Page 1 of 3 New Interchangeable Products New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs January 2013 New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective January 7, 2013. PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JANUARY 7, 2013 MRP/PRP* JANUARY 28, 2013 MFR atovaquone 250mg & proguanil hydrochloride 100mg tab Teva-Atovaquone Proguanil 250/100mg Tab 02380927 Not Insured TEV Malarone 250/100mg Tab 02238151 Not Insured GSK clopidogrel 300mg tab Teva-Clopidogrel 300mg Tab 02388065 Not Insured TEV Plavix 300mg Tab 02330555 Not Insured SAV polymyxin B 10,000unit/mL & trimethoprim 1mg/mL oph sol Sandoz Polytrimethoprim Oph Sol 02239234 Not Insured SDZ Polytrim Oph Sol 02011956 Not Insured ALL Existing Categories: Benefit status is effective January 7, 2013 and the existing MRP or PRP for each existing category will apply. PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JANUARY 7, 2013 MRP/PRP* JANUARY 7, 2013 MFR alendronate 5mg tab RAN-Alendronate 5mg Tab 02384698 Not Insured RAN alendronate 10mg tab RAN-Alendronate 10mg Tab 02384701 DNP E (SFC) 0.6981 RAN alendronate 70mg tab RAN-Alendronate 70mg Tab 02384728 DNP E (SFC) 3.5201 RAN bisoprolol 5mg tab Bisoprolol 5mg Tab 02391589 DNP SF 0.1391 SAS
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New Interchangeable Products Approved and Benefit Status ......MYLAN-Fentanyl Matrix 12mcg/hr Patch 02396696 D E (SFC) 2.2300 MYL fentanyl 25mcg/hr patch MYLAN-Fentanyl Matrix 25mcg/hr
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Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs January 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has
been established for the following products. Benefit status is effective January 7, 2013.
Jamp-Ropinirole 0.25mg Tab 02352338 DNP SF 0.0993 JPC
RAN-Ropinirole 0.25mg Tab 02314037 DNP SF 0.0993 RAN
Page 3 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS
JANUARY 7, 2013
MRP/PRP*
JANUARY 7, 2013 MFR
ropinirole 1mg tab
Jamp-Ropinirole 1mg Tab 02352346 DNP SF 0.3974 JPC
RAN-Ropinirole 1mg Tab 02314053 DNP SF 0.3974 RAN
ropinirole 2mg tab
Jamp-Ropinirole 2mg Tab 02352354 DNP SF 0.4371 JPC
RAN-Ropinirole 2mg Tab 02314061 DNP SF 0.4371 RAN
ropinirole 5mg tab
Jamp-Ropinirole 5mg Tab 02352362 DNP SF 1.2034 JPC
RAN-Ropinirole 5mg Tab 02314088 DNP SF 1.2034 RAN
simvastatin 10mg tab
Jamp-Simvastatin 10mg Tab 02375605 DNP SF 0.7081 JPC
tramadol 37.5mg & acetaminophen 325mg tab
Mint-Tramadol/Acet 37.5/325mg Tab
02389800 Not Insured MNT
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs February 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective February 11, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS FEBRUARY 11, 2013
Biaxin 250mg/5mL O/L 02244641 DNP E (SFC) 0.3998 ABB
entecavir 0.5mg tab
Apo-Entecavir 0.5mg Tab 02396955 Under Review APX
Baraclude 0.5mg Tab 02282224 DNP E (SF) BRI
fluvastatin 20mg cap
Teva-Fluvastatin 20mg Cap 02299224 Under Review TEV
Lescol 20mg Cap 02061562 DNP SF NVR
fluvastatin 40mg cap
Teva-Fluvastatin 40mg Cap 02299232 Under Review TEV
Lescol 40mg Cap 02061570 DNP SF NVR Existing Categories: Benefit status is effective February 11, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS FEBRUARY 11, 2013
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs March 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective March 11, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* APRIL 1, 2013
MFR
pregabalin 25mg cap
GD-Pregabalin 25mg Cap 02360136 Not Insured GMD
pms-Pregabalin 25mg Cap 02359596 Not Insured PMS
