Orl 0.5 mcg Rocaltrol 00481815 HLR 0.5623 Capsule / capsule
Calcitriol-Odan 02431645 ODN 0.5623 Capsule / capsule
Taro-Calcitriol 02485729 TAR 0.5623 Capsule / capsule
Candesartan / Candesartan Tab/Co. Orl 4 mg Atacand 02239090 AZE 0.8443 Tablet / comprime
Apo-Candesartan 02365340 APX 0.1700 Tablet / comprime
Auro-Candesartan 02445786 ARO 0.1700 Tablet / comprime
Candesartan 02388901 SAS 0.1700 Tablet / comprime
Candesartan Cilexetil 02379260 AHI 0.1700 Tablet / comprime
Jamp-Candesartan 02386496 JPC 0.1700 Tablet / comprime
Sandoz Candesartan 02326957 SDZ 0.1700 Tablet / comprime
Taro-Candesartan 02380684 SUN 0.1700 Tablet / comprime
pms-Candesartan 02391171 PMS 0.1700 Tablet / comprime
Tab/Co. Orl 8 mg Atacand 02239091 AZE 0.2281 Tablet / comprime
Apo-Candesartan 02365359 APX 0.2281 Tablet / comprime
Auro-Candesartan 02445794 ARO 0.2281 Tablet / comprime
Candesartan 02388707 SIV 0.2281 Tablet / comprime
Candesartan 02388928 SAS 0.2281 Tablet / comprime
Candesartan Cilexetil 02379279 AHI 0.2281 Tablet / comprime
Jamp-Candesartan 02386518 JPC 0.2281 Tablet / comprime
Mint-Candesartan 02476916 MNT 0.2281 Tablet / comprime
Sandoz Candesartan 02326965 SDZ 0.2281 Tablet / comprime
Taro-Candesartan 02380692 SUN 0.2281 Tablet / comprime
Teva-Candesartan 02366312 TEV 0.2281 Tablet / comprime
pms-Candesartan 02391198 PMS 0.2281 Tablet / comprime
Tab/Co. Orl 16 mg Atacand 02239092 AZE 0.2281 Tablet / comprime
Apo-Candesartan 02365367 APX 0.2281 Tablet / comprime
Auro-Candesartan 02445808 ARO 0.2281 Tablet / comprime
Candesartan 02388715 SIV 0.2281 Tablet / comprime
Candesartan 02388936 SAS 0.2281 Tablet / comprime
Candesartan Cilexetil 02379287 AHI 0.2281 Tablet / comprime
Jamp-Candesartan 02386526 JPC 0.2281 Tablet / comprime
Mint-Candesartan 02476924 MNT 0.2281 Tablet / comprime
Sandoz Candesartan 02326973 SDZ 0.2281 Tablet / comprime
Taro-Candesartan 02380706 SUN 0.2281 Tablet / comprime
September / septembre 2020 Page 9
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Teva-Candesartan 02366320 TEV 0.2281 Tablet / comprime
pms-Candesartan 02391201 PMS 0.2281 Tablet / comprime
Tab/Co. Orl 32 mg Atacand 02311658 AZE 1.4043 Tablet / comprime
Apo-Candesartan 02399105 APX 0.2281 Tablet / comprime
Auro-Candesartan 02445816 ARO 0.2281 Tablet / comprime
Candesartan 02435845 SAS 0.2281 Tablet / comprime
Candesartan Cilexetil 02379295 AHI 0.2281 Tablet / comprime
Jamp-Candesartan 02386534 JPC 0.2281 Tablet / comprime
Sandoz Candesartan 02417340 SDZ 0.2281 Tablet / comprime
Taro-Candesartan 02380714 SUN 0.2281 Tablet / comprime
Teva-Candesartan 02366339 TEV 0.2281 Tablet / comprime
pms-Candesartan 02391228 PMS 0.2281 Tablet / comprime
Candesartan / Hydrochlorothiazide / Candesartan /
Hydrochlorothiazide
Tab/Co. Orl 16 mg / 12.5 mg Atacand Plus 02244021 AZE 0.2156 Tablet / comprime
Auro-Candesartan HCT 02421038 ARO 0.2156 Tablet / comprime
Candesartan HCT 02394812 SIV 0.2156 Tablet / comprime
Candesartan/HCTZ 02394804 SAS 0.2156 Tablet / comprime
Jamp-Candesartan HCT 02473240 JPC 0.2156 Tablet / comprime
Sandoz Candesartan Plus 02327902 SDZ 0.2156 Tablet / comprime
Teva-Candesartan/HCTZ 02395541 TEV 0.2156 Tablet / comprime
pms-Candesartan-HCTZ 02391295 PMS 0.2156 Tablet / comprime
Tab/Co. Orl 32 mg / 12.5 mg Atacand Plus 02332922 AZE 0.2156 Tablet / comprime
Auro-Candesartan HCT 02421046 ARO 0.2156 Tablet / comprime
Jamp-Candesartan HCT 02473259 JPC 0.2156 Tablet / comprime
Sandoz Candesartan Plus 02420732 SDZ 0.2156 Tablet / comprime
Teva-Candesartan/HCTZ 02395568 TEV 0.2156 Tablet / comprime
Tab/Co. Orl 32 mg / 25 mg Atacand Plus 02332957 AZE 1.4043 Tablet / comprime
Auro-Candesartan HCT 02421054 ARO 0.3008 Tablet / comprime
Jamp-Candesartan HCT 02473267 JPC 0.3008 Tablet / comprime
Sandoz Candesartan Plus 02420740 SDZ 0.3008 Tablet / comprime
Capecitabine / Capecitabine Tab/Co. Orl 150 mg Xeloda 02238453 HLR 0.4575 Tablet / comprime
Ach-Capecitabine 02426757 AHI 0.4575 Tablet / comprime
Sandoz Capecitabine 02421917 SDZ 0.4575 Tablet / comprime
Taro-Capecitabine 02457490 TAR 0.4575 Tablet / comprime
Teva-Capecitabine 02400022 TEV 0.4575 Tablet / comprime
Tab/Co. Orl 500 mg Xeloda 02238454 HLR 1.5250 Tablet / comprime
Ach-Capecitabine 02426765 AHI 1.5250 Tablet / comprime
Sandoz Capecitabine 02421925 SDZ 1.5250 Tablet / comprime
Taro-Capecitabine 02457504 TAR 1.5250 Tablet / comprime
Teva-Capecitabine 02400030 TEV 1.5250 Tablet / comprime
Captopril / Captopril Tab/Co. Orl 12.5 mg Teva-Captopril 01942964 TEV 0.1060 Tablet / comprime
Tab/Co. Orl 25 mg Teva-Captopril 01942972 TEV 0.1500 Tablet / comprime
Tab/Co. Orl 50 mg Teva-Captopril 01942980 TEV 0.2795 Tablet / comprime
Tab/Co. Orl 100 mg Teva-Captopril 01942999 TEV 0.5198 Tablet / comprime
Carbamazepine / Carbamazepine SRT/Co.L.L. Orl 200 mg Tegretol CR 00773611 NVR 0.0930 Tablet / comprime
Sandoz Carbamazepine CR 02261839 SDZ 0.0930 Tablet / comprime
pms-Carbamazepine 02231543 PMS 0.0930 Tablet / comprime
SRT/Co.L.L. Orl 400 mg Tegretol CR 00755583 NVR 0.1859 Tablet / comprime
Sandoz Carbamazepine CR 02261847 SDZ 0.1859 Tablet / comprime
pms-Carbamazepine 02231544 PMS 0.1859 Tablet / comprime
Sus/Susp Orl 100 mg/5 mL Tegretol 02194333 NVR 0.0582 Millilitre / millilitre
Taro-Carbamazepine 02367394 TAR 0.0582 Millilitre / millilitre
Tab/Co. Orl 200 mg Tegretol 00010405 NVR 0.1467 Tablet / comprime
Taro-Carbamazepine 02407515 TAR 0.1467 Tablet / comprime
Teva-Carbamazepine 00782718 TEV 0.1467 Tablet / comprime
Carvedilol / Carvedilol Tab/Co. Orl 3.125 mg Apo-Carvedilol 02247933 APX 0.2431 Tablet / comprime
Auro-Carvedilol 02418495 ARO 0.2431 Tablet / comprime
Carvedilol 02364913 SAS 0.2431 Tablet / comprime
Carvedilol 02248752 SIV 0.2431 Tablet / comprime
Jamp-Carvedilol 02368897 JPC 0.2431 Tablet / comprime
pms-Carvedilol 02245914 PMS 0.2431 Tablet / comprime
ratio-Carvedilol 02252309 TEV 0.2431 Tablet / comprime
Tab/Co. Orl 6.25 mg Apo-Carvedilol 02247934 APX 0.2431 Tablet / comprime
Auro-Carvedilol 02418509 ARO 0.2431 Tablet / comprime
Carvedilol 02364921 SAS 0.2431 Tablet / comprime
Carvedilol 02248753 SIV 0.2431 Tablet / comprime
Jamp-Carvedilol 02368900 JPC 0.2431 Tablet / comprime
pms-Carvedilol 02245915 PMS 0.2431 Tablet / comprime
ratio-Carvedilol 02252317 TEV 0.2431 Tablet / comprime
Tab/Co. Orl 12.5 mg Apo-Carvedilol 02247935 APX 0.2431 Tablet / comprime
Auro-Carvedilol 02418517 ARO 0.2431 Tablet / comprime
Carvedilol 02364948 SAS 0.2431 Tablet / comprime
Carvedilol 02248754 SIV 0.2431 Tablet / comprime
Jamp-Carvedilol 02368919 JPC 0.2431 Tablet / comprime
September / septembre 2020 Page 10
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
pms-Carvedilol 02245916 PMS 0.2431 Tablet / comprime
ratio-Carvedilol 02252325 TEV 0.2431 Tablet / comprime
Tab/Co. Orl 25 mg Apo-Carvedilol 02247936 APX 0.2431 Tablet / comprime
Auro-Carvedilol 02418525 ARO 0.2431 Tablet / comprime
Carvedilol 02364956 SAS 0.2431 Tablet / comprime
Carvedilol 02248755 SIV 0.2431 Tablet / comprime
Jamp-Carvedilol 02368927 JPC 0.2431 Tablet / comprime
pms-Carvedilol 02245917 PMS 0.2431 Tablet / comprime
ratio-Carvedilol 02252333 TEV 0.2431 Tablet / comprime
Caspofungin / Caspofungin Pwd/Pws. Inj 50 mg Cancidas IV 02244265 FRS 188.7000 Vial / fiole
Caspofungin for Injection 02460947 MDN 188.7000 Vial / fiole
Pwd/Pws. Inj 70 mg Cancidas IV 02244266 FRS 188.7000 Vial / fiole
Caspofungin for Injection 02460955 MDN 188.7000 Vial / fiole
Cefadroxil / Cefadroxil Cap/Caps Orl 500 mg Apo-Cefadroxil 02240774 APX 0.8421 Capsule / capsule
Teva-Cefadroxil 02235134 TEV 0.8421 Capsule / capsule
Cefazolin / Cefazoline Pws/Pds. Inj 500 mg Cefazolin Sodium 02308932 SDZ 2.5000 Vial / fiole
Cefazolin Sodium 02108119 TEV 2.5000 Vial / fiole
Pws/Pds. Inj 1 g Cefazolin Sodium 02108127 TEV 3.2308 Vial / fiole
Cefazolin Sodium 02308959 SDZ 3.2308 Vial / fiole
Cefepime / Cefepime Pws/Pds. Inj 1 g Apo-Cefepime 02467496 APX 15.1003 Vial / fiole
Pws/Pds. Inj 2 g Apo-Cefepime 02467518 APX 30.1962 Vial / fiole
Cefixime / Cefixime Pws/Pds. Orl 20 mg Suprax 00868965 ODN 0.3899 Millilitre / millilitre
Auro-Cefixime 02468689 ARO 0.3899 Millilitre / millilitre
Tab/Co. Orl 400 mg Suprax 00868981 ODN 2.7172 Tablet / comprime
Auro-Cefixime 02432773 ARO 2.7172 Tablet / comprime
Cefotaxime / Cefotaxime Pws/Pds. Inj 1 g Cefotaxime Sodium 02434091 STR 8.3300 Vial / fiole
Pws/Pds. Inj 2 g Cefotaxime Sodium 02434105 STR 16.6855 Vial / fiole
Cefoxitin / Cefoxitine Pws/Pds. Inj 1 g Cefoxitin Sodium 02128187 TEV 10.6000 Vial / fiole
Pws/Pds. Inj 2 g Cefoxitin Sodium 02128195 TEV 21.2500 Vial / fiole
Cefprozil / Cefprozil Pws/Pds. Orl 25 mg Taro-Cefprozil 02329204 SUN 0.1649 Millilitre / millilitre
Pws/Pds. Orl 50 mg Taro-Cefprozil 02293579 SUN 0.3294 Millilitre / millilitre
Tab/Co. Orl 250 mg Auro-Cefprozil 02347245 ARO 0.4332 Tablet / comprime
Sandoz Cefprozil 02302179 SDZ 0.4332 Tablet / comprime
Taro-Cefprozil 02293528 SUN 0.4332 Tablet / comprime
Tab/Co. Orl 500 mg Auro-Cefprozil 02347253 ARO 0.8494 Tablet / comprime
Sandoz Cefprozil 02302187 SDZ 0.8494 Tablet / comprime
Taro-Cefprozil 02293536 SUN 0.8494 Tablet / comprime
Ceftazidime / Ceftazidime Pws/Pds. Inj 1 g Fortaz 02212218 GSK 18.8500 Vial / fiole
Ceftazidime 00886971 FKB 18.8500 Vial / fiole
Pws/Pds. Inj 2 g Fortaz 02212226 GSK 37.1000 Vial / fiole
Ceftazidime 00886955 FKB 37.1000 Vial / fiole
Ceftriaxone / Ceftriaxone Pws/Pds. Inj 250 mg Ceftriaxone Sodium 02325594 STR 3.9501 Vial / fiole
Pws/Pds. Inj 1 g Ceftriaxone 02292270 SDZ 12.4950 Vial / fiole
Ceftriaxone Sodium 02287633 TEV 12.4950 Vial / fiole
Ceftriaxone Sodium 02325616 STR 12.4950 Vial / fiole
Pws/Pds. Inj 2 g Ceftriaxone 02292289 SDZ 24.1300 Vial / fiole
Ceftriaxone Sodium 02325624 STR 24.1300 Vial / fiole
Cefuroxime / Cefuroxime Pws/Pds. Inj 750 mg Cefuroxime 02241638 FKB 19.8900 Vial / fiole
Pws/Pds. Inj 1.5 g Cefuroxime 02241639 FKB 28.0400 Vial / fiole
Tab/Co. Orl 250 mg Ceftin 02212277 GSK 0.7237 Tablet / comprime
Apo-Cefuroxime 02244393 APX 0.7237 Tablet / comprime
Auro-Cefuroxime 02344823 ARO 0.7237 Tablet / comprime
Tab/Co. Orl 500 mg Ceftin 02212285 GSK 1.4337 Tablet / comprime
Apo-Cefuroxime 02244394 APX 1.4337 Tablet / comprime
Auro-Cefuroxime 02344831 ARO 1.4337 Tablet / comprime
Celecoxib / Celecoxib Cap/Caps Orl 100 mg Celebrex 02239941 UJC 0.1279 Capsule / capsule
Act-Celecoxib 02420155 ATV 0.1279 Capsule / capsule
Apo-Celecoxib 02418932 APX 0.1279 Capsule / capsule
Auro-Celecoxib 02445670 ARO 0.1279 Capsule / capsule
Celecoxib 02429675 SIV 0.1279 Capsule / capsule
Jamp-Celecoxib 02424533 JPC 0.1279 Capsule / capsule
Mar-Celecoxib 02420058 MAR 0.1279 Capsule / capsule
Mint-Celecoxib 02412497 MNT 0.1279 Capsule / capsule
NRA-Celecoxib 02479737 NRA 0.1279 Capsule / capsule
Ran-Celecoxib 02412373 RAN 0.1279 Capsule / capsule
SDZ Celecoxib 02442639 SDZ 0.1279 Capsule / capsule
pms-Celecoxib 02355442 PMS 0.1279 Capsule / capsule
Cap/Caps Orl 200 mg Celebrex 02239942 UJC 0.2558 Capsule / capsule
Act-Celecoxib 02420163 ATV 0.2558 Capsule / capsule
Apo-Celecoxib 02418940 APX 0.2558 Capsule / capsule
Auro-Celecoxib 02445689 ARO 0.2558 Capsule / capsule
Celecoxib 02429683 SIV 0.2558 Capsule / capsule
Jamp-Celecoxib 02424541 JPC 0.2558 Capsule / capsule
Mar-Celecoxib 02420066 MAR 0.2558 Capsule / capsule
September / septembre 2020 Page 11
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Mint-Celecoxib 02412500 MNT 0.2558 Capsule / capsule
NRA-Celecoxib 02479745 NRA 0.2558 Capsule / capsule
Ran-Celecoxib 02412381 RAN 0.2558 Capsule / capsule
SDZ Celecoxib 02442647 SDZ 0.2558 Capsule / capsule
pms-Celecoxib 02355450 PMS 0.2558 Capsule / capsule
Cephalexin / Cephalexine Cap/Caps Orl 250 mg Teva-Cephalexin 00342084 TEV 0.3620 Capsule / capsule
Cap/Caps Orl 500 mg Teva-Cephalexin 00342114 TEV 0.6845 Capsule / capsule
Pws/Pds. Orl 25 mg Teva-Cephalexin 00342106 TEV 0.2193 Millilitre / millilitre
Pws/Pds. Orl 50 mg Teva-Cephalexin 00342092 TEV 0.3675 Millilitre / millilitre
Tab/Co. Orl 250 mg Apo-Cephalex 00768723 APX 0.0866 Tablet / comprime
Auro-Cephalexin 02470578 ARO 0.0866 Tablet / comprime
Teva-Cephalexin 00583413 TEV 0.0866 Tablet / comprime
Tab/Co.
Orl 500 mg
Apo-Cephalex 00768715 APX 0.1731 Tablet / comprime
Tab/Co. Orl 500 mg Auro-Cephalexin 02470586 ARO 0.1731 Tablet / comprime
Teva-Cephalexin 00583421 TEV 0.1731 Tablet / comprime
Cetirizine / Cetirizine Tab/Co. Orl 10 mg Reactine 02223554 JNJ 0.4083 Tablet / comprime
Apo-Cetirizine 02231603 APX 0.4083 Tablet / comprime
Chloral Hydrate / Hydrate De Chloral Syr/Sir. Orl 100 mg/mL Chloral Hydrate Syrup Odan 02247621 ODN 0.0520 Millilitre / millilitre
Chlordiazepoxide / Chlordiazepoxide Cap/Caps Orl 5 mg Chlordiazepoxide 00522724 AAP 0.0717 Capsule / capsule
Cap/Caps Orl 10 mg Chlordiazepoxide 00522988 AAP 0.1091 Capsule / capsule
Cap/Caps Orl 25 mg Chlordiazepoxide 00522996 AAP 0.1740 Capsule / capsule
Chloroquine / Chloroquine Tab/Co. Orl 250 mg Teva-Chloroquine 00021261 TEV 0.3208 Tablet / comprime
Chlorphenamine (Chlorpheniramine) / Chlorphenamine
(Chlorpheniramine)
Tab/Co. Orl 4 mg Chlor-Tripolon 00738972 SCO 0.0645 Tablet / comprime
Novo-Pheniram 00021288 TEV 0.0645 Tablet / comprime
Chlorpromazine / Chlorpromazine Tab/Co. Orl 25 mg Teva-Chlorpromazine 00232823 TEV 0.1365 Tablet / comprime
Tab/Co. Orl 50 mg Teva-Chlorpromazine 00232807 TEV 0.1565 Tablet / comprime
Tab/Co. Orl 100 mg Teva-Chlorpromazine 00232831 TEV 0.3200 Tablet / comprime
Chlorthalidone / Chlorthalidone Tab/Co. Orl 50 mg Chlorthalidone 00360279 AAP 0.1267 Tablet / comprime
Cholestyramine / Cholestyramine Pws/Pds. Orl 4 g Packets/sachets Cholestyramine-Odan 02455609 ODN 0.0923 Gram / gramme
Jamp-Cholestyramine 02478595 JPC 0.0923 Gram / gramme
Olestyr 02210320 PMS 0.0923 Gram / gramme
Olestyr 00890960 PMS 0.0923 Gram / gramme
Cilazapril / Cilazapril Tab/Co. Orl 1 mg Apo-Cilazapril 02291134 APX 0.3115 Tablet / comprime
Mylan-Cilazapril 02283778 MYL 0.3115 Tablet / comprime
Tab/Co. Orl 2.5 mg Inhibace 01911473 MSD 0.4295 Tablet / comprime
Apo-Cilazapril 02291142 APX 0.4295 Tablet / comprime
Mylan-Cilazapril 02283786 MYL 0.4295 Tablet / comprime
Tab/Co. Orl 5 mg Inhibace 01911481 MSD 0.4989 Tablet / comprime
Apo-Cilazapril 02291150 APX 0.4989 Tablet / comprime
Mylan-Cilazapril 02283794 MYL 0.4989 Tablet / comprime
Cilazapril / Hydrochlorothiazide / Cilazapril /
Hydrochlorothiazide
Tab/Co. Orl 5 mg / 12.5 mg Inhibace Plus 02181479 HLR 0.4170 Tablet / comprime
Apo-Cilazapril/HCTZ 02284987 APX 0.4170 Tablet / comprime
Teva-Cilazapril/HCTZ 02313731 TEV 0.4170 Tablet / comprime
Cimetidine / Cimetidine Tab/Co. Orl 200 mg Cimetidine 00584215 AAP 0.3284 Tablet / comprime
Tab/Co. Orl 300 mg Cimetidine 00487872 AAP 0.3423 Tablet / comprime
Cinacalcet / Cinacalcet Tab/Co. Orl 30 mg Sensipar 02257130 AGA 2.7418 Tablet / comprime
Apo-Cinacalcet 02452693 APX 2.7418 Tablet / comprime
Auro-Cinacalcet 02478900 ARO 2.7418 Tablet / comprime
Mar-Cinacalcet 02480298 MAR 2.7418 Tablet / comprime
Teva-Cinacalcet 02441624 TEV 2.7418 Tablet / comprime
Tab/Co. Orl 60 mg Sensipar 02257149 AGA 4.9995 Tablet / comprime
Apo-Cinacalcet 02452707 APX 4.9995 Tablet / comprime
Auro-Cinacalcet 02478919 ARO 4.9995 Tablet / comprime
Mar-Cinacalcet 02480301 MAR 4.9995 Tablet / comprime
Teva-Cinacalcet 02441632 TEV 4.9995 Tablet / comprime
Tab/Co. Orl 90 mg Sensipar 02257157 AGA 7.2752 Tablet / comprime
Apo-Cinacalcet 02452715 APX 7.2752 Tablet / comprime
Auro-Cinacalcet 02478943 ARO 7.2752 Tablet / comprime
Mar-Cinacalcet 02480328 MAR 7.2752 Tablet / comprime
Teva-Cinacalcet 02441640 TEV 7.2752 Tablet / comprime
Ciprofloxacin / Ciprofloxacine Liq/Liq Oph 0.3% Ciloxan 01945270 NVR 1.7600 Millilitre / millilitre
Sandoz Ciprofloxacin 02387131 SDZ 1.7600 Millilitre / millilitre
Liq/Liq IV 2 mg/mL Ciprofloxacin Intravenous Infusion BP 02304759 SDZ 0.1540 Millilitre / millilitre
Tab/Co. Orl 250 mg Act Ciprofloxacin 02247339 TEV 0.4454 Tablet / comprime
Auro-Ciprofloxacin 02381907 ARO 0.4454 Tablet / comprime
Ciprofloxacin 02353318 SAS 0.4454 Tablet / comprime
Ciprofloxacin 02386119 SIV 0.4454 Tablet / comprime
Jamp-Ciprofloxacin 02380358 JPC 0.4454 Tablet / comprime
Mar-Ciprofloxacin 02379686 MAR 0.4454 Tablet / comprime
Mint-Ciproflox 02423553 MNT 0.4454 Tablet / comprime
Sandoz Ciprofloxacin 02248756 SDZ 0.4454 Tablet / comprime
Taro-Ciproflox 02303728 SUN 0.4454 Tablet / comprime
September / septembre 2020 Page 12
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
pms-Ciprofloxacin 02248437 PMS 0.4454 Tablet / comprime
Tab/Co. Orl 500 mg Cipro 02155966 BAY 0.5025 Tablet / comprime
Act Ciprofloxacin 02247340 TEV 0.5025 Tablet / comprime
Auro-Ciprofloxacin 02381923 ARO 0.5025 Tablet / comprime
Ciprofloxacin 02386127 SIV 0.5025 Tablet / comprime
Ciprofloxacin 02353326 SAS 0.5025 Tablet / comprime
Jamp-Ciprofloxacin 02380366 JPC 0.5025 Tablet / comprime
Mar-Ciprofloxacin 02379694 MAR 0.5025 Tablet / comprime
Sandoz Ciprofloxacin 02248757 SDZ 0.5025 Tablet / comprime
Taro-Ciproflox 02303736 SUN 0.5025 Tablet / comprime
pms-Ciprofloxacin 02248438 PMS 0.5025 Tablet / comprime
Tab/Co. Orl 750 mg Act Ciprofloxacin 02247341 TEV 0.9201 Tablet / comprime
Jamp-Ciprofloxacin 02380374 JPC 0.9201 Tablet / comprime
Mar-Ciprofloxacin 02379708 MAR 0.9201 Tablet / comprime
Mint-Ciproflox 02423588 MNT 0.9201 Tablet / comprime
Sandoz Ciprofloxacin 02248758 SDZ 0.9201 Tablet / comprime
Taro-Ciproflox 02303744 SUN 0.9201 Tablet / comprime
pms-Ciprofloxacin 02248439 PMS 0.9201 Tablet / comprime
Citalopram / Citalopram Tab/Co. Orl 10 mg Citalopram 02430517 JPC 0.0796 Tablet / comprime
Citalopram 02445719 SAS 0.0796 Tablet / comprime
Citalopram 02387948 SIV 0.0796 Tablet / comprime
Citalopram-10 02325047 PDL 0.0796 Tablet / comprime
Mar-Citalopram 02371871 MAR 0.0796 Tablet / comprime
Mint-Citalopram 02429691 MNT 0.0796 Tablet / comprime
Nat-Citalopram 02409003 NAT 0.0796 Tablet / comprime
Teva-Citalopram 02312336 TEV 0.0796 Tablet / comprime
pms-Citalopram 02270609 PMS 0.0796 Tablet / comprime
Tab/Co. Orl 20 mg Celexa 02239607 VLH 0.1332 Tablet / comprime
Apo-Citalopram 02246056 APX 0.1332 Tablet / comprime
Auro-Citalopram 02275562 ARO 0.1332 Tablet / comprime
CCP-Citalopram 02459914 CCM 0.1332 Tablet / comprime
Citalopram 02430541 JPC 0.1332 Tablet / comprime
Citalopram 02387956 SIV 0.1332 Tablet / comprime
Citalopram 02353660 SAS 0.1332 Tablet / comprime
Citalopram-20 02257513 PDL 0.1332 Tablet / comprime
Mar-Citalopram 02371898 MAR 0.1332 Tablet / comprime
Mint-Citalopram 02429705 MNT 0.1332 Tablet / comprime
Nat-Citalopram 02409011 NAT 0.1332 Tablet / comprime
Ran-Citalo 02285622 RAN 0.1332 Tablet / comprime
Sandoz Citalopram 02248170 SDZ 0.1332 Tablet / comprime
Septa-Citalopram 02355272 SPT 0.1332 Tablet / comprime
Teva-Citalopram 02293218 TEV 0.1332 Tablet / comprime
pms-Citalopram 02248010 PMS 0.1332 Tablet / comprime
Tab/Co. Orl 40 mg Celexa 02239608 VLH 0.1332 Tablet / comprime
Apo-Citalopram 02246057 APX 0.1332 Tablet / comprime
Auro-Citalopram 02275570 ARO 0.1332 Tablet / comprime
CCP-Citalopram 02459922 CCM 0.1332 Tablet / comprime
Citalopram 02387964 SIV 0.1332 Tablet / comprime
Citalopram 02430568 JPC 0.1332 Tablet / comprime
Citalopram 02353679 SAS 0.1332 Tablet / comprime
Citalopram-40 02257521 PDL 0.1332 Tablet / comprime
Mar-Citalopram 02371901 MAR 0.1332 Tablet / comprime
Mint-Citalopram 02429713 MNT 0.1332 Tablet / comprime
Nat-Citalopram 02409038 NAT 0.1332 Tablet / comprime
Sandoz Citalopram 02248171 SDZ 0.1332 Tablet / comprime
Septa-Citalopram 02355280 SPT 0.1332 Tablet / comprime
Teva-Citalopram 02293226 TEV 0.1332 Tablet / comprime
pms-Citalopram 02248011 PMS 0.1332 Tablet / comprime
Clarithromycin / Clarithromycine ERT/Co.L.P. Orl 500 mg Biaxin XL 02244756 ABB 1.2572 Tablet / comprime
Act Clarithromycin XL 02403196 TEV 1.2572 Tablet / comprime
Apo-Clarithromycin XL 02413345 APX 1.2572 Tablet / comprime
Pws/Pds. Orl 125 mg/5 mL Biaxin 02146908 ABB 0.2047 Millilitre / millilitre
Clarithromycin 02408988 SAS 0.2047 Millilitre / millilitre
Taro-Clarithromycin 02390442 TAR 0.2047 Millilitre / millilitre
Pws/Pds. Orl 250 mg/5 mL Biaxin 02244641 ABB 0.3998 Millilitre / millilitre
Clarithromycin 02408996 SAS 0.3998 Millilitre / millilitre
Taro-Clarithromycin 02390450 TAR 0.3998 Millilitre / millilitre
Tab/Co. Orl 250 mg Biaxin BID 01984853 ABB 0.4122 Tablet / comprime
Apo-Clarithromycin 02274744 APX 0.4122 Tablet / comprime
Clarithromycin 02466120 SAS 0.4122 Tablet / comprime
Clarithromycin 02442469 SIV 0.4122 Tablet / comprime
Ran-Clarithromycin 02361426 RAN 0.4122 Tablet / comprime
Sandoz Clarithromycin 02266539 SDZ 0.4122 Tablet / comprime
Teva-Clarithromycin 02248804 TEV 0.4122 Tablet / comprime
September / septembre 2020 Page 13
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
pms-Clarithromycin 02247573 PMS 0.4122 Tablet / comprime
Tab/Co. Orl 500 mg Biaxin BID 02126710 ABB 0.8318 Tablet / comprime
Apo-Clarithromycin 02274752 APX 0.8318 Tablet / comprime
Clarithromycin 02442485 SIV 0.8318 Tablet / comprime
Ran-Clarithromycin 02361434 RAN 0.8318 Tablet / comprime
Sandoz Clarithromycin 02266547 SDZ 0.8318 Tablet / comprime
Teva-Clarithromycin 02248805 TEV 0.8318 Tablet / comprime
pms-Clarithromycin 02247574 PMS 0.8318 Tablet / comprime
Clidinium / Chlordiazepoxide / Clidinium / Chlordiazepoxide Cap/Caps Orl 5 mg / 2.5 mg Librax 00115630 BSL 0.2451 Capsule / capsule
Chlorax 00618454 AAP 0.2451 Capsule / capsule
Clindamycin / Clindamycine Cap/Caps Orl 150 mg Dalacin C 00030570 PFI 0.2217 Capsule / capsule
Auro-Clindamycin 02436906 ARO 0.2217 Capsule / capsule
Jamp-Clindamycin 02483734 JPC 0.2217 Capsule / capsule
Teva-Clindamycin 02241709 TEV 0.2217 Capsule / capsule
Cap/Caps Orl 300 mg Dalacin C 02182866 PFI 0.4434 Capsule / capsule
Auro-Clindamycin 02436914 ARO 0.4434 Capsule / capsule
Jamp-Clindamycin 02483742 JPC 0.4434 Capsule / capsule
Teva-Clindamycin 02241710 TEV 0.4434 Capsule / capsule
Liq/Liq Top 1% Dalacin T 00582301 PFI 0.2310 Millilitre / millilitre
Clindamycin Phosphate Topical Solution 02483769 TLG 0.2310 Millilitre / millilitre
Taro-Clindamycin 02266938 TAR 0.2310 Millilitre / millilitre
Liq/Liq Inj 150 mg/mL Dalacin C Phosphate 00260436 PFI 3.6550 Millilitre / millilitre
Clindamycin (2mL, 4mL, 6mL vials) 02230540 SDZ 3.6550 Millilitre / millilitre
Clindamycin (bulk vials) 02230535 SDZ 3.6550 Millilitre / millilitre
Clobazam / Clobazam Tab/Co. Orl 10 mg Apo-Clobazam 02244638 APX 0.2197 Tablet / comprime
Teva-Clobazam 02238334 TEV 0.2197 Tablet / comprime
Clobetasol / Clobetasol Crm/Cr. Top 0.05% Dermovate 02213265 TPH 0.2279 Gram / gramme
Mylan-Clobetasol 02024187 MYL 0.2279 Gram / gramme
Taro-Clobetasol Cream 02245523 TAR 0.2279 Gram / gramme
ratio-Clobetasol 01910272 TEV 0.2279 Gram / gramme
Lot/Lot Top 0.05% Dermovate 02213281 TPH 0.1990 Gram / gramme
Mylan-Clobetasol Propionate 02216213 MYL 0.1990 Gram / gramme
Taro-Clobetasol Topical Sol'n 02245522 TAR 0.1990 Gram / gramme
ratio-Clobetasol 01910299 TEV 0.1990 Gram / gramme
Ont/Ont Top 0.05% Dermovate 02213273 TPH 0.2279 Gram / gramme
Mylan-Clobetasol 02026767 MYL 0.2279 Gram / gramme
Taro-Clobetasol Ointment 02245524 TAR 0.2279 Gram / gramme
ratio-Clobetasol 01910280 TEV 0.2279 Gram / gramme
Clomipramine / Clomipramine Tab/Co. Orl 10 mg Anafranil 00330566 AAP 0.2949 Tablet / comprime
Tab/Co. Orl 25 mg Anafranil 00324019 AAP 0.3417 Tablet / comprime
Cap/Caps Orl 25 mg Taro-Clomipramine 02497506 TAR 0.3417 Capsule / capsule
Tab/Co. Orl 50 mg Anafranil 00402591 AAP 0.6291 Tablet / comprime
Cap/Caps Orl 50 mg Taro-Clomipramine 02497514 TAR 0.6291 Capsule / capsule
Clonazepam / Clonazepam Tab/Co. Orl 0.25 mg pms-Clonazepam 02179660 PMS 0.0850 Tablet / comprime
Tab/Co. Orl 0.5 mg Rivotril 00382825 HLR 0.0418 Tablet / comprime
Apo-Clonazepam 02177889 APX 0.0418 Tablet / comprime
pms-Clonazepam R 02207818 PMS 0.0418 Tablet / comprime
Tab/Co. Orl 1 mg pms-Clonazepam 02048728 PMS 0.1487 Tablet / comprime
Tab/Co. Orl 2 mg Rivotril 00382841 HLR 0.0721 Tablet / comprime
Apo-Clonazepam 02177897 APX 0.0721 Tablet / comprime
pms-Clonazepam 02048736 PMS 0.0721 Tablet / comprime
Clonidine / Clonidine Tab/Co. Orl 0.025 mg Teva-Clonidine 02304163 TEV 0.2713 Tablet / comprime
Tab/Co. Orl 0.1 mg Mint-Clonidine 02462192 MNT 0.0927 Tablet / comprime
Teva-Clonidine 02046121 TEV 0.0927 Tablet / comprime
Tab/Co. Orl 0.2 mg Mint-Clonidine 02462206 MNT 0.1653 Tablet / comprime
Teva-Clonidine 02046148 TEV 0.1653 Tablet / comprime
Clopidogrel / Clopidogrel Tab/Co. Orl 75 mg Plavix 02238682 SAV 0.2631 Tablet / comprime
Apo-Clopidogrel 02252767 APX 0.2631 Tablet / comprime
Auro-Clopidogrel 02416387 ARO 0.2631 Tablet / comprime
Clopidogrel 02394820 PDL 0.2631 Tablet / comprime
Clopidogrel 02385813 SIV 0.2631 Tablet / comprime
Clopidogrel 02400553 SAS 0.2631 Tablet / comprime
Jamp-Clopidogrel 02415550 JPC 0.2631 Tablet / comprime
Mar-Clopidogrel 02422255 MAR 0.2631 Tablet / comprime
NRA-Clopidogrel 02482037 NRA 0.2631 Tablet / comprime
Sandoz Clopidogrel 02359316 SDZ 0.2631 Tablet / comprime
Taro-Clopidogrel 02379813 SUN 0.2631 Tablet / comprime
Teva-Clopidogrel 02293161 TEV 0.2631 Tablet / comprime
pms-Clopidogrel 02348004 PMS 0.2631 Tablet / comprime
Clorazepate Dipotassium / Clorazepate Dipotassique Cap/Caps Orl 3.75 mg Clorazepate 00860689 AAP 0.1506 Capsule / capsule
Cap/Caps Orl 7.5 mg Clorazepate 00860700 AAP 0.1810 Capsule / capsule
Cap/Caps Orl 15 mg Clorazepate 00860697 AAP 0.3259 Capsule / capsule
Clotrimazole / Betamethasone / Clotrimazole / Betamethasone Crm/Cr. Top 1% / 0.05% Lotriderm 00611174 FRS 0.6964 Gram / gramme
September / septembre 2020 Page 14
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Taro-Clotrimazole/Betamethasone Dipropionate 02496410 TAR 0.6964 Gram / gramme
Clotrimazole / Clotrimazole Crm/Cr. Top 1% Canesten 02150867 YNO 0.2060 Gram / gramme
Clotrimaderm 00812382 TAR 0.2060 Gram / gramme
Cloxacillin / Cloxacilline Cap/Caps Orl 250 mg Teva-Cloxacillin 00337765 TEV 0.3620 Capsule / capsule
Cap/Caps Orl 500 mg Teva-Cloxacillin 00337773 TEV 0.6845 Capsule / capsule
Pws/Pds. Orl 25 mg Teva-Cloxacillin 00337757 TEV 0.0911 Millilitre / millilitre
Clozapine / Clozapine Tab/Co. Orl 25 mg Clozaril 00894737 HLS 0.6594 Tablet / comprime
AA-Clozapine 02248034 AAP 0.6594 Tablet / comprime
Gen-Clozapine 02247243 MYL 0.6594 Tablet / comprime
Tab/Co. Orl 50 mg AA-Clozapine 02458748 AAP 1.3188 Tablet / comprime
Gen-Clozapine 02305003 MYL 1.3188 Tablet / comprime
Tab/Co. Orl 100 mg Clozaril 00894745 HLS 2.6446 Tablet / comprime
AA-Clozapine 02248035 AAP 2.6446 Tablet / comprime
Gen-Clozapine 02247244 MYL 2.6446 Tablet / comprime
Tab/Co. Orl 200 mg AA-Clozapine 02458756 AAP 5.2892 Tablet / comprime
Gen-Clozapine 02305011 MYL 5.2892 Tablet / comprime
Codeine / Codeine Liq/Liq Inj 30 mg/mL Codeine Phosphate 00544884 SDZ 4.1828 Millilitre / millilitre
Tab/Co. Orl 15 mg Teva-Codeine 00593435 TEV 0.0542 Tablet / comprime
Tab/Co. Orl 30 mg Teva-Codeine 00593451 TEV 0.0966 Tablet / comprime
Colchicine / Colchicine Tab/Co. Orl 0.6 mg Colchicine 00572349 ODN 0.2565 Tablet / comprime
Jamp-Colchicine 02373823 JPC 0.2565 Tablet / comprime
Sandoz Colchicine 00287873 SDZ 0.2565 Tablet / comprime
pms-Colchicine 02402181 PMS 0.2565 Tablet / comprime
Cortisone / Cortisone Tab/Co. Orl 25 mg Cortisone 00280437 VLN 0.3611 Tablet / comprime
Cromoglicic Acid / Acide Cromoglicique Liq/Liq Inh 1% pms-Sodium Cromoglycate 02046113 PMS 0.8165 Millilitre / millilitre
Liq/Liq Oph 2% Opticrom 02230621 ALL 0.9500 Millilitre / millilitre
Cromolyn Ophthalmic Solution 02009277 PDP 0.9500 Millilitre / millilitre
Cyanocobalamin / Cyanocobalamine Liq/Liq Inj 1 000 mcg/mL Cyanocobalamin 01987003 STR 0.3063 Millilitre / millilitre
Cyanocobalamin Injection USP 00626112 OMG 0.3063 Millilitre / millilitre
Jamp-Cyanocobalamin 02420147 JPC 0.3063 Millilitre / millilitre
Vitamin B12* (10mL) 00521515 SDZ 0.3063 Millilitre / millilitre
Cyclobenzaprine / Cyclobenzaprine Tab/Co. Orl 10 mg Apo-Cycloprine 02177145 APX 0.1022 Tablet / comprime
Auro-Cyclobenzaprine 02348853 ARO 0.1022 Tablet / comprime
Cyclobenzaprine 02424584 SIV 0.1022 Tablet / comprime
Cyclobenzaprine 02287064 SAS 0.1022 Tablet / comprime
Flexeril 02495422 ORI 0.1022 Tablet / comprime
Jamp-Cyclobenzaprine 02357127 JPC 0.1022 Tablet / comprime
Novo-Cycloprine 02080052 TEV 0.1022 Tablet / comprime
pms-Cyclobenzaprine 02212048 PMS 0.1022 Tablet / comprime
Cyclosporine / Cyclosporine Cap/Caps Orl 25 mg Neoral 02150689 NVR 1.5150 Capsule / capsule
Sandoz Cyclosporine 02247073 SDZ 0.9952 Capsule / capsule
Cap/Caps Orl 50 mg Neoral 02150662 NVR 2.9550 Capsule / capsule
Sandoz Cyclosporine 02247074 SDZ 1.9400 Capsule / capsule
Cap/Caps Orl 100 mg Neoral 02150670 NVR 5.9120 Capsule / capsule
Sandoz Cyclosporine 02242821 SDZ 3.8815 Capsule / capsule
Cyproterone / Cyproterone Tab/Co. Orl 50 mg Androcur 00704431 PMS 1.4000 Tablet / comprime
Med-Cyproterone 02390760 GMP 1.4000 Tablet / comprime
Dabigatran Etexilate / Dabigatran Etexilate Cap/Caps Orl 110 mg Pradaxa 02312441 BOE 1.6720 Capsule / capsule
Apo-Dabigatran 02468905 APX 1.2540 Capsule / capsule
Cap/Caps Orl 150 mg Pradaxa 02358808 BOE 1.6720 Capsule / capsule
Apo-Dabigatran 02468913 APX 1.2540 Capsule / capsule
Dapsone / Dapsone Tab/Co. Orl 100 mg Dapsone 02041510 JCB 0.7031 Tablet / comprime
Mar-Dapsone 02481227 MAR 0.7031 Tablet / comprime
Riva-Dapsone 02489058 RIV 0.7031 Tablet / comprime
Darunavir / Darunavir Tab/Co. Orl 600 mg Prezista 02324024 JAN 8.5940 Tablet / comprime
Apo-Darunavir 02487241 APX 8.5940 Tablet / comprime
Auro-Darunavir 02486121 ARO 8.5940 Tablet / comprime
Tab/Co. Orl 800 mg Prezista 02393050 JAN 11.6590 Tablet / comprime
Apo-Darunavir 02487268 APX 11.6590 Tablet / comprime
Auro-Darunavir 02486148 ARO 11.6590 Tablet / comprime
Dasatinib / Dasatinib Tab/Co. Orl 20 mg Sprycel 02293129 BRI 29.0138 Tablet / comprime P
Apo-Dasatinib 02470705 APX 29.0138 Tablet / comprime P
Tab/Co. Orl 50 mg Sprycel 02293137 BRI 58.3925 Tablet / comprime P
Apo-Dasatinib 02470713 APX 58.3925 Tablet / comprime P
Tab/Co. Orl 70 mg Sprycel 02293145 BRI 64.3532 Tablet / comprime P
Apo-Dasatinib 02481499 APX 64.3532 Tablet / comprime P
Tab/Co. Orl 80 mg Sprycel 02360810 BRI 117.3255 Tablet / comprime P
Apo-Dasatinib 02481502 APX 117.3255 Tablet / comprime P
Tab/Co. Orl 100 mg Sprycel 02320193 BRI 116.7062 Tablet / comprime P
Apo-Dasatinib 02470721 APX 116.7062 Tablet / comprime P
Deferasirox / Deferasirox Tab/Co. Orl 90 mg Jadenu 02452219 NVR 7.8909 Tablet / comprime P
Apo-Deferasirox (Type J) 02485265 APX 7.8909 Tablet / comprime P
Tab/Co. Orl 125 mg Exjade 02287420 NVR 2.6204 Tablet / comprime P
September / septembre 2020 Page 15
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Apo-Deferasirox 02461544 APX 2.6204 Tablet / comprime P
Sandoz Deferasirox 02464454 SDZ 2.6204 Tablet / comprime P
Taro-Deferasirox 02463520 TAR 2.6204 Tablet / comprime P
Teva-Deferasirox 02407957 TEV 2.6204 Tablet / comprime P
Tab/Co. Orl 180 mg Jadenu 02452227 NVR 15.7830 Tablet / comprime P
Apo-Deferasirox (Type J) 02485273 APX 15.7830 Tablet / comprime P
Tab/Co. Orl 250 mg Exjade 02287439 NVR 5.2410 Tablet / comprime P
Apo-Deferasirox 02461552 APX 5.2410 Tablet / comprime P
Sandoz Deferasirox 02464462 SDZ 5.2410 Tablet / comprime P
Taro-Deferasirox 02463539 TAR 5.2410 Tablet / comprime P
Teva-Deferasirox 02407965 TEV 5.2410 Tablet / comprime P
Tab/Co. Orl 360 mg Jadenu 02452235 NVR 31.5683 Tablet / comprime P
Apo-Deferasirox (Type J) 02485281 APX 31.5683 Tablet / comprime P
Tab/Co. Orl 500 mg Exjade 02287447 NVR 10.4824 Tablet / comprime P
Apo-Deferasirox 02461560 APX 10.4824 Tablet / comprime P
Sandoz Deferasirox 02464470 SDZ 10.4824 Tablet / comprime P
Taro-Deferasirox 02463547 TAR 10.4824 Tablet / comprime P
Teva-Deferasirox 02407973 TEV 10.4824 Tablet / comprime P
Deferoxamine / Deferoxamine Pws/Pds. Inj 500 mg Desferal 01981242 NVR 13.3800 Vial / fiole
Deferoxamine Mesilate 02241600 PFI 13.3800 Vial / fiole
Pws/Pds. Inj 2 g Deferoxamine Mesilate 02247022 PFI 53.7400 Vial / fiole
