Summary of Changes to the Alberta Human Services Drug Benefit Supplement

Size: px
Start display at page:

Download "Summary of Changes to the Alberta Human Services Drug Benefit Supplement"

Transcription

1 Summary of Changes to the Alberta Human Services Drug Benefit Supplement Effective April 1, 2012

2 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross Street NW Edmonton AB T5J 3C5 Telephone Number: (780) (Edmonton) (403) (Calgary) (Toll Free) FAX Number: (780) (Toll Free) 109BWebsite: HUhttp:// Administered by Alberta Blue Cross on behalf of Alberta Health and Wellness. The Drug Benefit List (DBL) is a list of drugs for which coverage may be provided to program participants. The DBL is not intended to be, and must not be used as a diagnostic or prescribing tool. Inclusion of a drug on the DBL does not mean or imply that the drug is fit or effective for any specific purpose. Prescribing professionals must always use their professional judgment and should refer to product monographs and any applicable practice guidelines when prescribing drugs. The product monograph contains information that may be required for the safe and effective use of the product. Copies of the Alberta Health and Wellness Drug Benefit List are available from Pharmacy Services, Alberta Blue Cross at the address shown above. Binder and contents: $42.00 ($ $2.00 G.S.T.) Contents only: $36.75 ($ $1.75 G.S.T.) A cheque or money order must accompany the request for copies. ABC 40211/81160 (R2012/04)

3 Table of Contents Special Authorization... 1 Discontinued Special Authorization Drug Product(s)... 1 Product(s) Removed from the HSDBS as Price Policy Requirements Not Satisfied... 1 Please review the Alberta Health and Wellness Drug Benefit List in addition to this Summary of Changes EFFECTIVE APRIL 1, 2012

4 Special Authorization The following drug products will be considered for coverage by special authorization for patients covered under Alberta Health and Wellness government-sponsored drug programs. Criteria for coverage of Alberta Human Services, Alberta Children s Services and Alberta Seniors (AISH) clients can be found in the April 1, 2012 Summary of Changes section of the Alberta Human Services Drug Benefit Supplement. Discontinued Special Authorization Drug Product(s) The following drug product(s) previously available by special authorization have been discontinued. No new requests or requests for renewal will be approved effective April 1, FOSAMAX 10 MG TABLET ALENDRONATE SODIUM MFC KETEK 400 MG TABLET TELITHROMYCIN SAV PANOXYL 10 % TOPICAL BAR BENZOYL PEROXIDE GSK PEGASYS RBV (KIT) 180 MCG / 200 MG INJECTION VIAL/TABLET PEGETRON (KIT) 100 MCG / 200 MG INJECTION VIAL/CAPSULE PEGINTERFERON ALFA-2A/ RIBAVIRIN PEGINTERFERON ALFA-2B/ RIBAVIRIN HLR MFC STIEVA-A % TOPICAL SOLUTION TRETINOIN GSK Product(s) Removed from the HSDBS as Price Policy Requirements Not Satisfied The Alberta government-sponsored drug programs previously covered the following drug product(s). Effective April 1, 2012, the listed product(s) will no longer be a benefit and will not be considered for coverage by special authorization. A transition period will be applied and, as of April 30, 2012, claims will no longer pay for these products. ALLERNIX 2.5 MG / ML ORAL ELIXIR DIPHENHYDRAMINE HCL ROG ATASOL FORTE 500 MG TABLET ACETAMINOPHEN CHD CHILDREN'S MOTRIN 20 MG / ML ORAL SUSPENSION CHILDREN'S ADVIL 20 MG / ML ORAL SUSPENSION CHILDRENS TYLENOL 80 MG CHEWABLE TABLET IBUPROFEN MCL IBUPROFEN WCH ACETAMINOPHEN MCL DIMETAPP COLD 0.4 MG / ML / 1 MG / ML ORAL LIQUID BROMPHENIRAMINE MALEATE/ PHENYLEPHRINE HCL WCH GRAVOL 15 MG CHEWABLE TABLET DIMENHYDRINATE CHD GRAVOL 3 MG / ML ORAL SYRUP DIMENHYDRINATE CHD EFFECTIVE APRIL 1,

5 Product(s) Removed from the HSDBS as Price Policy Requirements Not Satisfied, continued GRAVOL 50 MG TABLET DIMENHYDRINATE CHD GRAVOL 25 MG RECTAL SUPPOSITORY GRAVOL ADULT 100 MG RECTAL SUPPOSITORY DIMENHYDRINATE CHD DIMENHYDRINATE CHD IMODIUM (CAPLET) 2 MG TABLET LOPERAMIDE HCL MCL IMODIUM 0.13 MG / ML ORAL SOLUTION LOPERAMIDE HCL MCL MONISTAT 7 2% VAGINAL CREAM MCL MONISTAT 3 4% VAGINAL CREAM MCL MONISTAT MG VAGINAL OVULE MONISTAT 1 1,200 MG VAGINAL OVULE MCL MCL MONISTAT 7 DUAL-PAK 100 MG / 2 % VAGINAL/TOPICAL MONISTAT 3 DUAL-PAK 400 MG / 2 % VAGINAL/TOPICAL MONISTAT-1 COMBINATION PACK 1,200 MG / 2 % VAGINAL/TOPICAL MCL MCL MCL OVOL 40 MG / ML ORAL DROPS SIMETHICONE CHD REACTINE 1 MG / ML ORAL SYRUP CETIRIZINE HCL JJM ROBITUSSIN CHILDRENS COUGH AND COLD 1.5 MG / ML / 3 MG / ML ORAL LIQUID DEXTROMETHORPHAN HBR/ PSEUDOEPHEDRINE HCL WCH TYLENOL EXT STR (CAPLET) 500 MG TABLET ACETAMINOPHEN MCL TYLENOL EXTRA STRENGTH 500 MG TABLET ACETAMINOPHEN MCL 2 EFFECTIVE APRIL 1, 2012

