Pharmacy Benefact A B U L L E T I N F O R P H A R M A C Y S E R V I C E P R O V I D E R S F R O M A L B E R TA B LU E C R O S S Number 436 • February 2014 Pan-Canadian Competitive Value Price Initiative for Generic Drugs Alberta prices effective April 1, 2014. Last year, the Council of the Federation, comprised of Canada’s 13 provincial and territorial premiers, announced a price reduction to 18 per cent of the lowest brand price in participating provinces and territories for for six drugs for the Pan-Canadian Competitive Value Price Initiative for Generic Drugs: Amlodipine, Atorvastatin, Omeprazole, Rabeprazole, Ramipril and Venlafaxine. This year, four drugs have been added to the Pan-Canadian Competitive Value Price Initiative for Generic Drugs: Citalopram, Pantoprazole, Rosuvastatin and Simvastatin. The Government of Alberta is taking steps to implement pricing for these drugs for April 1, 2014. Manufacturers have confirmed through a Pan-Canadian Price Confirmation process their ability to supply to pharmacies in participating provinces and territories, including Alberta, the drugs included in this Initiative at the 18 per cent price reduction. New pricing for drugs affected by this Initiative will become effective immediately on April 1, 2014. The Alberta Drug Benefit List (ADBL) will be updated at that time to reflect the change to the price of each of the drugs and the Least Cost Alternative (LCA) in the interchangeable grouping for these drugs. A transition or washout period will not apply to drug products included in this initiative. Notification of prices is being provided at this time to allow pharmacies, manufacturers and wholesalers adequate time to adjust inventories and manage stocks. Please see the below list of drugs included in the Pan-Canadian Competitive Value Price Initiative for Generic Drugs and the prices for the ADBL to be effective on April 1, 2014. Pharmacies must begin claiming the LCA amount for the drugs affected by the Pan-Canadian Competitive Value Price Initiative for Generic Drugs on April 1, 2014. Please note that for currently listed drugs not affected by this Initiative, where there is a price reduction on April 1, 2014, a washout or transitional period of 30 days will continue to apply. AMLODIPINE BESYLATE 2.5 MG (BASE) ORAL TABLET 00002385783 AMLODIPINE 00002297477 CO AMLODIPINE 00002357186 JAMP-AMLODIPINE 00002326760 PHL-AMLODIPINE 00002295148 PMS-AMLODIPINE 00002330474 SANDOZ AMLODIPINE SIV COB JPC PHH PMS SDZ $ $ $ $ $ $ 0.1380 0.1380 0.1380 0.1380 0.1380 0.1380 5 MG (BASE) ORAL TABLET 00002385791 AMLODIPINE 00002331284 AMLODIPINE 00002331934 AMLODIPINE 00002378760 AMLODIPINE-ODAN 00002273373 APO-AMLODIPINE 00002397072 AURO-AMLODIPINE 00002297485 CO AMLODIPINE SIV SNS RAN ODN APX AUR COB $ $ $ $ $ $ $ 0.2417 0.2417 0.2417 0.2417 0.2417 0.2417 0.2417 continued on next page ... 