Ontario Drug Benefit Formulary/Comparative Drug Index
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1 Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes June 2017 Effective June 29, 2017 Drug Programs Policy and Strategy Branch Ontario Public Drug Programs Ministry of Health and Long-Term Care
2 Table of Contents New Multi-Source Products... 3 New Off-Formulary Interchangeable (OFI) Products... 6 Product Status Change from Palliative Care Facilitated Access to Limited Use... 7 Changes to Reason For Use Content... 8 Product Manufacturer Name Changes Nutrition Product Brand Name and Dosage Form Changes Drug Benefit Price (DBP) Changes Discontinued Products Delisted Products
3 New Multi-Source Products Mylan-Atazanavir 150mg Cap MYL Teva-Atazanavir 150mg Cap TEV (Interchangeable with Reyataz) Therapeutic Note: For the treatment of HIV/AIDS, the prescriber must be approved for the Facilitated Access mechanism Mylan-Atazanavir 200mg Cap MYL Teva-Atazanavir 200mg Cap TEV (Interchangeable with Reyataz) Therapeutic Note: For the treatment of HIV/AIDS, the prescriber must be approved for the Facilitated Access mechanism Backup Plan Onestep 1.5mg Tab-1 Tab Pk APX (Interchangeable with Plan B) 3
4 New Multi-Source Products (Cont d...) Mylan-Divalproex 125mg EC Tab MYL Mylan-Divalproex 250mg EC Tab MYL Mylan-Divalproex 500mg EC Tab MYL (Interchangeable with Epival) Mint-Indomethacin 25mg Cap MIN Mint-Indomethacin 50mg Cap MIN (Interchangeable with Indocid) ACT Olmesartan 20mg Tab ACV Apo-Olmesartan 20mg Tab APX Auro-Olmesartan 20mg Tab AUR Jamp-Olmesartan 20mg Tab JPC Sandoz Olmesartan 20mg Tab SDZ (Interchangeable with Olmetec) 4
5 New Multi-Source Products (Cont d...) ACT Olmesartan 40mg Tab ACV Apo-Olmesartan 40mg Tab APX Auro-Olmesartan 40mg Tab AUR Jamp-Olmesartan 40mg Tab JPC Sandoz Olmesartan 40mg Tab SDZ (Interchangeable with Olmetec) ACT Olmesartan HCT 20mg & 12.5mg Tab ACV Apo-Olmesartan/HCTZ 20mg & 12.5mg Tab APX (Interchangeable with Olmetec Plus) ACT Olmesartan HCT 40mg & 12.5mg Tab ACV Apo-Olmesartan/HCTZ 40mg & 12.5mg Tab APX (Interchangeable with Olmetec Plus) ACT Olmesartan HCT 40mg & 25mg Tab ACV Apo-Olmesartan/HCTZ 40mg & 25mg Tab APX (Interchangeable with Olmetec Plus) 5
6 New Off-Formulary Interchangeable (OFI) Products DIN/PIN BRAND NAME STRENGTH DOSAGE FORM MFR UNIT COST Mylan-Atazanavir 300mg Cap MYL Teva-Atazanavir 300mg Cap TEV (Interchangeable with Reyataz) DIN/PIN BRAND NAME STRENGTH DOSAGE FORM MFR UNIT COST Fluoxetine 10mg Cap SAI (Interchangeable with Prozac) 6
7 Product Status Change from Palliative Care Facilitated Access to Limited Use Buscopan 20mg/mL Inj Sol-1mL Amp Pk BOE /mL Reason For Use Code and Clinical Criteria Code: 481 For the management of patients receiving palliative care*. LU Authorization Period: 1 Year. *Note: The patient must have a progressive life-limiting illness and require this medication for palliative purposes. PIN* BRAND NAME STRENGTH DOSAGE FORM MFR Buscopan 20mg/mL Inj Sol BOE *The use of this Palliative Care Facilitated Access (PCFA) Product Identification Number (PIN) is discontinued as this product is transitioned to the Formulary as a Limited Use drug. 7
8 Changes to Reason For Use Content DIN/PIN BRAND NAME STRENGTH DOSAGE FORM MFR Xeloda 150mg Tab HLR Ach-Capecitabine 150mg Tab ACH Sandoz Capecitabine 150mg Tab SDZ Teva-Capecitabine 150mg Tab TEV Xeloda 500mg Tab HLR Ach-Capecitabine 500mg Tab ACH Sandoz Capecitabine 500mg Tab SDZ Teva-Capecitabine 500mg Tab TEV Updated Reason For Use Codes Code 346 For the first-line treatment of patients with metastatic colorectal, small bowel and appendiceal adenocarcinomas in whom combination chemotherapy is not recommended. NOTE: Not to be used in patients who have failed 5-flurouracil. LU Authorization Period: Indefinite. 8