Summary of Changes to the Alberta Human Services Drug Benefit Supplement

Summary of Changes to the Alberta Human Services Drug Benefit Supplement Summary of Changes to the Alberta Human Services Drug Benefit Supplement Effective April 1, 2018 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J

More information

Updates to the Alberta Drug Benefit List. Effective August 1, 2018

Updates to the Alberta Drug Benefit List. Effective August 1, 2018 Updates to the Alberta Drug Benefit List Effective August 1, 2018 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780) 498-8370

More information

Updates to the Alberta Drug Benefit List. Effective September 1, 2018

Updates to the Alberta Drug Benefit List. Effective September 1, 2018 Updates to the Alberta Drug Benefit List Effective September 1, 2018 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780)

More information

Updates to the Alberta Drug Benefit List. Effective November 1, 2018

Updates to the Alberta Drug Benefit List. Effective November 1, 2018 Updates to the Alberta Drug Benefit List Effective November 1, 2018 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780)

More information

Palliative Coverage Drug Benefit Supplement

Palliative Coverage Drug Benefit Supplement Palliative Coverage Drug Benefit Supplement Effective April 1, 2017 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780)

More information

Updates to the Alberta Drug Benefit List. Effective August 1, 2017

Updates to the Alberta Drug Benefit List. Effective August 1, 2017 Updates to the Alberta Drug Benefit List Effective August 1, 2017 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780) 498-8370

More information

Updates to the Alberta Drug Benefit List. Effective January 1, 2018

Updates to the Alberta Drug Benefit List. Effective January 1, 2018 Updates to the Alberta Drug Benefit List Effective January 1, 2018 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780)

More information

Updates to the Alberta Human Services Drug Benefit Supplement

Updates to the Alberta Human Services Drug Benefit Supplement Updates to the Alberta Human Services Drug Benefit Supplement Effective December 9, 2013 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone

More information

Updates to the Alberta Drug Benefit List. Effective July 1, 2018

Updates to the Alberta Drug Benefit List. Effective July 1, 2018 Updates to the Alberta Drug Benefit List Effective July 1, 2018 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780) 498-8370

More information

Office of Medicaid Policy and Planning Over-the-Counter Drug Formulary ANALGESICS ANTACIDS ANTI-FLATULENTS

Office of Medicaid Policy and Planning Over-the-Counter Drug Formulary ANALGESICS ANTACIDS ANTI-FLATULENTS Acetaminophen 80mg/0.8mL Suspension Drops Acetaminophen 120mg Suppository Acetaminophen 160mg/5mL Suspension Acetaminophen 325mg Suppository Acetaminophen 325mg Tablet, Caplet, or Capsule Acetaminophen

More information

Palliative Care Drug Benefit Supplement

Palliative Care Drug Benefit Supplement Palliative Care Drug Benefit Supplement Effective April 1, 2007 Inquiries Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number:

More information

Family Self-Care and Over the Counter Medications Program. Sponsored by: FAHC Department of Pharmacy

Family Self-Care and Over the Counter Medications Program. Sponsored by: FAHC Department of Pharmacy Family Self-Care and Over the Counter Medications Program Sponsored by: FAHC Department of Pharmacy What are Over the Counter Medications? Nonprescription medications and products Often referred to as

More information

Updates to the Alberta Drug Benefit List. Effective February 1, 2018

Updates to the Alberta Drug Benefit List. Effective February 1, 2018 Updates to the Alberta Drug Benefit List Effective February 1, 2018 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780)

More information

Acetaminophen 500 mg Diphenhydramine HCl 25 mg. Pain Reliever, Nighttime Sleep Aid. counts: 24 Compare to Tylenol Simply Sleep. Naproxen Sodium 220 mg

Acetaminophen 500 mg Diphenhydramine HCl 25 mg. Pain Reliever, Nighttime Sleep Aid. counts: 24 Compare to Tylenol Simply Sleep. Naproxen Sodium 220 mg ANALGESICS Aspirin 81 mg Analgesic Diphenhydramine HCl 25 mg Pain Reliever, Nighttime Ibuprofen USP 200 mg counts: 60, 300(b/o) Compare to Aspirin Regimen Bayer 81 mg counts: 24 Compare to Tylenol Simply

More information

Updates to the Alberta Drug Benefit List. Effective July 1, 2017

Updates to the Alberta Drug Benefit List. Effective July 1, 2017 Updates to the Alberta Drug Benefit List Effective July 1, 2017 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780) 498-8370

More information

Student Medical Contact and Emergency Information ALL students annually (included in enrollment packet)

Student Medical Contact and Emergency Information ALL students annually (included in enrollment packet) 2014-2015 Student Medical Contact and Emergency Information ALL students annually (included in enrollment packet) Student s Legal Name: Date of Birth (mm/dd/yyyy): Grade: Persons will be contacted in order

