Products and Pricing on the Alberta Blue Cross Drug Price List (ABCDPL) Effective September 15, 2014
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- Drusilla Eaton
- 5 years ago
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Transcription
1 TC 10 MG/ML ORAL LIQUID ORL LIQ GSK ML TC 150 MG TABLET ORL TAB GSK TAB TC 300 MG TABLET ORL TAB GSK TAB BENZAGEL 5% TOPICAL (ALCOHOL) GEL TOP ALCGEL CLC G BENZAGEL 5% TOPICAL LOTION TOP LOT NVC ML % DEXTROSE & 0.45% NACL W 0.15% KCL 20 MEQ INJ INJ DEFAUL BAX ML HTP 100 MG CAPSULE ORL CAP VTH CAP ABBOTT-TOPIRAMATE 100 MG TABLET ORL TAB ABB TAB ABBOTT-TOPIRAMATE 200 MG TABLET ORL TAB ABB TAB ABBOTT-TOPIRAMATE 25 MG TABLET ORL TAB ABB TAB ABENOL 120 MG RECTAL SUPPOSITORY RT SUP PPH SUP ABENOL 325 MG RECTAL SUPPOSITORY RT SUP PPH SUP ABENOL 650 MG RECTAL SUPPOSITORY RT SUP PPH SUP ABILIFY MAINTENA 300 MG/VIAL INJECTION INJ DEFAUL OTS VIAL ABILIFY MAINTENA 400 MG/VIAL INJECTION INJ DEFAUL OTS VIAL ABRAXANE 100 MG/VIAL INJECTION INJ DEFAUL CLG VIAL ABREVA 10% TOPICAL CREAM TOP CRM GKC G ABSTRAL 100 MCG SUBLINGUAL TABLET SLG SLT PAL TAB ABSTRAL 200 MCG SUBLINGUAL TABLET SLG SLT PAL TAB ABSTRAL 300 MCG SUBLINGUAL TABLET SLG SLT PAL TAB ABSTRAL 400 MCG SUBLINGUAL TABLET SLG SLT PAL TAB ABSTRAL 600 MCG SUBLINGUAL TABLET SLG SLT PAL TAB ABSTRAL 800 MCG SUBLINGUAL TABLET SLG SLT PAL TAB AC & C 8 MG TABLET ORL TAB PPH TAB AC WITH CODEINE 8 MG TABLET ORL TAB DTC TAB ACCEL-AMLODIPINE 10 MG TABLET ORL TAB ACP TAB ACCEL-AMLODIPINE 5 MG TABLET ORL TAB ACP TAB ACCEL-DONEPEZIL 10 MG TABLET ORL TAB ACP TAB ACCEL-DONEPEZIL 5 MG TABLET ORL TAB ACP TAB ACEBUTOLOL MG TABLET ORL TAB PDL TAB ACEBUTOLOL MG TABLET ORL TAB PDL TAB ACEBUTOLOL MG TABLET ORL TAB PDL TAB ACET 160 MG RECTAL SUPPOSITORY RT SUP PPH SUP ACET CODEINE 30 TABLET ORL TAB PMS TAB ACETAMINOPHEN 325 MG TABLET ORL TAB WTR TAB ACETAMINOPHEN 325 MG TABLET ORL TAB WAM TAB ACETAMINOPHEN 500 MG TABLET ORL TAB TLI TAB Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 1 of 106
2 ACETAMINOPHEN 80 MG/ML ORAL DROPS ORL DPS TLI ML ACETAMINOPHEN ARTHRITIS PAIN 650 MG EXT.REL TABLET ORL ERT PRI TAB ACETAMINOPHEN CAFFEINE & CODEINE 8 MG TABLET ORL TAB WTR TAB ACETAMINOPHEN COMPOUND WITH CODEINE CAPLET ORL TAB PPH TAB ACETAMINOPHEN COMPRIME A CROQUER 80 MG ORL TAB TLI TAB ACETAMINOPHEN EXT STR EASY TO SWALLOW 500 MG TAB ORL TAB PMT TAB ACETAMINOPHEN EXTRA STRENGTH 500 MG TABLET ORL TAB WTR TAB ACETAMINOPHEN EXTRA STRENGTH 500 MG TABLET ORL TAB PMT TAB ACETAMINOPHEN EXTRA-STRENGTH 500 MG TABLET ORL TAB TAN TAB ACETAMINOPHEN ORAL SOLUTION FOR CHILDREN USP ORL SOL TLI ML ACETAMINOPHEN WITH CODEINE CAPLET ORL TAB ROG TAB ACETAMINOPHEN WITH CODEINE TABLET ORL TAB PMS TAB ACETAMINOPHEN, CAFFEINE & 8 MG CODEINE PHOS. TAB ORL TAB PMT TAB ACETAZONE FORTE C-8 TABLET ORL TAB RPH TAB ACETAZONE FORTE TABLET ORL TAB RPH TAB ACET-CODEINE 60 MG TABLET ORL TAB PMS TAB ACETYLCYSTEINE 20% INHALATION SOLUTION INH SOL ALV ML ACID REDUCER 75 MG TABLET ORL TAB PMS TAB ACIDOPHILUS WITH BIFIDUS CAPSULE ORL CAP WNP CAP ACT OLAPATADINE 0.2% OPHTHALMIC SOLUTION OPH SOL APH ML ACT PRAMIPEXOLE 0.5 MG TABLET ORL TAB APH TAB ACT VALSARTAN 40 MG TABLET ORL TAB APH TAB ACTEMRA 162 MG /0.9 ML INJECTION SYRINGE INJ DEFAUL HLR SYR ACTIFED 60 MG/2.5 MG TABLET ORL TAB PFI TAB ACTIVELLE 1 MG/0.5 MG TABLET ORL TAB NNA TAB ACTIVELLE LD 0.5 MG/0.1 MG TABLET ORL TAB NNA TAB ACTONEL 150 MG TABLET ORL TAB ASC TAB ACTONEL DR 35 MG DELAYED-RELEASE TABLET ORL DRT ASC TAB ACULAR LS 0.4% OPH SOLUTION OPH SOL ALL ML ACYCLOVIR SODIUM 50 MG/ML INJECTION INJ DEFAUL PPC ML ACZONE 5% TOPICAL GEL TOP GEL VCL G ADACEL INJECTION INJ DEFAUL SFP ML ADACEL-POLIO INJECTION INJ DEFAUL SFP ML ADALAT XL PLUS 20 MG/81 MG TABLET ORL ERT BAI TAB ADALAT XL PLUS 30 MG/81 MG TABLET ORL ERT BAI TAB ADALAT XL PLUS 60 MG/81 MG TABLET ORL ERT BAI TAB ADASEPT 0.5% TOPICAL LIQUID TOP LIQ ODN ML Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 2 of 106
3 ADASEPT BP5 ACNE GEL 5% TOPICAL GEL TOP GEL ODN ML ADCETRIS 50MG/VIAL INJECTION POWDER FOR SOLUTION INJ DEFAUL STG VIAL ADCIRCA 20 MG TABLET ORL TAB LIL TAB ADDERALL XR 10 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP ADDERALL XR 15 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP ADDERALL XR 20 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP ADDERALL XR 25 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP ADDERALL XR 30 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP ADDERALL XR 5 MG EXTENDED-RELEASE CAPSULE ORL ERC SHB CAP ADEMPAS 0.5 MG TABLET ORL TAB BAI TAB ADEMPAS 1 MG TABLET ORL TAB BAI TAB ADEMPAS 1.5 MG TABLET ORL TAB BAI TAB ADEMPAS 2 MG TABLET ORL TAB BAI TAB ADEMPAS 