northwest territories interchangeability formulary · ingredient name din/pin brand name mfr code...
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Northwest Territories
Interchangeability Formulary
February 1, 2021
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ABACAVIR SULFATE.............................................................1 ABACAVIR SULFATE / LAMIVUDINE................................................1 ABACAVIR SULFATE / ZIDOVUDINE / LAMIVUDINE...................................1 ACARBOSE.....................................................................1 ACEBUTOLOL HYDROCHLORIDE.....................................................1 ACITRETIN....................................................................1 ACYCLOVIR....................................................................2 ADEFOVIR DIPIVOXIL...........................................................2 ALENDRONATE SODIUM...........................................................2 ALFUZOSIN HYDROCHLORIDE......................................................3 ALLOPURINOL..................................................................3 ALMOTRIPTAN MALATE...........................................................3 ALPRAZOLAM...................................................................3 AMBRISENTAN..................................................................4 AMIODARONE HYDROCHLORIDE.....................................................4 AMITRIPTYLINE HYDROCHLORIDE..................................................4 AMLODIPINE BESYLATE..........................................................5 AMLODIPINE BESYLATE / ATORVASTATIN CALCIUM...................................5 AMOXICILLIN TRIHYDRATE.......................................................6 AMOXICILLIN TRIHYDRATE / CLAVULANIC ACID.....................................7 AMOXICILLIN/CLARITHROMYCIN/LANSOPRAZOLE......................................7 ANAGRELIDE HYDROCHLORIDE.....................................................7 ANASTROZOLE..................................................................7 ARIPIPRAZOLE.................................................................8 ATAZANAVIR SULFATE...........................................................9 ATENOLOL.....................................................................9 ATENOLOL / CHLORTHALIDONE....................................................10 ATOMOXETINE HYDROCHLORIDE....................................................10 ATORVASTATIN CALCIUM.........................................................11 ATROPINE SULFATE.............................................................13 AZATHIOPRINE.................................................................13 AZITHROMYCIN MONOHYDRATE.....................................................13 BACLOFEN.....................................................................14 BECLOMETHASONE DIPROPIONATE..................................................14 BENZOYL PEROXIDE / ADAPALENE.................................................14 BENZOYL PEROXIDE / CLINDAMYCIN PHOSPHATE.....................................14 BENZYDAMINE HYDROCHLORIDE....................................................15 BETAHISTINE HYDROCHLORIDE....................................................15 BETAMETHASONE................................................................15 BETAMETHASONE / CLOTRIMAZOLE.................................................15 BETAMETHASONE DIPROPIONATE...................................................15 BETAMETHASONE VALERATE.......................................................16 BEZAFIBRATE..................................................................16 BICALUTAMIDE.................................................................16 BISOPROLOL FUMARATE..........................................................16 BOSENTAN MONOHYDRATE.........................................................17 BRIMONIDINE TARTRATE.........................................................17 BROMAZEPAM...................................................................17 BUDESONIDE...................................................................17 BUPRENORPHINE HYDROCHLORIDE / NALOXONE HYDROCHLORI...........................18 BUPROPION HYDROCHLORIDE......................................................18 BUSPIRONE HYDROCHLORIDE......................................................18 CABERGOLINE..................................................................18 CALCITRIOL...................................................................19 CANDESARTAN CILEXETIL........................................................19 CAPECITABINE.................................................................20 CAPTOPRIL....................................................................20 CARBAMAZEPINE................................................................20 CARBIDOPA / LEVODOPA.........................................................21 CARVEDILOL...................................................................21 CEFADROXIL...................................................................22 CEFAZOLIN SODIUM.............................................................22 CEFIXIME.....................................................................22 CEFPROZIL MONOHYDRATE........................................................23 CEFTRIAXONE SODIUM...........................................................23 CEFUROXIME AXETIL............................................................23 CELECOXIB....................................................................23 CEPHALEXIN...................................................................24 CHOLESTYRAMINE RESIN.........................................................24 CILAZAPRIL MONOHYDRATE.......................................................24 CIPROFLOXACIN HYDROCHLORIDE..................................................25
CITALOPRAM HYDROBROMIDE......................................................25 CLARITHROMYCIN...............................................................26 CLINDAMYCIN HYDROCHLORIDE....................................................27 CLINDAMYCIN PHOSPHATE........................................................27 CLOBAZAM.....................................................................27 CLOBETASOL PROPIONATE........................................................28 CLOMIPRAMINE HYDROCHLORIDE...................................................28 CLONAZEPAM...................................................................28 CLONIDINE HYDROCHLORIDE......................................................28 CLOPIDOGREL BISULFATE........................................................29 CLOTRIMAZOLE.................................................................29 CLOZAPINE....................................................................29 CODEINE PHOSPHATE / BUTALBITAL...............................................29 CODEINE PHOSPHATE / CAFFEINE / ACETAMINOPHEN.................................30 COLCHICINE...................................................................30 CROMOLYN SODIUM..............................................................30 CYCLOBENZAPRINE HYDROCHLORIDE................................................30 CYCLOSPORINE.................................................................30 CYPROTERONE ACETATE..........................................................31 DABIGATRAN ETEXILATE.........................................................31 DAPSONE......................................................................31 DARUNAVIR....................................................................31 DASATINIB MONOHYDRATE........................................................31 DEFERASIROX..................................................................32 