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Non-Insured Health Benefits Drug Benefit List

Additions to the Drug Benefit List - all provinces except Quebec

Winter 2004-2005

This Winter update identifies changes made to the NIHB Drug Benefit List (DBL) since the last update (Fall 2004).

The recent changes announced in this Winter 2004-2005 update are reflected in the electronic version of the NIHB DBL dated January 2005. Please refer to the Web site at the following URL Address:www.hc-sc.gc.ca/fnihb/nihb/pharmacy/drugbenefitlist/benefitupdateindex.htm

The NIHB Drug Benefit List will continue to be printed once a year on April 1; however, since July 1, 2003, the electronic version of the DBL is updated on a quarterly basis.

Effective Date : 2004-09-01
DIN	MFR	BRAND NAME	PTC
02248763	APX	APO-ATENIDONE 50MG & 25MG TABLET	24:24.00
02248764	APX	APO-ATENIDONE 100MG & 25MG TABLET	24:24.00
02248572	COB	CO-LOVASTATIN 20MG TABLET	24:06.08
02248573	COB	CO-LOVASTATIN 40MG TABLET	24:06.08
02254808	GEN	GEN-DILTIAZEM CD 120MG CONTROLLED DELIVERYCAPSULE	24:28.00
02254816	GEN	GEN-DILTIAZEM CD 180MG CONTROLLED DELIVERY CAPSULE	24:28.00
02254824	GEN	GEN-DILTIAZEM CD 240MG CONTROLLED DELIVERY CAPSULE	24:28.00
02254832	GEN	GEN-DILTIAZEM CD 300MG CONTROLLED DELIVERY CAPSULE	24:28.00

Effective Date : 2004-10-01
DIN	MFR	BRAND NAME	PTC
02248128	JNO	AXERT 6.25MG TABLET	28:92.00
02248129	JNO	AXERT 12.5MG TABLET	28:92.00
02255545	COB	CO-ATENOLOL 50MG TABLET	24:24.00
02255553	COB	CO-ATENOLOL 100MG TABLET	24:24.00
02255529	COB	CO-FLUVOXAMINE 50MG TABLET	28:16.04
02255537	COB	CO-FLUVOXAMINE 100MG TABLET	28:16.04
02248347	ALL	COMBIGAN 0.2% & 0.5% OPHTH SOLUTION	52:36.00
02252252	DPC	DOM-METOPROLOL-L 25MG TABLET	24:24.00
02258331	GEN	GEN-CLINDAMYCIN 150MG CAPSULE	08:12.28
02258358	GEN	GEN-CLINDAMYCIN 300MG CAPSULE	08:12.28
02248555	WAY	MATERNA TABLET	88:28.00
02249634	NXP	NU-CIPROFLOXACIN 250MG TABLET	08:22.00
02249642	NXP	NU-CIPROFLOXACIN 500MG TABLET	08:22.00
02249650	NXP	NU-CIPROFLOXACIN 750MG TABLET	08:22.00
02252740	NXP	NU-MEDROXY 2.5MG TABLET	68:32.00
02252759	NXP	NU-MEDROXY 5MG TABLET	68:32.00
02247490	PMS	PMS-DIAZEPAM 2MG TABLET	28:24.08
02247491	PMS	PMS-DIAZEPAM 5MG TABLET	28:24.08
02247492	PMS	PMS-DIAZEPAM 10MG TABLET	28:24.08
02247493	PMS	PMS-FUROSEMIDE 20MG TABLET	40:28.00
02247494	PMS	PMS-FUROSEMIDE 40MG TABLET	40:28.00
02247386	PMS	PMS-HYDROCHLOROTHIAZIDE 25MG TABLET	40:28.00
02247387	PMS	PMS-HYDROCHLOROTHIAZIDE 50MG TABLET	40:28.00
02252570	PMS	PMS-OFLOXACIN 0.3% OPHTH SOLUTION	52:04.12
02249227	PRE	PREM-CITALOPRAM 20MG TABLET	28:16.04
02249235	PRE	PREM-CITALOPRAM 40MG TABLET	28:16.04
02251345	PRE	PREM-PAROXETINE 10MG TABLET	28:16.04
02251353	PRE	PREM-PAROXETINE 20MG TABLET	28:16.04
02251361	PRE	PREM-PAROXETINE 30MG TABLET	28:16.04
02247704	NOR	JISPERDAL-M 0.5MG TABLET	28:16.08
02247705	JNO	RISPERDAL-M 1MG TABLET	28:16.08
02247706	NOR	JISPERDAL-M 2MG TABLET	28:16.08
02248529	SAB	SAB-TRIFLURIDINE 1% OPHTH SOLUTION	52:04.06