2.5 MG TABLET ORL TAB BAI TAB ADRIAMYCIN PFS 2MG/ML INJECTION INJ DEFAUL PFI ML ADVAGRAF 0.5 MG EXTENDED-RELEASE CAPSULE ORL ERC ASP CAP ADVAGRAF 1 MG EXTENDED-RELEASE CAPSULE ORL ERC ASP CAP ADVAGRAF 5 MG EXTENDED-RELEASE CAPSULE ORL ERC ASP CAP ADVANCED B COMPLEX ORL CAP AOR CAP ADVICOR 1000 MG/20 MG TABLET ORL TAB SUN TAB ADVICOR 500 MG/20 MG TABLET ORL TAB SUN TAB ADVIL 200 MG TABLET ORL TAB PDH TAB ADVIL COLD AND SINUS CAPLET ORL TAB PDH TAB ADVIL COLD AND SINUS PLUS CAPLET ORL TAB PDH TAB ADVIL EXTRA STRENGTH 400 MG CAPLET ORL TAB PDH TAB ADVIL EXTRA STRENGTH LIQUI-GEL 400 MG CAPSULE ORL CAP PDH CAP ADVIL IBUPROFEN 200 MG CAPLET ORL TAB PDH TAB ADVIL JUNIOR STRENGTH CHEWABLE TABLET ORL CTB PDH TAB ADVIL LIQUI-GELS 200 MG CAPSULE ORL CAP PDH CAP ADVIL PEDIATRIC 40 MG/ML SUSPENSION DROPS ORL DPS PDH ML AERIUS 5 MG TABLET ORL TAB SCH TAB AFINITOR 10 MG TABLET ORL TAB NOV TAB AFINITOR 2.5 MG TABLET ORL TAB NOV TAB AFINITOR 5 MG TABLET ORL TAB NOV TAB AGENERASE 150 MG CAPSULE ORL CAP GSK CAP AGRIFLU INJECTION SYRINGE INJ DEFAUL NVD SYR AGRYLIN 0.5 MG CAPSULE ORL CAP SHB CAP Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 3 of 106
4 A-HYDROCORT 100 MG/VIAL INJECTION INJ DEFAUL HSP VIAL AJ-CISATRACURIUM 2MG/ML WITH PRESERVATIVE INJ INJ DEFAUL AJP ML AJ-LABETALOL 5 MG/ML INJECTION INJ DEFAUL AJP ML AJ-VANCOMYCIN 1 G/VIAL INJECTION INJ DEFAUL AJP VIAL AJ-VANCOMYCIN 5 G/VIAL INJECTION INJ DEFAUL AJP VIAL AJ-VANCOMYCIN 500 MG/VIAL INJECTION INJ DEFAUL AJP VIAL ALBALON 0.1% OPH SOLUTION OPH SOL ALL ML ALBALON-A OPH SOLUTION OPH SOL ALL ML ALDURAZYME 0.58 MG/ML INJECTION INJ DEFAUL GZM ML ALENDRONATE SODIUM 5 MG TABLET ORL TAB AHI TAB ALEVE 220 MG TABLET ORL TAB BAI TAB ALFUZOSIN 10 MG PROLONGED-RELEASE TABLET ORL SRT PDL TAB ALIGN PROBIOTIC CAPSULE ORL CAP PGI CAP ALIMTA 500 MG/VIAL INJECTION INJ DEFAUL LIL VIAL ALKERAN 2 MG TABLET ORL TAB GSK TAB ALLEGRA 12 HOUR 60 MG TABLET ORL TAB SAV TAB ALLEGRA 24 HOUR 120 MG TABLET ORL TAB SAV TAB ALLEGRA-D SUSTAINED-RELEASE TABLET ORL SRT SAV TAB ALLER-AIDE 2.5 MG/ML ORAL ELIXIR ORL ELX ROG ML ALLER-AIDE 25 MG CAPLET ORL TAB ROG TAB ALLERDRYL 50 MG CAPSULE ORL CAP VCL CAP ALLERGY 25 MG TABLET ORL TAB TAN TAB ALLERGY DROPS 0.012% OPH SOLUTION OPH SOL BSH ML ALLERGY FORMULA 25 MG CAPLET ORL TAB PRI TAB ALLERGY RELIEF 10 MG TABLET ORL TAB APX TAB ALLERNIX 2.5 MG/ML ORAL ELIXIR ORL ELX ROG ML ALLERNIX 25 MG CAPLET ORL TAB ROG TAB ALLERNIX EXTRA STRENGTH 50 MG CAPLET ORL TAB ROG TAB ALLERNIX MULTI SYMPTOM 5 MG TABLET ORL TAB ROG TAB ALLER-RELIEF 10 MG TABLET ORL TAB PMS TAB ALLER-RELIEF 10 MG TABLET ORL TAB APX TAB ALLOPURINOL 100 MG TABLET ORL TAB PDL TAB ALLOPURINOL 200 MG TABLET ORL TAB PDL TAB ALLOPURINOL 300 MG TABLET ORL TAB PDL TAB ALMAGEL 200 ORAL LIQUID ORL LIQ ATL ML ALOCRIL 2% OPH SOLUTION OPH SOL ALL ML ALOMIDE 0.1% (BASE) OPH SOLUTION OPH SOL ALC ML Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 4 of 106
5 ALOXI 0.05 MG/ML INJECTION INJ DEFAUL EIS ML ALOXI 0.5 MG CAPSULE ORL CAP EIS CAP ALPHA LIPOIC ACID 100MG CAPSULE ORL CAP WNP CAP ALPHAGAN P 0.15% OPHTHALMIC SOLUTION OPH SOL ALL ML ALPRAZOLAM-0.25 MG TABLET ORL TAB PDL TAB ALPRAZOLAM-0.5 MG TABLET ORL TAB PDL TAB ALPRAZOLAM-1 1 MG TABLET ORL TAB PDL TAB ALPROSTADIL 0.5 MG/ML INJECTION INJ DEFAUL TEV ML ALREX 0.2% OPHTHALMIC SUSPENSION OPH SUS BSH ML ALTACE 15 MG CAPSULE ORL CAP/TAB SAV CAP AMARYL 1 MG TABLET ORL TAB SAV TAB AMARYL 2 MG TABLET ORL TAB SAV TAB AMARYL 4 MG TABLET ORL TAB SAV TAB AMBISOME 50 MG/VIAL INJECTION INJ DEFAUL ASP VIAL AMETOP 4% TOPICAL GEL TOP GEL SNE G AMEVIVE 15 MG/VIAL INJECTION INJ DEFAUL BIO VIAL AMI-HYDRO TABLET ORL TAB PDL TAB AMIKACIN SULFATE 250 MG/ML INJECTION INJ DEFAUL SDZ ML AMITRIPTYLINE 10 MG TABLET ORL TAB PDL TAB AMITRIPTYLINE 25 MG TABLET ORL TAB PDL TAB AMITRIPTYLINE 50 MG TABLET ORL TAB PDL TAB AMLODIPINE 2.5 MG TABLET ORL TAB PDL TAB AMOSAN 68.6% MOUTHWASH ORL MWH OLB ML AMOXI-CLAV 500 MG/125 MG TABLET ORL TAB PDL TAB AMOXI-CLAV 875 MG/125 MG TABLET ORL TAB PDL TAB AMPHOJEL 320 MG/5ML ORAL LIQUID ORL LIQ AXC ML AMPHOJEL 600 MG TABLET ORL TAB AUP TAB A-MULSION ORAL LIQUID ORL LIQ SRL ML ANANDRON 50 MG TABLET ORL TAB SAV TAB ANDROGEL (2.5 G/ PACKET) 1% TOPICAL GEL TOP GEL ABB G ANDROGEL (5 G/ PACKET) 1% TOPICAL GEL TOP GEL ABB G ANDROGEL (75 G/PUMP) 1% TOPICAL GEL TOP GEL ABB G ANEXATE 0.1 MG/ ML INJECTION INJ DEFAUL HLR ML ANGELIQ 1 MG / 1 MG TABLET ORL TAB BAI TAB ANORO ELLIPTA 62.5 MCG/25MCG INHALATION POWDER INH MIP GSK DOSE ANTHELIOS XL SPF 60 TOPICAL CREAM TOP CRM LRP G ANTHRAFORTE 1 1% TOPICAL OINTMENT TOP ONT MPQ G Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 5 of 106
