<<

Maintenance List Page 1 of 5

Brand Name Generic Name Brand Name Generic Name

ACCOLATE AXID nizatidine ACCUPRIL hydrochloride AZARGA brinzolamide / ACCURETIC quinapril / hydrochlorothiazide AZOPT brinzolamide ACTIVELLE estradiol / norethindrone BENURYL probenecid ACTONEL risedronate BETAGAN hydrochloride ACTOS hydrochloride BETOPTIC hydrochloride ADALAT BEVESPI / glycopyrronium ADLYXINE lixisenatide BEZALIP ADVAIR DISKUS / BONDRONAT ibandronate sodium AGGRENOX acetylsalicyclic acid / dipyridamole BREO ELLIPTA fluticasone / AGRYLIN anagrelide hydrochloride BRILINTA ALDACTONE BURINEX ALDORIL / hydrochlorothiazide BUSPAR hydrochloride ALLOPURINOL allopurinol BYSTOLIC hydrochloride ALPHAGAN tartrate CADUET / atorvastatin ALTACE CAPOTEN ALTACE HCT ramipril / hydrochlorothiazide CARDURA mesylate ALVESCO CATAPRES hydrochloride AMARYL CELEBREX celecoxib ANAFRANIL hydrochloride CELEXA ANDROCUR CIPRALEX oxalate ANGELIQ drospirenone / estradiol CIPRALEX MELTZ escitalopram ANORO ELLIPTA umeclidinium / vilanterol CLIMARA estradiol / levonorgestrel APRESOLINE hydralazine hydrochloride COLESTID colestipol hydrochloride ARANESP darbepoetin alfa COMBIGAN brimonidine / timolol ARAVA leflunomide COMBIVENT ipratropium / ARICEPT hydrochloride COMTAN entacapone ARNUITY ELLIPTA fluticasone furoate CONSTELLA linaclotide ARTHROTEC diclofenac / misoprostol CONTRAVE bupropion hydrochloride / naltrexone hydrochloride ASMANEX TWISTHALER furoate CORDARONE hydrochloride acetylsalicylic acid COREG ATACAND cilexetil COSOPT dorzolamide / timolol ATACAND PLUS candesartan / hydrochlorothiazide COVERSYL erbumine ATROVENT COVERSYL PLUS perindopril / indapamine AVALIDE / hydrochlorothiazide COZAAR AVAMYS fluticasone furoate CREON pancrelipase AVANDAMET / metformin CRESTOR AVANDARYL rosiglitazone / glimepiride CYCLEN ethinyl estradiol / norgestimate AVANDIA rosiglitazone maleate CYMBALTA duloxetine hydrochloride AVAPRO irbesartan CYTOMEL liothyronine sodium AVENTYL hydrochloride DAXAS AVODART dutasteride

express-scripts.ca  @ExpressRxCanada  Express Scripts Canada  Express Scripts Canada Maintenance Medication List (continued) Page 2 of 5

