ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

NUMERIC ACT ATENOLOL ...... 53 ACT BUPRENORPHINE/NALOXONE ...... 89 ACT BUPROPION XL ...... 105 5-FLUOROURACIL ...... 193 ACT CELECOXIB ...... SEC 3.46 5-FLUOROURACIL/ SALICYLIC ACID ...... 25 ACT CIPROFLOXACIN ...... SEC 3A.2 ACT CIPROFLOXACIN ...... SEC 3A.3 A ACT CLARITHROMYCIN XL ...... 10 ACT DEXTROAMPHETAMINE SR ...... 117 AA-AMILZIDE ...... 136 ACT DILTIAZEM CD ...... 58 AA-CLOZAPINE ...... 108 ACT DILTIAZEM T ...... 58 AA-FENO-MICRO ...... 41 ACT DILTIAZEM T ...... 59 AA-THEO LA ...... 196 ACT ENALAPRIL ...... 61 ABATACEPT ...... SEC 3.5 ACT FLUCONAZOLE ...... 18 ABATACEPT ...... SEC 3.8 ACT FLUVOXAMINE ...... 101 ABILIFY ...... 107 ACT LATANOPROST/TIMOLOL ...... 147 ABILIFY ...... 108 ACT LEVETIRACETAM ...... 93 ABILIFY MAINTENA ...... SEC 3.34 ACT LEVOFLOXACIN ...... SEC 3A.4 ABOBOTULINUMTOXINA ...... 205 ACT LEVOFLOXACIN ...... SEC 3A.5 ACAMPROSATE CALCIUM ...... SEC 3.8 ACT LEVOFLOXACIN ...... SEC 3A.6 ACARBOSE ...... 174 ACT METFORMIN ...... 175 ACCEL-CITALOPRAM ...... 98 ACT NABILONE ...... 156 ACCEL-CITALOPRAM ...... 99 ACT OLMESARTAN ...... 49 ACCEL-LEFLUNOMIDE ...... 204 ACT OLMESARTAN HCT ...... 49 ACCEL-ONDANSETRON ...... 155 ACT PAROXETINE ...... 102 ACCEL-RIZATRIPTAN ODT ...... 124 ACT PRAMIPEXOLE ...... 129 ACCEL-RIZATRIPTAN ODT ...... SEC 3.228 ACT QUETIAPINE ...... 110 ACCUPRIL ...... 64 ACT QUETIAPINE ...... 111 ACCUPRIL ...... 65 ACT RALOXIFENE ...... SEC 3.216 ACCURETIC 10/12.5 ...... 65 ACT RANITIDINE ...... 157 ACCURETIC 20/12.5 ...... 65 ACT REPAGLINIDE ...... 177 ACCURETIC 20/25 ...... 65 ACT RIZATRIPTAN ...... 124 ACCUTANE ...... 194 ACT RIZATRIPTAN ...... SEC 3.228 ACEBUTOLOL HCL ...... 52 ACT ROPINIROLE ...... 129 ACENOCOUMAROL ...... 33 ACT TERBINAFINE ...... 17 ACETAZOLAMIDE ...... 145 ACT VENLAFAXINE XR ...... 97 ACETYLCYSTEINE ...... 140 ACTEMRA (0.9 ML SYRINGE) ...... SEC 3.273 ACH-ATORVASTATIN ...... 42 ACTEMRA (10 ML) ...... SEC 3.267 ACH-ATORVASTATIN ...... 43 ACTEMRA (20 ML) ...... SEC 3.270 ACH-ESCITALOPRAM ...... 100 ACTEMRA (4 ML) ...... SEC 3.263 ACH-EZETIMIBE...... SEC 3.116 ACTIKERALL ...... 25 ACH-OLMESARTAN HCTZ ...... 49 ACTONEL ...... 203 ACH-ROSUVASTATIN ...... 45 ACULAR ...... 143 ACH-TELMISARTAN HCTZ ...... 74 ACUVAIL ...... 143 ACITRETIN ...... 194 ACYCLOVIR ...... 21 ACLASTA ...... SEC 3.288 ADALAT XL ...... 57 ACLIDINIUM BROMIDE ...... 27 ADALIMUMAB ...... SEC 3.20 ACLIDINIUM BROMIDE/ FORMOTEROL FUMARATE ADEFOVIR DIPIVOXIL ...... 22 DIHYDRATE ...... SEC 3.9 ADRENALIN...... 145 ACT AMLODIPINE ...... 56 ADRENALIN...... 29 ACT ATENOLOL ...... 52 ADVAIR 100 DISKUS ...... SEC 3.232