00002280132 00002357194 00002331071 00002371715 00002362651 00002272113 00002326779 00002284065 00002321858 00002259605 00002284383 00002357712 00002250497 GD-AMLODIPINE JAMP-AMLODIPINE JAMP-AMLODIPINE MAR-AMLODIPINE MINT-AMLODIPINE MYLAN-AMLODIPINE PHL-AMLODIPINE PMS-AMLODIPINE RAN-AMLODIPINE RATIO-AMLODIPINE SANDOZ AMLODIPINE SEPTA-AMLODIPINE TEVA-AMLODIPINE GMD JPC JPC MAR MPI MYP PHH PMS RAN RPH SDZ SEP TEV $ $ $ $ $ $ $ $ $ $ $ $ $ 00000878928 NORVASC PFI $ 1.3426 SIV RAN SNS ODN APX AUR COB GMD JPC JPC MAR MPI MYP PHH PMS RAN RPH SDZ SEP TEV $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ PFI $ 1.9930 APX SNS SIV COB GMD JPC MYP TEV PMS RAN RPH SDZ $ $ $ $ $ $ $ $ $ $ $ $ PFI $ 1.7692 APX SNS SIV COB GMD $ $ $ $ $ 10 MG (BASE) ORAL TABLET 00002385805 AMLODIPINE 00002331942 AMLODIPINE 00002331292 AMLODIPINE 00002378779 AMLODIPINE-ODAN 00002273381 APO-AMLODIPINE 00002397080 AURO-AMLODIPINE 00002297493 CO AMLODIPINE 00002280140 GD-AMLODIPINE 00002357208 JAMP-AMLODIPINE 00002331098 JAMP-AMLODIPINE 00002371723 MAR-AMLODIPINE 00002362678 MINT-AMLODIPINE 00002272121 MYLAN-AMLODIPINE 00002326787 PHL-AMLODIPINE 00002284073 PMS-AMLODIPINE 00002321866 RAN-AMLODIPINE 00002259613 RATIO-AMLODIPINE 00002284391 SANDOZ AMLODIPINE 00002357720 SEPTA-AMLODIPINE 00002250500 TEVA-AMLODIPINE 00000878936 NORVASC 0.2417 0.2417 0.2417 0.2417 0.2417 0.2417 0.2417 0.2417 0.2417 0.2417 0.2417 0.2417 0.2417 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 0.3587 ATORVASTATIN CALCIUM 10 MG (BASE) ORAL TABLET 00002295261 APO-ATORVASTATIN 00002348705 ATORVASTATIN 00002411350 ATORVASTATIN-10 00002310899 CO ATORVASTATIN 00002288346 GD-ATORVASTATIN 00002391058 JAMP-ATORVASTATIN 00002373203 MYLAN-ATORVASTATIN 00002302675 NOVO-ATORVASTATIN 00002399377 PMS-ATORVASTATIN 00002313707 RAN-ATORVASTATIN 00002350297 RATIO-ATORVASTATIN 00002324946 SANDOZ ATORVASTATIN 00002230711 LIPITOR 20 MG (BASE) ORAL TABLET 00002295288 APO-ATORVASTATIN 00002348713 ATORVASTATIN 00002411369 ATORVASTATIN-20 00002310902 CO ATORVASTATIN 00002288354 GD-ATORVASTATIN 0.3138 0.3138 0.3138 0.3138 0.3138 0.3138 0.3138 0.3138 0.3138 0.3138 0.3138 0.3138 0.3922 0.3922 0.3922 0.3922 0.3922 continued on next page ... 