Health Canada
Symbol of the Government of Canada
First Nations, Inuit and Aboriginal Health

Drug Benefit List - April 2009

28:00 CENTRAL NERVOUS SYSTEM AGENTS

28:08.04 NONSTEROIDAL ANTI-INFLAMMATORY AGENTS

ACETYLSALICYLIC ACID

80MG Chewable Tablet
02009013 ASAPHEN PMS
02269139 JAMP-ASA JMP
02202352 RIVASA RIV
80MG Delayed Release Tablet
02283905 ACETYLSALICYLIC ACID JAP
02238545 ASAPHEN EC PMS
162MG Delayed Release Tablet
02247550 ASAPHEN EC PMS
325MG Delayed Release Tablet
02284529 PMS-ASA EC PMS
650MG Delayed Release Tablet
02284537 PMS-ASA EC PMS
81MG Enteric Coated Tablet
02243101 ASA PMS
02244993 ASA PMS
02237726 ASPIRIN BCD
02242281 ENTROPHEN EC PED
325MG Enteric Coated Tablet
02010526 ASA VTH
00510696 APO-ASEN ECT APX
02150417 ASPIRIN BCD
02050161 ENTROPHEN WAM
00010332 ENTROPHEN-5 WAM
00216666 NOVASEN NOP
02285371 PMS-ASA EC PMS
650MG Enteric Coated Tablet
00472476 ASA APX
00794244 ASA WSB
02046261 ASA FRS
01905392 ENTROPHEN-10 FRS
00229296 NOVASEN NOP
150MG Suppository
00785547 PMS-ASA PMS
650MG Suppository
00582867 ASA JNO
80MG Tablet
02150352 ASPIRIN BCD
02250675 EURO-ASA EUR
02311496 PRO-ASA 80MG EC TAB PRO
02311518 PRO-ASA 80MG TAB PRO
02202360 RIVASA RIV
325MG Tablet
00472468 APO-ASA APX
00036145 ASA PED
00230324 ASA NOP
00530336 ASA VTH *
02150328 ASPIRIN BCD

CELECOXIB

Limited use benefit (prior approval required).

For patients with osteoarthritis who have failed therapy with acetaminophen and who:

  1. have failed to achieve adequate response with 2 other listed NSAIDs, or
  2. have experienced an adverse event attributable to 2 other listed NSAIDs, or
  3. have a history of a serious gastrointestinal complication such as bleeding or perforation.

For patients with rheumatoid arthritis who:

  1. have failed to achieve adequate response with 2 other listed NSAIDs, or
  2. have experienced an adverse event attributable to 2 other listed NSAIDs, or
  3. have a history of a serious gastrointestinal complication such as bleeding or perforation.
100MG Capsule
02239941 CELEBREX PFI
200MG Capsule
02239942 CELEBREX PFI

DICLOFENAC SODIUM

25MG Delayed Release Tablet
02302616 PMS-DICLOFENAC 25MG DR PMS
50MG Delayed Release Tablet
02302624 PMS-DICLOFENAC 50MG DR PMS
25MG Enteric Coated Tablet
00839175 APO-DICLO APX
00870951 DICLOFENAC-25 PDL
02231662 DOM-DICLOFENAC DPC
00808539 NOVO-DIFENAC NOP
00886017 NU-DICLO NXP
02231502 PMS-DICLOFENAC PMS
02261952 SANDOZ-DICLOFENAC SDZ
50MG Enteric Coated Tablet
00839183 APO-DICLO APX
00870978 DICLOFENAC-50 PDL
02231663 DOM-DICLOFENAC DPC
00808547 NOVO-DIFENAC NOP
00886025 NU-DICLO NXP
02231503 PMS-DICLOFENAC PMS
02261960 SANDOZ-DICLOFENAC SDZ
00514012 VOLTAREN NVR
50MG Suppository
02231506 PMS-DICLOFENAC PMS
02241224 SAB-DICLOFENAC SIL
02261928 SANDOZ-DICLOFENAC SDZ
00632724 VOLTAREN NVR
100MG Suppository
02231508 PMS-DICLOFENAC PMS
02241225 SAB-DICLOFENAC SIL
02261936 SANDOZ-DICLOFENAC SDZ
00632732 VOLTAREN NVR
75MG Sustained Release Tablet
02162814 APO-DICLO SR APX
02224119 DICLOFENAC-SR PDL
02231664 DOM-DICLOFENAC SR DPC
02158582 NOVO-DIFENAC SR NOP
02228203 NU-DICLO SR NXP
02231504 PMS-DICLOFENAC SR PMS
02261901 SANDOZ-DICLOFENAC SR SDZ
00782459 VOLTAREN SR NVR
100MG Sustained Release Tablet
02091194 APO-DICLO SR APX
02224127 DICLOFENAC-SR PDL
02231665 DOM-DICLOFENAC SR DPC
02048698 NOVO-DIFENAC SR NOP
02228211 NU-DICLO SR NXP
02231505 PMS-DICLOFENAC SR PMS
02261944 SANDOZ-DICLOFENAC SR SDZ
00590827 VOLTAREN SR NVR

DICLOFENAC SODIUM, MISOPROSTOL

50MG & 200MCG Tablet
01917056 ARTHROTEC PFI
75MG & 200MCG Tablet
02229837 ARTHROTEC PFI

DIFLUNISAL

250MG Tablet
02039486 APO-DIFLUNISAL APX
02048493 NOVO-DIFLUNISAL NOP
500MG Tablet
02039494 APO-DIFLUNISAL APX
02058413 NU-DIFLUNISAL NXP

FLURBIPROFEN

200MG Sustained Release Capsule
02223082 FROBEN SR ABB
50MG Tablet
00647942 ANSAID PFI
01912046 APO-FLURBIPROFEN APX
01947729 FLURBIPROFEN PRO
02223066 FROBEN ABB
02100509 NOVO-FLURPROFEN NOP
02020661 NU-FLURBIPROFEN NXP
100MG Tablet
00600792 ANSAID PFI
01912038 APO-FLURBIPROFEN APX
01947737 FLURBIPROFEN PRO
02223074 FROBEN ABB
02100517 NOVO-FLURPROFEN NOP
02020688 NU-FLURBIPROFEN NXP

IBUPROFEN

200MG Capsule
02241769 ADVIL LIQUI-GEL WRI
400MG Capsule
02248231 ADVIL LIQUI-GEL WYE
100MG Chewable Tablet
02246403 ADVIL JUNIOR STRENGTH WRI
40MG/ML Drop
02242522 ADVIL PEDIATRIC WRI
02238626 CHILDREN'S MOTRIN MCL
20MG/ML Oral Liquid
02232297 CHILDREN'S ADVIL WRI
02242365 CHILDREN'S MOTRIN JNO
100MG Tablet
02240527 MOTRIN JUNIOR STRENGTH MCL
200MG Tablet
01933558 ADVIL WRI
00441643 APO-IBUPROFEN APX
00636517 IBUPROFEN PDL
02238004 IBUPROFEN VTH
02257912 IBUPROFEN PMT
02272849 IBUPROFEN VTH
02186934 MOTRIN MCL
300MG Tablet
00441651 APO-IBUPROFEN APX
00636525 IBUPROFEN PDL
02020696 NU-IBUPROFEN NXP
400MG Tablet
00506052 APO-IBUPROFEN APX
00636533 IBUPROFEN PDL
02020718 NU-IBUPROFEN NXP
00836133 PMS-IBUPROFEN PMS
600MG Tablet
00585114 APO-IBUPROFEN APX
00658804 IBUPROFEN PDL
00629359 NOVO-PROFEN NOP
02020726 NU-IBUPROFEN NXP
00839264 PMS-IBUPROFEN PMS

INDOMETHACIN

25MG Capsule
00611158 APO-INDOMETHACIN APX
00337420 NOVO-METHACIN NOP
00865850 NU-INDO NXP
00646261 PRO-INDO PDL
50MG Capsule
00611166 APO-INDOMETHACIN APX
00337439 NOVO-METHACIN NOP
00865869 NU-INDO NXP
00646288 PRO-INDO PDL
50MG Suppository
02231799 SANDOZ INDOMETHACIN SDZ
100MG Suppository
02176149 NOVO-METHACIN NOP
01934139 RATIO-INDOMETHACIN RPH
02231800 SANDOZ INDOMETHACIN SDZ

KETOPROFEN

50MG Capsule
00790427 APO-KETO APX
02044633 NU-KETOPROFEN NXP
02150808 PMS-KETOPROFEN PMS
50MG Enteric Coated Tablet
00790435 APO KETO-E APX
02150816 PMS-KETOPROFEN PMS
100MG Enteric Coated Tablet
00842664 APO-KETO-E APX
01981536 NOVO-KETO-EC NOP
02150824 PMS-KETOPROFEN PMS
50MG Suppository
02148773 PMS-KETOPROFEN PMS
100MG Suppository
02156083 NOVO-KETO NOP
02015951 PMS-KETOPROFEN PMS
200MG Sustained Release Tablet
02172577 APO-KETO SR APX
02210487 KETOPROFEN-SR PDL

MEFENAMIC ACID

250MG Capsule
02229452 APO-MEFENAMIC APX
02237826 DOM-MEFENAMIC ACID DPC
02230408 MEFENAMIC PDL
02229569 NU-MEFENAMIC NXP
02231208 PMS-MEFENAMIC PMS

MELOXICAM

Limited use benefit (prior approval required).

For patients with osteoarthritis who have failed therapy with acetaminophen and who:

  1. have failed to achieve adequate response with 2 other listed NSAIDs, or
  2. have experienced an adverse event attributable to 2 other listed NSAIDs, or
  3. have a history of a serious gastrointestinal complication such as bleeding or perforation.

For patients with rheumatoid arthritis who:

  1. have failed to achieve adequate response with 2 other listed NSAIDs, or
  2. have experienced an adverse event attributable to 2 other listed NSAIDs, or
  3. have a history of a serious gastrointestinal complication such as bleeding or perforation.
7.5MG Tablet
02248973 APO-MELOXICAM APX
02250012 CO-MELOXICAM COB
02248605 DOM-MELOXICAM DPC
02255987 GEN-MELOXICAM GEN
02242785 MOBICOX BOE
02258315 NOVO-MELOXICAM NOP
02248607 PHL-MELOXICAM PHH
02248267 PMS-MELOXICAM PMS
02247889 RATIO-MELOXICAM RPH
15MG Tablet
02248974 APO-MELOXICAM APX
02250020 CO-MELOXICAM COB
02248606 DOM-MELOXICAM DPC
02255995 GEN-MELOXICAM GEN
02242786 MOBICOX BOE
02258323 NOVO-MELOXICAM NOP
02248608 PHL-MELOXICAM PHH
02248268 PMS-MELOXICAM PMS
02248031 RATIO-MELOXICAM RPH

NAPROXEN

250MG Enteric Coated Tablet
02246699 APO-NAPROXEN EC APX
02162792 NAPROSYN E HLR
02243312 NOVO-NAPROX NOP
375MG Enteric Coated Tablet
02246700 APO-NAPROXEN EC APX
02162415 NAPROSYN E HLR
02243313 NOVO-NAPROX NOP
02294702 PMS-NAPROXEN EC PMS
500MG Enteric Coated Tablet
02246701 APO-NAPROXEN EC APX
02241024 GEN-NAPROXEN EC GEN
02162423 NAPROSYN E HLR
02243314 NOVO-NAPROX NOP
02294710 PMS-NAPROXEN EC PMS
02310953 PRO-NAPROXEN EC PDL
500MG Suppository
02230477 NAPROXEN SAB
25MG/ML Suspension
02162431 NAPROSYN HLR
750MG Sustained Release Tablet
02162466 NAPROSYN SR HLR
125MG Tablet
00522678 APO-NAPROXEN APX
00590754 NAPROXEN PDL
00865621 NU-NAPROX NXP
250MG Tablet
00522651 APO-NAPROXEN APX
00590762 NAPROXEN PDL
00565350 NOVO-NAPROX NOP
00865648 NU-NAPROX NXP
00615315 RATIO-NAPROXEN RPH
02240786 RIVA-NAPROXEN RIV
375MG Tablet
00600806 APO-NAPROXEN APX
02243432 GEN-NAPROXEN GEN
00655686 NAPROXEN PDL
00627097 NOVO-NAPROX NOP
00865656 NU-NAPROX NXP
00615323 RATIO-NAPROXEN RPH
02240787 RIVA-NAPROXEN RIV
500MG Tablet
00592277 APO-NAPROXEN APX
00618721 NAPROXEN PDL
00589861 NOVO-NAPROX NOP
00865664 NU-NAPROX NXP
00615331 RATIO-NAPROXEN RPH
02240788 RIVA-NAPROXEN RIV

NAPROXEN SODIUM

275MG Tablet
02162725 ANAPROX HLR
00784354 APO-NAPRO NA APX
00887056 NAPROXEN NA PDL
00778389 NOVO-NAPROX SODIUM NOP
550MG Tablet
02162717 ANAPROX DS HLR
01940309 APO-NAPRO NA DS APX
02153386 NAPROXEN-NA DF PDL
02026600 NOVO-NAPROX SODIUM DS NOP
02240828 RIVA-NAPROXEN SODIUM RIV