DEFEROXAMINE MESYLATE........................................................32 DESMOPRESSIN ACETATE.........................................................32 DEXAMETHASONE................................................................33 DEXAMETHASONE SODIUM PHOSPHATE...............................................33 DEXTROAMPHETAMINE SULFATE....................................................33 DIAZEPAM.....................................................................33 DICLOFENAC POTASSIUM.........................................................33 DICLOFENAC SODIUM............................................................34 DIENOGEST....................................................................34 DILTIAZEM HYDROCHLORIDE......................................................35 DIVALPROEX SODIUM............................................................36 DOMPERIDONE MALEATE..........................................................37 DONEPEZIL HYDROCHLORIDE......................................................37 DORZOLAMIDE HYDROCHLORIDE....................................................38 DORZOLAMIDE HYDROCHLORIDE / TIMOLOL MALEATE..................................38 DOXAZOSIN MESYLATE...........................................................38 DOXYCYCLINE HYCLATE..........................................................38 DOXYLAMINE SUCCINATE / PYRIDOXINE HYDROCHLORIDE..............................38 DULOXETINE HYDROCHLORIDE.....................................................39 DUTASTERIDE..................................................................39 EFAVIRENZ....................................................................40 EFAVIRENZ / EMTRICITABINE / TENOFOVIR........................................40 ENALAPRIL....................................................................40 ENTACAPONE...................................................................41 ENTECAVIR....................................................................41 EPLERENONE...................................................................41 ERLOTINIB HYDROCHLORIDE......................................................41 ESCITALOPRAM OXALATE.........................................................42 ESOMEPRAZOLE MAGNESIUM.......................................................43 ESTRADIOL....................................................................43 ESTRADIOL HEMIHYDRATE........................................................43 ETHINYL ESTRADIOL / CYPROTERONE ACETATE......................................44 ETHINYL ESTRADIOL / DROSPIRENONE.............................................44 ETHINYL ESTRADIOL / LEVONORGESTREL...........................................44 ETHINYL ESTRADIOL / NORGESTIMATE.............................................44 ETHINYL ESTRADIOL/ DESOGESTREL...............................................45 EXEMESTANE...................................................................45 EZETIMIBE....................................................................45 FAMCICLOVIR..................................................................45 FAMOTIDINE...................................................................46 FEBUXOSTAT...................................................................46 FELODIPINE...................................................................46 FENOFIBRATE..................................................................47 FENTANYL.....................................................................47 FINASTERIDE..................................................................47 FINGOLIMOD HYDROCHLORIDE.....................................................48 FLECAINIDE ACETATE...........................................................48
FLUCONAZOLE..................................................................48 FLUOCINONIDE.................................................................49 FLUOROMETHOLONE..............................................................49 FLUOXETINE HYDROCHLORIDE.....................................................49 FLUVOXAMINE MALEATE..........................................................50 FONDAPARINUX SODIUM..........................................................50 FOSFOMYCIN TROMETHAMINE......................................................50 FOSINOPRIL SODIUM............................................................50 FUROSEMIDE...................................................................50 GABAPENTIN...................................................................51 GALANTAMINE HYDROBROMIDE.....................................................52 GATIFLOXACIN.................................................................53 GLICLAZIDE...................................................................53 GLYBURIDE....................................................................53 GRANISETRON HYDROCHLORIDE....................................................53 HALOPERIDOL..................................................................53 HYDRALAZINE HYDROCHLORIDE....................................................54 HYDROCHLOROTHIAZIDE..........................................................54 HYDROCHLOROTHIAZIDE / CANDESARTAN CILEXETIL..................................54 HYDROCHLOROTHIAZIDE / CILAZAPRIL MONOHYDRATE.................................55 HYDROCHLOROTHIAZIDE / ENALAPRIL..............................................55 HYDROCHLOROTHIAZIDE / IRBESARTAN.............................................55 HYDROCHLOROTHIAZIDE / LISINOPRIL.............................................56 HYDROCHLOROTHIAZIDE / LOSARTAN POTASSIUM.....................................56 HYDROCHLOROTHIAZIDE / OLMESARTAN MEDOXOMIL...................................57 HYDROCHLOROTHIAZIDE / QUINAPRIL HYDROCHLORIDE................................57 HYDROCHLOROTHIAZIDE / RAMIPRIL...............................................58 HYDROCHLOROTHIAZIDE / SPIRONOLACTONE.........................................58 HYDROCHLOROTHIAZIDE / TELMISARTAN............................................58 HYDROCHLOROTHIAZIDE / TRIAMTERENE............................................59 HYDROCHLOROTHIAZIDE / VALSARTAN..............................................59 HYDROCORTISONE ACETATE / ZINC SULFATE........................................60 HYDROCORTISONE/ FRAMYCETIN/ DIBUCAINE/ ESCULIN...............................60 HYDROMORPHONE HYDROCHLORIDE..................................................60 HYDROXYCHLOROQUINE SULFATE...................................................61 HYDROXYUREA..................................................................61 HYDROXYZINE HYDROCHLORIDE....................................................61 IMATINIB MESYLATE............................................................61 IMIQUIMOD....................................................................61 INDAPAMIDE...................................................................62 INDAPAMIDE/PERINDOPRIL ERBUMINE..............................................62 INDOMETHACIN.................................................................62 IPRATROPIUM BROMIDE..........................................................62 IPRATROPIUM BROMIDE / SALBUTAMOL SULFATE.....................................63 IRBESARTAN...................................................................63 ISOSORBIDE-5-MONONITRATE.....................................................64 ISOTRETINOIN.................................................................64 ITRACONAZOLE.................................................................64 KETOCONAZOLE.................................................................64 KETOROLAC TROMETHAMINE.......................................................64 LABETALOL HYDROCHLORIDE......................................................64 