Maximum Allowable Price (MAP) list

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Maximum Allowable Price (MAP) list for NB Drug Plans Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B. September/septembre 2014 v.1 Page 1 GENERIC NAME NOM GÉNÉRIQUE STRENGTH DOSAGE TRADENAME MARQUE DE COMMERCE DIN PIN MFG FAB MAP PAM Acebutolol Hydrochloride / Acébutolol (chlorhydrate d') Tab/Co. Orl 100mg Rhotral 01910140 SAV 0.0826 Sectral 01926543 SAV 0.0826 Acebutolol 02286246 SAS 0.0826 Apo-Acebutolol 02147602 APX 0.0826 Mylan-Acebutolol 02237721 MYL 0.0826 Mylan-Acebutolol (Type S) 02237885 MYL 0.0826 Novo-Acebutolol 02204517 TEV 0.0826 Acebutolol Hydrochloride / Acébutolol (chlorhydrate d') Tab/Co. Orl 200mg Rhotral 01910159 SAV 0.1239 Sectral 01926551 SAV 0.1239 Acebutolol 02286254 SAS 0.1239 Apo-Acebutolol 02147610 APX 0.1239 Mylan-Acebutolol 02237722 MYL 0.1239 Mylan-Acebutolol (Type S) 02237886 MYL 0.1239 Novo-Acebutolol 02204525 TEV 0.1239 Acebutolol Hydrochloride / Acébutolol (chlorhydrate d') Tab/Co. Orl 400mg Rhotral 01910167 SAV 0.2466 Sectral 01926578 SAV 0.2466 Acebutolol 02286262 SAS 0.2466 Apo-Acebutolol 02147629 APX 0.2466 Mylan-Acebutolol 02237723 MYL 0.2466 Mylan-Acebutolol (Type S) 02237887 MYL 0.2466 Novo-Acebutolol 02204533 TEV 0.2466 Acetaminophen / Acétaminophène Sup/Supp. Rt 120mg Abenol 01919385 PDP 0.5528 Acet 120 02230434 PMS 0.5528 Acetazolamide / Acétazolamide Tab/Co. Orl 250mg Acetazolamide 00545015 AAP 0.1343 Acyclovir / Acyclovir Tab/Co. Orl 200mg Zovirax 00634506 GSK 0.6397 Acyclovir 02286556 SAS 0.6397 Apo-Acyclovir 02207621 APX 0.6397 Mylan-Acyclovir 02242784 MYL 0.6397 Novo-Acyclovir 02285959 TEV 0.6397 ratio-Acyclovir 02078627 TEV 0.6397 Acyclovir / Acyclovir Tab/Co. Orl 400mg Acyclovir 02286564 SAS 1.2700 Apo-Acyclovir 02207648 APX 1.2700 Mylan-Acyclovir 02242463 MYL 1.2700 Novo-Acyclovir 02285967 TEV 1.2700 Acyclovir / Acyclovir Tab/Co. Orl 800mg Zovirax (Zostab Pac) 01911635 GSK 1.2673 Acyclovir 02286572 SAS 1.2673 Apo-Acyclovir 02207656 APX 1.2673 Mylan-Acyclovir 02242464 MYL 1.2673 Novo-Acyclovir 02285975 TEV 1.2673 Alendronate Sodium / Alendronate sodique Tab/Co. Orl 10mg Alendronate Sodium 02381486 AHI 0.4987 Apo-Alendronate 02248728 APX 0.4987 Auro-Alendronate 02388545 ARO 0.4987 Mint-Alendronate 02394863 MNT 0.4987 Mylan-Alendronate 02270129 MYL 0.4987 Ran-Alendronate 02384701 RAN 0.4987 Sandoz Alendronate 02288087 SDZ 0.4987 Teva-Alendronate 02247373 TEV 0.4987 Alendronate Sodium / Alendronate sodique Tab/Co. Orl 40mg Fosamax 02201038 FRS 3.0832 Co Alendronate 02258102 COB 3.0832 Alendronate Sodium / Alendronate sodique Tab/Co. Orl 70mg Fosamax 02245329 FRS 2.5144 Alendronate 02352966 SAS 2.5144 Alendronate Sodium 02381494 AHI 2.5144 Apo-Alendronate 02248730 APX 2.5144 Auro-Alendronate 02388553 ARO 2.5144 Co Alendronate 02258110 COB 2.5144 Jamp-Alendronate 02385031 JPC 2.5144 Mint-Alendronate 02394871 MNT 2.5144 Mylan-Alendronate 02286335 MYL 2.5144 Phl-Alendronate FC 02299712 PHL 2.5144 pms-Alendronate FC 02284006 PMS 2.5144 Ran-Alendronate 02384728 RAN 2.5144 Sandoz Alendronate 02288109 SDZ 2.5144 Teva-Alendronate 02261715 TEV 2.5144 Alendronate Sodium/Cholecalciferol / Tab/Co. Orl 70mg/5600IU Fosavance 02314940 FRS 2.7975 Alendronate sodique/Cholécalciférol Teva-Alendronate/Cholecalciferol 02403641 TEV 2.7975 Allopurinol / Allopurinol Tab/Co. Orl 100mg Zyloprim 00402818 AAP 0.0783 Apo-Allopurinol 02402769 APX 0.0783 Mar-Allopurinol 02396327 MAR 0.0783 Allopurinol / Allopurinol Tab/Co. Orl 200mg Zyloprim 00479799 AAP 0.1306 Apo-Allopurinol 02402777 APX 0.1306 Mar-Allopurinol 02396335 MAR 0.1306 Allopurinol / Allopurinol Tab/Co. Orl 300mg Zyloprim 00402796 AAP 0.2135 Apo-Allopurinol 02402785 APX 0.2135

Transcript of Maximum Allowable Price (MAP) list

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 1

GENERIC NAME NOM GÉNÉRIQUE

STRENGTH DOSAGE

TRADENAMEMARQUE DE COMMERCE

DIN PIN

MFG FAB

MAP PAM

Acebutolol Hydrochloride / Acébutolol (chlorhydrate d') Tab/Co. Orl 100mg Rhotral 01910140 SAV 0.0826Sectral 01926543 SAV 0.0826Acebutolol 02286246 SAS 0.0826Apo-Acebutolol 02147602 APX 0.0826Mylan-Acebutolol 02237721 MYL 0.0826Mylan-Acebutolol (Type S) 02237885 MYL 0.0826Novo-Acebutolol 02204517 TEV 0.0826

Acebutolol Hydrochloride / Acébutolol (chlorhydrate d') Tab/Co. Orl 200mg Rhotral 01910159 SAV 0.1239Sectral 01926551 SAV 0.1239Acebutolol 02286254 SAS 0.1239Apo-Acebutolol 02147610 APX 0.1239Mylan-Acebutolol 02237722 MYL 0.1239Mylan-Acebutolol (Type S) 02237886 MYL 0.1239Novo-Acebutolol 02204525 TEV 0.1239

Acebutolol Hydrochloride / Acébutolol (chlorhydrate d') Tab/Co. Orl 400mg Rhotral 01910167 SAV 0.2466Sectral 01926578 SAV 0.2466Acebutolol 02286262 SAS 0.2466Apo-Acebutolol 02147629 APX 0.2466Mylan-Acebutolol 02237723 MYL 0.2466Mylan-Acebutolol (Type S) 02237887 MYL 0.2466Novo-Acebutolol 02204533 TEV 0.2466

Acetaminophen / Acétaminophène Sup/Supp. Rt 120mg Abenol 01919385 PDP 0.5528Acet 120 02230434 PMS 0.5528

Acetazolamide / Acétazolamide Tab/Co. Orl 250mg Acetazolamide 00545015 AAP 0.1343Acyclovir / Acyclovir Tab/Co. Orl 200mg Zovirax 00634506 GSK 0.6397

Acyclovir 02286556 SAS 0.6397Apo-Acyclovir 02207621 APX 0.6397Mylan-Acyclovir 02242784 MYL 0.6397Novo-Acyclovir 02285959 TEV 0.6397ratio-Acyclovir 02078627 TEV 0.6397

Acyclovir / Acyclovir Tab/Co. Orl 400mg Acyclovir 02286564 SAS 1.2700Apo-Acyclovir 02207648 APX 1.2700Mylan-Acyclovir 02242463 MYL 1.2700Novo-Acyclovir 02285967 TEV 1.2700

Acyclovir / Acyclovir Tab/Co. Orl 800mg Zovirax (Zostab Pac) 01911635 GSK 1.2673Acyclovir 02286572 SAS 1.2673Apo-Acyclovir 02207656 APX 1.2673Mylan-Acyclovir 02242464 MYL 1.2673Novo-Acyclovir 02285975 TEV 1.2673

Alendronate Sodium / Alendronate sodique Tab/Co. Orl 10mg Alendronate Sodium 02381486 AHI 0.4987Apo-Alendronate 02248728 APX 0.4987Auro-Alendronate 02388545 ARO 0.4987Mint-Alendronate 02394863 MNT 0.4987Mylan-Alendronate 02270129 MYL 0.4987Ran-Alendronate 02384701 RAN 0.4987Sandoz Alendronate 02288087 SDZ 0.4987Teva-Alendronate 02247373 TEV 0.4987

Alendronate Sodium / Alendronate sodique Tab/Co. Orl 40mg Fosamax 02201038 FRS 3.0832Co Alendronate 02258102 COB 3.0832

Alendronate Sodium / Alendronate sodique Tab/Co. Orl 70mg Fosamax 02245329 FRS 2.5144Alendronate 02352966 SAS 2.5144Alendronate Sodium 02381494 AHI 2.5144Apo-Alendronate 02248730 APX 2.5144Auro-Alendronate 02388553 ARO 2.5144Co Alendronate 02258110 COB 2.5144Jamp-Alendronate 02385031 JPC 2.5144Mint-Alendronate 02394871 MNT 2.5144Mylan-Alendronate 02286335 MYL 2.5144Phl-Alendronate FC 02299712 PHL 2.5144pms-Alendronate FC 02284006 PMS 2.5144Ran-Alendronate 02384728 RAN 2.5144Sandoz Alendronate 02288109 SDZ 2.5144Teva-Alendronate 02261715 TEV 2.5144

Alendronate Sodium/Cholecalciferol / Tab/Co. Orl 70mg/5600IU Fosavance 02314940 FRS 2.7975Alendronate sodique/Cholécalciférol Teva-Alendronate/Cholecalciferol 02403641 TEV 2.7975Allopurinol / Allopurinol Tab/Co. Orl 100mg Zyloprim 00402818 AAP 0.0783

Apo-Allopurinol 02402769 APX 0.0783Mar-Allopurinol 02396327 MAR 0.0783

Allopurinol / Allopurinol Tab/Co. Orl 200mg Zyloprim 00479799 AAP 0.1306Apo-Allopurinol 02402777 APX 0.1306Mar-Allopurinol 02396335 MAR 0.1306

Allopurinol / Allopurinol Tab/Co. Orl 300mg Zyloprim 00402796 AAP 0.2135Apo-Allopurinol 02402785 APX 0.2135

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 2

Mar-Allopurinol 02396343 MAR 0.2135Almotriptan Malate/Almotriptan (malate de) Tab/Co. Orl 6.25mg Axert 02248128 JNJ 7.0434

Apo-Almotriptan 02405792 APX 7.0434Mylan-Almotriptan 02398435 MYL 7.0434

Almotriptan Malate/Almotriptan (malate de) Tab/Co. Orl 12.5mg Axert 02248129 JNJ 7.0434Apo-Almotriptan 02405806 APX 7.0434Mylan-Almotriptan 02398443 MYL 7.0434Sandoz Almotriptan 02405334 SDZ 7.0434

Alprazolam / Alprazolam Tab/Co. Orl 0.25mg Xanax 00548359 PFI 0.0609Alprazolam 02349191 SAS 0.0609Apo-Alpraz 00865397 APX 0.0609Jamp-Alprazolam 2400111 JPC 0.0609Mylan-Alprazolam 02137534 MYL 0.0609Teva-Alprazolam 01913484 TEV 0.0609

Alprazolam / Alprazolam Tab/Co. Orl 0.5mg Xanax 00548367 PFI 0.0728Alprazolam 02349205 SAS 0.0728Apo-Alpraz 00865400 APX 0.0728Jamp-Alprazolam 2400138 JPC 0.0728Mylan-Alprazolam 02137542 MYL 0.0728Teva-Alprazolam 01913492 TEV 0.0728

Amantadine Hydrochloride / Amantadine (chlorhydrate d') Cap/Caps Orl 100mg pms-Amantadine Hydrochloride 01990403 PMS 0.5179Amantadine Hydrochloride / Amantadine (chlorhydrate d') Syr/Sir. Orl 10mg/mL pms-Amantadine Hydrochloride 02022826 PMS 0.1066Amcinonide / Amcinonide Crm/Cr. Top 0.1% Cyclocort 02192284 STI 0.1953

ratio-Amcinonide 02247098 TEV 0.1953Taro-Amcinonide 02246714 TAR 0.1953

Amcinonide / Amcinonide Lot. Top 0.1% Cyclocort 02192276 STI 0.3271ratio-Amcinonide 02247097 TEV 0.3271

Amcinonide / Amcinonide Ont. Top 0.1% Cyclocort 02192268 STI 0.3940ratio-Amcinonide 02247096 TEV 0.3940

Amiloride Hydrochloride / Amiloride (chlorhydrate d') Tab/Co. Orl 5mg Midamor 02249510 AAP 0.2948Amiloride Hydrochloride/Hydrochlorothiazide / Tab/Co. Orl 5mg/50mg Apo-Amilzide 00784400 APX 0.0923Amiloride (chlorhydrate d')/hydrochlorothiazide Novamilor 01937219 TEV 0.0923Amiodarone Hydrochloride / Amiodarone (chlorhydrate de) Tab/Co. Orl 200mg Cordarone 02036282 PFI 0.5147

Amiodarone 02364336 SAS 0.5147Amiodarone 02385465 SIV 0.5147Apo-Amiodarone 02246194 APX 0.5147Mylan-Amiodarone 02240604 MYL 0.5147Phl-Amiodarone 02245781 PHL 0.5147pms-Amiodarone 02242472 PMS 0.5147Sandoz Amiodarone 02243836 SDZ 0.5147Teva-Amiodarone 02239835 TEV 0.5147

Amitriptyline Hydrochloride / Amitriptyline (chlorhydrate d') Tab/Co. Orl 10mg Elavil 00335053 AAP 0.0664Apo-Amitriptyline 02403137 APX 0.0664

Amitriptyline Hydrochloride / Amitriptyline (chlorhydrate d') Tab/Co. Orl 25mg Elavil 00335061 AAP 0.1211Apo-Amitriptyline 02403145 APX 0.1211

Amitriptyline Hydrochloride / Amitriptyline (chlorhydrate d') Tab/Co. Orl 50mg Elavil 00335088 AAP 0.2347Apo-Amitriptyline 02403153 APX 0.2347

Amitriptyline Hydrochloride / Amitriptyline (chlorhydrate d') Tab/Co. Orl 75mg Elavil 00754129 AAP 0.3634Apo-Amitriptyline 02403161 APX 0.3634

Amlodipine Besylate / Bésylate d'amlodipine Tab/Co. Orl 2.5mg Act Amlodipine 02297477 ATV 0.1380Amlodipine 02385783 SIV 0.1380Jamp-Amlodipine 02357186 JPC 0.1380Mar-Amlodipine 02371707 MAR 0.1380pms-Amlodipine 02295148 PMS 0.1380Ran-Amlodipine 02398877 RAN 0.1380Sandoz Amlodipine 02330474 SDZ 0.1380Septa-Amlodipine 02357704 SPT 0.1380

Amlodipine Besylate / Bésylate d'amlodipine Tab/Co. Orl 5mg Norvasc 00878928 PFI 0.2417Act Amlodipine 02297485 ATV 0.2417Amlodipine 02331284 SAS 0.2417Amlodipine 02385791 SIV 0.2417Amlodipine-Odan 02378760 ODN 0.2417Apo-Amlodipine 02273373 APX 0.2417Auro-Amlodipine 02397072 ARO 0.2417GD-Amlodipine 02280132 GMD 0.2417Jamp-Amlodipine 02357194 JPC 0.2417Mar-Amlodipine 02371715 MAR 0.2417Mint-Amlodipine 02362651 MNT 0.2417Mylan-Amlodipine 02272113 MYL 0.2417Phl-Amlodipine 02326779 PHL 0.2417pms-Amlodipine 02284065 PMS 0.2417Ran-Amlodipine 02321858 RAN 0.2417ratio-Amlodipine 02259605 RPH 0.2417Sandoz Amlodipine 02284383 SDZ 0.2417Septa-Amlodipine 02357712 SPT 0.2417

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 3

Teva-Amlodipine 02250497 TEV 0.2417Amlodipine Besylate / Bésylate d'amlodipine Tab/Co. Orl 10mg Norvasc 00878936 PFI 0.3587

Act Amlodipine 02297493 ATV 0.3587Amlodipine 02331292 SAS 0.3587Amlodipine 02385805 SIV 0.3587Amlodipine-Odan 02378779 ODN 0.3587Apo-Amlodipine 02273381 APX 0.3587Auro-Amlodipine 02397080 ARO 0.3587GD-Amlodipine 02280140 GMD 0.3587Jamp-Amlodipine 02357208 JPC 0.3587Mar-Amlodipine 02371723 MAR 0.3587Mint-Amlodipine 02362678 MNT 0.3587Mylan-Amlodipine 02272121 MYL 0.3587Phl-Amlodipine 02326787 PHL 0.3587pms-Amlodipine 02284073 PMS 0.3587Ran-Amlodipine 02321866 RAN 0.3587ratio-Amlodipine 02259613 RPH 0.3587Sandoz Amlodipine 02284391 SDZ 0.3587Septa-Amlodipine 02357720 SPT 0.3587Teva-Amlodipine 02250500 TEV 0.3587

Amlodipine/Atorvastatin / Amlodipine/Atorvastatine Tab/Co. Orl 5mg/10mg Caduet 02273233 PFI 0.5802Apo-Amlodipine-Atovastatin 02411261 APX 0.5802GD-Amlodipine/Atorvasatin 02362759 GMD 0.5802pms-Amlodipine/Atorvasatin 02404222 PMS 0.5802

Amlodipine/Atorvastatin / Amlodipine/Atorvastatine Tab/Co. Orl 5mg/20mg Caduet 02273241 PFI 0.6842Apo-Amlodipine-Atovastatin 02411253 APX 0.6842GD-Amlodipine/Atorvasatin 02362767 GMD 0.6842pms-Amlodipine/Atorvasatin 02404230 PMS 0.6842

Amlodipine/Atorvastatin / Amlodipine/Atorvastatine Tab/Co. Orl 5mg/40mg Caduet 02273268 PFI 0.7232Apo-Amlodipine-Atovastatin 02411288 APX 0.7232GD-Amlodipine/Atorvasatin 02362775 GMD 0.7232

Amlodipine/Atorvastatin / Amlodipine/Atorvastatine Tab/Co. Orl 5mg/80mg Caduet 02273276 PFI 0.7232Apo-Amlodipine-Atovastatin 02411296 APX 0.7232GD-Amlodipine/Atorvasatin 02362783 GMD 0.7232

Amlodipine/Atorvastatin / Amlodipine/Atorvastatine Tab/Co. Orl 10mg/10mg Caduet 02273284 PFI 0.6125Apo-Amlodipine-Atovastatin 02411318 APX 0.6125GD-Amlodipine/Atorvasatin 02362791 GMD 0.6125pms-Amlodipine/Atorvasatin 02404249 PMS 0.6125

Amlodipine/Atorvastatin / Amlodipine/Atorvastatine Tab/Co. Orl 10mg/20mg Caduet 02273292 PFI 0.7636Apo-Amlodipine-Atovastatin 02411326 APX 0.7636GD-Amlodipine/Atorvasatin 02362805 GMD 0.7636pms-Amlodipine/Atorvasatin 02404257 PMS 0.7636

Amlodipine/Atorvastatin / Amlodipine/Atorvastatine Tab/Co. Orl 10mg/40mg Caduet 02273306 PFI 0.8000Apo-Amlodipine-Atovastatin 02411334 APX 0.8000GD-Amlodipine/Atorvasatin 02362813 GMD 0.8000

Amlodipine/Atorvastatin / Amlodipine/Atorvastatine Tab/Co. Orl 10mg/80mg Caduet 02273314 PFI 0.8000Apo-Amlodipine-Atovastatin 02411342 APX 0.8000GD-Amlodipine/Atorvasatin 02362821 GMD 0.8000

Amoxicillin / Amoxicilline Pws/Pds. Orl 25mg Amoxicillin 02352745 SAS 0.0353Amoxicillin (Sugar-Reduced) 02352761 SAS 0.0353Apo-Amoxi 00628131 APX 0.0353Novamoxin 00452149 TEV 0.0353Novamoxin Sugar Reduced Granul 01934171 TEV 0.0353pms-Amoxicillan 02230245 PMS 0.0353

Amoxicillin / Amoxicilline Pws/Pds. Orl 50mg Amoxicillin 02352753 SAS 0.0540Amoxicillin 02401541 SIV 0.0540Amoxicillin (Sugar-Reduced) 02352788 SAS 0.0540Apo-Amoxi 00628158 APX 0.0540Novamoxin 00452130 TEV 0.0540Novamoxin Sugar Reduced Granul 01934163 TEV 0.0540pms-Amoxicillan 02230246 PMS 0.0540

Amoxicillin / Amoxicilline TabC/Co.C. Orl 125mg Novamoxin Chewable 02036347 TEV 0.4584Amoxicillin / Amoxicilline TabC/Co.C Orl 250mg Novamoxin Chew 02036355 TEV 0.6752Amoxicillin / Amoxicilline Cap/Caps Orl 250mg Amoxicillin 02352710 SAS 0.1750

Amoxicillin 02401495 SIV 0.1750Apo-Amoxi 00628115 APX 0.1750Auro-Amoxicillin 02388073 APX 0.1750Mylan-Amoxicillin 02238171 MYL 0.1750Novamoxin 00406724 TEV 0.1750pms-Amoxicillan 02230243 PMS 0.1750

Amoxicillin / Amoxicilline Cap/Caps Orl 500mg Amoxicillin 02352729 SAS 0.3417Amoxicillin 02401509 SIV 0.3417Apo-Amoxi 00628123 APX 0.3417Auro-Amoxicillin 02388081 APX 0.3417Mylan-Amoxicillin 02238172 MYL 0.3417

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 4

Novamoxin 00406716 TEV 0.3417pms-Amoxicillin 02230244 PMS 0.3417

Amoxicillin/Clavulanic Acid / Amoxicilline/acide clavulanique Pws/Pds 25mg/6.25mg Clavulin-125F 01916882 GSK 0.0517Apo Amoxi Clav 02243986 APX 0.0517ratio-Aclavulanate 125F 02244646 TEV 0.0517

Amoxicillin/Clavulanic Acid / Amoxicilline/acide clavulanique Pws/Pds 50mg/12.5mg Clavulin-250F 01916874 GSK 0.1830Apo Amoxi Clav 02243987 APX 0.1830ratio-Aclavulanate 250F 02244647 TEV 0.1830

Amoxicillin/Clavulanic Acid / Amoxicilline/acide clavulanique Pws/Pds Orl 400/57mg/5mL Clavulin 02238830 GSK 0.2753Apo-Amoxi Clav 02288559 APX 0.1969

Amoxicillin/Clavulanic Acid / Amoxicilline/acide clavulanique Tab/Co. Orl 250mg/125mg Apo-Amoxi Clav 02243350 APX 0.9375Amoxicillin/Clavulanic Acid / Amoxicilline/acide clavulanique Tab/Co. Orl 500/125mg Clavulin 01916858 GSK 0.6673

Apo-Amoxi Clav 02243351 APX 0.6673Amoxicillin/Clavulanic Acid / Amoxicilline/acide clavulanique Tab/Co. Orl 875mg/125mg Clavulin 02238829 GSK 0.5551

Apo Amoxi Clav 02245623 APX 0.5551Novo-Clavamoxin 02248138 TEV 0.5551ratio-Aclavulanate 02247021 TEV 0.5551

Ampicillin / Ampicilline Cap/Caps Orl 250mg Novo-Ampicillin 00020877 TEV 0.3796Ampicillin / Ampicilline Cap/Caps Orl 500mg Novo-Ampicillin 00020885 TEV 0.7197Anagrelide / Anagrelide Cap Orl 0.5mg Agrylin 02236859 SHB 2.6361

Mylan-Anagrelide 02253054 MYL 2.6361pms-Anagrelide 02274949 PMS 2.6361Sandoz Anagrelide 02260107 SDZ 2.6361

Anastrozole / Anastrozole Tab/Co. Orl 1mg Arimidex 02224135 AZE 1.2729Anastrozole 02351218 AHI 1.2729Apo-Anastrozole 02374420 APX 1.2729Auro-Anastrozole 02404990 ARO 1.2729Co Anastrozole 02394898 COB 1.2729Jamp-Anastrozole 02339080 JPC 1.2729Mar-Anastrozole 02379562 MAR 1.2729Med-Anastrozole 02379104 GMD 1.2729Mint-Anastrozole 02393573 MNT 1.2729Mylan-Anastrozole 02361418 MYL 1.2729pms-Anastrozole 02320738 PMS 1.2729Ran-Anastrozole 02328690 RAN 1.2729Sandoz Anastrozole 02338467 SDZ 1.2729Taro-Anastrozole 02365650 TAR 1.2729Teva-Anastrozole 02313049 TEV 1.2729Zinda-Anastrozole 02326035 MCK 1.2729

Atenolol / Aténolol Tab/Co. Orl 25mg Jamp-Atenolol 02367556 JPC 0.0676Mar-Atenolol 02371979 MAR 0.0676Mint-Atenolol 02368013 MNT 0.0676Mylan-Atenolol 02303647 MYL 0.0676Phl-Atenolol 02247182 PHL 0.0676pms-Atenolol 02246581 PMS 0.0676Ran-Atenolol 02373963 RAN 0.0676Teva-Atenolol 02266660 TEV 0.0676

Atenolol / Aténolol Tab/Co. Orl 50mg Tenormin 02039532 AZE 0.1437Apo-Atenol 00773689 APX 0.1437Co Atenolol 02255545 COB 0.1437Jamp-Atenolol 02367564 JPC 0.1437Mar-Atenolol 02371987 MAR 0.1437Mint-Atenolol 02368021 MNT 0.1437Mylan-Atenolol-50 02146894 MYL 0.1437Phl-Atenolol 02238316 PHL 0.1437pms-Atenolol 02237600 PMS 0.1437Ran-Atenolol 02267985 RAN 0.1437ratio-Atenolol 02171791 RPH 0.1437Septa-Atenolol 02368641 SPT 0.1437Teva-Atenolol 01912062 TEV 0.1437

Atenolol / Aténolol Tab/Co. Orl 100mg Tenormin 02039540 AZE 0.2362Apo-Atenol 00773697 APX 0.2362Co Atenolol 02255553 COB 0.2362Jamp-Atenolol 02367572 JPC 0.2362Mar-Atenolol 02371995 MAR 0.2362Mint-Atenolol 02368048 MNT 0.2362Mylan-Atenolol 02147432 MYL 0.2362Phl-Atenolol 02238318 PHL 0.2362pms-Atenolol 02237601 PMS 0.2362Ran-Atenolol 02267993 RAN 0.2362ratio-Atenolol 02171805 RPH 0.2362Septa-Atenolol 02368668 SPT 0.2362Teva-Atenolol 01912054 TEV 0.2362

Atenolol/Chlorthalidone / Aténolol/Chlorthalidone Tab/Co. Orl 50mg/25mg Tenoretic 02049961 AZE 0.6845Apo-Atenidone 02248763 APX 0.3195

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September/septembre 2014 v.1 Page 5

Teva-Atenolol\Chlorthalidone 02302918 TEV 0.3195Atenolol/Chlorthalidone / Aténolol/Chlorthalidone Tab/Co. Orl 100mg/25mg Tenoretic 02049988 AZE 0.5236

Apo-Atenidone 02248764 APX 0.5236Teva-Atenolol\Chlorthalidone 02302926 TEV 0.5236

Atorvastatin Calcium / Atorvastatine calcique Tab/Co. Orl 10mg Lipitor 02230711 PFI 0.3138Act Atorvastatin 02310899 ATV 0.3138Apo-Atorvastatin 02295261 APX 0.3138Atorvastatin 02348705 SAS 0.3138Atorvastatin 02411350 SIV 0.3138GD-Atorvastatin 02288346 GMD 0.3138Jamp-Atorvastatin 02391058 JPC 0.3138Mylan-Atorvastatin 02373203 MYL 0.3138Novo-Atorvastatin 02302675 TEV 0.3138pms-Atorvastatin 02313448 PMS 0.3138pms-Atorvastatin 02399377 PMS 0.3138Ran-Atorvastatin 02313707 RAN 0.3138ratio-Atorvastatin 02350297 RPH 0.3138Sandoz Atorvastatin 02324946 SDZ 0.3138

Atorvastatin Calcium / Atorvastatine calcique Tab/Co. Orl 20mg Lipitor 02230713 PFI 0.3922Act Atorvastatin 02310902 ATV 0.3922Apo-Atorvastatin 02295288 APX 0.3922Atorvastatin 02348713 SAS 0.3922Atorvastatin 02411369 SIV 0.3922GD-Atorvastatin 02288354 GMD 0.3922Jamp-Atorvastatin 02391066 JPC 0.3922Mylan-Atorvastatin 02373211 MYL 0.3922Novo-Atorvastatin 02302683 TEV 0.3922pms-Atorvastatin 02399385 PMS 0.3922Ran-Atorvastatin 02313715 RAN 0.3922ratio-Atorvastatin 02350319 RPH 0.3922Sandoz Atorvastatin 02324954 SDZ 0.3922

Atorvastatin Calcium / Atorvastatine calcique Tab/Co. Orl 40mg Lipitor 02230714 PFI 0.4216Act Atorvastatin 02310910 ATV 0.4216Apo-Atorvastatin 02295296 APX 0.4216Atorvastatin 02348721 SAS 0.4216Atorvastatin 02411377 SIV 0.4216GD-Atorvastatin 02288362 GMD 0.4216Jamp-Atorvastatin 02391082 JPC 0.4216Mylan-Atorvastatin 02373238 MYL 0.4216Novo-Atorvastatin 02302691 TEV 0.4216pms-Atorvastatin 02399393 PMS 0.4216Ran-Atorvastatin 02313723 RAN 0.4216ratio-Atorvastatin 02350327 RPH 0.4216Sandoz Atorvastatin 02324962 SDZ 0.4216

Atorvastatin Calcium / Atorvastatine calcique Tab/Co. Orl 80mg Lipitor 02243097 PFI 0.4216Act Atorvastatin 02310929 ATV 0.4216Apo-Atorvastatin 02295318 APX 0.4216Atorvastatin 02348748 SAS 0.4216Atorvastatin 02411385 SIV 0.4216GD-Atorvastatin 02288370 GMD 0.4216Jamp-Atorvastatin 02391082 JPC 0.4216Mylan-Atorvastatin 02373246 MYL 0.4216Novo-Atorvastatin 02302713 TEV 0.4216pms-Atorvastatin 02399407 PMS 0.4216Ran-Atorvastatin 02313758 RAN 0.4216ratio-Atorvastatin 02350335 RPH 0.4216Sandoz Atorvastatin 02324970 SDZ 0.4216

Azathioprine Sodium / Azathioprine sodique Tab/Co. Orl 50 mg Imuran 00004596 GSK 0.2405Apo-Azathioprine 02242907 APX 0.2405Azathioprine 02343002 SAS 0.2405Mylan-Azathioprine 02231491 MYL 0.2405Teva-Azathioprine 02236819 TEV 0.2405

Azithromycin / Azithromycine Pws/Pds. Inj 500mg Zithromax 02239952 PFI 19.6600Azithromycin 02385473 MYL 19.6600

Azithromycin / Azithromycine Pws/Pds. Orl 20mg Zithromax 02223716 PFI 0.3953GD-Azithromycin 02274566 GMD 0.3953Novo-Azithromycin 02315157 TEV 0.3953pms-Azithromycin 02274388 PMS 0.3953pms-Azithromycin 02418452 PMS 0.3953Sandoz Azithromycin 02332388 SDZ 0.3953

Azithromycin / Azithromycine Pws/Pds. Orl 40mg Zithromax 02223724 PFI 0.5604GD-Azithromycin 02274574 GMD 0.5604Novo-Azithromycin 02315165 TEV 0.5604pms-Azithromycin 02274396 PMS 0.5604pms-Azithromycin 02418460 PMS 0.5604

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September/septembre 2014 v.1 Page 6

Sandoz Azithromycin 02332396 SDZ 0.5604Azithromycin (All Polymorphic Forms) / Tab/Co. Orl 250mg Zithromax 02212021 PFI 1.2313Azithromycine (toutes les formes polymorphiques) Apo-Azithromycin 02247423 APX 1.2313

Apo-Azithromycin Z 02415542 APX 1.2312Azithromycin 02330881 SAS 1.2313Co Azithromycin 02255340 COB 1.2313GD-Azithromycin 02274531 GMD 1.2313Mylan-Azithromycin 02278359 MYL 1.2313Novo-Azithromycin 02267845 TEV 1.2313pms-Azithromycin 02261634 PMS 1.2313ratio-Azithromycin 02275287 RPH 1.2313Sandoz Azithromycin 02265826 SDZ 1.2313

Azithromycin (All Polymorphic Forms) / Tab/Co. Orl 600mg Azithromycin 02330911 SAS 6.0000Azithromycine (toutes les formes polymorphiques) Co Azithromycin 02256088 COB 6.0000

pms-Azithromycin 02261642 PMS 6.0000Baclofen / Baclofène Tab/Co. Orl 10 mg Lioresal 00455881 NVR 0.1635

Apo-Baclofen 02139332 APX 0.1635Baclofen 02287021 SAS 0.1635Mylan-Baclofen 02088398 MYL 0.1635Phl-Baclofen 02236963 PHL 0.1635pms-Baclofen 02063735 PMS 0.1635ratio-Baclofen 02236507 TEV 0.1635

Baclofen / Baclofène Tab/Co. Orl 20mg Lioresal D.S. 00636576 NVR 0.3181Apo-Baclofen 02139391 APX 0.3181Baclofen 02287048 SAS 0.3181Mylan-Baclofen 02088401 MYL 0.3181Phl-Baclofen 02236964 PHL 0.3181pms-Baclofen 02063743 PMS 0.3181ratio-Baclofen 02236508 TEV 0.3181

Beclomethasone Dipropionate / Béclométhasone (dipropionate de) Aem/Aém Nas 50mcg Mylan-Beclo Aq 02172712 MYL 0.0613Apo-Beclomethasone 02238796 APX 0.0613

Benazapril Hydrochloride / Benazapril (chlorhydrate de) Tab/Co. Orl 5mg Lotensin 00885835 NVR 0.6051Apo-Benazepril 02290332 AAP 0.6051

Benazapril Hydrochloride / Benazapril (chlorhydrate de) Tab/Co. Orl 10mg Lotensin 00885843 NVR 0.7156Apo-Benazepril 02290340 AAP 0.7156

Benazapril Hydrochloride / Benazapril (chlorhydrate de) Tab/Co. Orl 20mg Lotensin 00885851 NVR 0.8210Apo-Benazepril 02273918 AAP 0.8210

Benztropine Mesylate / Benztropine (mésylate de) Tab/Co. Orl 2mg Benztropine Mesylate 00426857 PMS 0.0464Benzydamine Hydrochloride / Benzydamine (chlorhydrate de) Liq/Liq Buc 0.15 % Pharixa 02229777 PMS 0.0618

Novo-Benzydamine (New Din) 02310422 TEV 0.0600Betahistine Hydrochloride / Bétahistine (dichlorhydrate de) Tab/Co. Orl 8mg Novo-Betahistine 02280183 TEV 0.2101Betahistine Hydrochloride / Bétahistine (dichlorhydrate de) Tab/Co. Orl 16mg Serc 02243878 SPH 0.1770

Co Betahistine 02374757 COB 0.1770Novo-Betahistine 02280191 TEV 0.1770pms-Betahistine 02330210 PMS 0.1770

Betahistine Hydrochloride / Bétahistine (dichlorhydrate de) Tab/Co. Orl 24mg Serc 02247998 SPH 0.3040Co Betahistine 02374765 COB 0.3040Novo-Betahistine 02280205 TEV 0.3040pms-Betahistine 02330237 PMS 0.3040

Betamethasone Dipropionate / Bétamethasone dipropinate Ont/Ont Top 0.05 % Diprolene Glycol 00629367 SCH 0.5187ratio-Topilene 00849669 RPH 0.5187

Bethamethasone 17-Valerate / Bétaméthasone (valérate de) Ont. Top 0.05% Celestoderm V/2 02357879 VAL 0.0596Betaderm 00716642 TAR 0.0596

Bethamethasone 17-Valerate / Bétaméthasone (valérate de) Ont. Top 0.1% Celestoderm V 02357852 VAL 0.0889Betaderm 00716650 TAR 0.0889

Bethamethasone 17-Valerate / Bétaméthasone (valérate de) Crm/Cr. Top 0.05% Celestoderm V/2 02357860 VAL 0.0596Betaderm 00716618 TAR 0.0596

Bethamethasone 17-Valerate / Bétaméthasone (valérate de) Crm/Cr.. Top 0.1% Celestoderm V 02357844 VAL 0.0889Betaderm 00716626 TAR 0.0889

Bicalutamide / Bicalutamide Tab/Co. Orl 50mg Casodex 02184478 AZE 1.6100Apo-Bicalutamide 02296063 APX 1.6100Bicalutamide 02325985 AHI 1.6100Bicalutamide 02382423 SIV 1.6100Co Bicalutamide 02274337 COB 1.6100Jamp-Bicalutamide 02357216 JPC 1.6100Mylan-Bicalutamide 02302403 MYL 1.6100Novo-Bicalutamide 02270226 TEV 1.6100pms-Bicalutamide 02275589 PMS 1.6100Ran-Bicalutamide 02371324 RAN 1.6100ratio-Bicalutamide 02277700 RPH 1.6100Sandoz Bicalutamide 02276089 SDZ 1.6100

Bisoprolol Fumerate / Fumarate de bisoprolol Tab/Co. Orl 5mg Apo-Bisoprolol 02256134 APX 0.0994Bisoprolol 02391589 SAS 0.0994Bisoprolol 02383055 SIV 0.0994Mylan-Bisoprolol 02384418 MYL 0.0994

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September/septembre 2014 v.1 Page 7

pms-Bisoprolol 02302632 PMS 0.0994Sandoz Bisoprolol 02247439 SDZ 0.0994Teva-Bisoprolol 02267470 TEV 0.0994

Bisoprolol Fumerate / Fumarate de bisoprolol Tab/Co. Orl 10mg Apo-Bisoprolol 02256177 APX 0.1450Bisoprolol 02391597 SAS 0.1450Bisoprolol 02383063 SIV 0.1450Mylan-Bisoprolol 02384426 MYL 0.1450pms-Bisoprolol 02302640 PMS 0.1450Sandoz Bisoprolol 02247440 SDZ 0.1450Teva-Bisoprolol 02267489 TEV 0.1450

Bosentan / Bosentan Tab/Co. Orl 62.5mg Tracleer 02244981 ACT 22.4625Co Bosentan 02386194 COB 22.4625Mylan-Bosentan 02383497 MYL 22.4625pms-Bosentan 02383012 PMS 22.4625Sandoz Bosentan 02386275 SDZ 22.4625Teva-Bosentan 02398400 TEV 22.4625

Bosentan / Bosentan Tab/Co. Orl 125mg Tracleer 02244982 ACT 22.4625Co Bosentan 02386208 COB 22.4625Mylan-Bosentan 02383500 MYL 22.4625pms-Bosentan 02383020 PMS 22.4625Sandoz Bosentan 02386283 SDZ 22.4625Teva-Bosentan 02398419 TEV 22.4625

Brimonidine Tartrate / Brimonidine Tartrate Dps/Gttes Oph 0.2% Alphagan 02236876 ALL 1.1550Apo-Brimonidine 02260077 APX 1.1550pms-Brimotidine 02246284 PMS 1.1550ratio-Brimonidine 02243026 TEV 1.1550Sandoz Brimonidine 02305429 SDZ 1.1550

Brimonidine Tartrate / Brimonidine Tartrate Liq Oph 0.15% Alphagan P 02248151 ALL 1.7330Apo-Brimonidine P 02301334 APX 1.7330

Bromazepam / Bromazépam Tab/Co. Orl 1.5mg Apo-Bromazepam 02177153 APX 0.0693Bromazepam / Bromazépam Tab/Co. Orl 3mg Lectopam 00518123 HLR 0.0375