The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 211 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page ADVAIR 125 ...... SEC 3.231 AMIODARONE...... 40 ADVAIR 250 ...... SEC 3.231 AMIODARONE HCL ...... 40 ADVAIR 250 DISKUS ...... SEC 3.233 AMITRIPTYLINE HCL ...... 104 ADVAIR 500 DISKUS ...... SEC 3.234 AMLODIPINE ...... 56 AEROCHAMBER PLUS FLOW-VU W/ ADULT SMALL AMLODIPINE BESYLATE ...... 56 MASK ...... 207 AMOXICILLIN ...... 11 AEROCHAMBER PLUS FLOW-VU W/ LARGE MASK 207 AMOXICILLIN ...... 12 AEROCHAMBER PLUS FLOW-VU W/ MEDIUM MASK AMOXICILLIN SUGAR-REDUCED ...... 12 ...... 207 AMOXICILLIN TRIHYDRATE...... 11 AEROCHAMBER PLUS FLOW-VU W/ MOUTHPIECE207 AMOXICILLIN TRIHYDRATE...... 12 AEROCHAMBER PLUS FLOW-VU W/ SMALL MASK 207 AMOXICILLIN TRIHYDRATE/ CLAVULANATE AEROCHAMBER PLUS FLOW-VU YOUTH W/ POTASSIUM ...... 12 MOUTHPIECE ...... 207 AMPHOTERICIN B ...... 20 AEROSOL HOLDING CHAMBER ...... 207 AMPICILLIN ...... 12 AEROSOL HOLDING CHAMBER/MASK ...... 207 AMPICILLIN ...... SEC 3.26 AFLIBERCEPT ...... 149 AMPICILLIN SODIUM ...... 12 AGGRENOX ...... 36 AMPICILLIN SODIUM ...... 13 AIROMIR CFC-FREE ...... 28 ANAFRANIL ...... 104 ALCAINE ...... 143 ANAKINRA ...... SEC 3.28 ALDARA P ...... SEC 3.137 ANAPROX ...... 82 ALEMTUZUMAB ...... SEC 3.22 ANAPROX DS...... 82 ALENDRONATE ...... 199 ANDROCUR ...... SEC 3.51 ALENDRONATE SODIUM ...... 199 ANDROCUR DEPOT ...... SEC 3.51 ALENDRONATE SODIUM ...... SEC 3.23 ANDRODERM (2.5 MG/DAY) ...... SEC 3.257 ALENDRONATE SODIUM/ VITAMIN D3 ...... 199 ANDRODERM (5 MG/DAY) ...... SEC 3.257 ALERTEC ...... SEC 3.186 ANODAN-HC ...... 190 ALESSE (21 DAY)...... 172 ANORO ELLIPTA ...... SEC 3.278 ALESSE (28 DAY)...... 172 ANUGESIC-HC ...... 190 ALFACALCIDOL ...... 197 ANUSOL-HC ...... 190 ALFUZOSIN ...... SEC 3.24 APIDRA ...... 176 ALFUZOSIN HCL ...... SEC 3.24 APIDRA CARTRIDGE ...... 176 ALIROCUMAB ...... SEC 3.26 APIDRA PEN ...... 176 ALLERGY SERUM ...... 181 APIXABAN ...... SEC 3.31 ALLOPURINOL ...... 199 APIXABAN ...... SEC 3.33 ALMOTRIPTAN ...... 123 APO-ACEBUTOLOL ...... 52 ALMOTRIPTAN ...... SEC 3.26 APO-ACYCLOVIR ...... 21 ALMOTRIPTAN MALATE ...... 123 APO-ADEFOVIR ...... 22 ALMOTRIPTAN MALATE ...... SEC 3.26 APO-ALENDRONATE ...... 199 ALPHAGAN ...... 145 APO-ALENDRONATE/VITAMIN D3 ...... 199 ALPRAZOLAM ...... 119 APO-ALFUZOSIN ...... SEC 3.24 ALPROSTADIL ...... 50 APO-ALLOPURINOL ...... 199 ALTACE (CAPSULE) ...... 65 APO-ALPRAZ ...... 119 ALTACE (CAPSULE) ...... 66 APO-AMIODARONE ...... 40 ALTACE HCT ...... 66 APO-AMITRIPTYLINE ...... 104 ALVESCO ...... 168 APO-AMLODIPINE ...... 56 ALYSENA 21 ...... 172 APO-AMOXI ...... 11 ALYSENA 28 ...... 172 APO-AMOXI ...... 12 AMANTADINE HCL...... 126 APO-AMOXI CLAV ...... 12 AMCINONIDE ...... 186 APO-ARIPIPRAZOLE ...... 107 AMERGE ...... 123 APO-ARIPIPRAZOLE ...... 108 AMERGE ...... SEC 3.188 APO-ATENIDONE ...... 53 AMILORIDE HCL ...... 136 APO-ATENOL ...... 52 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page APO-ATENOL ...... 53 APO-DULOXETINE ...... 97 APO-ATORVASTATIN ...... 42 APO-DUTASTERIDE ...... 204 APO-ATORVASTATIN ...... 43 APO-ENALAPRIL ...... 61 APO-AZATHIOPRINE ...... 199 APO-ENTECAVIR ...... 22 APO-AZITHROMYCIN Z ...... 10 APO-ESCITALOPRAM ...... 100 APO-BACLOFEN ...... 30 APO-EZETIMIBE ...... SEC 3.116 APO-BECLOMETHASONE ...... 141 APO-FELODIPINE ...... 56 APO-BISOPROLOL ...... 53 APO-FELODIPINE ...... 57 APO-BRIMONIDINE ...... 145 APO-FENO-SUPER ...... 41 APO-BROMAZEPAM ...... 119 APO-FENO-SUPER (TABLET) ...... 41 APO-BUSPIRONE ...... 122 APO-FINASTERIDE ...... 204 APO-CABERGOLINE ...... SEC 3.43 APO-FINGOLIMOD ...... SEC 3.121 APO-CANDESARTAN ...... 68 APO-FLECAINIDE ...... 39 APO-CARVEDILOL ...... 53 APO-FLUCONAZOLE ...... 18 APO-CARVEDILOL ...... 54 APO-FLUOXETINE ...... 101 APO-CEFADROXIL...... 5 APO-FLUVOXAMINE ...... 101 APO-CEFADROXIL...... SEC 3.45 APO-FOSINOPRIL ...... 62 APO-CEFUROXIME ...... 7 APO-FUROSEMIDE ...... 48 APO-CELECOXIB ...... SEC 3.46 APO-GABAPENTIN ...... 92 APO-CEPHALEX ...... 6 APO-GLICLAZIDE ...... 177 APO-CILAZAPRIL ...... 60 APO-GLICLAZIDE MR ...... 177 APO-CILAZAPRIL/HCTZ ...... 60 APO-GLYBURIDE ...... 177 APO-CITALOPRAM ...... 98 APO-GRANISETRON ...... 154 APO-CITALOPRAM ...... 99 APO-HYDRALAZINE ...... 47 APO-CLARITHROMYCIN XL ...... 10 APO-HYDRALAZINE ...... 48 APO-CLOBAZAM ...... 89 APO-HYDRO ...... 136 APO-CLONAZEPAM ...... 89 APO-HYDROMORPHONE ...... 85 APO-CLONAZEPAM ...... 90 APO-HYDROXYQUINE ...... 23 APO-CLOPIDOGREL ...... 36 APO-IBUPROFEN ...... 80 APO-CYCLOBENZAPRINE ...... 30 APO-INDAPAMIDE ...... 137 APO-DABIGATRAN ...... SEC 3.53 APO-IPRAVENT ...... 27 APO-DEFERASIROX ...... SEC 3.61 APO-ISMN ...... 50 APO-DEFERASIROX ...... SEC 3.62 APO-KETOCONAZOLE ...... 19 APO-DEFERASIROX ...... SEC 3.63 APO-KETOROLAC ...... 81 APO-DEFERASIROX (TYPE J) ...... SEC 3.59 APO-LAMIVUDINE HBV ...... 20 APO-DEFERASIROX (TYPE J) ...... SEC 3.60 APO-LAMOTRIGINE ...... 92 APO-DEFERASIROX (TYPE J) ...... SEC 3.61 APO-LAMOTRIGINE ...... 93 APO-DEXAMETHASONE ...... 168 APO-LANSOPRAZOLE ...... 158 APO-DICLO ...... 79 APO-LANSOPRAZOLE-AMOXICILLIN- APO-DICLO SR ...... 79 CLARITHROMYCIN ...... 158 APO-DICLOFENAC OPHTHALMIC ...... 143 APO-LATANOPROST ...... 146 APO-DILTIAZ ...... 57 APO-LEFLUNOMIDE ...... 204 APO-DILTIAZ CD ...... 58 APO-LEVETIRACETAM ...... 93 APO-DIPYRIDAMOLE (FC) ...... 50 APO-LEVOCARB ...... 127 APO-DIPYRIDAMOLE (FC) ...... 51 APO-LEVOCARB ...... 128 APO-DIVALPROEX...... 91 APO-LEVOCARB CR ...... 128 APO-DOMPERIDONE ...... 160 APO-LEVOFLOXACIN ...... SEC 3A.4 APO-DONEPEZIL ...... SEC 3.69 APO-LEVOFLOXACIN ...... SEC 3A.5 APO-DORZO-TIMOP ...... 147 APO-LEVOFLOXACIN ...... SEC 3A.6 APO-DOXAZOSIN ...... 51 APO-LINEZOLID ...... 17 APO-DOXY ...... 15 APO-LINEZOLID ...... SEC 3.182 APO-DOXYLAMINE/B6 ...... 156 APO-LISINOPRIL ...... 62 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page APO-LISINOPRIL ...... 63 APO-QUINAPRIL ...... 65 APO-LITHIUM CARBONATE ...... 123 APO-QUINAPRIL/HCTZ ...... 65 APO-LORAZEPAM ...... 120 APO-QUININE ...... 23 APO-LORAZEPAM ...... 121 APO-RALOXIFENE ...... SEC 3.216 APO-LOSARTAN ...... 72 APO-RAMIPRIL (CAPSULE) ...... 65 APO-LOVASTATIN ...... 43 APO-RAMIPRIL (CAPSULE) ...... 66 APO-MEDROXY ...... 178 APO-RANITIDINE ...... 157 APO-METHOTREXATE ...... 25 APO-RILUZOLE ...... SEC 3.217 APO-METHYLPHENIDATE ...... 118 APO-RISEDRONATE ...... 203 APO-METHYLPHENIDATE SR ...... 118 APO-RISPERIDONE ...... 112 APO-METOPROLOL ...... 54 APO-RISPERIDONE ...... 113 APO-METOPROLOL (TYPE L) ...... 54 APO-RIVASTIGMINE ...... SEC 3.227 APO-METOPROLOL SR ...... 54 APO-RIZATRIPTAN ...... 124 APO-MIDODRINE ...... 28 APO-RIZATRIPTAN ...... SEC 3.228 APO-MIRTAZAPINE ...... 106 APO-ROSUVASTATIN ...... 45 APO-MODAFINIL ...... SEC 3.186 APO-SALBUTAMOL HFA ...... 28 APO-MOMETASONE ...... 142 APO-SELEGILINE ...... 129 APO-MONTELUKAST ...... 139 APO-SERTRALINE ...... 102 APO-MONTELUKAST ...... SEC 3.187 APO-SERTRALINE ...... 103 APO-MOXIFLOXACIN ...... SEC 3A.7 APO-SIMVASTATIN ...... 46 APO-NALTREXONE ...... 89 APO-SIMVASTATIN ...... 47 APO-NAPRO-NA...... 82 APO-SOTALOL ...... 55 APO-NAPRO-NA DS ...... 82 APO-SUCRALFATE ...... 157 APO-NAPROXEN ...... 81 APO-SUMATRIPTAN ...... 125 APO-NAPROXEN EC ...... 81 APO-SUMATRIPTAN ...... SEC 3.251 APO-OLANZAPINE ...... 109 APO-TAMSULOSIN CR ...... 51 APO-OLANZAPINE ODT ...... 110 APO-TENOFOVIR ...... 21 APO-OLMESARTAN ...... 49 APO-TERAZOSIN ...... 51 APO-OLMESARTAN/HCTZ ...... 49 APO-TERAZOSIN ...... 52 APO-OMEPRAZOLE (DELAYED-RELEASE CAPSULE) APO-TERBINAFINE ...... 17 ...... 159 APO-TETRABENAZINE ...... SEC 3.258 APO-ONDANSETRON ...... 155 APO-TIMOP ...... 145 APO-OXAZEPAM...... 121 APO-TOPIRAMATE ...... 95 APO-OXYBUTYNIN ...... 195 APO-TRAVOPROST Z ...... 146 APO-OXYCODONE ...... 88 APO-TRAVOPROST-TIMOP ...... 147 APO-PANTOPRAZOLE ...... 160 APO-TRAZODONE ...... 103 APO-PAROXETINE ...... 102 APO-TRIAZIDE ...... 137 APO-PERINDOPRIL ...... 63 APO-TRYPTOPHAN ...... 105 APO-PERINDOPRIL ...... 64 APO-TRYPTOPHAN ...... 106 APO-PHENYTOIN SODIUM ...... 90 APO-VALACYCLOVIR (CAPLET) ...... 22 APO-PINAVERIUM ...... 162 APO-VALPROIC ...... 96 APO-PRAMIPEXOLE ...... 129 APO-VARENICLINE ...... 31 APO-PRAVASTATIN ...... 44 APO-VARENICLINE ...... SEC 3.280 APO-PRAZO ...... 51 APO-VARENICLINE (STARTER PACK) ...... 31 APO-PREDNISONE ...... 170 APO-VARENICLINE (STARTER PACK) ...... SEC 3.280 APO-PREGABALIN...... 94 APO-VENLAFAXINE XR ...... 97 APO-PREGABALIN...... 95 APO-VENLAFAXINE XR ...... 98 APO-PROPAFENONE ...... 39 APO-VERAP ...... 59 APO-QUETIAPINE ...... 110 APO-VERAP SR ...... 59 APO-QUETIAPINE ...... 111 APO-WARFARIN ...... 33 APO-QUETIAPINE XR ...... 112 APO-ZOPICLONE ...... 122 APO-QUINAPRIL ...... 64 APOMORPHINE HCL ...... SEC 3.33 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page APRACLONIDINE HCL ...... 149 AURO-ALFUZOSIN ...... SEC 3.24 APREPITANT ...... 156 AURO-AMLODIPINE ...... 56 APREPITANT/ APREPITANT ...... 156 AURO-AMOXICILLIN ...... 11 APRI 21 ...... 171 AURO-ARIPIPRAZOLE ...... 107 APRI 28 ...... 171 AURO-ARIPIPRAZOLE ...... 108 APTIOM ...... SEC 3.81 AURO-ATORVASTATIN ...... 42 ARANESP (0.3 ML SYRINGE) ...... SEC 3.57 AURO-ATORVASTATIN ...... 43 ARANESP (0.4 ML SYRINGE) ...... SEC 3.57 AURO-BETAHISTINE ...... 199 ARANESP (0.5 ML SYRINGE) ...... SEC 3.57 AURO-CANDESARTAN ...... 68 ARANESP (0.6 ML SYRINGE) ...... SEC 3.57 AURO-CANDESARTAN HCT ...... 69 ARANESP (0.65 ML SYRINGE) ...... SEC 3.57 AURO-CARVEDILOL ...... 53 ARANESP (1.0 ML SYR) ...... SEC 3.57 AURO-CARVEDILOL ...... 54 ARAVA ...... 204 AURO-CEFIXIME ...... 7 ARICEPT ...... SEC 3.69 AURO-CEFPROZIL ...... 6 ARIPIPRAZOLE ...... 107 AURO-CEFUROXIME ...... 7 ARIPIPRAZOLE ...... 108 AURO-CELECOXIB ...... SEC 3.46 ARIPIPRAZOLE ...... SEC 3.34 AURO-CEPHALEXIN ...... 6 ARISTOCORT C ...... 190 AURO-CIPROFLOXACIN ...... SEC 3A.2 ARISTOCORT R ...... 190 AURO-CITALOPRAM ...... 98 ARIXTRA (0.5 ML SYRINGE) ...... 35 AURO-CITALOPRAM ...... 99 ARIXTRA (0.6 ML SYRINGE) ...... 35 AURO-CLINDAMYCIN ...... 16 ARNUITY ELLIPTA ...... 142 AURO-CLOPIDOGREL ...... 36 ARTHROTEC-50 ...... 80 AURO-CYCLOBENZAPRINE ...... 30 ARTHROTEC-75 ...... 80 AURO-DONEPEZIL ...... SEC 3.69 ASACOL ...... 161 AURO-DULOXETINE ...... 97 ASACOL 800 ...... 161 AURO-DUTASTERIDE ...... 204 ASENAPINE MALEATE ...... SEC 3.34 AURO-ENTECAVIR ...... 22 ASFOTASE ALFA ...... SEC 3.39 AURO-ESCITALOPRAM ...... 100 ASMANEX TWISTHALER ...... 170 AURO-EZETIMIBE ...... SEC 3.116 ATACAND ...... 68 AURO-FINASTERIDE ...... 204 ATACAND PLUS ...... 69 AURO-FLECAINIDE ...... 39 ATARAX ...... 122 AURO-FLUOXETINE ...... 101 ATENOLOL ...... 52 AURO-GABAPENTIN ...... 92 ATENOLOL ...... 53 AURO-GALANTAMINE ER ...... SEC 3.125 ATENOLOL/ CHLORTHALIDONE ...... 53 AURO-GALANTAMINE ER ...... SEC 3.126 ATIVAN ...... 120 AURO-IRBESARTAN ...... 70 ATIVAN ...... 121 AURO-IRBESARTAN HCT ...... 71 ATORVASTATIN CALCIUM ...... 42 AURO-LACOSAMIDE ...... SEC 3.174 ATORVASTATIN CALCIUM ...... 43 AURO-LACOSAMIDE ...... SEC 3.175 ATORVASTATIN-10...... 42 AURO-LAMOTRIGINE ...... 92 ATORVASTATIN-20...... 42 AURO-LAMOTRIGINE ...... 93 ATORVASTATIN-40...... 42 AURO-LEVETIRACETAM ...... 93 ATORVASTATIN-80...... 43 AURO-LISINOPRIL ...... 62 ATOVAQUONE ...... 23 AURO-LISINOPRIL ...... 63 ATROPINE ...... 143 AURO-LOSARTAN ...... 72 ATROPINE SULFATE ...... 143 AURO-LOSARTAN HCT ...... 73 ATROPINE SULFATE ...... 27 AURO-METFORMIN ...... 175 ATROVENT HFA...... 27 AURO-MIRTAZAPINE ...... 106 AUBAGIO ...... SEC 3.257 AURO-MODAFINIL ...... SEC 3.186 AURANOFIN ...... 163 AURO-MONTELUKAST ...... 139 AURO-ALENDRONATE ...... 199 AURO-MONTELUKAST ...... SEC 3.187 AURO-ALENDRONATE ...... SEC 3.23 AURO-MOXIFLOXACIN ...... SEC 3A.7 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page AURO-OLANZAPINE ODT ...... 110 AZITHROMYCIN ...... SEC 3.39 AURO-OLMESARTAN ...... 49 AZOPT ...... 145 AURO-OLMESARTAN HCTZ ...... 49 AZTREONAM...... SEC 3.39 AURO-PANTOPRAZOLE ...... 160 AURO-PAROXETINE ...... 102 B AURO-PERINDOPRIL ...... 63 AURO-PERINDOPRIL ...... 64 BACKUP PLAN ONESTEP ...... 171 AURO-PRAMIPEXOLE ...... 129 BACLOFEN ...... 30 AURO-PRAVASTATIN ...... 44 BACLOFEN INJECTION ...... 30 AURO-PREGABALIN ...... 94 BACLOFEN INTRATHECAL ...... 30 AURO-QUETIAPINE ...... 110 BANZEL ...... SEC 3.230 AURO-QUETIAPINE ...... 111 BARACLUDE ...... 22 AURO-QUINAPRIL HCTZ ...... 65 BASAGLAR CARTRIDGE ...... 175 AURO-RAMIPRIL (CAPSULE) ...... 65 BASAGLAR KWIKPEN (80 UNIT) ...... 175 AURO-RAMIPRIL (CAPSULE) ...... 66 BECLOMETHASONE DIPROPIONATE ...... 141 AURO-REPAGLINIDE ...... 177 BECLOMETHASONE DIPROPIONATE ...... 168 AURO-RISEDRONATE ...... 203 BECLOMETHASONE DIPROPIONATE ...... 186 AURO-RIZATRIPTAN ...... 124 BENAZEPRIL ...... 59 AURO-RIZATRIPTAN ...... SEC 3.228 BENAZEPRIL HCL ...... 59 AURO-ROSUVASTATIN ...... 45 BENRALIZUMAB ...... SEC 3.40 AURO-SERTRALINE ...... 102 BENZACLIN ...... SEC 3.50 AURO-SERTRALINE ...... 103 BENZTROPINE MESYLATE...... 127 AURO-SIMVASTATIN ...... 46 BENZTROPINE OMEGA ...... 127 AURO-SIMVASTATIN ...... 47 BENZYDAMINE HCL ...... 144 AURO-SOLIFENACIN ...... 195 BETADERM MILD ...... 187 AURO-TELMISARTAN ...... 73 BETADERM REGULAR ...... 187 AURO-TELMISARTAN HCTZ ...... 74 BETAHISTINE...... 199 AURO-TENOFOVIR ...... 21 BETAHISTINE DIHYDROCHLORIDE ...... 199 AURO-TERBINAFINE ...... 17 BETAMETHASONE DIPROPIONATE ...... 186 AURO-TOPIRAMATE ...... 95 BETAMETHASONE DIPROPIONATE/ CLOTRIMAZOLE AURO-TRANDOLAPRIL ...... 67 ...... 190 AURO-VALACYCLOVIR ...... 22 BETAMETHASONE DIPROPIONATE/ SALICYLIC ACID AURO-VALGANCICLOVIR ...... 22 ...... 186 AURO-VALSARTAN ...... 74 BETAMETHASONE SODIUM PHOSPHATE ...... 187 AURO-VALSARTAN HCT ...... 75 BETAMETHASONE SODIUM PHOSPHATE/ AURO-VENLAFAXINE XR ...... 97 BETAMETHASONE ACETATE...... 168 AURO-VENLAFAXINE XR ...... 98 BETAMETHASONE VALERATE ...... 187 AURO-ZIPRASIDONE ...... 114 BETASERON (0.3 MG) ...... SEC 3.168 AVALIDE 150/12.5 ...... 71 BETAXOLOL HCL ...... 145 AVALIDE 300/12.5 ...... 71 BETNESOL (5MG/100ML) ...... 187 AVANDIA ...... SEC 3.229 BETOPTIC S ...... 145 AVAPRO ...... 70 BEZAFIBRATE...... 41 AVENTYL ...... 105 BEZALIP ...... 41 AVIANE 21 ...... 172 BIAXIN ...... 10 AVIANE 28 ...... 172 BIAXIN ...... 11 AVODART ...... 204 BIAXIN BID ...... 10 AVONEX PS/PEN (30 MCG/0.5 ML)...... SEC 3.165 BIAXIN XL ...... 10 AXID ...... 156 BIMATOPROST ...... 146 AZARGA ...... 147 BIO-CELECOXIB ...... SEC 3.46 AZATHIOPRINE ...... 199 BIO-DONEPEZIL ...... SEC 3.69 AZELAIC ACID ...... 194 BIO-FLUOXETINE ...... 101 AZITHROMYCIN ...... 10 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page BIO-LOSARTAN...... 72 CALCIMAR ...... 178 BIO-QUETIAPINE ...... 110 CALCIPOTRIOL ...... 194 BIO-QUETIAPINE ...... 111 CALCIPOTRIOL MONOHYDRATE/ BETAMETHASONE BIPHENTIN ...... 118 DIPROPIONATE ...... 194 BIPHENTIN ...... 119 CALCITRIOL ...... 197 BISOPROLOL ...... 53 CALCITRIOL-ODAN ...... 197 BISOPROLOL FUMARATE ...... 53 CALCIUM POLYSTYRENE SULPHONATE ...... 136 BLEPHAMIDE ...... 143 CAMPRAL ...... SEC 3.8 BLOOD GLUCOSE TEST STRIPS ...... 1 CANAGLIFLOZIN ...... SEC 3.44 BLOOD LETTING LANCET ...... 1 CANCIDAS ...... 19 BOTOX (50/100/200 UNITS/VIAL) ...... 205 CANCIDAS ...... SEC 3.44 BOTULINUMTOXINA(150KD), FREE FROM CANDESARTAN ...... 68 COMPLEXING PROTEIN ...... 205 CANDESARTAN CILEXETIL ...... 68 BRENZYS ...... SEC 3.94 CANDESARTAN CILEXETIL/ BRENZYS (AUTO INJECTOR) ...... SEC 3.96 HYDROCHLOROTHIAZIDE...... 69 BREO ELLIPTA ...... SEC 3.124 CANDESARTAN HCT ...... 69 BREO ELLIPTA ...... SEC 3.125 CANDESARTAN/HCTZ ...... 69 BREXPIPRAZOLE ...... 108 CAPTOPRIL ...... 59 BRICANYL TURBUHALER ...... 29 CAPTOPRIL ...... 60 BRILINTA ...... 36 CARBAMAZEPINE ...... 91 BRILINTA ...... SEC 3.258 CARBOLITH...... 123 BRIMONIDINE TARTRATE ...... 145 CARNITOR ...... SEC 3.177 BRIMONIDINE TARTRATE/ TIMOLOL MALEATE ..... 147 CARVEDILOL ...... 53 BRINZOLAMIDE ...... 145 CARVEDILOL ...... 54 BRINZOLAMIDE/ BRIMONIDINE TARTRATE ...... 147 CASPOFUNGIN ...... 19 BRINZOLAMIDE/ TIMOLOL MALEATE ...... 147 CASPOFUNGIN ...... SEC 3.44 BRIVARACETAM ...... SEC 3.41 CAYSTON ...... SEC 3.39 BRIVLERA ...... SEC 3.41 CCP-CITALOPRAM ...... 98 BROMAZEPAM ...... 119 CCP-CITALOPRAM ...... 99 BROMOCRIPTINE ...... 128 CCP-ONDANSETRON ...... 155 BROMOCRIPTINE MESYLATE ...... 128 CCP-RIZATRIPTAN ODT ...... 124 BUDESONIDE ...... 141 CCP-RIZATRIPTAN ODT ...... SEC 3.228 BUDESONIDE ...... 168 CCP-ZOLMITRIPTAN ...... 126 BUDESONIDE ...... 187 CCP-ZOLMITRIPTAN ...... SEC 3.288 BUDESONIDE ...... SEC 3.41 CEFADROXIL ...... 5 BUDESONIDE/ FORMOTEROL FUMARATE CEFADROXIL ...... SEC 3.45 DIHYDRATE ...... SEC 3.42 CEFAZOLIN ...... 5 BUPRENORPHINE HCL ...... SEC 3.42 CEFAZOLIN ...... 6 BUPRENORPHINE HCL/ NALOXONE CEFAZOLIN SODIUM ...... 5 HYDROCHLORIDE DIHYDRATE ...... 89 CEFAZOLIN SODIUM ...... 6 BUPROPION HCL...... 105 CEFIXIME ...... 7 BUPROPION SR ...... 105 CEFOTAXIME SODIUM ...... 7 BUSCOPAN ...... 27 CEFOXITIN ...... 9 BUSERELIN ACETATE ...... SEC 3.43 CEFOXITIN ...... SEC 3.45 BUSPIRONE HCL ...... 122 CEFOXITIN SODIUM ...... 9 BUTALBITAL/ CAFFEINE/ ASA ...... 79 CEFOXITIN SODIUM ...... SEC 3.45 BUTALBITAL/ COD PHOSPHATE/ ASA/ CAFFEINE ... 82 CEFPROZIL ...... 6 CEFTAZIDIME ...... 7 C CEFTIN ...... 7 CEFTRIAXONE FOR INJECTION USP ...... 7 CABERGOLINE ...... SEC 3.43 CEFTRIAXONE SODIUM ...... 