Desipramine / Desipramine Tab/Co. Orl 10 mg Desipramine 02216248 AAP 0.4056 Tablet / comprime
Tab/Co. Orl 25 mg Desipramine 02216256 AAP 0.3880 Tablet / comprime
Tab/Co. Orl 50 mg Desipramine 02216264 AAP 0.6838 Tablet / comprime
Tab/Co. Orl 75 mg Desipramine 02216272 AAP 0.9093 Tablet / comprime
Tab/Co. Orl 100 mg Desipramine 02216280 AAP 0.9507 Tablet / comprime
Desmopressin / Desmopressine Aem/Aem. Nas 10 mcg DDAVP Spray 00836362 FEI 1.4444 Dose / dose
Desmopressin Spray 02242465 AAP 1.4444 Dose / dose
Tab/Co. Orl 0.1 mg DDAVP 00824305 FEI 0.6609 Tablet / comprime
Desmopressin 02284030 AAP 0.6609 Tablet / comprime
Tab/Co. Orl 0.2 mg DDAVP 00824143 FEI 1.3216 Tablet / comprime
Desmopressin 02284049 AAP 1.3216 Tablet / comprime
Desogestrel and Ethinyl Estradiol / Desogestrel et
Ethinyloestradiol
Tab/Co. Orl 0.15 mg / 0.03 mg Marvelon (21) 02042487 FRS 0.3700 Tablet / comprime
Apri (21) 02317192 TEV 0.3700 Tablet / comprime
Freya (21) 02396491 MYL 0.3700 Tablet / comprime
Mirvala (21) 02410249 APX 0.3700 Tablet / comprime
Tab/Co. Orl 0.15 mg / 0.03 mg Marvelon (28) 02042479 FRS 0.2775 Tablet / comprime
Apri (28) 02317206 TEV 0.2775 Tablet / comprime
Freya (28) 02396610 MYL 0.2775 Tablet / comprime
Mirvala (28) 02410257 APX 0.2775 Tablet / comprime
Desonide / Desonide Crm/Cr. Top 0.05% pdp-Desonide 02229315 PDP 0.3275 Gram / gramme
Ont/Ont Top 0.05% pdp-Desonide 02229323 PDP 0.3107 Gram / gramme
Desoximetasone / Desoximetasone Crm/Cr. Top 0.05% Topicort Mild 02221918 BSL 0.4792 Gram / gramme
Crm/Cr. Top 0.25% Topicort 02221896 BSL 0.7181 Gram / gramme
Gel/Gel Top 0.05% Topicort 02221926 BSL 0.5540 Gram / gramme
Dexamethasone / Dexamethasone Liq/Liq Inj 4 mg/mL Dexamethasone sodium phosphate 00664227 SDZ 1.6060 Millilitre / millilitre
Dexamethasone sodium phosphate 01977547 STR 1.6060 Millilitre / millilitre
Dexamethasone-Omega 02204266 OMG 1.6060 Millilitre / millilitre
Tab/Co. Orl 0.5 mg Apo-Dexamethasone 02261081 APX 0.1564 Tablet / comprime
pms-Dexamethasone 01964976 PMS 0.1564 Tablet / comprime
Tab/Co. Orl 2 mg pms-Dexamethasone 02279363 PMS 0.5267 Tablet / comprime
Tab/Co. Orl 4 mg Apo-Dexamethasone 02250055 APX 0.3046 Tablet / comprime
pms-Dexamethasone 01964070 PMS 0.3046 Tablet / comprime
Dexamphetamine / Dexamphetamine SRC/Caps.L.L. Orl 10 mg Dexedrine 01924559 PAL 0.8096 Capsule / capsule
Act-Dextroamphetamine SR 02448319 TEV 0.8096 Capsule / capsule
SRC/Caps.L.L. Orl 15 mg Dexedrine 01924567 PAL 1.4067 Capsule / capsule
Act-Dextroamphetamine SR 02448327 TEV 0.9898 Capsule / capsule
Tab/Co. Orl 5 mg Dexedrine 01924516 PAL 0.5081 Tablet / comprime
Dextroamphetamine 02443236 AAP 0.5081 Tablet / comprime
Diazepam / Diazepam Liq/Liq Inj 5 mg/mL Diazepam 00399728 SDZ 1.6415 Millilitre / millilitre
Tab/Co. Orl 2 mg Diazepam 00405329 AAP 0.0532 Tablet / comprime
Tab/Co. Orl 5 mg Valium 00013285 HLR 0.0650 Tablet / comprime
Diazepam 00362158 AAP 0.0650 Tablet / comprime
pms-Diazepam 02247491 PMS 0.0650 Tablet / comprime
Tab/Co. Orl 10 mg Diazepam 00405337 AAP 0.0867 Tablet / comprime
pms-Diazepam 02247492 PMS 0.0867 Tablet / comprime
Diclofenac / Diclofenac ECT/Co.Ent Orl 25 mg Apo-Diclo 00839175 APX 0.0781 Tablet / comprime
Teva-Difenac 00808539 TEV 0.0781 Tablet / comprime
pms-Diclofenac 02302616 PMS 0.0781 Tablet / comprime
ECT/Co.Ent Orl 50 mg Voltaren 00514012 NVR 0.2024 Tablet / comprime
Apo-Diclo 00839183 APX 0.2024 Tablet / comprime
Diclofenac EC 02352397 SAS 0.2024 Tablet / comprime
Sandoz Diclofenac 02261960 SDZ 0.2024 Tablet / comprime
September / septembre 2020 Page 16
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Teva-Difenac 00808547 TEV 0.2024 Tablet / comprime
pms-Diclofenac 02302624 PMS 0.2024 Tablet / comprime
Liq/Liq Oph 0.1% Voltaren 01940414 NVR 1.2397 Millilitre / millilitre
Apo-Diclofenac 02441020 APX 1.2397 Millilitre / millilitre
Diclofenac 02475065 PST 1.2397 Millilitre / millilitre
Sandoz Diclofenac Ophtha 02454807 SDZ 1.2397 Millilitre / millilitre
SRT/Co.L.L. Orl 75 mg Voltaren SR 00782459 NVR 0.2320 Tablet / comprime
Apo-Diclo SR 02162814 APX 0.2320 Tablet / comprime
Sandoz Diclofenac SR 02261901 SDZ 0.2320 Tablet / comprime
Teva-Difenac SR 02158582 TEV 0.2320 Tablet / comprime
pms-Diclofenac SR 02231504 PMS 0.2320 Tablet / comprime
SRT/Co.L.L. Orl 100 mg Voltaren SR 00590827 NVR 0.4048 Tablet / comprime
Apo-Diclo SR 02091194 APX 0.4048 Tablet / comprime
Sandoz Diclofenac SR 02261944 SDZ 0.4048 Tablet / comprime
Teva-Difenac SR 02048698 TEV 0.4048 Tablet / comprime
pms-Diclofenac SR 02231505 PMS 0.4048 Tablet / comprime
Sup/Supp. Rt 50 mg Voltaren 00632724 NVR 0.4339 Suppository / suppositoire
Sandoz Diclofenac 02261928 SDZ 0.4339 Suppository / suppositoire
pms-Difenac 02231506 PMS 0.4339 Suppository / suppositoire
Sup/Supp. Rt 100 mg Sandoz Diclofenac 02261936 SDZ 0.5840 Suppository / suppositoire
pms-Difenac 02231508 PMS 0.5840 Suppository / suppositoire
Diclofenac / Misoprostol / Diclofenac / Misoprostol Tab/Co. Orl 50 mg / 200 mcg Arthrotec 01917056 PFI 0.3027 Tablet / comprime
GD-Diclofenac/Misoprostol 02341689 GMD 0.3027 Tablet / comprime
pms-Diclofenac/Misoprostol 02413469 PMS 0.3027 Tablet / comprime
Tab/Co. Orl 75 mg / 200 mcg Arthrotec 02229837 PFI 0.4120 Tablet / comprime
GD-Diclofenac/Misoprostol 02341697 GMD 0.4120 Tablet / comprime
pms-Diclofenac/Misoprostol 02413477 PMS 0.4120 Tablet / comprime
Dicycloverine (Dicyclomine) / Dicycloverine (Dicyclomine) Cap/Caps Orl 10 mg Protylol 00287709 PDL 0.0609 Capsule / capsule
Tab/Co. Orl 20 mg Jamp-Dicyclomine 02366088 JPC 0.6990 Tablet / comprime
Dienogest / Dienogest Tab/Co. Orl 2 mg Visanne 02374900 BAY 1.5346 Tablet / comprime
Aspen-Dienogest 02493055 APN 1.5346 Tablet / comprime
Diflunisal / Diflunisal Tab/Co. Orl 250 mg Diflunisal 02039486 AAP 0.6110 Tablet / comprime
Tab/Co. Orl 500 mg Diflunisal 02039494 AAP 0.7737 Tablet / comprime
Digoxin / Digoxine Liq/Liq Orl 0.05 mg/mL Toloxin 02242320 PDP 1.2487 Millilitre / millilitre
Tab/Co. Orl 0.0625 mg Toloxin 02335700 PDP 0.2617 Tablet / comprime
Tab/Co. Orl 0.125 mg Toloxin 02335719 PDP 0.2617 Tablet / comprime
Dihydroergotamine / Dihydroergotamine Liq/Liq Nas 4 mg/mL Migranal 02228947 STR 13.8833 Millilitre / millilitre
Diltiazem / Diltiazem CDC/Caps.L.C. Orl 120 mg Cardizem CD 02097249 VLN 0.3529 Capsule / capsule
Act Diltiazem CD 02370611 TEV 0.3529 Capsule / capsule
Apo-Diltiaz CD 02230997 APX 0.3529 Capsule / capsule
Diltiazem CD 02445999 SIV 0.3529 Capsule / capsule
Diltiazem CD 02400421 SAS 0.3529 Capsule / capsule
Diltiazem-CD 02231472 PDL 0.3529 Capsule / capsule
Mar-Diltiazem CD 02484064 MAR 0.3529 Capsule / capsule
Sandoz Diltiazem CD 02243338 SDZ 0.3529 Capsule / capsule
Teva-Diltazem CD 02242538 TEV 0.3529 Capsule / capsule
CDC/Caps.L.C. Orl 180 mg Cardizem CD 02097257 VLN 0.4684 Capsule / capsule
Apo-Diltiaz CD 02230998 APX 0.4684 Capsule / capsule
Diltiazem CD 02446006 SIV 0.4684 Capsule / capsule
Diltiazem CD 02400448 SAS 0.4684 Capsule / capsule
Diltiazem-CD 02231474 PDL 0.4684 Capsule / capsule
Mar-Diltiazem CD 02484072 MAR 0.4684 Capsule / capsule
Sandoz Diltiazem CD 02243339 SDZ 0.4684 Capsule / capsule
Teva-Diltazem CD 02242539 TEV 0.4684 Capsule / capsule
CDC/Caps.L.C. Orl 240 mg Cardizem CD 02097265 VLN 0.6213 Capsule / capsule
Apo-Diltiaz CD 02230999 APX 0.6213 Capsule / capsule
Diltiazem CD 02400456 SAS 0.6213 Capsule / capsule
Diltiazem CD 02446014 SIV 0.6213 Capsule / capsule
Diltiazem-CD 02231475 PDL 0.6213 Capsule / capsule
Mar-Diltiazem CD 02484080 MAR 0.6213 Capsule / capsule
Sandoz Diltiazem CD 02243340 SDZ 0.6213 Capsule / capsule
Teva-Diltazem CD 02242540 TEV 0.6213 Capsule / capsule
CDC/Caps.L.C. Orl 300 mg Cardizem CD 02097273 VLN 0.7766 Capsule / capsule
Act Diltiazem CD 02370654 TEV 0.7766 Capsule / capsule
Apo-Diltiaz CD 02229526 APX 0.7766 Capsule / capsule
Diltiazem CD 02446022 SIV 0.7766 Capsule / capsule
Diltiazem CD 02400464 SAS 0.7766 Capsule / capsule
Diltiazem-CD 02231057 PDL 0.7766 Capsule / capsule
Mar-Diltiazem CD 02484099 MAR 0.7766 Capsule / capsule
Sandoz Diltiazem CD 02243341 SDZ 0.7766 Capsule / capsule
Teva-Diltazem CD 02242541 TEV 0.7766 Capsule / capsule
ERC/Caps.L.P. Orl 120 mg Tiazac 02231150 VLN 0.2133 Capsule / capsule
Act Diltiazem T 02370441 TEV 0.2133 Capsule / capsule
Diltiazem TZ 02325306 PDL 0.2133 Capsule / capsule
September / septembre 2020 Page 17
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Jamp-Diltiazem T 02495376 JPC 0.2133 Capsule / capsule
Mar-Diltiazem T 02465353 MAR 0.2133 Capsule / capsule
Sandoz Diltiazem T 02245918 SDZ 0.2133 Capsule / capsule
Teva-Diltiazem ER 02271605 TEV 0.2133 Capsule / capsule
ERC/Caps.L.P. Orl 180 mg Tiazac 02231151 VLN 0.2889 Capsule / capsule
Act Diltiazem T 02370492 TEV 0.2889 Capsule / capsule
Diltiazem TZ 02325314 PDL 0.2889 Capsule / capsule
Jamp-Diltiazem T 02495384 JPC 0.2889 Capsule / capsule
Mar-Diltiazem T 02465361 MAR 0.2889 Capsule / capsule
Sandoz Diltiazem T 02245919 SDZ 0.2889 Capsule / capsule
Teva-Diltiazem ER 02271613 TEV 0.2889 Capsule / capsule
ERC/Caps.L.P. Orl 240 mg Tiazac 02231152 VLN 0.3832 Capsule / capsule
Act Diltiazem T 02370506 TEV 0.3832 Capsule / capsule
Diltiazem TZ 02325322 PDL 0.3832 Capsule / capsule
Jamp-Diltiazem T 02495392 JPC 0.3832 Capsule / capsule
Mar-Diltiazem T 02465388 MAR 0.3832 Capsule / capsule
Sandoz Diltiazem T 02245920 SDZ 0.3832 Capsule / capsule
Teva-Diltiazem ER 02271621 TEV 0.3832 Capsule / capsule
ERC/Caps.L.P. Orl 300 mg Tiazac 02231154 VLN 0.4720 Capsule / capsule
Act Diltiazem T 02370514 TEV 0.4720 Capsule / capsule
Diltiazem TZ 02325330 PDL 0.4720 Capsule / capsule
Jamp-Diltiazem T 02495406 JPC 0.4720 Capsule / capsule
Mar-Diltiazem T 02465396 MAR 0.4720 Capsule / capsule
Sandoz Diltiazem T 02245921 SDZ 0.4720 Capsule / capsule
Teva-Diltiazem ER 02271648 TEV 0.4720 Capsule / capsule
ERC/Caps.L.P. Orl 360 mg Tiazac 02231155 VLN 0.5778 Capsule / capsule
Act Diltiazem T 02370522 TEV 0.5778 Capsule / capsule
Diltiazem TZ 02325349 PDL 0.5778 Capsule / capsule
Jamp-Diltiazem T 02495414 JPC 0.5778 Capsule / capsule
Mar-Diltiazem T 02465418 MAR 0.5778 Capsule / capsule
Sandoz Diltiazem T 02245922 SDZ 0.5778 Capsule / capsule
Teva-Diltiazem ER 02271656 TEV 0.5778 Capsule / capsule
Tab/Co. Orl 30 mg AA-Diltiaz 00771376 AAP 0.1866 Tablet / comprime
Teva-Diltiazem 00862924 TEV 0.1866 Tablet / comprime
Tab/Co. Orl 60 mg AA-Diltiaz 00771384 AAP 0.3273 Tablet / comprime
Teva-Diltiazem 00862932 TEV 0.3273 Tablet / comprime
Dimethyl Sulfoxide / Sulfoxyde De Dimethyle Liq/Liq ITV 500 mg/g Rimso-50 00493392 MYL 1.7000 Millilitre / millilitre
Diphenhydramine / Diphenhydramine Elx/Elx Orl 12.5 mg/5 mL Benadryl 02019736 JNJ 0.0234 Millilitre / millilitre
Diphenhydramine HCl Elixir USP 02298503 JPC 0.0234 Millilitre / millilitre
Liq/Liq Inj 50 mg Diphenist 02219336 OMG 4.0400 Millilitre / millilitre
Diphenhydramine HCl 00596612 SDZ 4.0400 Millilitre / millilitre
Tab/Co. Orl 25 mg Benadryl 02017849 JNJ 0.0975 Tablet / comprime
Diphenhydramine 02257548 JPC 0.0975 Tablet / comprime
Tab/Co. Orl 50 mg Diphenhydramine 02257556 JPC 0.1297 Tablet / comprime
Dipyridamole / Acetylsalicylic Acid / Dipyridamole / Acide
Acetylsalicylique
Cap/Caps Orl 200 mg / 25 mg Aggrenox 02242119 BOE 0.9087 Capsule / capsule
Taro-Dipyridamole/ASA 02471051 TAR 0.6656 Capsule / capsule
Dipyridamole / Dipyridamole Tab/Co. Orl 25 mg Apo-Dipyridamole FC/FE 00895644 APX 0.2633 Tablet / comprime
Tab/Co. Orl 50 mg Apo-Dipyridamole FC/FE 00895652 APX 0.3685 Tablet / comprime
Tab/Co. Orl 75 mg Apo-Dipyridamole FC/FE 00895660 APX 0.4963 Tablet / comprime
Domperidone / Domperidone Tab/Co. Orl 10 mg Apo-Domperidone 02103613 APX 0.0428 Tablet / comprime
Domperidone 02350440 SAS 0.0428 Tablet / comprime
Domperidone 02238341 SIV 0.0428 Tablet / comprime
Jamp-Domperidone 02369206 JPC 0.0428 Tablet / comprime
Mar-Domperidone 02403870 MAR 0.0428 Tablet / comprime
Ran-Domperidone 02268078 RAN 0.0428 Tablet / comprime
Teva-Domperidone 01912070 TEV 0.0428 Tablet / comprime
pms-Domperidone 02236466 PMS 0.0428 Tablet / comprime
Donepezil / Donepezil Tab/Co. Orl 5 mg Aricept 02232043 PFI 0.4586 Tablet / comprime
Apo-Donepezil 02362260 APX 0.4586 Tablet / comprime
Auro-Donepezil 02400561 ARO 0.4586 Tablet / comprime
Donepezil 02402645 AHI 0.4586 Tablet / comprime
Donepezil 02426846 SAS 0.4586 Tablet / comprime
Donepezil 02420597 SIV 0.4586 Tablet / comprime
Jamp-Donepezil 02416948 JPC 0.4586 Tablet / comprime
Mar-Donepezil 02402092 MAR 0.4586 Tablet / comprime
Mint-Donepezil 02408600 MNT 0.4586 Tablet / comprime
Nat-Donepezil 02439557 NAT 0.4586 Tablet / comprime
Sandoz Donepezil 02328666 SDZ 0.4586 Tablet / comprime
Septa-Donepezil 02428482 SPT 0.4586 Tablet / comprime
Taro-Donepezil 02381508 SUN 0.4586 Tablet / comprime
Teva-Donepezil 02340607 TEV 0.4586 Tablet / comprime
pms-Donepezil 02322331 PMS 0.4586 Tablet / comprime
Tab/Co. Orl 10 mg Aricept 02232044 PFI 0.4586 Tablet / comprime
September / septembre 2020 Page 18
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Apo-Donepezil 02362279 APX 0.4586 Tablet / comprime
Auro-Donepezil 02400588 ARO 0.4586 Tablet / comprime
Donepezil 02402653 AHI 0.4586 Tablet / comprime
Donepezil 02426854 SAS 0.4586 Tablet / comprime
Donepezil 02420600 SIV 0.4586 Tablet / comprime
Jamp-Donepezil 02416956 JPC 0.4586 Tablet / comprime
Mar-Donepezil 02402106 MAR 0.4586 Tablet / comprime
Mint-Donepezil 02408619 MNT 0.4586 Tablet / comprime
Nat-Donepezil 02439565 NAT 0.4586 Tablet / comprime
Sandoz Donepezil 02328682 SDZ 0.4586 Tablet / comprime
Septa-Donepezil 02428490 SPT 0.4586 Tablet / comprime
Taro-Donepezil 02381516 SUN 0.4586 Tablet / comprime
Teva-Donepezil 02340615 TEV 0.4586 Tablet / comprime
pms-Donepezil 02322358 PMS 0.4586 Tablet / comprime
Dorzolamide / Dorzolamide Liq/Liq Oph 2% Trusopt 02216205 ELV 2.1081 Millilitre / millilitre
Jamp-Dorzolamide 02453347 JPC 2.1081 Millilitre / millilitre
Sandoz Dorzolamide 02316307 SDZ 2.1081 Millilitre / millilitre
Doxazosin / Doxazosine Tab/Co. Orl 1 mg Apo-Doxazosin 02240588 APX 0.1719 Tablet / comprime
Jamp-Doxazosin 02489937 JPC 0.1719 Tablet / comprime
Teva-Doxazosin 02242728 TEV 0.1719 Tablet / comprime
Tab/Co. Orl 2 mg Apo-Doxazosin 02240589 APX 0.2062 Tablet / comprime
Jamp-Doxazosin 02489945 JPC 0.2062 Tablet / comprime
Teva-Doxazosin 02242729 TEV 0.2062 Tablet / comprime
Tab/Co. Orl 4 mg Apo-Doxazosin 02240590 APX 0.2681 Tablet / comprime
Jamp-Doxazosin 02489953 JPC 0.2681 Tablet / comprime
Teva-Doxazosin 02242730 TEV 0.2681 Tablet / comprime
Doxepin / Doxepine Cap/Caps Orl 10 mg Sinequan 00024325 AAP 0.3496 Capsule / capsule
Cap/Caps Orl 25 mg Sinequan 00024333 AAP 0.4289 Capsule / capsule
Cap/Caps Orl 50 mg Sinequan 00024341 AAP 0.7957 Capsule / capsule
Doxycycline / Doxycycline Cap/Caps Orl 100 mg Apo-Doxy 00740713 APX 0.5860 Capsule / capsule
Doxycycline 02351234 SAS 0.5860 Capsule / capsule
Teva-Doxycycline 00725250 TEV 0.5860 Capsule / capsule
Tab/Co. Orl 100 mg Doxycin 00860751 RIV 0.5860 Tablet / comprime
Apo-Doxy 00874256 APX 0.5860 Tablet / comprime
Doxycycline 02351242 SAS 0.5860 Tablet / comprime
Teva-Doxycycline 02158574 TEV 0.5860 Tablet / comprime
Doxylamine / Pyridoxine / Doxylamine / Pyridoxine SRT/Co.L.L. Orl 10 mg / 10 mg Diclectin 00609129 DUI 0.6402 Tablet / comprime
Apo-Doxylamine/B6 02413248 APX 0.6402 Tablet / comprime
pms-Doxylamine-Pyridoxine 02406187 PMS 0.6402 Tablet / comprime
Duloxetine / Duloxetine CDR/Caps.L.R. Orl 30 mg Cymbalta 02301482 LIL 0.4814 Capsule / capsule
Apo-Duloxetine 02440423 APX 0.4814 Capsule / capsule
Auro-Duloxetine 02436647 ARO 0.4814 Capsule / capsule
Duloxetine 02490889 SAS 0.4814 Capsule / capsule
Duloxetine 02453630 SIV 0.4814 Capsule / capsule
Duloxetine DR 02437082 TEV 0.4814 Capsule / capsule
Jamp-Duloxetine 02451913 JPC 0.4814 Capsule / capsule
Mar-Duloxetine 02446081 MAR 0.4814 Capsule / capsule
Mint-Duloxetine 02438984 MNT 0.4814 Capsule / capsule
NRA-Duloxetine 02482126 NRA 0.4814 Capsule / capsule
Ran-Duloxetine 02438259 RAN 0.4814 Capsule / capsule
Sandoz Duloxetine 02439948 SDZ 0.4814 Capsule / capsule
Teva-Duloxetine 02456753 TEV 0.4814 Capsule / capsule
pms-Duloxetine 02429446 PMS 0.4814 Capsule / capsule
CDR/Caps.L.R. Orl 60 mg Cymbalta 02301490 LIL 0.9769 Capsule / capsule
Apo-Duloxetine 02440431 APX 0.9769 Capsule / capsule
Auro-Duloxetine 02436655 ARO 0.9769 Capsule / capsule
Duloxetine 02490897 SAS 0.9769 Capsule / capsule
Duloxetine 02453649 SIV 0.9769 Capsule / capsule
Duloxetine DR 02437090 TEV 0.9769 Capsule / capsule
Jamp-Duloxetine 02451921 JPC 0.9769 Capsule / capsule
Mar-Duloxetine 02446103 MAR 0.9769 Capsule / capsule
Mint-Duloxetine 02438992 MNT 0.9769 Capsule / capsule
NRA-Duloxetine 02482134 NRA 0.9769 Capsule / capsule
Ran-Duloxetine 02438267 RAN 0.9769 Capsule / capsule
Sandoz Duloxetine 02439956 SDZ 0.9769 Capsule / capsule
Teva-Duloxetine 02456761 TEV 0.9769 Capsule / capsule
pms-Duloxetine 02429454 PMS 0.9769 Capsule / capsule
Dutasteride / Dutasteride Cap/Caps Orl 0.5 mg Avodart 02247813 GSK 0.3027 Capsule / capsule
Apo-Dutasteride 02404206 APX 0.3027 Capsule / capsule
Auro-Dutasteride 02469308 ARO 0.3027 Capsule / capsule
Dutasteride 02429012 SIV 0.3027 Capsule / capsule
Dutasteride 02443058 SAS 0.3027 Capsule / capsule
Jamp-Dutasteride 02484870 JPC 0.3027 Capsule / capsule
Med-Dutasteride 02416298 GMP 0.3027 Capsule / capsule
September / septembre 2020 Page 19
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Mint-Dutasteride 02428873 MNT 0.3027 Capsule / capsule
Sandoz Dutasteride 02424444 SDZ 0.3027 Capsule / capsule
Teva-Dutasteride 02408287 TEV 0.3027 Capsule / capsule
pms-Dutasteride 02393220 PMS 0.3027 Capsule / capsule
Efavirenz / Efavirenz Tab/Co. Orl 600 mg Sustiva 02246045 BRI 3.8030 Tablet / comprime
Auro-Efavirenz 02418428 ARO 3.8030 Tablet / comprime
Jamp-Efavirenz 02458233 JPC 3.8030 Tablet / comprime
Mylan-Efavirenz 02381524 MYL 3.8030 Tablet / comprime
Teva-Efavirenz 02389762 TEV 3.8030 Tablet / comprime
Eletriptan / Eletriptan Tab/Co. Orl 20 mg Relpax 02256290 UJC 2.6172 Tablet / comprime
Apo-Eletriptan 02386054 APX 2.6172 Tablet / comprime
Auro-Eletriptan 02479451 ARO 2.6172 Tablet / comprime
Teva-Eletriptan 02382091 TEV 2.6172 Tablet / comprime
Tab/Co. Orl 40 mg Relpax 02256304 UJC 2.6172 Tablet / comprime
Apo-Eletriptan 02386062 APX 2.6172 Tablet / comprime
Auro-Eletriptan 02479478 ARO 2.6172 Tablet / comprime
Teva-Eletriptan 02382105 TEV 2.6172 Tablet / comprime
Emtricitabine, Tenofovir Disoproxil and Efavirenz / Emtricitabine,
Tenofovir Disoproxil et Efavirenz
Tab/Co. Orl 200 mg / 300 mg /
600 mg
Atripla 02300699 GIL 11.3300 Tablet / comprime
Apo-Efavirenz/Emtricitabine/Tenofovir 02468247 APX 11.3300 Tablet / comprime
Auro-Efavirenz-Emtricitabine-Tenofovir 02478404 ARO 11.3300 Tablet / comprime
Mylan-
Efavirenz/Emtricitabine/TenofovirDisoproxilFum
arate
02461412 MYL 11.3300 Tablet / comprime
Sandoz Efavirenz/Emtricitabine/Tenofovir 02484676 SDZ 11.3300 Tablet / comprime
Teva-Efavirenz/Emtricitabine/Tenofovir 02393549 TEV 11.3300 Tablet / comprime
pms-Efavirenz-Emtricitabine-Tenofovir 02487284 PMS 11.3300 Tablet / comprime
Enalapril / Hydrochlorothiazide / Enalapril / Hydrochlorothiazide Tab/Co. Orl 5 mg / 12.5 mg Enalapril/HCTZ 02352923 AAP 0.7493 Tablet / comprime
Tab/Co. Orl 10 mg / 25 mg Vaseretic 00657298 FRS 1.0741 Tablet / comprime
Enalapril/HCTZ 02352931 AAP 1.0741 Tablet / comprime
Enalapril / Enalapril Tab/Co. Orl 2.5 mg Act Enalapril 02291878 TEV 0.1863 Tablet / comprime
Apo-Enalapril 02020025 APX 0.1863 Tablet / comprime
Enalapril 02400650 SAS 0.1863 Tablet / comprime
Enalapril 02442957 SIV 0.1863 Tablet / comprime
Jamp-Enalapril 02474786 JPC 0.1863 Tablet / comprime
Mar-Enalapril 02459450 MAR 0.1863 Tablet / comprime
Ran-Enalapril 02352230 RAN 0.1863 Tablet / comprime
Sandoz Enalapril 02299933 SDZ 0.1863 Tablet / comprime
Tab/Co. Orl 5 mg Vasotec 00708879 FRS 0.2203 Tablet / comprime
Act Enalapril 02291886 TEV 0.2203 Tablet / comprime
Apo-Enalapril 02019884 APX 0.2203 Tablet / comprime
Enalapril 02400669 SAS 0.2203 Tablet / comprime
Enalapril 02442965 SIV 0.2203 Tablet / comprime
Jamp-Enalapril 02474794 JPC 0.2203 Tablet / comprime
Mar-Enalapril 02459469 MAR 0.2203 Tablet / comprime
Ran-Enalapril 02352249 RAN 0.2203 Tablet / comprime
Sandoz Enalapril 02299941 SDZ 0.2203 Tablet / comprime
Tab/Co. Orl 10 mg Vasotec 00670901 FRS 0.2647 Tablet / comprime
Act Enalapril 02291894 TEV 0.2647 Tablet / comprime
Apo-Enalapril 02019892 APX 0.2647 Tablet / comprime
Enalapril 02400677 SAS 0.2647 Tablet / comprime
Enalapril 02442973 SIV 0.2647 Tablet / comprime
Jamp-Enalapril 02474808 JPC 0.2647 Tablet / comprime
Mar-Enalapril 02444771 MAR 0.2647 Tablet / comprime
Ran-Enalapril 02352257 RAN 0.2647 Tablet / comprime
Sandoz Enalapril 02299968 SDZ 0.2647 Tablet / comprime
Tab/Co. Orl 20 mg Vasotec 00670928 FRS 0.3195 Tablet / comprime
Act Enalapril 02291908 TEV 0.3195 Tablet / comprime
Apo-Enalapril 02019906 APX 0.3195 Tablet / comprime
Enalapril 02442981 SIV 0.3195 Tablet / comprime
Enalapril 02400685 SAS 0.3195 Tablet / comprime
Jamp-Enalapril 02474816 JPC 0.3195 Tablet / comprime
Mar-Enalapril 02444798 MAR 0.3195 Tablet / comprime
Ran-Enalapril 02352265 RAN 0.3195 Tablet / comprime
Sandoz Enalapril 02299976 SDZ 0.3195 Tablet / comprime
Entacapone / Entacapone Tab/Co. Orl 200 mg Comtan 02243763 SDZ 0.4010 Tablet / comprime
Sandoz Entacapone 02380005 SDZ 0.4010 Tablet / comprime
Teva-Entacapone 02375559 TEV 0.4010 Tablet / comprime
Entecavir / Entecavir Tab/Co. Orl 0.5 mg Baraclude 02282224 BRI 5.5000 Tablet / comprime
Apo-Entecavir 02396955 APX 5.5000 Tablet / comprime
Auro-Entecavir 02448777 ARO 5.5000 Tablet / comprime
Jamp-Entecavir 02467232 JPC 5.5000 Tablet / comprime
Mint-Entecavir 02485907 MNT 5.5000 Tablet / comprime
pms-Entecavir 02430576 PMS 5.5000 Tablet / comprime
September / septembre 2020 Page 20
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Eplerenone / Eplerenone Tab/Co. Orl 25 mg Inspra 02323052 UJC 2.0595 Tablet / comprime
Mint-Eplerenone 02471442 MNT 2.0595 Tablet / comprime
Tab/Co. Orl 50 mg Inspra 02323060 UJC 2.0595 Tablet / comprime
Mint-Eplerenone 02471450 MNT 2.0595 Tablet / comprime
Ergocalciferol / Ergocalciferol Cap/Caps Orl 50 000 IU D-Forte 02237450 EUR 0.1986 Capsule / capsule
Dps/Gttes Orl 8 288 IU Erdol (Drisodan) 80003615 ODN 0.2189 Millilitre / millilitre
Erlotinib / Erlotinib Tab/Co. Orl 25 mg Tarceva 02269007 HLR 3.4615 Tablet / comprime
Apo-Erlotinib 02461862 APX 3.4615 Tablet / comprime
Nat-Erlotinib 02483912 NAT 3.4615 Tablet / comprime
Teva-Erlotinib 02377691 TEV 3.4615 Tablet / comprime
Tab/Co. Orl 100 mg Tarceva 02269015 HLR 13.2000 Tablet / comprime
Apo-Erlotinib 02461870 APX 13.2000 Tablet / comprime
Nat-Erlotinib 02483920 NAT 13.2000 Tablet / comprime
Teva-Erlotinib 02377705 TEV 13.2000 Tablet / comprime
pms-Erlotinib 02454386 PMS 13.2000 Tablet / comprime
Tab/Co. Orl 150 mg Tarceva 02269023 HLR 19.8000 Tablet / comprime
Apo-Erlotinib 02461889 APX 19.8000 Tablet / comprime
Nat-Erlotinib 02483939 NAT 19.8000 Tablet / comprime
Teva-Erlotinib 02377713 TEV 19.8000 Tablet / comprime
pms-Erlotinib 02454394 PMS 19.8000 Tablet / comprime
Erythromycin / Erythromycine Ont/Ont Oph 0.5% Erythromycin 02326663 SGQ 2.7286 Gram / gramme
pdp-Erythromycin 01912755 PDP 2.7286 Gram / gramme
Tab/Co. Orl 250 mg Erythro 00682020 AAP 0.1865 Tablet / comprime
Escitalopram / Escitalopram Tab/Co. Orl 10 mg Cipralex 02263238 VLH 0.3109 Tablet / comprime
Ach-Escitalopram 02434652 AHI 0.3109 Tablet / comprime
Apo-Escitalopram 02295016 APX 0.3109 Tablet / comprime
Auro-Escitalopram 02397358 ARO 0.3109 Tablet / comprime
Escitalopram 02429039 SIV 0.3109 Tablet / comprime
Escitalopram 02430118 SAS 0.3109 Tablet / comprime
Jamp-Escitalopram 02429780 JPC 0.3109 Tablet / comprime
Mar-Escitalopram 02423480 MAR 0.3109 Tablet / comprime
Mint-Escitalopram 02407418 MNT 0.3109 Tablet / comprime
Mylan-Escitalopram 02309467 MYL 0.3109 Tablet / comprime
NRA-Escitalopram 02476851 NRA 0.3109 Tablet / comprime
Nat-Escitalopram 02440296 NAT 0.3109 Tablet / comprime
Ran-Escitalopram 02385481 RAN 0.3109 Tablet / comprime
Sandoz Escitalopram 02364077 SDZ 0.3109 Tablet / comprime
Teva-Escitalopram 02318180 TEV 0.3109 Tablet / comprime
pharma-Escitalopram 02469243 PMS 0.3109 Tablet / comprime
Tab/Co. Orl 20 mg Cipralex 02263254 VLH 0.3310 Tablet / comprime
Ach-Escitalopram 02434660 AHI 0.3310 Tablet / comprime
Apo-Escitalopram 02295024 APX 0.3310 Tablet / comprime
Auro-Escitalopram 02397374 ARO 0.3310 Tablet / comprime
Escitalopram 02430126 SAS 0.3310 Tablet / comprime
Escitalopram 02429047 SIV 0.3310 Tablet / comprime
Jamp-Escitalopram 02429799 JPC 0.3310 Tablet / comprime
Mar-Escitalopram 02423502 MAR 0.3310 Tablet / comprime
Mint-Escitalopram 02407434 MNT 0.3310 Tablet / comprime
Mylan-Escitalopram 02309475 MYL 0.3310 Tablet / comprime
NRA-Escitalopram 02476878 NRA 0.3310 Tablet / comprime
Nat-Escitalopram 02440318 NAT 0.3310 Tablet / comprime
Ran-Escitalopram 02385503 RAN 0.3310 Tablet / comprime
Sandoz Escitalopram 02364085 SDZ 0.3310 Tablet / comprime
Teva-Escitalopram 02318202 TEV 0.3310 Tablet / comprime
pharma-Escitalopram 02469251 PMS 0.3310 Tablet / comprime
Estradiol / Estradiol Pth/Pth Trd 50 mcg Estradot 02244000 NVR 2.5331 Patch / timbre cutane
Sandoz Estradiol Derm Srd 02246967 SDZ 2.5331 Patch / timbre cutane
Pth/Pth Trd 75 mcg Estradot 02244001 NVR 2.7169 Patch / timbre cutane
Sandoz Estradiol Derm Srd 02246968 SDZ 2.7169 Patch / timbre cutane
Pth/Pth Trd 100 mcg Estradot 02244002 NVR 2.8744 Patch / timbre cutane
Sandoz Estradiol Derm Srd 02246969 SDZ 2.8744 Patch / timbre cutane
Tab/Co. Orl 0.5 mg Estrace 02225190 TML 0.1199 Tablet / comprime
Lupin-Estradiol 02449048 LUP 0.1199 Tablet / comprime
Tab/Co. Orl 1 mg Estrace 02148587 TML 0.2313 Tablet / comprime
Lupin-Estradiol 02449056 LUP 0.2313 Tablet / comprime
Tab/Co. Orl 2 mg Estrace 02148595 TML 0.4083 Tablet / comprime
Lupin-Estradiol 02449064 LUP 0.4083 Tablet / comprime
Ethambutol / Ethambutol Tab/Co. Orl 100 mg Etibi 00247960 BSL 0.2250 Tablet / comprime
Tab/Co. Orl 400 mg Etibi 00247979 BSL 0.6749 Tablet / comprime
Etidronic Acid / Acide Etidronique Tab/Co. Orl 200 mg Act Etidronate 02248686 TEV 0.3569 Tablet / comprime
Everolimus / Everolimus Tab/Co. Orl 2.5 mg Afinitor 02369257 NVR 151.9905 Tablet / comprime P
Teva-Everolimus 02463229 TEV 151.9905 Tablet / comprime P
Tab/Co. Orl 5 mg Afinitor 02339501 NVR 151.9905 Tablet / comprime P
Teva-Everolimus 02463237 TEV 151.9905 Tablet / comprime P
September / septembre 2020 Page 21
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Tab/Co. Orl 10 mg Afinitor 02339528 NVR 151.9905 Tablet / comprime P
Teva-Everolimus 02463253 TEV 151.9905 Tablet / comprime P
Exemestane / Exemestane Tab/Co. Orl 25 mg Aromasin 02242705 PFI 1.3263 Tablet / comprime
Act Exemestane 02390183 TEV 1.3263 Tablet / comprime
Med-Exemestane 02407841 GMP 1.3263 Tablet / comprime
Teva-Exemestane 02408473 TEV 1.3263 Tablet / comprime
Ezetimibe / Ezetimibe Tab/Co. Orl 10 mg Ezetrol 02247521 FRS 0.1811 Tablet / comprime
ACH-Ezetimibe 02425610 AHI 0.1811 Tablet / comprime
Apo-Ezetimibe 02427826 APX 0.1811 Tablet / comprime
Auro-Ezetimibe 02469286 ARO 0.1811 Tablet / comprime
Ezetimibe 02422549 PDL 0.1811 Tablet / comprime
Ezetimibe 02429659 SIV 0.1811 Tablet / comprime
Ezetimibe 02431300 SAS 0.1811 Tablet / comprime
Jamp-Ezetimibe 02423235 JPC 0.1811 Tablet / comprime
Mar-Ezetimibe 02422662 MAR 0.1811 Tablet / comprime
Mint-Ezetimibe 02423243 MNT 0.1811 Tablet / comprime
NRA-Ezetimibe 02481669 NRA 0.1811 Tablet / comprime
Ran-Ezetimibe 02419548 RAN 0.1811 Tablet / comprime
Sandoz Ezetimibe 02416778 SDZ 0.1811 Tablet / comprime
Teva-Ezetimibe 02354101 TEV 0.1811 Tablet / comprime
pms-Ezetimibe 02416409 PMS 0.1811 Tablet / comprime
Famciclovir / Famciclovir Tab/Co. Orl 125 mg Famvir 02229110 NVR 0.5564 Tablet / comprime
Act Famciclovir 02305682 TEV 0.5564 Tablet / comprime
Apo-Famciclovir 02292025 APX 0.5564 Tablet / comprime
Sandoz Famciclovir 02278634 SDZ 0.5564 Tablet / comprime
pms-Famciclovir 02278081 PMS 0.5564 Tablet / comprime
Tab/Co. Orl 250 mg Famvir 02229129 NVR 0.7541 Tablet / comprime
Act Famciclovir 02305690 TEV 0.7541 Tablet / comprime
Apo-Famciclovir 02292041 APX 0.7541 Tablet / comprime
Sandoz Famciclovir 02278642 SDZ 0.7541 Tablet / comprime
pms-Famciclovir 02278103 PMS 0.7541 Tablet / comprime
Tab/Co. Orl 500 mg Famvir 02177102 NVR 1.3436 Tablet / comprime
Act Famciclovir 02305704 TEV 1.3436 Tablet / comprime
Apo-Famciclovir 02292068 APX 1.3436 Tablet / comprime
Sandoz Famciclovir 02278650 SDZ 1.3436 Tablet / comprime
pms-Famciclovir 02278111 PMS 1.3436 Tablet / comprime
Famotidine / Famotidine Tab/Co. Orl 20 mg Famotidine 02351102 SAS 0.2657 Tablet / comprime
Teva-Famotidine 02022133 TEV 0.2657 Tablet / comprime
Tab/Co. Orl 40 mg Famotidine 02351110 SAS 0.4833 Tablet / comprime
Teva-Famotidine 02022141 TEV 0.4833 Tablet / comprime
Febuxostat / Febuxostat Tab/Co. Orl 80 mg Uloric 02357380 TAK 0.7950 Tablet / comprime
Jamp-Febuxostat 02490870 JPC 0.7950 Tablet / comprime
Mar-Febuxostat 02473607 MAR 0.7950 Tablet / comprime
Felodipine / Felodipine ERT/Co.L.P. Orl 2.5 mg Plendil 02057778 AZE 0.3815 Tablet / comprime
Apo-Felodipine 02452367 APX 0.3815 Tablet / comprime
ERT/Co.L.P. Orl 5 mg Plendil 00851779 AZE 0.3398 Tablet / comprime
Apo-Felodipine 02452375 APX 0.3398 Tablet / comprime
Sandoz Felodipine 02280264 SDZ 0.3398 Tablet / comprime
ERT/Co.L.P. Orl 10 mg Plendil 00851787 AZE 0.5098 Tablet / comprime
Apo-Felodipine 02452383 APX 0.5098 Tablet / comprime
Sandoz Felodipine 02280272 SDZ 0.5098 Tablet / comprime
Fenofibrate / Fenofibrate Cap/Caps Orl 67 mg AA-Feno Micro 02243180 AAP 0.5479 Capsule / capsule
Cap/Caps Orl 200 mg AA-Feno-Micro 02239864 AAP 0.2723 Capsule / capsule
ratio-Fenofibrate MC 02250039 TEV 0.2723 Capsule / capsule
Tab/Co. Orl 100 mg Apo-Feno-Super 02246859 APX 0.5406 Tablet / comprime
Sandoz Fenofibrate S 02288044 SDZ 0.5406 Tablet / comprime
Tab/Co. Orl 160 mg Lipidil Supra 02241602 BGP 0.2723 Tablet / comprime
Apo-Feno-Super 02246860 APX 0.2723 Tablet / comprime
Sandoz Fenofibrate S 02288052 SDZ 0.2723 Tablet / comprime
Fentanyl / Fentanyl Pth/Pth Trd 12 mcg/hr Sandoz Fentanyl patch 02327112 SDZ 2.2280 Patch / timbre cutane
Teva-Fentanyl 02311925 TEV 2.2280 Patch / timbre cutane
pms-Fentanyl MTX 02341379 PMS 2.2280 Patch / timbre cutane
Pth/Pth Trd 25 mcg/hr Sandoz Fentanyl 02327120 SDZ 3.6560 Patch / timbre cutane
Teva-Fentanyl 02282941 TEV 3.6560 Patch / timbre cutane
pms-Fentanyl MTX 02341387 PMS 3.6560 Patch / timbre cutane
Pth/Pth Trd 37 mcg/hr Sandoz Fentanyl 02327139 SDZ 8.5000 Patch / timbre cutane
Pth/Pth Trd 50 mcg/hr Sandoz Fentanyl 02327147 SDZ 6.8820 Patch / timbre cutane
Teva-Fentanyl 02282968 TEV 6.8820 Patch / timbre cutane
pms-Fentanyl MTX 02341395 PMS 6.8820 Patch / timbre cutane
Pth/Pth Trd 75 mcg/hr Sandoz Fentanyl 02327155 SDZ 9.6800 Patch / timbre cutane
Teva-Fentanyl 02282976 TEV 9.6800 Patch / timbre cutane
pms-Fentanyl MTX 02341409 PMS 9.6800 Patch / timbre cutane
Pth/Pth Trd 100 mcg/hr Sandoz Fentanyl 02327163 SDZ 12.0500 Patch / timbre cutane
Teva-Fentanyl 02282984 TEV 12.0500 Patch / timbre cutane
September / septembre 2020 Page 22
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
pms-Fentanyl MTX 02341417 PMS 12.0500 Patch / timbre cutane
Ferrous Fumarate / Fumarate Ferreux Cap/Caps Orl 300 mg Palafer 01923420 BSL 0.1050 Capsule / capsule
Jamp-Fer 80024232 JPC 0.1050 Capsule / capsule
Sandoz-Fer 02237556 SDZ 0.1050 Capsule / capsule
Ferrous Sulphate / Sulfate Ferreux Dps/Gttes Orl 125 mg/mL pms-Ferrous Sulfate 00816035 PMS 0.2966 Millilitre / millilitre
Liq/Liq Orl 15 mg Fer-In-Sol 00762954 MJO 0.1432 Millilitre / millilitre
Ferodan 02237385 ODN 0.1432 Millilitre / millilitre
Jamp Ferrous Sulfate 80008309 JPC 0.1432 Millilitre / millilitre
Syr/Sir. Orl 150 mg/5 mL Fer-In-Sol 00017884 MJO 0.0272 Millilitre / millilitre
Ferodan 00758469 ODN 0.0272 Millilitre / millilitre
