PAGE 1 OF 6 New Interchangeable Products Approved and Benefit Status Within the Nova Scotia Pharmacare Programs March New Categories A Maximum Reimbursable Price (MRP) or Pharmacare Reimbursement Price (PRP) has been established for the following products. Benefit status is effective March 7,. abacavir 300mg, lamivudine 150mg & zidovudine 300mg tab Apo-Abacavir-Lamivudine-Zidovudine 300/150/300mg Tab MARCH 28, 02416255 Not Insured APX Trizivir 300/150/300mg Tab 02244757 Not Insured VIV amphetamine 5mg XR cap ACT Amphetamine XR 5mg Cap 02439239 Not Insured ATV Adderall XR 5mg Cap 02248808 Not Insured SHI amphetamine 10mg XR cap ACT Amphetamine XR 10mg Cap 02439247 Not Insured ATV Adderall XR 10mg Cap 02248809 Not Insured SHI amphetamine 15mg XR cap ACT Amphetamine XR 15mg Cap 02439255 Not Insured ATV Adderall XR 15mg Cap 02248810 Not Insured SHI amphetamine 20mg XR cap ACT Amphetamine XR 20mg Cap 02439263 Not Insured ATV Adderall XR 20mg Cap 02248811 Not Insured SHI amphetamine 25mg XR cap ACT Amphetamine XR 25mg Cap 02439271 Not Insured ATV Adderall XR 25mg Cap 02248812 Not Insured SHI
PAGE 2 OF 6 New Categories Continued MARCH 28, amphetamine 30mg XR cap ACT Amphetamine XR 30mg Cap 02439298 Not Insured ATV Adderall XR 30mg Cap 02248813 Not Insured SHI naltrexone 50mg tab Apo-Naltrexone 50mg Tab 02444275 DNP E (SF) 4.7728 APX ReVia 50mg Tab 02213826 DNP E (SF) 4.7728 TEV rasagiline 0.5mg tab Apo-Rasagiline 0.5mg Tab 02404680 Not Insured APX Azilect 0.5mg Tab 02284642 Not Insured TMP rasagiline 1mg tab Apo-Rasagiline 1mg Tab 02404699 Not Insured APX Azilect 1mg Tab 02284650 Not Insured TMP Existing Categories Benefit status is effective March 7, and the existing MRP or PRP for each existing category will apply. acetaminophen 325mg & oxycodone 5mg tab Rivacocet 5/325mg Tab 02242468 Not Insured RIV anastrozole 1mg tab Anastrozole 1mg Tab 02442736 DNP SFC 1.2729 SAS atomoxetine 10mg cap Atomoxetine 10mg Cap 02445883 Not Insured SIV atomoxetine 18mg cap Atomoxetine 18mg Cap 02445905 Not Insured SIV
PAGE 3 OF 6 Existing Categories Continued atomoxetine 25mg cap Atomoxetine 25mg Cap 02445913 Not Insured SIV atomoxetine 40mg cap Atomoxetine 40mg Cap 02445948 Not Insured SIV atomoxetine 60mg cap Atomoxetine 60mg Cap 02445956 Not Insured SIV celecoxib 100mg cap BIO-Celecoxib 100mg Cap 02426382 DNP SF 0.1759 BMD celecoxib 200mg cap BIO-Celecoxib 200mg Cap 02426390 DNP SF 0.3518 BMD Sandoz Celecoxib 200mg Cap 02442647 DNP SF 0.3518 SDZ donepezil 5mg tab BIO-Donepezil 5mg Tab 02412853 DNP E (SF) 1.1806 BMD donepezil 10mg tab BIO-Donepezil 10mg Tab 02412861 DNP E (SF) 1.1806 BMD dorzolamide HCI 2% & timolol maleate 0.5% oph sol MINT-Dorzolamide/Timolol 2%/0.5% Oph Sol 02443090 DNP SF 2.0097 MNT enalapril 2.5mg tab Enalapril 2.5mg Tab 02442957 DNP SF 0.1955 SIV enalapril 5mg tab Enalapril 5mg Tab 02442965 DNP SF 0.2314 SIV enalapril 10mg tab Enalapril 10mg Tab 02442973 DNP SF 0.2779 SIV
