Nova Scotia Pharmacare Programs Interchangeable Product Updates November 13, 2018 New Categories
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1 PAGE 1 OF 7 Nova Scotia Pharmacare Programs Interchangeable Product Updates November 13, New Categories A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective November 13,. hydromorphone HCl 3mg CR cap Apo-HYDROmorphone CR 3mg Cap DN SFC APX Hydromorph Contin 3mg Cap DN SFC PFR hydromorphone HCl 4.5mg CR cap Apo-HYDROmorphone CR 4.5mg Cap DN SFC APX Hydromorph Contin 4.5mg Cap DN SFC PFR hydromorphone HCl 6mg CR cap Apo-HYDROmorphone CR 6mg Cap DN SFC APX Hydromorph Contin 6mg Cap DN SFC PFR hydromorphone HCl 9mg CR cap Apo-HYDROmorphone CR 9mg Cap DN SFC APX Hydromorph Contin 9mg Cap DN SFC PFR hydromorphone HCl 18mg CR cap Apo-HYDROmorphone CR 18mg Cap DN SFC APX Hydromorph Contin 18mg Cap DN SFC PFR hydromorphone HCl 24mg CR cap Apo-HYDROmorphone CR 24mg Cap DN SFC APX Hydromorph Contin 24mg Cap DN SFC PFR hydromorphone HCl 30mg CR cap Apo-HYDROmorphone CR 30mg Cap DN SFC APX Hydromorph Contin 30mg Cap DN SFC PFR
2 PAGE 2 OF 7 New Categories Continued lacosamide 50mg tab Auro-Lacosamide 50mg Tab DNP E(SF) ARO Pharma-Lacosamide 50mg Tab DNP E(SF) PMS Sandoz Lacosamide 50mg Tab DNP E(SF) SDZ Teva-Lacosamide 50mg Tab DNP E(SF) TEV Vimpat 50mg Tab DNP E(SF) UCB lacosamide 100mg tab Auro-Lacosamide 100mg Tab DNP E(SF) ARO Pharma-Lacosamide 100mg Tab DNP E(SF) PMS Sandoz Lacosamide 100mg Tab DNP E(SF) SDZ Teva-Lacosamide 100mg Tab DNP E(SF) TEV Vimpat 100mg Tab DNP E(SF) UCB lacosamide 150mg tab Auro-Lacosamide 150mg Tab DNP E(SF) ARO Pharma-Lacosamide 150mg Tab DNP E(SF) PMS Sandoz Lacosamide 150mg Tab DNP E(SF) SDZ Teva-Lacosamide 150mg Tab DNP E(SF) TEV Vimpat 150mg Tab DNP E(SF) UCB lacosamide 200mg tab Auro-Lacosamide 200mg Tab DNP E(SF) ARO Pharma-Lacosamide 200mg Tab DNP E(SF) PMS Sandoz Lacosamide 200mg Tab DNP E(SF) SDZ Teva-Lacosamide 200mg Tab DNP E(SF) TEV Vimpat 200mg Tab DNP E(SF) UCB
3 PAGE 3 OF 7 New Categories Continued pinaverium bromide 50mg tab Apo-Pinaverium 50mg Tab DNP SFC APX Dicetel 50mg Tab DNP SFC ABB pinaverium bromide 100mg tab Apo-Pinaverium 100mg Tab DNP SFC APX Dicetel 100mg Tab DNP SFC ABB trandolapril 0.5mg cap Auro-Trandolapril 0.5mg Cap DNP SF ARO pms-trandolapril 0.5mg Cap DNP SF PMS Sandoz Trandolapril 0.5mg Cap DNP SF SDZ Teva-Trandolapril 0.5mg Cap DNP SF TEV Mavik 0.5mg Cap DNP SF BGP trandolapril 1mg cap Auro-Trandolapril 1mg Cap DNP SF ARO pms-trandolapril 1mg Cap DNP SF PMS Sandoz Trandolapril 1mg Cap DNP SF SDZ Teva-Trandolapril 1mg Cap DNP SF TEV Mavik 1mg Cap DNP SF BGP trandolapril 2mg cap Auro-Trandolapril 2mg Cap DNP SF ARO pms-trandolapril 2mg Cap DNP SF PMS Sandoz Trandolapril 2mg Cap DNP SF SDZ Teva-Trandolapril 2mg Cap DNP SF TEV Mavik 2mg Cap DNP SF BGP