Brand Name Generic Name Brand Name Generic Name

DDVAP desmopressin acetate FLOMAX hydrochloride DEMULEN ethinyl estradiol / ethynodiol FLONASE DEPO-PROVERA medroxyprogesterone acetate FLOVENT fluticasone propionate DESYREL hydrochloride FOLVITE folic acid DETROL tartrate FORADIL formoterol fumarate DEXILANT dexlansoprazole FORXIGA dapagliflozin DIABETA glyburide FOSAMAX alendronate sodium DIAMICRON FOSAVANCE alendronate / vitamin d3 DIAMOX sodium FROBEN flurbiprofen DIANE cyproterone / ethinyl estradiol GLUCOBAY acarbose DICETEL GLUCONORM DIDROCAL etidronate / calcium GLUCOPHAGE metformin hydrochloride DIOVAN GLYXAMBI linagliptin / empagliflozin DIOVAN-HCT valsartan / hydrochlorothiazide HYDRODIURIL hydrochlorothiazide DIPENTUM olsalazine sodium HYGROTON chlorthalidone DITROPAN chloride HYOSCINE DOPAMET methyldopa HYTRIN hydrochloride DUAKLIR GENUAIR formoterol / HYZAAR losartan / hydrochlorothiazide DUAVIVE bazedoxifene / conjugated estrogens IMDUR DUOTRAV travoprost / timolol INCRUSE ELLIPTA DYAZIDE / hydrochlorothiazide INDERAL DYMISTA / fluticasone INDOCID indomethacin DYRENIUM triamterene INHIBACE EBIXA hydrochloride INHIBACE PLUS cilazapril / hydrochlorothiazide EDARBI medoxomil INSPIOLTO RESPIMAT / tiotropium EDARBYCLOR azilsartan / chlorthalidone INSPRA eplerenone EDECRIN ethacrynic acid INTUNIV hydrochloride EFFEXOR hydrochloride INVOKAMET canagliflozin / metformin EFFIENT prasugrel hydrochloride INVOKANA canagliflozin ELAVIL hydrochloride IRON SUPPLEMENTS ferrous sulfate ELIQUIS apixaban ISDN isosorbide dinitrate ENABLEX hydrobromide ISOPTIN hydrochloride ENTRESTO valsartan / ISOPTO atropine sulfate ESTRACE estradiol ISOPTO carbachol ESTRAGYN esterified estrogens ISOPTO CARPINE hydrochloride EVISTA raloxifene hydrochloride JALYN dutasteride / tamsulosin EVRA ethinyl estradiol / norelgestrom JANUMET sitagliptin / metformin EXELON rivastigmine JANUVIA sitagliptin phosphate EZETROL ezetimibe JARDIANCE empagliflozin FELDENE piroxicam JENTADUETO linagliptin / metformin FEMARA letrozole KAZANO alogliptin / metformin FEMHRT ethinyl estradiol / norethindron KOMBOGLYZE saxagliptin / metformin FETZIMA levomilnacipran hydrochloride LANOXIN

express-scripts.ca  @ExpressRxCanada  Express Scripts Canada  Express Scripts Canada Maintenance Medication List (continued) Page 3 of 5

Brand Name Generic Name Brand Name Generic Name

LASIX NASONEX mometasone furoate LESCOL fluvastatin sodium NATAZIA estradiol / dienogest LIORESAL NESINA alogliptin benzoate LIPIDIL NEUPRO LIPITOR atorvastatin calcium NEURONTIN LIVOSTIN levocabastine hydrochloride NEXIUM LIXIANA edoxaban NIASPAN niacin LODALIS colesevelam hydrochloride NIMOTOP LODINE etodolac NITROSTAT nitroglycerin LONITEN NOLVADEX citrate LOPID NORVASC amlodipine besylate LOPRESOR tartrate NUVARING ethinyl estradiol / etonogestrel LOSEC OLMETEC medoxomil LOTENSIN hydrochloride OLMETEC PLUS olmesartan / hydrochlorothiazide LOZIDE indapamide OMNARIS ciclesonide LUMIGAN bimatoprost ONBREZ BREEZHALER maleate LUVOX maleate ONE-ALPHA alfacalcidol LYRICA ONGLYZA saxagliptin hydrochloride MARVELON desogestrel / ethinyl estradiol OSENI alogliptin / pioglitazone MAVIK OSTOFORTE ergocalciferol MEGACE megestrol acetate PANTOLOC pantoprazole sodium MEVACOR PARIET rabeprazole sodium MEXITIL hydrochloride PARNATE tranylcypromine sulfate MICARDIS PAXIL hydrochloride MICARDIS PLUS telmisartan / hydrochlorothiazide PEPCID famotidine MICRONOR norethindrone PEPTOL MICTORYL hydrochloride PLAQUENIL sulfate MIDAMOR hydrochloride PLAVIX clopidogrel bisulfate MIN-OVRAL ethinyl estradiol / levonorges PLENDIL MINIPRESS hydrochloride PONSTAN MOBICOX meloxicam PRADAXA MODULON maleate PRAVACHOL pravastatin sodium MODURET amiloride / hydrochlorothiazide PREGVIT and others prenatal multivitamin MONITAN hydrochloride PREMARIN conjugated estrogens MONOCOR fumarate PREMPLUS conjugated estrogens / medroxyprogesterone MONOPRIL sodium PREVACID lansoprazole MOTRIN PRISTIQ desvenlafaxine succinate MULTAQ hydrochloride PROBETA levobunolol / dipivefrin MYRBETRIQ PROLIA denosumab NADOL PROMETRIUM NAPROSYN naproxen PROPYLTHYRACIL propylthiouracil NARDIL phenelzine sulfate PROSCAR finasteride NASACORT acetonide

express-scripts.ca  @ExpressRxCanada  Express Scripts Canada  Express Scripts Canada Maintenance Medication List (continued) Page 4 of 5

