Newfoundland and Labrador Prescription Drug Program
Dear Provider:
The benefit status, under the Newfoundland and Labrador Prescription Drug Program for the following products is effective July 1, 2008.
Special Authorization for All Plans and the Cystic Fibrosis Program: (Please see footnote at bottom referring to definition of All Plans)
1. Apo-Pantoprazole 20mg Tablets 02292912 Apotex
2. Ran-Pantoprazole 20mg Tablets 02305038 Ranbaxy
3. Apo-Pantoprazole 40mg Tablets 02292920 Apotex
4. Ran-Pantoprazole 40mg Tablets 02305046 Ranbaxy
5. ratio-Pioglitazone 15mg Tablets 02301423 ratiopharm
6. Co Pioglitazone 15mg Tablets 02302861 Cobalt
7. Gen-Pioglitazone 15mg Tablets 02298279 Genpharm
8. Apo-Pioglitazone15mg Tablets 02302942 Apotex
9. Novo-Pioglitazone 15mg Tablets 02274914 Novopharm
10. pms-Pioglitazone 15mg Tablets 02303124 Pharmascience
11. Sandoz Pioglitazone 15mg Tablets 02297906 Sandoz
12. ratio-Pioglitazone 30mg Tablets 02301431 ratiopharm
13. Co Pioglitazone 30mg Tablets 02302888 Cobalt
14. Gen-Pioglitazone 30mg Tablets 02298287 Genpharm
15. Apo-Pioglitazone 30mg Tablets 02302950 Apotex
16. Novo-Pioglitazone 30mg Tablets 02274922 Novopharm
17. pms-Pioglitazone 30mg Tablets 02303132 Pharmascience
18. Sandoz Pioglitazone 30mg Tablets 02297914 Sandoz
19. ratio-Pioglitazone 45mg Tablets 02301458 ratiopharm
20. Co Pioglitazone 45mg Tablets 02302896 Cobalt
21. Gen-Pioglitazone 45mg Tablets 02298295 Genpharm
22. Apo-Pioglitazone 45mg Tablets 02302977 Apotex
23. Novo-Pioglitazone 45mg Tablets 02274930 Novopharm
24. pms-Pioglitazone 45mg Tablets 02303140 Pharmascience
25. Sandoz Pioglitazone 45mg Tablets 02297922 Sandoz
26. Novo-Rabeprazole EC 10mg Tablets 02296632 Novopharm
27. Ran-Rabeprazole EC 10mg Tablets 02298074 Ranbaxy
28. Novo-Rabeprazole EC 20mg Tablets 02296640 Novopharm
29. Ran-Rabeprazole EC 20mg Tablets 02298082 Ranbaxy
30. Co Cabergoline 0.5mg Tablets 02301407 Cobalt
31. ratio-Fentanyl 25mcg/hr Patch 02282941 ratiopharm
32. ratio-Fentanyl 50mcg/hr Patch 02282968 ratiopharm
33 ratio-Fentanyl 75mcg/hr Patch 02282976 ratiopharm
34. ratio-Fentanyl 100mcg/hr Patch 02282984 ratiopharm
35. pms-Naproxen 375mg EC Tablets 02294702 Pharmascience
36. pms-Naproxen 500mg EC Tablets 02294710 Pharmascience
37. Ran-Tamsulosin 0.4mg SR Capsules 02294885 Ranbaxy
38. Sandoz Omeprazole 10mg Capsules 02296438 Sandoz
39. Sandoz Omeprazole 20mg Capsules 02296446 Sandoz
40. Sandoz Cefprozil 250mg Tablets 02302179 Sandoz
41. Sandoz Cefprozil 500mg Tablets 02302187 Sandoz
42. pms-Olanzapine 2.5mg Tablets 02303116 Pharmascience
43. pms-Olanzapine 5mg Tablets 02303159 Pharmascience
44. pms-Olanzapine 7.5mg Tablets 02303167 Pharmascience
45. pms-Olanzapine 10mg Tablets 02303175 Pharmascience
46. pms-Olanzapine 15mg Tablets 02303183 Pharmascience
47. Sandoz Cefprozil 125mg/5ml Powder 02303426 Sandoz