7 CEFTRIAXONE SODIUM ...... 8 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page CEFTRIAXONE SODIUM FOR INJECTION ...... 7 CLAVULIN-125F ...... 12 CEFTRIAXONE SODIUM FOR INJECTION BP ...... 7 CLAVULIN-200 ...... 12 CEFUROXIME AXETIL ...... 7 CLAVULIN-250F ...... 12 CELEBREX ...... SEC 3.46 CLAVULIN-400 ...... 12 CELECOXIB ...... SEC 3.46 CLAVULIN-500F ...... 12 CELESTONE SOLUSPAN ...... 168 CLAVULIN-875 ...... 12 CELEXA ...... 98 CLIMARA 25 (2 MG/PTH) ...... 173 CELEXA ...... 99 CLIMARA 50 (3.9 MG/PTH) ...... 173 CEPHALEXIN ...... 6 CLIMARA 75 (5.7 MG/PTH) ...... 174 CERTOLIZUMAB PEGOL ...... SEC 3.50 CLINDAMYCIN ...... 16 CESAMET ...... 156 CLINDAMYCIN (60 & 120 ML) ...... 16 CHAMPIX ...... 31 CLINDAMYCIN HCL ...... 16 CHAMPIX ...... SEC 3.280 CLINDAMYCIN PALMITATE HCL ...... 16 CHAMPIX (STARTER PACK) ...... 31 CLINDAMYCIN PHOSPHATE ...... 16 CHAMPIX (STARTER PACK) ...... SEC 3.280 CLINDAMYCIN PHOSPHATE/ BENZOYL PEROXIDE CHLORAMPHENICOL SODIUM SUCCINATE ...... 9 ...... SEC 3.50 CHLORAX ...... 120 CLINDOXYL ...... SEC 3.50 CHLORDIAZEPOXIDE ...... 120 CLINDOXYL ADV ...... SEC 3.50 CHLORDIAZEPOXIDE HCL ...... 120 CLOBAZAM ...... 89 CHLORDIAZEPOXIDE HCL/ CLIDINIUM BROMIDE .. 120 CLOBETASOL 17-PROPIONATE ...... 187 CHLOROMYCETIN ...... 9 CLODRONATE DISODIUM ...... 199 CHLOROQUINE PHOSPHATE ...... 23 CLOMIPRAMINE HCL ...... 104 CHLORPROMAZINE HCL ...... 115 CLONAZEPAM ...... 89 CHLORTHALIDONE ...... 137 CLONAZEPAM ...... 90 CHOLEDYL EXPECTORANT ...... 196 CLONIDINE HCL ...... 200 CHOLESTYRAMINE RESIN ...... 40 CLONIDINE HCL ...... 47 CHOLESTYRAMINE-ODAN ...... 40 CLOPIDOGREL ...... 36 CICLESONIDE ...... 168 CLOPIDOGREL BISULFATE ...... 36 CICLOPIROX OLAMINE ...... 186 CLOPIXOL ...... 116 CILAZAPRIL ...... 60 CLOPIXOL ACUPHASE ...... 116 CILAZAPRIL/ HYDROCHLOROTHIAZIDE ...... 60 CLOPIXOL DEPOT ...... 116 CILOXAN ...... 141 CLORAZEPATE ...... 120 CIMETIDINE ...... 156 CLORAZEPATE DIPOTASSIUM ...... 120 CIMZIA ...... SEC 3.50 CLOXACILLIN ...... 13 CIMZIA AUTO-INJECTOR ...... SEC 3.50 CLOXACILLIN SODIUM ...... 13 CIPRALEX ...... 100 CLOZAPINE ...... 108 CIPRO ...... SEC 3A.1 CLOZARIL ...... 108 CIPRODEX ...... 141 CO LOVASTATIN ...... 43 CIPROFLOXACIN ...... SEC 3A.1 CO ONDANSETRON ...... 155 CIPROFLOXACIN ...... SEC 3A.2 CODEINE PHOSPHATE ...... 82 CIPROFLOXACIN HCL ...... 141 CODEINE PHOSPHATE ...... 83 CIPROFLOXACIN HCL ...... SEC 3A.2 CODEINE PHOSPHATE/ ACETAMINOPHEN...... 83 CIPROFLOXACIN HCL ...... SEC 3A.3 CODEINE PHOSPHATE/ ACETAMINOPHEN/ CIPROFLOXACIN HCL/ DEXAMETHASONE ...... 141 CAFFEINE ...... 83 CITALOPRAM ...... 98 COLCHICINE ...... 200 CITALOPRAM ...... 99 COLESEVELAM HCL ...... 40 CITALOPRAM HYDROBROMIDE ...... 98 COLESTID ...... 40 CITALOPRAM HYDROBROMIDE ...... 99 COLESTIPOL HCL ...... 40 CLARITHROMYCIN ...... 10 COLISTIMETHATE FOR INJECTION ...... 17 CLARITHROMYCIN ...... 11 COLISTIMETHATE SODIUM ...... 17 CLARUS ...... 194 COLLAGENASE ...... 194 CLASTEON ...... 199 COMBIGAN...... 147 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page COMBINATION ANTI-INFECTIVE /CORTICOSTEROID COVERSYL ...... 63 ...... 191 COVERSYL ...... 64 COMBINATION ANTI-INFECTIVE/CORTICOSTEROID COVERSYL PLUS ...... 64 ...... 191 COVERSYL PLUS HD ...... 64 COMPD- NSAID/ ANALG/MUSCLE RELAX (NOT COZAAR ...... 72 DICLOFENAC)-TOPICAL ...... 77 CREON 10 MINIMICROSPHERES ...... 153 COMPD-CHLORHEX. MOUTH RINSE (ANY CREON 25 MINIMICROSPHERES ...... 153 CONCENTRATION, NOT .12%) ...... 144 CRESEMBA ...... 18 COMPD-CHLORHEX. MOUTH RINSE (ANY CRESEMBA ...... SEC 3.169 CONCENTRATION, NOT 0.12%) ...... 144 CRESTOR ...... 45 COMPD-NSAID/ ANALG/MUSCLE RELAX (NOT CTP 30 ...... 98 DICLOFENAC)-TOPICAL ...... 77 CUBICIN RF...... SEC 3.56 COMPOUND - RETINOIC ACID CUPRIMINE ...... 165 (TRETINOIN) (TOPICAL) ...... 183 CYANOCOBALAMIN ...... 197 COMPOUND HORMONES (ESTROGEN PROGEST CYCLEN (21 DAY) ...... 172 TESTOSTERONE) ...... 167 CYCLEN (28 DAY) ...... 172 COMPOUND NARCOTIC MIXTURES - ORAL AND CYCLOBENZAPRINE ...... 30 INJECTION ...... 84 CYCLOBENZAPRINE HCL ...... 30 COMPOUND PRESCRIPTION ...... 144 CYCLOGYL ...... 143 COMPOUND PRESCRIPTION ...... 167 CYCLOMEN ...... 171 COMPOUND PRESCRIPTION ...... 183 CYCLOPENTOLATE HCL ...... 143 COMPOUND PRESCRIPTION ...... 184 CYCLOSPORINE ...... SEC 3.51 COMPOUND PRESCRIPTION ...... 188 CYMBALTA ...... 97 COMPOUND PRESCRIPTION ...... 191 CYPROTERONE ...... SEC 3.51 COMPOUND PRESCRIPTION ...... 193 CYPROTERONE ACETATE ...... SEC 3.51 COMPOUND PRESCRIPTION ...... 200 CYSTADROPS ...... SEC 3.52 COMPOUND PRESCRIPTION ...... 201 CYSTEAMINE BITARTRATE...... SEC 3.52 COMPOUND PRESCRIPTION ...... 202 CYSTEAMINE HYDROCHLORIDE ...... SEC 3.52 COMPOUND PRESCRIPTION ...... 77 CYTOMEL ...... 180 COMPOUND PRESCRIPTION ...... 78 CYTOVENE ...... 22 COMPOUND PRESCRIPTION ...... 84 COMPOUND- SALICYLIC ACID (TOPICAL) ...... 193 COMPOUND-ANTI-INFECTIVE (TOPICAL) ...... 184 D COMPOUND-CORTICOSTEROIDS - TOPICAL ...... 188 COMPOUND-DICLOFENAC (TOPICAL) ...... 78 DABIGATRAN ETEXILATE ...... SEC 3.53 COMTAN ...... 127 DACLATASVIR DIHYDROCHLORIDE ...... SEC 3.54 CONJUGATED ESTROGENS ...... 173 DAKLINZA ...... SEC 3.54 CONTINGENCY ONE ...... 171 DALACIN C PALMITATE ...... 16 COPAXONE ...... SEC 3.128 DALACIN C PHOSPHATE ...... 16 CORTEF ...... 169 DALTEPARIN SODIUM ...... 34 CORTENEMA (100MG/60ML) ...... 189 DANAZOL ...... 171 CORTIFOAM ...... 189 DANTRIUM ...... 30 CORTISONE ACETATE ...... 168 DANTROLENE SODIUM ...... 30 CORTODERM MILD ...... 189 DAPAGLIFLOZIN PROPANEDIOL CORTODERM REGULAR ...... 189 MONOHYDRATE ...... SEC 3.55 COSENTYX ...... SEC 3.241 DAPAGLIFLOZIN PROPANEDIOL MONOHYDRATE/ COSOPT ...... 147 METFORMIN HCL ...... SEC 3.56 COSOPT PRESERVATIVE-FREE ...... 147 DAPSONE ...... 20 COTAZYM ...... 153 DAPTOMYCIN ...... SEC 3.56 COTAZYM ECS 20 ...... 153 DARBEPOETIN ...... SEC 3.57 COTAZYM ECS 8 ...... 153 DARIFENACIN HYDROBROMIDE ...... SEC 3.58 COUMADIN ...... 33 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page DDAVP ...... 178 DICLOFENAC SODIUM ...... 143 DEFERASIROX ...... SEC 3.59 DICLOFENAC SODIUM ...... 79 DEFERASIROX ...... SEC 3.60 DICLOFENAC SODIUM/ MISOPROSTOL ...... 80 DEFERASIROX ...... SEC 3.61 DIENOGEST ...... SEC 3.66 DEFERASIROX ...... SEC 3.62 DIFICID ...... SEC 3.119 DEFERASIROX ...... SEC 3.63 DIFLUCAN ...... 18 DEFERIPRONE ...... SEC 3.64 DIFLUCAN ...... SEC 3.122 DEFEROXAMINE MESYLATE ...... 165 DIGOXIN ...... 40 DELATESTRYL ...... 171 DIHYDROERGOTAMINE (DHE) ...... 29 DEMEROL ...... 85 DIHYDROERGOTAMINE MESYLATE ...... 29 DENOSUMAB ...... SEC 3.65 DILANTIN ...... 90 DEPAKENE ...... 96 DILANTIN INFATABS ...... 90 DEPO-MEDROL...... 169 DILANTIN-125...... 90 DEPO-MEDROL (PRESERVED) ...... 169 DILANTIN-30...... 90 DEPO-MEDROL WITH LIDOCAINE ...... 169 DILAUDID ...... 85 DEPO-PROVERA ...... 178 DILTIAZEM CD ...... 58 DEPO-TESTOSTERONE CYPIONATE ...... 171 DILTIAZEM HCL ...... 57 DERMAFLEX HC ...... 189 DILTIAZEM HCL ...... 58 DERMAFLEX HC ...... 190 DILTIAZEM HCL ...... 59 DERMOVATE ...... 187 DIMENHYDRINATE ...... 154 DESFERAL ...... 165 DIMENHYDRINATE I.M...... 154 DESICCATED THYROID ...... 179 DIMENHYDRINATE I.V...... 154 DESIPRAMINE ...... 104 DIMETHYL FUMARATE ...... SEC 3.68 DESIPRAMINE HCL ...... 104 DIMETHYL SULFOXIDE ...... 202 DESMOPRESSIN ...... 178 DIOVAN ...... 74 DESMOPRESSIN ACETATE ...... 178 DIOVAN-HCT ...... 75 DESOGESTREL/ ETHINYL ESTRADIOL ...... 171 DIPENTUM ...... 161 DESOGESTREL/ ETHINYL ESTRADIOL/ DIPHENHYDRAMINE ...... 3 DESOGESTREL/ ETHINYL ESTRADIOL/ DIPHENHYDRAMINE HCL ...... 3 DESOGESTREL/ ETHINYL ESTRADIOL ...... 171 DIPHENOXYLATE HCL/ ATROPINE SULFATE...... 153 DESONIDE ...... 188 DIPROLENE GLYCOL ...... 186 DESOXIMETASONE ...... 189 DIPROSALIC ...... 186 DETROL LA ...... 195 DIPROSONE...... 186 DEXAMETHASONE ...... 141 DIPYRIDAMOLE ...... 50 DEXAMETHASONE ...... 168 DIPYRIDAMOLE ...... 51 DEXAMETHASONE SODIUM PHOSPHATE ...... 168 DIPYRIDAMOLE/ ASA ...... 36 DEXAMETHASONE/ FRAMYCETIN SULFATE/ DISOPYRAMIDE ...... 39 GRAMICIDIN ...... 142 DIVALPROEX SODIUM (VALPROIC ACID EQUIV.) ..... 91 DEXAMETHASONE/ NEOMYCIN SULFATE/ DIVIGEL (0.25 MG PACK) ...... 173 POLYMYXIN B SULFATE ...... 142 DIVIGEL (0.5 MG PACK) ...... 173 DEXAMETHASONE/ TOBRAMYCIN ...... 142 DIVIGEL (1 MG PACK) ...... 173 DEXEDRINE ...... 117 DOMPERIDONE ...... 160 DEXTROAMPHETAMINE ...... 117 DOMPERIDONE MALEATE ...... 160 DEXTROAMPHETAMINE SULFATE ...... 117 DONEPEZIL ...... SEC 3.69 DIABETA ...... 177 DONEPEZIL HCL ...... SEC 3.69 DIABETES SUPPLIES ...... 1 DONEPEZIL HYDROCHLORIDE ...... SEC 3.69 DIACOMIT ...... SEC 3.250 DORZOLAMIDE HCL ...... 146 DIAMICRON ...... 177 DORZOLAMIDE HCL/ TIMOLOL MALEATE ...... 147 DIAMICRON MR ...... 177 DOSTINEX ...... SEC 3.43 DIAZEPAM ...... 120 DOVOBET ...... 194 DICETEL ...... 162 DOVONEX ...... 194 DICLECTIN ...... 156 DOXAZOSIN MESYLATE ...... 51 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page DOXEPIN ...... 104 EPCLUSA ...... SEC 3.247 DOXEPIN HCL ...... 104 EPINEPHRINE ...... 29 DOXYCYCLINE ...... 15 EPINEPHRINE HCL ...... 145 DOXYCYCLINE HYCLATE ...... 15 EPINEPHRINE HCL ...... 29 DOXYLAMINE SUCCINATE/ PYRIDOXINE HCL ...... 156 EPIPEN ...... 29 DROSPIRENONE/ ETHINYL ESTRADIOL ...... 171 EPIPEN JR ...... 29 DUAKLIR GENUAIR ...... SEC 3.9 EPIVAL ...... 91 DULOXETINE ...... 97 EPLERENONE...... SEC 3.79 DULOXETINE DR ...... 97 EPOETIN ALFA ...... SEC 3.79 DULOXETINE HYDROCHLORIDE ...... 97 EPOETIN ALFA ...... SEC 3.80 DUODOPA ...... SEC 3.178 EPREX ...... SEC 3.80 DUOTRAV PQ ...... 147 EPREX (0.3 ML SYRINGE) ...... SEC 3.79 DUTASTERIDE ...... 204 EPREX (0.4 ML SYRINGE) ...... SEC 3.80 DYSPORT THERAPEUTIC ...... 205 EPREX (0.5 ML SYRINGE) ...... SEC 3.79 EPREX (0.5 ML SYRINGE) ...... SEC 3.80 EPREX (0.6 ML SYRINGE) ...... SEC 3.80 E EPREX (0.8 ML SYRINGE) ...... SEC 3.80 EPREX (1 ML SYRINGE) ...... SEC 3.80 EPROSARTAN MESYLATE ...... 69 ECULIZUMAB ...... SEC 3.74 EPROSARTAN MESYLATE/ EDECRIN ...... 48 HYDROCHLOROTHIAZIDE...... 69 EDOXABAN TOSYLATE MONOHYDRATE ...... SEC 3.75 ERELZI ...... SEC 3.89 EFFEXOR XR ...... 97 ERELZI ...... SEC 3.98 EFFEXOR XR ...... 98 ERELZI (SENSOREADY AUTO INJECTOR)... SEC 3.102 EFUDEX ...... 193 ERTAPENEM ...... 8 ELAVIL ...... 104 ERTAPENEM ...... SEC 3.81 ELBASVIR/ GRAZOPREVIR ...... SEC 3.76 ERYC ...... 9 ELELYSO ...... SEC 3.254 ERYTHRO-BASE ...... 9 ELIQUIS ...... SEC 3.31 ERYTHROMYCIN ...... 141 ELIQUIS ...... SEC 3.33 ERYTHROMYCIN ...... 9 ELMIRON ...... 203 ESBRIET ...... SEC 3.214 ELOCOM ...... 190 ESCITALOPRAM ...... 100 ELTROXIN ...... 179 ESLICARBAZEPINE ACETATE...... SEC 3.81 EMEND ...... 156 ESTALIS (2.7*.62 MG/PTH) ...... 174 EMEND TRI-PACK...... 156 ESTALIS (4.8*.51 MG/PTH) ...... 174 EMPAGLIFLOZIN...... SEC 3.77 ESTRACE ...... 173 EMPAGLIFLOZIN/ METFORMIN HCL ...... SEC 3.78 ESTRADIOL-17B ...... 173 ENABLEX ...... SEC 3.58 ESTRADIOL-17B ...... 174 ENALAPRIL ...... 61 ESTRADOT 100 (1.56 MG/PTH) ...... 174 ENALAPRIL MALEATE ...... 61 ESTRADOT 25 (0.39 MG/PTH) ...... 173 ENALAPRIL MALEATE/ HYDROCHLOROTHIAZIDE .. 62 ESTRADOT 37.5 (0.585 MG/PTH) ...... 173 ENALAPRIL MALEATE/HCTZ ...... 62 ESTRADOT 50 (0.78 MG/PTH) ...... 173 ENBREL ...... SEC 3.107 ESTRADOT 75 (1.17 MG/PTH) ...... 174 ENBREL ...... SEC 3.82 ESTRING ...... 174 ENOXAPARIN SODIUM ...... 34 ESTROGEL...... 173 ENSTILAR ...... 194 ETANERCEPT ...... SEC 3.102 ENTACAPONE ...... 127 ETANERCEPT ...... SEC 3.107 ENTECAVIR ...... 22 ETANERCEPT ...... SEC 3.114 ENTOCORT ...... SEC 3.41 ETANERCEPT ...... SEC 3.82 ENTOCORT (115 ML) ...... 187 ETANERCEPT ...... SEC 3.89 ENTRESTO ...... SEC 3.230 ETANERCEPT ...... SEC 3.93 ENTYVIO ...... SEC 3.283 ETANERCEPT ...... SEC 3.94 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page ETANERCEPT ...... SEC 3.96 FLOVENT DISKUS ...... 169 ETANERCEPT ...... SEC 3.98 FLOVENT HFA ...... 169 ETHACRYNIC ACID ...... 48 FLUANXOL ...... 116 ETHOPROPAZINE HCL ...... 127 FLUANXOL DEPOT ...... 116 ETHOSUXIMIDE ...... 90 FLUCONAZOLE ...... 18 EURO FOLIC ...... 197 FLUCONAZOLE ...... SEC 3.122 EURO-K 20 ...... 135 FLUDROCORTISONE ACETATE ...... 169 EVISTA ...... SEC 3.216 FLUMETHASONE PIVALATE/ CLIOQUINOL...... 143 EVOLOCUMAB ...... SEC 3.116 FLUNARIZINE...... 202 EXELON ...... SEC 3.227 FLUNARIZINE HCL ...... 202 EXJADE ...... SEC 3.61 FLUOCINONIDE ...... 189 EXJADE ...... SEC 3.62 FLUOR-A-DAY ...... 131 EXJADE ...... SEC 3.63 FLUOROMETHOLONE ...... 142 EXTAVIA (0.3 MG) ...... SEC 3.168 FLUOROMETHOLONE ACETATE ...... 142 EYLEA ...... 149 FLUOXETINE...... 101 EZETIMIBE ...... SEC 3.116 FLUOXETINE BP ...... 101 EZETROL ...... SEC 3.116 FLUOXETINE HCL ...... 101 FLUPENTIXOL DECANOATE ...... 116 FLUPENTIXOL DIHYDROCHLORIDE ...... 116 F FLUPHENAZINE ...... 115 FLUPHENAZINE DECANOATE...... 115 FAMOTIDINE ...... 156 FLUPHENAZINE HCL ...... 115 FASENRA ...... SEC 3.40 FLURAZEPAM ...... 120 FEBUXOSTAT ...... SEC 3.117 FLURAZEPAM HCL ...... 120 FELODIPINE ...... 56 FLURBIPROFEN ...... 80 FELODIPINE ...... 57 FLUTAMIDE ...... SEC 3.122 FENOFIBRATE ...... 41 FLUTICASONE FUROATE ...... 142 FENTANYL ...... SEC 3.117 FLUTICASONE FUROATE/ UMECLIDINIUM BROMIDE/ FENTANYL ...... SEC 3.118 VILANTEROL TRIFENATATE ...... SEC 3.123 FENTANYL CITRATE ...... SEC 3.118 FLUTICASONE FUROATE/ VILANTEROL FERRIPROX ...... SEC 3.64 TRIFENATATE...... SEC 3.124 FESOTERODINE FUMARATE ...... SEC 3.118 FLUTICASONE FUROATE/ VILANTEROL FIBRISTAL ...... 203 TRIFENATATE...... SEC 3.125 FIDAXOMICIN ...... SEC 3.119 FLUTICASONE PROPIONATE...... 169 FILGRASTIM ...... SEC 3.119 FLUVASTATIN SODIUM ...... 43 FINACEA ...... 194 FLUVOXAMINE MALEATE ...... 101 FINASTERIDE ...... 204 FOLIC ACID ...... 197 FINGOLIMOD HYDROCHLORIDE ...... SEC 3.121 FONDAPARINUX SODIUM ...... 35 FINGOLIMOD HYDROCHLORIDE ...... SEC 3.122 FONDAPARINUX SODIUM (0.5 ML SYRINGE) ...... 35 FIORINAL ...... 79 FONDAPARINUX SODIUM (0.6 ML SYRINGE) ...... 35 FIORINAL-C 1/2 ...... 82 FORADIL ...... 28 FIORINAL-C 1/4 ...... 82 FORMOTEROL FUMARATE ...... 28 FIRAZYR ...... SEC 3.136 FORMOTEROL FUMARATE DIHYDRATE...... 28 FLAGYL ...... 185 FORTAZ ...... 7 FLAGYL ...... 23 FORXIGA ...... SEC 3.55 FLAGYSTATIN ...... 185 FOSAMAX ...... 199 FLAMAZINE ...... 186 FOSAVANCE ...... 199 FLAREX ...... 142 FOSFOMYCIN TROMETHAMINE ...... 23 FLECAINIDE ACETATE ...... 39 FOSINOPRIL ...... 62 FLOMAX CR ...... 51 FOSINOPRIL SODIUM ...... 62 FLORINEF ...... 169 FRAGMIN ...... 34 FRAGMIN (0.2 ML SYRINGE) ...... 34 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page FRAGMIN (0.28 ML SYRINGE) ...... 34 GLUCONORM ...... 177 FRAGMIN (0.3 ML SYRINGE) ...... 34 GLUCOPHAGE ...... 175 FRAGMIN (0.4 ML SYRINGE) ...... 34 GLYBURIDE ...... 177 FRAGMIN (0.5 ML SYRINGE) ...... 34 GLYCEROL PHENYLBUTYRATE ...... SEC 3.129 FRAGMIN (0.6 ML SYRINGE) ...... 34 GLYCOPYRROLATE ...... 27 FRAGMIN (0.72 ML SYRINGE) ...... 34 GLYCOPYRRONIUM BROMIDE ...... 140 FRAXIPARINE (0.3-1 ML SYR) ...... 35 GOLIMUMAB ...... SEC 3.134 FRAXIPARINE FORTE (0.6-1 ML SYR) ...... 35 GOLIMUMAB ...... SEC 3.136 FREYA 21 ...... 171 GOSERELIN ACETATE ...... SEC 3.136 FREYA 28 ...... 171 GRANISETRON HCL ...... 154 FUCIDIN ...... 185 GRASTOFIL ...... SEC 3.119 FULPHILA (0.6 ML SYRINGE) ...... SEC 3.205 FUNGIZONE IV ...... 20 H FUROSEMIDE ...... 48 FUROSEMIDE INJECTION SDZ ...... 48 HALOBETASOL PROPIONATE ...... 189 FUSIDIC ACID ...... 185 HALOPERIDOL...... 114 FYCOMPA ...... SEC 3.211 HALOPERIDOL DECANOATE ...... 114 HALOPERIDOL LA ...... 114 G HARVONI ...... SEC 3.246 HEMANGIOL...... SEC 3.215 GABAPENTIN ...... 92 HEPARIN LEO ...... 34 GALAFOLD ...... SEC 3.185 HEPARIN SODIUM ...... 34 GALANTAMINE ER...... SEC 3.125 HEPSERA ...... 22 GALANTAMINE ER...... SEC 3.126 HEPTOVIR ...... 20 GALANTAMINE HYDROBROMIDE ...... SEC 3.125 HP-PAC (KIT)...... 158 GALANTAMINE HYDROBROMIDE ...... SEC 3.126 HUMALOG ...... 176 GANCICLOVIR SODIUM ...... 22 HUMALOG CARTRIDGE ...... 176 GD-AZITHROMYCIN ...... 10 HUMALOG KWIKPEN ...... 176 GD-DICLOFENAC/MISOPROSTOL 50 ...... 80 HUMALOG MIX 25 CARTRIDGE ...... 176 GD-DICLOFENAC/MISOPROSTOL 75 ...... 80 HUMALOG MIX 25 KWIKPEN ...... 176 GD-LATANOPROST ...... 146 HUMALOG MIX 50 CARTRIDGE ...... 176 GD-LATANOPROST/TIMOLOL ...... 147 HUMALOG MIX 50 KWIKPEN ...... 176 GD-TRANEXAMIC ACID ...... 37 HUMATROPE ...... SEC 3.249 GEMFIBROZIL ...... 41 HUMIRA (40 MG/0.8 ML INJ SYR) ...... SEC 3.20 GEN-CLOZAPINE ...... 108 HUMULIN 30/70 ...... 176 GENOTROPIN GOQUICK ...... SEC 3.249 HUMULIN 30/70 CARTRIDGE ...... 176 GENOTROPIN MINIQUICK ...... SEC 3.248 HUMULIN N ...... 176 GENOTROPIN MINIQUICK ...... SEC 3.249 HUMULIN N CARTRIDGE ...... 176 GENTAMICIN ...... 5 HUMULIN N KWIKPEN ...... 176 GENTAMICIN SULFATE ...... 5 HUMULIN R ...... 176 GILENYA ...... SEC 3.122 HUMULIN R CARTRIDGE ...... 176 GLATECT ...... SEC 3.127 HYDERM ...... 189 GLATIRAMER ACETATE ...... SEC 3.127 HYDRALAZINE HCL ...... 47 GLATIRAMER ACETATE ...... SEC 3.128 HYDRALAZINE HCL ...... 48 GLATIRAMER ACETATE ...... SEC 3.129 HYDROCHLOROTHIAZIDE...... 136 GLICLAZIDE ...... 177 HYDROCHLOROTHIAZIDE/ AMILORIDE HCL ...... 136 GLUCAGEN ...... 178 HYDROCHLOROTHIAZIDE/ SPIRONOLACTONE ...... 75 GLUCAGEN HYPOKIT ...... 178 HYDROCHLOROTHIAZIDE/ TRIAMTERENE ...... 137 GLUCAGON ...... 178 HYDROCORTISONE ...... 169 GLUCAGON, RDNA ORIGIN ...... 178 HYDROCORTISONE ...... 189 GLUCOBAY ...... 174 HYDROCORTISONE 17-VALERATE ...... 189