PAGE 4 OF 6 Existing Categories Continued enalapril 20mg tab Enalapril 20mg Tab 02442981 DNP SF 0.3354 SIV esomeprazole 20mg tab ACT Esomeprazole 20mg Tab 02423855 Not Insured ATV esomeprazole 40mg cap/tab ACT Esomeprazole 40mg Tab 02423863 Not Insured ATV fluoxetine 10mg cap BIO-Fluoxetine 10mg Cap 02448424 Not Insured BMD fluoxetine 20mg Cap BIO-Fluoxetine 20mg Cap 02448432 DNP SFC 0.4599 BMD gliclazide 30mg MR tab MYLAN-Gliclazide MR 30mg Tab 02438658 DNP SFD 0.0931 MYL losartan 25mg tab BIO-Losartan 25mg Tab 02445964 DNP SF 0.3148 BMD losartan 50mg tab BIO-Losartan 50mg Tab 02445972 DNP SF 0.3148 BMD losartan 100mg tab BIO-Losartan 100mg Tab 02445980 DNP SF 0.3148 BMD memantine 10mg tab Memantine 10mg Tab 02446049 Not Insured SIV omeprazole 20mg cap/tab NAT-Omeprazole DR 20mg Tab 02439549 DNP SFC 0.4117 NAT
PAGE 5 OF 6 Existing Categories Continued quetiapine 25mg tab BIO-Quetiapine 25mg Tab 02447193 DNP SF 0.1271 BMD MINT-Quetiapine 25mg Tab 02438003 DNP SF 0.1271 MNT quetiapine 100mg tab BIO-Quetiapine 100mg Tab 02447207 DNP SF 0.3390 BMD MINT-Quetiapine 100mg Tab 02438011 DNP SF 0.3390 MNT quetiapine 200mg tab BIO-Quetiapine 200mg Tab 02447223 DNP SF 0.6807 BMD MINT-Quetiapine 200mg Tab 02438046 DNP SF 0.6807 MNT quetiapine 300mg tab BIO-Quetiapine 300mg Tab 02447258 DNP SF 0.9933 BMD MINT-Quetiapine 300mg Tab 02438054 DNP SF 0.9933 MNT rizatriptan ODT 5mg tab Rizatriptan ODT 5mg Tab 02446111 DNP SF 3.7050 SIV rizatriptan ODT 10mg tab Rizatriptan ODT 10mg Tab 02446138 DNP SF 3.7050 SIV telmisartan 80mg & hydrochlorothiazide 25mg tab Telmisartan HCTZ 80/25mg Tab 02433222 DNP SF 0.2824 PMS timolol maleate 0.5% oph sol Jamp-Timolol 0.5% Oph Sol 02447800 DNP SF 1.2754 JPC zolmitriptan 2.5mg tab NAT-Zolmitriptan 2.5mg Tab 02421534 DNP SF 3.5375 NAT zolmitriptan ODT 2.5mg tab AG-Zolmitriptan ODT 2.5mg Tab 02438453 DNP SF 3.5375 AGP
PAGE 6 OF 6 Non-Interchangeable and Non-Insured The following product(s) were not recommended to list as insured benefits under the Nova Scotia Pharmacare Programs. pms-moxifloxacin 0.5% Oph Sol 02432218 Not Insured PMS Price Changes Effective March 7,, a new MRP or PRP has been established for the following products. hydroxychloroquine 200mg tab Apo-Hydroxyquine 200mg Tab 02246691 DNP SF 0.1576 APX MINT-Hydroxychloroquine 200mg Tab 02424991 DNP SF 0.1576 MNT Plaquenil 200mg Tab 02017709 DNP SF 0.1576 SAV