LACOSAMIDE...................................................................65 LACTULOSE....................................................................65 LAMIVUDINE...................................................................66 LAMOTRIGINE..................................................................66 LANSOPRAZOLE.................................................................66 LATANOPROST..................................................................67 LATANOPROST / TIMOLOL MALEATE................................................67 LEFLUNOMIDE..................................................................67 LETROZOLE....................................................................68 LEUCOVORIN CALCIUM...........................................................68 LEVETIRACETAM................................................................68 LEVOCARNITINE................................................................69 LEVOFLOXACIN HEMIHYDRATE.....................................................69 LEVONORGESTREL...............................................................69 LEVOTHYROXINE SODIUM.........................................................69 LINEZOLID....................................................................70 LISINOPRIL...................................................................70 LITHIUM CARBONATE............................................................71 LOPERAMIDE HYDROCHLORIDE.....................................................71 LORATADINE...................................................................71
LORAZEPAM....................................................................71 LOSARTAN POTASSIUM...........................................................72 LOVASTATIN...................................................................73 MEDROXYPROGESTERONE ACETATE..................................................73 MELOXICAM....................................................................73 MERCAPTOPURINE...............................................................74 MESALAMINE...................................................................74 METFORMIN HYDROCHLORIDE......................................................74 METHOTREXATE SODIUM..........................................................74 METHYLPHENIDATE HYDROCHLORIDE................................................75 METOPROLOL TARTRATE..........................................................76 METRONIDAZOLE................................................................76 MIDODRINE HYDROCHLORIDE......................................................77 MINOCYCLINE HYDROCHLORIDE....................................................77 MIRTAZAPINE..................................................................77 MISOPROSTOL / DICLOFENAC SODIUM..............................................77 MIXED SALTS AMPHETAMINE......................................................78 MOCLOBEMIDE..................................................................78 MODAFINIL....................................................................79 MOMETASONE FUROATE...........................................................79 MONTELUKAST SODIUM...........................................................79 MORPHINE SULFATE.............................................................80 MOXIFLOXACIN HYDROCHLORIDE...................................................81 MYCOPHENOLATE MOFETIL........................................................81 MYCOPHENOLATE SODIUM.........................................................82 NABILONE.....................................................................82 NADOLOL......................................................................82 NALTREXONE HYDROCHLORIDE.....................................................82 NAPROXEN.....................................................................82 NAPROXEN SODIUM..............................................................83 NARATRIPTAN HYDROCHLORIDE....................................................83 NEVIRAPINE...................................................................83 NIFEDIPINE...................................................................83 NITROFURANTOIN...............................................................84 NITROGLYCERIN................................................................84 NORETHINDRONE................................................................84 NYSTATIN.....................................................................84 OCTREOTIDE ACETATE...........................................................85 OLANZAPINE...................................................................85 OLMESARTAN MEDOXOMIL.........................................................87 OMEPRAZOLE...................................................................87 ONDANSETRON..................................................................88 ONDANSETRON HYDROCHLORIDE DIHYDRATE..........................................88 OSELTAMIVIR PHOSPHATE........................................................89 OXCARBAZEPINE................................................................89 OXYBUTYNIN CHLORIDE..........................................................89 OXYCODONE HYDROCHLORIDE......................................................89 OXYCODONE HYDROCHLORIDE / ACETAMINOPHEN......................................90 PANTOPRAZOLE MAGNESIUM.......................................................90 PANTOPRAZOLE SODIUM..........................................................90 PAROXETINE HYDROCHLORIDE.....................................................91 PERINDOPRIL ERBUMINE.........................................................91 PHENYTOIN....................................................................92 PHENYTOIN SODIUM.............................................................92 PILOCARPINE HYDROCHLORIDE....................................................92 PIMOZIDE.....................................................................93 PINAVERIUM BROMIDE...........................................................93 PINDOLOL.....................................................................93 PIOGLITAZONE HYDROCHLORIDE...................................................93 PIPERACILLIN SODIUM / TAZOBACTAM SODIUM......................................94 PIROXICAM....................................................................94 PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE......................................94 PRAVASTATIN SODIUM...........................................................95 PRAZOSIN HYDROCHLORIDE.......................................................96 PREDNISOLONE ACETATE.........................................................96 PREDNISOLONE SODIUM PHOSPHATE................................................96 PREDNISONE...................................................................97 PREGABALIN...................................................................97 PROGESTERONE.................................................................98 PROPAFENONE HYDROCHLORIDE....................................................98 PYRIDOSTIGMINE BROMIDE.......................................................99