More information

HYDROCODONE BITARTRATE AND ACETAMINOPHEN COUGH SYRUP

HYDROCODONE BITARTRATE AND ACETAMINOPHEN COUGH SYRUP HYDROCODONE BITARTRATE AND ACETAMINOPHEN COUGH SYRUP page 1/5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 acetaminophen with liver cancer How long after taking naproxen can i take acetaminophen

More information

All Pharmacy Providers and Prescribing Practitioners. Subject: Updated and Revised Over-the-Counter Drug Formulary

All Pharmacy Providers and Prescribing Practitioners. Subject: Updated and Revised Over-the-Counter Drug Formulary Indiana Health Coverage Pros P R O V I D E R B U L L E T I N B T 2 0 0 3 5 8 A U G U S T 2 8, 2 0 0 3 To: All Pharmacy Providers and Prescribing Practitioners Subject: Overview Note: The information referenced

More information

Pharmacy Providers and Prescribing Physicians. Updated Over-the-Counter Drug Formulary

Pharmacy Providers and Prescribing Physicians. Updated Over-the-Counter Drug Formulary P R O V I D E R B U L L E T I N BT200150 DECEMBER 12, 2001 To: Subject: Pharmacy Providers and Prescribing Physicians Note: The information in this bulletin is not directed to those providers rendering

More information

Excellence in Care: Over-the-Counter Drugs Update Emphasis on Pediatrics 2012

Excellence in Care: Over-the-Counter Drugs Update Emphasis on Pediatrics 2012 Excellence in Care: Over-the-Counter Drugs Update Emphasis on Pediatrics 2012 Renee Acosta, RPh INDEPENDENT STUDY Health Professions Institute Continuing Education Austin Community College The Austin Community

More information

Updates to the Alberta Drug Benefit List. Effective December 1, 2018

Updates to the Alberta Drug Benefit List. Effective December 1, 2018 Updates to the Alberta Drug Benefit List Effective December 1, 2018 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780)

More information

Sponsored by: BACH Department of Pharmacy BACH Preventative Medicine Service

Sponsored by: BACH Department of Pharmacy BACH Preventative Medicine Service Sponsored by: BACH Department of Pharmacy BACH Preventative Medicine Service Also called over-the-counter (OTC) Available without a doctor s prescription For Tricare Beneficiaries Only Do not assume that

More information

Updates to the Alberta Drug Benefit List. Effective August 1, 2014

Updates to the Alberta Drug Benefit List. Effective August 1, 2014 Updates to the Alberta Drug Benefit List Effective August 1, 2014 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780) 498-8370

More information

Healthy Resolutions ABREVA Cold Sore/Fever Blister Treatment On The Go Cream 2 g. Additional select Tylenol Cold items where available

Healthy Resolutions ABREVA Cold Sore/Fever Blister Treatment On The Go Cream 2 g. Additional select Tylenol Cold items where available January SALE! Caring, Knowledgeable Pharmacy Professionals! 100 S. Main St. Suite 104 Smyrna, DE 19977 302-653-9355 Monday - Friday: 8am-8pm Sat: 9am-4pm Sun: 11am-4pm 118 Sandhill Dr. Suite 101 Middletown,

More information

CAN YOU TAKE ACETAMINOPHEN WITH COUGH SYRUP

CAN YOU TAKE ACETAMINOPHEN WITH COUGH SYRUP CAN YOU TAKE ACETAMINOPHEN WITH COUGH SYRUP Can You Take Acetaminophen With Cough Syrup Vicodin without acetaminophen new rules Acetaminophen with sleep aid Different forms of acetaminophen Danger of expired

More information

OTC DRUGS' LIST. No Drug Name Dosage Form Route of Admin ATC Code Description Date

OTC DRUGS' LIST. No Drug Name Dosage Form Route of Admin ATC Code Description Date فهرست داروهاي OTC OTC DRUGS' LIST تاريخ توضيحات دسته دارو راه مصرف شكل دارويي نام دارو رديف No Drug Name Dosage Form Route of Admin ATC Code Description Date ١ ٢ ٣ ۴ ۵ ۶ ٧ ٨ ٩ ١٠ ١١ ١٢ ١٣ ١۴ A.C.A* TABLET

More information

Health Partners Medicare Special (HMO SNP) Approved Over-the-Counter (OTC) Medication List

Health Partners Medicare Special (HMO SNP) Approved Over-the-Counter (OTC) Medication List Health Partners Medicare Special (HMO SNP) Approved Over-the-Counter (OTC) Medication List The following OTC items are approved for the Health Partners Medicare Special plan. Members enrolled in Health

More information

STREET PRICE FOR TYLENOL 3 WITH CODEINE

STREET PRICE FOR TYLENOL 3 WITH CODEINE STREET PRICE FOR TYLENOL 3 WITH CODEINE Street Price For Tylenol 3 With Codeine Can you spell codeine with paracetamol over the counter medicine Prescription drugs with codeine How to get prescribed codeine

More information

Holiday Savings. TYLENOL Sinus Congestion & Pain Severe Caplets, 24 Count. Additional select Tylenol Cold or Sinus & Sudafed items where available

Holiday Savings. TYLENOL Sinus Congestion & Pain Severe Caplets, 24 Count. Additional select Tylenol Cold or Sinus & Sudafed items where available December SALE! Grassy Sprain 640 Tuckahoe Rd., Yonkers (Opposite Roosevelt H.S.) Phone: 914-779-5133 Fax: 914-779-8202 www.grassysprainpharmacy.com FREE LOCAL DELIVERY Lemac 623 McLean Ave., Yonkers (Opposite

