Updates to the Drug Benefit List - Winter 2006-2007

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

Information contained in this update includes:

Additions
Drugs Discontinued by the Manufacturer
Limited Use Benefits
Replacement DINs (Drug Identification Number)

Additions

Winter 2006-2007

Effective Date: 2006-10-01

DIN	MFR	Brand Name	PTC
80001842	WRI	CENTRUM MATERNA TABLET	92:01.00
02280191	NOP	NOVO-BETAHISTINE 16MG TABLET	92:00.00
02280205	NOP	NOVO-BETAHISTINE 24MG TABLET	92:00.00

Effective Date: 2006-11-01

DIN	MFR	Brand Name	PTC
02284987	APX	APO-CILAZAPRIL HCTZ 5MG & 12.5MG TABLET	24:32.04
02280833	APX	APO-RANITIDINE 15MG/ML ORAL SOLUTION	56:28.12
02269627	COB	CO-NORFLOXACIN 400MG TABLET	08:12.18
02270625	COB	CO-SOTALOL 80MG TABLET	24:24.00
02270633	COB	CO-SOTALOL 160MG TABLET	24:24.00
02273500	PMS	PMS-URSODIOL C 500MG TABLET	56:14.00 *
02256851	RIV	RIVA-PRAVASTATIN 10MG TABLET	24:06.08
02270234	RIV	RIVA-PRAVASTATIN 10MG TABLET	24:06.08
02256878	RIV	RIVA-PRAVASTATIN 20MG TABLET	24:06.08
02270242	RIV	RIVA-PRAVASTATIN 20MG TABLET	24:06.08
02256886	RIV	RIVA-PRAVASTATIN 40MG TABLET	24:06.08
02270250	RIV	RIVA-PRAVASTATIN 40MG TABLET	24:06.08
02280264	SDZ	SANDOZ-FELODIPINE 5MG EXTENDED RELEASE TABLET	24:28.08
02280272	SDZ	SANDOZ-FELODIPINE 10MG EXTENDED RELEASE TABLET	24:28.08
00407011	JAM	VITAMIN B1 100MG TABLET	88:08.00

Effective Date: 2006-12-01

DIN	MFR	Brand Name	PTC
02286610	APX	APO-MIRTAZAPINE 15MG TABLET	28:16.04
02286629	APX	APO-MIRTAZAPINE 30MG TABLET	28:16.04
02286637	APX	APO-MIRTAZAPINE 45MG TABLET	28:16.04
02266393	APX	APO-SALVENT-IPRAVENT 0.2MG & 1MG/ML INHALATION SOLUTION	12:12.08
02272903	ORG	LINESSA 21 TABLET	68:12.00
02257238	ORG	LINESSA 28 TABLET	68:12.00
02275023	NOP	NOVO-VENLAFAXINE XR 37.5MG SUSTAINED RELEASE CAPSULE	28:16.04
02275031	NOP	NOVO-VENLAFAXINE XR 75MG SUSTAINED RELEASE CAPSULE	28:16.04
02275058	NOP	NOVO-VENLAFAXINE XR 150MG SUSTAINED RELEASE CAPSULE	28:16.04
02270609	PMS	PMS-CITALOPRAM 10MG TABLET	28:16.04
02279363	PMS	PMS-DEXAMETHASONE 2MG TABLET	68:04.00

Drugs Discontinued by the Manufacturer

Winter 2006-2007

DIN	MFR	Brand Name	PTC
02169754	WAY	AMICAR 500MG TABLET	20:28.16
00441759	APX	APO-SULFINPYRAZONE 100MG TABLET	40:40.00
02148420	NVR	HOMATROPINE 2% OPHTH SOLUTION	52:24.00

Limited Use Benefits

Winter 2006-2007

Effective Date: 2006-10-01

DIN	MFR	Brand Name	PTC
02272059	GEN	GEN-TIZANIDINE 4MG TABLET	12:20.00
02247074	SDZ	SANDOZ-CYCLOSPORINE 50MG CAPSULE	92:00.00

Effective Date: 2006-11-01

DIN	MFR	Brand Name	PTC
02249391	RBY	RAN-FENTANYL TRAMSDERMAL SYSTEM 25 25MCG/H PATCH	28:08.08
02249413	RBY	RAN-FENTANYL TRAMSDERMAL SYSTEM 50 50MCG/H PATCH	28:08.08
02249421	RBY	RAN-FENTANYL TRAMSDERMAL SYSTEM 75 75MCG/H PATCH	28:08.08
02249448	RBY	RAN-FENTANYL TRAMSDERMAL SYSTEM 100 100MCG/H PATCH	28:08.08
02282941	RPH	RATIO-FENTANYL TRAMSDERMAL SYSTEM 25 25MCG/H PATCH	28:08.08
02282968	RPH	RATIO-FENTANYL TRAMSDERMAL SYSTEM 50 50MCG/H PATCH	28:08.08
02282976	RPH	RATIO-FENTANYL TRAMSDERMAL SYSTEM 75 75MCG/H PATCH	28:08.08
02282984	RPH	RATIO-FENTANYL TRAMSDERMAL SYSTEM 100 100MCG/H PATCH	28:08.08

Effective Date: 2006-12-01

DIN	MFR	Brand Name	PTC
02285924	APX	APO-LEVETIRACETAM 250MG TABLET	28:12.92
02285932	APX	APO-LEVETIRACETAM 500MG TABLET	28:12.92
02285940	APX	APO-LEVETIRACETAM 750MG TABLET	28:12.92
02270889	RIV	RIVA-ALENDRONATE 70MG TABLET	92:00.00

Replacement DINs

Winter 2006-2007

Old DIN	New DIN	MFR	Brand Name	PTC
02150948	02264102	BAY	CANESTEN 1 COMBI PAK	84:04.08
02150921	02264099	BAY	CANESTEN 3 COMBI PAK	84:04.08