Teva-Pregabalin 25mg Cap 02361159 Not Insured TEV
Lyrica 25mg Cap 02268418 Not Insured PFI
pregabalin 50mg cap
GD-Pregabalin 50mg Cap 02360144 Not Insured GMD
pms-Pregabalin 50mg Cap 02359618 Not Insured PMS
Teva-Pregabalin 50mg Cap 02361175 Not Insured TEV
Lyrica 50mg Cap 02268426 Not Insured PFI
pregabalin 75mg cap
GD-Pregabalin 75mg Cap 02360152 Not Insured GMD
pms-Pregablin 75mg Cap 02359626 Not Insured PMS
Teva-Pregabalin 75mg Cap 02361183 Not Insured TEV
Lyrica 75mg Cap 02268434 Not Insured PFI
pregabalin 150mg cap
GD-Pregabalin 150mg Cap 02360179 Not Insured GMD
pms-Pregabalin 150mg Cap 02359634 Not Insured PMS
Teva-Pregablin 150mg Cap 02361205 Not Insured TEV
Lyrica 150mg Cap 02268450 Not Insured PFI
pregabalin 225mg cap
GD-Pregabalin 225mg Cap 02360195 Not Insured GMD
Page 2 of 6 New Interchangeable Products
New Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* APRIL 1, 2013
MFR
pms-Pregabalin 225mg Cap 02398079 Not Insured PMS
Teva-Pregabalin 225mg Cap 02361221 Not Insured TEV
Lyrica 225mg Cap 02268477 Not Insured PFI
pregablin 300mg cap
GD-Pregabalin 300mg Cap 02360209 Not Insured GMD
pms-Pregabalin 300mg Cap 02359642 Not Insured PMS
Teva-Pregabalin 300mg Cap 02361248 Not Insured TEV
Lyrica 300mg Cap 02268485 Not Insured PFI
tetrabenazine 25mg tab
pms-Tetrabenazine 25mg Tab 02402424 DNP SF 4.8551 PMS
Nitoman 25mg Tab 02199270 DNP SF 4.8551 BVL
Existing Categories: Benefit status is effective March 11, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
Candesartan/HCTZ 16/12.5mg Tab 02394804 DNP SF 0.4193 SAS
ciprofloxacin 250mg tab
Auro-Ciprofloxacin 250mg Tab 02381907 DNP E (SFC) 0.8660 ARO
ciprofloxacin 500mg tab
Auro-Ciprofloxacin 500mg Tab 02381923 DNP E (SFC) 0.9770 ARO
ciprofloxacin 750mg tab
Auro-Ciprofloxacin 750mg Tab 02381931 DNP E (SFC) 1.7891 ARO
Page 3 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* MARCH 11, 2013
MFR
clarithromycin 250mg tab
Teva-Clarithromycin 250mg Tab 02248804 DNP E (SFC) 0.5770 TEV
clarithromycin 500mg tab
Teva-Clarithromycin 500mg Tab 02248805 DNP E (SFC) 1.6293 TEV
fentanyl 12mcg/hr patch MYLAN-Fentanyl Matrix 12mcg/hr Patch 02396696 D E (SFC) 2.2300 MYL
fentanyl 25mcg/hr patch MYLAN-Fentanyl Matrix 25mcg/hr Patch 02396718 D E (SFC) 4.0236 MYL
fentanyl 50mcg/hr patch MYLAN-Fentanyl Matrix 50mcg/hr Patch 02396726 D E (SFC) 7.5719 MYL
fentanyl 75mcg/hr patch MYLAN-Fentanyl Matrix 75mcg/hr Patch 02396734 D E (SFC) 10.6498 MYL
fentanyl 100mcg/hr patch MYLAN-Fentanyl Matrix 100mcg/hr Patch 02396742 D E (SFC) 13.2559 MYL
fluoxetine 10mg cap
Auro-Fluoxetine 10mg Cap 02385627 DNP SFC 0.8650 ARO
fluoxetine 20mg cap
Auro-Fluoxetine 20mg Cap 02385635 DNP SFC 0.6438 ARO
lamotrigine 25mg tab
Auro-Lamotrigine 25mg Tab 02381354 DNP SF 0.1310 ARO
lamotrigine 100mg tab
Auro-Lamotrigine 100mg Tab 02381362 DNP SF 0.5229 ARO
lamotrigine 150mg tab
Auro-Lamotrigine 150mg Tab 02381370 DNP SF 0.7706 ARO
Page 4 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* MARCH 11, 2013
MFR
montelukast 4mg chewtab
Apo-Montelukast 4mg Chewtab 02377608 DNP E (SF) 0.5104 APX
montelukast 5mg chewtab
Apo-Montelukast 5mg Chewtab 02377616 DNP E (SF) 0.5635 APX
ofloxacin 0.3% oph sol
Sandoz Ofloxacin 0.3% Oph Sol 02247189 DNPO E (SF) 0.8561 SDZ
ondansetron 4mg tab
Septa-Ondansetron 4mg Tab 02376091 DNP E (SFC) 3.5778* SPT
ondansetron 8mg tab
Septa-Ondansetron 8mg Tab 02376105 DNP E (SFC) 7.1555 SPT
paroxetine 20mg tab
Auro-Paroxetine 20mg Tab 02383284 DNP SFC 0.6320 ARO
paroxetine 30mg tab
Auro-Paroxetine 30mg Tab 02383292 DNP SFC 0.6714 ARO
pioglitazone 15mg tab
Auro-Pioglitazone 15mg Tab 02384906 DNP E (SFD) 0.8324 ARO
