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CANADA POST CORPORATION LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PIN LEVEL 1 80% LEVEL 2 CURRENT RAMQ** 68% LEVEL 3 50% Prior Authorization Acne ACETOXYL 2.5% ACNE GEL BENZOYL PEROXIDE 00406813 Y Acne ACETOXYL 5% GEL BENZOYL PEROXIDE 00406821 Y Acne ACNOMEL SKIN TONE CREAM RESORCINOL/SULFUR 01925008 Y Acne ADASEPT ACNE GEL LOTION NA THIOSUL/SAL ACID/TRICLOSAN00326577 Y Acne ADASEPT B.P.5 ACNE GEL BENZOYL PEROXIDE 02290081 Y Acne AVEENO BAR ACNE PRONE SKIN SALICYLIC ACID/SULFUR 02241420 Y Acne BENOXYL 10% LOTION BENZOYL PEROXIDE 00370568 Y Acne BENOXYL 20% LOTION BENZOYL PEROXIDE 00187585 Y Acne BENOXYL 5% LOTION BENZOYL PEROXIDE 00236063 Y Acne BENZAC AC 10% GEL BENZOYL PEROXIDE 01912437 Y Acne BENZAC AC 5% GEL BENZOYL PEROXIDE 00899453 Y Acne BENZAC W 5% GEL BENZOYL PEROXIDE 01925180 Y Acne BENZAC W WASH 10% GEL BENZOYL PEROXIDE 01925199 Y Acne BENZAC W WASH 5% GEL BENZOYL PEROXIDE 00896276 Y Acne BENZAGEL 5 5% WASH BENZOYL PEROXIDE 02162121 Y Acne BENZAGEL-5 5% GEL BENZOYL PEROXIDE 02162113 Y Acne BENZAGEL-5 5% LOTION BENZOYL PEROXIDE 02166607 Y Acne BLACKHEAD ELIMINATING DAILY SCRUB SALICYLIC ACID 02247367 Y Acne CANTHACUR-PS LIQUID SAL ACID/PODOPHYL RES/CANTH 00589500 Y Acne CANTHARONE PLUS LIQUID SAL ACID/PODOPHYL RES/CANTHA 00772011 Y Acne CLEAN & CLEAR ADVANTAGE DAILY ACNE CLEARING LOTION SALICYLIC ACID 02248586 Y Acne CLEAN & CLEAR CONTINUOUS CONTROL LOTION BENZOYL PEROXIDE 02242134 Y Acne CLEAN & CLEAR PERSA-GEL 5 LOTION BENZOYL PEROXIDE 02236396 Y Acne CLEAR ACNE TREATMENT BENZOYL PEROXIDE 02248724 Y Acne CLEAR AWAY 1 STEP PLANTAR WART REMOVAL SYSTEM SALICYLIC ACID 02241621 Y Acne CLEAR PORE ON-THE SPOT 2.5% VANISHING LOTION BENZOYL PEROXIDE 02238538 Y Acne CLEAR SKIN TREATMENT REPAIRING LOTION BENZOYL PEROXIDE 02266679 Y Acne CLEARASIL ACNE SKIN TONE CREAM RESORCINOL/SULFUR 02219131 Y Acne CLEARASIL BLACKHEAD CLEARING PADS SALICYLIC ACID 02248036 Y Acne CLEARASIL BP PLUS 5% LOTION BENZOYL PEROXIDE 00442968 Y Acne CLEARASIL CREAM VANISHING RESORCINOL/SULFUR 02219158 Y Acne CLEARASIL STAY CLEAR ASTRINGENT SALICYLIC ACID 02238816 Y Acne CONDYLINE 0.5% TOPICAL SOLN PODOFILOX 01945149 Y Important Notes: Emergis provides drug claim processing and adjudication services to insurance companies, including Great West Life. The decision about what drugs are prescribed is between you and your doctor. Occasionally, the drug your physician prescribes will not be eligible, but another drug that provides a similar benefit, an eligible expense. The association of drugs with the disease categories listed is for illustrative purposes only and is not intended to define indications for use. There are instances where an active ingredient may have multiple therapeutic uses. *Please note that a disease category indicated with an asterisk may not necessarily be a disease state, but is a classification used to describe one or more therapeutic classes. July 1, 2010 Please review the Important Notes located in the beginning and end of this document. **Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 1

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Page 1: CANADA POST CORPORATION LISTING OF DRUG ... POST CORPORATION LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PIN LEVEL 1 80% LEVEL 2 CURRENT

CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Acne ACETOXYL 2.5% ACNE GEL BENZOYL PEROXIDE 00406813 Y

Acne ACETOXYL 5% GEL BENZOYL PEROXIDE 00406821 Y

Acne ACNOMEL SKIN TONE CREAM RESORCINOL/SULFUR 01925008 Y

Acne ADASEPT ACNE GEL LOTION NA THIOSUL/SAL ACID/TRICLOSAN00326577 Y

Acne ADASEPT B.P.5 ACNE GEL BENZOYL PEROXIDE 02290081 Y

Acne AVEENO BAR ACNE PRONE SKIN SALICYLIC ACID/SULFUR 02241420 Y

Acne BENOXYL 10% LOTION BENZOYL PEROXIDE 00370568 Y

Acne BENOXYL 20% LOTION BENZOYL PEROXIDE 00187585 Y

Acne BENOXYL 5% LOTION BENZOYL PEROXIDE 00236063 Y

Acne BENZAC AC 10% GEL BENZOYL PEROXIDE 01912437 Y

Acne BENZAC AC 5% GEL BENZOYL PEROXIDE 00899453 Y

Acne BENZAC W 5% GEL BENZOYL PEROXIDE 01925180 Y

Acne BENZAC W WASH 10% GEL BENZOYL PEROXIDE 01925199 Y

Acne BENZAC W WASH 5% GEL BENZOYL PEROXIDE 00896276 Y

Acne BENZAGEL 5 5% WASH BENZOYL PEROXIDE 02162121 Y

Acne BENZAGEL-5 5% GEL BENZOYL PEROXIDE 02162113 Y

Acne BENZAGEL-5 5% LOTION BENZOYL PEROXIDE 02166607 Y

Acne BLACKHEAD ELIMINATING DAILY SCRUB SALICYLIC ACID 02247367 Y

Acne CANTHACUR-PS LIQUID SAL ACID/PODOPHYL RES/CANTH 00589500 Y

Acne CANTHARONE PLUS LIQUID SAL ACID/PODOPHYL RES/CANTHARIDIN00772011 Y

Acne CLEAN & CLEAR ADVANTAGE DAILY ACNE CLEARING LOTION SALICYLIC ACID 02248586 Y

Acne CLEAN & CLEAR CONTINUOUS CONTROL LOTION BENZOYL PEROXIDE 02242134 Y

Acne CLEAN & CLEAR PERSA-GEL 5 LOTION BENZOYL PEROXIDE 02236396 Y

Acne CLEAR ACNE TREATMENT BENZOYL PEROXIDE 02248724 Y

Acne CLEAR AWAY 1 STEP PLANTAR WART REMOVAL SYSTEM SALICYLIC ACID 02241621 Y

Acne CLEAR PORE ON-THE SPOT 2.5% VANISHING LOTION BENZOYL PEROXIDE 02238538 Y

Acne CLEAR SKIN TREATMENT REPAIRING LOTION BENZOYL PEROXIDE 02266679 Y

Acne CLEARASIL ACNE SKIN TONE CREAM RESORCINOL/SULFUR 02219131 Y

Acne CLEARASIL BLACKHEAD CLEARING PADS SALICYLIC ACID 02248036 Y

Acne CLEARASIL BP PLUS 5% LOTION BENZOYL PEROXIDE 00442968 Y

Acne CLEARASIL CREAM VANISHING RESORCINOL/SULFUR 02219158 Y

Acne CLEARASIL STAY CLEAR ASTRINGENT SALICYLIC ACID 02238816 Y

Acne CONDYLINE 0.5% TOPICAL SOLN PODOFILOX 01945149 Y

Important Notes:

Emergis provides drug claim processing and adjudication services to insurance companies, including Great West Life. The decision about what drugs are prescribed is between you and

your doctor. Occasionally, the drug your physician prescribes will not be eligible, but another drug that provides a similar benefit, an eligible expense.

The association of drugs with the disease categories listed is for illustrative purposes only and is not intended to define indications for use. There are instances where an active ingredient

may have multiple therapeutic uses.

*Please note that a disease category indicated with an asterisk may not necessarily be a disease state, but is a classification used to describe one or more therapeutic classes.

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 1

Page 2: CANADA POST CORPORATION LISTING OF DRUG ... POST CORPORATION LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PIN LEVEL 1 80% LEVEL 2 CURRENT

CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Acne DESQUAM X 10% GEL BENZOYL PEROXIDE 01908871 Y

Acne DIFFERIN 0.1% CREAM ADAPALENE 02231592 Y

Acne DIFFERIN 0.1% GEL ADAPALENE 02148749 Y

Acne DIFFERIN XP 0.3% GEL ADAPALENE 02274000 Y

Acne DR. SCHOLL'S 2-DROP CORN REMEDY SALICYLIC ACID 01981463 Y

Acne DR. SCHOLL'S CLEAR AWAY GEL WITH ALOE SALICYLIC ACID 02230691 Y

Acne DR. SCHOLL'S CUSHLIN ULTRA SLIM CALLUS REMOVERS SALICYLIC ACID 02241738 Y

Acne DR. SCHOLL'S CUSHLIN ULTRA SLIM CORN REMOVERS SALICYLIC ACID 02241737 Y

Acne DUOFILM GEL FOR KIDS SALICYLIC ACID 02241465 Y

Acne LIFE ACNE MEDICATION BENZOYL PEROXIDE 02268817 Y

Acne MEDICATED CALLUS REMOVERS SALICYLIC ACID 02244850 Y

Acne MEDICATED CORN REMOVERS 40% PLASTER SALICYLIC ACID 02229446 Y

Acne MEDROL ACNE LOTION ALUMINUM CHL/METHYPREDNISOLONE/SULFUR00252395 Y

Acne METED SHAMPOO SALICYLIC ACID/SULFUR 00739316 Y

Acne NEUTROGENA ACNE WASH CREAM CLEANSER SALICYLIC ACID 02239079 Y

Acne NEUTROGENA ACNE WASH FOAM CLEANSER SALICYLIC ACID 02243590 Y

Acne NEUTROGENA DANDRUFF SHAMPOO SALICYLIC ACID 02238418 Y

Acne NEUTROGENA OIL-FREE ACNE PADS SALICYLIC ACID 02237797 Y

Acne NEUTROGENA T/GEL CONDITIONER SALICYLIC ACID 02241506 Y

Acne NEUTROGENA* CLEAR PORE TREATMENT SALICYLIC ACID 02238309 Y

Acne NEUTROGENA* OIL FREE ACNE WASH SALICYLIC ACID 02238314 Y

Acne NOXZEMA TRIPLE CLEAN ASTRINGENT SALICYLIC ACID 02246681 Y

Acne OBAGI CLENZIDERM ACNE GEL BENZOYL PEROXIDE 02304929 Y

Acne OCCLUSAL 17% LIQUID SALICYLIC ACID 00740276 Y

Acne OVERNIGHT ACNE CONTROL LOTION BENZOYL PEROXIDE 02258382 Y

Acne OXY 5 5% COVER UP CREAM BENZOYL PEROXIDE 00561770 Y

Acne OXY 5 5% LOTION BENZOYL PEROXIDE 00460109 Y

Acne OXY 5 COVER UP FORMULA CREAM BENZOYL PEROXIDE 02236797 Y

Acne OXY 5 SENSITIVE SKIN VANISHING LOTION BENZOYL PEROXIDE 02046539 Y

Acne OXY 5 VANISHING FORMULA LOTION BENZOYL PEROXIDE 02236796 Y

Acne OXYDERM 20% LOTION BENZOYL PEROXIDE 00374318 Y

Acne OXYDERM 5% LOTION BENZOYL PEROXIDE 00374326 Y

Acne P&S PLUS GEL SALICYLIC ACID/COAL TAR 00560448 Y

Acne PANOXYL 10% BAR BENZOYL PEROXIDE 00527661 Y

Acne PANOXYL 10% GEL BENZOYL PEROXIDE 00263699 Y

Acne PANOXYL 15% GEL BENZOYL PEROXIDE 00403571 Y

Acne PANOXYL 2.5% AQUAGEL BENZOYL PEROXIDE 02214830 Y

Acne PANOXYL 20% GEL BENZOYL PEROXIDE 00373036 Y

Acne PANOXYL 5% AQUAGEL BENZOYL PEROXIDE 02214849 Y

Acne PANOXYL 5% BAR BENZOYL PEROXIDE 00483184 Y

Acne PANOXYL 5% GEL BENZOYL PEROXIDE 00263702 Y

Acne PANOXYL 5% WASH BENZOYL PEROXIDE 02214857 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 2

Page 3: CANADA POST CORPORATION LISTING OF DRUG ... POST CORPORATION LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PIN LEVEL 1 80% LEVEL 2 CURRENT

CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Acne PANOXYL ACNE CREAMY WASH ANTIBACTERIAL BENZOYL PEROXIDE 02188708 Y

Acne PANOXYL CLEAR ACNE CLEANSING GEL SALICYLIC ACID/TRICLOSAN 00754927 Y

Acne PHISODERM ACNE MASK SALICYLIC ACID 02244191 Y

Acne PODOFILM 25% LIQUID PODOPHYLLUM RESIN 00598208 Y

Acne PROACTIV SOLUTION:RENEWING CLEANSER BENZOYL PEROXIDE 02239398 Y

Acne PROACTIV SOLUTION:REPAIRING LOTION BENZOYL PEROXIDE 02239396 Y

Acne RETIN A 0.1% MICROGEL TRETINOIN 02243914 Y

Acne RETIN-A MICRO 0.04% GEL TRETINOIN 02264633 Y

Acne RETIN-A 0.01% CREAM TRETINOIN 00897329 Y

Acne RETIN-A 0.01% GEL TRETINOIN 00870013 Y

Acne RETIN-A 0.025% CREAM TRETINOIN 00897310 Y

Acne RETIN-A 0.025% GEL TRETINOIN 00443816 Y

Acne RETIN-A 0.1% CREAM TRETINOIN 00870021 Y

Acne RETISOL A 0.01% CREAM TRETINOIN/AVOBENZONE/OCT CIN02008688 Y

Acne RETISOL A 0.025% CREAM TRETINOIN/AVOBENZONE/OCT CIN02008696 Y

Acne RETISOL A 0.05% CREAM TRETINOIN/AVOBENZONE/OCT CIN02008718 Y

Acne RETISOL A FORTE 0.1% CREAM TRETINOIN/AVOBENZONE/OCT CIN02008726 Y

Acne SALICYLIQUE (ACID) (PQ) SALICYLIC ACID 00901164 Y

Acne SEBCUR-T SHAMPOO SALICYLIC ACID/COAL TAR 00666114 Y

Acne SEBULEX SHAMPOO SALICYLIC ACID/SULFUR 01909096 Y

Acne SOLUGEL 4% GEL BENZOYL PEROXIDE 01975382 Y

Acne SOLUGEL 8% GEL BENZOYL PEROXIDE 02019825 Y

Acne SPECTRO ACNECARE DEEP PORE VANISHING LOTION BENZOYL PEROXIDE 02256231 Y

Acne SPECTRO ACNECARE VANISHING LOTION FOR SENSITIVE SKIN BENZOYL PEROXIDE 02256223 Y

Acne STEREX SHAMPOO SALICYLIC ACID/COAL TAR/SULFUR00444448 Y

Acne STIEVA-A 0.01% CREAM TRETINOIN 00657204 Y

Acne STIEVA-A 0.01% GEL TRETINOIN 00587958 Y

Acne STIEVA-A 0.025% CREAM TRETINOIN 00578576 Y

Acne STIEVA-A 0.025% GEL TRETINOIN 00587966 Y

Acne STIEVA-A 0.025% SOLUTION TRETINOIN 00578568 Y

Acne STIEVA-A 0.05% GEL TRETINOIN 00641863 Y

Acne STIEVA-A FORTE 0.1% CREAM TRETINOIN 00662348 Y

Acne TARDAN SHAMPOO SALICYLIC ACID/COAL TAR/TRICLOSAN00266493 Y

Acne TARGEL SA JELLY SALICYLIC ACID/COAL TAR 00510335 Y

Acne TRANS-PLANTAR 15% PAD SALICYLIC ACID 02050285 Y

Acne TRANS-VER-SAL 15% PAD SALICYLIC ACID 02050293 Y

Acne VITAMIN A ACID 0.01% CREAM TRETINOIN 01926497 Y

Acne VITAMIN A ACID 0.01% GEL TRETINOIN 01926462 Y

Acne VITAMIN A ACID 0.025% CREAM TRETINOIN 01926500 Y

Acne VITAMIN A ACID 0.025% GEL TRETINOIN 01926470 Y

Acne VITAMIN A ACID 0.05% GEL TRETINOIN 01926489 Y

Acne VITAMIN A ACID 0.1% CREAM TRETINOIN 01926527 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 3

Page 4: CANADA POST CORPORATION LISTING OF DRUG ... POST CORPORATION LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PIN LEVEL 1 80% LEVEL 2 CURRENT

CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Acne WARTEC 0.5% TOPICAL SOLN PODOFILOX 02074788 Y

Acne X-SEB T PLUS COND SHAMPOO SALICYLIC ACID/COAL TAR/MENTH00866601 Y

Acne X-SEB T SHAMPOO SALICYLIC ACID/COAL TAR 00509906 Y

Acne X-TAR SHAMPOO SALICYLIC ACID/COAL TAR/MENTH00800694 Y

ADD/Narcolepsy ADDERALL XR 10MG CAPSULE AMPHETAMINE SALTS 02248809 Y

ADD/Narcolepsy ADDERALL XR 15MG CAPSULE AMPHETAMINE SALTS 02248810 Y

ADD/Narcolepsy ADDERALL XR 20MG CAPSULE AMPHETAMINE SALTS 02248811 Y

ADD/Narcolepsy ADDERALL XR 25MG CAPSULE AMPHETAMINE SALTS 02248812 Y

ADD/Narcolepsy ADDERALL XR 30MG CAPSULE AMPHETAMINE SALTS 02248813 Y

ADD/Narcolepsy ADDERALL XR 5MG CAPSULE AMPHETAMINE SALTS 02248808 Y

ADD/Narcolepsy ALERTEC 100MG TABLET MODAFINIL 02239665 Y

ADD/Narcolepsy APO-METHYLPHENIDATE 10MG TABLET METHYLPHENIDATE HCL 02249324 Y

ADD/Narcolepsy APO-METHYLPHENIDATE 20MG TABLET METHYLPHENIDATE HCL 02249332 Y

ADD/Narcolepsy APO-METHYLPHENIDATE 5MG TABLET METHYLPHENIDATE HCL 02273950 Y

ADD/Narcolepsy APO-METHYLPHENIDATE ER 54MG TABLET METHYLPHENIDATE HCL 02330377 Y

ADD/Narcolepsy APO-METHYLPHENIDATE SR 20MG TABLET METHYLPHENIDATE HCL 02266687 Y

ADD/Narcolepsy APO-MODAFINIL 100MG TABLET MODAFINIL 02285398 Y

ADD/Narcolepsy APX-MODAFINIL 100MG TABLET MODAFINIL 02347482 Y

ADD/Narcolepsy ATTENADE 10MG TABLET DEXAMETHYLPHENIDATE 02247793 Y

ADD/Narcolepsy ATTENADE 2.5MG TABLET DEXAMETHYLPHENIDATE 02247791 Y

ADD/Narcolepsy ATTENADE 5MG TABLET DEXAMETHYLPHENIDATE 02247792 Y

ADD/Narcolepsy BIPHENTIN 10MG CER TABLET METHYLPHENIDATE HCL 02277166 Y

ADD/Narcolepsy BIPHENTIN 15MG CER TABLET METHYLPHENIDATE HCL 02277131 Y

ADD/Narcolepsy BIPHENTIN 20MG CER TABLET METHYLPHENIDATE HCL 02277158 Y

ADD/Narcolepsy BIPHENTIN 30MG CER TABLET METHYLPHENIDATE HCL 02277174 Y

ADD/Narcolepsy BIPHENTIN 40MG CER TABLET METHYLPHENIDATE HCL 02277182 Y

ADD/Narcolepsy BIPHENTIN 50MG CER TABLET METHYLPHENIDATE HCL 02277190 Y

ADD/Narcolepsy BIPHENTIN 60MG CER TABLET METHYLPHENIDATE HCL 02277204 Y

ADD/Narcolepsy BIPHENTIN 80MG CER TABLET METHYLPHENIDATE HCL 02277212 Y

ADD/Narcolepsy CONCERTA 18MG ER TABLET METHYLPHENIDATE HCL 02247732 Y

ADD/Narcolepsy CONCERTA 27MG ER TABLET METHYLPHENIDATE HCL 02250241 Y

ADD/Narcolepsy CONCERTA 36MG ER TABLET METHYLPHENIDATE HCL 02247733 Y

ADD/Narcolepsy CONCERTA 54MG ER TABLET METHYLPHENIDATE HCL 02247734 Y

ADD/Narcolepsy DEXEDRINE 10MG SPANSULE D-AMPHETAMINE SULFATE 01924559 Y

ADD/Narcolepsy DEXEDRINE 15MG SPANSULE D-AMPHETAMINE SULFATE 01924567 Y

ADD/Narcolepsy DEXEDRINE 5MG TABLET D-AMPHETAMINE SULFATE 01924516 Y

ADD/Narcolepsy METHYLPHENIDATE 10MG TABLET METHYLPHENIDATE HCL 02326248 Y

ADD/Narcolepsy METHYLPHENIDATE 20MG TABLET METHYLPHENIDATE HCL 02326256 Y

ADD/Narcolepsy METHYLPHENIDATE 5MG TABLET METHYLPHENIDATE HCL 02326221 Y

ADD/Narcolepsy NOVO-METHYLPHENIDATE 10MG TABLET METHYLPHENIDATE HCL 02274299 Y

ADD/Narcolepsy NOVO-METHYLPHENIDATE 20MG TABLET METHYLPHENIDATE HCL 02274302 Y

ADD/Narcolepsy NOVO-METHYLPHENIDATE 5MG TABLET METHYLPHENIDATE HCL 02274280 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 4

Page 5: CANADA POST CORPORATION LISTING OF DRUG ... POST CORPORATION LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PIN LEVEL 1 80% LEVEL 2 CURRENT

CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

ADD/Narcolepsy NOVO-METHYLPHENIDATE ER-C 18MG TABLET METHYLPHENIDATE HCL 02315068 Y

ADD/Narcolepsy NOVO-METHYLPHENIDATE ER-C 27MG TABLET METHYLPHENIDATE HCL 02315076 Y

ADD/Narcolepsy NOVO-METHYLPHENIDATE ER-C 36MG TABLET METHYLPHENIDATE HCL 02315084 Y

ADD/Narcolepsy NOVO-METHYLPHENIDATE ER-C 54MG TABLET METHYLPHENIDATE HCL 02315092 Y

ADD/Narcolepsy PHL-METHYLPHENIDATE 10 MG TABLET METHYLPHENIDATE HCL 02126494 Y

ADD/Narcolepsy PHL-METHYLPHENIDATE 20 MG TABLET METHYLPHENIDATE HCL 02126486 Y

ADD/Narcolepsy PHL-METHYLPHENIDATE 5MG TABLET METHYLPHENIDATE HCL 02246991 Y

ADD/Narcolepsy PMS-METHYLPHENIDATE 10MG TABLET METHYLPHENIDATE HCL 00584991 Y

ADD/Narcolepsy PMS-METHYLPHENIDATE 20MG SR TABLET METHYLPHENIDATE HCL 02243222 Y

ADD/Narcolepsy PMS-METHYLPHENIDATE 20MG TABLET METHYLPHENIDATE HCL 00585009 Y

ADD/Narcolepsy PMS-METHYLPHENIDATE 5MG TABLET METHYLPHENIDATE HCL 02234749 Y

ADD/Narcolepsy RATIO-METHYLPHENIDATE 10MG TABLET METHYLPHENIDATE HCL 02230321 Y

ADD/Narcolepsy RATIO-METHYLPHENIDATE 20MG TABLET METHYLPHENIDATE HCL 02230322 Y

ADD/Narcolepsy RITALIN 10MG TABLET METHYLPHENIDATE HCL 00005606 Y

ADD/Narcolepsy RITALIN 20MG SR TABLET METHYLPHENIDATE HCL 00632775 Y

ADD/Narcolepsy RITALIN 20MG TABLET METHYLPHENIDATE HCL 00005614 Y

ADD/Narcolepsy SANDOZ-METHYLPHENIDATE SR 20MG TABLET METHYLPHENIDATE HCL 02320312 Y

ADD/Narcolepsy STRATTERA 100MG CAPSULE ATOMOXETINE HCL 02279355 Y

ADD/Narcolepsy STRATTERA 10MG CAPSULE ATOMOXETINE HCL 02262800 Y

ADD/Narcolepsy STRATTERA 18MG CAPSULE ATOMOXETINE HCL 02262819 Y

ADD/Narcolepsy STRATTERA 25MG CAPSULE ATOMOXETINE HCL 02262827 Y

ADD/Narcolepsy STRATTERA 40MG CAPSULE ATOMOXETINE HCL 02262835 Y

ADD/Narcolepsy STRATTERA 60MG CAPSULE ATOMOXETINE HCL 02262843 Y

ADD/Narcolepsy STRATTERA 80MG CAPSULE ATOMOXETINE HCL 02279347 Y

ADD/Narcolepsy VYVANSE 20MG CAPSULE LISDEXAMFETAMINE DIMESYLATE 02347156 Y

ADD/Narcolepsy VYVANSE 30MG CAPSULE LISDEXAMFETAMINE DIMESYLATE 02322951 Y

ADD/Narcolepsy VYVANSE 40MG CAPSULE LISDEXAMFETAMINE DIMESYLATE 02347164 Y

ADD/Narcolepsy VYVANSE 50MG CAPSULE LISDEXAMFETAMINE DIMESYLATE 02322978 Y

ADD/Narcolepsy VYVANSE 60MG CAPSULE LISDEXAMFETAMINE DIMESYLATE 02347172 Y

All other* (REIM) INFUSION SETS/KITS IV DEVICE 19999202 Y

All other* 2% IODINE TINCTURE U.S.P. IODINE/ALCOHOL ANHYDROUS 02048825 Y

All other* 60 SECOND 1.23% GEL BUBBLGM SODIUM FLUORIDE/HYDRO FLUOR 01910531 Y

All other* A.P.R 15 LIDOCAINE/MENTHOL 02258048 Y

All other* ABEILLE DOMESTIQUE 1.1MG INJ DOMESTIC BEE 99100225 Y

All other* ACETYLCYSTEINE 200MG/ML SOLUTION ACETYLCYSTEINE 02243098 Y

All other* ACNOMEL SKIN TONE CREAM RESORCINOL/SULFUR 02247557 Y

All other* ACNOMEL VANISHING CREAM RESORCINOL/SULFUR 01924974 Y

All other* ACTEMRA 200MG/10ML INJECTION TOCILIZUMAB 02350106 Y

All other* ACTEMRA 400MG/20ML INJECTION TOCILIZUMAB 02350114 Y

All other* ACTEMRA 80MG/4ML INJECTION TOCILIZUMAB 02350092 Y

All other* ADCIRCA 20MG TABLET TADALAFIL 02338327 Y

All other* ADMIN DIN ADMINISTRATIVE DIN 00999907 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 5

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* ADVIL PEDIATRIC DROPS 40MG/ML FEVER IBUPROFEN 02328445 Y

All other* AEROCHAMBER MAX ADULTE MASQUE DISP (PQ) AEROCHAMBER 00964409 Y

All other* AEROCHAMBER MAX ENFANT MASQUE DISP (PQ) AEROCHAMBER 00964417 Y

All other* AEROCHAMBER MAX NOURRISSON MASQUE DISP (PQ) AEROCHAMBER 00964425 Y

All other* AEROCHAMBER WITH MASK (PQ) AEROCHAMBER 99002124 Y

All other* AEROCHAMBRE (PQ) AEROCHAMBER 99002116 Y

All other* AFTER BITE AMMONIA 02229667 Y

All other* AGRIFLU VACCINE H1N1/H3N2/ HAEMAG.STRAIN B 02346850 Y

All other* AIGUILLES JETABLES POUR SERINGUES(PQ) NEEDLES/SYRINGES 99005077 Y

All other* ALBUMIN HUMAN DILUENT VIAL ALBUMIN HUMAN/SODIUM CHLORIDE00674621 Y

All other* ALCOHOL DEHYDRATED AMPOULE ETHYL ALCOHOL 00537640 Y

All other* ALCOHOL DEHYDRATED 100% AMPUL ETHYL ALCOHOL 00394394 Y

All other* ALERTONIC LIQUID VITAMIN B COMPLEX/PIPRAD HCL 02103052 Y

All other* ALHYDROX-POUS-MAISON-10ML (PQ) ALLERGY SERUMS 00888796 Y

All other* ALLERGY SERUM ALLERGY SERUMS 00999900 Y

All other* ALLERGY SERUM ( NS FORM ) ALLERGY SERUM 00999938 Y

All other* ALLERGY SERUM (ABFORM) ALLERGY SERUMS 00999981 Y

All other* ALLERGY SERUM (MT) ALLERGY SERUMS 00909090 Y

All other* ALLERGY SERUM EXC ALLERGY SERUMS 11132197 Y

All other* ALLERGY SERUMS ALLERGY SERUMS 11044212 Y

All other* ALLERGY VACC BC ALLERGY SERUMS 00999652 Y

All other* ALLEVYN THIN 10X10CM PANS DRESSINGS 99100034 Y

All other* ALLEVYN THIN 15X20CM PANS DRESSINGS 99100035 Y

All other* ALLEVYN THIN 5X6CM PANS DRESSINGS 99100036 Y

All other* ALMAGEL 200 LIQUID MAGNESIUM HYDROXIDE/AL HYDROX00569801 Y

All other* ALMOND OIL (PQ) ALMOND OIL 00907448 Y

All other* ALPHADINE 7.5% SCRUB FOAM POVIDONE-IODINE 02039613 Y

All other* ALUGEL SUSPENSION ALUMINUM HYDROXIDE 00572527 Y

All other* ALVESCO 50MCG INHALER METERED DOSE CICLESONIDE 02285592 Y

All other* AMITRIPTYLINE (CHLORHYDRATE DE)(PQ) AMITRIPYLINE COMPOUND 99100620 Y

All other* AMOSAN 68.6% PACKETS SODIUM PERBORATE 00638064 Y

All other* AMPHOJEL 320MG/5ML SUSP ALUMINUM HYDROXIDE 02125862 Y

All other* AMPHOJEL 600MG TABLET ALUMINUM HYDROXIDE 02124971 Y

All other* ANBESOL BABY GRAPE 7.5% GEL BENZOCAINE 02049449 Y

All other* ANBESOL EXTRA STRENGTH GEL BENZOCAINE 02237870 Y

All other* ANBESOL GEL BENZOCAINE 02238100 Y

All other* ANTACID CALCIUM CARBONATE 750 MG CALCIUM CARBONATE (ALK) 02246433 Y

All other* ANTHRALIN .05% SOFT PASTE (NS) EXTEMPORANEOUS MIXTURES 00902063 Y

All other* ANTHRALIN 0.1% SOFT PASTE (NS) EXTEMPORANEOUS MIXTURES 00900907 Y

All other* ANTHRALIN 0.2% SOFT PASTE (NS) EXTEMPORANEOUS MIXTURES 00900915 Y

All other* ANTHRALIN 0.4% OINTMENT (NS) EXTEMPORANEOUS MIXTURES 00901113 Y

All other* ANTHRALIN WEAK 0.2% OINT (NS) EXTEMPORANEOUS MIXTURES 00901105 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 6

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* ANTHRALINE DITHRANOL 00906123 Y

All other* ANTIACIDE SUSPENSION MAGNESIUM HYDROXIDE/AL HYDROX02084732 Y

All other* ANTI-ALLERGY 2% EYE DROPS CROMOLYN SODIUM 02279967 Y

All other* ANUSOL 0.5% OINTMENT ZINC SULFATE 01945939 Y

All other* ANUSOL 10MG SUPPOSITORY ZINC SULFATE 01945920 Y

All other* APC-CALCIUM CARBONATE 500MG TABLET CALCIUM CARBONATE 00682039 Y

All other* APC-FERROUS GLUCONATE 300 MG FERROUS GLUCONATE 00545031 Y

All other* APC-FERROUS SULFATE 300MG TABLET FERROUS SULPHATE 01912518 Y

All other* APO-BENZYDAMINE ORAL RINSE BENZYDAMINE HCL 02239044 Y

All other* APO-CAL 250 TABLET CALCIUM CARBONATE 00682047 Y

All other* APO-CHLORHEXIDINE .12% ORAL RINSE CHLORHEXIDINE GLUCONATE 02242329 Y

All other* APO-GALANTAMINE 12MG TABLET GALANTAMINE HYDROBROMIDE 02293056 Y

All other* APO-GALANTAMINE 4MG TABLET GALANTAMINE HYDROBROMIDE 02293021 Y

All other* APO-GALANTAMINE 8MG TABLET GALANTAMINE HYDROBROMIDE 02293048 Y

All other* APO-K 600MG TABLET POTASSIUM CHLORIDE 00602884 Y

All other* APO-QUININE 200MG CAPSULE QUININE SULFATE 02254514 Y

All other* APO-QUININE 300MG CAPSULE QUININE SULFATE 02254522 Y

All other* APO-RIVASTIGMINE 1.5MG CAPSULE RIVASTIGMINE 02336715 Y

All other* APO-RIVASTIGMINE 3MG CAPSULE RIVASTIGMINE 02336723 Y

All other* APO-RIVASTIGMINE 4.5MG CAPSULE RIVASTIGMINE 02336731 Y

All other* APO-RIVASTIGMINE 6MG CAPSULE RIVASTIGMINE 02336758 Y

All other* AQUAFLUR LIQUID PHOSPHORIC ACID/SODIUM FLUORIDE00231843 Y

All other* AQUASTAN MOUTHWASH STANNOUS FLUORIDE 00696587 Y

All other* AQUEOUS IODINE 5% SOLUTION IODINE 00415197 Y

All other* ARGENT (NITRATE) SILVER NITRATE 00900222 Y

All other* ARICEPT 10MG RDT TABLET DONEPEZIL HCL 02269465 Y

All other* ARICEPT 10MG TABLET DONEPEZIL HCL 02232044 Y

All other* ARICEPT 5MG RDT TABLET DONEPEZIL HCL 02269457 Y

All other* ARICEPT 5MG TABLET DONEPEZIL HCL 02232043 Y

All other* ARTECHOL TABLET BILE EXT/CYNARA/MG O2/NA OLEATE00515108 Y

All other* ARTRITOL CREME RUBEFIANTE MENTHOL/METHYL SALICYLATE 00653349 Y

All other* AVEENO ANTI-ITCH GEL SPRAY CAMPHOR 02248528 Y

All other* AVEENO DAILY MOISTURIZING BATH MINERAL OIL/COLLOIDAL OATMEAL02241416 Y

All other* AVEENO SOOTHING BATH TREATMENT COLLOIDAL OATMEAL 02240107 Y

All other* AZASITE 1% OPH SOLUTION AZITHROMYCIN 02321661 Y

All other* AZMAX 200MCG TWISTHALER MOMETASONE FUROATE 02243595 Y

All other* AZMAX 400MCG TWISTHALER MOMETASONE FUROATE 02243596 Y

All other* B.C. LCA ADMIN DIN ADMINISTRATIVE DIN 00999123 Y

All other* BABY DDROPS LIQUID VITAMIN D 80001869 Y

All other* BABY ORAJEL BENZOCAINE 00075876 Y

All other* BABY ORAJEL LIQUID BENZOCAINE 02229697 Y

All other* BABY ORAJEL NIGHTTIME FORMULA BENZOCAINE 02256401 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 7

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* BACID CAPSULE LACTOBACILLUS RHAMNOSUS 01927906 Y

All other* BACT NACL FOR INHALATION BACTERIOSTATIC SODIUM CHLORIDE02094657 Y

All other* BACTERIOSTATIC SOD CL 0.9% BACTERIOSTATIC SODIUM CHLORIDE00037818 Y

All other* BACTERIOSTATIC WATER FOR INJECTION USP WATER FOR INJECTION/ STERILE 02131536 Y

All other* BACTIGRAS 15CMX20CM(PQ) CHLORHEXIDINE ACETATE 00960225 Y

All other* BACTIGRAS 5CMX5CM DRESSING (PQ) CHLORHEXIDINE ACETATE 00960330 Y

All other* BACTINE PREMIER SOIN VAP 02236994 Y

All other* BAND-AID BRAND ANTISEPTIC WASH FOAM BENZALKONIUM CHLORIDE 02244131 Y

All other* BASALJEL 500MG CAPSULE ALUMINUM HYDROXIDE 02135620 Y

All other* BC COMPOUND MIX (BC) EXTEMPORANEOUS MIXTURES 00921297 Y

All other* BD 3CC SYRINGE DISPOSABLE (MT) NEEDLES/SYRINGES 00900414 Y

All other* BD LUER 10CC SYRINGE NEEDLES/SYRINGES 00903329 Y

All other* BD LUER 3CC 20G 1 1/2INCH SYRINGE NEEDLES/SYRINGES 00902268 Y

All other* BD LUER 3CC 21G 1 1/2INCH SYRINGE NEEDLES/SYRINGES 00902276 Y

All other* BD LUER 3CC 22G 1 1/2INCH SYRINGE NEEDLES/SYRINGES 00902284 Y

All other* BD LUER 3CC 22G 1INCH SYRINGE NEEDLES/SYRINGES 00902101 Y

All other* BD LUER 3CC 23G 1INCH SYRINGE NEEDLES/SYRINGES 00902128 Y

All other* BD LUER 3CC 25G 5/8INCH SYRINGE NEEDLES/SYRINGES 00902136 Y

All other* BD SALINE SP NACL 0.9%(PQ) SODIUM CHLORIDE 99100499 Y

All other* BEANO TABLET ALPHA-GALACTOSIDASE 02237567 Y

All other* BENGAY ARTHRITIS EX STREGTH CREAM MENTHOL/METHYL SALICYLATE 02230164 Y

All other* BENGAY MUSCLE PAIN REG STRENGTH MENTHOL/METHYL SALICYLATE 02230165 Y

All other* BENGAY MUSCLE PAIN ULTRA STRENGTH CAMPHOR/MENTHOL/METHYL SALICYLATE02230267 Y

All other* BENYLIN MUCOUS RELIEF GUAIFENESIN/MENTHOL 02320940 Y

All other* BENYLIN MUCOUS RELIEF WITH COUGH CONTROL DEXTROMETHORPHAN/GUAIFENESIN/MENTHOL02320959 Y

All other* BETADINE 1% MOUTHWASH POVIDONE-IODINE 00158291 Y

All other* BETADINE 10% OINTMENT POVIDONE-IODINE 00254339 Y

All other* BETADINE 10% SOLUTION POVIDONE-IODINE 00158348 Y

All other* BETADINE 7.5% SCRUB POVIDONE-IODINE 00158313 Y

All other* BETAINE 500MG CAPSULE BETAINE HCL 02243122 Y

All other* BETAINE HCL/PEPSIN PEPSIN/BETAINE HCL 02237448 Y

All other* BETASERON-TROUSSE DE M (PQ) INTERFERON BETA-1B 99100555 Y

All other* BICARBONATE DE SODIUM PD SODIUM BICARBONATE 99100058 Y

All other* BIOCAL-D 500MG-400IU TABLET CALCIUM/VITAMIN D 80004774 Y

All other* BIO-GEST CAPSULE BETAINE/GLUTAMIC/OX BILE/PANCREATIN/PEPSIN00678252 Y

All other* BRONCHIAL COUGH SYRUP AMMONIUM CHLORIDE/ARALIA /POPLAR/SANGUINARIA/SENEGA/WHITE PINE00357529 Y

All other* BUCKLEYS PAIN RELIEF RUB MENTHOL/METHYLSALICYLATE 02060515 Y

All other* BUCKLEY'S WHITE RUB CAMPHOR/MENTHOL/METHYL SAL./THYMOL02246906 Y

All other* BURO-SOL PACKET ALUMINUM ACETATE/BENZETHONIUM CL00579947 Y

All other* CA GLUCONATE TAB 10GR (650MG) CALCIUM GLUCONATE 00041173 Y

All other* CAL MAG 2:1 WITH VITAMIN D TABLET CALCIUM/MAGNESIUM/VITAMIN D302241460 Y

All other* CAL-500 TABLET CALCIUM 80017732 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 8

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* CAL-500-D TABLET CALCIUM/VITAMIN D 80017196 Y

All other* CALAMINE LOTION BENTONITE/CALAMINE/CA HYDR/GLYC/ZN OX00454575 Y

All other* CALAMINE LOTION CALAMINE/ZINC OXIDE 00485969 Y

All other* CALAMINE LOTION CALAMINE/ZINC OXIDE 00886300 Y

All other* CAL-CHEW 350MG TABLET CALCIUM SALTS 02040883 Y

All other* CALCIFEROL CAPSULE VITAMIN D3 80001145 Y

All other* CALCIFORTE SACHETS PWS CALCIUM SALTS 01912259 Y

All other* CALCIUM 250MG + VITAMIN D 125IU TABLET CALCIUM CARBONATE/VITAMIN D 02240010 Y

All other* CALCIUM 500 MG TABLETS CALCIUM CARBONATE 02246040 Y

All other* CALCIUM 500 MG WITH VITAMIN D SUPPLEMENT TABLETS CALCIUM CARBONATE/VITAMIN D 02246041 Y

All other* CALCIUM 500MG TABLET CALCIUM CARBONATE 00645923 Y

All other* CALCIUM 500MG TABLET CALCIUM CARBONATE 02240240 Y

All other* CALCIUM 500MG WITH VIT D 125U TABLET CALCIUM CARBONATE/VITAMIN D 02230645 Y

All other* CALCIUM 625MG TABLET CALCIUM CARBONATE 00648329 Y

All other* CALCIUM 650MG WITH VITAMIN D CAPLET CALCIUM/VITAMIN D 02040891 Y

All other* CALCIUM CARB 500MG CHEW TABLET CALCIUM CARBONATE 00705373 Y

All other* CALCIUM CARB ANTACID 500MG CHEW TABLET CALCIUM CARBONATE 02215764 Y

All other* CALCIUM CARBONATE & VITAMIN D3 CALCIUM CARBONATE/VITAMIN D 00730599 Y

All other* CALCIUM CARBONATE 1500MG TABLET CALCIUM CARBONATE 02230968 Y

All other* CALCIUM CARBONATE 500MG + VITAMIN D 400IU CHEWABLE TABLETCALCIUM/VITAMIN D 80009412 Y

All other* CALCIUM CARBONATE 500MG TABLET CALCIUM CARBONATE 01922238 Y

All other* CALCIUM CARBONATE 600MG TABLET CALCIUM CARBONATE 01979140 Y

All other* CALCIUM CITRATE + VITAMIN D TABLET CALCIUM CITRATE/VITAMIN D 02240242 Y

All other* CALCIUM CITRATE 150MG CAPSULE CALCIUM CITRATE 00701351 Y

All other* CALCIUM CITRATE 300MG TABLET CALCIUM CITRATE 02243766 Y

All other* CALCIUM CITRATE 350MG TABLET CALCIUM CITRATE 02158728 Y

All other* CALCIUM CITRATE WITH VITAMIN D CAPLET CALCIUM/VITAMIN D 02237590 Y

All other* CALCIUM LACTATE 10GR(648MG) TABLET CALCIUM LACTATE 00041165 Y

All other* CALCIUM LACTATE 650MG TABLET CALCIUM LACTATE 00200603 Y

All other* CALCIUM LACTATE TB 10GR(650MG) CALCIUM LACTATE 00288284 Y

All other* CALCIUM MAGNESIUM ZINC TABLET CALCIUM/MAGNESIUM SALT/ZINC 02048965 Y

All other* CALCIUM MAGNESIUM/D TABLET CALCIUM CARB/MAG OXIDE/VIT D 02040905 Y

All other* CALCIUM PLUS VITAMIN D TABLET CALCIUM CARBONATE/VITAMIN D 00708216 Y

All other* CALCIUM SANDOZ FORTE CALCIUM CARBONATE/CAL LAC GLUC02232482 Y

All other* CALCIUM SYR 110MG/5ML CALCIUM GLUCOHEPTOGLUCONATE00041181 Y

All other* CALCIUM/MAG WITH VIT D TABLET CALCIUM CARB/MAG OX/VIT D3 02244861 Y

All other* CALCIUM/MAG/VIT D/ZINC TABLET CALCIUM/MAG/VIT D3/ZINC 02240856 Y

All other* CALCIUM/MAGNESIUM 500MG TABLET CALCIUM/MAGNESIUM SALT 02241688 Y

All other* CALCIUM/MAGNESIUM TABLET CALCIUM CARBONATE/MAG OXIDE 02040875 Y

All other* CALCIUM/MAGNESIUM WITH VIT D CALCIUM/MAG/VIT D3 02240367 Y

All other* CALCIUM-MAGNESIUM ZINC W/VI CALCIUM/MAG/VITAMIN D/ZN 01983504 Y

All other* CAL-MAG 2:1 W/VIT D&ZINC TABLET CALCIUM CIT/MAG CIT/VIT D/ZN 01906828 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 9

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* CAL-MAG PLUS VIT D AND PHOSPHOROUS LIQUID CALCIUM/MAG/VIT D3/PHOSPHORUS02241533 Y

All other* CAL-MAG PLUS VIT D ET ZINC CALCIUM/MAG/VITAMIN D/ZN 02040980 Y

All other* CALMIX 750MG POWDER CALCIUM GLUCONATE 00689920 Y

All other* CALODAN D 400 CHEWABLE TABLET CALCIUM/VITAMIN D 80009628 Y

All other* CALSAN 500MG CAPSULE CALCIUM CARBONATE 00648353 Y

All other* CALTRATE 600 PLUS D TABLET CALCIUM/VITAMIN D 02231948 Y

All other* CALTRATE SELECT TABLETS CALCIUM CARBONATE/VITAMIN D 02247976 Y

All other* CAMPHORATED OIL CAMPHOR/COTTON SEED OIL 00167762 Y

All other* CAMPHORATED OIL CAMPHOR 00487546 Y

All other* CAPSAICIN 0.025% CREAM CAPSAICIN 02157101 Y

All other* CAPSAICIN HP 0.075% CREAM CAPSAICIN 02157128 Y

All other* CARBOCAL D TABLET CALCIUM/VITAMIN D 02245511 Y

All other* CARNATION CALLOUS CAPSULE SALICYLIC ACID 02240322 Y

All other* CARNITOR 100MG/ML ORAL LIQUID LEVOCARNITINE 02144336 Y

All other* CARNITOR 200MG/ML INJ LEVOCARNITINE 02144344 Y

All other* CARNITOR 330MG TABLET LEVOCARNITINE 02144328 Y

All other* CARRIER ADJUSTMENT PIN ADMINISTRATIVE DIN 29512660 Y

All other* CARRIER SCLEROTHERAPY-$15.00 ADMINISTRATIVE DIN 11988888 Y

All other* CAS-MAG ORAL SUSPENSION CASCARA SAGRADA/ MAG HYDROXIDE00874736 Y

All other* CASTOR OIL CASTOR OIL 00167711 Y

All other* CASTOR OIL CASTOR OIL 00388491 Y

All other* CATENA 150MG TABLET IDEBENONE 02314150 Y Y

All other* CAVERJECT DILUENT-WATER FOR INJ PREFILLED SYRINGE WATER FOR INJ.-BACTERIOSTATIC02215721 Y

All other* CEPACOL MOUTHWASH W/FLUORIDE CETYL CHLORIDE/SODIUM FLUORIDE02099365 Y

All other* CERTAIN DRI ANTI-PERSPIRANT ALUMINUM CHLORIDE 02241162 Y

All other* CETRABEN EMOLLIENT CREAM PETROLATUM WHITE 02268639 Y

All other* CETROTIDE 0.25MG INJECTION CETRORELIX 02247766 Y

All other* CETROTIDE 3MG INJECTION CETRORELIX 02247767 Y

All other* CHI TONI MINERAL FORMULA LIQUID POTASSIUM CHLORIDE + HERBS 02237353 Y

All other* CHILDRENS KAOPECTATE SUSPENSION ATTAPULGITE 02229950 Y

All other* CHILDRENS LACTEEZE 3000U TABLET LACTASE 02181304 Y

All other* CHLORASEPTIC MENTHOL SPRAY 1.4% PHENOL 01955462 Y

All other* CHLORASEPTIC SORE THROAT SPRAY KIDS GRAPE FLAVOR PHENOL 02244230 Y

All other* CHLORASEPTIC SPRAY CHERRY PHENOL 01955454 Y

All other* CHOLASYN PLUS TABLET CASCARA/SENNOSIDES A&B/BILE 02241040 Y

All other* CHROMIUM TAB 500 MCG CHROMIUM 01942239 Y

All other* CI-CAL + D TABLET CALCIUM CITRATE/VITAMIN D 02238274 Y

All other* CI-CAL 250MG TABLET CALCIUM CITRATE 02238273 Y

All other* CITRACAL 200MG TABLET CALCIUM CITRATE 02150220 Y

All other* CITRACAL D TABLET CALCIUM CITRATE/VITAMIN D 02150158 Y

All other* CITRO-MAG 15GM/300ML CONC MAGNESIUM CITRATE 00262609 Y

All other* CLEAN & CLEAR ADVANTAGE ACNE CLEANSER SALICYLIC ACID 02248585 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 10

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* CLEAN & CLEAR ADVANTAGE ACNE SPOT TREATMENT SALICYLIC ACID 02248587 Y

All other* CLEAN & CLEAR BLACKHEAD CLEARING ASTRINGENT SALICYLIC ACID 02246711 Y

All other* CLEAN & CLEAR BLACKHEAD CLEARING DAILY CLEANSING PADSSALICYLIC ACID 02246712 Y

All other* CLEAN & CLEAR BLACKHEAD CLEARING SCRUB SALICYLIC ACID 02246710 Y

All other* CLEAN & CLEAR CONTINUOUS CONTROL ACNE WASH SALICYLIC ACID 02243321 Y

All other* CLEAN & CLEAR DUAL ACTION MOISTURIZER LOTION SALICYLIC ACID 02245611 Y

All other* CLEAN & CLEAR INVISIBLE BLEMISH TREATMENT GEL SALICYLIC ACID 02093030 Y

All other* CLEARASIL 3 IN 1 CLEANSER SALICYLIC ACID 02245763 Y

All other* CLEARASIL STAY CLEAR PADS SALICYLIC ACID 02238815 Y

All other* CLINDAMYCIN HCL PWD CLINDAMYCIN 00907049 Y

All other* CLINDAMYCIN HCL PWD CLINDAMYCIN 00907057 Y

All other* CLINDAPAK 560MG POWDER(PQ) CLINDAMYCIN 02900076 Y

All other* CLOBETASOL 0.05% CREAM CLOBETASOL PROPIONATE 02352001 Y

All other* CLOBETASOL 0.05% LOTION CLOBETASOL PROPIONATE 02352036 Y

All other* CLOBETASOL 0.05% OINTMENT CLOBETASOL PROPIONATE 02352028 Y

All other* CLOBETASOL POWDER (PQ) CLOBETASOL 00964093 Y

All other* CLONIDINE 0.025MG (CHLORHYDRATE DE)(PQ) CLONIDINE COMPOUND 99100587 Y

All other* CLONIDINE 0.025MG (CHLORHYDRATE DE)(PQ) CLONIDINE COMPOUND 99100621 Y

All other* CLONIDINE 0.1MG (CHLORHYDRATE DE)(PQ) CLONIDINE COMPOUND 99100589 Y

All other* CLONIDINE 0.2MG (CHLORHYDRATE DE)(PQ) CLONIDINE COMPOUND 99100590 Y

All other* CLORPACTIN WCS-90 POWDER OXYCHLOROSENE 00113042 Y

All other* CO MEMANTINE 10MG TABLET MEMANTINE HCL 02324067 Y

All other* CO MEMANTINE 5MG TABLET MEMANTINE HCL 02324059 Y

All other* COAGUCHEK LANCET COAGULATION LANCET 97499991 Y

All other* COAGUCHEK XS BATON DIAGNOSTIC-COAGULATION 99100333 Y

All other* COD PHOS PWD BP CODEINE PHOSPHATE 00905518 Y

All other* CO-GALANTAMINE 12MG TABLET GALANTAMINE HYDROBROMIDE 02295245 Y

All other* CO-GALANTAMINE 4MG TABLET GALANTAMINE HYDROBROMIDE 02295229 Y

All other* CO-GALANTAMINE 8MG TABLET GALANTAMINE HYDROBROMIDE 02295237 Y

All other* COLLOIDAL SULFUR SULFUR 00901725 Y

All other* COMFEEL PLUS CLEAR 10X10CM PANS DRESSINGS 99100143 Y

All other* COMFEEL PLUS CLEAR 15X15CM PANS DRESSINGS 99100144 Y

All other* COMFEEL PLUS CLEAR 20X20CM PANS DRESSINGS 99100145 Y

All other* COMFEEL PLUS CLEAR 5X7CM PANS DRESSINGS 99100146 Y

All other* COMFEEL PLUS CLEAR 9X14CM PANS DRESSINGS 99100147 Y

All other* COMPLETE MEGA ENZYME TABLET AMYLASE/BETAINE/BROMELAIN/PAPAIN/PAPAYA00506508 Y

All other* COMPOUND (SK) EXTEMPORANEOUS MIXTURES 00990019 Y

All other* COMPOUND DIN CREAM (BC) EXTEMPORANEOUS MIXTURES 00842435 Y

All other* COMPOUND LOTION (BC) EXTEMPORANEOUS MIXTURES 00842443 Y

All other* COMPOUND W GEL SALICYLIC ACID 02230131 Y

All other* COMPOUND W LIQUID SALICYLIC ACID 02230132 Y

All other* COMPOUND W PADS SALICYLIC ACID 02229990 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 11

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* COMPOUND W PLUS LIQUID SALICYLIC ACID 02229957 Y

All other* COMPOUND/MIXTURE FOR SENIOR EXTEMPORANEOUS MIXTURES 00996565 Y

All other* COMPOUNDS (MARITIMES) EXTEMPORANEOUS MIXTURES 00999997 Y

All other* COMPOUNDS CONTAINING LCD(NS) EXTEMPORANEOUS MIXTURES 00358494 Y

All other* COMPOUNDS LIQUIDS IN PQ EXTEMPORANEOUS MIXTURES 00999830 Y

All other* COMPOUNDS SOLIDS IN PQ EXTEMPORANEOUS MIXTURES 00999822 Y

All other* COMPOUNDS(DT) EXTEMPORANEOUS MIXTURES 00900710 Y

All other* CORTEF 0.5% CREAM HYDROCORTISONE ACETATE 02239384 Y

All other* CORTODERM 0.5% OINTMENT HYDROCORTISONE 00716685 Y

All other* COVERSYL 10MG OD TABLET PERINDOPRIL ARGININE 02337959 Y

All other* COVERSYL 2.5MG OD TABLET PERINDOPRIL ARGININE 02337932 Y

All other* COVERSYL 5MG OD TABLET PERINDOPRIL ARGININE 02337940 Y

All other* CRESOPHENE LIQ THYM/DEXAMETH/CAMPH/P-CL-PHEN00379689 Y

All other* CUPRIMINE 250MG CAPSULE PENICILLAMINE 00016055 Y

All other* CYKLOKAPRON 500MG TABLET TRANEXAMIC ACID 02064405 Y

All other* CYSTADANE 1G POWDER BETAINE 02238526 Y

All other* D VI SOL 400IU/.6ML DROPS ERGOCALCIFEROL 00762881 Y

All other* DAIRY DIGESTIVE SUPPLEMENT LACTASE 02200384 Y

All other* DAIRY DIGESTIVE SUPPLEMENT LACTASE 02239139 Y

All other* DAIRY DIGESTIVE SUPPLEMENT X-STRENGTH LACTASE 02239140 Y

All other* DAIRY DIGESTIVE TABLET LACTASE 02239212 Y

All other* DAIRY FREE 3000U TABLET LACTASE 02017512 Y

All other* DAIRY FREE EX STR 4500 FCC TABLET LACTASE 02224909 Y

All other* DAIRY FREE SOLUTION LACTASE 99003325 Y

All other* DAIRYAID 3000U TABLET LACTASE 01951637 Y

All other* DEEP COLD GOLD 3% GEL MENTHOL 02046067 Y

All other* DEEP COLD ICE 8% SPRAY MENTHOL 02060523 Y

All other* DEEP COLD PLUS 4% GEL MENTHOL 02107341 Y

All other* DEEP COLD THERAPY 2% GEL MENTHOL 01914634 Y

All other* DEEP HEATHING ULTRA STR CREAM MENTHOL/METHYL SALICYLATE 02046652 Y

All other* DEEP HEATING LOTION METHYL SALICYLATE/MENTHOL 00360619 Y

All other* DEHYDRAL 8% CREAM METHENAMINE 00632236 Y

All other* DENOREX MEDICATED SHAMPOO BALANCED STR W/ CONDITIONERS SHAMPOOSALICYLIC ACID 02248197 Y

All other* DENOREX MEDICATED SHAMPOO BALANCED STRENGTH SALICYLIC ACID 02248196 Y

All other* DENTI-CARE 2% NEUTRAL SODIUM FLUORIDE GEL SODIUM FLUORIDE 02239711 Y

All other* DENTI-CARE CHLORHEXIDINE GLUC RINSE 0.12% CHLORHEXIDINE GLUCONATE 02240526 Y

All other* DENTICARE NEUTRAL TOPICAL FOAM FLUORIDE FLUORIDE 02241907 Y

All other* DERMAL THERAPY-FINGER CARE UREA 02247091 Y

All other* DERMAL THERAPY-HAND- ELBOW AND KNEE CREAM UREA 02247092 Y

All other* DERMAL THERAPY-HEEL CARE UREA 02247093 Y

All other* DERMALAC 12% CREAM LACTIC ACID 02239903 Y

All other* DERMALAC 12% LOTION LACTIC ACID 02238053 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 12

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* DERMAREST PSORIASIS MEDICATED SHAMPOO PLUS CONDITIONERSALICYLIC ACID 02243937 Y

All other* DESENEX ANTIFUNGAL POWDER UNDECYLENIC ACID/ZINC UNDECYLENATE02154552 Y

All other* DESENEX OINTMENT UDECYLENIC ACID/ZN UNDECYLENATE02021919 Y

All other* DEVICE: MONOVISC INJECTION 96599984 Y

All other* DEVICE:DUROLANE 20MG/ML (3ML) SER(PQ) HYALURONIC ACID 00964573 Y

All other* DEVICE:DUROLANE INJECTION HYALURONIC ACID 00990158 Y

All other* DEVICE:DUROLANE INJECTION (APSI) HYALURONIC ACID 96299999 Y

All other* DEVICE:EUFLEXXA 1% INJECTION SODIUM HYALURONATE 96599996 Y

All other* DEVICE:FERMATHRON INJECTION HYALURONIC ACID 00999092 Y

All other* DEVICE:HYALGAN INJECTION HYALURONIC ACID 00999099 Y

All other* DEVICE:NEOVISC 1% INJECTION -#174317 SODIUM HYALURONATE 00990004 Y

All other* DEVICE:NEOVISC3X2ML (PQ) SODIUM HYALURONATE 00963828 Y

All other* DEVICE:ORTHOVISC INJECTION HYLAN G-F 20 00990012 Y

All other* DEVICE:ORTHOVISC INJECTION(NS) HYLAN G-F 20 96599997 Y

All other* DEVICE:ORTHOVISC INJECTION(PQ) HYLAN G-F 20 00174625 Y

All other* DEVICE:OSTENIL (PQ)1 X 2ML INJ HYALURONIC ACID 00068554 Y

All other* DEVICE:OSTENIL INJECTION HYALURONIC ACID 00990211 Y

All other* DEVICE:SUPARTZ INJECTION HYLAN G-F 20 00999085 Y

All other* DEVICE:SUPLASYN DEVICE 00908673 Y

All other* DEVICE:SUPLASYN (PQ) DEVICE 00963631 Y

All other* DEVICE:SYNVISC INJECTION (1 X 2ML) HYLAN G-F 20 00990310 Y

All other* DEVICE:SYNVISC INJECTION (3 X 2ML) HYLAN G-F 20 00962325 Y

All other* DEVICE:SYNVISC INJECTION (PQ) HYLAN G-F 20 11134981 Y

All other* DEVICE:SYNVISC-ONE INJECTION HYLAN G-F 20 00990305 Y

All other* DEVICE:SYNVISC-ONE INJECTION (PQ) HYLAN G-F 20 00965014 Y

All other* DEXTRO SCLEROSANT INJ. DEXTROSE 00457108 Y

All other* DI GEST CAPSULE BETAINE-BROMEL.-CAL.ASC.-GLUT.ACID-PANCREAT-PAPAIN00556459 Y

All other* DICLOFENAC SODIUM SLOW-RELEASE 75MG TABLET DICLOFENAC SODIUM 02341662 Y

All other* DIGESDYN TABLET DIGESTANTS 00344133 Y

All other* DIGEST AID 120MG CHEW TABLET PAPAIN 01906488 Y

All other* DIGEST PLUS TABLET ENZYMES-DIGESTIVE 00543497 Y

All other* DIGESTA CAPSULE AMYLASE/LIPASE/INVERTASE/INVERTASE/CELLULASE02244024 Y

All other* DIGESTION FORMULA C CAPSULE DIGESTANTS 02240495 Y

All other* DIGESTION FORMULA CAPSULE AMYLASE/CELLULASE/INVERTASE/LACTASE/LIPASE/MALTASE/PROTEASE02240570 Y

All other* DIGESTION FORMULA F CAPSULE DIGESTANTS 02240496 Y

All other* DIGESTION FORMULA FORTE CAPSULE AMYLASE/CELLULASE/INVERTASE/LACTASE/LIPASE/MALTASE/PROTEASE02240559 Y

All other* DIGESTION FORMULA P CAPSULE AMYLASE/CELLULASE/INVERATSE/LACTASE/LIPASE/MALTASE/PHYTASE/PROTE02240569 Y

All other* DIGESTIVE ENZYME TABLET AMYLASE/BETAINE/BROMELAIN/PAPAIN/PAPAYA02240677 Y

All other* DIGESTIVE ENZYMES TABLET DIGESTANTS 00546461 Y

All other* DIGESTOLAX TABLET DIGESTANTS 00512672 Y

All other* D'IHLE PASTE 25% ZINC OXIDE 00886327 Y

All other* DILUENT FOR ALLERGENIC EXTRACT STERILE ALBUMIN SALINE WITH PHENOALBUMIN 02223732 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 13

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* DIOVOL CHEW CAPLET MAGNESIUM HYDROXIDE/AL HYDROX01910620 Y

All other* DIOVOL EX SUSPENSION MAGNESIUM HYDROXIDE/AL HYDROX00491217 Y

All other* DIOVOL SUSPENSION MAGNESIUM HYDROXIDE/AL HYDROX01966529 Y

All other* DISULFIRAM 125MG CAPSULE(BC) COMPOUNDED DISULFIRAM 66124089 Y

All other* DISULFIRAM 250MG CAPSULE(BC) COMPOUNDED DISULFIRAM 66124085 Y

All other* DISULFIRAM 500MG CAPSULE(BC) COMPOUNDED DISULFIRAM 66124087 Y

All other* DODD'S EXTRA STR 500MG TABLET SODIUM SALICYLATE 02014610 Y

All other* DOM-BENZYDAMINE 1.5MG/ML ORAL LIQUID BENZYDAMINE HCL 02239537 Y

All other* DOM-RIVASTIGMINE 1.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02307685 Y

All other* DOM-RIVASTIGMINE 3MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02307693 Y

All other* DOM-RIVASTIGMINE 4.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02307707 Y

All other* DOM-RIVASTIGMINE 6MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02307715 Y

All other* DR. SCHOLL'S CLEAR AWAY LIQUID WART REMOVER SALICYLIC ACID 02223821 Y

All other* DR. SCHOLL'S CLEAR AWAY ONE STEP WART REMOVER SYSTEMSALICYLIC ACID 02060493 Y

All other* DR. SCHOLL'S CLEAR AWAY WART REMOVER SYSTEM SALICYLIC ACID 01974335 Y

All other* DRISDOL 8288U/ML DROPS ERGOCALCIFEROL 02017598 Y

All other* DRUGS REC'D IN DR'S OFFICE/CLINIC ADMINISTRATIVE DIN 94444444 Y

All other* DRYSOL 20% SOLUTION ALUMINUM CHLORIDE 00342742 Y

All other* DUODERM CGF EXTRA-MINCE 15CMX15CM PANS (PQ) DRESSINGS 00908134 Y

All other* DUODERM CGF EXTRA-THIN 10X10CM (PQ) DRESSINGS 99000261 Y

All other* DUODERM CGF EXTRA-THIN DRESSING 10X15CM (PQ) DRESSINGS 00920029 Y

All other* DUODERM CGF EXTRA-THIN DRESSING 15X18CM (PQ) DRESSINGS 00920037 Y

All other* DUODERM CGF EXTRA-THIN DRESSING 5X10CM (PQ) DRESSINGS 00920231 Y

All other* DUODERM CGF EXTRA-THIN DRESSING 5X20CM (PQ) DRESSINGS 00920088 Y

All other* DUODERM CGF EXTRA-THIN DRESSING 7.5X7.5CM (PQ) DRESSINGS 00920010 Y

All other* DUODERM GEL DRESSINGS 00921084 Y

All other* DUOFILM LIQUID SALICYLIC ACID/LACTIC ACID 00370576 Y

All other* DUOFILM PATCHES SALICYLIC ACID 02239299 Y

All other* DUOFILM PLANTAR PATCH SALICYLIC ACID 02243332 Y

All other* DUOFORTE 27% GEL SALICYLIC ACID 01939645 Y

All other* DUONALC 70% SOLUTION ISOPROPYL ALCOHOL 00426539 Y

All other* DUOPLANT PLANTAR WART OINT SALICYLIC ACID/LACTIC ACID/FORMALDEHYDE00513091 Y

All other* DURAFLOR 50MG/ML LIQUID SODIUM FLUORIDE 00584983 Y

All other* EAU DE CHAUX LIQUID CALCIUM HYDROXIDE 00051004 Y

All other* EAU POUR INJ. (INHAL)(PQ) WATER FOR INHALATION 00905178 Y

All other* EAU POUR INJECTION LIQ WATER FOR INJECTION 99100407 Y

All other* EAU STERILE/INJ PETITES VOLUME STERILE WATER 99002264 Y

All other* EBIXA 10MG TABLET MEMANTINE HYDROCHLORIDE 02260638 Y

All other* EFFERSEA WITH VITAMIN C CALCIUM MAGNESIUM & POTASSIUMCALCIUM/MAG/POTAS/VIT C 02247977 Y

All other* EGOZINC 0.5% OINTMENT ZINC SULFATE 02145456 Y

All other* EGOZINC SUPPOSITORIES-10MG ZINC SULFATE 02144417 Y

All other* ELTOR 120MG CAPLET SA PSEUDOEPHEDRINE HCL 02103109 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 14

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* EMCINKA POWDER ERYTHROMYCIN 00812269 Y

All other* EMERGIS INTERNAL MGMT OVERRIDE ADMINISTRATIVE DIN 68377433 Y

All other* ENEMA SODIUM PHOSPHATE 02231170 Y

All other* ENEMOL ENEMA NA PHOS/M-B/NA PHOS/DI-BA 02096900 Y

All other* ENO POWDER SODIUM CITRATE 02038218 Y

All other* ENZYME DIGESTIVE AID TABLETS DIGESTANTS 02203383 Y

All other* EPI-LYT LOTION LACTIC ACID/GLYCERIN 00880183 Y

All other* EPOPROSTENOL FOR INJECTION 0.5MG/VIAL EPOPROSTENOL NA 02345706 Y

All other* EPOPROSTENOL FOR INJECTION 1.5MG/VIAL EPOPROSTENOL NA 02345714 Y

All other* EPSOM SALTS MAGNESIUM SULFATE 00167665 Y

All other* ERYPAK 1.8GM SACH (PQ) ERYTHROMYCIN 02900084 Y

All other* ERYTHROMYCINE POWDER ERYTHROMYCIN 99100163 Y

All other* ESSENTIAL LIQUID MINERALS POTASSIUM 02232184 Y

All other* ESTRADIOL PD (PQ) ESTRADIOL 00963887 Y

All other* ESTRADIOL PD (PQ) ESTRADIOL 00964166 Y

All other* ESTRIOL PD (PQ) ESTRIOL 00963933 Y

All other* ESTRIOL PD (PQ) ESTRIOL 00964212 Y

All other* EUCALYPTUS OIL EUCALYPTUS 00050164 Y

All other* EUCERIN LOTION 10% D'UREE UREA 02247770 Y

All other* EURO K 975 EFFERVESCENT TABLET POTASSIUM 80011428 Y

All other* EURO VITAMIN B1 50MG TABLET THIAMINE 02245506 Y

All other* EURO-CAL 500MG TABLET CALCIUM CARBONATE 02237352 Y

All other* EURO-CAL D 500MG TABLET CALCIUM(OYS SHELL)/VIT D3 02237351 Y

All other* EURO-D 400IU CAPSULE ERGOCALCIFEROL 02242651 Y

All other* EURO-FER 300MG CAPSULE FERROUS FUMARATE 02237556 Y

All other* EURO-FER CF CAPSULE FERROUS FUMARATE/FOLIC ACID/VITAMIN C02241802 Y

All other* EURO-K 600MG SR TABLET POTASSIUM CHLORIDE 02246734 Y

All other* EURO-K20 SR TABLET POTASSIUM CHLORIDE 02242261 Y

All other* EURO-K8 SR CAPSULE POTASSIUM CHLORIDE 02242291 Y

All other* EURO-SENNA 8.6MG TABLET SENNOSIDES 02247389 Y

All other* EURO-SULFATE FERREUX 300MG TABLET FERROUS SULPHATE 02246733 Y

All other* EXELON 1.5MG CAPSULE RIVASTIGMINE 02242115 Y

All other* EXELON 2MG/ML ORAL SOLUTION RIVASTIGMINE 02245240 Y

All other* EXELON 3MG CAPSULE RIVASTIGMINE 02242116 Y

All other* EXELON 4.5MG CAPSULE RIVASTIGMINE 02242117 Y

All other* EXELON 6MG CAPSULE RIVASTIGMINE 02242118 Y

All other* EXELON PATCH 10 RIVASTIGMINE 02302853 Y

All other* EXELON PATCH 5 RIVASTIGMINE 02302845 Y

All other* EX-LAX CHOCOLATED TABLET SENNOSIDES 02226030 Y

All other* EX-LAX PILLS EXTRA STRENGTH SENNOSIDES 02237524 Y

All other* EX-LAX SUGAR COATED PILLS SENNOSIDES 02226049 Y

All other* EX-STRENGTH CALCIUM ANTACID CALCIUM CARBONATE 02215772 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 15

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* EXT STRENGTH ANALGESIC CREAM CAMPHOR/EUC OIL/MENTHOL/METHYL SALICYLATE02148854 Y

All other* EXTEMPORANEOUS MIXTURES EXTEMPORANEOUS MIXTURES 00999999 Y

All other* EXTEMPORANEOUS MIXTURES GWL (REIM) EXTEMPORANEOUS MIXTURES 97000099 Y

All other* EXTRA STRENGTH GOLD BOND POWDER MENTHOL/ZINC OXIDE 02230689 Y

All other* EXTRA STRENGTH HEART BURN RELIEF TABLETS MAGNESIUM CARBONATE/ALGINIC ACID02244289 Y

All other* EXTRA STRENGTH LANACANE BENZOCAINE/RESORCINOL 02244512 Y

All other* EXTRA STRENGTH VAGISIL BENZOCAINE/RESORCINOL 02243776 Y

All other* FER-IN-SOL 30MG/5ML SYRUP FERROUS SULPHATE 00017884 Y

All other* FER-IN-SOL 75MG/ML DROPS FERROUS SULPHATE 00762954 Y

All other* FERMALAC VAGINAL CAPSULE ACIDOPHILUS/LB/STREPTOC 00232599 Y

All other* FERMENTOL 100MG/30ML LIQUID PEPSIN 00378739 Y

All other* FERODAN 150MG/5ML SYRUP FERROUS SULPHATE 00758469 Y

All other* FERODAN 15MG/ML ORAL SOLUTION FERROUS SULPHATE 02237385 Y

All other* FERODAN 300MG TABLET FERROUS SULPHATE 02248699 Y

All other* FERRATE 60MG/ML SUSPENSION FERROUS FUMARATE 02246590 Y

All other* FERROUS FUMARATE 200MG TABLETS USP FERROUS FUMARATE 02247018 Y

All other* FERROUS FUMARATE 300MG TABLET FERROUS FUMARATE 00031089 Y

All other* FERROUS GLUCONATE 300MG TABLET FERROUS GLUCONATE 00031097 Y

All other* FERROUS GLUCONATE 300MG TABLET FERROUS GLUCONATE 02244532 Y

All other* FERROUS GLUCONATE 324MG TABLET FERROUS GLUCONATE 00582727 Y

All other* FERROUS GLUCONATE 325MG TABLET FERROUS GLUCONATE 00041157 Y

All other* FERROUS SULFATE 300MG TABLET FERROUS SULPHATE 00031100 Y

All other* FERROUS SULPHATE 300MG TABLET FERROUS SULPHATE 00346918 Y

All other* FERROUS SULPHATE 300MG TABLET FERROUS SULPHATE 00782114 Y

All other* FIBER PLUS CAPSULE PLANTAGO SEED/SENNOSIDES 02240966 Y

All other* FIORINAL CAPSULE ASA/CAFFEINE/BUTALBITAL 00226327 Y

All other* FIORINAL TABLET ASA/CAFFEINE/BUTALBITAL 00275328 Y

All other* FLEET ENEMA NA PHOS/M-B/NA PHOS/DI-BA 00009911 Y

All other* FLEET ENEMA PEDIATRIC NA PHOS/M-B/NA PHOS/DI-BA 00108065 Y

All other* FLEET PHOSPHO SODA SOLUTION NA PHOS/M-B/NA PHOS/DI-BA 02206218 Y

All other* FLEXALL ULTRA MUSCLE RUB MENTHOL 02230867 Y

All other* FLEX-O-FLEX EXTRA STRENGTH CREAM CAPSAICIN/MENTHOL 02238137 Y

All other* FLEX-O-FLEX OINTMENT CAPSAICIN/MENTHOL 02238138 Y

All other* FLEXOGAN MUSCLE PAIN CREAM CAMPHOR/MENTHOL 02245067 Y

All other* FLOLAN DILUANT FOR GLYCINE/SOD/SOD HYDROX/WATER02230857 Y Y

All other* FLOLAN INJECTION 0.5MG/VIAL EPOPROSTENOL NA 02230845 Y Y

All other* FLOLAN INJECTION 1.5MG/VIAL EPOPROSTENOL NA 02230848 Y Y

All other* FLUMIST VACCINE H1N1/H3N2/INFLUENZA VIRUS TYPE B02352621 Y

All other* FLUNARIZINE 5MG CAPSULE FLUNARIZINE HCL 02246082 Y

All other* FLUOR-A-DAY 0.25MG TABLET SODIUM FLUORIDE 02090139 Y

All other* FLUOR-A-DAY 1.1MG CHEW TABLET SODIUM FLUORIDE 02204258 Y

All other* FLUOR-A-DAY 1.1MG TABLET SODIUM FLUORIDE 01977857 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 16

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* FLUOR-A-DAY 2.21MG TABLET SODIUM FLUORIDE 00575569 Y

All other* FLUOR-A-DAY 5.6MG/ML DROPS SODIUM FLUORIDE 00610100 Y

All other* FLUORINSE 0.05% MOUTHWASH SODIUM FLUORIDE 00782890 Y

All other* FLUORINSE 0.2% MOUTHWASH SODIUM FLUORIDE 00782882 Y

All other* FLUORON GEL 1.23% 450ML HYDROGEN FL AND SODIUM FLUORIDE02032465 Y

All other* FLUOTIC 20MG TABLET SODIUM FLUORIDE 02099225 Y

All other* FORMULA C36 TABLET FERROUS FUMARATE/VIT C/VIT B1200438839 Y

All other* FOWLERS 900MG/15ML SUSP ATTAPULGITE 01901508 Y

All other* FOWLERS DIARRHEA TAB 630MG ATTAPULGITE 00887196 Y

All other* FREEZ-EEZ GEL BENZOCAINE 02245342 Y

All other* FREEZONE ONE STEP CORN AND CALLUS REMOVER PADS SALICYLIC ACID 02237019 Y

All other* FRELON A TET JAUNE 1.1MG INJ(PQ) YELLOW HORNET 99004593 Y

All other* FRELON A TETE BLANCHE (PQ) ALLERGY SERUMS 99004038 Y

All other* FRELON A TETE BLANCHE 1.1MG INJ UNK 99100226 Y

All other* FRELON A TETE BLANCHE 1.1MG INJ (PQ) WHITE FACED HORNET 99004607 Y

All other* FRELON A TETE BLANCHE 1.3MG INJ ALLERGY SERUM - WHITE FACED HORNET99100016 Y

All other* FRELON A TETE BLANCHE 550MCG INJ (PQ) ALLERGY SERUMS 99100266 Y

All other* FRELON A TETE JAUNE 550MCG INJ ALLERGY SERUMS 99100267 Y

All other* FRELON JAUNE (PQ) ALLERGY SERUMS 99004011 Y

All other* FRELON JAUNE 1.1MG INJ YELLOW JACKET 99100227 Y

All other* GAMMADYN K 40MCG LIQUID POTASSIUM 80010969 Y

All other* GASTRIFOM TABLET ALGINIC ACID/ALUMINUM HYDROXIDE02227096 Y

All other* GASTROLYTE SACHET REGULAR ELECTROLYTE-ORAL/DEXTROSE 01931563 Y

All other* GAVISCON HB RELIEF EX STRENGTH TABLET MAGNESIUM CARBONATE/ALGINIC ACID02231538 Y

All other* GAVISCON HEARTBURN REL ALUM.FREE PEPPERMINT TABLET MAG CARBONATE/ALGINIC ACID 02159791 Y

All other* GAVISCON LIQUID FRUIT ALUMINUM HYDROXIDE/NA ALGINATE02159775 Y

All other* GEL 7 UNFLAVOURED 2% SODIUM FLUORIDE 02042770 Y

All other* GEL GLACE/ICE COLD GEL MENTHOL 02247133 Y

All other* GEL-KAM STANNOUS FLUORIDE 02028107 Y

All other* GELSTAN 0.4% GEL STANNOUS FLUORIDE 00565474 Y

All other* GELUSIL TABLET MAGNESIUM HYDROXIDE/AL HYDROX01933906 Y

All other* GLUTAMIC ACID 100MG TABLET GLUTAMIC ACID/PEPSIN 00373672 Y

All other* GLUTAMIC ACID HCL 500MG CAPSULE GLUTAMIC ACID 01925334 Y

All other* GLUTAMIC ACID PLUS PEPSIN AND BROMELAIN TABLET BETAINE/BROMELAIN/GLUTAMIC ACID/PEPSIN00141208 Y

All other* GLUTERALDEHYDE 25% SOLUTION GLUTARALDEHYDE 00990022 Y

All other* GLYCERIN ADULT SUPPOSITORIES GLYCERIN 00873462 Y

All other* GLYCERIN ADULT SUPPOSITORY GLYCERIN 01926039 Y

All other* GLYCERIN INFANT/CHILD SUPP GLYCERIN 01926047 Y

All other* GLYCERIN INFANT/CHILD SUPPOSITORIES GLYCERIN 00891053 Y

All other* GLYCERIN SUPPOSITORIES ADULT GLYCERIN 02245029 Y

All other* GLYCERIN SUPPOSITORIES PEDIATRIC GLYCERINE 02245028 Y

All other* GLYCERIN SUPPOSITORIES U.S.P. FOR ADULTS GLYCERIN 02246688 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 17

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* GLYCERIN SUPPOSITORIES U.S.P. INFANTS-CHILDREN GLYCERIN 02246687 Y

All other* GOLD BOND MEDICATED FOOT PWDR MENTHOL 02242698 Y

All other* GOLD BOND POWDER MENTHOL/ZINC OXIDE 02230688 Y

All other* GOUDRON MINERAL TAR 00897361 Y

All other* GRAM CAL EFFERVESCENT TABLET CALCIUM CARBONATE/CAL LAC GLUC02232483 Y

All other* GRIPE WATER LIQUID SODIUM BICARBONATE 01941372 Y

All other* GRP ADJUSTMENT PIN ADMINISTRATIVE DIN 11512660 Y

All other* GUEPE (POLISTES SPP) 120MCG INJ (PQ) ALLERGY SERUMS 99100278 Y

All other* GUEPE (POLISTES SPP) 550MCG INJ (PQ) ALLERGY SERUMS 99100268 Y

All other* GUEPE (POLISTES SPP.) (PQ) HYMENOPTERA ALLERGENIC EXTRACT00894362 Y

All other* GUEPE (POLISTES SPP.) 1.3MG INJ ALLERGY SERUM 99100017 Y

All other* GUEPE (PQ) ALLERGY SERUMS 99004046 Y

All other* GUEPE A TACHES BLANCHES 120MCG INJ (PQ) ALLERGY SERUMS 99100279 Y

All other* GUEPE DE L'EST (VESPULA (PQ) HYMENOPTERA ALLERGENIC EXTRACT00894354 Y

All other* GUEPE DE L'EST (VESPULA 550MCG PD INJ) (PQ) ALLERGY SERUMS 99100269 Y

All other* GUEPE DE L'EST (VESPULA) 1.3MG INJ ALLERGY SERUM 99100018 Y

All other* GUEPE DE L'EST (VESPULA) 120MCG INJ (PQ) ALLERGY SERUMS 99100280 Y

All other* GUEPE DE L'EST 1.1 MG INJ UNK 99100228 Y

All other* GUEPE JAUNE (PQ) ALLERGY SERUMS 99004054 Y

All other* GUEPE JAUNE DOLICHOVESPULA 120MCG INJ (PQ) ALLERGY SERUMS 99100270 Y

All other* GUEPE POLISTE 1.1MG INJ POLLEN 99100229 Y

All other* H P BARREL LENS CLEANER CONTACT LENS SUPPLIES 00905186 Y

All other* H&S DANDRUFF AND SEBORRHEIC DERMATITIS SHAMPOO SELENIUM SULFIDE 02242871 Y

All other* HABITROL 14MG/24HR PATCH NICOTINE 01943065 Y

All other* HABITROL 21MG/24HR PATCH NICOTINE 01943073 Y

All other* HABITROL 7MG/24HR PATCH NICOTINE 01943057 Y

All other* HEART BURN RELIEF TABLETS MAG CARBONATE/ALGINIC ACID 02244288 Y

All other* HEET ANALGESIC LINIMENT CAMPHOR/CAPSAICIN/METHYL SALICYLATE02230133 Y

All other* HELIZIDE KIT BISMUTH OXIDE/METRONIDAZOLE/TETRACYCLINE02246962 Y

All other* HUILE D'AMANDE DOUCE 100% ALMOND OIL-SWEET 00886319 Y

All other* HUILE D'AMANDE DOUCE/ALMOND OIL (SWEET) ALMOND OIL-SWEET 00489387 Y

All other* HUILE D'ANIS/MIX:HYDROCORTISONE 1% IN SOFT PETROLATUM (NS)ANIS OIL/HYDROCORTISONE 00903183 Y

All other* HUILE DE LAVAND LAVENDER OIL 00903272 Y

All other* HURRICAINE TOPICAL ANESTHETIC SPRAY BENZOCAINE 02261561 Y

All other* HYDERM 0.5% CREAM HYDROCORTISONE ACETATE 00716820 Y

All other* HYDRANORME MOISTURIZING EMOLLIENT 00899402 Y

All other* HYDROCORTISONE (PQ) HYDROCORTISONE 00900761 Y

All other* HYDROCORTISONE 0.5% CREAM HYDROCORTISONE WITH ALOE 02243847 Y

All other* HYDROCORTISONE POWDER HYDROCORTISONE 00906689 Y

All other* HYDROCORTISONE PWD HYDROCORTISONE 00907065 Y

All other* HYDROCORTISONE PWD HYDROCORTISONE 00907073 Y

All other* HYDROCORTISONE PWR HYDROCORTISONE 00990841 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 18

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* HYDROCORTISONE PWR HYDROCORTISONE 00967564 Y

All other* HYDROCORTISONE PWR HYDROCORTISONE 00967572 Y

All other* HYDROGEN PEROXIDE 3% HYDROGEN PEROXIDE 02004178 Y

All other* HYDROGEN PEROXIDE SOLUTION 3% HYDROGEN PEROXIDE 00167703 Y

All other* HYDROSONE 0.5% CREAM HYDROCORTISONE 00564281 Y

All other* HYGEOL 1% LIQUID SODIUM HYPOCHLORITE 00201944 Y

All other* HYPERGEL (PQ) SODIUM CHLORIDE GEL 00920517 Y

All other* HYPO NEEDLE DISP 27 X 1/2 NEEDLES/SYRINGES 00901849 Y

All other* ICE GEL THERAPY MENTHOL 02230831 Y

All other* ICHTHOPASTE ICHTHAMMOL/ZINC OXIDE 01948466 Y

All other* IHLE'S PASTE ZINC OXIDE 00532576 Y

All other* INFUSION SYRINGES 3CC (BC) NEEDLES/SYRINGES 66123471 Y

All other* INJECTABLES ALL PROVINCES ADMINISTRATIVE DIN 28000800 Y

All other* INJECTIBLE ADMINISTRATIVE DIN 00999901 Y

All other* INOSITOL 250MG TABLET INOSITOL 01936514 Y

All other* INTANZA VACCINE HAEMAGGLUTININ STRAINS H3N2/B/H1N102348756 Y

All other* INTANZA VACCINE HAEMAGGLUTININ STRAINS H3N2/B/H1N102348764 Y

All other* INTRASITE GEL (PQ) PROPYLENE GLYCOL / AMIDON 00907936 Y

All other* INVEGA SUSTENNA 100MG/ML INJECTION PALIPERIDONE PALMITATE 02354233 Y

All other* INVEGA SUSTENNA 150MG/1.5ML INJECTION PALIPERIDONE PALMITATE 02354241 Y

All other* INVEGA SUSTENNA 25MG/0.25ML INJECTION PALIPERIDONE PALMITATE 02354209 Y

All other* INVEGA SUSTENNA 50MG/0.5ML INJECTION PALIPERIDONE PALMITATE 02354217 Y

All other* INVEGA SUSTENNA 75MG/0.75ML INJECTION PALIPERIDONE PALMITATE 02354225 Y

All other* IODOCHLORHYDROXYQUINE (PQ) CLIOQUINOL 00906670 Y

All other* IODOSORB OINTMENT IODINE 99100099 Y

All other* IODOSORB PASTE IODINE 99100098 Y

All other* IPECAC 1.4% SYRUP IPECAC 00378801 Y

All other* IRON & YEAST TABLET FERROUS SULFATE/YEAST- DRIED 00200700 Y

All other* IRON 35MG TIMED RELEASE TABLET FERROUS GLUCONATE 02241634 Y

All other* IRON DISINTEGRATING 50MG TABLET FERROUS GLUCONATE 00341185 Y

All other* JAA K 2 POTASSIUM GLUCONATE TABLET POTASSIUM GLUCONATE 80005804 Y

All other* JAA K 5 POTASSIUM GLUCONATE TABLET POTASSIUM GLUCONATE 80005807 Y

All other* JAMP FERROUS SULFATE INFANT DROPS IRON 80008309 Y

All other* JAMP FERROUS SULFATE LIQUID 30MG/ML IRON 80008295 Y

All other* JAMP VITAMIN A D AND C INFANT DROPS VITAMINS A, C AND D 80008471 Y

All other* JAMP-K 1500MG TABLET POTASSIUM 80013007 Y

All other* JAMP-K 600MG TABLET POTASSIUM 80013005 Y

All other* JOHNSON'S CLN AND CLR DEEP CLEANING ASTRING. SALICYLIC ACID 02072688 Y

All other* JOHNSON'S CLN AND CLR SENS.SKIN DEEP CLN.AS. SALICYLIC ACID 02072696 Y

All other* JOI-GALANTAMINE ER 16MG CAPSULE GALANTAMINE HYDROBROMIDE 02316951 Y

All other* JOI-GALANTAMINE ER 24MG CAPSULE GALANTAMINE HYDROBROMIDE 02316978 Y

All other* JOI-GALANTAMINE ER 8MG CAPSULE GALANTAMINE HYDROBROMIDE 02316943 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 19

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* KAOPECTATE 600MG/15ML SUSP ATTAPULGITE 02229951 Y

All other* KAOPECTATE EX STRENGTH SUSPENSION ATTAPULGITE 02229952 Y

All other* K-CITRA 1080MG TABLET POTASSIUM CITRATE 02243768 Y

All other* K-CITRA 540MG TABLET POTASSIUM CITRATE 02243769 Y

All other* KEMSOL 70% SOLUTION DIMETHYL SULFOXIDE 00376167 Y

All other* KENALOG IN ORABASE PASTE TRIAMCINOLONE ACETONIDE 01999788 Y

All other* KERASAL OINTMENT SALICYLIC ACID/UREA 01976931 Y

All other* KERTYOL-S 3% LOTION SALICYLIC ACID 02245006 Y

All other* KIROFLEX CREAM CAMPHOR/EUCALYPTUS/MENTHOL/THYMOL02240873 Y

All other* K-LYTE 25MEQ TABLET EFFERV POTASSIUM BICARB/CITRIC ACID 02085992 Y

All other* KUVAN 100MG TABLET SAPROPTERIN DIHYDROCHLORIDE02350580 Y

All other* LACHYDRIN 12% LOTION AMMONIUM LACTATE 01909150 Y

All other* LACIDOFIL CAPSULE LACTOBACILLUS ACIDOPHILUS 02246224 Y

All other* LACTAID EXTRA STRENGTH TABLET LACTASE 02230654 Y

All other* LACTAID REGULAR STRENGTH TABLET LACTASE 02230653 Y

All other* LACTAID ULTRA CHEW TABLET LACTASE 02239664 Y

All other* LACTAID ULTRA TABLET LACTASE 02231507 Y

All other* LACTASE ENZYME LACTASE 02244761 Y

All other* LACTEEZE 4000U TABLET LACTASE 02067072 Y

All other* LACTEEZE 80 U/5 DROP (PQ) LACTASE 99100157 Y

All other* LACTOPEPSINE ELIXIR LACTIC ACID/PEPSIN 00051365 Y

All other* LAIT DE MAGNESIE 8% SUSP MAGNESIUM HYDROXIDE 00468401 Y

All other* LAIT DE MAGNESIE 8% SUSP MAGNESIUM HYDROXIDE 00532541 Y

All other* LAKOTA TOPICAL PAIN RELIEVER CAPSAICIN/MENTHOL 02247643 Y

All other* LAKOTA TOPICAL PAIN RELIEVER - ARTHRITIS PAIN CAPSAICIN 02248281 Y

All other* LAKOTA TOPICAL PAIN RELIEVER - EXTRA STRENGTH CAPSAICIN/MENTHOL 02248350 Y

All other* LAMBERTS SYRUP MENTHOL/PINE TAR 00386243 Y

All other* LANACANE CREAM BENZOCAINE/RESORCINOL 00534463 Y

All other* LAXATIVE EXTRA STRENGTH PILLS SENNOSIDES 02245005 Y

All other* LAXATIVE PILLS REGULAR STRENGTH SENNOSIDES 02245004 Y

All other* LCD LIQUID (PQ) LIQUID CARBONIS DETERGENS 00903256 Y

All other* LEDERLE LEUCOVORIN TAB 15MG CALCIUM FOLINATE 02177730 Y

All other* LIMONADE ASEPTA SODIUM TARTRATE 00512478 Y

All other* LIPACTIN GEL HEPARIN SODIUM-PORCINE/ZN SULF00667285 Y

All other* LUER-LOCK (DISP) 3CC SYRINGE NEEDLES/SYRINGES 99400530 Y

All other* LUGOL SOLUTION POTASSIUM IODIDE/IODINE 00051292 Y

All other* LUPRON DEPOT 11.25MG/VIAL LEUPROLIDE ACETATE 02148722 Y

All other* LUPRON DEPOT 15MG/VIAL LEUPROLIDE ACETATE 02148730 Y

All other* M1 CAPSULE AMYLASE/CELLULASE/INVERTASE/LACTASE/LIPASE/MALTASE02240567 Y

All other* M2 CAPSULE DIGESTANTS 02240497 Y

All other* M3 CAPSULE DIGESTANTS 02240501 Y

All other* M4 CAPSULE AMYLSE/CELLULASE/INVERTASE/LACTASE/LIPASE/MALTASE/PROTEASE02240561 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 20

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* M5 CAPSULE AMYLASE/CELLULASE/INVERTASE/LACTASE/LIPASE/MALTASE/PROTEASE02240572 Y

All other* M6 CAPSULE AMYLASE/CELLULASE/LIPASE 02239966 Y

All other* M7+ CAPSULE AMYLASE/CELLULASE/INVERTASE/LACTASE/LIPASE/MALTASE/PROTEASE02240571 Y

All other* MAALOX NIGHTTIME SUSPENSION CALCIUM CARBONATE/MAGNESIUM CARB/SODIUM ALGINATE02248635 Y

All other* MAALOX QUICK DISSOLVE CHEW TABLET CALCIUM CARBONATE 02238290 Y

All other* MAALOX QUICK DISSOLVE EX STR CALCIUM CARBONATE 02238291 Y

All other* MAG/AL HYDROX 300/60MG (PQ) MAGNESIUM/ALUMINUM HYDROXIDE99002450 Y

All other* MAG/AL HYDROX 400/40MG (PQ) MAGNESIUM/ALUMINUM HYDROXIDE99002434 Y

All other* MAG/AL HYDROXIDE SUSPENSION (PQ) MAG/AL HYDROXIDE 99002574 Y

All other* MAG/AL HYDROXIDE SUSPENSION (PQ) MAG/AL HYDROXIDE 99002442 Y

All other* MAG/AL HYDROXIDE TABLET(PQ) MAG/AL HYDROXIDE 99002868 Y

All other* MAGLUCATE 500MG TABLET MAGNESIUM GLUCONATE 00555126 Y

All other* MAGNELIUM 20MG CAPSULE MAGNESIUM GLUCOHEPTONATE 00532940 Y

All other* MAGNESIUM GLUCEPTATE LIQUID MAGNESIUM 80009357 Y

All other* MAGNESIUM-ODAN 500MG/5ML SOL MAGNESIUM 80004109 Y

All other* MAGNOLEX 300MG CAPSULE MAGNESIUM GLUCOHEPTONATE 00600369 Y

All other* MAGNOROL 450MG/5ML SYRUP MAGNESIUM GLUCOHEPTONATE 00651303 Y

All other* MASQUE POUR CHAMBRE D ESPACEMENT MASK FOR AEROCHAMBER 99003643 Y

All other* MAYAKA CALCIUM 100MG/ML SOLUTION CALCIUM GLUCONATE 02237779 Y

All other* M-CAL D TABLET CALCIUM/VITAMIN D 80013329 Y

All other* MEDICATED ANALGESIC CREAM CAMPHOR/EUC OIL/MENTHOL/METHYL SALICYLATE00851167 Y

All other* MEGA SR IRON 225MG CAP SA FERROUS SULPHATE 00362727 Y

All other* MENTHACIN CREAM CAPSAICIN/MENTHOL 02237316 Y

All other* MENTHOLATUM ONT CAMPHOR/MENTHOL 00361399 Y

All other* MENVEO 0.5ML INJECTION MENINGOCOCCAL CONJUGATE VAC A C Y W-13502347393 Y

All other* MEPILEX BORDER LITE 10X10CM PANS (PQ) DRESSINGS 99100296 Y

All other* MEPILEX BORDER LITE 15X15CM PANS DRESSINGS 99100297 Y

All other* MEPILEX BORDER LITE 4X5CM PANS (PQ) DRESSINGS 99100293 Y

All other* MEPILEX BORDER LITE 5X12.5CM PANS (PQ) DRESSINGS 99100294 Y

All other* MEPILEX BORDER LITE 7.5X7.5CM PANS (PQ) DRESSINGS 99100295 Y

All other* MEPILEX LITE 10X10CM PANS DRESSINGS 99100133 Y

All other* MEPILEX LITE 15X15CM PANS DRESSINGS 99100134 Y

All other* MEPILEX LITE 20CMX50CM 20CMX50CM PANS. MINC(PQ) PANSEMENT ABSORBANT-MOUSSE HYDROPHILE99100605 Y

All other* MEPILEX LITE 6.8X 8.5CM PANS DRESSINGS 99100132 Y

All other* MESTINON 60MG TABLET PYRIDOSTIGMINE BROMIDE 00869961 Y

All other* MESTINON SR 180MG TABLET SA PYRIDOSTIGMINE BROMIDE 00869953 Y

All other* METAMUCIL CAPSULE PSYLLIUM 02247034 Y

All other* METAMUCIL FIBRE WAFER APPLE PSYLLIUM 02241615 Y

All other* METAMUCIL FIBRE WAFERS - CINNAMON SPICE PSYLLIUM 02241614 Y

All other* METAMUCIL ORIG UNFLAV W/ SUGAR PSYLLIUM 02174812 Y

All other* METAMUCIL SMOOTH ORANGE FL. SF PSYLLIUM/ASPARTAME 02174782 Y

All other* METAMUCIL SMOOTH ORANGE FLAV PSYLLIUM 02174790 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 21

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* METAMUCIL SMOOTH UNFLAV UNSWEETENED PSYLLIUM HYDROPHILIC MUCILLOID02174804 Y

All other* METHADONE FEE (SK) FEE FOR METHADONE 00990058 Y

All other* METHOTREXATE 25MG/ML INJECTION BP METHOTREXATE SODIUM 02327236 Y

All other* METHYLPARABEN METHYLPARABEN 00905704 Y

All other* METRONIDAZOLE 250MG CAPSULE (PQ) METRONIDAZOLE COMPOUND 99100628 Y

All other* METRONIDAZOLE 500MG CAPSULE (PQ) METRONIDAZOLE COMPOUND 99100629 Y

All other* METRONIDAZOLE PD (PQ) METRONIDAZOLE 00963925 Y

All other* MICRO-K 8MEQ EXTENCAPS POTASSIUM CHLORIDE 02042304 Y

All other* MIDAZOLAM 1MG/ML INJECTION MIDAZOLAM HCL 02240285 Y

All other* MIDAZOLAM 5MG/ML INJECTION MIDAZOLAM HCL 02240286 Y

All other* MILK OF MAGNESIA MAGNESIUM HYDROXIDE 02207311 Y

All other* MINARD'S LINIMENT AMMONIA/CAMPHOR/TURPENTINE OIL02238185 Y

All other* MIRANOVA 21 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02296934 Y

All other* MIRANOVA 28 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02296942 Y

All other* MIRAPEX ER 0.375MG TABLET PRAMIPEXOLE DI-HCL 02354047 Y

All other* MIRAPEX ER 0.75MG TABLET PRAMIPEXOLE DI-HCL 02354055 Y

All other* MIRAPEX ER 1.5MG TABLET PRAMIPEXOLE DI-HCL 02354063 Y

All other* MIRAPEX ER 3MG TABLET PRAMIPEXOLE DI-HCL 02354071 Y

All other* MIRAPEX ER 4.5MG TABLET PRAMIPEXOLE DI-HCL 02354098 Y

All other* MIRCERA 1000MCG/ML VIAL METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308053 Y

All other* MIRCERA 100MCG/0.3ML PFS METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308096 Y

All other* MIRCERA 100MCG/ML VIAL METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308002 Y

All other* MIRCERA 150MCG/0.3ML PFS METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308118 Y

All other* MIRCERA 200MCG/0.3ML PFS METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308126 Y

All other* MIRCERA 200MCG/ML VIAL METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308010 Y

All other* MIRCERA 250MCG/0.3ML PFS METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308134 Y

All other* MIRCERA 300MCG/ML VIAL METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308029 Y

All other* MIRCERA 400MCG/0.6ML PFS METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308142 Y

All other* MIRCERA 400MCG/ML VIAL METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308037 Y

All other* MIRCERA 50MCG/0.3ML PFS METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308061 Y

All other* MIRCERA 50MCG/ML VIAL METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02307995 Y

All other* MIRCERA 600MCG/0.6ML PFS METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308150 Y

All other* MIRCERA 600MCG/ML VIAL METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308045 Y

All other* MIRCERA 75MCG/0.3ML PFS METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA02308088 Y

All other* MIX: DICLOFENAC/NSAID COMPOUNDS DICLOFENAC SODIUM 00999984 Y

All other* MIX: PROGESTERONE MIXTURE ADMINISTRATIVE DIN 90800233 Y

All other* MIX:DISULFIRAM 250MG CAPSULE (NS) DISULFIRAM 00903079 Y

All other* MIX:HYDROCORTISONE 0.5% IN SOFT PETROLATUM (NS) HYDROCORTISONE 00903175 Y

All other* MIX:HYDROCORTISONE 1% IN DERMABASE (NS) HYDROCORTISONE 00903132 Y

All other* MIX:HYDROCORTISONE 1% IN GLAXAL BASE (NS) HYDROCORTISONE 00903167 Y

All other* MIX:MAGIC MOUTH WASH (NS) 00999022 Y

All other* MIX:TOPICAL ESTROGEN(S) MIXTURE ESTROGEN/ESTRADIOL 00990111 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 22

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* MOI-STIR SPRAY LYTES/CARBOXYMETHYLCELLULOSE02238696 Y

All other* MONOJECT 1CC LUER LOCK SYR(60) NEEDLES/SYRINGES 97799769 Y

All other* MONOJECT LUER LOCK SYR 1CC(100) NEEDLES/SYRINGES 97799771 Y

All other* MONOJECT LUER LOCK SYR 1CC(100) NEEDLES/SYRINGES 97799776 Y

All other* MONOVALENT (PQ) ALLERGY SERUMS 99003813 Y

All other* MONOVALENT (PQ) ALLERGY SERUMS 99003856 Y

All other* MONOVALENT ACARIENS STAND (PQ) ALLERGY SERUMS 99003880 Y

All other* MONOVALENT ACARIENS STAND (PQ) ALLERGY SERUMS 99003937 Y

All other* MONOVALENT CHAT (PQ) ALLERGY SERUMS 99003899 Y

All other* MONOVALENT CHAT (PQ) ALLERGY SERUMS 99003945 Y

All other* MONOVALENT NON-POLLEN ET INJ ALLERGY SERUM 99100074 Y

All other* MONOVALENT STANDARDISE (PQ) ALLERGY SERUMS 99003996 Y

All other* MONOVALENT STANDARDISE (PQ) ALLERGY SERUMS 99004003 Y

All other* MONOVALENT-10ML (PQ) ALLERGY EXTRACTS 00861138 Y

All other* MONOVALENT-10ML (PQ) ALLERGY SERUMS 00861227 Y

All other* MONOVALENT-5ML (PQ) ALLERGY SERUMS 00861170 Y

All other* MONOVALENT-ACARIENS ALLERGY SERUMS 00889733 Y

All other* MONOVALENT-ACARIENS DE INJ ALLERGY SERUM 99100062 Y

All other* MONOVALENT-ACARIENS ET INJ ALLERGY SERUM 99100061 Y

All other* MONOVALENT-ACARIENS-10ML (PQ) ALLERGY SERUMS 99000431 Y

All other* MONOVALENT-ACARIENS-1OML (PQ) ALLERGY EXTRACTS 00889768 Y

All other* MONOVALENT-ACARIENS-5ML (PQ) ALLERGY SERUMS 99000415 Y

All other* MONOVALENT-CHAT DE INJ ALLERGY SERUM 99100063 Y

All other* MONOVALENT-CHAT ET INJ (PQ) ALLERGY SERUMS 99100073 Y

All other* MONOVALENT-POLLEN ET INJ ALLERGY SERUM 99100075 Y

All other* MONOVALENT-POLYVALENT EXTRACT ALLERGY SERUMS 00861073 Y

All other* MUCILLIUM PSYLLIUM 00599875 Y

All other* MUCOMYST 20% LIQ - 30ML PIN ACETYLCYSTEINE 00990833 Y

All other* MUCOMYST 20% VIAL ACETYLCYSTEINE 02091526 Y

All other* MURO-128 5% OINTMENT SODIUM CHLORIDE 00750816 Y

All other* MURO-128 5% OPH DROP SODIUM CHLORIDE 00750824 Y

All other* MYLAN-RIVASTIGMINE 1.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02332809 Y

All other* MYLAN-RIVASTIGMINE 3MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02332817 Y

All other* MYLAN-RIVASTIGMINE 4.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02332825 Y

All other* MYLAN-RIVASTIGMINE 6MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02332833 Y

All other* NACL 0.9% PETITE VOLUME (PQ) SODIUM CHLORIDE 00886807 Y

All other* NACL 0.9% PETITE VOLUME (PQ) SODIUM CHLORIDE 99002329 Y

All other* NARCOTIC COMPOUND (WCB) EXTEMPORANEOUS MIXTURES 00999776 Y

All other* NASAL + SINUS RELIEF TAB 60MG PSEUDOEPHEDRINE HCL 02192799 Y

All other* NATURAL SOURCE ORIGINAL TEXTURE FIBRE LAXATIVE UNFLAVOUREDPLANTAGO SEED 02246293 Y

All other* NEEDLES DISP 22G1 1/2(NS) NEEDLES/SYRINGES 00977624 Y

All other* NEEDLES DISP 27G1/2(NS) NEEDLES/SYRINGES 00977012 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 23

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* NEO CAL-D-500 TABLET CALCIUM CARBONATE/VITAMIN D 00720798 Y

All other* NEO-CAL D FORTE TABLET CALCIUM CARBONATE/VITAMIN D 02246984 Y

All other* NEO-FER 300MG CAPSULE FERROUS FUMARATE 00482064 Y

All other* NEO-FER CF - CAP FERROUS FUMARATE/FOLIC ACID/VITAMIN C02190370 Y

All other* NEOSPORIN BLADDER IRRIGATING SOLN NEOMY SULF/POLYMYXIN B SULFATE00666157 Y

All other* NEUTRAGEL 0.5% GEL SODIUM FLUORIDE 01922017 Y

All other* NIACIN 100MG TABLET NICOTINIC ACID 00268585 Y

All other* NIACIN 500MG TABLET NICOTINIC ACID 00294950 Y

All other* NIACIN 500MG TABLET NICOTINIC ACID 00557412 Y

All other* NIACIN 500MG TABLET NICOTINIC ACID 01939130 Y

All other* NICODERM 14MG/24HR PATCH NICOTINE 02093138 Y

All other* NICODERM 21MG/24HR PATCH NICOTINE 02093146 Y

All other* NICODERM 7MG/24HR PATCH NICOTINE 02093111 Y

All other* NICORETTE 10MG/16HR PATCH NICOTINE 02065754 Y

All other* NICORETTE 15MG/16HR PATCH NICOTINE 02065762 Y

All other* NICORETTE 5MG/16HR PATCH NICOTINE 02065738 Y

All other* NICORETTE GUM (2MG) NICOTINE POLACRILEX 02091933 Y

All other* NICORETTE GUM (4MG) NICOTINE POLACRILEX 02091941 Y

All other* NICORETTE INHALER NICOTINE 02241742 Y

All other* NICORETTE LOZENGE 2MG NICOTINE POLACRILEX 02247347 Y

All other* NICORETTE LOZENGE 4MG NICOTINE POLACRILEX 02247348 Y

All other* NICOTINE LOZENGES 1MG / THRIVE 1MG LOZENGES NICOTINE 80007461 Y

All other* NICOTINE LOZENGES 2MG / THRIVE LOZENGES 2MG NICOTINE 80007464 Y

All other* NILSTAT POWDER NYSTATIN 00999954 Y

All other* NITOMAN 25MG TABLET TETRABENAZINE 02199270 Y

All other* NON-DIABETIC NEEDLES NEEDLES/SYRINGES 00990123 Y

All other* NON-DIABETIC SYRINGES NEEDLES/SYRINGES 00990124 Y

All other* NORMACOL 62% POWDER STERCULIA URENS 02147831 Y

All other* NORMLGEL (PQ) SODIUM CHLORIDE GEL 00920533 Y

All other* NOVO-BENZYDAMINE 1.5MG/ML ORAL SOLUTION BENZYDAMINE HCL 02310422 Y

All other* NOVO-BENZYDAMINE ORAL RINSE BENZYDAMINE HCL 02229799 Y

All other* NOVO-FERROGLUC 300MG TABLET FERROUS GLUCONATE 00021458 Y

All other* NOVO-FLUNARIZINE 5MG CAPSULE FLUNARIZINE HCL 02230220 Y

All other* NOVO-HYDROCORT POWDER HYDROCORTISONE ACETATE 00151475 Y

All other* NOVO-RIVASTIGMINE 1.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02305984 Y

All other* NOVO-RIVASTIGMINE 3MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02305992 Y

All other* NOVO-RIVASTIGMINE 4.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02306018 Y

All other* NOVO-RIVASTIGMINE 6MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02306026 Y

All other* NOW POTASSIUM GLUCONATE 99MG TABLET POTASSIUM 80017673 Y

All other* NTP-MORPHINE SR 100MG TABLET MORPHINE SULFATE 02346397 Y

All other* NTP-MORPHINE SR 15MG TABLET MORPHINE SULFATE 02346362 Y

All other* NTP-MORPHINE SR 200MG TABLET MORPHINE SULFATE 02346400 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 24

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* NTP-MORPHINE SR 30MG TABLET MORPHINE SULFATE 02346370 Y

All other* NTP-MORPHINE SR 60MG TABLET MORPHINE SULFATE 02346389 Y

All other* NU-CAL 500MG TABLET CALCIUM CARBONATE 00618098 Y

All other* NU-CAL D 400 500MG-400UI CO CALCIUM/VITAMIN D 80002703 Y

All other* NU-CAL D 500MG TABLET CALCIUM CARBONATE/VITAMIN D 02244477 Y

All other* NU-DERM HYDROCOLLOID (BORDE) 10X10CM PANS DRESSINGS 99100009 Y

All other* NU-GEL GEL HYDROGEL 99100365 Y

All other* NYSTATIN PWR 5210UNITS/MG NYSTATIN 00907472 Y

All other* OBAGI CLENZIDERM ACNE LOTION BENZOYL PEROXIDE 02319837 Y

All other* O-CALCIUM 500 TABLET CALCIUM CARBONATE 00622443 Y

All other* OCCLUSAL-H.P. 26% LIQUID SALICYLIC ACID 00754951 Y

All other* ODAN K-20 MEQ SR TABLET POTASSIUM CHLORIDE 80004415 Y

All other* ODAN K-8 POTASSIUM CHLORIDE 600MG (8 MEQ) TABLET POTASSIUM CHLORIDE 80008214 Y

All other* ONGUENT DE CALAMINE CALAMINE 00050296 Y

All other* OPTICHAMBER MASK LARGE MASK FOR AEROCHAMBER 00963372 Y

All other* OPTICHAMBER MASK MEDIUM MASK FOR AEROCHAMBER 00963313 Y

All other* OPTICHAMBER MASK SMALL MASK FOR AEROCHAMBER 00963267 Y

All other* OPTREX EYE DROPS HAMAMELIS VIRGINIANA 02243422 Y

All other* OPTREX STERILE EYE WASH HAMAMELIS VIRGINIANA 02229518 Y

All other* ORACORT 0.1% DENTAL PASTE TRIAMCINOLONE ACETONIDE 01964054 Y

All other* ORAGARD-B ANALGESIC ORAL PASTE BENZOCAINE 02027380 Y

All other* ORAJEL MAXIMUM STRENGTH BENZOCAINE 01985396 Y

All other* ORAJEL MAXIMUM STRENGTH LIQ 20% BENZOCAINE 01985620 Y

All other* ORAJEL MOUTH SORE MEDICINE BENZOCAINE/ZINC CHLORIDE 02241509 Y

All other* ORAJEL PM BENZOCAINE 02230520 Y

All other* ORAJEL REGULAR STRENGTH BENZOCAINE 02256363 Y

All other* ORAL-B ALC FREE MOUTHWASH WITH CETYL CHLORIDE/SODIUM FLUORIDE02130823 Y

All other* ORAL-B MOUTHWASH WITH FLUORIDE CETYL CHLORIDE/SODIUM FLUORIDE02128810 Y

All other* ORGALUTRAN 250MCG/0.5ML INJECTION GANIRELIX ACETATE 02245641 Y

All other* ORO NAF DAILY RINCE/FLUOR SODIUM FLUORIDE 01930133 Y

All other* ORO-CLEAR 0.12% ORAL RINSE CHLORHEXIDINE GLUCONATE 02291096 Y

All other* ORO-CLENSE 0.12% LIQUID CHLORHEXIDINE GLUCONATE 02209055 Y

All other* ORO-CLENSE ORAL RINSE CHLORHEXIDINE GLUCONATE 00796468 Y

All other* OROMIN MOUTHWASH CALCIUM CHL/SODIUM FLUOR/SODIUM PHOS MONO02240336 Y

All other* ORZEL TABLET TEGAFUR/URACIL/LEUCOVORIN CALCIUM02243681 Y

All other* OSMOPAK PLUS OINTMENT MAGNESIUM SULFATE/BENZOCAINE00385387 Y

All other* OSTEOCIT 315MG TABLET CALCIUM CITRATE 02241809 Y

All other* OTRIVIN SALINE 0.7% DROPS SODIUM CHLORIDE 00857777 Y

All other* OTRIVIN SALINE 0.7% SPRAY SODIUM CHLORIDE 00810436 Y

All other* OUT OF COUNTRY ADMINISTRATIVE DIN 00999904 Y

All other* OXIPOR LOTION BENZOCAINE/COAL TAR/SAL ACID 02230134 Y

All other* OXY DAILY DEEP CLEANING PADS SALICYLIC ACID 02240903 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 25

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* OXY DAILY DEEP PORE FACIAL CLEANSER SALICYLIC ACID 02236775 Y

All other* OYSTER SHELL CALCIUM 500 MG WITH VITAMIN D CALCIUM CARBONATE/VITAMIN D 02248374 Y

All other* OZONOL OINTMENT ZINC OXIDE/PHENOL 02152819 Y

All other* P&S LIQUID PHENOL LIQUID 00054232 Y

All other* P&S SHAMPOO SALICYLIC ACID/LACTIC ACID 00475238 Y

All other* PALAFER 300MG CAPSULE FERROUS FUMARATE 01923420 Y

All other* PALAFER 300MG/5ML SUSP FERROUS FUMARATE 01923439 Y

All other* PALAFER CF CAPSULE SA FERROUS FUMARATE/FOLIC ACID/VITAMIN C01923455 Y

All other* PANCRE ZYME CAPSULE AMYLASE/LIPASE/PROTEASE 00351148 Y

All other* PANCREATIN TABLET AMYLASE/LIPASE/PROTE/PANCREAT00728942 Y

All other* PANCREATIN-840 TABLET PANCREATIN 00783331 Y

All other* PARIODEX 10% LIQUID POVIDONE-IODINE 00640255 Y

All other* PARVOLEX 200MG VIAL ACETYLCYSTEINE 02181460 Y

All other* PCXX ANTICARIES 0.5% GEL SODIUM FLUORIDE 02149923 Y

All other* PCXX ONE MINUTE APF FOAM SODIUM FLUORIDE/PHOSPHORIC ACID02242511 Y

All other* PDF 0.2% ORAL SOLUTION SODIUM FLUORIDE 02152169 Y

All other* PEDIAFER 15MG/ML ORAL SOLUTION FERROUS SULPHATE 02232202 Y

All other* PEDIAFER SOLUTION 30MG/5ML FERROUS SULPHATE 02242863 Y

All other* PEDIAFLUOR SOLUTION 5.56MG/ML SODIUM FLUORIDE 02245747 Y

All other* PEDIALYTE FRUIT (ON) ELECTROLYTE SOLUTIONS 00981095 Y

All other* PEDIALYTE SOLUTION FLAVOURED ELECTROLYTE SOLUTIONS 00905372 Y

All other* PEDIALYTE SOLUTION REGULAR ELECTROLYTE-ORAL 00630365 Y

All other* PEDIATRIC ELECTROLYTE SOLUTION ELECTROLYTE-ORAL 02219883 Y

All other* PEDIAVIT D 400IU/ML ORAL LIQUID ERGOCALCIFEROL 02231624 Y

All other* PEDIAVIT D LIQUID VITAMIN D 80003285 Y

All other* PENATEN CREAM ZINC OXIDE 02243036 Y

All other* PERCHLORACAP 200MG CAPSULE POTASSIUM PERCHLORATE 00647705 Y

All other* PERFECT CHOICE 1.23% GEL SODIUM FLUORIDE 00802069 Y

All other* PERFECT CHOICE NEUTRAL 2% SOD. FLUORIDE GEL SODIUM FLUORIDE 00852368 Y

All other* PERICHLOR .12% ORAL RINSE CHLORHEXIDINE GLUCONATE 02240433 Y

All other* PERIDEX 0.12% ORAL RINSE CHLORHEXIDINE GLUCONATE 02237452 Y

All other* PERIOGARD 1.2MG/ML SOLUTION CHLORHEXIDINE GLUCONATE 02207796 Y

All other* PERIOMAX MOUTHWASH HYDROGEN PEROXIDE 02246812 Y

All other* PEROXIDE D'HYDROGENE SOLUTION 3% HYDROGEN PEROXIDE 00579297 Y

All other* PERSONNELLE BATH TREATMENT WITH OATMEAL OATS 02247059 Y

All other* PHENOBILE II TABLET CASCARA/SENNOSIDES A&B/BILE 02240607 Y

All other* PHILLIPS' MAGNESIA TABLET MAGNESIUM HYDROXIDE 02150638 Y

All other* PHILLIPS' MILK OF MAGNESIA MAGNESIUM HYDROXIDE 02150646 Y

All other* PHISODERM FACIAL CLEANSER SALICYLIC ACID 02243578 Y

All other* PHL- CALCIUM 500 + D 400IU CAPLET CALCIUM/VITAMIN D 80003414 Y

All other* PHL-CALCIUM 500 + D 200 IU CAPLET CALCIUM/VITAMIN D 80005934 Y

All other* PHL-RIVASTIGMINE 1.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02308169 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 26

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CANADA POST CORPORATION

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LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* PHL-RIVASTIGMINE 3MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02308177 Y

All other* PHL-RIVASTIGMINE 4.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02308185 Y

All other* PHL-RIVASTIGMINE 6MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02308193 Y

All other* PHL-SENNOSIDES SENNA 02298090 Y

All other* PHL-SENNOSIDES SENNOSIDES 02298104 Y

All other* PHOS-FLUR 0.02% RINSE CHRY SODIUM FLUORIDE 02027437 Y

All other* PHYSIOMENTHOL GEL 2% MENTHOL 00794597 Y

All other* PIN BLANC COMPOSE SYRUP EUCALYPTOL/HONEY/WHITE PINE 00439673 Y

All other* PIN: ACETYLSALICYLIQUE (ACIDE) 300MG-325MG TABLET(PQ) ACETYLASLICYLIC ACID 99100345 Y

All other* PIN:DISP NDL 27GX1/2 BD NEEDLES 00999093 Y

All other* PIN:GLYCOPYRROLATE USP PWDR GLYCOPYRROLATE 95208764 Y

All other* PIN:MICONAZOLE NITRATE USP MICONAZOLE NITRATE 95003840 Y

All other* PIN:MICONAZOLE USP PWDR MICONAZOLE PWDR 95023947 Y

All other* PIN:PEG 3350 GRANULES POLYETHYLENE GLYCOL 3350 12100578 Y

All other* PIN:RESORCINOL CRYSTALS USP RESORCINOL CRYSTALS 95049442 Y

All other* PLACEBO 100MG TABLET LACTOSE 00501190 Y

All other* PMS-BENZYDAMINE ORAL RINSE BENZYDAMINE HCL 02229777 Y

All other* PMS-DICITRATE SOLUTION SODIUM CITRATE/CITRIC ACID 00721344 Y

All other* PMS-FERROUS SULF 125MG/ML FERROUS SULPHATE 00816035 Y

All other* PMS-FERROUS SULF 150MG/5ML FERROUS SULPHATE 00792675 Y

All other* PMS-FERROUS SULF 15MG/MLDROPS FERROUS SULPHATE 02222574 Y

All other* PMS-FERROUS SULF 300MG TABLET FERROUS SULPHATE 00586323 Y

All other* PMS-GALANTAMINE 12MG TABLET GALANTAMINE HYDROBROMIDE 02333392 Y

All other* PMS-GALANTAMINE 4MG TABLET GALANTAMINE HYDROBROMIDE 02333376 Y

All other* PMS-GALANTAMINE 8MG TABLET GALANTAMINE HYDROBROMIDE 02333384 Y

All other* PMS-MEMANTINE 10MG TABLET MEMANTINE HCL 02321130 Y

All other* PMS-P-EPHEDRINE 6MG/ML SYRUP PSEUDOEPHEDRINE HCL 00815993 Y

All other* PMS-PHOSPHATES SOLUTION NA PHOS/M-B/NA PHOS/DI-BA 02230399 Y

All other* PMS-POTASSIUM CHLORIDE ORAL LIQUID POTASSIUM CHLORIDE 02238604 Y

All other* PMS-POTASSIUM GL 20MEQ/15ML POTASSIUM GLUCONATE 02074087 Y

All other* PMS-PSEUDOEPHEDRINE 60MG TABLET PSEUDOEPHEDRINE HCL 02010461 Y

All other* PMS-RIVASTIGMINE 1.5MG CAPSULE RIVASTIGMINE 02306034 Y

All other* PMS-RIVASTIGMINE 3MG CAPSULE RIVASTIGMINE 02306042 Y

All other* PMS-RIVASTIGMINE 4.5MG CAPSULE RIVASTIGMINE 02306050 Y

All other* PMS-RIVASTIGMINE 6MG CAPSULE RIVASTIGMINE 02306069 Y

All other* PMS-SENNOSIDES 12MG TABLET SENNOSIDES 00896403 Y

All other* PMS-SENNOSIDES 8.6MG TABLET SENNOSIDES 00896411 Y

All other* PODOPHYLLIN POWDER (PQ) PODOPHYLLIN 00902454 Y

All other* POLLINEX R VIAL-0.5ML POLLEN EXTRACTS 00464988 Y

All other* POLLINEX-R-SV-1ML (PQ) POLLEN EXTRACTS 99000350 Y

All other* POLYVALENT - POLLEN DE INJ ALLERGY SERUM 99100067 Y

All other* POLYVALENT - POLLEN ET INJ ALLERGY SERUM 99100079 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 27

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* POLYVALENT - POLLENS - A DE INJ ALLERGY SERUM 99100068 Y

All other* POLYVALENT - POLLENS - A ET INJ ALLERGY SERUM 99100080 Y

All other* POLYVALENT (PQ) ALLERGY SERUMS 99003791 Y

All other* POLYVALENT (PQ) ALLERGY SERUMS 99003805 Y

All other* POLYVALENT 5ML(PQ)/AVON AP ALLERGY SERUMS 00861081 Y

All other* POLYVALENT ACARIENS (PQ) ALLERGY SERUMS 99003910 Y

All other* POLYVALENT ACARIENS (PQ) ALLERGY SERUMS 99003961 Y

All other* POLYVALENT CHAT (PQ) ALLERGY SERUMS 99003929 Y

All other* POLYVALENT CHAT (PQ) ALLERGY SERUMS 99003988 Y

All other* POLYVALENT NON-POLLEN DE INJ ALLERGY SERUM 99100066 Y

All other* POLYVALENT NON-POLLEN ET INJ ALLERGY SERUM 99100078 Y

All other* POLYVALENT POLLEN/ACARIENS (PQ) ALLERGY SERUMS 99003821 Y

All other* POLYVALENT POLLEN/ACARIENS (PQ) ALLERGY SERUMS 99003864 Y

All other* POLYVALENT POLLEN/ACARIENS (PQ) ALLERGY SERUMS 99003902 Y

All other* POLYVALENT POLLEN/ACARIENS (PQ) ALLERGY SERUMS 99003953 Y

All other* POLYVALENT STANDARDISE (PQ) ALLERGY SERUMS 99004097 Y

All other* POLYVALENT STANDARDISE (PQ) ALLERGY SERUMS 99004100 Y

All other* POLYVALENT-10ML (PQ) ALLERGY SERUMS 00861162 Y

All other* POLYVALENT-10ML (PQ) ALLERGY SERUMS 00861251 Y

All other* POLYVALENT-5ML (PQ) ALLERGY SERUMS 00861189 Y

All other* POLYVALENT-ACARIENS ALLERGY SERUMS 00889741 Y

All other* POLYVALENT-ACARIENS DE INJ ALLERGY SERUM 99100064 Y

All other* POLYVALENT-ACARIENS ET INJ ALLERGY SERUM 99100076 Y

All other* POLYVALENT-ACARIENS-10ML (PQ) ALLERGY SERUMS 00889725 Y

All other* POLYVALENT-ACARIENS-1OML (PQ) ALLERGY EXTRACTS 00889776 Y

All other* POLYVALENT-ACARIENS-5ML (PQ) ALLERGY SERUMS 99000423 Y

All other* POLYVALENT-CHAT DE INJ ALLERGY SERUM 99100065 Y

All other* POLYVALENT-CHAT ET INJ ALLERGY SERUM 99100077 Y

All other* POTASSIUM 50MG TABLET POTASSIUM 80004841 Y

All other* POTASSIUM 50MG TABLET POTASSIUM 80015552 Y

All other* POTASSIUM 99MG TABLET POTASSIUM CITRATE 00700495 Y

All other* POTASSIUM 99MG TABLET POTASSIUM 80000337 Y

All other* POTASSIUM CHELATED 50MG TABLET POTASSIUM GLUCONATE 00525332 Y

All other* POTASSIUM CITRATE 100MG CAPSULE POTASSIUM 80007291 Y

All other* POTASSIUM CITRATE 1080MG/10MEQ LIQUID POTASSIUM CITRATE 80011529 Y

All other* POTASSIUM CITRATE 99MG POTASSIUM CITRATE 02243693 Y

All other* POTASSIUM CITRATE 99MG CAPSULE POTASSIUM CITRATE 02115603 Y

All other* POTASSIUM GLUC 50MG TABLET POTASSIUM GLUCONATE 00316121 Y

All other* POTASSIUM GLUCONATE 50MG POTASSIUM GLUCONATE 00598658 Y

All other* POTASSIUM GLUCONATE 550MG TABLET USP POTASSIUM 02239871 Y

All other* POTASSIUM GLUCONATE 99MG CAPLET POTASSIUM GLUCONATE 80012044 Y

All other* POVIDONE-IODEE 10% SOLUTION POVIDONE-IODINE 00832081 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 28

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* POVIDONE-IODINE 10% OINT POVIDONE-IODINE 00490008 Y

All other* POVIDONE-IODINE 10% PAD POVIDONE-IODINE 00489948 Y

All other* POVIDONE-IODINE 10% SOLN POVIDONE-IODINE 00516341 Y

All other* POVIDONE-IODINE 10% SWAB POVIDONE-IODINE 00489964 Y

All other* POVIDONE-IODINE SCRUB SWAB POVIDONE-IODINE 00597937 Y

All other* PREPARATION H CREAM SRF/SHARK LIVER OIL 00886750 Y

All other* PREPARATION H OINTMENT SRF/SHARK LIVER OIL 01926217 Y

All other* PREPARATION H SUPPOSITORY SRF/SHARK LIVER OIL 01950509 Y

All other* PRESAISONNIER 5ML (PQ) ALLERGY SERUMS 99003686 Y

All other* PRESAISONNIER 5ML (PQ) ALLERGY SERUMS 99003740 Y

All other* PRESAISONNIER- ARBES ET (PQ) ALLERGENES (EXTRACTS PRECIPTATES A L'ALUN)99100625 Y

All other* PRESAISONNIER- ARBRES / GRAMINEES / HERBE A POUX DE INJALLERGY SERUM 99100070 Y

All other* PRESAISONNIER- ARBRES / GRAMINEES / HERBE A POUX ET INJALLERGY SERUM 99100082 Y

All other* PRESAISONNIER- ARBRES / GRAMINEES / HERBE A POUX ET INJALLERGY SERUM 99100083 Y

All other* PRESAISONNIER- ARBRES ET GRAMINEES DE INJ ALLERGY SERUM 99100069 Y

All other* PRESAISONNIER- GRAMINEES DE INJ ALLERGY SERUM 99100071 Y

All other* PRESAISONNIER- HERBE A POUX DE INJ ALLERGY SERUM 99100072 Y

All other* PRESAISONNIER-ARBES 5ML (PQ) ALLERGY SERUMS 99003651 Y

All other* PRESAISONNIER-ARBES 5ML (PQ) ALLERGY SERUMS 99003694 Y

All other* PRESAISONNIER-ARBES 5ML (PQ) ALLERGY SERUMS 99003716 Y

All other* PRESAISONNIER-ARBES 5ML (PQ) ALLERGY SERUMS 99003724 Y

All other* PRESAISONNIER-ARBES 5ML (PQ) ALLERGY SERUMS 99003759 Y

All other* PRESAISONNIER-ARBES 5ML (PQ) ALLERGY SERUMS 99003775 Y

All other* PRESAISONNIER-GRAMINEES (PQ) ALLERGY SERUMS 99003708 Y

All other* PRESAISONNIER-GRAMINEES (PQ) ALLERGY SERUMS 99003767 Y

All other* PRESAISONNIER-GRAMINEES 5ML (PQ) ALLERGY SERUMS 99003678 Y

All other* PRESAISONNIER-GRAMINEES 5ML (PQ) ALLERGY SERUMS 99003732 Y

All other* PREVIDENT 5000 PLUS 0.5% CREAM SODIUM FLUORIDE 02210754 Y

All other* PREVIDENT BRUSH-ON GEL SODIUM FLUORIDE 02027488 Y

All other* PROACTIV SOLUTION:REFINING MASK SULPHUR 02239397 Y

All other* PRO-CAL-D 500MG-400IU CAPLET CALCIUM/VITAMIN D 80008566 Y

All other* PRO-DENTX CHLORHEXIDINE ORAL RINSE CHLORHEXIDINE GLUCONATE 02241591 Y

All other* PRODIEM OVERNIGHT 15MG TABLET SENNOSIDES 02246576 Y

All other* PROFERRIN 11MG TABLET HEME IRON POLYPEPTIDE 02247909 Y

All other* PROGESTERONE PD (PQ) PROGESTERONE 00963593 Y

All other* PROGESTERONE PD (PQ) PROGESTERONE PWDR 00963836 Y

All other* PROMATUSSIN D.M. ADULT PROMETHAZINE HCL 02225662 Y

All other* PRONAL CAPSULE ASA/CAFFEINE/BUTALBITAL 02229733 Y

All other* PRONAL TABLET ASA/CAFFEINE/BUTALBITAL 02229736 Y

All other* PROPADERM-C CREAM CLIOQUINOL/BECLOMET DIPROP 01944819 Y

All other* PROSTIGMIN 15MG TABLET NEOSTIGMINE BROMIDE 00869945 Y

All other* PROVIODINE DERMA 7.5% SOLUTION POVIDONE-IODINE 00172936 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 29

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* PROVIODINE HYDRO 10% SOLN POVIDONE-IODINE 00172944 Y

All other* PSORIASIN S/A THERAPEUTIC SHAMPOO SALICYLIC ACID 02241695 Y

All other* PSYLLIUM SEED HUSKS 520MG CAPSULES PSYLLIUM 02247435 Y

All other* PULMOZYME 1MG/ML AMPOULE DORNASE ALFA 02046733 Y Y

All other* PURILON GEL DRESSINGS 99100152 Y

All other* QUENCH ESSENTIALS POTASSIUM 6 30MG/5ML LIQUID POTASSIUM 80012990 Y

All other* QUICK SET THIXOTROPIC FLUORIDE GEL SODIUM FLUORIDE/PHOSPHORIC ACID/SODIUM PHOSPHATE MONOBASIC00472840 Y

All other* RADBLOCK 65MG TABLET POTASSIUM IODIDE 02248172 Y

All other* RATIO-BENZYDAMINE LIQ 0.15% BENZYDAMINE HCL 02230170 Y

All other* RATIO-CALCIUM LIQUID CALCIUM GLUCOHEP/GLUCONATE 00466425 Y

All other* RATIO-GALANTAMINE 12MG TABLET GALANTAMINE HYDROBROMIDE 02270803 Y

All other* RATIO-GALANTAMINE 4MG TABLET GALANTAMINE HYDROBROMIDE 02270773 Y

All other* RATIO-GALANTAMINE 8MG TABLET GALANTAMINE HYDROBROMIDE 02270781 Y

All other* RATIO-MAGNESIUM 100MG/ML LIQUID MAGNESIUM GLUCOHEPTONATE 00026697 Y

All other* RATIO-MEMANTINE 10MG TABLET MEMANTINE HYDROCHLORIDE 02320908 Y

All other* RATIO-RIVASTIGMINE 1.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02311283 Y

All other* RATIO-RIVASTIGMINE 3MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02311291 Y

All other* RATIO-RIVASTIGMINE 4.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02311305 Y

All other* RATIO-RIVASTIGMINE 6MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02311313 Y

All other* RATIO-SILDENAFIL R 20MG TABLET SILDENAFIL CITRATE 02319500 Y

All other* RATIO-TECNAL CAPSULE ASA/CAFFEINE/BUTALBITAL 00608238 Y

All other* RATIO-TECNAL TABLET ASA/CAFFEINE/BUTALBITAL 00608211 Y

All other* REIM: LOCAL ANESTHETIC MD INJ (PQ) ADMINISTRATIVE DIN 00990210 Y

All other* REIM: METHADONE COMPOUND (GWL) METHADONE COMPOUND 97000999 Y

All other* REIM: XYLOCAINE/MARCAINE/LIQUID NITROGEN (STANDARD LIFE)XYLOCAINE/MARCAINE/LIQUID NITROGEN00990286 Y

All other* REIM:DRUGS/INJECTIONS REC'D IN DR OFFICE/CLINIC ADMINISTRATIVE DIN 00990337 Y

All other* REIMBURSE : ALLERGY SERUMS ALLERGY SERUMS/EXTRACTS 99998888 Y

All other* REIMBURSEMENT OUT OF COUNTRY ADMINISTRATIVE DIN 00444444 Y

All other* REIMBURSEMENT OVER AGE 65 ADMINISTRATIVE DIN 88888888 Y

All other* RELIEVE DISPOSABLE ENEMA SOD PHOS DI-MONOBASIC 02239056 Y

All other* REMINYL 12MG TABLET GALANTAMINE HYDROBROMIDE 02244300 Y

All other* REMINYL 16MG ER CAPSULE GALANTAMINE HYDROBROMIDE 02266725 Y

All other* REMINYL 24MG ER CAPSULE GALANTAMINE HYDROBROMIDE 02266733 Y

All other* REMINYL 4MG TABLET GALANTAMINE HYDROBROMIDE 02244298 Y

All other* REMINYL 4MG/ML LIQUID GALANTAMINE HYDROBROMIDE 02244302 Y

All other* REMINYL 8MG ER CAPSULE GALANTAMINE HYDROBROMIDE 02266717 Y

All other* REMINYL 8MG TABLET GALANTAMINE HYDROBROMIDE 02244299 Y

All other* REMODULIN 10MG/ML INJECTION TREPROSTINIL SODIUM 02246555 Y Y

All other* REMODULIN 1MG/ML INJECTION TREPROSTINIL SODIUM 02246552 Y Y

All other* REMODULIN 2.5MG/ML INJECTION TREPROSTINIL SODIUM 02246553 Y Y

All other* REMODULIN 5MG/ML INJECTION TREPROSTINIL SODIUM 02246554 Y Y

All other* RESIDUAL CARRIER PSEUDODIN ADMINISTRATIVE DIN 00999122 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 30

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* REVATIO 20MG TABLET SILDENAFIL CITRATE 02279401 Y Y

All other* RHINARIS SALINE SODIUM CHLORIDE 02229391 Y

All other* RICIN HUILE DE CASTOR OIL 00050660 Y

All other* RILUTEK 50MG TABLET RILUZOLE 02242763 Y

All other* RIVA D 400IU CAPSULE VITAMIN D 80005560 Y

All other* RIVA K 20 SR TABLET POTASSIUM CHLORIDE 02243975 Y

All other* RIVA K 8 SR CAPSULE POTASSIUM CHLORIDE 02244068 Y

All other* RIVA-MEMANTINE 10MG TABLET MEMANTINE HCL 02348950 Y

All other* RIVA-SENNA 8.6MG TABLET SENNOSIDES 01949292 Y

All other* RIVASTIGMINE 1.5MG CAPSULE RIVASTIGMINE 02312492 Y

All other* RIVASTIGMINE 3MG CAPSULE RIVASTIGMINE 02312506 Y

All other* RIVASTIGMINE 4.5MG CAPSULE RIVASTIGMINE 02312514 Y

All other* RIVASTIGMINE 6MG CAPSULE RIVASTIGMINE 02312522 Y

All other* ROLAIDS ANTACID REGULAR STRENGTH TABLET CALCIUM CARB/MAGNESIUM HYDROXIDE02239904 Y

All other* ROLAIDS EX STRENGTH CHEW TABLET CALCIUM CARB/MAGNESIUM HYDROXIDE02240505 Y

All other* ROLAIDS SOFT CHEWS ULTRA STRENGTH CALCIUM CARBONATE 02247315 Y

All other* RUB A 535 DUAL ACTION CREAM CAMPHOR/EUC OIL/MENTHOL/METHYL SALICYLATE02248563 Y

All other* RUB A535 ARTHRITIS EXTRA STRENGTH ROLL-ON CAPSAICIN/MENTHOL/TROLAMINE SALICYLATE02315548 Y

All other* RUB A-535 CAPSAICIN CREAM CAPSAICIN 02241872 Y

All other* RUB A-535 EXTRA STRENGTH OINTMENT CAMPHOR/EUCALYPTUS/MENTHOL/SALICYLATE02222116 Y

All other* RUB A-535 HEAT OINTMENT CAMPHOR/EUCALYPTUS/MENTHOL/SALICYLATE02222108 Y

All other* RUB A-535 ICE 4% GEL MENTHOL 02222124 Y

All other* RUB A-535 SPORT ICE 5% GEL MENTHOL 02241421 Y

All other* RUB A-535 SPORT ULTRA HEAT CREAM EUCALYPTUS/SALICYLATE 02241447 Y

All other* RUNNY NOSE AND COUGH LIQUID BROMPHENIRAMINE/DM/PHENYLEPHRINE 02328658 Y

All other* SALICYCLIC ACID TOP CPDS (NS) EXTEMPORANEOUS MIXTURES 00900788 Y

All other* SANDOZ RIVASTIGMINE 1.5MG CAPSULE RIVASTIGMINE 02324563 Y

All other* SANDOZ RIVASTIGMINE 3MG CAPSULE RIVASTIGMINE 02324571 Y

All other* SANDOZ RIVASTIGMINE 4.5MG CAPSULE RIVASTIGMINE 02324598 Y

All other* SANDOZ RIVASTIGMINE 6MG CAPSULE RIVASTIGMINE 02324601 Y

All other* SANDOZ-DORZOLAMIDE 20MG/ML OPH SOLN DORZOLAMIDE HCL 02316307 Y

All other* SANDOZ-MEMANTINE 10MG TABLET MEMANTINE HCL 02344807 Y

All other* SCALPICIN TOPICAL LIQUID SALICYLYIC ACID/MENTHOL 02238043 Y

All other* SCLEROTHERAPY - $10 ADMINISTRATIVE DIN 10988888 Y

All other* SCLEROTHERAPY - $100 ADMINISTRATIVE DIN 69888888 Y

All other* SCLEROTHERAPY - $15.00 ADMINISTRATIVE DIN 19888888 Y

All other* SCLEROTHERAPY - $20.00 ADMINISTRATIVE DIN 29888888 Y

All other* SCLEROTHERAPY - $200.00 ADMINISTRATIVE DIN 59288888 Y

All other* SCLEROTHERAPY - $25.00 ADMINISTRATIVE DIN 29988888 Y

All other* SCLEROTHERAPY - $30.00 ADMINISTRATIVE DIN 99888888 Y

All other* SCLEROTHERAPY - $35.00 ADMINISTRATIVE DIN 39888888 Y

All other* SCLEROTHERAPY - $37.50 ADMINISTRATIVE DIN 37508888 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 31

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* SCLEROTHERAPY - $40.00 ADMINISTRATIVE DIN 49888888 Y

All other* SCLEROTHERAPY - $45.00 ADMINISTRATIVE DIN 49988888 Y

All other* SCLEROTHERAPY - $50.00 ADMINISTRATIVE DIN 79888888 Y

All other* SCLEROTHERAPY - $60.00 ADMINISTRATIVE DIN 60988888 Y

All other* SCLEROTHERAPY - $8 ADMINISTRATIVE DIN 89888888 Y

All other* SCLEROTHERAPY -$250.00 ADMINISTRATIVE DIN 59888888 Y

All other* SEBCUR 4% SHAMPOO SALICYLIC ACID 00666106 Y

All other* SELEGEL 1% LOTION SELENIUM SULFIDE 02245007 Y

All other* SELSUN 2.5% SHAMPOO SELENIUM SULFIDE 00243000 Y

All other* SELSUN BLUE 1% SHAMPOO OILY HAIR SELENIUM SULFIDE 01950487 Y

All other* SENNA 8.6MG TABLET USP SENNA 80009595 Y

All other* SENNA LAXATIVE TABLET SENNOSIDES 02237105 Y

All other* SENNALAX 1.7MG/ML SYRUP SENNA 02144379 Y

All other* SENNAPREP LIQUID SENNA 02084651 Y

All other* SENNATAB 8.6MG TABLET SENNOSIDES 02068109 Y

All other* SENNOSIDES 12MG COATED TABLET SENNOSIDE 80009183 Y

All other* SENNOSIDES 8.6MG COATED TABLET SENNOSIDE 80009182 Y

All other* SENOKOT 1.7MG/ML SYRUP SENNA 00367729 Y

All other* SENOKOT 8.6MG TABLET SENNOSIDES 00026158 Y

All other* SENSIPAR 30MG TABLET CINACALCET HCL 02257130 Y Y

All other* SENSIPAR 60MG TABLET CINACALCET HCL 02257149 Y Y

All other* SENSIPAR 90MG TABLET CINACALCET HCL 02257157 Y Y

All other* SEREVENT & DISKHALER (PQ) DEVICE 99000091 Y

All other* SERINGUE ET AIGUILLE(S) 10CC JETABLE NEEDLES/SYRINGES 99002221 Y

All other* SERINGUE ET AIGUILLE(S) 3CC JETABLE NEEDLES/SYRINGES 99002205 Y

All other* SERINGUE ET AIGUILLE(S) 5CC JETABLE NEEDLES/SYRINGES 99002213 Y

All other* SERINGUE JETABLE 10CC (SANS AIGUILLE) NEEDLES/SYRINGES 99002191 Y

All other* SERINGUE JETABLE 3CC (SANS AIGUILLE) NEEDLES/SYRINGES 99002175 Y

All other* SERINGUE JETABLE 5CC (SANS AIGUILLE) NEEDLES/SYRINGES 99002183 Y

All other* SH-206 SHAMPOO ACETIC AC/CAMPH/SLS/LEM OIL 01992902 Y

All other* SIALGEN SPRAY CA MG K NA CHLORIDE K PHOSPHATE02239648 Y

All other* SIBELIUM 5MG CAPSULE FLUNARIZINE HCL 00846341 Y

All other* SIMPLE SYRUP SIMPLE SYRUP 00905038 Y

All other* SLOW-FE 160MG TABLET SA FERROUS SULFATE 00623520 Y

All other* SLOW-FE FOLIC TABLET SA FERROUS SULFATE/FOLIC ACID 00795208 Y

All other* SODIUM (CHLORURE) INH SODIUM CHLORIDE 00801267 Y

All other* SODIUM (CITRATE DE ANYHYDRE) SODIUM CITRATE 99002779 Y

All other* SODIUM BICARB 300MG TABLET SODIUM BICARBONATE 00481912 Y

All other* SODIUM CHLORIDE 0.9% IRRIG SODIUM CL IRRIG SOLN 00037834 Y

All other* SODIUM CHLORIDE 0.9% VIAL BACTERIOSTATIC SODIUM CHLORIDE00402249 Y

All other* SODIUM CHLORIDE 9MG/ML NASAL SOLUTION SODIUM CHLORIDE 00851388 Y

All other* SODIUM CHLORIDE INJ 234MG/ML (PQ) SODIUM CHLORIDE 99100498 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 32

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* SOFT T CLEANSE SPRAY BENZALKONIUM CHLORIDE 02272911 Y

All other* SOLIRIS 10MG/ML IV SOLUTION ECULIZUMAB 02322285 Y Y

All other* SOLN DE PEROXIDE D'HYDROGEN HYDROGEN PEROXIDE 00485721 Y

All other* SOLU FLUR 7.5% SODIUM FLUORIDE 02034549 Y

All other* SOLU FLUR POWDER SODIUM FLUORIDE 00333026 Y

All other* SOLUVER 20% LIQUID SALICYLIC ACID 00690333 Y

All other* SOLUVER PLUS 27% LIQUID SALICYLIC ACID 00837733 Y

All other* SOMAVERT 10MG VIAL PEGVISOMANT 02272199 Y Y

All other* SOMAVERT 15MG VIAL PEGVISOMANT 02272202 Y Y

All other* SOMAVERT 20MG VIAL PEGVISOMANT 02272210 Y Y

All other* SOOTHING CREAM HYDROCORTISONE ACETATE 02131447 Y

All other* SORBITAN SORBITOL 00903469 Y

All other* SOUDE BICARBONATE DE SODIUM BICARBONATE 00050008 Y

All other* SOUFRE (PRECIPITE) SULFUR 00901733 Y

All other* SOUFRE (SUBLIME) SULFUR-SUBLIMED 00896217 Y

All other* STELARA 90MG/ML INJECTION USTEKINUMAB 02320681 Y Y

All other* STERILE DILUENT FOR ALLERGENIC EXTRACT - ALBUMIN SALINE WITH PHEALBUMIN 02283735 Y

All other* STERILE WATER FOR INH. USP 3ML WATER FOR INHALATION 00770507 Y

All other* STERILE WATER FOR INJECTION WATER FOR INJECTION-STERILE 00402257 Y

All other* STERILE WATER FOR INJECTION WATER FOR INJ.-BACTERIOSTATIC00038202 Y

All other* STERILE WATER FOR INJECTION WATER FOR INJECTION-STERILE 00038245 Y

All other* STERILE WATER FOR INJECTION WATER FOR INJECTION-STERILE 00624721 Y

All other* STERILE WATER FOR INJECTION WATER FOR INJECTION-STERILE 01927930 Y

All other* STERILE WATER FOR INJECTION WATER FOR INJECTION-STERILE 02142546 Y

All other* STERILE WATER FOR INJECTION USP WATER FOR INJECTION-STERILE 02269570 Y

All other* STERILE WATER FOR INJECTION USP WATER FOR INJECTION-STERILE 02299186 Y

All other* STERIMAR 0.9% SPRAY SODIUM CHLORIDE 02242273 Y

All other* STERISOL LIQUID HEXETIDINE 01946900 Y

All other* STOMACH EASE HERBAL LAXATIVE TABLET 00116106 Y

All other* SUDAFED DECONG 12HR CAPLET PSEUDOEPHEDRINE HCL 02238099 Y

All other* SUDOCREM CREAM ZINC OXIDE 02246933 Y

All other* SULFACETAMIDE POWDER (PQ) SULFACETAMIDE SODIUM 00963151 Y

All other* SULFUR 10% SOAP SULFUR 00187534 Y

All other* SUPPOSITOIRES A LA GLYCERIN GLYCERIN 02020394 Y

All other* SUPPOSITOIRES A LA GLYCERIN GLYCERIN 02020815 Y

All other* SUSPAL ALLERGY EXTRACT ALLERGY SERUMS 11135717 Y

All other* SUSPAL PRESEASON RAGWEED (PQ) ALLERGY SERUM PIN 00896950 Y

All other* SUSPAL PRESEASON TREES (PQ) ALLERGY SERUM PIN 00896942 Y

All other* SUSPAL-MONOVALE (PQ) / SYNVISC ALLERGY SERUM/ HYLAN G-F 20 00908614 Y

All other* SUSPAL-MONOVALENT (PQ) ALLERGY SERUMS 00861286 Y

All other* SUSPAL-MONOVALENT (PQ) ALLERGY SERUMS 00861308 Y

All other* SUSPAL-MONOVALENT (PQ) ALLERGY SERUMS 00861332 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 33

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* SUSPAL-MONOVALENT (PQ) ALLERGY SERUMS 00861367 Y

All other* SUSPAL-MONOVALENT-ACARI (PQ) ALLERGY SERUMS 00889784 Y

All other* SUSPAL-MONOVALENT-ACARI (PQ) ALLERGY SERUMS 00889822 Y

All other* SUSPAL-MONOVALENT-ACARI (PQ) ALLERGY SERUMS 00889849 Y

All other* SUSPAL-PESAISONNIER GRASSES (PQ) ALLERGY SERUM PIN 00896934 Y

All other* SUSPAL-POLYVALENT (PQ) ALLERGY SERUMS 00861316 Y

All other* SUSPAL-POLYVALENT (PQ) ALLERGY SERUMS 00861359 Y

All other* SUSPAL-POLYVALENT (PQ) ALLERGY SERUMS 00861375 Y

All other* SUSPAL-POLYVALENT (PQ) ALLERGY SERUMS 00861405 Y

All other* SUSPAL-POLYVALENT ACARIENS(PQ) ALLERGY EXTRACTS 99000458 Y

All other* SUSPAL-POLYVALENT-ACARI (PQ) ALLERGY SERUMS 00889792 Y

All other* SUSPAL-POLYVALENT-ACARI (PQ) ALLERGY SERUMS 00889814 Y

All other* SUSPAL-POLYVALENT-ACARI (PQ) ALLERGY SERUMS 00889857 Y

All other* SUTENT 37.5MG CAPSULE SUNITINIB MALATE 02328607 Y Y

All other* SYRN ALLERGIST 26X3/8 NEEDLES/SYRINGES 00902179 Y

All other* SYRN ALLERGIST CC 26X1/2 NEEDLES/SYRINGES 00902160 Y

All other* SYRN DISP LUER 10CC 20X11 NEEDLES/SYRINGES 00903353 Y

All other* SYRN DISP LUER 3CC NEEDLES/SYRINGES 00902314 Y

All other* SYRN DISP LUER 5CC NEEDLES/SYRINGES 00903396 Y

All other* SYRN DN 805L 5CC 20X1 NEEDLES/SYRINGES 00903442 Y

All other* SYRN HYPO 2301 NEEDLES/SYRINGES 00902756 Y

All other* SYRN LUER 20CC NEEDLES/SYRINGES 00902233 Y

All other* SYRN LUER 20CC #9661 NEEDLES/SYRINGES 00905313 Y

All other* SYRN LUER LOK 3CC #9585 NEEDLES/SYRINGES 00904554 Y

All other* SYRN TUBER 1/2CC NEEDLES/SYRINGES 00906182 Y

All other* SYRN TUBER 1CC NEEDLES/SYRINGES 00902357 Y

All other* SYRN TUBER 1CC 25G 5/8INCH NEEDLES/SYRINGES 00901938 Y

All other* SYRN TUBER 1CC 26G 3/8INCH NEEDLES/SYRINGES 00902365 Y

All other* SYRN TUBER 1CC 27G 1/2INCH NEEDLES/SYRINGES 00902373 Y

All other* SYRN TUBER CC 27X1/2 #501 NEEDLES/SYRINGES 00902926 Y

All other* TAMSULOSIN 0.4MG ER CAPSULE TAMSULOSIN HCL 02349450 Y

All other* TANTAFED 60MG TABLET PSEUDOEPHEDRINE HCL 01905619 Y

All other* TANTUM 0.15% LIQUID BENZYDAMINE HCL 01966065 Y

All other* TEGADERM HYDROGEL GEL DRESSINGS 99100192 Y

All other* TEGASORB THIN 10X10CM PANS (PQ) DRESSINGS 99100290 Y

All other* TEGASORB THIN 10X12CM PANS (PQ) DRESSINGS 99100291 Y

All other* TEGASORB THIN 14X17CM PANS (PQ) DRESSINGS 99100292 Y

All other* TEST DIN ADMINISTRATIVE DIN 21000000 Y

All other* TEST DIN MAINTENANCE ADMINISTRATIVE DIN 16000001 Y

All other* TEST DIN NON-MAINT ADMINISTRATIVE DIN 16000000 Y

All other* TESTOSTERONE POWDER (PQ) TESTOSTERONE 00990055 Y

All other* THALARIS BUC 2.98% SODIUM CHLORIDE 02022710 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 34

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* THELIN 100MG TABLET SITAXSENTAN SODIUM 02295636 Y Y

All other* THYMOL THYMOL 00901822 Y

All other* TIGER BALM RED EX STR OINTMENT CAMPHOR/CINNAMON/CLOVE/ MENTHOL/ OIL OF CAJEPUT/ PEPPERMINT OIL00791938 Y

All other* TIGER BALM RED STRONG OINTMENT CAMPHOR/CINNAMON/CLOVE/ MENTHOL/ OIL OF CAJEPUT/ PEPPERMINT OIL02241380 Y

All other* TIGER BALM ULTRA OINTMENT CAMPHOR/CINNAMON/CLOVE/ MENTHOL/ OIL OF CAJEPUT/ PEPPERMINT OIL02241382 Y

All other* TIGER BALM WHITE EX STR OINTMENT CAMPHOR//CLOVE/ MENTHOL/ OIL OF CAJEPUT/ PEPPERMINT OIL00525510 Y

All other* TIGER BALM WHITE REG OINTMENT CAMPHOR/ CLOVE OIL/ MENTHOL/ OIL OF CAJEPUT/ PEPPERMINT OIL02241381 Y

All other* TIGER LINIMENT EUCALYPTUS/ MENTHOL/ MENTHYL SALICYLATE02025892 Y

All other* TIMED RELEASE POTASSIUM CAPLET POTASSIUM GLUCONATE 02244853 Y

All other* TINCTURE OF IODINE 5% IODINE/POTASSIUM IODIDE 00503274 Y

All other* TOCOPHERYLE 100IU CAPSULE (PQ) VITAMIN E 99002396 Y

All other* TOCOPHERYLE 200 U.I. CO. MAST VITAMIN E 99100202 Y

All other* TOCOPHERYLE 200IU CAPSULE (PQ) VITAMIN E 99002418 Y

All other* TOCOPHERYLE 400IU CAPSULE (PQ) VITAMIN E 99002426 Y

All other* TOCOPHERYLE 50IU/ML (PQ) VITAMIN E 99002469 Y

All other* TOCOPHERYLE 77IU/ML (PQ) VITAMIN E 99002477 Y

All other* TOCTINO 10MG CAPSULE ALITRETINOIN 02337630 Y

All other* TOCTINO 30MG CAPSULE ALITRETINOIN 02337649 Y

All other* TOPEX TOPICAL ANESTHETIC METERED SPRAY BENZOCAINE 02244285 Y

All other* TOPEX-60 SECOND 1.23% GEL SODIUM FLUORIDE 00856193 Y

All other* TRACLEER 125MG TABLET BOSENTAN 02244982 Y Y

All other* TRACLEER 62.5MG TABLET BOSENTAN 02244981 Y Y

All other* TRANSDERMAL NICOTINE 14MG PATCH NICOTINE 02241226 Y

All other* TRANSDERMAL NICOTINE 21MG PATCH NICOTINE 02241228 Y

All other* TRANSDERMAL NICOTINE 7MG PATCH NICOTINE 02241227 Y

All other* TRIANAL CAPSULE ASA/CAFFEINE/BUTALBITAL 01971417 Y

All other* TRIANAL TABLET ASA/CAFFEINE/BUTALBITAL 01971409 Y

All other* TRIFEREXX 150MG CAPSULE IRON POLYSACCHARIDE COMPLEX 02248264 Y

All other* TRI-O-VIT DROPS VITAMINS A C AND D 02229790 Y

All other* TRI-VI-SOL VITAMINS A C AND D 00762903 Y

All other* TROPHIC - POTASSIUM 99MG TABLET POTASSIUM PROTEINATE 00334081 Y

All other* TROPHIC - POTASSIUM GLUCONATE 1GM TABLET POTASSIUM GLUCONATE 00421901 Y

All other* TUMI-EASE CAPSULE AMYLASE/CELLULASE/LIPASE 02239965 Y

All other* TUMS 500MG TABLET CALCIUM CARBONATE (ALK) 01970240 Y

All other* TUMS EXTRA STR 750MG TABLET CALCIUM CARBONATE (ALK) 01967932 Y

All other* TUMS EXTRA STRENGTH SMOOTHIES 750MG TABLET CALCIUM CARBONATE (ALK) 02246325 Y

All other* TUMS ULTRA STRENGTH TABLET CALCIUM CARBONATE 02151138 Y

All other* TYROSINE GRASS VACCINE TYROSINE ADSORBED GRASS VACCINE00907545 Y

All other* ULTRA MIDE 25 LOTION UREA 00659940 Y

All other* UREMOL 10 10% LOTION UREA 01946102 Y

All other* UREMOL 10% CREAM UREA 01946099 Y

All other* UREMOL 20 20% CREAM UREA 00398179 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 35

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* URISEC 12% LOTION UREA 00514896 Y

All other* URISEC 22% CREAM UREA 00396125 Y

All other* VAGISIL CREAM BENZOCAINE/RESORCINOL 00534471 Y

All other* VANCOMYCINE POWDER VANCOMYCIN 99100176 Y

All other* VENIN D'ABEILLE (APIS) 1.3MG INJ ALLERGY SERUM-BEE 99100021 Y

All other* VENIN D'ABEILLE (APIS) 550MCG INJ (PQ) ALLERGY SERUMS 99100282 Y

All other* VENIN D'ABEILLE (PQ) ALLERGY SERUMS 99004062 Y

All other* VENIN D'ABEILLE 1MG (PQ) ALLERGY SERUMS 00894346 Y

All other* VERSEL 2.5% LOTION SELENIUM SULFIDE 00594601 Y

All other* VESPIDES COMBINATION (PQ) ALLERGY SERUMS 99004070 Y

All other* VESPIDES COMBINES 1 650MCG INJ (PQ) ALLERGY SERUMS 99100284 Y

All other* VESPIDES COMBINES 1650MCG (PQ) ALLERGY SERUMS 00895245 Y

All other* VESPIDES COMBINES 3.3MG INJ MIXED VESPIDS 99100230 Y

All other* VESPIDES COMBINES 3.9MG INJ ALLERGY SERUM-MIXED VESPIDS 99100026 Y

All other* VESPIDES COMBINES 360MCG INJ (PQ) ALLERGY SERUMS 99100281 Y

All other* VIBATIV 250MG/VIAL INJECTION TELAVANCIN HYDROCHLORIDE 02330717 Y

All other* VIBATIV 750MG/VIAL INJECTION TELAVANCIN HYDROCHLORIDE 02330725 Y

All other* VICKS INHALER CAMPHOR/MENTHOL 01977733 Y

All other* VICKS VAPORUB LEMON EUCALYPTUS/MENTHOL/CAMPHOR 02035545 Y

All other* VICKS VAPORUB LOTION CAMPHOR/EUCALYPTUS OIL/MENTHOL01914707 Y

All other* VICKS VAPORUB OINTMENT CAMPHOR/EUCALYTUS OIL/MENTHOL01935747 Y

All other* VIRON WART LOTION ACETIC/LACTIC/SALICYLIC ACIDS 00609501 Y

All other* VISCOPASTE PB7 DRESSING 10% ZINC OXIDE 01907603 Y

All other* VIT A 5000IU & VIT D 400IU (PQ) VITAMIN A AND VITAMIN D 99002493 Y

All other* VIT A 5000IU & VIT D 400IU (PQ) VITAMIN A&D 99002507 Y

All other* VITAMIN B1 100MG TABLET THIAMINE 80009588 Y

All other* VITAMIN B1 50MG TABLET THIAMINE 80009633 Y

All other* VITAMIN B6 25MG TABLET PYRIDOXINE HCL 80002890 Y

All other* VITAMIN B-6 25MG TABLET PYRIDOXINE HCL 01943200 Y

All other* VITAMIN D 400IU TABLET VITAMIN D3 02240624 Y

All other* VITAMINE D 400IU CAPSULE VITAMIN D 80008590 Y

All other* VITAMINE D 400U TABLET ERGOCALCIFEROL 00765384 Y

All other* VITAMINE D 800IU CAPSULE VITAMIN D 80008446 Y

All other* VOLIBRIS 10MG TABLET AMBRISENTAN 02307073 Y Y

All other* VOLIBRIS 5MG TABLET AMBRISENTAN 02307065 Y Y

All other* VOLTAREN 1.16% GEL DICLOFENAC DIETHYLAMINE 02304589 Y

All other* WAMPOLE MAGNESIUM GLUCONATE 500MG TABLET MAGNESIUM 80009539 Y

All other* WATER BACTERIOST WATER FOR INJECTION 00904589 Y

All other* WEBBER VITAMIN E 30U/GM ONT VITAMIN E 01910787 Y

All other* WOBENZYM TABLET BROMELAIN/CHYMOTRYPSIN/PANCREATIN/PAPAIN/RUTIN/TRYPSIN02136740 Y

All other* WOUN'DRES GEL DRESSINGS 99100300 Y

All other* XERAC AC SOLUTION ALUMINUM CHLORIDE 00461555 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 36

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

All other* X-PUR CHLORHEXIDINE 0.12% LIQUID CHLORHEXIDINE GLUCONATE 02316749 Y

All other* X-SEB 4% SHAMPOO SALICYLIC ACID 00509914 Y

All other* ZAVESCA 100MG CAPSULE MIGLUSTAT 02250519 Y Y

All other* ZILACTIN - GEL 10% BENZYL ALCOHOL 02175347 Y

All other* ZILACTIN-B ORAL GEL BENZOCAINE 02230253 Y

All other* ZINADERM CREAM 15% ZINC OXIDE 02059614 Y

All other* ZINC 20% OINTMENT ZINC OXIDE 00886335 Y

All other* ZINC CREAM ZINC OXIDE 02245192 Y

All other* ZINC OINTMENT ZINC OXIDE 02244744 Y

All other* ZINC OXIDE 15% CREAM ZINC OXIDE 02215799 Y

All other* ZODERM CREAM CAPSAICIN 00855766 Y

All other* ZODERM CREAM CAPSAICIN 02244952 Y

All other* ZOSTRIX 0.025% CREAM CAPSAICIN 00740306 Y

All other* ZOSTRIX H.P. 0.075% CREAM CAPSAICIN 02004240 Y

All other* ZYM-RIVASTIGMINE 1.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02308622 Y

All other* ZYM-RIVASTIGMINE 3MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02308630 Y

All other* ZYM-RIVASTIGMINE 4.5MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02308649 Y

All other* ZYM-RIVASTIGMINE 6MG CAPSULE RIVASTIGMINE HYDROGEN TARTRATE02308657 Y

Allergy conditions ADRENALIN CL 1:1000 VIAL EPINEPHRINE 00155357 Y

Allergy conditions AERIUS 5MG TABLET DESLORATADINE 02243919 Y

Allergy conditions AERIUS D-12 HOUR TABLET DESLORATADINE/PSEUDOEPHEDRINE SULFATE02309300 Y

Allergy conditions AERIUS KIDS 0.5MG/ML SYRUP DESLORATADINE 02247192 Y

Allergy conditions AERIUS KIDS 0.5MG/ML SYRUP DESLORATADINE 02247193 Y

Allergy conditions ALLEGRA 12 HOUR TABLET FEXOFENADINE HCL 02242818 Y

Allergy conditions ALLEGRA 12 HOUR TABLET FEXOFENADINE HCL 02231462 Y

Allergy conditions ALLEGRA 24 HOUR TABLET FEXOFENADINE HCL 02242819 Y

Allergy conditions ALLEGRA 60MG CAPSULE FEXOFENADINE HCL 02231463 Y

Allergy conditions ALLEGRA-D TABLET PSEUDOEPEDRINE HCL/FEXOFENADINE HCL02239853 Y

Allergy conditions ALLER-AID 25MG CAPLET DIPHENHYDRAMINE HCL 02176483 Y

Allergy conditions ALLER-AID 50MG CAPLET DIPHENHYDRAMINE HCL 02176580 Y

Allergy conditions ALLER-AIDE 12.5MG/5ML ELIX DIPHENHYDRAMINE HCL 02146142 Y

Allergy conditions ALLERDRYL 25MG CAPSULE DIPHENHYDRAMINE HCL 00370517 Y

Allergy conditions ALLERDRYL 50MG CAPSULE DIPHENHYDRAMINE HCL 00271411 Y

Allergy conditions ALLERGAN EYE ITCH RELIEF 2% OPH SOLUTION CROMOLYN SODIUM 02302721 Y

Allergy conditions ALLERGEN EXT NON POLLENS VL (PT SPECIFIC) PT SPECIFIC NON POLLEN 00299979 Y

Allergy conditions ALLERGENIC EXT. NON-POLLENS(PT SPECIFIC) PT SPECIFIC NON POLLEN 02226944 Y

Allergy conditions ALLERGENIC EXT. POLLENS (PT SPECIFIC) PT SPECIFIC POLLEN 02226928 Y

Allergy conditions ALLERGENIC EXTRACT, STANDARDARDIZED MITE, D. FARINAE DERMATOPHAGOIDES FAIRNAE 02217082 Y

Allergy conditions ALLERGENIC EXTRACT, STANDARDIZED MITE MIXED DERMATOPHAGOIDES FARINAE-PTERONYSSINUSS02270919 Y

Allergy conditions ALLERGENIC EXTRACT, STANDARDIZED MITE, D.PTERONYSSINUSDERMATOPHAGOIDES PTERONYSSINUS02217104 Y

Allergy conditions ALLERGENIC EXTRACTS POLLENS (PT SPECIFIC) PT SPECIFIC POLLEN 00299987 Y

Allergy conditions ALLERGENIC EXTRACTS VIAL (PT SPECIFIC) PT SPECIFIC 00514713 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 37

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Allergy conditions ALLERGY 25MG TABLET DIPHENHYDRAMINE HCL 01949454 Y

Allergy conditions ALLERGY EXTRA STRENGTH 50MG TABLET DIPHENHYDRAMINE HCL 02230398 Y

Allergy conditions ALLERGY FORMULA 25MG CAPLET DIPHENHYDRAMINE HCL 02141728 Y

Allergy conditions ALLERGY FORMULA LIQUID DIPHENHYDRAMINE HCL 02141736 Y

Allergy conditions ALLERGY FORMULA TABLET DIPHENHYDRAMINE HCL 02229492 Y

Allergy conditions ALLERGY LIQUID DIPHENHYDRAMINE HCL 02320789 Y

Allergy conditions ALLERGY RELIEF 10MG TABLET CETIRIZINE HCL 02240266 Y

Allergy conditions ALLERGY RELIEF 5MG TABLET CETIRIZINE HCL 02315947 Y

Allergy conditions ALLERNIX 12.5MG/5ML ELIXIR DIPHENHYDRAMINE HCL 00804193 Y

Allergy conditions ALLERNIX 25MG TABLET DIPHENHYDRAMINE HCL 02097583 Y

Allergy conditions ALLERNIX PLUS 50MG TABLET DIPHENHYDRAMINE HCL 02097575 Y

Allergy conditions ALLER-RELIEF 10MG TABLET CETIRIZINE HCL 02240265 Y

Allergy conditions ALLERTIN 10MG TABLET LORATADINE 02244691 Y

Allergy conditions ALOCRIL 2% OPH SOLUTION NEDOCROMIL SODIUM 02241407 Y

Allergy conditions ALOMIDE 0.1% EYE DROP LODOXAMIDE TROMETAMOL 00893560 Y

Allergy conditions ANAPEN 0.3MG INJECTION EPINEPHRINE 02306751 Y

Allergy conditions ANAPEN JUNIOR 0.15MG INJECTION EPINEPHRINE 02306743 Y

Allergy conditions APO-BECLOMETHASONE 50MCG NASAL SPRAY BECLOMETHASONE DIPROPIONATE02238796 Y

Allergy conditions APO-CETIRIZINE 10MG TABLET CETIRIZINE HCL 02231603 Y

Allergy conditions APO-CETIRIZINE 5MG TABLET CETIRIZINE HCL 02240910 Y

Allergy conditions APO-FLUNISOLIDE 0.25MG/ML NASAL SPRAY FLUNISOLIDE 02239288 Y

Allergy conditions APO-FLUTICASONE 50MCG NASAL SPRAY FLUTICASONE PROPIONATE 02294745 Y

Allergy conditions APO-HYDROXYZINE 10MG CAPSULE HYDROXYZINE HCL 00646059 Y

Allergy conditions APO-HYDROXYZINE 25MG CAPSULE HYDROXYZINE HCL 00646024 Y

Allergy conditions APO-HYDROXYZINE 50MG CAPSULE HYDROXYZINE HCL 00646016 Y

Allergy conditions APO-IPRAVENT 0.03% NASAL SPRAY IPRATROPIUM BROMIDE 02246083 Y

Allergy conditions APO-IPRAVENT 0.06% NASAL SPRAY IPRATROPIUM BROMIDE 02246084 Y

Allergy conditions ATARAX 10MG/5ML SYRUP HYDROXYZINE HCL 00024694 Y

Allergy conditions ATARAX 25MG CAPSULE HYDROXYZINE HCL 00024384 Y

Allergy conditions ATROVENT 0.03% NASAL SPRAY IPRATROPIUM BROMIDE 02163705 Y

Allergy conditions ATROVENT 0.06% NASAL SPRAY IPRATROPIUM BROMIDE 02163713 Y

Allergy conditions AVAMYS 27.5MCG NASAL SPRAY FLUTICASONE FUROATE 02298589 Y

Allergy conditions BECLOMETHASONE AQ NASAL SPRAY BECLOMETHASONE DIPROPIONATE02239211 Y

Allergy conditions BENADRYL 12.5MG/5ML ELIXIR DIPHENHYDRAMINE HCL 02019736 Y

Allergy conditions BENADRYL 25MG CAPLET DIPHENHYDRAMINE HCL 02017849 Y

Allergy conditions BENADRYL 50MG CAPSULE DIPHENHYDRAMINE HCL 02019671 Y

Allergy conditions BENADRYL ALLERGY 12.5MG CHEW TABLET DIPHENHYDRAMINE HCL 02061287 Y

Allergy conditions BENADRYL ALLERGY LIQUIGELS DIPHENHYDRAMINE HCL 02304252 Y

Allergy conditions BENADRYL CHILDREN'S LIQUID DIPHENHYDRAMINE HCL 02019698 Y

Allergy conditions BENADRYL EXTRA STRENGTH CAPLET DIPHENHYDRAMINE HCL 02239138 Y

Allergy conditions CENTER-AL ALLERGEN VIAL POLLEN EXTRACTS 00648922 Y

Allergy conditions CHILDREN'S LIQUID ALLERGY FORMULA DIPHENHYDRAMINE HCL 02247037 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 38

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Allergy conditions CHLORPHENIRAMINE MALEATE 4MG TABLET CHLORPHENIRAMINE MALEATE 02265559 Y

Allergy conditions CHLOR-TRIPOLON 12MG REPETAB CHLORPHENIRAMINE MALEATE 00738964 Y

Allergy conditions CHLORTRIPOLON 2.5MG/5ML SYRUP CHLORPHENIRAMINE MALEATE 00028134 Y

Allergy conditions CHLOR-TRIPOLON 4MG TABLET CHLORPHENIRAMINE MALEATE 00738972 Y

Allergy conditions CHLOR-TRIPOLON DAY AND NIGHT TABLET CHLORPHENIRAMINE MALEATE 02277123 Y

Allergy conditions CHLOR-TRIPOLON ND TABLET SA PSEUDOEPHEDRINE/LORATADINE 01970399 Y

Allergy conditions CLARITIN 10MG TABLET LORATADINE 00782696 Y

Allergy conditions CLARITIN 5MG/5ML SYRUP LORATADINE 02019973 Y

Allergy conditions CLARITIN ALLERGY + SINUS PSEUDOEPHEDRINE/LORATADINE 01945157 Y

Allergy conditions CLARITIN ALLERGY + SINUS EX-STRENGTH PSEUDOEPHEDRINE/LORATADINE 02260557 Y

Allergy conditions CLARITIN AXELERIS 10MG TABLET LORATADINE 02237734 Y

Allergy conditions CLARITIN KIDS 1MG/ML ORAL LIQUID LORATADINE 02241523 Y

Allergy conditions CROMOLYN NASAL SOLUTION CROMOGLYCATE-SODIUM 02237013 Y

Allergy conditions CROMOLYN OPTHALMIC SOL 2% CROMOGLYCATE-SODIUM 02009277 Y

Allergy conditions CYPROHEPTADINE 4MG TABLETS CYPROHEPTADINE HCL 02332248 Y

Allergy conditions DESLORATADINE 5MG TABLET DESLORATADINE 02338424 Y

Allergy conditions DESLORATADINE ALLERGY CONTROL DESLORATADINE 02298155 Y

Allergy conditions DIPHENHYDRAMINE 50MG/ML VL DIPHENHYDRAMINE HCL 00596612 Y

Allergy conditions DIPHENHYDRAMINE HCL CHILDREN'S LIQUID DIPHENHYDRAMINE HCL 02171279 Y

Allergy conditions DIPHENHYDRAMINE HYDROCHLORIDE 25 MG CAPLET DIPHENHYDRAMINE HCL 02257548 Y

Allergy conditions DIPHENHYDRAMINE HYDROCHLORIDE 50MG CAPLET DIPHENHYDRAMINE HCL 02257556 Y

Allergy conditions DIPHENHYDRAMINE HYDROCHLORIDE ELIXIR U.S.P. DIPHENHYDRAMINE HCL 02164574 Y

Allergy conditions DIPHENHYDRAMINE HYDROCHLORIDE ELIXIR USP DIPHENHYDRAMINE HCL 02298503 Y

Allergy conditions DIPHENIST 50MG/ML INJECTION DIPHENHYDRAMINE HCL 02219336 Y

Allergy conditions DOM-CETIRIZINE 20MG TABLET CETIRIZINE HCL 02344572 Y

Allergy conditions DOM-IPRATROPIUM 0.3MG/ML NASAL IPRATROPIUM BROMIDE 02240508 Y

Allergy conditions EMADINE 0.05% OPH SOLUTION EMEDASTINE DIFUMARATE 02237355 Y

Allergy conditions EPINEPHRINE 0.1MG/ML EPINEPHRINE 00710814 Y

Allergy conditions EPINEPHRINE 1MG/ML AMPOULE EPINEPHRINE 02063204 Y

Allergy conditions EPINEPHRINE 1MG/ML AMPOULE EPINEPHRINE 00721891 Y

Allergy conditions EPIPEN 0.3MG AUTO-INJECTOR EPINEPHRINE 00509558 Y

Allergy conditions EPIPEN EZ 0.3MG AUTO-INJECTOR EPINEPHRINE 02178893 Y

Allergy conditions EPIPEN JR 0.15MG AUTO-INJCT EPINEPHRINE 00578657 Y

Allergy conditions EURO-CYPROHEPTADINE 2MG/5ML LIQUID CYPROHEPTADINE HCL 02245668 Y

Allergy conditions EURO-CYPROHEPTADINE 4MG/TABLET CYPROHEPTADINE HCL 02245667 Y

Allergy conditions EXT ALUM PRECIPITATED 10000U/ML ALUM PRECIPITATED GRASS 02242713 Y

Allergy conditions EXT ALUM PRECIPITATED 1000U/ML ALUM PRECIPITATED GRASS 02242714 Y

Allergy conditions EXT ALUM PRECIPITATED 100U/ML ALUM PRECIPITATED GRASS 02242715 Y

Allergy conditions EXT ALUM PRECIPITATED VARIOUS VARIOUS 02242716 Y

Allergy conditions EXTRA STRENGTH ALLERGY FORMULA LIQUID CAPSULE DIPHENHYDRAMINE HCL 02321270 Y

Allergy conditions EXTRA STRENGTH ALLERGY RELIEF 10MG TABLET CETIRIZINE HCL 02315955 Y

Allergy conditions EXTRA STRENGTH BENADRYL ALLERGY NIGHTTIME CAPSULE DIPHENHYDRAMINE HCL 02304244 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 39

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Allergy conditions EXTRACT MITES D. FARINAE D.FARINAE 02223953 Y

Allergy conditions EXTRACT MITES D. FARINAE D.FARINAE 02223961 Y

Allergy conditions EXTRACT MITES D. PTERONYSSINUS D PTERONYSSINUS 02223937 Y

Allergy conditions EXTRACT MITES D. PTERONYSSINUS D.PTERONYSSINUS 02223945 Y

Allergy conditions EXTRACT OF STANDARDIZED MITES D.FARINAE/DPTERONYSSINUS 02223988 Y

Allergy conditions EXTRACT OF STANDARDIZED MITES D.FARINAE/DPTERONYSSINUS 02223996 Y

Allergy conditions FLONASE 50MCG NASAL SPRAY FLUTICASONE PROPIONATE 02213672 Y

Allergy conditions FLONASE NASAL SPRAY FLUTICASONE PROPIONATE 02241752 Y

Allergy conditions GEN-IPRATROPIUM 0.3MG/ML NASAL SPRAY IPRATROPIUM BROMIDE 02244498 Y

Allergy conditions GEN-LORATADINE 10MG TABLET LORATADINE 02284669 Y

Allergy conditions GUEPE (WHITE) 100MCG (PQ) HYMENOPTERA ALLERGENIC EXTRACT00541427 Y

Allergy conditions GUEPES (POLISTES SPP) (PQ) ALLERGY SERUM 00541451 Y

Allergy conditions HISTANTIL 25MG TABLET PROMETHAZINE HCL 00575178 Y

Allergy conditions HISTANTIL 50MG TABLET PROMETHAZINE HCL 00575186 Y

Allergy conditions HONEY BEE VENOM 120MCG KIT HONEY BEE VENOM PROTEIN 02226197 Y

Allergy conditions HONEY BEE VENOM 120MCG VIAL HYMENOPTERA ALLERGENIC EXTRACT01948911 Y

Allergy conditions HONEY BEE VENOM 550MCG VIAL HONEY BEE VENOM PROTEIN 02220075 Y

Allergy conditions HONEY BEE VENOM MULTIUSE 13.0 ML (1300MCG) HONEY BEE VENOM PROTEIN 02230860 Y

Allergy conditions HONEYBEE VENOM 1.1MG (MULTIDOSE) HYMENOPTERA ALLERGENIC EXTRACT01948903 Y

Allergy conditions HYDRASENSE NASAL SPRAY WATER FOR INHALATION 02231476 Y

Allergy conditions HYDROXYZINE 50MG/ML INJECTION HYDROXYZINE HCL 02242864 Y

Allergy conditions HYDROXYZINE 50MG/ML INJECTION HYDROXYZINE HCL 02231209 Y

Allergy conditions HYDROXYZINE HCL 50MG/ML AMPUL HYDROXYZINE HCL 00742813 Y

Allergy conditions HYDROXYZINE-10 10MG CAPSULE HYDROXYZINE HCL 00739618 Y

Allergy conditions HYDROXYZINE-25 25MG CAPSULE HYDROXYZINE HCL 00739626 Y

Allergy conditions HYDROXYZINE-50 50MG CAPSULE HYDROXYZINE HCL 00739634 Y

Allergy conditions JACK AND JILL BEDTIME LIQUID DIPHENHYDRAMINE HCL 02241167 Y

Allergy conditions LIBERATOR TABLET PSEUDOEPHEDRINE/LORATADINE 02244941 Y

Allergy conditions LIVOSTIN 0.05% DROPS LEVOCABASTINE HCL 02131625 Y

Allergy conditions LIVOSTIN 0.05% NASAL SPRAY LEVOCABASTINE HCL 02020017 Y

Allergy conditions LORATADINE 10MG TABLET LORATADINE 02280159 Y

Allergy conditions LORATADINE 10MG TABLET LORATADINE 02243880 Y

Allergy conditions LORATADINE 10MG TABLET LORATADINE 02244692 Y

Allergy conditions METRETON TABLET CHLOR-MAL/PREDNISONE/VIT C 00177091 Y

Allergy conditions MIXED VESPID VENOM 120MCG KIT WHITE/YELLOW HORNET/YELLOW JACKET02226294 Y

Allergy conditions MIXED VESPID VENOM INT PWS HYMENOPTERA ALLERGENIC EXTRACT01948873 Y

Allergy conditions MIXED VESPID VENOM PROTEIN MULTIUSE 13.0 ML (1300 MCG)MIXED VESPID VENOM PROTEIN 02230862 Y

Allergy conditions MIXED VESPID VENOM PROTEIN PWS HYMENOPTERA ALLERGENIC EXTRACT01948881 Y

Allergy conditions MIXED VESPID VENOMIL HYMENOPTERA ALLERGENIC EXTRACT02221314 Y

Allergy conditions MYLAN-BECLO AQ 50MCG SPRAY BECLOMETHASONE DIPROPIONATE02172712 Y

Allergy conditions MYLAN-BUDESONIDE 64 MCG AQ NASAL SPRAY BUDESONIDE 02241003 Y

Allergy conditions MYLAN-BUDESONIDE AQ 100MCG NASAL BUDESONIDE 02230648 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 40

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CANADA POST CORPORATION

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LEVEL 2

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LEVEL 3

50%Prior Authorization

Allergy conditions NADRYL 25MG TABLET DIPHENHYDRAMINE HCL 02239029 Y

Allergy conditions NASACORT AQ 55MCG NASAL SPRAY TRIAMCINOLONE ACETONIDE 02213834 Y

Allergy conditions NASONEX AQ. NASAL SPRAY 50MCG MOMETASONE FUROATE 02238465 Y

Allergy conditions NOVO-CETIRIZINE 20MG TABLET CETIRIZINE HCL 02316609 Y

Allergy conditions NOVO-HYDROXYZIN 10MG CAPSULE HYDROXYZINE HCL 00738824 Y

Allergy conditions NOVO-HYDROXYZIN 25MG CAPSULE HYDROXYZINE HCL 00738832 Y

Allergy conditions NOVO-HYDROXYZIN 50MG CAPSULE HYDROXYZINE HCL 00738840 Y

Allergy conditions NOVO-PHENIRAM 4MG TABLET CHLORPHENIRAMINE MALEATE 00021288 Y

Allergy conditions NU-BECLOMETHASONE 50MCG NASAL BECLOMETHASONE DIPROPIONATE02238577 Y

Allergy conditions NU-FLUTICASONE 50MCG NASAL SPRAY FLUTICASONE PROPIONATE 02336405 Y

Allergy conditions NU-HYDROXYZINE CAP 1OMG HYDROXYZINE HCL 02166313 Y

Allergy conditions NU-HYDROXYZINE CAP 25MG HYDROXYZINE HCL 02166321 Y

Allergy conditions NU-HYDROXYZINE CAP 50MG HYDROXYZINE HCL 02166348 Y

Allergy conditions OMEGA ALLERGENIC EXTRACTS - NON-POLLENS (AQUEOUS) ALLERGY SERUMS 02247756 Y

Allergy conditions OMEGA ALLERGENIC EXTRACTS - NON-POLLENS (GLYCERINATED)ALLERGY SERUMS 02247757 Y

Allergy conditions OMEGA ALLERGENIC EXTRACTS - NON-POLLENS (SUSPAL) ALLERGY SERUMS 02247758 Y

Allergy conditions OMEGA ALLERGENIC EXTRACTS - POLLENS (AQUEOUS) ALLERGY SERUMS 02247753 Y

Allergy conditions OMEGA ALLERGENIC EXTRACTS - POLLENS (GLYCERINATED) ALLERGY SERUMS 02247754 Y

Allergy conditions OMEGA ALLERGENIC EXTRACTS - POLLENS (SUSPAL) ALLERGY SERUMS 02247755 Y

Allergy conditions OMNARIS 50MCG NASAL SPRAY CICLESONIDE 02303671 Y

Allergy conditions OPTICROM 2% EYE DROPS CROMOGLYCATE-SODIUM 02230621 Y

Allergy conditions OPTIMINE 1MG TABLET AZATADINE MALEATE 00355666 Y

Allergy conditions PANECTYL 2.5MG TABLET TRIMEPRAZINE TARTRATE 01926306 Y

Allergy conditions PANECTYL 5MG TABLET TRIMEPRAZINE TARTRATE 01926292 Y

Allergy conditions PATANOL 0.1% OPH SOLUTION OLOPATADINE HCL 02233143 Y

Allergy conditions PHARMALGEN MIXED VESPID (PQ) HYMENOPTERA ALLERGENIC EXTRACT00614424 Y

Allergy conditions PHENERGAN 2% CREAM PROMETHAZINE HCL 02162156 Y

Allergy conditions PMS-CETIRIZINE 20MG TABLET CETIRIZINE HCL 02315963 Y

Allergy conditions PMS-CYPROHEPTADINE 4MG TABLET CYPROHEPTADINE HCL 00757713 Y

Allergy conditions PMS-DIPHENHYD 12.5MG/5ML DIPHENHYDRAMINE HCL 00792705 Y

Allergy conditions PMS-DIPHENHYDRAMINE 25MG CAPSULE DIPHENHYDRAMINE HCL 00757683 Y