9 Changes to Reason For Use Content (Cont d ) Code 406 For adjuvant treatment of stage 3 or high risk stage 2* colon, small bowel or appendiceal adenocarcinomas in patients who have completed surgery (within three months), who would normally be candidates for adjuvant chemotherapy with 5FU/LV. *high risk stage 2 colon, small bowel or appendiceal adenocarcinomas is defined as one of the following: - obstruction, - perforation, - poorly differentiated adenocarcinoma, - inadequate lymph node sampling, - T4 tumour. LU Authorization Period: 6 Months. Code 409 As part of the CAPOX (XELOX) regimen for the first-line and second-line treatment of metastatic colorectal, small bowel or appendiceal adenocarcinomas. LU Authorization Period: Indefinite. 9
10 Product Manufacturer Name Changes DIN/PIN BRAND NAME STRENGTH DOSAGE FORM CURRENT MFR NEW MFR Niaspan FCT 500mg ER Tab SEP SUO Niaspan FCT 750mg ER Tab SEP SUO Niaspan FCT 1000mg ER Tab SEP SUO 10
11 Nutrition Product Brand Name and Dosage Form Changes DIN/PIN CURRENT BRAND NAME CURRENT DOSAGE FORM NEW BRAND NAME NEW DOSAGE FORM Compleat Modified Liq-250mL Pk Compleat Liq-250mL Tetra Pk NES Compleat Modified Liq-1000mL Pk Compleat Liq-1000mL Ready-to-hang NON MFR 11
12 Drug Benefit Price (DBP) Changes Ventolin Nebules P.F. 1mg/mL Inh Sol- 2.5mL Pk GSK Ventolin Nebules P.F. 2mg/mL Inh Sol- 2.5mL Pk GSK Ventolin 5mg/mL Inh Sol-10mL Pk GSK Novo-Methacin 25mg Cap NOP Novo-Methacin 50mg Cap NOP Cyclocort 0.1% Cr STI Cyclocort 0.1% Lot STI Cyclocort 0.1% Oint STI Stieva-A 0.05% Cr STI * Kineret 150mg/mL Inj Pref Syr-0.67mL Pk SWE *Exceptional Access Program product 12
13 Discontinued Products (Some products will remain on Formulary for six months to facilitate depletion of supply) DIN/PIN BRAND NAME STRENGTH DOSAGE FORM MFR Ansaid 50mg Tab PFI Ansaid 100mg Tab PFI Provera-Pak 10mg Tab PFI Ogen mg Tab PFI Ogen 2.5 3mg Tab PFI Fragmin 2500IU/mL Single Dose-4mL Vial Pk PFI PMS-Ketoprofen 100mg Sup PMS 13
14 Delisted Products DIN/PIN BRAND NAME STRENGTH DOSAGE FORM MFR Mylan-Cimetidine 300mg Tab MYL Novo-Temazepam 15mg Cap NOP Novo-Temazepam 30mg Cap NOP Ratio-Bisacodyl 10mg Sup RPH 14
15
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes October 2017 Effective October 30, 2017 Drug Programs Policy and Strategy Branch
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes July 2017 Effective July 31, 2017 Drug Programs Policy and Strategy Branch Ontario
Ontario Drug Benefit Formulary/Comparative Drug Index
Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes - December 2014 Effective December 18, 2014 Ministry of Health and Long-Term Care Table of Contents New Multi-Source
Ontario Drug Benefit Formulary/Comparative Drug Index
Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes - February 2015 Effective February 26, 2015 Ministry of Health and Long-Term Care Table of Contents New Multi-Source
UPDATE E Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective December 23, 2008 SUMMARY OF CHANGES
UPDATE E Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective December 23, 2008 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Multi-Source Drug(s) 2 New Drug Identification Number(s)
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 43 Summary of Changes December 2018 Effective December 21, 2018 Drug Programs Policy and Strategy Branch
UPDATE AZ Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 31, 2013 SUMMARY OF CHANGES
UPDATE AZ Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 31, 2013 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 5 Off Formulary
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes December 2017 Effective December 21, 2017 Drug Programs Policy and Strategy Branch
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 43 Summary of Changes August 2018 Effective August 30, 2018 Drug Programs Policy and Strategy Branch
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Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes July 2016 Effective July 28, 2016 Drug Programs Policy and Strategy Branch Ontario
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 43 Summary of Changes June 2018 Effective June 29, 2018 Drug Programs Policy and Strategy Branch Ontario
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes December 2016 Effective December 22, 2016 Drug Programs Policy and Strategy Branch
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes September 2017 Effective September 28, 2017 Drug Programs Policy and Strategy Branch