6 ANTHRAFORTE 2 2% TOPICAL OINTMENT TOP ONT MPQ G ANTHRASCALP 0.4% TOPICAL LOTION TOP LOT STI ML ANTIPHLOGISTINE RUB A-535 NO ODOUR 13.3% TOP OINT TOP ONT CHD G ANUSOL 0.5% RECTAL OINTMENT RT ONT WLA G ANUSOL 10 MG RECTAL SUPPOSITORY RT SUP WLA SUP ANUSOL PLUS RECTAL OINTMENT RT ONT WLA G ANUSOL PLUS RECTAL SUPPOSITORY RT SUP WLA SUP ANUZINC 0.5% W/W TOPICAL OINTMENT TOP ONT SDZ G ANUZINC 10 MG RECTAL SUPPOSITORY RT SUP SDZ SUP ANUZINC PLUS RECTAL OINTMENT RT ONT SDZ G ANZEMET 100 MG TABLET ORL TAB SAV TAB AOR CHROMIUM PICOLINATE 600 MCG CAPSULE ORL CAP AOR CAP AOR N.A.C. 500 MG CAPSULE ORL CAP AOR CAP APO-ACETAMINOPHEN 325 MG CAPLET ORL TAB APX TAB APO-ACETAMINOPHEN 325 MG TABLET ORL TAB APX TAB APO-ADEFOVIR 10 MG TABLET ORL TAB APX TAB APO-ALENDRONATE 5 MG TABLET ORL TAB APX TAB APO-ALPRAZ 1 MG TABLET ORL TAB APX TAB APO-ALPRAZ TS 2 MG TABLET ORL TAB APX TAB APO-AMLODIPINE-ATORVASTATIN 10 MG/10 MG TABLET ORL TAB APX TAB APO-AMLODIPINE-ATORVASTATIN 10 MG/20 MG TABLET ORL TAB APX TAB APO-AMLODIPINE-ATORVASTATIN 10 MG/40 MG TABLET ORL TAB APX TAB APO-AMLODIPINE-ATORVASTATIN 10 MG/80 MG TABLET ORL TAB APX TAB APO-AMLODIPINE-ATORVASTATIN 5 MG/10 MG TABLET ORL TAB APX TAB APO-AMLODIPINE-ATORVASTATIN 5 MG/20 MG TABLET ORL TAB APX TAB APO-AMLODIPINE-ATORVASTATIN 5 MG/40 MG TABLET ORL TAB APX TAB APO-AMLODIPINE-ATORVASTATIN 5 MG/80 MG TABLET ORL TAB APX TAB APO-AMOXI CLAV 80 MG/11.4 MG/ML ORAL SUSPENSION ORL SUS APX ML APO-ANASTROZOLE 1 MG TABLET ORL TAB APX TAB APO-ASEN ECT 325 MG ENTERIC-COATED TABLET ORL ECT APX TAB APO-ASEN ECT 650 MG ENTERIC-COATED TABLET ORL ECT APX TAB APO-ATOMOXETINE 10 MG CAPSULE ORL CAP APX CAP APO-ATOMOXETINE 100 MG CAPSULE ORL CAP APX CAP APO-ATOMOXETINE 18 MG CAPSULE ORL CAP APX CAP APO-ATOMOXETINE 25 MG CAPSULE ORL CAP APX CAP APO-ATOMOXETINE 40 MG CAPSULE ORL CAP APX CAP APO-ATOMOXETINE 60 MG CAPSULE ORL CAP APX CAP Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 6 of 106
7 APO-ATOMOXETINE 80 MG CAPSULE ORL CAP APX CAP APO-BICALUTAMIDE 50 MG TABLET ORL TAB APX TAB APO-BRIMONIDINE P 0.15% OPHTHALMIC SOLUTION OPH SOL APX ML APO-BUTORPHANOL 10 MG/ML NASAL SPRAY NAS SPR APX ML APO-CAL MG TABLET ORL TAB APX TAB APO-CAL 500 MG TABLET ORL TAB APX TAB APO-CANDESARTAN 4 MG TABLET ORL TAB APX TAB APO-CAPTO 6.25 MG TABLET ORL TAB APX TAB APO-CETIRIZINE 10 MG TABLET ORL TAB APX TAB APO-CHLORPROPAMIDE 100 MG TABLET ORL TAB APX TAB APO-CHLORPROPAMIDE 250 MG TABLET ORL TAB APX TAB APO-CICLOPIROX 8% TOPICAL SOLUTION TOP SOL APX G APO-CIMETIDINE 800 MG TABLET ORL TAB APX TAB APO-CIPROFLOX 0.3% OPHTHALMIC SOL. OPH SOL APX ML APO-CLARITHROMYCIN 250 MG TABLET ORL TAB APX TAB APO-CLARITHROMYCIN 500 MG TABLET ORL TAB APX TAB APO-DICLO RAPIDE 50 MG TABLET ORL TAB APX TAB APO-DICLOFENAC 1.5% TOPICAL SOLUTION TOP SOL APX ML APO-DORZOLAMIDE 2% OPHTHALMIC SOLUTION OPH SOL APX ML APO-ELETRIPTAN 20 MG TABLET ORL TAB APX TAB APO-ELETRIPTAN 40 MG TABLET ORL TAB APX TAB APO-ESOMEPRAZOLE 20 MG DELAYED-RELEASE TABLET ORL DRT APX TAB APO-ESOMEPRAZOLE 40 MG DELAYED-RELEASE TABLET ORL DRT APX TAB APO-EXEMESTANE 25 MG TABLET ORL TAB APX TAB APO-FAMCICLOVIR 125 MG TABLET ORL TAB APX TAB APO-FAMCICLOVIR 250 MG TABLET ORL TAB APX TAB APO-FAMCICLOVIR 500 MG TABLET ORL TAB APX TAB APO-FERROUS GLUCONATE 300 MG TABLET ORL TAB APX TAB APO-FERROUS SULFATE-FC 300 MG TABLET ORL TAB APX TAB APO-FLUTICASONE 50 MCG/DOSE AQUEOUS NASAL SPRAY NAS SPM APX DOSE APO-FROVATRIPTAN 2.5 MG TABLET ORL TAB APX TAB APO-GABAPENTIN 600 MG TABLET ORL TAB APX TAB APO-GABAPENTIN 800 MG TABLET ORL TAB APX TAB APO-GAIN 2% TOPICAL SOLUTION TOP SOL APX ML APO-GLIMEPIRIDE 1 MG TABLET ORL TAB APX TAB APO-GLIMEPIRIDE 2 MG TABLET ORL TAB APX TAB APO-GLIMEPIRIDE 4 MG TABLET ORL TAB APX TAB Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 7 of 106
8 APO-HALOPERIDOL 0.5 MG TABLET ORL TAB APX TAB APO-HALOPERIDOL 1 MG TABLET ORL TAB APX TAB APO-HALOPERIDOL 10 MG TABLET ORL TAB APX TAB APO-HALOPERIDOL 2 MG TABLET ORL TAB APX TAB APO-HALOPERIDOL 5 MG TABLET ORL TAB APX TAB APO-HYDRO 12.5 MG TABLET ORL TAB APX TAB APO-IBUPROFEN 200 MG TABLET ORL TAB APX TAB APO-IMATINIB 100 MG TABLET ORL TAB APX TAB APO-IMATINIB 400 MG TABLET ORL TAB APX TAB APO-LAMIVUDINE 150 MG TABLET ORL TAB APX TAB APO-LAMIVUDINE 300 MG TABLET ORL TAB APX TAB APO-LAMIVUDINE-ZIDOVUDINE 150 MG/300 MG TABLET ORL TAB APX TAB APO-LETROZOLE 2.5 MG TABLET ORL TAB APX TAB APO-LINEZOLID 600 MG TABLET ORL TAB APX TAB APO-LISINOPRIL/HCTZ 20 MG/25 MG TABLET ORL TAB APX TAB APO-LORATADINE 10 MG TABLET ORL TAB APX TAB APO-MELOXICAM 15 MG TABLET ORL TAB APX TAB APO-MELOXICAM 7.5 MG TABLET ORL TAB APX TAB APO-MEMANTINE 10 MG TABLET ORL TAB APX TAB APO-METFORMIN ER 500 MG EXTENDED-RELEASE