00002391066 00002373211 00002302683 00002399385 00002313715 00002350319 00002324954 JAMP-ATORVASTATIN MYLAN-ATORVASTATIN NOVO-ATORVASTATIN PMS-ATORVASTATIN RAN-ATORVASTATIN RATIO-ATORVASTATIN SANDOZ ATORVASTATIN JPC MYP TEV PMS RAN RPH SDZ $ $ $ $ $ $ $ 00002230713 LIPITOR PFI $ 2.2115 APX SNS SIV COB GMD JPC MYP TEV PMS RAN RPH SDZ $ $ $ $ $ $ $ $ $ $ $ $ PFI $ 2.3770 APX SNS SIV COB GMD JPC MYP TEV PMS RAN RPH SDZ $ $ $ $ $ $ $ $ $ $ $ $ PFI $ 2.3770 10 MG (BASE) ORAL TABLET 00002355248 ACCEL-CITALOPRAM 00002370085 JAMP-CITALOPRAM 00002370077 MINT-CITALOPRAM 00002270609 PMS-CITALOPRAM ACP JPC MPI PMS $ $ $ $ 0.1432 0.1432 0.1432 0.1432 20 MG (BASE) ORAL TABLET 00002355256 ACCEL-CITALOPRAM 00002246056 APO-CITALOPRAM 00002275562 AURO-CITALOPRAM 00002331950 CITALOPRAM 00002353660 CITALOPRAM 00002306239 CITALOPRAM-ODAN 00002248050 CO CITALOPRAM 00002313405 JAMP-CITALOPRAM 00002371898 MAR-CITALOPRAM 00002304686 MINT-CITALOPRAM 00002246594 MYLAN-CITALOPRAM 00002293218 NOVO-CITALOPRAM 00002248944 PHL-CITALOPRAM ACP APX AUR RAN SNS ODN COB JPC MAR MPI MYP TEV PHH $ $ $ $ $ $ $ $ $ $ $ $ $ 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 40 MG (BASE) ORAL TABLET 00002295296 APO-ATORVASTATIN 00002348721 ATORVASTATIN 00002411377 ATORVASTATIN-40 00002310910 CO ATORVASTATIN 00002288362 GD-ATORVASTATIN 00002391074 JAMP-ATORVASTATIN 00002373238 MYLAN-ATORVASTATIN 00002302691 NOVO-ATORVASTATIN 00002399393 PMS-ATORVASTATIN 00002313723 RAN-ATORVASTATIN 00002350327 RATIO-ATORVASTATIN 00002324962 SANDOZ ATORVASTATIN 00002230714 LIPITOR 80 MG (BASE) ORAL TABLET 00002295318 APO-ATORVASTATIN 00002348748 ATORVASTATIN 00002411385 ATORVASTATIN-80 00002310929 CO ATORVASTATIN 00002288370 GD-ATORVASTATIN 00002391082 JAMP-ATORVASTATIN 00002373246 MYLAN-ATORVASTATIN 00002302713 NOVO-ATORVASTATIN 00002399407 PMS-ATORVASTATIN 00002313758 RAN-ATORVASTATIN 00002350335 RATIO-ATORVASTATIN 00002324970 SANDOZ ATORVASTATIN 00002243097 LIPITOR 0.3922 0.3922 0.3922 0.3922 0.3922 0.3922 0.3922 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 0.4216 CITALOPRAM HYDROBROMIDE continued on next page ... 00002248010 00002285622 00002252112 00002248170 00002355272 PMS-CITALOPRAM RAN-CITALO RATIO-CITALOPRAM SANDOZ CITALOPRAM SEPTA-CITALOPRAM PMS RAN RPH SDZ SEP $ $ $ $ $ 00002239607 CELEXA LBC $ 1.3317 ACP APX AUR RAN SNS ODN COB JPC MAR MPI MYP TEV PHH PMS RAN RPH SDZ SEP $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ LBC $ 1.3317 APX MYP SNS SIV $ $ $ $ PMS $ 0.4117 PMS $ 0.4117 RAN $ 0.4117 RAN $ 0.4117 SDZ $ 0.4117 40 MG (BASE) ORAL TABLET 00002355264 ACCEL-CITALOPRAM 00002246057 APO-CITALOPRAM 00002275570 AURO-CITALOPRAM 00002331977 