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RBC Prescription Drug Plan - Formulary Listing …

RBC Prescription drug plan - Formulary Listing programme de m dicaments d'ordonnance de RBC Liste des m dicaments sur ordonnance remboursablesas at / pour la p riode commen ant July 24 2018 / 24 juillet 2018 DINF ormulary A / Formulaire A Formulary B / Formulaire B drug NameNom de MedicamentRAMQODB02243684 NYZYVOXAM 600MG TABLETZYVOXAM 600MG 400MG TABLETZYVOXAM 400MG 100MG/5ML SUSPZYVOXAM 100MG/5ML 500MG TABLETZYM-LEVOFLOXACIN 500MG 250MG TABLETZYM-LEVOFLOXACIN 250MG 750MG TABLETZYM-LEVOFLOXACIN . 750MG 5% CREAMZONALON 5% CR ME 500MG INJECTIONZITHROMAX 500MG PD 600MG TABLETZITHROMAX 600MG 500MG TABLETZITHROMAX 500MG 250MG TABLETZITHROMAX 250MG 200MG/5ML SUSPZITHROMAX 200MG/5ML 100MG/5ML SUSPZITHROMAX 100MG/5ML PWS 1 GMZITHROMAX 1 GM INJ 1GM PD ORALENN09857315 YYZITHROMAX 200MG/5ML SUSP(ODB)ZITHROMAX (ODB) 200MG/5ML 1MG/5ML SYRUPZADITEN 1MG/5ML SIROPNN00577308 YYZADITEN 1MG TABLETZADITEN 1MG 6MG TABLETYOHIMBINE 6MG ODAN TABLETYOHIMBINE ODAN 2MG TABLETYOHIMBINE 2MG 2%/EPI 1:200000 XYLOCAINE+EPINEPHRINE 2%(20ML) INJECTABLENN00001821 YYXYLOCAINE 2%/EPI 1:100000 XYLOCAINE+EPINEPHRINE 2% INJECTABLENN00753149 YYXYLOCAINE WITH EPI TEST DOSE VLXYLOCAINE+EPINEPHRIN

RBC Prescription Drug Plan - Formulary Listing Programme de médicaments d'ordonnance de RBC – Liste des médicaments sur ordonnance remboursables

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Transcription of RBC Prescription Drug Plan - Formulary Listing …

1 RBC Prescription drug plan - Formulary Listing programme de m dicaments d'ordonnance de RBC Liste des m dicaments sur ordonnance remboursablesas at / pour la p riode commen ant July 24 2018 / 24 juillet 2018 DINF ormulary A / Formulaire A Formulary B / Formulaire B drug NameNom de MedicamentRAMQODB02243684 NYZYVOXAM 600MG TABLETZYVOXAM 600MG 400MG TABLETZYVOXAM 400MG 100MG/5ML SUSPZYVOXAM 100MG/5ML 500MG TABLETZYM-LEVOFLOXACIN 500MG 250MG TABLETZYM-LEVOFLOXACIN 250MG 750MG TABLETZYM-LEVOFLOXACIN . 750MG 5% CREAMZONALON 5% CR ME 500MG INJECTIONZITHROMAX 500MG PD 600MG TABLETZITHROMAX 600MG 500MG TABLETZITHROMAX 500MG 250MG TABLETZITHROMAX 250MG 200MG/5ML SUSPZITHROMAX 200MG/5ML 100MG/5ML SUSPZITHROMAX 100MG/5ML PWS 1 GMZITHROMAX 1 GM INJ 1GM PD ORALENN09857315 YYZITHROMAX 200MG/5ML SUSP(ODB)ZITHROMAX (ODB) 200MG/5ML 1MG/5ML SYRUPZADITEN 1MG/5ML SIROPNN00577308 YYZADITEN 1MG TABLETZADITEN 1MG 6MG TABLETYOHIMBINE 6MG ODAN TABLETYOHIMBINE ODAN 2MG TABLETYOHIMBINE 2MG 2%/EPI 1:200000 XYLOCAINE+EPINEPHRINE 2%(20ML) INJECTABLENN00001821 YYXYLOCAINE 2%/EPI 1:100000 XYLOCAINE+EPINEPHRINE 2% INJECTABLENN00753149 YYXYLOCAINE WITH EPI TEST DOSE VLXYLOCAINE+EPINEPHRINE INJECTABLENN00001805 YYXYLOCAINE 1%/EPI 1.