TABLET ORL ERT APX TAB APO-METHIMAZOLE 5 MG TABLET ORL TAB APX TAB APO-METHYLPHENIDATE 5 MG TABLET ORL TAB APX TAB APO-MIRTAZAPINE 15 MG TABLET ORL TAB APX TAB APO-MIRTAZAPINE 45 MG TABLET ORL TAB APX TAB APO-MYCOPHENOLATE 250 MG CAPSULE ORL CAP APX CAP APO-MYCOPHENOLATE 500 MG TABLET ORL TAB APX TAB APO-MYCOPHENOLIC ACID 180 MG ENTERIC-COATED TAB ORL ECT APX TAB APO-MYCOPHENOLIC ACID 360 MG ENTERIC-COATED TAB ORL ECT APX TAB APO-NARATRIPTAN 1 MG TABLET ORL TAB APX TAB APO-NARATRIPTAN 2.5 MG TABLET ORL TAB APX TAB APO-NITRAZEPAM 10 MG TABLET ORL TAB APX TAB APO-NITRAZEPAM 5 MG TABLET ORL TAB APX TAB APO-NIZATIDINE 150 MG CAPSULE ORL CAP APX CAP APO-NIZATIDINE 300 MG CAPSULE ORL CAP APX CAP APO-OLANZAPINE 20 MG TABLET ORL TAB APX TAB APO-OLANZAPINE ODT 15 MG ORALLY DISINTEGRATING TAB ORL DISNTAB APX TAB APO-OLANZAPINE ODT 20 MG ORALLY DISINTEGRATING TAB ORL DISNTAB APX TAB Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 8 of 106
9 APO-OLOPATADINE 0.1% OPH SOLUTION OPH SOL APX ML APO-OLOPATADINE 0.2% OPHTHALMIC SOLUTION OPH SOL APX ML APO-OXAPROZIN 600 MG TABLET ORL TAB APX TAB APO-OXCARBAZEPINE 150 MG TABLET ORL TAB APX TAB APO-OXCARBAZEPINE 300 MG TABLET ORL TAB APX TAB APO-OXCARBAZEPINE 600 MG TABLET ORL TAB APX TAB APO-OXYCODONE CR 10 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB APO-OXYCODONE CR 15 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB APO-OXYCODONE CR 20 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB APO-OXYCODONE CR 30 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB APO-OXYCODONE CR 40 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB APO-OXYCODONE CR 5 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB APO-OXYCODONE CR 60 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB APO-OXYCODONE CR 80 MG CONTROLLED-RELEASE TABLET ORL CRT APX TAB APO-PACLITAXEL 6 MG/ML INJECTION INJ DEFAUL APX ML APO-PANTOPRAZOLE 20 MG ENTERIC-COATED TABLET ORL ECT APX TAB APO-PAROXETINE 10 MG TABLET ORL TAB APX TAB APO-PINDOL 10 MG TABLET ORL TAB APX TAB APO-PINDOL 15 MG TABLET ORL TAB APX TAB APO-PINDOL 5 MG TABLET ORL TAB APX TAB APO-PIOGLITAZONE 15 MG TABLET ORL TAB APX TAB APO-PIOGLITAZONE 30 MG TABLET ORL TAB APX TAB APO-PIOGLITAZONE 45 MG TABLET ORL TAB APX TAB APO-PRAMIPEXOLE 0.5 MG TABLET ORL TAB APX TAB APO-PREDNISONE 1 MG TABLET ORL TAB APX TAB APO-PREGABALIN 150 MG CAPSULE ORL CAP APX CAP APO-PREGABALIN 225 MG CAPSULE ORL CAP APX CAP APO-PREGABALIN 25 MG CAPSULE ORL CAP APX CAP APO-PREGABALIN 300 MG CAPSULE ORL CAP APX CAP APO-PREGABALIN 50 MG CAPSULE ORL CAP APX CAP APO-PREGABALIN 75 MG CAPSULE ORL CAP APX CAP APO-PROPRANOLOL 10 MG TABLET ORL TAB APX TAB APO-PROPRANOLOL 20 MG TABLET ORL TAB APX TAB APO-PROPRANOLOL 40 MG TABLET ORL TAB APX TAB APO-PROPRANOLOL 80 MG TABLET ORL TAB APX TAB APO-RAMIPRIL 15 MG CAPSULE ORL CAP/TAB APX CAP APO-RISEDRONATE 150 MG TABLET ORL TAB APX TAB Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 9 of 106
10 APO-SILDENAFIL 100 MG TABLET ORL TAB APX TAB APO-SILDENAFIL 25 MG TABLET ORL TAB APX TAB APO-SILDENAFIL 50 MG TABLET ORL TAB APX TAB APO-SILDENAFIL R 20 MG TABLET ORL TAB APX TAB APO-TAMOX 10 MG TABLET ORL TAB APX TAB APO-TAMOX 20 MG TABLET ORL TAB APX TAB APO-TEMOZOLOMIDE 100 MG CAPSULE ORL CAP APX CAP APO-TEMOZOLOMIDE 140 MG CAPSULE ORL CAP APX CAP APO-TEMOZOLOMIDE 180 MG CAPSULE ORL CAP APX CAP APO-TEMOZOLOMIDE 20 MG CAPSULE ORL CAP APX CAP APO-TEMOZOLOMIDE 250 MG CAPSULE ORL CAP APX CAP APO-TEMOZOLOMIDE 5 MG CAPSULE ORL CAP APX CAP APO-TIAPROFENIC 200 MG TABLET ORL TAB APX TAB APO-TIAPROFENIC 300 MG TABLET ORL TAB APX TAB APO-TIMOL 10 MG TABLET ORL TAB APX TAB APO-TIMOL 20 MG TABLET ORL TAB APX TAB APO-TIMOL 5 MG TABLET ORL TAB APX TAB APO-TIMOP GEL 0.5% OPHTHALMIC SOLUTION OPH LAS APX ML APO-TRAMADOL 50 MG TABLET ORL TAB APX TAB APO-TRAMADOL/ACET 37.5 MG/325 MG TABLET ORL TAB APX TAB APO-TRAVOPROST Z 0.004% OPHTHALMIC SOLUTION OPH SOL APX ML APO-VALSARTAN 40 MG TABLET ORL TAB APX TAB APO-ZIDOVUDINE 100 MG CAPSULE ORL CAP APX CAP APPRILON 40 MG MODIFIED RELEASE CAPSULE ORL MRC GAL CAP APRESOLINE 20 MG/VIAL INJECTION INJ DEFAUL STM VIAL APTIVUS 250 MG CAPSULE ORL CAP BOE CAP AQUASOL E 50 UNIT/ML ORAL DROPS ORL DPS NOV ML ARICEPT RDT 10 MG ORALLY DISINTEGRATING TABLET ORL DISNTAB PFI TAB ARICEPT RDT 5 MG ORALLY DISINTEGRATING TABLET ORL DISNTAB PFI TAB ARIMIDEX 1 MG TABLET ORL TAB AZC TAB ARISTOSPAN 20 MG/ML INJECTION INJ DEFAUL VLP ML ARNICA 7% GEL TOP GEL BCI G ARNICA GEL-CREAM RUB A535 TOPICAL GEL TOP GEL CHD G AROMASIN 25 MG TABLET ORL TAB PFI TAB ARTHRITIS PAIN 650 MG EXTENDED RELIEF TABLET ORL ERT VTH TAB ARTIFICIAL TEARS EXTRA OPH SOLUTION OPH SOL PMS ML ARTIFICIAL TEARS OPH SOLUTION OPH SOL PPH ML Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 10 of 106