Apo-Bromazepam 02177161 APX 0.0375Novo-Bromazepam 02230584 TEV 0.0375

Bromazepam / Bromazépam Tab/Co. Orl 6mg Lectopam 00518131 HLR 0.0548Apo-Bromazepam 02177188 APX 0.0548Novo-Bromazepam 02230585 TEV 0.0548

Bromocriptine Mesylate / Bromocriptine (mésylate de) Tab/Co. Orl 2.5mg Bromocriptine 02087324 AAP 0.9782Bromocriptine Mesylate / Bromocriptine (mésylate de) Cap/Caps Orl 5mg Bromocriptine 02230454 AAP 1.4644Budesonide / Budésonide Aem/Aém Nas 64Mcg Rhinocort Aqua 02231923 AZE 0.0843

Mylan-Budesonide 02241003 MYL 0.0843Budesonide / Budésonide Aem/Aém Nas 100mg/aem Mylan-Budesonide Aqua Nasal Spray 02230648 MYL 0.0958Bupropion Hydrochloride / Bupropion (chlorhydrate de) SRT/Co.L.L. Orl 100mg Bupropion SR 02391562 SAS 0.1547

pms-Bupropion SR 02325373 PMS 0.1547ratio-Bupropion SR 02285657 TEV 0.1547Sandoz Bupropion SR 02275074 SDZ 0.1547

Bupropion Hydrochloride / Bupropion (chlorhydrate de) SRT/Co.L.L. Orl 150mg Wellbutrin SR 02237825 BVL 0.2298Bupropion SR 02391570 SAS 0.2298pms-Bupropion SR 02313421 PMS 0.2298ratio-Bupropion SR 02285665 TEV 0.2298Sandoz Bupropion SR 02275082 SDZ 0.2298

Bupropion Hydrochloride / Bupropion (chlorhydrate de) SRT/Co.L.L. Orl 150mg Wellbutrin XL 02275090 VLN 0.3982Mylan-Bupropion XL 02382075 MYL 0.3982

Bupropion Hydrochloride / Bupropion (chlorhydrate de) SRT/Co.L.L. Orl 300mg Wellbutrin XL 02275104 VLN 0.7963Mylan-Bupropion XL 02382083 MYL 0.7963

Buspirone Hydrochloride / Buspirone (chlorhydrate de) Tab/Co. Orl 10 mg Apo-Buspirone 02211076 APX 0.3517Novo-Buspirone 02231492 TEV 0.3517pms-Buspirone 02230942 PMS 0.3517

Butalbital/Acetylsalicylic Acid/Caffeine / Cap/Caps Orl 50mg/330mg/40mg Fiorinal 00226327 NVR 1.3863Butalbital/acide acétylsalicylique/caféine ratio-Tecnal 00608238 RPH 1.3863Butalbital/Acetylsalicylic Acid/Caffeine/Codeine Phosphate / Cap/Caps Orl 50mg/330mg/40mg/15mg Fiorinal C1/4 00176192 NVR 1.4865Butalbital/acide acétylsalicylique/caféine/codéine (phosphate de) ratio-Tecnal C1/4 00608203 RPH 1.4865Butalbital/Acetylsalicylic Acid/Caffeine/Codeine Phosphate / Cap/Caps Orl 50mg/330mg/40mg/30mg Fiorinal C1/2 00176206 NVR 1.8203Butalbital/acide acétylsalicylique/caféine/codéine (phosphate de) ratio-Tecnal C1/2 00608181 RPH 1.8203Cabergoline / Cabergoline Tab/Co. Orl 0.5mg Dostinex 02242471 SQI 10.6182

Co Cabergoline 02301407 COB 10.6182Calcitonin Salmon Synthetic / Calcitonine de saumon Liq/Inj 200IU/mL Calcimar 01926691 SAV 28.0350Candesartan Cilexetil / Candésartan Cilexétil Tab/Co. Orl 4mg Atacand 02239090 AZE 0.1700

Apo-Candesartan 02365340 APX 0.1700Candesartan 02388901 SAS 0.1700Candesartan 02388693 SIV 0.1700Candesartan Cilexetil 02379260 AHI 0.1700Co Candesartan 02376520 COB 0.1700Jamp-Candesartan 02386496 JPC 0.1700Mylan-Candesartan 02379120 MYL 0.1700pms-Candesartan 02391171 PMS 0.1700

Maximum Allowable Price (MAP) listfor NB Drug Plans

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September/septembre 2014 v.1 Page 8

Ran-Candesartan 02380684 RAN 0.1700Sandoz Candesartan 02326957 SDZ 0.1700

Candesartan Cilexetil / Candésartan Cilexétil Tab/Co. Orl 8mg Atacand 02239091 AZE 0.2932Apo-Candesartan 02365359 APX 0.2932Candesartan 02388928 SAS 0.2932Candesartan 02388707 SIV 0.2932Candesartan Cilexetil 02379279 AHI 0.2932Co Candesartan 02376539 COB 0.2932Jamp-Candesartan 02386518 JPC 0.2932Mylan-Candesartan 02379139 MYL 0.2932pms-Candesartan 02391198 PMS 0.2932Ran-Candesartan 02380692 RAN 0.2932Sandoz Candesartan 02326965 SDZ 0.2932Teva-Candesartan 02366312 TEV 0.2932

Candesartan Cilexetil / Candésartan Cilexétil Tab/Co. Orl 16mg Atacand 02239092 AZE 0.2932Apo-Candesartan 02365367 APX 0.2932Candesartan 02388936 SAS 0.2932Candesartan 02388715 SIV 0.2932Candesartan Cilexetil 02379287 AHI 0.2932Co Candesartan 02376547 COB 0.2932Jamp-Candesartan 02386526 JPC 0.2932Mylan-Candesartan 02379147 MYL 0.2932pms-Candesartan 02391201 PMS 0.2932Ran-Candesartan 02380706 RAN 0.2932Sandoz Candesartan 02326973 SDZ 0.2932Teva-Candesartan 02366320 TEV 0.2932

Candesartan Cilexetil / Candésartan Cilexétil Tab/Co. Orl 32mg Atacand 02311658 AZE 0.2995Apo-Candesartan 02399105 APX 0.2995Candesartan Cilexetil 02379295 AHI 0.2995Co Candesartan 02376555 COB 0.2995Jamp-Candesartan 02386534 JPC 0.2995Mylan-Candesartan 02379155 MYL 0.2995pms-Candesartan 02391228 PMS 0.2995Ran-Candesartan 02380714 RAN 0.2995Sandoz Candesartan 02392267 SDZ 0.2995Sandoz Candesartan 02417340 SDZ 0.2995Teva-Candesartan 02366339 TEV 0.2995

Candesartan Cilexetil/Hydrochlorothiazide / Tab/Co. Orl 16mg/12.5mg Atacand Plus 02244021 AZE 0.2995Candésartan Cilexétil/Hydrochlorothiazide Apo-Candesartan/HCTZ 02367866 APX 0.2995

Candesartan HCT 02394812 SIV 0.2995Candesartan/HCTZ 02394804 SAS 0.2995Co Candesartan/HCT 02388650 COB 0.2995Mylan-Candesartan HCTZ 02374897 MYL 0.2995pms-Candesartan-HCTZ 02391295 PMS 0.2995Sandoz Candesartan Plus 02327902 SDZ 0.2995Teva-Candesartan/HCTZ 02395541 TEV 0.2995

Candesartan Cilexetil/Hydrochlorothiazide / Tab/Co. Orl 32mg/12.5mg Atacand Plus 02332922 AZE 0.3008Candésartan Cilexétil/Hydrochlorothiazide Apo-Candesartan/HCTZ 02395126 APX 0.3008

Sandoz Candesartan Plus 02420732 SDZ 0.3008Teva-Candesartan/HCTZ 02395568 TEV 0.3008

Candesartan Cilexetil/Hydrochlorothiazide / Tab/Co. Orl 32mg/25mg Atacand Plus 02332957 AZE 0.3008Candésartan Cilexétil/Hydrochlorothiazide Apo-Candesartan/HCTZ 02395134 APX 0.3008

Sandoz Candesartan Plus 02420740 SDZ 0.3008Capecitabine / Capécitabine Tab/Co. Ori 150mg Xeloda 02238453 HLR 1.3725

Teva-Capecitabine 02400022 TEV 1.3725Capecitabine / Capécitabine Tab/Co. Ori 500mg Xeloda 02238454 HLR 4.5750

Teva-Capecitabine 02400030 TEV 4.5750Captopril / Captopril Tab/Co. Orl 12.5mg Apo-Capto 00893595 APX 0.1060

Mylan-Captopril 02163551 MYL 0.1060Novo-Captoril 01942964 TEV 0.1060

Captopril / Captopril Tab/Co. Orl 25mg Capoten 00546283 BRI 0.1500Apo-Capto 00893609 APX 0.1500Mylan-Captopril 02163578 MYL 0.1500Novo-Captoril 01942972 TEV 0.1500

Captopril / Captopril Tab/Co. Orl 50mg Apo-Capto 00893617 APX 0.2795Mylan-Captopril 02163586 MYL 0.2795Novo-Captoril 01942980 TEV 0.2795

Captopril / Captopril Tab/Co. Orl 100mg Apo-Capto 00893625 APX 0.5198Mylan-Captopril 02163594 MYL 0.5198Novo-Captoril 01942999 TEV 0.5198

Carbamazepine / Carbamazépine TabC/Co. Orl 100mg Tegretol Chew 00369810 NVR 0.0380pms-Carbamazepine Chewtabs 02231542 PMS 0.0380Sandoz Carbamazepine Chewtabs 02261855 SDZ 0.0380

Carbamazepine / Carbamazépine TabC/Co. Orl 200mg Tegretol Chew 00665088 NVR 0.0749pms-Carbamazepine Chewtabs 02231540 PMS 0.0749

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 9

Sandoz Carbamazepine Chewtabs 02261863 SDZ 0.0749Carbamazepine / Carbamazépine SRT/Co.L.L. Orl 200mg Tegretol CR 00773611 NVR 0.0930

Mylan-Carbamazepine 02241882 MYL 0.0930pms-Carbamazepine 02231543 PMS 0.0930Sandoz Carbamazepine CR 02261839 SDZ 0.0930

Carbamazepine / Carbamazépine SRT/Co.L.L. Orl 400mg Tegretol CR 00755583 NVR 0.1859Mylan-Carbamazepine 02241883 MYL 0.1859pms-Carbamazepine 02231544 PMS 0.1859Sandoz Carbamazepine CR 02261847 SDZ 0.1859

Carbamazepine / Carbamazépine Sus/Susp Orl 100mg/5mL Tegretol 02194333 NVR 0.0582Taro-Carbamazepine 02367394 TAR 0.0582

Carbamazepine / Carbamazépine Tab/Co. Orl 200mg Tegretol 00010405 NVR 0.1467Taro-Carbamazepine 02407515 TAR 0.1467Teva-Carbamazepine 00782718 TEV 0.1467

Carvedilol / Carvédilol Tab/Co. Orl 3.125mg Apo-Carvedilol 02247933 APX 0.3377Auro-Carvedilol 02418495 ARO 0.3377Carvedilol 02364913 SAS 0.3377Jamp-Carvedilol 02368897 JPC 0.3377Mylan-Carvedilol 02347512 MYL 0.3377Phl-Carvedilol 02248752 PHL 0.3377pms-Carvedilol 02245914 PMS 0.3377Ran-Carvedilol 02268027 RAN 0.3377ratio-Carvedilol 02252309 TEV 0.3377Zym-Carvedilol 02338068 ZYM 0.3377

Carvedilol / Carvedilol Tab/Co. Orl 6.25mg Apo-Carvedilol 02247934 APX 0.3377Auro-Carvedilol 02418509 ARO 0.3377Carvedilol 02364921 SAS 0.3377Jamp-Carvedilol 02368900 JPC 0.3377Mylan-Carvedilol 02347520 MYL 0.3377Phl-Carvedilol 02248753 PHL 0.3377pms-Carvedilol 02245915 PMS 0.3377Ran-Carvedilol 02268035 RAN 0.3377ratio-Carvedilol 02252317 TEV 0.3377Zym-Carvedilol 02338092 ZYM 0.3377

Carvedilol / Carvedilol Tab/Co. Orl 12.5mg Apo-Carvedilol 02247935 APX 0.3377Auro-Carvedilol 02418517 ARO 0.3377Carvedilol 02364948 SAS 0.3377Jamp-Carvedilol 02368919 JPC 0.3377Mylan-Carvedilol 02347555 MYL 0.3377Phl-Carvedilol 02248754 PHL 0.3377pms-Carvedilol 02245916 PMS 0.3377Ran-Carvedilol 02268043 RAN 0.3377ratio-Carvedilol 02252325 TEV 0.3377Zym-Carvedilol 02338106 ZYM 0.3377

Carvedilol / Carvedilol Tab/Co. Orl 25mg Apo-Carvedilol 02247936 APX 0.3377Auro-Carvedilol 02418525 ARO 0.3377Carvedilol 02364956 SAS 0.3377Jamp-Carvedilol 02368927 JPC 0.3377Mylan-Carvedilol 02347571 MYL 0.3377Phl-Carvedilol 02248755 PHL 0.3377pms-Carvedilol 02245917 PMS 0.3377Ran-Carvedilol 02268051 RAN 0.3377ratio-Carvedilol 02252333 TEV 0.3377Zym-Carvedilol 02338114 ZYM 0.3377

Cefaclor / Céfaclor Pws/Pds. Orl 25mg/mL Ceclor 00465208 PDP 0.1156Cefaclor / Céfaclor Pws/Pds. Orl 50mg/mL Ceclor 00465216 PDP 0.2115Cefaclor / Céfaclor Pws/Pds. Orl 75mg/mL Ceclor BID 00832804 PDP 0.3101Cefaclor / Céfaclor Cap/Caps Orl 250mg Ceclor Pulvule 00465186 PDP 1.0828Cefaclor / Céfaclor Cap/Caps Orl 500mg Ceclor Pulvule 00465194 PDP 2.1260Cefadroxil / Céfadroxil Cap/Caps Orl 500mg Apo-Cefadroxil 02240774 APX 0.8421

Novo-Cefadroxil 02235134 TEV 0.8421Cefazolin Sodium / Céfazoline sodique Pws/Pds Inj 500mg Cefazolin Pws 02308932 SDZ 2.5000

Cefazolin Sodium 02108119 TEV 2.5000Cefazolin Sodium / Céfazoline sodique Pws/Pds Inj 1gm Cefazolin 02297205 APX 3.2308

Cefazolin Pws 02308959 SDZ 3.2308Cefazolin Sodium 02108127 TEV 3.2308

Cefepime Hydrochloride / Céfépime (chlorhydrate de) Pws/Pds. Inj 2g/vial Maxipime 02163640 BRI 25.1152Cefepime For Inj 02319039 APX 25.1152

Cefoxitin Sodium/ Céfoxitine sodique Pws/Pds. Inj 1g Cefoxitin for Injection 02291711 APX 10.6000Cefoxitin 02128187 TEV 10.6000

Cefoxitin Sodium/ Céfoxitine sodique Pws/Pds. Inj 2g Cefoxitin for Injection 02291738 APX 21.2500Cefoxitin 02128195 TEV 21.2500

Cefprozil / Cefprozil Pws/Pds. Orl 125mg/5mL Cefzil 02163675 BRI 0.0940Apo-Cefprozil 02293943 APX 0.0940Auro-Cefprozil 02347261 ARO 0.0940

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 10

Ran-Cefprozil 02329204 RAN 0.0940Sandoz Cefprozil 02303426 SDZ 0.0940

Cefprozil / Cefprozil Pws/Pds. Orl 250mg/5mL Cefzil 02163683 BRI 0.1881Apo-Cefprozil 02293951 APX 0.1881Auro-Cefprozil 02347288 ARO 0.1881Ran-Cefprozil 02293579 RAN 0.1881Sandoz Cefprozil 02303434 SDZ 0.1881

Cefprozil / Cefprozil Tab/Co. Orl 250mg Cefzil 02163659 BRI 0.4332Apo-Cefprozil 02292998 APX 0.4332Auro-Cefprozil 02347245 ARO 0.4332Ran-Cefprozil 02293528 RAN 0.4332Sandoz Cefprozil 02302179 SDZ 0.4332

Cefprozil / Cefprozil Tab/Co. Orl 500mg Cefzil 02163667 BRI 0.8494Apo-Cefprozil 02293005 APX 0.8494Auro-Cefprozil 02347253 ARO 0.8494Ran-Cefprozil 02293536 RAN 0.8494Sandoz Cefprozil 02302187 SDZ 0.8494

Ceftriaxone Sodium / Ceftriaxone Sodique Pws/Pds. Inj 250mg Ceftriaxone 02292866 APX 3.9501Ceftriaxone Sodium 02325594 STR 3.9501

Ceftriaxone Sodium / Ceftriaxone Sodique Pws/Pds. Inj 1gm Ceftriaxone 02292874 APX 12.4950Ceftriaxone 02292270 SDZ 12.4950Ceftriaxone Sodium 02325616 STR 12.4950Ceftriaxone Sodium 02287633 TEV 12.4950

Ceftriaxone Sodium / Ceftriaxone Sodique Pws/Pds. Inj 2gm Ceftriaxone 02292289 SDZ 24.1400Ceftriaxone Sodium 02325624 STR 24.1400Ceftriaxone Usp 02292882 APX 24.1400

Cefuroxime Axetil / Cefuroxime Axetil Tab 250mg Ceftin 02212277 GSK 0.7237Apo-Cefuroxime 02244393 APX 0.7237Auro-Cefuroxime 02344823 ARO 0.7237ratio-Cefuroxime 02242656 TEV 0.7237

Cefuroxime Axetil / Cefuroxime Axetil Tab 500mg Ceftin 02212285 GSK 1.4337Apo-Cefuroxime 02244394 APX 1.4337Auro-Cefuroxime 02344831 ARO 1.4337ratio-Cefuroxime 02242657 TEV 1.4337

Cefuroxime Sodium / Céfuroxime sodique Pws/Pds. Inj 750mg Cefuroxime 02241638 LYP 14.0100Cefuroxime Sodium / Céfuroxime sodique Pws/Pds. Inj 1.5gm Cefuroxime 02241639 LYP 28.0400Cephalexin Monohydrate / Céphalexine (monohydrate de) Pws/Pds Orl 25mg/mL Novo-Lexin 00342106 TEV 0.1462Cephalexin Monohydrate / Céphalexine (monohydrate de) Pws/Pds Orl 50mg/mL Novo-Lexin 00342092 TEV 0.2797Cephalexin Monohydrate / Céphalexine (monohydrate de) Tab/Co. Orl 250mg Apo-Cephalex 00768723 APX 0.2250

Novo-Lexin 00583413 TEV 0.2250Cephalexin Monohydrate / Céphalexine (monohydrate de) Tab/Co. Orl 500mg Apo-Cephalex 00768715 APX 0.4500

Novo-Lexin 00583421 TEV 0.4500Cetirizine Hydrochloride / Cétirizine (chlorhydrate de) Tab/Co. Orl 10mg Reactine 02223554 CHC 0.4083

Apo-Cetirizine 02231603 APX 0.4083Extra Strength Allergy Relief 02315955 PDP 0.4083

Chlordiazepoxide Hydrochloride / Chlordiazépoxide (chlorhydrate de) Cap/Caps. Orl 5mg Chlordiazepoxide HCL 00522724 AAP 0.0679Chlordiazepoxide Hydrochloride / Chlordiazépoxide (chlorhydrate de) Cap/Caps. Orl 10mg Chlordiazepoxide HCL 00522988 AAP 0.1070Chlordiazepoxide Hydrochloride / Chlordiazépoxide (chlorhydrate de) Cap/Caps. Orl 25mg Chlordiazepoxide HCL 00522996 AAP 0.1658Chlorthalidone / chlorthalidone Tab/Co. Orl 50mg Chlorthalidone 00360279 AAP 0.1348Chloroquine Diphosphate / Chloroquine (phosphate de) Tab/Co. Orl 250mg Novo-Chloroquine 00021261 TEV 1.2000Chlorpropamide / Chlorpropamide Tab/Co. Orl 100mg Apo-Chlorpropamide 00399302 APX 0.0745Chlorpropamide / Chlorpropamide Tab/Co. Orl 250mg Apo-Chlorpropamide 00312711 APX 0.0792Cholestyramine Resin / Cholestyramine (résin de) Pws/Pds. Orl 4gm Olestyr 00890960 PDP 1.5206Cholestyramine Resin / Cholestyramine (résin de) Pws/Pds. Orl 4gm Olestyr 02210320 PDP 1.5206Cilazapril / Cilazapril Tab/Co. Orl 1mg Apo-Cilazapril 02291134 APX 0.2027

Cilazapril 02350963 SAS 0.2027Mylan-Cilazapril 02283778 MYL 0.2027Novo-Cilazapril 02266350 TEV 0.2027pms-Cilazapril 02280442 PMS 0.2027

Cilazapril / Cilazapril Tab/Co. Orl 2.5mg Inhibace 01911473 HLR 0.1795Apo-Cilazapril 02291142 APX 0.1795Cilazapril 02350971 SAS 0.1795Co Cilazapril 02285215 COB 0.1795Mylan-Cilazapril 02283786 MYL 0.1795Novo-Cilazapril 02266369 TEV 0.1795pms-Cilazapril 02280450 PMS 0.1795

Cilazapril / Cilazapril Tab/Co. Orl 5mg Inhibace 01911481 HLR 0.2085Apo-Cilazapril 02291150 APX 0.2085Cilazapril 02350998 SAS 0.2085Co Cilazapril 02285223 COB 0.2085Mylan-Cilazapril 02283794 MYL 0.2085Novo-Cilazapril 02266377 TEV 0.2085pms-Cilazapril 02280469 PMS 0.2085

Cilazapril/Hydrochlorothiazide / Cilazapril/Hydrochlorothiazide Tab/Co. Orl 5mg/12.5mg Inhibace Plus 02181479 HLR 0.4170Apo-Cilazapril/HCTZ 02284987 APX 0.4170

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 11

Novo-Cilazapril/HCTZ 02313731 TEV 0.4170Cimetidine / Cimétidine Tab/Co. Orl 200mg Apo-Cimetidine 00584215 APX 0.0860Cimetidine / Cimétidine Tab/Co. Orl 300mg Apo-Cimetidine 00487872 APX 0.0860

Mylan-Cimetidine 02227444 MYL 0.0860Cimetidine / Cimétidine Tab/Co. Orl 400mg Apo-Cimetidine 00600059 APX 0.1350

Mylan-Cimetidine 02227452 MYL 0.1350Cimetidine / Cimétidine Tab/Co. Orl 600mg Apo-Cimetidine 00600067 APX 0.1702

Mylan-Cimetidine 02227460 MYL 0.1702Cimetidine / Cimétidine Tab/Co. Orl 800mg Apo-Cimetidine 00749494 APX 0.2530Ciprofloxacin / Ciprofloxacine Liq/liq. IV 2mg/mL Ciprofloxacin 02267462 TEV 0.1025Ciprofloxacin Hydrochloride / Ciprofloxacine (chlorhydrate de) Liq/liq. Oph 0.3% Ciloxan 01945270 ALC 1.2180

Sandoz Ciprofloxacin 02387131 SDZ 1.2180Ciprofloxacin Hydrochloride / Ciprofloxacine (chlorhydrate de) Tab/Co. Orl 250mg Cipro 02155958 BAY 0.6186

Act Ciprofloxacin 02247339 ATV 0.6186Apo-Ciproflox 02229521 APX 0.6186Auro-Ciprofloxacin 02381907 ARO 0.6186Ciprofloxacin 02353318 SAS 0.6186Ciprofloxacin 02386119 SIV 0.6186Jamp-Ciprofloxacin 02380358 JPC 0.6186Mar-Ciprofloxacin 02379686 MAR 0.6186Mint-Ciprofloxacin 02317427 MNT 0.6186Mylan-Ciprofloxacin 02245647 MYL 0.6186Novo-Ciprofloxacin 02161737 TEV 0.6186pms-Ciprofloxacin 02248437 PMS 0.6186Ran-Ciproflox 02303728 RAN 0.6186Sandoz Ciprofloxacin 02248756 SDZ 0.6186Septa-Ciprofloxacin 02379627 SPT 0.6186

Ciprofloxacin Hydrochloride / Ciprofloxacine (chlorhydrate de) Tab/Co. Orl 500mg Cipro 02155966 BAY 0.6979Act Ciprofloxacin 02247340 ATV 0.6979Apo-Ciproflox 02229522 APX 0.6979Auro-Ciprofloxacin 02381923 ARO 0.6979Ciprofloxacin 02353326 SAS 0.6979Ciprofloxacin 02386127 SIV 0.6979Jamp-Ciprofloxacin 02380366 JPC 0.6979Mar-Ciprofloxacin 02379694 MAR 0.6979Mint-Ciprofloxacin 02317435 MNT 0.6979Mylan-Ciprofloxacin 02245648 MYL 0.6979Novo-Ciprofloxacin 02161745 TEV 0.6979pms-Ciprofloxacin 02248438 PMS 0.6979Ran-Ciproflox 02303736 RAN 0.6979Sandoz Ciprofloxacin 02248757 SDZ 0.6979Septa-Ciprofloxacin 02379635 SPT 0.6979

Ciprofloxacin Hydrochloride / Ciprofloxacine (chlorhydrate de) Tab/Co. Orl 750mg Cipro 02155974 BAY 1.2780Act Ciprofloxacin 02247341 ATV 1.2780Apo-Ciproflox 02229523 APX 1.2780Auro-Ciprofloxacin 02381931 ARO 1.2780Ciprofloxacin 02353334 SAS 1.2780Jamp-Ciprofloxacin 02380374 JPC 1.2780Mar-Ciprofloxacin 02379708 MAR 1.2780Mint-Ciprofloxacin 02317443 MNT 1.2780Mylan-Ciprofloxacin 02245649 MYL 1.2780Novo-Ciprofloxacin 02161753 TEV 1.2780pms-Ciprofloxacin 02248439 PMS 1.2780Ran-Ciproflox 02303744 RAN 1.2780Sandoz Ciprofloxacin 02248758 SDZ 1.2780Septa-Ciprofloxacin 02379643 SPT 1.2780

Citalopram Hydrobromide / Citalopram (bromhydrate de) Tab/Co. Orl 10mg Citalopram 02387948 SIV 0.1432Abbott-Citalopram 02414570 ABB 0.1432Jamp-Citalopram 02370085 JPC 0.1432Mar-Citalopram 02371871 MAR 0.1432Mint-Citalopram 02370077 MNT 0.1432Nat-Citalopram 02409003 NAT 0.1432Novo-Citalopram 02312336 TEV 0.1432Phl-Citalopram 02273543 PHL 0.1432pms-Citalopram 02270609 PMS 0.1432

Citalopram Hydrobromide / Citalopram (bromhydrate de) Tab/Co. Orl 20mg Celexa 02239607 VLH 0.2397Abbott-Citalopram 02414589 ABB 0.2397Act Citalopram 02248050 ATV 0.2397Apo-Citalopram 02246056 APX 0.2397Auro-Citalopram 02275562 ARO 0.2397Citalopram 02353660 SAS 0.2397Citalopram 02387956 SIV 0.2397Jamp-Citalopram 02313405 JPC 0.2397Mar-Citalopram 02371898 MAR 0.2397Mint-Citalopram 02304686 MNT 0.2397

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 12

Mylan-Citalopram 02246594 MYL 0.2397Nat-Citalopram 02409011 NAT 0.2397Novo-Citalopram (New Formulation) 02293218 TEV 0.2397Odan-Citalopram 02306239 ODN 0.2397Phl-Citalopram 02248944 PHL 0.2397pms-Citalopram 02248010 PMS 0.2397Ran-Citalo 02285622 RAN 0.2397ratio-Citalopram 02252112 RPH 0.2397Sandoz Citalopram 02248170 SDZ 0.2397Septa-Citalopram 02355272 SPT 0.2397

Citalopram Hydrobromide / Citalopram (bromhydrate de) Tab/Co. Orl 40mg Celexa 02239608 VLH 0.2397Abbott-Citalopram 02414597 ABB 0.2397Act Citalopram 02248051 ATV 0.2397Apo-Citalopram 02246057 APX 0.2397Auro-Citalopram 02275570 ARO 0.2397Citalopram 02353679 SAS 0.2397Citalopram 02387964 SIV 0.2397Jamp-Citalopram 02313413 JPC 0.2397Mar-Citalopram 02371901 MAR 0.2397Mint-Citalopram 02304694 MNT 0.2397Mylan-Citalopram 02246595 MYL 0.2397Nat-Citalopram 02409038 NAT 0.2397Novo-Citalopram (New Formulation) 02293226 TEV 0.2397Odan-Citalopram 02306247 ODN 0.2397Phl-Citalopram 02248945 PHL 0.2397pms-Citalopram 02248011 PMS 0.2397Ran-Citalo 02285630 RAN 0.2397ratio-Citalopram 02252120 RPH 0.2397Sandoz Citalopram 02248171 SDZ 0.2397Septa-Citalopram 02355280 SPT 0.2397

Clarithromycin / Clarithromycin Tab/Co. Orl 250mg Biaxin BID 01984853 ABB 0.4122Apo-Clarithromycin 02274744 APX 0.4122Mylan-Clarithromycin 02248856 MYL 0.4122pms-Clarithromycin 02247573 PMS 0.4122Ran-Clarithromycin 02361426 RAN 0.4122Sandoz Clarithromycin 02266539 SDZ 0.4122Teva-Clarithromycin 02248804 TEV 0.4122

Clarithromycin / Clarithromycin Tab/Co. Orl 500mg Biaxin BID 02126710 ABB 1.6293Apo-Clarithromycin 02274752 APX 1.6293Mylan-Clarithromycin 02248857 MYL 1.6293pms-Clarithromycin 02247574 PMS 1.6293Ran Clarithromycin 02361434 RAN 1.6293Sandoz Clarithromycin 02266547 SDZ 1.6293Teva-Clarithromycin 02248805 TEV 1.6293

Clarithromycin / Clarithromycin Pws./Pds Orl 25mg Biaxin 02146908 ABB 0.2047Accel-Clarithromycin 02390442 ACC 0.2047Clarithromycin 02408988 SAS 0.2047

Clarithromycin / Clarithromycin Pws./Pds Orl 50mg Biaxin 02244641 ABB 0.3998Accel-Clarithromycin 02390450 ACC 0.3998Clarithromycin 02408996 SAS 0.3998

Clindamycin Hydrochloride / Clindamycine (chlorhydrate de) Cap/Caps Orl 150mg Dalacin C 00030570 PFI 0.2346Apo-Clindamycin 02245232 APX 0.2346Mylan-Clindamycin 02258331 MYL 0.2346Novo-Clindamycin 02241709 TEV 0.2346

Clindamycin Hydrochloride / Clindamycine (chlorhydrate de) Cap/Caps Orl 300mg Dalacin C 02182866 PFI 0.4692Apo-Clindamycin 02245233 APX 0.4692Mylan-Clindamycin 02258358 MYL 0.4692Novo-Clindamycin 02241710 TEV 0.4692

Clindamycin Phosphate / Clindamycine (phosphate de) Liq/Liq. Im 150mg Dalacin C Phosphate 00260436 PFI 3.6550Clindamycin (2,4 & 6Ml Vials) 02230540 SDZ 3.6550

Clindamycin Phosphate / Clindamycine (phosphate de) Liq/Liq. Iv 150mg Dalacin C Phosphate 00260436 PFI 3.6550Clindamycin (Bulk Vials) 02230535 SDZ 3.6550

Clindamycin Phosphate / Clindamycine (phosphate de) Liq/Liq. Top 1% Dalacin T 00582301 PFI 0.2430Taro-Clindamycin 02266938 TAR 0.2430

Clobazam / Clobazam Tab/Co. Orl 10mg Frisium 02221799 LBK 0.1098Apo-Clobazam 02244638 APX 0.1098Novo Clobazam 02238334 TEV 0.1098pms-Clobazam 02244474 PMS 0.1098

Clobetasol Propionate / Clobétasol (propionate de) Crm/Cr. Top 0.05% Dermovate 02213265 TPH 0.2279ratio-Clobetasol 01910272 TEV 0.2279Taro-Clobetasol 02245523 TAR 0.2279

Clobetasol Propionate / Clobétasol (propionate de) Lot/Lot. Top 0.05% Dermovate 02213281 TPH 0.1990ratio-Clobetasol 01910299 TEV 0.1990Taro-Clobetasol 02245522 TAR 0.1990

Clobetasol Propionate / Clobétasol (propionate de) Ont/Ont. Top 0.05% Dermovate 02213273 TPH 0.2279

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 13

ratio-Clobetasol 01910280 TEV 0.2279Taro-Clobetasol 02245524 TAR 0.2279

Clomipramine Hydrochloride / Clomipramine (chlorhydrate de) Tab/Co. Orl 10mg Anafranil 00330566 SEP 0.1290Apo-Clomipramine 02040786 APX 0.1290

Clomipramine Hydrochloride / Clomipramine (chlorhydrate de) Tab/Co. Orl 25mg Anafranil 00324019 SEP 0.1758Apo-Clomipramine 02040778 APX 0.1758Co Clomipramine 02244817 COB 0.1758

Clomipramine Hydrochloride / Clomipramine (chlorhydrate de) Tab/Co. Orl 50mg Anafranil 00402591 SEP 0.3237Apo-Clomipramine 02040751 APX 0.3237Co Clomipramine 02244818 COB 0.3237

Clonazepam / Clonazépam Tab/Co. Orl 0.5mg Rivotril 00382825 HLR 0.0496Apo-Clonazepam 02177889 APX 0.0496Co Clonazepam 02270641 COB 0.0496Mylan-Clonazepam 02230950 MYL 0.0496Phl-Clonazepam R 02236948 PHL 0.0496pms-Clonazepam R 02207818 PMS 0.0496ratio-Clonazepam 02103656 RPH 0.0496Sandoz Clonazepam 02233960 SDZ 0.0496Teva-Clonazepam 02239024 TEV 0.0496Zym-Clonazepam 02345676 ZYM 0.0496

Clonazepam / Clonazépam Tab/Co. Orl 1mg Co Clonazepam 02270668 COB 0.1487Phl-Clonazepam 02145235 PHL 0.1487pms-Clonazepam 02048728 PMS 0.1487Sandoz Clonazepam 02233982 SDZ 0.1487Zym-Clonazepam 02303329 ZYM 0.1487

Clonazepam / Clonazépam Tab/Co. Orl 2mg Rivotril 00382841 HLR 0.0854Apo-Clonazepam 02177897 APX 0.0854Co Clonazepam 02270676 COB 0.0854Mylan-Clonazepam 02230951 MYL 0.0854Phl-Clonazepam 02145243 PHL 0.0854pms-Clonazepam 02048736 PMS 0.0854ratio-Clonazepam 02103737 RPH 0.0854Sandoz Clonazepam 02233985 SDZ 0.0854Teva-Clonazepam 02239025 TEV 0.0854Zym-Clonazepam 02303337 ZYM 0.0854

Clonidine Hydrochloride / Clonidine (chlorhydrate de) Tab/Co. Orl 0.025mg Dixarit 00519251 BOE 0.2421Novo-Clonidine 02304163 TEV 0.2421

Clonidine Hydrochloride / Clonidine (chlorhydrate de) Tab/Co. Orl 0.1mg Catapres 00259527 BOE 0.1765Novo-Clonidine 02046121 TEV 0.1765

Clonidine Hydrochloride / Clonidine (chlorhydrate de) Tab/Co. Orl 0.2mg Catapres 00291889 BOE 0.2942Novo-Clonidine 02046148 TEV 0.2942

Clopidogrel Bisulfate / Clopidogrel (Bisulfate de) Tab/Co. Orl 75mg Plavix 02238682 BRI 0.6576Abbott-Clopidogrel 02412942 ABB 0.6576Apo-Clopidogrel 02252767 APX 0.6576Auro-Clopidogrel 02416387 ARO 0.6576Clopidogrel 02385813 SIV 0.6576Clopidogrel 02400553 SAS 0.6576Co Clopidogrel 02303027 COB 0.6576Mint-Clopidogrel 02408910 MNT 0.6576Mylan-Clopidogrel 02351536 MYL 0.6576pms-Clopidogrel 02348004 PMS 0.6576Ran-Clopidogrel 02379813 RAN 0.6576Sandoz Clopidogrel 02359316 SDZ 0.6576Teva-Clopidogrel 02293161 TEV 0.6576

Clorazepate Dipotassium / Clorazépate dipotassique Cap/Caps Orl 3.75mg Clorazepate 00860689 AAP 0.1476Clorazepate Dipotassium / Clorazépate dipotassique Cap/Caps Orl 7.5mg Clorazepate 00860700 AAP 0.1926Clorazepate Dipotassium / Clorazépate dipotassique Cap/Caps Orl 15mg Clorazepate 00860697 AAP 0.3856Clotrimazole / Clotrimazole Crm/Cr. Top 1% Canesten 02150867 YNO 0.2060Cloxacillin Sodium / Cloxacilline sodique Pws/Pds. Orl 25mg Novo-Cloxin 00337757 TEV 0.0911Cloxacillin Sodium / Cloxacilline sodique Cap/Caps Orl 250mg Novo-Cloxin 00337765 TEV 0.3620Cloxacillin Sodium / Cloxacilline sodique Cap/Caps Orl 500mg Novo-Cloxin 00337773 TEV 0.6845Clozapine / Clozapine Tab/Co. Orl 25mg Clozaril 00894737 NVR 0.6594

Apo-Clozapine 02248034 APX 0.6594Gen-Clozapine 02247243 MYL 0.6594

Clozapine / Clozapine Tab/Co. Orl 100mg Clozaril 00894745 NVR 2.6446Apo-Clozapine 02248035 APX 2.6446Gen-Clozapine 02247244 MYL 2.6446

Cortisone Acetate / Cortisone (acétate de) Tab/Co.Orl 25mg Cortisone Acetate 00280437 VLN 0.3211Cyanocobalamin / Cyanocobalamine Liq/Liq Im 1000mcg Cyanocobalamin 01987003 CYI 0.4500

Vitamin B12 00521515 SDZ 0.4500Cyclobenzaprine Hydrochloride / Tab/Co. Orl 10mg Apo-Cyclobenzaprine 02177145 APX 0.3727Cyclobenzaprine (chlorhydrate de) Auro-Cyclobenzaprine 02348853 ARO 0.3727

Cyclobenzaprine 02287064 SAS 0.3727Jamp-Cyclobenzaprine 02357127 JPC 0.3727Mylan-Cyclobenzaprine 02231353 MYL 0.3727

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Novo-Cycloprine 02080052 TEV 0.3727pms-Cyclobenzaprine 02212048 PMS 0.3727

Cyclosporine / Cyclosporine Liq 100mg/mL Neoral 02150697 NVR 5.0276Apo-Cyclosporine 02244324 APX 3.7708

Cyclosporine / Cyclosporine Cap/Caps Orl 25mg Neoral 02150689 NVR 1.4500Sandoz Cyclosporine 02247073 SDZ 1.3050

Cyclosporine / Cyclosporine Cap/Caps Orl 50mg Neoral 02150662 NVR 2.8270Sandoz Cyclosporine 02247074 SDZ 2.5450

Cyclosporine / Cyclosporine Cap/Caps Orl 100mg Neoral 02150670 NVR 5.6560Sandoz Cyclosporine 02242821 SDZ 5.0900

Cyproterone Acetate / Cyprotérone (acétate de) Tab/Co. Orl 50mg Androcur 00704431 PMS 1.4085Cyproterone 02245898 AAP 1.4085Med-Cyproterone 02390760 GMP 1.4085

Deferoxamine Mesylate / Deferoxamine (mesylate de) Pws/Pds. Im 500mg Desferal 01981242 NVR 7.4800Desferrioxamine 02241600 HOS 7.4800pms-Deferoxamine 02242055 PMS 7.4800

Deferoxamine Mesylate / Deferoxamine (mesylate de) Pws/Pds. Im 2grams Desferal 01981250 NVR 28.3500pms-Deferoxamine 02243450 PMS 28.3500Desferrioxamine 02247022 HOS 28.3500

Desipramine Hydrochloride / Désipramine (chlorhydrate de) Tab/Co. Orl 10mg Desipramine 02216248 AAP 0.3804Desipramine Hydrochloride / Désipramine (chlorhydrate de) Tab/Co. Orl 25mg Desipramine 02216256 AAP 0.3804Desipramine Hydrochloride / Désipramine (chlorhydrate de) Tab/Co. Orl 50mg Desipramine 02216264 AAP 0.6704Desipramine Hydrochloride / Désipramine (chlorhydrate de) Tab/Co. Orl 75mg Desipramine 02216272 AAP 0.8915Desipramine Hydrochloride / Désipramine (chlorhydrate de) Tab/Co. Orl 100mg Desipramine 02216280 AAP 0.8915Desmopressin Acetate / Desmopressine (acétate de) Aem/Aém Nas 10mcg DDAVP 00836362 FEI 1.5364