for Oral Suspension
48. pms-Sumatriptan 25mg Tablets 02256428 Pharmascience
49. MINT-Ondansetron 4mg Tablets 02305259 MINT Pharmaceuticals
50. MINT-Ondansetron 8mg Tablets 02305267 MINT Pharmaceuticals
51. MINT-Citalopram 20mg Tablets 02304686 MINT Pharmaceuticals
Open Benefit for All Plans and Special Authorization for the Cystic Fibrosis Program: (Please see footnote at bottom referring to definition of All Plans)
52. Apo-Flecainide 50mg Tablets 02275538 Apotex 53 Apo-Flecainide 100mg Tablets 02275546 Apotex 54. Sandoz Metoprolol SR 100mg Tablets 02303396 Sandoz 55. Apo-Metoprolol SR 100mg Tablets 02285169 Apotex 56. Sandoz Metoprolol SR 200mg Tablets 02303418 Sandoz 57. Apo-Metoprolol SR 200mg Tablets 02285177 Apotex 58. Gen-Eti-Cal Carepac 400mg/500mg Tablets 02247323 Genpharm 59. Co Etidrocal 400mg/500mg Tablets 02263866 Cobalt 60. Timolol Maleate-EX 0.25% Ophthalmic Solution 02242275 Pharmascience 61. Timolol Maleate-EX 0.5% Ophthalmic Solution 02242276 Pharmascience 62. pms-Sertraline 25mg Capsules 02244838 Pharmascience 63. pms-Sertraline 50mg Capsules 02244839 Pharmascience 64. pms-Sertraline 100mg Capsules 02244840 Pharmascience 65. Sandoz Sertraline 25mg Capsules 02245159 Sandoz 66. Sandoz Sertraline 50mg Capsules 02245160 Sandoz 67. Sandoz Sertraline 100mg Capsules 02245161 Sandoz 68. ratio Sertraline 25mg Capsules 02245787 ratiopharm 69. ratio Sertraline 50mg Capsules 02245788 ratiopharm 70. ratio Sertraline 100mg Capsules 02245789 ratiopharm 71. Co Sertraline 25mg Capsules 02287390 Cobalt 72. Co Sertraline 50mg Capsules 02287404 Cobalt 73. Co Sertraline 100mg Capsules 02287412 Cobalt 74. Gen-Propafenone 150mg Tablets 02245372 Genpharm 75. Gen-Propafenone 300mg Tablets 02245373 Genpharm 76. pms-Propafenone 150mg Tablets 02294559 Pharmascience 77. pms-Propafenone 300mg Tablets 02294575 Pharmascience 78. Apo-Azathioprine 50mg Tablets 02242907 Apotex 79. MINT-Citalopram 40mg Tablets 02304694 MINT Pharmaceuticals 80. Novo-Morphine 60mg SR Tablets 02302780 Novopharm 81. Apo-Bicalutamide 50mg Tablets 02296063 Apotex 82. Gen-Bicalutamide 50mg Tablets 02302403 Genpharm 83. Co Fluconazole 50mg Tablets 02281260 Cobalt 84. Co Fluconazole 100mg Tablets 02281279 Cobalt 85. pms-Temazepam 15mg Capsules 02273039 Pharmascience 86. pms-Temazepam 30mg Capsules 02273047 Pharmascience 87. Co Venlafaxine 37.5mg XR Capsules 02304317 Cobalt 88. Co Venlafaxine 75mg XR Capsules 02304325 Cobalt 89. Co Venlafaxine 150mg XR Capsules 02304333 Cobalt 90. pms-Venlafaxine 37.5mg XR Capsules 02278545 Pharmascience 91. pms-Venlafaxine 75mg XR Capsules 02278553 Pharmascience 92. pms-Venlafaxine 150mg XR Capsules 02278561 Pharmascience 93. Novo-Citalopram 40mg Tablets 02293226 Novopharm 94. pms-Clindamycin 150mg Capsules 02294826 Pharmascience 95. pms-Clindamycin 