CITALOPRAM 00002353679 CITALOPRAM 00002306247 CITALOPRAM-ODAN 00002248051 CO CITALOPRAM 00002313413 JAMP-CITALOPRAM 00002371901 MAR-CITALOPRAM 00002304694 MINT-CITALOPRAM 00002246595 MYLAN-CITALOPRAM 00002293226 NOVO-CITALOPRAM 00002248945 PHL-CITALOPRAM 00002248011 PMS-CITALOPRAM 00002285630 RAN-CITALO 00002252120 RATIO-CITALOPRAM 00002248171 SANDOZ CITALOPRAM 00002355280 SEPTA-CITALOPRAM 00002239608 CELEXA 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 0.2397 OMEPRAZOLE 20 MG ORAL CAPSULE/SUSTAINED-RELEASE TABLET 00002245058 APO-OMEPRAZOLE (CAPSULE) 00002329433 MYLAN-OMEPRAZOLE (CAPSULE) 00002348691 OMEPRAZOLE (CAPSULE) 00002411857 OMEPRAZOLE-20 00002320851PMS-OMEPRAZOLE (SUSTAINED-RELEASE CAPSULE) 00002310260 PMS-OMEPRAZOLE DR (DELAYED RELEASE TABLET) 00002374870RAN-OMEPRAZOLE (DELAYED RELEASE TABLET) 00002403617RAN-OMEPRAZOLE (DELAYED-RELEASE CAPSULE) 00002296446 SANDOZ OMEPRAZOLE (SUSTAINED-RELEASE CAPSULE) 00002295415TEVA-OMEPRAZOLE (DELAYED RELEASE TABLET) 0000846503 00002190915 0.4117 0.4117 0.4117 0.4117 TEV $ 0.4117 LOSEC (SUSTAINED-RELEASE CAPSULE) AZC LOSEC (SUSTAINED-RELEASE TABLET) AZC $ 1.1000 $ 2.3140 PANTOPRAZOLE 40 MG ORAL ENTERIC-COATED TABLET 00002292920 APO-PANTOPRAZOLE 00002300486 CO PANTOPRAZOLE 00002416565 MAR-PANTOPRAZOLE 00002417448 MINT-PANTOPRAZOLE 00002299585 MYLAN-PANTOPRAZOLE 00002285487 NOVO-PANTOPRAZOLE 00002309866 PANTOPRAZOLE 00002370808 PANTOPRAZOLE APX COB MAR MPI MYP TEV MEL SNS $ $ $ $ $ $ $ $ 0.3628 0.3628 0.3628 0.3628 0.3628 0.3628 0.3628 0.3628 continued on next page ... 00002385759 00002307871 00002305046 00002301083 PANTOPRAZOLE PMS-PANTOPRAZOLE RAN-PANTOPRAZOLE SANDOZ PANTOPRAZOLE SIV PMS RAN SDZ $ $ $ $ 0.3628 0.3628 0.3628 0.3628 00002229453 PANTOLOC TAK $ 2.0803 APX MYP PAT PMS SIV SNS RAN SDZ TEV $ $ $ $ $ $ $ $ $ JAI $ 0.6688 APX MYP PAT PMS SIV SNS RAN SDZ TEV $ $ $ $ $ $ $ $ $ JAI $ 1.3377 APX AUR COB JPC MYP PMS RAN RAN SDZ $ $ $ $ $ $ $ $ $ SAV $ 0.7177 APX AUR COB JPC MYP PMS RAN SNS SIV RAN SDZ TEV $ $ $ $ $ $ $ $ $ $ $ $ RABEPRAZOLE SODIUM 10 MG ORAL ENTERIC-COATED TABLET 00002345579 APO-RABEPRAZOLE 00002408392 MYLAN-RABEPRAZOLE 00002381737 PAT-RABEPRAZOLE 00002310805 PMS-RABEPRAZOLE EC 00002385449 RABEPRAZOLE 00002356511 RABEPRAZOLE EC 00002298074 RAN-RABEPRAZOLE 00002314177 SANDOZ RABEPRAZOLE 00002296632 TEVA-RABEPRAZOLE 00002243796 PARIET 20 MG ORAL ENTERIC-COATED TABLET 00002345587 APO-RABEPRAZOLE 00002408406 MYLAN-RABEPRAZOLE 00002381745 PAT-RABEPRAZOLE 00002310813 PMS-RABEPRAZOLE EC 00002385457 RABEPRAZOLE 00002356538 RABEPRAZOLE EC 00002298082 RAN-RABEPRAZOLE 