QUETIAPINE FUMARATE..........................................................99 QUINAPRIL HYDROCHLORIDE......................................................101 QUININE SULFATE..............................................................101 RABEPRAZOLE SODIUM...........................................................102 RALOXIFENE HYDROCHLORIDE.....................................................102 RAMIPRIL.....................................................................102 RANITIDINE HYDROCHLORIDE.....................................................103 RASAGILINE MESYLATE..........................................................104 REPAGLINIDE..................................................................104 RIFAMPIN.....................................................................104 RILUZOLE.....................................................................105 RISEDRONATE SODIUM...........................................................105 RISPERIDONE..................................................................105 RISPERIDONE TARTRATE.........................................................107 RIVASTIGMINE HYDROGEN TARTRATE...............................................107 RIZATRIPTAN BENZOATE.........................................................107 ROPINIROLE HYDROCHLORIDE.....................................................108 ROSIGLITAZONE MALEATE........................................................109 ROSUVASTATIN CALCIUM.........................................................109 SALBUTAMOL SULFATE...........................................................110 SALMETEROL XINAFOATE / FLUTICASONE PROPIONATE................................111 SELEGILINE HYDROCHLORIDE.....................................................111 SERTRALINE HYDROCHLORIDE.....................................................111 SILDENAFIL CITRATE...........................................................112 SIMVASTATIN..................................................................112 SODIUM POLYSTYRENE SULFONATE.................................................113 SOLIFENACIN SUCCINATE........................................................113 SOTALOL HYDROCHLORIDE........................................................114 SPIRONOLACTONE...............................................................114 SUCRALFATE...................................................................114 SUMATRIPTAN SUCCINATE........................................................114 TADALAFIL....................................................................115 TAMOXIFEN CITRATE............................................................115 TAMSULOSIN HYDROCHLORIDE.....................................................115 TELMISARTAN..................................................................116 TEMOZOLOMIDE.................................................................116 TENOFOVIR DISOPROXIL.........................................................117 TENOFOVIR DISOPROXIL / EMTRICITABINE.........................................117 TERAZOSIN HYDROCHLORIDE......................................................117 TERBINAFINE HYDROCHLORIDE....................................................118 TESTOSTERONE UNDECANOATE.....................................................118 TETRABENAZINE................................................................118 THEOPHYLLINE.................................................................118 THIAMAZOLE...................................................................118 TIMOLOL MALEATE..............................................................118 TIMOLOL MALEATE / TRAVOPROST.................................................119 TOBRAMYCIN...................................................................119 TOBRAMYCIN SULFATE...........................................................119 TOLTERODINE L-TARTRATE.......................................................119 TOLTERODINE TARTRATE.........................................................119 TOPIRAMATE...................................................................119 TRANDOLAPRIL.................................................................120 TRANEXAMIC ACID..............................................................121 TRAVOPROST...................................................................121 TRAZODONE HYDROCHLORIDE......................................................121 TRIAMCINOLONE ACETONIDE......................................................122 TRIMETHOPRIM / POLYMYXIN B...................................................122 TRIMETHOPRIM / SULFAMETHOXAZOLE..............................................122 TROSPIUM CHLORIDE............................................................122 TRYPTOPHAN...................................................................122 URSODIOL.....................................................................123 VALACYCLOVIR HYDROCHLORIDE...................................................123 VALGANCICLOVIR HYDROCHLORIDE.................................................123 VALPROIC ACID................................................................123 VALSARTAN....................................................................124 VANCOMYCIN HYDROCHLORIDE.....................................................124 VARENICLINE TARTRATE.........................................................124 VENLAFAXINE HYDROCHLORIDE....................................................125 VERAPAMIL HYDROCHLORIDE......................................................125 VITAMIN B12..................................................................126 VITAMIN D3 / ALENDRONIC ACID.................................................126
VORICONAZOLE.................................................................126 WARFARIN SODIUM..............................................................126 ZIDOVUDINE...................................................................127 ZIDOVUDINE / LAMIVUDINE......................................................127 ZIPRASIDONE HYDROCHLORIDE MONOHYDRATE........................................127 ZOLEDRONIC ACID MONOHYDRATE..................................................128 ZOLMITRIPTAN.................................................................128 ZOPICLONE....................................................................129
Ingredient Name DIN/PIN Brand Name MFR Code StrengthABACAVIR SULFATE
ABACAVIR SULFATE 300 MG2240357 ZIAGEN TAB 300MG 300 MG
2396769 APO ABACAVIR TAB 300MG APX08 300 MG
2480956 MINT-ABACAVIR TAB 300MG 300 MG
ABACAVIR SULFATE / LAMIVUDINE
ABACAVIR SULFATE / LAMIVUDINE 600 MG / 300 MG2269341 KIVEXA 600/300MG 600 MG / 300 MG
2399539 APO ABACAVIR-LAMIVUDINE TAB 600MG/300MG APX08 600 MG / 300 MG
2416662 TEVA-ABACAVIR/LAMIVUDINE TAB 300MG/600MG 600 MG / 300 MG
2450682 MYLAN-ABACAVIR/LAMIVUDINE TAB 300MG/600MG 600 MG / 300 MG
2454513 AURO-ABACAVIR/LAMIVUDINE TAB 600MG/300MG 600 MG / 300 MG
2458381 PMS-ABACAVIR-LAMIVUDINE TAB 300MG/600MG PMS07 600 MG / 300 MG
ABACAVIR SULFATE / ZIDOVUDINE / LAMIVUDINEABACAVIR SULFATE / ZIDOVUDINE / LAMIVUDINE 300 / 300 / 150 MG
2244757 TRIZIVIR TAB 300MG 300 / 300 / 150 MG
2416255 APO-ABACAVIR-LAMIVUDINE-ZIDOVUDINE TAB 300MG/150MG/300MG
APX08 300 / 300 / 150 MG
ACARBOSEACARBOSE 100 MG
2190893 GLUCOBAY TAB 100MG 100 MG
2493799 ACARBOSE TAB 100MG 100 MG
2494086 MAR-ACARBOSE TAB 100MG 100 MG
ACARBOSE 50 MG2190885 GLUCOBAY TAB 50MG 50 MG
2493780 ACARBOSE TAB 50MG 50 MG
2494078 MAR-ACARBOSE TAB 50MG 50 MG
ACEBUTOLOL HYDROCHLORIDEACEBUTOLOL HYDROCHLORIDE 100 MG
2147602 APO-ACEBUTOLOL TAB 100MG APX08 100 MG
2204517 NOVO-ACEBUTOLOL TAB 100MG 100 MG
ACEBUTOLOL HYDROCHLORIDE 200 MG2147610 APO-ACEBUTOLOL TAB 200MG APX08 200 MG
2204525 NOVO-ACEBUTOLOL TAB 200MG 200 MG
ACEBUTOLOL HYDROCHLORIDE 400 MG2147629 APO-ACEBUTOLOL TAB 400MG APX08 400 MG
2204533 NOVO-ACEBUTOLOL TAB 400MG 400 MG
ACITRETIN
ACITRETIN 10 MG2070847 SORIATANE CAP 10MG ALL07 10 MG
2466074 TARO-ACITRETIN CAP 10MG TAR08 10 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 1
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2468840 MINT-ACITRETIN CAP 10MG 10 MG
ACITRETIN 25 MG2070863 SORIATANE CAP 25MG ALL07 25 MG
2466082 TARO-ACITRETIN CAP 25MG TAR08 25 MG
2468859 MINT-ACITRETIN CAP 25MG 25 MG
ACYCLOVIR
ACYCLOVIR 200 MG2207621 APO-ACYCLOVIR TAB 200MG APX08 200 MG