11 ASA & CODEINE 8 MG TABLET ORL TAB SDR TAB ASA 325 MG TABLET ORL TAB VTH TAB ASA 325 MG TABLET ORL TAB WAM TAB ASA 81 MG ENTERIC-COATED TABLET ORL ECT PMS TAB ASADOL 325 MG ENTERIC-COATED TABLET ORL ECT PPH TAB ASAPHEN 80 MG TABLET ORL TAB PMS TAB ASAPHEN 81 MG CHEWABLE TABLET ORL CTB PMS TAB ASAPHEN E.C. 80 MG ENTERIC-COATED TABLET ORL ECT PMS TAB ASAPHEN E.C. 81 MG ENTERIC-COATED TABLET ORL ECT PMS TAB ASATAB 80 MG CHEWABLE TABLET ORL CTB ODN TAB ASATAB EC 325 MG ENTERIC-COATED TABLET ORL ECT ODN TAB ASCORBIC ACID 500 MG TABLET ORL TAB PMT TAB ASPERCREME CREME RUB 10% TOPICAL CREAM TOP CRM SLL G ASPIRIN 325 MG TABLET ORL TAB BAI TAB ASPIRIN STOMACH GUARD EXTRA STRENGTH 500 MG CAPLET ORL TAB BIC TAB ASPIRIN WITH STOMACH GUARD EXTRA STRENGTH CAPLET ORL TAB BAI TAB ATACAND 4 MG TABLET ORL TAB AZC TAB ATASOL 325 MG TABLET ORL TAB CHD TAB ATASOL FORTE 500 MG TABLET ORL TAB CHD TAB ATASOL-15 TABLET ORL TAB CHD TAB ATASOL-30 TABLET ORL TAB CHD TAB ATASOL-8 TABLET ORL TAB CHD TAB ATENOLOL-100 MG TABLET ORL TAB PDL TAB ATENOLOL-50 MG TABLET ORL TAB PDL TAB ATOMOXETINE 10 MG CAPSULE ORL CAP PDL CAP ATOMOXETINE 18 MG CAPSULE ORL CAP PDL CAP ATOMOXETINE 25 MG CAPSULE ORL CAP PDL CAP ATOMOXETINE 40 MG CAPSULE ORL CAP PDL CAP ATOMOXETINE 60 MG CAPSULE ORL CAP PDL CAP ATORVASTATIN 10 MG TABLET ORL TAB APX TAB ATORVASTATIN 10 MG TABLET ORL TAB PDL TAB ATORVASTATIN 10 MG TABLET ORL TAB SIV TAB ATORVASTATIN 20 MG TABLET ORL TAB PDL TAB ATORVASTATIN 20 MG TABLET ORL TAB SIV TAB ATORVASTATIN 20 MG TABLET ORL TAB APX TAB ATORVASTATIN 40 MG TABLET ORL TAB PDL TAB ATORVASTATIN 40 MG TABLET ORL TAB SIV TAB Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 11 of 106
12 ATORVASTATIN 40 MG TABLET ORL TAB APX TAB ATORVASTATIN 80 MG TABLET ORL TAB SIV TAB ATORVASTATIN 80 MG TABLET ORL TAB APX TAB ATORVASTATIN MG TABLET ORL TAB PDL TAB ATRIANCE 5 MG/ML INJECTION INJ DEFAUL GSK ML ATRIPLA TABLET ORL TAB BMG TAB ATROPINE 0.6 MG/ML INJECTION INJ DEFAUL ALV ML ATROPINE SULFATE 1% OPH SOLUTION (MINIMS) OPH SOL BSH ML ATROVENT 0.06% NASAL SPRAY NAS SPR BOE ML AUBAGIO 14 MG TABLET ORL TAB GZS TAB AURALGAN OTIC SOLUTION OT SOL PAL ML AURO-ATORVASTATIN 10 MG TABLET ORL TAB AUR TAB AURO-ATORVASTATIN 20 MG TABLET ORL TAB AUR TAB AURO-ATORVASTATIN 40 MG TABLET ORL TAB AUR TAB AURO-ATORVASTATIN 80 MG TABLET ORL TAB AUR TAB AURO-CARVEDILOL 12.5 MG TABLET ORL TAB AUR TAB AURO-CARVEDILOL 25 MG TABLET ORL TAB AUR TAB AURO-CARVEDILOL MG TABLET ORL TAB AUR TAB AURO-CARVEDILOL 6.25 MG TABLET ORL TAB AUR TAB AURO-EFAVIRENZ 600 MG TABLET ORL TAB AUR TAB AURO-FLUOXETINE 10 MG CAPSULE ORL CAP AUR CAP AURO-LAMIVUDINE/ZIDOVUDINE 150 MG/300 MG TABLET ORL TAB AUR TAB AURO-MELOXICAM 15 MG TABLET ORL TAB AUR TAB AURO-MELOXICAM 7.5 MG TABLET ORL TAB AUR TAB AURO-MIRTAZAPINE 15 MG TABLET ORL TAB AUR TAB AURO-MIRTAZAPINE OD 15 MG ORALLY DISINT. TABLET ORL DISNTAB AUR TAB AURO-MIRTAZAPINE OD 30 MG ORALLY DISINT. TABLET ORL DISNTAB AUR TAB AURO-MIRTAZAPINE OD 45 MG ORALLY DISINT. TABLET ORL DISNTAB AUR TAB AURO-NEVIRAPINE 200 MG TABLET ORL TAB AUR TAB AURO-PIOGLITAZONE 15 MG TABLET ORL TAB AUR TAB AURO-PIOGLITAZONE 30 MG TABLET ORL TAB AUR TAB AURO-PIOGLITAZONE 45 MG TABLET ORL TAB AUR TAB AURO-SIMVASTATIN 10 MG TABLET ORL TAB AUR TAB AURO-SIMVASTATIN 20 MG TABLET ORL TAB AUR TAB AURO-SIMVASTATIN 40 MG TABLET ORL TAB AUR TAB AURO-SIMVASTATIN 5 MG TABLET ORL TAB AUR TAB AURO-SIMVASTATIN 80 MG TABLET ORL TAB AUR TAB Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 12 of 106
13 AURO-VALSARTAN 40 MG TABLET ORL TAB AUR TAB AVA-ACEBUTOLOL 100 MG TABLET ORL TAB AVA TAB AVA-ACEBUTOLOL 200 MG TABLET ORL TAB AVA TAB AVA-ACEBUTOLOL 400 MG TABLET ORL TAB AVA TAB AVA-ATENOLOL 25 MG TABLET ORL TAB AVA TAB AVA-AZITHROMYCIN 20 MG/ML ORAL SUSPENSION ORL SUS AVA ML AVA-AZITHROMYCIN 250 MG TABLET ORL TAB AVA TAB AVA-AZITHROMYCIN 40 MG/ML ORAL SUSPENSION ORL SUS AVA ML AVA-BACLOFEN 10 MG TABLET ORL TAB AVA TAB AVA-BACLOFEN 20 MG TABLET ORL TAB AVA TAB AVA-BICALUTAMIDE 50 MG TABLET ORL TAB AVA TAB AVA-BISOPROLOL 10 MG TABLET ORL TAB AVA TAB AVA-BISOPROLOL 5 MG TABLET ORL TAB AVA TAB AVA-BUPROPION SR 100 MG SUSTAINED-RELEASE TABLET ORL SRT AVA TAB AVA-BUPROPION SR 150 MG SUSTAINED-RELEASE TABLET ORL SRT AVA TAB AVA-CARVEDILOL 12.5 MG TABLET ORL TAB AVA TAB AVA-CARVEDILOL 25 MG TABLET ORL TAB AVA TAB AVA-CARVEDILOL MG TABLET ORL TAB AVA TAB AVA-CARVEDILOL 6.25 MG TABLET ORL TAB AVA TAB AVA-CEFPROZIL 25 MG/ML ORAL SUSPENSION ORL SUS AVA ML AVA-CEFPROZIL 250 MG TABLET ORL TAB AVA TAB AVA-CEFPROZIL 50 MG/ML ORAL SUSPENSION ORL SUS AVA ML AVA-CEFPROZIL 