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Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes - August 2015 Effective August 26, 2015 Ministry of Health and Long-Term Care Table of Contents New Single Source Products...
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 43 Summary of Changes February 2019 Effective February 28, 2019 Drug Programs Policy and Strategy Branch
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Ontario Drug Benefit Formulary/ Comparative Drug Index
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Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 43 Summary of Changes April 2018 Effective April 30, 2018 Drug Programs Policy and Strategy Branch Ontario
Ontario Drug Benefit Formulary/Comparative Drug Index
Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes - July 2014 Effective July 30, 2014 Ministry of Health and Long-Term Care Table of Contents New Single Source Products...
UPDATE AJ Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective July 27, 2012 SUMMARY OF CHANGES
UPDATE AJ Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective July 27, 2012 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 5 Off Formulary
Ontario Drug Benefit Formulary/Comparative Drug Index
Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes - November 2014 Effective November 27, 2014 Ministry of Health and Long-Term Care Table of Contents New Single Source
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 43 Summary of Changes January 2018 Effective January 31, 2018 Drug Programs Policy and Strategy Branch
UPDATE AF Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective March 26, 2012 SUMMARY OF CHANGES
UPDATE AF Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective March 26, 2012 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Multi-Source Drug(s) 2 Off Formulary Interchangeable Product(s)
UPDATE AU Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective May 31, 2013 SUMMARY OF CHANGES
UPDATE AU Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective May 31, 2013 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Multi-Source Drug(s) 2 Off Formulary Interchangeable Product(s)
UPDATE AA Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective September 15, 2011 SUMMARY OF CHANGES
UPDATE AA Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective September 15, 2011 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 3 Off
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UPDATE C Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective November 04, 2008 SUMMARY OF CHANGES
UPDATE C Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective November 04, 2008 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 3 Exceptional
UPDATE AB Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 25, 2011 SUMMARY OF CHANGES
UPDATE AB Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 25, 2011 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 5 Off Formulary
Ontario Drug Benefit Formulary/Comparative Drug Index
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UPDATE AX Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective August 29, 2013 SUMMARY OF CHANGES
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Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 43 Summary of Changes October 2018 Effective October 31, 2018 Drug Programs Policy and Strategy Branch
UPDATE AE Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective February 29, 2012 SUMMARY OF CHANGES
UPDATE AE Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective February 29, 2012 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 6 Off Formulary
UPDATE B Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 01, 2008 SUMMARY OF CHANGES
UPDATE B Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 01, 2008 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Multi-Source Drug(s) 2 Manufacturer Requested Discontinued
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UPDATE F Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective 30 January, 2009 SUMMARY OF CHANGES
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