2242784 MYLAN-ACYCLOVIR TAB 200MG 200 MG
2285959 NOVO-ACYCLOVIR TAB 200MG 200 MG
ACYCLOVIR 400 MG2207648 APO-ACYCLOVIR TAB 400MG APX08 400 MG
2242463 MYLAN-ACYCLOVIR TAB 400MG 400 MG
2285967 NOVO-ACYCLOVIR TAB 400MG 400 MG
ACYCLOVIR 5%569771 ZOVIRAX OINT 5% 5%
2477130 APO-ACYCLOVIR OINT 5% APX08 5%
ACYCLOVIR 800 MG2207656 APO-ACYCLOVIR TAB 800MG APX08 800 MG
2242464 MYLAN-ACYCLOVIR TAB 800MG 800 MG
2285975 NOVO-ACYCLOVIR TAB 800MG 800 MG
ADEFOVIR DIPIVOXIL
ADEFOVIR DIPIVOXIL 10 MG2247823 HEPSERA TAB 10MG 10 MG
2420333 APO-ADEFOVIR TAB 10MG APX08 10 MG
ALENDRONATE SODIUM
ALENDRONATE SODIUM 10 MG2248728 APO-ALENDRONATE TAB 10MG APX08 10 MG
2288087 SANDOZ-ALENDRONATE TAB 10MG 10 MG
2381486 ALENDRONATE SODIUM TABLETS TAB 10MG 10 MG
2384701 RAN-ALENDRONATE TAB 10MG 10 MG
2388545 AURO-ALENDRONATE TAB 10MG 10 MG
ALENDRONATE SODIUM 70 MG2245329 FOSAMAX TAB 70MG 70 MG
2248730 APO-ALENDRONATE TAB 70MG APX08 70 MG
2261715 NOVO-ALENDRONATE TAB 70MG 70 MG
2284006 PMS-ALENDRONATE-FC TAB 70MG PMS07 70 MG
2288109 SANDOZ-ALENDRONATE TAB 70MG 70 MG
2299712 PHL-ALENDRONATE-FC TAB 70MG 70 MG
2352966 ALENDRONATE TAB 70MG 70 MG
2381494 ALENDRONATE SODIUM TABLETS TAB 70MG 70 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 2
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2385031 JAMP-ALENDRONATE TAB 70MG JPC10 70 MG
2388553 AURO-ALENDRONATE TAB 70MG 70 MG
2394871 MINT-ALENDRONATE TAB 70MG 70 MG
2485184 AG-ALENDRONATE TAB 70MG 70 MG
ALFUZOSIN HYDROCHLORIDEALFUZOSIN HYDROCHLORIDE 10 MG
2245565 XATRAL TAB-ER 10MG 10 MG
2304678 SANDOZ ALFUZOSIN TAB-ER 10MG 10 MG
2315866 APO-ALFUZOSIN TAB-ER 10MG APX08 10 MG
2443201 AURO-ALFUZOSIN TAB-ER 10MG 10 MG
2447576 ALFUZOSIN TAB-ER 10MG 10 MG
ALLOPURINOL
ALLOPURINOL 100 MG402818 APO-ALLOPURINOL TAB 100MG 100 MG
2396327 MAR-ALLOPURINOL TAB 100MG 100 MG
2402769 APO-ALLOPURINOL TAB 100MG APX08 100 MG
ALLOPURINOL 200 MG479799 APO-ALLOPURINOL TAB 200MG 200 MG
2396335 MAR-ALLOPURINOL TAB 200MG 200 MG
2402777 APO-ALLOPURINOL TAB 200MG APX08 200 MG
ALLOPURINOL 300 MG294322 ZYLOPRIM 300 TAB 300MG APX08 300 MG
402796 APO-ALLOPURINOL TAB 300MG 300 MG
2396343 MAR-ALLOPURINOL TAB 300MG 300 MG
2402785 APO-ALLOPURINOL TAB 300MG APX08 300 MG
ALMOTRIPTAN MALATE
ALMOTRIPTAN MALATE 12.5 MG2398443 MYLAN-ALMOTRIPTAN TAB 12.5MG 12.5 MG
2405334 SANDOZ ALMOTRIPTAN TAB 12.5MG 12.5 MG
2466821 SANIS-ALMOTRIPTAN TAB 12.5MG 12.5 MG
ALPRAZOLAM
ALPRAZOLAM 0.25 MG548359 XANAX TAB 0.25MG PFI07 0.25 MG
865397 APO-ALPRAZ TAB 0.25MG APX08 0.25 MG
1913484 NOVO-ALPRAZOL TAB 0.25MG USP 0.25 MG
2349191 ALPRAZOLAM TAB 0.25MG 0.25 MG
2400111 JAMP-ALPRAZOLAM TAB 0.25MG JPC10 0.25 MG
ALPRAZOLAM 0.5 MG548367 XANAX TAB 0.5MG PFI07 0.5 MG
865400 APO-ALPRAZ TAB 0.5MG APX08 0.5 MG
1913492 NOVO-ALPRAZOL TAB 0.5MG USP 0.5 MG
2349205 ALPRAZOLAM TAB 0.5MG 0.5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 3
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2400138 JAMP-ALPRAZOLAM TAB 0.5MG JPC10 0.5 MG
ALPRAZOLAM 1 MG723770 XANAX TAB 1MG PFI07 1 MG
2243611 APO-ALPRAZ TAB 1MG APX08 1 MG
AMBRISENTANAMBRISENTAN 10 MG
2307073 VOLIBRIS TAB 10MG 10 MG
2475383 APO-AMBRISENTAN 10MG TABLET APX08 10 MG
AMBRISENTAN 5 MG2307065 VOLIBRIS TAB 5MG 5 MG
2475375 APO-AMBRISENTAN 5MG TABLET APX08 5 MG
AMIODARONE HYDROCHLORIDE
AMIODARONE HYDROCHLORIDE 200 MG2239835 NOVO-AMIODARONE TAB 200MG 200 MG
2242472 PMS-AMIODARONE TAB 200MG PMS07 200 MG
2243836 SANDOZ-AMIODARONE TAB 200MG 200 MG
2246194 APO-AMIODARONE TAB 200MG APX08 200 MG
2364336 AMIODARONE TAB 200MG 200 MG
2385465 AMIODARONE TAB 200MG 200 MG
AMITRIPTYLINE HYDROCHLORIDE
AMITRIPTYLINE HYDROCHLORIDE 10 MG335053 ELAVIL TAB 10MG 10 MG
654523 PMS-AMITRIPTYLINE TAB 10MG PMS07 10 MG
2326043 TEVA-AMITRIPTYLINE TAB 10MG 10 MG
2403137 APO-AMITRIPTYLINE TAB 10MG APX08 10 MG
2429861 MAR-AMITRIPTYLINE TAB 10MG 10 MG
AMITRIPTYLINE HYDROCHLORIDE 25 MG335061 ELAVIL TAB 25MG 25 MG
654515 PMS-AMITRIPTYLINE TAB 25MG PMS07 25 MG
2326051 TEVA-AMITRIPTYLINE TAB 25MG 25 MG
2403145 APO-AMITRIPTYLINE TAB 25MG APX08 25 MG
2429888 MAR-AMITRIPTYLINE TAB 25MG 25 MG
AMITRIPTYLINE HYDROCHLORIDE 50 MG335088 ELAVIL TAB 50MG 50 MG
654507 PMS-AMITRIPTYLINE TAB 50MG PMS07 50 MG
2326078 TEVA-AMITRIPTYLINE TAB 50MG 50 MG
2403153 APO-AMITRIPTYLINE TAB 50MG APX08 50 MG
2429896 MAR-AMITRIPTYLINE TAB 50MG 50 MG
AMITRIPTYLINE HYDROCHLORIDE 75 MG754129 ELAVIL TAB 75MG 75 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 4
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2403161 APO-AMITRIPTYLINE TAB 75MG APX08 75 MG
AMLODIPINE BESYLATEAMLODIPINE BESYLATE 10 MG
878936 NORVASC TAB 10MG PFI07 10 MG
2250500 NOVO-AMLODIPINE TAB 10MG 10 MG
2272121 MYLAN-AMLODIPINE TAB 10MG 10 MG
2273381 APO-AMLODIPINE TAB 10MG APX08 10 MG
2284391 SANDOZ AMLODIPINE TAB 10MG 10 MG
2297493 CO AMLODIPINE TAB 10MG 10 MG
2321866 RAN-AMLODIPINE TAB 10MG 10 MG
2331292 AMLODIPINE TAB 10MG 10 MG
2357720 SEPTA-AMLODIPINE TAB 10MG 10 MG
2362678 MINT-AMLODIPINE TAB 10MG 10 MG
2371723 MAR-AMLODIPINE TABLETS TAB 10MG 10 MG
2385805 AMLODIPINE TAB 10MG 10 MG
2397080 AURO-AMLODIPINE TAB 10MG 10 MG
2419572 AMLODIPINE BESYLATE TABLETS USP 10MG 10 MG
2429225 AMLODIPINE TAB 10MG JPC10 10 MG
2469049 PHARMA-AMLODIPINE TAB 10MG PMS07 10 MG
2476479 NRA-AMLODIPINE TAB 10MG 10 MG
AMLODIPINE BESYLATE 5 MG878928 NORVASC TAB 5MG PFI07 5 MG
2250497 NOVO-AMLODIPINE TAB 5MG 5 MG
2272113 MYLAN-AMLODIPINE TAB 5MG 5 MG
2273373 APO-AMLODIPINE TAB 5MG APX08 5 MG
2284383 SANDOZ AMLODIPINE TAB 5MG 5 MG
2297485 CO AMLODIPINE TAB 5MG 5 MG
2321858 RAN-AMLODIPINE TAB 5MG 5 MG
2331284 AMLODIPINE TAB 5MG 5 MG
2357712 SEPTA-AMLODIPINE TAB 5MG 5 MG
2362651 MINT-AMLODIPINE TAB 5MG 5 MG
2371715 MAR-AMLODIPINE TABLETS TAB 5MG 5 MG
2385791 AMLODIPINE TAB 5MG 5 MG
2397072 AURO-AMLODIPINE TAB 5MG 5 MG
2419564 AMLODIPINE BESYLATE TABLETS USP 5MG 5 MG
2429217 AMLODIPINE TAB 5MG JPC10 5 MG
2469030 PHARMA-AMLODIPINE TAB 5MG PMS07 5 MG
2476460 NRA-AMLODIPINE TAB 5MG 5 MG
AMLODIPINE BESYLATE / ATORVASTATIN CALCIUMAMLODIPINE BESYLATE / ATORVASTATIN CALCIUM 10 MG / 10 MG
2273284 CADUET TAB 10/10MG PFI07 10 MG / 10 MG
2362791 GD-AMLODIPINE/ATORVASTATIN TAB 10MG/10MG 10 MG / 10 MG
2411318 APO-AMLODIPINE-ATORVASTATIN TAB 10MG/10MG APX08 10 MG / 10 MG
AMLODIPINE BESYLATE / ATORVASTATIN CALCIUM 10 MG / 20 MG2273292 CADUET TAB 10/20MG PFI07 10 MG / 20 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 5
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2362805 GD-AMLODIPINE/ATORVASTATIN TAB 10MG/20MG 10 MG / 20 MG
2411326 APO-AMLODIPINE-ATORVASTATIN TAB 10MG/20MG APX08 10 MG / 20 MG
AMLODIPINE BESYLATE / ATORVASTATIN CALCIUM 10 MG / 40 MG2273306 CADUET TAB 10/40MG PFI07 10 MG / 40 MG
2362813 GD-AMLODIPINE/ATORVASTATIN TAB 10MG/40MG 10 MG / 40 MG
2411334 APO-AMLODIPINE-ATORVASTATIN TAB 10MG/40MG APX08 10 MG / 40 MG
AMLODIPINE BESYLATE / ATORVASTATIN CALCIUM 10 MG / 80 MG2273314 CADUET TAB 10/80MG PFI07 10 MG / 80 MG
2362821 GD-AMLODIPINE/ATORVASTATIN TAB 10MG/80MG 10 MG / 80 MG
2411342 APO-AMLODIPINE-ATORVASTATIN TAB 10MG/80MG APX08 10 MG / 80 MG
AMLODIPINE BESYLATE / ATORVASTATIN CALCIUM 5 MG / 10 MG2273233 CADUET TAB 5/10MG PFI07 5 MG / 10 MG
2362759 GD-AMLODIPINE/ATORVASTATIN TAB 5MG/10MG 5 MG / 10 MG
2411253 APO-AMLODIPINE-ATORVASTATIN TAB 5MG/10MG APX08 5 MG / 10 MG
AMLODIPINE BESYLATE / ATORVASTATIN CALCIUM 5 MG / 20 MG2273241 CADUET TAB 5/20MG PFI07 5 MG / 20 MG
2362767 GD-AMLODIPINE/ATORVASTATIN TAB 5MG/20MG 5 MG / 20 MG
2411261 APO-AMLODIPINE-ATORVASTATIN TAB 5MG/20MG APX08 5 MG / 20 MG
AMLODIPINE BESYLATE / ATORVASTATIN CALCIUM 5 MG / 40 MG2273268 CADUET TAB 5/40MG PFI07 5 MG / 40 MG
2362775 GD-AMLODIPINE/ATORVASTATIN TAB 5MG/40MG 5 MG / 40 MG
2411288 APO-AMLODIPINE-ATORVASTATIN TAB 5MG/40MG APX08 5 MG / 40 MG
AMLODIPINE BESYLATE / ATORVASTATIN CALCIUM 5 MG / 80 MG2273276 CADUET TAB 5/80MG PFI07 5 MG / 80 MG
2362783 GD-AMLODIPINE/ATORVASTATIN TAB 5MG/80MG 5 MG / 80 MG