Allergy conditions PMS-DIPHENHYDRAMINE 50MG CAPSULE DIPHENHYDRAMINE HCL 00757691 Y

Allergy conditions PMS-DIPHENHYDRAMINE 50MG/ML DIPHENHYDRAMINE HCL 00878200 Y

Allergy conditions PMS-FLUNISOLIDE 0.025% NASAL SPRAY FLUNISOLIDE 01927167 Y

Allergy conditions PMS-HYDROXYZINE 10MG CAPSULE HYDROXYZINE HCL 00741884 Y

Allergy conditions PMS-HYDROXYZINE 25MG CAPSULE HYDROXYZINE HCL 00741892 Y

Allergy conditions PMS-HYDROXYZINE 2MG/ML SYRP HYDROXYZINE HCL 00741817 Y

Allergy conditions PMS-HYDROXYZINE 50MG CAPSULE HYDROXYZINE HCL 00741906 Y

Allergy conditions PMS-IPRATROPIUM 0.03% NASAL SPRAY IPRATROPIUM BROMIDE 02239627 Y

Allergy conditions PMS-PROMETHAZINE 10MG/5ML PROMETHAZINE HCL 00583979 Y

Allergy conditions PROMETHAZINE 25MG/ML AMPUL PROMETHAZINE HCL 02068591 Y

Allergy conditions PROMETHAZINE 25MG/ML AMPUL PROMETHAZINE HCL 00567434 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 41

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

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LEVEL 2

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Allergy conditions RATIO FLUTICASONE 50MCG NASAL SPRAY FLUTICASONE PROPIONATE 02296071 Y

Allergy conditions RATIO-BECLOMETHASONE AQ 50MCG NASAL SPRAY BECLOMETHASONE DIPROPIONATE00872318 Y

Allergy conditions RATIO-FLUNISOLIDE 0.025% SPRAY FLUNISOLIDE 00878790 Y

Allergy conditions RATIO-IPRATROPIUM 0.03% NASAL SPRAY IPRATROPIUM BROMIDE 02240072 Y

Allergy conditions REACTINE 10MG CHEWABLE TABLET CETIRIZINE HCL 02295067 Y

Allergy conditions REACTINE 10MG TABLET CETIRIZINE HCL 02223554 Y

Allergy conditions REACTINE 1MG/ML LIQUID CETIRIZINE HCL 02238337 Y

Allergy conditions REACTINE 20MG TABLET CETIRIZINE HCL 01900978 Y

Allergy conditions REACTINE 5MG CHEWABLE TABLET CETIRIZINE HCL 02295059 Y

Allergy conditions REACTINE 5MG TABLET CETIRIZINE HCL 02223546 Y

Allergy conditions REACTINE ALLERGY AND SINUS TABLET CETIRIZINE/PSEUDOEPHEDRINE 02246162 Y

Allergy conditions RHINALAR 0.025% NASAL SPRAY FLUNISOLIDE 02162687 Y

Allergy conditions RHINARIS GEL PROPYLENE GLYCOL/PEG'S 02220806 Y

Allergy conditions RHINARIS NASAL MIST PROPYLENE GLYCOL/PEG'S 00732230 Y

Allergy conditions RHINARIS RELIEF 10MG TABLET CETIRIZINE HCL 02318881 Y

Allergy conditions RHINARIS RELIEF 20MG TABLET CETIRIZINE HCL 02318903 Y

Allergy conditions RHINARIS RELIEF 5MG TABLET CETIRIZINE HCL 02318873 Y

Allergy conditions RHINARIS-CS 20MG/ML ANTI-ALLERGIC NASAL MIST CROMOGLYCATE-SODIUM 01950541 Y

Allergy conditions RHINOCORT 100MCG TURBUHALER BUDESONIDE 02035324 Y

Allergy conditions RHINOCORT AQUA 64MCG/DOSE AEM NAS BUDESONIDE 02231923 Y

Allergy conditions RIVA-HYDROXYZIN 10MG CAPSULE HYDROXYZINE HCL 02241192 Y

Allergy conditions RIVA-HYDROXYZIN 25MG CAPSULE HYDROXYZINE HCL 02241193 Y

Allergy conditions RIVA-HYDROXYZIN 50MG CAPSULE HYDROXYZINE HCL 02241194 Y

Allergy conditions RIVANASE AQUA 0.05MG NASAL SPRAY BECLOMETHASONE DIPROPIONATE02228300 Y

Allergy conditions SALINEX 0.9% AEROSOL SODIUM CHLORIDE 00489530 Y

Allergy conditions SALINEX NASAL LUBRICANT (SPRAY) NACL INH/PROP GLY/PEG'S 01910701 Y

Allergy conditions SALINEX NASAL LUBRICANT GEL NACL INH/PROP GLY/PEG'S 00779296 Y

Allergy conditions SECARIS NASAL GEL PROPYLENE GLYCOL/PEG'S 00551805 Y

Allergy conditions SOLU-CROM 2% OPH SOLUTION CROMOGLYCATE-SODIUM 02239657 Y

Allergy conditions STANDARDIZED CAT HAIR AP CAT HAIR ACETONE PRECIPITATED02217457 Y

Allergy conditions STANDARDIZED CAT PELT AP CAT PELT ACETONE PRECIPITATED02217465 Y

Allergy conditions STD 100000U/ML KENTUCKY BLUEGRASS INJ KENTUCKY BLUEGRASS 02238480 Y

Allergy conditions STD 100000U/ML KENTUCKYBLUE/JUNE INJ KENTUCKYBLUE/JUNE 02242666 Y

Allergy conditions STD 100000U/ML MEADOW FESCUE INJ MEADOW FESCUE 02242672 Y

Allergy conditions STD 100000U/ML MEADOW FESCUE INJ MEADOW FESCUE 02238472 Y

Allergy conditions STD 100000U/ML ORCHARD GRASS INJ ORCHARD GRASS 02238485 Y

Allergy conditions STD 100000U/ML ORCHARD GRASS POLLEN INJ ORCHARD GRASS POLLEN 02242674 Y

Allergy conditions STD 100000U/ML PER RYEGRASS INJ PERENNIAL RYE GRASS 02238501 Y

Allergy conditions STD 100000U/ML PERRENIAL RYE INJ PERRENIAL RYE POLLEN 02242676 Y

Allergy conditions STD 100000U/ML RED TOP INJ RED TOP 02242670 Y

Allergy conditions STD 100000U/ML REDTOP GRASS INJ REDTOP GRASS 02238489 Y

Allergy conditions STD 100000U/ML SWEET VERNAL GRASS INJ SWEET VERNAL GRASS POLLEN 02238493 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 42

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CANADA POST CORPORATION

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DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

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LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Allergy conditions STD 100000U/ML SWEET VERNAL INJ SWEET VERNAL POLLEN 02242668 Y

Allergy conditions STD 100000U/ML TIMOTHY INJ TIMOTHY GRASS POLLEN 02238497 Y

Allergy conditions STD 100000U/ML TIMOTHY POLLEN INJ TIMOTHY GRASS POLLEN 02242664 Y

Allergy conditions STD 10000U/ML BERMUDA INJ BERMUDA GRASS 02242663 Y

Allergy conditions STD 10000U/ML CAT HAIR INJ CAT HAIR AND DANDER 02239410 Y

Allergy conditions STD 10000U/ML CAT PELT INJ CAT PELT 02235299 Y

Allergy conditions STD 10000U/ML MITE INJ D.FARINAE 02231321 Y

Allergy conditions STD 10000U/ML MITE INJ D PTERONYSSINUS 02231324 Y

Allergy conditions STD 10000U/ML ORCHARD GRASS INJ ORCHARD GRASS 02238486 Y

Allergy conditions STD 10000U/ML PER RYEGRASS INJ PERENNIAL RYE GRASS 02238502 Y

Allergy conditions STD 10000U/ML REDTOP GRASS INJ REDTOP GRASS 02238490 Y

Allergy conditions STD 10000U/ML SWEET VERNAL GRASS INJ SWEET VERNAL GRASS POLLEN 02238494 Y

Allergy conditions STD 10000U/ML TIMOTHY INJ TIMOTHY GRASS POLLEN 02238498 Y

Allergy conditions STD 1000U/ML KENTUCKY BLUEGRASS INJ KENTUCKY BLUEGRASS 02238481 Y

Allergy conditions STD 1000U/ML MEADOW FESCUE INJ MEADOW FESCUE 02238473 Y

Allergy conditions TARO-LORATADINE 10MG TABLET LORATADINE 02251795 Y

Allergy conditions TWINJECT 0.15MG AUTO-INJECTION EPINEPHRINE 02268205 Y

Allergy conditions TWINJECT 0.3MG AUTO-INJECTION EPINEPHRINE 02247310 Y

Allergy conditions VENIN D'ABEILLE (PQ) ALLERGY SERUM 00541435 Y

Allergy conditions WASP VENOM 1.1MG (MULTIDOSE) HYMENOPTERA ALLERGENIC EXTRACT01948970 Y

Allergy conditions WASP VENOM 120MCG VIAL HYMENOPTERA ALLERGENIC EXTRACT01948989 Y

Allergy conditions WASP VENOM PROTEIN MULTIUSE 13.0 ML (1300 MCG) WASP VENOM PROTEIN 02230864 Y

Allergy conditions WASP VENOM PROTEIN SERUM HYMENOPTERA WASP VENOM 02220091 Y

Allergy conditions WASP VENOMIL 120MCG/VIAL HYMENOPTERA ALLERGENIC EXTRACT02226219 Y

Allergy conditions WHITE FACED HORNET VENOM 1.1MG/VIAL WHITE HORNET VENOM 01948997 Y

Allergy conditions WHITE FACED HORNET VENOM 100MCG HYMENOPTERA ALLERGENIC EXTRACT01949004 Y

Allergy conditions WHITE FACED HORNET VENOM PROTEIN YELLOW HORNET VENOM PROTEIN02226235 Y

Allergy conditions WHITE-FACED HORNET VENOM PROTEIN HYMENOPTERA WHITE-FACED HORNET VENOM02220105 Y

Allergy conditions YELLOW HORNET VENOM 1.1MG/VIAL YELLOW HORNET VENOM 01948938 Y

Allergy conditions YELLOW HORNET VENOM 120MCG HYMENOPTERA ALLERGENIC EXTRACT01948946 Y

Allergy conditions YELLOW HORNET VENOM PROTEIN HYMENOPTERA YELLOW HORNET VENOM02220083 Y

Allergy conditions YELLOW HORNET VENOM PROTEIN YELLOW HORNET VENOM PROTEIN02226251 Y

Allergy conditions YELLOW JACKET VENOM (10ML) HYMENOPTERA ALLERGENIC EXTRACT00541478 Y

Allergy conditions YELLOW JACKET VENOM (10ML) HYMENOPTERA ALLERGENIC EXTRACT01948954 Y

Allergy conditions YELLOW JACKET VENOM (6785UG) ALLERGY SERUMS 02220113 Y

Allergy conditions YELLOW JACKET VENOM EXTRACT YELLOW JACKET VENOM PROTEIN 02226286 Y

Allergy conditions YELLOW JACKET VENOM PROTEIN MULTIUSE 13.0 ML (1300 MCG)YELLOW JACKET VENOM PROTEIN 02230863 Y

Allergy conditions YELLOW JKT VENOM 120MCG VL HYMENOPTERA ALLERGENIC EXTRACT01948962 Y

Allergy conditions ZADITOR 0.25MG/ML OPH SOLUTION KETOTIFEN FUMARATE 02242324 Y

Allergy conditions ZADITOR 0.25MG/ML PRES FREE OPT SOL KETOTIFEN FUMARATE 02279223 Y

Allergy conditions ZYRTEC 5MG TABLET CETIRIZINE HCL 02145782 Y

Angina ACCEL-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02341107 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 43

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

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LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Angina ACCEL-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02341093 Y

Angina ADALAT OROS 20MG TABLET NIFEDIPINE 02323923 Y

Angina ADALAT OROS 30MG TABLET NIFEDIPINE 02323931 Y

Angina ADALAT OROS 60MG TABLET NIFEDIPINE 02323958 Y

Angina ADALAT XL 20MG EXTENDED RELEASE TABLET NIFEDIPINE 02237618 Y

Angina ADALAT XL 30MG TABLET NIFEDIPINE 02155907 Y

Angina ADALAT XL 60MG TABLET NIFEDIPINE 02155990 Y

Angina ADALAT XL PLUS 20/81MG TABLET NIFEDIPINE/ACETYLSALICYLIC ACID02313766 Y

Angina ADALAT XL PLUS 30/81MG TABLET NIFEDIPINE/ACETYLSALICYLIC ACID02313774 Y

Angina ADALAT XL PLUS 60/81MG TABLET NIFEDIPINE/ACETYLSALICYLIC ACID02313782 Y

Angina AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02343215 Y

Angina AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02331292 Y

Angina AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02331942 Y

Angina AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02334011 Y

Angina AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02326817 Y

Angina AMLODIPINE 2.5MG TABLET AMLODIPINE BESYLATE 02343193 Y

Angina AMLODIPINE 2.5MG TABLET AMLODIPINE BESYLATE 02333996 Y

Angina AMLODIPINE 2.5MG TABLET AMLODIPINE BESYLATE 02326795 Y

Angina AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02343207 Y

Angina AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02331284 Y

Angina AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02331934 Y

Angina AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02334003 Y

Angina AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02326809 Y

Angina AMLODIPINE BESYLATE 10MG TABLET AMLODIPINE BESYLATE 02339382 Y

Angina AMLODIPINE BESYLATE 5MG TABLET AMLODIPINE BESYLATE 02339374 Y

Angina APO-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02273381 Y

Angina APO-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02273373 Y

Angina APO-DILTIAZ 30MG TABLET DILTIAZEM HCL 00771376 Y

Angina APO-DILTIAZ 60MG TABLET DILTIAZEM HCL 00771384 Y

Angina APO-DILTIAZ CD 120MG CAPSULE DILTIAZEM HCL 02230997 Y

Angina APO-DILTIAZ CD 180MG CAPSULE DILTIAZEM HCL 02230998 Y

Angina APO-DILTIAZ CD 240MG CAPSULE DILTIAZEM HCL 02230999 Y

Angina APO-DILTIAZ CD 300MG CAPSULE DILTIAZEM HCL 02229526 Y

Angina APO-DILTIAZ SR 120MG CAPSULE DILTIAZEM HCL 02222973 Y

Angina APO-DILTIAZ SR 60MG CAPSULE DILTIAZEM HCL 02222957 Y

Angina APO-DILTIAZ SR 90MG CAPSULE DILTIAZEM HCL 02222965 Y

Angina APO-DILTIAZ TZ 120MG CAPSULE DILTIAZEM HCL 02291037 Y

Angina APO-DILTIAZ TZ 180MG CAPSULE DILTIAZEM HCL 02291045 Y

Angina APO-DILTIAZ TZ 240MG CAPSULE DILTIAZEM HCL 02291053 Y

Angina APO-DILTIAZ TZ 300MG CAPSULE DILTIAZEM HCL 02291061 Y

Angina APO-DILTIAZ TZ 360MG CAPSULE DILTIAZEM HCL 02291088 Y

Angina APO-ISDN 10MG TABLET ISOSORBIDE DINITRATE 00441686 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 44

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Angina APO-ISDN 30MG TABLET ISOSORBIDE DINITRATE 00441694 Y

Angina APO-ISDN 5MG TABLET ISOSORBIDE DINITRATE 00670944 Y

Angina APO-ISMN 60MG TABLET SA ISOSORBIDE-5-MONONITRATE 02272830 Y

Angina APO-NIFED 10MG PA TABLET NIFEDIPINE 02197448 Y

Angina APO-NIFED 20MG PA TABLET NIFEDIPINE 02181525 Y

Angina APO-VERAP 120MG SR TABLET VERAPAMIL HCL 02246893 Y

Angina APO-VERAP 120MG TABLET VERAPAMIL HCL 00782491 Y

Angina APO-VERAP 180MG SR TABLET VERAPAMIL HCL 02246894 Y

Angina APO-VERAP 240MG SR TABLET VERAPAMIL HCL 02246895 Y

Angina APO-VERAP 80MG TABLET VERAPAMIL HCL 00782483 Y

Angina APX-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02343290 Y

Angina APX-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02343274 Y

Angina APX-DILTIAZ CD 120MG CAPSULE DILTIAZEM HCL 02343304 Y

Angina APX-DILTIAZ CD 180MG CAPSULE DILTIAZEM HCL 02343312 Y

Angina APX-DILTIAZ CD 240MG CAPSULE DILTIAZEM HCL 02343320 Y

Angina APX-DILTIAZ CD 300MG CAPSULE DILTIAZEM HCL 02343339 Y

Angina CARDIZEM 30MG TABLET DILTIAZEM HCL 02097370 Y

Angina CARDIZEM 60MG TABLET DILTIAZEM HCL 02097389 Y

Angina CARDIZEM CD 120MG CAPSULE SA DILTIAZEM HCL 02097249 Y

Angina CARDIZEM CD 180MG CAPSULE SA DILTIAZEM HCL 02097257 Y

Angina CARDIZEM CD 240MG CAPSULE SA DILTIAZEM HCL 02097265 Y

Angina CARDIZEM CD 300MG CAPSULE SA DILTIAZEM HCL 02097273 Y

Angina CEDOCARD-SR 20MG TABLET SA ISOSORBIDE DINITRATE 00740721 Y

Angina CEDOCARD-SR 40MG TABLET SA ISOSORBIDE DINITRATE 02125218 Y

Angina CO AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02297493 Y

Angina CO AMLODIPINE 2.5MG TABLET AMLODIPINE BESYLATE 02297477 Y

Angina CO AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02297485 Y

Angina COVERA-HS 180MG SR TABLET VERAPAMIL HCL 02231676 Y

Angina COVERA-HS 240MG SR TABLET VERAPAMIL HCL 02231677 Y

Angina DILTIAZEM 120MG SR CAPSULE DILTIAZEM HCL 02228173 Y

Angina DILTIAZEM TZ 120MG CAPSULE DILTIAZEM HCL 02325306 Y

Angina DILTIAZEM TZ 180MG CAPSULE DILTIAZEM HCL 02325314 Y

Angina DILTIAZEM TZ 240MG CAPSULE DILTIAZEM HCL 02325322 Y

Angina DILTIAZEM TZ 300MG CAPSULE DILTIAZEM HCL 02325330 Y

Angina DILTIAZEM TZ 360MG CAPSULE DILTIAZEM HCL 02325349 Y

Angina DILTIAZEM-30 30MG TABLET DILTIAZEM HCL 00828785 Y

Angina DILTIAZEM-60 60MG TABLET DILTIAZEM HCL 00828777 Y

Angina DILTIAZEM-CD 120MG CAPSULE DILTIAZEM HCL 02231472 Y

Angina DILTIAZEM-CD 180MG CAPSULE DILTIAZEM HCL 02231474 Y

Angina DILTIAZEM-CD 240MG CAPSULE DILTIAZEM HCL 02231475 Y

Angina DILTIAZEM-CD 300MG CAPSULE DILTIAZEM HCL 02231057 Y

Angina DOM-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02326841 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 45

Page 46: CANADA POST CORPORATION LISTING OF DRUG ... POST CORPORATION LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PIN LEVEL 1 80% LEVEL 2 CURRENT

CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Angina DOM-AMLODIPINE 2.5MG TABLET AMLODIPINE BESYLATE 02326825 Y

Angina DOM-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02326833 Y

Angina DOM-ISMN 60MG SR TABLET ISOSORBIDE-5-MONONITRATE 02307758 Y

Angina DOM-NIFEDIPINE 5MG CAPSULE NIFEDIPINE 02236757 Y

Angina DOM-VERAPAMIL 240MG SR TABLET VERAPAMIL HCL 02240321 Y

Angina FELODIPINE 10MG ER TABLET FELODIPINE 02334143 Y

Angina FELODIPINE 5MG ER TABLET FELODIPINE 02334135 Y

Angina GD-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02280140 Y

Angina GD-AMLODIPINE 2.5MG TABLET AMLODIPINE BESYLATE 02280124 Y

Angina GD-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02280132 Y

Angina GEN-DILTIAZEM 30MG TABLET DILTIAZEM HCL 02146916 Y

Angina GEN-DILTIAZEM 60MG TABLET DILTIAZEM HCL 02146924 Y

Angina GEN-DILTIAZEM CD 120MG CAPSULE DILTIAZEM HCL 02254808 Y

Angina GEN-DILTIAZEM CD 180MG CAPSULE DILTIAZEM HCL 02254816 Y

Angina GEN-DILTIAZEM CD 240MG CAPSULE DILTIAZEM HCL 02254824 Y

Angina GEN-DILTIAZEM CD 300MG CAPSULE DILTIAZEM HCL 02254832 Y

Angina GEN-DILTIAZEM SR 120MG CAPSULE DILTIAZEM HCL 02231745 Y

Angina IMDUR 60MG TABLET SA ISOSORBIDE-5-MONONITRATE 02126559 Y

Angina ISMN 60MG TABLET ISOSORBIDE-5-MONONITRATE 02308614 Y

Angina ISOPTIN 120MG TABLET VERAPAMIL HCL 00554324 Y

Angina ISOPTIN 80MG TABLET VERAPAMIL HCL 00554316 Y

Angina ISOPTIN SR 120MG TABLET VERAPAMIL HCL 01907123 Y

Angina ISOPTIN SR 180MG TABLET VERAPAMIL HCL 01934317 Y

Angina ISOPTIN SR 240MG TABLET VERAPAMIL HCL 00742554 Y

Angina ISOSORBIDE 10MG TABLET ISOSORBIDE DINITRATE 00584266 Y

Angina ISOSORBIDE 30MG TABLET ISOSORBIDE DINITRATE 00584258 Y

Angina ISOSORBIDE-5 5MG TABLET ISOSORBIDE DINITRATE 00658812 Y

Angina JAMP-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02331098 Y

Angina JAMP-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02331071 Y

Angina MED DILTIAZEM 30MG DILTIAZEM HCL 02189038 Y

Angina MED DILTIAZEM 60MG DILTIAZEM HCL 02189046 Y

Angina MED VERAPAMIL 120MG TABLET VERAPAMIL HCL 02239770 Y

Angina MED VERAPAMIL 80MG TABLET VERAPAMIL HCL 02239769 Y

Angina MINITRAN 18MG/PATCH 0.2MG/HR NITROGLYCERIN 02162806 Y

Angina MINITRAN 36MG/PATCH 0.4MG/HR NITROGLYCERIN 02163527 Y

Angina MINITRAN 54MG/PATCH 0.6MG/HR NITROGLYCERIN 02163535 Y

Angina MYLAN-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02272121 Y

Angina MYLAN-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02272113 Y

Angina MYLAN-NIFEDIPINE 30MG ER TABLET NIFEDIPINE 02349167 Y

Angina MYLAN-NIFEDIPINE EXTENDED RELEASE 60MG TABLET NIFEDIPINE 02321149 Y

Angina MYLAN-NITRO 0.4MG SL SPRAY NITROGLYCERIN 02243588 Y

Angina MYLAN-VERAPAMIL 120MG TABLET VERAPAMIL HCL 02237922 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 46

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Angina MYLAN-VERAPAMIL 80MG TABLET VERAPAMIL HCL 02237921 Y

Angina MYLAN-VERAPAMIL SR 120MG TABLET VERAPAMIL HCL 02210347 Y

Angina MYLAN-VERAPAMIL SR 180MG TABLET VERAPAMIL HCL 02210355 Y

Angina MYLAN-VERAPAMIL SR 240MG TABLET VERAPAMIL HCL 02210363 Y

Angina NIFEDIPINE 10MG CAPSULE NIFEDIPINE 00755907 Y

Angina NIFEDIPINE 10MG PA TABLET NIFEDIPINE 02211092 Y

Angina NIFEDIPINE 20MG PA TABLET NIFEDIPINE 02241774 Y

Angina NIFEDIPINE 20MG PA TABLET NIFEDIPINE 02211106 Y

Angina NIFEDIPINE 5MG CAPSULE NIFEDIPINE 00725110 Y

Angina NIFEDIPINE EXTENDED RELEASE 30MG TABLET NIFEDIPINE 02351587 Y

Angina NIFEDIPINE EXTENDED RELEASE 60MG TABLET NIFEDIPINE 02351595 Y

Angina NIMOTOP 30MG CAPSULE NIMODIPINE 02155923 Y

Angina NIMOTOP 30MG TABLET NIMODIPINE 02325926 Y

Angina NITRO-DUR 0.2MG/HR PATCH NITROGLYCERIN 01911910 Y

Angina NITRO-DUR 0.4MG/HR PATCH NITROGLYCERIN 01911902 Y

Angina NITRO-DUR 0.6MG/HR PATCH NITROGLYCERIN 01911929 Y

Angina NITRO-DUR 0.8MG/HR PATCH NITROGLYCERIN 02011271 Y

Angina NITROL 2% OINTMENT NITROGLYCERIN 01926454 Y

Angina NITROLINGUAL 0.4MG PUMPSPRAY NITROGLYCERIN 02231441 Y

Angina NITROSTAT 0.3MG TABLET SL NITROGLYCERIN 00037613 Y

Angina NITROSTAT 0.6MG TABLE SL NITROGLYCERIN 00037621 Y

Angina NORVASC 10MG TABLET AMLODIPINE BESYLATE 00878936 Y

Angina NORVASC 5MG TABLET AMLODIPINE BESYLATE 00878928 Y

Angina NOVO-DILTAZEM 30MG TABLET DILTIAZEM HCL 00862924 Y

Angina NOVO-DILTAZEM 60MG TABLET DILTIAZEM HCL 00862932 Y

Angina NOVO-DILTIAZEM 120MG ER CAPSULE DILTIAZEM HCL 02271605 Y

Angina NOVO-DILTIAZEM 180MG ER CAPSULE DILTIAZEM HCL 02271613 Y

Angina NOVO-DILTIAZEM 240MG ER CAPSULE DILTIAZEM HCL 02271621 Y

Angina NOVO-DILTIAZEM 300MG ER CAPSULE DILTIAZEM HCL 02271648 Y

Angina NOVO-DILTIAZEM 360MG ER CAPSULE DILTIAZEM HCL 02271656 Y

Angina NOVO-DILTIAZEM CD 120MG CAPSULE DILTIAZEM HCL 02242538 Y

Angina NOVO-DILTIAZEM CD 180MG CAPSULE DILTIAZEM HCL 02242539 Y

Angina NOVO-DILTIAZEM CD 240MG CAPSULE DILTIAZEM HCL 02242540 Y

Angina NOVO-DILTIAZEM CD 300MG CAPSULE DILTIAZEM HCL 02242541 Y

Angina NOVO-NIFEDIN 20MG XL TABLET NIFEDIPINE 02243470 Y

Angina NOVO-NIFEDIN 30MG XL TABLET NIFEDIPINE 02243471 Y

Angina NOVO-NIFEDIN 60MG XL TABLET NIFEDIPINE 02243472 Y

Angina NOVO-VERAMIL SR 240MG TABLET VERAPAMIL HCL 02211920 Y

Angina NU-DILTIAZ 30MG TABLET DILTIAZEM HCL 00886068 Y

Angina NU-DILTIAZ 60MG TABLET DILTIAZEM HCL 00886076 Y

Angina NU-DILTIAZ-CD 120MG CAPSULE DILTIAZEM HCL 02231052 Y

Angina NU-DILTIAZ-CD 180MG CAPSULE DILTIAZEM HCL 02231053 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 47

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Angina NU-DILTIAZ-CD 240MG CAPSULE DILTIAZEM HCL 02231054 Y

Angina NU-NIFED 10MG CAPSULE NIFEDIPINE 00865591 Y

Angina NU-NIFEDIPINE PA 10MG TABLET NIFEDIPINE 02212102 Y

Angina NU-NIFEDIPINE PA 20MG TABLET NIFEDIPINE 02200937 Y

Angina NU-VERAP 120MG TABLET VERAPAMIL HCL 00886041 Y

Angina NU-VERAP 80MG TABLET VERAPAMIL HCL 00886033 Y

Angina NU-VERAP SR 120MG TABLET VERAPAMIL HCL 02336367 Y

Angina NU-VERAP SR 180MG TABLET VERAPAMIL HCL 02336375 Y

Angina NU-VERAP SR 240MG TABLET VERAPAMIL HCL 02249812 Y

Angina PHL-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02326787 Y

Angina PHL-AMLODIPINE 2.5MG TABLET AMLODIPINE BESYLATE 02326760 Y

Angina PHL-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02326779 Y

Angina PHL-ISMN 60MG SR TABLET ISOSORBIDE-5-MONONITRATE 02307731 Y

Angina PHL-VERAPAMIL SR 240MG TABLET VERAPAMIL HCL 02238276 Y

Angina PLENDIL 10MG ER TABLET FELODIPINE 00851787 Y

Angina PLENDIL 2.5MG ER TABLET FELODIPINE 02057778 Y

Angina PLENDIL 5MG ER TABLET FELODIPINE 00851779 Y

Angina PMS-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02284073 Y

Angina PMS-AMLODIPINE 2.5MG TABLET AMLODIPINE BESYLATE 02295148 Y

Angina PMS-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02284065 Y

Angina PMS-ISMN 60MG TABLET ISOSORBIDE-5-MONONITRATE 02301288 Y

Angina PMS-VERAPAMIL 240MG SR TABLET VERAPAMIL HCL 02237791 Y

Angina PRO-ISMN 60MG TABLET ISOSORBIDE-5-MONONITRATE 02311321 Y

Angina PRO-VERAPAMIL SR 120MG TABLET VERAPAMIL HCL 02324156 Y

Angina PRO-VERAPAMIL SR 180MG TABLET VERAPAMIL HCL 02324164 Y

Angina PRO-VERAPAMIL SR 240MG TABLET VERAPAMIL HCL 02312697 Y

Angina Q-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02340186 Y

Angina Q-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02340178 Y

Angina RAN-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02321866 Y

Angina RAN-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02321858 Y

Angina RATIO-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02259613 Y

Angina RATIO-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02259605 Y

Angina RATIO-DILTIAZEM CD 120MG DILTIAZEM HCL 02229781 Y

Angina RATIO-DILTIAZEM CD 180MG DILTIAZEM HCL 02229782 Y

Angina RATIO-DILTIAZEM CD 240MG DILTIAZEM HCL 02229783 Y

Angina RATIO-DILTIAZEM CD 300MG DILTIAZEM HCL 02229784 Y

Angina RENEDIL 10MG TABLET SA FELODIPINE 02222000 Y

Angina RENEDIL 2.5MG TABLET FELODIPINE 02221985 Y

Angina RENEDIL 5MG TABLET FELODIPINE 02221993 Y

Angina RHO-NITRO 0.4MG PUMPSPRAY NITROGLYCERIN 02238998 Y

Angina RIVA-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02331500 Y

Angina RIVA-AMLODIPINE 2.5MG TABLET AMLODIPINE BESYLATE 02331489 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 48

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Angina RIVA-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02331497 Y

Angina RIVA-VERAPAMIL SR 240MG TABLET VERAPAMIL HCL 02248082 Y

Angina SANDOZ AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02284391 Y

Angina SANDOZ AMLODIPINE 2.5MG TABLET AMLODIPINE BESYLATE 02330474 Y

Angina SANDOZ AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02284383 Y

Angina SANDOZ DILTIAZEM 120MG CD CAPSULE DILTIAZEM HCL 02243338 Y

Angina SANDOZ DILTIAZEM 180MG CD CAPSULE DILTIAZEM HCL 02243339 Y

Angina SANDOZ DILTIAZEM 240MG CD CAPSULE DILTIAZEM HCL 02243340 Y

Angina SANDOZ DILTIAZEM 300MG CD CAPSULE DILTIAZEM HCL 02243341 Y

Angina SANDOZ-DILTIAZEM T 120MG SR CAPSULE DILTIAZEM HCL 02245918 Y

Angina SANDOZ-DILTIAZEM T 180MG SR CAPSULE DILTIAZEM HCL 02245919 Y

Angina SANDOZ-DILTIAZEM T 240MG SR CAPSULE DILTIAZEM HCL 02245920 Y

Angina SANDOZ-DILTIAZEM T 300MG SR CAPSULE DILTIAZEM HCL 02245921 Y

Angina SANDOZ-DILTIAZEM T 360MG SR CAPSULE DILTIAZEM HCL 02245922 Y

Angina SANDOZ-FELODIPINE 10MG TABLET FELODIPINE 02280272 Y

Angina SANDOZ-FELODIPINE 10MG TABLET (ODB) FELODIPINE 09857204 Y

Angina SANDOZ-FELODIPINE 5MG TABLET FELODIPINE 02280264 Y

Angina SANDOZ-FELODIPINE 5MG TABLET (ODB) FELODIPINE 09857203 Y

Angina TEVA-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02250500 Y

Angina TEVA-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02250497 Y

Angina TIAZAC 120MG CAPSULE DILTIAZEM HCL 02231150 Y

Angina TIAZAC 180MG CAPSULE DILTIAZEM HCL 02231151 Y

Angina TIAZAC 240MG CAPSULE DILTIAZEM HCL 02231152 Y

Angina TIAZAC 300MG CAPSULE DILTIAZEM HCL 02231154 Y

Angina TIAZAC 360MG CAPSULE DILTIAZEM HCL 02231155 Y

Angina TIAZAC XC 120MG TABLET DILTIAZEM HCL 02256738 Y

Angina TIAZAC XC 180MG TABLET DILTIAZEM HCL 02256746 Y

Angina TIAZAC XC 240MG TABLET DILTIAZEM HCL 02256754 Y

Angina TIAZAC XC 300MG TABLET DILTIAZEM HCL 02256762 Y

Angina TIAZAC XC 360MG TABLET DILTIAZEM HCL 02256770 Y

Angina TRANSDERM-NITRO 0.2MG/HR NITROGLYCERIN 00584223 Y

Angina TRANSDERM-NITRO 0.4MG/HR NITROGLYCERIN 00852384 Y

Angina TRANSDERM-NITRO 0.6MG/HR NITROGLYCERIN 02046156 Y

Angina TRINIPATCH 22.4MG PATCH NITROGLYCERIN 02230732 Y

Angina TRINIPATCH 44.8MG PATCH NITROGLYCERIN 02230733 Y

Angina TRINIPATCH 67.2MG PATCH NITROGLYCERIN 02230734 Y

Angina VERAPAMIL 180MG SR TABLET VERAPAMIL HCL 02178788 Y

Angina VERAPAMIL 80MG TABLET VERAPAMIL HCL 00871028 Y

Angina VERAPAMIL HYDROCHLORIDE SUSTAINED RELEASE TABLETS 120MG TABLETVERAPAMIL HCL 02340682 Y

Angina VERAPAMIL HYDROCHLORIDE SUSTAINED RELEASE TABLETS 180MG TABLETVERAPAMIL HCL 02340690 Y

Angina VERAPAMIL HYDROCHLORIDE SUSTAINED RELEASE TABLETS 240MG TABLETVERAPAMIL HCL 02340704 Y

Angina VERAPAMIL HYDROCHLORIDE TABLETS 120MG TABLET VERAPAMIL HCL 02340941 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 49

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Angina VERAPAMIL HYDROCHLORIDE TABLETS 80MG TABLET VERAPAMIL HCL 02340933 Y

Angina VERAPAMIL SR 240MG TABLET VERAPAMIL HCL 02303558 Y

Angina VERAPAMIL-120 120MG TABLET VERAPAMIL HCL 00871036 Y

Angina ZYM-AMLODIPINE 10MG TABLET AMLODIPINE BESYLATE 02342804 Y

Angina ZYM-AMLODIPINE 2.5MG TABLET AMLODIPINE BESYLATE 02342782 Y

Angina ZYM-AMLODIPINE 5MG TABLET AMLODIPINE BESYLATE 02342790 Y

Anti Inflammatory/Analgesics* ADVIL 200MG CAPLET IBUPROFEN 01933531 Y

Anti Inflammatory/Analgesics* ADVIL 200MG CAPSULE IBUPROFEN 02230541 Y

Anti Inflammatory/Analgesics* ADVIL 200MG LIQUI-GELS IBUPROFEN 02241769 Y

Anti Inflammatory/Analgesics* ADVIL 200MG TABLET IBUPROFEN 01933558 Y

Anti Inflammatory/Analgesics* ADVIL 400MG EX. STRENGTH LIQUI-GELS CAPSULE IBUPROFEN 02248231 Y

Anti Inflammatory/Analgesics* ADVIL CHILD 100MG CHEW TABLET IBUPROFEN 02246403 Y

Anti Inflammatory/Analgesics* ADVIL CHILD 50MG CHEW TABLET IBUPROFEN 02246402 Y

Anti Inflammatory/Analgesics* ADVIL EX STRENGTH 400MG TABLET IBUPROFEN 02244577 Y

Anti Inflammatory/Analgesics* ADVIL PEDIATRIC 40MG/ML DROPS IBUPROFEN 02242522 Y

Anti Inflammatory/Analgesics* ALEVE TABLET NAPROXEN SODIUM 02301733 Y

Anti Inflammatory/Analgesics* ANAPROX 275MG TABLET NAPROXEN SODIUM 02162725 Y

Anti Inflammatory/Analgesics* ANAPROX D.S. 550MG TABLET NAPROXEN SODIUM 02162717 Y

Anti Inflammatory/Analgesics* ANSAID 100MG TABLET FLURBIPROFEN 00600792 Y

Anti Inflammatory/Analgesics* ANSAID 50MG TABLET FLURBIPROFEN 00647942 Y

Anti Inflammatory/Analgesics* APO-DICLO 25MG TABLET EC DICLOFENAC SODIUM 00839175 Y

Anti Inflammatory/Analgesics* APO-DICLO 50MG RAPIDE TABLET DICLOFENAC POTASSIUM 02243433 Y

Anti Inflammatory/Analgesics* APO-DICLO 50MG TABLET EC DICLOFENAC SODIUM 00839183 Y

Anti Inflammatory/Analgesics* APO-DICLO SR 100MG TAB SA DICLOFENAC SODIUM 02091194 Y

Anti Inflammatory/Analgesics* APO-DICLO SRT 75MG TABLET DICLOFENAC SODIUM 02162814 Y

Anti Inflammatory/Analgesics* APO-FLURBIPROFEN 100MG TABLET FLURBIPROFEN 01912038 Y

Anti Inflammatory/Analgesics* APO-FLURBIPROFEN 50MG TABLET FLURBIPROFEN 01912046 Y

Anti Inflammatory/Analgesics* APO-IBUPROFEN 200MG TABLET IBUPROFEN 00441643 Y

Anti Inflammatory/Analgesics* APO-IBUPROFEN 300MG TABLET IBUPROFEN 00441651 Y

Anti Inflammatory/Analgesics* APO-IBUPROFEN 400MG TABLET IBUPROFEN 00506052 Y

Anti Inflammatory/Analgesics* APO-IBUPROFEN 600MG TABLET IBUPROFEN 00585114 Y

Anti Inflammatory/Analgesics* APO-INDOMETHACIN 25MG CAPSULE INDOMETHACIN 00611158 Y

Anti Inflammatory/Analgesics* APO-INDOMETHACIN 50MG CAPSULE INDOMETHACIN 00611166 Y

Anti Inflammatory/Analgesics* APO-KETO 50MG CAPSULE KETOPROFEN 00790427 Y

Anti Inflammatory/Analgesics* APO-KETO SR 200MG TABLET KETOPROFEN 02172577 Y

Anti Inflammatory/Analgesics* APO-KETO-E 100MG TABLET EC KETOPROFEN 00842664 Y

Anti Inflammatory/Analgesics* APO-KETO-E 50MG TABLET EC KETOPROFEN 00790435 Y

Anti Inflammatory/Analgesics* APO-KETOROLAC 10MG TABLET KETOROLAC TROMETHAMINE 02229080 Y

Anti Inflammatory/Analgesics* APO-KETOROLAC 30MG/ML INJECTION KETOROLAC TROMETHAMINE 02243989 Y

Anti Inflammatory/Analgesics* APO-MEFENAMIC 250MG CAPSULE MEFENAMIC ACID 02229452 Y

Anti Inflammatory/Analgesics* APO-MELOXICAM 15MG TABLET MELOXICAM 02248974 Y

Anti Inflammatory/Analgesics* APO-MELOXICAM 7.5MG TABLET MELOXICAM 02248973 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 50

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Anti Inflammatory/Analgesics* APO-NABUMETONE 500MG TABLET NABUMETONE 02238639 Y

Anti Inflammatory/Analgesics* APO-NAPRO-NA 275MG TABLET NAPROXEN SODIUM 00784354 Y

Anti Inflammatory/Analgesics* APO-NAPRO-NA DS 550MG TABLET NAPROXEN SODIUM 01940309 Y

Anti Inflammatory/Analgesics* APO-NAPROXEN 125MG TABLET NAPROXEN 00522678 Y

Anti Inflammatory/Analgesics* APO-NAPROXEN 250MG EC TABLET NAPROXEN 02246699 Y

Anti Inflammatory/Analgesics* APO-NAPROXEN 250MG TABLET NAPROXEN 00522651 Y

Anti Inflammatory/Analgesics* APO-NAPROXEN 375MG EC TABLET NAPROXEN 02246700 Y

Anti Inflammatory/Analgesics* APO-NAPROXEN 375MG TABLET NAPROXEN 00600806 Y

Anti Inflammatory/Analgesics* APO-NAPROXEN 500MG EC TABLET NAPROXEN 02246701 Y

Anti Inflammatory/Analgesics* APO-NAPROXEN 500MG TABLET NAPROXEN 00592277 Y

Anti Inflammatory/Analgesics* APO-NAPROXEN 750MG SR TABLET NAPROXEN 02177072 Y

Anti Inflammatory/Analgesics* APO-OXAPROZIN 600MG TABLET OXAPROZIN 02243661 Y

Anti Inflammatory/Analgesics* APO-PHENYLBUTAZONE 100MG TABLET PHENYLBUTAZONE 00312789 Y

Anti Inflammatory/Analgesics* APO-PIROXICAM 10MG CAPSULE PIROXICAM 00642886 Y

Anti Inflammatory/Analgesics* APO-PIROXICAM 20MG CAPSULE PIROXICAM 00642894 Y

Anti Inflammatory/Analgesics* APO-SULIN 150MG TABLET SULINDAC 00778354 Y

Anti Inflammatory/Analgesics* APO-SULIN 200MG TABLET SULINDAC 00778362 Y

Anti Inflammatory/Analgesics* APO-TIAPROFENIC 200MG TABLET TIAPROFENIC ACID 02136112 Y

Anti Inflammatory/Analgesics* APO-TIAPROFENIC 300MG TABLET TIAPROFENIC ACID 02136120 Y

Anti Inflammatory/Analgesics* APX-KETOROLAC 10MG TABLET KETOROLAC TROMETHAMINE 02341352 Y

Anti Inflammatory/Analgesics* APX-KETOROLAC INJECTABLE 30MG/ML INJECTION KETOROLAC TROMETHAMINE 02341360 Y

Anti Inflammatory/Analgesics* ARTHROTEC 50MG/200MCG TABLET DICLOFENAC SODIUM/MISOPROSTOL01917056 Y

Anti Inflammatory/Analgesics* ARTHROTEC 75/200MCG TABLET DICLOFENAC SODIUM/MISOPROSTOL02229837 Y

Anti Inflammatory/Analgesics* CELEBREX 100MG CAPSULE CELECOXIB 02239941 Y

Anti Inflammatory/Analgesics* CELEBREX 200MG CAPSULE CELECOXIB 02239942 Y

Anti Inflammatory/Analgesics* CELEBREX 400MG CAPSULE CELECOXIB 02247690 Y

Anti Inflammatory/Analgesics* CHILDREN'S ADVIL 100MG/5ML IBUPROFEN 02232297 Y

Anti Inflammatory/Analgesics* CHILDREN'S ADVIL FEVER FROM COLDS OR FLU 100MG/5ML SUSPENSIONIBUPROFEN 02328437 Y

Anti Inflammatory/Analgesics* CHILDREN'S IBUPROFEN SUSPENSION IBUPROFEN 02280175 Y

Anti Inflammatory/Analgesics* CHILDREN'S MOTRIN 40MG/ML SUSPENSION IBUPROFEN 02238626 Y

Anti Inflammatory/Analgesics* CHILDRENS MOTRIN SUSPENSION IBUPROFEN 02242365 Y

Anti Inflammatory/Analgesics* CO-MELOXICAM 15MG TABLET MELOXICAM 02250020 Y

Anti Inflammatory/Analgesics* CO-MELOXICAM 7.5MG TABLET MELOXICAM 02250012 Y

Anti Inflammatory/Analgesics* DAYPRO 600MG CAPLET OXAPROZIN 02027860 Y

Anti Inflammatory/Analgesics* DICLOFENAC 100MG SR TABLET DICLOFENAC SODIUM 02224127 Y

Anti Inflammatory/Analgesics* DICLOFENAC 25MG DR TABLET DICLOFENAC SODIUM 02306190 Y

Anti Inflammatory/Analgesics* DICLOFENAC 25MG TABLET EC DICLOFENAC SODIUM 00870951 Y

Anti Inflammatory/Analgesics* DICLOFENAC 50MG DR TABLET DICLOFENAC SODIUM 02306204 Y

Anti Inflammatory/Analgesics* DICLOFENAC 50MG TABLET EC DICLOFENAC SODIUM 00870978 Y

Anti Inflammatory/Analgesics* DICLOFENAC 75MG SR TABLET DICLOFENAC SODIUM 02224119 Y

Anti Inflammatory/Analgesics* DICLOFENAC POTASSIUM 50MG TABLET DICLOFENAC POTASSIUM 02351684 Y

Anti Inflammatory/Analgesics* DICLOFENAC SODIUM 50MG TABLET DICLOFENAC SODIUM 02352397 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 51

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Anti Inflammatory/Analgesics* DICLOFENAC SODIUM ENTERIC COATED 25MG TABLET DICLOFENAC SODIUM 02341646 Y

Anti Inflammatory/Analgesics* DICLOFENAC SODIUM ENTERIC COATED 50MG TABLET DICLOFENAC SODIUM 02341654 Y

Anti Inflammatory/Analgesics* DICLOFENAC SODIUM SLOW-RELEASE 100MG TABLET DICLOFENAC SODIUM 02341670 Y

Anti Inflammatory/Analgesics* DICLOFENAC SODIUM SR 75MG TABLET DICLOFENAC SODIUM 02352400 Y

Anti Inflammatory/Analgesics* DOM-DICLOFENAC 25MG TABLET DICLOFENAC SODIUM 02231662 Y

Anti Inflammatory/Analgesics* DOM-DICLOFENAC 50MG TABLET DICLOFENAC SODIUM 02231663 Y

Anti Inflammatory/Analgesics* DOM-DICLOFENAC 75MG SR TABLET DICLOFENAC SODIUM 02231664 Y

Anti Inflammatory/Analgesics* DOM-MEFENAMIC ACID 250MG CAPSULE MEFENAMIC ACID 02237826 Y

Anti Inflammatory/Analgesics* DOM-MELOXICAM 15MG TABLET MELOXICAM 02248606 Y

Anti Inflammatory/Analgesics* DOM-MELOXICAM 7.5MG TABLET MELOXICAM 02248605 Y

Anti Inflammatory/Analgesics* DOM-PIROXICAM 10MG SUPPOS PIROXICAM 02177129 Y

Anti Inflammatory/Analgesics* DOM-PIROXICAM 20MG CAPSULE PIROXICAM 02239536 Y

Anti Inflammatory/Analgesics* DOM-PIROXICAM 25MG SUPPOS PIROXICAM 02177137 Y

Anti Inflammatory/Analgesics* DOM-TIAPROFENIC 300MG TABLET TIAPROFENIC ACID 02231060 Y

Anti Inflammatory/Analgesics* ETODOLAC 200MG CAPSULE ETODOLAC 02232317 Y

Anti Inflammatory/Analgesics* ETODOLAC 300MG CAPSULE ETODOLAC 02232318 Y

Anti Inflammatory/Analgesics* EXTRA STRENGTH IBUPROFEN 400MG TABLET IBUPROFEN 02314770 Y

Anti Inflammatory/Analgesics* FLOCTAFENINE 200MG TABLET FLOCTAFENINE 02244680 Y

Anti Inflammatory/Analgesics* FLOCTAFENINE 400MG TABLET FLOCTAFENINE 02244681 Y

Anti Inflammatory/Analgesics* FLURBIPROFEN-100 100MG TABLET FLURBIPROFEN 01947737 Y

Anti Inflammatory/Analgesics* FLURBIPROFEN-50 50MG TABLET FLURBIPROFEN 01947729 Y

Anti Inflammatory/Analgesics* FROBEN 100MG TABLET FLURBIPROFEN 02223074 Y

Anti Inflammatory/Analgesics* FROBEN 50MG TABLET FLURBIPROFEN 02223066 Y

Anti Inflammatory/Analgesics* FROBEN SR 200MG CAPSULE FLURBIPROFEN 02223082 Y

Anti Inflammatory/Analgesics* GD-CELECOXIB 100MG CAPSULE CELECOXIB 02291975 Y

Anti Inflammatory/Analgesics* GD-CELECOXIB 200MG CAPSULE CELECOXIB 02291983 Y

Anti Inflammatory/Analgesics* GD-DICLOFENAC/MISOPROSTOL 50MG/200MCG TABLET DICLOFENAC SODIUM/MISOPROSTOL02341689 Y

Anti Inflammatory/Analgesics* GD-DICLOFENAC/MISOPROSTOL 75MG/200MCG TABLET DICLOFENAC SODIUM/MISOPROSTOL02341697 Y

Anti Inflammatory/Analgesics* GEN-NABUMETONE 750MG TABLET NABUMETONE 02244564 Y

Anti Inflammatory/Analgesics* GEN-PIROXICAM 10MG CAPSULE PIROXICAM 02171813 Y

Anti Inflammatory/Analgesics* GEN-PIROXICAM 20MG CAPSULE PIROXICAM 02171821 Y

Anti Inflammatory/Analgesics* IBUPROFEN 100MG/5ML SUSP IBUPROFEN 02295970 Y

Anti Inflammatory/Analgesics* IBUPROFEN 200MG CAPLET IBUPROFEN 02272857 Y

Anti Inflammatory/Analgesics* IBUPROFEN 200MG CAPLET IBUPROFEN 02314762 Y

Anti Inflammatory/Analgesics* IBUPROFEN 200MG LIQ. GEL-CAPS IBUPROFEN 02281384 Y

Anti Inflammatory/Analgesics* IBUPROFEN 200MG TABLET IBUPROFEN 02268760 Y

Anti Inflammatory/Analgesics* IBUPROFEN 200MG TABLET IBUPROFEN 02257912 Y

Anti Inflammatory/Analgesics* IBUPROFEN 200MG TABLET IBUPROFEN 02272849 Y

Anti Inflammatory/Analgesics* IBUPROFEN 200MG TABLET IBUPROFEN 02276437 Y

Anti Inflammatory/Analgesics* IBUPROFEN 200MG TABLET IBUPROFEN 02276445 Y

Anti Inflammatory/Analgesics* IBUPROFEN 200MG TABLET IBUPROFEN 02291932 Y

Anti Inflammatory/Analgesics* IBUPROFEN 200MG TABLET IBUPROFEN 02314754 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 52

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Anti Inflammatory/Analgesics* IBUPROFEN 200MG TABLET IBUPROFEN 02238004 Y

Anti Inflammatory/Analgesics* IBUPROFEN 200MG TABLET IBUPROFEN 00636517 Y

Anti Inflammatory/Analgesics* IBUPROFEN 300MG TABLET IBUPROFEN 00636525 Y

Anti Inflammatory/Analgesics* IBUPROFEN 400MG CAPLET IBUPROFEN 02317338 Y

Anti Inflammatory/Analgesics* IBUPROFEN 400MG CAPSULE IBUPROFEN 02332981 Y

Anti Inflammatory/Analgesics* IBUPROFEN 400MG TABLET IBUPROFEN 02263777 Y

Anti Inflammatory/Analgesics* IBUPROFEN 400MG TABLET IBUPROFEN 00636533 Y

Anti Inflammatory/Analgesics* IBUPROFEN EX ST 400MG LIQUID FILLED CAPSULES IBUPROFEN 02310880 Y

Anti Inflammatory/Analgesics* IBUPROFEN EX STRENGTH TABLET IBUPROFEN 02246055 Y

Anti Inflammatory/Analgesics* IBUPROFEN EXTRA STRENGTH 400MG TABLET IBUPROFEN 02268779 Y

Anti Inflammatory/Analgesics* IBUPROFEN MENSTRUAL PAIN RELIEF 400MG TABLET IBUPROFEN 02317982 Y

Anti Inflammatory/Analgesics* IBUPROFEN-600 600MG TABLET IBUPROFEN 00658804 Y

Anti Inflammatory/Analgesics* IBUPROFEN-RATIOPHARM 400MG TABLET IBUPROFEN 02309459 Y

Anti Inflammatory/Analgesics* JUNIOR STRENGTH ADVIL FEVER FROM COLDS OR FLU 100MG TABLETIBUPROFEN 02328429 Y

Anti Inflammatory/Analgesics* KETOPROFEN 100MG SUPPOSITORY KETOPROFEN 02237011 Y

Anti Inflammatory/Analgesics* KETOPROFEN 50MG SUPPOSITORY KETOPROFEN 02236965 Y

Anti Inflammatory/Analgesics* KETOPROFEN SR 200MG TABLET KETOPROFEN 02210487 Y

Anti Inflammatory/Analgesics* KETOPROFEN-E 100MG TAB EC KETOPROFEN 02084198 Y

Anti Inflammatory/Analgesics* KETOPROFEN-E 50MG TABLET EC KETOPROFEN 02084171 Y

Anti Inflammatory/Analgesics* KETOROLAC 15MG/ML INJECTION KETOROLAC TROMETHAMINE 02244946 Y

Anti Inflammatory/Analgesics* KETOROLAC 30MG/ML INJECTION KETOROLAC TROMETHAMINE 02244947 Y

Anti Inflammatory/Analgesics* KETOROLAC 30MG/ML INJECTION KETOROLAC TROMETHAMINE 02239944 Y

Anti Inflammatory/Analgesics* KID'S MOTRIN JR. STRENGTH CAPLET IBUPROFEN 02240527 Y

Anti Inflammatory/Analgesics* MEFENAMIC 250MG CAPSULE MEFENAMIC ACID 02230408 Y

Anti Inflammatory/Analgesics* MELOXICAM 15MG TABLET MELOXICAM 02329018 Y

Anti Inflammatory/Analgesics* MELOXICAM 15MG TABLET MELOXICAM 02343428 Y

Anti Inflammatory/Analgesics* MELOXICAM 15MG TABLET MELOXICAM 02353156 Y

Anti Inflammatory/Analgesics* MELOXICAM 15MG TABLET MELOXICAM 02324334 Y

Anti Inflammatory/Analgesics* MELOXICAM 7.5MG TABLET MELOXICAM 02328992 Y

Anti Inflammatory/Analgesics* MELOXICAM 7.5MG TABLET MELOXICAM 02343401 Y

Anti Inflammatory/Analgesics* MELOXICAM 7.5MG TABLET MELOXICAM 02353148 Y

Anti Inflammatory/Analgesics* MELOXICAM 7.5MG TABLET MELOXICAM 02324326 Y

Anti Inflammatory/Analgesics* MIDOL EXTRA STRENGTH CAPLET ACETAMINOPHEN/CAFFEINE/PYRILAMINE MALEATE02236972 Y

Anti Inflammatory/Analgesics* MIDOL MENSTRUAL COMPLETE TABLET ACETAMINOPHEN/CAFFEINE/PYRILAMINE MALEATE02275201 Y

Anti Inflammatory/Analgesics* MIDOL TEEN COMPLETE TABLET ACETAMIN/CAFFEINE/PYRILAMINE 02273454 Y

Anti Inflammatory/Analgesics* MOBICOX 15MG TABLET MELOXICAM 02242786 Y

Anti Inflammatory/Analgesics* MOBICOX 7.5MG TABLET MELOXICAM 02242785 Y

Anti Inflammatory/Analgesics* MOTRIN CHILDRENS 100MG CHEW TABLET IBUPROFEN 02247344 Y

Anti Inflammatory/Analgesics* MOTRIN CHILDRENS 50MG CHEW TABLET IBUPROFEN 02247343 Y

Anti Inflammatory/Analgesics* MOTRIN IB 200MG CAPLET IBUPROFEN 02187124 Y

Anti Inflammatory/Analgesics* MOTRIN IB 200MG GELCAP IBUPROFEN 01983873 Y

Anti Inflammatory/Analgesics* MOTRIN IB 200MG LIQUID GELS IBUPROFEN 02297582 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 53

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Anti Inflammatory/Analgesics* MOTRIN IB 200MG TABLET IBUPROFEN 02186934 Y

Anti Inflammatory/Analgesics* MOTRIN IB EX STRENGTH 300MG TABLET IBUPROFEN 02242632 Y

Anti Inflammatory/Analgesics* MOTRIN IB MENSTRUAL PAIN 200MG TABLET IBUPROFEN 02271699 Y

Anti Inflammatory/Analgesics* MOTRIN IB SUPER STRENGTH 400MG TABLET IBUPROFEN 02242658 Y

Anti Inflammatory/Analgesics* MYLAN-MELOXICAM 15MG TABLET MELOXICAM 02255995 Y

Anti Inflammatory/Analgesics* MYLAN-MELOXICAM 7.5MG TABLET MELOXICAM 02255987 Y

Anti Inflammatory/Analgesics* MYLAN-NABUMETONE 500MG TABLET NABUMETONE 02244563 Y

Anti Inflammatory/Analgesics* MYLAN-NAPROXEN 250MG EC TABLET NAPROXEN 02243431 Y

Anti Inflammatory/Analgesics* MYLAN-NAPROXEN 375MG EC TABLET NAPROXEN 02243432 Y

Anti Inflammatory/Analgesics* MYLAN-NAPROXEN 500MG EC TABLET NAPROXEN 02241024 Y

Anti Inflammatory/Analgesics* NABUMETONE 500MG TABLET NABUMETONE 02343282 Y

Anti Inflammatory/Analgesics* NABUMETONE 500MG TABLET NABUMETONE 02239113 Y

Anti Inflammatory/Analgesics* NAPRELAN 375MG SRT TABLET NAPROXEN SODIUM 02242505 Y

Anti Inflammatory/Analgesics* NAPRELAN 500MG SRT TABLET NAPROXEN SODIUM 02242506 Y

Anti Inflammatory/Analgesics* NAPROSYN 125MG/5ML SUSP NAPROXEN 02162431 Y

Anti Inflammatory/Analgesics* NAPROSYN E 250MG TABLET EC NAPROXEN 02162792 Y

Anti Inflammatory/Analgesics* NAPROSYN E 375MG TABLET EC NAPROXEN 02162415 Y

Anti Inflammatory/Analgesics* NAPROSYN E 500MG TABLET NAPROXEN 02162423 Y

Anti Inflammatory/Analgesics* NAPROSYN SR 750MG TABLET SA NAPROXEN 02162466 Y

Anti Inflammatory/Analgesics* NAPROXEN 250MG TABLET NAPROXEN 02350750 Y

Anti Inflammatory/Analgesics* NAPROXEN 275MG TABLET NAPROXEN SODIUM 00887056 Y

Anti Inflammatory/Analgesics* NAPROXEN 375MG TABLET NAPROXEN 02350769 Y

Anti Inflammatory/Analgesics* NAPROXEN 500MG TABLET NAPROXEN 02350777 Y

Anti Inflammatory/Analgesics* NAPROXEN EC 250MG TABLET NAPROXEN 02350785 Y

Anti Inflammatory/Analgesics* NAPROXEN EC 375MG TABLET NAPROXEN 02350793 Y

Anti Inflammatory/Analgesics* NAPROXEN EC 500MG TABLET NAPROXEN 02350807 Y

Anti Inflammatory/Analgesics* NAPROXEN SODIUM 275MG TABLET NAPROXEN SODIUM 02351013 Y

Anti Inflammatory/Analgesics* NAPROXEN SODIUM DS 550MG TABLET NAPROXEN SODIUM 02351021 Y

Anti Inflammatory/Analgesics* NAPROXEN-125 125MG TABLET NAPROXEN 00590754 Y

Anti Inflammatory/Analgesics* NAPROXEN-250 250MG TABLET NAPROXEN 00590762 Y

Anti Inflammatory/Analgesics* NAPROXEN-375 375MG TABLET NAPROXEN 00655686 Y

Anti Inflammatory/Analgesics* NAPROXEN-500 500MG TABLET NAPROXEN 00618721 Y

Anti Inflammatory/Analgesics* NAPROXEN-NA DF 550MG TABLET NAPROXEN SODIUM 02153386 Y

Anti Inflammatory/Analgesics* NAXEN 250MG EC TABLET NAPROXEN 02268175 Y

Anti Inflammatory/Analgesics* NAXEN 375MG EC TABLET NAPROXEN 02268183 Y

Anti Inflammatory/Analgesics* NAXEN 500MG EC TABLET NAPROXEN 02268191 Y

Anti Inflammatory/Analgesics* NOVO-DIFENAC 25MG TABLET EC DICLOFENAC SODIUM 00808539 Y

Anti Inflammatory/Analgesics* NOVO-DIFENAC 50MG TABLET EC DICLOFENAC SODIUM 00808547 Y

Anti Inflammatory/Analgesics* NOVO-DIFENAC SR 100MG TABLET DICLOFENAC SODIUM 02048698 Y

Anti Inflammatory/Analgesics* NOVO-DIFENAC SR 75MG TABLET DICLOFENAC SODIUM 02158582 Y

Anti Inflammatory/Analgesics* NOVO-DIFENAC-K 50MG TABLET DICLOFENAC POTASSIUM 02239355 Y

Anti Inflammatory/Analgesics* NOVO-FLURPROFEN 100MG TABLET FLURBIPROFEN 02100517 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 54

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Anti Inflammatory/Analgesics* NOVO-FLURPROFEN 50MG TABLET FLURBIPROFEN 02100509 Y

Anti Inflammatory/Analgesics* NOVO-KETOROLAC 10MG TABLET KETOROLAC TROMETHAMINE 02230201 Y

Anti Inflammatory/Analgesics* NOVO-MELOXICAM 15MG TABLET MELOXICAM 02258323 Y

Anti Inflammatory/Analgesics* NOVO-MELOXICAM 7.5MG TABLET MELOXICAM 02258315 Y

Anti Inflammatory/Analgesics* NOVO-METHACIN 25MG CAPSULE INDOMETHACIN 00337420 Y

Anti Inflammatory/Analgesics* NOVO-METHACIN 50MG CAPSULE INDOMETHACIN 00337439 Y

Anti Inflammatory/Analgesics* NOVO-NABUMETONE 500MG TABLET NABUMETONE 02240867 Y

Anti Inflammatory/Analgesics* NOVO-NABUMETONE 750MG TABLET NABUMETONE 02240868 Y

Anti Inflammatory/Analgesics* NOVO-NAPROX 250MG EC TABLET NAPROXEN 02243312 Y

Anti Inflammatory/Analgesics* NOVO-NAPROX 250MG TABLET NAPROXEN 00565350 Y

Anti Inflammatory/Analgesics* NOVO-NAPROX 375MG EC TABLET NAPROXEN 02243313 Y

Anti Inflammatory/Analgesics* NOVO-NAPROX 375MG TABLET NAPROXEN 00627097 Y

Anti Inflammatory/Analgesics* NOVO-NAPROX 500MG EC TABLET NAPROXEN 02243314 Y

Anti Inflammatory/Analgesics* NOVO-NAPROX 500MG TABLET NAPROXEN 00589861 Y

Anti Inflammatory/Analgesics* NOVO-NAPROX SOD 550MG DS TABLET NAPROXEN SODIUM 02026600 Y

Anti Inflammatory/Analgesics* NOVO-NAPROX SODIUM 275MG TABLET NAPROXEN SODIUM 00778389 Y

Anti Inflammatory/Analgesics* NOVO-PIROCAM 10MG CAPSULE PIROXICAM 00695718 Y

Anti Inflammatory/Analgesics* NOVO-PIROCAM 20MG CAPSULE PIROXICAM 00695696 Y

Anti Inflammatory/Analgesics* NOVO-PROFEN 200MG TABLET IBUPROFEN 00629324 Y

Anti Inflammatory/Analgesics* NOVO-PROFEN 400MG TABLET IBUPROFEN 00629340 Y

Anti Inflammatory/Analgesics* NOVO-PROFEN 600MG TABLET IBUPROFEN 00629359 Y

Anti Inflammatory/Analgesics* NOVO-SUNDAC 150MG TABLET SULINDAC 00745588 Y

Anti Inflammatory/Analgesics* NOVO-SUNDAC 200MG TABLET SULINDAC 00745596 Y

Anti Inflammatory/Analgesics* NOVO-TIAPROFENIC 200MG TABLET TIAPROFENIC ACID 02179679 Y

Anti Inflammatory/Analgesics* NOVO-TIAPROFENIC 300MG TABLET TIAPROFENIC ACID 02179687 Y

Anti Inflammatory/Analgesics* NTP-DICLOFENAC POTASSIUM 50MG TABLET DICLOFENAC POTASSIUM 02346281 Y

Anti Inflammatory/Analgesics* NTP-DICLOFENAC SODIUM 50MG TABLET DICLOFENAC SODIUM 02347849 Y

Anti Inflammatory/Analgesics* NTP-DICLOFENAC SODIUM SR 75MG TABLET DICLOFENAC SODIUM 02347857 Y

Anti Inflammatory/Analgesics* NTP-INDOMETHACIN 25MG CAPSULE INDOMETHACIN 02348322 Y

Anti Inflammatory/Analgesics* NTP-INDOMETHACIN 50MG CAPSULE INDOMETHACIN 02348330 Y

Anti Inflammatory/Analgesics* NTP-NAPROXEN 250MG TABLET NAPROXEN 02346583 Y

Anti Inflammatory/Analgesics* NTP-NAPROXEN 375MG TABLET NAPROXEN 02346591 Y

Anti Inflammatory/Analgesics* NTP-NAPROXEN 500MG TABLET NAPROXEN 02346605 Y

Anti Inflammatory/Analgesics* NTP-NAPROXEN EC 250MG TABLET NAPROXEN 02346613 Y

Anti Inflammatory/Analgesics* NTP-NAPROXEN EC 375MG TABLET NAPROXEN 02346621 Y

Anti Inflammatory/Analgesics* NTP-NAPROXEN EC 500MG TABLET NAPROXEN 02346648 Y

Anti Inflammatory/Analgesics* NTP-NAPROXEN SODIUM 275MG TABLET NAPROXEN SODIUM 02347334 Y

Anti Inflammatory/Analgesics* NTP-NAPROXEN SODIUM DS 550MG TABLET NAPROXEN SODIUM 02347369 Y

Anti Inflammatory/Analgesics* NU-DICLO 25MG TABLET EC DICLOFENAC SODIUM 00886017 Y

Anti Inflammatory/Analgesics* NU-DICLO 50MG TABLET EC DICLOFENAC SODIUM 00886025 Y

Anti Inflammatory/Analgesics* NU-DICLO RAPIDE 50MG TABLET DICLOFENAC POTASSIUM 02336413 Y

Anti Inflammatory/Analgesics* NU-DICLO-SR 100 MG DICLOFENAC SODIUM 02228211 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 55

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Anti Inflammatory/Analgesics* NU-DICLO-SR 75 MG DICLOFENAC SODIUM 02228203 Y

Anti Inflammatory/Analgesics* NU-FLURBIPROFEN 100MG TABLET FLURBIPROFEN 02020688 Y

Anti Inflammatory/Analgesics* NU-FLURBIPROFEN 50MG TABLET FLURBIPROFEN 02020661 Y

Anti Inflammatory/Analgesics* NU-IBUPROFEN 600MG TABLET IBUPROFEN 02020726 Y

Anti Inflammatory/Analgesics* NU-INDO 25MG CAPSULE INDOMETHACIN 00865850 Y

Anti Inflammatory/Analgesics* NU-INDO 50MG CAPSULE INDOMETHACIN 00865869 Y

Anti Inflammatory/Analgesics* NU-KETOPROFEN 50MG CAPSULE KETOPROFEN 02044633 Y

Anti Inflammatory/Analgesics* NU-KETOPROFEN-E 100MG TABLET KETOPROFEN 02044641 Y

Anti Inflammatory/Analgesics* NU-KETOPROFEN-E 50MG TABLET KETOPROFEN 02044781 Y

Anti Inflammatory/Analgesics* NU-KETOPROFEN-SR 200MG KETOPROFEN 02200910 Y

Anti Inflammatory/Analgesics* NU-KETOROLAC 10MG TABLET KETOROLAC TROMETHAMINE 02237910 Y

Anti Inflammatory/Analgesics* NU-MEFENAMIC 250MG CAPSULE MEFENAMIC ACID 02229569 Y

Anti Inflammatory/Analgesics* NU-MELOXICAM 15MG TABLET MELOXICAM 02335514 Y

Anti Inflammatory/Analgesics* NU-MELOXICAM 7.5MG TABLET MELOXICAM 02335506 Y

Anti Inflammatory/Analgesics* NU-NABUMETONE 500MG TABLET NABUMETONE 02238369 Y

Anti Inflammatory/Analgesics* NU-NAPRO-NA 275MG TABLET NAPROXEN SODIUM 02336596 Y

Anti Inflammatory/Analgesics* NU-NAPRO-NA DS 550MG TABLET NAPROXEN SODIUM 02336618 Y

Anti Inflammatory/Analgesics* NU-NAPROX 250MG TABLET NAPROXEN 00865648 Y

Anti Inflammatory/Analgesics* NU-NAPROX 375MG TABLET NAPROXEN 00865656 Y

Anti Inflammatory/Analgesics* NU-NAPROX 500MG TABLET NAPROXEN 00865664 Y

Anti Inflammatory/Analgesics* NU-NAPROX EC 250MG TABLET NAPROXEN 02336553 Y

Anti Inflammatory/Analgesics* NU-NAPROX EC 375MG TABLET NAPROXEN 02336561 Y

Anti Inflammatory/Analgesics* NU-NAPROX EC 500MG TABLET NAPROXEN 02336588 Y

Anti Inflammatory/Analgesics* NU-PIROX 10MG CAPSULE PIROXICAM 00865761 Y

Anti Inflammatory/Analgesics* NU-PIROX 20MG CAPSULE PIROXICAM 00865788 Y

Anti Inflammatory/Analgesics* NU-SULINDAC 150MG TABLET SULINDAC 02042576 Y

Anti Inflammatory/Analgesics* NU-TIAPROFENIC 300MG TABLET TIAPROFENIC ACID 02146886 Y

Anti Inflammatory/Analgesics* ORB-IBUPROFEN 200MG TABLET IBUPROFEN 02247589 Y

Anti Inflammatory/Analgesics* PAMPRIN IBUPROFEN FORMULA 400MG TABLET IBUPROFEN 02293013 Y

Anti Inflammatory/Analgesics* PENDO-IBUPROFEN 200MG CAPLET IBUPROFEN 02318520 Y

Anti Inflammatory/Analgesics* PENDO-IBUPROFEN 200MG TABLET IBUPROFEN 02318504 Y

Anti Inflammatory/Analgesics* PENDO-IBUPROFEN ES 400MG TABLET IBUPROFEN 02318539 Y

Anti Inflammatory/Analgesics* PHL-MELOXICAM 15MG TABLET MELOXICAM 02248608 Y

Anti Inflammatory/Analgesics* PHL-MELOXICAM 7.5MG TABLET MELOXICAM 02248607 Y

Anti Inflammatory/Analgesics* PIROXICAM 10MG SUPPOSITORY PIROXICAM 02239809 Y

Anti Inflammatory/Analgesics* PIROXICAM 20MG SUPPOSITORY PIROXICAM 02239810 Y

Anti Inflammatory/Analgesics* PMS-DICLOFENAC 100MG SR TABLET DICLOFENAC SODIUM 02231505 Y

Anti Inflammatory/Analgesics* PMS-DICLOFENAC 100MG SUPPOSITORY DICLOFENAC SODIUM 02231508 Y

Anti Inflammatory/Analgesics* PMS-DICLOFENAC 25MG DR TABLET DICLOFENAC SODIUM 02302616 Y

Anti Inflammatory/Analgesics* PMS-DICLOFENAC 25MG TABLET DICLOFENAC SODIUM 02231502 Y

Anti Inflammatory/Analgesics* PMS-DICLOFENAC 50MG DR TABLET DICLOFENAC SODIUM 02302624 Y

Anti Inflammatory/Analgesics* PMS-DICLOFENAC 50MG SUPPOSITORY DICLOFENAC SODIUM 02231506 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 56

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Anti Inflammatory/Analgesics* PMS-DICLOFENAC 50MG TABLET DICLOFENAC SODIUM 02231503 Y

Anti Inflammatory/Analgesics* PMS-DICLOFENAC 75MG SR TABLET DICLOFENAC SODIUM 02231504 Y

Anti Inflammatory/Analgesics* PMS-DICLOFENAC K 50MG TABLET DICLOFENAC POTASSIUM 02239753 Y

Anti Inflammatory/Analgesics* PMS-IBUPROFEN 200MG CAPSULE IBUPROFEN 02307057 Y

Anti Inflammatory/Analgesics* PMS-IBUPROFEN 200MG TABLET IBUPROFEN 02307049 Y

Anti Inflammatory/Analgesics* PMS-IBUPROFEN 400MG TABLET IBUPROFEN 00836133 Y

Anti Inflammatory/Analgesics* PMS-IBUPROFEN 600MG TABLET IBUPROFEN 00839264 Y

Anti Inflammatory/Analgesics* PMS-KETOPROFEN 100MG SUPPOSITORY KETOPROFEN 02015951 Y

Anti Inflammatory/Analgesics* PMS-KETOPROFEN 50MG SUPPOSITORY KETOPROFEN 02148773 Y

Anti Inflammatory/Analgesics* PMS-MEFENAMIC ACID 250MG CAPSULE MEFENAMIC ACID 02231208 Y

Anti Inflammatory/Analgesics* PMS-MELOXICAM 15MG TABLET MELOXICAM 02248268 Y

Anti Inflammatory/Analgesics* PMS-MELOXICAM 7.5MG TABLET MELOXICAM 02248267 Y

Anti Inflammatory/Analgesics* PMS-NAPROXEN 375MG EC TABLET NAPROXEN 02294702 Y

Anti Inflammatory/Analgesics* PMS-NAPROXEN 500MG EC TABLET NAPROXEN 02294710 Y

Anti Inflammatory/Analgesics* PMS-NAPROXEN 500MG SUPPOSITORY NAPROXEN 02017237 Y

Anti Inflammatory/Analgesics* PMS-PIROXICAM 10MG CAPSULE PIROXICAM 00836249 Y

Anti Inflammatory/Analgesics* PMS-PIROXICAM 20MG CAPSULE PIROXICAM 00836230 Y

Anti Inflammatory/Analgesics* PMS-PIROXICAM 20MG SUPP PIROXICAM 02154463 Y

Anti Inflammatory/Analgesics* PMS-TIAPROFENIC 300MG TABLET TIAPROFENIC ACID 02230828 Y

Anti Inflammatory/Analgesics* PONSTAN 250MG CAPSULE MEFENAMIC ACID 00155225 Y

Anti Inflammatory/Analgesics* PRO-DICLO RAPIDE 50MG TABLET DICLOFENAC POTASSIUM 02311461 Y

Anti Inflammatory/Analgesics* PRO-INDO 25MG CAPSULE INDOMETHACIN 00646261 Y

Anti Inflammatory/Analgesics* PRO-INDO 50MG CAPSULE INDOMETHACIN 00646288 Y

Anti Inflammatory/Analgesics* PRO-NAPROXEN EC 250MG TABLET NAPROXEN 02310937 Y

Anti Inflammatory/Analgesics* PRO-NAPROXEN EC 375MG TABLET NAPROXEN 02310945 Y

Anti Inflammatory/Analgesics* PRO-NAPROXEN EC 500MG TABLET NAPROXEN 02310953 Y

Anti Inflammatory/Analgesics* PRO-PIROXICAM 10MG CAPSULE PIROXICAM 00658839 Y

Anti Inflammatory/Analgesics* PRO-PIROXICAM 20MG CAPSULE PIROXICAM 00658820 Y

Anti Inflammatory/Analgesics* RATIO-INDOMETHACIN 100MG SUPP INDOMETHACIN 01934139 Y

Anti Inflammatory/Analgesics* RATIO-MELOXICAM 15MG TABLET MELOXICAM 02248031 Y

Anti Inflammatory/Analgesics* RATIO-MELOXICAM 7.5MG TABLET MELOXICAM 02247889 Y

Anti Inflammatory/Analgesics* REIM:BEXTRA 10MG TABLET VALDECOXIB 92246621 Y

Anti Inflammatory/Analgesics* REIM:BEXTRA 20MG TABLET VALDECOXIB 92246622 Y

Anti Inflammatory/Analgesics* REIM:BEXTRA 40MG TABLET VALDECOXIB 92246623 Y

Anti Inflammatory/Analgesics* REIM:PREXIGE 100MG TABLET LUMIRACOXIB 92288036 Y

Anti Inflammatory/Analgesics* REIM:VIOXX 12.5MG TABLET ROFECOXIB 00990148 Y

Anti Inflammatory/Analgesics* REIM:VIOXX 2.5MG/ML SUSPENSION ROFECOXIB 00990150 Y

Anti Inflammatory/Analgesics* REIM:VIOXX 25MG TABLET ROFECOXIB 00990149 Y

Anti Inflammatory/Analgesics* REIM:VIOXX 5MG/ML SUSPENSION ROFECOXIB 00990151 Y

Anti Inflammatory/Analgesics* RELAFEN 500MG TABLET NABUMETONE 02083531 Y

Anti Inflammatory/Analgesics* RELAFEN 750MG TABLET NABUMETONE 02083558 Y

Anti Inflammatory/Analgesics* RHODACINE 100MG SUPPOSITORY INDOMETHACIN 02146940 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 57

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Anti Inflammatory/Analgesics* RHODACINE 50MG SUPPOSITORY INDOMETHACIN 02146932 Y

Anti Inflammatory/Analgesics* RHODIS-EC 100MG TABLET EC KETOPROFEN 00761680 Y

Anti Inflammatory/Analgesics* RHOXAL-OXAPROZIN 600MG TABLET OXAPROZIN 02243799 Y

Anti Inflammatory/Analgesics* RIVA-NAPROXEN 250MG TABLET NAPROXEN 02240786 Y

Anti Inflammatory/Analgesics* RIVA-NAPROXEN 275MG TABLET NAPROXEN SODIUM 02240827 Y

Anti Inflammatory/Analgesics* RIVA-NAPROXEN 375MG TABLET NAPROXEN 02240787 Y

Anti Inflammatory/Analgesics* RIVA-NAPROXEN 500MG TABLET NAPROXEN 02240788 Y

Anti Inflammatory/Analgesics* RIVA-NAPROXEN 550MG TABLET NAPROXEN SODIUM 02240828 Y

Anti Inflammatory/Analgesics* SAB-INDOMETHACIN 100MG SUPP INDOMETHACIN 02231800 Y

Anti Inflammatory/Analgesics* SAB-INDOMETHACIN 50MG SUPP INDOMETHACIN 02231799 Y

Anti Inflammatory/Analgesics* SAB-NAPROXEN 500MG SUPPOSITORY NAPROXEN 02230477 Y

Anti Inflammatory/Analgesics* SANDOZ DICLOFENAC 100MG SUPPOSITORY DICLOFENAC SODIUM 02241225 Y

Anti Inflammatory/Analgesics* SANDOZ DICLOFENAC 50MG SUPPOSITORY DICLOFENAC SODIUM 02241224 Y

Anti Inflammatory/Analgesics* SANDOZ NABUMETONE 500MG TABLET NABUMETONE 02242912 Y

Anti Inflammatory/Analgesics* SANDOZ-DICLOFENAC 100MG SR TABLET DICLOFENAC SODIUM 02261944 Y

Anti Inflammatory/Analgesics* SANDOZ-DICLOFENAC 100MG SUPPOSITORY DICLOFENAC SODIUM 02261936 Y

Anti Inflammatory/Analgesics* SANDOZ-DICLOFENAC 25MG TABLET DICLOFENAC SODIUM 02261952 Y

Anti Inflammatory/Analgesics* SANDOZ-DICLOFENAC 50MG SUPPOSITORY DICLOFENAC SODIUM 02261928 Y

Anti Inflammatory/Analgesics* SANDOZ-DICLOFENAC 50MG TABLET DICLOFENAC SODIUM 02261960 Y

Anti Inflammatory/Analgesics* SANDOZ-DICLOFENAC 75MG SR TABLET DICLOFENAC SODIUM 02261901 Y

Anti Inflammatory/Analgesics* SANDOZ-DICLOFENAC RAPIDE 50MG TABLET DICLOFENAC POTASSIUM 02261774 Y

Anti Inflammatory/Analgesics* SIG-MELOXICAM 15MG TABLET MELOXICAM 02347911 Y

Anti Inflammatory/Analgesics* SIG-MELOXICAM 7.5MG TABLET MELOXICAM 02347903 Y

Anti Inflammatory/Analgesics* SULINDAC-150 150MG TABLET SULINDAC 00808628 Y

Anti Inflammatory/Analgesics* SULINDAC-200 200MG TABLET SULINDAC 00808636 Y

Anti Inflammatory/Analgesics* SUPER STRENGTH MOTRIN IB LIQUID GELS IBUPROFEN 02317850 Y

Anti Inflammatory/Analgesics* SUPER STRENGTH MOTRIN IB MENSTRUAL PAIN 400MG TABLETIBUPROFEN 02271702 Y

Anti Inflammatory/Analgesics* SURGAM 300MG SR CAPSULE TIAPROFENIC ACID 02221969 Y

Anti Inflammatory/Analgesics* SURGAM 300MG TABLET TIAPROFENIC ACID 02221950 Y

Anti Inflammatory/Analgesics* TENOXICAM 20MG CAPSULE TENOXICAM 02230661 Y

Anti Inflammatory/Analgesics* TENOXICAM 20MG TABLET TENOXICAM 02231120 Y

Anti Inflammatory/Analgesics* TIAPROFENIC 200MG TABLET TIAPROFENIC ACID 02145006 Y

Anti Inflammatory/Analgesics* TIAPROFENIC 300MG TABLET TIAPROFENIC ACID 02145014 Y

Anti Inflammatory/Analgesics* TORADOL 10MG TABLET KETOROLAC TROMETHAMINE 02162660 Y

Anti Inflammatory/Analgesics* TORADOL 10MG/ML AMPOULE KETOROLAC TROMETHAMINE 02162644 Y

Anti Inflammatory/Analgesics* TORADOL 30MG/ML AMPOULE KETOROLAC TROMETHAMINE 02162652 Y

Anti Inflammatory/Analgesics* VOLTAREN 100MG SUPPOSITORY DICLOFENAC SODIUM 00632732 Y

Anti Inflammatory/Analgesics* VOLTAREN 50MG SUPPOSITORY DICLOFENAC SODIUM 00632724 Y

Anti Inflammatory/Analgesics* VOLTAREN 50MG TABLET DICLOFENAC SODIUM 00514012 Y

Anti Inflammatory/Analgesics* VOLTAREN RAPIDE 50MG TABLET DICLOFENAC POTASSIUM 00881635 Y

Anti Inflammatory/Analgesics* VOLTAREN SR 100MG TABLET SA DICLOFENAC SODIUM 00590827 Y

Anti Inflammatory/Analgesics* VOLTAREN SR 75MG TABLET SA DICLOFENAC SODIUM 00782459 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 58

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* ACYCLOVIR 1000MG/VIAL ACYCLOVIR SODIUM 02231357 Y

Antibiotics/Anti-infectives* ACYCLOVIR 200MG TABLET ACYCLOVIR 02237541 Y

Antibiotics/Anti-infectives* ACYCLOVIR 200MG TABLET ACYCLOVIR 02286556 Y

Antibiotics/Anti-infectives* ACYCLOVIR 25MG/ML INJ ACYCLOVIR SODIUM 02236916 Y

Antibiotics/Anti-infectives* ACYCLOVIR 400MG TABLET ACYCLOVIR 02237542 Y

Antibiotics/Anti-infectives* ACYCLOVIR 400MG TABLET ACYCLOVIR 02286564 Y

Antibiotics/Anti-infectives* ACYCLOVIR 500MG/VIAL ACYCLOVIR SODIUM 02231356 Y

Antibiotics/Anti-infectives* ACYCLOVIR 50MG/ML INJ ACYCLOVIR SODIUM 02236926 Y

Antibiotics/Anti-infectives* ACYCLOVIR 800MG TABLET ACYCLOVIR 02237543 Y

Antibiotics/Anti-infectives* ACYCLOVIR 800MG TABLET ACYCLOVIR 02286572 Y

Antibiotics/Anti-infectives* AMIKACIN 250MG/ML INJECTION AMIKACIN SULFATE 02242971 Y

Antibiotics/Anti-infectives* AMOX 250MG CAPSULE AMOXICILLIN TRIHYDRATE 00885886 Y

Antibiotics/Anti-infectives* AMOX 500MG CAPSULE AMOXICILLIN TRIHYDRATE 00885894 Y

Antibiotics/Anti-infectives* AMOX S 125 SUS 125MG/5ML AMOXICILLIN TRIHYDRATE 00885908 Y

Antibiotics/Anti-infectives* AMOX S 250 SUS 250MG/5ML AMOXICILLIN TRIHYDRATE 00885916 Y

Antibiotics/Anti-infectives* AMOXICILLIN 125MG/5ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02243224 Y

Antibiotics/Anti-infectives* AMOXICILLIN 125MG/5ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02352745 Y

Antibiotics/Anti-infectives* AMOXICILLIN 125MG/5ML SUGAR REDUCED ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02352761 Y

Antibiotics/Anti-infectives* AMOXICILLIN 250MG CAPSULE AMOXICILLIN TRIHYDRATE 02241826 Y

Antibiotics/Anti-infectives* AMOXICILLIN 250MG CAPSULE AMOXICILLIN TRIHYDRATE 02319594 Y

Antibiotics/Anti-infectives* AMOXICILLIN 250MG CAPSULE AMOXICILLIN TRIHYDRATE 02352710 Y

Antibiotics/Anti-infectives* AMOXICILLIN 250MG CHEWABLE TABLET AMOXICILLIN TRIHYDRATE 02352737 Y

Antibiotics/Anti-infectives* AMOXICILLIN 250MG/5MG SUGAR REDUCED ORAL SUSPENSIONAMOXICIILIN TRIHYDRATE 02352788 Y

Antibiotics/Anti-infectives* AMOXICILLIN 250MG/5ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02243225 Y

Antibiotics/Anti-infectives* AMOXICILLIN 250MG/5ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02352753 Y

Antibiotics/Anti-infectives* AMOXICILLIN 500MG CAPSULE AMOXICILLIN TRIHYDRATE 02237154 Y

Antibiotics/Anti-infectives* AMOXICILLIN 500MG CAPSULE AMOXICILLIN TRIHYDRATE 02241827 Y

Antibiotics/Anti-infectives* AMOXICILLIN 500MG CAPSULE AMOXICLLIN TRIHYDRATE 02319608 Y

Antibiotics/Anti-infectives* AMOXICILLIN 500MG CAPSULE AMOXICILLIN TRIHYDRATE 02352729 Y

Antibiotics/Anti-infectives* AMOXI-CLAV 250MG TABLET AMOX TR/POTASSIUM CLAVULANATE02326507 Y

Antibiotics/Anti-infectives* AMOXI-CLAV 500MG TABLET AMOX TR/POTASSIUM CLAVULANATE02326515 Y

Antibiotics/Anti-infectives* AMOXI-CLAV 875MG TABLET AMOX TR/POTASSIUM CLAVULANATE02326523 Y

Antibiotics/Anti-infectives* AMPICILLIN 1G VIAL AMPICILLIN SODIUM 02227002 Y

Antibiotics/Anti-infectives* AMPICILLIN 250MG VIAL AMPICILLIN SODIUM 02227029 Y

Antibiotics/Anti-infectives* AMPICILLIN 2G VIAL AMPICILLIN SODIUM 02226995 Y

Antibiotics/Anti-infectives* AMPICILLIN 500MG VIAL AMPICILLIN SODIUM 02227010 Y

Antibiotics/Anti-infectives* AMPICILLIN SOD 500MG VIAL AMPICILLIN SODIUM 00872652 Y

Antibiotics/Anti-infectives* AMPICILLIN SODIUM 1GM VIAL AMPICILLIN SODIUM 01933345 Y

Antibiotics/Anti-infectives* AMPICILLIN SODIUM 250MG VL AMPICILLIN SODIUM 00872644 Y

Antibiotics/Anti-infectives* AMPICILLIN SODIUM 2GM VIAL AMPICILLIN SODIUM 01933353 Y

Antibiotics/Anti-infectives* APO-ACYCLOVIR 200MG TABLET ACYCLOVIR 02207621 Y

Antibiotics/Anti-infectives* APO-ACYCLOVIR 400MG TABLET ACYCLOVIR 02207648 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 59

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* APO-ACYCLOVIR 800MG TABLET ACYCLOVIR 02207656 Y

Antibiotics/Anti-infectives* APO-AMOXI 125/5ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 00628131 Y

Antibiotics/Anti-infectives* APO-AMOXI 125/5ML SUGAR FREE AMOXICILLIN TRIHYDRATE 02230879 Y

Antibiotics/Anti-infectives* APO-AMOXI 125MG/5ML SANS SUCROSE AMOXICILLIN TRIHYDRATE 99002582 Y

Antibiotics/Anti-infectives* APO-AMOXI 250/5ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 00628158 Y

Antibiotics/Anti-infectives* APO-AMOXI 250/5ML SUGAR FREE AMOXICILLIN TRIHYDRATE 02230880 Y

Antibiotics/Anti-infectives* APO-AMOXI 250MG CAPSULE AMOXICILLIN TRIHYDRATE 00628115 Y

Antibiotics/Anti-infectives* APO-AMOXI 250MG/5ML SANS SUCROSE AMOXICILLIN TRIHYDRATE 99002590 Y

Antibiotics/Anti-infectives* APO-AMOXI 500MG CAPSULE AMOXICILLIN TRIHYDRATE 00628123 Y

Antibiotics/Anti-infectives* APO-AMOXI CLAV 125MG POWDER FOR SUSPENSION AMOX TR/POTASSIUM CLAVULANATE02243986 Y

Antibiotics/Anti-infectives* APO-AMOXI CLAV 250MG POWDER FOR SUSPENSION AMOX TR/POTASSIUM CLAVULANATE02243987 Y

Antibiotics/Anti-infectives* APO-AMOXI CLAV 250MG TABLET AMOX TR/POTASSIUM CLAVULANATE02243350 Y

Antibiotics/Anti-infectives* APO-AMOXI CLAV 400MG/5ML ORAL SUSPENSION AMOX TR/POTASSIUM CLAVULANATE02288559 Y

Antibiotics/Anti-infectives* APO-AMOXI CLAV 500MG TABLET AMOX TR/POTASSIUM CLAVULANATE02243351 Y

Antibiotics/Anti-infectives* APO-AMOXI CLAV 875/125MG TABLET AMOX TR/POTASSIUM CLAVULANATE02245623 Y

Antibiotics/Anti-infectives* APO-AMPI 125MG/5ML SUSP AMPICILLIN TRIHYDRATE 00603260 Y

Antibiotics/Anti-infectives* APO-AMPI 250MG CAPSULE AMPICILLIN TRIHYDRATE 00603279 Y

Antibiotics/Anti-infectives* APO-AMPI 250MG/5ML SUSP AMPICILLIN TRIHYDRATE 00603287 Y

Antibiotics/Anti-infectives* APO-AMPI 500MG CAPSULE AMPICILLIN TRIHYDRATE 00603295 Y

Antibiotics/Anti-infectives* APO-AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02247423 Y

Antibiotics/Anti-infectives* APO-CEFACLOR 125MG/5ML SUSP CEFACLOR 02237500 Y

Antibiotics/Anti-infectives* APO-CEFACLOR 250MG CAPSULE CEFACLOR 02230263 Y

Antibiotics/Anti-infectives* APO-CEFACLOR 250MG/5ML SUSP CEFACLOR 02237501 Y

Antibiotics/Anti-infectives* APO-CEFACLOR 500MG CAPSULE CEFACLOR 02230264 Y

Antibiotics/Anti-infectives* APO-CEFADROXIL 500MG CAPSULE CEFADROXIL 02240774 Y

Antibiotics/Anti-infectives* APO-CEFPROZIL 250MG TABLET CEFPROZIL 02292998 Y

Antibiotics/Anti-infectives* APO-CEFPROZIL 250MG/5ML ORAL SUSP-100ML PK (ODB) CEFPROZIL 09857361 Y

Antibiotics/Anti-infectives* APO-CEFPROZIL 25MG/ML SUSPENSION CEFPROZIL 02293943 Y

Antibiotics/Anti-infectives* APO-CEFPROZIL 500MG TABLET CEFPROZIL 02293005 Y

Antibiotics/Anti-infectives* APO-CEFPROZIL 50MG/ML SUSPENSION CEFPROZIL 02293951 Y

Antibiotics/Anti-infectives* APO-CEFPRZIL 125MG/5ML ORAL SUSP- 100ML PK (ODB) CEFPROZIL 09857360 Y

Antibiotics/Anti-infectives* APO-CEFUROXIME 250MG TABLET CEFUROXIME AXETIL 02244393 Y

Antibiotics/Anti-infectives* APO-CEFUROXIME 500MG TABLET CEFUROXIME AXETIL 02244394 Y

Antibiotics/Anti-infectives* APO-CEPHALEX 250MG TABLET CEPHALEXIN MH 00768723 Y

Antibiotics/Anti-infectives* APO-CEPHALEX 500MG TABLET CEPHALEXIN MH 00768715 Y

Antibiotics/Anti-infectives* APO-CIPROFLOX 100MG TABLET CIPROFLOXACIN HCL 02229520 Y

Antibiotics/Anti-infectives* APO-CIPROFLOX 250MG TABLET CIPROFLOXACIN HCL 02229521 Y

Antibiotics/Anti-infectives* APO-CIPROFLOX 500MG TABLET CIPROFLOXACIN HCL 02229522 Y

Antibiotics/Anti-infectives* APO-CIPROFLOX 750MG TABLET CIPROFLOXACIN HCL 02229523 Y

Antibiotics/Anti-infectives* APO-CLARITHROMYCIN 250MG TABLET CLARITHROMYCIN 02274744 Y

Antibiotics/Anti-infectives* APO-CLARITHROMYCIN 500MG TABLET CLARITHROMYCIN 02274752 Y

Antibiotics/Anti-infectives* APO-CLINDAMYCIN 150MG CAPSULE CLINDAMYCIN HCL 02245232 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 60

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* APO-CLINDAMYCIN 300MG CAPSULE CLINDAMYCIN HCL 02245233 Y

Antibiotics/Anti-infectives* APO-CLOXI 125MG/5ML SUSP CLOXACILLIN SODIUM 00644633 Y

Antibiotics/Anti-infectives* APO-CLOXI 250MG CAPSULE CLOXACILLIN SODIUM 00618292 Y

Antibiotics/Anti-infectives* APO-CLOXI 500MG CAPSULE CLOXACILLIN SODIUM 00618284 Y

Antibiotics/Anti-infectives* APO-DOXY 100MG CAPSULE DOXYCYCLINE HYCLATE 00740713 Y

Antibiotics/Anti-infectives* APO-DOXY-TABS 100MG TABLET DOXYCYCLINE HYCLATE 00874256 Y

Antibiotics/Anti-infectives* APO-ERYTHRO E-C 250MG CAPSULE ERYTHROMYCIN BASE 00726672 Y

Antibiotics/Anti-infectives* APO-ERYTHRO E-C 333MG CAPSULE ERYTHROMYCIN BASE 01925938 Y

Antibiotics/Anti-infectives* APO-ERYTHRO-BASE 250MG TABLET ERYTHROMYCIN BASE 00682020 Y

Antibiotics/Anti-infectives* APO-ERYTHRO-ES 600MG TABLET ERYTHROMYCIN ETHYLSUCCINATE00637416 Y

Antibiotics/Anti-infectives* APO-ERYTHRO-S 250MG TABLET ERYTHROMYCIN STEARATE 00545678 Y

Antibiotics/Anti-infectives* APO-ERYTHRO-S 500MG TABLET ERYTHROMYCIN STEARATE 00688568 Y

Antibiotics/Anti-infectives* APO-FAMCICLOVIR 125MG TABLET FAMCICLOVIR 02292025 Y

Antibiotics/Anti-infectives* APO-FAMCICLOVIR 250MG TABLET FAMCICLOVIR 02292041 Y

Antibiotics/Anti-infectives* APO-FAMCICLOVIR 500MG TABLET FAMCICLOVIR 02292068 Y

Antibiotics/Anti-infectives* APO-LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02284707 Y

Antibiotics/Anti-infectives* APO-LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02284715 Y

Antibiotics/Anti-infectives* APO-LEVOFLOXACIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02325942 Y

Antibiotics/Anti-infectives* APO-METRONIDAZOLE 250MG TABLET METRONIDAZOLE 00545066 Y

Antibiotics/Anti-infectives* APO-METRONIDAZOLE 500MG CAPSULE METRONIDAZOLE 02248562 Y

Antibiotics/Anti-infectives* APO-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02084104 Y

Antibiotics/Anti-infectives* APO-MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02084090 Y

Antibiotics/Anti-infectives* APO-NITROFURANTOIN 100MG TABLET NITROFURANTOIN 00312738 Y

Antibiotics/Anti-infectives* APO-NITROFURANTOIN 50MG TABLET NITROFURANTOIN 00319511 Y

Antibiotics/Anti-infectives* APO-NORFLOX 400MG TABLET NORFLOXACIN 02229524 Y

Antibiotics/Anti-infectives* APO-NORFLOXACIN 400MG TABLET NORFLOXACIN 02091208 Y

Antibiotics/Anti-infectives* APO-PEN-VK 125MG/5ML SUSP PENICILLIN V POTASSIUM 00642223 Y

Antibiotics/Anti-infectives* APO-PEN-VK 300MG TABLET PENICILLIN V POTASSIUM 00642215 Y

Antibiotics/Anti-infectives* APO-PEN-VK 300MG/5ML SUSP PENICILLIN V POTASSIUM 00642231 Y

Antibiotics/Anti-infectives* APO-SULFATRIM DS TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM00445282 Y

Antibiotics/Anti-infectives* APO-SULFATRIM PED TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM00445266 Y

Antibiotics/Anti-infectives* APO-SULFATRIM SUSPENSION SULFAMETHOXAZOLE/TRIMETHOPRIM00846465 Y

Antibiotics/Anti-infectives* APO-SULFATRIM TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM00445274 Y

Antibiotics/Anti-infectives* APO-TETRA 250MG CAPSULE TETRACYCLINE HCL 00580929 Y

Antibiotics/Anti-infectives* APO-VALACYCLOVIR 500MG TABLET VALACYCLOVIR HCL 02295822 Y

Antibiotics/Anti-infectives* APX-ACYCLOVIR 200MG TABLET ACYCLOVIR 02340739 Y

Antibiotics/Anti-infectives* APX-ACYCLOVIR 400MG TABLET ACYCLOVIR 02340747 Y

Antibiotics/Anti-infectives* APX-ACYCLOVIR 800MG TABLET ACYCLOVIR 02340755 Y

Antibiotics/Anti-infectives* APX-AMOXI 125MG/5ML SUGAR FREE POWDER FOR SUSPENSIONAMOXICILLIN 02341328 Y

Antibiotics/Anti-infectives* APX-AMOXI 125MG/5MLPOWDER FOR SUSPENSION AMOXICILLIN 02341301 Y

Antibiotics/Anti-infectives* APX-AMOXI 250MG CAPSULE AMOXICILLIN 02341271 Y

Antibiotics/Anti-infectives* APX-AMOXI 250MG/5ML POWDER FOR SUSPENSION AMOXICILLIN 02341336 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 61

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* APX-AMOXI 250MG/5ML SUGAR FREE POWDER FOR SUSPENSIONAMOXICILLIN 02341344 Y

Antibiotics/Anti-infectives* APX-AMOXI 500MG CAPSULE AMOXICILLIN 02341298 Y

Antibiotics/Anti-infectives* APX-CEPHALEX 250MG TABLET CEPHALEXIN MH 02340917 Y

Antibiotics/Anti-infectives* APX-CEPHALEX 500MG TABLET CEPHALEXIN MH 02340925 Y

Antibiotics/Anti-infectives* APX-CIPROFLOX 100MG TABLET CIPROFLOXACIN HCL 02341700 Y

Antibiotics/Anti-infectives* APX-CIPROFLOX 250MG TABLET CIPROFLOXACIN HCL 02341719 Y

Antibiotics/Anti-infectives* APX-CIPROFLOX 500MG TABLET CIPROFLOXACIN HCL 02341727 Y

Antibiotics/Anti-infectives* APX-CIPROFLOX 750MG TABLET CIPROFLOXACIN HCL 02341735 Y

Antibiotics/Anti-infectives* AURO-CEFPROZIL 125MG/5ML SUSPENSION CEFPROZIL 02347261 Y

Antibiotics/Anti-infectives* AURO-CEFPROZIL 250MG TABLET CEFPROZIL 02347245 Y

Antibiotics/Anti-infectives* AURO-CEFPROZIL 250MG/5ML SUSPENSION CEFPROZIL 02347288 Y

Antibiotics/Anti-infectives* AURO-CEFPROZIL 500MG TABLET CEFPROZIL 02347253 Y

Antibiotics/Anti-infectives* AURO-CEFUROXIME 250MG TABLET CEFUROXIME AXETIL 02344823 Y

Antibiotics/Anti-infectives* AURO-CEFUROXIME 500MG TABLET CEFUROXIME AXETIL 02344831 Y

Antibiotics/Anti-infectives* AVELOX 400MG TABLET MOXIFLOXACIN HCL 02242965 Y

Antibiotics/Anti-infectives* AVELOX 400MG/250ML INJECTION MOXIFLOXACIN HCL 02246414 Y

Antibiotics/Anti-infectives* AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02334070 Y

Antibiotics/Anti-infectives* AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02330881 Y

Antibiotics/Anti-infectives* AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02342030 Y

Antibiotics/Anti-infectives* AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02343347 Y

Antibiotics/Anti-infectives* AZITHROMYCIN 500MG /10ML INJECTION AZITHROMYCIN 02334844 Y

Antibiotics/Anti-infectives* AZITHROMYCIN 500MG INJECTION AZITHROMYCIN 02318466 Y

Antibiotics/Anti-infectives* AZITHROMYCIN 500MG/15ML INJECTION AZITHROMYCIN 02334976 Y

Antibiotics/Anti-infectives* AZITHROMYCIN 600MG TABLET AZITHROMYCIN 02330911 Y

Antibiotics/Anti-infectives* AZITHROMYCIN 600MG TABLET AZITHROMYCIN 02342049 Y

Antibiotics/Anti-infectives* AZITHROMYCIN 600MG TABLET AZITHROMYCIN 02343355 Y

Antibiotics/Anti-infectives* AZITHROMYCIN FOR INJECTION 500MG AZITHROMYCIN 02297566 Y

Antibiotics/Anti-infectives* BACIJET 50 000 UNITS/VIAL BACITRACIN 02245571 Y

Antibiotics/Anti-infectives* BACITRACIN 50000U VIAL BACITRACIN 00030708 Y

Antibiotics/Anti-infectives* BIAXIN 125MG/5ML SUSPENSION CLARITHROMYCIN 02146908 Y

Antibiotics/Anti-infectives* BIAXIN 250MG/5ML POWDER FOR SUSPENSION CLARITHROMYCIN 02244641 Y

Antibiotics/Anti-infectives* BIAXIN 500MG XL TABLET CLARITHROMYCIN 02244756 Y

Antibiotics/Anti-infectives* BIAXIN BID 250MG TABLET CLARITHROMYCIN 01984853 Y

Antibiotics/Anti-infectives* BIAXIN BID 500MG TABLET CLARITHROMYCIN 02126710 Y

Antibiotics/Anti-infectives* BICILLIN L-A 1200000U/2ML INJ PENICILLIN G BENZATHINE 02291924 Y

Antibiotics/Anti-infectives* CAYSTON 75MG/VIAL AZTREONAM 02329840 Y

Antibiotics/Anti-infectives* CECLOR 125MG/5ML SUSPENSION CEFACLOR 00465208 Y

Antibiotics/Anti-infectives* CECLOR 250MG PULVULE CEFACLOR 00465186 Y

Antibiotics/Anti-infectives* CECLOR 250MG/5ML SUSPENSION CEFACLOR 00465216 Y

Antibiotics/Anti-infectives* CECLOR 375MG CD TABLET CEFACLOR 02161761 Y

Antibiotics/Anti-infectives* CECLOR 500MG CD TABLET CEFACLOR 02161788 Y

Antibiotics/Anti-infectives* CECLOR 500MG PULVULE CEFACLOR 00465194 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 62

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* CECLOR BID 375MG/5ML SUSPENSION CEFACLOR 00832804 Y

Antibiotics/Anti-infectives* CEFACLOR 125MG ORAL SUSPENSION CEFACLOR 02237382 Y

Antibiotics/Anti-infectives* CEFACLOR 125MG/5ML SUSPENSION CEFACLOR 02238202 Y

Antibiotics/Anti-infectives* CEFACLOR 250MG CAPSULE CEFACLOR 02238200 Y

Antibiotics/Anti-infectives* CEFACLOR 250MG CAPSULE CEFACLOR 02237380 Y

Antibiotics/Anti-infectives* CEFACLOR 250MG ORAL SUSPENSION CEFACLOR 02237383 Y

Antibiotics/Anti-infectives* CEFACLOR 250MG/5ML SUSPENSION CEFACLOR 02238203 Y

Antibiotics/Anti-infectives* CEFACLOR 375MG/5ML SUSPENSION CEFACLOR 02238204 Y

Antibiotics/Anti-infectives* CEFACLOR 375MG/5ML SUSPENSION CEFACLOR 02237384 Y

Antibiotics/Anti-infectives* CEFACLOR 375MG/5ML SUSPENSION CEFACLOR 02238793 Y

Antibiotics/Anti-infectives* CEFACLOR 500MG CAPSULE CEFACLOR 02238201 Y

Antibiotics/Anti-infectives* CEFACLOR 500MG CAPSULE CEFACLOR 02237381 Y

Antibiotics/Anti-infectives* CEFAZOLIN 10G INJECTION CEFAZOLIN SODIUM 02308967 Y

Antibiotics/Anti-infectives* CEFAZOLIN 10G VIAL CEFAZOLIN SODIUM 02297213 Y

Antibiotics/Anti-infectives* CEFAZOLIN 10G VIAL (MULTIDOSE) CEFAZOLIN SODIUM 02237140 Y

Antibiotics/Anti-infectives* CEFAZOLIN 1G INJECTION CEFAZOLIN SODIUM 02308959 Y

Antibiotics/Anti-infectives* CEFAZOLIN 1G VIAL CEFAZOLIN SODIUM 02237138 Y

Antibiotics/Anti-infectives* CEFAZOLIN 1G VIAL CEFAZOLIN SODIUM 02297205 Y

Antibiotics/Anti-infectives* CEFAZOLIN 20G VIAL (MULTIDOSE) CEFAZOLIN SODIUM 02237141 Y

Antibiotics/Anti-infectives* CEFAZOLIN 500MG INJECTION CEFAZOLIN SODIUM 02308932 Y

Antibiotics/Anti-infectives* CEFAZOLIN 500MG VIAL CEFAZOLIN SODIUM 02237137 Y

Antibiotics/Anti-infectives* CEFAZOLIN 500MG VIAL CEFAZOLIN SODIUM 02297191 Y

Antibiotics/Anti-infectives* CEFAZOLIN FOR INJECTION 20G VIAL CEFAZOLIN SODIUM 02318830 Y

Antibiotics/Anti-infectives* CEFAZOLIN SODIUM 10GM VIAL CEFAZOLIN SODIUM 02108135 Y

Antibiotics/Anti-infectives* CEFAZOLIN SODIUM 1GM VIAL CEFAZOLIN SODIUM 02108127 Y

Antibiotics/Anti-infectives* CEFAZOLIN SODIUM 500MG VIAL CEFAZOLIN SODIUM 02108119 Y

Antibiotics/Anti-infectives* CEFEPIME 1GM VIAL CEFEPIME HCL 02319020 Y

Antibiotics/Anti-infectives* CEFEPIME 2GM VIAL CEFEPIME HCL 02319039 Y

Antibiotics/Anti-infectives* CEFIZOX 1GM VIAL CEFTIZOXIME SODIUM 01919490 Y

Antibiotics/Anti-infectives* CEFIZOX 2GM VIAL CEFTIZOXIME SODIUM 01919504 Y

Antibiotics/Anti-infectives* CEFOTAXIME SODIUM FOR INJECTION BP 0.25GM VIAL CEFOTAXIME SODIUM 02261499 Y

Antibiotics/Anti-infectives* CEFOTAXIME SODIUM FOR INJECTION BP 0.5G VIAL CEFOTAXIME SODIUM 02352168 Y

Antibiotics/Anti-infectives* CEFOTAXIME SODIUM FOR INJECTION BP 0.5GM VIAL CEFOTAXIME SODIUM 02261502 Y

Antibiotics/Anti-infectives* CEFOTAXIME SODIUM FOR INJECTION BP 1G VIAL CEFOTAXIME SODIUM 02352176 Y

Antibiotics/Anti-infectives* CEFOTAXIME SODIUM FOR INJECTION BP 1GM VIAL CEFOTAXIME SODIUM 02261510 Y

Antibiotics/Anti-infectives* CEFOTAXIME SODIUM FOR INJECTION BP 2G VIAL CEFOTAXIME SODIUM 02352184 Y

Antibiotics/Anti-infectives* CEFOTAXIME SODIUM FOR INJECTION BP 2GM VIAL CEFOTAXIME SODIUM 02261529 Y

Antibiotics/Anti-infectives* CEFOXITIN 1GM VIAL CEFOXITIN SODIUM 02128187 Y

Antibiotics/Anti-infectives* CEFOXITIN 1GM VIAL CEFOXITIN SODIUM 02291711 Y

Antibiotics/Anti-infectives* CEFOXITIN 2GM VIAL CEFOXITIN SODIUM 02128195 Y

Antibiotics/Anti-infectives* CEFOXITIN 2GM VIAL CEFOXITIN SODIUM 02291738 Y

Antibiotics/Anti-infectives* CEFPROZIL 125MG/5ML ORAL SUSPENSION CEFPROZIL 02334887 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 63

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* CEFPROZIL 250MG TABLET CEFPROZIL MONOHYDRATE 02332035 Y

Antibiotics/Anti-infectives* CEFPROZIL 250MG TABLET CEFPROZIL 02334909 Y

Antibiotics/Anti-infectives* CEFPROZIL 250MG TABLET CEFPROZIL MONOHYDRATE 02324172 Y

Antibiotics/Anti-infectives* CEFPROZIL 250MG/5ML ORAL SUSPENSION CEFPROZIL 02334895 Y

Antibiotics/Anti-infectives* CEFPROZIL 500MG TABLET CEFPROZIL MONOHYDRATE 02332043 Y

Antibiotics/Anti-infectives* CEFPROZIL 500MG TABLET CEFPROZIL 02334917 Y

Antibiotics/Anti-infectives* CEFPROZIL 500MG TABLET CEFPROZIL MONOHYDRATE 02324180 Y

Antibiotics/Anti-infectives* CEFPROZIL POWDER 250MG/5ML FOR ORAL SUSP- 100ML PK (ODB)CEFPROZIL 09857366 Y

Antibiotics/Anti-infectives* CEFPROZIL POWDER 250MG/5ML FOR ORAL SUSPENSION CEFPROZIL MONOHYDRATE 02332027 Y

Antibiotics/Anti-infectives* CEFTAZIDIME 1GM VIAL CEFTAZIDIME PENTAHYDRATE 00886971 Y

Antibiotics/Anti-infectives* CEFTAZIDIME 2GM ADD-VANT VIAL CEFTAZIDIME PENTAHYDRATE 00886955 Y

Antibiotics/Anti-infectives* CEFTAZIDIME 6GM VIAL BULK CEFTAZIDIME PENTAHYDRATE 00886963 Y

Antibiotics/Anti-infectives* CEFTIN 125MG/5ML SUSPENSION CEFUROXIME AXETIL 02212307 Y

Antibiotics/Anti-infectives* CEFTIN 250MG TABLET CEFUROXIME AXETIL 02212277 Y

Antibiotics/Anti-infectives* CEFTIN 500MG TABLET CEFUROXIME AXETIL 02212285 Y

Antibiotics/Anti-infectives* CEFTRIAXONE 0.25G/VIAL INJECTION CEFTRIAXONE SODIUM 02292262 Y

Antibiotics/Anti-infectives* CEFTRIAXONE 10G INJECTION CEFTRIAXONE SODIUM 02287668 Y

Antibiotics/Anti-infectives* CEFTRIAXONE 10G/VIAL INJECTION CEFTRIAXONE SODIUM 02292297 Y

Antibiotics/Anti-infectives* CEFTRIAXONE 1G INJECTION CEFTRIAXONE SODIUM 02287633 Y

Antibiotics/Anti-infectives* CEFTRIAXONE 1G/VIAL INJECTION CEFTRIAXONE SODIUM 02292270 Y

Antibiotics/Anti-infectives* CEFTRIAXONE 250MG INJECTION CEFTRIAXONE 02287625 Y

Antibiotics/Anti-infectives* CEFTRIAXONE 2G INJECTION CEFTRIAXONE 02287641 Y

Antibiotics/Anti-infectives* CEFTRIAXONE 2G/VIAL INJECTION CEFTRIAXONE SODIUM 02292289 Y

Antibiotics/Anti-infectives* CEFTRIAXONE FOR INJECTION 0.25GM/VIAL CEFTRIAXONE SODIUM 02289679 Y

Antibiotics/Anti-infectives* CEFTRIAXONE FOR INJECTION 0.5GM/VIAL CEFTRIAXONE SODIUM 02289687 Y

Antibiotics/Anti-infectives* CEFTRIAXONE FOR INJECTION 10GM/VIAL CEFTRIAXONE SODIUM 02289717 Y

Antibiotics/Anti-infectives* CEFTRIAXONE FOR INJECTION 10GM/VIAL CEFTRIAXONE SODIUM 02292904 Y

Antibiotics/Anti-infectives* CEFTRIAXONE FOR INJECTION 1GM/VIAL CEFTRIAXONE SODIUM 02289695 Y

Antibiotics/Anti-infectives* CEFTRIAXONE FOR INJECTION 1GM/VIAL CEFTRIAXONE SODIUM 02292874 Y

Antibiotics/Anti-infectives* CEFTRIAXONE FOR INJECTION 250MG/VIAL CEFTRIAXONE SODIUM 02292866 Y

Antibiotics/Anti-infectives* CEFTRIAXONE FOR INJECTION 2GM/VIAL CEFTRIAXONE SODIUM 02289709 Y

Antibiotics/Anti-infectives* CEFTRIAXONE FOR INJECTION 2GM/VIAL CEFTRIAXONE SODIUM 02292882 Y

Antibiotics/Anti-infectives* CEFTRIAXONE SODIUM FOR INJECTION 10GM/ VIAL CEFTRIAXONE SODIUM 02292815 Y

Antibiotics/Anti-infectives* CEFTRIAXONE SODIUM FOR INJECTION 1GM VIAL CEFTRIAXONE SODIUM 02250292 Y

Antibiotics/Anti-infectives* CEFTRIAXONE SODIUM FOR INJECTION 250MG VIAL CEFTRIAXONE SODIUM 02250276 Y

Antibiotics/Anti-infectives* CEFTRIAXONE SODIUM FOR INJECTION 2GM VIAL CEFTRIAXONE SODIUM 02250306 Y

Antibiotics/Anti-infectives* CEFTRIAXONE SODIUM FOR INJECTION 500MG VIAL CEFTRIAXONE SODIUM 02250284 Y

Antibiotics/Anti-infectives* CEFUROXIME 1.5G INJECTION CEFUROXIME SODIUM 02241639 Y

Antibiotics/Anti-infectives* CEFUROXIME 7.5G INJECTION CEFUROXIME SODIUM 02241640 Y

Antibiotics/Anti-infectives* CEFUROXIME 750MG INJECTION CEFUROXIME SODIUM 02241638 Y

Antibiotics/Anti-infectives* CEFZIL 125MG/5ML ORAL SUSP-100ML PK (ODB) CEFPROZIL 09857358 Y

Antibiotics/Anti-infectives* CEFZIL 125MG/5ML SUSPENSION CEFPROZIL 02163675 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 64

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* CEFZIL 250MG TABLET CEFPROZIL 02163659 Y

Antibiotics/Anti-infectives* CEFZIL 250MG/5ML ORAL SUSP-100ML PK (ODB) CEFPROZIL 09857359 Y

Antibiotics/Anti-infectives* CEFZIL 250MG/5ML SUSPENSION CEFPROZIL 02163683 Y

Antibiotics/Anti-infectives* CEFZIL 500MG TABLET CEFPROZIL 02163667 Y

Antibiotics/Anti-infectives* CEPHALEXIN 250MG TABLET CEPHALEXIN MH 00828858 Y

Antibiotics/Anti-infectives* CEPHALEXIN 500MG TABLET CEPHALEXIN MH 00828866 Y

Antibiotics/Anti-infectives* CHLOROMYCETIN 1GM VIAL CHLORAMPHENICOL NA SUCC 00312363 Y

Antibiotics/Anti-infectives* CIPRO 10G/100ML ORAL SUSPENSION CIPROFLOXACIN 02237514 Y

Antibiotics/Anti-infectives* CIPRO 250MG TABLET CIPROFLOXACIN HCL 02155958 Y

Antibiotics/Anti-infectives* CIPRO 500MG TABLET CIPROFLOXACIN HCL 02155966 Y

Antibiotics/Anti-infectives* CIPRO 500MG XL TABLET CIPROFLOXACIN HCL 02247916 Y

Antibiotics/Anti-infectives* CIPRO 5G ORAL SUSPENSION CIPROFLOXACIN 02237513 Y

Antibiotics/Anti-infectives* CIPRO 750MG TABLET CIPROFLOXACIN HCL 02155974 Y

Antibiotics/Anti-infectives* CIPRO I.V. 2MG/ML MINIBAG CIPROFLOXACIN LACTATE/D5W 02237334 Y

Antibiotics/Anti-infectives* CIPRO XL 1000MG TABLET CIPROFLOXACIN HCL 02251787 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 100MG TABLET CIPROFLOXACIN HCL 02247200 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 100MG TABLET CIPROFLOXACIN HCL 02251744 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 100MG TABLET CIPROFLOXACIN HCL 02285983 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 10MG/ML INJ CIPROFLOXACIN 02256789 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 10MG/ML VIAL CIPROFLOXACIN 02274140 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02247201 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02251752 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02285991 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02332132 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02335352 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02345161 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02349612 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02353318 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02247202 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02251760 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02286009 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02332140 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02335360 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02345188 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02349620 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02353326 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02247203 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02251779 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02286017 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02332159 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02335379 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02345196 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 65

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02349639 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02353334 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN INJECTION 2MG/ML IV CIPROFLOXACIN LACTATE 02301296 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN INJECTION 2MG/ML IV CIPROFLOXACIN 02311895 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN INJECTION 2MG/ML IV CIPROFLOXACIN 02312123 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN INJECTION USP 2MG/ML IV CIPROFLOXACIN 02289946 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN INJECTION USP 2MG/ML IV CIPROFLOXACIN 02301903 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN INTRAVENOUS INFUSION 2MG/ML IV CIPROFLOXACIN 02267462 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN INTRAVENOUS INFUSION BP 2MG/ML CIPROFLOXACIN 02293986 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN INTRAVENOUS INFUSION BP 2MG/ML CIPROFLOXACIN 02304546 Y

Antibiotics/Anti-infectives* CIPROFLOXACIN INTRAVENOUS INFUSION BP 2MG/ML CIPROFLOXACIN 02304759 Y

Antibiotics/Anti-infectives* CLAFORAN 0.5GM VIAL CEFOTAXIME SODIUM 02225085 Y

Antibiotics/Anti-infectives* CLAFORAN 1GM VIAL CEFOTAXIME SODIUM 02225093 Y

Antibiotics/Anti-infectives* CLAFORAN 2GM VIAL CEFOTAXIME SODIUM 02225107 Y

Antibiotics/Anti-infectives* CLARACID 250MG TABLET CLARITHROMYCIN 02245065 Y

Antibiotics/Anti-infectives* CLARACID 500MG TABLET CLARITHROMYCIN 02245066 Y

Antibiotics/Anti-infectives* CLARICID 125MG/5ML SUSPENSION CLARITHROMYCIN 02245063 Y

Antibiotics/Anti-infectives* CLARICID 250MG/5ML SUSPENSION CLARITHROMYCIN 02245064 Y

Antibiotics/Anti-infectives* CLARITHROMYCIN 250MG TABLET CLARITHROMYCIN 02335182 Y

Antibiotics/Anti-infectives* CLARITHROMYCIN 250MG TABLET CLARITHROMYCIN 02324482 Y

Antibiotics/Anti-infectives* CLARITHROMYCIN 500MG TABLET CLARITHROMYCIN 02335190 Y

Antibiotics/Anti-infectives* CLARITHROMYCIN 500MG TABLET CLARITHROMYCIN 02324490 Y

Antibiotics/Anti-infectives* CLAVULIN 125MG/5ML SUSP AMOX TR/POTASSIUM CLAVULANATE01916882 Y

Antibiotics/Anti-infectives* CLAVULIN 200MG/5ML SUSPENSION AMOX TR/POTASSIUM CLAVULANATE02238831 Y

Antibiotics/Anti-infectives* CLAVULIN 250MG/5ML SUSP AMOX TR/POTASSIUM CLAVULANATE01916874 Y

Antibiotics/Anti-infectives* CLAVULIN 400MG/5ML SUSPENSION AMOX TR/POTASSIUM CLAVULANATE02238830 Y

Antibiotics/Anti-infectives* CLAVULIN-250 TABLET AMOX TR/POTASSIUM CLAVULANATE01916866 Y

Antibiotics/Anti-infectives* CLAVULIN-500F TABLET AMOX TR/POTASSIUM CLAVULANATE01916858 Y

Antibiotics/Anti-infectives* CLAVULIN-875 TABLET AMOX TR/POTASSIUM CLAVULANATE02238829 Y

Antibiotics/Anti-infectives* CLINDAMYCIN 150MG/ML INJECTION CLINDAMYCIN PHOSPHATE 02130866 Y

Antibiotics/Anti-infectives* CLINDAMYCIN PHOS 150MG/ML INJ CLINDAMYCIN PHOSPHATE 02139286 Y

Antibiotics/Anti-infectives* CLINDAMYCIN PHOS 150MG/ML INJ CLINDAMYCIN PHOSPHATE 02230535 Y

Antibiotics/Anti-infectives* CLINDAMYCIN PHOS 150MG/ML INJ CLINDAMYCIN PHOSPHATE 02230540 Y

Antibiotics/Anti-infectives* CLINDAMYCINE 150MG CAPSULE CLINDAMYCIN HCL 02248525 Y

Antibiotics/Anti-infectives* CLINDAMYCINE 300MG CAPSULE CLINDAMYCIN HCL 02248526 Y

Antibiotics/Anti-infectives* CLOXACILLIN SOD 500MG VIAL CLOXACILLIN SODIUM 01912429 Y

Antibiotics/Anti-infectives* CLOXACILLIN SODIUM 1GM VIAL CLOXACILLIN SODIUM 01975447 Y

Antibiotics/Anti-infectives* CLOXACILLIN SODIUM 2GM VIAL CLOXACILLIN SODIUM 01912410 Y

Antibiotics/Anti-infectives* CLOXACILLINE 250MG CAPSULE CLOXACILLIN SODIUM 02069660 Y

Antibiotics/Anti-infectives* CLOXACILLINE 500MG CAPSULE CLOXACILLIN SODIUM 02069679 Y

Antibiotics/Anti-infectives* CO LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02315424 Y

Antibiotics/Anti-infectives* CO LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02315432 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 66

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* CO LEVOFLOXACIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02315440 Y

Antibiotics/Anti-infectives* CO VALACYCLOVIR 1000MG TABLET VALACYCLOVIR HCL 02331756 Y

Antibiotics/Anti-infectives* CO VALACYCLOVIR 500MG TABLET VALACYCLOVIR HCL 02331748 Y

Antibiotics/Anti-infectives* CO-AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02255340 Y

Antibiotics/Anti-infectives* CO-AZITHROMYCIN 600MG TABLET AZITHROMYCIN 02256088 Y

Antibiotics/Anti-infectives* CO-CEFACLOR 125MG/5ML SUSP CEFACLOR 02259389 Y

Antibiotics/Anti-infectives* CO-CEFACLOR 187MG/5ML SUSP CEFACLOR 02259397 Y

Antibiotics/Anti-infectives* CO-CEFACLOR 250MG CAPSULE CEFACLOR 02259427 Y

Antibiotics/Anti-infectives* CO-CEFACLOR 250MG/5ML SUSP CEFACLOR 02259400 Y

Antibiotics/Anti-infectives* CO-CEFACLOR 375MG/5ML SUSP CEFACLOR 02259419 Y

Antibiotics/Anti-infectives* CO-CEFACLOR 500MG CAPSULE CEFACLOR 02259435 Y

Antibiotics/Anti-infectives* CO-CEFTRIAXONE 1GM VIAL CEFTRIAXONE SODIUM 02307901 Y

Antibiotics/Anti-infectives* CO-CEFTRIAXONE 2GM VIAL CEFTRIAXONE SODIUM 02307928 Y

Antibiotics/Anti-infectives* CO-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02247339 Y

Antibiotics/Anti-infectives* CO-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02247340 Y

Antibiotics/Anti-infectives* CO-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02247341 Y

Antibiotics/Anti-infectives* CO-FAMCICLOVIR 125MG TABLET FAMCICLOVIR 02305682 Y

Antibiotics/Anti-infectives* CO-FAMCICLOVIR 250MG TABLET FAMCICLOVIR 02305690 Y

Antibiotics/Anti-infectives* CO-FAMCICLOVIR 500MG TABLET FAMCICLOVIR 02305704 Y

Antibiotics/Anti-infectives* COLISTIMETHATE 150MG INJECTION COLISTIMETHATE SODIUM 02244849 Y

Antibiotics/Anti-infectives* COLY-MYCIN M 150MG VIAL COLISTIMETHATE SODIUM 00476420 Y

Antibiotics/Anti-infectives* CO-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02259478 Y

Antibiotics/Anti-infectives* CO-NORFLOXACIN 400MG TABLET NORFLOXACIN 02269627 Y

Antibiotics/Anti-infectives* CRYSTAPEN 10MMU VIAL PENICILLIN G SODIUM 02060108 Y

Antibiotics/Anti-infectives* CRYSTAPEN 1MMU VIAL PENICILLIN G SODIUM 02060086 Y

Antibiotics/Anti-infectives* CRYSTAPEN 5M I.U.VIAL PENICILLIN G SODIUM 02300443 Y

Antibiotics/Anti-infectives* CRYSTAPEN 5MMU VIAL PENICILLIN G SODIUM 02060094 Y

Antibiotics/Anti-infectives* CYTOVENE 250MG CAPSULE GANCICLOVIR 02186802 Y

Antibiotics/Anti-infectives* CYTOVENE 500MG CAPSULE GANCICLOVIR 02240362 Y

Antibiotics/Anti-infectives* CYTOVENE 500MG VIAL GANCICLOVIR SODIUM 02162695 Y

Antibiotics/Anti-infectives* DALACIN C 150MG CAPSULE CLINDAMYCIN HCL 00030570 Y

Antibiotics/Anti-infectives* DALACIN C 300MG CAPSULE CLINDAMYCIN HCL 02182866 Y

Antibiotics/Anti-infectives* DALACIN C 75MG/5ML SUSP CLINDAMYCIN PALMITATE 00225851 Y

Antibiotics/Anti-infectives* DALACIN C PHOS 150MG/ML VL CLINDAMYCIN PHOSPHATE 00260436 Y

Antibiotics/Anti-infectives* DAPSONE 100MG TABLET DAPSONE 02041510 Y

Antibiotics/Anti-infectives* DECLOMYCIN 150MG TABLET DEMECLOCYCLINE HCL 02169924 Y

Antibiotics/Anti-infectives* DOM-AMOXICILLIN 125MG/5ML AMOXICILLIN TRIHYDRATE 02230617 Y

Antibiotics/Anti-infectives* DOM-AMOXICILLIN 250MG CAPSULE AMOXICILLIN TRIHYDRATE 02230615 Y

Antibiotics/Anti-infectives* DOM-AMOXICILLIN 250MG/5ML AMOXICILLIN TRIHYDRATE 02230618 Y

Antibiotics/Anti-infectives* DOM-AMOXICILLIN 500MG CAPSULE AMOXICILLIN TRIHYDRATE 02230616 Y

Antibiotics/Anti-infectives* DOM-AZITHROMYCIN 100MG/5ML SUSPENSION AZITHROMYCIN 02282429 Y

Antibiotics/Anti-infectives* DOM-AZITHROMYCIN 200MG/5ML SUSPENSION AZITHROMYCIN 02282437 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 67

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* DOM-AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02278499 Y

Antibiotics/Anti-infectives* DOM-AZITHROMYCIN 600MG TABLET AZITHROMYCIN 02278502 Y

Antibiotics/Anti-infectives* DOM-CEFACLOR 125MG/5ML SUSP CEFACLOR 02177668 Y

Antibiotics/Anti-infectives* DOM-CEFACLOR 250MG/5ML SUSP CEFACLOR 02177676 Y

Antibiotics/Anti-infectives* DOM-CEFACLOR 375MG/5ML SUSP CEFACLOR 02177684 Y

Antibiotics/Anti-infectives* DOM-CEPHALEXIN 125MG/5ML CEPHALEXIN MH 02177862 Y

Antibiotics/Anti-infectives* DOM-CEPHALEXIN 250MG TABLET CEPHALEXIN MH 02177846 Y

Antibiotics/Anti-infectives* DOM-CEPHALEXIN 250MG/5ML CEPHALEXIN MH 02177870 Y

Antibiotics/Anti-infectives* DOM-CEPHALEXIN 500MG TABLET CEPHALEXIN MH 02177854 Y

Antibiotics/Anti-infectives* DOM-CIPROFLOXACIN 100MG TABLET CIPROFLOXACIN HCL 02251264 Y

Antibiotics/Anti-infectives* DOM-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02251272 Y

Antibiotics/Anti-infectives* DOM-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02251280 Y

Antibiotics/Anti-infectives* DOM-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02251299 Y

Antibiotics/Anti-infectives* DOM-DOXYCYCLINE 100MG CAPSULE DOXYCYCLINE HYCLATE 02289598 Y

Antibiotics/Anti-infectives* DOM-DOXYCYCLINE 100MG TABLET DOXYCYCLINE HYCLATE 02289547 Y

Antibiotics/Anti-infectives* DOM-FAMCICLOVIR 125MG TABLET FAMCICLOVIR 02281910 Y

Antibiotics/Anti-infectives* DOM-FAMCICLOVIR 250MG TABLET FAMCICLOVIR 02281929 Y

Antibiotics/Anti-infectives* DOM-FAMCICLOVIR 500MG TABLET FAMCICLOVIR 02281937 Y

Antibiotics/Anti-infectives* DOM-ISONIAZID TAB 300MG ISONIAZID 02181428 Y

Antibiotics/Anti-infectives* DOM-LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02286920 Y

Antibiotics/Anti-infectives* DOM-LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02286939 Y

Antibiotics/Anti-infectives* DOM-LEVOFLOXACIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02306735 Y

Antibiotics/Anti-infectives* DOM-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02239668 Y

Antibiotics/Anti-infectives* DOM-MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02239667 Y

Antibiotics/Anti-infectives* DOM-VALACYCLOVIR 500MG TABLET VALACYCLOVIR HCL 02307936 Y

Antibiotics/Anti-infectives* DORIBAX 500MG VIAL INJECTION DORIPENEM MONOHYDRATE 02332906 Y

Antibiotics/Anti-infectives* DOXYCIN 100MG CAPSULE DOXYCYCLINE HYCLATE 00817120 Y

Antibiotics/Anti-infectives* DOXYCIN 100MG TABLET DOXYCYCLINE HYCLATE 00860751 Y

Antibiotics/Anti-infectives* DOXYCYCLINE 100MG CAPSULE DOXYCYCLINE HYCLATE 02351234 Y

Antibiotics/Anti-infectives* DOXYCYCLINE 100MG CAPSULE M-RATIOPHARM DOXYCYCLINE MONOHYDRATE 02231037 Y

Antibiotics/Anti-infectives* DOXYCYCLINE 100MG TABLET DOXYCYCLINE HYCLATE 02351242 Y

Antibiotics/Anti-infectives* DOXYCYCLINE 200MG CAPSULE M-RATIOPHARM DOXYCYCLINE MONOHYDRATE 02231039 Y

Antibiotics/Anti-infectives* DOXYCYCLINE-100 100MG CAPSULE DOXYCYCLINE HYCLATE 00742562 Y

Antibiotics/Anti-infectives* DOXYTAB 100MG TABLET DOXYCYCLINE HYCLATE 00887064 Y

Antibiotics/Anti-infectives* DURICEF 500MG CAPSULE CEFADROXIL 00507245 Y

Antibiotics/Anti-infectives* EES-200 200MG/5ML SUSP ERYTHROMYCIN ETHYLSUCCINATE00000299 Y

Antibiotics/Anti-infectives* EES-400 400MG/5ML SUSP ERYTHROMYCIN ETHYLSUCCINATE00453617 Y

Antibiotics/Anti-infectives* EES-600 600MG TABLET ERYTHROMYCIN ETHYLSUCCINATE00583782 Y

Antibiotics/Anti-infectives* ENCA 100MG CAPSULE MINOCYCLINE HCL 02248209 Y

Antibiotics/Anti-infectives* ENCA 50MG CAPSULE MINOCYCLINE HCL 02248208 Y

Antibiotics/Anti-infectives* ERYBID 500MG TABLET ERYTHROMYCIN BASE 00893862 Y

Antibiotics/Anti-infectives* ERYC 250MG CAPSULE EC ERYTHROMYCIN BASE 00607142 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 68

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* ERYC 333MG CAPSULE EC ERYTHROMYCIN BASE 00873454 Y

Antibiotics/Anti-infectives* ERYTHRO-500 500MG TABLET ERYTHROMYCIN STEARATE 00704393 Y

Antibiotics/Anti-infectives* ERYTHRO-BASE 250MG TABLET ERYTHROMYCIN BASE 00704385 Y

Antibiotics/Anti-infectives* ERYTHROCIN IV 1GM VIAL ERYTHROMYCIN LACTOBIONATE 00682276 Y

Antibiotics/Anti-infectives* ERYTHROCIN IV 500MG VIAL ERYTHROMYCIN LACTOBIONATE 00682268 Y

Antibiotics/Anti-infectives* ERYTHRO-ES 600MG TABLET ERYTHROMYCIN ETHYLSUCCINATE00704377 Y

Antibiotics/Anti-infectives* ERYTHROMID 250MG FILMTAB ERYTHROMYCIN BASE 00244635 Y

Antibiotics/Anti-infectives* ERYTHROMYCIN LAC 1GM VIAL ERYTHROMYCIN LACTOBIONATE 01958542 Y

Antibiotics/Anti-infectives* ERYTHROMYCIN LAC 500MG VIAL ERYTHROMYCIN LACTOBIONATE 01958518 Y

Antibiotics/Anti-infectives* ERYTHROMYCINE 250MG TABLET ERYTHROMYCIN STEARATE 00563854 Y

Antibiotics/Anti-infectives* ETIBI 100MG TABLET ETHAMBUTOL HCL 00247960 Y

Antibiotics/Anti-infectives* ETIBI 400MG TABLET ETHAMBUTOL HCL 00247979 Y

Antibiotics/Anti-infectives* FACTIVE 320MG TABLET GEMIFLOXACIN MESYLATE 02248968 Y

Antibiotics/Anti-infectives* FAMCICLOVIR 125MG TABLET FAMCICLOVIR 02324865 Y

Antibiotics/Anti-infectives* FAMCICLOVIR 125MG TABLET FAMCICLOVIR 02344777 Y

Antibiotics/Anti-infectives* FAMCICLOVIR 250MG TABLET FAMCICLOVIR 02324873 Y

Antibiotics/Anti-infectives* FAMCICLOVIR 250MG TABLET FAMCICLOVIR 02344785 Y

Antibiotics/Anti-infectives* FAMCICLOVIR 500MG TABLET FAMCICLOVIR 02324881 Y

Antibiotics/Anti-infectives* FAMCICLOVIR 500MG TABLET FAMCICLOVIR 02344793 Y

Antibiotics/Anti-infectives* FAMVIR 125MG TABLET FAMCICLOVIR 02229110 Y

Antibiotics/Anti-infectives* FAMVIR 250MG TABLET FAMCICLOVIR 02229129 Y

Antibiotics/Anti-infectives* FAMVIR 500MG TABLET FAMCICLOVIR 02177102 Y

Antibiotics/Anti-infectives* FLAGYL 500MG CAPSULE S-PAK METRONIDAZOLE 01926853 Y

Antibiotics/Anti-infectives* FLORAZOLE 750MG ER TABLET METRONIDAZOLE 02244405 Y

Antibiotics/Anti-infectives* FLOXIN 20MG/ML VIAL OFLOXACIN 02049414 Y

Antibiotics/Anti-infectives* FLOXIN 400MG TABLET OFLOXACIN 01968408 Y

Antibiotics/Anti-infectives* FLOXIN 40MG/ML VIAL OFLOXACIN 02049422 Y

Antibiotics/Anti-infectives* FLOXIN 4MG/ML VIAL OFLOXACIN 02049430 Y

Antibiotics/Anti-infectives* FORTAZ 1GM VIAL CEFTAZIDIME PENTAHYDRATE 02212218 Y

Antibiotics/Anti-infectives* FORTAZ 2GM VIAL CEFTAZIDIME PENTAHYDRATE 02212226 Y

Antibiotics/Anti-infectives* FORTAZ 500MG VIAL CEFTAZIDIME PENTAHYDRATE 02212196 Y

Antibiotics/Anti-infectives* FORTAZ 6GM VIAL CEFTAZIDIME PENTAHYDRATE 02212234 Y

Antibiotics/Anti-infectives* FUCIDIN 250MG TABLET FUSIDATE SODIUM 01934252 Y

Antibiotics/Anti-infectives* GD-AZITHROMYCIN 100MG/5ML SUSP AZITHROMYCIN 02274566 Y

Antibiotics/Anti-infectives* GD-AZITHROMYCIN 200MG/5ML SUSP AZITHROMYCIN 02274574 Y

Antibiotics/Anti-infectives* GD-AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02274531 Y

Antibiotics/Anti-infectives* GD-AZITHROMYCIN 600MG TABLET AZITHROMYCIN 02274558 Y

Antibiotics/Anti-infectives* GEN-AZITHROMYCIN 600MG TABLET AZITHROMYCIN 02278367 Y

Antibiotics/Anti-infectives* GEN-CIPROFLOXACIN 100MG TABLET CIPROFLOXACIN HCL 02245646 Y

Antibiotics/Anti-infectives* GEN-CLARITHROMYCIN 250MG TABLET CLARITHROMYCIN 02249871 Y

Antibiotics/Anti-infectives* GEN-CLARITHROMYCIN 500MG TABLET CLARITHROMYCIN 02249898 Y

Antibiotics/Anti-infectives* GENTAMICIN 100MG IN 0.9% NS GENTAM SULF/SODIUM CHLORIDE 02082136 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 69

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* GENTAMICIN 10MG/ML INJ GENTAMICIN SULFATE 02268531 Y

Antibiotics/Anti-infectives* GENTAMICIN 40MG/ML INJECTION GENTAMICIN SULFATE 02242652 Y

Antibiotics/Anti-infectives* GENTAMICIN 60MG IN 0.9% NS GENTAM SULF/SODIUM CHLORIDE 02082144 Y

Antibiotics/Anti-infectives* GENTAMICIN 80MG IN 0.9% NS GENTAM SULF/SODIUM CHLORIDE 02082152 Y

Antibiotics/Anti-infectives* GENTAMICIN SULFATE 0.8MG/ML IN NACL 0.9% INJECTION GENTAM SULF/SODIUM CHLORIDE 01913549 Y

Antibiotics/Anti-infectives* GENTAMICIN SULFATE 1.2MG/ML IN 0.9% NACL INJECTION GENTAM SULF/SODIUM CHLORIDE 01913093 Y

Antibiotics/Anti-infectives* GENTAMICIN SULFATE 1.4MG/ML IN NACL 0.9% INJECTION GENTAM SULF/SODIUM CHLORIDE 01913530 Y

Antibiotics/Anti-infectives* GENTAMICIN SULFATE 1MG/ML IN NACL 0.9% INJ GENTAM SULF/SODIUM CHLORIDE 01913565 Y

Antibiotics/Anti-infectives* GMD-CIPROFLOXACIN 100MG TABLET CIPROFLOXACIN HCL 02252961 Y

Antibiotics/Anti-infectives* GMD-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02252988 Y

Antibiotics/Anti-infectives* GMD-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02252996 Y

Antibiotics/Anti-infectives* GMD-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02253003 Y

Antibiotics/Anti-infectives* IMUNOVIR 500MG TABLET INOSINE PRANOBEX 02240713 Y

Antibiotics/Anti-infectives* INVANZ 1G INJECTION ERTAPENEM SODIUM 02247437 Y

Antibiotics/Anti-infectives* ISOTAMINE 300MG TABLET ISONIAZID 00272655 Y

Antibiotics/Anti-infectives* ISOTAMINE 50MG/5ML SYRUP ISONIAZID 00265500 Y

Antibiotics/Anti-infectives* IZILOX 400MG TABLET MOXIFLOXACIN HCL 02345099 Y

Antibiotics/Anti-infectives* JAA AMP TAB 125MG AMPICILLIN TRIHYDRATE 00785873 Y

Antibiotics/Anti-infectives* JAA TETRA TAB 250MG TETRACYCLINE HCL 00889393 Y

Antibiotics/Anti-infectives* KEFLEX 250MG TABLET CEPHALEXIN MH 00403628 Y

Antibiotics/Anti-infectives* KEFLEX 25MG/ML PD FOR ORAL SUSPENSION CEPHALEXIN MH 00015547 Y

Antibiotics/Anti-infectives* KEFLEX 500MG TABLET CEPHALEXIN MH 00244392 Y

Antibiotics/Anti-infectives* KEFLEX 50MG/ML PD FOR ORAL SUSPENSION CEPHALEXIN MH 00035645 Y

Antibiotics/Anti-infectives* KETEK 400MG TABLET TELITHROMYCIN 02247520 Y

Antibiotics/Anti-infectives* LEVAQUIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02236841 Y

Antibiotics/Anti-infectives* LEVAQUIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02236842 Y

Antibiotics/Anti-infectives* LEVAQUIN 5MG/ML INJECTION LEVOFLOXACIN HEMIHYDRATE 02236839 Y

Antibiotics/Anti-infectives* LEVAQUIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02246804 Y

Antibiotics/Anti-infectives* LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02307200 Y

Antibiotics/Anti-infectives* LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02336871 Y

Antibiotics/Anti-infectives* LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02343940 Y

Antibiotics/Anti-infectives* LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02307219 Y

Antibiotics/Anti-infectives* LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02336898 Y

Antibiotics/Anti-infectives* LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02343959 Y

Antibiotics/Anti-infectives* LEVOFLOXACIN 5MG/ML INJECTION LEVOFLOXACIN HEMIHYDRATE 02297825 Y

Antibiotics/Anti-infectives* LEVOFLOXACIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02336901 Y

Antibiotics/Anti-infectives* LEVOFLOXACIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02343967 Y

Antibiotics/Anti-infectives* LEVOFLOXACIN IN 5% DEXTROSE 5MG/ML INJECTION LEVOFLOXACIN 02314932 Y

Antibiotics/Anti-infectives* LEVOFLOXAXIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02307227 Y

Antibiotics/Anti-infectives* LINCOCIN 300MG/ML VIAL LINCOMYCIN HCL 00030732 Y

Antibiotics/Anti-infectives* MACROBID 100MG CAPSULE NITROFURANTOIN/NITROFURAN MAC02063662 Y

Antibiotics/Anti-infectives* MAXIPIME 1GM VIAL CEFEPIME HCL 02163632 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 70

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* MAXIPIME 2GM VIAL CEFEPIME HCL 02163640 Y

Antibiotics/Anti-infectives* MED AMOXICILLIN 500MG CAPUSLE AMOXICILLIN TRIHYDRATE 02239762 Y

Antibiotics/Anti-infectives* MED MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02237876 Y

Antibiotics/Anti-infectives* MED MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02237875 Y

Antibiotics/Anti-infectives* MERREM (VIAL) 1G PWS MEROPENEM 02218496 Y

Antibiotics/Anti-infectives* MERREM 500MG VIAL MEROPENEM 02218488 Y

Antibiotics/Anti-infectives* METRONIDAZOLE 250MG TABLET METRONIDAZOLE 00420409 Y

Antibiotics/Anti-infectives* METRONIDAZOLE 5MG/ML INJECTION METRONIDAZOLE 00649074 Y

Antibiotics/Anti-infectives* METRONIDAZOLE 5MG/ML INJECTION METRONIDAZOLE 00870420 Y

Antibiotics/Anti-infectives* MINOCIN 100MG CAPSULE MINOCYCLINE HCL 02173506 Y

Antibiotics/Anti-infectives* MINOCIN 50MG CAPSULE MINOCYCLINE HCL 02173514 Y

Antibiotics/Anti-infectives* MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02154366 Y

Antibiotics/Anti-infectives* MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02239982 Y

Antibiotics/Anti-infectives* MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02287234 Y

Antibiotics/Anti-infectives* MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02153394 Y

Antibiotics/Anti-infectives* MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02287226 Y

Antibiotics/Anti-infectives* MINT CEFPROZIL 50MG/ML SUSPENSION CEFPROZIL 02317389 Y

Antibiotics/Anti-infectives* MINT-CEFPROZIL 250MG TABLET CEFPROZIL 02317303 Y

Antibiotics/Anti-infectives* MINT-CEFPROZIL 500MG TABLET CEFPROZIL 02317311 Y

Antibiotics/Anti-infectives* MINT-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02317427 Y

Antibiotics/Anti-infectives* MINT-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02317435 Y

Antibiotics/Anti-infectives* MINT-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02317443 Y

Antibiotics/Anti-infectives* MYCOBUTIN 150MG CAPSULE RIFABUTIN 02063786 Y

Antibiotics/Anti-infectives* MYLAN-ACYCLOVIR 200MG TABLET ACYCLOVIR 02242784 Y

Antibiotics/Anti-infectives* MYLAN-ACYCLOVIR 400MG TABLET ACYCLOVIR 02242463 Y

Antibiotics/Anti-infectives* MYLAN-ACYCLOVIR 800MG TABLET ACYCLOVIR 02242464 Y

Antibiotics/Anti-infectives* MYLAN-AMOXICILLIN 250MG CAPSULE AMOXICILLIN TRIHYDRATE 02238171 Y

Antibiotics/Anti-infectives* MYLAN-AMOXICILLIN 500MG CAPSULE AMOXICILLIN TRIHYDRATE 02238172 Y

Antibiotics/Anti-infectives* MYLAN-AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02278359 Y

Antibiotics/Anti-infectives* MYLAN-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02245647 Y

Antibiotics/Anti-infectives* MYLAN-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02245648 Y

Antibiotics/Anti-infectives* MYLAN-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02245649 Y

Antibiotics/Anti-infectives* MYLAN-CLARITHROMYCIN 250MG TABLET CLARITHROMYCIN 02248856 Y

Antibiotics/Anti-infectives* MYLAN-CLARITHROMYCIN 500MG TABLET CLARITHROMYCIN 02248857 Y

Antibiotics/Anti-infectives* MYLAN-CLINDAMYCIN 150MG CAPSULE CLINDAMYCIN HCL 02258331 Y

Antibiotics/Anti-infectives* MYLAN-CLINDAMYCIN 300MG CAPSULE CLINDAMYCIN HCL 02258358 Y

Antibiotics/Anti-infectives* MYLAN-LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02313979 Y

Antibiotics/Anti-infectives* MYLAN-LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02313987 Y

Antibiotics/Anti-infectives* MYLAN-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02230736 Y

Antibiotics/Anti-infectives* MYLAN-MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02230735 Y

Antibiotics/Anti-infectives* MYLAN-VALACYCLOVIR 1000MG TABLET VALACYCLOVIR HCL 02351560 Y

Antibiotics/Anti-infectives* MYLAN-VALACYCLOVIR 500MG TABLET VALACYCLOVIR HCL 02351579 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 71

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* NEGGRAM 500MG CAPLET NALIDIXIC ACID 02017687 Y

Antibiotics/Anti-infectives* NORFLOXACIN 400MG TABLET NORFLOXACIN 02246937 Y

Antibiotics/Anti-infectives* NORFLOXACIN 400MG TABLET NORFLOXACIN 02344882 Y

Antibiotics/Anti-infectives* NORFLOXACINE-400MG TABLET NORFLOXACIN 02239670 Y

Antibiotics/Anti-infectives* NOVAMOXIN 125MG CHEW TABLET AMOXICILLIN TRIHYDRATE 02036347 Y

Antibiotics/Anti-infectives* NOVAMOXIN 125MG/5ML SUSP AMOXICILLIN TRIHYDRATE 00452149 Y

Antibiotics/Anti-infectives* NOVAMOXIN 250MG CAPSULE AMOXICILLIN TRIHYDRATE 00406724 Y

Antibiotics/Anti-infectives* NOVAMOXIN 250MG CHEW TABLET AMOXICILLIN TRIHYDRATE 02036355 Y

Antibiotics/Anti-infectives* NOVAMOXIN 250MG/5ML SUSP AMOXICILLIN TRIHYDRATE 00452130 Y

Antibiotics/Anti-infectives* NOVAMOXIN 500MG CAPSULE AMOXICILLIN TRIHYDRATE 00406716 Y

Antibiotics/Anti-infectives* NOVAMOXIN SUGAR-RED 125MG/5ML SUSP AMOXICILLIN TRIHYDRATE 01934171 Y

Antibiotics/Anti-infectives* NOVAMOXIN SUGAR-RED 250MG/5ML AMOXICILLIN TRIHYDRATE 01934163 Y

Antibiotics/Anti-infectives* NOVO-ACYCLOVIR 200MG TABLET ACYCLOVIR 02285959 Y

Antibiotics/Anti-infectives* NOVO-ACYCLOVIR 400MG TABLET ACYCLOVIR 02285967 Y

Antibiotics/Anti-infectives* NOVO-ACYCLOVIR 800MG TABLET ACYCLOVIR 02285975 Y

Antibiotics/Anti-infectives* NOVO-AMPICILLIN 250MG CAPSULE AMPICILLIN TRIHYDRATE 00020877 Y

Antibiotics/Anti-infectives* NOVO-AMPICILLIN 500MG CAPSULE AMPICILLIN TRIHYDRATE 00020885 Y

Antibiotics/Anti-infectives* NOVO-AZITHROMYCIN 200MG/5ML O/L-22.5ML PK (ODB) AZITHROMYCIN 09857328 Y

Antibiotics/Anti-infectives* NOVO-AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02267845 Y

Antibiotics/Anti-infectives* NOVO-AZITHROMYCIN PEDIATRIC 100MG/5ML SUSP AZITHROMYCIN 02315157 Y

Antibiotics/Anti-infectives* NOVO-AZITHROMYCIN PEDIATRIC 200MG /5ML SUSP AZITHROMYCIN 02315165 Y

Antibiotics/Anti-infectives* NOVO-CEFACLOR 250MG CAPSULE CEFACLOR 02231691 Y

Antibiotics/Anti-infectives* NOVO-CEFACLOR 500MG CAPSULE CEFACLOR 02231693 Y

Antibiotics/Anti-infectives* NOVO-CEFADROXIL 500MG CAPSULE CEFADROXIL 02235134 Y

Antibiotics/Anti-infectives* NOVO-CEFOTAXIME 1G INJECTION CEFOTAXIME SODIUM 02097192 Y

Antibiotics/Anti-infectives* NOVO-CEFOTAXIME 2G INJECTION CEFOTAXIME SODIUM 02097206 Y

Antibiotics/Anti-infectives* NOVO-CEFOXITIN 10G INJECTION CEFOXITIN SODIUM 02240773 Y

Antibiotics/Anti-infectives* NOVO-CEFUROXIME 125MG TABLET CEFUROXIME AXETIL 02230125 Y

Antibiotics/Anti-infectives* NOVO-CEFUROXIME 250MG TABLET CEFUROXIME AXETIL 02230126 Y

Antibiotics/Anti-infectives* NOVO-CEFUROXIME 500MG TABLET CEFUROXIME AXETIL 02230127 Y

Antibiotics/Anti-infectives* NOVO-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02161737 Y

Antibiotics/Anti-infectives* NOVO-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02161745 Y

Antibiotics/Anti-infectives* NOVO-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02161753 Y

Antibiotics/Anti-infectives* NOVO-CLARITHROMYCIN 250MG TABLET CLARITHROMYCIN 02248804 Y

Antibiotics/Anti-infectives* NOVO-CLARITHROMYCIN 500MG TABLET CLARITHROMYCIN 02248805 Y

Antibiotics/Anti-infectives* NOVO-CLAVAMOXIN 125 SUSPENSION AMOX TR/POTASSIUM CLAVULANATE02245206 Y

Antibiotics/Anti-infectives* NOVO-CLAVAMOXIN 250 SUSPENSION AMOX TR/POTASSIUM CLAVULANATE02245207 Y

Antibiotics/Anti-infectives* NOVO-CLAVAMOXIN 875MG TABLET AMOX TR/POTASSIUM CLAVULANATE02248138 Y

Antibiotics/Anti-infectives* NOVO-CLINDAMYCIN 150MG CAPSULE CLINDAMYCIN HCL 02241709 Y

Antibiotics/Anti-infectives* NOVO-CLINDAMYCIN 300MG CAPSULE CLINDAMYCIN HCL 02241710 Y

Antibiotics/Anti-infectives* NOVO-CLOXIN 125MG/5ML SOLN CLOXACILLIN SODIUM 00337757 Y

Antibiotics/Anti-infectives* NOVO-CLOXIN 250MG CAPSULE CLOXACILLIN SODIUM 00337765 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 72

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* NOVO-CLOXIN 500MG CAPSULE CLOXACILLIN SODIUM 00337773 Y

Antibiotics/Anti-infectives* NOVO-DOXYLIN 100MG CAPSULE DOXYCYCLINE HYCLATE 00725250 Y

Antibiotics/Anti-infectives* NOVO-DOXYLIN 100MG TABLET DOXYCYCLINE HYCLATE 02158574 Y

Antibiotics/Anti-infectives* NOVO-FAMCICLOVIR 125MG TABLET FAMCICLOVIR 02283921 Y

Antibiotics/Anti-infectives* NOVO-FAMCICLOVIR 250MG TABLET FAMCICLOVIR 02283948 Y

Antibiotics/Anti-infectives* NOVO-FAMCICLOVIR 500MG TABLET FAMCICLOVIR 02283956 Y

Antibiotics/Anti-infectives* NOVO-FURANTOIN 100MG CAPSULE NITROFURANTOIN 02231016 Y

Antibiotics/Anti-infectives* NOVO-FURANTOIN 50MG CAPSULE NITROFURANTOIN 02231015 Y

Antibiotics/Anti-infectives* NOVO-LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02248262 Y

Antibiotics/Anti-infectives* NOVO-LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02248263 Y

Antibiotics/Anti-infectives* NOVO-LEVOFLOXACIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02285649 Y

Antibiotics/Anti-infectives* NOVO-LEXIN 125MG/5ML SUSP CEPHALEXIN MH 00342106 Y

Antibiotics/Anti-infectives* NOVO-LEXIN 250MG CAPSULE CEPHALEXIN MH 00342084 Y

Antibiotics/Anti-infectives* NOVO-LEXIN 250MG TABLET CEPHALEXIN MH 00583413 Y

Antibiotics/Anti-infectives* NOVO-LEXIN 250MG/5ML SUSP CEPHALEXIN MH 00342092 Y

Antibiotics/Anti-infectives* NOVO-LEXIN 500MG CAPSULE CEPHALEXIN MH 00342114 Y

Antibiotics/Anti-infectives* NOVO-LEXIN 500MG TABLET CEPHALEXIN MH 00583421 Y

Antibiotics/Anti-infectives* NOVO-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02108151 Y

Antibiotics/Anti-infectives* NOVO-MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02108143 Y

Antibiotics/Anti-infectives* NOVO-NIDAZOL 250MG TABLET METRONIDAZOLE 00021555 Y

Antibiotics/Anti-infectives* NOVO-NORFLOXACIN 400MG NORFLOXACIN 02237682 Y

Antibiotics/Anti-infectives* NOVO-OFLOXACIN 200MG TABLET OFLOXACIN 02243474 Y

Antibiotics/Anti-infectives* NOVO-OFLOXACIN 300MG TABLET OFLOXACIN 02243475 Y

Antibiotics/Anti-infectives* NOVO-OFLOXACIN 400MG TABLET OFLOXACIN 02243476 Y

Antibiotics/Anti-infectives* NOVO-PEN-VK 300MG/5ML SUSP PENICILLIN V POTASSIUM 00391603 Y

Antibiotics/Anti-infectives* NOVO-PEN-VK-500 300MG TABLET PENICILLIN V POTASSIUM 00021202 Y

Antibiotics/Anti-infectives* NOVO-RYTHRO EES 200MG/5ML ERYTHROMYCIN ETHYLSUCCINATE00605859 Y

Antibiotics/Anti-infectives* NOVO-RYTHRO EES 400MG/5ML ERYTHROMYCIN ETHYLSUCCINATE00652318 Y

Antibiotics/Anti-infectives* NOVO-RYTHRO EST 125MG/5ML ERYTHROMYCIN ESTOLATE 00021172 Y

Antibiotics/Anti-infectives* NOVO-RYTHRO EST 250MG/5ML ERYTHROMYCIN ESTOLATE 00262595 Y

Antibiotics/Anti-infectives* NOVO-TETRA 250MG CAPSULE TETRACYCLINE HCL 00021059 Y

Antibiotics/Anti-infectives* NOVO-TRIMEL DS TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM00510645 Y

Antibiotics/Anti-infectives* NOVO-TRIMEL ORAL SUSPENSION SULFAMETHOXAZOLE/TRIMETHOPRIM00726540 Y

Antibiotics/Anti-infectives* NOVO-TRIMEL TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM00510637 Y

Antibiotics/Anti-infectives* NTP-AMOXICILLIN 125MG/5ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02345544 Y

Antibiotics/Anti-infectives* NTP-AMOXICILLIN 125MG/5ML SUGAR REDUCED ORAL SUSPENSIONAMOXICILLIN TRIHYDRATE 02348012 Y

Antibiotics/Anti-infectives* NTP-AMOXICILLIN 250MG CAPSULE AMOXICILLIN TRIHYDRATE 02345501 Y

Antibiotics/Anti-infectives* NTP-AMOXICILLIN 250MG CHEWABLE TABLET AMOXICILLIN TRIHYDRATE 02345536 Y

Antibiotics/Anti-infectives* NTP-AMOXICILLIN 250MG/5ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02345552 Y

Antibiotics/Anti-infectives* NTP-AMOXICILLIN 250MG/5ML SUGAR REDUCED ORAL SUSPENSIONAMOXICILLIN TRIHYDRATE 02348020 Y

Antibiotics/Anti-infectives* NTP-AMOXICILLIN 500MG CAPSULE AMOXICILLIN TRIHYDRATE 02345528 Y

Antibiotics/Anti-infectives* NTP-DOXYCYCLINE 100MG CAPSULE DOXYCYCLINE HYCLATE 02347687 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 73

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* NTP-DOXYCYCLINE 100MG TABLET DOXYCYCLINE HYCLATE 02347679 Y

Antibiotics/Anti-infectives* NU-ACYCLOVIR 200MG TABLET ACYCLOVIR 02197405 Y

Antibiotics/Anti-infectives* NU-ACYCLOVIR 400MG TABLET ACYCLOVIR 02197413 Y

Antibiotics/Anti-infectives* NU-ACYCLOVIR 800MG TABLET ACYCLOVIR 02197421 Y

Antibiotics/Anti-infectives* NU-AMOXI 125MG/5ML SUSP AMOXICILLIN TRIHYDRATE 00865540 Y

Antibiotics/Anti-infectives* NU-AMOXI 250MG CAPSULE AMOXICILLIN TRIHYDRATE 00865567 Y

Antibiotics/Anti-infectives* NU-AMOXI 250MG/5ML SUSP AMOXICILLIN TRIHYDRATE 00865559 Y

Antibiotics/Anti-infectives* NU-AMOXI 500MG CAPSULE AMOXICILLIN TRIHYDRATE 00865575 Y

Antibiotics/Anti-infectives* NU-AMPI 125MG/5ML SUSP AMPICILLIN TRIHYDRATE 00717495 Y

Antibiotics/Anti-infectives* NU-CEFADROXIL 500MG CAPSULE CEFADROXIL 02240600 Y

Antibiotics/Anti-infectives* NU-CEFPROZIL 125MG/5ML SUSPENSION CEFPROZIL 02336340 Y

Antibiotics/Anti-infectives* NU-CEFPROZIL 250MG TABLET CEFPROZIL 02336103 Y

Antibiotics/Anti-infectives* NU-CEFPROZIL 250MG/5ML SUSPENSION CEFPROZIL 02336359 Y

Antibiotics/Anti-infectives* NU-CEFPROZIL 500MG TABLET CEFPROZIL 02336111 Y

Antibiotics/Anti-infectives* NU-CEFUROXIME 250MG TABLET CEFUROXIME AXETIL 02336448 Y

Antibiotics/Anti-infectives* NU-CEFUROXIME 500MG TABLET CEFUROXIME AXETIL 02336456 Y

Antibiotics/Anti-infectives* NU-CEPHALEX 250MG TABLET CEPHALEXIN MH 00865877 Y

Antibiotics/Anti-infectives* NU-CEPHALEX 500MG TABLET CEPHALEXIN MH 00865885 Y

Antibiotics/Anti-infectives* NU-CIPROFLOXACIN 100MG TABLET CIPROFLOXACIN HCL 02249626 Y

Antibiotics/Anti-infectives* NU-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02249634 Y

Antibiotics/Anti-infectives* NU-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02249642 Y

Antibiotics/Anti-infectives* NU-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02249650 Y

Antibiotics/Anti-infectives* NU-CLINDAMYCIN 150MG CAPSULE CLINDAMYCIN HCL 02336235 Y

Antibiotics/Anti-infectives* NU-CLINDAMYCIN 300MG CAPSULE CLINDAMYCIN HCL 02336243 Y

Antibiotics/Anti-infectives* NU-CLOX 125MG/5ML SUSP CLOXACILLIN SODIUM 00717630 Y

Antibiotics/Anti-infectives* NU-CLOXI 250MG CAPSULE CLOXACILLIN SODIUM 00717584 Y

Antibiotics/Anti-infectives* NU-CLOXI 500MG CAPSULE CLOXACILLIN SODIUM 00717592 Y

Antibiotics/Anti-infectives* NU-COTRIMOX TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM00865710 Y

Antibiotics/Anti-infectives* NU-COTRIMOX-DS TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM00865729 Y

Antibiotics/Anti-infectives* NU-DOXYCYCLINE 100MG CAPSULE DOXYCYCLINE HYCLATE 02044668 Y

Antibiotics/Anti-infectives* NU-DOXYCYCLINE 100MG TABLET DOXYCYCLINE HYCLATE 02044676 Y

Antibiotics/Anti-infectives* NU-ERYTHROMYCIN-S 250MG TABLET ERYTHROMYCIN STEARATE 02051850 Y

Antibiotics/Anti-infectives* NU-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02335336 Y

Antibiotics/Anti-infectives* NU-MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02335328 Y

Antibiotics/Anti-infectives* NU-PEN-VK 300MG TABLET PENICILLIN V POTASSIUM 00717568 Y

Antibiotics/Anti-infectives* NU-TETRA 250MG TABLET TETRACYCLINE HCL 00717606 Y

Antibiotics/Anti-infectives* OFLOXACIN 200MG TABLET OFLOXACIN 02231529 Y

Antibiotics/Anti-infectives* OFLOXACIN 300MG TABLET OFLOXACIN 02231531 Y

Antibiotics/Anti-infectives* OFLOXACINE 200MG TABLET OFLOXACIN 02238205 Y

Antibiotics/Anti-infectives* OFLOXACINE 300MG TABLET OFLOXACIN 02238206 Y

Antibiotics/Anti-infectives* OFLOXACINE 400MG TABLET OFLOXACIN 02238207 Y

Antibiotics/Anti-infectives* OLFOXACIN 400MG TABLET OFLOXACIN 02231532 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 74

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* OMNICEF 125MG/5ML ORAL SUSPENSION CEFDINIR 02239560 Y

Antibiotics/Anti-infectives* OMNICEF 300MG CAPSULE CEFDINIR 02239563 Y

Antibiotics/Anti-infectives* ORB-CEFUROXIME 250MG TABLET CEFUROXIME AXETIL 02323117 Y

Antibiotics/Anti-infectives* ORB-CEFUROXIME 500MG TABLET CEFUROXIME AXETIL 02323125 Y

Antibiotics/Anti-infectives* PCE 333MG TABLET ERYTHROMYCIN BASE 00769991 Y

Antibiotics/Anti-infectives* PEDIAZOLE SUSPENSION ERY E-SUCC/SULFISOXAZOLE 00583405 Y

Antibiotics/Anti-infectives* PENICILLIN G SOD 10MMU VIAL PENICILLIN G SODIUM 01930680 Y

Antibiotics/Anti-infectives* PENICILLIN G SOD 10MU INJ PENICILLIN G SODIUM 02220296 Y

Antibiotics/Anti-infectives* PENICILLIN G SOD 1MMU VIAL PENICILLIN G SODIUM 01930672 Y

Antibiotics/Anti-infectives* PENICILLIN G SOD 5MMU VIAL PENICILLIN G SODIUM 00883751 Y

Antibiotics/Anti-infectives* PENICILLIN G SOD 5MU INJ PENICILLIN G SODIUM 02220288 Y

Antibiotics/Anti-infectives* PENICILLIN G SODIUM 1MU VIAL PENICILLIN G SODIUM 02220261 Y

Antibiotics/Anti-infectives* PENICILLINE V 300MG TABLET PENICILLIN V POTASSIUM 00468029 Y

Antibiotics/Anti-infectives* PEN-VEE 180MG/5ML SUSP PENICILLIN V BENZATHINE 02229618 Y

Antibiotics/Anti-infectives* PEN-VEE 300MG/5ML SUSP PENICILLIN V BENZATHINE 02229617 Y

Antibiotics/Anti-infectives* PERIOSTAT 20MG CAPSULE DOXYCYCLINE HYCLATE 02247104 Y

Antibiotics/Anti-infectives* PHL-AMOXICILLIN 125MG/5ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02262886 Y

Antibiotics/Anti-infectives* PHL-AMOXICILLIN 125MG/ML SUSP AMOXICILLIN TRIHYDRATE 02351153 Y

Antibiotics/Anti-infectives* PHL-AMOXICILLIN 250MG CAPSULE AMOXICILLIN TRIHYDRATE 02262851 Y

Antibiotics/Anti-infectives* PHL-AMOXICILLIN 250MG CAPSULE AMOXICILLIN TRIHYDRATE 02351188 Y

Antibiotics/Anti-infectives* PHL-AMOXICILLIN 250MG/ML SUSP AMOXICILLIN TRIHYDRATE 02351161 Y

Antibiotics/Anti-infectives* PHL-AMOXICILLIN 250MG5/ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02262894 Y

Antibiotics/Anti-infectives* PHL-AMOXICILLIN 500MG CAPSULE AMOXICILLIN TRIHYDRATE 02262878 Y

Antibiotics/Anti-infectives* PHL-AMOXICILLIN 500MG CAPSULE AMOXICILLIN TRIHYDRATE 02351196 Y

Antibiotics/Anti-infectives* PHL-AZITHROMYCIN 100MG/5ML SUSP AZITHROMYCIN 02282380 Y

Antibiotics/Anti-infectives* PHL-AZITHROMYCIN 200MG/5ML SUSP AZITHROMYCIN 02282410 Y

Antibiotics/Anti-infectives* PHL-AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02278588 Y

Antibiotics/Anti-infectives* PHL-AZITHROMYCIN 600MG TABLET AZITHROMYCIN 02278596 Y

Antibiotics/Anti-infectives* PHL-CIPROFLOXACIN 100MG TABLET CIPROFLOXACIN HCL 02251302 Y

Antibiotics/Anti-infectives* PHL-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02251310 Y

Antibiotics/Anti-infectives* PHL-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02251329 Y

Antibiotics/Anti-infectives* PHL-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02251337 Y

Antibiotics/Anti-infectives* PHL-DOXYCYCLINE 100MG CAPSULE DOXYCYCLINE HYCLATE 02289431 Y

Antibiotics/Anti-infectives* PHL-DOXYCYCLINE 100MG TABLET DOXYCYCLINE HYCLATE 02289458 Y

Antibiotics/Anti-infectives* PHL-FAMCICLOVIR 125MG TABLET FAMCICLOVIR 02281953 Y

Antibiotics/Anti-infectives* PHL-FAMCICLOVIR 250MG TABLET FAMCICLOVIR 02281961 Y

Antibiotics/Anti-infectives* PHL-FAMCICLOVIR 500MG TABLET FAMCICLOVIR 02281988 Y

Antibiotics/Anti-infectives* PHL-LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02286947 Y

Antibiotics/Anti-infectives* PHL-LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02286955 Y

Antibiotics/Anti-infectives* PHL-LEVOFLOXACIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02306891 Y

Antibiotics/Anti-infectives* PHL-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02294141 Y

Antibiotics/Anti-infectives* PHL-MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02294133 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 75

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* PHL-VALACYCLOVIR 500MG TABLET VALACYCLOVIR HCL 02307944 Y

Antibiotics/Anti-infectives* PIPERACILLIN 2G INJECTION PIPERACILLIN SODIUM 02246640 Y

Antibiotics/Anti-infectives* PIPERACILLIN 3G INJECTION PIPERACILLIN SODIUM 02246641 Y

Antibiotics/Anti-infectives* PIPERACILLIN 40GM VIAL INJECTION PIPERACILLIN SODIUM 02265567 Y

Antibiotics/Anti-infectives* PIPERACILLIN 4G INJECTION PIPERACILLIN SODIUM 02246642 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 2G/0.25G VIAL INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02305593 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 2G/0.25G VIAL INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02305623 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 3G/0.375G VIAL INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02305631 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 3G/0.375G VIAL INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02305607 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 4G/0.5G VIAL INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02305658 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 4G/0.5G VIAL INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02305615 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 12/1.5G INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02330547 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 2/0.25G INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02299623 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 2/0.25G VIAL INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02308444 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 3/0.375G INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02299631 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 3/0.375G VIAL INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02308452 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 4/0.5G INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02299658 Y

Antibiotics/Anti-infectives* PIPERACILLIN/TAZOBACTAM 4/0.5G VIAL INJECTION PIPERACILLIN/TAZOBACTAM SODIUM02308460 Y

Antibiotics/Anti-infectives* PIPERCILLIN 2GM VIAL INJECTION PIPERACILLIN SODIUM 02248939 Y

Antibiotics/Anti-infectives* PIPERCILLIN 3GM VIAL INJECTION PIPERACILLIN SODIUM 02248940 Y

Antibiotics/Anti-infectives* PIPERCILLIN 4GM VIAL INJECTION PIPERACILLIN SODIUM 02248941 Y

Antibiotics/Anti-infectives* PMS-AMCLAV 250MG/125MG AMOX TR/POTASSIUM CLAVULANATE02188791 Y

Antibiotics/Anti-infectives* PMS-AMCLAV 500MG/125MG AMOX TR/POTASSIUM CLAVULANATE02188805 Y

Antibiotics/Anti-infectives* PMS-AMCLAV 875MG TABLET AMOX TR/POTASSIUM CLAVULANATE02240999 Y

Antibiotics/Anti-infectives* PMS-AMOXICILLIN 250MG CAPSULE AMOXICILLIN TRIHYDRATE 02230243 Y

Antibiotics/Anti-infectives* PMS-AMOXICILLIN 25MG/ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02230245 Y

Antibiotics/Anti-infectives* PMS-AMOXICILLIN 500MG CAPSULE AMOXICILLIN TRIHYDRATE 02230244 Y

Antibiotics/Anti-infectives* PMS-AMOXICILLIN 50MG/ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02230246 Y

Antibiotics/Anti-infectives* PMS-AZITHROMYCIN 100MG/5ML SUSP AZITHROMYCIN 02274388 Y

Antibiotics/Anti-infectives* PMS-AZITHROMYCIN 200MG/5ML 22.5ML SUSP(ODB) AZITHROMYCIN 09857316 Y

Antibiotics/Anti-infectives* PMS-AZITHROMYCIN 200MG/5ML SUSP AZITHROMYCIN 02274396 Y

Antibiotics/Anti-infectives* PMS-AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02261634 Y

Antibiotics/Anti-infectives* PMS-AZITHROMYCIN 600MG TABLET AZITHROMYCIN 02261642 Y

Antibiotics/Anti-infectives* PMS-CEPHALEXIN 125MG/5ML CEPHALEXIN MH 02177811 Y

Antibiotics/Anti-infectives* PMS-CIPROFLOXACIN 100MG TABLET CIPROFLOXACIN HCL 02248436 Y

Antibiotics/Anti-infectives* PMS-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02248437 Y

Antibiotics/Anti-infectives* PMS-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02248438 Y

Antibiotics/Anti-infectives* PMS-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02248439 Y

Antibiotics/Anti-infectives* PMS-CLARITHROMYCIN 250MG TABLET CLARITHROMYCIN 02247573 Y

Antibiotics/Anti-infectives* PMS-CLARITHROMYCIN 500MG TABLET CLARITHROMYCIN 02247574 Y

Antibiotics/Anti-infectives* PMS-CLINDAMYCIN 150MG CAPSULE CLINDAMYCIN HCL 02294826 Y

Antibiotics/Anti-infectives* PMS-CLINDAMYCIN 300MG CAPSULE CLINDAMYCIN HCL 02294834 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 76

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* PMS-DOXYCYCLINE 100MG CAPSULE DOXYCYCLINE HYCLATE 02289539 Y

Antibiotics/Anti-infectives* PMS-DOXYCYCLINE 100MG TABLET DOXYCYCLINE HYCLATE 02289466 Y

Antibiotics/Anti-infectives* PMS-FAMCICLOVIR 125MG TABLET FAMCICLOVIR 02278081 Y

Antibiotics/Anti-infectives* PMS-FAMCICLOVIR 250MG TABLET FAMCICLOVIR 02278103 Y

Antibiotics/Anti-infectives* PMS-FAMCICLOVIR 500MG TABLET FAMCICLOVIR 02278111 Y

Antibiotics/Anti-infectives* PMS-ISONIAZID 100MG TABLET ISONIAZID 00577790 Y

Antibiotics/Anti-infectives* PMS-ISONIAZID 300MG TABLET ISONIAZID 00577804 Y

Antibiotics/Anti-infectives* PMS-ISONIAZID 50MG TABLET ISONIAZID 00577782 Y

Antibiotics/Anti-infectives* PMS-ISONIAZID 50MG/5ML SYRUP ISONIAZID 00577812 Y

Antibiotics/Anti-infectives* PMS-LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02284677 Y

Antibiotics/Anti-infectives* PMS-LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02284685 Y

Antibiotics/Anti-infectives* PMS-LEVOFLOXACIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02305585 Y

Antibiotics/Anti-infectives* PMS-METRONIDAZOLE 500MG CAPSULE METRONIDAZOLE 00783137 Y

Antibiotics/Anti-infectives* PMS-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02239239 Y

Antibiotics/Anti-infectives* PMS-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02294427 Y

Antibiotics/Anti-infectives* PMS-MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02239238 Y

Antibiotics/Anti-infectives* PMS-MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02294419 Y

Antibiotics/Anti-infectives* PMS-NORFLOXACIN 400MG TABLET NORFLOXACIN 02246596 Y

Antibiotics/Anti-infectives* PMS-PYRAZINAMIDE 500MG TABLET PYRAZINAMIDE 00618810 Y

Antibiotics/Anti-infectives* PMS-SULFASALAZ 500MG TAB EC SULFASALAZINE 00598488 Y

Antibiotics/Anti-infectives* PMS-SULFASALAZINE 500MG TABLET SULFASALAZINE 00598461 Y

Antibiotics/Anti-infectives* PMS-VALACYCLOVIR 500MG TABLET VALACYCLOVIR HCL 02298457 Y

Antibiotics/Anti-infectives* PMS-VANCOMYCIN 1G VIAL VANCOMYCIN HCL 02241821 Y

Antibiotics/Anti-infectives* PMS-VANCOMYCIN 500MG VIAL VANCOMYCIN HCL 02241820 Y

Antibiotics/Anti-infectives* PONDOCILLIN 500MG TABLET PIVAMPICILLIN 00582247 Y

Antibiotics/Anti-infectives* PREM-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02249960 Y

Antibiotics/Anti-infectives* PREM-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02249979 Y

Antibiotics/Anti-infectives* PREM-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02249987 Y

Antibiotics/Anti-infectives* PRIMAXIN 250MG VIAL IMIPENEM/CILASTATIN SODIUM 00717274 Y

Antibiotics/Anti-infectives* PRIMAXIN 500MG ADD-VANT VL IMIPENEM/CILASTATIN SODIUM 01911449 Y

Antibiotics/Anti-infectives* PRIMAXIN 500MG VIAL IMIPENEM/CILASTATIN SODIUM 00717282 Y

Antibiotics/Anti-infectives* PRO-AMOX 125MG/5ML SUSP AMOXICILLIN TRIHYDRATE 00644323 Y

Antibiotics/Anti-infectives* PRO-AMOX-250 250MG CAPSULE AMOXICILLIN TRIHYDRATE 00644307 Y

Antibiotics/Anti-infectives* PRO-AMOX-250 250MG/5ML SUSP AMOXICILLIN TRIHYDRATE 00644331 Y

Antibiotics/Anti-infectives* PRO-AMOX-500 500MG CAPSULE AMOXICILLIN TRIHYDRATE 00644315 Y

Antibiotics/Anti-infectives* PRO-AZITHROMYCINE 250MG TABLET AZITHROMYCIN 02310600 Y

Antibiotics/Anti-infectives* PRO-AZITHROMYCINE 600MG TABLET AZITHROMYCIN 02310619 Y

Antibiotics/Anti-infectives* PRO-CEFADROXIL 500MG CAPSULE CEFADROXIL 02311062 Y

Antibiotics/Anti-infectives* PRO-CEFUROXIME 250MG TABLET CEFUROXIME AXETIL 02311445 Y

Antibiotics/Anti-infectives* PRO-CEFUROXIME 500MG TABLET CEFUROXIME AXETIL 02311453 Y

Antibiotics/Anti-infectives* PRO-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02317796 Y

Antibiotics/Anti-infectives* PRO-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02317818 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 77

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* PRO-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02317826 Y

Antibiotics/Anti-infectives* PROTRIN DF TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM00512524 Y

Antibiotics/Anti-infectives* PROTRIN TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM00512516 Y

Antibiotics/Anti-infectives* PRO-VALACYCLOVIR 500MG TABLET VALACYCLOVIR HCL 02315173 Y

Antibiotics/Anti-infectives* Q-CLARITHROMYCIN 250MG TABLET CLARITHROMYCIN 02339137 Y

Antibiotics/Anti-infectives* Q-CLARITHROMYCIN 500MG TABLET CLARITHROMYCIN 02339145 Y

Antibiotics/Anti-infectives* Q-CLINDAMYCIN 150MG CAPSULE CLINDAMYCIN HCL 02339218 Y

Antibiotics/Anti-infectives* Q-CLINDAMYCIN 300MG CAPSULE CLINDAMYCIN HCL 02339226 Y

Antibiotics/Anti-infectives* RAN-CEFPROZIL 125MG/5ML ORAL SUSP- 100ML PK (ODB) CEFPROZIL 09857356 Y

Antibiotics/Anti-infectives* RAN-CEFPROZIL 250MG TABLET CEFPROZIL 02293528 Y

Antibiotics/Anti-infectives* RAN-CEFPROZIL 250MG/5ML ORAL SUSP- 100ML PK (ODB) CEFPROZIL 09857365 Y

Antibiotics/Anti-infectives* RAN-CEFPROZIL 25MG/ML SUSPENSION CEFPROZIL MONOHYDRATE 02329204 Y

Antibiotics/Anti-infectives* RAN-CEFPROZIL 500MG TABLET CEFPROZIL 02293536 Y

Antibiotics/Anti-infectives* RAN-CEFPROZIL 50MG/ML SUSPENSION CEFPROZIL 02293579 Y

Antibiotics/Anti-infectives* RAN-CIPROFLOX 250MG TABLET CIPROFLOXACIN HCL 02303728 Y

Antibiotics/Anti-infectives* RAN-CIPROFLOX 500MG TABLET CIPROFLOXACIN HCL 02303736 Y

Antibiotics/Anti-infectives* RAN-CIPROFLOX 750MG TABLET CIPROFLOXACIN HCL 02303744 Y

Antibiotics/Anti-infectives* RAN-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02267934 Y

Antibiotics/Anti-infectives* RAN-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02267942 Y

Antibiotics/Anti-infectives* RAN-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02267950 Y

Antibiotics/Anti-infectives* RAN-IMIPENEM-CILASTATIN 250MG VIAL IMIPENEM/CILASTATIN SODIUM 02351692 Y

Antibiotics/Anti-infectives* RAN-IMIPENEM-CILASTATIN 500MG VIAL IMIPENEM/CILASTATIN SODIUM 02351706 Y

Antibiotics/Anti-infectives* RATIO-ACLAVULANATE 125F SUSPENSION AMOX TR/POTASSIUM CLAVULANATE02244646 Y

Antibiotics/Anti-infectives* RATIO-ACLAVULANATE 250F SUSPENSION AMOX TR/POTASSIUM CLAVULANATE02244647 Y

Antibiotics/Anti-infectives* RATIO-ACLAVULANATE 250MG TABLET AMOX TR/POTASSIUM CLAVULANATE02243770 Y

Antibiotics/Anti-infectives* RATIO-ACLAVULANATE 500MG TABLET AMOX TR/POTASSIUM CLAVULANATE02243771 Y

Antibiotics/Anti-infectives* RATIO-ACLAVULANATE 875/125MG TABLET AMOX TR/POTASSIUM CLAVULANATE02247021 Y

Antibiotics/Anti-infectives* RATIO-ACYCLOVIR 200MG TABLET ACYCLOVIR 02078627 Y

Antibiotics/Anti-infectives* RATIO-ACYCLOVIR 400MG TABLET ACYCLOVIR 02078635 Y

Antibiotics/Anti-infectives* RATIO-ACYCLOVIR 800MG TABLET ACYCLOVIR 02078651 Y

Antibiotics/Anti-infectives* RATIO-AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02275287 Y

Antibiotics/Anti-infectives* RATIO-AZITHROMYCIN 600MG TABLET AZITHROMYCIN 02275295 Y

Antibiotics/Anti-infectives* RATIO-CEFUROXIME 250MG TABLET CEFUROXIME AXETIL 02242656 Y

Antibiotics/Anti-infectives* RATIO-CEFUROXIME 500MG TABLET CEFUROXIME AXETIL 02242657 Y

Antibiotics/Anti-infectives* RATIO-CIPROFLOXACIN 100MG TABLET CIPROFLOXACIN HCL 02246824 Y

Antibiotics/Anti-infectives* RATIO-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02246825 Y

Antibiotics/Anti-infectives* RATIO-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02246826 Y

Antibiotics/Anti-infectives* RATIO-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02246827 Y

Antibiotics/Anti-infectives* RATIO-CLARITHROMYCIN 250MG TABLET CLARITHROMYCIN 02247818 Y

Antibiotics/Anti-infectives* RATIO-CLARITHROMYCIN 500MG TABLET CLARITHROMYCIN 02247819 Y

Antibiotics/Anti-infectives* RATIO-CLINDAMYCIN 150MG CAPSULE CLINDAMYCIN HCL 02130033 Y

Antibiotics/Anti-infectives* RATIO-CLINDAMYCIN 300MG CAPSULE CLINDAMYCIN HCL 02192659 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 78

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* RATIO-DOXYCYCLINE 100MG CAPSULE DOXYCYCLINE HYCLATE 02093103 Y

Antibiotics/Anti-infectives* RATIO-DOXYCYCLINE 100MG TABLET DOXYCYCLINE HYCLATE 02091232 Y

Antibiotics/Anti-infectives* RATIO-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 01914146 Y

Antibiotics/Anti-infectives* RATIO-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02238607 Y

Antibiotics/Anti-infectives* RATIO-MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 01914138 Y

Antibiotics/Anti-infectives* RATIO-SULFASALAZINE 500MG EC TABLET SULFASALAZINE 00685925 Y

