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Maintenance Medication List Page 1 of 5 Maintenance Medication List Page 1 of 5 Brand Name Generic Name Brand Name Generic Name ACCOLATE zafirlukast AXID nizatidine ACCUPRIL quinapril hydrochloride AZARGA brinzolamide / timolol ACCURETIC quinapril / hydrochlorothiazide AZOPT brinzolamide ACTIVELLE estradiol / norethindrone BENURYL probenecid ACTONEL risedronate sodium BETAGAN levobunolol hydrochloride ACTOS pioglitazone hydrochloride BETOPTIC betaxolol hydrochloride ADALAT nifedipine BEVESPI formoterol / glycopyrronium ADLYXINE lixisenatide BEZALIP bezafibrate ADVAIR DISKUS fluticasone / salmeterol BONDRONAT ibandronate sodium AGGRENOX acetylsalicyclic acid / dipyridamole BREO ELLIPTA fluticasone / vilanterol AGRYLIN anagrelide hydrochloride BRILINTA ticagrelor ALDACTONE spironolactone BURINEX bumetanide ALDORIL methyldopa / hydrochlorothiazide BUSPAR buspirone hydrochloride ALLOPURINOL allopurinol BYSTOLIC nebivolol hydrochloride ALPHAGAN brimonidine tartrate CADUET amlodipine / atorvastatin ALTACE ramipril CAPOTEN captopril ALTACE HCT ramipril / hydrochlorothiazide CARDURA doxazosin mesylate ALVESCO ciclesonide CATAPRES clonidine hydrochloride AMARYL glimepiride CELEBREX celecoxib ANAFRANIL clomipramine hydrochloride CELEXA citalopram ANDROCUR cyproterone acetate CIPRALEX escitalopram 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 / salbutamol ARICEPT donepezil hydrochloride COMTAN entacapone ARNUITY ELLIPTA fluticasone furoate CONSTELLA linaclotide ARTHROTEC diclofenac / misoprostol CONTRAVE bupropion hydrochloride / naltrexone hydrochloride ASMANEX TWISTHALER mometasone furoate CORDARONE amiodarone hydrochloride ASPIRIN acetylsalicylic acid COREG carvedilol ATACAND candesartan cilexetil COSOPT dorzolamide / timolol ATACAND PLUS candesartan / hydrochlorothiazide COVERSYL perindopril erbumine ATROVENT ipratropium bromide COVERSYL PLUS perindopril / indapamine AVALIDE irbesartan / hydrochlorothiazide COZAAR losartan potassium AVAMYS fluticasone furoate CREON pancrelipase enzyme AVANDAMET rosiglitazone / metformin CRESTOR rosuvastatin calcium AVANDARYL rosiglitazone / glimepiride CYCLEN ethinyl estradiol / norgestimate AVANDIA rosiglitazone maleate CYMBALTA duloxetine hydrochloride AVAPRO irbesartan CYTOMEL liothyronine sodium AVENTYL nortriptyline hydrochloride DAXAS roflumilast 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 tamsulosin hydrochloride DEMULEN ethinyl estradiol / ethynodiol FLONASE fluticasone propionate DEPO-PROVERA medroxyprogesterone acetate FLOVENT fluticasone propionate DESYREL trazodone hydrochloride FOLVITE folic acid DETROL tolterodine tartrate FORADIL formoterol fumarate DEXILANT dexlansoprazole FORXIGA dapagliflozin DIABETA glyburide FOSAMAX alendronate sodium DIAMICRON gliclazide FOSAVANCE alendronate / vitamin d3 DIAMOX acetazolamide sodium FROBEN flurbiprofen DIANE cyproterone / ethinyl estradiol GLUCOBAY acarbose DICETEL pinaverium bromide GLUCONORM repaglinide DIDROCAL etidronate / calcium GLUCOPHAGE metformin hydrochloride DIOVAN valsartan GLYXAMBI linagliptin / empagliflozin DIOVAN-HCT valsartan / hydrochlorothiazide HYDRODIURIL hydrochlorothiazide DIPENTUM olsalazine sodium HYGROTON chlorthalidone DITROPAN oxybutynin chloride HYOSCINE hyoscine butylbromide DOPAMET methyldopa HYTRIN terazosin hydrochloride DUAKLIR GENUAIR formoterol / aclidinium bromide HYZAAR losartan / hydrochlorothiazide DUAVIVE bazedoxifene / conjugated estrogens IMDUR isosorbide mononitrate DUOTRAV travoprost / timolol INCRUSE ELLIPTA umeclidinium bromide DYAZIDE triamterene / hydrochlorothiazide INDERAL propranolol DYMISTA azelastine / fluticasone INDOCID indomethacin DYRENIUM triamterene INHIBACE cilazapril EBIXA memantine hydrochloride INHIBACE PLUS cilazapril / hydrochlorothiazide EDARBI azilsartan medoxomil INSPIOLTO RESPIMAT olodaterol / tiotropium EDARBYCLOR azilsartan / chlorthalidone INSPRA eplerenone EDECRIN ethacrynic acid INTUNIV guanfacine hydrochloride EFFEXOR venlafaxine hydrochloride INVOKAMET canagliflozin / metformin EFFIENT prasugrel hydrochloride INVOKANA canagliflozin ELAVIL amitriptyline hydrochloride IRON SUPPLEMENTS ferrous sulfate ELIQUIS apixaban ISDN isosorbide dinitrate ENABLEX darifenacin hydrobromide ISOPTIN verapamil hydrochloride