2411296 APO-AMLODIPINE-ATORVASTATIN TAB 5MG/80MG APX08 5 MG / 80 MG
AMOXICILLIN TRIHYDRATEAMOXICILLIN TRIHYDRATE 125 MG/5 ML
452149 NOVAMOXIN PWD-SOL 125MG/5ML 125 MG/5 ML
628131 APO-AMOXI PWD-SUSP 125MG/5ML APX08 125 MG/5 ML
1934171 NOVAMOXIN 125 SUGAR REDUCED PWD-SOL 25MG/ML
125 MG/5 ML
AMOXICILLIN TRIHYDRATE 250 MG406724 NOVAMOXIN CAP 250MG 250 MG
628115 APO-AMOXI CAP 250MG APX08 250 MG
2352710 AMOXICILLIN CAPSULES CAP 250MG 250 MG
2388073 AURO-AMOXICILLIN CAP 250MG 250 MG
2433060 JAMP-AMOXICILLIN CAP 250MG JPC10 250 MG
AMOXICILLIN TRIHYDRATE 250 MG/5 ML452130 NOVAMOXIN PWD-SOL 250MG/5ML 250 MG/5 ML
628158 APO-AMOXI PWD-SUSP 250MG/5ML APX08 250 MG/5 ML
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 6
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength1934163 NOVAMOXIN 250 SUGAR REDUCED PWD-SOL
50MG/ML250 MG/5 ML
2352753 AMOXICILLIN GRANULES FOR ORAL SUSPENSION GRAN-SUSP 250MG/5ML
250 MG/5 ML
2352788 AMOXICILLIN SUGAR-REDUCED GRANULES FOR ORAL SUSPENSION GRAN-SUSP 250MG/5ML
250 MG/5 ML
2401541 AMOXICILLIN GRANULES FOR ORAL SUSPENSION 250/5MG/ML
250 MG/5 ML
AMOXICILLIN TRIHYDRATE 500 MG406716 NOVAMOXIN CAP 500MG 500 MG
628123 APO-AMOXI CAP 500MG APX08 500 MG
2230244 PMS-AMOXICILLIN CAP 500MG PMS07 500 MG
2352729 AMOXICILLIN CAPSULES CAP 500MG 500 MG
2388081 AURO-AMOXICILLIN CAP 500MG 500 MG
2401509 AMOXICILLIN CAPSULES 500MG 500 MG
2433079 JAMP-AMOXICILLIN CAP 500MG JPC10 500 MG
AMOXICILLIN TRIHYDRATE / CLAVULANIC ACID
AMOXICILLIN TRIHYDRATE / CLAVULANIC ACID 500 MG / 125 MG1916858 CLAVULIN 500 F TAB 500MG 500 MG / 125 MG
2243351 APO-AMOXI CLAV TAB 500/125MG APX08 500 MG / 125 MG
2482576 SANDOZ AMOXI-CLAV TAB 500MG/125MG 500 MG / 125 MG
AMOXICILLIN TRIHYDRATE / CLAVULANIC ACID 875 MG / 125 MG2238829 CLAVULIN 875 TAB 875MG 875 MG / 125 MG
2245623 APO-AMOXI CLAV TAB 875/125MG APX08 875 MG / 125 MG
2482584 SANDOZ AMOXI-CLAV TAB 875MG/125MG 875 MG / 125 MG
AMOXICILLIN/CLARITHROMYCIN/LANSOPRAZOLE
AMOXICILLIN/CLARITHROMYCIN/LANSOPRAZOLE 500 MG / 500 MG / 30 MG2238525 HP-PAC 500 MG / 500 MG / 30 MG
2470780 APO-LANSOPRAZOLE-AMOXICILLIN-CLARITHROMYCIN KIT 30MG/500MG/500MG
APX08 500 MG / 500 MG / 30 MG
ANAGRELIDE HYDROCHLORIDE
ANAGRELIDE HYDROCHLORIDE 0.5 MG2236859 AGRYLIN CAP 0.5MG 0.5 MG
2260107 SANDOZ-ANAGRELIDE CAP 0.5MG 0.5 MG
2274949 PMS-ANAGRELIDE CAP 0.5MG PMS07 0.5 MG
ANASTROZOLE
ANASTROZOLE 1 MG2224135 ARIMIDEX TAB 1MG AZC08 1 MG
2320738 PMS-ANASTROZOLE TAB 1MG PMS07 1 MG
2338467 SANDOZ ANASTROZOLE TAB 1MG 1 MG
2339080 JAMP-ANASTROZOLE TAB 1MG JPC10 1 MG
2351218 ANASTROZOLE TABLETS TAB 1MG 1 MG
2365650 TARO-ANASTROZOLE TAB 1MG TAR08 1 MG
2374420 APO-ANASTROZOLE TAB 1MG APX08 1 MG
2379562 MAR-ANASTROZOLE TAB 1MG 1 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 7
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2393573 MINT-ANASTROZOLE TAB 1MG 1 MG
2394898 CO ANASTROZOLE TB 1MG (MK) 1 MG
2417855 NAT-ANASTROZOLE TAB 1MG 1 MG
2442736 ANASTROZOLE TAB 1MG 1 MG
ARIPIPRAZOLEARIPIPRAZOLE 10 MG
2322390 ABILIFY TAB 10MG 10 MG
2460041 AURO-ARIPIPRAZOLE TAB 10MG 10 MG
2464160 TEVA-ARIPIPRAZOLE TAB 10MG 10 MG
2466651 PMS-ARIPIPRAZOLE TAB 10MG PMS07 10 MG
2471108 APO-ARIPIPRAZOLE TAB 10MG APX08 10 MG
2473674 SANDOZ ARIPIPRAZOLE TAB 10MG 10 MG
2483572 MINT-ARIPIPRAZOLE TAB 10MG 10 MG
ARIPIPRAZOLE 15 MG2322404 ABILIFY TAB 15MG 15 MG
2460068 AURO-ARIPIPRAZOLE TAB 15MG 15 MG
2464179 TEVA-ARIPIPRAZOLE TAB 15MG 15 MG
2466678 PMS-ARIPIPRAZOLE TAB 15MG PMS07 15 MG
2471116 APO-ARIPIPRAZOLE TAB 15MG APX08 15 MG
2473682 SANDOZ ARIPIPRAZOLE TAB 15MG 15 MG
2483580 MINT-ARIPIPRAZOLE TAB 15MG 15 MG
ARIPIPRAZOLE 2 MG2322374 ABILIFY TAB 2MG 2 MG
2460025 AURO-ARIPIPRAZOLE TAB 2MG 2 MG
2464144 TEVA-ARIPIPRAZOLE TAB 2MG 2 MG
2466635 PMS-ARIPIPRAZOLE TAB 2MG PMS07 2 MG
2471086 APO-ARIPIPRAZOLE TAB 2MG APX08 2 MG
2473658 SANDOZ ARIPIPRAZOLE TAB 2MG 2 MG
2483556 MINT-ARIPIPRAZOLE TAB 2MG 2 MG
ARIPIPRAZOLE 20 MG2322412 ABILIFY TAB 20MG 20 MG
2460076 AURO-ARIPIPRAZOLE TAB 20MG 20 MG
2464187 TEVA-ARIPIPRAZOLE TAB 20MG 20 MG
2466686 PMS-ARIPIPRAZOLE TAB 20MG PMS07 20 MG
2471124 APO-ARIPIPRAZOLE TAB 20MG APX08 20 MG
2473690 SANDOZ ARIPIPRAZOLE TAB 20MG 20 MG
2483599 MINT-ARIPIPRAZOLE TAB 20MG 20 MG
ARIPIPRAZOLE 30 MG2322455 ABILIFY TAB 30MG 30 MG
2460084 AURO-ARIPIPRAZOLE TAB 30MG 30 MG
2464195 TEVA-ARIPIPRAZOLE TAB 30MG 30 MG
2466694 PMS-ARIPIPRAZOLE TAB 30MG PMS07 30 MG
2471132 APO-ARIPIPRAZOLE TAB 30MG APX08 30 MG
2473704 SANDOZ ARIPIPRAZOLE TAB 30MG 30 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 8
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2483602 MINT-ARIPIPRAZOLE TAB 30MG 30 MG
ARIPIPRAZOLE 5 MG2322382 ABILIFY TAB 5MG 5 MG
2460033 AURO-ARIPIPRAZOLE TAB 5MG 5 MG
2464152 TEVA-ARIPIPRAZOLE TAB 5MG 5 MG
2466643 PMS-ARIPIPRAZOLE TAB 5MG PMS07 5 MG
2471094 APO-ARIPIPRAZOLE TAB 5MG APX08 5 MG
2473666 SANDOZ ARIPIPRAZOLE TAB 5MG 5 MG
2483564 MINT-ARIPIPRAZOLE TAB 5MG 5 MG
ATAZANAVIR SULFATE
ATAZANAVIR SULFATE 150 MG2248610 REYATAZ CAP 150MG BQC07 150 MG
2443791 TEVA-ATAZANAVIR CAP 150MG 150 MG
2456877 MYLAN-ATAZANAVIR CAP 150MG 150 MG
ATAZANAVIR SULFATE 200 MG2248611 REYATAZ CAP 200MG BQC07 200 MG
2443813 TEVA-ATAZANAVIR CAP 200MG 200 MG
2456885 MYLAN-ATAZANAVIR CAP 200MG 200 MG
ATAZANAVIR SULFATE 300 MG2294176 REYATAZ CAP 300MG BQC07 300 MG
2443821 TEVA-ATAZANAVIR CAP 300MG 300 MG
2456893 MYLAN-ATAZANAVIR CAP 300MG 300 MG
ATENOLOLATENOLOL 100 MG
773697 APO-ATENOL TAB 100MG APX08 100 MG
2039540 TENORMIN TAB 100MG AZC08 100 MG
2171805 RATIO-ATENOLOL TAB 100MG 100 MG
2237601 PMS-ATENOLOL TAB 100MG PMS07 100 MG
2238318 PHL-ATENOLOL TAB 100MG 100 MG
2255553 CO-ATENOLOL TAB 100MG 100 MG
2267993 RAN-ATENOLOL TAB 100MG 100 MG
2367572 JAMP-ATENOLOL TAB 100MG JPC10 100 MG
2368048 MINT-ATENOL TAB 100MG 100 MG
2371995 MAR-ATENOLOL TAB 100MG 100 MG
2466473 SANIS-ATENOLOL TAB 100MG 100 MG
ATENOLOL 25 MG2246581 PMS-ATENOLOL TAB 25MG PMS07 25 MG
2266660 NOVO-ATENOL TAB 25MG 25 MG
2367556 JAMP-ATENOLOL TAB 25MG JPC10 25 MG
2368013 MINT-ATENOL TAB 25MG 25 MG
2371979 MAR-ATENOLOL TAB 25MG 25 MG
2373963 RAN-ATENOLOL TAB 25MG 25 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 9
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code StrengthATENOLOL 50 MG
773689 APO-ATENOL TAB 50MG APX08 50 MG
2039532 TENORMIN TAB 50MG AZC08 50 MG
2171791 RATIO-ATENOLOL TAB 50MG 50 MG
2237600 PMS-ATENOLOL TAB 50MG PMS07 50 MG
2238316 PHL-ATENOLOL TAB 50MG 50 MG
2255545 CO-ATENOLOL TAB 50MG 50 MG
2267985 RAN-ATENOLOL TAB 50MG 50 MG
2367564 JAMP-ATENOLOL TAB 50MG JPC10 50 MG
2368021 MINT-ATENOL TAB 50MG 50 MG
2371987 MAR-ATENOLOL TAB 50MG 50 MG
2466465 SANIS-ATENOLOL TAB 50MG 50 MG
ATENOLOL / CHLORTHALIDONE
ATENOLOL / CHLORTHALIDONE 100 / 25 MG2049988 TENORETIC TAB 100/25MG AZC08 100 / 25 MG
2248764 APO-ATENIDONE TAB 100/25MG APX08 100 / 25 MG
ATENOLOL / CHLORTHALIDONE 50 / 25 MG2049961 TENORETIC TAB 50/25MG AZC08 50 / 25 MG
2248763 APO-ATENIDONE TAB 50/25MG APX08 50 / 25 MG
ATOMOXETINE HYDROCHLORIDE
ATOMOXETINE HYDROCHLORIDE 10 MG2262800 STRATTERA CAP 10MG LIL08 10 MG
2314541 NOVO-ATOMOXETINE CAP 10MG 10 MG
2318024 APO-ATOMOXETINE CAP 10MG APX08 10 MG
2381028 PMS-ATOMOXETINE CAP 10MG PMS07 10 MG
2386410 SANDOZ-ATOMOXETINE CAP 10MG 10 MG
2445883 ATOMOXETINE CAP 10MG 10 MG
2467747 SANIS-ATOMOXETINE CAP 10MG 10 MG
2471485 AURO-ATOMOXETINE CAP 10MG 10 MG
ATOMOXETINE HYDROCHLORIDE 100 MG2279355 STRATTERA CAP 100MG LIL08 100 MG
2318083 APO-ATOMOXETINE CAP 100MG APX08 100 MG
2386488 SANDOZ-ATOMOXETINE CAP 100MG 100 MG
2467828 SANIS-ATOMOXETINE CAP 100MG 100 MG
2471558 AURO-ATOMOXETINE CAP 100MG 100 MG
ATOMOXETINE HYDROCHLORIDE 18 MG2262819 STRATTERA CAP 18MG LIL08 18 MG
2314568 NOVO-ATOMOXETINE CAP 18MG 18 MG
2318032 APO-ATOMOXETINE CAP 18MG APX08 18 MG
2381036 PMS-ATOMOXETINE CAP 18MG PMS07 18 MG
2386429 SANDOZ-ATOMOXETINE CAP 18MG 18 MG
2445905 ATOMOXETINE CAP 18MG 18 MG