Antibiotics/Anti-infectives* RATIO-SULFASALAZINE 500MG TABLET SULFASALAZINE 00685933 Y

Antibiotics/Anti-infectives* RELENZA 5MG ROTADISK ZANAMIVIR 02240863 Y

Antibiotics/Anti-infectives* RIFADIN 150MG CAPSULE RIFAMPIN 02091887 Y

Antibiotics/Anti-infectives* RIFADIN 300MG CAPSULE RIFAMPIN 02092808 Y

Antibiotics/Anti-infectives* RIFATER TABLET RIFAMPIN/INH/PYRAZINAMIDE 02148625 Y

Antibiotics/Anti-infectives* RIVA-AZITHROMYCIN 250MG TABLET AZITHROMYCIN 02275309 Y

Antibiotics/Anti-infectives* RIVA-AZITHROMYCIN 600MG TABLET AZITHROMYCIN 02275317 Y

Antibiotics/Anti-infectives* RIVA-CIPROFLOXACIN 100MG TABLET CIPROFLOXACIN HCL 02251213 Y

Antibiotics/Anti-infectives* RIVA-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02251221 Y

Antibiotics/Anti-infectives* RIVA-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02251248 Y

Antibiotics/Anti-infectives* RIVA-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02251256 Y

Antibiotics/Anti-infectives* RIVA-CLARITHROMYCIN 250MG TABLET CLARITHROYCIN 02346524 Y

Antibiotics/Anti-infectives* RIVA-CLARITHROMYCIN 500MG TABLET CLARITHROMYCIN 02346532 Y

Antibiotics/Anti-infectives* RIVA-CLINDAMYCIN 150MG CAPSULE CLINDAMYCIN HCL 02242409 Y

Antibiotics/Anti-infectives* RIVA-CLINDAMYCIN 150MG CAPSULE CLINDAMYCIN HCL 02293382 Y

Antibiotics/Anti-infectives* RIVA-CLINDAMYCIN 300MG CAPSULE CLINDAMYCIN HCL 02242410 Y

Antibiotics/Anti-infectives* RIVA-CLINDAMYCIN 300MG CAPSULE CLINDAMYCIN HCL 02293390 Y

Antibiotics/Anti-infectives* RIVA-MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02242081 Y

Antibiotics/Anti-infectives* RIVA-MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02242080 Y

Antibiotics/Anti-infectives* RIVA-NORFLOXACIN 400MG TABLET NORFLOXACIN 02241483 Y

Antibiotics/Anti-infectives* RIVA-NORFLOXACIN 400MG TABLET NORFLOXACIN 02301504 Y

Antibiotics/Anti-infectives* RIVA-VALACYCLOVIR 500MG TABLET VALACYCLOVIR HCL 02316447 Y

Antibiotics/Anti-infectives* ROCEPHIN 10GM VIAL BULK CEFTRIAXONE SODIUM 00851957 Y

Antibiotics/Anti-infectives* ROCEPHIN 1GM VIAL CEFTRIAXONE SODIUM 00657417 Y

Antibiotics/Anti-infectives* ROCEPHIN 250MG VIAL CEFTRIAXONE SODIUM 00657387 Y

Antibiotics/Anti-infectives* ROCEPHIN 2GM VIAL CEFTRIAXONE SODIUM 00657409 Y

Antibiotics/Anti-infectives* ROFACT 150MG CAPSULE RIFAMPIN 00393444 Y

Antibiotics/Anti-infectives* ROFACT 300MG CAPSULE RIFAMPIN 00343617 Y

Antibiotics/Anti-infectives* ROVAMYCINE '250' CAPSULE SPIRAMYCIN 01927825 Y

Antibiotics/Anti-infectives* ROVAMYCINE '500' CAPSULE SPIRAMYCIN 01927817 Y

Antibiotics/Anti-infectives* SALAZOPYRIN 500MG EN-TABLET SULFASALAZINE 02064472 Y

Antibiotics/Anti-infectives* SALAZOPYRIN 500MG TABLET SULFASALAZINE 02064480 Y

Antibiotics/Anti-infectives* SANDOZ CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02248756 Y

Antibiotics/Anti-infectives* SANDOZ CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02248757 Y

Antibiotics/Anti-infectives* SANDOZ CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02248758 Y

Antibiotics/Anti-infectives* SANDOZ LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02298635 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 79

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* SANDOZ LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02298643 Y

Antibiotics/Anti-infectives* SANDOZ LEVOFLOXACIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02298651 Y

Antibiotics/Anti-infectives* SANDOZ MINOCYCLINE 100MG CAPSULE MINOCYCLINE HCL 02237314 Y

Antibiotics/Anti-infectives* SANDOZ MINOCYCLINE 50MG CAPSULE MINOCYCLINE HCL 02237313 Y

Antibiotics/Anti-infectives* SANDOZ-AZITHROMYCIN 100MG/5ML SUSP AZITHROMYCIN 02332388 Y

Antibiotics/Anti-infectives* SANDOZ-AZITHROMYCIN 200MG/5ML SUSP AZITHROMYCIN 02332396 Y

Antibiotics/Anti-infectives* SANDOZ-AZITHROMYCIN 200MG/5ML SUSP O/L-22.5ML PK (ODB)AZITHROMYCIN 09857351 Y

Antibiotics/Anti-infectives* SANDOZ-AZITHROMYCIN 250MG TAB AZITHROMYCIN 02265826 Y

Antibiotics/Anti-infectives* SANDOZ-AZITHROMYCIN 500MG TABLET AZITHROMYCIN 02270358 Y

Antibiotics/Anti-infectives* SANDOZ-CEFPROZIL 125MG/5ML ORAL SUSP- 100ML PK (ODB) CEFPROZIL 09857363 Y

Antibiotics/Anti-infectives* SANDOZ-CEFPROZIL 250MG TABLET CEFPROZIL 02302179 Y

Antibiotics/Anti-infectives* SANDOZ-CEFPROZIL 250MG/5ML ORAL SUSP- 100ML PK (ODB) CEFPROZIL 09857364 Y

Antibiotics/Anti-infectives* SANDOZ-CEFPROZIL 25MG/ML SUSPENSION CEFPROZIL 02303426 Y

Antibiotics/Anti-infectives* SANDOZ-CEFPROZIL 500MG TABLET CEFPROZIL 02302187 Y

Antibiotics/Anti-infectives* SANDOZ-CEFPROZIL 50MG/ML SUSPENSION CEFPROZIL 02303434 Y

Antibiotics/Anti-infectives* SANDOZ-CEFTRIAXONE 1GM VIAL CEFTRIAXONE SODIUM 02257866 Y

Antibiotics/Anti-infectives* SANDOZ-CEFTRIAXONE 2GM VIAL CEFTRIAXONE SODIUM 02257874 Y

Antibiotics/Anti-infectives* SANDOZ-CLARITHROMYCIN 250MG TABLET CLARITHROMYCIN 02266539 Y

Antibiotics/Anti-infectives* SANDOZ-CLARITHROMYCIN 500MG TABLET CLARITHROMYCIN 02266547 Y

Antibiotics/Anti-infectives* SANDOZ-FAMCICLOVIR 125MG TABLET FAMCICLOVIR 02278634 Y

Antibiotics/Anti-infectives* SANDOZ-FAMCICLOVIR 250MG TABLET FAMCICLOVIR 02278642 Y

Antibiotics/Anti-infectives* SANDOZ-FAMCICLOVIR 500MG TABLET FAMCICLOVIR 02278650 Y

Antibiotics/Anti-infectives* SANDOZ-VALACYCLOVIR 1000MG TABLET VALACYCLOVIR HCL 02347105 Y

Antibiotics/Anti-infectives* SANDOZ-VALACYCLOVIR 500MG TABLET VALACYCLOVIR HCL 02347091 Y

Antibiotics/Anti-infectives* SCHEIN CIPROFLOX 100MG TABLET CIPROFLOXACIN HCL 02204347 Y

Antibiotics/Anti-infectives* SCHEIN CIPROFLOX 250MG TABLET CIPROFLOXACIN HCL 02204355 Y

Antibiotics/Anti-infectives* SCHEIN CIPROFLOX 500MG TABLET CIPROFLOXACIN HCL 02204636 Y

Antibiotics/Anti-infectives* SCHEIN CIPROFLOX 750MG TABLET CIPROFLOXACIN HCL 02204371 Y

Antibiotics/Anti-infectives* SELEXID 185MG TABLET MECILLINAM 00657212 Y

Antibiotics/Anti-infectives* SEPTRA AMPOULE SULFAMETHOXAZOLE/TRIMETHOPRIM00550086 Y

Antibiotics/Anti-infectives* SIG-AZITHROMYCIN 250MG TABLET AZITHROMYCIN MONOHYDRATE 02346923 Y

Antibiotics/Anti-infectives* SIG-AZITHROMYCIN 600MG TABLET AZITHROMYCIN MONOHYDRATE 02346931 Y

Antibiotics/Anti-infectives* SIG-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02331853 Y

Antibiotics/Anti-infectives* SIG-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02331861 Y

Antibiotics/Anti-infectives* SIG-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02331888 Y

Antibiotics/Anti-infectives* SIG-FAMCICLOVIR 125MG TABLET FAMCICLOVIR 02345455 Y

Antibiotics/Anti-infectives* SIG-FAMCICLOVIR 250MG TABLET FAMCICLOVIR 02345463 Y

Antibiotics/Anti-infectives* SIG-FAMCICLOVIR 500MG TABLET FAMCICLOVIR 02345471 Y

Antibiotics/Anti-infectives* SIG-LEVOFLOXACIN 250MG TABLET LEVOFLOXACIN HEMIHYDRATE 02347423 Y

Antibiotics/Anti-infectives* SIG-LEVOFLOXACIN 500MG TABLET LEVOFLOXACIN HEMIHYDRATE 02347431 Y

Antibiotics/Anti-infectives* SIG-LEVOFLOXACIN 750MG TABLET LEVOFLOXACIN HEMIHYDRATE 02347458 Y

Antibiotics/Anti-infectives* SIG-NORFLOXACIN 400MG TABLET NORFLOXACIN 02347466 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 80

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* STERILE VANCOMYCIN HCL USP 10GM MULTI DOSE VIAL VANCOMYCIN HCL 02241807 Y

Antibiotics/Anti-infectives* STERILE VANCOMYCIN HCL USP 1GM VIAL VANCOMYCIN HCL 02139383 Y

Antibiotics/Anti-infectives* STERILE VANCOMYCIN HCL USP 500MG VIAL VANCOMYCIN HCL 02139375 Y

Antibiotics/Anti-infectives* STERILE VANCOMYCIN HCL USP 5GM VIAL VANCOMYCIN HCL 02139243 Y

Antibiotics/Anti-infectives* STRAGEN CEFTRIAXONE 10G VIAL CEFTRIAXONE SODIUM 02325632 Y

Antibiotics/Anti-infectives* STRAGEN CEFTRIAXONE 1G VIAL CEFTRIAXONE SODIUM 02325616 Y

Antibiotics/Anti-infectives* STRAGEN CEFTRIAXONE 250MG VIAL CEFTRIAXONE SODIUM 02325594 Y

Antibiotics/Anti-infectives* STRAGEN CEFTRIAXONE 2G VIAL CEFTRIAXONE SODIUM 02325624 Y

Antibiotics/Anti-infectives* STRAGEN CEFTRIAXONE 500MG VIAL CEFTRIAXONE SODIUM 02325608 Y

Antibiotics/Anti-infectives* STREPTOMYCIN 1G INJECTION STREPTOMYCIN SULFATE 02243660 Y

Antibiotics/Anti-infectives* SUPRAX 100MG/5ML PWS CEFIXIME 02170779 Y

Antibiotics/Anti-infectives* SUPRAX 100MG/5ML SUSPENSION CEFIXIME 00868965 Y

Antibiotics/Anti-infectives* SUPRAX 100MG/5ML SUSPENSION CEFIXIME 02195992 Y

Antibiotics/Anti-infectives* SUPRAX 400MG TABLET CEFIXIME 00868981 Y

Antibiotics/Anti-infectives* SUPRAX 400MG TABLET CEFIXIME 02170787 Y

Antibiotics/Anti-infectives* SUPRAX 400MG TABLET CEFIXIME 02195984 Y

Antibiotics/Anti-infectives* TAMIFLU 12MG/ML SUSPENSION OSELTAMIVIR PHOSPHATE 02245549 Y

Antibiotics/Anti-infectives* TAMIFLU 30MG CAPSULE OSELTAMIVIR PHOSPHATE 02304848 Y

Antibiotics/Anti-infectives* TAMIFLU 45MG CAPSULE OSELTAMIVIR PHOSPHATE 02304856 Y

Antibiotics/Anti-infectives* TAMIFLU 75MG CAPSULE OSELTAMIVIR PHOSPHATE 02241472 Y

Antibiotics/Anti-infectives* TARO-CIPROFLOXACIN 250MG TABLET CIPROFLOXACIN HCL 02266962 Y

Antibiotics/Anti-infectives* TARO-CIPROFLOXACIN 500MG TABLET CIPROFLOXACIN HCL 02266970 Y

Antibiotics/Anti-infectives* TARO-CIPROFLOXACIN 750MG TABLET CIPROFLOXACIN HCL 02266989 Y

Antibiotics/Anti-infectives* TAZOCIN 2.25G VIAL PIPERACILLIN/TAZOBACTAM SODIUM02170817 Y

Antibiotics/Anti-infectives* TAZOCIN 3.375G VIAL PIPERACILLIN/TAZOBACTAM SODIUM02170795 Y

Antibiotics/Anti-infectives* TAZOCIN 4.5G VIAL PIPERACILLIN/TAZOBACTAM SODIUM02170809 Y

Antibiotics/Anti-infectives* TEBRAZID 500MG TABLET PYRAZINAMIDE 00283991 Y

Antibiotics/Anti-infectives* TETRACYCLINE 250MG CAPSULE TETRACYCLINE HCL 00156744 Y

Antibiotics/Anti-infectives* TIMENTIN 3.1GM VIAL TICARCILLIN/K CLAVULANATE 01916939 Y

Antibiotics/Anti-infectives* TIMENTIN 30G MULTI DOSE INJECTION TICARCILLIN/K CLAVULANATE 02247880 Y

Antibiotics/Anti-infectives* TOBI 60MG/ML INHALATION SOLUTION TOBRAMYCIN/NA CHLOR 0.2% 02239630 Y

Antibiotics/Anti-infectives* TOBRAMYCIN 10MG/ML INJECTION TOBRAMYCIN SULFATE 02241209 Y

Antibiotics/Anti-infectives* TOBRAMYCIN 40MG/ML INJECTION TOBRAMYCIN SULFATE 02241210 Y

Antibiotics/Anti-infectives* TOBRAMYCIN INJECTION USP 10MG/ML TOBRAMYCIN SULFATE 02230639 Y

Antibiotics/Anti-infectives* TOBRAMYCIN INJECTION USP 40MG/ML TOBRAMYCIN SULFATE 02230640 Y

Antibiotics/Anti-infectives* TOBRAMYCINE SA 40MG/ML INJ TOBRAMYCIN SULFATE 99005069 Y

Antibiotics/Anti-infectives* TRISULFA DS TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM00885932 Y

Antibiotics/Anti-infectives* TRISULFA S SUSPENSION SULFAMETHOXAZOLE/TRIMETHOPRIM00885940 Y

Antibiotics/Anti-infectives* TRISULFA TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM00885924 Y

Antibiotics/Anti-infectives* TYGACIL 50MG/VIAL TIGECYCLINE 02285401 Y

Antibiotics/Anti-infectives* VALCYTE 450MG TABLET VALGANCICLOVIR HCL 02245777 Y

Antibiotics/Anti-infectives* VALCYTE 50MG/ML ORAL POWDER FOR SOLUTION VALGANCICLOVIR HCL 02306085 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 81

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antibiotics/Anti-infectives* VALTREX 1G TABLET VALACYCLOVIR HCL 02246559 Y

Antibiotics/Anti-infectives* VALTREX 250MG CAPLET VALACYCLOVIR HCL 02239130 Y

Antibiotics/Anti-infectives* VALTREX 500MG TABLET VALACYCLOVIR HCL 02219492 Y

Antibiotics/Anti-infectives* VAL-VANCO 1000MG VIAL VANCOMYCIN HCL 02342863 Y

Antibiotics/Anti-infectives* VAL-VANCO 500MG VIAL VANCOMYCIN HCL 02342855 Y

Antibiotics/Anti-infectives* VANCOCIN 125MG CAPSULE VANCOMYCIN HCL 00800430 Y

Antibiotics/Anti-infectives* VANCOCIN 250MG CAPSULE VANCOMYCIN HCL 00788716 Y

Antibiotics/Anti-infectives* VANCOMYCIN 1000MG INJECTION VANCOMYCIN HCL 02230192 Y

Antibiotics/Anti-infectives* VANCOMYCIN 500MG INJECTION VANCOMYCIN HCL 02230191 Y

Antibiotics/Anti-infectives* VIBRAMYCIN 100MG CAPSULE DOXYCYCLINE HYCLATE 00024368 Y

Antibiotics/Anti-infectives* VIBRA-TABS 100MG TABLET DOXYCYCLINE HYCLATE 00578452 Y

Antibiotics/Anti-infectives* ZINACEF 1.5GM VIAL CEFUROXIME SODIUM 02213540 Y

Antibiotics/Anti-infectives* ZINACEF 750MG VIAL CEFUROXIME SODIUM 02213532 Y

Antibiotics/Anti-infectives* ZIN-AMOXI 125MG/5ML ORAL SUSPENSION AMOXICILLIN TRIHYDRATE 02241990 Y

Antibiotics/Anti-infectives* ZITHROMAX 100MG/5ML SUSP AZITHROMYCIN 02223716 Y

Antibiotics/Anti-infectives* ZITHROMAX 200MG/5ML 22.5ML SUSP(ODB) AZITHROMYCIN 09857315 Y

Antibiotics/Anti-infectives* ZITHROMAX 200MG/5ML SUSP AZITHROMYCIN 02223724 Y

Antibiotics/Anti-infectives* ZITHROMAX 250MG TABLET AZITHROMYCIN 02212021 Y

Antibiotics/Anti-infectives* ZITHROMAX 500MG INJECTION AZITHROMYCIN 02239952 Y

Antibiotics/Anti-infectives* ZITHROMAX 500MG TABLET AZITHROMYCIN DIHYDRATE 02247748 Y

Antibiotics/Anti-infectives* ZITHROMAX 600MG TABLET AZITHROMYCIN 02231143 Y

Antibiotics/Anti-infectives* ZITHROMAX PWS 1 GM AZITHROMYCIN 02229971 Y

Antibiotics/Anti-infectives* ZOVIRAX 200MG TABLET ACYCLOVIR 00634506 Y

Antibiotics/Anti-infectives* ZOVIRAX 200MG/5ML SUSP ACYCLOVIR 00886157 Y

Antibiotics/Anti-infectives* ZOVIRAX 400MG TABLET ACYCLOVIR 01911627 Y

Antibiotics/Anti-infectives* ZOVIRAX 800MG TABLET ACYCLOVIR 01911635 Y

Antibiotics/Anti-infectives* ZYM-VALACYCLOVIR 500MG TABLET VALACYCLOVIR HCL 02320916 Y

Antibiotics/Anti-infectives* ZYVOXAM 100MG/5ML SUSP LINEZOLID 02243686 Y

Antibiotics/Anti-infectives* ZYVOXAM 400MG TABLET LINEZOLID 02243683 Y

Antibiotics/Anti-infectives* ZYVOXAM 600MG TABLET LINEZOLID 02243684 Y

Antibiotics/Anti-infectives* ZYVOXAM 600MG/300ML INJECTION LINEZOLID 02243685 Y

Antifungals* AMPHOTERICIN B 50MG INJ (PQ) AMPHOTERICIN B 99100416 Y

Antifungals* APO-FLUCONAZOLE 100MG TABLET FLUCONAZOLE 02237371 Y

Antifungals* APO-FLUCONAZOLE 200MG TABLET FLUCONAZOLE 02237372 Y

Antifungals* APO-FLUCONAZOLE 50MG TABLET FLUCONAZOLE 02237370 Y

Antifungals* APO-FLUCONAZOLE-150MG CAPSULE FLUCONAZOLE 02241895 Y

Antifungals* APO-KETOCONAZOLE 200MG TABLET KETOCONAZOLE 02237235 Y

Antifungals* APO-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02239893 Y

Antifungals* AURO-TERBINAFINE 125MG TABLET TERBINAFINE HCL 02320126 Y

Antifungals* AURO-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02320134 Y

Antifungals* CANCIDAS 50MG INJECTION CASPOFUNGIN ACETATE 02244265 Y

Antifungals* CANCIDAS 70MG INJECTION CASPOFUNGIN ACETATE 02244266 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 82

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antifungals* CANESORAL 150MG CAPSULE FLUCONAZOLE 02311690 Y

Antifungals* CO FLUCONAZOLE-150 150MG CAPSULE FLUCONAZOLE 02323419 Y

Antifungals* CO-FLUCONAZOLE 100MG TABLET FLUCONAZOLE 02281279 Y

Antifungals* CO-FLUCONAZOLE 50MG TABLET FLUCONAZOLE 02281260 Y

Antifungals* CO-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02254727 Y

Antifungals* DIFLUCAN 100MG TABLET FLUCONAZOLE 00891819 Y

Antifungals* DIFLUCAN 150MG CAPSULE FLUCONAZOLE 02141442 Y

Antifungals* DIFLUCAN 2MG/ML PIGGYBACK FLUCONAZOLE 00891835 Y

Antifungals* DIFLUCAN 50MG TABLET FLUCONAZOLE 00891800 Y

Antifungals* DIFLUCAN 50MG/5ML ORAL SUSPENSION FLUCONAZOLE 02024152 Y

Antifungals* DOM-FLUCONAZOLE 100MG CAPSULE FLUCONAZOLE 02246109 Y

Antifungals* DOM-FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02309432 Y

Antifungals* DOM-FLUCONAZOLE 50MG CAPSULE FLUCONAZOLE 02246108 Y

Antifungals* DOM-NYSTATIN 100000U/ML SUS NYSTATIN 02125145 Y

Antifungals* DOM-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02299275 Y

Antifungals* FLUCONAZOLE 100MG TABLET FLUCONAZOLE 02301946 Y

Antifungals* FLUCONAZOLE 100MG TABLET FLUCONAZOLE 02287250 Y

Antifungals* FLUCONAZOLE 150 150MG CAPSULE FLUCONAZOLE 02352133 Y

Antifungals* FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02301954 Y

Antifungals* FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02340038 Y

Antifungals* FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02246942 Y

Antifungals* FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02282453 Y

Antifungals* FLUCONAZOLE 200MG TABLET FLUCONAZOLE 02287269 Y

Antifungals* FLUCONAZOLE 2MG INJECTION FLUCONAZOLE 02247922 Y

Antifungals* FLUCONAZOLE 2MG/ML INJECTION FLUCONAZOLE 02248443 Y

Antifungals* FLUCONAZOLE 50MG TABLET FLUCONAZOLE 02301938 Y

Antifungals* FLUCONAZOLE 50MG TABLET FLUCONAZOLE 02287242 Y

Antifungals* FLUCONAZOLE OMEGA 2MG/ML INJECTION FLUCONAZOLE 02247749 Y

Antifungals* FLUCONAZOLE TABLETS 100MG TABLET FLUCONAZOLE 02340801 Y

Antifungals* FLUCONAZOLE TABLETS 200MG TABLET FLUCONAZOLE 02340828 Y

Antifungals* FLUCONAZOLE TABLETS 50MG TABLET FLUCONAZOLE 02340798 Y

Antifungals* FLUCONAZOLE-150MG CAPSULE FLUCONAZOLE 02340046 Y

Antifungals* GD-FLUCONAZOLE 100MG TABLET FLUCONAZOLE 02273640 Y

Antifungals* GD-FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02273659 Y

Antifungals* GD-FLUCONAZOLE 50MG TABLET FLUCONAZOLE 02273632 Y

Antifungals* GD-TERBINAFINE 125MG TABLET TERBINAFINE HCL 02352796 Y

Antifungals* GD-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02352818 Y

Antifungals* KETOCONAZOLE-200MG TABLET KETOCONAZOLE 02237882 Y

Antifungals* LAMISIL 125MG TABLET TERBINAFINE HCL 02031108 Y

Antifungals* LAMISIL 250MG TABLET TERBINAFINE HCL 02031116 Y

Antifungals* MONISTAT FLUCONAZOLE-150MG CAPSULE FLUCONAZOLE 02339560 Y

Antifungals* MYCAMINE 100MG/ML VIAL MICAFUNGIN SODIUM 02311054 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 83

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antifungals* MYCAMINE 50MG/ML VIAL MICAFUNGIN SODIUM 02294222 Y

Antifungals* MYLAN-FLUCONAZOLE 100MG TABLET FLUCONAZOLE 02245293 Y

Antifungals* MYLAN-FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02245697 Y

Antifungals* MYLAN-FLUCONAZOLE 200MG TABLET FLUCONAZOLE 02245294 Y

Antifungals* MYLAN-FLUCONAZOLE 50MG TABLET FLUCONAZOLE 02245292 Y

Antifungals* MYLAN-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02242503 Y

Antifungals* NOVO-FLUCONAZOLE 100MG TABLET FLUCONAZOLE 02236979 Y

Antifungals* NOVO-FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02243645 Y

Antifungals* NOVO-FLUCONAZOLE 50MG TABLET FLUCONAZOLE 02236978 Y

Antifungals* NOVO-KETOCONAZOLE 200MG TABLET KETOCONAZOLE 02231061 Y

Antifungals* NOVO-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02240346 Y

Antifungals* NU-FLUCONAZOLE-150 150MG CAPSULE FLUCONAZOLE 02336162 Y

Antifungals* NU-KETOCON 200MG TABLET KETOCONAZOLE 02122197 Y

Antifungals* NU-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02248845 Y

Antifungals* NYADERM 100000U/ML SUSP NYSTATIN 00779121 Y

Antifungals* PHL-FLUCONAZOLE 100MG TABLET FLUCONAZOLE 02294036 Y

Antifungals* PHL-FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02294044 Y

Antifungals* PHL-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02297973 Y

Antifungals* PMS-FLUCONAZOLE 100MG TABLET FLUCONAZOLE 02245644 Y

Antifungals* PMS-FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02246620 Y

Antifungals* PMS-FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02282348 Y

Antifungals* PMS-FLUCONAZOLE 50MG TABLET FLUCONAZOLE 02245643 Y

Antifungals* PMS-NYSTATIN 100000U/ML SUS NYSTATIN 00792667 Y

Antifungals* PMS-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02294273 Y

Antifungals* PMS-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02240807 Y

Antifungals* POSANOL 40MG/ML SUSP POSACONAZOLE 02293404 Y

Antifungals* PRO-FLUCONAZOLE 100MG TABLET FLUCONAZOLE 02310686 Y

Antifungals* PRO-FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02310694 Y

Antifungals* RATIO-NYSTATIN 100000U/ML SUSP NYSTATIN 02194201 Y

Antifungals* RATIO-NYSTATIN 500000U TABLET NYSTATIN 02194198 Y

Antifungals* RIVA-FLUCONAZOLE 100MG TABLET FLUCONAZOLE 02271516 Y

Antifungals* RIVA-FLUCONAZOLE 150MG CAPSULE FLUCONAZOLE 02255510 Y

Antifungals* RIVA-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02262924 Y

Antifungals* SANDOZ-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02262177 Y

Antifungals* SIG-TERBINAFINE 250MG TABLET TERBINAFINE HCL 02332612 Y

Antifungals* SPORANOX 100MG CAPSULE ITRACONAZOLE 02047454 Y

Antifungals* SPORANOX ORAL SOLUTION 10MG/ML ITRACONAZOLE 02231347 Y

Antifungals* TARO-FLUCONAZOLE 200MG TABLET FLUCONAZOLE 02249316 Y

Antifungals* TERBINAFINE 250MG TABLET TERBINAFINE HCL 02286580 Y

Antifungals* TERBINAFINE 250MG TABLET TERBINAFINE HCL 02343452 Y

Antifungals* TERBINAFINE 250MG TABLET TERBINAFINE HCL 02353121 Y

Antifungals* TERBINAFINE 250MG TABLET TERBINAFINE HCL 02242735 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 84

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Antifungals* TERBINAFINE HYDROCHLORIDE TABLETS 250MG TABLET TERBINAFINE HCL 02341190 Y

Antifungals* VFEND 200MG TABLET VORICONAZOLE 02256479 Y

Antifungals* VFEND 200MG/VIAL VORICONAZOLE 02256487 Y

Antifungals* VFEND 3GM SUSPENSION VORICONAZOLE 02279991 Y

Antifungals* VFEND 50MG TABLET VORICONAZOLE 02256460 Y

Asthma ACCOLATE 20MG TABLET ZAFIRLUKAST 02236606 Y

Asthma ADVAIR 100UG INHALATION DISKUS SALMETEROL/FLUTICASONE 02240835 Y

Asthma ADVAIR 125MCG MD INHALER FLUTICASONE/SALMETEROL 02245126 Y

Asthma ADVAIR 250MCG MD INHALER FLUTICASONE/SALMETEROL 02245127 Y

Asthma ADVAIR 250UG INHALATION DISKUS SALMETEROL/FLUTICASONE 02240836 Y

Asthma ADVAIR 500UG INHALATION DISKUS SALMETEROL/FLUTICASONE 02240837 Y

Asthma ADVAIR 50MCG MD INHALER FLUTICASONE/SALMETEROL 02245125 Y

Asthma A-HYDROCORT 100MG VIAL HYDROCORTISONE SOD SUCCINATE00888230 Y

Asthma A-HYDROCORT 1GM VIAL HYDROCORTISONE SOD SUCCINATE00888222 Y

Asthma A-HYDROCORT 250MG VIAL HYDROCORTISONE SOD SUCCINATE00888206 Y

Asthma A-HYDROCORT 500MG VIAL HYDROCORTISONE SOD SUCCINATE00888214 Y

Asthma AIROMIR 100MCG/ACT AEM INH SALBUTAMOL SULPHATE 02232570 Y

Asthma ALTI-IPRATROPIUM 0.25MG/ML 1ML (PQ) IPRATROPIUM BROMIDE 99001446 Y

Asthma ALVESCO 100MCG INHALER METERED DOSE CICLESONIDE 02285606 Y

Asthma ALVESCO 200MCG INHALER METERED DOSE CICLESONIDE 02285614 Y

Asthma AMINOPHYLLINE 250MG/10ML AMINOPHYLLINE 00497193 Y

Asthma AMINOPHYLLINE 50MG/ML AMPUL AMINOPHYLLINE 00497207 Y

Asthma AMINOPHYLLINE 50MG/ML VIAL AMINOPHYLLINE 00582654 Y

Asthma APO-CROMOLYN STERULES 1% UDV CROMOGLYCATE-SODIUM 02231431 Y

Asthma APO-DEXAMETHASONE 0.5MG TABLET DEXAMETHASONE 02261081 Y

Asthma APO-DEXAMETHASONE 4MG TABLET DEXAMETHASONE 02250055 Y

Asthma APO-IPRAVENT 0.25MG/ML SOLN IPRATROPIUM BROMIDE 02126222 Y

Asthma APO-ORCIPRENALINE SYRUP 2MG/ML ORCIPRENALINE SULFATE 02236783 Y

Asthma APO-PREDNISONE 1MG TABLET PREDNISONE 00598194 Y

Asthma APO-PREDNISONE 50MG TABLET PREDNISONE 00550957 Y

Asthma APO-PREDNISONE 5MG TABLET PREDNISONE 00312770 Y

Asthma APO-SALVENT 0.5MG/ML INH SOLUTION SALBUTAMOL SULPHATE 02243828 Y

Asthma APO-SALVENT 2MG TABLET SALBUTAMOL SULPHATE 02146843 Y

Asthma APO-SALVENT 4MG TABLET SALBUTAMOL SULPHATE 02146851 Y

Asthma APO-SALVENT CFC FREE INHALER SALBUTAMOL SULPHATE 02245669 Y

Asthma APO-SALVENT IPRAVENT STERULES IPRATROPIUM/SALBUTAMOL 02266393 Y

Asthma APO-SALVENT STERULES 1 MG/ML LIQ INH SALBUTAMOL SULPHATE 02231488 Y

Asthma APO-SALVENT STERULES 2MG/ML UDV SALBUTAMOL SULPHATE 02231678 Y

Asthma APO-THEO LA 100MG TABLET SA THEOPHYLLINE ANHYDROUS 00692689 Y

Asthma APO-THEO LA 200MG TABLET SA THEOPHYLLINE ANHYDROUS 00692697 Y

Asthma APO-THEO LA 300MG TABLET SA THEOPHYLLINE ANHYDROUS 00692700 Y

Asthma ARISTOSPAN 20MG/ML VIAL TRIAMCINOLONE HEXACETONIDE 02194155 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 85

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68%

LEVEL 3

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Asthma ATROVENT 0.125MG/ML SOLN IPRATROPIUM BROMIDE 02026759 Y

Asthma ATROVENT 0.25MG/ML SOLUTION IPRATROPIUM BROMIDE 00731439 Y

Asthma ATROVENT 0.25MG/ML SOLUTION IPRATROPIUM BROMIDE 01950681 Y

Asthma ATROVENT 20MCG HFA INHALER IPRATROPIUM BROMIDE 02247686 Y

Asthma ATROVENT INH SOL - 1ML UDV IPRATROPIUM BROMIDE 00908320 Y

Asthma ATROVENT UDV 0.25MG/ML IPRATROPIUM BROMIDE 00921122 Y

Asthma BCI-SALBUTAMOL 2MG/ML INH SOL SALBUTAMOL SULPHATE 02259591 Y

Asthma BEROTEC 0.1% SOLUTION FENOTEROL HYDROBROMIDE 00541389 Y

Asthma BEROTEC 100MCG INHALER FENOTEROL HYDROBROMIDE 02006383 Y

Asthma BETAJECT 6MG/ML INJECTION BETAMET ACET/BETAMET NA PH 02237835 Y

Asthma BRICANYL 0.5MG TURBUHALER TERBUTALINE SULFATE 00786616 Y

Asthma CELESTONE SOLUSPAN 6MG/ML BETAMET ACET/BETAMET NA PH 00028096 Y

Asthma CELESTONE SOLUSPAN 6MG/ML 5ML BETAMET ACET/BETAMET NA PH 00900516 Y

Asthma CHOLEDYL 100MG/5ML ELIXIR OXTRIPHYLLINE 00476366 Y

Asthma CHOLEDYL EXPECTORANT ELIXIR GUAIFENESIN/OXTRIPHYLLINE 00476374 Y

Asthma COMBIVENT INHALER IPRATROPIUM/SALBUTAMOL 02163721 Y

Asthma COMBIVENT UDV INHALATION SOLUTION IPRATROPIUM/SALBUTAMOL 02231675 Y

Asthma CORTEF 10MG TABLET HYDROCORTISONE 00030910 Y

Asthma CORTEF 20MG TABLET HYDROCORTISONE 00030929 Y

Asthma CORTISONE ACETATE 25MG TABLET CORTISONE ACETATE 00280437 Y

Asthma CO-SALBUTAMOL 1MG/ML INH SOL SALBUTAMOL SULPHATE 02259486 Y

Asthma CO-SALBUTAMOL 2MG/ML INH SOL SALBUTAMOL SULPHATE 02259494 Y

Asthma CO-SALBUT-IPRAT 0.5MG/2.5ML INH SOLUTION IPRATROPIUM/SALBUTAMOL 02276348 Y

Asthma CROMOLYN-1% STERULES CROMOGLYCATE-SODIUM 02237190 Y

Asthma DEPO-MEDROL 20MG/ML VIAL METHYLPREDNISOLONE ACETATE 01934325 Y

Asthma DEPO-MEDROL 40MG/ML INJ 2ML METHYLPREDNISOLONE ACETATE 00903205 Y

Asthma DEPO-MEDROL 40MG/ML VIAL METHYLPREDNISOLONE ACETATE 00030759 Y

Asthma DEPO-MEDROL 40MG/ML VIAL(WITH BENZYL ALCOHOL) METHYLPREDNISOLONE ACETATE 01934333 Y

Asthma DEPO-MEDROL 80MG/ML INJ 5 ML METHYLPREDNISOLONE ACETATE 00903213 Y

Asthma DEPO-MEDROL 80MG/ML INJECTION METHYLPREDNISOLONE ACETATE 00030767 Y

Asthma DEPO-MEDROL 80MG/ML VIAL (WITH BENZYL ALCOHOL) METHYLPREDNISOLONE ACETATE 01934341 Y

Asthma DEPO-MEDROL/LIDOCAINE VIAL METHYLPREDNISOLONE ACET/LIDOCAINE HCL00260428 Y

Asthma DEXAMETHASONE SP 10MG/ML VL DEXAMETHASONE SOD PHOSPHATE00874582 Y

Asthma DEXAMETHASONE SP 4MG/ML VL DEXAMETHASONE SOD PHOSPHATE00664227 Y

Asthma DEXAMETHASONE SP 4MG/ML VL DEXAMETHASONE SOD PHOSPHATE01977547 Y

Asthma DEXAMETHASONE-OMEGA 4MG/ML INJECTION DEXAMETHASONE SOD PHOSPHATE02204266 Y

Asthma DEXAMETHASONE-OMEGA10MG/ML INJECTION DEXAMETHASONE SOD PHOSPHATE02204274 Y

Asthma DEXASONE 0.5MG TABLET DEXAMETHASONE 00295094 Y

Asthma DEXASONE 0.75MG TABLET DEXAMETHASONE 00285471 Y

Asthma DEXASONE 4MG TABLET DEXAMETHASONE 00489158 Y

Asthma DOM-DEXAMETHASONE 4MG TABLET DEXAMETHASONE 02239534 Y

Asthma DOM-NA CROMOGLYCATE INH 1% CROMOGLYCATE-SODIUM 02145448 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 86

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Asthma DOM-SALBUTAMOL 1MG/ML SOLN SALBUTAMOL SULPHATE 02216949 Y

Asthma DOM-SALBUTAMOL 5MG/ML SOLN SALBUTAMOL SULPHATE 02139324 Y

Asthma DUOVENT UDV INH SOLUTION FENOTEROL/IPRATROPIUM BROMIDE02148633 Y

Asthma ELIXIR DE THEOPHYLLINE THEOPHYLLINE ANHYDROUS 00627410 Y

Asthma ENTOCORT 3MG SR CAPSULE BUDESONIDE 02229293 Y

Asthma FLOVENT 500MCG/BLISTER PWR FLUTICASONE PROPIONATE 02174723 Y

Asthma FLOVENT DISKUS 100MCG BLISTER FLUTICASONE PROPIONATE 02237245 Y

Asthma FLOVENT DISKUS 250MCG BLISTER FLUTICASONE PROPIONATE 02237246 Y

Asthma FLOVENT DISKUS 500MCG BLISTER FLUTICASONE PROPIONATE 02237247 Y

Asthma FLOVENT DISKUS 50MCG BLISTER FLUTICASONE PROPIONATE 02237244 Y

Asthma FLOVENT HFA 125MCG INHALER (AEROSOL) FLUTICASONE PROPIONATE 02244292 Y

Asthma FLOVENT HFA 250MCG INHALER (AEROSOL) FLUTICASONE PROPIONATE 02244293 Y

Asthma FLOVENT HFA 50MCG INHALER (AEROSOL) FLUTICASONE PROPIONATE 02244291 Y

Asthma FORADIL DRY PWD 12MCG CAPSULE FORMOTEROL FUMARATE 02230898 Y

Asthma GEN-COMBO STERINEB INH SOLUTION IPRATROPIUM/SALBUTAMOL 02246066 Y

Asthma GEN-IPRATROPIUM STERINEB 2ML (PQ) IPRATROPIUM BROMIDE 99002795 Y

Asthma INTAL 1MG INHALER CROMOGLYCATE-SODIUM 00555649 Y

Asthma IPRAMOL INHALATION SOLUTION IPRATROPIUM/SALBUTAMOL 02264609 Y

Asthma JAA AMINOPHYLLINE 100MG TABLET AMINOPHYLLINE 00868450 Y

Asthma JAA PREDNISONE 5MG TABLET PREDNISONE 00868442 Y

Asthma JAA PREDNISONE TAB 1MG USP PREDNISONE 00868426 Y

Asthma JAA PREDNISONE TAB 50MG USP PREDNISONE 00868434 Y

Asthma KENALOG 40 MG/ML - 1ML INJECTION TRIAMCINOLONE ACETONIDE 00990876 Y

Asthma KENALOG-10 10MG/ML VIAL TRIAMCINOLONE ACETONIDE 01999761 Y

Asthma KENALOG-40 40MG/ML VIAL TRIAMCINOLONE ACETONIDE 01999869 Y

Asthma MED SALBUTAMOL 2.5MG/2.5ML SALBUTAMOL SULPHATE 02084333 Y

Asthma MEDROL 16MG TABLET METHYLPREDNISOLONE 00036129 Y

Asthma MEDROL 4MG TABLET METHYLPREDNISOLONE 00030988 Y

Asthma METHYLPREDNISOLONE 1000MG INJECTION METHYLPREDNISOLONE SOD SUCC02241229 Y

Asthma METHYLPREDNISOLONE 125MG/VIAL PWS IM IV METHYLPREDNISOLONE SOD SUCC02231894 Y

Asthma METHYLPREDNISOLONE 40MG/ML INJECTION METHYLPREDNISOLONE ACETATE 02245400 Y

Asthma METHYLPREDNISOLONE 40MG/ML INJECTION METHYLPREDNISOLONE ACETATE 02245407 Y

Asthma METHYLPREDNISOLONE 40MG/VIAL PWS IM IV METHYLPREDNISOLONE SOD SUCC02231893 Y

Asthma METHYLPREDNISOLONE 500MG/VIAL PWS IM IV METHYLPREDNISOLONE SOD SUCC02231895 Y

Asthma METHYLPREDNISOLONE 80MG/ML INJECTION METHYLPREDNISOLONE ACETATE 02245406 Y

Asthma METHYLPREDNISOLONE 80MG/ML INJECTION METHYLPREDNISOLONE ACETATE 02245408 Y

Asthma METHYLPREDNISOLONE SOD SUC 1.0GM/VIAL METHYLPREDNISOLONE SOD SUCC02232750 Y

Asthma METHYLPREDNISOLONE SOD SUC 500MG/VIAL METHYLPREDNISOLONE SOD SUCC02232748 Y

Asthma MYLAN-COMBO STERINEB INH SOLUTION IPRATROPIUM/SALBUTAMOL 02272695 Y

Asthma MYLAN-IPRATROPIUM 0.25MG/ML INHALATION SOLUTION IPRATROPIUM BROMIDE 02239131 Y

Asthma MYLAN-IPRATROPIUM 0.25MG/ML SOLUTION IPRATROPIUM BROMIDE 02216221 Y

Asthma MYLAN-SALBUTAMOL 1MG/ML NEBULES SALBUTAMOL SULPHATE 01926934 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 87

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LEVEL 2

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Asthma MYLAN-SALBUTAMOL 2MG/ML NEBULES SALBUTAMOL SULPHATE 02173360 Y

Asthma MYLAN-SALBUTAMOL RESPIRATOR SOLUTION 5MG/ML MIQ INHSALBUTAMOL SULPHATE 02232987 Y

Asthma NALCROM 100MG CAPSULE CROMOGLYCATE-SODIUM 00500895 Y

Asthma NOVO-HYDROCORT 100MG VIAL HYDROCORTISONE SOD SUCCINATE00872520 Y

Asthma NOVO-HYDROCORT 1GM VIAL HYDROCORTISONE SOD SUCCINATE00878626 Y

Asthma NOVO-HYDROCORT 250MG VIAL HYDROCORTISONE SOD SUCCINATE00872539 Y

Asthma NOVO-HYDROCORT 500MG VIAL HYDROCORTISONE SOD SUCCINATE00878618 Y

Asthma NOVO-IPRAMIDE 0.25MG/ML SOL IPRATROPIUM BROMIDE 02210479 Y

Asthma NOVO-KETOTIFEN 1MG TABLET KETOTIFEN FUMARATE 02230730 Y

Asthma NOVO-KETOTIFEN 1MG/5ML SYRUP KETOTIFEN FUMARATE 02176084 Y

Asthma NOVO-PREDNISONE 50MG TABLET PREDNISONE 00232378 Y

Asthma NOVO-PREDNISONE 5MG TABLET PREDNISONE 00021695 Y

Asthma NOVO-SALBUTAMOL HFA 100MCG/DOSE SALBUTAMOL SULFATE 02326450 Y

Asthma NOVO-THEOPHYL SR 100MG SR TABLET THEOPHYLLINE ANHYDROUS 02230085 Y

Asthma NOVO-THEOPHYL SR 200MG SR TABLET THEOPHYLLINE ANHYDROUS 02230086 Y

Asthma NOVO-THEOPHYL SR 300MG SR TABLET THEOPHYLLINE ANHYDROUS 02230087 Y

Asthma NU-CROMOLYN 10MG/ML LIQUID CROMOGLYCATE-SODIUM 02231671 Y

Asthma NU-SALBUTAMOL 1MG/ML INH LIQ SALBUTAMOL SULPHATE 02231783 Y

Asthma NU-SALBUTAMOL 2MG/ML INH LIQ SALBUTAMOL SULPHATE 02231784 Y

Asthma ORCIPRENALINE 2MG/ML SYRUP ORCIPRENALINE SULFATE 02237602 Y

Asthma OXEZE TURBUHALER 12MCG - 60DS FORMOTEROL FUMARATE 02237224 Y

Asthma OXEZE TURBUHALER 6MCG - 60DS FORMOTEROL FUMARATE 02237225 Y

Asthma PEDIAPRED 5 ORAL LIQUID PREDNISOLONE SOD PHOSPHATE 02244395 Y

Asthma PEDIAPRED 5MG/5ML LIQUID PREDNISOLONE SOD PHOSPHATE 02230619 Y

Asthma PHL-DEXAMETHASONE 0.5MG TABLET DEXAMETHASONE 02237044 Y

Asthma PHL-DEXAMETHASONE 0.5MG/5ML ELIX DEXAMETHASONE 02260298 Y

Asthma PHL-DEXAMETHASONE 0.75MG TABLET DEXAMETHASONE 02237045 Y

Asthma PHL-DEXAMETHASONE 10MG/ML INJ DEXAMETHASONE SOD PHOSPHATE02260301 Y

Asthma PHL-DEXAMETHASONE 4MG TABLET DEXAMETHASONE 02237046 Y

Asthma PHL-IPRATROPIUM 125MCG/ML INH SOLUTION IPRATROPIUM BROMIDE 02259842 Y

Asthma PHL-IPRATROPIUM 125MCG/ML SOLUTION IPRATROPIUM BROMIDE 02236934 Y

Asthma PHL-IPRATROPIUM 250MCG/ML IPRATROPIUM BROMIDE 02236935 Y

Asthma PHL-IPRATROPIUM 250MCG/ML INH SOL 1ML UNIT DOSE IPRATROPIUM BROMIDE 02259869 Y

Asthma PHL-IPRATROPIUM 250MCG/ML INH SOL 20ML BTL IPRATROPIUM BROMIDE 02259850 Y

Asthma PHL-IPRATROPIUM 250MCG/ML INH SOL 2ML UNIT DOSE IPRATROPIUM BROMIDE 02259877 Y

Asthma PHL-IPRATROPIUM 250MCG/ML SOLUTION IPRATROPIUM BROMIDE 02237134 Y

Asthma PHL-IPRATROPIUM 250MCG/ML SOLUTION IPRATROPIUM BROMIDE 02237135 Y

Asthma PHL-SALBUTAMOL 0.4MG/ML LIQUID SALBUTAMOL SULPHATE 02261324 Y

Asthma PHL-SALBUTAMOL 0.5MG/ML SOLUTION SALBUTAMOL SULPHATE 02236931 Y

Asthma PHL-SALBUTAMOL 1MG/ML SOLUTION SALBUTAMOL SULPHATE 02236932 Y

Asthma PHL-SALBUTAMOL 2MG/ML SOLUTION SALBUTAMOL SULPHATE 02236933 Y

Asthma PHL-SALBUTAMOL 5MG/ML SOLUTION SALBUTAMOL SULPHATE 02261332 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 88

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Asthma PHYLLOCONTIN 225MG TAB SA AMINOPHYLLINE HYDRATE 02014270 Y

Asthma PHYLLOCONTIN-350 TABLET SA AMINOPHYLLINE 02014289 Y

Asthma PMS-DEXAMETH 0.5MG/5ML ELIX DEXAMETHASONE 01946897 Y

Asthma PMS-DEXAMETH SP 10MG/ML VL DEXAMETHASONE SOD PHOSPHATE00783900 Y

Asthma PMS-DEXAMETHASONE 0.5MG TABLET DEXAMETHASONE 01964976 Y

Asthma PMS-DEXAMETHASONE 0.75MG TABLET DEXAMETHASONE 01964968 Y

Asthma PMS-DEXAMETHASONE 2MG TABLET DEXAMETHASONE 02279363 Y

Asthma PMS-DEXAMETHASONE 4MG TABLET DEXAMETHASONE 01964070 Y

Asthma PMS-IPRATROPIUM 125MCG/ML INH IPRATROPIUM BROMIDE 02231135 Y

Asthma PMS-IPRATROPIUM 250MCG/ML INH IPRATROPIUM BROMIDE 02231136 Y

Asthma PMS-IPRATROPIUM POLYNEB-1ML IPRATROPIUM BROMIDE 02231244 Y

Asthma PMS-IPRATROPIUM POLYNEB-2ML IPRATROPIUM BROMIDE 02231245 Y

Asthma PMS-KETOTIFEN 1MG TABLET KETOTIFEN FUMARATE 02231680 Y

Asthma PMS-KETOTIFEN 1MG/5ML SYRUP KETOTIFEN FUMARATE 02231679 Y

Asthma PMS-OXTRIPHYLLINE 10MG/ML OXTRIPHYLLINE 00792934 Y

Asthma PMS-OXTRIPHYLLINE 20MG/ML OXTRIPHYLLINE 00792942 Y

Asthma PMS-PREDNISOLONE 5MG/5ML ORAL SOLUTION PREDNISOLONE SOD PHOSPHATE 02245532 Y

Asthma PMS-SALBUTAMOL 0.4MG/ML ORAL LIQUID SALBUTAMOL SULPHATE 02091186 Y

Asthma PMS-SALBUTAMOL 0.5MG/ML SOLUTION SALBUTAMOL SULPHATE 02208245 Y

Asthma PMS-SALBUTAMOL 1MG/ML 2.5ML UD SALBUTAMOL SULPHATE 02208229 Y

Asthma PMS-SALBUTAMOL 2MG/ML 2.5ML UD SALBUTAMOL SULPHATE 02208237 Y

Asthma PMS-SALBUTAMOL 5MG/ML SOLUTION SALBUTAMOL SULPHATE 02069571 Y

Asthma PMS-SODIUM CROMOGLYCATE 1% SOL CROMOGLYCATE-SODIUM 02046113 Y

Asthma PREDNISONE 50MG TABLET PREDNISONE 00607517 Y

Asthma PREDNISONE 5MG TABLET PREDNISONE 00156876 Y

Asthma PRO-DEXAMETHASONE - 4MG TABLET DEXAMETHASONE 02311267 Y

Asthma PULMICORT .125MG/ML NEBUAMP BUDESONIDE 02229099 Y

Asthma PULMICORT 100MCG TURBUHALER BUDESONIDE 00852074 Y

Asthma PULMICORT 200MCG TURBUHALER BUDESONIDE 00851752 Y

Asthma PULMICORT 400MCG TURBUHALER BUDESONIDE 00851760 Y

Asthma PULMICORT NEBUAMP 0.25MG/ML BUDESONIDE 01978918 Y

Asthma PULMICORT NEBUAMP 0.5MG/ML BUDESONIDE 01978926 Y

Asthma PULMOPHYLLINE 80MG/15ML ELIX THEOPHYLLINE ANHYDROUS 00466409 Y

Asthma QVAR 100MCG INHALER BECLOMETHASONE DIPROPIONATE02242030 Y

Asthma QVAR 50MCG INHALER BECLOMETHASONE DIPROPIONATE02242029 Y

Asthma RATIO-DEXAMETHASONE 0.5MG TABLET DEXAMETHASONE 02240684 Y

Asthma RATIO-DEXAMETHASONE 0.75MG TABLET DEXAMETHASONE 02240685 Y

Asthma RATIO-DEXAMETHASONE 4MG TABLET DEXAMETHASONE 02240687 Y

Asthma RATIO-IPRAT/SALBUT UDV IPRATROPIUM/SALBUTAMOL 02243789 Y

Asthma RATIO-IPRATROPIUM .25MG/ML IPRATROPIUM BROMIDE 02097141 Y

Asthma RATIO-IPRATROPIUM SOLUTION IPRATROPIUM BROMIDE 02097168 Y

Asthma RATIO-IPRATROPIUM SOLUTION IPRATROPIUM BROMIDE 02097176 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 89

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Asthma RATIO-SALBUTAMOL 0.5MG/ML INH SOLUTION SALBUTAMOL SULPHATE 02239365 Y

Asthma RATIO-SALBUTAMOL 100MCG INHALER SALBUTAMOL SULPHATE 00851841 Y

Asthma RATIO-SALBUTAMOL 1MG/ML INH SOL SALBUTAMOL SULPHATE 01986864 Y

Asthma RATIO-SALBUTAMOL 2MG/ML INH SOLUTION SALBUTAMOL SULPHATE 02239366 Y

Asthma RATIO-SALBUTAMOL 5MG/ML INH SOL SALBUTAMOL SULPHATE 00860808 Y

Asthma RATIO-SALBUTAMOL HFA 100MCG/DOSE SALBUTAMOL SULPHATE 02244914 Y

Asthma RATIO-THEO-BRONC LIQUID GUAIFEN/THEOPHYLL/PYR/POT IOD00317225 Y

Asthma S2 22.5MG/ML INHALATION LIQUID EPINEPHRINE 00525103 Y

Asthma SALBUTAMOL 1MG/ML INH SOLUTION SALBUTAMOL SULPHATE 02245547 Y

Asthma SALBUTAMOL 1MG/ML STERINEBS P.F. SALBUTAMOL SULPHATE 02287196 Y

Asthma SALBUTAMOL 2MG/ML INH SOLUTION SALBUTAMOL SULPHATE 02245548 Y

Asthma SALBUTAMOL 2MG/ML STERINEBS P.F. SALBUTAMOL SULPHATE 02287218 Y

Asthma SALMOL 2MG/ML INH SOLUTION SALBUTAMOL SULPHATE 02228297 Y

Asthma SANDOZ-SALBUTAMOL 5MG/ML INH SOL SALBUTAMOL SULPHATE 02154412 Y

Asthma SEREVENT 50MCG DISKHALER SALMETEROL XINAFOATE 02214261 Y

Asthma SEREVENT DISKUS 50MCG/ACT SALMETEROL XINAFOATE 02231129 Y

Asthma SINGULAIR 10MG TABLET MONTELUKAST SODIUM 02238217 Y

Asthma SINGULAIR 4MG CHEW TABLET MONTELUKAST SODIUM 02243602 Y

Asthma SINGULAIR 4MG ORAL GRANULES MONTELUKAST SODIUM 02247997 Y

Asthma SINGULAIR 5MG CHEW TABLET MONTELUKAST SODIUM 02238216 Y

Asthma SOLU-CORTEF 100MG ACT-O-VL HYDROCORTISONE SOD SUCCINATE00030600 Y

Asthma SOLU-CORTEF 1GM ACT-O-VIAL HYDROCORTISONE SOD SUCCINATE00030635 Y

Asthma SOLU-CORTEF 250MG ACT-O-VL HYDROCORTISONE SOD SUCCINATE00030619 Y

Asthma SOLU-CORTEF 500MG ACT-O-VL HYDROCORTISONE SOD SUCCINATE00030627 Y

Asthma SOLU-MEDROL 125MG ACT-O-VIAL METHYLPREDNISOLONE SOD SUCC02063727 Y

Asthma SOLU-MEDROL 1GM ACT-O-VIAL METHYLPREDNISOLONE SOD SUCC02063697 Y

Asthma SOLU-MEDROL 1GM VIAL METHYLPREDNISOLONE SOD SUCC00036137 Y

Asthma SOLU-MEDROL 40MG ACT-O-VIAL METHYLPREDNISOLONE SOD SUCC02063719 Y

Asthma SOLU-MEDROL 500MG ACT-O-VIAL METHYLPREDNISOLONE SOD SUCC02063700 Y

Asthma SOLU-MEDROL 500MG VIAL METHYLPREDNISOLONE SOD SUCC00030678 Y

Asthma SPIRIVA 18MCG CAPSULE TIOTROPIUM BROMIDE 02246793 Y

Asthma SYMBICORT 100 TURBUHALER BUDESONIDE/FORMOTEROL 02245385 Y

Asthma SYMBICORT 200 TURBUHALER BUDESONIDE/FORMOTEROL 02245386 Y

Asthma SYMBICORT FORTE TURBUHALER BUDESONIDE/FORMOTEROL 02248218 Y

Asthma TANTA ORCIPRENALINE 2MG/ML ORCIPRENALINE SULFATE 02192675 Y

Asthma TEDRAL ELIXIR THEOPHYLL/EPHED HCL/PHENOBARB00476803 Y

Asthma TEDRAL SA TABLET SA THEOPHYLL/EPHED HCL/PHENOBARB00476838 Y

Asthma THEOCHRON 200MG TABLET SA THEOPHYLLINE ANHYDROUS 00631701 Y

Asthma THEOCHRON 300MG CAPLET SA THEOPHYLLINE ANHYDROUS 00599905 Y

Asthma THEOLAIR 80MG/15ML LIQUID THEOPHYLLINE ANHYDROUS 01966219 Y

Asthma TRIAMCINOLONE ACETONIDE 10MG/ML VIAL TRIAMCINOLONE ACETONIDE 02229540 Y

Asthma TRIAMCINOLONE ACETONIDE 40MG/ML VIAL TRIAMCINOLONE ACETONIDE 01977563 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 90

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LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Asthma TRIAMCINOLONE ACETONIDE 40MG/ML VIAL TRIAMCINOLONE ACETONIDE 02229550 Y

Asthma TRIAMCINOLONE ACETONIDE 40MG/ML VIAL TRIAMCINOLONE ACETONIDE 09857128 Y

Asthma TRIAMCINOLONE DIACETATE 40MG/ML VIAL TRIAMCINOLONE DIACETATE 01977555 Y

Asthma UNIPHYL 400MG TABLET SA THEOPHYLLINE ANHYDROUS 02014165 Y

Asthma UNIPHYL 600MG TABLET SA THEOPHYLLINE ANHYDROUS 02014181 Y

Asthma VAPONEFRIN 2.25% SOLUTION EPINEPHRINE 01927582 Y

Asthma VENTODISK 200MCG DISK SALBUTAMOL SULPHATE 02214997 Y

Asthma VENTODISK 400MCG DISK SALBUTAMOL SULPHATE 02215004 Y

Asthma VENTOLIN 0.4MG/ML LIQUID SALBUTAMOL SULPHATE 02212390 Y

Asthma VENTOLIN 0.5MG/ML INJECTION SALBUTAMOL SULPHATE 02213443 Y

Asthma VENTOLIN 200MCG DISKUS POWDER FOR INHALATION SALBUTAMOL SULPHATE 02243115 Y

Asthma VENTOLIN 5MG/ML SOLUTION SALBUTAMOL SULPHATE 02213486 Y

Asthma VENTOLIN HFA 100MCG INHALER SALBUTAMOL SULPHATE 02241497 Y

Asthma VENTOLIN NEBULES 0.5MG/ML SALBUTAMOL SULPHATE 02213400 Y

Asthma VENTOLIN NEBULES 1MG/ML SALBUTAMOL SULPHATE 02213419 Y

Asthma VENTOLIN NEBULES 2MG/ML SALBUTAMOL SULPHATE 02213427 Y

Asthma WINPRED 1MG TABLET PREDNISONE 00271373 Y

Asthma XOLAIR 150MG/VIAL INJECTION OMALIZUMAB 02260565 Y Y

Asthma ZADITEN 1MG TABLET KETOTIFEN FUMARATE 00577308 Y

Asthma ZADITEN 1MG/5ML SYRUP KETOTIFEN FUMARATE 00600784 Y

Birth control* ALESSE 21 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02236974 Y

Birth control* ALESSE 28 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02236975 Y

Birth control* APRI 21 TABLET DESOGESTREL/ETHINYL ESTRADIOL02317192 Y

Birth control* APRI 28 TABLET DESOGESTREL/ETHINYL ESTRADIOL02317206 Y

Birth control* AVIANE 21 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02298538 Y

Birth control* AVIANE 28 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02298546 Y

Birth control* BELESSE 21 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02300621 Y

Birth control* BELESSE 28 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02300613 Y

Birth control* BREVICON 0.5/35 21 TABLET NORETHINDRONE-ETHIN ESTRADIOL02187086 Y

Birth control* BREVICON 0.5/35 28 TABLET NORETHINDRONE-ETHIN ESTRADIOL02187094 Y

Birth control* BREVICON 1/35 21 TABLET NORETHINDRONE-ETHIN ESTRADIOL02189054 Y

Birth control* BREVICON 1/35 28 TABLET NORETHINDRONE-ETHIN ESTRADIOL02189062 Y

Birth control* CYCLEN 21 TABLET NORGESTIMATE-ETHINYL ESTRADIOL02229064 Y

Birth control* CYCLEN 21 TABLET NORGESTIMATE-ETHINYL ESTRADIOL01968440 Y

Birth control* CYCLEN 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL01992872 Y

Birth control* DEMULEN 30 21 TABLET ETHYNODIOL DIACE-ETH ESTRADIOL00469327 Y

Birth control* DEMULEN 30 28 TABLET ETHYNODIOL DIACE-ETH ESTRADIOL00471526 Y

Birth control* DEPO-PROVERA 150MG/ML VIAL MEDROXYPROGESTERONE ACET 00585092 Y

Birth control* ELOINE TABLET DROSPIRENONE/ETHINYL ESTRADIOL02337681 Y

Birth control* ENPRESSE 21 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02302349 Y

Birth control* ENPRESSE 28 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02302357 Y

Birth control* EVRA TRANSDERMAL PATCH ETHINYL ESTRAD/NORELGESTROMIN02248297 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 91

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CURRENT

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LEVEL 3

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Birth control* LINESSA 21 TABLET DESOGESTREL/ETHINYL ESTRADIOL02272903 Y

Birth control* LINESSA 28 TABLET DESOGESTREL/ETHINYL ESTRADIOL02257238 Y

Birth control* LOESTRIN 1.5/30 21 TABLET NORETHINDRONE A-E ESTRADIOL 00297143 Y

Birth control* LOESTRIN 1.5/30 TAB 28DAY PACK NORETHINDRONE A-E ESTRADIOL 00353027 Y

Birth control* LOETTE 21 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02247120 Y

Birth control* LOETTE 28 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02247121 Y

Birth control* LO-FEMENAL 300MCG/30MCG 21 TABLET NORGESTREL-ETHINYL ESTRADIOL02215640 Y

Birth control* MARFEM 21 TABLET DESOGESTREL/ETHINYL ESTRADIOL02328828 Y

Birth control* MARFEM 28 TABLET DESOGESTREL/ETHINYL ESTRADIOL02328836 Y

Birth control* MARVELON 21 TABLET DESOGESTREL/ETHINYL ESTRADIOL02042487 Y

Birth control* MARVELON 28 TABLET DESOGESTREL/ETHINYL ESTRADIOL02042479 Y

Birth control* MEDROXYPROGESTERONE ACET INJ 150MG/ML MEDROXYPROGESTERONE ACET 02322250 Y

Birth control* MICRONOR 0.35MG 28 TABLET NORETHINDRONE 00037605 Y

Birth control* MINESTRIN 1/20 21 TABLET NORETHINDRONE A-E ESTRADIOL 00315966 Y

Birth control* MINESTRIN 1/20 28 TABLET NORETHINDRONE A-E ESTRADIOL 00343838 Y

Birth control* MIN-OVRAL 21 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02042320 Y

Birth control* MIN-OVRAL 28 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02042339 Y

Birth control* MIRENA 52MG INSERT LEVONORGESTREL 02243005 Y

Birth control* NORETHINDRONE/MESTRANOL TABLET 28 NORETHINDRONE-MESTRANOL 02197499 Y

Birth control* NORLEVO TABLET LEVONORGESTREL 02285576 Y

Birth control* NUVARING VAGINAL RING ETONOGESTREL/ ETHINYL ESTRADIOL02253186 Y

Birth control* ORTHO 0.5/35 21 TABLET NORETHINDRONE-ETHIN ESTRADIOL00317047 Y

Birth control* ORTHO 0.5/35 28 TABLET NORETHINDRONE-ETHIN ESTRADIOL00340731 Y

Birth control* ORTHO 1/35 21 TABLET NORETHINDRONE-ETHIN ESTRADIOL00372846 Y

Birth control* ORTHO 1/35 28 TABLET NORETHINDRONE-ETHIN ESTRADIOL00372838 Y

Birth control* ORTHO 7/7/7 21 TABLET NORETHINDRONE-ETHIN ESTRADIOL00602957 Y

Birth control* ORTHO 7/7/7 28 TABLET NORETHINDRONE-ETHIN ESTRADIOL00602965 Y

Birth control* ORTHO-CEPT 21 TABLET DESOGESTREL/ETHINYL ESTRADIOL02042541 Y

Birth control* ORTHO-CEPT 28 TABLET DESOGESTREL/ETHINYL ESTRADIOL02042533 Y

Birth control* OVRAL 21 TABLET NORGESTREL-ETHINYL ESTRADIOL02043033 Y

Birth control* PALANDRA 21 TABLET DROSPIRENONE/ETHINYL ESTRADIOL02337703 Y

Birth control* PALANDRA 28 TABLET DROSPIRENONE/ETHINYL ESTRADIOL02337711 Y

Birth control* PLAN B TABLET LEVONORGESTREL 02241674 Y

Birth control* PORTIA 21 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02295946 Y

Birth control* PORTIA 28 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02295954 Y

Birth control* PREVIFEM 21 TABLET NORGESTIMATE-ETHINYL ESTRADIOL02320061 Y

Birth control* PREVIFEM 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL02320088 Y

Birth control* SEASONALE 0.15MG/0.03MG TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02296659 Y

Birth control* SEASONIQUE 0.15/0.03MG & 0.1MG TABLET LEVONORGESTREL-ETHINYL ESTRADIOL/ETHYINL ESTRADIOL02346176 Y

Birth control* SELECT 1/3/5 TABLET 21 NORETHINDRONE-ETHIN ESTRADIOL02197502 Y

Birth control* SELECT 1/3/5 TABLET 28 NORETHINDRONE-ETHIN ESTRADIOL02199297 Y

Birth control* SYNPHASIC 21 TABLET NORETHINDRONE-ETHIN ESTRADIOL02162636 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 92

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Birth control* SYNPHASIC 21 TABLET NORETHINDRONE-ETHIN ESTRADIOL02187108 Y

Birth control* SYNPHASIC 28 TABLET NORETHINDRONE-ETHIN ESTRADIOL02187116 Y

Birth control* TRI-CYCLEN 21 TABLET NORGESTIMATE-ETHINYL ESTRADIOL02028700 Y

Birth control* TRI-CYCLEN 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL02029421 Y

Birth control* TRI-CYCLEN LO 21 TABLET NORGESTIMATE-ETHINYL ESTRADIOL02258560 Y

Birth control* TRI-CYCLEN LO 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL02258587 Y

Birth control* TRIPHASIL 21 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02043726 Y

Birth control* TRIPHASIL 28 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL02043734 Y

Birth control* TRI-PREVIFEM 21 TABLET NORGESTIMATE-ETHINYL ESTRADIOL02320096 Y

Birth control* TRI-PREVIFEM 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL02320118 Y

Birth control* TRIQUILAR 21 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL00707600 Y

Birth control* TRIQUILAR 28 TABLET LEVONORGESTREL/ETHINYL ESTRADIOL00707503 Y

Birth control* YASMIN 21 TABLET DROSPIRENONE/ETHINYL ESTRADIOL02261723 Y

Birth control* YASMIN 28 TABLET DROSPIRENONE/ETHINYL ESTRADIOL02261731 Y

Birth control* YAZ TABLET ETHINYL ESTRADIOL/DROSPIRENONE02321157 Y

Blood formation* ACIDE FOLIQUE 5MG TABLET FOLIC ACID 00563781 Y

Blood formation* AGRYLIN 0.5MG CAPSULE ANAGRELIDE HCL 02236859 Y

Blood formation* AGRYLIN 1.0MG CAPSULE ANAGRELIDE HCL 02236860 Y

Blood formation* ANAGRYD 0.5MG CAPSULE ANAGRELIDE HCL 02283344 Y

Blood formation* APO-FOLIC ACID 5MG TABLET FOLIC ACID 00426849 Y

Blood formation* ARANESP 100MCG/0.5ML (ON) DARBEPOETIN ALFA 00909769 Y

Blood formation* ARANESP 100MCG/0.5ML SER (PQ) DARBEPOETIN ALFA 99004909 Y

Blood formation* ARANESP 100MCG/ML HSA FREE PFS DARBEPOETIN ALFA 02246357 Y

Blood formation* ARANESP 100MCG/ML PFS DARBEPOETIN ALFA 02246349 Y

Blood formation* ARANESP 130MCG/0.65ML SER (PQ) DARBEPOETIN ALFA 99100364 Y

Blood formation* ARANESP 130MCG/ML PFS DARBEPOETIN ALFA 00990276 Y

Blood formation* ARANESP 15MCG/ML HSA FREE PFS DARBEPOETIN ALFA 02246353 Y

Blood formation* ARANESP 15MCG/ML PFS DARBEPOETIN ALFA 02246344 Y

Blood formation* ARANESP 200MCG/0.4ML HSA FREE PFS DARBEPOETIN ALFA 00990188 Y

Blood formation* ARANESP 200MCG/0.4ML HSA FREE PFS DARBEPOETIN ALFA 09857185 Y

Blood formation* ARANESP 200MCG/0.4ML SER (PQ) DARBEPOETIN ALFA 99100209 Y

Blood formation* ARANESP 200MCG/ML HSA FREE PFS DARBEPOETIN ALFA 02246358 Y

Blood formation* ARANESP 200MCG/ML PFS DARBEPOETIN ALFA 02246350 Y

Blood formation* ARANESP 25MCG/ML HSA FREE PFS DARBEPOETIN ALFA 02246354 Y

Blood formation* ARANESP 25MCG/ML PFS DARBEPOETIN ALFA 02246345 Y

Blood formation* ARANESP 300MCG/0.4ML HSA FREE PFS DARBEPOETIN ALFA 09857186 Y

Blood formation* ARANESP 300MCG/0.6ML HSA FREE PFS DARBEPOETIN ALFA 00990189 Y

Blood formation* ARANESP 300MCG/0.6ML SER (PQ) DARBEPOETIN ALFA 99100210 Y

Blood formation* ARANESP 325MCG/ML PFS DARBEPOETIN ALFA 02246351 Y

Blood formation* ARANESP 325MG/ML HSA FREE PFS DARBEPOETIN ALFA 02246359 Y

Blood formation* ARANESP 40MCG/0.4ML (ON) DARBEPOETIN ALFA 00909688 Y

Blood formation* ARANESP 40MCG/0.4ML SER (PQ) DARBEPOETIN ALFA 99004917 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 93

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LEVEL 2

CURRENT

RAMQ**

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LEVEL 3

50%Prior Authorization

Blood formation* ARANESP 40MCG/ML HSA FREE PFS DARBEPOETIN ALFA 02246355 Y

Blood formation* ARANESP 40MCG/ML PFS DARBEPOETIN ALFA 02246347 Y

Blood formation* ARANESP 500MCG/1.0ML HSA FREE PFS DARBEPOETIN ALFA 09857187 Y

Blood formation* ARANESP 500MCG/1.0ML SER (PQ) DARBEPOETIN ALFA 99100211 Y

Blood formation* ARANESP 500MCG/ML HSA FREE PFS DARBEPOETIN ALFA 00990190 Y

Blood formation* ARANESP 500MCG/ML HSA FREE PFS DARBEPOETIN ALFA 02246360 Y

Blood formation* ARANESP 500MCG/ML PFS DARBEPOETIN ALFA 02246352 Y

Blood formation* ARANESP 50MCG/0.5ML (ON) DARBEPOETIN ALFA 00909661 Y

Blood formation* ARANESP 50MCG/0.5ML SER (PQ) DARBEPOETIN ALFA 99004925 Y

Blood formation* ARANESP 60MCG/ML HSA FREE PFS DARBEPOETIN ALFA 02246356 Y

Blood formation* ARANESP 60MCG/ML PFS DARBEPOETIN ALFA 02246348 Y

Blood formation* ARANESP 80MCG/0.4ML (ON) DARBEPOETIN ALFA 00909696 Y

Blood formation* ARANESP 80MCG/0.4ML SER (PQ) DARBEPOETIN ALFA 99004933 Y

Blood formation* B12 1000MCG/ML INJECTION CYANOCOBALAMIN 00626112 Y

Blood formation* CYANOCOBALAMIN 1000MCG/ML CYANOCOBALAMIN 02052717 Y

Blood formation* CYANOCOBALAMIN 1000MCG/ML CYANOCOBALAMIN 01987003 Y

Blood formation* CYANOCOBALAMIN INJECTION USP 1000MCG/ML CYANOCOBALAMIN 02247496 Y

Blood formation* DEXIRON 50MG/ML AMPOULE IRON DEXTRAN COMPLEX 02205963 Y

Blood formation* DOM-ANAGRELIDE 0.5MG CAPSULE ANAGRELIDE HCL 02281287 Y

Blood formation* EPREX 0.6ML PREFILLED SYRINGE EPOETIN ALFA 02243401 Y

Blood formation* EPREX 0.8ML PREFILLED SYRINGE EPOETIN ALFA 02243403 Y

Blood formation* EPREX 10000U/ML PFS-ALB FREE EPOETIN ALFA 02231587 Y

Blood formation* EPREX 1000IU/0.5ML PFS-ALB FREE EPOETIN ALFA 02231583 Y

Blood formation* EPREX 20000U/0.5ML SYRINGE EPOETIN ALFA 02243239 Y

Blood formation* EPREX 20000U/ML VIAL EPOETIN ALFA 02206072 Y

Blood formation* EPREX 2000IU/0.5ML PFS-ALB FREE EPOETIN ALFA 02231584 Y

Blood formation* EPREX 30000IU/0.75ML INJECTION EPOETIN ALFA 02288680 Y

Blood formation* EPREX 3000IU/0.3ML PFS-ALB FREE EPOETIN ALFA 02231585 Y

Blood formation* EPREX 40000IU/ML INJECTION EPOETIN ALFA 02240722 Y

Blood formation* EPREX 4000IU/O.4ML PFS-ALB FREE EPOETIN ALFA 02231586 Y

Blood formation* EPREX 5000U/0.5ML INJECTION EPOETIN ALFA 02243400 Y

Blood formation* EURO FOLIC 5MG TABLET FOLIC ACID 02285673 Y

Blood formation* FEROFATE 60MG TABLET FERROUS SULPHATE 02242162 Y

Blood formation* FERRLECIT 12.5MG/ML INJECTION SODIUM FERRIC GLUCONATE 02243333 Y

Blood formation* FERROUS FUMARATE 66MG TABLET FERROUS FUMARATE 02138751 Y

Blood formation* FERROUS GLUCONATE 300MG TAB FERROUS GLUCONATE 02246183 Y

Blood formation* FERROUS GLUCONATE 300MG TABLET FERROUS GLUCONATE 00179639 Y

Blood formation* FERROUS GLUCONATE 324MG TABLET FERROUS GLUCONATE 00529060 Y

Blood formation* FERROUS GLUCONATE 35MG TABLET FERROUS GLUCONATE 02245389 Y

Blood formation* FERROUS SULPHATE 35MG TABLET FERROUS SULPHATE 02245492 Y

Blood formation* FOLIC ACID 25MG TABLET FOLIC ACID 00356557 Y

Blood formation* FOLIC ACID 5MG TABLET FOLIC ACID 00496146 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 94

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LEVEL 3

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Blood formation* FOLIC ACID 5MG TABLET FOLIC ACID 00498777 Y

Blood formation* FOLIC ACID 5MG TABLET FOLIC ACID 00284149 Y

Blood formation* FOLIQUE ACIDE 5MG/ML VIAL FOLIC ACID 00816086 Y

Blood formation* GEN-ANAGRELIDE 1MG CAPSULE ANAGRELIDE HCL 02253062 Y

Blood formation* HYDROXY COBAL INJ 1000MCG/ML HYDROXOCOBALAMIN 00623857 Y

Blood formation* IBERET 500 TABLET SA FERROUS SULFATE/VIT BCOMP&C 00039853 Y

Blood formation* INFUFER 50MG/ML AMP 5ML IRON DEXTRAN COMPLEX 00909939 Y

Blood formation* INFUFER 50MG/ML INJECTION IRON DEXTRAN COMPLEX 02221780 Y

Blood formation* IRON AMINO ACID 15MG TABLET IRON AMINO ACID CHELATE 00362050 Y

Blood formation* IRON FORMULA 45MG CAPSULE FERROUS SULPHATE 00647454 Y

Blood formation* MYLAN-ANAGRELIDE 0.5MG CAPSULE ANAGRELIDE HCL 02253054 Y

Blood formation* NEULASTA 10MG/ML PFS WITH ULTRASAFE NEEDLE GUARD PEGFILGRASTIM 02249790 Y

Blood formation* NEUPOGEN 300MCG/ML VIAL FILGRASTIM 01968017 Y

Blood formation* NEUPOGEN 480MCG INJECTION (NB) FILGRASTIM 00999001 Y

Blood formation* NEUPOGEN 480MCG/VIAL INJECTION FILGRASTIM 09853464 Y

Blood formation* NEUPOGEN INJ 0.48 MG/1.6ML FILGRASTIM (R-METHUG-CSF) 99001454 Y

Blood formation* NOVO-FERROSULFA 300MG EC TABLET FERROUS SULPHATE 02091836 Y

Blood formation* NOVO-FERROSULFATE 300MG TABLET FERROUS SULPHATE 02091844 Y

Blood formation* NOVO-FOLACID 5MG TABLET FOLIC ACID 00021466 Y

Blood formation* PHL-ANAGRELIDE 0.5MG CAPSULE ANAGRELIDE HCL 02281155 Y

Blood formation* PMS-ANAGRELIDE 0.5MG CAPSULE ANAGRELIDE HCL 02274949 Y

Blood formation* RECORMON 200000U CARTRIDGE ERYTHROPOIETIN BETA 02242902 Y

Blood formation* REIM:B12 INJECTION PIN CYANOCOBALAMIN 99990000 Y

Blood formation* SANDOZ-ANAGRELIDE 0.5MG CAPSULE ANAGRELIDE HCL 02260107 Y

Blood formation* SULFATE FERREUX 300MG TABLET FERROUS SULPHATE 02125471 Y

Blood formation* SULFATE FERREUX 300MG TABLET FERROUS SULPHATE 00542989 Y

Blood formation* SUPPLEMENT DE FER LIQUID IRON 02240082 Y

Blood formation* VENOFER 20MG/ML INJECTION IRON SUCROSE 02243716 Y

Blood formation* VITAMIN B12 1000MCG/ML AMPUL CYANOCOBALAMIN 00038830 Y

Blood formation* VITAMIN B12 1000MCG/ML VIAL CYANOCOBALAMIN 00521515 Y

Blood formation* VITAMIN B12 100MCG/ML AMPUL CYANOCOBALAMIN 00497533 Y

Blood formation* VITAMIN B12 100MCG/ML INJECTION CYANOCOBALAMIN 02241500 Y

Blood pressure* AA-BENAZEPRIL 10MG TABLET BENAZEPRIL HCL 02349051 Y

Blood pressure* AA-BENAZEPRIL 20MG TABLET BENAZEPRIL HCL 02349078 Y

Blood pressure* AA-BENAZEPRIL 5MG TABLET BENAZEPRIL HCL 02349043 Y

Blood pressure* ACCEL-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02325780 Y

Blood pressure* ACCEL-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02325799 Y

Blood pressure* ACCEL-LISINOPRIL 10MG TABLET LISINOPRIL 02322889 Y

Blood pressure* ACCEL-LISINOPRIL 20MG TABLET LISINOPRIL 02322897 Y

Blood pressure* ACCEL-LISINOPRIL 5MG TABLET LISINOPRIL 02322870 Y

Blood pressure* ACCEL-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02341239 Y

Blood pressure* ACCEL-RAMIPRIL 10MG CAPSULE RAMIPRIL 02341263 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 95

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CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* ACCEL-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02341247 Y

Blood pressure* ACCEL-RAMIPRIL 5MG CAPSULE RAMIPRIL 02341255 Y

Blood pressure* ACCUPRIL 10MG TABLET QUINAPRIL HCL/MAG CARB 01947672 Y

Blood pressure* ACCUPRIL 20MG TABLET QUINAPRIL HCL/MAG CARB 01947680 Y

Blood pressure* ACCUPRIL 40MG TABLET QUINAPRIL HCL/MAG CARB 01947699 Y

Blood pressure* ACCUPRIL 5MG TABLET QUINAPRIL HCL/MAG CARB 01947664 Y

Blood pressure* ACCURETIC 10/12.5MG QUINAPRIL HCL/HCTZ 02237367 Y

Blood pressure* ACCURETIC 20/12.5MG QUINAPRIL HCL/HCTZ 02237368 Y

Blood pressure* ACCURETIC 20/25MG QUINAPRIL HCL/HCTZ 02237369 Y

Blood pressure* ACEBUTOLOL 100MG (TYPE S) TABLET ACEBUTOLOL HCL 02286025 Y

Blood pressure* ACEBUTOLOL 100MG TABLET ACEBUTOLOL HCL 02286246 Y

Blood pressure* ACEBUTOLOL 100MG TABLET ACEBUTOLOL HCL 02164396 Y

Blood pressure* ACEBUTOLOL 200MG (TYPE S) TABLET ACEBUTOLOL HCL 02286033 Y

Blood pressure* ACEBUTOLOL 200MG TABLET ACEBUTOLOL HCL 02286254 Y

Blood pressure* ACEBUTOLOL 200MG TABLET ACEBUTOLOL HCL 02164418 Y

Blood pressure* ACEBUTOLOL 400MG (TYPE S) TABLET ACEBUTOLOL HCL 02286041 Y

Blood pressure* ACEBUTOLOL 400MG TABLET ACEBUTOLOL HCL 02286262 Y

Blood pressure* ACEBUTOLOL 400MG TABLET ACEBUTOLOL HCL 02164426 Y

Blood pressure* ALDACTAZIDE 25 TABLET HCTZ/SPIRONOLACTONE 00180408 Y

Blood pressure* ALDACTAZIDE 50 TABLET HCTZ/SPIRONOLACTONE 00594377 Y

Blood pressure* ALDACTONE 100MG TABLET SPIRONOLACTONE 00285455 Y

Blood pressure* ALDACTONE 25MG TABLET SPIRONOLACTONE 00028606 Y

Blood pressure* ALTACE 1.25MG CAPSULE RAMIPRIL 02221829 Y

Blood pressure* ALTACE 10MG CAPSULE RAMIPRIL 02221853 Y

Blood pressure* ALTACE 15MG CAPSULE RAMIPRIL 02281112 Y

Blood pressure* ALTACE 2.5MG CAPSULE RAMIPRIL 02221837 Y

Blood pressure* ALTACE 5MG CAPSULE RAMIPRIL 02221845 Y

Blood pressure* ALTACE HCT 10MG/12.5MG TABLET RAMIPRIL/HYDROCHLOROTHIAZIDE02283166 Y

Blood pressure* ALTACE HCT 10MG/25MG TABLET RAMIPRIL/HYDROCHLOROTHIAZIDE02283182 Y

Blood pressure* ALTACE HCT 2.5MG/12.5MG TABLET RAMIPRIL/HYDROCHLOROTHIAZIDE02283131 Y

Blood pressure* ALTACE HCT 5MG/12.5MG TABLET RAMIPRIL/HYDROCHLOROTHIAZIDE02283158 Y

Blood pressure* ALTACE HCT 5MG/25MG TABLET RAMIPRIL/HYDROCHLOROTHIAZIDE02283174 Y

Blood pressure* ALTACE PLUS FELODIPINE 2.5MG TABLET RAMIPRIL/FELODIPINE 02240307 Y

Blood pressure* ALTACE PLUS FELODIPINE 5MG TABLET RAMIPRIL/FELODIPINE 02240306 Y

Blood pressure* AMI-HYDRO 5/50 TABLET HYDROCHLOROTHIAZIDE/AMILOR HCL00870943 Y

Blood pressure* AMILORIDE HYDROCHLORIDE 5MG TABLET AMILORIDE HCL 02257394 Y

Blood pressure* APO-ACEBUTOLOL 100MG TABLET ACEBUTOLOL HCL 02147602 Y

Blood pressure* APO-ACEBUTOLOL 200MG TABLET ACEBUTOLOL HCL 02147610 Y

Blood pressure* APO-ACEBUTOLOL 400MG TABLET ACEBUTOLOL HCL 02147629 Y

Blood pressure* APO-AMILORIDE 5MG TABLET AMILORIDE HCL 02249510 Y

Blood pressure* APO-AMILZIDE TABLET HYDROCHLOROTHIAZIDE/AMILOR HCL00784400 Y

Blood pressure* APO-ATENIDONE 100/25 TABLET ATENOLOL/CHLORTHALIDONE 02248764 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 96

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* APO-ATENIDONE 50/25 TABLET ATENOLOL/CHLORTHALIDONE 02248763 Y

Blood pressure* APO-ATENOL 100MG TABLET ATENOLOL 00773697 Y

Blood pressure* APO-ATENOL 50MG TABLET ATENOLOL 00773689 Y

Blood pressure* APO-BISOPROLOL 10MG TABLET BISOPROLOL FUMARATE 02256177 Y

Blood pressure* APO-BISOPROLOL 5MG TABLET BISOPROLOL FUMARATE 02256134 Y

Blood pressure* APO-CAPTO 100MG TABLET CAPTOPRIL 00893625 Y

Blood pressure* APO-CAPTO 12.5MG TABLET CAPTOPRIL 00893595 Y

Blood pressure* APO-CAPTO 25MG TABLET CAPTOPRIL 00893609 Y

Blood pressure* APO-CAPTO 50MG TABLET CAPTOPRIL 00893617 Y

Blood pressure* APO-CAPTO 6.25MG TABLET CAPTOPRIL 01999559 Y

Blood pressure* APO-CARVEDILOL 12.5MG TABLET CARVEDILOL 02247935 Y

Blood pressure* APO-CARVEDILOL 25MG TABLET CARVEDILOL 02247936 Y

Blood pressure* APO-CARVEDILOL 3.125MG TABLET CARVEDILOL 02247933 Y

Blood pressure* APO-CARVEDILOL 6.25MG TABLET CARVEDILOL 02247934 Y

Blood pressure* APO-CHLORTHALIDONE 50MG TABLET CHLORTHALIDONE 00360279 Y

Blood pressure* APO-CILAZAPRIL 1MG TABLET CILAZAPRIL 02291134 Y

Blood pressure* APO-CILAZAPRIL 2.5MG TABLET CILAZAPRIL 02291142 Y

Blood pressure* APO-CILAZAPRIL 5MG TABLET CILAZAPRIL 02291150 Y

Blood pressure* APO-CILAZAPRIL/HCTZ 5MG/12.5MG TABLET CILAZAPRIL/HYDROCHLOROTHIAZIDE02284987 Y

Blood pressure* APO-CLONIDINE 0.025MG TABLET CLONIDINE HCL 02248732 Y

Blood pressure* APO-CLONIDINE 0.1MG TABLET CLONIDINE HCL 00868949 Y

Blood pressure* APO-CLONIDINE 0.2MG TABLET CLONIDINE HCL 00868957 Y

Blood pressure* APO-DOXAZOSIN 1MG TABLET DOXAZOSIN MESYLATE 02240588 Y

Blood pressure* APO-DOXAZOSIN 2MG TABLET DOXAZOSIN MESYLATE 02240589 Y

Blood pressure* APO-DOXAZOSIN 4MG TABLET DOXAZOSIN MESYLATE 02240590 Y

Blood pressure* APO-ENALAPRIL 10MG TABLET ENALAPRIL MALEATE 02019892 Y

Blood pressure* APO-ENALAPRIL 2.5MG TABLET ENALAPRIL MALEATE 02020025 Y

Blood pressure* APO-ENALAPRIL 20MG TABLET ENALAPRIL MALEATE 02019906 Y

Blood pressure* APO-ENALAPRIL 5MG TABLET ENALAPRIL MALEATE 02019884 Y

Blood pressure* APO-ENALAPRIL MALEATE/HCTZ 10/25MG TABLET ENALAPRIL MALEATE/HYDROCHLOROTHIAZIDE02352931 Y

Blood pressure* APO-ENALAPRIL MALEATE/HCTZ 5/12.5MG TABLET ENALAPRIL MALEATE/HYDROCHLOROTHIAZIDE02352923 Y

Blood pressure* APO-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02266008 Y

Blood pressure* APO-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02266016 Y

Blood pressure* APO-HYDRALAZINE 10MG TABLET HYDRALAZINE HCL 00441619 Y

Blood pressure* APO-HYDRALAZINE 25MG TABLET HYDRALAZINE HCL 00441627 Y

Blood pressure* APO-HYDRALAZINE 50MG TABLET HYDRALAZINE HCL 00441635 Y

Blood pressure* APO-HYDRO 100MG TABLET HYDROCHLOROTHIAZIDE 00644552 Y

Blood pressure* APO-HYDRO 12.5MG TABLET HYDROCHLOROTHIAZIDE 02327856 Y

Blood pressure* APO-HYDRO 25MG TABLET HYDROCHLOROTHIAZIDE 00326844 Y

Blood pressure* APO-HYDRO 50MG TABLET HYDROCHLOROTHIAZIDE 00312800 Y

Blood pressure* APO-INDAPAMIDE 1.25MG TABLET INDAPAMIDE 02245246 Y

Blood pressure* APO-INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02223678 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 97

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* APO-LABETALOL 100MG TABLET LABETALOL HCL 02243538 Y

Blood pressure* APO-LABETALOL 200MG TABLET LABETALOL HCL 02243539 Y

Blood pressure* APO-LISINOPRIL 10MG TABLET LISINOPRIL 02217503 Y

Blood pressure* APO-LISINOPRIL 20MG TABLET LISINOPRIL 02217511 Y

Blood pressure* APO-LISINOPRIL 5MG TABLET LISINOPRIL 09853685 Y

Blood pressure* APO-LISINOPRIL 5MG TABLET LISINOPRIL 02217481 Y

Blood pressure* APO-LISINOPRIL(P) 10MG TABLET LISINOPRIL 09853960 Y

Blood pressure* APO-LISINOPRIL(P) 20MG TABLET LISINOPRIL 09854010 Y

Blood pressure* APO-LISINOPRIL/HCTZ 10MG/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02261979 Y

Blood pressure* APO-LISINOPRIL/HCTZ 20MG/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02261987 Y

Blood pressure* APO-LISINOPRIL/HCTZ 20MG/25MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02261995 Y

Blood pressure* APO-METHYLDOPA 125MG TABLET METHYLDOPA 00360252 Y

Blood pressure* APO-METHYLDOPA 250MG TABLET METHYLDOPA 00360260 Y

Blood pressure* APO-METHYLDOPA 500MG TABLET METHYLDOPA 00426830 Y

Blood pressure* APO-METOPROLOL (TYPE L) 100 MG METOPROLOL TARTRATE 00751170 Y

Blood pressure* APO-METOPROLOL (TYPE L)50 MG METOPROLOL TARTRATE 00749354 Y

Blood pressure* APO-METOPROLOL 100MG SR TABLET METOPROLOL TARTRATE 02285169 Y

Blood pressure* APO-METOPROLOL 100MG TABLET METOPROLOL TARTRATE 00618640 Y

Blood pressure* APO-METOPROLOL 200MG SR TABLET METOPROLOL TARTRATE 02285177 Y

Blood pressure* APO-METOPROLOL 25MG TABLET METOPROLOL TARTRATE 02246010 Y

Blood pressure* APO-METOPROLOL 50MG TABLET METOPROLOL TARTRATE 00618632 Y

Blood pressure* APO-NADOL 160MG TABLET NADOLOL 00782475 Y

Blood pressure* APO-NADOL 40MG TABLET NADOLOL 00782505 Y

Blood pressure* APO-NADOL 80MG TABLET NADOLOL 00782467 Y

Blood pressure* APO-PERINDOPRIL 8MG TABLET PERINDOPRIL ERBUMINE 02289296 Y

Blood pressure* APO-PINDOL 10MG TABLET PINDOLOL 00755885 Y

Blood pressure* APO-PINDOL 15MG TABLET PINDOLOL 00755893 Y

Blood pressure* APO-PINDOL 5MG TABLET PINDOLOL 00755877 Y

Blood pressure* APO-PRAZO 1MG TABLET PRAZOSIN HCL 00882801 Y

Blood pressure* APO-PRAZO 2MG TABLET PRAZOSIN HCL 00882828 Y

Blood pressure* APO-PRAZO 5MG TABLET PRAZOSIN HCL 00882836 Y

Blood pressure* APO-PROPRANOLOL 10MG TABLET PROPRANOLOL HCL 00402788 Y

Blood pressure* APO-PROPRANOLOL 120MG TABLET PROPRANOLOL HCL 00504335 Y

Blood pressure* APO-PROPRANOLOL 20MG TABLET PROPRANOLOL HCL 00663719 Y

Blood pressure* APO-PROPRANOLOL 40MG TABLET PROPRANOLOL HCL 00402753 Y

Blood pressure* APO-PROPRANOLOL 80MG TABLET PROPRANOLOL HCL 00402761 Y

Blood pressure* APO-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02251515 Y

Blood pressure* APO-RAMIPRIL 10MG CAPSULE RAMIPRIL 02251582 Y

Blood pressure* APO-RAMIPRIL 15MG CAPSULE RAMIPRIL 02325381 Y

Blood pressure* APO-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02251531 Y

Blood pressure* APO-RAMIPRIL 5MG CAPSULE RAMIPRIL 02251574 Y

Blood pressure* APO-SOTALOL 160MG TABLET SOTALOL HCL 02167794 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 98

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* APO-SOTALOL 80MG TABLET SOTALOL HCL 02210428 Y

Blood pressure* APO-TERAZOSIN 10MG TABLET TERAZOSIN HCL 02234505 Y

Blood pressure* APO-TERAZOSIN 1MG TABLET TERAZOSIN HCL 02234502 Y

Blood pressure* APO-TERAZOSIN 2MG TABLET TERAZOSIN HCL 02234503 Y

Blood pressure* APO-TERAZOSIN 5MG TABLET TERAZOSIN HCL 02234504 Y

Blood pressure* APO-TIMOL 10MG TABLET TIMOLOL MALEATE 00755850 Y

Blood pressure* APO-TIMOL 20MG TABLET TIMOLOL MALEATE 00755869 Y

Blood pressure* APO-TIMOL 5MG TABLET TIMOLOL MALEATE 00755842 Y

Blood pressure* APO-TRIAZIDE TABLET HCTZ/TRIAMTERENE 00441775 Y

Blood pressure* APX-ACEBUTOLOL 100MG TABLET ACEBUTOLOL HCL 02341492 Y

Blood pressure* APX-ACEBUTOLOL 200MG TABLET ACEBUTOLOL HCL 02341506 Y

Blood pressure* APX-ACEBUTOLOL 400MG TABLET ACEBUTOLOL HCL 02341514 Y

Blood pressure* APX-INDAPAMIDE 1.25MG TABLET INDAPAMIDE 02341166 Y

Blood pressure* APX-INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02341182 Y

Blood pressure* APX-SOTALOL 160MG TABLET SOTALOL HCL 02340844 Y

Blood pressure* APX-SOTALOL 80MG TABLET SOTALOL HCL 02340836 Y

Blood pressure* ATACAND 16MG TABLET CANDESARTAN CILEXETIL 02239092 Y

Blood pressure* ATACAND 32MG TABLET CANDESARTAN CILEXETIL 02311658 Y

Blood pressure* ATACAND 4MG TABLET CANDESARTAN CILEXETIL 02239090 Y

Blood pressure* ATACAND 8MG TABLET CANDESARTAN CILEXETIL 02239091 Y

Blood pressure* ATACAND PLUS 16/12.5MG TABLET CANDESARTAN CILEXETIL/HCTZ 02244021 Y

Blood pressure* ATACAND PLUS 32/12.5MG TABLET CANDESARTAN CILEXETIL/HCTZ 02332922 Y

Blood pressure* ATACAND PLUS 32/25MG TABLET CANDESARTEN CILEXETIL/HCTZ 02332957 Y

Blood pressure* ATENOLOL 100MG TABLET ATENOLOL 02349809 Y

Blood pressure* ATENOLOL 100MG TABLET ATENOLOL 02351285 Y

Blood pressure* ATENOLOL 100MG TABLET ATENOLOL 02351366 Y

Blood pressure* ATENOLOL 100MG TABLET ATENOLOL 02339420 Y

Blood pressure* ATENOLOL 100MG TABLET ATENOLOL 02282402 Y

Blood pressure* ATENOLOL 100MG TABLET ATENOLOL 02239605 Y

Blood pressure* ATENOLOL 25MG TABLET ATENOLOL 02351269 Y

Blood pressure* ATENOLOL 25MG TABLET ATENOLOL 02351331 Y

Blood pressure* ATENOLOL 25MG TABLET ATENOLOL 02326701 Y

Blood pressure* ATENOLOL 50MG TABLET ATENOLOL 02349795 Y

Blood pressure* ATENOLOL 50MG TABLET ATENOLOL 02351277 Y

Blood pressure* ATENOLOL 50MG TABLET ATENOLOL 02351358 Y

Blood pressure* ATENOLOL 50MG TABLET ATENOLOL 02339412 Y

Blood pressure* ATENOLOL 50MG TABLET ATENOLOL 02282399 Y

Blood pressure* ATENOLOL 50MG TABLET ATENOLOL 02239604 Y

Blood pressure* ATENOLOL 50MG TABLET ATENOLOL 02231448 Y

Blood pressure* ATENOLOL-100 100MG TABLET ATENOLOL 00828793 Y

Blood pressure* ATENOLOL-50 50MG TABLET ATENOLOL 00828807 Y

Blood pressure* AVALIDE 150MG/12.5MG TABLET IRBESARTAN/HCTZ 02241818 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 99

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* AVALIDE 300MG/12.5MG TABLET IRBESARTAN/HCTZ 02241819 Y

Blood pressure* AVALIDE 300MG/25MG TABLET IRBESARTAN/HCTZ 02280213 Y

Blood pressure* AVAPRO 150MG TABLET IRBESARTAN 02237924 Y

Blood pressure* AVAPRO 300MG TABLET IRBESARTAN 02237925 Y

Blood pressure* AVAPRO 75MG TABLET IRBESARTAN 02237923 Y

Blood pressure* BCI-ATENOLOL 100MG TABLET ATENOLOL 02257637 Y

Blood pressure* BCI-ATENOLOL 50MG TABLET ATENOLOL 02257629 Y

Blood pressure* BCI-CAPTOPRIL 100MG TABLET CAPTOPRIL 02259575 Y

Blood pressure* BCI-CAPTOPRIL 12.5MG TABLET CAPTOPRIL 02259540 Y

Blood pressure* BCI-CAPTOPRIL 25MG TABLET CAPTOPRIL 02259559 Y

Blood pressure* BCI-CAPTOPRIL 50MG TABLET CAPTOPRIL 02259567 Y

Blood pressure* BENAZEPRIL 10MG TABLET BENAZEPRIL HCL 02290340 Y

Blood pressure* BENAZEPRIL 20MG TABLET BENAZEPRIL HCL 02273918 Y

Blood pressure* BENAZEPRIL 5MG TABLET BENAZEPRIL HCL 02290332 Y

Blood pressure* BETALOC 100MG TABLET METOPROLOL TARTRATE 00402540 Y

Blood pressure* BETALOC 50MG TABLET METOPROLOL TARTRATE 00402605 Y

Blood pressure* BETALOC DURULES 200MG TABLET METOPROLOL TARTRATE 00497827 Y

Blood pressure* BIO-HCTZ 25MG TABLET HYDROCHLOROTHIAZIDE 02247170 Y

Blood pressure* BIO-HCTZ 50MG TABLET HYDROCHLOROTHIAZIDE 02247171 Y

Blood pressure* BIO-SOTALOL 160MG TABLET SOTALOL HCL 02241985 Y

Blood pressure* BISOPROLOL 10MG TABLET BISOPROLOL FUMARATE 02334100 Y

Blood pressure* BISOPROLOL 10MG TABLET BISOPROLOL FUMARATE 02321572 Y

Blood pressure* BISOPROLOL 5MG TABLET BISOPROLOL FUMARATE 02334097 Y

Blood pressure* BISOPROLOL 5MG TABLET BISOPROLOL FUMARATE 02321556 Y

Blood pressure* CAPOTEN 100MG TABLET CAPTOPRIL 00546305 Y

Blood pressure* CAPOTEN 12.5MG TABLET CAPTOPRIL 00695661 Y

Blood pressure* CAPOTEN 25MG TABLET CAPTOPRIL 00546283 Y

Blood pressure* CAPOTEN 50MG TABLET CAPTOPRIL 00546291 Y

Blood pressure* CAPTOPRIL 100MG TABLET CAPTOPRIL 02245893 Y

Blood pressure* CAPTOPRIL 100MG TABLET CAPTOPRIL 02242791 Y

Blood pressure* CAPTOPRIL 100MG TABLET CAPTOPRIL 02238558 Y

Blood pressure* CAPTOPRIL 12.5MG TABLET CAPTOPRIL 02245888 Y

Blood pressure* CAPTOPRIL 12.5MG TABLET CAPTOPRIL 02242788 Y

Blood pressure* CAPTOPRIL 12.5MG TABLET CAPTOPRIL 02238555 Y

Blood pressure* CAPTOPRIL 25MG TABLET CAPTOPRIL 02245891 Y

Blood pressure* CAPTOPRIL 25MG TABLET CAPTOPRIL 02242789 Y

Blood pressure* CAPTOPRIL 25MG TABLET CAPTOPRIL 02238556 Y

Blood pressure* CAPTOPRIL 50MG TABLET CAPTOPRIL 02245892 Y

Blood pressure* CAPTOPRIL 50MG TABLET CAPTOPRIL 02242790 Y

Blood pressure* CAPTOPRIL 50MG TABLET CAPTOPRIL 02238557 Y

Blood pressure* CAPTOPRIL-12.5MG TABLET CAPTOPRIL 01910329 Y

Blood pressure* CAPTOPRIL-25MG TABLET CAPTOPRIL 01910337 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 100

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* CAPTOPRIL-50MG TABLET CAPTOPRIL 01910361 Y

Blood pressure* CARDURA-1 1MG TABLET DOXAZOSIN MESYLATE 01958100 Y

Blood pressure* CARDURA-2 2MG TABLET DOXAZOSIN MESYLATE 01958097 Y

Blood pressure* CARDURA-4 4MG TABLET DOXAZOSIN MESYLATE 01958119 Y

Blood pressure* CARVEDILOL 12.5MG TABLET CARVEDILOL 02349434 Y

Blood pressure* CARVEDILOL 12.5MG TABLET CARVEDILOL 02344653 Y

Blood pressure* CARVEDILOL 12.5MG TABLET CARVEDILOL 02324520 Y

Blood pressure* CARVEDILOL 25MG TABLET CARVEDILOL 02349442 Y

Blood pressure* CARVEDILOL 25MG TABLET CARVEDILOL 02344661 Y

Blood pressure* CARVEDILOL 25MG TABLET CARVEDILOL 02324539 Y

Blood pressure* CARVEDILOL 3.125MG TABLET CARVEDILOL 02349418 Y

Blood pressure* CARVEDILOL 3.125MG TABLET CARVEDILOL 02344637 Y

Blood pressure* CARVEDILOL 3.125MG TABLET CARVEDILOL 02324504 Y

Blood pressure* CARVEDILOL 6.25MG TABLET CARVEDILOL 02349426 Y

Blood pressure* CARVEDILOL 6.25MG TABLET CARVEDILOL 02344645 Y

Blood pressure* CARVEDILOL 6.25MG TABLET CARVEDILOL 02324512 Y

Blood pressure* CARVEDILOL TABLETS 12.5MG TABLET CARVEDILOL 02340879 Y

Blood pressure* CARVEDILOL TABLETS 25MG TABLET CARVEDILOL 02340887 Y

Blood pressure* CARVEDILOL TABLETS 3.125MG TABLET CARVEDILOL 02340852 Y

Blood pressure* CARVEDILOL TABLETS 6.25MG TABLET CARVEDILOL 02340860 Y

Blood pressure* CATAPRES 0.1MG TABLET CLONIDINE HCL 00259527 Y

Blood pressure* CATAPRES 0.2MG TABLET CLONIDINE HCL 00291889 Y

Blood pressure* CHLORTHALIDONE 50MG TABLET CHLORTHALIDONE 00398365 Y

Blood pressure* CILAZAPRIL 1MG TABLET CILAZAPRIL 02350963 Y

Blood pressure* CILAZAPRIL 1MG TABLET CILAZAPRIL 02345218 Y

Blood pressure* CILAZAPRIL 2.5MG TABLET CILAZAPRIL 02350971 Y

Blood pressure* CILAZAPRIL 2.5MG TABLET CILAZAPRIL 02345226 Y

Blood pressure* CILAZAPRIL 5MG TABLET CILAZAPRIL 02350998 Y

Blood pressure* CILAZAPRIL 5MG TABLET CILAZAPRIL 02345234 Y

Blood pressure* CLONIDINE HCL 0.1MG TABLET CLONIDINE HCL 01910396 Y

Blood pressure* CLONIDINE HCL 0.2MG TABLET CLONIDINE HCL 01908162 Y

Blood pressure* CO-ATENOLOL 100MG TABLET ATENOLOL 02255553 Y

Blood pressure* CO-ATENOLOL 50MG TABLET ATENOLOL 02255545 Y

Blood pressure* CO-CAPTOPRIL 100MG TABLET CAPTOPRIL 02259532 Y

Blood pressure* CO-CAPTOPRIL 12.5MG TABLET CAPTOPRIL 02259508 Y

Blood pressure* CO-CAPTOPRIL 25MG TABLET CAPTOPRIL 02259516 Y

Blood pressure* CO-CAPTOPRIL 50MG TABLET CAPTOPRIL 02259524 Y

Blood pressure* CO-CILAZAPRIL 1MG TABLET CILAZAPRIL 02285207 Y

Blood pressure* CO-CILAZAPRIL 2.5MG TABLET CILAZAPRIL 02285215 Y

Blood pressure* CO-CILAZAPRIL 5MG TABLET CILAZAPRIL 02285223 Y

Blood pressure* CO-ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02291908 Y

Blood pressure* CO-ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02291878 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 101

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* CO-ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02291886 Y

Blood pressure* CO-ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02291894 Y

Blood pressure* CO-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02282526 Y

Blood pressure* CO-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02282534 Y

Blood pressure* CO-LISINOPRIL 10MG TABLET LISINOPRIL 02271451 Y

Blood pressure* CO-LISINOPRIL 20MG TABLET LISINOPRIL 02271478 Y

Blood pressure* CO-LISINOPRIL 5MG TABLET LISINOPRIL 02271443 Y

Blood pressure* CO-METOPROLOL-L 100MG TABLET METOPROLOL TARTRATE 02244643 Y

Blood pressure* CO-METOPROLOL-L 50MG TABLET METOPROLOL TARTRATE 02244642 Y

Blood pressure* CO-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02295482 Y

Blood pressure* CO-RAMIPRIL 10MG CAPSULE RAMIPRIL 02295512 Y

Blood pressure* CO-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02295490 Y

Blood pressure* CO-RAMIPRIL 5MG CAPSULE RAMIPRIL 02295504 Y

Blood pressure* CO-SOTALOL 160MG TABLET SOTALOL HCL 02270633 Y

Blood pressure* CO-SOTALOL 80MG TABLET SOTALOL HCL 02270625 Y

Blood pressure* COVERSYL 10MG TABLET PERINDOPRIL ARGININE 02270579 Y

Blood pressure* COVERSYL 2.5MG TABLET PERINDOPRIL ARGININE 02270552 Y

Blood pressure* COVERSYL 2MG TABLET PERINDOPRIL ERBUMINE 02123274 Y

Blood pressure* COVERSYL 4MG TABLET PERINDOPRIL ERBUMINE 02123282 Y

Blood pressure* COVERSYL 5MG TABLET PERINDOPRIL ARGININE 02270560 Y

Blood pressure* COVERSYL 8MG TABLET PERINDOPRIL ERBUMINE 02246624 Y

Blood pressure* COVERSYL PLUS HD TABLET PERINDOPRIL/INDAPAMIDE 02321653 Y

Blood pressure* COVERSYL PLUS LD TABLET PERINDOPRIL/INDAPAMIDE 02318563 Y

Blood pressure* COVERSYL PLUS LD TABLET PERINDOPRIL/INDAPAMIDE 02246568 Y

Blood pressure* COVERSYL PLUS TABLET PERINDOPRIL/INDAPAMIDE 02318555 Y

Blood pressure* COVERSYL PLUS TABLET PERINDOPRIL/INDAPAMIDE 02246569 Y

Blood pressure* COZAAR 100MG TABLET LOSARTAN POTASSIUM 02182882 Y

Blood pressure* COZAAR 25MG TABLET LOSARTAN POTASSIUM 02182815 Y

Blood pressure* COZAAR 50MG TABLET LOSARTAN POTASSIUM 02182874 Y

Blood pressure* DIOVAN 160MG CAPSULE VALSARTAN 02236809 Y

Blood pressure* DIOVAN 160MG TABLET VALSARTAN 02244782 Y

Blood pressure* DIOVAN 320MG TABLET VALSARTAN 02289504 Y

Blood pressure* DIOVAN 40MG TABLET VALSARTAN 02270528 Y

Blood pressure* DIOVAN 80MG CAPSULE VALSARTAN 02236808 Y

Blood pressure* DIOVAN 80MG TABLET VALSARTAN 02244781 Y

Blood pressure* DIOVAN-HCT 160/12.5MG TABLET VALSARTAN/HCTZ 02241901 Y

Blood pressure* DIOVAN-HCT 160MG/25MG TABLET VALSARTAN/HCTZ 02246955 Y

Blood pressure* DIOVAN-HCT 320MG/12.5MG TABLET VALSARTAN/HCTZ 02308908 Y

Blood pressure* DIOVAN-HCT 320MG/25MG TABLET VALSARTAN/HCTZ 02308916 Y

Blood pressure* DIOVAN-HCT 80/12.5MG TABLET VALSARTAN/HCTZ 02241900 Y

Blood pressure* DIXARIT 0.025MG TABLET CLONIDINE HCL 00519251 Y

Blood pressure* DOM-ATENOLOL 100MG TABLET ATENOLOL 02229468 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 102

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* DOM-ATENOLOL 50MG TABLET ATENOLOL 02229467 Y

Blood pressure* DOM-BISOPROLOL 10MG TABLET BISOPROLOL FUMARATE 02308231 Y

Blood pressure* DOM-BISOPROLOL 5MG TABLET BISOPROLOL FUMARATE 02308223 Y

Blood pressure* DOM-CAPTOPRIL 100MG TABLET CAPTOPRIL 02238554 Y

Blood pressure* DOM-CAPTOPRIL 12.5MG TABLET CAPTOPRIL 02238551 Y

Blood pressure* DOM-CAPTOPRIL 25MG TABLET CAPTOPRIL 02238552 Y

Blood pressure* DOM-CAPTOPRIL 50MG TABLET CAPTOPRIL 02238553 Y

Blood pressure* DOM-CARVEDILOL 12.5MG TABLET CARVEDILOL 02248750 Y

Blood pressure* DOM-CARVEDILOL 25MG TABLET CARVEDILOL 02248751 Y

Blood pressure* DOM-CARVEDILOL 3.125MG TABLET CARVEDILOL 02248748 Y

Blood pressure* DOM-CARVEDILOL 6.25MG TABLET CARVEDILOL 02248749 Y

Blood pressure* DOM-CILAZAPRIL 1MG TABLET CILAZAPRIL 02309408 Y

Blood pressure* DOM-CILAZAPRIL 2.5MG TABLET CILAZAPRIL 02309416 Y

Blood pressure* DOM-CILAZAPRIL 5MG TABLET CILAZAPRIL 02309424 Y

Blood pressure* DOM-CLONIDINE 0.1MG TABLET CLONIDINE HCL 02247607 Y

Blood pressure* DOM-CLONIDINE 0.2MG TABLET CLONIDINE HCL 02247608 Y

Blood pressure* DOM-DOXAZOSIN 1MG TABLET DOXAZOSIN MESYLATE 02246332 Y

Blood pressure* DOM-DOXAZOSIN 2MG TABLET DOXAZOSIN MESYLATE 02246333 Y

Blood pressure* DOM-DOXAZOSIN 4MG TABLET DOXAZOSIN MESYLATE 02246334 Y

Blood pressure* DOM-ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02308282 Y

Blood pressure* DOM-ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02308258 Y

Blood pressure* DOM-ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02308266 Y

Blood pressure* DOM-ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02308274 Y

Blood pressure* DOM-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02255960 Y

Blood pressure* DOM-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02255979 Y

Blood pressure* DOM-HYDROCHLOROTHIAZIDE 12.5MG TABLET HYDROCHLOROTHIAZIDE 02282879 Y

Blood pressure* DOM-HYDROCHLOROTHIAZIDE 25MG TABLET HYDROCHLOROTHIAZIDE 02248134 Y

Blood pressure* DOM-HYDROCHLOROTHIAZIDE 50MG TABLET HYDROCHLOROTHIAZIDE 02248135 Y

Blood pressure* DOM-INDAPAMIDE 1.25MG TABLET INDAPAMIDE 02239913 Y

Blood pressure* DOM-INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02239917 Y

Blood pressure* DOM-LISINOPRIL 10MG TABLET LISINOPRIL 02294621 Y

Blood pressure* DOM-LISINOPRIL 20MG TABLET LISINOPRIL 02294648 Y

Blood pressure* DOM-LISINOPRIL 5MG TABLET LISINOPRIL 02294613 Y

Blood pressure* DOM-METOPROLOL-B 100MG TABLET METOPROLOL TARTRATE 02172569 Y

Blood pressure* DOM-METOPROLOL-B 50MG TABLET METOPROLOL TARTRATE 02172550 Y

Blood pressure* DOM-METOPROLOL-L 100MG TABLET METOPROLOL TARTRATE 02231122 Y

Blood pressure* DOM-METOPROLOL-L 25MG TABLET METOPROLOL TARTRATE 02252252 Y

Blood pressure* DOM-METOPROLOL-L 50MG TABLET METOPROLOL TARTRATE 02231121 Y

Blood pressure* DOM-PINDOLOL 10MG TABLET PINDOLOL 02238046 Y

Blood pressure* DOM-PINDOLOL 15MG TABLET PINDOLOL 02238047 Y

Blood pressure* DOM-PINDOLOL 5MG TABLET PINDOLOL 02231650 Y

Blood pressure* DOM-PROPRANOLOL 10MG TABLET PROPRANOLOL HCL 02137313 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 103

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* DOM-PROPRANOLOL 40MG TABLET PROPRANOLOL HCL 02137321 Y

Blood pressure* DOM-PROPRANOLOL 80MG TABLET PROPRANOLOL HCL 02137348 Y

Blood pressure* DOM-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02308371 Y

Blood pressure* DOM-RAMIPRIL 10MG CAPSULE RAMIPRIL 02287986 Y

Blood pressure* DOM-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02287951 Y

Blood pressure* DOM-RAMIPRIL 5MG CAPSULE RAMIPRIL 02287978 Y

Blood pressure* DOM-SOTALOL 160MG TABLET SOTALOL HCL 02238635 Y

Blood pressure* DOM-SOTALOL 80MG TABLET SOTALOL HCL 02238634 Y

Blood pressure* DOM-TERAZOSIN 10MG TABLET TERAZOSIN HCL 02243749 Y

Blood pressure* DOM-TERAZOSIN 1MG TABLET TERAZOSIN HCL 02243746 Y

Blood pressure* DOM-TERAZOSIN 2MG TABLET TERAZOSIN HCL 02243747 Y

Blood pressure* DOM-TERAZOSIN 5MG TABLET TERAZOSIN HCL 02243748 Y

Blood pressure* DOXAZOSIN 1MG TABLET DOXAZOSIN MESYLATE 02342979 Y

Blood pressure* DOXAZOSIN 1MG TABLET DOXAZOSIN MESYLATE 02240978 Y

Blood pressure* DOXAZOSIN 2MG TABLET DOXAZOSIN MESYLATE 02342987 Y

Blood pressure* DOXAZOSIN 2MG TABLET DOXAZOSIN MESYLATE 02240979 Y

Blood pressure* DOXAZOSIN 4MG TABLET DOXAZOSIN MESYLATE 02342995 Y

Blood pressure* DOXAZOSIN 4MG TABLET DOXAZOSIN MESYLATE 02240980 Y

Blood pressure* ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02343495 Y

Blood pressure* ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02334755 Y

Blood pressure* ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02308320 Y

Blood pressure* ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02343460 Y

Blood pressure* ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02334631 Y

Blood pressure* ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02308290 Y

Blood pressure* ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02343479 Y

Blood pressure* ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02334720 Y

Blood pressure* ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02308304 Y

Blood pressure* ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02343487 Y

Blood pressure* ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02334747 Y

Blood pressure* ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02308312 Y

Blood pressure* FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02332566 Y

Blood pressure* FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02287536 Y

Blood pressure* FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02332574 Y

Blood pressure* FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02287544 Y

Blood pressure* FOSINOPRIL-10MG TABLET FOSINOPRIL SODIUM 02303000 Y

Blood pressure* FOSINOPRIL-20MG TABLET FOSINOPRIL SODIUM 02303019 Y

Blood pressure* GD-QUINAPRIL 10MG TABLET QUINAPRIL HCL 02290995 Y

Blood pressure* GD-QUINAPRIL 20MG TABLET QUINAPRIL HCL 02291002 Y

Blood pressure* GD-QUINAPRIL 40MG TABLET QUINAPRIL HCL 02291010 Y

Blood pressure* GD-QUINAPRIL 5MG TABLET QUINAPRIL HCL 02290987 Y

Blood pressure* GD-QUINAPRIL HCTZ 10/12.5MG TABLET QUINAPRIL HCL/HCTZ 02341786 Y

Blood pressure* GD-QUINAPRIL HCTZ 20/12.5MG TABLET QUINAPRIL HCL/HCTZ 02341794 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 104

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* GD-QUINAPRIL HCTZ 20/25MG TABLET QUINAPRIL HCL/HCTZ 02341808 Y

Blood pressure* GEN-METOPROLOL 100MG TABLET METOPROLOL TARTRATE 02230449 Y

Blood pressure* GEN-METOPROLOL 50MG TABLET METOPROLOL TARTRATE 02230448 Y

Blood pressure* GEN-PINDOLOL 10MG TABLET PINDOLOL 02057816 Y

Blood pressure* GEN-PINDOLOL 15MG TABLET PINDOLOL 02057824 Y

Blood pressure* GEN-PINDOLOL 5MG TABLET PINDOLOL 02057808 Y

Blood pressure* GEN-SOTALOL 240MG TABLET SOTALOL HCL 02229780 Y

Blood pressure* GMD-ATENOLOL 100MG TABLET ATENOLOL 02253038 Y

Blood pressure* GMD-ATENOLOL 50MG TABLET ATENOLOL 02253011 Y

Blood pressure* HYDRALAZINE 10MG TABLET HYDRALAZINE HCL 01913638 Y

Blood pressure* HYDRALAZINE 25MG TABLET HYDRALAZINE HCL 02082071 Y

Blood pressure* HYDRALAZINE 50MG TABLET HYDRALAZINE HCL 02082098 Y

Blood pressure* HYDROCHLOROTHIAZIDE 25MG TABLET HYDROCHLOROTHIAZIDE 00341975 Y

Blood pressure* HYDROCHLOROTHIAZIDE 50MG TABLET HYDROCHLOROTHIAZIDE 00156604 Y

Blood pressure* HYTRIN 10MG TABLET TERAZOSIN HCL 00818674 Y

Blood pressure* HYTRIN 1MG TABLET TERAZOSIN HCL 00818658 Y

Blood pressure* HYTRIN 2MG TABLET TERAZOSIN HCL 00818682 Y

Blood pressure* HYTRIN 5MG TABLET TERAZOSIN HCL 00818666 Y

Blood pressure* HYZAAR (100MG/12.5MG) TABLET LOSARTAN POTASSIUM/HCTZ 02297841 Y

Blood pressure* HYZAAR (50MG/12.5MG) TABLET LOSARTAN POTASSIUM/HCTZ 02230047 Y

Blood pressure* HYZAAR DS (100MG/25MG) TABLET LOSARTAN POTASSIUM/HCTZ 02241007 Y

Blood pressure* INDAPAMIDE 1.25MG TABLET INDAPAMIDE 02286963 Y

Blood pressure* INDAPAMIDE 1.25MG TABLET INDAPAMIDE 02247229 Y

Blood pressure* INDAPAMIDE 1.25MG TABLET INDAPAMIDE 02227339 Y

Blood pressure* INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02286971 Y

Blood pressure* INDAPAMIDE-2.5MG TABLET INDAPAMIDE 02229762 Y

Blood pressure* INDERAL-LA 120MG CAPSULE SA PROPRANOLOL HCL 02042266 Y

Blood pressure* INDERAL-LA 160MG CAPSULE SA PROPRANOLOL HCL 02042274 Y

Blood pressure* INDERAL-LA 60MG CAPSULE SA PROPRANOLOL HCL 02042231 Y

Blood pressure* INDERAL-LA 80MG CAPSULE SA PROPRANOLOL HCL 02042258 Y

Blood pressure* INHIBACE 1MG TABLET CILAZAPRIL 01911465 Y

Blood pressure* INHIBACE 2.5MG TABLET CILAZAPRIL 01911473 Y

Blood pressure* INHIBACE 5MG TABLET CILAZAPRIL 01911481 Y

Blood pressure* INHIBACE PLUS TABLET CILAZAPRIL/HYDROCHLOROTHIAZIDE02181479 Y

Blood pressure* INSPRA 25MG TABLET EPLERENONE 02323052 Y

Blood pressure* INSPRA 50MG TABLET EPLERENONE 02323060 Y

Blood pressure* JAMP-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02331004 Y

Blood pressure* JAMP-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02331012 Y

Blood pressure* JAMP-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02331101 Y

Blood pressure* JAMP-RAMIPRIL 10MG CAPSULE RAMIPRIL 02331144 Y

Blood pressure* JAMP-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02331128 Y

Blood pressure* JAMP-RAMIPRIL 5MG CAPSULE RAMIPRIL 02331136 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 105

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* LABETALOL HCL 5MG/ML AMPUL LABETALOL HCL 02231689 Y

Blood pressure* LIN-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02242733 Y

Blood pressure* LIN-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02242734 Y

Blood pressure* LINSOTALOL 240MG TABLET SOTALOL HCL 02170868 Y

Blood pressure* LINSOTALOL 320MG TABLET SOTALOL HCL 02170876 Y

Blood pressure* LISINOPRIL 10MG TABLET LISINOPRIL 02343584 Y

Blood pressure* LISINOPRIL 10MG TABLET LISINOPRIL 02332175 Y

Blood pressure* LISINOPRIL 10MG TABLET LISINOPRIL 02333805 Y

Blood pressure* LISINOPRIL 10MG TABLET LISINOPRIL 02321610 Y

Blood pressure* LISINOPRIL 10MG TABLET LISINOPRIL 02294591 Y

Blood pressure* LISINOPRIL 20MG TABLET LISINOPRIL 02343592 Y

Blood pressure* LISINOPRIL 20MG TABLET LISINOPRIL 02332183 Y

Blood pressure* LISINOPRIL 20MG TABLET LISINOPRIL 02333813 Y

Blood pressure* LISINOPRIL 20MG TABLET LISINOPRIL 02321629 Y

Blood pressure* LISINOPRIL 20MG TABLET LISINOPRIL 02294605 Y

Blood pressure* LISINOPRIL 5MG TABLET LISINOPRIL 02343576 Y

Blood pressure* LISINOPRIL 5MG TABLET LISINOPRIL 02332167 Y

Blood pressure* LISINOPRIL 5MG TABLET LISINOPRIL 02333791 Y

Blood pressure* LISINOPRIL 5MG TABLET LISINOPRIL 02321580 Y

Blood pressure* LISINOPRIL 5MG TABLET LISINOPRIL 02294583 Y

Blood pressure* LISINOPRIL HCT 10MG/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02335972 Y

Blood pressure* LISINOPRIL HCT 20MG/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02335980 Y

Blood pressure* LISINOPRIL HCT 20MG/25MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02335999 Y

Blood pressure* LISINOPRIL P 10MG TABLET LISINOPRIL 02351986 Y

Blood pressure* LISINOPRIL P 20MG TABLET LISINOPRIL 02351994 Y

Blood pressure* LISINOPRIL P 5MG TABLET LISINOPRIL 02351978 Y

Blood pressure* LISINOPRIL Z 10MG TABLET LISINOPRIL 02349825 Y

Blood pressure* LISINOPRIL Z 20MG TABLET LISINOPRIL 02349833 Y

Blood pressure* LISINOPRIL Z 5MG TABLET LISINOPRIL 02349817 Y

Blood pressure* LONITEN 10MG TABLET MINOXIDIL 00514500 Y

Blood pressure* LONITEN 2.5MG TABLET MINOXIDIL 00514497 Y

Blood pressure* LOPRESOR 100MG TABLET METOPROLOL TARTRATE 00397431 Y

Blood pressure* LOPRESOR 1MG/ML AMPOULE METOPROLOL TARTRATE 00590819 Y

Blood pressure* LOPRESOR 50MG TABLET METOPROLOL TARTRATE 00397423 Y

Blood pressure* LOPRESOR SR 100MG TABLET SA METOPROLOL TARTRATE 00658855 Y

Blood pressure* LOPRESOR SR 200MG TABLET SA METOPROLOL TARTRATE 00534560 Y

Blood pressure* LOTENSIN 10MG TABLET BENAZEPRIL HCL 00885843 Y

Blood pressure* LOTENSIN 20MG TABLET BENAZEPRIL HCL 00885851 Y

Blood pressure* LOTENSIN 5MG TABLET BENAZEPRIL HCL 00885835 Y

Blood pressure* LOZIDE 1.25MG TABLET INDAPAMIDE 02179709 Y

Blood pressure* LOZIDE 2.5MG TABLET INDAPAMIDE 00564966 Y

Blood pressure* MAVIK 0.5MG CAPSULE TRANDOLAPRIL 02231457 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 106

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* MAVIK 1MG CAPSULE TRANDOLAPRIL 02231459 Y

Blood pressure* MAVIK 2MG CAPSULE TRANDOLAPRIL 02231460 Y

Blood pressure* MAVIK 4MG CAPSULE TRANDOLAPRIL 02239267 Y

Blood pressure* MED ATENOLOL 100MG TABLET ATENOLOL 02188988 Y

Blood pressure* MED ATENOLOL 50MG TABLET ATENOLOL 02188961 Y

Blood pressure* MED CAPTOPRIL 100MG TABLET CAPTOPRIL 02188953 Y

Blood pressure* MED CAPTOPRIL 12.5MG TABLET CAPTOPRIL 02188929 Y

Blood pressure* MED CAPTOPRIL 25MG TABLET CAPTOPRIL 02188937 Y

Blood pressure* MED CAPTOPRIL 50MG TABLET CAPTOPRIL 02188945 Y

Blood pressure* MED SOTALOL 160MG TABLET SOTALOL HCL 02237270 Y

Blood pressure* MED SOTALOL 240MG TABLET SOTALOL HCL 02237271 Y

Blood pressure* MED SOTALOL 80MG TABLET SOTALOL HCL 02237269 Y

Blood pressure* METHYLDOPA 125MG TABLET METHYLDOPA 00456365 Y

Blood pressure* METHYLDOPA 250MG TABLET METHYLDOPA 00453714 Y

Blood pressure* METHYLDOPA 500MG TABLET METHYLDOPA 00456373 Y

Blood pressure* METOPROLOL (FILM COATED) 100MG METOPROLOL TARTRATE 02350408 Y

Blood pressure* METOPROLOL (FILM COATED) 50MG TABLET METOPROLOL TARTRATE 02350394 Y

Blood pressure* METOPROLOL (TYPE L) 100MG TABLET METOPROLOL TARTRATE 02286602 Y

Blood pressure* METOPROLOL (TYPE L) 50MG TABLET METOPROLOL TARTRATE 02286599 Y

Blood pressure* METOPROLOL 100MG SR TABLET METOPROLOL TARTRATE 02351404 Y

Blood pressure* METOPROLOL 100MG TABLET METOPROLOL TARTRATE 02350424 Y

Blood pressure* METOPROLOL 200MG SR TABLET METOPROLOL TARTRATE 02351412 Y

Blood pressure* METOPROLOL 25MG TABLET METOPROLOL TARTRATE 02296713 Y

Blood pressure* METOPROLOL 50MG TABLET METOPROLOL TARTRATE 02350416 Y

Blood pressure* METOPROLOL-100 100MG TABLET METOPROLOL TARTRATE 00648027 Y

Blood pressure* METOPROLOL-50 50MG TABLET METOPROLOL TARTRATE 00648019 Y

Blood pressure* METOPROLOL-L 25MG TABLET METOPROLOL TARTRATE 02315106 Y

Blood pressure* METOPROLOL-L 100MG TABLET METOPROLOL TARTRATE 02315122 Y

Blood pressure* METOPROLOL-L 100MG TABLET METOPROLOL TARTRATE 02253526 Y

Blood pressure* METOPROLOL-L 25MG TABLET METOPROLOL TARTRATE 02253496 Y

Blood pressure* METOPROLOL-L 50MG TABLET METOPROLOL TARTRATE 02315114 Y

Blood pressure* METOPROLOL-L 50MG TABLET METOPROLOL TARTRATE 02253518 Y

Blood pressure* MICARDIS 40MG TABLET TELMISARTAN 02240769 Y

Blood pressure* MICARDIS 80MG TABLET TELMISARTAN 02240770 Y

Blood pressure* MICARDIS PLUS 80MG/12.5MG TABLET TELMISARTAN/HYDROCHLOROTHIAZIDE02244344 Y

Blood pressure* MICARDIS PLUS 80MG/25MG TABLET TELMISARTAN/HYDROCHLOROTHIAZIDE02318709 Y

Blood pressure* MIDAMOR 5MG TABLET AMILORIDE HCL 00487805 Y

Blood pressure* MINIPRESS 1MG TABLET PRAZOSIN HCL 00560952 Y

Blood pressure* MINIPRESS 2MG TABLET PRAZOSIN HCL 00560960 Y

Blood pressure* MINIPRESS 5MG TABLET PRAZOSIN HCL 00560979 Y

Blood pressure* MINT-LISINOPRIL 10MG TABLET LISINOPRIL 02317400 Y

Blood pressure* MINT-LISINOPRIL 20MG TABLET LISINOPRIL 02317419 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 107

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* MINT-LISINOPRIL 5MG TABLET LISINOPRIL 02317397 Y

Blood pressure* MODURET 50/5MG TABLET HYDROCHLOROTHIAZIDE/AMILOR HCL00487813 Y

Blood pressure* MONITAN 200MG TABLET ACEBUTOLOL HCL 02036436 Y

Blood pressure* MONITAN 400MG TABLET ACEBUTOLOL HCL 02036444 Y

Blood pressure* MONOCOR 10MG TABLET BISOPROLOL FUMARATE 02241149 Y

Blood pressure* MONOCOR 5MG TABLET BISOPROLOL FUMARATE 02241148 Y

Blood pressure* MONOPRIL 10MG TABLET FOSINOPRIL SODIUM 01907107 Y

Blood pressure* MONOPRIL 20MG TABLET FOSINOPRIL SODIUM 01907115 Y

Blood pressure* MYLAN-ACEBUTOLOL 100MG (TYPE S) TABLET ACEBUTOLOL HCL 02237885 Y

Blood pressure* MYLAN-ACEBUTOLOL 100MG TABLET ACEBUTOLOL HCL 02237721 Y

Blood pressure* MYLAN-ACEBUTOLOL 200MG (TYPE S) TABLET ACEBUTOLOL HCL 02237886 Y

Blood pressure* MYLAN-ACEBUTOLOL 200MG TABLET ACEBUTOLOL HCL 02237722 Y

Blood pressure* MYLAN-ACEBUTOLOL 400MG (TYPE S) TABLET ACEBUTOLOL HCL 02237887 Y

Blood pressure* MYLAN-ACEBUTOLOL 400MG TABLET ACEBUTOLOL HCL 02237723 Y

Blood pressure* MYLAN-AMILAZIDE 50/5MG TABLET HYDROCHLOROTHIAZIDE/AMILOR HCL02257378 Y

Blood pressure* MYLAN-ATENOLOL 100MG TABLET ATENOLOL 02147432 Y

Blood pressure* MYLAN-ATENOLOL 25MG TABLET ATENOLOL 02303647 Y

Blood pressure* MYLAN-ATENOLOL 50MG TABLET ATENOLOL 02146894 Y

Blood pressure* MYLAN-CAPTOPRIL 100MG TABLET CAPTOPRIL 02163594 Y

Blood pressure* MYLAN-CAPTOPRIL 12.5MG TABLET CAPTOPRIL 02163551 Y

Blood pressure* MYLAN-CAPTOPRIL 25MG TABLET CAPTOPRIL 02163578 Y

Blood pressure* MYLAN-CAPTOPRIL 50MG TABLET CAPTOPRIL 02163586 Y

Blood pressure* MYLAN-CARVEDILOL 12.5MG TABLET CARVEDILOL 02347555 Y

Blood pressure* MYLAN-CARVEDILOL 25MG TABLET CARVEDILOL 02347571 Y

Blood pressure* MYLAN-CARVEDILOL 3.125MG TABLET CARVEDILOL 02347512 Y

Blood pressure* MYLAN-CARVEDILOL 6.25MG TABLET CARVEDILOL 02347520 Y

Blood pressure* MYLAN-CILAZAPRIL 1MG TABLET CILAZAPRIL 02283778 Y

Blood pressure* MYLAN-CILAZAPRIL 2.5MG TABLET CILAZAPRIL 02283786 Y

Blood pressure* MYLAN-CILAZAPRIL 5MG TABLET CILAZAPRIL 02283794 Y

Blood pressure* MYLAN-DOXAZOSIN 1MG TABLET DOXAZOSIN MESYLATE 02240498 Y

Blood pressure* MYLAN-DOXAZOSIN 2MG TABLET DOXAZOSIN MESYLATE 02240499 Y

Blood pressure* MYLAN-DOXAZOSIN 4MG TABLET DOXAZOSIN MESYLATE 02240500 Y

Blood pressure* MYLAN-ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02300060 Y

Blood pressure* MYLAN-ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02300036 Y

Blood pressure* MYLAN-ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02300044 Y

Blood pressure* MYLAN-ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02300052 Y

Blood pressure* MYLAN-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02262401 Y

Blood pressure* MYLAN-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02262428 Y

Blood pressure* MYLAN-INDAPAMIDE 1.25MG TABLET INDAPAMIDE 02240067 Y

Blood pressure* MYLAN-INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02153483 Y

Blood pressure* MYLAN-LISINOPRIL 10MG TABLET LISINOPRIL 02274841 Y

Blood pressure* MYLAN-LISINOPRIL 20MG TABLET LISINOPRIL 02274868 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 108

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* MYLAN-LISINOPRIL 5MG TABLET LISINOPRIL 02274833 Y

Blood pressure* MYLAN-LISINOPRIL HCTZ 10MG/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02297736 Y

Blood pressure* MYLAN-LISINOPRIL HCTZ 20MG/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02297744 Y

Blood pressure* MYLAN-LISINOPRIL HCTZ 20MG/25MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02297752 Y

Blood pressure* MYLAN-METOPROLOL (TYPE L) 100MG TABLET METOPROLOL TARTRATE 02174553 Y

Blood pressure* MYLAN-METOPROLOL (TYPE L) 25MG TABLET METOPROLOL TARTRATE 02302055 Y

Blood pressure* MYLAN-METOPROLOL (TYPE L) 50MG TABLET METOPROLOL TARTRATE 02174545 Y

Blood pressure* MYLAN-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02301148 Y

Blood pressure* MYLAN-RAMIPRIL 10MG CAPSULE RAMIPRIL 02301172 Y

Blood pressure* MYLAN-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02301156 Y

Blood pressure* MYLAN-RAMIPRIL 5MG CAPSULE RAMIPRIL 02301164 Y

Blood pressure* MYLAN-SOTALOL 160MG TABLET SOTALOL HCL 02229779 Y

Blood pressure* MYLAN-SOTALOL 80MG TABLET SOTALOL HCL 02229778 Y

Blood pressure* NADOLOL-160 160MG TABLET NADOLOL 00818720 Y

Blood pressure* NADOLOL-40 40MG TABLET NADOLOL 00828815 Y

Blood pressure* NADOLOL-80 80MG TABLET NADOLOL 00818704 Y

Blood pressure* NOVAMILOR TABLET HYDROCHLOROTHIAZIDE/AMILOR HCL01937219 Y

Blood pressure* NOVO-ACEBUTOLOL 100MG (TYPE S) TABLET ACEBUTOLOL HCL 02289555 Y

Blood pressure* NOVO-ACEBUTOLOL 100MG TABLET ACEBUTOLOL HCL 02204517 Y

Blood pressure* NOVO-ACEBUTOLOL 200MG (TYPE S) TABLET ACEBUTOLOL HCL 02289563 Y

Blood pressure* NOVO-ACEBUTOLOL 200MG TABLET ACEBUTOLOL HCL 02204525 Y

Blood pressure* NOVO-ACEBUTOLOL 400MG (TYPE S) TABLET ACEBUTOLOL HCL 02289571 Y

Blood pressure* NOVO-ACEBUTOLOL 400MG TABLET ACEBUTOLOL HCL 02204533 Y

Blood pressure* NOVO-ATENOLTHALIDONE 100/25MG TABLET ATENOLOL/CHLORTHALIDONE 02302926 Y

Blood pressure* NOVO-ATENOLTHALIDONE 50/25MG TABLET ATENOLOL/CHLORTHALIDONE 02302918 Y

Blood pressure* NOVO-BISOPROLOL 10MG TABLET BISOPROLOL FUMARATE 02267489 Y

Blood pressure* NOVO-BISOPROLOL 5MG TABLET BISOPROLOL FUMARATE 02267470 Y

Blood pressure* NOVO-CAPTORIL 100MG TABLET CAPTOPRIL 01942999 Y

Blood pressure* NOVO-CAPTORIL 12.5MG TABLET CAPTOPRIL 01942964 Y

Blood pressure* NOVO-CAPTORIL 25MG TABLET CAPTOPRIL 01942972 Y

Blood pressure* NOVO-CAPTORIL 50MG TABLET CAPTOPRIL 01942980 Y

Blood pressure* NOVO-CILAZAPRIL 1MG TABLET CILAZAPRIL 02266350 Y

Blood pressure* NOVO-CILAZAPRIL 2.5MG TABLET CILAZAPRIL 02266369 Y

Blood pressure* NOVO-CILAZAPRIL 5MG TABLET CILAZAPRIL 02266377 Y

Blood pressure* NOVO-CILAZAPRIL/HCTZ 5MG/12.5MG TABLET CILAZAPRIL/HYDROCHLOROTHIAZIDE02313731 Y

Blood pressure* NOVO-CLONIDINE 0.025MG TABLET CLONIDINE HCL 02304163 Y

Blood pressure* NOVO-CLONIDINE 0.1MG TABLET CLONIDINE HCL 02046121 Y

Blood pressure* NOVO-CLONIDINE 0.2MG TABLET CLONIDINE HCL 02046148 Y

Blood pressure* NOVO-DOXAZOSIN 1MG TABLET DOXAZOSIN MESYLATE 02242728 Y

Blood pressure* NOVO-DOXAZOSIN 2MG TABLET DOXAZOSIN MESYLATE 02242729 Y

Blood pressure* NOVO-DOXAZOSIN 4MG TABLET DOXAZOSIN MESYLATE 02242730 Y

Blood pressure* NOVO-ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02233007 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 109

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* NOVO-ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02300680 Y

Blood pressure* NOVO-ENALAPRIL 32MG TABLET ENALAPRIL SODIUM 02330601 Y

Blood pressure* NOVO-ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02233005 Y

Blood pressure* NOVO-ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02233006 Y

Blood pressure* NOVO-ENALAPRIL/HCTZ 4/12.5MG TABLET ENALAPRIL SODIUM/HYDROCHLOROTHIAZIDE02300222 Y

Blood pressure* NOVO-ENALAPRIL/HCTZ 8/25MG TABLET ENALAPRIL SODIUM/HYDROCHLOROTHIAZIDE02300230 Y

Blood pressure* NOVO-HYDRAZIDE 25MG TABLET HYDROCHLOROTHIAZIDE 00021474 Y

Blood pressure* NOVO-HYDRAZIDE 50MG TABLET HYDROCHLOROTHIAZIDE 00021482 Y

Blood pressure* NOVO-HYLAZIN 10MG TABLET HYDRALAZINE HCL 00759465 Y

Blood pressure* NOVO-HYLAZIN 25MG TABLET HYDRALAZINE HCL 00759473 Y

Blood pressure* NOVO-HYLAZIN 50MG TABLET HYDRALAZINE HCL 00759481 Y

Blood pressure* NOVO-INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02231184 Y

Blood pressure* NOVO-LISINOPRIL 20MG TABLET LISINOPRIL 02238221 Y

Blood pressure* NOVO-LISINOPRIL 5MG TABLET LISINOPRIL 02238219 Y

Blood pressure* NOVO-LISINOPRIL(TYPE P) 10MG TABLET LISINOPRIL 02285088 Y

Blood pressure* NOVO-LISINOPRIL(TYPE P) 20MG TABLET LISINOPRIL 02285096 Y

Blood pressure* NOVO-LISINOPRIL(TYPE P) 5MG TABLET LISINOPRIL 02285061 Y

Blood pressure* NOVO-LISINOPRIL(TYPE Z) 10MG TABLET LISINOPRIL 02285126 Y

Blood pressure* NOVO-LISINOPRIL(TYPE Z) 20MG TABLET LISINOPRIL 02285134 Y

Blood pressure* NOVO-LISINOPRIL(TYPE Z) 5MG TABLET LISINOPRIL 02285118 Y

Blood pressure* NOVO-LISINOPRIL/HCTZ (TYPE P) 10MG/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02302136 Y

Blood pressure* NOVO-LISINOPRIL/HCTZ (TYPE P) 20MG /12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02302144 Y

Blood pressure* NOVO-LISINOPRIL/HCTZ (TYPE P) 20MG/25MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02302152 Y

Blood pressure* NOVO-LISINOPRIL/HCTZ (TYPE Z) 10MG/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02301768 Y

Blood pressure* NOVO-LISINOPRIL/HCTZ (TYPE Z) 20MG/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02301776 Y

Blood pressure* NOVO-LISINOPRIL/HCTZ (TYPE Z) 20MG/25MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02301784 Y

Blood pressure* NOVO-LISINOPRIL10MG TABLET LISINOPRIL 02238220 Y

Blood pressure* NOVO-METOPROL 100MG CAPLET METOPROLOL TARTRATE 00648043 Y

Blood pressure* NOVO-METOPROL 100MG TABLET METOPROLOL TARTRATE 00842656 Y

Blood pressure* NOVO-METOPROL 25MG TABLET METOPROLOL TARTRATE 02261898 Y

Blood pressure* NOVO-METOPROL 50MG CAPLET METOPROLOL TARTRATE 00648035 Y

Blood pressure* NOVO-METOPROL 50MG TABLET METOPROLOL TARTRATE 00842648 Y

Blood pressure* NOVO-NADOLOL 40MG TABLET NADOLOL 02126753 Y

Blood pressure* NOVO-NADOLOL 80MG TABLET NADOLOL 02126761 Y

Blood pressure* NOVO-PINDOL 10MG TABLET PINDOLOL 00869015 Y

Blood pressure* NOVO-PINDOL 15MG TABLET PINDOLOL 00869023 Y

Blood pressure* NOVO-PINDOL 5MG TABLET PINDOLOL 00869007 Y

Blood pressure* NOVO-PRANOL 10MG TABLET PROPRANOLOL HCL 00496480 Y

Blood pressure* NOVO-PRANOL 20MG TABLET PROPRANOLOL HCL 00740675 Y

Blood pressure* NOVO-PRANOL 40MG TABLET PROPRANOLOL HCL 00496499 Y

Blood pressure* NOVO-PRANOL 80MG TABLET PROPRANOLOL HCL 00496502 Y

Blood pressure* NOVO-PRAZIN 1MG TABLET PRAZOSIN HCL 01934198 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 110

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* NOVO-PRAZIN 2MG TABLET PRAZOSIN HCL 01934201 Y

Blood pressure* NOVO-PRAZIN 5MG TABLET PRAZOSIN HCL 01934228 Y

Blood pressure* NOVO-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02283891 Y

Blood pressure* NOVO-SOTALOL 160MG TABLET SOTALOL HCL 02231182 Y

Blood pressure* NOVO-SOTALOL 80MG TABLET SOTALOL HCL 02231181 Y

Blood pressure* NOVO-SPIROTON 100MG TABLET SPIRONOLACTONE 00613223 Y

Blood pressure* NOVO-SPIROTON 25MG TABLET SPIRONOLACTONE 00613215 Y

Blood pressure* NOVO-SPIROZINE 25/25 TABLET HCTZ/SPIRONOLACTONE 00613231 Y

Blood pressure* NOVO-SPIROZINE 50/50 TABLET HCTZ/SPIRONOLACTONE 00657182 Y

Blood pressure* NOVO-TIMOL 10MG TABLET TIMOLOL MALEATE 01947818 Y

Blood pressure* NOVO-TIMOL 20MG TABLET TIMOLOL MALEATE 01947826 Y

Blood pressure* NOVO-TIMOL 5MG TABLET TIMOLOL MALEATE 01947796 Y

Blood pressure* NOVO-TRIAMZIDE TABLET HCTZ/TRIAMTERENE 00532657 Y

Blood pressure* NTP-ATENOL 100MG TABLET ATENOLOL 02343819 Y

Blood pressure* NTP-ATENOL 25MG TABLET ATENOLOL 02343797 Y

Blood pressure* NTP-ATENOL 50MG TABLET ATENOLOL 02343800 Y

Blood pressure* NTP-ATENOLOL/CHLORTHALIDONE 100/25MG TABLET ATENOLOL/CHLORTHALIDONE 02348241 Y

Blood pressure* NTP-ATENOLOL/CHLORTHALIDONE 50/25MG TABLET ATENOLOL/CHLORTHALIDONE 02348233 Y

Blood pressure* NTP-CILAZAPRIL 1MG TABLET CILAZAPRIL 02347709 Y

Blood pressure* NTP-CILAZAPRIL 2.5MG TABLET CILAZAPRIL 02347717 Y

Blood pressure* NTP-CILAZAPRIL 5MG TABLET CILAZAPRIL 02347725 Y

Blood pressure* NTP-METOPROLOL 100MG TABLET METOPROLOL TARTRATE 02347059 Y

Blood pressure* NTP-METOPROLOL 50MG TABLET METOPROLOL TARTRATE 02347040 Y

Blood pressure* NTP-METOPROLOL FILM COATED 100MG TABLET METOPROLOL TARTRATE 02347032 Y

Blood pressure* NTP-METOPROLOL FILM COATED 50MG TABLET METOPROLOL TARTRATE 02347024 Y

Blood pressure* NTP-SPIRONOLACTONE 100MG TABLET SPIRONOLACTONE 02347628 Y

Blood pressure* NTP-SPIRONOLACTONE 25MG TABLET SPIRONOLACTONE 02347601 Y

Blood pressure* NTP-TERAZOSIN 10MG TABLET TERAZOSIN HCL 02346761 Y

Blood pressure* NTP-TERAZOSIN 1MG TABLET TERAZOSIN HCL 02346737 Y

Blood pressure* NTP-TERAZOSIN 2MG TABLET TERAZOSIN HCL 02346745 Y

Blood pressure* NTP-TERAZOSIN 5MG TABLET TERAZOSIN HCL 02346753 Y

Blood pressure* NU-ACEBUTOLOL 100MG TABLET ACEBUTOLOL HCL 02165546 Y

Blood pressure* NU-ACEBUTOLOL 200MG TABLET ACEBUTOLOL HCL 02165554 Y

Blood pressure* NU-ACEBUTOLOL 400MG TABLET ACEBUTOLOL HCL 02165562 Y

Blood pressure* NU-AMILZIDE TABLET HYDROCHLOROTHIAZIDE/AMILOR HCL00886106 Y

Blood pressure* NU-ATENOL 100MG TABLET ATENOLOL 00886122 Y

Blood pressure* NU-ATENOL 50MG TABLET ATENOLOL 00886114 Y

Blood pressure* NU-BISOPROLOL 10MG TABLET BISOPROLOL FUMARATE 02336332 Y

Blood pressure* NU-BISOPROLOL 5MG TABLET BISOPROLOL FUMARATE 02336324 Y

Blood pressure* NU-CAPTO 100MG TABLET CAPTOPRIL 01913859 Y

Blood pressure* NU-CAPTO 12.5MG TABLET CAPTOPRIL 01913824 Y

Blood pressure* NU-CAPTO 25MG TABLET CAPTOPRIL 01913832 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 111

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* NU-CAPTO 50MG TABLET CAPTOPRIL 01913840 Y

Blood pressure* NU-CARVEDILOL 12.5MG TABLET CARVEDILOL 02248717 Y

Blood pressure* NU-CARVEDILOL 25MG TABLET CARVEDILOL 02248718 Y

Blood pressure* NU-CARVEDILOL 3.125MG TABLET CARVEDILOL 02248715 Y

Blood pressure* NU-CARVEDILOL 6.25MG TABLET CARVEDILOL 02248716 Y

Blood pressure* NU-CLONIDINE 0.1MG TABLET CLONIDINE HCL 01913786 Y

Blood pressure* NU-CLONIDINE 0.2MG TABLET CLONIDINE HCL 01913220 Y

Blood pressure* NU-ENALAPRIL 10MG TABLET ENALAPRIL MALEATE 02338149 Y

Blood pressure* NU-ENALAPRIL 2.5MG TABLET ENALAPRIL MALEATE 02338122 Y

Blood pressure* NU-ENALAPRIL 20MG TABLET ENALAPRIL MALEATE 02338157 Y

Blood pressure* NU-ENALAPRIL 5MG TABLET ENALAPRIL MALEATE 02338130 Y

Blood pressure* NU-HYDRAL 25MG TABLET HYDRALAZINE HCL 02004828 Y

Blood pressure* NU-HYDRAL 50MG TABLET HYDRALAZINE HCL 02004836 Y

Blood pressure* NU-HYDRO 12.5MG TABLET HYDROCHLOROTHIAZIDE 02335824 Y

Blood pressure* NU-HYDRO 25MG TABLET HYDROCHLOROTHIAZIDE 02250659 Y

Blood pressure* NU-HYDRO 50MG TABLET HYDROCHLOROTHIAZIDE 02250667 Y

Blood pressure* NU-INDAPAMIDE 1.25MG TABLET INDAPAMIDE 02337118 Y

Blood pressure* NU-INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02223597 Y

Blood pressure* NU-LISINOPRIL 10MG TABLET LISINOPRIL 02335476 Y

Blood pressure* NU-LISINOPRIL 20MG TABLET LISINOPRIL 02335484 Y

Blood pressure* NU-LISINOPRIL 40MG TABLET LISINOPRIL 02335492 Y

Blood pressure* NU-LISINOPRIL 5MG TABLET LISINOPRIL 02335468 Y

Blood pressure* NU-LISINOPRIL/HCTZ 10/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02336766 Y

Blood pressure* NU-LISINOPRIL/HCTZ 20/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02336774 Y

Blood pressure* NU-LISINOPRIL/HCTZ 20/25MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02336782 Y

Blood pressure* NU-METOP 100MG TABLET METOPROLOL TARTRATE 00865613 Y

Blood pressure* NU-METOP 50MG TABLET METOPROLOL TARTRATE 00865605 Y

Blood pressure* NU-METOPROLOL (TYPE L) 100MG TABLET METOPROLOL TARTRATE 02337363 Y

Blood pressure* NU-METOPROLOL (TYPE L) 50MG TABLET METOPROLOL TARTRATE 02337355 Y

Blood pressure* NU-METOPROLOL 100MG TABLET METOPROLOL TARTRATE 02337347 Y

Blood pressure* NU-METOPROLOL 25MG TABLET METOPROLOL TARTRATE 02337320 Y

Blood pressure* NU-METOPROLOL 50MG TABLET METOPROLOL TARTRATE 02337339 Y

Blood pressure* NU-METOPROLOL SR 100MG TABLET METOPROLOL TARTRATE 02337371 Y

Blood pressure* NU-METOPROLOL SR 200MG TABLET METOPROLOL TARTRATE 02337398 Y

Blood pressure* NU-PINDOL 10MG TABLET PINDOLOL 00886009 Y

Blood pressure* NU-PINDOL 15MG TABLET PINDOLOL 00886130 Y

Blood pressure* NU-PINDOL 5MG TABLET PINDOLOL 00886149 Y

Blood pressure* NU-PRAZO 1MG TABLET PRAZOSIN HCL 01913794 Y

Blood pressure* NU-PRAZO 2MG TABLET PRAZOSIN HCL 01913808 Y

Blood pressure* NU-PRAZO 5MG TABLET PRAZOSIN HCL 01913816 Y

Blood pressure* NU-PROPRANOLOL 20MG TABLET PROPRANOLOL HCL 02044692 Y

Blood pressure* NU-PROPRANOLOL 40MG TABLET PROPRANOLOL HCL 02044706 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 112

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* NU-SOTALOL 160MG TABLET SOTALOL HCL 02163772 Y

Blood pressure* NU-SOTALOL 80MG TABLET SOTALOL HCL 02200996 Y

Blood pressure* NU-TERAZOSIN 10MG TABLET TERAZOSIN HCL 02233050 Y

Blood pressure* NU-TERAZOSIN 1MG TABLET TERAZOSIN HCL 02233047 Y

Blood pressure* NU-TERAZOSIN 2MG TABLET TERAZOSIN HCL 02233048 Y

Blood pressure* NU-TERAZOSIN 5MG TABLET TERAZOSIN HCL 02233049 Y

Blood pressure* NU-TIMOLOL 10MG TABLET TIMOLOL MALEATE 02044617 Y

Blood pressure* NU-TIMOLOL 5MG TABLET TIMOLOL MALEATE 02044609 Y

Blood pressure* NU-TRIAZIDE TABLET HCTZ/TRIAMTERENE 00865532 Y

Blood pressure* OLMETEC 20MG TABLET OLMESARTAN MEDOXOMIL 02318660 Y

Blood pressure* OLMETEC 40MG TABLET OLMESARTAN MEDOXOMIL 02318679 Y

Blood pressure* OLMETEC 5MG TABLET OLMESARTAN MEDOXOMIL 02318652 Y

Blood pressure* OLMETEC PLUS 20-12.5MG TABLET OLMESARTAN MEDOXOMIL/HYDROCHLOROTHIAZIDE02319616 Y

Blood pressure* OLMETEC PLUS 40-12.5MG TABLET OLMESARTAN MEDOXOMIL/HYDROCHLOROTHIAZIDE02319624 Y

Blood pressure* OLMETEC PLUS 40-25MG TABLET OLMESARTAN MEDOXOMIL/HYDROCHLOROTHIAZIDE02319632 Y

Blood pressure* ORB CAPTOPRIL 50MG TABLET CAPTOPRIL 02246588 Y

Blood pressure* ORB-ATENOLOL 100MG TABLET ATENOLOL 02248074 Y

Blood pressure* ORB-ATENOLOL 50MG TABLET ATENOLOL 02248073 Y

Blood pressure* ORB-CAPTOPRIL 25MG TABLET CAPTOPRIL 02246587 Y

Blood pressure* PERINDOPRIL 2MG TABLET PERINDOPRIL ERBUMINE 02292955 Y

Blood pressure* PERINDOPRIL 4MG TABLET PERINDOPRIL ERBUMINE 02292963 Y

Blood pressure* PERINDOPRIL 8MG TABLET PERINDOPRIL ERBUMINE 02292971 Y

Blood pressure* PHL-ATENOLOL 100MG TABLET ATENOLOL 02238318 Y

Blood pressure* PHL-ATENOLOL 25MG TABLET ATENOLOL 02247182 Y

Blood pressure* PHL-ATENOLOL 50MG TABLET ATENOLOL 02238316 Y

Blood pressure* PHL-BISOPROLOL 10MG TABLET BISOPROLOL FUMARATE 02308347 Y

Blood pressure* PHL-BISOPROLOL 5MG TABLET BISOPROLOL FUMARATE 02308339 Y

Blood pressure* PHL-CARVEDILOL 12.5MG TABLET CARVEDILOL 02248754 Y

Blood pressure* PHL-CARVEDILOL 25MG TABLET CARVEDILOL 02248755 Y

Blood pressure* PHL-CARVEDILOL 3.125MG TABLET CARVEDILOL 02248752 Y

Blood pressure* PHL-CARVEDILOL 6.25MG TABLET CARVEDILOL 02248753 Y

Blood pressure* PHL-CILAZAPRIL 1MG TABLET CILAZAPRIL 02309378 Y

Blood pressure* PHL-CILAZAPRIL 2.5MG TABLET CILAZAPRIL 02309386 Y

Blood pressure* PHL-CILAZAPRIL 5MG TABLET CILAZAPRIL 02309394 Y

Blood pressure* PHL-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02256053 Y

Blood pressure* PHL-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02256061 Y

Blood pressure* PHL-HYDROCHLOROTHIAZIDE 12.5MG TABLET HYDROCHLOROTHIAZIDE 02282887 Y

Blood pressure* PHL-INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02240350 Y

Blood pressure* PHL-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02308363 Y

Blood pressure* PHL-RAMIPRIL 10MG CAPSULE RAMIPRIL 02287943 Y

Blood pressure* PHL-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02287927 Y

Blood pressure* PHL-RAMIPRIL 5MG CAPSULE RAMIPRIL 02287935 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 113

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* PHL-SOTALOL 160MG TABLET SOTALOL HCL 02238769 Y

Blood pressure* PHL-SOTALOL 80MG TABLET SOTALOL HCL 02238768 Y

Blood pressure* PHL-TERAZOSIN 10MG TABLET TERAZOSIN HCL 02246547 Y

Blood pressure* PHL-TERAZOSIN 1MG TABLET TERAZOSIN HCL 02246544 Y

Blood pressure* PHL-TERAZOSIN 2MG TABLET TERAZOSIN HCL 02246545 Y

Blood pressure* PHL-TERAZOSIN 5MG TABLET TERAZOSIN HCL 02246546 Y

Blood pressure* PINDOLOL-10 10MG TABLET PINDOLOL 00828424 Y

Blood pressure* PINDOLOL-15 15MG TABLET PINDOLOL 00828432 Y

Blood pressure* PINDOLOL-5 5MG TABLET PINDOLOL 00828416 Y

Blood pressure* PMS-ATENOLOL 100MG TABLET ATENOLOL 02237601 Y

Blood pressure* PMS-ATENOLOL 25MG TABLET ATENOLOL 02246581 Y

Blood pressure* PMS-ATENOLOL 50MG TABLET ATENOLOL 02237600 Y

Blood pressure* PMS-BENAZEPRIL 10MG TABLET BENAZEPRIL HCL 02231550 Y

Blood pressure* PMS-BISOPROLOL 10MG TABLET BISOPROLOL FUMARATE 02302640 Y

Blood pressure* PMS-BISOPROLOL 5MG TABLET BISOPROLOL FUMARATE 02302632 Y

Blood pressure* PMS-CAPTOPRIL 100MG TABLET CAPTOPRIL 02230206 Y

Blood pressure* PMS-CAPTOPRIL 12.5MG TABLET CAPTOPRIL 02230203 Y

Blood pressure* PMS-CAPTOPRIL 25MG TABLET CAPTOPRIL 02230204 Y

Blood pressure* PMS-CAPTOPRIL 50MG TABLET CAPTOPRIL 02230205 Y

Blood pressure* PMS-CARVEDILOL 12.5MG TABLET CARVEDILOL 02245916 Y

Blood pressure* PMS-CARVEDILOL 25MG TABLET CARVEDILOL 02245917 Y

Blood pressure* PMS-CARVEDILOL 3.125MG TABLET CARVEDILOL 02245914 Y

Blood pressure* PMS-CARVEDILOL 6.25MG TABLET CARVEDILOL 02245915 Y

Blood pressure* PMS-CILAZAPRIL 1MG TABLET CILAZAPRIL 02280442 Y

Blood pressure* PMS-CILAZAPRIL 2.5MG TABLET CILAZAPRIL 02280450 Y

Blood pressure* PMS-CILAZAPRIL 5MG TABLET CILAZAPRIL 02280469 Y

Blood pressure* PMS-DOPAZIDE 15 TABLET METHYLDOPA/HYDROCHLOROTHIAZIDE00584967 Y

Blood pressure* PMS-DOXAZOSIN 1MG TABLET DOXAZOSIN MESYLATE 02244527 Y

Blood pressure* PMS-DOXAZOSIN 2MG TABLET DOXAZOSIN MESYLATE 02244528 Y

Blood pressure* PMS-DOXAZOSIN 4MG TABLET DOXAZOSIN MESYLATE 02244529 Y

Blood pressure* PMS-ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02300109 Y

Blood pressure* PMS-ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02300079 Y

Blood pressure* PMS-ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02300087 Y

Blood pressure* PMS-ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02300095 Y

Blood pressure* PMS-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02255944 Y

Blood pressure* PMS-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02255952 Y

Blood pressure* PMS-HYDROCHLOROTHIAZIDE 12.5MG TABLET HYDROCHLOROTHIAZIDE 02274086 Y

Blood pressure* PMS-HYDROCHLOROTHIAZIDE 25MG TABLET HYDROCHLOROTHIAZIDE 02247386 Y

Blood pressure* PMS-HYDROCHLOROTHIAZIDE 50MG TABLET HYDROCHLOROTHIAZIDE 02247387 Y

Blood pressure* PMS-INDAPAMIDE 1.25MG TABLET INDAPAMIDE 02239619 Y

Blood pressure* PMS-INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02239620 Y

Blood pressure* PMS-LISINOPRIL 10MG TABLET LISINOPRIL 02292211 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 114

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* PMS-LISINOPRIL 20MG TABLET LISINOPRIL 02292238 Y

Blood pressure* PMS-LISINOPRIL 5MG TABLET LISINOPRIL 02292203 Y

Blood pressure* PMS-METOPROLOL-B 100MG TABLET METOPROLOL TARTRATE 02145421 Y

Blood pressure* PMS-METOPROLOL-B 50MG TABLET METOPROLOL TARTRATE 02145413 Y

Blood pressure* PMS-METOPROLOL-L 100MG TABLET METOPROLOL TARTRATE 02230804 Y

Blood pressure* PMS-METOPROLOL-L 25MG TABLET METOPROLOL TARTRATE 02248855 Y

Blood pressure* PMS-METOPROLOL-L 50MG TABLET METOPROLOL TARTRATE 02230803 Y

Blood pressure* PMS-PINDOLOL 10MG TABLET PINDOLOL 02231537 Y

Blood pressure* PMS-PINDOLOL 15MG TABLET PINDOLOL 02231539 Y

Blood pressure* PMS-PINDOLOL 5MG TABLET PINDOLOL 02231536 Y

Blood pressure* PMS-PROPRANOLOL 10MG TABLET PROPRANOLOL HCL 00582255 Y

Blood pressure* PMS-PROPRANOLOL 120MG TABLET PROPRANOLOL HCL 00582298 Y

Blood pressure* PMS-PROPRANOLOL 40MG TABLET PROPRANOLOL HCL 00582263 Y

Blood pressure* PMS-PROPRANOLOL 80MG TABLET PROPRANOLOL HCL 00582271 Y

Blood pressure* PMS-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02295369 Y

Blood pressure* PMS-RAMIPRIL 10MG CAPSULE RAMIPRIL 02247919 Y

Blood pressure* PMS-RAMIPRIL 15MG CAPSULE RAMIPRIL 02343932 Y

Blood pressure* PMS-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02247917 Y

Blood pressure* PMS-RAMIPRIL 5MG CAPSULE RAMIPRIL 02247918 Y

Blood pressure* PMS-RAMIPRIL-HCTZ 10MG/12.5MG TABLET RAMIPRIL/HYDROCHLOROTHIAZIDE02342154 Y

Blood pressure* PMS-RAMIPRIL-HCTZ 10MG/25MG TABLET RAMIPRIL/HYDROCHLOROTHIAZIDE02342170 Y

Blood pressure* PMS-RAMIPRIL-HCTZ 2.5MG/12.5MG TABLET RAMIPRIL/HYDROCHLOROTHIAZIDE02342138 Y

Blood pressure* PMS-RAMIPRIL-HCTZ 5MG/12.5MG TABLET RAMIPRIL/HYDROCHLOROTHIAZIDE02342146 Y

Blood pressure* PMS-RAMIPRIL-HCTZ 5MG/25MG TABLET RAMIPRIL/HYDROCHLOROTHIAZIDE02342162 Y

Blood pressure* PMS-SOTALOL 160MG TABLET SOTALOL HCL 02238327 Y

Blood pressure* PMS-SOTALOL 240MG TABLET SOTALOL HCL 02238328 Y

Blood pressure* PMS-SOTALOL 80MG TABLET SOTALOL HCL 02238326 Y

Blood pressure* PMS-TERAZOSIN 10MG TABLET TERAZOSIN HCL 02243521 Y

Blood pressure* PMS-TERAZOSIN 1MG TABLET TERAZOSIN HCL 02243518 Y

Blood pressure* PMS-TERAZOSIN 2MG TABLET TERAZOSIN HCL 02243519 Y

Blood pressure* PMS-TERAZOSIN 5MG TABLET TERAZOSIN HCL 02243520 Y

Blood pressure* PMS-YOHIMBINE 2MG TABLET YOHIMBINE HCL 01954504 Y

Blood pressure* PMS-YOHIMBINE 5.4MG YOHIMBINE HCL 01954342 Y

Blood pressure* PMS-YOHIMBINE 6MG TABLET YOHIMBINE HCL 01985604 Y

Blood pressure* PRAZOSIN-1 1MG TABLET PRAZOSIN HCL 01907158 Y

Blood pressure* PRAZOSIN-2 2MG TABLET PRAZOSIN HCL 01910302 Y

Blood pressure* PRAZOSIN-5 5MG TABLET PRAZOSIN HCL 01910310 Y

Blood pressure* PRINIVIL 10MG TABLET LISINOPRIL 00839396 Y

Blood pressure* PRINIVIL 20MG TABLET LISINOPRIL 00839418 Y

Blood pressure* PRINIVIL 5MG TABLET LISINOPRIL 00839388 Y

Blood pressure* PRINZIDE 10/12.5 TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02108194 Y

Blood pressure* PRINZIDE 20/12.5 TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE00884413 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 115

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* PRINZIDE 20/25 TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE00884421 Y

Blood pressure* PRO-BISOPROLOL-10 10MG TABLET BISOPROLOL FUMARATE 02307006 Y

Blood pressure* PRO-BISOPROLOL-5 5MG TABLET BISOPROLOL FUMARATE 02306999 Y

Blood pressure* PRO-CARVEDILOL 12.5MG TABLET CARVEDILOL 02310643 Y

Blood pressure* PRO-CARVEDILOL 25MG TABLET CARVEDILOL 02310651 Y

Blood pressure* PRO-CARVEDILOL 3.125MG TABLET CARVEDILOL 02310627 Y

Blood pressure* PRO-CARVEDILOL 6.25MG TABLET CARVEDILOL 02310635 Y

Blood pressure* PRO-ENALAPRIL 10MG TABLET ENALAPRIL MALEATE 02311429 Y

Blood pressure* PRO-ENALAPRIL 2.5MG TABLET ENALAPRIL MALEATE 02311402 Y

Blood pressure* PRO-ENALAPRIL 20MG TABLET ENALAPRIL MALEATE 02311437 Y

Blood pressure* PRO-ENALAPRIL 5MG TABLET ENALAPRIL MALEATE 02311410 Y

Blood pressure* PRO-INDAPAMIDE 1.25MG TABLET INDAPAMIDE 02312530 Y

Blood pressure* PRO-INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02312549 Y

Blood pressure* PRO-LISINOPRIL 10MG TABLET LISINOPRIL 02310988 Y

Blood pressure* PRO-LISINOPRIL 20MG TABLET LISINOPRIL 02310996 Y

Blood pressure* PRO-LISINOPRIL 40MG TABLET LISINOPRIL 02311003 Y

Blood pressure* PRO-LISINOPRIL 5MG TABLET LISINOPRIL 02310961 Y

Blood pressure* PROPRANOLOL 10MG TABLET PROPRANOLOL HCL 00512575 Y

Blood pressure* PROPRANOLOL 1MG/ML VIAL PROPRANOLOL HCL 02225883 Y

Blood pressure* PROPRANOLOL 40MG TABLET PROPRANOLOL HCL 00512532 Y

Blood pressure* PROPRANOLOL 80MG TABLET PROPRANOLOL HCL 00512540 Y

Blood pressure* PROPRANOLOL-20 20MG TABLET PROPRANOLOL HCL 00667072 Y

Blood pressure* PRO-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02310023 Y

Blood pressure* PRO-RAMIPRIL 10MG CAPSULE RAMIPRIL 02310104 Y

Blood pressure* PRO-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02310066 Y

Blood pressure* PRO-RAMIPRIL 5MG CAPSULE RAMIPRIL 02310074 Y

Blood pressure* PRO-SOTALOL 160MG TABLET SOTALOL HCL 02316536 Y

Blood pressure* PRO-SOTALOL 80MG TABLET SOTALOL HCL 02316528 Y

Blood pressure* PRO-TRIAZIDE TABLET HCTZ/TRIAMTERENE 00519367 Y

Blood pressure* PROVAL-INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02049341 Y

Blood pressure* Q-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02339021 Y

Blood pressure* Q-RAMIPRIL 10MG CAPSULE RAMIPRIL 02339064 Y

Blood pressure* Q-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02339048 Y

Blood pressure* Q-RAMIPRIL 5MG CAPSULE RAMIPRIL 02339056 Y

Blood pressure* RAMACE 1.25MG TABLET RAMIPRIL 02248884 Y

Blood pressure* RAMACE 10MG CAPSULE RAMIPRIL 02242874 Y

Blood pressure* RAMACE 10MG TABLET RAMIPRIL 02248887 Y

Blood pressure* RAMACE 2.5MG TABLET RAMIPRIL 02248885 Y

Blood pressure* RAMACE 5MG TABLET RAMIPRIL 02248886 Y

Blood pressure* RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02342685 Y

Blood pressure* RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02340216 Y

Blood pressure* RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02332299 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 116

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02299372 Y

Blood pressure* RAMIPRIL 10MG CAPSULE RAMIPRIL 02342715 Y

Blood pressure* RAMIPRIL 10MG CAPSULE RAMIPRIL 02340240 Y

Blood pressure* RAMIPRIL 10MG CAPSULE RAMIPRIL 02332329 Y

Blood pressure* RAMIPRIL 10MG CAPSULE RAMIPRIL 02255332 Y

Blood pressure* RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02342693 Y

Blood pressure* RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02340224 Y

Blood pressure* RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02332302 Y

Blood pressure* RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02255316 Y

Blood pressure* RAMIPRIL 5MG CAPSULE RAMIPRIL 02342707 Y

Blood pressure* RAMIPRIL 5MG CAPSULE RAMIPRIL 02340232 Y

Blood pressure* RAMIPRIL 5MG CAPSULE RAMIPRIL 02332310 Y

Blood pressure* RAMIPRIL 5MG CAPSULE RAMIPRIL 02255324 Y

Blood pressure* RAN-ATENOLOL 100MG TABLET ATENOLOL 02267993 Y

Blood pressure* RAN-ATENOLOL 50MG TABLET ATENOLOL 02267985 Y

Blood pressure* RAN-CARVEDILOL 12.5MG TABLET CARVEDILOL 02268043 Y

Blood pressure* RAN-CARVEDILOL 25MG TABLET CARVEDILOL 02268051 Y

Blood pressure* RAN-CARVEDILOL 3.125MG TABLET CARVEDILOL 02268027 Y

Blood pressure* RAN-CARVEDILOL 6.25MG TABLET CARVEDILOL 02268035 Y

Blood pressure* RAN-ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02352265 Y

Blood pressure* RAN-ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02352230 Y

Blood pressure* RAN-ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02352249 Y

Blood pressure* RAN-ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02352257 Y

Blood pressure* RAN-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02294524 Y

Blood pressure* RAN-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02294532 Y

Blood pressure* RAN-LISINOPRIL 10MG TABLET LISINOPRIL 02294249 Y

Blood pressure* RAN-LISINOPRIL 20MG TABLET LISINOPRIL 02294257 Y

Blood pressure* RAN-LISINOPRIL 5MG TABLET LISINOPRIL 02294230 Y

Blood pressure* RAN-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02310503 Y

Blood pressure* RAN-RAMIPRIL 10MG CAPSULE RAMIPRIL 02310546 Y

Blood pressure* RAN-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02310511 Y

Blood pressure* RAN-RAMIPRIL 5MG CAPSULE RAMIPRIL 02310538 Y

Blood pressure* RASILEZ 150MG TABLET ALISKIREN FUMARATE 02302063 Y

Blood pressure* RASILEZ 300MG TABLET ALISKIREN FUMARATE 02302071 Y

Blood pressure* RASILEZ HCT 150/12.5MG TABLET ALISKIREN FUMARATE/HCTZ 02332728 Y

Blood pressure* RASILEZ HCT 150/25MG TABLET ALISKIREN FUMARATE/HCTZ 02332736 Y

Blood pressure* RASILEZ HCT 300/12.5MG TABLET ALISKIREN FUMARATE/HCTZ 02332744 Y

Blood pressure* RASILEZ HCT 300/25MG TABLET ALISKIREN FUMARATE/HCTZ 02332752 Y

Blood pressure* RATIO-ATENOLOL 100MG TABLET ATENOLOL 02171805 Y

Blood pressure* RATIO-ATENOLOL 50MG TABLET ATENOLOL 02171791 Y

Blood pressure* RATIO-CARVEDILOL 12.5MG TABLET CARVEDILOL 02252325 Y

Blood pressure* RATIO-CARVEDILOL 25MG TABLET CARVEDILOL 02252333 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 117

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* RATIO-CARVEDILOL 3.125MG TABLET CARVEDILOL 02252309 Y

Blood pressure* RATIO-CARVEDILOL 6.25MG TABLET CARVEDILOL 02252317 Y

Blood pressure* RATIO-ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02300028 Y

Blood pressure* RATIO-ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02299984 Y

Blood pressure* RATIO-ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02299992 Y

Blood pressure* RATIO-ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02300001 Y

Blood pressure* RATIO-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02275252 Y

Blood pressure* RATIO-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02275260 Y

Blood pressure* RATIO-LISINOPRIL P 10MG TABLET LISINOPRIL 02256800 Y

Blood pressure* RATIO-LISINOPRIL P 20MG TABLET LISINOPRIL 02256819 Y

Blood pressure* RATIO-LISINOPRIL P 5MG TABLET LISINOPRIL 02256797 Y

Blood pressure* RATIO-LISINOPRIL Z 10MG TABLET LISINOPRIL 02299887 Y

Blood pressure* RATIO-LISINOPRIL Z 20MG TABLET LISINOPRIL 02299895 Y

Blood pressure* RATIO-LISINOPRIL Z 5MG TABLET LISINOPRIL 02299879 Y

Blood pressure* RATIO-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02287692 Y

Blood pressure* RATIO-RAMIPRIL 10MG CAPSULE RAMIPRIL 02287722 Y

Blood pressure* RATIO-RAMIPRIL 15MG CAPSULE RAMIPRIL 02311194 Y

Blood pressure* RATIO-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02287706 Y

Blood pressure* RATIO-RAMIPRIL 5MG CAPSULE RAMIPRIL 02287714 Y

Blood pressure* RATIO-SOTALOL 160MG TABLET SOTALOL HCL 02084236 Y

Blood pressure* RATIO-SOTALOL 240MG TABLET SOTALOL HCL 02084244 Y

Blood pressure* RATIO-SOTALOL 80MG TABLET SOTALOL HCL 02084228 Y

Blood pressure* RATIO-TERAZOSIN 10MG TABLET TERAZOSIN HCL 02218984 Y

Blood pressure* RATIO-TERAZOSIN 1MG TABLET TERAZOSIN HCL 02218941 Y

Blood pressure* RATIO-TERAZOSIN 2MG TABLET TERAZOSIN HCL 02218968 Y

Blood pressure* RATIO-TERAZOSIN 5MG TABLET TERAZOSIN HCL 02218976 Y

Blood pressure* RHO-SOTALOL 240MG TABLET SOTALOL HCL 02234016 Y

Blood pressure* RHOTRAL 100MG TABLET ACEBUTOLOL HCL 01910140 Y

Blood pressure* RHOTRAL 200MG TABLET ACEBUTOLOL HCL 01910159 Y

Blood pressure* RHOTRAL 400MG TABLET ACEBUTOLOL HCL 01910167 Y

Blood pressure* RHOXAL-SOTALOL 160MG TABLET SOTALOL HCL 02234013 Y

Blood pressure* RHOXAL-SOTALOL 80MG TABLET SOTALOL HCL 02234008 Y

Blood pressure* RIVA-ATENOLOL 100MG TABLET ATENOLOL 02242093 Y

Blood pressure* RIVA-ATENOLOL 25MG TABLET ATENOLOL 02277379 Y

Blood pressure* RIVA-ATENOLOL 50MG TABLET ATENOLOL 02242094 Y

Blood pressure* RIVA-ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02300834 Y

Blood pressure* RIVA-ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02300796 Y

Blood pressure* RIVA-ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02300818 Y

Blood pressure* RIVA-ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02300826 Y

Blood pressure* RIVA-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02265923 Y

Blood pressure* RIVA-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02265931 Y

Blood pressure* RIVA-INDAPAMIDE 1.25MG TABLET INDAPAMIDE 02247245 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 118

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* RIVA-INDAPAMIDE 2.5MG TABLET INDAPAMIDE 02242125 Y

Blood pressure* RIVA-LISINOPRIL 10MG TABLET LISINOPRIL 02300982 Y

Blood pressure* RIVA-LISINOPRIL 20MG TABLET LISINOPRIL 02300990 Y

Blood pressure* RIVA-LISINOPRIL 5MG TABLET LISINOPRIL 02300958 Y

Blood pressure* RIVA-METOPROLOL-L 100MG TABLET METOPROLOL TARTRATE 02315327 Y

Blood pressure* RIVA-METOPROLOL-L 25MG TABLET METOPROLOL TARTRATE 02315300 Y

Blood pressure* RIVA-METOPROLOL-L 50MG TABLET METOPROLOL TARTRATE 02315319 Y

Blood pressure* RIVA-SOTALOL 160MG SOTALOL HCL 02242157 Y

Blood pressure* RIVA-SOTALOL 160MG TABLET SOTALOL HCL 02272172 Y

Blood pressure* RIVA-SOTALOL 80MG TABLET SOTALOL HCL 02272164 Y

Blood pressure* RIVA-SOTALOL 80MG TABLET SOTALOL HCL 02242156 Y

Blood pressure* RIVA-ZIDE TABLET HCTZ/TRIAMTERENE 02240846 Y

Blood pressure* SANDOZ ATENOLOL 100MG TABLET ATENOLOL 02231733 Y

Blood pressure* SANDOZ ATENOLOL 50MG TABLET ATENOLOL 02231731 Y

Blood pressure* SANDOZ BISOPROLOL 10MG TABLET BISOPROLOL FUMARATE 02247440 Y

Blood pressure* SANDOZ BISOPROLOL 5MG TABLET BISOPROLOL FUMARATE 02247439 Y

Blood pressure* SANDOZ METOPROLOL SR 100MG TABLET METOPROLOL TARTRATE 02303396 Y

Blood pressure* SANDOZ METOPROLOL SR 200MG TABLET METOPROLOL TARTRATE 02303418 Y

Blood pressure* SANDOZ-ACEBUTOLOL 100MG TABLET ACEBUTOLOL HCL 02257599 Y

Blood pressure* SANDOZ-ACEBUTOLOL 200MG TABLET ACEBUTOLOL HCL 02257602 Y

Blood pressure* SANDOZ-ACEBUTOLOL 400MG TABLET ACEBUTOLOL HCL 02257610 Y

Blood pressure* SANDOZ-ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02299976 Y

Blood pressure* SANDOZ-ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02299933 Y

Blood pressure* SANDOZ-ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02299941 Y

Blood pressure* SANDOZ-ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02299968 Y

Blood pressure* SANDOZ-LISINOPRIL 10MG TABLET LISINOPRIL 09857286 Y

Blood pressure* SANDOZ-LISINOPRIL 10MG TABLET LISINOPRIL 02289202 Y

Blood pressure* SANDOZ-LISINOPRIL 20MG TABLET LISINOPRIL 09857287 Y

Blood pressure* SANDOZ-LISINOPRIL 20MG TABLET LISINOPRIL 02289229 Y

Blood pressure* SANDOZ-LISINOPRIL 5MG TABLET LISINOPRIL 09857272 Y

Blood pressure* SANDOZ-LISINOPRIL 5MG TABLET LISINOPRIL 02289199 Y

Blood pressure* SANDOZ-LISINOPRIL/HCT 10MG/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02302365 Y

Blood pressure* SANDOZ-LISINOPRIL/HCT 20MG/12.5MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02302373 Y

Blood pressure* SANDOZ-LISINOPRIL/HCT 20MG/25MG TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02302381 Y

Blood pressure* SANDOZ-METOPROLOL (L) 50MG TABLET METOPROLOL TARTRATE 02247875 Y

Blood pressure* SANDOZ-METOPROLOL(L) 100MG TABLET METOPROLOL TARTRATE 02247876 Y

Blood pressure* SANDOZ-PINDOLOL 10MG TABLET PINDOLOL 02261790 Y

Blood pressure* SANDOZ-PINDOLOL 15MG TABLET PINDOLOL 02261804 Y

Blood pressure* SANDOZ-PINDOLOL 5MG TABLET PINDOLOL 02261782 Y

Blood pressure* SANDOZ-RAMIPRIL 1.25MG TABLET RAMIPRIL 02291398 Y

Blood pressure* SANDOZ-RAMIPRIL 10MG TABLET RAMIPRIL 02291436 Y

Blood pressure* SANDOZ-RAMIPRIL 2.5MG TABLET RAMIPRIL 02291401 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 119

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* SANDOZ-RAMIPRIL 5MG TABLET RAMIPRIL 02291428 Y

Blood pressure* SANDOZ-SOTALOL 160MG TABLET SOTALOL HCL 02257858 Y

Blood pressure* SANDOZ-SOTALOL 80MG TABLET SOTALOL HCL 02257831 Y

Blood pressure* SECTRAL 100MG TABLET ACEBUTOLOL HCL 01926543 Y

Blood pressure* SECTRAL 200MG TABLET ACEBUTOLOL HCL 01926551 Y

Blood pressure* SECTRAL 400MG TABLET ACEBUTOLOL HCL 01926578 Y

Blood pressure* SIG-CILAZAPRIL 1MG TABLET CILAZAPRIL 02346818 Y

Blood pressure* SIG-CILAZAPRIL 2.5MG TABLET CILAZAPRIL 02346834 Y

Blood pressure* SIG-CILAZAPRIL 5MG TABLET CILAZAPRIL 02346842 Y

Blood pressure* SIG-ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02323508 Y

Blood pressure* SIG-ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02323478 Y

Blood pressure* SIG-ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02323486 Y

Blood pressure* SIG-ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02323494 Y

Blood pressure* SIG-LISINOPRIL 10MG TABLET LISINOPRIL 02331918 Y

Blood pressure* SIG-LISINOPRIL 20MG TABLET LISINOPRIL 02331926 Y

Blood pressure* SIG-LISINOPRIL 5MG TABLET LISINOPRIL 02331896 Y

Blood pressure* SIG-RAMIPRIL 1.25MG CAPSULE RAMIPRIL 02346826 Y

Blood pressure* SIG-RAMIPRIL 10MG CAPSULE RAMIPRIL 02346885 Y

Blood pressure* SIG-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02346869 Y