The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page HYDROCORTISONE ACETATE ...... 189 INFLIXIMAB ...... SEC 3.156 HYDROCORTISONE ACETATE/ PRAMOXINE HCL . 189 INFLIXIMAB ...... SEC 3.163 HYDROCORTISONE ACETATE/ PRAMOXINE HCL/ INHIBACE ...... 60 ZINC SULFATE ...... 190 INHIBACE PLUS ...... 60 HYDROCORTISONE ACETATE/ UREA ...... 190 INNOHEP ...... 35 HYDROCORTISONE ACETATE/ ZINC SULFATE ..... 190 INNOHEP (0.25 ML SYRINGE) ...... 35 HYDROCORTISONE SODIUM SUCCINATE ...... 169 INNOHEP (0.35 ML SYRINGE) ...... 35 HYDROCORTISONE/ CINCHOCAINE HCL/ INNOHEP (0.4 ML SYRINGE) ...... 35 FRAMYCETIN SULFATE/ ESCULIN ...... 192 INNOHEP (0.45 ML SYRINGE) ...... 35 HYDROMORPH CONTIN ...... 85 INNOHEP (0.5 ML SYRINGE) ...... 35 HYDROMORPHONE ...... 85 INNOHEP (0.6 ML SYRINGE) ...... 35 HYDROMORPHONE HCL ...... 85 INNOHEP (0.7 ML SYRINGE) ...... 35 HYDROMORPHONE HP ...... 85 INNOHEP (0.8 ML SYRINGE) ...... 35 HYDROMORPHONE HP 20 ...... 85 INNOHEP (0.9 ML SYRINGE) ...... 35 HYDROVAL ...... 189 INSPIOLTO RESPIMAT ...... SEC 3.259 HYDROXYCHLOROQUINE SULFATE ...... 23 INSPIRA CHAMBER W/ MED HYDROXYZINE ...... 122 INSPIRAMASK/SOOTHERMASK DEV ...... 207 HYDROXYZINE HCL ...... 122 INSPIRA CHAMBER W/ SM HYOSCINE BUTYLBROMIDE ...... 27 INSPIRAMASK/SOOTHERMASK DEV ...... 207 HYZAAR ...... 73 INSPIRA CHAMBER WITH MOUTHPIECE ...... 207 HYZAAR DS ...... 73 INSPRA ...... SEC 3.79 INSULIN ASPART ...... 175 I INSULIN DEGLUDEC ...... 175 INSULIN DETEMIR ...... 175 INSULIN GLARGINE ...... 175 IBAVYR ...... SEC 3.216 INSULIN GLULISINE (RDNA ORIGIN) ...... 176 IBUPROFEN ...... 80 INSULIN HUMAN BIOSYNTHETIC (ISOPHANE) ...... 176 ICATIBANT ACETATE ...... SEC 3.136 INSULIN HUMAN BIOSYNTHETIC (REGULAR) ...... 176 IMDUR ...... 50 INSULIN HUMAN BIOSYNTHETIC (REGULAR)/ INSULIN IMIPENEM/ CILASTATIN SODIUM...... 8 HUMAN BIOSYNTHETIC (ISOPHANE) ...... 176 IMIPENEM/ CILASTATIN SODIUM...... SEC 3.137 INSULIN LISPRO ...... 176 IMIPRAMINE ...... 104 INSULIN LISPRO/ INSULIN LISPRO PROTAMINE .... 176 IMIPRAMINE HCL ...... 104 INSULIN PEN NEEDLES ...... 1 IMIQUIMOD ...... SEC 3.137 INSULIN SYRINGES ...... 1 IMITREX ...... 125 INTERFERON BETA-1A ...... SEC 3.165 IMITREX ...... SEC 3.250 INTERFERON BETA-1B ...... SEC 3.168 IMITREX (0.5 ML) ...... 125 INVANZ ...... 8 IMITREX (0.5 ML) ...... SEC 3.251 INVANZ ...... SEC 3.81 IMITREX DF ...... 125 INVEGA ...... 110 IMITREX DF ...... SEC 3.251 INVEGA SUSTENNA (0.5 ML SYR) ...... SEC 3.201 IMOVANE ...... 122 INVEGA SUSTENNA (0.75 ML SYR) ...... SEC 3.201 IMURAN ...... 199 INVEGA SUSTENNA (1 ML SYR) ...... SEC 3.202 INCRUSE ELLIPTA ...... 28 INVEGA SUSTENNA (1.5 ML SYR) ...... SEC 3.202 INDACATEROL MALEATE ...... 28 INVEGA TRINZA (0.875 ML SYR) ...... SEC 3.203 INDACATEROL MALEATE/ GLYCOPYRRONIUM INVEGA TRINZA (1.315 ML SYR) ...... SEC 3.203 BROMIDE ...... SEC 3.138 INVEGA TRINZA (1.75 ML SYR) ...... SEC 3.204 INDAPAMIDE HEMIHYDRATE ...... 137 INVEGA TRINZA (2.625 ML SYR) ...... SEC 3.204 INDOMETHACIN...... 80 INVOKANA ...... SEC 3.44 INFANT FORMULA ...... SEC 3.139 IOPIDINE ...... 149 INFLECTRA ...... SEC 3.156 IPRATROPIUM BROMIDE ...... 27 INFLIXIMAB ...... SEC 3.140 IPRATROPIUM BROMIDE ...... SEC 3.168 INFLIXIMAB ...... SEC 3.147 IPRATROPIUM BROMIDE/ SALBUTAMOL SULFATE . 27 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page IPRATROPIUM BROMIDE/SALBUTAMOL SULPHATE 27 JAMP-CARVEDILOL ...... 53 IRBESARTAN ...... 70 JAMP-CARVEDILOL ...... 54 IRBESARTAN HCT ...... 71 JAMP-CELECOXIB ...... SEC 3.46 IRBESARTAN/ HYDROCHLOROTHIAZIDE ...... 71 JAMP-CHOLESTYRAMINE ...... 40 IRBESARTAN/HCTZ ...... 71 JAMP-CIPROFLOXACIN ...... SEC 3A.2 ISAVUCONAZONIUM SULFATE ...... 18 JAMP-CIPROFLOXACIN ...... SEC 3A.3 ISAVUCONAZONIUM SULFATE ...... SEC 3.169 JAMP-CLOPIDOGREL ...... 36 ISDN ...... 49 JAMP-COLCHICINE ...... 200 ISOPTIN SR ...... 59 JAMP-CYANOCOBALAMIN ...... 197 ISOPTO ATROPINE ...... 143 JAMP-CYCLOBENZAPRINE ...... 30 ISOPTO CARPINE ...... 146 JAMP-DOMPERIDONE ...... 160 ISOSORBIDE DINITRATE ...... 49 JAMP-DONEPEZIL ...... SEC 3.69 ISOSORBIDE-5-MONONITRATE ...... 50 JAMP-DORZOLAMIDE ...... 146 ISOTRETINOIN ...... 194 JAMP-DULOXETINE ...... 97 ITRACONAZOLE ...... 18 JAMP-ENTECAVIR ...... 22 ITRACONAZOLE ...... SEC 3.169 JAMP-ESCITALOPRAM ...... 100 IVABRADINE HYDROCHLORIDE ...... SEC 3.170 JAMP-EZETIMIBE ...... SEC 3.116 IVACAFTOR ...... SEC 3.171 JAMP-FINASTERIDE ...... 204 IXEKIZUMAB ...... SEC 3.174 JAMP-FLUOXETINE ...... 101 IZBA ...... 146 JAMP-FOLIC ACID ...... 197 JAMP-FOSFOMYCIN ...... 23 JAMP-FOSINOPRIL ...... 62 J JAMP-GABAPENTIN ...... 92 JAMP-HYDRALAZINE ...... 47 JAMP-HYDRALAZINE ...... 48 JADENU ...... SEC 3.59 JAMP-HYDROCORTISONE ...... 189 JADENU ...... SEC 3.60 JAMP-INDAPAMIDE ...... 137 JADENU ...... SEC 3.61 JAMP-IRBESARTAN ...... 70 JAMP CANDESARTAN-HCT ...... 69 JAMP-IRBESARTAN-HYDROCHLOROTHIAZIDE ...... 71 JAMP CLINDAMYCIN ...... 16 JAMP-K 20 ...... 135 JAMP DORZOLAMIDE-TIMOLOL...... 147 JAMP-K 8 ...... 135 JAMP DUTASTERIDE ...... 204 JAMP-K EFFERVESCENT (25 MEQ) ...... 135 JAMP ENALAPRIL ...... 61 JAMP-LACTULOSE ...... 135 JAMP FINGOLIMOD ...... SEC 3.121 JAMP-LEVETIRACETAM ...... 93 JAMP ITRACONAZOLE ...... 18 JAMP-LISINOPRIL ...... 62 JAMP ITRACONAZOLE ...... SEC 3.169 JAMP-LISINOPRIL ...... 63 JAMP MAGNESIUM GLUCONATE ...... 135 JAMP-LOSARTAN ...... 72 JAMP OLANZAPINE FC ...... 109 JAMP-LOSARTAN HCTZ ...... 73 JAMP PERINDOPRIL ...... 63 JAMP-METFORMIN ...... 175 JAMP PERINDOPRIL ...... 64 JAMP-METOPROLOL-L ...... 54 JAMP POTASSIUM CHLORIDE ...... 135 JAMP-MONTELUKAST ...... 139 JAMP RIVASTIGMINE ...... SEC 3.227 JAMP-MONTELUKAST ...... SEC 3.187 JAMP-ALENDRONATE ...... 199 JAMP-MOXIFLOXACIN ...... SEC 3A.7 JAMP-ALPRAZOLAM ...... 119 JAMP-NYSTATIN ...... 20 JAMP-AMOXICILLIN ...... 11 JAMP-OLANZAPINE ODT ...... 110 JAMP-ATENOLOL ...... 52 JAMP-OLMESARTAN ...... 49 JAMP-ATENOLOL ...... 53 JAMP-OMEPRAZOLE DR (DELAYED-RELEASE JAMP-ATORVASTATIN ...... 42 TABLET) ...... 159 JAMP-ATORVASTATIN ...... 43 JAMP-ONDANSETRON ...... 155 JAMP-AZITHROMYCIN ...... 10 JAMP-ONDANSETRON (PRESERVATIVE FREE) ..... 155 JAMP-BEZAFIBRATE ...... 41 JAMP-ONDANSETRON (WITH PRESERVATIVE) ...... 155 JAMP-CANDESARTAN ...... 68 JAMP-PANTOPRAZOLE ...... 160 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page