Effective Date : 2004-11-01
DIN	MFR	BRAND NAME	PTC
02248706	PDL	ALPRAZOLAM 1MG TABLET	28:24.08
02243101	PMS	ASA 81MG TABLET	28:08.04
02251752	PDL	CIPROFLOXACIN-250MG TABLET	08:22.00
02251760	PDL	CIPROFLOXACIN-500MG TABLET	08:22.00
02251779	PDL	CIPROFLOXACIN-750MG TABLET	08:22.00
02248525	PDL	CLINDAMYCINE 150MG CAPSULE	08:12.28
02248526	PDL	CLINDAMYCINE 300MG CAPSULE	08:12.28
02248454	PDL	CLOBAZAM 10MG TABLET	28:24.08
02237044	PHH	DEXAMETHASONE 0.5MG TABLETT	68:04.00
02237046	PHH	DEXAMETHASONE 4MG TABLET	68:04.00
02248453	PDL	GLICLAZIDE 80MG TABLET	68:20.20
02248846	PDL	MISOPROSTOL 200MCG TABLET	56:40.00
02248913	PDL	PAROXETINE 10MG TABLET	28:16.04
02248914	PDL	PAROXETINE 20MG TABLET	28:16.04
02238316	PHH	PHL-ATENOLOL 50MG TABLET	24:24.00
02238318	PHH	PHL-ATENOLOL 100MG TABLET	24:24.00
02236963	PHH	PHL-BACLOFEN 10MG TABLET	12:20.00
02236964	PHH	PHL-BACLOFEN 20MG TABLET	12:20.00
02251310	PHH	PHL-CIPROFLOXACIN 250MG TABLET	08:22.00
02251329	PHH	PHL-CIPROFLOXACIN 500MG TABLET	08:22.00
02251337	PHH	PHL-CIPROFLOXACIN 750MG TABLET	08:22.00
02248944	PHH	PHL-CITALOPRAM 20MG TABLET	28:16.04
02248945	PHH	PHL-CITALOPRAM 40MG TABLET	28:16.04
02145227	PHH	PHL-CLONAZEPAM 0.5MG TABLET	28:12.08
02145235	PHH	PHL-CLONAZEPAM 1MG TABLET	28:12.08
02145243	PHH	PHL-CLONAZEPAM 2MG TABLET	28:12.08
02237044	PHH	PHL-DEXAMETHASONE 0.5MG TABLET	68:04.00
02237046	PHH	PHL-DEXAMETHASONE 4MG TABLET	68:04.00
02223481	PHH	PHL-FLUOXETINE 10MG CAPSULE	28:16.04
02223503	PHH	PHL-FLUOXETINE 20MG CAPSULE	28:16.04
02192101	PHH	PHL-HYDROMORPHONE 1MG TABLET	28:08.08
02249928	PHH	PHL-HYDROMORPHONE 2MG TABLET	28:08.08
02249936	PHH	PHL-HYDROMORPHONE 4MG TABLET	28:08.08
02192144	PHH	PHL-HYDROMORPHONE 8MG TABLET	28:08.08
02248450	PHH	PHL-PAROXETINE 10MG TABLET	28:16.04
02248451	PHH	PHL-PAROXETINE 20MG TABLET	28:16.04
02248452	PHH	PHL-PAROXETINE 30MG TABLET	28:16.04
02236941	PHH	PHL-TRAZODONE 50MG TABLET	28:16.04
02236942	PHH	PHL-TRAZODONE 100MG TABLET	28:16.04
02255898	PMS	PMS-GABAPENTIN 600MG TABLET	28:12.92
02255901	PMS	PMS-GABAPENTIN 800MG TABLET	28:12.92
02254743	RHO	RHOXAL-PAROXETINE 10MG TABLET	28:16.04
02254751	RHO	RHOXAL-PAROXETINE 20MG TABLET	28:16.04
02254778	RHO	RHOXAL-PAROXETINE 30MG TABLET	28:16.04
02251221	RIV	RIVA-CIPROFLOXACIN 250MG TABLET	08:22.00
02251248	RIV	RIVA-CIPROFLOXACIN 500MG TABLET	08:22.00
02251256	RIV	RIVA-CIPROFLOXACIN 750MG TABLET	08:22.00
02249278	RIV	RIVA-CITALOPRAM 20MG TABLET	28:16.04
02249286	RIV	RIVA-CITALOPRAM 40MG TABLET	28:16.04
02242123	RIV	RIVA-FLUOXETINE 10MG CAPSULE	28:16.04
02251167	RIV	RIVA-GABAPENTIN 100MG CAPSULE	28:12.92
02248559	RIV	RIVA-PAROXETINE 10MG TABLET	28:16.04
02248560	RIV	RIVA-PAROXETINE 20MG TABLET	28:16.04
02248561	RIV	RIVA-PAROXETINE 30MG TABLET	28:16.04
02247814	RIV	RIVA-RANITIDINE 150MG TABLET	56:40.00
02247815	RIV	RIVA-RANITIDINE 300MG TABLET	56:40.00
02248496	RIV	RIVA-SERTRALINE 25MG CAPSULE	28:16.08
02248497	RIV	RIVA-SERTRALINE 50MG CAPSULE	28:16.08
02248498	RIV	RIVA-SERTRALINE 100MG CAPSULE	28:16.08
02245735	SAB	SAB-SODIUM CHLORIDE 5% OPHTH SOLUTION	52:36.00
09857128	SAB	TRIAMCINOLONE ACETONIDE 200MG/5ML SUSPENSION FOR INJECTION	68:04.00

Effective Date : 2004-12-01
DIN	MFR	BRAND NAME	PTC
2254727	COB	CO-TERBINAFINE 250MG TABLET	08:12.04

* Denotes not available in every province.


	Last Updated: 2005-03-10		Important Notices