500 MG TABLET ORL TAB AVA TAB AVA-CITALOPRAM 10 MG TABLET ORL TAB AVA TAB AVA-CLARITHROMYCIN 250 MG TABLET ORL TAB AVA TAB AVA-CLARITHROMYCIN 500 MG TABLET ORL TAB AVA TAB AVA-CLINDAMYCIN 150 MG CAPSULE ORL CAP AVA CAP AVA-CLINDAMYCIN 300 MG CAPSULE ORL CAP AVA CAP AVA-CLONIDINE MG TABLET ORL TAB AVA TAB AVA-CLONIDINE 0.1 MG TABLET ORL TAB AVA TAB AVA-DICLOFENAC 25 MG ENTERIC-COATED TABLET ORL ECT AVA TAB AVA-DICLOFENAC 50 MG ENTERIC-COATED TABLET ORL ECT AVA TAB AVA-DICLOFENAC SR 100 MG SUSTAINED-RELEASE TABLET ORL SRT AVA TAB AVA-DICLOFENAC SR 75 MG SUSTAINED-RELEASE TABLET ORL SRT AVA TAB AVA-DOMPERIDONE 10 MG TABLET ORL TAB AVA TAB AVA-ENALAPRIL 10 MG TABLET ORL TAB AVA TAB AVA-ENALAPRIL 2.5 MG TABLET ORL TAB AVA TAB Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 13 of 106
14 AVA-ENALAPRIL 20 MG TABLET ORL TAB AVA TAB AVA-ENALAPRIL 5 MG TABLET ORL TAB AVA TAB AVA-FAMOTIDINE 20 MG TABLET ORL TAB AVA TAB AVA-FAMOTIDINE 40 MG TABLET ORL TAB AVA TAB AVA-FENOFIBRATE MICRO 200 MG CAPSULE ORL CAP AVA CAP AVA-FLUOXETINE 20 MG CAPSULE ORL CAP AVA CAP AVA-FLUVOXAMINE 100 MG TABLET ORL TAB AVA TAB AVA-FLUVOXAMINE 50 MG TABLET ORL TAB AVA TAB AVA-FUROSEMIDE 20 MG TABLET ORL TAB AVA TAB AVA-FUROSEMIDE 40 MG TABLET ORL TAB AVA TAB AVA-FUROSEMIDE 80 MG TABLET ORL TAB AVA TAB AVA-GLICLAZIDE 80 MG TABLET ORL TAB AVA TAB AVA-GLYBURIDE 2.5 MG TABLET ORL TAB AVA TAB AVA-GLYBURIDE 5 MG TABLET ORL TAB AVA TAB AVA-HYDROCHLOROTHIAZIDE 25 MG TABLET ORL TAB AVA TAB AVA-HYDROCHLOROTHIAZIDE 50 MG TABLET ORL TAB AVA TAB AVA-IRBESARTAN 150 MG TABLET ORL TAB AVA TAB AVA-IRBESARTAN 300 MG TABLET ORL TAB AVA TAB AVA-IRBESARTAN 75 MG TABLET ORL TAB AVA TAB AVA-IRBESARTAN/HCTZ 150/12.5 MG TABLET ORL TAB AVA TAB AVA-IRBESARTAN/HCTZ 300/12.5 MG TABLET ORL TAB AVA TAB AVA-IRBESARTAN/HCTZ 300/25 MG TABLET ORL TAB AVA TAB AVA-LEVETIRACETAM 250 MG TABLET ORL TAB AVA TAB AVA-LEVETIRACETAM 500 MG TABLET ORL TAB AVA TAB AVA-LEVETIRACETAM 750 MG TABLET ORL TAB AVA TAB AVA-LEVOFLOXACIN 250 MG TABLET ORL TAB AVA TAB AVA-LEVOFLOXACIN 500 MG TABLET ORL TAB AVA TAB AVA-LISINOPRIL HCT 10 MG/12.5 MG TABLET ORL TAB AVA TAB AVA-LISINOPRIL HCT 20 MG/12.5 MG TABLET ORL TAB AVA TAB AVA-LISINOPRIL HCT 20 MG/25 MG TABLET ORL TAB AVA TAB AVA-LOVASTATIN 20 MG TABLET ORL TAB AVA TAB AVA-LOVASTATIN 40 MG TABLET ORL TAB AVA TAB AVA-METFORMIN 500 MG TABLET ORL TAB AVA TAB AVA-METFORMIN 850 MG TABLET ORL TAB AVA TAB AVA-METOPROLOL (TYPE L) 100 MG TABLET ORL TAB AVA TAB AVA-METOPROLOL (TYPE L) 50 MG TABLET ORL TAB AVA TAB AVA-METOPROLOL 100 MG TABLET ORL TAB AVA TAB Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 14 of 106
15 AVA-METOPROLOL 50 MG TABLET ORL TAB AVA TAB AVA-MIRTAZAPINE 30 MG TABLET ORL TAB AVA TAB AVAMYS 27.5 MCG/DOSE NASAL SPRAY NAS SPM GSK DOSE AVA-NAPROXEN 375 MG TABLET ORL TAB AVA TAB AVA-NAPROXEN 500 MG TABLET ORL TAB AVA TAB AVA-NAPROXEN EC 250 MG ENTERIC-COATED TABLET ORL ECT AVA TAB AVA-NAPROXEN EC 375 MG ENTERIC-COATED TABLET ORL ECT AVA TAB AVA-NAPROXEN EC 500 MG ENTERIC-COATED TABLET ORL ECT AVA TAB AVANDAMET 1 MG/500 MG TABLET ORL TAB GSK TAB AVA-NORFLOXACIN 400 MG TABLET ORL TAB AVA TAB AVA-NORTRIPTYLINE 10 MG CAPSULE ORL CAP AVA CAP AVA-NORTRIPTYLINE 25 MG CAPSULE ORL CAP AVA CAP AVA-OLANZAPINE 10 MG TABLET ORL TAB AVA TAB AVA-OLANZAPINE 2.5 MG TABLET ORL TAB AVA TAB AVA-OLANZAPINE 5 MG TABLET ORL TAB AVA TAB AVA-OLANZAPINE 7.5 MG TABLET ORL TAB AVA TAB AVA-PANTOPRAZOLE 40 MG ENTERIC-COATED TABLET ORL ECT AVA TAB AVA-PRAMIPEXOLE 0.25 MG TABLET ORL TAB AVA TAB AVA-PRAMIPEXOLE 1 MG TABLET ORL TAB AVA TAB AVA-PRAMIPEXOLE 1.5 MG TABLET ORL TAB AVA TAB AVA-RAMIPRIL 1.25 MG TABLET ORL CAP/TAB AVA TAB AVA-RAMIPRIL 10 MG TABLET ORL CAP/TAB AVA TAB AVA-RAMIPRIL 2.5 MG TABLET ORL CAP/TAB AVA TAB AVA-RAMIPRIL 5 MG TABLET ORL CAP/TAB AVA TAB AVA-RISEDRONATE 35 MG TABLET ORL TAB AVA TAB AVA-RISPERIDONE 0.25 MG TABLET ORL TAB AVA TAB AVA-RISPERIDONE 0.5 MG TABLET ORL TAB AVA TAB AVA-RISPERIDONE 1 MG TABLET ORL TAB AVA TAB AVA-RISPERIDONE 1 MG/ML ORAL SOLUTION ORL SOL AVA ML AVA-RISPERIDONE 2 MG TABLET ORL TAB AVA TAB AVA-RISPERIDONE 3 MG TABLET ORL TAB AVA TAB AVA-RISPERIDONE 4 MG TABLET ORL TAB AVA TAB AVA-SOTALOL 160 MG TABLET ORL TAB AVA TAB AVA-SOTALOL 80 MG TABLET ORL TAB AVA TAB AVASTIN 25 MG/ML INJECTION INJ DEFAUL HLR ML AVA-SUMATRIPTAN 100 MG TABLET ORL TAB AVA TAB AVA-SUMATRIPTAN 50 MG TABLET ORL TAB AVA TAB Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 15 of 106