pioglitazone 30mg tab
Auro-Pioglitazone 30mg Tab 02384914 DNP E (SFD) 1.1662 ARO
pioglitazone 45mg tab
Auro-Pioglitazone 45mg Tab 02384922 DNP E (SFD) 1.7535 ARO
ramipril 1.25mg cap/tab
RAN-Ramipril 1.25mg Cap 02310503 DNP SF 0.2427 RAN
ramipril 2.5mg cap/tab
RAN-Ramipril 2.5mg Cap 02310511 DNP SF 0.2800 RAN
Page 5 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* MARCH 11, 2013
MFR
ramipril 5mg cap/tab
RAN-Ramipril 5mg Cap 02310538 DNP SF 0.2800 RAN
ramipril 10mg cap/tab
RAN-Ramipril 10mg Cap 02310546 DNP SF 0.3546 RAN
rosuvastatin 5mg tab
Jamp-Rosuvastatin 5mg Tab 02391252 Not Insured JPC
rosuvastatin 10mg tab
Jamp-Rosuvastatin 10mg Tab 02391260 DNP SF 0.4760 JPC
rosuvastatin 20mg tab
Jamp-Rosuvastatin 20mg Tab 02391279 DNP SF 0.5950 JPC
rosuvastatin 40mg tab
Jamp-Rosuvastatin 40mg Tab 02391287 DNP SF 0.6965 JPC
sildenafil 25mg tab
Myl-Sildenafil 25mg Tab 02392577 Not Insured MYL
RAN-Sildenafil 25mg Tab 02383101 Not Insured RAN
sildenafil 50mg tab
Myl-Sildenafil 50mg Tab 02392585 Not Insured MYL
RAN-Sildenafil 50mg Tab 02383128 Not Insured RAN
sildenafil 100mg tab
Myl-Sildenafil 100mg Tab 02392593 Not Insured MYL
RAN-Sildenafil 100mg Tab 02383136 Not Insured RAN
simvastatin 5mg tab
Jamp-Simvastatin 5mg tab 02375591 DNP SF 0.3600 JPC
Page 6 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* MARCH 11, 2013
MFR
telmisartan 80mg & hydrochlorothiazide 12.5mg tab
CO Telmisartan/HCT 80/12.5mg Tab 02393263 DNP SF 0.3954 COB telmisartan 80mg & hydrochlorothiazide 25mg tab CO Telmisartan/HCT 80/25mg Tab 02393271 DNP SF 0.3954 COB
zopiclone 7.5mg tab
MINT-Zopiclone 7.5mg Tab 02391724 Not Insured MNT Changes to Benefit Status: As a result of recent pricing changes, the following product(s) will be eligible benefits as of March 11, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MARCH 11, 2013
MRP/PRP* APRIL 1, 2013
MFR
entecavir 0.5mg tab
Apo-Entecavir 0.5mg Tab 02396955 DNP E (SF) 16.5000 APX
Baraclude 0.5mg Tab 02282224 DNP E (SF) 16.5000 BRI
fluvastatin 20mg cap
Teva-Fluvastatin 20mg Cap 02299224 DNP SF 0.7048 TEV
Lescol 20mg Cap 02061562 DNP SF 0.7048 NVR
fluvastatin 40mg cap
Teva-Fluvastatin 40mg Cap 02299232 DNP SF 0.9896 TEV
Lescol 40mg Cap 02061570 DNP SF 0.9896 NVR
Page 1 of 4 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs April 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective April 8, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 8, 2013
MRP/PRP* APRIL 29, 2013
MFR
candesartan 32mg & hydrochlorothiazide 12.5mg tab
Apo-Candesartan/HCTZ 32/12.5mg Tab 02395126 DNP SF 0.8985 APX
Atacand Plus 32/12.5mg Tab 02332922 DNP SF 0.8985 AZE candesartan 32mg & hydrochlorothiazide 25mg tab Apo-Candesartan/HCTZ 32/25mg Tab 02395134 DNP SF 0.8985 APX
Atacand Plus 32/25mg Tab 02332957 DNP SF 0.8985 AZE
quetiapine 50mg ER tab
Teva-Quetiapine XR 50mg Tab 02395444 Not Insured TEV
Seroquel XR 50mg Tab 02300184 Not Insured AZE
quetiapine 150mg ER tab
Teva-Quetiapine XR 150mg Tab 02395452 Not Insured TEV
Seroquel XR 150mg Tab 02321513 Not Insured AZE
quetiapine 200mg ER tab
Teva-Quetiapine XR 200mg Tab 02395460 Not Insured TEV
Seroquel XR 200mg Tab 02300192 Not Insured AZE
quetiapine 300mg ER tab
Teva-Quetiapine XR 300mg Tab 02395479 Not Insured TEV
Seroquel XR 300mg Tab 02300206 Not Insured AZE
quetiapine 400mg ER tab
Teva-Quetiapine XR 400mg Tab 02395487 Not Insured TEV
Seroquel XR 400mg Tab 02300214 Not Insured AZE
Page 2 of 4 New Interchangeable Products
Existing Categories: Benefit status is effective April 8, 2013 and the existing MRP or PRP for each existing
