Updates to the Drug Benefit List - Fall 2006

The Quarterly update is a cumulative listing of any changes to the Non-Insured Health Benefits (NIHB) Drug Benefit List since last published.

Additions
Drugs Discontinued by the Manufacturer
Change in Status
Name Change
Limited Use Benefits

Additions

Fall 2006

Effective Date: 2006-06-01

DIN	MFR	BRAND NAME	PTC
02273918	APX	APO-BENAZEPRIL 20MG TABLET	24:32.04
02246859	APX	APO-FENO-SUPER 100MG TABLET	24:06.06
02246860	APX	APO-FENO-SUPER 160MG TABLET	24:06.06
02279614	APX	APO-TOPIRAMATE 25MG TABLET	28:12.92
02279630	APX	APO-TOPIRAMATE 100MG TABLET	28:12.92
02279649	APX	APO-TOPIRAMATE 200MG TABLET	28:12.92
02274361	COB	CO-MIRTAZAPINE 30MG TABLET	28:16.04
02270749	DPC	DOM-SUMATRIPTAN 25MG TABLET	28:32.28
02264056	NOP	NOVO-ONDANSETRON 4MG TABLET	56:22.20
02264064	NOP	NOVO-ONDANSETRON 8MG TABLET	56:22.20
02258188	PMS	PMS-ONDANSETRON 4MG TABLET	56:22.20
02258196	PMS	PMS-ONDANSETRON 8MG TABLET	56:22.20
02277700	RPH	RATIO-BICAULUTAMIDE 50MG TABLET	10:00.00
02278529	PMS	RATIO-ONDANSETRON 4MG TABLET	56:22.20
02278537	PMS	RATIO-ONDANSETRON 8MG TABLET	56:22.20
02271583	RPH	RATIO-SUMATRIPTAN 50MG TABLET	28:32.28
02271591	RPH	RATIO-SUMATRIPTAN 100MG TABLET	28:32.28
02261766	SDZ	SANDOZ-CALCITONIN 200IU/ML INJECTION	68:24.00
02261855	SDZ	SANDOZ-CARBAMAZEPINE 100MG CHEWABLE TABLET	28:12.92
02261863	SDZ	SANDOZ-CARBAMAZEPINE 200MG CHEWABLE TABLET	28:12.92
02261839	SDZ	SANDOZ-CARBAMAZEPINE CR 200MG EXTENDED RELEASE TABLET	28:12.92
02261847	SDZ	SANDOZ-CARBAMAZEPINE CR 400MG EXTENDED RELEASE TABLET	28:12.92
02261952	SDZ	SANDOZ-DICLOFENAC 25MG TABLET	28:08.04
02261960	SDZ	SANDOZ-DICLOFENAC 50MG TABLET	28:08.04
02261901	SDZ	SANDOZ-DICLOFENAC SR 75MG EXTENDED RELEASE TABLET	28:08.04
02261944	SDZ	SANDOZ-DICLOFENAC SR 100MG EXTENDED RELEASE TABLET	28:08.04
02274310	SDZ	SANDOZ-ONDANSETRON 4MG TABLET	56:22.20
02274329	SDZ	SANDOZ-ONDANSETRON 8MG TABLET	56:22.20
02261782	SDZ	SANDOZ-PINDOLOL 5MG TABLET	24:24.00
02261790	SDZ	SANDOZ-PINDOLOL 10MG TABLET	24:24.00
02261804	SDZ	SANDOZ-PINDOLOL 15MG TABLET	24:24.00
02262177	SDZ	SANDOZ-TERBINAFINE 250MG TABLET	08:14.04