2 200000 XYLOCAINE+EPINEPHRINE INJECTABLENN00275808 YYXYLOCAINE 2%/EPI 1:50000 XYLOCAINE+EPINEPHRINE CARPULENN00001791 YYXYLOCAINE 1%/EPI 1:100000 XYLOCAINE+EPINEPHRINE INJECTABLENN00907669 YYXYLOCAINE W EPI 50ML 1:100 - 50ML (PRO)XYLOCAINE AVEC EPI 50ML 1:100 - 50ML (PRO)NN02319012 YYDOVOBET GELXAMIOL GEL TOPIQUENY02316749 YYX-PUR CHLORHEXIDINE LIQUIDX-PUR CHLORHEXIDINE GARGARISMENN02242367 NYVISUDYNE 15MG INJECTIONVISUDYNE 15MG PD INJ. 100MG CAPSULEVIBRAMYCINE 100MG CAPSULENN00556734 YYVERMOX 100MG CHEW TABLETVERMOX 100MG HYDROCHLORIDE FOR INJECTION 500MG VIALVANCOMYCINE(CHLORHYDRATE) 500MG PD INJ. HYDROCHLORIDE FOR INJECTION USP 500MG VIALVANCOMYCINE HYDROCHLORIDE FOR INJECTION USP 500MG PD INJ. HYDROCHLORIDE FOR INJECTION USP 1G VIALVANCOMYCINE HYDROCHLORIDE FOR INJECTION USP 1G PD INJ.

3 HYDROCHLORIDE INJECTION USP 5G/VIALVANCOMYCINE 5G PD. INJ. HYDROCHLORIDE FOR INJECTION USP 5 GVANCOMYCINE 5G PD INJ. HYDROCHLORIDE USP 250MG CAPSULEVANCOMYCINE 250MG CAPSULENN02406497 YYVANCOMYCIN HYDROCHLORIDE USP 125MG CAPSULEVANCOMYCINE 125MG CAPSULENN02378345 YYVANCOMYCIN HYDROCHLORIDE INJECTION USP 10G/VIALVANCOMYCINE 10G PD. INJ. HYDROCHLORIDE FOR INJECTION USP 10 GVANCOMYCINE 10G PD INJ. HYDROCHLORIDE FOR INJECTION USP 5GM VIALVANCOMYCINE (CHLORHYDRATE 5G PD INJ. HYDROCHLORIDE FOR INJECTION USP 500 MGVANCOMYCINE (CHLORHYDRATE 500MG PD. INJ. HYDROCHLORIDE FOR INJECTION USP 500MG VIALVANCOMYCINE (CHLORHYDRATE 500MG PD INJ. HYDROCHLORIDE FOR INJECTION USP 500MG VIALVANCOMYCINE (CHLORHYDRATE 500MG PD INJ. HYDROCHORIDE INJECTION USP 500 MGVANCOMYCINE (CHLORHYDRATE 500MG PD INJ. HYDROCHLORIDE CAPSULES USP 250 MGVANCOMYCINE (CHLORHYDRATE 250MG CAPSULEYN02435721 YYVANCOMYCIN HYDROCHLORIDE FOR INJECTION USP 1G VIALVANCOMYCINE (CHLORHYDRATE 1G PD INJ.)))))))