More information

HealthStuff TM More of the stuff you want

HealthStuff TM More of the stuff you want 2010 HealthStuff TM More of the stuff you want 31296 M0012_NA010065_WCM_OTC_ENG WellCare 2010 HI_12_09 HI_OTC_ENG_10065_1209 Getting your HealthStuff is EASY Welcome to HealthStuff! With HealthStuff, you

More information

HOW TO USE THE FORMULARY

HOW TO USE THE FORMULARY INTRODUCTION The information contained in the Willamette Valley Community Health (WVCH) WRAP/D-Excluded Formulary and its appendices is provided solely for the convenience of medical providers. WVCH does

More information

Important Pharmacy Information

Important Pharmacy Information Important Pharmacy Information There is no copay when your Primary Care Provider (PCP) or UnitedHealthcare Community Plan Specialist writes you a covered prescription. But you can get many over-the-counter

More information

Alberta Human Services Drug Benefit Supplement

Alberta Human Services Drug Benefit Supplement Alberta Human Services Drug Benefit Supplement Effective April 1, 2012 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton, AB T5J 3C5 Telephone Number: (780)

More information

Technician Training Tutorial: OTC Cough and Cold Products (Full update October 2011)

Technician Training Tutorial: OTC Cough and Cold Products (Full update October 2011) (Page 1 of 6) Technician Training Tutorial: OTC Cough and Cold Products (Full update October 2011) Billions of dollars are spent each year on products for the treatment of cold symptoms such as coughing,

More information

Health Partners Medicare Special (HMO SNP) Approved Over-the-Counter (OTC) Medication List

Health Partners Medicare Special (HMO SNP) Approved Over-the-Counter (OTC) Medication List Health Partners Medicare Special (HMO SNP) Approved Over-the-Counter (OTC) Medication List The following OTC items are approved for the Health Partners Medicare Special plan. Members enrolled in Health

More information

A BULLETIN FOR PHARMACY SERVICE PROVIDERS FROM ALBERTA BLUE CROSS. Pan-Canadian Select Molecule Price Initiative for Generic Drugs

A BULLETIN FOR PHARMACY SERVICE PROVIDERS FROM ALBERTA BLUE CROSS. Pan-Canadian Select Molecule Price Initiative for Generic Drugs Pharmacy Benefact A BULLETIN FOR PHARMACY SERVICE PROVIDERS FROM ALBERTA BLUE CROSS Number 723 February 2018 Pan-Canadian Select Molecule Price Initiative for Generic Drugs Alberta Drug Benefit List prices

More information

WellCare s South Carolina Preferred Drug List Update

WellCare s South Carolina Preferred Drug List Update WellCare s South Carolina Preferred Drug List Update This is a list of changes to our preferred drug list. These are a result of the latest WellCare Pharmacy & Therapeutics meeting held on 09/03/2015.

More information

Updates to the Alberta Drug Benefit List. Effective May 1, 2018

Updates to the Alberta Drug Benefit List. Effective May 1, 2018 Updates to the Alberta Drug Benefit List Effective May 1, 2018 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780) 498-8370

More information

2015 Product Catalog. Phone: Fax: McCullough Drive, New Castle, DE

2015 Product Catalog. Phone: Fax: McCullough Drive, New Castle, DE 2015 Product Catalog Phone: 302-328-3355 Fax: 302-328-6968 50 McCullough Drive, New Castle, DE 19720 www.marlexpharm.com Phone: 302-328-3355 Fax: 302-328-6968 At Marlex Pharmaceuticals we are dedicated

More information

2019 CHP+/MEDICAID CHOICE OVER-THE-COUNTER (OTC) LIST

2019 CHP+/MEDICAID CHOICE OVER-THE-COUNTER (OTC) LIST 2019 CHP+/MEDICAID CHOICE OVER-THE-COUNTER (OTC) LIST Note: Prescriptions for OTCs must be written by a Denver Health provider and filled at a Denver Health Pharmacy ACETAMINOPHEN ALCOHOL ANTISEPTIC PADS

More information

2018 CHP+/MEDICAID CHOICE OVER-THE-COUNTER (OTC) LIST

2018 CHP+/MEDICAID CHOICE OVER-THE-COUNTER (OTC) LIST 2018 CHP+/MEDICAID CHOICE OVER-THE-COUNTER (OTC) LIST Note: Prescriptions for OTCs must be written by a Denver Health provider and filled at a Denver Health Pharmacy Drug Name Strength Dosage Form 80mg-160mg,

More information

How to save money this winter when buying over-thecounter

How to save money this winter when buying over-thecounter D. Gary Benfield, M.D. How to save money this winter when buying over-thecounter drugs Now that the winter cold and flu season is here, let s look at ways to get the best bang for your buck when buying

More information

Over The Counter (OTC) Self-Care Class. Dwight David Eisenhower Army Medical Center

Over The Counter (OTC) Self-Care Class. Dwight David Eisenhower Army Medical Center Over The Counter (OTC) Self-Care Class Dwight David Eisenhower Army Medical Center Introduction to Health and Self-Care Over 70% of all medical appointments and Emergency Room visits for new problems may