JAMP-PAROXETINE ...... 102 K JAMP-POTASSIUM CHLORIDE ER ...... 135 JAMP-PRAVASTATIN ...... 44 JAMP-PREGABALIN ...... 94 K-LYTE ...... 135 JAMP-PREGABALIN ...... 95 KADIAN ...... 87 JAMP-QUETIAPINE ...... 110 KALYDECO ...... SEC 3.171 JAMP-QUETIAPINE ...... 111 KAYEXALATE ...... 136 JAMP-QUININE ...... 23 KENALOG-10...... 170 JAMP-RAMIPRIL (CAPSULE) ...... 65 KENALOG-40...... 170 JAMP-RAMIPRIL (CAPSULE) ...... 66 KEPPRA ...... 93 JAMP-RANITIDINE ...... 157 KETOCONAZOLE ...... 185 JAMP-RISEDRONATE ...... 203 KETOCONAZOLE ...... 19 JAMP-RISPERIDONE ...... 112 KETODERM ...... 185 JAMP-RISPERIDONE ...... 113 KETOPROFEN ...... 80 JAMP-RISPERIDONE ...... 114 KETOPROFEN SR ...... 80 JAMP-RIZATRIPTAN ...... 124 KETOPROFEN-E ...... 80 JAMP-RIZATRIPTAN ...... SEC 3.228 KETOROLAC ...... 143 JAMP-RIZATRIPTAN IR ...... 124 KETOROLAC TROMETHAMINE ...... 143 JAMP-RIZATRIPTAN IR ...... SEC 3.228 KETOROLAC TROMETHAMINE ...... 81 JAMP-RIZATRIPTAN ODT ...... 124 KETOTIFEN FUMARATE ...... 3 JAMP-RIZATRIPTAN ODT ...... SEC 3.228 KEVZARA ...... SEC 3.236 JAMP-ROPINIROLE ...... 129 KEVZARA (PREFILLED PEN) ...... SEC 3.236 JAMP-ROSUVASTATIN ...... 45 KINERET ...... SEC 3.28 JAMP-SERTRALINE ...... 102 KOMBOGLYZE ...... SEC 3.237 JAMP-SERTRALINE ...... 103 KYLEENA ...... 171 JAMP-SIMVASTATIN ...... 46 JAMP-SIMVASTATIN ...... 47 L JAMP-SODIUM PHOSPHATE ...... 136 JAMP-SOLIFENACIN ...... 195 L-TRYPTOPHAN ...... 105 JAMP-SOTALOL ...... 55 L-TRYPTOPHAN ...... 106 JAMP-TENOFOVIR...... 21 LABETALOL HCL ...... 54 JAMP-TOBRAMYCIN ...... 5 LACOSAMIDE...... SEC 3.174 JAMP-URSODIOL ...... 153 LACOSAMIDE...... SEC 3.175 JAMP -VALACYCLOVIR ...... 22 LACTULOSE ...... 135 JAMP-VANCOMYCIN ...... 16 LAMICTAL ...... 92 JAMP-ZOLEDRONIC ACID ...... SEC 3.288 LAMICTAL ...... 93 JAMP-ZOLMITRIPTAN ...... 126 LAMISIL ...... 17 JAMP-ZOLMITRIPTAN ...... SEC 3.288 LAMISIL ...... 185 JAMP-ZOLMITRIPTAN ODT ...... 126 LAMIVUDINE ...... 20 JAMP-ZOLMITRIPTAN ODT ...... SEC 3.288 LAMOTRIGINE ...... 92 JAMP-ZOPICLONE ...... 122 LAMOTRIGINE ...... 93 JAMPZINC-HC ...... 190 LANCORA ...... SEC 3.170 JANUMET ...... SEC 3.243 LANREOTIDE ACETATE ...... SEC 3.175 JANUMET XR ...... SEC 3.243 LANSOPRAZOLE ...... 158 JANUVIA ...... SEC 3.242 LANSOPRAZOLE/ AMOXICILLIN TRIHYDRATE/ JARDIANCE ...... SEC 3.77 CLARITHROMYCIN ...... 158 JENCYCLA (28 DAY) ...... 172 LANTUS ...... 175 JENTADUETO ...... SEC 3.181 LANTUS CARTRIDGE ...... 175 JETREA ...... 149 LANTUS PEN...... 175 LAPELGA (0.6 ML SYRINGE) ...... SEC 3.205 LASIX ...... 48