300mg Capsules 02294834 Pharmascience 96 pms-Bisoprolol 5mg Tablets 02302632 Pharmascience 97. pms-Bisoprolol 10mg Tablets 02302640 Pharmascience 98. pms-ISMN 60mg Extended ReleaseTablets 02301288 Pharmascience 99. ratio-Lisinopril P 5mg Tablets 02256797 ratiopharm 100 ratio-Lisinopril P 10mg Tablets 02256800 ratiopharm 101 ratio-Lisinopril P 20mg Tablets 02256819 ratiopharm 102 Sandoz Enalapril 2.5mg Tablets 02299933 Sandoz 103 Sandoz Enalapril 5mg Tablets 02299941 Sandoz 104 Sandoz Enalapril 10mg Tablets 02299968 Sandoz 105 Sandoz Enalapril 20mg Tablets 02299976 Sandoz 106 Co Enalapril 2.5mg Tablets 02291878 Cobalt 107 Co Enalapril 5mg Tablets 02291886 Cobalt 108 Co Enalapril 10mg Tablets 02291894 Cobalt 109 Co Enalapril 20mg Tablets 02291908 Cobalt 110 ratio-Enalapril 2.5mg Tablets 02299984 ratiopharm 111 ratio-Enalapril 5mg Tablets 02299992 ratiopharm 112 ratio-Enalapril 10mg Tablets 02300001 ratiopharm 113 ratio-Enalapril 20mg Tablets 02300028 ratiopharm 114 Taro-Enalapril 2.5mg Tablets 02300117 Taro 115 Taro-Enalapril 5mg Tablets 02300125 Taro 116 Taro-Enalapril 10mg Tablets 02300133 Taro 117 Taro-Enalapril 20mg Tablets 02300141 Taro 118. Gen-Enalapril 2.5mg Tablets 02300036 Genpharm 119. Gen-Enalapril 5mg Tablets 02300044 Genpharm 120. Gen-Enalapril 10mg Tablets 02300052 Genpharm 121. Gen-Enalapril 20mg Tablets 02300060 Genpharm 122. pms-Gliclazide 80mg Tablets 02294400 Pharmascience 123. pms-Enalapril 2.5mg Tablets 02300079 Pharmascience 124. pms-Enalapril 5mg Tablets 02300087 Pharmascience 125. pms-Enalapril 10mg Tablets 02300095 Pharmascience 126. pms-Enalapril 20mg Tablets 02300109 Pharmascience 127. Sandoz Lisinopril HCT 10mg/12.5mg Tablets 02302365 Sandoz 128. Sandoz Lisinopril HCT 20mg/12.5mg Tablets 02302373 Sandoz 129. Sandoz Lisinopril HCT 20mg/25mg Tablets 02302381 Sandoz 130. Apo-Ranitidine 15mg/ml Oral Solution 02280833 Apotex 131. Novo-Enalapril 2.5mg Tablets 02300680 Novopharm 132. Novo-Enalapril 5mg Tablets 02233005 Novopharm 133. Novo-Enalapril 10mg Tablets 02233006 Novopharm 134. Novo-Enalapril 20mg Tablets 02233007 Novopharm 135. pms-Hydrochlorothiazide 25mg Tablets 02247386 Pharmascience 136. pms-Hydrochlorothiazide 50mg Tablets 02247387 Pharmascience 137. Ran-Ciproflox 250mg Tablets 02303728 Ranbaxy 138. Ran-Ciproflox 500mg Tablets 02303736 Ranbaxy 139. Ran-Ciproflox 750mg Tablets 02303744 Ranbaxy 140. pms-Minocycline 50mg Capsules 02294419 Pharmascience 141. pms-Minocycline 100mg Capsules 02294427 Pharmascience 142. Novo-Morphine SR 100mg Tablets 02302799 Novopharm 143. pms-Morphine Sulfate SR 100mg Tablets 02245287 Pharmascience 144. Novo-Morphine SR 200mg Tablets 02302802 Novopharm 145. pms-Morphine Sulfate SR 200mg Tablets 02245288 Pharmascience
Footnote: All Plans Refer to Foundation, Assurance, Access and 65 Plus
ECS080522