00002314185 SANDOZ RABEPRAZOLE 00002296640 TEVA-RABEPRAZOLE 00002243797 PARIET 0.1204 0.1204 0.1204 0.1204 0.1204 0.1204 0.1204 0.1204 0.1204 0.2408 0.2408 0.2408 0.2408 0.2408 0.2408 0.2408 0.2408 0.2408 RAMIPRIL 1.25 MG ORAL CAPSULE/TABLET 00002251515 APO-RAMIPRIL (CAPSULE) 00002387387 AURO-RAMIPRIL (CAPSULE) 00002295482 CO RAMIPRIL (CAPSULE) 00002331101 JAMP-RAMIPRIL (CAPSULE) 00002301148 MYLAN-RAMIPRIL (CAPSULE) 00002295369 PMS-RAMIPRIL (CAPSULE) 00002332299 RAMIPRIL (CAPSULE) 00002310503 RAN-RAMIPRIL (CAPSULE) 00002291398 SANDOZ RAMIPRIL (TABLET) 00002221829 ALTACE (CAPSULE) 2.5 MG ORAL CAPSULE/TABLET 00002251531 APO-RAMIPRIL (CAPSULE) 00002387395 AURO-RAMIPRIL (CAPSULE) 00002295490 CO RAMIPRIL (CAPSULE) 00002331128 JAMP-RAMIPRIL (CAPSULE) 00002301156 MYLAN-RAMIPRIL (CAPSULE) 00002247917 PMS-RAMIPRIL (CAPSULE) 00002332302 RAMIPRIL (CAPSULE) 00002374846 RAMIPRIL (CAPSULE) 00002411563 RAMIPRIL-2.5 (CAPSULE) 00002310511 RAN-RAMIPRIL (CAPSULE) 00002291401 SANDOZ RAMIPRIL (TABLET) 00002247945 TEVA-RAMIPRIL (CAPSULE) 0.1274 0.1274 0.1274 0.1274 0.1274 0.1274 0.1274 0.1274 0.1274 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 continued on next page ... 00002221837 ALTACE (CAPSULE) 5 MG ORAL CAPSULE/TABLET 00002251574 APO-RAMIPRIL (CAPSULE) 00002387409 AURO-RAMIPRIL (CAPSULE) 00002295504 CO RAMIPRIL (CAPSULE) 00002331136 JAMP-RAMIPRIL (CAPSULE) 00002301164 MYLAN-RAMIPRIL (CAPSULE) 00002247918 PMS-RAMIPRIL (CAPSULE) 00002374854 RAMIPRIL (CAPSULE) 00002332310 RAMIPRIL (CAPSULE) 00002411571 RAMIPRIL-5 (CAPSULE) 00002310538 RAN-RAMIPRIL (CAPSULE) 00002291428 SANDOZ RAMIPRIL (TABLET) 00002247946 TEVA-RAMIPRIL (CAPSULE) 00002221845 ALTACE (CAPSULE) 10 MG ORAL CAPSULE/TABLET 00002251582 APO-RAMIPRIL (CAPSULE) 00002387417 AURO-RAMIPRIL (CAPSULE) 00002295512 CO RAMIPRIL (CAPSULE) 00002331144 JAMP-RAMIPRIL (CAPSULE) 00002301172 MYLAN-RAMIPRIL (CAPSULE) 00002247919 PMS-RAMIPRIL (CAPSULE) 00002332329 RAMIPRIL (CAPSULE) 00002374862 RAMIPRIL (CAPSULE) 00002411598 RAMIPRIL-10 (CAPSULE) 00002310546 RAN-RAMIPRIL (CAPSULE) 00002291436 SANDOZ RAMIPRIL (TABLET) 00002247947 TEVA-RAMIPRIL (CAPSULE) 00002221853 ALTACE (CAPSULE) SAV $ 0.8237 APX AUR COB JPC MYP PMS SNS RAN SIV RAN SDZ TEV $ $ $ $ $ $ $ $ $ $ $ $ SAV $ 0.8247 APX AUR COB JPC MYP PMS RAN SNS SIV RAN SDZ TEV $ $ $ $ $ $ $ $ $ $ $ $ SAV $ 1.0460 APX COB JPC MAR GMP MPI MYP PMS RAN SNS SIV SDZ TEV $ $ $ $ $ $ $ $ $ $ $ $ $ AZC $ 1.3093 APX COB JPC MAR GMP MPI MYP PMS RAN SNS $ $ $ $ $ $ $ $ $ $ 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1470 0.1862 0.1862 0.1862 0.1862 0.1862 0.1862 