category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 8, 2013
MRP/PRP* APRIL 8, 2013
MFR
fluoxetine 10mg cap
Mar-Fluoxetine 10mg Cap 02392909 DNP SFC 0.8650 MAR
fluoxetine 20mg cap
Mar-Fluoxetine 20mg Cap 02392917 DNP SFC 0.6438 MAR
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS APRIL 8, 2013
MRP/PRP* APRIL 8, 2013
MFR
zopiclone 7.5mg tab
Mar-Zopiclone 7.5mg Tab 02386798 Not Insured MAR
Septa-Zopiclone 7.5mg Tab 02386917 Not Insured SPT
9 Full benefit for children aged 3 to 11 years.
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs May 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective May 6, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MAY 6, 2013
Tranexamic Acid 500mg Tab 02401231 DNP SF 0.8757 STR
Cyklokapron 500mg Tab 02064405 DNP SF 0.8757 PFI Existing Categories: Benefit status is effective May 6, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MAY 6, 2013
MRP/PRP* MAY 6, 2013
MFR
clopidogrel 300mg tab
Apo-Clopidogrel 300mg Tab 02398591 Not Insured APX
fentanyl 25mcg/hr patch
CO Fentanyl 25mcg/hr Patch 02386852 D E 4.0236 COB
fentanyl 50mcg/hr patch
CO Fentanyl 50mcg/hr Patch 02386879 D E 7.5719 COB
fentanyl 75mcg/hr patch
CO Fentanyl 75mcg/hr Patch 02386887 D E 10.6498 COB
fentanyl 100mcg/hr patch
CO Fentanyl 100mcg/hr Patch 02386895 D E 13.2559 COB
fluoxetine 10mg cap
Fluoxetine BP 10mg Cap 02393441 DNP SFC 0.8650 AHI
Page 2 of 4 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS MAY 6, 2013
New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs June 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective June 10, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JUNE 10, 2013
MRP/PRP* JULY 1, 2013
MFR
colchicine 0.6mg tab
pms-Colchicine 0.6mg Tab 02402181 DNP SF 0.2565 PMS
Colchicine 0.6mg Tab 00572349 DNP SF 0.2565 ODN
desogestrel 150mcg and ethiny estradiol 30mcg tab (21)
Freya Tab 21 Day 02396491 DNP F 0.5032 MYL
Marvelon Tab 21 Day 02042487 DNP F 0.5032 SCH
desogestrel 150mcg and ethiny estradiol 30mcg tab (28)
Freya Tab 28 Day 02396610 DNP F 0.3774 MYL
Marvelon Tab 28 Day 02042479 DNP F 0.3774 SCH
latanoprost 50mcg/mL & timolol maleate 5mg/mL oph sol
Sandoz Latanoprost/Timolol 50mcg/5mg/mL Oph Sol
02394685 DNP SF 4.4280 SDZ
Xalacom Oph Sol 02246619 DNP SF 4.4280 ALC
nabilone 0.25mg cap
Teva-Nabilone 0.25mg Cap 02392925 D E 1.1634 TEV
Cesamet 0.25mg Cap 02312263 D E 1.1634 VLN
olopatadine 0.1% oph sol
Apo-Olopatadine 0.1% Oph Sol 02305054 Not Insured APX
Patanol 0.1% Oph Sol 02233143 Not Insured ALC
Page 2 of 3 New Interchangeable Products
Existing Categories: Benefit status is effective June 10, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JUNE 10, 2013
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JUNE 10, 2013
MRP/PRP* JUNE 10, 2013
MFR
losartan 50mg & hydrochlorothiazide 12.5mg tab
MINT-Losartan/HCTZ 50/12.5mg Tab
02389657 DNP SF 0.4407 MNT
losartan 100mg & hydrochlorothiazide 12.5mg tab
MINT-Losartan/HCTZ 100/12.5mg Tab
02389665 DNP SF 0.4314 MNT
losartan 100mg & hydrochlorothiazide 25mg tab
MINT-Losartan/HCTZ DS 100/25mg Tab
02389673 DNP SF 0.4407 MNT
tramadol 37.5mg & acetaminophen 325mg tab
pms-Tramadol/Acet 37.5/325mg Tab
02401657 Not Insured PMS
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs July
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective July 8, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 8, 2013
MRP/PRP* JULY 29, 2013
MFR
fenofibrate 48mg tab
Sandoz Fenofibrate E 48mg Tab 02390698 Not Insured SDZ
Lipidil EZ 48mg Tab 02269074 Not Insured ABB
fenofibrate 145mg tab Sandoz Fenofibrate E 145mg Tab 02390701 Not Insured SDZ
Lipidil EZ 145mg Tab 02269082 Not Insured ABB Existing Categories: Benefit status is effective July 8, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 8, 2013
MRP/PRP* JULY 8, 2013
MFR