Apo-Desmopressin 02242465 AAP 1.5364Desmopressin Acetate / Desmopressine (acétate de) Tab/Co. Orl 0.1mg DDAVP 00824305 FEI 0.3304

Apo-Desmopressin 02284030 APX 0.3304Novo-Desmopressin 02287730 TEV 0.3304pms-Desmopressin 02304368 PMS 0.3304

Desmopressin Acetate / Desmopressine (acétate de) Tab/Co. Orl 0.2mg DDAVP 00824143 FEI 0.6609Apo-Desmopressin 02284049 APX 0.6609Novo-Desmopressin 02287749 TEV 0.6609pms-Desmopressin 02304376 PMS 0.6609

Desogestrel/Ethinyl Estradiol / Désogestrel/Éthinylestradiol Tab/Co. Orl 0.15mg/0.03mg Apri 28 02317206 TEV 0.3774Freya 28 02396610 MYL 0.3774Marvelon 28 02042479 FRS 0.3774Mirvala 28 02410257 APX 0.3774Reclipsen 28 02417464 ATV 0.3774

Desogestrel/Ethinyl Estradiol / Désogestrel/Éthinylestradiol Tab/Co. Orl 0.15mg/0.03mg Apri 21 02317192 TEV 0.5032Freya 21 02396491 MYL 0.5032Marvelon 21 02042487 FRS 0.5032Mirvala 21 02410249 APX 0.5032Reclipsen 21 02420813 ATV 0.5032

Desonide / Désonide Crm/Cr. Top 0.05% pms-Desonide 02229315 PMS 0.3275Desonide / Désonide Ont. Top 0.05% pms-Desonide 02229323 PMS 0.3107Desoximetasone / Désoximétasone Crm/Cr. Top 0.05% Topicort 02221918 SAV 0.4810Desoximetasone / Désoximétasone Crm/Cr. Top 0.25% Topicort 02221896 SAV 0.6930Desoximetasone / Désoximétasone Gel/Gel Top 0.05% Topicort 02221926 SAV 0.4753Dexamethasone / Dexaméthasone Tab/Co. Orl 0.5mg Apo-Dexamethasone 02261081 APX 0.0782

pms-Dexamethasone 01964976 PMS 0.0782ratio-Dexamethasone 02240684 RPH 0.0782

Dexamethasone / Dexaméthasone Tab/Co. Orl 4mg Apo-Dexamethasone 02250055 APX 0.3046pms-Dexamethasone 01964070 PMS 0.3046ratio-Dexamethasone 02240687 RPH 0.3046

Dexamethasone Phosphate Disodium / Liq/Liq Im 4mg Dexamethasone Sodium Phosphate 01977547 CYI 1.6900Dexaméthasone (phosphate disodique) Dexamethasone Sodium Phosphate 00664227 SDZ 1.6900Diazepam / Diazépam Tab/Co. Orl 2mg Apo-Diazepam 00405329 APX 0.0508

pms-Diazepam 02247490 PMS 0.0508Diazepam / Diazépam Tab/Co. Orl 5mg Valium 00013285 HLR 0.1587

Apo-Diazepam 00362158 APX 0.0650pms-Diazepam 02247491 PMS 0.0650

Diazepam / Diazépam Tab/Co. Orl 10mg Apo-Diazepam 00405337 APX 0.0867pms-Diazepam 02247492 PMS 0.0867

Diclofenac Potassium / Diclofénac (potassium de) Ect/Co.Ent. Orl 25mg Apo-Diclo 00839175 APX 0.0781Novo-Difenac 00808539 TEV 0.0781pms-Diclofenac (New Formulation) 02302616 PMS 0.0781Sandoz Diclofenac 02261952 SDZ 0.0781

Diclofenac Potassium / Diclofénac (potassium de) Ect/Co.Ent. Orl 50mg Voltaren 00514012 NVR 0.2115Apo-Diclo 00839183 APX 0.2115Diclofenac EC 02352397 SAS 0.2115Novo-Difenac 00808547 TEV 0.2115pms-Diclofenac (New Din) 02302624 PMS 0.2115Sandoz Diclofenac 02261960 SDZ 0.2115

Diclofenac Potassium / Diclofénac (potassium de) Tab/Co. Orl 50mg Voltaren Rapide 00881635 NVR 0.3937

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Apo-Diclorapide 02243433 APX 0.3937Diclofenac K 02351684 SAS 0.3937Novo-Difenac-K 02239355 TEV 0.3937pms-Diclofenac 02239753 PMS 0.3937

Diclofenac Potassium / Diclofénac (potassium de) SRT/Co.L.L. Orl 75mg Voltaren SR 00782459 NVR 0.2900Apo-Diclo SR 02162814 APX 0.2900Diclofenac SR 02352400 SAS 0.2900Novo-Difenac SR 02158582 TEV 0.2900pms-Diclofenac 02231504 PMS 0.2900Sandoz Diclofenac SR 02261901 SDZ 0.2900

Diclofenac Potassium / Diclofénac (potassium de) SRT/Co.L.L. Orl 100 mg Voltaren SR 00590827 NVR 0.4134Apo-Diclo SR 02091194 APX 0.4134Novo-Difenac SR 02048698 TEV 0.4134pms-Diclofenac 02231505 PMS 0.4134Sandoz Diclofenac SR 02261944 SDZ 0.4134

Diclofenac Potassium / Diclofénac (potassium de) Sup/Supp. Rt 50mg Voltaren 00632724 NVR 0.4670pms-Diclofenac 02231506 PMS 0.4670Sandoz Diclofenac (New Formualion) 02261928 SDZ 0.4670

Diclofenac Potassium / Diclofénac (potassium de) Sup/Supp. Rt 100mg Voltaren 00632732 NVR 0.6286pms-Diclofenac 02231508 PMS 0.6286Sandoz Diclofenac (New Formualion) 02261936 SDZ 0.6286

Diclofenac Sodium/Misoprostol / Diclofenac sodique/Misoprostol Tab/Co. Orl 50mg/200mcg Arthrotec 01917056 PFI 0.4541Co Diclo-Miso 02397145 COB 0.4541

Diclofenac Sodium/Misoprostol / Diclofenac sodique/Misoprostol Tab/Co. Orl 75mg/200mcg Arthrotec 02229837 PFI 0.6179Co Diclo-Miso 02397153 COB 0.6179

Diflunisal / Diflunisal Tab/Co. Orl 250mg Diflunisal 02039486 AAP 0.5646Novo-Diflunisal 02048493 TEV 0.5646

Diflunisal / Diflunisal Tab/Co. Orl 500mg Diflunisal 02039494 AAP 0.7150Dihydroergotamine Mesylate Liq/Liq Im 1mg Dihydroergotamine 02241163 SDZ 3.7933Diltiazem Hydrochloride / Diltiazem (chlorhydrate de) ERC/Cap. LP Orl 120mg Tiazac 02231150 BVL 0.2133

Apo-Diltiazem TZ 02291037 APX 0.2133Co Diltiazem T 02370441 COB 0.2133Novo-Diltiazem ER 02271605 TEV 0.2133Sandoz Diltiazem T 02245918 SDZ 0.2133

Diltiazem Hydrochloride / Diltiazem (chlorhydrate de) ERC/Cap. LP Orl 180mg Tiazac 02231151 BVL 0.2889Apo-Diltiazem TZ 02291045 APX 0.2889Co Diltiazem T 02370492 COB 0.2889Novo-Diltiazem ER 02271613 TEV 0.2889Sandoz Diltiazem T 02245919 SDZ 0.2889

Diltiazem Hydrochloride / Diltiazem (chlorhydrate de) ERC/Cap. LP Orl 240mg Tiazac 02231152 BVL 0.3832Apo-Diltiazem TZ 02291053 APX 0.3832Co Diltiazem T 02370506 COB 0.3832Novo-Diltiazem ER 02271621 TEV 0.3832Sandoz Diltiazem T 02245920 SDZ 0.3832

Diltiazem Hydrochloride / Diltiazem (chlorhydrate de) ERC/Cap. LP Orl 300mg Tiazac 02231154 BVL 0.4720Apo-Diltiazem TZ 02291061 APX 0.4720Co Diltiazem T 02370514 COB 0.4720Novo-Diltiazem ER 02271648 TEV 0.4720Sandoz Diltiazem T 02245921 SDZ 0.4720

Diltiazem Hydrochloride / Diltiazem (chlorhydrate de) ERC/Cap. LP Orl 360mg Tiazac 02231155 BVL 0.5778Apo-Diltiazem TZ 02291088 APX 0.5778Co Diltiazem T 02370522 COB 0.5778Novo-Diltiazem ER 02271656 TEV 0.5778Sandoz Diltiazem T 02245922 SDZ 0.5778

Diltiazem Hydrochloride / Diltiazem (chlorhydrate de) SRC/Caps.L.L. Orl 120mg Cardizem CD 02097249 BVL 0.3529Act Diltiazem CD 02370611 ATV 0.3529Apo-Diltiaz CD 02230997 APX 0.3529Diltiazem CD 02400421 SAS 0.3529Novo-Diltazem CD 02242538 TEV 0.3529pms-Diltiazem CD 02355752 PMS 0.3529Sandoz Diltiazem CD 02243338 SDZ 0.3529

Diltiazem Hydrochloride / Diltiazem (chlorhydrate de) SRC/Caps.L.L. Orl 180mg Cardizem CD 02097257 BVL 2.0819Act Diltiazem CD 02370638 ATV 0.4684Apo-Diltiaz CD 02230998 APX 0.4684Diltiazem CD 02400448 SAS 0.4684Novo-Diltazem CD 02242539 TEV 0.4684pms-Diltiazem CD 02355760 PMS 0.4684Sandoz Diltiazem CD 02243339 SDZ 0.4684

Diltiazem Hydrochloride / Diltiazem (chlorhydrate de) SRC/Caps.L.L. Orl 240mg Cardizem CD 02097265 BVL 2.7615Act Diltiazem CD 02370646 ATV 0.6213Apo-Diltiaz CD 02230999 APX 0.6213Diltiazem CD 02400456 SAS 0.6213Novo-Diltazem CD 02242540 TEV 0.6213pms-Diltiazem CD 02355779 PMS 0.6213Sandoz Diltiazem CD 02243340 SDZ 0.6213

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Diltiazem Hydrochloride / Diltiazem (chlorhydrate de) SRC/Caps.L.L. Orl 300mg Cardizem CD 02097273 BVL 3.4519Act Diltiazem CD 02370654 ATV 0.7766Apo-Diltiaz CD 02229526 APX 0.7766Diltiazem CD 02400464 SAS 0.7766Novo-Diltazem CD 02242541 TEV 0.7766pms-Diltiazem CD 02355787 PMS 0.7766Sandoz Diltiazem CD 02243341 SDZ 0.7766

Diltiazem Hydrochloride / Diltiazem (chlorhydrate de) Tab/Co. Orl 30mg Apo-Diltiaz 00771376 APX 0.1866Novo-Diltazem 00862924 TEV 0.1866

Diltiazem Hydrochloride / Diltiazem (chlorhydrate de) Tab/Co. Orl 60mg Apo-Diltiaz 00771384 APX 0.3273Novo-Diltazem 00862932 TEV 0.3273

Dimethylsulfoxide / Diméthylsulfoxyde Liq/ICV 500 mg/ml Rimso-50 00493392 BCH 1.7000Dimethyl Sulfoxide Irr. Usp 02243231 SDZ 1.1840

Dipyridamole / Dipyridamole Tab/Co. Orl 25mg Apo-Dipyridamole-FC 00895644 APX 0.2633Dipyridamole / Dipyridamole Tab/Co. Orl 50mg Apo-Dipyridamole-FC 00895652 APX 0.3685Dipyridamole / Dipyridamole Tab/Co. Orl 75mg Apo-Dipyridamole-FC 00895660 APX 0.4963Divalproex Sodium / Divalproex sodique Ect/Co.Ent. Orl 125mg Epival 00596418 ABB 0.0724

Apo-Divalproex 02239698 APX 0.0724Divalproex 02400499 SAS 0.0724Novo-Divalproex 02239701 TEV 0.0724

Divalproex Sodium / Divalproex sodique Ect/Co.Ent. Orl 250mg Epival 00596426 ABB 0.1301Apo-Divalproex 02239699 APX 0.1301Divalproex 02400502 SAS 0.1301Novo-Divalproex 02239702 TEV 0.1301

Divalproex Sodium / Divalproex sodique Ect/Co.Ent. Orl 500mg Epival 00596434 ABB 0.2604Apo-Divalproex 02239700 APX 0.2604Divalproex 02400510 SAS 0.2604Novo-Divalproex 02239703 TEV 0.2604

Domperidone Maleate / Dompéridone (maléate de) Tab/Co. Orl 10mg Apo-Domperidone 02103613 APX 0.0594Domperidone 02350440 SAS 0.0594Domperidone 02238341 SIV 0.0594Jamp-Domperidone 02369206 JPC 0.0594Mar-Domperidone 02403870 MAR 0.0594Mylan-Domperidone 02278669 MYL 0.0594Novo-Domperidone 02157195 TEV 0.0594pms-Domperidone 02236466 PMS 0.0594Ran-Domperidone 02268078 RAN 0.0594ratio-Domperidone 01912070 RPH 0.0594

Donepezil Hydrochloride / Donépézil (chlorhydrate de) Tab/Co. Orl 5mg Aricept 02232043 PFI 1.1806Apo-Donepezil 02362260 APX 1.1806Auro-Donepezil 02400561 ARO 1.1806Co Donepezil 02397595 COB 1.1806Donepezil 02402645 AHI 1.1806Donepezil 02420597 SIV 1.1806Jamp-Donepezil 02404419 JPC 1.1806Mar-Donepezil 02402092 MAR 1.1806Mylan-Donepezil 02359472 MYL 1.1806pms-Donepezil 02322331 PMS 1.1806Ran-Donepezil 02381508 RAN 1.1806Sandoz Donepezil 02328666 SDZ 1.1806Teva-Donepezil 02340607 TEV 1.1806

Donepezil Hydrochloride / Donépézil (chlorhydrate de) Tab/Co. Orl 10mg Aricept 02232044 PFI 1.1806Apo-Donepezil 02362279 APX 1.1806Auro-Donepezil 02400588 ARO 1.1806Co Donepezil 02397609 COB 1.1806Donepezil 02402653 AHI 1.1806Donepezil 02420600 SIV 1.1806Jamp-Donepezil 02404427 JPC 1.1806Mar-Donepezil 02402106 MAR 1.1806Mylan-Donepezil 02359480 MYL 1.1806pms-Donepezil 02322358 PMS 1.1806Ran-Donepezil 02381516 RAN 1.1806Sandoz Donepezil 02328682 SDZ 1.1806Teva-Donepezil 02340615 TEV 1.1806

Dorzolamide Hydrochloride / Dorzolamide (chlorhydrate de) Liq/Liq Oph 2% Trusopt 02216205 FRS 1.9880Sandoz Dorzolamide 02316307 SDZ 1.9880

Dorzolamide Hydrochloride/Timolol Maleate / Liq/Liq Oph 2%/0.5% Cosopt 02240113 FRS 2.0097Dorzolamide (chlorhydrate de)/Timolol (maléate de) Apo-Dorzo-Timop 02299615 APX 2.0097

Co Dorzotimolol 02404389 COB 2.0097Sandoz Dorzolamide/Timolol 02344351 SDZ 2.0097Teva-Dorzotimol 02320525 TEV 2.0097

Doxazosin Mesylate / Doxazosin (mésylate de) Tab/Co. Orl 1mg Cardura-1 01958100 PFI 0.5871Apo-Doxazosin 02240588 APX 0.1416Mylan-Doxazosin 02240498 MYL 0.1416pms-Doxazosin 02244527 PMS 0.1416

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Teva-Doxazosin 02242728 TEV 0.1416Doxazosin Mesylate / Doxazosin (mésylate de) Tab/Co. Orl 2mg Cardura-2 01958097 PFI 0.1699

Apo-Doxazosin 02240589 APX 0.1699Mylan-Doxazosin 02240499 MYL 0.1699pms-Doxazosin 02244528 PMS 0.1699Teva-Doxazosin 02242729 TEV 0.1699

Doxazosin Mesylate / Doxazosin (mésylate de) Tab/Co. Orl 4mg Cardura-4 01958119 PFI 0.2209Apo-Doxazosin 02240590 APX 0.2209Mylan-Doxazosin 02240500 MYL 0.2209pms-Doxazosin 02244529 PMS 0.2209Teva-Doxazosin 02242730 TEV 0.2209

Doxepin Hydrochloride / Doxépine (chlorhydrate de) Cap/Caps Orl 10mg Sinequan 00024325 ERF 0.1889Apo-Doxepin 02049996 APX 0.1889

Doxepin Hydrochloride / Doxépine (chlorhydrate de) Cap/Caps Orl 25mg Sinequan 00024333 ERF 0.1576Apo-Doxepin 02050005 APX 0.1576

Doxepin Hydrochloride / Doxépine (chlorhydrate de) Cap/Caps Orl 50mg Sinequan 00024341 ERF 0.1827Apo-Doxepin 02050013 APX 0.1827

Doxepin Hydrochloride / Doxépine (chlorhydrate de) Cap/Caps Orl 75mg Sinequan 00400750 ERF 0.3673Apo-Doxepin 02050021 APX 0.3673

Doxepin Hydrochloride / Doxépine (chlorhydrate de) Cap/Caps Orl 100mg Sinequan 00326925 ERF 0.3450Apo-Doxepin 02050048 APX 0.3450

Doxycycline Hyclate / Doxycycline (hyclate de) Cap/Caps Orl 100mg Vibramycin 00024368 PFI 0.5949Apo-Doxy 00740713 APX 0.5949Doxycycline 02351234 SAS 0.5949Teva-Doxycycline 00725250 TEV 0.5949

Doxycycline Hyclate / Doxycycline (hyclate de) Tab/Co. Orl 100mg Apo-Doxy 00874256 APX 0.5860Doxycycline 02351242 SAS 0.5860Teva-Doxycycline 02158574 TEV 0.5860

Drospirenone/Ethinyl Estradiol / Drospirénone/éthinyl estradiol Tab/Co. Orl 3mg/0.03mg Yasmin 21 02261723 BAY 0.4293Zamine 21 02410788 APX 0.4293Zarah 21 02385058 COB 0.4293

Drospirenone/Ethinyl Estradiol / Drospirénone/éthinyl estradiol Tab/Co. Orl 3mg/0.03mg Yasmin 28 02261731 BAY 0.3220Zamine 28 02410796 APX 0.3220Zarah 28 02385066 COB 0.3220

Dutasteride / Dutastéride Cap/Caps Orl 0.5mg Avodart 02247813 GSK 0.4205Apo-Dutasteride 02404206 APX 0.4205pms-Dutasteride 02393220 PMS 0.4205Teva-Dutasteride 02408287 TEV 0.4205

Efavirenz / Éfavirenz Tab/Co. Orl 600mg Sustiva 02246045 BRI 8.4984Mylan-Efavirenz 02381524 MYL 8.4984Teva-Efavirenz 02389762 TEV 8.4984

Enalapril Maleate / Enalapril (maléate de) Tab/Co. Orl 2.5mg Vasotec 00851795 FRS 0.1919Apo-Enalapril 02020025 APX 0.1919Co Enalapril 02291878 COB 0.1919Enalapril 02400650 SAS 0.1919Mylan-Enalapril 02300036 MYL 0.1919Novo-Enalapril 02300680 TEV 0.1919pms-Enalapril 02300079 PMS 0.1919Ran-Enalapril 02352230 RAN 0.1919Sandoz Enalapril 02299933 SDZ 0.1919

Enalapril Maleate / Enalapril (maléate de) Tab/Co. Orl 5mg Vasotec 00708879 FRS 0.2270Apo-Enalapril 02019884 APX 0.2270Co Enalapril 02291886 COB 0.2270Enalapril 02400669 SAS 0.2270Mylan-Enalapril 02300044 MYL 0.2270Novo-Enalapril 02233005 TEV 0.2270pms-Enalapril 02300087 PMS 0.2270Ran Enalapril 02352249 RAN 0.2270Sandoz Enalapril 02299941 SDZ 0.2270

Enalapril Maleate / Enalapril (maléate de) Tab/Co. Orl 10mg Vasotec 00670901 FRS 0.2727Apo-Enalapril 02019892 APX 0.2727Co Enalapril 02291894 COB 0.2727Enalapril 02400677 SAS 0.2727Mylan-Enalapril 02300052 MYL 0.2727Novo-Enalapril 02233006 TEV 0.2727pms-Enalapril 02300095 PMS 0.2727Ran-Enalapril 02352257 RAN 0.2727Sandoz Enalapril 02299968 SDZ 0.2727

Enalapril Maleate / Enalapril (maléate de) Tab/Co. Orl 20mg Vasotec 00670928 FRS 0.3291Apo-Enalapril 02019906 APX 0.3291Co Enalapril 02291908 COB 0.3291Enalapril 02400685 SAS 0.3291Mylan-Enalapril 02300060 MYL 0.3291Novo-Enalapril 02233007 TEV 0.3291pms-Enalapril 02300109 PMS 0.3291

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Ran-Enalapril 02352265 RAN 0.3291Sandoz Enalapril 02299976 SDZ 0.3291

Enalapril Maleate/Hydrochlorothiazide / Tab/Co. Orl 5mg/12.5mg Apo-Enalapril/HCTZ 02352923 APX 0.4927Énalapril (maléate de)/hydrochlorothiazide Novo-Enalapril/HCTZ 02300222 TEV 0.4927Enalapril Maleate/Hydrochlorothiazide / Tab/Co. Orl 10mg/25mg Vaseretic 00657298 FRS 0.5479Énalapril (maléate de)/hydrochlorothiazide Apo-Enalapril/HCTZ 02352931 APX 0.5479

Novo-Enalapril/HCTZ 02300230 TEV 0.5479Entacapone / Entacapone Tab/Co. Orl 200mg Comtan 02243763 NVR 0.4062

Mylan-Entacapone 02390337 MYL 0.4062Sandoz Entacapone 02380005 SDZ 0.4062Teva-Entacapone 02375559 TEV 0.4062

Entacavir / Entacavir Tab/Co. Orl 0.5mg Baraclude 02282224 BRI 16.5000Apo-Entacavir 02396955 APX 16.5000

Erythromycin Base / Erythromycine Base Ont/Ont. Oph 0.5% Erythromycin 02326663 SGQ 1.2600pms-Erythromycin 01912755 PMS 2.6500

Erythromycin Base / Erythromycine base Tab/Co. Orl 250mg Erythro 00682020 AAP 0.1983Erythromycin Base / Erythromycine base SRC/Caps.L.L. Orl 250mg Eryc 00607142 PFI 0.2211

Erythro E-C 00726672 AAP 0.2211Erythromycin Base / Erythromycine base ECC/Caps.Ent. Orl 333mg Eryc 00873454 PFI 0.5563

Erythro E-C 01925938 AAP 0.4700Erythromycin Estolate / Erythromycine (estolate d') Liq Orl 50mg/mL Novo-Rythro Estolate 00262595 TEV 0.1289Erythromycin Ethylsuccinate / Erythromycine (ethylsuccinate d') Pws/Pds Orl 40mg/mL Novo-Rythro Ethylsuccinate 00605859 TEV 0.0923Erythromycin Ethylsuccinate / Erythromycine (ethylsuccinate d') Pws/Pds Orl 80mg/mL Novo-Rythro Ethylsuccinate 00652318 TEV 0.1398Erythromycin Ethylsuccinate / Erythromycine (ethylsuccinate d') Tab/Co. Orl 600mg Erythro ES 00637416 AAP 0.3649Erythromycin Stearate / Erythromycine (stéarate d') Tab/Co. Orl 250mg Erythro-S 00545678 AAP 0.2298Estradiol-17B / Estradiol-17B Srd Trd 50mcg Estradot 50 02244000 NVR 2.4125

Sandoz Estradiol Derm 02246967 SDZ 2.4125Estradiol-17B / Estradiol-17B Srd Trd 75mcg Estradot 75 02244001 NVR 2.5875

Sandoz Estradiol Derm 02246968 SDZ 2.5875Estradiol-17B / Estradiol-17B Srd Trd 100mcg Estradot 100 02244002 NVR 2.7375

Sandoz Estradiol Derm 02246969 SDZ 2.7375Etidronate Disodium / Etidronate disodique Tab/Co. Orl 200mg Act Etidronate 02248686 ATV 0.3569

Mylan-Etidronate 02245330 MYL 0.3569Etidronate Disodium/Calcium Carbonate / Tab/Co. Orl 400mg/500mg Didrocal 02176017 PGA 19.9900Etidronate disodique/carbonate de calcium Co Etidrocal 02263866 COB 19.9900

Etidrocal 02353210 SAS 19.9900Mylan-Eti-Cal Carepac 02247323 MYL 19.9900Novo-Etidronatecal 02324199 TEV 19.9900

Exemestane / Exemestane Tab/Co. Orl 25mg Aromasin 02242705 PFI 1.3263Apo-Exemestane 02419726 APX 1.3263Co Exemestane 02390183 COB 1.3263Med-Exemestane 02407841 GMB 1.3263Teva-Exemestane 02408473 TEV 1.3263

Famciclovir / Famciclovir Tab/Co. Orl 125mg Famvir 02229110 NVR 1.3940Apo-Famciclovir 02292025 APX 1.3940Co Famciclovir 02305682 COB 1.3940pms-Famciclovir 02278081 PMS 1.3940Sandoz Famciclovir 02278634 SDZ 1.3940

Famciclovir / Famciclovir Tab/Co. Orl 250mg Famvir 02229129 NVR 1.8733Apo-Famciclovir 02292041 APX 1.8733Co Famciclovir 02305690 COB 1.8733pms-Famciclovir 02278103 PMS 1.8733Sandoz Famciclovir 02278642 SDZ 1.8733

Famciclovir / Famciclovir Tab/Co. Orl 500mg Famvir 02177102 NVR 1.6906Apo-Famciclovir 02292068 APX 1.6906Co Famciclovir 02305704 COB 1.6906pms-Famciclovir 02278111 PMS 1.6906Sandoz Famciclovir 02278650 SDZ 1.6906

Felodipine / Félodipine SRT/Co.L.L. Orl 2.5mg Plendil 02057778 AZE 0.5230Felodipine / Félodipine SRT/Co.L.L. Orl 5mg Plendil 00851779 AZE 0.5593

Sandoz Felodipine 02280264 SDZ 0.5593Felodipine / Félodipine SRT/Co.L.L. Orl 10mg Plendil 00851787 AZE 0.8390

Sandoz Felodipine 02280272 SDZ 0.8390Fenofibrate / Fénofibrate Cap/Caps Orl 100mg Apo-Fenofibrate 02225980 APX 0.6105Fenofibrate / Fénofibrate Tab/Co. Orl 100mg Apo-Feno-Super 02246859 APX 0.5407

Fenofibrate-S 02356570 SAS 0.5407Novo-Fenofibrate S 02289083 TEV 0.5407Sandoz Fenofibrate S 02288044 SDZ 0.5407

Fenofibrate / Fénofibrate Tab/Co. Orl 160mg Lipidil Supra 02241602 SPH 0.3116Apo-Feno-Super 02246860 APX 0.3116Fenofibrate-S 02356589 SAS 0.3116Novo-Fenofibrate S 02289091 TEV 0.3116Sandoz Fenofibrate S 02288052 SDZ 0.3116

Fenofibrate / Fénofibrate Cap/Caps Orl 200mg Lipidil Micro 02146959 ABB 0.2723Apo-Feno-Micro 02239864 APX 0.2723

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September/septembre 2014 v.1 Page 19

Fenofibrate Micro 02286092 SAS 0.2723Mylan-Fenofibrate Micro 02240210 MYL 0.2723Novo-Fenofibrate 02243552 TEV 0.2723ratio-Fenofibrate Mc 02250039 TEV 0.2723

Fentanyl Transdermal / Fentanyl (transdermal de) SRd Trd 12mcg Duragesic MAT 02334186 JAN 2.2300Co Fentanyl 02386844 COB 2.2300Mylan-Fentanyl matrix 02396696 MYL 2.2300pms-Fentanyl MTX 02341379 PMS 2.2300Ran-Fentanyl matrix 02330105 RAN 2.2300ratio-Fentanyl 02311925 RPH 2.2300Sandoz Fentanyl MTX 02327112 SDZ 2.2300

Fentanyl Transdermal / Fentanyl (transdermal de) SRd Trd 25mcg Duragesic MAT 02275813 JAN 3.6582Co Fentanyl 02386852 COB 3.6582Mylan-Fentanyl matrix 02396718 MYL 3.6582Novo-Fentanyl 02314630 TEV 3.6582pms-Fentanyl MTX 02341387 PMS 3.6582Ran-Fentanyl matrix 02330113 RAN 3.6582ratio-Fentanyl 02282941 RPH 3.6582Sandoz Fentanyl MTX 02327120 SDZ 3.6582

Fentanyl Transdermal / Fentanyl (transdermal de) SRd Trd 50mcg Duragesic MAT 02275821 JAN 6.8838Co Fentanyl 02386879 COB 6.8838Mylan-Fentanyl matrix 02396726 MYL 6.8838Novo-Fentanyl 02314649 TEV 6.8838pms-Fentanyl MTX 02341395 PMS 6.8838Ran-Fentanyl matrix 02330121 RAN 6.8838ratio-Fentanyl 02282968 RPH 6.8838Sandoz Fentanyl MTX 02327147 SDZ 6.8838

Fentanyl Transdermal / Fentanyl (transdermal de) SRd Trd 75mcg Duragesic MAT 02275848 JAN 9.6817Co Fentanyl 02386887 COB 9.6817Mylan-Fentanyl matrix 02396734 MYL 9.6817Novo-Fentanyl 02314657 TEV 9.6817pms-Fentanyl MTX 02341409 PMS 9.6817Ran-Fentanyl matrix 02330148 RAN 9.6817ratio-Fentanyl 02282976 RPH 9.6817Sandoz Fentanyl MTX 02327155 SDZ 9.6817

Fentanyl Transdermal / Fentanyl (transdermal de) SRd Trd 100mcg Duragesic MAT 02275856 JAN 12.0512Co Fentanyl 02386895 COB 12.0512Mylan-Fentanyl matrix 02396742 MYL 12.0512Novo-Fentanyl 02314665 TEV 12.0512pms-Fentanyl MTX 02341417 PMS 12.0512Ran-Fentanyl matrix 02330156 RAN 12.0512ratio-Fentanyl 02282984 RPH 12.0512Sandoz Fentanyl MTX 02327163 SDZ 12.0512

Ferrous Sulphate / Sulfate Ferreux Liq Orl 15mg Fer-In-Sol 00762954 MJO 0.1432Ferodan 02237385 ODN 0.1432

Finasteride / Finastéride Tab/Co. Orl 5mg Proscar 02010909 FRS 0.4633Apo-Finasteride 02365383 APX 0.4633Auro-Finasteride 02405814 ARO 0.4633Co Finasteride 02354462 COB 0.4633Finasteride 02355043 AHI 0.4633Jamp-Finasteride 02357224 JPC 0.4633Mint-Finasteride 02389878 MNT 0.4633Mylan-Finasteride 02356058 MYL 0.4633Novo-Finasteride 02348500 TEV 0.4633pms-Finasteride 02310112 PMS 0.4633Ran-Finasteride 02371820 RAN 0.4633ratio-Finasteride 02306905 RPH 0.4633Sandoz Finasteride 02322579 SDZ 0.4633

Flecainide Acetate / Flecaénide (acétate de) Tab/Co. Orl 50mg Tambocor 01966197 VLN 0.4292Flecainide 02275538 AAP 0.4292

Flecainide Acetate / Flecaénide (acétate de) Tab/Co. Orl 100mg Tambocor 01966200 VLN 0.8585Flecainide 02275546 AAP 0.8585

Floctafenine / Floctafénine Tab/Co. Orl 200mg Floctafenine 02244680 AAP 0.4530Floctafenine / Floctafénine Tab/Co. Orl 400mg Floctafenine 02244681 AAP 0.8813Fluconazole / Fluconazole Liq/liq. IV 2mg/mL Diflucan 00891835 PFI 0.4599

Fluconazole 02247922 TEV 0.4599Fluconazole / Fluconazole Tab/Co. Orl 50mg Apo-Fluconazole 02237370 APX 1.2904

Co Fluconazole 02281260 COB 1.2904Mylan-Fluconazole 02245292 MYL 1.2904Novo-Fluconazole 02236978 TEV 1.2904pms-Fluconazole 02245643 PMS 1.2904

Fluconazole / Fluconazole Tab/Co. Orl 100mg Apo-Fluconazole 02237371 APX 2.2891Co Fluconazole 02281279 COB 2.2891Mylan-Fluconazole 02245293 MYL 2.2891Novo-Fluconazole 02236979 TEV 2.2891

Maximum Allowable Price (MAP) listfor NB Drug Plans

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September/septembre 2014 v.1 Page 20

pms-Fluconazole 02245644 PMS 2.2891Fluconazole / Fluconazole Cap/Caps Orl 150mg Apo-Fluconazole 02241895 APX 3.9400

pms-Fluconazole 02282348 PMS 3.9400Flunarizine Dihydrochloride / Flunarizine (chlorhydrate de) Cap/Caps Orl 5mg Flunarizine 02246082 AAP 0.7817Flunisolide / Flunisolide Asp Nas 0.25mg/mL Apo-Flunisolide Nasal Spray 02239288 APX 0.7524Fluocinonide / Fluocinonide Gel/Gel Top 0.05% Lidex 02161974 VAL 0.3321

Lyderm 02236997 TPH 0.3321Fluocinonide / Fluocinonide Ont/Ont Top 0.05% Lidex 02161966 VAL 0.3278

Lyderm 02236996 TPH 0.3278Fluorometholone / Fluorometholone Dps/Gttes Oph 0.1% pms-Flurometholone 02238568 PMS 1.7880Fluoxetine Hydrochloride / Fluoxétine (chlorhydrate de) Cap/Caps Orl 10mg Prozac 02018985 LIL 0.4963

Apo-Fluoxetine 02216353 APX 0.4963Auro-Fluoxetine 02385627 ARO 0.4963Co Fluoxetime 02242177 COB 0.4963Fluoxetine 02286068 SAS 0.4963Fluoxetine 02393441 AHI 0.4963Fluoxetine 02374447 SIV 0.4963Jamp-Fluoxetine 02401894 JPC 0.4963Mar-Fluoxetine 02392909 MAR 0.4963Mint-Fluoxetine 02380560 MNT 0.4963Mylan-Fluoxetine 02237813 MYL 0.4963Novo-Fluoxetine 02216582 TEV 0.4963Phl-Fluoxetine 02223481 PHL 0.4963pms-Fluoxetine 02177579 PMS 0.4963Ran-Fluoxetine 02405695 RAN 0.4963ratio-Fluoxetine 02241371 RPH 0.4963Sandoz Fluoxetine 02243486 SDZ 0.4963Zym-Fluoxetine 02302659 ZYM 0.4963

Fluoxetine Hydrochloride / Fluoxétine (chlorhydrate de) Cap/Caps Orl 20mg Prozac 00636622 LIL 0.4598Apo-Fluoxetine 02216361 APX 0.4598Auro-Fluoxetine 02385635 ARO 0.4598Co Fluoxetine 02242178 COB 0.4598Fluoxetine 02286076 SAS 0.4598Fluoxetine 02383241 AHI 0.4598Fluoxetine 02374455 SIV 0.4598Jamp-Fluoxetine 02386402 JPC 0.4598Mar-Fluoxetine 02392917 MAR 0.4598Mint-Fluoxetine 02380579 MNT 0.4598Mylan-Fluoxetine 02237814 MYL 0.4598Novo-Fluoxetine 02216590 TEV 0.4598Phl-Fluoxetine 02223503 PHL 0.4598pms-Fluoxetine 02177587 PMS 0.4598Ran-Fluoxetine 02405709 RAN 0.4598ratio-Fluoxetine 02241374 RPH 0.4598Sandoz Fluoxetine 02243487 SDZ 0.4598Zym-Fluoxetine 02302667 ZYM 0.4598

Flupentixol Decanoate / Flupenthixol (décanoate de) Liq Inj 100mg Fluanxol Depot 02156040 VLH 35.9300Flurazepam Hydrochloride / Flurazépam (chlorhydrate de) Cap/Caps. Orl 15mg Apo-Flurazepam HCL 00521698 APX 0.1166Flurazepam Hydrochloride / Flurazépam (chlorhydrate de) Cap/Caps. Orl 30mg Apo-Flurazepam HCL 00521701 APX 0.1364Flurbiprofen / Flurbiprofène Tab/Co. Orl 50mg Ansaid 00647942 PFI 0.2221

Apo-Flurbiprofen 01912046 APX 0.2221Novo-Flurprofen 02100509 TEV 0.2221

Flurbiprofen / Flurbiprofène Tab/Co. Orl 100mg Ansaid 00600792 PFI 0.3039Apo-Flurbiprofen 01912038 APX 0.3039Novo-Flurprofen 02100517 TEV 0.3039

Fluphenazine Decanoate / Fluphénazine (décanoate de) Liq IM 100mg Modecate Conc 00755575 BRI 29.7800Flutamide / Flutamide Tab/Co. Orl 250mg Euflex 00637726 SCH 1.3530

Apo-Flutamide 02238560 APX 1.3530Novo-Flutamide 02230089 TEV 1.3530pms-Flutamide 02230104 PMS 1.3530

Fluticasone Propionate / Fluticasone Propionate Aem/Aém Nas 50mcg Flonase AQ 02213672 GSK 0.1831Apo-Fluticasone 02294745 APX 0.1831ratio-Fluticasone 02296071 TEV 0.1831

Fluvastatin Sodium / Fluvastatin Sodique Cap/Caps Orl 20mg Lescol 02061562 NVR 0.2202Sandoz Fluvastatin 02400235 SDZ 0.2202Teva-Fluvastatin 02299224 TEV 0.2202

Fluvastatin Sodium / Fluvastatin Sodique Cap/Caps Orl 40mg Lescol 02061570 NVR 0.3092Sandoz Fluvastatin 02400243 SDZ 0.3092Teva-Fluvastatin 02299232 TEV 0.3092

Fluvoxamine Maleate / Fluvoxamine (maléate de) Tab/Co. Orl 50mg Luvox 01919342 SPH 0.2105Act Fluvoxamine 02255529 ATV 0.2105Apo-Fluvoxamine 02231329 APX 0.2105Novo-Fluvoxamine 02239953 TEV 0.2105ratio-Fluvoxamine 02218453 TEV 0.2105

Fluvoxamine Maleate / Fluvoxamine (maléate de) Tab/Co. Orl 100mg Luvox 01919369 SPH 0.3784

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September/septembre 2014 v.1 Page 21

Act Fluvoxamine 02255537 ATV 0.3784Apo-Fluvoxamine 02231330 APX 0.3784Novo-Fluvoxamine 02239954 TEV 0.3784ratio-Fluvoxamine 02218461 TEV 0.3784

Fosinopril Sodium / Fosinopril sodique Tab/Co. Orl 10mg Apo-Fosinopril 02266008 APX 0.2178Jamp-Fosinopril 02331004 JPC 0.2178Mylan-Fosinopril 02262401 MYL 0.2178Novo-Fosinopril 02247802 TEV 0.2178Ran-Fosinopril 02294524 RAN 0.2178

Fosinopril Sodium / Fosinopril sodique Tab/Co. Orl 20mg Apo-Fosinopril 02266016 APX 0.2619Jamp-Fosinopril 02331012 JPC 0.2619Mylan-Fosinopril 02262428 MYL 0.2619Novo-Fosinopril 02247803 TEV 0.2619Ran-Fosinopril 02294532 RAN 0.2619

Framycetin Sulfate / Framycétine (sulfate de) Drops/Gttes. Oph 5mg Sofracort Ear/Eye Drops 02224623 SAV 1.8938Framycetin Sulfate/Esculine/Dibucaine Hcl/Hydrocortisone Acetate / Ont Rt 10mg/10mg/5mg/5mg Proctosedyl 02223252 AXC 0.4355Framycétine (sulfate de)/esculine/dibucaine HCL/hydrocortisone (acétate d') Proctol 02247322 ODN 0.4355