Brand Name Generic Name Brand Name Generic Name

PROZAC hydrochloride TAMBOCOR acetate PULMICORT TAPAZOLE methimazole QTERN saxagliptin / dapagliflozin TECTA pantoprazole QUESTRAN cholestyramine TENORETIC / chlorthalidone SULFATE quinidine sulfate TENORMIN atenolol QVAR beclomethasone dipropionate TEVETEN mesylate RAPAFLO TEVETEN PLUS eprosartan mesylate / hydrochlorothiazide RASILEZ fumarate TIAZAC hydrochloride RASILEZ HCT aliskiren / hydrochlorothiazide TICLID ticlopidine hydrochloride REMERON TIMOPTIC timolol maleate REMINYL galantamine hydrobromide TOFRANIL hydrochloride RESOTRAN prucalopride succinate TOVIAZ fumarate RESTASIS cyclosporine TRAJENTA linagliptin RHINALAR TRANDATE hydrochloride RHINOCORT budesonide TRAVATAN travoprost RIDAURA auranofin TRELEGY ELLIPTA fluticasone / umeclidinium / vilanterol ROCALTROL calcitriol TRENTAL pentoxifylline RYTHMODAN phosphate TRINTELLIX vortioxetine hydrobromide RYTHMOL hydrochloride TROSEC SAFLUTAN tafluprost TRUSOPT dorzolamide hydrochloride SALAZOPYRIN sulfacetylsalicyclic acidlazine TRYPTAN l-tryptophan SALOFALK mesalazine TUDORZA GENUAIR aclidinium bromide SAXENDA liraglutide TWYNSTA telmisartan / amlodipine SEEBRI BREEZHALER ULORIC febuxostat SEGLUROMET ertuglifozin / metformin ULTIBRO BREEZHALER indacaterol / glycopyrronium SEREVENT salmeterol xinafoate UNIPHYL / KI SIMBRINZA brimonidine / brinzolamide VASERETIC / hydrochlorothiazide SIMVASA / acetylsalicyclic acid VASOTEC enalapril maleate SINEQUAN hydrochloride VESICARE succinate SINGULAIR sodium VIACORAM perindopril / amlodipine SLOW K, MICRO K potassium VIIBRYD vilazodone hydrochloride SOTACOR hydrochloride VIMOVO esomeprazole / naproxen SPIRIVA VIOKASE pancrelipase enzyme STALEVO levodopa / carbidopa / entacapone VISANNE dienogest STEGLATRO ertugliflozin VISKAZIDE / hydrochlorothiazide STEGLUJAN ertugliflozin / sitagliptin VISKEN pindolol SULCRATE sucralfate VITAMIN B cyanocobalamin SUPREFACT buserelin acetate VITAMIN D cholecalciferol SYMBICORT budesonide / formoterol VOLTAREN diclofenac sodium SYMMETREL hydrochloride WELLBUTRIN bupropion hydrochloride SYNAREL nafarelin acetate XALACOM latanoprost / timolol SYNJARDY empagliflozin / metformin XALATAN latanoprost SYNTHROID sodium

express-scripts.ca  @ExpressRxCanada  Express Scripts Canada  Express Scripts Canada Maintenance Medication List (continued) Page 5 of 5

Brand Name Generic Name

XARELTO rivaroxaban XATRAL hydrochloride XIGDUO dapagliflozin / metformin XIIDRA lifitegrast YASMIN drospirenone / ethinyl estradiol YAZ drospirenone / ethinyl estradiol ZANTAC ranitidine hydrochloride ZAROXOLYN metolazone ZENHALE formoterol / mometasone ZESTORETIC / hydrochlorothiazide ZESTRIL lisinopril ZOCOR simvastatin ZOLOFT hydrochloride ZONTIVITY vorapaxar sulfate

express-scripts.ca  @ExpressRxCanada  Express Scripts Canada  Express Scripts Canada