atorvastatin 10mg tab
pms-Atorvastatin 10mg Tab 02399377 DNP SF 0.3138 PMS
atorvastatin 20mg tab
pms-Atorvastatin 20mg Tab 02399385 DNP SF 0.3922 PMS
atorvastatin 40mg tab
pms-Atorvastatin 40mg Tab 02399393 DNP SF 0.4216 PMS
atorvastatin 80mg tab
pms-Atorvastatin 80mg Tab 02399407 DNP SF 0.4216 PMS
diltiazem 120mg CD cap
Diltiazem CD 120mg Cap 02400421 DNP SF 0.5174 SAS
diltiazem 180mg CD cap
Diltiazem CD 180mg Cap 02400448 DNP SF 0.6869 SAS
Page 2 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 8, 2013
MRP/PRP* JULY 8, 2013
MFR
diltiazem 240mg CD cap
Diltiazem CD 240mg Cap 02400456 DNP SF 0.9111 SAS
diltiazem 300mg CD cap
Diltiazem CD 300mg Cap 02400464 DNP SF 1.1388 SAS
divalproex sodium 125mg tab
Divalproex 125mg Tab 02400499 DNP SF 0.1032 SAS
divalproex sodium 250mg tab
Divalproex 250mg Tab 02400502 DNP SF 0.1855 SAS
divalproex sodium 500mg tab
Divalproex 500mg Tab 02400510 DNP SF 0.3711 SAS
enalapril 2.5mg tab
Enalapril 2.5mg Tab 02400650 DNP SF 0.2737 SAS
enalapril 5mg tab
Enalapril 5mg Tab 02400669 DNP SF 0.3239 SAS
enalapril 10mg tab
Enalapril 10mg Tab 02400677 DNP SF 0.3891 SAS
enalapril 20mg tab
Enalapril 20mg Tab 02400685 DNP SF 0.4696 SAS
fluvastatin 20mg cap
Sandoz Fluvastatin 20mg Cap 02400235 DNP SF 0.3155 SDZ
fluvastatin 40mg cap
Sandoz Fluvastatin 40mg Cap 02400243 DNP SF 0.4433 SDZ latanoprost 50mcg/mL & timolol maleate 5mg/mL oph sol
GD-Latanoprost/Timolol 50mcg/5mg/mL Oph Sol 02373068 DNP SF 4.4280 GMD
Page 3 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS JULY 8, 2013
MRP/PRP* JULY 8, 2013
MFR
pregabalin 25mg cap
Apo-Pregabalin 25mg Cap 02394235 Not Insured APX
pregabalin 50mg cap
Apo-Pregabalin 50mg Cap 02394243 Not Insured APX
pregabalin 75mg cap
Apo-Pregabalin 75mg Cap 02394251 Not Insured APX
pregabalin 150mg cap
Apo-Pregabalin 150mg Cap 02394278 Not Insured APX
pregabalin 300mg cap
Apo-Pregabalin 300mg Cap 02394294 Not Insured APX
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs August 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective August 12, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 12, 2013
Ondissolve ODF 4mg Film 02389983 DNP E 3.5778* TAK
Zofran 4mg ODT Tab 02239372 DNP E 3.5778* GSK
ondansetron OD 8mg tab/film
Ondissolve ODF 8mg Film 02389991 DNP E 6.9900 TAK
Zofran 8mg ODT Tab 02239373 DNP E 6.9900 GSK
pilocarpine 5mg tab
Pilocarpine 5mg Tab 02402483 DNP E 0.7805 STR
Salagen 5mg Tab 02216345 DNP E 0.7805 PFI
quinapril 5mg tab
Apo-Quinapril 5mg Tab 02248499 DNP SF 0.6867 APX
Accupril 5mg Tab 01947664 DNP SF 0.6867 PFI
quinapril 10mg tab
Apo-Quinapril 10mg Tab 02248500 DNP SF 0.6867 APX
Accupril 10mg Tab 01947672 DPN SF 0.6867 PFI
Page 2 of 3 New Interchangeable Products
New Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 12, 2013
MRP/PRP* SEPTEMBER 2, 2013
MFR
quinapril 20mg tab
Apo-Quinapril 20mg Tab 02248501 DNP SF 0.6867 APX
Accupril 20mg Tab 01947680 DNP SF 0.6867 PFI
quinapril 40mg tab
Apo-Quinapril 40mg Tab 02248502 DNP SF 0.6867 APX
Accupril 40mg Tab 01947699 DNP SF 0.6867 PFI
valganciclovir 450mg tab
Apo-Valganciclovir 450mg Tab 02393824 DNP E 19.7305 APX
Valcyte 450mg Tab 02245777 DNP E 19.7305 HLR Existing Categories: Benefit status is effective August 12, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS AUGUST 12, 2013
New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs September 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective September 9, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS SEPTEMBER 9, 2013
MRP/PRP* SEPTEMBER 30, 2013
MFR
diclofenac 50mg & misoprostol 200mcg tab
CO Diclo-Miso 50mg Tab 02397145 DNP SF 0.4541 COB
Arthrotec 50mg Tab 01917056 DNP SF 0.4541 PFI
diclofenac 75mg & misoprostol 200mcg tab
CO Diclo-Miso 75mg Tab 02397153 DNP SF 0.6179 COB
Arthrotec 75mg Tab 02229837 DNP SF 0.6179 PFI
imatinib 100mg tab