Sandoz Proctomyxin HC 02242527 SDZ 0.4355Framycetin Sulfate/Esculine/Dibucaine Hcl/Hydrocortisone Acetate / Sup Rt 10mg/10mg/5mg/5mg Proctosedyl 02223260 AXC 0.6283Framycétine (sulfate de)/esculine/dibucaine HCL/hydrocortisone (acétate d') Proctol 02247882 ODN 0.6283

Sab-Proctomyxin HC 02242528 SDZ 0.6283Furosemide / Furosémide Liq Inj 10mg Furosemide 02382539 SDZ 0.8650Furosemide / Furosémide Tab/Co. Orl 20mg Apo-Furosemide 00396788 APX 0.0373

Furosemide 02351420 SAS 0.0373Novo-Semide 00337730 TEV 0.0373pms-Furosemide 02247493 PMS 0.0373

Furosemide / Furosémide Tab/Co. Orl 40mg Lasix 02224704 SAV 0.0558Furosemide 02351439 SAS 0.0558pms-Furosemide 02247494 PMS 0.0558

Furosemide / Furosémide Tab/Co. Orl 80mg Apo-Furosemide 00707570 APX 0.1220Furosemide 02351447 SAS 0.1220Novo-Semide 00765953 TEV 0.1220

Gabapentin / Gabapentine Cap/Caps. Orl 100mg Neurontin 02084260 PFI 0.1040Apo-Gabapentin 02244304 APX 0.1040Auro-Gabapentin 02321203 ARO 0.1040Co Gabapentin 02256142 COB 0.1040Gabapentin 02353245 SAS 0.1040GD-Gabapentin 02285819 GMD 0.1040Jamp-Gabapentin 02361469 JPC 0.1040Mar-Gabapentin 02391473 MAR 0.1040Mylan-Gabapentin 02248259 MYL 0.1040Phl-Gabapentin 02246314 PHL 0.1040pms-Gabapentin 02243446 PMS 0.1040Ran Gabapentin 02319055 RAN 0.1040Teva-Gabapentin 02244513 TEV 0.1040

Gabapentin / Gabapentine Cap/Caps. Orl 300mg Neurontin 02084279 PFI 0.2530Auro-Gabapentin 02321211 ARO 0.2530Apo-Gabapentin 02244305 APX 0.2530Co Gabapentin 02256150 COB 0.2530Gabapentin 02353253 SAS 0.2530GD-Gabapentin 02285827 GMD 0.2530Jamp-Gabapentin 02361485 JPC 0.2530Mar-Gabapentin 02391481 MAR 0.2530Mylan-Gabapentin 02248260 MYL 0.2530Phl-Gabapentin 02246315 PHL 0.2530pms-Gabapentin 02243447 PMS 0.2530Ran Gabapentin 02319063 RAN 0.2530Teva-Gabapentin 02244514 TEV 0.2530

Gabapentin / Gabapentine Cap/Caps. Orl 400mg Neurontin 02084287 PFI 0.3015Auro-Gabapentin 02321238 ARO 0.3015Apo-Gabapentin 02244306 APX 0.3015Co Gabapentin 02256169 COB 0.3015Gabapentin 02353261 SAS 0.3015GD-Gabapentin 02285835 GMD 0.3015Jamp-Gabapentin 02361493 JPC 0.3015Mar-Gabapentin 02391503 MAR 0.3015Mylan-Gabapentin 02248261 MYL 0.3015Phl-Gabapentin 02246316 PHL 0.3015pms-Gabapentin 02243448 PMS 0.3015Ran Gabapentin 02319071 RAN 0.3015ratio-Gabapentin 02260905 RPH 0.3015Teva-Gabapentin 02244515 TEV 0.3015

Gabapentin / Gabapentine Tab/Co. Orl 600mg Neurontin 02239717 PFI 0.4522Apo-Gabapentin 02293358 APX 0.4522Gabapentin 02392526 AHI 0.4522

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 22

Gabapentin 02388200 SIV 0.4522GD-Gabapentin 02285843 GMD 0.4522Jamp-Gabapentin 02402289 JPC 0.4522Mylan-Gabapentin 02397471 MYL 0.4522Teva-Gabapentin 02248457 TEV 0.4522

Gabapentin / Gabapentine Tab/Co. Orl 800 mg Neurontin 02239718 PFI 0.6030Apo-Gabapentin 02293366 APX 0.6030Gabapentin 02392534 AHI 0.6030Gabapentin 02388219 SIV 0.6030GD-Gabapentin 02285851 GMD 0.6030Jamp-Gabapentin 02402297 JPC 0.6030Mylan-Gabapentin 02397498 MYL 0.6030Teva-Gabapentin 02247346 TEV 0.6030

Galantamine Hydrobomide / Galantamine (bromhydrate de) ERC/Caps. L.P. Orl 8mg Reminyl ER 02266717 JAN 1.2467Mylan-Galantamine ER 02339439 MYL 1.2467Pat-Galantamine ER 02316943 PPH 1.2467pms-Galantamine ER 02398370 PMS 1.2467Teva-Galantamine ER 02377950 TEV 1.2467

Galantamine Hydrobomide / Galantamine (bromhydrate de) ERC/Caps. L.P. Orl 16mg Reminyl ER 02266725 JAN 1.2467Mylan-Galantamine ER 02339447 MYL 1.2467Pat-Galantamine ER 02316951 PPH 1.2467pms-Galantamine ER 02398389 PMS 1.2467Teva-Galantamine ER 02377969 TEV 1.2467

Galantamine Hydrobomide / Galantamine (bromhydrate de) ERC/Caps. L.P. Orl 24mg Reminyl ER 02266733 JAN 1.2467Mylan-Galantamine ER 02339455 MYL 1.2467Pat-Galantamine ER 02316978 PPH 1.2467pms-Galantamine ER 02398397 PMS 1.2467Teva-Galantamine ER 02377977 TEV 1.2467

Gemfibrozil / Gemfibrozil Cap/Caps Orl 300mg Apo-Gemfibrozil 01979574 APX 0.1288Mylan-Gemfibrozil 02185407 MYL 0.1288Novo-Gemfibrozil 02241704 TEV 0.1288pms-Gemfibrozil 02239951 PMS 0.1288

Gemfibrozil / Gemfibrozil Tab/Co. Orl 600mg Apo-Gemfibrozil 01979582 APX 0.5157Mylan-Gemfibrozil 02230476 MYL 0.5157Novo-Gemfibrozil 02142074 TEV 0.5157

Gentamicin Sulphate / Gentamicine(sulfate de) Liq Inj 40mg/mL Gentamicin 02242652 SDZ 4.2620Gentamicin Sulphate / Gentamicine(sulfate de) Dps/Gttes Oph 0.3% Garamycin 00512192 FRS 0.4060Gentamicin Sulphate / Gentamicine(sulfate de) Dps/Gttes Ot 0.3% Garamycin 00512184 SCH 1.0320Gentamicin Sulphate/Betamethasone Disodium Phos / Gentamicine(sulfate)bétaméthaLiq/Liq Oph 0.3%/0.1% Garasone 00682217 SCH 1.2813Gliclazide / Gliclazide ERT/C.o. L.P. Orl 30mg Diamicron MR 02242987 SEV 0.1405

Gliclazide MR 02297795 AAP 0.1405Gliclazide / Gliclazide Tab/Co. Orl 80mg Diamicron 00765996 SEV 0.0931

Apo-Gliclazide 02245247 APX 0.0931Gliclazide 02287072 SAS 0.0931Mylan-Gliclazide 02229519 MYL 0.0931Teva-Gliclazide 02238103 TEV 0.0931

Glimepiride / Glimépiride Tab/Co. Orl 1mg Amaryl 02245272 SAV 0.3857Apo-Glimepiride 02295377 APX 0.3857Novo-Glimepiride 02273756 TEV 0.3857ratio-Glimepiride 02273101 TEV 0.3857Sandoz Glimepiride 02269589 SDZ 0.3857

Glimepiride / Glimépiride Tab/Co. Orl 2mg Amaryl 02245273 SAV 0.3857Apo-Glimepiride 02295385 APX 0.3857Novo-Glimepiride 02273764 TEV 0.3857ratio-Glimepiride 02273128 TEV 0.3857Sandoz Glimepiride 02269597 SDZ 0.3857

Glimepiride / Glimépiride Tab/Co. Orl 4mg Amaryl 02245274 SAV 0.3857Apo-Glimepiride 02295393 APX 0.3857Novo-Glimepiride 02273772 TEV 0.3857ratio-Glimepiride 02273136 TEV 0.3857Sandoz Glimepiride 02269619 SDZ 0.3857

Glyburide / Glyburide Tab/Co. Orl 2.5mg Diabeta 02224550 SAV 0.0321Apo-Glyburide 01913654 APX 0.0321Glyburide 02350459 SAS 0.0321Mylan-Glybe 00808733 MYL 0.0321ratio-Glyburide 01900927 RPH 0.0321Sandoz Glyburide 02248008 SDZ 0.0321Teva-Glyburide 01913670 TEV 0.0321

Glyburide / Glyburide Tab/Co. Orl 5mg Diabeta 02224569 SAV 0.0574Apo-Glyburide 01913662 APX 0.0574Glyburide 02350467 SAS 0.0574Mylan-Glybe 00808741 MYL 0.0574ratio-Glyburide 01900935 RPH 0.0574Sandoz Glyburide 02248009 SDZ 0.0574Teva-Glyburide 01913689 TEV 0.0574

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 23

Granisetron Hydrochloride / Granisétron (chlorhydrate de) Tab/Co. Orl 1mg Kytril 02185881 HLR 14.6475Apo-Granisetron 02308894 AAP 14.6475

Haloperidol / Halopéridol Tab/Co. Orl 0.5mg Novo-Peridol 00363685 TEV 0.1224Haloperidol / Halopéridol Tab/Co. Orl 1mg Novo-Peridol 00363677 TEV 0.1839Haloperidol / Halopéridol Tab/Co. Orl 2mg Novo-Peridol 00363669 TEV 0.2748Haloperidol / Halopéridol Tab/Co. Orl 5mg Novo-Peridol 00363650 TEV 0.4385Haloperidol / Halopéridol Tab/Co. Orl 10mg Novo-Peridol 00713449 TEV 0.6378Haloperidol / Halopéridol Liq Inj 50mg/mL Haloperidol LA 02130297 SDZ 8.4640Haloperidol / Halopéridol Liq Inj 100mg/mL Haloperidol LA 02130300 SDZ 16.9233Hydralazine Hydrochloride / Hydralazine (chlorhydrate d') Tab/Co. Orl 10mg Hydralazine 00441619 AAP 0.1347Hydralazine Hydrochloride / Hydralazine (chlorhydrate d') Tab/Co. Orl 25mg Hydralazine 00441627 AAP 0.2314Hydralazine Hydrochloride / Hydralazine (chlorhydrate d') Tab/Co. Orl 50mg Hydralazine 00441635 AAP 0.3633Hydrochlorothiazide / Hydrochlorothiazide Tab/Co. Orl 12.5mg Apo-Hydro 02327856 APX 0.0322

pms-Hydrochlorothiazide 02274086 PMS 0.0322Hydrochlorothiazide / Hydrochlorothiazide Tab/Co. Orl 25mg Apo-Hydro 00326844 APX 0.0183

pms-Hydrochlorothiazide 02247386 PMS 0.0183Teva-Hydrochlorothiazide 00021474 TEV 0.0183

Hydrochlorothiazide / Hydrochlorothiazide Tab/Co. Orl 50mg Apo-Hydro 00312800 APX 0.0255Hydrochlorothiazide 02360608 SAS 0.0255pms-Hydrochlorothiazide 02247387 PMS 0.0255Teva-Hydrochlorothiazide 00021482 TEV 0.0255

Hydrocortisone Acetate/Zinc Sulfate / Ont Rt 0.5%/0.5% Anusol-HC 00505773 JNJ 0.4130Hydrocortisone (acétate d')/zinc (sulfate de) Anodan-HC 02128446 ODN 0.4130

Sandoz Anuzinc HC 02247691 SDZ 0.4130Hydrocortisone Acetate/Zinc Sulfate / Sup/Supp. Rt 10mg/10mg Anusol-HC 00476285 JNJ 0.5833Hydrocortisone (acétate d')/zinc (sulfate de) Anodan-HC 02236399 ODN 0.5833

Sab-Anuzinc HC 02242798 SDZ 0.5833Hydrocortisone Valerate / Hydrocortisone (valérate d') Crm/Cr. Top 0.2% Hydroval 02242984 TAR 0.1375Hydrocortisone Valerate / Hydrocortisone (valérate d') Ont. Top 0.2% Hydroval 02242985 TAR 0.1375Hydromorphone Hydrochloride / Hydromorphone(chlorhydrate d') Liq/Liq Im 2mg Dilaudid 00627100 ABB 1.5500

Hydromorphone HCL 02145901 SDZ 1.5500Hydromorphone Hydrochloride / Hydromorphone(chlorhydrate d') Liq/Liq Im 10mg Dilaudid HP 00622133 PFR 3.7790

Hydromorphone HP 02145928 SDZ 3.7790Hydromorphone Hydrochloride / Hydromorphone(chlorhydrate d') Liq/Liq Im 20mg Hydromorphone HP 02145936 SDZ 6.4022

Dilaudid HP Plus 02146118 ABB 6.4022Hydromorphone Hydrochloride / Hydromorphone(chlorhydrate d') Liq/Liq Im 50mg Dilaudid XP 02145863 ABB 15.9060

Hydromorphone HP 02146126 SDZ 15.9060Hydromorphone Hydrochloride / Hydromorphone(chlorhydrate d') Syr/Sir. Orl 1mg/mL Dilaudid 00786535 ABB 0.0665

pms-Hydromorphone 01916386 PMS 0.0706Hydromorphone Hydrochloride / Hydromorphone(chlorhydrate d') Tab/Co. Orl 1mg Dilaudid 00705438 ABB 0.0959

Apo-Hydromorphone 02364115 APX 0.0959pms-Hydromorphone 00885444 PMS 0.0959Teva-Hydromorphone 02319403 TEV 0.0959

Hydromorphone Hydrochloride / Hydromorphone(chlorhydrate d') Tab/Co. Orl 2mg Dilaudid 00125083 ABB 0.1417Apo-Hydromorphone 02364123 APX 0.1417pms-Hydromorphone 00885436 PMS 0.1417Teva-Hydromorphone 02319411 TEV 0.1417

Hydromorphone Hydrochloride / Hydromorphone(chlorhydrate d') Tab/Co. Orl 4mg Dilaudid 00125121 ABB 0.2240Apo-Hydromorphone 02364131 APX 0.2240pms-Hydromorphone 00885401 PMS 0.2240Teva-Hydromorphone 02319438 TEV 0.2240

Hydromorphone Hydrochloride / Hydromorphone(chlorhydrate d') Tab/Co. Orl 8mg Dilaudid 00786543 ABB 0.3528Apo-Hydromorphone 02364158 APX 0.3528pms-Hydromorphone 00885428 PMS 0.3528Teva-Hydromorphone 02319446 TEV 0.3528

Hydroxychloroquine Sulfate / Hydroxychloroquine (sulfate d') Tab/Co. Orl 200mg Plaquenil 02017709 SAV 0.2620Apo-Hydroxyquine 02246691 APX 0.2620Mylan-Hydroxychloroquine 02252600 MYL 0.2620

Hydroxyurea / Hydroxyuree Cap/Caps. Orl 500mg Hydrea 00465283 BRI 1.0203Hydroxyurea 02343096 SAS 1.0203Mylan-Hydroxyurea 02242920 MYL 1.0203

Hydroxyzine Hydrochloride / Hydroxyzine (chlorhydrate d') Cap/Caps Orl 10mg Apo-Hydroxyzine 00646059 APX 0.1116Novo-Hydroxyzin 00738824 TEV 0.1116

Hydroxyzine Hydrochloride / Hydroxyzine (chlorhydrate d') Cap/Caps Orl 25mg Apo-Hydroxyzine 00646024 APX 0.1425Novo-Hydroxyzin 00738832 TEV 0.1425

Hydroxyzine Hydrochloride / Hydroxyzine (chlorhydrate d') Cap/Caps Orl 50mg Apo-Hydroxyzine 00646016 APX 0.2068Novo-Hydroxyzin 00738840 TEV 0.2068

Ibuprofen / Ibuprofène Tab/Co. Orl 400mg Super Strength Motrin IB 02242658 JNJ 0.0372Apo-Ibuprofen 00506052 APX 0.0372Jamp-Ibuprofen 02401290 JPC 0.0372Novo-Profen 00629340 TEV 0.0372

Ibuprofen / Ibuprofène Tab/Co. Orl 600mg Apo-Ibuprofen 00585114 APX 0.1313Novo-Profen 00629359 TEV 0.1313

Ibuprofen / Ibuprofène Tab/Co. Orl 300mg Apo-Ibuprofen 00441651 APX 0.1087Imatinib Mesylate / Imatinib (mésylate de) Tab/Co. Orl 100mg Act Imatinib 02397285 ATV 6.8186

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 24

Apo-Imatinib 02355337 APX 6.8186Teva-Imatinib 02399806 TEV 6.8186

Imatinib Mesylate / Imatinib (mésylate de) Tab/Co. Orl 400mg Gleevec 02253283 NVR 27.2743Act Imatinib 02397293 ATV 27.2743Apo-Imatinib 02355345 APX 27.2743Teva-Imatinib 02399814 TEV 27.2743

Imipramine Hydrochloride / Imipramine (chlorhydrate d') Tab/Co. Orl 10mg Imipramine 00360201 AAP 0.1486Imipramine Hydrochloride / Imipramine (chlorhydrate d') Tab/Co. Orl 25mg Imipramine 00312797 AAP 0.2682Imipramine Hydrochloride / Imipramine (chlorhydrate d') Tab/Co. Orl 50mg Tofranil 00010480 NVR 0.5232

Imipramine 00326852 AAP 0.5232Imiquimod / Imiquimod Crm/Cr. Top 5% Aldara 02239505 VLN 0.0441

Apo-Imiquimod 02407825 APX 0.0441Indapamide Hemihydrate / Indapamide (hémihydrate d') Tab/Co. Orl 1.25mg Lozide 02179709 SEV 0.0745

Apo-Indapamide 02245246 APX 0.0745Jamp-Indapamide 02373904 JPC 0.0745Mylan-Indapamide 02240067 MYL 0.0745pms-Indapamide 02239619 PMS 0.0745

Indapamide Hemihydrate / Indapamide (hémihydrate d') Tab/Co. Orl 2.5mg Lozide 00564966 SEV 0.1218Apo-Indapamide 02223678 APX 0.1218Jamp-Indapamide 02373912 JPC 0.1218Mylan-Indapamide 02153483 MYL 0.1218Novo-Indapamide 02231184 TEV 0.1218pms-Indapamide 02239620 PMS 0.1218

Indomethacin / Indométhacine Cap/Caps Orl 25mg Novo-Methacin 00337420 TEV 0.2230Indomethacin / Indométhacine Cap/Caps Orl 50mg Novo-Methacin 00337439 TEV 0.4460Indomethacin / Indométhacine Sup/Supp. Rt 50mg Sab-Indomethacin 02231799 SDZ 0.8840Indomethacin / Indométhacine Sup/Supp. Rt 100mg Sab-Indomethacin 02231800 SDZ 0.8920Ipratropium Bromide / Ipratropium (bromure d') Liq Udv/Liq Udv Inh 250Mcg Mylan-Ipratropium 02216221 MYL 0.6590

pms-Ipratropium 02231244 PMS 0.6590pms-Ipratropium 02231245 PMS 0.6590ratio-Ipratropium UDV 02097168 TEV 0.6590

Ipratropium Bromide / Ipratropium (bromure d') Liq/Liq Inh 250Mcg Apo-Ipravent 02126222 APX 0.3157Mylan-Ipratropium Soln 02239131 MYL 0.3157Novo-Ipramide Inhaler 02210479 TEV 0.3157pms-Ipratropium 02231136 PMS 0.3157

Ipratropium Bromide / Ipratropium (bromure d') Spr/Spr. Nas 0.03% Atrovent Nasal 02163705 BOE 0.0658pms-Ipratropium 02239627 PMS 0.0658

Irbesartan / Irbésartan Tab/Co. Orl 75mg Avapro 02237923 BRI 0.3073Act Irbesartan 02328070 ATV 0.3073Apo-Irbesartan 02386968 APX 0.3073Auro-Irbesartan 02406098 ARO 0.3073Irbesartan 02372347 SAS 0.3073Irbesartan 02385287 SIV 0.3073Mylan-Irbesartan 02347296 MYL 0.3073pms-Irbesartan 02317060 PMS 0.3073Ran-Irbesartan 02406810 RAN 0.3073ratio-Irbesartan 02316390 RPH 0.3073Sandoz Irbesartan 02328461 SDZ 0.3073Teva-Irbesartan 02315971 TEV 0.3073

Irbesartan / Irbésartan Tab/Co. Orl 150mg Avapro 02237924 BRI 0.3073Act Irbesartan 02328089 ATV 0.3073Apo-Irbesartan 02386976 APX 0.3073Auro-Irbesartan 02406101 ARO 0.3073Irbesartan 02372371 SAS 0.3073Irbesartan 02385295 SIV 0.3073Mylan-Irbesartan 02347318 MYL 0.3073pms-Irbesartan 02317079 PMS 0.3073Ran-Irbesartan 02406829 RAN 0.3073ratio-Irbesartan 02316404 RPH 0.3073Sandoz Irbesartan 02328488 SDZ 0.3073Teva-Irbesartan 02315998 TEV 0.3073

Irbesartan / Irbésartan Tab/Co. Orl 300mg Avapro 02237925 BRI 0.3073Act Irbesartan 02328100 ATV 0.3073Apo-Irbesartan 02386984 APX 0.3073Auro-Irbesartan 02406128 ARO 0.3073Irbesartan 02372398 SAS 0.3073Irbesartan 02385309 SIV 0.3073Mylan-Irbesartan 02347326 MYL 0.3073pms-Irbesartan 02317087 PMS 0.3073Ran-Irbesartan 02406837 RAN 0.3073ratio-Irbesartan 02316412 RPH 0.3073Sandoz Irbesartan 02328496 SDZ 0.3073Teva-Irbesartan 02316005 TEV 0.3073

Irbesartan/Hydrochlorothiazide / Irbésartan/Hydrochlorothiazide Tab/Co. Orl 150 mg/12.5mg Avalide 02241818 BRI 0.3073Apo-Irbesartan/HCTZ 02387646 APX 0.3073

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 25

Co Irbesartan/HCT 02357399 COB 0.3073Irbesartan HCT 02385317 SIV 0.3073Irbesartan/HCTZ 02372886 SAS 0.3073Mint-Irbesartan/HCTZ 02392992 MNT 0.3073pms-Irbesartan/HCTZ 02328518 PMS 0.3073Ran-Irbesartan/HCTZ 02363208 RAN 0.3073ratio-Irbesartan/HCTZ 02330512 TEV 0.3073Sandoz Irbesartan/HCT 02337428 SDZ 0.3073Teva-Irbesartan/HCTZ 02316013 TEV 0.3073

Irbesartan/Hydrochlorothiazide / Irbésartan/Hydrochlorothiazide Tab/Co. Orl 300 mg/12.5mg Avalide 02241819 BRI 0.3073Apo-Irbesartan/HCTZ 02387654 APX 0.3073Co Irbesartan/HCT 02357402 COB 0.3073Irbesartan HCT 02385325 SIV 0.3073Irbesartan/HCTZ 02372894 SAS 0.3073Mint-Irbesartan/HCTZ 02393018 MNT 0.3073pms-Irbesartan/HCTZ 02328526 PMS 0.3073Ran-Irbesartan/HCTZ 02363216 RAN 0.3073ratio-Irbesartan/HCTZ 02330520 TEV 0.3073Sandoz Irbesartan/HCT 02337436 SDZ 0.3073Teva-Irbesartan/HCTZ 02316021 TEV 0.3073

Irbesartan/Hydrochlorothiazide / Irbésartan/Hydrochlorothiazide Tab/Co. Orl 300 mg/25mg Avalide 02280213 BRI 0.3052Apo-Irbesartan/HCTZ 02387662 APX 0.3052Co Irbesartan/HCT 02357410 COB 0.3052Irbesartan HCT 02385333 SIV 0.3052Irbesartan/HCTZ 02372908 SAS 0.3052Mint-Irbesartan/HCTZ 02393026 MNT 0.3052pms-Irbesartan/HCTZ 02328534 PMS 0.3052Ran-Irbesartan/HCTZ 02363224 RAN 0.3052ratio-Irbesartan/HCTZ 02330539 TEV 0.3052Sandoz Irbesartan/HCT 02337444 SDZ 0.3052Teva-Irbesartan/HCTZ 02316048 TEV 0.3052

Isosorbide Dinitrate / Isosorbide (dinitrate d') SLT/Co.S.L. Orl 5mg ISDN 00670944 AAP 0.0674Isosorbide Dinitrate / Isosorbide (dinitrate d') Tab/Co. Orl 10mg ISDN 00441686 AAP 0.0397Isosorbide Dinitrate / Isosorbide (dinitrate d') Tab/Co. Orl 30mg ISDN 00441694 AAP 0.0930Isosorbide-5-Mononitrate / Isosorbide (5-mononitrate d') SRT/Co.L.L. Orl 60mg IMDUR 02126559 AZE 0.3523

Apo-ISMN 02272830 APX 0.3523pms-ISMN 02301288 PMS 0.3523

Isotretinoin / Isotrétinoïne Cap/Caps Orl 10mg Accutane Roche 00582344 HLR 0.9313Clarus 02257955 MYL 0.9313

Isotretinoin / Isotrétinoïne Cap/Caps Orl 40mg Accutane Roche 00582352 HLR 1.9003Clarus 02257963 MYL 1.9003

Ketoconazole / Kétoconazole Crm/Cr. Top 2% Ketoderm 02245662 TAR 0.3595Ketoconazole / Kétoconazole Tab/Co. Orl 200mg Apo-Ketoconazole 02237235 APX 0.9393

Novo-Ketoconazole 02231061 TEV 0.9393Ketoprofen / Kétoprofène Cap/Caps Orl 50mg Keto 00790427 AAP 0.3660Ketoprofen / Kétoprofène SRT/Co.L.L. Orl 20mg Keto SR 02172577 AAP 1.5071Ketorolac Tromethamine / Ketorolac tromethamine Liq/liq Oph 0.5% Acular 01968300 ALL 2.5960

Ketorolac 02245821 AAP 2.5960Ketorolac Tromethamine / Ketorolac tromethamine Tab/Co. Orl 10mg Toradol 02162660 HLR 0.5192

Ketorolac 02229080 AAP 0.5192Novo-Ketorolac 02230201 TEV 0.5192

Ketotifen Fumarate / Kétotifène (fumarate de) Syr/Sir. Orl 0.2mg/mL Zaditen 00600784 TEV 0.4545Ketotifen Fumarate / Kétotifène (fumarate de) Tab/Co. Orl 1mg Zaditen 00577308 TEV 1.6973Labetalol Hydrochloride / Labétalol (chlorhydrate de) Tab/Co. Orl 100mg Trandate 02106272 PAL 0.3294Labetalol Hydrochloride / Labétalol (chlorhydrate de) Tab/Co. Orl 200mg Trandate 02106280 PAL 0.5823Lactulose / Lactulose Syr/Sir. Orl 667mg Apo-Lactulose 02242814 APX 0.0145

ratio-Lactulose 00854409 RPH 0.0145Teva-Lactulose 02331551 TEV 0.0145

Lamivudine / Lamivudine Tab/Co.Orl 100mg Heptovir 02239193 GSK 3.5316Apo-Lamivudine HBV 02393239 APX 3.5316

Lamivudine / Lamivudine Tab/Co.Orl 150mg 3TC 02192683 VIV 3.6269Apo-Lamivudine 02369052 APX 3.6269

Lamivudine / Lamivudine Tab/Co.Orl 300mg 3TC 02247825 VIV 7.2538Apo-Lamivudine 02369060 APX 7.2538

Lamivudine/Zidovudine / Lamivudine/Zidovudine Tab/Co. Orl 150mg/300mg Combivir 02239213 VIV 4.1765Apo-Lamivudine-Zidovudine 02375540 APX 4.1765Teva-Lamivudine/Zidovudine 02387247 TEV 4.1765

Lamotrigine / Lamotrigine Tab/Co. Orl 25mg Lamictal 02142082 GSK 0.0936Apo-Lamotrigine 02245208 APX 0.0936Auro-Lamotrigine 02381354 ARO 0.0936Lamotrigine 02343010 SAS 0.0936Mylan-Lamotrigine 02265494 MYL 0.0936Novo-Lamotrigine 02248232 TEV 0.0936pms-Lamotrigine 02246897 PMS 0.0936

Lamotrigine / Lamotrigine Tab/Co. Orl 100mg Lamictal 02142104 GSK 0.3735

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 26

Apo-Lamotrigine 02245209 APX 0.3735Auro-Lamotrigine 02381362 ARO 0.3735Lamotrigine 02343029 SAS 0.3735Mylan-Lamotrigine 02265508 MYL 0.3735Novo-Lamotrigine 02248233 TEV 0.3735pms-Lamotrigine 02246898 PMS 0.3735ratio-Lamotrigine 02243353 RPH 0.3735

Lamotrigine / Lamotrigine Tab/Co. Orl 150mg Lamictal 02142112 GSK 0.5505Apo-Lamotrigine 02245210 APX 0.5505Auro-Lamotrigine 02381370 ARO 0.5505Lamotrigine 02343037 SAS 0.5505Mylan-Lamotrigine 02265516 MYL 0.5505Novo-Lamotrigine 02248234 TEV 0.5505pms-Lamotrigine 02246899 PMS 0.5505ratio-Lamotrigine 02246963 RPH 0.5505

Lansoprazole / Lansoprazole SRC/Caps.L.L. Orl 15mg Prevacid 02165503 ABB 0.5000Apo-Lansoprazole 02293811 APX 0.5000Lansoprazole 02357682 SAS 0.5000Mylan-Lansoprazole 02353830 MYL 0.5000Novo-Lansoprazole 02280515 TEV 0.5000pms-Lansoprazole 02395258 PMS 0.5000Ran-Lansoprazole 02402610 RAN 0.5000Sandoz Lansoprazole 02385643 SDZ 0.5000

Lansoprazole / Lansoprazole SRC/Caps.L.L. Orl 30mg Prevacid 02165511 ABB 0.5000Apo-Lansoprazole 02293838 APX 0.5000Lansoprazole 02357690 SAS 0.5000Lansoprazole 02410389 SIV 0.5000Mylan-Lansoprazole 02353849 MYL 0.5000Novo-Lansoprazole 02280523 TEV 0.5000pms-Lansoprazole 02395266 PMS 0.5000Ran-Lansoprazole 02402629 RAN 0.5000Sandoz Lansoprazole 02385651 SDZ 0.5000

Latanoprost / Latanoprost Liq/Liq Oph 0.005% Xalatan 02231493 PFI 3.8542Apo-Latanoprost 02296527 APX 3.8542Co Latanoprost 02254786 COB 3.8542GD-Latanoprost 02373041 GMD 3.8542Latanoprost 02375508 PMS 3.8542Sandoz Latanoprost 02367335 SDZ 3.8542

Latanoprost/Timolol Maleate / Latanoprost/Timolol(maléate de) Liq/Liq Oph 0.005%/0.5% Xalacom 02246619 PFI 4.4280Apo-Latanoprost-Timop 02414155 APX 4.4280GD-Latanoprost/Timolol 02373068 GMD 4.4280Sandoz Latanoprost/Timolol 02394685 SDZ 4.4280

Leflunomide / Leflunomide Tab/Co. Orl 10mg Arava 02241888 SAV 2.6433Apo-Leflunomide 02256495 APX 2.6433Leflunomide 02351668 SAS 2.6433Mylan-Leflunomide 02319225 MYL 2.6433Novo-Leflunomide 02261251 TEV 2.6433pms-Leflunomide 02288265 PMS 2.6433Sandoz Leflunomide 02283964 SDZ 2.6433

Leflunomide / Leflunomide Tab/Co. Orl 20mg Arava 02241889 SAV 2.6433Apo-Leflunomide 02256509 APX 2.6433Leflunomide 02351676 SAS 2.6433Mylan-Leflunomide 02319233 MYL 2.6433Novo-Leflunomide 02261278 TEV 2.6433pms-Leflunomide 02288273 PMS 2.6433Sandoz Leflunomide 02283972 SDZ 2.6433

Letrozole / Létrozole Tab/Co. Orl 2.5mg Femara 02231384 NVR 1.3780Apo-Letrozole 02358514 APX 1.3780Auro-Letrozole 02404400 ARO 1.3780Jamp-Letrozole 02373009 JPC 1.3780Letrozole 02338459 AHI 1.3780Letrozole 02348969 COB 1.3780Mar-Letrozole 02373424 MAR 1.3780Med-Letrozole 02322315 GMP 1.3780Myl-Letrozole 02372169 MYL 1.3780pms-Letrozole 02309114 PMS 1.3780Ran-Letrozole 02372282 RAN 1.3780Sandoz Letrozole 02344815 SDZ 1.3780Teva-Letrozole 02343657 TEV 1.3780Zinda-Letrozole 02378213 MCK 1.3780

Levetiracetam / Lévétiracétam Tab/Co. Orl 250mg Keppra 02247027 VLH 0.8000Abbott-Levetiracetam 02414805 ABB 0.8000Apo-Levetiracetam 02285924 APX 0.8000Auro-Levetiracetam 02375249 ARO 0.8000Co Levetiracetam 02274183 COB 0.8000

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 27

Jamp-Levetiracetam 02403005 JPC 0.8000Levetiracetam 02353342 SAS 0.8000Levetiracetam 02399776 AHI 0.8000pms-Levetiracetam 02296101 PMS 0.8000Ran-Levetiracetam 02396106 RAN 0.8000

Levetiracetam / Lévétiracétam Tab/Co. Orl 500mg Keppra 02247028 VLH 0.9750Abbott-Levetiracetam 02414791 ABB 0.9750Apo-Levetiracetam 02285932 APX 0.9750Auro-Levetiracetam 02375257 ARO 0.9750Co Levetiracetam 02274191 COB 0.9750Jamp-Levetiracetam 02403021 JPC 0.9750Levetiracetam 02353350 SAS 0.9750Levetiracetam 02399784 AHI 0.9750pms-Levetiracetam 02296128 PMS 0.9750Ran-Levetiracetam 02396114 RAN 0.9750

Levetiracetam / Lévétiracétam Tab/Co. Orl 750mg Keppra 02247029 VLH 1.3500Abbott-Levetiracetam 02414783 ABB 1.3500Apo-Levetiracetam 02285940 APX 1.3500Auro-Levetiracetam 02375265 ARO 1.3500Co Levetiracetam 02274205 COB 1.3500Jamp-Levetiracetam 02403048 JPC 1.3500Levetiracetam 02353369 SAS 1.3500Levetiracetam 02399792 AHI 1.3500pms-Levetiracetam 02296136 PMS 1.3500Ran-Levetiracetam 02396122 RAN 1.3500

Levobunolol Hydrochloride / Lévobunolol (chlorhydrate de) Liq/Liq Oph 0.5% Betagan 00637661 ALL 1.1515ratio-Levobunolol 02031167 TEV 1.1515Sandoz Levobunolol 02241716 SDZ 1.1515

Levobunolol Hydrochloride / Lévobunolol (chlorhydrate de) Liq/Oph 0.25% ratio-Levobunolol 02031159 TEV 1.9143Levodopa/Carbidopa / Lévodopa/carbidopa SRT/Co.L.L. Orl 100/25mg Sinemet CR 02028786 FRS 0.5126

Apo-Levocarb CR 02272873 APX 0.5126pms-Levocarb CR 02421488 PMS 0.5126

Levodopa/Carbidopa / Lévodopa/carbidopa SRT/Co.L.L. Orl 200/50mg Sinemet CR 00870935 FRS 1.0000Apo-Levocarb CR 02245211 APX 1.0000pms-Levocarb CR 02421496 PMS 1.0000

Levodopa/Carbidopa / Lévodopa/carbidopa Tab/Co. Orl 100/10mg Sinemet 00355658 FRS 0.1877Apo-Levocarb 02195933 APX 0.1877Novo-Levocarbidopa 02244494 TEV 0.1877

Levodopa/Carbidopa / Lévodopa/carbidopa Tab/Co. Orl 100/25mg Sinemet 00513997 FRS 0.2803Apo-Levocarb 02195941 APX 0.2803Novo-Levocarbidopa 02244495 TEV 0.2803

Levodopa/Carbidopa / Lévodopa/carbidopa Tab/Co. Orl 250/25mg Sinemet 00328219 FRS 0.3129Apo-Levocarb 02195968 APX 0.3129Novo-Levocarbidopa 02244496 TEV 0.3129

Levofloxacin / Levofloxacine Tab/Co. Orl 250mg Levaquin 02236841 JAN 1.2038Apo-Levofloxacin 02284707 APX 1.2038Co Levofloxacin 02315424 COB 1.2038Mylan-Levofloxacin 02313979 MYL 1.2038Novo-Levofloxacin 02248262 TEV 1.2038pms-Levofloxacin 02284677 PMS 1.2038Sandoz Levofloxacin 02298635 SDZ 1.2038

Levofloxacin / Levofloxacine Tab/Co. Orl 500mg Levaquin 02236842 JAN 1.3718Apo-Levofloxacin 02284715 APX 1.3718Co Levofloxacin 02315432 COB 1.3718Mylan-Levofloxacin 02313987 MYL 1.3718Novo-Levofloxacin 02248263 TEV 1.3718pms-Levofloxacin 02284685 PMS 1.3718Sandoz Levofloxacin 02298643 SDZ 1.3718

Levonorgestrel / Lévonorgestrel Tab/Co. Orl 0.75mg Plan B 02241674 PAL 6.4500Next Choice 02364905 COB 6.4500

Levonorgestrel/Ethinyl Estradiol / Lévonorgestrel/éthinyl estradiol Tab/Co. Orl 0.10mg/0.02mg Alesse (21) 02236974 PFI 0.4636Alysena (21) 02387875 APX 0.4636Aviane (21) 02298538 TEV 0.4636Esme (21) 02388138 MYL 0.4636Lutera 21 02401185 COB 0.4636

Levonorgestrel/Ethinyl Estradiol / Lévonorgestrel/éthinyl estradiol Tab/Co. Orl 0.10mg/0.02mg Alesse (28) 02236975 PFI 0.3477Alysena (28) 02387883 APX 0.3477Aviane (28) 02298546 TEV 0.3477Esme (28) 02388146 MYL 0.3477Lutera 28 02401207 COB 0.3477

Levonorgestrel/Ethinyl Estradiol / Lévonorgestrel/éthinyl estradiol Tab/Co. Orl 0.15mg/0.03mg Min-Ovral 21 02042320 PFI 0.5075Ovima 21 02387085 APX 0.5075Portia 21 02295946 TEV 0.5075

Levonorgestrel/Ethinyl Estradiol / Lévonorgestrel/éthinyl estradiol Tab/Co. Orl 0.15mg/0.03mg Min-Ovral 28 02042339 PFI 0.3806Ovima 28 02387093 TEV 0.3806

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 28

Portia 28 02295954 TEV 0.3806Lisinopril / Lisinopril Tab/Co. Orl 5mg Prinivil 00839388 FRS 0.1429

Zestril 02049333 AZE 0.1429Apo-Lisinopril 02217481 APX 0.1429Auro-Lisinopril 02394472 ARO 0.1429Co Lisinopril 02271443 COB 0.1429Jamp-Lisinopril 02361531 JPC 0.1429Lisinopril 02386232 SIV 0.1429Mylan-Lisinopril 02274833 MYL 0.1429Novo-Lisinopril (Type Z) 02285118 TEV 0.1429pms-Lisinopril 02292203 PMS 0.1429Ran-Lisinopril 02294230 RAN 0.1429Sandoz Lisinopril 02289199 SDZ 0.1429Teva-Lisinopril (Type P) 02285061 TEV 0.1429

Lisinopril / Lisinopril Tab/Co. Orl 10mg Prinivil 00839396 FRS 0.1716Zestril 02049376 AZE 0.1716Apo-Lisinopril 02217503 APX 0.1716Auro-Lisinopril 02394480 ARO 0.1716Co Lisinopril 02271451 COB 0.1716Jamp-Lisinopril 02361558 JPC 0.1716Lisinopril 02386240 SIV 0.1716Mylan-Lisinopril 02274841 MYL 0.1716Novo-Lisinopril (Type Z) 02285126 TEV 0.1716pms-Lisinopril 02292211 PMS 0.1716Ran-Lisinopril 02294249 RAN 0.1716Sandoz Lisinopril 02289202 SDZ 0.1716Teva-Lisinopril (Type P) 02285088 TEV 0.1716