More information

Managing Your OTC Medications. A Pharmacy Guide to Self- Care

Managing Your OTC Medications. A Pharmacy Guide to Self- Care Managing Your OTC Medications A Pharmacy Guide to Self- Care An ounce of prevention... Regular exercise Low-fat/highfiber diet Moderate alcohol consumption Stop smoking! Get plenty of rest Watch your

More information

PAIN KILLERS WITHOUT ACETAMINOPHEN

PAIN KILLERS WITHOUT ACETAMINOPHEN PAIN KILLERS WITHOUT ACETAMINOPHEN Pain Killers Without Acetaminophen Junior acetaminophen dosage chart Acetaminophen ez tab 500mg List of narcotic pain relievers without acetaminophen Alternating ibuprofen

More information

Medications to Reduce the Risk of HIV Infection

Medications to Reduce the Risk of HIV Infection Medications to Reduce the Risk of HIV Infection INFORMATION ABOUT EARLY DRUG TREATMENT AFTER CONTACT WITH BLOOD OR BODY FLUIDS AUGUST 2018 THERE ARE MEDICATIONS (medicines) that you should take soon after

More information

PRODUCT LIST GENERAL - TABLETS

PRODUCT LIST GENERAL - TABLETS SR. NO. PRODUCT LIST GENERAL - TABLETS 1 Ciprofloxacin Tablets IP 500 mg 2 Ciprofloxacin And Tinidazole Tablets 3 Cefpodoxime Proxetil Tablets IP 4 Cefixime Dispersible Tablets 200 mg 5 Cefixime Dispersible

More information

Alberta Employment and Immigration Drug Benefit Supplement

Alberta Employment and Immigration Drug Benefit Supplement Alberta Employment and Immigration Drug Benefit Supplement Effective October 1, 2009 Inquiries Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton, AB T5J

More information

How to Order: Keep this catalog. You will need this to look up the Health and Wellness products you want to order each month.

How to Order: Keep this catalog. You will need this to look up the Health and Wellness products you want to order each month. Did you know that depending on your current Humana plan, you may be able to purchase Health and Wellness products from the RightSource mail-order pharmacy? Call RightSource at 1-855-211-8370 (TTY: 711)

More information

Summer Sizzlers. HEAD & SHOULDERS Shampoo, or 2 IN 1 Assorted Styles and Fragrances 14.2 oz. Assortment varies by location. Depend

Summer Sizzlers. HEAD & SHOULDERS Shampoo, or 2 IN 1 Assorted Styles and Fragrances 14.2 oz. Assortment varies by location. Depend THE DRUG STORE 1112 S. Stephenson Ave. Iron Mountain, MI 49801 Phone: (906) 774-3654 Fax: (906) 774-1044 Hours: Mon-Fri 8am-9pm Sat 9am-5pm Sun 10am-5pm NORWAY PHARMACY 514 Main Street Norway, MI 49870

More information

Over-the-Counter (OTC) Items. Benefit

Over-the-Counter (OTC) Items. Benefit Over-the-Counter (OTC) Items Benefit Get up to $180 in FREE over the counter (OTC) items each year! That s $15 each month! Para solicitar este documento en español o para escuchar la traducción, llame

More information

The Salvation Army Homestead

The Salvation Army Homestead The Salvation Army Homestead 975 West 57th Avenue Vancouver BC V6P 1S4 www.vancouverhomestead.ca Telephone: (604) 266 9696 Fax: (604) 266 7401 Email:homesteadintake@yahoo.ca I.L.U. Application Facilities

More information

Fall Savings. CHILDREN S MUCINEX Assorted Varieties Syrup, 4 oz or Mini-melts, 12 Count. Assortment varies by location. Assortment varies by location

Fall Savings. CHILDREN S MUCINEX Assorted Varieties Syrup, 4 oz or Mini-melts, 12 Count. Assortment varies by location. Assortment varies by location September SALE! Fall Savings Save With Brand! Hot Deal! PAIN RELIEF 500 mg Acetaminophen Extra Strength Caplets, 100 Count BUY ONE GET ONE FREE CHILDREN S MUCINEX Syrup, 4 oz Mini-melts, 12 Count 6 99

More information

ADDITIONAL DRUG LISTING FOR MEDICARE & MEDI-CAL MEMBERS

ADDITIONAL DRUG LISTING FOR MEDICARE & MEDI-CAL MEMBERS MEDICARE & MEDICAL MEMBERS! Please read carefully! The following pages include additional drugs which may be covered for you with your doctor s prescription by MediCal (Medicaid). These drugs CANNOT be

More information

Case Study Activity: Strategies to Support the Safe Use of Acetaminophen

Case Study Activity: Strategies to Support the Safe Use of Acetaminophen Case Study Activity: Strategies to Support the Safe Use of Acetaminophen Case 2: Educating Patients to Safely Administer Acetaminophen-Containing Products to Children Activity Preview Acetaminophen is

More information

St. Louis Public School District PARENT PERMISSION FOR THE ADMINISTRATION OF OVER-THE- COUNTER MEDICATION

St. Louis Public School District PARENT PERMISSION FOR THE ADMINISTRATION OF OVER-THE- COUNTER MEDICATION St. Louis Public School District PARENT PERMISSION FOR THE ADMINISTRATION OF OVER-THE- COUNTER MEDICATION Listed below are nonprescription medications that the nurses can give to students only with parent