Apo-Imatinib 100mg Tab 02355337 DNP E 9.5460 APX
Teva-Imatinib 100mg Tab 02399806 DNP E 9.5460 TEV
Gleevec 100mg Tab 02253275 DNP E 9.5460 NVR
imatinib 400mg tab
Apo-Imatinib 400mg Tab 02355345 DNP E 39.1840 APX
Teva-Imatinib 400mg Tab 02399814 DNP E 39.1840 TEV
Gleevec 400mg Tab 02253283 DNP E 39.1840 NVR
levonorgestrel 0.75mg tab
Next Choice 0.75mg Tab 02364905 DNP F 7.7400 COB
Plan B 0.75mg Tab 02241674 DNP F 7.7400 PAL
Existing Categories: Benefit status is effective September 9, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS SEPTEMBER 9, 2013
MRP/PRP* SEPTEMBER 9, 2013
MFR
candesartan 4mg tab
RAN-Candesartan 4mg Tab 02380684 Not Insured RAN
Page 2 of 2 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS SEPTEMBER 9, 2013
MRP/PRP* SEPTEMBER 9, 2013
MFR
candesartan 8mg tab
RAN-Candesartan 8mg Tab 02380692 DNP SF 0.4100 RAN
candesartan 16mg tab
RAN-Candesartan 16mg Tab 02380706 DNP SF 0.4100 RAN
cilazapril 2.5mg tab
CO Cilazapril 2.5mg Tab 02285215 DNP SF 0.2513 COB
cilazapril 5mg tab
CO Cilazapril 5mg Tab 02285223 DNP SF 0.2919 COB
fentanyl 12mcg/hr patch
CO Fentanyl 12mcg/hr Patch 02386844 D E 2.2300 COB
RAN-Montelukast 10mg Tab 02389517 DNP E 0.8276 RAN
nabilone 0.25mg cap
RAN-Nabilone 0.25mg Cap 02358077 Not Insured RAN
olopatadine 0.1% oph sol
Sandoz Olopatadine 0.1% Oph Sol
02358913 Not Insured SDZ
simvastatin 80mg tab
MINT-Simvastatin 80mg Tab 02372975 DNP SF 0.8751 MNT
Page 1 of 6 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs October 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective October 7, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 7, 2013
MRP/PRP* OCTOBER 28, 2013
MFR
efavirenz 600mg tab
MYLAN-Efavirenz 600mg Tab 02381524 Not Insured MYL
RAN-Montelukast 4mg Chewtab 02402793 DNP E 0.5104 RAN
Montelukast 5mg chewtab
RAN-Montelukast 5mg Chewtab 02402807 DNP E 0.5635 RAN
Page 4 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 7, 2013
MRP/PRP* OCTOBER 7, 2013
MFR
olanzapine 2.5mg tab
RAN-Olanzapine 2.5mg Tab 02403064 DNP E 0.6290 RAN
olanzapine 5mg tab
RAN-Olanzapine 5mg Tab 02403072 DNP E 1.2580 RAN
olanzapine 7.5mg tab
RAN-Olanzapine 7.5mg Tab 02403080 DNP E 1.8871 RAN
olanzapine 10mg tab
RAN-Olanzapine 10mg Tab 02403099 DNP E 2.5161 RAN
omeprazole 20mg cap
RAN-Omeprazole 20mg Cap 02403617 DNP SFC* 0.4117 RAN
pregabalin 25mg cap
Pregabalin 25mg Cap 02405539 Not Insured SAS
pregabalin 50mg cap
Pregabalin 50mg Cap 02405547 Not Insured SAS
pregabalin 75mg cap
Pregabalin 75mg Cap 02405555 Not Insured SAS
pregabalin 150mg cap
Pregabalin 150mg Cap 02405563 Not Insured SAS
pregabalin 300mg cap
Pregabalin 300mg Cap 02405598 Not Insured SAS
quetiapine 25mg tab
RAN-Quetiapine 25mg Tab 02397099 DNP SF 0.1779 RAN
quetiapine 100mg tab
RAN-Quetiapine 100mg Tab 02397102 DNP SF 0.4746 RAN
Page 5 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS OCTOBER 7, 2013
MRP/PRP* OCTOBER 7, 2013
MFR
quetiapine 200mg tab
RAN-Quetiapine 200mg Tab 02397110 DNP SF 0.9530 RAN
quetiapine 300mg tab
RAN-Quetiapine 300mg Tab 02397129 DNP SF 1.3906 RAN
rosuvastatin 5mg tab
Rosuvastatin 5mg Tab 02405628 Not Insured SAS
rosuvastatin 10mg tab
Rosuvastatin 10mg Tab 02405636 DNP SF 0.4760 SAS
rosuvastatin 20mg tab
Rosuvastatin 20mg Tab 02405644 DNP SF 0.5950 SAS
rosuvastatin 40mg tab
Rosuvastatin 40mg Tab 02405652 DNP SF 0.6965 SAS
sildenafil 25mg tab
MINT-Sildenafil 25mg Tab 02393069 Not Insured MINT
sildenafil 50mg tab
MINT-Sildenafil 50mg Tab 02393077 Not Insured MINT
Sildenafil 50mg Tab 02406152 Not Insured SAS
sildenafil 100mg tab
MINT-Sildenafil 100mg Tab 02393085 Not Insured MINT
Sildenafil 100mg Tab 02406160 Not Insured SAS
Page 6 of 6 New Interchangeable Products
Non-Interchangeable and Non-Insured: The following product(s) were not recommended to list as insured benefits under the Nova Scotia Pharmacare Programs.