2467755 SANIS-ATOMOXETINE CAP 18MG 18 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 10
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2471493 AURO-ATOMOXETINE CAP 18MG 18 MG
ATOMOXETINE HYDROCHLORIDE 25 MG2262827 STRATTERA CAP 25MG LIL08 25 MG
2314576 NOVO-ATOMOXETINE CAP 25MG 25 MG
2318040 APO-ATOMOXETINE CAP 25MG APX08 25 MG
2381044 PMS-ATOMOXETINE CAP 25MG PMS07 25 MG
2386437 SANDOZ-ATOMOXETINE CAP 25MG 25 MG
2445913 ATOMOXETINE CAP 25MG 25 MG
2467763 SANIS-ATOMOXETINE CAP 25MG 25 MG
2471507 AURO-ATOMOXETINE CAP 25MG 25 MG
ATOMOXETINE HYDROCHLORIDE 40 MG2262835 STRATTERA CAP 40MG LIL08 40 MG
2314584 NOVO-ATOMOXETINE CAP 40MG 40 MG
2318059 APO-ATOMOXETINE CAP 40MG APX08 40 MG
2381052 PMS-ATOMOXETINE CAP 40MG PMS07 40 MG
2386445 SANDOZ-ATOMOXETINE CAP 40MG 40 MG
2445948 ATOMOXETINE CAP 40MG 40 MG
2467771 SANIS-ATOMOXETINE CAP 40MG 40 MG
2471515 AURO-ATOMOXETINE CAP 40MG 40 MG
ATOMOXETINE HYDROCHLORIDE 60 MG2262843 STRATTERA CAP 60MG LIL08 60 MG
2314592 NOVO-ATOMOXETINE CAP 60MG 60 MG
2318067 APO-ATOMOXETINE CAP 60MG APX08 60 MG
2381060 PMS-ATOMOXETINE CAP 60MG PMS07 60 MG
2386453 SANDOZ-ATOMOXETINE CAP 60MG 60 MG
2445956 ATOMOXETINE CAP 60MG 60 MG
2467798 SANIS-ATOMOXETINE CAP 60MG 60 MG
2471523 AURO-ATOMOXETINE CAP 60MG 60 MG
ATOMOXETINE HYDROCHLORIDE 80 MG2279347 STRATTERA CAP 80MG LIL08 80 MG
2318075 APO-ATOMOXETINE CAP 80MG APX08 80 MG
2362511 RATIO-ATOMOXETINE CAP 80MG 80 MG
2386461 SANDOZ-ATOMOXETINE CAP 80MG 80 MG
2467801 SANIS-ATOMOXETINE CAP 80MG 80 MG
2471531 AURO-ATOMOXETINE CAP 80MG 80 MG
ATORVASTATIN CALCIUMATORVASTATIN CALCIUM 10 MG
2230711 LIPITOR TAB 10MG PFI07 10 MG
2295261 APO-ATORVASTATIN TAB 10MG APX08 10 MG
2310899 CO ATORVASTATIN TAB 10MG 10 MG
2313707 RAN-ATORVASTATIN TAB 10MG 10 MG
2324946 SANDOZ ATORVASTATIN TAB 10MG 10 MG
2391058 JAMP-ATORVASTATIN TAB 10MG JPC10 10 MG
2392933 MYLAN-ATORVASTATIN TAB 10MG 10 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 11
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2399377 PMS-ATORVASTATIN TAB 10MG PMS07 10 MG
2407256 AURO-ATORVASTATIN TAB 10MG 10 MG
2411350 ATORVASTATIN-10 TAB 10MG 10 MG
2417936 ATORVASTATIN CALCIUM TABLETS 10MG 10 MG
2454017 MAR-ATORVASTATIN TAB 10MG 10 MG
2457741 ACH-ATORVASTATIN CALCIUM TAB 10MG 10 MG
2476517 NRA-ATORVASTATIN TAB 10MG 10 MG
2477149 PHARMA-ATORVASTATIN TAB 10MG PMS07 10 MG
2478145 AG-ATORVASTATIN TAB 10MG 10 MG
2479508 MINT-ATORVASTATIN TAB 10MG 10 MG
ATORVASTATIN CALCIUM 20 MG2230713 LIPITOR TAB 20MG PFI07 20 MG
2295288 APO-ATORVASTATIN TAB 20MG APX08 20 MG
2310902 CO ATORVASTATIN TAB 20MG 20 MG
2313715 RAN-ATORVASTATIN TAB 20MG 20 MG
2324954 SANDOZ ATORVASTATIN TAB 20MG 20 MG
2391066 JAMP-ATORVASTATIN TAB 20MG JPC10 20 MG
2392941 MYLAN-ATORVASTATIN TAB 20MG 20 MG
2399385 PMS-ATORVASTATIN TAB 20MG PMS07 20 MG
2407264 AURO-ATORVASTATIN TAB 20MG 20 MG
2411369 ATORVASTATIN-20 TAB 20MG 20 MG
2417944 ATORVASTATIN CALCIUM TABLETS 20MG 20 MG
2454025 MAR-ATORVASTATIN TAB 20MG 20 MG
2457768 ACH-ATORVASTATIN CALCIUM TAB 20MG 20 MG
2476525 NRA-ATORVASTATIN TAB 20MG 20 MG
2477157 PHARMA-ATORVASTATIN TAB 20MG PMS07 20 MG
2478153 AG-ATORVASTATIN TAB 20MG 20 MG
2479516 MINT-ATORVASTATIN TAB 20MG 20 MG
ATORVASTATIN CALCIUM 40 MG2230714 LIPITOR TAB 40MG PFI07 40 MG
2295296 APO-ATORVASTATIN TAB 40MG APX08 40 MG
2310910 CO ATORVASTATIN TAB 40MG 40 MG
2313723 RAN-ATORVASTATIN TAB 40MG 40 MG
2324962 SANDOZ ATORVASTATIN TAB 40MG 40 MG
2391074 JAMP-ATORVASTATIN TAB 40MG JPC10 40 MG
2392968 MYLAN-ATORVASTATIN TAB 40MG 40 MG
2399393 PMS-ATORVASTATIN TAB 40MG PMS07 40 MG
2407272 AURO-ATORVASTATIN TAB 40MG 40 MG
2411377 ATORVASTATIN-40 TAB 40MG 40 MG
2417952 ATORVASTATIN CALCIUM TABLETS 40MG 40 MG
2454033 MAR-ATORVASTATIN TAB 40MG 40 MG
2457776 ACH-ATORVASTATIN CALCIUM TAB 40MG 40 MG
2476533 NRA-ATORVASTATIN TAB 40MG 40 MG
2477165 PHARMA-ATORVASTATIN TAB 40MG PMS07 40 MG
2478161 AG-ATORVASTATIN TAB 40MG 40 MG
2479524 MINT-ATORVASTATIN TAB 40MG 40 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 12
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code StrengthATORVASTATIN CALCIUM 80 MG
2243097 LIPITOR TAB 80MG PFI07 80 MG
2295318 APO-ATORVASTATIN TAB 80MG APX08 80 MG
2310929 CO ATORVASTATIN TAB 80MG 80 MG
2313758 RAN-ATORVASTATIN TAB 80MG 80 MG
2324970 SANDOZ ATORVASTATIN TAB 80MG 80 MG
2391082 JAMP-ATORVASTATIN TAB 80MG JPC10 80 MG
2392976 MYLAN-ATORVASTATIN TAB 80MG 80 MG
2399407 PMS-ATORVASTATIN TAB 80MG PMS07 80 MG
2407280 AURO-ATORVASTATIN TAB 80MG 80 MG
2411385 ATORVASTATIN-80 TAB 80MG 80 MG
2417960 ATORVASTATIN CALCIUM TABLETS 80MG 80 MG
2454041 MAR-ATORVASTATIN TAB 80MG 80 MG
2457784 ACH-ATORVASTATIN CALCIUM TAB 80MG 80 MG
2476541 NRA-ATORVASTATIN TAB 80MG 80 MG
2477173 PHARMA-ATORVASTATIN TAB 80MG PMS07 80 MG
2478188 AG-ATORVASTATIN TAB 80MG 80 MG
ATROPINE SULFATEATROPINE SULFATE 1%
35017 ISOPTO ATROPINE OPH LIQ 1% ALC08 1%
2023695 DIOPTIC'S ATROPINE LIQ 1% 1%
AZATHIOPRINE
AZATHIOPRINE 50 MG4596 IMURAN TAB 50MG 50 MG
2236819 NOVO-AZATHIOPRINE TAB 50MG 50 MG
2242907 APO-AZATHIOPRINE TAB 50MG APX08 50 MG
AZITHROMYCIN MONOHYDRATEAZITHROMYCIN MONOHYDRATE 100 MG/5ML
2223716 ZITHROMAX PWD-SOL ORL 100MG/5ML PFI07 100 MG/5ML
2332388 SANDOZ AZITHROMYCIN ORL PWD-SUSP 100MG/5ML 100 MG/5ML
2482363 AURO-AZITHROMYCIN PWD-SUSP 100MG/5ML 100 MG/5ML
AZITHROMYCIN MONOHYDRATE 200 MG/5ML2223724 ZITHROMAX PWD-SOL ORL 200MG/5ML PFI07 200 MG/5ML
2332396 SANDOZ AZITHROMYCIN ORL PWD-SUSP 200MG/5ML 200 MG/5ML
2418460 PMS-AZITHROMYCIN PWD-SUSP 200MG/5ML PMS07 200 MG/5ML
2482371 AURO-AZITHROMYCIN PWD-SUSP 200MG/5ML 200 MG/5ML
AZITHROMYCIN MONOHYDRATE 250 MG2212021 ZITHROMAX TAB 250MG PFI07 250 MG
2261634 PMS-AZITHROMYCIN TAB 250MG PMS07 250 MG
2265826 SANDOZ-AZITHROMYCIN TAB 250MG 250 MG
2267845 NOVO-AZITHROMYCIN TAB 250MG 250 MG
2330881 AZITHROMYCIN TAB 250MG 250 MG
2415542 APO-AZITHROMYCIN Z TAB 250MG APX08 250 MG
2442434 AZITHROMYCIN TAB 250MG 250 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 13
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2452308 JAMP-AZITHROMYCIN TAB 250MG JPC10 250 MG
2452324 MAR-AZITHROMYCIN TAB 250MG 250 MG
2480700 AG-AZITHROMYCIN TAB 250MG 250 MG
BACLOFEN
BACLOFEN 0.05 MG/ML2131048 LIORESAL INTRATHECAL LIQ 0.05MG/ML NVR07 0.05 MG/ML
2413620 VPI-BACLOFEN INTRATHECAL SOL 0.05MG/ML RAX08 0.05 MG/ML
2457059 BACLOFEN INJ SOL 0.05MG/ML 0.05 MG/ML
BACLOFEN 0.5 MG/ML2131056 LIORESAL INTRATHECAL LIQ 0.5MG/ML NVR07 0.5 MG/ML
2413639 VPI-BACLOFEN INTRATHECAL SOL 0.5MG/ML RAX08 0.5 MG/ML
2457067 BACLOFEN INJ SOL 0.5MG/ML 0.5 MG/ML
BACLOFEN 10 MG455881 LIORESAL TAB 10MG NVR07 10 MG
2063735 PMS-BACLOFEN TAB 10MG PMS07 10 MG
2088398 MYLAN-BACLOFEN TAB 10MG 10 MG
2139332 APO-BACLOFEN TAB 10MG APX08 10 MG
2287021 GEN-BACLOFEN TAB 10MG 10 MG
BACLOFEN 2 MG/ML2131064 LIORESAL INTRATHECAL LIQ 2MG/ML NVR07 2 MG/ML
2413647 VPI-BACLOFEN INTRATHECAL SOL 2MG/ML RAX08 2 MG/ML
2457075 BACLOFEN INJ SOL 2MG/ML 2 MG/ML
BACLOFEN 20 MG636576 LIORESAL D.S. TAB 20MG NVR07 20 MG
2063743 PMS-BACLOFEN TAB 20MG PMS07 20 MG
2088401 MYLAN-BACLOFEN TAB 20MG 20 MG
2139391 APO-BACLOFEN TAB 20MG APX08 20 MG
2287048 GEN-BACLOFEN TAB 20MG 20 MG
BECLOMETHASONE DIPROPIONATE
BECLOMETHASONE DIPROPIONATE 50 MCG2172712 MYLAN-BECLO AQ NAS SPR 50MCG/ACT 50 MCG
2238796 APO-BECLOMETHASONE NASAL SPR 50MCG/SPR APX08 50 MCG
BENZOYL PEROXIDE / ADAPALENE
BENZOYL PEROXIDE / ADAPALENE 2.5% / 0.1%2365871 TACTUO GEL 0.1%/2.5% GAC08 2.5% / 0.1%
2456923 TARO-ADAPALENE/BENZOYL PEROXIDE GEL 0.1%/2.5%
TAR08 2.5% / 0.1%
2489007 GALDERMA ADAPALENE/BENZOYL PEROXIDE GEL 2.5%/0.1%
2.5% / 0.1%
BENZOYL PEROXIDE / CLINDAMYCIN PHOSPHATE
BENZOYL PEROXIDE / CLINDAMYCIN PHOSPHATE 5% / 1%2243158 CLINDOXYL GEL 5% / 1%
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 14
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2248472 BENZACLIN GEL 5% / 1%
2440180 TARO-CLINDAMYCIN/BENZOYL PEROXIDE GEL 1%/5%
TAR08 5% / 1%
2464519 TARO-BENZOYL PEROXIDE/CLINDAMYCIN KIT GEL 5%/1%