Finasteride / Finasteride Tab/Co. Orl 5 mg Proscar 02010909 FRS 0.4138 Tablet / comprime
Apo-Finasteride 02365383 APX 0.4138 Tablet / comprime
Auro-Finasteride 02405814 ARO 0.4138 Tablet / comprime
Finasteride 02355043 AHI 0.4138 Tablet / comprime
Finasteride 02445077 SAS 0.4138 Tablet / comprime
Finasteride 02447541 SIV 0.4138 Tablet / comprime
Jamp-Finasteride 02357224 JPC 0.4138 Tablet / comprime
Mint-Finasteride 02389878 MNT 0.4138 Tablet / comprime
Sandoz Finasteride 02322579 SDZ 0.4138 Tablet / comprime
Teva-Finasteride 02348500 TEV 0.4138 Tablet / comprime
pms-Finasteride 02310112 PMS 0.4138 Tablet / comprime
Fingolimod / Fingolimod Cap/Caps Orl 0.5 mg Gilenya 02365480 NVR 21.7381 Capsule / capsule
Apo-Fingolimod 02469936 APX 21.7381 Capsule / capsule
Jamp-Fingolimod 02487772 JPC 21.7381 Capsule / capsule
Mar-Fingolimod 02474743 MAR 21.7381 Capsule / capsule
Mylan-Fingolimod 02469715 MYL 21.7381 Capsule / capsule
Sandoz Fingolimod 02482606 SDZ 21.7381 Capsule / capsule
Taro-Fingolimod 02469618 TAR 21.7381 Capsule / capsule
Teva-Fingolimod 02469561 TEV 21.7381 Capsule / capsule
pms-Fingolimod 02469782 PMS 21.7381 Capsule / capsule
Flecainide / Flecainide Tab/Co. Orl 50 mg Apo-Flecainide 02275538 APX 0.2778 Tablet / comprime
Auro-Flecainide 02459957 ARO 0.2778 Tablet / comprime
Tab/Co. Orl 100 mg Apo-Flecainide 02275546 APX 0.5558 Tablet / comprime
Auro-Flecainide 02459965 ARO 0.5558 Tablet / comprime
Floctafenine / Floctafenine Tab/Co. Orl 400 mg Floctafenine 02244681 AAP 0.8285 Tablet / comprime
Fluconazole / Fluconazole Cap/Caps Orl 150 mg Diflucan 02141442 CHC 3.6392 Capsule / capsule
Apo-Fluconazole 02241895 APX 3.6392 Capsule / capsule
Mar-Fluconazole-150 02428792 MAR 3.6392 Capsule / capsule
Liq/Liq Inj 2 mg/mL Diflucan 00891835 PFI 0.4085 Millilitre / millilitre
Tab/Co. Orl 50 mg Act Fluconazole 02281260 TEV 1.2904 Tablet / comprime
Apo-Fluconazole 02237370 APX 1.2904 Tablet / comprime
Mylan-Fluconazole 02245292 MYL 1.2904 Tablet / comprime
Novo-Fluconazole 02236978 TEV 1.2904 Tablet / comprime
pms-Fluconazole 02245643 PMS 1.2904 Tablet / comprime
Tab/Co. Orl 100 mg Act Fluconazole 02281279 TEV 2.2891 Tablet / comprime
Apo-Fluconazole 02237371 APX 2.2891 Tablet / comprime
Mylan-Fluconazole 02245293 MYL 2.2891 Tablet / comprime
Novo-Fluconazole 02236979 TEV 2.2891 Tablet / comprime
pms-Fluconazole 02245644 PMS 2.2891 Tablet / comprime
Flunarizine / Flunarizine Cap/Caps Orl 5 mg Flunarizine 02246082 AAP 0.7348 Capsule / capsule
Fluocinonide / Fluocinonide Crm/Cr. Top 0.05% Lidex 02161923 VLN 0.2444 Gram / gramme
Lyderm 00716863 TPH 0.2444 Gram / gramme
Gel/Gel Top 0.05% Lidex Gel 02161974 VLN 0.3321 Gram / gramme
Lyderm 02236997 TPH 0.3321 Gram / gramme
Ont/Ont Top 0.05% Lidex 02161966 VLN 0.3278 Gram / gramme
Lyderm 02236996 TPH 0.3278 Gram / gramme
Fluorometholone / Fluorometholone Dps/Gttes Oph 0.1% Sandoz Fluorometholone 00432814 SDZ 1.7880 Millilitre / millilitre
Fluoxetine / Fluoxetine Cap/Caps Orl 10 mg Prozac 02018985 LIL 0.3404 Capsule / capsule
Apo-Fluoxetine 02216353 APX 0.3404 Capsule / capsule
Auro-Fluoxetine 02385627 ARO 0.3404 Capsule / capsule
Fluoxetine 02393441 AHI 0.3404 Capsule / capsule
Fluoxetine 02286068 SAS 0.3404 Capsule / capsule
Fluoxetine 02374447 SIV 0.3404 Capsule / capsule
Jamp-Fluoxetine 02401894 JPC 0.3404 Capsule / capsule
Sandoz Fluoxetine 02479486 SDZ 0.3404 Capsule / capsule
Teva-Fluoxetine 02216582 TEV 0.3404 Capsule / capsule
pms-Fluoxetine 02177579 PMS 0.3404 Capsule / capsule
Cap/Caps Orl 20 mg Prozac 00636622 LIL 0.3311 Capsule / capsule
Apo-Fluoxetine 02216361 APX 0.3311 Capsule / capsule
Auro-Fluoxetine 02385635 ARO 0.3311 Capsule / capsule
Fluoxetine 02383241 AHI 0.3311 Capsule / capsule
Fluoxetine 02286076 SAS 0.3311 Capsule / capsule
Fluoxetine 02374455 SIV 0.3311 Capsule / capsule
Jamp-Fluoxetine 02386402 JPC 0.3311 Capsule / capsule
September / septembre 2020 Page 23
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Sandoz Fluoxetine 02479494 SDZ 0.3311 Capsule / capsule
Teva-Fluoxetine 02216590 TEV 0.3311 Capsule / capsule
pms-Fluoxetine 02177587 PMS 0.3311 Capsule / capsule
Cap/Caps Orl 40 mg pms-Fluoxetine 02464640 PMS 0.6622 Capsule / capsule
Cap/Caps Orl 60 mg pms-Fluoxetine 02464659 PMS 0.9933 Capsule / capsule
Liq/Liq Orl 20 mg/5 mL Apo-Fluoxetine 02231328 APX 0.3083 Millilitre / millilitre
Odan-Fluoxetine 02459361 ODN 0.3083 Millilitre / millilitre
Fluphenazine / Fluphenazine Tab/Co. Orl 1 mg Fluphenazine 00405345 AAP 0.1739 Tablet / comprime
Tab/Co. Orl 2 mg Fluphenazine 00410632 AAP 0.2252 Tablet / comprime
Tab/Co. Orl 5 mg Fluphenazine 00405361 AAP 0.1720 Tablet / comprime
Flurazepam / Flurazepam Cap/Caps Orl 15 mg Flurazepam 00521698 AAP 0.1166 Capsule / capsule
Cap/Caps Orl 30 mg Flurazepam 00521701 AAP 0.1364 Capsule / capsule
Flurbiprofen / Flurbiprofene Tab/Co. Orl 50 mg Flurbiprofen 01912046 AAP 0.4530 Tablet / comprime
Tab/Co. Orl 100 mg Flurbiprofen 01912038 AAP 0.3039 Tablet / comprime
Teva-Flurbiprofen 02100517 TEV 0.3039 Tablet / comprime
Flutamide / Flutamide Tab/Co. Orl 250 mg Flutamide 02238560 AAP 1.8255 Tablet / comprime
Fluticasone / Fluticasone Aem/Aem. Nas 50 mcg Apo-Fluticasone 02294745 APX 0.1831 Dose / dose
ratio-Fluticasone 02296071 TEV 0.1831 Dose / dose
Fluvastatin / Fluvastatine Cap/Caps Orl 20 mg Teva-Fluvastatin 02299224 TEV 0.2202 Capsule / capsule
Cap/Caps Orl 40 mg Teva-Fluvastatin 02299232 TEV 0.3092 Capsule / capsule
Fluvoxamine / Fluvoxamine Tab/Co. Orl 50 mg Luvox 01919342 BGP 0.2105 Tablet / comprime
Act Fluvoxamine 02255529 TEV 0.2105 Tablet / comprime
Apo-Fluvoxamine 02231329 APX 0.2105 Tablet / comprime
Tab/Co. Orl 100 mg Luvox 01919369 BGP 0.3783 Tablet / comprime
Act Fluvoxamine 02255537 TEV 0.3783 Tablet / comprime
Apo-Fluvoxamine 02231330 APX 0.3783 Tablet / comprime
Folic Acid / Acide Folique Tab/Co. Orl 5 mg Jamp-Folic 02366061 JPC 0.0198 Tablet / comprime
Sandoz-Folic 02285673 SDZ 0.0198 Tablet / comprime
Fosfomycin / Fosfomycine Pws/Pds. Orl 3 g Monurol 02240335 PAL 4.6750 Gram / gramme
Jamp-Fosfomycin 02473801 JPC 4.6750 Gram / gramme
Fosinopril / Fosinopril Tab/Co. Orl 10 mg Apo-Fosinopril 02266008 APX 0.2177 Tablet / comprime
Fosinopril 02459388 SAS 0.2177 Tablet / comprime
Jamp-Fosinopril 02331004 JPC 0.2177 Tablet / comprime
Ran-Fosinopril 02294524 RAN 0.2177 Tablet / comprime
Teva-Fosinopril 02247802 TEV 0.2177 Tablet / comprime
Tab/Co. Orl 20 mg Apo-Fosinopril 02266016 APX 0.2619 Tablet / comprime
Fosinopril 02459396 SAS 0.2619 Tablet / comprime
Jamp-Fosinopril 02331012 JPC 0.2619 Tablet / comprime
Ran-Fosinopril 02294532 RAN 0.2619 Tablet / comprime
Teva-Fosinopril 02247803 TEV 0.2619 Tablet / comprime
Fulvestrant / Fulvestrant Liq/Liq IM 50 mg/mL Fulvestrant Injection 02483610 SDZ 58.2895 Millilitre / millilitre
Teva-Fulvestrant 02460130 TEV 58.2895 Millilitre / millilitre
Furosemide / Furosemide Liq/Liq Inj 10 mg/mL Furosemide 02382539 SDZ 0.8650 Millilitre / millilitre
Furosemide 00527033 SDZ 0.8650 Millilitre / millilitre
Tab/Co. Orl 20 mg Apo-Furosemide 00396788 APX 0.0218 Tablet / comprime
Mint-Furosemide 02466759 MNT 0.0218 Tablet / comprime
Teva-Furosemide 00337730 TEV 0.0218 Tablet / comprime
Tab/Co. Orl 40 mg Apo-Furosemide 00362166 APX 0.0327 Tablet / comprime
Mint-Furosemide 02466767 MNT 0.0327 Tablet / comprime
Teva-Furosemide 00337749 TEV 0.0327 Tablet / comprime
Tab/Co. Orl 80 mg Apo-Furosemide 00707570 APX 0.0703 Tablet / comprime
Furosemide 02351447 SAS 0.0703 Tablet / comprime
Mint-Furosemide 02466775 MNT 0.0703 Tablet / comprime
Teva-Furosemide 00765953 TEV 0.0703 Tablet / comprime
Gabapentin / Gabapentine Cap/Caps Orl 100 mg Neurontin 02084260 UJC 0.0416 Capsule / capsule
Apo-Gabapentin 02244304 APX 0.0416 Capsule / capsule
Auro-Gabapentin 02321203 ARO 0.0416 Capsule / capsule
Gabapentin 02353245 SAS 0.0416 Capsule / capsule
Gabapentin 02246314 SIV 0.0416 Capsule / capsule
Gabapentin 02416840 AHI 0.0416 Capsule / capsule
Jamp-Gabapentin 02361469 JPC 0.0416 Capsule / capsule
Mar-Gabapentin 02391473 MAR 0.0416 Capsule / capsule
Teva-Gabapentin 02244513 TEV 0.0416 Capsule / capsule
pms-Gabapentin 02243446 PMS 0.0416 Capsule / capsule
Cap/Caps Orl 300 mg Neurontin 02084279 UJC 0.1012 Capsule / capsule
Apo-Gabapentin 02244305 APX 0.1012 Capsule / capsule
Auro-Gabapentin 02321211 ARO 0.1012 Capsule / capsule
Gabapentin 02416859 AHI 0.1012 Capsule / capsule
Gabapentin 02246315 SIV 0.1012 Capsule / capsule
Gabapentin 02353253 SAS 0.1012 Capsule / capsule
Jamp-Gabapentin 02361485 JPC 0.1012 Capsule / capsule
Mar-Gabapentin 02391481 MAR 0.1012 Capsule / capsule
Ran-Gabapentin 02319063 RAN 0.1012 Capsule / capsule
Teva-Gabapentin 02244514 TEV 0.1012 Capsule / capsule
September / septembre 2020 Page 24
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
pms-Gabapentin 02243447 PMS 0.1012 Capsule / capsule
Cap/Caps Orl 400 mg Neurontin 02084287 UJC 0.1206 Capsule / capsule
Apo-Gabapentin 02244306 APX 0.1206 Capsule / capsule
Auro-Gabapentin 02321238 ARO 0.1206 Capsule / capsule
Gabapentin 02246316 SIV 0.1206 Capsule / capsule
Gabapentin 02416867 AHI 0.1206 Capsule / capsule
Gabapentin 02353261 SAS 0.1206 Capsule / capsule
Jamp-Gabapentin 02361493 JPC 0.1206 Capsule / capsule
Mar-Gabapentin 02391503 MAR 0.1206 Capsule / capsule
Teva-Gabapentin 02244515 TEV 0.1206 Capsule / capsule
pms-Gabapentin 02243448 PMS 0.1206 Capsule / capsule
Tab/Co. Orl 600 mg Neurontin 02239717 UJC 0.1809 Tablet / comprime
Apo-Gabapentin 02293358 APX 0.1809 Tablet / comprime
Auro-Gabapentin 02428334 ARO 0.1809 Tablet / comprime
Gabapentin 02431289 SAS 0.1809 Tablet / comprime
Gabapentin 02392526 AHI 0.1809 Tablet / comprime
Gabapentin 02410990 GLM 0.1809 Tablet / comprime
Gabapentin 02388200 SIV 0.1809 Tablet / comprime
Jamp-Gabapentin 02402289 JPC 0.1809 Tablet / comprime
Teva-Gabapentin 02248457 TEV 0.1809 Tablet / comprime
Tab/Co. Orl 800 mg Neurontin 02239718 UJC 0.2412 Tablet / comprime
Apo-Gabapentin 02293366 APX 0.2412 Tablet / comprime
Auro-Gabapentin 02428342 ARO 0.2412 Tablet / comprime
Gabapentin 02388219 SIV 0.2412 Tablet / comprime
Gabapentin 02411008 GLM 0.2412 Tablet / comprime
Gabapentin 02431297 SAS 0.2412 Tablet / comprime
Gabapentin 02392534 AHI 0.2412 Tablet / comprime
Jamp-Gabapentin 02402297 JPC 0.2412 Tablet / comprime
Teva-Gabapentin 02247346 TEV 0.2412 Tablet / comprime
Galantamine / Galantamine ERC/Caps.L.P. Orl 8 mg Auro-Galantamine ER 02425157 ARO 1.1475 Capsule / capsule
Galantamine ER 02443015 SAS 1.1475 Capsule / capsule
Mar-Galantamine ER 02420821 MAR 1.1475 Capsule / capsule
Mylan-Galantamine ER 02339439 MYL 1.1475 Capsule / capsule
pms-Galantamine ER 02398370 PMS 1.1475 Capsule / capsule
ERC/Caps.L.P. Orl 16 mg Auro-Galantamine ER 02425165 ARO 1.1475 Capsule / capsule
Galantamine ER 02443023 SAS 1.1475 Capsule / capsule
Mar-Galantamine ER 02420848 MAR 1.1475 Capsule / capsule
Mylan-Galantamine ER 02339447 MYL 1.1475 Capsule / capsule
pms-Galantamine ER 02398389 PMS 1.1475 Capsule / capsule
ERC/Caps.L.P. Orl 24 mg Auro-Galantamine ER 02425173 ARO 1.1475 Capsule / capsule
Galantamine ER 02443031 SAS 1.1475 Capsule / capsule
Mar-Galantamine ER 02420856 MAR 1.1475 Capsule / capsule
Mylan-Galantamine ER 02339455 MYL 1.1475 Capsule / capsule
pms-Galantamine ER 02398397 PMS 1.1475 Capsule / capsule
Gemfibrozil / Gemfibrozil Cap/Caps Orl 300 mg pms-Gemfibrozil 02239951 PMS 0.1288 Capsule / capsule
Tab/Co. Orl 600 mg Teva-Gemfibrozil 02142074 TEV 0.5157 Tablet / comprime
Gentamicin / Gentamicine Liq/Liq Inj 40 mg/mL Gentamicin 02242652 SDZ 8.9447 Millilitre / millilitre
Glibenclamide (Glyburide) / Glibenclamide (Glyburide) Tab/Co. Orl 2.5 mg Diabeta 02224550 SAV 0.0321 Tablet / comprime
Apo-Glyburide 01913654 APX 0.0321 Tablet / comprime
Glyburide 02350459 SAS 0.0321 Tablet / comprime
Teva-Glyburide 01913670 TEV 0.0321 Tablet / comprime
Tab/Co. Orl 5 mg Diabeta 02224569 SAV 0.0573 Tablet / comprime
Apo-Glyburide 01913662 APX 0.0573 Tablet / comprime
Glyburide 02350467 SAS 0.0573 Tablet / comprime
Teva-Glyburide 01913689 TEV 0.0573 Tablet / comprime
Gliclazide / Gliclazide ERT/Co.L.P. Orl 30 mg Diamicron MR 02242987 SEV 0.0931 Tablet / comprime
Apo-Gliclazide MR 02297795 APX 0.0931 Tablet / comprime
Jamp-Gliclazide MR 02429764 JPC 0.0931 Tablet / comprime
Mint-Gliclazide MR 02423286 MNT 0.0931 Tablet / comprime
Mylan-Gliclazide MR 02438658 MYL 0.0931 Tablet / comprime
Sandoz Gliclazide MR 02461323 SDZ 0.0931 Tablet / comprime
Taro-Gliclazide MR 02463571 SUN 0.0931 Tablet / comprime
ERT/Co.L.P. Orl 60 mg Diamicron MR 02356422 SEV 0.0632 Tablet / comprime
Apo-Gliclazide MR 02407124 APX 0.0632 Tablet / comprime
Mint-Gliclazide MR 02423294 MNT 0.0632 Tablet / comprime
Sandoz Gliclazide MR 02461331 SDZ 0.0632 Tablet / comprime
Taro-Gliclazide MR 02439328 SUN 0.0632 Tablet / comprime
Tab/Co. Orl 80 mg Diamicron 00765996 SEV 0.0931 Tablet / comprime
Apo-Gliclazide 02245247 APX 0.0931 Tablet / comprime
Gliclazide 02287072 SAS 0.0931 Tablet / comprime
Teva-Gliclazide 02238103 TEV 0.0931 Tablet / comprime
Glimepiride / Glimepiride Tab/Co. Orl 1 mg Sandoz Glimepiride 02269589 SDZ 0.3857 Tablet / comprime
Tab/Co. Orl 2 mg Sandoz Glimepiride 02269597 SDZ 0.3857 Tablet / comprime
Tab/Co. Orl 4 mg Sandoz Glimepiride 02269619 SDZ 0.3857 Tablet / comprime
September / septembre 2020 Page 25
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Glycopyrronium Bromide (Glycopyrrolate) / Bromure De
Glycopyrronium (Glycopyrrolate)
Liq/Liq Inj 0.2 mg/mL Glycopyrrolate 02039508 SDZ 3.9750 Millilitre / millilitre
Haloperidol / Haloperidol Liq/Liq Inj 5 mg/mL Haloperidol 00808652 SDZ 4.8300 Millilitre / millilitre
Haloperidol Injection 02366010 OMG 4.8300 Millilitre / millilitre
Liq/Liq Inj 100 mg/mL Haloperidol LA 02130300 SDZ 16.9233 Millilitre / millilitre
Tab/Co. Orl 0.5 mg Teva-Haloperidol 00363685 TEV 0.1362 Tablet / comprime
Tab/Co. Orl 1 mg Teva-Haloperidol 00363677 TEV 0.2046 Tablet / comprime
Tab/Co. Orl 2 mg Teva-Haloperidol 00363669 TEV 0.3058 Tablet / comprime
Tab/Co. Orl 5 mg Teva-Haloperidol 00363650 TEV 0.4877 Tablet / comprime
Tab/Co. Orl 10 mg Teva-Haloperidol 00713449 TEV 0.7095 Tablet / comprime
Hydralazine / Hydralazine Tab/Co. Orl 10 mg Apo-Hydralazine 00441619 APX 0.0355 Tablet / comprime
Jamp-Hydralazine 02457865 JPC 0.0355 Tablet / comprime
Mint-Hydralazine 02468778 MNT 0.0355 Tablet / comprime
Tab/Co. Orl 25 mg Apo-Hydralazine 00441627 APX 0.0609 Tablet / comprime
Jamp-Hydralazine 02457873 JPC 0.0609 Tablet / comprime
Mint-Hydralazine 02468786 MNT 0.0609 Tablet / comprime
Tab/Co. Orl 50 mg Apo-Hydralazine 00441635 APX 0.0956 Tablet / comprime
Jamp-Hydralazine 02457881 JPC 0.0956 Tablet / comprime
Mint-Hydralazine 02468794 MNT 0.0956 Tablet / comprime
Hydrochlorothiazide / Amiloride / Hydrochlorothiazide /
Amiloride
Tab/Co. Orl 50 mg / 5 mg AA-Amilzide 00784400 AAP 0.0838 Tablet / comprime
Hydrochlorothiazide / Hydrochlorothiazide Tab/Co. Orl 12.5 mg Apo-Hydro 02327856 APX 0.0322 Tablet / comprime
Mint-Hydrochlorothiazide 02425947 MNT 0.0322 Tablet / comprime
pms-Hydrochlorothiazide 02274086 PMS 0.0322 Tablet / comprime
Tab/Co. Orl 25 mg Apo-Hydro 00326844 APX 0.0157 Tablet / comprime
Mint-Hydrochlorothiazide 02426196 MNT 0.0157 Tablet / comprime
Teva-Hydrochlorothiazide 00021474 TEV 0.0157 Tablet / comprime
pms-Hydrochlorothiazide 02247386 PMS 0.0157 Tablet / comprime
Tab/Co. Orl 50 mg Apo-Hydro 00312800 APX 0.0217 Tablet / comprime
Hydrochlorothiazide 02360608 SAS 0.0217 Tablet / comprime
Teva-Hydrazide 00021482 TEV 0.0217 Tablet / comprime
pms-Hydrochlorothiazide 02247387 PMS 0.0217 Tablet / comprime
Hydrochlorothiazide / Spironolactone / Hydrochlorothiazide /
Spironolactone
Tab/Co. Orl 25 mg / 25 mg Aldactazide-25 00180408 PFI 0.1076 Tablet / comprime
Teva-Spironolactone HCTZ 00613231 TEV 0.1076 Tablet / comprime
Tab/Co. Orl 50 mg / 50 mg Aldactazide-50 00594377 PFI 0.2276 Tablet / comprime
Teva-Spironolactone HCTZ 00657182 TEV 0.2276 Tablet / comprime
Hydrochlorothiazide / Triamterene / Hydrochlorothiazide /
Triamterene
Tab/Co. Orl 25 mg / 50 mg Apo-Triazide 00441775 APX 0.0608 Tablet / comprime
Teva-Triamterene/HCTZ 00532657 TEV 0.0608 Tablet / comprime
Hydrocortisone / Cinchocaine / Framycetin / Esculin /
Hydrocortisone / Cinchocaine / Framycetine / Esculine
Ont/Ont Rt 5 mg / 5 mg / 10 mg /
10 mg
Proctosedyl 02223252 AXC 0.4000 Gram / gramme
Proctol Ointment 02247322 ODN 0.4000 Gram / gramme
Sandoz Proctomyxin HC 02242527 SDZ 0.4000 Gram / gramme
Sup/Supp. Rt 5 mg / 5 mg / 10 mg /
10 mg
Proctosedyl 02223260 AXC 0.6000 Suppository / suppositoire
Proctol Suppositories 02247882 ODN 0.6000 Suppository / suppositoire
Sandoz Proctomyxin HC Supp 02242528 SDZ 0.6000 Suppository / suppositoire
Hydrocortisone / Pramoxine / Zinc / Hydrocortisone / Pramoxine
/ Zinc
Ont/Ont Rt 0.5% / 1% / 0.5% Anugesic-HC 00505781 JNJ 0.7314 Gram / gramme
Proctodan-HC Ointment 02234466 ODN 0.7314 Gram / gramme
Sup/Supp. Rt 10 mg / 20 mg /
10 mg
Anugesic-HC 00476242 JNJ 1.0875 Suppository / suppositoire
Proctodan-HC Suppositories 02240851 ODN 1.0875 Suppository / suppositoire
Sandoz Anuzinc HC Plus 02242797 SDZ 1.0875 Suppository / suppositoire
Hydrocortisone / Zinc / Hydrocortisone / Zinc Ont/Ont Rt 0.5% / 0.5% Anusol-HC 00505773 JNJ 0.3850 Gram / gramme
Anodan HC 02128446 ODN 0.3850 Gram / gramme
Jamp-Zinc-HC 02387239 JPC 0.3850 Gram / gramme
Sup/Supp. Rt 0.5% / 0.5% Anusol-HC 00476285 JNJ 0.6125 Suppository / suppositoire
Anodan HC 02236399 ODN 0.6125 Suppository / suppositoire
Sandoz Anuzinc HC 02242798 SDZ 0.6125 Suppository / suppositoire
Hydrocortisone Acetate / Acetate D'Hydrocortisone Crm/Cr. Top 0.5% Cortate 80021088 SCO 0.1267 Gram / gramme
Hydrosone 00564281 ROG 0.1267 Gram / gramme
Crm/Cr. Top 1% Prevex HC 00804533 GSK 0.0859 Gram / gramme
Hyderm 00716839 TAR 0.0859 Gram / gramme
Sandoz Hydrocortisone 02412926 SDZ 0.0859 Gram / gramme
Lot/Lot Top 1% Jamp-Hydrocortisone 80057191 JPC 0.1191 Gram / gramme
Hydrocortisone Valerate / Valerate D'Hydrocortisone Crm/Cr. Top 0.2% Hydroval 02242984 TPH 0.1375 Gram / gramme
Ont/Ont Top 0.2% Hydroval 02242985 TPH 0.1375 Gram / gramme
Hydromorphone / Hydromorphone Liq/Liq Inj 2 mg/mL Dilaudid 00627100 PFR 1.5250 Millilitre / millilitre
Hydromorphone Hydrochloride 02145901 SDZ 1.5250 Millilitre / millilitre
Liq/Liq Inj 10 mg/mL Dilaudid HP 00622133 PFR 3.3750 Millilitre / millilitre
Hydromorphone HP 10 02145928 SDZ 3.3750 Millilitre / millilitre
Liq/Liq Inj 20 mg/mL Hydromorphone HP 20 02145936 SDZ 8.9290 Millilitre / millilitre
Liq/Liq Inj 50 mg/mL Hydromorphone HP 50 02146126 SDZ 21.1271 Millilitre / millilitre
SRC/Caps.L.L. Orl 3 mg Hydromorph Contin 02125323 PFR 0.6330 Capsule / capsule
September / septembre 2020 Page 26
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Apo-Hydromorphone CR 02476614 APX 0.6023 Capsule / capsule
SRC/Caps.L.L. Orl 4.5 mg Hydromorph Contin 02359502 PFR 0.7640 Capsule / capsule
Apo-Hydromorphone CR 02476622 APX 0.7275 Capsule / capsule
SRC/Caps.L.L. Orl 6 mg Hydromorph Contin 02125331 PFR 0.9480 Capsule / capsule
Apo-Hydromorphone CR 02476630 APX 0.9030 Capsule / capsule
SRC/Caps.L.L. Orl 9 mg Hydromorph Contin 02359510 PFR 1.2520 Capsule / capsule
Apo-Hydromorphone CR 02476649 APX 1.1925 Capsule / capsule
SRC/Caps.L.L. Orl 12 mg Hydromorph Contin 02125366 PFR 1.6440 Capsule / capsule
Apo-Hydromorphone CR 02476657 APX 1.5653 Capsule / capsule
SRC/Caps.L.L. Orl 18 mg Hydromorph Contin 02243562 PFR 2.3720 Capsule / capsule
Apo-Hydromorphone CR 02476665 APX 2.2590 Capsule / capsule
SRC/Caps.L.L. Orl 24 mg Hydromorph Contin 02125382 PFR 2.7450 Capsule / capsule
Apo-Hydromorphone CR 02476673 APX 2.6138 Capsule / capsule
SRC/Caps.L.L. Orl 30 mg Hydromorph Contin 02125390 PFR 3.2880 Capsule / capsule
Apo-Hydromorphone CR 02476681 APX 3.1309 Capsule / capsule
Syr/Sir. Orl 1 mg/mL pms-Hydromorphone 01916386 PMS 0.0698 Millilitre / millilitre
Tab/Co. Orl 1 mg Dilaudid 00705438 PFR 0.0950 Tablet / comprime
Apo-Hydromorphone 02364115 APX 0.0950 Tablet / comprime
Teva-Hydromorphone 02319403 TEV 0.0950 Tablet / comprime
pms-Hydromorphone 00885444 PMS 0.0950 Tablet / comprime
Tab/Co. Orl 2 mg Dilaudid 00125083 PFR 0.1416 Tablet / comprime
Apo-Hydromorphone 02364123 APX 0.1416 Tablet / comprime
pms-Hydromorphone 00885436 PMS 0.1416 Tablet / comprime
Tab/Co. Orl 4 mg Dilaudid 00125121 PFR 0.2240 Tablet / comprime
Apo-Hydromorphone 02364131 APX 0.2240 Tablet / comprime
Teva-Hydromorphone 02319438 TEV 0.2240 Tablet / comprime
pms-Hydromorphone 00885401 PMS 0.2240 Tablet / comprime
Tab/Co. Orl 8 mg Dilaudid 00786543 PFR 0.3528 Tablet / comprime
Apo-Hydromorphone 02364158 APX 0.3528 Tablet / comprime
Teva-Hydromorphone 02319446 TEV 0.3528 Tablet / comprime
pms-Hydromorphone 00885428 PMS 0.3528 Tablet / comprime
Hydroxycarbamide (Hydroxyurea) / Hydroxycarbamide
(Hydroxyuree)
Cap/Caps Orl 500 mg Hydrea 00465283 BRI 1.0203 Capsule / capsule
Apo-Hydroxyurea 02247937 APX 1.0203 Capsule / capsule
Mylan-Hydroxyurea 02242920 MYL 1.0203 Capsule / capsule
Hydroxychloroquine / Hydroxychloroquine Tab/Co. Orl 200 mg Plaquenil 02017709 SAV 0.1576 Tablet / comprime
Apo-Hydroxyquine 02246691 APX 0.1576 Tablet / comprime
Jamp-Hydroxychloroquine Sulfate 02491427 JPC 0.1576 Tablet / comprime
Mint-Hydroxychloroquine 02424991 MNT 0.1576 Tablet / comprime
Hydroxyzine / Hydroxyzine Cap/Caps Orl 10 mg Hydroxyzine 00646059 AAP 0.1143 Capsule / capsule
Novo-Hydroxyzine 00738824 TEV 0.1116 Capsule / capsule
Cap/Caps Orl 25 mg Hydroxyzine 00646024 AAP 0.1459 Capsule / capsule
Novo-Hydroxyzine 00738832 TEV 0.1425 Capsule / capsule
Cap/Caps Orl 50 mg Hydroxyzine 00646016 AAP 0.2118 Capsule / capsule
Novo-Hydroxyzine 00738840 TEV 0.2068 Capsule / capsule
Syr/Sir. Orl 2 mg/mL Atarax 00024694 ERF 0.0500 Millilitre / millilitre
Hypertonic Sodium Chloride / Chlorure De Sodium,
Hypertonique
Liq/Liq Inh 7% Hyper-Sal 80029414 KEG 0.2213 Millilitre / millilitre
Nebusal 80029758 STR 0.2213 Millilitre / millilitre
Ibuprofen / Ibuprofene Tab/Co. Orl 300 mg Apo-Ibuprofen 00441651 APX 0.1377 Tablet / comprime
Tab/Co. Orl 400 mg Motrin IB 02242658 JNJ 0.1938 Tablet / comprime
Jamp-Ibuprofen 02401290 JPC 0.0372 Tablet / comprime
Tab/Co. Orl 600 mg Apo-Ibuprofen 00585114 APX 0.1313 Tablet / comprime
Novo-Profen 00629359 TEV 0.1313 Tablet / comprime
Imatinib / Imatinib Tab/Co. Orl 100 mg Gleevec 02253275 NVR 5.2079 Tablet / comprime
Apo-Imatinib 02355337 APX 5.2079 Tablet / comprime
Mint-Imatinib 02492334 MNT 5.2079 Tablet / comprime
Nat-Imatinib 02397285 NAT 5.2079 Tablet / comprime
Teva-Imatinib 02399806 TEV 5.2079 Tablet / comprime
pms-Imatinib 02431114 PMS 5.2079 Tablet / comprime
Tab/Co. Orl 400 mg Gleevec 02253283 NVR 20.8314 Tablet / comprime
Apo-Imatinib 02355345 APX 20.8314 Tablet / comprime
Mint-Imatinib 02492342 MNT 20.8314 Tablet / comprime
Nat-Imatinib 02397293 NAT 20.8314 Tablet / comprime
Teva-Imatinib 02399814 TEV 20.8314 Tablet / comprime
pms-Imatinib 02431122 PMS 20.8314 Tablet / comprime
Imipenem / Cilastatin / Imipenem / Cilastatine Pws/Pds. Inj 250 mg / 250 mg Ran-Imipenem-Cilastatin 02351692 RAN 11.7400 Vial / fiole
Pws/Pds. Inj 500 mg / 500 mg Primaxin 00717282 FRS 37.1119 Vial / fiole
Ran-Imipenem-Cilastatin 02351706 RAN 21.9400 Vial / fiole
Imipramine / Imipramine Tab/Co. Orl 10 mg Imipramine 00360201 AAP 0.1397 Tablet / comprime
Tab/Co. Orl 25 mg Imipramine 00312797 AAP 0.2573 Tablet / comprime
Tab/Co. Orl 50 mg Imipramine 00326852 AAP 0.5021 Tablet / comprime
Tab/Co. Orl 75 mg Imipramine 00644579 AAP 0.6727 Tablet / comprime
Imiquimod / Imiquimod Crm/Cr. Top 5% Aldara P 02239505 BSL 43.4350 Gram / gramme
Taro-Imiquimod Pump 02482983 TAR 43.4350 Gram / gramme
September / septembre 2020 Page 27
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Indapamide / Indapamide Tab/Co. Orl 1.25 mg Lozide 02179709 SEV 0.0745 Tablet / comprime
Apo-Indapamide 02245246 APX 0.0745 Tablet / comprime
Jamp-Indapamide 02373904 JPC 0.0745 Tablet / comprime
Mylan-Indapamide 02240067 MYL 0.0745 Tablet / comprime
Tab/Co. Orl 2.5 mg Lozide 00564966 SEV 0.1182 Tablet / comprime
Apo-Indapamide 02223678 APX 0.1182 Tablet / comprime
Jamp-Indapamide 02373912 JPC 0.1182 Tablet / comprime
Mylan-Indapamide 02153483 MYL 0.1182 Tablet / comprime
Indomethacin / Indomethacine Cap/Caps Orl 25 mg Mint-Indomethacin 02461811 MNT 0.1519 Capsule / capsule
Teva-Indomethacin 00337420 TEV 0.1519 Capsule / capsule
Cap/Caps Orl 50 mg Mint-Indomethacin 02461536 MNT 0.2469 Capsule / capsule
Teva-Indomethacin 00337439 TEV 0.2469 Capsule / capsule
Sup/Supp. Rt 50 mg Sab-Indomethacin 02231799 SDZ 0.8840 Suppository / suppositoire
Sup/Supp. Rt 100 mg Sab-Indomethacin 02231800 SDZ 0.8920 Suppository / suppositoire
Ipratropium Bromide / Bromure D'Ipratropium Liq/Liq Inh 125 mcg/mL pms-Ipratropium 02231135 PMS 0.5753 Millilitre / millilitre
Liq/Liq Inh 250 mcg/mL Teva-Ipratropium 02216221 TEV 0.6590 Millilitre / millilitre
pms-Ipratropium (1mL nebules) 02231244 PMS 0.6590 Millilitre / millilitre
pms-Ipratropium (2mL nebules) 02231245 PMS 0.6590 Millilitre / millilitre
Liq/Liq Inh 250 mcg/mL Apo-Ipravent 02126222 APX 0.3155 Millilitre / millilitre
pms-Ipratropium 02231136 PMS 0.3155 Millilitre / millilitre
Spr/Vap Nas 0.03% pms-Ipratropium 02239627 PMS 0.0756 Dose / dose
Irbesartan / Hydrochlorothiazide / Irbesartan /
Hydrochlorothiazide
Tab/Co. Orl 150 mg / 12.5 mg Avalide 02241818 SAV 0.2281 Tablet / comprime
Auro-Irbesartan HCT 02447878 ARO 0.2281 Tablet / comprime
Irbesartan HCT 02385317 SIV 0.2281 Tablet / comprime
Irbesartan/HCTZ 02372886 SAS 0.2281 Tablet / comprime
Jamp-Irbesartan/Hydrochlorothiazide 02418223 JPC 0.2281 Tablet / comprime
Mint-Irbesartan/HCTZ 02392992 MNT 0.2281 Tablet / comprime
Sandoz Irbesartan HCT 02337428 SDZ 0.2281 Tablet / comprime
Teva-Irbesartan HCTZ 02330512 TEV 0.2281 Tablet / comprime
pms-Irbesartan HCTZ 02328518 PMS 0.2281 Tablet / comprime
Tab/Co. Orl 300 mg / 12.5 mg Avalide 02241819 SAV 0.2281 Tablet / comprime
Auro-Irbesartan HCT 02447886 ARO 0.2281 Tablet / comprime
Irbesartan HCT 02385325 SIV 0.2281 Tablet / comprime
Irbesartan/HCTZ 02372894 SAS 0.2281 Tablet / comprime
Jamp-Irbesartan/Hydrochlorothiazide 02418231 JPC 0.2281 Tablet / comprime
Mint-Irbesartan/HCTZ 02393018 MNT 0.2281 Tablet / comprime
Sandoz Irbesartan HCT 02337436 SDZ 0.2281 Tablet / comprime
Teva-Irbesartan HCTZ 02330520 TEV 0.2281 Tablet / comprime
pms-Irbesartan HCTZ 02328526 PMS 0.2281 Tablet / comprime
Tab/Co. Orl 300 mg / 25 mg Auro-Irbesartan HCT 02447894 ARO 0.2184 Tablet / comprime
Irbesartan HCT 02385333 SIV 0.2184 Tablet / comprime
Irbesartan/HCTZ 02372908 SAS 0.2184 Tablet / comprime
Jamp-Irbesartan/Hydrochlorothiazide 02418258 JPC 0.2184 Tablet / comprime
Mint-Irbesartan/HCTZ 02393026 MNT 0.2184 Tablet / comprime
Sandoz Irbesartan HCT 02337444 SDZ 0.2184 Tablet / comprime
Teva-Irbesartan HCTZ 02330539 TEV 0.2184 Tablet / comprime
pms-Irbesartan HCTZ 02328534 PMS 0.2184 Tablet / comprime
Irbesartan / Irbesartan Tab/Co. Orl 75 mg Avapro 02237923 SAV 0.2281 Tablet / comprime
Auro-Irbesartan 02406098 ARO 0.2281 Tablet / comprime
Irbesartan 02365197 PDL 0.2281 Tablet / comprime
Irbesartan 02385287 SIV 0.2281 Tablet / comprime
Irbesartan 02372347 SAS 0.2281 Tablet / comprime
Jamp-Irbesartan 02418193 JPC 0.2281 Tablet / comprime
Mint-Irbesartan 02422980 MNT 0.2281 Tablet / comprime
Sandoz Irbesartan 02328461 SDZ 0.2281 Tablet / comprime
Taro-Irbesartan 02406810 SUN 0.2281 Tablet / comprime
Teva-Irbesartan 02316390 TEV 0.2281 Tablet / comprime
pms-Irbesartan 02317060 PMS 0.2281 Tablet / comprime
Tab/Co. Orl 150 mg Avapro 02237924 SAV 0.2281 Tablet / comprime
Auro-Irbesartan 02406101 ARO 0.2281 Tablet / comprime
Irbesartan 02385295 SIV 0.2281 Tablet / comprime
Irbesartan 02372371 SAS 0.2281 Tablet / comprime
Irbesartan 02365200 PDL 0.2281 Tablet / comprime
Jamp-Irbesartan 02418207 JPC 0.2281 Tablet / comprime
Mint-Irbesartan 02422999 MNT 0.2281 Tablet / comprime
Sandoz Irbesartan 02328488 SDZ 0.2281 Tablet / comprime
Taro-Irbesartan 02406829 SUN 0.2281 Tablet / comprime
Teva-Irbesartan 02316404 TEV 0.2281 Tablet / comprime
pms-Irbesartan 02317079 PMS 0.2281 Tablet / comprime
Tab/Co. Orl 300 mg Avapro 02237925 SAV 0.2281 Tablet / comprime
Auro-Irbesartan 02406128 ARO 0.2281 Tablet / comprime
Irbesartan 02372398 SAS 0.2281 Tablet / comprime
Irbesartan 02365219 PDL 0.2281 Tablet / comprime
September / septembre 2020 Page 28
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Irbesartan 02385309 SIV 0.2281 Tablet / comprime
Jamp-Irbesartan 02418215 JPC 0.2281 Tablet / comprime
Mint-Irbesartan 02423006 MNT 0.2281 Tablet / comprime
Sandoz Irbesartan 02328496 SDZ 0.2281 Tablet / comprime
Taro-Irbesartan 02406837 SUN 0.2281 Tablet / comprime
Teva-Irbesartan 02316412 TEV 0.2281 Tablet / comprime
pms-Irbesartan 02317087 PMS 0.2281 Tablet / comprime
Isoniazid / Isoniazide Syr/Sir. Orl 10 mg/mL pdp-Isoniazid 00577812 PMS 0.2673 Millilitre / millilitre
Tab/Co. Orl 300 mg pdp-Isoniazid 00577804 PMS 0.7992 Tablet / comprime
Isosorbide Dinitrate / Dinitrate D'Isosorbide Slt/Co.S.L. Slg 5 mg ISDN S/L 00670944 AAP 0.0633 Tablet / comprime
Tab/Co. Orl 10 mg ISDN 00441686 AAP 0.0372 Tablet / comprime
Tab/Co. Orl 30 mg ISDN 00441694 AAP 0.0874 Tablet / comprime
Isosorbide Mononitrate / Mononitrate D'Isosorbide SRT/Co.L.L. Orl 60 mg Imdur 02126559 MDN 0.3523 Tablet / comprime
Apo-ISMN 02272830 APX 0.3523 Tablet / comprime
pms-ISMN 02301288 PMS 0.3523 Tablet / comprime
Isotretinoin / Isotretinoine Cap/Caps Orl 10 mg Accutane Roche 00582344 HLR 0.9313 Capsule / capsule
Clarus 02257955 MYL 0.9313 Capsule / capsule
Cap/Caps Orl 40 mg Accutane Roche 00582352 HLR 1.9003 Capsule / capsule
Clarus 02257963 MYL 1.9003 Capsule / capsule
Itraconazole / Itraconazole Cap/Caps Orl 100 mg Sporanox 02047454 JAN 3.9270 Capsule / capsule
Mint-Itraconazole 02462559 MNT 3.9270 Capsule / capsule
Liq/Liq Orl 10 mg/mL Sporanox 02231347 JAN 0.4111 Millilitre / millilitre
Jamp-Itraconazole 02484315 JPC 0.4111 Millilitre / millilitre
Odan-Itraconazole 02495988 ODN 0.4111 Millilitre / millilitre
Ketoconazole / Ketoconazole Crm/Cr. Top 2% Ketoderm 02245662 TPH 0.3595 Gram / gramme
Tab/Co. Orl 200 mg Apo-Ketoconazole 02237235 APX 0.9393 Tablet / comprime
Teva-Ketoconazole 02231061 TEV 0.9393 Tablet / comprime
Ketoprofen / Ketoprofene Cap/Caps Orl 50 mg Keto 00790427 AAP 0.3373 Capsule / capsule
ECT/Co.Ent Orl 50 mg Keto-E 00790435 AAP 0.3379 Tablet / comprime
ECT/Co.Ent Orl 100 mg Keto-E 00842664 AAP 0.6959 Tablet / comprime
SRT/Co.L.L. Orl 200 mg Keto SR 02172577 AAP 1.3925 Tablet / comprime
Ketorolac / Ketorolac Liq/Liq Oph 0.5% Acular 01968300 ALL 2.5960 Millilitre / millilitre
Ketorolac 02245821 AAP 2.5960 Millilitre / millilitre
Ketotifen / Ketotifene Tab/Co. Orl 1 mg Zaditen 00577308 TEV 1.6973 Tablet / comprime
Labetalol / Labetalol Tab/Co. Orl 100 mg Trandate 02106272 PAL 0.1983 Tablet / comprime
Apo-Labetalol 02243538 APX 0.1983 Tablet / comprime
Riva-Labetalol 02489406 RIV 0.1983 Tablet / comprime
Tab/Co. Orl 200 mg Trandate 02106280 PAL 0.3504 Tablet / comprime
Apo-Labetalol 02243539 APX 0.3504 Tablet / comprime
Riva-Labetalol 02489414 RIV 0.3504 Tablet / comprime
Lacosamide / Lacosamide Tab/Co. Orl 50 mg Vimpat 02357615 UCB 0.6313 Tablet / comprime
Auro-Lacosamide 02475332 ARO 0.6313 Tablet / comprime
Jamp-Lacosamide 02488388 JPC 0.6313 Tablet / comprime
Mar-Lacosamide 02487802 MAR 0.6313 Tablet / comprime
Mint-Lacosamide 02490544 MNT 0.6313 Tablet / comprime
Sandoz-Lacosamide 02474670 SDZ 0.6313 Tablet / comprime
Teva-Lacosamide 02472902 TEV 0.6313 Tablet / comprime
pharma-Lacosamide 02478196 PMS 0.6313 Tablet / comprime
Tab/Co. Orl 100 mg Vimpat 02357623 UCB 0.8750 Tablet / comprime
Auro-Lacosamide 02475340 ARO 0.8750 Tablet / comprime
Jamp-Lacosamide 02488396 JPC 0.8750 Tablet / comprime
Mar-Lacosamide 02487810 MAR 0.8750 Tablet / comprime
Mint-Lacosamide 02490552 MNT 0.8750 Tablet / comprime
Sandoz-Lacosamide 02474689 SDZ 0.8750 Tablet / comprime
Teva-Lacosamide 02472910 TEV 0.8750 Tablet / comprime