PIROXICAM

10MG Capsule
00642886 APO-PIROXICAM APX
02171813 GEN-PIROXICAM GEN
00865761 NU-PIROX NXP
00658839 PIROXICAM PDL
00836249 PMS-PIROXICAM PMS
20MG Capsule
00642894 APO-PIROXICAM APX
02239536 DOM-PIROXICAM DPC
02171821 GEN-PIROXICAM GEN
00865788 NU-PIROX NXP
00658820 PIROXICAM PDL
00836230 PMS-PIROXICAM PMS
10MG Suppository
02154420 PMS-PIROXICAM PMS
20MG Suppository
02154463 PMS-PIROXICAM PMS
10MG Tablet
00695718 NOVO-PIROCAM NOP
20MG Tablet
00695696 NOVO-PIROCAM NOP

SULINDAC

150MG Tablet
00778354 APO-SULIN APX
00745588 NOVO-SUNDAC NOP
02042576 NU-SULINDAC NXP
00808628 SULINDAC PDL
200MG Tablet
00778362 APO-SULIN APX
00745596 NOVO-SUNDAC NOP
02042584 NU-SULINDAC NXP
02239164 PENTA-SULINDAC PEN
00808636 SULINDAC PDL

TIAPROFENIC ACID

200MG Tablet
02179679 NOVO-TIAPROFENIC NOP
02231249 PENTA-TIAPROFENIC PEN
02230827 PMS-TIAPROFENIC PMS
300MG Tablet
02136120 APO-TIAPROFENIC APX
02231060 DOM-TIAPROFENIC DPC
02179687 NOVO-TIAPROFENIC NOP
02146886 NU-TIAPROFENIC NXP
02231250 PENTA-TIAPROFENIC PEN
02230828 PMS-TIAPROFENIC PMS
02145014 TIAPROFENIC PDL

28:08.08 OPIATE AGONISTS

ACETAMINOPHEN, CAFFEINE CITRATE, CODEINE PHOSPHATE

300MG & 30MG & 15MG Tablet
00293504 ATASOL-15 HOR
02232388 EXDOL-15 PED
300MG & 30MG & 30MG Tablet
00293512 ATASOL-30 HOR
02232389 EXDOL-30 PED

ACETAMINOPHEN, CAFFEINE, CODEINE PHOSPHATE

300MG & 15MG & 15MG Tablet
00706515 PMS-ACET 2 PMS
00653241 RATIO-LENOLTEC NO.2 RPH
02163934 TYLENOL WITH CODEINE NO.2 JNO
300MG & 15MG & 30MG Tablet
00653276 RATIO-LENOLTEC NO.3 RPH
02163926 TYLENOL WITH CODEINE NO.3 JNO

ACETAMINOPHEN, CODEINE PHOSPHATE

32MG & 1.6MG/ML Elixir
00816027 PMS-ACETAMINOPHEN WITH CODEINE PMS
02163942 TYLENOL WITH CODEINE JNO
300MG & 30MG Tablet
01999648 ACET CODEINE 30 PMS
00608882 RATIO-EMTEC-30 RPH
00789828 TRIATEC-30 TRI
300MG & 60MG Tablet
00621463 LENOLTEC NO.4 RPH
02163918 TYLENOL WITH CODEINE NO.4 JNO

ACETAMINOPHEN, OXYCODONE HCL

325MG & 2.5MG Tablet
01916491 PERCOCET DEMI BMS
325MG & 5MG Tablet
01916548 ENDOCET EDM
02307898 NOVO-OXYCODONE ACET NOP
01916475 PERCOCET BMS
02245758 PMS-OXYCODONE ACETAMINOPHEN PMS
00608165 RATIO-OXYCOCET RPH
02242468 RIVACOCET RIV

ACETYLSALICYLIC ACID, CAFFEINE CITRATE, CODEINE PHOSPHATE

375MG & 30MG & 15MG Tablet
02234510 282 PED
375MG & 30MG & 30MG Tablet
02238645 292 PED

ACETYLSALICYLIC ACID, OXYCODONE HCL

325MG & 5MG Tablet
01916572 PERCODAN BMS
00608157 RATIO-OXYCODAN RPH

CODEINE MONOHYDRATE, CODEINE SULFATE TRIHYDRATE

Limited use benefit (prior approval required).

For treatment of:

  1. chronic pain and palliative care patients as an alternative to products containing codeine in combination with acetaminophen or ASA with or without caffeine, or
  2. chronic pain and palliative care patients as an alternative to regular release codeine tablets when large doses are required.
50MG Long Acting Tablet
02230302 CODEINE CONTIN CR PFR
100MG Long Acting Tablet
02163748 CODEINE CONTIN CR PFR
150MG Long Acting Tablet
02163780 CODEINE CONTIN CR PFR
200MG Long Acting Tablet
02163799 CODEINE CONTIN CR PFR

CODEINE PHOSPHATE

30MG/ML Injection
00544884 CODEINE SDZ *
00497282 CODEINE PHOSPHATE ABB *
60MG/ML Injection
00497290 CODEINE PHOSPHATE ABB *
2MG/ML Liquid
00380571 LINCTUS CODEINE ATL
5MG/ML Syrup
00050024 CODEINE PHOSPHATE ATL
00779474 RATIO-CODEINE RPH
15MG Tablet
00779458 CODEINE RPH
02009889 CODEINE RIV
02243978 PMS-CODEINE PMS
00593435 RATIO-CODEINE RPH
30MG Tablet
02009757 CODEINE RIV
00593451 CODEINE PHOSPHATE RPH
02243979 PMS-CODEINE PMS

FENTANYL

Limited use benefit (prior approval required).

For the management of chronic pain in patients who are unresponsive or intolerant to at least one long-acting oral sustained released product, such as morphine, hydromorphone and oxycodone, despite appropriate dose titration and adjunctive therapy including laxatives and antiemetics.

12MCG/H Patch
02280345 DURAGESIC 12 JNO
02311925 RATIO-FENTANYL TRANSDERMAL SYSTEM RPH
25MCG/H Patch
01937383 DURAGESIC 25 JNO
02249391 RAN-FENTANYL TRANSDERMAL SYSTEM RBY
02282941 RATIO-FENTANYL TRANSDERMAL SYSTEM RPH
50MCG/H Patch
01937391 DURAGESIC 50 JNO
02249413 RAN-FENTANYL TRANSDERMAL SYSTEM RBY
02282968 RATIO-FENTANYL TRANSDERMAL SYSTEM RPH
75MCG/H Patch
01937405 DURAGESIC 75 JNO
02249421 RAN-FENTANYL TRANSDERMAL SYSTEM RBY
02282976 RATIO-FENTANYL TRANSDERMAL SYSTEM RPH
100MCG/H Patch
01937413 DURAGESIC 100 JNO
02249448 RAN-FENTANYL TRANSDERMAL SYSTEM RBY
02282984 RATIO-FENTANYL TRANSDERMAL SYSTEM RPH

HYDROMORPHONE HCL

Limited use benefit. Prior approval required for controlled release capsules only. Regular release dosage forms are full benefits and do not require prior approval.

For treatment of moderate to severe chronic pain when other opioids such as morphine have been ineffective in controlling pain or in patients experiencing intolerable side effects.

3MG Controlled Release Capsule
02125323 HYDROMORPH CONTIN PFR
6MG Controlled Release Capsule
02125331 HYDROMORPH CONTIN PFR
12MG Controlled Release Capsule
02125366 HYDROMORPH CONTIN PFR
18MG Controlled Release Capsule
02243562 HYDROMORPH CONTIN PFR
24MG Controlled Release Capsule
02125382 HYDROMORPH CONTIN PFR
30MG Controlled Release Capsule
02125390 HYDROMORPH CONTIN PFR
2MG/ML Injection
00627100 DILAUDID ABB
02145901 HYDROMORPHONE SDZ
10MG/ML Injection
00622133 DILAUDID HP ABB
02145928 HYDROMORPHONE HP 10 SDZ
20MG/ML Injection
02146118 DILAUDID HP PLUS ABB
02145936 HYDROMORPHONE HP 20 SDZ
50MG/ML Injection
02145863 DILAUDID XP ABB
02146126 HYDROMORPHONE HP 50 SDZ
99003163 HYDROMORPHONE HP 50 SIL
1MG/ML Oral Liquid
00786535 DILAUDID ABB
01916386 PMS-HYDROMORPHONE PMS
3MG Suppository
00125105 DILAUDID ABB
01916394 PMS-HYDROMORPHONE PMS
1MG Tablet
00705438 DILAUDID ABB
02192101 PHL-HYDROMORPHONE PHH
00885444 PMS-HYDROMORPHONE PMS
2MG Tablet
00125083 DILAUDID ABB
02249928 PHL-HYDROMORPHONE PHH
00885436 PMS-HYDROMORPHONE PMS
4MG Tablet
00125121 DILAUDID ABB
02249936 PHL-HYDROMORPHONE PHH
00885401 PMS-HYDROMORPHONE PMS
8MG Tablet
00786543 DILAUDID ABB
02192144 PHL-HYDROMORPHONE PHH
00885428 PMS-HYDROMORPHONE PMS

MEPERIDINE HCL

Limited use benefit (prior approval not required).

Limited to 2 weeks supply for acute pain. Coverage will be limited to 60 tablets per one month period.

25MG/ML Injection
00497444 PETHIDINE ABB *
50MG/ML Injection
02242003 DEMEROL ABB
00725765 MEPERIDINE SDZ
00497452 PETHIDINE ABB
75MG/ML Injection
02242004 DEMEROL ABB
00725757 MEPERIDINE SDZ
00497460 PETHIDINE ABB *
100MG/ML Injection
02242005 DEMEROL ABB
00725749 MEPERIDINE SDZ
00497479 PETHIDINE ABB
50MG Tablet
02138018 DEMEROL SAC

MORPHINE HCL

30MG Sustained Release Tablet
00776181 M.O.S. SR VAE
60MG Sustained Release Tablet
00776203 M.O.S. SR VAE
1MG/ML Syrup
00614491 DOLORAL 1 ATL
00607762 RATIO-MORPHINE RPH
5MG/ML Syrup
00614505 DOLORAL 5 ATL
00607770 RATIO-MORPHINE RPH
10MG/ML Syrup
00632503 M.O.S. 10 VAE
00690783 RATIO-MORPHINE RPH
20MG/ML Syrup
00632481 M.O.S. 20 VAE
00690791 RATIO-MORPHINE RPH
50MG/ML Syrup
00690236 M.O.S. 50 VAE
10MG Tablet
00690198 M.O.S. 10 VAE
20MG Tablet
00690201 M.O.S. 20 VAE
40MG Tablet
00690228 M.O.S. 40 VAE
60MG Tablet
00690244 M.O.S. 60 VAE

MORPHINE SULFATE

20MG/ML Drop
00621935 STATEX PMS
50MG/ML Drop
00705799 STATEX PMS
0.5MG/ML Injection
02021056 MORPHINE LP SDZ
01949047 MORPHINE SULFATE ABB
1MG/ML Injection
02021048 MORPHINE LP SIL *
01949055 MORPHINE SULFATE ABB
01980696 MORPHINE SULFATE SDZ
2MG/ML Injection
02242484 MORPHINE SULFATE SDZ
00850314 MORPHINE SULFATE ABB
01964437 MORPHINE SULFATE SDZ
5MG/ML Injection
01964429 MORPHINE SULFATE SDZ
10MG/ML Injection
00392588 MORPHINE SULFATE SDZ
00850322 MORPHINE SULFATE ABB
15MG/ML Injection
00392561 MORPHINE SULFATE SDZ
25MG/ML Injection
00676411 MORPHINE HP 25 SDZ
50MG/ML Injection
00617288 MORPHINE HP 50 SDZ
02137267 MORPHINE SULFATE FAU
5MG Suppository
00632228 STATEX PMS
10MG Suppository
00632201 STATEX PMS
20MG Suppository
00596965 STATEX PMS
10MG Sustained Release Capsule
02242163 KADIAN MAY
02019930 M-ESLON SAC
15MG Sustained Release Capsule
02177749 M-ESLON SAC
20MG Sustained Release Capsule
02184435 KADIAN SR MAY
30MG Sustained Release Capsule
02019949 M-ESLON SR SAC
50MG Sustained Release Capsule
02184443 KADIAN SR MAY
60MG Sustained Release Capsule
02019957 M-ESLON SR SAC
100MG Sustained Release Capsule
02184451 KADIAN SR MAY
02019965 M-ESLON SR SAC
200MG Sustained Release Capsule
02177757 M-ESLON SR SAC
15MG Sustained Release Tablet
02015439 MS CONTIN SR PFR
02302764 NOVO-MORPHINE SR NOP
02245284 PMS-MORPHINE SULFATE PMS
02244790 RATIO-MORPHINE SULFATE SR RPH
30MG Sustained Release Tablet
02014297 MS CONTIN SR PFR
02302772 NOVO-MORPHINE SR NOP
02245285 PMS-MORPHINE SULFATE PMS
02244791 RATIO-MORPHINE SULFATE SR RPH
60MG Sustained Release Tablet
02014300 MS CONTIN SR PFR
02302780 NOVO-MORPHINE SR NOP
02245286 PMS-MORPHINE SULFATE PMS
02244792 RATIO-MORPHINE SULFATE SR RPH
100MG Sustained Release Tablet
02014319 MS CONTIN SR PFR
02302799 NOVO-MORPHINE SR NOP
02245287 PMS-MORPHINE SR PMS
200MG Sustained Release Tablet
02014327 MS CONTIN SR PFR
02302802 NOVO-MORPHINE SR NOP
02245288 PMS-MORPHINE SR PMS
1MG/ML Syrup
00591467 STATEX PMS
5MG/ML Syrup
00591475 STATEX PMS
10MG/ML Syrup
00647217 STATEX PMS
5MG Tablet
02009773 M.O.S. SULFATE VAE
02014203 MS IR PFR
00594652 STATEX PMS
10MG Tablet
02009765 M.O.S. SULFATE VAE
02014211 MS IR PFR
00594644 STATEX PMS
20MG Tablet
02014238 MS IR PFR
25MG Tablet
02009749 M.O.S. SULFATE VAE
00594636 STATEX PMS
30MG Tablet
02014254 MS IR PFR
50MG Tablet
02009706 M.O.S. SULFATE VAE
00675962 STATEX PMS
100mg Sustained Release Tablet
02245287 PMS-MORPHINE SR PMS
200mg Sustained Release Tablet
02245288 PMS-MORPHINE SR PMS

OXYCODONE HCL

Limited use benefit. Prior approval required for controlled release tablets only. Regular release dosage forms are full benefits and do not require prior approval.