16 AVA-TAMSULOSIN CR 0.4 MG EXTENDED-RELEASE TABLET ORL ERT AVA TAB AVA-TOPIRAMATE 100 MG TABLET ORL TAB AVA TAB AVA-TOPIRAMATE 200 MG TABLET ORL TAB AVA TAB AVA-TOPIRAMATE 25 MG TABLET ORL TAB AVA TAB AVA-VALSARTAN 160 MG TABLET ORL TAB AVA TAB AVA-VALSARTAN 320 MG TABLET ORL TAB AVA TAB AVA-VALSARTAN 40 MG TABLET ORL TAB AVA TAB AVA-VALSARTAN 80 MG TABLET ORL TAB AVA TAB AVA-VALSARTAN HCT 160 MG/ 25 MG TABLET ORL TAB AVA TAB AVA-VALSARTAN HCT 160 MG/12.5 MG TABLET ORL TAB AVA TAB AVA-VALSARTAN HCT 320 MG/12.5 MG TABLET ORL TAB AVA TAB AVA-VALSARTAN HCT 320 MG/25 MG TABLET ORL TAB AVA TAB AVA-VALSARTAN HCT 80 MG/12.5 MG TABLET ORL TAB AVA TAB AVAXIM 160 U/0.5 ML INJECTION SYRINGE INJ NDL SFP SYR AVAXIM-PEDIATRIC 80 UNIT/0.5 ML INJECTION SYRINGE INJ NDL SFP SYR AVA-ZOPICLONE 5 MG TABLET ORL TAB AVA TAB AVA-ZOPICLONE 7.5 MG TABLET ORL TAB AVA TAB AVEENO CREAM TOP CRM JJI G AVEENO MOISTURIZING BATH TOP PWR JJI G AVONEX (30 MCG) 6 MILLION IU/VIAL INJECTION INJ DEFAUL BIO VIAL AXIRON 2% TOPICAL SOLUTION TOP SOL LIL ML AZATHIOPRINE 50 MG TABLET ORL TAB SNS TAB AZILECT 0.5 MG TABLET ORL TAB TMP TAB AZILECT 1.0 MG TABLET ORL TAB TMP TAB B COMPLEX 50 TABLET ORL TAB JAM TAB B COMPLEX 75 TABLET ORL TAB JAM TAB B COMPLEX PLUS C TABLET ORL TAB JAM TAB B&C VITAMINS TABLET ORL TAB WBP TAB B MCG TABLET ORL TAB WNP TAB B50 COMPLEX CAPSULE ORL CAP WNP CAP BACID 1 B CAPSULE ORL CAP ERF CAP BACIMYXIN TOPICAL OINTMENT TOP ONT PMS G BACITIN 500 UNIT/G TOPICAL OINTMENT TOP ONT PPH G BACITRACIN 50,000 U/VIAL INJECTION INJ DEFAUL PFI VIAL BACLOFEN 10 MG TABLET ORL TAB PDL TAB BACLOFEN 20 MG TABLET ORL TAB PDL TAB BACTERIOSTATIC SODIUM CHLORIDE 0.9% INJECTION INJ DEFAUL HSP ML Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 16 of 106
17 BALANCED B COMPLEX 100 MG SUSTAINED-RELEASE TABLET ORL SRT PMT TAB BALMINIL CODEINE NIGHT TIME + EXPECTORANT ORL SYR ROG ML BALMINIL DM 3 MG/ML ORAL SYRUP ORL SYR ROG ML BALNETAR 2.5% TOPICAL SOLUTION TOP SOL WSD ML BANZEL 100 MG TABLET ORL TAB EIS TAB BANZEL 200 MG TABLET ORL TAB EIS TAB BANZEL 400 MG TABLET ORL TAB EIS TAB BARRIERE 20% TOPICAL CREAM TOP CRM WSP G BASALJEL 500 MG CAPSULE ORL CAP AUP CAP BAZA CLEANSE & PROTECT 2% TOPICAL LOTION TOP LOT COC ML BCG VACCINE (FREEZE-DRIED) 1 MG INJECTION INJ DEFAUL NNA VIAL B-COMPLEX 100 SUSTAINED-RELEASE TABLET ORL SRT JAM TAB BEANO 150 UNIT TABLET ORL TAB GSK TAB BENADRYL 12.5 MG/5 ML ORAL ELIXIR ORL ELX PDH ML BENADRYL 2% TOPICAL CREAM TOP CRM WLA G BENADRYL 25 MG CAPLET ORL TAB PDH TAB BENADRYL 50 MG CAPSULE ORL CAP PDH CAP BENADRYL ALLERGY JUNIOR STRENGTH CHEWABLE TABLET ORL CTB PDH TAB BENADRYL ALLERGY SINUS HEADACHE CAPLET ORL TAB PDH TAB BENADRYL CHILDREN'S 1.25 MG/ML ORAL LIQUID ORL LIQ PDH ML BENADRYL EXTRA STRENGTH 50 MG CAPLET ORL TAB PDH TAB BENLYSTA 120 MG /VIAL INJECTION INJ DEFAUL GSK VIAL BENLYSTA 400 MG /VIAL INJECTION INJ DEFAUL GSK VIAL BENURYL 500 MG TABLET ORL TAB VCL TAB BENYLIN 2 COLD AND FLU WITH CODEINE ORAL SYRUP ORL SYR PDH ML BENYLIN DM 3 MG/ML ORAL SYRUP ORL SYR WLA ML BENYLIN DM FOR CHILDREN 1.5 MG/ML ORAL SYRUP ORL SYR WLA ML BENYLIN DM FREEZER POPS 7.5 MG/ PACKET ORAL LIQUID ORL LIQ PDH PCKT BENYLIN DM-D FOR CHILDREN ORAL SYRUP ORL SYR WWA ML BENYLIN DM-D ORAL SYRUP ORL SYR PDH ML BENYLIN DM-D-E EXTRA STRENGTH ORAL SYRUP ORL SYR PDH ML BENYLIN DM-D-E ORAL SYRUP ORL SYR PDH ML BENYLIN DM-E ORAL SYRUP ORL SYR WLA ML BENYLIN E EXTRA STR W/ MENTHACTIN 40/3MG/ML SYR ORL SYR PDH ML BENZAC AC 10% TOPICAL COPOLYMER GEL TOP COPGEL GAL G BENZAC AC 5% TOPICAL COPLYMER GEL TOP COPGEL GAL G BENZAC W10 10% TOPICAL WASH TOP WAS GAL G Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 17 of 106
18 BENZAC W5 5% TOPICAL WASH TOP WAS GAL G BENZAC W5 5% TOPICAL WATER GEL TOP WTRGEL GAL G BENZAGEL 5 5% WASH TOP WAS NVC ML BENZAMYCIN TOPICAL GEL TOP GEL VCL G BESIVANCE 0.6% OPHTHALMIC SOLUTION OPH SOL BSH ML BETADERM 0.1% SCALP LOTION SCP LOT TAR ML BETADINE 10% TOPICAL SOLUTION TOP SOL PUR ML BETADINE SURGICAL SCRUB 7.5% TOPICAL SOLUTION TOP SOL PUR ML BETAJECT INJECTION INJ DEFAUL SDZ ML BEXSERO SUSPENSION 0.5 ML SYRINGE INJECTION INJ NDL NOV SYR BIACNA 1.2%/0.025% TOPICAL GEL TOP GEL VCL G BICALUTAMIDE 50 MG TABLET ORL TAB SIV TAB BICILLIN L-A 1,200,000 IU/2 ML INJ SYR INJ NDL KNG SYR BICNU 100 MG/VIAL INJECTION INJ DEFAUL BMS VIAL BILTRICIDE 600 MG TABLET ORL TAB BAI TAB BIODERM TOPICAL OINTMENT TOP ONT ODN G BIO-FUROSEMIDE 20 MG TABLET ORL TAB BMD TAB BIO-FUROSEMIDE 40 MG TABLET ORL TAB BMD TAB BIOGAIA DROPS ORL DPS FEI ML BIO-HYDROCHLOROTHIAZIDE 25 MG TABLET ORL TAB PMS TAB BIO-HYDROCHLOROTHIAZIDE 50 MG TABLET ORL TAB PMS TAB BIOMEDIC MULTIVITAMIN ORL CAP VTH CAP BION TEARS OPH SOLUTION OPH SOL ALC ML BIONET TABLET ORL TAB CHD TAB BIONUTRITION FORMULA 3 CAPSULE ORL CAP BNI CAP BIOTENE ORAL BALANCE GEL ORL GEL GSK G BIOTENE ORAL RINSE ORL MWH GSK ML BIOTENE SPRAY ORL SPR GSK ML BIOTIN 250 MCG TABLET ORL TAB JAM TAB BI-PEGLYTE KIT ORL ECT/PWR PPH KIT BIPHENTIN 10 MG CONTROLLED-RELEASE CAPSULE ORL CRC PUR CAP BIPHENTIN 15 MG CONTROLLED-RELEASE CAPSULE ORL CRC PUR CAP BIPHENTIN 20 MG CONTROLLED-RELEASE CAPSULE ORL CRC PUR CAP BIPHENTIN 30 MG CONTROLLED-RELEASE CAPSULE ORL CRC PUR CAP BIPHENTIN 40 MG CONTROLLED-RELEASE CAPSULE ORL CRC PUR CAP BIPHENTIN 50 MG CONTROLLED-RELEASE CAPSULE ORL CRC PUR CAP BIPHENTIN 60 MG CONTROLLED-RELEASE CAPSULE ORL CRC PUR CAP Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 18 of 106