More information

BENAD A RY R L L ITCH STOPPING GEL

BENAD A RY R L L ITCH STOPPING GEL OTC Medications and How They Can Cause Harm Presenter: Joseph DuPrey MS RPh February 26, 2009 Why are some Medications OTC? FDA has established safety profile FDA established OTC drug review FDA regulated

More information

Updates to the Alberta Human Services Drug Benefit Supplement

Updates to the Alberta Human Services Drug Benefit Supplement Updates to the Alberta Human Services Drug Benefit Supplement Effective October 1, 2017 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone

More information

This document is to help guide the use of the provided GRH IV Iron Sucrose package. The documents included in the IV Iron Sucrose Package are:

This document is to help guide the use of the provided GRH IV Iron Sucrose package. The documents included in the IV Iron Sucrose Package are: This document is to help guide the use of the provided GRH IV Iron Sucrose package. The documents included in the IV Iron Sucrose Package are: 1. Adult Outpatient Iron Sucrose Order set (page 2 and 3)

More information

Product Catalog Private Label - OTC. canada. Private Label - OTC

Product Catalog Private Label - OTC.  canada. Private Label - OTC Product Catalog 2014 Private Label - OTC canada www.pharmascience.com Private Label - OTC September 2014 1 Partnership is valuable to us. Our goal is not only to meet but exceed our customers expectations.

More information

Produced by The Kidney Foundation of Canada

Produced by The Kidney Foundation of Canada 31 HELPFUL HINT Become an expert on all the medications you re taking. You should know: Name of medication Strength of medication Dose (how much to take) How often and what time of day to take it What

More information

Calgary Long Term Care Formulary. Pharmacy & Therapeutics. February 2015

Calgary Long Term Care Formulary. Pharmacy & Therapeutics. February 2015 Calgary Long Term Care Formulary Pharmacy & Therapeutics February 2015 Highlights http://www.albertahealthservices.ca/4070.aspx 1 Contents February 2016... 3 Added Product(s)... 3 Not Listed, Delisted

More information

OTC MEDICATIONS AND THE RED FLAGS. Melissa Halvorson Pharm.D. Candidate 2018

OTC MEDICATIONS AND THE RED FLAGS. Melissa Halvorson Pharm.D. Candidate 2018 OTC MEDICATIONS AND THE RED FLAGS Melissa Halvorson Pharm.D. Candidate 2018 Objectives 1. Discuss the importance of OTC counseling 2. Review OTC categories and medication basics 3. Discover potential red

More information

Robitussin with codeine and nyquil

Robitussin with codeine and nyquil Robitussin with codeine and nyquil The Borg System is 100 % Robitussin with codeine and nyquil 19-4-2017 Physician reviewed NyQuil Cough patient. NyQuil Cough, Robitussin Maximum Strength. Cough and Nasal

More information

Care at the Chemist. Formulary

Care at the Chemist. Formulary Care at the Chemist Formulary 1 Acute bacterial conjunctivitis Chloramphenicol 0.5% eye drops (10ml) For ages 2 years and over. Chloramphenicol 1% eye oint. (4g) For ages 2 years and over. Allergy Loratadine

More information

SECTION 3. Section 3 Criteria for Special Authorization of Select Drug Products

SECTION 3. Section 3 Criteria for Special Authorization of Select Drug Products SECTION 3 Criteria for Special Authorization of Select Drug Products Section 3 Criteria for Special Authorization of Select Drug Products CRITERIA FOR SPECIAL AUTHORIZATION OF SELECT DRUG PRODUCTS The

More information

Updates to the Alberta Health and Wellness Drug Benefit List

Updates to the Alberta Health and Wellness Drug Benefit List Updates to the Alberta Health and Wellness Drug Benefit List Effective May 1, 2012 UPDATES TO THE ALBERTA HEALTH AND WELLNESS DRUG BENEFIT LIST Inquiries should be directed to: Pharmacy Services Alberta

More information

Over-the-Counter Pharmacy Order Form

Over-the-Counter Pharmacy Order Form Over-the-Counter Pharmacy Order Form If you have chosen the Over-the-Counter Merchandise option from PHP (HMO SNP) s Health and Wellness Benefit, you may order up to $200 worth of over-the-counter (OTC)

More information

Oral Agents. Fml Limits. Available Strengths NF NF

Oral Agents. Fml Limits. Available Strengths NF NF MEDICATION COVERAGE POLICY PHARMACY AND THERAPEUTICS ADVISORY COMMITTEE POLICY: Allergy Medications LAST REVIEW: 9/12/2017 THERAPEUTIC CLASS: Rheumatologic/Immunologic REVIEW HISTORY: 9/16, 5/15, 9/14

More information

Codeine cough syrup and nyquil

Codeine cough syrup and nyquil Codeine cough syrup and nyquil The Borg System is 100 % Codeine cough syrup and nyquil 2-11-2012 Is it safe to take codeine and nyquil together? I have a cough and have a hard time sleeping. My doctor

More information

Care at the Chemist. Formulary

Care at the Chemist. Formulary Care at the Chemist Formulary 1 Acute bacterial conjunctivitis Chloramphenicol 0.5% eye drops (10ml) Chloramphenicol 1% eye oint. (4g) Allergy Loratadine 10mg tablets (7) Sodium cromoglycate 2% eye drops