For treatment of moderate to severe chronic pain when other opioids such as morphine have been ineffective in controlling pain or in patients experiencing intolerable side effects.

5MG Controlled Release Tablet
02258129 OXYCONTIN PFR
10MG Controlled Release Tablet
02202441 OXYCONTIN PFR
20MG Controlled Release Tablet
02202468 OXYCONTIN PFR
40MG Controlled Release Tablet
02202476 OXYCONTIN PFR
80MG Controlled Release Tablet
02202484 OXYCONTIN PFR
10MG Suppository
00392480 SUPEUDOL SIL
20MG Suppository
00392472 SUPEUDOL SIL
5MG Tablet
02231934 OXY-IR PFR
02319977 PMS-OXYCODONE PMS
00789739 SUPEUDOL SDZ
10MG Tablet
02240131 OXY-IR PFR
02319985 PMS-OXYCODONE PMS
00443948 SUPEUDOL SDZ
20MG Tablet
02240132 OXY-IR PFR
02319993 PMS-OXYCODONE PMS
02262983 SUPEUDOL SDZ

28:08.12 OPIATE PARTIAL AGONISTS

PENTAZOCINE HCL

50MG Tablet
02137984 TALWIN SAC

PENTAZOCINE LACTATE

30MG/ML Injection
02241976 TALWIN ABB

28:08.92 MISCELLANEOUS ANALGESICS AND ANTIPYRETICS

ACETAMINOPHEN

80MG Chewable Tablet
02129957 ACETAMIN CHILD WTR
01905856 ACETAMINOPHEN TRI
02017458 ACETAMINOPHEN RIV
02015676 CHILDREN'S ACETAMINOPHEN TAN
02263815 PEDIAPHEN CHEWABLE EUR
160MG Chewable Tablet
02017431 ACETAMINOPHEN RIV
02231011 FEVERHALT PED
02263823 PEDIAPHEN CHEWABLE EUR
02230934 TANTAPHEN GRAPE TAN
00876038 TEMPRA CHILDREN MJO
80MG/ML Drop
01904140 ACETAMINOPHEN TAN
01905864 ACETAMINOPHEN TRI
00631353 ATASOL HOR
02230787 FEVERHALT PED
02263793 PEDIAPHEN EUR
02027801 PEDIATRIX RPH
00887587 PMS-ACETAMINOPHEN PMS
00875988 TEMPRA MJO
02046059 TYLENOL GRAPE MCL
16MG/ML Liquid
01905848 ACETAMINOPHEN TRI
02263807 PEDIAPHEN EUR
00792713 PMS-ACETAMINOPHEN PMS
01934805 ROBIGESIC WRI *
00884553 TEMPRA MJO
32MG/ML Liquid
01958836 ACETAMINOPHEN TRI
01901389 ACETAMINOPHEN JAP
02263831 PEDIAPHEN EUR
02027798 PEDIATRIX RPH
00792691 PMS-ACETAMINOPHEN PMS
00875996 TEMPRA DOUBLE STRENGTH MJO
02046040 TYLENOL MCL
120MG Suppository
01919385 ABENOL PED
02230434 ACET 120 PMS
02046660 PMS-ACETAMINOPHEN PMS
160MG Suppository
02230435 ACET PMS
325MG Suppository
01919393 ABENOL PED
02230436 ACET 325 PMS
02046687 PMS-ACETAMINOPHEN PMS
650MG Suppository
01919407 ABENOL PED
02230437 ACET 650 PMS
02046695 PMS-ACETAMINOPHEN PMS
80MG Tablet
02238295 CHILDREN'S TYLENOL SOFT CHEWS JNO
160MG Tablet
02142805 ACETAMINOPHEN WTR
02021420 CEPHANOL RIV
02241361 TYLENOL JUNIOR STRENGTH JNO
325MG Tablet
00374148 ACETAMINOPHEN WAM
00382752 ACETAMINOPHEN PRO
00589241 ACETAMINOPHEN PMS
00605751 ACETAMINOPHEN VTH *
00743542 ACETAMINOPHEN PMT
00789801 ACETAMINOPHEN TRI
01938088 ACETAMINOPHEN JMP
02022214 ACETAMINOPHEN RIV
02229873 APO-ACETAMINOPHEN APX
00544981 APO-ACETAMINOPHEN APX
00293482 ATASOL HOR
00389218 NOVO-GESIC NOP
00891177 PMS-ACETAMINOPHEN PMS *
00559393 TYLENOL MCL
00723894 TYLENOL MCL
500MG Tablet
00386626 ACETAMINOPHEN PDL
02252813 ACETAMINOPHEN PMT
02255251 ACETAMINOPHEN PMT
00549703 ACETAMINOPHEN PMT
00567663 ACETAMINOPHEN PED
00589233 ACETAMINOPHEN PMS
00605778 ACETAMINOPHEN VTH
00789798 ACETAMINOPHEN TRI
01939122 ACETAMINOPHEN JMP
02022222 ACETAMINOPHEN RIV
02229977 APO-ACETAMINOPHEN APX
00545007 APO-ACETAMINOPHEN APX
00013668 ATASOL FORTE HOR
00482323 NOVO-GESIC NOP
00892505 PMS-ACETAMINOPHEN PMS
01962353 TANTAPHEN TAN
00863270 TYLENOL MCL
00559407 TYLENOL EXTRA STRENGTH MCL
00723908 TYLENOL EXTRA STRENGTH MCL

FLOCTAFENINE

200MG Tablet
02244680 APO-FLOCTAFENINE APX
400MG Tablet
02244681 APO-FLOCTAFENINE APX

28:12.04 ANTICONVULSANTS - BARBITURATES

PHENOBARBITAL

5MG/ML Liquid
00645575 PMS-PHENOBARBITAL PMS
15MG Tablet
00178799 PHENOBARBITAL PMS
30MG Tablet
00178802 PHENOBARBITAL PMS
60MG Tablet
00178810 PHENOBARBITAL PMS
100MG Tablet
00178829 PHENOBARBITAL PMS

PRIMIDONE

125MG Tablet
00399310 APO-PRIMIDONE APX
250MG Tablet
00396761 APO-PRIMIDONE APX

28:12.08 ANTICONVULSANTS - BENZODIAZEPINES

CLONAZEPAM

0.25MG Tablet
02179660 PMS-CLONAZEPAM PMS
0.5MG Tablet
02177889 APO-CLONAZEPAM APX
02230366 CLONAPAM VAE
02220598 CLONAZEPAM PDL
02270641 CO-CLONAZEPAM COB
02130998 DOM-CLONAZEPAM DPC
02224100 DOM-CLONAZEPAM-R DPC
02230950 GEN-CLONAZEPAM GEN
02237277 MED-CLONAZEPAM MEC
02239024 NOVO-CLONAZEPAM NOP
02173344 NU-CLONAZEPAM NXP
02145227 PHL-CLONAZEPAM PHH
02048701 PMS-CLONAZEPAM PMS
02207818 PMS-CLONAZEPAM R PMS
02311593 PRO-CLONAZEPAM PDL
02103656 RATIO-CLONAZEPAM RPH
02242077 RIVA-CLONAZEPAM RIV
00382825 RIVOTRIL HLR
02233960 SANDOZ-CLONAZEPAM SDZ
02303310 ZYM-CLONAZEPAM ZYM
1MG Tablet
02230368 CLONAPAM VAE
02270668 CO-CLONAZEPAM COB
02145235 PHL-CLONAZEPAM PHH
02048728 PMS-CLONAZEPAM PMS
02311607 PRO-CLONAZEPAM PDL
02233982 SANDOZ-CLONAZEPAM SDZ
02303329 ZYM-CLONAZEPAM ZYM
2MG Tablet
02177897 APO-CLONAZEPAM APX
02230369 CLONAPAM VAE
02220601 CLONAZEPAM PDL
02270676 CO-CLONAZEPAM COB
02131013 DOM-CLONAZEPAM DPC
02230951 GEN-CLONAZEPAM GEN
02237278 MED-CLONAZEPAM MEC
02239025 NOVO-CLONAZEPAM NOP
02173352 NU-CLONAZEPAM NXP
02145243 PHL-CLONAZEPAM PHH
02048736 PMS-CLONAZEPAM PMS
02311615 PRO-CLONAZEPAM PDL
02103737 RATIO-CLONAZEPAM RPH
02242078 RIVA-CLONAZEPAM RIV
00382841 RIVOTRIL HLR
02233985 SANDOZ-CLONAZEPAM SDZ
02303337 ZYM-CLONAZEPAM ZYM

28:12.12 ANTICONVULSANTS - HYDANTOINS

PHENYTOIN

30MG Capsule
00022772 DILANTIN PFI
100MG Capsule
00022780 DILANTIN PFI
50MG Chewable Tablet
00023698 DILANTIN INFATABS PFI
6MG/ML Suspension
00023442 DILANTIN 30 PFI
25MG/ML Suspension
00023450 DILANTIN 125 PFI
02250896 TARO-PHENYTOIN TAR

28:12.20 ANTICONVULSANTS- SUCCINIMIDES

ETHOSUXIMIDE

250MG Capsule
00022799 ZARONTIN ERF
50MG/ML Syrup
00023485 ZARONTIN ERF

METHSUXIMIDE

300MG Capsule
00022802 CELONTIN ERF

28:12.92 MISCELLANEOUS ANTICONVULSANTS

CARBAMAZEPINE

100MG Chewable Tablet
02231542 PMS-CARBAMAZEPINE PMS
02261855 SANDOZ-CARBAMAZEPINE SDZ
02244403 TARO-CARBAMAZEPINE TAR
00369810 TEGRETOL NVR
200MG Chewable Tablet
02231540 PMS-CARBAMAZEPINE PMS
02261863 SANDOZ-CARBAMAZEPINE SDZ
02244404 TARO-CARBAMAZEPINE TAR
00665088 TEGRETOL NVR
200MG Extended Release Tablet
02261839 SANDOZ-CARBAMAZEPINE SDZ
400MG Extended Release Tablet
02261847 SANDOZ-CARBAMAZEPINE SDZ
20MG/ML Suspension
02194333 TEGRETOL NVR
200MG Sustained Release Tablet
02238222 DOM-CARBAMAZEPINE CR DPC
02241882 GEN-CARBAMAZEPINE CR GEN
02231543 PMS-CARBAMAZEPINE SRT PMS
02237907 TARO-CARBAMAZEPINE CR TAR
00773611 TEGRETOL CR NVR
400MG Sustained Release Tablet
02238223 DOM-CARBAMAZEPINE CR DPC
02241883 GEN-CARBAMAZEPINE CR GEN
02231544 PMS-CARBAMAZEPINE SRT PMS
02237908 TARO-CARBAMAZEPINE CR TAR
00755583 TEGRETOL CR NVR
200MG Tablet
00402699 APO-CARBAMAZEPINE APX
00578460 CARBAMAZEPINE PDL
00782718 NOVO-CARBAMAZ NOP
02042568 NU-CARBAMAZEPINE NXP
00010405 TEGRETOL NVR

DIVALPROEX SODIUM

125MG Delayed Release Tablet
02265133 GEN-DIVALPROEX GEN
250MG Delayed Release Tablet
02265141 GEN-DIVALPROEX GEN
500MG Delayed Release Tablet
02265168 GEN-DIVALPROEX GEN
125MG Enteric Coated Tablet
00596418 EPIVAL ABB
250MG Enteric Coated Tablet
00596426 EPIVAL ABB
500MG Enteric Coated Tablet
00596434 EPIVAL ABB