Effective Date: 2006-07-01

DIN	MFR	BRAND NAME	PTC
02273950	APX	APO-METHYLPHENIDATE 5MG TABLET	28:20:92
02264323	GEN	EUTHYROX 0.025MG TABLET	68:36.04
02264331	GEN	EUTHYROX 0.05MG TABLET	68:36.04
02264358	GEN	EUTHYROX 0.075MG TABLET	68:36.04
02264366	GEN	EUTHYROX 0.088MG TABLET	68:36.04
02264374	GEN	EUTHYROX 0.1MG TABLET	68:36.04
02264390	GEN	EUTHYROX 0.112MG TABLET	68:36.04
02264404	GEN	EUTHYROX 0.125MG TABLET	68:36.04
02264412	GEN	EUTHYROX 0.137MG TABLET	68:36.04
02264420	GEN	EUTHYROX 0.150MG TABLET	68:36.04
02264439	GEN	EUTHYROX 0.175MG TABLET	68:36.04
02264447	GEN	EUTHYROX 0.2MG TABLET	68:36.04
02264455	GEN	EUTHYROX 0.3MG TABLET	68:36.04
02278669	GEN	GEN-DOMPERIDONE 10MG TABLET	56:22.92
02275252	RPH	RATIO-FOSINOPRIL 10MG TABLET	24:32.04
02275260	RPH	RATIO-FOSINOPRIL 20MG TABLET	24:32.04
02261553	GSK	TELZIR 50MG/ML ORAL SUSPENSION	08:18.08
02261545	GSK	TELZIR 700MG TABLET	08:18.08