pharma-Lacosamide 02478218 PMS 0.8750 Tablet / comprime
Tab/Co. Orl 150 mg Vimpat 02357631 UCB 1.1763 Tablet / comprime
Auro-Lacosamide 02475359 ARO 1.1763 Tablet / comprime
Jamp-Lacosamide 02488418 JPC 1.1763 Tablet / comprime
Mar-Lacosamide 02487829 MAR 1.1763 Tablet / comprime
Mint-Lacosamide 02490560 MNT 1.1763 Tablet / comprime
Sandoz-Lacosamide 02474697 SDZ 1.1763 Tablet / comprime
Teva-Lacosamide 02472929 TEV 1.1763 Tablet / comprime
pharma-Lacosamide 02478226 PMS 1.1763 Tablet / comprime
Tab/Co. Orl 200 mg Vimpat 02357658 UCB 1.4500 Tablet / comprime
Auro-Lacosamide 02475367 ARO 1.4500 Tablet / comprime
Jamp-Lacosamide 02488426 JPC 1.4500 Tablet / comprime
Mar-Lacosamide 02487837 MAR 1.4500 Tablet / comprime
Mint-Lacosamide 02490579 MNT 1.4500 Tablet / comprime
Sandoz-Lacosamide 02474700 SDZ 1.4500 Tablet / comprime
Teva-Lacosamide 02472937 TEV 1.4500 Tablet / comprime
pharma-Lacosamide 02478234 PMS 1.4500 Tablet / comprime
Lactulose / Lactulose Syr/Sir. Orl 667 mg Jamp-Lactulose 02295881 JPC 0.0145 Millilitre / millilitre
Lactulose 02412268 SAS 0.0145 Millilitre / millilitre
September / septembre 2020 Page 29
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
pms-Lactulose 00703486 PMS 0.0145 Millilitre / millilitre
pms-Lactulose-pharma 02469391 PMS 0.0145 Millilitre / millilitre
ratio-Lactulose 00854409 RPH 0.0145 Millilitre / millilitre
Lamivudine / Lamivudine Tab/Co. Orl 100 mg Heptovir 02239193 GSK 3.5316 Tablet / comprime
Apo-Lamivudine HBV 02393239 APX 3.5316 Tablet / comprime
Tab/Co. Orl 150 mg 3TC 02192683 VIV 3.6269 Tablet / comprime
Apo-Lamivudine 02369052 APX 3.6269 Tablet / comprime
Tab/Co. Orl 300 mg 3TC 02247825 VIV 7.2538 Tablet / comprime
Apo-Lamivudine 02369060 APX 7.2538 Tablet / comprime
Lamivudine and Abacavir / Lamivudine et Abacavir Tab/Co. Orl 300 mg / 600 mg Kivexa 02269341 VIV 5.9875 Tablet / comprime
Apo-Abacavir-Lamivudine 02399539 APX 5.9875 Tablet / comprime
Auro-Abacavir/Lamivudine 02454513 ARO 5.9875 Tablet / comprime
Mylan-Abacarvir/Lamivudine 02450682 MYL 5.9875 Tablet / comprime
Teva-Abacavir/Lamivudine 02416662 TEV 5.9875 Tablet / comprime
pms-Abacavir-Lamivudine 02458381 PMS 5.9875 Tablet / comprime
Lamotrigine / Lamotrigine Tab/Co. Orl 25 mg Lamictal 02142082 GSK 0.0698 Tablet / comprime
Apo-Lamotrigine 02245208 APX 0.0698 Tablet / comprime
Auro-Lamotrigine 02381354 ARO 0.0698 Tablet / comprime
Lamotrigine 02428202 SIV 0.0698 Tablet / comprime
Lamotrigine 02343010 SAS 0.0698 Tablet / comprime
Mylan-Lamotrigine 02265494 MYL 0.0698 Tablet / comprime
pms-Lamotrigine 02246897 PMS 0.0698 Tablet / comprime
Tab/Co. Orl 100 mg Lamictal 02142104 GSK 0.2787 Tablet / comprime
Apo-Lamotrigine 02245209 APX 0.2787 Tablet / comprime
Auro-Lamotrigine 02381362 ARO 0.2787 Tablet / comprime
Lamotrigine 02428210 SIV 0.2787 Tablet / comprime
Lamotrigine 02343029 SAS 0.2787 Tablet / comprime
Mylan-Lamotrigine 02265508 MYL 0.2787 Tablet / comprime
pms-Lamotrigine 02246898 PMS 0.2787 Tablet / comprime
Tab/Co. Orl 150 mg Lamictal 02142112 GSK 0.4107 Tablet / comprime
Apo-Lamotrigine 02245210 APX 0.4107 Tablet / comprime
Auro-Lamotrigine 02381370 ARO 0.4107 Tablet / comprime
Lamotrigine 02343037 SAS 0.4107 Tablet / comprime
Lamotrigine 02428229 SIV 0.4107 Tablet / comprime
Mylan-Lamotrigine 02265516 MYL 0.4107 Tablet / comprime
pms-Lamotrigine 02246899 PMS 0.4107 Tablet / comprime
Lansoprazole / Lansoprazole SRC/Caps.L.L. Orl 15 mg Prevacid 02165503 ABB 0.5000 Capsule / capsule
Apo-Lansoprazole 02293811 APX 0.5000 Capsule / capsule
Lansoprazole 02357682 SAS 0.5000 Capsule / capsule
Lansoprazole 02433001 PMS 0.5000 Capsule / capsule
Lansoprazole 02385767 SIV 0.5000 Capsule / capsule
Mylan-Lansoprazole 02353830 MYL 0.5000 Capsule / capsule
Sandoz Lansoprazole 02385643 SDZ 0.5000 Capsule / capsule
Taro-Lansoprazole 02402610 SUN 0.5000 Capsule / capsule
Teva-Lansoprazole 02280515 TEV 0.5000 Capsule / capsule
SRC/Caps.L.L. Orl 30 mg Prevacid 02165511 ABB 0.5000 Capsule / capsule
Apo-Lansoprazole 02293838 APX 0.5000 Capsule / capsule
Lansoprazole 02433028 PMS 0.5000 Capsule / capsule
Lansoprazole 02357690 SAS 0.5000 Capsule / capsule
Lansoprazole 02410389 SIV 0.5000 Capsule / capsule
Mylan-Lansoprazole 02353849 MYL 0.5000 Capsule / capsule
Sandoz Lansoprazole 02385651 SDZ 0.5000 Capsule / capsule
Taro-Lansoprazole 02402629 SUN 0.5000 Capsule / capsule
Teva-Lansoprazole 02280523 TEV 0.5000 Capsule / capsule
Latanoprost / Latanoprost Liq/Liq Oph 0.005% Xalatan 02231493 UJC 3.6320 Millilitre / millilitre
Apo-Latanoprost 02296527 APX 3.6320 Millilitre / millilitre
GD-Latanoprost 02373041 UJC 3.6320 Millilitre / millilitre
Jamp-Latanoprost 02453355 JPC 3.6320 Millilitre / millilitre
Latanoprost Ophthalmic Solution 02489570 TLG 3.6320 Millilitre / millilitre
Med-Latanoprost 02426935 GMP 3.6320 Millilitre / millilitre
Riva-Latanopost 02341085 RIV 3.6320 Millilitre / millilitre
Sandoz Latanoprost 02367335 SDZ 3.6320 Millilitre / millilitre
Teva-Latanoprost 02254786 TEV 3.6320 Millilitre / millilitre
pms-Latanoprost 02317125 PMS 3.6320 Millilitre / millilitre
Leflunomide / Leflunomide Tab/Co. Orl 10 mg Arava 02241888 SAV 2.6433 Tablet / comprime
Apo-Leflunomide 02256495 APX 2.6433 Tablet / comprime
Leflunomide 02351668 SAS 2.6433 Tablet / comprime
Novo-Leflunomide 02261251 TEV 2.6433 Tablet / comprime
Sandoz Leflunomide 02283964 SDZ 2.6433 Tablet / comprime
pms-Leflunomide 02288265 PMS 2.6433 Tablet / comprime
Tab/Co. Orl 20 mg Arava 02241889 SAV 2.6433 Tablet / comprime
Apo-Leflunomide 02256509 APX 2.6433 Tablet / comprime
Leflunomide 02351676 SAS 2.6433 Tablet / comprime
Novo-Leflunomide 02261278 TEV 2.6433 Tablet / comprime
September / septembre 2020 Page 30
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Sandoz Leflunomide 02283972 SDZ 2.6433 Tablet / comprime
pms-Leflunomide 02288273 PMS 2.6433 Tablet / comprime
Letrozole / Letrozole Tab/Co. Orl 2.5 mg Femara 02231384 NVR 1.3780 Tablet / comprime
Apo-Letrozole 02358514 APX 1.3780 Tablet / comprime
CCP-Letrozole 02459884 CCM 1.3780 Tablet / comprime
Jamp-Letrozole 02373009 JPC 1.3780 Tablet / comprime
Letrozole tablets usp 02338459 AHI 1.3780 Tablet / comprime
Mar-Letrozole 02373424 MAR 1.3780 Tablet / comprime
Med-Letrozole 02322315 GMP 1.3780 Tablet / comprime
Nat-Letrozole 02421585 NAT 1.3780 Tablet / comprime
Sandoz Letrozole 02344815 SDZ 1.3780 Tablet / comprime
Teva-Letrozole 02343657 TEV 1.3780 Tablet / comprime
Zinda-Letrozole 02378213 MCK 1.3780 Tablet / comprime
pms-Letrozole 02309114 PMS 1.3780 Tablet / comprime
Levetiracetam / Levetiracetam Tab/Co. Orl 250 mg Keppra 02247027 UCB 0.3210 Tablet / comprime
Act Levetiracetam 02274183 TEV 0.3210 Tablet / comprime
Apo-Levetiracetam 02285924 APX 0.3210 Tablet / comprime
Auro-Levetiracetam 02375249 ARO 0.3210 Tablet / comprime
Jamp-Levetiracetam 02403005 JPC 0.3210 Tablet / comprime
Levetiracetam 02353342 SAS 0.3210 Tablet / comprime
Levetiracetam 02454653 PMS 0.3210 Tablet / comprime
Levetiracetam 02442531 SIV 0.3210 Tablet / comprime
Nat-Levetiracetam 02440202 NAT 0.3210 Tablet / comprime
Riva-Levetiracetam 02482274 RIV 0.3210 Tablet / comprime
Sandoz Levetiracetam 02461986 SDZ 0.3210 Tablet / comprime
Tab/Co. Orl 500 mg Keppra 02247028 UCB 0.3911 Tablet / comprime
Act Levetiracetam 02274191 TEV 0.3911 Tablet / comprime
Apo-Levetiracetam 02285932 APX 0.3911 Tablet / comprime
Auro-Levetiracetam 02375257 ARO 0.3911 Tablet / comprime
Jamp-Levetiracetam 02403021 JPC 0.3911 Tablet / comprime
Levetiracetam 02442558 SIV 0.3911 Tablet / comprime
Levetiracetam 02353350 SAS 0.3911 Tablet / comprime
Levetiracetam 02454661 PMS 0.3911 Tablet / comprime
Nat-Levetiracetam 02440210 NAT 0.3911 Tablet / comprime
Pro-Levetiracetam 02311380 PDL 0.3911 Tablet / comprime
Riva-Levetiracetam 02482282 RIV 0.3911 Tablet / comprime
Sandoz Levetiracetam 02461994 SDZ 0.3911 Tablet / comprime
Tab/Co. Orl 750 mg Keppra 02247029 UCB 0.5416 Tablet / comprime
Act Levetiracetam 02274205 TEV 0.5416 Tablet / comprime
Apo-Levetiracetam 02285940 APX 0.5416 Tablet / comprime
Auro-Levetiracetam 02375265 ARO 0.5416 Tablet / comprime
Jamp-Levetiracetam 02403048 JPC 0.5416 Tablet / comprime
Levetiracetam 02353369 SAS 0.5416 Tablet / comprime
Levetiracetam 02454688 PMS 0.5416 Tablet / comprime
Levetiracetam 02442566 SIV 0.5416 Tablet / comprime
Nat-Levetiracetam 02440229 NAT 0.5416 Tablet / comprime
Pro-Levetiracetam 02311399 PDL 0.5416 Tablet / comprime
Riva-Levetiracetam 02482290 RIV 0.5416 Tablet / comprime
Sandoz Levetiracetam 02462001 SDZ 0.5416 Tablet / comprime
Tab/Co. Orl 1000 mg Sandoz Levetiracetam 02462028 SDZ 0.7221 Tablet / comprime
Levocarnitine / Levocarnitine Liq/Liq Orl 100 mg/mL Carnitor 02144336 LBI 0.3898 Millilitre / millilitre
Odan-Levocarnitine 02492105 ODN 0.3898 Millilitre / millilitre
Levodopa / Carbidopa / Levodopa / Carbidopa SRT/Co.L.L. Orl 100 mg / 25 mg Sinemet CR 02028786 FRS 0.3857 Tablet / comprime
AA-Levocarb CR 02272873 AAP 0.3857 Tablet / comprime
SRT/Co.L.L. Orl 200 mg / 50 mg AA-Levocarb CR 02245211 AAP 0.7115 Tablet / comprime
Tab/Co. Orl 100 mg / 10 mg Apo-Levocarb 02195933 APX 0.1087 Tablet / comprime
Mint-Levocarb 02457954 MNT 0.1087 Tablet / comprime
Teva-Levocarbidopa 02244494 TEV 0.1087 Tablet / comprime
Tab/Co. Orl 100 mg / 25 mg Sinemet 00513997 FRS 0.1623 Tablet / comprime
Apo-Levocarb 02195941 APX 0.1623 Tablet / comprime
Mint-Levocarb 02457962 MNT 0.1623 Tablet / comprime
Teva-Levocarbidopa 02244495 TEV 0.1623 Tablet / comprime
Tab/Co. Orl 250 mg / 25 mg Sinemet 00328219 FRS 0.1812 Tablet / comprime
Apo-Levocarb 02195968 APX 0.1812 Tablet / comprime
Mint-Levocarb 02457970 MNT 0.1812 Tablet / comprime
Teva-Levocarbidopa 02244496 TEV 0.1812 Tablet / comprime
Levofloxacin / Levofloxacine Liq/Liq Inj 5 mg/mL Levofloxacin 02314932 PFI 0.4086 Millilitre / millilitre
Tab/Co. Orl 250 mg Act Levofloxacin 02315424 TEV 1.2038 Tablet / comprime
Apo-Levofloxacin 02284707 APX 1.2038 Tablet / comprime
Sandoz Levofloxacin 02298635 SDZ 1.2038 Tablet / comprime
Tab/Co. Orl 500 mg Act Levofloxacin 02315432 TEV 1.3718 Tablet / comprime
Apo-Levofloxacin 02284715 APX 1.3718 Tablet / comprime
Sandoz Levofloxacin 02298643 SDZ 1.3718 Tablet / comprime
September / septembre 2020 Page 31
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Levomepromazine (Methotrimeprazine) / Levomepromazine
(Methotrimeprazine)
Tab/Co. Orl 2 mg Methoprazine 02238403 AAP 0.0721 Tablet / comprime
Tab/Co. Orl 5 mg Methoprazine 02238404 AAP 0.1043 Tablet / comprime
Tab/Co. Orl 25 mg Methoprazine 02238405 AAP 0.2681 Tablet / comprime
Tab/Co. Orl 50 mg Methoprazine 02238406 AAP 0.4060 Tablet / comprime
Levonorgestrel / Levonorgestrel Tab/Co. Orl 1.5 mg Plan B 02293854 PAL 8.6000 Tablet / comprime
Backup Plan Onestep 02433532 APX 8.6000 Tablet / comprime
Contingency One 02425009 MYL 8.6000 Tablet / comprime
Levonorgestrel and Ethinyl Estradiol / Levonorgestrel et
Ethinyloestradiol
Tab/Co. Orl 0.1 mg / 0.02 mg Alesse (21) 02236974 PFI 0.3629 Tablet / comprime
Alysena (21) 02387875 APX 0.3629 Tablet / comprime
Aviane (21) 02298538 TEV 0.3629 Tablet / comprime
Tab/Co. Orl 0.1 mg / 0.02 mg Alesse (28) 02236975 PFI 0.2721 Tablet / comprime
Alysena (28) 02387883 APX 0.2721 Tablet / comprime
Aviane (28) 02298546 TEV 0.2721 Tablet / comprime
Tab/Co. Orl 0.15 mg / 0.03 mg Min-Ovral (21) 02042320 PFI 0.3467 Tablet / comprime
Ovima (21) 02387085 APX 0.3467 Tablet / comprime
Portia (21) 02295946 TEV 0.3467 Tablet / comprime
Tab/Co. Orl 0.15 mg / 0.03 mg Min-Ovral (28) 02042339 PFI 0.2600 Tablet / comprime
Ovima (28) 02387093 APX 0.2600 Tablet / comprime
Portia (28) 02295954 TEV 0.2600 Tablet / comprime
Lidocaine / Lidocaine Gel/Gel Top 2% Lidodan Jelly 02143879 ODN 0.3625 Gram / gramme
Linezolid / Linezolide Tab/Co. Orl 600 mg Zyvoxam 02243684 PFI 37.0500 Tablet / comprime P
Apo-Linezolid 02426552 APX 37.0500 Tablet / comprime P
Sandoz Linezolid 02422689 SDZ 37.0500 Tablet / comprime P
Lisinopril / Hydrochlorothiazide / Lisinopril / Hydrochlorothiazide Tab/Co. Orl 10 mg / 12.5 mg Zestoretic 02103729 AZE 0.2083 Tablet / comprime
Lisinopril HCTZ (Type Z) 02362945 SAS 0.2083 Tablet / comprime
Sandoz Lisinopril HCT 02302365 SDZ 0.2083 Tablet / comprime
Teva-Lisinopril HCTZ (Type Z) 02301768 TEV 0.2083 Tablet / comprime
Tab/Co. Orl 20 mg / 12.5 mg Zestoretic 02045737 AZE 0.2503 Tablet / comprime
Lisinopril HCTZ (Type Z) 02362953 SAS 0.2503 Tablet / comprime
Sandoz Lisinopril HCT 02302373 SDZ 0.2503 Tablet / comprime
Teva-Lisinopril HCTZ (Type Z) 02301776 TEV 0.2503 Tablet / comprime
Tab/Co. Orl 20 mg / 25 mg Zestoretic 02045729 AZE 0.2503 Tablet / comprime
Lisinopril HCTZ (Type Z) 02362961 SAS 0.2503 Tablet / comprime
Sandoz Lisinopril HCT 02302381 SDZ 0.2503 Tablet / comprime
Teva-Lisinopril HCTZ (Type P) 02302152 TEV 0.2503 Tablet / comprime
Teva-Lisinopril HCTZ (Type Z) 02301784 TEV 0.2503 Tablet / comprime
Lisinopril / Lisinopril Tab/Co. Orl 5 mg Zestril 02049333 AZE 0.1347 Tablet / comprime
Apo-Lisinopril 02217481 APX 0.1347 Tablet / comprime
Auro-Lisinopril 02394472 ARO 0.1347 Tablet / comprime
Lisinopril 02386232 SIV 0.1347 Tablet / comprime
Ran-Lisinopril 02294230 RAN 0.1347 Tablet / comprime
Sandoz Lisinopril 02289199 SDZ 0.1347 Tablet / comprime
Teva-Lisinopril P 02285061 TEV 0.1347 Tablet / comprime
Teva-Lisinopril Z 02285118 TEV 0.1347 Tablet / comprime
Tab/Co. Orl 10 mg Prinivil 00839396 FRS 0.1619 Tablet / comprime
Zestril 02049376 AZE 0.1619 Tablet / comprime
Apo-Lisinopril 02217503 APX 0.1619 Tablet / comprime
Auro-Lisinopril 02394480 ARO 0.1619 Tablet / comprime
Lisinopril 02386240 SIV 0.1619 Tablet / comprime
Ran-Lisinopril 02294249 RAN 0.1619 Tablet / comprime
Sandoz Lisinopril 02289202 SDZ 0.1619 Tablet / comprime
Teva-Lisinopril P 02285088 TEV 0.1619 Tablet / comprime
Teva-Lisinopril Z 02285126 TEV 0.1619 Tablet / comprime
Tab/Co. Orl 20 mg Prinivil 00839418 FRS 0.1945 Tablet / comprime
Zestril 02049384 AZE 0.1945 Tablet / comprime
Apo-Lisinopril 02217511 APX 0.1945 Tablet / comprime
Auro-Lisinopril 02394499 ARO 0.1945 Tablet / comprime
Lisinopril 02386259 SIV 0.1945 Tablet / comprime
Ran-Lisinopril 02294257 RAN 0.1945 Tablet / comprime
Sandoz Lisinopril 02289229 SDZ 0.1945 Tablet / comprime
Teva-Lisinopril P 02285096 TEV 0.1945 Tablet / comprime
Teva-Lisinopril Z 02285134 TEV 0.1945 Tablet / comprime
Lithium / Lithium Cap/Caps Orl 150 mg Carbolith 00461733 BSL 0.0667 Capsule / capsule
Lithane 02013231 ERF 0.0667 Capsule / capsule
Apo-Lithium Carbonate 02242837 APX 0.0667 Capsule / capsule
pms-Lithium Carbonate 02216132 PMS 0.0667 Capsule / capsule
Cap/Caps Orl 300 mg Carbolith 00236683 BSL 0.0657 Capsule / capsule
Lithane 00406775 ERF 0.0657 Capsule / capsule
Apo-Lithium Carbonate 02242838 APX 0.0657 Capsule / capsule
pms-Lithium Carbonate 02216140 PMS 0.0657 Capsule / capsule
SRT/Co.L.L. Orl 300 mg Lithmax SR 02266695 AAP 0.2660 Tablet / comprime
Loperamide / Loperamide Liq/Liq Orl 0.2 mg/mL pms-Loperamide Hydrochloride 02016095 PMS 0.1702 Millilitre / millilitre
September / septembre 2020 Page 32
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Tab/Co. Orl 2 mg Teva-Loperamide 02132591 TEV 0.0952 Tablet / comprime
pms-Loperamide 02228351 PMS 0.0952 Tablet / comprime
Loratadine / Loratadine Tab/Co. Orl 10 mg Claritin 00782696 SCO 0.6267 Tablet / comprime
Apo-Loratadine 02243880 APX 0.6267 Tablet / comprime
Lorazepam / Lorazepam Liq/Liq Inj 4 mg/mL Lorazepam 02243278 SDZ 21.2000 Millilitre / millilitre
Slt/Co.S.L. Orl 0.5 mg Ativan SL 02041456 PFI 0.0875 Tablet / comprime
Lorazepam Sublingual 02410745 AAP 0.0875 Tablet / comprime
Slt/Co.S.L. Orl 1 mg Ativan SL 02041464 PFI 0.1100 Tablet / comprime
Lorazepam Sublingual 02410753 AAP 0.1100 Tablet / comprime
Slt/Co.S.L. Orl 2 mg Ativan SL 02041472 PFI 0.1711 Tablet / comprime
Lorazepam Sublingual 02410761 AAP 0.1711 Tablet / comprime
Tab/Co. Orl 0.5 mg Ativan 02041413 PFI 0.0359 Tablet / comprime
Apo-Lorazepam 00655740 APX 0.0359 Tablet / comprime
Lorazepam 02351072 SAS 0.0359 Tablet / comprime
Teva-Lorazepam 00711101 TEV 0.0359 Tablet / comprime
pms-Lorazepam 00728187 PMS 0.0359 Tablet / comprime
Tab/Co. Orl 1 mg Ativan 02041421 PFI 0.0447 Tablet / comprime
Apo-Lorazepam 00655759 APX 0.0447 Tablet / comprime
Lorazepam 02351080 SAS 0.0447 Tablet / comprime
Teva-Lorazepam 00637742 TEV 0.0447 Tablet / comprime
pms-Lorazepam 00728195 PMS 0.0447 Tablet / comprime
Tab/Co. Orl 2 mg Ativan 02041448 PFI 0.0699 Tablet / comprime
Apo-Lorazepam 00655767 APX 0.0699 Tablet / comprime
Lorazepam 02351099 SAS 0.0699 Tablet / comprime
Teva-Lorazepam 00637750 TEV 0.0699 Tablet / comprime
pms-Lorazepam 00728209 PMS 0.0699 Tablet / comprime
Losartan / Hydrochlorothiazide / Losartan / Hydrochlorothiazide Tab/Co. Orl 50 mg / 12.5 mg Hyzaar 02230047 FRS 0.3147 Tablet / comprime
Auro-Losartan HCT 02423642 ARO 0.3147 Tablet / comprime
Jamp-Losartan HCTZ 02408244 JPC 0.3147 Tablet / comprime
Losartan HCT 02388960 SIV 0.3147 Tablet / comprime
Losartan/HCTZ 02427648 SAS 0.3147 Tablet / comprime
Mint-Losartan/HCTZ 02389657 MNT 0.3147 Tablet / comprime
Sandoz Losartan HCT 02313375 SDZ 0.3147 Tablet / comprime
Teva-Losartan HCTZ 02358263 TEV 0.3147 Tablet / comprime
pms-Losartan-HCTZ 02392224 PMS 0.3147 Tablet / comprime
Tab/Co. Orl 100 mg / 12.5 mg Hyzaar 02297841 FRS 0.3082 Tablet / comprime
Auro-Losartan HCT 02423650 ARO 0.3082 Tablet / comprime
Losartan HCT 02388979 SIV 0.3082 Tablet / comprime
Losartan/HCTZ 02427656 SAS 0.3082 Tablet / comprime
Mint-Losartan/HCTZ 02389665 MNT 0.3082 Tablet / comprime
Sandoz Losartan HCT 02362449 SDZ 0.3082 Tablet / comprime
Teva-Losartan HCTZ 02377144 TEV 0.3082 Tablet / comprime
pms-Losartan-HCTZ 02392232 PMS 0.3082 Tablet / comprime
Tab/Co. Orl 100 mg / 25 mg Hyzaar DS 02241007 FRS 0.3147 Tablet / comprime
Auro-Losartan HCT 02423669 ARO 0.3147 Tablet / comprime
Jamp-Losartan HCTZ 02408252 JPC 0.3147 Tablet / comprime
Losartan HCT 02388987 SIV 0.3147 Tablet / comprime
Losartan/HCTZ 02427664 SAS 0.3147 Tablet / comprime
Mint-Losartan/HCTZ DS 02389673 MNT 0.3147 Tablet / comprime
Sandoz Losartan HCT 02313383 SDZ 0.3147 Tablet / comprime
Teva-Losartan HCTZ 02377152 TEV 0.3147 Tablet / comprime
pms-Losartan-HCTZ 02392240 PMS 0.3147 Tablet / comprime
Losartan / Losartan Tab/Co. Orl 25 mg Cozaar 02182815 FRS 0.3147 Tablet / comprime
Apo-Losartan 02379058 APX 0.3147 Tablet / comprime
Auro-Losartan 02403323 ARO 0.3147 Tablet / comprime
Jamp-Losartan 02398834 JPC 0.3147 Tablet / comprime
Losartan 02388863 SAS 0.3147 Tablet / comprime
Losartan 02388790 SIV 0.3147 Tablet / comprime
Mint-Losartan 02405733 MNT 0.3147 Tablet / comprime
Sandoz Losartan 02313332 SDZ 0.3147 Tablet / comprime
Septa-Losartan 02424967 SPT 0.3147 Tablet / comprime
Teva-Losartan 02380838 TEV 0.3147 Tablet / comprime
pms-Losartan 02309750 PMS 0.3147 Tablet / comprime
Tab/Co. Orl 50 mg Cozaar 02182874 FRS 0.3147 Tablet / comprime
Apo-Losartan 02353504 APX 0.3147 Tablet / comprime
Auro-Losartan 02403331 ARO 0.3147 Tablet / comprime
Jamp-Losartan 02398842 JPC 0.3147 Tablet / comprime
Losartan 02388804 SIV 0.3147 Tablet / comprime
Losartan 02388871 SAS 0.3147 Tablet / comprime
Mint-Losartan 02405741 MNT 0.3147 Tablet / comprime
Sandoz Losartan 02313340 SDZ 0.3147 Tablet / comprime
Septa-Losartan 02424975 SPT 0.3147 Tablet / comprime
Teva-Losartan 02357968 TEV 0.3147 Tablet / comprime
September / septembre 2020 Page 33
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
pms-Losartan 02309769 PMS 0.3147 Tablet / comprime
Tab/Co. Orl 100 mg Cozaar 02182882 FRS 0.3147 Tablet / comprime
Apo-Losartan 02353512 APX 0.3147 Tablet / comprime
Auro-Losartan 02403358 ARO 0.3147 Tablet / comprime
Jamp-Losartan 02398850 JPC 0.3147 Tablet / comprime
Losartan 02388812 SIV 0.3147 Tablet / comprime
Losartan 02388898 SAS 0.3147 Tablet / comprime
Mint-Losartan 02405768 MNT 0.3147 Tablet / comprime
Sandoz Losartan 02313359 SDZ 0.3147 Tablet / comprime
Septa-Losartan 02424983 SPT 0.3147 Tablet / comprime
Teva-Losartan 02357976 TEV 0.3147 Tablet / comprime
pms-Losartan 02309777 PMS 0.3147 Tablet / comprime
Lovastatin / Lovastatine Tab/Co. Orl 20 mg Act Lovastatin 02248572 TEV 0.4919 Tablet / comprime
Apo-Lovastatin 02220172 APX 0.4919 Tablet / comprime
Lovastatin 02353229 SAS 0.4919 Tablet / comprime
Tab/Co. Orl 40 mg Act Lovastatin 02248573 TEV 0.8985 Tablet / comprime
Apo-Lovastatin 02220180 APX 0.8985 Tablet / comprime
Lovastatin 02353237 SAS 0.8985 Tablet / comprime
Loxapine / Loxapine Tab/Co. Orl 2.5 mg Xylac 02242868 PDP 0.2256 Tablet / comprime
Tab/Co. Orl 5 mg Xylac 02230837 PDP 0.1801 Tablet / comprime
Tab/Co. Orl 10 mg Xylac 02230838 PDP 0.2999 Tablet / comprime
Tab/Co. Orl 25 mg Xylac 02230839 PDP 0.4649 Tablet / comprime
Tab/Co. Orl 50 mg Xylac 02230840 PDP 0.6197 Tablet / comprime
Medroxyprogesterone / Medroxyprogesterone Sus/Susp Inj 150 mg/mL Depo-Provera 00585092 PFI 30.4800 Millilitre / millilitre
Medroxyprogesterone Acetate 02322250 SDZ 22.0000 Millilitre / millilitre
Tab/Co. Orl 2.5 mg Provera 00708917 PFI 0.0416 Tablet / comprime
Apo-Medroxy 02244726 APX 0.0416 Tablet / comprime
Teva-Medrone 02221284 TEV 0.0416 Tablet / comprime
Tab/Co. Orl 5 mg Provera 00030937 PFI 0.0823 Tablet / comprime
Apo-Medroxy 02244727 APX 0.0823 Tablet / comprime
Teva-Medrone 02221292 TEV 0.0823 Tablet / comprime
Tab/Co. Orl 10 mg Provera 00729973 PFI 0.1670 Tablet / comprime
Apo-Medroxy 02277298 APX 0.1670 Tablet / comprime
Teva-Medrone 02221306 TEV 0.1670 Tablet / comprime
Tab/Co. Orl 100 mg Apo-Medroxy 02267640 APX 1.2057 Tablet / comprime
Mefenamic Acid / Acide Mefenamique Cap/Caps Orl 250 mg Ponstan 00155225 AAP 0.3990 Capsule / capsule
Mefenamic 02229452 AAP 0.3990 Capsule / capsule
Megestrol / Megestrol Tab/Co. Orl 40 mg Megestrol 02195917 AAP 1.3340 Tablet / comprime
Tab/Co. Orl 160 mg Megestrol 02195925 AAP 5.8151 Tablet / comprime
Meloxicam / Meloxicam Tab/Co. Orl 7.5 mg Act Meloxicam 02250012 TEV 0.2003 Tablet / comprime
Apo-Meloxicam 02248973 APX 0.2003 Tablet / comprime
Auro-Meloxicam 02390884 ARO 0.2003 Tablet / comprime
Meloxicam 02353148 SAS 0.2003 Tablet / comprime
Teva-Meloxicam 02258315 TEV 0.2003 Tablet / comprime
pms-Meloxicam 02248267 PMS 0.2003 Tablet / comprime
Tab/Co. Orl 15 mg Act Meloxicam 02250020 TEV 0.2311 Tablet / comprime
Apo-Meloxicam 02248974 APX 0.2311 Tablet / comprime
Auro-Meloxicam 02390892 ARO 0.2311 Tablet / comprime
Meloxicam 02353156 SAS 0.2311 Tablet / comprime
Teva-Meloxicam 02258323 TEV 0.2311 Tablet / comprime
pms-Meloxicam 02248268 PMS 0.2311 Tablet / comprime
Mercaptopurine / Mercaptopurine Tab/Co. Orl 50 mg Purinethol 00004723 TEV 2.8372 Tablet / comprime
Mercaptopurine 02415275 STR 2.8372 Tablet / comprime
Meropenem / Meropenem Pws/Pds. Inj 500 mg Meropenem 02378787 SDZ 9.2225 Vial / fiole
Pws/Pds. Inj 1 g Meropenem 02436507 STR 18.4450 Vial / fiole
Mesalazine / Mesalazine ECT/Co.Ent Orl 400 mg Asacol 01997580 ALL 0.4758 Tablet / comprime
Teva-5-ASA 02171929 TEV 0.4758 Tablet / comprime
Sup/Supp. Rt 1 g Salofalk 02242146 AXC 1.8000 Suppository / suppositoire
Mezera 02474018 AVI 1.8000 Suppository / suppositoire
Pentasa 02153564 FEI 1.8000 Suppository / suppositoire
Metformin / Metformine Tab/Co. Orl 500 mg Glucophage 02099233 SAV 0.0247 Tablet / comprime
Act Metformin 02257726 TEV 0.0247 Tablet / comprime
Auro-Metformin 02438275 ARO 0.0247 Tablet / comprime
Jamp-Metformin 02380196 JPC 0.0247 Tablet / comprime
Metformin 02353377 SAS 0.0247 Tablet / comprime
Metformin FC 02385341 SIV 0.0247 Tablet / comprime
Pro-Metformin 02314908 PDL 0.0247 Tablet / comprime
Ran-Metformin 02269031 RAN 0.0247 Tablet / comprime
Sandoz Metformin FC 02246820 SDZ 0.0247 Tablet / comprime
pms-Metformin 02223562 PMS 0.0247 Tablet / comprime
Tab/Co. Orl 850 mg Glucophage 02162849 SAV 0.0339 Tablet / comprime
Act Metformin 02257734 TEV 0.0339 Tablet / comprime
Auro-Metformin 02438283 ARO 0.0339 Tablet / comprime
Jamp-Metformin 02380218 JPC 0.0339 Tablet / comprime
September / septembre 2020 Page 34
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Metformin 02353385 SAS 0.0339 Tablet / comprime
Metformin FC 02385368 SIV 0.0339 Tablet / comprime
Pro-Metformin 02314894 PDL 0.0339 Tablet / comprime
Ran-Metformin 02269058 RAN 0.0339 Tablet / comprime
Sandoz Metformin FC 02246821 SDZ 0.0339 Tablet / comprime
pms-Metformin 02242589 PMS 0.0339 Tablet / comprime
Methadone / Methadone Liq/Liq Orl 10 mg/mL Metadol-D 02244290 PAL 0.0113 Milligram / milligramme
Methadone Hydrochloride 02481979 SDZ 0.0113 Milligram / milligramme
Methadose 02394596 MAL 0.0113 Milligram / milligramme
Methadose Unflavoured 02394618 MAL 0.0113 Milligram / milligramme
Pws/Pds. Orl Opioid Dependence / dependance aux opiaces 00999734 0.0050 Milligram / milligramme
Pain Management / gestion de la douleur 00999801 0.0050 Milligram / milligramme
Methazolamide / Methazolamide Tab/Co. Orl 50 mg Methazolamide 02245882 AAP 0.4913 Tablet / comprime
Methotrexate / Methotrexate Liq/Liq SC 17.5 mg/0.35 mL Metoject Subcutaneous 02454769 MDX 68.5714 Millilitre / millilitre
Methotrexate Subcutaneous 02491338 AHI 68.5714 Millilitre / millilitre
Liq/Liq SC 20 mg/0.4 mL Metoject Subcutaneous 02454866 MDX 65.6250 Millilitre / millilitre
Methotrexate Subcutaneous 02491346 AHI 65.6250 Millilitre / millilitre
Liq/Liq SC 22.5 mg/0.45 mL Metoject Subcutaneous 02454777 MDX 58.3333 Millilitre / millilitre
Methotrexate Subcutaneous 02491354 AHI 58.3333 Millilitre / millilitre
Liq/Liq SC 25 mg/0.5 mL Metoject Subcutaneous 02454874 MDX 58.5000 Millilitre / millilitre
Methotrexate Subcutaneous 02491362 AHI 58.5000 Millilitre / millilitre
Liq/Liq Inj 25 mg/mL Methotrexate Inj USP 02182777 PFI 4.4600 Millilitre / millilitre
Methotrexate Inj USP (PF) 02182955 PFI 5.6250 Millilitre / millilitre
Methotrexate Inj USP (PF) 02099705 TEV 3.5101 Millilitre / millilitre
Tab/Co. Orl 2.5 mg pms-Methotrexate 02170698 PMS 0.6325 Tablet / comprime
Methotrexate 02182963 PFI 0.6325 Tablet / comprime
Methyldopa (Racemic) / Methyldopa (Racemique) Tab/Co. Orl 125 mg Methyldopa 00360252 AAP 0.1009 Tablet / comprime
Tab/Co. Orl 250 mg Methyldopa 00360260 AAP 0.1579 Tablet / comprime
Tab/Co. Orl 500 mg Methyldopa 00426830 AAP 0.2588 Tablet / comprime
Methylphenidate / Methylphenidate ERT/Co.L.P. Orl 18 mg Concerta ER 02247732 JAN 0.5099 Tablet / comprime
Act Methylphenidate ER 02441934 TEV 0.5099 Tablet / comprime
Apo-Methylphenidate ER 02452731 APX 0.5099 Tablet / comprime
ERT/Co.L.P. Orl 27 mg Concerta ER 02250241 JAN 0.5884 Tablet / comprime
Act Methylphenidate ER 02441942 TEV 0.5884 Tablet / comprime
Apo-Methylphenidate ER 02452758 APX 0.5884 Tablet / comprime
ERT/Co.L.P. Orl 36 mg Concerta ER 02247733 JAN 0.6669 Tablet / comprime
Act Methylphenidate ER 02441950 TEV 0.6669 Tablet / comprime
Apo-Methylphenidate ER 02452766 APX 0.6669 Tablet / comprime
ERT/Co.L.P. Orl 54 mg Concerta ER 02247734 JAN 0.8240 Tablet / comprime
Act Methylphenidate ER 02441969 TEV 0.8240 Tablet / comprime
Apo-Methylphenidate ER 02330377 APX 0.8240 Tablet / comprime
SRT/Co.L.L. Orl 20 mg Ritalin SR 00632775 NVR 0.2820 Tablet / comprime
Apo-Methylphenidate SR 02266687 APX 0.2820 Tablet / comprime
Sandoz Methylphenidate SR 02320312 SDZ 0.2820 Tablet / comprime
Tab/Co. Orl 5 mg Apo-Methylphenidate 02273950 APX 0.0947 Tablet / comprime
pms-Methylphenidate 02234749 PMS 0.0947 Tablet / comprime
Tab/Co. Orl 10 mg Ritalin 00005606 NVR 0.2216 Tablet / comprime
Apo-Methylphenidate 02249324 APX 0.2216 Tablet / comprime
pms-Methylphenidate 00584991 PMS 0.2216 Tablet / comprime
Tab/Co. Orl 20 mg Ritalin 00005614 NVR 0.2735 Tablet / comprime
Apo-Methylphenidate 02249332 APX 0.2735 Tablet / comprime
pms-Methylphenidate 00585009 PMS 0.2735 Tablet / comprime
Metoclopramide / Metoclopramide Liq/Liq Inj 5 mg/mL Metoclopramide 02185431 SDZ 3.3925 Millilitre / millilitre
Syr/Sir. Orl 1 mg/mL Metonia 02230433 PDP 0.0607 Millilitre / millilitre
Tab/Co. Orl 5 mg Metonia 02230431 PDP 0.0622 Tablet / comprime
Tab/Co. Orl 10 mg Metonia 02230432 PDP 0.0656 Tablet / comprime
Metoprolol / Metoprolol SRT/Co.L.L. Orl 100 mg Lopresor SR 00658855 NVR 0.4012 Tablet / comprime
Sandoz Metoprolol SR 02303396 SDZ 0.1415 Tablet / comprime
SRT/Co.L.L. Orl 200 mg Lopresor SR 00534560 NVR 0.7282 Tablet / comprime
Sandoz Metoprolol SR 02303418 SDZ 0.2568 Tablet / comprime
Tab/Co. Orl 25 mg Apo-Metoprolol 02246010 APX 0.0643 Tablet / comprime
Jamp-Metoprolol-L 02356813 JPC 0.0643 Tablet / comprime
pms-Metoprolol-L 02248855 PMS 0.0643 Tablet / comprime
Tab/Co. Orl 50 mg Apo-Metoprolol (uncoated) 00618632 APX 0.0624 Tablet / comprime
Apo-Metoprolol type "L" 00749354 APX 0.0624 Tablet / comprime
Jamp-Metoprolol-L 02356821 JPC 0.0624 Tablet / comprime
Metoprolol 02350394 SAS 0.0624 Tablet / comprime
Metoprolol-L 02442124 SIV 0.0624 Tablet / comprime
Teva-Metoprolol (coated) 00648035 TEV 0.0624 Tablet / comprime
Teva-Metoprolol (uncoated) 00842648 TEV 0.0624 Tablet / comprime
pms-Metoprolol-L 02230803 PMS 0.0624 Tablet / comprime
Tab/Co. Orl 100 mg Apo-Metoprolol (uncoated) 00618640 APX 0.1250 Tablet / comprime
Apo-Metoprolol type "L" 00751170 APX 0.1250 Tablet / comprime
September / septembre 2020 Page 35
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Jamp-Metoprolol-L 02356848 JPC 0.1250 Tablet / comprime
Metoprolol 02350408 SAS 0.1250 Tablet / comprime
Metoprolol-L 02442132 SIV 0.1250 Tablet / comprime
Teva-Metoprolol (coated) 00648043 TEV 0.1250 Tablet / comprime
Teva-Metoprolol (uncoated) 00842656 TEV 0.1250 Tablet / comprime
pms-Metoprolol-L 02230804 PMS 0.1250 Tablet / comprime
Metronidazole / Metronidazole Tab/Co. Orl 250 mg Metronidazole 00545066 AAP 0.0628 Tablet / comprime
Mexiletine / Mexiletine Cap/Caps Orl 100 mg Teva-Mexiletine 02230359 TEV 1.3264 Capsule / capsule
Cap/Caps Orl 200 mg Teva-Mexiletine 02230360 TEV 1.7762 Capsule / capsule
Miconazole / Miconazole Crm/Cr. Vag 2% Monistat 7 02084309 JNJ 0.2576 Gram / gramme
Micozole Vaginal 2% 02231106 TAR 0.2576 Gram / gramme
Midazolam / Midazolam Liq/Liq Inj 1 mg/mL Midazolam 02240285 SDZ 0.7800 Millilitre / millilitre
Liq/Liq Inj 5 mg/mL Midazolam 02240286 SDZ 4.1000 Millilitre / millilitre
Midodrine / Midodrine Tab/Co. Orl 2.5 mg Apo-Midodrine 02278677 APX 0.2305 Tablet / comprime
Mar-Midodrine 02473984 MAR 0.2305 Tablet / comprime
Tab/Co. Orl 5 mg Apo-Midodrine 02278685 APX 0.3842 Tablet / comprime
Mar-Midodrine 02473992 MAR 0.3842 Tablet / comprime
Minocycline / Minocycline Cap/Caps Orl 50 mg Minocycline 02084090 AAP 0.1101 Capsule / capsule
Cap/Caps Orl 100 mg Minocycline 02084104 AAP 0.2125 Capsule / capsule
Teva-Minocycline 02108151 TEV 0.2125 Capsule / capsule
Mirtazapine / Mirtazapine ODT/Co.D.O. Orl 15 mg Remeron RD 02248542 FRS 0.0975 Tablet / comprime
Auro-Mirtazapine OD 02299801 ARO 0.0975 Tablet / comprime
ODT/Co.D.O. Orl 30 mg Remeron RD 02248543 FRS 0.1950 Tablet / comprime
Auro-Mirtazapine OD 02299828 ARO 0.1950 Tablet / comprime
ODT/Co.D.O. Orl 45 mg Remeron RD 02248544 FRS 0.2925 Tablet / comprime
Auro-Mirtazapine OD 02299836 ARO 0.2925 Tablet / comprime
Tab/Co. Orl 15 mg Apo-Mirtazapine 02286610 APX 0.0975 Tablet / comprime
Auro-Mirtazapine 02411695 ARO 0.0975 Tablet / comprime
Mylan-Mirtazapine 02256096 MYL 0.0975 Tablet / comprime
Sandoz Mirtazapine 02250594 SDZ 0.0975 Tablet / comprime
pms-Mirtazapine 02273942 PMS 0.0975 Tablet / comprime
Tab/Co. Orl 30 mg Remeron 02243910 FRS 0.3100 Tablet / comprime
Apo-Mirtazapine 02286629 APX 0.3100 Tablet / comprime
Auro-Mirtazapine 02411709 ARO 0.3100 Tablet / comprime
Mirtazapine 02370689 SAS 0.3100 Tablet / comprime
Mylan-Mirtazapine 02256118 MYL 0.3100 Tablet / comprime
Sandoz Mirtazapine 02250608 SDZ 0.3100 Tablet / comprime
Teva-Mirtazapine 02259354 TEV 0.3100 Tablet / comprime
pms-Mirtazapine 02248762 PMS 0.3100 Tablet / comprime
Misoprostol / Misoprostol Tab/Co. Orl 100 mcg Misoprostol 02244022 AAP 0.2636 Tablet / comprime
Tab/Co. Orl 200 mcg Misoprostol 02244023 AAP 0.4389 Tablet / comprime
Mixed Salts Amphetamine / Sels Mixtes D'Amphetamine ERC/Caps.L.P. Orl 5 mg Adderall XR 02248808 SHI 0.5372 Capsule / capsule