RAN-Candesartan 32mg Tab 02380714 Not Insured RAN leveonorgestrel 0.10mg & ethinyl estradiol 0.02mg tab(21)
Lutera Tab 21 Day 02401185 Not Insured COB
olanzapine 15mg tab
RAN-Olanzapine 15mg Tab 02403102 Not Insured RAN
Page 1 of 3 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova Scotia Pharmacare Programs November 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective November 12, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 12, 2013
MRP/PRP* DECEMBER 3, 2013
MFR
almotriptan 6.25mg tab
MYLAN-Almotriptan 6.25mg Tab 02398435 DNP E 7.0434 MYL
Axert 6.25mg Tab 02248128 DNP E 7.0434 JNJ
almotriptan 12.5mg tab
MYLAN-Almotriptan 12.5mg Tab 02398443 DNP E 7.0434 MYL
Sandoz Almotriptan 12.5mg Tab 02405334 DNP E 7.0434 SDZ
Axert 12.5mg Tab 02248129 DNP E 7.0434 JNJ
capecitabine 150mg tab
Teva-Capecitabine 150mg Tab 02400022 DNP E 1.3725 TEV
Xeloda 150mg Tab 02238453 DNP E 1.3725 HLR
capecitabine 500mg tab
Teva-Capecitabine 500mg Tab 02400030 DNP E 4.5750 TEV
Xeloda 500mg Tab 02238454 DNP E 4.5750 HLR
quinapril 10mg & hydrochlorothiazide 12.5mg tab
Apo-Quinapril/HCTZ 10/12.5mg Tab
02408767 DNP SF 0.6865 APX
Accuretic 10/12.5mg Tab 02237367 DNP SF 0.6865 PFI
quinapril 20mg & hydrochlorothiazide 12.5mg tab
Apo-Quinapril/HCTZ 20/12.5mg Tab
02408775 DNP SF 0.6865 APX
Accuretic 20/12.5mg Tab 02237368 DNP SF 0.6865 PFI
Page 2 of 3 New Interchangeable Products
New Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 12, 2013
MRP/PRP* DECEMBER 3, 2013
MFR
quinapril 20mg & hydrochlorothiazide 25mg tab
Apo-Quinapril/HCTZ 20/25mg Tab
02408783 DNP SF 0.6512 APX
Accuretic 20/25mg Tab 02237369 DNP SF 0.6512 PFI
Existing Categories: Benefit status is effective November 12, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 12, 2013
MRP/PRP* NOVEMBER 12, 2013
MFR
alendronate 10mg tab
MINT-Alendronate 10mg Tab 02394863 DNP E 0.6981 MNT
alendronate 70mg tab
MINT-Alendronate 70mg Tab 02394871 DNP E 3.5201 MNT
levetiracetam 250mg tab
RAN-Levetiracetam 250mg Tab 02396106 DNP E 0.8000 RAN
levetiracetam 500mg tab
RAN-Levetiracetam 500mg Tab 02396114 DNP E 0.9750 RAN
levetiracetam 750mg tab
RAN-Levetiracetam 750mg Tab 02396122 DNP E 1.3500 RAN
quetiapine 50mg ER tab
Sandoz Quetiapine XRT 50mg Tab
02407671 Not Insured SDZ
quetiapine 150mg ER tab
Sandoz Quetiapine XRT 150mg Tab
02407698 Not Insured SDZ
quetiapine 200mg ER tab
Sandoz Quetiapine XRT 200mg Tab
02407701 Not Insured SDZ
quetiapine 300mg ER tab
Sandoz Quetiapine XRT 300mg Tab
02407728 Not Insured SDZ
Page 3 of 3 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS NOVEMBER 12, 2013
MYLAN-Risedronate 150mg Tab 02397773 Not Insured MYL
rosuvastatin 5mg tab
MINT-Rosuvastatin 5mg Tab 02397781 Not Insured MNT
rosuvastatin 10mg tab
MINT-Rosuvastatin 10mg Tab 02397803 DNP SF 0.4760 MNT
rosuvastatin 20mg tab
MINT-Rosuvastatin 20mg Tab 02397811 DNP SF 0.5950 MNT
rosuvastatin 40mg tab
MINT-Rosuvastatin 40mg Tab 02397838 DNP SF 0.6965 MNT
tetrabenazine 25mg tab
Tetrabenazine 25mg Tab 02401338 DNP SF 3.3746 STR
Page 1 of 6 New Interchangeable Products
New Interchangeable Products Approved and Benefit Status within the Nova
Scotia Pharmacare Programs December 2013
New Categories: A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective December 9, 2013.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 30, 2013
MFR
alendronic acid 70mg & cholecalciferol 2800 IU tab Teva-Alendronate/Cholecalciferol 70mg/2800 IU Tab
02403633 Not Insured TEV
Fosavance 70mg/2800 IU Tab 02276429 Not Insured FRS
alendronic acid 70mg & cholecalciferol 5600 IU tab
Teva-Alendronate/Cholecalciferol 70mg/5600 Tab
02403641 DNP E 2.7975 TEV
Fosavance 70mg/5600 IU Tab 02314940 DNP E 2.7975 FRS
MYLAN-Nitro 0.2mg/hr Patch 02407442 DNPM SF 0.4463 MYL
Nitro-Dur 0.2mg/hr Patch 01911910 DNPM SF 0.4463 FRS
Page 2 of 6 New Interchangeable Products
New Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 30, 2013
MFR
nitroglycerin 0.4mg/hr patch
MYLAN-Nitro 0.4mg/hr Patch 02407450 DNPM SF 0.4704 MYL
Nitro-Dur 0.4mg/hr Patch 01911902 DNPM SF 0.4704 FRS
nitroglycerin 0.6mg/hr patch
MYLAN-Nitro 0.6mg/hr Patch 02407469 DNPM SF 0.4704 MYL
Nitro-Dur 0.6mg/hr Patch 01911929 DNPM SF 0.4704 FRS
nitroglycerin 0.8mg/hr patch
MYLAN-Nitro 0.8mg/hr Patch 02407477 DNPM SF 0.8743 MYL
Nitro-Dur 0.8mg/hr Patch 02011271 DNPM SF 0.8743 FRS Existing Categories: Benefit status is effective December 9, 2013 and the existing MRP or PRP for each existing category will apply.