The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page LASIX SPECIAL ...... 48 LIPITOR ...... 42 LATANOPROST...... 146 LIPITOR ...... 43 LATANOPROST/ TIMOLOL MALEATE ...... 147 LISDEXAMFETAMINE DIMESYLATE ...... 117 LATANOPROSTENE BUNOD ...... 146 LISINOPRIL ...... 62 LATUDA ...... 108 LISINOPRIL ...... 63 LEDERLE LEUCOVORIN CALCIUM ...... 203 LISINOPRIL/ HYDROCHLOROTHIAZIDE ...... 63 LEFLUNOMIDE ...... 204 LISINOPRIL/HCTZ (TYPE Z) ...... 63 LEMTRADA ...... SEC 3.22 LITHANE ...... 123 LESCOL XL ...... 43 LITHIUM CARBONATE ...... 123 LETERMOVIR ...... SEC 3.176 LIXIANA ...... SEC 3.75 LEUCOVORIN CALCIUM ...... 203 LOCACORTEN VIOFORM ...... 143 LEUPROLIDE ACETATE ...... SEC 3.176 LODALIS ...... 40 LEVEMIR CARTRIDGE ...... 175 LOESTRIN 1.5/30 (21 DAY) ...... 172 LEVEMIR FLEXTOUCH ...... 175 LOESTRIN 1.5/30 (28 DAY) ...... 172 LEVETIRACETAM ...... 93 LOMOTIL ...... 153 LEVOCARNITINE ...... SEC 3.177 LONITEN ...... 48 LEVODOPA/ BENSERAZIDE HCL ...... 127 LOPRESOR SR ...... 54 LEVODOPA/ CARBIDOPA ...... 127 LOPROX ...... 186 LEVODOPA/ CARBIDOPA ...... 128 LORAZEPAM ...... 120 LEVODOPA/ CARBIDOPA ...... SEC 3.178 LORAZEPAM ...... 121 LEVODOPA/ CARBIDOPA/ ENTACAPONE ...... 128 LOSARTAN ...... 72 LEVOFLOXACIN ...... SEC 3.179 LOSARTAN POTASSIUM ...... 72 LEVOFLOXACIN ...... SEC 3A.4 LOSARTAN POTASSIUM/ LEVOFLOXACIN ...... SEC 3A.5 HYDROCHLOROTHIAZIDE...... 73 LEVOFLOXACIN ...... SEC 3A.6 LOSARTAN/HCT ...... 73 LEVONORGESTREL ...... 171 LOSARTAN/HCTZ ...... 73 LEVONORGESTREL/ ETHINYL ESTRADIOL ...... 172 LOSEC (SUSTAINED-RELEASE CAPSULE) ...... 159 LEVONORGESTREL/ ETHINYL ESTRADIOL/ LOSEC (SUSTAINED-RELEASE TABLET) ...... 159 LEVONORGESTREL/ ETHINYL ESTRADIOL/ LOTRIDERM ...... 190 LEVONORGESTREL/ ETHINYL ESTRADIOL ...... 172 LOVASTATIN ...... 43 LEVOTHYROXINE SODIUM ...... 179 LOVENOX ...... 34 LEVOTHYROXINE SODIUM ...... 180 LOVENOX (0.3 ML SYRINGE) ...... 34 LIBRAX ...... 120 LOVENOX (0.4 ML SYRINGE) ...... 34 LIDEMOL ...... 189 LOVENOX (0.6 ML SYRINGE) ...... 34 LIDEX ...... 189 LOVENOX (0.8 ML SYRINGE) ...... 34 LIDOCAINE ...... 192 LOVENOX (1 ML SYRINGE) ...... 34 LIDOCAINE HCL ...... 143 LOVENOX HP (1 ML SYRINGE) ...... 34 LIDOCAINE HCL ...... 192 LOXAPINE SUCCINATE ...... 117 LIDODAN ...... 192 LOZIDE ...... 137 LIDODAN VISCOUS ...... 143 LUCENTIS ...... 151 LINAGLIPTIN ...... SEC 3.180 LUMIGAN RC 0.01% ...... 146 LINAGLIPTIN/ METFORMIN HCL...... SEC 3.181 LUPIN-ESTRADIOL ...... 173 LINESSA 21 ...... 171 LUPRON ...... SEC 3.176 LINESSA 28 ...... 171 LUPRON DEPOT ...... SEC 3.176 LINEZOLID ...... 17 LURASIDONE HCL ...... 108 LINEZOLID ...... SEC 3.182 LUVOX ...... 101 LIORESAL ...... 30 LYDERM ...... 189 LIORESAL D.S...... 30 LIORESAL INTRATHECAL ...... 30 M LIOTHYRONINE SODIUM ...... 180 LIPASE/ AMYLASE/ PROTEASE ...... 153 M-ESLON ...... 87 LIPIDIL SUPRA (TABLET) ...... 41 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page M-PANTOPRAZOLE ...... 160 MAR-RISPERIDONE ...... 112 MACROBID ...... 24 MAR-RISPERIDONE ...... 113 MAGLUCATE ...... 135 MAR-RIZATRIPTAN ...... 124 MAGNESIUM GLUCOHEPTONATE...... 135 MAR-RIZATRIPTAN ...... SEC 3.228 MAGNESIUM GLUCONATE ...... 135 MAR-RIZATRIPTAN ODT ...... 124 MAGNESIUM-ODAN ...... 135 MAR-RIZATRIPTAN ODT ...... SEC 3.228 MAR-ALLOPURINOL ...... 199 MAR-SERTRALINE ...... 102 MAR-AMLODIPINE ...... 56 MAR-SERTRALINE ...... 103 MAR-ATENOLOL ...... 52 MAR-SIMVASTATIN ...... 46 MAR-ATENOLOL ...... 53 MAR-TROSPIUM ...... SEC 3.277 MAR-ATORVASTATIN ...... 42 MAR-ZOPICLONE ...... 122 MAR-ATORVASTATIN ...... 43 MARVELON (21 DAY) ...... 171 MAR-AZITHROMYCIN ...... 10 MARVELON (28 DAY) ...... 171 MAR-CELECOXIB...... SEC 3.46 MAVIK ...... 67 MAR-CIPROFLOXACIN ...... SEC 3A.2 MAVIRET ...... SEC 3.213 MAR-CIPROFLOXACIN ...... SEC 3A.3 MAXALT ...... 124 MAR-CITALOPRAM ...... 98 MAXALT ...... SEC 3.228 MAR-CITALOPRAM ...... 99 MAXALT RPD ...... 124 MAR-CLOPIDOGREL ...... 36 MAXALT RPD ...... SEC 3.228 MAR-DAPSONE...... 20 MAXIDEX ...... 141 MAR-DILTIAZEM T ...... 58 MAXITROL ...... 142 MAR-DILTIAZEM T ...... 59 MDK-NITISINONE ...... SEC 3.192 MAR-DOMPERIDONE ...... 160 MEBENDAZOLE ...... 5 MAR-DONEPEZIL ...... SEC 3.69 MED-CYPROTERONE ...... SEC 3.51 MAR-DULOXETINE ...... 97 MED-DORZOLAMIDE-TIMOLOL ...... 147 MAR-ENALAPRIL ...... 61 MED-DUTASTERIDE ...... 204 MAR-ESCITALOPRAM ...... 100 MED-LATANOPROST ...... 146 MAR-EZETIMIBE ...... SEC 3.116 MED-LATANOPROST-TIMOLOL ...... 147 MAR-FEBUXOSTAT ...... SEC 3.117 MED-MOXIFLOXACIN ...... SEC 3A.7 MAR-FINGOLIMOD ...... SEC 3.122 MED-RIVASTIGMINE ...... SEC 3.227 MAR-GABAPENTIN ...... 92 MEDROL ...... 169 MAR-KETOROLAC ...... 81 MEDROXYPROGESTERONE ACETATE ...... 178 MAR-LACOSAMIDE ...... SEC 3.174 MEFENAMIC...... 81 MAR-LACOSAMIDE ...... SEC 3.175 MEFENAMIC ACID ...... 81 MAR-METHIMAZOLE ...... 180 MEGESTROL...... SEC 3.182 MAR-MIDODRINE...... 28 MEGESTROL ACETATE ...... SEC 3.182 MAR-MODAFINIL...... SEC 3.186 MEPERIDINE HCL ...... 85 MAR-MONTELUKAST ...... 139 MEPERIDINE HYDROCHLORIDE ...... 85 MAR-MONTELUKAST ...... SEC 3.187 MEPOLIZUMAB ...... SEC 3.184 MAR-MOXIFLOXACIN ...... SEC 3A.7 MEPRON ...... 23 MAR-OLANZAPINE ODT ...... 110 MEROPENEM...... 8 MAR-ONDANSETRON ...... 155 MEROPENEM...... SEC 3.184 MAR-PANTOPRAZOLE ...... 160 MEROPENEM FOR INJECTION USP ...... 8 MAR-PAROXETINE ...... 102 MEROPENEM FOR INJECTION USP ...... SEC 3.184 MAR-PERINDOPRIL ...... 63 MESALAZINE ...... 161 MAR-PERINDOPRIL ...... 64 MESTINON ...... 27 MAR-PRAVASTATIN ...... 44 MESTINON-SR ...... 27 MAR-QUETIAPINE ...... 110 METADOL ...... 86 MAR-QUETIAPINE ...... 111 METADOL CONCENTRATE...... 86 MAR-RAMIPRIL (CAPSULE) ...... 65 METADOL-D ...... 86 MAR-RAMIPRIL (CAPSULE) ...... 66 METFORMIN ...... 175 MAR-RANITIDINE ...... 157 METFORMIN FC ...... 175 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page METFORMIN HCL ...... 175 MIGRANAL ...... 29 METHADONE HCL ...... 86 MINESTRIN 1/20 (21 DAY) ...... 172 METHADONE HYDROCHLORIDE ...... 86 MINESTRIN 1/20 (28 DAY) ...... 172 METHADOSE ...... 86 MINITRAN 0.2 ...... 50 METHADOSE SUGAR FREE ...... 86 MINITRAN 0.4 ...... 50 METHAZOLAMIDE ...... 146 MINITRAN 0.6 ...... 50 METHOPRAZINE ...... 115 MINOCYCLINE ...... 15 METHOTREXATE ...... 25 MINOCYCLINE HCL ...... 15 METHOTREXATE (PRESERVED) ...... 25 MINOXIDIL ...... 48 METHOTREXATE SOD. (PRESERVED) ...... 25 MINT-ACITRETIN ...... 194 METHOTREXATE SOD.(UNPRESERVED) ...... 25 MINT-ALENDRONATE ...... 199 METHOTREXATE SODIUM ...... 25 MINT-AMLODIPINE ...... 56 METHOTRIMEPRAZINE HCL ...... 115 MINT-ATENOL ...... 52 METHOTRIMEPRAZINE MALEATE ...... 115 MINT-ATENOL ...... 53 METHYLDOPA ...... 47 MINT-BISOPROLOL ...... 53 METHYLPHENIDATE HCL ...... 118 MINT-CANDESARTAN ...... 68 METHYLPHENIDATE HCL ...... 119 MINT-CELECOXIB ...... SEC 3.46 METHYLPREDNISOLONE ...... 169 MINT-CIPROFLOX ...... SEC 3A.2 METHYLPREDNISOLONE ACETATE ...... 169 MINT-CIPROFLOX ...... SEC 3A.3 METHYLPREDNISOLONE ACETATE/ LIDOCAINE HCL MINT-CITALOPRAM ...... 98 ...... 169 MINT-CITALOPRAM ...... 99 METHYLPREDNISOLONE ACETATE/ NEOMYCIN MINT-CLONIDINE ...... 47 SULFATE/ ALUMINUM CHLORHYDROXIDE MINT-DONEPEZIL ...... SEC 3.69 COMPLEX/ SULFUR ...... SEC 3.184 MINT-DULOXETINE ...... 97 METHYLPREDNISOLONE SOD SUCCIN...... 170 MINT-DUTASTERIDE ...... 204 METHYLPREDNISOLONE SOD SUCCINATE ...... 170 MINT-EPLERENONE ...... SEC 3.79 METHYLPREDNISOLONE SODIUM SUCCINATE .... 170 MINT-ESCITALOPRAM ...... 100 METOCLOPRAMIDE HCL ...... 161 MINT-EZETIMIBE ...... SEC 3.116 METOCLOPRAMIDE HYDROCHLORIDE ...... 161 MINT-FINASTERIDE ...... 204 METOJECT SUBCUTANEOUS ...... 25 MINT-FUROSEMIDE ...... 48 METOLAZONE ...... 137 MINT-GLICLAZIDE MR ...... 177 METONIA ...... 161 MINT-HYDRALAZINE ...... 47 METOPROLOL ...... 54 MINT-HYDRALAZINE ...... 48 METOPROLOL TARTRATE ...... 54 MINT-HYDROXYCHLOROQUINE ...... 23 METOPROLOL-L ...... 54 MINT-INDOMETHACIN ...... 80 METROGEL ...... 185 MINT-IRBESARTAN ...... 70 METRONIDAZOLE ...... 185 MINT-IRBESARTAN/HCTZ ...... 71 METRONIDAZOLE ...... 23 MINT-ITRACONAZOLE ...... 18 METRONIDAZOLE/ NYSTATIN ...... 185 MINT-LACOSAMIDE ...... SEC 3.174 MEXILETINE HCL ...... 39 MINT-LACOSAMIDE ...... SEC 3.175 MEZAVANT ...... 161 MINT-LEVOCARB ...... 127 MEZERA ...... 161 MINT-LEVOCARB ...... 128 MICARDIS ...... 73 MINT-LOSARTAN ...... 72 MICARDIS PLUS ...... 74 MINT-LOSARTAN/HCTZ ...... 73 MICRO-K EXTENCAPS ...... 135 MINT-LOSARTAN/HCTZ DS ...... 73 MICRONOR (28 DAY) ...... 172 MINT-METFORMIN ...... 175 MICTORYL PEDIATRIC ...... 195 MINT-MONTELUKAST ...... 139 MIDAMOR ...... 136 MINT-MONTELUKAST ...... SEC 3.187 MIDAZOLAM ...... 121 MINT-OLANZAPINE ...... 109 MIDAZOLAM HCL ...... 121 MINT-OLANZAPINE ODT ...... 110 MIDODRINE HCL...... 28 MINT-ONDANSETRON ...... 155 MIGALASTAT HYDROCHLORIDE ...... SEC 3.185 MINT-PANTOPRAZOLE ...... 160 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page MINT-PAROXETINE ...... 102 MOXIFLOXACIN HCL ...... SEC 3A.7 MINT-PERINDOPRIL ...... 63 MOZOBIL ...... SEC 3.215 MINT-PERINDOPRIL ...... 64 MS CONTIN ...... 86 MINT-PRAVASTATIN ...... 44 MS CONTIN ...... 87 MINT-PREGABALIN ...... 94 MS.IR ...... 86 MINT-QUETIAPINE...... 110 MUPIROCIN...... 185 MINT-QUETIAPINE...... 111 MYCOBUTIN...... 20 MINT-RAMIPRIL (CAPSULE) ...... 65 MYCOBUTIN...... SEC 3.217 MINT-RAMIPRIL (CAPSULE) ...... 66 MYDFRIN ...... 145 MINT-RISPERIDON ...... 112 MYLAN-ACYCLOVIR ...... 21 MINT-RISPERIDON ...... 113 MYLAN-ALMOTRIPTAN ...... 123 MINT-SERTRALINE ...... 102 MYLAN-ALMOTRIPTAN ...... SEC 3.26 MINT-SERTRALINE ...... 103 MYLAN-AMLODIPINE ...... 56 MINT-SIMVASTATIN ...... 46 MYLAN-ATORVASTATIN ...... 42 MINT-SIMVASTATIN ...... 47 MYLAN-ATORVASTATIN ...... 43 MINT-TOPIRAMATE ...... 95 MYLAN-BACLOFEN ...... 30 MINT-ZOLMITRIPTAN ...... 126 MYLAN-BECLO AQ...... 141 MINT-ZOLMITRIPTAN ...... SEC 3.288 MYLAN-BUDESONIDE AQ ...... 141 MINT-ZOPICLONE...... 122 MYLAN-BUPROPION XL ...... 105 MIRABEGRON ...... SEC 3.185 MYLAN-CILAZAPRIL ...... 60 MIRAPEX ...... 129 MYLAN-CLOBETASOL ...... 187 MIRENA SYSTEM...... 171 MYLAN-DIVALPROEX ...... 91 MIRTAZAPINE ...... 106 MYLAN-ESCITALOPRAM ...... 100 MIRVALA 21 ...... 171 MYLAN-FINGOLIMOD ...... SEC 3.122 MIRVALA 28 ...... 171 MYLAN-FLUCONAZOLE ...... 18 MISCELLANEOUS COMPOUND...... 201 MYLAN-GALANTAMINE ER ...... SEC 3.125 MISCELLANEOUS INJECTABLE COMPOUND ...... 200 MYLAN-GALANTAMINE ER ...... SEC 3.126 MISCELLANEOUS ORAL COMPOUND ...... 202 MYLAN-GLICLAZIDE MR ...... 177 MISCELLANEOUS TOPICAL COMPOUND ...... 183 MYLAN-INDAPAMIDE ...... 137 MISOPROSTOL ...... 157 MYLAN-LAMOTRIGINE ...... 92 MOCLOBEMIDE ...... 96 MYLAN-LAMOTRIGINE ...... 93 MODAFINIL ...... SEC 3.186 MYLAN-LANSOPRAZOLE ...... 158 MODECATE CONCENTRATE ...... 115 MYLAN-MIRTAZAPINE ...... 106 MOGADON ...... 121 MYLAN-NIFEDIPINE ERT ...... 57 MOMETASONE FUROATE ...... 142 MYLAN-NITRO ...... 50 MOMETASONE FUROATE ...... 170 MYLAN-NITRO PATCH ...... 50 MOMETASONE FUROATE ...... 190 MYLAN-ONDANSETRON ...... 155 MONTELUKAST ...... 139 MYLAN-PANTOPRAZOLE T ...... 159 MONTELUKAST ...... SEC 3.187 MYLAN-PROPAFENONE ...... 39 MONTELUKAST SODIUM ...... 139 MYLAN-RILUZOLE ...... SEC 3.217 MONTELUKAST SODIUM ...... 140 MYLAN-RISPERIDONE ODT ...... 113 MONTELUKAST SODIUM ...... SEC 3.187 MYLAN-RIZATRIPTAN ODT...... 124 MONUROL ...... 23 MYLAN-RIZATRIPTAN ODT...... SEC 3.228 MORPHINE HP 50 ...... 87 MYLAN-SUMATRIPTAN ...... 125 MORPHINE LP EPIDURAL ...... 87 MYLAN-SUMATRIPTAN ...... SEC 3.251 MORPHINE SR ...... 86 MYLAN-TENOFOVIR DISOPROXIL ...... 21 MORPHINE SR ...... 87 MYLAN-TOLTERODINE ER ...... 195 MORPHINE SULFATE ...... 86 MYLAN-TOPIRAMATE ...... 95 MORPHINE SULFATE ...... 87 MYLAN-VALACYCLOVIR (CAPLET) ...... 22 MORPHINE SULFATE ...... 88 MYLAN-VERAPAMIL ...... 59 MOVAPO ...... SEC 3.33 MYLAN-VERAPAMIL SR ...... 59 MOVISSE (28 DAY) ...... 172 MYRBETRIQ ...... SEC 3.185 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page

N NITRO-DUR 0.2 ...... 50 NITRO-DUR 0.4 ...... 50 NITRO-DUR 0.6 ...... 50 NABILONE ...... 156 NITRO-DUR 0.8 ...... 50 NABUMETONE ...... 81 NITROFURANTOIN ...... 23 NADOL ...... 55 NITROFURANTOIN ...... 24 NADOLOL ...... 55 NITROGLYCERIN ...... 50 NADROPARIN CALCIUM ...... 35 NITROL ...... 50 NAFARELIN ACETATE ...... 203 NITROLINGUAL PUMPSPRAY ...... 50 NALCROM ...... 140 NITROSTAT ...... 50 NALTREXONE HCL ...... 89 NIZATIDINE ...... 156 NALTREXONE HYDROCHLORIDE...... 89 NORETHINDRONE ...... 172 NAPROSYN E ...... 81 NORETHINDRONE ACETATE/ ESTRADIOL-17B ...... 174 NAPROSYN SR ...... 81 NORETHINDRONE ACETATE/ ETHINYL ESTRADIOL NAPROXEN ...... 81 ...... 172 NAPROXEN EC ...... 81 NORETHINDRONE/ ETHINYL ESTRADIOL/ NAPROXEN SODIUM ...... 82 NORETHINDRONE/ ETHINYL ESTRADIOL ...... 172 NAPROXEN SODIUM DS ...... 82 NORFLOXACIN ...... 14 NARATRIPTAN HCL ...... 123 NORGESTIMATE/ ETHINYL ESTRADIOL ...... 172 NARATRIPTAN HCL ...... SEC 3.188 NORGESTIMATE/ ETHINYL ESTRADIOL/ NARDIL ...... 96 NORGESTIMATE/ ETHINYL ESTRADIOL/ NASONEX ...... 142 NORGESTIMATE/ ETHINYL ESTRADIOL ...... 173 NAT-CITALOPRAM...... 98 NORITATE ...... 185 NAT-CITALOPRAM...... 99 NORPROLAC ...... SEC 3.215 NAT-DONEPEZIL...... SEC 3.69 NORTRIPTYLINE HCL ...... 105 NAT-ESCITALOPRAM ...... 100 NORVASC ...... 56 NAT-GRANISETRON ...... 154 NOVAMOXIN ...... 11 NAT-LEVETIRACETAM ...... 93 NOVAMOXIN ...... 12 NAT-OMEPRAZOLE DR NOVAMOXIN SUGAR-REDUCED ...... 12 (DELAYED-RELEASE TABLET) ...... 159 NOVO-5 ASA ...... 161 NAT-ONDANSETRON ...... 155 NOVO-AMPICILLIN ...... 12 NAT-QUETIAPINE ...... 110 NOVO-AMPICILLIN ...... SEC 3.26 NAT-QUETIAPINE ...... 111 NOVO-AZITHROMYCIN ...... 10 NAT-RIZATRIPTAN ODT ...... 124 NOVO-BUSPIRONE ...... 122 NAT-RIZATRIPTAN ODT ...... SEC 3.228 NOVO-CLOXIN ...... 13 NAT-TENOFOVIR ...... 21 NOVO-FLUCONAZOLE ...... 18 NAT-ZOLMITRIPTAN ...... 126 NOVO-HYDROXYZIN ...... 122 NAT-ZOLMITRIPTAN ...... SEC 3.288 NOVO-MEXILETINE ...... 39 NATALIZUMAB ...... SEC 3.191 NOVO-MINOCYCLINE ...... 15 NEO-MEDROL ACNE ...... SEC 3.184 NOVO-SELEGILINE ...... 129 NEOCATE WITH DHA & ARA ...... SEC 3.139 NOVOLIN GE 30/70 ...... 176 NEORAL ...... SEC 3.51 NOVOLIN GE 30/70 CARTRIDGE ...... 176 NEULASTA (0.6 ML SYRINGE) ...... SEC 3.205 NOVOLIN GE 40/60 CARTRIDGE ...... 176 NEULEPTIL ...... 115 NOVOLIN GE 50/50 CARTRIDGE ...... 176 NEUPOGEN ...... SEC 3.119 NOVOLIN GE NPH ...... 176 NEUPRO ...... SEC 3.229 NOVOLIN GE NPH CARTRIDGE ...... 176 NEURONTIN ...... 92 NOVOLIN GE TORONTO ...... 176 NIFEDIPINE ...... 57 NOVOLIN GE TORONTO CARTRIDGE ...... 176 NINTEDANIB ESILATE ...... SEC 3.191 NOVORAPID...... 175 NITISINONE ...... SEC 3.192 NOVORAPID CARTRIDGE ...... 175 NITOMAN ...... SEC 3.258 NOVORAPID FLEXTOUCH ...... 175 NITRAZEPAM ...... 121 NOZINAN ...... 115 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page NUCALA ...... SEC 3.184 ONDANSETRON HYDROCHLORIDE DIHYDRATE NUSINERSEN SODIUM ...... SEC 3.193 (PRESERVED)...... 155 NYSTATIN ...... 20 ONDANSETRON INJECTION USP ...... 155 ONDANSETRON ODT ...... 154 O ONDISSOLVE ODF ...... 154 ONE-ALPHA ...... 197 ONGLYZA ...... SEC 3.236 OBETICHOLIC ACID ...... SEC 3.194 OPIUM/ BELLADONNA ...... 88 OCALIVA ...... SEC 3.194 OPTICHAMBER DIAMOND (CHAMBER ONLY) ...... 207 OCRELIZUMAB ...... SEC 3.197 OPTICHAMBER DIAMOND (WITH LARGE MASK) .... 207 OCREVUS ...... SEC 3.197 OPTICHAMBER DIAMOND (WITH MEDIUM MASK) .. 207 OCRIPLASMIN ...... 149 OPTICHAMBER DIAMOND (WITH SMALL MASK) ..... 207 OCTOSTIM ...... 178 ORACORT ...... 190 OCTREOTIDE ACETATE ...... SEC 3.197 ORAP ...... 117 OCTREOTIDE ACETATE OMEGA ...... SEC 3.197 ORCIPRENALINE ...... 28 OCUFLOX ...... 141 ORCIPRENALINE SULFATE ...... 28 ODAN K-20 ...... 135 ORENCIA ...... SEC 3.5 ODAN LEVOCARNITINE ...... SEC 3.177 ORENCIA ...... SEC 3.8 ODAN-BENZYDAMINE ...... 144 ORFADIN ...... SEC 3.192 ODAN-FLUOXETINE ...... 101 OVIMA 21 ...... 172 OESCLIM 25 (5 MG/PTH) ...... 173 OVIMA 28 ...... 172 OESCLIM 50 (10 MG/PTH) ...... 173 OXAZEPAM ...... 121 OFEV ...... SEC 3.191 OXEZE TURBUHALER ...... 28 OFLOXACIN ...... 141 OXTRIPHYLLINE/ GUAIFENESIN ...... 196 OLANZAPINE ...... 109 OXY-IR ...... 88 OLANZAPINE ...... 110 OXYBUTYNIN ...... 195 OLANZAPINE ODT ...... 110 OXYBUTYNIN CHLORIDE ...... 195 OLESTYR LIGHT ...... 40 OXYCODONE HCL ...... 88 OLESTYR REGULAR ...... 40 OXYCODONE HCL/ ACETAMINOPHEN ...... 88 OLMESARTAN MEDOXOMIL ...... 49 OXYCODONE HCL/ ASA ...... 88 OLMESARTAN MEDOXOMIL/ OXYCODONE/ACET ...... 88 HYDROCHLOROTHIAZIDE ...... 49 OXYNEO ...... 88 OLMETEC ...... 49 OZEMPIC ...... SEC 3.241 OLMETEC PLUS...... 49 OLSALAZINE SODIUM ...... 161 OMALIZUMAB ...... SEC 3.200 P OMEPRAZOLE ...... 159 OMEPRAZOLE (DELAYED-RELEASE CAPSULE) .... 159 PALIPERIDONE ...... 110 OMEPRAZOLE (DELAYED-RELEASE TABLET) ...... 159 PALIPERIDONE PALMITATE ...... SEC 3.201 OMEPRAZOLE-20 PALIPERIDONE PALMITATE ...... SEC 3.202 (DELAYED-RELEASE CAPSULE) ...... 159 PALIPERIDONE PALMITATE ...... SEC 3.203 OMNITROPE ...... SEC 3.249 PALIPERIDONE PALMITATE ...... SEC 3.204 ONABOTULINUMTOXINA ...... 205 PAMIDRONATE DISODIUM ...... 203 ONBREZ BREEZHALER ...... 28 PANCREASE MT 10 ...... 153 ONDANSETRON ...... 154 PANCREASE MT 16 ...... 153 ONDANSETRON ...... 155 PANCREASE MT 4 ...... 153 ONDANSETRON (PRESERVATIVE FREE) ...... 155 PANECTYL ...... 3 ONDANSETRON (PRESERVED) ...... 155 PANTOLOC ...... 160 ONDANSETRON (UNPRESERVED) ...... 155 PANTOPRAZOLE ...... 160 ONDANSETRON (WITH PRESERVATIVE) ...... 155 PANTOPRAZOLE MAGNESIUM ...... 159 ONDANSETRON HCL DIHYDRATE...... 155 PANTOPRAZOLE SODIUM ...... 160 PANTOPRAZOLE T ...... 159