0.1862 0.1862 0.1862 0.1862 0.1862 0.1862 ROSUVASTATIN CALCIUM 5 MG (BASE) ORAL TABLET 00002337975 APO-ROSUVASTATIN 00002339765 CO ROSUVASTATIN 00002391252 JAMP-ROSUVASTATIN 00002413051 MAR-ROSUVASTATIN 00002399164 MED-ROSUVASTATIN 00002397781 MINT-ROSUVASTATIN 00002381265 MYLAN-ROSUVASTATIN 00002378523 PMS-ROSUVASTATIN 00002382644 RAN-ROSUVASTATIN 00002405628 ROSUVASTATIN 00002411628 ROSUVASTATIN-5 00002338726 SANDOZ ROSUVASTATIN 00002354608 TEVA-ROSUVASTATIN 00002265540 CRESTOR 10 MG (BASE) ORAL TABLET 00002337983 APO-ROSUVASTATIN 00002339773 CO ROSUVASTATIN 00002391260 JAMP-ROSUVASTATIN 00002413078 MAR-ROSUVASTATIN 00002399172 MED-ROSUVASTATIN 00002397803 MINT-ROSUVASTATIN 00002381273 MYLAN-ROSUVASTATIN 00002378531 PMS-ROSUVASTATIN 00002382652 RAN-ROSUVASTATIN 00002405636 ROSUVASTATIN 0.2311 0.2311 0.2311 0.2311 0.2311 0.2311 0.2311 0.2311 0.2311 0.2311 0.2311 0.2311 0.2311 0.2437 0.2437 0.2437 0.2437 0.2437 0.2437 0.2437 0.2437 0.2437 0.2437 continued on next page ... 00002411636 00002338734 00002354616 ROSUVASTATIN-10 SANDOZ ROSUVASTATIN TEVA-ROSUVASTATIN SIV SDZ TEV $ 0.2437 $ 0.2437 $ 0.2437 00002247162 CRESTOR AZC $ 1.3600 APX COB JPC MAR GMP MPI MYP PMS RAN SNS SIV SDZ TEV $ $ $ $ $ $ $ $ $ $ $ $ $ AZC $ 1.7000 APX COB JPC MAR GMP MPI MYP PMS RAN SNS SIV SDZ TEV $ $ $ $ $ $ $ $ $ $ $ $ $ CRESTOR AZC $ 1.9900 APO-SIMVASTATIN CO SIMVASTATIN JAMP-SIMVASTATIN MAR-SIMVASTATIN MINT-SIMVASTATIN MYLAN-SIMVASTATIN PHL-SIMVASTATIN PMS-SIMVASTATIN RAN-SIMVASTATIN SIMVASTATIN SIMVASTATIN SIMVASTATIN SIMVASTATIN-ODAN TEVA-SIMVASTATIN APX COB JPC MAR MPI MYP PHH PMS RAN RAN SIV SNS ODN TEV $ $ $ $ $ $ $ $ $ $ $ $ $ $ ZOCOR MFC $ 1.0743 APO-SIMVASTATIN CO SIMVASTATIN JAMP-SIMVASTATIN APX COB JPC $ 0.3642 $ 0.3642 $ 0.3642 20 MG (BASE) ORAL TABLET 00002337991 APO-ROSUVASTATIN 00002339781 CO ROSUVASTATIN 00002391279 JAMP-ROSUVASTATIN 00002413086 MAR-ROSUVASTATIN 00002399180 MED-ROSUVASTATIN 00002397811 MINT-ROSUVASTATIN 00002381281 MYLAN-ROSUVASTATIN 00002378558 PMS-ROSUVASTATIN 00002382660 RAN-ROSUVASTATIN 00002405644 ROSUVASTATIN 00002411644 ROSUVASTATIN-20 00002338742 SANDOZ ROSUVASTATIN 00002354624 TEVA-ROSUVASTATIN 00002247163 CRESTOR 40 MG (BASE) ORAL TABLET 00002338009 APO-ROSUVASTATIN 00002339803 CO ROSUVASTATIN 00002391287 JAMP-ROSUVASTATIN 00002413108 MAR-ROSUVASTATIN 00002399199 MED-ROSUVASTATIN 00002397838 MINT-ROSUVASTATIN 00002381303 MYLAN-ROSUVASTATIN 00002378566 PMS-ROSUVASTATIN 00002382679 RAN-ROSUVASTATIN 00002405652 ROSUVASTATIN 00002411652 ROSUVASTATIN-40 00002338750 SANDOZ ROSUVASTATIN 00002354632 TEVA-ROSUVASTATIN 