GABAPENTIN

100MG Capsule
02244304 APO-GABAPENTIN APX
02256142 CO-GABAPENTIN COB
02243743 DOM-GABAPENTIN DPC
02248259 GEN-GABAPENTIN GEN
02084260 NEURONTIN PFI
02244513 NOVO-GABAPENTIN NOP
02243446 PMS-GABAPENTIN PMS
02310449 PRO-GABAPENTIN PDL
02319055 RAN-GABAPENTIN RBY
02260883 RATIO-GABAPENTIN RPH
02251167 RIVA-GABAPENTIN RIV
02304775 ZYM-GABAPENTIN ZYM
300MG Capsule
02244305 APO-GABAPENTIN APX
02256150 CO-GABAPENTIN COB
02243744 DOM-GABAPENTIN DPC
02249375 GABAPENTIN PRE
02273853 GABAPENTIN GEN
02248260 GEN-GABAPENTIN GEN
02084279 NEURONTIN PFI
02244514 NOVO-GABAPENTIN NOP
02243447 PMS-GABAPENTIN PMS
02310457 PRO-GABAPENTIN PDL
02319063 RAN-GABAPENTIN RBY
02260891 RATIO-GABAPENTIN RPH
02251175 RIVA-GABAPENTIN RIV
02304783 ZYM-GABAPENTIN ZYM
400MG Capsule
02244306 APO-GABAPENTIN APX
02256169 CO-GABAPENTIN COB
02243745 DOM-GABAPENTIN DPC
02249383 GABAPENTIN PRE
02248261 GEN-GABAPENTIN GEN
02084287 NEURONTIN PFI
02244515 NOVO-GABAPENTIN NOP
02243448 PMS-GABAPENTIN PMS
02319071 RAN-GABAPENTIN RBY
02260905 RATIO-GABAPENTIN RPH
02251183 RIVA-GABAPENTIN RIV
02304791 ZYM-GABAPENTIN ZYM
600MG Tablet
02293358 APO-GABAPENTIN APX
02239717 NEURONTIN PFI
02248457 NOVO-GABAPENTIN NOP
02255898 PMS-GABAPENTIN PMS
02310481 PRO-GABAPENTIN PDL
02310473 PRO-GABAPENTIN PDL
02260913 RATIO-GABAPENTIN RPH
02259796 RIVA-GABAPENTIN RIV
800MG Tablet
02293366 APO-GABAPENTIN APX
02239718 NEURONTIN PFI
02247346 NOVO-GABAPENTIN NOP
02255901 PMS-GABAPENTIN PMS
02260921 RATIO-GABAPENTIN RPH
02259818 RIVA-GABAPENTIN RIV

LAMOTRIGINE

2MG Chewable Tablet
02243803 LAMICTAL GSK
5MG Chewable Tablet
02240115 LAMICTAL GSK
25MG Tablet
02245208 APO-LAMOTRIGINE APX
02265494 GEN-LAMOTRIGINE GEN
02142082 LAMICTAL GSK
02302969 LAMOTRIGINE PDL
02248232 NOVO-LAMOTRIGINE NOP
02246897 PMS-LAMOTRIGINE PMS
02243352 RATIO-LAMOTRIGINE RPH
100MG Tablet
02245209 APO-LAMOTRIGINE APX
02265508 GEN-LAMOTRIGINE GEN
02142104 LAMICTAL GSK
02302985 LAMOTRIGINE PDL
02248233 NOVO-LAMOTRIGINE NOP
02246898 PMS-LAMOTRIGINE PMS
02243353 RATIO-LAMOTRIGINE RPH
150MG Tablet
02245210 APO-LAMOTRIGINE APX
02265516 GEN-LAMOTRIGINE GEN
02142112 LAMICTAL GSK
02302993 LAMOTRIGINE PDL
02248234 NOVO-LAMOTRIGINE NOP
02246899 PMS-LAMOTRIGINE PMS
02246963 RATIO-LAMOTRIGINE RPH

LEVETIRACETAM

Limited use benefit (prior approval required).

For the use in combination with other anti-epileptic medication(s) in the treatment of partial seizures in patients who are refractory to adequate trials of three anti-epileptic medications used either as monotherapy or in combination. This product must be prescribed by a Neurologist.

250MG Tablet
02285924 APO-LEVETIRACETAM APX
02274183 CO-LEVETIRACETAM COB
02247027 KEPPRA UCB
02296101 PMS-LEVETIRACETAM PMS
500MG Tablet
02285932 APO-LEVETIRACETAM APX
02274191 CO-LEVETIRACETAM COB
02247028 KEPPRA UCB
02296128 PMS-LEVETIRACETAM PMS
750MG Tablet
02285940 APO-LEVETIRACETAM APX
02274205 CO-LEVETIRACETAM COB
02247029 KEPPRA UCB
02296136 PMS-LEVETIRACETAM PMS

TOPIRAMATE

15MG Sprinkle Capsule
02239907 TOPAMAX SPRINKLE JNO
25MG Sprinkle Capsule
02239908 TOPAMAX SPRINKLE JNO
25MG Tablet
02279614 APO-TOPIRAMATE APX
02287765 CO TOPIRAMATE CBT
02271141 DOM-TOPIRAMATE DPC *
02263351 GEN-TOPIRAMATE GEN
02315645 MINT-TOPIRAMATE MIN
02248860 NOVO-TOPIRAMATE NOP
02262991 PMS-TOPIRAMATE PMS
02313650 PRO-TOPIRAMATE PDL
02256827 RATIO-TOPIRAMATE RPH
02260050 SANDOZ-TOPIRAMATE SDZ
02230893 TOPAMAX JNO
50MG Tablet
02312085 PMS-TOPIRAMATE PMS
100MG Tablet
02279630 APO-TOPIRAMATE APX
02287773 CO TOPIRAMATE CBT
02271168 DOM-TOPIRAMATE DPC *
02263378 GEN-TOPIRAMATE GEN
02315653 MINT-TOPIRAMATE MIN
02248861 NOVO-TOPIRAMATE NOP
02263009 PMS-TOPIRAMATE PMS
02313669 PRO-TOPIRAMATE PDL
02256835 RATIO-TOPIRAMATE RPH
02260069 SANDOZ-TOPIRAMATE SDZ
02230894 TOPAMAX JNO
200MG Tablet
02279649 APO-TOPIRAMATE APX
02287781 CO TOPIRAMATE CBT
02271176 DOM-TOPIRAMATE DPC *
02263386 GEN-TOPIRAMATE GEN
02315661 MINT-TOPIRAMATE MIN
02248862 NOVO-TOPIRAMATE NOP
02313677 PDL-TOPIRAMATE PDL
02263017 PMS-TOPIRAMATE PMS
02256843 RATIO-TOPIRAMATE RPH
02267837 SANDOZ-TOPIRAMATE SDZ
02230896 TOPAMAX JNO

VALPROATE, SODIUM

50MG/ML Syrup
02238370 APO-VALPROIC APX
00443832 DEPAKENE ABB
02238817 DOM-VALPROIC ACID DPC
02236807 PMS-VALPROIC ACID PMS
02140063 RATIO-VALPROIC RPH

VALPROIC ACID

250MG Capsule
02238048 APO-VALPROIC APX
00443840 DEPAKENE ABB
02231030 DOM-VALPROIC ACID DPC
02238448 FTP-VALPROIC ACID FTP
02184648 GEN-VALPROIC GEN
02230663 MED-VALPROIC ACID MEC
02100630 NOVO-VALPROIC NOP
02237830 NU-VALPROIC NXP
02238546 PDL-VALPROIC PDL
02231248 PENTA-VALPROIC PEN
02230768 PMS-VALPROIC ACID PMS
02140047 RATIO-VALPROIC ACID RPH
02239714 SANDOZ-VALPROIC SDZ
500MG Enteric Coated Capsule
02231031 DOM-VALPROIC ACID DPC
02218321 NOVO-VALPROIC NOP
02260662 PHL-VALPROIC ACID PHH
02229628 PMS-VALPROIC ACID PMS
02140055 RATIO-VALPROIC ACID RPH
02239713 SANDOZ-VALPROIC SDZ
125MG Enteric Coated Tablet
02239698 APO-DIVALPROEX APX
02239701 NOVO-DIVALPROEX NOP
02239517 NU-DIVALPROEX NXP
02244138 PMS-DIVALPROEX PMS
250MG Enteric Coated Tablet
02239699 APO-DIVALPROEX APX
02239702 NOVO-DIVALPROEX NOP
02239518 NU-DIVALPROEX NXP
02244139 PMS-DIVALPROEX PMS
500MG Enteric Coated Tablet
02239700 APO-DIVALPROEX APX
02240343 DIVALPROEX EC PDL
02239703 NOVO-DIVALPROEX NOP
02239519 NU-DIVALPROEX NXP
02244140 PMS-DIVALPROEX PMS

VIGABATRIN

500MG Powder
02068036 SABRIL OVA
500MG Tablet
02065819 SABRIL OVA

28:16.04 ANTIDEPRESSANTS

AMITRIPTYLINE HCL

10MG Tablet
00370991 AMITRIPTYLINE PRO
00335053 APO-AMITRIPTYLINE APX
02248131 DOM-AMITRIPTYLINE DPC
00037400 NOVO-TRIPTYN NOP
02247302 PMS-AMITRIPTYLINE PMS
25MG Tablet
00371009 AMITRIPTYLINE PRO
00335061 APO-AMITRIPTYLINE APX
02248132 DOM-AMITRIPTYLINE DPC
00037419 NOVO-TRIPTYN NOP
02247303 PMS-AMITRIPTYLINE PMS
50MG Tablet
00456349 AMITRIPTYLINE PDL
00335088 APO-AMITRIPTYLINE APX
02248133 DOM-AMITRIPTYLINE DPC
00271152 LEVATE ICN
00037427 NOVO-TRIPTYN NOP
02247304 PMS-AMITRIPTYLINE PMS
75MG Tablet
00754129 APO-AMITRIPTYLINE APX
00354295 ELAVIL FRS
00405612 LEVATE VAE

BUPROPION HCL (WELLBUTRIN)

Limited use benefit (prior approval required).

For treatment of depression in patients unresponsive to or intolerant of other listed antidepressants. (Note: this product will not be approved for coverage for smoking cessation).

100MG Sustained Release Tablet
02285657 RATIO-BUPROPION RPH
02275074 SANDOZ-BUPROPION SR SDZ
150MG Sustained Release Tablet
02260239 NOVO-BUPROPION SR NOP
02313421 PMS-BUPROPION SR PMS
02285665 RATIO-BUPROPION RPH
02275082 SANDOZ-BUPROPION SR SDZ
02237825 WELLBUTRIN SR BPC

BUPROPION HCL (ZYBAN)

Limited use benefit with quantity and frequency limits (prior approval is not required).

For smoking cessation:
Coverage is limited to 180 tablets during a one-year period. The year starts on the date the first prescription is filled. Once this quantity has been reached, the client is eligible again for coverage for bupropion HCl when one year has elapsed from the day the initial prescription was filled.

150MG Sustained Release Tablet
02238441 ZYBAN SR BPC

CITALOPRAM

10MG Tablet
02312336 NOVO-CITALOPRAM NOP
02270609 PMS-CITALOPRAM PMS
02303256 RIVA-CITALOPRAM RIV
02301822 ZYM-CITALOPRAM ZYM
20MG Tablet
02246056 APO-CITALOPRAM APX
02239607 CELEXA LUD
02257513 CITALOPRAM-20 PDL
02248050 CO-CITALOPRAM COB
02248942 DOM-CITALOPRAM DPC
02246594 GEN-CITALOPRAM GEN
02313405 JAMP-CITALOPRAM JMP
02304686 MINT-CITALOPRAM MIN
02251558 NOVO-CITALOPRAM NOP
02293218 NOVO-CITALOPRAM NOP
02248996 NU-CITALOPRAM NXP
02248944 PHL-CITALOPRAM PHH
02248010 PMS-CITALOPRAM PMS
02249227 PREM-CITALOPRAM PRE
02285622 RAN-CITALO RBY
02268000 RAN-CITALOPRAM RBY
02252112 RATIO-CITALOPRAM RPH
02249278 RIVA-CITALOPRAM RIV
02303264 RIVA-CITALOPRAM RIV
02248170 SANDOZ-CITALOPRAM SDZ
02301830 ZYM-CITALOPRAM ZYM
30MG Tablet
02296152 CTP ORY
40MG Tablet
02246057 APO-CITALOPRAM APX
02239608 CELEXA LUD
02257521 CITALOPRAM PDL
02248051 CO-CITALOPRAM COB
02248943 DOM-CITALOPRAM DPC
02246595 GEN-CITALOPRAM GEN
02313413 JAMP-CITALOPRAM JMP
02304694 MINT-CITALOPRAM MIN
02251566 NOVO-CITALOPRAM NOP
02293226 NOVO-CITALOPRAM NOP
02248997 NU-CITALOPRAM NXP
02248945 PHL-CITALOPRAM PHH
02248011 PMS-CITALOPRAM PMS
02249235 PREM-CITALOPRAM PRE
02285630 RAN-CITALO RBY
02268019 RAN-CITALOPRAM RBY
02252120 RATIO-CITALOPRAM RPH
02249286 RIVA-CITALOPRAM RIV
02303272 RIVA-CITALOPRAM RIV
02248171 SANDOZ-CITALOPRAM SDZ
02301849 ZYM-CITALOPRAM ZYM

CLOMIPRAMINE HCL

10MG Tablet
00330566 ANAFRANIL ORY
02040786 APO-CLOMIPRAMINE APX
02130122 CLOMIPRAMINE PDL
02244816 CO-CLOMIPRAMINE COB
02188996 MED-CLOMIPRAMINE MEC
02230256 NOVO-CLOPAMINE NOP
25MG Tablet
00324019 ANAFRANIL ORY
02040778 APO-CLOMIPRAMINE APX
02130130 CLOMIPRAMINE PDL
02244817 CO-CLOMIPRAMINE COB
02189003 MED-CLOMIPRAMINE MEC
02130165 NOVO-CLOPAMINE NOP
50MG Tablet
00402591 ANAFRANIL ORY
02040751 APO-CLOMIPRAMINE APX
02130149 CLOMIPRAMINE PDL
02244818 CO-CLOMIPRAMINE COB
02189011 MED-CLOMIPRAMINE MEC
02130173 NOVO-CLOPAMINE NOP