Blood pressure* SIG-RAMIPRIL 5MG CAPSULE RAMIPRIL 02346877 Y

Blood pressure* SOTALOL 160MG TABLET SOTALOL HCL 02325217 Y

Blood pressure* SOTALOL 160MG TABLET SOTALOL HCL 02286173 Y

Blood pressure* SOTALOL 160MG TABLET SOTALOL HCL 02222027 Y

Blood pressure* SOTALOL 240MG TABLET SOTALOL HCL 02286181 Y

Blood pressure* SOTALOL 80MG TABLET SOTALOL HCL 02325209 Y

Blood pressure* SOTALOL 80MG TABLET SOTALOL HCL 02286165 Y

Blood pressure* SOTALOL 80MG TABLET SOTALOL HCL 02222019 Y

Blood pressure* SOTAMOL 240MG TABLET SOTALOL HCL 02238416 Y

Blood pressure* TARKA 1MG/240MG SR TABLET TRANDOLAPRIL/VERAPAMIL 02240945 Y

Blood pressure* TARKA 2MG /240MG SR TABLET TRANDOLAPRIL/VERAPAMIL 02240946 Y

Blood pressure* TARKA 2MG/180MG SR TABLET TRANDOLAPRIL/VERAPAMIL HCL 02238096 Y

Blood pressure* TARKA 4MG/240MG SR TABLET TRANDOLAPRIL/VERAPAMIL HCL 02238097 Y

Blood pressure* TARO-ENALAPRIL 16MG TABLET ENALAPRIL SODIUM 02300141 Y

Blood pressure* TARO-ENALAPRIL 2MG TABLET ENALAPRIL SODIUM 02300117 Y

Blood pressure* TARO-ENALAPRIL 4MG TABLET ENALAPRIL SODIUM 02300125 Y

Blood pressure* TARO-ENALAPRIL 8MG TABLET ENALAPRIL SODIUM 02300133 Y

Blood pressure* TENORETIC 100/25 TABLET ATENOLOL/CHLORTHALIDONE 02049988 Y

Blood pressure* TENORETIC 50/25 TABLET ATENOLOL/CHLORTHALIDONE 02049961 Y

Blood pressure* TENORMIN 100MG TABLET ATENOLOL 02039540 Y

Blood pressure* TENORMIN 50MG TABLET ATENOLOL 02039532 Y

Blood pressure* TERAZOSIN 10MG TABLET TERAZOSIN HCL 02350505 Y

Blood pressure* TERAZOSIN 10MG TABLET TERAZOSIN HCL 02237479 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 120

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* TERAZOSIN 10MG TABLET TERAZOSIN HCL 02213796 Y

Blood pressure* TERAZOSIN 1MG TABLET TERAZOSIN HCL 02350475 Y

Blood pressure* TERAZOSIN 1MG TABLET TERAZOSIN HCL 02237476 Y

Blood pressure* TERAZOSIN 2MG TABLET TERAZOSIN HCL 02350483 Y

Blood pressure* TERAZOSIN 2MG TABLET TERAZOSIN HCL 02237477 Y

Blood pressure* TERAZOSIN 5MG TABLET TERAZOSIN HCL 02350491 Y

Blood pressure* TERAZOSIN 5MG TABLET TERAZOSIN HCL 02237478 Y

Blood pressure* TERAZOSIN HYDROCHLORIDE TABLETS 10MG TABLET TERAZOSIN HCL 02341468 Y

Blood pressure* TERAZOSIN HYDROCHLORIDE TABLETS 1MG TABLET TERAZOSIN HCL 02341425 Y

Blood pressure* TERAZOSIN HYDROCHLORIDE TABLETS 2MG TABLET TERAZOSIN HCL 02341433 Y

Blood pressure* TERAZOSIN HYDROCHLORIDE TABLETS 5MG TABLET TERAZOSIN HCL 02341441 Y

Blood pressure* TEVA-ATENOLOL 100MG TABLET ATENOLOL 01912054 Y

Blood pressure* TEVA-ATENOLOL 25MG TABLET ATENOLOL 02266660 Y

Blood pressure* TEVA-ATENOLOL 50MG TABLET ATENOLOL 01912062 Y

Blood pressure* TEVA-FOSINOPRIL 10MG TABLET FOSINOPRIL SODIUM 02247802 Y

Blood pressure* TEVA-FOSINOPRIL 20MG TABLET FOSINOPRIL SODIUM 02247803 Y

Blood pressure* TEVA-RAMIPRIL 10MG CAPSULE RAMIPRIL 02247947 Y

Blood pressure* TEVA-RAMIPRIL 2.5MG CAPSULE RAMIPRIL 02247945 Y

Blood pressure* TEVA-RAMIPRIL 5MG CAPSULE RAMIPRIL 02247946 Y

Blood pressure* TEVA-TERAZOSIN 10MG TABLET TERAZOSIN HCL 02230808 Y

Blood pressure* TEVA-TERAZOSIN 1MG TABLET TERAZOSIN HCL 02230805 Y

Blood pressure* TEVA-TERAZOSIN 2MG TABLET TERAZOSIN HCL 02230806 Y

Blood pressure* TEVA-TERAZOSIN 5MG TABLET TERAZOSIN HCL 02230807 Y

Blood pressure* TEVETEN 400MG TABLET EPROSARTAN MESYLATE 02240432 Y

Blood pressure* TEVETEN 600MG TABLET EPROSARTAN MESYLATE 02243942 Y

Blood pressure* TEVETEN PLUS 600MG/12.5MG TABLET EPROSARTAN MESYLATE/ HCTZ 02253631 Y

Blood pressure* TIMOLOL-10 10MG TABLET TIMOLOL MALEATE 00812447 Y

Blood pressure* TIMOLOL-20 20MG TABLET TIMOLOL MALEATE 00812439 Y

Blood pressure* TIMOLOL-5 5MG TABLET TIMOLOL MALEATE 00812455 Y

Blood pressure* TRANDATE 100MG TABLET LABETALOL HCL 02212250 Y

Blood pressure* TRANDATE 100MG TABLET LABETALOL HCL 02106272 Y

Blood pressure* TRANDATE 200MG TABLET LABETALOL HCL 02106280 Y

Blood pressure* TRASICOR 40MG TABLET OXPRENOLOL HCL 00402575 Y

Blood pressure* TRASICOR 80MG TABLET OXPRENOLOL HCL 00402583 Y

Blood pressure* TRIA-INDAPAMIDE 2.5MG INDAPAMIDE 02188910 Y

Blood pressure* VASERETIC 4/12.5MG TABLET ENALAPRIL SODIUM/HYDROCHLOROTHIAZIDE02242826 Y

Blood pressure* VASERETIC 8/25MG TABLET ENALAPRIL SODIUM/HYDROCHLOROTHIAZIDE00657298 Y

Blood pressure* VASOTEC 16MG TABLET ENALAPRIL SODIUM 00670928 Y

Blood pressure* VASOTEC 2MG TABLET ENALAPRIL SODIUM 00851795 Y

Blood pressure* VASOTEC 4MG TABLET ENALAPRIL SODIUM 00708879 Y

Blood pressure* VASOTEC 8MG TABLET ENALAPRIL SODIUM 00670901 Y

Blood pressure* VISKAZIDE 10/25 TABLET HYDROCHLOROTHIAZIDE/PINDOLOL00568627 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 121

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood pressure* VISKAZIDE 10/50 TABLET HYDROCHLOROTHIAZIDE/PINDOLOL00568635 Y

Blood pressure* VISKEN 10MG TABLET PINDOLOL 00443174 Y

Blood pressure* VISKEN 15MG TABLET PINDOLOL 00417289 Y

Blood pressure* VISKEN 5MG TABLET PINDOLOL 00417270 Y

Blood pressure* YOHIMBINE 5.4MG TABLET YOHIMBINE HCL 02049155 Y

Blood pressure* YOHIMBINE ODAN 2MG TABLET YOHIMBINE HCL 00885533 Y

Blood pressure* ZAROXOLYN 2.5MG TABLET METOLAZONE 00888400 Y

Blood pressure* ZESTORETIC 10/12.5 TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02103729 Y

Blood pressure* ZESTORETIC 20/12.5 TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02045737 Y

Blood pressure* ZESTORETIC 20/25 TABLET LISINOPRIL/HYDROCHLOROTHIAZIDE02045729 Y

Blood pressure* ZESTRIL 10MG TABLET LISINOPRIL 02049376 Y

Blood pressure* ZESTRIL 20MG TABLET LISINOPRIL 02049384 Y

Blood pressure* ZESTRIL 5MG TABLET LISINOPRIL 02049333 Y

Blood pressure* ZYM-CARVEDILOL 12.5MG TABLET CARVEDILOL 02338106 Y

Blood pressure* ZYM-CARVEDILOL 25MG TABLET CARVEDILOL 02338114 Y

Blood pressure* ZYM-CARVEDILOL 3.125MG TABLET CARVEDILOL 02338068 Y

Blood pressure* ZYM-CARVEDILOL 6.25MG TABLET CARVEDILOL 02338092 Y

Blood thinners* AGGRENOX CAPSULE ASA/DIPYRIDAMOLE 02242119 Y

Blood thinners* APO-DIPYRIDAMOLE FC 25MG TABLET DIPYRIDAMOLE 00895644 Y

Blood thinners* APO-DIPYRIDAMOLE FC 50MG TABLET DIPYRIDAMOLE 00895652 Y

Blood thinners* APO-DIPYRIDAMOLE FC 75MG TABLET DIPYRIDAMOLE 00895660 Y

Blood thinners* APO-DIPYRIDAMOLE SC 75MG TABLET DIPYRIDAMOLE 00601845 Y

Blood thinners* APO-TICLOPIDINE 250MG TABLET TICLOPIDINE HCL 02237701 Y

Blood thinners* APO-WARFARIN 10MG TABLET WARFARIN SODIUM 02242929 Y

Blood thinners* APO-WARFARIN 1MG TABLET WARFARIN SODIUM 02242924 Y

Blood thinners* APO-WARFARIN 2.5MG TABLET WARFARIN SODIUM 02242926 Y

Blood thinners* APO-WARFARIN 2MG TABLET WARFARIN SODIUM 02242925 Y

Blood thinners* APO-WARFARIN 3MG TABLET WARFARIN SODIUM 02245618 Y

Blood thinners* APO-WARFARIN 4MG TABLET WARFARIN SODIUM 02242927 Y

Blood thinners* APO-WARFARIN 5MG TABLET WARFARIN SODIUM 02242928 Y

Blood thinners* ARIXTRA 12.5MG/ML INJECTION FONDAPARINUX SODIUM 02258056 Y

Blood thinners* ARIXTRA 2.5MG/0.5ML INJECTION FONDAPARINUX SODIUM 02245531 Y

Blood thinners* CLIVARINE 1750U INJECTION REVIPARIN SODIUM 02229544 Y

Blood thinners* COUMADIN 10MG TABLET WARFARIN SODIUM 01918362 Y

Blood thinners* COUMADIN 1MG TABLET WARFARIN SODIUM 01918311 Y

Blood thinners* COUMADIN 2.5MG TABLET WARFARIN SODIUM 01918346 Y

Blood thinners* COUMADIN 2MG TABLET WARFARIN SODIUM 01918338 Y

Blood thinners* COUMADIN 3MG TABLET WARFARIN SODIUM 02240205 Y

Blood thinners* COUMADIN 4MG TABLET WARFARIN SODIUM 02007959 Y

Blood thinners* COUMADIN 5MG TABLET WARFARIN SODIUM 01918354 Y

Blood thinners* COUMADIN 6MG TABLET WARFARIN SODIUM 02240206 Y

Blood thinners* DIPYRIDAMOLE 25MG TABLET DIPYRIDAMOLE 02229396 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 122

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood thinners* DIPYRIDAMOLE 50MG TABLET DIPYRIDAMOLE 02229397 Y

Blood thinners* DIPYRIDAMOLE 75MG TABLET DIPYRIDAMOLE 02229398 Y

Blood thinners* DOM-TICLOPIDINE 250MG TABLET TICLOPIDINE HCL 02243808 Y

Blood thinners* EFFIENT 10MG TABLET PRASUGREL HCL 02349124 Y

Blood thinners* ENOXAPARIN 100MG/ML INJ ENOXAPARIN SODIUM 02265249 Y

Blood thinners* ENOXAPARIN 30MG/0.3ML INJ ENOXAPARIN SODIUM 02265206 Y

Blood thinners* ENOXAPARIN 40MG/0.4ML INJ ENOXAPARIN SODIUM 02265214 Y

Blood thinners* ENOXAPARIN 60MG/0.6ML INJ ENOXAPARIN SODIUM 02265222 Y

Blood thinners* ENOXAPARIN 80MG/0.8ML INJ ENOXAPARIN SODIUM 02265230 Y

Blood thinners* FRAGMIN 15000U/0.6ML PFS (NS) DALTEPARIN SODIUM-PORCINE 96599986 Y

Blood thinners* FRAGMIN 0.4ML PFS (ODB) DALTEPARIN SODIUM-PORCINE 09853790 Y

Blood thinners* FRAGMIN 0.4ML PFS (PQ) DALTEPARIN SODIUM-PORCINE 99004143 Y

Blood thinners* FRAGMIN 0.5ML PFS (ODB) DALTEPARIN SODIUM-PORCINE 09853820 Y

Blood thinners* FRAGMIN 0.5ML PFS (PQ) DALTEPARIN SODIUM-PORCINE 99004151 Y

Blood thinners* FRAGMIN 0.6ML PFS (ODB) DALTEPARIN SODIUM-PORCINE 09853880 Y

Blood thinners* FRAGMIN 0.6ML PFS (PQ) DALTEPARIN SODIUM-PORCINE 99004178 Y

Blood thinners* FRAGMIN 0.72ML PFS (ODB) DALTEPARIN SODIUM-PORCINE 09853910 Y

Blood thinners* FRAGMIN 0.72ML PFS (PQ) DALTEPARIN SODIUM-PORCINE 99004186 Y

Blood thinners* FRAGMIN 10000U/0.4ML PFS (NS) DALTEPARIN SODIUM-PORCINE 96599988 Y

Blood thinners* FRAGMIN 10000U/ML AMPOULE DALTEPARIN SODIUM-PORCINE 02132664 Y

Blood thinners* FRAGMIN 12500U/0.5ML PFS (NS) DALTEPARIN SODIUM-PORCINE 96599987 Y

Blood thinners* FRAGMIN 18000U/0.72ML PFS (NS) DALTEPARIN SODIUM-PORCINE 96599985 Y

Blood thinners* FRAGMIN 2132648 PER 0.1ML DALTEPARIN SODIUM-PORCINE 00908800 Y

Blood thinners* FRAGMIN 25000U/ML AMPUL DALTEPARIN SODIUM-PORCINE 02231171 Y

Blood thinners* FRAGMIN 25000U/ML INJECTION DALTEPARIN SODIUM-PORCINE 02132648 Y

Blood thinners* FRAGMIN 2500U/0.2ML SYRINGE DALTEPARIN SODIUM-PORCINE 02132621 Y

Blood thinners* FRAGMIN 5000U/0.2ML PFS (NS) DALTEPARIN SODIUM-PORCINE 96599990 Y

Blood thinners* FRAGMIN 7500U/0.3ML INJ DALTEPARIN SODIUM-PORCINE 99100159 Y

Blood thinners* FRAGMIN 7500U/0.3ML PFS (NS) DALTEPARIN SODIUM-PORCINE 96599989 Y

Blood thinners* FRAXIPARINE 2850U/0.3ML (PQ) NADROPARIN CALCIUM 99002698 Y

Blood thinners* FRAXIPARINE 3800U/0.4ML (PQ) NADROPARIN CALCIUM 99002701 Y

Blood thinners* FRAXIPARINE 5700U/0.6ML (PQ) NADROPARIN CALCIUM 99002744 Y

Blood thinners* FRAXIPARINE 7600U/0.8ML (PQ) NADROPARIN CALCIUM 99002728 Y

Blood thinners* FRAXIPARINE 9500U INJECTION NADROPARIN CALCIUM 02236913 Y

Blood thinners* FRAXIPARINE 9500U/1.0ML (PQ) NADROPARIN CALCIUM 99002736 Y

Blood thinners* FRAXIPARINE FORTE 11400U/0.6ML (PQ) NADROPARIN CALCIUM 99003309 Y

Blood thinners* FRAXIPARINE FORTE 15200U/0.8ML (PQ) NADROPARIN CALCIUM 99003317 Y

Blood thinners* FRAXIPARINE FORTE 19000U INJECTION NADROPARIN CALCIUM 02240114 Y

Blood thinners* FRAXIPARINE FORTE PFS 0.8ML (ODB) NADROPARIN CALCIUM 09854100 Y

Blood thinners* FRAXIPARINE FORTE PFS 1ML (ODB) NADROPARIN CALCIUM 09854118 Y

Blood thinners* FRAXIPARINE PFS 0.3ML (ODB) NADROPARIN CALCIUM 09853936 Y

Blood thinners* FRAXIPARINE PFS 0.4ML (ODB) NADROPARIN CALCIUM 09853944 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 123

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood thinners* FRAXIPARINE PFS 0.6ML (ODB) NADROPARIN CALCIUM 09853952 Y

Blood thinners* FRAXIPARINE PFS 0.8ML (ODB) NADROPARIN CALCIUM 09853979 Y

Blood thinners* FRAXIPARINE PFS 1.0ML (ODB) NADROPARIN CALCIUM 09853987 Y

Blood thinners* HEPALEAN 10000U/ML VIAL HEPARIN SODIUM-PORCINE 00740497 Y

Blood thinners* HEPALEAN 1000U/ML VIAL HEPARIN SODIUM-PORCINE 00740519 Y

Blood thinners* HEPALEAN 25000U/ML VIAL HEPARIN SODIUM-PORCINE 00740535 Y

Blood thinners* HEPALEAN-LOK 100U/ML VIAL HEPARIN SODIUM-PORCINE 00740578 Y

Blood thinners* HEPALEAN-LOK 10U/ML INJECTION HEPARIN SODIUM 02230084 Y

Blood thinners* HEPARIN 1000U/ML INJECTION HEPARIN SODIUM 02264315 Y

Blood thinners* HEPARIN LEO 10000U/ML VIAL HEPARIN SODIUM-PORCINE 00579718 Y

Blood thinners* HEPARIN LEO 1000U/ML VIAL HEPARIN SODIUM 00453811 Y

Blood thinners* HEPARIN LEO 100U/ML VIAL HEPARIN SODIUM-PORCINE 00727520 Y

Blood thinners* HEPARIN LEO 25000U/ML VIAL HEPARIN SODIUM-PORCINE 00453781 Y

Blood thinners* HEPARIN LOCK 100U/ML VIAL HEPARIN SODIUM-PORCINE 00725315 Y

Blood thinners* HEPARIN LOCK 10U/ML VIAL HEPARIN SODIUM-PORCINE 00725323 Y

Blood thinners* HEPARIN SODIUM 10000U/ML VIAL HEPARIN SODIUM,PORCINE 02303108 Y

Blood thinners* HEPARIN SODIUM 10000U/ML VIAL PRESERVATIVE FREE HEPARIN SODIUM,PORCINE/PF 02303094 Y

Blood thinners* HEPARIN SODIUM 1000U/ML VIAL HEPARIN SODIUM,PORCINE 02303086 Y

Blood thinners* HEPARIN SODIUM INJECTION/ USP HEPARIN SODIUM 02264307 Y

Blood thinners* INNOHEP 10 000U/ML VIAL TINZAPARIN SODIUM/PORCINE 02167840 Y

Blood thinners* INNOHEP 10000IU/ML SYRINGE TINZAPARIN SODIUM/PORCINE 02229755 Y

Blood thinners* INNOHEP 14 000UI/0.7ML INJ (PQ) TINZAPARIN SODIUM 99002612 Y

Blood thinners* INNOHEP 14000IU/0.7ML INJECTION TINZAPARIN SODIUM 09853901 Y

Blood thinners* INNOHEP 18 000UI/0.9ML INJ (PQ) TINZAPARIN SODIUM 99002620 Y

Blood thinners* INNOHEP 18000IU/0.9ML INJECTION TINZAPARIN SODIUM 09853928 Y

Blood thinners* INNOHEP 20000U/ML SYRINGE TINZAPARIN SODIUM/PORCINE 02231478 Y

Blood thinners* INNOHEP 20000U/ML VIAL TINZAPARIN SODIUM/PORCINE 02229515 Y

Blood thinners* INNOHEP 2500IU/0.25ML (PQ) TINZAPARIN SODIUM 99100530 Y

Blood thinners* INNOHEP 4500IU/0.45ML INJECTION TINZAPARIN SODIUM 09853898 Y

Blood thinners* INNOHEP 4500U/0.45ML SYR (PQ) TINZAPARIN SODIUM 99002655 Y

Blood thinners* LIN-WARFARIN 3MG TABLET WARFARIN SODIUM 02245817 Y

Blood thinners* LIN-WARFARIN 6MG TABLET WARFARIN SODIUM 02245818 Y

Blood thinners* LOVENOX 100MG/1ML PFS ENOXAPARIN SODIUM 00909351 Y

Blood thinners* LOVENOX 100MG/1ML PFS (ON) ENOXAPARIN SODIUM 09852484 Y

Blood thinners* LOVENOX 100MG/ML INJECTION ENOXAPARIN SODIUM 99002981 Y

Blood thinners* LOVENOX 100MG/ML MD VIAL ENOXAPARIN SODIUM 02236564 Y

Blood thinners* LOVENOX 100MG/ML SYRINGE ENOXAPARIN SODIUM 02236883 Y

Blood thinners* LOVENOX 30MG/0.3ML SYRINGE ENOXAPARIN SODIUM 02012472 Y

Blood thinners* LOVENOX 60MG/0.6ML INJECTION ENOXAPARIN SODIUM 99002965 Y

Blood thinners* LOVENOX 60MG/0.6ML PFS ENOXAPARIN SODIUM 00909637 Y

Blood thinners* LOVENOX 60MG/0.6ML PFS (ON) ENOXAPARIN SODIUM 09852468 Y

Blood thinners* LOVENOX 80MG/0.8ML INJECTION ENOXAPARIN SODIUM 99003058 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 124

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Blood thinners* LOVENOX 80MG/0.8ML PFS ENOXAPARIN SODIUM 00909548 Y

Blood thinners* LOVENOX 80MG/0.8ML PFS (ON) ENOXAPARIN SODIUM 09852476 Y

Blood thinners* LOVENOX HP 120MG/0.8ML INJECTION ENOXAPARIN SODIUM 99004941 Y

Blood thinners* LOVENOX HP 120MG/0.8ML PFS SYRINGE (ON) ENOXAPARIN SODIUM 09857137 Y

Blood thinners* LOVENOX HP 150MG/ML INJECTION ENOXAPARIN SODIUM 02242692 Y

Blood thinners* MYLAN-TICLOPIDINE 250MG TABLET TICLOPIDINE HCL 02239744 Y

Blood thinners* MYLAN-WARFARIN 10MG TABLET WARFARIN SODIUM 02244467 Y

Blood thinners* MYLAN-WARFARIN 1MG TABLET WARFARIN SODIUM 02244462 Y

Blood thinners* MYLAN-WARFARIN 2.5MG TABLET WARFARIN SODIUM 02244464 Y

Blood thinners* MYLAN-WARFARIN 2MG TABLET WARFARIN SODIUM 02244463 Y

Blood thinners* MYLAN-WARFARIN 3MG TABLET WARFARIN SODIUM 02287498 Y

Blood thinners* MYLAN-WARFARIN 4MG TABLET WARFARIN SODIUM 02244465 Y

Blood thinners* MYLAN-WARFARIN 5MG TABLET WARFARIN SODIUM 02244466 Y

Blood thinners* MYLAN-WARFARIN 6MG TABLET WARFARIN SODIUM 02287501 Y

Blood thinners* MYLAN-WARFARIN 7.5MG TABLET WARFARIN SODIUM 02287528 Y

Blood thinners* NOVO-TICLOPIDINE 250MG TABLET TICLOPIDINE HCL 02236848 Y

Blood thinners* NOVO-WARFARIN 10MG TABLET WARFARIN SODIUM 02265370 Y

Blood thinners* NOVO-WARFARIN 1MG TABLET WARFARIN SODIUM 02265273 Y

Blood thinners* NOVO-WARFARIN 2.5MG TABLET WARFARIN SODIUM 02265303 Y

Blood thinners* NOVO-WARFARIN 2MG TABLET WARFARIN SODIUM 02265281 Y

Blood thinners* NOVO-WARFARIN 3MG TABLET WARFARIN SODIUM 02265311 Y

Blood thinners* NOVO-WARFARIN 4MG TABLET WARFARIN SODIUM 02265338 Y

Blood thinners* NOVO-WARFARIN 5MG TABLET WARFARIN SODIUM 02265346 Y

Blood thinners* NOVO-WARFARIN 6MG TABLET WARFARIN SODIUM 02265354 Y

Blood thinners* NOVO-WARFARIN 7.5MG TABLET WARFARIN SODIUM 02265362 Y

Blood thinners* NU-TICLOPIDINE 250MG TABLET TICLOPIDINE HCL 02237560 Y

Blood thinners* NU-WARFARIN 10MG TABLET WARFARIN SODIUM 02335689 Y

Blood thinners* NU-WARFARIN 1MG TABLET WARFARIN SODIUM 02335611 Y

Blood thinners* NU-WARFARIN 2.5MG TABLET WARFARIN SODIUM 02335646 Y

Blood thinners* NU-WARFARIN 2MG TABLET WARFARIN SODIUM 02335638 Y

Blood thinners* NU-WARFARIN 3MG TABLET WARFARIN SODIUM 02335654 Y

Blood thinners* NU-WARFARIN 4MG TABLET WARFARIN SODIUM 02335662 Y

Blood thinners* NU-WARFARIN 5MG TABLET WARFARIN SODIUM 02335670 Y

Blood thinners* ORGARAN 1250U/ML VIAL DANAPAROID SODIUM/PORCINE 02129043 Y

Blood thinners* PERSANTINE 50MG TABLET DIPYRIDAMOLE 00067393 Y

Blood thinners* PERSANTINE 75MG TABLET DIPYRIDAMOLE 00452092 Y

Blood thinners* PLAVIX 300MG TABLET CLOPIDOGREL BISULFATE 02330555 Y

Blood thinners* PLAVIX 75MG TABLET CLOPIDOGREL BISULFATE 02238682 Y

Blood thinners* PRADAX 110MG CAPSULE DABIGATRAN ETEXILATE 02312441 Y

Blood thinners* PRADAX 75MG CAPSULE DABIGATRAN ETEXILATE 02312433 Y

Blood thinners* PRO-WARFARIN 10MG TABLET WARFARIN SODIUM 02311135 Y

Blood thinners* PRO-WARFARIN 1MG TABLET WARFARIN SODIUM 02311070 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 125

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LEVEL 3

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Blood thinners* PRO-WARFARIN 2.5MG TABLET WARFARIN SODIUM 02311097 Y

Blood thinners* PRO-WARFARIN 2MG TABLET WARFARIN SODIUM 02311089 Y

Blood thinners* PRO-WARFARIN 3MG TABLET WARFARIN SODIUM 02311100 Y

Blood thinners* PRO-WARFARIN 4MG TABLET WARFARIN SODIUM 02311119 Y

Blood thinners* PRO-WARFARIN 5MG TABLET WARFARIN SODIUM 02311127 Y

Blood thinners* SANDOZ TICLOPIDINE 250MG TABLET TICLOPIDINE HCL 02243587 Y

Blood thinners* SINTROM 1MG TABLET ACENOCOUMAROL 00010383 Y

Blood thinners* SINTROM 4MG TABLET ACENOCOUMAROL 00010391 Y

Blood thinners* TARO-WARFARIN 10MG TABLET WARFARIN SODIUM 02242687 Y

Blood thinners* TARO-WARFARIN 1MG TABLET WARFARIN SODIUM 02242680 Y

Blood thinners* TARO-WARFARIN 2.5MG TABLET WARFARIN SODIUM 02242682 Y

Blood thinners* TARO-WARFARIN 2MG TABLET WARFARIN SODIUM 02242681 Y

Blood thinners* TARO-WARFARIN 3MG TABLET WARFARIN SODIUM 02242683 Y

Blood thinners* TARO-WARFARIN 4MG TABLET WARFARIN SODIUM 02242684 Y

Blood thinners* TARO-WARFARIN 5MG TABLET WARFARIN SODIUM 02242685 Y

Blood thinners* TARO-WARFARIN 6MG TABLET WARFARIN SODIUM 02242686 Y

Blood thinners* TARO-WARFARIN 7.5MG TABLET WARFARIN SODIUM 02242697 Y

Blood thinners* TICLOPIDINE 250MG TABLET TICLOPIDINE HCL 02343045 Y

Blood thinners* TICLOPIDINE-250MG TABLET TICLOPIDINE HCL 02238208 Y

Blood thinners* WARFARIN 10MG TABLET WARFARIN SODIUM 02344114 Y

Blood thinners* WARFARIN 1MG TABLET WARFARIN SODIUM 02344025 Y

Blood thinners* WARFARIN 2.5MG TABLET WARFARIN SODIUM 02344041 Y

Blood thinners* WARFARIN 2MG TABLET WARFARIN SODIUM 02344033 Y

Blood thinners* WARFARIN 3MG TABLET WARFARIN SODIUM 02344068 Y

Blood thinners* WARFARIN 4MG TABLET WARFARIN SODIUM 02344076 Y

Blood thinners* WARFARIN 5MG TABLET WARFARIN SODIUM 02344084 Y

Blood thinners* WARFARIN 6MG TABLET WARFARIN SODIUM 02344092 Y

Blood thinners* WARFARIN 7.5MG TABLET WARFARIN SODIUM 02344106 Y

Blood thinners* WARX 1MG TABLET WARFARIN SODIUM 02242881 Y

Blood thinners* XARELTO 10MG TABLET RIVAROXABAN 02316986 Y

Bone metabolism* ACLASTA 5MG/100ML IV SOLUTION ZOLEDRONIC ACID 02269198 Y

Bone metabolism* ACTONEL 150MG TABLET RISEDRONATE SODIUM 02316838 Y

Bone metabolism* ACTONEL 30MG TABLET RISEDRONATE SODIUM 02239146 Y

Bone metabolism* ACTONEL 35MG PLUS CALCIUM TABLET RISEDRONATE SODIUM/CALCIUM 02279657 Y

Bone metabolism* ACTONEL 35MG TABLET RISEDRONATE SODIUM 02246896 Y

Bone metabolism* ACTONEL 5MG TABLET RISEDRONATE SODIUM 02242518 Y

Bone metabolism* ACTONEL 75MG TABLET RISEDRONATE SODIUM 02297787 Y

Bone metabolism* ACTONEL SACHET KIT RISEDRONATE SODIUM/CALCIUM/VIT D302285541 Y

Bone metabolism* ALENDRONATE 10MG TABLET ALENDRONATE SODIUM 02303043 Y

Bone metabolism* ALENDRONATE 40MG TABLET ALENDRONATE SODIUM 02343916 Y

Bone metabolism* ALENDRONATE 40MG TABLET ALENDRONATE SODIUM 02303051 Y

Bone metabolism* ALENDRONATE 5MG TABLET ALENDRONATE SODIUM 02303035 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 126

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LEVEL 3

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Bone metabolism* ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02343924 Y

Bone metabolism* ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02303078 Y

Bone metabolism* ALENDRONATE-FC 70MG TABLET ALENDRONATE SODIUM 02299712 Y

Bone metabolism* APO-ALENDRONATE 10MG TABLET ALENDRONATE SODIUM 02248728 Y

Bone metabolism* APO-ALENDRONATE 40MG TABLET ALENDRONATE SODIUM 02248729 Y

Bone metabolism* APO-ALENDRONATE 5MG TABLET ALENDRONATE SODIUM 02248727 Y

Bone metabolism* APO-ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02248730 Y

Bone metabolism* APO-CALCITONIN 200IU NASAL SPRAY CALCITONIN/SALMON/SYNTHETIC 02247585 Y

Bone metabolism* APO-ETIDRONATE 200MG TABLET ETIDRONATE DISODIUM 02276844 Y

Bone metabolism* APO-ETIDRONATE 400MG TABLET ETIDRONATE DISODIUM 02276852 Y

Bone metabolism* APO-RALOXIFENE 60MG TABLET RALOXIFENE HCL 02279215 Y

Bone metabolism* AREDIA I.V. 30MG AMPOULE PAMIDRONATE DISODIUM 02059762 Y

Bone metabolism* AREDIA I.V. 90MG AMPOULE PAMIDRONATE DISODIUM 02059789 Y

Bone metabolism* BIOCAL-D 500MG-125IU TABLET CALCIUM/VITAMIN D 80004143 Y

Bone metabolism* BIOCAL-D FORTE TABLET CALCIUM/VITAMIN D 80003919 Y

Bone metabolism* BONEFOS 400MG CAPSULE CLODRONATE DISODIUM 01984845 Y

Bone metabolism* BONEFOS 60MG/ML AMPOULE CLODRONATE DISODIUM 01984837 Y

Bone metabolism* BONVIVA 2.5MG TABLET IBANDRONATE SODIUM 02250136 Y

Bone metabolism* CAL CITRATE MAG AND VIT D TABLET CALCIUM/MAG/VIT D3 02243853 Y

Bone metabolism* CAL CITRUS 200MG TABLET CALCIUM CITRATE 02215276 Y

Bone metabolism* CAL OYSTER SHELL 250MG TABLET CALCIUM CARBONATE 00645958 Y

Bone metabolism* CAL-500 500MG TABLET CALCIUM CARBONATE 00674346 Y

Bone metabolism* CAL-500-D TABLET CALCIUM CARBONATE/VITAMIN D 00752673 Y

Bone metabolism* CALCIA 400 500MG-400UI CO CALCIUM/VITAMIN D 80000159 Y

Bone metabolism* CALCIMAR 200IU/ML VIAL CALCITONIN/SALMON/SYNTHETIC 01926691 Y

Bone metabolism* CALCITE 500 + D3 400 TABLET CALCIUM/VITAMIN D 02244130 Y

Bone metabolism* CALCITE 500 CHEW TABLET CALCIUM CARBONATE 00646474 Y

Bone metabolism* CALCITE 500MG PLUS D 400IU TABLET CALCIUM/VITAMIN D 80004963 Y

Bone metabolism* CALCITE D 500 TABLET CALCIUM CARBONATE/VITAMIN D 00688770 Y

Bone metabolism* CALCITE D 500 TABLET CALCIUM/VITAMIN D 80004966 Y

Bone metabolism* CALCIUM & MAGNESIUM 2:1 CHEW TABLET CALCIUM/MAGNESIUM SALT 02242141 Y

Bone metabolism* CALCIUM & MAGNESIUM CAPSULE CALCIUM CARBONATE/MAG OXIDE 00694517 Y

Bone metabolism* CALCIUM 100MG/5ML LIQUID CALCIUM GLUCOHEP/GLUCONATE 00645915 Y

Bone metabolism* CALCIUM 250MG WITH VIT D TABLET CALCIUM CARBONATE/VITAMIN D 02240972 Y

Bone metabolism* CALCIUM 350MG CAPLET CALCIUM CITRATE 02161710 Y

Bone metabolism* CALCIUM 500 + D3 400 TABLET CALCIUM/VITAMIN D 02244161 Y

Bone metabolism* CALCIUM 500 1250MG TABLET CALCIUM CARBONATE 00688983 Y

Bone metabolism* CALCIUM 500 MG TABLET CALCIUM CARBONATE 02246178 Y

Bone metabolism* CALCIUM 500 MG TABLET CALCIUM CARBONATE 02243626 Y

Bone metabolism* CALCIUM 500 TABLET CALCIUM 80003773 Y

Bone metabolism* CALCIUM 500 W/VIT D TABLET CALCIUM CARBONATE/VITAMIN D 00718580 Y

Bone metabolism* CALCIUM 500MG PLUS D 125IU TABLET CALCIUM/VITAMIN D 80004968 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 127

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Bone metabolism* CALCIUM 500MG PLUS D 400IU TABLET CALCIUM/VITAMIN D 80004969 Y

Bone metabolism* CALCIUM 500MG TABLET CALCIUM CARBONATE 02240977 Y

Bone metabolism* CALCIUM 500MG TABLET CALCIUM CARBONATE 00621722 Y

Bone metabolism* CALCIUM 500MG TABLET CALCIUM CARBONATE 00640360 Y

Bone metabolism* CALCIUM 500MG W/VIT D TABLET CALCIUM CARBONATE/VITAMIN D 00702986 Y

Bone metabolism* CALCIUM 500MG W/VIT D TABLET CALCIUM CARBONATE/VITAMIN D 00723126 Y

Bone metabolism* CALCIUM 500MG+VITAMIN D 400IU LEMON FLAVOURED TABLETCALCIUM/VITAMIN D 80002623 Y

Bone metabolism* CALCIUM 600+D TABLET CALCIUM CARBONATE/VITAMIN D 02239458 Y

Bone metabolism* CALCIUM 600MG + VIT D3 TABLET CALCIUM CARBONATE/VITAMIN D 01979256 Y

Bone metabolism* CALCIUM 600MG TABLET CALCIUM CARBONATE 02239457 Y

Bone metabolism* CALCIUM 600MG TABLET CALCIUM CARBONATE 00722332 Y

Bone metabolism* CALCIUM 650MG CAPLET CALCIUM SALTS 02040913 Y

Bone metabolism* CALCIUM ACETATE 667MG TABLET CALCIUM ACETATE 01982591 Y

Bone metabolism* CALCIUM CARBONATE + VITAMIN D TABLET CALCIUM CARBONATE/VITAMIN D 02245305 Y

Bone metabolism* CALCIUM CARBONATE 500MG CAPSULE CALCIUM CARBONATE 00548545 Y

Bone metabolism* CALCIUM CARBONATE WITH VITAMIN D3 TABLET CALCIUM CARBONATE/VITAMIN D 02074184 Y

Bone metabolism* CALCIUM CITRATE 300MG TABLET CALCIUM CITRATE 02231833 Y

Bone metabolism* CALCIUM CITRATE 350MG TABLET CALCIUM CITRATE 00730521 Y

Bone metabolism* CALCIUM CITRATE+VITAMIN D 400IU CHEWABLE TABLET CALCIUM/VITAMIN D 80003262 Y

Bone metabolism* CALCIUM D-500 TABLET CALCIUM CARBONATE/VITAMIN D 00688975 Y

Bone metabolism* CALCIUM GLUCONATE 650MG TABLET CALCIUM GLUCONATE 00441473 Y

Bone metabolism* CALCIUM GLUCONATE 650MG TABLET CALCIUM GLUCONATE 02244857 Y

Bone metabolism* CALCIUM LACTATE 650MG TABLET CALCIUM LACTATE 00311154 Y

Bone metabolism* CALCIUM LACTATE 650MG TABLET CALCIUM LACTATE 02244856 Y

Bone metabolism* CALCIUM MAGNESIUM AND VITAMIN D LIQUID CALCIUM/MAGNESIUM/VITAMIN D 02089521 Y

Bone metabolism* CALCIUM MAGNESIUM/ZINC TABLET CALCIUM/MAGNESIUM SALT/ZINC 00634573 Y

Bone metabolism* CALCIUM PHOSPHATE 270MG/G POWDER CALCIUM PHOSPHATE 00857238 Y

Bone metabolism* CALCIUM WITH VITAMIN D TABLET CALCIUM/VIT D3 02240973 Y

Bone metabolism* CAL-D400 TABLET CALCIUM CARBONATE/VITAMIN D 02246065 Y

Bone metabolism* CAL-MAG TABLET CALCIUM CARBONATE/MAG OXIDE 02005360 Y

Bone metabolism* CALSAN 500MG CHEW TABLET CALCIUM CARBONATE 00648345 Y

Bone metabolism* CALTINE 100 100U/ML AMPOULE CALCITONIN/SALMON/SYNTHETIC 02007134 Y

Bone metabolism* CALTRATE 600MG TABLET CALCIUM CARBONATE 02166976 Y

Bone metabolism* CALTRATE PLUS TABLET CALCIUM CARB/VIT D + MIN 02231422 Y

Bone metabolism* CARBOCAL D 500MG-400UI CHEWABLE TABLET CALCIUM/VITAMIN D 80002901 Y

Bone metabolism* CHELATED CAL-MAG + VITAMIN CALCIUM/MAG/VIT C & D 00636827 Y

Bone metabolism* CI-CAL D 400 500MG-400UI CHEWABLE TABLET CALCIUM CITRATE/ VITAMIN D 80000281 Y

Bone metabolism* CITRACAL LIQUITAB 500MG EV TABLET CALCIUM CITRATE 02150166 Y

Bone metabolism* CLASTEON 30MG/ML INJECTION CLODRONATE DISODIUM 02245829 Y

Bone metabolism* CLASTEON 400MG CAPSULE CLODRONATE DISODIUM 02245828 Y

Bone metabolism* CO ETIDROCAL 1.25G-400MG TABLET CALCIUM CARBONATE/ETIDRONATE02263866 Y

Bone metabolism* CO-ALENDRONATE 40MG TABLET ALENDRONATE SODIUM 02258102 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 128

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LEVEL 3

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Bone metabolism* CO-ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02258110 Y

Bone metabolism* CO-ETIDRONATE 200MG TABLET ETIDRONATE DISODIUM 02248686 Y

Bone metabolism* CO-ETIDRONATE 400MG TABLET ETIDRONATE DISODIUM 02248687 Y

Bone metabolism* DIDROCAL 1.25G-400MG TABLET CALCIUM CARBONATE/ETIDRONATE02176017 Y

Bone metabolism* DIDRONEL 200MG TABLET ETIDRONATE DISODIUM 01997629 Y

Bone metabolism* DOM-ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02282763 Y

Bone metabolism* DOM-ALENDRONATE-FC 70MG TABLET ALENDRONATE SODIUM 02308398 Y

Bone metabolism* ETIDROCAL 1.25G-400MG TABLET CALCIUM CARBONATE/ETIDRONATE DISODIUM02347989 Y

Bone metabolism* ETIDROCAL 1.25G-400MG TABLET CALCIUM CARBONATE/ETIDRONATE DISODIUM02353210 Y

Bone metabolism* ETIDRONATE 200MG TABLET ETIDRONATE DISODIUM 02347962 Y

Bone metabolism* ETIDRONATE 400MG TABLET ETIDRONATE DISODIUM 02347970 Y

Bone metabolism* EVISTA 60MG TABLET RALOXIFENE HCL 02239028 Y

Bone metabolism* FORTEO 250MCG/ML INJ TERIPARATIDE 02254689 Y Y

Bone metabolism* FOSAMAX 10MG TABLET ALENDRONATE SODIUM 02201011 Y

Bone metabolism* FOSAMAX 40MG TABLET ALENDRONATE SODIUM 02201038 Y

Bone metabolism* FOSAMAX 5MG TABLET ALENDRONATE SODIUM 02233055 Y

Bone metabolism* FOSAMAX 70MG TABLET ALENDRONATE SODIUM 02245329 Y

Bone metabolism* FOSAMAX 70MG/75ML LIQUID ALENDRONATE SODIUM 02248625 Y

Bone metabolism* FOSAVANCE 70MG/2800U TABLET ALENDRONATE SODIUM/VIT D3 02276429 Y

Bone metabolism* FOSAVANCE 70MG/5600U TABLET ALENDRONATE SODIUM/VIT D3 02314940 Y

Bone metabolism* GEN-ALENDRONATE 40MG TABLET ALENDRONATE SODIUM 02286327 Y

Bone metabolism* GEN-ALENDRONATE 5MG TABLET ALENDRONATE SODIUM 02270110 Y

Bone metabolism* GEN-ETIDRONATE 400MG TABLET ETIDRONATE DISODIUM 02245331 Y

Bone metabolism* HECTOROL 2.5MCG CAPSULE DOXERCALCIFEROL 02243790 Y

Bone metabolism* HIGH POT CALCIUM 600MG WITH D TABLET CALCIUM/VIT D3 02244065 Y

Bone metabolism* HIGH POTENCY CAL/MAG + VIT D CHEW TABLET CALCIUM/MAG/VITAMIN D 02239851 Y

Bone metabolism* JAMP-CALCIUM 500MG + VITAMIN D 400IU TABLET CALCIUM/VITAMIN D 80002122 Y

Bone metabolism* LIQUICAL D 400 500MG-400UI CAPS CALCIUM/VITAMIN D 80000408 Y

Bone metabolism* MIACALCIN 200UNIT NASAL SPRAY CALCITONIN/SALMON/SYNTHETIC 02240775 Y

Bone metabolism* MOR-CAL 500MG TABLET CALCIUM CARBONATE 00672475 Y

Bone metabolism* MYLAN-ALENDRONATE 10MG TABLET ALENDRONATE SODIUM 02270129 Y

Bone metabolism* MYLAN-ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02286335 Y

Bone metabolism* MYLAN-ETI-CAL CAREPAC 400MG-500MG TABLET ETIDRONATE/CALCIUM CARBONATE02247323 Y

Bone metabolism* MYLAN-ETIDRONATE 200MG TABLET ETIDRONATE DISODIUM 02245330 Y

Bone metabolism* NATM CALCIUM CITRATE & VITAMIN D TABLET CALCIUM CITRATE/VITAMIN D 02229842 Y

Bone metabolism* NEO-CAL 500MG TABLET CALCIUM CARBONATE 00624640 Y

Bone metabolism* NOVO-ETIDRONATECAL 500MG-400MG TABLET CALCIUM CARBONATE-ETIDRONATE DISODIUM02324199 Y

Bone metabolism* NOVO-RALOXIFENE 60MG TABLET RALOXIFENE HCL 02312298 Y

Bone metabolism* NOVO-RISEDRONATE 30MG TABLET RISEDRONATE SODIUM 02298384 Y

Bone metabolism* NOVO-RISEDRONATE 35MG TABLET RISEDRONATE SODIUM 02298392 Y

Bone metabolism* NOVO-RISEDRONATE 5MG TABLET RISEDRONATE SODIUM 02298376 Y

Bone metabolism* O-CALCIUM 500MG PLUS D TABLET CALCIUM CARBONATE/VITAMIN D 00775681 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 129

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Bone metabolism* OPTI-CAL/MAG 2:1 + ZINC AND CALCIUM/MAG/VITAMIN D/ZN 00860190 Y

Bone metabolism* OPTI-CAL/MAG 3:2 + ZINC AND CALCIUM/MAG/VITAMIN D/ZN 00860239 Y

Bone metabolism* OS-CAL 500MG TABLET CALCIUM CARBONATE 02042991 Y

Bone metabolism* OS-CAL D 500MG TABLET CALCIUM CARBONATE/VITAMIN D 02043025 Y

Bone metabolism* OSTEOCIT -D TABLET CALCIUM CITRATE/VITAMIN D 02241808 Y

Bone metabolism* OYSTER SHELL CALCIUM 500MG TABLET CALCIUM CARBONATE 80001408 Y

Bone metabolism* OYSTER SHELL CALCIUM WITH VITAMIN D CAPLET CALCIUM/VITAMIN D 80007304 Y

Bone metabolism* PAMIDRONATE 30MG INJECTION PAMIDRONATE DISODIUM 02266784 Y

Bone metabolism* PAMIDRONATE 30MG INJECTION PAMIDRONATE DISODIUM 02244550 Y

Bone metabolism* PAMIDRONATE 3MG/ML INJECTION PAMIDRONATE DISODIUM 02246597 Y

Bone metabolism* PAMIDRONATE 60MG INJECTION PAMIDRONATE DISODIUM 02244551 Y

Bone metabolism* PAMIDRONATE 6MG/ML INJECTION PAMIDRONATE DISODIUM 02246598 Y

Bone metabolism* PAMIDRONATE 90MG INJECTION PAMIDRONATE DISODIUM 02266792 Y

Bone metabolism* PAMIDRONATE 90MG INJECTION PAMIDRONATE DISODIUM 02244552 Y

Bone metabolism* PAMIDRONATE 9MG/ML INJECTION PAMIDRONATE DISODIUM 02246599 Y

Bone metabolism* PAMIDRONATE DISODIUM 3MG/ML INJECTION PAMIDRONATE DISODIUM 02264951 Y

Bone metabolism* PAMIDRONATE DISODIUM 6MG/ML INJECTION PAMIDRONATE DISODIUM 02264978 Y

Bone metabolism* PAMIDRONATE DISODIUM 9MG/ML INJECTION PAMIDRONATE DISODIUM 02264986 Y

Bone metabolism* PAMIDRONATE OMEGA 3MG/ML INJECTION PAMIDRONATE DISODIUM 02249669 Y

Bone metabolism* PAMIDRONATE OMEGA 6MG/ML INJECTION PAMIDRONATE DISODIUM 02249677 Y

Bone metabolism* PAMIDRONATE OMEGA 9MG/ML INJECTION PAMIDRONATE DISODIUM 02249685 Y

Bone metabolism* PENDOCAL-D 500/125 TABLET CALCIUM CARB/VIT D3 80004281 Y

Bone metabolism* PG ETIDRONATE TABLET ETIDRONATE DISODIUM 02244432 Y

Bone metabolism* PHL-ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02282771 Y

Bone metabolism* PHL-CALCIUM 500MG TABLET CALCIUM 80004046 Y

Bone metabolism* PMS CALCIUM CAPLET CALCIUM 80001122 Y

Bone metabolism* PMS CALCIUM W/ VITAMIN D CAPLET CALCIUM/VITAMIN D 80001199 Y

Bone metabolism* PMS-ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02273179 Y

Bone metabolism* PMS-ALENDRONATE-FC 70MG TABLET ALENDRONATE SODIUM 02284006 Y

Bone metabolism* PMS-CALCIUM 500 VITAMIN D 400 CAPLET CALCIUM CARB/VIT D3 80001248 Y

Bone metabolism* PMS-PAMIDRONATE 1.5MG/ML INJECTION PAMIDRONATE DISODIUM 02248418 Y

Bone metabolism* PMS-PAMIDRONATE 30MG INJECTION PAMIDRONATE DISODIUM 02245998 Y

Bone metabolism* PMS-PAMIDRONATE 60MG INJECTION PAMIDRONATE DISODIUM 02248194 Y

Bone metabolism* PMS-PAMIDRONATE 90MG INJECTION PAMIDRONATE DISODIUM 02245999 Y

Bone metabolism* PRO-CALCITONIN 200UNIT NASAL SPRAY CALCITONIN/SALMON/SYNTHETIC 02311046 Y

Bone metabolism* RATIO-ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02275279 Y

Bone metabolism* REDOXON CALCIUM EFFERVESCENT TABLET CALCIUM/PYRIDOXINE/VIT C/D 01939483 Y

Bone metabolism* RIVA-ALENDRONATE 40MG TABLET ALENDRONATE SODIUM 02270870 Y

Bone metabolism* RIVA-ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02270889 Y

Bone metabolism* SANDOZ ALENDRONATE 5MG TABLET ALENDRONATE SODIUM 02288079 Y

Bone metabolism* SANDOZ ALENDRONATE 10MG TABLET ALENDRONATE SODIUM 02288087 Y

Bone metabolism* SANDOZ ALENDRONATE 40MG TABLET ALENDRONATE SODIUM 02288095 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 130

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CANADA POST CORPORATION

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LEVEL 2

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Bone metabolism* SANDOZ ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02288109 Y

Bone metabolism* SANDOZ-CALCITONIN 200UNIT NASAL SPRAY CALCITONIN/SALMON/SYNTHETIC 02261766 Y

Bone metabolism* SIG-ALENDRONATE 40MG TABLET ALENDRONATE SODIUM 02347938 Y

Bone metabolism* SIG-ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02347946 Y

Bone metabolism* SIG-ETIDROCAL 1.25G-400MG TABLET CALCIUM CARBONATE/ETIDRONATE02347954 Y

Bone metabolism* SIG-ETIDRONATE 200MG TABLET ETIDRONATE DISODIUM 02347202 Y

Bone metabolism* SIG-ETIDRONATE 400MG TABLET ETIDRONATE DISODIUM 02347210 Y

Bone metabolism* SUGAR FREE CALCIUM LIQUID CALCIUM 80002626 Y

Bone metabolism* TEVA-ALENDRONATE 10MG TABLET ALENDRONATE SODIUM 02247373 Y

Bone metabolism* TEVA-ALENDRONATE 5MG TABLET ALENDRONATE SODIUM 02248251 Y

Bone metabolism* TEVA-ALENDRONATE 70MG TABLET ALENDRONATE SODIUM 02261715 Y

Bone metabolism* ZEMPLAR 1MCG CAPSULE PARICALCITOL 02302497 Y

Bone metabolism* ZEMPLAR 2MCG CAPSULE PARICALCITOL 02302500 Y

Bone metabolism* ZEMPLAR 4MCG CAPSULE PARICALCITOL 02302519 Y

Bone metabolism* ZOMETA 4MG INJECTION ZOLEDRONIC ACID 02242725 Y

Bone metabolism* ZOMETA CONCENTRATE 4MG INJECTION ZOLEDRONIC ACID 02248296 Y

Bone metabolism* ZYM-ALENDRONATE FC 70MG TABLET ALENDRONATE SODIUM 02302004 Y

Cancer AA-MEGESTROL 160MG TABLET MEGESTROL ACETATE 02349221 Y

Cancer AA-MEGESTROL 40MG TABLET MEGESTROL ACETATE 02349213 Y

Cancer ABRAXANE 100MG/VIAL PACLITAXEL 02281066 Y Y

Cancer AFINITOR 10MG TABLET EVEROLIMUS 02339528 Y

Cancer AFINITOR 5MG TABLET EVEROLIMUS 02339501 Y

Cancer ALDARA 50MG/G CREAM IMIQUIMOD 02239505 Y

Cancer ALIMTA 100MG/VIAL PWSO PEMETREXED DISODIUM 02306433 Y Y

Cancer ALIMTA PWSO IV 500MG/VIAL PEMETREXED DISODIUM 02253437 Y Y

Cancer ALKERAN 2MG TABLET MELPHALAN HCL 00004715 Y

Cancer ANANDRON 50MG TABLET NILUTAMIDE 02221861 Y

Cancer ANDROCUR 50MG TABLET CYPROTERONE ACETATE 00704431 Y

Cancer ANDROCUR-DEPOT 100MG/ML INJECTION CYPROTERONE ACETATE 00704423 Y

Cancer APO-BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02296063 Y

Cancer APO-FLUTAMIDE 250MG TABLET FLUTAMIDE 02238560 Y

Cancer APO-HYDROXYUREA 500MG CAPSULE HYDROXYUREA 02247937 Y

Cancer APO-METHOTREXATE 2.5MG TABLET METHOTREXATE SODIUM 02182963 Y

Cancer APO-METHOTREXATE 2.5MG TABLET METHOTREXATE SODIUM 02283697 Y

Cancer APO-TAMOX 10MG TABLET TAMOXIFEN CITRATE 00812404 Y

Cancer APO-TAMOX 20MG TABLET TAMOXIFEN CITRATE 00812390 Y

Cancer ARIMIDEX 1MG TABLET ANASTROZOLE 02224135 Y

Cancer AROMASIN 25MG TABLET EXEMESTANE 02242705 Y

Cancer AVASTIN 25MG/ML INJECTION BEVACIZUMAB 02270994 Y Y

Cancer BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02325233 Y

Cancer BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02325985 Y

Cancer BLENOXANE 15U VIAL BLEOMYCIN SULFATE 00258482 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 131

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LEVEL 2

CURRENT

RAMQ**

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LEVEL 3

50%Prior Authorization

Cancer BLEOMYCIN 15U/VIAL BLEOMYCIN SULFATE 02131692 Y

Cancer BLEOMYCIN 15UNIT/VIAL INJECTION BLEOMYCIN SULFATE 02265982 Y

Cancer CAMPTOSAR 20MG/ML VIAL IRINOTECAN HCL 02231622 Y Y

Cancer CASODEX 50MG TABLET BICALUTAMIDE 02184478 Y

Cancer CEENU 100MG CAPSULE LOMUSTINE 00360414 Y

Cancer CEENU 10MG CAPSULE LOMUSTINE 00360430 Y

Cancer CEENU 40MG CAPSULE LOMUSTINE 00360422 Y

Cancer CLADRIBINE FOR INJECTION 1MG/ML INJECTION CLADRIBINE 02319918 Y

Cancer CO-BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02274337 Y

Cancer CO-LETROZOLE 2.5MG TABLET LETROZOLE 02352052 Y

Cancer CYPROTERONE 50MG TABLET CYPROTERONE ACETATE 02245898 Y

Cancer CYTARABINE 100MG/ML VIAL CYTARABINE 02126656 Y

Cancer CYTOSAR 100MG VIAL CYTARABINE 00386715 Y

Cancer CYTOXAN 25MG TABLET CYCLOPHOSPHAMIDE 00344877 Y

Cancer CYTOXAN 50MG TABLET CYCLOPHOSPHAMIDE 00344885 Y

Cancer DOM-BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02281139 Y

Cancer DOM-LETROZOLE 2.5MG TABLET LETROZOLE 02316374 Y

Cancer DOM-TAMOXIFEN 10MG TABLET TAMOXIFEN CITRATE 02237598 Y

Cancer EFUDEX 5% CREAM FLUOROURACIL 00330582 Y

Cancer ELIGARD 22.5MG SYRINGE(3MONTH) LEUPROLIDE ACETATE 02248240 Y

Cancer ELIGARD 30MG SYRINGE(4MONTH) LEUPROLIDE ACETATE 02248999 Y

Cancer ELIGARD 45MG SYRINGE (6MONTH) LEUPROLIDE ACETATE 02268892 Y

Cancer ELIGARD 7.5MG SYRINGE (1MONTH) LEUPROLIDE ACETATE 02248239 Y

Cancer ELOXATIN 100MG/ VIAL SOLUTION OXALIPLATIN 02296276 Y Y

Cancer ELOXATIN 50MG/ VIAL SOLUTION OXALIPLATIN 02296268 Y Y

Cancer ELOXATIN 5MG/ML VIAL SOLUTION OXALIPLATIN 02296284 Y Y

Cancer EMCYT 140MG CAPSULE ESTRAMUSTINE PHOSPHATE SODIUM02063794 Y

Cancer ERBITUX 2MG/ML INJECTION CETUXIMAB 02271249 Y Y

Cancer ERWINASE 10000U VIAL ASPARAGINASE 02237815 Y

Cancer EUFLEX 250MG TABLET FLUTAMIDE 00637726 Y

Cancer FASLODEX 50MG/ML INJECTION FULVESTRANT 02248624 Y

Cancer FEMARA 2.5MG TABLET LETROZOLE 02231384 Y

Cancer FIRMAGON 120MG/VIAL INJECTION DEGARELIX ACETATE 02337037 Y

Cancer FIRMAGON 80MG/VIAL INJECTION DEGARELIX ACETATE 02337029 Y

Cancer FLUDARA 10MG TABLET FLUDARABINE PHOSPHATE 02246226 Y

Cancer FLUDARA 50MG VIAL FLUDARABINE PHOSPHATE SODIUM01989537 Y

Cancer FLUOROURACIL 50MG/ML VIAL FLUOROURACIL 00012882 Y

Cancer FLUOROURACIL 50MG/ML VIAL FLUOROURACIL 02182742 Y

Cancer FLUTAMIDE 250MG TABLET FLUTAMIDE 02239388 Y

Cancer FLUTAMIDE 250MG TABLET FLUTAMIDE 02230875 Y

Cancer FLUTAMIDE 250MG TABLET FLUTAMIDE 02239045 Y

Cancer FLUTAMIDE TAB 250MG FLUTAMIDE 02059673 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 132

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LEVEL 3

50%Prior Authorization

Cancer GLEEVEC 100MG CAPSULE IMATINIB MESYLATE 02244725 Y Y

Cancer GLEEVEC 100MG TABLET IMATINIB MESYLATE 02253275 Y Y

Cancer GLEEVEC 400MG TABLET IMATINIB MESYLATE 02253283 Y Y

Cancer HERCEPTIN 440MG INJECTION TRASTUZUMAB 02240692 Y Y

Cancer HYDREA 500MG CAPSULE HYDROXYUREA 00465283 Y

Cancer HYDROXYUREA 500MG CAPSULE HYDROXYUREA 02343096 Y

Cancer IMMUCYST 81MG/VIAL INJECTION BCG VACCINE 02194376 Y

Cancer INTRON A 10M IU/ML INJECTION INTERFERON ALFA-2B RECOMB. 02238675 Y

Cancer INTRON A 10MMU VIAL INTERFERON ALFA-2B RECOMB. 02223406 Y

Cancer INTRON A 10MU/VIAL - 1ML (ODB) INTERFERON ALFA-2B RECOMB. 09853995 Y

Cancer INTRON A 18MIU/1.2ML INJECTION INTERFERON ALFA-2B 02240693 Y

Cancer INTRON A 18MU/VIAL - 3ML (ODB) INTERFERON ALFA-2B RECOMB. 09854045 Y

Cancer INTRON A 25MU/VIAL - 2.5ML(ODB) INTERFERON ALFA-2B RECOMB. 09854053 Y

Cancer INTRON A 30MIU/1.2ML INJECTION INTERFERON ALFA-2B 02240694 Y

Cancer INTRON A 5MMU/ML VIAL INTERFERON ALFA-2B RECOMB. 00889067 Y

Cancer INTRON A 60MIU/1.2ML INJECTION INTERFERON ALFA-2B 02240695 Y

Cancer INTRON A 6M IU/ML INJECTION INTERFERON ALFA-2B RECOMB. 02238674 Y

Cancer INTRON A LYOPHILIZED POWDER 18MILLION IU/VIAL INTERFERON ALFA-2B RECOMB. 02231651 Y

Cancer INTRON A LYOPHILIZED POWDER 30MILLION IU/VIAL INTERFERON ALFA-2B RECOMB. 02231652 Y

Cancer INTRON A LYOPHILIZED POWDER 50MILLION IU/VIAL INTERFERON ALFA-2B RECOMB. 02231653 Y

Cancer IRESSA 250MG TABLET GEFITINIB 02248676 Y Y

Cancer IRINOTECAN 20MG/ML INJECTION IRINOTECAN HCL 02305143 Y Y

Cancer IRINOTECAN 20MG/ML INJECTION IRINOTECAN HCL 02258218 Y Y

Cancer IRINOTECAN 20MG/ML INJECTION IRINOTECAN HCL 02312409 Y Y

Cancer KIDROLASE 10000U VIAL ASPARAGINASE 01926438 Y

Cancer LANVIS 40MG TABLET THIOGUANINE 00282081 Y

Cancer LEDERLE LEUCOVORIN 5MG TABLET LEUCOVORIN CALCIUM 02170493 Y

Cancer LETROZOLE 2.5MG TABLET LETROZOLE 02316935 Y

Cancer LETROZOLE 2.5MG TABLET LETROZOLE 02347997 Y

Cancer LETROZOLE 2.5MG TABLET LETROZOLE 02348896 Y

Cancer LETROZOLE 2.5MG TABLET LETROZOLE 02348969 Y

Cancer LETROZOLE 2.5MG TABLET LETROZOLE 02338459 Y

Cancer LEUCOVORIN CALC 10MG/ML-50ML LEUCOVORIN CALCIUM 02182998 Y

Cancer LEUCOVORIN CALC 10MG/ML-5ML LEUCOVORIN CALCIUM 02183005 Y

Cancer LEUCOVORIN CALCIUM 10MG/ML LEUCOVORIN CALCIUM 02087316 Y

Cancer LEUKERAN 2MG TABLET CHLORAMBUCIL 00004626 Y

Cancer LEUSTATIN 1MG/ML VIAL CLADRIBINE 02022117 Y

Cancer LEVULAN KERASTICK 20% SOL AMINOLEVULINIC ACID HCL 02243933 Y

Cancer LUPRON 1MG/0.2ML VIAL LEUPROLIDE ACETATE 00727695 Y

Cancer LUPRON DEPOT 22.5MG/VIAL PWS LEUPROLIDE ACETATE 02230248 Y

Cancer LUPRON DEPOT 30MG VIAL LEUPROLIDE ACETATE 02239833 Y

Cancer LUPRON DEPOT 7.5MG KIT LEUPROLIDE ACETATE 00836273 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 133

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cancer LYSODREN 500MG TABLET MITOTANE 00463221 Y

Cancer MABCAMPATH 10MG/ML IV SOLUTION ALEMTUZUMAB 02273993 Y Y

Cancer MABCAMPATH 30MG/ML IV SOLUTION ALEMTUZUMAB 02290960 Y Y

Cancer MATULANE 50MG CAPSULE PROCARBAZINE HCL 00012750 Y

Cancer MED TAMOXIFEN 10MG TABLET TAMOXIFEN CITRATE 02084422 Y

Cancer MED TAMOXIFEN 20MG TABLET TAMOXIFEN CITRATE 02084430 Y

Cancer MED-LETROZOLE 2.5MG TABLET LETROZOLE 02322315 Y

Cancer MEGACE 160MG TABLET MEGESTROL ACETATE 00731323 Y

Cancer MEGACE 40MG/ML OS SUSP MEGESTROL ACETATE 02168979 Y

Cancer MEGESTROL 160MG TABLET MEGESTROL ACETATE 02195925 Y

Cancer MEGESTROL 40MG TABLET MEGESTROL ACETATE 02223104 Y

Cancer MEGESTROL 40MG TABLET MEGESTROL ACETATE 02195917 Y

Cancer MESNA 100MG/ML INJECTION MESNA 02244931 Y

Cancer METHOTREXATE 10MG TABLET METHOTREXATE 02182750 Y

Cancer METHOTREXATE 10MG/ML VIAL METHOTREXATE SODIUM 02182947 Y

Cancer METHOTREXATE 2.5MG TABLET METHOTREXATE SODIUM 02170698 Y

Cancer METHOTREXATE 25MG/ML INJ PFREE METHOTREXATE SODIUM 02182955 Y

Cancer METHOTREXATE 25MG/ML INJ PFREE METHOTREXATE SODIUM 02182971 Y

Cancer METHOTREXATE 25MG/ML INJECTION METHOTREXATE SODIUM 02182777 Y

Cancer METHOTREXATE 25MG/ML VIAL METHOTREXATE SODIUM 02099705 Y

Cancer METVIX 16.8% CREAM METHYL AMINOLEVULINATE HCL 02323273 Y

Cancer MITOMYCINE INJECTION (PQ) MITOMYCIN 99004518 Y

Cancer MUSTARGEN 10MG VIAL MECHLORETHAMINE HCL 00016063 Y

Cancer MYLAN-BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02302403 Y

Cancer MYLAN-CYPROTERONE 50MG TABLET CYPROTERONE ACETATE 02229723 Y

Cancer MYLAN-HYDROXYUREA 500MG CAPSULE HYDROXYUREA 02242920 Y

Cancer MYLAN-LETROZOLE 2.5MG TABLET LETROZOLE 02322544 Y

Cancer MYLAN-TAMOXIFEN 10MG TABLET TAMOXIFEN CITRATE 02088428 Y

Cancer MYLAN-TAMOXIFEN 20MG TABLET TAMOXIFEN CITRATE 02089858 Y

Cancer MYLERAN 2MG TABLET BUSULFAN 00004618 Y

Cancer NEXAVAR 200MG TABLET SORAFENIB 02284227 Y Y

Cancer NOLVADEX-D 20MG TABLET TAMOXIFEN CITRATE 02048485 Y

Cancer NOVO-BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02270226 Y

Cancer NOVO-CYPROTERONE 50MG TABLET CYPROTERONE ACETATE 02232872 Y

Cancer NOVO-FLUTAMIDE 250MG TABLET FLUTAMIDE 02230089 Y

Cancer NOVO-LETROZOLE 2.5MG TABLET LETROZOLE 02343657 Y

Cancer NOVO-TAMOXIFEN 10MG TABLET TAMOXIFEN CITRATE 00851965 Y

Cancer NOVO-TAMOXIFEN 20MG TABLET TAMOXIFEN CITRATE 00851973 Y

Cancer NU-BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02336545 Y

Cancer NU-MEGESTROL 160MG TABLET MEGESTROL ACETATE 02185423 Y

Cancer ONCOTICE BCG INJECTION BCG VACCINE 02153513 Y

Cancer PHL-BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02281163 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 134

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LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cancer PHL-LETROZOLE 2.5MG TABLET LETROZOLE 02316366 Y

Cancer PMS-BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02275589 Y

Cancer PMS-FLUTAMIDE 250MG TABLET FLUTAMIDE 02230104 Y

Cancer PMS-LETROZOLE 2.5MG TABLET LETROZOLE 02309114 Y

Cancer PMS-TAMOXIFEN 10MG TABLET TAMOXIFEN CITRATE 02237459 Y

Cancer PMS-TAMOXIFEN 20MG TABLET TAMOXIFEN CITRATE 02237460 Y

Cancer PRO-BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02311038 Y

Cancer PROCYTOX 25MG TABLET CYCLOPHOSPHAMIDE 02241795 Y

Cancer PROCYTOX 50MG TABLET CYCLOPHOSPHAMIDE 02241796 Y

Cancer PURINETHOL 50MG TABLET MERCAPTOPURINE 00004723 Y

Cancer RATIO-BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02277700 Y

Cancer RATIO-METHOTREXATE 2.5MG TABLET METHOTREXATE SODIUM 02244798 Y

Cancer REVLIMID 10MG CAPSULE LENALIDOMIDE 02304902 Y Y

Cancer REVLIMID 15MG CAPSULE LENALIDOMIDE 02317699 Y Y

Cancer REVLIMID 25MG CAPSULE LENALIDOMIDE 02317710 Y Y

Cancer REVLIMID 5MG CAPSULE LENALIDOMIDE 02304899 Y Y

Cancer RITUXAN 10MG/ML INJECTION RITUXIMAB 02241927 Y Y

Cancer SANDOZ BICALUTAMIDE 50MG TABLET BICALUTAMIDE 02276089 Y

Cancer SANDOZ LETROZOLE 2.5MG TABLET LETROZOLE 02344815 Y

Cancer SOLARAZE 3% GEL DICLOFENAC SODIUM 02238019 Y

Cancer SPRYCEL 100MG TABLET DASATINIB MONOHYDRATE 02320193 Y Y

Cancer SPRYCEL 20MG TABLET DASATINIB MONOHYDRATE 02293129 Y Y

Cancer SPRYCEL 50MG TABLET DASATINIB MONOHYDRATE 02293137 Y Y

Cancer SPRYCEL 70MG TABLET DASATINIB MONOHYDRATE 02293145 Y Y

Cancer SUPREFACT 1MG/ML INJECTION BUSERELIN ACETATE 02225166 Y

Cancer SUPREFACT 1MG/ML NASAL BUSERELIN ACETATE 02225158 Y

Cancer SUPREFACT DEPOT 2MONTH 6.6MG IMP BUSERELIN ACETATE 02228955 Y

Cancer SUPREFACT DEPOT 3MONTH 9.45MG IMPLAN BUSERELIN ACETATE 02240749 Y

Cancer SUTENT 12.5MG CAPSULE SUNITINIB MALATE 02280795 Y Y

Cancer SUTENT 25MG CAPSULE SUNITINIB MALATE 02280809 Y Y

Cancer SUTENT 50MG CAPSULE SUNITINIB MALATE 02280817 Y Y

Cancer TAMOFEN 10MG TABLET TAMOXIFEN CITRATE 01926624 Y

Cancer TAMOFEN 20MG TABLET TAMOXIFEN CITRATE 01926632 Y

Cancer TAMOXIFEN 10MG TABLET TAMOXIFEN CITRATE 02237596 Y

Cancer TAMOXIFEN 20MG TABLET TAMOXIFEN CITRATE 02237597 Y

Cancer TAMOXIFENE-10MG TABLET TAMOXIFEN CITRATE 02296721 Y

Cancer TAMOXIFENE-20MG TABLET TAMOXIFEN CITRATE 02296748 Y

Cancer TARCEVA 100MG TABLET ERLOTINIB HCL 02269015 Y Y

Cancer TARCEVA 150MG TABLET ERLOTINIB HCL 02269023 Y Y

Cancer TARCEVA 25MG TABLET ERLOTINIB HCL 02269007 Y Y

Cancer TASIGNA 200MG CAPSULE NILOTINIB HCL MONOHYDRATE 02315874 Y

Cancer TAXOTERE 20MG/.5ML VIAL DOCETAXEL 02177099 Y Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 135

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LEVEL 2

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cancer TAXOTERE 80MG/2ML VIAL DOCETAXEL 02177080 Y Y

Cancer TEMODAL 100MG CAPSULE TEMOZOLOMIDE 02241095 Y Y

Cancer TEMODAL 100MG/VIAL TEMOZOLOMIDE 02321262 Y Y

Cancer TEMODAL 140MG CAPSULE TEMOZOLOMIDE 02312794 Y Y

Cancer TEMODAL 180MG CAPSULE TEMOZOLOMIDE 02312816 Y Y

Cancer TEMODAL 20MG CAPSULE TEMOZOLOMIDE 02241094 Y Y

Cancer TEMODAL 250MG CAPSULE TEMOZOLOMIDE 02241096 Y Y

Cancer TEMODAL 5MG CAPSULE TEMOZOLOMIDE 02241093 Y Y

Cancer TOMUDEX 2MG VIAL RALTITREXED 02229566 Y

Cancer TRELSTAR 3.75MG INJ WITH STERILE WATER TRIPTORELIN PAMOATE 09857199 Y

Cancer TRELSTAR 3.75MG SR INJECTION TRIPTORELIN PAMOATE 02240000 Y

Cancer TRELSTAR LA 11.25MG INJ WITH STERILE WATER TRIPTORELIN 09857200 Y

Cancer TRELSTAR LA 11.25MG INJECTION TRIPTORELIN PAMOATE 02243856 Y

Cancer TYKERB 250MG TABLET LAPATINIB DITOSYLATE MONOHYDRATE02326442 Y

Cancer UROMITEXAN 100MG/ML INJECTION MESNA 02241411 Y

Cancer VECTIBIX 100MG/5ML IV PANITUMUMAB 02308487 Y Y

Cancer VECTIBIX 200MG/10ML IV PANITUMUMAB 02308495 Y Y

Cancer VECTIBIX 400MG/20ML IV PANITUMUMAB 02308509 Y Y

Cancer VELCADE 3.5MG/VIAL INJECTION BORTEZOMIB 02262452 Y Y

Cancer VEPESID 50MG CAPSULE ETOPOSIDE 00616192 Y

Cancer VESANOID 10MG CAPSULE TRETINOIN 02145839 Y

Cancer VOTRIENT 200MG TABLET PAZOPANIB HCL 02352303 Y

Cancer VOTRIENT 400MG TABLET PAZOPANIB HCL 02352311 Y

Cancer XELODA 150MG TABLET CAPECITABINE 02238453 Y

Cancer XELODA 500MG TABLET CAPECITABINE 02238454 Y

Cancer ZOLADEX DEPOT 10.8MG SYRINGE GOSERELIN ACETATE 02225905 Y

Cancer ZOLADEX DEPOT 3.6MG SYRINGE GOSERELIN ACETATE 02049325 Y

Cancer ZOLINZA 100MG CAPSULE VORINOSTAT 02327619 Y

Cancer ZYCLARA 3.75% CREAM IMIQUIMOD 02340445 Y

Cardiac disease AA-FLECAINIDE 100MG TABLET FLECAINIDE ACETATE 02349140 Y

Cardiac disease AA-FLECAINIDE 50MG TABLET FLECAINIDE ACETATE 02349132 Y

Cardiac disease AMIODARONE 100MG TABLET AMIODARONE HCL 02300885 Y

Cardiac disease AMIODARONE 200MG TABLET AMIODARONE HCL 02300893 Y

Cardiac disease AMIODARONE 200MG TABLET AMIODARONE HCL 02287056 Y

Cardiac disease AMIODARONE 200MG TABLET AMIODARONE HCL 02335115 Y

Cardiac disease APO-AMIODARONE 200MG TABLET AMIODARONE HCL 02246194 Y

Cardiac disease APO-DIGOXIN 0.0625MG TABLET DIGOXIN 02281236 Y

Cardiac disease APO-DIGOXIN 0.125MG TABLET DIGOXIN 02281228 Y

Cardiac disease APO-DIGOXIN 0.25MG TABLET DIGOXIN 02281201 Y

Cardiac disease APO-FUROSEMIDE 20MG TABLET FUROSEMIDE 00396788 Y

Cardiac disease APO-FUROSEMIDE 40MG TABLET FUROSEMIDE 00362166 Y

Cardiac disease APO-FUROSEMIDE 80MG TABLET FUROSEMIDE 00707570 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 136

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cardiac disease APO-PROPAFENONE 150MG TABLET PROPAFENONE HCL 02243324 Y

Cardiac disease APO-PROPAFENONE 300MG TABLET PROPAFENONE HCL 02243325 Y

Cardiac disease APX-FUROSEMIDE 20MG TABLET FUROSEMIDE 02344238 Y

Cardiac disease APX-FUROSEMIDE 40MG TABLET FUROSEMIDE 02344246 Y

Cardiac disease APX-FUROSEMIDE 80MG TABLET FUROSEMIDE 02344254 Y

Cardiac disease BIO-FUROSEMIDE 20MG TABLET FUROSEMIDE 02247371 Y

Cardiac disease BIO-FUROSEMIDE 40MG TABLET FUROSEMIDE 02247372 Y

Cardiac disease BIQUIN DURULES 250MG TABLET QUINIDINE BISULFATE 00249580 Y

Cardiac disease BURINEX 1MG TABLET BUMETANIDE 00728284 Y

Cardiac disease BURINEX 5MG TABLET BUMETANIDE 00728276 Y

Cardiac disease CORDARONE 200MG TABLET AMIODARONE HCL 02036282 Y

Cardiac disease DOM-AMIODARONE 100MG TABLET AMIODARONE HCL 02294508 Y

Cardiac disease DOM-AMIODARONE 200MG TABLET AMIODARONE HCL 02246331 Y

Cardiac disease DOM-FUROSEMIDE 20MG TABLET FUROSEMIDE 02248124 Y

Cardiac disease DOM-FUROSEMIDE 40MG TABLET FUROSEMIDE 02248125 Y

Cardiac disease EDECRIN 25MG TABLET ETHACRYNIC ACID 02258528 Y

Cardiac disease FLECAINIDE 100MG TABLET FLECAINIDE ACETATE 02275546 Y

Cardiac disease FLECAINIDE 50MG TABLET FLECAINIDE ACETATE 02275538 Y

Cardiac disease FUROSEMIDE 10MG/ML AMPOULE FUROSEMIDE 00527033 Y

Cardiac disease FUROSEMIDE 20MG TABLET FUROSEMIDE 02351420 Y

Cardiac disease FUROSEMIDE 20MG TABLET FUROSEMIDE 00496723 Y

Cardiac disease FUROSEMIDE 40MG TABLET FUROSEMIDE 02351439 Y

Cardiac disease FUROSEMIDE 40MG TABLET FUROSEMIDE 00397792 Y

Cardiac disease FUROSEMIDE 80MG TABLET FUROSEMIDE 02351447 Y

Cardiac disease FUROSEMIDE 80MG TABLET FUROSEMIDE 00667080 Y

Cardiac disease GEN-PROPAFENONE 150MG TABLET PROPAFENONE HCL 02243631 Y

Cardiac disease GEN-PROPAFENONE 300MG TABLET PROPAFENONE HCL 02243632 Y

Cardiac disease LANOXIN 0.0625MG TABLET DIGOXIN 02242321 Y

Cardiac disease LANOXIN 0.125MG TABLET DIGOXIN 02242322 Y

Cardiac disease LANOXIN 0.25MG TABLET DIGOXIN 02242323 Y

Cardiac disease LANOXIN PEDIATRIC ELIXIR DIGOXIN 02242320 Y

Cardiac disease LASIX 10MG/ML ORAL SOLUTION FUROSEMIDE 02224720 Y

Cardiac disease LASIX 20MG TABLET FUROSEMIDE 02224690 Y

Cardiac disease LASIX 40MG TABLET FUROSEMIDE 02224704 Y

Cardiac disease LASIX SPECIAL 500MG TABLET FUROSEMIDE 02224755 Y

Cardiac disease LIDOCAINE 2% INJECTION LIDOCAINE HCL 01901982 Y

Cardiac disease LIDOCAINE HCL INJ 2% USP LIDOCAINE HCL 00436208 Y

Cardiac disease MILRINONE LACTATE 1MG/ML INJECTION MILRINONE LACTATE 02244622 Y

Cardiac disease MULTAQ 400MG TABLET DRONEDARONE 02330989 Y

Cardiac disease MYLAN-AMIODARONE 200MG TABLET AMIODARONE HCL 02240604 Y

Cardiac disease MYLAN-PROPAFENONE 150MG TABLET PROPAFENONE HCL 02245372 Y

Cardiac disease MYLAN-PROPAFENONE 300MG TABLET PROPAFENONE HCL 02245373 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 137

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cardiac disease NOVO-MEXILETINE 100MG CAPSULE MEXILETINE HCL 02230359 Y

Cardiac disease NOVO-MEXILETINE 200MG TABLET MEXILETINE HCL 02230360 Y

Cardiac disease NOVO-SEMIDE 20MG TABLET FUROSEMIDE 00337730 Y

Cardiac disease NOVO-SEMIDE 40MG TABLET FUROSEMIDE 00337749 Y

Cardiac disease NOVO-SEMIDE 80MG TABLET FUROSEMIDE 00765953 Y

Cardiac disease NTP-FUROSEMIDE 20MG TABLET FUROSEMIDE 02348292 Y

Cardiac disease NTP-FUROSEMIDE 40MG TABLET FUROSEMIDE 02348306 Y

Cardiac disease NTP-FUROSEMIDE 80MG TABLET FUROSEMIDE 02348314 Y

Cardiac disease NU-AMIODARONE 200MG TABLET AMIODARONE HCL 02336421 Y

Cardiac disease NU-FUROSEMIDE 20MG TABLET FUROSEMIDE 02239224 Y

Cardiac disease NU-FUROSEMIDE 40MG TABLET FUROSEMIDE 02239225 Y

Cardiac disease PHL-AMIODARONE 100MG TABLET AMIODARONE HCL 02294516 Y

Cardiac disease PHL-AMIODARONE 200MG TABLET AMIODARONE HCL 02245781 Y

Cardiac disease PHL-FUROSEMIDE 20MG TABLET FUROSEMIDE 02294389 Y

Cardiac disease PHL-FUROSEMIDE 40MG TABLET FUROSEMIDE 02294397 Y

Cardiac disease PMS-AMIODARONE 100MG TABLET AMIODARONE HCL 02292173 Y

Cardiac disease PMS-AMIODARONE 200MG TABLET AMIODARONE HCL 02242472 Y

Cardiac disease PMS-DIGOXIN 0.0625MG TABLET DIGOXIN 02245426 Y

Cardiac disease PMS-DIGOXIN 0.125MG TABLET DIGOXIN 02245427 Y

Cardiac disease PMS-DIGOXIN 0.25MG TABLET DIGOXIN 02245428 Y

Cardiac disease PMS-FUROSEMIDE 20MG TABLET FUROSEMIDE 02247493 Y

Cardiac disease PMS-FUROSEMIDE 40MG TABLET FUROSEMIDE 02247494 Y

Cardiac disease PMS-PROPAFENONE 150MG TABLET PROPAFENONE HCL 02243727 Y

Cardiac disease PMS-PROPAFENONE 150MG TABLET PROPAFENONE HCL 02294559 Y

Cardiac disease PMS-PROPAFENONE 300MG TABLET PROPAFENONE HCL 02243728 Y

Cardiac disease PMS-PROPAFENONE 300MG TABLET PROPAFENONE HCL 02294575 Y

Cardiac disease PRO-AMIODARONE 200MG TABLET AMIODARONE HCL 02309661 Y

Cardiac disease PROCAN SR 250MG TABLET SA PROCAINAMIDE HCL 00638692 Y

Cardiac disease PROCAN SR 500MG TABLET SA PROCAINAMIDE HCL 00638676 Y

Cardiac disease PROCAN SR 750MG TABLET SA PROCAINAMIDE HCL 00638684 Y

Cardiac disease PROPAFENONE 150MG TABLET PROPAFENONE HCL 02343053 Y

Cardiac disease PROPAFENONE 300MG TABLET PROPAFENONE HCL 02343061 Y

Cardiac disease PROPAFENONE-150MG TABLET PROPAFENONE HCL 02243783 Y

Cardiac disease PROPAFENONE-300MG TABLET PROPAFENONE HCL 02243784 Y

Cardiac disease RATIO-AMIODARONE 200MG TABLET AMIODARONE HCL 02240071 Y

Cardiac disease RIVA-AMIODARONE 200MG TABLET AMIODARONE HCL 02247217 Y

Cardiac disease RYTHMODAN 100MG CAPSULE DISOPYRAMIDE PHOSPHATE 01989553 Y

Cardiac disease RYTHMODAN 100MG CAPSULE DISOPYRAMIDE PHOSPHATE 02224801 Y

Cardiac disease RYTHMODAN 150MG CAPSULE DISOPYRAMIDE PHOSPHATE 02224828 Y

Cardiac disease RYTHMODAN LA 250MG TABLET DISOPYRAMIDE PHOSPHATE 02224836 Y

Cardiac disease RYTHMOL 150MG TABLET PROPAFENONE HCL 00603708 Y

Cardiac disease RYTHMOL 300MG TABLET PROPAFENONE HCL 00603716 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 138

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cardiac disease RYTHMOL SR 225MG CAPSULE PROPAFENONE HCL 02251485 Y

Cardiac disease RYTHMOL SR 325MG CAPSULE PROPAFENONE HCL 02251493 Y

Cardiac disease RYTHMOL SR 425MG CAPSULE PROPAFENONE HCL 02251507 Y

Cardiac disease SANDOZ AMIODARONE 200MG TABLET AMIODARONE HCL 02243836 Y

Cardiac disease TAMBOCOR 100MG TABLET FLECAINIDE ACETATE 01966200 Y

Cardiac disease TAMBOCOR 50MG TABLET FLECAINIDE ACETATE 01966197 Y

Cardiac disease TEVA-AMIODARONE 200MG TABLET AMIODARONE HCL 02239835 Y

Cardiac disease TOLOXIN 0.0625 TABLET DIGOXIN 02335700 Y

Cardiac disease TOLOXIN 0.125MG TABLET DIGOXIN 02335719 Y

Cardiac disease TOLOXIN 0.25MG TABLET DIGOXIN 02335727 Y

Cardiac disease XYLOCARD 2% VIAL LIDOCAINE HCL 00001937 Y

Cholesterol disorders ACCEL-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02326531 Y

Cholesterol disorders ACCEL-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02326558 Y

Cholesterol disorders ACCEL-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02326566 Y

Cholesterol disorders ACCEL-SIMVASTATIN 10MG TABLET SIMVASTATIN 02349930 Y

Cholesterol disorders ACCEL-SIMVASTATIN 20MG TABLET SIMVASTATIN 02349949 Y

Cholesterol disorders ACCEL-SIMVASTATIN 40MG TABLET SIMVASTATIN 02349957 Y

Cholesterol disorders ACCEL-SIMVASTATIN 5MG TABLET SIMVASTATIN 02349922 Y

Cholesterol disorders ACCEL-SIMVASTATIN 80MG TABLET SIMVASTATIN 02349965 Y

Cholesterol disorders ADVICOR 1000/20MG SR TABLET NICOTINIC ACID/LOVASTATIN 02270447 Y

Cholesterol disorders ADVICOR 1000/40MG SR TABLET NICOTINIC ACID/LOVASTATIN 02293501 Y

Cholesterol disorders ADVICOR 500/20MG SR TABLET NICOTINIC ACID/LOVASTATIN 02270439 Y

Cholesterol disorders ADVICOR 750/20MG SR TABLET NICOTINIC ACID/LOVASTATIN 02293498 Y

Cholesterol disorders APO-ATORVASTATIN 10MG TABLET ATORVASTATIN CALCIUM 02295261 Y

Cholesterol disorders APO-ATORVASTATIN 20MG TABLET ATORVASTATIN CALCIUM 02295288 Y

Cholesterol disorders APO-ATORVASTATIN 40MG TABLET ATORVASTATIN CALCIUM 02295296 Y

Cholesterol disorders APO-ATORVASTATIN 80MG TABLET ATORVASTATIN CALCIUM 02295318 Y

Cholesterol disorders APO-FENOFIBRATE 100MG CAPSULE FENOFIBRATE 02225980 Y

Cholesterol disorders APO-FENO-MICRO 200MG CAPSULE FENOFIBRATE MICRONIZED 02239864 Y

Cholesterol disorders APO-FENO-MICRO 67MG CAPSULE FENOFIBRATE 02243180 Y

Cholesterol disorders APO-FENO-SUPER 100MG TABLET FENOFIBRATE MICROCOATED 02246859 Y

Cholesterol disorders APO-FENO-SUPER 160MG TABLET FENOFIBRATE MICROCOATED 02246860 Y

Cholesterol disorders APO-GEMFIBROZIL 300MG CAPSULE GEMFIBROZIL 01979574 Y

Cholesterol disorders APO-GEMFIBROZIL 600MG TABLET GEMFIBROZIL 01979582 Y

Cholesterol disorders APO-LOVASTATIN 20MG TABLET LOVASTATIN 02220172 Y

Cholesterol disorders APO-LOVASTATIN 40MG TABLET LOVASTATIN 02220180 Y

Cholesterol disorders APO-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02243506 Y

Cholesterol disorders APO-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02243507 Y

Cholesterol disorders APO-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02243508 Y

Cholesterol disorders APO-SIMVASTATIN 10MG TABLET SIMVASTATIN 02247012 Y

Cholesterol disorders APO-SIMVASTATIN 20MG TABLET SIMVASTATIN 02247013 Y

Cholesterol disorders APO-SIMVASTATIN 40MG TABLET SIMVASTATIN 02247014 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 139

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cholesterol disorders APO-SIMVASTATIN 5MG TABLET SIMVASTATIN 02247011 Y

Cholesterol disorders APO-SIMVASTATIN 80MG TABLET SIMVASTATIN 02247015 Y

Cholesterol disorders APX-FENOFIBRATE 100MG CAPSULE FENOFIBRATE 02341549 Y

Cholesterol disorders APX-FENO-MICRO 200MG CAPSULE FENOFIBRATE 02341581 Y

Cholesterol disorders APX-FENO-MICRO 67MG CAPSULE FENOFIBRATE 02341573 Y

Cholesterol disorders APX-LOVASTATIN 20MG TABLET LOVASTATIN 02341476 Y

Cholesterol disorders APX-LOVASTATIN 40MG TABLET LOVASTATIN 02341484 Y

Cholesterol disorders APX-SIMVASTATIN 10MG TABLET SIMVASTATIN 02341964 Y

Cholesterol disorders APX-SIMVASTATIN 20MG TABLET SIMVASTATIN 02341972 Y

Cholesterol disorders APX-SIMVASTATIN 40MG TABLET SIMVASTATIN 02341980 Y

Cholesterol disorders APX-SIMVASTATIN 5MG TABLET SIMVASTATIN 02341956 Y

Cholesterol disorders APX-SIMVASTATIN 80MG TABLET SIMVASTATIN 02341999 Y

Cholesterol disorders ATORVASTATIN 10MG TABLET ATORVASTATIN CALCIUM 02348624 Y

Cholesterol disorders ATORVASTATIN 10MG TABLET ATORVASTATIN CALCIUM 02348705 Y

Cholesterol disorders ATORVASTATIN 20MG TABLET ATORVASTATIN CALCIUM 02348632 Y

Cholesterol disorders ATORVASTATIN 20MG TABLET ATORVASTATIN CALCIUM 02348713 Y

Cholesterol disorders ATORVASTATIN 40MG TABLET ATORVASTATIN CALCIUM 02348640 Y

Cholesterol disorders ATORVASTATIN 40MG TABLET ATORVASTATIN CALCIUM 02348721 Y

Cholesterol disorders ATORVASTATIN 80MG TABLET ATORVASTATIN CALCIUM 02348659 Y

Cholesterol disorders ATORVASTATIN 80MG TABLET ATORVASTATIN CALCIUM 02348748 Y

Cholesterol disorders ATORVASTATIN CALCIUM 10MG TABLET ATORVASTATIN CALCIUM 02346486 Y

Cholesterol disorders ATORVASTATIN CALCIUM 20MG TABLET ATORVASTATIN CALCIUM 02346494 Y

Cholesterol disorders ATORVASTATIN CALCIUM 40MG TABLET ATORVASTATIN CALCIUM 02346508 Y

Cholesterol disorders ATORVASTATIN CALCIUM 80MG TABLET ATORVASTATIN CALCIUM 02346516 Y

Cholesterol disorders ATORVASTATIN-10MG TABLET ATORVASTATIN CALCIUM 02351757 Y

Cholesterol disorders ATORVASTATIN-20MG TABLET ATORVASTATIN CALCIUM 02351765 Y

Cholesterol disorders ATORVASTATIN-40MG TABLET ATORVASTATIN CALCIUM 02351773 Y

Cholesterol disorders ATORVASTATIN-80MG TABLET ATORVASTATIN CALCIUM 02351781 Y

Cholesterol disorders BCI-SIMVASTATIN 10MG TABLET SIMVASTATIN 02265664 Y

Cholesterol disorders BCI-SIMVASTATIN 20MG TABLET SIMVASTATIN 02265672 Y

Cholesterol disorders BCI-SIMVASTATIN 40MG TABLET SIMVASTATIN 02265680 Y

Cholesterol disorders BCI-SIMVASTATIN 5MG TABLET SIMVASTATIN 02265656 Y

Cholesterol disorders BCI-SIMVASTATIN 80MG TABLET SIMVASTATIN 02265699 Y

Cholesterol disorders BEZALIP 400MG SR TABLET BEZAFIBRATE 02083523 Y

Cholesterol disorders CADUET 10MG/10MG TABLET AMLODIPINE/ATORVASTATIN 02273284 Y

Cholesterol disorders CADUET 10MG/20MG TABLET AMLODIPINE/ATORVASTATIN 02273292 Y

Cholesterol disorders CADUET 10MG/40MG TABLET AMLODIPINE/ATORVASTATIN 02273306 Y

Cholesterol disorders CADUET 10MG/80MG TABLET AMLODIPINE/ATORVASTATIN 02273314 Y

Cholesterol disorders CADUET 5MG/10MG TABLET AMLODIPINE/ATORVASTATIN 02273233 Y

Cholesterol disorders CADUET 5MG/20MG TABLET AMLODIPINE/ATORVASTATIN 02273241 Y

Cholesterol disorders CADUET 5MG/40MG TABLET AMLODIPINE/ATORVASTATIN 02273268 Y

Cholesterol disorders CADUET 5MG/80MG TABLET AMLODIPINE/ATORVASTATIN 02273276 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 140

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cholesterol disorders CHOLESTYRAMINE LT 4G/5G (LEMON-LIME) CHOLESTYRAMINE 02259265 Y

Cholesterol disorders CHOLESTYRAMINE LT 4G/5G (ORANGE) CHOLESTYRAMINE 02236969 Y

Cholesterol disorders CHOLESTYRAMINE REG. 4G/9G CHOLESTYRAMINE 02236970 Y

Cholesterol disorders CO-ATORVASTATIN 10MG TABLET ATORVASTATIN CALCIUM 02310899 Y

Cholesterol disorders CO-ATORVASTATIN 20MG TABLET ATORVASTATIN CALCIUM 02310902 Y

Cholesterol disorders CO-ATORVASTATIN 40MG TABLET ATORVASTATIN CALCIUM 02310910 Y

Cholesterol disorders CO-ATORVASTATIN 80MG TABLET ATORVASTATIN CALCIUM 02310929 Y

Cholesterol disorders COLESTID 1GM TABLET COLESTIPOL HCL 02132680 Y

Cholesterol disorders COLESTID GRANULES 99.8% COLESTIPOL HCL 00642975 Y

Cholesterol disorders COLESTID ORANGE GRANULES 5G/7.5G COLESTIPOL HCL 02132699 Y

Cholesterol disorders CO-LOVASTATIN 20MG TABLET LOVASTATIN 02248572 Y

Cholesterol disorders CO-LOVASTATIN 40MG TABLET LOVASTATIN 02248573 Y

Cholesterol disorders CO-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02248182 Y

Cholesterol disorders CO-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02248183 Y

Cholesterol disorders CO-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02248184 Y

Cholesterol disorders CO-SIMVASTATIN 10MG TABLET SIMVASTATIN 02248104 Y

Cholesterol disorders CO-SIMVASTATIN 20MG TABLET SIMVASTATIN 02248105 Y

Cholesterol disorders CO-SIMVASTATIN 40MG TABLET SIMVASTATIN 02248106 Y

Cholesterol disorders CO-SIMVASTATIN 5MG TABLET SIMVASTATIN 02248103 Y

Cholesterol disorders CO-SIMVASTATIN 80MG TABLET SIMVASTATIN 02248107 Y

Cholesterol disorders CRESTOR 10MG TABLET ROSUVASTATIN CALCIUM 02247162 Y

Cholesterol disorders CRESTOR 20MG TABLET ROSUVASTATIN CALCIUM 02247163 Y

Cholesterol disorders CRESTOR 40MG TABLET ROSUVASTATIN CALCIUM 02247164 Y

Cholesterol disorders CRESTOR 5MG TABLET ROSUVASTATIN CALCIUM 02265540 Y

Cholesterol disorders DOM-FENOFIBRATE 100MG TABLET FENOFIBRATE 02251698 Y

Cholesterol disorders DOM-FENOFIBRATE 160MG TABLET FENOFIBRATE 02251701 Y

Cholesterol disorders DOM-FENOFIBRATE 200MG CAPSULE FENOFIBRATE MICRONIZED 02240337 Y

Cholesterol disorders DOM-GEMFIBROZIL 300MG CAPSULE GEMFIBROZIL 02241608 Y

Cholesterol disorders DOM-GEMFIBROZIL 600MG TABLET GEMFIBROZIL 02230580 Y

Cholesterol disorders DOM-LOVASTATIN 20MG TABLET LOVASTATIN 02247231 Y

Cholesterol disorders DOM-LOVASTATIN 40MG TABLET LOVASTATIN 02247232 Y

Cholesterol disorders DOM-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02249723 Y

Cholesterol disorders DOM-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02249731 Y

Cholesterol disorders DOM-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02249758 Y

Cholesterol disorders DOM-SIMVASTATIN 10MG TABLET SIMVASTATIN 02281627 Y

Cholesterol disorders DOM-SIMVASTATIN 10MG TABLET SIMVASTATIN 02253755 Y

Cholesterol disorders DOM-SIMVASTATIN 20MG TABLET SIMVASTATIN 02281635 Y

Cholesterol disorders DOM-SIMVASTATIN 20MG TABLET SIMVASTATIN 02253763 Y

Cholesterol disorders DOM-SIMVASTATIN 40MG TABLET SIMVASTATIN 02281643 Y

Cholesterol disorders DOM-SIMVASTATIN 40MG TABLET SIMVASTATIN 02253771 Y

Cholesterol disorders DOM-SIMVASTATIN 5MG TABLET SIMVASTATIN 02281619 Y

Cholesterol disorders DOM-SIMVASTATIN 5MG TABLET SIMVASTATIN 02253747 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 141

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cholesterol disorders DOM-SIMVASTATIN 80MG TABLET SIMVASTATIN 02281651 Y

Cholesterol disorders DOM-SIMVASTATIN 80MG TABLET SIMVASTATIN 02253798 Y

Cholesterol disorders EZETROL 10MG TABLET EZETIMIBE 02247521 Y

Cholesterol disorders FENOFIBRATE MICRO 200MG CAPSULE FENOFIBRATE MICRONIZED 02286092 Y

Cholesterol disorders FENOFIBRATE MICRO 67MG CAPSULE FENOFIBRATE MICRONIZED 02286084 Y

Cholesterol disorders FENOMAX 100MG CAPSULE FENOFIBRATE 02249995 Y

Cholesterol disorders FENOMAX 160MG CAPSULE FENOFIBRATE 02250004 Y

Cholesterol disorders FENO-MICRO-200MG CAPSULE FENOFIBRATE MICRONIZED 02240360 Y

Cholesterol disorders GD-ATORVASTATIN 10MG TABLET ATORVASTATIN CALCIUM 02288346 Y

Cholesterol disorders GD-ATORVASTATIN 20MG TABLET ATORVASTATIN CALCIUM 02288354 Y

Cholesterol disorders GD-ATORVASTATIN 40MG TABLET ATORVASTATIN CALCIUM 02288362 Y

Cholesterol disorders GD-ATORVASTATIN 80MG TABLET ATORVASTATIN CALCIUM 02288370 Y

Cholesterol disorders GD-GEMFIBROZIL 300MG CAPSULE GEMFIBROZIL 02273667 Y

Cholesterol disorders GD-GEMFIBROZIL 600MG TABLET GEMFIBROZIL 02273675 Y

Cholesterol disorders GEMFIBROZIL 300MG TABLET GEMFIBROZIL 02136031 Y

Cholesterol disorders GEMFIBROZIL 600MG TABLET GEMFIBROZIL 02136058 Y

Cholesterol disorders GEN-FENOFIBRATE MICRO 67MG CAPSULE FENOFIBRATE MICRONIZED 02243642 Y

Cholesterol disorders GMD-LOVASTATIN 20MG TABLET LOVASTATIN 02252929 Y

Cholesterol disorders GMD-LOVASTATIN 40MG TABLET LOVASTATIN 02252937 Y

Cholesterol disorders JAMP-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02330954 Y

Cholesterol disorders JAMP-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02330962 Y

Cholesterol disorders JAMP-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02330970 Y

Cholesterol disorders JAMP-SIMVASTATIN 10MG TABLET SIMVASTATIN 02331039 Y

Cholesterol disorders JAMP-SIMVASTATIN 20MG TABLET SIMVASTATIN 02331047 Y

Cholesterol disorders JAMP-SIMVASTATIN 40MG TABLET SIMVASTATIN 02331055 Y

Cholesterol disorders JAMP-SIMVASTATIN 5MG TABLET SIMVASTATIN 02331020 Y

Cholesterol disorders JAMP-SIMVASTATIN 80MG TABLET SIMVASTATIN 02331063 Y

Cholesterol disorders LESCOL 20MG CAPSULE FLUVASTATIN SODIUM 02061562 Y

Cholesterol disorders LESCOL 40MG CAPSULE FLUVASTATIN SODIUM 02061570 Y

Cholesterol disorders LESCOL XL 80MG SR TABLET FLUVASTATIN SODIUM 02250527 Y

Cholesterol disorders LIPIDIL EZ 145MG TABLET FENOFIBRATE 02269082 Y

Cholesterol disorders LIPIDIL EZ 48MG TABLET FENOFIBRATE 02269074 Y

Cholesterol disorders LIPIDIL MICRO 200MG CAPSULE FENOFIBRATE MICRONIZED 02146959 Y

Cholesterol disorders LIPIDIL SUPRA 100MG TABLET FENOFIBRATE MICROCOATED 02241601 Y

Cholesterol disorders LIPIDIL SUPRA 160MG TABLET FENOFIBRATE MICROCOATED 02241602 Y

Cholesterol disorders LIPITOR 10MG TABLET ATORVASTATIN CALCIUM 02230711 Y

Cholesterol disorders LIPITOR 20MG TABLET ATORVASTATIN CALCIUM 02230713 Y

Cholesterol disorders LIPITOR 40MG TABLET ATORVASTATIN CALCIUM 02230714 Y

Cholesterol disorders LIPITOR 80MG TABLET ATORVASTATIN CALCIUM 02243097 Y

Cholesterol disorders LOPID 300MG CAPSULE GEMFIBROZIL 00599026 Y

Cholesterol disorders LOPID 600MG TABLET GEMFIBROZIL 00659606 Y

Cholesterol disorders LORELCO 250MG TABLET PROBUCOL 02091909 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 142

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cholesterol disorders LOVASTATIN 20MG TABLET LOVASTATIN 02344335 Y

Cholesterol disorders LOVASTATIN 20MG TABLET LOVASTATIN 02353229 Y

Cholesterol disorders LOVASTATIN 20MG TABLET LOVASTATIN 02333821 Y

Cholesterol disorders LOVASTATIN 20MG TABLET LOVASTATIN 02286122 Y

Cholesterol disorders LOVASTATIN 20MG TABLET LOVASTATIN 02247536 Y

Cholesterol disorders LOVASTATIN 40MG TABLET LOVASTATIN 02344343 Y

Cholesterol disorders LOVASTATIN 40MG TABLET LOVASTATIN 02353237 Y

Cholesterol disorders LOVASTATIN 40MG TABLET LOVASTATIN 02333848 Y

Cholesterol disorders LOVASTATIN 40MG TABLET LOVASTATIN 02286130 Y

Cholesterol disorders LOVASTATIN 40MG TABLET LOVASTATIN 02247537 Y

Cholesterol disorders LOVASTATIN-20MG TABLET LOVASTATIN 02239955 Y

Cholesterol disorders LOVASTATIN-40MG TABLET LOVASTATIN 02239956 Y

Cholesterol disorders MEVACOR 20MG TABLET LOVASTATIN 00795860 Y

Cholesterol disorders MEVACOR 40MG TABLET LOVASTATIN 00795852 Y

Cholesterol disorders MINT-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02317451 Y

Cholesterol disorders MINT-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02317478 Y

Cholesterol disorders MINT-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02317486 Y

Cholesterol disorders MYLAN-FENOFIBRATE MICRO 200MG CAPSULE FENOFIBRATE MICRONIZED 02240210 Y

Cholesterol disorders MYLAN-GEMFIBROZIL 300MG CAPSULE GEMFIBROZIL 02185407 Y

Cholesterol disorders MYLAN-GEMFIBROZIL 600MG TABLET GEMFIBROZIL 02230476 Y

Cholesterol disorders MYLAN-LOVASTATIN 20MG TABLET LOVASTATIN 02243127 Y

Cholesterol disorders MYLAN-LOVASTATIN 40MG TABLET LOVASTATIN 02243129 Y

Cholesterol disorders MYLAN-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02257092 Y

Cholesterol disorders MYLAN-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02257106 Y

Cholesterol disorders MYLAN-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02257114 Y

Cholesterol disorders MYLAN-SIMVASTATIN 10MG TABLET SIMVASTATIN 02246583 Y

Cholesterol disorders MYLAN-SIMVASTATIN 20MG TABLET SIMVASTATIN 02246737 Y

Cholesterol disorders MYLAN-SIMVASTATIN 40MG TABLET SIMVASTATIN 02246584 Y

Cholesterol disorders MYLAN-SIMVASTATIN 5MG TABLET SIMVASTATIN 02246582 Y

Cholesterol disorders MYLAN-SIMVASTATIN 80MG TABLET SIMVASTATIN 02246585 Y

Cholesterol disorders NIASPAN 1000MG SR TABLET NICOTINIC ACID 02262339 Y

Cholesterol disorders NIASPAN 500MG SR TABLET NICOTINIC ACID 02262347 Y

Cholesterol disorders NIASPAN 750MG SR TABLET NICOTINIC ACID 02262355 Y

Cholesterol disorders NIASPAN FCT 1000MG TABLET NICOTINIC ACID 02309289 Y

Cholesterol disorders NIASPAN FCT 500MG TABLET NICOTINIC ACID 02309254 Y

Cholesterol disorders NIASPAN FCT 750MG TABLET NICOTINIC ACID 02309262 Y

Cholesterol disorders NOVO-ATORVASTATIN 10MG TABLET ATORVASTATIN CALCIUM 02302675 Y

Cholesterol disorders NOVO-ATORVASTATIN 20MG TABLET ATORVASTATIN CALCIUM 02302683 Y

Cholesterol disorders NOVO-ATORVASTATIN 40MG TABLET ATORVASTATIN CALCIUM 02302691 Y

Cholesterol disorders NOVO-ATORVASTATIN 80MG TABLET ATORVASTATIN CALCIUM 02302713 Y

Cholesterol disorders NOVO-FENOFIBRATE 200MG MICRONIZED CAPSULE FENOFIBRATE MICRONIZED 02243552 Y

Cholesterol disorders NOVO-FENOFIBRATE 67MG MICRONIZED CAPSULE FENOFIBRATE MICRONIZED 02243551 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 143

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cholesterol disorders NOVO-FENOFIBRATE-S 100MG TABLET FENOFIBRATE 02289083 Y

Cholesterol disorders NOVO-FENOFIBRATE-S 160MG TABLET FENOFIBRATE 02289091 Y

Cholesterol disorders NOVO-GEMFIBROZIL 300MG CAPSULE GEMFIBROZIL 02241704 Y

Cholesterol disorders NOVO-GEMFIBROZIL 600MG TABLET GEMFIBROZIL 02142074 Y

Cholesterol disorders NOVO-LOVASTATIN 20MG TABLET LOVASTATIN 02246542 Y

Cholesterol disorders NOVO-LOVASTATIN 40MG TABLET LOVASTATIN 02246543 Y

Cholesterol disorders NOVO-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02247008 Y

Cholesterol disorders NOVO-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02247009 Y

Cholesterol disorders NOVO-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02247010 Y

Cholesterol disorders NU-FENOFIBRATE 100MG CAPSULE FENOFIBRATE 02223600 Y

Cholesterol disorders NU-FENO-MICRO 200MG CAPSULE FENOFIBRATE MICRONIZED 02249715 Y

Cholesterol disorders NU-FENO-MICRO 67MG CAPSULE FENOFIBRATE 02335875 Y

Cholesterol disorders NU-GEMFIBROZIL 300MG CAPSULE GEMFIBROZIL 02058456 Y

Cholesterol disorders NU-GEMFIBROZIL 600MG TABLET GEMFIBROZIL 02058464 Y

Cholesterol disorders NU-LOVASTATIN 20MG TABLET LOVASTATIN 02231434 Y

Cholesterol disorders NU-LOVASTATIN 40MG TABLET LOVASTATIN 02231435 Y

Cholesterol disorders NU-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02244350 Y

Cholesterol disorders NU-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02244351 Y

Cholesterol disorders NU-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02244352 Y

Cholesterol disorders NU-SIMVASTATIN 10MG TABLET SIMVASTATIN 02247075 Y

Cholesterol disorders NU-SIMVASTATIN 20MG TABLET SIMVASTATIN 02247076 Y

Cholesterol disorders NU-SIMVASTATIN 40MG TABLET SIMVASTATIN 02247077 Y

Cholesterol disorders NU-SIMVASTATIN 5MG TABLET SIMVASTATIN 02247072 Y

Cholesterol disorders NU-SIMVASTATIN 80MG TABLET SIMVASTATIN 02247078 Y

Cholesterol disorders PHL-CHOLESTYRAMINE 4G/5G CAN (LEMON-LIME) CHOLESTYRAMINE 02259249 Y

Cholesterol disorders PHL-FENOFIBRATE 200MG MICRO CAPSULE FENOFIBRATE 02247489 Y

Cholesterol disorders PHL-FENOFIBRATE SUPRA 100MG TABLET FENOFIBRATE 02251663 Y

Cholesterol disorders PHL-FENOFIBRATE SUPRA 160MG TABLET FENOFIBRATE 02251671 Y

Cholesterol disorders PHL-GEMFIBROZIL 300MG CAPSULE GEMFIBROZIL 02254859 Y

Cholesterol disorders PHL-GEMFIBROZIL 600MG TABLET GEMFIBROZIL 02254867 Y

Cholesterol disorders PHL-LOVASTATIN 20MG TABLET LOVASTATIN 02246989 Y

Cholesterol disorders PHL-LOVASTATIN 40MG TABLET LOVASTATIN 02246990 Y

Cholesterol disorders PHL-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02249766 Y

Cholesterol disorders PHL-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02249774 Y

Cholesterol disorders PHL-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02249782 Y

Cholesterol disorders PHL-SIMVASTATIN 10MG TABLET SIMVASTATIN 02281554 Y

Cholesterol disorders PHL-SIMVASTATIN 10MG TABLET SIMVASTATIN 02253704 Y

Cholesterol disorders PHL-SIMVASTATIN 20MG TABLET SIMVASTATIN 02281562 Y

Cholesterol disorders PHL-SIMVASTATIN 20MG TABLET SIMVASTATIN 02253712 Y

Cholesterol disorders PHL-SIMVASTATIN 40MG TABLET SIMVASTATIN 02281570 Y

Cholesterol disorders PHL-SIMVASTATIN 40MG TABLET SIMVASTATIN 02253720 Y

Cholesterol disorders PHL-SIMVASTATIN 5MG TABLET SIMVASTATIN 02281546 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 144

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cholesterol disorders PHL-SIMVASTATIN 5MG TABLET SIMVASTATIN 02253690 Y

Cholesterol disorders PHL-SIMVASTATIN 80MG TABLET SIMVASTATIN 02281589 Y

Cholesterol disorders PHL-SIMVASTATIN 80MG TABLET SIMVASTATIN 02253739 Y

Cholesterol disorders PMS-ATORVASTATIN 10MG TABLET ATORVASTATIN CALCIUM 02333724 Y

Cholesterol disorders PMS-ATORVASTATIN 10MG TABLET ATORVASTATIN CALCIUM 02313448 Y

Cholesterol disorders PMS-ATORVASTATIN 20MG TABLET ATORVASTATIN CALCIUM 02333732 Y

Cholesterol disorders PMS-ATORVASTATIN 20MG TABLET ATORVASTATIN CALCIUM 02313456 Y

Cholesterol disorders PMS-ATORVASTATIN 40MG TABLET ATORVASTATIN CALCIUM 02333740 Y

Cholesterol disorders PMS-ATORVASTATIN 40MG TABLET ATORVASTATIN CALCIUM 02313464 Y

Cholesterol disorders PMS-ATORVASTATIN 80MG TABLET ATORVASTATIN CALCIUM 02333759 Y

Cholesterol disorders PMS-ATORVASTATIN 80MG TABLET ATORVASTATIN CALCIUM 02313472 Y

Cholesterol disorders PMS-BEZAFIBRATE 200MG TABLET BEZAFIBRATE 02240331 Y

Cholesterol disorders PMS-CHOLESTYRAMIN REG 4G/PACK CHOLESTYRAMINE 02210320 Y

Cholesterol disorders PMS-CHOLESTYRAMINE LT SF 5GM/DOSE PACKET CHOLESTYRAMINE 00890960 Y

Cholesterol disorders PMS-CHOLESTYRAMINE SF 210G/CAN CHOLESTYRAMINE 02141795 Y

Cholesterol disorders PMS-FENOFIBRATE MICRO 200MG CAPSULE FENOFIBRATE MICRONIZED 02273551 Y

Cholesterol disorders PMS-FENOFIBRATE SUPRA 100MG TABLET FENOFIBRATE 02251728 Y

Cholesterol disorders PMS-FENOFIBRATE SUPRA 160MG TABLET FENOFIBRATE 02251736 Y

Cholesterol disorders PMS-GEMFIBROZIL 300MG CAPSULE GEMFIBROZIL 02239951 Y

Cholesterol disorders PMS-GEMFIBROZIL 600MG TABLET GEMFIBROZIL 02230183 Y

Cholesterol disorders PMS-LOVASTATIN 20MG TABLET LOVASTATIN 02246013 Y

Cholesterol disorders PMS-LOVASTATIN 40MG TABLET LOVASTATIN 02246014 Y

Cholesterol disorders PMS-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02247655 Y

Cholesterol disorders PMS-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02247656 Y

Cholesterol disorders PMS-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02247657 Y

Cholesterol disorders PMS-SIMVASTATIN 10MG TABLET SIMVASTATIN 02269260 Y

Cholesterol disorders PMS-SIMVASTATIN 10MG TABLET SIMVASTATIN 02252635 Y

Cholesterol disorders PMS-SIMVASTATIN 20MG TABLET SIMVASTATIN 02269279 Y

Cholesterol disorders PMS-SIMVASTATIN 20MG TABLET SIMVASTATIN 02252643 Y

Cholesterol disorders PMS-SIMVASTATIN 40MG TABLET SIMVASTATIN 02269287 Y

Cholesterol disorders PMS-SIMVASTATIN 40MG TABLET SIMVASTATIN 02252651 Y

Cholesterol disorders PMS-SIMVASTATIN 5MG TABLET SIMVASTATIN 02269252 Y

Cholesterol disorders PMS-SIMVASTATIN 5MG TABLET SIMVASTATIN 02252619 Y

Cholesterol disorders PMS-SIMVASTATIN 80MG TABLET SIMVASTATIN 02269295 Y

Cholesterol disorders PMS-SIMVASTATIN 80MG TABLET SIMVASTATIN 02252678 Y

Cholesterol disorders PRAVACHOL 10MG TABLET PRAVASTATIN SODIUM 00893749 Y

Cholesterol disorders PRAVACHOL 20MG TABLET PRAVASTATIN SODIUM 00893757 Y

Cholesterol disorders PRAVACHOL 40MG TABLET PRAVASTATIN SODIUM 02222051 Y

Cholesterol disorders PRAVACHOL 80MG TABLET PRAVASTATIN SODIUM 02250330 Y

Cholesterol disorders PRAVASA 10MG/162MG TABLET PRAVASTATIN SODIUM/ASA 02272458 Y

Cholesterol disorders PRAVASA 10MG/325MG TABLET PRAVASTATIN SODIUM/ASA 02301601 Y

Cholesterol disorders PRAVASA 10MG/81MG TABLET PRAVASTATIN SODIUM/ASA 02272415 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 145

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cholesterol disorders PRAVASA 20MG/162MG TABLET PRAVASTATIN SODIUM/ASA 02272466 Y

Cholesterol disorders PRAVASA 20MG/325MG TABLET PRAVASTATIN SODIUM/ASA 02301628 Y

Cholesterol disorders PRAVASA 20MG/81MG TABLET PRAVASTATIN SODIUM/ASA 02272423 Y

Cholesterol disorders PRAVASA 40MG/162MG TABLET PRAVASTATIN SODIUM/ASA 02272474 Y

Cholesterol disorders PRAVASA 40MG/325MG TABLET PRAVASTATIN SODIUM/ASA 02301636 Y

Cholesterol disorders PRAVASA 40MG/81MG TABLET PRAVASTATIN SODIUM/ASA 02272431 Y

Cholesterol disorders PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02332191 Y

Cholesterol disorders PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02342324 Y

Cholesterol disorders PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02287285 Y

Cholesterol disorders PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02243824 Y

Cholesterol disorders PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02332205 Y

Cholesterol disorders PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02342332 Y

Cholesterol disorders PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02287293 Y

Cholesterol disorders PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02243825 Y

Cholesterol disorders PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02332213 Y

Cholesterol disorders PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02342340 Y

Cholesterol disorders PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02287307 Y

Cholesterol disorders PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02243826 Y

Cholesterol disorders PRAVASTATIN SODIUM TABLETS 10MG TABLET PRAVASTATIN SODIUM 02340259 Y

Cholesterol disorders PRAVASTATIN SODIUM TABLETS 20MG TABLET PRAVASTATIN SODIUM 02340267 Y

Cholesterol disorders PRAVASTATIN SODIUM TABLETS 40MG TABLET PRAVASTATIN SODIUM 02340275 Y

Cholesterol disorders PRO-FENO-SUPER 100MG TABLET FENOFIBRATE 02310228 Y

Cholesterol disorders PRO-FENO-SUPER 160MG TABLET FENOFIBRATE 02310236 Y

Cholesterol disorders PRO-FENO-SUPER 200MG TABLET FENOFIBRATE 02310244 Y

Cholesterol disorders PRO-LOVASTATIN 20MG TABLET LOVASTATIN 02312670 Y

Cholesterol disorders PRO-LOVASTATIN 40MG TABLET LOVASTATIN 02312689 Y

Cholesterol disorders Q-SIMVASTATIN 10MG TABLET SIMVASTATIN 02338874 Y

Cholesterol disorders Q-SIMVASTATIN 20MG TABLET SIMVASTATIN 02338882 Y

Cholesterol disorders Q-SIMVASTATIN 40MG TABLET SIMVASTATIN 02338890 Y

Cholesterol disorders Q-SIMVASTATIN 5MG TABLET SIMVASTATIN 02338866 Y

Cholesterol disorders Q-SIMVASTATIN 80MG TABLET SIMVASTATIN 02338904 Y

Cholesterol disorders RAN-ATORVASTATIN 10MG TABLET ATORVASTATIN CALCIUM 02313707 Y

Cholesterol disorders RAN-ATORVASTATIN 20MG TABLET ATORVASTATIN CALCIUM 02313715 Y

Cholesterol disorders RAN-ATORVASTATIN 40MG TABLET ATORVASTATIN CALCIUM 02313723 Y

Cholesterol disorders RAN-ATORVASTATIN 80MG TABLET ATORVASTATIN CALCIUM 02313758 Y

Cholesterol disorders RAN-LOVASTATIN 20MG TABLET LOVASTATIN 02267969 Y

Cholesterol disorders RAN-LOVASTATIN 40MG TABLET LOVASTATIN 02267977 Y

Cholesterol disorders RAN-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02284421 Y

Cholesterol disorders RAN-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02284448 Y

Cholesterol disorders RAN-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02284456 Y

Cholesterol disorders RAN-SIMVASTATIN 10MG TABLET SIMVASTATIN 02329158 Y

Cholesterol disorders RAN-SIMVASTATIN 20MG TABLET SIMVASTATIN 02329166 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 146

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cholesterol disorders RAN-SIMVASTATIN 40MG TABLET SIMVASTATIN 02329174 Y

Cholesterol disorders RAN-SIMVASTATIN 5MG TABLET SIMVASTATIN 02329131 Y

Cholesterol disorders RAN-SIMVASTATIN 80MG TABLET SIMVASTATIN 02329182 Y

Cholesterol disorders RATIO-ATORVASTATIN 10MG TABLET ATORVASTATIN CALCIUM 02350297 Y

Cholesterol disorders RATIO-ATORVASTATIN 20MG TABLET ATORVASTATIN CALCIUM 02350319 Y

Cholesterol disorders RATIO-ATORVASTATIN 40MG TABLET ATORVASTATIN CALCIUM 02350327 Y

Cholesterol disorders RATIO-ATORVASTATIN 80MG TABLET ATORVASTATIN CALCIUM 02350335 Y

Cholesterol disorders RATIO-FENOFIBRATE MC 200MG CAPSULE FENOFIBRATE MICRONIZED 02250039 Y

Cholesterol disorders RATIO-FENOFIBRATE MC 67MG CAPSULE FENOFIBRATE MICRONIZED 02250047 Y

Cholesterol disorders RATIO-LOVASTATIN 20MG TABLET LOVASTATIN 02245822 Y

Cholesterol disorders RATIO-LOVASTATIN 40MG TABLET LOVASTATIN 02245823 Y

Cholesterol disorders RATIO-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02246930 Y

Cholesterol disorders RATIO-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02246931 Y

Cholesterol disorders RATIO-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02246932 Y

Cholesterol disorders RATIO-SIMVASTATIN 10MG TABLET SIMVASTATIN 02247068 Y

Cholesterol disorders RATIO-SIMVASTATIN 20MG TABLET SIMVASTATIN 02247069 Y

Cholesterol disorders RATIO-SIMVASTATIN 40MG TABLET SIMVASTATIN 02247070 Y

Cholesterol disorders RATIO-SIMVASTATIN 5MG TABLET SIMVASTATIN 02247067 Y

Cholesterol disorders RATIO-SIMVASTATIN 80MG TABLET SIMVASTATIN 02247071 Y

Cholesterol disorders RIVA-FENOFIBRATE MICRO 200MG CAPSULE FENOFIBRATE 02247306 Y

Cholesterol disorders RIVA-GEMFIBROZIL 600MG TABLET GEMFIBROZIL 02242126 Y

Cholesterol disorders RIVA-LOVASTATIN 20MG TABLET LOVASTATIN 02272288 Y

Cholesterol disorders RIVA-LOVASTATIN 40MG TABLET LOVASTATIN 02272296 Y

Cholesterol disorders RIVA-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02310759 Y

Cholesterol disorders RIVA-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02270234 Y

Cholesterol disorders RIVA-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02310767 Y

Cholesterol disorders RIVA-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02270242 Y

Cholesterol disorders RIVA-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02310775 Y

Cholesterol disorders RIVA-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02270250 Y

Cholesterol disorders RIVA-SIMVASTATIN 10MG TABLET SIMVASTATIN 02247298 Y

Cholesterol disorders RIVA-SIMVASTATIN 20MG TABLET SIMVASTATIN 02247299 Y

Cholesterol disorders RIVA-SIMVASTATIN 40MG TABLET SIMVASTATIN 02247300 Y

Cholesterol disorders RIVA-SIMVASTATIN 5MG TABLET SIMVASTATIN 02247297 Y

Cholesterol disorders RIVA-SIMVASTATIN 80MG TABLET SIMVASTATIN 02247301 Y

Cholesterol disorders SANDOZ FENOFIBRATE S 100MG TABLET FENOFIBRATE MICROCOATED 02288044 Y

Cholesterol disorders SANDOZ FENOFIBRATE S 160MG TABLET FENOFIBRATE MICROCOATED 02288052 Y

Cholesterol disorders SANDOZ FENOFIBRATE S 200MG TABLET FENOFIBRATE 02288060 Y

Cholesterol disorders SANDOZ LOVASTATIN 20MG TABLET LOVASTATIN 02247056 Y

Cholesterol disorders SANDOZ LOVASTATIN 40MG TABLET LOVASTATIN 02247057 Y

Cholesterol disorders SANDOZ PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02247856 Y

Cholesterol disorders SANDOZ PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02247857 Y

Cholesterol disorders SANDOZ PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02247858 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 147

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cholesterol disorders SANDOZ SIMVASTATIN 10MG TABLET SIMVASTATIN 02247828 Y

Cholesterol disorders SANDOZ SIMVASTATIN 20MG TABLET SIMVASTATIN 02247830 Y

Cholesterol disorders SANDOZ SIMVASTATIN 40MG TABLET SIMVASTATIN 02247831 Y

Cholesterol disorders SANDOZ SIMVASTATIN 5MG TABLET SIMVASTATIN 02247827 Y

Cholesterol disorders SANDOZ SIMVASTATIN 80MG TABLET SIMVASTATIN 02247833 Y

Cholesterol disorders SANDOZ-ATORVASTATIN 10MG TABLET ATORVASTATIN CALCIUM 02324946 Y

Cholesterol disorders SANDOZ-ATORVASTATIN 20MG TABLET ATORVASTATIN CALCIUM 02324954 Y

Cholesterol disorders SANDOZ-ATORVASTATIN 40MG TABLET ATORVASTATIN CALCIUM 02324962 Y

Cholesterol disorders SANDOZ-ATORVASTATIN 80MG TABLET ATORVASTATIN CALCIUM 02324970 Y

Cholesterol disorders SIG-LOVASTATIN 20MG TABLET LOVASTATIN 02331837 Y

Cholesterol disorders SIG-LOVASTATIN 40MG TABLET LOVASTATIN 02331845 Y

Cholesterol disorders SIG-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02331586 Y

Cholesterol disorders SIG-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02331594 Y

Cholesterol disorders SIG-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02331608 Y

Cholesterol disorders SIG-SIMVASTATIN 10MG TABLET SIMVASTATIN 02323656 Y

Cholesterol disorders SIG-SIMVASTATIN 20MG TABLET SIMVASTATIN 02323664 Y

Cholesterol disorders SIG-SIMVASTATIN 40MG TABLET SIMVASTATIN 02323672 Y

Cholesterol disorders SIG-SIMVASTATIN 5MG TABLET SIMVASTATIN 02323648 Y

Cholesterol disorders SIG-SIMVASTATIN 80MG TABLET SIMVASTATIN 02323680 Y

Cholesterol disorders SIMVASA 10MG/162MG TABLET SIMVASTATIN/ASA 02305798 Y

Cholesterol disorders SIMVASA 10MG/325MG TABLET SIMVASTATIN/ASA 02305852 Y

Cholesterol disorders SIMVASA 10MG/81MG TABLET SIMVASTATIN/ASA 02305739 Y

Cholesterol disorders SIMVASA 20MG/162MG TABLET SIMVASTATIN/ASA 02305801 Y

Cholesterol disorders SIMVASA 20MG/325MG TABLET SIMVASTATIN/ASA 02305860 Y

Cholesterol disorders SIMVASA 20MG/81MG TABLET SIMVASTATIN/ASA 02305747 Y

Cholesterol disorders SIMVASA 40MG/162MG TABLET SIMVASTATIN/ASA 02305828 Y

Cholesterol disorders SIMVASA 40MG/325MG TABLET SIMVASTATIN/ASA 02305879 Y

Cholesterol disorders SIMVASA 40MG/81MG TABLET SIMVASTATIN/ASA 02305755 Y

Cholesterol disorders SIMVASA 5MG/162MG TABLET SIMVASTATIN/ASA 02305771 Y

Cholesterol disorders SIMVASA 5MG/325MG TABLET SIMVASTATIN/ASA 02305844 Y

Cholesterol disorders SIMVASA 5MG/81MG TABLET SIMVASTATIN/ASA 02305720 Y

Cholesterol disorders SIMVASA 80MG/162MG TABLET SIMVASTATIN/ASA 02305836 Y

Cholesterol disorders SIMVASA 80MG/325MG TABLET SIMVASTATIN/ASA 02305887 Y

Cholesterol disorders SIMVASA 80MG/81MG TABLET SIMVASTATIN/ASA 02305763 Y

Cholesterol disorders SIMVASTATIN 10MG TABLET SIMVASTATIN 02343150 Y

Cholesterol disorders SIMVASTATIN 10MG TABLET SIMVASTATIN 02331985 Y

Cholesterol disorders SIMVASTATIN 10MG TABLET SIMVASTATIN 02342464 Y

Cholesterol disorders SIMVASTATIN 10MG TABLET SIMVASTATIN 02284731 Y

Cholesterol disorders SIMVASTATIN 10MG TABLET SIMVASTATIN 02247221 Y

Cholesterol disorders SIMVASTATIN 20MG TABLET SIMVASTATIN 02343169 Y

Cholesterol disorders SIMVASTATIN 20MG TABLET SIMVASTATIN 02331993 Y

Cholesterol disorders SIMVASTATIN 20MG TABLET SIMVASTATIN 02342472 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 148

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cholesterol disorders SIMVASTATIN 20MG TABLET SIMVASTATIN 02284758 Y

Cholesterol disorders SIMVASTATIN 20MG TABLET SIMVASTATIN 02247222 Y

Cholesterol disorders SIMVASTATIN 40MG TABLET SIMVASTATIN 02343177 Y

Cholesterol disorders SIMVASTATIN 40MG TABLET SIMVASTATIN 02332000 Y

Cholesterol disorders SIMVASTATIN 40MG TABLET SIMVASTATIN 02342480 Y

Cholesterol disorders SIMVASTATIN 40MG TABLET SIMVASTATIN 02284766 Y

Cholesterol disorders SIMVASTATIN 40MG TABLET SIMVASTATIN 02247223 Y

Cholesterol disorders SIMVASTATIN 5MG TABLET SIMVASTATIN 02343142 Y

Cholesterol disorders SIMVASTATIN 5MG TABLET SIMVASTATIN 02331969 Y

Cholesterol disorders SIMVASTATIN 5MG TABLET SIMVASTATIN 02342456 Y

Cholesterol disorders SIMVASTATIN 5MG TABLET SIMVASTATIN 02284723 Y

Cholesterol disorders SIMVASTATIN 5MG TABLET SIMVASTATIN 02247220 Y

Cholesterol disorders SIMVASTATIN 80MG TABLET SIMVASTATIN 02343185 Y

Cholesterol disorders SIMVASTATIN 80MG TABLET SIMVASTATIN 02332019 Y

Cholesterol disorders SIMVASTATIN 80MG TABLET SIMVASTATIN 02342499 Y

Cholesterol disorders SIMVASTATIN 80MG TABLET SIMVASTATIN 02284774 Y

Cholesterol disorders SIMVASTATIN 80MG TABLET SIMVASTATIN 02247224 Y

Cholesterol disorders TARO-SIMVASTATIN 10MG TABLET SIMVASTATIN 02265885 Y

Cholesterol disorders TARO-SIMVASTATIN 20MG TABLET SIMVASTATIN 02265893 Y

Cholesterol disorders TARO-SIMVASTATIN 40MG TABLET SIMVASTATIN 02265907 Y

Cholesterol disorders TARO-SIMVASTATIN 5MG TABLET SIMVASTATIN 02265877 Y

Cholesterol disorders TARO-SIMVASTATIN 80MG TABLET SIMVASTATIN 02265915 Y

Cholesterol disorders TEVA-SIMVASTATIN 10MG TABLET SIMVASTATIN 02250152 Y

Cholesterol disorders TEVA-SIMVASTATIN 20MG TABLET SIMVASTATIN 02250160 Y

Cholesterol disorders TEVA-SIMVASTATIN 40MG TABLET SIMVASTATIN 02250179 Y

Cholesterol disorders TEVA-SIMVASTATIN 5MG TABLET SIMVASTATIN 02250144 Y

Cholesterol disorders TEVA-SIMVASTATIN 80MG TABLET SIMVASTATIN 02250187 Y

Cholesterol disorders ZIMOSTATINE 20MG TABLET SIMVASTATIN 02280493 Y

Cholesterol disorders ZIMOSTATINE 40MG TABLET SIMVASTATIN 02280507 Y

Cholesterol disorders ZOCOR 10MG TABLET SIMVASTATIN 00884332 Y

Cholesterol disorders ZOCOR 20MG TABLET SIMVASTATIN 00884340 Y

Cholesterol disorders ZOCOR 40MG TABLET SIMVASTATIN 00884359 Y

Cholesterol disorders ZOCOR 5MG TABLET SIMVASTATIN 00884324 Y

Cholesterol disorders ZOCOR 80MG TABLET SIMVASTATIN 02240332 Y

Cholesterol disorders ZYM-PRAVASTATIN 10MG TABLET PRAVASTATIN SODIUM 02301792 Y

Cholesterol disorders ZYM-PRAVASTATIN 20MG TABLET PRAVASTATIN SODIUM 02301806 Y

Cholesterol disorders ZYM-PRAVASTATIN 40MG TABLET PRAVASTATIN SODIUM 02301814 Y

Cholesterol disorders ZYM-SIMVASTATIN 10MG TABLET SIMVASTATIN 02300915 Y

Cholesterol disorders ZYM-SIMVASTATIN 20MG TABLET SIMVASTATIN 02300923 Y

Cholesterol disorders ZYM-SIMVASTATIN 40MG TABLET SIMVASTATIN 02300931 Y

Cholesterol disorders ZYM-SIMVASTATIN 5MG TABLET SIMVASTATIN 02300907 Y

Cholesterol disorders ZYM-SIMVASTATIN 80MG TABLET SIMVASTATIN 02300974 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 149

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LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

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80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Circulatory disease* AA-MIDODRINE 2.5MG TABLET MIDODRINE HCL 02349590 Y

Circulatory disease* AA-MIDODRINE 5MG TABLET MIDODRINE HCL 02349604 Y

Circulatory disease* AMATINE 10MG TABLET MIDODRINE HCL 02247148 Y

Circulatory disease* AMATINE 2.5MG TABLET MIDODRINE HCL 01934392 Y

Circulatory disease* AMATINE 5MG TABLET MIDODRINE HCL 01934406 Y

Circulatory disease* ANODAN-HC OINTMENT HYDROCORTISONE ACETATE/ZN SULF02128446 Y

Circulatory disease* ANODAN-HC SUPPOSITORY HYDROCORTISONE ACETATE/ZN SULF02236399 Y

Circulatory disease* ANUGESIC-HC OINTMENT HC ACETATE/PRAMOX HCL/ZN SLT 00505781 Y

Circulatory disease* ANUGESIC-HC SUPPOSITORY HC ACETATE/PRAMOXINE/ZINC SULFATE00476242 Y

Circulatory disease* ANUSOL PLUS OINTMENT PRAMOXINE HCL/ZINC SULFATE 01945912 Y

Circulatory disease* ANUSOL-HC OINTMENT HYDROCORTISONE ACETATE/ZN SULF00505773 Y

Circulatory disease* ANUSOL-HC SUPPOSITORY HYDROCORTISONE ACETATE/ZN SULF00476285 Y

Circulatory disease* ANUSOL-PLUS SUPPOSITORY PRAMOXINE HCL/ZINC SULFATE 01945904 Y

Circulatory disease* ANUZINC 10MG SUPPOSITORY ZINC SULFATE 00621439 Y

Circulatory disease* ANUZINC PLUS OINTMENT PRAMOXINE HCL/ZINC SULFATE 02248424 Y

Circulatory disease* ANUZINC PLUS SUPPOSITORIES PRAMOXINE HCL/ZINC SULFATE 02248425 Y

Circulatory disease* APO-PENTOXIFYLLINE SR 400MG PENTOXIFYLLINE 02230090 Y

Circulatory disease* ARLIDIN 6MG TABLET NYLIDRIN HCL 01926713 Y

Circulatory disease* EGOZINC-HC 0.5% OINTMENT HYDROCORTISONE ACETATE/ZN SULF02209764 Y

Circulatory disease* EGOZINC-HC SUPPOSITORIES HYDROCORTISONE ACETATE/ZN SULF02210517 Y

Circulatory disease* HEMORRHOID OINTMENT PRAMOXINE HCL/ZINC SULFATE 02251981 Y

Circulatory disease* HEMORRHOIDAL OINTMENT PRAMOXINE HCL/ZINC SULFATE 02218887 Y

Circulatory disease* HYDERGINE 1MG TABLET ERGOLOID MESYLATES 00176176 Y

Circulatory disease* MIDODRINE 2.5MG TABLET MIDODRINE HCL 02278677 Y

Circulatory disease* MIDODRINE 5MG TABLET MIDODRINE HCL 02278685 Y

Circulatory disease* NU-PENTOXIFYLLINE-SR 400MG TABLET SR PENTOXIFYLLINE 02230401 Y

Circulatory disease* PAPAVERINE HCL 65MG/2ML AMPUL PAPAVERINE HCL 00009881 Y

Circulatory disease* PENTOXIFYLLINE 400MG ER TABLET PENTOXIFYLLINE 02243879 Y

Circulatory disease* PENTOXIFYLLINE 400MG TABLET SRT PENTOXIFYLLINE 02230445 Y

Circulatory disease* PREPARATION H-PE GEL SRF/SHARK LIVER OIL 02209594 Y

Circulatory disease* PROCTODAN-HC OINTMENT HC ACETATE/PRAMOX HCL/ZN SLT 02234466 Y

Circulatory disease* PROCTODAN-HC SUPPOSSITORIES HC ACETATE/PRAMOXINE/ZINC SULFATE02240851 Y

Circulatory disease* PROCTOL OINTMENT DIBUCAINE/ESCULIN/FRAMYCETIN/HC02247322 Y

Circulatory disease* PROCTOL SUPPOSITORIES DIB/ESCULIN/FRAMYCETIN SULFATE/HC02247882 Y

Circulatory disease* PROCTOSEDYL OINTMENT FRAMYCETIN/ESCULOSIDE/HC/DIB02223252 Y

Circulatory disease* PROCTOSEDYL SUPPOSITORY FRAMYCETIN/ESCULOSIDE/HC/DIB02223260 Y

Circulatory disease* RATIO-HEMCORT-HC OINTMENT HYDROCORTISONE ACETATE/ZN SULF00607789 Y

Circulatory disease* RATIO-HEMCORT-HC SUPPOSITORY HYDROCORTISONE ACETATE/ZN SULF00607797 Y

Circulatory disease* RATIO-PENTOXIFYLLINE 400MG TABLET SRT PENTOXIFYLLINE 01968432 Y

Circulatory disease* RATIO-PROCTOSONE RECTAL OINTMENT DIBUCAINE/ESCULIN/FRAMYCETIN/HC02226383 Y

Circulatory disease* RATIO-PROCTOSONE RECTAL SUPP FRAMYCETIN/ESCULOSIDE/HC/DIB02226391 Y

Circulatory disease* RECTOGEL HC OINTMENT HC ACETATE/BENZOCAINE/ZN SLT 00662461 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 150

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Circulatory disease* RIVASOL HC 0.5% RECTAL OINT HYDROCORTISONE ACETATE/ZN SULF02179547 Y

Circulatory disease* RIVASOL-HC 10MG SUPPOSITORY HYDROCORTISONE ACETATE/ZN SULF02240112 Y

Circulatory disease* SAB-ANUZINC HC PLUS SUPPOSITORY HC ACETATE/PRAMOXINE/ZINC SULFATE02242797 Y

Circulatory disease* SAB-ANUZINC HC RECTAL OINTMENT HYDROCORTISONE ACETATE/ZN SULF02247691 Y

Circulatory disease* SAB-ANUZINC HC SUPPOSITORY HYDROCORTISONE ACETATE/ZN SULF02242798 Y

Circulatory disease* SAB-PROCTOMYXIN HC SUPPOSITORY CINCHOCAINE/FRAMYCETIN/HC 02242528 Y

Circulatory disease* SALIJECT 570MG/ML AMPUL SODIUM SALICYLATE 00623571 Y

Circulatory disease* SANDOZ ANUZINC 0.5% OINTMENT ZINC SULFATE 00621447 Y

Circulatory disease* SANDOZ ANUZINC HC PLUS RECTAL OINT HC ACETATE/PRAMOX HCL/ZN SLT 02247692 Y

Circulatory disease* SANDOZ PROCTOMYXIN HC OINT DIBUCAINE/ESCULIN/FRAMYCETIN/HC02242527 Y

Circulatory disease* SCLERODEX IV SOLUTION SODIUM CHLORIDE/D25W 02020939 Y

Circulatory disease* SCLERODINE 6 % IODINE/SODIUM IODIDE 02020793 Y

Circulatory disease* TRENTAL 400MG TABLET SA PENTOXIFYLLINE 02221977 Y

Circulatory disease* TROMBOJECT 1 % AMPUL SODIUM TETRADECYL SULFATE 00511234 Y

Circulatory disease* TROMBOJECT 3% AMPOULE SODIUM TETRADECYL SULFATE 00511226 Y

Circulatory disease* TROMBOVAR 1 % AMPUL SODIUM TETRADECYL SULFATE 00363332 Y

Circulatory disease* TROMBOVAR 3 % AMPUL SODIUM TETRADECYL SULFATE 00363340 Y

Cough and cold* ACTIFED PLUS CAPLET ACETAMINOPHEN/PSEUDOEPHEDRINE/TRIPROLIDINE02239154 Y

Cough and cold* ACTIFED TABLET P-EPHED HCL/TRIPROLIDINE HCL 02238302 Y

Cough and cold* ADRENALIN CL NASAL SOLN EPINEPHRINE 00155365 Y

Cough and cold* ADVIL COLD & SINUS CAPLET IBUPROFEN/PSEUDOEPHEDRINE HCL02036312 Y

Cough and cold* ADVIL COLD & SINUS LIQUI-GELS IBUPROFEN/PSEUDOEPHEDRINE HCL02250705 Y

Cough and cold* ADVIL COLD & SINUS PLUS CAPLET CHLORPHENIRAMINE/IBUPROFEN/PSEUDOEPHEDRINE02248645 Y

Cough and cold* ADVIL COLD AND SINUS DAYTIME TABLET IBUPROFEN/PSEUDOEPHEDRINE HCL02267616 Y

Cough and cold* ADVIL COLD AND SINUS NIGHTTIME CHLORPHENIRAMINE/IBUPROFEN/PSEUDOEPHEDRINE02267632 Y

Cough and cold* AFRIN COLD AND ALLERGY NASAL SPRAY OXYMETAZOLINE HCL 02245575 Y

Cough and cold* AFRIN SINUS 0.05MG/ML NASAL SPRAY OXYMETAZOLINE HCL 02245580 Y

Cough and cold* AFRIN SINUS AND ALLERGY 0.05MG/ML NASAL SPRAY OXYMETAZOLINE HCL 02245578 Y

Cough and cold* AIRLIFE SODIUM CHLORIDE INHALATION SOLUTION SODIUM CL FOR INHALATION 00790133 Y

Cough and cold* ALLERGY + SINUS RELIEF EXTRA STRENGTH TABLETS ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE02252155 Y

Cough and cold* ALLERGY AND SINUS EXTRA STRENGTH TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE02244143 Y

Cough and cold* ALLERGY SINUS NIGHTTIME RELIEF ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02245017 Y

Cough and cold* BALMINAL SUPPOSITORY DIBUN/EUCALYPT/MENTHOL/NIAOULI00230545 Y

Cough and cold* BALMINIL 100MG/5ML SIROP GUAIFENESIN 00608920 Y

Cough and cold* BALMINIL 100MG/5ML SIROP GUAIFENESIN 00813095 Y

Cough and cold* BALMINIL CODEINE NIGHT TIME + EXPECTORANT AMMON CHL/CODEINE/DIPHENHYDRAMINE02244010 Y

Cough and cold* BALMINIL CODEINE+DECONGESTANT+EXPECTORANT LIQUID CODEINE/GUAIFENESIN/PSEUDOEPHEDRINE02244011 Y

Cough and cold* BALMINIL COUGH AND FLU ACETAMINOPHEN/DM/GUAIFENESIN/PSEUDOEPHEDRINE02243000 Y

Cough and cold* BALMINIL DECONGEST 0.1% NASAL SPRAY XYLOMETAZOLINE HCL 00791172 Y

Cough and cold* BALMINIL DM + DECONGESTANT + EXPECTORANT GUAIFENESIN/PSEUDOEPHEDRINE/DM02236915 Y

Cough and cold* BALMINIL DM 15MG/5ML LIQUID DEXTROMETHORPHAN HBR 01928775 Y

Cough and cold* BALMINIL DM 15MG/5ML SYRUP DEXTROMETHORPHAN HBR 00436895 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 151

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cough and cold* BALMINIL DM CHILDREN DEXTROMETHORPHAN HBR 02236850 Y

Cough and cold* BALMINIL DM E SYRUP DEXTROMETHORPHAN/GUAIFENESIN02201712 Y

Cough and cold* BALMINIL DM+D 15-30MG/5ML DEXTROMETHORPHAN/PSEUDOEPHEDRINE02132028 Y

Cough and cold* BALMINIL DM-D-E EX STRENGTH SYRUP GUAIFENESIN/PSEUDOEPHEDRINE/DM02233026 Y

Cough and cold* BALMINIL DM-D-E LIQUID DM/GUAIFENESIN/PSEUDOEPHEDRINE HCL02229804 Y

Cough and cold* BALMINIL DM-E EXTRA STRENGTH SYRUP DEXTROMETHORPHAN/GUAIFENESIN02233027 Y

Cough and cold* BALMINIL EXPECT SANS SUCROSE 100MG/5ML SYRUP GUAIFENESIN 00609951 Y

Cough and cold* BALMINIL NIGHT TIME SYRUP AMMONIUM CHLORIDE/DM/DIPHENHYDRAMINE02242999 Y

Cough and cold* BALMINIL SUPPOSITORY ADULT DIBUN/EUCALYPT/MENTHOL/NIAOULI00230553 Y

Cough and cold* BALMINIL SUPPOSITORY ENFANTS DIBUN/EUCALYPT/MENTHOL/NIAOULI00230561 Y

Cough and cold* BENADRYL ALLERGY SINUS HEADACH ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02229367 Y

Cough and cold* BENADRYL TOTAL EX STR TABLET ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02250993 Y

Cough and cold* BENADRYL TOTAL TABLET ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02255472 Y

Cough and cold* BENYLIN 1 COLD AND FLU CAPLETS ACETAMINOPHEN/DM/GUAIFENESIN/PSEUDOEPHEDRINE02218186 Y

Cough and cold* BENYLIN 1 COLD AND FLU SYRUP ACETAMINOPHEN/DM/GUAIFENESIN/PSEUDOEPHEDRINE02245710 Y

Cough and cold* BENYLIN 1 NIGHT COLD & FLU CAPLETS ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02256576 Y

Cough and cold* BENYLIN 1 NIGHTIME COLD AND FLU ACETAMINOPHEN/CHLORPHENIRAMINE/DM/GUAIFENESIN/PSEUDOEPHEDRINE02252376 Y

Cough and cold* BENYLIN 2 COLD AND FLU WITH CODEINE CODEINE/GUAIFENESIN/PSEUDOEPHEDRINE02245709 Y

Cough and cold* BENYLIN ALL-IN-ONE COLD AND FLU NIGHT PE CAPLET ACETAMINOPHEN/DIPHENHYDRAMINE/PHENYLEPHRINE02273934 Y

Cough and cold* BENYLIN COLD & SINUS PLUS TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLEPHRINE02273470 Y

Cough and cold* BENYLIN COLD & SINUS TABLET ACETAMINOPHEN/PHENYLEPHRINE02273462 Y

Cough and cold* BENYLIN COLD AND SINUS NIGHT TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLEPHRINE02306409 Y

Cough and cold* BENYLIN COUGH & COLD WITH EXTRA STRENGTH ACETAMINOPHENACETAMINOPHEN/DM/GUAIFENESIN/PSEUDOEPHEDRINE02321432 Y

Cough and cold* BENYLIN DM 12 HOUR SYRUP DEXTROMETHORPHAN POLISTIREX02231404 Y

Cough and cold* BENYLIN DM 7.5MG FREEZER POPS DEXTROMETHORPHAN HBR 02245383 Y

Cough and cold* BENYLIN DM CHILDRENS DEXTROMETHORPHAN HBR 02215268 Y

Cough and cold* BENYLIN DM COUGH SYRUP DEXTROMETHORPHAN HBR 01944738 Y

Cough and cold* BENYLIN DM-D CHILDREN'S SYRUP DEXTROMETHORPHAN/PSEUDOEPHEDRINE01944746 Y

Cough and cold* BENYLIN DM-D SYRUP DEXTROMETHORPHAN/PSEUDOEPHEDRINE01944711 Y

Cough and cold* BENYLIN DM-D-E EX-STREN SYRUP GUAIFENESIN/PSEUDOEPHEDRINE/DM02003317 Y

Cough and cold* BENYLIN DM-D-E EXTRA STR SYRUP WITH MENTHACTIN GUAIFENESIN/DM HB/P-EPHEDRINE/MENTHACTIN02265400 Y

Cough and cold* BENYLIN DM-D-E SYRUP DEXTROMETHORPHAN/GUAIFENESIN/PSEUDOEPHEDRINE01944673 Y

Cough and cold* BENYLIN DM-E EX. STR SYRUP DEXTROMETHORPHAN/GUAIFENESIN02039397 Y

Cough and cold* BENYLIN DM-E EXTRA STR SYRUP WITH MENTHACTIN GUAIFENESIN/DM HB/MENTHACTIN02265419 Y

Cough and cold* BENYLIN DM-E SYRUP DEXTROMETHORPHAN/GUAIFENESIN01944762 Y

Cough and cold* BENYLIN E 200MG/5ML SYRUP GUAIFENESIN 02161494 Y

Cough and cold* BENYLIN E MENTHOL EXTRA STRENGTH GUAIFENESIN/MENTHOL 02265427 Y

Cough and cold* BENYLIN FOR CHILDREN ALL-IN-ONE COLD & FEVER ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02305496 Y

Cough and cold* BENYLIN FOR CHILDREN ALL-IN-ONE COLD & FEVER NIGHTIME ACETAMINOPHEN/DM/DIPHENHYDRAMINE02305666 Y

Cough and cold* BENYLIN FOR CHILDREN DM 12 HR SYR DEXTROMETHORPHAN HBR 02237429 Y

Cough and cold* BENYLIN TICKLY COUGH SYRUP DEXTROMETHORPHAN HBR 02319209 Y

Cough and cold* BISMUTAL ADULTE GUAIFENESIN/BISM CAMPHOCARB 00535168 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 152

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cough and cold* BRONCHOPHAN EXPECTORANT (SANS SUCROSE) GUAIFENESIN 02121999 Y

Cough and cold* BRONCHOPHAN FORTE DM SYRUP DEXTROMETHORPHAN HBR 00522791 Y

Cough and cold* BUCKLEY'S BEDTIME LIQUID DIPHENHYDRAMINE/MENTHOL 02230939 Y

Cough and cold* BUCKLEYS COLD AND FLU DAY RELIEF EXTRA STRENGTH TABLETACETAMINOPHEN/DM/PSEUDOEPHEDRINE02241593 Y

Cough and cold* BUCKLEYS COLD AND FLU NIGHT RELIEF EXTRA STRENGTH TABLETACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02241592 Y

Cough and cold* BUCKLEY'S COMPLETE LIQUID ACETAMINOPHEN/MENTHOL 02279703 Y

Cough and cold* BUCKLEY'S CONGESTION AND COUGH GUAIFENESIN/MENTHOL 02289164 Y

Cough and cold* BUCKLEYS DAYTIME COLD AND SINUS ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02307111 Y

Cough and cold* BUCKLEY'S DM DECONGEST LIQ DEXTROMETHORPHAN/PSEUDOEPHEDRINE02052822 Y

Cough and cold* BUCKLEY'S DM SYRUP DEXTROMETHORPHAN HBR 00729655 Y

Cough and cold* BUCKLEYS NIGHTTIME COLD AND SINUS ACETAMINOPHEN/DM/DOXYLAMINE/PSEUDOEPHEDRINE02307014 Y

Cough and cold* BUCKLEY'S SINUS PAIN RELIEF EXTRA STRENGTH TABLETS PSEUDOEPHEDRINE HCL/ACETAMINOPHEN02244234 Y

Cough and cold* CALMYLIN ACE EXP SYRUP GUAIFEN/CODEINE PHOS/PHENIR 02198630 Y

Cough and cold* CALMYLIN ORIGINAL/COD SYRUP AMMON CHL/CODEINE/DIPHENHYDRAMINE00535230 Y

Cough and cold* CALMYLIN PSE WITH CODEINE LIQUID CODEINE/GUAIFENESIN/PSEUDOEPHEDRINE02172917 Y

Cough and cold* CHEST CONGESTION COUGH & COLD SYRUP GUAIFENESIN/PSEUDOEPHEDRINE/DM02263114 Y

Cough and cold* CHEST CONGESTION COUGH & COLD SYRUP EXTRA STRENGTH GUAIFENESIN/PSEUDOEPHEDRINE/DM02263122 Y

Cough and cold* CHEST CONGESTION LIQUID GUAIFENESIN 02323796 Y

Cough and cold* CHILD DM COUGH SYRUP DEXTROMETHORPHAN HBR 02241494 Y

Cough and cold* CHILD DM-DECONGESTANT SYRUP DEXTROMETHORPHAN/PSEUDOEPHEDRINE02241492 Y

Cough and cold* CHILD TYLENOL SINUS SUSPENSION ACETAMINOPHEN/PSEUDOEPHEDRINE02240418 Y

Cough and cold* CHILDREN'S ADVIL COLD PLUS SUSPENSION CHLORPHENIRAMINE/IBUPROFEN/PSEUDOEPHEDRINE02268701 Y

Cough and cold* CHILDREN'S ADVIL COLD SUSPENSION IBUPROFEN/PSEUDOEPHEDRINE HCL02248435 Y

Cough and cold* CHILDREN'S MOTRIN COLD SUSPENSION IBUPROFEN/PSEUDOEPHEDRINE HCL02295350 Y

Cough and cold* CHILDREN'S TYLENOL COLD AND COUGH NIGHTTIME ACETAMINOPHEN/DM/DIPHENHYDRAMINE02279150 Y

Cough and cold* CLARITIN ALLERGIC CONGESTION RELIEF NASAL SPRAY OXYMETAZOLINE HCL 02243690 Y

Cough and cold* COACTIFED EXPECTORANT GUAIFEN/P-EPHED HCL/COD/TRIPRO00068756 Y

Cough and cold* COACTIFED SYRUP CODEINE PHOSPHATE/PSEUDOEPHEDRINE/TRIPROLIDINE00068594 Y

Cough and cold* COACTIFED TABLET CODEINE PHOSPHATE/PSEUDOEPHEDRINE/TRIPROLIDINE00068608 Y

Cough and cold* COLD & FLU RELIEF SYRUP ACETAMINOPHEN/DM/GUAFENESIN/PSEUDOEPHEDRINE02262592 Y

Cough and cold* COLD & SINUS CAPLET IBUPROFEN/PSEUDOEPHEDRINE HCL02279851 Y

Cough and cold* COLD & STUFFY NOSE LIQUID CHLORPHENIRAMINE/PHENYLEPHRINE02328402 Y

Cough and cold* COLD + SINUS IBUPROFEN & PSEUDOEPHEDRINE HCL CAPLETS 200MG-30MGIBUPROFEN/PSEUDOEPHEDRINE HCL02352281 Y

Cough and cold* COLD AND FLU CAPSULES ACETAMINOPHEN/DM/GUAIFENESIN/PSEUDOEPHEDRINE02246238 Y

Cough and cold* COLD AND FLU MEDICINE - DAY TIME FORMULA ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02271664 Y

Cough and cold* COLD AND FLU MEDICINE - NIGHT TIME FORMULA ACETAMINOPHEN/DM/DOXYLAMINE/PSEUDOEPHEDRINE02271672 Y

Cough and cold* COLD AND FLU REGULAR POWDER ACETAMINOPHEN/PHENIRAMINE MALEATE/PHENYLEPHRINE/VITAMIN C02047349 Y

Cough and cold* COLD DM JR STRENGTH TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02159538 Y

Cough and cold* COLD FLU RELIEF LIQUID ACETAMINOPHEN/DM/DOXYLAMINE/PSEUDOEPHEDRINE02218836 Y

Cough and cold* COLD RELIEF DAYTIME EX STR TABLET ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02243221 Y

Cough and cold* COLD RELIEF DAYTIME TABLET ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02246142 Y

Cough and cold* COLD RELIEF EXTRA STRENGTH POWDER ACETAMINOPHEN/PHENIRAMINE MALEATE/PHENYLEPHRINE/VITAMIN C02238890 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 153

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cough and cold* COLD RELIEF NIGHTIME TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02246143 Y

Cough and cold* COLD RELIEF NIGHTTIME EXTR STR TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02244142 Y

Cough and cold* CONGEST AID 30MG TABLET PSEUDOEPHEDRINE HCL 00806838 Y

Cough and cold* CONTAC COLD AND FEVER CAPLETS ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02242691 Y

Cough and cold* CONTAC COLD AND SORE THROAT CAPLETS ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02242690 Y

Cough and cold* CONTAC COLD CHEST CONGESTION GUAIFENESIN/PHENYLEPHRINE/ACETAMINOPHEN02276682 Y

Cough and cold* CONTAC COLD NASAL CONGESTION ACETAMINOPHEN/PHENYLEPHRINE HCL02276690 Y

Cough and cold* CONTAC COLD NASAL CONGESTION-NIGHTTIME TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02250578 Y

Cough and cold* CONTAC COLD NASAL CONGESTION-NON DROWSY REGULAR STR. TABLETPSEUDOEPHEDRINE HCL/ACETAMINOPHEN02250586 Y

Cough and cold* CONTAC COLD NON-DROWSY CAPLET PSEUDOEPHEDRINE HCL 02239400 Y

Cough and cold* CONTAC COMPLETE COUGH COLD & FLU SYRUP ACETAMINOPHEN/DM/GUAIFENESIN/PSEUDOEPHEDRINE02266458 Y

Cough and cold* CONTAC COUGH & COLD SYRUP GUAIFENESIN/PSEUDOEPHEDRINE/DM02265958 Y

Cough and cold* CONTAC COUGH AND SORE THROAT SYRUP ACETAMINOPHEN/DM 02275384 Y

Cough and cold* CONTAC COUGH COLD & FLU EXTRA STRENGTH NIGHT TIME CAPLETSACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02230424 Y

Cough and cold* CONTAC COUGH SYRUP DEXTROMETHORPHAN HBR 02265966 Y

Cough and cold* CONTAC DAY CAPLET ACETAMINOPHEN/DM/PSEUDOEPHEDRINE01996959 Y

Cough and cold* CONTAC HEAD AND CHEST CONGESTION CAPSULE GUAIFENESIN/PSEUDOEPHEDRINE HCL02237850 Y

Cough and cold* CONTAC NIGHT CAPLETS ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02239514 Y

Cough and cold* CONTAC NIGHT COUGH SYRUP DM/CHLORPHENIRAMINE/ACETAMINOPHEN02275422 Y

Cough and cold* CONTAC SINUS PAIN EX STR CAPLET PSEUDOEPHEDRINE HCL/ACETAMINOPHEN01976958 Y

Cough and cold* COPHYLAC DROPS NORMETHADONE HCL/P-HYDROXYEPHEDRINE HCL02224577 Y

Cough and cold* CORICIDIN II CHEST CONGESTION AND COUGH CAPSULE GUAIFENESIN/DM 02246866 Y

Cough and cold* CORICIDIN II COLD AND FLU TABLET ACETAMINOPHEN/CHLORPHENIRAMINE02246869 Y

Cough and cold* CORICIDIN II COUGH AND COLD TABLET CHLORPHENIRAMINE/DM 02245637 Y

Cough and cold* CORICIDIN II EXTRA STRENGTH COLD AND FLU TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM02245638 Y

Cough and cold* COUGH & COLD LIQUID CHLORPHENIRAMINE/DM 02328380 Y

Cough and cold* COUGH AND CHEST CONGESTION SYRUP DEXTROMETHORPHAN/GUAIFENESIN02259044 Y

Cough and cold* COUGH AND COLD DM POWDER DM/PHENIRAMINE/PHENYLEPHRINE/VITAMIN C00893463 Y

Cough and cold* COUGH COLD AND FLU DAYTIME CAPLETS ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02247907 Y

Cough and cold* COUGH COLD AND FLU NIGHTIME CAPLETS ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02247908 Y

Cough and cold* COUGH SYRUP AMMON CHL/CODEINE/DIPHENHYDRAMINE00690074 Y

Cough and cold* COUGH SYRUP DM DEXTROMETHORPHAN HBR 02015781 Y

Cough and cold* COUGH SYRUP EXPECTORANT GUAIFENESIN 02059185 Y

Cough and cold* COUGH SYRUP WITH CODEINE LIQUID CODEINE/GUAIFENESIN/PSEUDOEPHEDRINE02099748 Y

Cough and cold* COVAN SYRUP CODEINE PHOSPHATE/PSEUDOEPHEDRINE/TRIPROLIDINE02243063 Y

Cough and cold* CREO-RECTAL SUPP NOURRISON GUAIACOL/DIPH-PYRA HCL/CAMPHOR00299588 Y

Cough and cold* CREO-RECTAL SUPPOS ADULTE GUAIACOL/DIPH-PYRA HCL/CAMPHOR00299561 Y

Cough and cold* CREO-RECTAL SUPPOS ENFANT GUAIACOL/DIPH-PYRA HCL/CAMPHOR00299596 Y

Cough and cold* DALMACOL LIQUID ETAFED HC/HCOD/DOXYLAM/SOD CIT00507407 Y

Cough and cold* DALMACOL LIQUID NACIT(XP)/ETAFEDRINE/HCOD/DOXY02230769 Y

Cough and cold* DAMYLIN WITH CODEINE SYRUP AMMON CHL/CODEINE/DIPHENHYDRAMINE02245592 Y

Cough and cold* DAY RELIEF COLD AND FLU LIQUID CAPSULES ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02254948 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 154

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cough and cold* DAYQUIL COLD & FLU LIQUID ACETAMINOPHEN/DM/PHENYLEPHRINE02300842 Y

Cough and cold* DAYQUIL SINUS LIQUICAPS ACETAMINOPHEN/PHENYLEPHRINE02273829 Y

Cough and cold* DAYTIME COLD & FLU LIQUID CAPSULE ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02239651 Y

Cough and cold* DAYTIME COLD AND FLU RELIEF CAPSULE ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02260263 Y

Cough and cold* DAYTIME COLD RELIEF EXTRA STRENGTH TABLETS ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02252147 Y

Cough and cold* DAYTIME COLD/FLU RELIEF LIQUID PSEUDOEPHED/DM/ACETAMINOPHEN02265397 Y

Cough and cold* DAYTIME COUGH & COLD LIQUID DM/PHENYLEPHRINE HCL 02328410 Y

Cough and cold* DAYTIME LIQUA CAPS ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02254891 Y

Cough and cold* DAYTIME LIQUID CAPSULES COLD/FLU MEDICINE ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02258919 Y

Cough and cold* DAYTIME SINUS RELIEF EXTRA STRENGTH TABLETS PSEUDOEPHEDRINE HCL/ACETAMINOPHEN02252163 Y

Cough and cold* DECONGESTANT 0.1% NASAL SPRAY XYLOMETAZOLINE HCL 01939998 Y

Cough and cold* DECONGESTANT LONG LASTING NASAL MIST OXYMETAZOLINE HCL 02213907 Y

Cough and cold* DECONGESTANT NASAL SPRAY XYLOMETAZOLINE HCL 02250845 Y

Cough and cold* DECONGESTANT NASAL SPRAY WITH MOISTURIZERS XYLOMETAZOLINE HCL 02246023 Y

Cough and cold* DELSYM 30MG/5ML SUSPENSION DEXTROMETHORPHAN POLISTIREX02018403 Y

Cough and cold* DEMO-CINEOL ADULTE SUPPOS CAMPHOR/GUAIACOL/EUCALYPTOL00319716 Y

Cough and cold* DEMO-CINEOL BEBE SUPPOS CAMPHOR/GUAIACOL/EUCALYPTOL00319732 Y

Cough and cold* DEMO-CINEOL ENFANTS SUPPOS CAMPHOR/GUAIACOL/EUCALYPTOL00319724 Y

Cough and cold* DEXTROMETHORPH 15MG/5ML SYRUP DEXTROMETHORPHAN HBR 00833231 Y

Cough and cold* DEY-PAK SODIUM CHLORIDE SOLUTION 0.9% SODIUM CL FOR INHALATION 02058235 Y

Cough and cold* DIMETANE EXPECTORANT C LIQUID BROMPHENIRAMINE/CODEINE/GUAIFENESIN/PHENHYLEPHRINE02244079 Y

Cough and cold* DIMETANE EXPECTORANT DC LIQUID BROMPHENIRAMINE/GUAIFENESIN/HYDROCODONE/PHENYLEPHRINE02244080 Y

Cough and cold* DIMETAPP C COUGH AND COLD LIQUID BROMPHENIRAMINE/CODEINE PHOS/PHENYLEPHRINE02244078 Y

Cough and cold* DIMETAPP CHEWABLES FOR KIDS PHENYLEPHRINE/BROMPHENIRAMINE02277239 Y

Cough and cold* DIMETAPP COLD LIQUID BROMPHENIRAMINE/PHENYLEPHRINE02243980 Y

Cough and cold* DIMETAPP COUGH & CONGESTION LIQUID DEXTROMETHORPHAN/GUAIFENESIN/PSEUDOEPHEDRINE02243080 Y

Cough and cold* DIMETAPP DM COUGH AND COLD LIQUID BROMPHENIRAMINE/DM/PHENYLEPHRINE02243969 Y

Cough and cold* DIMETAPP EX STR DAYTIME COLD CAPLET PSEUDOEPHEDRINE HCL/ACETAMINOPHEN02243083 Y

Cough and cold* DIMETAPP EX STRENGTH DM COUGH & COLD ORAL LIQUID BROMPHENIRAMINE/DM/PHENYLEPHRINE02245076 Y

Cough and cold* DIMETAPP EXTRA STRENGTH COLD ORAL LIQUID BROMPHENIRAMINE/PHENYLEPHRINE02245075 Y

Cough and cold* DIMETAPP NIGHT COLD EX STRENGTH CAPLETS ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLEPHRINE02243091 Y

Cough and cold* DM + EXPECTORANT EXTRA STRENGTH SYRUP DEXTROMETHORPHAN/GUAIFENESIN02269783 Y

Cough and cold* DM + EXPECTORANT SYRUP DEXTROMETHORPHAN/GUAIFENESIN02269775 Y

Cough and cold* DM COUGH SYRUP AMMONIUM CHLORIDE/DM/DIPHENHYDRAMINE02240394 Y

Cough and cold* DM COUGH SYRUP DEXTROMETHORPHAN HBR 02241495 Y

Cough and cold* DM SANS SUCRE 15MG/5ML LIQ DEXTROMETHORPHAN HBR 00511013 Y

Cough and cold* DM SYRUP DEXTROMETHORPHAN HBR 00800813 Y

Cough and cold* DM SYRUP DEXTROMETHORPHAN HBR 02202778 Y

Cough and cold* DM-DECONGESTANT EXPECTORANT EXTRA STRENGTH SYRUP GUAIFENESIN/PSEUDOEPHEDRINE/DM02241489 Y

Cough and cold* DM-DECONGESTANT EXPECTORANT SYRUP GUAIFENESIN/PSEUDOEPHEDRINE/DM02241490 Y

Cough and cold* DM-DECONGESTANT SYRUP DEXTROMETHORPHAN/PSEUDOEPHEDRINE02241493 Y

Cough and cold* DM-E SYRUP DEXTROMETHORPHAN/GUAIFENESIN02201720 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 155

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cough and cold* DM-EXPECTORANT SYRUP DEXTROMETHORPHAN/GUAIFENESIN02241491 Y

Cough and cold* DRISTAN DECONGESTANT NASAL MIST PHENIRAMINE/PHENYLEPHRINE HCL01929313 Y

Cough and cold* DRISTAN DM TABLETS DEXTROMETHORPHAN HBR 02272148 Y

Cough and cold* DRISTAN EX STR CAPLET ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLEPHRINE02049198 Y

Cough and cold* DRISTAN LONG LASTING NASAL MIST OXYMETAZOLINE HCL 01929372 Y

Cough and cold* DRISTAN MENTHOLATED SPRAY OXYMETAZOLINE HCL 01929380 Y

Cough and cold* DRISTAN ND EX-STREN CAPLET PSEUDOEPHEDRINE HCL/ACETAMINOPHEN01932659 Y

Cough and cold* DRISTAN TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLEPHRINE02092964 Y

Cough and cold* DRIXORAL COLD & SINUS TABLET DEXBROMPHENIRAMINE/PSEUDOEPHEDRINE00298433 Y

Cough and cold* DRIXORAL DAY/NIGHT DEXBROMPHENIRAMINE/PSEUDOEPHEDRINE02154285 Y

Cough and cold* DRIXORAL DECON NASAL SPRAY OXYMETAZOLINE HCL 00740861 Y

Cough and cold* DRIXORAL SYRUP DEXBROMPHENIRAMINE/PSEUDOEPHEDRINE02175576 Y

Cough and cold* DRIXTAB TABLET DEXBROMPHENIRAMINE/PSEUDOEPHEDRINE00411892 Y

Cough and cold* DRY COUGH & COLD SYRUP FOR CHILDREN DEXTROMETHORPHAN/PSEUDOEPHEDRINE02262614 Y

Cough and cold* DRY COUGH SYRUP DEXTROMETHORPHAN HBR 02261294 Y

Cough and cold* ENTEX LA TABLET GUAIFENESIN/PSEUDOEPHEDRINE HCL02246971 Y

Cough and cold* EXPECTORANT COUGH SYRUP GUAIFENESIN 02241488 Y

Cough and cold* EXPECTORANT EXT STRENGTH SYRUP GUAIFENESIN 02242892 Y

Cough and cold* EXTRA STRENGTH ALLERGY SINUS MEDICATION ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE02159546 Y

Cough and cold* EXTRA STRENGTH CONTAC COMPLETE COUGH COLD & FLU DM/PHENYLEPHRINE/ACETAMINOPHEN02276224 Y

Cough and cold* EXTRA STRENGTH DAYTIME COLD RELIEF PE ACETAMINOPHEN/DM/PHENYLEPHRINE02293099 Y

Cough and cold* EXTRA STRENGTH DAYTIME FLU PE TABLET ACETAMINOPHEN/DM/PHENYLEPHRINE02293552 Y

Cough and cold* EXTRA STRENGTH FLU RELIEF DAYTIME ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02248580 Y

Cough and cold* EXTRA STRENGTH FLU RELIEF NIGHTIME ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02248700 Y

Cough and cold* EXTRA STRENGTH HEAD COLD AND SINUS CAPLET ACETAMINOPHEN/PSEUDOEPHEDRINE02248646 Y

Cough and cold* EXTRA STRENGTH NEOCITRAN TOTAL SYMPTOM RELIEF - SUGAR FREEACETAMINOPHEN/DIPHENHYDRAMINE/PHENYLEPHRINE02319195 Y

Cough and cold* EXTRA STRENGTH NIGHTTIME COLD RELIEF PE ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PHENYLEPHRINE02293110 Y

Cough and cold* EXTRA STRENGTH NIGHTTIME FLU PE ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PHENYLEPHRINE02293560 Y

Cough and cold* GUAIFENESIN & DEXTROMETHORPHAN COUGH SYRUP DEXTROMETHORPHAN/GUAIFENESIN00833258 Y

Cough and cold* HOT LEMON RELIEF FOR SYMPTOMS OF COUGH COLD & FLU EXTRA STRENGTACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02246848 Y

Cough and cold* HYCODAN 1MG/ML SYRUP HYDROCODONE BITARTRATE 01916580 Y

Cough and cold* HYCODAN 5MG TABLET HYDROCODONE BITARTRATE 01916599 Y

Cough and cold* HYCOMINE SYRUP AMMON CHL/PE HCL/HCOD/PYRIL 01916564 Y

Cough and cold* HYCOMINE-S SYRUP AMMON CHL/PE HCL/HCOD/PYRIL 01916521 Y

Cough and cold* IBUPROFEN AND PSEUDOEPHEDRINE TABLET IBUPROFEN/PSEUDOEPHEDRINE HCL02267748 Y

Cough and cold* JACK & JILL CHILDRENS FORMULA COUGH LIQUID CHLORPHENIRAMINE/DM 00823023 Y

Cough and cold* JACK & JILL COUGH AND COLD CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02242588 Y

Cough and cold* JACK & JILL COUGH COLD & FLU JUNIOR STRENGTH TABLETS ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02244235 Y

Cough and cold* JACK & JILL COUGH SYRUP GUAIFENESIN/PYRILAMINE MALEATE00622036 Y

Cough and cold* KOFFEX 15MG/5ML SIROP DEXTROMETHORPHAN HBR 01928783 Y

Cough and cold* KOFFEX 3MG/ML SYRUP DEXTROMETHORPHAN HBR 01928791 Y

Cough and cold* LONG LASTING NASAL MIST OXYMETAZOLINE HCL 02250861 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 156

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cough and cold* MED SINUS PERSONNEL REGULAR CAPLET PSEUDOEPHEDRINE HCL/ACETAMINOPHEN02241703 Y

Cough and cold* MED SINUS PERSONNEL XTRA STRENGTH CAPLET PSEUDOEPHEDRINE HCL/ACETAMINOPHEN02241702 Y

Cough and cold* MODU-DOSE 0.9% AMPOULE SODIUM CL FOR INHALATION 01932314 Y

Cough and cold* MOTRIN COLD & SINUS PAIN TABLET IBUPROFEN/PSEUDOEPHEDRINE HCL02324423 Y

Cough and cold* MOTRIN COLD AND SINUS CAPLET IBUPROFEN/PSEUDOEPHEDRINE HCL02245685 Y

Cough and cold* NASAL + SINUS COLD FORMULA TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLEPHRINE02239652 Y

Cough and cold* NASAL DECONGESTANT SPRAY WITH MOISTURIZERS XYLOMETAZOLINE HCL 02241736 Y

Cough and cold* NEO CITRAN DM PACKET DM/PHENIRAMINE/PHENYLEPHRINE01906704 Y

Cough and cold* NEO CITRAN COLDS & FLU POWDER ACETAMINOPHEN/PHENIRAMINE/PHENYLEPHRINE02246602 Y

Cough and cold* NEO CITRAN COUGH COLD AND FLU EXTRA STRENGTH ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02196174 Y

Cough and cold* NEO CITRAN EX CHEST CONGEST AND COUGH NON DROWSY ACETAMINOPHEN/DM/GUAIFENSEN/PSEUDOEPHEDRINE02241963 Y

Cough and cold* NEO CITRAN X STR SINUS PKT ACETAMINOPHEN/PHENYLEPHRINE00843792 Y

Cough and cold* NEO TUSS SYRUP GUAIFEN/D-METHORPHAN/PE/CP 00440884 Y

Cough and cold* NEOCITRAN COLD & FLU SYRUP ACETAMINOPHEN/DM/DOXYLAMINE/PSEUDOEPHEDRINE02248371 Y

Cough and cold* NEOCITRAN COUGH & COLD SYRUP CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02248372 Y

Cough and cold* NEO-CITRAN EX SORE THROAT AND COUGH ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02217147 Y

Cough and cold* NEO-CITRAN EX STRENGTH POWDER ACETAMINOPHEN/PHENIRAMINE/PHENYLEPHRINE02215403 Y

Cough and cold* NEOCITRAN EXTRA STRENGTH CHEST CONGESTION & COLD LIQUIDACETAMINOPHEN/GUAIFENESIN/PHENYLEPHRINE02304740 Y

Cough and cold* NEOCITRAN EXTRA STRENGTH DAYTIME TOTAL POWDER ACETAMINOPHEN/DM/PHENYLEPHRINE HCL02293994 Y

Cough and cold* NEOCITRAN NIGHTTIME EXTRA STRENGTH COLD AND FLU LIQUIDPHENYLEPHRINE/ACETAMINOPHEN/DM02275961 Y

Cough and cold* NEOCITRAN NON DROWSY EXTRA STRENGTH COLD AND FLU LIQUIDDM/PHENYLEPHRINE/ACETAMINOPHEN02275988 Y

Cough and cold* NEOCITRAN TOTAL POWDER ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02266024 Y

Cough and cold* NEO-PECTOL SYRUP IPECAC/SQUILL/CODEINE/POTASS 00147656 Y

Cough and cold* NIGHT RELIEF COLD AND FLU LIQUID CAPSULES ACETAMINOPHEN/DM/DOXYLAMINE/PSEUDOEPHEDRINE02254956 Y

Cough and cold* NIGHTTIME COLD & FLU LIQUID CAPSULE ACETAMINOPHEN/DM/DOXYLAMINE/PSEUDOEPHEDRINE02198924 Y

Cough and cold* NIGHTTIME COLD AND FLU RELIEF CAPSULE ACETAMINOPHEN/DM/DOXYLAMINE/PSEUDOEPHEDRINE02260271 Y

Cough and cold* NIGHTTIME COLD RELIEF EXTRA STRENGTH TABLETS ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02252139 Y

Cough and cold* NIGHTTIME EXTRA STRENGTH CONTAC COMPLETE COUGH COLD & FLUCHLORPHENIRAMINE/DM/PHENYLEPHRINE/ACETAMIN02276232 Y

Cough and cold* NIGHTTIME LIQUA CAPS ACETAMINOPHEN/DM/DOXYLAMINE/PSEUDOEPHEDRINE02254913 Y

Cough and cold* NIGHTTIME LIQUID CAPSULES COLD/FLU MEDICINE ACETAMINOPHEN/DM/DOXYLAMINE/PSEUDOEPHEDRINE02258927 Y

Cough and cold* NIGHTTIME REGULAR STRENGTH CONTAC COLD NASAL CONGESTIONACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLEPHRINE02276100 Y

Cough and cold* NITE TIME COLD AND COUGH LIQUID DIPHENHYDRAMINE/PHENYLEPHRINE02323915 Y

Cough and cold* NOVAHISTEX DH SYRUP PHENYLEPHRINE HCL/HYDROCOD BIT02049481 Y

Cough and cold* NOVAHISTINE DH CHILD'S SYRUP PHENYLEPHRINE HCL/HYDROCOD BIT02049473 Y

Cough and cold* NYQUIL SINUS LIQUICAPS ACETAMINOPHEN/DOXYLAMINE/PHENYLEPHRINE02273810 Y

Cough and cold* OTRIVIN .05% DECONGESTANT SPRAY XYLOMETAZOLINE HCL 02238867 Y

Cough and cold* OTRIVIN 0.1% M-D PUMP SPRAY XYLOMETAZOLINE HCL 00741043 Y

Cough and cold* OTRIVIN 0.1% NASAL SPRAY XYLOMETAZOLINE HCL 00653330 Y

Cough and cold* OTRIVIN 0.1% NOSE DROPS XYLOMETAZOLINE HCL 00650854 Y

Cough and cold* OTRIVIN MENTHOL 0.1% SPRAY XYLOMETAZOLINE HCL 02122979 Y

Cough and cold* OTRIVIN PED 0.05% DECONGESTANT DROPS XYLOMETAZOLINE HCL 02238868 Y

Cough and cold* OTRIVIN+MOISTURE 0.1% NASAL XYLOMETAZOLINE HCL 02208903 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 157

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cough and cold* PMS-D-METHORPHAN 3MG/ML SYRUP DEXTROMETHORPHAN HBR 00816000 Y

Cough and cold* PMS-HYDROCODONE 1MG/ML SYRUP HYDROCODONE BITARTRATE 02324253 Y

Cough and cold* PSEUDOFRIN 30MG/5ML SIROP PSEUDOEPHEDRINE HCL 00294462 Y

Cough and cold* PSEUDOFRIN 60MG TABLET PSEUDOEPHEDRINE HCL 00307912 Y

Cough and cold* PULMORPHAN EXPECTORANT SYRUP GUAIFEN/D-METHORPHAN HB/PE/PNM00513741 Y

Cough and cold* PULMORPHAN PEDIATRIQUE SYRUP DM/PHENIRAMINE/PHENYLEPHRINE00590282 Y

Cough and cold* RATIO-CALMYDONE LIQUID ETAFED HC/HCOD/DOXYLAM/SOD CIT00550477 Y

Cough and cold* RATIO-CORISTEX-DH SYRUP PHENYLEPHRINE HCL/HYDROCOD BIT00694827 Y

Cough and cold* RATIO-COTRIDIN EXPECTORANT SYRUP GUAIFEN/P-EPHED HCL/COD/TRIPRO02053403 Y

Cough and cold* RATIO-COTRIDIN SYRUP P-EPHED HCL/COD PHOS/TRIPROL 02169126 Y

Cough and cold* REGULAR STRENGTH FLU RELIEF NIGHTIME PSEUDOEPHED/ACETAMINOPHEN/DIPHENHYDRAMINE02252562 Y

Cough and cold* REGULAR STRENGTH SINUS MEDICATION ACETAMINOPHEN/DOXYLAMINE/PSEUDOEPHEDRINE02261596 Y

Cough and cold* RHINO-VACCIN NASAL OINTMENT EPHED/MENTH/CAMPHOR/CL-BUTANOL00167983 Y

Cough and cold* RHUME ET DE LA TOUX DM/PHENIRAMINE/PHENYLEPHRINE HCL01908626 Y

Cough and cold* RHUME ET GRIPPE EXTRA-FORT ACETAMINOPHEN/PHENIRAMINE/PHENYLEPHRINE02279517 Y

Cough and cold* ROBITUSSIN 100MG/5ML SYRUP GUAIFENESIN 01931032 Y

Cough and cold* ROBITUSSIN AC SYRUP GUAIFEN/CODEINE PHOS/PHENIR 01934740 Y

Cough and cold* ROBITUSSIN COUGH & COLD SYRUP GUAIFENESIN/PSEUDOEPHEDRINE/DM02068419 Y

Cough and cold* ROBITUSSIN COUGH GELS DEXTROMETHORPHAN HBR 02252554 Y

Cough and cold* ROBITUSSIN COUGH/COLD SYRUP GUAIFENESIN/PSEUDOEPHEDRINE/DM02172380 Y

Cough and cold* ROBITUSSIN DM COUGH CONTROL DEXTROMETHORPHAN/GUAIFENESIN02248568 Y

Cough and cold* ROBITUSSIN DM EX STR LIQUID DEXTROMETHORPHAN/GUAIFENESIN02142775 Y

Cough and cold* ROBITUSSIN DM LIQUID DEXTROMETHORPHAN/GUAIFENESIN01931024 Y

Cough and cold* ROBITUSSIN EX STR LIQUID GUAIFENESIN 02142783 Y

Cough and cold* ROBITUSSIN PED COUGH/COLD DEXTROMETHORPHAN/PSEUDOEPHEDRINE02044013 Y

Cough and cold* ROBITUSSIN PEDI COUGH SYRUP DEXTROMETHORPHAN HBR 01953966 Y

Cough and cold* ROBITUSSIN TOTAL COUGH, COLD & FLU ACTAMIN/DM/PSEUDOEPHEDRINE 02291363 Y

Cough and cold* ROBITUSSIN TOTAL COUGH, COLD & FLU EXTRA STRENGTH NIGHTTIMEACETAMIN/CHLORPHEN/DM/PSEUDOEPHED.02291371 Y

Cough and cold* SEDATUSS DM 15MG/5ML SIROP DEXTROMETHORPHAN HBR 00511021 Y

Cough and cold* SINUS MEDICATION DAY REGULAR TABLETS PSEUDOEPHEDRINE HCL/ACETAMINOPHEN02255022 Y

Cough and cold* SINUS MEDICATION NIGHT TABLETS ACETAMINOPHEN/DOXYLAMINE/PSEUDOEPHEDRINE02255014 Y

Cough and cold* SINUS PAIN & CONGESTION EX STR TABLET PSEUDOEPHEDRINE HCL/ACETAMINOPHEN02050242 Y

Cough and cold* SINUS RELIEF EXT STRENGTH TABLET PSEUDOEPHEDRINE HCL/ACETAMINOPHEN02243006 Y

Cough and cold* SINUTAB EXTRA STRENGTH CAPSULE ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE01986988 Y

Cough and cold* SINUTAB N.D.REG STR TABLET PSEUDOEPHEDRINE HCL/ACETAMINOPHEN01926055 Y

Cough and cold* SINUTAB N.T. EX STRENGTH CAPLET ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02215241 Y

Cough and cold* SINUTAB ND EXTRA STR TABLET PSEUDOEPHEDRINE HCL/ACETAMINOPHEN01938371 Y

Cough and cold* SINUTAB TABLET REG STRENGTH ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE01926004 Y

Cough and cold* SINUTAB W/CODEINE TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CHORPHENIRAMINE/PSEUDOEPHEDRINE01938363 Y

Cough and cold* SIROP EXPECT 100MG/5ML GUAIFENESIN 01952129 Y

Cough and cold* SODIUM CHLORIDE 0.9% VIAL SODIUM CL FOR INHALATION 00770523 Y

Cough and cold* SUDAFED COLD AND COUGH EX STRENGTH CAPLET ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02239158 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 158

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cough and cold* SUDAFED COLD AND FLU REG STR GEL CAPS ACETAMINOPHEN/DM/GUAIFENESIN/PSEUDOEPHEDRINE02156563 Y

