ANITOBA DRUG INTERCHANGEABILITY …

1 124 124/20181 ONE HUNDRED AND FIRST EDITION SCHEDULEEFFECTIVE OCTOBER 18, 2018 CENT UNI ME ANNEXE EN VIGUEUR LE 18 OCTOBRE 2018 DINP roduct NameManufacturerNIMP roduitFabricantABACAVIR 300 mg TabletsPerParABACAVIR 300 mg comprim sTabletcomprim , ,2241 ABACAVIR/LAMIVUDINE 600/300 mg TabletsPerParABACAVIR/LAMIVUDINE 600/300 mg comprim sTabletcomprim ,425702399539 Apo- ,974902416662 Teva- ,974902454513 Auro- ,987502450682 Mylan- ,987502458381pms- ,9875 ABACAVIR/LAMIVUDINE/ZIDOVUDINE 300/150/300 mg TabletsPerParABACAVIR/LAMIVUDINE/ZIDOVUD INE 300/150/300 mg comprim sTabletcomprim , ,6425 ACETAMINOPHEN COMPOUND WITH CODEINE 8 mg TabletsPerParCOMPOS AC TAMINOPH NE ET COD INE 8 mg comprim sTabletcomprim.

2 081400653233ratio-Lenoltec #1/ratio-Lenoltec n ,0303 ACETAMINOPHEN COMPOUND WITH CODEINE 15 mg TabletsPerParCOMPOS AC TAMINOPH NE ET COD INE 15 mg comprim sTabletcomprim 02163934 Tylenol with Codeine No. 2/Tylenol n 2 avec cod ine , ,1001 ACETAMINOPHEN COMPOUND WITH CODEINE 30 mg TabletsPerParCOMPOS AC TAMINOPH NE ET COD INE 30 mg comprim sTabletcomprim ,145802163926 Tylenol with Codeine No. 3/Tylenol n 3 avec cod ine , ,0798 ACITRETIN 10 mg CapsulesPerParACITRETIN 10 mg , , ,2965 ACITRETIN 25 mg CapsulesPerParACITRETIN 25 mg , , ,2770 MANITOBA drug INTERCHANGEABILITY FORMULARYLISTE DES M DICAMENTS INTERCHANGEABLESPOUR LE MANITOBAP rice ($)Prix ($) 124 124/20182 DINP roduct NameManufacturerNIMP roduitFabricantPrice ($)Prix ($)

3 ACYCLOVIR 200 mg TabletsPerParACYCLOVIR 200 mg comprim sTabletcomprim , , , ,9660 ACYCLOVIR 400 mg TabletsPerParACYCLOVIR 400 mg comprim sTabletcomprim , , , , ,9015 ACYCLOVIR 800 mg TabletsPerParACYCLOVIR 800 mg comprim sTabletcomprim , , , ,1412 ALENDRONATE 5 mg TabletsPerParALENDRONATE 5 mg comprim sTabletcomprim , , , ,1407 ALENDRONATE 10 mg TabletsPerParALENDRONATE 10 mg comprim sTabletcomprim , , , , , , ,498702288087 Sandoz , , 124 124/20183 DINP roduct NameManufacturerNIMP roduitFabricantPrice ($)Prix ($)

4 ALENDRONATE 70 mg TabletsPerParALENDRONATE 70 mg comprim sTabletcomprim , , , , ,206502299712 Alendronate , , , ,206502288109 Sandoz , , , ,2065 ALFUZOSIN 10 mg TabletsPerParALFUZOSIN 10 mg comprim sTabletcomprim , ,745002304678 Sandoz , , ,2601 ALLOPURINOL 100 mg TabletsPerParALLOPURINOL 100 mg comprim sTabletcomprim , , ,0780 ALLOPURINOL 200 mg TabletsPerParALLOPURINOL 200 mg comprim sTabletcomprim , , ,1300 ALLOPURINOL 300 mg TabletsPerParALLOPURINOL 300 mg comprim sTabletcomprim , ,2125 ALPRAZOLAM mg TabletsPerParALPRAZOLAM 0,25 mg comprim sTabletcomprim , , , , , , , 124 124/20184 DINP roduct NameManufacturerNIMP roduitFabricantPrice ($)Prix ($)

5 ALPRAZOLAM mg TabletsPerParALPRAZOLAM 0,5 mg comprim sTabletcomprim , , , , , , ,0728 ALPRAZOLAM 1 mg TabletsPerParALPRAZOLAM 1 mg comprim sTabletcomprim , , ,2092 ALPRAZOLAM 2 mg TabletsPerParALPRAZOLAM 2 mg comprim sTabletcomprim , , , ,3718 AMCINONIDE Topical CreamPer Par AMCINONIDE 0,1 % cr me , , ,2750 AMCINONIDE Topical LotionAMCINONIDE 0,1 % lotion topiquePer mLPar , ,2860 AMILORIDE HCl/HYDROCHLOROTHIAZIDE 5 mg/50 mg TabletsAMILORIDE (CHLORHYDRATE D')/HYDROCHLOROTHIAZIDE 5 mg/50 mg PerParcomprim sTabletcomprim , ,1917 AMIODARONE HCl 200 mg TabletsPerParAMIODARONE (CHLORHYDRATE D') 200 mg comprim sTabletcomprim , , , , , ,389102243836 Sandoz , , 124 124/20185 DINP roduct NameManufacturerNIMP roduitFabricantPrice ($)Prix ($)