DESIPRAMINE HCL

10MG Tablet
02216248 APO-DESIPRAMINE APX
02222981 DESIPRAMINE PDL
02223341 NOVO-DESIPRAMINE NOP
02211939 NU-DESIPRAMINE NXP
01946250 PMS-DESIPRAMINE PMS
25MG Tablet
02216256 APO-DESIPRAMINE APX
02223007 DESIPRAMINE PDL
02130092 DOM-DESIPRAMINE DPC
02223325 NOVO-DESIPRAMINE NOP
02211947 NU-DESIPRAMINE NXP
01946269 PMS-DESIPRAMINE PMS
50MG Tablet
02216264 APO-DESIPRAMINE APX
02223015 DESIPRAMINE PDL
02130106 DOM-DESIPRAMINE DPC
02223333 NOVO-DESIPRAMINE NOP
02211955 NU-DESIPRAMINE NXP
01946277 PMS-DESIPRAMINE PMS
75MG Tablet
02216272 APO-DESIPRAMINE APX
02223023 DESIPRAMINE PDL
02223368 NOVO-DESIPRAMINE NOP
02211963 NU-DESIPRAMINE NXP
01946242 PMS-DESIPRAMINE PMS
100MG Tablet
02216280 APO-DESIPRAMINE APX
02223031 DESIPRAMINE PDL
02211971 NU-DESIPRAMINE NXP

DOXEPIN HCL

10MG Capsule
02049996 APO-DOXEPIN APX
00024325 SINEQUAN ERF
25MG Capsule
02050005 APO-DOXEPIN APX
01913425 NOVO-DOXEPIN NOP
00024333 SINEQUAN ERF
50MG Capsule
02050013 APO-DOXEPIN APX
01913433 NOVO-DOXEPIN NOP
00024341 SINEQUAN ERF
75MG Capsule
02050021 APO-DOXEPIN APX
01913441 NOVO-DOXEPIN NOP
00400750 SINEQUAN ERF
100MG Capsule
02050048 APO-DOXEPIN APX
01913468 NOVO-DOXEPIN NOP
00326925 SINEQUAN ERF
150MG Capsule
01913476 NOVO-DOXEPIN NOP
10MG Tablet
02150727 DOXEPINE PDL
25MG Tablet
02150735 DOXEPINE PDL
50MG Tablet
02150743 DOXEPINE PDL
75MG Tablet
02150751 DOXEPINE PDL
100MG Tablet
02150778 DOXEPINE PDL
150MG Tablet
02150786 DOXEPINE PDL

FLUOXETINE HCL

10MG Capsule
02216353 APO-FLUOXETINE APX
02242177 CO-FLUOXETINE SCN
02177617 DOM-FLUOXETINE DPC
02220121 FLUOXETINE PDL
02237813 GEN-FLUOXETINE GEN
02216582 NOVO-FLUOXETINE NOP
02192756 NU-FLUOXETINE NXP
02223481 PHL-FLUOXETINE PHH
02177579 PMS-FLUOXETINE PMS
02314991 PRO-FLUOXETINE PDL
02018985 PROZAC LIL
02241371 RATIO-FLUOXETINE RPH
02242123 RIVA-FLUOXETINE RIV
02243486 SANDOZ-FLUOXETINE SDZ
02302659 ZYM-FLUOXETINE ZYM
20MG Capsule
02216361 APO-FLUOXETINE APX
02242178 CO-FLUOXETINE SCN
02177625 DOM-FLUOXETINE DPC
02220148 FLUOXETINE PDL
02237814 GEN-FLUOXETINE GEN
02216590 NOVO-FLUOXETINE NOP
02192764 NU-FLUOXETINE NXP
02223503 PHL-FLUOXETINE PHH
02177587 PMS-FLUOXETINE PMS
02315009 PRO-FLUOXETINE PDL
00636622 PROZAC LIL
02241374 RATIO-FLUOXETINE RPH
02242124 RIVA-FLUOXETINE RIV
02243487 SANDOZ-FLUOXETINE SDZ
02302667 ZYM-FLUOXETINE ZYM
40MG Capsule
02245283 FXT ORY
4MG/ML Liquid
02231328 APO-FLUOXETINE APX
02177595 PMS-FLUOXETINE PMS

FLUVOXAMINE MALEATE

50MG Tablet
02231329 APO-FLUVOXAMINE APX
02257661 BCI-FLUVOXAMINE BCI
02255529 CO-FLUVOXAMINE COB
02241347 DOM-FLUVOXAMINE DPC
02236753 FLUVOXAMINE PDL
01919342 LUVOX SPH
02239953 NOVO-FLUVOXAMINE NOP
02231192 NU-FLUVOXAMINE NXP
02240682 PMS-FLUVOXAMINE PMS
02218453 RATIO-FLUVOXAMINE RPH
02240723 RIVA-FLUVOX RIV
02303345 RIVA-FLUVOX RIV
02247054 SANDOZ-FLUVOXAMINE SDZ
100MG Tablet
02231330 APO-FLUVOXAMINE APX
02257688 BCI-FLUVOXAMINE BCI
02255537 CO-FLUVOXAMINE COB
02241348 DOM-FLUVOXAMINE DPC
02236754 FLUVOXAMINE PDL
01919369 LUVOX SPH
02239954 NOVO-FLUVOXAMINE NOP
02231193 NU-FLUVOXAMINE NXP
02240683 PMS-FLUVOXAMINE PMS
02218461 RATIO-FLUVOXAMINE RPH
02303361 RIVA-FLUVOX RIV
02247055 SANDOZ-FLUVOXAMINE SDZ

IMIPRAMINE HCL

10MG Tablet
00360201 APO-IMIPRAMINE APX
00371017 IMIPRAMINE PRO
00021504 NOVO-PRAMINE NOP
25MG Tablet
00312797 APO-IMIPRAMINE APX
00371025 IMIPRAMINE PRO
00021512 NOVO-PRAMINE NOP
50MG Tablet
00326852 APO-IMIPRAMINE APX
00456357 IMIPRAMINE PDL
00021520 NOVO-PRAMINE NOP
75MG Tablet
00644579 APO-IMIPRAMINE APX

MAPROTILINE HCL

25MG Tablet
02158612 NOVO-MAPROTILINE NOP
50MG Tablet
02158620 NOVO-MAPROTILINE NOP
75MG Tablet
02158639 NOVO-MAPROTILINE NOP

MIRTAZAPINE

15MG Orally Disintegrating Tablet
02279894 NOVO-MIRTAZAPINE OD NOP
02248542 REMERON RD ORG
30MG Orally Disintegrating Tablet
02279908 NOVO-MIRTAZAPINE OD NOP
02248543 REMERON RD ORG
45MG Orally Disintegrating Tablet
02279916 NOVO-MIRTAZAPINE OD NOP
02248544 REMERON RD ORG
15MG Tablet
02286610 APO-MIRTAZAPINE APX
02256096 GEN-MIRTAZAPINE GEN
02273942 PMS-MIRTAZAPINE PMS
02312778 PRO-MIRTAZAPINE PDL
02250594 RHOXAL-MIRTAZAPINE RHO
30MG Tablet
02286629 APO-MIRTAZAPINE APX
02274361 CO-MIRTAZAPINE COB
02252287 DOM-MIRTAZAPINE DPC
02256118 GEN-MIRTAZAPINE GEN
02259354 NOVO-MIRTAZAPINE NOP
02252279 PHL-MIRTAZAPINE PHH
02248762 PMS-MIRTAZAPINE PMS
02312786 PRO-MIRTAZAPINE PDL
02270927 RATIO-MIRTAZAPINE RPH
02243910 REMERON ORG
02265265 RIVA-MIRTAZAPINE RIV
02250608 SANDOZ-MIRTAZAPINE SDZ
02267292 SANDOZ-MIRTAZAPINE FC SDZ
45MG Tablet
02286637 APO-MIRTAZAPINE APX
02256126 GEN-MIRTAZAPINE GEN

MOCLOBEMIDE

100MG Tablet
02232148 APO-MOCLOBEMIDE APX
02236928 MOCLOBEMIDE PDL
02239746 NOVO-MOCLOBEMIDE NOP
02237111 NU-MOCLOBEMIDE NXP
150MG Tablet
02232150 APO-MOCLOBEMIDE APX
00899356 MANERIX HLR
02239747 NOVO-MOCLOBEMIDE NOP
02237112 NU-MOCLOBEMIDE NXP
02243218 PMS-MOCLOBEMIDE PMS
02218410 RATIO-MOCLOBEMIDE RPH
300MG Tablet
02240456 APO-MOCLOBEMIDE APX
02166747 MANERIX HLR
02239748 NOVO-MOCLOBEMIDE NOP
02243219 PMS-MOCLOBEMIDE PMS

NORTRIPTYLINE HCL

10MG Capsule
02223511 APO-NORTRIPTYLINE APX
00015229 AVENTYL PHH
02178729 DOM-NORTRIPTYLINE DPC
02231686 GEN-NORTRIPTYLINE GEN
02231781 NOVO-NORTRIPTYLINE NOP
02223139 NU-NORTRIPTYLINE NXP
02177692 PMS-NORTRIPTYLINE PMS
02240789 RATIO-NORTRIPTYLINE RPH
25MG Capsule
02223538 APO-NORTRIPTYLINE APX
00015237 AVENTYL PHH
02178737 DOM-NORTRIPTYLINE DPC
02231687 GEN-NORTRIPTYLINE GEN
02231782 NOVO-NORTRIPTYLINE NOP
02223147 NU-NORTRIPTYLINE NXP
02177706 PMS-NORTRIPTYLINE PMS
02240790 RATIO-NORTRIPTYLINE RPH

PAROXETINE HCL

10MG Tablet
02240907 APO-PAROXETINE APX
02262746 CO-PAROXETINE COB
02248447 DOM-PAROXETINE DPC
02248012 GEN-PAROXETINE GEN
02248556 NOVO-PAROXETINE NOP
02248719 NU-PAROXETINE NXP
02248913 PAROXETINE PDL
02027887 PAXIL GSK
02248450 PHL-PAROXETINE PHH
02247750 PMS-PAROXETINE PMS
02247810 RATIO-PAROXETINE RPH
02254743 RHOXAL-PAROXETINE RHO
02248559 RIVA-PAROXETINE RIV
02269422 SANDOZ-PAROXETINE SDZ
02302012 ZYM-PAROXETINE ZYM
20MG Tablet
02240908 APO-PAROXETINE APX
02262754 CO-PAROXETINE COB
02248448 DOM-PAROXETINE DPC
02248013 GEN-PAROXETINE GEN
02248557 NOVO-PAROXETINE NOP
02248720 NU-PAROXETINE NXP
02248914 PAROXETINE PDL
01940481 PAXIL GSK
02248451 PHL-PAROXETINE PHH
02247751 PMS-PAROXETINE PMS
02247811 RATIO-PAROXETINE RPH
02248560 RIVA-PAROXETINE RIV
02254751 SANDOZ-PAROXETINE SDZ
02269430 SANDOZ-PAROXETINE SDZ
02302020 ZYM-PAROXETINE ZYM
30MG Tablet
02240909 APO-PAROXETINE APX
02262762 CO-PAROXETINE COB
02248449 DOM-PAROXETINE DPC
02248014 GEN-PAROXETINE GEN
02248558 NOVO-PAROXETINE NOP
02248721 NU-PAROXETINE NXP
02248915 PAROXETINE PDL
01940473 PAXIL GSK
02248452 PHL-PAROXETINE PHH
02247752 PMS-PAROXETINE PMS
02251361 PREM-PAROXETINE PRE
02247812 RATIO-PAROXETINE RPH
02248561 RIVA-PAROXETINE RIV
02254778 SANDOZ-PAROXETINE SDZ
02269449 SANDOZ-PAROXETINE SDZ
02302039 ZYM-PAROXETINE ZYM
40MG Tablet
02293749 PMS-PAROXETINE PMS

PHENELZINE SULFATE

15MG Tablet
00476552 NARDIL PFI

SERTRALINE

25MG Capsule
02238280 APO-SERTRALINE APX
02287390 CO SERTRALINE CBT
02245748 DOM-SERTRALINE DPC
02242519 GEN-SERTRALINE GEN
09857435 GEN-SERTRALINE (ONT) GEN
02240485 NOVO-SERTRALINE NOP
02247047 NU-SERTRALINE NXP
02245824 PHL-SERTRALINE PHH
02244838 PMS-SERTRALINE PMS
02245787 RATIO-SERTRALINE RPH
09857460 RHOXAL-SERTRALINE (ONT) RHO
02248496 RIVA-SERTRALINE RIV
02245159 SANDOZ-SERTRALINE SDZ
02241302 SERTRALINE-25 PDL
02132702 ZOLOFT PFI
50MG Capsule
02238281 APO-SERTRALINE APX
02287404 CO SERTRALINE CBT
02245749 DOM-SERTRALINE DPC
02242520 GEN-SERTRALINE GEN
09857443 GEN-SERTRALINE (ONT) GEN
02240484 NOVO-SERTRALINE NOP
02247048 NU-SERTRALINE NXP
02245825 PHL-SERTRALINE PHH
02244839 PMS-SERTRALINE PMS
02245788 RATIO-SERTRALINE RPH
09857478 RHOXAL-SERTRALINE (ONT) RHO
02248497 RIVA-SERTRALINE RIV
02245160 SANDOZ-SERTRALINE SDZ
02241303 SERTRALINE-50 PDL
01962817 ZOLOFT PFI
100MG Capsule
02238282 APO-SERTRALINE APX
02287412 CO SERTRALINE CBT
02245750 DOM-SERTRALINE DPC
02242521 GEN-SERTRALINE GEN
09857451 GEN-SERTRALINE (ONT) GEN
02240481 NOVO-SERTRALINE NOP
02247050 NU-SERTRALINE NXP
02245826 PHL-SERTRALINE PHH
02244840 PMS-SERTRALINE PMS
02245789 RATIO-SERTRALINE RPH
09857486 RHOXAL-SERTRALINE (ONT) RHO
02248498 RIVA-SERTRALINE RIV
02245161 SANDOZ-SERTRALINE SDZ
02241304 SERTRALINE-100 PDL
01962779 ZOLOFT PFI