Cough and cold* SUDAFED DECONG XS 60MG TABLET PSEUDOEPHEDRINE HCL 02237793 Y

Cough and cold* SUDAFED HEAD COLD AND SINUS EX STRENGTH TABLET ACETAMINOPHEN/PSEUDOEPHEDRINE02239159 Y

Cough and cold* SUDAFED PE EXTRA STRENGTH TABLET PHENYLEPHRINE HCL 02250217 Y

Cough and cold* SUDAFED SINUS ADVANCE TABLET IBUPROFEN/PSEUDOEPHEDRINE HCL02242217 Y

Cough and cold* SYRUP DM-D-E GUAIFENESIN/PSEUDOEPHEDRINE/DM02207176 Y

Cough and cold* THERAFLU COLD AND FLU ACETAMINOPHEN/PHENIRAMINE/PHENYLEPHRINE02278294 Y

Cough and cold* TRIALYN DM SYRUP AMMONIUM CHLORIDE/DM/DIPHENHYDRAMINE01905635 Y

Cough and cold* TRIAMINIC COLD & ALLERGY CHEW TABLET CHLORPHENIRAMINE/PSEUDOEPHEDRINE02240450 Y

Cough and cold* TRIAMINIC COLD AND ALLERGY LIQUID CHLORPHENIRAMINE/PSEUDOEPHEDRINE02243738 Y

Cough and cold* TRIAMINIC COLD AND COUGH LIQUID CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02243739 Y

Cough and cold* TRIAMINIC COLD COUGH AND FEVER ORAL LIQUID ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02239666 Y

Cough and cold* TRIAMINIC COUGH & COLD CHEW TABLET CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02240448 Y

Cough and cold* TRIAMINIC COUGH AND CONGESTION LIQUID DEXTROMETHORPHAN/PSEUDOEPHEDRINE02243062 Y

Cough and cold* TRIAMINIC COUGH AND SORE THROAT ACETAMINOPHEN/DM 02278758 Y

Cough and cold* TRIAMINIC COUGH AND SORE THROAT SYRUP ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02130564 Y

Cough and cold* TRIAMINIC COUGH LIQUID DEXTROMETHORPHAN/PSEUDOEPHEDRINE02243740 Y

Cough and cold* TRIAMINIC COUGH SOFTCHEWS DEXTROMETHORPHAN HBR 02243032 Y

Cough and cold* TRIAMINIC DAYTIME COUGH & COLD DM/PHENYLEPHRINE 02278073 Y

Cough and cold* TRIAMINIC DM SYRUP DEXTROMETHORPHAN HBR 02231313 Y

Cough and cold* TRIAMINIC LONG ACTING COUGH DEXTROMETHORPHAN HBR 02277972 Y

Cough and cold* TRIAMINIC ORAL PEDI DROPS PSEUDOEPHEDRINE HCL 02130416 Y

Cough and cold* TRIAMINIC THROAT & COUGH CHEW TABLET ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02240451 Y

Cough and cold* TRIAMINIC-DM NIGHTTIME SYRUP CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE00896179 Y

Cough and cold* TRINALIN REPETAB PSEUDOEPHEDRINE SULFATE/AZATA00517895 Y

Cough and cold* TUSSIONEX SUSPENSION HYDROCOD BIT/PHENYLTOLOXAMINE01916971 Y

Cough and cold* TUSSIONEX TABLET SA HYDROCOD BIT/PHENYLTOLOXAMINE01916963 Y

Cough and cold* TUSSODAN DM SYRUP DEXTROMETHORPHAN/PSEUDOEPHEDRINE00720208 Y

Cough and cold* TYLENOL ALLERGY EX. STR. SINUS NIGHTTIME CAPLET ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02237483 Y

Cough and cold* TYLENOL ALLERGY EX.STR. TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLEPHRINE02276054 Y

Cough and cold* TYLENOL ALLERGY SINUS TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE01933728 Y

Cough and cold* TYLENOL CHILD COLD DM SUSPENSION ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE02039990 Y

Cough and cold* TYLENOL CHILD COLD SUSPENSION ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE02039982 Y

Cough and cold* TYLENOL CHILD DECONGESTANT LIQ PSEUDOEPHEDRINE HCL/ACETAMINOPHEN02229538 Y

Cough and cold* TYLENOL COLD & FLU DAYTIME LIQUID ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02261413 Y

Cough and cold* TYLENOL COLD & FLU NIGHTTIME LIQUID ACETAMINOPHEN/DM/DOXYLAMINE/PSEUDOEPHEDRINE02261421 Y

Cough and cold* TYLENOL COLD AND FLU DAYTIME DM/PHENYLEPHRINE/ACETAMINOPHEN02276658 Y

Cough and cold* TYLENOL COLD AND FLU NIGHTTIME DM/PHENYLEP/ACETAMIN/DOXYLAMINE02276879 Y

Cough and cold* TYLENOL COLD CAPLET N.D. ACETAMINOPHEN/DM/PSEUDOEPHEDRINE00743283 Y

Cough and cold* TYLENOL COLD CHILD CHEW TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE00743224 Y

Cough and cold* TYLENOL COLD DAYTIME TABLET ACETAMINOPHEN/DM/PHENYLEPHRINE02275627 Y

Cough and cold* TYLENOL COLD DM CHILDS TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE00870455 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 159

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Cough and cold* TYLENOL COLD DM JR CHEW TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE00890677 Y

Cough and cold* TYLENOL COLD EX. STR. DAYTIME TABLET ACETAMINOPHEN/DM/PHENYLEPHRINE02276186 Y

Cough and cold* TYLENOL COLD EX. STR. NIGHTTIME TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PHENYLEPHRINE02276259 Y

Cough and cold* TYLENOL COLD NIGHTTIME TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PHENYLEPHRINE02275716 Y

Cough and cold* TYLENOL COLD PLUS MUCOUS RELIEF ACETAMINOPHEN/DM/GUAIFENESIN/PSEUDOEPHED02295326 Y

Cough and cold* TYLENOL COLD RAPID RELEASE TABLET ACETAMINOPHEN/DM/PHENYLEPHRINE 02305917 Y

Cough and cold* TYLENOL COLD REG STR CAPLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE00574007 Y

Cough and cold* TYLENOL COLD X-STR CAPLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE00743275 Y

Cough and cold* TYLENOL COLD XSTR CAPLET ND ACETAMINOPHEN/DM/PSEUDOEPHEDRINE00743267 Y

Cough and cold* TYLENOL COUGH EX CAPLET DEXTROMETHORPHAN/ACETAMINOPHEN02017377 Y

Cough and cold* TYLENOL COUGH LIQUID ACETAMINOPHEN/DM 02261448 Y

Cough and cold* TYLENOL EX.STR. SINUS PAIN AND CONGESTION NIGHTTIME TABLETACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE02268310 Y

Cough and cold* TYLENOL FLU DAYTIME EXTRA STRENGTH TABLET ACETAMINOPHEN/DM/PSEUDOEPHEDRINE02241526 Y

Cough and cold* TYLENOL FLU EX. STR. DAYTIME TABLET ACETAMINOPHEN/DM/PHENYLEPHRINE02275996 Y

Cough and cold* TYLENOL FLU EX.STR.NIGHTTIME TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/DM/PHENYLEPHRINE02276046 Y

Cough and cold* TYLENOL FLU GELCAP EXTRA STRENGTH ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE02167670 Y

Cough and cold* TYLENOL SINUS CAPLET PSEUDOEPHEDRINE HCL/ACETAMINOPHEN00778400 Y

Cough and cold* TYLENOL SINUS DAYTIME TABLET ACETAMINOPHEN/PHENYLEPHRINE HCL02275708 Y

Cough and cold* TYLENOL SINUS EX. STR. DAYTIME TABLET ACETAMINOPHEN/PHENYLEPHRINE02276003 Y

Cough and cold* TYLENOL SINUS EX.STR.NIGHTTIME TABLET ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLEPHRINE02276038 Y

Cough and cold* TYLENOL SINUS X-STR CAPLET PSEUDOEPHEDRINE HCL/ACETAMINOPHEN00663980 Y

Cough and cold* ULONE 25MG/5ML SYRUP CHLOPHEDIANOL HCL 01966294 Y

Cough and cold* VAPORISATEUR DECONGESTANT 0.1% NASAL SPRAY XYLOMETAZOLINE HCL 00788503 Y

Cough and cold* VASOFRINIC PLUS SIROP GUAIFEN/DM HB/P-EPHEDRINE/CP 00249998 Y

Cough and cold* VASOFRINIC SIROP PSEUDOEPHEDRINE HCL/CHLORPHENIRAMINE MALEATE00249971 Y

Cough and cold* VASOFRINIC TABLET PSEUDOEPHEDRINE HCL/CHLORPHENIRAMINE MALEATE00225843 Y

Cough and cold* VICKS 44E ORAL LIQUID DEXTROMETHORPHAN/GUAIFENESIN02141639 Y

Cough and cold* VICKS CHEST CONGESTION RELIEF SYRUP GUAIFENESIN 02241379 Y

Cough and cold* VICKS CHILDREN'S NYQUIL CHLORPHENIRAMINE/DM 02273330 Y

Cough and cold* VICKS DAYQUIL LIQUICAPS COLD/FLU MEDICINE ACETAMINOPHEN/DM/PHENYLEPHRINE02272784 Y

Cough and cold* VICKS DAYQUIL MUCUS CONTROL DM DEXTROMETHORPHAN/GUAIFENESIN02323907 Y

Cough and cold* VICKS DAYQUIL MUCUS CONTROL LIQUID GUAIFENESIN 02323885 Y

Cough and cold* VICKS DAYQUIL SINUS PR.AND PAIN REL.W.IBUPR. IBUPROFEN/PSEUDOEPHEDRINE HCL02070898 Y

Cough and cold* VICKS FORMULA 44D COUGH & SINUS CONGESTION RELIEF DM/PHENYLEPHRINE 02272776 Y

Cough and cold* VICKS NYQUIL LIQUICAPS COLD/FLU MEDICINE ACETAMINOPHEN/DM/DOXYLAMINE02272792 Y

Cough and cold* VICKS NYQUIL NIGHTTIME COLD FLU MEDICINE ACETAMINOPHEN/DM/DOXYLAMINE02273071 Y

Cough and cold* VICKS PEDI FORM 44D SYRUP DEXTROMETHORPHAN/PSEUDOEPHEDRINE01938908 Y

Cough and cold* VICKS PEDI FORM 44M LIQ CHLORPHENIRAMINE/DM/PSEUDOEPHEDRINE01938894 Y

Cough and cold* VICKS PEDIATRIC FORM 44 SYRUP DEXTROMETHORPHAN HBR 01938916 Y

Depression AA-AMITRIPTYLINE 75MG TABLET AMITRIPTYLINE HCL 02348942 Y

Depression AA-TRIMIP 100MG TABLET TRIMIPRAMINE MALEATE 02350033 Y

Depression AA-TRIMIP 12.5MG TABLET TRIMIPRAMINE MALEATE 02349973 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 160

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression AA-TRIMIP 25MG TABLET TRIMIPRAMINE MALEATE 02349981 Y

Depression AA-TRIMIP 50MG TABLET TRIMIPRAMINE MALEATE 02350025 Y

Depression AA-TRIMIP 75MG CAPSULE TRIMIPRAMINE MALEATE 02350041 Y

Depression AG-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02339390 Y

Depression AG-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02339404 Y

Depression AMITRIPTYLINE HCL 10MG TABLET AMITRIPTYLINE HCL 00370991 Y

Depression AMITRIPTYLINE HCL 25MG TABLET AMITRIPTYLINE HCL 00371009 Y

Depression AMITRIPTYLINE HCL 50MG TABLET AMITRIPTYLINE HCL 00456349 Y

Depression ANAFRANIL 10MG TABLET CLOMIPRAMINE HCL 00330566 Y

Depression ANAFRANIL 25MG TABLET CLOMIPRAMINE HCL 00324019 Y

Depression ANAFRANIL 50MG TABLET CLOMIPRAMINE HCL 00402591 Y

Depression APO-AMITRIPTYLINE 10MG TABLET AMITRIPTYLINE HCL 00335053 Y

Depression APO-AMITRIPTYLINE 25MG TABLET AMITRIPTYLINE HCL 00335061 Y

Depression APO-AMITRIPTYLINE 50MG TABLET AMITRIPTYLINE HCL 00335088 Y

Depression APO-AMITRIPTYLINE 75MG TABLET AMITRIPTYLINE HCL 00754129 Y

Depression APO-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02246056 Y

Depression APO-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02246057 Y

Depression APO-CLOMIPRAMINE 10MG TABLET CLOMIPRAMINE HCL 02040786 Y

Depression APO-CLOMIPRAMINE 25MG TABLET CLOMIPRAMINE HCL 02040778 Y

Depression APO-CLOMIPRAMINE 50MG TABLET CLOMIPRAMINE HCL 02040751 Y

Depression APO-DESIPRAMINE 100MG TABLET DESIPRAMINE HCL 02216280 Y

Depression APO-DESIPRAMINE 10MG TABLET DESIPRAMINE HCL 02216248 Y

Depression APO-DESIPRAMINE 25MG TABLET DESIPRAMINE HCL 02216256 Y

Depression APO-DESIPRAMINE 50MG TABLET DESIPRAMINE HCL 02216264 Y

Depression APO-DESIPRAMINE 75MG TABLET DESIPRAMINE HCL 02216272 Y

Depression APO-DOXEPIN 100MG CAPSULE DOXEPIN HCL 02050048 Y

Depression APO-DOXEPIN 10MG CAPSULE DOXEPIN HCL 02049996 Y

Depression APO-DOXEPIN 25MG CAPSULE DOXEPIN HCL 02050005 Y

Depression APO-DOXEPIN 50MG CAPSULE DOXEPIN HCL 02050013 Y

Depression APO-DOXEPIN 75MG CAPSULE DOXEPIN HCL 02050021 Y

Depression APO-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02216353 Y

Depression APO-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02216361 Y

Depression APO-FLUOXETINE 20MG/5 ML ORAL FLUOXETINE HCL 02231328 Y

Depression APO-FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02231330 Y

Depression APO-FLUVOXAMINE 50MG TABLET FLUVOXAMINE MALEATE 02231329 Y

Depression APO-IMIPRAMINE 10MG TABLET IMIPRAMINE HCL 00360201 Y

Depression APO-IMIPRAMINE 25MG TABLET IMIPRAMINE HCL 00312797 Y

Depression APO-IMIPRAMINE 50MG TABLET IMIPRAMINE HCL 00326852 Y

Depression APO-IMIPRAMINE 75MG TABLET IMIPRAMINE HCL 00644579 Y

Depression APO-MIRTAZAPINE 15MG TABLET MIRTAZAPINE 02286610 Y

Depression APO-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02286629 Y

Depression APO-MIRTAZAPINE 45MG TABLET MIRTAZAPINE 02286637 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 161

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression APO-MOCLOBEMIDE 100MG TABLET MOCLOBEMIDE 02232148 Y

Depression APO-MOCLOBEMIDE 150MG TABLET MOCLOBEMIDE 02232150 Y

Depression APO-MOCLOBEMIDE 300MG TABLET MOCLOBEMIDE 02240456 Y

Depression APO-NORTRIPTYLINE 10MG CAPSULE NORTRIPTYLINE HCL 02223511 Y

Depression APO-NORTRIPTYLINE 25MG CAPSULE NORTRIPTYLINE HCL 02223538 Y

Depression APO-PAROXETINE 10MG TABLET PAROXETINE HCL 02240907 Y

Depression APO-PAROXETINE 20MG TABLET PAROXETINE HCL 02240908 Y

Depression APO-PAROXETINE 30MG TABLET PAROXETINE HCL 02240909 Y

Depression APO-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02238282 Y

Depression APO-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02238280 Y

Depression APO-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02238281 Y

Depression APO-TRAZODONE 100MG TABLET TRAZODONE HCL 02147645 Y

Depression APO-TRAZODONE 50MG TABLET TRAZODONE HCL 02147637 Y

Depression APO-TRAZODONE D 150MG TABLET TRAZODONE HCL 02147653 Y

Depression APO-VENLAFAXINE XR 150MG CAPSULE VENLAFAXINE HCL 02331705 Y

Depression APO-VENLAFAXINE XR 37.5MG CAPSULE VENLAFAXINE HCL 02331683 Y

Depression APO-VENLAFAXINE XR 75MG CAPSULE VENLAFAXINE HCL 02331691 Y

Depression APX-AMITRIPTYLINE 10MG TABLET AMITRIPTYLINE HCL 02344165 Y

Depression APX-AMITRIPTYLINE 25MG TABLET AMITRIPTYLINE HCL 02344173 Y

Depression APX-AMITRIPTYLINE 50MG TABLET AMITRIPTYLINE HCL 02344181 Y

Depression APX-AMITRIPTYLINE 75MG TABLET AMITRIPTYLINE HCL 02344203 Y

Depression APX-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02340712 Y

Depression APX-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02340720 Y

Depression APX-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02341743 Y

Depression APX-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02341751 Y

Depression APX-FLUOXETINE 20MG/5ML SOLUTION FLUOXETINE HCL 02341778 Y

Depression APX-FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02341832 Y

Depression APX-FLUVOXAMINE 50MG TABLET FLUVOXAMINE MALEATE 02341824 Y

Depression APX-PAROXETINE 10MG TABLET PAROXETINE HCL 02342251 Y

Depression APX-PAROXETINE 20MG TABLET PAROXETINE HCL 02342278 Y

Depression APX-PAROXETINE 30MG TABLET PAROXETINE HCL 02342286 Y

Depression APX-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02341867 Y

Depression APX-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02341840 Y

Depression APX-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02341859 Y

Depression AURO-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02275562 Y

Depression AURO-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02275570 Y

Depression AURO-MIRTAZAPINE 15MG OD TABLET MIRTAZAPINE 02299801 Y

Depression AURO-MIRTAZAPINE 30MG OD TABLET MIRTAZAPINE 02299828 Y

Depression AURO-MIRTAZAPINE 45MG OD TABLET MIRTAZAPINE 02299836 Y

Depression AVENTYL 10MG PUVULE NORTRIPTYLINE HCL 00015229 Y

Depression AVENTYL 25MG PULVULE NORTRIPTYLINE HCL 00015237 Y

Depression BCI-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02266776 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 162

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression BIO-AMITRIPTYLINE 10MG TABLET AMITRIPTYLINE HCL 02247166 Y

Depression BIO-AMITRIPTYLINE 25MG TABLET AMITRIPTYLINE HCL 02247167 Y

Depression BIO-AMITRIPTYLINE 50MG TABLET AMITRIPTYLINE HCL 02247168 Y

Depression BUPROPION SR 100MG TABLET BUPROPION HCL 02331616 Y

Depression BUPROPION SR 100MG TABLET BUPROPION HCL 02334038 Y

Depression BUPROPION SR 150MG TABLET BUPROPION HCL 02325357 Y

Depression BUPROPION SR 150MG TABLET BUPROPION HCL 02334046 Y

Depression CELEXA 10MG TABLET CITALOPRAM HYDROBROMIDE 02239606 Y

Depression CELEXA 20MG TABLET CITALOPRAM HYDROBROMIDE 02239607 Y

Depression CELEXA 40MG TABLET CITALOPRAM HYDROBROMIDE 02239608 Y

Depression CIPRALEX 10MG TABLET ESCITALOPRAM OXALATE 02263238 Y

Depression CIPRALEX 15MG TABLET ESCITALOPRAM OXALATE 02263246 Y

Depression CIPRALEX 20MG TABLET ESCITALOPRAM OXALATE 02263254 Y

Depression CIPRALEX 5MG TABLET ESCITALOPRAM OXALATE 02263211 Y

Depression CITALOPRAM 10MG TABLET CITALOPRAM HYDROBROMIDE 02284839 Y

Depression CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02284847 Y

Depression CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02331950 Y

Depression CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02333961 Y

Depression CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02342766 Y

Depression CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02284855 Y

Depression CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02331977 Y

Depression CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02333988 Y

Depression CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02342774 Y

Depression CITALOPRAM TABLETS USP 10MG TABLET CITALOPRAM 02353636 Y

Depression CITALOPRAM TABLETS USP 20MG TABLET CITALOPRAM 02353644 Y

Depression CITALOPRAM TABLETS USP 40MG TABLET CITALOPRAM 02353652 Y

Depression CITALOPRAM-10 TABLET CITALOPRAM HYDROBROMIDE 02325047 Y

Depression CITALOPRAM-20MG TABLET CITALOPRAM HYDROBROMIDE 02257513 Y

Depression CITALOPRAM-40MG TABLET CITALOPRAM HYDROBROMIDE 02257521 Y

Depression CITALOPRAM-ODAN 20MG TABLET CITALOPRAM HYDROBROMIDE 02306239 Y

Depression CITALOPRAM-ODAN 40MG TABLET CITALOPRAM HYDROBROMIDE 02306247 Y

Depression CLOMIPRAMINE 10MG TABLET CLOMIPRAMINE HCL 02130122 Y

Depression CLOMIPRAMINE 25MG TABLET CLOMIPRAMINE HCL 02130130 Y

Depression CLOMIPRAMINE 50MG TABLET CLOMIPRAMINE HCL 02130149 Y

Depression CO-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02248050 Y

Depression CO-CITALOPRAM 30MG TABLET CITALOPRAM HYDROBROMIDE 02295431 Y

Depression CO-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02248051 Y

Depression CO-CLOMIPRAMINE 10MG TABLET CLOMIPRAMINE HCL 02244816 Y

Depression CO-CLOMIPRAMINE 25MG TABLET CLOMIPRAMINE HCL 02244817 Y

Depression CO-CLOMIPRAMINE 50MG TABLET CLOMIPRAMINE HCL 02244818 Y

Depression CO-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02242177 Y

Depression CO-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02242178 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 163

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression CO-FLUOXETINE 40MG CAPSULE FLUOXETINE HCL 02244694 Y

Depression CO-FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02255537 Y

Depression CO-FLUVOXAMINE 50MG TABLET FLUVOXAMINE MALEATE 02255529 Y

Depression CO-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02274361 Y

Depression CO-PAROXETINE 10MG TABLET PAROXETINE HCL 02262746 Y

Depression CO-PAROXETINE 20MG TABLET PAROXETINE HCL 02262754 Y

Depression CO-PAROXETINE 30MG TABLET PAROXETINE HCL 02262762 Y

Depression CO-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02287412 Y

Depression CO-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02287390 Y

Depression CO-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02287404 Y

Depression CO-VENLAFAXINE 150MG XR CAPSULE VENLAFAXINE HCL 02304333 Y

Depression CO-VENLAFAXINE 37.5MG XR CAPSULE VENLAFAXINE HCL 02304317 Y

Depression CO-VENLAFAXINE 75MG XR CAPSULE VENLAFAXINE HCL 02304325 Y

Depression CTP 30 30MG TABLET CITALOPRAM HYDROBROMIDE 02296152 Y

Depression CYMBALTA 30MG DR CAPSULE DULOXETINE HCL 02301482 Y

Depression CYMBALTA 60MG DR CAPSULE DULOXETINE HCL 02301490 Y

Depression DESIPRAMINE 100MG TABLET DESIPRAMINE HCL 02223031 Y

Depression DESIPRAMINE 10MG TABLET DESIPRAMINE HCL 02222981 Y

Depression DESIPRAMINE 25MG TABLET DESIPRAMINE HCL 02223007 Y

Depression DESIPRAMINE 50MG TABLET DESIPRAMINE HCL 02223015 Y

Depression DESIPRAMINE 75MG TABLET DESIPRAMINE HCL 02223023 Y

Depression DESYREL 100MG TABLET TRAZODONE HCL 00579378 Y

Depression DESYREL 50MG TABLET TRAZODONE HCL 00579351 Y

Depression DESYREL DIVIDOSE 150MG TABLET TRAZODONE HCL 00702277 Y

Depression DOM-AMITRIPTYLINE 10MG TABLET AMITRIPTYLINE HCL 02248131 Y

Depression DOM-AMITRIPTYLINE 25MG TABLET AMITRIPTYLINE HCL 02248132 Y

Depression DOM-AMITRIPTYLINE 50MG TABLET AMITRIPTYLINE HCL 02248133 Y

Depression DOM-BUPROPION SR 100MG TABLET BUPROPION HCL 02331829 Y

Depression DOM-BUPROPION SR 150MG TABLET BUPROPION HCL 02317761 Y

Depression DOM-CITALOPRAM 10MG TABLET CITALOPRAM HYDROBROMIDE 02273055 Y

Depression DOM-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02248942 Y

Depression DOM-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02248943 Y

Depression DOM-CLOMIPRAMINE 25MG TABLET CLOMIPRAMINE HCL 02231667 Y

Depression DOM-CLOMIPRAMINE 50MG TABLET CLOMIPRAMINE HCL 02231669 Y

Depression DOM-DESIPRAMINE 10MG TABLET DESIPRAMINE HCL 02130084 Y

Depression DOM-DESIPRAMINE 25MG TABLET DESIPRAMINE HCL 02130092 Y

Depression DOM-DESIPRAMINE 50MG TABLET DESIPRAMINE HCL 02130106 Y

Depression DOM-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02177617 Y

Depression DOM-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02177625 Y

Depression DOM-FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02241348 Y

Depression DOM-FLUVOXAMINE 50MG TABLET FLUVOXAMINE MALEATE 02241347 Y

Depression DOM-MIRTAZAPINE 15MG TABLET MIRTAZAPINE 02281716 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 164

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression DOM-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02252287 Y

Depression DOM-MOCLOBEMIDE 150MG TABLET MOCLOBEMIDE 02243348 Y

Depression DOM-MOCLOBEMIDE 300MG TABLET MOCLOBEMIDE 02243349 Y

Depression DOM-NORTRIPTYLINE 10MG CAPSULE NORTRIPTYLINE HCL 02178729 Y

Depression DOM-NORTRIPTYLINE 25MG CAPSULE NORTRIPTYLINE HCL 02178737 Y

Depression DOM-PAROXETINE 10MG TABLET PAROXETINE HCL 02248447 Y

Depression DOM-PAROXETINE 20MG TABLET PAROXETINE HCL 02248448 Y

Depression DOM-PAROXETINE 30MG TABLET PAROXETINE HCL 02248449 Y

Depression DOM-PAROXETINE 40MG TABLET PAROXETINE HCL 02298961 Y

Depression DOM-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02245750 Y

Depression DOM-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02245748 Y

Depression DOM-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02245749 Y

Depression DOM-TRAZODONE 100MG TABLET TRAZODONE HCL 02128969 Y

Depression DOM-TRAZODONE 50MG TABLET TRAZODONE HCL 02128950 Y

Depression DOXEPINE 100MG CAPSULE DOXEPIN HCL 02150778 Y

Depression DOXEPINE 10MG CAPSULE DOXEPIN HCL 02150727 Y

Depression DOXEPINE 150MG CAPSULE DOXEPIN HCL 02150786 Y

Depression DOXEPINE 25MG CAPSULE DOXEPIN HCL 02150735 Y

Depression DOXEPINE 50MG CAPSULE DOXEPIN HCL 02150743 Y

Depression DOXEPINE 75MG CAPSULE DOXEPIN HCL 02150751 Y

Depression EFFEXOR 100 MG TABLET VENLAFAXINE HCL 02103710 Y

Depression EFFEXOR 12.5 MG TABLET VENLAFAXINE HCL 02103664 Y

Depression EFFEXOR 25 MG TABLET VENLAFAXINE HCL 02103672 Y

Depression EFFEXOR XR 100MG SR CAPSULE VENLAFAXINE HCL 02237281 Y

Depression EFFEXOR XR 150MG SR CAPSULE VENLAFAXINE HCL 02237282 Y

Depression EFFEXOR XR 37.5MG SR CAPSULE VENLAFAXINE HCL 02237279 Y

Depression EFFEXOR XR 75MG SR CAPSULE VENLAFAXINE HCL 02237280 Y

Depression ELAVIL 50MG TABLET AMITRIPTYLINE HCL 00016349 Y

Depression ELAVIL 75MG TABLET AMITRIPTYLINE HCL 00354295 Y

Depression ETRAFON-A TABLET AMITRIPTYLINE HCL/PERPHENAZINE00176958 Y

Depression ETRAFON-D TABLET AMITRIPTYLINE HCL/PERPHENAZINE00176966 Y

Depression FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02220121 Y

Depression FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02247528 Y

Depression FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02286068 Y

Depression FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02335131 Y

Depression FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02349345 Y

Depression FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02344149 Y

Depression FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02220148 Y

Depression FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02247529 Y

Depression FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02286076 Y

Depression FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02335158 Y

Depression FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02349353 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 165

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02344157 Y

Depression FLUOXETINE 20MG/5ML LIQUID FLUOXETINE HCL 02237005 Y

Depression FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02236754 Y

Depression FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02246823 Y

Depression FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02334089 Y

Depression FLUVOXAMINE 50MG TABLET FLUVOXAMINE MALEATE 02236753 Y

Depression FLUVOXAMINE 50MG TABLET FLUVOXAMINE MALEATE 02246822 Y

Depression FXT 40MG CAPSULE FLUOXETINE HCL 02245283 Y

Depression GD-MIRTAZAPINE 15MG OD TABLET MIRTAZAPINE 02352826 Y

Depression GD-MIRTAZAPINE 30MG OD TABLET MIRTAZAPINE 02352834 Y

Depression GD-MIRTAZAPINE 45MG OD TABLET MIRTAZAPINE 02352842 Y

Depression GD-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02273705 Y

Depression GD-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02273683 Y

Depression GD-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02273691 Y

Depression GEN-CLOMIPRAMINE 10MG TABLET CLOMIPRAMINE HCL 02139340 Y

Depression GEN-CLOMIPRAMINE 25MG TABLET CLOMIPRAMINE HCL 02139359 Y

Depression GEN-CLOMIPRAMINE 50MG TABLET CLOMIPRAMINE HCL 02139367 Y

Depression GEN-NORTRIPTYLINE 10MG CAPSULE NORTRIPTYLINE HCL 02231686 Y

Depression GEN-NORTRIPTYLINE 25MG CAPSULE NORTRIPTYLINE HCL 02231687 Y

Depression IMIPRAMINE HCL 10MG TABLET IMIPRAMINE HCL 00371017 Y

Depression IMIPRAMINE HCL 25MG TABLET IMIPRAMINE HCL 00371025 Y

Depression IMIPRAMINE HCL 50MG TABLET IMIPRAMINE HCL 00456357 Y

Depression IPG-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02302535 Y

Depression IPG-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02302543 Y

Depression JAMP-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02313405 Y

Depression JAMP-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02313413 Y

Depression LEVATE 75MG TABLET AMITRIPTYLINE HCL 00405612 Y

Depression LUVOX 100MG TABLET FLUVOXAMINE MALEATE 01919369 Y

Depression LUVOX 50MG TABLET FLUVOXAMINE MALEATE 01919342 Y

Depression MANERIX 150MG TABLET MOCLOBEMIDE 00899356 Y

Depression MANERIX 300MG TABLET MOCLOBEMIDE 02166747 Y

Depression MED CLOMIPRAMINE 25MG TABLET CLOMIPRAMINE HCL 02189003 Y

Depression MED CLOMIPRAMINE 50MG TABLET CLOMIPRAMINE HCL 02189011 Y

Depression MINT-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02304686 Y

Depression MINT-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02304694 Y

Depression MIRTAZAPINE 15MG TABLET MIRTAZAPINE 02281732 Y

Depression MIRTAZAPINE 15MG TABLET MIRTAZAPINE 02282356 Y

Depression MIRTAZAPINE 15MG TABLET MIRTAZAPINE 02335913 Y

Depression MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02282364 Y

Depression MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02335921 Y

Depression MIRTAZAPINE 45MG TABLET MIRTAZAPINE 02282372 Y

Depression MIRTAZAPINE-15MG TABLET MIRTAZAPINE 02296675 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 166

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression MIRTAZAPINE-30MG TABLET MIRTAZAPINE 02296683 Y

Depression MIRTAZAPINE-45MG TABLET MIRTAZAPINE 02296691 Y

Depression MIRTAZEPINE 30MG TABLET MIRTAZAPINE 02252279 Y

Depression MOCLOBEMIDE 100MG TABLET MOCLOBEMIDE 02236928 Y

Depression MOCLOBEMIDE 150MG TABLET MOCLOBEMIDE 02236929 Y

Depression MYLAN-CITALOPRAM 10MG TABLET CITALOPRAM HYDROBROMIDE 02246593 Y

Depression MYLAN-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02246594 Y

Depression MYLAN-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02246595 Y

Depression MYLAN-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02237813 Y

Depression MYLAN-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02237814 Y

Depression MYLAN-MIRTAZAPINE 15MG TABLET MIRTAZAPINE 02256096 Y

Depression MYLAN-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02256118 Y

Depression MYLAN-MIRTAZAPINE 45MG TABLET MIRTAZAPINE 02256126 Y

Depression MYLAN-PAROXETINE 10MG TABLET PAROXETINE HCL 02248012 Y

Depression MYLAN-PAROXETINE 20MG TABLET PAROXETINE HCL 02248013 Y

Depression MYLAN-PAROXETINE 30MG TABLET PAROXETINE HCL 02248014 Y

Depression MYLAN-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02242521 Y

Depression MYLAN-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02242519 Y

Depression MYLAN-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02242520 Y

Depression MYLAN-TRAZODONE 100MG TABLET TRAZODONE HCL 02231684 Y

Depression MYLAN-TRAZODONE 50MG TABLET TRAZODONE HCL 02231683 Y

Depression MYLAN-VENLAFAXINE XR 150MG CAPSULE VENLAFAXINE HCL 02310295 Y

Depression MYLAN-VENLAFAXINE XR 37.5MG CAPSULE VENLAFAXINE HCL 02310279 Y

Depression MYLAN-VENLAFAXINE XR 75MG CAPSULE VENLAFAXINE HCL 02310287 Y

Depression NARDIL 15MG TABLET PHENELZINE SULFATE 00476552 Y

Depression NG CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02322781 Y

Depression NG CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02322803 Y

Depression NORPRAMIN 150 MG DESIPRAMINE HCL 02103605 Y

Depression NORPRAMIN 25MG TABLET DESIPRAMINE HCL 02099128 Y

Depression NORPRAMIN 50MG TABLET DESIPRAMINE HCL 02099136 Y

Depression NORTRIPTYLINE 10MG CAPSULE NORTRIPTYLINE HCL 02229763 Y

Depression NORTRIPTYLINE 10MG CAPSULE NORTRIPTYLINE HCL 02237376 Y

Depression NORTRIPTYLINE 25MG CAPSULE NORTRIPTYLINE HCL 02229764 Y

Depression NORTRIPTYLINE 25MG CAPSULE NORTRIPTYLINE HCL 02237377 Y

Depression NOVO-BUPROPION SR 100MG TABLET BUPROPION HCL 02299461 Y

Depression NOVO-BUPROPION SR 150MG TABLET BUPROPION HCL 02260239 Y

Depression NOVO-CITALOPRAM 10MG TABLET CITALOPRAM HYDROBROMIDE 02312336 Y

Depression NOVO-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02251558 Y

Depression NOVO-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02293218 Y

Depression NOVO-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02251566 Y

Depression NOVO-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02293226 Y

Depression NOVO-DOXEPIN 100MG CAPSULE DOXEPIN HCL 01913468 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 167

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression NOVO-DOXEPIN 150MG CAPSULE DOXEPIN HCL 01913476 Y

Depression NOVO-DOXEPIN 25MG CAPSULE DOXEPIN HCL 02072742 Y

Depression NOVO-DOXEPIN 25MG CAPSULE DOXEPIN HCL 01913425 Y

Depression NOVO-DOXEPIN 50MG CAPSULE DOXEPIN HCL 01913433 Y

Depression NOVO-DOXEPIN 75MG CAPSULE DOXEPIN HCL 01913441 Y

Depression NOVO-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02216582 Y

Depression NOVO-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02216590 Y

Depression NOVO-FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02239954 Y

Depression NOVO-FLUVOXAMINE 50MG TABLET FLUVOXAMINE MALEATE 02239953 Y

Depression NOVO-MAPROTILINE 25MG TABLET MAPROTILINE HCL 02158612 Y

Depression NOVO-MAPROTILINE 50MG TABLET MAPROTILINE HCL 02158620 Y

Depression NOVO-MAPROTILINE 75MG TABLET MAPROTILINE HCL 02158639 Y

Depression NOVO-MIRTAZAPINE 15MG OD TABLET MIRTAZAPINE 02279894 Y

Depression NOVO-MIRTAZAPINE 30MG OD TABLET MIRTAZAPINE 02279908 Y

Depression NOVO-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02259354 Y

Depression NOVO-MIRTAZAPINE 45MG OD TABLET MIRTAZAPINE 02279916 Y

Depression NOVO-MOCLOBEMIDE 100MG TABLET MOCLOBEMIDE 02239746 Y

Depression NOVO-MOCLOBEMIDE 150MG TABLET MOCLOBEMIDE 02239747 Y

Depression NOVO-MOCLOBEMIDE 300MG TABLET MOCLOBEMIDE 02239748 Y

Depression NOVO-NORTRIPTYLINE 10MG CAPSULE NORTRIPTYLINE HCL 02231781 Y

Depression NOVO-NORTRIPTYLINE 25MG CAPSULE NORTRIPTYLINE HCL 02231782 Y

Depression NOVO-PRAMINE 10MG TABLET IMIPRAMINE HCL 00021504 Y

Depression NOVO-PRAMINE 25MG TABLET IMIPRAMINE HCL 00021512 Y

Depression NOVO-PRAMINE 50MG TABLET IMIPRAMINE HCL 00021520 Y

Depression NOVO-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02240481 Y

Depression NOVO-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02240485 Y

Depression NOVO-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02240484 Y

Depression NOVO-TRAZODONE 100MG TABLET TRAZODONE HCL 02144271 Y

Depression NOVO-TRAZODONE 150MG TABLET TRAZODONE HCL 02144298 Y

Depression NOVO-TRAZODONE 50MG TABLET TRAZODONE HCL 02144263 Y

Depression NOVO-TRIPTYN 10MG TABLET AMITRIPTYLINE HCL 00037400 Y

Depression NOVO-TRIPTYN 25MG TABLET AMITRIPTYLINE HCL 00037419 Y

Depression NOVO-TRIPTYN 50MG TABLET AMITRIPTYLINE HCL 00037427 Y

Depression NTP-DOXEPIN 100MG CAPSULE DOXEPIN HCL 02348373 Y

Depression NTP-DOXEPIN 25MG CAPSULE DOXEPIN HCL 02348349 Y

Depression NTP-DOXEPIN 50MG CAPSULE DOXEPIN HCL 02348357 Y

Depression NTP-DOXEPIN 75MG CAPSULE DOXEPIN HCL 02348365 Y

Depression NTP-TRAZODONE 100MG TABLET TRAZODONE HCL 02345951 Y

Depression NTP-TRAZODONE 150MG TABLET TRAZODONE HCL 02345978 Y

Depression NTP-TRAZODONE 50MG TABLET TRAZODONE HCL 02345943 Y

Depression NTP-VENLAFAXINE XR 150MG CAPSULE VENLAFAXINE HCL 02351854 Y

Depression NTP-VENLAFAXINE XR 37.5MG CAPSULE VENLAFAXINE HCL 02351838 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 168

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression NTP-VENLAFAXINE XR 75MG CAPSULE VENLAFAXINE HCL 02351846 Y

Depression NU-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02248996 Y

Depression NU-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02248997 Y

Depression NU-DESIPRAMINE 100MG TABLET DESIPRAMINE HCL 02211971 Y

Depression NU-DESIPRAMINE 10MG TABLET DESIPRAMINE HCL 02211939 Y

Depression NU-DESIPRAMINE 25MG TABLET DESIPRAMINE HCL 02211947 Y

Depression NU-DESIPRAMINE 50MG TABLET DESIPRAMINE HCL 02211955 Y

Depression NU-DESIPRAMINE 75MG TABLET DESIPRAMINE HCL 02211963 Y

Depression NU-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02192756 Y

Depression NU-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02192764 Y

Depression NU-FLUVOXOMINE 100MG TABLET FLUVOXAMINE MALEATE 02231193 Y

Depression NU-FLUVOXOMINE 50MG TABLET FLUVOXAMINE MALEATE 02231192 Y

Depression NU-MIRTAZAPINE 15MG TABLET MIRTAZAPINE 02336189 Y

Depression NU-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02336197 Y

Depression NU-MIRTAZAPINE 45MG TABLET MIRTAZAPINE 02336200 Y

Depression NU-MOCLOBEMIDE 100MG TABLET MOCLOBEMIDE 02237111 Y

Depression NU-MOCLOBEMIDE 150MG TABLET MOCLOBEMIDE 02237112 Y

Depression NU-NORTRIPTYLINE 10MG CAPSULE NORTRIPTYLINE HCL 02223139 Y

Depression NU-NORTRIPTYLINE 25MG CAPSULE NORTRIPTYLINE HCL 02223147 Y

Depression NU-PAROXETINE 10MG TABLET PAROXETINE HCL 02248719 Y

Depression NU-PAROXETINE 20MG TABLET PAROXETINE HCL 02248720 Y

Depression NU-PAROXETINE 30MG TABLET PAROXETINE HCL 02248721 Y

Depression NU-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02247050 Y

Depression NU-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02247047 Y

Depression NU-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02247048 Y

Depression NU-TRAZODONE 100MG TABLET TRAZODONE HCL 02165392 Y

Depression NU-TRAZODONE 150MG TABLET TRAZODONE HCL 02165406 Y

Depression NU-TRAZODONE 50MG TABLET TRAZODONE HCL 02165384 Y

Depression NU-TRIMIPRAMINE 100MG TABLET TRIMIPRAMINE MALEATE 02020629 Y

Depression NU-TRIMIPRAMINE 12.5MG TABLET TRIMIPRAMINE MALEATE 02020599 Y

Depression NU-TRIMIPRAMINE 25MG TABLET TRIMIPRAMINE MALEATE 02020602 Y

Depression NU-TRIMIPRAMINE 50MG TABLET TRIMIPRAMINE MALEATE 02020610 Y

Depression PARNATE 10MG TABLET TRANYLCYPROMINE SULFATE 01919598 Y

Depression PAROXETINE 10MG TABLET PAROXETINE HCL 02248913 Y

Depression PAROXETINE 10MG TABLET PAROXETINE HCL 02282844 Y

Depression PAROXETINE 10MG TABLET PAROXETINE HCL 02334801 Y

Depression PAROXETINE 10MG TABLET PAROXETINE HCL 02342383 Y

Depression PAROXETINE 20MG TABLET PAROXETINE HCL 02248914 Y

Depression PAROXETINE 20MG TABLET PAROXETINE HCL 02282852 Y

Depression PAROXETINE 20MG TABLET PAROXETINE HCL 02334828 Y

Depression PAROXETINE 20MG TABLET PAROXETINE HCL 02342391 Y

Depression PAROXETINE 30MG TABLET PAROXETINE HCL 02248915 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 169

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression PAROXETINE 30MG TABLET PAROXETINE HCL 02282860 Y

Depression PAROXETINE 30MG TABLET PAROXETINE HCL 02334836 Y

Depression PAROXETINE 30MG TABLET PAROXETINE HCL 02342405 Y

Depression PAXIL 10MG TABLET PAROXETINE HCL 02027887 Y

Depression PAXIL 20MG TABLET PAROXETINE HCL 01940481 Y

Depression PAXIL 30MG TABLET PAROXETINE HCL 01940473 Y

Depression PAXIL CR 12.5MG TABLET PAROXETINE HCL 02248503 Y

Depression PAXIL CR 25MG TABLET PAROXETINE HCL 02248504 Y

Depression PAXIL CR 37.5MG TABLET PAROXETINE HCL 02267128 Y

Depression PHL-BUPROPION SR 150MG TABLET BUPROPION HCL 02317788 Y

Depression PHL-CITALOPRAM 10MG TABLET CITALOPRAM HYDROBROMIDE 02273543 Y

Depression PHL-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02248944 Y

Depression PHL-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02248945 Y

Depression PHL-DESIPRAMINE 100MG TABLET DESIPRAMINE HCL 02236940 Y

Depression PHL-DESIPRAMINE 10MG TABLET DESIPRAMINE HCL 02236936 Y

Depression PHL-DESIPRAMINE 25MG TABLET DESIPRAMINE HCL 02236937 Y

Depression PHL-DESIPRAMINE 50MG TABLET DESIPRAMINE HCL 02236938 Y

Depression PHL-DESIPRAMINE 75MG TABLET DESIPRAMINE HCL 02236939 Y

Depression PHL-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02223481 Y

Depression PHL-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02223503 Y

Depression PHL-FLUOXETINE 20MG/5ML SOLUTION FLUOXETINE HCL 02225174 Y

Depression PHL-FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02262630 Y

Depression PHL-FLUVOXAMINE 50MG TABLET FLUVOXAMINE MALEATE 02262622 Y

Depression PHL-PAROXETINE 10MG TABLET PAROXETINE HCL 02248450 Y

Depression PHL-PAROXETINE 20MG TABLET PAROXETINE HCL 02248451 Y

Depression PHL-PAROXETINE 30MG TABLET PAROXETINE HCL 02248452 Y

Depression PHL-PAROXETINE 40MG TABLET PAROXETINE HCL 02298988 Y

Depression PHL-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02245826 Y

Depression PHL-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02245824 Y

Depression PHL-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02245825 Y

Depression PHL-TRAZODONE 100MG TABLET TRAZODONE HCL 02236942 Y

Depression PHL-TRAZODONE 50MG TABLET TRAZODONE HCL 02236941 Y

Depression PMS-AMITRIPTYLINE 10MG TABLET AMITRIPTYLINE HCL 02247302 Y

Depression PMS-AMITRIPTYLINE 25MG TABLET AMITRIPTYLINE HCL 02247303 Y

Depression PMS-AMITRIPTYLINE 50MG TABLET AMITRIPTYLINE HCL 02247304 Y

Depression PMS-BUPROPION SR 100MG TABLET BUPROPION HCL 02325373 Y

Depression PMS-BUPROPION SR 150MG TABLET BUPROPION HCL 02313421 Y

Depression PMS-CITALOPRAM 10MG TABLET CITALOPRAM HYDROBROMIDE 02270609 Y

Depression PMS-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02248010 Y

Depression PMS-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02248011 Y

Depression PMS-DESIPRAMINE 10MG TABLET DESIPRAMINE HCL 01946250 Y

Depression PMS-DESIPRAMINE 25MG TABLET DESIPRAMINE HCL 01946269 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 170

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression PMS-DESIPRAMINE 50MG TABLET DESIPRAMINE HCL 01946277 Y

Depression PMS-DESIPRAMINE 75MG TABLET DESIPRAMINE HCL 01946242 Y

Depression PMS-FLUOX 20MG CAPSULE FLUOXETINE HCL 02243833 Y

Depression PMS-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02177579 Y

Depression PMS-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02239817 Y

Depression PMS-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02177587 Y

Depression PMS-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02239818 Y

Depression PMS-FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02240683 Y

Depression PMS-FLUVOXAMINE 50MG TABLET FLUVOXAMINE MALEATE 02240682 Y

Depression PMS-LEVAZINE 2/25 TABLET AMITRIPTYLINE HCL/PERPHENAZINE00590495 Y

Depression PMS-LEVAZINE 3/15 TABLET AMITRIPTYLINE HCL/PERPHENAZINE00577774 Y

Depression PMS-LEVAZINE 4/25 TABLET AMITRIPTYLINE HCL/PERPHENAZINE00590509 Y

Depression PMS-MIRTAZAPINE 15MG TABLET MIRTAZAPINE 02273942 Y

Depression PMS-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02248762 Y

Depression PMS-MOCLOBEMIDE 150MG TABLET MOCLOBEMIDE 02243218 Y

Depression PMS-MOCLOBEMIDE 300MG TABLET MOCLOBEMIDE 02243219 Y

Depression PMS-NORTRIPTYLINE 10MG CAPSULE NORTRIPTYLINE HCL 02177692 Y

Depression PMS-NORTRIPTYLINE 25MG CAPSULE NORTRIPTYLINE HCL 02177706 Y

Depression PMS-PAROXETINE 10MG TABLET PAROXETINE HCL 02247750 Y

Depression PMS-PAROXETINE 20MG TABLET PAROXETINE HCL 02247751 Y

Depression PMS-PAROXETINE 30MG TABLET PAROXETINE HCL 02247752 Y

Depression PMS-PAROXETINE 40MG TABLET PAROXETINE HCL 02293749 Y

Depression PMS-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02244840 Y

Depression PMS-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02244838 Y

Depression PMS-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02244839 Y

Depression PMS-TRAZODONE 100MG TABLET TRAZODONE HCL 01937235 Y

Depression PMS-TRAZODONE 50MG TABLET TRAZODONE HCL 01937227 Y

Depression PMS-TRAZODONE 75MG TABLET TRAZODONE HCL 02237339 Y

Depression PMS-VENLAFAXINE XR 150MG CAPSULE VENLAFAXINE HCL 02278561 Y

Depression PMS-VENLAFAXINE XR 37.5MG CAPSULE VENLAFAXINE HCL 02278545 Y

Depression PMS-VENLAFAXINE XR 75MG CAPSULE VENLAFAXINE HCL 02278553 Y

Depression PREM-CITALOPRAM 10MG TABLET CITALOPRAM HYDROBROMIDE 02249219 Y

Depression PREM-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02249227 Y

Depression PREM-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02249235 Y

Depression PREM-PAROXETINE 10MG TABLET PAROXETINE HCL 02251345 Y

Depression PREM-PAROXETINE 20MG TABLET PAROXETINE HCL 02251353 Y

Depression PREM-PAROXETINE 30MG TABLET PAROXETINE HCL 02251361 Y

Depression PRISTIQ 100MG ER TABLET DESVENLAFAXINE SUCCINATE 02321106 Y

Depression PRISTIQ 50MG ER TABLET DESVENLAFAXINE SUCCINATE 02321092 Y

Depression PRO-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02314991 Y

Depression PRO-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02315009 Y

Depression PRO-MIRTAZAPINE 15MG TABLET MIRTAZAPINE 02312778 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 171

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression PRO-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02312786 Y

Depression PROZAC 10MG CAPSULE FLUOXETINE HCL 02018985 Y

Depression PROZAC 20MG CAPSULE FLUOXETINE HCL 00636622 Y

Depression PROZAC 20MG/5ML SOLUTION FLUOXETINE HCL 01917021 Y

Depression Q-CITALOPRAM 10MG TABLET CITALOPRAM HYDROBROMIDE 02338769 Y

Depression Q-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02338777 Y

Depression Q-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02338785 Y

Depression Q-PAROXETINE 10MG TABLET PAROXETINE HCL 02338793 Y

Depression Q-PAROXETINE 20MG TABLET PAROXETINE HCL 02338807 Y

Depression Q-PAROXETINE 30MG TABLET PAROXETINE HCL 02338815 Y

Depression Q-VENLAFAXINE XR 150MG CAPSULE VENLAFAXINE HCL 02338858 Y

Depression Q-VENLAFAXINE XR 37.5MG CAPSULE VENLAFAXINE HCL 02338823 Y

Depression Q-VENLAFAXINE XR 75MG CAPSULE VENLAFAXINE HCL 02338831 Y

Depression RAN-CITALO 20MG TABLET CITALOPRAM HYDROBROMIDE 02285622 Y

Depression RAN-CITALO 40MG TABLET CITALOPRAM HYDROBROMIDE 02285630 Y

Depression RAN-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02268000 Y

Depression RAN-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02268019 Y

Depression RATIO-BUPROPION SR 100MG TABLET BUPROPION HCL 02285657 Y

Depression RATIO-BUPROPION SR 150MG TABLET BUPROPION HCL 02285665 Y

Depression RATIO-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02252112 Y

Depression RATIO-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02252120 Y

Depression RATIO-DESIPRAMINE HCL 25MG TABLET DESIPRAMINE HCL 01948784 Y

Depression RATIO-DESIPRAMINE HCL 50MG TABLET DESIPRAMINE HCL 01948792 Y

Depression RATIO-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02241371 Y

Depression RATIO-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02241374 Y

Depression RATIO-FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02218461 Y

Depression RATIO-FLUVOXAMINE 50MG TABLET FLUVOXAMINE MALEATE 02218453 Y

Depression RATIO-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02270927 Y

Depression RATIO-NORTRIPTYLINE 10MG CAPSULE NORTRIPTYLINE HCL 02240789 Y

Depression RATIO-NORTRIPTYLINE 25MG CAPSULE NORTRIPTYLINE HCL 02240790 Y

Depression RATIO-PAROXETINE 10MG TABLET PAROXETINE HCL 02247810 Y

Depression RATIO-PAROXETINE 20MG TABLET PAROXETINE HCL 02247811 Y

Depression RATIO-PAROXETINE 30MG TABLET PAROXETINE HCL 02247812 Y

Depression RATIO-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02245789 Y

Depression RATIO-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02245787 Y

Depression RATIO-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02245788 Y

Depression RATIO-TRAZODONE 100 MG TRAZODONE HCL 02053195 Y

Depression RATIO-TRAZODONE 100MG TABLET TRAZODONE HCL 02277352 Y

Depression RATIO-TRAZODONE 150 MG TRAZODONE HCL 02053209 Y

Depression RATIO-TRAZODONE 150MG TABLET TRAZODONE HCL 02277360 Y

Depression RATIO-TRAZODONE 50 MG TRAZODONE HCL 02053187 Y

Depression RATIO-TRAZODONE 50MG TABLET TRAZODONE HCL 02277344 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 172

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression RATIO-VENLAFAXINE 150MG XR CAPSULE VENLAFAXINE HCL 02273985 Y

Depression RATIO-VENLAFAXINE 37.5MG XR CAPSULE VENLAFAXINE HCL 02273969 Y

Depression RATIO-VENLAFAXINE 75MG XR CAPSULE VENLAFAXINE HCL 02273977 Y

Depression REMERON 15MG RD TABLET MIRTAZAPINE 02248542 Y

Depression REMERON 15MG TABLET MIRTAZAPINE 02243909 Y

Depression REMERON 30MG RD TABLET MIRTAZAPINE 02248543 Y

Depression REMERON 30MG TABLET MIRTAZAPINE 02243910 Y

Depression REMERON 45MG RD TABLET MIRTAZAPINE 02248544 Y

Depression REMERON 45MG TABLET MIRTAZAPINE 02243911 Y

Depression RHOTRIMINE 100MG TABLET TRIMIPRAMINE MALEATE 00761648 Y

Depression RHOTRIMINE 75MG CAPSULE TRIMIPRAMINE MALEATE 00761656 Y

Depression RIVA-CITALOPRAM 10MG TABLET CITALOPRAM HYDROBROMIDE 02249251 Y

Depression RIVA-CITALOPRAM 10MG TABLET CITALOPRAM HYDROBROMIDE 02303256 Y

Depression RIVA-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02249278 Y

Depression RIVA-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02303264 Y

Depression RIVA-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02249286 Y

Depression RIVA-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02303272 Y

Depression RIVA-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02242123 Y

Depression RIVA-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02305461 Y

Depression RIVA-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02242124 Y

Depression RIVA-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02305488 Y

Depression RIVA-FLUVOX 100MG TABLET FLUVOXAMINE MALEATE 02303361 Y

Depression RIVA-FLUVOX 50MG TABLET FLUVOXAMINE MALEATE 02303345 Y

Depression RIVA-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02265265 Y

Depression RIVA-PAROXETINE 10MG TABLET PAROXETINE HCL 02248559 Y

Depression RIVA-PAROXETINE 20MG TABLET PAROXETINE HCL 02248560 Y

Depression RIVA-PAROXETINE 30MG TABLET PAROXETINE HCL 02248561 Y

Depression RIVA-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02248498 Y

Depression RIVA-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02248496 Y

Depression RIVA-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02248497 Y

Depression RIVA-VENLAFAXINE XR 150MG CAPSULE VENLAFAXINE HCL 02307790 Y

Depression RIVA-VENLAFAXINE XR 37.5MG CAPSULE VENLAFAXINE HCL 02307774 Y

Depression RIVA-VENLAFAXINE XR 75MG CAPSULE VENLAFAXINE HCL 02307782 Y

Depression SANDOZ CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02248170 Y

Depression SANDOZ CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02248171 Y

Depression SANDOZ FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02243486 Y

Depression SANDOZ FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02243487 Y

Depression SANDOZ FLUVOXAMINE 100MG TABLET FLUVOXAMINE MALEATE 02247055 Y

Depression SANDOZ FLUVOXAMINE 50MG TABLET FLUVOXAMINE MALEATE 02247054 Y

Depression SANDOZ SERTRALINE 100MG CAPSULE SERTRALINE HCL 02245161 Y

Depression SANDOZ SERTRALINE 25MG CAPSULE SERTRALINE HCL 02245159 Y

Depression SANDOZ SERTRALINE 50MG CAPSULE SERTRALINE HCL 02245160 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 173

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression SANDOZ-BUPROPION SR 100MG TABLET BUPROPION HCL 02275074 Y

Depression SANDOZ-BUPROPION SR 150MG TABLET BUPROPION HCL 02275082 Y

Depression SANDOZ-MIRTAZAPINE 15MG TABLET MIRTAZAPINE 02250594 Y

Depression SANDOZ-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02250608 Y

Depression SANDOZ-MIRTAZAPINE FC 15MG TABLET MIRTAZAPINE 02267284 Y

Depression SANDOZ-MIRTAZAPINE FC 30MG TABLET MIRTAZAPINE 02267292 Y

Depression SANDOZ-PAROXETINE 10MG TABLET PAROXETINE HCL 02254743 Y

Depression SANDOZ-PAROXETINE 10MG TABLET PAROXETINE HCL 02269422 Y

Depression SANDOZ-PAROXETINE 20MG TABLET PAROXETINE HCL 02254751 Y

Depression SANDOZ-PAROXETINE 20MG TABLET PAROXETINE HCL 02269430 Y

Depression SANDOZ-PAROXETINE 30MG TABLET PAROXETINE HCL 02254778 Y

Depression SANDOZ-PAROXETINE 30MG TABLET PAROXETINE HCL 02269449 Y

Depression SANDOZ-VENLAFAXINE XR 150MG CAPSULE VENLAFAXINE HCL 02310333 Y

Depression SANDOZ-VENLAFAXINE XR 37.5MG CAPSULE VENLAFAXINE HCL 02310317 Y

Depression SANDOZ-VENLAFAXINE XR 75MG CAPSULE VENLAFAXINE HCL 02310325 Y

Depression SERTRALINE 100MG CAPSULE SERTRALINE HCL 02241304 Y

Depression SERTRALINE 100MG CAPSULE SERTRALINE HCL 02284820 Y

Depression SERTRALINE 100MG CAPSULE SERTRALINE HCL 02342375 Y

Depression SERTRALINE 25MG CAPSULE SERTRALINE HCL 02241302 Y

Depression SERTRALINE 25MG CAPSULE SERTRALINE HCL 02284804 Y

Depression SERTRALINE 25MG CAPSULE SERTRALINE HCL 02342359 Y

Depression SERTRALINE 50MG CAPSULE SERTRALINE HCL 02241303 Y

Depression SERTRALINE 50MG CAPSULE SERTRALINE HCL 02284812 Y

Depression SERTRALINE 50MG CAPSULE SERTRALINE HCL 02342367 Y

Depression SIG-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02323710 Y

Depression SIG-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02323729 Y

Depression SIG-PAROXETINE 10MG TABLET PAROXETINE HCL 02323605 Y

Depression SIG-PAROXETINE 20MG TABLET PAROXETINE HCL 02323613 Y

Depression SIG-PAROXETINE 30MG TABLET PAROXETINE HCL 02323621 Y

Depression SIG-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02331578 Y

Depression SIG-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02331535 Y

Depression SIG-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02331543 Y

Depression SIG-VENLAFAXINE XR 150MG CAPSULE VENLAFAXINE HCL 02346338 Y

Depression SIG-VENLAFAXINE XR 37.5MG CAPSULE VENLAFAXINE HCL 02346303 Y

Depression SIG-VENLAFAXINE XR 75MG CAPSULE VENLAFAXINE HCL 02346311 Y

Depression SINEQUAN 100MG CAPSULE DOXEPIN HCL 00326925 Y

Depression SINEQUAN 10MG CAPSULE DOXEPIN HCL 00024325 Y

Depression SINEQUAN 25MG CAPSULE DOXEPIN HCL 00024333 Y

Depression SINEQUAN 50MG CAPSULE DOXEPIN HCL 00024341 Y

Depression SINEQUAN 75MG CAPSULE DOXEPIN HCL 00400750 Y

Depression TARO-PAROXETINE 10MG TABLET PAROXETINE HCL 02282798 Y

Depression TARO-PAROXETINE 20MG TABLET PAROXETINE HCL 02282801 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 174

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression TARO-PAROXETINE 30MG TABLET PAROXETINE HCL 02282828 Y

Depression TEVA-PAROXETINE 10MG TABLET PAROXETINE HCL 02248556 Y

Depression TEVA-PAROXETINE 20MG TABLET PAROXETINE HCL 02248557 Y

Depression TEVA-PAROXETINE 30MG TABLET PAROXETINE HCL 02248558 Y

Depression TEVA-VENLAFAXINE XR 150MG ER CAPSULE VENLAFAXINE HCL 02275058 Y

Depression TEVA-VENLAFAXINE XR 37.5MG ER CAPSULE VENLAFAXINE HCL 02275023 Y

Depression TEVA-VENLAFAXINE XR 75MG ER CAPSULE VENLAFAXINE HCL 02275031 Y

Depression TOFRANIL 25MG TABLET IMIPRAMINE HCL 00010472 Y

Depression TOFRANIL 50MG TABLET IMIPRAMINE HCL 00010480 Y

Depression TOFRANIL 75MG TABLET IMIPRAMINE HCL 00306487 Y

Depression TRAZODONE 100MG TABLET TRAZODONE HCL 02164361 Y

Depression TRAZODONE 100MG TABLET TRAZODONE HCL 02287005 Y

Depression TRAZODONE 100MG TABLET TRAZODONE HCL 02348780 Y

Depression TRAZODONE 150MG TABLET TRAZODONE HCL 02287013 Y

Depression TRAZODONE 150MG TABLET TRAZODONE HCL 02348799 Y

Depression TRAZODONE 50MG TABLET TRAZODONE HCL 02164353 Y

Depression TRAZODONE 50MG TABLET TRAZODONE HCL 02286998 Y

Depression TRAZODONE 50MG TABLET TRAZODONE HCL 02348772 Y

Depression TRAZODONE D 150MG TABLET TRAZODONE HCL 02164388 Y

Depression TRAZOREL 100MG TABLET TRAZODONE HCL 02230285 Y

Depression TRAZOREL 50MG TABLET TRAZODONE HCL 02230284 Y

Depression TRIMIP 100MG TABLET TRIMIPRAMINE MALEATE 00740829 Y

Depression TRIMIP 12.5MG TABLET TRIMIPRAMINE MALEATE 00740799 Y

Depression TRIMIP 25MG TABLET TRIMIPRAMINE MALEATE 00740802 Y

Depression TRIMIP 50MG TABLET TRIMIPRAMINE MALEATE 00740810 Y

Depression TRIMIP 75MG CAPSULE TRIMIPRAMINE MALEATE 02070987 Y

Depression TRIMIPRAMINE 100MG TABLET TRIMIPRAMINE MALEATE 00761737 Y

Depression TRIMIPRAMINE 12.5MG TABLET TRIMIPRAMINE MALEATE 00761702 Y

Depression TRIMIPRAMINE 25MG TABLET TRIMIPRAMINE MALEATE 00761710 Y

Depression TRIMIPRAMINE 50MG TABLET TRIMIPRAMINE MALEATE 00761729 Y

Depression TRIMIPRAMINE 75MG CAPSULE TRIMIPRAMINE MALEATE 02147599 Y

Depression VENLAFAXINE XR 150MG CAPSULE VENLAFAXINE HCL 02339269 Y

Depression VENLAFAXINE XR 150MG CAPSULE VENLAFAXINE HCL 02340070 Y

Depression VENLAFAXINE XR 150MG ER CAPSULE VENLAFAXINE HCL 02289075 Y

Depression VENLAFAXINE XR 150MG ER CAPSULE VENLAFAXINE HCL 02334739 Y

Depression VENLAFAXINE XR 150MG ER CAPSULE VENLAFAXINE HCL 02344769 Y

Depression VENLAFAXINE XR 37.5MG CAPSULE VENLAFAXINE HCL 02339242 Y

Depression VENLAFAXINE XR 37.5MG CAPSULE VENLAFAXINE HCL 02340054 Y

Depression VENLAFAXINE XR 37.5MG ER CAPSULE VENLAFAXINE HCL 02289059 Y

Depression VENLAFAXINE XR 37.5MG ER CAPSULE VENLAFAXINE HCL 02334704 Y

Depression VENLAFAXINE XR 37.5MG ER CAPSULE VENLAFAXINE HCL 02344742 Y

Depression VENLAFAXINE XR 75MG ER CAPSULE VENLAFAXINE HCL 02344750 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 175

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Depression VENLAFAXINE XR 75MG CAPSULE VENLAFAXINE HCL 02339250 Y

Depression VENLAFAXINE XR 75MG CAPSULE VENLAFAXINE HCL 02340062 Y

Depression VENLAFAXINE XR 75MG ER CAPSULE VENLAFAXINE HCL 02289067 Y

Depression VENLAFAXINE XR 75MG ER CAPSULE VENLAFAXINE HCL 02334712 Y

Depression WELLBUTRIN 100MG SR TABLET BUPROPION HCL 02237824 Y

Depression WELLBUTRIN 150MG SR TABLET BUPROPION HCL 02237825 Y

Depression WELLBUTRIN 50MG SR TABLET BUPROPION HCL 02237823 Y

Depression WELLBUTRIN XL 150MG TABLET BUPROPION HCL 02275090 Y

Depression WELLBUTRIN XL 300MG TABLET BUPROPION HCL 02275104 Y

Depression ZOLOFT 100MG CAPSULE SERTRALINE HCL 01962779 Y

Depression ZOLOFT 200MG CAPSULE SERTRALINE HCL 01962795 Y

Depression ZOLOFT 25MG CAPSULE SERTRALINE HCL 02132702 Y

Depression ZOLOFT 50MG CAPSULE SERTRALINE HCL 01962817 Y

Depression ZYM-BUPROPION SR 100MG TABLET BUPROPION HCL 02331799 Y

Depression ZYM-BUPROPION SR 150MG TABLET BUPROPION HCL 02331802 Y

Depression ZYM-CITALOPRAM 10MG TABLET CITALOPRAM HYDROBROMIDE 02301822 Y

Depression ZYM-CITALOPRAM 20MG TABLET CITALOPRAM HYDROBROMIDE 02301830 Y

Depression ZYM-CITALOPRAM 40MG TABLET CITALOPRAM HYDROBROMIDE 02301849 Y

Depression ZYM-FLUOXETINE 10MG CAPSULE FLUOXETINE HCL 02302659 Y

Depression ZYM-FLUOXETINE 20MG CAPSULE FLUOXETINE HCL 02302667 Y

Depression ZYM-MIRTAZAPINE 15MG TABLET MIRTAZAPINE 02325179 Y

Depression ZYM-MIRTAZAPINE 30MG TABLET MIRTAZAPINE 02325187 Y

Depression ZYM-PAROXETINE 10MG TABLET PAROXETINE HCL 02302012 Y

Depression ZYM-PAROXETINE 20MG TABLET PAROXETINE HCL 02302020 Y

Depression ZYM-PAROXETINE 30MG TABLET PAROXETINE HCL 02302039 Y

Depression ZYM-PAROXETINE 40MG TABLET PAROXETINE HCL 02302047 Y

Depression ZYM-SERTRALINE 100MG CAPSULE SERTRALINE HCL 02303817 Y

Depression ZYM-SERTRALINE 25MG CAPSULE SERTRALINE HCL 02303779 Y

Depression ZYM-SERTRALINE 50MG CAPSULE SERTRALINE HCL 02303809 Y

Depression ZYM-TRAZODONE 100MG TABLET TRAZODONE HCL 02325128 Y

Depression ZYM-TRAZODONE 50MG TABLET TRAZODONE HCL 02325101 Y

Depression ZYM-TRAZODONE 75MG TABLET TRAZODONE HCL 02249804 Y

Diabetes ABBOTT THIN 28G LANCET (100) LANCET 97799691 Y

Diabetes ABBOTT THIN 28G LANCET (200) LANCET 97799689 Y

Diabetes ACCEL-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02303442 Y

Diabetes ACCEL-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02303469 Y

Diabetes ACCEL-PIOGLITZAONE 30MG TABLET PIOGLITAZONE HCL 02303450 Y

Diabetes ACC-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02339676 Y

Diabetes ACC-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02339684 Y

Diabetes ACC-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02339692 Y

Diabetes ACCU-CHEK ADVANTAGE COMFORT TEST STRIP (100) DIABETIC TEST STRIP 97799960 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP DIABETIC TEST STRIP 09853626 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 176

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP DIABETIC TEST STRIP 00950661 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP DIABETIC TEST STRIP 00908312 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP DIABETIC TEST STRIP 00908479 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (100) DIABETIC TEST STRIP 97799824 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (BC) DIABETIC TEST STRIP 44123008 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (BC) DIABETIC TEST STRIP 44123021 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (MT) DIABETIC TEST STRIP 00924061 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (MT) DIABETIC TEST STRIP 00905348 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (NF) DIABETIC TEST STRIP 00977061 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (NF) DIABETIC TEST STRIP 00977062 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (ODB) DIABETIC TEST STRIP 09854002 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (PQ) DIABETIC TEST STRIP 99002884 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (PQ) DIABETIC TEST STRIP 00921076 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (SK) DIABETIC TEST STRIP 00950883 Y

Diabetes ACCU-CHEK ADVANTAGE TEST STRIP (SK) DIABETIC TEST STRIP 00950926 Y

Diabetes ACCU-CHEK AVIVA CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799763 Y

Diabetes ACCU-CHEK AVIVA TEST STRIP DIABETIC TEST STRIP 00990192 Y

Diabetes ACCU-CHEK AVIVA TEST STRIP (100) DIABETIC TEST STRIP 97799814 Y

Diabetes ACCU-CHEK AVIVA TEST STRIP (BC) DIABETIC TEST STRIP 44123033 Y

Diabetes ACCU-CHEK AVIVA TEST STRIP (MT) DIABETIC TEST STRIP 00907622 Y

Diabetes ACCU-CHEK AVIVA TEST STRIP (ON) DIABETIC TEST STRIP 09857178 Y

Diabetes ACCU-CHEK AVIVA TEST STRIP (PQ) DIABETIC TEST STRIP 99100214 Y

Diabetes ACCU-CHEK AVIVA TEST STRIP (SK) DIABETIC TEST STRIP 00950949 Y

Diabetes ACCU-CHEK AVIVA TEST STRIPS (NF) DIABETIC TEST STRIP 00977124 Y

Diabetes ACCU-CHEK COMPACT CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799941 Y

Diabetes ACCU-CHEK COMPACT CONTROL SOLUTION DIABETIC TEST SUPPLIES 00909491 Y

Diabetes ACCU-CHEK COMPACT STRIP (BC) DIABETIC TEST STRIP 44123026 Y

Diabetes ACCU-CHEK COMPACT STRIP (MT) DIABETIC TEST STRIP 00977999 Y

Diabetes ACCU-CHEK COMPACT STRIP (NS) DIABETIC TEST STRIP 00977070 Y

Diabetes ACCU-CHEK COMPACT STRIP (ON) DIABETIC TEST STRIP 09854282 Y

Diabetes ACCU-CHEK COMPACT STRIP (PQ) DIABETIC TEST STRIP 99004364 Y

Diabetes ACCU-CHEK COMPACT STRIP (SK) DIABETIC TEST STRIP 00950900 Y

Diabetes ACCU-CHEK COMPACT TEST STRIP (102) DIABETIC TEST STRIP 97799962 Y

Diabetes ACCU-CHEK I / II / III CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799938 Y

Diabetes ACCU-CHEK MULTICLIX LANCET LANCET 00990183 Y

Diabetes ACCU-CHEK MULTICLIX LANCET (MT) LANCET 00907624 Y

Diabetes ACCU-CHEK MULTICLIX LANCET (SK) LANCET 00950944 Y

Diabetes ACCU-CHEK MULTICLIX LANCET 102'S (NS) LANCET 97799817 Y

Diabetes ACCU-CHEK MULTICLIX LANCET 204'S (NS) LANCET 97799816 Y

Diabetes ACCU-CHEK MULTICLIX LANCETS (NF) LANCET 00977125 Y

Diabetes ACCU-CHEK SOFTCLIX LANCET LANCET 00908436 Y

Diabetes ACCU-CHEK SOFTCLIX LANCET (MT) LANCET 00901342 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 177

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes ACCU-CHEK SOFTCLIX LANCET (NF) LANCET 00977953 Y

Diabetes ACCU-CHEK SOFTCLIX LANCET (NS) LANCET 00977373 Y

Diabetes ACCU-CHEK SOFTCLIX LANCET (PQ/ MT) LANCET 00902144 Y

Diabetes ACCU-CHEK SOFTCLIX LANCET (SK) LANCET 00000165 Y

Diabetes ACCU-CHEK SOFTCLIX LANCET 100'S (NS) LANCET 97799946 Y

Diabetes ACCU-CHEK SOFTCLIX LANCET 200'S (NS) LANCET 97799945 Y

Diabetes ACCU-CHEK SOFTCLIX PRO LANCET LANCET 00909343 Y

Diabetes ACCU-CHEK SOFTCLIX PRO LANCET (NS) LANCET 00977956 Y

Diabetes ACCU-CHEK SOFTCLIX PRO LANCET (SK) LANCET 00950915 Y

Diabetes ACCU-CHEK SOFTCLIX PRO LANCET 200'S (NS) LANCET 97799942 Y

Diabetes ACCUTREND CONTROL SOLUTION DIABETIC TEST SUPPLIES 00906700 Y

Diabetes ACCUTREND CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799939 Y

Diabetes ACCUTREND GLUCOSE TEST STRIP DIABETIC TEST STRIP 09853162 Y

Diabetes ACCUTREND GLUCOSE TEST STRIP DIABETIC TEST STRIP 00977031 Y

Diabetes ACCUTREND GLUCOSE TEST STRIP (50) DIABETIC TEST STRIP 97799959 Y

Diabetes ACCUTREND GLUCOSE TEST STRIP (BC) DIABETIC TEST STRIP 44123006 Y

Diabetes ACCUTREND GLUCOSE TEST STRIP (MT) DIABETIC TEST STRIP 00906697 Y

Diabetes ACCUTREND GLUCOSE TEST STRIP (PQ) DIABETIC TEST STRIP 00908193 Y

Diabetes ACCUTREND GLUCOSE TEST STRIP (SK) DIABETIC TEST STRIP 00950432 Y

Diabetes ACETEST #2381 (MT) URINE ACETONE TEST-TABLET 00980560 Y

Diabetes ACETEST #2381 (NF) URINE ACETONE TEST-TABLET 00977292 Y

Diabetes ACETEST #2381(ON) URINE ACETONE TEST-TABLET 09853294 Y

Diabetes ACETEST REAGENT TABLET (PQ) URINE ACETONE TEST-TABLET 00035106 Y

Diabetes ACETEST TABLET (100) URINE ACETONE TEST-TABLET 97799916 Y

Diabetes ACTOS 15MG TABLET PIOGLITAZONE HCL 02242572 Y

Diabetes ACTOS 30MG TABLET PIOGLITAZONE HCL 02242573 Y

Diabetes ACTOS 45MG TABLET PIOGLITAZONE HCL 02242574 Y

Diabetes ADVANTAGE CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799940 Y

Diabetes ADVANTAGE CONTROL SOLUTION DIABETIC TEST SUPPLIES 00909556 Y

Diabetes AIGUILLE AUTOCOVER NOVOFINE 30G AIG(PQ) NEEDLES/SYRINGES 00965006 Y

Diabetes AIGUILLE INSUPEN 29GX12MM AIG(PQ) NEEDLES/SYRINGES 00965138 Y

Diabetes AIGUILLE INSUPEN 30GX8MM AIG(PQ) NEEDLES/SYRINGES 00965146 Y

Diabetes AIGUILLE INSUPEN 31GX6MM AIG(PQ) NEEDLES/SYRINGES 00965154 Y

Diabetes AIGUILLE INSUPEN 31GX8MM AIG(PQ) NEEDLES/SYRINGES 00965162 Y

Diabetes AIGUILLE INSUPEN 32GX6MM AIG(PQ) NEEDLES/SYRINGES 00965170 Y

Diabetes AIGUILLE INSUPEN 32GX8MM AIG(PQ) NEEDLES/SYRINGES 00965189 Y

Diabetes AIGUILLE JETABLE POUR AUTO-INJECTEUR D'INSULINE NEEDLES/SYRINGES 99002108 Y

Diabetes AIGUILLE NOVOFINE 30G 8MM (PQ) NEEDLES/SYRINGES 00921114 Y

Diabetes AIGUILLE NOVOFINE 32G 6MM (PQ) NEEDLES/SYRINGES 00964565 Y

Diabetes AIGUILLE NOVOFINE PEN 28G 12MM (PQ) NEEDLES/SYRINGES 00897590 Y

Diabetes AIGUILLE PENFINE 29GX10MM PEN NEEDLE 00965413 Y

Diabetes AIGUILLE PENFINE 31GX6MM PEN NEEDLE 00965391 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 178

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes AIGUILLE PENFINE 31GX8MM PEN NEEDLE 00965405 Y

Diabetes AIGUILLE POUR BD PEN (PQ)/ASCENSIA MICROFIL(PRO-ON) PEN NEEDLE 00908452 Y

Diabetes AIGUILLE SUPER FINE 29GX12.7MM AIG(PQ) NEEDLES/SYRINGES 00964948 Y

Diabetes AIGUILLE SUPER FINE 31GX5MM AIG(PQ) NEEDLES/SYRINGES 00964913 Y

Diabetes AIGUILLE SUPER FINE 31GX8MM AIG(PQ) NEEDLES/SYRINGES 00964921 Y

Diabetes AIGUILLE ULTICARE (ULTIGUARD) 29GX12MM AIG(PQ) NEEDLES/SYRINGES 00965022 Y

Diabetes AIGUILLE ULTICARE (ULTIGUARD) 31GX6MM AIG(PQ) NEEDLES/SYRINGES 00965030 Y

Diabetes AIGUILLE ULTICARE (ULTIGUARD) 31GX8MM AIG(PQ) NEEDLES/SYRINGES 00965049 Y

Diabetes AIGULLE JETABLE - DISPOSITIF DE SECURITE POUR AUTO-INJ.D'INSULINNEEDLES/SYRINGES 99100517 Y

Diabetes ALBUSTIX TEST STRIP ALBUMIN TEST STRIP 97799851 Y

Diabetes ALBUSTIX TEST STRIP ALBUMIN TEST STRIP 00035165 Y

Diabetes ALBUSTIX TEST STRIP (NS) ALBUMIN TEST STRIP 00977381 Y

Diabetes ALBUSTIX TEST STRIP (PQ) ALBUMIN TEST STRIP 00963690 Y

Diabetes AMARYL 1MG TABLET GLIMEPIRIDE 02245272 Y

Diabetes AMARYL 2MG TABLET GLIMEPIRIDE 02245273 Y

Diabetes AMARYL 4MG TABLET GLIMEPIRIDE 02245274 Y

Diabetes AMES LANCET LANCET 00909572 Y

Diabetes AMES LANCET (MT) LANCET 00930610 Y

Diabetes AMES LANCET (NS) LANCET 00977896 Y

Diabetes APIDRA 100U/ML INSULIN OPTISET INSULIN GLULISINE 02279487 Y

Diabetes APIDRA 100U/ML INSULIN CARTRIDGE INSULIN GLULISINE 02279479 Y

Diabetes APIDRA 100U/ML INSULIN VIAL INSULIN GLULISINE 02279460 Y

Diabetes APIDRA SOLOSTAR 100U/ML PEN INSULIN GLULISINE 02294346 Y

Diabetes APO-CHLORPROPAMIDE 100MG TABLET CHLORPROPAMIDE 00399302 Y

Diabetes APO-CHLORPROPAMIDE 250MG TABLET CHLORPROPAMIDE 00312711 Y

Diabetes APO-GLICLAZIDE 80MG TABLET GLICLAZIDE 02245247 Y

Diabetes APO-GLICLAZIDE MR 30MG TABLET GLICLAZIDE 02297795 Y

Diabetes APO-GLIMEPIRIDE 1MG TABLET GLIMEPIRIDE 02295377 Y

Diabetes APO-GLIMEPIRIDE 2MG TABLET GLIMEPIRIDE 02295385 Y

Diabetes APO-GLIMEPIRIDE 4MG TABLET GLIMEPIRIDE 02295393 Y

Diabetes APO-GLYBURIDE 2.5MG TABLET GLYBURIDE 01913654 Y

Diabetes APO-GLYBURIDE 5MG TABLET GLYBURIDE 01913662 Y

Diabetes APO-METFORMIN 500MG ER TABLET METFORMIN HCL 02305062 Y

Diabetes APO-METFORMIN 500MG TABLET METFORMIN HCL 02167786 Y

Diabetes APO-METFORMIN TAB 850 MG METFORMIN HCL 02229785 Y

Diabetes APO-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02302942 Y

Diabetes APO-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02302950 Y

Diabetes APO-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02302977 Y

Diabetes APO-TOLBUTAMIDE 500MG TABLET TOLBUTAMIDE 00312762 Y

Diabetes APX-GLICLAZIDE MR 30MG TABLET GLICLAZIDE 02348578 Y

Diabetes APX-GLYBURIDE 2.5MG TABLET GLYBURIDE 02340763 Y

Diabetes APX-GLYBURIDE 5MG TABLET GLYBURIDE 02340771 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 179

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes APX-METFORMIN 500MG TABLET METFORMIN HCL 02341603 Y

Diabetes APX-METFORMIN 850MG TABLET METFORMIN HCL 02341522 Y

Diabetes ASCENSIA AUTODISC (BC)(BREEZE/DEX 2/GLUCOMETER DEX) DIABETIC TEST STRIP 44123019 Y

Diabetes ASCENSIA AUTODISC (MT)(BREEZE/DEX 2/GLUCOMETER DEX) DIABETIC TEST STRIP 00904945 Y

Diabetes ASCENSIA AUTODISC (ODB)(BREEZE/DEX 2/ GLUCOMETER DEX)DIABETIC TEST STRIP 09853693 Y

Diabetes ASCENSIA AUTODISC (PQ)(BREEZE/DEX 2/GLUCOMETER DEX) DIABETIC TEST STRIP 99002604 Y

Diabetes ASCENSIA AUTODISC HIGH/LOW CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799869 Y

Diabetes ASCENSIA AUTODISC NORMAL CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799868 Y

Diabetes ASCENSIA AUTODISC TEST STRIP (100) DIABETIC TEST STRIP 97799926 Y

Diabetes ASCENSIA AUTODISC(NS)(BREEZE/DEX 2/GLUCOMETER DEX) DIABETIC TEST STRIP 00977471 Y

Diabetes ASCENSIA AUTODISC(SK)(BREEZE/DEX 2/GLUCOMETER DEX) DIABETIC TEST STRIP 00950878 Y

Diabetes ASCENSIA DEX CONTROL SOLUTION DIABETIC TEST SUPPLIES 00909379 Y

Diabetes ASCENSIA ELITE HIGH/LOW CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799867 Y

Diabetes ASCENSIA LANCET (SK) LANCET 00950953 Y

Diabetes ASCENSIA MICROFILL HIGH/LOW CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799871 Y

Diabetes ASCENSIA MICROFILL TEST STRIP(BC) DIABETIC TEST STRIP 44123032 Y

Diabetes ASCENSIA MICROLET LANCET (MT/ SK) LANCET 00906239 Y

Diabetes ASCENSIA MICROLET LANCET (NS) LANCET 00977493 Y

Diabetes ASCENSIA MICROLET LANCET (ON) LANCET 00909440 Y

Diabetes ASCENSIA MICROLET LANCET (PQ) LANCET 00964034 Y

Diabetes ASCENSIA MICROLET LANCET 100'S (NS) LANCET 97799918 Y

Diabetes ASCENSIA MICROLET LANCET 200'S (NS) LANCET 97799917 Y

Diabetes ASCENSIA NORMAL CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799870 Y

Diabetes AUTOLET LANCETS (MT) LANCET 00905070 Y

Diabetes AVANDAMET 1000/2MG TABLET METFORMIN HCL/ROSIGLITAZONE 02248440 Y

Diabetes AVANDAMET 1000/4MG TABLET METFORMIN HCL/ROSIGLITAZONE 02248441 Y

Diabetes AVANDAMET 500/1MG TABLET METFORMIN HCL/ROSIGLITAZONE 02247085 Y

Diabetes AVANDAMET 500/2MG TABLET METFORMIN HCL/ROSIGLITAZONE 02247086 Y

Diabetes AVANDAMET 500/4MG TABLET METFORMIN HCL/ROSIGLITAZONE 02247087 Y

Diabetes AVANDARYL 4MG/1MG TABLET ROSIGLITAZONE MALEATE/ GLIMEPIRIDE02258781 Y

Diabetes AVANDARYL 4MG/2MG TABLET ROSIGLITAZONE MALEATE/ GLIMEPIRIDE02258803 Y

Diabetes AVANDARYL 4MG/4MG TABLET ROSIGLITAZONE MALEATE/ GLIMEPIRIDE02258811 Y

Diabetes AVANDIA 2MG TABLET ROSIGLITAZONE MALEATE 02241112 Y

Diabetes AVANDIA 4MG TABLET ROSIGLITAZONE MALEATE 02241113 Y

Diabetes AVANDIA 8MG TABLET ROSIGLITAZONE MALEATE 02241114 Y

Diabetes BAYER LANCET LANCET 00909564 Y

Diabetes BD AUTOSHIELD PEN NEEDLES PEN NEEDLE WITH SAFETY DEVICE97799526 Y

Diabetes BD GLUCOSE 5MG TABLET DEXTROSE 02137976 Y

Diabetes BD GLUCOSE TABLET (NS) DEXTROSE 97799899 Y

Diabetes BD INSULIN SYLINGE #8430 NEEDLES/SYRINGES 00977861 Y

Diabetes BD LANCET 33G 100'S (NS) LANCET 97799822 Y

Diabetes BD LANCETTES 33G LATITUDE (PQ) LANCET 00963674 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 180

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes BD LATITUDE TEST STRIP (MT) DIABETIC TEST STRIP 00900142 Y

Diabetes BD LATITUDE TEST STRIP (PQ) DIABETIC TEST STRIP 99100002 Y

Diabetes BD LATITUDE TEST STRIP (PQ) DIABETIC TEST STRIP 00963720 Y

Diabetes BD LATITUDE ULTRA-FINE 33G LANCET LANCET 00909963 Y

Diabetes BD LATITUDE ULTRA-FINE 33G LANCET (NS) LANCET 97799881 Y

Diabetes BD LATITUDE ULTRA-FINE 33G LANCET(NS) LANCET 00977108 Y

Diabetes BD LATITUDE ULTRA-FINE 33G LANCET(SK) LANCET 00950927 Y

Diabetes BD MICRO-FINE 0.3CC SYRINGE NEEDLES/SYRINGES 00983896 Y

Diabetes BD MICRO-FINE 0.3CC SYRINGE (MT) NEEDLES/SYRINGES 00900412 Y

Diabetes BD MICRO-FINE 0.3CC SYRINGE (NS) NEEDLES/SYRINGES 97799893 Y

Diabetes BD MICRO-FINE 0.3CC SYRINGE (NS) NEEDLES/SYRINGES 00977961 Y

Diabetes BD MICRO-FINE 0.3CC SYRINGE (PQ/SK) NEEDLES/SYRINGES 00920169 Y

Diabetes BD MICRO-FINE 0.5CC SYRINGE NEEDLES/SYRINGES 00983004 Y

Diabetes BD MICRO-FINE 0.5CC SYRINGE (MT) NEEDLES/SYRINGES 00904848 Y

Diabetes BD MICRO-FINE 0.5CC SYRINGE (NS) NEEDLES/SYRINGES 97799891 Y

Diabetes BD MICRO-FINE 0.5CC SYRINGE (NS) NEEDLES/SYRINGES 00977039 Y

Diabetes BD MICRO-FINE 0.5CC SYRINGE (PQ) NEEDLES/SYRINGES 00920177 Y

Diabetes BD MICRO-FINE 1CC SYRINGE (NS) NEEDLES/SYRINGES 97799892 Y

Diabetes BD MICRO-FINE 1CC SYRINGE (NS) NEEDLES/SYRINGES 00977020 Y

Diabetes BD MICRO-FINE 1CC SYRINGE (ON&MT) NEEDLES/SYRINGES 00901911 Y

Diabetes BD MICRO-FINE 1CC SYRINGE (PQ) NEEDLES/SYRINGES 00920185 Y

Diabetes BD MICRO-FINE IV 1CC SYRINGE (SK) NEEDLES/SYRINGES 00950917 Y

Diabetes BD SAFETYGLIDE 0.3CC 29G INSULIN SYRINGE NEEDLES/SYRINGES 97799586 Y

Diabetes BD SAFETYGLIDE 1CC 29G INSULIN SYRINGE NEEDLES/SYRINGES 97799589 Y

Diabetes BD SAFETYGLIDE 0.3CC 31G INSULIN SYRINGE NEEDLES/SYRINGES 97799585 Y

Diabetes BD SAFETYGLIDE 0.5CC 29G INSULIN SYRINGE NEEDLES/SYRINGES 97799588 Y

Diabetes BD SAFETYGLIDE 0.5CC 30G INSULIN SYRINGE NEEDLES/SYRINGES 97799587 Y

Diabetes BD TEST STRIP DIABETIC TEST STRIP 99401067 Y

Diabetes BD TEST STRIP DIABETIC TEST STRIP 00977107 Y

Diabetes BD TEST STRIP DIABETIC TEST STRIP 00909955 Y

Diabetes BD TEST STRIP (100) DIABETIC TEST STRIP 97799900 Y

Diabetes BD TEST STRIP (BC) DIABETIC TEST STRIP 44123030 Y

Diabetes BD TEST STRIP (ON) DIABETIC TEST STRIP 09857132 Y

Diabetes BD UF II SYRINGE 30G (NF) NEEDLES/SYRINGES 00977490 Y

Diabetes BD UF PEN NEEDLE 31G-5MM (NF) NEEDLES/SYRINGES 00977491 Y

Diabetes BD UF PEN NEEDLE 31G-8MM (NF) NEEDLES/SYRINGES 00977492 Y

Diabetes BD ULTRA-FINE 1/2CC SYRINGE (MT) NEEDLES/SYRINGES 00906727 Y

Diabetes BD ULTRA-FINE 1/2CC SYRINGE (NS) NEEDLES/SYRINGES 97799888 Y

Diabetes BD ULTRA-FINE 1/2CC SYRINGE (NS) NEEDLES/SYRINGES 00977985 Y

Diabetes BD ULTRA-FINE 1/2CC SYRINGE (PQ) NEEDLES/SYRINGES 00920207 Y

Diabetes BD ULTRA-FINE 1CC SYRINGE (NS) NEEDLES/SYRINGES 97799889 Y

Diabetes BD ULTRA-FINE 1CC SYRINGE (ON/MT) NEEDLES/SYRINGES 00906816 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 181

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes BD ULTRA-FINE 1CC SYRINGE (PQ) NEEDLES/SYRINGES 00920215 Y

Diabetes BD ULTRAFINE 2 INS SYR 3/10ML NEEDLES/SYRINGES 00909068 Y

Diabetes BD ULTRA-FINE 29G PEN NEEDLE PEN NEEDLE 00908185 Y

Diabetes BD ULTRA-FINE 29G PEN NEEDLE (MT) PEN NEEDLE 00905976 Y

Diabetes BD ULTRA-FINE 29G PEN NEEDLE (NS) PEN NEEDLE 00977101 Y

Diabetes BD ULTRA-FINE 29G PEN NEEDLE 100'S (NS) PEN NEEDLE 97799897 Y

Diabetes BD ULTRA-FINE 3/10CC SYRINGE (MT/ON) NEEDLES/SYRINGES 00906786 Y

Diabetes BD ULTRA-FINE 3/10CC SYRINGE (NS) NEEDLES/SYRINGES 97799887 Y

Diabetes BD ULTRA-FINE 3/10CC SYRINGE (PQ) NEEDLES/SYRINGES 00920193 Y

Diabetes BD ULTRAFINE II 1/2 UNIT SYRINGE (SK) NEEDLES/SYRINGES 00950942 Y

Diabetes BD ULTRAFINE II 1/2UNIT 31G (SK) NEEDLES/SYRINGES 00950959 Y

Diabetes BD ULTRAFINE II 30G LANCET LANCET 00909335 Y

Diabetes BD ULTRAFINE II 30G LANCET (MT) LANCET 00900141 Y

Diabetes BD ULTRAFINE II 30G LANCET 100'S(NS) LANCET 97799882 Y

Diabetes BD ULTRAFINE II 30G LANCET 200'S (NS) LANCET 97799883 Y

Diabetes BD ULTRA-FINE II SHORT 1/2CC SYRINGE NEEDLES/SYRINGES 00909106 Y

Diabetes BD ULTRA-FINE II SHORT 1/2CC SYRINGE (MT) NEEDLES/SYRINGES 00903388 Y

Diabetes BD ULTRA-FINE II SHORT 1/2CC SYRINGE (NS) NEEDLES/SYRINGES 97799885 Y

Diabetes BD ULTRA-FINE II SHORT 1/2CC SYRINGE (PQ) NEEDLES/SYRINGES 00964360 Y

Diabetes BD ULTRA-FINE II SHORT 1CC SYRINGE 30G (NF) NEEDLES/SYRINGES 00977118 Y

Diabetes BD ULTRA-FINE II SHORT 1CC SYRINGE NEEDLES/SYRINGES 00909165 Y

Diabetes BD ULTRA-FINE II SHORT 1CC SYRINGE (NS) NEEDLES/SYRINGES 97799890 Y

Diabetes BD ULTRA-FINE II SHORT 1CC SYRINGE (NS) NEEDLES/SYRINGES 00977950 Y

Diabetes BD ULTRA-FINE II SHORT 1CC SYRINGE (PQ) NEEDLES/SYRINGES 00964301 Y

Diabetes BD ULTRA-FINE II SHORT 1CC SYRINGE (SK) NEEDLES/SYRINGES 00909238 Y

Diabetes BD ULTRA-FINE II SHORT 1CC SYRINGE(MT) NEEDLES/SYRINGES 00906360 Y

Diabetes BD ULTRA-FINE II SHORT 3/10CC SYRINGE NEEDLES/SYRINGES 00909084 Y

Diabetes BD ULTRA-FINE II SHORT 3/10CC SYRINGE (MT) NEEDLES/SYRINGES 00908053 Y

Diabetes BD ULTRA-FINE II SHORT 3/10CC SYRINGE (NS) NEEDLES/SYRINGES 97799886 Y

Diabetes BD ULTRA-FINE II SHORT 3/10CC SYRINGE (NS) NEEDLES/SYRINGES 00977977 Y

Diabetes BD ULTRA-FINE II SHORT 3/10CC SYRINGE (PQ) NEEDLES/SYRINGES 00962996 Y

Diabetes BD ULTRA-FINE II SHORT HALF 3/10CC 31G SYRINGE LANCET 97799760 Y

Diabetes BD ULTRAFINE II SHORT SYR/HALF-UNIT-SCALE 0.3CC NEEDLES/SYRINGES 00990185 Y

Diabetes BD ULTRA-FINE III 31G 5MM PEN NEEDLE MINI NEEDLES/SYRINGES 00909181 Y

Diabetes BD ULTRA-FINE III 31G 5MM PEN NEEDLE MINI (MT) NEEDLES/SYRINGES 00901954 Y

Diabetes BD ULTRA-FINE III 31G 5MM PEN NEEDLE MINI (NS) NEEDLES/SYRINGES 97799896 Y

Diabetes BD ULTRA-FINE III 31G 5MM PEN NEEDLE MINI (PQ) NEEDLES/SYRINGES 00964190 Y

Diabetes BD ULTRA-FINE III 31G 8MM PEN NEEDLE MINI (NS) NEEDLES/SYRINGES 00977011 Y

Diabetes BD ULTRA-FINE III 31G 8MM PEN NEEDLE SHORT NEEDLES/SYRINGES 00909114 Y

Diabetes BD ULTRA-FINE III 31G 8MM PEN NEEDLE SHORT (NS) NEEDLES/SYRINGES 97799895 Y

Diabetes BD ULTRA-FINE III 31G 8MM PEN NEEDLE SHORT (MT) NEEDLES/SYRINGES 00905569 Y

Diabetes BD ULTRA-FINE III 31G 8MM PEN NEEDLE SHORT (PQ) NEEDLES/SYRINGES 00963976 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 182

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes BD ULTRAFINE LANCET (28G) LANCET 99326571 Y

Diabetes BD ULTRA-FINE LANCET (NS) LANCET 00977659 Y

Diabetes BD ULTRA-FINE NANO 32G 4MM PEN NEEDLE NEEDLES/SYRINGES 97799527 Y

Diabetes BREEZE 2 BG BATON(PQ) DIABETIC TEST STRIP 99100388 Y

Diabetes BREEZE 2 BLOOD GLUCOSE TEST STRIP DIABETIC TEST STRIP 09991084 Y

Diabetes BREEZE 2 BLOOD GLUCOSE TEST STRIP (100) DIABETIC TEST STRIP 97799748 Y

Diabetes BREEZE 2 BLOOD GLUCOSE TEST STRIP (BC) DIABETIC TEST STRIP 44123038 Y

Diabetes BREEZE 2 BLOOD GLUCOSE TEST STRIP (SK) DIABETIC TEST STRIP 00950960 Y

Diabetes BREEZE 2 BLOOD GLUCOSE TEST STRIP(MT) DIABETIC TEST STRIP 00904950 Y

Diabetes BREEZE 2 BLOOD GLUCOSE TEST STRIP(ON) DIABETIC TEST STRIP 09857293 Y

Diabetes BREEZE 2 BLOOD GLUCOSE TEST STRIP(PQ) DIABETIC TEST STRIP 00964816 Y

Diabetes CAR/REIM DIABETIC NEEDLES/SYRINGES NEEDLES/SYRINGES 00999910 Y

Diabetes CAR/REIM DIABETIC TESTING MATERIAL DIABETIC TEST STRIP 00999911 Y

Diabetes CERTIFIED LANCET LANCET 00909467 Y

Diabetes CHEMSTRIP 10 BATON DIABETIC TEST STRIP 00964387 Y

Diabetes CHEMSTRIP 10 TEST STRIP DIABETIC TEST STRIP 00909076 Y

Diabetes CHEMSTRIP 4MD TEST STRIP DIABETIC TEST STRIP 97799950 Y

Diabetes CHEMSTRIP 4MD TEST STRIP DIABETIC TEST STRIP 00905046 Y

Diabetes CHEMSTRIP 4MD TEST STRIP (PQ) DIABETIC TEST STRIP 02423464 Y

Diabetes CHEMSTRIP 5 TEST STRIP DIABETIC TEST STRIP 97799752 Y

Diabetes CHEMSTRIP 5L TEST STRIP DIABETIC TEST STRIP 97799952 Y

Diabetes CHEMSTRIP 5L TEST STRIP (PQ) DIABETIC TEST STRIP 00903639 Y

Diabetes CHEMSTRIP 7 DIABETIC TEST STRIP 97799753 Y

Diabetes CHEMSTRIP 9 TEST STRIP DIABETIC TEST STRIP 97799953 Y

Diabetes CHEMSTRIP 9 TEST STRIP DIABETIC TEST STRIP 00977918 Y

Diabetes CHEMSTRIP 9 TEST STRIP DIABETIC TEST STRIP 00903671 Y

Diabetes CHEMSTRIP BG FOR ACCU-CHEK(PQ) DIABETIC TEST STRIP 00895393 Y

Diabetes CHEMSTRIP BG TEST STRIP (PQ) DIABETIC TEST STRIP 00398314 Y

Diabetes CHEMSTRIP GP TEST STRIP (100) DIABETIC TEST STRIP 97799951 Y

Diabetes CHEMSTRIP GP TEST STRIP (PQ) DIABETIC TEST STRIP 00903604 Y

Diabetes CHEMSTRIP UG 5000 (NF) DIABETIC TEST STRIP 00977438 Y

Diabetes CHEMSTRIP UG TEST STRIP DIABETIC TEST STRIP 97799956 Y

Diabetes CHEMSTRIP UG TEST STRIP DIABETIC TEST STRIP 00903612 Y

Diabetes CHEMSTRIP UG TEST STRIP (MT) DIABETIC TEST STRIP 00980692 Y

Diabetes CHEMSTRIP UG TEST STRIP (PQ) DIABETIC TEST STRIP 00647659 Y

Diabetes CHEMSTRIP UG TEST STRIP (SK) DIABETIC TEST STRIP 00950238 Y

Diabetes CHEMSTRIP UG TEST STRIPS (NS) DIABETIC TEST STRIP 00977470 Y

Diabetes CHLORPROPAMIDE 100MG TABLET CHLORPROPAMIDE 00586773 Y

Diabetes CHLORPROPAMIDE 250MG TABLET CHLORPROPAMIDE 00156728 Y

Diabetes CLINISTIX #2844 DIABETIC TEST SUPPLIES 00980480 Y

Diabetes CLINISTIX (MT) URINE TESTING STRIPS 00980633 Y

Diabetes CLINITEST (NF) URINE GLUCOSE TEST TABLET 00977314 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 183

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes CLINITEST TABLET (100) URINE GLUCOSE TEST TABLET 97799915 Y

Diabetes CLINITEST TABLET (MT) URINE GLUCOSE TEST TABLET 00980420 Y

Diabetes CLINITEST TABLET (PQ) URINE GLUCOSE TEST TABLET 00035122 Y

Diabetes CO-GLIMEPIRIDE 1MG TABLET GLIMEPIRIDE 02274248 Y

Diabetes CO-GLIMEPIRIDE 2MG TABLET GLIMEPIRIDE 02274256 Y

Diabetes CO-GLIMEPIRIDE 3MG TABLET GLIMEPIRIDE 02274264 Y

Diabetes CO-GLIMEPIRIDE 4MG TABLET GLIMEPIRIDE 02274272 Y

Diabetes CO-METFORMIN 500MG TABLET METFORMIN HCL 02257726 Y

Diabetes CO-METFORMIN 850MG TABLET METFORMIN HCL 02257734 Y

Diabetes CONTOUR BATON (PQ) DIABETIC TEST STRIP 99100096 Y

Diabetes CONTOUR TEST STRIP DIABETIC TEST STRIP 00990125 Y

Diabetes CONTOUR TEST STRIP (100) DIABETIC TEST STRIP 97799877 Y

Diabetes CONTOUR TEST STRIP (100) DIABETIC TEST STRIP 97799702 Y

Diabetes CONTOUR TEST STRIP (MT) DIABETIC TEST STRIP 00904947 Y

Diabetes CONTOUR TEST STRIP (ON) DIABETIC TEST STRIP 09857127 Y

Diabetes CONTOUR TEST STRIP (PQ) DIABETIC TEST STRIP 00964476 Y

Diabetes CONTOUR TEST STRIP (SK) DIABETIC TEST STRIP 00950924 Y

Diabetes CONTOUR TEST STRIP(BC) DIABETIC TEST STRIP 44123037 Y

Diabetes CONTOUR TEST STRIPS (NF) DIABETIC TEST STRIP 00977119 Y

Diabetes CO-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02302861 Y

Diabetes CO-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02302888 Y

Diabetes CO-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02302896 Y

Diabetes DIABETA 2.5MG TABLET GLYBURIDE 02224550 Y

Diabetes DIABETA 5MG TABLET GLYBURIDE 02224569 Y

Diabetes DIAMICRON 30MG MR TABLET GLICLAZIDE 02242987 Y

Diabetes DIAMICRON 80MG TABLET GLICLAZIDE 00765996 Y

Diabetes DIASCAN TEST STRIP (MT) DIABETIC TEST STRIP 00999100 Y

Diabetes DIASTIX TEST STRIP URINE GLUCOSE TEST STRIP 97799914 Y

Diabetes DIASTIX TEST STRIP URINE GLUCOSE TEST STRIP 00980510 Y

Diabetes DIASTIX TEST STRIP (MT) URINE GLUCOSE TEST STRIP 00980641 Y

Diabetes DIASTIX TEST STRIP (NS) URINE GLUCOSE TEST STRIP 00977160 Y

Diabetes DOM-GLYBURIDE 2.5MG TABLET GLYBURIDE 02234513 Y

Diabetes DOM-GLYBURIDE 5MG TABLET GLYBURIDE 02234514 Y

Diabetes DOM-METFORMIN 500MG TABLET METFORMIN HCL 02229994 Y

Diabetes DOM-METFORMIN 850MG TABLET METFORMIN HCL 02242726 Y

Diabetes DOM-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02307634 Y

Diabetes DOM-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02307642 Y

Diabetes DOM-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02307650 Y

Diabetes ELITE CONTROL SOLUTION DIABETIC TEST SUPPLIES 00909823 Y

Diabetes ELITE NORMAL CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799866 Y

Diabetes ELITE TEST STRIP DIABETIC TEST STRIP 00987727 Y

Diabetes ELITE TEST STRIP (100) DIABETIC TEST STRIP 97799923 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 184

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes ELITE TEST STRIP (BC) DIABETIC TEST STRIP 44123002 Y

Diabetes ELITE TEST STRIP (MT) DIABETIC TEST STRIP 00980100 Y

Diabetes ELITE TEST STRIP (MT) DIABETIC TEST STRIP 00904946 Y

Diabetes ELITE TEST STRIP (NS) DIABETIC TEST STRIP 00977308 Y

Diabetes ELITE TEST STRIP (ODB) DIABETIC TEST STRIP 09854088 Y

Diabetes ELITE TEST STRIP (SK) DIABETIC TEST STRIP 00950572 Y

Diabetes ELITE TEST STRIP(PQ) DIABETIC TEST STRIP 00920363 Y

Diabetes ENCORE NORMAL CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799865 Y

Diabetes EQUATE (VITALET) 23G LANCET (SK) LANCET 00950913 Y

Diabetes EQUATE (VITALET) 26G LANCET (SK) LANCET 00950914 Y

Diabetes EUGLUCON 2.5MG TABLET GLYBURIDE 00720933 Y

Diabetes EUGLUCON 5MG TABLET GLYBURIDE 00720941 Y

Diabetes EZ HEALTH LANCET LANCET 97799541 Y

Diabetes EZ HEALTH LANCETS (100) NS LANCET 97799540 Y

Diabetes EZ HEALTH ORACLE BLOOD GLUCOSE TEST STRIP(100) DIABETIC TEST STRIP 97799564 Y

Diabetes EZ HEALTH ORACLE BLOOD GLUCOSE TEST STRIP(BC) DIABETIC TEST STRIP 44123044 Y

Diabetes EZ HEALTH ORACLE BLOOD GLUCOSE TEST STRIP(MT) DIABETIC TEST STRIP 00909200 Y

Diabetes EZE-JECT LANCET LANCET 00909874 Y

Diabetes EZE-JECT LANCET (MT) LANCET 00909220 Y

Diabetes FAST TAKE CONTROL SOLUTION DIABETIC TEST SUPPLIES 00909378 Y

Diabetes FAST TAKE TEST STRIP (100) DIABETIC TEST STRIP 97799982 Y

Diabetes FAST TAKE TEST STRIP (BC) DIABETIC TEST STRIP 44123017 Y

Diabetes FAST TAKE TEST STRIP (MT) DIABETIC TEST STRIP 00903531 Y

Diabetes FAST TAKE TEST STRIP (NS) DIABETIC TEST STRIP 00977995 Y

Diabetes FAST TAKE TEST STRIP (ON) DIABETIC TEST STRIP 09854029 Y

Diabetes FAST TAKE TEST STRIP (SK) DIABETIC TEST STRIP 00950882 Y

Diabetes FAST TAKE TEST STRIPS (PQ) DIABETIC TEST STRIP 99002809 Y

Diabetes FINGERSTIX LANCET (MT) LANCET 00900834 Y

Diabetes FINGERSTIX LANCET (NS) LANCET 97799825 Y

Diabetes FINGERSTIX LANCET (NS) LANCET 00995965 Y

Diabetes FINGERSTIX LANCET (ON/ PQ) LANCET 00960578 Y

Diabetes FINGERSTIX LANCET(MT/ SK) LANCET 00909297 Y

Diabetes FINGERSTIX STP 40% DIABETIC TEST STRIP 00977852 Y

Diabetes FREESTYLE LANCET (NS) LANCET 97799826 Y

Diabetes FREESTYLE LANCET (NS) LANCET 00977839 Y

Diabetes FREESTYLE LANCET (ON) LANCET 00909750 Y

Diabetes FREESTYLE LANCET (SK) LANCET 99401063 Y

Diabetes FREESTYLE LITE BATON(PQ) DIABETIC TEST STRIP 99100478 Y

Diabetes FREESTYLE LITE TEST STRIP (100) DIABETIC TEST STRIP 97799597 Y

Diabetes FREESTYLE LITE TEST STRIP (ON) DIABETIC TEST STRIP 09857297 Y

Diabetes FREESTYLE LITE TEST STRIPS(BC) DIABETIC TEST STRIP 44123040 Y

Diabetes FREESTYLE TEST STRIP (100) DIABETIC TEST STRIP 97799829 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 185

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes FREESTYLE TEST STRIP (BC) DIABETIC TEST STRIP 44123028 Y

Diabetes FREESTYLE TEST STRIP (MT) DIABETIC TEST STRIP 00905500 Y

Diabetes FREESTYLE TEST STRIP (NS) DIABETIC TEST STRIP 00977838 Y

Diabetes FREESTYLE TEST STRIP (ON) DIABETIC TEST STRIP 09857141 Y

Diabetes FREESTYLE TEST STRIP (ON) DIABETIC TEST STRIP 00909653 Y

Diabetes FREESTYLE TEST STRIP (PQ) DIABETIC TEST STRIP 99004704 Y

Diabetes FREESTYLE TEST STRIP (SK) DIABETIC TEST STRIP 00950907 Y

Diabetes GEN-GLIMEPIRIDE 1MG TABLET GLIMEPIRIDE 02279061 Y

Diabetes GEN-GLIMEPIRIDE 2MG TABLET GLIMEPIRIDE 02279088 Y

Diabetes GEN-GLIMEPIRIDE 4MG TABLET GLIMEPIRIDE 02279126 Y

Diabetes GLICLAZIDE 30MG MR TABLET GLICLAZIDE 02293862 Y

Diabetes GLICLAZIDE 80MG TABLET GLICLAZIDE 02287072 Y

Diabetes GLICLAZIDE 80MG TABLET GLICLAZIDE 02248453 Y

Diabetes GLUCAGEN 1MG VIAL KIT GLUCAGON HCL 02333619 Y

Diabetes GLUCAGEN HYPOKIT 1MG VIAL GLUCAGON HCL 02333627 Y

Diabetes GLUCAGON KIT GLUCAGON (HUMAN SOURCE DNA)02243297 Y

Diabetes GLUCOBAY 100MG TABLET ACARBOSE 02190893 Y

Diabetes GLUCOBAY 50MG TABLET ACARBOSE 02190885 Y

Diabetes GLUCOFILM (MT)/HUILE MINERALE(PQ) DIABETIC TEST STRIP 00906654 Y

Diabetes GLUCOFILM CONTROL SOL'N DIABETIC TEST SUPPLIES 00906646 Y

Diabetes GLUCOFILM TEST STRIP DIABETIC TEST STRIP 00950378 Y

Diabetes GLUCOFILM TEST STRIP DIABETIC TEST STRIP 00907510 Y

Diabetes GLUCOFILM TEST STRIP DIABETIC TEST STRIP 00906662 Y

Diabetes GLUCOFILM TEST STRIP (100) DIABETIC TEST STRIP 97799921 Y

Diabetes GLUCOFILM TEST STRIP (BC) DIABETIC TEST STRIP 44123004 Y

Diabetes GLUCOFILM TEST STRIP (NS) DIABETIC TEST STRIP 00977969 Y

Diabetes GLUCOFILM TEST STRIP (ON) DIABETIC TEST STRIP 09853227 Y

Diabetes GLUCOFILM TEST STRIP (PQ) DIABETIC TEST STRIP 00907650 Y

Diabetes GLUCOLET LANCET #5702 LANCET 00984302 Y

Diabetes GLUCOMETER ENCORE TEST STRIP DIABETIC TEST STRIP 97799922 Y

Diabetes GLUCOMETER ENCORE TEST STRIP (BC) DIABETIC TEST STRIP 44123003 Y

Diabetes GLUCOMETER ENCORE TEST STRIP (MT) DIABETIC TEST STRIP 00980200 Y

Diabetes GLUCOMETER ENCORE TEST STRIP (ODB) DIABETIC TEST STRIP 09853103 Y

Diabetes GLUCOMETER ENCORE TEST STRIP (PQ) DIABETIC TEST STRIP 00920371 Y

Diabetes GLUCOMETER ENCORE TEST STRIPS (NS) DIABETIC TEST STRIP 00977033 Y

Diabetes GLUCONORM 0.5MG TABLET REPAGLINIDE 02239924 Y

Diabetes GLUCONORM 1MG TABLET REPAGLINIDE 02239925 Y

Diabetes GLUCONORM 2MG TABLET REPAGLINIDE 02239926 Y

Diabetes GLUCOPHAGE 500MG TABLET METFORMIN HCL 02099233 Y

Diabetes GLUCOPHAGE 850MG TABLET METFORMIN HCL 02162849 Y

Diabetes GLUCOSCAN CONTROL SOLUTION (NF) DIABETIC TEST SUPPLIES 00977500 Y

Diabetes GLUCOSE TEST STRIPS (BC) DIABETIC TEST STRIP 00999121 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 186

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes GLUCOSTIX TEST STRIP DIABETIC TEST STRIP 00980757 Y

Diabetes GLUCOSTIX TEST STRIP DIABETIC TEST STRIP 00984760 Y

Diabetes GLUCOSTIX TEST STRIP DIABETIC TEST STRIP 00977497 Y

Diabetes GLUCOSTIX TEST STRIP DIABETIC TEST STRIP 00905712 Y

Diabetes GLUCOSTIX TEST STRIP (100) DIABETIC TEST STRIP 97799920 Y

Diabetes GLUCOSTIX TEST STRIP (BC) DIABETIC TEST STRIP 44123005 Y

Diabetes GLUCOSTIX TEST STRIP (MT) DIABETIC TEST STRIP 00980749 Y

Diabetes GLUCOSTIX TEST STRIP (NS) DIABETIC TEST STRIP 00977489 Y

Diabetes GLUCOSTIX TEST STRIP (ON) DIABETIC TEST STRIP 09853235 Y

Diabetes GLUCOSTIX TEST STRIP (PQ) DIABETIC TEST STRIP 00895946 Y

Diabetes GLUCOSTIX TEST STRIP (SK) DIABETIC TEST STRIP 00950408 Y

Diabetes GLUMETZA (SB) 1000MG ER TABLET METFORMIN HCL 02268507 Y

Diabetes GLUMETZA 1000MG ER TABLET METFORMIN HCL 02300451 Y

Diabetes GLUMETZA 500MG SR TABLET METFORMIN HCL 02268493 Y

Diabetes GLYBURIDE 2.5MG TABLET GLYBURIDE 02350459 Y

Diabetes GLYBURIDE 2.5MG TABLET GLYBURIDE 02286149 Y

Diabetes GLYBURIDE 2.5MG TABLET GLYBURIDE 01959352 Y

Diabetes GLYBURIDE 5MG TABLET GLYBURIDE 02350467 Y

Diabetes GLYBURIDE 5MG TABLET GLYBURIDE 02286157 Y

Diabetes GLYCON 500MG TABLET METFORMIN HCL 02229516 Y

Diabetes GLYCON 850MG TABLET METFORMIN HCL 02239214 Y

Diabetes GLYSET 100MG TABLET MIGLITOL 02239476 Y

Diabetes GLYSET 25MG TABLET MIGLITOL 02239474 Y

Diabetes GLYSET 50MG TABLET MIGLITOL 02239475 Y

Diabetes GLYUBURIDE-5 5MG TABLET GLYBURIDE 01959360 Y

Diabetes GMD-METFORMIN 500MG TABLET METFORMIN HCL 02252945 Y

Diabetes GMD-METFORMIN 850MG TABLET METFORMIN HCL 02252953 Y

Diabetes HUMALOG 3ML PEN INSULIN LISPRO 02241283 Y

Diabetes HUMALOG CARTRIDGE - 5X3ML(ODB) INSULIN LISPRO 09853715 Y

Diabetes HUMALOG CARTRIDGE 5X3ML (PQ) INSULIN LISPRO 99002817 Y

Diabetes HUMALOG INSULIN 100 UNITS/ML INSULIN LISPRO 02229704 Y

Diabetes HUMALOG INSULIN CARTRIDGE/KWIKPEN INSULIN LISPRO 02229705 Y

Diabetes HUMALOG KWIKPEN (PQ) INSULIN LISPRO 99100630 Y

Diabetes HUMALOG KWIKPEN 3ML INJ(PQ) INSULIN LISPRO 00965537 Y

Diabetes HUMALOG MIX 25 KWIKPEN 3ML INJ(PQ) INSULIN LISPRO/INSULIN NPL 00965545 Y

Diabetes HUMALOG MIX 25 KWIKPEN(PQ) INSULIN LISPRO/INSULIN NPL 99100631 Y

Diabetes HUMALOG MIX 50 KWIKPEN 3ML INJ (PQ) INSULIN LISPRO 00965421 Y

Diabetes HUMALOG MIX25 (PEN) INSULIN LISPRO 02240295 Y

Diabetes HUMALOG MIX25 CARTRIDGE/KWIKPEN INSULIN LISPRO/INSULIN NPL 02240294 Y

Diabetes HUMALOG MIX50 CARTRIDGE/KWIKPEN INSULIN LISPRO 02240297 Y

Diabetes HUMULIN 20/80 3ML CART INSULIN 99001616 Y

Diabetes HUMULIN 20/80 CART.-5X3ML(ODB) INSUL NPH HU REC/INS RG HU REC09853847 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 187

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes HUMULIN 30/70 100U/ML VIAL INSUL NPH HU S-S/INS RG HU REC00795879 Y

Diabetes HUMULIN 30/70 3ML CART INSULIN 99001632 Y

Diabetes HUMULIN 30/70 CART.-5X3ML(ODB) INSUL NPH HU S-S/INS RG HU REC09853855 Y

Diabetes HUMULIN 30/70 CARTRIDGE INSUL NPH HU S-S/INS RG HU REC01959212 Y

Diabetes HUMULIN L LENTE 100U/ML VL INSULIN ZN HUMAN RECOM 00646148 Y

Diabetes HUMULIN N 100U/ML VIAL INSULIN NPH HUMAN RECOM 00587737 Y

Diabetes HUMULIN N 3ML CART INSULIN 99001586 Y

Diabetes HUMULIN N 3ML PEN INSULIN BIOSYNTHETIC HUMAN 02241310 Y

Diabetes HUMULIN N CARTRIDGE 5X3ML INSULIN NPH HUMAN RECOM 01959239 Y

Diabetes HUMULIN N CARTRIDGE-5X3ML(ODB) INSULIN NPH HUMAN RECOM 09853804 Y

Diabetes HUMULIN R 100U/ML VIAL INSULIN REG HUMAN REC 00586714 Y

Diabetes HUMULIN R 3ML CART INSULIN 99001594 Y

Diabetes HUMULIN R CARTRIDGE 5X3ML INSULIN REG HUMAN REC 01959220 Y

Diabetes HUMULIN R CARTRIDGE-5X3ML(ODB) INSULIN REG HUMAN REC 09853766 Y

Diabetes HYPURIN NPH PORK INSULIN INSULIN-PORK 02275864 Y

Diabetes HYPURIN REGULAR PORK INSULIN INSULIN-PORK 02275872 Y

Diabetes INSTA-GLUCOSE 40% LIQUID DEXTROSE 00762040 Y

Diabetes INSULIN NEEDLES/SYRINGES (BC) DIABETIC NEEDLES/SYRINGES 00999725 Y

Diabetes INSULIN PSEUDODIN INSULIN 90800302 Y

Diabetes INSULIN SYR 1CC 3M NEEDLES/SYRINGES 00900427 Y

Diabetes INSULIN SYR U100 NEEDLES/SYRINGES 00905682 Y

Diabetes INSUPEN 29G 12MM PEN NEEDLE NEEDLES/SYRINGES 97799566 Y

Diabetes INSUPEN 30G 8MM PEN NEEDLE NEEDLES/SYRINGES 97799567 Y

Diabetes INSUPEN 31G 6MM PEN NEEDLE NEEDLES/SYRINGES 97799569 Y

Diabetes INSUPEN 31G 8MM PEN NEEDLE NEEDLES/SYRINGES 97799568 Y

Diabetes INSUPEN 32G 6MM PEN NEEDLE NEEDLES/SYRINGES 97799571 Y

Diabetes INSUPEN 32G 8MM PEN NEEDLE NEEDLES/SYRINGES 97799570 Y

Diabetes ITEST 2.71IU BLOOD GLUCOSE STRIP (ODB) DIABETIC TEST STRIP 09857348 Y

Diabetes ITEST 28G LANCET 100'S (NS) LANCET 97799766 Y

Diabetes ITEST 28G LANCETTES (PQ) LANCET 00964778 Y

Diabetes ITEST 33G LANCET 100'S (NS) LANCET 97799767 Y

Diabetes ITEST 33G LANCETTES (PQ) LANCET 00964786 Y

Diabetes ITEST BATON (PQ) DIABETIC TEST STRIP 99100332 Y

Diabetes ITEST BG TEST STRIPS 100'S (NS) DIABETIC TEST STRIP 97799692 Y

Diabetes ITEST BG TEST STRIPS 50'S (NS) DIABETIC TEST STRIP 97799770 Y

Diabetes ITEST TEST STRIPS (BC) DIABETIC TEST STRIP 44123034 Y

Diabetes ITEST TEST STRIPS (MT) DIABETIC TEST STRIP 00907246 Y

Diabetes ITEST TEST STRIPS(SK) DIABETIC TEST STRIP 00950956 Y

Diabetes JANUMET 50/1000MG TABLET SITAGLIPTIN/METFORMIN HCL 02333872 Y

Diabetes JANUMET 50/500MG TABLET SITAGLIPTIN/METFORMIN HCL 02333856 Y

Diabetes JANUMET 50/850MG TABLET SITAGLIPTIN/METFORMIN HCL 02333864 Y

Diabetes JANUVIA 100MG TABLET SITAGLIPTIN PHOSPHATE MONOHYDRATE02303922 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 188

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes KETO-DIASTIX TEST STRIP URINE GLUCOSE TEST STRIP 00990647 Y

Diabetes KETO-DIASTIX TEST STRIP (100) URINE GLUCOSE TEST STRIP 97799912 Y

Diabetes KETO-DIASTIX TEST STRIP (NF) URINE GLUCOSE TEST STRIP 00977330 Y

Diabetes KETO-DIASTIX TEST STRIP (NS) URINE GLUCOSE TEST STRIP 00977179 Y

Diabetes KETO-DIASTIX TEST STRIP (PQ) URINE GLUCOSE TEST STRIP 00035149 Y

Diabetes KETOSTIX TEST STRIP DIABETIC TEST STRIP 00904724 Y

Diabetes KETOSTIX TEST STRIP (50) DIABETIC TEST STRIP 97799913 Y

Diabetes KETOSTIX TEST STRIP (MT) DIABETIC TEST STRIP 00980595 Y

Diabetes KETOSTIX TEST STRIP (NS) DIABETIC TEST STRIP 00977322 Y

Diabetes KETOSTIX TEST STRIP (ON) DIABETIC TEST STRIP 09853286 Y

Diabetes KETOSTIX TEST STRIP (PQ) DIABETIC TEST STRIP 00035092 Y

Diabetes LABSTIX SG TEST STRIP (100) DIABETIC TEST STRIP 97799855 Y

Diabetes LABSTIX TEST STRIP (100) DIABETIC TEST STRIP 97799854 Y

Diabetes LABSTIX TEST STRIP (MT) DIABETIC TEST STRIP 00903523 Y

Diabetes LABSTIX TEST STRIP (NF) DIABETIC TEST STRIP 00977357 Y

Diabetes LANCETS-LIFESCAN (PQ) LANCET 00962201 Y

Diabetes LANCETTE ACCU-CHEK SOFTCLIX PRO (PQ) LANCET 00963860 Y

Diabetes LANCETTE FREESTYLE(PQ) LANCET 00963615 Y

Diabetes LANCETTE PRECISION (PQ) LANCET 00963879 Y

Diabetes LANCETTE SOFTTOUCH (PQ) LANCET 00962546 Y

Diabetes LANCETTE ULTRAFINE II 30G (PQ) LANCET 00962473 Y

Diabetes LANCETTES FINGERSTIX LANCET 00962260 Y

Diabetes LANCETTES MEDISENSE PRECISION (PQ) LANCET 00961264 Y

Diabetes LANCETTES MILES LANCET 00962376 Y

Diabetes LANCETTES MONOL LANCET 00961310 Y

Diabetes LANCETTES MULTICLIX (PQ) LANCET 00964581 Y

Diabetes LANCETTES MY HEALTH LANCET 00990021 Y

Diabetes LANCETTES SINGLE-LET(PQ) LANCET 00965448 Y

Diabetes LANCETTES SURGILANCE GRIS 23GX1.8MM(PQ) LANCET 00965197 Y

Diabetes LANCETTES SURGILANCE JAUNE 26GX1MM(PQ) LANCET 00965227 Y

Diabetes LANCETTES SURGILANCE ORANGE 22GX2.2MM(PQ) LANCET 00965200 Y

Diabetes LANCETTES SURGILANCE ROSE 21GX2.8MM(PQ) LANCET 00965219 Y

Diabetes LANCETTES ULTRA-FINE 33 LANCET 00964557 Y

Diabetes LANTUS (OPTISET) 100U/ML INSULIN INSULIN GLARGINE 02276410 Y

Diabetes LANTUS 100U/ML INSULIN INSULIN GLARGINE 02245689 Y

Diabetes LANTUS 100U/ML INSULIN CARTRIDGE INSULIN GLARGINE 02251930 Y

Diabetes LANTUS SOLOSTAR 100U/ML PREFILL PEN 5X3ML INSULIN GLARGINE 02294338 Y

Diabetes LEVEMIR FLEXPEN INSULIN DETEMIR 02271850 Y

Diabetes LEVEMIR INNOLET INSULIN DETEMIR 02271869 Y

Diabetes LEVEMIR PENFILL INSULIN DETEMIR 02271842 Y

Diabetes LIFE BRAND PORTABLE BG TEST STRIP(BC) DIABETIC TEST STRIP 44123041 Y

Diabetes LIFE BRAND TEST STRIP (100) DIABETIC TEST STRIP 97799594 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 189

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes LIFE BRAND TEST STRIP(BC) DIABETIC TEST STRIP 44123039 Y

Diabetes LIFE BRAND ULTRA THIN LANCET (NF) LANCET 00977151 Y

Diabetes MED GLYBE 2.5MG TABLET GLYBURIDE 02084341 Y

Diabetes MED GLYBE 5MG TABLET GLYBURIDE 02085887 Y

Diabetes MEDI SENSE CONTROL SOLUTION DIABETIC TEST SUPPLIES 00906867 Y

Diabetes MEDISENSE LANCET (MT) LANCET 00906190 Y

Diabetes MEDISENSE THIN LANCET 28G (NF) LANCET 00977117 Y

Diabetes MEDISENSE THIN LANCET 28G (ON) LANCET 00909998 Y

Diabetes MEDLANCE PLUS EXTRA 200'S 21G 2.4MM LANCET LANCET 97799590 Y

Diabetes MEDLANCE PLUS LITE 200'S 25G 1.5MM PEN NEEDLE NEEDLE/SYRINGE 97799592 Y

Diabetes MEDLANCE PLUS UNIVERSAL 200'S 21G 1.8MM PEN NEEDLE NEEDLE/SYRINGE 97799591 Y

Diabetes METFORMIN 500MG TABLET METFORMIN HCL 02350289 Y

Diabetes METFORMIN 500MG TABLET METFORMIN HCL 02353377 Y

Diabetes METFORMIN 500MG TABLET METFORMIN HCL 02343606 Y

Diabetes METFORMIN 500MG TABLET METFORMIN HCL 02334437 Y

Diabetes METFORMIN 500MG TABLET METFORMIN HCL 02284782 Y

Diabetes METFORMIN 500MG TABLET METFORMIN HCL 02242794 Y

Diabetes METFORMIN 500MG TABLET METFORMIN HCL 02238827 Y

Diabetes METFORMIN 500MG TABLET METFORMIN HCL 02220628 Y

Diabetes METFORMIN 850MG TABLET METFORMIN HCL 02350300 Y

Diabetes METFORMIN 850MG TABLET METFORMIN HCL 02353385 Y

Diabetes METFORMIN 850MG TABLET METFORMIN HCL 02343614 Y

Diabetes METFORMIN 850MG TABLET METFORMIN HCL 02334445 Y

Diabetes METFORMIN 850MG TABLET METFORMIN HCL 02284790 Y

Diabetes METFORMIN 850MG TABLET METFORMIN HCL 02246965 Y

Diabetes METFORMIN 850MG TABLET METFORMIN HCL 02242793 Y

Diabetes METFORMIN 850MG TABLET METFORMIN HCL 02231058 Y

Diabetes MILES LANCETS (MT) LANCET 00909211 Y

Diabetes MINT-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02326477 Y

Diabetes MINT-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02326485 Y

Diabetes MINT-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02326493 Y

Diabetes MONOJECT 0.3CC 29GX1/2IN SAFETY SYR NEEDLES/SYRINGES 97799794 Y

Diabetes MONOJECT 0.3CC 29GX1/2IN SOFTPACK SYR NEEDLES/SYRINGES 97799786 Y

Diabetes MONOJECT 0.3CC 30GX5/16IN SAFETY SYR NEEDLES/SYRINGES 97799791 Y

Diabetes MONOJECT 0.3CC 30GX5/16IN SOFTPACK NEEDLES/SYRINGES 97799783 Y

Diabetes MONOJECT 0.5CC 25GX5/8IN SOFTPACK NEEDLES/SYRINGES 97799780 Y

Diabetes MONOJECT 0.5CC 28GX1/2IN RIGIDPACK NEEDLES/SYRINGES 97799775 Y

Diabetes MONOJECT 0.5CC 28GX1/2IN SOFTPACK NEEDLES/SYRINGES 97799788 Y

Diabetes MONOJECT 0.5CC 29GX1/2IN SAFETY SYRINGE NEEDLES/SYRINGES 97799793 Y

Diabetes MONOJECT 0.5CC 29GX1/2IN SOFTPACK NEEDLES/SYRINGES 97799785 Y

Diabetes MONOJECT 0.5CC 30GX5/16IN SAFETY SYRINGE NEEDLES/SYRINGES 97799790 Y

Diabetes MONOJECT 0.5CC 30GX5/16IN SOFTPACK SYRINGE NEEDLES/SYRINGES 97799782 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 190

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes MONOJECT 1CC 20GX5/16IN STANDARD SYRINGE NEEDLES/SYRINGES 97799781 Y

Diabetes MONOJECT 1CC 25GX5/8IN RIGID SYR (100) NEEDLES/SYRINGES 97799774 Y

Diabetes MONOJECT 1CC 25GX5/8IN SOFTPACK SYR NEEDLES/SYRINGES 97799779 Y

Diabetes MONOJECT 1CC 27GX1/2IN SOFTPACK SYR NEEDLES/SYRINGES 97799778 Y

Diabetes MONOJECT 1CC 28GX1/2IN RIGID SYR(100) NEEDLES/SYRINGES 97799772 Y

Diabetes MONOJECT 1CC 28GX1/2IN SOFT PK (500) NEEDLES/SYRINGES 97799777 Y

Diabetes MONOJECT 1CC 28GX1/2IN SOFT PK SYRINGE (300) NEEDLES/SYRINGES 97799787 Y

Diabetes MONOJECT 1CC 29GX1/2IN SAFETY SYRINGE NEEDLES/SYRINGES 97799792 Y

Diabetes MONOJECT 1CC 29GX1/2IN STANDARD SYRINGE NEEDLES/SYRINGES 97799784 Y

Diabetes MONOJECT 1CC 30GX5X16IN SAFETY SYRINGE NEEDLES/SYRINGES 97799789 Y

Diabetes MONOJECT 1CC27GX1/2IN RIGID SYR(100) NEEDLES/SYRINGES 97799773 Y

Diabetes MONOJECT 28G 1CC SYRINGE NEEDLES/SYRINGES 00902977 Y

Diabetes MONOJECT 29G 1/2CC SYRINGE NEEDLES/SYRINGES 00902985 Y

Diabetes MONOJECT 29G 1/2CC SYRINGE (MT) NEEDLES/SYRINGES 00902810 Y

Diabetes MONOJECT 29G 1/2CC SYRINGE (NS) NEEDLES/SYRINGES 00977136 Y

Diabetes MONOJECT 29G 1/2CC SYRINGE (PQ) NEEDLES/SYRINGES 00920355 Y

Diabetes MONOJECT 29G 1/2CC SYRINGE (SK) NEEDLES/SYRINGES 99432799 Y

Diabetes MONOJECT 29G 1/3CC SYRINGE (PQ) NEEDLES/SYRINGES 00920053 Y

Diabetes MONOJECT 29G 1CC SYRINGE (MT) NEEDLES/SYRINGES 00906603 Y

Diabetes MONOJECT 29G 1CC SYRINGE (MT) NEEDLES/SYRINGES 00902802 Y

Diabetes MONOJECT 29G 1CC SYRINGE (NS) NEEDLES/SYRINGES 00977128 Y

Diabetes MONOJECT 29G 1CC SYRINGE (PQ) NEEDLES/SYRINGES 00920045 Y

Diabetes MONOJECT 29G 1CC SYRINGE (SK) NEEDLES/SYRINGES 99433383 Y

Diabetes MONOJECT 29G 3/10CC SYRINGE (NS) NEEDLES/SYRINGES 00977951 Y

Diabetes MONOJECT 29G 3/10CC SYRINGE (SK) NEEDLES/SYRINGES 99254011 Y

Diabetes MONOJECT SYR 1/2CC(MT) 3/10CC(PRO) NEEDLES/SYRINGES 00906573 Y

Diabetes MONOJECT SYR 29G-3/10CC(MT)1/2CC(PRO) NEEDLES/SYRINGES 00906581 Y

Diabetes MONOJECT SYR 3/10CC (MT) HYDROCORTISONE POWDER (PRO)NEEDLES/SYRINGES 00905577 Y

Diabetes MONOJECT ULTRA TEST STRIP (MT) DIABETIC TEST STRIP 00905593 Y

Diabetes MONOLET 21G LANCET (200) LANCET 97799805 Y

Diabetes MONOLET 28G LANCET (100) LANCET 97799801 Y

Diabetes MONOLET 28G THIN LANCET (200) LANCET 97799800 Y

Diabetes MONOLET LANCET (MT) LANCET 00903507 Y

Diabetes MONOLET LANCET (MT) LANCET 00904062 Y

Diabetes MONOLET LANCET (NS) LANCET 00977268 Y

Diabetes MONOLET LANCET (PQ) LANCET 00904090 Y

Diabetes MONOLET LANCET (SK) LANCET 00977543 Y

Diabetes MONOLET THIN LANCET(SK) LANCET 99401055 Y

Diabetes MPD LANCET (SK) LANCET 00950958 Y

Diabetes MPD LANCETS (MT) LANCET 00907264 Y

Diabetes MPD LANCETS (MT) LANCET 00907266 Y

Diabetes MPD THIN LANCET (100)(ATL)--NOVOLIN PEN 4 (PQ) LANCET 97799810 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 191

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes MPD ULTRA THIN LANCET (100 PER BOX) LANCET 97799807 Y

Diabetes MULTISTIX 10 SG TEST STRIP (100) DIABETIC TEST STRIP 97799859 Y

Diabetes MULTISTIX 10 SG TEST STRIP (PQ) DIABETIC TEST STRIP 00811912 Y

Diabetes MULTISTIX 5 STRIP DIABETIC TEST STRIP 00909777 Y

Diabetes MULTISTIX 5 STRIP (100) DIABETIC TEST STRIP 97799856 Y

Diabetes MULTISTIX 8 SG TEST STRIP DIABETIC TEST STRIP 00904783 Y

Diabetes MULTISTIX 8 SG TEST STRIP (100) DIABETIC TEST STRIP 97799858 Y

Diabetes MULTISTIX SG DIABETIC TEST SUPPLIES 00904759 Y

Diabetes MULTISTIX TEST STRIP DIABETIC TEST STRIP 00904740 Y

Diabetes MULTISTIX TEST STRIP (100) DIABETIC TEST STRIP 97799853 Y

Diabetes MULTISTIX TEST STRIP (NS) DIABETIC TEST STRIP 00977586 Y

Diabetes MYLAN-GLICLAZIDE 80MG TABLET GLICLAZIDE 02229519 Y

Diabetes MYLAN-GLYBE 2.5MG TABLET GLYBURIDE 00808733 Y

Diabetes MYLAN-GLYBE 5MG TABLET GLYBURIDE 00808741 Y

Diabetes MYLAN-METFORMIN 500MG TABLET METFORMIN HCL 02148765 Y

Diabetes MYLAN-METFORMIN 850MG TABLET METFORMIN HCL 02229656 Y

Diabetes MYLAN-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02298279 Y

Diabetes MYLAN-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02298287 Y

Diabetes MYLAN-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02298295 Y

Diabetes NOVAMAX TEST STRIP (BC) DIABETIC TEST STRIP 44123043 Y

Diabetes NOVAMAX TEST STRIP (ON) DIABETIC TEST STRIP 09857313 Y

Diabetes NOVAMAX TEST STRIPS (100) DIABETIC TEST STRIP 97799583 Y

Diabetes NOVAMAX TEST STRIPS(PQ) DIABETIC TEST STRIP 99100497 Y

Diabetes NOVO GE 30/70PENFILL-5X3ML(ODB) INSUL NPH HU REC/INS RG HU REC09853812 Y

Diabetes NOVO GE NPH PENFILL-5X3ML(ODB INSULIN NPH HUMAN RECOM 09853782 Y

Diabetes NOVO GE TOR.PENFILL-5X3ML(ODB) INSULIN REG HUMAN REC 09853774 Y

Diabetes NOVOFINE 28G 12MM PEN NEEDLE NEEDLES/SYRINGES 97799909 Y

Diabetes NOVOFINE 28G 12MM PEN NEEDLE (MT) NEEDLES/SYRINGES 00901253 Y

Diabetes NOVOFINE 28G 12MM PEN NEEDLE (NS) NEEDLES/SYRINGES 00977756 Y

Diabetes NOVOFINE 28G 12MM PEN NEEDLE(SK) NEEDLES/SYRINGES 99221028 Y

Diabetes NOVOFINE 30G 6MM PEN NEEDLE NEEDLES/SYRINGES 97799911 Y

Diabetes NOVOFINE 30G 6MM PEN NEEDLE NEEDLES/SYRINGES 00988588 Y

Diabetes NOVOFINE 30G 6MM PEN NEEDLE (MT) NEEDLES/SYRINGES 00903221 Y

Diabetes NOVOFINE 30G 6MM PEN NEEDLE (NF) NEEDLES/SYRINGES 00977987 Y

Diabetes NOVOFINE 30G 6MM PEN NEEDLE (PQ) NEEDLES/SYRINGES 00964247 Y

Diabetes NOVOFINE 30G 6MM PEN NEEDLE (SK) NEEDLES/SYRINGES 99117796 Y

Diabetes NOVOFINE 30G 8MM PEN NEEDLE (MT) NEEDLES/SYRINGES 00901262 Y

Diabetes NOVOFINE 30G 8MM PEN NEEDLE (NF) NEEDLES/SYRINGES 00977310 Y

Diabetes NOVOFINE 30G 8MM PEN NEEDLE (NS) NEEDLES/SYRINGES 97799910 Y

Diabetes NOVOFINE 30G 8MM PEN NEEDLE (SK/ON)/ VEG OIL(PQ) NEEDLES/SYRINGES 00908169 Y

Diabetes NOVOFINE 32G 6MM NEEDLES (SK) NEEDLES/SYRINGES 00950941 Y

Diabetes NOVOFINE 32G 6MM PEN NEEDLE NEEDLES/SYRINGES 97799821 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 192

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes NOVOFINE 32G 6MM PEN NEEDLE NEEDLES/SYRINGES 00990163 Y

Diabetes NOVOFINE 32G ETW 6MM PEN NEEDLE NEEDLES/SYRINGES 97799764 Y

Diabetes NOVOFINE AUTOCOVER 30G 8MM PEN NEEDLE NEEDLES/SYRINGES 97799542 Y

Diabetes NOVOFINE AUTOCOVER 30G 8MM PEN NEEDLE NEEDLES/SYRINGES 00990299 Y

Diabetes NOVO-GLICLAZIDE 80MG TABLET GLICLAZIDE 02238103 Y

Diabetes NOVO-GLIMEPIRIDE 1MG TABLET GLIMEPIRIDE 02273756 Y

Diabetes NOVO-GLIMEPIRIDE 2MG TABLET GLIMEPIRIDE 02273764 Y

Diabetes NOVO-GLIMEPIRIDE 4MG TABLET GLIMEPIRIDE 02273772 Y

Diabetes NOVO-GLUCOSE TEST STRIP DIABETIC TEST STRIP 44123023 Y

Diabetes NOVO-GLUCOSE TEST STRIP DIABETIC TEST STRIP 00900974 Y

Diabetes NOVO-GLUCOSE TEST STRIP (ODB) DIABETIC TEST STRIP 09853480 Y

Diabetes NOVO-GLYBURIDE 2.5MG TABLET GLYBURIDE 01913670 Y

Diabetes NOVO-GLYBURIDE 5MG TABLET GLYBURIDE 01913689 Y

Diabetes NOVOLIN GE 10/90 PENFILL 3ML INSUL NPH HU REC/INS RG HU REC02024292 Y

Diabetes NOVOLIN GE 20/80 PENFILL INSUL NPH HU REC/INS RG HU REC02024306 Y

Diabetes NOVOLIN GE 30/70 INSUL NPH HU REC/INS RG HU REC02024217 Y

Diabetes NOVOLIN GE 30/70 CART 3ML INSULIN (REGULAR/ISOPHANE) HUM00920681 Y

Diabetes NOVOLIN GE 30/70 PENFILL 5X3ML INSUL NPH HU REC/INS RG HU REC02025248 Y

Diabetes NOVOLIN GE 40/60 PENFILL INSUL NPH HU REC/INS RG HU REC02024314 Y

Diabetes NOVOLIN GE 50/50 PENFILL INSUL NPH HU S-S/INS RG HU REC02024322 Y

Diabetes NOVOLIN GE NPH 1.5ML SUS INSULIN HUMAN SEMI SYNTHETIC ISOPHANE NPH99000342 Y

Diabetes NOVOLIN GE NPH 100U/ML VIAL INSULIN NPH HUMAN RECOM 02024225 Y

Diabetes NOVOLIN GE NPH PENFILL INSULIN NPH HUMAN RECOM 02024268 Y

Diabetes NOVOLIN GE NPH PENFILL 3ML INSULIN 99000334 Y

Diabetes NOVOLIN GE NPH PENFILL 3ML INSULIN NPH HUMAN DNA ORIGIN00908355 Y

Diabetes NOVOLIN GE TORONTO 100U/ML INSULIN REG HUMAN REC 02024233 Y

Diabetes NOVOLIN GE TORONTO 3ML PENFILL INSULIN 00921130 Y

Diabetes NOVOLIN GE TORONTO CART 3ML INSULIN 00908746 Y

Diabetes NOVOLIN GE TORONTO PENFILL INSULIN REG HUMAN REC 02024284 Y

Diabetes NOVOLIN PEN NDL 30G (MT) NEEDLES/SYRINGES 00982822 Y

Diabetes NOVOLIN TORONTO INSULIN HUMAN SEMI-SYNTHETIC 00980765 Y

Diabetes NOVO-METFORMIN 500MG TABLET METFORMIN HCL 02045710 Y

Diabetes NOVO-METFORMIN 850MG TABLET METFORMIN HCL 02230475 Y

Diabetes NOVOMIX 30 100U/ML FLEXPEN INSULIN ASPART 02265443 Y

Diabetes NOVOMIX 30 100U/ML PENFILL INSULIN ASPART 02265435 Y

Diabetes NOVOMIX 50 100U/ML FLEXPEN INSULIN ASPART 02292459 Y

Diabetes NOVOMIX 50 100U/ML PENFILL INSULIN ASPART 02292440 Y

Diabetes NOVOMIX 70 100U/ML FLEXPEN INSULIN ASPART 02292475 Y

Diabetes NOVOMIX 70 100U/ML PENFILL INSULIN ASPART 02292467 Y

Diabetes NOVO-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02274914 Y

Diabetes NOVO-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02274922 Y

Diabetes NOVO-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02274930 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 193

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes NOVORAPID 100U/ML FLEXPEN INSULIN ASPART 02247016 Y

Diabetes NOVORAPID 100U/ML INSULIN INSULIN ASPART 02245397 Y

Diabetes NOVORAPID 100U/ML INSULIN CARTRIDGE INSULIN ASPART 02244353 Y

Diabetes NTP-GLYBURIDE 2.5MG TABLET GLYBURIDE 02345854 Y

Diabetes NTP-GLYBURIDE 5MG TABLET GLYBURIDE 02345862 Y

Diabetes NU-GLICLAZIDE 80MG TABLET GLICLAZIDE 02336316 Y

Diabetes NU-GLYBURIDE 2.5MG TABLET GLYBURIDE 02020734 Y

Diabetes NU-GLYBURIDE 5MG TABLET GLYBURIDE 02020742 Y

Diabetes NU-METFORMIN 500MG TABLET METFORMIN HCL 02162822 Y

Diabetes NU-METFORMIN 850MG TABLET METFORMIN HCL 02229517 Y

Diabetes ON CALL PLUS TEST STRIP (ODB) DIABETIC TEST STRIP 09857340 Y

Diabetes ON-CALL PLUS BATON(PQ) DIABETIC TEST STRIP 99100479 Y

Diabetes ON-CALL PLUS TEST STRIP(100) DIABETIC TEST STRIP 97799582 Y

Diabetes ON-CALL PLUS TEST STRIP(BC) DIABETIC TEST STRIP 44123042 Y

Diabetes ONE TOUCH 21G SURESOFT REG LANCET LANCET 97799765 Y

Diabetes ONE TOUCH CONTROL SOLUTION DIABETIC TEST SUPPLIES 00985694 Y

Diabetes ONE TOUCH NORMAL CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799971 Y

Diabetes ONE TOUCH SURESTEP CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799972 Y

Diabetes ONE TOUCH TEST STRIP DIABETIC TEST STRIP 00981087 Y

Diabetes ONE TOUCH TEST STRIP DIABETIC TEST STRIP 00984787 Y

Diabetes ONE TOUCH TEST STRIP (100) DIABETIC TEST STRIP 97799976 Y

Diabetes ONE TOUCH TEST STRIP (BC) DIABETIC TEST STRIP 44123011 Y

Diabetes ONE TOUCH TEST STRIP (MT) DIABETIC TEST STRIP 00905399 Y

Diabetes ONE TOUCH TEST STRIP (NS) DIABETIC TEST STRIP 00977837 Y

Diabetes ONE TOUCH TEST STRIP (ODB) DIABETIC TEST STRIP 09853243 Y

Diabetes ONE TOUCH TEST STRIP (PQ) DIABETIC TEST SUPPLIES 00897655 Y

Diabetes ONE TOUCH TEST STRIP (SK) DIABETIC TEST STRIP 00950459 Y

Diabetes ONE TOUCH ULTRA CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799974 Y

Diabetes ONE TOUCH ULTRA CONTROL SOLUTION DIABETIC TEST SUPPLIES 00909580 Y

Diabetes ONE TOUCH ULTRA TEST STRIP (100) DIABETIC TEST STRIP 97799985 Y

Diabetes ONE TOUCH ULTRA TEST STRIP (BC) DIABETIC TEST STRIP 44123025 Y

Diabetes ONE TOUCH ULTRA TEST STRIP (MT) DIABETIC TEST STRIP 00907000 Y

Diabetes ONE TOUCH ULTRA TEST STRIP (NS) DIABETIC TEST STRIP 00977936 Y

Diabetes ONE TOUCH ULTRA TEST STRIP (ON) DIABETIC TEST STRIP 09854290 Y

Diabetes ONE TOUCH ULTRA TEST STRIP (ON) DIABETIC TEST STRIP 00909483 Y

Diabetes ONE TOUCH ULTRA TEST STRIP (PQ) DIABETIC TEST STRIP 99004240 Y

Diabetes ONE TOUCH ULTRA TEST STRIP (SK) DIABETIC TEST STRIP 00950893 Y

Diabetes ONE-TOUCH FINE POINT LANCET LANCET 00908576 Y

Diabetes ONE-TOUCH FINE POINT LANCET (MT)/ DUODERM CGF 14X14 (PQ)LANCET 00907707 Y

Diabetes ONE-TOUCH FINE POINT LANCET (NS) LANCET 97799969 Y

Diabetes ONE-TOUCH FINE POINT LANCET (NS) LANCET 00977853 Y

Diabetes ONE-TOUCH REGULAR LANCET LANCET 00961205 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 194

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes ONE-TOUCH REGULAR LANCET LANCET 00907421 Y

Diabetes ONE-TOUCH REGULAR LANCET (MT) LANCET 00901555 Y

Diabetes ONE-TOUCH REGULAR LANCET (NS) LANCET 97799968 Y

Diabetes ONE-TOUCH ULTRA SOFT LANCET LANCET 00909394 Y

Diabetes ONE-TOUCH ULTRA SOFT LANCET (NS) LANCET 00977854 Y

Diabetes ONE-TOUCH ULTRA SOFT LANCET (PQ) LANCET 00963984 Y

Diabetes ONE-TOUCH ULTRA SOFT LANCET (SK) LANCET 00901359 Y

Diabetes ONE-TOUCH ULTRA SOFT LANCET(MT) LANCET 00901556 Y

Diabetes ONE-TOUCH ULTRASOFT LANCET (NS) LANCET 97799970 Y

Diabetes ONGLYZA 5MG TABLET SAXAGLIPTIN HCL 02333554 Y

Diabetes ORACLE TEST STRIP (PQ) DIABETIC TEST STRIP 99100516 Y

Diabetes ORB-METFORMIN 500MG TABLET METFORMIN HCL 02246613 Y

Diabetes ORB-METFORMIN 850MG TABLET METFORMIN HCL 02246614 Y

Diabetes PEN NEEDLE MICRO IV 100'S NEEDLES/SYRINGES 00907030 Y

Diabetes PEN NEEDLE ULTRA II 30 GAUG NEEDLES/SYRINGES 00908525 Y

Diabetes PENFINE UNIVERSAL CLICK 29G 10MM PEN NEEDLE PEN NEEDLE 97799537 Y

Diabetes PENFINE UNIVERSAL CLICK 31G 6MM PEN NEEDLE PEN NEEDLE 97799539 Y

Diabetes PENFINE UNIVERSAL CLICK 31G 8MM PEN NEEDLE PEN NEEDLE 97799538 Y

Diabetes PHL-METFORMIN 500MG TABLET METFORMIN HCL 02246964 Y

Diabetes PHL-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02307669 Y

Diabetes PHL-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02307677 Y

Diabetes PHL-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02307723 Y

Diabetes PIN:BD DISP NDL 21G1 SYRINGE NEEDLES/SYRINGES 95051654 Y

Diabetes PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02345366 Y

Diabetes PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02334674 Y

Diabetes PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02339587 Y

Diabetes PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02345374 Y

Diabetes PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02334682 Y

Diabetes PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02339595 Y

Diabetes PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02345382 Y

Diabetes PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02334690 Y

Diabetes PMS-GLICLAZIDE 80MG TABLET GLICLAZIDE 02294400 Y

Diabetes PMS-GLIMEPIRIDE 1MG TABLET GLIMEPIRIDE 02284545 Y

Diabetes PMS-GLIMEPIRIDE 2MG TABLET GLIMEPIRIDE 02284553 Y

Diabetes PMS-GLIMEPIRIDE 4MG TABLET GLIMEPIRIDE 02313596 Y

Diabetes PMS-GLYBURIDE 2.5MG TABLET GLYBURIDE 02236733 Y

Diabetes PMS-GLYBURIDE 5MG TABLET GLYBURIDE 02236734 Y

Diabetes PMS-METFORMIN 500MG TABLET METFORMIN HCL 02223562 Y

Diabetes PMS-METFORMIN 850MG TABLET METFORMIN HCL 02242589 Y

Diabetes PMS-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02303124 Y

Diabetes PMS-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02303132 Y

Diabetes PMS-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02303140 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 195

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes PRECISION EASY TEST STRIP (BC) DIABETIC TEST STRIP 44123031 Y

Diabetes PRECISION EASY TEST STRIP (MT) DIABETIC TEST STRIP 00906300 Y

Diabetes PRECISION EASY TEST STRIP (NS) DIABETIC TEST STRIP 00977110 Y

Diabetes PRECISION EASY TEST STRIP (ON) DIABETIC TEST STRIP 09857508 Y

Diabetes PRECISION EASY TEST STRIP (PQ) DIABETIC TEST STRIP 99100013 Y

Diabetes PRECISION GLUCOSE/KETONE CONTROL SOLUTION DIABETIC TEST SUPPLIES 97799839 Y

Diabetes PRECISION LANCET (MT) LANCET 00907278 Y

Diabetes PRECISION LANCET (NS) LANCET 00977307 Y

Diabetes PRECISION LANCET 100'S (NS) LANCET 97799833 Y

Diabetes PRECISION LANCET 200'S (NS) LANCET 97799832 Y

Diabetes PRECISION MEDISENSE LANCET LANCET 00908533 Y

Diabetes PRECISION PLUS SENSOR ELECTRODE DIABETIC TEST STRIP 00967904 Y

Diabetes PRECISION PLUS SENSOR ELECTRODE (100) DIABETIC TEST STRIP 97799843 Y

Diabetes PRECISION PLUS SENSOR ELECTRODE (BC) DIABETIC TEST STRIP 44123015 Y

Diabetes PRECISION PLUS SENSOR ELECTRODE (MEDISENSE COMPANION)DIABETIC TEST STRIP 00977059 Y

Diabetes PRECISION PLUS SENSOR ELECTRODE (MT) DIABETIC TEST STRIP 00912964 Y

Diabetes PRECISION PLUS SENSOR ELECTRODE (NF) DIABETIC TEST STRIP 00977919 Y

Diabetes PRECISION PLUS SENSOR ELECTRODE (NS) DIABETIC TEST STRIP 00977087 Y

Diabetes PRECISION PLUS SENSOR ELECTRODE (ODB) DIABETIC TEST STRIP 09853146 Y

Diabetes PRECISION PLUS SENSOR ELECTRODE (PQ) DIABETIC TEST STRIP 00801135 Y

Diabetes PRECISION PLUS SENSOR ELECTRODE (SK) DIABETIC TEST STRIP 00950300 Y

Diabetes PRECISION PLUS(MT)/CLINDA PWD(ON) DIABETIC TEST STRIP 00906298 Y

Diabetes PRECISION XTRA B-KETONE TEST STRIP KETONE TEST STRIP 97799762 Y

Diabetes PRECISION XTRA GLUCOSE TEST STRIP (PQ) DIABETIC TEST STRIP 99004119 Y

Diabetes PRECISION XTRA KETONE TEST STRIP (MT) KETONE TEST STRIP 00906299 Y

Diabetes PRECISION XTRA KETONE TEST STRIP (NS) KETONE TEST STRIP 97799835 Y

Diabetes PRECISION XTRA KETONE TEST STRIP (ON) KETONE TEST STRIP 00909386 Y

Diabetes PRECISION XTRA KETONE TEST STRIP (PQ) KETONE TEST STRIP 99004879 Y

Diabetes PRECISION XTRA KETONE TEST STRIP (SK) KETONE TEST STRIP 00950896 Y

Diabetes PRECISION XTRA TEST STRIP (100) DIABETIC TEST STRIP 97799840 Y

Diabetes PRECISION XTRA TEST STRIP (BC) DIABETIC TEST STRIP 44123024 Y

Diabetes PRECISION XTRA TEST STRIP (MT) DIABETIC TEST STRIP 00908437 Y

Diabetes PRECISION XTRA TEST STRIP (NS) DIABETIC TEST STRIP 00977100 Y

Diabetes PRECISION XTRA TEST STRIP (ODB) DIABETIC TEST STRIP 09854070 Y

Diabetes PRECISION XTRA TEST STRIP (SK) DIABETIC TEST STRIP 00950894 Y

Diabetes PRESTIGE TEST STRIP DIABETIC TEST STRIP 00950831 Y

Diabetes PRESTIGE TEST STRIP (BC) DIABETIC TEST STRIP 44123029 Y

Diabetes PRESTIGE TEST STRIP (MT) DIABETIC TEST STRIP 00900249 Y

Diabetes PRESTIGE TEST STRIP (ODB) DIABETIC TEST STRIP 09853677 Y

Diabetes PRESTIGE TEST STRIP (PQ) DIABETIC TEST STRIP 99001977 Y

Diabetes PRO-GLYBURIDE 5MG TABLET GLYBURIDE 02316544 Y

Diabetes PROGLYCEM 100MG CAPSULE DIAZOXIDE 00503347 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 196

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes PRO-METFORMIN 500MG TABLET METFORMIN HCL 02314908 Y

Diabetes PRO-METFORMIN 850MG TABLET METFORMIN HCL 02314894 Y

Diabetes PRO-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02312050 Y

Diabetes PRO-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02312069 Y

Diabetes PRO-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02312077 Y

Diabetes PROVAL-GLICLAZIDE 80MG TABLET GLICLAZIDE 02155850 Y

Diabetes Q-METFORMIN 500MG TABLET METFORMIN HCL 02339110 Y

Diabetes Q-METFORMIN 850MG TABLET METFORMIN HCL 02339129 Y

Diabetes RAN-METFORMIN 500MG TABLET METFORMIN HCL 02269031 Y

Diabetes RAN-METFORMIN 850MG TABLET METFORMIN HCL 02269058 Y

Diabetes RATIO-GLIMEPIRIDE 1MG TABLET GLIMEPIRIDE 02273101 Y

Diabetes RATIO-GLIMEPIRIDE 2MG TABLET GLIMEPIRIDE 02273128 Y

Diabetes RATIO-GLIMEPIRIDE 4MG TABLET GLIMEPIRIDE 02273136 Y

Diabetes RATIO-GLYBURIDE 2.5MG TABLET GLYBURIDE 01900927 Y

Diabetes RATIO-GLYBURIDE 5MG TABLET GLYBURIDE 01900935 Y

Diabetes RATIO-METFORMIN 500MG TABLET METFORMIN HCL 02242974 Y

Diabetes RATIO-METFORMIN 850MG TABLET METFORMIN HCL 02242931 Y

Diabetes RATIO-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02301423 Y

Diabetes RATIO-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02301431 Y

Diabetes RATIO-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02301458 Y

Diabetes RHOXAL-METFORMIN 500MG TABLET METFORMIN HCL 02233999 Y

Diabetes RIVA-GLYBURIDE 2.5MG TABLET GLYBURIDE 02242095 Y

Diabetes RIVA-GLYBURIDE 2.5MG TABLET GLYBURIDE 02236543 Y

Diabetes RIVA-GLYBURIDE 5MG TABLET GLYBURIDE 02242096 Y

Diabetes RIVA-GLYBURIDE 5MG TABLET GLYBURIDE 02236548 Y

Diabetes RIVA-METFORMIN 500MG TABLET METFORMIN HCL 02239081 Y

Diabetes RIVA-METFORMIN 850MG TABLET METFORMIN HCL 02242783 Y

Diabetes SANDOZ METFORMIN 500MG TABLET METFORMIN HCL 02246820 Y

Diabetes SANDOZ METFORMIN 850MG TABLET METFORMIN HCL 02246821 Y

Diabetes SANDOZ PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02297906 Y

Diabetes SANDOZ PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02297914 Y

Diabetes SANDOZ PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02297922 Y

Diabetes SANDOZ-GLICLAZIDE 80MG TABLET GLICLAZIDE 02254719 Y

Diabetes SANDOZ-GLIMEPIRIDE 1MG TABLET GLIMEPIRIDE 02269589 Y

Diabetes SANDOZ-GLIMEPIRIDE 2MG TABLET GLIMEPIRIDE 02269597 Y

Diabetes SANDOZ-GLIMEPIRIDE 3MG TABLET GLIMEPIRIDE 02269600 Y

Diabetes SANDOZ-GLIMEPIRIDE 4MG TABLET GLIMEPIRIDE 02269619 Y

Diabetes SANDOZ-GLYBURIDE 2.5MG TABLET GLYBURIDE 02248008 Y

Diabetes SANDOZ-GLYBURIDE 5MG TABLET GLYBURIDE 02248009 Y

Diabetes SERINGUE 0.25CC AVEC AIGUELLE JETABLE POUR INSULINE NEEDLES/SYRINGES 99002132 Y

Diabetes SERINGUE 0.3CC AVEC AIGUELLE JETABLE POUR INSULINE NEEDLES/SYRINGES 99002140 Y

Diabetes SERINGUE 0.5CC AVEC AIGUELLE JETABLE POUR INSULINE NEEDLES/SYRINGES 99002159 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 197

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes SERINGUE 1.0CC AVEC AIGUELLE JETABLE POUR INSULINE NEEDLES/SYRINGES 99002167 Y

Diabetes SERINGUE ET AIGUILLE 1CC JETABLE NEEDLES/SYRINGES 99002558 Y

Diabetes SERINGUE ET AIGUILLE(S) 1CC JETABLE NEEDLES/SYRINGES 99002345 Y

Diabetes SERINGUE JETABLE 1CC (SANS AIGUILLE) NEEDLES/SYRINGES 99002531 Y

Diabetes SERINGUE JETABLE 1CC (SANS AIGUILLE) NEEDLES/SYRINGES 99002337 Y

Diabetes SERINGUE ULTICARE 12MM (ULTIGUARD) 30GX0.3CC SER(PQ) NEEDLES/SYRINGES 00965065 Y

Diabetes SERINGUE ULTICARE 12MM (ULTIGUARD) 30GX0.5CC SER(PQ) NEEDLES/SYRINGES 00965073 Y

Diabetes SERINGUE ULTICARE 12MM (ULTIGUARD) 30GX1CC SER(PQ) NEEDLES/SYRINGES 00965057 Y

Diabetes SERINGUE ULTICARE 8MM (ULTIGUARD) 31GX0.3CC SER(PQ) NEEDLES/SYRINGES 00965081 Y

Diabetes SERINGUE ULTICARE 8MM (ULTIGUARD) 31GX0.5CC SER(PQ) NEEDLES/SYRINGES 00965103 Y

Diabetes SERINGUE ULTICARE 8MM (ULTIGUARD) 31GX1CC SER(PQ) NEEDLES/SYRINGES 00965111 Y

Diabetes SERINGUE ULTRA-FINE LL 31X0.3CC SER NEEDLES/SYRINGES 00964441 Y

Diabetes SIDEKICK BATON DIABETIC TEST STRIP 99100412 Y

Diabetes SIDEKICK BLOOD GLUCOSE TEST STRIPS(BC) DIABETIC TEST STRIP 44123035 Y

Diabetes SIDEKICK BLOOD GLUCOSE TEST STRIPS(NF) DIABETIC TEST STRIP 00977140 Y

Diabetes SIDEKICK BLOOD GLUCOSE TEST(STRIPS WITH BUILD IN METER)DIABETIC TEST STRIP 97799601 Y

Diabetes SIDEKICK LANCET (SK) LANCET 00950948 Y

Diabetes SIG-METFORMIN 500MG TABLET METFORMIN HCL 02331519 Y

Diabetes SIG-METFORMIN 850MG TABLET METFORMIN HCL 02331527 Y

Diabetes SINGLE-LET LANCET LANCET 00990345 Y

Diabetes SOF-TACT TEST STRIP (100) DIABETIC TEST STRIP 97799838 Y

Diabetes SOF-TACT TEST STRIP (BC) DIABETIC TEST STRIP 44123027 Y

Diabetes SOF-TACT TEST STRIP (MT) DIABETIC TEST STRIP 00900303 Y

Diabetes SOF-TACT TEST STRIP (NS) DIABETIC TEST STRIP 00977103 Y

Diabetes SOF-TACT TEST STRIP (ODB) DIABETIC TEST STRIP 09854304 Y

Diabetes SOF-TACT TEST STRIP (PQ) DIABETIC TEST STRIP 99004577 Y

Diabetes SOF-TACT TEST STRIP (SK) DIABETIC TEST STRIP 00950902 Y

Diabetes SOFT-IN 1/3CC 1/2CC 1CC SYRINGE (NS) NEEDLES/SYRINGES 00977594 Y

Diabetes SOFT-IN 27G 1CC SYRINGE (PQ) NEEDLES/SYRINGES 00920657 Y

Diabetes SOFT-IN 29G 1/2CC SYRINGE (PQ) NEEDLES/SYRINGES 00920665 Y

Diabetes SOFTTOUCH LANCET LANCET 00908231 Y

Diabetes SOFTTOUCH LANCET (MT/ SK/ ON/ PQ) LANCET 00905917 Y

Diabetes SOFTTOUCH LANCET (NS) LANCET 00977952 Y

Diabetes SOFTTOUCH LANCET 200'S (NS) LANCET 97799943 Y

Diabetes STARLIX 120MG TABLET NATEGLINIDE 02245439 Y

Diabetes STARLIX 180MG TABLET NATEGLINIDE 02245440 Y

Diabetes STARLIX 60MG TABLET NATEGLINIDE 02245438 Y

Diabetes SUPER-FINE PEN NEEDLES MICRO 31G 5MM NEEDLES/SYRINGES 97799563 Y

Diabetes SUPER-FINE PEN NEEDLES STANDARD 29G 12.7MM NEEDLES/SYRINGES 97799561 Y

Diabetes SUPER-FINE PEN NEEDLES XTRA 31G 8MM NEEDLES/SYRINGES 97799562 Y

Diabetes SUPERLITE LANCET (MT) LANCET 00982423 Y

Diabetes SURELITE LANCET LANCET 00967432 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 198

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Diabetes SURELITE LANCET LANCET 00906441 Y

Diabetes SURELITE LANCET (MT) LANCET 00930116 Y

Diabetes SURELITE LANCET (MT)/IDM SOLUTION (PRO) CAMPHOR (PQ) LANCET 00900559 Y

Diabetes SURELITE LANCET (NF) LANCET 00977888 Y

Diabetes SURESTEP CONTROL SOLUTION DIABETIC TEST SUPPLIES 00909629 Y

Diabetes SURESTEP TEST STRIP DIABETIC TEST STRIP 00908843 Y

Diabetes SURESTEP TEST STRIP (100) DIABETIC TEST STRIP 97799979 Y

Diabetes SURESTEP TEST STRIP (BC) DIABETIC TEST STRIP 44123012 Y

Diabetes SURESTEP TEST STRIP (MT) DIABETIC TEST STRIP 00999482 Y

Diabetes SURESTEP TEST STRIP (NS) DIABETIC TEST STRIP 00977551 Y

Diabetes SURESTEP TEST STRIP (ON) DIABETIC TEST STRIP 09853634 Y

Diabetes SURESTEP TEST STRIP (PQ) DIABETIC TEST STRIP 99000318 Y

Diabetes SURESTEP TEST STRIP (SK) DIABETIC TEST STRIP 00950734 Y

Diabetes SURGILANCE SAFETY LANCET (1.8MM/23G GREY) LANCET 97799554 Y

Diabetes SURGILANCE SAFETY LANCET (1MM/26G YELLOW) LANCET 97799555 Y

Diabetes SURGILANCE SAFETY LANCET (2.2MM/22G ORANGE) LANCET 97799553 Y

Diabetes SURGILANCE SAFETY LANCET (2.8MM/21G PINK) LANCET 97799552 Y

Diabetes SYRINGES TERUMO/SOFT-IN 29G SYRINGE (NF) NEEDLES/SYRINGES 00977608 Y

Diabetes SYRN INSULIN #2029 NEEDLES/SYRINGES 00902829 Y

Diabetes SYRN INSULIN 30 UNIT MICR NEEDLES/SYRINGES 00905690 Y

Diabetes SYRN INSULIN TERUMO 1/2ML NEEDLES/SYRINGES 00904384 Y

Diabetes SYRN INSULIN U 100 0.35CC NEEDLES/SYRINGES 00902837 Y

Diabetes TERUMO INSULIN SYR 1 ML NEEDLES/SYRINGES 00904392 Y

Diabetes TERUMO INSULIN SYR 1/4 CC NEEDLES/SYRINGES 00905968 Y

Diabetes TERUMO INSULIN SYRINGE 29G 1CC NEEDLES/SYRINGES 00905984 Y

Diabetes TOLBUTAMIDE 500MG TABLET TOLBUTAMIDE 00156663 Y

Diabetes TRIA-METFORMIN 500MG METFORMIN HCL 02188902 Y

Diabetes TRUE TRACK BATON DIABETIC TEST STRIP 99100413 Y

Diabetes TRUE TRACK BLOOD GLUCOSE TEST STRIP (100) DIABETIC TEST STRIP 97799602 Y

Diabetes TRUE TRACK BLOOD GLUCOSE TEST STRIPS(BC) DIABETIC TEST STRIP 44123036 Y

Diabetes TRUE TRACK SMART SYSTEM STRIPS (ON) DIABETIC TEST STRIP 09857283 Y

Diabetes TRUE TRACK TEST STRIPS(NF) DIABETIC TEST STRIP 00977141 Y

Diabetes TRUETEST BLOOD GLUCOSE TEST STRIPS(BC) DIABETIC TEST STRIP 44123045 Y

Diabetes TRUETEST TEST STRIPS(100) DIABETIC TEST STRIP 97799532 Y

Diabetes TRUETRACK SMART SYSTEM STRIP (SK) DIABETIC TEST STRIP 00950957 Y

Diabetes ULTICARE 29G 1/2CC SYRINGE NEEDLES/SYRINGES 97799998 Y

Diabetes ULTICARE 29G 1/2CC SYRINGE (MT) NEEDLES/SYRINGES 00900505 Y

Diabetes ULTICARE 29G 1/2CC SYRINGE (ON/PQ/SK) NEEDLES/SYRINGES 00963941 Y

Diabetes ULTICARE 29G 1CC SYRINGE NEEDLES/SYRINGES 97799997 Y

Diabetes ULTICARE 29G 1CC SYRINGE (MT) NEEDLES/SYRINGES 00900504 Y

Diabetes ULTICARE 29G 1CC SYRINGE (ON/PQ/SK) NEEDLES/SYRINGES 00963895 Y

Diabetes ULTICARE 29G 3/10CC SYRINGE NEEDLES/SYRINGES 97799999 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 199

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LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

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LEVEL 3

50%Prior Authorization

Diabetes ULTICARE 29G 3/10CC SYRINGE (MT) NEEDLES/SYRINGES 00900506 Y

Diabetes ULTICARE 29G 3/10CC SYRINGE (ON/PQ/SK) NEEDLES/SYRINGES 00964018 Y

Diabetes ULTICARE 30G 1/2CC SYRINGE NEEDLES/SYRINGES 97799995 Y

Diabetes ULTICARE 30G 1/2CC SYRINGE (MT) NEEDLES/SYRINGES 00900502 Y

Diabetes ULTICARE 30G 1/2CC SYRINGE (ON/PQ/SK) NEEDLES/SYRINGES 00964115 Y

Diabetes ULTICARE 30G 1CC SYRINGE NEEDLES/SYRINGES 97799994 Y

Diabetes ULTICARE 30G 1CC SYRINGE (MT) NEEDLES/SYRINGES 00900501 Y

Diabetes ULTICARE 30G 1CC SYRINGE (ON/PQ/SK) NEEDLES/SYRINGES 00964069 Y

Diabetes ULTICARE 30G 3/10CC SYRINGE NEEDLES/SYRINGES 97799996 Y

Diabetes ULTICARE 30G 3/10CC SYRINGE (MT) NEEDLES/SYRINGES 00900503 Y

Diabetes ULTICARE 30G 3/10CC SYRINGE (ON/PQ/SK) NEEDLES/SYRINGES 00964174 Y

Diabetes ULTICARE PEN NEEDLES 29G 1/2INCH NEEDLES/SYRINGES 97799543 Y

Diabetes ULTICARE PEN NEEDLES 31G 6MM NEEDLES/SYRINGES 97799545 Y

Diabetes ULTICARE PEN NEEDLES 31G 8MM NEEDLES/SYRINGES 97799544 Y

Diabetes ULTICARE-ULTIGUARD SYRINGE 0.3CC 30G NEEDLES/SYRINGES 97799551 Y

Diabetes ULTICARE-ULTIGUARD SYRINGE 0.3CC 31G NEEDLES/SYRINGES 97799548 Y

Diabetes ULTICARE-ULTIGUARD SYRINGE 0.5CC 30G NEEDLES/SYRINGES 97799550 Y

Diabetes ULTICARE-ULTIGUARD SYRINGE 0.5CC 31G NEEDLES/SYRINGES 97799547 Y

Diabetes ULTICARE-ULTIGUARD SYRINGE 1CC 30G NEEDLES/SYRINGES 97799549 Y

Diabetes ULTICARE-ULTIGUARD SYRINGE 1CC 31G NEEDLES/SYRINGES 97799546 Y

Diabetes ULTIGUARD SYRINGE 0.3CC 29G NEEDLES/SYRINGES 97799908 Y

Diabetes ULTIGUARD SYRINGE 0.3CC 30G NEEDLES/SYRINGES 97799905 Y

Diabetes ULTIGUARD SYRINGE 0.5CC 29G NEEDLES/SYRINGES 97799907 Y

Diabetes ULTIGUARD SYRINGE 0.5CC 30G NEEDLES/SYRINGES 97799904 Y

Diabetes ULTIGUARD SYRINGE 1CC 29G NEEDLES/SYRINGES 97799906 Y

Diabetes ULTIGUARD SYRINGE 1CC 30G NEEDLES/SYRINGES 97799903 Y

Diabetes UNIFINE PEN NED 29G 12MM (MT) PEN NEEDLE 00900513 Y

Diabetes UNIFINE PEN NED 29G 12MM (NS) PEN NEEDLE 97799991 Y

Diabetes UNIFINE PEN NED 29G 12MM (PQ/ON/SK) PEN NEEDLE 00964344 Y

Diabetes UNIFINE PEN NED 31G 6MM (NS) PEN NEEDLE 97799993 Y

Diabetes UNIFINE PEN NED 31G 6MM (PQ/ON/SK) PEN NEEDLE 00964220 Y

Diabetes UNIFINE PEN NED 31G 8MM (MT) PEN NEEDLE 00900512 Y

Diabetes UNIFINE PEN NED 31G 8MM (NS) PEN NEEDLE 97799992 Y

Diabetes UNIFINE PEN NED 31G 8MM (PQ/ON/SK) PEN NEEDLE 00964271 Y

Diabetes UNIFINE PENTIP 31G 6MM (MT) PEN NEEDLE 00900511 Y

Diabetes UNILET LANCET LANCET 00984167 Y

Diabetes UNILETS BLOOD LANCET LANCET 00985023 Y

Diabetes URISTIX (100) DIABETIC TEST STRIP 97799852 Y

Diabetes URISTIX (NF) DIABETIC TEST STRIP 00977365 Y

Diabetes URISTIX 4 TEST STRIP DIABETIC TEST STRIP 00904988 Y

Diabetes URISTIX 4 TEST STRIP DIABETIC TEST STRIP 00813222 Y

Diabetes URISTIX 4 TEST STRIP (100) DIABETIC TEST STRIP 97799857 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 200

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LEVEL 2

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68%

LEVEL 3

50%Prior Authorization

Diabetes URISTIX STP/GLYCERIN/MIX:HYDROCORTISONE 0.5% IN GLAXAL (NS)DIABETIC TEST SUPPLIES/COMPOUND00903159 Y

Diabetes VICTOZA 1.2MG PEN INJECTOR LIRAGLUTIDE 02351056 Y

Diabetes VICTOZA MULTIDOSE PEN INJECTOR LIRAGLUTIDE 02351064 Y

Diabetes VISIDEX II STRIP DIABETIC TESTING STRIPS 00990280 Y

Diabetes VITALET (EQUATE) 23G LANCET LANCET 00909912 Y

Diabetes VITALET (EQUATE) 26G LANCET LANCET 00909920 Y

Diabetes ZYM-PIOGLITAZONE 15MG TABLET PIOGLITAZONE HCL 02320754 Y

Diabetes ZYM-PIOGLITAZONE 30MG TABLET PIOGLITAZONE HCL 02320762 Y

Diabetes ZYM-PIOGLITAZONE 45MG TABLET PIOGLITAZONE HCL 02320770 Y

Disease prevention vaccines* ACT HIB VACCINE HAEMOPH B POLYSAC CONJ-TET TOX01959034 Y

Disease prevention vaccines* ACTACEL HYBRID INJECTION HAEM.B PERT.DIPH.TET. ADSORBED02238684 Y

Disease prevention vaccines* ACTACEL INJECTION HAEM.B PERT.DIPH.TET. ADSORBED02238683 Y

Disease prevention vaccines* ADACEL VACCINE DIPHTH/PERTUSS(ACELL)/TET VAC02240255 Y

Disease prevention vaccines* ADACEL-POLIO VACCINE PERTUSS/FHA/PERTACTIN/DIP/TET/POLIO02352044 Y

Disease prevention vaccines* AVAXIM - 160U/0.5ML INJECTION HEPATITIS A VACCINE- INACTIVATED02237792 Y

Disease prevention vaccines* AVAXIM PEDIATRIC 800U/5ML VACCINE HEPATITIS A VACCINE- INACTIVATED02243750 Y

Disease prevention vaccines* AVAXIM PEDIATRIC 80U/0.5ML VACCINE HEPATITIS A VACCINE- INACTIVATED02243741 Y

Disease prevention vaccines* BCG VACCINE (FREEZE DRIED) BCG VACCINE 00075124 Y

Disease prevention vaccines* BOOSTRIX INJECTION DIPHTHERIA/TETANUS/PERTUSIS/HAEMAGGLUTININ/PERTACTIN02247600 Y

Disease prevention vaccines* BOOSTRIX-POLIO PERTUSS/FHA/PERTACTIN/DIP/TET/POLIO02312557 Y

Disease prevention vaccines* CERVARIX VACCINE HUMAN PAPILLOMAVIRUS (TYPES 16-18) RECOMB VACCINE02342227 Y

Disease prevention vaccines* COLERTIF BERNA VACCINE VIABLE S. TYPHI CHOLERAE CVD 02241886 Y

Disease prevention vaccines* DUKORAL ORAL VACCINE CHOLERA VACCINE 02247208 Y

Disease prevention vaccines* ENGERIX-B 10MCG/0.5ML VIAL HEPATITIS B VIRUS VACCINE 02296454 Y

Disease prevention vaccines* ENGERIX-B 20MCG/ML VIAL HEPATITIS B VIRUS VACCINE 01919431 Y

Disease prevention vaccines* FLUVIRAL S/F INFLUENZA VIRUS TRIVALENT 02015986 Y

Disease prevention vaccines* FLUZONE SINGLE DOSE SYRINGE VACCINES 00908681 Y

Disease prevention vaccines* GARDASIL VACCINE QUADRIVALENT HUMAN PAPILLOMAVIRUS (TYPES 6-11-16-18) RECOMBINANT02283190 Y

Disease prevention vaccines* HAVRIX-A 1440U/ML VACCINE HEPATITIS A VIRUS VACCINE 02187078 Y

Disease prevention vaccines* HAVRIX-A 720U/ML VACCINE HEPATITIS A VIRUS VACCINE 02231056 Y

Disease prevention vaccines* HYPERTET S/D 250 U/DOSE INJ TETANUS IMMUNE GLOBULIN 02230697 Y

Disease prevention vaccines* IMOVAX POLIO VACCINE INACTIVATED POLIO VACCINE 01959042 Y

Disease prevention vaccines* IMOVAX RABIES VACCINE RABIES VACCINE INACTIVATED 01908286 Y

Disease prevention vaccines* INFLUVAC VACCINE HAEM. A./ HAEM. B. 02269562 Y

Disease prevention vaccines* IPV POLIO VACCINE INACTIVATED POLIO VACCINE 02231267 Y

Disease prevention vaccines* IXIARO VIAL JAPANESE ENCEPHALITIS VACCINE02333279 Y

Disease prevention vaccines* JE-VAX VIAL JAPANESE ENCEPHALITIS VACCINE02048744 Y

Disease prevention vaccines* MENACTRA 0.5ML INJECTION MENINGOCOCCAL POLY/DIPHTHERIA TOXOID 02279924 Y

Disease prevention vaccines* MENINGITEC VACCINE INJECTION MENINGOCOCCAL C/DIPHTHERIA 02248649 Y

Disease prevention vaccines* MENJUGATE VACCINE MENINGOCOCCAL C/CORYNEBACTERIUM DIPHTHERIAE02243820 Y

Disease prevention vaccines* MENOMUNE 1 DOSE VIAL MENINGOCOCCAL VAC A C Y W-13501959018 Y

Disease prevention vaccines* MENOMUNE 10 DOSE VIAL MENINGOCOCCAL VAC A C Y W-13500588490 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 201

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LEVEL 2

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Disease prevention vaccines* MENOMUNE A/C/Y/W135 200MCG/0.5ML MENINGOCOCCAL VACCINE A&C 01962884 Y

Disease prevention vaccines* M-M-R II VACCINE VIAL MEASLES/MUMPS/RUBELLA VACCINE00466085 Y

Disease prevention vaccines* MORU-VIRATEN BERNA VACCINE MEASLES/RUBELLA 02211017 Y

Disease prevention vaccines* NEISVAC-C VACCINE MENINGOCOCCAL C POLY/TETANUS TOXOID02245057 Y

Disease prevention vaccines* PEDIACEL 0.5ML INJECTION PERTUSS/DIPHTH/TET/POLIO/HAEM02243167 Y

Disease prevention vaccines* PEDIARIX VACCINE DIPHTH/TET/PERT/HAEM/HEP B/POLIO02248029 Y

Disease prevention vaccines* PEDVAXHIB LIQUID HAEMOPH B POLYSAC CONJ-MENING02235721 Y

Disease prevention vaccines* PENTACEL VACCINE DP(A)T-POLIO/HIB CONJ-TET 02231343 Y

Disease prevention vaccines* PNEUMO 23 25MCG/0.5ML INJECTION PNEUMOCOCCAL VACC 23-VALENT 02231259 Y

Disease prevention vaccines* PNEUMOVAX 23 VIAL PNEUMOCOCCAL VACC 23-VALENT 00431648 Y

Disease prevention vaccines* PREVNAR 13 VACCINE PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE02335204 Y

Disease prevention vaccines* PREVNAR VACCINE PNEUMOCOCCAL 7-VALENT CONJUGATE VACCINE02244081 Y

Disease prevention vaccines* PRIORIX INJECTION MEASLES/MUMPS/RUBELLA VACCINE02239208 Y

Disease prevention vaccines* PRIORIX-TETRA VACCINE MEASLES/MUMPS/RUBELLA/VARICELLA02297884 Y

Disease prevention vaccines* QUADRACEL VACCINE DIP/PERT(ACELL)/TET/POLIO VACC02230946 Y

Disease prevention vaccines* RABAVERT VACCINE RABIES VACCINE / CHICK EMBRYO 02267667 Y

Disease prevention vaccines* RECOMBIVAX HB 10MCG/ML VIAL HEPATITIS B VIRUS VACCINE 00749486 Y

Disease prevention vaccines* RECOMBIVAX HB 40MCG/ML PRESERVATIVE FREE HEPATITIS B VIRUS VACCINE 02245977 Y

Disease prevention vaccines* RECOMBIVAX HB PRESERVATIVE FREE VACCINE HEPATITIS B VIRUS VACCINE 02243676 Y

Disease prevention vaccines* ROTARIX VACCINE ROTAVIRUS VACCINE 02300591 Y

Disease prevention vaccines* ROTATEQ VACCINE ROTAVIRUS VACCINE 02284413 Y

Disease prevention vaccines* SYNFLORIX INJECTION PNEUMOCOCCAL 10-VALENT CONJUGATE VACCINE02320541 Y

Disease prevention vaccines* TD POLIO ADSORBED ADULT VIAL DIP/TET/POLIO VACCINE 00615358 Y

Disease prevention vaccines* TET & DIPH TOXOID VIAL ADULT TETANUS/DIPHTHER TOXOID 00514462 Y

Disease prevention vaccines* TRIPACEL VACCINE DIPHTH/PERTUSS(ACELL)/TET VAC02224143 Y

Disease prevention vaccines* TRIPACEL VACCINE DIPHTH/PERTUSS(ACELL)/TET VAC02230273 Y

Disease prevention vaccines* TWINRIX ADULT 1ML VACCINE HEPATITIS B VIR/HEP A VIR 02230578 Y

Disease prevention vaccines* TWINRIX JUNIOR 0.5ML VACCINE HEPATITIS B VIR/HEP A VIR 02237548 Y

Disease prevention vaccines* TYPHERIX 25UG/0.5ML VACCINE SALMONELLA 02242727 Y

Disease prevention vaccines* TYPHIM VI 25MCG/0.5ML VACCINE SALMONELLA TYPHOID VACC VI CAPSU POLYSACC02130955 Y