More information

Olysio Pegasys Ribavirin

Olysio Pegasys Ribavirin Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.01.28 Subject: Olysio Pegasys Ribavirin Page: 1 of 7 Last Review Date: March 18, 2016 Olysio Pegasys

More information

UPDATE WellCare s South Carolina

UPDATE WellCare s South Carolina September 3, 2015 UPDATE WellCare s South Carolina Preferred Drug List Dear Provider: At the September 3, 2015 WellCare Pharmacy & Therapeutics Committee meeting, it was decided that the following changes

More information

Can you mix codeine cough syrup with dxm cough syrup

Can you mix codeine cough syrup with dxm cough syrup P ford residence southampton, ny Can you mix codeine cough syrup with dxm cough syrup Delsym is a cough suppressant. It affects the signals in the brain that trigger cough reflex. Delsym is used to treat

More information

CAMPER HEALTH HISTORY FORM 1

CAMPER HEALTH HISTORY FORM 1 CAMPER HEALTH HISTORY FORM 1 Developed and reviewed by: American Camp Association, American Academy of Pediatrics Council on School Health, & Association of Camp Nurses Mail this form to the address below

More information

Anti Infectives. Product Generic Name Dosage Form Strength Available Pack Sizes. Powder for Oral Suspension

Anti Infectives. Product Generic Name Dosage Form Strength Available Pack Sizes. Powder for Oral Suspension Product Disclaimer Products protected by valid patents are not offered for sale in countries where the sale of such products constitutes a patent infringement and its liability is at buyer's risk. Product

More information

Approximate Cost for Patients

Approximate Cost for Patients Insurance Coverage for Prescriptions Medications that enhance control of pain and symptoms may be costly if patients do not have insurance. In Ontario, the Ontario Drug Benefit (ODB) Program covers prescriptions

More information

Olysio PegIntron Ribavirin

Olysio PegIntron Ribavirin Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.01.27 Subject: Olysio PegIntron Ribavirin Page: 1 of 7 Last Review Date: March 18, 2016 Olysio PegIntron

More information

ENT THYROIDECTOMY/PARATHYROIDECTOMY POST OP PLAN - Phase: Begin Immediately/PACU

ENT THYROIDECTOMY/PARATHYROIDECTOMY POST OP PLAN - Phase: Begin Immediately/PACU - Phase: Begin Immediately/PACU PHYSICIAN S Diagnosis Weight Allergies Laboratory Calcium Level STAT Outpatient/PACU, T;N PTH Intact STAT Outpatient/PACU, T;N 1 of 7 - Phase: When Patient Arrives to Room

More information

/ / Please provide contact information and indicate ONE method of preferred contact for notification of the results: me at:

/ / Please provide contact information and indicate ONE method of preferred contact for notification of the results:  me at: Please note that the patient AND physician must complete this form. All fields are mandatory and must be completed. Incomplete forms may result in your application being declined. Please retain a copy

More information

Additional drug coverage

Additional drug coverage Additional drug coverage Bonus Drug List The North Carolina State Health Plan for Teachers and State Employees offers a bonus drug list. The prescription drugs in this list are covered in addition to the

More information

Florida School for the Deaf & the Blind

Florida School for the Deaf & the Blind Florida School for the Deaf & the Blind Do More. Be More. Achieve More. Applications should be mailed or faxed to: Florida School for the Deaf and the Blind Rebecca Falbo, Deaf Department Principal 207

More information

UPDATE Ohana QUEST Integration Medicaid

UPDATE Ohana QUEST Integration Medicaid UPDATE Ohana QUEST Integration Medicaid Preferred Drug List June 29, 2015 Dear Provider: At the June 04, 2015 WellCare Pharmacy & Therapeutics Committee meeting, it was decided that the following changes

More information

Cambridgeshire Community Pharmacy Minor Ailments Service. February 2009

Cambridgeshire Community Pharmacy Minor Ailments Service. February 2009 Cambridgeshire Community Pharmacy Minor Ailments Service February 2009 Contents 3 Constipation & Paediatric Constipation 4 Diarrhoea & Paediatric Diarrhoea 5 Indigestion & Infant Gripes/Colic/Wind 6 Hay

More information

Summary of Changes to the Alberta Drug Benefit List

Summary of Changes to the Alberta Drug Benefit List Summary of Changes to the Alberta Drug Benefit List Effective April 1, 2018 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number:

More information

Calumet 2017 staff/trainee/volunteer Health History & Examination Form PO Box 236, West Ossipee, NH Fax

Calumet 2017 staff/trainee/volunteer Health History & Examination Form PO Box 236, West Ossipee, NH Fax Calumet 2017 staff/trainee/volunteer Health History & Examination Form PO Box 236, West Ossipee, NH 03890 The information on this form is to assist us in determining appropriate care for staff/trainees/volunteers.