00002247164 0.3046 0.3046 0.3046 0.3046 0.3046 0.3046 0.3046 0.3046 0.3046 0.3046 0.3046 0.3046 0.3046 0.3582 0.3582 0.3582 0.3582 0.3582 0.3582 0.3582 0.3582 0.3582 0.3582 0.3582 0.3582 0.3582 SIMVASTATIN 5 MG ORAL TABLET 00002247011 00002248103 00002375591 00002375036 00002372932 00002246582 00002281546 00002269252 00002329131 00002331969 00002386291 00002284723 00002378884 00002250144 00000884324 10 MG ORAL TABLET 00002247012 00002248104 00002375605 0.1841 0.1841 0.1841 0.1841 0.1841 0.1841 0.1841 0.1841 0.1841 0.1841 0.1841 0.1841 0.1841 0.1841 continued on next page ... 00002375044 00002372940 00002246583 00002281554 00002269260 00002329158 00002247828 00002284731 00002386305 00002331985 00002378892 00002250152 MAR-SIMVASTATIN MINT-SIMVASTATIN MYLAN-SIMVASTATIN PHL-SIMVASTATIN PMS-SIMVASTATIN RAN-SIMVASTATIN SANDOZ SIMVASTATIN SIMVASTATIN SIMVASTATIN SIMVASTATIN SIMVASTATIN-ODAN TEVA-SIMVASTATIN MAR MPI MYP PHH PMS RAN SDZ SNS SIV RAN ODN TEV $ $ $ $ $ $ $ $ $ $ $ $ 00000884332 ZOCOR MFC $ 2.1131 APO-SIMVASTATIN CO SIMVASTATIN JAMP-SIMVASTATIN MAR-SIMVASTATIN MINT-SIMVASTATIN MYLAN-SIMVASTATIN PHL-SIMVASTATIN PMS-SIMVASTATIN RAN-SIMVASTATIN SANDOZ SIMVASTATIN SIMVASTATIN SIMVASTATIN SIMVASTATIN SIMVASTATIN-ODAN TEVA-SIMVASTATIN APX COB JPC MAR MPI MYP PHH PMS RAN SDZ SIV RAN SNS ODN TEV $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ZOCOR MFC $ 2.6115 APO-SIMVASTATIN CO SIMVASTATIN JAMP-SIMVASTATIN MAR-SIMVASTATIN MINT-SIMVASTATIN MYLAN-SIMVASTATIN PHL-SIMVASTATIN PMS-SIMVASTATIN RAN-SIMVASTATIN SANDOZ SIMVASTATIN SIMVASTATIN SIMVASTATIN SIMVASTATIN SIMVASTATIN-ODAN TEVA-SIMVASTATIN APX COB JPC MAR MPI MYP PHH PMS RAN SDZ SIV RAN SNS ODN TEV $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ZOCOR MFC $ 2.6115 APO-SIMVASTATIN CO SIMVASTATIN JAMP-SIMVASTATIN MAR-SIMVASTATIN MINT-SIMVASTATIN MYLAN-SIMVASTATIN PHL-SIMVASTATIN PMS-SIMVASTATIN RAN-SIMVASTATIN APX COB JPC MAR MPI MYP PHH PMS RAN $ $ $ $ $ $ $ $ $ 20 MG ORAL TABLET 00002247013 00002248105 00002375613 00002375052 00002372959 00002246737 00002281562 00002269279 00002329166 00002247830 00002386313 00002331993 00002284758 00002378906 00002250160 00884340 40 MG ORAL TABLET 00002247014 00002248106 00002375621 00002375060 00002372967 00002246584 00002281570 00002269287 00002329174 00002247831 00002386321 00002332000 00002284766 00002378914 00002250179 00000884359 80 MG ORAL TABLET 00002247015 00002248107 00002375648 00002375079 00002372975 00002246585 00002281589 00002269295 00002329182 0.3642 0.3642 0.3642 0.3642 0.3642 0.3642 0.3642 0.3642 0.3642 0.3642 0.3642 0.3642 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 continued on next page ... 