Act Amphetamine XR 02439239 TEV 0.5372 Capsule / capsule
Apo-Amphetamine XR 02445492 APX 0.5372 Capsule / capsule
Sandoz Amphetamine XR 02457288 SDZ 0.5372 Capsule / capsule
pms-Amphetamines XR 02440369 PMS 0.5372 Capsule / capsule
ERC/Caps.L.P. Orl 10 mg Adderall XR 02248809 SHI 0.6105 Capsule / capsule
Act Amphetamine XR 02439247 TEV 0.6105 Capsule / capsule
Apo-Amphetamine XR 02445506 APX 0.6105 Capsule / capsule
Sandoz Amphetamine XR 02457296 SDZ 0.6105 Capsule / capsule
pms-Amphetamines XR 02440377 PMS 0.6105 Capsule / capsule
ERC/Caps.L.P. Orl 15 mg Adderall XR 02248810 SHI 0.6838 Capsule / capsule
Act Amphetamine XR 02439255 TEV 0.6838 Capsule / capsule
Apo-Amphetamine XR 02445514 APX 0.6838 Capsule / capsule
Sandoz Amphetamine XR 02457318 SDZ 0.6838 Capsule / capsule
pms-Amphetamines XR 02440385 PMS 0.6838 Capsule / capsule
ERC/Caps.L.P. Orl 20 mg Adderall XR 02248811 SHI 0.7572 Capsule / capsule
Act Amphetamine XR 02439263 TEV 0.7572 Capsule / capsule
Apo-Amphetamine XR 02445522 APX 0.7572 Capsule / capsule
Sandoz Amphetamine XR 02457326 SDZ 0.7572 Capsule / capsule
ERC/Caps.L.P. Orl 25 mg Adderall XR 02248812 SHI 0.8305 Capsule / capsule
Act Amphetamine XR 02439271 TEV 0.8305 Capsule / capsule
Apo-Amphetamine XR 02445530 APX 0.8305 Capsule / capsule
Sandoz Amphetamine XR 02457334 SDZ 0.8305 Capsule / capsule
pms-Amphetamines XR 02440407 PMS 0.8305 Capsule / capsule
ERC/Caps.L.P. Orl 30 mg Adderall XR 02248813 SHI 0.9038 Capsule / capsule
Act Amphetamine XR 02439298 TEV 0.9038 Capsule / capsule
Apo-Amphetamine XR 02445549 APX 0.9038 Capsule / capsule
Sandoz Amphetamine XR 02457342 SDZ 0.9038 Capsule / capsule
Moclobemide / Moclobemide Tab/Co. Orl 100 mg Moclobemide 02232148 AAP 0.3400 Tablet / comprime
Tab/Co. Orl 150 mg Manerix 00899356 MVL 0.5295 Tablet / comprime
Moclobemide 02232150 AAP 0.5295 Tablet / comprime
Tab/Co. Orl 300 mg Manerix 02166747 MVL 1.0399 Tablet / comprime
Moclobemide 02240456 AAP 1.0399 Tablet / comprime
September / septembre 2020 Page 36
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Modafinil / Modafinil Tab/Co. Orl 100 mg Alertec 02239665 TEV 0.3171 Tablet / comprime
Apo-Modafinil 02285398 APX 0.3171 Tablet / comprime
Auro-Modafinil 02430487 ARO 0.3171 Tablet / comprime
Mar-Modafinil 02432560 MAR 0.3171 Tablet / comprime
Teva-Modafinil 02420260 TEV 0.3171 Tablet / comprime
Mometasone / Mometasone Asp/Asp Nas 0.1% Nasonex Aqueous 02238465 FRS 0.0742 Dose / dose
Apo-Mometasone 02403587 APX 0.0742 Dose / dose
Sandoz Mometasone 02449811 SDZ 0.0742 Dose / dose
Teva-Mometasone 02475863 TEV 0.0742 Dose / dose
Crm/Cr. Top 0.1% Elocom 00851744 FRS 0.5542 Gram / gramme
Taro-Mometasone 02367157 TAR 0.5542 Gram / gramme
Lot/Lot Top 0.1% Elocom 00871095 FRS 0.3358 Gram / gramme
Taro-Mometasone 02266385 TAR 0.3358 Gram / gramme
Ont/Ont Top 0.1% Elocom 00851736 FRS 0.5440 Gram / gramme
Teva-Mometasone 02248130 TEV 0.5440 Gram / gramme
Montelukast / Montelukast Gran/Gran Orl 4 mg Singulair 02247997 FRS 1.3139 Sachet / sachet
Sandoz Montelukast 02358611 SDZ 1.3139 Sachet / sachet
Tab/Co. Orl 10 mg Singulair 02238217 FRS 0.4231 Tablet / comprime
Apo-Montelukast 02374609 APX 0.4231 Tablet / comprime
Auro-Montelukast 02401274 ARO 0.4231 Tablet / comprime
Jamp-Montelukast 02391422 JPC 0.4231 Tablet / comprime
Mar-Montelukast 02399997 MAR 0.4231 Tablet / comprime
Mint-Montelukast 02408643 MNT 0.4231 Tablet / comprime
Montelukast 02382474 SIV 0.4231 Tablet / comprime
Montelukast 02379333 SAS 0.4231 Tablet / comprime
Montelukast Sodium 02379236 AHI 0.4231 Tablet / comprime
NRA-Montelukast 02489821 NRA 0.4231 Tablet / comprime
Ran-Montelukast 02389517 RAN 0.4231 Tablet / comprime
Sandoz Montelukast 02328593 SDZ 0.4231 Tablet / comprime
Teva-Montelukast 02355523 TEV 0.4231 Tablet / comprime
pms-Montelukast 02373947 PMS 0.4231 Tablet / comprime
TabC/Co.C. Orl 4 mg Singulair 02243602 FRS 0.2758 Tablet / comprime
Apo-Montelukast 02377608 APX 0.2758 Tablet / comprime
Jamp-Montelukast 02442353 JPC 0.2758 Tablet / comprime
Mar-Montelukast 02399865 MAR 0.2758 Tablet / comprime
Mint-Montelukast 02408627 MNT 0.2758 Tablet / comprime
Montelukast 02382458 SIV 0.2758 Tablet / comprime
Sandoz Montelukast 02330385 SDZ 0.2758 Tablet / comprime
Teva-Montelukast 02355507 TEV 0.2758 Tablet / comprime
pms-Montelukast 02354977 PMS 0.2758 Tablet / comprime
TabC/Co.C. Orl 5 mg Singulair 02238216 FRS 0.3082 Tablet / comprime
Apo-Montelukast 02377616 APX 0.3082 Tablet / comprime
Jamp-Montelukast 02442361 JPC 0.3082 Tablet / comprime
Mar-Montelukast 02399873 MAR 0.3082 Tablet / comprime
Mint-Montelukast 02408635 MNT 0.3082 Tablet / comprime
Montelukast 02382466 SIV 0.3082 Tablet / comprime
Sandoz Montelukast 02330393 SDZ 0.3082 Tablet / comprime
Teva-Montelukast 02355515 TEV 0.3082 Tablet / comprime
pms-Montelukast 02354985 PMS 0.3082 Tablet / comprime
Morphine Sulfate / Morphine (Sulfate De) Liq/Liq Inj 10 mg/mL Morphine Sulfate 00392588 SDZ 2.3860 Millilitre / millilitre
Liq/Liq Inj 15 mg/mL Morphine Sulfate 00392561 SDZ 2.0940 Millilitre / millilitre
Liq/Liq Inj 50 mg/mL Morphine HP 50 00617288 SDZ 6.8195 Millilitre / millilitre
SRT/Co.L.L. Orl 15 mg MS Contin 02015439 PFR 0.2317 Tablet / comprime
Morphine SR 02350815 SAS 0.2317 Tablet / comprime
Sandoz Morphine SR 02244790 SDZ 0.2317 Tablet / comprime
Teva-Morphine SR 02302764 TEV 0.2317 Tablet / comprime
SRT/Co.L.L. Orl 30 mg MS Contin 02014297 PFR 0.3500 Tablet / comprime
Morphine SR 02350890 SAS 0.3500 Tablet / comprime
Sandoz Morphine SR 02244791 SDZ 0.3500 Tablet / comprime
Teva-Morphine SR 02302772 TEV 0.3500 Tablet / comprime
SRT/Co.L.L. Orl 60 mg MS Contin 02014300 PFR 0.6167 Tablet / comprime
Morphine SR 02350912 SAS 0.6167 Capsule / capsule
Sandoz Morphine SR 02244792 SDZ 0.6167 Capsule / capsule
Teva-Morphine SR 02302780 TEV 0.6167 Tablet / comprime
SRT/Co.L.L. Orl 100 mg MS Contin 02014319 PFR 1.5395 Tablet / comprime
Sandoz Morphine SR 02478889 SDZ 1.5395 Tablet / comprime
Teva-Morphine SR 02302799 TEV 1.5395 Tablet / comprime
SRT/Co.L.L. Orl 200 mg MS Contin 02014327 PFR 2.7718 Tablet / comprime
Sandoz Morphine SR 02478897 SDZ 2.7718 Tablet / comprime
Teva-Morphine SR 02302802 TEV 2.7718 Tablet / comprime
Moxifloxacin / Moxifloxacine Tab/Co. Orl 400 mg Apo-Moxifloxacin 02404923 APX 1.5230 Tablet / comprime
Auro-Moxifloxacin 02432242 ARO 1.5230 Tablet / comprime
Jamp-Moxifloxacin 02443929 JPC 1.5230 Tablet / comprime
Jamp-Moxifloxacin 02447061 JPC 1.5230 Tablet / comprime
September / septembre 2020 Page 37
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
M-Moxifloxacin 02472791 MRA 1.5230 Tablet / comprime
Mar-Moxifloxacin 02447053 MAR 1.5230 Tablet / comprime
Med-Moxifloxacin 02457814 GMP 1.5230 Tablet / comprime
Sandoz Moxifloxacin 02383381 SDZ 1.5230 Tablet / comprime
Teva-Moxifloxacin 02375702 TEV 1.5230 Tablet / comprime
Mupirocin / Mupirocine Ont/Ont Top 2% Bactroban 01916947 GCH 0.3712 Gram / gramme
Taro-Mupirocin 02279983 TAR 0.3712 Gram / gramme
Mycophenolic Acid / Acide Mycophenolique Cap/Caps Orl 250 mg Cellcept 02192748 HLR 0.3712 Capsule / capsule
Apo-Mycophenolate 02352559 APX 0.3712 Capsule / capsule
Jamp-Mycophenolate 02386399 JPC 0.3712 Capsule / capsule
Mycophenolate Mofetil 02383780 AHI 0.3712 Capsule / capsule
Mycophenolate Mofetil 02457369 SAS 0.3712 Capsule / capsule
Novo-Mycophenolate 02364883 TEV 0.3712 Capsule / capsule
Sandoz Mycophenolate 02320630 SDZ 0.3712 Capsule / capsule
ECT/Co.Ent Orl 180 mg Myfortic 02264560 NVR 1.4983 Tablet / comprime
Apo-Mycophenolic Acid 02372738 APX 1.4983 Tablet / comprime
ECT/Co.Ent Orl 360 mg Myfortic 02264579 NVR 2.9965 Tablet / comprime
Apo-Mycophenolic Acid 02372746 APX 2.9965 Tablet / comprime
Tab/Co. Orl 500 mg Cellcept 02237484 HLR 4.1612 Tablet / comprime
Apo-Mycophenolate 02352567 APX 0.7423 Tablet / comprime
Jamp-Mycophenolate 02380382 JPC 0.7423 Tablet / comprime
Mycophenolate Mofetil 02457377 SAS 0.7423 Tablet / comprime
Mycophenolate Mofetil 02378574 AHI 0.7423 Tablet / comprime
Sandoz Mycophenolate 02313855 SDZ 0.7423 Tablet / comprime
Teva-Mycophenolate 02348675 TEV 0.7423 Tablet / comprime
Nabilone / Nabilone Cap/Caps Orl 0.25 mg Cesamet 02312263 BSL 1.9015 Capsule / capsule
Teva-Nabilone 02392925 TEV 1.3962 Capsule / capsule
Cap/Caps Orl 0.5 mg Cesamet 02256193 BSL 0.7756 Capsule / capsule
Act Nabilone 02393581 TEV 0.7756 Capsule / capsule
Teva-Nabilone 02384884 TEV 0.7756 Capsule / capsule
pms-Nabilone 02380900 PMS 0.7756 Capsule / capsule
Cap/Caps Orl 1 mg Cesamet 00548375 BSL 1.5513 Capsule / capsule
Act Nabilone 02393603 TEV 1.5513 Capsule / capsule
Teva-Nabilone 02384892 TEV 1.5513 Capsule / capsule
pms-Nabilone 02380919 PMS 1.5513 Capsule / capsule
Nabumetone / Nabumetone Tab/Co. Orl 500 mg Nabumetone 02238639 AAP 0.6130 Tablet / comprime
Nadolol / Nadolol Tab/Co. Orl 40 mg Apo-Nadolol 00782505 APX 0.4512 Tablet / comprime
Tab/Co. Orl 80 mg Apo-Nadolol 00782467 APX 0.3710 Tablet / comprime
Tab/Co. Orl 160 mg Apo-Nadolol 00782475 APX 1.2046 Tablet / comprime
Naltrexone / Naltrexone Tab/Co. Orl 50 mg Revia 02213826 TEV 2.8075 Tablet / comprime
Apo-Naltrexone 02444275 APX 2.8075 Tablet / comprime
Naltrexone Hydrochloride 02451883 JPC 2.8075 Tablet / comprime
Naproxen / Naproxene ECT/Co.Ent Orl 250 mg Naproxen EC 02350785 SAS 0.1068 Tablet / comprime
Teva-Naprox EC 02243312 TEV 0.1068 Tablet / comprime
ECT/Co.Ent Orl 375 mg Naprosyn E 02162415 MTP 0.1458 Tablet / comprime
Apo-Naproxen EC 02246700 APX 0.1458 Tablet / comprime
Naproxen EC 02350793 SAS 0.1458 Tablet / comprime
Teva-Naprox EC 02243313 TEV 0.1458 Tablet / comprime
ECT/Co.Ent Orl 500 mg Naprosyn E 02162423 MTP 0.2426 Tablet / comprime
Apo-Naproxen EC 02246701 APX 0.2426 Tablet / comprime
Naproxen EC 02350807 SAS 0.2426 Tablet / comprime
Teva-Naprox EC 02243314 TEV 0.2426 Tablet / comprime
pms-Naproxen EC 02294710 PMS 0.2426 Tablet / comprime
Tab/Co. Orl 250 mg Apo-Naproxen 00522651 APX 0.1068 Tablet / comprime
Naproxen 02350750 SAS 0.1068 Tablet / comprime
Teva-Naproxen 00565350 TEV 0.1068 Tablet / comprime
Tab/Co. Orl 275 mg Anaprox 02162725 MTP 0.3422 Tablet / comprime
Apo-Napro-Na 00784354 APX 0.3422 Tablet / comprime
Naproxen Sodium 02351013 SAS 0.3422 Tablet / comprime
Teva-Naproxen Sodium 00778389 TEV 0.3422 Tablet / comprime
Tab/Co. Orl 375 mg Apo-Naproxen 00600806 APX 0.1458 Tablet / comprime
Naproxen 02350769 SAS 0.1458 Tablet / comprime
Teva-Naproxen 00627097 TEV 0.1458 Tablet / comprime
Tab/Co. Orl 500 mg Apo-Naproxen 00592277 APX 0.2110 Tablet / comprime
Naproxen 02350777 SAS 0.2110 Tablet / comprime
Teva-Naproxen 00589861 TEV 0.2110 Tablet / comprime
Tab/Co. Orl 550 mg Anaprox DS 02162717 MTP 0.6667 Tablet / comprime
Apo-Napro-Na DS 01940309 APX 0.6667 Tablet / comprime
Naproxen Sodium DS 02351021 SAS 0.6667 Tablet / comprime
Teva-Naproxen Sodium DS 02026600 TEV 0.6667 Tablet / comprime
Naratriptan / Naratriptan Tab/Co. Orl 1 mg Amerge 02237820 GSK 10.4114 Tablet / comprime
Teva-Naratriptan 02314290 TEV 10.4114 Tablet / comprime
Tab/Co. Orl 2.5 mg Amerge 02237821 GSK 6.1436 Tablet / comprime
Sandoz Naratriptan 02322323 SDZ 6.1436 Tablet / comprime
September / septembre 2020 Page 38
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Teva-Naratriptan 02314304 TEV 6.1436 Tablet / comprime
Neostigmine / Neostigmine Liq/Liq Inj 1 mg/mL Neostigmine Omega 02230592 OMG 1.0700 Millilitre / millilitre
Liq/Liq Inj 2.5 mg/mL Neostigmine Omega 02387166 OMG 3.4300 Millilitre / millilitre
Nevirapine / Nevirapine Tab/Co. Orl 200 mg Auro-Nevirapine 02318601 ARO 1.2346 Tablet / comprime
Jamp-Nevirapine 02405776 JPC 1.2346 Tablet / comprime
Mylan-Nevirapine 02387727 MYL 1.2346 Tablet / comprime
Nicotine / Nicotine Gum/Gom Orl 2 mg Actavis 80015240 ACT 0.1555 Gum / gomme
Compliments 80015240 SOB 0.1555 Gum / gomme
Exact 80025660 SDM 0.1555 Gum / gomme
Life Brand 80025660 SDM 0.1555 Gum / gomme
Personnelle 80015240 PJC 0.1555 Gum / gomme
Loz/Pas Orl 1 mg Nic-Hit (mini-lozenge) 80061161 NHI 0.1850 Lozenge / pastille
Loz/Pas Orl 2 mg Nic-Hit (mini-lozenge) 80059877 NHI 0.2000 Lozenge / pastille
Loz/Pas Orl 3 mg Nic-Hit (mini-lozenge) 80060747 NHI 0.2200 Lozenge / pastille
Loz/Pas Orl 4 mg Nic-Hit (mini-lozenge) 80059869 NHI 0.2400 Lozenge / pastille
Pth/Pth Trd 7 mg Actavis 80044393 ACT 2.2857 Patch / timbre cutane
Compliments 80044393 SOB 2.2857 Patch / timbre cutane
Equate 02241227 WAL 2.2857 Patch / timbre cutane
Exact 80014321 SDM 2.2857 Patch / timbre cutane
Life Brand 80014321 SDM 2.2857 Patch / timbre cutane
Personnelle 80044393 PJC 2.2857 Patch / timbre cutane
Pharmasave 02241227 PSV 2.2857 Patch / timbre cutane
Pharmasave 80014321 PSV 2.2857 Patch / timbre cutane
Pth/Pth Trd 14 mg Actavis 80044392 ACT 2.2857 Patch / timbre cutane
Compliments 80044392 SOB 2.2857 Patch / timbre cutane
Equate 02241226 WAL 2.2857 Patch / timbre cutane
Exact 80013549 SDM 2.2857 Patch / timbre cutane
Life Brand 80013549 SDM 2.2857 Patch / timbre cutane
Personnelle 80044392 PJC 2.2857 Patch / timbre cutane
Pharmasave 80013549 PSV 2.2857 Patch / timbre cutane
Pharmasave 02241226 PSV 2.2857 Patch / timbre cutane
Pth/Pth Trd 21 mg Actavis 80044389 ACT 2.2857 Patch / timbre cutane
Compliments 80044389 SOB 2.2857 Patch / timbre cutane
Equate 02241228 WAL 2.2857 Patch / timbre cutane
Exact 80014250 SDM 2.2857 Patch / timbre cutane
Life Brand 80014250 SDM 2.2857 Patch / timbre cutane
Personnelle 80044389 PJC 2.2857 Patch / timbre cutane
Pharmasave 80014250 PSV 2.2857 Patch / timbre cutane
Pharmasave 02241228 PSV 2.2857 Patch / timbre cutane
Nifedipine / Nifedipine Cap/Caps Orl 5 mg Nifedipine 00725110 AAP 0.3679 Capsule / capsule
Cap/Caps Orl 10 mg Nifedipine 00755907 AAP 0.4877 Capsule / capsule
ERT/Co.L.P. Orl 30 mg Adalat XL 02155907 TEV 0.6171 Tablet / comprime
Mylan-Nifedipine Extended Release 02349167 MYL 0.6171 Tablet / comprime
ERT/Co.L.P. Orl 60 mg Adalat XL 02155990 TEV 0.9374 Tablet / comprime
Mylan-Nifedipine Extended Release 02321149 MYL 0.9374 Tablet / comprime
Nitisinone / Nitisinone Cap/Caps Orl 2 mg Orfadin 02459698 BVT 12.9500 Capsule / capsule P
MDK-Nitisinone 02457717 MDK 12.9500 Capsule / capsule P
Cap/Caps Orl 5 mg Orfadin 02459701 BVT 25.0600 Capsule / capsule P
MDK-Nitisinone 02457725 MDK 25.0600 Capsule / capsule P
Cap/Caps Orl 10 mg Orfadin 02459728 BVT 47.4000 Capsule / capsule P
MDK-Nitisinone 02457733 MDK 47.4000 Capsule / capsule P
Cap/Caps Orl 20 mg Orfadin 02459736 BVT 128.1000 Capsule / capsule P
MDK-Nitisinone 02470055 MDK 128.1000 Capsule / capsule P
Nitrazepam / Nitrazepam Tab/Co. Orl 5 mg Mogadon 00511528 AAP 0.1534 Tablet / comprime
Tab/Co. Orl 10 mg Mogadon 00511536 AAP 0.2296 Tablet / comprime
Nitrofurantoin / Nitrofurantoine Cap/Caps Orl 50 mg Teva-Nitrofurantoin 02231015 TEV 0.3252 Capsule / capsule
Cap/Caps Orl 100 mg Macrobid 02063662 ALL 0.5974 Capsule / capsule
pms-Nitrofurantoin 02455676 PMS 0.5974 Capsule / capsule
Tab/Co. Orl 50 mg Nitrofurantoin 00319511 AAP 0.1703 Tablet / comprime
Tab/Co. Orl 100 mg Nitrofurantoin 00312738 AAP 0.2272 Tablet / comprime
Nitroglycerin (Glyceryl Trinitrate) / Nitroglycerine (Trinitrate De
Glyceryle)
Aem/Aem. Slg 0.4 mg Nitrolingual 02231441 SAV 0.0421 Dose / dose
Mylan-Nitro SL 02243588 MYL 0.0421 Dose / dose
Rho-Nitro 02238998 SDZ 0.0421 Dose / dose
Pth/Pth Trd 0.2 mg/hr Minitran 02162806 VLN 0.4463 Patch / timbre cutane
Nitro-Dur 01911910 RCH 0.4463 Patch / timbre cutane
Trinipatch 02230732 PAL 0.4463 Patch / timbre cutane
Mylan-Nitro Patch 02407442 MYL 0.4463 Patch / timbre cutane
Pth/Pth Trd 0.4 mg/hr Minitran 02163527 VLN 0.4704 Patch / timbre cutane
Nitro-Dur 01911902 RCH 0.4704 Patch / timbre cutane
Trinipatch 02230733 PAL 0.4704 Patch / timbre cutane
Mylan-Nitro Patch 02407450 MYL 0.4704 Patch / timbre cutane
Pth/Pth Trd 0.6 mg/hr Minitran 02163535 VLN 0.4704 Patch / timbre cutane
Nitro-Dur 01911929 RCH 0.4704 Patch / timbre cutane
September / septembre 2020 Page 39
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Trinipatch 02230734 PAL 0.4704 Patch / timbre cutane
Mylan-Nitro Patch 02407469 MYL 0.4704 Patch / timbre cutane
Pth/Pth Trd 0.8 mg/hr Nitro-Dur 02011271 RCH 0.8743 Patch / timbre cutane
Mylan-Nitro Patch 02407477 MYL 0.8743 Patch / timbre cutane
Norethisterone (Norethindrone) / Norethisterone
(Norethindrone)
Tab/Co. Orl 0.35 mg Micronor (28) 00037605 JAN 0.3925 Tablet / comprime
Jencycla (28) 02441306 LUP 0.3925 Tablet / comprime
Movisse (28) 02410303 MYL 0.3925 Tablet / comprime
Norfloxacin / Norfloxacine Tab/Co. Orl 400 mg Norfloxacin 02229524 AAP 1.0933 Tablet / comprime
Norgestimate and Ethinyl Estradiol / Norgestimate et
Ethinyloestradiol
Tab/Co. Orl 0.18 mg,0.215 mg,
0.25 mg / 0.035 mg
Tri-Cyclen (28) 02029421 JAN 0.7709 Tablet / comprime
Tri-Jordyna (28) 02486318 GLM 0.7709 Tablet / comprime
Tab/Co. Orl 0.215 mg,0.18 mg,
0.025 mg / 0.025 mg
Tri-Cyclen LO (21) 02258560 JAN 0.6377 Tablet / comprime
Tricira LO (21) 02401967 APX 0.6377 Tablet / comprime
Tab/Co. Orl 0.215 mg,0.18 mg,
0.025 mg / 0.025 mg
Tri-Cyclen LO (28) 02258587 JAN 0.4782 Tablet / comprime
Tricira LO (28) 02401975 APX 0.4782 Tablet / comprime
Nortriptyline / Nortriptyline Cap/Caps Orl 10 mg Aventyl 00015229 AAP 0.2570 Capsule / capsule
Cap/Caps Orl 25 mg Aventyl 00015237 AAP 0.5193 Capsule / capsule
Nystatin / Nystatine Crm/Cr. Top 100 000 IU Nyaderm 00716871 TAR 0.0633 Gram / gramme
Crm/Cr. Vag 100 000 IU ratio-Nystatin 02194163 RPH 0.3191 Gram / gramme
Ont/Ont Top 100 000 IU ratio-Nystatin 02194228 RPH 0.1277 Gram / gramme
Sus/Susp Orl 100 000 IU/mL Jamp-Nystatin 02433443 JPC 0.0518 Millilitre / millilitre
Teva-Nystatin 02194201 TEV 0.0518 Millilitre / millilitre
pms-Nystatin Suspension 00792667 PMS 0.0518 Millilitre / millilitre
Octreotide / Octreotide Liq/Liq Inj 0.05 mg/mL Sandostatin 00839191 NVR 1.7465 Millilitre / millilitre
Octreotide Acetate Omega 02248639 OMG 1.7465 Millilitre / millilitre
Liq/Liq Inj 0.1 mg/mL Sandostatin 00839205 NVR 3.2970 Millilitre / millilitre
Octreotide Acetate Omega 02248640 OMG 3.2970 Millilitre / millilitre
Liq/Liq Inj 0.2 mg/mL Sandostatin 02049392 NVR 6.3420 Millilitre / millilitre
Octreotide Acetate Omega 02248642 OMG 6.3420 Millilitre / millilitre
Liq/Liq Inj 0.5 mg/mL Octreotide Acetate Omega 02248641 OMG 15.4945 Millilitre / millilitre
Olanzapine / Olanzapine ODT/Co.D.O. Orl 5 mg Zyprexa Zydis 02243086 LIL 4.1154 Tablet / comprime
Apo-Olanzapine ODT 02360616 APX 0.3574 Tablet / comprime
Auro-Olanzapine ODT 02448726 ARO 0.3574 Tablet / comprime
Jamp-Olanzapine ODT 02406624 JPC 0.3574 Tablet / comprime
Mar-Olanzapine ODT 02389088 MAR 0.3574 Tablet / comprime
Mint-Olanzapine ODT 02436965 MNT 0.3574 Tablet / comprime
Olanzapine ODT 02338645 PDL 0.3574 Tablet / comprime
Olanzapine ODT 02343665 SIV 0.3574 Tablet / comprime
Ran-Olanzapine ODT 02414090 RAN 0.3574 Tablet / comprime
Sandoz Olanzapine ODT 02327775 SDZ 0.3574 Tablet / comprime
pms-Olanzapine ODT 02303191 PMS 0.3574 Tablet / comprime
ODT/Co.D.O. Orl 10 mg Zyprexa Zydis 02243087 LIL 0.7143 Tablet / comprime
Act Olanzapine ODT 02327570 TEV 0.7143 Tablet / comprime
Apo-Olanzapine ODT 02360624 APX 0.7143 Tablet / comprime
Auro-Olanzapine ODT 02448734 ARO 0.7143 Tablet / comprime
Jamp-Olanzapine ODT 02406632 JPC 0.7143 Tablet / comprime
Mar-Olanzapine ODT 02389096 MAR 0.7143 Tablet / comprime
Mint-Olanzapine ODT 02436973 MNT 0.7143 Tablet / comprime
Olanzapine ODT 02343673 SIV 0.7143 Tablet / comprime
Olanzapine ODT 02338653 PDL 0.7143 Tablet / comprime
Ran-Olanzapine ODT 02414104 RAN 0.7143 Tablet / comprime
Sandoz Olanzapine ODT 02327783 SDZ 0.7143 Tablet / comprime
pms-Olanzapine ODT 02303205 PMS 0.7143 Tablet / comprime
ODT/Co.D.O. Orl 15 mg Zyprexa Zydis 02243088 LIL 1.0711 Tablet / comprime
Act Olanzapine ODT 02327589 TEV 1.0711 Tablet / comprime
Apo-Olanzapine ODT 02360632 APX 1.0711 Tablet / comprime
Auro-Olanzapine ODT 02448742 ARO 1.0711 Tablet / comprime
Jamp-Olanzapine ODT 02406640 JPC 1.0711 Tablet / comprime
Mar-Olanzapine ODT 02389118 MAR 1.0711 Tablet / comprime
Mint-Olanzapine ODT 02436981 MNT 1.0711 Tablet / comprime
Olanzapine ODT 02352990 SAS 1.0711 Tablet / comprime
Olanzapine ODT 02338661 PDL 1.0711 Tablet / comprime
Olanzapine ODT 02343681 SIV 1.0711 Tablet / comprime
Ran-Olanzapine ODT 02414112 RAN 1.0711 Tablet / comprime
Sandoz Olanzapine ODT 02327791 SDZ 1.0711 Tablet / comprime
pms-Olanzapine ODT 02303213 PMS 1.0711 Tablet / comprime
ODT/Co.D.O. Orl 20 mg Zyprexa Zydis 02243089 LIL 1.4137 Tablet / comprime
Act Olanzapine ODT 02327597 TEV 1.4137 Tablet / comprime
Apo-Olanzapine ODT 02360640 APX 1.4137 Tablet / comprime
Auro-Olanzapine ODT 02448750 ARO 1.4137 Tablet / comprime
Jamp-Olanzapine ODT 02406659 JPC 1.4137 Tablet / comprime
Mar-Olanzapine ODT 02389126 MAR 1.4137 Tablet / comprime
September / septembre 2020 Page 40
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Olanzapine ODT 02425114 PDL 1.4137 Tablet / comprime
Olanzapine ODT 02343703 SIV 1.4137 Tablet / comprime
Sandoz Olanzapine ODT 02327805 SDZ 1.4137 Tablet / comprime
Tab/Co. Orl 2.5 mg Zyprexa 02229250 LIL 0.1772 Tablet / comprime
Apo-Olanzapine 02281791 APX 0.1772 Tablet / comprime
Jamp-Olanzapine FC 02417243 JPC 0.1772 Tablet / comprime
Mint-Olanzapine 02410141 MNT 0.1772 Tablet / comprime
Olanzapine 02311968 PDL 0.1772 Tablet / comprime
Olanzapine 02385864 SIV 0.1772 Tablet / comprime
Olanzapine 02372819 SAS 0.1772 Tablet / comprime
Sandoz Olanzapine 02310341 SDZ 0.1772 Tablet / comprime
Teva-Olanzapine 02276712 TEV 0.1772 Tablet / comprime
pms-Olanzapine 02303116 PMS 0.1772 Tablet / comprime
Tab/Co. Orl 5 mg Zyprexa 02229269 LIL 0.3544 Tablet / comprime
Apo-Olanzapine 02281805 APX 0.3544 Tablet / comprime
Jamp-Olanzapine FC 02417251 JPC 0.3544 Tablet / comprime
Mint-Olanzapine 02410168 MNT 0.3544 Tablet / comprime
Olanzapine 02372827 SAS 0.3544 Tablet / comprime
Olanzapine 02311976 PDL 0.3544 Tablet / comprime
Olanzapine 02385872 SIV 0.3544 Tablet / comprime
Sandoz Olanzapine 02310368 SDZ 0.3544 Tablet / comprime
Teva-Olanzapine 02276720 TEV 0.3544 Tablet / comprime
pms-Olanzapine 02303159 PMS 0.3544 Tablet / comprime
Tab/Co. Orl 7.5 mg Zyprexa 02229277 LIL 0.5316 Tablet / comprime
Apo-Olanzapine 02281813 APX 0.5316 Tablet / comprime
Jamp-Olanzapine FC 02417278 JPC 0.5316 Tablet / comprime
Mint-Olanzapine 02410176 MNT 0.5316 Tablet / comprime
Olanzapine 02385880 SIV 0.5316 Tablet / comprime
Olanzapine 02372835 SAS 0.5316 Tablet / comprime
Olanzapine 02311984 PDL 0.5316 Tablet / comprime
Sandoz Olanzapine 02310376 SDZ 0.5316 Tablet / comprime
Teva-Olanzapine 02276739 TEV 0.5316 Tablet / comprime
pms-Olanzapine 02303167 PMS 0.5316 Tablet / comprime
Tab/Co. Orl 10 mg Zyprexa 02229285 LIL 0.7088 Tablet / comprime
Apo-Olanzapine 02281821 APX 0.7088 Tablet / comprime
Jamp-Olanzapine FC 02417286 JPC 0.7088 Tablet / comprime
Mint-Olanzapine 02410184 MNT 0.7088 Tablet / comprime
Olanzapine 02311992 PDL 0.7088 Tablet / comprime
Olanzapine 02372843 SAS 0.7088 Tablet / comprime
Olanzapine 02385899 SIV 0.7088 Tablet / comprime
Sandoz Olanzapine 02310384 SDZ 0.7088 Tablet / comprime
Teva-Olanzapine 02276747 TEV 0.7088 Tablet / comprime
pms-Olanzapine 02303175 PMS 0.7088 Tablet / comprime
Tab/Co. Orl 15 mg Zyprexa 02238850 LIL 1.0631 Tablet / comprime
Apo-Olanzapine 02281848 APX 1.0631 Tablet / comprime
Jamp-Olanzapine FC 02417294 JPC 1.0631 Tablet / comprime
Mint-Olanzapine 02410192 MNT 1.0631 Tablet / comprime
Olanzapine 02372851 SAS 1.0631 Tablet / comprime
Olanzapine 02312018 PDL 1.0631 Tablet / comprime
Olanzapine 02385902 SIV 1.0631 Tablet / comprime
Sandoz Olanzapine 02310392 SDZ 1.0631 Tablet / comprime
Teva-Olanzapine 02276755 TEV 1.0631 Tablet / comprime
pms-Olanzapine 02303183 PMS 1.0631 Tablet / comprime
Tab/Co. Orl 20 mg Zyprexa 02238851 LIL 1.4378 Tablet / comprime
Apo-Olanzapine 02333015 APX 1.4378 Tablet / comprime
Jamp-Olanzapine FC 02417308 JPC 1.4378 Tablet / comprime
Olanzapine 02421704 PDL 1.4378 Tablet / comprime
Teva-Olanzapine 02359707 TEV 1.4378 Tablet / comprime
pms-Olanzapine 02367483 PMS 1.4378 Tablet / comprime
Olmesartan / Hydrochlorothiazide / Olmesartan /
Hydrochlorothiazide
Tab/Co. Orl 20 mg / 12.5 mg Olmetec Plus 02319616 FRS 0.3019 Tablet / comprime
ACH-Olmesartan HCTZ 02468948 AHI 0.3019 Tablet / comprime
Act Olmesartan HCT 02443112 TEV 0.3019 Tablet / comprime
Apo-Olmesartan/HCTZ 02453606 APX 0.3019 Tablet / comprime
Tab/Co. Orl 40 mg / 12.5 mg Olmetec Plus 02319624 FRS 0.3019 Tablet / comprime
ACH-Olmesartan HCTZ 02468956 AHI 0.3019 Tablet / comprime
Act Olmesartan HCT 02443120 TEV 0.3019 Tablet / comprime
Apo-Olmesartan/HCTZ 02453614 APX 0.3019 Tablet / comprime
Tab/Co. Orl 40 mg / 25 mg Olmetec Plus 02319632 FRS 1.3066 Tablet / comprime
ACH-Olmesartan HCTZ 02468964 AHI 0.3019 Tablet / comprime
Act Olmesartan HCT 02443139 TEV 0.3019 Tablet / comprime
Apo-Olmesartan/HCTZ 02453622 APX 0.3019 Tablet / comprime
Olmesartan Medoxomil / Olmesartan Medoxomil Tab/Co. Orl 20 mg Olmetec 02318660 FRS 1.3066 Tablet / comprime
Ach-Olmesartan 02456311 AHI 0.2763 Tablet / comprime
September / septembre 2020 Page 41
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Act Olmesartan 02442191 TEV 0.2763 Tablet / comprime
Apo-Olmesartan 02453452 APX 0.2763 Tablet / comprime
Auro-Olmesartan 02443864 ARO 0.2763 Tablet / comprime
Jamp-Olmesartan 02461641 JPC 0.2763 Tablet / comprime
Olmesartan 02481057 SAS 0.2763 Tablet / comprime
Sandoz Olmesartan 02443414 SDZ 0.2763 Tablet / comprime
pms-Olmesartan 02461307 PMS 0.2763 Tablet / comprime
Tab/Co. Orl 40 mg Olmetec 02318679 FRS 1.3066 Tablet / comprime
Ach-Olmesartan 02456338 AHI 0.2763 Tablet / comprime
Act Olmesartan 02442205 TEV 0.2763 Tablet / comprime
Apo-Olmesartan 02453460 APX 0.2763 Tablet / comprime
Auro-Olmesartan 02443872 ARO 0.2763 Tablet / comprime
Jamp-Olmesartan 02461668 JPC 0.2763 Tablet / comprime
Olmesartan 02481065 SAS 0.2763 Tablet / comprime
Sandoz Olmesartan 02443422 SDZ 0.2763 Tablet / comprime
pms-Olmesartan 02461315 PMS 0.2763 Tablet / comprime
Olopatadine / Olopatadine Liq/Liq Oph 0.1% Patanol 02233143 NVR 2.1714 Millilitre / millilitre
Apo-Olopatadine 02305054 APX 2.1714 Millilitre / millilitre
Jamp-Olopatadine 02458411 JPC 2.1714 Millilitre / millilitre
Sandoz Olopatadine 02358913 SDZ 2.1714 Millilitre / millilitre
Liq/Liq Oph 0.2% Pataday 02362171 NVR 4.3428 Millilitre / millilitre
Apo-Olopatadine 02402823 APX 4.3428 Millilitre / millilitre
Sandoz Olopatadine 02420171 SDZ 4.3428 Millilitre / millilitre
Omeprazole / Omeprazole SRC/Caps.L.L. Orl 20 mg Losec 00846503 AZE 0.2287 Capsule / capsule
Apo-Omeprazole 02245058 APX 0.2287 Capsule / capsule
Omeprazole 02348691 SAS 0.2287 Capsule / capsule
Omeprazole 02411857 SIV 0.2287 Capsule / capsule
Sandoz Omeprazole 02296446 SDZ 0.2287 Capsule / capsule
pms-Omeprazole 02320851 PMS 0.2287 Capsule / capsule
SRT/Co.L.L. Orl 20 mg Losec 02190915 AZE 0.2287 Tablet / comprime
Jamp-Omeprazole 02420198 JPC 0.2287 Tablet / comprime
Nat-Omeprazole DR 02439549 NAT 0.2287 Tablet / comprime
Omeprazole 02416549 AHI 0.2287 Tablet / comprime
Teva-Omeprazole 02295415 TEV 0.2287 Tablet / comprime
Ondansetron / Ondansetron Liq/Liq Inj 2 mg/mL Zofran 02213745 NVR 10.9190 Millilitre / millilitre
Zofran (PF) 02213745 NVR 10.9190 Millilitre / millilitre
Jamp-Ondansetron (PF) 02420414 JPC 3.4552 Millilitre / millilitre
Jamp-Ondansetron with preservative 02420422 JPC 3.4552 Millilitre / millilitre
Liq/Liq Orl 4 mg/5 mL Zofran 02229639 NVR 1.1360 Millilitre / millilitre
Jamp Ondansetron 02490617 JPC 1.1360 Millilitre / millilitre
Ondansetron 02291967 APX 1.1360 Millilitre / millilitre
ODT/Co.D.O. Slg 4 mg Zofran ODT 02239372 NVR 3.2720 Tablet / comprime
Mint-Ondansetron ODT 02487330 MNT 3.2720 Tablet / comprime
Ondansetron ODT 02481723 SDZ 3.2720 Tablet / comprime
Ondissolve 02389983 TAK 3.2720 Tablet / comprime
VPI-Ondansetron ODT 02444674 VPI 3.2720 Tablet / comprime
ODT/Co.D.O. Slg 8 mg Zofran ODT 02239373 NVR 4.9930 Tablet / comprime
Mint-Ondansetron ODT 02487349 MNT 4.9930 Tablet / comprime
Ondansetron ODT 02481731 SDZ 4.9930 Tablet / comprime
Ondissolve 02389991 TAK 4.9930 Tablet / comprime
VPI-Ondansetron ODT 02444682 VPI 4.9930 Tablet / comprime
Tab/Co. Orl 4 mg Zofran 02213567 NVR 3.2720 Tablet / comprime
Act Ondansetron 02296349 TEV 3.2720 Tablet / comprime
Apo-Ondansetron 02288184 APX 3.2720 Tablet / comprime
CCP-Ondansetron 02458810 CCM 3.2720 Tablet / comprime
Jamp-Ondansetron 02313685 JPC 3.2720 Tablet / comprime
Mar-Ondansetron 02371731 MAR 3.2720 Tablet / comprime
Mint-Ondansetron 02305259 MNT 3.2720 Tablet / comprime
Mylan-Ondansetron 02297868 MYL 3.2720 Tablet / comprime
Nat-Ondansetron 02417839 NAT 3.2720 Tablet / comprime
Ondansetron 02421402 SAS 3.2720 Tablet / comprime
Sandoz Ondansetron 02274310 SDZ 3.2720 Tablet / comprime
Septa-Ondansetron 02376091 SPT 3.2720 Tablet / comprime
pms-Ondansetron 02258188 PMS 3.2720 Tablet / comprime
Tab/Co. Orl 8 mg Zofran 02213575 NVR 4.9930 Tablet / comprime
Act Ondansetron 02296357 TEV 4.9930 Tablet / comprime
Apo-Ondansetron 02288192 APX 4.9930 Tablet / comprime
CCP-Ondansetron 02458802 CCM 4.9930 Tablet / comprime
Jamp-Ondansetron 02313693 JPC 4.9930 Tablet / comprime
Mar-Ondansetron 02371758 MAR 4.9930 Tablet / comprime
Mint-Ondansetron 02305267 MNT 4.9930 Tablet / comprime
Mylan-Ondansetron 02297876 MYL 4.9930 Tablet / comprime
Nat-Ondansetron 02417847 NAT 4.9930 Tablet / comprime
Ondansetron 02421410 SAS 4.9930 Tablet / comprime
September / septembre 2020 Page 42
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Sandoz Ondansetron 02274329 SDZ 4.9930 Tablet / comprime
Septa-Ondansetron 02376105 SPT 4.9930 Tablet / comprime
pms-Ondansetron 02258196 PMS 4.9930 Tablet / comprime
Orciprenaline / Orciprenaline Syr/Sir. Orl 2 mg/mL Orciprenaline 02236783 AAP 0.0574 Millilitre / millilitre
Orphenadrine / Orphenadrine SRT/Co.L.L. Orl 100 mg Sandoz Orphenadrine Citrate 02243559 SDZ 1.0842 Tablet / comprime
Oseltamivir / Oseltamivir Cap/Caps Orl 30 mg Tamiflu 02304848 HLR 1.0485 Capsule / capsule
Mint-Oseltamivir 02497441 MNT 1.0485 Capsule / capsule
Nat-Oseltamivir 02472635 NAT 1.0485 Capsule / capsule
Cap/Caps Orl 45 mg Tamiflu 02304856 HLR 2.3910 Capsule / capsule
Nat-Oseltamivir 02472643 NAT 2.3910 Capsule / capsule
Cap/Caps Orl 75 mg Tamiflu 02241472 HLR 2.0875 Capsule / capsule
Mint-Oseltamivir 02497476 MNT 2.0875 Capsule / capsule
Nat-Oseltamivir 02457989 NAT 2.0875 Capsule / capsule
Oxazepam / Oxazepam Tab/Co. Orl 10 mg Apo-Oxazepam 00402680 APX 0.0350 Tablet / comprime
Tab/Co. Orl 15 mg Apo-Oxazepam 00402745 APX 0.0550 Tablet / comprime
Tab/Co. Orl 30 mg Apo-Oxazepam 00402737 APX 0.0750 Tablet / comprime
Oxcarbazepine / Oxcarbazepine Tab/Co. Orl 150 mg Apo-Oxcarbazepine 02284294 APX 0.6209 Tablet / comprime
Tab/Co. Orl 300 mg Trileptal 02242068 NVR 0.9102 Tablet / comprime
Apo-Oxcarbazepine 02284308 APX 0.9102 Tablet / comprime
Tab/Co. Orl 600 mg Trileptal 02242069 NVR 1.8204 Tablet / comprime
Apo-Oxcarbazepine 02284316 APX 1.8204 Tablet / comprime
Oxybutynin / Oxybutynine Syr/Sir. Orl 1 mg pms-Oxybutynin 02223376 PMS 0.1337 Millilitre / millilitre
Tab/Co. Orl 2.5 mg pms-Oxybutynin 02240549 PMS 0.1736 Tablet / comprime
Tab/Co. Orl 5 mg Apo-Oxybutynin 02163543 APX 0.0986 Tablet / comprime
Novo-Oxybutynin 02230394 TEV 0.0986 Tablet / comprime
Oxybutynin 02350238 SAS 0.0986 Tablet / comprime
pms-Oxybutynin 02240550 PMS 0.0986 Tablet / comprime
Oxycodone / Oxycodone Sup/Supp. Rt 10 mg Supeudol 00392480 SDZ 3.8133 Suppository / suppositoire
Tab/Co. Orl 5 mg Oxy-IR 02231934 PFR 0.1419 Tablet / comprime
pms-Oxycodone IR 02319977 PMS 0.1419 Tablet / comprime
Tab/Co. Orl 10 mg Oxy-IR 02240131 PFR 0.2283 Tablet / comprime
Supeudol 00443948 SDZ 0.2283 Tablet / comprime
pms-Oxycodone IR 02319985 PMS 0.2283 Tablet / comprime
Tab/Co. Orl 20 mg Oxy-IR 02240132 PFR 0.3704 Tablet / comprime
Supeudol 02262983 SDZ 0.3704 Tablet / comprime
pms-Oxycodone IR 02319993 PMS 0.3704 Tablet / comprime
