Bulletin # 836 July 18, 2012 NBPDP Formulary Update Please find attached lists of interchangeable product additions to the New Brunswick Prescription Drug Program Formulary and non-listed products subject to a Maximum Allowable Price (). Existing interchangeable categories New products will be reimbursed at the current category. New interchangeable categories New products, other than the original brand product, will be reimbursed at the new category effective July 18, 2012. The original brand product will be reimbursed at the new category effective August 15, 2012. Prior to August 15, 2012, the original brand product will be reimbursed at a higher, as indicated on the attached interchangeable product additions list. To unsubscribe from the NBPDP emailed announcements, please send a message to info@nbpdp-pmonb.ca. The Updates are available on the NBPDP webpage: http://www.gnb.ca/0212/benefitupdates-e.asp
Amlodipine Besylate Bésylate d'amlodipine Tab Orl 5mg Amlodipine-Odan 2378760 ODN AEFVW 0.5127 10mg Amlodipine-Odan 2378779 ODN AEFVW 0.7610 Bicalutamide Tab Orl 50mg Jamp-Bicalutamide 2357216 JPC AEFVW 2.6500 Bosentan Tab Orl 62.5mg Co-Bosentan 2386194 COB Sandoz Bosentan 2386275 SDZ Spec. Auth. 25.6714 125mg Co-Bosentan 2386208 COB Sandoz Bosentan 2386283 SDZ Spec. Auth. 25.6714 Carvedilol Carvédilol Tab Orl 3.125mg Jamp-Carvedilol 2368897 JPC Spec. Auth 0.8001 6.25mg Jamp-Carvedilol 2368900 JPC Spec. Auth 0.8001 12.5mg Jamp-Carvedilol 2368919 JPC Spec. Auth 0.8001 25mg Jamp-Carvedilol 2368927 JPC Spec. Auth 0.8001 Citalopram Hydrobromide Citalopram (bromhydrate de) Tab Orl 10mg Jamp-Citalopram 2370085 JPC AEFGVW 0.4464 Clopidogrel Bisulfate Clopidogrel (Bisulfate de) Tab Orl 75mg Ran-Clopidogrel 2379813 RAN W & Spec. Auth. 1.0522 Letrozole Létrozole Tab Orl 2.5mg Apo-Letrozole 2358514 APX Jamp-Letrozole 2373009 JPC AEFVW 2.3613 Mirtazapine ODT Orl 15mg GD-Mirtazapine OD 2352826 GMD AEFGVW 0.1607 D.O 30mg GD-Mirtazapine OD 2352834 GMD AEFGVW 0.3213 Page 1 July/Juillet 2012
Mirtazapine ODT Orl 45mg GD-Mirtazapine OD 2352842 GMD AEFGVW 0.4820 D.O Nabilone Cap Orl 0.5mg Teva-Nabilone 2384884 TEV Spec. Auth. 1.2410 Caps. 1mg Teva-Nabilone 2384892 TEV Spec. Auth. 2.4820 Paroxetine Tab Orl 20mg Jamp-Paroxetine 2368870 JPC AEFGVW 0.7222 30mg Jamp-Paroxetine 2368889 JPC AEFGVW 0.7673 Pioglitazone Hydrochloride Pioglitazone (chlorhydrate de) Tab Orl 15mg Ran-Pioglitazone 2375850 RAN Spec. Auth. 0.9513 30mg Ran-Pioglitazone 2375869 RAN Spec. Auth. 1.3328 45mg Ran-Pioglitazone 2375877 RAN Spec. Auth. 2.0040 Rabeprazole Sodium Rabéprazole sodique ECT Orl 10mg Pat-Rabeprazole 2381737 PAT ABEFGVW 0.2675 Ent. 20mg Pat-Rabeprazole 2381745 PAT ABEFGVW 0.5351 Raloxifene Hydrochloride Raloxifene (chlorhydrate de) Tab Orl 60mg Co-Raloxifene 2358840 COB Spec.Auth. 0.8457 Risedronate Sodium Risédronate sodique Tab Orl 35mg Jamp-Risedronate 2368552 JPC Spec.Auth. 4.7200 Sertraline Hydrochloride Sertraline (chlorhydrate de) Cap Orl 25mg Jamp-Sertraline 2357143 JPC AEFGVW 0.3216 Caps 50mg Jamp-Sertraline 2357151 JPC AEFGVW 0.6432 100mg Jamp-Sertraline 2357178 JPC AEFGVW 0.6740 Page 2 July/Juillet 2012
Terbinafine Hydrochloride Terbinafine (chlorhydrate de) Tab Orl 250mg GD-Terbinafine 2352818 GMD Jamp-Terbinafine 2357070 JPC Spec. Auth. 1.8545 Topiramate Tab Orl 25mg GD-Topiramate 2352850 GMD Spec. Auth. 0.5005 100mg GD-Topiramate 2352877 GMD Spec. Auth. 0.9486 200mg GD-Topiramate 2352885 GMD Spec. Auth. 1.4166 Zopiclone Tab Orl 7.5mg Jamp-Zopiclone 2356805 JPC AEFVW 0.2231 Non-Listed Products Subject to Produits ne figurant pas sur la liste assujetis aux Atomoxetine Hydrochloride Atomoxétine (chlorhydrate d') Cap Orl 10mg pms-atomoxetine 2381028 PMS 2.3140 Caps. Sandoz Atomoxetine 2386410 SDZ 18mg pms-atomoxetine 2381036 PMS 2.6522 Sandoz Atomoxetine 2386429 SDZ 25mg pms-atomoxetine 2381044 PMS 2.9281 Sandoz Atomoxetine 2386437 SDZ 40mg pms-atomoxetine 2381052 PMS 3.3375 Sandoz Atomoxetine 2386445 SDZ 60mg pms-atomoxetine 2381060 PMS 3.7024 Sandoz Atomoxetine 2386453 SDZ 80mg Sandoz Atomoxetine 2386461 SDZ 3.9961 100mg Sandoz Atomoxetine 2386488 SDZ 4.3521 Page 3 July/Juillet 2012
Non-Listed Products Subject to Produits ne figurant pas sur la liste assujetis aux Lamivudine / Zidovudine Tab Orl 150mg/300mg Combivir 2239213 VIV 11.2765 Apo-Lamivudine-Zidovudine 2375540 APX 7.8309 Paroxetine Tab Orl 10mg Jamp-Paroxetine 2368862 JPC 1.0430 Tramadol Hydrochloride / Acetaminophen Tramadol (chlorhydrate de)/acétaminophène Tab Orl 37.5mg/325mg Co-Tramadol/Acet 2383209 COB 0.6264 Page 4 July/Juillet 2012