TRANYLCYPROMINE SULFATE

10MG Tablet
01919598 PARNATE GSK

TRAZODONE HCL

50MG Tablet
02147637 APO-TRAZODONE APX
00579351 DESYREL BMS
02128950 DOM-TRAZODONE DPC
02231683 GEN-TRAZODONE GEN
02144263 NOVO-TRAZODONE NOP
02165384 NU-TRAZODONE NXP
02232543 PENTA-TRAZODONE PEN
02236941 PHL-TRAZODONE PHH
01937227 PMS-TRAZODONE PMS
02277344 RATIO-TRAZODONE RPH
02053187 RATIO-TRAZODONE RPH
02164353 TRAZODONE PDL
02230284 TRAZOREL VAE
75MG Tablet
02237339 PMS-TRAZODONE PMS
100MG Tablet
02147645 APO-TRAZODONE APX
00579378 DESYREL BMS
02128969 DOM-TRAZODONE DPC
02231684 GEN-TRAZODONE GEN
02144271 NOVO-TRAZODONE NOP
02165392 NU-TRAZODONE NXP
02232544 PENTA-TRAZODONE PEN
02236942 PHL-TRAZODONE PHH
01937235 PMS-TRAZODONE PMS
02277352 RATIO-TRAZODONE RPH
02053195 RATIO-TRAZODONE RPH
02164361 TRAZODONE PDL
02230285 TRAZOREL VAE
150MG Tablet
02147653 APO-TRAZODONE D APX
00702277 DESYREL DIVIDOSE BMS
02231685 GEN-TRAZODONE GEN
02144298 NOVO-TRAZODONE NOP
02165406 NU-TRAZODONE D NXP
02277360 RATIO-TRAZODONE RPH
02053209 RATIO-TRAZODONE RPH
02164388 TRAZODONE PDL

TRIMIPRAMINE MALEATE

75MG Capsule
02070987 APO-TRIMIP APX
02147599 TRIMIPRAMINE PDL
12.5MG Tablet
00740799 APO-TRIMIPRAMINE APX
02020599 NU-TRIMIPRAMINE NXP
00761702 TRIMIPRAMINE PRO
25MG Tablet
00740802 APO-TRIMIPRAMINE APX
01940430 NOVO-TRIPRAMINE NOP
02020602 NU-TRIMIPRAMINE NXP
01926322 SURMONTIL SAC
00761710 TRIMIPRAMINE PDL
50MG Tablet
00740810 APO-TRIMIPRAMINE APX
01940449 NOVO-TRIPRAMINE NOP
02020610 NU-TRIMIPRAMINE NXP
00761729 TRIMIPRAMINE PDL
100MG Tablet
00740829 APO-TRIMIPRAMINE APX
01940457 NOVO-TRIPRAMINE NOP
02020629 NU-TRIMIPRAMINE NXP
00761737 TRIMIPRAMINE PDL

VENLAFAXINE HCL

37.5MG Sustained Release Capsule
02304317 CO VENLAFAXINE XR COB
02237279 EFFEXOR XR WAY
02310279 GEN-VENLAFAXINE XR GEN
02275023 NOVO-VENLAFAXINE XR NOP
02278545 PMS-VENLAFAXINE XR PMS
02273969 RATIO-VENLAFAXINE XR RPH
02307774 RIVA-VENLAFAXINE XR RIV
02310317 SANDOZ VENLAFAXINE XR SDZ
75MG Sustained Release Capsule
02304325 CO VENLAFAXINE XR COB
02237280 EFFEXOR XR WAY
02310287 GEN-VENLAFAXINE XR GEN
02275031 NOVO-VENLAFAXINE XR NOP
02278553 PMS-VENLAFAXINE XR PMS
02273977 RATIO-VENLAFAXINE SR RPH
02307782 RIVA-VENLAFAXINE XR RIV
02310325 SANDOZ VENLAFAXINE XR SDZ
150MG Sustained Release Capsule
02304333 CO VENLAFAXINE XR COB
02237282 EFFEXOR XR WAY
02310295 GEN-VENLAFAXINE XR GEN
02275058 NOVO-VENLAFAXINE XR NOP
02278561 PMS-VENLAFAXINE XR PMS
02273985 RATIO-VENLAFAXINE XR RPH
02307790 RIVA-VENLAFAXINE XR RIV
02310333 SANDOZ VENLAFAXINE XR SDZ

28:16.08 ANTIPSYCHOTIC AGENTS

CHLORPROMAZINE

25MG/ML Injection
00743518 CHLORPROMAZINE HCL SDZ
25MG Tablet
00232823 NOVO-CHLORPROMAZINE NOP
50MG Tablet
00232807 NOVO-CHLORPROMAZINE NOP
100MG Tablet
00232831 NOVO-CHLORPROMAZINE NOP

CLOZAPINE

25MG Tablet
02248034 APO-CLOZAPINE APX
00894737 CLOZARIL NVR
02247243 GEN-CLOZAPINE GEN
50MG Tablet
02305003 GEN-CLOZAPINE GEN
100MG Tablet
02248035 APO-CLOZAPINE APX
00894745 CLOZARIL NVR
02247244 GEN-CLOZAPINE GEN
200MG Tablet
02305011 GEN-CLOZAPINE GEN

FLUPENTHIXOL DECANOATE

20MG/ML Injection
02156032 FLUANXOL DEPOT LUD
100MG/ML Injection
02156040 FLUANXOL DEPOT LUD

FLUPENTHIXOL DIHYDROCHLORIDE

0.5MG Tablet
02156008 FLUANXOL LUD
3MG Tablet
02156016 FLUANXOL LUD

FLUPHENAZINE DECANOATE

25MG/ML Injection
02239636 FLUPHENAZINE OMEGA OMG
02091275 PMS-FLUPHENAZINE PMS
100MG/ML Injection
02242570 FLUPHENAZINE OMEGA OMG
00755575 MODECATE BMS
02241928 PMS-FLUPHENAZINE PMS

FLUPHENAZINE HCL

0.5MG/ML Elixir
00893420 PMS-FLUPHENAZINE PMS
1MG Tablet
00405345 APO-FLUPHENAZINE APX
00563846 FLUPHENAZINE PDL
2MG Tablet
00410632 APO-FLUPHENAZINE APX
00563838 FLUPHENAZINE PDL
5MG Tablet
00405361 APO-FLUPHENAZINE APX

HALOPERIDOL

5MG/ML Injection
00808652 HALOPERIDOL SDZ
2MG/ML Solution
00759503 PMS-HALOPERIDOL PMS
00552429 RATIO-HALOPERIDOL RPH
0.5MG Tablet
00396796 APO-HALOPERIDOL APX
00587796 HALOPERIDOL PDL
00363685 NOVO-PERIDOL NOP
00552135 RATIO-HALOPERIDOL RPH
1MG Tablet
00396818 APO-HALOPERIDOL APX
00587788 HALOPERIDOL PDL
00363677 NOVO-PERIDOL NOP
00552143 RATIO-HALOPERIDOL RPH
2MG Tablet
00396826 APO-HALOPERIDOL APX
00761745 HALOPERIDOL PDL
00363669 NOVO-PERIDOL NOP
00728292 RATIO-HALOPERIDOL RPH
5MG Tablet
00396834 APO-HALOPERIDOL APX
00761753 HALOPERIDOL PDL
00363650 NOVO-PERIDOL NOP
00647969 RATIO-HALOPERIDOL RPH
10MG Tablet
00463698 APO-HALOPERIDOL APX
00761761 HALOPERIDOL PDL
00713449 NOVO-PERIDOL NOP
00728306 RATIO-HALOPERIDOL RPH
20MG Tablet
00768820 NOVO-PERIDOL NOP

HALOPERIDOL DECANOATE

50MG/ML Injection
02130297 HALOPERIDOL LA SDZ
02236866 HALOPERIDOL LA NOP
02230707 PMS-HALOPERIDOL LA PMS
100MG/ML Injection
02242362 APO-HALOPERIDOL LA APX
02130300 HALOPERIDOL LA SDZ
02239640 HALOPERIDOL LA OMG
02242631 HALOPERIDOL LA NOP
02230708 PMS-HALOPERIDOL LA PMS

LOXAPINE HCL

25MG/ML Oral Liquid
02239101 PMS-LOXAPINE PMS

LOXAPINE SUCCINATE

2.5MG Tablet
02242868 PMS-LOXAPINE PMS
5MG Tablet
02237651 APO-LOXAPINE APX
02239918 DOM-LOXAPINE DPC
02237534 NU-LOXAPINE NXP
02238196 PDL-LOXAPINE PDL
02236943 PHL-LOXAPINE PHH
02230837 PMS-LOXAPINE PMS
10MG Tablet
02237652 APO-LOXAPINE APX
02239919 DOM-LOXAPINE DPC
02237535 NU-LOXAPINE NXP
02238197 PDL-LOXAPINE PDL
02236944 PHL-LOXAPINE PHH
02230838 PMS-LOXAPINE PMS
25MG Tablet
02237653 APO-LOXAPINE APX
02239920 DOM-LOXAPINE DPC
02237536 NU-LOXAPINE NXP
02236945 PDL-LOXAPINE PHH
02238198 PDL-LOXAPINE PDL
02230839 PMS-LOXAPINE PMS
50MG Tablet
02237654 APO-LOXAPINE APX
02239921 DOM-LOXAPINE DPC
02237537 NU-LOXAPINE NXP
02236946 PDL-LOXAPINE PHH
02238199 PDL-LOXAPINE PDL
02230840 PMS-LOXAPINE PMS

METHOTRIMEPRAZINE

2MG Tablet
02238403 APO-METHOPRAZINE APX
02239632 METHOTRIMEPRAZINE PDL
5MG Tablet
02238404 APO-METHOPRAZINE APX
02239633 METHOTRIMEPRAZINE PDL
02232903 PMS-METHOTRIMEPRAZINE PMS
25MG Tablet
02238405 APO-METHOPRAZINE APX
02239634 METHOTRIMEPRAZINE PDL
01964925 NOVO-MEPRAZINE NOP
02232904 PMS-METHOTRIMEPRAZINE PMS
50MG Tablet
02238406 APO-METHOPRAZINE APX
02239635 METHOTRIMEPRAZINE PDL
02232905 PMS-METHOTRIMEPRAZINE PMS

OLANZAPINE

5MG Orally Disintegrating Tablet
02243086 ZYPREXA ZYDIS LIL
10MG Orally Disintegrating Tablet
02243087 ZYPREXA ZYDIS LIL
15MG Orally Disintegrating Tablet
02243088 ZYPREXA ZYDIS LIL
2.5MG Tablet
02276712 NOVO-OLANZAPINE NOP
02303116 PMS-OLANZAPINE PMS
02229250 ZYPREXA LIL
5MG Tablet
02276720 NOVO-OLANZAPINE NOP
02303159 PMS-OLANZAPINE PMS
02229269 ZYPREXA LIL
7.5MG Tablet
02276739 NOVO-OLANZAPINE NOP
02303167 PMS-OLANZAPINE PMS
02229277 ZYPREXA LIL
10MG Tablet
02276747 NOVO-OLANZAPINE NOP
02303175 PMS-OLANZAPINE PMS
02229285 ZYPREXA LIL
15MG Tablet
02276755 NOVO-OLANZAPINE NOP
02303183 PMS-OLANZAPINE PMS
02238850 ZYPREXA LIL

PERICYAZINE

5MG Capsule
01926780 NEULEPTIL ERF
10MG Capsule
01926772 NEULEPTIL ERF
20MG Capsule
01926764 NEULEPTIL ERF
10MG/ML Drop
01926756 NEULEPTIL ERF

PERPHENAZINE

3.2MG/ML Liquid
00751898 PMS-PERPHENAZINE PMS
2MG Tablet
00335134 APO-PERPHENAZINE APX
00563757 PERPHENAZINE PDL
4MG Tablet
00335126 APO-PERPHENAZINE APX
00563749 PERPHENAZINE PDL
8MG Tablet
00335118 APO-PERPHENAZINE APX
00563730 PERPHENAZINE PDL
16MG Tablet
00335096 APO-PERPHENAZINE APX
00563722 PERPHENAZINE PDL

PIMOZIDE

2MG Tablet
02245432 APO-PIMOZIDE APX
00313815 ORAP PHH
4MG Tablet
02245433 APO-PIMOZIDE APX
00313823 ORAP PHH

PIPOTIAZINE PALMITATE

25MG/ML Injection
01926667 PIPORTIL L4 SAC
50MG/ML Injection
00894672 PIPORTIL L4 RHO *