Disease prevention vaccines* VAQTA 50U/ML 0.5ML INJECTION HEPATITIS A VIRUS VACCINE 02229702 Y

Disease prevention vaccines* VAQTA 50U/ML 1ML INJECTION HEPATITIS A VIRUS VACCINE 00908959 Y

Disease prevention vaccines* VARILRIX VACCINE VARICELLA (OKA-STRAIN) LIVE ATTENUATED02241047 Y

Disease prevention vaccines* VARIVAX III INJECTION VARICELLA VIRUS VACCINE LIVE 02246081 Y

Disease prevention vaccines* VAXIGRIP VACCINE INFLUENZA VIRUS TRIVALENT 02223929 Y

Disease prevention vaccines* VIVAXIM 25MCG INJ SALMONELLA TYPHI VI CAPSULAR POLYSACCHARIDE/HEPATITIS A INACTIVA02248361 Y

Disease prevention vaccines* VIVOTIF BERNA CAPSULE 2-6B TYPHOID VACCINE-LIVE 00885975 Y

Disease prevention vaccines* VIVOTIF BERNA L VACCINE TYPHOID VACCINE-LIVE 02231523 Y

Disease prevention vaccines* YELLOW FEVER VACCINE YELLOW FEVER VACCINE 00428833 Y

Disease prevention vaccines* ZOSTAVAX 19400 PFU/VIAL VARICELLA ZOSTER VIRUS VACCINE LIVE02315939 Y

Electrolyte replacement* BICARBONATE DE SODIUM 8.4% 1MMOL/ML INJ SODIUM BICARBONATE 99100177 Y

Electrolyte replacement* BIO-POTASSIUM 600MG SR TABLET POTASSIUM CHLORIDE 02247124 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 202

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CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Electrolyte replacement* FORMULA OSX TABLET CALCIUM/MAG/MOLYBDENUM/PHOSPHORUS01996517 Y

Electrolyte replacement* K LYTE LIME POTASSIUM CITRATE ((POT EQ)) 00901172 Y

Electrolyte replacement* K-10 10% SOLUTION POTASSIUM CHLORIDE 01918303 Y

Electrolyte replacement* KAOCHLOR 20% CONC LIQUID POTASSIUM CHLORIDE 02064502 Y

Electrolyte replacement* K-DUR 20 20MEQ TABLET SA POTASSIUM CHLORIDE 00713376 Y

Electrolyte replacement* K-LOR 20MEQ PACKET POTASSIUM CHLORIDE 00481211 Y

Electrolyte replacement* K-LYTE/CL 25MEQ PACKET POTASSIUM CHLORIDE 02089580 Y

Electrolyte replacement* K-MED 900 900MG TABLET POTASSIUM CHLORIDE 00810231 Y

Electrolyte replacement* K-MED TABLET POTASSIUM CL/MAGNESIUM GLUC 00771945 Y

Electrolyte replacement* MAGNESIUM 20MG CAPSULE MAGNESIUM GLUCOHEPTONATE 00532479 Y

Electrolyte replacement* MAGNESIUM GLUC 50MG TABLET MAGNESIUM GLUCONATE 00316105 Y

Electrolyte replacement* MAGNESIUM GLUCONATE LIQ MAGNESIUM GLUCONATE 00752371 Y

Electrolyte replacement* MAGNOROL 20MG CAPSULE MAGNESIUM GLUCOHEPTONATE 00333883 Y

Electrolyte replacement* MANGANESE CAP 30MG MANGANESE 01993917 Y

Electrolyte replacement* OPTI-IODINE CAPLETS IODINE/KELP 00860212 Y

Electrolyte replacement* PHOSPHATE-SANDOZ TAB EFFERV POTASS/SODIUM PHOS/SOD BICARB00225819 Y

Electrolyte replacement* POLYCITRA-K SOLUTION POTASSIUM CITRATE 02163233 Y

Electrolyte replacement* PRO-600K 8MEQ SR TABLET POTASSIUM CHLORIDE 00613274 Y

Electrolyte replacement* SLO POT 600MG SR TABLET POTASSIUM CHLORIDE 00554308 Y

Electrolyte replacement* SLOW-K 600MG TABLET SA POTASSIUM CHLORIDE 00074225 Y

Electrolyte replacement* SODIUM BICARB 7.5% ABBOJECT SODIUM BICARBONATE 00038083 Y

Electrolyte replacement* SODIUM BICARB 8.4% VIAL SODIUM BICARBONATE 00261998 Y

Electrolyte replacement* SODIUM CHL 0.9% (PQ)(250ML) SODIUM CHLORIDE 00921300 Y

Electrolyte replacement* SODIUM CHL0.9% (PQ)(1000ML) SODIUM CHLORIDE 99002310 Y

Electrolyte replacement* SODIUM CHLORIDE 0.9% VIAL SODIUM CHLORIDE 00624748 Y

Electrolyte replacement* SODIUM CHLORIDE 0.9% VIAL SODIUM CHLORIDE 00037796 Y

Electrolyte replacement* SODIUM CHLORIDE 23.4% INJ SODIUM CHLORIDE 00402230 Y

Electrolyte replacement* SODIUM CHLORIDE 5% INJ SODIUM CHLORIDE 5% 00060240 Y

Electrolyte replacement* SODIUM CHLORIDE INJECTION USP 0.9% SODIUM CHLORIDE 02279754 Y

Electrolyte replacement* SODIUM CL 0.9% IV SOLUTION SODIUM CHLORIDE 0.9% 01924303 Y

Electrolyte replacement* SODIUM CL 0.9% IV SOLUTION SODIUM CHLORIDE 0.9% 00037842 Y

Electrolyte replacement* SODIUM CL 0.9% IV SOLUTION SODIUM CHLORIDE 0.9% 00060208 Y

Electrolyte replacement* XERO-LUBE LIQUID LYTES/CARBOXYMETHYLCELLULOSE02027569 Y

Epilepsy ACCEL-GABAPENTIN 100MG CAPSULE GABAPENTIN 02326736 Y

Epilepsy ACCEL-GABAPENTIN 300MG CAPSULE GABAPENTIN 02326744 Y

Epilepsy ACCEL-GABAPENTIN 400MG CAPSULE GABAPENTIN 02326752 Y

Epilepsy ACCEL-TOPIRAMATE 100MG TABLET TOPIRAMATE 02351315 Y

Epilepsy ACCEL-TOPIRAMATE 200MG TABLET TOPIRAMATE 02351323 Y

Epilepsy ACCEL-TOPIRAMATE 25MG TABLET TOPIRAMATE 02351307 Y

Epilepsy APO-CARBAMAZEPINE 200MG TABLET CARBAMAZEPINE 00402699 Y

Epilepsy APO-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02177889 Y

Epilepsy APO-CLONAZEPAM 2MG TABLET CLONAZEPAM 02177897 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 203

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LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Epilepsy APO-DIVALPROEX 125MG TABLET DIVALPROEX SODIUM 02239698 Y

Epilepsy APO-DIVALPROEX 250MG TABLET DIVALPROEX SODIUM 02239699 Y

Epilepsy APO-DIVALPROEX 500MG TABLET DIVALPROEX SODIUM 02239700 Y

Epilepsy APO-GABAPENTIN 100MG CAPSULE GABAPENTIN 02244304 Y

Epilepsy APO-GABAPENTIN 300MG CAPSULE GABAPENTIN 02244305 Y

Epilepsy APO-GABAPENTIN 400MG CAPSULE GABAPENTIN 02244306 Y

Epilepsy APO-GABAPENTIN 600MG TABLET GABAPENTIN 02293358 Y

Epilepsy APO-GABAPENTIN 800MG TABLET GABAPENTIN 02293366 Y

Epilepsy APO-LAMOTRIGINE 100MG TABLET LAMOTRIGINE 02245209 Y

Epilepsy APO-LAMOTRIGINE 150MG TABLET LAMOTRIGINE 02245210 Y

Epilepsy APO-LAMOTRIGINE 25MG TABLET LAMOTRIGINE 02245208 Y

Epilepsy APO-LEVETIRACETAM 250MG TABLET LEVETIRACETAM 02285924 Y

Epilepsy APO-LEVETIRACETAM 500MG TABLET LEVETIRACETAM 02285932 Y

Epilepsy APO-LEVETIRACETAM 750MG TABLET LEVETIRACETAM 02285940 Y

Epilepsy APO-OXCARBAZEPINE 150MG TABLET OXCARBAZEPINE 02284294 Y

Epilepsy APO-OXCARBAZEPINE 300MG TABLET OXCARBAZEPINE 02284308 Y

Epilepsy APO-OXCARBAZEPINE 600MG TABLET OXCARBAZEPINE 02284316 Y

Epilepsy APO-PRIMIDONE 125MG CHEW TABLET PRIMIDONE 00399310 Y

Epilepsy APO-PRIMIDONE 250MG TABLET PRIMIDONE 00396761 Y

Epilepsy APO-TOPIRAMATE 100MG TABLET TOPIRAMATE 02279630 Y

Epilepsy APO-TOPIRAMATE 200MG TABLET TOPIRAMATE 02279649 Y

Epilepsy APO-TOPIRAMATE 25MG TABLET TOPIRAMATE 02279614 Y

Epilepsy APO-TOPIRAMATE 50MG TABLET TOPIRAMATE 02279622 Y

Epilepsy APO-VALPROIC 250MG CAPSULE VALPROIC ACID 02238048 Y

Epilepsy APO-VALPROIC ACID 50MG/ML SYRUP VALPROIC ACID 02238370 Y

Epilepsy APX-DIVALPROEX 125MG TABLET DIVALPROEX SODIUM 02341123 Y

Epilepsy APX-DIVALPROEX 250MG TABLET DIVALPROEX SODIUM 02341131 Y

Epilepsy APX-DIVALPROEX 500MG TABLET DIVALPROEX SODIUM 02341158 Y

Epilepsy APX-GABAPENTIN 100MG CAPSULE GABAPENTIN 02341891 Y

Epilepsy APX-GABAPENTIN 300MG CAPSULE GABAPENTIN 02341905 Y

Epilepsy APX-GABAPENTIN 400MG CAPSULE GABAPENTIN 02341913 Y

Epilepsy APX-GABAPENTIN 600MG TABLET GABAPENTIN 02341875 Y

Epilepsy APX-GABAPENTIN 800MG TABLET GABAPENTIN 02341883 Y

Epilepsy APX-OXCARBAZEPINE 150MG TABLET OXCARBAZEPINE 02348381 Y

Epilepsy APX-OXCARBAZEPINE 300MG TABLET OXCARBAZEPINE 02348403 Y

Epilepsy APX-OXCARBAZEPINE 600MG TABLET OXCARBAZEPINE 02348411 Y

Epilepsy AURO-GABAPENTIN 100MG CAPSULE GABAPENTIN 02321203 Y

Epilepsy AURO-GABAPENTIN 300MG CAPSULE GABAPENTIN 02321211 Y

Epilepsy AURO-GABAPENTIN 400MG CAPSULE GABAPENTIN 02321238 Y

Epilepsy AURO-TOPIRAMATE 100MG TABLET TOPIRAMATE 02345838 Y

Epilepsy AURO-TOPIRAMATE 200MG TABLET TOPIRAMATE 02345846 Y

Epilepsy AURO-TOPIRAMATE 25MG TABLET TOPIRAMATE 02345803 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 204

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Epilepsy AURO-TOPIRAMATE 50MG TABLET TOPIRAMATE 02345811 Y

Epilepsy BCI-GABAPENTIN 300MG CAPSULE GABAPENTIN 02266768 Y

Epilepsy BIO-CARBAMAZEPINE 200MG TABLET CARBAMAZEPINE 02247135 Y

Epilepsy CARBAMAZEPINE 200MG CR TABLET CARBAMAZEPINE 02243511 Y

Epilepsy CARBAMAZEPINE 200MG TABLET CARBAMAZEPINE 00578460 Y

Epilepsy CARBAMAZEPINE 400MG CR TABLET CARBAMAZEPINE 02243512 Y

Epilepsy CARBAMAZEPINE CR 200MG TABLET CARBAMAZEPINE 02287129 Y

Epilepsy CARBAMAZEPINE CR 400MG TABLET CARBAMAZEPINE 02287137 Y

Epilepsy CELONTIN 300MG CAPSULE METHSUXIMIDE 00022802 Y

Epilepsy CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02220598 Y

Epilepsy CLONAZEPAM 1MG TABLET CLONAZEPAM 02344602 Y

Epilepsy CLONAZEPAM 2MG TABLET CLONAZEPAM 02344610 Y

Epilepsy CLONAZEPAM 2MG TABLET CLONAZEPAM 02220601 Y

Epilepsy CLONAZEPAM TABLETS 0.5MG TABLET CLONAZEPAM 02340968 Y

Epilepsy CLONAZEPAM TABLETS 2MG TABLET CLONAZEPAM 02340976 Y

Epilepsy CLONAZEPAM-R 0.5MG TABLET CLONAZEPAM 02344629 Y

Epilepsy CO-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02270641 Y

Epilepsy CO-CLONAZEPAM 1MG TABLET CLONAZEPAM 02270668 Y

Epilepsy CO-CLONAZEPAM 2MG TABLET CLONAZEPAM 02270676 Y

Epilepsy CO-GABAPENTIN 100MG CAPSULE GABAPENTIN 02256142 Y

Epilepsy CO-GABAPENTIN 300MG CAPSULE GABAPENTIN 02256150 Y

Epilepsy CO-GABAPENTIN 400MG CAPSULE GABAPENTIN 02256169 Y

Epilepsy CO-LEVETIRACETAM 250MG TABLET LEVETIRACETAM 02274183 Y

Epilepsy CO-LEVETIRACETAM 500MG TABLET LEVETIRACETAM 02274191 Y

Epilepsy CO-LEVETIRACETAM 750MG TABLET LEVETIRACETAM 02274205 Y

Epilepsy CO-TOPIRAMATE 100MG TABLET TOPIRAMATE 02287773 Y

Epilepsy CO-TOPIRAMATE 200MG TABLET TOPIRAMATE 02287781 Y

Epilepsy CO-TOPIRAMATE 25MG TABLET TOPIRAMATE 02287765 Y

Epilepsy DEPAKENE 250MG CAPSULE VALPROIC ACID 00443840 Y

Epilepsy DEPAKENE 250MG/5ML SYRUP VALPROIC ACID 00443832 Y

Epilepsy DEPAKENE 500MG CAPSULE VALPROIC ACID 00507989 Y

Epilepsy DIASTAT 2X10MG PK (ODB) DIAZEPAM 09853340 Y

Epilepsy DIASTAT 2X15MG PK (ODB) DIAZEPAM 09853430 Y

Epilepsy DIASTAT 5MG/ML RECTAL GEL DIAZEPAM 02238162 Y

Epilepsy DILANTIN 100MG CAPSULE PHENYTOIN SODIUM 00022780 Y

Epilepsy DILANTIN 30MG CAPSULE PHENYTOIN SODIUM 00022772 Y

Epilepsy DILANTIN 50MG INFATAB PHENYTOIN 00023698 Y

Epilepsy DILANTIN-125 125MG/5ML SUSP PHENYTOIN 00023450 Y

Epilepsy DILANTIN-30 30MG/5ML SUSP PHENYTOIN 00023442 Y

Epilepsy DIVALPROEX 125MG EC TABLET DIVALPROEX SODIUM 02240341 Y

Epilepsy DIVALPROEX 250MG EC TABLET DIVALPROEX SODIUM 02240342 Y

Epilepsy DIVALPROEX 500MG EC TABLET DIVALPROEX SODIUM 02240343 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 205

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Epilepsy DOM-CARBAMAZEPINE 200MG CR TABLET CARBAMAZEPINE 02238222 Y

Epilepsy DOM-CARBAMAZEPINE 400MG CR TABLET CARBAMAZEPINE 02238223 Y

Epilepsy DOM-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02130998 Y

Epilepsy DOM-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02224100 Y

Epilepsy DOM-CLONAZEPAM 1MG TABLET CLONAZEPAM 02131005 Y

Epilepsy DOM-CLONAZEPAM 2MG TABLET CLONAZEPAM 02131013 Y

Epilepsy DOM-DIVALPROEX 125MG EC TABLET DIVALPROEX SODIUM 02245751 Y

Epilepsy DOM-DIVALPROEX 250MG EC TABLET DIVALPROEX SODIUM 02245752 Y

Epilepsy DOM-DIVALPROEX 500MG EC TABLET DIVALPROEX SODIUM 02245753 Y

Epilepsy DOM-GABAPENTIN 100MG CAPSULE GABAPENTIN 02243743 Y

Epilepsy DOM-GABAPENTIN 300MG CAPSULE GABAPENTIN 02243744 Y

Epilepsy DOM-GABAPENTIN 400MG CAPSULE GABAPENTIN 02243745 Y

Epilepsy DOM-GABAPENTIN 600MG TABLET GABAPENTIN 02258153 Y

Epilepsy DOM-GABAPENTIN 800MG TABLET GABAPENTIN 02258161 Y

Epilepsy DOM-LEVETIRACETAM 250MG TABLET LEVETIRACETAM 02297396 Y

Epilepsy DOM-LEVETIRACETAM 500MG TABLET LEVETIRACETAM 02297418 Y

Epilepsy DOM-LEVETIRACETAM 750MG TABLET LEVETIRACETAM 02297426 Y

Epilepsy DOM-TOPIRAMATE 100MG TABLET TOPIRAMATE 02271168 Y

Epilepsy DOM-TOPIRAMATE 200MG TABLET TOPIRAMATE 02271176 Y

Epilepsy DOM-TOPIRAMATE 25MG TABLET TOPIRAMATE 02271141 Y

Epilepsy DOM-VALPROIC ACID 250MG CAPSULE VALPROIC ACID 02231030 Y

Epilepsy DOM-VALPROIC ACID 250MG/5ML SYRUP VALPROIC ACID 02238817 Y

Epilepsy DOM-VALPROIC ACID 500MG CAPSULE VALPROIC ACID 02231031 Y

Epilepsy EPIVAL 125MG TABLET EC VALPROIC ACID (DIVALPROEX) 00596418 Y

Epilepsy EPIVAL 250MG TABLET EC VALPROIC ACID (DIVALPROEX) 00596426 Y

Epilepsy EPIVAL 500MG ER TABLET VALPROIC ACID 02242736 Y

Epilepsy EPIVAL 500MG TABLET EC VALPROIC ACID (DIVALPROEX) 00596434 Y

Epilepsy GABAPENTIN 100MG CAPSULE GABAPENTIN 02332582 Y

Epilepsy GABAPENTIN 100MG CAPSULE GABAPENTIN 02342650 Y

Epilepsy GABAPENTIN 100MG CAPSULE GABAPENTIN 02286475 Y

Epilepsy GABAPENTIN 100MG CAPSULE GABAPENTIN 02249367 Y

Epilepsy GABAPENTIN 100MG CAPSULE GABAPENTIN 02238671 Y

Epilepsy GABAPENTIN 300MG CAPSULE GABAPENTIN 02332590 Y

Epilepsy GABAPENTIN 300MG CAPSULE GABAPENTIN 02342669 Y

Epilepsy GABAPENTIN 300MG CAPSULE GABAPENTIN 02273853 Y

Epilepsy GABAPENTIN 300MG CAPSULE GABAPENTIN 02286483 Y

Epilepsy GABAPENTIN 300MG CAPSULE GABAPENTIN 02249375 Y

Epilepsy GABAPENTIN 300MG CAPSULE GABAPENTIN 02238673 Y

Epilepsy GABAPENTIN 400MG CAPSULE GABAPENTIN 02332604 Y

Epilepsy GABAPENTIN 400MG CAPSULE GABAPENTIN 02342677 Y

Epilepsy GABAPENTIN 400MG CAPSULE GABAPENTIN 02286491 Y

Epilepsy GABAPENTIN 400MG CAPSULE GABAPENTIN 02249383 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 206

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Epilepsy GD-GABAPENTIN 100MG CAPSULE GABAPENTIN 02285819 Y

Epilepsy GD-GABAPENTIN 300MG CAPSULE GABAPENTIN 02285827 Y

Epilepsy GD-GABAPENTIN 400MG CAPSULE GABAPENTIN 02285835 Y

Epilepsy GD-GABAPENTIN 600MG TABLET GABAPENTIN 02285843 Y

Epilepsy GD-GABAPENTIN 800MG TABLET GABAPENTIN 02285851 Y

Epilepsy GD-TOPIRAMATE 100MG TABLET TOPIRAMATE 02352877 Y

Epilepsy GD-TOPIRAMATE 200MG TABLET TOPIRAMATE 02352885 Y

Epilepsy GD-TOPIRAMATE 25MG TABLET TOPIRAMATE 02352850 Y

Epilepsy GD-TOPIRAMATE 50MG TABLET TOPIRAMATE 02352869 Y

Epilepsy JOI-TOPIRAMATE 100MG TABLET TOPIRAMATE 02330342 Y

Epilepsy JOI-TOPIRAMATE 200MG TABLET TOPIRAMATE 02330350 Y

Epilepsy JOI-TOPIRAMATE 25MG TABLET TOPIRAMATE 02330334 Y

Epilepsy KEPPRA 250MG TABLET LEVETIRACETAM 02247027 Y

Epilepsy KEPPRA 500MG TABLET LEVETIRACETAM 02247028 Y

Epilepsy KEPPRA 750MG TABLET LEVETIRACETAM 02247029 Y

Epilepsy LAMICTAL 100MG TABLET LAMOTRIGINE 02142104 Y

Epilepsy LAMICTAL 150MG TABLET LAMOTRIGINE 02142112 Y

Epilepsy LAMICTAL 250MG TABLET LAMOTRIGINE 02142139 Y

Epilepsy LAMICTAL 25MG TABLET LAMOTRIGINE 02142082 Y

Epilepsy LAMICTAL 2MG TABLET LAMOTRIGINE 02243803 Y

Epilepsy LAMICTAL 50MG TABLET LAMOTRIGINE 02142090 Y

Epilepsy LAMICTAL 5MG CHEW TABLET LAMOTRIGINE 02240115 Y

Epilepsy LAMOTRIGINE 100MG TABLET LAMOTRIGINE 02343029 Y

Epilepsy LAMOTRIGINE 150MG TABLET LAMOTRIGINE 02343037 Y

Epilepsy LAMOTRIGINE 25MG TABLET LAMOTRIGINE 02343010 Y

Epilepsy LAMOTRIGINE-100MG TABLET LAMOTRIGINE 02302985 Y

Epilepsy LAMOTRIGINE-150MG TABLET LAMOTRIGINE 02302993 Y

Epilepsy LAMOTRIGINE-25MG TABLET LAMOTRIGINE 02302969 Y

Epilepsy LEVETIRACETAM 250MG TABLET LEVETIRACETAM 02353342 Y

Epilepsy LEVETIRACETAM 250MG TABLET LEVETIRACETAM 02343622 Y

Epilepsy LEVETIRACETAM 500MG TABLET LEVETIRACETAM 02353350 Y

Epilepsy LEVETIRACETAM 500MG TABLET LEVETIRACETAM 02343630 Y

Epilepsy LEVETIRACETAM 750MG TABLET LEVETIRACETAM 02353369 Y

Epilepsy LEVETIRACETAM 750MG TABLET LEVETIRACETAM 02343649 Y

Epilepsy LYRICA 150MG CAPSULE PREGABALIN 02268450 Y

Epilepsy LYRICA 225MG CAPSULE PREGABALIN 02268477 Y

Epilepsy LYRICA 25MG CAPSULE PREGABALIN 02268418 Y

Epilepsy LYRICA 300MG CAPSULE PREGABALIN 02268485 Y

Epilepsy LYRICA 50MG CAPSULE PREGABALIN 02268426 Y

Epilepsy LYRICA 75MG CAPSULE PREGABALIN 02268434 Y

Epilepsy MED CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02237277 Y

Epilepsy MED CLONAZEPAM 2MG TABLET CLONAZEPAM 02237278 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 207

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Epilepsy MINT-TOPIRAMATE 100MG TABLET TOPIRAMATE 02315653 Y

Epilepsy MINT-TOPIRAMATE 200MG TABLET TOPIRAMATE 02315661 Y

Epilepsy MINT-TOPIRAMATE 25MG TABLET TOPIRAMATE 02315645 Y

Epilepsy MYLAN-CARBAMAZEPINE 200MG CR TABLET CARBAMAZEPINE 02241882 Y

Epilepsy MYLAN-CARBAMAZEPINE 400MG CR TABLET CARBAMAZEPINE 02241883 Y

Epilepsy MYLAN-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02230950 Y

Epilepsy MYLAN-CLONAZEPAM 2MG TABLET CLONAZEPAM 02230951 Y

Epilepsy MYLAN-DIVALPROEX 125MG TABLET DIVALPROEX SODIUM 02265133 Y

Epilepsy MYLAN-DIVALPROEX 250MG TABLET DIVALPROEX SODIUM 02265141 Y

Epilepsy MYLAN-DIVALPROEX 500MG TABLET DIVALPROEX SODIUM 02265168 Y

Epilepsy MYLAN-GABAPENTIN 100MG CAPSULE GABAPENTIN 02248259 Y

Epilepsy MYLAN-GABAPENTIN 300MG CAPSULE GABAPENTIN 02248260 Y

Epilepsy MYLAN-GABAPENTIN 400MG CAPSULE GABAPENTIN 02248261 Y

Epilepsy MYLAN-LAMOTRIGINE 100MG TABLET LAMOTRIGINE 02265508 Y

Epilepsy MYLAN-LAMOTRIGINE 150MG TABLET LAMOTRIGINE 02265516 Y

Epilepsy MYLAN-LAMOTRIGINE 25MG TABLET LAMOTRIGINE 02265494 Y

Epilepsy MYLAN-TOPIRAMATE 100MG TABLET TOPIRAMATE 02263378 Y

Epilepsy MYLAN-TOPIRAMATE 200MG TABLET TOPIRAMATE 02263386 Y

Epilepsy MYLAN-TOPIRAMATE 25MG TABLET TOPIRAMATE 02263351 Y

Epilepsy MYLAN-VALPROIC 250MG CAPSULE VALPROIC ACID 02184648 Y

Epilepsy NEURONTIN 100MG CAPSULE GABAPENTIN 02084260 Y

Epilepsy NEURONTIN 300MG CAPSULE GABAPENTIN 02084279 Y

Epilepsy NEURONTIN 400MG CAPSULE GABAPENTIN 02084287 Y

Epilepsy NEURONTIN 600MG TABLET GABAPENTIN 02239717 Y

Epilepsy NEURONTIN 800MG TABLET GABAPENTIN 02239718 Y

Epilepsy NOVO-CARBAMAZ 200MG TABLET CARBAMAZEPINE 00782718 Y

Epilepsy NOVO-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02239024 Y

Epilepsy NOVO-CLONAZEPAM 2MG TABLET CLONAZEPAM 02239025 Y

Epilepsy NOVO-DIVALPROEX 125MG TABLET DIVALPROEX SODIUM 02239701 Y

Epilepsy NOVO-DIVALPROEX 250MG TABLET DIVALPROEX SODIUM 02239702 Y

Epilepsy NOVO-DIVALPROEX 500MG TABLET DIVALPROEX SODIUM 02239703 Y

Epilepsy NOVO-LAMOTRIGINE 100MG TABLET LAMOTRIGINE 02248233 Y

Epilepsy NOVO-LAMOTRIGINE 150MG TABLET LAMOTRIGINE 02248234 Y

Epilepsy NOVO-LAMOTRIGINE 25MG TABLET LAMOTRIGINE 02248232 Y

Epilepsy NOVO-LEVETIRACETAM 750MG TABLET LEVETIRACETAM 02310724 Y

Epilepsy NOVO-OXCARBAZEPINE 150MG TABLET OXCARBAZEPINE 02312026 Y

Epilepsy NOVO-OXCARBAZEPINE 300MG TABLET OXCARBAZEPINE 02312034 Y

Epilepsy NOVO-OXCARBAZEPINE 600MG TABLET OXCARBAZEPINE 02312042 Y

Epilepsy NOVO-TOPIRAMATE 100MG TABLET TOPIRAMATE 02248861 Y

Epilepsy NOVO-TOPIRAMATE 200MG TABLET TOPIRAMATE 02248862 Y

Epilepsy NOVO-TOPIRAMATE 25MG TABLET TOPIRAMATE 02248860 Y

Epilepsy NOVO-VALPROIC 500MG CAPSULE VALPROIC ACID 02218321 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 208

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Epilepsy NOVO-VALPROIC SG 250MG CAPSULE VALPROIC ACID 02100630 Y

Epilepsy NU-CARBAMAZEPINE 200MG TABLET CARBAMAZEPINE 02042568 Y

Epilepsy NU-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02173344 Y

Epilepsy NU-CLONAZEPAM 2MG TABLET CLONAZEPAM 02173352 Y

Epilepsy NU-DIVALPROEX 125MG EC TABLET DIVALPROEX SODIUM 02239517 Y

Epilepsy NU-DIVALPROEX 250MG EC TABLET DIVALPROEX SODIUM 02239518 Y

Epilepsy NU-DIVALPROEX 500MG EC TABLET DIVALPROEX SODIUM 02239519 Y

Epilepsy NU-GABAPENTIN 100MG CAPSULE GABAPENTIN 02246742 Y

Epilepsy NU-GABAPENTIN 300MG CAPSULE GABAPENTIN 02246743 Y

Epilepsy NU-GABAPENTIN 400MG CAPSULE GABAPENTIN 02246744 Y

Epilepsy NU-LAMOTRIGINE 100MG TABLET LAMOTRIGINE 02334577 Y

Epilepsy NU-LAMOTRIGINE 150MG TABLET LAMOTRIGINE 02334585 Y

Epilepsy NU-LAMOTRIGINE 25MG TABLET LAMOTRIGINE 02334569 Y

Epilepsy NU-LEVETIRACETAM 250MG TABLET LEVETIRACETAM 02336251 Y

Epilepsy NU-LEVETIRACETAM 500MG TABLET LEVETIRACETAM 02336278 Y

Epilepsy NU-LEVETIRACETAM 750 MG TABLET LEVETIRACETAM 02336286 Y

Epilepsy NU-TOPIRAMATE 100MG TABLET TOPIRAMATE 02334348 Y

Epilepsy NU-TOPIRAMATE 200MG TABLET TOPIRAMATE 02334356 Y

Epilepsy NU-TOPIRAMATE 25MG TABLET TOPIRAMATE 02334313 Y

Epilepsy NU-TOPIRAMATE 50MG TABLET TOPIRAMATE 02334321 Y

Epilepsy NU-VALPROIC 250MG CAPSULE VALPROIC ACID 02237830 Y

Epilepsy PHL-CARBAMAZEPINE 200MG CR TABLET CARBAMAZEPINE 02238640 Y

Epilepsy PHL-CARBAMAZEPINE 400MG CR TABLET CARBAMAZEPINE 02238641 Y

Epilepsy PHL-CLONAZEPAM 0.25MG TABLET CLONAZEPAM 02236947 Y

Epilepsy PHL-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02145227 Y

Epilepsy PHL-CLONAZEPAM 1MG TABLET CLONAZEPAM 02145235 Y

Epilepsy PHL-CLONAZEPAM 2MG TABLET CLONAZEPAM 02145243 Y

Epilepsy PHL-CLONAZEPAM-R 0.5MG TABLET CLONAZEPAM 02236948 Y

Epilepsy PHL-DIVALPROEX 125MG EC TABLET DIVALPROEX SODIUM 02294109 Y

Epilepsy PHL-DIVALPROEX 250MG EC TABLET DIVALPROEX SODIUM 02294117 Y

Epilepsy PHL-DIVALPROEX 500MG EC TABLET DIVALPROEX SODIUM 02294125 Y

Epilepsy PHL-GABAPENTIN 100MG CAPSULE GABAPENTIN 02246314 Y

Epilepsy PHL-GABAPENTIN 300MG CAPSULE GABAPENTIN 02246315 Y

Epilepsy PHL-GABAPENTIN 400MG CAPSULE GABAPENTIN 02246316 Y

Epilepsy PHL-GABAPENTIN 600MG TABLET GABAPENTIN 02258005 Y

Epilepsy PHL-GABAPENTIN 800MG TABLET GABAPENTIN 02258013 Y

Epilepsy PHL-LAMOTRIGINE 100MG TABLET LAMOTRIGINE 02330938 Y

Epilepsy PHL-LAMOTRIGINE 150MG TABLET LAMOTRIGINE 02330946 Y

Epilepsy PHL-LAMOTRIGINE 25MG TABLET LAMOTRIGINE 02330903 Y

Epilepsy PHL-LEVETIRACETAM 250MG TABLET LEVETIRACETAM 02297353 Y

Epilepsy PHL-LEVETIRACETAM 500MG TABLET LEVETIRACETAM 02297361 Y

Epilepsy PHL-LEVETIRACETAM 750MG TABLET LEVETIRACETAM 02297388 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 209

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Epilepsy PHL-TOPIRAMATE 100MG TABLET TOPIRAMATE 02271192 Y

Epilepsy PHL-TOPIRAMATE 200MG TABLET TOPIRAMATE 02271206 Y

Epilepsy PHL-TOPIRAMATE 25MG TABLET TOPIRAMATE 02271184 Y

Epilepsy PHL-VALPROIC ACID 250MG CAPSULE VALPROIC ACID 02260654 Y

Epilepsy PHL-VALPROIC ACID 250MG/5ML SYRUP VALPROIC ACID 02238210 Y

Epilepsy PHL-VALPROIC ACID 500MG CAPSULE VALPROIC ACID 02260662 Y

Epilepsy PMS-CARBAMAZEPINE 100MG CHEW TABLET CARBAMAZEPINE 02231542 Y

Epilepsy PMS-CARBAMAZEPINE 200MG CHEW TABLET CARBAMAZEPINE 02231540 Y

Epilepsy PMS-CARBAMAZEPINE CR 200MG TABLET CARBAMAZEPINE 02280744 Y

Epilepsy PMS-CARBAMAZEPINE CR 200MG TABLET CARBAMAZEPINE 02231543 Y

Epilepsy PMS-CARBAMAZEPINE CR 400MG TABLET CARBAMAZEPINE 02280752 Y

Epilepsy PMS-CARBAMAZEPINE CR 400MG TABLET CARBAMAZEPINE 02231544 Y

Epilepsy PMS-CLONAZEPAM 0.25MG TABLET CLONAZEPAM 02179660 Y

Epilepsy PMS-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02048701 Y

Epilepsy PMS-CLONAZEPAM 1MG TABLET CLONAZEPAM 02048728 Y

Epilepsy PMS-CLONAZEPAM 2MG TABLET CLONAZEPAM 02048736 Y

Epilepsy PMS-CLONAZEPAM R 0.5MG TABLET CLONAZEPAM 02207818 Y

Epilepsy PMS-DIVALPROEX 125MG EC TABLET DIVALPROEX SODIUM 02244138 Y

Epilepsy PMS-DIVALPROEX 250MG EC TABLET DIVALPROEX SODIUM 02244139 Y

Epilepsy PMS-DIVALPROEX 500MG EC TABLET DIVALPROEX SODIUM 02244140 Y

Epilepsy PMS-GABAPENTIN 100MG CAPSULE GABAPENTIN 02243446 Y

Epilepsy PMS-GABAPENTIN 300MG CAPSULE GABAPENTIN 02243447 Y

Epilepsy PMS-GABAPENTIN 400MG CAPSULE GABAPENTIN 02243448 Y

Epilepsy PMS-GABAPENTIN 600MG TABLET GABAPENTIN 02255898 Y

Epilepsy PMS-GABAPENTIN 800MG TABLET GABAPENTIN 02255901 Y

Epilepsy PMS-LAMOTRIGINE 100MG TABLET LAMOTRIGINE 02246898 Y

Epilepsy PMS-LAMOTRIGINE 150MG TABLET LAMOTRIGINE 02246899 Y

Epilepsy PMS-LAMOTRIGINE 25MG TABLET LAMOTRIGINE 02246897 Y

Epilepsy PMS-LEVETIRACETAM 250MG TABLET LEVETIRACETAM 02296101 Y

Epilepsy PMS-LEVETIRACETAM 500MG TABLET LEVETIRACETAM 02296128 Y

Epilepsy PMS-LEVETIRACETAM 750MG TABLET LEVETIRACETAM 02296136 Y

Epilepsy PMS-TOPIRAMATE 100MG TABLET TOPIRAMATE 02263009 Y

Epilepsy PMS-TOPIRAMATE 200MG TABLET TOPIRAMATE 02263017 Y

Epilepsy PMS-TOPIRAMATE 25MG TABLET TOPIRAMATE 02262991 Y

Epilepsy PMS-TOPIRAMATE 50MG TABLET TOPIRAMATE 02312085 Y

Epilepsy PMS-VALPROIC 250MG CAPSULE VALPROIC ACID 02230768 Y

Epilepsy PMS-VALPROIC 500MG CAPSULE VALPROIC ACID 02229628 Y

Epilepsy PMS-VALPROIC ACID 250MG/5ML VALPROIC ACID 02236807 Y

Epilepsy PRO-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02311593 Y

Epilepsy PRO-CLONAZEPAM 1MG TABLET CLONAZEPAM 02311607 Y

Epilepsy PRO-CLONAZEPAM 2MG TABLET CLONAZEPAM 02311615 Y

Epilepsy PRO-GABAPENTIN 100MG CAPSULE GABAPENTIN 02310449 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 210

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Epilepsy PRO-GABAPENTIN 300MG CAPSULE GABAPENTIN 02310457 Y

Epilepsy PRO-GABAPENTIN 400MG CAPSULE GABAPENTIN 02310465 Y

Epilepsy PRO-GABAPENTIN 600MG TABLET GABAPENTIN 02310473 Y

Epilepsy PRO-GABAPENTIN 800MG TABLET GABAPENTIN 02310481 Y

Epilepsy PRO-LEVETIRACETAM 250MG TABLET LEVETIRACETAM 02311372 Y

Epilepsy PRO-LEVETIRACETAM 500MG TABLET LEVETIRACETAM 02311380 Y

Epilepsy PRO-LEVETIRACETAM 750MG TABLET LEVETIRACETAM 02311399 Y

Epilepsy PRO-TOPIRAMATE 100MG TABLET TOPIRAMATE 02313669 Y

Epilepsy PRO-TOPIRAMATE 200MG TABLET TOPIRAMATE 02313677 Y

Epilepsy PRO-TOPIRAMATE 25MG TABLET TOPIRAMATE 02313650 Y

Epilepsy RAN-GABAPENTIN 100MG CAPSULE GABAPENTIN 02319055 Y

Epilepsy RAN-GABAPENTIN 300MG CAPSULE GABAPENTIN 02319063 Y

Epilepsy RAN-GABAPENTIN 400MG CAPSULE GABAPENTIN 02319071 Y

Epilepsy RATIO-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02103656 Y

Epilepsy RATIO-CLONAZEPAM 2.0 MG TABLET CLONAZEPAM 02103737 Y

Epilepsy RATIO-GABAPENTIN 100MG CAPSULE GABAPENTIN 02260883 Y

Epilepsy RATIO-GABAPENTIN 300MG CAPSULE GABAPENTIN 02260891 Y

Epilepsy RATIO-GABAPENTIN 400MG CAPSULE GABAPENTIN 02260905 Y

Epilepsy RATIO-GABAPENTIN 600MG TABLET GABAPENTIN 02260913 Y

Epilepsy RATIO-GABAPENTIN 800MG TABLET GABAPENTIN 02260921 Y

Epilepsy RATIO-LAMOTRIGINE 100MG TABLET LAMOTRIGINE 02243353 Y

Epilepsy RATIO-LAMOTRIGINE 150MG TABLET LAMOTRIGINE 02246963 Y

Epilepsy RATIO-LAMOTRIGINE 25MG TABLET LAMOTRIGINE 02243352 Y

Epilepsy RATIO-TOPIRAMATE 100MG TABLET TOPIRAMATE 02256835 Y

Epilepsy RATIO-TOPIRAMATE 200MG TABLET TOPIRAMATE 02256843 Y

Epilepsy RATIO-TOPIRAMATE 25MG TABLET TOPIRAMATE 02256827 Y

Epilepsy RATIO-VALPROIC 250MG CAPSULE VALPROIC ACID 02140047 Y

Epilepsy RATIO-VALPROIC 500MG CAPSULE VALPROIC ACID 02140055 Y

Epilepsy RATIO-VALPROIC ACID 50MG/ML SYRUP VALPROIC ACID 02140063 Y

Epilepsy RIVA-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02242077 Y

Epilepsy RIVA-CLONAZEPAM 2MG TABLET CLONAZEPAM 02242078 Y

Epilepsy RIVA-GABAPENTIN 100MG CAPSULE GABAPENTIN 02251167 Y

Epilepsy RIVA-GABAPENTIN 300MG CAPSULE GABAPENTIN 02251175 Y

Epilepsy RIVA-GABAPENTIN 400MG CAPSULE GABAPENTIN 02251183 Y

Epilepsy RIVA-GABAPENTIN 600MG TABLET GABAPENTIN 02259796 Y

Epilepsy RIVA-GABAPENTIN 800MG TABLET GABAPENTIN 02259818 Y

Epilepsy RIVOTRIL 0.5MG TABLET CLONAZEPAM 00382825 Y

Epilepsy RIVOTRIL 2MG TABLET CLONAZEPAM 00382841 Y

Epilepsy RIVOZEPAM 2MG TABLET CLONAZEPAM 02280639 Y

Epilepsy SABRIL 500MG PACKET VIGABATRIN 02068036 Y

Epilepsy SABRIL 500MG TABLET VIGABATRIN 02065819 Y

Epilepsy SANDOZ TOPIRAMATE 100MG TABLET TOPIRAMATE 02260069 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 211

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Epilepsy SANDOZ TOPIRAMATE 200MG TABLET TOPIRAMATE 02267837 Y

Epilepsy SANDOZ TOPIRAMATE 25MG TABLET TOPIRAMATE 02260050 Y

Epilepsy SANDOZ VALPROIC 250MG CAPSULE VALPROIC ACID 02239714 Y

Epilepsy SANDOZ VALPROIC 500MG CAPSULE VALPROIC ACID 02239713 Y

Epilepsy SANDOZ-CARBAMAZEPINE 100MG CHEW TABLET CARBAMAZEPINE 02261855 Y

Epilepsy SANDOZ-CARBAMAZEPINE 200MG CHEW TABLET CARBAMAZEPINE 02261863 Y

Epilepsy SANDOZ-CARBAMAZEPINE CR 200MG TABLETS CARBAMAZEPINE 02261839 Y

Epilepsy SANDOZ-CARBAMAZEPINE CR 400MG TABLET CARBAMAZEPINE 02261847 Y

Epilepsy SANDOZ-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02233960 Y

Epilepsy SANDOZ-CLONAZEPAM 1MG TABLET CLONAZEPAM 02233982 Y

Epilepsy SANDOZ-CLONAZEPAM 2MG TABLET CLONAZEPAM 02233985 Y

Epilepsy SIG-GABAPENTIN 100MG CAPSULE GABAPENTIN 02323575 Y

Epilepsy SIG-GABAPENTIN 300MG CAPSULE GABAPENTIN 02323583 Y

Epilepsy SIG-GABAPENTIN 400MG CAPSULE GABAPENTIN 02323591 Y

Epilepsy SIG-LEVETIRACETAM 250MG TABLET LEVETIRACETAM 02347539 Y

Epilepsy SIG-LEVETIRACETAM 500MG TABLET LEVETIRACETAM 02347547 Y

Epilepsy SIG-LEVETIRACETAM 750MG TABLET LEVETIRACETAM 02347563 Y

Epilepsy SIG-TOPIRAMATE 100MG TABLET TOPIRAMATE 02346907 Y

Epilepsy SIG-TOPIRAMATE 200MG TABLET TOPIRAMATE 02346915 Y

Epilepsy SIG-TOPIRAMATE 25MG TABLET TOPIRAMATE 02346893 Y

Epilepsy TARO-CARBAMAZEPINE 100MG CHEW TABLET CARBAMAZEPINE 02244403 Y

Epilepsy TARO-CARBAMAZEPINE 200MG CHEW TABLET CARBAMAZEPINE 02244404 Y

Epilepsy TARO-GABAPENTIN 100MG CAPSULE GABAPENTIN 02250888 Y

Epilepsy TARO-GABAPENTIN 300MG CAPSULE GABAPENTIN 02250918 Y

Epilepsy TARO-GABAPENTIN 400MG CAPSULE GABAPENTIN 02250926 Y

Epilepsy TARO-PHENYTOIN 125MG/5ML SUSPENSION PHENYTOIN 02250896 Y

Epilepsy TEGRETOL 100MG CHEW TABLET CARBAMAZEPINE 00369810 Y

Epilepsy TEGRETOL 100MG/5ML SUSP CARBAMAZEPINE 02194333 Y

Epilepsy TEGRETOL 200MG CHEW TABLET CARBAMAZEPINE 00665088 Y

Epilepsy TEGRETOL 200MG TABLET CARBAMAZEPINE 00010405 Y

Epilepsy TEGRETOL CR 200MG TABLET SA CARBAMAZEPINE 00773611 Y

Epilepsy TEGRETOL CR 400MG TABLET SA CARBAMAZEPINE 00755583 Y

Epilepsy TEVA-GABAPENTIN 100MG CAPSULE GABAPENTIN 02244513 Y

Epilepsy TEVA-GABAPENTIN 300MG CAPSULE GABAPENTIN 02244514 Y

Epilepsy TEVA-GABAPENTIN 400MG CAPSULE GABAPENTIN 02244515 Y

Epilepsy TEVA-GABAPENTIN 600MG TABLET GABAPENTIN 02248457 Y

Epilepsy TEVA-GABAPENTIN 800MG TABLET GABAPENTIN 02247346 Y

Epilepsy TOPAMAX 100MG TABLET TOPIRAMATE 02230894 Y

Epilepsy TOPAMAX 15MG SPRINKLE CAPSULE TOPIRAMATE 02239907 Y

Epilepsy TOPAMAX 200MG TABLET TOPIRAMATE 02230896 Y

Epilepsy TOPAMAX 25MG SPRINKLE CAPSULE TOPIRAMATE 02239908 Y

Epilepsy TOPAMAX 25MG TABLET TOPIRAMATE 02230893 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 212

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Epilepsy TOPAMAX 300MG TABLET TOPIRAMATE 02231386 Y

Epilepsy TOPAMAX 400MG TABLET TOPIRAMATE 02231387 Y

Epilepsy TOPAMAX 50MG TABLET TOPIRAMATE 02231385 Y

Epilepsy TOPILOX 100MG TABLET TOPIRAMATE 02281759 Y

Epilepsy TOPILOX 200MG TABLET TOPIRAMATE 02281767 Y

Epilepsy TOPILOX 25MG TABLET TOPIRAMATE 02281740 Y

Epilepsy TOPIRAMATE 100MG TABLET TOPIRAMATE 02349744 Y

Epilepsy TOPIRAMATE 100MG TABLET TOPIRAMATE 02351633 Y

Epilepsy TOPIRAMATE 100MG TABLET TOPIRAMATE 02344866 Y

Epilepsy TOPIRAMATE 100MG TABLET TOPIRAMATE 02345269 Y

Epilepsy TOPIRAMATE 100MG TABLET TOPIRAMATE 02345439 Y

Epilepsy TOPIRAMATE 100MG TABLET TOPIRAMATE 02286211 Y

Epilepsy TOPIRAMATE 200MG TABLET TOPIRAMATE 02349752 Y

Epilepsy TOPIRAMATE 200MG TABLET TOPIRAMATE 02351641 Y

Epilepsy TOPIRAMATE 200MG TABLET TOPIRAMATE 02344874 Y

Epilepsy TOPIRAMATE 200MG TABLET TOPIRAMATE 02345277 Y

Epilepsy TOPIRAMATE 200MG TABLET TOPIRAMATE 02345447 Y

Epilepsy TOPIRAMATE 200MG TABLET TOPIRAMATE 02286238 Y

Epilepsy TOPIRAMATE 25MG TABLET TOPIRAMATE 02349736 Y

Epilepsy TOPIRAMATE 25MG TABLET TOPIRAMATE 02351625 Y

Epilepsy TOPIRAMATE 25MG TABLET TOPIRAMATE 02345250 Y

Epilepsy TOPIRAMATE 25MG TABLET TOPIRAMATE 02345412 Y

Epilepsy TOPIRAMATE 25MG TABLET TOPIRAMATE 02286203 Y

Epilepsy TOPIRAMATE 25MG TABLET TOPIRAMATE 02344858 Y

Epilepsy TOPIRAMATE 50MG TABLET TOPIRAMATE 02345420 Y

Epilepsy TREMYTOINE 50MG/ML VIAL PHENYTOIN SODIUM 00498335 Y

Epilepsy TRILEPTAL 150MG TABLET OXCARBAZEPINE 02242067 Y

Epilepsy TRILEPTAL 300MG TABLET OXCARBAZEPINE 02242068 Y

Epilepsy TRILEPTAL 600MG TABLET OXCARBAZEPINE 02242069 Y

Epilepsy TRILEPTAL 60MG/ML ORAL SOLUTION OXCARBAZEPINE 02244673 Y

Epilepsy VALPROIC 250MG CAPSULE VALPROIC ACID 02343088 Y

Epilepsy VALPROIC 250MG CAPSULE VALPROIC ACID 02238546 Y

Epilepsy VALPROIC ACID 50MG/ML SYRUP VALPROIC ACID 02239282 Y

Epilepsy ZARONTIN 250MG CAPSULE ETHOSUXIMIDE 00022799 Y

Epilepsy ZARONTIN 250MG/5ML SYRUP ETHOSUXIMIDE 00023485 Y

Epilepsy ZYM-CLONAZEPAM 0.25MG TABLET CLONAZEPAM 02303302 Y

Epilepsy ZYM-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02345676 Y

Epilepsy ZYM-CLONAZEPAM 0.5MG TABLET CLONAZEPAM 02303310 Y

Epilepsy ZYM-CLONAZEPAM 1MG TABLET CLONAZEPAM 02303329 Y

Epilepsy ZYM-CLONAZEPAM 2MG TABLET CLONAZEPAM 02303337 Y

Epilepsy ZYM-GABAPENTIN 100MG CAPSULE GABAPENTIN 02304775 Y

Epilepsy ZYM-GABAPENTIN 300MG CAPSULE GABAPENTIN 02304783 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 213

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Epilepsy ZYM-GABAPENTIN 400MG CAPSULE GABAPENTIN 02304791 Y

Epilepsy ZYM-GABAPENTIN 600MG TABLET GABAPENTIN 02304805 Y

Epilepsy ZYM-GABAPENTIN 800MG TABLET GABAPENTIN 02304813 Y

Epilepsy ZYM-TOPIRAMATE 100MG TABLET TOPIRAMATE 02325144 Y

Epilepsy ZYM-TOPIRAMATE 200MG TABLET TOPIRAMATE 02325152 Y

Epilepsy ZYM-TOPIRAMATE 25MG TABLET TOPIRAMATE 02325136 Y

Erectile dysfunction ALPROSTADIL/BIMIX/TRIMIX COMPOUNDS PENTOL/PAPAVERINE/ALPROSTADIL00900669 Y

Erectile dysfunction BIMIX INJ COMP. NON PCARE BENEFIT ADMINISTRATIVE DIN 66123495 Y

Erectile dysfunction CAVERJECT 10MCG/ML KIT ALPROSTADIL 02237800 Y

Erectile dysfunction CAVERJECT 20MCG KITX5 VIAL ALPROSTADIL 02215756 Y

Erectile dysfunction CAVERJECT 20MCG VIAL ONLY ALPROSTADIL 02215187 Y

Erectile dysfunction CAVERJECT 20MCG/ML KIT ALPROSTADIL 02237801 Y

Erectile dysfunction CAVERJECT 40MCG KIT ALPROSTADIL 02237805 Y

Erectile dysfunction CAVERJECT 40MCG/VIAL STERILE POWDER ALPROSTADIL 02237803 Y

Erectile dysfunction CAVERJECT 5MCG KIT ALPROSTADIL 02237804 Y

Erectile dysfunction CAVERJECT 5MCG/ML KIT ALPROSTADIL 02237799 Y

Erectile dysfunction CAVERJECT 5MCG/VIAL STERILE POWDER ALPROSTADIL 02237802 Y

Erectile dysfunction CIALIS 10MG TABLET TADALAFIL 02248088 Y

Erectile dysfunction CIALIS 2.5MG TABLET TADALAFIL 02296888 Y

Erectile dysfunction CIALIS 20MG TABLET TADALAFIL 02248089 Y

Erectile dysfunction CIALIS 5MG TABLET TADALAFIL 02296896 Y

Erectile dysfunction GD-SILDENAFIL 100MG TABLET SILDENAFIL CITRATE 02292017 Y

Erectile dysfunction GD-SILDENAFIL 25MG TABLET SILDENAFIL CITRATE 02291991 Y

Erectile dysfunction GD-SILDENAFIL 50MG TABLET SILDENAFIL CITRATE 02292009 Y

Erectile dysfunction LEVITRA 10MG TABLET VARDENAFIL HCL 02250470 Y

Erectile dysfunction LEVITRA 20MG TABLET VARDENAFIL HCL 02250489 Y

Erectile dysfunction LEVITRA 5MG TABLET VARDENAFIL HCL 02250462 Y

Erectile dysfunction MIX:PROSTIN DILUTION INJECTION ALPROSTADIL 00999064 Y

Erectile dysfunction MUSE 1000MCG MICRO SUPPOSITORY ALPROSTADIL 02238595 Y

Erectile dysfunction MUSE 125MCG MICRO SUPPOSITORY ALPROSTADIL 02238592 Y

Erectile dysfunction MUSE 250MCG MICRO SUPPOSITORY ALPROSTADIL 02238593 Y

Erectile dysfunction MUSE 500MCG MICRO SUPPOSITORY ALPROSTADIL 02238594 Y

Erectile dysfunction PROSTAGLANDIN COMP NON PCARE PROSTAGLANDIN COMPOUNDED INJ66123910 Y

Erectile dysfunction TRIMIX INJ COMPOUND BC NON PCARE INJECTABLE MIXTURE OF 3 COMPONENTS66123483 Y

Erectile dysfunction VIAGRA 100MG TABLET SILDENAFIL CITRATE 02239768 Y

Erectile dysfunction VIAGRA 25MG TABLET SILDENAFIL CITRATE 02239766 Y

Erectile dysfunction VIAGRA 50MG TABLET SILDENAFIL CITRATE 02239767 Y

Erectile dysfunction YOCON 5.4MG TABLET YOHIMBINE HCL 00795283 Y

Erectile dysfunction YOHIMBINE ODAN 5.4MG TABLET YOHIMBINE HCL 01901885 Y

Eye-ear-nose medications* ACULAR 0.5% EYE DROPS KETOROLAC TROMETHAMINE 01968300 Y

Eye-ear-nose medications* ACULAR LS 0.4% OPH SOLUTION KETOROLAC TROMETHAMINE 02248722 Y

Eye-ear-nose medications* AK-CHLOR 0.5% EYE DROPS CHLORAMPHENICOL 00622958 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 214

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Eye-ear-nose medications* AK-CHLOR 1% EYE OINTMENT CHLORAMPHENICOL 00627720 Y

Eye-ear-nose medications* AK-CIDE EYE DROPS NA SULFACETM/PREDNISOL AC 00630640 Y

Eye-ear-nose medications* AK-DILATE 2.5% EYE DROPS PHENYLEPHRINE HCL 00622915 Y

Eye-ear-nose medications* AK-MYCIN 5MG/GM EYE OINT ERYTHROMYCIN BASE 00641324 Y

Eye-ear-nose medications* AK-PENTOLATE 1% EYE DROPS CYCLOPENTOLATE HCL 00626627 Y

Eye-ear-nose medications* AK-SPORE EYE DROPS NEOMY SULF/GRAMICID D/POLY 00635065 Y

Eye-ear-nose medications* AK-SULF 10% EYE DROPS SULFACETAMIDE SODIUM 00622966 Y

Eye-ear-nose medications* AK-TATE 1% EYE DROPS PREDNISOLONE ACETATE 00622931 Y

Eye-ear-nose medications* AK-TROL EYE DROPS NEO/POLYMYX B SULF/DEXAMETH 00626597 Y

Eye-ear-nose medications* ALBALON 0.1% EYE DROPS NAPHAZOLINE HCL 00001147 Y

Eye-ear-nose medications* ALLERGY 0.012% EYE DROPS NAPHAZOLINE HCL 00764647 Y

Eye-ear-nose medications* ALLERGY EYE DROPS TETRAHYDROZOLINE HCL/ZINC SULFATE02248660 Y

Eye-ear-nose medications* ALREX 0.2% OPH SUSP LOTEPREDNOL ETABONATE 02320924 Y

Eye-ear-nose medications* APO-CIPROFLOX 0.3% OPTH SOLN CIPROFLOXACIN HCL 02263130 Y

Eye-ear-nose medications* APO-KETOROLAC 0.5% OPH SOLUTION KETOROLAC TROMETHAMINE 02245821 Y

Eye-ear-nose medications* APO-OFLOXACIN 0.3% OPH SOLUTION OFLOXACIN 02248398 Y

Eye-ear-nose medications* APO-TOBRAMYCIN 0.3% OPH SOLUTION TOBRAMYCIN 02245698 Y

Eye-ear-nose medications* APO-TRIFLURIDINE 1% EYE DROPS TRIFLURIDINE 02248119 Y

Eye-ear-nose medications* ARTELAC LUBRICANT EYE DROPS HYPROMELLOSE 02251523 Y

Eye-ear-nose medications* ARTIFICIAL TEARS POLYVINYL ALCOHOL 02227908 Y

Eye-ear-nose medications* ARTIFICIAL TEARS 1/4% LIQUID POLYVINYL ALCOHOL 02229570 Y

Eye-ear-nose medications* ARTIFICIAL TEARS EXTRA POLYVINYL ALCOHOL\PYRROLIDONE02229632 Y

Eye-ear-nose medications* ARTIFICIAL TEARS PLUS POLYVINYL ALCOHOL 02227916 Y

Eye-ear-nose medications* ATROPINE 1% EYE DROPS ATROPINE SULFATE 02023695 Y

Eye-ear-nose medications* ATROPINE SULF 1% EYE OINT ATROPINE SULFATE 00252484 Y

Eye-ear-nose medications* ATROPINE SULPHATE 1% SOL ATROPINE SULFATE 02148358 Y

Eye-ear-nose medications* ATROPINE-AK 1% EYE DROPS ATROPINE SULFATE 00622907 Y

Eye-ear-nose medications* AURALGAN OTIC DROPS ANTIPYRINE/BENZOCAINE/GLYCERIN01932403 Y

Eye-ear-nose medications* AZASITE 1% OPH SOLUTION AZITHROMYCIN 02345498 Y

Eye-ear-nose medications* BACTROBAN 2% NASAL OINTMENT MUPIROCIN CALCIUM 02236776 Y

Eye-ear-nose medications* BAUSCH & LOMB MOISTURE EYES GLYCERINE/PROPYLENE GLYCOL 02242370 Y

Eye-ear-nose medications* BESIVANCE 0.6% OPH SUSPENSION DROP BESIFLOXACIN 02336847 Y

Eye-ear-nose medications* BETADINE 10% VAGINAL DOUCHE POVIDONE-IODINE 00026093 Y

Eye-ear-nose medications* BETADINE 10% VAGINAL SUPPOS POVIDONE-IODINE 00026050 Y

Eye-ear-nose medications* BETAMYCIN OPTH/OTIC DROPS GENTAM SULF/BETAMET NA PH 02247446 Y

Eye-ear-nose medications* BION TEARS 0.1% DEXTRAN 70/HP-M-CELL 02216051 Y

Eye-ear-nose medications* BLEPH-10 10% EYE DROPS SULFACETAMIDE SODIUM 00001287 Y

Eye-ear-nose medications* BLEPHAMIDE LIQUIFILM DROPS NA SULFACETM/PREDNISOL AC 00807788 Y

Eye-ear-nose medications* BLEPHAMIDE S.O.P. 0.2% OINT NA SULFACETM/PREDNISOL AC 00307246 Y

Eye-ear-nose medications* BSS EYE SOLUTION SODIUM/POTASSIUM/CAL/MAGNESIUM00512990 Y

Eye-ear-nose medications* BSS SOLUTION SODIUM/POTASSIUM/CAL/MAGNESIUM02023709 Y

Eye-ear-nose medications* BURO-SOL OTIC DROPS ACETIC ACID/ALUMINUM ACETATE00674222 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 215

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Eye-ear-nose medications* CELLUVISC 1% EYE DROPS SODIUM CARBOXYMETHYLCELLULOSE00870153 Y

Eye-ear-nose medications* CERUMENEX 10% EAR DROPS TRIETHANOLAMINE 00158356 Y

Eye-ear-nose medications* CERUMOL EAR DROPS TURPENTINE OIL/PARADICHLOR 00221570 Y

Eye-ear-nose medications* CETAMIDE 10% OPH OINTMENT SULFACETAMIDE SODIUM 00252522 Y

Eye-ear-nose medications* CILOXAN 0.3% EYE/EAR DROPS CIPROFLOXACIN HCL 01945270 Y

Eye-ear-nose medications* CILOXAN 0.3% OPH OINTMENT CIPROFLOXACIN HCL 02200864 Y

Eye-ear-nose medications* CIPRO HC OTIC SUSPENSION CIPROFLOXACIN HCL/HC 02240035 Y

Eye-ear-nose medications* CIPRODEX OTIC SUSPENSION CIPROFLOXACIN HCL/ DEXAMETHASONE02252716 Y

Eye-ear-nose medications* CLARITIN EYE ALLERGY RELIEF OXYMETAZOLINE HCL 02243688 Y

Eye-ear-nose medications* CLEAR EYES 0.12% OPH DROP NAPHAZOLINE HCL 02248060 Y

Eye-ear-nose medications* CLEAR EYES ALLERGY DROPS GYLCERINE/NAPHAZOLINE HCL/ZINC SULFATE02248059 Y

Eye-ear-nose medications* CORTAMED 2.5% OPH OINTMENT HYDROCORTISONE ACETATE 01980661 Y

Eye-ear-nose medications* CORTISPORIN OTIC SOLUTION NEOMY SULF/POLYMYX B SULF/HC 01912828 Y

Eye-ear-nose medications* CROWN AK-TOBRA 3MG/ML OPH SOLUTION TOBRAMYCIN 02238710 Y

Eye-ear-nose medications* CYCLOGYL 1% OPH DROP CYCLOPENTOLATE HCL 00252506 Y

Eye-ear-nose medications* DIOCHLORAM 0.5% EYE DROPS CHLORAMPHENICOL 02023857 Y

Eye-ear-nose medications* DIOCHLORAM 1% EYE OINTMENT CHLORAMPHENICOL 02026260 Y

Eye-ear-nose medications* DIODEX 0.1% EYE/EAR DROPS DEXAMETHASONE SOD PHOSPHATE02023865 Y

Eye-ear-nose medications* DIOGENT 3MG/GM EYE OINTMENT GENTAMICIN SULFATE 02023776 Y

Eye-ear-nose medications* DIOGENT 3MG/ML EYE DROPS GENTAMICIN SULFATE 02023822 Y

Eye-ear-nose medications* DIONEPHRINE 2.5% EYE DROPS PHENYLEPHRINE HCL 02027100 Y

Eye-ear-nose medications* DIOPENTOLATE 0.5% CYCLOPENTOLATE HCL 02023687 Y

Eye-ear-nose medications* DIOPENTOLATE 1% EYE DROPS CYCLOPENTOLATE HCL 02023644 Y

Eye-ear-nose medications* DIOPHENYL-T OPH DROP PHENYLEPHRINE HCL/TROPICAMIDE02023717 Y

Eye-ear-nose medications* DIOPRED 1% EYE DROPS PREDNISOLONE ACETATE 02023768 Y

Eye-ear-nose medications* DIOPTIMYD EYE DROPS NA SULFACETM/PREDNISOL AC 02023814 Y

Eye-ear-nose medications* DIOPTIMYD OINTMENT NA SULFACETM/PREDNISOL AC 02023784 Y

Eye-ear-nose medications* DIOPTROL EYE DROPS NEO/POLYMYX B SULF/DEXAMETH 02023806 Y

Eye-ear-nose medications* DIOPTROL OPH OINTMENT DEXAMETHASONE/NEOMY SULF/POLYMYX B SULFATE02023849 Y

Eye-ear-nose medications* DIOTROPE 0.5% EYE DROPS TROPICAMIDE 02023660 Y

Eye-ear-nose medications* DIOTROPE 1% EYE DROPS TROPICAMIDE 02023679 Y

Eye-ear-nose medications* DUOLUBE STERILE OPH OINT PETROLATUM WHITE/MINERAL OIL02125706 Y

Eye-ear-nose medications* ENDOSOL EYE SOLUTION SODIUM/POTASSIUM/CAL/MAGNESIUM02007967 Y

Eye-ear-nose medications* EPIFRIN 0.5% EYE DROPS EPINEPHRINE 00001090 Y

Eye-ear-nose medications* EYESTREAM OPH LIQUID CA MG K NA CHLORIDES 00707937 Y

Eye-ear-nose medications* FLAREX 0.1% OPH SUSP FLUOROMETHOLONE 00756784 Y

Eye-ear-nose medications* FLOXIN 0.3% OTIC DROPS OFLOXACIN 02242360 Y

Eye-ear-nose medications* FML FORTE 0.25% EYE DROPS FLUOROMETHOLONE 00707511 Y

Eye-ear-nose medications* FML LIQUIFILM 0.1% EYE DROP FLUOROMETHOLONE 00247855 Y

Eye-ear-nose medications* FML-NEO LIQUIFILM EYE DROPS NEOMYCIN SULFATE/FLUOROMETH00395153 Y

Eye-ear-nose medications* FUCITHALMIC VISCOUS EYE DROPS FUSIDIC ACID (WITH PRESERVATIVE )02243862 Y

Eye-ear-nose medications* GARAMYCIN 3MG/GM OPH OINT GENTAMICIN SULFATE 00028339 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 216

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Eye-ear-nose medications* GARAMYCIN 3MG/ML OPH DROP GENTAMICIN SULFATE 00512192 Y

Eye-ear-nose medications* GARAMYCIN 3MG/ML OTIC DROPS GENTAMICIN SULFATE 00512184 Y

Eye-ear-nose medications* GARASONE EYE/EAR DROPS GENTAM SULF/BETAMET NA PH 00682217 Y

Eye-ear-nose medications* GARASONE OPH OINT GENTAM SULF/BETAMET NA PH 00586706 Y

Eye-ear-nose medications* GENTAK 3MG/GM EYE OINTMENT GENTAMICIN SULFATE 01989073 Y

Eye-ear-nose medications* GENTAK 3MG/ML DROPS GENTAMICIN SULFATE 00832162 Y

Eye-ear-nose medications* GENTAMYCIN SULFATE 3% DROPS GENTAMICIN SULFATE 02219581 Y

Eye-ear-nose medications* GENTEAL 0.3% GEL HYPROMELLOSE 02242977 Y

Eye-ear-nose medications* GENTEAL ARTIFICIAL TEARS HYDROXYETHYLCELLULOSE 02231289 Y

Eye-ear-nose medications* GENTEAL GELDROPS HYPROMELLOSE/CARBOXYMETHYLCELLULOSE SODIUM02286351 Y

Eye-ear-nose medications* HMS LIQUIFILM EYE DROPS MEDRYSONE 00036676 Y

Eye-ear-nose medications* HYPOTEARS 1% SOLUTION POLYVINYL ALCOHOL 02133253 Y

Eye-ear-nose medications* HYPOTEARS OPH OINTMENT MINERAL OIL/PETROLATUM WHITE02133288 Y

Eye-ear-nose medications* ISOPTO ATROPINE 1% EYE DROP ATROPINE SULFATE 00035017 Y

Eye-ear-nose medications* ISOPTO HOMATROPINE 2% DROPS HOMATROPINE HBR 00000779 Y

Eye-ear-nose medications* ISOPTO HOMATROPINE 5% DROPS HOMATROPINE HBR 00000787 Y

Eye-ear-nose medications* ISOPTO TEARS 0.5% DROPS HYDROXYPROPYL METHYLCELLULOSE00000809 Y

Eye-ear-nose medications* ISOPTO TEARS 1% DROPS HYDROXYPROPYL METHYLCELLULOSE00000817 Y

Eye-ear-nose medications* LACRIL 0.5% EYE DROPS METHYLCELLULOSE 00395900 Y

Eye-ear-nose medications* LACRI-LUBE OPH OINT PER GRAM MO(EM)/PETROLATUM WHITE 00907588 Y

Eye-ear-nose medications* LACRI-LUBE S.O.P. OINTMENT MINERAL OIL/PETROLATUM WHITE00210889 Y

Eye-ear-nose medications* LACRISERT HYDROXYPROPYL CELLULOSE 00904465 Y

Eye-ear-nose medications* LACRISERT OPH INSERT HYDROXYPROPYL CELLULOSE 02250624 Y

Eye-ear-nose medications* LIDOMYXIN OTIC DROP LIDOCAINE HCL/POLYMYXIN B SULFATE00874949 Y

Eye-ear-nose medications* LIDOSPORIN EAR DROPS LIDOCAINE HCL/POLYMYXIN B SULFATE02239155 Y

Eye-ear-nose medications* LIQUIFILM TEARS OPH DROP POLYVINYL ALCOHOL 00045616 Y

Eye-ear-nose medications* LOCACORTEN VIOFORM EARDROPS CLIOQUINOL/FLUMETHASONE 00074454 Y

Eye-ear-nose medications* LOTEMAX 0.5% OPHTHALMIC SUSPENSION LOTEPREDNOL ETABONATE 02321114 Y

Eye-ear-nose medications* LUCENTIS 10MG/ML OPH INJECTION RANIBIZUMAB 02296810 Y

Eye-ear-nose medications* MACUGEN 0.3MG/90MCL SYRINGE PEGAPTANIB SODIUM 02267225 Y

Eye-ear-nose medications* MAXIDEX 0.1% EYE DROPS DEXAMETHASONE 00042560 Y

Eye-ear-nose medications* MAXIDEX 0.1% OINTMENT DEXAMETHASONE 00042579 Y

Eye-ear-nose medications* MAXITROL EYE DROPS NEO/POLYMYX B SULF/DEXAMETH 00042676 Y

Eye-ear-nose medications* MAXITROL OINTMENT DEXAMETHASONE/NEOMY SULF/POLYMYX B SULFATE00358177 Y

Eye-ear-nose medications* MURINE OPH DROP POLYVINYL ALCOHOL/POLYVINYL PYRROLIDONE02247538 Y

Eye-ear-nose medications* MYDFRIN 2.5% EYE DROPS PHENYLEPHRINE HCL 00465763 Y

Eye-ear-nose medications* MYDRIACYL 0.5% EYE DROPS TROPICAMIDE 00000981 Y

Eye-ear-nose medications* MYDRIACYL 1% EYE DROPS TROPICAMIDE 00001007 Y

Eye-ear-nose medications* NAPHCON A EYE DROPS NAPHAZOLINE HCL/PHENIR MAL 00481408 Y

Eye-ear-nose medications* NAPHCON FORTE 0.1% EYE DROP NAPHAZOLINE HCL 00390283 Y

Eye-ear-nose medications* NEOSPORIN EYE/EAR DROPS NEOMY SULF/GRAMICID D/POLY 00694371 Y

Eye-ear-nose medications* NEVANAC 0.1% OPTH.SUSP. NEPAFENAC 02308983 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 217

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Eye-ear-nose medications* NU-CIPROFLOX 0.3% OPH SOLN CIPROFLOXACIN HCL 02333228 Y

Eye-ear-nose medications* NU-KETOROLAC 0.5% OPTH SOLUTION KETOROLAC TROMETHAMINE 02336693 Y

Eye-ear-nose medications* OCUFEN 0.03% EYE DROPS FLURBIPROFEN SODIUM 00766046 Y

Eye-ear-nose medications* OCUFLOX 0.3% OPH SOLUTION OFLOXACIN 02143291 Y

Eye-ear-nose medications* OFLOXACIN 0.3% OPH SOLUTION OFLOXACIN 02247189 Y

Eye-ear-nose medications* ONGUENT OPHTALMIQUE D'ERYTHROMYCINE USP ERYTHROMYCIN 02326663 Y

Eye-ear-nose medications* OPCON-A OPH DROP NAPHAZOLINE HCL/PHENIR MAL 00750794 Y

Eye-ear-nose medications* OPHTHO-FLOX 0.3% OPH SOLUTION OFLOXACIN 02243025 Y

Eye-ear-nose medications* OPTILUBE EYE OINTMENT MINERAL OIL/PETROLATUM WHITE02026457 Y

Eye-ear-nose medications* OPTIMYXIN OPH OINTMENT BACITRACIN ZINC/POLYMYX B SULF02160889 Y

Eye-ear-nose medications* OPTIMYXIN OTO/OPHT DROP GRAMCIDIN/POLYMYXIN B SULFATE00701785 Y

Eye-ear-nose medications* OPTIMYXIN PLUS OTO/OPH DROP NEOMY SULF/GRAMICID D/POLY 00807435 Y

Eye-ear-nose medications* ORIGINAL EYE DROPS TETRAHYDROZOLINE HCL 02273446 Y

Eye-ear-nose medications* ORIGINAL EYE DROPS TETRAHYDROZOLINE HCL 02248546 Y

Eye-ear-nose medications* PENTAMYCETIN 0.25% EYE DROP CHLORAMPHENICOL 01980556 Y

Eye-ear-nose medications* PENTAMYCETIN 0.5% SOLUTION CHLORAMPHENICOL 02164051 Y

Eye-ear-nose medications* PENTAMYCETIN 1% EYE OINT CHLORAMPHENICOL 01980564 Y

Eye-ear-nose medications* PENTAMYCETIN/HC EYE/EAR DROP CHLORAMPHENICOL/HC ACETATE 01980572 Y

Eye-ear-nose medications* PENTAMYCETIN/HC EYE/EAR ONT CHLORAMPHENICOL/HC ACETATE 01980580 Y

Eye-ear-nose medications* PHENYLTROPE OPH DROP PHENYLEPHRINE HCL/TROPICAMIDE00629693 Y

Eye-ear-nose medications* PHL-ERYTHROMYCIN OPH OINTMENT ERYTHROMYCIN 02237041 Y

Eye-ear-nose medications* PIN:GENTEAL ARTIFICAL TEARS (PQ) HYDROXYETHYLCELLULOSE 99100305 Y

Eye-ear-nose medications* PMS-CHLORAMPHENICOL 0.5% DP CHLORAMPHENICOL 00861383 Y

Eye-ear-nose medications* PMS-CIPROFLOXACIN 0.3% OPH SOLUTION CIPROFLOXACIN HCL 02253933 Y

Eye-ear-nose medications* PMS-DEXAMETH SP 0.1% DROP DEXAMETHASONE SOD PHOSPHATE00785261 Y

Eye-ear-nose medications* PMS-DIPIVEFRIN 1MG/ML OPH SOLUTION DIPIVEFRIN HCL 02237868 Y

Eye-ear-nose medications* PMS-ERYTHROMYCIN OPH OINTMENT ERYTHROMYCIN BASE 01912755 Y

Eye-ear-nose medications* PMS-FLUORMOETHOLONE 0.1% OPH SOLUTION FLUOROMETHOLONE 02238568 Y

Eye-ear-nose medications* PMS-GENTAMICIN 0.3% DROPS GENTAMICIN SULFATE 00776521 Y

Eye-ear-nose medications* PMS-GENTAMICINE 0.3% OTIC DROP GENTAMICIN SULFATE 02230889 Y

Eye-ear-nose medications* PMS-OFLOXACIN 0.3% OPH DROP OFLOXACIN 02252570 Y

Eye-ear-nose medications* PMS-POLYTRIMETHOPRIM OPH SOLUTION POLYMYXIN B SULFATE/TRIMETHOPRIM02240363 Y

Eye-ear-nose medications* PMS-PREDNISOLONE 1% FORTE PREDNISOLONE SOD PHOSPHATE 01954237 Y

Eye-ear-nose medications* PMS-SULFACETAMIDE 30% DROPS SULFACETAMIDE SODIUM 00762059 Y

Eye-ear-nose medications* PMS-TOBRAMYCIN 0.3% OPTHALMIC SOLUTION TOBRAMYCIN 02239577 Y

Eye-ear-nose medications* POLYSPORIN EYE/EAR DROPS GRAMCIDIN/POLYMYXIN B SULFATE02239156 Y

Eye-ear-nose medications* POLYSPORIN STERILE OPH OINTMENT BACITRACIN/POLYMYXIN B SULFATE02239157 Y

Eye-ear-nose medications* POLYTRIM EYE DROPS POLYMYXIN B SULFATE/TRIMETHOPRIM02011956 Y

Eye-ear-nose medications* PRED FORTE 1% EYE DROPS PREDNISOLONE ACETATE 00301175 Y

Eye-ear-nose medications* PRED MILD 0.12% EYE DROPS PREDNISOLONE ACETATE 00299405 Y

Eye-ear-nose medications* PREDNISOLONE 0.5% OPHTH SOL MINIMS PREDNISOLONE SOD PHOSPHATE 02148498 Y

Eye-ear-nose medications* PREFRIN-A EYE DROPS PHENYLEPHRINE HCL/PYRIL MAL 00400408 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 218

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Eye-ear-nose medications* RATIO-KETOROLAC 0.5% OPH SOLUTION KETOROLAC TROMETHAMINE 02247461 Y

Eye-ear-nose medications* RATIO-PREDNISOLONE 1% EYE DROPS PREDNISOLONE ACETATE 00700401 Y

Eye-ear-nose medications* REFRESH ART TEARS POLYVINYL ALCOHOL 02138670 Y

Eye-ear-nose medications* REFRESH LIQUIGEL OPH SOLUTION SODIUM CARBOXYMETHYLCELLULOSE02244650 Y

Eye-ear-nose medications* REFRESH PLUS EYE DROP UNIT DOSE SODIUM CARBOXYMETHYLCELLULOSE02049260 Y

Eye-ear-nose medications* REFRESH TEARS EYE DROP-15ML SODIUM CARBOXYMETHYLCELLULOSE02231008 Y

Eye-ear-nose medications* SAB-CORTIMYXIN OPH OINTMENT BACITRACIN/HC/NEOMYCIN/POLYMIXN02242485 Y

Eye-ear-nose medications* SAB-PREDNASE 1% SOLUTION PREDNISOLONE SOD PHOSPHATE 02245858 Y

Eye-ear-nose medications* SAB-TRIFLURIDINE 1% EYE DROPS TRIFLURIDINE 02248529 Y

Eye-ear-nose medications* SANDOZ CORTIMYXIN OTIC SOLUTION NEOMY SULF/POLYMYX B SULF/HC 02230386 Y

Eye-ear-nose medications* SANDOZ DEXAMETHASONE EYE/EAR 0.1% DROP DEXAMETHASONE SOD PHOSPHATE00739839 Y

Eye-ear-nose medications* SANDOZ EYELUBE 0.5% OPH DROP HYDROXYPROPYL METHYLCELLULOSE00889806 Y

Eye-ear-nose medications* SANDOZ EYELUBE 1% OPH DROP HYDROXYPROPYL METHYLCELLULOSE00874965 Y

Eye-ear-nose medications* SANDOZ GENTAMICIN 0.3% OPH DROP GENTAMICIN SULFATE 02229440 Y

Eye-ear-nose medications* SANDOZ GENTAMICIN 0.3% OPH OINT GENTAMICIN SULFATE 02230888 Y

Eye-ear-nose medications* SANDOZ GENTAMYCIN 0.3% OTIC DROP GENTAMICIN SULFATE 02229441 Y

Eye-ear-nose medications* SANDOZ OPTICORT EYE/EAR DROP DEXAMETH/FRAMYCETIN/GRAMICIDIN02247920 Y

Eye-ear-nose medications* SANDOZ PREDNISOLONE 0.12% OPH DROP PREDNISOLONE ACETATE 01916181 Y

Eye-ear-nose medications* SANDOZ PREDNISOLONE 1% OPH DROP PREDNISOLONE ACETATE 01916203 Y

Eye-ear-nose medications* SANDOZ SOD CHLOR 5% OPH DROP SODIUM CHLORIDE 02245735 Y

Eye-ear-nose medications* SANDOZ TOBRAMYCIN 0.3% OPH DROP TOBRAMYCIN 02241755 Y

Eye-ear-nose medications* SANDOZ-PENTASONE OPHTH/OTIC SOLUTION GENTAM SULF/BETAMET NA PH 02244999 Y

Eye-ear-nose medications* SODIUM SULAMYD 10% OPH DROP SULFACETAMIDE SODIUM 00028053 Y

Eye-ear-nose medications* SOFRACORT EYE/EAR DROPS DEXAMETH/FRAMYCETIN/GRAMICIDIN02224623 Y

Eye-ear-nose medications* SOFRAMYCIN 0.5% EYE DROPS FRAMYCETIN 02224887 Y

Eye-ear-nose medications* SOFRAMYCIN NASAL SPRAY FRAMYCETIN/GRAMICID D/PE 02224860 Y

Eye-ear-nose medications* SOFRAMYCIN OPH OINTMENT FRAMYCETIN SULFATE/GRAMICID D02224895 Y

Eye-ear-nose medications* SPOR-HC OTIC SUSPENSION NEOMY SULF/POLYMYX B SULF/HC 00626600 Y

Eye-ear-nose medications* SYSTANE LUBRICANT EYE DROPS POLYETHYLENE GLYCOL 400/PROPYLENE GLYCOL02248967 Y

Eye-ear-nose medications* TEARS ENCORE DROPS POLYSORBATES 01950010 Y

Eye-ear-nose medications* TEARS NATURALE EYE DROPS DEXTRAN 70/HP-M-CELL 00390291 Y

Eye-ear-nose medications* TEARS NATURALE FORTE OPH LIQUID DEXTRAN/GLYCERINE/HYPROMELLOSE02246397 Y

Eye-ear-nose medications* TEARS NATURALE FREE DROPS DEXTRAN 70/HP-M-CELL 01943308 Y

Eye-ear-nose medications* TEARS NATURALE II EYE DROPS DEXTRAN 70/HP-M-CELL 00743445 Y

Eye-ear-nose medications* TEARS NATURALE P.M. LUBRICANT EYE OINTMENT LANOLIN/MIN OIL/PETROLAT WHT 02082519 Y

Eye-ear-nose medications* TEARS PLUS EYE DROPS POLYVINYL ALCOHOL/POVIDONE 00579408 Y

Eye-ear-nose medications* TETRACYCLINE 1% EYE ONGUENT TETRACYCLINE HCL 00792594 Y

Eye-ear-nose medications* THERA TEARS LUBRICANT EYE DROPS SODIUM CARBOXYMETHYLCELLULOSE02242082 Y

Eye-ear-nose medications* THERATEARS LUBRICANT EYE DROPS SODIUM CARBOXYMETHYLCELLULOSE02248854 Y

Eye-ear-nose medications* TOBRADEX OPH DROP TOBRAMYCIN SULFATE/DEXAMETH00778907 Y

Eye-ear-nose medications* TOBRADEX OPH OINTMENT TOBRAMYCIN SULFATE/DEXAMETH00778915 Y

Eye-ear-nose medications* TOBREX 0.3% OPH DROP TOBRAMYCIN 00513962 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 219

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Eye-ear-nose medications* TOBREX 0.3% OPH OINTMENT TOBRAMYCIN SULFATE 00614254 Y

Eye-ear-nose medications* TOBREXAN 0.3% OPH SOLUTION TOBRAMYCIN 02261243 Y

Eye-ear-nose medications* TRIMETH. & POLYMYXIN B OPH SOLUTION POLYMYXIN B SULFATE/TRIMETHOPRIM02239234 Y

Eye-ear-nose medications* TROPICACYL 0.5% EYE DROPS TROPICAMIDE 00627704 Y

Eye-ear-nose medications* TROPICACYL 1% EYE DROPS TROPICAMIDE 00622885 Y

Eye-ear-nose medications* TROPICAMIDE 1% SOLUTION TROPICAMIDE 02148536 Y

Eye-ear-nose medications* VASOCIDIN OPH 5ML SOLUTION NA SULFACETM/PREDNIS SP 00903477 Y

Eye-ear-nose medications* VEXOL 1% OPH SUSPENSION RIMEXOLONE 02163691 Y

Eye-ear-nose medications* VIGAMOX 0.5% OPH SOLUTION MOXIFLOXACIN HCL 02252260 Y

Eye-ear-nose medications* VIROPTIC 1% EYE DROPS TRIFLURIDINE 00687456 Y

Eye-ear-nose medications* VISINE ADVANCE ALLERGY EYE DROP PHENIRAMINE MALEATE/NAPHAZOLINE HCL02242764 Y

Eye-ear-nose medications* VISINE ADVANCE TRIPLE ACTION DROPS TETRAHYDROZOL HCL/DEXT 70/POLYETHYLENE GLY/POVIDONE02248657 Y

Eye-ear-nose medications* VISINE ADVANCE TRUE TEARS GLYCERINE/HYPROMELLOSE 02243009 Y

Eye-ear-nose medications* VISINE ALLERGY OPH SOLUTION TETRAHYDROZOLINE HCL/ZINC SULFATE02144093 Y

Eye-ear-nose medications* VISINE MOISTURIZING LUB OPH SOLUTION POLYETHYLENE GLYCOL/TETRAHYDROZOLINE HCL02144085 Y

Eye-ear-nose medications* VISINE ORIGINAL 0.05% OPTH SOLN TETRAHYDROZOLINE HCL 01942425 Y

Eye-ear-nose medications* VISINE WORKPLACE OPH LIQUID OXYMETAZOLINE HCL 02151014 Y

Eye-ear-nose medications* VISUDYNE 15MG INJECTION VERTEPORFIN 02242367 Y

Eye-ear-nose medications* VOLTAREN OPH 0.1% DROP DICLOFENAC SODIUM 01940414 Y

Eye-ear-nose medications* ZINCFRIN A DROPS NAPHAZO HCL/ANTAZOLINE/ZN SLT00042641 Y

Eye-ear-nose medications* ZINCFRIN DROPS PHENYLEPHRINE/ZINC SULFATE 00042595 Y

Eye-ear-nose medications* ZYMAR 3MG/ML OPH DROP GATIFLOXACIN 02257270 Y

Fertility disorders BRAVELLE 75U/VIAL INJ UROFOLLITROPIN (FSH) 02268140 Y

Fertility disorders CHORIONIC GONADTROPIN 10000U INJECTION CHORIONIC GONADOTROPIN 02247459 Y

Fertility disorders CLOMID 50MG TABLET CLOMIPHENE CITRATE 02091879 Y

Fertility disorders CRINONE 8% VAG GEL PROGESTERONE 02241013 Y

Fertility disorders ENDOMETRIN 100MG VAG TABLET PROGESTERONE 02334992 Y

Fertility disorders FERTINORM HP 150IU AMPOULE UROFOLLITROPIN (FSH) 02125412 Y

Fertility disorders FERTINORM HP 75IU AMPOULE UROFOLLITROPIN (FSH) 02125404 Y

Fertility disorders GONAL-F 11MCG INJECTION FOLLITROPIN ALPHA 02248155 Y

Fertility disorders GONAL-F 1200IU INJECTION FOLLINTROPIN ALFACON-1 02244787 Y

Fertility disorders GONAL-F 150 IU VIAL FOLLITROPIN ALPHA/RECOMB 02231465 Y

Fertility disorders GONAL-F 2.8MCG INJECTION FOLLITROPIN ALPHA 02248153 Y

Fertility disorders GONAL-F 300U/0.5ML PEN FOLLITROPIN ALPHA 02270404 Y

Fertility disorders GONAL-F 33MCG INJECTION FOLLITROPIN ALPHA 02248156 Y

Fertility disorders GONAL-F 450U/0.75ML PEN FOLLITROPIN ALPHA 02270390 Y

Fertility disorders GONAL-F 5.5MCG INJECTION FOLLITROPIN ALPHA 02248154 Y

Fertility disorders GONAL-F 77MCG INJECTION FOLLITROPIN ALPHA 02248157 Y

Fertility disorders GONAL-F 900U/1.5 ML PEN FOLLITROPIN ALPHA 02270382 Y

Fertility disorders LUTREPULSE 0.8MG VIAL GONADORELIN ACETATE 02046210 Y

Fertility disorders LUVERIS 75 UNITS VIAL LUTROPIN ALPHA 02269066 Y

Fertility disorders MENOPUR 75IU INJECTION MENOTROPINS 02283093 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 220

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Fertility disorders MIX: PROGESTERONE SUPPOSITORY PROGESTERONE 00990054 Y

Fertility disorders MIX: PROGESTERONE SUPPOSITORY GWL (REIM) PROGESTERONE 00990178 Y

Fertility disorders OVIDREL 250MCG VIAL (PWSO) CHORIOGONADOTROPIN ALPHA 02262061 Y

Fertility disorders OVIDREL 250MCG VIAL (SOL) CHORIOGONADOTROPIN ALPHA 02262088 Y

Fertility disorders PERGONAL 75IU AMPOULE FOLLICLE STIMULATION HORMONE/LUTEINING HORMONE00254916 Y

Fertility disorders PREGNYL 10000 UNIT/VIAL CHORIONIC GONADOTROPIN 02182904 Y

Fertility disorders PROFASI HP 10000U VIAL CHORIONIC GONADOTROPIN 01925679 Y

Fertility disorders PUREGON 100U/0.5ML INJECITON FOLLITROPIN BETA 02242441 Y

Fertility disorders PUREGON 150IU AMPOULE FOLLITROPIN BETA/RECOMB 02231657 Y

Fertility disorders PUREGON 150U/0.5ML INJECTION FOLLITROPIN BETA 02242442 Y

Fertility disorders PUREGON 200U/0.5ML INJECTION FOLLITROPIN BETA 02242443 Y

Fertility disorders PUREGON 225U/0.5ML INJECTION FOLLITROPIN BETA 02242444 Y

Fertility disorders PUREGON 250U/0.5ML INJECTION FOLLITROPIN BETA 02242445 Y

Fertility disorders PUREGON 300IU CARTRIDGE FOLLITROPIN BETA 02243948 Y

Fertility disorders PUREGON 50U/0.5ML INJECTION FOLLITROPIN BETA 02242439 Y

Fertility disorders PUREGON 600IU CARTRIDGE FOLLITROPIN BETA 00990204 Y

Fertility disorders PUREGON 75IU AMPOULE FOLLITROPIN BETA/RECOMB 02231654 Y

Fertility disorders PUREGON 75U/0.5ML INJECTION FOLLITROPIN BETA 02242440 Y

Fertility disorders PUREGON 900IU CARTRIDGE FOLLITROPIN BETA 00990205 Y

Fertility disorders PUREGON CARTOUCHE 600UI INJ(PQ) FOLLITROPIN BETA 00964697 Y

Fertility disorders PUREGON CARTOUCHE 900UI INJ(PQ) FOLLITROPIN BETA 00964700 Y

Fertility disorders REPRONEX 75IU INJECTION MENOTROPINS 02247790 Y

Fertility disorders SEROPHENE 50MG TABLET CLOMIPHENE CITRATE 00893722 Y

Fertility disorders SEROPHENE 50MG TABLET CLOMIPHENE CITRATE 00640158 Y

Gastrointestinal* 5-AMINOSALICYLIC ACID 400MG TABLET MESALAZINE 02351463 Y

Gastrointestinal* AA-TRIMEBUTINE 100MG TABLET TRIMEBUTINE MALEATE 02349027 Y

Gastrointestinal* AA-TRIMEBUTINE 200MG TABLET TRIMEBUTINE MALEATE 02349035 Y

Gastrointestinal* AGAROL EX STR LAXATIVE CHEW TABLET SENNOSIDES 02240784 Y

Gastrointestinal* AGAROL PLAIN EMULSION GLYCERIN/MINERAL OIL 02237625 Y

Gastrointestinal* AGAROL WITH SENNOSIDES LIQUID SENNOSIDES 02240031 Y

Gastrointestinal* ALUMINA & MAGNESIA ORAL SUSPENSION ALUMINUM HYDROXIDE & MAGNESIUM02030438 Y

Gastrointestinal* ANTACID 2 TABLET CALCIUM CARBONATE/GLYCINE 01904310 Y

Gastrointestinal* ANTACID ALAMAG PLUS ORAL SUSPENSION MAG HYDROX/AL HYDROX/SIMETH02039273 Y

Gastrointestinal* ANTACID PLUS EXTRA STRENGTH ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/SIMETHICONE02257807 Y

Gastrointestinal* ANTACID REGULAR WITH ANTI-GAS ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/SIMETHICONE02261588 Y

Gastrointestinal* ANTI-DIARRHEAL 2MG TABLET LOPERAMIDE HCL 02170272 Y

Gastrointestinal* APC-LOPERAMIDE 2MG TABLET LOPERAMIDE HCL 02212005 Y

Gastrointestinal* APO-BISACODYL 10MG SUPP BISACODYL 00754595 Y

Gastrointestinal* APO-BISACODYL 5MG TABLET BISACODYL 00545023 Y

Gastrointestinal* APO-CHLORAX CAPSULE CLIDINIUM/CHLORDIAZEPOXIDE 00618454 Y

Gastrointestinal* APO-DOCUSATE SODIUM 100MG CAPSULE DOCUSATE SODIUM 02245079 Y

Gastrointestinal* APO-DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02103613 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 221

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CANADA POST CORPORATION

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DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Gastrointestinal* APO-LACTULOSE SYRUP LACTULOSE 02242814 Y

Gastrointestinal* APO-METOCLOP 10MG TABLET METOCLOPRAMIDE HCL 00842834 Y

Gastrointestinal* APO-METOCLOP 5MG TABLET METOCLOPRAMIDE HCL 00842826 Y

Gastrointestinal* ASACOL 400MG EC TABLET MESALAZINE 01997580 Y

Gastrointestinal* ASACOL 800MG EC TABLET MESALAZINE 02267217 Y

Gastrointestinal* ATROPINE SULF 0.3MG/ML AMPUL ATROPINE SULFATE 00497223 Y

Gastrointestinal* ATROPINE SULF 0.4MG/ML AMPUL ATROPINE SULFATE 00392782 Y

Gastrointestinal* ATROPINE SULF 0.6MG/ML AMPUL ATROPINE SULFATE 00392693 Y

Gastrointestinal* AZEO PANGEN EXTRA STRENGTH TABLET AMYLASE/LIPASE/PROTEASE 02237574 Y

Gastrointestinal* AZEO-PANGEN PANCREATIN 325MG TABLET PANCREATIN 00822566 Y

Gastrointestinal* BEANO DROPS ALPHA-GALACTOSIDASE 02237566 Y

Gastrointestinal* BELLERGAL SPACETAB ERGOTAMINE/BELLADONNA/PB 00176141 Y

Gastrointestinal* BENTYLOL 10MG TABLET DICYCLOMINE HCL 02103087 Y

Gastrointestinal* BENTYLOL 10MG/5ML SYRUP DICYCLOMINE HCL 02102978 Y

Gastrointestinal* BENTYLOL 20MG TABLET DICYCLOMINE HCL 02103095 Y

Gastrointestinal* BETAINE HCL WITH PEPSIN TABLET PEPSIN/BETAINE HCL 00633690 Y

Gastrointestinal* BETNESOL RETENTION ENEMA BETAMETHASONE SODIUM PHOSPHATE02060884 Y

Gastrointestinal* BIO-ZYME TAB 50MG PANCREATIN 00837008 Y

Gastrointestinal* BISACODYL 5MG TABLET EC BISACODYL 00420433 Y

Gastrointestinal* BISACODYL TABLETS 5 MG BISACODYL 02246039 Y

Gastrointestinal* BISACODYL TABLETS 5MG BISACODYL 02243838 Y

Gastrointestinal* BISACODYL-ODAN 5MG CO. ENT BISACODYL 02273411 Y

Gastrointestinal* BISMUTH + ANTACID CHEW TABLET BISMUTH SUBSAL/CALCIUM CARB 02240473 Y

Gastrointestinal* BISMUTH 17.6MG/ML LIQUID BISMUTH SUBSALICYLATE 02220709 Y

Gastrointestinal* BISMUTH 262MG TABLET BISMUTH SUBSALICYLATE 02314312 Y

Gastrointestinal* BISMUTH CAPLETS BISMUTH SUBSALICYLATE 02245730 Y

Gastrointestinal* BISMUTH CHEWABLES BISMUTH SUBSALICYLATE 02245731 Y

Gastrointestinal* BISMUTH EXTRA STRENGTH 35MG/ML SUSPENSION BISMUTH SUBSALICYLATE 02242537 Y

Gastrointestinal* BISMUTH SUBSALICYLATE LIQUID BISMUTH SUBSALICYLATE 02313162 Y

Gastrointestinal* BROMO SELTZER GRANULE CITRIC ACID/SODIUM BICARBONATE02241892 Y

Gastrointestinal* BUSCOPAN 10MG TABLET HYOSCINE BUTYLBROMIDE 00363812 Y

Gastrointestinal* BUSCOPAN 20MG/ML AMPOULE HYOSCINE BUTYLBROMIDE 00363839 Y

Gastrointestinal* CAL K TABLET POTAS TART/CALCIUM CARBONATE00525162 Y

Gastrointestinal* CALAX 240MG CAPSULE DOCUSATE CALCIUM 00806226 Y

Gastrointestinal* CALCIUM DOCUSATE 240MG CAPSULE DOCUSATE CALCIUM 00830275 Y

Gastrointestinal* CARTER'S LITTLE PILLS BISACODYL 02219190 Y

Gastrointestinal* CASCARA 325MG TABLET CASCARA SAGRADA 00178667 Y

Gastrointestinal* CHARAC-50 SUSPENSION ACTIVATED CHARCOAL 00637955 Y

Gastrointestinal* CHARACTOL-50 SUSPENSION ACTIVATED CHARCOAL 00649236 Y

Gastrointestinal* CHARCOAL 260MG CAPSULE ACTIVATED CHARCOAL 00789674 Y

Gastrointestinal* CHARCODOTE AQ 200MG/ML SUSPENSION ACTIVATED CHARCOAL 02105470 Y

Gastrointestinal* CHARCODOTE TFS 200MG/ML SUSPENSION ACTIVATED CHARCOAL 02105462 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 222

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CANADA POST CORPORATION

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DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Gastrointestinal* CODULAX TABLETS BISACODYL 02238155 Y

Gastrointestinal* COLACE 100MG CAPSULE DOCUSATE SODIUM 02106256 Y

Gastrointestinal* COLACE 10MG/ML DROPS DOCUSATE SODIUM 02090163 Y

Gastrointestinal* COLACE 60MG/15ML SYRUP DOCUSATE SODIUM 02086018 Y

Gastrointestinal* COLYTE COLON ELECT LAVAGE SOD SULF/SOD/NAHCO3/KCL/PEG'S00677442 Y

Gastrointestinal* CORRECTOL 100MG CAPSULE DOCUSATE SODIUM 02063549 Y

Gastrointestinal* CORRECTOL 5MG EC TABLET BISACODYL 02210630 Y

Gastrointestinal* CORTENEMA 100MG/60ML ENEMA HYDROCORTISONE 02112736 Y

Gastrointestinal* CORTIFOAM 10% AEROSOL HYDROCORTISONE ACETATE 00579335 Y

Gastrointestinal* COTAZYM 65B CAPSULE AMYLASE/LIPASE/PROTE/BILE SALT00456233 Y

Gastrointestinal* COTAZYM CAPSULE AMYLASE/LIPASE/PROTEASE 00263818 Y

Gastrointestinal* COTAZYM ECS 20 CAPSULE EC AMYLASE/LIPASE/PROTEASE 00821373 Y

Gastrointestinal* COTAZYM ECS 4 CAPSULE AMYLASE/LIPASE/PROTEASE 02181215 Y

Gastrointestinal* COTAZYM ECS 8 CAPSULE EC AMYLASE/LIPASE/PROTEASE 00502790 Y

Gastrointestinal* CREON 10 CAPSULE EC AMYLASE/LIPASE/PROTEASE 02200104 Y

Gastrointestinal* CREON 20 CAPSULE EC AMYLASE/LIPASE/PROTEASE 02239008 Y

Gastrointestinal* CREON 25 MINIMICROSPHERE AMYLASE/LIPASE/PROTEASE 01985205 Y

Gastrointestinal* CREON 5 CAPSULE EC AMYLASE/LIPASE/PROTEASE 02239007 Y

Gastrointestinal* DAIRY DIGESTIVE ULTRA STRENGTH SUPPLEMENT LACTASE 02248509 Y

Gastrointestinal* DEVROM 200MG CHEW TABLET BISMUTH SUBGALLATE 00452696 Y

Gastrointestinal* DIAREST 2MG TABLET LOPERAMIDE HCL 02212013 Y

Gastrointestinal* DIARR-EZE 1MG/5ML LIQUID LOPERAMIDE HCL 02192667 Y

Gastrointestinal* DIARR-EZE 2MG TABLET LOPERAMIDE HCL 02229552 Y

Gastrointestinal* DIARRHEA RELIEF 2MG TABLET LOPERAMIDE HCL 02248994 Y

Gastrointestinal* DICETEL 100MG TABLET PINAVERIUM BROMIDE 02230684 Y

Gastrointestinal* DICETEL 50MG TABLET PINAVERIUM BROMIDE 01950592 Y

Gastrointestinal* DICLOPHEN CAPSULE DICYCLOMINE HCL/PHENOBARBITAL00157066 Y

Gastrointestinal* DICYCLOMINE HCL 10MG CAPSULE DICYCLOMINE HCL 00392820 Y

Gastrointestinal* DICYCLOMINE HCL 10MG/ML AMPUL DICYCLOMINE HCL 00392812 Y

Gastrointestinal* DIGESTIVE ENZYMES - TABLET AMYLASE/CELLULASE/LIPASE/PROTEASE02160897 Y

Gastrointestinal* DIOVOL CHEW TABLET MAGNESIUM HYDROXIDE/AL HYDROX00013838 Y

Gastrointestinal* DIOVOL PLUS AF CHEW TABLET CALCIUM CARB/MAG HYDROX/SIMETH02157624 Y

Gastrointestinal* DIOVOL PLUS AF SUSPENSION CALCIUM CARB/MAG HYDROX/SIMETH02157616 Y

Gastrointestinal* DIOVOL PLUS CHEW TABLET MAG HYDROX/AL HYDROX/SIMETH00116882 Y

Gastrointestinal* DIOVOL PLUS SUSPENSION MAG HYDROX/AL HYDROX/SIMETH00116815 Y

Gastrointestinal* DIPAN 9 CAPSULE AMYLASE/LIPASE/PROTEASE 00625779 Y

Gastrointestinal* DIPENTUM 250MG CAPSULE OLSALAZINE SODIUM 02063808 Y

Gastrointestinal* DIPHENOXYLATE/ATROPINE TABLET DIPHENOXYLATE HCL/ATROP SULF02218348 Y

Gastrointestinal* DOCUSATE CALCIUM 240MG CAPSULE DOCUSATE CALCIUM 02246741 Y

Gastrointestinal* DOCUSATE CALCIUM 240MG CAPSULE DOCUSATE CALCIUM 02283255 Y

Gastrointestinal* DOCUSATE DE SODIUM DOCUSATE SODIUM 02024624 Y

Gastrointestinal* DOCUSATE SOD 60MG/15ML SYRUP DOCUSATE SODIUM 00779105 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 223

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Gastrointestinal* DOCUSATE SODIUM 100MG CAPSULE DOCUSATE SODIUM 00716731 Y

Gastrointestinal* DOCUSATE SODIUM 100MG CAPSULE DOCUSATE SODIUM 00794406 Y

Gastrointestinal* DOCUSATE SODIUM 100MG CAPSULE DOCUSATE SODIUM 02245946 Y

Gastrointestinal* DOCUSATE SODIUM 100MG CAPSULE DOCUSATE SODIUM 02246036 Y

Gastrointestinal* DOCUSATE SODIUM 100MG CAPSULE DOCUSATE SODIUM 02326086 Y

Gastrointestinal* DOCUSATE SODIUM 10MG/ML DRP DOCUSATE SODIUM 00870218 Y

Gastrointestinal* DOCUSATE SODIUM 4MG/ML SYRUP DOCUSATE SODIUM 02238283 Y

Gastrointestinal* DOCUSATE SODIUM 4MG/ML SYRUP DOCUSATE SODIUM 02246854 Y

Gastrointestinal* DOCUSATE SODIUM SYRUP USP DOCUSATE SODIUM 02283220 Y

Gastrointestinal* DOCUSATE SODIUM SYRUP USP DOCUSATE SODIUM 02283239 Y

Gastrointestinal* DOM-DOCUSATE SODIUM 100MG CAPSULE DOCUSATE SODIUM 02239658 Y

Gastrointestinal* DOM-DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02238315 Y

Gastrointestinal* DOM-LOPERAMIDE 1MG/5ML LIQ LOPERAMIDE HCL 02138301 Y

Gastrointestinal* DOM-LOPERAMIDE 2MG CAPLET LOPERAMIDE HCL 02239535 Y

Gastrointestinal* DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02349671 Y

Gastrointestinal* DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02350440 Y

Gastrointestinal* DOMPERIDONE MALEATE TABLETS 10MG TABLET DOMPERIDONE MALEATE 02341204 Y

Gastrointestinal* DOMPERIDONE-10 TABLET DOMPERIDONE MALEATE 02236857 Y

Gastrointestinal* DOM-URSODIOL C 250MG TABLET URSODIOL 02281295 Y

Gastrointestinal* DOM-URSODIOL C 500MG TABLET URSODIOL 02281309 Y

Gastrointestinal* DULCOLAX 10MG SUPPOSITORY BISACODYL 00003875 Y

Gastrointestinal* DULCOLAX 5MG SUPPOSITORY BISACODYL 00003867 Y

Gastrointestinal* DULCOLAX 5MG TABLET EC BISACODYL 00254142 Y

Gastrointestinal* DYCHOLIUM 300MG TABLET DEHYDROCHOLIC ACID 02162148 Y

Gastrointestinal* DYGEST TABLET BETAINE/OX BILE/PANCREATIN/PAPAIN/PEPPERMINT/PEPSIN00665975 Y

Gastrointestinal* EAU STERILE INHALOTHERAPIE STERILE WATER 00920282 Y

Gastrointestinal* ENTOCORT 0.02MG/ML ENEMA BUDESONIDE 02052431 Y

Gastrointestinal* ENZYME BLEND CAPSULE DIGESTANTS 02243246 Y

Gastrointestinal* ENZYME CAPS DIGESTANTS 01984454 Y

Gastrointestinal* EQUALACTIN 625MG TABLET CALCIUM POLYCARBOPHIL 02129450 Y

Gastrointestinal* EURO-DOCUSATE 100MG CAPSULES DOCUSATE SODIUM 02247385 Y

Gastrointestinal* EURO-DOCUSATE C 100MG CAPSULE DOCUSATE SODIUM 02303825 Y

Gastrointestinal* EURO-LAC 667MG/ML SYRUP LACTULOSE 02247383 Y

Gastrointestinal* EURO-SENNA S. TABLET SENNOSIDES/DOCUSATE SODIUM 02247390 Y

Gastrointestinal* FERMALAC CAPSULE EC ACIDOPHILUS/BULGARICUS 00351547 Y

Gastrointestinal* FIBRE LAXATIVE WITH SUGAR PSYLLIUM 02207230 Y

Gastrointestinal* FLEET MINERAL OIL ENEMA MINERAL OIL 00107875 Y

Gastrointestinal* GAS RELIEF TABLETS SIMETHICONE 02328127 Y

Gastrointestinal* GAS X THIN STRIPS 62.5MG SIMETHICONE SIMETHICONE 02270331 Y

Gastrointestinal* GAS X ULTRA STRENGTH CAPSULE SIMETHICONE 02300761 Y

Gastrointestinal* GASTROBID 20MG SR TABLET METOCLOPRAMIDE HCL 02163756 Y

Gastrointestinal* GASTROCALM CHEW TABLET CALCIUM CARBONATE/SIMETHICONE02240024 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 224

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Gastrointestinal* GAS-X 125MG CHEW TABLET SIMETHICONE 00896675 Y

Gastrointestinal* GAS-X 80MG CHEW TABLET SIMETHICONE 01907875 Y

Gastrointestinal* GAS-X SUPER EX STRENGTH CAPSULE SIMETHICONE 02241766 Y

Gastrointestinal* GAVISCON LIQUID ICY MINT ALUMINUM HYDROXIDE/NA ALGINATE02159767 Y

Gastrointestinal* GAVISCON X-STRENGTH TABS FRUIT ALUMINUM HYDROXIDE/ALGINIC AC02230581 Y

Gastrointestinal* GELUSIL EXTRA STR CHEW TABLET MAGNESIUM HYDROXIDE/AL HYDROX01945831 Y

Gastrointestinal* GEN-LAC 667MG/ML SYRUP LACTULOSE 02143542 Y

Gastrointestinal* GENTLAX 5MG TABLET BISACODYL 02248282 Y

Gastrointestinal* GENTLAX S TABLET BISACODYL/DOCUSATE SODIUM 02252872 Y

Gastrointestinal* GENT-L-TIP PHOSPHATE ENEMA NA PHOS/M-B/NA PHOS/DI-BA 00528463 Y

Gastrointestinal* GERBER GAS RELIEF DROPS SIMETHICONE 02242611 Y

Gastrointestinal* GLYCERIN ADULT SUPPOSITORY GLYCERIN 00145416 Y

Gastrointestinal* GLYCERINE SUPP(PQ) GLYCERIN 99100357 Y

Gastrointestinal* GLYCOPYRROLATE 0.2MG/ML VL GLYCOPYRROLATE 02039508 Y

Gastrointestinal* GMD-DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02253046 Y

Gastrointestinal* GOLYTELY GI LAVAGE SOLUTION SOD SULF/SOD/NAHCO3/KCL/PEG'S00652512 Y

Gastrointestinal* GPI-LACTULOSE LACTULOSE 02280078 Y

Gastrointestinal* HEARTBURN RELIEF 200-61.2MG TABLET ALGINIC ACID/ALUMINUM HYDROXIDE02231418 Y

Gastrointestinal* HERBAL LAXATIVE FORMULA CASCARA SAGRADA/GLY GLABRA/RHBARB/SENNA02247019 Y

Gastrointestinal* HUILE MINERALE MINERAL OIL 00481386 Y

Gastrointestinal* HUILE MINERALE LOURDE LIQ MINERAL OIL 00704172 Y

Gastrointestinal* HYCORT 100MG/60ML ENEMA HYDROCORTISONE 00230316 Y

Gastrointestinal* HYOSCINE 20MG/ML INJECTION HYOSCINE BUTYLBROMIDE 02229868 Y

Gastrointestinal* IMODIUM 2MG CAPLET LOPERAMIDE HCL 02183862 Y

Gastrointestinal* IMODIUM 2MG/15ML SOLUTION LOPERAMIDE HCL 02291800 Y

Gastrointestinal* IMODIUM ADVANCED CAPLET LOPERAMIDE HCL/SIMETHICONE 02245185 Y

Gastrointestinal* IMODIUM ADVANCED CHEW TABLET LOPERAMIDE HCL/SIMETHICONE 02237297 Y

Gastrointestinal* IMODIUM QUICK DISSOLVE LOPERAMIDE HCL 02230542 Y

Gastrointestinal* INDIAN PSYLLIUM HUSKS PLANTAGO SEED 02246976 Y

Gastrointestinal* INFACOL 40ML/ML SUSP SIMETHICONE 02248588 Y

Gastrointestinal* JAMP-LACTULOSE LACTULOSE 02295881 Y

Gastrointestinal* KLEAN-PREP SOLUTION SOD SULF/SOD/NAHCO3/KCL/PEG'S02147793 Y

Gastrointestinal* LACTAID 3300U TABLET LACTASE 01936859 Y

Gastrointestinal* LACTRASE 250MG CAPSULE LACTASE 02016478 Y

Gastrointestinal* LANSOYL GEL MINERAL OIL 00608734 Y

Gastrointestinal* LANSOYL GEL SUGAR FREE MINERAL OIL 02186926 Y

Gastrointestinal* LAX-A-DAY POWDER FOR SOLUTION POLYETHYLENE GLYCOL 3350 02317680 Y

Gastrointestinal* LAXUCIL 480MG/GM POWDER PLANTAGO SEED 02014556 Y

Gastrointestinal* LEVSIN 0.125MG TABLET SL HYOSCYAMINE SULFATE 00125857 Y

Gastrointestinal* LIBRAX CAPSULE CLIDINIUM/CHLORDIAZEPOXIDE 00115630 Y

Gastrointestinal* LIPOZYME TABLET PEPSIN/WHOLE BILE/PANCREATIN 00344109 Y

Gastrointestinal* LOMINE 10MG CAPSULE DICYCLOMINE HCL 00557102 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 225

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CANADA POST CORPORATION

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DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Gastrointestinal* LOMOTIL TABLET DIPHENOXYLATE HCL/ATROP SULF00036323 Y

Gastrointestinal* LOPERACAP 2MG TABLET LOPERAMIDE HCL 02256452 Y

Gastrointestinal* LOPERAMIDE 2MG TABLET LOPERAMIDE HCL 02238052 Y

Gastrointestinal* LOPERAMIDE 2MG TABLET LOPERAMIDE HCL 02240415 Y

Gastrointestinal* LOPERAMIDE-2 2MG CAPSULE LOPERAMIDE HCL 02225182 Y

Gastrointestinal* MAALOX EX WITH ANTI-GAS LIQUID ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/SIMETHICONE02244690 Y

Gastrointestinal* MAALOX HRF SUSPENSION CALCIUM CARB/MG CARB/NA ALGINATE02238388 Y

Gastrointestinal* MAALOX MULTI ACTION SUSPENSION BISMUTH SUBSALICYLATE 02262363 Y

Gastrointestinal* MAALOX QUICK DISSOLVE EX STR WITH ANTIGAS TABLET CALCIUM CARBONATE/SIMETHICONE02243496 Y

Gastrointestinal* MAALOX REG WITH ANTI-GAS LIQUID ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/SIMETHICONE02244689 Y

Gastrointestinal* MAALOX TC MAGNESIUM HYDROXIDE/AL HYDROX02162350 Y

Gastrointestinal* MAGNESIUM/ALUMINIUM/SIMETHICONE 400MG-400MG SUSP ALUMINUM/MAGNESIUM/SIMETHICONE99100243 Y

Gastrointestinal* MAGNOLAX EMULSION MINERAL OIL/MAG HYDROX 00202045 Y

Gastrointestinal* MESASAL 500MG TABLET EC MESALAZINE 01914030 Y

Gastrointestinal* METOCLOPRAMIDE 10MG TABLET METOCLOPRAMIDE HCL 00870994 Y

Gastrointestinal* METOCLOPRAMIDE 5MG TABLET METOCLOPRAMIDE HCL 00871001 Y

Gastrointestinal* METOCLOPRAMIDE 5MG/ML INJECTION METOCLOPRAMIDE HCL 02185431 Y

Gastrointestinal* METOCLOPRAMIDE 5MG/ML INJECTION METOCLOPRAMIDE HCL 02197480 Y

Gastrointestinal* MEZAVANT 1.2G TABLET MESALAZINE 02297558 Y

Gastrointestinal* MICROLAX MICRO-ENEMA GLYCERIN/SODIUM CITRATE 02063905 Y

Gastrointestinal* MILK OF MAGNESIA USP MAGNESIUM HYDROXIDE 02246193 Y

Gastrointestinal* MINERAL OIL MINERAL OIL 00167681 Y

Gastrointestinal* MINERAL OIL HEAVY MINERAL OIL 00485802 Y

Gastrointestinal* MINERAL OIL HEAVY MINERAL OIL 01935348 Y

Gastrointestinal* MODULON 200MG TABLET TRIMEBUTINE MALEATE 00803499 Y

Gastrointestinal* MUCAINE SUSPENSION MAG HYDROX/AL HYDROX/OXETH 02125013 Y

Gastrointestinal* MULTI-ZYME TABLETS DIGESTANTS 02229450 Y

Gastrointestinal* MYLAN-DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02278669 Y

Gastrointestinal* MYLANTA DOUBLE STR TABLET MAG HYDROX/AL HYDROX/SIMETH02019787 Y

Gastrointestinal* MYLANTA TABLET MAG HYDROX/AL HYDROX/SIMETH02019795 Y

Gastrointestinal* NATURAL SOURCE FIBRE LAX.(SSSF) PSYLLIUM 02207257 Y

Gastrointestinal* NATURAL SOURCE FIBRE LAXATIVE PSYLLIUM 02207249 Y

Gastrointestinal* NATURAL SOURCE LAXATIVE PWD PSYLLIUM 00628875 Y

Gastrointestinal* NATURFIBR DIETETIC POWDER PSYLLIUM 00592900 Y

Gastrointestinal* NOVO-5-ASA 400MG TABLET EC MESALAZINE 02171929 Y

Gastrointestinal* NOVO-DOCUSATE 100MG CAPSULE DOCUSATE SODIUM 02020084 Y

Gastrointestinal* NOVO-DOCUSATE CA 240MG CAPSULE DOCUSATE CALCIUM 00842044 Y

Gastrointestinal* NOVO-DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02157195 Y

Gastrointestinal* NOVO-FIBER-TAB 469MG TABLET FIBER 00595829 Y

Gastrointestinal* NOVO-LOPERAMIDE 2MG TABLET LOPERAMIDE HCL 02132591 Y

Gastrointestinal* NOVO-URSODIOL 250MG TABLET URSODIOL 02318091 Y

Gastrointestinal* NOVO-URSODIOL 500MG TABLET URSODIOL 02318105 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 226

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Gastrointestinal* NTP-5-AMINOSALICYLIC ACID EC TABLET MESALAZINE 02348063 Y

Gastrointestinal* NTP-DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02345781 Y

Gastrointestinal* NU-DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02231477 Y

Gastrointestinal* NUJOL MINERAL OIL 100% MINERAL OIL 01951718 Y

Gastrointestinal* NU-METOCLOPRAMIDE 10MG TABLET METOCLOPRAMIDE HCL 02143283 Y

Gastrointestinal* NU-METOCLOPRAMIDE 5MG TABLET METOCLOPRAMIDE HCL 02143275 Y

Gastrointestinal* OCL SOLUTION SOD SULF/SOD/NAHCO3/KCL/PEG'S00709298 Y

Gastrointestinal* OCTREOTIDE 0.05MG/ML INJECTION OCTREOTIDE ACETATE 02299429 Y

Gastrointestinal* OCTREOTIDE 0.1MG/ML INJECTION OCTREOTIDE ACETATE 02299437 Y

Gastrointestinal* OCTREOTIDE 0.2MG/ML INJECTION OCTREOTIDE ACETATE 02299445 Y

Gastrointestinal* OCTREOTIDE 0.5MG/ML INJECTION OCTREOTIDE ACETATE 02299453 Y

Gastrointestinal* OCTREOTIDE ACETATE 100MCG/ML INJ OCTREOTIDE ACETATE 02263173 Y

Gastrointestinal* OCTREOTIDE ACETATE 200MCG/ML INJ OCTREOTIDE ACETATE 02263181 Y

Gastrointestinal* OCTREOTIDE ACETATE 500MCG/ML INJ OCTREOTIDE ACETATE 02263203 Y

Gastrointestinal* OCTREOTIDE ACETATE 50MCG/ML INJ OCTREOTIDE ACETATE 02263165 Y

Gastrointestinal* OCTREOTIDE ACETATE OMEGA 100MCG/ML VIAL OCTREOTIDE ACETATE 02248640 Y

Gastrointestinal* OCTREOTIDE ACETATE OMEGA 200MCG/ML VIAL OCTREOTIDE ACETATE 02248642 Y

Gastrointestinal* OCTREOTIDE ACETATE OMEGA 500MCG/ML VIAL OCTREOTIDE ACETATE 02248641 Y

Gastrointestinal* OCTREOTIDE ACETATE OMEGA 50MCG/ML VIAL OCTREOTIDE ACETATE 02248639 Y

Gastrointestinal* OVOL 180MG ULTRA STR CHEW TABLET SIMETHICONE 02247127 Y

Gastrointestinal* OVOL 180MG ULTRA STRENGTH CAPSULE SIMETHICONE 02239298 Y

Gastrointestinal* OVOL 40MG/ML DROPS SIMETHICONE 00013617 Y

Gastrointestinal* OVOL 80MG CHEW TABLET SIMETHICONE 00292990 Y

Gastrointestinal* PANCRATIN 1600 + CELLULASE CELLULASE/PANCREATIN 00709514 Y

Gastrointestinal* PANCREASE MT10 CAPSULE EC AMYLASE/LIPASE/PROTEASE 00789437 Y

Gastrointestinal* PANCREASE MT16 CAPSULE AMYLASE/LIPASE/PROTEASE 00789429 Y

Gastrointestinal* PANCREASE MT4 CAPSULE AMYLASE/LIPASE/PROTEASE 00789445 Y

Gastrointestinal* PANCREASE SR CAPSULE AMYLASE/LIPASE/PROTEASE 02242374 Y

Gastrointestinal* PARVOLEX 200MG/ML LIQUID ACETYLCYSTEINE 02300435 Y

Gastrointestinal* PEDIACOL 40MG/ML DROPS SIMETHICONE 02245510 Y

Gastrointestinal* PEGALAX POWDER FOR SOLUTION POLYETHYLENE GLYCOL 3350 02328232 Y

Gastrointestinal* PEGLYTE POWDER SOD SULF/SOD/NAHCO3/KCL/PEG'S00777838 Y

Gastrointestinal* PEGLYTE SOLUTION SOD SULF/SOD/NAHCO3/KCL/PEG'S00777846 Y

Gastrointestinal* PENDO-5 ASA 400MG EC TABLET MESALAZINE 02265257 Y

Gastrointestinal* PENTASA 1GM SUPPOSITORY 5-AMINOSALICYLIC ACID 02153564 Y

Gastrointestinal* PENTASA 1GM/100ML ENEMA 5-AMINOSALICYLIC ACID 02153521 Y

Gastrointestinal* PENTASA 4GM/100ML ENEMA 5-AMINOSALICYLIC ACID 02153556 Y

Gastrointestinal* PENTASA 500MG TABLET SA 5-AMINOSALICYLIC ACID 02099683 Y

Gastrointestinal* PEPTO BISMOL 262MG CAPLET BISMUTH SUBSALICYLATE 02177994 Y

Gastrointestinal* PEPTO BISMOL LIQUID 17.6MG/ML BISMUTH SUBSALICYLATE 02097079 Y

Gastrointestinal* PEPTO-BISMOL CHEW TABLET BISMUTH SUBSAL/CALCIUM CARBONATE02237315 Y

Gastrointestinal* PEPTO-BISMOL EXTRA STRENGTH BISMUTH SUBSALICYLATE 02229668 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 227

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LEVEL 3

50%Prior Authorization

Gastrointestinal* PEPTO-BISMOL WITH INSTACOOL CHEW TABLET BISMUTH SUBSALICYLATE 02325896 Y

Gastrointestinal* PHAZYME 125MG CAPSULE SIMETHICONE 01932268 Y

Gastrointestinal* PHAZYME 95MG CAPSULE SIMETHICONE 01953761 Y

Gastrointestinal* PHL-DOCUSATE SODIUM DOCUSATE SODIUM 02298163 Y

Gastrointestinal* PHL-DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02238341 Y

Gastrointestinal* PHL-LOPERAMIDE 2MG TABLET LOPERAMIDE HCL 02298198 Y

Gastrointestinal* PHL-URSODIOL C 250MG TABLET URSODIOL 02281317 Y

Gastrointestinal* PHL-URSODIOL C 500MG TABLET URSODIOL 02281325 Y

Gastrointestinal* PHYTOZYME 150MG TABLET PANCREATIN 00418889 Y

Gastrointestinal* PICODAN POWDER FOR SOLUTION CITRIC ACID/MAGNESIUM OXIDE/SODIUM PICOSULFATE02300583 Y

Gastrointestinal* PICO-SALAX PWD FOR SOLUTION CITRIC ACID/MAGNESIUM OXIDE/SODIUM PICOSULFATE02254794 Y

Gastrointestinal* PMS-ALUMINA/MAG/SIM LIQUID MAG HYDROX/AL HYDROX/SIMETH00894079 Y

Gastrointestinal* PMS-BISACODYL 10MG SUPPOS BISACODYL 00582883 Y

Gastrointestinal* PMS-BISACODYL 5MG TABLET EC BISACODYL 00587273 Y

Gastrointestinal* PMS-DOCUSATE 100MG CAPSULE DOCUSATE SODIUM 00703494 Y

Gastrointestinal* PMS-DOCUSATE CAL 240MG CAPSULE DOCUSATE CALCIUM 00664553 Y

Gastrointestinal* PMS-DOCUSATE NA 50MG/ML SYRUP DOCUSATE SODIUM 00848417 Y

Gastrointestinal* PMS-DOCUSATE SOD 200MG CAPSULE DOCUSATE SODIUM 00765104 Y

Gastrointestinal* PMS-DOCUSATE SOD 4MG/ML SYRUP DOCUSATE SODIUM 00703508 Y

Gastrointestinal* PMS-DOCUSATE SODIUM 10MG/ML DROPS DOCUSATE SODIUM 00880140 Y

Gastrointestinal* PMS-DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02236466 Y

Gastrointestinal* PMS-IPECAC 7% SYRUP IPECAC 00721328 Y

Gastrointestinal* PMS-LACTULOSE 667MG/ML SYRUP LACTULOSE 00703486 Y

Gastrointestinal* PMS-LOPERAMIDE 0.2MG/ML SOL LOPERAMIDE HCL 02016095 Y

Gastrointestinal* PMS-LOPERAMIDE HCL 2MG TABLET LOPERAMIDE HCL 02228351 Y

Gastrointestinal* PMS-METOCLOPRAMIDE 10MG TABLET METOCLOPRAMIDE HCL 02230432 Y

Gastrointestinal* PMS-METOCLOPRAMIDE 1MG/ML ORAL LIQ METOCLOPRAMIDE HCL 02230433 Y

Gastrointestinal* PMS-METOCLOPRAMIDE 5MG TABLET METOCLOPRAMIDE HCL 02230431 Y

Gastrointestinal* PMS-URSODIOL 250MG TABLET URSODIOL 02262576 Y

Gastrointestinal* PMS-URSODIOL C 250MG TABLET URSODIOL 02273497 Y

Gastrointestinal* PMS-URSODIOL C 500MG TABLET URSODIOL 02273500 Y

Gastrointestinal* PREMIUM ACTIVATED CHARCOAL USP ACTIVATED CHARCOAL 02305151 Y

Gastrointestinal* PRO-BANTHINE 15MG TABLET PROPANTHELINE BROMIDE 02030837 Y

Gastrointestinal* PRO-BANTHINE 7.5MG TABLET PROPANTHELINE BROMIDE 02030829 Y

Gastrointestinal* PROBIATA TABLET LACTOBACILLUS ACIDOPHILUS 02244239 Y

Gastrointestinal* PRO-CHLORAX CAPSULE CLIDINIUM/CHLORDIAZEPOXIDE 00636223 Y

Gastrointestinal* PROCTOFOAM HC AEROSOL HC ACETATE/PRAMOXINE HCL 00363014 Y

Gastrointestinal* PRODIEM BULK FIBRE THERAPY SF POWDER PSYLLIUM 02248226 Y

Gastrointestinal* PRODIEM FIBER THERAPY CAPLET PSYLLIUM 02246645 Y

Gastrointestinal* PRODIEM FIBER THERAPY PWD PLAIN METHYLCELLULOSE 02248225 Y

Gastrointestinal* PRO-LACTULOSE - 667MG/ML SYRUP LACTULOSE 02311275 Y

Gastrointestinal* PROTYLOL 10MG CAPSULE DICYCLOMINE HCL 00287709 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 228

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LEVEL 2

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Gastrointestinal* PROTYLOL 20MG TABLET DICYCLOMINE HCL 00513059 Y

Gastrointestinal* PRO-ZYME TABLETS DIGESTANTS 02237911 Y

Gastrointestinal* PSYLLIUM POWDER (PQ) PSYLLIUM 99002876 Y

Gastrointestinal* PURG-ODAN POWDER FOR SOLUTION CITRIC ACID/MAGNESIUM OXIDE/SODIUM PICOSULFATE02317966 Y

Gastrointestinal* RAN-DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 02268078 Y

Gastrointestinal* RATIO-BISACODYL 10MG SUPPOSITORY BISACODYL 00404802 Y

Gastrointestinal* RATIO-DOCUSATE CALCIUM 240MG CAPSULE DOCUSATE CALCIUM 00809055 Y

Gastrointestinal* RATIO-DOCUSATE SOD 100MG CAPSULE DOCUSATE SODIUM 00870196 Y

Gastrointestinal* RATIO-DOCUSATE SOD 4MG/ML SYRUP DOCUSATE SODIUM 00870226 Y

Gastrointestinal* RATIO-DOMPERIDONE 10MG TABLET DOMPERIDONE MALEATE 01912070 Y

Gastrointestinal* RATIO-LACTULOSE 667MG/ML SYRUP LACTULOSE 00690686 Y

Gastrointestinal* RATIO-LACTULOSE 667MG/ML SYRUP LACTULOSE 00854409 Y

Gastrointestinal* RATIO-LACTULOSE 667MG/ML SYRUP LACTULOSE 02183641 Y

Gastrointestinal* REGUBIL TABLET DHCA AC/DOCA/WHOLE BILE 00557110 Y

Gastrointestinal* REIM: ZELNORM 6MG TABLET TEGASEROD HYDROGEN MALEATE 92245566 Y

Gastrointestinal* RELISTOR 20MG/ML INJECTION METHYLNALTREXONE BROMIDE 02308215 Y

Gastrointestinal* RESTORALAX POWDER FOR SOLUTION POLYETHYLENE GLYCOL 3350 02318164 Y

Gastrointestinal* RHOXAL-LOPERAMIDE 2MG TABLET LOPERAMIDE HCL 02233998 Y

Gastrointestinal* RIVA-LOPERAMIDE 2MG TABLET LOPERAMIDE HCL 02238211 Y

Gastrointestinal* ROLAIDS EXTRA STRENGTH MULTI-SYMPTOM TABLETS CALCIUM CARB/MAG HYDROXIDE/SIMETHICONE02247314 Y

Gastrointestinal* ROLAIDS ULTRA STRENGTH PLUS GAS CALCIUM CARBONATE/SIMETHICONE02269171 Y

Gastrointestinal* ROYVAC BOWEL EVACUANT KIT BISACODYL/MAGNESIUM CITRATE 02122774 Y

Gastrointestinal* SALOFALK 1000MG SUPPOSITORY 5-AMINOSALICYLIC ACID 02242146 Y

Gastrointestinal* SALOFALK 2GM/60ML ENEMA 5-AMINOSALICYLIC ACID 02112795 Y

Gastrointestinal* SALOFALK 4GM/60ML ENEMA 5-AMINOSALICYLIC ACID 02112809 Y

Gastrointestinal* SALOFALK 500MG SUPPOSITORY 5-AMINOSALICYLIC ACID 02112760 Y

Gastrointestinal* SALOFALK 500MG TABLET EC MESALAZINE 02112787 Y

Gastrointestinal* SANDOSTATIN 0.05MG/ML AMPUL OCTREOTIDE ACETATE 00839191 Y

Gastrointestinal* SANDOSTATIN 0.1MG/ML AMPUL OCTREOTIDE ACETATE 00839205 Y

Gastrointestinal* SANDOSTATIN 0.2MG/ML VIAL OCTREOTIDE ACETATE 02049392 Y

Gastrointestinal* SANDOSTATIN 0.5MG/ML AMPUL OCTREOTIDE ACETATE 00839213 Y

Gastrointestinal* SANDOSTATIN LAR 10MG INJ SUSP OCTREOTIDE ACETATE/MI-SPHERE02239323 Y

Gastrointestinal* SANDOSTATIN LAR 20MG INJ OCTREOTIDE ACETATE/MI-SPHERE02239324 Y

Gastrointestinal* SANDOSTATIN LAR 30MG INJ SUSP OCTREOTIDE ACETATE/MI-SPHERE02239325 Y

Gastrointestinal* SANDOZ SENNOSIDES 12MG TABLET SENNOSIDES 02089645 Y

Gastrointestinal* SANDOZ SOD BICARB 500MG TABLET SODIUM BICARBONATE 00392839 Y

Gastrointestinal* SANDOZ-LOPERAMIDE 2MG TABLET LOPERAMIDE HCL 02257564 Y

Gastrointestinal* SCOPOLAMINE 0.4MG/ML AMPUL HYOSCINE HYDROBROMIDE 00541869 Y

Gastrointestinal* SCOPOLAMINE 0.6MG/ML AMPUL HYOSCINE HYDROBROMIDE 00541877 Y

Gastrointestinal* SCOPOLAMINE HYDROBROMIDE 0.4MG/ML INJECTION HYOSCINE HYDROBROMIDE 02242810 Y

Gastrointestinal* SELAX 100MG CAPSULE DOCUSATE SODIUM 00514888 Y

Gastrointestinal* SELAX 250 250MG CAPSULE DOCUSATE SODIUM 02006596 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 229

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RAMQ**

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LEVEL 3

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Gastrointestinal* SELAX 60MG/15ML SYRUP DOCUSATE SODIUM 00695033 Y

Gastrointestinal* SENNA LAXATIVE AND DOCUSATE SODIUM TABLETS SENNOSIDES/DOCUSATE SODIUM 02247134 Y

Gastrointestinal* SENNA S. TABLET SENNOSIDES/DOCUSATE SODIUM 02246951 Y

Gastrointestinal* SENNOSIDES A+B 8.6MG TABLET SENNOSIDES 02089653 Y

Gastrointestinal* SENOKOT GRANULES SENNA 00026042 Y

Gastrointestinal* SENOKOT-S TABLET SENNOSIDES/DOCUSATE SODIUM 00026123 Y

Gastrointestinal* SIALOR 25MG TABLET ANETHOLE TRITHIONE 02240344 Y

Gastrointestinal* SIMETHICONE 180MG CAPSULE SIMETHICONE 02244204 Y

Gastrointestinal* SODIUM DOCUSATE 100MG CAPSULE DOCUSATE SODIUM 00830267 Y

Gastrointestinal* SOFLAX 100MG CAPSULE DOCUSATE SODIUM 01994344 Y

Gastrointestinal* SOFLAX 10MG/ML DROPS DOCUSATE SODIUM 02006723 Y

Gastrointestinal* SOFLAX 10MG/ML DROPS DOCUSATE SODIUM 02229745 Y

Gastrointestinal* SOFLAX 200MG CAPSULE DOCUSATE SODIUM 02029529 Y

Gastrointestinal* SOFLAX 4MG/ML SYRUP DOCUSATE SODIUM 02006758 Y

Gastrointestinal* SOFLAX C 240MG CAPSULE DOCUSATE CALCIUM 02229744 Y

Gastrointestinal* SOFLAX EX 10MG SUPPOSITORY BISACODYL 02229743 Y

Gastrointestinal* SOFLAX EX 5MG TABLET BISACODYL 02229742 Y

Gastrointestinal* SOMATULINE AUTOGEL 120MG/0.3ML LANREOTIDE 02283417 Y

Gastrointestinal* SOMATULINE AUTOGEL 60MG/0.3ML LANREOTIDE 02283395 Y

Gastrointestinal* SOMATULINE AUTOGEL 90MG/0.3ML LANREOTIDE 02283409 Y

Gastrointestinal* STOMAAX PLUS SUSPENSION MAG HYDROX/AL HYDROX/SIMETH00623709 Y

Gastrointestinal* STOOL SOFTENER 100MG CAPSULE DOCUSATE SODIUM 02232969 Y

Gastrointestinal* STOOL SOFTENER 100MG CAPSULE DOCUSATE SODIUM 02245212 Y

Gastrointestinal* STOOL SOFTENER 100MG CAPSULE DOCUSATE SODIUM 02281031 Y

Gastrointestinal* SUPER FIBER BLEND PLANTAGO SEED/RICE BRAN 02241711 Y

Gastrointestinal* THE MAGIC BULLET SUPPOSITORY BISACODYL 02241091 Y

Gastrointestinal* TRIMEBUTINE 100MG TABLET TRIMEBUTINE MALEATE 02245663 Y

Gastrointestinal* TRIMEBUTINE 200MG TABLET TRIMEBUTINE MALEATE 02245664 Y

Gastrointestinal* TROUSSE ANTIPOISON POUR ENFANT ACTIVATED CHARCOAL/IPECAC 00750638 Y

Gastrointestinal* TUMS DUAL ACTION ALGINIC ACID/CALCIUM CARBONATE (ALK)02248628 Y

Gastrointestinal* TUMS EXT STRENGTH COOL RELIEF TABLET CALCIUM CARBONATE 02243889 Y

Gastrointestinal* TUMS GAS RELIEF 125 MG SIMETHICONE 02256894 Y

Gastrointestinal* TUMS GAS RELIEF STRONG 180 MG SIMETHICONE 02256908 Y

Gastrointestinal* ULTRA STRENGTH GAS RELIEF SIMETHICONE 02245145 Y

Gastrointestinal* ULTRA STRENGTH PHAZYME 180MG SOFTGELS SIMETHICONE 02237698 Y

Gastrointestinal* ULTRABALANCE - HERBULK POWDER PLANTAGO SEED 02237348 Y

Gastrointestinal* ULTRASE MS4 CAPSULE AMYLASE/LIPASE/PROTEASE 02203324 Y

Gastrointestinal* ULTRASE MT 12 CAPSULE EC AMYLASE/LIPASE/PROTEASE 02045834 Y

Gastrointestinal* ULTRASE MT 20 CAPSULE EC AMYLASE/LIPASE/PROTEASE 02045869 Y

Gastrointestinal* URSO 250MG TABLET URSODIOL 02238984 Y

Gastrointestinal* URSO DS 500MG TABLET URSODIOL 02245894 Y

Gastrointestinal* VESILAX+ TABLET BILE SALTS/CASCARA/SENNOSIDES02240986 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 230

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RAMQ**

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LEVEL 3

50%Prior Authorization

Gastrointestinal* VIOKASE POWDER AMYLASE/LIPASE/PROTEASE 02230020 Y

Gastrointestinal* VIOKASE TABLET-16 AMYLASE/LIPASE/PROTEASE 02241933 Y

Gastrointestinal* VIOKASE TABLET-8 AMYLASE/LIPASE/PROTEASE 02230019 Y

Gastrointestinal* WOMEN'S LAXATIVE 5MG TABLET BISACODYL 02228696 Y

Gastrointestinal* X-PREP LIQUID SENNA/SUCROSE 00367737 Y

Genetic Enzyme Replacement ALDURAZYME 0.58MG/ML INJ LARONIDASE 02254506 Y Y

Genetic Enzyme Replacement CEREZYME 200UNIT/VIAL PWS IMIGLUCERASE 02230694 Y Y

Genetic Enzyme Replacement CEREZYME 400IU/VIAL PWS IMIGLUCERASE 02241751 Y Y

Genetic Enzyme Replacement ELAPRASE 2MG/ML IV SOLUTION IDURSULFASE 02296314 Y Y

Genetic Enzyme Replacement FABRAZYME 35MG/ VIAL PWS AGALSIDASE BETA 02248966 Y Y

Genetic Enzyme Replacement FABRAZYME 5MG/VIAL PWS AGALSIDASE BETA 02248965 Y Y

Genetic Enzyme Replacement MYOZYME 50MG/VIAL IV ALGLUCOSIDASE ALFA 02284863 Y Y

Genetic Enzyme Replacement REPLAGAL 3.5MG INJECTION AGALSIDASE ALFA 02249057 Y Y

Glaucoma AKARPINE 1% EYE DROPS PILOCARPINE HCL 00627739 Y

Glaucoma AKARPINE 2% EYE DROPS PILOCARPINE HCL 00627747 Y

Glaucoma AKARPINE 4% EYE DROPS PILOCARPINE HCL 00627755 Y

Glaucoma ALCAINE 0.5% EYE DROPS PROXYMETACAINE HCL 00035076 Y

Glaucoma ALPHAGAN OPH 0.2% SOLUTION BRIMONIDINE TARTRATE 02236876 Y

Glaucoma ALPHAGAN OPH 0.5% SOLUTION BRIMONIDINE TARTRATE 02236877 Y

Glaucoma ALPHAGAN P 0.15% OPH DROP BRIMONIDINE TARTRATE 02248151 Y

Glaucoma APO-ACETAZOLAMIDE 250MG TABLET ACETAZOLAMIDE 00545015 Y

Glaucoma APO-BRIMONIDINE 0.2% OPH SOLUTION BRIMONIDINE TARTRATE 02260077 Y

Glaucoma APO-BRIMONIDINE P 0.15% OPH SOL BRIMONIDINE TARTRATE 02301334 Y

Glaucoma APO-LEVOBUNOLOL 0.25% OPH SOLUTION LEVOBUNOLOL HCL 02241575 Y

Glaucoma APO-LEVOBUNOLOL 0.5% OPH SOLUTION LEVOBUNOLOL HCL 02241574 Y

Glaucoma APO-TIMOP 0.25% EYE DROPS TIMOLOL MALEATE 00755826 Y

Glaucoma APO-TIMOP 0.25% OPH GEL TIMOLOL MALEATE 02315858 Y

Glaucoma APO-TIMOP 0.5% EYE DROPS TIMOLOL MALEATE 00755834 Y

Glaucoma APO-TIMOP 0.5% OPH GEL TIMOLOL MALEATE 02290812 Y

Glaucoma APX-BRIMONIDINE P 0.15% OPH SOLUTION BRIMONIDINE TARTRATE 02350734 Y

Glaucoma AZARGA OPH SUSPENSION BRINZOLAMIDE/TIMOLOL MALEATE02331624 Y

Glaucoma AZOPT 1% OPH SUSPENSION BRINZOLAMIDE 02238873 Y

Glaucoma BETAGAN 0.25% OPH DROP LEVOBUNOLOL HCL 00751286 Y

Glaucoma BETAGAN 0.5% OPH DROP LEVOBUNOLOL HCL 00637661 Y

Glaucoma BETOPTIC S 0.25% EYE DROPS BETAXOLOL HCL 01908448 Y

Glaucoma BRIMONIDE 0.2% OPH SOLUTION BRIMONIDINE TARTRATE 02249456 Y

Glaucoma BRIMONIDINE 0.2% OPH SOLUTION BRIMONIDINE TARTRATE 02245942 Y

Glaucoma BRIMONIDINE 0.2% OPH SOLUTION BRIMONIDINE TARTRATE 02246283 Y

Glaucoma COMBIGAN OPH SOLUTION BRIMONIDINE/ TIMOLOL 02248347 Y

Glaucoma COMBIGAN OPH SOLUTION 10ML PK BRIMONIDINE/TIMOLOL 09857298 Y

Glaucoma COSOPT 20MG/ML OPH SOLUTION DORZOLAMIDE HCL/TIMOLOL 02240113 Y

Glaucoma COSOPT 20MG/ML OPH SOLUTION PFREE DORZOLAMIDE HCL/TIMOLOL 02258692 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 231

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Glaucoma DIAMOX SEQUELS 500MG CAPSULE ACETAZOLAMIDE 02238073 Y

Glaucoma DOM-BRIMONIDINE 0.2% OPH SOL BRIMONIDINE TARTRATE 02246285 Y

Glaucoma DOM-TIMOLOL 0.25% OPH DROP TIMOLOL MALEATE 02238770 Y

Glaucoma DOM-TIMOLOL 0.5% OPH DROP TIMOLOL MALEATE 02238771 Y

Glaucoma DUOTRAV 0.004%/0.5% EYE DROP TRAVOPROST/TIMOLOL MALEATE 02278251 Y

Glaucoma DUOTRAV 0.004%/0.5% EYE DROP 5ML (ODB) TRAVOPROST/TIMOLOL MALEATE 09857333 Y

Glaucoma IOPIDINE 0.5% SOLUTION APRACLONIDINE HCL 02076306 Y

Glaucoma IOPIDINE 1% EYE DROPS APRACLONIDINE HCL 00888354 Y

Glaucoma ISOPTO CARBACHOL 1.5% DROPS CARBACHOL 00000655 Y

Glaucoma ISOPTO CARBACHOL 3% DROPS CARBACHOL 00000663 Y

Glaucoma ISOPTO CARPINE 1% DROPS PILOCARPINE HCL 00000841 Y

Glaucoma ISOPTO CARPINE 2% DROPS PILOCARPINE HCL 00000868 Y

Glaucoma ISOPTO CARPINE 4% DROPS PILOCARPINE HCL 00000884 Y

Glaucoma LUMIGAN 0.03% OPH SOLUTION BIMATOPROST 02245860 Y

Glaucoma LUMIGAN RC 0.01% OPH SOLUTION BIMATOPROST 02324997 Y

Glaucoma METHAZOLAMIDE 50MG TABLET METHAZOLAMIDE 02245882 Y

Glaucoma MIOCHOL E PWS 1% ACETYLCHOLINE CHLORIDE 02133326 Y

Glaucoma MYLAN-TIMOLOL 0.25% EYE DROP TIMOLOL MALEATE 00893773 Y

Glaucoma MYLAN-TIMOLOL 0.5% EYE DROP TIMOLOL MALEATE 00893781 Y

Glaucoma NOVO-LEVOBUNOLOL .5% SOL LEVOBUNOLOL HCL 02197464 Y

Glaucoma NOVO-LEVOBUNOLOL 0.25% SOLUTION LEVOBUNOLOL HCL 02197456 Y

Glaucoma PILOCARPINE 1% PILOCARPINE HCL 02229556 Y

Glaucoma PILOCARPINE NITRATE 2% MINIMS PILOCARPINE NITRATE 02148463 Y

Glaucoma PILOCARPINE NITRATE 4%MINIMS PILOCARPINE NITRATE 02148471 Y

Glaucoma PILOPINE HS 4% GEL PILOCARPINE HCL 00575240 Y

Glaucoma PIN:TRAVATAN PER ML TRAVOPROST 00990227 Y

Glaucoma PMS-BRIMONIDINE 0.2% OPH SOLUTION BRIMONIDINE TARTRATE 02246284 Y

Glaucoma PMS-LEVOBUNOLOL 5MG/ML OPH SOLUTION LEVOBUNOLOL HCL 02237991 Y

Glaucoma PMS-TIMOLOL OPTH SOL 0.25% TIMOLOL MALEATE 02083353 Y

Glaucoma PMS-TIMOLOL OPTH SOL 0.5% TIMOLOL MALEATE 02083345 Y

Glaucoma PONTOCAINE 0.5% OPH DROP TETRACAINE HCL 02241977 Y

Glaucoma RATIO-BRIM 0.2% OPH SOLUTION BRIMONIDINE TARTRATE 02243026 Y

Glaucoma RATIO-LEVOBUNOLOL 0.25% OPH SOLUTION LEVOBUNOLOL HCL 02031159 Y

Glaucoma RATIO-LEVOBUNOLOL 0.5% OPH SOLUTION LEVOBUNOLOL HCL 02031167 Y

Glaucoma RHOXAL-TIMOLOL 0.25% OPH SOLUTION TIMOLOL MALEATE 02241731 Y

Glaucoma RHOXAL-TIMOLOL 0.5% OPH SOLUTION TIMOLOL MALEATE 02241732 Y

Glaucoma SANDOZ BETAXOLOL 0.5% OPH DROP BETAXOLOL HCL 02235971 Y

Glaucoma SANDOZ BRIMONIDINE 0.2% OPH SOLUTION BRIMONIDINE TARTRATE 02305429 Y

Glaucoma SANDOZ DORZOLAMIDE/TIMOLOL 20MG/ML OPH SOLUTION DORZOLAMIDE HCL/TIMOLOL MALEATE02344351 Y

Glaucoma SANDOZ LEVOBUNOLOL 0.25% OPH DROP LEVOBUNOLOL HCL 02241715 Y

Glaucoma SANDOZ LEVOBUNOLOL 0.5% OPH DROP LEVOBUNOLOL HCL 02241716 Y

Glaucoma SANDOZ TIMOLOL 0.25% OPH SOLUTION TIMOLOL MALEATE 02166712 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 232

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Glaucoma SANDOZ TIMOLOL 0.5% OPH DROP TIMOLOL MALEATE 02166720 Y

Glaucoma TETRACAINE HCL 0.5% SOLN TETRACAINE HCL 02148528 Y

Glaucoma TIM-AK LIQ 0.25% EYE DROPS TIMOLOL MALEATE 02010259 Y

Glaucoma TIM-AK LIQ 0.5% EYE DROPS TIMOLOL MALEATE 02010240 Y

Glaucoma TIMOLOL 0.25% SOLUTION TIMOLOL MALEATE 02084317 Y

Glaucoma TIMOLOL 0.5% SOLUTION TIMOLOL MALEATE 02084325 Y

Glaucoma TIMOLOL MALEATE-EX 0.25% OPH GEL FORMING SOLUTION TIMOLOL MALEATE 02242275 Y

Glaucoma TIMOLOL MALEATE-EX 0.5% OPH GEL FORMING SOLUTION TIMOLOL MALEATE 02242276 Y

Glaucoma TIMOPTIC 0.5% OPH DROP TIMOLOL MALEATE 00451207 Y

Glaucoma TIMOPTIC-XE 0.25% OPH SOLUTION TIMOLOL MALEATE 02171880 Y

Glaucoma TIMOPTIC-XE 0.5% OPH SOLUTION TIMOLOL MALEATE 02171899 Y

Glaucoma TRAVATAN 0.004% OPH SOLUTION TRAVOPROST 02244896 Y

Glaucoma TRAVATAN Z 0.004% OPH SOL 5ML PK (ODB) TRAVOPROST 09857332 Y

Glaucoma TRAVATAN Z 0.004% OPH SOLUTION TRAVOPROST 02318008 Y

Glaucoma TRUSOPT 2% OPH SOLN DORZOLAMIDE HCL 02216205 Y

Glaucoma TRUSOPT 20MG/ML PFREE OPH SOLUTION DORZOLAMIDE HCL 02269090 Y

Glaucoma XALACOM 50MCG/ML EYE DROP LATANOPROST/TIMOLOL 02246619 Y

Glaucoma XALATAN 50MCG/ML EYE DROP LATANOPROST 02231493 Y

Gynecological* AMINOCERV CREME PROPIONIC AC/METH/INOSI/CYST 00137464 Y

Gynecological* CANESTEN CREAM 1 CLOTRIMAZOLE 02150883 Y

Gynecological* CANESTEN 1:1% CR / 500MG VAG TABLET CLOTRIMAZOLE 02150948 Y

Gynecological* CANESTEN 3:1% CR / 200MG VAG TABLET CLOTRIMAZOLE 02150921 Y

Gynecological* CANESTEN COMBI-PAK COMFORTAB 1 CLOTRIMAZOLE 02264102 Y

Gynecological* CANESTEN COMBI-PAK COMFORTAB 3 CLOTRIMAZOLE 02264099 Y

Gynecological* CANESTEN COMBI-PAK CREAM 1 CLOTRIMAZOLE 02230509 Y

Gynecological* CANESTEN COMFORTAB 1 CLOTRIMAZOLE 02150859 Y

Gynecological* CANESTEN COMFORTAB 3 CLOTRIMAZOLE 02150840 Y

Gynecological* CANESTEN CREAM 3 CLOTRIMAZOLE 02150905 Y

Gynecological* CANESTEN CREAM 6 CLOTRIMAZOLE 02150891 Y

Gynecological* CLINDESSE 2% VAGINAL CREAM CLINDAMYCIN PHOSPHATE 02306514 Y

Gynecological* CLOTRIMADERM 1% VAG CREAM CLOTRIMAZOLE 00812366 Y

Gynecological* CLOTRIMADERM 2% VAG CREAM CLOTRIMAZOLE 00812374 Y

Gynecological* CLOTRIMAZOLE 2% VAG CREAM CLOTRIMAZOLE 02229379 Y

Gynecological* DALACIN 2% VAGINAL CREAM CLINDAMYCIN PHOSPHATE 02060604 Y

Gynecological* ECOSTATIN 150MG VAG OVULES ECONAZOLE NITRATE 02010267 Y

Gynecological* FLAGYL 10% CREAM METRONIDAZOLE 01926861 Y

Gynecological* FLAGYSTATIN VAGINAL CREAM NYSTATIN/METRONIDAZOLE 01926845 Y

Gynecological* FLAGYSTATIN VAGINAL OVULE NYSTATIN/METRONIDAZOLE 01926829 Y

Gynecological* GYNAZOLE 2% VAGINAL CREAM BUTOCONAZOLE NITRATE 02248417 Y

Gynecological* MICONAZOLE 2% VAG CREAM MICONAZOLE NITRATE 02245546 Y

Gynecological* MICONAZOLE 400MG SUPP MICONAZOLE NITRATE 02171775 Y

Gynecological* MICOZOLE 2% VAG CREAM MICONAZOLE NITRATE 02231106 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 233

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Gynecological* MONISTAT 1 COMBO PACK MICONAZOLE NITRATE 02239600 Y

Gynecological* MONISTAT 1 VAGINAL OVULE MICONAZOLE NITRATE 02239601 Y

Gynecological* MONISTAT 3 400MG VAG OVULE MICONAZOLE NITRATE 02126605 Y

Gynecological* MONISTAT 3 DUAL PAK MICONAZOLE NITRATE 02126249 Y

Gynecological* MONISTAT 3 VAGINAL CREAM MICONAZOLE NITRATE 02244005 Y

Gynecological* MONISTAT 7 2% VAGINAL CREAM MICONAZOLE NITRATE 02084309 Y

Gynecological* MONISTAT 7 DUAL PAK MICONAZOLE NITRATE 02126257 Y

Gynecological* NEO-ZOL 1% VAGINAL CREAM CLOTRIMAZOLE 00874051 Y

Gynecological* NIDAGEL 0.75% VAGINAL GEL METRONIDAZOLE 02125226 Y

Gynecological* NYADERM VAGINAL CREAM NYSTATIN 00716901 Y

Gynecological* RATIO-NYSTATIN VAGINAL CREAM NYSTATIN 02194163 Y

Gynecological* TARO-TERCONAZOLE 0.4% VAG CREAM TERCONAZOLE 02247651 Y

Gynecological* TERAZOL 3 80MG VAG OVULE TERCONAZOLE 00894710 Y

Gynecological* TERAZOL 3 DUOPAK TERCONAZOLE 02130874 Y

Gynecological* TERAZOL 3 VAGINAL CREAM TERCONAZOLE 01934155 Y

Gynecological* TERAZOL 7 0.4% VAG CREAM TERCONAZOLE 00894729 Y

Gynecological* TRIMO SAN DEODORANT VAG JEL SOD BORATE/OXYQUINOL/BORIC AC00484768 Y

Hepatitis BARACLUDE 0.5MG TABLET ENTECAVIR 02282224 Y

Hepatitis HEPSERA 10MG TABLET ADEFOVIR DIPIVOXIL 02247823 Y

Hepatitis HEPTOVIR 100MG TABLET LAMIVUDINE 02239193 Y

Hepatitis HEPTOVIR 5MG/ML ORAL LIQUID LAMIVUDINE 02239194 Y

Hepatitis INFERGEN 0.03MG/ML INJECTION INTERFERON ALFACON-1 02239832 Y

Hepatitis PEGASYS 180MCG/0.5ML PFS INJECTION PEGINTERFERON ALFA-2A 02248077 Y

Hepatitis PEGASYS 180MCG/ML INJECTION (VIAL) PEGINTERFERON ALFA-2A 02248078 Y

Hepatitis PEGASYS RBV (35) 180MCG/0.5ML TROUSSE PEGINTERFERON/RIBAVIRIN 99100171 Y

Hepatitis PEGASYS RBV (35) 180MCG/1ML TROUSSE PEGINTERFERON/RIBAVIRIN 99100172 Y

Hepatitis PEGASYS RBV (42) 180MCG/0.5ML TROUSSE PEGINTERFERON/RIBAVIRIN 99100173 Y

Hepatitis PEGASYS RBV (42) 180MCG/1ML TROUSSE PEGINTERFERON/RIBAVIRIN 99100174 Y

Hepatitis PEGASYS RBV 180MCG/0.5ML + RIBAVIRIN 200MCG CAPSULE PEGINTERFERON/RIBAVIRIN 02253429 Y

Hepatitis PEGASYS RBV 180MCG/ML + RIBAVIRIN 200MG CAPSULE PEGINTERFERON/RIBAVIRIN 02253410 Y

Hepatitis PEGETRON 100MCG/0.5ML+RIBAVIRIN 200MG CAPSULE PEGINTERFERON/RIBAVIRIN 02246028 Y

Hepatitis PEGETRON 120MCG/0.5ML+RIBAVIRIN 200MG CAPSULE PEGINTERFERON/RIBAVIRIN 02246029 Y

Hepatitis PEGETRON 150MCG/0.5ML+RIBAVIRAN 200MG CAPSULE PEGINTERFERON/RIBAVIRIN 02246030 Y

Hepatitis PEGETRON 50MCG/0.5ML+RIBAVIRIN 200MG CAPSULE PEGINTERFERON/RIBAVIRIN 02246026 Y

Hepatitis PEGETRON 80MCG/0.5ML+RIBAVIRIN 200MG CAPSULE PEGINTERFERON/RIBAVIRIN 02246027 Y

Hepatitis PEGETRON REDIPEN 100MCG/0.5ML+RIBAVIRIN CAPSULE PEGINTERFERON/RIBAVIRIN 02254603 Y

Hepatitis PEGETRON REDIPEN 120MCG/0.5ML+RIBAVIRIN CAPSULE PEGINTERFERON/RIBAVIRIN 02254638 Y

Hepatitis PEGETRON REDIPEN 150MCG/0.5ML+RIBAVIRIN CAPSULE PEGINTERFERON/RIBAVIRIN 02254646 Y

Hepatitis PEGETRON REDIPEN 50MCG/0.5ML+RIBAVIRIN CAPSULE PEGINTERFERON/RIBAVIRIN 02254573 Y

Hepatitis PEGETRON REDIPEN 80MCG/0.5ML+RIBAVIRIN CAPSULE PEGINTERFERON/RIBAVIRIN 02254581 Y

Hepatitis REBETRON >75KG (ODB) INTERFERON/RIBAVIRIN 09852417 Y

Hepatitis REBETRON KIT INTERFERON/RIBAVIRIN 02239731 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 234

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Hepatitis REBETRON MULTIDS PEN >75KG (PQ) INTERFERON/RIBAVIRIN 99003457 Y

Hepatitis REBETRON PEN >75KG (ODB) INTERFERON/RIBAVIRIN 09853260 Y

Hepatitis SA: BARACLUDE 0.05MG/ML SOLUTION ENTECAVIR 02282232 Y

Hepatitis SEBIVO 600MG TABLET TELBIVUDINE 02288389 Y

Hepatitis UNITRON PEG 108MCG PFS PEGINTERFERON ALFA-2B 02248982 Y

Hepatitis UNITRON PEG 118.4MCG INJECTION PEGINTERFERON ALFA-2B 02242967 Y

Hepatitis UNITRON PEG 135MCG PFS PEGINTERFERON ALFA-2B 02248983 Y

Hepatitis UNITRON PEG 162 MCG PFS PEGINTERFERON ALFA-2B 02248984 Y

Hepatitis UNITRON PEG 177.6MCG INJECTION PEGINTERFERON ALFA-2B 02242968 Y

Hepatitis UNITRON PEG 202.5MCG PFS PEGINTERFERON ALFA-2B 02248985 Y

Hepatitis UNITRON PEG 222MCG INJECTION PEGINTERFERON ALFA-2B 02242969 Y

Hepatitis UNITRON PEG 67.5MCG PFS PEGINTERFERON ALFA-2B 02248981 Y

Hepatitis UNITRON PEG 74MCG INJECTION PEGINTERFERON ALFA-2B 02242966 Y

HIV 3TC 10MG/ML ORAL SOLUTION LAMIVUDINE 02192691 Y

HIV 3TC 150MG TABLET LAMIVUDINE 02192683 Y

HIV 3TC 300MG TABLET LAMIVUDINE 02247825 Y

HIV AGENERASE 150MG CAPSULE AMPRENAVIR 02243542 Y

HIV AGENERASE 15MG/ML ORL LIQUID AMPRENAVIR 02243543 Y

HIV AGENERASE 50MG CAPSULE AMPRENAVIR 02243541 Y

HIV APO-ZIDOVUDINE 100MG CAPSULE ZIDOVUDINE 01946323 Y

HIV APTIVUS 250MG CAPSULE TIPRANAVIR 02273322 Y

HIV APX-ZIDOVUDINE 100MG CAPSULE ZIDOVUDINE 02350513 Y

HIV ATRIPLA TABLET EFAVIRENZ/TENOFOVIR DISOPROXIL FUMARATE/EMTRICITABINE02300699 Y

HIV CELSENTRI 150MG TABLET MARAVIROC 02299844 Y

HIV CELSENTRI 300MG TABLET MARAVIROC 02299852 Y

HIV COMBIVIR TABLET ZIDOVUDINE/LAMIVUDINE 02239213 Y

HIV CRIXIVAN 100MG CAPSULE INDINAVIR SULFATE 02229153 Y

HIV CRIXIVAN 200MG CAPSULE INDINAVIR SULFATE 02229161 Y

HIV CRIXIVAN 400MG CAPSULE INDINAVIR SULFATE 02229196 Y

HIV EMTRIVA 200MG CAPSULE EMTRICITABINE 02272091 Y

HIV FORTOVASE ROCHE 200MG CAPSULE SAQUINAVIR 02239083 Y

HIV FUZEON 108MG INJECTION ENFUVIRTIDE 02247725 Y

HIV INTELENCE 100MG TABLET ETRAVIRINE 02306778 Y

HIV INVIRASE 200MG CAPSULE SAQUINAVIR MESYLATE 02216965 Y

HIV INVIRASE 500MG TABLET SAQUINAVIR MESYLATE 02279320 Y

HIV ISENTRESS 400MG TABLET RALTEGRAVIR POTASSIUM 02301881 Y

HIV KALETRA 100/25MG TABLET LOPINAVIR/RITONAVIR 02312301 Y

HIV KALETRA 200/50MG TABLET LOPINAVIR/RITONAVIR 02285533 Y

HIV KALETRA ORAL SOLUTION LOPINAVIR/RITONAVIR 02243644 Y

HIV KALETRA SOFT GEL CAPSULE LOPINAVIR/RITONAVIR 02243643 Y

HIV KIVEXA 600MG/300MG TABLET ABACAVIR/LAMIVUDINE 02269341 Y

HIV NORVIR 80MG/ML ORAL SOLUTION RITONAVIR 02229145 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 235

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

HIV NORVIR SEC 100MG CAPSULE RITONAVIR 02241480 Y

HIV PREZISTA 300MG TABLET DARUNAVIR ETHANOLATE 02284057 Y

HIV PREZISTA 400MG TABLET DARUNAVIR ETHANOLATE 02324016 Y

HIV PREZISTA 600MG TABLET DARUNAVIR ETHANOLATE 02324024 Y

HIV PREZISTA 75MG TABLET DARUNAVIR ETHANOLATE 02338432 Y

HIV RESCRIPTOR 100MG TABLET DELAVIRDINE MESYLATE 02238348 Y

HIV RETROVIR 100MG CAPSULE ZIDOVUDINE 01902660 Y

HIV RETROVIR 10MG/ML ORAL SYRUP ZIDOVUDINE 01902652 Y

HIV RETROVIR IV 10MG/ML INJECTION ZIDOVUDINE 01902644 Y

HIV REYATAZ 100MG CAPSULE ATAZANAVIR 02248609 Y

HIV REYATAZ 150MG CAPSULE ATAZANAVIR 02248610 Y

HIV REYATAZ 200MG CAPSULE ATAZANAVIR 02248611 Y

HIV REYATAZ 300MG CAPSULE ATAZANAVIR 02294176 Y

HIV SUSTIVA 100MG CAPSULE EFAVIRENZ 02239887 Y

HIV SUSTIVA 200MG CAPSULE EFAVIRENZ 02239888 Y

HIV SUSTIVA 300MG TABLET EFAVIRENZ 02246044 Y

HIV SUSTIVA 50MG CAPSULE EFAVIRENZ 02239886 Y

HIV SUSTIVA 600MG TABLET EFAVIRENZ 02246045 Y

HIV TELZIR 50MG/ML SUSP FOSAMPRENAVIR CALCIUM 02261553 Y

HIV TELZIR 700MG TABLET FOSAMPRENAVIR CALCIUM 02261545 Y

HIV TRIZIVIR TABLET ABACAVIR/LAMIVUDINE/ZIDOVUDINE02244757 Y

HIV TRUVADA TABLET EMTRICITABINE/TENOFOVIR 02274906 Y

HIV VIDEX 100MG CHEW TABLET DIDAN/MAG SALT/AL NACB/SOD CIT01940546 Y

HIV VIDEX 125MG EC CAPSULE DIDANOSINE 02244596 Y

HIV VIDEX 150MG CHEW TABLET DIDAN/MAG SALT/AL NACB/SOD CIT01940554 Y

HIV VIDEX 200MG EC CAPSULE DIDANOSINE 02244597 Y

HIV VIDEX 250MG EC CAPSULE DIDANOSINE 02244598 Y

HIV VIDEX 25MG CHEW TABLET DIDAN/MAG SALT/AL NACB/SOD CIT01940511 Y

HIV VIDEX 400MG EC CAPSULE DIDANOSINE 02244599 Y

HIV VIDEX PEDIATRIC ORAL SOLUTION DIDANOSINE 01940635 Y

HIV VIRACEPT 250MG TABLET NELFINAVIR MESYLATE 02238617 Y

HIV VIRACEPT 50MG/ML ORAL POWDER NELFINAVIR MESYLATE 02238618 Y

HIV VIRACEPT 625MG TABLET NELFINAVIR MESYLATE 02248761 Y

HIV VIRAMUNE 200MG TABLET NEVIRAPINE 02238748 Y

HIV VIREAD 300MG TABLET TENOFOVIR 02247128 Y

HIV ZERIT 100MG XR CAPSULE STAVUDINE 02247915 Y

HIV ZERIT 15MG CAPSULE STAVUDINE 02216086 Y

HIV ZERIT 20MG CAPSULE STAVUDINE 02216094 Y

HIV ZERIT 30MG CAPSULE STAVUDINE 02216108 Y

HIV ZERIT 37.5MG XR CAPSULE STAVUDINE 02247912 Y

HIV ZERIT 40MG CAPSULE STAVUDINE 02216116 Y

HIV ZERIT 50MG XR CAPSULE STAVUDINE 02247913 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 236

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

HIV ZERIT 75MG XR CAPSULE STAVUDINE 02247914 Y

HIV ZIAGEN 20MG/ML ORAL LIQUID ABACAVIR SULFATE 02240358 Y

HIV ZIAGEN 300MG TABLET ABACAVIR SULFATE 02240357 Y

Insomnia APO-FLURAZEPAM 15MG CAPSULE FLURAZEPAM HCL 00521698 Y

Insomnia APO-FLURAZEPAM 30MG CAPSULE FLURAZEPAM HCL 00521701 Y

Insomnia APO-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02225964 Y

Insomnia APO-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02225972 Y

Insomnia APO-TEMAZEPAM 7.5MG CAPSULE TEMAZEPAM 02243624 Y

Insomnia APO-TRYPTOPHAN 1G TABLET TRYPTOPHAN 02248539 Y

Insomnia APO-TRYPTOPHAN 250MG TABLET TRYPTOPHAN 02248537 Y

Insomnia APO-TRYPTOPHAN 500MG CAPSULE TRYPTOPHAN 02248540 Y

Insomnia APO-TRYPTOPHAN 500MG TABLET TRYPTOPHAN 02248538 Y

Insomnia APO-ZOPICLONE 5MG TABLET ZOPICLONE 02245077 Y

Insomnia APO-ZOPICLONE 7.5MG TABLET ZOPICLONE 02218313 Y

Insomnia APX-ZOPICLONE 5MG TABLET ZOPICLONE 02341530 Y

Insomnia APX-ZOPICLONE 7.5MG TABLET ZOPICLONE 02341816 Y

Insomnia BIO-FLURAZEPAM 15MG CAPSULE FLURAZEPAM HCL 02248126 Y

Insomnia BIO-FLURAZEPAM 30MG CAPSULE FLURAZEPAM HCL 02248127 Y

Insomnia CALMEX 25MG TABLET DIPHENHYDRAMINE HCL 00479764 Y

Insomnia CHLORAL HYDRATE 100MG/ML SYRUP ODAN CHLORAL HYDRATE 02247621 Y

Insomnia CO-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02244814 Y

Insomnia CO-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02244815 Y

Insomnia CO-ZOPICLONE 5MG TABLET ZOPICLONE 02271931 Y

Insomnia CO-ZOPICLONE 7.5MG TABLET ZOPICLONE 02271958 Y

Insomnia DALMANE 15MG CAPSULE FLURAZEPAM HCL 00012696 Y

Insomnia DALMANE 30MG CAPSULE FLURAZEPAM HCL 00012718 Y

Insomnia DIPHENHYDRAMINE HCL 50 MG CAPSULES EX- STRENGTH DIPHENHYDRAMINE HCL 02304279 Y

Insomnia DOM-FLURAZEPAM 15MG CAPSULE FLURAZEPAM HCL 02128934 Y

Insomnia DOM-FLURAZEPAM 30MG CAPSULE FLURAZEPAM HCL 02128942 Y

Insomnia DOM-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02229756 Y

Insomnia DOM-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02229758 Y

Insomnia DOM-TRYPTOPHAN 1GM TABLET TRYPTOPHAN 02231255 Y

Insomnia DOM-ZOPICLONE 5MG TABLET ZOPICLONE 02246317 Y

Insomnia DOM-ZOPICLONE 7.5MG TABLET ZOPICLONE 02240823 Y

Insomnia DORMAX 50MG TABLET DIPHENHYDRAMINE HCL 02253313 Y

Insomnia DORMIPHEN 50MG CAPSULE DIPHENHYDRAMINE HCL 00489867 Y

Insomnia EXTRA STRENGTH NYTOL QUICKGELS DIPHENHYDRAMINE HCL 02237169 Y

Insomnia EXTRA STRENGTH SLEEP AID DIPHENHYDRAMINE HCL 02292734 Y

Insomnia FLURAZEPAM 15MG CAPSULE FLURAZEPAM HCL 00578479 Y

Insomnia FLURAZEPAM 30MG CAPSULE FLURAZEPAM HCL 00578487 Y

Insomnia GEN-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02231615 Y

Insomnia GEN-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02231616 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 237

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Insomnia GMD-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02253070 Y

Insomnia GMD-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02253089 Y

Insomnia IMOVANE 5MG TABLET ZOPICLONE 02216167 Y

Insomnia IMOVANE 7.5MG TABLET ZOPICLONE 01926799 Y

Insomnia INSOMNAL DS 50MG CAPSULE DIPHENHYDRAMINE HCL 02153165 Y

Insomnia LORAZEPAM 4MG/ML INJECTION LORAZEPAM 02243278 Y

Insomnia MED TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02237294 Y

Insomnia MED TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02237295 Y

Insomnia MED ZOPICLONE 7.5MG TABLET ZOPICLONE 02239765 Y

Insomnia MYLAN-TRIAZOLAM 0.125MG TABLET TRIAZOLAM 01995227 Y

Insomnia MYLAN-TRIAZOLAM 0.25MG TABLET TRIAZOLAM 01913506 Y

Insomnia MYLAN-ZOPICLONE 5MG TABLET ZOPICLONE 02296616 Y

Insomnia MYLAN-ZOPICLONE 7.5MG TABLET ZOPICLONE 02238596 Y

Insomnia NOVO-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02230095 Y

Insomnia NOVO-TEMAZEPAM 30MG TABLET TEMAZEPAM 02230102 Y

Insomnia NOVO-ZOPICLONE 5MG TABLET ZOPICLONE 02251450 Y

Insomnia NOVO-ZOPICLONE 7.5MG TABLET ZOPICLONE 02251469 Y

Insomnia NTP-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02347865 Y

Insomnia NTP-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02347873 Y

Insomnia NU-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02223570 Y

Insomnia NU-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02223589 Y

Insomnia NU-ZOPICLONE 5MG TABLET ZOPICLONE 02334933 Y

Insomnia NU-ZOPICLONE 7.5MG TABLET ZOPICLONE 02335034 Y

Insomnia NYTOL 25MG TABLET DIPHENHYDRAMINE HCL 00450839 Y

Insomnia NYTOL 50MG EX STRENGTH CAPLET DIPHENHYDRAMINE HCL 01934414 Y

Insomnia NYTOL 50MG EX STRENGTH TABLET DIPHENHYDRAMINE HCL 00583332 Y

Insomnia PENTA-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02239071 Y

Insomnia PENTA-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02239072 Y

Insomnia PENTA-TRIAZOLAM 0.125MG TABLET TRIAZOLAM 02232553 Y

Insomnia PHENOBARBITAL 120MG/ML AMPUL PHENOBARBITAL SODIUM 00497495 Y

Insomnia PHENOBARBITAL 30MG TABLET PHENOBARBITAL 00293903 Y

Insomnia PHENOBARBITAL 30MG/ML AMPUL PHENOBARBITAL SODIUM 00497487 Y

Insomnia PHENOBARBITAL 60MG TABLET PHENOBARBITAL 00320714 Y

Insomnia PHENOBARBITAL SODIUM 120MG/ML INJECTION PHENOBARBITAL SODIUM 02304090 Y

Insomnia PHENOBARBITAL SODIUM 30MG/ML INJECTION PHENOBARBITAL SODIUM 02304082 Y

Insomnia PHL-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02297957 Y

Insomnia PHL-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02297965 Y

Insomnia PHL-TRYPTOPHAN 1G TABLET TRYPTOPHAN 02236957 Y

Insomnia PHL-TRYPTOPHAN 500MG CAPSULE TRYPTOPHAN 02262444 Y

Insomnia PHL-TRYPTOPHAN 500MG TABLET TRYPTOPHAN 02262436 Y

Insomnia PHL-ZOPICLONE 5MG TABLET ZOPICLONE 02294052 Y

Insomnia PHL-ZOPICLONE 7.5MG TABLET ZOPICLONE 02294060 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 238

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Insomnia PMS-CHLORAL HYD 500MG/5ML CHLORAL HYDRATE 00792659 Y

Insomnia PMS-CHLORAL HYDRATE 500MG CHLORAL HYDRATE 00811882 Y

Insomnia PMS-PHENOBARBITAL 100MG TABLET PHENOBARBITAL 00178829 Y

Insomnia PMS-PHENOBARBITAL 15MG TABLET PHENOBARBITAL 00178799 Y

Insomnia PMS-PHENOBARBITAL 30MG TABLET PHENOBARBITAL 00178802 Y

Insomnia PMS-PHENOBARBITAL 5MG/ML ELIXIR PHENOBARBITAL 00645575 Y

Insomnia PMS-PHENOBARBITAL 60MG TABLET PHENOBARBITAL 00178810 Y

Insomnia PMS-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02273039 Y

Insomnia PMS-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02229455 Y

Insomnia PMS-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02273047 Y

Insomnia PMS-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02229456 Y

Insomnia PMS-TRYPTOPHAN 1GM TABLET TRYPTOPHAN 02230202 Y

Insomnia PMS-TRYPTOPHAN 500MG CAPSULE TRYPTOPHAN 02241023 Y

Insomnia PMS-TRYPTOPHAN 500MG TABLET TRYPTOPHAN 02240445 Y

Insomnia PMS-ZOPICLONE 5MG TABLET ZOPICLONE 02243426 Y

Insomnia PMS-ZOPICLONE 7.5MG TABLET ZOPICLONE 02240606 Y

Insomnia PRO-ZOPICLONE 5MG TABLET ZOPICLONE 02313065 Y

Insomnia PRO-ZOPICLONE 7.5MG TABLET ZOPICLONE 02313073 Y

Insomnia Q-ZOPICLONE 5MG TABLET ZOPICLONE 02338912 Y

Insomnia Q-ZOPICLONE 7.5MG TABLET ZOPICLONE 02338920 Y

Insomnia RAN-ZOPICLONE 5MG TABLET ZOPICLONE 02267918 Y

Insomnia RAN-ZOPICLONE 7.5MG TABLET ZOPICLONE 02267926 Y

Insomnia RATIO-TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02243023 Y

Insomnia RATIO-TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02243024 Y

Insomnia RATIO-TRYPTOPHAN 1G TABLET TRYPTOPHAN 02237250 Y

Insomnia RATIO-TRYPTOPHAN 500MG CAPSULE TRYPTOPHAN 02240334 Y

Insomnia RATIO-TRYPTOPHAN 500MG TABLET TRYPTOPHAN 02240333 Y

Insomnia RATIO-TRYPTOPHAN 750MG TABLET TRYPTOPHAN 02259176 Y

Insomnia RATIO-ZOPICLONE 3.75MG TABLET ZOPICLONE 02242480 Y

Insomnia RATIO-ZOPICLONE 5MG TABLET ZOPICLONE 02246534 Y

Insomnia RATIO-ZOPICLONE 7.5MG TABLET ZOPICLONE 02242481 Y

Insomnia RESTORIL 15MG CAPSULE TEMAZEPAM 00604453 Y

Insomnia RESTORIL 30MG CAPSULE TEMAZEPAM 00604461 Y

Insomnia RESTORIL 7.5MG CAPSULE TEMAZEPAM 02229854 Y

Insomnia RHOVANE 7.5MG TABLET ZOPICLONE 02008203 Y

Insomnia RIVA-ZOPICLONE 5MG TABLET ZOPICLONE 02278030 Y

Insomnia RIVA-ZOPICLONE 5MG TABLET ZOPICLONE 02245791 Y

Insomnia RIVA-ZOPICLONE 7.5MG TABLET ZOPICLONE 02278049 Y

Insomnia RIVA-ZOPICLONE 7.5MG TABLET ZOPICLONE 02245792 Y

Insomnia SANDOZ-ZOPICLONE 5MG TABLET ZOPICLONE 02257572 Y

Insomnia SANDOZ-ZOPICLONE 7.5MG TABLET ZOPICLONE 02257580 Y

Insomnia SIG-ZOPICLONE 5MG TABLET ZOPICLONE 02346265 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 239

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Insomnia SIG-ZOPICLONE 7.5MG TABLET ZOPICLONE 02346273 Y

Insomnia SIMPLY SLEEP 25MG TABLET DIPHENHYDRAMINE HCL 02239548 Y

Insomnia SLEEP AID 25MG TABLET DIPHENHYDRAMINE HCL 01994247 Y

Insomnia SLEEP AID 50MG EX STRENGTH GELCAP DIPHENHYDRAMINE HCL 02244203 Y

Insomnia SLEEP AID 50MG EX STRENGTH TABLET DIPHENHYDRAMINE HCL 02230485 Y

Insomnia SLEEP-EZE D CAPLET DIPHENHYDRAMINE HCL 02229960 Y

Insomnia SLEEP-EZE D EX STR CAPLET DIPHENHYDRAMINE HCL 02229959 Y

Insomnia SLEEP-EZE D EX STR CAPSULE DIPHENHYDRAMINE HCL 02229958 Y

Insomnia SLEEP-EZE D EX STR GELCAPS DIPHENHYDRAMINE HCL 02238644 Y

Insomnia SOM PAM 15MG CAPSULE FLURAZEPAM HCL 00414220 Y

Insomnia SOM PAM 30MG CAPSULE FLURAZEPAM HCL 00414239 Y

Insomnia SOMINEX 25MG TABLET DIPHENHYDRAMINE HCL 01944290 Y

Insomnia SOMINEX X-STR 50MG CAPLET DIPHENHYDRAMINE HCL 01957996 Y

Insomnia SOMNOL 15MG TABLET FLURAZEPAM HCL 00483826 Y

Insomnia SOMNOL 30MG TABLET FLURAZEPAM HCL 00483818 Y

Insomnia STARNOC 10MG CAPSULE ZALEPLON 02297132 Y

Insomnia STARNOC 10MG CAPSULE ZALEPLON 02242220 Y

Insomnia STARNOC 5MG CAPSULE ZALEPLON 02297124 Y

Insomnia STARNOC 5MG CAPSULE ZALEPLON 02242219 Y

Insomnia TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02247526 Y

Insomnia TEMAZEPAM 15MG CAPSULE TEMAZEPAM 02229760 Y

Insomnia TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02247527 Y

Insomnia TEMAZEPAM 30MG CAPSULE TEMAZEPAM 02229761 Y

Insomnia TRIAZOLAM 0.125MG TABLET TRIAZOLAM 00808563 Y

Insomnia TRIAZOLAM 0.25MG TABLET TRIAZOLAM 00808571 Y

Insomnia TRYPTAN 1000MG TABLET TRYPTOPHAN 00654531 Y

Insomnia TRYPTAN 250MG TABLET TRYPTOPHAN 02239326 Y

Insomnia TRYPTAN 500MG CAPSULE TRYPTOPHAN 00718149 Y

Insomnia TRYPTAN 500MG TABLET TRYPTOPHAN 02029456 Y

Insomnia TRYPTAN 750MG TABLET TRYPTOPHAN 02239327 Y

Insomnia UNISOM SLEEP 50MG GEL CAPSULE DIPHENHYDRAMINE HCL 02061597 Y

Insomnia UNISOM SLEEP 50MG TABLET DIPHENHYDRAMINE HCL 01946986 Y

Insomnia UNISOM-2 25MG TABLET DOXYLAMINE SUCCINATE 01946994 Y

Insomnia ZOPICLONE 3.75MG TABLET ZOPICLONE 02349698 Y

Insomnia ZOPICLONE 5MG TABLET ZOPICLONE 02321521 Y

Insomnia ZOPICLONE 5MG TABLET ZOPICLONE 02344122 Y

Insomnia ZOPICLONE 5MG TABLET ZOPICLONE 02344580 Y

Insomnia ZOPICLONE 5MG TABLET ZOPICLONE 02349701 Y

Insomnia ZOPICLONE 7.5MG TABLET ZOPICLONE 02282445 Y

Insomnia ZOPICLONE 7.5MG TABLET ZOPICLONE 02321548 Y

Insomnia ZOPICLONE 7.5MG TABLET ZOPICLONE 02344599 Y

Insomnia ZOPICLONE 7.5MG TABLET ZOPICLONE 02349728 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 240

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Insomnia ZOPICLONE 7.5MG TABLET ZOPICLONE 02223317 Y

Kidney & Bladder disorders ACCEL-TAMSULOSIN 0.4MG ER CAPSULE TAMSULOSIN HCL 02322900 Y

Kidney & Bladder disorders ADVAGRAF 0.5MG CAPSULE TACROLIMUS 02296462 Y

Kidney & Bladder disorders ADVAGRAF 1MG CAPSULE TACROLIMUS 02296470 Y

Kidney & Bladder disorders ADVAGRAF 3MG CAPSULE TACROLIMUS 02331667 Y

Kidney & Bladder disorders ADVAGRAF 5MG CAPSULE TACROLIMUS 02296489 Y

Kidney & Bladder disorders ALLOPURINOL 100MG TABLET ALLOPURINOL 02353091 Y

Kidney & Bladder disorders ALLOPURINOL 100MG TABLET ALLOPURINOL 00555681 Y

Kidney & Bladder disorders ALLOPURINOL 200MG TABLET ALLOPURINOL 02353105 Y

Kidney & Bladder disorders ALLOPURINOL 200MG TABLET ALLOPURINOL 02130157 Y

Kidney & Bladder disorders ALLOPURINOL 300MG TABLET ALLOPURINOL 02353113 Y

Kidney & Bladder disorders ALLOPURINOL 300MG TABLET ALLOPURINOL 00555703 Y

Kidney & Bladder disorders ALTI-TRIMETHOPRIM 100MG TABLET TRIMETHOPRIM 02238891 Y

Kidney & Bladder disorders ALTI-TRIMETHOPRIM 200MG TABLET TRIMETHOPRIM 02238892 Y

Kidney & Bladder disorders APO-ALFUZOSIN 10MG ER TABLET ALFUZOSIN HCL 02315866 Y

Kidney & Bladder disorders APO-ALLOPURINOL 100MG TABLET ALLOPURINOL 00402818 Y

Kidney & Bladder disorders APO-ALLOPURINOL 200MG TABLET ALLOPURINOL 00479799 Y

Kidney & Bladder disorders APO-ALLOPURINOL 300MG TABLET ALLOPURINOL 00402796 Y

Kidney & Bladder disorders APO-AZATHIOPRINE 50MG TABLET AZATHIOPRINE 02242907 Y

Kidney & Bladder disorders APO-CYCLOSPORINE 100MG/ML ORAL SOLUTION CYCLOSPORINE 02244324 Y

Kidney & Bladder disorders APO-FLAVOXATE 200MG TABLET FLAVOXATE HCL 02244842 Y

Kidney & Bladder disorders APO-OXYBUTININ 5MG TABLET OXYBUTYNIN CHLORIDE 02163543 Y

Kidney & Bladder disorders AVODART 0.5MG CAPSULE DUTASTERIDE 02247813 Y

Kidney & Bladder disorders AZATHIOPRINE 50MG TABLET AZATHIOPRINE 02343002 Y

Kidney & Bladder disorders AZATHIOPRINE 50MG TABLET AZATHIOPRINE 02243371 Y

Kidney & Bladder disorders AZATHIOPRINE TABLETS 50MG TABLET AZATHIOPRINE 02341115 Y

Kidney & Bladder disorders BENURYL 500MG TABLET PROBENECID 00294926 Y

Kidney & Bladder disorders BETHANECHOL CHLOR. 10MG TABLET BETHANECHOL CHLORIDE 02237047 Y