More information

The Salvation Army Homestead

The Salvation Army Homestead The Salvation Army Homestead 975 West 57th Avenue Vancouver BC V6P 1S4 www.vancouverhomestead.ca Telephone: (604) 266-9696 Fax: (604) 266-7401 Email:homesteadintake@yahoo.ca Enclosed is the Salvation Army

More information

Pharmacy Consultant, PEI Drug Programs Date : September 8, 2009 Tel / Tél : (902) Fax / Téléc : (902)

Pharmacy Consultant, PEI Drug Programs Date : September 8, 2009 Tel / Tél : (902) Fax / Téléc : (902) To / Destinataire : All Retail Pharmacists and Staff From / Expéditeur : Patrick Crawford Pharmacy Consultant, PEI Drug Programs Date : September 8, 2009 Tel / Tél : (902) 368-6711 Fax / Téléc : (902)

More information

Adjustable Gastric Band Surgery Discharge Instructions

Adjustable Gastric Band Surgery Discharge Instructions Columbia University Center for Metabolic and Weight Loss Surgery Columbia University Medical Center The Herbert Irving Pavilion 161 Fort Washington Ave, 5 th floor, Room 524 New York, New York 10032 Health

More information

Safe Ibuprofen Dosage For Dogs

Safe Ibuprofen Dosage For Dogs Safe Ibuprofen Dosage For Dogs how many ibuprofen can i take to overdose how many 200mg ibuprofen can i take to overdose should i take ibuprofen after a workout buy ibuprofen is ibuprofen better than acetaminophen

More information

HOW TO SMOKE TYLENOL WITH CODEINE CAN YOU TAKE IBUPROFEN 800 MG

HOW TO SMOKE TYLENOL WITH CODEINE CAN YOU TAKE IBUPROFEN 800 MG HOW TO SMOKE TYLENOL WITH CODEINE CAN YOU TAKE IBUPROFEN 800 MG How To Smoke Tylenol With Codeine Can You Take Ibuprofen 800 Mg Prescription with codeine cough syrup name Phosphate tablets 30 300 mg oral

More information

Summer Sizzlers. HEAD & SHOULDERS Shampoo, or 2 IN 1 Assorted Styles and Fragrances 14.2 oz. Assortment varies by location. Depend

Summer Sizzlers. HEAD & SHOULDERS Shampoo, or 2 IN 1 Assorted Styles and Fragrances 14.2 oz. Assortment varies by location. Depend August SALE! Grassy Sprain 640 Tuckahoe Rd., Yonkers (Opposite Roosevelt H.S.) Phone: 914-779-5133 Fax: 914-779-8202 www.grassysprainpharmacy.com FREE LOCAL DELIVERY Lemac 623 McLean Ave., Yonkers (Opposite

More information

PATIENT INFORMATION: Patient Surname First Name Middle Initial Sex Date of Birth Alberta Personal Health Number M / F Year Month Day

PATIENT INFORMATION: Patient Surname First Name Middle Initial Sex Date of Birth Alberta Personal Health Number M / F Year Month Day Applicant must be covered on an Alberta Government sponsored drug program. Page 1 of 6 PATIENT INFORMATION: Patient Surname First Name Middle Initial Sex Date of Birth Alberta Personal Health Number M

More information

ORGANIZATION OF AMERICAN STATES

ORGANIZATION OF AMERICAN STATES ORGANIZATION OF AMERICAN STATES INTER-AMERICAN DRUG ABUSE CONTROL COMMISSION FORTY-FIFTH REGULAR SESSION May 6-8, 2009 Washington, DC OEA/Ser.L/XIV.2.45 CICAD/doc.1733/09 5 May 2009 Original: English DR.

More information

Easy way to calculate drugs MONA ALHARBI

Easy way to calculate drugs MONA ALHARBI Easy way to calculate drugs MONA ALHARBI Objective At the end of this lecture you should be able to : Calculate dosage drugs. Calculate drip rate (drops/min). Conversion of dosages to ml/hour Calculating

More information

ENT THYROIDECTOMY/PARATHYROIDECTOMY POST OP ADMIT PLAN - Phase: Begin Immediately/PACU

ENT THYROIDECTOMY/PARATHYROIDECTOMY POST OP ADMIT PLAN - Phase: Begin Immediately/PACU - Phase: Begin Immediately/PACU Diagnosis Weight Allergies DETAILS Admit/Discharge/Transfer Patient Status Pt Status: Inpatient (LOS > 2 midnights) Pt Status: Observation (LOS < 2 midnights) Pt Status:

More information

Pegasys Ribavirin

Pegasys Ribavirin Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.01.08 Subsection: Anti-infective Agents Original Policy Date: January 1, 2006 Subject: Pegasys Ribavirin

More information

Oral Agents. Formulary Limits. Available Strengths. IR: 4mg ER: 12mg Syrup: 2mg/5ml

Oral Agents. Formulary Limits. Available Strengths. IR: 4mg ER: 12mg Syrup: 2mg/5ml MEDICATION COVERAGE POLICY PHARMACY AND THERAPEUTICS ADVISORY COMMITTEE POLICY: Seasonal Allergy Medications LAST REVIEW: 9/20/2016 THERAPEUTIC CLASS: Rheumatologic/Immunologic REVIEW HISTORY: 5/16, 5/15,

More information

A BULLETIN FOR PHARMACY SERVICE PROVIDERS FROM ALBERTA BLUE CROSS

A BULLETIN FOR PHARMACY SERVICE PROVIDERS FROM ALBERTA BLUE CROSS Pharmacy Benefact A BULLETIN FOR PHARMACY SERVICE PROVIDERS FROM ALBERTA BLUE CROSS Number 757 September 2018 Alberta Public Health Activities Program (APHAP) Influenza Immunization Program 2018/2019 This

More information

Fever Management and Medication Dosing

Fever Management and Medication Dosing Fever Management and Medication Dosing What is a fever? A fever is when your child s temperature is higher than the normal body temperature and is measured to be 100.4 F or higher Fever is often the body

More information