4 HYDROCHLORIDE FOR INJECTION USP 1GM VIALVANCOMYCINE (CHLORHYDRATE 1G PD INJ. HYDROCHLORIDE CAPSULES USP 125 MGVANCOMYCINE (CHLORHYDRATE 125MG CAPSULEYN02241807 YYVANCOMYCIN HYDROCHLORIDE FOR INJECTION USP 10GM MULTI DOSE VIALVANCOMYCINE (CHLORHYDRATE 10G PD INJ. HYDROCHLORIDE FOR INJECTION USP 1 GVANCOMYCINE (CHLORHYDRATE 1000MG PD. INJ. HYDROCHLORIDE FOR INJECTION 1000MG INJECTIONVANCOMYCINE (CHLORHYDRATE 1000MG PD INJ. HYDROCHORIDE INJECTION USP 1000 MGVANCOMYCINE (CHLORHYDRATE 1000MG PD INJ. HYDROCHLORIDE FOR INJECTION USP 500 MGVANCOMYCIN HYDROCHLORIDE FOR INJECTION USP 500MG PD INJ. HYDROCHLORIDE FOR INJECTION USP 1000 MGVANCOMYCIN HYDROCHLORIDE FOR INJECTION USP 1000MG PD INJ. 250MG CAPSULEVANCOCIN 250MG CAPSULEYN00800430 YYVANCOCIN 125MG CAPSULEVANCOCIN 125MG CAPSULEYN02427028 YYVAN-CIPROFLOXACIN 750MG TABLETVAN-CIPROFLOXACIN 750MG Prescription drug plan - Formulary Listing programme de m dicaments d'ordonnance de RBC Liste des m dicaments sur ordonnance remboursablesas at / pour la p riode commen ant July 24 2018 / 24 juillet 2018 DINF ormulary A / Formulaire A Formulary B / Formulaire B drug NameNom de MedicamentRAMQODB02427001 YYVAN-CIPROFLOXACIN 500MG TABLETVAN-CIPROFLOXACIN 500MG 250MG TABLETVAN-CIPROFLOXACIN 250MG 500MG TABLETURSODIOL 500MG 250MG TABLETURSODIOL 250MG DS 500MG TABLETURSO DS 500MG 250MG TABLETURSO 250MG 1% EYE DROPSTROPICACYL 1% GTTE 1% GTTENN00627704 YYTROPICACYL EYE DROPSTROPICACYL 200MG TABLETTRIMETHOPRIM 200MG 100MG))))))

5 TABLETTRIMETHOPRIM 100MG 400MG TABLET SATRENTAL 400MG COMP. TABLETTRACLEER 125MG TABLETTRACLEER 125MG 400MG TABLETTORRENT-MOXIFLOXACIN 400MG INJECTION USP 40MG/MLTOBRAMYCINE 40MG/ML FOR INJ. VIALTOBRAMYCINE PD INJ. INJECTIONTOBRAMYCINE (SULFATE) PD INJ. SA 40MG/ML INJTOBRAMYCIN SA 40MG/ML INJECTION USP 10MG/MLTOBRAMYCIN INJECTION 10MG/ML 60MG/ML INHALATION SOLUTION USPTOBRAMYCIN 60MG/ML 300MG/5ML INHALATION SOLUTIONTOBRAMYCIN 60MG/ML 40MG/ML INJECTIONTOBRAMYCIN 40MG/ML 40MG/ML INJECTION USPTOBRAMYCIN 40MG/ML 10MG/ML INJECTIONTOBRAMYCIN 10MG/ML PODHALER 28MG CAPSULETOBI PODHALER 28MG G LULENN02239630 YYTOBI 60MG/ML INHALATION SOLUTIONTOBI 300MG/5ML INJECTIONTHYROGEN INJECTABLENY02389622 YYTEVA-TOBRAMYCIN 60MG/ML INHALATION SOLUTIONTEVA-TOBRAMYCIN 60MG/ML 60MG TABLETTEVA-RALOXIFENE 60MG 400MG TABLETTEVA-OFLOXACIN 400MG 300MG TABLETTEVA-OFLOXACIN 300MG 200MG TABLETTEVA-OFLOXACIN 200MG 400 MGTEVA-NORFLOXACIN 400MG 400MG TABLETTEVA-MOXIFLOXACIN 400MG 750MG TABLETTEVA-LEVOFLOXACIN 750MG 500MG TABLETTEVA-LEVOFLOXACIN