ENTRESTO valsartan / sacubitril ISOPTO ATROPINE atropine sulfate ESTRACE estradiol ISOPTO CARBACHOL carbachol ESTRAGYN esterified estrogens ISOPTO CARPINE pilocarpine 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 digoxin 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 furosemide NASONEX mometasone furoate LESCOL fluvastatin sodium NATAZIA estradiol / dienogest LIORESAL baclofen NESINA alogliptin benzoate LIPIDIL fenofibrate NEUPRO rotigotine LIPITOR atorvastatin calcium NEURONTIN gabapentin LIVOSTIN levocabastine hydrochloride NEXIUM esomeprazole LIXIANA edoxaban NIASPAN niacin LODALIS colesevelam hydrochloride NIMOTOP nimodipine LODINE etodolac NITROSTAT nitroglycerin LONITEN minoxidil NOLVADEX tamoxifen citrate LOPID gemfibrozil NORVASC amlodipine besylate LOPRESOR metoprolol tartrate NUVARING ethinyl estradiol / etonogestrel LOSEC omeprazole OLMETEC olmesartan medoxomil LOTENSIN benazepril hydrochloride OLMETEC PLUS olmesartan / hydrochlorothiazide LOZIDE indapamide OMNARIS ciclesonide LUMIGAN bimatoprost ONBREZ BREEZHALER indacaterol maleate LUVOX fluvoxamine maleate ONE-ALPHA alfacalcidol LYRICA pregabalin ONGLYZA saxagliptin hydrochloride MARVELON desogestrel / ethinyl estradiol OSENI alogliptin / pioglitazone MAVIK trandolapril OSTOFORTE ergocalciferol MEGACE megestrol acetate PANTOLOC pantoprazole sodium MEVACOR lovastatin PARIET rabeprazole sodium MEXITIL mexiletine hydrochloride PARNATE tranylcypromine sulfate MICARDIS telmisartan PAXIL paroxetine hydrochloride MICARDIS PLUS telmisartan / hydrochlorothiazide PEPCID famotidine MICRONOR norethindrone PEPTOL cimetidine MICTORYL propiverine hydrochloride PLAQUENIL hydroxychloroquine sulfate MIDAMOR amiloride hydrochloride PLAVIX clopidogrel bisulfate MIN-OVRAL ethinyl estradiol / levonorges PLENDIL felodipine MINIPRESS prazosin hydrochloride PONSTAN mefenamic acid MOBICOX meloxicam PRADAXA dabigatran MODULON trimebutine maleate PRAVACHOL pravastatin sodium MODURET amiloride / hydrochlorothiazide PREGVIT and others prenatal multivitamin MONITAN acebutolol hydrochloride PREMARIN conjugated estrogens MONOCOR bisoprolol fumarate PREMPLUS conjugated estrogens / medroxyprogesterone MONOPRIL fosinopril sodium PREVACID lansoprazole MOTRIN ibuprofen PRISTIQ desvenlafaxine succinate MULTAQ dronedarone hydrochloride PROBETA levobunolol / dipivefrin MYRBETRIQ mirabegron PROLIA denosumab NADOL nadolol PROMETRIUM progesterone NAPROSYN naproxen PROPYLTHYRACIL propylthiouracil NARDIL phenelzine sulfate PROSCAR finasteride NASACORT triamcinolone 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 fluoxetine hydrochloride TAMBOCOR flecainide acetate PULMICORT budesonide TAPAZOLE methimazole QTERN saxagliptin / dapagliflozin TECTA pantoprazole magnesium QUESTRAN cholestyramine TENORETIC atenolol / chlorthalidone QUINIDINE SULFATE quinidine sulfate TENORMIN atenolol QVAR beclomethasone dipropionate TEVETEN eprosartan mesylate RAPAFLO silodosin TEVETEN PLUS eprosartan mesylate / hydrochlorothiazide RASILEZ aliskiren fumarate TIAZAC diltiazem hydrochloride RASILEZ HCT aliskiren / hydrochlorothiazide TICLID ticlopidine hydrochloride REMERON mirtazapine TIMOPTIC timolol maleate REMINYL galantamine hydrobromide TOFRANIL imipramine hydrochloride RESOTRAN prucalopride succinate TOVIAZ fesoterodine fumarate RESTASIS cyclosporine TRAJENTA linagliptin RHINALAR flunisolide TRANDATE labetalol hydrochloride RHINOCORT budesonide TRAVATAN travoprost RIDAURA auranofin TRELEGY ELLIPTA fluticasone / umeclidinium / vilanterol ROCALTROL calcitriol TRENTAL pentoxifylline RYTHMODAN disopyramide phosphate TRINTELLIX vortioxetine hydrobromide RYTHMOL propafenone hydrochloride TROSEC trospium chloride SAFLUTAN tafluprost TRUSOPT dorzolamide hydrochloride SALAZOPYRIN sulfacetylsalicyclic acidlazine TRYPTAN l-tryptophan SALOFALK mesalazine TUDORZA GENUAIR aclidinium bromide SAXENDA liraglutide TWYNSTA telmisartan / amlodipine SEEBRI BREEZHALER glycopyrronium bromide ULORIC febuxostat SEGLUROMET ertuglifozin / metformin ULTIBRO BREEZHALER indacaterol / glycopyrronium SEREVENT salmeterol xinafoate UNIPHYL theophylline / KI SIMBRINZA brimonidine / brinzolamide VASERETIC enalapril / hydrochlorothiazide SIMVASA simvastatin / acetylsalicyclic acid VASOTEC
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