Kidney & Bladder disorders BETHANECHOL CHLOR. 25MG TABLET BETHANECHOL CHLORIDE 02237048 Y

Kidney & Bladder disorders BETHANECHOL CHLOR. 50MG TABLET BETHANECHOL CHLORIDE 02237049 Y

Kidney & Bladder disorders CARBACHOL 2MG TABLET CARBACHOL 02060043 Y

Kidney & Bladder disorders CELLCEPT 250MG CAPSULE MYCOPHENOLATE MOFETIL 02192748 Y

Kidney & Bladder disorders CELLCEPT 500MG CAPSULE MYCOPHENOLATE MOFETIL 02237484 Y

Kidney & Bladder disorders CELLCEPT POWDER FOR ORAL SUSPENSION MYCOPHENOLATE MOFETIL 02242145 Y

Kidney & Bladder disorders COLCHICINE 0.6MG TABLET COLCHICINE 00000396 Y

Kidney & Bladder disorders COLCHICINE 0.6MG TABLET COLCHICINE 00287873 Y

Kidney & Bladder disorders COLCHICINE 0.6MG TABLET COLCHICINE 00572349 Y

Kidney & Bladder disorders COLCHICINE 1MG TABLET COLCHICINE 00206032 Y

Kidney & Bladder disorders COLCHICINE 1MG TABLET COLCHICINE 00621374 Y

Kidney & Bladder disorders CYCLOSPORINE 100MG CAPSULE CYCLOSPORINE 02334798 Y

Kidney & Bladder disorders CYCLOSPORINE 25MG CAPSULE CYCLOSPORINE 02334763 Y

Kidney & Bladder disorders CYCLOSPORINE 50MG CAPSULE CYCLOSPORINE 02334771 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 241

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Kidney & Bladder disorders CYCLOSPORINE INJ(PQ) CYCLOSPORINE 99100387 Y

Kidney & Bladder disorders DEFEROXAMINE 2G INJECTION DEFEROXAMINE MESYLATE 02261820 Y

Kidney & Bladder disorders DEFEROXAMINE 500MG INJECTION DEFEROXAMINE MESYLATE 02261812 Y

Kidney & Bladder disorders DESFERAL 2GM VIAL DEFEROXAMINE MESYLATE 01981250 Y

Kidney & Bladder disorders DESFERAL 500MG VIAL DEFEROXAMINE MESYLATE 01981242 Y

Kidney & Bladder disorders DESFERRIOXAMINE 2G INJECTION DEFEROXAMINE MESYLATE 02247022 Y

Kidney & Bladder disorders DESFERRIOXAMINE 500MG INJECTION DEFEROXAMINE MESYLATE 02241600 Y

Kidney & Bladder disorders DETROL LA 2MG SR CAPSULE TOLTERODINE L-TARTRATE 02244612 Y

Kidney & Bladder disorders DETROL LA 4MG SR CAPSULE TOLTERODINE L-TARTRATE 02244613 Y

Kidney & Bladder disorders DIMETHYL SULFOXIDE IRRIGATION SOLUTION DIMETHYL SULFOXIDE 02243231 Y

Kidney & Bladder disorders DITROPAN 10MG XL ER TABLET OXYBUTYNIN CHLORIDE 02243961 Y

Kidney & Bladder disorders DITROPAN 15MG XL TABLET OXYBUTYNIN CHLORIDE 02259117 Y

Kidney & Bladder disorders DITROPAN 5MG XL ER TABLET OXYBUTYNIN CHLORIDE 02243960 Y

Kidney & Bladder disorders DITROPAN 5MG/5ML SYRUP OXYBUTYNIN CHLORIDE 01924753 Y

Kidney & Bladder disorders DOM-OXYBUTYNIN 5MG TABLET OXYBUTYNIN CHLORIDE 02241285 Y

Kidney & Bladder disorders DUVOID 10MG TABLET BETHANECHOL CHLORIDE 01947958 Y

Kidney & Bladder disorders DUVOID 25MG TABLET BETHANECHOL CHLORIDE 01947931 Y

Kidney & Bladder disorders DUVOID 50MG TABLET BETHANECHOL CHLORIDE 01947923 Y

Kidney & Bladder disorders ELMIRON 100MG CAPSULE PENTOSAN POLYSULFATE SODIUM 02029448 Y

Kidney & Bladder disorders ENABLEX 15MG SR TABLET DARIFENACIN 02273225 Y

Kidney & Bladder disorders ENABLEX 7.5MG SR TABLET DARIFENACIN 02273217 Y

Kidney & Bladder disorders EXJADE 125MG TABLET DEFERASIROX 02287420 Y

Kidney & Bladder disorders EXJADE 250MG TABLET DEFERASIROX 02287439 Y

Kidney & Bladder disorders EXJADE 500MG TABLET DEFERASIROX 02287447 Y

Kidney & Bladder disorders FINASTERIDE 5MG TABLET FINASTERIDE 02348888 Y

Kidney & Bladder disorders FINASTERIDE 5MG TABLET FINASTERIDE 02349361 Y

Kidney & Bladder disorders FINASTERIDE 5MG TABLET FINASTERIDE 02350270 Y

Kidney & Bladder disorders FLAVOXATE 200MG TABLET FLAVOXATE HCL 02236956 Y

Kidney & Bladder disorders FLOMAX 0.4MG CR TABLET TAMSULOSIN HCL 02270102 Y

Kidney & Bladder disorders FLOMAX 0.4MG SR CAPSULE TAMSULOSIN HCL 02238123 Y

Kidney & Bladder disorders FOSRENOL 1000MG TABLET LANTHANUM 02287188 Y

Kidney & Bladder disorders FOSRENOL 250MG TABLET LANTHANUM 02287145 Y

Kidney & Bladder disorders FOSRENOL 500MG TABLET LANTHANUM 02287153 Y

Kidney & Bladder disorders FOSRENOL 750MG TABLET LANTHANUM 02287161 Y

Kidney & Bladder disorders HIP-REX 1GM TABLET METHENAMINE HIPPURATE 01966081 Y

Kidney & Bladder disorders HYTRIN STARTER PACK TERAZOSIN HCL 02187876 Y

Kidney & Bladder disorders IMURAN 50MG TABLET AZATHIOPRINE 00004596 Y

Kidney & Bladder disorders JAMP-TAMSULOSIN 0.4MG ER CAPSULE TAMSULOSIN HCL 02352419 Y

Kidney & Bladder disorders KAYEXALATE POWDER SODIUM POLYSTYRENE SULFONATE02026961 Y

Kidney & Bladder disorders K-EXIT POUDRE ORAL/RECTAL SODIUM POLYSTYRENE SULFONATE00765252 Y

Kidney & Bladder disorders MANDELAMINE 500MG TABLET METHENAMINE MANDELATE 00499013 Y

Kidney & Bladder disorders MINT-TAMSULOSIN 0.4MG ER CAPSULE TAMSULOSIN HCL 02317494 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 242

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Kidney & Bladder disorders MONUROL 3G POWDER FOSFOMYCIN TROMETHAMINE 02240335 Y

Kidney & Bladder disorders MYFORTIC 180MG EC TABLET MYCOPHENOLATE SODIUM / MYCOPHENOLIC ACID02264560 Y

Kidney & Bladder disorders MYFORTIC 360MG EC TABLET MYCOPHENOLATE SODIUM / MYCOPHENOLIC ACID02264579 Y

Kidney & Bladder disorders MYLAN-AZATHIOPRINE 50MG TABLET AZATHIOPRINE 02231491 Y

Kidney & Bladder disorders MYLAN-OXYBUTYNIN 5MG TABLET OXYBUTYNIN CHLORIDE 02230800 Y

Kidney & Bladder disorders MYLAN-TAMSULOSIN 0.4MG CAPSULE TAMSULOSIN 02298570 Y

Kidney & Bladder disorders MYOTONACHOL 10MG TABLET BETHANECHOL CHLORIDE 01985671 Y

Kidney & Bladder disorders MYOTONACHOL 25MG TABLET BETHANECHOL CHLORIDE 01985558 Y

Kidney & Bladder disorders NEORAL 100MG CAPSULE CYCLOSPORINE 02150670 Y

Kidney & Bladder disorders NEORAL 100MG CAPSULE (SK) CYCLOSPORINE 00950815 Y

Kidney & Bladder disorders NEORAL 100MG/ML LIQUID CYCLOSPORINE 02150697 Y

Kidney & Bladder disorders NEORAL 100MG/ML LIQUID (SK) CYCLOSPORINE 00950823 Y

Kidney & Bladder disorders NEORAL 10MG CAPSULE CYCLOSPORINE 02237671 Y

Kidney & Bladder disorders NEORAL 25MG CAPSULE CYCLOSPORINE 02150689 Y

Kidney & Bladder disorders NEORAL 25MG CAPSULE (SK) CYCLOSPORINE 00950793 Y

Kidney & Bladder disorders NEORAL 50MG CAPSULE CYCLOSPORINE 02150662 Y

Kidney & Bladder disorders NEORAL 50MG CAPSULE (SK) CYCLOSPORINE 00950807 Y

Kidney & Bladder disorders NOVO-ALFUZOSIN PR 10MG TABLET ALFUZOSIN HCL 02314282 Y

Kidney & Bladder disorders NOVO-FINASTERIDE 5MG TABLET FINASTERIDE 02348500 Y

Kidney & Bladder disorders NOVO-OXYBUTYNIN 5MG TABLET OXYBUTYNIN CHLORIDE 02230394 Y

Kidney & Bladder disorders NOVO-PUROL 100MG TABLET ALLOPURINOL 00364282 Y

Kidney & Bladder disorders NOVO-PUROL 200MG TABLET ALLOPURINOL 00565342 Y

Kidney & Bladder disorders NOVO-PUROL 300MG TABLET ALLOPURINOL 00363693 Y

Kidney & Bladder disorders NOVO-TAMSULOSIN 0.4MG ER CAPSULE TAMSULOSIN HCL 02281392 Y

Kidney & Bladder disorders NTP-ALLOPURINOL 100MG TABLET ALLOPURINOL 02348268 Y

Kidney & Bladder disorders NTP-ALLOPURINOL 200MG TABLET ALLOPURINOL 02348276 Y

Kidney & Bladder disorders NTP-ALLOPURINOL 300MG TABLET ALLOPURINOL 02348284 Y

Kidney & Bladder disorders NTP-OXYBUTYNIN 5MG TABLET OXYBUTYNIN CHLORIDE 02347229 Y

Kidney & Bladder disorders NU-ALLOPURINOL 100MG TABLET ALLOPURINOL 02335840 Y

Kidney & Bladder disorders NU-ALLOPURINOL 200MG TABLET ALLOPURINOL 02335859 Y

Kidney & Bladder disorders NU-ALLOPURINOL 300MG TABLET ALLOPURINOL 02335867 Y

Kidney & Bladder disorders NU-AZATHIOPRINE 50MG TABLET AZATHIOPRINE 02248843 Y

Kidney & Bladder disorders NU-OXYBUTYN 5MG TABLET OXYBUTYNIN CHLORIDE 02158590 Y

Kidney & Bladder disorders OXYBUTYNIN 1MG/ML SYRUP OXYBUTYNIN CHLORIDE 02236930 Y

Kidney & Bladder disorders OXYBUTYNIN 5MG TABLET OXYBUTYNIN CHLORIDE 02350238 Y

Kidney & Bladder disorders OXYBUTYNINE 5MG TABLET OXYBUTYNIN CHLORIDE 02220636 Y

Kidney & Bladder disorders OXYTROL 36MG PATCH OXYBUTYNIN 02254735 Y

Kidney & Bladder disorders PENTA-OXYBUTYNIN 5MG TABLET OXYBUTYNIN CHLORIDE 02239073 Y

Kidney & Bladder disorders PHENAZO 100MG TABLET PHENAZOPYRIDINE HCL 00271489 Y

Kidney & Bladder disorders PHENAZO 200MG TABLET PHENAZOPYRIDINE HCL 00454583 Y

Kidney & Bladder disorders PHL-OXYBUTYNIN 1MG/ML SYRUP OXYBUTYNIN CHLORIDE 02260778 Y

Kidney & Bladder disorders PHL-OXYBUTYNIN 2.5MG TABLET OXYBUTYNIN CHLORIDE 02260751 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 243

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Kidney & Bladder disorders PHL-OXYBUTYNIN 5MG TABLET OXYBUTYNIN CHLORIDE 02245827 Y

Kidney & Bladder disorders PHL-SODIUM POLYSTYRENE SULFONATE ENEMA SODIUM POLYSTYRENE SULFONATE02261669 Y

Kidney & Bladder disorders PHL-SODIUM POLYSTYRENE SULFONATE ORAL SUSP SODIUM POLYSTYRENE SULFONATE02261650 Y

Kidney & Bladder disorders PHL-SODIUM POLYSTYRENE SULFONATE ORAL/RECTAL PWD SODIUM POLYSTYRENE SULFONATE02261677 Y

Kidney & Bladder disorders PHOSLO 667MG TABLET CALCIUM ACETATE 02229437 Y

Kidney & Bladder disorders PMS-BETHANECHOL CL 10MG TABLET BETHANECHOL CHLORIDE 00759171 Y

Kidney & Bladder disorders PMS-BETHANECHOL CL 25MG TABLET BETHANECHOL CHLORIDE 00739162 Y

Kidney & Bladder disorders PMS-BETHANECHOL CL 50MG TABLET BETHANECHOL CHLORIDE 00759198 Y

Kidney & Bladder disorders PMS-DEFEROXAMINE 2G INJECTION DEFEROXAMINE MESYLATE 02243450 Y

Kidney & Bladder disorders PMS-DEFEROXAMINE 500MG INJECTION DEFEROXAMINE MESYLATE 02242055 Y

Kidney & Bladder disorders PMS-FINASTERIDE 5MG TABLET FINASTERIDE 02310112 Y

Kidney & Bladder disorders PMS-FLAVOXATE 200MG TABLET FLAVOXATE HCL 02245480 Y

Kidney & Bladder disorders PMS-OXYBUTININ 1MG/ML SYRUP OXYBUTYNIN CHLORIDE 02223376 Y

Kidney & Bladder disorders PMS-OXYBUTYININ 5MG TABLET OXYBUTYNIN CHLORIDE 02240550 Y

Kidney & Bladder disorders PMS-OXYBUTYNIN 2.5MG TABLET OXYBUTYNIN CHLORIDE 02240549 Y

Kidney & Bladder disorders PMS-SOD POLYSTERENE POWDER SODIUM POLYSTYRENE SULFONATE00755338 Y

Kidney & Bladder disorders PMS-SOD POLYSTYRENE ENEMA SODIUM POLYSTYRENE SULFONATE00769533 Y

Kidney & Bladder disorders PMS-SOD POLYSTYRENE SUSPEN SODIUM POLYSTYRENE SULFONATE00769541 Y

Kidney & Bladder disorders PROGRAF 0.5MG CAPSULE TACROLIMUS ANHYDROUS 02243144 Y

Kidney & Bladder disorders PROGRAF 1MG CAPSULE TACROLIMUS ANHYDROUS 02175991 Y

Kidney & Bladder disorders PROGRAF 5MG CAPSULE TACROLIMUS ANHYDROUS 02175983 Y

Kidney & Bladder disorders PROSCAR 5MG TABLET FINASTERIDE 02010909 Y

Kidney & Bladder disorders RAN-TAMSULOSIN 0.4MG ER CAPSULE TAMSULOSIN HCL 02294885 Y

Kidney & Bladder disorders RAPAMUNE 1MG TABLET SIROLIMUS 02247111 Y

Kidney & Bladder disorders RAPAMUNE 1MG/ML ORAL SOLUTION SIROLIMUS 02243237 Y

Kidney & Bladder disorders RAPAMUNE 2MG TABLET SIROLIMUS 02270617 Y

Kidney & Bladder disorders RAPAMUNE 5MG TABLET SIROLIMUS 02270684 Y

Kidney & Bladder disorders RAPAMUNE SOLUTION 1ML (PQ) SIROLIMUS 99004372 Y

Kidney & Bladder disorders RAPAMUNE SOLUTION 2ML (PQ) SIROLIMUS 99004380 Y

Kidney & Bladder disorders RAPAMUNE SOLUTION 5ML (PQ) SIROLIMUS 99004399 Y

Kidney & Bladder disorders RATIO-AZATHIOPRINE 50MG TABLET AZATHIOPRINE 02236799 Y

Kidney & Bladder disorders RATIO-FINASTERIDE 5MG TABLET FINASTERIDE 02306905 Y

Kidney & Bladder disorders RATIO-TAMSULOSIN 0.4MG ER CAPSULE TAMSULOSIN HCL 02294265 Y

Kidney & Bladder disorders RATIO-TAMSULOSIN 0.4MG ER CAPSULE (ODB) TAMSULOSIN HCL 09857334 Y

Kidney & Bladder disorders RENAGEL 800MG TABLET SEVELAMER HCL 02244310 Y

Kidney & Bladder disorders RESONIUM CALCIUM POWDER CALCIUM POLYSTYRENE SULFONATE02017741 Y

Kidney & Bladder disorders RIMSO-50 50% SOLUTION DIMETHYL SULFOXIDE 00493392 Y

Kidney & Bladder disorders RIVA-OXYBUTYNIN 5MG TABLET OXYBUTYNIN CHLORIDE 02299364 Y

Kidney & Bladder disorders RIVA-OXYBUTYNIN 5MG TABLET OXYBUTYNIN CHLORIDE 02242109 Y

Kidney & Bladder disorders SALAGEN 5MG TABLET PILOCARPINE HCL 02216345 Y

Kidney & Bladder disorders SANCTURA XR 60MG CAPSULE TROSPIUM CHLORIDE 02339706 Y

Kidney & Bladder disorders SANDOZ FINASTERIDE 5MG TABLET FINASTERIDE 02322579 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 244

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Kidney & Bladder disorders SANDOZ-ALFUZOSIN 10MG TABLET ALFUZOSIN HCL 02304678 Y

Kidney & Bladder disorders SANDOZ-CYCLOSPORINE 100MG CAPSULE CYCLOSPORINE 02242821 Y

Kidney & Bladder disorders SANDOZ-CYCLOSPORINE 25MG CAPSULE CYCLOSPORINE 02247073 Y

Kidney & Bladder disorders SANDOZ-CYCLOSPORINE 50MG CAPSULE CYCLOSPORINE 02247074 Y

Kidney & Bladder disorders SANDOZ-TAMSULOSIN 0.4MG CAPSULE TAMSULOSIN HCL 02319217 Y

Kidney & Bladder disorders SANDOZ-TAMSULOSIN 0.4MG ER CAPSULE TAMSULOSIN HCL 02295121 Y

Kidney & Bladder disorders SULFINPYRAZONE 200MG TABLET SULFINPYRAZONE 00441767 Y

Kidney & Bladder disorders TAMSULOSIN 0.4MG CAPSULE TAMSULOSIN HCL 02331780 Y

Kidney & Bladder disorders TEVA-AZATHIOPRINE 50MG TABLET AZATHIOPRINE 02236819 Y

Kidney & Bladder disorders TRIMETHOPRIM 100MG TABLET TRIMETHOPRIM 02243116 Y

Kidney & Bladder disorders TRIMETHOPRIM 200MG TABLET TRIMETHOPRIM 02243117 Y

Kidney & Bladder disorders TROSEC 20MG TABLET TROSPIUM CHLORIDE 02275066 Y

Kidney & Bladder disorders UFLO 0.4MG ER CAPSULE TAMSULOSIN HCL 02333333 Y

Kidney & Bladder disorders UNIDET SR/ DETROL LA 1MG TABLET TOLTERODINE TARTRATE 02239064 Y

Kidney & Bladder disorders UNIDET SR/ DETROL LA 2MG TABLET TOLTERODINE TARTRATE 02239065 Y

Kidney & Bladder disorders URASAL GRANULES EFFERV METHENAMINE/SOD BICARB/TTA 00116866 Y

Kidney & Bladder disorders URISPAS 200MG TABLET FLAVOXATE HCL 00612332 Y

Kidney & Bladder disorders URISPAS 200MG TABLET FLAVOXATE HCL 00728179 Y

Kidney & Bladder disorders UROCIT-K 540MG SR TABLET POTASSIUM CITRATE 01914022 Y

Kidney & Bladder disorders UROMAX 10MG SR TABLET OXYBUTYNIN CHLORIDE 02273578 Y

Kidney & Bladder disorders UROMAX 15MG SR TABLET OXYBUTYNIN CHLORIDE 02273586 Y

Kidney & Bladder disorders UROMAX 5MG SR TABLET OXYBUTYNIN CHLORIDE 02283646 Y

Kidney & Bladder disorders VESICARE 10MG TABLET SOLIFENACIN SUCCINATE 02277271 Y

Kidney & Bladder disorders VESICARE 5MG TABLET SOLIFENACIN SUCCINATE 02277263 Y

Kidney & Bladder disorders XATRAL 10MG SR TABLET ALFUZOSIN HCL 02245565 Y

Kidney & Bladder disorders ZYLOPRIM 200MG TABLET ALLOPURINOL 00506370 Y

Kidney & Bladder disorders ZYLOPRIM 300MG TABLET ALLOPURINOL 00294322 Y

Menopause ACTIVELLE LD TABLET ESTRADIOL/NORETHINDRONE ACETATE02309009 Y

Menopause ACTIVELLE TABLET ESTRADIOL/NORETHINDRONE ACETATE02249405 Y

Menopause AERODIOL 150MCG NASAL SPRAY ESTRADIOL HEMIHYDRATE 02254174 Y

Menopause ALORA 2.3MG TRANSDERMAL PATCH ESTRADIOL 02237260 Y

Menopause ANGELIQ 1MG TABLET DROSPIRENONE/ETHINYL ESTRADIOL02268825 Y

Menopause APO-MEDROXY 100MG TABLET MEDROXYPROGESTERONE ACET 02267640 Y

Menopause APO-MEDROXY 10MG TABLET MEDROXYPROGESTERONE ACET 02277298 Y

Menopause APO-MEDROXY 2.5MG TABLET MEDROXYPROGESTERONE ACET 02244726 Y

Menopause APO-MEDROXY 5MG TABLET MEDROXYPROGESTERONE ACET 02244727 Y

Menopause C.E.S. 0.3MG TABLET ESTROGENS-CONJUGATED 02230891 Y

Menopause C.E.S. 0.625MG TABLET ESTROGENS-CONJUGATED 00265470 Y

Menopause C.E.S. 1.25MG TABLET ESTROGENS-CONJUGATED 00265489 Y

Menopause CLIMARA 2MG TRANSDERMAL ESTRADIOL HEMIHYDRATE 02247499 Y

Menopause CLIMARA 3.9MG TRANSDERMAL ESTRADIOL HEMIHYDRATE 02231509 Y

Menopause CLIMARA 5.7MG TRANSDERMAL ESTRADIOL HEMIHYDRATE 02247500 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 245

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Menopause CLIMARA 7.6MG TRANSDERMAL ESTRADIOL HEMIHYDRATE 02231510 Y

Menopause CLIMARA PRO 4.4/1.39MG TRANSDERMAL ESTRADIOL/LEVONORGESTREL 02250616 Y

Menopause CONGEST 0.3MG TABLET ESTROGENS-CONJUGATED 00830240 Y

Menopause CONGEST 0.9MG TABLET ESTROGENS-CONJUGATED 00830224 Y

Menopause CONGEST 2.5MG TABLET ESTROGENS-CONJUGATED 00830208 Y

Menopause DELESTROGEN 10MG/ML VIAL ESTRADIOL VALERATE 00029238 Y

Menopause DEPO-PROVERA 50MG/ML VIAL MEDROXYPROGESTERONE ACET 00030848 Y

Menopause DOM-MPA 10MG TABLET MEDROXYPROGESTERONE ACET 02247583 Y

Menopause DOM-MPA 2.5MG TABLET MEDROXYPROGESTERONE ACET 02247581 Y

Menopause DOM-MPA 5MG TABLET MEDROXYPROGESTERONE ACET 02247582 Y

Menopause ESTALIS SEQUI 140/50 TRANSDERMAL PATCH ESTRADIOL/NORETH/ESTRADIOL 02243529 Y

Menopause ESTALIS SEQUI 250/50 TRANSDERMAL PATCH ESTRADIOL/NORETHINDRONE ACETATE/ESTRADIOL02243530 Y

Menopause ESTALIS TRANSDERMAL PAD NORETHINDRONE ACETATE/ESTRADIOL02241835 Y

Menopause ESTALIS TRANSDERMAL PAD NORETHINDRONE ACETATE/ESTRADIOL02241837 Y

Menopause ESTRACE 0.5MG TABLET ESTRADIOL 02225190 Y

Menopause ESTRACE 1MG TABLET ESTRADIOL 02148587 Y

Menopause ESTRACE 2MG TABLET ESTRADIOL 02148595 Y

Menopause ESTRACOMB PATCHES ESTRADIOL/NORETHINDRONE ACETATE/ESTRADIOL02108186 Y

Menopause ESTRADERM 0.025MG PATCH ESTRADIOL 00756849 Y

Menopause ESTRADERM 0.05MG PATCH ESTRADIOL 00756857 Y

Menopause ESTRADERM 0.1MG PATCH ESTRADIOL 00756792 Y

Menopause ESTRADOT 100UG TRANSDERMAL PATCH ESTRADIOL 02244002 Y

Menopause ESTRADOT 25UG TRANSDERMAL PATCH ESTRADIOL 02245676 Y

Menopause ESTRADOT 37.5UG TRANSDERMAL PATCH ESTROGEN 02243999 Y

Menopause ESTRADOT 50UG TRANSDERMAL PATCH ESTRADIOL 02244000 Y

Menopause ESTRADOT 75UG TRANSDERMAL PATCH ESTRADIOL 02244001 Y

Menopause ESTRING 2MG VAGINAL RING ESTRADIOL 02168898 Y

Menopause ESTROGEL .06% TRANSDERMAL GEL ESTRADIOL 02238704 Y

Menopause FEM HRT TABLET ESTROGEN/PROGESTIN 02242530 Y

Menopause FEM HRT TABLET ESTROGEN/PROGESTIN 02242531 Y

Menopause GEN-MEDROXY 10MG TABLET MEDROXYPROGESTERONE ACET 02229840 Y

Menopause GEN-MEDROXY 2.5MG TABLET MEDROXYPROGESTERONE ACET 02229838 Y

Menopause GEN-MEDROXY 5MG TABLET MEDROXYPROGESTERONE ACET 02229839 Y

Menopause HONVOL 50MG/ML INJECTION DIETHYLSTILBESTROL DIPHOSPHATE02241793 Y

Menopause MEDROXY 2.5MG TABLET MEDROXYPROGESTERONE ACET 02253550 Y

Menopause MEDROXY 5MG TABLET MEDROXYPROGESTERONE ACET 02253577 Y

Menopause MEDROXYPROGEST 10MG TABLET MEDROXYPROGESTERONE ACET 02246941 Y

Menopause MEDROXYPROGEST 2.5MG TABLET MEDROXYPROGESTERONE ACET 02246938 Y

Menopause MEDROXYPROGEST 5MG TABLET MEDROXYPROGESTERONE ACET 02246940 Y

Menopause MENOSTAR 0.99MG PATCH ESTRADIOL HEMIHYDRATE 02270064 Y

Menopause NEO-ESTRONE 0.1% VAG CREAM ESTRONE 00727369 Y

Menopause NEO-ESTRONE 0.3MG TABLET ESTROGENS-ESTERIFIED 00473618 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 246

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Menopause NORLUTATE 5MG TABLET NORETHINDRONE ACETATE 00023760 Y

Menopause NOVO-MEDRONE 10MG TABLET MEDROXYPROGESTERONE ACET 02221306 Y

Menopause NOVO-MEDRONE 2.5MG TABLET MEDROXYPROGESTERONE ACET 02221284 Y

Menopause NOVO-MEDRONE 5MG TABLET MEDROXYPROGESTERONE ACET 02221292 Y

Menopause OESCLIM 10MG PATCH ESTRADIOL 02243724 Y

Menopause OESCLIM 15MG PATCH ESTRADIOL 02243725 Y

Menopause OESCLIM 20MG PATCH ESTRADIOL 02243726 Y

Menopause OESCLIM 5MG PATCH ESTRADIOL 02243722 Y

Menopause OESCLIM 7.5MG PATCH ESTRADIOL 02243723 Y

Menopause OGEN 0.625MG TABLET ESTROPIPATE 02089793 Y

Menopause OGEN 1.25MG TABLET ESTROPIPATE 02089769 Y

Menopause OGEN 2.5MG TABLET ESTROPIPATE 02089777 Y

Menopause PMS-ESTRADIOL VAL 10MG/ML ESTRADIOL VALERATE 00741930 Y

Menopause PMS-MEDROXYPROGEST 10MG TABLET MEDROXYPROGESTERONE ACET 02246629 Y

Menopause PMS-MEDROXYPROGEST 2.5MG TABLET MEDROXYPROGESTERONE ACET 02246627 Y

Menopause PMS-MEDROXYPROGEST 5MG TABLET MEDROXYPROGESTERONE ACET 02246628 Y

Menopause PREFESTA TABLET ESTRADIOL/ ESTRADIOL/ NORGESTIMATE02247906 Y

Menopause PREMARIN 0.3MG TABLET ESTROGENS-CONJUGATED 02043394 Y

Menopause PREMARIN 0.625MG TABLET ESTROGENS-CONJUGATED 02043408 Y

Menopause PREMARIN 0.9MG TABLET ESTROGENS-CONJUGATED 02043416 Y

Menopause PREMARIN 1.25MG TABLET ESTROGENS-CONJUGATED 02043424 Y

Menopause PREMARIN 25MG VIAL ESTROGENS-CONJUGATED 02043386 Y

Menopause PREMARIN VAGINAL CREAM/APPL ESTROGENS-CONJUGATED 02043440 Y

Menopause PREMPLUS 10MG KIT ESTROGENS-CONJUGATED/MPA 02242880 Y

Menopause PREMPLUS 2.5MG KIT ESTROGENS-CONJUGATED/MPA 02242878 Y

Menopause PREMPLUS 5MG KIT ESTROGENS-CONJUGATED/MPA 02242879 Y

Menopause PROGESTERONE 50MG/ML VIAL PROGESTERONE 01977652 Y

Menopause PROMETRIUM 100MG CAPSULE PROGESTERONE 02166704 Y

Menopause PROVERA 100MG TABLET MEDROXYPROGESTERONE ACET 00030945 Y

Menopause PROVERA 10MG TABLET MEDROXYPROGESTERONE ACET 00729973 Y

Menopause PROVERA 2.5MG TABLET MEDROXYPROGESTERONE ACET 00708917 Y

Menopause PROVERA 5MG TABLET MEDROXYPROGESTERONE ACET 00030937 Y

Menopause RATIO-MPA 10MG TABLET MEDROXYPROGESTERONE ACET 02148579 Y

Menopause RATIO-MPA 2.5MG TABLET MEDROXYPROGESTERONE ACET 02148552 Y

Menopause RATIO-MPA 5MG TABLET MEDROXYPROGESTERONE ACET 02148560 Y

Menopause SANDOZ ESTRADIOL DERM 100MCG PATCH ESTRADIOL 02246969 Y

Menopause SANDOZ ESTRADIOL DERM 50MCG PATCH ESTRADIOL 02246967 Y

Menopause SANDOZ ESTRADIOL DERM 75MCG PATCH ESTRADIOL 02246968 Y

Menopause STILBESTROL 0.1MG TABLET DIETHYLSTILBESTROL 02091488 Y

Menopause STILBESTROL 0.5MG TABLET DIETHYLSTILBESTROL 02100304 Y

Menopause VAGIFEM LD TABLET ESTRADIOL HEMIHYDRATE 02325462 Y

Menopause VAGIFEM TABLET ESTRADIOL HEMIHYDRATE 02241332 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 247

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Menopause VIVELLE 0.025MG PATCH ESTRADIOL 02243488 Y

Menopause VIVELLE 0.050MG PATCH ESTRADIOL 02204428 Y

Mental disorders ABILIFY 10MG TABLET ARIPIPRAZOLE 02322390 Y

Mental disorders ABILIFY 15MG TABLET ARIPIPRAZOLE 02322404 Y

Mental disorders ABILIFY 20MG TABLET ARIPIPRAZOLE 02322412 Y

Mental disorders ABILIFY 2MG TABLET ARIPIPRAZOLE 02322374 Y

Mental disorders ABILIFY 30MG TABLET ARIPIPRAZOLE 02322455 Y

Mental disorders ABILIFY 5MG TABLET ARIPIPRAZOLE 02322382 Y

Mental disorders APO-CLOZAPINE 100MG TABLET CLOZAPINE 02248035 Y

Mental disorders APO-CLOZAPINE 25MG TABLET CLOZAPINE 02248034 Y

Mental disorders APO-FLUPHENAZINE 1MG TABLET FLUPHENAZINE HCL 00405345 Y

Mental disorders APO-FLUPHENAZINE 2MG TABLET FLUPHENAZINE HCL 00410632 Y

Mental disorders APO-FLUPHENAZINE 5MG TABLET FLUPHENAZINE HCL 00405361 Y

Mental disorders APO-HALOPERIDOL 0.5MG TABLET HALOPERIDOL 00396796 Y

Mental disorders APO-HALOPERIDOL 10MG TABLET HALOPERIDOL 00463698 Y

Mental disorders APO-HALOPERIDOL 1MG TABLET HALOPERIDOL 00396818 Y

Mental disorders APO-HALOPERIDOL 2MG TABLET HALOPERIDOL 00396826 Y

Mental disorders APO-HALOPERIDOL 2MG/ML CONC HALOPERIDOL LACTATE 00587702 Y

Mental disorders APO-HALOPERIDOL 5MG TABLET HALOPERIDOL 00396834 Y

Mental disorders APO-HALOPERIDOL LA 100MG/ML INJECTION HALOPERIDOL DECANOATE 02242362 Y

Mental disorders APO-LITHIUM 150MG CAPSULE LITHIUM CARBONATE 02242837 Y

Mental disorders APO-LITHIUM 300MG CAPSULE LITHIUM CARBONATE 02242838 Y

Mental disorders APO-LITHIUM CARB 150MG CAPSULE (ODB) LITHIUM CARBONATE 09857532 Y

Mental disorders APO-LITHIUM CARB 300MG CAPSULE (ODB) LITHIUM CARBONATE 09857540 Y

Mental disorders APO-LITHIUM CARBONATE SR 300MG TABLET LITHIUM CARBONATE 02266695 Y

Mental disorders APO-LOXAPINE 10MG TABLET LOXAPINE SUCCINATE 02237652 Y

Mental disorders APO-LOXAPINE 25MG TABLET LOXAPINE SUCCINATE 02237653 Y

Mental disorders APO-LOXAPINE 50MG TABLET LOXAPINE SUCCINATE 02237654 Y

Mental disorders APO-LOXAPINE 5MG TABLET LOXAPINE SUCCINATE 02237651 Y

Mental disorders APO-METHOPRAZINE 25MG TABLET METHOTRIMEPRAZINE MALEATE 02238405 Y

Mental disorders APO-METHOPRAZINE 2MG TABLET METHOTRIMEPRAZINE MALEATE 02238403 Y

Mental disorders APO-METHOPRAZINE 50MG TABLET METHOTRIMEPRAZINE MALEATE 02238406 Y

Mental disorders APO-METHOPRAZINE 5MG TABLET METHOTRIMEPRAZINE MALEATE 02238404 Y

Mental disorders APO-OLANZAPINE 10MG TABLET OLANZAPINE 02281821 Y

Mental disorders APO-OLANZAPINE 15MG TABLET OLANZAPINE 02281848 Y

Mental disorders APO-OLANZAPINE 2.5MG TABLET OLANZAPINE 02281791 Y

Mental disorders APO-OLANZAPINE 20MG TABLET OLANZAPINE 02333015 Y

Mental disorders APO-OLANZAPINE 5MG TABLET OLANZAPINE 02281805 Y

Mental disorders APO-OLANZAPINE 7.5MG TABLET OLANZAPINE 02281813 Y

Mental disorders APO-PERPHENAZINE 16MG TABLET PERPHENAZINE 00335096 Y

Mental disorders APO-PERPHENAZINE 2MG TABLET PERPHENAZINE 00335134 Y

Mental disorders APO-PERPHENAZINE 4MG TABLET PERPHENAZINE 00335126 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 248

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders APO-PERPHENAZINE 8MG TABLET PERPHENAZINE 00335118 Y

Mental disorders APO-PIMOZIDE 2MG TABLET PIMOZIDE 02245432 Y

Mental disorders APO-PIMOZIDE 4MG TABLET PIMOZIDE 02245433 Y

Mental disorders APO-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02313928 Y

Mental disorders APO-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02313936 Y

Mental disorders APO-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02313901 Y

Mental disorders APO-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02313944 Y

Mental disorders APO-RISPERIDONE 0.25MG TABLET RISPERIDONE 02282119 Y

Mental disorders APO-RISPERIDONE 0.5MG TABLET RISPERIDONE 02282127 Y

Mental disorders APO-RISPERIDONE 1MG TABLET RISPERIDONE 02282135 Y

Mental disorders APO-RISPERIDONE 1MG/ML ORAL SOLUTION RISPERIDONE 02280396 Y

Mental disorders APO-RISPERIDONE 2MG TABLET RISPERIDONE 02282143 Y

Mental disorders APO-RISPERIDONE 3MG TABLET RISPERIDONE 02282151 Y

Mental disorders APO-RISPERIDONE 4MG TABLET RISPERIDONE 02282178 Y

Mental disorders APO-TRIFLUOPERAZINE 10MG TABLET TRIFLUOPERAZINE HCL 00326836 Y

Mental disorders APO-TRIFLUOPERAZINE 1MG TABLET TRIFLUOPERAZINE HCL 00345539 Y

Mental disorders APO-TRIFLUOPERAZINE 20MG TABLET TRIFLUOPERAZINE HCL 00595942 Y

Mental disorders APO-TRIFLUOPERAZINE 2MG TABLET TRIFLUOPERAZINE HCL 00312754 Y

Mental disorders APO-TRIFLUOPERAZINE 5MG TABLET TRIFLUOPERAZINE HCL 00312746 Y

Mental disorders CAMPRAL 333MG DR TABLET ACAMPROSATE CALCIUM 02293269 Y

Mental disorders CARBOLITH 150MG CAPSULE LITHIUM CARBONATE 00461733 Y

Mental disorders CARBOLITH 300MG CAPSULE LITHIUM CARBONATE 00236683 Y

Mental disorders CARBOLITH 600MG CAPSULE LITHIUM CARBONATE 02011239 Y

Mental disorders CHLORPROMAZINE 25MG/ML AMPUL CHLORPROMAZINE HCL 00743518 Y

Mental disorders CHLORPROMAZINE 25MG/ML AMPUL CHLORPROMAZINE HCL 01933272 Y

Mental disorders CLOPIXOL 10MG TABLET ZUCLOPENTHIXOL HCL 02230402 Y

Mental disorders CLOPIXOL 25MG TABLET ZUCLOPENTHIXOL HCL 02230403 Y

Mental disorders CLOPIXOL ACUPHASE 50MG/ML INJECTION ZUCLOPENTHIXOL ACETATE 02230405 Y

Mental disorders CLOPIXOL DEPOT 200MG/ML INJ ZUCLOPENTHIXOL DECANOATE 02230406 Y

Mental disorders CLOZARIL 100MG TABLET CLOZAPINE 00894745 Y

Mental disorders CLOZARIL 25MG TABLET CLOZAPINE 00894737 Y

Mental disorders CO-OLANZAPINE 10MG TABLET OLANZAPINE 02325683 Y

Mental disorders CO-OLANZAPINE 15MG TABLET OLANZAPINE 02325691 Y

Mental disorders CO-OLANZAPINE 2.5MG TABLET OLANZAPINE 02325659 Y

Mental disorders CO-OLANZAPINE 20MG TABLET OLANZAPINE 02325713 Y

Mental disorders CO-OLANZAPINE 5MG TABLET OLANZAPINE 02325667 Y

Mental disorders CO-OLANZAPINE 7.5MG TABLET OLANZAPINE 02325675 Y

Mental disorders CO-OLANZAPINE ODT 10MG TABLET OLANZAPINE 02327570 Y

Mental disorders CO-OLANZAPINE ODT 15MG TABLET OLANZAPINE 02327589 Y

Mental disorders CO-OLANZAPINE ODT 20MG TABLET OLANZAPINE 02327597 Y

Mental disorders CO-OLANZAPINE ODT 5MG TABLET OLANZAPINE 02327562 Y

Mental disorders CO-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02316099 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 249

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders CO-QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02316102 Y

Mental disorders CO-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02316110 Y

Mental disorders CO-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02316080 Y

Mental disorders CO-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02316129 Y

Mental disorders CO-RISPERIDONE 0.25MG TABLET RISPERIDONE 02282585 Y

Mental disorders CO-RISPERIDONE 0.5MG TABLET RISPERIDONE 02282593 Y

Mental disorders CO-RISPERIDONE 1MG TABLET RISPERIDONE 02282607 Y

Mental disorders CO-RISPERIDONE 2MG TABLET RISPERIDONE 02282615 Y

Mental disorders CO-RISPERIDONE 3MG TABLET RISPERIDONE 02282623 Y

Mental disorders CO-RISPERIDONE 4MG TABLET RISPERIDONE 02282631 Y

Mental disorders DOM-LOXAPINE 10MG TABLET LOXAPINE SUCCINATE 02239919 Y

Mental disorders DOM-LOXAPINE 25MG TABLET LOXAPINE SUCCINATE 02239920 Y

Mental disorders DOM-LOXAPINE 50MG TABLET LOXAPINE SUCCINATE 02239921 Y

Mental disorders DOM-LOXAPINE 5MG TABLET LOXAPINE SUCCINATE 02239918 Y

Mental disorders DOM-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02299003 Y

Mental disorders DOM-QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02299011 Y

Mental disorders DOM-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02299038 Y

Mental disorders DOM-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02298996 Y

Mental disorders DOM-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02299046 Y

Mental disorders DOM-RISPERIDONE 0.25MG TABLET RISPERIDONE 02278421 Y

Mental disorders DOM-RISPERIDONE 0.5MG ODT TABLET RISPERIDONE 02294478 Y

Mental disorders DOM-RISPERIDONE 0.5MG TABLET RISPERIDONE 02278448 Y

Mental disorders DOM-RISPERIDONE 1MG ODT TABLET RISPERIDONE 02294486 Y

Mental disorders DOM-RISPERIDONE 1MG TABLET RISPERIDONE 02278456 Y

Mental disorders DOM-RISPERIDONE 1MG/ML ORAL SOLUTION RISPERIDONE 02309572 Y

Mental disorders DOM-RISPERIDONE 2MG ODT TABLET RISPERIDONE 02294494 Y

Mental disorders DOM-RISPERIDONE 2MG TABLET RISPERIDONE 02278464 Y

Mental disorders DOM-RISPERIDONE 3MG TABLET RISPERIDONE 02278472 Y

Mental disorders DOM-RISPERIDONE 4MG TABLET RISPERIDONE 02278480 Y

Mental disorders DURALITH 300MG SR TABLET LITHIUM CARBONATE 00590665 Y

Mental disorders EURO LITHIUM 150MG CAPSULE LITHIUM CARBONATE 02304511 Y

Mental disorders EURO LITHIUM 300MG CAPSULE LITHIUM CARBONATE 02304538 Y

Mental disorders FLUANXOL 0.5MG TABLET FLUPENTHIXOL HCL 02156008 Y

Mental disorders FLUANXOL 3MG TABLET FLUPENTHIXOL HCL 02156016 Y

Mental disorders FLUANXOL DEPOT 100MG/ML VIAL FLUPENTHIXOL DECANOATE 02156040 Y

Mental disorders FLUANXOL DEPOT 200MG/10ML INJ SOL-10ML PK (ODB) FLUPENTHIXOL DECANOATE 09857339 Y

Mental disorders FLUANXOL DEPOT 200MG/2ML INJ SOL-2ML PK (ODB) FLUPENTHIXOL DECANOATE 09857337 Y

Mental disorders FLUANXOL DEPOT 20MG/ML VIAL FLUPENTHIXOL DECANOATE 02156032 Y

Mental disorders FLUPENTIXOL DECANOATE INJECTION BP 100MG/ML FLUPENTHIXOL DECANOATE 02331721 Y

Mental disorders FLUPENTIXOL DECANOATE INJECTION BP 20MG/ML FLUPENTHIXOL DECANOATE 02331713 Y

Mental disorders FLUPHENAZINE 1 1MG TABLET FLUPHENAZINE HCL 00563846 Y

Mental disorders FLUPHENAZINE 2 2MG TABLET FLUPHENAZINE HCL 00563838 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 250

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders FLUPHENAZINE 25MG/ML INJECTION FLUPHENAZINE DECANOATE 02239636 Y

Mental disorders FLUPHENAZINE 5 5MG TABLET FLUPHENAZINE HCL 00563803 Y

Mental disorders FLUPHENAZINE DECANOATE 100MG/ML INJECTION FLUPHENAZINE DECANOATE 02189097 Y

Mental disorders FLUPHENAZINE DECANOATE 25MG/ML INJECTION FLUPHENAZINE DECANOATE 02189089 Y

Mental disorders FLUPHENAZINE OMEGA 100MG/ML INJECTION FLUPHENAZINE DECANOATE 02242570 Y

Mental disorders GEN-CLOZAPINE 100MG TABLET CLOZAPINE 02247244 Y

Mental disorders GEN-CLOZAPINE 200MG TABLET CLOZAPINE 02305011 Y

Mental disorders GEN-CLOZAPINE 25MG TABLET CLOZAPINE 02247243 Y

Mental disorders GEN-CLOZAPINE 50MG TABLET CLOZAPINE 02305003 Y

Mental disorders GEN-QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02307820 Y

Mental disorders HALOPERIDOL 0.5MG TABLET HALOPERIDOL 00587796 Y

Mental disorders HALOPERIDOL 100MG/ML LA INJECTION HALOPERIDOL DECANOATE 02239640 Y

Mental disorders HALOPERIDOL 1MG TABLET HALOPERIDOL 00587788 Y

Mental disorders HALOPERIDOL 2MG TABLET HALOPERIDOL 00761745 Y

Mental disorders HALOPERIDOL 50MG/ML LA INJECTION HALOPERIDOL DECANOATE 02239639 Y

Mental disorders HALOPERIDOL 5MG TABLET HALOPERIDOL 00761753 Y

Mental disorders HALOPERIDOL 5MG/ML AMPOULE HALOPERIDOL 00808652 Y

Mental disorders HALOPERIDOL 5MG/ML INJ-RATIOPHARM HALOPERIDOL 02229307 Y

Mental disorders HALOPERIDOL DECANOATE INJECTION 100MG/ML HALOPERIDOL DECANOATE 02194449 Y

Mental disorders HALOPERIDOL DECANOATE INJECTION 50MG/ML HALOPERIDOL DECANOATE 02194330 Y

Mental disorders HALOPERIDOL LA 100MG/ML OILY INJECTION HALOPERIDOL DECANOATE 09853758 Y

Mental disorders HALOPERIDOL LA 100MG/ML VIAL HALOPERIDOL DECANOATE 02130300 Y

Mental disorders HALOPERIDOL LA 50MG/ML VIAL HALOPERIDOL DECANOATE 02130297 Y

Mental disorders HALOPERIDOL-10 10MG TABLET HALOPERIDOL 00761761 Y

Mental disorders INVEGA 1.5MG ER TABLET PALIPERIDONE 02331276 Y

Mental disorders INVEGA 12MG ER TABLET PALIPERIDONE 02300311 Y

Mental disorders INVEGA 3MG ER TABLET PALIPERIDONE 02300273 Y

Mental disorders INVEGA 6MG ER TABLET PALIPERIDONE 02300281 Y

Mental disorders INVEGA 9MG ER TABLET PALIPERIDONE 02300303 Y

Mental disorders JAMP-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02330423 Y

Mental disorders JAMP-QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02330431 Y

Mental disorders JAMP-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02330458 Y

Mental disorders JAMP-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02330415 Y

Mental disorders JAMP-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02330466 Y

Mental disorders JOI-RISPERIDONE 0.5MG TABLET RISPERIDONE 02289628 Y

Mental disorders JOI-RISPERIDONE 1MG TABLET RISPERIDONE 02289636 Y

Mental disorders JOI-RISPERIDONE 2MG TABLET RISPERIDONE 02289644 Y

Mental disorders JOI-RISPERIDONE 3MG TABLET RISPERIDONE 02289652 Y

Mental disorders JOI-RISPERIDONE 4MG TABLET RISPERIDONE 02289660 Y

Mental disorders LARGACTIL 40MG/ML DROPS CHLORPROMAZINE HCL 01929992 Y

Mental disorders LITHANE 150MG CAPSULE LITHIUM CARBONATE 02013231 Y

Mental disorders LITHANE 300MG CAPSULE LITHIUM CARBONATE 00406775 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 251

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders LOXAPAC 50MG/ML INJ LOXAPINE HCL 02169991 Y

Mental disorders LOXAPINE 10MG TABLET LOXAPINE SUCCINATE 02238197 Y

Mental disorders LOXAPINE 25MG TABLET LOXAPINE SUCCINATE 02238198 Y

Mental disorders LOXAPINE 50MG TABLET LOXAPINE SUCCINATE 02238199 Y

Mental disorders LOXAPINE 5MG TABLET LOXAPINE SUCCINATE 02238196 Y

Mental disorders MAJEPTIL 10MG TABLET THIOPROPERAZINE MESYLATE 01927639 Y

Mental disorders METHOTRIMEPRAZINE 25MG TABLET METHOTRIMEPRAZINE MALEATE 02239634 Y

Mental disorders METHOTRIMEPRAZINE 2MG TABLET METHOTRIMEPRAZINE MALEATE 02239632 Y

Mental disorders METHOTRIMEPRAZINE 50MG TABLET METHOTRIMEPRAZINE MALEATE 02239635 Y

Mental disorders METHOTRIMEPRAZINE 5MG TABLET METHOTRIMEPRAZINE MALEATE 02239633 Y

Mental disorders MODECATE CONC 100MG/ML AMPUL FLUPHENAZINE DECANOATE 00755575 Y

Mental disorders MYLAN-FLUPENTIXOL DEPOT 100MG/ML INJECTION FLUPENTHIXOL DECANOATE 02242364 Y

Mental disorders MYLAN-FLUPENTIXOL DEPOT 20MG/ML INJECTION FLUPENTHIXOL DECANOATE 02242363 Y

Mental disorders MYLAN-OLANZAPINE 10MG TABLET OLANZAPINE 02337908 Y

Mental disorders MYLAN-OLANZAPINE 15MG TABLET OLANZAPINE 02337916 Y

Mental disorders MYLAN-OLANZAPINE 2.5MG TABLET OLANZAPINE 02337878 Y

Mental disorders MYLAN-OLANZAPINE 20MG TABLET OLANZAPINE 02337924 Y

Mental disorders MYLAN-OLANZAPINE 5MG TABLET OLANZAPINE 02337886 Y

Mental disorders MYLAN-OLANZAPINE 7.5MG TABLET OLANZAPINE 02337894 Y

Mental disorders MYLAN-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02307812 Y

Mental disorders MYLAN-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02307839 Y

Mental disorders MYLAN-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02307804 Y

Mental disorders MYLAN-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02307847 Y

Mental disorders MYLAN-RISPERIDONE 0.25MG TABLET RISPERIDONE 02282240 Y

Mental disorders MYLAN-RISPERIDONE 0.5MG TABLET RISPERIDONE 02282259 Y

Mental disorders MYLAN-RISPERIDONE 1MG TABLET RISPERIDONE 02282267 Y

Mental disorders MYLAN-RISPERIDONE 2MG TABLET RISPERIDONE 02282275 Y

Mental disorders MYLAN-RISPERIDONE 3MG TABLET RISPERIDONE 02282283 Y

Mental disorders MYLAN-RISPERIDONE 4MG TABLET RISPERIDONE 02282291 Y

Mental disorders NAVANE 10MG CAPSULE THIOTHIXENE 00024457 Y

Mental disorders NAVANE 2MG CAPSULE THIOTHIXENE 00024430 Y

Mental disorders NAVANE 5MG CAPSULE THIOTHIXENE 00024449 Y

Mental disorders NEULEPTIL 10MG CAPSULE PERICYAZINE 01926772 Y

Mental disorders NEULEPTIL 10MG/ML DROPS PERICYAZINE 01926756 Y

Mental disorders NEULEPTIL 20MG CAPSULE PERICYAZINE 01926764 Y

Mental disorders NEULEPTIL 5MG CAPSULE PERICYAZINE 01926780 Y

Mental disorders NOVO-CHLORPROMAZINE 100MG CHLORPROMAZINE HCL 00232831 Y

Mental disorders NOVO-CHLORPROMAZINE 25MG TABLET CHLORPROMAZINE HCL 00232823 Y

Mental disorders NOVO-CHLORPROMAZINE 50MG TABLET CHLORPROMAZINE HCL 00232807 Y

Mental disorders NOVO-PERIDOL 0.5MG TABLET HALOPERIDOL 00363685 Y

Mental disorders NOVO-PERIDOL 10MG TABLET HALOPERIDOL 00713449 Y

Mental disorders NOVO-PERIDOL 1MG TABLET HALOPERIDOL 00363677 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 252

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders NOVO-PERIDOL 20MG TABLET HALOPERIDOL 00768820 Y

Mental disorders NOVO-PERIDOL 2MG TABLET HALOPERIDOL 00363669 Y

Mental disorders NOVO-PERIDOL 5MG TABLET HALOPERIDOL 00363650 Y

Mental disorders NOVO-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02284243 Y

Mental disorders NOVO-QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02284251 Y

Mental disorders NOVO-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02284278 Y

Mental disorders NOVO-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02284235 Y

Mental disorders NOVO-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02284286 Y

Mental disorders NOVO-RISPERIDONE 0.25MG TABLET RISPERIDONE 02282690 Y

Mental disorders NOVO-RISPERIDONE 0.5MG TABLET RISPERIDONE 02264188 Y

Mental disorders NOVO-RISPERIDONE 1MG TABLET RISPERIDONE 02264196 Y

Mental disorders NOVO-RISPERIDONE 2MG TABLET RISPERIDONE 02264218 Y

Mental disorders NOVO-RISPERIDONE 3MG TABLET RISPERIDONE 02264226 Y

Mental disorders NOVO-RISPERIDONE 4MG TABLET RISPERIDONE 02264234 Y

Mental disorders NOZINAN 25MG TABLET METHOTRIMEPRAZINE MALEATE 01927663 Y

Mental disorders NOZINAN 25MG/ML AMPOULE METHOTRIMEPRAZINE HCL 01927698 Y

Mental disorders NOZINAN 50MG TABLET METHOTRIMEPRAZINE MALEATE 01927671 Y

Mental disorders NOZINAN 5MG TABLET METHOTRIMEPRAZINE MALEATE 01927655 Y

Mental disorders NU-LOXAPINE 10MG TABLET LOXAPINE SUCCINATE 02237535 Y

Mental disorders NU-LOXAPINE 25MG TABLET LOXAPINE SUCCINATE 02237536 Y

Mental disorders NU-LOXAPINE 50MG TABLET LOXAPINE SUCCINATE 02237537 Y

Mental disorders NU-LOXAPINE 5MG TABLET LOXAPINE SUCCINATE 02237534 Y

Mental disorders NU-OLANZAPINE 10MG TABLET OLANZAPINE 02310082 Y

Mental disorders NU-OLANZAPINE 15MG TABLET OLANZAPINE 02310090 Y

Mental disorders NU-OLANZAPINE 2.5MG TABLET OLANZAPINE 02310015 Y

Mental disorders NU-OLANZAPINE 5MG TABLET OLANZAPINE 02310031 Y

Mental disorders NU-OLANZAPINE 7.5MG TABLET OLANZAPINE 02310058 Y

Mental disorders NU-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02333058 Y

Mental disorders NU-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02333066 Y

Mental disorders NU-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02333031 Y

Mental disorders NU-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02333074 Y

Mental disorders NU-RISPERIDONE 0.25MG TABLET RISPERIDONE 02334372 Y

Mental disorders NU-RISPERIDONE 0.5MG TABLET RISPERIDONE 02334380 Y

Mental disorders NU-RISPERIDONE 1MG TABLET RISPERIDONE 02334399 Y

Mental disorders NU-RISPERIDONE 2MG TABLET RISPERIDONE 02334402 Y

Mental disorders NU-RISPERIDONE 3MG TABLET RISPERIDONE 02334410 Y

Mental disorders NU-RISPERIDONE 4MG TABLET RISPERIDONE 02334429 Y

Mental disorders OLANZAPINE 10MG TABLET OLANZAPINE 02343851 Y

Mental disorders OLANZAPINE 10MG TABLET OLANZAPINE 02311992 Y

Mental disorders OLANZAPINE 10MG TABLET OLANZAPINE 02301040 Y

Mental disorders OLANZAPINE 15MG TABLET OLANZAPINE 02343878 Y

Mental disorders OLANZAPINE 15MG TABLET OLANZAPINE 02312018 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 253

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders OLANZAPINE 15MG TABLET OLANZAPINE 02301059 Y

Mental disorders OLANZAPINE 2.5MG TABLET OLANZAPINE 02343827 Y

Mental disorders OLANZAPINE 2.5MG TABLET OLANZAPINE 02311968 Y

Mental disorders OLANZAPINE 2.5MG TABLET OLANZAPINE 02301016 Y

Mental disorders OLANZAPINE 20MG TABLET OLANZAPINE 02343886 Y

Mental disorders OLANZAPINE 5MG TABLET OLANZAPINE 02343835 Y

Mental disorders OLANZAPINE 5MG TABLET OLANZAPINE 02311976 Y

Mental disorders OLANZAPINE 5MG TABLET OLANZAPINE 02301024 Y

Mental disorders OLANZAPINE 7.5MG TABLET OLANZAPINE 02343843 Y

Mental disorders OLANZAPINE 7.5MG TABLET OLANZAPINE 02311984 Y

Mental disorders OLANZAPINE 7.5MG TABLET OLANZAPINE 02301032 Y

Mental disorders OLANZAPINE ODT 10MG TABLET OLANZAPINE 02338653 Y

Mental disorders OLANZAPINE ODT 10MG TABLET OLANZAPINE 02343673 Y

Mental disorders OLANZAPINE ODT 15MG TABLET OLANZAPINE 02338661 Y

Mental disorders OLANZAPINE ODT 15MG TABLET OLANZAPINE 02343681 Y

Mental disorders OLANZAPINE ODT 20MG TABLET OLANZAPINE 02343703 Y

Mental disorders OLANZAPINE ODT 5MG TABLET OLANZAPINE 02343665 Y

Mental disorders OLANZAPINE ODT 5MG TABLET OLANZAPINE 02338645 Y

Mental disorders ORAP 2MG TABLET PIMOZIDE 00313815 Y

Mental disorders ORAP 4MG TABLET PIMOZIDE 00313823 Y

Mental disorders PAL-LITHIUM CARBONATE 150MG CAPSULE LITHIUM CARBONATE 02237441 Y

Mental disorders PAL-LITHIUM CARBONATE 300MG CAPSULE LITHIUM CARBONATE 02237442 Y

Mental disorders PAL-LITHIUM CARBONATE 600MG CAPSULE LITHIUM CARBONATE 02237443 Y

Mental disorders PERPHENAZINE 16MG TABLET PERPHENAZINE 00563722 Y

Mental disorders PERPHENAZINE 2MG TABLET PERPHENAZINE 00563757 Y

Mental disorders PERPHENAZINE 4MG TABLET PERPHENAZINE 00563749 Y

Mental disorders PERPHENAZINE 8MG TABLET PERPHENAZINE 00563730 Y

Mental disorders PHL-LITHIUM CARBONATE 150MG CAPSULE LITHIUM CARBONATE 02237006 Y

Mental disorders PHL-LITHIUM CARBONATE 300MG CAPSULE LITHIUM CARBONATE 02237007 Y

Mental disorders PHL-LITHIUM CARBONATE 600MG CAPSULE LITHIUM CARBONATE 02237008 Y

Mental disorders PHL-LOXAPINE 10MG TABLET LOXAPINE SUCCINATE 02236944 Y

Mental disorders PHL-LOXAPINE 2.5MG TABLET LOXAPINE SUCCINATE 02255448 Y

Mental disorders PHL-LOXAPINE 25MG TABLET LOXAPINE SUCCINATE 02236945 Y

Mental disorders PHL-LOXAPINE 25MG/ML ORAL LIQUID LOXAPINE HCL 02255456 Y

Mental disorders PHL-LOXAPINE 50MG TABLET LOXAPINE SUCCINATE 02236946 Y

Mental disorders PHL-LOXAPINE 5MG TABLET LOXAPINE SUCCINATE 02236943 Y

Mental disorders PHL-OLANZAPINE 10MG TABLET OLANZAPINE 02307448 Y

Mental disorders PHL-OLANZAPINE 15MG TABLET OLANZAPINE 02307456 Y

Mental disorders PHL-OLANZAPINE 2.5MG TABLET OLANZAPINE 02307405 Y

Mental disorders PHL-OLANZAPINE 5MG TABLET OLANZAPINE 02307413 Y

Mental disorders PHL-OLANZAPINE 7.5MG TABLET OLANZAPINE 02307421 Y

Mental disorders PHL-OLANZAPINE ODT 10MG TABLET OLANZAPINE 02307472 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 254

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders PHL-OLANZAPINE ODT 15MG TABLET OLANZAPINE 02307480 Y

Mental disorders PHL-OLANZAPINE ODT 5MG TABLET OLANZAPINE 02307464 Y

Mental disorders PHL-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02299062 Y

Mental disorders PHL-QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02299070 Y

Mental disorders PHL-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02299089 Y

Mental disorders PHL-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02299054 Y

Mental disorders PHL-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02299097 Y

Mental disorders PHL-RISPERIDONE 0.25MG TABLET RISPERIDONE 02258439 Y

Mental disorders PHL-RISPERIDONE 0.5MG ODT TABLET RISPERIDONE 02294435 Y

Mental disorders PHL-RISPERIDONE 0.5MG TABLET RISPERIDONE 02258447 Y

Mental disorders PHL-RISPERIDONE 1MG ODT TABLET RISPERIDONE 02294443 Y

Mental disorders PHL-RISPERIDONE 1MG TABLET RISPERIDONE 02258455 Y

Mental disorders PHL-RISPERIDONE 2MG ODT TABLET RISPERIDONE 02294451 Y

Mental disorders PHL-RISPERIDONE 2MG TABLET RISPERIDONE 02258463 Y

Mental disorders PHL-RISPERIDONE 3MG TABLET RISPERIDONE 02258471 Y

Mental disorders PHL-RISPERIDONE 4MG TABLET RISPERIDONE 02258498 Y

Mental disorders PIPORTIL L4 PIPOTIAZINE PALMITATE 00894672 Y

Mental disorders PIPORTIL L4 100MG/2ML AMPOULE PIPOTIAZINE PALMITATE 01926675 Y

Mental disorders PIPORTIL L4 25MG/ML AMPOULE PIPOTIAZINE PALMITATE 01926667 Y

Mental disorders PIPORTIL L4 AMP 50 MG/ML PIPOTIAZINE PALMITATE 00990507 Y

Mental disorders PMS-FLUPHENAZINE 0.5MG/ML FLUPHENAZINE HCL 00893420 Y

Mental disorders PMS-FLUPHENAZINE 100MG/ML INJECTION FLUPHENAZINE DECANOATE 02241928 Y

Mental disorders PMS-FLUPHENAZINE 1MG TABLET FLUPHENAZINE HCL 00726338 Y

Mental disorders PMS-FLUPHENAZINE 25MG/ML INJECTION FLUPHENAZINE DECANOATE 02091275 Y

Mental disorders PMS-FLUPHENAZINE 2MG TABLET FLUPHENAZINE HCL 00726346 Y

Mental disorders PMS-FLUPHENAZINE 5MG TABLET FLUPHENAZINE HCL 00726354 Y

Mental disorders PMS-HALOPERIDOL 2MG/ML SOLN HALOPERIDOL LACTATE 00759503 Y

Mental disorders PMS-HALOPERIDOL-LA 100MG/ML LIQ HALOPERIDOL DECANOATE 02230708 Y

Mental disorders PMS-HALOPERIDOL-LA 50MG/ML LIQ HALOPERIDOL DECANOATE 02230707 Y

Mental disorders PMS-LITHIUM CARB 150MG CAPSULE LITHIUM CARBONATE 02216132 Y

Mental disorders PMS-LITHIUM CARB 300MG CAPSULE LITHIUM CARBONATE 02216140 Y

Mental disorders PMS-LITHIUM CARB 600MG CAPSULE LITHIUM CARBONATE 02216159 Y

Mental disorders PMS-LITHIUM CI 8MEQ/5ML SYRUP LITHIUM CITRATE 02074834 Y

Mental disorders PMS-LOXAPINE 10MG TABLET LOXAPINE SUCCINATE 02230838 Y

Mental disorders PMS-LOXAPINE 2.5MG TABLET LOXAPINE SUCCINATE 02242868 Y

Mental disorders PMS-LOXAPINE 25MG TABLET LOXAPINE SUCCINATE 02230839 Y

Mental disorders PMS-LOXAPINE 25MG/ML ORAL LIQUID LOXAPINE HCL 02239101 Y

Mental disorders PMS-LOXAPINE 50MG TABLET LOXAPINE SUCCINATE 02230840 Y

Mental disorders PMS-LOXAPINE 5MG TABLET LOXAPINE SUCCINATE 02230837 Y

Mental disorders PMS-METHOTRIMEPRAZINE 25MG TABLET METHOTRIMEPRAZINE MALEATE 02232904 Y

Mental disorders PMS-METHOTRIMEPRAZINE 50MG TABLET METHOTRIMEPRAZINE MALEATE 02232905 Y

Mental disorders PMS-METHOTRIMEPRAZINE 5MG TABLET METHOTRIMEPRAZINE MALEATE 02232903 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 255

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders PMS-OLANZAPINE 10MG TABLET OLANZAPINE 02303175 Y

Mental disorders PMS-OLANZAPINE 15MG TABLET OLANZAPINE 02303183 Y

Mental disorders PMS-OLANZAPINE 2.5MG TABLET OLANZAPINE 02303116 Y

Mental disorders PMS-OLANZAPINE 5MG TABLET OLANZAPINE 02303159 Y

Mental disorders PMS-OLANZAPINE 7.5MG TABLET OLANZAPINE 02303167 Y

Mental disorders PMS-OLANZAPINE ODT 10MG TABLET OLANZAPINE 02303205 Y

Mental disorders PMS-OLANZAPINE ODT 15MG TABLET OLANZAPINE 02303213 Y

Mental disorders PMS-OLANZAPINE ODT 5MG TABLET OLANZAPINE 02303191 Y

Mental disorders PMS-PERPHENAZINE 16MG TABLET PERPHENAZINE 00726206 Y

Mental disorders PMS-PERPHENAZINE 2MG TABLET PERPHENAZINE 00726184 Y

Mental disorders PMS-PERPHENAZINE 3.2MG/ML PERPHENAZINE 00751898 Y

Mental disorders PMS-PERPHENAZINE 4MG TABLET PERPHENAZINE 00726192 Y

Mental disorders PMS-PERPHENAZINE 8MG TABLET PERPHENAZINE 00726281 Y

Mental disorders PMS-PIMOZIDE 2MG TABLET PIMOZIDE 02239829 Y

Mental disorders PMS-PIMOZIDE 4MG TABLET PIMOZIDE 02239830 Y

Mental disorders PMS-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02296578 Y

Mental disorders PMS-QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02296586 Y

Mental disorders PMS-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02296594 Y

Mental disorders PMS-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02296551 Y

Mental disorders PMS-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02296608 Y

Mental disorders PMS-RISPERIDONE 0.25MG TABLET RISPERIDONE 02252007 Y

Mental disorders PMS-RISPERIDONE 0.5MG ODT TABLET RISPERIDONE 02291770 Y

Mental disorders PMS-RISPERIDONE 0.5MG TABLET RISPERIDONE 02252015 Y

Mental disorders PMS-RISPERIDONE 1MG ODT TABLET RISPERIDONE 02291789 Y

Mental disorders PMS-RISPERIDONE 1MG TABLET RISPERIDONE 02252023 Y

Mental disorders PMS-RISPERIDONE 1MG/ML ORAL SOLUTION RISPERIDONE 02279266 Y

Mental disorders PMS-RISPERIDONE 2MG ODT TABLET RISPERIDONE 02291797 Y

Mental disorders PMS-RISPERIDONE 2MG TABLET RISPERIDONE 02252031 Y

Mental disorders PMS-RISPERIDONE 3MG TABLET RISPERIDONE 02252058 Y

Mental disorders PMS-RISPERIDONE 4MG TABLET RISPERIDONE 02252066 Y

Mental disorders PMS-TRIFLUOPERAZINE 10MG TABLET TRIFLUOPERAZINE HCL 00726249 Y

Mental disorders PMS-TRIFLUOPERAZINE 10MG/ML TRIFLUOPERAZINE HCL 00751871 Y

Mental disorders PMS-TRIFLUOPERAZINE 1MG/ML TRIFLUOPERAZINE HCL 00776505 Y

Mental disorders PMS-TRIFLUOPERAZINE 2MG TABLET TRIFLUOPERAZINE HCL 00726222 Y

Mental disorders PMS-TRIFLUOPERAZINE 5MG TABLET TRIFLUOPERAZINE HCL 00726230 Y

Mental disorders PRO-LITHIUM CARBONATE 150MG CAPSULE LITHIUM CARBONATE 02311356 Y

Mental disorders PRO-LITHIUM CARBONATE 300MG CAPSULE LITHIUM CARBONATE 02311364 Y

Mental disorders PROMAZINE 50MG/ML AMPOULE PROMAZINE HCL 00497509 Y

Mental disorders PRO-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02317354 Y

Mental disorders PRO-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02317362 Y

Mental disorders PRO-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02317346 Y

Mental disorders PRO-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02317370 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 256

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders PRO-RISPERIDONE 0.25MG TABLET RISPERIDONE 02312700 Y

Mental disorders PRO-RISPERIDONE 0.5MG TABLET RISPERIDONE 02312719 Y

Mental disorders PRO-RISPERIDONE 1MG TABLET RISPERIDONE 02312727 Y

Mental disorders PRO-RISPERIDONE 2MG TABLET RISPERIDONE 02312735 Y

Mental disorders PRO-RISPERIDONE 3MG TABLET RISPERIDONE 02312743 Y

Mental disorders PRO-RISPERIDONE 4MG TABLET RISPERIDONE 02312751 Y

Mental disorders Q-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02339161 Y

Mental disorders Q-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02339188 Y

Mental disorders Q-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02339153 Y

Mental disorders Q-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02339196 Y

Mental disorders QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02340135 Y

Mental disorders QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02342618 Y

Mental disorders QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02353172 Y

Mental disorders QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02317907 Y

Mental disorders QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02342626 Y

Mental disorders QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02353180 Y

Mental disorders QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02340143 Y

Mental disorders QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02342634 Y

Mental disorders QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02353199 Y

Mental disorders QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02317923 Y

Mental disorders QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02340127 Y

Mental disorders QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02342596 Y

Mental disorders QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02353164 Y

Mental disorders QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02317893 Y

Mental disorders QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02340151 Y

Mental disorders QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02342642 Y

Mental disorders QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02353202 Y

Mental disorders QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02317931 Y

Mental disorders RAN-RISPERIDONE 0.25MG TABLET RISPERIDONE 02280906 Y

Mental disorders RAN-RISPERIDONE 0.5MG TABLET RISPERIDONE 02280914 Y

Mental disorders RAN-RISPERIDONE 1MG TABLET RISPERIDONE 02280922 Y

Mental disorders RAN-RISPERIDONE 2MG TABLET RISPERIDONE 02280930 Y

Mental disorders RAN-RISPERIDONE 3MG TABLET RISPERIDONE 02280949 Y

Mental disorders RAN-RISPERIDONE 4MG TABLET RISPERIDONE 02280957 Y

Mental disorders RATIO-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02311712 Y

Mental disorders RATIO-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02311747 Y

Mental disorders RATIO-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02311704 Y

Mental disorders RATIO-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02311755 Y

Mental disorders RATIO-RISPERIDONE 0.25MG TABLET RISPERIDONE 02264757 Y

Mental disorders RATIO-RISPERIDONE 0.5MG TABLET RISPERIDONE 02264765 Y

Mental disorders RATIO-RISPERIDONE 1MG TABLET RISPERIDONE 02264773 Y

Mental disorders RATIO-RISPERIDONE 2MG TABLET RISPERIDONE 02264781 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 257

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders RATIO-RISPERIDONE 3MG TABLET RISPERIDONE 02264803 Y

Mental disorders RATIO-RISPERIDONE 4MG TABLET RISPERIDONE 02264811 Y

Mental disorders RBX-RISPERIDONE 0.25MG TABLET RISPERIDONE 02328305 Y

Mental disorders RBX-RISPERIDONE 0.5MG TABLET RISPERIDONE 02328313 Y

Mental disorders RBX-RISPERIDONE 1MG TABLET RISPERIDONE 02328321 Y

Mental disorders RBX-RISPERIDONE 2MG TABLET RISPERIDONE 02328348 Y

Mental disorders RBX-RISPERIDONE 3MG TABLET RISPERIDONE 02328364 Y

Mental disorders RBX-RISPERIDONE 4MG TABLET RISPERIDONE 02328372 Y

Mental disorders REVIA 50MG TABLET NALTREXONE HCL 02213826 Y

Mental disorders RHOXAL-CLOZAPINE 100MG TABLET CLOZAPINE 02247805 Y

Mental disorders RHOXAL-CLOZAPINE 25MG TABLET CLOZAPINE 02247798 Y

Mental disorders RISPERDAL 0.25MG TABLET RISPERIDONE 02240551 Y

Mental disorders RISPERDAL 0.5MG M-TABLET RISPERIDONE 02247704 Y

Mental disorders RISPERDAL 0.5MG TABLET RISPERIDONE 02240552 Y

Mental disorders RISPERDAL 1MG M-TABLET RISPERIDONE 02247705 Y

Mental disorders RISPERDAL 1MG TABLET RISPERIDONE 02025280 Y

Mental disorders RISPERDAL 1MG/ML ORAL SOLUTION RISPERIDONE 02236950 Y

Mental disorders RISPERDAL 2MG M-TABLET RISPERIDONE 02247706 Y

Mental disorders RISPERDAL 2MG TABLET RISPERIDONE 02025299 Y

Mental disorders RISPERDAL 3MG M-TABLET RISPERIDONE 02268086 Y

Mental disorders RISPERDAL 3MG TABLET RISPERIDONE 02025302 Y

Mental disorders RISPERDAL 4MG M-TABLET RISPERIDONE 02268094 Y

Mental disorders RISPERDAL 4MG TABLET RISPERIDONE 02025310 Y

Mental disorders RISPERDAL 5MG TABLET RISPERIDONE 02230455 Y

Mental disorders RISPERDAL CONSTA 12.5MG/VIAL RISPERIDONE 02298465 Y

Mental disorders RISPERDAL CONSTA 25MG/VIAL RISPERIDONE 02255707 Y

Mental disorders RISPERDAL CONSTA 37.5MG/VIAL RISPERIDONE 02255723 Y

Mental disorders RISPERDAL CONSTA 3N 37.5MG/VIAL RISPERIDONE 02255731 Y

Mental disorders RISPERDAL CONSTA 3N 50MG/VIAL RISPERIDONE 02255766 Y

Mental disorders RISPERDAL CONSTA 50MG/VIAL RISPERIDONE 02255758 Y

Mental disorders RISPERIDONE 0.25MG TABLET RISPERIDONE 02343711 Y

Mental disorders RISPERIDONE 0.25MG TABLET RISPERIDONE 02332051 Y

Mental disorders RISPERIDONE 0.25MG TABLET RISPERIDONE 02335387 Y

Mental disorders RISPERIDONE 0.25MG TABLET RISPERIDONE 02303485 Y

Mental disorders RISPERIDONE 0.25MG TABLET RISPERIDONE 02284871 Y

Mental disorders RISPERIDONE 0.5MG TABLET RISPERIDONE 02343738 Y

Mental disorders RISPERIDONE 0.5MG TABLET RISPERIDONE 02332078 Y

Mental disorders RISPERIDONE 0.5MG TABLET RISPERIDONE 02335395 Y

Mental disorders RISPERIDONE 0.5MG TABLET RISPERIDONE 02303493 Y

Mental disorders RISPERIDONE 0.5MG TABLET RISPERIDONE 02284898 Y

Mental disorders RISPERIDONE 1MG TABLET RISPERIDONE 02343746 Y

Mental disorders RISPERIDONE 1MG TABLET RISPERIDONE 02332086 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 258

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders RISPERIDONE 1MG TABLET RISPERIDONE 02335409 Y

Mental disorders RISPERIDONE 1MG TABLET RISPERIDONE 02303507 Y

Mental disorders RISPERIDONE 1MG TABLET RISPERIDONE 02284901 Y

Mental disorders RISPERIDONE 2MG TABLET RISPERIDONE 02343754 Y

Mental disorders RISPERIDONE 2MG TABLET RISPERIDONE 02332094 Y

Mental disorders RISPERIDONE 2MG TABLET RISPERIDONE 02335417 Y

Mental disorders RISPERIDONE 2MG TABLET RISPERIDONE 02303515 Y

Mental disorders RISPERIDONE 2MG TABLET RISPERIDONE 02284928 Y

Mental disorders RISPERIDONE 3MG TABLET RISPERIDONE 02343762 Y

Mental disorders RISPERIDONE 3MG TABLET RISPERIDONE 02332108 Y

Mental disorders RISPERIDONE 3MG TABLET RISPERIDONE 02335425 Y

Mental disorders RISPERIDONE 3MG TABLET RISPERIDONE 02303523 Y

Mental disorders RISPERIDONE 3MG TABLET RISPERIDONE 02284936 Y

Mental disorders RISPERIDONE 4MG TABLET RISPERIDONE 02343770 Y

Mental disorders RISPERIDONE 4MG TABLET RISPERIDONE 02332116 Y

Mental disorders RISPERIDONE 4MG TABLET RISPERIDONE 02335433 Y

Mental disorders RISPERIDONE 4MG TABLET RISPERIDONE 02303531 Y

Mental disorders RISPERIDONE 4MG TABLET RISPERIDONE 02284944 Y

Mental disorders RISPERIDONE-0.25MG TABLET RISPERIDONE 02296756 Y

Mental disorders RISPERIDONE-0.5MG TABLET RISPERIDONE 02296764 Y

Mental disorders RISPERIDONE-1MG TABLET RISPERIDONE 02296772 Y

Mental disorders RISPERIDONE-2MG TABLET RISPERIDONE 02296780 Y

Mental disorders RISPERIDONE-3MG TABLET RISPERIDONE 02296799 Y

Mental disorders RISPERIDONE-4MG TABLET RISPERIDONE 02296802 Y

Mental disorders RIVA-OLANZAPINE 10MG TABLET OLANZAPINE 02337150 Y

Mental disorders RIVA-OLANZAPINE 15MG TABLET OLANZAPINE 02337169 Y

Mental disorders RIVA-OLANZAPINE 2.5MG TABLET OLANZAPINE 02337126 Y

Mental disorders RIVA-OLANZAPINE 5MG TABLET OLANZAPINE 02337134 Y

Mental disorders RIVA-OLANZAPINE 7.5MG TABLET OLANZAPINE 02337142 Y

Mental disorders RIVA-OLANZAPINE ODT 10MG TABLET OLANZAPINE 02339838 Y

Mental disorders RIVA-OLANZAPINE ODT 15MG TABLET OLANZAPINE 02339846 Y

Mental disorders RIVA-OLANZAPINE ODT 5MG TABLET OLANZAPINE 02339811 Y

Mental disorders RIVA-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02316706 Y

Mental disorders RIVA-QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02316714 Y

Mental disorders RIVA-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02316722 Y

Mental disorders RIVA-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02316692 Y

Mental disorders RIVA-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02316730 Y

Mental disorders RIVA-RISPERIDONE 0.25MG TABLET RISPERIDONE 02283565 Y

Mental disorders RIVA-RISPERIDONE 0.5MG TABLET RISPERIDONE 02283573 Y

Mental disorders RIVA-RISPERIDONE 1MG TABLET RISPERIDONE 02283581 Y

Mental disorders RIVA-RISPERIDONE 2MG TABLET RISPERIDONE 02283603 Y

Mental disorders RIVA-RISPERIDONE 3MG TABLET RISPERIDONE 02283611 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 259

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders RIVA-RISPERIDONE 4MG TABLET RISPERIDONE 02283638 Y

Mental disorders SANDOZ OLANZAPINE 10MG TABLET OLANZAPINE 02310384 Y

Mental disorders SANDOZ OLANZAPINE 15MG TABLET OLANZAPINE 02310392 Y

Mental disorders SANDOZ OLANZAPINE 2.5MG TABLET OLANZAPINE 02310341 Y

Mental disorders SANDOZ OLANZAPINE 20MG TABLET OLANZAPINE 02310406 Y

Mental disorders SANDOZ OLANZAPINE 5MG TABLET OLANZAPINE 02310368 Y

Mental disorders SANDOZ OLANZAPINE 7.5MG TABLET OLANZAPINE 02310376 Y

Mental disorders SANDOZ QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02314002 Y

Mental disorders SANDOZ QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02314010 Y

Mental disorders SANDOZ QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02313995 Y

Mental disorders SANDOZ QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02314029 Y

Mental disorders SANDOZ RISPERIDONE 0.25MG TABLET RISPERIDONE 02303655 Y

Mental disorders SANDOZ RISPERIDONE 0.25MG TABLET RISPERIDONE 02292807 Y

Mental disorders SANDOZ RISPERIDONE 0.25MG TABLET RISPERIDONE 02279509 Y

Mental disorders SANDOZ RISPERIDONE 0.5MG TABLET RISPERIDONE 02303663 Y

Mental disorders SANDOZ RISPERIDONE 0.5MG TABLET RISPERIDONE 02279495 Y

Mental disorders SANDOZ RISPERIDONE 1MG TABLET RISPERIDONE 02279800 Y

Mental disorders SANDOZ RISPERIDONE 2MG TABLET RISPERIDONE 02279819 Y

Mental disorders SANDOZ RISPERIDONE 3MG TABLET RISPERIDONE 02279827 Y

Mental disorders SANDOZ RISPERIDONE 4MG TABLET RISPERIDONE 02279835 Y

Mental disorders SANDOZ-OLANZAPINE ODT 10MG TABLET OLANZAPINE 02327783 Y

Mental disorders SANDOZ-OLANZAPINE ODT 15MG TABLET OLANZAPINE 02327791 Y

Mental disorders SANDOZ-OLANZAPINE ODT 20MG TABLET OLANZAPINE 02327805 Y

Mental disorders SANDOZ-OLANZAPINE ODT 5MG TABLET OLANZAPINE 02327775 Y

Mental disorders SEROQUEL 100MG TABLET QUETIAPINE FUMARATE 02236952 Y

Mental disorders SEROQUEL 200MG TABLET QUETIAPINE FUMARATE 02236953 Y

Mental disorders SEROQUEL 25MG TABLET QUETIAPINE FUMARATE 02236951 Y

Mental disorders SEROQUEL 300MG TABLET QUETIAPINE FUMARATE 02244107 Y

Mental disorders SEROQUEL XR 150MG TABLET QUETIAPINE FUMARATE 02321513 Y

Mental disorders SEROQUEL XR 200MG TABLET QUETIAPINE FUMARATE 02300192 Y

Mental disorders SEROQUEL XR 300MG TABLET QUETIAPINE FUMARATE 02300206 Y

Mental disorders SEROQUEL XR 400MG TABLET QUETIAPINE FUMARATE 02300214 Y

Mental disorders SEROQUEL XR 50MG TABLET QUETIAPINE FUMARATE 02300184 Y

Mental disorders SIG-OLANZAPINE 10MG TABLET OLANZAPINE 02338254 Y

Mental disorders SIG-OLANZAPINE 15MG TABLET OLANZAPINE 02338262 Y

Mental disorders SIG-OLANZAPINE 2.5MG TABLET OLANZAPINE 02338211 Y

Mental disorders SIG-OLANZAPINE 20MG TABLET OLANZAPINE 02338270 Y

Mental disorders SIG-OLANZAPINE 5MG TABLET OLANZAPINE 02338238 Y

Mental disorders SIG-OLANZAPINE 7.5MG TABLET OLANZAPINE 02338246 Y

Mental disorders SIG-OLANZAPINE ODT 10MG TABLET OLANZAPINE 02338297 Y

Mental disorders SIG-OLANZAPINE ODT 15MG TABLET OLANZAPINE 02338300 Y

Mental disorders SIG-OLANZAPINE ODT 20MG TABLET OLANZAPINE 02338319 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 260

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Mental disorders SIG-OLANZAPINE ODT 5MG TABLET OLANZAPINE 02338289 Y

Mental disorders SIG-QUETIAPINE 100MG TABLET QUETIAPINE FUMARATE 02323745 Y

Mental disorders SIG-QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02323753 Y

Mental disorders SIG-QUETIAPINE 200MG TABLET QUETIAPINE FUMARATE 02323761 Y

Mental disorders SIG-QUETIAPINE 25MG TABLET QUETIAPINE FUMARATE 02323737 Y

Mental disorders SIG-QUETIAPINE 300MG TABLET QUETIAPINE FUMARATE 02323788 Y

Mental disorders SIG-RISPERIDONE 0.25MG TABLET RISPERIDONE 02323516 Y

Mental disorders SIG-RISPERIDONE 0.5MG TABLET RISPERIDONE 02323524 Y

Mental disorders SIG-RISPERIDONE 1MG TABLET RISPERIDONE 02323532 Y

Mental disorders SIG-RISPERIDONE 2MG TABLET RISPERIDONE 02323540 Y

Mental disorders SIG-RISPERIDONE 3MG TABLET RISPERIDONE 02323559 Y

Mental disorders SIG-RISPERIDONE 4MG TABLET RISPERIDONE 02323567 Y

Mental disorders TEVA-OLANZAPINE 10MG TABLET OLANZAPINE 02276747 Y

Mental disorders TEVA-OLANZAPINE 15MG TABLET OLANZAPINE 02276755 Y

Mental disorders TEVA-OLANZAPINE 2.5MG TABLET OLANZAPINE 02276712 Y

Mental disorders TEVA-OLANZAPINE 5MG TABLET OLANZAPINE 02276720 Y

Mental disorders TEVA-OLANZAPINE 7.5MG TABLET OLANZAPINE 02276739 Y

Mental disorders TEVA-OLANZAPINE OD 10MG TABLET OLANZAPINE 02321351 Y

Mental disorders TEVA-OLANZAPINE OD 15MG TABLET OLANZAPINE 02321378 Y

Mental disorders TEVA-OLANZAPINE OD 20MG TABLET OLANZAPINE 02321386 Y

Mental disorders TEVA-OLANZAPINE OD 5MG TABLET OLANZAPINE 02321343 Y

Mental disorders TRIFLUOPERAZINE 10MG TABLET TRIFLUOPERAZINE HCL 00389943 Y

Mental disorders TRIFLUOPERAZINE 1MG TABLET TRIFLUOPERAZINE HCL 00386529 Y

Mental disorders TRIFLUOPERAZINE 2MG TABLET TRIFLUOPERAZINE HCL 00386510 Y

Mental disorders TRIFLUOPERAZINE 5MG TABLET TRIFLUOPERAZINE HCL 00386502 Y

Mental disorders XYREM 500MG/ML SOLUTION SODIUM OXYBATE 02268272 Y Y

Mental disorders ZELDOX 20MG CAPSULE ZIPRASIDONE HYDROCHLORIDE MONOHYDRATE02298597 Y

Mental disorders ZELDOX 40MG CAPSULE ZIPRASIDONE HYDROCHLORIDE MONOHYDRATE02298600 Y

Mental disorders ZELDOX 60MG CAPSULE ZIPRASIDONE HYDROCHLORIDE MONOHYDRATE02298619 Y

Mental disorders ZELDOX 80MG CAPSULE ZIPRASIDONE HYDROCHLORIDE MONOHYDRATE02298627 Y

Mental disorders ZYM-QUETIAPINE 150MG TABLET QUETIAPINE FUMARATE 02317915 Y

Mental disorders ZYPREXA INTRAMUSCULAR 10MG INJECTION OLANZAPINE 02247099 Y

Mental disorders ZYPREXA 10MG TABLET OLANZAPINE 02229285 Y

Mental disorders ZYPREXA 15MG TABLET OLANZAPINE 02238850 Y

Mental disorders ZYPREXA 2.5MG TABLET OLANZAPINE 02229250 Y

Mental disorders ZYPREXA 20MG TABLET OLANZAPINE 02238851 Y

Mental disorders ZYPREXA 5MG TABLET OLANZAPINE 02229269 Y

Mental disorders ZYPREXA 7.5MG TABLET OLANZAPINE 02229277 Y

Mental disorders ZYPREXA ZYDIS 10MG TABLET OLANZAPINE 02243087 Y

Mental disorders ZYPREXA ZYDIS 15MG TABLET OLANZAPINE 02243088 Y

Mental disorders ZYPREXA ZYDIS 20MG TABLET OLANZAPINE 02243089 Y

Mental disorders ZYPREXA ZYDIS 5MG TABLET OLANZAPINE 02243086 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 261

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Migraines AMERGE 1MG TABLET NARATRIPTAN HCL 02237820 Y

Migraines AMERGE 2.5MG TABLET NARATRIPTAN HCL 02237821 Y

Migraines APO-SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02268396 Y

Migraines APO-SUMATRIPTAN 20MG NASAL SPRAY SUMATRIPTAN 02300575 Y

Migraines APO-SUMATRIPTAN 25MG TABLET SUMATRIPTAN SUCCINATE 02282313 Y

Migraines APO-SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02268388 Y

Migraines APO-SUMATRIPTAN 5MG NASAL SPRAY SUMATRIPTAN 02300567 Y

Migraines AXERT 12.5MG TABLET ALMOTRIPTAN MALATE 02248129 Y

Migraines AXERT 6.25MG TABLET ALMOTRIPTAN MALATE 02248128 Y

Migraines CAFERGOT TABLET ERGOTAMINE TARTRATE/CAFFEINE00176095 Y

Migraines CO-SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02257904 Y

Migraines CO-SUMATRIPTAN 25MG TABLET SUMATRIPTAN SUCCINATE 02257882 Y

Migraines CO-SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02257890 Y

Migraines DIHYDROERGOTAMINE 1MG/ML AMPUL DIHYDROERGOTAMINE MESYLATE 00027243 Y

Migraines DOM-SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02270765 Y

Migraines DOM-SUMATRIPTAN 25MG TABLET SUMATRIPTAN SUCCINATE 02270749 Y

Migraines DOM-SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02270757 Y

Migraines ERGODRYL CAPSULE DP-HYDRAM HCL/ERGOTAMINE/CAFF00156086 Y

Migraines FROVA 2.5MG TABLET FROVATRIPTAN SUCCINATE 02257084 Y

Migraines GD-ELETRIPTAN 20MG TABLET ELETRIPTAN HYDROBROMIDE 02342235 Y

Migraines GD-ELETRIPTAN 40MG TABLET ELETRIPTAN HYDROBROMIDE 02342243 Y

Migraines GRAVERGOL CAPSULE DIMENHYDRIN/ERGOTAMINE/CAFFEINE00116858 Y

Migraines IMITREX 10MG NASAL SPRAY SUMATRIPTAN 02230419 Y

Migraines IMITREX 20MG NASAL SPRAY SUMATRIPTAN 02230420 Y

Migraines IMITREX 5MG NASAL SPRAY SUMATRIPTAN 02230418 Y

Migraines IMITREX 6MG/0.5ML VIAL SUMATRIPTAN SUCCINATE 02212188 Y

Migraines IMITREX DF 100MG TABLET SUMATRIPTAN SUCCINATE 02212161 Y

Migraines IMITREX DF 25MG TABLET SUMATRIPTAN SUCCINATE 02239738 Y

Migraines IMITREX DF 50MG TABLET SUMATRIPTAN SUCCINATE 02212153 Y

Migraines IMITREX INJECTION (PQ) SUMATRIPTAN SUCCINATE 99000598 Y

Migraines MAXALT 10MG TABLET RIZATRIPTAN BENZOATE 02240521 Y

Migraines MAXALT 5MG TABLET RIZATRIPTAN BENZOATE 02240520 Y

Migraines MAXALT RPD 10MG WAFER RIZATRIPTAN BENZOATE 02240519 Y

Migraines MAXALT RPD 5MG WAFER RIZATRIPTAN BENZOATE 02240518 Y

Migraines MIGRANAL 4MG/ML NASAL SPRAY DIHYDROERGOTAMINE MESYLATE 02228947 Y

Migraines MYLAN-SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02268922 Y

Migraines MYLAN-SUMATRIPTAN 25MG TABLET SUMATRIPTAN SUCCINATE 02268906 Y

Migraines MYLAN-SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02268914 Y

Migraines NOVO-NARATRIPTAN 1MG TABLET NARATRIPTAN HCL 02314290 Y

Migraines NOVO-NARATRIPTAN 2.5MG TABLET NARATRIPTAN HCL 02314304 Y

Migraines NOVO-SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02239367 Y

Migraines NOVO-SUMATRIPTAN DF 100MG TABLET SUMATRIPTAN SUCCINATE 02286831 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 262

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Migraines NOVO-SUMATRIPTAN DF 25MG TABLET SUMATRIPTAN SUCCINATE 02286815 Y

Migraines NOVO-SUMATRIPTAN DF 50MG TABLET SUMATRIPTAN SUCCINATE 02286823 Y

Migraines PHL-SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02270730 Y

Migraines PHL-SUMATRIPTAN 25MG TABLET SUMATRIPTAN SUCCINATE 02270714 Y

Migraines PHL-SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02270722 Y

Migraines PMS-SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02256444 Y

Migraines PMS-SUMATRIPTAN 25MG TABLET SUMATRIPTAN SUCCINATE 02256428 Y

Migraines PMS-SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02256436 Y

Migraines RATIO-SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02271591 Y

Migraines RATIO-SUMATRIPTAN 25MG TABLET SUMATRIPTAN SUCCINATE 02271575 Y

Migraines RATIO-SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02271583 Y

Migraines RELPAX 20MG TABLET ELETRIPTAN HYDROBROMIDE 02256290 Y

Migraines RELPAX 40MG TABLET ELETRIPTAN HYDROBROMIDE 02256304 Y

Migraines RIVA-SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02271125 Y

Migraines RIVA-SUMATRIPTAN 25MG TABLET SUMATRIPTAN SUCCINATE 02271109 Y

Migraines RIVA-SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02271117 Y

Migraines SANDOMIGRAN 0.5MG TABLET PIZOTIFEN MALATE 00329320 Y

Migraines SANDOMIGRAN DS 1MG TABLET PIZOTIFEN MALATE 00511552 Y

Migraines SANDOZ-DIHYDROERGOTAMINE 1MG/ML INJECTION DIHYDROERGOTAMINE MESYLATE 02241163 Y

Migraines SANDOZ-NARATRIPTAN 2.5MG TABLET NARATRIPTAN HCL 02322323 Y

Migraines SANDOZ-SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02263033 Y

Migraines SANDOZ-SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02263025 Y

Migraines SANSERT 2MG TABLET METHYSERGIDE MALEATE 00027499 Y

Migraines SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02344734 Y

Migraines SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02335107 Y

Migraines SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02324660 Y

Migraines SUMATRIPTAN 100MG TABLET SUMATRIPTAN SUCCINATE 02286548 Y

Migraines SUMATRIPTAN 25MG TABLET SUMATRIPTAN SUCCINATE 02344718 Y

Migraines SUMATRIPTAN 25MG TABLET SUMATRIPTAN SUCCINATE 02286513 Y

Migraines SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02344726 Y

Migraines SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02335093 Y

Migraines SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02324652 Y

Migraines SUMATRIPTAN 50MG TABLET SUMATRIPTAN SUCCINATE 02286521 Y

Migraines SUMATRIPTAN FOR INJECTION 12MG/ML SUMATRIPTAN SUCCINATE 02330571 Y

Migraines SUMATRYX 100MG TABLET SUMATRIPTAN SUCCINATE 02268248 Y

Migraines SUMATRYX 25MG TABLET SUMATRIPTAN SUCCINATE 02268213 Y

Migraines SUMATRYX 50MG TABLET SUMATRIPTAN SUCCINATE 02268221 Y

Migraines ZOMIG 2.5MG NASAL SPRAY ZOLMITRIPTAN 02248992 Y

Migraines ZOMIG 2.5MG TABLET ZOLMITRIPTAN 02238660 Y

Migraines ZOMIG 5MG NASAL SPRAY ZOLMITRIPTAN 02248993 Y

Migraines ZOMIG RAPIMELT 2.5MG TABLET ZOLMITRIPTAN 02243045 Y

Multiple sclerosis AVONEX 33MCG/VIAL INJ INTERFERON BETA-1A 02237770 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 263

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Multiple sclerosis AVONEX 60MCG/VIAL INJ INTERFERON BETA-1A 02267594 Y

Multiple sclerosis AVONEX PS 30MCG/0.5ML SYR INTERFERON BETA-1A 02269201 Y

Multiple sclerosis BETASERON 0.3MG VIAL INTERFERON BETA-1B 02169649 Y

Multiple sclerosis COPAXONE 20MG/ML PFS GLATIRAMER ACETATE 02245619 Y

Multiple sclerosis EXTAVIA 0.3MG VIAL INTERFERON BETA-1B 02337819 Y

Multiple sclerosis FERONA 0.3MG VIAL INTERFERON BETA-1B 02338017 Y

Multiple sclerosis REBIF 11MCG VIAL + DILUENT INTERFERON BETA-1A 02237317 Y

Multiple sclerosis REBIF 132MCG INJECTION INTERFERON BETA-1A 02318261 Y

Multiple sclerosis REBIF 22MCG (6MIU) PFS INTERFERON BETA-1A 02237319 Y

Multiple sclerosis REBIF 44MCG (12MIU) PFS INTERFERON BETA-1A 02237320 Y

Multiple sclerosis REBIF 44MCG VIAL + DILUENT INTERFERON BETA-1A 02237318 Y

Multiple sclerosis REBIF 66MCG INJECTION INTERFERON BETA-1A 02318253 Y

Multiple sclerosis REBIF 8.8MCG PFS INTERFERON BETA-1A 02277492 Y

Multiple sclerosis REBIF INITIATION PACK INTERFERON BETA-1A 02281708 Y

Multiple sclerosis REBIF INITIATION PACK 132MCG INJECTION INTERFERON BETA-1A 02318288 Y

Multiple sclerosis SATIVEX SL SPRAY TETRANABINEX/NABIDIOLEX-CANNABIS SATIVA L.02266121 Y Y

Multiple sclerosis TYSABRI 300MG/15ML IV NATALIZUMAB 02286386 Y Y

Muscle relaxants* ACETAZONE FORTE TABLET CHLORZOXAZONE/ACETAMINOPHEN00834300 Y

Muscle relaxants* ACTIFLEX CAPLET - ASA METHOCARBAMOL/ASA 02239741 Y

Muscle relaxants* ACTIFLEX CAPLETS - ASA METHOCARBAMOL/ASA 02237579 Y

Muscle relaxants* ACTIFLEX CAPLETS -ACETAMINOPHEN METHOCARBAMOL/ACETAMINOPHEN02237577 Y

Muscle relaxants* ACTIFLEX EX CAPLET - ACETAMINOPHEN METHOCARBAMOL/ACETAMINOPHEN02239742 Y

Muscle relaxants* ADVIL BACK PAIN 500MG/200MG TABLET METHOCARBAMOL/IBUPROFEN 02348470 Y

Muscle relaxants* ANALGESIC AND MUSCLE RELAXANT CAPLETS METHOCARBAMOL/IBUPROFEN 02337479 Y

Muscle relaxants* APO-BACLOFEN 10MG TABLET BACLOFEN 02139332 Y

Muscle relaxants* APO-BACLOFEN 20MG TABLET BACLOFEN 02139391 Y

Muscle relaxants* APO-CYCLOBENZAPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02177145 Y

Muscle relaxants* APO-TIZANIDINE 2MG TABLET TIZANIDINE HCL 02259885 Y

Muscle relaxants* APO-TIZANIDINE 4MG TABLET TIZANIDINE HCL 02259893 Y

Muscle relaxants* APX-BACLOFEN 10MG TABLET BACLOFEN 02340895 Y

Muscle relaxants* APX-BACLOFEN 20MG TABLET BACLOFEN 02340909 Y

Muscle relaxants* ASPIRIN BACKACHE EX STRENGTH TABLET METHOCARBAMOL/ASA 02212897 Y

Muscle relaxants* ASPIRIN NIGHT-TIME TABLET METHOCARBAMOL/ASA 02272377 Y

Muscle relaxants* AURO-CYCLOBENZAPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02348853 Y

Muscle relaxants* AXUM TABLET METHOCARBAMOL/IBUPROFEN 02342197 Y

Muscle relaxants* BACK PAIN RELIEF & MUSCLE RELAXANT WITH IBUPROFEN TABLETMETHOCARBAMOL/IBUPROFEN 02342200 Y

Muscle relaxants* BACK-AID FORTE TABLET CHLORZOXAZONE/ACETAMINOPHEN02171287 Y

Muscle relaxants* BACLOFEN 10MG TABLET BACLOFEN 02152584 Y

Muscle relaxants* BACLOFEN 10MG TABLET BACLOFEN 02287021 Y

Muscle relaxants* BACLOFEN 20MG TABLET BACLOFEN 02152592 Y

Muscle relaxants* BACLOFEN 20MG TABLET BACLOFEN 02287048 Y

Muscle relaxants* CO-BACLOFEN 10MG TABLET BACLOFEN 02244644 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 264

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Muscle relaxants* CO-BACLOFEN 20MG TABLET BACLOFEN 02244645 Y

Muscle relaxants* CYCLOBENZAPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02220644 Y

Muscle relaxants* CYCLOBENZAPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02325195 Y

Muscle relaxants* CYCLOBENZAPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02287064 Y

Muscle relaxants* CYCLOBENZAPRINE HYDROCHLORIDE TABLETS 10MG TABLET CYCLOBENZAPRINE HCL 02340984 Y

Muscle relaxants* DANTRIUM 100MG CAPSULE DANTROLENE SODIUM 01997653 Y

Muscle relaxants* DANTRIUM 25MG CAPSULE DANTROLENE SODIUM 01997602 Y

Muscle relaxants* DODD'S BACK-EASE MUSCLE SPASM AND BACK PAIN RELIEF TABLETMETHOCARBAMOL/ACETAMINOPHEN02237957 Y

Muscle relaxants* DODD'S EXTRA STRENGTH BACK-EASE TABLET METHOCARBAMOL/ACETAMINOPHEN02239246 Y

Muscle relaxants* DOM-BACLOFEN 10MG TABLET BACLOFEN 02138271 Y

Muscle relaxants* DOM-BACLOFEN 20MG TABLET BACLOFEN 02138298 Y

Muscle relaxants* DOM-CYCLOBENZAPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02238633 Y

Muscle relaxants* EXTRA STRENGTH MUSCLE & BACK PAIN ASA 500 MG METHOCARBAMOL 400 MMETHOCARBAMOL/ASA 02252228 Y

Muscle relaxants* EXTRA STRENGTH TYLENOL BACK PAIN TABLET ACETAMINOPHEN/METHOCARBAMOL02290510 Y

Muscle relaxants* GEN-TIZANIDINE 2MG TABLET TIZANIDINE HCL 02272040 Y

Muscle relaxants* LIORESAL 10MG TABLET BACLOFEN 00455881 Y

Muscle relaxants* LIORESAL D.S. 20MG TABLET BACLOFEN 00636576 Y

Muscle relaxants* LIORESAL INTRATH 0.05MG/ML BACLOFEN 02131048 Y

Muscle relaxants* LIORESAL INTRATH 0.5MG/ML BACLOFEN 02131056 Y

Muscle relaxants* LIORESAL INTRATH 2MG/ML AMPUL BACLOFEN 02131064 Y

Muscle relaxants* MED CYCLOBENZAPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02237275 Y

Muscle relaxants* METHOCARBAMOL 100MG/ML VIAL METHOCARBAMOL 00731110 Y

Muscle relaxants* METHOXACET CAPLET METHOCARBAMOL/ACETAMINOPHEN02230521 Y

Muscle relaxants* METHOXACET EXTRA STRENGTH TABLET METHOCARBAMOL/ACETAMINOPHEN02242960 Y

Muscle relaxants* METHOXISAL CAPLET METHOCARBAMOL/ASA 00868868 Y

Muscle relaxants* METHOXISAL EXTRA STRENGTH TABLET METHOCARBAMOL/ASA 02242978 Y

Muscle relaxants* MIDOL NIGHT-TIME METHOCARBAMOL/ACETAMINOPHEN02290618 Y

Muscle relaxants* MUSCLE & BACK PAIN ASA 325 MG METHOCARBAMOL 400 MG & ACETYLSALICMETHOCARBAMOL/ASA 02252201 Y

Muscle relaxants* MUSCLE & BACK PAIN RELIEF 400-325MG CAPLET METHOCARBAMOL/ACETAMINOPHEN02243055 Y

Muscle relaxants* MUSCLE & BACK PAIN RELIEF CAPLETS METHOCARBAMOL/ACETAMINOPHEN02230790 Y

Muscle relaxants* MUSCLE & BACK PAIN RELIEF CAPLETS METHOCARBAMOL/ACETAMINOPHEN02251647 Y

Muscle relaxants* MUSCLE & BACK PAIN RELIEF EXTRA STRENGTH CAPLET METHOCARBAMOL/ASA 02243051 Y

Muscle relaxants* MUSCLE & BACK PAIN RELIEF WITH IBUPROFEN TABLET METHOCARBAMOL/IBUPROFEN 02342219 Y

Muscle relaxants* MUSCLE AND BACK PAIN RELIEF EXTRA STRENGTH TABLET METHOCARBAMOL/ACETAMINOPHEN02239141 Y

Muscle relaxants* MUSCLE AND BACK PAIN RELIEF EXTRA STRENGTH TABLETS METHOCARBAMOL/ACETAMINOPHEN02251884 Y

Muscle relaxants* MUSCLE AND BACK PAIN RELIEF REGULAR STRENGTH TABLETS METHOCARBAMOL/ACETAMINOPHEN02251876 Y

Muscle relaxants* MUSCLE AND BACK PAIN RELIEF TABLET METHOCARBAMOL/ACETAMINOPHEN02243054 Y

Muscle relaxants* MUSCLE AND BACK PAIN RELIEF TABLET METHOCARBAMOL/ACETAMINOPHEN02237995 Y

Muscle relaxants* MUSCLE RELAXANT AND ANALGESIC CAPLETS METHOCARBAMOL/IBUPROFEN 02342448 Y

Muscle relaxants* MYLAN-BACLOFEN 10MG TABLET BACLOFEN 02088398 Y

Muscle relaxants* MYLAN-BACLOFEN 20MG TABLET BACLOFEN 02088401 Y

Muscle relaxants* MYLAN-CYCLOBENZAPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02231353 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 265

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Muscle relaxants* MYLAN-TIZANIDINE 4MG TABLET TIZANIDINE HCL 02272059 Y

Muscle relaxants* NORFLEX 100MG TABLET ORPHENADRINE CITRATE 01966154 Y

Muscle relaxants* NORFLEX 30MG/ML VIAL ORPHENADRINE CITRATE 01966162 Y

Muscle relaxants* NOVO-CYCLOPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02080052 Y

Muscle relaxants* NU-BACLO 10MG TABLET BACLOFEN 02136090 Y

Muscle relaxants* NU-BACLO 20MG TABLET BACLOFEN 02136104 Y

Muscle relaxants* NU-CYCLOBENZAPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02171848 Y

Muscle relaxants* ORFENACE 100MG TABLET ORPHENADRINE CITRATE 02047535 Y

Muscle relaxants* PARAFON FORTE TABLET CHLORZOXAZONE/ACETAMINOPHEN02229946 Y

Muscle relaxants* PHL-BACLOFEN 10MG TABLET BACLOFEN 02236963 Y

Muscle relaxants* PHL-BACLOFEN 20MG TABLET BACLOFEN 02236964 Y

Muscle relaxants* PHL-CYCLOBENZAPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02249359 Y

Muscle relaxants* PMS-BACLOFEN 10MG TABLET BACLOFEN 02063735 Y

Muscle relaxants* PMS-BACLOFEN 20MG TABLET BACLOFEN 02063743 Y

Muscle relaxants* PMS-CYCLOBENZAPRINE 10MG TA CYCLOBENZAPRINE HCL 02212048 Y

Muscle relaxants* PMS-METHOCARBAMOL 100MG/ML METHOCARBAMOL 00872865 Y

Muscle relaxants* RATIO-BACLOFEN 10MG TABLET BACLOFEN 02236507 Y

Muscle relaxants* RATIO-BACLOFEN 20MG TABLET BACLOFEN 02236508 Y

Muscle relaxants* RATIO-CYCLOBENZAPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02236506 Y

Muscle relaxants* RELAXOPHEN CAPLET METHOCARBAMOL/ACETAMINOPHEN02239031 Y

Muscle relaxants* RIVA-BACLOFEN 10MG TABLET BACLOFEN 02242150 Y

Muscle relaxants* RIVA-BACLOFEN 20MG TABLET BACLOFEN 02242151 Y

Muscle relaxants* RIVA-CYCLOPRINE 10MG TABLET CYCLOBENZAPRINE HCL 02242079 Y

Muscle relaxants* ROBAX PLATINUM TABLET METHOCARBAMOL/IBUPROFEN 02247147 Y

Muscle relaxants* ROBAXACET CAPLET METHOCARBAMOL/ACETAMINOPHEN02026805 Y

Muscle relaxants* ROBAXACET EXTRA STRENGTH METHOCARBAMOL/ACETAMINOPHEN02231176 Y

Muscle relaxants* ROBAXACET TABLET METHOCARBAMOL/ACETAMINOPHEN01930974 Y

Muscle relaxants* ROBAXIMOL 100MG/ML VIAL METHOCARBAMOL 00783978 Y

Muscle relaxants* ROBAXIN 500MG TABLET METHOCARBAMOL 01930990 Y

Muscle relaxants* ROBAXIN-750 750MG TABLET METHOCARBAMOL 01932187 Y

Muscle relaxants* ROBAXISAL CAPLET METHOCARBAMOL/ASA 02026783 Y

Muscle relaxants* ROBAXISAL EXTRA STRENGTH METHOCARBAMOL/ASA 02230949 Y

Muscle relaxants* SANDOZ-ORPHENADRINE CITRATE 100MG ER TABLET ORPHENADRINE CITRATE 02243559 Y

Muscle relaxants* TYLENOL ACHES AND STRAINS CHLORZOXAZONE/ACETAMINOPHEN02155214 Y

Muscle relaxants* ZANAFLEX 2MG TABLET TIZANIDINE HCL 02245328 Y

Muscle relaxants* ZANAFLEX 4MG TABLET TIZANIDINE HCL 02239170 Y

Narcotic analgesics* (BC) METHADONE PAIN 10MG/ML METHADONE HCL 66124069 Y

Narcotic analgesics* (BC) METHADONE PAIN 1MG/ML METHADONE HCL 66124066 Y

Narcotic analgesics* (BC) METHADONE PAIN 20MG/ML METHADONE HCL 66124070 Y

Narcotic analgesics* (BC) METHADONE PAIN 25MG/ML METHADONE HCL 66124071 Y

Narcotic analgesics* (BC) METHADONE PAIN 2MG/ML METHADONE HCL 66124067 Y

Narcotic analgesics* (BC) METHADONE PAIN 5MG/ML METHADONE HCL 66124068 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 266

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Narcotic analgesics* (BC) METHADONE PAIN SUPPOSITORIES METHADONE HCL 66124065 Y

Narcotic analgesics* 222 TABLET CODEINE PHOSPHATE/ASA/CAFFEINE00108162 Y

Narcotic analgesics* 282 MEP TABLET CODEINE/ASA/CAFFEIN/MEPROBAMATE02238646 Y

Narcotic analgesics* 282 TABLET CODEINE PHOSPHATE/ASA/CAFFEINE02234510 Y

Narcotic analgesics* 292 TABLET CODEINE PHOSPHATE/ASA/CAFFEINE02238645 Y

Narcotic analgesics* 642 TABLET PROPOXYPHENE HCL 00010081 Y

Narcotic analgesics* A.C.& C. 8MG TABLET CODEINE PHOSPHATE/ASA/CAFFEINE00589470 Y

Narcotic analgesics* A.C.& C. TABLET CODEINE PHOSPHATE/ASA/CAFFEINE01922246 Y

Narcotic analgesics* AC W/CODEINE 8MG TABLET CODEINE PHOSPHATE/ASA/CAFFEINE00095494 Y

Narcotic analgesics* ACET-2 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00706515 Y

Narcotic analgesics* ACET-3 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00706523 Y

Narcotic analgesics* ACETAMINOPHEN 500MG CMPD/COD TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00617059 Y

Narcotic analgesics* ACETAMINOPHEN CAFFEINE & CODEINE 8MG TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE01997688 Y

Narcotic analgesics* ACETAMINOPHEN CAFFEINE 8MG CODEINE TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02237420 Y

Narcotic analgesics* ACETAMINOPHEN CMPD/COD CAPLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02028174 Y

Narcotic analgesics* ACETAMINOPHEN CMPD/COD TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02025337 Y

Narcotic analgesics* ACETAMINOPHEN W/CODEINE TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00589489 Y

Narcotic analgesics* ACETAMINOPHEN WITH CAFFEINE & CODEINE CAPLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02154234 Y

Narcotic analgesics* ACETAMINOPHEN WITH CODEINE-CAPLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02143933 Y

Narcotic analgesics* ACETAMINOPHEN/ CAFFEINE AND 8 MG OF CODEINE PHOSPHATE TABLETSCODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02248817 Y

Narcotic analgesics* ACETAMINOPHEN/CAFFEINE & CODEINE PHOSPHATE 8MG TAB CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02246085 Y

Narcotic analgesics* ACETAMINOPHEN/CAFFEINE/CODEINE PHOSPHATE 8MG TABLETCODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02251914 Y

Narcotic analgesics* ACETAZONE FORTE C8 TABLET CODEINE PHOSPHATE/CHLORZOXAZONE/ACETAMINOPHEN00834319 Y

Narcotic analgesics* ACET-CODEINE 30 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN01999648 Y

Narcotic analgesics* ACET-CODEINE 60 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN01999656 Y

Narcotic analgesics* ACETYLSALICYLIC ACID/CAFFEINE & CODEINE PHOSPHATE 8MG TABCODEINE PHOSPHATE/ASA/CAFFEINE02246103 Y

Narcotic analgesics* APAP/CAFEINE/COD FORTE COMP CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE01996568 Y

Narcotic analgesics* APAP/CAFEINE/CODEINE CAPLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE01996541 Y

Narcotic analgesics* APAP/CAFFEINE/CODEINE TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00706221 Y

Narcotic analgesics* APAP/CAFFEINE/CODEINE TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00708712 Y

Narcotic analgesics* APO-BUTORPHANOL 10MG/ML NASAL SPRAY BUTORPHANOL TARTRATE 02242504 Y

Narcotic analgesics* APO-OXYCODONE/ACET 5/325MG TABLET OXYCODONE HCL/ACETAMINOPHEN02324628 Y

Narcotic analgesics* APO-TRAMADOL/ACET 37.5/325MG TABLET TRAMADOL HCL/ACETAMINOPHEN 02336790 Y

Narcotic analgesics* ASA CAFFEINE & COD 8MG TABLET CODEINE PHOSPHATE/ASA/CAFFEINE00180041 Y

Narcotic analgesics* ATASOL-15 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00293504 Y

Narcotic analgesics* ATASOL-30 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00293512 Y

Narcotic analgesics* ATASOL-8 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00293490 Y

Narcotic analgesics* BUTRANS 5MCG/HR PATCH BUPRENORPHINE 02341174 Y

Narcotic analgesics* BUTRANS 10MCG/HR PATCH BUPRENORPHINE 02341212 Y

Narcotic analgesics* BUTRANS 20MCG/HR PATCH BUPRENORPHINE 02341220 Y

Narcotic analgesics* C-2 BUFFERED WITH CODEINE CODEINE PHOSPHATE/ASA/CAFFEINE02238670 Y

Narcotic analgesics* CO FENTANYL 100MCG/HR PATCH FENTANYL 02304155 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 267

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LEVEL 3

50%Prior Authorization

Narcotic analgesics* CO FENTANYL 25MCG/HR PATCH FENTANYL 02304120 Y

Narcotic analgesics* CO FENTANYL 50MCG/HR PATCH FENTANYL 02304139 Y

Narcotic analgesics* CO FENTANYL 75MCG/HR PATCH FENTANYL 02304147 Y

Narcotic analgesics* CODEINE CONTIN 100MG TABLET CODEINE ANHYDROUS 02163748 Y

Narcotic analgesics* CODEINE CONTIN 150MG TABLET CODEINE ANHYDROUS 02163780 Y

Narcotic analgesics* CODEINE CONTIN 200MG TABLET CODEINE ANHYDROUS 02163799 Y

Narcotic analgesics* CODEINE CONTIN 50MG CODEINE ANHYDROUS 02230302 Y

Narcotic analgesics* CODEINE PHOS 25MG/5ML SIROP CODEINE PHOSPHATE 00050024 Y

Narcotic analgesics* CODEINE PHOS 30MG/ML AMPUL CODEINE PHOSPHATE 00497282 Y

Narcotic analgesics* CODEINE PHOS 30MG/ML AMPUL CODEINE PHOSPHATE 00544884 Y

Narcotic analgesics* CODEINE PHOS 60MG/ML AMPUL CODEINE PHOSPHATE 00497290 Y

Narcotic analgesics* CODEINE PHOSPHATE 15MG TABLET CODEINE PHOSPHATE 00779458 Y

Narcotic analgesics* CODEINE-15 15MG TABLET CODEINE PHOSPHATE 02009889 Y

Narcotic analgesics* CODEINE-30 30MG TABLET CODEINE PHOSPHATE 02009757 Y

Narcotic analgesics* CODOFEN TABLET HYDROCODONE/IBUPROFEN 02309785 Y

Narcotic analgesics* DARVON-N 100MG PULVULE PROPOXYPHENE NAPSYLATE 00261432 Y

Narcotic analgesics* DEMEROL 100MG/ML INJ - 1ML MEPERIDINE HCL 02242005 Y

Narcotic analgesics* DEMEROL 100MG/ML INJ-20ML MEPERIDINE HCL 02242006 Y

Narcotic analgesics* DEMEROL 50MG TABLET MEPERIDINE HCL 02138018 Y

Narcotic analgesics* DEMEROL 50MG/ML INJ - 1ML MEPERIDINE HCL 02242003 Y

Narcotic analgesics* DEMEROL 75MG/ML INJ - 1ML MEPERIDINE HCL 02242004 Y

Narcotic analgesics* DILAUDID 1MG TABLET HYDROMORPHONE HCL 00705438 Y

Narcotic analgesics* DILAUDID 1MG/ML LIQUID HYDROMORPHONE HCL 00786535 Y

Narcotic analgesics* DILAUDID 250MG POWDER HYDROMORPHONE HCL 02085895 Y

Narcotic analgesics* DILAUDID 2MG TABLET HYDROMORPHONE HCL 00125083 Y

Narcotic analgesics* DILAUDID 2MG/ML AMPOULE HYDROMORPHONE HCL 00627100 Y

Narcotic analgesics* DILAUDID 3MG SUPPOSITORY HYDROMORPHONE HCL 00125105 Y

Narcotic analgesics* DILAUDID 4MG TABLET HYDROMORPHONE HCL 00125121 Y

Narcotic analgesics* DILAUDID 8MG TABLET HYDROMORPHONE HCL 00786543 Y

Narcotic analgesics* DILAUDID HP 10MG/ML AMPOULE HYDROMORPHONE HCL 00622133 Y

Narcotic analgesics* DILAUDID HP-PLUS 20MG/ML VL HYDROMORPHONE HCL 02146118 Y

Narcotic analgesics* DILAUDID XP 50MG/ML VIAL HYDROMORPHONE HCL 02145863 Y

Narcotic analgesics* DOLORAL 1 1MG/ML SIROP MORPHINE HCL 00614491 Y

Narcotic analgesics* DOLORAL 5 5MG/ML SIROP MORPHINE HCL 00614505 Y

Narcotic analgesics* DURAGESIC 100MCG/HR PATCH FENTANYL 01937413 Y

Narcotic analgesics* DURAGESIC 12MCG/HR PATCH FENTANYL 02280345 Y

Narcotic analgesics* DURAGESIC 25MCG/HR PATCH FENTANYL 01937383 Y

Narcotic analgesics* DURAGESIC 50MCG/HR PATCH FENTANYL 01937391 Y

Narcotic analgesics* DURAGESIC 75MCG/HR PATCH FENTANYL 01937405 Y

Narcotic analgesics* DURAGESIC MAT 100MCG/HR (16.8MG) PATCH FENTANYL 02275856 Y

Narcotic analgesics* DURAGESIC MAT 12MCG/HR (2.1MG) PATCH FENTANYL 02334186 Y

Narcotic analgesics* DURAGESIC MAT 25MCG/HR (4.2MG) PATCH FENTANYL 02275813 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 268

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LEVEL 3

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Narcotic analgesics* DURAGESIC MAT 50MCG/HR (8.4MG) PATCH FENTANYL 02275821 Y

Narcotic analgesics* DURAGESIC MAT 75MCG/HR (12.6MG) PATCH FENTANYL 02275848 Y

Narcotic analgesics* ENDOCET TABLET OXYCODONE HCL/ACETAMINOPHEN01916548 Y

Narcotic analgesics* ENDODAN TABLET OXYCODONE HCL/ASA 01916483 Y

Narcotic analgesics* EXDOL-15 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02232388 Y

Narcotic analgesics* EXDOL-30 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02232389 Y

Narcotic analgesics* EXDOL-8 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02232387 Y

Narcotic analgesics* FENTANYL 100MCG/HR PATCH FENTANYL 02349914 Y

Narcotic analgesics* FENTANYL 12MCG/HR PATCH FENTANYL 02349876 Y

Narcotic analgesics* FENTANYL 25MCG/HR PATCH FENTANYL 02349884 Y

Narcotic analgesics* FENTANYL 50MCG/HR PATCH FENTANYL 02349892 Y

Narcotic analgesics* FENTANYL 75MCG/HR PATCH FENTANYL 02349906 Y

Narcotic analgesics* FIORINAL-C1/2 CAPSULE CODEINE PHOS/BUTALBITAL/ASA/CAFFEINE00176206 Y

Narcotic analgesics* FIORINAL-C1/4 CAPSULE CODEINE PHOS/BUTALBITAL/ASA/CAFFEINE00176192 Y

Narcotic analgesics* HYDROMORH.IR 4MG TABLET HYDROMORPHONE HCL 02245704 Y

Narcotic analgesics* HYDROMORPH CONTIN 12MG CAPSULE HYDROMORPHONE HCL 02125366 Y

Narcotic analgesics* HYDROMORPH CONTIN 18MG SR CAPSULE HYDROMORPHONE HCL 02243562 Y

Narcotic analgesics* HYDROMORPH CONTIN 24MG CAPSULE HYDROMORPHONE HCL 02125382 Y

Narcotic analgesics* HYDROMORPH CONTIN 30 MG HYDROMORPHONE HCL 02125390 Y

Narcotic analgesics* HYDROMORPH CONTIN 3MG CAPSULE HYDROMORPHONE HCL 02125323 Y

Narcotic analgesics* HYDROMORPH CONTIN 6MG CAPSULE HYDROMORPHONE HCL 02125331 Y

Narcotic analgesics* HYDROMORPH IR 1MG TABLET HYDROMORPHONE HCL 02225220 Y

Narcotic analgesics* HYDROMORPH IR 2MG TABLET HYDROMORPHONE HCL 02225239 Y

Narcotic analgesics* HYDROMORPH IR 4MG TABLET HYDROMORPHONE HCL 02225247 Y

Narcotic analgesics* HYDROMORPH IR 8MG TABLET HYDROMORPHONE HCL 02225255 Y

Narcotic analgesics* HYDROMORPH.IR 2MG TABLET HYDROMORPHONE HCL 02245703 Y

Narcotic analgesics* HYDROMORPH.IR 8MG TABLET HYDROMORPHONE HCL 02245705 Y

Narcotic analgesics* HYDROMORPHONE 10MG/ML VIAL HYDROMORPHONE HCL 02145928 Y

Narcotic analgesics* HYDROMORPHONE 50MG/ML VIAL HYDROMORPHONE HCL 02146126 Y

Narcotic analgesics* HYDROMORPHONE HCL 3MG SUPP HYDROMORPHONE HCL 01979914 Y

Narcotic analgesics* HYDROMORPHONE HP 20MG/ML INJ HYDROMORPHONE HCL 02145936 Y

Narcotic analgesics* HYDROMORPHONE HP 50 INJ 1ML (PQ) HYDROMORPHONE HCL 99003163 Y

Narcotic analgesics* HYDROMORPHONE HP FORTE 100MG/ML INJECTION HYDROMORPHONE HCL 02244797 Y

Narcotic analgesics* HYDROMORPHONE HYDROCHLORIDE INJECTION USP HYDROMORPHONE HCL 02145901 Y

Narcotic analgesics* IBUCODONE TABLET HYDROCODONE/IBUPROFEN 02242018 Y

Narcotic analgesics* JURNISTA 16MG ER TABLET HYDROMORPHONE HCL 02337282 Y

Narcotic analgesics* JURNISTA 32MG ER TABLET HYDROMORPHONE HCL 02337290 Y

Narcotic analgesics* JURNISTA 4MG ER TABLET HYDROMORPHONE HCL 02337266 Y

Narcotic analgesics* JURNISTA 64MG ER TABLET HYDROMORPHONE HCL 02337304 Y

Narcotic analgesics* JURNISTA 8MG ER TABLET HYDROMORPHONE HCL 02337274 Y

Narcotic analgesics* KADIAN 100MG SR CAPSULE MORPHINE SULFATE 02184451 Y

Narcotic analgesics* KADIAN 10MG SR CAPSULE MORPHINE SULFATE 02242163 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 269

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LEVEL 3

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Narcotic analgesics* KADIAN 20MG SR CAPSULE MORPHINE SULFATE 02184435 Y

Narcotic analgesics* KADIAN 50MG SR CAPSULE MORPHINE SULFATE 02184443 Y

Narcotic analgesics* LINCTUS CODEINE BLANC CODEINE PHOSPHATE 00380571 Y

Narcotic analgesics* M.O.S. 10MG TABLET MORPHINE HCL 00690198 Y

Narcotic analgesics* M.O.S. 10MG/ML SYRUP MORPHINE HCL 00632503 Y

Narcotic analgesics* M.O.S. 1MG/ML SYRUP MORPHINE HCL 00486582 Y

Narcotic analgesics* M.O.S. 20MG TABLET MORPHINE HCL 00690201 Y

Narcotic analgesics* M.O.S. 40MG TABLET MORPHINE HCL 00690228 Y

Narcotic analgesics* M.O.S. 5MG/ML SYRUP MORPHINE HCL 00514217 Y

Narcotic analgesics* M.O.S. 60MG TABLET MORPHINE HCL 00690244 Y

Narcotic analgesics* M.O.S. CONC 20MG/ML LIQUID MORPHINE HCL 00632481 Y

Narcotic analgesics* M.O.S. CONC 50MG/ML LIQUID MORPHINE HCL 00690236 Y

Narcotic analgesics* M.O.S. SR 60MG TABLET MORPHINE HCL 00776203 Y

Narcotic analgesics* M.O.S. SULFATE 10MG TABLET MORPHINE SULFATE 02009765 Y

Narcotic analgesics* M.O.S. SULFATE 25MG TABLET MORPHINE SULFATE 02009749 Y

Narcotic analgesics* M.O.S. SULFATE 50MG TABLET MORPHINE SULFATE 02009706 Y

Narcotic analgesics* M.O.S. SULFATE 5MG TABLET MORPHINE SULFATE 02009773 Y

Narcotic analgesics* M.O.S.-SR 30MG TABLET SA MORPHINE HCL 00776181 Y

Narcotic analgesics* MEPERIDINE 10MG/ML CARTRDG MEPERIDINE HCL 00640409 Y

Narcotic analgesics* MEPERIDINE HCL 100MG/ML AMPUL MEPERIDINE HCL 00497479 Y

Narcotic analgesics* MEPERIDINE HCL 100MG/ML VL MEPERIDINE HCL 00725749 Y

Narcotic analgesics* MEPERIDINE HCL 10MG/ML AMPUL MEPERIDINE HCL 00497436 Y

Narcotic analgesics* MEPERIDINE HCL 25MG/ML AMPUL MEPERIDINE HCL 00497444 Y

Narcotic analgesics* MEPERIDINE HCL 50MG/ML VIAL MEPERIDINE HCL 00725765 Y

Narcotic analgesics* MEPERIDINE HCL 75MG/ML VIAL MEPERIDINE HCL 00725757 Y

Narcotic analgesics* MERSYNDOL TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/DOXYLAMINE02047667 Y

Narcotic analgesics* M-ESLON 100MG ER CAPSULE MORPHINE SULFATE 02019965 Y

Narcotic analgesics* M-ESLON 10MG ER CAPSULE MORPHINE SULFATE 02019930 Y

Narcotic analgesics* M-ESLON 15MG ER CAPSULE MORPHINE SULFATE 02177749 Y

Narcotic analgesics* M-ESLON 200MG ER CAPSULE MORPHINE SULFATE 02177757 Y

Narcotic analgesics* M-ESLON 30MG ER CAPSULE MORPHINE SULFATE 02019949 Y

Narcotic analgesics* M-ESLON 60MG ER CAPSULE MORPHINE SULFATE 02019957 Y

Narcotic analgesics* METADOL 10MG TABLET METHADONE HCL 02247700 Y

Narcotic analgesics* METADOL 10MG/ML ORAL LIQUID METHADONE HCL 02241377 Y

Narcotic analgesics* METADOL 1MG TABLET METHADONE HCL 02247698 Y

Narcotic analgesics* METADOL 1MG/ML ORAL SOLUTION METHADONE HCL 02247694 Y

Narcotic analgesics* METADOL 25MG TABLET METHADONE HCL 02247701 Y

Narcotic analgesics* METADOL 5MG TABLET METHADONE HCL 02247699 Y

Narcotic analgesics* METADOL-D 10MG TABLET METHADONE HCL 02247696 Y

Narcotic analgesics* METADOL-D 10MG/ML LIQUID METHADONE HCL 02244290 Y

Narcotic analgesics* METADOL-D 1MG TABLET METHADONE HCL 02247693 Y

Narcotic analgesics* METADOL-D 25MG TABLET METHADONE HCL 02247697 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 270

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LEVEL 3

50%Prior Authorization

Narcotic analgesics* METADOL-D 5MG TABLET METHADONE HCL 02247695 Y

Narcotic analgesics* METHADONE 1.0MG/ML SOLUTION METHADONE HCL 00999792 Y

Narcotic analgesics* METHADONE 1MG/ML INT (BC) METHADONE HCL 66999990 Y

Narcotic analgesics* METHADONE 1MG/ML NO INT (BC) METHADONE HCL 66999991 Y

Narcotic analgesics* METHADONE 2MG/ML INT (BC) METHADONE HCL 66999993 Y

Narcotic analgesics* METHADONE 2MG/ML NO INT (BC) METHADONE HCL 66999992 Y

Narcotic analgesics* METHADONE HCL POWDER (NIHB) METHADONE HCL 00908835 Y

Narcotic analgesics* METHADONE ORAL LIQUID (AB) METHADONE HCL 00999995 Y

Narcotic analgesics* METHADONE POWDER FOR CPD(MT) METHADONE HCL 00909190 Y

Narcotic analgesics* METHADONE POWDER(PQ) METHADONE HCL 00907561 Y

Narcotic analgesics* METHADONE SOLUTION (NS) METHADONE HCL 00999734 Y

Narcotic analgesics* METHADONE SOLUTION (SK) METHADONE HCL 00990043 Y

Narcotic analgesics* METHADONE SOLUTION ODB METHADONE HCL 09850619 Y

Narcotic analgesics* METHOXACET C 1/8 CAPLET CODEINE PHOSPHATE/METHOCARBAMOL/ACETAMINOPHEN02236872 Y

Narcotic analgesics* METHOXISAL C 1/2 CAPLET CODEINE PHOS/METHOCARBAMOL/ASA01966375 Y

Narcotic analgesics* METHOXISAL C 1/4 CAPLET CODEINE PHOS/METHOCARBAMOL/ASA01966367 Y

Narcotic analgesics* METHOXISAL C 1/8 CAPLET CODEINE PHOS/METHOCARBAMOL/ASA01941895 Y

Narcotic analgesics* MIX:METHADONE CAPSULE METHADONE HCL 00990103 Y

Narcotic analgesics* MORPHINE 50MG/ML INJECTION MORPHINE SULFATE 02137267 Y

Narcotic analgesics* MORPHINE FORTE 25MG/ML AMPUL MORPHINE SULFATE 00869317 Y

Narcotic analgesics* MORPHINE HP 25 25MG/ML VIAL MORPHINE SULFATE 00676411 Y

Narcotic analgesics* MORPHINE HP 50 50MG/ML VIAL MORPHINE SULFATE 00617288 Y

Narcotic analgesics* MORPHINE LP 0.5MG/ML VIAL MORPHINE SULFATE 02021056 Y

Narcotic analgesics* MORPHINE LP 1MG/ML VIAL MORPHINE SULFATE 02021048 Y

Narcotic analgesics* MORPHINE SR 100MG TABLET MORPHINE SULFATE 02350920 Y

Narcotic analgesics* MORPHINE SR 15MG SR TABLET MORPHINE SULFATE 02350246 Y

Narcotic analgesics* MORPHINE SR 15MG TABLET MORPHINE SULFATE 02350815 Y

Narcotic analgesics* MORPHINE SR 200MG TABLET MORPHINE SULFATE 02350947 Y

Narcotic analgesics* MORPHINE SR 30MG SR TABLET MORPHINE SULFATE 02350254 Y

Narcotic analgesics* MORPHINE SR 30MG TABLET MORPHINE SULFATE 02350890 Y

Narcotic analgesics* MORPHINE SR 60MG SR TABLET MORPHINE SULFATE 02350262 Y

Narcotic analgesics* MORPHINE SR 60MG TABLET MORPHINE SULFATE 02350912 Y

Narcotic analgesics* MORPHINE SUL 1MG/ML RAPIJECT MORPHINE SULFATE 02137232 Y

Narcotic analgesics* MORPHINE SUL 2MG/ML RAPIJECT MORPHINE SULFATE 02137240 Y

Narcotic analgesics* MORPHINE SULF 10MG/ML AMPUL MORPHINE SULFATE 00850322 Y

Narcotic analgesics* MORPHINE SULF 10MG/ML AMPUL MORPHINE SULFATE 00392588 Y

Narcotic analgesics* MORPHINE SULF 15MG/ML AMPUL MORPHINE SULFATE 00850330 Y

Narcotic analgesics* MORPHINE SULF 15MG/ML VIAL MORPHINE SULFATE 00392561 Y

Narcotic analgesics* MORPHINE SULFATE 1MG/ML VL MORPHINE SULFATE 01980696 Y

Narcotic analgesics* MORPHINE SULFATE 2MG/ML AMPUL MORPHINE SULFATE 00850314 Y

Narcotic analgesics* MORPHINE SULFATE 2MG/ML INJECTION MORPHINE SULFATE 02242484 Y

Narcotic analgesics* MORPHINE SULFATE 2MG/ML VL MORPHINE SULFATE 01964437 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

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LEVEL 3

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Narcotic analgesics* MORPHINE SULFATE 5MG/ML VL MORPHINE SULFATE 01964429 Y

Narcotic analgesics* MORPHINE XTRA FORTE 50MG/ML MORPHINE SULFATE 00869325 Y

Narcotic analgesics* MS CONTIN 100MG TABLET SA MORPHINE SULFATE 02014319 Y

Narcotic analgesics* MS CONTIN 120MG SR CAPSULE MORPHINE SULFATE 02242830 Y

Narcotic analgesics* MS CONTIN 150MG SR CAPSULE MORPHINE SULFATE 02242831 Y

Narcotic analgesics* MS CONTIN 15MG TABLET SA MORPHINE SULFATE 02015439 Y

Narcotic analgesics* MS CONTIN 200MG CAPLET SA MORPHINE SULFATE 02014327 Y

Narcotic analgesics* MS CONTIN 200MG SR CAPSULE MORPHINE SULFATE 02242832 Y

Narcotic analgesics* MS CONTIN 30MG SR CAPSULE MORPHINE SULFATE 02242827 Y

Narcotic analgesics* MS CONTIN 30MG TABLET SA MORPHINE SULFATE 02014297 Y

Narcotic analgesics* MS CONTIN 5MG SRT MORPHINE SULFATE 02229420 Y

Narcotic analgesics* MS CONTIN 60MG SR CAPSULE MORPHINE SULFATE 02242828 Y

Narcotic analgesics* MS CONTIN 60MG TABLET SA MORPHINE SULFATE 02014300 Y

Narcotic analgesics* MS CONTIN 90MG SR CAPSULE MORPHINE SULFATE 02242829 Y

Narcotic analgesics* MS-IR 10MG TABLET MORPHINE SULFATE 02014211 Y

Narcotic analgesics* MS-IR 20MG TABLET MORPHINE SULFATE 02014238 Y

Narcotic analgesics* MS-IR 30MG TABLET MORPHINE SULFATE 02014254 Y

Narcotic analgesics* MS-IR 5MG TABLET MORPHINE SULFATE 02014203 Y

Narcotic analgesics* MUSCLE AND BACK PAIN RELIEF - 8 TABLETS CODEINE PHOSPHATE/METHOCARBAMOL/ACETAMINOPHEN02250551 Y

Narcotic analgesics* MUSCLE AND BACK PAIN RELIEF-8 TABLET CODEINE PHOSPHATE/METHOCARBAMOL/ACETAMINOPHEN02243047 Y

Narcotic analgesics* MUSCLE AND BACK PAIN RELIEF-8MG TABLET CODEINE PHOSPHATE/METHOCARBAMOL/ACETAMINOPHEN02248977 Y

Narcotic analgesics* MUSCLE AND BACK RELIEF 8 TABLET CODEINE PHOSPHATE/METHOCARBAMOL/ACETAMINOPHEN02242180 Y

Narcotic analgesics* NOVO-A.C. & C. 8MG TABLET CODEINE PHOSPHATE/ASA/CAFFEINE00426865 Y

Narcotic analgesics* NOVO-FENTANYL 100MCG/HR PATCH FENTANYL 02314665 Y

Narcotic analgesics* NOVO-FENTANYL 25MCG/HR PATCH FENTANYL 02314630 Y

Narcotic analgesics* NOVO-FENTANYL 50MCG/HR PATCH FENTANYL 02314649 Y

Narcotic analgesics* NOVO-FENTANYL 75MCG/HR PATCH FENTANYL 02314657 Y

Narcotic analgesics* NOVO-GESIC-C8 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00615528 Y

Narcotic analgesics* NOVO-MORPHINE 100MG SR TABLET MORPHINE SULFATE 02302799 Y

Narcotic analgesics* NOVO-MORPHINE 15MG SR TABLET MORPHINE SULFATE 02302764 Y

Narcotic analgesics* NOVO-MORPHINE 200MG SR TABLET MORPHINE SULFATE 02302802 Y

Narcotic analgesics* NOVO-MORPHINE 30MG SR TABLET MORPHINE SULFATE 02302772 Y

Narcotic analgesics* NOVO-MORPHINE 60MG SR TABLET MORPHINE SULFATE 02302780 Y

Narcotic analgesics* NOVO-OXYCOD-ACET 5-325MG TABLET OXYCODONE HCL/ACETAMINOPHEN02307898 Y

Narcotic analgesics* NUBAIN 10MG/ML VIAL NALBUPHINE HCL 01913980 Y

Narcotic analgesics* NUBAIN 20MG/ML VIAL NALBUPHINE HCL 01913972 Y

Narcotic analgesics* ONSOLIS 1200MCG/UNIT FILM FENTANYL CITRATE 02350726 Y

Narcotic analgesics* ONSOLIS 200MCG/UNIT FILM FENTANYL CITRATE 02350661 Y

Narcotic analgesics* ONSOLIS 400MCG/UNIT FILM FENTANYL CITRATE 02350688 Y

Narcotic analgesics* ONSOLIS 600MCG/UNIT FILM FENTANYL CITRATE 02350696 Y

Narcotic analgesics* ONSOLIS 800MCG/UNIT FILM FENTANYL CITRATE 02350718 Y

Narcotic analgesics* OXYCODONE 10MG TABLET OXYCODONE HCL 02325969 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 272

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Narcotic analgesics* OXYCODONE 20MG TABLET OXYCODONE HCL 02325977 Y

Narcotic analgesics* OXYCODONE 20MG TABLET OXYCODONE HCL 02336855 Y

Narcotic analgesics* OXYCODONE 5MG TABLET OXYCODONE HCL 02325950 Y

Narcotic analgesics* OXYCODONE-ACET TABLET OXYCODONE HCL/ACETAMINOPHEN02327171 Y

Narcotic analgesics* OXYCONTIN 10MG TABLET OXYCODONE HCL 02202441 Y

Narcotic analgesics* OXYCONTIN 120MG TABLET OXYCODONE HCL 02323222 Y

Narcotic analgesics* OXYCONTIN 15MG TABLET OXYCODONE HCL 02323192 Y

Narcotic analgesics* OXYCONTIN 160MG TABLET OXYCODONE HCL 02246902 Y

Narcotic analgesics* OXYCONTIN 20MG TABLET OXYCODONE HCL 02202468 Y

Narcotic analgesics* OXYCONTIN 30MG TABLET OXYCODONE HCL 02323206 Y

Narcotic analgesics* OXYCONTIN 40MG TABLET OXYCODONE HCL 02202476 Y

Narcotic analgesics* OXYCONTIN 5MG TABLET OXYCODONE HCL 02258129 Y

Narcotic analgesics* OXYCONTIN 60MG TABLET OXYCODONE HCL 02323214 Y

Narcotic analgesics* OXYCONTIN 80MG TABLET OXYCODONE HCL 02202484 Y

Narcotic analgesics* OXY-IR 10MG TABLET OXYCODONE HCL 02240131 Y

Narcotic analgesics* OXY-IR 20MG TABLET OXYCODONE HCL 02240132 Y

Narcotic analgesics* OXY-IR 5MG TABLET OXYCODONE HCL 02231934 Y

Narcotic analgesics* PERCOCET DEMI TABLET OXYCODONE HCL/ACETAMINOPHEN01916491 Y

Narcotic analgesics* PERCOCET TABLET OXYCODONE HCL/ACETAMINOPHEN01916475 Y

Narcotic analgesics* PERCODAN TABLET OXYCODONE HCL/ASA 01916572 Y

Narcotic analgesics* PHL-ACET-CODEINE 30MG TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02254271 Y

Narcotic analgesics* PHL-ACET-CODEINE 60MG TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02254263 Y

Narcotic analgesics* PHL-HYDROMORPHONE 1MG TABLET HYDROMORPHONE HCL 02192101 Y

Narcotic analgesics* PHL-HYDROMORPHONE 2MG TABLET HYDROMORPHONE HCL 02249928 Y

Narcotic analgesics* PHL-HYDROMORPHONE 4MG TABLET HYDROMORPHONE HCL 02249936 Y

Narcotic analgesics* PHL-HYDROMORPHONE 8MG TABLET HYDROMORPHONE HCL 02192144 Y

Narcotic analgesics* PIN:FENTANYL 25MCG/H PATCH (PQ) FENTANYL 99100362 Y

Narcotic analgesics* PMS-ACETAMINOPHEN/COD ELIX CODEINE PHOSPHATE/ACETAMINOPHEN00816027 Y

Narcotic analgesics* PMS-BUTORPHANOL 10MG/ML NASAL SPRAY BUTORPHANOL TARTRATE 02244508 Y

Narcotic analgesics* PMS-CODEINE 15MG TABLET CODEINE PHOSPHATE 02243978 Y

Narcotic analgesics* PMS-CODEINE 30MG TABLET CODEINE PHOSPHATE 02243979 Y

Narcotic analgesics* PMS-FENTANYL MTX 100MCG/HR PATCH FENTANYL 02341417 Y

Narcotic analgesics* PMS-FENTANYL MTX 12MCG/HR PATCH FENTANYL 02341379 Y

Narcotic analgesics* PMS-FENTANYL MTX 25MCG/HR PATCH FENTANYL 02341387 Y

Narcotic analgesics* PMS-FENTANYL MTX 50MCG/HR PATCH FENTANYL 02341395 Y

Narcotic analgesics* PMS-FENTANYL MTX 75MCG/HR PATCH FENTANYL 02341409 Y

Narcotic analgesics* PMS-HYDROMORPHONE 1MG TABLET HYDROMORPHONE HCL 00885444 Y

Narcotic analgesics* PMS-HYDROMORPHONE 1MG/ML HYDROMORPHONE HCL 01916386 Y

Narcotic analgesics* PMS-HYDROMORPHONE 2MG TABLET HYDROMORPHONE HCL 00885436 Y

Narcotic analgesics* PMS-HYDROMORPHONE 3MG SUPP HYDROMORPHONE HCL 01916394 Y

Narcotic analgesics* PMS-HYDROMORPHONE 4MG TABLET HYDROMORPHONE HCL 00885401 Y

Narcotic analgesics* PMS-HYDROMORPHONE 8MG TABLET HYDROMORPHONE HCL 00885428 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 273

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LEVEL 3

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Narcotic analgesics* PMS-MORPHINE SULFATE 100MG SR TABLET MORPHINE SULFATE 02245287 Y

Narcotic analgesics* PMS-MORPHINE SULFATE 15MG SR TABLET MORPHINE SULFATE 02245284 Y

Narcotic analgesics* PMS-MORPHINE SULFATE 200MG SR TABLET MORPHINE SULFATE 02245288 Y

Narcotic analgesics* PMS-MORPHINE SULFATE 30MG SR TABLET MORPHINE SULFATE 02245285 Y

Narcotic analgesics* PMS-MORPHINE SULFATE 60MG SR TABLET MORPHINE SULFATE 02245286 Y

Narcotic analgesics* PMS-OPIUM & BELLADONNA SUPP OPIUM/BELLADONNA ALKALOIDS 00815349 Y

Narcotic analgesics* PMS-OXYCODONE 10MG TABLET OXYCODONE HCL 02319985 Y

Narcotic analgesics* PMS-OXYCODONE 20MG TABLET OXYCODONE HCL 02319993 Y

Narcotic analgesics* PMS-OXYCODONE 5MG TABLET OXYCODONE HCL 02319977 Y

Narcotic analgesics* PMS-OXYCODONE-ACETAMINOPHEN TABLET OXYCODONE HCL/ACETAMINOPHEN02245758 Y

Narcotic analgesics* PROCET-30 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN02232658 Y

Narcotic analgesics* PRONAL - C1/2 CAPSULE CODEINE PHOS/BUTALBITAL/ASA/CAFFEINE02229734 Y

Narcotic analgesics* PRONAL - C1/4 CAPSULE CODEINE PHOS/BUTALBITAL/ASA/CAFFEINE02229735 Y

Narcotic analgesics* RALIVIA 100MG ER TABLET TRAMADOL HCL 02299194 Y

Narcotic analgesics* RALIVIA 200MG ER TABLET TRAMADOL HCL 02299208 Y

Narcotic analgesics* RALIVIA 300MG ER TABLET TRAMADOL HCL 02299216 Y

Narcotic analgesics* RAN-FENTANYL 100MCG TRANSDERMAL PATCH FENTANYL 02249448 Y

Narcotic analgesics* RAN-FENTANYL 25MCG TRANSDERMAL PATCH FENTANYL 02249391 Y

Narcotic analgesics* RAN-FENTANYL 50MCG TRANSDERMAL PATCH FENTANYL 02249413 Y

Narcotic analgesics* RAN-FENTANYL 75MCG TRANSDERMAL PATCH FENTANYL 02249421 Y

Narcotic analgesics* RAN-FENTANYL MAT 100MCG/HR (16.8MG) TRANSDERMAL PATCHFENTANYL 02325446 Y

Narcotic analgesics* RAN-FENTANYL MAT 25MCG/HR (4.2MG) TRANSDERMAL PATCH FENTANYL 02325403 Y

Narcotic analgesics* RAN-FENTANYL MAT 50MCG/HR (8.4MG) TRANSDERMAL PATCH FENTANYL 02325411 Y

Narcotic analgesics* RAN-FENTANYL MAT 75MCG/HR (12.6MG) TRANSDERMAL PATCHFENTANYL 02325438 Y

Narcotic analgesics* RAN-FENTANYL MATRIX 12MCG/HR TRANSDERMAL PATCH FENTANYL 02330105 Y

Narcotic analgesics* RAN-FENTANYL MATRIX 100MCG/HR TRANSDERMAL PATCH FENTANYL 02330156 Y

Narcotic analgesics* RAN-FENTANYL MATRIX 25MCG/HR TRANSDERMAL PATCH FENTANYL 02330113 Y

Narcotic analgesics* RAN-FENTANYL MATRIX 50MCG/HR TRANSDERMAL PATCH FENTANYL 02330121 Y

Narcotic analgesics* RAN-FENTANYL MATRIX 75MCG/HR TRANSDERMAL PATCH FENTANYL 02330148 Y

Narcotic analgesics* RATIO-CODEINE PHOS 15MG TABLET CODEINE PHOSPHATE 00593435 Y

Narcotic analgesics* RATIO-CODEINE PHOS 30MG TABLET CODEINE PHOSPHATE 00593451 Y

Narcotic analgesics* RATIO-CODEINE PHOS 5MG/ML SYRUP CODEINE PHOSPHATE 00779474 Y

Narcotic analgesics* RATIO-EMTEC-30 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN00608882 Y

Narcotic analgesics* RATIO-FENTANYL 100MCG/HR PATCH FENTANYL 02282984 Y

Narcotic analgesics* RATIO-FENTANYL 12MCG/HR PATCH FENTANYL 02311925 Y

Narcotic analgesics* RATIO-FENTANYL 25MCG/HR PATCH FENTANYL 02282941 Y

Narcotic analgesics* RATIO-FENTANYL 50MCG/HR PATCH FENTANYL 02282968 Y

Narcotic analgesics* RATIO-FENTANYL 75MCG/HR PATCH FENTANYL 02282976 Y

Narcotic analgesics* RATIO-LENOLTEC NO.1 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00653233 Y

Narcotic analgesics* RATIO-LENOLTEC NO.2 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00653241 Y

Narcotic analgesics* RATIO-LENOLTEC NO.3 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00653276 Y

Narcotic analgesics* RATIO-LENOLTEC NO.4 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN00621463 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 274

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Narcotic analgesics* RATIO-MORPHINE 10MG/ML SYRUP MORPHINE HCL 00690783 Y

Narcotic analgesics* RATIO-MORPHINE 1MG/ML SYRUP MORPHINE HCL 00607762 Y

Narcotic analgesics* RATIO-MORPHINE 20MG/ML SYRUP MORPHINE HCL 00690791 Y

Narcotic analgesics* RATIO-MORPHINE 5MG/ML SYRUP MORPHINE HCL 00607770 Y

Narcotic analgesics* RATIO-MORPHINE SULF 15MG SR TABLET MORPHINE SULFATE 02244790 Y

Narcotic analgesics* RATIO-MORPHINE SULF 30MG SR TABLET MORPHINE SULFATE 02244791 Y

Narcotic analgesics* RATIO-MORPHINE SULF 60MG SR TABLET MORPHINE SULFATE 02244792 Y

Narcotic analgesics* RATIO-OXYCOCET TABLET OXYCODONE HCL/ACETAMINOPHEN00608165 Y

Narcotic analgesics* RATIO-OXYCODAN TABLET OXYCODONE HCL/ASA 00608157 Y

Narcotic analgesics* RATIO-TECNAL-C 1/2 CAPSULE CODEINE PHOS/BUTALBITAL/ASA/CAFFEINE00608181 Y

Narcotic analgesics* RATIO-TECNAL-C 1/4 CAPSULE CODEINE PHOS/BUTALBITAL/ASA/CAFFEINE00608203 Y

Narcotic analgesics* RIVACOCET OXYCODONE HCL/ACETAMINOPHEN02242468 Y

Narcotic analgesics* ROBAXACET-8 TABLET CODEINE PHOSPHATE/METHOCARBAMOL/ACETAMINOPHEN01934767 Y

Narcotic analgesics* ROBAXISAL-C 1/2 TABLET CODEINE PHOS/METHOCARBAMOL/ASA01934791 Y

Narcotic analgesics* ROBAXISAL-C 1/4 TABLET CODEINE PHOS/METHOCARBAMOL/ASA01934783 Y

Narcotic analgesics* ROBAXISAL-C 1/8 TABLET CODEINE PHOS/METHOCARBAMOL/ASA01934775 Y

Narcotic analgesics* SAB-OPIUM & BELLADONA SUPPOSITORY OPIUM/BELLADONNA ALKALOIDS 01901869 Y

Narcotic analgesics* SANDOZ FENTANYL 100MCG/HR PATCH FENTANYL 02327163 Y

Narcotic analgesics* SANDOZ FENTANYL 12MCG/HR PATCH FENTANYL 02327112 Y

Narcotic analgesics* SANDOZ FENTANYL 25MCG/HR PATCH FENTANYL 02327120 Y

Narcotic analgesics* SANDOZ FENTANYL 37MCG/HR PATCH FENTANYL 02327139 Y

Narcotic analgesics* SANDOZ FENTANYL 50MCG/HR PATCH FENTANYL 02327147 Y

Narcotic analgesics* SANDOZ FENTANYL 75MCG/HR PATCH FENTANYL 02327155 Y

Narcotic analgesics* SPASMHALT-8 TABLET CODEINE PHOSPHATE/METHOCARBAMOL/ACETAMINOPHEN02237578 Y

Narcotic analgesics* SPASMHALT-ASA-8 TABLET CODEINE PHOS/METHOCARBAMOL/ASA02237580 Y

Narcotic analgesics* STADOL NS 10MG/ML 2.5ML BUTORPHANOL TARTRATE 02113031 Y

Narcotic analgesics* STATEX 10MG SUPPOSITORY MORPHINE SULFATE 00632201 Y

Narcotic analgesics* STATEX 10MG TABLET MORPHINE SULFATE 00594644 Y

Narcotic analgesics* STATEX 10MG/ML SYRUP MORPHINE SULFATE 00647217 Y

Narcotic analgesics* STATEX 1MG/ML SYRUP MORPHINE SULFATE 00591467 Y

Narcotic analgesics* STATEX 20MG SUPPOSITORY MORPHINE SULFATE 00596965 Y

Narcotic analgesics* STATEX 20MG/ML DROPS MORPHINE SULFATE 00621935 Y

Narcotic analgesics* STATEX 25MG TABLET MORPHINE SULFATE 00594636 Y

Narcotic analgesics* STATEX 30MG SUPPOSITORY MORPHINE SULFATE 00639389 Y

Narcotic analgesics* STATEX 50MG TABLET MORPHINE SULFATE 00675962 Y

Narcotic analgesics* STATEX 50MG/ML DROPS MORPHINE SULFATE 00705799 Y

Narcotic analgesics* STATEX 5MG SUPPOSITORY MORPHINE SULFATE 00632228 Y

Narcotic analgesics* STATEX 5MG TABLET MORPHINE SULFATE 00594652 Y

Narcotic analgesics* STATEX 5MG/ML SYRUP MORPHINE SULFATE 00591475 Y

Narcotic analgesics* SUBOXONE 2MG/0.5MG SL TABLET BUPRENORPHINE HCL/NALOXONE HCL02295695 Y

Narcotic analgesics* SUBOXONE 8MG/2MG SL TABLET BUPRENORPHINE HCL/NALOXONE HCL02295709 Y

Narcotic analgesics* SUPEUDOL 10MG SUPPOSITORY OXYCODONE HCL 00392480 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 275

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Narcotic analgesics* SUPEUDOL 10MG TABLET OXYCODONE HCL 00443948 Y

Narcotic analgesics* SUPEUDOL 20MG SUPPOSITORY OXYCODONE HCL 00392472 Y

Narcotic analgesics* SUPEUDOL 20MG TABLET OXYCODONE HCL 02262983 Y

Narcotic analgesics* SUPEUDOL 5MG TABLET OXYCODONE HCL 00789739 Y

Narcotic analgesics* TALWIN 30MG/ML INJECTION PENTAZOCINE LACTATE 02241976 Y

Narcotic analgesics* TALWIN 50MG TABLET PENTAZOCINE HCL 02137984 Y

Narcotic analgesics* TARGIN 10/5MG TABLET OXYCODONE HCL/NALOXONE HCL 02339609 Y

Narcotic analgesics* TARGIN 20/10MG TABLET OXYCODONE HCL/NALOXONE HCL 02339617 Y

Narcotic analgesics* TARGIN 40/20MG TABLET OXYCODONE HCL/NALOXONE HCL 02339625 Y

Narcotic analgesics* TRAMACET 37.5/325MG TABLET TRAMADOL HCL/ACETAMINOPHEN 02264846 Y

Narcotic analgesics* TRIANAL C 1/4 CAPSULE CODEINE PHOS/BUTALBITAL/ASA/CAFFEINE02242406 Y

Narcotic analgesics* TRIANAL C1/2 CAPSULE CODEINE PHOS/BUTALBITAL/ASA/CAFFEINE01971387 Y

Narcotic analgesics* TRIATEC-30 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN00789828 Y

Narcotic analgesics* TRIATEC-8 FORT TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE01977881 Y

Narcotic analgesics* TRIATEC-8 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE00852163 Y

Narcotic analgesics* TRIDURAL 100MG ER TABLET TRAMADOL HCL 02296381 Y

Narcotic analgesics* TRIDURAL 200MG ER TABLET TRAMADOL HCL 02296403 Y

Narcotic analgesics* TRIDURAL 300MG ER TABLET TRAMADOL HCL 02296411 Y

Narcotic analgesics* TYLENOL NO 1 FORTE CAPLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02181088 Y

Narcotic analgesics* TYLENOL NO.1 CAPLETS CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02181061 Y

Narcotic analgesics* TYLENOL W/CODEINE NO. 2 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02163934 Y

Narcotic analgesics* TYLENOL W/CODEINE NO. 3 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN/CAFFEINE02163926 Y

Narcotic analgesics* TYLENOL W/CODEINE NO. 4 TABLET CODEINE PHOSPHATE/ACETAMINOPHEN02163918 Y

Narcotic analgesics* TYLENOL WITH CODEINE ELIXIR CODEINE PHOSPHATE/ACETAMINOPHEN02163942 Y

Narcotic analgesics* ULTRAM 50MG TABLET TRAMADOL HCL 02349469 Y

Narcotic analgesics* ZOMORPH 120MG SR CAPSULE MORPHINE SULFATE 02254212 Y

Narcotic analgesics* ZOMORPH 200MG SR CAPSULE MORPHINE SULFATE 02254220 Y

Narcotic analgesics* ZOMORPH 20MG SR CAPSULE MORPHINE SULFATE 02254182 Y

Narcotic analgesics* ZOMORPH 40MG SR CAPSULE MORPHINE SULFATE 02254190 Y

Narcotic analgesics* ZOMORPH 60MG SR CAPSULE MORPHINE SULFATE 02254204 Y

Narcotic analgesics* ZYTRAM XL 150MG TABLET TRAMADOL HCL 02286424 Y

Narcotic analgesics* ZYTRAM XL 200MG TABLET TRAMADOL HCL 02286432 Y

Narcotic analgesics* ZYTRAM XL 300MG TABLET TRAMADOL HCL 02286440 Y

Narcotic analgesics* ZYTRAM XL 400MG TABLET TRAMADOL HCL 02286459 Y

Nausea* ANTI-NAUSEANT 50MG TABLET DIMENHYDRINATE 02232042 Y

Nausea* ANTI-NAUSEE DIMENHYDRINATE 50 MG TABLET DIMENHYDRINATE 02245266 Y

Nausea* ANZEMET 100MG TABLET DOLASETRON MESYLATE 02231379 Y

Nausea* ANZEMET 50MG TABLET DOLASETRON MESYLATE 02231378 Y

Nausea* APC-DIMENHYDRINATE 50MG TABLET DIMENHYDRINATE 00363766 Y

Nausea* APO-GRANISETRON 1MG TABLET GRANISETRON HCL 02308894 Y

Nausea* APO-ONDANSETRON 4MG TABLET ONDANSETRON 02288184 Y

Nausea* APO-ONDANSETRON 8MG TABLET ONDANSETRON 02288192 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 276

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LEVEL 3

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Nausea* APO-PROCHLORAZINE 10MG TABLET PROCHLORPERAZINE MALEATE 00886432 Y

Nausea* APO-PROCHLORAZINE 5MG TABLET PROCHLORPERAZINE MALEATE 00886440 Y

Nausea* APP-NABILONE 0.25MG CAPSULE NABILONE 02345897 Y

Nausea* APP-NABILONE 0.5MG CAPSULE NABILONE 02345927 Y

Nausea* APP-NABILONE 1MG CAPSULE NABILONE 02345935 Y

Nausea* APX-GRANISETRON 1MG TABLET GRANISETRON HCL 02348438 Y

Nausea* APX-ONDANSETRON 4MG/5ML ORAL SOLUTION ONDANSETRON 02350742 Y

Nausea* BONAMINE 25MG CHEW TABLET MECLIZINE HCL 00220442 Y

Nausea* CESAMET 0.25MG CAPSULE NABILONE 02312263 Y

Nausea* CESAMET 0.5MG CAPSULE NABILONE 02256193 Y

Nausea* CESAMET 1MG CAPSULE NABILONE 00548375 Y

Nausea* CO-ONDANSETRON 4MG TABLET ONDANSETRON 02296349 Y

Nausea* CO-ONDANSETRON 8MG TABLET ONDANSETRON 02296357 Y

Nausea* DICLECTIN TABLET DOXYLAMINE/PYRIDOXINE HCL 00609129 Y

Nausea* DIMENHYDRINATE 10MG/ML AMPUL DIMENHYDRINATE 00392731 Y

Nausea* DIMENHYDRINATE 15MG/5ML LIQ DIMENHYDRINATE 01904116 Y

Nausea* DIMENHYDRINATE 50MG TABLET DIMENHYDRINATE 02241532 Y

Nausea* DIMENHYDRINATE 50MG TABLET DIMENHYDRINATE 00156655 Y

Nausea* DIMENHYDRINATE 50MG/ML AMPUL DIMENHYDRINATE 02061732 Y

Nausea* DIMENHYDRINATE 50MG/ML VIAL DIMENHYDRINATE 00392537 Y

Nausea* DIMENHYDRINATE INJECTION USP 250MG/5ML (50MG/ML) DIMENHYDRINATE 02300648 Y

Nausea* DIMENHYDRINATE TABLETS DIMENHYDRINATE 02006669 Y

Nausea* DINATE TABLET DIMENHYDRINATE 02240216 Y

Nausea* DOM-ONDANSETRON 4MG TABLET ONDANSETRON 02278405 Y

Nausea* DOM-ONDANSETRON 8MG TABLET ONDANSETRON 02278413 Y

Nausea* EMEND 125MG CAPSULE APREPITANT 02298805 Y

Nausea* EMEND 80MG CAPSULE APREPITANT 02298791 Y

Nausea* EMEND TRI-PACK APREPITANT 02298813 Y

Nausea* GRAVOL 100MG LA CAPLET DIMENHYDRINATE 02254409 Y

Nausea* GRAVOL 100MG SUPPOSITORY DIMENHYDRINATE 00013609 Y

Nausea* GRAVOL 10MG/ML IV AMPOULE DIMENHYDRINATE 00013560 Y

Nausea* GRAVOL 15MG TABLET DIMENHYDRINATE 00511196 Y

Nausea* GRAVOL 15MG/5ML LIQUID DIMENHYDRINATE 00230197 Y

Nausea* GRAVOL 25MG SUPPOSITORY DIMENHYDRINATE 00783595 Y

Nausea* GRAVOL 25MG TABLET DIMENHYDRINATE 02028212 Y

Nausea* GRAVOL 50MG SOFTGEL CAPSULE DIMENHYDRINATE 02245867 Y

Nausea* GRAVOL 50MG SUPPOSITORY DIMENHYDRINATE 00013595 Y

Nausea* GRAVOL 50MG TABLET DIMENHYDRINATE 00013803 Y

Nausea* GRAVOL IM 50MG/ML VIAL DIMENHYDRINATE 00013579 Y

Nausea* IPG-ONDANSETRON 4MG TABLET ONDANSETRON 02304597 Y

Nausea* IPG-ONDANSETRON 8MG TABLET ONDANSETRON 02304600 Y

Nausea* JAMP TRAVEL TABLET 50 MG DIMENHYDRINATE 02245416 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 277

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Nausea* JAMP-ONDANSETRON 4MG TABLET ONDANSETRON 02313685 Y

Nausea* JAMP-ONDANSETRON 8MG TABLET ONDANSETRON 02313693 Y

Nausea* KYTRIL 1MG TABLET GRANISETRON HCL 02185881 Y

Nausea* MARINOL 10MG CAPSULE DRONABINOL 00611212 Y

Nausea* MARINOL 2.5MG CAPSULE DRONABINOL 00611190 Y

Nausea* MARINOL 5MG CAPSULE DRONABINOL 00611204 Y

Nausea* MINT-ONDANSETRON 4MG TABLET ONDANSETRON 02305259 Y

Nausea* MINT-ONDANSETRON 8MG TABLET ONDANSETRON 02305267 Y

Nausea* MYLAN-ONDANSETRON 4MG TABLET ONDANSETRON 02297868 Y

Nausea* MYLAN-ONDANSETRON 8MG TABLET ONDANSETRON 02297876 Y

Nausea* NAUSEATOL 15MG TABLET DIMENHYDRINATE 01957414 Y

Nausea* NAUSEATOL 50MG TABLET DIMENHYDRINATE 00399779 Y

Nausea* NOVO-BETAHISTINE 16MG TABLET BETAHISTINE HCL 02280191 Y

Nausea* NOVO-BETAHISTINE 24MG TABLET BETAHISTINE HCL 02280205 Y

Nausea* NOVO-BETAHISTINE 8MG TABLET BETAHISTINE HCL 02280183 Y

Nausea* NOVO-DIMENATE 50MG TABLET DIMENHYDRINATE 00021423 Y

Nausea* NOVO-ONDANSETRON 4MG TABLET ONDANSETRON 02264056 Y

Nausea* NOVO-ONDANSETRON 8MG TABLET ONDANSETRON 02264064 Y

Nausea* NU-ONDANSETRON 4MG TABLET ONDANSETRON 02336510 Y

Nausea* NU-ONDANSETRON 4MG/5ML ORAL SOLUTION ONDANSETRON 02336383 Y

Nausea* NU-ONDANSETRON 8MG TABLET ONDANSETRON 02336529 Y

Nausea* NU-PROCHLOR 10MG TABLET PROCHLORPERAZINE MALEATE 01964402 Y

Nausea* NU-PROCHLOR 5MG TABLET PROCHLORPERAZINE MALEATE 01964399 Y

Nausea* ONDANSETRON 4MG TABLET ONDANSETRON 02351609 Y

Nausea* ONDANSETRON 4MG TABLET ONDANSETRON 02334054 Y

Nausea* ONDANSETRON 4MG TABLET ONDANSETRON 02346095 Y

Nausea* ONDANSETRON 4MG/5ML ORAL SOLUTION ONDANSETRON 02291967 Y

Nausea* ONDANSETRON 8MG TABLET ONDANSETRON 02351617 Y

Nausea* ONDANSETRON 8MG TABLET ONDANSETRON 02334062 Y

Nausea* ONDANSETRON 8MG TABLET ONDANSETRON 02346168 Y

Nausea* ONDANSETRON 8MG TABLET ONDANSETRON 02325160 Y

Nausea* ONDANSETRON-ODAN 4MG TABLET ONDANSETRON 02306212 Y

Nausea* ONDANSETRON-ODAN 8MG TABLET ONDANSETRON 02306220 Y

Nausea* PHL-ONDANSETRON 4MG TABLET ONDANSETRON 02278618 Y

Nausea* PHL-ONDANSETRON 8MG TABLET ONDANSETRON 02278626 Y

Nausea* PMS-BETAHISTINE 16MG TABLET BETAHISTINE HCL 02330210 Y

Nausea* PMS-BETAHISTINE 24MG TABLET BETAHISTINE HCL 02330237 Y

Nausea* PMS-DIMENHYDRINATE 15MG/5ML DIMENHYDRINATE 00757705 Y

Nausea* PMS-ONDANSETRON 4MG TABLET ONDANSETRON 02258188 Y

Nausea* PMS-ONDANSETRON 8MG TABLET ONDANSETRON 02258196 Y

Nausea* PMS-PROCHLORPERAZ 10MG SUPP PROCHLORPERAZINE MALEATE 00753688 Y

Nausea* PMS-PROCHLORPERAZ 10MG TABLET PROCHLORPERAZINE MALEATE 00753637 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 278

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Nausea* PMS-PROCHLORPERAZ 5MG TABLET PROCHLORPERAZINE MALEATE 00753661 Y

Nausea* PROCHLORPERAZINE MES 5MG/ML PROCHLORPERAZINE MESYLATE 00789747 Y

Nausea* RAN-ONDANSETRON 4MG TABLET ONDANSETRON 02312247 Y

Nausea* RAN-ONDANSETRON 8MG TABLET ONDANSETRON 02312255 Y

Nausea* RATIO-ONDANSETRON 4MG TABLET ONDANSETRON 02278529 Y

Nausea* RATIO-ONDANSETRON 8MG TABLET ONDANSETRON 02278537 Y

Nausea* SAB-DIMENHYDRINATE 100MG SUPPOSITORY DIMENHYDRINATE 00392545 Y

Nausea* SAB-DIMENHYDRINATE 50MG SUPPOSITORY DIMENHYDRINATE 00392553 Y

Nausea* SAB-PROCHLORPERAZINE 10MG SUPP PROCHLORPERAZINE MALEATE 00789720 Y

Nausea* SANDOZ-ONDANSETRON 4MG TABLET ONDANSETRON 02274310 Y

Nausea* SANDOZ-ONDANSETRON 8MG TABLET ONDANSETRON 02274329 Y

Nausea* SERC 16MG TABLET BETAHISTINE HCL 02243878 Y

Nausea* SERC 24MG TABLET BETAHISTINE HCL 02247998 Y

Nausea* STEMETIL 5MG/ML AMPOULE PROCHLORPERAZINE MESYLATE 01927779 Y

Nausea* TRANSDERM-V 1.5MG/72HR HYOSCINE HYDROBROMIDE 00550094 Y

Nausea* TRAVEL AID 50MG TABLET DIMENHYDRINATE 00605786 Y

Nausea* ZOFRAN 4MG ODT TABLET ONDANSETRON 02239372 Y

Nausea* ZOFRAN 4MG TABLET ONDANSETRON 02213567 Y

Nausea* ZOFRAN 4MG/5ML ORAL ONDANSETRON 02229639 Y

Nausea* ZOFRAN 8MG ODT TABLET ONDANSETRON 02239373 Y

Nausea* ZOFRAN 8MG TABLET ONDANSETRON 02213575 Y

Nausea* ZYM-ONDANSETRON 4MG TABLET ONDANSETRON 02344440 Y

Nausea* ZYM-ONDANSETRON 8MG TABLET ONDANSETRON 02344459 Y

Pain* A.S.A 650MG EC TABLET ACETYLSALICYLIC ACID 02264722 Y

Pain* A.S.A EC 325MG CAPLET ACETYLSALICYLIC ACID 02264692 Y

Pain* A.S.A EC 325MG TABLET ACETYLSALICYLIC ACID 02264706 Y

Pain* A.S.A. 325 MG TABLET ACETYLSALICYLIC ACID 02245443 Y

Pain* ABENOL 120MG SUPPOSITORY ACETAMINOPHEN 01919385 Y

Pain* ABENOL 325MG SUPPOSITORY ACETAMINOPHEN 01919393 Y

Pain* ABENOL 650MG SUPPOSITORY ACETAMINOPHEN 01919407 Y

Pain* ACET 325MG SUPPOSITORY ACETAMINOPHEN 02230436 Y

Pain* ACET 650MG SUPPOSITORY ACETAMINOPHEN 02230437 Y

Pain* ACETAMINOPHEN 160MG JR. STRENGTH TABLET ACETAMINOPHEN 02142805 Y

Pain* ACETAMINOPHEN 160MG SOFT CHEW TABLETS ACETAMINOPHEN 02246087 Y

Pain* ACETAMINOPHEN 325MG CAPLET USP ACETAMINOPHEN 01977415 Y

Pain* ACETAMINOPHEN 325MG COMPRIM ACETAMINOPHEN 02022214 Y

Pain* ACETAMINOPHEN 325MG TAB ACETAMINOPHEN 01938088 Y

Pain* ACETAMINOPHEN 325MG TABLET ACETAMINOPHEN 00374148 Y

Pain* ACETAMINOPHEN 325MG TABLET ACETAMINOPHEN 00605751 Y

Pain* ACETAMINOPHEN 325MG TABLET ACETAMINOPHEN 00718858 Y

Pain* ACETAMINOPHEN 325MG TABLET ACETAMINOPHEN 00743542 Y

Pain* ACETAMINOPHEN 325MG TABLET ACETAMINOPHEN 00789801 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 279

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Pain* ACETAMINOPHEN 325MG TABLET ACETAMINOPHEN 02237418 Y

Pain* ACETAMINOPHEN 325MG TABLET ACETAMINOPHEN 02252414 Y

Pain* ACETAMINOPHEN 325MG TABLETS REGULAR STRENGTH ACETAMINOPHEN 02252805 Y

Pain* ACETAMINOPHEN 500 MG TABLETS EXTRA STRENGTH EASY TO SWALLOWACETAMINOPHEN 02255251 Y

Pain* ACETAMINOPHEN 500MG AND CAFFEINE 65MG ACETAMINOPHEN/CAFFEINE 02269988 Y

Pain* ACETAMINOPHEN 500MG CAPLET ACETAMINOPHEN 01977474 Y

Pain* ACETAMINOPHEN 500MG COMPRIM ACETAMINOPHEN 02022222 Y

Pain* ACETAMINOPHEN 500MG EXTRA-STR. TABLET ACETAMINOPHEN 02285797 Y

Pain* ACETAMINOPHEN 500MG GELCAPS ACETAMINOPHEN 02216825 Y

Pain* ACETAMINOPHEN 500MG TABLET ACETAMINOPHEN 00567663 Y

Pain* ACETAMINOPHEN 500MG TABLET ACETAMINOPHEN 00589233 Y

Pain* ACETAMINOPHEN 500MG TABLET ACETAMINOPHEN 00605778 Y

Pain* ACETAMINOPHEN 500MG TABLET ACETAMINOPHEN 00718866 Y

Pain* ACETAMINOPHEN 500MG TABLET ACETAMINOPHEN 00789798 Y

Pain* ACETAMINOPHEN 500MG TABLETS EXTRA STRENGTH ACETAMINOPHEN 02252813 Y

Pain* ACETAMINOPHEN 650MG ARTHRITIS PAIN ACETAMINOPHEN 02272482 Y

Pain* ACETAMINOPHEN 650MG SUPPOSITORY ACETAMINOPHEN 02236961 Y

Pain* ACETAMINOPHEN CHILD 160MG/5ML SUSPENSION (CHERRY) ACETAMINOPHEN 02236727 Y

Pain* ACETAMINOPHEN CHILD 160MG/5ML SUSPENSION (GRAPE) ACETAMINOPHEN 02236728 Y

Pain* ACETAMINOPHEN CHILD 80MG GRAPE CHEW TABLET ACETAMINOPHEN 02237098 Y

Pain* ACETAMINOPHEN EXTRA STRENGTH 500MG TABLET ACETAMINOPHEN 01939122 Y

Pain* ACETAMINOPHEN JR 160MG TAB FRUIT ACETAMINOPHEN 02216779 Y

Pain* ACETAMINOPHEN JR 160MG TAB GRAPE ACETAMINOPHEN 02231340 Y

Pain* ACETAMINOPHEN PEDIATRIC DROPS 80 MG/ML USP ACETAMINOPHEN 01935275 Y

Pain* ACETAMINOPHEN TABLETS USP 160 MG CHEWABLE ACETAMINOPHEN 02163276 Y

Pain* ACETAMINOPHENE 325MG TABLET ACETAMINOPHEN 00382752 Y

Pain* ACETAMINOPHENE 500MG TABLET ACETAMINOPHEN 00386626 Y

Pain* ACETAMINOPHENE COMPRIMES CROQUABLES 160MG ACETAMINOPHEN 01996169 Y

Pain* ACETAMINOPHEN-ODAN 325MG TABLET ACETAMINOPHEN 02241200 Y

Pain* ACETAMINOPHEN-ODAN 500MG TABLET ACETAMINOPHEN 02241201 Y

Pain* ACETYLSALICYLIC ACID 325MG TABLET USP ACETYLSALICYLIC ACID 02245485 Y

Pain* ACETYLSALICYLIC ACID 325MG TABLETS USP ACETYLSALICYLIC ACID 02252856 Y

Pain* ACETYLSALICYLIC ACID 80 MG CHEWABLE TABLETS ACETYLSALICYLIC ACID 02269139 Y

Pain* ACETYLSALICYLIC ACID EXTRA STRENGTH 500MG TABLETS USPACETYLSALICYLIC ACID 02252864 Y

Pain* AFTERBURN LIDOCAINE HCL 02122286 Y

Pain* ALKA-SELTZER FLAVOURED ASA/CITRIC ACID/SODIUM BICARB 02245367 Y

Pain* ALKA-SELTZER-EVT ASA/CITRIC ACID/SODIUM BICARB 02152746 Y

Pain* AMETOP 4% GEL TETRACAINE HCL 02230575 Y

Pain* ANACIN CAPLET ACETYLSALICYLIC ACID/CAFFEINE 01933469 Y

Pain* ANACIN EX STRENGTH CAPLET ACETYLSALICYLIC ACID/CAFFEINE 01933507 Y

Pain* ANACIN EX STRENGTH TABLET ACETYLSALICYLIC ACID/CAFFEINE 01933493 Y

Pain* ANACIN TABLET ACETYLSALICYLIC ACID/CAFFEINE 01933477 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 280

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Pain* ANBESOL LIQUID BENZOCAINE 02238101 Y

Pain* APC-ACETAMINOPHEN 325MG CAPLET ACETAMINOPHEN 00544981 Y

Pain* APC-ACETAMINOPHEN 500MG CAPLET ACETAMINOPHEN 00545007 Y

Pain* APO-ACETAMINOPHEN 325MG CAPLET ACETAMINOPHEN 02229873 Y

Pain* APO-ACETAMINOPHEN 500MG CAPLET ACETAMINOPHEN 02229977 Y

Pain* APO-ASA 325MG TABLET ACETYLSALICYLIC ACID 00472468 Y

Pain* APO-DIFLUNISAL 250MG TABLET DIFLUNISAL 02039486 Y

Pain* APO-DIFLUNISAL 500MG TABLET DIFLUNISAL 02039494 Y

Pain* ARTHRITIS PAIN 650MG EXTENDED RELIEF TABLET ACETAMINOPHEN 02286653 Y

Pain* ASA 325MG TABLET ACETYLSALICYLIC ACID 00530336 Y

Pain* ASA 325MG TABLET ACETYLSALICYLIC ACID 00718831 Y

Pain* ASA 650MG EC TABLET ACETYLSALICYLIC ACID 00794244 Y

Pain* ASA 80MG DELAYED-RELEASE TABLET ACETYLSALICYLIC ACID 02283905 Y

Pain* ASA 81MG EC TABLET ACETYLSALICYLIC ACID 02244993 Y

Pain* ASA ACETYLSALICYLIC ACID 325MG TABLET ACETYLSALICYLIC ACID 02252406 Y

Pain* ASA EXTRA STRENGTH TAB 500MG ACETYLSALICYLIC ACID 01945564 Y

Pain* ASA TAB 325MG ACETYLSALICYLIC ACID 00230324 Y

Pain* ASAPHEN 162MG EC TABLET ACETYLSALICYLIC ACID 02247550 Y

Pain* ASAPHEN 80MG EC TABLET ACETYLSALICYLIC ACID 02238545 Y

Pain* ASAPHEN ASA 80MG CHEW TABLET ACETYLSALICYLIC ACID 02009013 Y

Pain* ASATAB 80MG CHEWABLE TABLETS ACETYLSALICYLIC ACID 02280167 Y

Pain* ASPIRIN 325MG CAPLET ACETYLSALICYLIC ACID 02150328 Y

Pain* ASPIRIN 325MG TABLET EC ACETYLSALICYLIC ACID 02010526 Y

Pain* ASPIRIN 325MG WITH STOMACH GUARD ACETYLSALICYLIC ACID/CAL CARB/MG CARB/MG OXIDE02229980 Y

Pain* ASPIRIN 650MG ARTHRITIS PAIN RELIEF EC TABLET ACETYLSALICYLIC ACID 02237900 Y

Pain* ASPIRIN 81MG EC TABLET ACETYLSALICYLIC ACID 02237726 Y

Pain* ASPIRIN 81MG QUICK CHEW TABLET ACETYLSALICYLIC ACID 02289970 Y

Pain* ASPIRIN CHILD 80MG TABLET ACETYLSALICYLIC ACID 02150352 Y

Pain* ASPIRIN COATED 325MG CAPSULE ACETYLSALICYLIC ACID 02150417 Y

Pain* ASPIRIN COATED 500MG ACETYLSALICYLIC ACID 02150425 Y

Pain* ASPIRIN EXTRA STRENGTH - TABLET ACETYLSALICYLIC ACID 02150336 Y

Pain* ASPIRIN EXTRA STRENGTH STOMACH GUARD WITH CALCIUM CARBONATEACETYLSALICYLIC ACID 02316897 Y

Pain* ASPIRIN STOMACH GUARD WITH CALCIUM CARBONATE ACETYLSALICYLIC ACID 02316889 Y

Pain* ASPIRIN WITH STOMACH GUARD EXTRA STRENGTH ASA/DIHYDROXYALUMINUM/MAGNESIUM CARBONATE02229967 Y

Pain* ATASOL 325MG TABLET ACETAMINOPHEN 00293482 Y

Pain* ATASOL FORTE 500MG TABLET ACETAMINOPHEN 00013668 Y

Pain* BACTINE FIRST AID SPRAY BENZALKONIUM CHL/LIDOCAINE HCL02150379 Y

Pain* BAND-AID BRAND ANTISEPTIC WASH LIDOCAINE HCL 02244468 Y

Pain* BETACAINE 5% GEL LIDOCAINE 02245906 Y

Pain* BUFFERIN 325MG TABLET ASA/CALCIUM CARB/MAGNESIUM/ALH01990667 Y

Pain* BUFFERIN EX STRENGTH TABLET ASA/DIHYDROXYALUMINUM/MAGNESIUM CARBONATE01990691 Y

Pain* BURN CREAM LIDOCAINE HCL 02241051 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 281

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Pain* BURN RELIEF GEL WITH LIDOCAINE LIDOCAINE HCL 02262215 Y

Pain* CEPACOL VIRACTIN GEL TETRACAINE HCL 02236790 Y

Pain* CHEWABLE DAILY LOW DOSE ASA 81MG TABLET ACETYLSALICYLIC ACID 02304651 Y

Pain* CHILD ACETAMINOPHEN 160 COMPRIME ACETAMINOPHEN 02017431 Y

Pain* CHILD ACETAMINOPHEN 80MG COMPRIME ACETAMINOPHEN 02017458 Y

Pain* CHILDREN FEVERHALT 80MG/ML ORAL LIQUID ACETAMINOPHEN 02230787 Y

Pain* CHILDREN'S 80MG CHEWABLE ACETAMINOPHEN TABLET ACETAMINOPHEN 02245010 Y

Pain* CHILDRENS ACET 120MG SUPPOSITORY ACETAMINOPHEN 02230434 Y

Pain* CHILDRENS ACET 160MG SUPP ACETAMINOPHEN 02230435 Y

Pain* CHILDREN'S ACETAMINOPHEN CHEWABLE TAB 80MG ACETAMINOPHEN 02015676 Y

Pain* CHILDREN'S ACETAMINOPHEN SUSPENSION (160MG/5ML - BUBBLEGUM FLAVOACETAMINOPHEN 02236472 Y

Pain* CHILDRENS CEPHANOL 160MG CAPLET ACETAMINOPHEN 02021420 Y

Pain* CHILDREN'S CHEWABLE ACETAMINOPHEN - TAB 80MG ACETAMINOPHEN 02129957 Y

Pain* CHILDREN'S CHEWABLE ACETAMINOPHEN TABLETS (80MG - FRUIT SPLASH FACETAMINOPHEN 02236726 Y

Pain* CHILDREN'S FEVERHALT 160MG CHEWABLE TABLET ACETAMINOPHEN 02231011 Y

Pain* COUNTERACET ACETAMINOPHEN ES 500MG TABLET ACETAMINOPHEN 02241058 Y

Pain* COUNTERACT KIDS ACETAMINOPHEN LIQUID ACETAMINOPHEN 02241059 Y

Pain* DAILY LOW DOSE 81MG ASA COATED TABLET ACETYLSALICYLIC ACID 02243897 Y

Pain* DENTI-CARE TOPICAL ANESTHETIC GEL BENZOCAINE/TETRACAINE HCL 02239705 Y

Pain* DERMOPLAST LIQUID BENZOCAINE/MENTHOL 02229989 Y

Pain* DERMOPLAST POISON IVY TREATMENT PRAMOXINE HCL 02287358 Y

Pain* EMLA CREAM LIDOCAINE/PRILOCAINE 00886858 Y

Pain* EMLA CREAM 1G (DRESSINGS) LIDOCAINE/PRILOCAINE 02057794 Y

Pain* EMLA CREAM 5G (2 DRESSINGS) LIDOCAINE/PRILOCAINE 00906255 Y

Pain* EMLA CREAM 5X5G (10 DRESSINGS) LIDOCAINE/PRILOCAINE 00990201 Y

Pain* ENFANT ACETAMINOPHEN 80MG COMPRIME ACETAMINOPHEN 01905856 Y

Pain* ENTERIC COATED ASA 325MG ACETYLSALICYLIC ACID 02255421 Y

Pain* ENTERIC COATED ASA 650MG ACETYLSALICYLIC ACID 02255464 Y

Pain* ENTERIC COATED ASA TABLETS 325MG ACETYLSALICYLIC ACID 00510696 Y

Pain* ENTERIC COATED ASA TABLETS 650MG ACETYLSALICYLIC ACID 00472476 Y

Pain* ENTROPHEN 10 650MG EC CAPLET ACETYLSALICYLIC ACID 01905392 Y

Pain* ENTROPHEN 10 650MG TAB EC ACETYLSALICYLIC ACID 00010340 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 282