Pantoprazole Magnesium / Pantoprazole Magnesien ECT/Co.Ent Orl 40 mg Tecta 02267233 TAK 0.1875 Tablet / comprime
Mylan-Pantoprazole T 02408570 MYL 0.1875 Tablet / comprime
Pantoprazole Magnesium 02441853 ATS 0.1875 Tablet / comprime
Pantoprazole T 02466147 SAS 0.1875 Tablet / comprime
Teva-Pantoprazole Magnesium 02440628 TEV 0.1875 Tablet / comprime
Pantoprazole Sodium / Pantoprazole Sodique ECT/Co.Ent Orl 20 mg Pantoloc 02241804 TAK 0.1803 Tablet / comprime
Apo-Pantoprazole 02292912 APX 0.1803 Tablet / comprime
Jamp-Pantoprazole 02408414 JPC 0.1803 Tablet / comprime
Pantoprazole-20 02428172 SIV 0.1803 Tablet / comprime
Sandoz Pantoprazole 02301075 SDZ 0.1803 Tablet / comprime
Teva-Pantoprazole 02285479 TEV 0.1803 Tablet / comprime
ECT/Co.Ent Orl 40 mg Pantoloc 02229453 TAK 0.2016 Tablet / comprime
Apo-Pantoprazole 02292920 APX 0.2016 Tablet / comprime
Auro-Pantoprazole 02415208 ARO 0.2016 Tablet / comprime
Jamp-Pantoprazole 02357054 JPC 0.2016 Tablet / comprime
M-Pantoprazole 02467372 MRA 0.2016 Tablet / comprime
Mar-Pantoprazole 02416565 MAR 0.2016 Tablet / comprime
Mint-Pantoprazole 02417448 MNT 0.2016 Tablet / comprime
NRA-Pantoprazole 02471825 NRA 0.2016 Tablet / comprime
Pantoprazole 02370808 SAS 0.2016 Tablet / comprime
Pantoprazole 02437945 PMS 0.2016 Tablet / comprime
Pantoprazole 02318695 PDL 0.2016 Tablet / comprime
Pantoprazole-40 02428180 SIV 0.2016 Tablet / comprime
Ran-Pantoprazole 02305046 RAN 0.2016 Tablet / comprime
Sandoz Pantoprazole 02301083 SDZ 0.2016 Tablet / comprime
Teva-Pantoprazole 02285487 TEV 0.2016 Tablet / comprime
pms-Pantoprazole 02307871 PMS 0.2016 Tablet / comprime
Paracetamol (Acetaminophen) / Paracetamol (Acetaminophene) Sup/Supp. Rt 120 mg Acet - 120 02230434 PDP 0.5528 Suppository / suppositoire
Tab/Co. Orl 325 mg Acetaminophen 02252805 CCM 0.0121 Tablet / comprime
Novo-Gesic 00389218 TEV 0.0121 Tablet / comprime
Tab/Co. Orl 500 mg Acetaminophen 02252813 CCM 0.0143 Tablet / comprime
Novo-Gesic 00482323 TEV 0.0143 Tablet / comprime
Paroxetine / Paroxetine Tab/Co. Orl 10 mg Paxil 02027887 GSK 0.3046 Tablet / comprime
Apo-Paroxetine 02240907 APX 0.3046 Tablet / comprime
Auro-Paroxetine 02383276 ARO 0.3046 Tablet / comprime
Jamp-Paroxetine 02368862 JPC 0.3046 Tablet / comprime
Mar-Paroxetine 02411946 MAR 0.3046 Tablet / comprime
September / septembre 2020 Page 43
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Mint-Paroxetine 02421372 MNT 0.3046 Tablet / comprime
NRA-Paroxetine 02479753 NRA 0.3046 Tablet / comprime
Paroxetine 02388227 SIV 0.3046 Tablet / comprime
Teva-Paroxetine 02248556 TEV 0.3046 Tablet / comprime
pms-Paroxetine 02247750 PMS 0.3046 Tablet / comprime
Tab/Co. Orl 20 mg Paxil 01940481 GSK 0.3250 Tablet / comprime
Act Paroxetine 02262754 TEV 0.3250 Tablet / comprime
Apo-Paroxetine 02240908 APX 0.3250 Tablet / comprime
Auro-Paroxetine 02383284 ARO 0.3250 Tablet / comprime
Jamp-Paroxetine 02368870 JPC 0.3250 Tablet / comprime
Mar-Paroxetine 02411954 MAR 0.3250 Tablet / comprime
Mint-Paroxetine 02421380 MNT 0.3250 Tablet / comprime
NRA-Paroxetine 02479761 NRA 0.3250 Tablet / comprime
Paroxetine 02282852 SAS 0.3250 Tablet / comprime
Paroxetine 02388235 SIV 0.3250 Tablet / comprime
Paroxetine 02248914 PDL 0.3250 Tablet / comprime
Teva-Paroxetine 02248557 TEV 0.3250 Tablet / comprime
pms-Paroxetine 02247751 PMS 0.3250 Tablet / comprime
Tab/Co. Orl 30 mg Paxil 01940473 GSK 0.3453 Tablet / comprime
Apo-Paroxetine 02240909 APX 0.3453 Tablet / comprime
Auro-Paroxetine 02383292 ARO 0.3453 Tablet / comprime
Jamp-Paroxetine 02368889 JPC 0.3453 Tablet / comprime
Mar-Paroxetine 02411962 MAR 0.3453 Tablet / comprime
Mint-Paroxetine 02421399 MNT 0.3453 Tablet / comprime
NRA-Paroxetine 02479788 NRA 0.3453 Tablet / comprime
Paroxetine 02282860 SAS 0.3453 Tablet / comprime
Paroxetine 02388243 SIV 0.3453 Tablet / comprime
Paroxetine 02248915 PDL 0.3453 Tablet / comprime
Teva-Paroxetine 02248558 TEV 0.3453 Tablet / comprime
pms-Paroxetine 02247752 PMS 0.3453 Tablet / comprime
Pentoxifylline / Pentoxifylline SRT/Co.L.L. Orl 400 mg Pentoxifylline SR 02230090 AAP 0.8042 Tablet / comprime
Perindopril / Indapamide / Perindopril / Indapamide Tab/Co. Orl 4 mg / 1.25 mg Coversyl Plus 02246569 SEV 0.5113 Tablet / comprime
Sandoz Perindopril / Indapamide 02470438 SDZ 0.5113 Tablet / comprime
Teva-Perindopril / Indapamide 02464020 TEV 0.5113 Tablet / comprime
Tab/Co. Orl 8 mg / 2.5 mg Coversyl Plus HD 02321653 SEV 0.5718 Tablet / comprime
Sandoz Perindopril / Indapamide 02470446 SDZ 0.5718 Tablet / comprime
Teva-Perindopril / Indapamide 02464039 TEV 0.5718 Tablet / comprime
Perindopril / Perindopril Tab/Co. Orl 2 mg Coversyl 02123274 SEV 0.1632 Tablet / comprime
Apo-Perindopril 02289261 APX 0.1632 Tablet / comprime
Auro-Perindopril 02459817 ARO 0.1632 Tablet / comprime
Jamp-Perindopril 02477009 JPC 0.1632 Tablet / comprime
Mar-Perindopril 02474824 MAR 0.1632 Tablet / comprime
Mint-Perindopril 02476762 MNT 0.1632 Tablet / comprime
NRA-Perindopril 02489015 NRA 0.1632 Tablet / comprime
Perindopril Erbumine 02481634 SAS 0.1632 Tablet / comprime
Perindopril Erbumine 02479877 SIV 0.1632 Tablet / comprime
Sandoz Perindopril 02470225 SDZ 0.1632 Tablet / comprime
Teva-Perindopril 02464985 TEV 0.1632 Tablet / comprime
pms-Perindopril 02470675 PMS 0.1632 Tablet / comprime
Tab/Co. Orl 4 mg Coversyl 02123282 SEV 0.2042 Tablet / comprime
Apo-Perindopril 02289288 APX 0.2042 Tablet / comprime
Auro-Perindopril 02459825 ARO 0.2042 Tablet / comprime
Jamp-Perindopril 02477017 JPC 0.2042 Tablet / comprime
Mar-Perindopril 02474832 MAR 0.2042 Tablet / comprime
Mint-Perindopril 02476770 MNT 0.2042 Tablet / comprime
NRA-Perindopril 02489023 NRA 0.2042 Tablet / comprime
Perindopril Erbumine 02479885 SIV 0.2042 Tablet / comprime
Perindopril Erbumine 02481642 SAS 0.2042 Tablet / comprime
Sandoz Perindopril 02470233 SDZ 0.2042 Tablet / comprime
Teva-Perindopril 02464993 TEV 0.2042 Tablet / comprime
pms-Perindopril 02470683 PMS 0.2042 Tablet / comprime
Tab/Co. Orl 8 mg Coversyl 02246624 SEV 0.2831 Tablet / comprime
Apo-Perindopril 02289296 APX 0.2831 Tablet / comprime
Auro-Perindopril 02459833 ARO 0.2831 Tablet / comprime
Jamp-Perindopril 02477025 JPC 0.2831 Tablet / comprime
Mar-Perindopril 02474840 MAR 0.2831 Tablet / comprime
Mint-Perindopril 02476789 MNT 0.2831 Tablet / comprime
NRA-Perindopril 02489031 NRA 0.2831 Tablet / comprime
Perindopril Erbumine 02481650 SAS 0.2831 Tablet / comprime
Perindopril Erbumine 02479893 SIV 0.2831 Tablet / comprime
Sandoz Perindopril 02470241 SDZ 0.2831 Tablet / comprime
Teva-Perindopril 02465000 TEV 0.2831 Tablet / comprime
pms-Perindopril 02470691 PMS 0.2831 Tablet / comprime
Perphenazine / Perphenazine Tab/Co. Orl 2 mg Perphenazine 00335134 AAP 0.0639 Tablet / comprime
September / septembre 2020 Page 44
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Tab/Co. Orl 4 mg Perphenazine 00335126 AAP 0.0773 Tablet / comprime
Tab/Co. Orl 8 mg Perphenazine 00335118 AAP 0.0849 Tablet / comprime
Tab/Co. Orl 16 mg Perphenazine 00335096 AAP 0.1300 Tablet / comprime
Phenobarbital / Phenobarbital Elx/Elx Orl 5 mg/mL Phenobarbital 00645575 PDP 0.1424 Millilitre / millilitre
Liq/Liq Inj 30 mg/mL Phenobarbital Sodium 02304082 SDZ 14.0990 Millilitre / millilitre
Liq/Liq Inj 120 mg/mL Phenobarbital Sodium 02304090 SDZ 14.2730 Millilitre / millilitre
Tab/Co. Orl 15 mg Phenobarbital 00178799 PDP 0.1394 Tablet / comprime
Tab/Co. Orl 30 mg Phenobarbital 00178802 PDP 0.1580 Tablet / comprime
Tab/Co. Orl 60 mg Phenobarbital 00178810 PDP 0.2249 Tablet / comprime
Tab/Co. Orl 100 mg Phenobarbital 00178829 PDP 0.3078 Tablet / comprime
Phenoxymethylpenicillin (Penicillin V) /
Phenoxymethylpenicilline (Penicilline V)
Tab/Co. Orl 300 mg Pen VK 00642215 AAP 0.1873 Tablet / comprime
Phenytoin / Phenytoine Cap/Caps Orl 100 mg Dilantin 00022780 UJC 0.0665 Capsule / capsule
Apo-Phenytoin Sodium 02460912 APX 0.0665 Capsule / capsule
Liq/Liq Inj 50 mg/mL Phenytoin Sodium 00780626 SDZ 6.0783 Millilitre / millilitre
Sus/Susp Orl 125 mg/5 mL Dilantin 125 00023450 UJC 0.0428 Millilitre / millilitre
Taro-Phenytoin 02250896 TAR 0.0428 Millilitre / millilitre
Phytomenadione / Phytomenadione Liq/Liq IM 1 mg/0.5 mL Vitamin K 00781878 SDZ 10.3800 Millilitre / millilitre
Liq/Liq IM 10 mg/mL Vitamin K 00804312 SDZ 5.8800 Millilitre / millilitre
Pilocarpine / Pilocarpine Dps/Gttes Oph 2% Isopto Carpine 00000868 NVR 0.2840 Millilitre / millilitre
Dps/Gttes Oph 4% Isopto Carpine 00000884 NVR 0.3240 Millilitre / millilitre
Tab/Co. Orl 5 mg Salagen 02216345 MTP 1.4727 Tablet / comprime
Accel-Pilocarpine 02496119 ACC 1.2445 Tablet / comprime
Pimozide / Pimozide Tab/Co. Orl 2 mg Orap 00313815 AAP 0.3093 Tablet / comprime
Pimozide 02245432 AAP 0.3093 Tablet / comprime
Tab/Co. Orl 4 mg Orap 00313823 AAP 0.4136 Tablet / comprime
Pimozide 02245433 AAP 0.4136 Tablet / comprime
Pinaverium / Pinaverium Tab/Co. Orl 50 mg Dicetel 01950592 ABB 0.3066 Tablet / comprime
Apo-Pinaverium 02469677 APX 0.3066 Tablet / comprime
Tab/Co. Orl 100 mg Dicetel 02230684 ABB 0.5346 Tablet / comprime
Apo-Pinaverium 02469685 APX 0.5346 Tablet / comprime
Pindolol / Pindolol Tab/Co. Orl 5 mg Visken 00417270 ARZ 0.1361 Tablet / comprime
Apo-Pindol 00755877 APX 0.1361 Tablet / comprime
Teva-Pindolol 00869007 TEV 0.1361 Tablet / comprime
Tab/Co. Orl 10 mg Visken 00443174 ARZ 0.2323 Tablet / comprime
Apo-Pindol 00755885 APX 0.2323 Tablet / comprime
Teva-Pindolol 00869015 TEV 0.2323 Tablet / comprime
Tab/Co. Orl 15 mg Apo-Pindol 00755893 APX 0.8894 Tablet / comprime
Teva-Pindolol 00869023 TEV 0.8894 Tablet / comprime
Pioglitazone / Pioglitazone Tab/Co. Orl 15 mg Accel Pioglitazone 02303442 ACC 0.5809 Tablet / comprime
Ach-Pioglitazone 02391600 AHI 0.5809 Tablet / comprime
Act Pioglitazone 02302861 TEV 0.5809 Tablet / comprime
Apo-Pioglitazone 02302942 APX 0.5809 Tablet / comprime
Jamp-Pioglitazone 02397307 JPC 0.5809 Tablet / comprime
Mint-Pioglitazone 02326477 MNT 0.5809 Tablet / comprime
Ran-Pioglitazone 02375850 RAN 0.5809 Tablet / comprime
Sandoz Pioglitazone 02297906 SDZ 0.5809 Tablet / comprime
pms-Pioglitazone 02303124 PMS 0.5809 Tablet / comprime
Tab/Co. Orl 30 mg Accel Pioglitazone 02303450 ACC 0.8139 Tablet / comprime
Ach-Pioglitazone 02339587 AHI 0.8139 Tablet / comprime
Act Pioglitazone 02302888 TEV 0.8139 Tablet / comprime
Apo-Pioglitazone 02302950 APX 0.8139 Tablet / comprime
Jamp-Pioglitazone 02365529 JPC 0.8139 Tablet / comprime
Mint-Pioglitazone 02326485 MNT 0.8139 Tablet / comprime
Ran-Pioglitazone 02375869 RAN 0.8139 Tablet / comprime
Sandoz Pioglitazone 02297914 SDZ 0.8139 Tablet / comprime
pms-Pioglitazone 02303132 PMS 0.8139 Tablet / comprime
Tab/Co. Orl 45 mg Accel Pioglitazone 02303469 ACC 1.2237 Tablet / comprime
Ach-Pioglitazone 02339595 AHI 1.2237 Tablet / comprime
Act Pioglitazone 02302896 TEV 1.2237 Tablet / comprime
Apo-Pioglitazone 02302977 APX 1.2237 Tablet / comprime
Jamp-Pioglitazone 02365537 JPC 1.2237 Tablet / comprime
Mint-Pioglitazone 02326493 MNT 1.2237 Tablet / comprime
Ran-Pioglitazone 02375877 RAN 1.2237 Tablet / comprime
Sandoz Pioglitazone 02297922 SDZ 1.2237 Tablet / comprime
pms-Pioglitazone 02303140 PMS 1.2237 Tablet / comprime
Piperacillin / Tazobactam / Piperacilline / Tazobactam Pws/Pds. Inj 2 g / 0.25 g Piperacillin & Tazobactam 02308444 APX 4.1720 Vial / fiole
Piperacillin & Tazobactam 02401312 TLG 4.1720 Vial / fiole
Piperacillin & Tazobactam 02299623 SDZ 4.1720 Vial / fiole
Pws/Pds. Inj 3 g / 0.375 g Piperacillin & Tazobactam 02308452 APX 6.2591 Vial / fiole
Piperacillin & Tazobactam 02401320 TLG 6.2591 Vial / fiole
Piperacillin & Tazobactam 02299631 SDZ 6.2591 Vial / fiole
Piperacillin/Tazobactam 02370166 TEV 6.2591 Vial / fiole
Pws/Pds. Inj 4 g / 0.5 g Piperacillin & Tazobactam 02401339 TLG 8.3458 Vial / fiole
September / septembre 2020 Page 45
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Piperacillin & Tazobactam 02299658 SDZ 8.3458 Vial / fiole
Piperacillin & Tazobactam 02308460 APX 8.3458 Vial / fiole
Piperacillin/Tazobactam 02370174 TEV 8.3458 Vial / fiole
Piroxicam / Piroxicam Cap/Caps Orl 10 mg Novo-Pirocam 00695718 TEV 0.2213 Capsule / capsule
Cap/Caps Orl 20 mg Novo-Pirocam 00695696 TEV 0.3711 Capsule / capsule
Polystyrene Sulfonate / Polystyrene Sulfonate Pws/Pds. Orl 100% Kayexalate 02026961 SAV 0.2001 Gram / gramme
Solystat 00755338 PMS 0.2001 Gram / gramme
Sus/Susp Orl 250 mg/mL Solystat 00769541 PDP 0.1566 Millilitre / millilitre
Potassium Chloride / Chlorure De Potassium Liq/Liq Orl 100 mg/mL Jamp-Potassium Chloride 80024835 JPC 0.0390 Millilitre / millilitre
SRC/Caps.L.L. Orl 600 mg Micro-K 02042304 PAL 0.0822 Capsule / capsule
Jamp-Potassium Chloride ER 80062704 JPC 0.0822 Capsule / capsule
SRT/Co.L.L. Orl 600 mg Jamp-K8 80013005 JPC 0.0400 Tablet / comprime
Sandoz K 8 02246734 SDZ 0.0400 Tablet / comprime
SRT/Co.L.L. Orl 1 500 mg Jamp-K20 80013007 JPC 0.1995 Tablet / comprime
Odan K-20 80004415 ODN 0.1995 Tablet / comprime
Sandoz K 20 02242261 SDZ 0.1995 Tablet / comprime
Pramipexole / Pramipexole Tab/Co. Orl 0.25 mg Mirapex 02237145 BOE 0.1950 Tablet / comprime
Act Pramipexole 02297302 TEV 0.1950 Tablet / comprime
Apo-Pramipexole 02292378 APX 0.1950 Tablet / comprime
Auro-Pramipexole 02424061 ARO 0.1950 Tablet / comprime
Pramipexole 02309122 SIV 0.1950 Tablet / comprime
Sandoz Pramipexole 02315262 SDZ 0.1950 Tablet / comprime
Tab/Co. Orl 0.5 mg Act Pramipexole 02297310 TEV 0.4018 Tablet / comprime
Apo-Pramipexole 02292386 APX 0.4018 Tablet / comprime
Auro-Pramipexole 02424088 ARO 0.4018 Tablet / comprime
Pramipexole 02309130 SIV 0.4018 Tablet / comprime
Sandoz Pramipexole 02315270 SDZ 0.4018 Tablet / comprime
Tab/Co. Orl 1 mg Act Pramipexole 02297329 TEV 0.3901 Tablet / comprime
Apo-Pramipexole 02292394 APX 0.3901 Tablet / comprime
Auro-Pramipexole 02424096 ARO 0.3901 Tablet / comprime
Pramipexole 02309149 SIV 0.3901 Tablet / comprime
Sandoz Pramipexole 02315289 SDZ 0.3901 Tablet / comprime
Tab/Co. Orl 1.5 mg Act Pramipexole 02297337 TEV 0.3901 Tablet / comprime
Apo-Pramipexole 02292408 APX 0.3901 Tablet / comprime
Auro-Pramipexole 02424118 ARO 0.3901 Tablet / comprime
Pramipexole 02309157 SIV 0.3901 Tablet / comprime
Sandoz Pramipexole 02315297 SDZ 0.3901 Tablet / comprime
Pravastatin / Pravastatine Tab/Co. Orl 10 mg Ach-Pravastatin 02440644 AHI 0.2916 Tablet / comprime
Apo-Pravastatin 02243506 APX 0.2916 Tablet / comprime
Auro-Pravastatin 02458977 ARO 0.2916 Tablet / comprime
Jamp-Pravastatin 02330954 JPC 0.2916 Tablet / comprime
Mar-Pravastatin 02432048 MAR 0.2916 Tablet / comprime
Mint-Pravastatin 02317451 MNT 0.2916 Tablet / comprime
Pravastatin 02389703 SIV 0.2916 Tablet / comprime
Pravastatin 02356546 SAS 0.2916 Tablet / comprime
Pravastatin-10 02243824 PDL 0.2916 Tablet / comprime
Sandoz Pravastatin 02468700 SDZ 0.2916 Tablet / comprime
Taro-Pravastatin 02284421 SUN 0.2916 Tablet / comprime
Teva-Pravastatin 02247008 TEV 0.2916 Tablet / comprime
pms-Pravastatin 02247655 PMS 0.2916 Tablet / comprime
Tab/Co. Orl 20 mg Pravachol 00893757 BRI 0.3440 Tablet / comprime
Ach-Pravastatin 02440652 AHI 0.3440 Tablet / comprime
Apo-Pravastatin 02243507 APX 0.3440 Tablet / comprime
Auro-Pravastatin 02458985 ARO 0.3440 Tablet / comprime
Jamp-Pravastatin 02330962 JPC 0.3440 Tablet / comprime
Mar-Pravastatin 02432056 MAR 0.3440 Tablet / comprime
Mint-Pravastatin 02317478 MNT 0.3440 Tablet / comprime
Pravastatin 02356554 SAS 0.3440 Tablet / comprime
Pravastatin 02389738 SIV 0.3440 Tablet / comprime
Pravastatin-20 02243825 PDL 0.3440 Tablet / comprime
Sandoz Pravastatin 02468719 SDZ 0.3440 Tablet / comprime
Taro-Pravastatin 02284448 SUN 0.3440 Tablet / comprime
Teva-Pravastatin 02247009 TEV 0.3440 Tablet / comprime
pms-Pravastatin 02247656 PMS 0.3440 Tablet / comprime
Tab/Co. Orl 40 mg Pravachol 02222051 BRI 0.4143 Tablet / comprime
Ach-Pravastatin 02440660 AHI 0.4143 Tablet / comprime
Apo-Pravastatin 02243508 APX 0.4143 Tablet / comprime
Auro-Pravastatin 02458993 ARO 0.4143 Tablet / comprime
Jamp-Pravastatin 02330970 JPC 0.4143 Tablet / comprime
Mar-Pravastatin 02432064 MAR 0.4143 Tablet / comprime
Mint-Pravastatin 02317486 MNT 0.4143 Tablet / comprime
Pravastatin 02356562 SAS 0.4143 Tablet / comprime
Pravastatin 02389746 SIV 0.4143 Tablet / comprime
Pravastatin-40 02243826 PDL 0.4143 Tablet / comprime
September / septembre 2020 Page 46
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Sandoz Pravastatin 02468727 SDZ 0.4143 Tablet / comprime
Taro-Pravastatin 02284456 SUN 0.4143 Tablet / comprime
Teva-Pravastatin 02247010 TEV 0.4143 Tablet / comprime
pms-Pravastatin 02247657 PMS 0.4143 Tablet / comprime
Prazosin / Prazosine Tab/Co. Orl 1 mg Teva-Prazin 01934198 TEV 0.1371 Tablet / comprime
Tab/Co. Orl 2 mg Teva-Prazin 01934201 TEV 0.1862 Tablet / comprime
Tab/Co. Orl 5 mg Teva-Prazin 01934228 TEV 0.2560 Tablet / comprime
Prednisolone / Prednisolone Liq/Liq Orl 5 mg/5 mL Pediapred 02230619 SAV 0.0953 Millilitre / millilitre
pms-Prednisolone 02245532 PMS 0.0953 Millilitre / millilitre
Sus/Susp Oph 1% Pred Forte 00301175 ALL 1.9400 Millilitre / millilitre
Sandoz Prednisolone 01916203 SDZ 1.9400 Millilitre / millilitre
Teva-Prednisolone 00700401 TEV 1.9400 Millilitre / millilitre
Prednisone / Prednisone Tab/Co. Orl 1 mg Winpred 00271373 AAP 0.1072 Tablet / comprime
Tab/Co. Orl 5 mg Apo-Prednisone 00312770 APX 0.0220 Tablet / comprime
Teva-Prednisone 00021695 TEV 0.0220 Tablet / comprime
Tab/Co. Orl 50 mg Apo-Prednisone 00550957 APX 0.1735 Tablet / comprime
Teva-Prednisone 00232378 TEV 0.1735 Tablet / comprime
Pregabalin / Pregabaline Cap/Caps Orl 25 mg Lyrica 02268418 UJC 0.1481 Capsule / capsule
Apo-Pregabalin 02394235 APX 0.1481 Capsule / capsule
Auro-Pregabalin 02433869 ARO 0.1481 Capsule / capsule
Jamp-Pregabalin 02435977 JPC 0.1481 Capsule / capsule
Mint-Pregabalin 02423804 MNT 0.1481 Capsule / capsule
NRA-Pregabalin 02479117 NRA 0.1481 Capsule / capsule
Nat-Pregabalin 02494841 NAT 0.1481 Capsule / capsule
Pregabalin 02405539 SAS 0.1481 Capsule / capsule
Pregabalin 02396483 PDL 0.1481 Capsule / capsule
Pregabalin 02403692 SIV 0.1481 Capsule / capsule
Sandoz Pregabalin 02390817 SDZ 0.1481 Capsule / capsule
Taro-Pregabalin 02392801 SUN 0.1481 Capsule / capsule
Teva-Pregabalin 02361159 TEV 0.1481 Capsule / capsule
pms-Pregabalin 02359596 PMS 0.1481 Capsule / capsule
Cap/Caps Orl 50 mg Lyrica 02268426 UJC 0.2324 Capsule / capsule
Apo-Pregabalin 02394243 APX 0.2324 Capsule / capsule
Auro-Pregabalin 02433877 ARO 0.2324 Capsule / capsule
Jamp-Pregabalin 02435985 JPC 0.2324 Capsule / capsule
Mint-Pregabalin 02423812 MNT 0.2324 Capsule / capsule
NRA-Pregabalin 02479125 NRA 0.2324 Capsule / capsule
Nat-Pregabalin 02494868 NAT 0.2324 Capsule / capsule
Pregabalin 02405547 SAS 0.2324 Capsule / capsule
Pregabalin 02403706 SIV 0.2324 Capsule / capsule
Pregabalin 02396505 PDL 0.2324 Capsule / capsule
Sandoz Pregabalin 02390825 SDZ 0.2324 Capsule / capsule
Taro-Pregabalin 02392828 SUN 0.2324 Capsule / capsule
Teva-Pregabalin 02361175 TEV 0.2324 Capsule / capsule
pms-Pregabalin 02359618 PMS 0.2324 Capsule / capsule
Cap/Caps Orl 75 mg Lyrica 02268434 UJC 0.3007 Capsule / capsule
Apo-Pregabalin 02394251 APX 0.3007 Capsule / capsule
Auro-Pregabalin 02433885 ARO 0.3007 Capsule / capsule
Jamp-Pregabalin 02435993 JPC 0.3007 Capsule / capsule
Mint-Pregabalin 02424185 MNT 0.3007 Capsule / capsule
NRA-Pregabalin 02479133 NRA 0.3007 Capsule / capsule
Nat-Pregabalin 02494876 NAT 0.3007 Capsule / capsule
Pregabalin 02405555 SAS 0.3007 Capsule / capsule
Pregabalin 02396513 PDL 0.3007 Capsule / capsule
Pregabalin 02403714 SIV 0.3007 Capsule / capsule
Sandoz Pregabalin 02390833 SDZ 0.3007 Capsule / capsule
Taro-Pregabalin 02392836 SUN 0.3007 Capsule / capsule
Teva-Pregabalin 02361183 TEV 0.3007 Capsule / capsule
pms-Pregabalin 02359626 PMS 0.3007 Capsule / capsule
Cap/Caps Orl 150 mg Lyrica 02268450 UJC 0.4145 Capsule / capsule
Apo-Pregabalin 02394278 APX 0.4145 Capsule / capsule
Auro-Pregabalin 02433907 ARO 0.4145 Capsule / capsule
Jamp-Pregabalin 02436000 JPC 0.4145 Capsule / capsule
Mint-Pregabalin 02424207 MNT 0.4145 Capsule / capsule
NRA-Pregabalin 02479168 NRA 0.4145 Capsule / capsule
Nat-Pregabalin 02494884 NAT 0.4145 Capsule / capsule
Pregabalin 02396521 PDL 0.4145 Capsule / capsule
Pregabalin 02403722 SIV 0.4145 Capsule / capsule
Pregabalin 02405563 SAS 0.4145 Capsule / capsule
Sandoz Pregabalin 02390841 SDZ 0.4145 Capsule / capsule
Taro-Pregabalin 02392844 SUN 0.4145 Capsule / capsule
Teva-Pregabalin 02361205 TEV 0.4145 Capsule / capsule
pms-Pregabalin 02359634 PMS 0.4145 Capsule / capsule
Cap/Caps Orl 225 mg Lyrica 02268477 UJC 0.5757 Capsule / capsule
September / septembre 2020 Page 47
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Nat-Pregabalin 02494892 NAT 0.5757 Capsule / capsule
Taro-Pregabalin 02392852 SUN 0.5757 Capsule / capsule
Teva-Pregabalin 02361221 TEV 0.5757 Capsule / capsule
pms-Pregabalin 02398079 PMS 0.5757 Capsule / capsule
Cap/Caps Orl 300 mg Lyrica 02268485 UJC 0.4145 Capsule / capsule
Apo-Pregabalin 02394294 APX 0.4145 Capsule / capsule
Jamp-Pregabalin 02436019 JPC 0.4145 Capsule / capsule
Nat-Pregabalin 02494906 NAT 0.4145 Capsule / capsule
Pregabalin 02405598 SAS 0.4145 Capsule / capsule
Pregabalin 02396548 PDL 0.4145 Capsule / capsule
Pregabalin 02403730 SIV 0.4145 Capsule / capsule
Sandoz Pregabalin 02390868 SDZ 0.4145 Capsule / capsule
Taro-Pregabalin 02392860 SUN 0.4145 Capsule / capsule
Teva-Pregabalin 02361248 TEV 0.4145 Capsule / capsule
pms-Pregabalin 02359642 PMS 0.4145 Capsule / capsule
Primidone / Primidone Tab/Co. Orl 125 mg Primidone 00399310 AAP 0.0564 Tablet / comprime
Tab/Co. Orl 250 mg Primidone 00396761 AAP 0.0887 Tablet / comprime
Prochlorperazine / Prochlorperazine Sup/Supp. Rt 10 mg Sandoz Prochlorperazine 00789720 SDZ 1.8200 Suppository / suppositoire
Tab/Co. Orl 5 mg Prochlorazine 00886440 AAP 0.1659 Tablet / comprime
Tab/Co. Orl 10 mg Prochlorazine 00886432 AAP 0.2025 Tablet / comprime
Procyclidine / Procyclidine Elx/Elx Orl 2.5 mg/5 mL pdp-Procyclidine 00587362 PDP 0.2833 Millilitre / millilitre
Tab/Co. Orl 5 mg pdp-Procyclidine 00587354 PDP 0.1448 Tablet / comprime
Propafenone / Propafenone Tab/Co. Orl 150 mg Rythmol 00603708 BGP 0.2965 Tablet / comprime
Apo-Propafenone 02243324 APX 0.2965 Tablet / comprime
Mylan-Propafenone 02457172 MYL 0.2965 Tablet / comprime
Propafenone 02343053 SAS 0.2965 Tablet / comprime
Tab/Co. Orl 300 mg Rythmol 00603716 BGP 0.5227 Tablet / comprime
Apo-Propafenone 02243325 APX 0.5227 Tablet / comprime
Mylan-Propafenone 02457164 MYL 0.5227 Tablet / comprime
Propafenone 02343061 SAS 0.5227 Tablet / comprime
Propranolol / Propranolol Tab/Co. Orl 10 mg Teva-Propranolol 00496480 TEV 0.0631 Tablet / comprime
Tab/Co. Orl 20 mg Teva-Propranolol 00740675 TEV 0.1086 Tablet / comprime
Tab/Co. Orl 40 mg Teva-Propranolol 00496499 TEV 0.1142 Tablet / comprime
Tab/Co. Orl 80 mg Teva-Propranolol 00496502 TEV 0.1805 Tablet / comprime
Propylthiouracil / Propylthiouracile Tab/Co. Orl 50 mg PTU (Temporary Benefit) 09858122 PCI 0.3900 Tablet / comprime
Propyl-Thyracil 00010200 PAL 0.2800 Tablet / comprime
Tab/Co. Orl 100 mg Propyl-Thyracil 00010219 PAL 0.4380 Tablet / comprime
Pyrazinamide / Pyrazinamide Tab/Co. Orl 500 mg pdp-Pyrazinamde 00618810 PMS 1.3163 Tablet / comprime
Quetiapine / Quetiapine ERT/Co.L.P. Orl 50 mg Seroquel XR 02300184 AZE 0.2501 Tablet / comprime
Apo-Quetiapine XR 02457229 APX 0.2501 Tablet / comprime
Quetiapine XR 02417359 SIV 0.2501 Tablet / comprime
Sandoz Quetiapine XR 02407671 SDZ 0.2501 Tablet / comprime
Teva-Quetiapine XR 02395444 TEV 0.2501 Tablet / comprime
ERT/Co.L.P. Orl 150 mg Seroquel XR 02321513 AZE 0.4926 Tablet / comprime
Apo-Quetiapine XR 02457237 APX 0.4926 Tablet / comprime
Quetiapine XR 02417367 SIV 0.4926 Tablet / comprime
Sandoz Quetiapine XR 02407698 SDZ 0.4926 Tablet / comprime
Teva-Quetiapine XR 02395452 TEV 0.4926 Tablet / comprime
ERT/Co.L.P. Orl 200 mg Seroquel XR 02300192 AZE 0.6661 Tablet / comprime
Apo-Quetiapine XR 02457245 APX 0.6661 Tablet / comprime
Quetiapine XR 02417375 SIV 0.6661 Tablet / comprime
Sandoz Quetiapine XR 02407701 SDZ 0.6661 Tablet / comprime
Teva-Quetiapine XR 02395460 TEV 0.6661 Tablet / comprime
ERT/Co.L.P. Orl 300 mg Seroquel XR 02300206 AZE 0.9776 Tablet / comprime
Apo-Quetiapine XR 02457253 APX 0.9776 Tablet / comprime
Quetiapine XR 02417383 SIV 0.9776 Tablet / comprime
Sandoz Quetiapine XR 02407728 SDZ 0.9776 Tablet / comprime
Teva-Quetiapine XR 02395479 TEV 0.9776 Tablet / comprime
ERT/Co.L.P. Orl 400 mg Seroquel XR 02300214 AZE 1.3270 Tablet / comprime
Apo-Quetiapine XR 02457261 APX 1.3270 Tablet / comprime
Quetiapine XR 02417391 SIV 1.3270 Tablet / comprime
Sandoz Quetiapine XR 02407736 SDZ 1.3270 Tablet / comprime
Teva-Quetiapine XR 02395487 TEV 1.3270 Tablet / comprime
Tab/Co. Orl 25 mg Seroquel 02236951 AZE 0.0494 Tablet / comprime
Act Quetiapine 02316080 TEV 0.0494 Tablet / comprime
Apo-Quetiapine 02313901 APX 0.0494 Tablet / comprime
Auro-Quetiapine 02390205 ARO 0.0494 Tablet / comprime
Jamp-Quetiapine 02330415 JPC 0.0494 Tablet / comprime
Mar-Quetiapine 02399822 MAR 0.0494 Tablet / comprime
Mint-Quetiapine 02438003 MNT 0.0494 Tablet / comprime
Nat-Quetiapine 02439158 NAT 0.0494 Tablet / comprime
Pro-Quetiapine 02317346 PDL 0.0494 Tablet / comprime
Quetiapine 02353164 SAS 0.0494 Tablet / comprime
Quetiapine 02387794 AHI 0.0494 Tablet / comprime
September / septembre 2020 Page 48
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Quetiapine 02317893 SIV 0.0494 Tablet / comprime
Ran-Quetiapine 02397099 RAN 0.0494 Tablet / comprime
Sandoz Quetiapine 02313995 SDZ 0.0494 Tablet / comprime
pms-Quetiapine 02296551 PMS 0.0494 Tablet / comprime
Tab/Co. Orl 100 mg Seroquel 02236952 AZE 0.1318 Tablet / comprime
Act Quetiapine 02316099 TEV 0.1318 Tablet / comprime
Apo-Quetiapine 02313928 APX 0.1318 Tablet / comprime
Auro-Quetiapine 02390213 ARO 0.1318 Tablet / comprime
Jamp-Quetiapine 02330423 JPC 0.1318 Tablet / comprime
Mar-Quetiapine 02399830 MAR 0.1318 Tablet / comprime
Mint-Quetiapine 02438011 MNT 0.1318 Tablet / comprime
Nat-Quetiapine 02439166 NAT 0.1318 Tablet / comprime
Pro-Quetiapine 02317354 PDL 0.1318 Tablet / comprime
Quetiapine 02387808 AHI 0.1318 Tablet / comprime
Quetiapine 02317907 SIV 0.1318 Tablet / comprime
Quetiapine 02353172 SAS 0.1318 Tablet / comprime
Ran-Quetiapine 02397102 RAN 0.1318 Tablet / comprime
Sandoz Quetiapine 02314002 SDZ 0.1318 Tablet / comprime
pms-Quetiapine 02296578 PMS 0.1318 Tablet / comprime
Tab/Co. Orl 150 mg Nat-Quetiapine 02439174 NAT 1.0195 Tablet / comprime
Tab/Co. Orl 200 mg Seroquel 02236953 AZE 0.2647 Tablet / comprime
Act Quetiapine 02316110 TEV 0.2647 Tablet / comprime
Apo-Quetiapine 02313936 APX 0.2647 Tablet / comprime
Auro-Quetiapine 02390248 ARO 0.2647 Tablet / comprime
Jamp-Quetiapine 02330458 JPC 0.2647 Tablet / comprime
Mar-Quetiapine 02399849 MAR 0.2647 Tablet / comprime
Mint-Quetiapine 02438046 MNT 0.2647 Tablet / comprime
Nat-Quetiapine 02439182 NAT 0.2647 Tablet / comprime
Pro-Quetiapine 02317362 PDL 0.2647 Tablet / comprime
Quetiapine 02353199 SAS 0.2647 Tablet / comprime
Quetiapine 02387824 AHI 0.2647 Tablet / comprime
Quetiapine 02317923 SIV 0.2647 Tablet / comprime
Ran-Quetiapine 02397110 RAN 0.2647 Tablet / comprime
Sandoz Quetiapine 02314010 SDZ 0.2647 Tablet / comprime
pms-Quetiapine 02296594 PMS 0.2647 Tablet / comprime
Tab/Co. Orl 300 mg Seroquel 02244107 AZE 0.3863 Tablet / comprime
Act Quetiapine 02316129 TEV 0.3863 Tablet / comprime
Apo-Quetiapine 02313944 APX 0.3863 Tablet / comprime
Auro-Quetiapine 02390256 ARO 0.3863 Tablet / comprime
Jamp-Quetiapine 02330466 JPC 0.3863 Tablet / comprime
Mar-Quetiapine 02399857 MAR 0.3863 Tablet / comprime
Mint-Quetiapine 02438054 MNT 0.3863 Tablet / comprime
Nat-Quetiapine 02439190 NAT 0.3863 Tablet / comprime
Pro-Quetiapine 02317370 PDL 0.3863 Tablet / comprime
Quetiapine 02317931 SIV 0.3863 Tablet / comprime
Quetiapine 02353202 SAS 0.3863 Tablet / comprime
Quetiapine 02387832 AHI 0.3863 Tablet / comprime
Ran-Quetiapine 02397129 RAN 0.3863 Tablet / comprime
Sandoz Quetiapine 02314029 SDZ 0.3863 Tablet / comprime
pms-Quetiapine 02296608 PMS 0.3863 Tablet / comprime
Quinapril / Hydrochlorothiazide / Quinapril / Hydrochlorothiazide Tab/Co. Orl 10 mg / 12.5 mg Accuretic 02237367 PFI 0.4786 Tablet / comprime
Apo-Quinapril/HCTZ 02408767 APX 0.4786 Tablet / comprime
Auro-Quinapril HCTZ 02473291 ARO 0.4786 Tablet / comprime
Tab/Co. Orl 20 mg / 12.5 mg Accuretic 02237368 PFI 0.9840 Tablet / comprime
Apo-Quinapril/HCTZ 02408775 APX 0.4786 Tablet / comprime
Auro-Quinapril HCTZ 02473305 ARO 0.4786 Tablet / comprime
Tab/Co. Orl 20 mg / 25 mg Accuretic 02237369 PFI 0.9423 Tablet / comprime
Apo-Quinapril/HCTZ 02408783 APX 0.4602 Tablet / comprime
Auro-Quinapril HCTZ 02473321 ARO 0.4602 Tablet / comprime
Quinapril / Quinapril Tab/Co. Orl 5 mg Accupril 01947664 PFI 0.4642 Tablet / comprime
Apo-Quinapril 02248499 APX 0.4642 Tablet / comprime
pms-Quinapril 02340550 PMS 0.4642 Tablet / comprime
Tab/Co. Orl 10 mg Accupril 01947672 PFI 0.4642 Tablet / comprime
Apo-Quinapril 02248500 APX 0.4642 Tablet / comprime
pms-Quinapril 02340569 PMS 0.4642 Tablet / comprime
Tab/Co. Orl 20 mg Accupril 01947680 PFI 0.4642 Tablet / comprime
Apo-Quinapril 02248501 APX 0.4642 Tablet / comprime
pms-Quinapril 02340577 PMS 0.4642 Tablet / comprime
Tab/Co. Orl 40 mg Accupril 01947699 PFI 0.4642 Tablet / comprime
Apo-Quinapril 02248502 APX 0.4642 Tablet / comprime
pms-Quinapril 02340585 PMS 0.4642 Tablet / comprime
Rabeprazole / Rabeprazole ECT/Co.Ent Orl 10 mg Pariet 02243796 JAN 0.0669 Tablet / comprime
Rabeprazole 02385449 SIV 0.0669 Tablet / comprime
September / septembre 2020 Page 49
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Rabeprazole EC 02356511 SAS 0.0669 Tablet / comprime
Ran-Rabeprazole 02298074 RAN 0.0669 Tablet / comprime
Sandoz Rabeprazole 02314177 SDZ 0.0669 Tablet / comprime
Teva-Rabeprazole EC 02296632 TEV 0.0669 Tablet / comprime
pms-Rabeprazole EC 02310805 PMS 0.0669 Tablet / comprime
ECT/Co.Ent Orl 20 mg Pariet 02243797 JAN 0.1338 Tablet / comprime
Rabeprazole 02385457 SIV 0.1338 Tablet / comprime
Rabeprazole EC 02356538 SAS 0.1338 Tablet / comprime
Ran-Rabeprazole 02298082 RAN 0.1338 Tablet / comprime
Sandoz Rabeprazole 02314185 SDZ 0.1338 Tablet / comprime
Teva-Rabeprazole EC 02296640 TEV 0.1338 Tablet / comprime
pms-Rabeprazole EC 02310813 PMS 0.1338 Tablet / comprime
Raloxifene / Raloxifene Tab/Co. Orl 60 mg Evista 02239028 LIL 0.4583 Tablet / comprime
Act Raloxifene 02358840 TEV 0.4583 Tablet / comprime
Apo-Raloxifene 02279215 APX 0.4583 Tablet / comprime
pms-Raloxifene 02358921 PMS 0.4583 Tablet / comprime
Ramipril / Hydrochlorothiazide / Ramipril / Hydrochlorothiazide Tab/Co. Orl 2.5 mg / 12.5 mg Altace HCT 02283131 SAV 0.1495 Tablet / comprime
Taro-Ramipril HCTZ 02449439 SUN 0.1495 Tablet / comprime
Tab/Co. Orl 5 mg / 12.5 mg Altace HCT 02283158 SAV 0.4266 Tablet / comprime
Taro-Ramipril HCTZ 02449447 SUN 0.2011 Tablet / comprime
Tab/Co. Orl 5 mg / 25 mg Altace HCT 02283174 SAV 0.2872 Tablet / comprime
Taro-Ramipril HCTZ 02449463 SUN 0.2872 Tablet / comprime
Tab/Co. Orl 10 mg / 12.5 mg Altace HCT 02283166 SAV 0.2634 Tablet / comprime
Taro-Ramipril HCTZ 02449455 SUN 0.2634 Tablet / comprime
pms-Ramipril-HCTZ 02342154 PMS 0.2634 Tablet / comprime
Tab/Co. Orl 10 mg / 25 mg Altace HCT 02283182 SAV 0.2634 Tablet / comprime
Taro-Ramipril HCTZ 02449471 SUN 0.2634 Tablet / comprime
pms-Ramipril-HCTZ 02342170 PMS 0.2634 Tablet / comprime
Ramipril / Ramipril Cap/Caps Orl 1.25 mg Altace 02221829 SAV 0.0708 Capsule / capsule
Apo-Ramipril 02251515 APX 0.0708 Capsule / capsule
Auro-Ramipril 02387387 ARO 0.0708 Capsule / capsule
Mar-Ramipril 02420457 MAR 0.0708 Capsule / capsule
Pro-Ramipril 02310023 PDL 0.0708 Capsule / capsule
Ramipril 02308363 SIV 0.0708 Capsule / capsule
Taro-Ramipril 02310503 SUN 0.0708 Capsule / capsule
pharma-Ramipril 02469057 PMS 0.0708 Capsule / capsule
Cap/Caps Orl 2.5 mg Altace 02221837 SAV 0.0817 Capsule / capsule
Apo-Ramipril 02251531 APX 0.0817 Capsule / capsule