4 PAGE 4 OF 7 New Categories Continued trandolapril 4mg cap Auro-Trandolapril 4mg Cap DNP SF ARO pms-trandolapril 4mg Cap DNP SF PMS Sandoz Trandolapril 4mg Cap DNP SF SDZ Teva-Trandolapril 4mg Cap DNP SF TEV Mavik 4mg Cap DNP SF BGP Existing Categories Benefit status is effective November 13, and the established MRP or PRP for each existing category will apply. 13, aripiprazole 2mg tab Teva-Aripiprazole 2mg Tab DNP E(SF) TEV aripiprazole 5mg tab Teva-Aripiprazole 5mg Tab DNP E(SF) TEV aripiprazole 10mg tab Teva-Aripiprazole 10mg Tab DNP E(SF) TEV aripiprazole 30mg tab Teva-Aripiprazole 30mg Tab DNP E(SF) TEV cephalexin monohydrate 250mg tab Auro-Cephalexin 250mg Tab DNPM SFC ARO cephalexin monohydrate 500mg tab Auro-Cephalexin 500mg Tab DNPM SFC ARO diltiazem 120mg ER cap Mar-Diltiazem T 120mg Cap DNP SF MAR
5 PAGE 5 OF 7 Existing Categories Continued 13, diltiazem 180mg ER cap Mar-Diltiazem T 180mg Cap DNP SF MAR diltiazem 240mg ER cap Mar-Diltiazem T 240mg Cap DNP SF MAR diltiazem 300mg ER cap Mar-Diltiazem T 300mg Cap DNP SF MAR diltiazem 360mg ER cap Mar-Diltiazem T 360mg Cap DNP SF MAR efavirenz 600mg, emtricitabine 200mg & tenofovir disoproxil 300mg tab Apo-Efavirenz-Emtricitabine-Tenofovir 600mg/200mg/300mg Tab Not Insured APX midodrine 2.5mg tab Mar-Midodrine 2.5mg Tab DNP SF MAR midodrine 5mg tab Mar-Midodrine 5mg Tab DNP SF MAR progesterone 100mg cap pms-progesterone 100mg Cap Not Insured PMS ursodiol 250mg tab Jamp-Ursodiol 250mg Tab DN E(SF) JPC ursodiol 500mg tab Jamp-Ursodiol 500mg Tab DN E(SF) JPC
6 PAGE 6 OF 7 Price Changes Effective November 13,, a new MRP or PRP has been established for the following products. 13, cephalexin monohydrate 250mg tab Novo-Lexin 250mg Tab DNPM SFC TEV Apo-Cephalex 250mg Tab DNPM SFC APX cephalexin monohydrate 500mg tab Novo-Lexin 500mg Tab DNPM SFC TEV Apo-Cephalex 500mg Tab DNPM SFC APX midodrine 2.5mg tab Midodrine 2.5mg Tab DNP SF AAP midodrine 5mg tab Midodrine 5mg Tab DNP SF AAP ursodiol 250mg tab Pms-Ursodiol C 250mg Tab DN E(SF) PMS Ursodiol 250mg Tab DN E(SF) GLM Urso 250mg Tab DN E(SF) AXC ursodiol 500mg tab pms-ursodiol 250mg tab DN E(SF) PMS Ursodiol 500mg Tab DN E(SF) GLM Urso DS 500mg Tab DN E(SF) AXC
7 PAGE 7 OF 7 Changes to Benefit Status The following products will be eligible benefits as of November 13,. 13, Apo-Ranitidine 15mg/mL O/L DNP SFC APX RAN-Solifenacin 10mg Tab DNP SF RAN
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