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Pain* ENTROPHEN 15 975MG TAB EC ACETYLSALICYLIC ACID 00419508 Y

Pain* ENTROPHEN 325MG EC CAPLET ACETYLSALICYLIC ACID 02050161 Y

Pain* ENTROPHEN 5 325MG TAB EC ACETYLSALICYLIC ACID 00010332 Y

Pain* ENTROPHEN 500MG TABLET EC ACETYLSALICYLIC ACID 00852015 Y

Pain* ENTROPHEN 81MG CHEWABLE TABLET ACETYLSALICYLIC ACID 02243974 Y

Pain* ENTROPHEN 81MG EC TABLET ACETYLSALICYLIC ACID 02242281 Y

Pain* EQUATE DAILY LOW DOSE ASA 81MG TABLET ACETYLSALICYLIC ACID 02243801 Y

Pain* EURO-ASA 80MG CHEWABLE TABLET ACETYLSALICYLIC ACID 02250675 Y

Pain* EXACT DAILY LOW DOSE 81MG ASA COATED TABLET ACETYLSALICYLIC ACID 02243896 Y

Pain* EXAPHEN FORTE 500MG TABLET ACETAMINOPHEN 00549703 Y

Pain* EXCEDRIN EXTRA STRENGTH TABLET ACETAMINOPHEN/CAFFEINE 01990675 Y

Pain* EXCEDRIN TENSION HEADACHE TABLET ACETAMINOPHEN/CAFFEINE 02267586 Y

Pain* EXTRA STRENGTH ACETAMINOPHEN ACETAMINOPHEN 02269856 Y

Pain* EXTRA STRENGTH ACETAMINOPHEN 500MG EASY TO SWALLOW TABLETSACETAMINOPHEN 02269120 Y

Pain* EXTRA STRENGTH ACETAMINOPHEN 500MG TABLET ACETAMINOPHEN 02252384 Y

Pain* EXTRA STRENGTH ACETAMINOPHEN CAPLETS ACETAMINOPHEN 02216817 Y

Pain* EXTRA STRENGTH ASA 500MG ACETYLSALICYLIC ACID 02245729 Y

Pain* FAMILY MEDIC FIRST AID LIQUID LIDOCAINE HCL/BENZALK CHL 02241967 Y

Pain* FAMILY MEDIC FIRST AID LOTION LIDOCAINE HCL/BENZALK CHL 02241966 Y

Pain* I.C.E. LIDOCAINE GEL - GEL LIDOCAINE LIDOCAINE 02255839 Y

Pain* INFANT ATASOL 80MG/ML DROPS ACETAMINOPHEN 00631353 Y

Pain* INFANT PMS-ACETAMINOPHEN 80MG/5ML ACETAMINOPHEN 00792713 Y

Pain* INFANTS ACETAMINOPHEN 80MG/5ML SYRUP ACETAMINOPHEN 01905848 Y

Pain* INFANT'S ACETAMINOPHEN SUSPENSION (80MG/1ML CHERRY AND GRAPE FLAACETAMINOPHEN 02237390 Y

Pain* INSTANTINE TABLET ACETYLSALICYLIC ACID/CAFFEINE 02150468 Y

Pain* INSTILLAGEL CHLORHEXIDINE GLUCONATE/LIDOCAINE HCL02294990 Y

Pain* JAMP ACETAMINOPHEN 500 MG F.C. TABLETS ACETAMINOPHEN 02343371 Y

Pain* KANK-A LIQ BENZOCAINE/CETYLPYRDINIUM CHLORIDE02024659 Y

Pain* KIDS ACETAMINOPHEN 160MG/5ML ACETAMINOPHEN 01958836 Y

Pain* KIDS ACETAMINOPHEN 160MG/5ML SOL ACETAMINOPHEN 01901389 Y

Pain* KIDS ACETAMINOPHEN 80MG/ML GTTE ACETAMINOPHEN 01905864 Y

Pain* KIDS PMS-ACETAMINOPHEN 120MG SUPP ACETAMINOPHEN 02046660 Y

Pain* KIDS PMS-ACETAMINOPHEN 160MG SUPP ACETAMINOPHEN 02046679 Y

Pain* KIDS PMS-ACETAMINOPHEN 160MG/5ML ACETAMINOPHEN 00792691 Y

Pain* KIDS PMS-ACETAMINOPHEN 80MG/ML ACETAMINOPHEN 00887587 Y

Pain* KIDS ROBIGESIC 80MG/5ML ELIXIR ACETAMINOPHEN 01934805 Y

Pain* KIDS TEMPRA BANANA FLAVOUR ACETAMINOPHEN 02009269 Y

Pain* KIDS TEMPRA DBL-STR 160MG TABLET ACETAMINOPHEN 00876038 Y

Pain* KIDS TEMPRA DBL-STR 160MG/5ML ACETAMINOPHEN 00875996 Y

Pain* KID'S TYLENOL JR CHEW TABLET ACETAMINOPHEN 02241361 Y

Pain* LANACANE ANTI-BACTERIAL FIRST AID SPRAY BENZETHONIUM/BENZOCAINE 02253364 Y

Pain* LIDOCAINE 1% EPI 1:100000 INJECTION LIDOCAINE HCL/EPINEPHRINE 01901958 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 283

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Pain* LIDOCAINE 2% EPI 1:100000 INJECTION LIDOCAINE HCL/EPINEPHRINE 01901915 Y

Pain* LIDOCAINE HCL 1% VIAL LIDOCAINE HCL 02067021 Y

Pain* LIDOCAINE HCL 1% VIAL LIDOCAINE HCL 00884154 Y

Pain* LIDOCAINE HCL 2% VIAL LIDOCAINE HCL 01947060 Y

Pain* LIDOCAINE HYDROCHLORIDE INJECTION USP 2% LIDOCAINE HCL 02296187 Y

Pain* LIDODAN 2% VISCOUS LIDOCAINE HCL 01968823 Y

Pain* LIDODAN 5% OINTMENT LIDOCAINE HCL 02083795 Y

Pain* LIDOMAX 5 CREAM LIDOCAINE 02281023 Y

Pain* LIFE BRAND 81MG ASA DAILY LOW DOSE TABLET ACETYLSALICYLIC ACID 02243101 Y

Pain* LONDON DRUGS 81MG DAILY LOW DOSE ASA ACETYLSALICYLIC ACID 02243800 Y

Pain* LOWPRIN 80 CHEWABLE TABLET ACETYLSALICYLIC ACID 02296004 Y

Pain* LOWPRIN 80MG TABLET ACETYLSALICYLIC ACID 02295563 Y

Pain* MARCAINE 0.25% MULTIDOSE VIAL INJECTION BUPIVACAINE HCL 02305895 Y

Pain* MARCAINE 0.25% INJECTION BUPIVACAINE HCL 02241918 Y

Pain* MARCAINE 0.5% (MULTIDOSE VIAL W/METHYLPARABEN) BUPIVACAINE HCL 02305909 Y

Pain* MARCAINE 0.5% INJECTION BUPIVACAINE HCL 02018357 Y

Pain* MARCAINE 0.5% INJECTION BUPIVACAINE HCL 02241919 Y

Pain* MARCAINE 0.75% INJECTION BUPIVACAINE HCL 02241917 Y

Pain* MARCAINE E 0.25% INJECTION BUPIVACAINE HCL/EPINEPHRINE 02241915 Y

Pain* MARCAINE E 0.5% INJECTION BUPIVACAINE HCL/EPINEPHRINE 02241916 Y

Pain* MAXILENE 4% TOPICAL CREAM LIDOCAINE 02244533 Y

Pain* MAXILENE 5% TOPICAL CREAM LIDOCAINE 02245939 Y

Pain* MIDOL PMS EXTRA STRENGTH CAPLET ACETAMINOPHEN/PAMABROM/PYRILAMINE MALEATE02150506 Y

Pain* MIDOL REGULAR TABLET ACETYLSALICYLIC ACID/CAFFEINE 02237094 Y

Pain* MIDOL TRADITIONAL TABLET ACETYLSALICYLIC ACID/CAFFEINE 02217732 Y

Pain* MULTI-SYMPTOM PMS RELIEF CAPLETS ACETAMINOPHEN/PAMABROM/PYRILAMINE MALEATE02251639 Y

Pain* MUSCLE ACHES & BODY PAIN ER TABLET ACETAMINOPHEN 02333171 Y

Pain* NOVASEN 325MG TABLET EC ACETYLSALICYLIC ACID 00216666 Y

Pain* NOVASEN 650MG TABLET EC ACETYLSALICYLIC ACID 00229296 Y

Pain* NOVO-DIFLUNISAL 250MG TABLET DIFLUNISAL 02048493 Y

Pain* NOVO-GESIC 325MG CAPLET ACETAMINOPHEN 00389218 Y

Pain* NOVO-GESIC FORTE 500MG TABLET ACETAMINOPHEN 00482323 Y

Pain* NU-DIFLUNISAL 250MG TABLET DIFLUNISAL 02058405 Y

Pain* NU-DIFLUNISAL 500MG TABLET DIFLUNISAL 02058413 Y

Pain* NUPERCAINAL 1% OINTMENT DIBUCAINE 00623385 Y

Pain* NUPERCAINAL ANTISEPTIC CRM DIBUCAINE/DOMIPHEN BROMIDE 00623407 Y

Pain* OCTOCAINE HCL 2% EPINEPHRINE 1:100000INJ LIDOCAINE HCL/EPINEPHRINE 00151866 Y

Pain* ORAGEL DENTURE GEL BENZOCAINE 02238798 Y

Pain* PAMPRIN EXTRA STR CAPLET ACETAMINOPHEN/PAMABROM/PYRILAMINE MALEATE00718130 Y

Pain* PANADOL 500MG TABLET ACETAMINOPHEN 02142732 Y

Pain* PEDIAPHEN 80MG/5ML ACETAMINOPHEN 02263807 Y

Pain* PEDIAPHEN CHILDREN'S ACETAMINOPHEN CHEWABLE TABLETS USP 160MG/TAACETAMINOPHEN 02263823 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 284

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Pain* PEDIAPHEN CHILDREN'S ACETAMINOPHEN CHEWABLE TABLETS USP 80MG/TABACETAMINOPHEN 02263815 Y

Pain* PEDIAPHEN CHILDREN'S ACETAMINOPHEN ORAL SOLUTION USP 160MG/5MLACETAMINOPHEN 02263831 Y

Pain* PEDIAPHEN CHILDREN'S ACETAMINOPHEN ORAL SOLUTION USP DROPS 80MG/ACETAMINOPHEN 02263793 Y

Pain* PEDIATRIX 160MG/5ML SOLN ACETAMINOPHEN 02027798 Y

Pain* PEDIATRIX 80MG/ML DROPS ACETAMINOPHEN 02027801 Y

Pain* PHL-ASA 80MG E.C. TABLET ACETYLSALICYLIC ACID 02247355 Y

Pain* PHL-ASA 80MG TABLET ACETYLSALICYLIC ACID 02247318 Y

Pain* PMS MIDOL COMPLETE ACETAMINOPHEN/PAMABROM/PYRILAMINE MALEATE02275228 Y

Pain* PMS-ACETAMINOPHEN 325MG SUP ACETAMINOPHEN 02046687 Y

Pain* PMS-ACETAMINOPHEN 325MG TABLET ACETAMINOPHEN 00891177 Y

Pain* PMS-ACETAMINOPHEN 500MG TABLET ACETAMINOPHEN 00892505 Y

Pain* PMS-ACETAMINOPHEN 650MG SUP ACETAMINOPHEN 02046695 Y

Pain* PMS-ACETAMINOPHEN E 500MG TABLET ACETAMINOPHEN 02313081 Y

Pain* PMS-ASA 150MG SUPPOSITORY ACETYLSALICYLIC ACID 00785547 Y

Pain* PMS-ASA 325MG TABLET ACETYLSALICYLIC ACID 00040851 Y

Pain* PMS-ASA 325MG TABLET EC ACETYLSALICYLIC ACID 02284529 Y

Pain* PMS-ASA 650MG SUPPOSITORY ACETYLSALICYLIC ACID 00582867 Y

Pain* PMS-ASA 80MG TABLET ACETYLSALICYLIC ACID 02283670 Y

Pain* PMS-ASA 81MG TABLET ACETYLSALICYLIC ACID 02283662 Y

Pain* PMS-ASA EC 650MG TABLET ACETYLSALICYLIC ACID 02284537 Y

Pain* PMS-ASA EC 80MG TABLET ACETYLSALICYLIC ACID 02283689 Y

Pain* PMS-LIDOCAINE VISCOUS 2% LIDOCAINE HCL 00811874 Y

Pain* PRAMOX HC CREAM HYDROCORTISONE/PRAMOXINE HCL00770957 Y

Pain* PRAMOX HC LOTION HYDROCORTISONE/PRAMOXINE HCL01954210 Y

Pain* PRAXIS ASA EC 81MG DAILY LOW DOSE TABLET ACETYLSALICYLIC ACID 02283700 Y

Pain* PRO-AAS - 80 (CHEWABLE) ACETYLSALICYLIC ACID 02311518 Y

Pain* PRO-AAS EC - 80 ACETYLSALICYLIC ACID 02311496 Y

Pain* RAN-ACETAMINOPHEN 8 HOUR ACETAMINOPHEN 02283433 Y

Pain* RECTOGEL RECTAL OINTMENT BENZOCAINE/ZINC SULFATE 00662488 Y

Pain* REGULAR STRENGTH ACETAMINOPHEN TABLETS ACETAMINOPHEN 02216833 Y

Pain* RELIEF ASA 325MG TABLET ACETYLSALICYLIC ACID 00036145 Y

Pain* RELIEF ASA EXTRA STRENGTH 500MG ACETYLSALICYLIC ACID 02245887 Y

Pain* RELIEVOL PMS EXTR STRENGTH CAPLET ACETAMINOPHEN/PAMABROM/PYRILAMINE MALEATE02239060 Y

Pain* REXALL DAILY LOW DOSE ASA 81MG TABLET ACETYLSALICYLIC ACID 02243802 Y

Pain* RIVASA 80MG - TABLET ACETYLSALICYLIC ACID 02202360 Y

Pain* RIVASA 80MG CHEW TABLET ACETYLSALICYLIC ACID 02202352 Y

Pain* SOLARCAINE 0.5% SPRAY LIDOCAINE 01923986 Y

Pain* SOLARCAINE FIRST AID LOTION LIDOCAINE HCL 02229827 Y

Pain* SOLARCAINE FIRST AID SPRAY BENZOCAINE/TRICLOSAN 01918893 Y

Pain* SOLARCAINE MEDICATED LIDOCAINE GEL LIDOCAINE HCL 02268361 Y

Pain* SOOTHING GEL WITH LIDOCAINE LIDOCAINE HCL 02245174 Y

Pain* TAMINOL 500MG CAPLETS ACETAMINOPHEN 02244331 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 285

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Pain* TANTAPHEN 500MG CAPLET ACETAMINOPHEN 01962353 Y

Pain* TANTAPHEN ACETAMINOPHEN CHEWABLE TABLETS ACETAMINOPHEN 02230934 Y

Pain* TANTAPHEN ACETAMINOPHEN ORAL SOLN 80 MG/ML ACETAMINOPHEN 01904140 Y

Pain* TEMPRA CHILD 80MG/5ML SYRUP ACETAMINOPHEN 00884553 Y

Pain* TEMPRA INFANT 80MG/ML DROPS ACETAMINOPHEN 00875988 Y

Pain* TRONOTHANE 1% CREAM PRAMOXINE HCL 01963104 Y

Pain* TYLENOL 325MG TABLET ACETAMINOPHEN 00559393 Y

Pain* TYLENOL 325MG TABLET ACETAMINOPHEN 00723894 Y

Pain* TYLENOL 500MG CAPLET ACETAMINOPHEN 00723908 Y

Pain* TYLENOL 500MG GELCAPS ACETAMINOPHEN 00863270 Y

Pain* TYLENOL 500MG TABLET ACETAMINOPHEN 00559407 Y

Pain* TYLENOL 8 HOUR EXTENDED RELIEF CAPLETS ACETAMINOPHEN 02246060 Y

Pain* TYLENOL ARTHRITIS 650MG TABLET ACETAMINOPHEN 02238885 Y

Pain* TYLENOL CHILD 160MG/5ML SUSPENSION ACETAMINOPHEN 02046040 Y

Pain* TYLENOL CHILDRENS 80MG CHEW TABLET ACETAMINOPHEN 02238295 Y

Pain* TYLENOL EXTRA STRENGTH MENSTRUAL CAPLET ACETAMINOPHEN/PAMABROM/PYRILAMINE MALEATE02231239 Y

Pain* TYLENOL INFANT 80MG/ML DROP ACETAMINOPHEN 02046059 Y

Pain* TYLENOL ULTRA RELIEF ACETAMINOPHEN/CAFFEINE 02254468 Y

Pain* ULTRA HEADACHE RELIEF ACETAMINOPHEN/CAFFEINE 02264870 Y

Pain* VICKS CUSTOM CARE BODY ACHES LIQUID ACETAMINOPHEN 02312107 Y

Pain* VIVA ASA 325 MG TABLET ACETYLSALICYLIC ACID 02244333 Y

Pain* XYLOCAINE 0.5% VIAL LIDOCAINE HCL 00001724 Y

Pain* XYLOCAINE 1% (WITH PRESERVATIVE) LIDOCAINE HCL 02302411 Y

Pain* XYLOCAINE 1% SOLUTION LIDOCAINE HCL 00001732 Y

Pain* XYLOCAINE 1%/EPI 1:100000 LIDOCAINE HCL/EPINEPHRINE 00001791 Y

Pain* XYLOCAINE 1%/EPI 1:200000 LIDOCAINE HCL/EPINEPHRINE 00001805 Y

Pain* XYLOCAINE 1.5%/EPI 1:200000 LIDOCAINE HCL/EPINEPHRINE 00001813 Y

Pain* XYLOCAINE 2% (WITH PRESERVATIVE) LIDOCAINE HCL 02302438 Y

Pain* XYLOCAINE 2% JELLY LIDOCAINE HCL 00001694 Y

Pain* XYLOCAINE 2% SOLUTION LIDOCAINE HCL 00036641 Y

Pain* XYLOCAINE 2% VISCOUS SOLN LIDOCAINE HCL 00001686 Y

Pain* XYLOCAINE 2%/EPI 1:100000 LIDOCAINE HCL/EPINEPHRINE 00001821 Y

Pain* XYLOCAINE 2%/EPI 1:50000 LIDOCAINE HCL/EPINEPHRINE 00275808 Y

Pain* XYLOCAINE 4% TOPICAL SOLN LIDOCAINE HCL 00049816 Y

Pain* XYLOCAINE 5% OINTMENT LIDOCAINE HCL 00001961 Y

Pain* XYLOCAINE ENDOTRACH 10% SPR LIDOCAINE HCL 02003767 Y

Pain* XYLOCAINE JELLY 2% SYRINGE LIDOCAINE HCL 00385484 Y

Pain* XYLOCAINE W EPI 50ML 1:100 - 50ML (PRO) LIDOCAINE HCL/EPINEPHRINE 00907669 Y

Pain* ZAP TOPICAL ANESTHETIC SPRAY BENZOCAINE/TETRACAINE HCL 02240984 Y

Pain* ZYM-ASA 80 CHEWABLE TABLET ACETYLSALICYLIC ACID 02321750 Y

Pain* ZYM-ASA EC 80MG TABLET ACETYLSALICYLIC ACID 02321769 Y

Parasitic treatment* AA-MEFLOQUINE 250MG TABLET MEFLOQUINE HCL 02349183 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 286

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Parasitic treatment* APO-HYDROXYQUINE 200MG TABLET HYDROXYCHLOROQUINE SULFATE 02246691 Y

Parasitic treatment* BILTRICIDE 600MG TABLET PRAZIQUANTEL 02230897 Y

Parasitic treatment* COMBANTRIN 125MG TABLET PYRANTEL PAMOATE 01944363 Y

Parasitic treatment* COMBANTRIN 50MG/ML ORAL SUS PYRANTEL PAMOATE 01944355 Y

Parasitic treatment* DARAPRIM 25MG TABLET PYRIMETHAMINE 00004774 Y

Parasitic treatment* DIODOQUIN 210MG TABLET IODOQUINOL 01997769 Y

Parasitic treatment* DIODOQUIN 650MG TABLET IODOQUINOL 01997750 Y

Parasitic treatment* ENTACYL 2GM PACKET PIPERAZINE ADIPATE 02100215 Y

Parasitic treatment* FORMULA L34 100MG/ML SYRUP PIPERAZINE CITRATE 00438898 Y

Parasitic treatment* HUMATIN 250MG CAPSULE PAROMOMYCIN SULFATE 02078759 Y

Parasitic treatment* LARIAM 250MG TABLET MEFLOQUINE HCL 02018055 Y

Parasitic treatment* MALARONE PEDIATRIC TABLET ATOVAQUONE/PROGUANIL HCL 02264935 Y

Parasitic treatment* MALARONE TABLET ATOVAQUONE/PROGUANIL HCL 02238151 Y

Parasitic treatment* MEFLOQUINE 250MG TABLET MEFLOQUINE HCL 02244366 Y

Parasitic treatment* MEPRON 750MG/5ML SUSPENSION ATOVAQUONE 02217422 Y

Parasitic treatment* MYLAN-HYDROXYCHLOROQUINE 200MG TABLET HYDROXYCHLOROQUINE SULFATE 02252600 Y

Parasitic treatment* NOVO-CHLOROQUINE 250MG TABLET CHLOROQUINE PHOSPHATE 00021261 Y

Parasitic treatment* NOVO-QUININE 200MG TABLET QUININE SULFATE 00021008 Y

Parasitic treatment* NOVO-QUININE 300MG CAPSULE QUININE SULFATE 00021016 Y

Parasitic treatment* NU-HYDROXYQUINE 200MG TABLET HYDROXYCHLOROQUINE SULFATE 02335816 Y

Parasitic treatment* PENTAMIDINE ISETH 300MG VL PENTAMIDINE ISETHIONATE 02183080 Y

Parasitic treatment* PLAQUENIL 200MG TABLET HYDROXYCHLOROQUINE SULFATE 02017709 Y

Parasitic treatment* PRIMAQUINE 26.3MG TABLET PRIMAQUINE PHOSPHATE 02017776 Y

Parasitic treatment* PRO-HYDROXYQUINE 200MG TABLET HYDROXYCHLOROQUINE SULFATE 02311011 Y

Parasitic treatment* PRO-QUININE - 200MG CAPSLUE QUININE SULFATE 02311216 Y

Parasitic treatment* PRO-QUININE - 300MG CAPSULE QUININE SULFATE 02311224 Y

Parasitic treatment* QUININE-ODAN 200MG CAPSULE QUININE SULFATE 00695440 Y

Parasitic treatment* QUININE-ODAN 300MG CAPSULE QUININE SULFATE 00695459 Y

Parasitic treatment* QUININE-ODAN 300MG TABLET QUININE SULFATE 00695432 Y

Parasitic treatment* VERMIREX 500MG/5ML SYRUP PIPERAZINE CITRATE 00273244 Y

Parasitic treatment* VERMOX 100MG CHEW TABLET MEBENDAZOLE 00556734 Y

Parkinson disease (ODB PIN) MIRAPEX 0.25MG TABLET PRAMIPEXOLE DI-HCL 09857268 Y

Parkinson disease (ODB PIN) MIRAPEX 1.0MG TABLET PRAMIPEXOLE DI-HCL 09857269 Y

Parkinson disease (ODB PIN) MIRAPEX 1.5MG TABLET PRAMIPEXOLE DI-HCL 09857270 Y

Parkinson disease AKINETON 2MG TABLET BIPERIDEN HCL 00124982 Y

Parkinson disease AMANTADINE 100MG CAPSULE AMANTADINE HCL 02343398 Y

Parkinson disease APO-BENZTROPINE 2MG TABLET BENZTROPINE MESYLATE 00426857 Y

Parkinson disease APO-BROMOCRIPTINE 2.5MG TABLET BROMOCRIPTINE MESYLATE 02087324 Y

Parkinson disease APO-BROMOCRIPTINE 5MG CAPSULE BROMOCRIPTINE MESYLATE 02230454 Y

Parkinson disease APO-LEVOCARB 10/100MG TABLET CARBIDOPA/LEVODOPA 02195933 Y

Parkinson disease APO-LEVOCARB 25/100MG TABLET CARBIDOPA/LEVODOPA 02195941 Y

Parkinson disease APO-LEVOCARB 25/250MG TABLET CARBIDOPA/LEVODOPA 02195968 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 287

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Parkinson disease APO-LEVOCARB 25MG/100MG CR TABLET CARBIDOPA/LEVODOPA 02272873 Y

Parkinson disease APO-LEVOCARB CR 50/200 TABLET CARBIDOPA/LEVODOPA 02245211 Y

Parkinson disease APO-PERGOLIDE 0.05MG TABLET PERGOLIDE MESYLATE 02266210 Y

Parkinson disease APO-PERGOLIDE 0.25MG TABLET PERGOLIDE MESYLATE 02266229 Y

Parkinson disease APO-PERGOLIDE 1MG TABLET PERGOLIDE MESYLATE 02266237 Y

Parkinson disease APO-PRAMIPEXOLE 0.125MG TABLET PRAMIPEXOLE DI-HCL 02347342 Y

Parkinson disease APO-PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02292378 Y

Parkinson disease APO-PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02292386 Y

Parkinson disease APO-PRAMIPEXOLE 0.75MG TABLET PRAMIPEXOLE DI-HCL 02347350 Y

Parkinson disease APO-PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02292408 Y

Parkinson disease APO-PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02292394 Y

Parkinson disease APO-ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02337746 Y

Parkinson disease APO-ROPINIROLE 0.5MG TABLET ROPINIROLE HCL 02337754 Y

Parkinson disease APO-ROPINIROLE 1MG TABLET ROPINIROLE HCL 02337762 Y

Parkinson disease APO-ROPINIROLE 2MG TABLET ROPINIROLE HCL 02337770 Y

Parkinson disease APO-ROPINIROLE 3MG TABLET ROPINIROLE HCL 02337789 Y

Parkinson disease APO-ROPINIROLE 4MG TABLET ROPINIROLE HCL 02337797 Y

Parkinson disease APO-ROPINIROLE 5MG TABLET ROPINIROLE HCL 02337800 Y

Parkinson disease APO-SELEGILINE 5MG TABLET SELEGILINE HCL 02230641 Y

Parkinson disease APO-TRIHEX 2MG TABLET TRIHEXYPHENIDYL HCL 00545058 Y

Parkinson disease APO-TRIHEX 5MG TABLET TRIHEXYPHENIDYL HCL 00545074 Y

Parkinson disease APX-LEVOCARB 10/100MG TABLET CARBIDOPA/LEVODOPA 02340992 Y

Parkinson disease APX-LEVOCARB 25/100MG TABLET CARBIDOPA/LEVODOPA 02341018 Y

Parkinson disease APX-LEVOCARB 25/250MG TABLET CARBIDOPA/LEVODOPA 02341026 Y

Parkinson disease AZILECT 0.5MG TABLET RASAGILINE MESYLATE 02284642 Y

Parkinson disease AZILECT 1MG TABLET RASAGILINE MESYLATE 02284650 Y

Parkinson disease BENZTROPINE 2 2MG TABLET BENZTROPINE MESYLATE 00563862 Y

Parkinson disease BENZTROPINE OMEGA 1MG/ML INJECTION BENZTROPINE MESYLATE 02238903 Y

Parkinson disease BROMOCRIPTINE 2.5MG TABLET BROMOCRIPTINE MESYLATE 02238192 Y

Parkinson disease BROMOCRIPTINE 2.5MG TABLET BROMOCRIPTINE MESYLATE 02153378 Y

Parkinson disease BROMOCRIPTINE 5MG TABLET BROMOCRIPTINE MESYLATE 02238193 Y

Parkinson disease BROMOCRIPTINE-5 5MG CAPSULE BROMOCRIPTINE MESYLATE 02230719 Y

Parkinson disease CO ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02316846 Y

Parkinson disease CO ROPINIROLE 1MG TABLET ROPINIROLE HCL 02316854 Y

Parkinson disease CO ROPINIROLE 2MG TABLET ROPINIROLE HCL 02316862 Y

Parkinson disease CO ROPINIROLE 5MG TABLET ROPINIROLE HCL 02316870 Y

Parkinson disease COMTAN 200MG TABLET ENTACAPONE 02243763 Y

Parkinson disease CO-PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02297302 Y

Parkinson disease CO-PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02297310 Y

Parkinson disease CO-PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02297337 Y

Parkinson disease CO-PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02297329 Y

Parkinson disease DOM-AMANTADINE 100MG CAPSULE AMANTADINE HCL 02130963 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 288

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Parkinson disease DOM-AMANTADINE 10MG/ML SYRUP AMANTADINE HCL 02130971 Y

Parkinson disease DOM-BROMOCRIPTINE 2.5MG TABLET BROMOCRIPTINE MESYLATE 02238636 Y

Parkinson disease DOM-BROMOCRIPTINE 5MG CAPSULE BROMOCRIPTINE MESYLATE 02238637 Y

Parkinson disease DOM-LEVO-CARBIDOPA TABLET CARBIDOPA/LEVODOPA 02247606 Y

Parkinson disease DOM-PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02309017 Y

Parkinson disease DOM-PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02309025 Y

Parkinson disease DOM-PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02309041 Y

Parkinson disease DOM-PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02309033 Y

Parkinson disease DOM-ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02331152 Y

Parkinson disease DOM-ROPINIROLE 0.5MG TABLET ROPINIROLE HCL 02331160 Y

Parkinson disease DOM-ROPINIROLE 1MG TABLET ROPINIROLE HCL 02331179 Y

Parkinson disease DOM-ROPINIROLE 2MG TABLET ROPINIROLE HCL 02331187 Y

Parkinson disease DOM-ROPINIROLE 5MG TABLET ROPINIROLE HCL 02331195 Y

Parkinson disease DOM-SELEGILINE 5MG TABLET SELEGILINE HCL 02238340 Y

Parkinson disease DUODOPA 20-5MG/ML GEL LEVODOPA/CARBIDOPA 02292165 Y

Parkinson disease ENDANTADINE 100MG CAPSULE AMANTADINE HCL 02034468 Y

Parkinson disease JAMP-ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02352338 Y

Parkinson disease JAMP-ROPINIROLE 1MG TABLET ROPINIROLE HCL 02352346 Y

Parkinson disease JAMP-ROPINIROLE 2MG TABLET ROPINIROLE HCL 02352354 Y

Parkinson disease JAMP-ROPINIROLE 5MG TABLET ROPINIROLE HCL 02352362 Y

Parkinson disease MED AMANTADINE 100MG CAPSULE AMANTADINE HCL 02199289 Y

Parkinson disease MED-SELEGILINE 5MG TABLET SELEGILINE HCL 02237289 Y

Parkinson disease MIRAPEX 0.125MG TABLET PRAMIPEXOLE DI-HCL 02297256 Y

Parkinson disease MIRAPEX 0.25MG TABLET PRAMIPEXOLE DI-HCL 02237145 Y

Parkinson disease MIRAPEX 0.5MG TABLET PRAMIPEXOLE DI-HCL 02241594 Y

Parkinson disease MIRAPEX 1.0MG TABLET PRAMIPEXOLE DI-HCL 02237146 Y

Parkinson disease MIRAPEX 1.5MG TABLET PRAMIPEXOLE DI-HCL 02237147 Y

Parkinson disease MYLAN-AMANTADINE 100MG CAPSULE AMANTADINE HCL 02139200 Y

Parkinson disease MYLAN-SELEGILINE 5MG TABLET SELEGILINE HCL 02231036 Y

Parkinson disease NOVO-LEVOCARBIDOPA 10/100MG TABLET CARBIDOPA/LEVODOPA 02244494 Y

Parkinson disease NOVO-LEVOCARBIDOPA 25/100MG TABLET CARBIDOPA/LEVODOPA 02244495 Y

Parkinson disease NOVO-LEVOCARBIDOPA 25/250MG TABLET CARBIDOPA/LEVODOPA 02244496 Y

Parkinson disease NOVO-PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02269309 Y

Parkinson disease NOVO-PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02269317 Y

Parkinson disease NOVO-PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02269333 Y

Parkinson disease NOVO-PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02269325 Y

Parkinson disease NOVO-SELEGILINE 5MG TABLET SELEGILINE HCL 02068087 Y

Parkinson disease NU-CARBIDOPA/L-DOPA 10/100 CARBIDOPA/LEVODOPA 02182831 Y

Parkinson disease NU-CARBIDOPA/L-DOPA 25/100 CARBIDOPA/LEVODOPA 02182823 Y

Parkinson disease NU-CARBIDOPA/L-DOPA 25/250 CARBIDOPA/LEVODOPA 02182858 Y

Parkinson disease NU-SELEGILINE 5MG TABLET SELEGILINE HCL 02230717 Y

Parkinson disease PARLODEL 2.5MG TABLET BROMOCRIPTINE MESYLATE 00371033 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 289

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Parkinson disease PARSITAN 50MG TABLET ETHOPROPAZINE HCL 01927744 Y

Parkinson disease PHL-AMANTADINE 100MG CAPSULE AMANTADINE HCL 02238306 Y

Parkinson disease PHL-AMANTADINE 10MG/ML SYRUP AMANTADINE HCL 02262649 Y

Parkinson disease PHL-PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02309122 Y

Parkinson disease PHL-PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02309130 Y

Parkinson disease PHL-PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02309157 Y

Parkinson disease PHL-PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02309149 Y

Parkinson disease PHL-PROCYCLIDINE 2.5MG TABLET PROCYCLIDINE HCL 02237042 Y

Parkinson disease PHL-PROCYCLIDINE 5MG TABLET PROCYCLIDINE HCL 02237043 Y

Parkinson disease PHL-ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02331209 Y

Parkinson disease PHL-ROPINIROLE 0.5MG TABLET ROPINIROLE HCL 02331217 Y

Parkinson disease PHL-ROPINIROLE 1MG TABLET ROPINIROLE HCL 02331225 Y

Parkinson disease PHL-ROPINIROLE 2MG TABLET ROPINIROLE HCL 02331233 Y

Parkinson disease PHL-ROPINIROLE 5MG TABLET ROPINIROLE HCL 02331241 Y

Parkinson disease PMS-AMANTADINE 100MG CAPSULE AMANTADINE HCL 01990403 Y

Parkinson disease PMS-AMANTADINE 10MG/ML SYRUP AMANTADINE HCL 02022826 Y

Parkinson disease PMS-BENZTROPINE 0.4MG/ML BENZTROPINE MESYLATE 02219727 Y

Parkinson disease PMS-BENZTROPINE 0.5MG TABLET BENZTROPINE MESYLATE 00885452 Y

Parkinson disease PMS-BENZTROPINE 1MG TABLET BENZTROPINE MESYLATE 00706531 Y

Parkinson disease PMS-BENZTROPINE 2MG TABLET BENZTROPINE MESYLATE 00587265 Y

Parkinson disease PMS-BROMOCRIPTINE 2.5MG TABLET BROMOCRIPTINE MESYLATE 02231702 Y

Parkinson disease PMS-BROMOCRIPTINE 5MG CAPSULE BROMOCRIPTINE MESYLATE 02236949 Y

Parkinson disease PMS-PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02290111 Y

Parkinson disease PMS-PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02290138 Y

Parkinson disease PMS-PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02290154 Y

Parkinson disease PMS-PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02290146 Y

Parkinson disease PMS-PROCYCLIDINE 2.5MG TABLET PROCYCLIDINE HCL 00649392 Y

Parkinson disease PMS-PROCYCLIDINE 2.5MG/5ML PROCYCLIDINE HCL 00587362 Y

Parkinson disease PMS-PROCYCLIDINE 5MG TABLET PROCYCLIDINE HCL 00587354 Y

Parkinson disease PMS-ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02326590 Y

Parkinson disease PMS-ROPINIROLE 0.5MG TABLET ROPINIROLE HCL 02326604 Y

Parkinson disease PMS-ROPINIROLE 1MG TABLET ROPINIROLE HCL 02326612 Y

Parkinson disease PMS-ROPINIROLE 2MG TABLET ROPINIROLE HCL 02326620 Y

Parkinson disease PMS-ROPINIROLE 5MG TABLET ROPINIROLE HCL 02326639 Y

Parkinson disease PMS-SELEGILINE 5MG TABLET SELEGILINE HCL 02238102 Y

Parkinson disease PMS-TRIHEXYPHENIDYL 0.4MG/ML TRIHEXYPHENIDYL HCL 00885398 Y

Parkinson disease PMS-TRIHEXYPHENIDYL 2MG TABLET TRIHEXYPHENIDYL HCL 00726265 Y

Parkinson disease PMS-TRIHEXYPHENIDYL 5MG TABLET TRIHEXYPHENIDYL HCL 00726273 Y

Parkinson disease PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02344270 Y

Parkinson disease PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02325802 Y

Parkinson disease PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02336863 Y

Parkinson disease PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02344289 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 290

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Parkinson disease PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE-DI-HCL 02325810 Y

Parkinson disease PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02334607 Y

Parkinson disease PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02343000 Y

Parkinson disease PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE-DI-HCL 02325837 Y

Parkinson disease PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02334623 Y

Parkinson disease PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02344297 Y

Parkinson disease PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE-DI-HCL 02325829 Y

Parkinson disease PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02334615 Y

Parkinson disease PRO-LEVOCARB 100/10MG TABLET CARBIDOPA/LEVODOPA 02311151 Y

Parkinson disease PRO-LEVOCARB 100/25MG TABLET CARBIDOPA/LEVODOPA 02311178 Y

Parkinson disease PRO-LEVOCARB 250/25MG TABLET CARBIDOPA/LEVODOPA 02311186 Y

Parkinson disease PROLOPA 12.5/50 CAPSULE BENSERAZIDE HCL/LEVODOPA 00522597 Y

Parkinson disease PROLOPA 25/100 CAPSULE BENSERAZIDE HCL/LEVODOPA 00386464 Y

Parkinson disease PROLOPA 50/200 CAPSULE BENSERAZIDE HCL/LEVODOPA 00386472 Y

Parkinson disease RAN-ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02314037 Y

Parkinson disease RAN-ROPINIROLE 0.5MG TABLET ROPINIROLE HCL 02314045 Y

Parkinson disease RAN-ROPINIROLE 1MG TABLET ROPINIROLE HCL 02314053 Y

Parkinson disease RAN-ROPINIROLE 2MG TABLET ROPINIROLE HCL 02314061 Y

Parkinson disease RAN-ROPINIROLE 5MG TABLET ROPINIROLE HCL 02314088 Y

Parkinson disease RATIO-PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02288648 Y

Parkinson disease RATIO-PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02288656 Y

Parkinson disease RATIO-PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02288672 Y

Parkinson disease RATIO-PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02288664 Y

Parkinson disease REQUIP 0.25MG TABLET ROPINIROLE HCL 02232565 Y

Parkinson disease REQUIP 0.5MG TABLET ROPINIROLE HCL 02232566 Y

Parkinson disease REQUIP 1MG TABLET ROPINIROLE HCL 02232567 Y

Parkinson disease REQUIP 2MG TABLET ROPINIROLE HCL 02232568 Y

Parkinson disease REQUIP 5MG TABLET ROPINIROLE HCL 02232569 Y

Parkinson disease REQUIP SR-24 2MG TABLET ROPINIROLE HCL 02293692 Y

Parkinson disease REQUIP SR-24 3MG TABLET ROPINIROLE HCL 02293706 Y

Parkinson disease REQUIP SR-24 4MG TABLET ROPINIROLE HCL 02293714 Y

Parkinson disease REQUIP SR-24 8MG TABLET ROPINIROLE HCL 02293722 Y

Parkinson disease ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02345129 Y

Parkinson disease ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02353040 Y

Parkinson disease ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02332361 Y

Parkinson disease ROPINIROLE 0.5MG TABLET ROPINIROLE HCL 02332418 Y

Parkinson disease ROPINIROLE 1MG TABLET ROPINIROLE HCL 02345137 Y

Parkinson disease ROPINIROLE 1MG TABLET ROPINIROLE HCL 02353059 Y

Parkinson disease ROPINIROLE 1MG TABLET ROPINIROLE HCL 02332426 Y

Parkinson disease ROPINIROLE 2MG TABLET ROPINIROLE HCL 02345145 Y

Parkinson disease ROPINIROLE 2MG TABLET ROPINIROLE HCL 02353067 Y

Parkinson disease ROPINIROLE 2MG TABLET ROPINIROLE HCL 02332434 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 291

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Parkinson disease ROPINIROLE 5MG TABLET ROPINIROLE HCL 02345153 Y

Parkinson disease ROPINIROLE 5MG TABLET ROPINIROLE HCL 02353075 Y

Parkinson disease ROPINIROLE 5MG TABLET ROPINIROLE HCL 02332442 Y

Parkinson disease SANDOZ PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02315262 Y

Parkinson disease SANDOZ PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02315270 Y

Parkinson disease SANDOZ PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02315297 Y

Parkinson disease SANDOZ PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02315289 Y

Parkinson disease SELEGILINE 5MG TABLET SELEGILINE HCL 02238319 Y

Parkinson disease SELEGILINE-5 5MG TABLET SELEGILINE HCL 02231479 Y

Parkinson disease SIG-PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02346540 Y

Parkinson disease SIG-PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02346559 Y

Parkinson disease SIG-PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02346575 Y

Parkinson disease SIG-PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02346567 Y

Parkinson disease SIG-ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02346419 Y

Parkinson disease SIG-ROPINIROLE 1MG TABLET ROPINIROLE HCL 02346427 Y

Parkinson disease SIG-ROPINIROLE 2MG TABLET ROPINIROLE HCL 02346435 Y

Parkinson disease SIG-ROPINIROLE 5MG TABLET ROPINIROLE HCL 02346443 Y

Parkinson disease SINEMET 100/10 TABLET CARBIDOPA/LEVODOPA 00355658 Y

Parkinson disease SINEMET 100/25 TABLET CARBIDOPA/LEVODOPA 00513997 Y

Parkinson disease SINEMET 250 TABLET CARBIDOPA/LEVODOPA 00328219 Y

Parkinson disease SINEMET CR 25/100 TABLET SA CARBIDOPA/LEVODOPA 02028786 Y

Parkinson disease SINEMET CR 50/200 TABLET SA CARBIDOPA/LEVODOPA 00870935 Y

Parkinson disease STALEVO 200-100-25MG TABLET LEVODOPA/CARBIDOPA/ENTACAPONE02305941 Y

Parkinson disease STALEVO 200-125-31.25MG TABLET LEVODOPA/CARBIDOPA/ENTACAPONE02337835 Y

Parkinson disease STALEVO 200-150-37.5MG TABLET LEVODOPA/CARBIDOPA/ENTACAPONE02305968 Y

Parkinson disease STALEVO 200-50-12.5MG TABLET LEVODOPA/CARBIDOPA/ENTACAPONE02305933 Y

Parkinson disease STALEVO 200-75-18.75MG TABLET LEVODOPA/CARBIDOPA/ENTACAPONE02337827 Y

Parkinson disease SYMMETREL 100MG CAPSULE AMANTADINE HCL 01914006 Y

Parkinson disease SYMMETREL 50MG/5ML SYRUP AMANTADINE HCL 01913999 Y

Parkinson disease TRIHEXYPHEN 2MG TABLET TRIHEXYPHENIDYL HCL 00572802 Y

Parkinson disease TRIHEXYPHEN 5MG TABLET TRIHEXYPHENIDYL HCL 00572799 Y

Parkinson disease ZYM-PRAMIPEXOLE 0.25MG TABLET PRAMIPEXOLE DI-HCL 02338335 Y

Parkinson disease ZYM-PRAMIPEXOLE 0.5MG TABLET PRAMIPEXOLE DI-HCL 02338343 Y

Parkinson disease ZYM-PRAMIPEXOLE 1.5MG TABLET PRAMIPEXOLE DI-HCL 02338378 Y

Parkinson disease ZYM-PRAMIPEXOLE 1MG TABLET PRAMIPEXOLE DI-HCL 02338351 Y

Parkinson disease ZYM-ROPINIROLE 0.25MG TABLET ROPINIROLE HCL 02331306 Y

Parkinson disease ZYM-ROPINIROLE 0.5MG TABLET ROPINIROLE HCL 02331314 Y

Parkinson disease ZYM-ROPINIROLE 1MG TABLET ROPINIROLE HCL 02331322 Y

Parkinson disease ZYM-ROPINIROLE 2MG TABLET ROPINIROLE HCL 02331330 Y

Parkinson disease ZYM-ROPINIROLE 5MG TABLET ROPINIROLE HCL 02331349 Y

Rheumatoid Arthritis APO-LEFLUNOMIDE 10MG TABLET LEFLUNOMIDE 02256495 Y

Rheumatoid Arthritis APO-LEFLUNOMIDE 20MG TABLET LEFLUNOMIDE 02256509 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 292

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Rheumatoid Arthritis ARAVA 100MG FILM COATED TABLET LEFLUNOMIDE 02241890 Y

Rheumatoid Arthritis ARAVA 10MG FILM COATED TABLET LEFLUNOMIDE 02241888 Y

Rheumatoid Arthritis ARAVA 20MG FILM COATED TABLET LEFLUNOMIDE 02241889 Y

Rheumatoid Arthritis CIMZIA 200MG/ML SOLUTION CERTOLIZUMAB PEGOL 02331675 Y Y

Rheumatoid Arthritis DOM-LEFLUNOMIDE 10MG TABLET LEFLUNOMIDE 02309343 Y

Rheumatoid Arthritis DOM-LEFLUNOMIDE 20MG TABLET LEFLUNOMIDE 02309351 Y

Rheumatoid Arthritis ENBREL 25MG INJECTION ETANERCEPT 02242903 Y

Rheumatoid Arthritis ENBREL 50MG INJECTION ETANERCEPT 02274728 Y

Rheumatoid Arthritis ENBREL 50MG/ML INJ PREF SYR (ODB) ETANERCEPT 09857322 Y

Rheumatoid Arthritis ENBREL SURECLICK 50MG/ML SER ETANERCEPT 99100373 Y

Rheumatoid Arthritis HUMIRA 40MG/0.8ML PFS ADALIMUMAB 97799756 Y

Rheumatoid Arthritis HUMIRA (STYLO) 40MG INJ(PQ) ADALIMUMAB 99100385 Y

Rheumatoid Arthritis HUMIRA 40MG/0.8ML INJ SOL PREF PEN PK (ODB) ADALIMUMAB 09857327 Y

Rheumatoid Arthritis HUMIRA 40MG/0.8ML INJ SOL PREF SYR PK (ODB) ADALIMUMAB 09857326 Y

Rheumatoid Arthritis HUMIRA 40MG/0.8ML PEN ADALIMUMAB 97799757 Y

Rheumatoid Arthritis HUMIRA 40MG/0.8ML PFS INJ ADALIMUMAB 02258595 Y

Rheumatoid Arthritis KINERET 100MG/0.67ML PF SYRINGE ANAKINRA 02245913 Y

Rheumatoid Arthritis LEFLUNOMIDE 10MG TABLET LEFLUNOMIDE 02334119 Y

Rheumatoid Arthritis LEFLUNOMIDE 10MG TABLET LEFLUNOMIDE 02351668 Y

Rheumatoid Arthritis LEFLUNOMIDE 20MG TABLET LEFLUNOMIDE 02334127 Y

Rheumatoid Arthritis LEFLUNOMIDE 20MG TABLET LEFLUNOMIDE 02351676 Y

Rheumatoid Arthritis METHOTREXATE 25MG/ML INJECTION BP METHOTREXATE SODIUM 02333023 Y

Rheumatoid Arthritis METOJECT 10MG/ML INJECTION METHOTREXATE SODIUM 02304767 Y

Rheumatoid Arthritis METOJECT 10MG/ML INJ METHOTREXATE SODIUM 02320037 Y

Rheumatoid Arthritis METOJECT 15MG/1.5ML INJ METHOTREXATE SODIUM 02320045 Y

Rheumatoid Arthritis METOJECT 25MG/2.5ML INJ METHOTREXATE SODIUM 02320053 Y

Rheumatoid Arthritis METOJECT 7.5MG/0.75ML INJ METHOTREXATE SODIUM 02320029 Y

Rheumatoid Arthritis MYLAN-LEFLUNOMIDE 10MG TABLET LEFLUNOMIDE 02319225 Y

Rheumatoid Arthritis MYLAN-LEFLUNOMIDE 20MG TABLET LEFLUNOMIDE 02319233 Y

Rheumatoid Arthritis MYOCHRYSINE 10MG/ML AMPOULE GOLD SODIUM THIOMALATE 01927620 Y

Rheumatoid Arthritis MYOCHRYSINE 25MG/ML AMPOULE GOLD SODIUM THIOMALATE 01927612 Y

Rheumatoid Arthritis MYOCHRYSINE 50MG/ML AMPOULE GOLD SODIUM THIOMALATE 01927604 Y

Rheumatoid Arthritis NOVO-LEFLUNOMIDE 10MG TABLET LEFLUNOMIDE 02261251 Y

Rheumatoid Arthritis NOVO-LEFLUNOMIDE 20MG TABLET LEFLUNOMIDE 02261278 Y

Rheumatoid Arthritis NTP-LEFLUNOMIDE 10MG TABLET LEFLUNOMIDE 02346346 Y

Rheumatoid Arthritis NTP-LEFLUNOMIDE 20MG TABLET LEFLUNOMIDE 02346354 Y

Rheumatoid Arthritis NU-LEFLUNOMIDE 10MG TABLET LEFLUNOMIDE 02336138 Y

Rheumatoid Arthritis NU-LEFLUNOMIDE 20MG TABLET LEFLUNOMIDE 02336146 Y

Rheumatoid Arthritis ORENCIA 250MG INJECTION ABATACEPT 02282097 Y

Rheumatoid Arthritis PHL-LEFLUNOMIDE 10MG TABLET LEFLUNOMIDE 02309327 Y

Rheumatoid Arthritis PHL-LEFLUNOMIDE 20MG TABLET LEFLUNOMIDE 02309335 Y

Rheumatoid Arthritis PMS-LEFLUNOMIDE 10MG TABLET LEFLUNOMIDE 02288265 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 293

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Rheumatoid Arthritis PMS-LEFLUNOMIDE 20MG TABLET LEFLUNOMIDE 02288273 Y

Rheumatoid Arthritis REMICADE INJECTION INFLIXIMAB 02244016 Y

Rheumatoid Arthritis RIDAURA 3MG CAPSULE AURANOFIN 01916823 Y

Rheumatoid Arthritis SANDOZ-LEFLUNOMIDE 10MG TABLET LEFLUNOMIDE 02283964 Y

Rheumatoid Arthritis SANDOZ-LEFLUNOMIDE 20MG TABLET LEFLUNOMIDE 02283972 Y

Rheumatoid Arthritis SIMPONI (AUTOINJECTOR) 50MG/0.5ML INJECTION GOLIMUMAB 02324784 Y

Rheumatoid Arthritis SIMPONI (PRE-FILLED SYRINGE) 50MG/0.5ML INJECTION GOLIMUMAB 02324776 Y

Rheumatoid Arthritis SODIUM AUROTHIOMALATE 10MG/ML INJECTION GOLD SODIUM THIOMALATE 02245456 Y

Rheumatoid Arthritis SODIUM AUROTHIOMALATE 25MG/ML INJECTION GOLD SODIUM THIOMALATE 02245457 Y

Rheumatoid Arthritis SODIUM AUROTHIOMALATE 50MG/ML INJECTION GOLD SODIUM THIOMALATE 02245458 Y

Skin disorders A & D OINTMENT LANOLIN/PETROLATUM 02236577 Y

Skin disorders AA-CICLOPIROX 8% TOPICAL SOLUTION CICLOPIROX 02349086 Y

Skin disorders ABREVA 10% TOP CREAM DOCOSANOL 02245677 Y

Skin disorders ABSORBINE ARTHRITIS STRENGTH LIQUID CAPSICUM/MENTHOL 02230614 Y

Skin disorders ABSORBINE JUNIOR LINIMENT MENTHOL/CHLOROXYLENOL 01942301 Y

Skin disorders ABSORBINE JUNIOR XSTR LINIMENT MENTHOL/CHLOROXYLENOL 01942271 Y

Skin disorders ACCUTANE 10MG CAPSULE ISOTRETINOIN 00582344 Y

Skin disorders ACCUTANE 40MG CAPSULE ISOTRETINOIN 00582352 Y

Skin disorders ACNE-AID SOAP SOAP 00187607 Y

Skin disorders ACTIFLEX PAIN RELIEF RUB TROLAMINE SALICYLATE 02246102 Y

Skin disorders ACTIVE CONTROL SHAMPOO PYRITHIONE ZINC 02282003 Y

Skin disorders ACZONE 5% GEL DAPSONE 02281074 Y

Skin disorders ADASEPT 0.5% LIQUID TRICLOSAN 00266507 Y

Skin disorders ALLERGY CREAM DIPHENHYDRAMINE HCL/ZINC ACETATE02246391 Y

Skin disorders ALTARGO 1% OINTMENT RETAPAMULIN 02307502 Y

Skin disorders AMEVIVE 15MG/0.5ML IM ALEFACEPT 02259052 Y Y

Skin disorders AMEVIVE 7.5MG/0.5ML IV ALEFACEPT 02258986 Y Y

Skin disorders ANTHRAFORTE 1 OINTMENT 1% DITHRANOL 00566756 Y

Skin disorders ANTHRAFORTE 2 OINTMENT 2% DITHRANOL 00566748 Y

Skin disorders ANTHRANOL 0.1% CREAM DITHRANOL 00537594 Y

Skin disorders ANTHRANOL 0.2% CREAM DITHRANOL 00537608 Y

Skin disorders ANTHRASCALP 0.4% LOTION DITHRANOL 00695351 Y

Skin disorders ANTIBIOTIC CREAM FOR KIDS GRAMCIDIN 02315033 Y

Skin disorders ANTIBIOTIC OINTMENT BACITRACIN/POLYMYXIN B SULFATE02283425 Y

Skin disorders ANTIBIOTIC OINTMENT USP BACITRACIN ZINC/POLYMIXIN B SULFATE02230251 Y

Skin disorders ANTIBIOTIC PLUS PAIN RELIEF CREAM GRAMCIDIN/LIDOCAINE HCL 02304457 Y

Skin disorders ANTIBIOTIQUE ONGUENT BACITRACIN/POLYMYXIN B SULFATE00792217 Y

Skin disorders ANTI-ITCH CREAM DIPHENHYDRAMINE HCL 02247560 Y

Skin disorders APO-CICLOPIROX 8% TOPICAL SOLUTION CICLOPIROX 02298953 Y

Skin disorders ARISTOCORT C 0.5% CREAM TRIAMCINOLONE ACETONIDE 02194066 Y

Skin disorders ARISTOCORT R 0.1% CREAM TRIAMCINOLONE ACETONIDE 02194058 Y

Skin disorders ARISTOCORT R 0.1% OINTMENT TRIAMCINOLONE ACETONIDE 02194031 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 294

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Skin disorders ARTRIKOR ANALGESIC CREAM EUCALYP OIL/CAPSI/MENTH/CAMPH02240443 Y

Skin disorders ASPERCREME 10% RUB TROLAMINE SALICYLATE 02074710 Y

Skin disorders ATHLETE'S FOOT 1% GEL TOLNAFTATE 01918826 Y

Skin disorders AVEENO ANTI-ITCH CREAM PRAMOXIN HCL/CAMPHOR/CALAMINE02240104 Y

Skin disorders AVEENO ANTI-ITCH LOTION CALAMINE/PRAMOXINE 02240105 Y

Skin disorders AVEENO BAR COMBINATION SKIN OATS 02241418 Y

Skin disorders AVEENO BAR DRY SKIN COLLOIDAL OATMEAL 02241419 Y

Skin disorders AVEENO BATH & SHOWER OIL MINERAL OIL/OATS 02241417 Y

Skin disorders AVEENO DIAPER RASH CREAM ZINC OXIDE 02242393 Y

Skin disorders BACIGUENT FIRST AID OINTMENT BACITRACIN 02229955 Y

Skin disorders BACIMYXIN OINTMENT BACITRACIN/POLYMYXIN B SULFATE00876488 Y

Skin disorders BACITIN 500U/GM OINTMENT BACITRACIN 00584908 Y

Skin disorders BACITRACINE 500 IU OINTMENT BACITRACIN ZINC 02333562 Y

Skin disorders BACTIGRAS 0.5% DRESSING CHLORHEXIDINE ACETATE 00433497 Y

Skin disorders BACTROBAN 2% CREAM MUPIROCIN CALCIUM 02239757 Y

Skin disorders BACTROBAN 2% OINTMENT MUPIROCIN CALCIUM 01916947 Y

Skin disorders BALNETAR 2.5% LIQUID COAL TAR/LANOLIN 01908855 Y

Skin disorders BAND-AID BRAND ANTI-ITCH GEL CAMPHOR 02242498 Y

Skin disorders BAND-AID BRAND ANTI-ITCH SPRAY CAMPHOR 02244074 Y

Skin disorders BARRIERE 20% CREAM DIMETHICONE 02060841 Y

Skin disorders BARRIERE-HC 1% CREAM HYDROCORTISONE/DIMETHICONE 02086034 Y

Skin disorders BAXEDIN 0.05% LIQUID CHLORHEXIDINE GLUCONATE 00788422 Y

Skin disorders BAXEDIN 2% - 70% CHLORHEXIDINE/ISOPROPYL ALCOHOL02251477 Y

Skin disorders BAXEDIN 20% SOLUTION CHLORHEXIDINE GLUCONATE 00658413 Y

Skin disorders BAXEDIN 5% SOLUTION CHLORHEX GL/ISOPROPYL ALCOHOL01936441 Y

Skin disorders BAZA PROTECT ZINC OXIDE 02240756 Y

Skin disorders BENADRYL 2% CREAM DIPHENHYDRAMINE HCL 02019701 Y

Skin disorders BENADRYL SPRAY DIPHENHYDRAMINE HCL/ZINC ACETATE02280876 Y

Skin disorders BENGAY ICE EXTRA STRENGTH CREAM MENTHOL 02241251 Y

Skin disorders BENGAY MUSCLE PAIN NO ODOUR TROLAMINE SALICYLATE 02230266 Y

Skin disorders BENZACLIN 1% TOPICAL GEL BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE02248472 Y

Skin disorders BENZAMYCIN GEL ERYTHROMYCIN BASE/BENZ PEROXIDE02225271 Y

Skin disorders BETADERM 0.05% CREAM BETAMETHASONE VALERATE 00716618 Y

Skin disorders BETADERM 0.05% OINTMENT BETAMETHASONE VALERATE 00716642 Y

Skin disorders BETADERM 0.1% CREAM BETAMETHASONE VALERATE 00716626 Y

Skin disorders BETADERM 0.1% OINTMENT BETAMETHASONE VALERATE 00716650 Y

Skin disorders BETADERM 0.1% SCALP LOTION BETAMETHASONE VALERATE 00716634 Y

Skin disorders BETADINE 5% AEROSOL SPRAY POVIDONE-IODINE 00158305 Y

Skin disorders BIODERM OINTMENT BACITRACIN/POLYMYXIN B SULFATE00621366 Y

Skin disorders BIOFREEZE GEL CAMPHOR/MENTHOL 02237710 Y

Skin disorders BLISTEX LIP OINTMENT ALLANTOIN/CAMPHOR/PHENOL 00704229 Y

Skin disorders BOROPAK POWDER FOR SOLUTION AL SULFATE/CA ACETATE 01952013 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 295

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Skin disorders CALADRYL LOTION CALAMINE/PRAMOXINE 02238744 Y

Skin disorders CALAMINE ANTIHISTAMINE LOTION DIPHENHYDRAMINE HCL/CALAMINE00538493 Y

Skin disorders CALAMINE LOTION WITH ANTIHISTAMINE DIPHENHYDRAMINE HCL/CALAMINE02246696 Y

Skin disorders CALCIUM GLUCONATE 2.5% GEL CALCIUM GLUCONATE 00003033 Y

Skin disorders CALMAPIC TOPICAL LIQUID AMMONIUM HYDROXIDE/PEPPERMINT OIL02240564 Y

Skin disorders CALMOSEPTINE OINTMENT CALAMINE/ZINC OXIDE 02226774 Y

Skin disorders CANDISTATIN TOPICAL POWDER NYSTATIN 02195704 Y

Skin disorders CANESTEN 1% EXTERNAL CREAM CLOTRIMAZOLE 02239432 Y

Skin disorders CANESTEN 1% TOPICAL CREAM CLOTRIMAZOLE 02150867 Y

Skin disorders CANESTEN EXTERNAL CREAM CLOTRIMAZOLE 02311720 Y

Skin disorders CANTHACUR 0.7% LIQUID CANTHARIDIN 00589497 Y

Skin disorders CANTHARONE 0.7% LIQUID CANTHARIDIN 00619035 Y

Skin disorders CAPEX SHAMPOO FLUOCINOLONE ACETONIDE 02242738 Y

Skin disorders CHLORHEXIDINE GLUCONATE SOL CHLORHEXIDINE GLUCONATE 02053632 Y

Skin disorders CICATRIN POWDER NEOMY SULF/BACITRAC ZN/AM AC 00666173 Y

Skin disorders CLARITIN SKIN ITCH RELIEF CREAM HYDROCORTISONE ACETATE 02243691 Y

Skin disorders CLARUS 10MG CAPSULE ISOTRETINOIN 02257955 Y

Skin disorders CLARUS 40MG CAPSULE ISOTRETINOIN 02257963 Y

Skin disorders CLEAN & CLEAR FOAMING FACIAL CLEANSER TRICLOSAN 02237962 Y

Skin disorders CLEAR ANTI-ITCH LOTION PRAMOXINE HCL/ZINC ACETATE 02244180 Y

Skin disorders CLINDASOL 1% CREAM SPF 15 CLINDAMYCIN/SPF 02242970 Y

Skin disorders CLINDA-T 1% TOPICAL SOLUTION CLINDAMYCIN PHOSPHATE 02243659 Y

Skin disorders CLINDETS PLEDGETS 1% PADS CLINDAMYCIN PHOSPHATE 02243050 Y

Skin disorders CLINDOXYL 1% TOPICAL GEL BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE02243158 Y

Skin disorders CLINIC VITAMIN E OINTMENT VITAMIN E 00790257 Y

Skin disorders CLOBEX 0.05% LOTION CLOBETASOL PROPIONATE 02256398 Y

Skin disorders CLOBEX 0.05% SHAMPOO CLOBETASOL PROPIONATE 02256371 Y

Skin disorders CLOBEX 0.05% SPRAY CLOBETASOL PROPIONATE 02299739 Y

Skin disorders CLOTRIMADERM 1% CREAM CLOTRIMAZOLE 00812382 Y

Skin disorders CLOTRIMADERM TOPICAL SOLUTION 1% USP 10MG/ML CLOTRIMAZOLE 02236746 Y

Skin disorders CLOTRIMAZOLE 1% TOPICAL CREAM CLOTRIMAZOLE 02229380 Y

Skin disorders CORTATE 0.5% CREAM HYDROCORTISONE 00513288 Y

Skin disorders CORTATE 0.5% LOTION HYDROCORTISONE 00513253 Y

Skin disorders CORTATE 0.5% OINTMENT HYDROCORTISONE 00513261 Y

Skin disorders CORTATE 1% CREAM HYDROCORTISONE 00502200 Y

Skin disorders CORTATE 1% OINTMENT HYDROCORTISONE 00502197 Y

Skin disorders CORTISPORIN OINTMENT NEOMYCIN/BACITRA/POLYMYXIN/HC00666246 Y

Skin disorders CORTODERM 1% OINTMENT HYDROCORTISONE 00716693 Y

Skin disorders CREME ANALGESIQUE EXTRA-PUISSANT SANS ODEUR TROLAMINE SALICYLATE 02239967 Y

Skin disorders CRITIC-AID CLEAR PETROLATUM WHITE 02277778 Y

Skin disorders CUTIVATE 0.05% CREAM FLUTICASONE PROPIONATE 02213680 Y

Skin disorders CUTIVATE 0.05% CREAM FLUTICASONE PROPIONATE 02089912 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 296

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Skin disorders CUTIVATE 0.05% OINTMENT FLUTICASONE PROPIONATE 02213699 Y

Skin disorders CUTIVATE 0.05% OINTMENT FLUTICASONE PROPIONATE 02090015 Y

Skin disorders CYCLOCORT 0.1% CREAM AMCINONIDE 02192284 Y

Skin disorders CYCLOCORT 0.1% LOTION AMCINONIDE 02192276 Y

Skin disorders CYCLOCORT 0.1% OINTMENT AMCINONIDE 02192268 Y

Skin disorders CYESTRA-35 2MG/35MCG TABLET CYPROTERONE/ETHINYL ESTRADIOL02290308 Y

Skin disorders DALACIN T 1% SOLUTION CLINDAMYCIN PHOSPHATE 00582301 Y

Skin disorders DAN GARD 2% SHAMPOO PYRITHIONE ZINC 00507415 Y

Skin disorders DANDRUFF SHAMPOO PYRITHIONE ZINC 02250632 Y

Skin disorders DANDRUFF SHAMPOO PYRITHIONE ZINC 02250640 Y

Skin disorders DAN-TAR PLUS SHAMPOO PYRITHIONE DISULFIDE/COAL TAR00550434 Y

Skin disorders DEEP COLD PAIN PATCH MENTHOL 02230489 Y

Skin disorders DENAVIR 1% CREAM PENCICLOVIR 02238848 Y

Skin disorders DENOREX EVERYDAY STRENGTH SHAMPOO PYRITHIONE ZINC 02248083 Y

Skin disorders DENOREX EXTRA STR SHAMPOO COAL TAR/MENTHOL/CHLOROXYLENOL01932446 Y

Skin disorders DENOREX EXTRA STRENGTH MEDICATED SHAMPOO COAL TAR/CHLOROXYLENOL/MENTHOL02285703 Y

Skin disorders DENOREX EXTRA STRENGTH MEDICATED SHAMPOO W/CONDITIONERS SHAMPOOCOAL TAR/MENTHOL/CHLOROXYLENOL02106299 Y

Skin disorders DENOREX EXTRA STRENGTH MEDICATED SHAMPOO WITH CONDITIONERSCOAL TAR/CHLOROXYLENOL/MENTHOL02285711 Y

Skin disorders DENOREX MEDICATED SHAMPOO COAL TAR/MENTHOL/CHLOROXYLENOL01931237 Y

Skin disorders DENOREX MEDICATED SHAMPOO COAL TAR/MENTHOL/CHLOROXYLENOL01931245 Y

Skin disorders DENOREX MEDICATED SHAMPOO COAL TAR/MENTHOL/CHLOROXYLENOL01942379 Y

Skin disorders DERMAFLEX 10% CREAM UREA 00508500 Y

Skin disorders DERMAFLEX 20 UREA 20% CREAM UREA 00781266 Y

Skin disorders DERMAFLEX HC 1% -1 HYDROCORTISONE ACETATE 00681989 Y

Skin disorders DERMAFLEX HC 1% LOTION HYDROCORTISONE ACETATE 00681997 Y

Skin disorders DERMAGRAN II 0.25% OINT HYDROPHILIC OINTMENT 02221470 Y

Skin disorders DERMAGRAN II 1MG/ML SPRAY ZINC CHLORIDE 02221489 Y

Skin disorders DERMAREST DIRCORT TOPICAL 0.5% HYDROCORTISONE 02060345 Y

Skin disorders DERMAREST PLUS - GEL DIPHENHYDRAMINE/MENTHOL 02226626 Y

Skin disorders DERMA-SMOOTHE/FS 0.01% OIL FLUOCINOLONE ACETONIDE 00873292 Y

Skin disorders DERMATOP 0.1% OINTMENT PREDNICARBATE 02227517 Y

Skin disorders DERMATOP EMOLLIENT CREAM 1MG/G PREDNICARBATE 02230642 Y

Skin disorders DERMAZINC 0.25% SPRAY PYRITHIONE ZINC 02238407 Y

Skin disorders DERMOTIC OIL 0.01% EAR DROPS FLUOCINOLONE ACETONIDE 02300559 Y

Skin disorders DERMOVATE 0.05% CREAM CLOBETASOL PROPIONATE 02213265 Y

Skin disorders DERMOVATE 0.05% OINTMENT CLOBETASOL PROPIONATE 02213273 Y

Skin disorders DERMOVATE SCALP 0.05% LOTION CLOBETASOL PROPIONATE 02213281 Y

Skin disorders DESITIN DIAPER RASH OINT COD LIVER OIL/ZINC OXIDE 01942417 Y

Skin disorders DESOCORT 0.05% CREAM DESONIDE 02048639 Y

Skin disorders DESOCORT 0.05% LOTION DESONIDE 02115514 Y

Skin disorders DESOCORT 0.05% OINTMENT DESONIDE 02115522 Y

Skin disorders DETTOL LIQUID CHLOROXYLENOL 00373435 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 297

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Skin disorders DEXEDIN 20 SOLUTION CHLORHEXIDINE GLUCONATE 00832030 Y

Skin disorders DEXIDIN 0.5 SOLUTION CHLORHEXIDINE/ISOPROPYL ALCOHOL02240680 Y

Skin disorders DEXIDIN 2 SOLUTION CHLORHEXIDINE GLUCONATE 02238982 Y

Skin disorders DEXIDIN 2% LIQUID CHLORHEXIDINE GLUCONATE 00832138 Y

Skin disorders DEXIDIN 4% LIQUID CHLORHEXIDINE GLUCONATE 00832111 Y

Skin disorders DIANE-35 2MG/35MCG TABLET CYPROTERONE/ETHINYL ESTRADIOL02233542 Y

Skin disorders DIMETHICONE MOISTURE BARRIER CREAM DIMETHICONE 02291584 Y

Skin disorders DIMETHICONE PROTECTANT DIMETHICONE 02301725 Y

Skin disorders DIOSPORIN OPH OINTMENT NEOMY SULF/BACITRACIN/POLYMYXIN B SULFATE02023792 Y

Skin disorders DIPROGEN CREAM GENTAM SULF/BETAMET DIPROP 00417262 Y

Skin disorders DIPROLENE 0.05% CREAM BETAMETHASONE DIPROPIONATE 00688622 Y

Skin disorders DIPROLENE 0.05% LOTION BETAMETHASONE DIPROPIONATE 00862975 Y

Skin disorders DIPROLENE 0.05% OINTMENT BETAMETHASONE DIPROPIONATE 00629367 Y

Skin disorders DIPROSALIC LOTION BETAMETHASONE/SALICYLIC ACID 00578428 Y

Skin disorders DIPROSALIC OINTMENT BETAMET DIPROP/SALICYLIC ACID00578436 Y

Skin disorders DIPROSONE 0.05% CREAM BETAMETHASONE DIPROPIONATE 00323071 Y

Skin disorders DIPROSONE 0.05% LOTION BETAMETHASONE DIPROPIONATE 00417246 Y

Skin disorders DIPROSONE 0.05% OINTMENT BETAMETHASONE DIPROPIONATE 00344923 Y

Skin disorders DOAK OIL 2% SOLUTION COAL TAR 00579955 Y

Skin disorders DOAK OIL FORTE 10% SOLUTION COAL TAR 00579971 Y

Skin disorders DOVOBET OINTMENT CALCIPOTRIOL/BETAMETHASONE 02244126 Y

Skin disorders DOVONEX 0.005% SCALP SOLN CALCIPOTRIENE 02194341 Y

Skin disorders DOVONEX 50MCG/GM CREAM CALCIPOTRIENE 02150956 Y

Skin disorders DOVONEX 50MCG/GM OINTMENT CALCIPOTRIENE 01976133 Y

Skin disorders DR. SCHOLL'S ATHLETE'S FOOT POWDER - 1% TOLNAFTATE 02220733 Y

Skin disorders DR. SCHOLL'S ATHLETE'S FOOT SPRAY POWDER TOLNAFTATE 01919245 Y

Skin disorders DR. SCHOLL'S CRACKED HEEL RELIEF CREAM BENZALKONIUM CHL/LIDOCAINE/UREA02245801 Y

Skin disorders DR. SCOLL'S ATHLETE FOOT CREAM 1% BUTENAFINE HCL 02231063 Y

Skin disorders DUAL ACTION 0.5% LIQ MOISTURIZER SALICYLIC ACID 02240447 Y

Skin disorders DUONALC E 47.5% SOLUTION ETHYL ALCOHOL/ISOPROPANOL 00490156 Y

Skin disorders DUONALC E MILD 20% SOLN ETHYL ALCOHOL/ISOPROPANOL 00656747 Y

Skin disorders EDAP OINTMENT VIT A D E 00388513 Y

Skin disorders ELIDEL 1% CREAM PIMECROLIMUS 02247238 Y

Skin disorders ELOCOM 0.1% CREAM MOMETASONE FUROATE 00851744 Y

Skin disorders ELOCOM 0.1% LOTION MOMETASONE FUROATE 00871095 Y

Skin disorders ELOCOM 0.1% OINTMENT MOMETASONE FUROATE 00851736 Y

Skin disorders EMO-CORT 1% CREAM HYDROCORTISONE 00192597 Y

Skin disorders EMO-CORT 1% LOTION HYDROCORTISONE 00192600 Y

Skin disorders EMO-CORT 2.5% CREAM HYDROCORTISONE 00595799 Y

Skin disorders EMO-CORT 2.5% LOTION HYDROCORTISONE 00595802 Y

Skin disorders EMO-CORT 2.5% SOLUTION HYDROCORTISONE 00641154 Y

Skin disorders EPISEC LOTION MINERAL OIL/PROPYLENE GLYCOL 00382302 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 298

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Skin disorders EPTICO CREAM CAMPHOR/ZINC OXIDE 00765228 Y

Skin disorders ERYSOL 2% GEL SPF15 ERYTHROMYCIN BASE/ETHANOL 02034506 Y

Skin disorders ESSAIM DANDRUFF SHAMPOO PYRITHIONE ZINC 02249944 Y

Skin disorders EUMOVATE 0.05% OINTMENT CLOBETASONE BUTYRATE 02214423 Y

Skin disorders EURAX 10% CREAM CROTAMITON 00623377 Y

Skin disorders EX STRENGTH ASPERCREME RUB TROLAMINE SALICYLATE 02074702 Y

Skin disorders EXOREX GEL 1 - EML-1% COAL TAR 02184672 Y

Skin disorders EXOREX GEL 2 - EML-2% COAL TAR 02184680 Y

Skin disorders EXT STRENGTH ANALGESIC CREAM CAMPHOR/EUC OIL/MENTHOL/METHYL SALICYLATE02099594 Y

Skin disorders EYE WASH 2.5% LIQUID BORIC ACID 00524468 Y

Skin disorders FINACEA 15% GEL AZELAIC ACID 02270811 Y

Skin disorders FLAMAZINE 1% CREAM SILVER SULFADIAZINE 00323098 Y

Skin disorders FLAMAZINE 1% CREAM- ODB 50G PK SILVER SULFADIAZINE 09854037 Y

Skin disorders FUCIDIN 2% CREAM FUSIDIC ACID 00586668 Y

Skin disorders FUCIDIN 2% OINTMENT FUSIDATE SODIUM 00586676 Y

Skin disorders FUCIDIN H CREAM FUSIDIC ACID/HC ACETATE 02238578 Y

Skin disorders FUNGICURE GEL TOLNAFTATE 02239066 Y

Skin disorders GARAMYCIN 0.1% CREAM GENTAMICIN SULFATE 00027928 Y

Skin disorders GARAMYCIN 0.1% OINTMENT GENTAMICIN SULFATE 00028371 Y

Skin disorders GERMI STAT 4% GEL CHLORHEXIDINE GLUCONATE 01930087 Y

Skin disorders GLENALGESIC BLUE GEL 2.0% MENTHOL 02035294 Y

Skin disorders GLENALGESIC FORTE OINTMENT CAMPHOR/EUCALYPTOL/MENTHOL/METHYLSALICYLATE00371882 Y

Skin disorders GOLD BOND EX STRENGTH MEDICATED BODY LOTION DIMETHICONE/MENTHOL 02237563 Y

Skin disorders GOLD BOND MEDICATED CREAM MENTHOL/ PRAMOXINE HCL 02236991 Y

Skin disorders GOLD BOND MEDICATED LTION DIMETHICONE/MENTHOL 02237526 Y

Skin disorders H&S DANDRUFF SHAMPOO PYRITHIONE ZINC 02239278 Y

Skin disorders HALOG 0.1% CREAM HALCINONIDE 02011921 Y

Skin disorders HALOG 0.1% OINTMENT HALCINONIDE 02010283 Y

Skin disorders HEAD & SHOULDERS INTENSIVE SOLUTIONS PYRITHIONE ZINC 02271966 Y

Skin disorders HERPLEX-D 0.1% LIQUID IDOXURIDINE 00001317 Y

Skin disorders HEXIFOAM 1% AEROSOL CHLORHEXIDINE GLUCONATE 00803677 Y

Skin disorders HEXIT 1 % LOTION LINDANE 02245872 Y

Skin disorders HEXIT 1% SHAMPOO LINDANE 00430617 Y

Skin disorders HIBICLENS ANTISEPTIC/ANTIMICROBIAL SKIN CLEANSER CHLORHEXIDINE GLUCONATE 02246091 Y

Skin disorders HIBIDIL 0.05% LIQUID CHLORHEXIDINE GLUCONATE 02020971 Y

Skin disorders HIBIDIL 0.05% LIQUID CHLORHEXIDINE GLUCONATE 02022192 Y

Skin disorders HIBISTAT GERMICIDAL HAND RINSE CHLORHEXIDINE/ISOPROPYL ALCOHOL02247683 Y

Skin disorders HYDERM 1% CREAM HYDROCORTISONE ACETATE 00716839 Y

Skin disorders HYDROCORTISONE ACETATE CREAM USP HYDROCORTISONE ACETATE 02242930 Y

Skin disorders HYDROPHIL OINTMENT UREA/HYDROPHILIC OINTMENT 00566810 Y

Skin disorders HYDROVAL 0.2% CREAM HYDROCORTISONE VALERATE 02242984 Y

Skin disorders HYDROVAL 0.2% OINTMENT HYDROCORTISONE VALERATE 02242985 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 299

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Skin disorders JOHNSON'S DIAPER RASH CREAM ZINC OXIDE 02245579 Y

Skin disorders JULIET-35 2MG/35MCG TABLET ETHINYLESTRADIOL/CYPROTERONE02290820 Y

Skin disorders KETODERM 2% CREAM KETOCONAZOLE 02245662 Y

Skin disorders KWELLADA-P CREME RINSE PERMETHRIN 02231480 Y

Skin disorders KWELLADA-P LOTION PERMETHRIN 02231348 Y

Skin disorders LAMISIL 1% CREAM TERBINAFINE HCL 02031094 Y

Skin disorders LAMISIL 1% SPRAY TERBINAFINE HCL 02238703 Y

Skin disorders LICE KILLING SHAMPOO PIPERONYL BUTOXIDE/PYRETHRINS02246779 Y

Skin disorders LIDEMOL 0.05% EMOLLIENT CRM FLUOCINONIDE 02163152 Y

Skin disorders LIDEX 0.05% CREAM FLUOCINONIDE 02161923 Y

Skin disorders LIDEX OINTMENT 0.05% FLUOCINONIDE 02161966 Y

Skin disorders LOCACORTEN VIOFORM CREAM CLIOQUINOL/FLUMETHASONE 00074462 Y

Skin disorders LOPROX 1% CREAM CICLOPIROX OLAMINE 02221802 Y

Skin disorders LOPROX 1% LOTION CICLOPIROX OLAMINE 02221810 Y

Skin disorders LOTION CALAMINE WITH ANTIHISTAMINE DIPHENHYDRAMINE HCL/CALAMINE02241462 Y

Skin disorders LOTRIDERM CREAM CLOTRIMAZOLE/BETAMET DIPROP 00611174 Y

Skin disorders LYDERM 0.05% CREAM FLUOCINONIDE 00716863 Y

Skin disorders LYDERM 0.05% GEL FLUOCINONIDE 02236997 Y

Skin disorders LYDERM 0.05% OINTMENT FLUOCINONIDE 02236996 Y

Skin disorders MARCORODEX LIQUID BENZETHONIUM CHLORIDE/PHENOXYETHANOL02229710 Y

Skin disorders MECCA OINTMENT CAMPHOR/ZINC OXIDE/PHENOL LIQ00587605 Y

Skin disorders MEDICATED ANALGESIC CREAM CAMPHOR/EUC OIL/MENTHOL/METHYL SALICYLATE02038196 Y

Skin disorders MEDICATED FOOT POWDER MENTHOL 02248506 Y

Skin disorders MEDI-WHITE PETROLEUM JELLY PETROLATUM WHITE 02267691 Y

Skin disorders METROCREAM 0.75% CREAM METRONIDAZOLE 02226839 Y

Skin disorders METROGEL 0.75% GEL METRONIDAZOLE 02092832 Y

Skin disorders METROGEL 1% GEL METRONIDAZOLE 02297809 Y

Skin disorders METROLOTION 0.75% LOTION METRONIDAZOLE 02248206 Y

Skin disorders MICATIN 2% CREAM MICONAZOLE NITRATE 02085852 Y

Skin disorders MICATIN 2% POWDER SPRAY MICONAZOLE NITRATE 02230304 Y

Skin disorders MOISTUREL CREAM DIMETHICONE/PETROLATUM WHITE01909142 Y

Skin disorders MOISTUREL LOTION DIMETHICONE/PETROLATUM WHITE01909169 Y

Skin disorders MONISTAT DERM 2% CREAM MICONAZOLE NITRATE 02126567 Y

Skin disorders MULTITAR PLUS SHAMPOO COAL/JUNIPER/PINE TAR /PYRITHIONE ZINC02240942 Y

Skin disorders MYCOSTATIN TOP PWR NYSTATIN 02004674 Y

Skin disorders MYLAN-CLOBETASOL 0.05% CREAM CLOBETASOL PROPIONATE 02024187 Y

Skin disorders MYLAN-CLOBETASOL 0.05% OINT CLOBETASOL PROPIONATE 02026767 Y

Skin disorders MYLAN-CLOBETASOL SCALP 0.05% LOT CLOBETASOL PROPIONATE 02216213 Y

Skin disorders MYOFLEX 10% REGULAR CREAM TROLAMINE SALICYLATE 02152827 Y

Skin disorders MYOFLEX DEEP THERAPY PATCH TROLAMINE SALICYLATE 02278510 Y

Skin disorders MYOFLEX MAXIMUM STRENGTH CREAM TROLAMINE SALICYLATE 02244573 Y

Skin disorders MYOFLEX ULTRA STRENGTH CREAM TROLAMINE SALICYLATE 02226014 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 300

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DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

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LEVEL 3

50%Prior Authorization

Skin disorders MYOFLEX XTRA 15% TROLAMINE SALICYLATE 02226022 Y

Skin disorders MYOFLEX XTRA ICE COLD GEL MENTHOL/TROLAMINE SALICYLATE02247270 Y

Skin disorders NEO-HC 2% CREAM HYDROCORTISONE ACETATE 00749834 Y

Skin disorders NEO-MEDROL ACNE LOTION NEO SUL/ME-PREDNIS ACET/AL/SUL00195057 Y

Skin disorders NEOSPORIN CREAM NEOMYCIN/GRAMICID D/POLYMYXIN00666203 Y

Skin disorders NEOSPORIN OINTMENT NEOMY SULF/BACITRA/POLYMYXIN B00666122 Y

Skin disorders NERISALIC OILY CREAM DIFLUCORTOLONE/SALICYLIC ACID02028719 Y

Skin disorders NERISONE 0.1% CREAM DIFLUCORTOLONE VALERATE 00587826 Y

Skin disorders NERISONE 0.1% OILY CREAM DIFLUCORTOLONE VALERATE 00587818 Y

Skin disorders NERISONE 0.1% OINTMENT DIFLUCORTOLONE VALERATE 00587834 Y

Skin disorders NEUTROGENA T/GEL EXTRA SHAMPOO COAL TAR 02238642 Y

Skin disorders NEUTROGENA TGEL 0.5% ITCH SHAMPOO COAL TAR 02241910 Y

Skin disorders NEUTROGENA TGEL 0.5% THER SHAMPOO COAL TAR 02240645 Y

Skin disorders NIX 1% CREME RINSE PERMETHRIN 00771368 Y

Skin disorders NIX DERMAL CREAM PERMETHRIN 02219905 Y

Skin disorders NIZORAL 2% CREAM KETOCONAZOLE 00703974 Y

Skin disorders NIZORAL 2% SHAMPOO KETOCONAZOLE 02182920 Y

Skin disorders NORITATE 1% CREAM METRONIDAZOLE 02156091 Y

Skin disorders NOVO-CLOBETASOL 0.05% CREAM CLOBETASOL PROPIONATE 02093162 Y

Skin disorders NOVO-CLOBETASOL 0.05% OINT CLOBETASOL PROPIONATE 02126192 Y

Skin disorders NOVO-CYPROTERONE/ETHINYL ESTRADIOL 2MG/35MCG TABLETCYPROTERONE/ETHINYL ESTRADIOL02309556 Y

Skin disorders NOVO-HYDROCORT 0.5% CREAM HYDROCORTISONE 00461911 Y

Skin disorders NOVO-HYDROCORT 1% CREAM HYDROCORTISONE 00461903 Y

Skin disorders NOXZEMA TRIPLE CLEAN ANTIBACTERIAL LATHERING CLEANSERTRICLOSAN 02244362 Y

Skin disorders NYADERM 100000U/GM CREAM NYSTATIN 00716871 Y

Skin disorders NYADERM 100000U/GM OINTMENT NYSTATIN 00716898 Y

Skin disorders ODANS LIQUOR CARBONIS DETERGENS COAL TAR 00358495 Y

Skin disorders OILATUM DERM SHOWER OIL MINERAL OIL 02034670 Y

Skin disorders OLUX-E 0.05% SPRAY CLOBETASOL PROPIONATE 02344408 Y

Skin disorders ONE STEP FOAMING HAND SANITIZER BENZALKONIUM CHLORIDE 02274027 Y

Skin disorders ONOX SOLUTION BORIC ACID/NACL/NA HEXA/NA NITR/ZNCL00468185 Y

Skin disorders ORABASE ORAL PASTE GELATIN/PECTIN/SODIUM CBMC 02035286 Y

Skin disorders ORONINE H OINTMENT 1% CHLORHEXIDINE 02092913 Y

Skin disorders ORTHORUB EUCALYPTOL/MENTHOL/METHYL SALICYLATE02230502 Y

Skin disorders OXSORALEN 1% LOTION METHOXSALEN 01907476 Y

Skin disorders OXSORALEN 10MG CAPSULE METHOXSALEN 01946374 Y

Skin disorders OXSORALEN-ULTRA 10MG GELCAP METHOXSALEN 00252654 Y

Skin disorders OZONOL ANTIBIOTICS PLUS OINTMENT BACITRACIN/LIDOCAINE/POLYMIXIN B SULFATE02236917 Y

Skin disorders PENLAC 8% TOPICAL SOLUTION CICLOPIROX 02250535 Y

Skin disorders PENNSAID 1.5% TOPICAL SOLUTION DICLOFENAC SODIUM 02247265 Y

Skin disorders PENTRAX 4.3% SHAMPOO COAL TAR 00740314 Y

Skin disorders PENTRAX GOLD SHAMPOO COAL TAR 00864706 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 301

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RAMQ**

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LEVEL 3

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Skin disorders PETROLATUM BLANC ONT USP PETROLATUM WHITE 00790516 Y

Skin disorders PHISOHEX 3% LIQUID HEXACHLOROPHENE 02017733 Y

Skin disorders PIN: FLAMAZINE 1% CREAM 20G PK SILVER SULFADIAZINE 00990318 Y

Skin disorders PIN:RESULTZ 50% TOPICAL SOLUTION ISOPROPYL MYRISTATE 09857292 Y

Skin disorders PITREX 1% CREAM TOLNAFTATE 00716928 Y

Skin disorders PMS-CHLORHEXSEPTIC 0.05% SL CHLORHEXIDINE GLUCONATE 02004992 Y

Skin disorders PMS-CLOBETASOL 0.05% CREAM CLOBETASOL PROPIONATE 02309521 Y

Skin disorders PMS-CLOBETASOL 0.05% CRM CLOBETASOL PROPIONATE 02232191 Y

Skin disorders PMS-CLOBETASOL 0.05% LIQUID CLOBETASOL PROPIONATE 02232195 Y

Skin disorders PMS-CLOBETASOL 0.05% OINTMENT CLOBETASOL PROPIONATE 02309548 Y

Skin disorders PMS-CLOBETASOL 0.05% ONT CLOBETASOL PROPIONATE 02232193 Y

Skin disorders PMS-CLOTRIMAZOLE-BETAMETHASONE CREAM CLOTRIMAZOLE/BETAMET DIPROP 02244766 Y

Skin disorders PMS-DESONIDE 0.05% CREAM DESONIDE 02229315 Y

Skin disorders PMS-DESONIDE 0.05% OINT DESONIDE 02229323 Y

Skin disorders PMS-GENTAMICIN 0.1% OINT GENTAMICIN SULFATE 00872881 Y

Skin disorders PMS-LINDANE 1% LOTION LINDANE 00703591 Y

Skin disorders PMS-LINDANE 1% SHAMPOO LINDANE 00703605 Y

Skin disorders PMS-MOMETASONE 0.1% CREAM MOMETASONE FUROATE 02244767 Y

Skin disorders PMS-MOMETASONE 0.1% LOTION MOMETASONE FUROATE 02244768 Y

Skin disorders PMS-MOMETASONE 0.1% OINTMENT MOMETASONE FUROATE 02270862 Y

Skin disorders PMS-MOMETASONE 0.1% OINTMENT MOMETASONE FUROATE 02244769 Y

Skin disorders POLYDERM OINTMENT BACITRACIN/POLYMYXIN B SULFATE02181908 Y

Skin disorders POLYSPORIN ANTIBIOTIC CREAM GRAMICIDIN D/POLYMYX B SULF 02230844 Y

Skin disorders POLYSPORIN ANTIBIOTIC OINTMENT GRAMCIDIN/POLYMYXIN SULFATE 02237227 Y

Skin disorders POLYSPORIN COMPLETE OINTMENT GRAMICIDIN/POLYMYXIN B/BACITRACIN/LIDOCAINE02240568 Y

Skin disorders POLYSPORIN FOR KIDS CREAM GRAMCIDIN/LIDOCAINE/POLYMYXIN02248189 Y

Skin disorders POLYSPORIN ITCH RELIEF LOTION PRAMOXINE HCL/ZINC ACETATE 02246156 Y

Skin disorders POLYSPORIN PLUS PAIN RELIEF CREAM GRAMCIDIN/LIDOCAINE/POLYMYXIN02239201 Y

Skin disorders POLYSPORIN TRIPLE ANTIBIOTIC OINTMENT BACITRACIN/GRAMCIDIN/POLYMYXIN B02237226 Y

Skin disorders POLYTAR AF SHAMPOO SAL ACID/PYRITH DISULF/C-T/MEN01981021 Y

Skin disorders POLYTAR MILD SHAMPOO COAL TAR/JUNIPER TAR/PINE TAR 00419133 Y

Skin disorders POLYTAR SHAMPOO COAL TAR/JUNIPER TAR/PINE TAR 00249866 Y

Skin disorders POLYTOPIC CREAM GRAMICIDIN D/POLYMYX B SULF 00422908 Y

Skin disorders POLYTOPIC OINTMENT BACITRACIN/POLYMYXIN B SULFATE01942921 Y

Skin disorders PRAMEGEL 1% GEL PRAMOXINE HCL/MENTHOL 00740284 Y

Skin disorders PREVEX 67% CREAM PETROLATUM WHITE 00635189 Y

Skin disorders PREVEX B 0.1% CREAM BETAMETHASONE VALERATE 00804541 Y

Skin disorders PREVEX HC 1% CREAM HYDROCORTISONE 00804533 Y

Skin disorders PRONTO LICE KILLING SHAMPOO PIPERONYL BUTOXIDE/PYRETHRUM02229642 Y

Skin disorders PROPADERM 0.025% CREAM BECLOMETHASONE DIPROPIONATE02089602 Y

Skin disorders PROSHIELDS PLUS DIMETHICONE 02256975 Y

Skin disorders PROTOPIC 0.03% OINTMENT TACROLIMUS 02244149 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 302

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LEVEL 2

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RAMQ**

68%

LEVEL 3

50%Prior Authorization

Skin disorders PROTOPIC 0.1% OINTMENT TACROLIMUS 02244148 Y

Skin disorders PROVON MEDICATED LOTION SOAP WITH CHLOROXYLENOL CHLOROXYLENOL 02241647 Y

Skin disorders PSORIASIN TOPICAL GEL COAL TAR 02240152 Y

Skin disorders R AND C SHAMPOO PIPERONYL BUTOXIDE/PYRETHRINS02125447 Y

Skin disorders RAN-ISOTRETINOIN 10MG CAPSULE ISOTRETINOIN 02309173 Y

Skin disorders RAPTIVA 150MG VIAL EFALIZUMAB 02272504 Y Y

Skin disorders RATIO-AMCINONIDE 0.1% CREAM AMCINONIDE 02247098 Y

Skin disorders RATIO-AMCINONIDE 0.1% LOTION AMCINONIDE 02247097 Y

Skin disorders RATIO-AMCINONIDE 0.1% OINTMENT AMCINONIDE 02247096 Y

Skin disorders RATIO-CLOBETASOL 0.05% CREAM CLOBETASOL PROPIONATE 01910272 Y

Skin disorders RATIO-CLOBETASOL 0.05% LOTION CLOBETASOL PROPIONATE 01910299 Y

Skin disorders RATIO-CLOBETASOL 0.05% OINTMENT CLOBETASOL PROPIONATE 01910280 Y

Skin disorders RATIO-ECTOSONE 0.05% MILD CREAM BETAMETHASONE VALERATE 00535427 Y

Skin disorders RATIO-ECTOSONE 0.05% MILD LOTION BETAMETHASONE VALERATE 00653209 Y

Skin disorders RATIO-ECTOSONE 0.1% CREAM BETAMETHASONE VALERATE 00535435 Y

Skin disorders RATIO-ECTOSONE 0.1% LOTION BETAMETHASONE VALERATE 00750050 Y

Skin disorders RATIO-ECTOSONE 0.1% SCALP LOTION BETAMETHASONE VALERATE 00653217 Y

Skin disorders RATIO-GENTAMYCIN 0.1% CREAM GENTAMICIN SULFATE 00805386 Y

Skin disorders RATIO-GENTAMYCIN 0.1% OINTMENT GENTAMICIN SULFATE 00805025 Y

Skin disorders RATIO-MOMETASONE 0.1% OINTMENT MOMETASONE FUROATE 02248130 Y

Skin disorders RATIO-NYSTATIN 100000U/GM CREAM NYSTATIN 02194236 Y

Skin disorders RATIO-NYSTATIN 100000U/GM OINTMENT NYSTATIN 02194228 Y

Skin disorders RATIO-TOPILENE 0.05% CREAM BETAMETHASONE DIPROPIONATE 00849650 Y

Skin disorders RATIO-TOPILENE 0.05% LOTION BETAMETHASONE DIPROPIONATE 01927914 Y

Skin disorders RATIO-TOPILENE 0.05% OINTMENT BETAMETHASONE DIPROPIONATE 00849669 Y

Skin disorders RATIO-TOPISALIC LOTION BETAMETHASONE/SALICYLIC ACID 02245688 Y

Skin disorders RATIO-TOPISONE 0.05% CREAM BETAMETHASONE DIPROPIONATE 00804991 Y

Skin disorders RATIO-TOPISONE 0.05% LOTION BETAMETHASONE DIPROPIONATE 00809187 Y

Skin disorders RATIO-TOPISONE 0.05% OINTMENT BETAMETHASONE DIPROPIONATE 00805009 Y

Skin disorders RATIO-TRIACOMB 0.1% CREAM NEO/GRAMICID D/NYSTAT/TRIAMCIN00550507 Y

Skin disorders REGRANEX 100MCG/G TOP GEL BECAPLERMIN 02239405 Y

Skin disorders REIM:RAPTIVA 150MG VIAL EFALIZUMAB 92272504 Y

Skin disorders RESULTZ 50% TOPICAL SOLUTION ISOPROPYL MYRISTATE 02279592 Y

Skin disorders RETIN-A 0.05% CREAM TRETINOIN 00443794 Y

Skin disorders RIVASONE 0.1% SCALP LOTION BETAMETHASONE VALERATE 01940112 Y

Skin disorders RODAN & FIELDS PROACTIV SOLUTION: GENTLE FORMULA ANTIDANDRUFF SHPYRITHIONE ZINC 02248021 Y

Skin disorders ROLENE 0.05% CREAM BETAMETHASONE DIPROPIONATE 02122073 Y

Skin disorders ROLENE 0.05% LOTION BETAMETHASONE DIPROPIONATE 02122030 Y

Skin disorders ROLENE 0.05% LOTION BETAMETHASONE DIPROPIONATE 02122065 Y

Skin disorders ROLENE 0.05% POMMADE BETAMETHASONE DIPROPIONATE 02122081 Y

Skin disorders ROSASOL 10MG/G CREAM METRONIDAZOLE 02242919 Y

Skin disorders ROSONE 0.05% CREAM BETAMETHASONE DIPROPIONATE 02122049 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 303

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LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Skin disorders ROSONE 0.05% POMMADE BETAMETHASONE DIPROPIONATE 02122057 Y

Skin disorders ROUGIER VAP-CHLORHEXIDINE GLUCONATE 2% W/V CHLORHEXIDINE GLUCONATE 02279134 Y

Skin disorders RUB A-535 CAPSAICIN GEL CAPSAICIN 02237102 Y

Skin disorders RUB A-535 NO ODOUR FORMULA OINTMENT TROLAMINE SALICYLATE 02222132 Y

Skin disorders SANDOZ IDOXURIDINE 0.1% TOP'L SOLUTION IDOXURIDINE 02237187 Y

Skin disorders SANTYL OINTMENT COLLAGENASE 02063670 Y

Skin disorders SARNA HC 1% LOTION HYDROCORTISONE 00578541 Y

Skin disorders SARNA HC 2.5% LOTION HYDROCORTISONE 00856711 Y

Skin disorders SARNA-P LOTION PRAMOXINE HCL/MENTHOL/CAMPHOR00874825 Y

Skin disorders SAVLODIL 1/100 SOLUTION CHLORHEXIDINE GLUCONATE/CETRIMIDE02020998 Y

Skin disorders SAVLODIL LIQ (SINGLE USE) CHLORHEXIDINE GLUCONATE/CETRIMIDE02022206 Y

Skin disorders SBS 40 MEDICATED SKIN CREAM ALLANTOIN/CHLOROXYLENOL 02208164 Y

Skin disorders SCABANCA LOTION BENZOCAINE/BENZYL BENZOATE 00604445 Y

Skin disorders SELSUN BLUE 1% CONDITION SHAMPOO SELENIUM SULFIDE 00709069 Y

Skin disorders SELSUN BLUE 1% SHAMPOO SELENIUM SULFIDE 00483796 Y

Skin disorders SELSUN BLUE 1% SHAMPOO DRY HAIR SELENIUM SULFIDE 01951653 Y

Skin disorders SENSITIVE SKIN FACIAL 0.5% ASTRINGENT SALICYLIC ACID 02240449 Y

Skin disorders SILKIS OINTMENT CALCITRIOL 02338572 Y

Skin disorders SOFRAMYCIN OINTMENT FRAMYCETIN SULFATE/GRAMICID D02224879 Y

Skin disorders SOFRA-TULLE DRESS 10 X 10CM FRAMYCETIN SULFATE 01988840 Y

Skin disorders SOFRA-TULLE DRESS 10X30CM FRAMYCETIN SULFATE 01987682 Y

Skin disorders SOLARCAINE STOP ITCH FIRST AID LOTION PAPAIN 01935763 Y

Skin disorders SOLU-I.V. CHG-ALCOHOL CHLORHEXIDINE/ISOP ALCOHOL 02240356 Y

Skin disorders SOLUNET MOUSSE (CHLORHEXIDINE 4%) CHLORHEXIDINE 02083884 Y

Skin disorders SORIATANE 10MG CAPSULE ACITRETIN 02070847 Y

Skin disorders SORIATANE 25MG CAPSULE ACITRETIN 02070863 Y

Skin disorders SOROPON SHAMPOO TYROTHRICIN/TRIETHANOLAMINE 00158380 Y

Skin disorders SPECTRO ECZEMACARE MEDICATED CREAM CLOBETASONE BUTYRATE 02214415 Y

Skin disorders SPECTRO GRAM 2 2% SOAP CHLORHEXIDINE GLUCONATE 00758485 Y

Skin disorders SPRAYZINC PYRITHIONE ZINC 02274760 Y

Skin disorders SPROAM 0.1% LIQUID BENZETHONIUM CHLORIDE 02245903 Y

Skin disorders SSD 1% CREAM SILVER SULFADIAZINE 02170310 Y

Skin disorders STANHEXIDINE 2%/ISOPROP 4% CHLORHEX GL/ISOPROPYL ALCOHOL01938991 Y

Skin disorders STANHEXIDINE 4%/ISOPROP 4% CHLORHEX GL/ISOPROPYL ALCOHOL01938983 Y

Skin disorders STELARA 45MG/0.5ML INJECTION USTEKINUMAB 02320673 Y Y

Skin disorders STEREX PLUS CREAM HC/SALICYLIC ACID/C-T/SULFUR 00449768 Y

Skin disorders STEREX PLUS LOTION HC/SALICYLIC ACID/C-T/SULFUR 00456403 Y

Skin disorders STIEPROX 1.5% SHAMPOO CICLOPIROX OLAMINE 02247228 Y

Skin disorders STIEVA-A 0.05% CREAM TRETINOIN 00518182 Y

Skin disorders STIEVAMYCIN FORTE GEL ERYTHROMYCIN BASE/TRETINOIN 01945262 Y

Skin disorders STIEVAMYCIN GEL ERYTHROMYCIN BASE/TRETINOIN 01905112 Y

Skin disorders STIEVAMYCIN MILD GEL ERYTHROMYCIN BASE/TRETINOIN 02015994 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 304

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CANADA POST CORPORATION

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80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Skin disorders SULFACET-R LOTION SULFACETAMIDE SODIUM/SULFUR 02220407 Y

Skin disorders SULFAMYLON 8.5% CREAM MAFENIDE ACETATE 02215802 Y

Skin disorders SULFAMYLON 8.5% CREAM MAFENIDE ACETATE 01912941 Y

Skin disorders SYNALAR 0.01% OINTMENT FLUOCINOLONE ACETONIDE 02162520 Y

Skin disorders SYNALAR 0.01% SOLUTION FLUOCINOLONE ACETONIDE 02162504 Y

Skin disorders SYNALAR 0.025% OINTMENT FLUOCINOLONE ACETONIDE 02162512 Y

Skin disorders SYNTHETIC WINTERGREEN OIL METHYL SALICYLATE 00399612 Y

Skin disorders T/GEL DAILY CONTROL PYRITHIONE ZINC 02251140 Y

Skin disorders T/GEL DAILY CONTROL 2 IN 1 PYRITHIONE ZINC 02251159 Y

Skin disorders TAR DISTILLATE 100% SOLN COAL TAR 00579963 Y

Skin disorders TARGEL ODAN 10% GEL COAL TAR 00344508 Y

Skin disorders TARO-AMCINONIDE 0.1% CREAM AMCINONIDE 02246714 Y

Skin disorders TARO-AMCINONIDE 0.1% OINTMENT AMCINONIDE 02257416 Y

Skin disorders TARO-BACITRACIN 500U/G OINT BACITRACIN 02094754 Y

Skin disorders TARO-CICLOPIROX 8% TOPICAL SOLUTION CICLOPIROX 02353288 Y

Skin disorders TARO-CLINDAMYCIN 1% SOLUTION CLINDAMYCIN PHOSPHATE 02266938 Y

Skin disorders TARO-CLOBETASOL 0.05% CREAM CLOBETASOL PROPIONATE 02245523 Y

Skin disorders TARO-CLOBETASOL 0.05% OINTMENT CLOBETASOL PROPIONATE 02245524 Y

Skin disorders TARO-CLOBETASOL 0.05% TOPICAL SOLUTION CLOBETASOL PROPIONATE 02245522 Y

Skin disorders TARO-MOMETASONE 0.1% LOTION MOMETASONE FUROATE 02266385 Y

Skin disorders TARO-MOMETASONE 0.1% OINTMENT MOMETASONE FUROATE 02264749 Y

Skin disorders TARO-MUPIROCIN 2% OINTMENT MUPIROCIN CALCIUM 02279983 Y

Skin disorders TARO-SONE 0.05% CREAM BETAMETHASONE DIPROPIONATE 01925350 Y

Skin disorders TARO-SONE 0.05% LOTION BETAMETHASONE DIPROPIONATE 01944444 Y

Skin disorders TAZORAC 0.05% CREAM TAZAROTENE 02243894 Y

Skin disorders TAZORAC 0.05% GEL TAZAROTENE 02230784 Y

Skin disorders TAZORAC 0.1% CREAM TAZAROTENE 02243895 Y

Skin disorders TAZORAC 0.1% GEL TAZAROTENE 02230785 Y

Skin disorders TERSASEPTIC 0.5% LIQUID TRICLOSAN 00632317 Y

Skin disorders TERSA-TAR 3% SHAMPOO COAL TAR 00632309 Y

Skin disorders TERSA-TAR MILD 1% SHAMPOO COAL TAR 00632295 Y

Skin disorders THERAPAIN 6% ROLL ON MENTHOL 02177412 Y

Skin disorders THERAPAIN 6% TOPICAL MENTHOL 02131110 Y

Skin disorders TIAMOL 0.05% CREAM FLUOCINONIDE 00598933 Y

Skin disorders TINACTIN 1% AEROSOL POWDER TOLNAFTATE 00576050 Y

Skin disorders TINACTIN 1% CREAM TOLNAFTATE 00576034 Y

Skin disorders TINACTIN 1% POWDER TOLNAFTATE 00576042 Y

Skin disorders TINACTIN 1% SOLUTION TOLNAFTATE 00576026 Y

Skin disorders TINACTIN ONCE-A-DAY CREAM TOLNAFTATE 02244312 Y

Skin disorders TINACTIN PUMP SPRAY TOLNAFTATE 02243064 Y

Skin disorders TINCTURE OF IODINE 5% C.F. IODINE/POTASSIUM IODIDE 02136546 Y

Skin disorders TOLNAFTATE ANTIFUNGAL CREAM TOLNAFTATE 02244939 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 305

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Skin disorders TOPACTIN 0.05% EMOLL CREAM FLUOCINONIDE 02240269 Y

Skin disorders TOPACTIN 0.05% EMOLL CREAM FLUOCINONIDE 00816132 Y

Skin disorders TOPICORT 0.05% GEL DESOXIMETASONE 02221926 Y

Skin disorders TOPICORT 0.25% CREAM DESOXIMETASONE 02221896 Y

Skin disorders TOPICORT 0.25% OINTMENT DESOXIMETASONE 02221934 Y

Skin disorders TOPICORT MILD 0.05% CREAM DESOXIMETASONE 02221918 Y

Skin disorders TOPSYN 0.05 % GEL FLUOCINONIDE 02161974 Y

Skin disorders TRIADERM 0.025% CREAM TRIAMCINOLONE ACETONIDE 00716952 Y

Skin disorders TRIADERM 0.1% CREAM TRIAMCINOLONE ACETONIDE 00716960 Y

Skin disorders TRIAMALONE PIXCREAM TRIAMCINOLONE ACETONIDE/C-T 00192627 Y

Skin disorders TRIDESILON 0.05% CREAM DESONIDE 02154862 Y

Skin disorders TRIDESILON 0.05% OINTMENT DESONIDE 02154870 Y

Skin disorders TRIPLE ANTIBIOTIC OINTMENT BACITRACIN/GRAMCIDIN/POLYMYXIN B02248818 Y

Skin disorders TRIPLE ANTIBIOTIC OINTMENT BACITRACIN/GRAMCIDIN/POLYMYXIN B02246693 Y

Skin disorders TRULY DANDRUFF SHAMPOO PYRITHIONE ZINC 02252074 Y

Skin disorders ULTRA MOP 1% LOTION METHOXSALEN 00698059 Y

Skin disorders ULTRAMOP 10MG CAPSULE METHOXSALEN 00646237 Y

Skin disorders ULTRAVATE 0.05% CREAM HALOBETASOL PROPIONATE 01962701 Y

Skin disorders ULTRAVATE 0.05% OINTMENT HALOBETASOL PROPIONATE 01962728 Y

Skin disorders UREA UREA 00901865 Y

Skin disorders UREE 20 20% CREAM UREA 02048574 Y

Skin disorders UREMOL HC CREAM HYDROCORTISONE ACETATE/UREA00503134 Y

Skin disorders UREMOL HC LOTION HYDROCORTISONE ACETATE/UREA00560022 Y

Skin disorders VALISONE 0.1% SCALP LOTION BETAMETHASONE VALERATE 00027944 Y

Skin disorders VALISONE-G CREAM GENTAMICIN SULFATE/BETAMET VAL00177016 Y

Skin disorders VALISONE-G OINTMENT GENTAMICIN SULFATE/BETAMET VAL00232351 Y

Skin disorders VAPORIZING COLDS RUB - ONT EUCALYPTUS/MENTHOL/CAMPHOR 02123061 Y

Skin disorders VASELINE PETROLEUM JELLY PETROLATUM WHITE 00365351 Y

Skin disorders VERDESO 0.05% SPRAY DESONIDE 02348489 Y

Skin disorders VIADERM K.C. CREAM NEO/GRAMICID D/NYSTAT/TRIAMCIN00717002 Y

Skin disorders VIADERM K.C. OINTMENT NEO/GRAMICID D/NYSTAT/TRIAMCIN00717029 Y

Skin disorders VI-MEDIN 0.5% POWDER BENZETHONIUM CHLORIDE 02047357 Y

Skin disorders VIOFORM HYDROCORTISONE CRM CLIOQUINOL/HYDROCORTISONE 00074500 Y

Skin disorders VITAMIN A ACID 0.05% CREAM TRETINOIN 01926519 Y

Skin disorders VITAMIN E A &D CREAM VITAMIN A D AND E 00420468 Y

Skin disorders VITAMIN E ONT 30UNIT/GM VITAMIN E 00612863 Y

Skin disorders VOLTAREN 1.16% EMULGEL DICLOFENAC DIETHYLAMINE 02290375 Y

Skin disorders VOLTAREN EMULGEL- JOINT PAIN 1.16% DICLOFENAC DIETHYLAMINE 02338580 Y

Skin disorders WEBBER ANTIBIOTIC OINTMENT TYROTH/PLYMX B SU/BENZ/MEN/CAM01910914 Y

Skin disorders WESTCORT 0.2% OINTMENT HYDROCORTISONE VALERATE 01910132 Y

Skin disorders WHITE PETROLEUM JELLY PETROLATUM WHITE 00263249 Y

Skin disorders WHITE PETROLEUM JELLY BP PETROLATUM WHITE 00600679 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 306

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Skin disorders WHITE PETROLEUM JELLY U.S.P. PETROLATUM WHITE 02239087 Y

Skin disorders WHITE PETROLEUM JELLY USP OINTMENT PETROLATUM WHITE 00741515 Y

Skin disorders XAMIOL GEL BETAMETHASONE DIPROPIONATE/CALCIPOTRIOL MONOHYDRATE02319012 Y

Skin disorders XOLEGEL 2% GEL KETOCONAZOLE 02292661 Y

Skin disorders X-SEB PLUS CONDITION SHAMPOO SALICYLIC ACID/PYRITHIONE ZINC00866598 Y

Skin disorders ZEASORB AF MEDICATED POWDER TOLNAFTATE 02029081 Y

Skin disorders ZEASORB MEDICATED POWDER CHLOROXYLENOL 00237213 Y

Skin disorders ZETAR SHAMPOO COAL TAR 00903450 Y

Skin disorders ZINC ZAP 0.2% SPRAY PYRITHIONE ZINC 02242702 Y

Skin disorders ZINC ZAP CREAM PYRITHIONE ZINC 02247517 Y

Skin disorders ZINC ZAP SHAMPOO PYRITHIONE ZINC 02246392 Y

Skin disorders ZINCODERM 40% OINTMENT ZINC OXIDE 02138786 Y

Skin disorders ZINCOFAX 15% OINTMENT ZINC OXIDE 02239162 Y

Skin disorders ZINCOFAX EXTRA STRENGTH OINTMENT ZINC OXIDE 02239160 Y

Skin disorders ZNP 2% BAR PYRITHIONE ZINC 00752177 Y

Skin disorders ZONALON 5% CREAM DOXEPIN HCL 02142147 Y

Skin disorders ZOVIRAX 5% CREAM ACYCLOVIR 02039524 Y

Skin disorders ZOVIRAX 5% OINT - 4G PRICE /G ACYCLOVIR 00999080 Y

Skin disorders ZOVIRAX 5% OINTMENT - 15G ACYCLOVIR 00983950 Y

Skin disorders ZOVIRAX 5% OINTMENT - 30G ACYCLOVIR 00569771 Y

Skin disorders Z-PLUS SHAMPOO PYRITHIONE ZINC/MENTHOL 00800686 Y

Smoking cessation* CHAMPIX 0.5MG TABLET VARENICLINE TARTRATE 02291177 Y

Smoking cessation* CHAMPIX 1MG TABLET VARENICLINE TARTRATE 02291185 Y

Smoking cessation* CHAMPIX INITIAL DOSING PACK VARENICLINE TARTRATE 02298309 Y

Smoking cessation* PROSTEP 11MG/24HR PATCH NICOTINE 02057735 Y

Smoking cessation* PROSTEP 22MG/24HR PATCH NICOTINE 02057743 Y

Smoking cessation* THRIVE 2MG GUM NICOTINE 80000396 Y

Smoking cessation* THRIVE 4MG GUM NICOTINE 80000402 Y

Smoking cessation* ZYBAN 150MG SR TABLET BUPROPION HCL 02238441 Y

Stress/Sedation* ALPRAZOLAM 0.25MG TABLET ALPRAZOLAM 02349191 Y

Stress/Sedation* ALPRAZOLAM 0.25MG TABLET ALPRAZOLAM 02287277 Y

Stress/Sedation* ALPRAZOLAM 0.5MG TABLET ALPRAZOLAM 02349205 Y

Stress/Sedation* ALPRAZOLAM 0.5MG TABLET ALPRAZOLAM 02287315 Y

Stress/Sedation* ALPRAZOLAM 1MG TABLET ALPRAZOLAM 02248706 Y

Stress/Sedation* ALPRAZOLAM 1MG TABLET ALPRAZOLAM 02287323 Y

Stress/Sedation* ALPRAZOLAM 2MG TABLET ALPRAZOLAM 02287331 Y

Stress/Sedation* ALPRAZOLAM 2MG TS TABLET ALPRAZOLAM 02248707 Y

Stress/Sedation* ALPRAZOLAM-0.25 0.25MG TABLET ALPRAZOLAM 01908189 Y

Stress/Sedation* ALPRAZOLAM-0.5 0.5MG TABLET ALPRAZOLAM 01908170 Y

Stress/Sedation* ALTI-ALPRAZOLAM 2MG TABLET ALPRAZOLAM 02018187 Y

Stress/Sedation* ALTI-NITRAZEPAM 5MG TABLET NITRAZEPAM 02200961 Y

Stress/Sedation* APO-ALPRAZ 0.25MG TABLET ALPRAZOLAM 00865397 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 307

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Stress/Sedation* APO-ALPRAZ 0.5MG TABLET ALPRAZOLAM 00865400 Y

Stress/Sedation* APO-ALPRAZ 1MG TABLET ALPRAZOLAM 02243611 Y

Stress/Sedation* APO-ALPRAZ 2MG TS TABLET ALPRAZOLAM 02243612 Y

Stress/Sedation* APO-BROMAZEPAM 1.5MG TABLET BROMAZEPAM 02177153 Y

Stress/Sedation* APO-BROMAZEPAM 3MG TABLET BROMAZEPAM 02177161 Y

Stress/Sedation* APO-BROMAZEPAM 6MG TABLET BROMAZEPAM 02177188 Y

Stress/Sedation* APO-BUSPIRONE 10MG TABLET BUSPIRONE HCL 02211076 Y

Stress/Sedation* APO-BUSPIRONE 5MG TABLET BUSPIRONE HCL 02211068 Y

Stress/Sedation* APO-CHLORDIAZEPOXIDE 10MG CHLORDIAZEPOXIDE HCL 00522988 Y

Stress/Sedation* APO-CHLORDIAZEPOXIDE 25MG CHLORDIAZEPOXIDE HCL 00522996 Y

Stress/Sedation* APO-CHLORDIAZEPOXIDE 5MG CAPSULE CHLORDIAZEPOXIDE HCL 00522724 Y

Stress/Sedation* APO-CLOBAZAM 10MG TABLET CLOBAZAM 02244638 Y

Stress/Sedation* APO-DIAZEPAM 10MG TABLET DIAZEPAM 00405337 Y

Stress/Sedation* APO-DIAZEPAM 2MG TABLET DIAZEPAM 00405329 Y

Stress/Sedation* APO-DIAZEPAM 5MG TABLET DIAZEPAM 00362158 Y

Stress/Sedation* APO-LORAZEPAM 0.5MG TABLET LORAZEPAM 00655740 Y

Stress/Sedation* APO-LORAZEPAM 1MG TABLET LORAZEPAM 00655759 Y

Stress/Sedation* APO-LORAZEPAM 2MG TABLET LORAZEPAM 00655767 Y

Stress/Sedation* APO-NITRAZEPAM 10MG TABLET NITRAZEPAM 02245231 Y

Stress/Sedation* APO-NITRAZEPAM 5MG TABLET NITRAZEPAM 02245230 Y

Stress/Sedation* APO-OXAZEPAM 10MG TABLET OXAZEPAM 00402680 Y

Stress/Sedation* APO-OXAZEPAM 15MG TABLET OXAZEPAM 00402745 Y

Stress/Sedation* APO-OXAZEPAM 30MG TABLET OXAZEPAM 00402737 Y

Stress/Sedation* ATIVAN 0.5MG TABLET LORAZEPAM 02041413 Y

Stress/Sedation* ATIVAN 0.5MG TABLET SL LORAZEPAM 02041456 Y

Stress/Sedation* ATIVAN 1MG TABLET LORAZEPAM 02041421 Y

Stress/Sedation* ATIVAN 1MG TABLET SL LORAZEPAM 02041464 Y

Stress/Sedation* ATIVAN 2MG TABLET LORAZEPAM 02041448 Y

Stress/Sedation* ATIVAN 2MG TABLET SL LORAZEPAM 02041472 Y

Stress/Sedation* BIO-DIAZEPAM 10MG TABLET DIAZEPAM 02247176 Y

Stress/Sedation* BIO-DIAZEPAM 2MG TABLET DIAZEPAM 02247173 Y

Stress/Sedation* BIO-DIAZEPAM 5MG TABLET DIAZEPAM 02247174 Y

Stress/Sedation* BIO-OXAZEPAM 10MG TABLET OXAZEPAM 02247177 Y

Stress/Sedation* BIO-OXAZEPAM 15MG TABLET OXAZEPAM 02247178 Y

Stress/Sedation* BIO-OXAZEPAM 30MG TABLET OXAZEPAM 02247179 Y

Stress/Sedation* BROMAZEPAM 1.5MG TABLET BROMAZEPAM 02220512 Y

Stress/Sedation* BROMAZEPAM 3MG TABLET BROMAZEPAM 02220520 Y

Stress/Sedation* BROMAZEPAM 6MG TABLET BROMAZEPAM 02220539 Y

Stress/Sedation* BUSPAR 10MG TABLET BUSPIRONE HCL 00603821 Y

Stress/Sedation* BUSPAR 5MG TABLET BUSPIRONE HCL 00603813 Y

Stress/Sedation* BUSPIRONE 10MG TABLET BUSPIRONE HCL 02223163 Y

Stress/Sedation* BUSPIRONE 5MG TABLET BUSPIRONE HCL 02223155 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 308

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Stress/Sedation* CHLORDIAZEPOXIDE 10MG CAPSULE CHLORDIAZEPOXIDE HCL 00156590 Y

Stress/Sedation* CHLORDIAZEPOXIDE 5MG CAPSULE CHLORDIAZEPOXIDE HCL 00363596 Y

Stress/Sedation* CHLORDIAZEPOXYDE 25MG CAPSULE CHLORDIAZEPOXIDE HCL 00434426 Y

Stress/Sedation* CLOBAZAM 10MG TABLET CLOBAZAM 02248454 Y

Stress/Sedation* CLORAZEPATE 15MG CAPSULE CLORAZEPATE DIPOTASSIUM 00860697 Y

Stress/Sedation* CLORAZEPATE 3.75MG CAPSULE CLORAZEPATE DIPOTASSIUM 00860689 Y

Stress/Sedation* CLORAZEPATE 7.5MG CAPSULE CLORAZEPATE DIPOTASSIUM 00860700 Y

Stress/Sedation* CO-BUSPIRONE 5MG TABLET BUSPIRONE HCL 02262908 Y

Stress/Sedation* CO-BUSPRONE 10MG TABLET BUSPIRONE HCL 02262916 Y

Stress/Sedation* DIAZEPAM 10 10MG TABLET DIAZEPAM 00434388 Y

Stress/Sedation* DIAZEPAM 2 2MG TABLET DIAZEPAM 00434396 Y

Stress/Sedation* DIAZEPAM 5 5MG TABLET DIAZEPAM 00313580 Y

Stress/Sedation* DIAZEPAM 5MG/ML AMPOULE DIAZEPAM 00399728 Y

Stress/Sedation* DOM-BUSPIRONE 10MG TABLET BUSPIRONE HCL 02232564 Y

Stress/Sedation* DOM-CLOBAZAM 10MG TABLET CLOBAZAM 02247230 Y

Stress/Sedation* DOM-LORAZEPAM 0.5MG TABLET LORAZEPAM 02245784 Y

Stress/Sedation* DOM-LORAZEPAM 1MG TABLET LORAZEPAM 02245785 Y

Stress/Sedation* DOM-LORAZEPAM 2MG TABLET LORAZEPAM 02245786 Y

Stress/Sedation* DOM-OXAZEPAM 10MG TABLET OXAZEPAM 02253968 Y

Stress/Sedation* DOM-OXAZEPAM 15MG TABLET OXAZEPAM 02253976 Y

Stress/Sedation* DOM-OXAZEPAM 30MG TABLET OXAZEPAM 02253984 Y

Stress/Sedation* FRISIUM 10MG TABLET CLOBAZAM 02221799 Y

Stress/Sedation* GEN-BROMAZEPAM 1.5MG TABLET BROMAZEPAM 02192705 Y

Stress/Sedation* GEN-BROMAZEPAM 3MG TABLET BROMAZEPAM 02192713 Y

Stress/Sedation* GEN-BROMAZEPAM 6MG TABLET BROMAZEPAM 02192721 Y

Stress/Sedation* GMD-BUSPIRONE 10MG TABLET BUSPIRONE HCL 02252899 Y

Stress/Sedation* LECTOPAM 3MG TABLET BROMAZEPAM 00518123 Y

Stress/Sedation* LECTOPAM 6MG TABLET BROMAZEPAM 00518131 Y

Stress/Sedation* LIN-BUSPIRONE 5MG TABLET BUSPIRONE HCL 02176114 Y

Stress/Sedation* LORAZEPAM 0.5MG TABLET LORAZEPAM 02351072 Y

Stress/Sedation* LORAZEPAM 1MG TABLET LORAZEPAM 02351080 Y

Stress/Sedation* LORAZEPAM 2MG TABLET LORAZEPAM 02351099 Y

Stress/Sedation* LOREXAN 1MG TABLET LORAZEPAM 02280477 Y

Stress/Sedation* LOREXAN 2MG TABLET LORAZEPAM 02280485 Y

Stress/Sedation* MED ALPRAZOLAM 0.25MG TABLET ALPRAZOLAM 02237264 Y

Stress/Sedation* MED ALPRAZOLAM 0.5MG TABLET ALPRAZOLAM 02237265 Y

Stress/Sedation* MED ALPRAZOLAM 1MG TABLET ALPRAZOLAM 02237266 Y

Stress/Sedation* MED ALPRAZOLAM 2MG TABLET ALPRAZOLAM 02237267 Y

Stress/Sedation* MED BUSPIRONE 10MG TABLET BUSPIRONE HCL 02237268 Y

Stress/Sedation* MED-BROMAZEPAM 1.5MG TABLET BROMAZEPAM 02230666 Y

Stress/Sedation* MED-BROMAZEPAM 3MG TABLET BROMAZEPAM 02230667 Y

Stress/Sedation* MED-BROMAZEPAM 6MG TABLET BROMAZEPAM 02230668 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 309

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Stress/Sedation* MOGADON 10MG TABLET NITRAZEPAM 00511536 Y

Stress/Sedation* MOGADON 5MG TABLET NITRAZEPAM 00511528 Y

Stress/Sedation* MYLAN-ALPRAZOLAM 0.25MG TABLET ALPRAZOLAM 02137534 Y

Stress/Sedation* MYLAN-ALPRAZOLAM 0.5MG TABLET ALPRAZOLAM 02137542 Y

Stress/Sedation* MYLAN-ALPRAZOLAM 1MG TABLET ALPRAZOLAM 02229813 Y

Stress/Sedation* MYLAN-ALPRAZOLAM 2MG TABLET ALPRAZOLAM 02229814 Y

Stress/Sedation* MYLAN-BUSPIRONE 10MG TABLET BUSPIRONE HCL 02230874 Y

Stress/Sedation* NITRAZADON 10MG NITRAZEPAM 02229655 Y

Stress/Sedation* NITRAZADON 5MG NITRAZEPAM 02229654 Y

Stress/Sedation* NITRAZEPAM 10MG TABLET NITRAZEPAM 02255588 Y

Stress/Sedation* NITRAZEPAM 5MG TABLET NITRAZEPAM 02255561 Y

Stress/Sedation* NOVO-ALPRAZOL 0.25MG TABLET ALPRAZOLAM 01913484 Y

Stress/Sedation* NOVO-ALPRAZOL 0.5MG TABLET ALPRAZOLAM 01913492 Y

Stress/Sedation* NOVO-BROMAZEPAM 3MG TABLET BROMAZEPAM 02230584 Y

Stress/Sedation* NOVO-BROMAZEPAM 6MG TABLET BROMAZEPAM 02230585 Y

Stress/Sedation* NOVO-BUSPIRONE 10MG TABLET BUSPIRONE HCL 02231492 Y

Stress/Sedation* NOVO-CLOBAZAM 10MG TABLET CLOBAZAM 02238334 Y

Stress/Sedation* NOVO-DIPAM 10MG TABLET DIAZEPAM 00272450 Y

Stress/Sedation* NOVO-DIPAM 2MG TABLET DIAZEPAM 00272434 Y

Stress/Sedation* NOVO-DIPAM 5MG TABLET DIAZEPAM 00272442 Y

Stress/Sedation* NOVO-LORAZEM 0.5MG TABLET LORAZEPAM 00711101 Y

Stress/Sedation* NOVO-LORAZEM 1MG TABLET LORAZEPAM 00637742 Y

Stress/Sedation* NOVO-LORAZEM 2MG TABLET LORAZEPAM 00637750 Y

Stress/Sedation* NTP-ALPRAZOLAM 0.25MG TABLET ALPRAZOLAM 02346990 Y

Stress/Sedation* NTP-ALPRAZOLAM 0.5MG TABLET ALPRAZOLAM 02347008 Y

Stress/Sedation* NTP-CLOBAZAM 10MG TABLET CLOBAZAM 02347598 Y

Stress/Sedation* NTP-LORAZEPAM 0.5MG TABLET LORAZEPAM 02347733 Y

Stress/Sedation* NTP-LORAZEPAM 1MG TABLET LORAZEPAM 02347741 Y

Stress/Sedation* NTP-LORAZEPAM 2MG TABLET LORAZEPAM 02347768 Y

Stress/Sedation* NU-ALPRAZ 0.25MG TABLET ALPRAZOLAM 01913239 Y

Stress/Sedation* NU-ALPRAZ 0.5MG TABLET ALPRAZOLAM 01913247 Y

Stress/Sedation* NU-BROMAZEPAM 1.5MG TABLET BROMAZEPAM 02171856 Y

Stress/Sedation* NU-BROMAZEPAM 3MG TABLET BROMAZEPAM 02171864 Y

Stress/Sedation* NU-BROMAZEPAM 6MG TABLET BROMAZEPAM 02171872 Y

Stress/Sedation* NU-BUSPIRONE 10MG TABLET BUSPIRONE HCL 02207672 Y

Stress/Sedation* NU-BUSPIRONE 5MG TABLET BUSPIRONE HCL 02207664 Y

Stress/Sedation* NU-LORAZ 0.5MG TABLET LORAZEPAM 00865672 Y

Stress/Sedation* NU-LORAZ 1MG TABLET LORAZEPAM 00865680 Y

Stress/Sedation* NU-LORAZ 2MG TABLET LORAZEPAM 00865699 Y

Stress/Sedation* OXAZEPAM 10MG TABLET OXAZEPAM 00497754 Y

Stress/Sedation* OXAZEPAM 15MG TABLET OXAZEPAM 00497762 Y

Stress/Sedation* OXAZEPAM 30MG TABLET OXAZEPAM 00497770 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 310

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Stress/Sedation* OXPAM 10MG TABLET OXAZEPAM 00414247 Y

Stress/Sedation* OXPAM 15MG TABLET OXAZEPAM 00414255 Y

Stress/Sedation* OXPAM 30MG TABLET OXAZEPAM 00414263 Y

Stress/Sedation* PENTA-BUSPIRONE 10MG TABLET BUSPIRONE HCL 02238613 Y

Stress/Sedation* PHL-LORAZEPAM 0.5MG TABLET LORAZEPAM 02298201 Y

Stress/Sedation* PHL-LORAZEPAM 1MG TABLET LORAZEPAM 02298228 Y

Stress/Sedation* PHL-LORAZEPAM 2MG TABLET LORAZEPAM 02298236 Y

Stress/Sedation* PHL-OXAZEPAM 10MG TABLET OXAZEPAM 02294079 Y

Stress/Sedation* PHL-OXAZEPAM 15MG TABLET OXAZEPAM 02294087 Y

Stress/Sedation* PHL-OXAZEPAM 30MG TABLET OXAZEPAM 02294095 Y

Stress/Sedation* PMS-BUSPIRONE 10MG TABLET BUSPIRONE HCL 02230942 Y

Stress/Sedation* PMS-BUSPIRONE 5MG TABLET BUSPIRONE HCL 02230941 Y

Stress/Sedation* PMS-CLOBAZAM 10MG TABLET CLOBAZAM 02244474 Y

Stress/Sedation* PMS-DIAZEPAM 10MG TABLET DIAZEPAM 02247492 Y

Stress/Sedation* PMS-DIAZEPAM 1MG/ML SOLN DIAZEPAM 00891797 Y

Stress/Sedation* PMS-DIAZEPAM 2MG TABLET DIAZEPAM 02247490 Y

Stress/Sedation* PMS-DIAZEPAM 5MG TABLET DIAZEPAM 02247491 Y

Stress/Sedation* PMS-LORAZEPAM 0.5MG TABLET LORAZEPAM 00728187 Y

Stress/Sedation* PMS-LORAZEPAM 1MG TABLET LORAZEPAM 00728195 Y

Stress/Sedation* PMS-LORAZEPAM 2MG TABLET LORAZEPAM 00728209 Y

Stress/Sedation* PRO-LORAZEPAM 0.5MG TABLET LORAZEPAM 00655643 Y

Stress/Sedation* PRO-LORAZEPAM 1MG TABLET LORAZEPAM 00655651 Y

Stress/Sedation* PRO-LORAZEPAM 2MG TABLET LORAZEPAM 00655678 Y

Stress/Sedation* RATIO-ALPRAZOLAM 1MG TABLET ALPRAZOLAM 02018179 Y

Stress/Sedation* RATIO-BUSPIRONE 10MG TABLET BUSPIRONE HCL 02237858 Y

Stress/Sedation* RATIO-CLOBAZAM 10MG TABLET CLOBAZAM 02238797 Y

Stress/Sedation* RIVA-ALPRAZOLAM 0.25MG TABLET ALPRAZOLAM 02242107 Y

Stress/Sedation* RIVA-ALPRAZOLAM 0.5MG TABLET ALPRAZOLAM 02242108 Y

Stress/Sedation* RIVA-BROMAZEPAM 3MG TABLET BROMAZEPAM 02242152 Y

Stress/Sedation* RIVA-BROMAZEPAM 6MG TABLET BROMAZEPAM 02242153 Y

Stress/Sedation* RIVA-BUSPIRONE 10MG TABLET BUSPIRONE HCL 02242149 Y

Stress/Sedation* RIVA-OXAZEPAM 10MG TABLET OXAZEPAM 00568392 Y

Stress/Sedation* RIVA-OXAZEPAM 15MG TABLET OXAZEPAM 00568406 Y

Stress/Sedation* RIVA-OXAZEPAM 30MG TABLET OXAZEPAM 00568414 Y

Stress/Sedation* SANDOZ-NITRAZEPAM 10MG TABLET NITRAZEPAM 02234007 Y

Stress/Sedation* SANDOZ-NITRAZEPAM 5MG TABLET NITRAZEPAM 02234003 Y

Stress/Sedation* TARO-ALPRAZOLAM 0.25MG TABLET ALPRAZOLAM 02083418 Y

Stress/Sedation* TARO-ALPRAZOLAM 0.5MG TABLET ALPRAZOLAM 02083426 Y

Stress/Sedation* VALIUM 5MG TABLET DIAZEPAM 00013285 Y

Stress/Sedation* VIVOL 10MG TABLET DIAZEPAM 00013773 Y

Stress/Sedation* VIVOL 5MG TABLET DIAZEPAM 00013765 Y

Stress/Sedation* XANAX 0.25MG TABLET ALPRAZOLAM 00548359 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 311

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Stress/Sedation* XANAX 0.5MG TABLET ALPRAZOLAM 00548367 Y

Stress/Sedation* XANAX 1MG TABLET ALPRAZOLAM 00723770 Y

Stress/Sedation* XANAX TS 2MG TABLET ALPRAZOLAM 00813958 Y

Thyroid & Glandular* ALTI-THYROXINE 0.05MG TABLET LEVOTHYROXINE SODIUM 02238896 Y

Thyroid & Glandular* ALTI-THYROXINE 0.15MG TABLET LEVOTHYROXINE SODIUM 02238898 Y

Thyroid & Glandular* ALTI-THYROXINE 0.1MG TABLET LEVOTHYROXINE SODIUM 02238897 Y

Thyroid & Glandular* ALTI-THYROXINE 0.2MG TABLET LEVOTHYROXINE SODIUM 02238899 Y

Thyroid & Glandular* ALTI-THYROXINE 0.3MG TABLET LEVOTHYROXINE SODIUM 02238900 Y

Thyroid & Glandular* ANDRIOL 40MG CAPSULE TESTOSTERONE UNDECANOATE 00782327 Y

Thyroid & Glandular* ANDRODERM 2.5MG PATCH TESTOSTERONE 02239653 Y

Thyroid & Glandular* ANDRODERM 5MG PATCH TESTOSTERONE 02245972 Y

Thyroid & Glandular* ANDROGEL 1% GEL-2.5G PK TESTOSTERONE 02245345 Y

Thyroid & Glandular* ANDROGEL 1% GEL-5G PK TESTOSTERONE 02245346 Y

Thyroid & Glandular* ANDROGEL 1% TOP'L GEL PUMP TESTOSTERONE 02249499 Y

Thyroid & Glandular* APO-DESMOPRESSIN 0.1MG TABLET DESMOPRESSIN ACETATE 02284030 Y

Thyroid & Glandular* APO-DESMOPRESSIN 0.2MG TABLET DESMOPRESSIN ACETATE 02284049 Y

Thyroid & Glandular* APX-DESMOPRESSIN 10MCG NASAL SPRAY DESMOPRESSIN ACETATE 02348209 Y

Thyroid & Glandular* CABERGOLINE 0.5MG TABLET CABERGOLINE 02344890 Y

Thyroid & Glandular* CO-CABERGOLINE 0.5MG TABLET CABERGOLINE 02301407 Y

Thyroid & Glandular* CYCLOMEN 100MG CAPSULE DANAZOL 02018152 Y

Thyroid & Glandular* CYCLOMEN 200MG CAPSULE DANAZOL 02018160 Y

Thyroid & Glandular* CYCLOMEN 50MG CAPSULE DANAZOL 02018144 Y

Thyroid & Glandular* CYTOMEL 25MCG TABLET LIOTHYRONINE SODIUM 01919466 Y

Thyroid & Glandular* CYTOMEL 5MCG TABLET LIOTHYRONINE SODIUM 01919458 Y

Thyroid & Glandular* DDAVP 0.1MG TABLET DESMOPRESSIN ACETATE 00824305 Y

Thyroid & Glandular* DDAVP 0.1MG/ML 5ML NASAL SPRAY DESMOPRESSIN ACETATE 00908541 Y

Thyroid & Glandular* DDAVP 0.2MG TABLET DESMOPRESSIN ACETATE 00824143 Y

Thyroid & Glandular* DDAVP 10MCG NASAL SPRAY DESMOPRESSIN ACETATE 00836362 Y

Thyroid & Glandular* DDAVP 4MCG/ML AMPOULE DESMOPRESSIN ACETATE 00873993 Y

Thyroid & Glandular* DDAVP MELT 120MCG TRD TABLET DESMOPRESSIN ACETATE 02285002 Y

Thyroid & Glandular* DDAVP MELT 240MCG TRD TABLET DESMOPRESSIN ACETATE 02285010 Y

Thyroid & Glandular* DDAVP MELT 60MCG TRD TABLET DESMOPRESSIN ACETATE 02284995 Y

Thyroid & Glandular* DDAVP RHINYLE 0.1MG/ML NASAL DROPS DESMOPRESSIN ACETATE 00402516 Y

Thyroid & Glandular* DECA-DURABOLIN 100MG/ML VL NANDROLONE DECANOATE 00270687 Y

Thyroid & Glandular* DELATESTRYL 200MG/ML VIAL TESTOSTERONE ENANTHATE 00029246 Y

Thyroid & Glandular* DEPO-TESTOSTERONE 100MG/ML TESTOSTERONE CYPIONATE 00030783 Y

Thyroid & Glandular* DESMOPRESSIN 0.1MG TABLET DESMOPRESSIN ACETATE 02257696 Y

Thyroid & Glandular* DESMOPRESSIN 0.2MG TABLET DESMOPRESSIN ACETATE 02257718 Y

Thyroid & Glandular* DESMOPRESSIN 10MCG NASAL SPRAY DESMOPRESSIN ACETATE 02258706 Y

Thyroid & Glandular* DESMOPRESSIN 10MCG NASAL SPRAY DESMOPRESSIN ACETATE 02242465 Y

Thyroid & Glandular* DOM-METHIMAZOLE 5MG TABLET METHIMAZOLE 02265869 Y

Thyroid & Glandular* DOSTINEX 0.5MG TABLET CABERGOLINE 02242471 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 312

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Thyroid & Glandular* ELTROXIN 100MCG TABLET LEVOTHYROXINE SODIUM 02213206 Y

Thyroid & Glandular* ELTROXIN 150MCG TABLET LEVOTHYROXINE SODIUM 02213214 Y

Thyroid & Glandular* ELTROXIN 200MCG TABLET LEVOTHYROXINE SODIUM 02213222 Y

Thyroid & Glandular* ELTROXIN 300MCG TABLET LEVOTHYROXINE SODIUM 02213230 Y

Thyroid & Glandular* ELTROXIN 50MCG TABLET LEVOTHYROXINE SODIUM 02213192 Y

Thyroid & Glandular* EUTHYROX 100MCG TABLET LEVOTHYROXINE SODIUM 02264374 Y

Thyroid & Glandular* EUTHYROX 112MCG TABLET LEVOTHYROXINE SODIUM 02264390 Y

Thyroid & Glandular* EUTHYROX 125MCG TABLET LEVOTHYROXINE SODIUM 02264404 Y

Thyroid & Glandular* EUTHYROX 137MCG TABLET LEVOTHYROXINE SODIUM 02264412 Y

Thyroid & Glandular* EUTHYROX 150MCG TABLET LEVOTHYROXINE SODIUM 02264420 Y

Thyroid & Glandular* EUTHYROX 175MCG TABLET LEVOTHYROXINE SODIUM 02264439 Y

Thyroid & Glandular* EUTHYROX 200MCG TABLET LEVOTHYROXINE SODIUM 02264447 Y

Thyroid & Glandular* EUTHYROX 25MCG TABLET LEVOTHYROXINE SODIUM 02264323 Y

Thyroid & Glandular* EUTHYROX 300MCG TABLET LEVOTHYROXINE SODIUM 02264455 Y

Thyroid & Glandular* EUTHYROX 50MCG TABLET LEVOTHYROXINE SODIUM 02264331 Y

Thyroid & Glandular* EUTHYROX 75MCG TABLET LEVOTHYROXINE SODIUM 02264358 Y

Thyroid & Glandular* EUTHYROX 88MCG TABLET LEVOTHYROXINE SODIUM 02264366 Y

Thyroid & Glandular* FLORINEF 0.1MG TABLET FLUDROCORTISONE ACETATE 02086026 Y

Thyroid & Glandular* LUPRON DEPOT 11.25MG VIAL LEUPROLIDE ACETATE 02239834 Y

Thyroid & Glandular* LUPRON DEPOT 3.75MG KIT LEUPROLIDE ACETATE 00884502 Y

Thyroid & Glandular* MINIRIN 0.1MG TABLET DESMOPRESSIN ACETATE 02246500 Y

Thyroid & Glandular* MINIRIN 0.2MG TABLET DESMOPRESSIN ACETATE 02246505 Y

Thyroid & Glandular* MIX:TESTOSTERONE MIXTURE ADMINISTRATIVE DIN 90800234 Y

Thyroid & Glandular* NORPROLAC 0.025MG TABLET QUINAGOLIDE HCL 02223740 Y

Thyroid & Glandular* NORPROLAC 0.050MG TABLET QUINAGOLIDE HCL 02223759 Y

Thyroid & Glandular* NORPROLAC 0.075MG TABLET QUINAGOLIDE HCL 02223767 Y

Thyroid & Glandular* NORPROLAC 0.150MG TABLET QUINAGOLIDE HCL 02223775 Y

Thyroid & Glandular* NOVO-DESMOPRESSIN 0.1MG TABLET DESMOPRESSIN ACETATE 02287730 Y

Thyroid & Glandular* NOVO-DESMOPRESSIN 0.2MG TABLET DESMOPRESSIN ACETATE 02287749 Y

Thyroid & Glandular* NU-DESMOPRESSIN 10MCG NASAL SPRAY DESMOPRESSIN ACETATE 02336154 Y

Thyroid & Glandular* OCTOSTIM 15MCG/ML AMPOULE DESMOPRESSIN ACETATE 02024179 Y

Thyroid & Glandular* OCTOSTIM NASAL SPRAY DESMOPRESSIN ACETATE 02237860 Y

Thyroid & Glandular* PHL-METHIMAZOLE 5MG TABLET METHIMAZOLE 02265850 Y

Thyroid & Glandular* PMS-DESMOPRESSIN 0.1MG TABLET DESMOPRESSIN ACETATE 02304368 Y

Thyroid & Glandular* PMS-DESMOPRESSIN 0.2MG TABLET DESMOPRESSIN ACETATE 02304376 Y

Thyroid & Glandular* PMS-TESTOSTERONE 40MG CAPSULE TESTOSTERONE UNDECANOATE 02322498 Y

Thyroid & Glandular* PRESSYN AR 20U/ML INJECTION VASOPRESSIN 02246133 Y

Thyroid & Glandular* PROPYL-THYRACIL 100MG TABLET PROPYLTHIOURACIL 00010219 Y

Thyroid & Glandular* PROPYL-THYRACIL 50MG TABLET PROPYLTHIOURACIL 00010200 Y

Thyroid & Glandular* SIG-CABERGOLINE 0.5MG TABLET CABERGOLINE 02346478 Y

Thyroid & Glandular* SYNACTHEN DEPOT 1MG/ML AMPUL COSYNTROPIN 00253952 Y

Thyroid & Glandular* SYNAREL 2MG/ML NASAL SPRAY NAFARELIN ACETATE 02188783 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 313

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Thyroid & Glandular* SYNTHROID 0.025MG TABLET LEVOTHYROXINE SODIUM 02172062 Y

Thyroid & Glandular* SYNTHROID 0.05MG TABLET LEVOTHYROXINE SODIUM 02172070 Y

Thyroid & Glandular* SYNTHROID 0.075MG TABLET LEVOTHYROXINE SODIUM 02172089 Y

Thyroid & Glandular* SYNTHROID 0.088MG TABLET LEVOTHYROXINE SODIUM 02172097 Y

Thyroid & Glandular* SYNTHROID 0.112MG TABLET LEVOTHYROXINE SODIUM 02171228 Y

Thyroid & Glandular* SYNTHROID 0.125MG TABLET LEVOTHYROXINE SODIUM 02172119 Y

Thyroid & Glandular* SYNTHROID 0.15MG TABLET LEVOTHYROXINE SODIUM 02172127 Y

Thyroid & Glandular* SYNTHROID 0.175MG TABLET LEVOTHYROXINE SODIUM 02172135 Y

Thyroid & Glandular* SYNTHROID 0.1MG TABLET LEVOTHYROXINE SODIUM 02172100 Y

Thyroid & Glandular* SYNTHROID 0.2MG TABLET LEVOTHYROXINE SODIUM 02172143 Y

Thyroid & Glandular* SYNTHROID 0.3MG TABLET LEVOTHYROXINE SODIUM 02172151 Y

Thyroid & Glandular* SYNTHROID 137MCG TABLET LEVOTHYROXINE SODIUM 02233852 Y

Thyroid & Glandular* SYNTHROID 500MCG INJECTION LEVOTHYROXINE SODIUM 02171236 Y

Thyroid & Glandular* TAPAZOLE 10MG TABLET THIAMAZOLE 02296039 Y

Thyroid & Glandular* TAPAZOLE 20MG TABLET THIAMAZOLE 02296047 Y

Thyroid & Glandular* TAPAZOLE 5MG TABLET METHIMAZOLE 00015741 Y

Thyroid & Glandular* TESTIM 1% GEL TESTOSTERONE 02280248 Y

Thyroid & Glandular* TESTOSTERONE CYP 100MG/ML TESTOSTERONE PROPIONATE 01977571 Y

Thyroid & Glandular* TESTOSTERONE CYP 100MG/ML TESTOSTERONE CYPIONATE 01977601 Y

Thyroid & Glandular* TESTOSTERONE CYP 100MG/ML INJ TESTOSTERONE CYPIONATE 02246063 Y

Thyroid & Glandular* THYROGEN 0.9MG/ML INJECTION THYROTROPIN ALFA 02246016 Y Y

Thyroid & Glandular* THYROID 125MG TABLET THYROID 00023965 Y

Thyroid & Glandular* THYROID 30MG TABLET THYROID 00023949 Y

Thyroid & Glandular* THYROID 60MG TABLET THYROID 00023957 Y

Thyroid & Glandular* THYROSAFE 65MG TABLET POTASSIUM IODIDE 02247850 Y

Thyroid & Glandular* VANTAS 50MG IMPLANT HISTRELIN ACETATE 02278383 Y

Thyroid & Glandular* VASOPRESSIN 20U/ML INJECTION VASOPRESSIN 02247938 Y

Thyroid & Glandular* VASOPRESSIN 20U/ML INJ. VASOPRESSIN 00693820 Y

Ulcers AA-MISOPROSTOL 100MCG TABLET MISOPROSTOL 02349094 Y

Ulcers AA-MISOPROSTOL 200MCG TABLET MISOPROSTOL 02349108 Y

Ulcers ACCEL-RANITIDINE 150MG TABLET RANITIDINE HCL 02327244 Y

Ulcers ACCEL-RANITIDINE 300MG TABLET RANITIDINE HCL 02327252 Y

Ulcers ACID CONTROL 10MG TABLET FAMOTIDINE 02231567 Y

Ulcers ACID CONTROL 10MG TABLET FAMOTIDINE 02237223 Y

Ulcers ACID REDUCER 150MG TABLET RANITIDINE HCL 02291282 Y

Ulcers ACID REDUCER 75MG TABLET RANITIDINE HCL 02247551 Y

Ulcers ACID REDUCER 75MG TABLET RANITIDINE HCL 02266806 Y

Ulcers ACID REDUCER 75MG TABLET RANITIDINE HCL 02284022 Y

Ulcers ACID REDUCER 75MG TABLET RANITIDINE HCL 02298740 Y

Ulcers ACID REDUCER 75MG TABLET RANITIDINE HCL 02237829 Y

Ulcers ACID REDUCER MAX.STR.NON-PRESCRIPTION TABLET RANITIDINE HCL 02303221 Y

Ulcers ACID REDUCER MAXIMUM STRENGTH 150MG TABLET RANITIDINE HCL 02298902 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 314

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Ulcers ALTI-FAMOTIDINE 10MG TABLET FAMOTIDINE 02242326 Y

Ulcers APO-CIMETIDINE 200MG TABLET CIMETIDINE 00584215 Y

Ulcers APO-CIMETIDINE 300MG TABLET CIMETIDINE 00487872 Y

Ulcers APO-CIMETIDINE 400MG TABLET CIMETIDINE 00600059 Y

Ulcers APO-CIMETIDINE 600MG TABLET CIMETIDINE 00600067 Y

Ulcers APO-CIMETIDINE 800MG TABLET CIMETIDINE 00749494 Y

Ulcers APO-ESOMEPRAZOLE 20MG TABLET ESOMEPRAZOLE MAGNESIUM 02339099 Y

Ulcers APO-ESOMEPRAZOLE 40MG TABLET ESOMEPRAZOLE MAGNESIUM 02339102 Y

Ulcers APO-FAMOTIDINE 10MG TABLET FAMOTIDINE 02231119 Y

Ulcers APO-FAMOTIDINE 20MG NON RX TABLET FAMOTIDINE 02296098 Y

Ulcers APO-FAMOTIDINE 20MG TABLET FAMOTIDINE 01953842 Y

Ulcers APO-FAMOTIDINE 40MG TABLET FAMOTIDINE 01953834 Y

Ulcers APO-LANSOPRAZOLE 15MG CAPSULE LANSOPRAZOLE 02293811 Y

Ulcers APO-LANSOPRAZOLE 30MG CAPSULE LANSOPRAZOLE 02293838 Y

Ulcers APO-NIZATIDINE 150MG CAPSULE NIZATIDINE 02220156 Y

Ulcers APO-NIZATIDINE 300MG NIZATIDINE 02220164 Y

Ulcers APO-OMEPRAZOLE 20MG CAPSULE OMEPRAZOLE 02245058 Y

Ulcers APO-OMEPRAZOLE 20MG CAPSULE (ODB) OMEPRAZOLE 09857285 Y

Ulcers APO-OMEPRAZOLE 40MG CAPSULE OMEPRAZOLE 02245059 Y

Ulcers APO-PANTOPRAZOLE 20MG TABLET PANTOPRAZOLE SODIUM 02292912 Y

Ulcers APO-PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02292920 Y

Ulcers APO-RABEPRAZOLE 10MG DR TABLET RABEPRAZOLE SODIUM 02345579 Y

Ulcers APO-RABEPRAZOLE 20MG DR TABLET RABEPRAZOLE SODIUM 02345587 Y

Ulcers APO-RANITIDINE 150MG NON RX TABLET RANITIDINE HCL 02296160 Y

Ulcers APO-RANITIDINE 150MG TABLET RANITIDINE HCL 00733059 Y

Ulcers APO-RANITIDINE 15MG/ML ORAL SOLUTION RANITIDINE HCL 02280833 Y

Ulcers APO-RANITIDINE 300MG TABLET RANITIDINE HCL 00733067 Y

Ulcers APO-RANITIDINE 75MG TABLET RANITIDINE HCL 02230507 Y

Ulcers APO-SUCRALFATE 1GM TABLET SUCRALFATE 02125250 Y

Ulcers APX-RANITIDINE 150MG TABLET RANITIDINE HCL 02342871 Y

Ulcers APX-RANITIDINE 300MG TABLET RANITIDINE HCL 02342898 Y

Ulcers AXID 150MG CAPSULE NIZATIDINE 00778338 Y

Ulcers AXID 300MG CAPSULE NIZATIDINE 00778346 Y

Ulcers BCI-FAMOTIDINE 20MG TABLET FAMOTIDINE 02257645 Y

Ulcers BCI-FAMOTIDINE 40MG TABLET FAMOTIDINE 02257653 Y

Ulcers BCI-RANITIDINE 150MG TABLET RANITIDINE HCL 02265591 Y

Ulcers BCI-RANITIDINE 300MG TABLET RANITIDINE HCL 02265605 Y

Ulcers CIMETIDINE 200 200MG TABLET CIMETIDINE 00596469 Y

Ulcers CIMETIDINE 300MG TABLET CIMETIDINE 00596477 Y

Ulcers CIMETIDINE 400MG TABLET CIMETIDINE 00618691 Y

Ulcers CIMETIDINE 600MG TABLET CIMETIDINE 00618705 Y

Ulcers CO PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02300486 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 315

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Ulcers CO-FAMOTIDINE 20MG TABLET FAMOTIDINE 02259443 Y

Ulcers CO-FAMOTIDINE 40MG TABLET FAMOTIDINE 02259451 Y

Ulcers CO-RANITIDINE 150MG TABLET RANITIDINE HCL 02248570 Y

Ulcers CO-RANITIDINE 300MG TABLET RANITIDINE HCL 02248571 Y

Ulcers DOM-CIMETIDINE 300MG TABLET CIMETIDINE 02231287 Y

Ulcers DOM-CIMETIDINE 400MG TABLET CIMETIDINE 02231288 Y

Ulcers DOM-CIMETIDINE 600MG TABLET CIMETIDINE 02231290 Y

Ulcers DOM-NIZATIDINE 150MG CAPSULE NIZATIDINE 02185814 Y

Ulcers DOM-RABEPRAZOLE EC 10MG TABLET RABEPRAZOLE SODIUM 02320452 Y

Ulcers DOM-RABEPRAZOLE EC 20MG TABLET RABEPRAZOLE SODIUM 02320460 Y

Ulcers DOM-RANITIDINE 150MG TABLET RANITIDINE HCL 02243038 Y

Ulcers DOM-RANITIDINE 300MG TABLET RANITIDINE HCL 02243039 Y

Ulcers DOM-SUCRALFATE 1000MG TABLET SUCRALFATE 02239912 Y

Ulcers FAMOTIDINE 10MG TABLET FAMOTIDINE 02240414 Y

Ulcers FAMOTIDINE 20MG TABLET FAMOTIDINE 02351102 Y

Ulcers FAMOTIDINE 20MG TABLET FAMOTIDINE 02248222 Y

Ulcers FAMOTIDINE 20MG TABLET FAMOTIDINE 02241372 Y

Ulcers FAMOTIDINE 40MG TABLET FAMOTIDINE 02351110 Y

Ulcers FAMOTIDINE 40MG TABLET FAMOTIDINE 02248223 Y

Ulcers FAMOTIDINE 40MG TABLET FAMOTIDINE 02241373 Y

Ulcers GEN-CIMETIDINE 200MG TABLET CIMETIDINE 02227436 Y

Ulcers GEN-NIZATIDINE 150MG CAPSULE NIZATIDINE 02246046 Y

Ulcers GEN-NIZATIDINE 300MG CAPSULE NIZATIDINE 02246047 Y

Ulcers GMD-FAMOTIDINE 20MG TABLET FAMOTIDINE 02252902 Y

Ulcers GMD-FAMOTIDINE 40MG TABLET FAMOTIDINE 02252910 Y

Ulcers HP-PAC LANSOPRAZOLE/AMOX TR/CLARITH02238525 Y

Ulcers LOSEC 10MG CAPSULE OMEPRAZOLE 02119579 Y

Ulcers LOSEC 10MG SR TABLET OMEPRAZOLE MAGNESIUM 02230737 Y

Ulcers LOSEC 20MG CAPSULE OMEPRAZOLE 00846503 Y

Ulcers LOSEC 20MG DR TABLET (ODB) OMEPRAZOLE MAGNESIUM 09857195 Y

Ulcers LOSEC 20MG SR TABLET OMEPRAZOLE MAGNESIUM 02190915 Y

Ulcers LOSEC 40MG CAPSULE OMEPRAZOLE 02016788 Y

Ulcers MAALOX H2 ACID CONTROLLER 10MG TABLET FAMOTIDINE 02232293 Y

Ulcers MAXIMUM STRENGTH ACID REDUCER WITHOUT PRESCRIPTIONRANITIDINE HCL 02293471 Y

Ulcers MISOPROSTOL 100MCG TABLET MISOPROSTOL 02244022 Y

Ulcers MISOPROSTOL 200MCG TABLET MISOPROSTOL 02248846 Y

Ulcers MISOPROSTOL 200MCG TABLET MISOPROSTOL 02244023 Y

Ulcers MISOPROSTOL 200MCG TABLET MISOPROSTOL 02185466 Y

Ulcers MYLAN-CIMETIDINE 300MG TABLET CIMETIDINE 02227444 Y

Ulcers MYLAN-CIMETIDINE 400MG TABLET CIMETIDINE 02227452 Y

Ulcers MYLAN-CIMETIDINE 600MG TABLET CIMETIDINE 02227460 Y

Ulcers MYLAN-CIMETIDINE 800MG TABLET CIMETIDINE 02227479 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 316

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Ulcers MYLAN-FAMOTIDINE 20MG TABLET FAMOTIDINE 02196018 Y

Ulcers MYLAN-FAMOTIDINE 40MG TABLET FAMOTIDINE 02196026 Y

Ulcers MYLAN-LANSOPRAZOLE 15MG CAPSULE LANSOPRAZOLE 02353830 Y

Ulcers MYLAN-LANSOPRAZOLE 30MG CAPSULE LANSOPRAZOLE 02353849 Y

Ulcers MYLAN-OMEPRAZOLE 10MG DR CAP (ODB) OMEPRAZOLE 09857350 Y

Ulcers MYLAN-OMEPRAZOLE 10MG DR CAPSULE OMEPRAZOLE 02329425 Y

Ulcers MYLAN-OMEPRAZOLE 20MG DR CAP (ODB) OMEPRAZOLE 09857341 Y

Ulcers MYLAN-OMEPRAZOLE 20MG DR CAP (ODB) OMEPRAZOLE 09857343 Y

Ulcers MYLAN-OMEPRAZOLE 20MG DR CAPSULE OMEPRAZOLE 02329433 Y

Ulcers MYLAN-PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02299585 Y

Ulcers MYLAN-RANITIDINE 150MG TABLET RANITIDINE HCL 02207761 Y

Ulcers MYLAN-RANITIDINE 300MG TABLET RANITIDINE HCL 02207788 Y

Ulcers NEXIUM 10MG DR GRANULE FOR SUSPENSION ESOMEPRAZOLE MAGNESIUM TRIHYDRATE02300524 Y

Ulcers NEXIUM 20MG TABLET ESOMEPRAZOLE MAGNESIUM TRIHYDRATE02244521 Y

Ulcers NEXIUM 40MG TABLET ESOMEPRAZOLE MAGNESIUM TRIHYDRATE02244522 Y

Ulcers NIZATIDINE 150MG CAPSULE NIZATIDINE 02239558 Y

Ulcers NIZATIDINE 300MG CAPSULE NIZATIDINE 02239559 Y

Ulcers NOVO-CIMETINE 200MG TABLET CIMETIDINE 00582409 Y

Ulcers NOVO-CIMETINE 300MG TABLET CIMETIDINE 00582417 Y

Ulcers NOVO-CIMETINE 400MG TABLET CIMETIDINE 00603678 Y

Ulcers NOVO-CIMETINE 600MG TABLET CIMETIDINE 00603686 Y

Ulcers NOVO-CIMETINE 800MG TABLET CIMETIDINE 00663727 Y

Ulcers NOVO-FAMOTIDINE 20MG TABLET FAMOTIDINE 02022133 Y

Ulcers NOVO-FAMOTIDINE 40MG TABLET FAMOTIDINE 02022141 Y

Ulcers NOVO-LANSOPRAZOLE 15MG CAPSULE LANSOPRAZOLE 02280515 Y

Ulcers NOVO-LANSOPRAZOLE 30MG CAPSULE LANSOPRAZOLE 02280523 Y

Ulcers NOVO-NIZATIDINE 150MG CAPSULE NIZATIDINE 02240457 Y

Ulcers NOVO-NIZATIDINE 300MG CAPSULE NIZATIDINE 02240458 Y

Ulcers NOVO-OMEPRAZOLE 10MG SR TABLET OMEPRAZOLE MAGNESIUM 02295407 Y

Ulcers NOVO-OMEPRAZOLE 20MG SR TABLET OMEPRAZOLE MAGNESIUM 02295415 Y

Ulcers NOVO-PANTOPRAZOLE 20MG TABLET PANTOPRAZOLE SODIUM 02285479 Y

Ulcers NOVO-PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02285487 Y

Ulcers NOVO-RABEPRAZOLE EC 10MG TABLET RABEPRAZOLE SODIUM 02296632 Y

Ulcers NOVO-RABEPRAZOLE EC 20MG TABLET RABEPRAZOLE SODIUM 02296640 Y

Ulcers NOVO-RANIDINE 150MG TABLET RANITIDINE HCL 00828564 Y

Ulcers NOVO-RANIDINE 15MG/ML ORAL SOLUTION RANITIDINE HCL 02242940 Y

Ulcers NOVO-RANIDINE 300MG TABLET RANITIDINE HCL 00828556 Y

Ulcers NOVO-SUCRALATE 1GM TABLET SUCRALFATE 02045702 Y

Ulcers NTP-FAMOTIDINE 20MG TABLET FAMOTIDINE 02347636 Y

Ulcers NTP-FAMOTIDINE 40MG TABLET FAMOTIDINE 02347644 Y

Ulcers NU-CIMET 200MG TABLET CIMETIDINE 00865796 Y

Ulcers NU-CIMET 300MG TABLET CIMETIDINE 00865818 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 317

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Ulcers NU-CIMET 400MG TABLET CIMETIDINE 00865826 Y

Ulcers NU-CIMET 600MG TABLET CIMETIDINE 00865834 Y

Ulcers NU-FAMOTIDINE 20MG TABLET FAMOTIDINE 02024195 Y

Ulcers NU-FAMOTIDINE 40MG TABLET FAMOTIDINE 02024209 Y

Ulcers NU-NIZATIDINE 150MG CAPSULE NIZATIDINE 02247051 Y

Ulcers NU-NIZATIDINE 300MG CAPSULE NIZATIDINE 02247052 Y

Ulcers NU-RANIT 150MG TABLET RANITIDINE HCL 00865737 Y

Ulcers NU-RANIT 300MG TABLET RANITIDINE HCL 00865745 Y

Ulcers NU-SUCRALFATE 1GM TABLET SUCRALFATE 02134829 Y

Ulcers OMEPRAZOLE 10MG CAPSULE OMEPRAZOLE 02340100 Y

Ulcers OMEPRAZOLE 20MG CAPSULE OMEPRAZOLE 02340119 Y

Ulcers OMEPRAZOLE 20MG DR CAPSULE OMEPRAZOLE 02348691 Y

Ulcers OMEPRAZOLE 20MG DR CAPSULE OMEPRAZOLE 02335220 Y

Ulcers OMEPRAZOLE 20MG DR CAPSULE OMEPRAZOLE 02339927 Y

Ulcers PANTO-BYK 20MG EC TABLET PANTOPRAZOLE SOD SESQUIHYDRATE02244730 Y

Ulcers PANTO-BYK 40MG EC TABLET PANTOPRAZOLE SOD SESQUIHYDRATE02224151 Y

Ulcers PANTOLOC 20MG EC TABLET PANTOPRAZOLE SOD SESQUIHYDRATE02241804 Y

Ulcers PANTOLOC 40MG TABLET PANTOPRAZOLE SOD SESQUIHYDRATE02229453 Y

Ulcers PANTOPRAZOLE 20MG TABLET PANTOPRAZOLE SODIUM 02318687 Y

Ulcers PANTOPRAZOLE 20MG TABLET PANTOPRAZOLE SODIUM 02334658 Y

Ulcers PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02318695 Y

Ulcers PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02334666 Y

Ulcers PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE 02340097 Y

Ulcers PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02343789 Y

Ulcers PARIET 10MG EC TABLET RABEPRAZOLE SODIUM 02243796 Y

Ulcers PARIET 20MG EC TABLET RABEPRAZOLE SODIUM 02243797 Y

Ulcers PEPCID 20MG TABLET FAMOTIDINE 00710121 Y

Ulcers PEPCID 40MG TABLET FAMOTIDINE 00710113 Y

Ulcers PEPCID AC 10MG GELCAPS FAMOTIDINE 02241322 Y

Ulcers PEPCID AC 10MG TABLET FAMOTIDINE 02185911 Y

Ulcers PEPCID AC 10MG TABLET FAMOTIDINE 02185938 Y

Ulcers PEPCID AC MAXIMUM STRENGTH 20MG TABLET FAMOTIDINE 02273357 Y

Ulcers PEPCID COMPLETE TABLET FAMOT/CALCIUM CARB/MAGNESIUM CARB02243053 Y

Ulcers PEPTIC GUARD 10MG TABLET FAMOTIDINE 02231104 Y

Ulcers PHL-NIZATIDINE 150MG CAPSULE NIZATIDINE 02238194 Y

Ulcers PHL-NIZATIDINE 300MG CAPSULE NIZATIDINE 02238195 Y

Ulcers PHL-PANTOPRAZOLE 20MG TABLET PANTOPRAZOLE SODIUM 02309858 Y

Ulcers PHL-PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02309866 Y

Ulcers PHL-RANITIDINE 150MG TABLET RANITIDINE HCL 02245782 Y

Ulcers PHL-RANITIDINE 300MG TABLET RANITIDINE HCL 02245783 Y

Ulcers PMS-MISOPROSTOL 100MCG TABLET MISOPROSTOL 02244124 Y

Ulcers PMS-NIZATIDINE 150MG CAPSULE NIZATIDINE 02177714 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 318

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Ulcers PMS-NIZATIDINE 300MG CAPSULE NIZATIDINE 02177722 Y

Ulcers PMS-OMEPRAZOLE 10MG DR CAPSULE OMEPRAZOLE 02320843 Y

Ulcers PMS-OMEPRAZOLE 20MG DR CAP (ODB) OMEPRAZOLE 09857342 Y

Ulcers PMS-OMEPRAZOLE 20MG DR CAPSULE OMEPRAZOLE 02320851 Y

Ulcers PMS-OMEPRAZOLE DR 10MG TABLET OMEPRAZOLE MAGNESIUM 02310252 Y

Ulcers PMS-OMEPRAZOLE DR 20MG TABLET OMEPRAZOLE MAGNESIUM 02310260 Y

Ulcers PMS-PANTOPRAZOLE 20MG TABLET PANTOPRAZOLE 02307863 Y

Ulcers PMS-PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE 02307871 Y

Ulcers PMS-RABEPRAZOLE EC 10MG TABLET RABEPRAZOLE SODIUM 02310805 Y

Ulcers PMS-RABEPRAZOLE EC 20MG TABLET RABEPRAZOLE SODIUM 02310813 Y

Ulcers PMS-RANITIDINE 150MG TABLET RANITIDINE HCL 02242453 Y

Ulcers PMS-RANITIDINE 300MG TABLET RANITIDINE HCL 02242454 Y

Ulcers PMS-RANITIDINE 75MG TABLET RANITIDINE HCL 02245615 Y

Ulcers PMS-SULCRALFATE 1G TABLET SUCRALFATE 02238209 Y

Ulcers PREVACID 15MG CAPSULE LANSOPRAZOLE 02165503 Y

Ulcers PREVACID 15MG FASTAB LANSOPRAZOLE 02249464 Y

Ulcers PREVACID 15MG/DOSE GDR LANSOPRAZOLE 02258609 Y

Ulcers PREVACID 30MG CAPSULE LANSOPRAZOLE 02165511 Y

Ulcers PREVACID 30MG FASTAB LANSOPRAZOLE 02249472 Y

Ulcers PREVACID 30MG/DOSE GDR LANSOPRAZOLE 02258617 Y

Ulcers PRO-RABEPRAZOLE 10MG EC TABLET RABEPRAZOLE SODIUM 02315181 Y

Ulcers PRO-RABEPRAZOLE 20MG EC TABLET RABEPRAZOLE SODIUM 02315203 Y

Ulcers Q-PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SOD SESQUIHYDRATE02339072 Y

Ulcers RABEPRAZOLE 10MG EC TABLET RABEPRAZOLE SODIUM 02335166 Y

Ulcers RABEPRAZOLE 20MG EC TABLET RABEPRAZOLE SODIUM 02335174 Y

Ulcers RABEPRAZOLE EC 10MG TABLET RABEPRAZOLE SODIUM 02320614 Y

Ulcers RABEPRAZOLE EC 20MG TABLET RABEPRAZOLE SODIUM 02320622 Y

Ulcers RANITIDINE 150MG TABLET RANITIDINE HCL 02350203 Y

Ulcers RANITIDINE 150MG TABLET RANITIDINE HCL 02353016 Y

Ulcers RANITIDINE 150MG TABLET RANITIDINE HCL 02343436 Y

Ulcers RANITIDINE 150MG TABLET RANITIDINE HCL 02286106 Y

Ulcers RANITIDINE 150MG TABLET RANITIDINE HCL 02303353 Y

Ulcers RANITIDINE 150MG TABLET RANITIDINE HCL 00740748 Y

Ulcers RANITIDINE 300MG TABLET RANITIDINE HCL 02350211 Y

Ulcers RANITIDINE 300MG TABLET RANITIDINE HCL 02353024 Y

Ulcers RANITIDINE 300MG TABLET RANITIDINE HCL 02303388 Y

Ulcers RANITIDINE 300MG TABLET RANITIDINE HCL 02343444 Y

Ulcers RANITIDINE 300MG TABLET RANITIDINE HCL 02286114 Y

Ulcers RANITIDINE 300MG TABLET RANITIDINE HCL 00740756 Y

Ulcers RAN-PANTOPRAZOLE 20MG TABLET PANTOPRAZOLE SODIUM 02305038 Y

Ulcers RAN-PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02305046 Y

Ulcers RAN-RABEPRAZOLE 10MG EC TABLET RABEPRAZOLE SODIUM 02298074 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 319

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Ulcers RAN-RABEPRAZOLE 20MG EC TABLET RABEPRAZOLE SODIUM 02298082 Y

Ulcers RAN-RANITIDINE 150MG TABLET RANITIDINE HCL 02336480 Y

Ulcers RAN-RANITIDINE 300MG TABLET RANITIDINE HCL 02336502 Y

Ulcers RATIO-FAMOTIDINE 20MG TABLET FAMOTIDINE 02242327 Y

Ulcers RATIO-FAMOTIDINE 40MG TABLET FAMOTIDINE 02242328 Y

Ulcers RATIO-OMEPRAZOLE 10MG SR TABLET OMEPRAZOLE MAGNESIUM 02260859 Y

Ulcers RATIO-OMEPRAZOLE 20MG DR TABLET (ODB) OMEPRAZOLE MAGNESIUM 09857267 Y

Ulcers RATIO-OMEPRAZOLE 20MG SR TABLET OMEPRAZOLE MAGNESIUM 02260867 Y

Ulcers RATIO-PANTOPRAZOLE 20MG TABLET PANTOPRAZOLE SODIUM 02308681 Y

Ulcers RATIO-PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02308703 Y

Ulcers RATIO-RANITIDINE 150MG TABLET RANITIDINE HCL 00828823 Y

Ulcers RATIO-RANITIDINE 300MG TABLET RANITIDINE HCL 00828688 Y

Ulcers RIVA-PANTOPRAZOLE 20MG TABLET PANTOPRAZOLE SODIUM 02316455 Y

Ulcers RIVA-PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02316463 Y

Ulcers RIVA-RABEPRAZOLE EC 10MG TABLET RABEPRAZOLE SODIUM 02330083 Y

Ulcers RIVA-RABEPRAZOLE EC 20MG TABLET RABEPRAZOLE SODIUM 02330091 Y

Ulcers RIVA-RANITIDINE 150MG TABLET RANITIDINE HCL 02247814 Y

Ulcers RIVA-RANITIDINE 300MG TABLET RANITIDINE HCL 02247815 Y

Ulcers RIVA-RANITIDINE 75MG TABLET RANITIDINE HCL 02238579 Y

Ulcers SANDOZ PANTOPRAZOLE 20MG TABLET PANTOPRAZOLE 02301075 Y

Ulcers SANDOZ PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE 02301083 Y

Ulcers SANDOZ RANITIDINE 150MG TABLET RANITIDINE HCL 02243229 Y

Ulcers SANDOZ RANITIDINE 300MG TABLET RANITIDINE HCL 02243230 Y

Ulcers SANDOZ-OMEPRAZOLE 10MG DR CAPSULE OMEPRAZOLE 02296438 Y

Ulcers SANDOZ-OMEPRAZOLE 10MG DR TABLET OMEPRAZOLE MAGNESIUM 02331764 Y

Ulcers SANDOZ-OMEPRAZOLE 20MG DR CAPSULE OMEPRAZOLE 02296446 Y

Ulcers SANDOZ-OMEPRAZOLE 20MG DR CAPSULE (ODB) OMEPRAZOLE 09857314 Y

Ulcers SANDOZ-OMEPRAZOLE 20MG DR TABLET OMEPRAZOLE MAGNESIUM 02331772 Y

Ulcers SANDOZ-RABEPRAZOLE 10MG TABLET RABEPRAZOLE SODIUM 02314177 Y

Ulcers SANDOZ-RABEPRAZOLE 20MG TABLET RABEPRAZOLE SODIUM 02314185 Y

Ulcers SIG-PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM SESQUIHYDRATE02330709 Y

Ulcers SIG-RANITIDINE 150MG TABLET RANITIDINE HCL 02323699 Y

Ulcers SIG-RANITIDINE 300MG TABLET RANITIDINE HCL 02323702 Y

Ulcers SUCRAFATE 1GM TABLET SUCRALFATE 02130939 Y

Ulcers SULCRATE 1GM TABLET SUCRALFATE 02100622 Y

Ulcers SULCRATE PLUS 1GM/5ML SUSP SUCRALFATE 02103567 Y

Ulcers TECTA 40MG EC TABLET PANTOPRAZOLE MAGNESIUM 02267233 Y

Ulcers ZANTAC 150MG TABLET RANITIDINE HCL 02212331 Y

Ulcers ZANTAC 15MG/ML SYRUP RANITIDINE HCL 02212374 Y

Ulcers ZANTAC 300MG TABLET RANITIDINE HCL 02212358 Y

Ulcers ZANTAC 75 75MG TABLET RANITIDINE HCL 02230287 Y

Ulcers ZANTAC MAXIMUM STRENGTH NON-PRESCRIPTION 150MG TABLETRANITIDINE HCL 02277301 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 320

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Ulcers ZANTAC-C 150MG CAPSULE RANITIDINE HCL 02212382 Y

Ulcers ZANTAC-C 300MG CAPSULE RANITIDINE HCL 02213397 Y

Ulcers ZANTEFF 150MG TABLET RANITIDINE HCL 02213494 Y

Ulcers ZANTEFF 150MG/SACHET RANITIDINE HCL 02213516 Y

Ulcers ZANTEFF 300MG TABLET RANITIDINE HCL 02213508 Y

Ulcers ZANTEFF 300MG/SACHET RANITIDINE HCL 02213524 Y

Ulcers ZYM-PANTOPRAZOLE 20MG TABLET PANTOPRAZOLE SODIUM 02310198 Y

Ulcers ZYM-PANTOPRAZOLE 40MG TABLET PANTOPRAZOLE SODIUM 02310201 Y

Ulcers ZYM-RABEPRAZOLE EC 10MG TABLET RABEPRAZOLE SODIUM 02320592 Y

Ulcers ZYM-RABEPRAZOLE EC 20MG TABLET RABEPRAZOLE SODIUM 02320606 Y

Vitamins and Minerals* ADEKS PEDI DROPS MULTIVITAMINS W-MINERALS 02139650 Y

Vitamins and Minerals* ADEKS TABLET MULTIVITAMINS W-MINERALS 02031388 Y

Vitamins and Minerals* ASCORBIC ACID 500MG/ML INJECTION USP ASCORBIC ACID 02245214 Y

Vitamins and Minerals* BETAXIN 100MG/ML INJECTION THIAMINE HCL 02241983 Y

Vitamins and Minerals* CAL/MAG+D TABLET CALCIUM/MAGNESIUM/VITAMIN D 00695300 Y

Vitamins and Minerals* CALCIFEROL TABLET VITAMIN D 80001125 Y

Vitamins and Minerals* CALCIJEX 1MCG/ML AMPUL CALCITRIOL 00891738 Y

Vitamins and Minerals* CALCIJEX 2MCG/ML AMPUL CALCITRIOL 00891746 Y

Vitamins and Minerals* CALCITRIOL 1MCG/ML INJECTION CALCITRIOL 02245686 Y

Vitamins and Minerals* CALCITRIOL 2MCG/ML INJECTION CALCITRIOL 02245687 Y

Vitamins and Minerals* CALCIUM & MAGNESIUM + D CALCIUM/MAG/MANG/POT/VIT D/ZN02238630 Y

Vitamins and Minerals* D-FORTE 50000U CAPSULE ERGOCALCIFEROL 02237450 Y

Vitamins and Minerals* D-TABS 10000IU TABLET CHOLECALCIFEROL 00821772 Y

Vitamins and Minerals* ERDOL 207.2MCG/ML SOLUTION ERGOCALCIFEROL 80003615 Y

Vitamins and Minerals* EURO D 10000U CAPSULE CHOLECALCIFEROL 02253178 Y

Vitamins and Minerals* EURO-D 800 800UI CAPS VITAMIN D 80003010 Y

Vitamins and Minerals* ICHTHOPASTE ICHTHOPASTE 00882534 Y

Vitamins and Minerals* JAMP VITAMIN D INFANT DROPS VITAMIN D 80003038 Y

Vitamins and Minerals* JAMP VITAMIN D3 400IU CAPSULE VITAMIN D 80006629 Y

Vitamins and Minerals* JAMP VITAMIN D3 800IU CAPSULE VITAMIN D 80007769 Y

Vitamins and Minerals* MEGA C ACID INJ 500MG/ML ASCORBIC ACID 00623849 Y

Vitamins and Minerals* NEO-BEX VIAL VITAMIN B COMPLEX 00147680 Y

Vitamins and Minerals* ODAN-D 400UI CAPSULE VITAMIN D 80002228 Y

Vitamins and Minerals* ONE-ALPHA 0.25MCG CAPSULE ALFACALCIDOL 00474517 Y

Vitamins and Minerals* ONE-ALPHA 1MCG CAPSULE ALFACALCIDOL 00474525 Y

Vitamins and Minerals* ONE-ALPHA 2MCG/ML DROPS ALFACALCIDOL 02240329 Y

Vitamins and Minerals* ONE-ALPHA 2MCG/ML INJECTION ALFACALCIDOL 02242502 Y

Vitamins and Minerals* OSTO-D2 50000U CAPSULE ERGOCALCIFEROL 02301911 Y

Vitamins and Minerals* OSTOFORTE 50000IU CAPSULE ERGOCALCIFEROL 00009830 Y

Vitamins and Minerals* POTABA 0.5GM TABLET POTASSIUM AMINOBENZOATE 00550175 Y

Vitamins and Minerals* POTABA 2GM PACKET POTASSIUM AMINOBENZOATE 00611298 Y

Vitamins and Minerals* POTABA 500MG CAPSULE POTASSIUM AMINOBENZOATE 00611271 Y

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 321

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CANADA POST CORPORATION

LISTING OF DRUG PRODUCTS COVERED UNDER EACH TIER

DISEASE NAME TRADE NAME MOLECULAR NAME DIN/PINLEVEL 1

80%

LEVEL 2

CURRENT

RAMQ**

68%

LEVEL 3

50%Prior Authorization

Vitamins and Minerals* PREGVIT PRENATAL VITS W-CA/FE/FA(1.1MG)02246067 Y

Vitamins and Minerals* PREGVIT FOLIC 5 TABLET PRENATAL VITS W-FOLIC ACID 5MG02276194 Y

Vitamins and Minerals* PYRIDOXINE 100MG/ML INJECTION PYRIDOXINE HCL 02245215 Y

Vitamins and Minerals* PYRIDOXINE 100MG/ML AMPOULE PYRIDOXINE HCL 00497517 Y

Vitamins and Minerals* PYRIDOXINE HCL 100MG/ML VL(INJ WITH B12) PYRIDOXINE HCL 00463469 Y

Vitamins and Minerals* ROCALTROL 0.25MCG CAPSULE CALCITRIOL 00481823 Y

Vitamins and Minerals* ROCALTROL 0.5MCG CAPSULE CALCITRIOL 00481815 Y

Vitamins and Minerals* ROCALTROL 1MCG/ML SOLUTION CALCITRIOL 00824291 Y

Vitamins and Minerals* THIAMIJECT 100MG/ML INJECTION THIAMINE HCL 02193221 Y

Vitamins and Minerals* THIAMINE HCL 100MG//ML AMPUL THIAMINE HCL 02062240 Y

Vitamins and Minerals* THIAMINE HCL 100MG/ML INJ THIAMINE HCL 02243525 Y

Vitamins and Minerals* VITAMIN A 50000IU CAPSULE VITAMIN A 00021075 Y

Vitamins and Minerals* VITAMIN B1 100MG/ML VIAL THIAMINE HCL 00816078 Y

Vitamins and Minerals* VITAMIN C 250MG/ML AMPOULE ASCORBIC ACID 00780634 Y

Vitamins and Minerals* VITAMIN K1 10MG/ML AMPOULE PHYTOMENADIONE 00497568 Y

Vitamins and Minerals* VITAMIN K1 10MG/ML AMPOULE PHYTOMENADIONE 00804312 Y

Vitamins and Minerals* VITAMIN K1 2MG/ML AMPOULE PHYTOMENADIONE 00497541 Y

Vitamins and Minerals* VITAMIN K1 2MG/ML AMPOULE PHYTOMENADIONE 00781878 Y

Weight control* IONAMIN 15MG CAPSULE PHENTERMINE RESIN 00891762 Y

Weight control* IONAMIN 30MG CAPSULE PHENTERMINE RESIN 00891770 Y

Weight control* MERIDIA 10MG CAPSULE SIBUTRAMINE HCL 02243163 Y

Weight control* MERIDIA 15MG CAPSULE SIBUTRAMINE HCL 02243164 Y

Weight control* SANOREX 1MG TABLET MAZINDOL 00432407 Y

Weight control* SANOREX 2MG TABLET MAZINDOL 00285544 Y

Weight control* TENUATE 25MG TABLET DIETHYLPROPION HCL 02047675 Y

Weight control* TENUATE DOSPAN 75MG TAB SA DIETHYLPROPION HCL 02052490 Y

Weight control* XENICAL 120MG CAPSULE ORLISTAT 02240325 Y YImportant Notes:

Emergis provides drug claim processing and adjudication services to insurance companies, including Great West Life. The decision about what drugs are prescribed is between you and

your doctor. Occasionally, the drug your physician prescribes will not be eligible, but another drug that provides a similar benefit, an eligible expense.

The association of drugs with the disease categories listed is for illustrative purposes only and is not intended to define indications for use. There are instances where an active ingredient

may have multiple therapeutic uses.

*Please note that a disease category indicated with an asterisk may not necessarily be a disease state, but is a classification used to describe one or more therapeutic classes.

July 1, 2010 Please review the Important Notes located in the beginning and end of this document.

**Current RAMQ 68%, effective July 1, 2010, and subject to legislative change. 322