Effective Date: 2006-08-01

DIN	MFR	BRAND NAME	PTC
02275538	APX	APO-FLECAINIDE 50MG TABLET	24:04.04
02275546	APX	APO-FLECAINIDE 100MG TABLET	24:04.04
02278677	APX	APO-MIDODRINE 2.5MG TABLET	12:12.04
02278685	APX	APO-MIDODRINE 5MG TABLET	12:12.04
02282119	APX	APO-RISPERIDONE 0.25MG TABLET	28:16.08
02282127	APX	APO-RISPERIDONE 0.5MG TABLET	28:16.08
02282135	APX	APO-RISPERIDONE 1MG TABLET	28:16.08
02280396	APX	APO-RISPERIDONE 1MG/ML SOLUTION	28:16.08
02282143	APX	APO-RISPERIDONE 2MG TABLET	28:16.08
02282151	APX	APO-RISPERIDONE 3MG TABLET	28:16.08
02282178	APX	APO-RISPERIDONE 4MG TABLET	28:16.08
02282585	COB	CO-RISPERIDONE 0.25MG TABLET	28:16.08
02282593	COB	CO-RISPERIDONE 0.5MG TABLET	28:16.08
02282607	COB	CO-RISPERIDONE 1MG TABLET	28:16.08
02282615	COB	CO-RISPERIDONE 2MG TABLET	28:16.08
02282623	COB	CO-RISPERIDONE 3MG TABLET	28:16.08
02282631	COB	CO-RISPERIDONE 4MG TABLET	28:16.08
02241347	DPC	DOM-FLUVOXAMINE 50MG TABLET	28:16.04
02241348	DPC	DOM-FLUVOXAMINE 100MG TABLET	28:16.04
02271141	DPC	DOM-TOPIRAMATE 25MG TABLET	28:12.92 *
02271168	DPC	DOM-TOPIRAMATE 100MG TABLET	28:12.92 *
02271176	DPC	DOM-TOPIRAMATE 200MG TABLET	28:12.92 *
02268892	SAC	ELIGARD 56.3MG/VIAL INJECTION	10:00.00
02265133	GEN	GEN-DIVALPROEX 125MG DELAYED RELEASE TABLET	28:12.92
02265141	GEN	GEN-DIVALPROEX 250MG DELAYED RELEASE TABLET	28:12.92
02265168	GEN	GEN-DIVALPROEX 500MG DELAYED RELEASE TABLET	28:12.92
02282240	GEN	GEN-RISPERIDONE 0.25MG TABLET	28:16.08
02282259	GEN	GEN-RISPERIDONE 0.5MG TABLET	28:16.08
02282267	GEN	GEN-RISPERIDONE 1MG TABLET	28:16.08
02282275	GEN	GEN-RISPERIDONE 2MG TABLET	28:16.08
02282283	GEN	GEN-RISPERIDONE 3MG TABLET	28:16.08
02282291	GEN	GEN-RISPERIDONE 4MG TABLET	28:16.08
02239214	VAE	GLYCON 850MG TABLET	68:20.04 *
02245703	PFR	HYDROMORPH-IR 2MG TABLET	28:08.08
02245704	PFR	HYDROMORPH-IR 4MG TABLET	28:08.08
02245705	PFR	HYDROMORPH-IR 8MG TABLET	28:08.08
02257912	PMT	IBUPROFEN 200MG TABLET	28:08.04
02279320	HLR	INVIRASE 500MG TABLET	08:18.08
02269074	FOU	LIPIDIL EZ 48MG TABLET	24:06.06
02269082	FOU	LIPIDIL EZ 145MG TABLET	24:06.06
09853464	AMG	NEUPOGEN 480MCG/1.6ML INJECTION	20:16.00
02279894	NOP	NOVO-MIRTAZAPINE 15MG ORALLY DISINTEGRATING TABLET	28:16.04
02279908	NOP	NOVO-MIRTAZAPINE 30MG ORALLY DISINTEGRATING TABLET	28:16.04
02279916	NOP	NOVO-MIRTAZAPINE 45MG ORALLY DISINTEGRATING TABLET	28:16.04
02282690	NOP	NOVO-RISPERIDONE 0.25MG TABLET	28:16.08
02264188	NOP	NOVO-RISPERIDONE 0.5MG TABLET	28:16.08
02264196	NOP	NOVO-RISPERIDONE 1MG TABLET	28:16.08
02264218	NOP	NOVO-RISPERIDONE 2MG TABLET	28:16.08
02264226	NOP	NOVO-RISPERIDONE 3MG TABLET	28:16.08
02264234	NOP	NOVO-RISPERIDONE 4MG TABLET	28:16.08
02252007	PMS	PMS-RISPERIDONE 0.25MG TABLET	28:16.08
02252015	PMS	PMS-RISPERIDONE 0.5MG TABLET	28:16.08
02252023	PMS	PMS-RISPERIDONE 1MG TABLET	28:16.08
02279266	PMS	PMS-RISPERIDONE 1MG/ML SOLUTION	28:16.08
02252031	PMS	PMS-RISPERIDONE 2MG TABLET	28:16.08
02252058	PMS	PMS-RISPERIDONE 3MG TABLET	28:16.08
02252066	PMS	PMS-RISPERIDONE 4MG TABLET	28:16.08
02280906	RBY	RAN-RISPERIDONE 0.25MG TABLET	28:16.08
02280914	RBY	RAN-RISPERIDONE 0.5MG TABLET	28:16.08
02280922	RBY	RAN-RISPERIDONE 1MG TABLET	28:16.08
02280930	RBY	RAN-RISPERIDONE 2MG TABLET	28:16.08
02280949	RBY	RAN-RISPERIDONE 3MG TABLET	28:16.08
02280957	RBY	RAN-RISPERIDONE 4MG TABLET	28:16.08
02264757	RPH	RATIO-RISPERIDONE 0.25MG TABLET	28:16.08
02264765	RPH	RATIO-RISPERIDONE 0.5MG TABLET	28:16.08
02264773	RPH	RATIO-RISPERIDONE 1MG TABLET	28:16.08
02264781	RPH	RATIO-RISPERIDONE 2MG TABLET	28:16.08
02264803	RPH	RATIO-RISPERIDONE 3MG TABLET	28:16.08
02264811	RPH	RATIO-RISPERIDONE 4MG TABLET	28:16.08
02268086	JNO	RISPERDAL-M 3MG ORALLY DISINTEGRATTING TABLET	28:16.08
02268094	JNO	RISPERDAL-M 4MG ORALLY DISINTEGRATTING TABLET	28:16.08
02279509	SDZ	SANDOZ-RISPERIDONE 0.25MG TABLET	28:16.08
02279495	SDZ	SANDOZ-RISPERIDONE 0.5MG TABLET	28:16.08
02279800	SDZ	SANDOZ-RISPERIDONE 1MG TABLET	28:16.08
02279819	SDZ	SANDOZ-RISPERIDONE 2MG TABLET	28:16.08
02279827	SDZ	SANDOZ-RISPERIDONE 3MG TABLET	28:16.08
02279835	SDZ	SANDOZ-RISPERIDONE 4MG TABLET	28:16.08