The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page PANTOPRAZOLE-40 ...... 160 PHENYTOIN SODIUM ...... 90 PARIET ...... 160 PHYTONADIONE ...... 197 PARNATE ...... 96 PIBRENTASVIR/ GLECAPREVIR ...... SEC 3.213 PAROXETINE ...... 102 PILOCARPINE HCL ...... 146 PAROXETINE HCL ...... 102 PILOCARPINE HCL ...... 27 PARSITAN ...... 127 PIMOZIDE ...... 117 PAXIL ...... 102 PINAVERIUM BROMIDE ...... 162 PDP-AMANTADINE HYDROCHLORIDE ...... 126 PIPERACILLIN AND TAZOBACTAM ...... 14 PDP-BENZTROPINE ...... 127 PIPERACILLIN AND TAZOBACTAM ...... SEC 3.213 PDP-DESONIDE ...... 188 PIPERACILLIN SODIUM/ PDP-ERYTHROMYCIN ...... 141 TAZOBACTAM SODIUM ...... 14 PEDIAPRED ...... 170 PIPERACILLIN SODIUM/ PEGASYS (0.5 ML SYRINGE) ...... 21 TAZOBACTAM SODIUM ...... SEC 3.213 PEGASYS (0.5 ML SYRINGE) ...... SEC 3.207 PIPERACILLIN SODIUM/TAZOBACTAM SODIUM ...... 14 PEGFILGRASTIM ...... SEC 3.205 PIPERACILLIN SODIUM/TAZOBACTAM SODIUM ... SEC PEGINTERFERON ALFA-2A ...... 21 3.213 PEGINTERFERON ALFA-2A ...... SEC 3.207 PIPERACILLIN/TAZOBACTAM ...... 14 PEGINTERFERON BETA-1A ...... SEC 3.209 PIPERACILLIN/TAZOBACTAM ...... SEC 3.213 PEGINTERFERON BETA-1A/ PIRFENIDONE...... SEC 3.214 PEGINTERFERON BETA-1A ...... SEC 3.211 PIROXICAM ...... 82 PEN-VK ...... 11 PIZOTIFEN MALATE ...... 126 PENICILLAMINE ...... 165 PLAN B ...... 171 PENICILLIN G SODIUM ...... 11 PLAQUENIL SULFATE ...... 23 PENICILLIN V POTASSIUM ...... 11 PLAVIX ...... 36 PENTASA ...... 161 PLEGRIDY ...... SEC 3.209 PENTASA (1G/100ML) ...... 161 PLEGRIDY ...... SEC 3.211 PENTASA (4G/100 ML) ...... 161 PLENDIL ...... 56 PENTAZOCINE HCL ...... 89 PLENDIL ...... 57 PENTOSAN POLYSULFATE SODIUM ...... 203 PLERIXAFOR ...... SEC 3.215 PENTOXIFYLLINE ...... 37 PMS-ACETAMINOPHEN WITH CODEINE ...... 83 PENTOXIFYLLINE SR ...... 37 PMS-ALENDRONATE-FC ...... 199 PERAMPANEL ...... SEC 3.211 PMS-AMIODARONE ...... 40 PERICIAZINE ...... 115 PMS-AMLODIPINE ...... 56 PERINDOPRIL ERBUMINE ...... 63 PMS-ARIPIPRAZOLE ...... 107 PERINDOPRIL ERBUMINE ...... 64 PMS-ARIPIPRAZOLE ...... 108 PERINDOPRIL ERBUMINE/ INDAPAMIDE PMS-ATENOLOL ...... 52 HEMIHYDRATE ...... 64 PMS-ATENOLOL ...... 53 PERPHENAZINE ...... 115 PMS-ATORVASTATIN ...... 42 PHARMA-AMLODIPINE ...... 56 PMS-ATORVASTATIN ...... 43 PHARMA-ESCITALOPRAM ...... 100 PMS-AZITHROMYCIN ...... 10 PHARMA-LACOSAMIDE ...... SEC 3.174 PMS-AZITHROMYCIN ...... SEC 3.39 PHARMA-LACOSAMIDE ...... SEC 3.175 PMS-BACLOFEN ...... 30 PHARMA-RAMIPRIL (CAPSULE) ...... 65 PMS-BENZYDAMINE ...... 144 PHARMA-RAMIPRIL (CAPSULE) ...... 66 PMS-BETAHISTINE ...... 199 PHARMA-SIMVASTATIN ...... 46 PMS-BUPRENORPHINE/NALOXONE ...... 89 PHARMA-SIMVASTATIN ...... 47 PMS-BUSPIRONE ...... 122 PHEBURANE ...... SEC 3.244 PMS-CANDESARTAN ...... 68 PHENELZINE SULFATE ...... 96 PMS-CANDESARTAN HCTZ...... 69 PHENOBARB ...... 119 PMS-CARBAMAZEPINE-CR ...... 91 PHENOBARBITAL ...... 119 PMS-CARVEDILOL ...... 53 PHENYLEPHRINE HCL ...... 145 PMS-CARVEDILOL ...... 54 PHENYTOIN ...... 90 PMS-CELECOXIB ...... SEC 3.46 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page PMS-CIPROFLOXACIN ...... SEC 3A.2 PMS-METHOTREXATE ...... 25 PMS-CIPROFLOXACIN ...... SEC 3A.3 PMS-METHYLPHENIDATE ...... 118 PMS-CITALOPRAM ...... 98 PMS-METOPROLOL-L ...... 54 PMS-CITALOPRAM ...... 99 PMS-MIRTAZAPINE ...... 106 PMS-CLARITHROMYCIN ...... 10 PMS-MONTELUKAST ...... 139 PMS-CLONAZEPAM ...... 89 PMS-MONTELUKAST ...... SEC 3.187 PMS-CLONAZEPAM ...... 90 PMS-MONTELUKAST FC ...... 139 PMS-CLONAZEPAM-R ...... 89 PMS-MONTELUKAST FC ...... SEC 3.187 PMS-CLOPIDOGREL ...... 36 PMS-NABILONE ...... 156 PMS-COLCHICINE ...... 200 PMS-NITROFURANTOIN ...... 24 PMS-CYCLOBENZAPRINE ...... 30 PMS-NYSTATIN ...... 20 PMS-DEXAMETHASONE ...... 168 PMS-OLANZAPINE ...... 109 PMS-DEXAMETHASONE SODIUM PHOSP ...... 168 PMS-OLANZAPINE ODT ...... 110 PMS-DICLOFENAC ...... 79 PMS-OLMESARTAN ...... 49 PMS-DICLOFENAC-MISOPROSTOL ...... 80 PMS-OMEPRAZOLE (SUSTAINED-RELEASE CAP) . 159 PMS-DICLOFENAC-SR ...... 79 PMS-ONDANSETRON ...... 155 PMS-DOMPERIDONE ...... 160 PMS-OXYBUTYNIN ...... 195 PMS-DONEPEZIL ...... SEC 3.69 PMS-OXYCODONE ...... 88 PMS-DOXYLAMINE-PYRIDOXINE...... 156 PMS-PANTOPRAZOLE ...... 160 PMS-DULOXETINE ...... 97 PMS-PAROXETINE ...... 102 PMS-DUTASTERIDE ...... 204 PMS-PERINDOPRIL ...... 63 PMS-ENTECAVIR ...... 22 PMS-PERINDOPRIL ...... 64 PMS-ESCITALOPRAM ...... 100 PMS-PRAVASTATIN ...... 44 PMS-EZETIMIBE ...... SEC 3.116 PMS-PREDNISOLONE ...... 170 PMS-FENTANYL MTX ...... SEC 3.117 PMS-PREGABALIN ...... 94 PMS-FENTANYL MTX ...... SEC 3.118 PMS-PREGABALIN ...... 95 PMS-FINASTERIDE ...... 204 PMS-QUETIAPINE ...... 110 PMS-FINGOLIMOD...... SEC 3.122 PMS-QUETIAPINE ...... 111 PMS-FLUCONAZOLE ...... 18 PMS-QUINAPRIL ...... 64 PMS-FLUOXETINE ...... 101 PMS-QUINAPRIL ...... 65 PMS-GABAPENTIN ...... 92 PMS-RABEPRAZOLE EC ...... 160 PMS-GALANTAMINE ER ...... SEC 3.125 PMS-RAMIPRIL (CAPSULE) ...... 65 PMS-GALANTAMINE ER ...... SEC 3.126 PMS-RAMIPRIL (CAPSULE) ...... 66 PMS-HYDROCHLOROTHIAZIDE ...... 136 PMS-RAMIPRIL-HCTZ ...... 66 PMS-HYDROMORPHONE ...... 85 PMS-RANITIDINE ...... 157 PMS-IPRATROPIUM ...... 27 PMS-RISEDRONATE ...... 203 PMS-IPRATROPIUM ...... SEC 3.168 PMS-RISPERIDONE ...... 112 PMS-IPRATROPIUM (1ML) ...... SEC 3.168 PMS-RISPERIDONE ...... 113 PMS-IPRATROPIUM (2ML) ...... SEC 3.168 PMS-RISPERIDONE ...... 114 PMS-IRBESARTAN ...... 70 PMS-RIZATRIPTAN RDT ...... 124 PMS-IRBESARTAN-HCTZ ...... 71 PMS-RIZATRIPTAN RDT ...... SEC 3.228 PMS-ISMN ...... 50 PMS-ROSUVASTATIN ...... 45 PMS-LACTULOSE ...... 135 PMS-SALBUTAMOL ...... 29 PMS-LACTULOSE-PHARMA ...... 135 PMS-SALBUTAMOL POLYNEB ...... 29 PMS-LAMOTRIGINE ...... 92 PMS-SERTRALINE ...... 102 PMS-LAMOTRIGINE ...... 93 PMS-SERTRALINE ...... 103 PMS-LITHIUM CARBONATE ...... 123 PMS-SODIUM CROMOGLYCATE ...... 140 PMS-LORAZEPAM ...... 120 PMS-SOLIFENACIN ...... 195 PMS-LORAZEPAM ...... 121 PMS-SOTALOL...... 55 PMS-LOSARTAN ...... 72 PMS-SULFASALAZINE ...... 15 PMS-LOSARTAN-HCTZ ...... 73 PMS-SUMATRIPTAN ...... 125 PMS-METFORMIN...... 175 PMS-SUMATRIPTAN ...... SEC 3.251 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page PMS-TENOFOVIR ...... 21 PROCHLORAZINE ...... 154 PMS-TERAZOSIN ...... 51 PROCHLORPERAZINE ...... 154 PMS-TERAZOSIN ...... 52 PROCTODAN-HC ...... 190 PMS-TERBINAFINE ...... 17 PROCTOFOAM-HC ...... 189 PMS-TESTOSTERONE ...... SEC 3.257 PROCTOL ...... 192 PMS-TETRABENAZINE ...... SEC 3.258 PROCTOSEDYL ...... 192 PMS-TOPIRAMATE ...... 95 PROCYSBI ...... SEC 3.52 PMS-TRANDOLAPRIL ...... 67 PROGESTERONE ...... 179 PMS-TRAZODONE ...... 103 PROLIA ...... SEC 3.65 PMS-URSODIOL C ...... 153 PROLOPA 100-25 ...... 127 PMS-VALACYCLOVIR (CAPLET) ...... 22 PROLOPA 200-50 ...... 127 PMS-VALPROIC ACID ...... 96 PROLOPA 50-12.5 ...... 127 PMS-VALPROIC ACID E.C...... 96 PROMETRIUM...... 179 PMS-VENLAFAXINE XR ...... 97 PROPADERM ...... 186 PMS-VENLAFAXINE XR ...... 98 PROPAFENONE HCL ...... 39 PMS-ZOLMITRIPTAN ...... 126 PROPARACAINE HCL ...... 143 PMS-ZOLMITRIPTAN ...... SEC 3.288 PROPIVERINE HYDROCHLORIDE ...... 195 PMS-ZOPICLONE...... 122 PROPRANOLOL HCL ...... 55 PORTIA 21 ...... 172 PROPRANOLOL HCL ...... SEC 3.215 PORTIA 28 ...... 172 PROPYL-THYRACIL ...... 180 POTASSIUM BICARBONATE ...... 135 PROPYLTHIOURACIL ...... 180 POTASSIUM CHLORIDE (K+) ...... 135 PROSCAR ...... 204 POTASSIUM CHLORIDE (K+)(CL-) ...... 135 PROSTIN VR ...... 50 POTASSIUM CITRATE (K+) ...... 135 PROTOPIC ...... SEC 3.252 PRADAXA ...... SEC 3.53 PROZAC ...... 101 PRALUENT ...... SEC 3.26 PRZ-DOMPERIDONE ...... 160 PRAMIPEXOLE ...... 129 PULMICORT NEBUAMP ...... 168 PRAMIPEXOLE DIHYDROCHLORIDE ...... 129 PULMICORT TURBUHALER ...... 168 PRAVACHOL ...... 44 PURAMINO A+ ...... SEC 3.139 PRAVASTATIN ...... 44 PYRIDOSTIGMINE BROMIDE ...... 27 PRAVASTATIN SODIUM ...... 44 PRAZOSIN HCL ...... 51 PRED FORTE ...... 142 Q PRED MILD ...... 142 PREDNISOLONE ACETATE ...... 142 QUETIAPINE ...... 110 PREDNISOLONE ACETATE/ SULFACETAMIDE QUETIAPINE ...... 111 SODIUM ...... 143 QUETIAPINE FUMARATE ...... 110 PREDNISOLONE SODIUM PHOSPHATE ...... 170 QUETIAPINE FUMARATE ...... 111 PREDNISONE ...... 170 QUETIAPINE FUMARATE ...... 112 PREGABALIN ...... 94 QUETIAPINE XR ...... 112 PREGABALIN ...... 95 QUINAGOLIDE ...... SEC 3.215 PREMARIN ...... 173 QUINAPRIL ...... 64 PREVACID ...... 158 QUINAPRIL ...... 65 PREVEX HC ...... 189 QUINAPRIL/ HYDROCHLOROTHIAZIDE ...... 65 PREVYMIS ...... SEC 3.176 QUININE SULFATE ...... 23 PRIMAQUINE PHOSPHATE ...... 23 QUINSAIR ...... SEC 3.179 PRIMAXIN ...... 8 QVAR CFC-FREE ...... 168 PRIMAXIN ...... SEC 3.137 PRIMIDONE ...... 89 PRINIVIL ...... 62 R PRINIVIL ...... 63 PROBUPHINE ...... SEC 3.42 RABEPRAZOLE ...... 160 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page RABEPRAZOLE EC ...... 160 RAN-SIMVASTATIN ...... 46 RABEPRAZOLE SODIUM ...... 160 RAN-SIMVASTATIN ...... 47 RALOXIFENE HCL ...... SEC 3.216 RAN-SOLIFENACIN ...... 195 RAMIPRIL ...... 65 RAN-VALSARTAN ...... 74 RAMIPRIL ...... 66 RAN-VENLAFAXINE XR ...... 97 RAMIPRIL (CAPSULE) ...... 65 RAN-VENLAFAXINE XR ...... 98 RAMIPRIL (CAPSULE) ...... 66 RAN-ZOPICLONE ...... 122 RAMIPRIL/ HYDROCHLOROTHIAZIDE ...... 66 RANIBIZUMAB...... 151 RAN-AMLODIPINE ...... 56 RANITIDINE ...... 157 RAN-ATENOLOL ...... 52 RANITIDINE HCL ...... 157 RAN-ATENOLOL ...... 53 RATIO-LACTULOSE ...... 135 RAN-ATORVASTATIN ...... 42 RATIO-TOPISALIC ...... 186 RAN-ATORVASTATIN ...... 43 RATIO-ZOPICLONE ...... 122 RAN-BUPROPION XL ...... 105 RAVICTI ...... SEC 3.129 RAN-CANDESARTAN ...... 68 REBIF (0.5 ML SYRINGE) ...... SEC 3.165 RAN-CEFPROZIL ...... 6 REBIF (1.5 ML CARTRIDGE) ...... SEC 3.165 RAN-CELECOXIB ...... SEC 3.46 REDDY-ATORVASTATIN ...... 42 RAN-CIPROFLOX ...... SEC 3A.2 REDDY-ATORVASTATIN ...... 43 RAN-CIPROFLOX ...... SEC 3A.3 REMERON ...... 106 RAN-CITALO ...... 98 REMICADE ...... SEC 3.147 RAN-CLARITHROMYCIN ...... 10 RENFLEXIS ...... SEC 3.140 RAN-CLOPIDOGREL ...... 36 REPAGLINIDE ...... 177 RAN-DOMPERIDONE ...... 160 REPATHA ...... SEC 3.116 RAN-DONEPEZIL ...... SEC 3.69 REPATHA AUTOINJECTOR ...... SEC 3.116 RAN-DULOXETINE...... 97 RESONIUM CALCIUM ...... 136 RAN-ENALAPRIL ...... 61 RESTORIL ...... 121 RAN-ESCITALOPRAM ...... 100 REVESTIVE ...... SEC 3.255 RAN-EZETIMIBE...... SEC 3.116 REXULTI ...... 108 RAN-GABAPENTIN ...... 92 RHINOCORT TURBUHALER ...... 141 RAN-GLICLAZIDE MR ...... 177 RHO-NITRO PUMPSPRAY ...... 50 RAN-IRBESARTAN...... 70 RIBAVIRIN ...... SEC 3.216 RAN-LANSOPRAZOLE ...... 158 RIDAURA ...... 163 RAN-LISINOPRIL ...... 62 RIFABUTIN ...... 20 RAN-LISINOPRIL ...... 63 RIFABUTIN ...... SEC 3.217 RAN-MONTELUKAST ...... 139 RIFAXIMIN ...... SEC 3.217 RAN -MONTELUKAST ...... SEC 3.187 RILUTEK ...... SEC 3.217 RAN-OLANZAPINE ODT ...... 110 RILUZOLE ...... SEC 3.217 RAN-PANTOPRAZOLE ...... 160 RIMSO-50 ...... 202 RAN-PRAVASTATIN ...... 44 RISANKIZUMAB ...... SEC 3.219 RAN-PREGABALIN...... 94 RISEDRONATE ...... 203 RAN-PREGABALIN...... 95 RISEDRONATE SODIUM ...... 203 RAN-QUETIAPINE ...... 110 RISEDRONATE SODIUM ...... SEC 3.219 RAN-QUETIAPINE ...... 111 RISEDRONATE-35 ...... 203 RAN-RABEPRAZOLE ...... 160 RISPERDAL ...... 114 RAN-RAMIPRIL (CAPSULE) ...... 65 RISPERDAL CONSTA ...... SEC 3.220 RAN-RAMIPRIL (CAPSULE) ...... 66 RISPERIDONE ...... 112 RAN-RAMIPRIL HCTZ ...... 66 RISPERIDONE ...... 113 RAN-RANITIDINE ...... 157 RISPERIDONE ...... SEC 3.220 RAN-RISPERIDONE ...... 112 RISPERIDONE TARTRATE ...... 114 RAN-RISPERIDONE ...... 113 RITALIN ...... 118 RAN-ROPINIROLE ...... 129 RITALIN SR ...... 118 RAN-ROSUVASTATIN ...... 45 RITUXAN ...... SEC 3.222 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page RITUXIMAB ...... SEC 3.222 SALMETEROL XINAFOATE/ FLUTICASONE RIVA-DAPSONE ...... 20 PROPIONATE...... SEC 3.234 RIVA-LEVETIRACETAM ...... 93 SALOFALK ...... 161 RIVAROXABAN ...... 36 SALOFALK (2G/60G) ...... 161 RIVAROXABAN ...... SEC 3.224 SALOFALK (4G/60G) ...... 161 RIVAROXABAN ...... SEC 3.226 SANDOMIGRAN ...... 126 RIVASTIGMINE HYDROGEN TARTRATE ...... SEC 3.227 SANDOMIGRAN DS ...... 126 RIVOTRIL ...... 89 SANDOSTATIN ...... SEC 3.197 RIVOTRIL ...... 90 SANDOSTATIN LAR ...... SEC 3.197 RIZATRIPTAN BENZOATE ...... 124 SANDOZ ALENDRONATE ...... 199 RIZATRIPTAN BENZOATE ...... SEC 3.228 SANDOZ ALENDRONATE/CHOLECALCIFEROL ...... 199 RIZATRIPTAN ODT ...... 124 SANDOZ ALFUZOSIN ...... SEC 3.24 RIZATRIPTAN ODT ...... SEC 3.228 SANDOZ ALMOTRIPTAN ...... 123 ROCALTROL ...... 197 SANDOZ ALMOTRIPTAN ...... SEC 3.26 ROPINIROLE ...... 129 SANDOZ AMIODARONE ...... 40 ROPINIROLE HCL ...... 129 SANDOZ AMLODIPINE ...... 56 ROSIGLITAZONE ...... SEC 3.229 SANDOZ AMOXI-CLAV ...... 12 ROSIGLITAZONE MALEATE ...... SEC 3.229 SANDOZ ARIPIPRAZOLE ...... 107 ROSUVASTATIN ...... 45 SANDOZ ARIPIPRAZOLE ...... 108 ROSUVASTATIN CALCIUM ...... 45 SANDOZ ATORVASTATIN ...... 42 ROSUVASTATIN-10 ...... 45 SANDOZ ATORVASTATIN ...... 43 ROSUVASTATIN-20 ...... 45 SANDOZ AZITHROMYCIN ...... 10 ROSUVASTATIN-40 ...... 45 SANDOZ BISOPROLOL ...... 53 ROSUVASTATIN-5 ...... 45 SANDOZ BRIMONIDINE ...... 145 ROTIGOTINE ...... SEC 3.229 SANDOZ BUPROPION SR ...... 105 ROUGIER MAGNESIUM ...... 135 SANDOZ CANDESARTAN ...... 68 ROVAMYCINE-250 ...... 15 SANDOZ CANDESARTAN PLUS ...... 69 ROVAMYCINE-500 ...... 15 SANDOZ CARBAMAZEPINE CR ...... 91 RUFINAMIDE ...... SEC 3.230 SANDOZ CIPROFLOXACIN ...... 141 RYTHMODAN ...... 39 SANDOZ CIPROFLOXACIN ...... SEC 3A.2 RYTHMOL ...... 39 SANDOZ CIPROFLOXACIN ...... SEC 3A.3 SANDOZ CITALOPRAM ...... 98 S SANDOZ CITALOPRAM ...... 99 SANDOZ CLARITHROMYCIN ...... 10 SANDOZ CLOPIDOGREL ...... 36 SABRIL ...... 96 SANDOZ CYCLOSPORINE ...... SEC 3.51 SACUBITRIL/ VALSARTAN ...... SEC 3.230 SANDOZ DEFERASIROX ...... SEC 3.61 SAIZEN ...... SEC 3.249 SANDOZ DEFERASIROX ...... SEC 3.62 SAIZEN (1.5 ML) ...... SEC 3.249 SANDOZ DEFERASIROX ...... SEC 3.63 SAIZEN (2.5 ML) ...... SEC 3.249 SANDOZ DICLOFENAC ...... 79 SALAGEN ...... 27 SANDOZ DICLOFENAC OPHTHA ...... 143 SALBUTAMOL ...... 28 SANDOZ DICLOFENAC SR ...... 79 SALBUTAMOL HFA ...... 28 SANDOZ DILTIAZEM CD ...... 58 SALBUTAMOL SULFATE ...... 29 SANDOZ DILTIAZEM T ...... 58 SALMETEROL XINAFOATE ...... 29 SANDOZ DONEPEZIL ...... SEC 3.69 SALMETEROL XINAFOATE/ FLUTICASONE SANDOZ DORZOLAMIDE ...... 146 PROPIONATE ...... SEC 3.231 SANDOZ DORZOLAMIDE/ TIMOLOL ...... 147 SALMETEROL XINAFOATE/ FLUTICASONE SANDOZ DULOXETINE ...... 97 PROPIONATE ...... SEC 3.232 SANDOZ DUTASTERIDE ...... 204 SALMETEROL XINAFOATE/ FLUTICASONE SANDOZ ENALAPRIL ...... 61 PROPIONATE ...... SEC 3.233 SANDOZ ENTACAPONE ...... 127 SANDOZ ESCITALOPRAM ...... 100 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page SANDOZ ESTRADIOL DERM 100 (8 MG/PTH) ...... 174 SANDOZ OMEPRAZOLE (SUSTAINED-RELEASE SANDOZ ESTRADIOL DERM 50 (4 MG/PTH) ...... 173 CAPSULE) ...... 159 SANDOZ ESTRADIOL DERM 75 (6 MG/PTH) ...... 174 SANDOZ ONDANSETRON ...... 155 SANDOZ EZETIMIBE ...... SEC 3.116 SANDOZ OPIUM & BELLADONNA ...... 88 SANDOZ FELODIPINE ...... 56 SANDOZ PANTOPRAZOLE ...... 160 SANDOZ FELODIPINE ...... 57 SANDOZ PERINDOPRIL ERBUMINE ...... 63 SANDOZ FENOFIBRATE S ...... 41 SANDOZ PERINDOPRIL ERBUMINE ...... 64 SANDOZ FENOFIBRATE S (TABLET) ...... 41 SANDOZ PERINDOPRIL/INDAPAMIDE ...... 64 SANDOZ FENTANYL PATCH ...... SEC 3.117 SANDOZ PERINDOPRIL/INDAPAMIDE HD ...... 64 SANDOZ FENTANYL PATCH ...... SEC 3.118 SANDOZ PRAMIPEXOLE ...... 129 SANDOZ FINASTERIDE ...... 204 SANDOZ PRAVASTATIN ...... 44 SANDOZ FINGOLIMOD ...... SEC 3.122 SANDOZ PREDNISOLONE ACETATE ...... 142 SANDOZ FLUOROMETHOLONE ...... 142 SANDOZ PREGABALIN ...... 94 SANDOZ FLUOXETINE ...... 101 SANDOZ PREGABALIN ...... 95 SANDOZ GLICLAZIDE MR ...... 177 SANDOZ PROCHLORPERAZINE ...... 154 SANDOZ INDOMETHACIN ...... 80 SANDOZ PROCTOMYXIN HC ...... 192 SANDOZ IRBESARTAN ...... 70 SANDOZ QUETIAPINE ...... 110 SANDOZ IRBESARTAN HCT ...... 71 SANDOZ QUETIAPINE ...... 111 SANDOZ K ...... 135 SANDOZ QUETIAPINE XRT ...... 112 SANDOZ LACOSAMIDE ...... SEC 3.174 SANDOZ RABEPRAZOLE ...... 160 SANDOZ LACOSAMIDE ...... SEC 3.175 SANDOZ RANITIDINE ...... 157 SANDOZ LANSOPRAZOLE ...... 158 SANDOZ REPAGLINIDE ...... 177 SANDOZ LATANOPROST ...... 146 SANDOZ RISEDRONATE ...... 203 SANDOZ LEFLUNOMIDE ...... 204 SANDOZ RISPERIDONE ...... 112 SANDOZ LEVETIRACETAM ...... 93 SANDOZ RISPERIDONE ...... 113 SANDOZ LEVOFLOXACIN ...... SEC 3A.4 SANDOZ RIVASTIGMINE ...... SEC 3.227 SANDOZ LEVOFLOXACIN ...... SEC 3A.5 SANDOZ RIZATRIPTAN ODT ...... 124 SANDOZ LEVOFLOXACIN ...... SEC 3A.6 SANDOZ RIZATRIPTAN ODT ...... SEC 3.228 SANDOZ LINEZOLID ...... 17 SANDOZ ROSUVASTATIN ...... 45 SANDOZ LINEZOLID ...... SEC 3.182 SANDOZ SERTRALINE ...... 102 SANDOZ LISINOPRIL HCT ...... 63 SANDOZ SERTRALINE ...... 103 SANDOZ LOSARTAN ...... 72 SANDOZ SOLIFENACIN ...... 195 SANDOZ LOSARTAN HCT ...... 73 SANDOZ SUMATRIPTAN ...... 125 SANDOZ LOSARTAN HCT DS ...... 73 SANDOZ SUMATRIPTAN ...... SEC 3.251 SANDOZ METFORMIN FC ...... 175 SANDOZ TAMSULOSIN ...... 51 SANDOZ METHYLPHENIDATE ...... 118 SANDOZ TAMSULOSIN CR ...... 51 SANDOZ METOPROLOL SR ...... 54 SANDOZ TELMISARTAN ...... 73 SANDOZ MIRTAZAPINE ...... 106 SANDOZ TELMISARTAN HCT ...... 74 SANDOZ MOMETASONE ...... 142 SANDOZ TIMOLOL MALEATE ...... 145 SANDOZ MONTELUKAST ...... 139 SANDOZ TOBRAMYCIN ...... 141 SANDOZ MONTELUKAST ...... 140 SANDOZ TOLTERODINE LA ...... 195 SANDOZ MONTELUKAST ...... SEC 3.187 SANDOZ TOPIRAMATE ...... 95 SANDOZ MORPHINE SR ...... 86 SANDOZ TRANDOLAPRIL ...... 67 SANDOZ MORPHINE SR ...... 87 SANDOZ TRAVOPROST ...... 146 SANDOZ MOXIFLOXACIN ...... SEC 3A.7 SANDOZ VALACYCLOVIR ...... 22 SANDOZ NARATRIPTAN ...... 123 SANDOZ VALSARTAN ...... 74 SANDOZ NARATRIPTAN ...... SEC 3.188 SANDOZ VALSARTAN HCT...... 75 SANDOZ OLANZAPINE ...... 109 SANDOZ VENLAFAXINE XR...... 97 SANDOZ OLANZAPINE ODT ...... 110 SANDOZ VENLAFAXINE XR...... 98 SANDOZ OLMESARTAN ...... 49 SANDOZ VORICONAZOLE ...... 19 SANDOZ OMEPRAZOLE (SUSTAINED-RELEASE CAP) SANDOZ VORICONAZOLE ...... SEC 3.286 ...... 159 SANDOZ ZOLMITRIPTAN ...... 126 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page SANDOZ ZOLMITRIPTAN ...... SEC 3.288 SODIUM FLUORIDE ...... 131 SANDOZ ZOPICLONE ...... 122 SODIUM FUSIDATE ...... 185 SANDOZ-OXYCODONE ACET ...... 88 SODIUM PHENYLBUTYRATE ...... SEC 3.244 SANTYL ...... 194 SODIUM POLYSTYRENE SULFONATE ...... 136 SAPHRIS ...... SEC 3.34 SOFOSBUVIR...... SEC 3.245 SARILUMAB ...... SEC 3.236 SOFOSBUVIR/ LEDIPASVIR...... SEC 3.246 SAXAGLIPTIN HCL...... SEC 3.236 SOFOSBUVIR/ VELPATASVIR ...... SEC 3.247 SAXAGLIPTIN HCL/ METFORMIN HCL ...... SEC 3.237 SOFOSBUVIR/ VELPATASVIR/ VOXILAPREVIR ..... SEC SDZ CELECOXIB...... SEC 3.46 3.248 SECUKINUMAB ...... SEC 3.241 SOFRACORT...... 142 SEEBRI BREEZHALER ...... 140 SOLIFENACIN ...... 195 SELEGILINE HCL ...... 129 SOLIFENACIN SUCCINATE...... 195 SEMAGLUTIDE ...... SEC 3.241 SOLIRIS ...... SEC 3.74 SEPTA DONEPEZIL ...... SEC 3.69 SOLU-CORTEF ...... 169 SEPTA-AMLODIPINE ...... 56 SOLU-MEDROL ...... 170 SEPTA-CITALOPRAM ...... 98 SOLU-MEDROL ACT-O-VIAL (PRESERVATIVE FREE) SEPTA-CITALOPRAM ...... 99 ...... 170 SEPTA-LOSARTAN ...... 72 SOLYSTAT ...... 136 SEPTA-LOSARTAN HCTZ ...... 73 SOMATROPIN ...... SEC 3.248 SEPTA-ONDANSETRON ...... 155 SOMATROPIN ...... SEC 3.249 SEPTA-ZOLMITRIPTAN-ODT ...... 126 SOMATROPIN R-DNA ORIGIN ...... SEC 3.249 SEPTA-ZOLMITRIPTAN-ODT ...... SEC 3.288 SOMATULINE AUTOGEL (0.3 ML SYRINGE) SEC 3.175 SEPTRA ...... 15 SOMATULINE AUTOGEL (0.5 ML SYRINGE) SEC 3.175 SERC ...... 199 SORIATANE ...... 194 SEREVENT DISKUS ...... 29 SOTALOL HCL ...... 55 SEROQUEL ...... 110 SOVALDI ...... SEC 3.245 SEROQUEL ...... 111 SPINRAZA ...... SEC 3.193 SEROQUEL XR ...... 112 SPIRAMYCIN ...... 15 SERTRALINE ...... 102 SPIRIVA ...... 27 SERTRALINE ...... 103 SPIRIVA RESPIMAT ...... 27 SERTRALINE HCL...... 102 SPIRONOLACTONE ...... 75 SERTRALINE HCL...... 103 SPORANOX ...... 18 SILTUXIMAB ...... SEC 3.242 SPORANOX ...... SEC 3.169 SILVER SULFADIAZINE ...... 186 STALEVO ...... 128 SIMBRINZA ...... 147 STATEX ...... 86 SIMPONI ...... SEC 3.134 STATEX ...... 87 SIMPONI ...... SEC 3.136 STATEX ...... 88 SIMVASTATIN ...... 46 STELARA (0.5 ML VIAL OR SYRINGE) ...... SEC 3.280 SIMVASTATIN ...... 47 STELARA (1.0 ML SYRINGE) ...... SEC 3.280 SINEMET 100/25 ...... 127 STERILE CEFAZOLIN SODIUM ...... 5 SINEMET 250/25 ...... 128 STERILE CEFAZOLIN SODIUM ...... 6 SINGULAIR ...... 139 STERILE VANCOMYCIN HCL ...... 16 SINGULAIR ...... 140 STIEVA-A ...... SEC 3.277 SINGULAIR ...... SEC 3.187 STIRIPENTOL...... SEC 3.250 SINTROM ...... 33 STRENSIQ ...... SEC 3.39 SITAGLIPTIN PHOSPHATE MONOHYDRATE SEC 3.242 SUBOXONE ...... 89 SITAGLIPTIN PHOSPHATE MONOHYDRATE/ SUCRALFATE ...... 157 METFORMIN HCL ...... SEC 3.243 SULCRATE ...... 157 SKYRIZI ...... SEC 3.219 SULCRATE SUSPENSION PLUS ...... 157 SODIUM ACID PHOSPHATE/ SODIUM BICARBONATE/ SULFAMETHOXAZOLE/ TRIMETHOPRIM ...... 14 POTASSIUM BICARBONATE ...... 136 SULFAMETHOXAZOLE/ TRIMETHOPRIM ...... 15 SODIUM CROMOGLYCATE ...... 140 SULFASALAZINE ...... 15 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page SULFATRIM ...... 14 TARO-DIPYRIDAMOLE/ASA ...... 36 SULFATRIM DS ...... 14 TARO-FINGOLIMOD ...... SEC 3.122 SULFINPYRAZONE ...... 137 TARO-IMIQUIMOD PUMP ...... SEC 3.137 SULINDAC ...... 82 TARO-MOMETASONE ...... 190 SUMATRIPTAN ...... 125 TARO-MUPIROCIN ...... 185 SUMATRIPTAN ...... SEC 3.251 TARO-PHENYTOIN ...... 90 SUMATRIPTAN DF ...... 125 TARO-SUMATRIPTAN (0.5 ML) ...... 125 SUMATRIPTAN DF ...... SEC 3.251 TARO-SUMATRIPTAN (0.5 ML) ...... SEC 3.251 SUMATRIPTAN HEMISULFATE ...... 125 TARO-TESTOSTERONE ...... SEC 3.257 SUMATRIPTAN HEMISULFATE ...... SEC 3.250 TARO-WARFARIN ...... 33 SUMATRIPTAN SUCCINATE ...... 125 TARO-ZOLEDRONIC ACID ...... SEC 3.288 SUMATRIPTAN SUCCINATE ...... SEC 3.251 TARO-ZOLEDRONIC ACID CONCENTRATE . SEC 3.288 SUPEUDOL ...... 88 TAZAROTENE ...... 194 SUPRAX ...... 7 TAZORAC ...... 194 SUPREFACT ...... SEC 3.43 TECFIDERA ...... SEC 3.68 SUPREFACT DEPOT ...... SEC 3.43 TECTA ...... 159 SUPREFACT INTRANASAL ...... SEC 3.43 TEDUGLUTIDE ...... SEC 3.255 SYLVANT ...... SEC 3.242 TEGRETOL ...... 91 SYMBICORT 100 TURBUHALER ...... SEC 3.42 TEGRETOL CR ...... 91 SYMBICORT 200 TURBUHALER ...... SEC 3.42 TELMISARTAN ...... 73 SYNAREL ...... 203 TELMISARTAN HCTZ ...... 74 SYNJARDY ...... SEC 3.78 TELMISARTAN/ AMLODIPINE BESYLATE ...... 74 SYNPHASIC (21 DAY) ...... 172 TELMISARTAN/ HYDROCHLOROTHIAZIDE ...... 74 SYNPHASIC (28 DAY) ...... 172 TELMISARTAN/HCTZ ...... 74 SYNTHETIC CALCITONIN SALMON (SALCATONIN) 178 TEMAZEPAM ...... 121 SYNTHROID ...... 179 TENOFOVIR DISOPROXIL FUMARATE ...... 21 SYNTHROID ...... 180 TENORETIC 50/25 ...... 53 TENORETIC 100/25 ...... 53 T TENORMIN ...... 52 TENORMIN ...... 53 TENOXICAM ...... 82 TACROLIMUS ...... SEC 3.252 TERAZOSIN...... 51 TALIGLUCERASE ALFA ...... SEC 3.254 TERAZOSIN...... 52 TALTZ ...... SEC 3.174 TERAZOSIN HCL ...... 51 TALTZ AUTOINJECTOR ...... SEC 3.174 TERAZOSIN HCL ...... 52 TALWIN ...... 89 TERBINAFINE ...... 17 TAMSULOSIN CR ...... 51 TERBINAFINE HCL ...... 17 TAMSULOSIN HCL ...... 51 TERBINAFINE HCL ...... 185 TAPAZOLE ...... 180 TERBUTALINE SULFATE ...... 29 TARO-ACITRETIN ...... 194 TERIFLUNOMIDE ...... SEC 3.257 TARO-AMCINONIDE ...... 186 TESTOSTERONE ...... SEC 3.257 TARO-BENZOYL PEROXIDE/CLINDAMYCIN KIT .... SEC TESTOSTERONE CYPIONATE ...... 171 3.50 TESTOSTERONE ENANTHATE ...... 171 TARO-CALCITRIOL ...... 197 TESTOSTERONE UNDECANOATE ...... SEC 3.257 TARO-CARBAMAZEPINE ...... 91 TETRABENAZINE ...... SEC 3.258 TARO-CLARITHROMYCIN ...... 10 TETRACYCLINE ...... 15 TARO-CLARITHROMYCIN ...... 11 TETRACYCLINE HCL ...... 15 TARO-CLINDAMYCIN/BENZOYL PEROXIDE .. SEC 3.50 TEVA-ACEBUTOLOL ...... 52 TARO-CLOBETASOL ...... 187 TEVA-ACYCLOVIR ...... 21 TARO-DEFERASIROX ...... SEC 3.61 TEVA-ALENDRONATE ...... 199 TARO-DEFERASIROX ...... SEC 3.62 TEVA-ALENDRONATE/CHOLECALCIFEROL ...... 199 TARO-DEFERASIROX ...... SEC 3.63 TEVA-ALMOTRIPTAN ...... 123 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page TEVA-ALMOTRIPTAN ...... SEC 3.26 TEVA-DOXYCYCLINE ...... 15 TEVA-ALPRAZOL ...... 119 TEVA-DUTASTERIDE ...... 204 TEVA-AMIODARONE ...... 40 TEVA-ECTOSONE MILD ...... 187 TEVA-AMLODIPINE...... 56 TEVA-ECTOSONE REGULAR ...... 187 TEVA-ARIPIPRAZOLE ...... 107 TEVA-ECTOSONE SCALP ...... 187 TEVA-ARIPIPRAZOLE ...... 108 TEVA-EMTEC-30 ...... 83 TEVA-ATENOLOL...... 52 TEVA-ENTACAPONE ...... 127 TEVA-ATENOLOL...... 53 TEVA-ESCITALOPRAM ...... 100 TEVA-ATORVASTATIN ...... 42 TEVA-EZETIMIBE ...... SEC 3.116 TEVA-ATORVASTATIN ...... 43 TEVA-FAMOTIDINE ...... 156 TEVA-AZATHIOPRINE ...... 199 TEVA-FENTANYL ...... SEC 3.117 TEVA-BETAHISTINE ...... 199 TEVA-FENTANYL ...... SEC 3.118 TEVA-BISOPROLOL ...... 53 TEVA-FINASTERIDE ...... 204 TEVA-BROMAZEPAM ...... 119 TEVA-FINGOLIMOD ...... SEC 3.122 TEVA-BUDESONIDE ...... 168 TEVA-FLUOXETINE ...... 101 TEVA-CANDESARTAN ...... 68 TEVA-FLUVASTATIN ...... 43 TEVA-CANDESARTAN/HCTZ ...... 69 TEVA-FOSINOPRIL ...... 62 TEVA-CAPTOPRIL ...... 59 TEVA-FUROSEMIDE ...... 48 TEVA-CAPTOPRIL ...... 60 TEVA-GABAPENTIN ...... 92 TEVA-CARBAMAZ ...... 91 TEVA-GEMFIBROZIL ...... 41 TEVA-CARVEDILOL ...... 53 TEVA-GLICLAZIDE ...... 177 TEVA-CARVEDILOL ...... 54 TEVA-GLYBURIDE ...... 177 TEVA-CEFADROXIL ...... 5 TEVA-HALOPERIDOL ...... 114 TEVA-CEFADROXIL ...... SEC 3.45 TEVA-HYDRAZIDE ...... 136 TEVA-CEPHALEXIN ...... 6 TEVA-INDOMETHACIN ...... 80 TEVA-CEPHALEXIN 125 ...... 6 TEVA-IPRATROPIUM STERINEBS ...... SEC 3.168 TEVA-CEPHALEXIN 250 ...... 6 TEVA-IRBESARTAN ...... 70 TEVA-CHLOROQUINE ...... 23 TEVA-IRBESARTAN HCTZ ...... 71 TEVA-CHLORPROMAZINE ...... 115 TEVA-KETOCONAZOLE ...... 19 TEVA-CILAZAPRIL/HCTZ ...... 60 TEVA-LACOSAMIDE ...... SEC 3.174 TEVA-CITALOPRAM ...... 98 TEVA-LACOSAMIDE ...... SEC 3.175 TEVA-CITALOPRAM ...... 99 TEVA-LACTULOSE ...... 135 TEVA-CLARITHROMYCIN ...... 10 TEVA-LANSOPRAZOLE ...... 158 TEV-CLINDAMYCINA ...... 16 TEVA-LATANOPROST ...... 146 TEVA-CLOBAZAM ...... 89 TEVA-LEFLUNOMIDE ...... 204 TEVA-CLOBETASOL ...... 187 TEVA-LENOLTEC NO. 4 ...... 83 TEVA-CLONIDINE ...... 200 TEVA-LENOLTEC NO.2 ...... 83 TEVA-CLONIDINE ...... 47 TEVA-LENOLTEC NO.3 ...... 83 TEVA-CLOPIDOGREL ...... 36 TEVA-LEVOCARBIDOPA ...... 127 TEVA-CODEINE ...... 82 TEVA-LEVOCARBIDOPA ...... 128 TEVA-COMBO STERINEBS ...... 27 TEVA-LISINOPRIL (TYPE Z) ...... 62 TEVA-CYCLOBENZAPRINE ...... 30 TEVA-LISINOPRIL (TYPE Z) ...... 63 TEVA-DICLOFENAC EC ...... 79 TEVA-LISINOPRIL/HCTZ (TYPE Z) ...... 63 TEVA-DICLOFENAC SR ...... 79 TEVA-LORAZEPAM ...... 120 TEVA-DILTIAZEM ...... 57 TEVA-LORAZEPAM ...... 121 TEVA-DILTIAZEM CD ...... 58 TEVA-LOSARTAN ...... 72 TEVA-DILTIAZEM CD ...... 58 TEVA-LOSARTAN/HCTZ ...... 73 TEVA-DILTIAZEM HCL ER ...... 58 TEVA-MEDROXYPROGESTERONE ...... 178 TEVA-DILTIAZEM HCL ER ...... 59 TEVA-METOPROL ...... 54 TEVA-DOMPERIDONE ...... 160 TEVA-METOPROL (FC) ...... 54 TEVA-DONEPEZIL ...... SEC 3.69 TEVA-MIRTAZAPINE ...... 106 TEVA-DOXAZOSIN...... 51 TEVA-MODAFINIL ...... SEC 3.186 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page TEVA-MOMETASONE ...... 142 TEVA-SIMVASTATIN ...... 46 TEVA-MOMETASONE ...... 190 TEVA-SIMVASTATIN ...... 47 TEVA-MONTELUKAST ...... 139 TEVA-SOLIFENACIN ...... 195 TEVA-MONTELUKAST ...... SEC 3.187 TEVA-SPIRONOLACTONE ...... 75 TEVA-MORPHINE SR ...... 86 TEVA-SPIRONOLACTONE/HCTZ ...... 75 TEVA-MORPHINE SR ...... 87 TEVA-SUCRALFATE ...... 157 TEVA-MOXIFLOXACIN ...... SEC 3A.7 TEVA-SULINDAC ...... 82 TEVA-NABILONE...... 156 TEVA-SUMATRIPTAN ...... 125 TEVA-NAPROX ...... 81 TEVA-SUMATRIPTAN ...... SEC 3.251 TEVA-NAPROX EC...... 81 TEVA-SUMATRIPTAN DF ...... 125 TEVA-NAPROX SODIUM ...... 82 TEVA-SUMATRIPTAN DF ...... SEC 3.251 TEVA-NAPROX SODIUM DS ...... 82 TEVA-TAMSULOSIN CR ...... 51 TEVA-NARATRIPTAN ...... 123 TEVA-TECNAL ...... 79 TEVA-NARATRIPTAN ...... SEC 3.188 TEVA-TECNAL-C 1/2 ...... 82 TEVA-NITROFURANTOIN ...... 24 TEVA-TECNAL-C 1/4 ...... 82 TEVA-NYSTATIN ...... 20 TEVA-TELMISARTAN ...... 73 TEVA-OLANZAPINE ...... 109 TEVA-TELMISARTAN HCTZ ...... 74 TEVA-OMEPRAZOLE (DELAYED-RELEASE TABLET) TEVA-TENOFOVIR ...... 21 ...... 159 TEVA-TERAZOSIN ...... 51 TEVA-OXYBUTYNIN ...... 195 TEVA-TERAZOSIN ...... 52 TEVA-OXYCOCET...... 88 TEVA-TIAPROFENIC ACID ...... 82 TEVA-OXYCODAN ...... 88 TEVA-TOBRAMYCIN ...... 5 TEVA-PANTOPRAZOLE ...... 160 TEVA-TOLTERODINE LA ...... 195 TEVA-PANTOPRAZOLE MAGNESIUM ...... 159 TEVA-TOPILENE ...... 186 TEVA-PAROXETINE ...... 102 TEVA-TOPIRAMATE ...... 95 TEVA-PERINDOPRIL ...... 63 TEVA-TOPISONE ...... 186 TEVA-PERINDOPRIL ...... 64 TEVA-TRANDOLAPRIL ...... 67 TEVA-PERINDOPRIL/INDAPAMIDE ...... 64 TEVA-TRAZODONE ...... 103 TEVA-PIROXICAM...... 82 TEVA-TRIAMTERENE/HCTZ ...... 137 TEVA-PRAVASTATIN ...... 44 TEVA-TRIMEL ...... 15 TEVA-PRAZOSIN ...... 51 TEVA-TRYPTOPHAN ...... 105 TEVA-PREDNISOLONE ...... 142 TEVA-TRYPTOPHAN ...... 106 TEVA-PREGABALIN ...... 94 TEVA-VALACYCLOVIR ...... 22 TEVA-PREGABALIN ...... 95 TEVA-VALGANCICLOVIR ...... 22 TEVA-PROCTOSONE ...... 192 TEVA-VALSARTAN ...... 74 TEVA-PROGESTERONE (PEANUT OIL) ...... 179 TEVA-VALSARTAN/HCTZ ...... 75 TEVA-PROPRANOLOL ...... 55 TEVA-VARENICLINE ...... 31 TEVA-QUETIAPINE XR ...... 112 TEVA-VARENICLINE ...... SEC 3.280 TEVA-QUININE ...... 23 TEVA-VARENICLINE (STARTER PACK) ...... 31 TEVA-RABEPRAZOLE ...... 160 TEVA-VARENICLINE (STARTER PACK) ...... SEC 3.280 TEVA-RAMIPRIL (CAPSULE) ...... 65 TEVA-VENLAFAXINE XR ...... 97 TEVA-RAMIPRIL (CAPSULE) ...... 66 TEVA-VENLAFAXINE XR ...... 98 TEVA-RISEDRONATE ...... 203 TEVA-VORICONAZOLE ...... 19 TEVA-RISEDRONATE ...... SEC 3.219 TEVA-VORICONAZOLE ...... SEC 3.286 TEVA-RISPERIDONE ...... 112 TEVA-ZOLMITRIPTAN ...... 126 TEVA-RISPERIDONE ...... 113 TEVA-ZOLMITRIPTAN ...... SEC 3.288 TEVA-RIZATRIPTAN ODT ...... 124 TEVETEN ...... 69 TEVA-RIZATRIPTAN ODT ...... SEC 3.228 TEVETEN PLUS ...... 69 TEVA-ROSUVASTATIN ...... 45 THEOLAIR ...... 196 TEVA-SALBUTAMOL STERINEBS P.F...... 29 THEOPHYLLINE ...... 196 TEVA-SERTRALINE ...... 102 THIAMAZOLE ...... 180 TEVA-SERTRALINE ...... 103 THIAMIJECT ...... 197 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 244 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page THIAMINE HCL ...... 197 TRAVOPROST/ TIMOLOL MALEATE ...... 147 THYROGEN ...... 133 TRAZODONE...... 103 THYROID ...... 179 TRAZODONE HCL ...... 103 THYROTROPIN ALFA ...... 133 TRELEGY ELLIPTA ...... SEC 3.123 TIAMOL ...... 189 TRESIBA FLEXTOUCH PEN ...... 175 TIAPROFENIC ACID ...... 82 TRETINOIN ...... SEC 3.277 TIAZAC ...... 58 TRI-CYCLEN (21 DAY) ...... 173 TIAZAC ...... 59 TRI-CYCLEN (28 DAY) ...... 173 TIAZAC XC ...... 57 TRI-CYCLEN LO 21 ...... 173 TIAZAC XC ...... 58 TRI-CYCLEN LO 28 ...... 173 TICAGRELOR ...... 36 TRIADERM REGULAR ...... 190 TICAGRELOR ...... SEC 3.258 TRIAMCINOLONE ACETONIDE ...... 170 TIMOLOL MALEATE ...... 145 TRIAMCINOLONE ACETONIDE ...... 190 TIMOPTIC ...... 145 TRIAMCINOLONE ACETONIDE USP ...... 170 TIMOPTIC-XE ...... 145 TRIAZO ...... 121 TINZAPARIN SODIUM ...... 35 TRIAZOLAM...... 121 TIOTROPIUM BROMIDE MONOHYDRATE ...... 27 TRIFLUOPERAZINE ...... 116 TIOTROPIUM BROMIDE MONOHYDRATE/ TRIFLUOPERAZINE HCL ...... 116 OLODATEROL HYDROCHLORIDE ...... SEC 3.259 TRIFLURIDINE ...... 141 TOBI ...... 5 TRIHEXYPHENIDYL ...... 127 TOBI PODHALER ...... 5 TRIHEXYPHENIDYL HCL ...... 127 TOBRADEX ...... 142 TRIMEBUTINE ...... 162 TOBRAMYCIN ...... 141 TRIMEBUTINE MALEATE ...... 162 TOBRAMYCIN ...... 5 TRIMEPRAZINE TARTRATE...... 3 TOBRAMYCIN SULFATE ...... 5 TRIMETHOPRIM ...... 24 TOBREX ...... 141 TRIMIPRAMINE ...... 105 TOCILIZUMAB ...... SEC 3.263 TRIMIPRAMINE MALEATE ...... 105 TOCILIZUMAB ...... SEC 3.267 TRINIPATCH 0.2 ...... 50 TOCILIZUMAB ...... SEC 3.270 TRINIPATCH 0.4 ...... 50 TOCILIZUMAB ...... SEC 3.273 TRINIPATCH 0.6 ...... 50 TOFACITINIB CITRATE ...... SEC 3.275 TRIQUILAR (21 DAY) ...... 172 TOFACITINIB CITRATE ...... SEC 3.277 TRIQUILAR (28 DAY) ...... 172 TOLOXIN ...... 40 TROSEC ...... SEC 3.277 TOLOXIN PEDIATRIC ...... 40 TROSPIUM CHLORIDE ...... SEC 3.277 TOLTERODINE L-TARTRATE ...... 195 TRUSOPT ...... 146 TOPAMAX ...... 95 TRUSOPT (PRESERVATIVE-FREE) ...... 146 TOPAMAX SPRINKLE ...... 95 TRYPTAN ...... 105 TOPICORT ...... 189 TRYPTAN ...... 106 TOPICORT MILD ...... 189 TUDORZA GENUAIR ...... 27 TOPIRAMATE ...... 95 TWYNSTA ...... 74 TORADOL ...... 81 TYLENOL NO. 2 ...... 83 TOVIAZ ...... SEC 3.118 TYLENOL NO. 3 ...... 83 TRAJENTA ...... SEC 3.180 TYLENOL NO. 4 ...... 83 TRANDATE ...... 54 TYSABRI ...... SEC 3.191 TRANDOLAPRIL ...... 67 TRANEXAMIC ACID ...... 37 U TRANSDERM-NITRO 0.2 ...... 50 TRANSDERM-NITRO 0.4 ...... 50 ULIPRISTAL ACETATE ...... 203 TRANSDERM-NITRO 0.6 ...... 50 ULORIC ...... SEC 3.117 TRANYLCYPROMINE SULFATE ...... 96 ULTIBRO BREEZHALER ...... SEC 3.138 TRAVATAN Z ...... 146 ULTRAVATE ...... 189 TRAVOPROST ...... 146 The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