Lisinopril / Lisinopril Tab/Co. Orl 20mg Prinivil 00839418 FRS 0.2063Zestril 02049384 AZE 0.2063Apo-Lisinopril 02217511 APX 0.2063Auro-Lisinopril 02394499 ARO 0.2063Co Lisinopril 02271478 COB 0.2063Jamp-Lisinopril 02361566 JPC 0.2063Lisinopril 02386259 SIV 0.2063Mylan-Lisinopril 02274868 MYL 0.2063Novo-Lisinopril (Type Z) 02285134 TEV 0.2063pms-Lisinopril 02292238 PMS 0.2063Ran-Lisinopril 02294257 RAN 0.2063Sandoz Lisinopril 02289229 SDZ 0.2063Teva-Lisinopril (Type P) 02285096 TEV 0.2063

Lisinopril/Hydrochlorothiazide / Lisinopril/Hydrochlorothiazide Tab/Co. Orl 10mg/12.5mg Prinzide 02108194 FRS 0.2084Zestoretic 02103729 AZE 0.2084Apo-Lisinopril/HCTZ 02261979 APX 0.2084Lisinopril/HCTZ (Type Z) 02362945 SAS 0.2084Mylan-Lisinopril/HCTZ 02297736 MYL 0.2084Novo-Lisinopril HCTZ (Type Z) 02301768 TEV 0.2084Sandoz Lisinopril HCT 02302365 SDZ 0.2084Teva-Lisinopril HCTZ (Type P) 02302136 TEV 0.2084

Lisinopril/Hydrochlorothiazide / Lisinopril/Hydrochlorothiazide Tab/Co. Orl 20mg/12.5mg Prinzide 00884413 FRS 0.2504Zestoretic 02045737 AZE 0.2504Apo-Lisinopril/HCTZ 02261987 APX 0.2504Lisinopril/HCTZ (Type Z) 02362953 SAS 0.2504Mylan-Lisinopril/HCTZ 02297744 MYL 0.2504Novo-Lisinopril HCTZ (Type Z) 02301776 TEV 0.2504Sandoz Lisinopril HCT 02302373 SDZ 0.2504Teva-Lisinopril HCTZ (Type P) 02302144 TEV 0.2504

Lisinopril/Hydrochlorothiazide / Lisinopril/Hydrochlorothiazide Tab/Co. Orl 20mg/25mg Zestoretic 02045729 AZE 0.3506Apo-Lisinopril/HCTZ 02261995 APX 0.3506Lisinopril/HCTZ (Type Z) 02362961 SAS 0.3506Mylan-Lisinopril/HCTZ 02297752 MYL 0.3506Novo-Lisinopril HCTZ (Type Z) 02301784 TEV 0.3506Sandoz Lisinopril HCT 02302381 SDZ 0.3506Teva-Lisinopril HCTZ (Type P) 02302152 TEV 0.3506

Lithium Carbonate / Lithium (carbonate de) Cap/Caps Orl 150mg Carbolith 00461733 VLN 0.0422Apo-Lithium Carbonate 02242837 APX 0.0422Lithane 02013231 ERF 0.0422pms-Lithium Carbonate 02216132 PMS 0.0422

Lithium Carbonate / Lithium (carbonate de) Cap/Caps Orl 300mg Carbolith 00236683 VLN 0.0443Apo-Lithium Carbonate 02242838 APX 0.0443Lithane 00406775 ERF 0.0443pms-Lithium Carbonate 02216140 PMS 0.0443

Lithium Carbonate / Lithium (carbonate de) SRT/Co.L.L. Orl 300mg Lithmax 02266695 AAP 0.2708Loperamide Hydrochloride / Lopéramide (chlorhydrate de) Tab/Co. Orl 2mg Apo-Loperamide 02212005 APX 0.1255

Novo-Loperamide 02132591 TEV 0.1255pms-Loperamide 02228351 PMS 0.1255

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 29

Loperamide Hydrochloride / Lopéramide (chlorhydrate de) Liq Orl 0.2mg/mL pms-Loperamide Hydrochloride 02016095 PMS 0.1048Loratidine / Loratidine Tab/Co. Orl 10mg Claritin 00782696 SCO 0.6267

Apo-Loratadine 02243880 APX 0.6267Lorazepam / Lorazépam Slt/Co.S.L. Orl 0.5mg Ativan SL 02041456 PFI 0.1105

Apo-Lorazepam Sublingual 02410745 APX 0.0875Lorazepam / Lorazépam Slt/Co.S.L. Orl 1mg Ativan SL 02041464 PFI 0.1389

Apo-Lorazepam Sublingual 02410753 APX 0.1100Lorazepam / Lorazépam Slt/Co.S.L. Orl 2mg Ativan SL 02041472 PFI 0.2160

Apo-Lorazepam Sublingual 02410761 APX 0.1711Lorazepam / Lorazépam Tab/Co. Orl 0.5mg Ativan 02041413 PFI 0.0359

Apo-Lorazepam 00655740 APX 0.0359Lorazepam 02351072 SAS 0.0359Novo-Lorazepam 00711101 TEV 0.0359pms-Lorazepam 00728187 PMS 0.0359

Lorazepam / Lorazépam Tab/Co. Orl 1mg Ativan 02041421 PFI 0.0447Apo-Lorazepam 00655759 APX 0.0447Lorazepam 02351080 SAS 0.0447Novo-Lorazem 00637742 TEV 0.0447pms-Lorazepam 00728195 PMS 0.0447

Lorazepam / Lorazépam Tab/Co. Orl 2mg Ativan 02041448 PFI 0.0699Apo-Lorazepam 00655767 APX 0.0699Lorazepam 02351099 SAS 0.0699Novo-Lorazem 00637750 TEV 0.0699pms-Lorazepam 00728209 PMS 0.0699

Losartan Potassium / Losartan Potassique Tab/Co. Orl 25mg Cozaar 02182815 FRS 0.3148Apo-Losartan 02379058 APX 0.3148Auro-Losartan 02403323 ARO 0.3148Co Losartan 02354829 COB 0.3148Jamp-Losartan 02398834 JPC 0.3148Losartan 02388863 SAS 0.3148Losartan 02388790 SIV 0.3148Mint-Losartan 02405733 MNT 0.3148Mylan-Losartan 02368277 MYL 0.3148pms-Losartan 02309750 PMS 0.3148Ran-Losartan 02404451 RAN 0.3148Sandoz Losartan 02313332 SDZ 0.3148Teva-Losartan 02380838 TEV 0.3148

Losartan Potassium / Losartan Potassique Tab/Co. Orl 50mg Cozaar 02182874 FRS 0.3148Apo-Losartan 02353504 APX 0.3148Auro-Losartan 02403331 ARO 0.3148Co Losartan 02354837 COB 0.3148Jamp-Losartan 02398842 JPC 0.3148Losartan 02388871 SAS 0.3148Losartan 02388804 SIV 0.3148Mint-Losartan 02405741 MNT 0.3148Mylan-Losartan 02368285 MYL 0.3148pms-Losartan 02309769 PMS 0.3148Ran-Losartan 02404478 RAN 0.3148Sandoz Losartan 02313340 SDZ 0.3148Teva-Losartan 02357968 TEV 0.3148

Losartan Potassium / Losartan Potassique Tab/Co. Orl 100mg Cozaar 02182882 FRS 0.3148Apo-Losartan 02353512 APX 0.3148Auro-Losartan 02403358 ARO 0.3148Co Losartan 02354845 COB 0.3148Jamp-Losartan 02398850 JPC 0.3148Losartan 02388898 SAS 0.3148Losartan 02388812 SIV 0.3148Mint-Losartan 02405768 MNT 0.3148Mylan-Losartan 02368293 MYL 0.3148pms-Losartan 02309777 PMS 0.3148Ran-Losartan 02404486 RAN 0.3148Sandoz Losartan 02313359 SDZ 0.3148Teva-Losartan 02357976 TEV 0.3148

Losartan Potassium/Hydrochlorothiazide / Tab/Co. Orl 50mg/12.5mg Hyzaar 02230047 FRS 0.3148Losartan Potassique/Hydrochlorothiazide Apo-Losartan/HCTZ 02371235 APX 0.3148

Co Losartan/HCT 02388251 COB 0.3148Jamp-Losartan HCTZ 02408244 JPC 0.3148Losartan HCT 02388960 SIV 0.3148Mint-Losartan/HCT 02389657 MNT 0.3148Mylan-Losartan/HCTZ 02378078 MYL 0.3148pms-Losartan-HCTZ 02392224 PMS 0.3148Sandoz Losartan HCT 02313375 SDZ 0.3148Teva-Losartan/HCTZ 02358263 TEV 0.3148

Losartan Potassium/Hydrochlorothiazide / Tab/Co. Orl 100mg/12.5mg Hyzaar 02297841 FRS 0.3082Losartan Potassique/Hydrochlorothiazide Apo-Losartan/HCTZ 02371243 APX 0.3082

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 30

Co Losartan/HCT 02388278 COB 0.3082Losartan HCT 02388979 SIV 0.3082Mint-Losartan/HCT 02389665 MNT 0.3082Mylan-Losartan/HCTZ 02378086 MYL 0.3082pms-Losartan-HCTZ 02392232 PMS 0.3082Sandoz Losartan HCT 02362449 SDZ 0.3082Teva-Losartan/HCTZ 02377144 TEV 0.3082

Losartan Potassium/Hydrochlorothiazide / Tab/Co. Orl 100mg/25mg Hyzaar DS 02241007 FRS 0.3148Losartan Potassique/Hydrochlorothiazide Apo-Losartan/HCTZ 02371251 APX 0.3148

Co Losartan/HCT 02388286 COB 0.3148Jamp-Losartan HCTZ 02408252 JPC 0.3148Losartan HCT 02388987 SIV 0.3148Mint-Losartan/HCT DS 02389673 MNT 0.3148Mylan-Losartan/HCTZ 02378094 MYL 0.3148pms-Losartan-HCTZ 02392240 PMS 0.3148Sandoz Losartan HCT 02313383 SDZ 0.3148Teva-Losartan/HCTZ 02377152 TEV 0.3148

Lovastatin / Lovastatine Tab/Co. Orl 20mg Mevacor 00795860 FRS 0.4919Apo-Lovastatin 02220172 APX 0.4919Co Lovastatin 02248572 COB 0.4919Lovastatin 02353229 SAS 0.4919Mylan-Lovastatin 02243127 MYL 0.4919pms-Lovastatin 02246013 PMS 0.4919Teva-Lovastatin 02246542 TEV 0.4919

Lovastatin / Lovastatine Tab/Co. Orl 40mg Mevacor 00795852 FRS 0.8985Apo-Lovastatin 02220180 APX 0.8985Co Lovastatin 02248573 COB 0.8985Lovastatin 02353237 SAS 0.8985Mylan-Lovastatin 02243129 MYL 0.8985pms-Lovastatin 02246014 PMS 0.8985Teva-Lovastatin 02246543 TEV 0.8985

Loxapine Succinate / Loxapine (succinate de) Tab/Co. Orl 5mg Xylac 02230837 MMT 0.1749Loxapine Succinate / Loxapine (succinate de) Tab/Co. Orl 10mg Xylac 02230838 MMT 0.2870Loxapine Succinate / Loxapine (succinate de) Tab/Co. Orl 25mg Xylac 02230839 MMT 0.4449Loxapine Succinate / Loxapine (succinate de) Tab/Co. Orl 50mg Xylac 02230840 MMT 0.5930Maprotiline Hydrochloride / Maprotiline (chlorhydrate de) Tab/Co. Orl 25mg Teva-Maprotiline 02158612 TEV 0.5687Maprotiline Hydrochloride / Maprotiline (chlorhydrate de) Tab/Co. Orl 50mg Teva-Maprotiline 02158620 TEV 1.0769Maprotiline Hydrochloride / Maprotiline (chlorhydrate de) Tab/Co. Orl 75mg Teva-Maprotiline 02158639 TEV 1.4707Medroxyprogesterone Acetate / Médroxyprogestérone (acétate de) Sus/Susp. Inj 150mg/mL Depo-Provera 00585092 PFI 27.9500

Medroxyprogesterone Acetate 02322250 SDZ 22.0000Medroxyprogesterone Acetate / Médroxyprogestérone (acétate de) Tab/Co. Orl 2.5mg Provera 00708917 PFI 0.0416

Apo-Medroxy 02244726 APX 0.0416Novo-Medrone 02221284 TEV 0.0416

Medroxyprogesterone Acetate / Médroxyprogestérone (acétate de) Tab/Co. Orl 5mg Provera 00030937 PFI 0.0823Apo-Medroxy 02244727 APX 0.0823Novo-Medrone 02221292 TEV 0.0823

Medroxyprogesterone Acetate / Médroxyprogestérone (acétate de) Tab/Co. Orl 10mg Provera 00729973 PFI 0.1670Apo-Medroxy 02277298 APX 0.1670Novo-Medrone 02221306 TEV 0.1670

Medroxyprogesterone Acetate / Médroxyprogestérone (acétate de) Tab/Co. Orl 100mg Apo-Medroxy 02267640 APX 1.2057Mefenamic Acid / Méfénamique (acide) Cap/Caps Orl 250mg Mefenamic 02229452 AAP 0.5412Megestrol Acetate / Mégestrol (acétate de) Tab/Co. Orl 40mg Megestrol 02195917 AAP 1.0929Megestrol Acetate / Mégestrol (acétate de) Tab/Co. Orl 160mg Megestrol 02195925 AAP 4.6254Meloxicam / Meloxicam Tab/Co. Orl 7.5mg Mobicox 02242785 BOE 0.2003

Apo-Meloxicam 02248973 APX 0.2003Auro-Meloxicam 02390884 ARO 0.2003Co Meloxicam 02250012 COB 0.2003Meloxicam 02353148 SAS 0.2003Mylan-Meloxicam 02255987 MYL 0.2003Phl-Meloxicam 02248607 PHL 0.2003pms-Meloxicam 02248267 PMS 0.2003Teva-Meloxicam 02258315 TEV 0.2003

Meloxicam / Meloxicam Tab/Co. Orl 15mg Mobicox 02242786 BOE 0.2311Apo-Meloxicam 02248974 APX 0.2311Auro-Meloxicam 02390892 ARO 0.2311Co Meloxicam 02250020 COB 0.2311Meloxicam 02353156 SAS 0.2311Mylan-Meloxicam 02255995 MYL 0.2311Phl-Meloxicam 02248608 PHL 0.2311pms-Meloxicam 02248268 PMS 0.2311Teva-Meloxicam 02258323 TEV 0.2311

Mercaptopurine / Mercaptopurine Tab/Co. Orl 50mg Purinethol 00004723 TEV 2.8610Mercaptopurine 02415275 STR 2.8610

Metformin Hydrochloride / Metformine (chlorhydrate de) Tab/Co. Orl 500mg Glucophage 02099233 SAV 0.0669Apo-Metformin 02167786 APX 0.0669

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 31

Co Metformin 02257726 COB 0.0669Jamp-Metformin 02380196 JPC 0.0669Jamp-Metformin Blackberry 02380722 JPC 0.0669Mar-Metformin 02378620 MAR 0.0669Metformin 02353377 SAS 0.0669Metformin 02378841 MAR 0.0669Metformin FC 02385341 SIV 0.0699Mint-Metformin 02388766 MNT 0.0669Mylan-Metformin 02148765 MYL 0.0669pms-Metformin 02223562 PMS 0.0669Ran-Metformin 02269031 RAN 0.0669ratio-Metformin 02242974 RPH 0.0669Sandoz Metformin FC 02246820 SDZ 0.0669Septa-Metformin 02379767 SPT 0.0669Teva-Metformin (New Formulation) 02045710 TEV 0.0669Zym-Metformin 02242794 ZYM 0.0669

Metformin Hydrochloride / Metformine (chlorhydrate de) Tab/Co. Orl 850mg Glucophage 02162849 SAV 0.0847Apo-Metformin 02229785 APX 0.0847Co Metformin 02257734 COB 0.0847Jamp-Metformin 02380218 JPC 0.0847Jamp-Metformin Blackberry 02380730 JPC 0.0847Mar-Metformin 02378639 MAR 0.0847Metformin 02353385 SAS 0.0847Metformin 02378868 MAR 0.0847Metformin FC 02385368 SIV 0.0847Mint-Metformin 02388774 MNT 0.0847Mylan-Metformin 02229656 MYL 0.0847pms-Metformin 02242589 PMS 0.0847Ran-Metformin 02269058 RAN 0.0847ratio-Metformin 02242931 RPH 0.0847Sandoz Metformin FC 02246821 SDZ 0.0847Septa-Metformin 02379775 SPT 0.0847Teva-Metformin 02230475 TEV 0.0847

Methadone (reimbursed per mg) / Méthadone (remboursé par mg) Liq/Liq Orl 1mg/mL METADOL™ ORAL SOLUTION 00903823 PAL 0.0050METADOL™ ORAL SOLUTION 00903825 PAL 0.0050

Methadone (reimbursed per mg) / Méthadone (remboursé par mg) Liq/Liq Orl 10mg/mL METADOL™ ORAL CONCENTRATE 00903824 PAL 0.0050METADOL™ ORAL CONCENTRATE 00903826 PAL 0.0050Methadose™ Unflavored oral concentrate 02394618 MAL 0.0050

Methadone (reimbursed per mg) / Méthadone (remboursé par mg) Pws/pds. Orl COMPOUNDED METHADONE ORAL SOL. 00999734 CPD 0.0050COMPOUNDED METHADONE ORAL SOL. 00999801 CPD 0.0050

Methazolamide / Méthazolamide Tab/Co. Orl 50mg Methazolamide 02245882 AAP 0.5226Methotrexate Sodium / Méthotrexate sodique Tab/Co. Orl 2.5mg Methotrexate 02170698 PFI 0.6325

ratio-Methotrexate 02244798 TEV 0.6325Methotrimeprazine Maleate / Méthotriméprazine (maléate de) Tab/Co. Orl 2mg Methoprazine 02238403 AAP 0.0685Methotrimeprazine Maleate / Méthotriméprazine (maléate de) Tab/Co. Orl 5mg Methoprazine 02238404 AAP 0.0991Methotrimeprazine Maleate / Méthotriméprazine (maléate de) Tab/Co. Orl 25mg Methoprazine 02238405 AAP 0.2547Methotrimeprazine Maleate / Méthotriméprazine (maléate de) Tab/Co. Orl 50mg Methoprazine 02238406 AAP 0.3857Methyldopa / Méthyldopa Tab/Co. Orl 125mg Methyldopa 00360252 AAP 0.1074Methyldopa / Méthyldopa Tab/Co. Orl 250mg Methyldopa 00360260 AAP 0.1555Methyldopa / Méthyldopa Tab/Co. Orl 500mg Methyldopa 00426830 AAP 0.2753Methylphenidate Hydrochloride / Méthylphénidate (chlorhydrate de) ERT/Co.L.P. Orl 18mg Concerta 02247732 JAN 1.0197

pms-Methylphenidate ER 02413728 PMS 1.0197Teva-Methylphenidate ER 02315068 TEV 1.0197

Methylphenidate Hydrochloride / Méthylphénidate (chlorhydrate de) ERT/Co.L.P. Orl 27mg Concerta 02250241 JAN 1.1768pms-Methylphenidate ER 02413736 PMS 1.1768Teva-Methylphenidate ER 02315076 TEV 1.1768

Methylphenidate Hydrochloride / Méthylphénidate (chlorhydrate de) ERT/Co.L.P. Orl 36mg Concerta 02247733 JAN 1.3339pms-Methylphenidate ER 02413744 PMS 1.3339Teva-Methylphenidate ER 02315084 TEV 1.3339

Methylphenidate Hydrochloride / Méthylphénidate (chlorhydrate de) ERT/Co.L.P. Orl 54mg Concerta 02247734 JAN 1.6480pms-Methylphenidate ER 02413752 PMS 1.6480Teva-Methylphenidate ER 02315092 TEV 1.6480

Methylphenidate Hydrochloride / Méthylphénidate (chlorhydrate de) Tab/Co. Orl 5mg Apo-Methylphenidate 02273950 APX 0.0947Methylphenidate Hydrochloride / Méthylphénidate (chlorhydrate de) Tab/Co. Orl 10mg Ritalin 00005606 NVR 0.0816

pms-Methylphenidate 00584991 PMS 0.0816Apo-Methylphenidate 02249324 APX 0.0816

Methylphenidate Hydrochloride / Méthylphénidate (chlorhydrate de) Tab/Co. Orl 20mg Ritalin 00005614 NVR 0.2326pms-Methylphenidate 00585009 PMS 0.2326Apo-Methylphenidate 02249332 APX 0.2326

Methylphenidate Hydrochloride / Méthylphénidate (chlorhydrate de) SRT/Co.L.T. Orl 20mg Ritalin SR 00632775 NVR 0.2820Apo-Methylphenidate SR 02266687 APX 0.2820Sandoz Methylphenidate SR 02320312 SDZ 0.2820

Metoclopramide Hydrochloride / Métoclopramide (chlorhydrate de) Liq Orl 1mg/mL Metonia 02230433 PDP 0.0482Metoclopramide Hydrochloride / Métoclopramide (chlorhydrate de) Tab/Co. Orl 5mg Metonia 02230431 PDP 0.0590Metoclopramide Hydrochloride / Métoclopramide (chlorhydrate de) Tab/Co. Orl 10mg Metonia 02230432 PDP 0.0618

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 32

Metoprolol Tartrate / Métoprolol (tartrate de) Tab/Co. Orl 25mg Apo-Metoprolol 02246010 APX 0.0643Jamp-Metoprolol-L 02356813 JPC 0.0643Mylan-Metoprolol (Typel) 02302055 MYL 0.0643pms-Metoprolol-L 02248855 PMS 0.0643

Metoprolol Tartrate / Métoprolol (tartrate de) Tab/Co. Orl 50mg Lopresor 00397423 NVR 0.0639Apo-Metoprolol (Uncoated) 00618632 APX 0.0639Apo-Metoprolol Type "L" 00749354 APX 0.0639Jamp-Metoprolol-L 02356821 JPC 0.0639Metoprolol (Film Coated) 02350394 SAS 0.0639Mylan-Metoprolol Type "L" 02174545 MYL 0.0639pms-Metoprolol-L 02230803 PMS 0.0639Sandoz Metoprolol Type "L" 02354187 SDZ 0.0639Teva-Metoprolol (Coated) 00648035 TEV 0.0639Teva-Metoprolol (Uncoated) 00842648 TEV 0.0639

Metoprolol Tartrate / Métoprolol (tartrate de) Tab/Co. Orl 100mg Lopresor 00397431 NVR 0.1394Apo-Metoprolol (Uncoated) 00618640 APX 0.1394Apo-Metoprolol Type "L" 00751170 APX 0.1394Jamp-Metoprolol-L 02356848 JPC 0.1394Metoprolol (Film Coated) 02350408 SAS 0.1394Mylan-Metoprolol Type "L" 02174553 MYL 0.1394pms-Metoprolol-L 02230804 PMS 0.1394Sandoz Metoprolol Type "L" 02354195 SDZ 0.1394Teva-Metoprolol 00648043 TEV 0.1394Teva-Metoprolol (Uncoated) 00842656 TEV 0.1394

Metoprolol Tartrate / Métoprolol (tartrate de) SRT/Co.L.L. Orl 100mg Lopresor SR 00658855 NVR 0.3564Apo-Metoprolol SR 02285169 APX 0.1248Sandoz Metoprolol SR 02303396 SDZ 0.1248

Metoprolol Tartrate / Métoprolol (tartrate de) SRT/Co. L.L. Orl 200mg Lopresor SR 00534560 NVR 0.2499Apo-Metoprolol SR 02285177 APX 0.2499Sandoz Metoprolol SR 02303418 SDZ 0.2499

Metronidazole / Métronidazole Tab/Co. Orl 250mg Metronidazole 00545066 AAP 0.0646Mexiletine Hydrochloride / Mexilétine (chlorhydrate de) Cap/Caps Orl 100mg Novo-Mexiletine 02230359 TEV 1.3264Mexiletine Hydrochloride / Mexilétine (chlorhydrate de) Cap/Caps Orl 200mg Novo-Mexiletine 02230360 TEV 1.7762Miconazole Nitrate / Miconazole (nitrate de) Crm/Cr. Vag 2% Monistat 7 02084309 MCL 0.2284

Micozole Vaginal Cream 02231106 TAR 0.2284Minocycline Hydrochloride / Minocycline (chlorhydrate de) Cap/Caps Orl 50mg Minocin 02173514 STI 0.3064

Apo-Minocycline 02084090 APX 0.3064Minocycline 02287226 SAS 0.3064Mylan-Minocycline 02230735 MYL 0.3064Novo-Minocycline 02108143 TEV 0.3064pms-Minocycline 02294419 PMS 0.3064Sandoz Minocycline 02237313 SDZ 0.3064

Minocycline Hydrochloride / Minocycline (chlorhydrate de) Cap/Caps Orl 100mg Apo-Minocycline 02084104 APX 0.5912Minocycline 02287234 SAS 0.5912Minocycline 02239982 IVX 0.5912Mylan-Minocycline 02230736 MYL 0.5912Novo-Minocycline 02108151 TEV 0.5912pms-Minocycline 02294427 PMS 0.5912Sandoz Minocycline 02237314 SDZ 0.5912

Mirtazapine / Mirtazapine ODT/Co.D.O. Orl 15mg Remeron RD 02248542 FRS 0.0975Auro-Mirtazapine OD 02299801 ARO 0.0975Novo-Mirtazapine OD 02279894 TEV 0.0975

Mirtazapine / Mirtazapine ODT/Co.D.O. Orl 30mg Remeron RD 02248543 FRS 0.2812Auro-Mirtazapine OD 02299828 ARO 0.2812Novo-Mirtazapine OD 02279908 TEV 0.2812

Mirtazapine / Mirtazapine ODT/Co.D.O. Orl 45mg Remeron RD 02248544 FRS 0.2925Auro-Mirtazapine OD 02299836 ARO 0.2925Novo-Mirtazapine OD 02279916 TEV 0.2925

Mirtazapine / Mirtazapine Tab/Co. Orl 15mg Apo-Mirtazapine 02286610 APX 0.0975Auro-Mirtazapine 02411695 ARO 0.0975Mylan-Mirtazapine 02256096 MYL 0.0975Phl-Mirtazapine 02281732 PHL 0.0975pms-Mirtazapine 02273942 PMS 0.0975Sandoz Mirtazapine 02250594 SDZ 0.0975Zym-Mirtazapine 02325179 ZYM 0.0975

Mirtazapine / Mirtazapine Tab/Co. Orl 30mg Remeron 02243910 ORG 0.3100Apo-Mirtazapine 02286629 APX 0.3100Aurop-Mirtazapine 02411709 ARO 0.3100Mirtazapine 02370689 SAS 0.3100Mylan-Mirtazapine 02256118 MYL 0.3100Novo-Mirtazapine 02259354 TEV 0.3100Phl-Mirtazapine 02252279 PHL 0.3100pms-Mirtazapine 02248762 PMS 0.3100Sandoz Mirtazapine 02250608 SDZ 0.3100Zym-Mirtazapine 02325187 ZYM 0.3100

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September/septembre 2014 v.1 Page 33

Misoprostol / misoprostol Tab/Co. Orl 100mg Misoprostol 02244022 AAP 0.2804Misoprostol / misoprostol Tab/Co. Orl 200mg Misoprostol 02244023 AAP 0.4669Moclobemide / Moclobémide Tab/Co. Orl 100mg Apo-Moclobemide 02232148 APX 0.2520

Novo-Moclobemide 02239746 TEV 0.2520Moclobemide / Moclobémide Tab/Co. Orl 150mg Manerix 00899356 HLR 0.1515

Apo-Moclobemide 02232150 APX 0.1515Novo-Moclobemide 02239747 TEV 0.1515

Moclobemide / Moclobémide Tab/Co. Orl 300mg Manerix 02166747 HLR 0.2974Apo-Moclobemide 02240456 APX 0.2974Novo-Moclobemide 02239748 TEV 0.2974

Modafinil / Modafinil Tab/Co. Orl 100mg Alertec 02239665 SHI 0.9293Modafinil 02285398 AAP 0.9293

Mometasone Furoate / Mométasone (furoate de) Crm/Cr. Top 0.1% Elocom 00851744 FRS 0.5657Taro-Mometasone 02367157 TAR 0.5657

Mometasone Furoate / Mométasone (furoate de) Lot Top 0.1% Elocom 00871095 FRS 0.3358Taro-Mometasone 02266385 TAR 0.3358

Mometasone Furoate / Mométasone (furoate de) Ont Top 0.1% Elocom 00851736 FRS 0.5440ratio-Mometasone 02248130 TEV 0.5440

Mometasone Furoate / Mométasone (furoate de) Aem Nas 50mcg Nasonex Aqueous 02238465 FRS 0.1549Apo-Mometasone 02403587 APX 0.1549

Montelukast Sodium / Montélukast Sodique Gran Orl 4mg Singulair 02247997 FRS 0.2100Sandoz Montelukast 02358611 SDZ 0.2100

Montelukast Sodium / Montélukast Sodique TabC/Co.C 4mg Singulair 02243602 FRS 0.3646Apo-Montelukast 02377608 APX 0.3646Mar-Montelukast 02399865 MAR 0.3646Mint-Montelukast 02408627 MNT 0.3646Montelukast 02379317 SAS 0.3646Montelukast 02382458 SIV 0.3646Mylan-Montelukast 02380749 MYL 0.3646pms-Montelukast 02354977 PMS 0.3646Ran-Montelukast 02402793 RAN 0.3646Sandoz Montelukast 02330385 SDZ 0.3646Teva-Montelukast 02355507 TEV 0.3646

Montelukast Sodium / Montélukast Sodique TabC/Co.C 5mg Singulair 02238216 FRS 0.5565Apo-Montelukast 02377616 APX 0.5565Mar-Montelukast 02399873 MAR 0.5565Mint-Montelukast 02408635 MNT 0.5565Montelukast 02379325 SAS 0.5565Montelukast 02382466 SIV 0.5565Mylan-Montelukast 02380757 MYL 0.5565pms-Montelukast 02354985 PMS 0.5565Ran-Montelukast 02402807 RAN 0.5565Sandoz Montelukast 02330393 SDZ 0.5565Teva-Montelukast 02355515 TEV 0.5565

Montelukast Sodium / Montélukast Sodique Tab/Co. 10mg Singulair 02238217 FRS 0.8195Apo-Montelukast 02374609 APX 0.8195Auro-Montelukast 02401274 ARO 0.8195Jamp-Montelukast 02391422 JPC 0.8195Mar-Montelukast 02399997 MAR 0.8195Mint-Montelukast 02408643 MNT 0.8195Montelukast 02379333 SAS 0.8195Montelukast 02382474 SIV 0.8195Montelukast Sodium 02379236 AHI 0.8195Mylan-Montelukast 02368226 MYL 0.8195pms-Montelukast FC 02373947 PMS 0.8195Ran-Montelukast 02389517 RAN 0.8195Sandoz Montelukast 02328593 SDZ 0.8195Teva-Montelukast 02355523 TEV 0.8195

Morphine Sulfate / Morphine (sulfate de) SRT/Co.L.L. Orl 15mg Ms Contin 02015439 PFR 0.2317Morphine SR 02350815 SAS 0.2317Sandoz Morphine SR 02244790 SDZ 0.2317Teva-Morphine SR 02302764 TEV 0.2317

Morphine Sulfate / Morphine (sulfate de) SRT/Co.L.L. Orl 30mg Ms Contin 02014297 PFR 0.3500Morphine SR 02350890 SAS 0.3500Sandoz Morphine SR 02244791 SDZ 0.3500Teva-Morphine SR 02302772 TEV 0.3500

Morphine Sulfate / Morphine (sulfate de) SRT/Co.L.L. Orl 60 mg Ms Contin 02014300 PFR 0.6167Morphine SR 02350912 SAS 0.6167Sandoz Morphine SR 02244792 SDZ 0.6167Teva-Morphine SR 02302780 TEV 0.6167

Morphine Sulfate / Morphine (sulfate de) SRT/Co.L.L. Orl 100mg Ms Contin 02014319 PFR 2.4600Teva-Morphine SR 02302799 TEV 2.4600

Morphine Sulfate / Morphine (sulfate de) SRT/Co.L.L. Orl 200mg Ms Contin 02014327 PFR 4.5738Teva-Morphine SR 02302802 TEV 4.5738

Mupirocin / Mupirocine Ont Top 2% Bactroban 01916947 GCH 0.3712

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Taro-Mupirocin 02279983 TAR 0.3712Mycophenolate Mofetil / Mycophénolate Motétil Cap/Caps Orl 250mg Cellcept 02192748 HLR 0.5155

Apo-Mycophenolate 02352559 APX 0.5155Jamp-Mycophenolate 02386399 JPC 0.5155Mycophenolate Mofetil 02383780 AHI 0.5155Mylan-Mycophenolate 02371154 MYL 0.5155Novo-Mycophenolate 02364883 TEV 0.5155Sandoz Mycophenolate 02320630 SDZ 0.5155

Mycophenolate Mofetil / Mycophénolate Motétil Tab/Co. Orl 500mg Cellcept 02237484 HLR 1.0310Apo-Mycophenolate 02352567 APX 1.0310Jamp-Mycophenolate 02380382 JPC 1.0310Mycophenolate Mofetil 02378574 AHI 1.0310Mylan-Mycophenolate 02370549 MYL 1.0310Novo-Mycophenolate 02348675 TEV 1.0310Sandoz Mycophenolate 02313855 SDZ 1.0310

Mycophenolate sodium / Mycophénolate sodique ECT/Co.Ent Orl 180mg Myfortic 02264560 NVR 1.4983Apo-Mycophenolic Acid 02372738 APX 1.4983

Mycophenolate sodium / Mycophénolate sodique ECT/Co.Ent Orl 360mg Myfortic 02264579 NVR 2.9965Apo-Mycophenolic Acid 02372746 APX 2.9965

Nabilone / Nabilone Cap/Caps Orl 0.25mg Cesamet 02312263 VLN 1.1634Ran-Nabilone 02358077 RAN 1.1634Teva-Nabilone 02392925 TEV 1.1634

Nabilone / Nabilone Cap/Caps Orl 0.5mg Cesamet 02256193 VLN 0.7756Co Nabilone 02393581 COB 0.7756pms-Nabilone 02380900 PMS 0.7756Ran-Nabilone 02358085 RAN 0.7756Teva-Nabilone 02384884 TEV 0.7756

Nabilone / Nabilone Cap/Caps Orl 1mg Cesamet 00548375 VLN 1.5513Co Nabilone 02393603 COB 1.5513pms-Nabilone 02380919 PMS 1.5513Ran-Nabilone 02358093 RAN 1.5513Teva-Nabilone 02384892 TEV 1.5513

Nabumetone / Nabumetone Tab/Co. Orl 500mg Apo-Nabumetone 02238639 APX 0.5025Novo-Nabumetone 02240867 TEV 0.5025

Nabumetone / Nabumetone Tab/Co. Orl 750mg Novo-Nabumetone 02240868 TEV 0.9192Nadolol / Nadolol Tab/Co. Orl 40mg Apo-Nadol 00782505 APX 0.4512

Novo-Nadolol 02126753 TEV 0.4512Nadolol / Nadolol Tab/Co. Orl 80mg Apo-Nadol 00782467 APX 0.3710

Novo-Nadolol 02126761 TEV 0.3710Nadolol / Nadolol Tab/Co. Orl 160mg Apo-Nadol 00782475 APX 1.2046Naproxen / Naproxen Tab/Co. Orl 125mg Apo-Naproxen 00522678 APX 0.0781Naproxen / Naproxen Tab/Co. Orl 250mg Apo-Naproxen 00522651 APX 0.1068

Naproxen 02350750 SAS 0.1068Teva-Naprox 00565350 TEV 0.1068

Naproxen / Naproxen Tab/Co. Orl 375mg Apo-Naproxen 00600806 APX 0.1458Naproxen 02350769 SAS 0.1458Teva-Naprox 00627097 TEV 0.1458

Naproxen / Naproxen Tab/Co. Orl 500mg Apo-Naproxen 00592277 APX 0.2110Naproxen 02350777 SAS 0.2110Teva-Naprox 00589861 TEV 0.2110

Naproxen / Naproxen Sup/Supp. Rt 500mg pms-Naproxen 02017237 PMS 0.9425Naproxen / Naproxen Ect/Co.Ent. Orl 250mg Apo-Naproxen EC 02246699 APX 0.1068

Naprozen EC 02350785 SAS 0.1068Teva-Naprox EC 02243312 TEV 0.1068

Naproxen / Naproxen Ect/Co.Ent. Orl 375mg Naprosyn E 02162415 HLR 0.1458Apo-Naproxen EC 02246700 APX 0.1458Mylan-Naproxen EC 02243432 MYL 0.1458Naproxen EC 02350793 SAS 0.1458pms-Naproxen EC 02294702 PMS 0.1458Teva-Naprox EC 02243313 TEV 0.1458

Naproxen / Naproxen Ect/Co.Ent. Orl 500mg Naprosyn E 02162423 HLR 0.2426Apo-Naproxen EC 02246701 APX 0.2426Mylan-Naproxen 02241024 MYL 0.2426Naproxen EC 02350807 SAS 0.2426pms-Naproxen EC 02294710 PMS 0.2426Teva-Naprox EC 02243314 TEV 0.2426

Naproxen Sodium / Naproxène sodique Tab/Co. Orl 275mg Anaprox 02162725 HLR 0.3422Apo-Napro-Na 00784354 APX 0.3422Naproxen Sodium 02351013 SAS 0.3422Teva-Naproxen Sodium 00778389 TEV 0.3422

Naproxen Sodium / Naproxène sodique Tab/Co. Orl 550mg Anaprox DS 02162717 HLR 0.6667Apo-Napro-Na DS 01940309 APX 0.6667Naproxen Sodium 02351021 SAS 0.6667Teva-Naproxen Sodium DS 02026600 TEV 0.6667

Naratriptan Hydrochloride / Naratriptan (chlorhydrate de) Tab/Co. Orl 1mg Amerge 02237820 GSK 10.4114

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Novo-Naratriptan 02314290 TEV 10.4114Naratriptan Hydrochloride / Naratriptan (chlorhydrate de) Tab/Co. Orl 2.5mg Amerge 02237821 GSK 6.1438

Novo-Naratriptan 02314304 TEV 6.1438Sandoz Naratriptan 02322323 SDZ 6.1438

Nevirapine / Névirapine Tab/Co. Orl 200mg Viramune 02238748 BOE 1.2346Auro-Nevirapine 02318601 ARO 1.2346Mylan-Nevirapine 02387727 MYL 1.2346pms-Nevirapine 02405776 PMS 1.2346Teva-Nevirapine 02352893 TEV 1.2346

Nifedipine / Nifédipine Cap/Caps Orl 5mg Nifedipine 00725110 AAP 0.3992Nifedipine / Nifédipine Cap/Caps Orl 10mg Nifedipine 00755907 AAP 0.5292Nifedipine / Nifédipine ERT/Co. L.P. Orl 30mg Adalat XL 02155907 BAY 0.6171

Mylan-Nifedipine XL 02349167 MYL 0.6171Nifedipine / Nifédipine ERT/Co. L.P. Orl 60mg Adalat XL 02155990 BAY 0.9374

Mylan-Nifedipine XL 02321149 MYL 0.9374Nitrazepam / Nitrazépam Tab/Co. Orl 5mg Nitrazadon 02229654 VLN 0.0357

Apo-Nitrazepam 02245230 APX 0.0357Mogadon 00511528 AAP 0.1495Sandoz Nitrazepam 02234003 SDZ 0.0357

Nitrazepam / Nitrazépam Tab/Co. Orl 10mg Nitrazadon 02229655 VLN 0.0534Apo-Nitrazepam 02245231 APX 0.0534Mogadon 00511536 AAP 0.2238Sandoz Nitrazepam 02234007 SDZ 0.0534

Nitrofurantoin / Nitrofurantoïne Cap/Caps Orl 50mg Novo-Furantoin 02231015 TEV 0.3984Nitroglycerin / Nitroglycérine AEM/Aém Sig 0.4mg Nitrolingual 02231441 SAV 0.0423

Apo-Nitroglycerin 02393433 APX 0.0423Mylan-Nitro SL 02243588 MYL 0.0423Rho-Nitro 02238998 SDZ 0.0423

Nitroglycerin (Glyceryl Trinitrate) / Nitroglycerin (Trinitrate de Glyceryle) Pth/Trd 0.2mg/hr Nitro-Dur 01911910 FRS 0.4463Mylan-Nitro Patch 02407442 MYL 0.4463