Effective Date: 2006-09-01

DIN	MFR	BRAND NAME	PTC
02280213	SAC	AVALIDE 25MG AND 300MG TABLET	24:32.08
02278359	GEN	GEN-AZITHROMYCIN 250MG TABLET	08:12.12
02283778	GEN	GEN-CILAZAPRIL 1MG TABLET	24:32.04
02283786	GEN	GEN-CILAZAPRIL 2.5MG TABLET	24:32.04
02283794	GEN	GEN-CILAZAPRIL 5MG TABLET	24:32.04
01935348	RWP	MINERAL OIL HEAVY 100% LIQUID	56:12.00
02274388	PMS	PMS-AZITHROMYCIN 20MG/ML SUSPENSION	28:12.12
02274396	PMS	PMS-AZITHROMYCIN 40MG/ML SUSPENSION	28:12.12
02280442	PMS	PMS-CILAZAPRIL 1MG TABLET	24:32.04
02280450	PMS	PMS-CILAZAPRIL 2.5MG TABLET	24:32.04
02280469	PMS	PMS-CILAZAPRIL 5MG TABLET	24:32.04
02240828	RIV	RIVA-NAPROXEN SODIUM 550MG DS TABLET	28:08.04
02279983	TAR	TARO-MUPIROCIN 2% OINTMNET	84:04.04
02243088	LIL	ZYPREXA ZYDIS 15MG ORALLY DISINTEGRATING TABLET	28:16.08

