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BULLETIN # 115

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The following amendments will take effect on The amended Manitoba Drug Benefits Formulary and Manitoba Drug Interchangeability Formulary will be available on the Manitoba Health on the effective date of January 25, 2022Bulletin 115 is currently available for download: also refer to the psv/excel files* found on the Manitoba Health website under "Notices" here: *The psv/excel files contain the following information: DIN, PRODUCT NAME,UNIT PRICE (List Price + 5%) & LOWEST GENERIC PRICE (List Price + 5%)Inside This IssuePart 1 AdditionsPage1Part 2 Additons Page 2Exception Drug Status AdditionsPage2New Interchangeable CategoriesPage3New Interchangeable ProductsPage3-5Product DeletionsPage5-7Interchangeable Product Price ChangesPage7Discontinued ProductsPage7BULLETIN # 115Manitoba Drug Benefits and ManitobaDrug Interchangeability Formulary AmendmentsJanuary 25, 2022 BULLETIN #115Effective: January 25, 2022DINTRADE NAMEGENERICSTRENGTHFORMMFR* mgTabletACH02515377Brimonidine Tartratebrimonidine %Ophthalmic SolutionTET02516101025161280251613602516 14402516152Diltiazem Tdiltiazem HCl120 mg180 mg240 mg300 mg360 mgExtended Rel

Celecoxib - 100 mg - Capsules $ $ + 5% 02495465 M-Celecoxib MNP 0.1343 Celecoxib - 200 mg - Capsules $ $ + 5% ... 02063662 Macrobid nitrofurantoin 100 mg Capsule 00037605 Micronor norethindrone 0.35mg Tablet 02230621 Opticrom sodium …

  Capsule, Nitrofurantoin, 100 mg, 100 mg nitrofurantoin

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