EFFECTIVE APRIL 1, 2020 245 ALBERTA DRUG BENEFIT LIST INDEX 1 – ALPHABETICAL LIST OF PRODUCTS ALPHABETICAL LIST OF PHARMACEUTICAL PRODUCTS

Product Name Page Product Name Page UMECLIDINIUM BROMIDE ...... 28 VIROPTIC ...... 141 UMECLIDINIUM BROMIDE/ VILANTEROL VISANNE ...... SEC 3.66 TRIFENATATE ...... SEC 3.278 VISTITAN 0.03% ...... 146 UNIPHYL ...... 196 VITAMIN A ACID ...... SEC 3.277 URINE TEST STRIPS ...... 1 VITAMIN B12 ...... 197 URSO ...... 153 VITAMIN K1 ...... 197 URSO DS ...... 153 VITAMIN K1 PEDIATRIC ...... 197 URSODIOL ...... 153 VOLTAREN ...... 79 URSODIOL TABLETS USP ...... 153 VOLTAREN OPHTHA ...... 143 USTEKINUMAB ...... SEC 3.280 VORICONAZOLE ...... 19 VORICONAZOLE ...... SEC 3.286 V VORICONAZOLE INJECTION ...... 19 VORICONAZOLE INJECTION ...... SEC 3.286 VORTEX ...... 207 VAGIFEM ...... 174 VORTEX CHILD/PEDIATRIC MASK DEVICE ...... 207 VALACYCLOVIR ...... 22 VORTEX TODDLER/INFANT MASK DEVICE ...... 207 VALCYTE ...... 22 VOSEVI ...... SEC 3.248 VALGANCICLOVIR HCL ...... 22 VPI-ONDANSETRON ODT ...... 154 VALPROIC ACID...... 96 VPRIV ...... SEC 3.285 VALSARTAN ...... 74 VYVANSE ...... 117 VALSARTAN HCT...... 75 VYZULTA ...... 146 VALSARTAN/ HYDROCHLOROTHIAZIDE ...... 75 VALTREX (CAPLET) ...... 22 VANCOCIN ...... 16 W VANCOMYCIN HCL ...... 16 VARENICLINE TARTRATE ...... 31 WARFARIN SODIUM ...... 33 VARENICLINE TARTRATE ...... SEC 3.280 WELLBUTRIN XL ...... 105 VARENICLINE TARTRATE/ WINPRED ...... 170 VARENICLINE TARTRATE ...... 31 VARENICLINE TARTRATE/ X VARENICLINE TARTRATE ...... SEC 3.280 VASERETIC ...... 62 XALACOM ...... 147 VASOTEC ...... 61 XALATAN ...... 146 VEDOLIZUMAB ...... SEC 3.283 XARELTO ...... 36 VELAGLUCERASE ALFA ...... SEC 3.285 XARELTO ...... SEC 3.224 VENLAFAXINE HCL ...... 97 XARELTO ...... SEC 3.226 VENLAFAXINE HCL ...... 98 XATRAL ...... SEC 3.24 VENLAFAXINE XR...... 97 XELJANZ ...... SEC 3.275 VENLAFAXINE XR...... 98 XELJANZ XR ...... SEC 3.277 VENTOLIN ...... 29 XEOMIN ...... 205 VENTOLIN HFA ...... 28 XIGDUO ...... SEC 3.56 VENTOLIN NEBULES P.F...... 29 XOLAIR ...... SEC 3.200 VERAPAMIL HCL...... 59 XYLAC ...... 117 VERMOX ...... 5 XYLOCAINE...... 192 VESICARE ...... 195 XYLOCAINE JELLY ...... 192 VFEND ...... 19 XYLOCAINE VISCOUS ...... 143 VFEND ...... SEC 3.286 VIGABATRIN ...... 96 VIMPAT ...... SEC 3.174 Y VIMPAT ...... SEC 3.175 VIOKACE ...... 153 YASMIN 21 ...... 171 VIREAD ...... 21 YASMIN 28 ...... 171

The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

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Product Name Page Product Name Page

Z

ZADITEN ...... 3 ZARONTIN ...... 90 ZAROXOLYN ...... 137 ZAXINE ...... SEC 3.217 ZELDOX ...... 114 ZEPATIER ...... SEC 3.76 ZESTORETIC ...... 63 ZESTRIL ...... 62 ZESTRIL ...... 63 ZIPRASIDONE HYDROCHLORIDE MONOHYDRATE114 ZITHROMAX ...... 10 ZOCOR ...... 46 ZOFRAN ...... 155 ZOFRAN ODT ...... 154 ZOLADEX ...... SEC 3.136 ZOLADEX LA ...... SEC 3.136 ZOLEDRONIC ACID ...... SEC 3.288 ZOLEDRONIC ACID - Z ...... SEC 3.288 ZOLEDRONIC ACID CONCENTRATE ...... SEC 3.288 ZOLEDRONIC ACID FOR INJECTION ...... SEC 3.288 ZOLMITRIPTAN ...... 126 ZOLMITRIPTAN ...... SEC 3.288 ZOLMITRIPTAN ...... SEC 3.289 ZOLOFT ...... 102 ZOLOFT ...... 103 ZOMETA CONCENTRATE ...... SEC 3.288 ZOMIG ...... 126 ZOMIG ...... SEC 3.288 ZOMIG ...... SEC 3.289 ZOMIG RAPIMELT...... 126 ZOMIG RAPIMELT...... SEC 3.288 ZOPICLONE ...... 122 ZOVIRAX ...... 21 ZUCLOPENTHIXOL ACETATE ...... 116 ZUCLOPENTHIXOL DECANOATE...... 116 ZUCLOPENTHIXOL DIHYDROCHLORIDE ...... 116 ZYLOPRIM ...... 199 ZYPREXA ...... 109 ZYPREXA ZYDIS ...... 110 ZYVOXAM ...... 17 ZYVOXAM ...... SEC 3.182

The DBL is not a prescribing or a diagnostic tool. Prescribers should refer to drug monographs and utilize professional judgment.

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