20:00. Blood Formulation, Coagulation and Thrombosis. 20:00 Blood Formulation, Coagulation and Thrombosis
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1 Blood Formulation, Coagulation and Thrombosis Blood Formulation, Coagulation and Thrombosis
2 20:04.04 ANTIANEMIA DRUGS (IRON PREPARATIONS) IRON DEXTRAN COMPLEX 50 MG / ML INJECTION DEXIRON LPI : (COUMARIN DERIVATIVES) ACENOCOUMAROL 1 MG ORAL TABLET SINTROM 4 MG ORAL TABLET SINTROM PAL PAL WARFARIN SODIUM 1 MG ORAL TABLET APO-WARFARIN O-WARFARIN COUMADIN 2 MG ORAL TABLET APO-WARFARIN O-WARFARIN COUMADIN 2.5 MG ORAL TABLET APO-WARFARIN O-WARFARIN COUMADIN 3 MG ORAL TABLET APO-WARFARIN O-WARFARIN COUMADIN 4 MG ORAL TABLET APO-WARFARIN O-WARFARIN COUMADIN 5 MG ORAL TABLET APO-WARFARIN O-WARFARIN COUMADIN 6 MG ORAL TABLET O-WARFARIN 7.5 MG ORAL TABLET O-WARFARIN 10 MG ORAL TABLET APO-WARFARIN O-WARFARIN COUMADIN UNIT OF ISSUE - REFER TO PRICE POLICY 33 EFFECTIVE APRIL 1, 2018
3 20: (HEPARINS) DALTEPARIN SODIUM 10,000 IU / ML INJECTION FRAGMIN 25,000 IU / ML INJECTION FRAGMIN 2,500 IU / SYR INJECTION SYRINGE FRAGMIN (0.2 ML SYRINGE) 3,500 IU / SYR INJECTION SYRINGE FRAGMIN (0.28 ML SYRINGE) 5,000 IU / SYR INJECTION SYRINGE FRAGMIN (0.2 ML SYRINGE) 7,500 IU / SYR INJECTION SYRINGE FRAGMIN (0.3 ML SYRINGE) 10,000 IU / SYR INJECTION SYRINGE FRAGMIN (0.4 ML SYRINGE) 12,500 IU / SYR INJECTION SYRINGE FRAGMIN (0.5 ML SYRINGE) 15,000 IU / SYR INJECTION SYRINGE FRAGMIN (0.6 ML SYRINGE) 18,000 IU / SYR INJECTION SYRINGE FRAGMIN (0.72 ML SYRINGE) ENOXAPARIN SODIUM 100 MG / ML INJECTION LOVENOX 30 MG / SYR INJECTION SYRINGE LOVENOX (0.3 ML SYRINGE) 40 MG / SYR INJECTION SYRINGE LOVENOX (0.4 ML SYRINGE) 60 MG / SYR INJECTION SYRINGE LOVENOX (0.6 ML SYRINGE) 80 MG / SYR INJECTION SYRINGE LOVENOX (0.8 ML SYRINGE) 100 MG / SYR INJECTION SYRINGE LOVENOX (1 ML SYRINGE) 120 MG / SYR INJECTION SYRINGE LOVENOX (0.8 ML SYRINGE) 150 MG / SYR INJECTION SYRINGE LOVENOX HP (1 ML SYRINGE) HEPARIN SODIUM 1,000 UNIT / ML INJECTION HEPARIN 100 UNIT / ML INJECTION LOCK FLUSH HEPARIN PRODUCT IS NOT INTERCHANGEABLE 34 EFFECTIVE APRIL 1, 2018
4 20: (HEPARINS) NADROPARIN CALCIUM 9,500 IU / SYR INJECTION SYRINGE FRAXIPARINE (0.3-1 ML SYR) 19,000 IU / SYR INJECTION SYRINGE FRAXIPARINE FORTE (0.6-1 ML SYR) TINZAPARIN SODIUM 10,000 IU / ML INJECTION INNOHEP 20,000 IU / ML INJECTION INNOHEP 2,500 IU / SYR INJECTION SYRINGE INNOHEP (0.25 ML SYRINGE) 3,500 IU / SYR INJECTION SYRINGE INNOHEP (0.35 ML SYRINGE) 4,500 IU / SYR INJECTION SYRINGE INNOHEP (0.45 ML SYRINGE) 8,000 IU / SYR INJECTION SYRINGE INNOHEP (0.4 ML SYRINGE) 10,000 IU / SYR INJECTION SYRINGE INNOHEP (0.5 ML SYRINGE) 12,000 IU / SYR INJECTION SYRINGE INNOHEP (0.6 ML SYRINGE) 14,000 IU / SYR INJECTION SYRINGE INNOHEP (0.7 ML SYRINGE) 16,000 IU / SYR INJECTION SYRINGE INNOHEP (0.8 ML SYRINGE) 18,000 IU / SYR INJECTION SYRINGE INNOHEP (0.9 ML SYRINGE) : (MISCELLANEOUS ) FONDAPARINUX SODIUM 2.5 MG / SYR INJECTION SYRINGE ARIXTRA (0.5 ML SYRINGE) FONDAPARINUX SODIUM (0.5 ML SYRINGE) 7.5 MG / SYR INJECTION SYRINGE ARIXTRA (0.6 ML SYRINGE) FONDAPARINUX SODIUM (0.6 ML SYRINGE) DRL DRL UNIT OF ISSUE - REFER TO PRICE POLICY 35 EFFECTIVE APRIL 1, 2018
5 20: (MISCELLANEOUS ) RIVAROXABAN 10 MG ORAL TABLET XARELTO BAI RESTRICTED BENEFIT -This product is a benefit for the prophylaxis of venous thromboembolic events in patients who have undergone elective total knee replacement surgery. Coverage is restricted to two 14-day courses of therapy per patient per year. This product is a benefit for the prophylaxis of venous thromboembolic events in patients who have undergone elective total hip replacement surgery. Coverage is restricted to two 35-day courses of therapy per patient per year. 20:12.18 CLOPIDOGREL BISULFATE 75 MG (BASE) ORAL TABLET DIPYRIDAMOLE/ ASA 200 MG * 25 MG ORAL CAPSULE (PLATELET AGGREGATION INHIBITORS) APO-CLOPIDOGREL AURO-CLOPIDOGREL CLOPIDOGREL CLOPIDOGREL CO CLOPIDOGREL JAMP-CLOPIDOGREL MAR-CLOPIDOGREL MINT-CLOPIDOGREL MYLAN-CLOPIDOGREL PMS-CLOPIDOGREL RAN-CLOPIDOGREL SANDOZ CLOPIDOGREL TEVA-CLOPIDOGREL PLAVIX AGGRENOX AUR SIV SNS APH JPC MAR MPI MYP PMS RAN SDZ TEV TICAGRELOR RESTRICTED BENEFIT - This product is a benefit for the treatment of Acute Coronary Syndrome, defined as unstable angina or myocardial infarction when initiated in hospital and prescribed by a Specialist in Cardiology, Cardiac Surgery, Cardiovascular & Thoracic Surgery, Internal Medicine or General Surgery. Treatment must be in combination with low dose ASA. (Refer to Section 3 - Criteria for Special Authorization of Select Drug Products of the Alberta Drug Benefit List for eligibility when the initiating prescriber is not a Specialist in Cardiology, Cardiac Surgery, Cardiovascular & Thoracic Surgery, Internal Medicine or General Surgery.) BOE MG ORAL TABLET BRILINTA AZC PRODUCT IS NOT INTERCHANGEABLE 36 EFFECTIVE APRIL 1, 2018
6 20:12.18 (PLATELET AGGREGATION INHIBITORS) TICLOPIDINE HCL 250 MG ORAL TABLET TICLOPIDINE AAP :24 HEMORRHEOLOGIC AGENTS PENTOXIFYLLINE 400 MG ORAL SUSTAINED-RELEASE TABLET PENTOXIFYLLINE SR AAP :28.16 ANTIHEMORRHAGIC AGENTS (HEMOSTATICS) TRANEXAMIC ACID 500 MG ORAL TABLET GD-TRANEXAMIC ACID TRANEXAMIC ACID GMD STM UNIT OF ISSUE - REFER TO PRICE POLICY 37 EFFECTIVE APRIL 1, 2018
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