19 BIPHENTIN 80 MG CONTROLLED-RELEASE CAPSULE ORL CRC PUR CAP BISACODYL 10 MG RECTAL SUPPOSITORY RT SUP JPC SUP BISACODYL-ODAN 5 MGENTERIC-COATED TABLET ORL ECT ODN TAB BLEOMYCIN SULFATE 15 UNIT/VIAL INJECTION INJ DEFAUL MNP VIAL BONAMINE 25 MG CHEWABLE TABLET ORL CTB JJM TAB BOOSTRIX INJECTION SYRINGE INJ DEFAUL GSK SYR BRAVELLE 75 UNIT/VIAL POWDER FOR INJECTION INJ DEFAUL FEI VIAL BREO ELLIPTA 100 MCG/25 MCG POWDER FOR INHALATION INH MIP GSK DOSE BROMAZEPAM 3 MG TABLET ORL TAB PDL TAB BROMAZEPAM 6 MG TABLET ORL TAB PDL TAB BRONCHOPHAN FORTE DM ORAL SYRUP ORL SYR ATL ML BSS BALANCED SALT OPH SOLUTION OPH SOL ALC ML BUCKLEY'S DM ORAL LIQUID ORL LIQ BUA ML BUGS BUNNY AND FRIENDS COMPLETE MULTI VIT CHEW TAB ORL CTB BIC TAB BUGS BUNNY AND FRIENDS COMPLETE MULTI VIT CHEW TAB ORL CTB BIC TAB BUPROPION SR 100 MG SUSTAINED-RELEASE TABLET ORL SRT PDL TAB BURINEX 1 MG TABLET ORL TAB LEO TAB BURINEX 5 MG TABLET ORL TAB LEO TAB BURO-SOL OTIC SOLUTION OT SOL TCD ML BURO-SOL TOPICAL POWDER TOP PWR TCD G BUSPIRONE 10 MG TABLET ORL TAB PDL TAB BUTRANS 10 (10 MCG/HR) TRANSDERMAL PATCH TRD PTH PUR PTH BUTRANS 20 (20 MCG/HR) TRANSDERMAL PATCH TRD PTH PUR PTH BUTRANS 5 (5 MCG/HR) TRANSDERMAL PATCH TRD PTH PUR PTH BYETTA 10 MCG/DOSE (2.4 ML) INJECTION SYRINGE INJ NDL AZC SYR BYETTA 5 MCG/DOSE (1.2 ML) INJECTION SYRINGE INJ NDL AZC SYR BYSTOLIC 10 MG TABLET ORL TAB FLC TAB BYSTOLIC 2.5 MG TABLET ORL TAB FLC TAB BYSTOLIC 20 MG TABLET ORL TAB FLC TAB BYSTOLIC 5 MG TABLET ORL TAB FLC TAB C.E.S MG TABLET ORL TAB VCL TAB CADUET 10 MG/10 MG TABLET ORL TAB PFI TAB CADUET 10 MG/20 MG TABLET ORL TAB PFI TAB CADUET 10 MG/40 MG TABLET ORL TAB PFI TAB CADUET 10 MG/80 MG TABLET ORL TAB PFI TAB CADUET 5 MG/10 MG TABLET ORL TAB PFI TAB CADUET 5 MG/20 MG TABLET ORL TAB PFI TAB Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 19 of 106
20 CADUET 5 MG/40 MG TABLET ORL TAB PFI TAB CADUET 5 MG/80 MG TABLET ORL TAB PFI TAB CAELYX 2 MG/ML PEGYLATED LIPOSOME INJECTION INJ DEFAUL SCH ML CAFERGOT TABLET ORL TAB NOV TAB CAL MAG 2:1 WITH D TABLET ORL TAB WNP TAB CALCIUM & MAGNESIUM WITH VITAMIN D CAPSULE ORL CAP SIS CAP CALCIUM (CARBONATE) W/ VITAMIN D 500 MG/125 U TAB ORL TAB WNP TAB CALCIUM 500 MG TABLET ORL TAB PMT TAB CALCIUM 500 MG TABLET ORL TAB HAL TAB CALCIUM 500 MG TABLET ORL TAB WNP TAB CALCIUM 500 MG TABLET ORL TAB WNP TAB CALCIUM 650 MG TABLET ORL TAB JAM TAB CALCIUM 650 MG TABLET ORL TAB PMT TAB CALCIUM 650 MG WITH VITAMIN D 400 IU CAPLET ORL TAB HHC TAB CALCIUM AND MAGNESIUM CAPLET ORL TAB JAM TAB CALCIUM AND MAGNESIUM CITRATE WITH VITAMIN D TAB ORL TAB WNP TAB CALCIUM AND MAGNESIUM TABLET ORL TAB GFR TAB CALCIUM AND MAGNESIUM WITH VITAMIN D TAB ORL TAB PMT TAB CALCIUM AND MAGNESIUM WITH ZINC CAPLET ORL TAB JAM TAB CALCIUM BONE SOLUTION ORL LIQ ULT ML CALCIUM CARBONATE & VITAMIN D3 500 MG/125 U TABLET ORL TAB PMT TAB CALCIUM CARBONATE 500 MG (BASE) TABLET ORL TAB WBP TAB CALCIUM CARBONATE 500 MG CHEWABLE TABLET ORL CTB WAM TAB CALCIUM CITRATE 300 MG TABLET ORL TAB WNP TAB CALCIUM CITRATE 300 MG TABLET ORL TAB PMT TAB CALCIUM CITRATE 350 MG TABLET ORL TAB SWS TAB CALCIUM CITRATE WITH VITAMIN D TABLET ORL TAB WNP TAB CALCIUM CITRATE WITH VITAMIN D TABLET ORL TAB JAM TAB CALCIUM GLUCONATE 94 MG/ML INJECTION INJ DEFAUL PPC ML CALCIUM MAGNESIUM WITH VITAMIN D CAPLET ORL TAB JAM TAB CALCIUM MAGNESIUM WITH VITAMIN D TABLET ORL TAB JAM TAB CALCIUM SOFT CHEWS WITH VITAMIN D ORL CAP JAM CAP CAL-MAG WITH ZINC & VITAMIN D CAPLET ORL TAB SWS TAB CALMOSEPTINE OINTMENT TOP ONT CAL G CALMYLIN ACE 2 MG/ML SYRUP ORL SYR RPH ML CALMYLIN WITH CODEINE COUGH ORAL LIQUID ORL LIQ RPH ML CALMYLIN WITH CODEINE ORAL SYRUP ORL SYR ROG ML Pricing is applicable to a Drug Product regardless of the package size for each Drug Product. Pg 20 of 106
Products and Pricing on the Alberta Blue Cross Drug Price List (ABCDPL) Effective February 13, 2015
00002192691 3TC 10 MG/ML ORAL LIQUID ORL LIQ GSK ML 0.3375 00002192683 3TC 150 MG TABLET ORL TAB GSK TAB 5.2548 00002247825 3TC 300 MG TABLET ORL TAB GSK TAB 10.3970 00002162113 5 BENZAGEL 5% TOPICAL (ALCOHOL)
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