Drugs Discontinued by the Manufacturer

Fall 2006

DIN	MFR	BRAND NAME	PTC
00807745	SDR	ACETAMINOPHEN 160MG CHEWABLE TABLET	28:08.92
00361046	SDR	ACETAMINOPHEN 325MG TABLET	28:08.92
01924613	AVT	ALBERT-TIAFEN 200MG TABLET	28:08.04
01924621	AVT	ALBERT-TIAFEN 300MG TABLET	28:08.04
00061387	BEN	ALLERGENIC EXTRACT POLLENS INJECTION	80:04.00
00249920	BOE	ALUPENT 2MG/ML SYRUP	12:12.08
00603279	APX	APO-AMPICILLIN 250MG CAPSULE	08:12.16
00603295	APX	APO-AMPICILLIN 500MG CAPSULE	08:12.16
02242329	APX	APO-CHLORHEXIDINE 0.12% RINSE	52:28.00
02243085	APX	APO-CIMETIDINE 60MG/ML ORAL LIQUID	56:28.12
02244324	APX	APO-CYCLOSPORINE 100MG/ML SOLUTION	92:00.00
02244166	APX	APO-FLUPHENAZINE 25MG/ML INJECTION	28:16.08
02245698	APX	APO-TOBRAMYCIN 0.3% OPHTH SOLUTION	52:04.04
00005525	NVR	APRESOLINE 10MG TABLET	24:08.20
00005533	NVR	APRESOLINE 25MG TABLET	24:08.20
00005541	NVR	APRESOLINE 50MG TABLET	24:08.20
00724912	SDR	ASA 325MG ENTERIC COATED TABLET	28:08.04
00092746	DCL	ASA 325MG ENTERIC COATED TABLET	28:08.04
00576158	BOE	ATROVENT 20MCG INHALATION INHALER	12:08.08
00588180	DCL	BARBILIXIR 4MG/ML LIQUID	28:12.04
00291315	RPH	BRONCHO-GRIPPOL-DM 3MG/ML SYRUP	48:08.00
00579947	STI	BURO-SOL 0.35% & 0.023% POWDER	84:12.00
00640360	SDR	CALCIUM 500MG TABLET	40:12.00
00590983	RPH	CALMYLIN #1 3MG/ML SYRUP	48:08.00
00461733	VAE	CARBOLITH 150MG CAPSULE	28:28.00
00027898	SCH	CELESTODERM V/2 0.05% CREAM	84:06.00
00732915	SDR	CHILDREN PEDIATRIC VITAMINS DROPS	88:28.00
02230644	PED	CHILDREN VITAMIN DROPS	88:28.00
00690805	RPH	CHLORPROMANYL 40 40MG/ML DROP	28:16.08
00530492	DCL	COAL TAR 20% LIQUID	84:32.00
00093114	DCL	CODEINE POSPHATE 5MG/ML SYRUP	28:08.08
00016128	FRS	COGENTIN 1MG/ML INJECTION	12:08.04
00607126	BMS	CORGARD 40MG TABLET	24:24.00
00523372	BMS	CORGARD 160MG TABLET	24:24.00
00497894	FRS	CUPRIME 125MG TABLET	64:00.00
00632600	PFI	CYTOTEC 200MCG TABLET	56:28.28
00705519	AZC	DIMENHYDRINATE 50MG/ML INJECTION	56:22.08
00598860	PDL	DIPYRIDAMOLE 75MG TABLET	24:12.92
00579955	STI	DOAK-OIL 2% LIQUID	84:32.00
00579971	STI	DOAK-OIL FORTE 10% LIQUID	84:32.00
00000299	ABB	EES-200 40MG/ML SUSPENSION	08:12.12
00453617	ABB	EES-400 80MG/ML SUSPENSION	08:12.12
00893862	ABB	ERYBID 500MG TABLET	08:12.12
00094714	DCL	FERROUS GLUCONATE 300MG TABLET	20:04.04
00179639	SDR	FERROUS GLUCONATE 300MG TABLET	20:04.04
00284149	ICN	FOLIC ACID 5MG TABLET	88:08.00
00028282	SCH	FULVICIN U/F 500MG TABLET	08:14.92
00093947	DCL	HEAVY MINERAL OIL 100% LIQUID	56:12.00
00061379	BEN	HOUSE DUST TREATMENT SET INJECTION	80:04.00
00733075	LIL	HUMULIN U 100U/ML INJECTION	68:20.08
00514551	LIL	ILENTIN II NPH 100U/ML INJECTION	68:20.08
00513644	LIL	ILENTIN II REGULAR 100U/ML INJECTION	68:20.08
01939165	SDR	INFANT'S MULTIPLE VITAMIN DROPS	88:28.00
00093858	DCL	IPECAC SYRUP	56:20.00
00004405	GSK	KEMADRIN 0.5MG/ML ELIXIR	12:08.04
00004758	GSK	KEMADRIN 5MG TABLET	12:08.04
01929984	AVT	LARGACTIL 25MG/ML INJECTION	28:06.08
00682314	HLR	LECTOPAM 1.5MG TABLET	28:24.08
02181509	LIN	LIN-AMOX 25MG/ML SUSPENSION	08:12.16
00386391	BMS	MEGACE 40MG TABLET	10:00.00
00093815	DCL	MILK OF MAGNESIA 300MG TABLET	56:12.00
00093807	DCL	MILK OF MAGNESIA 80MG/ML LIQUID	56:12.00
00349917	BMS	MODECATE 25MG/ML INJECTION	28:16.08
00379727	VAE	MULTI-TAR PLUS SHAMPOO	84:32.00
00295973	BMS	MYCOSTATIN 25,000IU VAGINAL CREAM	84:04.08
00236691	ICN	NEMASOL SODIUM 500MG TABLET	08:16.04
00021423	NOP	NOVO-DIMENATE 50MG TABLET	56:22.08
00784419	NOP	NOVO-DIPIRADOL 25MG TABLET	24:12.92
00784427	NOP	NOVO-DIPIRADOL 50MG TABLET	24:12.92
00784435	NOP	NOVO-DIPIRADOL 75MG TABLET	12:12.92
00756830	NOP	NOVO-NIFEDIN 10MG CAPSULE	24:28.08
00549657	NOP	NOVO-PRANOL 120MG TABLET	24:24.00
