NBPDP Formulary Update
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- Ginger McGee
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1 Bulletin # 830 April 4, 2012 NBPDP Formulary Update Please find attached lists of interchangeable product additions to the New Brunswick Prescription Drug Program Formulary and non-listed products subject to a Maximum Allowable Price (). Claims for products that are reimbursed at Actual Acquisition Cost () up to May 1, 2012 will be subject to a effective May 2, Please note: Hard copy versions of NBPDP Formulary Updates of interchangeable product additions will no longer be distributed. An electronic version is available on NBPDP webpage To unsubscribe from the NBPDP ed announcements, please send a message to info@nbpdp-pmonb.ca. The Updates are available on the NBPDP webpage:
2 Amlodipine Besylate Bésylate d'amlodipine Tab Orl 2.5mg Jamp-Amlodipine JPC AEFVW 5mg Jamp-Amlodipine JPC AEFVW 10mg Jamp-Amlodipine JPC AEFVW Bisoprolol Fumarate Fumarate de bisoprolol Tab Orl 5mg Ava-Bisoprolol AVA AEFVW 10mg Ava-Bisoprolol AVA AEFVW Clindamycin Hydrochloride Clindamycine (chlorhydrate de) Cap Orl 150mg Ava-Clindamycin AVA ABEFGVW 300mg Ava-Clindamycin AVA ABEFGVW Diltiazem Hydrochloride Diltiazem (chlorhydrate de) ERC Orl 120mg Co-Diltiazem T COB AEFVW Cap. L.P. 180mg Co-Diltiazem T COB AEFVW 240mg Co-Diltiazem T COB AEFVW 300mg Co-Diltiazem T COB AEFVW 360mg Co-Diltiazem T COB AEFVW Domperidone Maleate Dompéridone (maléate de) Tab Orl 10mg Ava-Domperidone AVA Entacapone Tab Orl 200mg Teva-Entacapone TEV Spec. Auth Famciclovir Tab Orl 125mg Ava-Famciclovir AVA 250mg Ava-Famciclovir AVA 500mg Ava-Famciclovir AVA Fenofibrate Fénofibrate Tab Orl 100mg Fenofibrate-S SAS 160mg Fenofibrate-S SAS Page 1 April/Avril 2012
3 Finasteride Finastéride Tab Orl 5mg Apo-Finasteride APX Spec.Auth. Furosemide Furosémide Tab Orl 20mg Ava-Furosemide AVA 40mg Ava-Furosemide AVA 80mg Ava-Furosemide AVA Gliclazide Tab Orl 80mg Ava-Gliclazide AVA ABEFGVW Hydromorphone Hydrochloride Hydromorphone (chlorhydrate d') Tab Orl 1mg Teva-Hydromorphone TEV 2mg Teva-Hydromorphone TEV 4mg Teva-Hydromorphone TEV 8mg Teva-Hydromorphone TEV Irbesartan Tab Orl 75mg Irbesartan SAS Mylan-Irbesartan MYL 150mg Irbesartan SAS Mylan-Irbesartan MYL 300mg Irbesartan SAS Mylan-Irbesartan MYL Irbesartan/Hydrochlorothiazide Tab Orl 150mg/12.5mg Irbesartan/HCTZ SAS 300mg/12.5mg Irbesartan/HCTZ SAS 300mg/25mg Irbesartan/HCTZ SAS Levofloxacin Lévofloxacine Tab Orl 250mg Ava-Levofloxacin AVA VW & Spec.Auth. 500mg Ava-Levofloxacin AVA VW & Spec.Auth. Lisinopril Tab Orl 5mg Jamp-Lisinopril JPC 10mg Jamp-Lisinopril JPC 20mg Jamp-Lisinopril JPC Page 2 April/Avril 2012
4 Losartan Potassium Losartan potassique Tab Orl 25mg Apo-Losartan APX Meloxicam Tab Orl 7.5mg Ava-Meloxicam AVA 15mg Ava-Meloxicam AVA Metformin Hydrochloride Metformine (chlorhydrate de) Tab Orl 500mg Ava-Metformin AVA 850mg Ava-Metformin AVA Metoprolol Tartrate Métoprolol (tartrate de) Tab Orl 25mg Jamp-Metoprolol-L JPC mg Jamp-Metoprolol-L JPC mg Jamp-Metoprolol-L JPC Mycophenolate Mofetil Mycophénolate Mofétil Tab Orl 500mg Co-Mycophenolate COB R Nabilone Cap Orl 0.5mg pms-nabilone PMS Caps Ran-Nabilone RAN Spec. Auth mg pms-nabilone PMS Ran-Nabilone RAN Spec. Auth Olanzapine Tab Orl 2.5mg Olanzapine SAS W & Spec. Auth. 5mg Olanzapine SAS W & Spec. Auth. 7.5mg Olanzapine SAS W & Spec. Auth. 10mg Olanzapine SAS W & Spec. Auth. 15mg Olanzapine SAS W & Spec. Auth. Omeprazole Oméprazole SRT Orl 20mg Ran-Omeprazole RAN ABEFGVW L.L. Oxycodone Hydrochloride/Acetaminophen Oxycodone (chlorhydrate d')/acétaminophène Tab Orl 5mg/325mg Oxycodone/Acet SAS Page 3 April/Avril 2012