6 AMITRIPTYLINE 10 mg TabletsPerParAMITRIPTYLINE 10 mg comprim sTabletcomprim , , , , ,0664 AMITRIPTYLINE 25 mg TabletsPerParAMITRIPTYLINE 25 mg comprim sTabletcomprim , , , , ,1211 AMITRIPTYLINE 50 mg TabletsPerParAMITRIPTYLINE 50 mg comprim sTabletcomprim , , , , ,2347 AMITRIPTYLINE 75 mg TabletsPerParAMITRIPTYLINE 75 mg comprim sTabletcomprim , , ,3634 amlodipine 5 mg TabletsPerParAMLODIPINE 5 mg comprim sTabletcomprim , ,141002297485 ACT , , , , , , , , , , ,141002284383 Sandoz , , , , 124 124/20186 DINP roduct NameManufacturerNIMP roduitFabricantPrice ($)Prix ($)

7 amlodipine 10 mg TabletsPerParAMLODIPINE 10 mg comprim sTabletcomprim ,258102297493 ACT , , , , , , , , , , , ,209302284391 Sandoz , , , ,2093 amlodipine /ATORVASTATIN 5 mg/ 10 mg TabletsPerParAMLODIPINE/ATORVASTATIN 5 mg/ 10 mg comprim sTabletcomprim ,629402411253 Apo- ,580202362759GD- ,580202404222pms- ,5802 amlodipine /ATORVASTATIN 5 mg/20 mg TabletsPerParAMLODIPINE/ATORVASTATIN 5 mg/20 mg comprim sTabletcomprim ,100602411261 Apo- ,684202362767GD- ,684202404230pms- ,6842 amlodipine /ATORVASTATIN 5 mg/40 mg TabletsPerParAMLODIPINE/ATORVASTATIN 5 mg/40 mg comprim sTabletcomprim ,181902411288 Apo- ,723202362775GD- ,7232 amlodipine /ATORVASTATIN 5 mg/80 mg TabletsPerParAMLODIPINE/ATORVASTATIN 5 mg/80 mg comprim sTabletcomprim ,277402411296 Apo- ,723202362783GD- ,7232 amlodipine /ATORVASTATIN 10 mg / 10 mg TabletsPerParAMLODIPINE/ATORVASTATIN 10 mg / 10 mg comprim sTabletcomprim ,776002411318 Apo- ,612502362791GD- ,612502404249pms.

8 124 124/20187 DINP roduct NameManufacturerNIMP roduitFabricantPrice ($)Prix ($) amlodipine /ATORVASTATIN 10 mg /20 mg TabletsPerParAMLODIPINE/ATORVASTATIN 10 mg /20 mg comprim sTabletcomprim ,460802411326 Apo- ,763602362805GD- ,763602404257pms- ,7636 amlodipine /ATORVASTATIN 10 mg /40 mg TabletsPerParAMLODIPINE/ATORVASTATIN 10 mg /40 mg comprim sTabletcomprim ,520002411334 Apo- ,800002362813GD- ,8000 amlodipine /ATORVASTATIN 10 mg /80 mg TabletsPerParAMLODIPINE/ATORVASTATIN 10 mg /80 mg comprim sTabletcomprim ,625702411342 Apo- ,800002362821GD.

9 8000 AMOXICILLIN 250 mg CapsulesPerParAMOXICILLINE 250 mg , , , , , , ,1750 AMOXICILLIN 500 mg CapsulesPerParAMOXICILLINE 500 mg , , , , , , ,3417 AMOXICILLIN 125 mg/5 mL Oral Liquid AMOXICILLINE 125 mg/5 ml liquide oralPer mLPar ml01934171 Novamoxin Sugar Reduced/Novamoxin teneur r duite en , , ,035302230879 Apo-Amoxi Sugar Free/Apo-Amoxi sans , , 124 124/20188 DINP roduct NameManufacturerNIMP roduitFabricantPrice ($)Prix ($)AMOXICILLIN 250 mg/5 mL Oral LiquidAMOXICILLINE 250 mg/5 ml liquide oralPer mLPar ,054002352788 Amoxicillin (sugar reduced)

10 , , ,054002230880 Apo-Amoxi Sugar Free/Apo-Amoxi sans ,054001934163 Novamoxin Sugar Reduced/Novamoxin teneur r duite en , , ,0540 AMOXICILLIN/CLAVULANIC ACID 500 mg/125 mg TabletsPerParAMOXICILLINE/ACIDE CLAVULANIQUE 500 mg/125 mg comprim sTabletcomprim 01916858 Clavulin-500 FGSK1,62801, ,027602243351 Apo-Amoxi ,0275 AMOXICILLIN/CLAVULANIC ACID 875 mg/125 mg TabletsPerParAMOXICILLINE/ACIDE CLAVULANIQUE 875 mg/125 mg comprim sTabletcomprim , ,401302245623 Apo-Amoxi , ,3871 ANAGRELIDE HCl mg CapsulesPerParANAGR LIDE (CHLORHYDRATE D') 0,5 mg , , ,684002260107 Sandoz ,6840 ANASTROZOLE 1 mg TabletsPerParANASTROZOLE 1 mg comprim sTabletcomprim , , , ,000002394898 ACT , , , , , , ,000002338467 Sandoz , , ,0000 ARIPIPRAZOLE 2 mg TabletsPerParARIPIPRAZOLE 2 mg comprim sTabletcomprim , , , ,809202473658 Sandoz , 124 124/20189 DINP roduct NameManufacturerNIMP roduitFabricantPrice ($)Prix ($)