00021784	NOP	NOVO-RESERPINE 0.25MG TABLET	24:08.32
00620955	NOP	NOVO-SALMOL 2MG TABLET	12:12.00
00620963	NOP	NOVO-SALMOL 4MG TABLET	12:12.00
00458686	NOP	NOVO-SORBIDE 10MG TABLET	24:12.08
01927701	AVT	NOZINAN 40MG/ML DROP	28:16.08
01926411	AVT	ORUDIS 100MG SUPPOSITORY	28:08.04
01926381	AVT	ORUDIS E 50MG ENTERIC COATED TABLET	28:08.04
00483915	DCL	OXAZEPAM 15MG TABLET	28:24.08
02243159	PFR	PALLADONE XL 12MG CONTROLLED RELEASE CAPSULE	28:08.08
02243160	PFR	PALLADONE XL 16MG CONTROLLED RELEASE CAPSULE	28:08.08
02243161	PFR	PALLADONE XL 24MG CONTROLLED RELEASE CAPSULE	28:08.08
00796492	MTI	PARA SHAMPOO	84:04.12
00568643	NVR	PARLODEL 5MG CAPSULE	92:00.00
00568449	RPH	PEPTOL 400MG TABLET	56:28.12
00584282	RPH	PEPTOL 600MG TABLET	56:28.12
01916556	BMS	PERCODAN DEMI 325MG & 2.5MG TABLET	28:08.08
00067385	BOE	PERSANTINE 25MG TABLET	24:12.92
00093505	DCL	PHENOBARBITAL 15MG TABLET	28:12.04
00093521	DCL	PHENOBARBITAL 30MG TABLET	28:12.04
00093556	DCL	PHENOBARBITAL 60MG TABLET	28:12.04
00093564	DCL	PHENOBARBITAL 90MG TABLET	28:12.04
01926675	AVT	PIPORTOL L4 50MG/ML INJECTION	28:16.08
00306290	ICN	PROCYCLID 5MG TABLET	12:08.04
00503320	SCH	PROGLYCEM 50MG/ML SUSPENSION	24:08.20
00639885	BMS	PRONESTYL SR 500MG SUSTAINED RELEASE TABLET	24:04.04
00254363	RPH	PROVIODINE 1% OINTMENT	84:04.92
00634093	BMS	QUESTRAN 4G POWDER	24:06.04
00464880	BMS	QUESTRAN 4G POWDER	24:06.04
00653217	RPH	RATIO-ECTSONE 0.1% SCALP LOTION	84:06.00
02240249	RPH	RATIO-TIMOLOL 0.5% OPHTH SOLUTION	52:92.00
00761699	RHO	RHODIS 100MG SUPPOSITORY	28:08.04
00761664	RHO	RHODIS 50MG CAPSULE	08:08.04
00761672	RHO	RHODIS EC 50MG ENTERIC COATED TABLET	28:08.04
00761605	RHO	RHOTRIMINE 12.5MG TABLET	28:16.04
00761613	RHO	RHOTRIMINE 25MG TABLET	28:16.04
00761621	RHO	RHOTRIMINE 50MG TABLET	28:16.04
02240622	RHO	RHOXAL-FAMOTIDINE 20MG TABLET	56:28.12
02240623	RHO	RHOXAL-FAMOTIDINE 40MG TABLET	56:28.12
00006173	DES	RUBION 1,000MCG/ML INJECTION	88:08.00
00026042	PFR	SENOKOT 5MG/G POWDER	56:12.00
00534579	NVR	SLOW TRASICOR 80MG SLOW RELEASE TABLET	24:24.00
00534587	NVR	SLOW TRASICOR 160MG SLOW RELEASE TABLET	24:24.00
00624748	AZC	SODIUM CHLORIDE 0.9% INJECTION	40:12.00
00483923	BMS	SOTACOR 160MG TABLET	24:24.00
01927752	AVT	STEMETIL 5MG TABLET	28:16.08
01927760	AVT	STEMETIL 10MG TABLET	28:16.08
00478423	PDL	SULFINPYRAZONE 200MG TABLET	40:40.00
01926357	AVT	SURMONTIL 12.5MG TABLET	28:16.04
01926330	AVT	SURMONTIL 50MG TABLET	28:16.04
00675369	RPH	SYNFLEX 275MG TABLET	28:08.04
00579963	VAO	TAR DISTILLATE 100% LIQUID	96:00.00
01959638	NVR	TEAR DROPS 1.4% & 0.6% OPHTH SOLUTION	52:92.00
00532223	RPH	THEOPHYLLINE 5.33MG/ML ELIXIR	86:16.00
02162776	HLR	TICLID 250MG TABLET	20:12.18
00238678	SDR	TRAVELTABS 50MG TABLET	56:22.08
00603317	MCL	TYLENOL CHILDREN'S 32MG/ML LIQUID	28:08.92
02133342	NVR	VASOCIDIN 0.25% & 10% SOLUTION	52:08.08
02133350	NVR	VASOCON 0.1% OPHTH SOLUTION	52:32.00
00179515	SDR	VIT B12 25MCG TABLET	88:08.00
00561568	VTH	VITAMIN B12 25MCG TABLET	88:08.00
00508977	PED	VITAMIN B12 25MCG TABLET	88:08.00
00464325	PED	VITAMIN B6 100MG TABLET	88:08.00
00557455	VTH	VITAMIN B6 250MG TABLET	88:08.00
00325287	VTH	VITAMIN B6 25MG TABLET	88:08.00
00361054	SDR	VITAMIN C 1000MG TABLET	88:12.00
00840777	VLB	VITAMIN C 250MG CHEWABLE TABLET	88:12.00
00094641	DCL	VITAMIN C 250MG TABLET	88:12.00
00036161	PED	VITAMIN C 250MG TABLET	88:12.00
00179566	SDR	VITAMIN C 250MG TABLET	88:12.00
00179574	SDR	VITAMIN C 500MG TABLET	88:12.00
00094668	DCL	VITAMIN C 500MG TABLET	88:12.00
00355046	HOR	VOSOL OTIC SOLUTION	52:92.00
00809136	RPH	ZINADERM 15% CREAM	84:24.12
00093661	DCL	ZINC 15% OINTMENT	84:24.12