PROCHLORPERAZINE

5MG/ML Injection
00789747 PROCHLORPERAZINE SDZ
10MG Suppository
00753688 PMS-PROCHLORPERAZINE PMS
00789720 PROCHLORPERAZINE SIL
5MG Tablet
00886440 APO-PROCHLORAZINE APX
01964399 NU-PROCHLOR NXP
00753661 PMS-PROCHLORPERAZINE PMS
10MG Tablet
00886432 APO-PROCHLORAZINE APX
01964402 NU-PROCHLOR NXP
00753637 PMS-PROCHLORPERAZINE PMS

QUETIAPINE FUMARATE

25MG Tablet
02313901  APO-QUETIAPINE  APX
02316080  CO QUETIAPINE    COB
02307804  GEN-QUETIAPINE  GEN
02284235  NOVO-QUETIAPINE    NOP
02296551  PMS-QUETIAPINE  PMS
02317346  PRO-QUETIAPINE  PDL
02311704  RATIO-QUETIAPINE   RPH
02316692  RIVA-QUETIAPINE     RIV
02313995  SANDOZ-QUETIAPINE SDZ
02236951 SEROQUEL AZC
02317893  ZYM-QUETIAPINE  ZYM
100MG Tablet
02313928  APO-QUETIAPINE  APX
02316099  CO QUETIAPINE    COB
02307812  GEN-QUETIAPINE  GEN
02284243  NOVO-QUETIAPINE    NOP
02296578  PMS-QUETIAPINE  PMS
02317354  PRO-QUETIAPINE  PDL
02311712  RATIO-QUETIAPINE   RPH
02316706  RIVA-QUETIAPINE     RIV
02314002  SANDOZ-QUETIAPINE SDZ
02236952 SEROQUEL AZC
02317907 ZYM-QUETIAPINE ZYM
150MG Tablet
02284251 NOVO-QUETIAPINE NOP
200MG Tablet
02313936  APO-QUETIAPINE  APX
02316110  CO QUETIAPINE    COB
02307839  GEN-QUETIAPINE  GEN
02284278  NOVO-QUETIAPINE    NOP
02296594  PMS-QUETIAPINE  PMS
02317362  PRO-QUETIAPINE  PDL
02311747  RATIO-QUETIAPINE   RPH
02316722  RIVA-QUETIAPINE     RIV
02314010  SANDOZ-QUETIAPINE SDZ
02236953 SEROQUEL AZC
02317923 ZYM-QUETIAPINE ZYM
300MG Tablet
02313944  APO-QUETIAPINE  APX
02316129  CO QUETIAPINE    COB
02307847  GEN-QUETIAPINE  GEN
02284286  NOVO-QUETIAPINE    NOP
02296608  PMS-QUETIAPINE  PMS
02317370  PRO-QUETIAPINE  PDL
02311755  RATIO-QUETIAPINE   RPH
02316730  RIVA-QUETIAPINE     RIV
02314029  SANDOZ-QUETIAPINE SDZ
02244107 SEROQUEL AZC
02317931 ZYM-QUETIAPINE ZYM

RISPERIDONE

0.5MG Orally Disintegrating Tablet
02247704 RISPERDAL-M JNO
1MG Orally Disintegrating Tablet
02247705 RISPERDAL-M JNO
2MG Orally Disintegrating Tablet
02247706 RISPERDAL-M JNO
3MG Orally Disintegrating Tablet
02268086 RISPERDAL-M JNO
4MG Orally Disintegrating Tablet
02268094 RISPERDAL-M JNO
1MG/ML Solution
02280396 APO-RISPERIDONE APX
02279266 PMS-RISPERIDONE PMS
02236950 RISPERDAL JNO
0.25MG Tablet
02282119 APO-RISPERIDONE APX
02282585 CO-RISPERIDONE COB
02282240 GEN-RISPERIDONE GEN
02282690 NOVO-RISPERIDONE NOP
02252007 PMS-RISPERIDONE PMS
02312700 PRO-RISPERIDONE PDL
02280906 RAN-RISPERIDONE RBY
02264757 RATIO-RISPERIDONE RPH
02240551 RISPERDAL JNO
02283565 RIVA-RISPERIDONE RIV
02303655 SANDOZ RISPERIDONE SDZ
02279509 SANDOZ-RISPERIDONE SDZ
02292807 SANDOZ-RISPERIDONE SDZ
02303485 ZYM-RISPERIDONE ZYM
0.5MG Tablet
02282127 APO-RISPERIDONE APX
02282593 CO-RISPERIDONE COB
02282259 GEN-RISPERIDONE GEN
02264188 NOVO-RISPERIDONE NOP
02252015 PMS-RISPERIDONE PMS
02312719 PRO-RISPERIDONE PDL
02280914 RAN-RISPERIDONE RBY
02264765 RATIO-RISPERIDONE RPH
02240552 RISPERDAL JNO
02283573 RIVA-RISPERIDONE RIV
02303663 SANDOZ RISPERIDONE SDZ
02279495 SANDOZ-RISPERIDONE SDZ
02303493 ZYM-RISPERIDONE ZYM
1MG Tablet
02282135 APO-RISPERIDONE APX
02282607 CO-RISPERIDONE COB
02282267 GEN-RISPERIDONE GEN
02264196 NOVO-RISPERIDONE NOP
02252023 PMS-RISPERIDONE PMS
02312727 PRO-RISPERIDONE PDL
02280922 RAN-RISPERIDONE RBY
02264773 RATIO-RISPERIDONE RPH
02025280 RISPERDAL JNO
02283581 RIVA-RISPERIDONE RIV
02279800 SANDOZ-RISPERIDONE SDZ
02303507 ZYM-RISPERIDONE ZYM
2MG Tablet
02282143 APO-RISPERIDONE APX
02282615 CO-RISPERIDONE COB
02282275 GEN-RISPERIDONE GEN
02264218 NOVO-RISPERIDONE NOP
02252031 PMS-RISPERIDONE PMS
02312735 PRO-RISPERIDONE PDL
02280930 RAN-RISPERIDONE RBY
02264781 RATIO-RISPERIDONE RPH
02025299 RISPERDAL JNO
02283603 RIVA-RISPERIDONE RIV
02279819 SANDOZ-RISPERIDONE SDZ
02303515 ZYM-RISPERIDONE ZYM
3MG Tablet
02282151 APO-RISPERIDONE APX
02282623 CO-RISPERIDONE COB
02282283 GEN-RISPERIDONE GEN
02264226 NOVO-RISPERIDONE NOP
02252058 PMS-RISPERIDONE PMS
02312743 PRO-RISPERIDONE PDL
02280949 RAN-RISPERIDONE RBY
02264803 RATIO-RISPERIDONE RPH
02025302 RISPERDAL JNO
02283611 RIVA-RISPERIDONE RIV
02279827 SANDOZ-RISPERIDONE SDZ
02303523 ZYM-RISPERIDONE ZYM
4MG Tablet
02282178 APO-RISPERIDONE APX
02282631 CO-RISPERIDONE COB
02282291 GEN-RISPERIDONE GEN
02264234 NOVO-RISPERIDONE NOP
02252066 PMS-RISPERIDONE PMS
02312751 PRO-RISPERIDONE PDL
02280957 RAN-RISPERIDONE RBY
02264811 RATIO-RISPERIDONE RPH
02025310 RISPERDAL JNO
02283638 RIVA-RISPERIDONE RIV
02279835 SANDOZ-RISPERIDONE SDZ
02303531 ZYM-RISPERIDONE ZYM

THIOPROPERAZINE MESYLATE

10MG Tablet
01927639 MAJEPTIL ERF

THIOTHIXENE

2MG Capsule
00024430 NAVANE ERF
5MG Capsule
00024449 NAVANE ERF
10MG Capsule
00024457 NAVANE ERF

TRIFLUOPERAZINE HCL

10MG/ML Liquid
00751871 PMS-TRIFLUOPERAZINE PMS
1MG Tablet
00345539 APO-TRIFLUOPERAZINE APX
00386529 TRIFLUOPERAZINE PRO
2MG Tablet
00312754 APO-TRIFLUOPERAZINE APX
00386510 TRIFLUOPERAZINE PRO
5MG Tablet
00312746 APO-TRIFLUOPERAZINE APX
00386502 TRIFLUOPERAZINE PRO
10MG Tablet
00326836 APO-TRIFLUOPERAZINE APX
00389943 TRIFLUOPERAZINE PDL
20MG Tablet
00595942 APO-TRIFLUOPERAZINE APX

28:20.04 AMPHETAMINES

DEXTROAMPHETAMINE SULFATE

10MG Sustained Release Capsule
01924559 DEXEDRINE SPANSULE GSK
15MG Sustained Release Capsule
01924567 DEXEDRINE SPANSULE GSK
5MG Tablet
01924516 DEXEDRINE GSK

28:20.92 MISC ANOREXIGENIC AGENTS & RESPIRATORY & CEREBRAL STIMULANT

METHYLPHENIDATE HCL

20MG Extended Release Tablet
02266687 APO-METHYLPHENIDATE APX
20MG Sustained Release Tablet
00632775 RITALIN SR NVR
5MG Tablet
02273950 APO-METHYLPHENIDATE APX
02234749 PMS-METHYLPHENIDATE PMS
10MG Tablet
02249324 APO-METHYLPHENIDATE APX
00584991 PMS-METHYLPHENIDATE PMS
00005606 RITALIN NVR
20MG Tablet
02249332 APO-METHYLPHENIDATE APX
00585009 PMS-METHYLPHENIDATE PMS
00005614 RITALIN NVR

MODAFINIL

100MG Tablet
02239665 ALERTEC DPY
02285398 APO-MODAFINIL APX

28:24.08 ANXIOLYTICS, SEDATIVES AND HYPNOTICS - BENZODIAZEPINES

ALPRAZOLAM

0.25MG Tablet
01908189 ALPRAZOLAM PDL
00865397 APO-ALPRAZ APX
02137534 GEN-ALPRAZOLAM GEN
02237264 MED-ALPRAZOLAM MEC
01913484 NOVO-ALPRAZOL NOP
01913239 NU-ALPRAZ NXP
00548359 XANAX PFI
0.5MG Tablet
01908170 ALPRAZOLAM PDL
00865400 APO-ALPRAZ APX
02137542 GEN-ALPRAZOLAM GEN
02237265 MED-ALPRAZOLAM MEC
01913492 NOVO-ALPRAZOL NOP
01913247 NU-ALPRAZ NXP
00548367 XANAX PFI
1MG Tablet
02248706 ALPRAZOLAM PDL
02243611 APO-ALPRAZ APX
02229813 GEN-ALPRAZOLAM GEN
00723770 XANAX PFI
2MG Tablet
02243612 APO-ALPRAZ APX
02229814 GEN-ALPRAZOLAM GEN
00813958 XANAX TS PFI

BROMAZEPAM

1.5MG Tablet
02177153 APO-BROMAZEPAM APX
02220512 BROMAZEPAM PDL
02192705 GEN-BROMAZEPAM GEN
02230666 MED-BROMAZEPAM MEC
02171856 NU-BROMAZEPAM NXP
3MG Tablet
02177161 APO-BROMAZEPAM APX
02220520 BROMAZEPAM PDL
02192713 GEN-BROMAZEPAM GEN
00518123 LECTOPAM HLR
02230667 MED-BROMAZEPAM MEC
02230584 NOVO-BROMAZEPAM NOP
02171864 NU-BROMAZEPAM NXP
02232556 PENTA-BROMAZEPAM PEN
6MG Tablet
02177188 APO-BROMAZEPAM APX
02220539 BROMAZEPAM PDL
02192721 GEN-BROMAZEPAM GEN
00518131 LECTOPAM HLR
02230668 MED-BROMAZEPAM MEC
02230585 NOVO-BROMAZEPAM NOP
02171872 NU-BROMAZEPAM NXP

CLOBAZAM

10MG Tablet
02244638 APO-CLOBAZAM APX
02248454 CLOBAZAM PDL
02247230 DOM-CLOBAZAM DPC
02221799 FRISIUM PED
02238334 NOVO-CLOBAZAM NOP
02244474 PMS-CLOBAZAM PMS
02238797 RATIO-CLOBAZAM RPH

DIAZEPAM

1MG/ML Oral Solution
00891797 PMS-DIAZEPAM PMS
2MG Tablet
00405329 APO-DIAZEPAM APX
00434396 DIAZEPAM PDL
02247490 PMS-DIAZEPAM PMS
5MG Tablet
00362158 APO-DIAZEPAM APX
00313580 DIAZEPAM PRO
02247491 PMS-DIAZEPAM PMS
00013285 VALIUM HLR
10MG Tablet
00405337 APO-DIAZEPAM APX
00434388 DIAZEPAM PDL
02247492 PMS-DIAZEPAM PMS
00013773 VIVOL AXX