00002247833 00002332019 00002284774 00002386348 00002378922 00002250187 SANDOZ SIMVASTATIN SIMVASTATIN SIMVASTATIN SIMVASTATIN SIMVASTATIN-ODAN TEVA-SIMVASTATIN SDZ RAN SNS SIV ODN TEV $ $ $ $ $ $ 0.4501 0.4501 0.4501 0.4501 0.4501 0.4501 00002240332 ZOCOR MFC $ 2.6115 APX COB GMD MYP PMS RAN SDZ TEV SNS SIV $ $ $ $ $ $ $ $ $ $ PFI $ 0.9381 APX COB GMD MYP PMS RAN SDZ TEV SNS SIV $ $ $ $ $ $ $ $ $ $ PFI $ 1.8765 APX COB GMD MYP PMS RAN SDZ TEV SIV SNS $ $ $ $ $ $ $ $ $ $ PFI $ 1.9810 VENLAFAXINE HCL 37.5 MG (BASE) ORAL EXTENDED-RELEASE CAPSULE 00002331683 APO-VENLAFAXINE XR 00002304317 CO VENLAFAXINE XR 00002360020 GD-VENLAFAXINE XR 00002310279 MYLAN-VENLAFAXINE XR 00002278545 PMS-VENLAFAXINE XR 00002380072 RAN-VENLAFAXINE XR 00002310317 SANDOZ VENLAFAXINE XR 00002275023 TEVA-VENLAFAXINE XR 00002354713 VENLAFAXINE XR 00002385929 VENLAFAXINE XR 00002237279 EFFEXOR XR 75 MG (BASE) ORAL EXTENDED-RELEASE CAPSULE 00002331691 APO-VENLAFAXINE XR 00002304325 CO VENLAFAXINE XR 00002360039 GD-VENLAFAXINE XR 00002310287 MYLAN-VENLAFAXINE XR 00002278553 PMS-VENLAFAXINE XR 00002380080 RAN-VENLAFAXINE XR 00002310325 SANDOZ VENLAFAXINE XR 00002275031 TEVA-VENLAFAXINE XR 00002354721 VENLAFAXINE XR 00002385937 VENLAFAXINE XR 00002237280 EFFEXOR XR 150 MG (BASE) ORAL EXTENDED-RELEASE CAPSULE 00002331705 APO-VENLAFAXINE XR 00002304333 CO VENLAFAXINE XR 00002360047 GD-VENLAFAXINE XR 00002310295 MYLAN-VENLAFAXINE XR 00002278561 PMS-VENLAFAXINE XR 00002380099 RAN-VENLAFAXINE XR 00002310333 SANDOZ VENLAFAXINE XR 00002275058 TEVA-VENLAFAXINE XR 00002385945 VENLAFAXINE XR 00002354748 VENLAFAXINE XR 00002237282 EFFEXOR XR 0.1643 0.1643 0.1643 0.1643 0.1643 0.1643 0.1643 0.1643 0.1643 0.1643 0.3285 0.3285 0.3285 0.3285 0.3285 0.3285 0.3285 0.3285 0.3285 0.3285 0.3469 0.3469 0.3469 0.3469 0.3469 0.3469 0.3469 0.3469 0.3469 0.3469 When you have questions: For assistance with benefit or claim inquiries, please contact an Alberta Blue Cross Pharmacy Services Provider Relations call centre representative at: 780-498-8370 (Edmonton and area) • 403-294-4041 (Calgary and area) • 1-800-361-9632 (toll free) FAX 780-498-8406 (Edmonton and area) • FAX 1-877-305-9911 (toll free) ®The Blue Cross symbol and name are registered marks of the Canadian Association of Blue Cross Plans, an association of independent Blue Cross plans. Licensed to ABC Benefits Corporation for use in operating the Alberta Blue Cross Plan. ABC 82320.436 2014/02
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