6 500MG 250MG TABLETTEVA-LEVOFLOXACIN 250MG 20MG TABLETTEVA-LEFLUNOMIDE 20MG 10MG TABLETTEVA-LEFLUNOMIDE 10MG 1MG/5ML SYRUPTEVA-KETOTIFEN 1MG/5ML SIROPNN02230730 YYNOVO-KETOTIFEN 1MG TABLETTEVA-KETOTIFEN 1MG EES 400MG/5 MLTEVA-ERYTHROMYCIN ETHYLSU 400MG/5ML EES 200MG/5 MLTEVA-ERYTHROMYCIN ETHYLSU 200MG/5ML EST 250MG/5 MLTEVA-ERYTHROMYCIN ESTOLAT 250MG/5ML EST 125MG/5 MLTEVA-ERYTHROMYCIN ESTOLAT 125MG/5ML 100MG TABLETTEVA-DOXYCYCLINE 100MG 100MG CAPSULETEVA-DOXYCYCLINE 100MG CAPSULEYN02407973 YYTEVA-DEFERASIROX 500MG TABLETTEVA-DEFERASIROX 500MG 250MG TABLETTEVA-DEFERASIROX 250MG 125MG TABLETTEVA-DEFERASIROX 125MG ESTRADIOL 2MG/35 MCG TABLETTEVA-CYPROTERONE/ETHINYL COMP. (21)NN02241710 YYTEVA-CLINDAMYCIN 300MG CAPSULETEVA-CLINDAMYCINE 300MG CAPSULEYY02241709 YYTEVA-CLINDAMYCIN 150MG CAPSULETEVA-CLINDAMYCINE 150MG CAPSULEYY02161753 YYTEVA-CIPROFLOXACIN 750MG TABLETTEVA-CIPROFLOXACIN 750MG 500MG TABLETTEVA-CIPROFLOXACIN 500MG 250MG TABLETTEVA-CIPROFLOXACIN 250MG 500MG TABLETTEVA-CEPHALEXIN 500MG 500MG CAPSULETEVA-CEPHALEXIN 500MG CAPSULEYY00342092 YYTEVA-CEPHALEXIN 250 250MG/5ML SUSPTEVA-CEPHALEXIN 250MG/5ML 250MG TABLETTEVA-CEPHALEXIN 250MG 250MG CAPSULETEVA-CEPHALEXIN 250MG CAPSULEYY00342106 YYTEVA-CEPHALEXIN 125 125MG/5ML SUSPTEVA-CEPHALEXIN 125MG/5ML 500MG CAPSULETEVA-CEFADROXIL 500MG CAPSULEYY02398400 NYTEVA-BOSENTAN TABLETTEVA-BOSENTRAN 125MG TABLETTEVA-BOSENTRAN 125MG Prescription drug plan - Formulary Listing programme de m dicaments

7 D'ordonnance de RBC Liste des m dicaments sur ordonnance remboursablesas at / pour la p riode commen ant July 24 2018 / 24 juillet 2018 DINF ormulary A / Formulaire A Formulary B / Formulaire B drug NameNom de MedicamentRAMQODB02280183 YYTEVA-BETAHISTINE 8MG TABLETTEVA-BETAHISTINE 8MG 24MG TABLETTEVA-BETAHISTINE 24MG 16MG TABLETTEVA-BETAHISTINE 16MG ORAL SOLUTIONTEVA-BENZYDAMINE GARGARISMENN02315165 YYNOVO-AZITHROMYCIN PEDIATRIC 200MG /5ML SUSPTEVA-AZITHROMYCIN PEDIATR 200MG/5ML PEDIATRIC 100MG/5ML SUSPTEVA-AZITHROMYCIN PEDIATR 100MG/5ML 250MG TABLETTEVA-AZITHROMYCIN 250MG 250MG CAPSULETETRACYCLINE-250 250MG CAPSULENN00580929 YYTETRACYCLINE 250MG CAPSULETETRACYCLINE 250MG CAPSULEYY02410338 YYTETRABENAZINE 25MG TABLETTETRABENAZINE 25MG POWDER (PQ)TESTOSTERONE PDNN00894729 YYTERAZOL 7 VAG CREAMTERAZOL 7 CR ME VAG.

8 (APP)NN02130874 YYTERAZOL 3 DUOPAKTERAZOL 3 DUO PAK CR ME/OV.(APP.)NN00283991 YYTEBRAZID 500MG TABLETTEBRAZID 500MG VAG CREAMTARO-TERCONAZOL CR ME VAG.(APP)YY02420988 NYTARO-DICLOFENAC TOPICAL SOLUTIONTARO-DICLOFENAC 500MG TABLETTARO-DEFERASIROX 500MG 250MG TABLETTARO-DEFERASIROX 250MG 125MG TABLETTARO-DEFERASIROX 125MG 250MG/5ML SUSPENSIONTARO-CLARITHROMYCIN 250MG/5ML 750MG TABLETTARO-CIPROFLOXACIN 750MG 500MG TABLETTARO-CIPROFLOXACIN 500MG 250MG TABLETTARO-CIPROFLOXACIN 250MG 8% TOPICAL SOLUTIONTARO-CICLOPIROX 8% 25MG CAPSULETARO-ACITRETIN 25MG CAPSULEYY02466074 YYTARO-ACITRETIN 10MG CAPSULETARO-ACITRETIN 10MG CAPSULEYY00015741 YYTAPAZOLE 5MG TABLETTAPAZOLE 5MG 20MG TABLETTAPAZOLE 20MG 10MG TABLETTAPAZOLE 10MG LIQUIDTANTUM GARGARISMENN02446235 YYTACTUPUMP FORTE GELTACTUPUMP FORTE GEL TOPIQUENN02365871 YYTACTUPUMP GELTACTUPUMP GEL TOPIQUENN00868981 YYSUPRAX 400MG TABLETSUPRAX 400MG 400MG TABLETSUPRAX 400MG