Nitroglycerin (Glyceryl Trinitrate) / Nitroglycerin (Trinitrate de Glyceryle) Pth/Trd 0.4mg/hr Nitro-Dur 01911902 FRS 0.4704Mylan-Nitro Patch 02407450 MYL 0.4704

Nitroglycerin (Glyceryl Trinitrate) / Nitroglycerin (Trinitrate de Glyceryle) Pth/Trd 0.6mg/hr Nitro-Dur 01911929 FRS 0.4704Mylan-Nitro Patch 02407469 MYL 0.4704

Nitroglycerin (Glyceryl Trinitrate) / Nitroglycerin (Trinitrate de Glyceryle) Pth/Trd 0.8mg/hr Nitro-Dur 02011271 FRS 0.8747Mylan-Nitro Patch 02407477 MYL 0.8747

Norfloxacin / Norfloxacine Tab/Co. Orl 400mg Novo-Norfloxacin 02237682 TEV 0.5667Apo-Norflox 02229524 APX 0.5667Co Norfloxacin 02269627 COB 0.5667

Norgestimate/Ethinyl Estradiol / Norgestimate éthinylosestradiol Tab/Co. Orl Tri-Cyclen LO (21) 02258560 JAN 0.45110.18/0.215/0.25/0.025mg Tricira LO (21) 02401967 APX 0.4511

Norgestimate/Ethinyl Estradiol / Norgestimate éthinylosestradiol Tab/Co. Orl Tri-Cyclen LO (28) 02258587 JAN 0.33830.18/0.215/0.25/0.025mg Tricira LO (28) 02401975 APX 0.3383

Nortriptyline Hydrochloride / Nortriptyline (chlorhydrate de) Cap/Caps Orl 10mg Aventyl 00015229 AAP 0.2517Apo-Nortriptyline 02223511 APX 0.0551Novo-Nortriptyline 02231781 TEV 0.0551pms-Nortriptyline 02177692 PMS 0.0551

Nortriptyline Hydrochloride / Nortriptyline (chlorhydrate de) Cap/Caps Orl 25mg Aventyl 00015237 AAP 0.5086Apo-Nortriptyline 02223538 APX 0.1114Novo-Nortriptyline 02231782 TEV 0.1114pms-Nortriptyline 02177706 PMS 0.1114

Octreotide Acetate / Octréotide (acétate de) Liq Inj 0.05mg/mL Sandostatin 00839191 NVR 1.7465Ocphyl 02413191 PDP 1.7465Octreotide Acetate Omega 02248639 OMG 1.7465

Octreotide Acetate / Octréotide (acétate de) Liq Inj 0.1mg/mL Sandostatin 00839205 NVR 3.2970Ocphyl 02413205 PDP 3.2970Octreotide Acetate Omega 02248640 OMG 3.2970

Octreotide Acetate / Octréotide (acétate de) Liq Inj 0.2mg/mL Sandostatin 02049392 NVR 6.3420Octreotide Acetate Omega 02248642 OMG 6.3420

Octreotide Acetate / Octréotide (acétate de) Liq Inj 0.5mg/mL Sandostatin 00839213 NVR 15.4945Ocphyl 02413213 PDP 15.4945Octreotide Acetate Omega 02248641 OMG 15.4945

Ofloxacin / Ofloxacine Liq/liq. Oph 0.3% Ocuflox 02143291 ALL 0.8561Apo-Ofloxacin 02248398 APX 0.8561Sandoz Ofloxacin 02247189 SDZ 0.8561

Ofloxacin / Ofloxacine Tab/Co. Orl 200mg Ofloxacin 02231529 AAP 1.4149Ofloxacin / Ofloxacine Tab/Co. Orl 300mg Ofloxacin 02231531 AAP 1.6626Ofloxacin / Ofloxacine Tab/Co. Orl 400mg Ofloxacin 02231532 AAP 1.6626Olanzapine / Olanzapine ODT/Co. D.O. Orl 5mg Zyprexa Zydis 02243086 LIL 0.8937

Apo-Olanzapine ODT 02360616 APX 0.8937Co Olanzapine ODT 02327562 COB 0.8937Mar-Olanzapine ODT 02389088 MAR 0.8937Mylan-Olanzapine ODT 02382709 MYL 0.8937Olanzapine ODT 02352974 SAS 0.8937Olanzapine ODT 02343665 SIV 0.8937

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pms-Olanzapine ODT 02303191 PMS 0.8937Ran-Olanzapine ODT 02414090 RAN 0.8937Sandoz Olanzapine ODT 02327775 SDZ 0.8937Teva-Olanzapine ODT 02321343 TEV 0.8937

Olanzapine / Olanzapine ODT/Co. D.O. Orl 10mg Zyprexa Zydis 02243087 LIL 1.7857Apo-Olanzapine ODT 02360624 APX 1.7857Co Olanzapine ODT 02327570 COB 1.7857Mar-Olanzapine ODT 02389096 MAR 1.7857Mylan-Olanzapine ODT 02382717 MYL 1.7857Olanzapine ODT 02352982 SAS 1.7857Olanzapine ODT 02343673 SIV 1.7857pms-Olanzapine ODT 02303205 PMS 1.7857Ran-Olanzapine ODT 02414104 RAN 1.7857Sandoz Olanzapine ODT 02327783 SDZ 1.7857Teva-Olanzapine ODT 02321351 TEV 1.7857

Olanzapine / Olanzapine ODT/Co. D.O. Orl 15mg Zyprexa Zydis 02243088 LIL 2.6778Apo-Olanzapine ODT 02360632 APX 2.6778Co Olanzapine ODT 02327589 COB 2.6778Mar-Olanzapine ODT 02389118 MAR 2.6778Mylan-Olanzapine ODT 02382725 MYL 2.6778Olanzapine ODT 02352990 SAS 2.6778Olanzapine ODT 02343681 SIV 2.6778pms-Olanzapine ODT 02303213 PMS 2.6778Ran-Olanzapine ODT 02414112 RAN 2.6778Sandoz Olanzapine ODT 02327791 SDZ 2.6778Teva-Olanzapine ODT 02321378 TEV 2.6778

Olanzapine / Olanzapine ODT/Co. D.O. Orl 20mg Zyprexa Zydis 02243089 LIL 5.9376Apo-Olanzapine ODT 02360640 APX 5.9376Co Olanzapine ODT 02327597 COB 5.9376Mar-Olanzapine ODT 02389126 MAR 5.9376Mylan-Olanzapine ODT 02382733 MYL 5.9376Olanzapine ODT 02343703 SIV 5.9376pms-Olanzapine ODT 02423944 PMS 5.9376Ran-Olanzapine ODT 02414120 RAN 5.9375Sandoz Olanzapine ODT 02327805 SDZ 5.9376Teva-Olanzapine ODT 02321386 TEV 5.9376

Olanzapine / Olanzapine Tab/Co. Orl 2.5mg Zyprexa 02229250 LIL 0.4493Apo-Olanzapine 02281791 APX 0.4493Co Olanzapine 02325659 COB 0.4493Mylan-Olanzapine 02337878 MYL 0.4493Olanzapine 02372819 SAS 0.4493Olanzapine 02385864 SIV 0.4493pms-Olanzapine 02303116 PMS 0.4493Ran-Olanzapine 02403064 RAN 0.4493Sandoz Olanzapine 02310341 SDZ 0.4493Teva-Olanzapine 02276712 TEV 0.4493

Olanzapine / Olanzapine Tab/Co. Orl 5mg Zyprexa 02229269 LIL 0.8986Apo-Olanzapine 02281805 APX 0.8986Co Olanzapine 02325667 COB 0.8986Mylan-Olanzapine 02337886 MYL 0.8986Olanzapine 02372827 SAS 0.8986Olanzapine 02385872 SIV 0.8986pms-Olanzapine 02303159 PMS 0.8986Ran-Olanzapine 02403072 RAN 0.8986Sandoz Olanzapine 02310368 SDZ 0.8986Teva-Olanzapine 02276720 TEV 0.8986

Olanzapine / Olanzapine Tab/Co. Orl 7.5mg Zyprexa 02229277 LIL 1.3479Apo-Olanzapine 02281813 APX 1.3479Co Olanzapine 02325675 COB 1.3479Mylan-Olanzapine 02337894 MYL 1.3479Olanzapine 02372835 SAS 1.3479Olanzapine 02385880 SIV 1.3479pms-Olanzapine 02303167 PMS 1.3479Ran-Olanzapine 02403080 RAN 1.3479Sandoz Olanzapine 02310376 SDZ 1.3479Teva-Olanzapine 02276739 TEV 1.3479

Olanzapine / Olanzapine Tab/Co. Orl 10mg Zyprexa 02229285 LIL 1.7972Apo-Olanzapine 02281821 APX 1.7972Co Olanzapine 02325683 COB 1.7972Mylan-Olanzapine 02337908 MYL 1.7972Olanzapine 02372843 SAS 1.7972Olanzapine 02385899 SIV 1.7972pms-Olanzapine 02303175 PMS 1.7972Ran-Olanzapine 02403099 RAN 1.7972Sandoz Olanzapine 02310384 SDZ 1.7972

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September/septembre 2014 v.1 Page 37

Teva-Olanzapine 02276747 TEV 1.7972Olanzapine / Olanzapine Tab/Co. Orl 15mg Zyprexa 02238850 LIL 2.6958

Apo-Olanzapine 02281848 APX 2.6958Co Olanzapine 02325691 COB 2.6958Mylan-Olanzapine 02337916 MYL 2.6958Olanzapine 02372851 SAS 2.6958Olanzapine 02385902 SIV 2.6958pms-Olanzapine 02303183 PMS 2.6958Ran-Olanzapine 02403102 RAN 2.6958Sandoz Olanzapine 02310392 SDZ 2.6958Teva-Olanzapine 02276755 TEV 2.6958

Omeprazole / Oméprazole SRC/Caps.L.L. Orl 20mg Losec 00846503 AZE 0.4117Apo-Omeprazole 02245058 APX 0.4117Mylan-Omeprazole 02329433 MYL 0.4117Omeprazole 02411857 SIV 0.4117Omeprazole 02348691 SAS 0.4117pms-Omeprazole 02320851 PMS 0.4117Ran-Omeprazole 02403617 RAN 0.4117Sandoz Omeprazole 02296446 SDZ 0.4117

Omeprazole / Oméprazole SRT/Co.L.L. Orl 20mg Losec 02190915 AZE 0.4117pms-Omeprazole Dr 02310260 PMS 0.4117Ran-Omeprazole 02374870 RAN 0.4117Teva-Omeprazole 02295415 TEV 0.4117

Ondansetron Hydrochloride Dihydrate / Liq Inj 2mg/mL Zofran 02213745 GSK 6.8007Ondansétron dihydraté (chlorhydrate d') Ondansetron 02390019 MYL 6.8007

Ondansetron (Preservative Free) 02265524 TEV 6.8007Ondansetron (With Preservative) 02265532 TEV 6.8007

Ondansetron Hydrochloride Dihydrate / Liq Orl 4mg/5mL Zofran 02229639 GSK 1.5856Ondansétron dihydraté (chlorhydrate d') Apo-Ondansetron 02291967 AAP 1.5856Ondansetron Hydrochloride Dihydrate / Tab/Co. Orl 4mg Zofran 02213567 GSK 3.3495Ondansétron dihydraté (chlorhydrate d') Apo-Ondansetron 02288184 APX 3.3495

Co Ondansetron 02296349 COB 3.3495Jamp-Ondansetron 02313685 JPC 3.3495Mar-Ondansetron 02371731 MAR 3.3495Mint-Ondansetron 02305259 MNT 3.3495Mylan-Ondansetron 02297868 MYL 3.3495Ondansetron 02421402 SAS 3.3495Odan-Ondansetron 02306212 ODN 3.3495Phl-Ondansetron 02278618 PHL 3.3495pms-Ondansetron 02258188 PMS 3.3495Ran-Ondansetron 02312247 RAN 3.3495ratio-Ondansetron 02278529 RPH 3.3495Sandoz Ondansetron 02274310 SDZ 3.3495Septa-Ondansetron 02376091 SPT 3.3495Teva-Ondansetron 02264056 TEV 3.3495

Ondansetron Hydrochloride Dihydrate / Tab/Co. Orl 8mg Zofran 02213575 GSK 5.1110Ondansétron dihydraté (chlorhydrate d') Apo-Ondansetron 02288192 APX 5.1110

Co Ondansetron 02296357 COB 5.1110Jamp-Ondansetron 02313693 JPC 5.1110Mar-Ondansetron 02371758 MAR 5.1110Mint-Ondansetron 02305267 MNT 5.1110Mylan-Ondansetron 02297876 MYL 5.1110Ondansetron 02421410 SAS 5.1110Odan-Ondansetron 02306220 ODN 5.1110Phl-Ondansetron 02278626 PHL 5.1110pms-Ondansetron 02258196 PMS 5.1110Ran-Ondansetron 02312255 RAN 5.1110ratio-Ondansetron 02278537 RPH 5.1110Sandoz Ondansetron 02274329 SDZ 5.1110Septa-Ondansetron 02376105 SPT 5.1110Teva-Ondansetron 02264064 TEV 5.1110

Ondansetron Hydrochloride / Ondansétron (chlorhydrate d') ODT/Co.D.O. Orl 4mg Zofran ODT 02239372 GSK 3.2720Ondissolve 02389983 TAK 3.2720

Ondansetron Hydrochloride / Ondansétron (chlorhydrate d') ODT/Co.D.O. Orl 8mg Zofran ODT 02237373 GSK 4.9930Ondissolve 02389991 TAK 4.9930

Orciprenaline Sulfate / Orciprénaline (sulfate d') Syr/Sir. Orl 2mg/mL Orciprenaline 02236783 AAP 0.0574Orphenadrine Citrate / Orphénadrine (citrate d') SRT/Co.L.L. Orl 100mg Norflex 01966154 RIK 0.7452

Sandoz Orphenadrine 02243559 SDZ 0.7452Oxazepam / Oxazépam Tab/Co. Orl 10mg Apo-Oxazepam 00402680 APX 0.0350Oxazepam / Oxazépam Tab/Co. Orl 15mg Apo-Oxazepam 00402745 APX 0.0560Oxazepam / Oxazépam Tab/Co. Orl 30mg Apo-Oxazepam 00402737 APX 0.0764Oxcarbazepine / Oxcarbazépine Tab/Co. Orl 150mg Trileptal 02242067 NVR 0.6209

Apo-Oxcarbazepine 02284294 APX 0.6209Oxcarbazepine / Oxcarbazépine Tab/Co. Orl 300mg Trileptal 02242068 NVR 0.9102

Apo-Oxcarbazepine 02284308 APX 0.9102

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Oxcarbazepine / Oxcarbazépine Tab/Co. Orl 600mg Trileptal 02242069 NVR 1.8204Apo-Oxcarbazepine 02284316 APX 1.8204

Oxybutynin Hydrochloride / Oxybutynine (chlorhydrate d') Syr/Sir. Orl 1mg/mL pms-Oxybutynin 02223376 PMS 0.1337Oxybutynin Hydrochloride / Oxybutynine (chlorhydrate d') Tab/Co. Orl 5mg Apo-Oxybutynin 02163543 APX 0.1077

Mylan-Oxybutynin 02230800 MYL 0.1077Novo-Oxybutynin 02230394 TEV 0.1077Oxybutynin 02350238 SAS 0.1077pms-Oxybutynin 02240550 PMS 0.1077

Oxycodone Hydrochloride / Oxycodone (chlorhydrate d') Tab/Co. Orl 5mg Oxy-IR 02231934 PFR 0.1287pms-Oxycodone IR 02319977 PMS 0.1287

Oxycodone Hydrochloride / Oxycodone (chlorhydrate d') Tab/Co. Orl 10mg Oxy-IR 02240131 PFR 0.2048Supeudol 00443948 SDZ 0.2048pms-Oxycodone IR 02319985 PMS 0.2048

Oxycodone Hydrochloride / Oxycodone (chlorhydrate d') Tab/Co. Orl 20mg Oxy-IR 02240132 PFR 0.2964pms-Oxycodone IR 02319993 PMS 0.2964Supeudol 02262983 SDZ 0.2964

Oxycodone Hydrochloride/Acetaminophen / Tab/Co. Orl 5mg/325mg Endocet 01916548 BRI 0.1285Oxycodone (chlorhydrate d')/acétaminophène Percocet 01916475 BRI 0.1285

Apo-Oxycodone/Acet 02324628 APX 0.1285Oxycodone/Acet 02361361 SAS 0.1285ratio-Oxycocet 00608165 RPH 0.1285Sandoz Oxycodone/Acet 02307898 SDZ 0.1285

Pantoprazole Sodium / Pantoprazole sodique ECT/Co. Ent. Orl 20mg Pantoloc 02241804 NYC 0.3246Apo-Pantoprazole 02292912 APX 0.3246Jamp-Pantoprazole 02408414 JPC 0.3246Novo-Pantoprazole 02285479 TEV 0.3246Pantoprazole 02385740 SIV 0.3246Ran-Pantoprazole 02305038 RAN 0.3246Sandoz Pantoprazole 02301075 SDZ 0.3246

Pantoprazole Sodium / Pantoprazole sodique ECT/Co. Ent. Orl 40mg Pantoloc 02229453 NYC 0.3628Abbott-Pantoprazole 02412969 ABB 0.3628Act Pantoprazole 02300486 ATV 0.3628Apo-Pantoprazole 02292920 APX 0.3628Jamp-Pantoprazole 02357054 JPC 0.3628Mar-Pantoprazole 02416565 MAR 0.3628Mint-Pantoprazole 02417448 MNT 0.3628Mylan-Pantoprazole 02299585 MYL 0.3628Novo-Pantoprazole 02285487 TEV 0.3628Pantoprazole 02385759 SIV 0.3628Pantoprazole 02370808 SAS 0.3628pms-Pantoprazole 02307871 PMS 0.3628Ran-Pantoprazole 02305046 RAN 0.3628Sandoz Pantoprazole 02301083 SDZ 0.3628

Paroxetine / Paroxetine Tab/Co. Orl 20mg Paxil 01940481 GSK 0.4514Apo-Paroxetine 02240908 APX 0.4514Auro-Paroxetine 02383284 ARO 0.4514Co Paroxetine 02262754 COB 0.4514Jamp-Paroxetine 02368870 JPC 0.4514Mar-Paroxetine 02411954 MAR 0.4514Mylan-Paroxetine 02248013 MYL 0.4514Paroxetine 02282852 SAS 0.4514Paroxetine 02388235 SIV 0.4514pms-Paroxetine 02247751 PMS 0.4514ratio-Paroxetine 02247811 RPH 0.4514Sandoz Paroxetine (New Formulation) 02269430 SDZ 0.4514Teva-Paroxetine 02248557 TEV 0.4514

Paroxetine / Paroxetine Tab/Co. Orl 30mg Paxil 01940473 GSK 0.4796Apo-Paroxetine 02240909 APX 0.4796Auro-Paroxetine 02383292 ARO 0.4796Co Paroxetine 02262762 COB 0.4796Jamp-Paroxetine 02368889 JPC 0.4796Mar-Paroxetine 02411962 MAR 0.4796Mylan-Paroxetine 02248014 MYL 0.4796Paroxetine 02282860 SAS 0.4796Paroxetine 02388243 SIV 0.4796pms-Paroxetine 02247752 PMS 0.4796ratio-Paroxetine 02247812 RPH 0.4796Sandoz Paroxetine (New Formulation) 02269449 SDZ 0.4796Teva-Paroxetine 02248558 TEV 0.4796

Penicillin V Potassium / Pénicilline v potassique Tab/Co. Orl 300mg Novo-Pen-Vk 00021202 TEV 0.1873Pen VK 00642215 AAP 0.1873

Perindopril Erbumine Tab/Co. Orl 8mg Coversyl 02246624 SEV 1.1743Phenytoin / Phénytoïne Sus/Susp. Orl 25mg Dilantin 125 00023450 PFI 0.0334

Taro-Phenytoin 02250896 TAR 0.0334Pilocarpine Hydrochloride / Pilocarpine (chlorhydrate de) Tab/Co. Orl 5mg Salagen 02216345 PFI 0.7805

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Pilocarpine 02402483 STR 0.7805Pilocarpine Hydrochloride / Pilocarpine (chlorhydrate de) Dps/Gttes Oph 1% Isopto Carpine 00000841 ALC 0.2173Pilocarpine Hydrochloride / Pilocarpine (chlorhydrate de) Dps/Gttes Oph 2% Isopto Carpine 00000868 ALC 0.2507Pilocarpine Hydrochloride / Pilocarpine (chlorhydrate de) Dps/Gttes Oph 4% Isopto Carpine 00000884 ALC 0.2840Pimozide / Pimozide Tab/Co. Orl 2mg Orap 00313815 PDP 0.3093

Pimozide 02245432 AAP 0.3093Pimozide / Pimozide Tab/Co. Orl 4mg Orap 00313823 PDP 0.4136

Pimozide 02245433 AAP 0.4136Pindolol / Pindolol Tab/Co. Orl 5mg Visken 00417270 NVR 0.1394

Apo-Pindol 00755877 APX 0.1394Novo-Pindol 00869007 TEV 0.1394pms-Pindolol 02231536 PMS 0.1394Sandoz Pindolol 02261782 SDZ 0.1394

Pindolol / Pindolol Tab/Co. Orl 10mg Visken 00443174 NVR 0.2381Apo-Pindol 00755885 APX 0.2381Novo-Pindol 00869015 TEV 0.2381pms-Pindolol 02231537 PMS 0.2381Sandoz Pindolol 02261790 SDZ 0.2381

Pindolol / Pindolol Tab/Co. Orl 15mg Visken 00417289 NVR 0.3454Apo-Pindol 00755893 APX 0.3454Novo-Pindol 00869023 TEV 0.3454pms-Pindolol 02231539 PMS 0.3454Sandoz Pindolol 02261804 SDZ 0.3454

Pioglitazone Hydrochloride / Pioglitazone (chlorhydrate de) Tab/Co. Orl 15mg Actos 02242572 LIL 0.5809Apo-Pioglitazone 02302942 APX 0.5809Auro-Pioglitazone 02384906 ARO 0.5809Co Pioglitazone 02302861 COB 0.5809Jamp-Pioglitazone 02397307 JPC 0.5809Mint-Pioglitazone 02326477 MNT 0.5809Mylan-Pioglitazone 02298279 MYL 0.5809Novo-Pioglitazone 02274914 TEV 0.5809Phl-Pioglitazone 02307669 PHL 0.5809Pioglitazone Hydrochloride 02391600 AHI 0.5809pms-Pioglitazone 02303124 PMS 0.5809Ran-Pioglitazone 02375850 RAN 0.5809Sandoz Pioglitazone 02297906 SDZ 0.5809Zym-Pioglitazone 02320754 ZYM 0.5809

Pioglitazone Hydrochloride / Pioglitazone (chlorhydrate de) Tab/Co. Orl 30mg Actos 02242573 LIL 0.8139Apo-Pioglitazone 02302950 APX 0.8139Auro-Pioglitazone 02384914 ARO 0.8139Co Pioglitazone 02302888 COB 0.8139Jamp-Pioglitazone 02365529 JPC 0.8139Mint-Pioglitazone 02326485 MNT 0.8139Mylan-Pioglitazone 02298287 MYL 0.8139Novo-Pioglitazone 02274922 TEV 0.8139Phl-Pioglitazone 02307677 PHL 0.8139Pioglitazone 02339587 AHI 0.8139pms-Pioglitazone 02303132 PMS 0.8139Ran-Pioglitazone 02375869 RAN 0.8139Sandoz Pioglitazone 02297914 SDZ 0.8139Zym-Pioglitazone 02320762 ZYM 0.8139

Pioglitazone Hydrochloride / Pioglitazone (chlorhydrate de) Tab/Co. Orl 45mg Actos 02242574 LIL 1.2237Apo-Pioglitazone 02302977 APX 1.2237Auro-Pioglitazone 02384922 ARO 1.2237Co Pioglitazone 02302896 COB 1.2237Jamp-Pioglitazone 02365537 JPC 1.2237Mint-Pioglitazone 02326493 MNT 1.2237Mylan-Pioglitazone 02298295 MYL 1.2237Novo-Pioglitazone 02274930 TEV 1.2237Phl-Pioglitazone 02307723 PHL 1.2237Pioglitazone 02339595 AHI 1.2237pms-Pioglitazone 02303140 PMS 1.2237Ran-Pioglitazone 02375877 RAN 1.2237Sandoz Pioglitazone 02297922 SDZ 1.2237Zym-Pioglitazone 02320770 ZYM 1.2237

Piperacillin Sodium / Pipéracilline sodique Pws/Pds. Inj 3 gm Piperacilin 02246641 HOS 14.4700Piperacillin Sodium/Tazobactam Sodium / Pws/Pds. Inj 2g/0.25g Tazocin 02170817 PFI 9.6120Pipéracilline sodique/Tazobactam sodique Piperacillin & Tazobactam 02308444 APX 9.6120Piperacillin Sodium/Tazobactam Sodium / Pws/Pds. Inj 3g/0.375g Tazocin 02170795 PFI 14.4180Pipéracilline sodique/Tazobactam sodique Piperacillin & Tazobactam 02308452 APX 14.4180

Piperacillin/Tazobactam 02370166 TEV 14.4180Piperacillin Sodium/Tazobactam Sodium / Pws/Pds. Inj 4g/0.5g Tazocin 02170809 PFI 12.1100Pipéracilline sodique/Tazobactam sodique Pip/Taz 02391546 MYL 12.1100

Piperacillin & Tazobactam 02308460 APX 12.1100Piperacillin/Tazobactam 02370174 TEV 12.1100

Piroxicam / Piroxicam Cap/Caps Orl 10mg Apo-Piroxicam 00642886 APX 0.2293

Maximum Allowable Price (MAP) listfor NB Drug Plans

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September/septembre 2014 v.1 Page 40

Novo-Pirocam 00695718 TEV 0.2293Piroxicam / Piroxicam Cap/Caps Orl 20mg Apo-Piroxicam 00642894 APX 0.3711

Novo-Pirocam 00695696 TEV 0.3711Piroxicam / Piroxicam Sup/Supp. Rt 20mg pms-Piroxicam 02154463 PMS 2.2118Polymyxin B Sulfate / Polymyxine b (sulfate de) Liq/Liq Ot 10000Unit Cortisporin 01912828 GSK 1.3080Potassium Chloride / Potassium (chlorure de) Liq Orl 20meq/mL pms-Potassium Chloride 02238604 PMS 0.0158Pramipexole Dihydrochloride / Pramipexole Dihydrochloride Tab/Co. Orl 0.25mg Mirapex 02237145 BOE 0.2628

Act Pramipexole 02297302 ATV 0.2628Apo-Pramipexole 02292378 APX 0.2628Mylan-Pramipexole 02376350 MYL 0.2628Novo-Pramipexole 02269309 TEV 0.2628pms-Pramipexole 02290111 PMS 0.2628Pramipexole 02309122 SIV 0.2628Sandoz Pramipexole 02315262 SDZ 0.2628

Pramipexole Dihydrochloride / Pramipexole Dihydrochloride Tab/Co. Orl 0.5mg Mirapex 02241594 BOE 1.0514Act Pramipexole 02297310 ATV 1.0514Apo-Pramipexole 02292386 APX 1.0514Mylan-Pramipexole 02376369 MYL 1.0514Novo-Pramipexole 02269317 TEV 1.0514pms-Pramipexole 02290138 PMS 1.0514Pramipexole 02309130 SIV 1.0514Sandoz Pramipexole 02315270 SDZ 1.0514

Pramipexole Dihydrochloride / Pramipexole Dihydrochloride Tab/Co. Orl 1mg Mirapex 02237146 BOE 0.5257Act Pramipexole 02297329 ATV 0.5257Apo-Pramipexole 02292394 APX 0.5257Mylan-Pramipexole 02376377 MYL 0.5257Novo-Pramipexole 02269325 TEV 0.5257pms-Pramipexole 02290146 PMS 0.5257Pramipexole 02309149 SIV 0.5257Sandoz Pramipexole 02315289 SDZ 0.5257

Pramipexole Dihydrochloride / Pramipexole Dihydrochloride Tab/Co. Orl 1.5mg Mirapex 02237147 BOE 0.5257Act Pramipexole 02297337 ATV 0.5257Apo-Pramipexole 02292408 APX 0.5257Mylan-Pramipexole 02376385 MYL 0.5257Novo-Pramipexole 02269333 TEV 0.5257pms-Pramipexole 02290154 PMS 0.5257Pramipexole 02309157 SIV 0.5257Sandoz Pramipexole 02315297 SDZ 0.5257

Pramoxine Hcl/Hydrocortisone Acetate/Zinc Sulfate / Ont Rt 1%/0.5%/0.5% Anugesic-Hc 00505781 CHC 0.7317Pramoxine(chlorhydrate de)/hydrocortisone(acétate d')/zinc (sulfate de) Proctodan-Hc 02234466 ODN 0.7317Pramoxine Hcl/Hydrocortisone Acetate/Zinc Sulfate / Sup/supp.Rt 20mg/10mg/10mg Anugesic-Hc 00476242 CHC 1.0875Pramoxine(chlorhydrate de)/hydrocortisone(acétate d')/zinc (sulfate de) Proctodan-Hc 02240851 ODN 1.0875

Sab-Anzinc Hc Plus 02242797 SDZ 1.0875Pravastatin Sodium / Pravastatine sodique Tab/Co. Orl 10mg Pravachol 00893749 BRI 0.4050

Apo-Pravastatin 02243506 APX 0.4050Co Pravastatin 02248182 COB 0.4050Jamp-Pravastatin 02330954 JPC 0.4050Mint-Pravastatin 02317451 MNT 0.4050Mylan-Pravastatin 02257092 MYL 0.4050Novo-Pravastatin 02247008 TEV 0.4050pms-Pravastatin 02247655 PMS 0.4050Pravastatin 02356546 SAS 0.4050Pravastatin 02389703 SIV 0.4050Ran-Pravastatin 02284421 RAN 0.4050Sandoz Pravastatin 02247856 SDZ 0.4050

Pravastatin Sodium / Pravastatine sodique Tab/Co. Orl 20mg Pravachol 00893757 BRI 0.4778Apo-Pravastatin 02243507 APX 0.4778Co Pravastatin 02248183 COB 0.4778Jamp-Pravastatin 02330962 JPC 0.4778Mint-Pravastatin 02317478 MNT 0.4778Mylan-Pravastatin 02257106 MYL 0.4778Novo-Pravastatin 02247009 TEV 0.4778pms-Pravastatin 02247656 PMS 0.4778Pravastatin 02356554 SAS 0.4778Pravastatin 02389738 SIV 0.4778Ran-Pravastatin 02284448 RAN 0.4778Sandoz Pravastatin 02247857 SDZ 0.4778

Pravastatin Sodium / Pravastatine sodique Tab/Co. Orl 40mg Pravachol 02222051 BRI 0.5755Apo-Pravastatin 02243508 APX 0.5755Co Pravastatin 02248184 COB 0.5755Jamp-Pravastatin 02330970 JPC 0.5755Mint-Pravastatin 02317486 MNT 0.5755Mylan-Pravastatin 02257114 MYL 0.5755Novo-Pravastatin 02247010 TEV 0.5755pms-Pravastatin 02247657 PMS 0.5755

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

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Pravastatin 02356562 SAS 0.5755Pravastatin 02389746 SIV 0.5755Ran-Pravastatin 02284456 RAN 0.5755Sandoz Pravastatin 02247858 SDZ 0.5755

Prazosin Hydrochloride / Prazosine (chlorhydrate de) Tab/Co. Orl 1mg Apo-Prazo 00882801 APX 0.2632Novo-Prazin 01934198 TEV 0.2632

Prazosin Hydrochloride / Prazosine (chlorhydrate de) Tab/Co. Orl 2mg Apo-Prazo 00882828 APX 0.3572Novo-Prazin 01934201 TEV 0.3572

Prazosin Hydrochloride / Prazosine (chlorhydrate de) Tab/Co. Orl 5mg Apo-Prazo 00882836 APX 0.4911Novo-Prazin 01934228 TEV 0.4911

Prednisolone Acetate / Prednisolone (acétate de) Sus/Susp. Oph 1% Pred Forte 00301175 ALL 1.9400ratio-Prednisolone Oph 00700401 RPH 1.9400Sandoz Prednisolone 01916203 SDZ 1.9400

Prednisolone Sodium Phosphate / Liq/Liq Orl 5mg/mL Pediapred 02230619 SAV 0.0953Prednisolone (phosphate sodique de) pms-Prednisolone Oral Solution 02245532 PMS 0.0953Prednisone / Prednisone Tab/Co. Orl 5 mg Apo-Prednisone 00312770 APX 0.0401

Novo-Prednisone 00021695 TEV 0.0401Prednisone / Prednisone Tab/Co. Orl 50 mg Apo-Prednisone 00550957 APX 0.1735

Novo-Prednisone 00232378 TEV 0.1735Pregabalin / Pregabalin Cap/Caps Orl 25mg Lyrica 02268418 PFI 0.2058

Apo-Pregabalin 02394235 APX 0.2058Co Pregabalin 02402912 COB 0.2058GD-Pregabalin 02360136 TEV 0.2058Myl-Pregabalin 02408651 MYL 0.2058pms-Pregabalin 02359596 PMS 0.2058Pregabalin 02405539 SAS 0.2058Pregabalin 02411725 SIV 0.2058Ran-Pregabalin 02392801 RAN 0.2058Sandoz Pregabalin 02390817 SDZ 0.2058Teva-Pregabalin 02361159 TEV 0.2058

Pregabalin / Pregabalin Cap/Caps Orl 50mg Lyrica 02268426 PFI 0.3228Apo-Pregabalin 02384243 APX 0.3228Co Pregabalin 02402920 COB 0.3228GD-Pregabalin 02360144 TEV 0.3228Myl-Pregabalin 02408678 MYL 0.3228pms-Pregabalin 02359618 PMS 0.3228Pregabalin 02411733 SIV 0.3228Pregabalin 02405547 SAS 0.3228Ran-Pregabalin 02392828 RAN 0.3228Sandoz Pregabalin 02390825 SDZ 0.3228Teva-Pregabalin 02361175 TEV 0.3228

Pregabalin / Pregabalin Cap/Caps Orl 75mg Lyrica 02268434 PFI 0.4176Apo-Pregabalin 02394251 APX 0.4176Co Pregabalin 02402939 COB 0.4176GD-Pregabalin 02360152 TEV 0.4176Myl-Pregabalin 02408686 MYL 0.4176pms-Pregabalin 02359626 PMS 0.4176Pregabalin 02405555 SAS 0.4176Pregabalin 02411741 SIV 0.4176Ran-Pregabalin 02392836 RAN 0.4176Sandoz Pregabalin 02390833 SDZ 0.4176Teva-Pregabalin 02361183 TEV 0.4176

Pregabalin / Pregabalin Cap/Caps Orl 150mg Lyrica 02268450 PFI 0.5757Apo-Pregabalin 02394278 APX 0.5757Co Pregabalin 02402955 COB 0.5757GD-Pregabalin 02360179 TEV 0.5757Myl-Pregabalin 02408694 MYL 0.5757pms-Pregabalin 02359634 PMS 0.5757Pregabalin 02405563 SAS 0.5757Pregabalin 02411768 SIV 0.5757Ran-Pregabalin 02392844 RAN 0.5757Sandoz Pregabalin 02390841 SDZ 0.5757Teva-Pregabalin 02361205 TEV 0.5757

Pregabalin / Pregabalin Cap/Caps Orl 225mg Lyrica 02268477 PFI 0.5757Apo-Pregabalin 02394286 APX 0.5757Co Pregabalin 02402971 COB 0.5757GD-Pregabalin 02360195 TEV 0.5757pms-Pregabalin 02398079 PMS 0.5757Ran-Pregabalin 02392852 RAN 0.5757Teva-Pregabalin 02361221 TEV 0.5757

Pregabalin / Pregabalin Cap/Caps Orl 300mg Lyrica 02268485 PFI 0.5757Apo-Pregabalin 02394294 APX 0.5757Co Pregabalin 02402998 COB 0.5757GD-Pregabalin 02360209 TEV 0.5757Myl-Pregabalin 02408708 MYL 0.5757pms-Pregabalin 02359642 PMS 0.5757Pregabalin 02405598 SAS 0.5757Ran-Pregabalin 02392860 RAN 0.5757Sandoz Pregabalin 02390868 SDZ 0.5757

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September/septembre 2014 v.1 Page 42

Teva-Pregabalin 02361248 TEV 0.5757Propafenone Hydrochloride / Propafénone (chlorhydrate de) Tab/Co. Orl 150mg Rythmol 00603708 ABB 0.2965

Apo-Propafenone 02243324 APX 0.2965Mylan-Propafenone 02245372 MYL 0.2965pms-Propafenone (New Formulation) 02294559 PMS 0.2965Propafenone 02343053 SAS 0.2965

Propafenone Hydrochloride / Propafénone (chlorhydrate de) Tab/Co. Orl 300mg Rythmol 00603716 ABB 0.5227Apo-Propafenone 02243325 APX 0.5227Mylan-Propafenone 02245373 MYL 0.5227pms-Propafenone (New Formulation) 02294575 PMS 0.5227Propafenone 02343061 SAS 0.5227

Propranolol Hydrochloride / Propranolol (chlorhydrate de) Tab/Co. Orl 10mg Novo-Pranol 00496480 TEV 0.0192Propranolol Hydrochloride / Propranolol (chlorhydrate de) Tab/Co. Orl 20mg Novo-Pranol 00740675 TEV 0.0346Propranolol Hydrochloride / Propranolol (chlorhydrate de) Tab/Co. Orl 40mg Novo-Pranol 00496499 TEV 0.0348Propranolol Hydrochloride / Propranolol (chlorhydrate de) Tab/Co. Orl 80mg Novo-Pranol 00496502 TEV 0.0509Propranolol Hydrochloride / Propranolol (chlorhydrate de) Tab/Co. Orl 120mg Apo-Propranolol 00504335 APX 0.3091Quetiapine Fumarate / Quétiapine (fumarate de) Tab/Co. Orl 25mg Seroquel 02236951 AZE 0.1235

Abbott-Quetiapine 02412977 ABB 0.1235Apo-Quetiapine 02313901 APX 0.1235Auro-Quetiapine 02390205 ARO 0.1235Co Quetiapine 02316080 COB 0.1235Jamp-Quetiapine 02330415 JPC 0.1235Mar-Quetiapine 02399822 MAR 0.1235Mylan-Quetiapine 02307804 MYL 0.1235Novo-Quetiapine 02284235 TEV 0.1235Phl-Quetiapine 02299054 PHL 0.1235pms-Quetiapine 02296551 PMS 0.1235Quetiapine 02353164 SAS 0.1235Quetiapine 02387794 AHI 0.1235Quetiapine 02317893 SIV 0.1235Ran-Quetiapine 02397099 RAN 0.1235Sandoz Quetiapine 02313995 SDZ 0.1235

Quetiapine Fumarate / Quétiapine (fumarate de) Tab/Co. Orl 100mg Seroquel 02236952 AZE 0.3295Abbott-Quetiapine 02412985 ABB 0.3295Apo-Quetiapine 02313928 APX 0.3295Auro-Quetiapine 02390213 ARO 0.3295Co Quetiapine 02316099 COB 0.3295Jamp-Quetiapine 02330423 JPC 0.3295Mar-Quetiapine 02399830 MAR 0.3295Mylan-Quetiapine 02307812 MYL 0.3295Novo-Quetiapine 02284243 TEV 0.3295Phl-Quetiapine 02299062 PHL 0.3295pms-Quetiapine 02296578 PMS 0.3295Quetiapine 02353172 SAS 0.3295Quetiapine 02387808 AHI 0.3295Quetiapine 02317907 SIV 0.3295Ran-Quetiapine 02397102 RAN 0.3295Sandoz Quetiapine 02314002 SDZ 0.3295

Quetiapine Fumarate / Quétiapine (fumarate de) Tab/Co. Orl 150mg Teva-Quetiapine 02284251 TEV 1.6222Quetiapine Fumarate / Quétiapine (fumarate de) Tab/Co. Orl 200mg Seroquel 02236953 AZE 0.6618

Abbott-Quetiapine 02412993 ABB 0.6618Apo-Quetiapine 02313936 APX 0.6618Auro-Quetiapine 02390248 ARO 0.6618Co Quetiapine 02316110 COB 0.6618Jamp-Quetiapine 02330458 JPC 0.6618Mar-Quetiapine 02399849 MAR 0.6618Mylan-Quetiapine 02307839 MYL 0.6618Novo-Quetiapine 02284278 TEV 0.6618Phl-Quetiapine 02299089 PHL 0.6618pms-Quetiapine 02296594 PMS 0.6618Quetiapine 02317923 SIV 0.6618Quetiapine 02353199 SAS 0.6618Quetiapine 02387824 AHI 0.6618Ran-Quetiapine 02397110 RAN 0.6618Sandoz Quetiapine 02314010 SDZ 0.6618