Auro-Ramipril 02387395 ARO 0.0817 Capsule / capsule
Jamp-Ramipril 02331128 JPC 0.0817 Capsule / capsule
Mar-Ramipril 02420465 MAR 0.0817 Capsule / capsule
Mint-Ramipril 02421305 MNT 0.0817 Capsule / capsule
NRA-Ramipril 02486172 NRA 0.0817 Capsule / capsule
Pro-Ramipril 02310066 PDL 0.0817 Capsule / capsule
Ramipril 02374846 SAS 0.0817 Capsule / capsule
Ramipril 02287927 SIV 0.0817 Capsule / capsule
Taro-Ramipril 02310511 SUN 0.0817 Capsule / capsule
Teva-Ramipril 02247945 TEV 0.0817 Capsule / capsule
pharma-Ramipril 02469065 PMS 0.0817 Capsule / capsule
pms-Ramipril 02247917 PMS 0.0817 Capsule / capsule
Cap/Caps Orl 5 mg Altace 02221845 SAV 0.0817 Capsule / capsule
Apo-Ramipril 02251574 APX 0.0817 Capsule / capsule
Auro-Ramipril 02387409 ARO 0.0817 Capsule / capsule
Jamp-Ramipril 02331136 JPC 0.0817 Capsule / capsule
Mar-Ramipril 02420473 MAR 0.0817 Capsule / capsule
Mint-Ramipril 02421313 MNT 0.0817 Capsule / capsule
NRA-Ramipril 02486180 NRA 0.0817 Capsule / capsule
Pro-Ramipril 02310074 PDL 0.0817 Capsule / capsule
Ramipril 02287935 SIV 0.0817 Capsule / capsule
Ramipril 02374854 SAS 0.0817 Capsule / capsule
Taro-Ramipril 02310538 SUN 0.0817 Capsule / capsule
Teva-Ramipril 02247946 TEV 0.0817 Capsule / capsule
pharma-Ramipril 02469073 PMS 0.0817 Capsule / capsule
pms-Ramipril 02247918 PMS 0.0817 Capsule / capsule
Cap/Caps Orl 10 mg Altace 02221853 SAV 0.1034 Capsule / capsule
Apo-Ramipril 02251582 APX 0.1034 Capsule / capsule
Auro-Ramipril 02387417 ARO 0.1034 Capsule / capsule
Jamp-Ramipril 02331144 JPC 0.1034 Capsule / capsule
Mar-Ramipril 02420481 MAR 0.1034 Capsule / capsule
Mint-Ramipril 02421321 MNT 0.1034 Capsule / capsule
NRA-Ramipril 02486199 NRA 0.1034 Capsule / capsule
Pro-Ramipril 02310104 PDL 0.1034 Capsule / capsule
Ramipril 02374862 SAS 0.1034 Capsule / capsule
September / septembre 2020 Page 50
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Ramipril 02287943 SIV 0.1034 Capsule / capsule
Taro-Ramipril 02310546 SUN 0.1034 Capsule / capsule
Teva-Ramipril 02247947 TEV 0.1034 Capsule / capsule
pharma-Ramipril 02469081 PMS 0.1034 Capsule / capsule
pms-Ramipril 02247919 PMS 0.1034 Capsule / capsule
Cap/Caps Orl 15 mg Altace 02281112 SAV 0.8550 Capsule / capsule
Apo-Ramipril 02325381 APX 0.8550 Capsule / capsule
Ranitidine / Ranitidine Liq/Liq Orl 15 mg/mL Apo-Ranitidine 02280833 APX 0.1480 Millilitre / millilitre
Teva-Ranidine 02242940 TEV 0.1480 Millilitre / millilitre
Tab/Co. Orl 150 mg Act Ranitidine 02248570 TEV 0.1197 Tablet / comprime
Apo-Ranitidine 00733059 APX 0.1197 Tablet / comprime
Jamp-Ranitidine 02463717 JPC 0.1197 Tablet / comprime
Mar-Ranitidine 02443708 MAR 0.1197 Tablet / comprime
Ran-Ranitidine 02336480 RAN 0.1197 Tablet / comprime
Ranitidine 02353016 SAS 0.1197 Tablet / comprime
Ranitidine 02385953 SIV 0.1197 Tablet / comprime
Sandoz Ranitidine 02243229 SDZ 0.1197 Tablet / comprime
pms-Ranitidine 02242453 PMS 0.1197 Tablet / comprime
Tab/Co. Orl 300 mg Act Ranitidine 02248571 TEV 0.2253 Tablet / comprime
Apo-Ranitidine 00733067 APX 0.2253 Tablet / comprime
Jamp-Ranitidine 02463725 JPC 0.2253 Tablet / comprime
Mar-Ranitidine 02443716 MAR 0.2253 Tablet / comprime
Ran-Ranitidine 02336502 RAN 0.2253 Tablet / comprime
Ranitidine 02385961 SIV 0.2253 Tablet / comprime
Ranitidine 02353024 SAS 0.2253 Tablet / comprime
Sandoz Ranitidine 02243230 SDZ 0.2253 Tablet / comprime
pms-Ranitidine 02242454 PMS 0.2253 Tablet / comprime
Repaglinide / Repaglinide Tab/Co. Orl 0.5 mg Gluconorm 02239924 NNO 0.0808 Tablet / comprime
Act Repaglinide 02321475 TEV 0.0808 Tablet / comprime
Auro-Repaglinide 02424258 ARO 0.0808 Tablet / comprime
Jamp-Repaglinide 02354926 JPC 0.0808 Tablet / comprime
Sandoz Repaglinide 02357453 SDZ 0.0808 Tablet / comprime
Tab/Co. Orl 1 mg Gluconorm 02239925 NNO 0.0840 Tablet / comprime
Act Repaglinide 02321483 TEV 0.0840 Tablet / comprime
Auro-Repaglinide 02424266 ARO 0.0840 Tablet / comprime
Jamp-Repaglinide 02354934 JPC 0.0840 Tablet / comprime
Sandoz Repaglinide 02357461 SDZ 0.0840 Tablet / comprime
Tab/Co. Orl 2 mg Gluconorm 02239926 NNO 0.0873 Tablet / comprime
Act Repaglinide 02321491 TEV 0.0873 Tablet / comprime
Auro-Repaglinide 02424274 ARO 0.0873 Tablet / comprime
Jamp-Repaglinide 02354942 JPC 0.0873 Tablet / comprime
Sandoz Repaglinide 02357488 SDZ 0.0873 Tablet / comprime
Rifampicin / Rifampicine Cap/Caps Orl 150 mg Rofact 00393444 BSL 0.6765 Capsule / capsule
Rifadin 02091887 SAV 0.6765 Capsule / capsule
Cap/Caps Orl 300 mg Rofact 00343617 BSL 1.1753 Capsule / capsule
Rifadin 02092808 SAV 1.0649 Capsule / capsule
Riluzole / Riluzole Tab/Co. Orl 50 mg Rilutek 02242763 SAV 3.4361 Tablet / comprime
Apo-Riluzole 02352583 APX 3.4361 Tablet / comprime
Mylan-Riluzole 02390299 MYL 3.4361 Tablet / comprime
Risedronic Acid / Acide Risedronic Tab/Co. Orl 5 mg Teva-Risedronate 02298376 TEV 1.3661 Tablet / comprime
Tab/Co. Orl 30 mg Teva-Risedronate 02298384 TEV 10.0300 Tablet / comprime
Tab/Co. Orl 35 mg Actonel 02246896 ALL 1.9787 Tablet / comprime
Apo-Risedronate 02353687 APX 1.9787 Tablet / comprime
Auro-Risedronate 02406306 ARO 1.9787 Tablet / comprime
Jamp-Risedronate 02368552 JPC 1.9787 Tablet / comprime
Risedronate 02347474 PDL 1.9787 Tablet / comprime
Risedronate 02411407 SIV 1.9787 Tablet / comprime
Risedronate 02370255 SAS 1.9787 Tablet / comprime
Sandoz Risedronate 02327295 SDZ 1.9787 Tablet / comprime
Teva-Risedronate 02298392 TEV 1.9787 Tablet / comprime
pms-Risedronate 02302209 PMS 1.9787 Tablet / comprime
Risperidone / Risperidone Liq/Liq Orl 1 mg/mL Risperdal 02236950 JAN 0.4662 Millilitre / millilitre
Jamp-Risperidone 02454319 JPC 0.4662 Millilitre / millilitre
pms-Risperidone 02279266 PMS 0.4662 Millilitre / millilitre
ODT/Co.D.O. Orl 0.5 mg Mylan-Risperidone ODT 02413485 MYL 0.5588 Tablet / comprime
ODT/Co.D.O. Orl 1 mg Mylan-Risperidone ODT 02413493 MYL 0.5150 Tablet / comprime
ODT/Co.D.O. Orl 2 mg Mylan-Risperidone ODT 02413507 MYL 1.0187 Tablet / comprime
ODT/Co.D.O. Orl 3 mg Mylan-Risperidone ODT 02413515 MYL 1.5275 Tablet / comprime
ODT/Co.D.O. Orl 4 mg Mylan-Risperidone ODT 02413523 MYL 2.0425 Tablet / comprime
Tab/Co. Orl 0.25 mg Apo-Risperidone 02282119 APX 0.1036 Tablet / comprime
Jamp-Risperidone 02359529 JPC 0.1036 Tablet / comprime
Mar-Risperidone 02371766 MAR 0.1036 Tablet / comprime
Mint-Risperidone 02359790 MNT 0.1036 Tablet / comprime
Ran-Risperidone 02328305 RAN 0.1036 Tablet / comprime
September / septembre 2020 Page 51
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Risperidone 02356880 SAS 0.1036 Tablet / comprime
Sandoz Risperidone 02303655 SDZ 0.1036 Tablet / comprime
Teva-Risperidone 02282690 TEV 0.1036 Tablet / comprime
pms-Risperidone 02252007 PMS 0.1036 Tablet / comprime
Tab/Co. Orl 0.5 mg Apo-Risperidone 02282127 APX 0.1735 Tablet / comprime
Jamp-Risperidone 02359537 JPC 0.1735 Tablet / comprime
Mar-Risperidone 02371774 MAR 0.1735 Tablet / comprime
Mint-Risperidone 02359804 MNT 0.1735 Tablet / comprime
Ran-Risperidone 02328313 RAN 0.1735 Tablet / comprime
Risperidone 02356899 SAS 0.1735 Tablet / comprime
Sandoz Risperidone 02303663 SDZ 0.1735 Tablet / comprime
pms-Risperidone 02252015 PMS 0.1735 Tablet / comprime
Tab/Co. Orl 1 mg Apo-Risperidone 02282135 APX 0.2397 Tablet / comprime
Jamp-Risperidone 02359545 JPC 0.2397 Tablet / comprime
Mar-Risperidone 02371782 MAR 0.2397 Tablet / comprime
Mint-Risperidone 02359812 MNT 0.2397 Tablet / comprime
Ran-Risperidone 02328321 RAN 0.2397 Tablet / comprime
Risperidone 02356902 SAS 0.2397 Tablet / comprime
Sandoz Risperidone 02279800 SDZ 0.2397 Tablet / comprime
Teva-Risperidone 02264196 TEV 0.2397 Tablet / comprime
pms-Risperidone 02252023 PMS 0.2397 Tablet / comprime
Tab/Co. Orl 2 mg Apo-Risperidone 02282143 APX 0.4795 Tablet / comprime
Jamp-Risperidone 02359553 JPC 0.4795 Tablet / comprime
Mar-Risperidone 02371790 MAR 0.4795 Tablet / comprime
Mint-Risperidone 02359820 MNT 0.4795 Tablet / comprime
Ran-Risperidone 02328348 RAN 0.4795 Tablet / comprime
Risperidone 02356910 SAS 0.4795 Tablet / comprime
Sandoz Risperidone 02279819 SDZ 0.4795 Tablet / comprime
Teva-Risperidone 02264218 TEV 0.4795 Tablet / comprime
pms-Risperidone 02252031 PMS 0.4795 Tablet / comprime
Tab/Co. Orl 3 mg Apo-Risperidone 02282151 APX 0.7180 Tablet / comprime
Jamp-Risperidone 02359561 JPC 0.7180 Tablet / comprime
Mar-Risperidone 02371804 MAR 0.7180 Tablet / comprime
Mint-Risperidone 02359839 MNT 0.7180 Tablet / comprime
Ran-Risperidone 02328364 RAN 0.7180 Tablet / comprime
Risperidone 02356929 SAS 0.7180 Tablet / comprime
Sandoz Risperidone 02279827 SDZ 0.7180 Tablet / comprime
Teva-Risperidone 02264226 TEV 0.7180 Tablet / comprime
pms-Risperidone 02252058 PMS 0.7180 Tablet / comprime
Tab/Co. Orl 4 mg Apo-Risperidone 02282178 APX 0.9574 Tablet / comprime
Jamp-Risperidone 02359588 JPC 0.9574 Tablet / comprime
Mar-Risperidone 02371812 MAR 0.9574 Tablet / comprime
Mint-Risperidone 02359847 MNT 0.9574 Tablet / comprime
Ran-Risperidone 02328372 RAN 0.9574 Tablet / comprime
Risperidone 02356937 SAS 0.9574 Tablet / comprime
Sandoz Risperidone 02279835 SDZ 0.9574 Tablet / comprime
Teva-Risperidone 02264234 TEV 0.9574 Tablet / comprime
pms-Risperidone 02252066 PMS 0.9574 Tablet / comprime
Rivastigmine / Rivastigmine Cap/Caps Orl 1.5 mg Exelon 02242115 NVR 0.6514 Capsule / capsule
Apo-Rivastigmine 02336715 APX 0.6514 Capsule / capsule
Jamp-Rivastigmine 02485362 JPC 0.6514 Capsule / capsule
Med-Rivastigmine 02401614 GMP 0.6514 Capsule / capsule
Sandoz Rivastigmine 02324563 SDZ 0.6514 Capsule / capsule
Cap/Caps Orl 3 mg Exelon 02242116 NVR 0.6514 Capsule / capsule
Apo-Rivastigmine 02336723 APX 0.6514 Capsule / capsule
Jamp-Rivastigmine 02485370 JPC 0.6514 Capsule / capsule
Med-Rivastigmine 02401622 GMP 0.6514 Capsule / capsule
Sandoz Rivastigmine 02324571 SDZ 0.6514 Capsule / capsule
Cap/Caps Orl 4.5 mg Exelon 02242117 NVR 0.6514 Capsule / capsule
Apo-Rivastigmine 02336731 APX 0.6514 Capsule / capsule
Jamp-Rivastigmine 02485389 JPC 0.6514 Capsule / capsule
Med-Rivastigmine 02401630 GMP 0.6514 Capsule / capsule
Sandoz Rivastigmine 02324598 SDZ 0.6514 Capsule / capsule
Cap/Caps Orl 6 mg Exelon 02242118 NVR 0.6514 Capsule / capsule
Apo-Rivastigmine 02336758 APX 0.6514 Capsule / capsule
Jamp-Rivastigmine 02485397 JPC 0.6514 Capsule / capsule
Med-Rivastigmine 02401649 GMP 0.6514 Capsule / capsule
Sandoz Rivastigmine 02324601 SDZ 0.6514 Capsule / capsule
Rizatriptan / Rizatriptan ODT/Co.D.O. Orl 5 mg Maxalt RPD 02240518 FRS 3.7050 Tablet / comprime
CCP-Rizatriptan ODT 02458764 CCM 3.7050 Tablet / comprime
Jamp-Rizatriptan ODT 02465086 JPC 3.7050 Tablet / comprime
Mar-Rizatriptan ODT 02462788 MAR 3.7050 Tablet / comprime
Mylan-Rizatriptan ODT 02379198 MYL 3.7050 Tablet / comprime
Nat-Rizatriptan ODT 02436604 NAT 3.7050 Tablet / comprime
September / septembre 2020 Page 52
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Rizatriptan ODT 02446111 SIV 3.7050 Tablet / comprime
Rizatriptan ODT 02442906 SAS 3.7050 Tablet / comprime
Sandoz Rizatriptan ODT 02351870 SDZ 3.7050 Tablet / comprime
Teva-Rizatriptan ODT 02396661 TEV 3.7050 Tablet / comprime
pms-Rizatriptan RDT 02393360 PMS 3.7050 Tablet / comprime
ODT/Co.D.O. Orl 10 mg Maxalt RPD 02240519 FRS 3.7050 Tablet / comprime
CCP-Rizatriptan ODT 02458772 CCM 3.7050 Tablet / comprime
Jamp-Rizatriptan ODT 02465094 JPC 3.7050 Tablet / comprime
Mar-Rizatriptan ODT 02462796 MAR 3.7050 Tablet / comprime
Mylan-Rizatriptan ODT 02379201 MYL 3.7050 Tablet / comprime
Nat-Rizatriptan ODT 02436612 NAT 3.7050 Tablet / comprime
Rizatriptan ODT 02442914 SAS 3.7050 Tablet / comprime
Rizatriptan ODT 02446138 SIV 3.7050 Tablet / comprime
Sandoz Rizatriptan ODT 02351889 SDZ 3.7050 Tablet / comprime
Teva-Rizatriptan ODT 02396688 TEV 3.7050 Tablet / comprime
pms-Rizatriptan RDT 02393379 PMS 3.7050 Tablet / comprime
Tab/Co. Orl 5 mg Apo-Rizatriptan 02393468 APX 3.7050 Tablet / comprime
Jamp-Rizatriptan 02380455 JPC 3.7050 Tablet / comprime
Jamp-Rizatriptan IR 02429233 JPC 3.7050 Tablet / comprime
Tab/Co. Orl 10 mg Maxalt 02240521 FRS 3.7050 Tablet / comprime
Act Rizatriptan 02381702 TEV 3.7050 Tablet / comprime
Apo-Rizatriptan 02393476 APX 3.7050 Tablet / comprime
Auro-Rizatriptan 02441144 ARO 3.7050 Tablet / comprime
Jamp-Rizatriptan 02380463 JPC 3.7050 Tablet / comprime
Jamp-Rizatriptan IR 02429241 JPC 3.7050 Tablet / comprime
Mar-Rizatriptan 02379678 MAR 3.7050 Tablet / comprime
Ropinirole / Ropinirole Tab/Co. Orl 0.25 mg Act Ropinirole 02316846 TEV 0.0709 Tablet / comprime
Jamp-Ropinirole 02352338 JPC 0.0709 Tablet / comprime
Ran-Ropinirole 02314037 RAN 0.0709 Tablet / comprime
Ropinirole 02353040 SAS 0.0709 Tablet / comprime
Tab/Co. Orl 1 mg Act Ropinirole 02316854 TEV 0.2838 Tablet / comprime
Jamp-Ropinirole 02352346 JPC 0.2838 Tablet / comprime
Ran-Ropinirole 02314053 RAN 0.2838 Tablet / comprime
Ropinirole 02353059 SAS 0.2838 Tablet / comprime
Tab/Co. Orl 2 mg Act Ropinirole 02316862 TEV 0.3122 Tablet / comprime
Jamp-Ropinirole 02352354 JPC 0.3122 Tablet / comprime
Ran-Ropinirole 02314061 RAN 0.3122 Tablet / comprime
Tab/Co. Orl 5 mg Act Ropinirole 02316870 TEV 0.8596 Tablet / comprime
Jamp-Ropinirole 02352362 JPC 0.8596 Tablet / comprime
Ran-Ropinirole 02314088 RAN 0.8596 Tablet / comprime
Rosiglitazone / Rosiglitazone Tab/Co. Orl 2 mg Avandia 02241112 GSK 1.0316 Tablet / comprime
Rosiglitazone 02403366 AAP 1.0316 Tablet / comprime
Tab/Co. Orl 4 mg Avandia 02241113 GSK 1.6188 Tablet / comprime
Rosiglitazone 02403374 AAP 1.6188 Tablet / comprime
Tab/Co. Orl 8 mg Rosiglitazone 02403382 AAP 2.3150 Tablet / comprime
Rosuvastatin / Rosuvastatine Tab/Co. Orl 5 mg Crestor 02265540 AZE 0.1284 Tablet / comprime
ACH-Rosuvastatin 02438917 AHI 0.1284 Tablet / comprime
Apo-Rosuvastatin 02337975 APX 0.1284 Tablet / comprime
Auro-Rosuvastatin 02442574 ARO 0.1284 Tablet / comprime
Jamp-Rosuvastatin 02391252 JPC 0.1284 Tablet / comprime
Ran-Rosuvastatin 02382644 SUN 0.1284 Tablet / comprime
Rosuvastatin 02405628 SAS 0.1284 Tablet / comprime
Rosuvastatin 02411628 SIV 0.1284 Tablet / comprime
Rosuvastatin 02381176 PDL 0.1284 Tablet / comprime
Sandoz Rosuvastatin 02338726 SDZ 0.1284 Tablet / comprime
Teva-Rosuvastatin 02354608 TEV 0.1284 Tablet / comprime
pms-Rosuvastatin 02378523 PMS 0.1284 Tablet / comprime
Tab/Co. Orl 10 mg Crestor 02247162 AZE 0.1354 Tablet / comprime
ACH-Rosuvastatin 02438925 AHI 0.1354 Tablet / comprime
Apo-Rosuvastatin 02337983 APX 0.1354 Tablet / comprime
Auro-Rosuvastatin 02442582 ARO 0.1354 Tablet / comprime
Jamp-Rosuvastatin 02391260 JPC 0.1354 Tablet / comprime
Ran-Rosuvastatin 02382652 SUN 0.1354 Tablet / comprime
Rosuvastatin 02405636 SAS 0.1354 Tablet / comprime
Rosuvastatin 02411636 SIV 0.1354 Tablet / comprime
Rosuvastatin 02381184 PDL 0.1354 Tablet / comprime
Sandoz Rosuvastatin 02338734 SDZ 0.1354 Tablet / comprime
Teva-Rosuvastatin 02354616 TEV 0.1354 Tablet / comprime
pms-Rosuvastatin 02378531 PMS 0.1354 Tablet / comprime
Tab/Co. Orl 20 mg Crestor 02247163 AZE 0.1692 Tablet / comprime
ACH-Rosuvastatin 02438933 AHI 0.1692 Tablet / comprime
Apo-Rosuvastatin 02337991 APX 0.1692 Tablet / comprime
Auro-Rosuvastatin 02442590 ARO 0.1692 Tablet / comprime
Jamp-Rosuvastatin 02391279 JPC 0.1692 Tablet / comprime
September / septembre 2020 Page 53
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Ran-Rosuvastatin 02382660 SUN 0.1692 Tablet / comprime
Rosuvastatin 02411644 SIV 0.1692 Tablet / comprime
Rosuvastatin 02381192 PDL 0.1692 Tablet / comprime
Rosuvastatin 02405644 SAS 0.1692 Tablet / comprime
Sandoz Rosuvastatin 02338742 SDZ 0.1692 Tablet / comprime
Teva-Rosuvastatin 02354624 TEV 0.1692 Tablet / comprime
pms-Rosuvastatin 02378558 PMS 0.1692 Tablet / comprime
Tab/Co. Orl 40 mg Crestor 02247164 AZE 0.1990 Tablet / comprime
ACH-Rosuvastatin 02438941 AHI 0.1990 Tablet / comprime
Apo-Rosuvastatin 02338009 APX 0.1990 Tablet / comprime
Auro-Rosuvastatin 02442604 ARO 0.1990 Tablet / comprime
Jamp-Rosuvastatin 02391287 JPC 0.1990 Tablet / comprime
Ran-Rosuvastatin 02382679 SUN 0.1990 Tablet / comprime
Rosuvastatin 02381206 PDL 0.1990 Tablet / comprime
Rosuvastatin 02411652 SIV 0.1990 Tablet / comprime
Rosuvastatin 02405652 SAS 0.1990 Tablet / comprime
Sandoz Rosuvastatin 02338750 SDZ 0.1990 Tablet / comprime
Teva-Rosuvastatin 02354632 TEV 0.1990 Tablet / comprime
pms-Rosuvastatin 02378566 PMS 0.1990 Tablet / comprime
Salbutamol / Salbutamol Aem/Aem. Inh 100 mcg Airomir 02232570 VLN 0.0250 Dose / dose
Ventolin 02241497 GSK 0.0250 Dose / dose
Apo-Salvent CFC Free 02245669 APX 0.0250 Dose / dose
Novo-Salbutamol HFA 02326450 TEV 0.0250 Dose / dose
Salamol CFC-Free (Temporary Benefit) 09858115 TEV 0.0250 Dose / dose
Salbuhaler (Temporary Benefit) 09858119 SDZ 0.0250 Dose / dose
Salbutamol Aldo-Union (Temporary Benefit) 09858116 JPC 0.0438 Dose / dose
Salbutamol HFA 02419858 SAS 0.0250 Dose / dose
Liq/Liq Inh 1 mg/mL Ventolin Nebules P.F. 02213419 GSK 0.1446 Millilitre / millilitre
Teva-Salbutamol Sterinebs 01926934 TEV 0.1446 Millilitre / millilitre
pms-Salbutamol 02208229 PMS 0.1446 Millilitre / millilitre
Liq/Liq Inh 2 mg/mL Ventolin Nebules P.F. 02213427 GSK 0.2700 Millilitre / millilitre
Teva-Salbutamol Sterinebs 02173360 TEV 0.2700 Millilitre / millilitre
pms-Salbutamol 02208237 PMS 0.2700 Millilitre / millilitre
Salmeterol and Fluticasone / Salmeterol et Fluticasone Pwr/Pd. Inh 50 mcg / 100 mcg Advair Diskus 02240835 GSK 0.7068 Dose / dose
Wixela Inhub 02495597 MYL 0.7068 Dose / dose
pms-Fluticasone Propionate/Salmeterol 02494507 PMS 0.7068 Dose / dose
Pwr/Pd. Inh 50 mcg / 250 mcg Advair Diskus 02240836 GSK 0.8460 Dose / dose
Wixela Inhub 02495600 MYL 0.8460 Dose / dose
pms-Fluticasone Propionate/Salmeterol 02494515 PMS 0.8460 Dose / dose
Pwr/Pd. Inh 50 mcg / 500 mcg Advair Diskus 02240837 GSK 1.2010 Dose / dose
Wixela Inhub 02495619 MYL 1.2010 Dose / dose
pms-Fluticasone Propionate/Salmeterol 02494523 PMS 1.2010 Dose / dose
Scopolamine / Scopolamine Liq/Liq Inj 0.4 mg/mL Scopolamine Hydrobromide 02242810 OMG 5.3000 Millilitre / millilitre
Liq/Liq Inj 20 mg/mL Buscopan 00363839 SAV 4.5200 Millilitre / millilitre
Hyoscine Butylbromide 02229868 SDZ 4.5200 Millilitre / millilitre
Selegiline / Selegiline Tab/Co. Orl 5 mg Apo-Selegiline 02230641 APX 0.5021 Tablet / comprime
Novo-Selegiline 02068087 TEV 0.5021 Tablet / comprime
Sertraline / Sertraline Cap/Caps Orl 25 mg Zoloft 02132702 UJC 0.1516 Capsule / capsule
Apo-Sertraline 02238280 APX 0.1516 Capsule / capsule
Auro-Sertraline 02390906 ARO 0.1516 Capsule / capsule
Jamp-Sertraline 02357143 JPC 0.1516 Capsule / capsule
Mar-Sertraline 02399415 MAR 0.1516 Capsule / capsule
Mint-Sertraline 02402378 MNT 0.1516 Capsule / capsule
Sertraline 02469626 JPC 0.1516 Capsule / capsule
Sertraline 02386070 SIV 0.1516 Capsule / capsule
Sertraline 02353520 SAS 0.1516 Capsule / capsule
Teva-Sertraline 02240485 TEV 0.1516 Capsule / capsule
pms-Sertraline 02244838 PMS 0.1516 Capsule / capsule
Cap/Caps Orl 50 mg Zoloft 01962817 UJC 0.3032 Capsule / capsule
Apo-Sertraline 02238281 APX 0.3032 Capsule / capsule
Auro-Sertraline 02390914 ARO 0.3032 Capsule / capsule
Jamp-Sertraline 02357151 JPC 0.3032 Capsule / capsule
Mar-Sertraline 02399423 MAR 0.3032 Capsule / capsule
Mint-Sertraline 02402394 MNT 0.3032 Capsule / capsule
Sertraline 02353539 SAS 0.3032 Capsule / capsule
Sertraline 02386089 SIV 0.3032 Capsule / capsule
Sertraline 02469634 JPC 0.3032 Capsule / capsule
Teva-Sertraline 02240484 TEV 0.3032 Capsule / capsule
pms-Sertraline 02244839 PMS 0.3032 Capsule / capsule
Cap/Caps Orl 100 mg Zoloft 01962779 UJC 0.3303 Capsule / capsule
Apo-Sertraline 02238282 APX 0.3303 Capsule / capsule
Auro-Sertraline 02390922 ARO 0.3303 Capsule / capsule
Jamp-Sertraline 02357178 JPC 0.3303 Capsule / capsule
September / septembre 2020 Page 54
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Mar-Sertraline 02399431 MAR 0.3303 Capsule / capsule
Mint-Sertraline 02402408 MNT 0.3303 Capsule / capsule
Sandoz Sertraline 02245161 SDZ 0.3303 Capsule / capsule
Sertraline 02469642 JPC 0.3303 Capsule / capsule
Sertraline 02386097 SIV 0.3303 Capsule / capsule
Sertraline 02353547 SAS 0.3303 Capsule / capsule
Teva-Sertraline 02240481 TEV 0.3303 Capsule / capsule
pms-Sertraline 02244840 PMS 0.3303 Capsule / capsule
Sevelamer / Sevelamer Tab/Co. Orl 800 mg Renagel 02244310 SAV 1.2634 Tablet / comprime
Accel-Sevelamer 02461501 ACC 1.2634 Tablet / comprime
Sildenafil / Sildenafil Tab/Co. Orl 20 mg Revatio 02279401 UJC 5.7765 Tablet / comprime
ratio-Sildenafil R 02319500 TEV 5.7765 Tablet / comprime
Simvastatin / Simvastatine Tab/Co. Orl 5 mg Apo-Simvastatin 02247011 APX 0.1023 Tablet / comprime
Auro-Simvastatin 02405148 ARO 0.1023 Tablet / comprime
Jamp-Simvastatin 02375591 JPC 0.1023 Tablet / comprime
Mint-Simvastatin 02372932 MNT 0.1023 Tablet / comprime
Simvastatin 02386291 SIV 0.1023 Tablet / comprime
Taro-Simvastatin 02329131 SUN 0.1023 Tablet / comprime
Teva-Simvastatin 02250144 TEV 0.1023 Tablet / comprime
pharma-Simvastatin 02469979 PMS 0.1023 Tablet / comprime
Tab/Co. Orl 10 mg Zocor 00884332 FRS 0.2023 Tablet / comprime
Apo-Simvastatin 02247012 APX 0.2023 Tablet / comprime
Auro-Simvastatin 02405156 ARO 0.2023 Tablet / comprime
Jamp-Simvastatin 02375605 JPC 0.2023 Tablet / comprime
Mar-Simvastatin 02375044 MAR 0.2023 Tablet / comprime
Mint-Simvastatin 02372940 MNT 0.2023 Tablet / comprime
Simvastatin 02386305 SIV 0.2023 Tablet / comprime
Simvastatin-10 02247221 PDL 0.2023 Tablet / comprime
Taro-Simvastatin 02329158 SUN 0.2023 Tablet / comprime
Teva-Simvastatin 02250152 TEV 0.2023 Tablet / comprime
pharma-Simvastatin 02469987 PMS 0.2023 Tablet / comprime
Tab/Co. Orl 20 mg Zocor 00884340 FRS 0.2501 Tablet / comprime
Apo-Simvastatin 02247013 APX 0.2501 Tablet / comprime
Auro-Simvastatin 02405164 ARO 0.2501 Tablet / comprime
Jamp-Simvastatin 02375613 JPC 0.2501 Tablet / comprime
Mar-Simvastatin 02375052 MAR 0.2501 Tablet / comprime
Mint-Simvastatin 02372959 MNT 0.2501 Tablet / comprime
Simvastatin 02386313 SIV 0.2501 Tablet / comprime
Simvastatin-20 02247222 PDL 0.2501 Tablet / comprime
Taro-Simvastatin 02329166 SUN 0.2501 Tablet / comprime
Teva-Simvastatin 02250160 TEV 0.2501 Tablet / comprime
pharma-Simvastatin 02469995 PMS 0.2501 Tablet / comprime
Tab/Co. Orl 40 mg Zocor 00884359 FRS 0.2501 Tablet / comprime
Apo-Simvastatin 02247014 APX 0.2501 Tablet / comprime
Auro-Simvastatin 02405172 ARO 0.2501 Tablet / comprime
Jamp-Simvastatin 02375621 JPC 0.2501 Tablet / comprime
Mar-Simvastatin 02375060 MAR 0.2501 Tablet / comprime
Mint-Simvastatin 02372967 MNT 0.2501 Tablet / comprime
Simvastatin 02386321 SIV 0.2501 Tablet / comprime
Simvastatin-40 02247223 PDL 0.2501 Tablet / comprime
Taro-Simvastatin 02329174 SUN 0.2501 Tablet / comprime
Teva-Simvastatin 02250179 TEV 0.2501 Tablet / comprime
pharma-Simvastatin 02470004 PMS 0.2501 Tablet / comprime
Tab/Co. Orl 80 mg Apo-Simvastatin 02247015 APX 0.2501 Tablet / comprime
Auro-Simvastatin 02405180 ARO 0.2501 Tablet / comprime
Jamp-Simvastatin 02375648 JPC 0.2501 Tablet / comprime
Mint-Simvastatin 02372975 MNT 0.2501 Tablet / comprime
Simvastatin 02386348 SIV 0.2501 Tablet / comprime
Simvastatin-80 02247224 PDL 0.2501 Tablet / comprime
Taro-Simvastatin 02329182 SUN 0.2501 Tablet / comprime
Teva-Simvastatin 02250187 TEV 0.2501 Tablet / comprime
pharma-Simvastatin 02470012 PMS 0.2501 Tablet / comprime
Sodium Acid Phosphate / Sodium Bicarbonate / Potassium /
Phosphate Acide De Sodium / Bicarbonate De Sodium /
Potassium
Evt/Co.Eff. Orl 500 mg / 469 mg / 123
mg
Jamp-Sodium Phosphate 80047562 JPC 1.4010 Tablet / comprime
Sodium Bicarbonate / Bicarbonate De Sodium Tab/Co. Orl 500 mg Jamp-Sodium Bicarbonate 80030520 JPC 0.0684 Tablet / comprime
Sandoz Sodium Bicarbonate 80022194 SDZ 0.0684 Tablet / comprime
Sodium Chloride, Hypertonic / Chlorure De Sodium,
Hypertonique
Dps/Gttes Oph 5% Muro 128 00750824 BSH 0.6880 Millilitre / millilitre
Odan-Sodium Chloride 80046737 ODN 0.5570 Millilitre / millilitre
Ont/Ont Oph 5% Muro 128 00750816 BSH 2.8086 Gram / gramme
Odan-Sodium Chloride 80046696 ODN 2.3874 Gram / gramme
Solifenacin / Solifenacine Tab/Co. Orl 5 mg Vesicare 02277263 ASL 0.3041 Tablet / comprime
Auro-Solifenacin 02446375 ARO 0.3041 Tablet / comprime
Jamp-Solifenacin 02424339 JPC 0.3041 Tablet / comprime
September / septembre 2020 Page 55
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Sandoz Solifenacin 02399032 SDZ 0.3041 Tablet / comprime
Solifenacin 02458241 SAS 0.3041 Tablet / comprime
Taro-Solifenacin 02437988 SUN 0.3041 Tablet / comprime
Teva-Solifenacin 02397900 TEV 0.3041 Tablet / comprime
pms-Solifenacin 02417723 PMS 0.3041 Tablet / comprime
Tab/Co. Orl 10 mg Vesicare 02277271 ASL 0.3041 Tablet / comprime
Auro-Solifenacin 02446383 ARO 0.3041 Tablet / comprime
Jamp-Solifenacin 02424347 JPC 0.3041 Tablet / comprime
Sandoz Solifenacin 02399040 SDZ 0.3041 Tablet / comprime
Solifenacin 02458268 SAS 0.3041 Tablet / comprime
Taro-Solifenacin 02437996 SUN 0.3041 Tablet / comprime
Teva-Solifenacin 02397919 TEV 0.3041 Tablet / comprime
pms-Solifenacin 02417731 PMS 0.3041 Tablet / comprime
Sotalol / Sotalol Tab/Co. Orl 80 mg Apo-Sotalol 02210428 APX 0.2966 Tablet / comprime
Jamp-Sotalol 02368617 JPC 0.2966 Tablet / comprime
Sotalol 02385988 SIV 0.2966 Tablet / comprime
pms-Sotalol 02238326 PMS 0.2966 Tablet / comprime
Tab/Co. Orl 160 mg Apo-Sotalol 02167794 APX 0.1623 Tablet / comprime
Jamp-Sotalol 02368625 JPC 0.1623 Tablet / comprime
Sotalol 02385996 SIV 0.1623 Tablet / comprime
pms-Sotalol 02238327 PMS 0.1623 Tablet / comprime
Spironolactone / Spironolactone Tab/Co. Orl 25 mg Aldactone 00028606 PFI 0.0810 Tablet / comprime
Mint-Spironolactone 02488140 MNT 0.0810 Tablet / comprime
Teva-Spironolactone 00613215 TEV 0.0810 Tablet / comprime
Tab/Co. Orl 100 mg Aldactone 00285455 PFI 0.1910 Tablet / comprime
Mint-Spironolactone 02488159 MNT 0.1910 Tablet / comprime
Teva-Spiroton 00613223 TEV 0.1910 Tablet / comprime
Sucralfate / Sucralfate Tab/Co. Orl 1 g Sulcrate 02100622 AXC 0.3089 Tablet / comprime
Apo-Sulcralfate 02125250 APX 0.3089 Tablet / comprime
Teva-Sulcralfate 02045702 TEV 0.3089 Tablet / comprime
Sulfamethoxasole and Trimethoprim / Sulfamethoxasole et
Trimethoprime
Sus/Susp Orl 40 mg / 8 mg Teva-Trimel 00726540 TEV 0.1026 Millilitre / millilitre
Tab/Co. Orl 100 mg / 20 mg Sulfatrim 00445266 AAP 0.0911 Tablet / comprime
Tab/Co. Orl 400 mg / 80 mg Sulfatrim 00445274 AAP 0.0482 Tablet / comprime
Teva-Trimel 00510637 TEV 0.0482 Tablet / comprime
Tab/Co. Orl 800 mg / 160 mg Sulfatrim DS 00445282 AAP 0.2074 Tablet / comprime
Sulfasalazine / Sulfasalazine ECT/Co.Ent Orl 500 mg Salazopyrin EN 02064472 PFI 0.3641 Tablet / comprime
pms-Sulfasalazine EC 00598488 PMS 0.3641 Tablet / comprime
Tab/Co. Orl 500 mg Salazopyrin 02064480 PFI 0.2392 Tablet / comprime
pms-Sulfasalazine 00598461 PMS 0.2392 Tablet / comprime
Sulfinpyrazone / Sulfinpyrazone Tab/Co. Orl 200 mg Sulfinpyrazone 00441767 AAP 0.3057 Tablet / comprime
Sulindac / Sulindac Tab/Co. Orl 150 mg Teva-Sundac 00745588 TEV 0.4216 Tablet / comprime
Tab/Co. Orl 200 mg Teva-Sundac 00745596 TEV 0.4765 Tablet / comprime
Sumatriptan / Sumatriptan Liq/Liq SC 6 mg/0.5 mL Imitrex 02212188 GSK 66.3500 Millilitre / millilitre
Taro-Sumatriptan 02361698 TAR 66.3500 Millilitre / millilitre
Tab/Co. Orl 50 mg Imitrex DF 02212153 GSK 2.7732 Tablet / comprime
Apo-Sumatriptan 02268388 APX 2.7732 Tablet / comprime
Mylan-Sumatriptan 02268914 MYL 2.7732 Tablet / comprime
Sandoz Sumatriptan 02263025 SDZ 2.7732 Tablet / comprime
Sumatriptan 02286521 SAS 2.7732 Tablet / comprime
Sumatriptan DF 02385570 SIV 2.7732 Tablet / comprime
Teva-Sumatriptan DF 02286823 TEV 2.7732 Tablet / comprime
pms-Sumatriptan 02256436 PMS 2.7732 Tablet / comprime
Tab/Co. Orl 100 mg Imitrex DF 02212161 GSK 3.0549 Tablet / comprime
Apo-Sumatriptan 02268396 APX 3.0549 Tablet / comprime
Mylan-Sumatriptan 02268922 MYL 3.0549 Tablet / comprime
Sandoz Sumatriptan 02263033 SDZ 3.0549 Tablet / comprime
Sumatriptan 02286548 SAS 3.0549 Tablet / comprime
Sumatriptan DF 02385589 SIV 3.0549 Tablet / comprime
Teva-Sumatriptan 02239367 TEV 3.0549 Tablet / comprime
Teva-Sumatriptan DF 02286831 TEV 3.0549 Tablet / comprime
pms-Sumatriptan 02256444 PMS 3.0549 Tablet / comprime
Tacrolimus / Tacrolimus Cap/Caps Orl 0.5 mg Prograf 02243144 ASL 1.4775 Capsule / capsule
Sandoz Tacrolimus 02416816 SDZ 1.4775 Capsule / capsule
Cap/Caps Orl 1 mg Prograf 02175991 ASL 1.8900 Capsule / capsule
Sandoz Tacrolimus 02416824 SDZ 1.8900 Capsule / capsule
Cap/Caps Orl 5 mg Prograf 02175983 ASL 9.4650 Capsule / capsule
Sandoz Tacrolimus 02416832 SDZ 9.4650 Capsule / capsule
Tamoxifen / Tamoxifene Tab/Co. Orl 10 mg Apo-Tamox 00812404 APX 0.1750 Tablet / comprime
Teva-Tamoxifen 00851965 TEV 0.1750 Tablet / comprime
Tab/Co. Orl 20 mg Nolvadex-d 02048485 AZE 0.3500 Tablet / comprime
Apo-Tamox 00812390 APX 0.3500 Tablet / comprime
Teva-Tamoxifen 00851973 TEV 0.3500 Tablet / comprime
Tamsulosin / Tamsulosine ERT/Co.L.P. Orl 0.4 mg Flomax CR 02270102 BOE 0.1500 Tablet / comprime
September / septembre 2020 Page 56
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Apo-Tamsulosin CR 02362406 APX 0.1500 Tablet / comprime
Sandoz Tamsulosin CR 02340208 SDZ 0.1500 Tablet / comprime
Tamsulosin CR 02427117 SAS 0.1500 Tablet / comprime
Tamsulosin CR 02429667 SIV 0.1500 Tablet / comprime
Teva-Tamsulosin CR 02368242 TEV 0.1500 Tablet / comprime
SRC/Caps.L.L. Orl 0.4 mg Sandoz Tamsulosin 02319217 SDZ 0.1500 Capsule / capsule
Tars / Goudrons Liq/Liq Top 20% Odans LCD 00358495 ODN 0.0890 Millilitre / millilitre
Telmisartan / Hydrochlorothiazide / Telmisartan /
Hydrochlorothiazide
Tab/Co. Orl 80 mg / 12.5 mg Micardis Plus 02244344 BOE 0.2098 Tablet / comprime
ACH-Telmisartan HCTZ 02419114 AHI 0.2098 Tablet / comprime
Auro-Telmisartan HCTZ 02456389 ARO 0.2098 Tablet / comprime
Sandoz Telmisartan HCT 02393557 SDZ 0.2098 Tablet / comprime
Telmisartan HCTZ 02390302 SIV 0.2098 Tablet / comprime
Telmisartan/HCTZ 02395355 SAS 0.2098 Tablet / comprime
Teva-Telmisartan HCTZ 02330288 TEV 0.2098 Tablet / comprime
Tab/Co. Orl 80 mg / 25 mg Micardis Plus 02318709 BOE 0.2098 Tablet / comprime
ACH-Telmisartan HCTZ 02419122 AHI 0.2098 Tablet / comprime
Auro-Telmisartan HCTZ 02456397 ARO 0.2098 Tablet / comprime
Sandoz Telmisartan HCT 02393565 SDZ 0.2098 Tablet / comprime
Telmisartan HCTZ 02390310 SIV 0.2098 Tablet / comprime
Telmisartan/HCTZ 02395363 SAS 0.2098 Tablet / comprime
Teva-Telmisartan HCTZ 02379252 TEV 0.2098 Tablet / comprime
Telmisartan / Telmisartan Tab/Co. Orl 40 mg Micardis 02240769 BOE 0.2161 Tablet / comprime
Auro-Telmisartan 02453568 ARO 0.2161 Tablet / comprime
Mint-Telmisartan 02486369 MNT 0.2161 Tablet / comprime
Sandoz Telmisartan 02375958 SDZ 0.2161 Tablet / comprime
Telmisartan 02407485 AHI 0.2161 Tablet / comprime
Telmisartan 02390345 SIV 0.2161 Tablet / comprime
Telmisartan 02388944 SAS 0.2161 Tablet / comprime
Teva-Telmisartan 02320177 TEV 0.2161 Tablet / comprime
Tab/Co. Orl 80 mg Micardis 02240770 BOE 0.2161 Tablet / comprime
Auro-Telmisartan 02453576 ARO 0.2161 Tablet / comprime
Mint-Telmisartan 02486377 MNT 0.2161 Tablet / comprime
Sandoz Telmisartan 02375966 SDZ 0.2161 Tablet / comprime
Telmisartan 02390353 SIV 0.2161 Tablet / comprime
Telmisartan 02407493 AHI 0.2161 Tablet / comprime
Telmisartan 02388952 SAS 0.2161 Tablet / comprime
Teva-Telmisartan 02320185 TEV 0.2161 Tablet / comprime
Temazepam / Temazepam Cap/Caps Orl 15 mg Restoril 00604453 AAP 0.2112 Capsule / capsule
Cap/Caps Orl 30 mg Restoril 00604461 AAP 0.2556 Capsule / capsule
Temozolomide / Temozolomide Cap/Caps Orl 5 mg Temodal 02241093 FRS 3.9000 Capsule / capsule
Act Temozolomide 02441160 ATV 3.9000 Capsule / capsule
Taro-Temozolomide 02443473 TAR 3.9000 Capsule / capsule
Cap/Caps Orl 20 mg Temodal 02241094 FRS 15.6000 Capsule / capsule
Act Temozolomide 02395274 ATV 15.6000 Capsule / capsule
Taro-Temozolomide 02443481 TAR 15.6000 Capsule / capsule
Cap/Caps Orl 100 mg Temodal 02241095 FRS 78.0030 Capsule / capsule
Act Temozolomide 02395282 ATV 78.0030 Capsule / capsule