9 100MG/5ML SUSPENSIONSUPRAX 100MG/5ML LOTIONSULFACET-R 5%-10% LOTIONNN02243660 NYSTREPTOMYCIN 1G INJECTIONSTREPTOMYCIN 1G PD SODIUM FOR INJECTION BP 500MG VIALSTRAGEN-CEFTRIAXONE 500MG FIOLE 500MG PD 3MG AMPOULESTILAMIN 3MG INJECTABLENN02125269 YYSTILAMIN 250 MCG AMPOULESTILAMIN 250 MCG INJECTABLENN01905112 YYSTIEVAMYCIN GELSTIEVAMYCIN(REGULIER) 4% GEL TOPIQUENN01945262 YYSTIEVAMYCIN FORTE GELSTIEVAMYCIN FORTE 4% GEL TOPIQUENN02015994 YYSTIEVAMYCIN MILD GELSTIEVAMYCIN DOUX 4% GEL TOPIQUENN02247228 YYSTIEPROX SHAMPOOSTIEPROX SHAMPOOINGNN02070863 YYSORIATANE 25MG CAPSULESORIATANE 25MG CAPSULEYY02070847 YYSORIATANE 10MG CAPSULESORIATANE 10MG CAPSULEYY02019825 YYSOLUGEL 8% GELSOLUGEL 8 8% GEL TOPIQUENN02238019 YYSOLARAZE 3% GELSOLARAZE 3% GEL TOPIQUENN00402249 YYSODIUM CHLORIDE VIALSODIUM (CHLORURE)

10 INJECTABLENN02347466 YYSIG-NORFLOXACIN 400MG TABLETSIG-NORFLOXACIN 400MG 750MG TABLETSIG-LEVOFLOXACIN 750MG 500MG TABLETSIG-LEVOFLOXACIN 500MG 250MG TABLETSIG-LEVOFLOXACIN 250MG 750MG TABLETSIG-CIPROFLOXACIN 750MG 500MG TABLETSIG-CIPROFLOXACIN 500MG 250MG TABLETSIG-CIPROFLOXACIN 250MG TABLETSIG-CABERGOLINE 600MG TABLETSIG-AZITHROMYCIN 600MG 250MG TABLETSIG-AZITHROMYCIN 250MG 24MG TABLETSERC 24MG 16MG TABLETSERC 16MG 750MG TABLETSEPTA-CIPROFLOXACIN 750MG 500MG TABLETSEPTA-CIPROFLOXACIN 500MG 250MG TABLETSEPTA-CIPROFLOXACIN 250MG 185MG TABLETSELEXID 200MG AMPULSCOPOLAMINE Prescription drug plan - Formulary Listing programme de m dicaments d'ordonnance de RBC Liste des m dicaments sur ordonnance remboursablesas at / pour la p riode commen ant July 24 2018 / 24 juillet 2018 DINF ormulary A / Formulaire A Formulary B / Formulaire B drug NameNom de MedicamentRAMQODB00541869 YYSCOPOLAMINE AMPULSCOPOLAMINE 375MG/5ML SUSPENSIONSCHEIN-CEFACLOR 375MG/5ML CIPROFLOX 750MG TABLETSCHEIN CIPROFLOX 750MG CIPROFLOX 500MG TABLETSCHEIN CIPROFLOX 500MG CIPROFLOX 250MG TABLETSCHEIN CIPROFLOX 250MG CIPROFLOX 100MG TABLETSCHEIN CIPROFLOX 100MG 2GM VIALSANDOZ-CEFTRIAXONE 2G FIOLE 2G PD 1GM VIALSANDOZ-CEFTRIAXONE 1G FIOLE 1G PD 250MG/5ML ORAL SUSP- 100ML PK (ODB)SANDOZ-CEFPROZIL 250MG/5ML 100ML PK (ODB)NN09857363 YYSANDOZ-CEFPROZIL 125MG/5ML ORAL SUSP- 100ML PK (ODB)SANDOZ-CEFPROZIL 125MG/5ML 100ML PK (ODB)


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