Quetiapine Fumarate / Quétiapine (fumarate de) Tab/Co. Orl 300mg Seroquel 02244107 AZE 0.9656Abbott-Quetiapine 02413000 ABB 0.9656Apo-Quetiapine 02313944 APX 0.9656Auro-Quetiapine 02390256 ARO 0.9656Co Quetiapine 02316129 COB 0.9656Jamp-Quetiapine 02330466 JPC 0.9656Mar-Quetiapine 02399857 MAR 0.9656Mylan-Quetiapine 02307847 MYL 0.9656Novo-Quetiapine 02284286 TEV 0.9656Phl-Quetiapine 02299097 PHL 0.9656pms-Quetiapine 02296608 PMS 0.9656

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September/septembre 2014 v.1 Page 43

Quetiapine 02353202 SAS 0.9656Quetiapine 02387832 AHI 0.9656Quetiapine 02317931 SIV 0.9656Ran-Quetiapine 02397129 RAN 0.9656Sandoz Quetiapine 02314029 SDZ 0.9656

Quetiapine Fumarate / Quétiapine (fumarate de) ERT/Co.L.P. Orl 50mg Seroquel XR 02300184 AZE 0.4938Sandoz Quetiapine XR 02407671 SDZ 0.4938Teva-Quetiapine XR 02395444 TEV 0.4938

Quetiapine Fumarate / Quétiapine (fumarate de) ERT/Co.L.P. Orl 150mg Seroquel XR 02321513 AZE 0.9725Sandoz Quetiapine XR 02407698 SDZ 0.9725Teva-Quetiapine XR 02395452 TEV 0.9725

Quetiapine Fumarate / Quétiapine (fumarate de) ERT/Co.L.P. Orl 200mg Seroquel XR 02300192 AZE 1.3150Sandoz Quetiapine XR 02407701 SDZ 1.3150Teva-Quetiapine XR 02395460 TEV 1.3150

Quetiapine Fumarate / Quétiapine (fumarate de) ERT/Co.L.P. Orl 300mg Seroquel XR 02300206 AZE 1.9300Sandoz Quetiapine XR 02407728 SDZ 1.9300Teva-Quetiapine XR 02395479 TEV 1.9300

Quetiapine Fumarate / Quétiapine (fumarate de) ERT/Co.L.P. Orl 400mg Seroquel XR 02300214 AZE 2.6200Sandoz Quetiapine XR 02407736 SDZ 2.6200Teva-Quetiapine XR 02395487 TEV 2.6200

Quinapril / Quinapril Tab/Co. Orl 5mg Accupril 01947664 PFI 0.6867Apo-Quinapril 02248499 APX 0.6867

Quinapril / Quinapril Tab/Co. Orl 10mg Accupril 01947672 PFI 0.6867Apo-Quinapril 02248500 APX 0.6867

Quinapril / Quinapril Tab/Co. Orl 20mg Accupril 01947680 PFI 0.6867Apo-Quinapril 02248501 APX 0.6867

Quinapril / Quinapril Tab/Co. Orl 40mg Accupril 01947699 PFI 0.6867Apo-Quinapril 02248502 APX 0.6867

Quinapril/Hydrochlorothiazide Tab/Co. Orl 10mg/12.5mg Accuretic 02237367 PFI 0.6865Apo-Quinapril/HCTZ 02408767 APX 0.6865

Quinapril/Hydrochlorothiazide Tab/Co. Orl 20mg/12.5mg Accuretic 02237368 PFI 0.6865Apo-Quinapril/HCTZ 02408775 APX 0.6865

Quinapril/Hydrochlorothiazide Tab/Co. Orl 20mg/25mg Accuretic 02237369 PFI 0.6512Apo-Quinapril/HCTZ 02408783 APX 0.6512

Quinine Sulfate / Quinine (sulfate de) Cap/Caps. Orl 200mg Apo-Quinine 02254514 APX 0.2390Quinine Sulfate / Quinine (sulfate de) Cap/Caps. Orl 300mg Apo-Quinine 02254522 APX 0.3750Rabeprazole Sodium / Rabéprazole sodique ECT/Co.Ent. Orl 10mg Pariet 02243796 JAN 0.1204

Apo-Rabeprazole 02345579 APX 0.1204Mylan-Rabeprazole 02408392 MYL 0.1204Pat-Rabeprazole 02381737 PPH 0.1204pms-Rabeprazole Ec 02310805 PMS 0.1204Rabeprazole 02385449 SIV 0.1204Rabeprazole Ec 02356511 SAS 0.1204Ran-Rabeprazole 02298074 RAN 0.1204Sandoz Rabeprazole 02314177 SDZ 0.1204Teva-Rabeprazole 02296632 TEV 0.1204

Rabeprazole Sodium / Rabéprazole sodique ECT/Co.Ent. Orl 20mg Pariet 02243797 JAN 0.2408Apo-Rabeprazole 02345587 APX 0.2408Mylan-Rabeprazole 02408406 MYL 0.2408Pat-Rabeprazole 02381745 PPH 0.2408pms-Rabeprazole Ec 02310813 PMS 0.2408Rabeprazole 02385457 SIV 0.2408Rabeprazole Ec 02356538 SAS 0.2408Ran-Rabeprazole 02298082 RAN 0.2408Sandoz Rabeprazole 02314185 SDZ 0.2408Teva-Rabeprazole 02296640 TEV 0.2408

Raloxifene Hydrochloride / Raloxifene (chlorhydrate de) Tab/Co. Orl 60mg Evista 02239028 LIL 0.4584Act Raloxifene 02358840 ATV 0.4584Apo-Raloxifene 02279215 APX 0.4584Novo-Raloxifene 02312298 TEV 0.4584pms-Raloxifene 02358921 PMS 0.4584

Ramipril / Ramipril Cap/Caps. Orl 1.25mg Altace 02221829 SAV 0.1274Apo-Ramipril 02251515 APX 0.1274Auro-Ramipril 02387387 ARO 0.1274Co Ramipril 02295482 COB 0.1274Jamp-Ramipril 02331101 JPC 0.1274Mylan-Ramipril 02301148 MYL 0.1274pms-Ramipril 02295369 PMS 0.1274Ran-Ramipril 02310503 RAN 0.1274

Ramipril / Ramipril Cap/Caps. Orl 2.5mg Altace 02221837 SAV 0.1470Apo-Ramipril 02251531 APX 0.1470Auro-Ramipril 02387395 ARO 0.1470Co Ramipril 02295490 COB 0.1470Jamp-Ramipril 02331128 JPC 0.1470Mylan-Ramipril 02301156 MYL 0.1470

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pms-Ramipril 02247917 PMS 0.1470Ramipril 02374846 SAS 0.1470Ramipril 02411563 SIV 0.1470Ran-Ramipril 02310511 RAN 0.1470Teva-Ramipril 02247945 TEV 0.1470

Ramipril / Ramipril Cap/Caps. Orl 5mg Altace 02221845 SAV 0.1470Apo-Ramipril 02251574 APX 0.1470Auro-Ramipril 02387409 ARO 0.1470Co Ramipril 02295504 COB 0.1470Jamp-Ramipril 02331136 JPC 0.1470Mylan-Ramipril 02301164 MYL 0.1470pms-Ramipril 02247918 PMS 0.1470Ramipril 02374854 SAS 0.1470Ramipril 02411571 SIV 0.1470Ran-Ramipril 02310538 RAN 0.1470Teva-Ramipril 02247946 TEV 0.1470

Ramipril / Ramipril Cap/Caps. Orl 10mg Altace 02221853 SAV 0.1862Apo-Ramipril 02251582 APX 0.1862Auro-Ramipril 02387417 ARO 0.1862Co Ramipril 02295512 COB 0.1862Jamp-Ramipril 02331144 JPC 0.1862Mylan-Ramipril 02301172 MYL 0.1862pms-Ramipril 02247919 PMS 0.1862Ramipril 02374862 SAS 0.1862Ramipril 02411598 SIV 0.1862Ran-Ramipril 02310546 RAN 0.1862Teva-Ramipril 02247947 TEV 0.1862

Ramipril / Ramipril Cap/Caps. Orl 15mg Altace 02281112 SAV 0.8550Apo-Ramipril 02325381 APX 0.8550

Ramipril/Hydrochlorothiazide / Ramipril (hydrochorothiazide de) Tab/Co. Orl 2.5 mg/12.5mg Altace HCT 02283131 SAV 0.2250pms-Ramipril/HCTZ 02342138 PMS 0.2250Teva-Ramipril/HCTZ 02388332 TEV 0.2250

Ramipril/Hydrochlorothiazide / Ramipril (hydrochorothiazide de) Tab/Co. Orl 5 mg/12.5mg Altace HCT 02283158 SAV 0.2263pms-Ramipril/HCTZ 02342146 PMS 0.2263Ramipril-HCTZ 02412640 SNS 0.2263Teva-Ramipril/HCTZ 02388340 TEV 0.2263

Ramipril/Hydrochlorothiazide / Ramipril (hydrochorothiazide de) Tab/Co. Orl 5 mg/25mg Altace HCT 02283174 SAV 0.2263pms-Ramipril/HCTZ 02342162 PMS 0.2263Ramipril-HCTZ 02412667 SNS 0.2263Teva-Ramipril/HCTZ 02388367 TEV 0.2263

Ramipril/Hydrochlorothiazide / Ramipril (hydrochorothiazide de) Tab/Co. Orl 10 mg/12.5mg Altace HCT 02283166 SAV 0.2865pms-Ramipril/HCTZ 02342154 PMS 0.2865Ramipril-HCTZ 02412659 SNS 0.2865Teva-Ramipril/HCTZ 02388359 TEV 0.2865

Ramipril/Hydrochlorothiazide / Ramipril (hydrochorothiazide de) Tab/Co. Orl 10 mg/25mg Altace HCT 02283182 SAV 0.2865pms-Ramipril/HCTZ 02342170 PMS 0.2865Ramipril-HCTZ 02412675 SNS 0.2865Teva-Ramipril/HCTZ 02388375 TEV 0.2865

Ranitidine Hydrochloride / Ranitidine (chlorhydrate de) Liq Orl 15mg/mL Apo-Ranitidine 02280833 APX 0.1480Novo-Ranidine Oral Solution 02242940 TEV 0.1480

Ranitidine Hydrochloride / Ranitidine (chlorhydrate de) Tab/Co. Orl 150mg Zantac 02212331 GSK 0.1800Apo-Ranitidine 00733059 APX 0.1800Act Ranitidine 02248570 ATV 0.1800Mylan-Ranitidine 02207761 MYL 0.1800Myl-Ranitidine 02367378 MYL 0.1800Novo-Ranidine 00828564 TEV 0.1800pms-Ranitidine 02242453 PMS 0.1800Ranitidine 02385953 SIV 0.1800Ranitidine 02353016 SAS 0.1800Ran-Ranitidine 02336480 RAN 0.1800Sandoz Ranitidine 02243229 SDZ 0.1800

Ranitidine Hydrochloride / Ranitidine (chlorhydrate de) Tab/Co. Orl 300mg Zantac 02212358 GSK 0.3600Apo-Ranitidine 00733067 APX 0.3600Act Ranitidine 02248571 ATV 0.3600Mylan-Ranitidine 02207788 MYL 0.3600Myl-Ranitidine 02367386 MYL 0.3600Novo-Ranidine 00828556 TEV 0.3600pms-Ranitidine 02242454 PMS 0.3600Ranitidine 02353024 SAS 0.3600Ranitidine 02385961 SIV 0.3600Ran-Ranitidine 02336502 RAN 0.3600Sandoz Ranitidine 02243230 SDZ 0.3600

Repaglinide / Repaglinide Tab/Co.Orl 0.5mg Gluconorm 02239924 NNO 0.0996Act Repaglinide 02321475 ATV 0.0996Apo-Repaglinide 02355663 APX 0.0996

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

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pms-Repaglinide 02354926 PMS 0.0996Sandoz Repaglinide 02357453 SDZ 0.0996

Repaglinide / Repaglinide Tab/Co.Orl 1mg Gluconorm 02239925 NNO 0.1036Act Repaglinide 02321483 ATV 0.1036Apo-Repaglinide 02355671 APX 0.1036pms-Repaglinide 02354934 PMS 0.1036Sandoz Repaglinide 02357461 SDZ 0.1036

Repaglinide / Repaglinide Tab/Co.Orl 2mg Gluconorm 02239926 NNO 0.1075Act Repaglinide 02321491 ATV 0.1075Apo-Repaglinide 02355698 APX 0.1075pms-Repaglinide 02354942 PMS 0.1075Sandoz Repaglinide 02357488 SDZ 0.1075

Riluzole / Riluzole Tab/Co. Orl 50mg Rilutek 02242763 SAV 3.4361Apo-Riluzole 02352583 APX 3.4361Mylan-Riluzole 02390299 MYL 3.4361

Risedronate Sodium / Risédronate sodique Tab/Co. Orl 5mg Actonel 02242518 PGA 1.5482Novo-Risedronate 02298376 TEV 1.5482

Risedronate Sodium / Risédronate sodique Tab/Co. Orl 30mg Actonel 02239146 PGA 10.0300Novo-Risedronate 02298384 TEV 10.0300

Risedronate Sodium / Risédronate sodique Tab/Co. Orl 35mg Actonel 02246896 PGA 2.4288Apo-Risedronate 02353687 APX 2.4288Auro-Risedronate 02406306 ARO 2.4288Jamp-Risedronate 02368552 JPC 2.4288Mylan-Risedronate 02357984 MYL 2.4288Novo-Risedronate 02298392 TEV 2.4288pms-Risedronate 02302209 PMS 2.4288ratio-Risedronate 02319861 RPH 2.4288Risedronate 02370255 SAS 2.4288Risedronate 02411407 SIV 2.4288Sandoz Risedronate 02327295 SDZ 2.4288

Risperidone / Rispéridone Liq Orl 1mg/mL Risperdal 02236950 JAN 0.4802Apo-Risperidone 02280396 APX 0.4802pms-Risperidone 02279266 PMS 0.4802

Risperidone / Rispéridone Tab/Co. Orl 0.25mg Risperdal 02240551 JAN 0.1252Act Risperidone 02282585 ATV 0.1252Apo-Risperidone 02282119 APX 0.1252Jamp-Risperidone 02359529 JPC 0.1252Mar-Risperidone 02371766 MAR 0.1252Mint-Risperidon 02359790 MNT 0.1252Mylan-Risperidone 02282240 MYL 0.1252Novo-Risperidone 02282690 TEV 0.1252Phl-Risperidone 02258439 PHL 0.1252pms-Risperidone 02252007 PMS 0.1252Ran-Risperidone 02328305 RAN 0.1252Risperidone 02356880 SAS 0.1252Sandoz Risperidone (New Formulation) 02303655 SDZ 0.1252

Risperidone / Rispéridone Tab/Co. Orl 0.5mg Risperdal 02240552 JAN 0.2097Act Risperidone 02282593 ATV 0.2097Apo-Risperidone 02282127 APX 0.2097Jamp-Risperidone 02359537 JPC 0.2097Mar-Risperidone 02371774 MAR 0.2097Mint-Risperidon 02359804 MNT 0.2097Mylan-Risperidone 02282259 MYL 0.2097Novo-Risperidone 02264188 TEV 0.2097Phl-Risperidone 02258447 PHL 0.2097pms-Risperidone 02252015 PMS 0.2097Ran-Risperidone 02328313 RAN 0.2097Risperidone 02356899 SAS 0.2097Sandoz Risperidone (New Formulation) 02303663 SDZ 0.2097

Risperidone / Rispéridone Tab/Co. Orl 1mg Risperdal 02025280 JAN 0.2896Act Risperidone 02282607 ATV 0.2896Apo-Risperidone 02282135 APX 0.2896Jamp-Risperidone 02359545 JPC 0.2896Mar-Risperidone 02371782 MAR 0.2896Mint-Risperidon 02359812 MNT 0.2896Mylan-Risperidone 02282267 MYL 0.2896Novo-Risperidone 02264196 TEV 0.2896Phl-Risperidone 02258455 PHL 0.2896pms-Risperidone 02252023 PMS 0.2896Ran-Risperidone 02328321 RAN 0.2896Risperidone 02356902 SAS 0.2896Sandoz Risperidone 02279800 SDZ 0.2896

Risperidone / Rispéridone Tab/Co. Orl 2mg Risperdal 02025299 JAN 0.5782Act Risperidone 02282615 ATV 0.5782Apo-Risperidone 02282143 APX 0.5782

Maximum Allowable Price (MAP) listfor NB Drug Plans

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Jamp-Risperidone 02359553 JPC 0.5782Mar-Risperidone 02371790 MAR 0.5782Mint-Risperidon 02359820 MNT 0.5782Mylan-Risperidone 02282275 MYL 0.5782Novo-Risperidone 02264218 TEV 0.5782Phl-Risperidone 02258463 PHL 0.5782pms-Risperidone 02252031 PMS 0.5782Ran-Risperidone 02328348 RAN 0.5782Risperidone 02356910 SAS 0.5782Sandoz Risperidone 02279819 SDZ 0.5782

Risperidone / Rispéridone Tab/Co. Orl 3mg Risperdal 02025302 JAN 0.8674Act Risperidone 02282623 ATV 0.8674Apo-Risperidone 02282151 APX 0.8674Jamp-Risperidone 02359561 JPC 0.8674Mar-Risperidone 02371804 MAR 0.8674Mint-Risperidon 02359839 MNT 0.8674Mylan-Risperidone 02282283 MYL 0.8674Novo-Risperidone 02264226 TEV 0.8674Phl-Risperidone 02258471 PHL 0.8674pms-Risperidone 02252058 PMS 0.8674Ran-Risperidone 02328364 RAN 0.8674Risperidone 02356929 SAS 0.8674Sandoz Risperidone 02279827 SDZ 0.8674

Risperidone / Rispéridone Tab/Co. Orl 4mg Risperdal 02025310 JAN 1.1565Act Risperidone 02282631 ATV 1.1565Apo-Risperidone 02282178 APX 1.1565Jamp-Risperidone 02359588 JPC 1.1565Mar-Risperidone 02371812 MAR 1.1565Mint-Risperidon 02359847 MNT 1.1565Mylan-Risperidone 02282291 MYL 1.1565Novo-Risperidone 02264234 TEV 1.1565Phl-Risperidone 02258498 PHL 1.1565pms-Risperidone 02252066 PMS 1.1565Ran-Risperidone 02328372 RAN 1.1565Risperidone 02356937 SAS 1.1565Sandoz Risperidone 02279835 SDZ 1.1565

Risperidone / Rispéridone ODT/Co.D.O. Orl 0.5mg Risperdal M 02247704 JAN 0.5588Mylan-Risperidone ODT 02413485 MYL 0.5588

Risperidone / Rispéridone ODT/Co.D.O. Orl 1mg Risperdal M 02247705 JAN 0.5150Mylan-Risperidone ODT 02413493 MYL 0.5150pms-Risperidone ODT 02291789 PMS 0.5150

Risperidone / Rispéridone ODT/Co.D.O. Orl 2mg Risperdal M 02247706 JAN 1.0188Mylan-Risperidone ODT 02413507 MYL 1.0188pms-Risperidone ODT 02291797 PMS 1.0188

Risperidone / Rispéridone ODT/Co.D.O. Orl 3mg Risperdal M 02268086 JAN 1.5275Mylan-Risperidone ODT 02413515 MYL 1.5275pms-Risperidone ODT 02370697 PMS 1.5275

Risperidone / Rispéridone ODT/Co.D.O. Orl 4mg Risperdal M 02268094 JAN 2.0425Mylan-Risperidone ODT 02413523 MYL 2.0425

pms-Risperidone ODT 02370700 PMS 2.0425Rivastigmine / Rivastigmine Cap/Caps Orl 1.5mg Exelon 02242115 NVR 0.6515

Apo-Rivastigmine 02336715 APX 0.6515Mint-Rivastigmine 02406985 MNT 0.6515Novo-Rivastigmine 02305984 TEV 0.6515pms-Rivastigmine 02306034 PMS 0.6515ratio-Rivastigmine 02311283 RPH 0.6515Sandoz Rivastigmine 02324563 SDZ 0.6515

Rivastigmine / Rivastigmine Cap/Caps Orl 3mg Exelon 02242116 NVR 0.6515Apo-Rivastigmine 02336723 APX 0.6515Mint-Rivastigmine 02406993 MNT 0.6515Novo-Rivastigmine 02305992 TEV 0.6515pms-Rivastigmine 02306042 PMS 0.6515ratio-Rivastigmine 02311291 RPH 0.6515Sandoz Rivastigmine 02324571 SDZ 0.6515

Rivastigmine / Rivastigmine Cap/Caps Orl 4.5mg Exelon 02242117 NVR 0.6515Apo-Rivastigmine 02336731 APX 0.6515Mint-Rivastigmine 02407000 MNT 0.6515Novo-Rivastigmine 02306018 TEV 0.6515pms-Rivastigmine 02306050 PMS 0.6515ratio-Rivastigmine 02311305 RPH 0.6515Sandoz Rivastigmine 02324598 SDZ 0.6515

Rivastigmine / Rivastigmine Cap/Caps Orl 6mg Exelon 02242118 NVR 0.6515Apo-Rivastigmine 02336758 APX 0.6515Mint-Rivastigmine 02407019 MNT 0.6515Novo-Rivastigmine 02306026 TEV 0.6515

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ratio-Rivastigmine 02311313 RPH 0.6515Sandoz Rivastigmine 02324601 SDZ 0.6515

Rizatriptan Benzoate / Rizatriptan (benzoate de) Tab/Co. Orl 5mg Apo-Rizatriptan 02393468 APX 5.1508Jamp-Rizatriptan 02380455 JPC 5.1508Mar-Rizatriptan 02379651 MAR 5.1508

Rizatriptan Benzoate / Rizatriptan (benzoate de) Tab/Co. Orl 10mg Maxalt 02240521 FRS 5.1870Apo-Rizatriptan 02393476 APX 5.1870Co Rizatriptan 02381702 COB 5.1870Jamp-Rizatriptan 02380463 JPC 5.1870Mar-Rizatriptan 02379678 MAR 5.1870

Rizatriptan Benzoate / Rizatriptan (benzoate de) ODT/Co.D.O. Orl 5mg Maxalt RPD 02240518 FRS 4.0014Apo-Rizatriptan RPD 02393484 APX 4.0014Co Rizatriptan ODT 02374730 COB 4.0014Mylan-Rizatriptan ODT 02379198 MYL 4.0014pms-Rizatriptan RDT 02393360 PMS 4.0014Sandoz Rizatriptan ODT 02351870 SDZ 4.0014

Rizatriptan Benzoate / Rizatriptan (benzoate de) ODT/Co.D.O. Orl 10mg Maxalt RPD 02240519 FRS 4.0014Apo-Rizatriptan RPD 02393492 APX 4.0014Co Rizatriptan ODT 02374749 COB 4.0014Mylan-Rizatriptan ODT 02379201 MYL 4.0014pms-Rizatriptan RDT 02393379 PMS 4.0014Sandoz Rizatriptan ODT 02351889 SDZ 4.0014

Ropinirole Hydrochloride / Ropinirole (chlorhydrate de) Tab/Co. Orl 0.25mg Requip 02232565 GSK 0.0710Act Ropinirole 02316846 ATV 0.0710Jamp-Ropinirole 02352338 JPC 0.0710pms-Ropinirole 02326590 PMS 0.0710Ran-Ropinirole 02314037 RAN 0.0710Ropinirole 02353040 SAS 0.0710

Ropinirole Hydrochloride / Ropinirole (chlorhydrate de) Tab/Co. Orl 1mg Requip 02232567 GSK 0.2838Act Ropinirole 02316854 ATV 0.2838Jamp-Ropinirole 02352346 JPC 0.2838pms-Ropinirole 02326612 PMS 0.2838Ran-Ropinirole 02314053 RAN 0.2838Ropinirole 02353059 SAS 0.2838

Ropinirole Hydrochloride / Ropinirole (chlorhydrate de) Tab/Co. Orl 2mg Requip 02232568 GSK 0.3122Act Ropinirole 02316862 ATV 0.3122Jamp-Ropinirole 02352354 JPC 0.3122pms-Ropinirole 02326620 PMS 0.3122Ran-Ropinirole 02314061 RAN 0.3122Ropinirole 02353067 SAS 0.3122

Ropinirole Hydrochloride / Ropinirole (chlorhydrate de) Tab/Co. Orl 5mg Requip 02232569 GSK 0.8596Act Ropinirole 02316870 ATV 0.8596Jamp-Ropinirole 02352362 JPC 0.8596pms-Ropinirole 02326639 PMS 0.8596Ran-Ropinirole 02314088 RAN 0.8596Ropinirole 02353075 SAS 0.8596

Rosuvastatin Calcium / Rosuvastatin calcique Tab/Co. Orl 5mg Crestor 02265540 AZE 0.2311Apo-Rosuvastatin 02337975 APX 0.2311Co Rosuvastatin 02339765 COB 0.2311Jamp-Rosuvastatin 02391252 JPC 0.2311Mar-Rosuvastatin 02413051 MAR 0.2311Mint-Rosuvastatin 02397781 MNT 0.2311Mylan-Rosuvastatin 02381265 MYL 0.2311pms-Rosuvastatin 02378523 PMS 0.2311Ran-Rosuvastatin 02382644 RAN 0.2311Rosuvastatin 02405628 SAS 0.2311Rosuvastatin 02411628 SIV 0.2311Sandoz Rosuvastatin 02338726 SDZ 0.2311Teva-Rosuvastatin 02354608 TEV 0.2311

Rosuvastatin Calcium / Rosuvastatin calcique Tab/Co. Orl 10mg Crestor 02247162 AZE 0.2437Apo-Rosuvastatin 02337983 APX 0.2437Co Rosuvastatin 02339773 COB 0.2437Jamp-Rosuvastatin 02391260 JPC 0.2437Mar-Rosuvastatin 02413078 MAR 0.2437Mint-Rosuvastatin 02397803 MNT 0.2437Mylan-Rosuvastatin 02381273 MYL 0.2437pms-Rosuvastatin 02378531 PMS 0.2437Ran-Rosuvastatin 02382652 RAN 0.2437Rosuvastatin 02405636 SAS 0.2437Rosuvastatin 02411636 SIV 0.2437Sandoz Rosuvastatin 02338734 SDZ 0.2437Teva-Rosuvastatin 02354616 TEV 0.2437

Rosuvastatin Calcium / Rosuvastatin calcique Tab/Co. Orl 20mg Crestor 02247163 AZE 0.3046Apo-Rosuvastatin 02337991 APX 0.3046Co Rosuvastatin 02339781 COB 0.3046

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Jamp-Rosuvastatin 02391279 JPC 0.3046Mar-Rosuvastatin 02413086 MAR 0.3046Mint-Rosuvastatin 02397811 MNT 0.3046Mylan-Rosuvastatin 02381281 MYL 0.3046pms-Rosuvastatin 02378558 PMS 0.3046Ran-Rosuvastatin 02382660 RAN 0.3046Rosuvastatin 02405644 SAS 0.3046Rosuvastatin 02411644 SIV 0.3046Sandoz Rosuvastatin 02338742 SDZ 0.3046Teva-Rosuvastatin 02354624 TEV 0.3046

Rosuvastatin Calcium / Rosuvastatin calcique Tab/Co. Orl 40mg Crestor 02247164 AZE 0.3582Apo-Rosuvastatin 02338009 APX 0.3582Co Rosuvastatin 02339803 COB 0.3582Jamp-Rosuvastatin 02391287 JPC 0.3582Mar-Rosuvastatin 02413108 MAR 0.3582Mint-Rosuvastatin 02397838 MNT 0.3582Mylan-Rosuvastatin 02381303 MYL 0.3582pms-Rosuvastatin 02378566 PMS 0.3582Ran-Rosuvastatin 02382679 RAN 0.3582Rosuvastatin 02405652 SAS 0.3582Rosuvastatin 02411652 SIV 0.3582Sandoz Rosuvastatin 02338750 SDZ 0.3582Teva-Rosuvastatin 02354632 TEV 0.3582

Salbutamol Sulfate / Salbutamol (sulfate de) Aem/Aém Inh 100Mcg Ventolin HFA 02241497 GSK 0.0300Airomir 02232570 VLN 0.0300Apo-Salvent CFC Free 02245669 APX 0.0300Novo-Salbutamol 02326450 TEV 0.0300Salbutamol HFA 02419858 SAS 0.0300

Salbutamol Sulfate / Salbutamol (sulfate de) Liq/Liq Inh 1mg Ventolin Nebules P.F. 02213419 GSK 0.1447pms-Salbutamol 02208229 PMS 0.1447ratio-Salbutamol Unit/Dose P.F. 01986864 TEV 0.1447

Salbutamol Sulfate / Salbutamol (sulfate de) Liq/Liq Inh 2mg Ventolin Nebules P.F. 02213427 GSK 0.2748pms-Salbutamol 02208237 PMS 0.2748Teva-Salbutamol Sterinebs 02173360 TEV 0.2748

Salbutamol Sulfate / Salbutamol (sulfate de) Liq/Liq Inh 5mg Ventolin 02213486 GSK 0.3511pms-Salbutamol 02069571 PMS 0.3511ratio-Salbutamol 00860808 TEV 0.3511Sandoz Salbutamol 02154412 SDZ 0.3511

Salbutamol Sulfate / Salbutamol (sulfate de) Tab/Co. Orl 2mg Apo-Salvent 02146843 APX 0.1274Salbutamol Sulfate / Salbutamol (sulfate de) Tab/Co. Orl 4mg Apo-Salvent 02146851 APX 0.2134Salicylic Acid/Betamethasone / Acide salisylique/bétaméthasone Lot/Lot Top 20mg/0.5mg Diprosalic 00578428 SCH 0.4228

ratio-Topisalic 02245688 TEV 0.4228Selegiline Hydrochloride / Sélégiline (chlorhydrate de) Tab/Co. Orl 5mg Apo-Selegiline 02230641 APX 0.5021

Mylan-Selegiline 02231036 MYL 0.5021Novo-Selegiline (New Formulation) 02068087 TEV 0.5021

Sertraline Hydrochloride / Sertraline (chlorhydrate de) Cap/Caps Orl 25mg Zoloft 02132702 PFI 0.2004Act Sertraline 02287390 ATV 0.2004Apo-Sertraline 02238280 APX 0.2004Auro-Sertraline 02390906 ARO 0.2004GD-Sertraline 02273683 GMD 0.2004Jamp-Sertraline 02357143 JPC 0.2004Mar-Sertraline 02399415 MAR 0.2004Mint-Sertraline 02402378 MNT 0.2004Mylan-Sertraline 02242519 MYL 0.2004Phl-Sertraline 02245824 PHL 0.2004pms-Sertraline 02244838 PMS 0.2004Ran-Sertraline 02374552 RAN 0.2004Sandoz Sertraline 02245159 SDZ 0.2004Sertraline 02353520 SAS 0.2004Sertraline 02386070 SIV 0.2004Teva-Sertraline 02240485 TEV 0.2004

Sertraline Hydrochloride / Sertraline (chlorhydrate de) Cap/Caps Orl 50mg Zoloft 01962817 PFI 0.4008Act Sertraline 02287404 ATV 0.4008Apo-Sertraline 02238281 APX 0.4008Auro-Sertraline 02390914 ARO 0.4008GD-Sertraline 02273691 GMD 0.4008Jamp-Sertraline 02357151 JPC 0.4008Mar-Sertraline 02399423 MAR 0.4008Mint-Sertraline 02402394 MNT 0.4008Mylan-Sertraline 02242520 MYL 0.4008Phl-Sertraline 02245825 PHL 0.4008pms-Sertraline 02244839 PMS 0.4008Ran-Sertraline 02374560 RAN 0.4008Sandoz Sertraline 02245160 SDZ 0.4008Sertraline 02353539 SAS 0.4008Sertraline 02386089 SIV 0.4008

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Teva-Sertraline 02240484 TEV 0.4008Sertraline Hydrochloride / Sertraline (chlorhydrate de) Cap/Caps Orl 100mg Zoloft 01962779 PFI 0.4200

Act Sertraline 02287412 ATV 0.4200Apo-Sertraline 02238282 APX 0.4200Auro-Sertraline 02390922 ARO 0.4200GD-Sertraline 02273705 GMD 0.4200Jamp-Sertraline 02357178 JPC 0.4200Mar-Sertraline 02399431 MAR 0.4200Mint-Sertraline 02402408 MNT 0.4200Mylan-Sertraline 02242521 MYL 0.4200Phl-Sertraline 02245826 PHL 0.4200pms-Sertraline 02244840 PMS 0.4200Ran-Sertraline 02374579 RAN 0.4200Sandoz Sertraline 02245161 SDZ 0.4200Sertraline 02353547 SAS 0.4200Sertraline 02386097 SIV 0.4200Teva-Sertraline 02240481 TEV 0.4200

Sildenafil Citrate / Sildénafil (citrate de) Tab/Co. Orl 20mg Revatio 02279401 PFI 6.2520Apo-Sildenafil R 02418118 APX 6.2520ratio-Sildenafil R 02319500 RPH 6.2520

Simvastatin / Simvastatine Tab/Co. Orl 5mg Zocor 00884324 FRS 0.1841Act Simvastatin 02248103 ATV 0.1841Apo-Simvastatin 02247011 APX 0.1841Auro-Simvastatin 02405148 ARO 0.1841Jamp-Simvastatin 02375591 JPC 0.1841Mar-Simvastatin 02375036 MAR 0.1841Mint-Simvastatin 02372932 MNT 0.1841Mylan-Simvastatin 02246582 MYL 0.1841Phl-Simvastatin 02281546 PHL 0.1841pms-Simvastatin (New Formulation) 02269252 PMS 0.1841Ran-Simvastatin 02329131 RAN 0.1841Simvastatin 02284723 SAS 0.1841Simvastatin 02386291 SIV 0.1841Teva-Simvastatin 02250144 TEV 0.1841

Simvastatin / Simvastatine Tab/Co. Orl 10mg Zocor 00884332 FRS 0.3642Act Simvastatin 02248104 ATV 0.3642Apo-Simvastatin 02247012 APX 0.3642Auro-Simvastatin 02405156 ARO 0.3642Jamp-Simvastatin 02375605 JPC 0.3642Mar-Simvastatin 02375044 MAR 0.3642Mint-Simvastatin 02372940 MNT 0.3642Mylan-Simvastatin 02246583 MYL 0.3642Phl-Simvastatin 02281554 PHL 0.3642pms-Simvastatin (New Formulation) 02269260 PMS 0.3642Ran-Simvastatin 02329158 RAN 0.3642Sandoz Simvastatin 02247828 SDZ 0.3642Simvastatin 02284731 SAS 0.3642Simvastatin 02386305 SIV 0.3642Teva-Simvastatin 02250152 TEV 0.3642

Simvastatin / Simvastatine Tab/Co. Orl 20mg Zocor 00884340 FRS 0.4501Act Simvastatin 02248105 ATV 0.4501Apo-Simvastatin 02247013 APX 0.4501Auro-Simvastatin 02405164 ARO 0.4501Jamp-Simvastatin 02375613 JPC 0.4501Mar-Simvastatin 02375052 MAR 0.4501Mint-Simvastatin 02372959 MNT 0.4501Mylan-Simvastatin 02246737 MYL 0.4501Phl-Simvastatin 02281562 PHL 0.4501pms-Simvastatin (New Formulation) 02269279 PMS 0.4501Ran-Simvastatin 02329166 RAN 0.4501Sandoz Simvastatin 02247830 SDZ 0.4501Simvastatin 02284758 SAS 0.4501Simvastatin 02386313 SIV 0.4501Teva-Simvastatin 02250160 TEV 0.4501

Simvastatin / Simvastatine Tab/Co. Orl 40mg Zocor 00884359 FRS 0.4501Act Simvastatin 02248106 ATV 0.4501Apo-Simvastatin 02247014 APX 0.4501Auro-Simvastatin 02405172 ARO 0.4501Jamp-Simvastatin 02375621 JPC 0.4501Mar-Simvastatin 02375060 MAR 0.4501Mint-Simvastatin 02372967 MNT 0.4501Mylan-Simvastatin 02246584 MYL 0.4501Phl-Simvastatin 02281570 PHL 0.4501pms-Simvastatin (New Formulation) 02269287 PMS 0.4501Ran-Simvastatin 02329174 RAN 0.4501

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Sandoz Simvastatin 02247831 SDZ 0.4501Simvastatin 02284766 SAS 0.4501Simvastatin 02386321 SIV 0.4501Teva-Simvastatin 02250179 TEV 0.4501

Simvastatin / Simvastatine Tab/Co. Orl 80mg Zocor 02240332 FRS 0.4501Act Simvastatin 02248107 ATV 0.4501Apo-Simvastatin 02247015 APX 0.4501Auro-Simvastatin 02405180 ARO 0.4501Jamp-Simvastatin 02375648 JPC 0.4501Mar-Simvastatin 02375079 MAR 0.4501Mint-Simvastatin 02372975 MNT 0.4501Mylan-Simvastatin 02246585 MYL 0.4501Phl-Simvastatin 02281589 PHL 0.4501pms-Simvastatin (New Formulation) 02269295 PMS 0.4501Ran-Simvastatin 02329182 RAN 0.4501Sandoz Simvastatin 02247833 SDZ 0.4501Simvastatin 02284774 SAS 0.4501Simvastatin 02386348 SIV 0.4501Teva-Simvastatin 02250187 TEV 0.4501

Sodium Aurothiomalate / Sodium (aurothiomalate de) Liq IM 10mg/mL Myochrysine 01927620 SAV 12.0700Sodium Aurothiomalate 02245456 SDZ 9.6600

Sodium Aurothiomalate / Sodium (aurothiomalate de) Liq IM 25mg/mL Myochrysine 01927612 AVE 14.6700Sodium Aurothiomalate 02245457 SDZ 11.7100

Sodium Aurothiomalate / Sodium (aurothiomalate de) Liq IM 50mg/mL Myochrysine 01927604 AVE 22.8100Sodium Aurothiomalate 02245458 SDZ 20.0300

Sodium Chloride / Sodium (chlorure de) Dps Oph 5% Muro-128 00750824 BSH 0.6553Sodium cromoglycate / cromoglycate sodique Liq/Liq Oph 2% Opticrom 02230621 ALL 0.9500

Cromolyn Eye Drops 02009277 PMS 0.9500Sodium cromoglycate / cromoglycate sodique Liq Inh 10mg/mL pms-Sodium Cromoglycate 02046113 PMS 0.8165Sodium Polystyrene Sulfonate / Polystyrène (sulfonate sodique de) Pws/Pds. Orl 100% Kayexalate 02026961 SAV 0.1798

pms-Sodium Polystyrene 00755338 PMS 0.1799Sotalol Hydrochloride / Sotalol (chlorhydrate de) Tab/Co. Orl 80mg Apo-Sotalol 02210428 APX 0.2966

Jamp-Sotalol 02368617 JPC 0.2966Mylan-Sotalol 02229778 MYL 0.2966Novo-Sotalol 02231181 TEV 0.2966pms-Sotalol 02238326 PMS 0.2966Ratio-Sotalol 02084228 TEV 0.2966Sotalol 02385988 SIV 0.2966

Sotalol Hydrochloride / Sotalol (chlorhydrate de) Tab/Co. Orl 160mg Apo-Sotalol 02167794 APX 0.1623Jamp-Sotalol 02368625 JPC 0.1623Mylan-Sotalol 02229779 MYL 0.1623Novo-Sotalol 02231182 TEV 0.1623pms-Sotalol 02238327 PMS 0.1623ratio-Sotalol 02084236 TEV 0.1623Sotalol 02385996 SIV 0.1623

Spironolactone / Spironolactone Tab/Co. Orl 25mg Aldactone 00028606 PFI 0.1089Novo-Spiroton 00613215 TEV 0.1089

Spironolactone / Spironolactone Tab/Co. Orl 100 mg Aldactone 00285455 PFI 0.5350Novo-Spiroton 00613223 TEV 0.2535

Spironolactone/Hydrochlorothiazide / Tab/Co. Orl 25/25mg Aldactazide-25 00180408 PFI 0.1078Spironolactone/hydrochlorothiazide Novo-Spirozine-25 00613231 TEV 0.1078Spironolactone/Hydrochlorothiazide / Tab/Co. Orl 50/50mg Aldactazide-50 00594377 PFI 0.2281 Spironolactone/hydrochlorothiazide Novo-Spirozine-50 00657182 TEV 0.2281Sucralfate / Sucralfate Tab/Co. Orl 1Gm Sulcrate 02100622 AXC 0.1309