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 9, 2013
MFR
alendronate 5mg tab
Alendronate Sodium 5mg Tab 02381478 Not Insured AHI
alendronate 10mg tab
Alendronate Sodium 10mg Tab 02381486 DNP E 0.6981 AHI
alendronate 70mg tab
Alendronate Sodium 70mg Tab 02381494 DNP E 3.5201 AHI
amlodipine 5mg tab
Auro-Amlodipine 5mg Tab 02397072 DNP SF 0.2417 ARO
amlodipine 10mg tab
Auro-Amlodipine 10mg Tab 02397080 DNP SF 0.3587 ARO
anastrozole 1mg tab
Anastrozole 1mg Tab 02351218 DNP SFC 1.7821 AHI
Page 3 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 9, 2013
MFR
candesartan 16mg & hydrochlorothiazide 12.5mg tab
Teva-Candesartan/HCTZ 16/12.5mg Tab 02395541 DNP SF 0.4193 TEV candesartan 32mg & hdyrochlorothiazide 12.5mg tab
Teva-Candesartan/HCTZ 32/12.5mg Tab 02395568 DNP SF 0.5990 TEV
clarithromycin 25mg/mL o/l
Clarithromycin 125mg/mL O/L 02408988 DNP SFC 0.2047 SAS
clarithromycin 50mg/mL o/l
Clarithromycin 250mg/mL O/L 02408996 DNP SFC 0.3998 SAS
clopidogrel 75mg tab
MINT-Clopidogrel 75mg Tab 02408910 DNP E 0.9206 MNT
fluoxetine 10mg cap
Jamp-Fluoxetine 10mg Cap 02401894 DNP SFC 0.8650 JPC
RAN-Fluoxetine 10mg Cap 02405695 DNP SFC 0.8650 RAN
fluoxetine 20mg cap
RAN-Fluoxetine 20mg Cap 02405709 DNP SFC 0.6438 RAN
irbesartan 75mg tab
Auro-Irbesartan 75mg Tab 02406098 DNP SF 0.4234 ARO
RAN-Irbesartan 75mg Tab 02406810 DNP SF 0.4234 RAN
irbesartan 150mg tab
Auro-Irbesartan 150mg Tab 02406101 DNP SF 0.4234 ARO
RAN-Irbesartan 150mg Tab 02406829 DNP SF 0.4234 RAN
Page 4 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 9, 2013
MFR
irbesartan 300mg tab
Auro-Irbesartan 300mg Tab 02406128 DNP SF 0.4234 ARO
RAN-Irbesartan 300mg Tab 02406837 DNP SF 0.4234 ARO
lisinopril 5mg tab
Auro-Lisinopril 5mg Tab 02394472 DNP SF 0.2100 ARO
lisinopril 10mg tab
Auro-Lisinopril 10mg Tab 02394480 DNP SF 0.2522 ARO
lisinopril 20mg tab
Auro-Lisinopril 20mg Tab 02394499 DNP SF 0.3032 ARO
meloxicam 7.5mg tab
Auro-Meloxicam 7.5mg Tab 02390884 DNP SF 0.2804 ARO
meloxicam 15mg tab
Auro-Meloxicam 15mg Tab 02390892 DNP SF 0.3235 ARO
montelukast 10mg tab
Auro-Montelukast 10mg Tab 02401274 DNP E 0.8276 ARO
pioglitazone 15mg tab
Jamp-Pioglitazone 15mg Tab 02397307 DNP E 0.8324 JPC
quetiapine 25mg tab
Auro-Quetiapine 25mg Tab 02390205 DNP SF 0.1779 ARO
quetiapine 100mg tab
Auro-Quetiapine 100mg Tab 02390213 DNP SF 0.4746 ARO
quetiapine 200mg tab
Auro-Quetiapine 200mg Tab 02390248 DNP SF 0.9530 ARO
Page 5 of 6 New Interchangeable Products
Existing Categories Continued…
PRODUCT DIN/PIN PRESCRIBER BENEFIT STATUS DECEMBER 9, 2013
MRP/PRP* DECEMBER 9, 2013
MFR
quetiapine 300mg tab
Auro-Quetiapine 300mg Tab 02390256 DNP SF 1.3906 ARO
ramipril 1.25mg cap/tab
Auro-Ramipril 1.25mg Cap 02387387 DNP SF 0.1274 ARO
ramipril 2.5mg cap/tab
Auro-Ramipril 2.5mg Cap 02387395 DNP SF 0.1470 ARO
ramipril 5mg cap/tab
Auro-Ramipril 5mg Cap 02387409 DNP SF 0.1470 ARO
ramipril 10mg cap/tab
Auro-Ramipril 10mg Cap 02387417 DNP SF 0.1862 ARO
sertraline 25mg cap
Auro-Sertraline 25mg Cap 02390906 DNP SFC 0.2814 ARO
sertraline 50mg cap
Auro-Sertraline 50mg Cap 02390914 DNP SFC 0.5628 ARO
sertraline 100mg cap
Auro-Sertraline 100mg Cap 02390922 DNP SFC 0.5898 ARO