LORAZEPAM

0.5MG Tablet
00655740 APO-LORAZEPAM APX
02041413 ATIVAN WAY
02041456 ATIVAN SUBLINGUAL WAY
02245784 DOM-LORAZEPAM DPC
00711101 NOVO-LORAZEM NOP
00865672 NU-LORAZ NXP
00655643 PRO-LORAZEPAM PDL
1MG Tablet
00655759 APO-LORAZEPAM APX
02041421 ATIVAN WAY
02041464 ATIVAN SUBLINGUAL WAY
02245785 DOM-LORAZEPAM DPC
00637742 NOVO-LORAZEM NOP
00865680 NU-LORAZ NXP
00655651 PRO-LORAZEPAM PDL
2MG Tablet
00655767 APO-LORAZEPAM APX
02041448 ATIVAN WAY
02041472 ATIVAN SUBLINGUAL WAY
02245786 DOM-LORAZEPAM DPC
00637750 NOVO-LORAZEM NOP
00865699 NU-LORAZ NXP
00655678 PRO-LORAZEPAM PDL

NITRAZEPAM

5MG Tablet
02245230 APO-NITRAZEPAM APX
00511528 MOGADON ICN
02229654 NITRAZADON VAE
02234003 SANDOZ-NITRAZEPAM SDZ
10MG Tablet
02245231 APO-NITRAZEPAM APX
00511536 MOGADON ICN
02229655 NITRAZADON VAE
02234007 SANDOZ-NITRAZEPAM SDZ

OXAZEPAM

10MG Tablet
00402680 APO-OXAZEPAM APX
00497754 OXAZEPAM PDL
00568392 ZAPEX RIV
15MG Tablet
00402745 APO-OXAZEPAM APX
00497762 OXAZEPAM PDL
00568406 ZAPEX RIV
30MG Tablet
00402737 APO-OXAZEPAM APX
00497770 OXAZEPAM PDL
00568414 ZAPEX RIV

TEMAZEPAM

15MG Capsule
02225964 APO-TEMAZEPAM APX
02244814 CO-TEMAZEPAM COB
02229756 DOM-TEMAZEPAM DPC
02231615 GEN-TEMAZEPAM GEN
02237294 MED-TEMAZEPAM MEC
02230095 NOVO-TEMAZEPAM NOP
02223570 NU-TEMAZEPAM NXP
02239071 PENTA-TEMAZEPAM PEN
02229455 PMS-TEMAZEPAM PMS
02273039 PMS-TEMAZEPAM PMS
02243023 RATIO-TEMAZEPAM RPH
00604453 RESTORIL ORY
02229760 TEMAZEPAM PDL
30MG Capsule
02225972 APO-TEMAZEPAM APX
02244815 CO-TEMAZEPAM COB
02229758 DOM-TEMAZEPAM DPC
02231616 GEN-TEMAZEPAM GEN
02237295 MED-TEMAZEPAM MEC
02230102 NOVO-TEMAZEPAM NOP
02223589 NU-TEMAZEPAM NXP
02239072 PENTA-TEMAZEPAM PEN
02229456 PMS-TEMAZEPAM PMS
02273047 PMS-TEMAZEPAM PMS
02243024 RATIO-TEMAZEPAM RPH
00604461 RESTORIL ORY
02229761 TEMAZEPAM PDL

TRIAZOLAM

0.125MG Tablet
00808563 APO-TRIAZO APX
01995227 GEN-TRIAZOLAM GEN
00886084 NU-TRIAZO NUP
0.25MG Tablet
00808571 APO-TRIAZO APX
01913506 GEN-TRIAZOLAM GEN
00886092 NU-TRIAZO NUP
00860824 TRIAZOLAM PDL

28:24.92 MISCELLANEOUS ANXIOLYTICS, SEDATIVES, AND HYPNOTICS

HYDROXYZINE HCL

10MG Capsule
00739618 HYDROXYZINE PDL
00738824 NOVO-HYDROXYZIN NOP
02241192 RIVA-HYDROXYZIN RIV
25MG Capsule
00739626 HYDROXYZINE PDL
00738832 NOVO-HYDROXYZIN NOP
02241193 RIVA-HYDROXYZIN RIV
50MG Capsule
00739634 HYDROXYZINE PDL
00738840 NOVO-HYDROXYZIN NOP
02241194 RIVA-HYDROXYZIN RIV
2MG/ML Syrup
00024694 ATARAX ERF
00741817 PMS-HYDROXYZINE PMS
10MG Tablet
00646059 APO-HYDROXYZINE APX
25MG Tablet
00646024 APO-HYDROXYZINE APX
50MG Tablet
00646016 APO-HYDROXYZINE APX

28:28.00 ANTIMANIC AGENTS

LITHIUM CARBONATE

150MG Capsule
02242837 APO-LITHIUM CARB APX
09857532 APO-LITHIUM CARBONATE APX
02013231 LITHANE ERF
02216132 PMS-LITHIUM CARBONATE PMS
300MG Capsule
02242838 APO-LITHIUM CARB APX
09857540 APO-LITHIUM CARBONATE APX
00236683 CARBOLITH VAE
00406775 LITHANE ERF
02216140 PMS-LITHIUM CARBONATE PMS
600MG Capsule
02011239 CARBOLITH VAE
02216159 PMS-LITHIUM CARBONATE PMS
300MG Sustained Release Tablet
02266695 APO-LITHIUM CARBONATE APX

LITHIUM CITRATE

60MG/ML Syrup
02074834 PMS-LITHIUM CITRATE PMS

28:32.28 SELECTIVE SEROTONIN AGONISTS

ALMOTRIPTAN MALATE

6.25MG Tablet
02248128 AXERT MCL
12.5MG Tablet
02248129 AXERT MCL

NARATRIPTAN HCL

1MG Tablet
02237820 AMERGE GSK
2.5MG Tablet
02237821 AMERGE GSK

RIZATRIPTAN

5MG Tablet
02240520 MAXALT FRS
10MG Tablet
02240521 MAXALT FRS
5MG Wafer
02240518 MAXALT RPD FRS
10MG Wafer
02240519 MAXALT RPD FRS

SUMATRIPTAN HEMISULFATE

5MG Nasal Spray
02230418 IMITREX GSK
20MG Nasal Spray
02230420 IMITREX GSK

SUMATRIPTAN SUCCINATE

12MG/ML Injection
02212188 IMITREX GSK
99000598 IMITREX GSK *
25MG Tablet
02257882 CO-SUMATRIPTAN COB
02270749 DOM-SUMATRIPTAN DPC
02268906 GEN-SUMATRIPTAN GEN
02239738 IMITREX DF GSK
02286815 NOVO-SUMATRIPTAN DF NOP
02256428 PMS-SUMATRIPTAN PMS
50MG Tablet
02268388 APO-SUMATRIPTAN APX
02257890 CO-SUMATRIPTAN COB
02270757 DOM-SUMATRIPTAN DPC
02268914 GEN-SUMATRIPTAN GEN
02212153 IMITREX DF GSK
02286823 NOVO-SUMATRIPTAN DF NOP
02256436 PMS-SUMATRIPTAN PMS
02271583 RATIO-SUMATRIPTAN RPH
02263025 SANDOZ-SUMATRIPTAN SDZ
100MG Tablet
02268396 APO-SUMATRIPTAN APX
02257904 CO-SUMATRIPTAN COB
02270765 DOM-SUMATRIPTAN DPC
02268922 GEN-SUMATRIPTAN GEN
02212161 IMITREX DF GSK
02239367 NOVO-SUMATRIPTAN NOP
02286831 NOVO-SUMATRIPTAN DF NOP
02256444 PMS-SUMATRIPTAN PMS
02271591 RATIO-SUMATRIPTAN RPH
02263033 SANDOZ-SUMATRIPTAN SDZ

ZOLMITRIPTAN

2.5MG Tablet
02238660 ZOMIG AZC
02243045 ZOMIG RAPIMELT AZC

28:32.92 MISCELLANEOUS ANTIMIGRANE AGENTS

PIZOTYLINE HYDROGEN MALATE

0.5MG Tablet
00329320 SANDOMIGRAN PED
1MG Tablet
00511552 SANDOMIGRAN DS PED

28:36.08 ANTIPARKINSONIAN AGENTS - ANTICHOLINERGIC AGENTS

BENZTROPINE MESYLATE

1MG/ML Injection
02238903 BENZTROPINE OMEGA OMG
1MG Tablet
00706531 PMS-BENZTROPINE PMS
2MG Tablet
00426857 APO-BENZTROPINE APX
00563862 BENZTROPINE PDL
00587265 PMS-BENZTROPINE PMS

ETHOPROPAZINE HCL

50MG Tablet
01927744 PARSITAN ERF

PROCYCLIDINE HCL

0.5MG/ML Elixir
00587362 PMS-PROCYCLIDINE PMS
2.5MG Tablet
00649392 PMS-PROCYCLIDINE PMS
5MG Tablet
00587354 PMS-PROCYCLIDINE PMS

TRIHEXYPHENIDYL HCL

0.4MG/ML Liquid
00885398 PMS-TRIHEXYPHENIDYL PMS
2MG Tablet
00545058 APO-TRIHEX APX
00572802 TRIHEXYPHEN PRO
5MG Tablet
00545074 APO-TRIHEX APX
00572799 TRIHEXYPHEN PDL

28:36.12 ANTIPARKINSONIAN AGENTS - CATECHOL-O-METHYLTRANSFERASE (COMT) INHIBITORS

ENTACAPONE

200MG Tablet
02243763 COMTAN NVR

28:36.16 ANTIPARKINSONIAN AGENTS - DOPAMINE PRECURSORS

LEVODOPA, BENZERAZIDE

50MG & 12.5MG Capsule
00522597 PROLOPA HLR
100MG & 25MG Capsule
00386464 PROLOPA HLR
200MG & 50MG Capsule
00386472 PROLOPA HLR

LEVODOPA, CARBIDOPA

100MG & 25MG Controlled Release Tablet
02272873 APO-LEVOCARB CR APX
02028786 SINEMET CR BMS
200MG & 50MG Controlled Release Tablet
02245211 APO-LEVOCARB CR APX
00870935 SINEMET CR BMS
100MG & 10MG Tablet
02195933 APO-LEVOCARB APX
02244494 NOVO-LEVOCARBIDOPA NOP
02182831 NU-LEVOCARB NXP
02126176 RATIO-LEVODOPA/CARBIDOPA RPH
00355658 SINEMET BMS
100MG & 25MG Tablet
02195941 APO-LEVOCARB APX
02244495 NOVO-LEVOCARBIDOPA NOP
02182823 NU-LEVOCARB NXP
02311178 PRO-LEVOCARB PDL
02126168 RATIO-LEVODOPA/CARBIDOPA RPH
00513997 SINEMET BMS
250MG & 25MG Tablet
02195968 APO-LEVOCARB APX
02244496 NOVO-LEVOCARBIDOPA NOP
02182858 NU-LEVOCARB NXP
02126184 RATIO-LEVODOPA/CARBIDOPA RPH
00328219 SINEMET BMS

28:36.20 ANTIPARKINSONIAN AGENTS - DOPAMINE RECEPTOR AGONISTS

BROMOCRIPTINE MESYLATE

5MG Capsule
02230454 APO-BROMOCRIPTINE APX
02230719 BROMOCRIPTINE PRO
02238637 DOM-BROMOCRIPTINE DPC
02236949 PMS-BROMOCRIPTINE PMS
2.5MG Tablet
02087324 APO-BROMOCRIPTINE APX
02153378 BROMOCRIPTINE PRO
02238636 DOM-BROMOCRIPTINE DPC
02231702 PMS-BROMOCRIPTINE PMS

PRAMIPEXOLE DIHYDROCHLORIDE

0.25MG Tablet
02292378 APO-PRAMIPEXOLE APX
02237145 MIRAPEX BOE
09857268 MIRAPEX (ONT) BOE *
02269309 NOVO-PRAMIPEXOLE NOP
02290111 PMS-PRAMIPREXOLE PMS
02315262 SANDOZ-PRAMIPEXOLE SDZ
0.5MG Tablet
02292386 APO-PRAMIPEXOLE APX
02241594 MIRAPEX BOE
02269317 NOVO-PRAMIPEXOLE NOP
02290138 PMS-PRAMIPREXOLE PMS
02315270 SANDOZ-PRAMIPEXOLE SDZ
1MG Tablet
02292394 APO-PRAMIPEXOLE APX
02237146 MIRAPEX BOE
09857269 MIRAPEX (ONT) BOE *
02269325 NOVO-PRAMIPEXOLE NOP
02290146 PMS-PRAMIPREXOLE PMS
02315289 SANDOZ-PRAMIPEXOLE SDZ
1.5MG Tablet
02292408 APO-PRAMIPEXOLE APX
02237147 MIRAPEX BOE
09857270 MIRAPEX (ONT) BOE *
02269333 NOVO-PRAMIPEXOLE NOP
02290154 PMS-PRAMIPREXOLE PMS
02315297 SANDOZ-PRAMIPEXOLE SDZ

ROPINIROLE HCL

0.25MG Tablet
02232565 REQUIP GSK
1MG Tablet
02232567 REQUIP GSK
2MG Tablet
02232568 REQUIP GSK
5MG Tablet
02232569 REQUIP GSK

28:36.32 ANTIPARKINSONIAN AGENTS - MONOAMINE OXIDASE B INHIBITORS

SELEGILINE HCL

5MG Tablet
02230641 APO-SELEGILINE APX
02238340 DOM-SELEGILINE DPC
02231036 GEN-SELEGILINE GEN
02237289 MED-SELEGILINE MEC
02068087 NOVO-SELEGILINE NOP
02230717 NU-SELEGILINE NXP
02238102 PMS-SELEGILINE PMS
02231479 SELEGILINE PDL