Apo-Sucralfate 02125250 APX 0.1309Novo-Sulcrate 02045702 TEV 0.1309

Sulfasalazine / Sulfasalazine Ect/Co. Ent Orl 500mg Salazopyrin EN 02064472 PFI 0.4027Sulfasalazine / Sulfasalazine Tab/Co. Orl 500mg Salazopyrin 02064480 PFI 0.2557Sulfinpyrazone / Sulfinpyrazone Tab/Co. Orl 200mg Sulfinpyrazone 00441767 AAP 0.3252Sulindac / Sulindac Tab/Co. Orl 150mg Apo-Sulin 00778354 APX 0.3824

Novo-Sundac 00745588 TEV 0.3824Sulindac / Sulindac Tab/Co. Orl 200mg Apo-Sulin 00778362 APX 0.3920

Novo-Sundac 00745596 TEV 0.3920Sumatriptan / Sumatriptan Liq SC 6mg/0.5mL Imitrex 02212188 GSK 66.3500

Sumatriptan Sun 02361698 TAR 66.3500Sumatriptan / Sumatriptan Tab/Co. Orl 50mg Imitrex Df 02212153 GSK 7.1350

Act Sumatriptan 02257890 ATV 7.1350Apo-Sumatriptan 02268388 APX 7.1350Mylan-Sumatriptan 02268914 MYL 7.1350Novo-Sumatriptan Df 02286823 TEV 7.1350pms-Sumatriptan 02256436 PMS 7.1350Sandoz Sumatriptan 02263025 SDZ 7.1350Sumatriptan 02286521 SAS 7.1350Sumatriptan DF 02385570 SIV 7.1350

Sumatriptan / Sumatriptan Tab/Co. Orl 100mg Imitrex Df 02212161 GSK 7.8600

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Act Sumatriptan 02257904 ATV 7.8600Apo-Sumatriptan 02268396 APX 7.8600Mylan-Sumatriptan 02268922 MYL 7.8600Novo-Sumatriptan 02239367 TEV 7.8600Novo-Sumatriptan Df 02286831 TEV 7.8600pms-Sumatriptan 02256444 PMS 7.8600Sandoz Sumatriptan 02263033 SDZ 7.8600Sumatriptan 02286548 SAS 7.8600Sumatriptan DF 02385589 SIV 7.8600

Tacrolimus / Tacrolimus Cap/Caps Orl 1mg Prograf 02175991 ASL 2.5200Sandoz Tacrolimus 02416824 SDZ 1.8900

Tacrolimus / Tacrolimus Cap/Caps Orl 5mg Prograf 02175983 ASL 9.4650Sandoz Tacrolimus 02416832 SDZ 9.4650

Tamoxifen Citrate / Tamoxifène (citrate de) Tab/Co. Orl 10mg Apo-Tamox 00812404 APX 0.1750Mylan-Tamoxifen 02088428 MYL 0.1750Teva-Tamoxifen 00851965 TEV 0.1750

Tamoxifen Citrate / Tamoxifène (citrate de) Tab/Co. Orl 20mg Nolvadex-D 02048485 AZE 0.3500Apo-Tamox 00812390 APX 0.3500Mylan-Tamoxifen 02089858 MYL 0.3500Teva-Tamoxifen 00851973 TEV 0.3500

Tamsulosin Hydrochloride / Tamsulosine (chlorhydrate de) ERT//Co. L.P. Orl 0.4mg Flomax CR 02270102 BOE 0.1500Apo-Tamsulosin CR 02362406 APX 0.1500Sandoz Tamsulosin 02340208 SDZ 0.1500Teva-Tamsulosin CR 02368242 TEV 0.1500

Tamsulosin Hydrochloride / Tamsulosine (chlorhydrate de) SRC/Caps L.L. Orl 0.4mg Mylan-Tamsulosin 02298570 MYL 0.2439Novo-Tamsulosin 02281392 TEV 0.2439ratio-Tamsulosin 02294265 TEV 0.2439Sandoz Tamsulosin 02295121 SDZ 0.2439Sandoz Tamsulosin 02319217 SDZ 0.2439

Telmisartan / Telmisartan Tab/Co. Orl 40mg Micardis 02240769 BOE 0.2824Act Telmisartan 02393247 ATV 0.2824Apo-Telmisartan 02420082 APX 0.2824Mylan-Telmisartan 02376717 MYL 0.2824pms-Telmisartan 02391236 PMS 0.2824Sandoz Telmisartan 02375958 SDZ 0.2824Telmisartan 02407485 AHI 0.2824Telmisartan 02388944 SAS 0.2824Telmisartan 02390345 SIV 0.2824Teva-Telmisartan 02320177 TEV 0.2824

Telmisartan / Telmisartan Tab/Co. Orl 80mg Micardis 02240770 BOE 0.2824Act Telmisartan 02393255 ATV 0.2824Apo-Telmisartan 02420090 APX 0.2824Mylan-Telmisartan 02376725 MYL 0.2824pms-Telmisartan 02391244 PMS 0.2824Sandoz Telmisartan 02375966 SDZ 0.2824Telmisartan 02407493 AHI 0.2824Telmisartan 02388952 SAS 0.2824Telmisartan 02390353 SIV 0.2824Teva-Telmisartan 02320185 TEV 0.2824

Telmisartan/Hydrochlorothiazide / Telmisartan/Hydrochlorothiazide Tab/Co.Orl 80mg/12.5mg Micardis Plus 02244344 BOE 0.2824Act Telmisartan/HCTZ 02393263 ATV 0.2824Mylan-Telmisartan HCTZ 02373564 MYL 0.2824pms-Telmisartan/HCTZ 02401665 PMS 0.2824Sandoz Telmisartan HCT 02393557 SDZ 0.2824Telmisartan HCTZ 02390302 SIV 0.2824Telmisartan/HCTZ 02395355 SAS 0.2824Teva-Telmisartan HCTZ 02330288 TEV 0.2824

Telmisartan/Hydrochlorothiazide / Telmisartan/Hydrochlorothiazide Tab/Co.Orl 80mg/25mg Micardis Plus 02318709 BOE 0.2824Act Telmisartan/HCTZ 02393271 ATV 0.2824Mylan-Telmisartan HCTZ 02373572 MYL 0.2824pms-Telmisartan/HCTZ 02401673 PMS 0.2824Sandoz Telmisartan HCT 02393565 SDZ 0.2824Telmisartan HCTZ 02390310 SIV 0.2824Telmisartan/HCTZ 02395363 SAS 0.2824Teva-Telmisartan HCTZ 02379252 TEV 0.2824

Temazepam / Témazépam Cap/Caps Orl 15mg Restoril 00604453 SEP 0.0475Apo-Temazepam 02225964 APX 0.0475Co Temazepam 02244814 COB 0.0475Novo-Temazapam 02230095 TEV 0.0475

Temazepam / Témazépam Cap/Caps Orl 30mg Restoril 00604461 SEP 0.0575Apo-Temazepam 02225972 APX 0.0575Co Temazepam 02244815 COB 0.0575Novo-Temazapam 02230102 TEV 0.0575

Temodzolomide / Témozolomide Cap/Caps Orl 20mg Temodal 02241094 FRS 22.7194Co Temozolomide 02395274 COB 22.7194

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Temodzolomide / Témozolomide Cap/Caps Orl 100mg Temodal 02241095 FRS 113.5966Co Temozolomide 02395282 COB 113.5966

Temodzolomide / Témozolomide Cap/Caps Orl 140mg Temodal 02312794 FRS 159.0358Co Temozolomide 02395290 COB 159.0358

Temodzolomide / Témozolomide Cap/Caps Orl 250mg Temodal 02241096 FRS 283.9834Co Temozolomide 02395312 COB 283.9834

Terazosine Hydrochloride / Térazosine (chlorhydrate de) Tab/Co. Orl 1mg Hytrin 00818658 ABB 0.1835Apo-Terazosin 02234502 APX 0.1835Mylan-Terazosin 02396289 MYL 0.1835pms-Terazosin 02243518 PMS 0.1835ratio-Terazosin 02218941 RPH 0.1835Terazosin 02350475 SAS 0.1835Teva-Terazosin 02230805 TEV 0.1835

Terazosine Hydrochloride / Térazosine (chlorhydrate de) Tab/Co. Orl 2mg Hytrin 00818682 ABB 0.2333Apo-Terazosin 02234503 APX 0.2333Mylan-Terazosin 02396297 MYL 0.2333pms-Terazosin 02243519 PMS 0.2333ratio-Terazosin 02218968 RPH 0.2333Terazosin 02350483 SAS 0.2333Teva-Terazosin 02230806 TEV 0.2333

Terazosine Hydrochloride / Térazosine (chlorhydrate de) Tab/Co. Orl 5mg Hytrin 00818666 ABB 0.3168Apo-Terazosin 02234504 APX 0.3168Mylan-Terazosin 02396300 MYL 0.3168pms-Terazosin 02243520 PMS 0.3168ratio-Terazosin 02218976 RPH 0.3168Terazosin 02350491 SAS 0.3168Teva-Terazosin 02230807 TEV 0.3168

Terazosine Hydrochloride / Térazosine (chlorhydrate de) Tab/Co. Orl 10mg Hytrin 00818674 ABB 0.4637Apo-Terazosin 02234505 APX 0.4637Mylan-Terazosin 02396319 MYL 0.4637pms-Terazosin 02243521 PMS 0.4637ratio-Terazosin 02218984 RPH 0.4637Terazosin 02350505 SAS 0.4637Teva-Terazosin 02230808 TEV 0.4637

Terbinafine Hydrochloride / Terbinafine (chlorhydrate de) Tab/Co. Orl 250mg Lamisil 02031116 NVR 1.8526Apo-Terbinafine 02239893 APX 1.8526Auro-Terbinafine 02320134 ARO 1.8526Co Terbinafine 02254727 COB 1.8526GD-Terbinafine 02352818 GMD 1.8526Jamp-Terbinafine 02357070 JPC 1.8526Mylan-Terbinafine 02242503 MYL 1.8526pms-Terbinafine 02294273 PMS 1.8526Sandoz Terbinafine 02262177 SDZ 1.8526Terbinafine 02353121 SAS 1.8526Terbinafine 02385279 SIV 1.8526Teva-Terbinafine 02240346 TEV 1.8526

Terconazole / Terconazole Crm/Cr. Vag 4mg/gm Terazol-7 00894729 JAN 0.2932Taro-Terconazole 02247651 TAR 0.2932

Testosterone Undecanoate / Testostérone (undécanoate de) Cap/Caps Orl 40mg Andriol 00782327 SCH 0.7649pms-Testosterone 02322498 PMS 0.7649

Tetrabenazine / Tétrabenazine Tab/Co. Orl 25mg Nitoman 02199270 VLN 3.3746Apo-Tetrabenazine 02407590 APX 3.3746pms-Tetrabenazine 02402424 PMS 3.3746

Tetracycline Hydrochloride / Tétracycline (chlorhydrate de) Cap/Caps Orl 250mg Tetra 00580929 AAP 0.0713Theophylline / Théophylline SRT/Co.L.L. Orl 30mg Teva-Theophylline 02230087 TEV 0.1400Theophylline / Théophylline SRT/Co.L.L. Orl 100mg Teva-Theophylline 02230085 TEV 0.1300Theophylline / Théophylline SRT/Co.L.L. Orl 200mg Teva-Theophylline 02230086 TEV 0.0907Theophylline / Théophylline SRT/Co.L.L. Orl 400mg Uniphyl 02014165 PFR 0.3735

Theo ER 02360101 AAP 0.3735Theophylline / Théophylline SRT/Co.L.L. Orl 600mg Uniphyl 02014181 PFR 0.4524

Theo ER 02360128 AAP 0.4524Tiaprofenic Acid / Tiaprofénique (acide) Tab/Co. Orl 200mg Novo-Tiaprofenic 02179679 TEV 0.4855Tiaprofenic Acid / Tiaprofénique (acide) Tab/Co. Orl 300mg Novo-Tiaprofenic 02179687 TEV 0.6712Ticlopidine Hydrochloride / Ticlopidine (chlorhydrate de) Tab/Co. Orl 250mg Apo-Ticlopidine 02237701 APX 0.3141

Mylan-Ticlopidine 02239744 MYL 0.3141Novo-Ticlopidine 02236848 TEV 0.3141Ticlopidine 02343045 SAS 0.3141

Timolol Maleate / Timolol (maléate de) Dps/Gttes Oph 0.25% Apo-Timop 00755826 APX 0.9678pms-Timolol 02083353 PMS 0.9678Sandoz Timolol 02166712 SDZ 0.9678

Timolol Maleate / Timolol (maléate de) Dps/Gttes Oph 0.5% Timoptic Oph 00451207 FRS 1.2754Apo-Timop 00755834 APX 1.2754pms-Timolol 02083345 PMS 1.2754Sandoz Timolol 02166720 SDZ 1.2754

Timolol Maleate / Timolol (maléate de) Liq Oph 0.25% Timoptic XE 02171880 FRS 3.2159

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Timolol Maleate 02242275 SDZ 3.2159Timolol Maleate / Timolol (maléate de) Liq Oph 0.5% Timoptic XE 02171899 FRS 3.8480

Apo-Timop Gel 02290812 APX 3.8480Timolol Maleate 02242276 SDZ 3.8480

Timolol Maleate / Timolol (maléate de) Tab/Co. Orl 5mg Apo-Timol 00755842 APX 0.1649Novo-Timol 01947796 TEV 0.1649

Timolol Maleate / Timolol (maléate de) Tab/Co. Orl 10mg Apo-Timol 00755850 APX 0.2572Novo-Timol 01947818 TEV 0.2572

Timolol Maleate / Timolol (maléate de) Tab/Co. Orl 20mg Apo-Timol 00755869 APX 0.5005Novo-Timol 01947826 TEV 0.5005

Tizanidine Hydrochloride / Tizanidine (chlorhydrate de) Tab/Co. Orl 4mg Zanaflex 02239170 SHB 0.3686Apo-Tizanidine 02259893 APX 0.3686Mylan-Tizanidine 02272059 MYL 0.3686

Tobramycin / Tobramycine Liq/Liq Oph 0.3% Tobrex 00513962 ALC 1.0480Sandoz Tobramycin 02241755 SDZ 1.0480

Tobramycin Sulfate / Tobramycin (sulfate de) Liq Inj 40mg/mL Tobramycin 02382814 MYL 3.2100Tobramycin 02241210 SDZ 3.7070

Tobramycin Sulfate / Tobramycin (sulfate de) Liq Inj 40mg/mL Tobramycin 02241210 SDZ 3.3700Tolbutamide / Tolbutamide Tab/Co. Orl 500mg Tolbutamide 00312762 AAP 0.1182Topiramate / Topiramate Tab/Co. Orl 25mg Topamax 02230893 JAN 0.3128

Abbott-Topiramate 02414600 ABB 0.3128Apo-Topiramate 02279614 APX 0.3128Auro-Topiramate 02345803 ARO 0.3128Co Topiramate 02287765 COB 0.3128GD-Topiramate 02352850 GMD 0.3128Mint-Topiramate 02315645 MNT 0.3128Mylan-Topiramate 02263351 MYL 0.3128Novo-Topiramate 02248860 TEV 0.3128Phl-Topiramate 02271184 PHL 0.3128pms-Topiramate 02262991 PMS 0.3128Ran-Topiramate 02396076 RAN 0.3128Sandoz Topiramate 02260050 SDZ 0.3128Topiramate 02356856 SAS 0.3128Topiramate 02395738 AHI 0.3128Topiramate 02389460 SIV 0.3128Zym-Topiramate 02325136 ZYM 0.3128

Topiramate / Topiramate Tab/Co. Orl 100mg Topamax 02230894 JAN 0.5929Abbott-Topiramate 02414619 ABB 0.5929Apo-Topiramate 02279630 APX 0.5929Auro-Topiramate 02345838 ARO 0.5929Co Topiramate 02287773 COB 0.5929GD-Topiramate 02352877 GMD 0.5929Mint-Topiramate 02315653 MNT 0.5929Mylan-Topiramate 02263378 MYL 0.5929Novo-Topiramate 02248861 TEV 0.5929Phl-Topiramate 02271192 PHL 0.5929pms-Topiramate 02263009 PMS 0.5929Ran-Topiramate 02396084 RAN 0.5929Sandoz Topiramate 02260069 SDZ 0.5929Topiramate 02356864 SAS 0.5929Topiramate 02395746 AHI 0.5929Topiramate 02389487 SIV 0.5929Zym-Topiramate 02325144 ZYM 0.5929

Topiramate / Topiramate Tab/Co. Orl 200mg Topamax 02230896 JAN 0.8854Abbott-Topiramate 02414627 ABB 0.8854Apo-Topiramate 02279649 APX 0.8854Auro-Topiramate 02345846 ARO 0.8854Co Topiramate 02287781 COB 0.8854GD-Topiramate 02352885 GMD 0.8854Mint-Topiramate 02315661 MNT 0.8854Mylan-Topiramate 02263386 MYL 0.8854Novo-Topiramate 02248862 TEV 0.8854Phl-Topiramate 02271206 PHL 0.8854pms-Topiramate 02263017 PMS 0.8854Ran-Topiramate 02396092 RAN 0.8854Sandoz Topiramate 02267837 SDZ 0.8854Topiramate 02356872 SAS 0.8854Topiramate 02395754 AHI 0.8854Zym-Topiramate 02325152 ZYM 0.8854

Tranexamic Acid / Acide Tranexamique Tab/Co. Orl 500mg Cyklokapron 02064405 PFI 0.8071Tranexamic Acid 02401231 STR 0.8071

Trazodone Hydrochloride / Trazodone (chlorhydrate de) Tab/Co. Orl 50mg Apo-Trazodone 02147637 APX 0.0554Mylan-Trazodone 02231683 MYL 0.0554Phl-Trazodone 02236941 PHL 0.0554pms-Trazodone 01937227 PMS 0.0554

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Teva-Trazodone 02144263 TEV 0.0554Trazodone 02348772 SAS 0.0554

Trazodone Hydrochloride / Trazodone (chlorhydrate de) Tab/Co. Orl 100mg Apo-Trazodone 02147645 APX 0.0989Mylan-Trazodone 02231684 MYL 0.0989Phl-Trazodone 02236942 PHL 0.0989pms-Trazodone 01937235 PMS 0.0989Teva-Trazodone 02144271 TEV 0.0989Trazodone 02348780 SAS 0.0989

Trazodone Hydrochloride / Trazodone (chlorhydrate de) Tab/Co. Orl 150mg Apo-Trazodone 02147653 APX 0.1453Teva-Trazodone 02144298 TEV 0.1453Trazodone 02348799 SAS 0.1453

Triamterene/Hydrochlorothiazide / Triamtérène/hydrochlorothiazide Tab/Co. Orl 50/25mg Apo-Triazide 00441775 APX 0.0608Novo-Triamzide 00532657 TEV 0.0608

Triazolam / Triazolam Tab/Co. Orl 0.125mg Triazolam 00808563 AAP 0.1496Triazolam / Triazolam Tab/Co. Orl 0.25mg Triazolam 00808571 AAP 0.2501Trifluoperazine Hydrochloride / Trifluopérazine (chlorhydrate de) Tab/Co. Orl 1mg Trifluoperazine 00345539 AAP 0.1454Trifluoperazine Hydrochloride / Trifluopérazine (chlorhydrate de) Tab/Co. Orl 2mg Trifluoperazine 00312754 AAP 0.1908Trifluoperazine Hydrochloride / Trifluopérazine (chlorhydrate de) Tab/Co. Orl 5mg Trifluoperazine 00312746 AAP 0.2526Trifluoperazine Hydrochloride / Trifluopérazine (chlorhydrate de) Tab/Co. Orl 10mg Trifluoperazine 00326836 AAP 0.3028Trifluridine / Trifluridine Liq Oph 1% Viroptic 00687456 THR 3.1293Trihexyphenidyl Hydrochloride / Trihexyphénidyle (chlorhydrate de) Tab/Co. Orl 2mg Trihex 00545058 AAP 0.0400Trihexyphenidyl Hydrochloride / Trihexyphénidyle (chlorhydrate de) Tab/Co. Orl 5mg Trihex 00545074 AAP 0.0725Trimebutine Maleate / Trimebutine (maléate de) Tab/Co. Orl 100mg Trimebutine 02245663 AAP 0.2919Trimebutine Maleate / Trimebutine (maléate de) Tab/Co. Orl 200mg Modulon 00803499 AXC 0.5680

Apo-Trimebutine 02245664 AAP 0.5680Trimethoprim / Triméthoprime Tab/Co. Orl 100mg Trimethoprim 02243116 AAP 0.2785Trimethoprim / Triméthoprime Tab/Co. Orl 200mg Trimethoprim 02243117 AAP 0.5722Trimethoprim/Sulfamethoxazole / Triméthoprime/sulfaméthoxazole Sus/Susp. Orl 8mg/mL 40mg/mL Teva-Trimel 00726540 TEV 0.0968Trimethoprim/Sulfamethoxazole / Triméthoprime/sulfaméthoxazole Tab/Co. Orl 80/400mg Apo-Sulfatrim 00445274 APX 0.0482

Teva-Trimel 00510637 TEV 0.0482Trimethoprim/Sulfamethoxazole / Triméthoprime/sulfaméthoxazole Tab/Co. Orl 160/800mg Apo-Sulfatrim DS 00445282 APX 0.1221

Teva-Trimel DS 00510645 TEV 0.1221Trimipramine Maleate / Trimipramine (maléate de) Tab/Co. Orl 12.5mg Trimipramine 00740799 AAP 0.2339Trimipramine Maleate / Trimipramine (maléate de) Tab/Co. Orl 25mg Trimipramine 00740802 AAP 0.3012Trimipramine Maleate / Trimipramine (maléate de) Tab/Co. Orl 50mg Trimipramine 00740810 AAP 0.5896Trimipramine Maleate / Trimipramine (maléate de) Cap/Caps Orl 75mg Trimipramine 02070987 AAP 0.7936Trimipramine Maleate / Trimipramine (maléate de) Tab/Co. Orl 100mg Trimipramine 00740829 AAP 1.0061Tryptophan / Tryptophane Cap./Caps. Orl 500mg Tryptan 00718149 VLN 0.3563

Apo-Tryptophan 02248540 APX 0.3563ratio-Tryptophan 02240334 RPH 0.3563

Tryptophan / Tryptophane Tab/Co. Orl 500mg Tryptan 02029456 VLN 0.3563Apo-Tryptophan 02248538 APX 0.3563

Tryptophan / Tryptophane Tab./Co. Orl 1000mg Tryptan 00654531 VLN 0.7126Apo-Tryptophan 02248539 APX 0.7126ratio-Tryptophan 02237250 RPH 0.7126

Ursodiol / Ursodiol Tab/Co. Orl 250mg Urso 02238984 AXC 0.9895pms-Ursodiol C 02273497 PMS 0.9895

Ursodiol / Ursodiol Tab/Co. Orl 500mg Urso DS 02245894 AXC 1.8768pms-Ursodiol C 02273500 PMS 1.8768

Valacyclovir / Valacyclovir Tab/Co. Orl 500mg Valtrex 02219492 GSK 3.4437Apo-Valacyclovir 02295822 APX 0.8481Auro-Valacyclovir 02405040 ARO 0.8481Co Valacyclovir 02331748 COB 0.8481Mylan-Valacyclovir 02351579 MYL 0.8481pms-Valacyclovir 02298457 PMS 0.8481Teva-Valacyclovir 02357534 TEV 0.8481

Valganciclovir Hydrochloride / Valganciclovir (chlorhydrate de) Tab/Co. Orl 450mg Valcyte 02245777 HLR 17.4093Apo-Valganciclovir 02393824 APX 17.4093

Valproic Acid / Valproaque (acide) Syr/Sir. Orl 50mg Depakene 00443832 ABB 0.0406Apo-Valproic Acid 02238370 APX 0.0406pms-Valproic 02236807 PMS 0.0406ratio-Valproic 02140063 RPH 0.0406

Valproic Acid / Valproaque (acide) Cap/Caps Orl 250mg Depakene 00443840 ABB 0.1366Apo-Valproic 02238048 APX 0.1366Novo-Valproic 02100630 TEV 0.1366pms-Valproic Acid 02230768 PMS 0.1366

Valproic Acid / Valproaque (acide) ECC/Caps.Ent. Orl 500mg pms-Valproic EC 02229628 PMS 0.5514Valsartan / Valsartan Tab/Co. Orl 40mg Diovan 02270528 NVR 0.2911

Act Valsartan 02337487 ATV 0.2911Apo-Valsartan 02371510 APX 0.2911Auro-Valsartan 02414201 ARO 0.2911Mylan-Valsartan 02383527 MYL 0.2911pms-Valsartan 02312999 PMS 0.2911Ran-Valsartan 02363062 RAN 0.2911Sandoz Valsartan 02356740 SDZ 0.2911Teva-Valsartan 02356643 TEV 0.2911

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Valsartan 02384523 SIV 0.2911Valsartan 02366940 SAS 0.2911

Valsartan / Valsartan Tab/Co. Orl 80mg Diovan 02244781 NVR 0.2999Act Valsartan 02337495 ATV 0.2999Apo-Valsartan 02371529 APX 0.2999Auro-Valsartan 02414228 ARO 0.2999Mylan-Valsartan 02383535 MYL 0.2999pms-Valsartan 02313006 PMS 0.2999Ran-Valsartan 02363100 RAN 0.2999Sandoz Valsartan 02356759 SDZ 0.2999Teva-Valsartan 02356651 TEV 0.2999Valsartan 02384531 SIV 0.2999Valsartan 02366959 SAS 0.2999

Valsartan / Valsartan Tab/Co. Orl 160mg Diovan 02244782 NVR 0.2998Act Valsartan 02337509 ATV 0.2998Apo-Valsartan 02371537 APX 0.2998Auro Valsartan 02414236 ARO 0.2998Mylan-Valsartan 02383543 MYL 0.2998pms-Valsartan 02313014 PMS 0.2998Ran-Valsartan 02363119 RAN 0.2998Sandoz Valsartan 02356767 SDZ 0.2998Teva-Valsartan 02356678 TEV 0.2998Valsartan 02384558 SIV 0.2998Valsartan 02366967 SAS 0.2998

Valsartan / Valsartan Tab/Co. Orl 320mg Diovan 02289504 NVR 0.2914Act Valsartan 02337517 ATV 0.2914Apo-Valsartan 02371545 APX 0.2914Mylan-Valsartan 02383551 MYL 0.2914pms-Valsartan 02344564 PMS 0.2914Sandoz Valsartan 02356775 SDZ 0.2914Teva-Valsartan 02356686 TEV 0.2914Valsartan 02384566 SIV 0.2914Valsartan 02366975 SAS 0.2914

Valsartan/Hydrochlorothiazide / Valsartan/Hydrochlorothiazide Tab/Co. Orl 80mg/12.5mg Diovan-HCT 02241900 NVR 0.2985Apo-Valsartan/HCTZ 02382547 APX 0.2985Auro-Valsartan HCT 02408112 ARO 0.2985Mylan-Valsartan-HCTZ 02373734 MYL 0.2985Sandoz Valsartan/HCT 02356694 SDZ 0.2985Teva-Valsartan/HCTZ 02356996 TEV 0.2985Valsartan HCT 02384736 SIV 0.2985Valsartan/HCTZ 02367009 SAS 0.2985

Valsartan/Hydrochlorothiazide / Valsartan/Hydrochlorothiazide Tab/Co. Orl 160mg/12.5mg Diovan-HCT 02241901 NVR 0.2993Apo-Valsartan/HCTZ 02382555 APX 0.2993Auro-Valsartan HCT 02408120 ARO 0.2993Mylan-Valsartan-HCTZ 02373742 MYL 0.2993Sandoz Valsartan/HCT 02356708 SDZ 0.2993Teva-Valsartan/HCTZ 02357003 TEV 0.2993Valsartan HCT 02384744 SIV 0.2993Valsartan/HCTZ 02367017 SAS 0.2993

Valsartan/Hydrochlorothiazide / Valsartan/Hydrochlorothiazide Tab/Co. Orl 160mg/25mg Diovan-HCT 02246955 NVR 0.3003Apo-Valsartan/HCTZ 02382563 APX 0.3003Auro-Valsartan HCT 02408139 ARO 0.3003Mylan-Valsartan-HCTZ 02373750 MYL 0.3003Sandoz Valsartan/HCT 02356716 SDZ 0.3003Teva-Valsartan/HCTZ 02357011 TEV 0.3003Valsartan HCT 02384752 SIV 0.3003Valsartan/HCTZ 02367025 SAS 0.3003

Valsartan/Hydrochlorothiazide / Valsartan/Hydrochlorothiazide Tab/Co. Orl 320mg/12.5mg Diovan-HCT 02308908 NVR 0.2985Apo-Valsartan/HCTZ 02382571 APX 0.2985Auro-Valsartan HCT 02408147 ARO 0.2985Mylan-Valsartan-HCTZ 02373769 MYL 0.2985Sandoz Valsartan/HCT 02356724 SDZ 0.2985Teva-Valsartan/HCTZ 02357038 TEV 0.2985Valsartan/HCTZ 02367033 SAS 0.2985

Valsartan/Hydrochlorothiazide / Valsartan/Hydrochlorothiazide Tab/Co. Orl 320mg/25mg Diovan-HCT 02308916 NVR 0.2985Apo-Valsartan/HCTZ 02382598 APX 0.2985Auro-Valsartan HCT 02408155 ARO 0.2985Mylan-Valsartan-HCTZ 02373777 MYL 0.2985Sandoz Valsartan/HCT 02356732 SDZ 0.2985Teva-Valsartan/HCTZ 02357046 TEV 0.2985Valsartan/HCTZ 02367041 SAS 0.2985

Vancomycin Hydrochloride / Vancomycine (chlorhydrate de) Cap/Cap Orl 125mg Vancocin 00800430 MRS 5.6300Vancomycin Hydrochloride 02377470 LYP 5.6300

Vancomycin Hydrochloride / Vancomycine (chlorhydrate de) Cap/Cap Orl 250mg Vancocin 00788716 MRS 11.2500Vancomycin Hydrochloride 02377489 LYP 11.2500

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Vancomycin Hydrochloride / Vancomycine (chlorhydrate de) Pws/Pds Inj 500mg AJ-Vancomycin 02407914 JPC 31.0500pms-Vancomycin 02241820 PMS 31.0500Vancomycin 02394626 SDZ 31.0500

Vancomycin Hydrochloride / Vancomycine (chlorhydrate de) Pws/Pds Inj 1g AJ-Vancomycin 02407922 AJP 58.9900pms-Vancomycin 02241821 PMS 58.9900Vancomycin 02394634 SDZ 58.9900

Venlafaxine Hydrochloride / Venlafaxine (chlorhydrate de) SRC/Caps. L.L. Orl 37.5mg Effexor XR 02237279 PFI 0.1643Apo-Venlafaxine XR 02331683 APX 0.1643Co Venlafaxine XR 02304317 COB 0.1643GD-Venlafaxine XR 02360020 GMD 0.1643Mylan-Venlafaxine XR 02310279 MYL 0.1643pms-Venlafaxine XR 02278545 PMS 0.1643Ran-Venlafaxine XR 02380072 RAN 0.1643Sandoz Venlafaxine XR 02310317 SDZ 0.1643Teva-Venlafaxine XR 02275023 TEV 0.1643Venlafaxine XR 02354713 SAS 0.1643Venlafaxine XR 02385929 SIV 0.1643

Venlafaxine Hydrochloride / Venlafaxine (chlorhydrate de) SRC/Caps. L.L. Orl 75mg Effexor XR 02237280 PFI 0.3285Apo-Venlafaxine XR 02331691 APX 0.3285Co Venlafaxine XR 02304325 COB 0.3285GD-Venlafaxine XR 02360039 GMD 0.3285Mylan-Venlafaxine XR 02310287 MYL 0.3285pms-Venlafaxine XR 02278553 PMS 0.3285Ran-Venlafaxine XR 02380080 RAN 0.3285Sandoz Venlafaxine XR 02310325 SDZ 0.3285Teva-Venlafaxine XR 02275031 TEV 0.3285Venlafaxine XR 02354721 SAS 0.3285Venlafaxine XR 02385937 SIV 0.3285

Venlafaxine Hydrochloride / Venlafaxine (chlorhydrate de) SRC/Caps. L.L. Orl 150mg Effexor XR 02237282 PFI 0.3469Apo-Venlafaxine XR 02331705 APX 0.3469Co Venlafaxine XR 02304333 COB 0.3469GD-Venlafaxine XR 02360047 GMD 0.3469Mylan-Venlafaxine XR 02310295 MYL 0.3469pms-Venlafaxine XR 02278561 PMS 0.3469Ran-Venlafaxine XR 02380099 RAN 0.3469Sandoz Venlafaxine XR 02310333 SDZ 0.3469Teva-Venlafaxine XR 02275058 TEV 0.3469Venlafaxine XR 02354748 SAS 0.3469Venlafaxine XR 02385945 SIV 0.3469

Verapamil Hydrochloride / Vérapamil (chlorhydrate de) Tab/Co. Orl 80mg Apo-Verap 00782483 APX 0.2735Mylan-Verapamil 02237921 MYL 0.2735

Verapamil Hydrochloride / Vérapamil (chlorhydrate de) Tab/Co. Orl 120mg Apo-Verap 00782491 APX 0.4250Mylan-Verapamil 02237922 MYL 0.4250

Verapamil Hydrochloride / Vérapamil (chlorhydrate de) SRT/Co.L.L. Orl 120mg Isoptin SR 01907123 ABB 0.5078Apo-Verap SR 02246893 APX 0.5078Mylan-Verapamil SR 02210347 MYL 0.5078

Verapamil Hydrochloride / Vérapamil (chlorhydrate de) SRT/Co.L.L. Orl 180mg Isoptin SR 01934317 ABB 0.5424Apo-Verap SR 02246894 APX 0.5424Mylan-Verapamil SR 02210355 MYL 0.5424

Verapamil Hydrochloride / Vérapamil (chlorhydrate de) SRT/Co.L.L. Orl 240mg Isoptin SR 00742554 ABB 0.5075Apo-Verap SR 02246895 APX 0.5075Mylan-Verapamil SR 02210363 MYL 0.5075pms-Verapamil SR 02237791 PMS 0.5075

Vitamin D2 / Vitamin d2 Dps/Gttes Orl 8288IU/mL Erdol (Drisodan) 80003615 ODN 0.3427Voriconazole / Voriconazole Tab/Co. Orl 50mg Vfend 02256460 PFI 3.2148

Apo-Voriconazole 02409674 APX 3.2148Sandoz Voriconazole 02399245 SDZ 3.2148Teva-Voriconazole 02396886 TEV 3.2148

Voriconazole / Voriconazole Tab/Co. Orl 200mg Vfend 02256479 PFI 12.8537Apo-Voriconazole 02409682 APX 12.8537Sandoz Voriconazole 02399253 SDZ 12.8537Teva-Voriconazole 02396874 TEV 12.8537

Warfarin Sodium / Warfarin Sodique Tab/Co. Orl 1mg Coumadin 01918311 BRI 0.0780Apo-Warfarin 02242924 APX 0.0780Mylan-Warfarin 02244462 MYL 0.0780Taro-Warfarin 02242680 TAR 0.0780Warfarin 02344025 SAS 0.0780

Warfarin Sodium / Warfarin Sodique Tab/Co. Orl 2mg Coumadin 01918338 BRI 0.0825Apo-Warfarin 02242925 APX 0.0825Mylan-Warfarin 02244463 MYL 0.0825Novo-Warfarin 02265281 TEV 0.0825Taro-Warfarin 02242681 TAR 0.0825Warfarin 02344033 SAS 0.0825

Warfarin Sodium / Warfarin Sodique Tab/Co. Orl 2.5mg Coumadin 01918346 BRI 0.0660Apo-Warfarin 02242926 APX 0.0660

Maximum Allowable Price (MAP) listfor NB Drug Plans

Liste des prix admissibles maximums (PAM) pour régimes médicaments du N.-B.

September/septembre 2014 v.1 Page 57

Mylan-Warfarin 02244464 MYL 0.0660Novo-Warfarin 02265303 TEV 0.0660Taro-Warfarin 02242682 TAR 0.0660Warfarin 02344041 SAS 0.0660

Warfarin Sodium / Warfarin Sodique Tab/Co. Orl 3mg Coumadin 02240205 BRI 0.1023Apo-Warfarin 02245618 APX 0.1023Mylan-Warfarin 02287498 MYL 0.1023Taro-Warfarin 02242683 TAR 0.1023Warfarin 02344068 SAS 0.1023

Warfarin Sodium / Warfarin Sodique Tab/Co. Orl 4mg Coumadin 02007959 BRI 0.1023Apo-Warfarin 02242927 APX 0.1023Mylan-Warfarin 02244465 MYL 0.1023Taro-Warfarin 02242684 TAR 0.1023Warfarin 02344076 SAS 0.1023

Warfarin Sodium / Warfarin Sodique Tab/Co. Orl 5mg Coumadin 01918354 BRI 0.0662Apo-Warfarin 02242928 APX 0.0662Mylan-Warfarin 02244466 MYL 0.0662Novo-Warfarin 02265346 TEV 0.0662Taro-Warfarin 02242685 TAR 0.0662Warfarin 02344084 SAS 0.0662

Warfarin Sodium / Warfarin Sodique Tab/Co. Orl 6mg Coumadin 02240206 BRI 0.1753Mylan-Warfarin 02287501 MYL 0.1753Taro-Warfarin 02242686 TAR 0.1753

Warfarin Sodium / Warfarin Sodique Tab/Co. Orl 10mg Coumadin 01918362 BRI 0.1187Apo-Warfarin 02242929 APX 0.1187Mylan-Warfarin 02244467 MYL 0.1187Taro-Warfarin 02242687 TAR 0.1187Warfarin 02344114 SAS 0.1187

Zidovudine / Zidovudine Cap/Caps Orl 100mg Retrovir 01902660 GSK 1.3977Apo-Zidovudine 01946323 APX 1.3977

Zolmitriptan / Zolmitriptan Tab/Co. Orl 2.5mg Zomig 02238660 AZE 4.6667Mylan-Zolmitriptan 02369036 MYL 4.6667pms-Zolmitriptan 02324229 PMS 4.6667Sandoz Zolmitriptan 02362988 SDZ 4.6667Teva-Zolmitriptan 02313960 TEV 4.6667

Zolmitriptan / Zolmitriptan ODT/Co.D.O. Orl 2.5mg Zomig Rapimelt 02243045 AZE 4.6650Mylan-Zolmitriptan 02387158 MYL 4.6650pms-Zolmitriptan ODT 02324768 PMS 4.6650Sandoz Zolmitriptan ODT 02362996 SDZ 4.6650Teva-Zolmitriptan ODT 02342545 TEV 4.6650

Zopiclone / Zopiclone Tab/Co. Orl 5mg Imovane 02216167 SAV 0.2231Apo-Zopiclone 02245077 APX 0.2231Co Zopiclone 02271931 COB 0.2231Jamp-Zopiclone 02406969 JPC 0.2231Mar-Zopiclone 02386771 MAR 0.2231Mint-Zopiclone 02391716 MNT 0.2231Mylan-Zopiclone 02296616 MYL 0.2231Novo-Zopiclone 02251450 TEV 0.2231Phl-Zopiclone 02294052 PHL 0.2231pms-Zopiclone 02243426 PMS 0.2231Ran-Zopiclone 02267918 RAN 0.2231ratio-Zopiclone 02246534 TEV 0.2231Sandoz Zopiclone 02257572 SDZ 0.2231Septa-Zopiclone 02386909 SPT 0.2231Zopiclone 02344122 SAS 0.2231Zopiclone 02385821 SIV 0.2231

Zopiclone / Zopiclone Tab/Co. Orl 7.5mg Imovane 01926799 SAV 0.3125Apo-Zopiclone 02218313 APX 0.3125Co Zopiclone 02271958 COB 0.3125Jamp-Zopiclone 02356805 JPC 0.3125Mar-Zopiclone 02386798 MAR 0.3125Mint-Zopiclone 02391724 MNT 0.3125Mylan-Zopiclone 02238596 MYL 0.3125Novo-Zopiclone 02251469 TEV 0.3125Phl-Zopiclone 02294060 PHL 0.3125pms-Zopiclone 02240606 PMS 0.3125Ran-Zopiclone 02267926 RAN 0.3125ratio-Zopiclone 02242481 TEV 0.3125Rhovane 02008203 SDZ 0.3125Septa-Zopiclone 02386917 SPT 0.3125Zopiclone 02282445 SAS 0.3125Zopiclone 02385848 SIV 0.3125