Change in Status

Fall 2006

Effective Date: 2006-07-01

Effective July 1, 2006, Kaletra changed listing status from a limited use benefit to an open benefit.

DIN	MFR	BRAND NAME	PTC
02243643	ABB	KALETRA 133.3MG & 33.3MG CAPSULE	08:18.08
02243644	ABB	KALETRA 80MG & 20MG/ML ORAL SOLUTION	08:18.08

Name Change

Fall 2006

DIN	MFR	OLD BRAND NAME	NEW BRAND NAME	PTC
02190893	BAY	PRANDASE 100MG TABLET	GLUCOBAY 100MG TABLET	68:20.02
02190885	BAY	PRANDASE 50MG TABLET	GLUCOBAY 50MG TABLET	68:20.02

Limited Use Benefits

Fall 2006

Effective Date: 2006-07-01

DIN	MFR	BRAND NAME	PTC
02275279	RPH	RATIO-ALENDRONATE 70MG TABLET	92:00.00

Effective Date: 2006-08-01

DIN	MFR	BRAND NAME	PTC
02274183	COB	CO-LEVETIRACETAM 250MG TABLET	28:12.92
02274191	COB	CO-LEVETIRACETAM 500MG TABLET	28:12.92
02274205	COB	CO-LEVETIRACETAM 750MG TABLET	28:12.92
02270102	BOE	FLOMAX CR 0.4MG CONTROLLED RELEASE TABLET	92:00.00
02275082	SDZ	SANDOZ-BUPROPION SR 150MG SUSTAINED RELEASE TABLET	28:16.04

Effective Date: 2006-09-01

DIN	MFR	BRAND NAME	PTC
02280345	JNO	DURAGESIC 12MCG PATCH	28:08.08
02275074	SDZ	SANDOZ-BUPROPION SR 100MG SUSTAINED RELEASE TABLET	28:16.04