Taro-Temozolomide 02443511 TAR 78.0030 Capsule / capsule
Cap/Caps Orl 140 mg Temodal 02312794 FRS 109.2050 Capsule / capsule
Act Temozolomide 02395290 ATV 109.2050 Capsule / capsule
Taro-Temozolomide 02443538 TAR 109.2050 Capsule / capsule
Cap/Caps Orl 250 mg Temodal 02241096 FRS 195.0020 Capsule / capsule
Act Temozolomide 02395312 ATV 195.0020 Capsule / capsule
Taro-Temozolomide 02443554 TAR 195.0020 Capsule / capsule
Tenofovir Disoproxil / Tenofovir Disoproxil Tab/Co. Orl 300 mg Viread 02247128 GIL 4.8884 Tablet / comprime
Apo-Tenofovir 02451980 APX 4.8884 Tablet / comprime
Auro-Tenofovir 02460173 ARO 4.8884 Tablet / comprime
Jamp-Tenofovir 02479087 JPC 4.8884 Tablet / comprime
Mylan-Tenofovir Disoproxil 02452634 MYL 4.8884 Tablet / comprime
Nat-Tenofovir 02472511 NAT 4.8884 Tablet / comprime
Teva-Tenofovir 02403889 TEV 4.8884 Tablet / comprime
pms-Tenofovir 02453940 PMS 4.8884 Tablet / comprime
Tenofovir Disoproxil and Emtricitabine / Tenofovir Disoproxil et
Emtricitabine
Tab/Co. Orl 300 mg / 200 mg Truvada 02274906 GIL 7.0582 Tablet / comprime
Apo- Emtricitabine-Tenofovir 02452006 APX 7.0582 Tablet / comprime
Jamp-Emtricitabine-Tenofovir Disoproxil
Fumarate
02487012 JPC 7.0582 Tablet / comprime
Mylan-Emtricitabine/Tenofovir Disoproxil 02443902 MYL 7.0582 Tablet / comprime
Teva-Emtricitabine/Tenofovir 02399059 TEV 7.0582 Tablet / comprime
pms-Emtricitabine-Tenofovir 02461110 PMS 7.0582 Tablet / comprime
Tenoxicam / Tenoxicam Tab/Co. Orl 20 mg Tenoxicam 02230661 AAP 1.1783 Tablet / comprime
Terazosin / Terazosine Tab/Co. Orl 1 mg Apo-Terazosin 02234502 APX 0.1835 Tablet / comprime
Terazosin 02350475 SAS 0.1835 Tablet / comprime
Teva-Terazosin 02230805 TEV 0.1835 Tablet / comprime
September / septembre 2020 Page 57
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
pms-Terazosin 02243518 PMS 0.1835 Tablet / comprime
Tab/Co. Orl 2 mg Apo-Terazosin 02234503 APX 0.2333 Tablet / comprime
Terazosin 02350483 SAS 0.2333 Tablet / comprime
Teva-Terazosin 02230806 TEV 0.2333 Tablet / comprime
pms-Terazosin 02243519 PMS 0.2333 Tablet / comprime
Tab/Co. Orl 5 mg Apo-Terazosin 02234504 APX 0.3168 Tablet / comprime
Terazosin 02350491 SAS 0.3168 Tablet / comprime
Teva-Terazosin 02230807 TEV 0.3168 Tablet / comprime
pms-Terazosin 02243520 PMS 0.3168 Tablet / comprime
Tab/Co. Orl 10 mg Apo-Terazosin 02234505 APX 0.4637 Tablet / comprime
Terazosin 02350505 SAS 0.4637 Tablet / comprime
Teva-Terazosin 02230808 TEV 0.4637 Tablet / comprime
pms-Terazosin 02243521 PMS 0.4637 Tablet / comprime
Terbinafine / Terbinafine Tab/Co. Orl 250 mg Lamisil 02031116 NVR 0.7714 Tablet / comprime
Act Terbinafine 02254727 TEV 0.7714 Tablet / comprime
Apo-Terbinafine 02239893 APX 0.7714 Tablet / comprime
Auro-Terbinafine 02320134 ARO 0.7714 Tablet / comprime
Terbinafine 02353121 SAS 0.7714 Tablet / comprime
Terbinafine 02385279 SIV 0.7714 Tablet / comprime
pms-Terbinafine 02294273 PMS 0.7714 Tablet / comprime
Terconazole / Terconazole Crm/Cr. Vag 0.4% Taro-Terconazole 02247651 TAR 0.6353 Gram / gramme
Testosterone / Testosterone Gel/Gel Top 25 mg AndroGel Packets 02245345 BGP 0.6690 Gram / gramme
Taro-Testosterone Gel 02463792 TAR 0.6690 Gram / gramme
Gel/Gel Top 50 mg AndroGel Packets 02245346 BGP 0.5915 Gram / gramme
Taro-Testosterone Gel 02463806 TAR 0.5915 Gram / gramme
Testosterone Undecanoate / Undecanoate De Testosterone Cap/Caps Orl 40 mg Taro-Testosterone 02421186 TAR 0.4700 Capsule / capsule
pms-Testosterone 02322498 PMS 0.4700 Capsule / capsule
Tetrabenazine / Tetrabenazine Tab/Co. Orl 25 mg Nitoman 02199270 VLN 3.3746 Tablet / comprime
Apo-Tetrabenazine 02407590 APX 3.3746 Tablet / comprime
pms-Tetrabenazine 02402424 PMS 3.3746 Tablet / comprime
Tetracycline / Tetracycline Cap/Caps Orl 250 mg Tetra 00580929 AAP 0.0670 Capsule / capsule
Theophylline / Theophylline SRT/Co.L.L. Orl 100 mg AA-Theo LA 00692689 AAP 0.1624 Tablet / comprime
SRT/Co.L.L. Orl 200 mg AA-Theo LA 00692697 AAP 0.1805 Tablet / comprime
SRT/Co.L.L. Orl 300 mg AA-Theo LA 00692700 AAP 0.2186 Tablet / comprime
SRT/Co.L.L. Orl 400 mg Uniphyl 02014165 PFR 0.3362 Tablet / comprime
Theo ER 02360101 AAP 0.3362 Tablet / comprime
SRT/Co.L.L. Orl 600 mg Uniphyl 02014181 PFR 0.4072 Tablet / comprime
Theo ER 02360128 AAP 0.4072 Tablet / comprime
Thiamazole / Thiamazole Tab/Co. Orl 5 mg Tapazole 00015741 PAL 0.2297 Tablet / comprime
Mar-Methimazole 02480107 MAR 0.2297 Tablet / comprime
Tab/Co. Orl 10 mg Tapazole 02296039 PAL 0.5181 Tablet / comprime
Mar-Methimazole 02480115 MAR 0.5181 Tablet / comprime
Tiaprofenic Acid / Acide Tiaprofenique Tab/Co. Orl 200 mg Teva-Tiaprofenic 02179679 TEV 0.5455 Tablet / comprime
Tab/Co. Orl 300 mg Teva-Tiaprofenic 02179687 TEV 0.8070 Tablet / comprime
Ticlopidine / Ticlopidine Tab/Co. Orl 250 mg Ticlopidine 02237701 AAP 1.0679 Tablet / comprime
Timolol / Dorzolamide / Timolol / Dorzolamide Liq/Liq Oph 0.5% / 2% Cosopt 02240113 ELV 1.9887 Millilitre / millilitre
Apo-Dorzo-Timop 02299615 APX 1.9887 Millilitre / millilitre
Dorzolamide and Timolol 02489635 TLG 1.9887 Millilitre / millilitre
Jamp-Dorzolamide-Timolol 02457539 JPC 1.9887 Millilitre / millilitre
Med-Dorzolamide-Timolol 02437686 GMP 1.9887 Millilitre / millilitre
Riva-Dorzolamide/Timolol 02441659 RIV 1.9887 Millilitre / millilitre
Sandoz Dorzolamide/Timolol 02344351 SDZ 1.9887 Millilitre / millilitre
Timolol / Latanoprost / Timolol / Latanoprost Liq/Liq Oph 0.5% / 0.005% GD-Latanoprost/Timolol 02373068 UJC 4.4268 Millilitre / millilitre
Sandoz Latanoprost/Timolol 02394685 SDZ 4.4268 Millilitre / millilitre
Liq/Liq Oph 0.5% / 0.005% Xalacom 02246619 UJC 4.4268 Millilitre / millilitre
Act Latanoprost/Timolol 02436256 TEV 4.4268 Millilitre / millilitre
Jamp-Latanoprost-Timolol 02453770 JPC 4.4268 Millilitre / millilitre
Med-Latanoprost-Timolol 02454505 GMP 4.4268 Millilitre / millilitre
Timolol / Timolol Dps/Gttes Oph 0.25% Sandoz Timolol Maleate 02166712 SDZ 0.9678 Millilitre / millilitre
pms-Timolol 02083353 PMS 0.9678 Millilitre / millilitre
Dps/Gttes Oph 0.5% Timoptic Oph 00451207 ELV 5.7100 Millilitre / millilitre
Apo-Timop 00755834 APX 1.2145 Millilitre / millilitre
Jamp-Timolol 02447800 JPC 1.2145 Millilitre / millilitre
Sandoz Timolol Maleate 02166720 SDZ 1.2145 Millilitre / millilitre
Timo-Stulln (Temporary Benefit) 09858120 PST 1.2145 Millilitre / millilitre
Liq/Liq Oph 0.25% Timoptic-XE Oph 02171880 PFR 3.2159 Millilitre / millilitre
Timolol Maleate-EX 02242275 SDZ 3.2159 Millilitre / millilitre
Liq/Liq Oph 0.5% Timoptic-XE Oph 02171899 ELV 7.3000 Millilitre / millilitre
Timolol Maleate-EX 02242276 SDZ 3.8480 Millilitre / millilitre
Tab/Co. Orl 5 mg Timolol 00755842 AAP 0.2077 Tablet / comprime
Tab/Co. Orl 10 mg Timolol 00755850 AAP 0.3239 Tablet / comprime
Tab/Co. Orl 20 mg Timolol 00755869 AAP 0.6304 Tablet / comprime
Timolol / Travoprost / Timolol / Travoprost Liq/Liq Oph 0.5% / 0.004% Duo Trav PQ 02278251 NVR 8.8425 Millilitre / millilitre
September / septembre 2020 Page 58
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Apo-Travoprost-Timop 02415305 APX 8.8425 Millilitre / millilitre
Tizanidine / Tizanidine Tab/Co. Orl 4 mg Pal-Tizanidine 02239170 PAL 0.7198 Tablet / comprime
Tizanidine 02259893 AAP 0.7198 Tablet / comprime
Tobramycin / Tobramycine Liq/Liq Oph 0.3% Tobrex 00513962 NVR 1.3620 Millilitre / millilitre
Sandoz Tobramycin 02241755 SDZ 1.3620 Millilitre / millilitre
Liq/Liq Inj 40 mg/mL Tobramycin (PF) 02241210 SDZ 3.3700 Millilitre / millilitre
Liq/Liq Inh 300 mg/5 mL Tobi 02239630 BGP 5.4763 Millilitre / millilitre P
Teva-Tobramycin 02389622 TEV 5.4763 Millilitre / millilitre P
Tobramycin Inhalation Solution 02443368 SDZ 5.4763 Millilitre / millilitre P
Tolterodine / Tolterodine ERC/Caps.L.P. Orl 2 mg Detrol LA 02244612 UJC 0.4911 Capsule / capsule
Mylan-Tolterodine ER 02404184 MYL 0.4911 Capsule / capsule
Sandoz Tolterodine LA 02413140 SDZ 0.4911 Capsule / capsule
Teva-Tolterodine LA 02412195 TEV 0.4911 Capsule / capsule
ERC/Caps.L.P. Orl 4 mg Detrol LA 02244613 UJC 0.4911 Capsule / capsule
Mylan-Tolterodine ER 02404192 MYL 0.4911 Capsule / capsule
Sandoz Tolterodine LA 02413159 SDZ 0.4911 Capsule / capsule
Teva-Tolterodine LA 02412209 TEV 0.4911 Capsule / capsule
Tab/Co. Orl 1 mg Detrol 02239064 UJC 0.2455 Tablet / comprime
Mint-Tolterodine 02423308 MNT 0.2455 Tablet / comprime
Teva-Tolterodine 02299593 TEV 0.2455 Tablet / comprime
Tab/Co. Orl 2 mg Detrol 02239065 UJC 0.2455 Tablet / comprime
Mint-Tolterodine 02423316 MNT 0.2455 Tablet / comprime
Teva-Tolterodine 02299607 TEV 0.2455 Tablet / comprime
Topiramate / Topiramate Tab/Co. Orl 25 mg Topamax 02230893 JAN 0.2433 Tablet / comprime
Apo-Topiramate 02279614 APX 0.2433 Tablet / comprime
Auro-Topiramate 02345803 ARO 0.2433 Tablet / comprime
Jamp-Topiramate 02435608 JPC 0.2433 Tablet / comprime
Mint-Topiramate 02315645 MNT 0.2433 Tablet / comprime
Mylan-Topiramate 02263351 MYL 0.2433 Tablet / comprime
Sandoz Topiramate Tablets 02431807 SDZ 0.2433 Tablet / comprime
Teva-Topiramate 02248860 TEV 0.2433 Tablet / comprime
Topiramate 02389460 SIV 0.2433 Tablet / comprime
Topiramate 02356856 SAS 0.2433 Tablet / comprime
Topiramate 02395738 AHI 0.2433 Tablet / comprime
pms-Topiramate 02262991 PMS 0.2433 Tablet / comprime
Tab/Co. Orl 50 mg pms-Topiramate 02312085 PMS 1.2434 Tablet / comprime
Tab/Co. Orl 100 mg Topamax 02230894 JAN 0.4583 Tablet / comprime
Apo-Topiramate 02279630 APX 0.4583 Tablet / comprime
Auro-Topiramate 02345838 ARO 0.4583 Tablet / comprime
Jamp-Topiramate 02435616 JPC 0.4583 Tablet / comprime
Mint-Topiramate 02315653 MNT 0.4583 Tablet / comprime
Mylan-Topiramate 02263378 MYL 0.4583 Tablet / comprime
Sandoz Topiramate Tablets 02431815 SDZ 0.4583 Tablet / comprime
Teva-Topiramate 02248861 TEV 0.4583 Tablet / comprime
Topiramate 02389487 SIV 0.4583 Tablet / comprime
Topiramate 02395746 AHI 0.4583 Tablet / comprime
Topiramate 02356864 SAS 0.4583 Tablet / comprime
pms-Topiramate 02263009 PMS 0.4583 Tablet / comprime
Tab/Co. Orl 200 mg Topamax 02230896 JAN 0.6748 Tablet / comprime
Apo-Topiramate 02279649 APX 0.6748 Tablet / comprime
Auro-Topiramate 02345846 ARO 0.6748 Tablet / comprime
Jamp-Topiramate 02435624 JPC 0.6748 Tablet / comprime
Mint-Topiramate 02315661 MNT 0.6748 Tablet / comprime
Mylan-Topiramate 02263386 MYL 0.6748 Tablet / comprime
Sandoz Topiramate Tablets 02431823 SDZ 0.6748 Tablet / comprime
Teva-Topiramate 02248862 TEV 0.6748 Tablet / comprime
Topiramate 02356872 SAS 0.6748 Tablet / comprime
Topiramate 02395754 AHI 0.6748 Tablet / comprime
pms-Topiramate 02263017 PMS 0.6748 Tablet / comprime
Trandolapril / Trandolapril Cap/Caps Orl 0.5 mg Mavik 02231457 BGP 0.0698 Capsule / capsule
Auro-Trandolapril 02471868 ARO 0.0698 Capsule / capsule
Sandoz Trandolapril 02325721 SDZ 0.0698 Capsule / capsule
Teva-Trandolapril 02415429 TEV 0.0698 Capsule / capsule
pms-Trandolapril 02357755 PMS 0.0698 Capsule / capsule
Cap/Caps Orl 1 mg Mavik 02231459 BGP 0.1762 Capsule / capsule
Auro-Trandolapril 02471876 ARO 0.1762 Capsule / capsule
Sandoz Trandolapril 02325748 SDZ 0.1762 Capsule / capsule
Teva-Trandolapril 02415437 TEV 0.1762 Capsule / capsule
pms-Trandolapril 02357763 PMS 0.1762 Capsule / capsule
Cap/Caps Orl 2 mg Mavik 02231460 BGP 0.2025 Capsule / capsule
Auro-Trandolapril 02471884 ARO 0.2025 Capsule / capsule
Sandoz Trandolapril 02325756 SDZ 0.2025 Capsule / capsule
Teva-Trandolapril 02415445 TEV 0.2025 Capsule / capsule
pms-Trandolapril 02357771 PMS 0.2025 Capsule / capsule
September / septembre 2020 Page 59
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Cap/Caps Orl 4 mg Mavik 02239267 BGP 0.2498 Capsule / capsule
Auro-Trandolapril 02471892 ARO 0.2498 Capsule / capsule
Sandoz Trandolapril 02325764 SDZ 0.2498 Capsule / capsule
Teva-Trandolapril 02415453 TEV 0.2498 Capsule / capsule
pms-Trandolapril 02357798 PMS 0.2498 Capsule / capsule
Tranexamic Acid / Acide Tranexamique Tab/Co. Orl 500 mg Cyklokapron 02064405 PFI 0.2967 Tablet / comprime
GD-Tranexamic Acid 02409097 GMD 0.2967 Tablet / comprime
Mar-Tranexamic Acid 02496232 MAR 0.2967 Tablet / comprime
Tranexamic Acid 02401231 STR 0.2967 Tablet / comprime
Travoprost / Travoprost Liq/Liq Oph 0.004% Travatan Z 02318008 NVR 11.7920 Millilitre / millilitre
Apo-Travoprost Z 02415739 APX 4.0264 Millilitre / millilitre
Sandoz Travoprost 02413167 SDZ 4.0264 Millilitre / millilitre
Trazodone / Trazodone Tab/Co. Orl 50 mg Apo-Trazodone 02147637 APX 0.0554 Tablet / comprime
Teva-Trazodone 02144263 TEV 0.0554 Tablet / comprime
Trazodone 02348772 SAS 0.0554 Tablet / comprime
pms-Trazodone 01937227 PMS 0.0554 Tablet / comprime
Tab/Co. Orl 100 mg Apo-Trazodone 02147645 APX 0.0989 Tablet / comprime
Teva-Trazodone 02144271 TEV 0.0989 Tablet / comprime
Trazodone 02348780 SAS 0.0989 Tablet / comprime
pms-Trazodone 01937235 PMS 0.0989 Tablet / comprime
Tab/Co. Orl 150 mg Teva-Trazodone 02144298 TEV 0.1453 Tablet / comprime
Trazodone 02348799 SAS 0.1453 Tablet / comprime
Triamcinolone / Neomycin / Nystatin / Gramicidin /
Triamcinolone / Neomycine / Nystatine / Gramicidine
Crm/Cr. Top 1 mg / 2.5 mg / 100 000
IU / 0.25 mg
Viaderm K-C 00717002 TAR 0.2571 Gram / gramme
Ont/Ont Top 1 mg / 2.5 mg / 100 000
IU / 0.25 mg
Viaderm K-C 00717029 TAR 0.6230 Gram / gramme
Triamcinolone / Triamcinolone Pst/Pst Den 0.1% Oracort 01964054 TAR 1.4040 Gram / gramme
Sus/Susp IA 40 mg/mL Kenalog-40 01999869 BRI 4.7700 Millilitre / millilitre
Triamcinolone Acetonide 01977563 STR 4.7700 Millilitre / millilitre
Triazolam / Triazolam Tab/Co. Orl 0.25 mg Triazolam 00808571 AAP 0.2551 Tablet / comprime
Trifluoperazine / Trifluoperazine Tab/Co. Orl 1 mg Trifluoperazine 00345539 AAP 0.1340 Tablet / comprime
Tab/Co. Orl 2 mg Trifluoperazine 00312754 AAP 0.1793 Tablet / comprime
Tab/Co. Orl 5 mg Trifluoperazine 00312746 AAP 0.2375 Tablet / comprime
Tab/Co. Orl 10 mg Trifluoperazine 00326836 AAP 0.2846 Tablet / comprime
Trifluridine / Trifluridine Liq/Liq Oph 1% Viroptic 00687456 VLN 3.4533 Millilitre / millilitre
Trihexyphenidyl / Trihexyphenidyle Tab/Co. Orl 2 mg Trihex 00545058 AAP 0.0376 Tablet / comprime
Tab/Co. Orl 5 mg Trihex 00545074 AAP 0.0681 Tablet / comprime
Trimebutine / Trimebutine Tab/Co. Orl 100 mg Trimebutine 02245663 AAP 0.2869 Tablet / comprime
Tab/Co. Orl 200 mg Trimebutine 02245664 AAP 0.5537 Tablet / comprime
Trimethoprim / Trimethoprime Tab/Co. Orl 100 mg Trimethoprim 02243116 AAP 0.2617 Tablet / comprime
Tab/Co. Orl 200 mg Trimethoprim 02243117 AAP 0.5378 Tablet / comprime
Trimipramine / Trimipramine Tab/Co. Orl 12.5 mg Trimipramine 00740799 AAP 0.2156 Tablet / comprime
Tab/Co. Orl 25 mg Trimipramine 00740802 AAP 0.2931 Tablet / comprime
Tab/Co. Orl 50 mg Trimipramine 00740810 AAP 0.5737 Tablet / comprime
Tab/Co. Orl 75 mg Trimipramine 02070987 AAP 0.7721 Tablet / comprime
Tab/Co. Orl 100 mg Trimipramine 00740829 AAP 0.9789 Tablet / comprime
Trospium / Trospium Tab/Co. Orl 20 mg Trosec 02275066 SNV 0.6108 Tablet / comprime
Mar-Trospium 02488353 MAR 0.6108 Tablet / comprime
Tryptophan / Tryptophane Cap/Caps Orl 500 mg Tryptan 00718149 VLN 0.3955 Capsule / capsule
Apo-Tryptophan 02248540 APX 0.3955 Capsule / capsule
Teva-Tryptophan 02240334 TEV 0.3955 Capsule / capsule
Tab/Co. Orl 500 mg Tryptan 02029456 VLN 0.3563 Tablet / comprime
Apo-Tryptophan 02248538 APX 0.3563 Tablet / comprime
Teva-Tryptophan 02240333 TEV 0.3563 Tablet / comprime
Tab/Co. Orl 750 mg Tryptan 02239327 VLN 0.9889 Tablet / comprime
Apo-Tryptophan 02458721 APX 0.9889 Tablet / comprime
Tab/Co. Orl 1 000 mg Tryptan 00654531 VLN 0.7126 Tablet / comprime
Apo-Tryptophan 02248539 APX 0.7126 Tablet / comprime
Teva-Tryptophan 02237250 TEV 0.7126 Tablet / comprime
Ursodeoxycholic Acid (Ursodiol) / Acide Ursodeoxycholique
(Ursodiol)
Tab/Co. Orl 250 mg Urso 02238984 AXC 0.3818 Tablet / comprime
Jamp-Ursodiol 02472392 JPC 0.3818 Tablet / comprime
Ursodiol 02426900 GLM 0.3818 Tablet / comprime
pms-Ursodiol C 02273497 PMS 0.3818 Tablet / comprime
Tab/Co. Orl 500 mg Urso DS 02245894 AXC 0.7242 Tablet / comprime
Jamp-Ursodiol 02472406 JPC 0.7242 Tablet / comprime
Ursodiol 02426919 GLM 0.7242 Tablet / comprime
pms-Ursodiol C 02273500 PMS 0.7242 Tablet / comprime
Valacyclovir / Valacyclovir Tab/Co. Orl 500 mg Valtrex 02219492 GSK 0.6198 Tablet / comprime
Apo-Valacyclovir 02295822 APX 0.6198 Tablet / comprime
Auro-Valacyclovir 02405040 ARO 0.6198 Tablet / comprime
Jamp-Valacyclovir 02441454 JPC 0.6198 Tablet / comprime
Mylan-Valacyclovir 02351579 MYL 0.6198 Tablet / comprime
September / septembre 2020 Page 60
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Sandoz Valacyclovir 02347091 SDZ 0.6198 Tablet / comprime
Teva-Valacyclovir 02357534 TEV 0.6198 Tablet / comprime
Valacyclovir 02442000 SIV 0.6198 Tablet / comprime
Valacyclovir 02454645 SAS 0.6198 Tablet / comprime
pms-Valacyclovir 02298457 PMS 0.6198 Tablet / comprime
Tab/Co. Orl 1 000 mg Valtrex 02246559 GSK 1.7218 Tablet / comprime
Apo-Valacyclovir 02354705 APX 1.7218 Tablet / comprime
Mylan-Valacyclovir 02351560 MYL 1.7218 Tablet / comprime
Valacyclovir 02442019 SIV 1.7218 Tablet / comprime
pms-Valacyclovir 02381230 PMS 1.7218 Tablet / comprime
Valganciclovir / Valganciclovir Tab/Co. Orl 450 mg Valcyte 02245777 HLR 5.8553 Tablet / comprime
Auro-Valganciclovir 02435179 ARO 5.8553 Tablet / comprime
Mint-Valganciclovir 02495457 MNT 5.8553 Tablet / comprime
Teva-Valganciclovir 02413825 TEV 5.8553 Tablet / comprime
Valproic Acid / Acide Valproique Cap/Caps Orl 250 mg Apo-Valproic 02238048 APX 0.2905 Capsule / capsule
pms-Valproic Acid 02230768 PMS 0.2905 Capsule / capsule
ECC/Caps.Ent Orl 500 mg pms-Valproic Acid 02229628 PMS 0.6356 Capsule / capsule
ECT/Co.Ent Orl 125 mg Epival 00596418 BGP 0.0724 Tablet / comprime
Apo-Divalproex 02239698 APX 0.0724 Tablet / comprime
Mylan-Divalproex 02458926 MYL 0.0724 Tablet / comprime
ECT/Co.Ent Orl 250 mg Epival 00596426 BGP 0.1301 Tablet / comprime
Apo-Divalproex 02239699 APX 0.1301 Tablet / comprime
Mylan-Divalproex 02458934 MYL 0.1301 Tablet / comprime
Novo-Divalproex 02239702 TEV 0.1301 Tablet / comprime
ECT/Co.Ent Orl 500 mg Epival 00596434 BGP 0.2604 Tablet / comprime
Apo-Divalproex 02239700 APX 0.2604 Tablet / comprime
Mylan-Divalproex 02459019 MYL 0.2604 Tablet / comprime
Novo-Divalproex 02239703 TEV 0.2604 Tablet / comprime
Syr/Sir. Orl 250 mg/5 mL Depakene 00443832 BGP 0.0605 Millilitre / millilitre
Apo-Valproic Acid 02238370 APX 0.0605 Millilitre / millilitre
pms-Valproic 02236807 PMS 0.0605 Millilitre / millilitre
Valsartan / Hydrochlorothiazide / Valsartan /
Hydrochlorothiazide
Tab/Co. Orl 80 mg / 12.5 mg Diovan HCT 02241900 NVR 0.2213 Tablet / comprime
Auro-Valsartan HCT 02408112 ARO 0.2213 Tablet / comprime
Sandoz Valsartan HCT 02356694 SDZ 0.2213 Tablet / comprime
Teva-Valsartan/ HCTZ 02356996 TEV 0.2213 Tablet / comprime
Valsartan HCT 02384736 SIV 0.2213 Tablet / comprime
Valsartan/HCTZ 02367009 SAS 0.2213 Tablet / comprime
Tab/Co. Orl 160 mg / 12.5 mg Diovan HCT 02241901 NVR 0.2240 Tablet / comprime
Auro-Valsartan HCT 02408120 ARO 0.2240 Tablet / comprime
Sandoz Valsartan HCT 02356708 SDZ 0.2240 Tablet / comprime
Teva-Valsartan/ HCTZ 02357003 TEV 0.2240 Tablet / comprime
Valsartan HCT 02384744 SIV 0.2240 Tablet / comprime
Valsartan/HCTZ 02367017 SAS 0.2240 Tablet / comprime
Tab/Co. Orl 160 mg / 25 mg Diovan HCT 02246955 NVR 0.2238 Tablet / comprime
Auro-Valsartan HCT 02408139 ARO 0.2238 Tablet / comprime
Sandoz Valsartan HCT 02356716 SDZ 0.2238 Tablet / comprime
Teva-Valsartan/ HCTZ 02357011 TEV 0.2238 Tablet / comprime
Valsartan HCT 02384752 SIV 0.2238 Tablet / comprime
Valsartan/HCTZ 02367025 SAS 0.2238 Tablet / comprime
Tab/Co. Orl 320 mg / 12.5 mg Diovan HCT 02308908 NVR 0.2235 Tablet / comprime
Auro-Valsartan HCT 02408147 ARO 0.2235 Tablet / comprime
Sandoz Valsartan HCT 02356724 SDZ 0.2235 Tablet / comprime
Teva-Valsartan/ HCTZ 02357038 TEV 0.2235 Tablet / comprime
Valsartan HCT 02384760 SIV 0.2235 Tablet / comprime
Valsartan/HCTZ 02367033 SAS 0.2235 Tablet / comprime
Tab/Co. Orl 320 mg / 25 mg Diovan HCT 02308916 NVR 0.2231 Tablet / comprime
Auro-Valsartan HCT 02408155 ARO 0.2231 Tablet / comprime
Sandoz Valsartan HCT 02356732 SDZ 0.2231 Tablet / comprime
Teva-Valsartan/ HCTZ 02357046 TEV 0.2231 Tablet / comprime
Valsartan/HCTZ 02367041 SAS 0.2231 Tablet / comprime
Valsartan / Valsartan Tab/Co. Orl 40 mg Diovan 02270528 NVR 1.2700 Tablet / comprime
Auro-Valsartan 02414201 ARO 0.2211 Tablet / comprime
Sandoz Valsartan 02356740 SDZ 0.2211 Tablet / comprime
Taro-Valsartan 02363062 SUN 0.2211 Tablet / comprime
Teva-Valsartan 02356643 TEV 0.2211 Tablet / comprime
Tab/Co. Orl 80 mg Diovan 02244781 NVR 1.2975 Tablet / comprime
Auro-Valsartan 02414228 ARO 0.2159 Tablet / comprime
Sandoz Valsartan 02356759 SDZ 0.2159 Tablet / comprime
Taro-Valsartan 02363100 SUN 0.2159 Tablet / comprime
Teva-Valsartan 02356651 TEV 0.2159 Tablet / comprime
Valsartan 02366959 SAS 0.2159 Tablet / comprime
Tab/Co. Orl 160 mg Diovan 02244782 NVR 1.2932 Tablet / comprime
Auro-Valsartan 02414236 ARO 0.2159 Tablet / comprime
September / septembre 2020 Page 61
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Sandoz Valsartan 02356767 SDZ 0.2159 Tablet / comprime
Taro-Valsartan 02363119 SUN 0.2159 Tablet / comprime
Teva-Valsartan 02356678 TEV 0.2159 Tablet / comprime
Valsartan 02366967 SAS 0.2159 Tablet / comprime
Tab/Co. Orl 320 mg Diovan 02289504 NVR 1.2582 Tablet / comprime
Auro-Valsartan 02414244 ARO 0.2098 Tablet / comprime
Sandoz Valsartan 02356775 SDZ 0.2098 Tablet / comprime
Teva-Valsartan 02356686 TEV 0.2098 Tablet / comprime
Valsartan 02366975 SAS 0.2098 Tablet / comprime
Vancomycin / Vancomycine Cap/Caps Orl 125 mg Vancocin 00800430 SLP 5.1800 Capsule / capsule
Jamp-Vancomycin 02407744 JPC 5.1800 Capsule / capsule
Pws/Pds. Inj 500 mg Sterile Vancomycin 02230191 PFI 31.0500 Vial / fiole
Sterile Vancomycin HCl 02139375 FKB 31.0500 Vial / fiole
Vancomycin 02394626 SDZ 31.0500 Vial / fiole
Vancomycin 02342855 STR 31.0500 Vial / fiole
Pws/Pds. Inj 1 g Vancomycin 02342863 STR 58.9900 Vial / fiole
Vancomycin 02394634 SDZ 58.9900 Vial / fiole
Vancomycin HCl 02139383 FKB 58.9900 Vial / fiole
Varenicline / Varenicline Kit/Tro Orl 0.5 mg, 1 mg Champix Starter Kit 02298309 PFI 0.9203 Tablet / comprime
Apo-Varenicline 02435675 APX 0.9203 Tablet / comprime
Teva-Varenicline 02426781 TEV 0.9203 Tablet / comprime
Tab/Co. Orl 0.5 mg Champix 02291177 PFI 0.9237 Tablet / comprime
Apo-Varenicline 02419882 APX 0.9237 Tablet / comprime
Teva-Varenicline 02426226 TEV 0.9237 Tablet / comprime
Tab/Co. Orl 1 mg Champix 02291185 PFI 0.9235 Tablet / comprime
Apo-Varenicline 02419890 APX 0.9235 Tablet / comprime
Teva-Varenicline 02426234 TEV 0.9235 Tablet / comprime
Venlafaxine / Venlafaxine SRC/Caps.L.L. Orl 37.5 mg Effexor XR 02237279 UJC 0.0913 Capsule / capsule
Act Venlafaxine XR 02304317 TEV 0.0913 Capsule / capsule
Apo-Venlafaxine XR 02331683 APX 0.0913 Capsule / capsule
Auro-Venlafaxine XR 02452839 ARO 0.0913 Capsule / capsule
Ran-Venlafaxine XR 02380072 SUN 0.0913 Capsule / capsule
Sandoz Venlafaxine XR 02310317 SDZ 0.0913 Capsule / capsule
Teva-Venlafaxine XR 02275023 TEV 0.0913 Capsule / capsule
Venlafaxine XR 02354713 SAS 0.0913 Capsule / capsule
Venlafaxine XR 02339242 PDL 0.0913 Capsule / capsule
Venlafaxine XR 02385929 SIV 0.0913 Capsule / capsule
pms-Venlafaxine XR 02278545 PMS 0.0913 Capsule / capsule
SRC/Caps.L.L. Orl 75 mg Effexor XR 02237280 UJC 0.1825 Capsule / capsule
Act Venlafaxine XR 02304325 TEV 0.1825 Capsule / capsule
Apo-Venlafaxine XR 02331691 APX 0.1825 Capsule / capsule
Auro-Venlafaxine XR 02452847 ARO 0.1825 Capsule / capsule
Ran-Venlafaxine XR 02380080 SUN 0.1825 Capsule / capsule
Sandoz Venlafaxine XR 02310325 SDZ 0.1825 Capsule / capsule
Teva-Venlafaxine XR 02275031 TEV 0.1825 Capsule / capsule
Venlafaxine XR 02339250 PDL 0.1825 Capsule / capsule
Venlafaxine XR 02354721 SAS 0.1825 Capsule / capsule
Venlafaxine XR 02385937 SIV 0.1825 Capsule / capsule
pms-Venlafaxine XR 02278553 PMS 0.1825 Capsule / capsule
SRC/Caps.L.L. Orl 150 mg Effexor XR 02237282 UJC 0.1927 Capsule / capsule
Act Venlafaxine XR 02304333 TEV 0.1927 Capsule / capsule
Apo-Venlafaxine XR 02331705 APX 0.1927 Capsule / capsule
Auro-Venlafaxine XR 02452855 ARO 0.1927 Capsule / capsule
Ran-Venlafaxine XR 02380099 SUN 0.1927 Capsule / capsule
Sandoz Venlafaxine XR 02310333 SDZ 0.1927 Capsule / capsule
Teva-Venlafaxine XR 02275058 TEV 0.1927 Capsule / capsule
Venlafaxine XR 02354748 SAS 0.1927 Capsule / capsule
Venlafaxine XR 02385945 SIV 0.1927 Capsule / capsule
Venlafaxine XR 02339269 PDL 0.1927 Capsule / capsule
pms-Venlafaxine XR 02278561 PMS 0.1927 Capsule / capsule
Verapamil / Verapamil SRT/Co.L.L. Orl 120 mg Isoptin SR 01907123 BGP 1.5237 Tablet / comprime
Apo-Verapamil SR 02246893 APX 0.5078 Tablet / comprime
Mylan-Verapamil SR 02210347 MYL 0.5078 Tablet / comprime
SRT/Co.L.L. Orl 180 mg Isoptin SR 01934317 BGP 0.5204 Tablet / comprime
Apo-Verap SR 02246894 APX 0.5204 Tablet / comprime
Mylan-Verapamil SR 02450488 MYL 0.5204 Tablet / comprime
SRT/Co.L.L. Orl 240 mg Isoptin SR 00742554 BGP 0.5075 Tablet / comprime
Apo-Verap SR 02246895 APX 0.5075 Tablet / comprime
Mylan-Verapamil SR 02450496 MYL 0.5075 Tablet / comprime
pms-Verapamil SR 02237791 PMS 0.5075 Tablet / comprime
Tab/Co. Orl 80 mg Apo-Verap 00782483 APX 0.2735 Tablet / comprime
Mylan-Verapamil 02237921 MYL 0.2735 Tablet / comprime
Tab/Co. Orl 120 mg Apo-Verap 00782491 APX 0.4250 Tablet / comprime
Mylan-Verapamil 02237922 MYL 0.4250 Tablet / comprime
September / septembre 2020 Page 62
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Voriconazole / Voriconazole Tab/Co. Orl 50 mg Vfend 02256460 PFI 6.7818 Tablet / comprime P
Sandoz Voriconazole 02399245 SDZ 6.7818 Tablet / comprime P
Teva-Voriconazole 02396866 TEV 6.7818 Tablet / comprime P
Tab/Co. Orl 200 mg Vfend 02256479 PFI 26.4807 Tablet / comprime P
Sandoz Voriconazole 02399253 SDZ 26.4807 Tablet / comprime P
Teva-Voriconazole 02396874 TEV 26.4807 Tablet / comprime P
Warfarin / Warfarine Tab/Co. Orl 1 mg Coumadin 01918311 BRI 0.0780 Tablet / comprime
Apo-Warfarin 02242924 APX 0.0780 Tablet / comprime
Taro-Warfarin 02242680 TAR 0.0780 Tablet / comprime
Tab/Co. Orl 2 mg Coumadin 01918338 BRI 0.0825 Tablet / comprime
Apo-Warfarin 02242925 APX 0.0825 Tablet / comprime
Taro-Warfarin 02242681 TAR 0.0825 Tablet / comprime
Tab/Co. Orl 2.5 mg Coumadin 01918346 BRI 0.0660 Tablet / comprime
Apo-Warfarin 02242926 APX 0.0660 Tablet / comprime
Taro-Warfarin 02242682 TAR 0.0660 Tablet / comprime
Tab/Co. Orl 3 mg Coumadin 02240205 BRI 0.1023 Tablet / comprime
Apo-Warfarin 02245618 APX 0.1023 Tablet / comprime
Taro-Warfarin 02242683 TAR 0.1023 Tablet / comprime
Tab/Co. Orl 4 mg Coumadin 02007959 BRI 0.1023 Tablet / comprime
Apo-Warfarin 02242927 APX 0.1023 Tablet / comprime
Taro-Warfarin 02242684 TAR 0.1023 Tablet / comprime
Tab/Co. Orl 5 mg Coumadin 01918354 BRI 0.0662 Tablet / comprime
Apo-Warfarin 02242928 APX 0.0662 Tablet / comprime
Taro-Warfarin 02242685 TAR 0.0662 Tablet / comprime
Tab/Co. Orl 6 mg Coumadin 02240206 BRI 0.1753 Tablet / comprime
Taro-Warfarin 02242686 TAR 0.1753 Tablet / comprime
Tab/Co. Orl 10 mg Coumadin 01918362 BRI 0.1187 Tablet / comprime
Apo-Warfarin 02242929 APX 0.1187 Tablet / comprime
Taro-Warfarin 02242687 TAR 0.1187 Tablet / comprime
Zidovudine / Zidovudine Cap/Caps Orl 100 mg Retrovir 01902660 VIV 1.3977 Capsule / capsule
Apo-Zidovudine 01946323 APX 1.3977 Capsule / capsule
Zidovudine and Lamivudine / Zidovudine et Lamivudine Tab/Co. Orl 300 mg / 150 mg Combivir 02239213 VIV 2.6103 Tablet / comprime
Apo-Lamivudine/Zidovudine 02375540 APX 2.6103 Tablet / comprime
Auro-Lamivudine/Zidovudine 02414414 ARO 2.6103 Tablet / comprime
Zidovudine, Lamivudine and Abacavir / Zidovudine, Lamivudine
et Abacavir
Tab/Co. Orl 300 mg / 150 mg /
300 mg
Apo-Abacavir-Lamivudine-Zidovudine 02416255 APX 13.6425 Tablet / comprime
Ziprasidone / Ziprasidone Cap/Caps Orl 20 mg Zeldox 02298597 UJC 1.3648 Capsule / capsule
Auro-Ziprasidone 02449544 ARO 1.3648 Capsule / capsule
Cap/Caps Orl 40 mg Zeldox 02298600 UJC 1.5634 Capsule / capsule
Auro-Ziprasidone 02449552 ARO 1.5634 Capsule / capsule
Cap/Caps Orl 60 mg Zeldox 02298619 UJC 1.5634 Capsule / capsule
Auro-Ziprasidone 02449560 ARO 1.5634 Capsule / capsule
Cap/Caps Orl 80 mg Zeldox 02298627 UJC 1.5634 Capsule / capsule
Auro-Ziprasidone 02449579 ARO 1.5634 Capsule / capsule
Zoledronic Acid / Acide Zoledronique Liq/Liq IV 5 mg/100 mL Aclasta 02269198 NVR 3.3540 Millilitre / millilitre
Taro-Zoledronic Acid 02415100 TAR 3.3540 Millilitre / millilitre
Zoledronic Acid 02422433 RCH 3.3540 Millilitre / millilitre
Zolmitriptan / Zolmitriptan ODT/Co.D.O. Orl 2.5 mg Zomig Rapimelt 02243045 AZE 3.4313 Tablet / comprime
Jamp-Zolmitriptan ODT 02428237 JPC 3.4313 Tablet / comprime
Sandoz Zolmitriptan ODT 02362996 SDZ 3.4313 Tablet / comprime
Septa-Zolmitriptan ODT 02428474 SPT 3.4313 Tablet / comprime
Teva-Zolmitriptan OD 02342545 TEV 3.4313 Tablet / comprime
Zolmitriptan ODT 02442671 SAS 3.4313 Tablet / comprime
pms-Zolmitriptan ODT 02324768 PMS 3.4313 Tablet / comprime
Tab/Co. Orl 2.5 mg Zomig 02238660 AZE 3.4292 Tablet / comprime
CCP-Zolmitriptan 02458780 CCM 3.4292 Tablet / comprime
Jamp-Zolmitriptan 02421623 JPC 3.4292 Tablet / comprime
Jamp-Zolmitriptan 02477106 JPC 3.4292 Tablet / comprime
Mar-Zolmitriptan 02399458 MAR 3.4292 Tablet / comprime
Nat-Zolmitriptan 02421534 NAT 3.4292 Tablet / comprime
Sandoz Zolmitriptan 02362988 SDZ 3.4292 Tablet / comprime
Teva-Zolmitriptan 02313960 TEV 3.4292 Tablet / comprime
pms-Zolmitriptan 02324229 PMS 3.4292 Tablet / comprime
Zopiclone / Zopiclone Tab/Co. Orl 5 mg Imovane 02216167 SAV 0.0990 Tablet / comprime
Apo-Zopiclone 02245077 APX 0.0990 Tablet / comprime
Jamp-Zopiclone 02406969 JPC 0.0990 Tablet / comprime
Mar-Zopiclone 02386771 MAR 0.0990 Tablet / comprime
Mint-Zopiclone 02391716 MNT 0.0990 Tablet / comprime
NRA-Zopiclone 02477378 NRA 0.0990 Tablet / comprime
Taro-Zopiclone 02267918 SUN 0.0990 Tablet / comprime
Zopiclone 02344122 SAS 0.0990 Tablet / comprime
Zopiclone 02385821 SIV 0.0990 Tablet / comprime
pms-Zopiclone 02243426 PMS 0.0990 Tablet / comprime
ratio-Zopiclone 02246534 TEV 0.0990 Tablet / comprime
September / septembre 2020 Page 63
Maximum Allowable Price (MAP) list for NB Drug Plans
Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.
Tab/Co. Orl 7.5 mg Imovane 01926799 SAV 0.1250 Tablet / comprime
Rhovane 02008203 SDZ 0.1250 Tablet / comprime
Apo-Zopiclone 02218313 APX 0.1250 Tablet / comprime
Jamp-Zopiclone 02406977 JPC 0.1250 Tablet / comprime
Mar-Zopiclone 02386798 MAR 0.1250 Tablet / comprime
Mint-Zopiclone 02391724 MNT 0.1250 Tablet / comprime
NRA-Zopiclone 02477386 NRA 0.1250 Tablet / comprime
Taro-Zopiclone 02267926 SUN 0.1250 Tablet / comprime
Zopiclone 02385848 SIV 0.1250 Tablet / comprime
Zopiclone 02282445 SAS 0.1250 Tablet / comprime
pms-Zopiclone 02240606 PMS 0.1250 Tablet / comprime
ratio-Zopiclone 02242481 TEV 0.1250 Tablet / comprime
Generic Name / Nom Générique Chemical Substance / Substance chimique
Strength / Dosage Dosage Form, Route and Strength / Forme posologique, voie et concentration
Tradename / Marque de Commerce Brand or Manufacturers' product name / Appellation commerciale ou nom du produit donné
DIN / PIN Drug Identification Number / Identification numérique de drogue
MFR / FAB Manufacturers' identification code / Code d'identification du fabricant
MAP / PAM Maximum Allowable Price / Prix admissibles maximums
Unit / Unité Quantity for Claim Submission / Quantité à utiliser pour les soumission de demande de règlement
Designated high cost drugs that are subject to a maximum days supply /
Médicaments plus coûteux désignés qui sont assujettis à un nombrede jours d’approvisionnement maximum
MAP greyed / PAM grisée MAP increased due to category shortage / PAM augmentation en raison de la pénurie de catégorie
* indicates / * indique MAP based on package size specified / PAM selon la taille du paquet spécifiée
Legend / Légende
September / septembre 2020 Page 64