5 Pantoprazole Sodium Pantoprazole sodique ECT Orl 40mg Pantoprazole SAS Spec. Auth. Ent. Rabeprazole Sodium Rabéprazole sodique ECT Orl 10mg Apo-Rabeprazole APX ABEFGVW Ent. 20mg Apo-Rabeprazole APX ABEFGVW Ramipril Cap Orl 2.5mg Ramipril SAS 5mg Ramipril SAS 10mg Ramipril SAS Rosuvastatin Calcium Rosuvastatin calcique Tab Orl 10mg Apo-Rosuvastatin APX Co-Rosuvastatin COB Mylan-Rosuvastatin MYL pms-rosuvastatin PMS Ran-Rosuvastatin RAN Sandoz Rosuvastatin SDZ Teva-Rosuvastatin TEV AEFVW mg Apo-Rosuvastatin APX Co-Rosuvastatin COB Mylan-Rosuvastatin MYL pms-rosuvastatin PMS Ran-Rosuvastatin RAN Sandoz Rosuvastatin SDZ Teva-Rosuvastatin TEV AEFVW mg Apo-Rosuvastatin APX Co-Rosuvastatin COB Mylan-Rosuvastatin MYL pms-rosuvastatin PMS Ran-Rosuvastatin RAN Sandoz Rosuvastatin SDZ Teva-Rosuvastatin TEV AEFVW Sertraline Hydrochloride Sertraline (chlorhydrate de) Cap Orl 25mg Ran-Sertraline RAN 50mg Ran-Sertraline RAN 100mg Ran-Sertraline RAN Page 4 April/Avril 2012
6 Simvastatin Simvastatine Tab Orl 5mg Mar-Simvastatin MAR 10mg Mar-Simvastatin MAR 20mg Mar-Simvastatin MAR 40mg Mar-Simvastatin MAR 80mg Mar-Simvastatin MAR Sotalol Hydrochloride Sotalol (chlorhydrate de) Tab Orl 80mg Ava-Sotalol AVA 160mg Ava-Sotalol AVA Sumatriptan Tab Orl 50mg Ava-Sumatriptan AVA Spec. Auth. 100mg Ava-Sumatriptan AVA Spec. Auth. Telmisartan/Hydrochlorothiazide Tab Orl 80mg/12.5mg Teva-Telmisartan HCTZ TEV 80mg/25mg Teva-Telmisartan HCTZ TEV Valsartan Tab Orl 80mg Ava-Valsartan AVA 160mg Ava-Valsartan AVA 320mg Ava-Valsartan AVA Valsartan/Hydrochlorothiazide Tab Orl 80mg/12.5mg Ava-Valsartan HCT AVA 160mg/12.5mg Ava-Valsartan HCT AVA 160mg/25mg Ava-Valsartan HCT AVA 320mg/12.5mg Ava-Valsartan HCT AVA 320mg/25mg Ava-Valsartan HCT AVA Venlafaxine Hydrochloride Venlafaxine (chlorhydrate de) SRC Orl 37.5mg GD-Venlafaxine XR GMD Cap.L.L. Ran-Venlafaxine XR RAN 75mg GD-Venlafaxine XR GMD Ran-Venlafaxine XR RAN 150mg GD-Venlafaxine XR GMD Ran-Venlafaxine XR RAN Page 5 April/Avril 2012
7 Zopiclone Tab Orl 5mg Ava-Zopiclone AVA AEFVW 7.5mg Ava-Zopiclone AVA AEFVW NON-LISTED PRODUCTS SUBJECT TO / PRODUITS NE FIGURANT PAS SUR LA LISTE ASSUJETIS AUX PAM Atomoxetine Hydrochloride Atomoxétine (chlorhydrate d') Cap Orl 18mg Mylan-Atomoxetine MYL 25mg Mylan-Atomoxetine MYL 40mg Mylan-Atomoxetine MYL 60mg Mylan-Atomoxetine MYL Esomeprazole Magnesium Trihydrate Esoméprazole magnésien trihydraté ERT Orl 20mg Apo-Esomeprazole APX L.P. Rosuvastatin Calcium Rosuvastatin calcique Tab Orl 5mg Apo-Rosuvastatin APX Co-Rosuvastatin COB Mylan-Rosuvastatin MYL pms-rosuvastatin PMS Ran-Rosuvastatin RAN Sandoz Rosuvastatin SDZ Teva-Rosuvastatin TEV Valacyclovir Tab Orl 1000mg pms-valacyclovir PMS Valsartan Tab Orl 40mg Ava-Valsartan AVA Page 6 April/Avril 2012
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