TAR08 5% / 1%
BENZYDAMINE HYDROCHLORIDE
BENZYDAMINE HYDROCHLORIDE 1.5 MG/ML1966065 TANTUM LIQ 0.15% 1.5 MG/ML
2239537 DOM-BENZYDAMINE LIQ 1.5MG/ML PMS07 1.5 MG/ML
BETAHISTINE HYDROCHLORIDE
BETAHISTINE HYDROCHLORIDE 16 MG2243878 SERC TAB 16MG 16 MG
2280191 NOVO-BETAHISTINE TAB 16MG 16 MG
2330210 PMS-BETAHISTINE TAB 16MG PMS07 16 MG
2449153 AURO-BETAHISTINE TAB 16MG 16 MG
2466449 SANIS-BETAHISTINE TAB 16MG 16 MG
BETAHISTINE HYDROCHLORIDE 24 MG2247998 SERC TAB 24MG 24 MG
2280205 NOVO-BETAHISTINE TAB 24MG 24 MG
2330237 PMS-BETAHISTINE TAB 24MG PMS07 24 MG
2449161 AURO-BETAHISTINE TAB 24MG 24 MG
2466457 SANIS-BETAHISTINE TAB 24MG 24 MG
BETAMETHASONEBETAMETHASONE 0.05% (OINT)
629367 DIPROLENE OINT 0.05% 0.05% (OINT)
849669 RATIO-TOPILENE OINT 0.5MG/GM 0.05% (OINT)
BETAMETHASONE / CLOTRIMAZOLEBETAMETHASONE / CLOTRIMAZOLE 0.05% / 1%
611174 LOTRIDERM CRM 0.05% / 1%
2496410 TARO-CLOTRIMAZOLE/BETAMETHASONE DIPROPIONATE CRM 0.05%/1%
TAR08 0.05% / 1%
BETAMETHASONE DIPROPIONATE
BETAMETHASONE DIPROPIONATE 0.05% (CRM)323071 DIPROSONE CRM 0.05% 0.05% (CRM)
1925350 TARO-SONE CRM 0.05% TAR08 0.05% (CRM)
BETAMETHASONE DIPROPIONATE 0.05% (LOT)417246 DIPROSONE LOT 0.05% 0.05% (LOT)
809187 RATIO-TOPISONE LOT 0.05% 0.05% (LOT)
BETAMETHASONE DIPROPIONATE 0.05% (OINT)344923 DIPROSONE OINT 0.05% 0.05% (OINT)
805009 RATIO-TOPISONE OINT 0.05% 0.05% (OINT)
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 15
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthBETAMETHASONE VALERATE
BETAMETHASONE VALERATE 0.05% (CRM)535427 RATIO-ECTOSONE MILD CRM 0.05% 0.05% (CRM)
716618 BETADERM CRM 0.05% TAR08 0.05% (CRM)
2357860 CELESTODERM V/2 CRM 0.05% 0.05% (CRM)
BETAMETHASONE VALERATE 0.1% (CRM)535435 RATIO-ECTOSONE REGULAR CRM 0.1% 0.1% (CRM)
716626 BETADERM CRM 0.1% TAR08 0.1% (CRM)
2357844 CELESTODERM-V CM 0.1% 0.1% (CRM)
BETAMETHASONE VALERATE 0.1% (LOT)27944 VALISONE SCALP LOT 0.1% 0.1% (LOT)
653217 RATIO-ECTOSONE SCALP LOT 0.1% 0.1% (LOT)
716634 BETADERM LOT 0.1% TAR08 0.1% (LOT)
BEZAFIBRATEBEZAFIBRATE 400 MG
2083523 BEZALIP SR TAB-ER 400MG 400 MG
2453312 JAMP-BEZAFIBRATE SR TAB-ER 400MG JPC10 400 MG
BICALUTAMIDEBICALUTAMIDE 50 MG
2184478 CASODEX TAB 50MG AZC08 50 MG
2270226 NOVO-BICALUTAMIDE TAB 50MG 50 MG
2275589 PMS-BICALUTAMIDE TAB 50MG PMS07 50 MG
2296063 APO-BICALUTAMIDE TAB 50MG APX08 50 MG
2325985 BICALUTAMIDE TAB 50MG 50 MG
2357216 JAMP-BICALUTAMIDE TAB 50MG JPC10 50 MG
BISOPROLOL FUMARATE
BISOPROLOL FUMARATE 10 MG2247440 SANDOZ-BISOPROLOL TAB 10MG 10 MG
2256177 APO-BISOPROLOL TAB 10MG APX08 10 MG
2267489 NOVO-BISOPROLOL TAB 10MG 10 MG
2383063 BISOPROLOL TAB 10MG 10 MG
2391597 BISOPROLOL TAB 10MG 10 MG
2465620 MINT-BISOPROLOL TAB 10MG 10 MG
2494043 SANDOZ BISOPROLOL TAB 10MG 10 MG
2495570 BISOPROLOL TAB 10MG 10 MG
BISOPROLOL FUMARATE 5 MG2247439 SANDOZ-BISOPROLOL TAB 5MG 5 MG
2256134 APO-BISOPROLOL TAB 5MG APX08 5 MG
2267470 NOVO-BISOPROLOL TAB 5MG 5 MG
2383055 BISOPROLOL TAB 5MG 5 MG
2391589 BISOPROLOL TAB 5MG 5 MG
2465612 MINT-BISOPROLOL TAB 5MG 5 MG
2494035 SANDOZ BISOPROLOL TAB 5MG 5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 16
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2495562 BISOPROLOL TAB 5MG 5 MG
BOSENTAN MONOHYDRATEBOSENTAN MONOHYDRATE 125 MG
2244982 TRACLEER TAB 125MG JSO08 125 MG
2383020 PMS-BOSENTAN TAB 125MG PMS07 125 MG
2386283 SANDOZ BOSENTAN TAB 125MG 125 MG
2467992 NAT-BOSENTAN TAB 125MG 125 MG
2483149 TARO-BOSENTAN TAB 125MG TAR08 125 MG
BOSENTAN MONOHYDRATE 62.5 MG2244981 TRACLEER TAB 62.5MG JSO08 62.5 MG
2383012 PMS-BOSENTAN TAB 62.5MG PMS07 62.5 MG
2386275 SANDOZ BOSENTAN TAB 62.5MG 62.5 MG
2467984 NAT-BOSENTAN TAB 62.5MG 62.5 MG
2483130 TARO-BOSENTAN TAB 62.5MG TAR08 62.5 MG
BRIMONIDINE TARTRATE
BRIMONIDINE TARTRATE 0.15%2248151 ALPHAGAN P SOL 0.15% ALL07 0.15%
2301334 APO-BRIMONIDINE P LIQ 0.15% 0.15%
BRIMONIDINE TARTRATE 0.20%2236876 ALPHAGAN LIQ 0.2% ALL07 0.20%
2246284 PMS-BRIMONIDINE OPH SOL 0.2% PMS07 0.20%
2260077 APO-BRIMONIDINE OPH LIQ 0.2% APX08 0.20%
2305429 SANDOZ-BRIMONIDINE OPH SOL 0.2% 0.20%
BROMAZEPAM
BROMAZEPAM 3 MG2177161 APO-BROMAZEPAM TAB 3MG APX08 3 MG
2230584 NOVO-BROMAZEPAM TAB 3MG 3 MG
BROMAZEPAM 6 MG2177188 APO-BROMAZEPAM TAB 6MG APX08 6 MG
2230585 NOVO-BROMAZEPAM TAB 6MG 6 MG
BUDESONIDE
BUDESONIDE 0.125 MG/ML2229099 PULMICORT NEBUAMP SUSP 0.125MG/ML AZC08 0.125 MG/ML
2465949 TEVA-BUDESONIDE INH-SUSP 0.125MG/ML 0.125 MG/ML
BUDESONIDE 0.5 MG/ML1978926 PULMICORT NEBUAMP SUSP 0.5MG/ML AZC08 0.5 MG/ML
2465957 TEVA-BUDESONIDE INH-SUSP 0.5MG/ML 0.5 MG/ML
BUDESONIDE 64 MCG2231923 RHINOCORT AQUA 64MCG/ACT MCL08 64 MCG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 17
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2241003 MYLAN-BUDESONIDE AQ NASAL SPR 64MCG/ACT 64 MCG
BUPRENORPHINE HYDROCHLORIDE / NALOXONE HYDROCHLORIBUPRENORPHINE HYDROCHLORIDE / NALOXONE HYDROCHLORI 2 MG / 0.5 MG
2295695 SUBOXONE TAB 2/0.5MG 2 MG / 0.5 MG
2424851 TEVA-BUPRENORPHINE/NALOXONE TAB 2MG/0.5MG PMS07 2 MG / 0.5 MG
2453908 ACT BUPRENORPHINE/NALOXONE TAB-SL 2MG/0.5MG 2 MG / 0.5 MG
BUPRENORPHINE HYDROCHLORIDE / NALOXONE HYDROCHLORI 8 MG / 2 MG2295709 SUBOXONE TAB 8/2MG 8 MG / 2 MG
2424878 TEVA-BUPRENORPHINE/NALOXONE TAB 8MG/2MG PMS07 8 MG / 2 MG
2453916 ACT BUPRENORPHINE/NALOXONE TAB-SL 8MG/2MG 8 MG / 2 MG
BUPROPION HYDROCHLORIDE
BUPROPION HYDROCHLORIDE 100 MG2275074 SANDOZ-BUPROPION SR TAB-ER 100MG 100 MG
2391562 BUPROPION SR TAB-ER 100MG 100 MG
BUPROPION HYDROCHLORIDE 150 MG2237825 WELLBUTRIN SR TAB-ER 150MG 150 MG
2275082 SANDOZ BUPROPION SR TAB-ER 150MG 150 MG
2391570 BUPROPION SR TAB-ER 150MG 150 MG
BUPROPION HYDROCHLORIDE 150 MG (ER)2275090 WELLBUTRIN XL TAB-ER 150MG 150 MG (ER)
2382075 MYLAN-BUPROPION XL TAB-ER 150MG 150 MG (ER)
2439654 ACT BUPROPION XL TAB-ER 150MG 150 MG (ER)
2475804 RAN-BUPROPION XL TAB-ER 150MG 150 MG (ER)
BUPROPION HYDROCHLORIDE 300 MG (ER)2275104 WELLBUTRIN XL TAB-ER 300MG 300 MG (ER)
2382083 MYLAN-BUPROPION XL TAB-ER 300MG 300 MG (ER)
2439662 ACT BUPROPION XL TAB-ER 300MG 300 MG (ER)
2475812 RAN-BUPROPION XL TAB-ER 300MG 300 MG (ER)
BUSPIRONE HYDROCHLORIDE
BUSPIRONE HYDROCHLORIDE 10 MG2211076 APO-BUSPIRONE TAB 10MG APX08 10 MG
2230942 PMS-BUSPIRONE TAB 10MG PMS07 10 MG
2231492 NOVO-BUSPIRONE TAB 10MG 10 MG
CABERGOLINECABERGOLINE 0.5 MG
2242471 DOSTINEX TAB 0.5MG PFI07 0.5 MG
2455897 APO-CABERGOLINE TAB 0.5MG APX08 0.5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 18
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthCALCITRIOL
CALCITRIOL 0.25 MCG481823 ROCALTROL CAP 0.25MCG HLR07 0.25 MCG
2431637 CALCITRIOL-ODAN CAP 0.25MCG ODN07 0.25 MCG
2485710 TARO-CALCITRIOL CAP 0.25MCG TAR08 0.25 MCG
2495899 CALCITRIOL CAP 0.25MCG 0.25 MCG
CALCITRIOL 0.5 MCG481815 ROCALTROL CAP 0.5MCG HLR07 0.5 MCG
2431645 CALCITRIOL-ODAN CAP 0.5MCG ODN07 0.5 MCG
2485729 TARO-CALCITRIOL CAP 0.5MCG TAR08 0.5 MCG
2495902 CALCITRIOL CAP 0.5MCG 0.5 MCG
CANDESARTAN CILEXETIL
CANDESARTAN CILEXETIL 16 MG2239092 ATACAND TAB 16 MG AZC08 16 MG
2326973 SANDOZ CANDESARTAN TAB 16MG 16 MG
2365367 APO-CANDESARTAN TAB 16MG APX08 16 MG
2366320 NOVO-CANDESARTAN TAB 16MG 16 MG
2379287 CANDESARTAN CILEXETIL TABLETS TAB 16MG 16 MG
2380706 RAN-CANDESARTAN TAB 16MG 16 MG
2386526 JAMP-CANDESARTAN TAB 16MG JPC10 16 MG
2388715 CANDESARTAN TAB 16MG 16 MG
2388936 CANDESARTAN TAB 16MG 16 MG
2391201 PMS-CANDESARTAN TAB 16MG PMS07 16 MG
2445808 AURO-CANDESARTAN TAB 16MG 16 MG
2476924 MINT-CANDESARTAN TAB 16MG 16 MG
CANDESARTAN CILEXETIL 32 MG2311658 ATACAND TAB 32MG AZC08 32 MG
2366339 NOVO-CANDESARTAN TAB 32MG 32 MG
2379295 CANDESARTAN CILEXETIL TABLETS TAB 32MG 32 MG
2380714 RAN-CANDESARTAN TAB 32MG 32 MG
2386534 JAMP-CANDESARTAN TAB 32MG JPC10 32 MG
2391228 PMS-CANDESARTAN TAB 32MG PMS07 32 MG
2399105 APO-CANDESARTAN TAB 32MG APX08 32 MG
2417340 SANDOZ CANDESARTAN TAB 32MG 32 MG
2435845 CANDESARTAN TAB 32MG 32 MG
2445816 AURO-CANDESARTAN TAB 32MG 32 MG
CANDESARTAN CILEXETIL 4 MG2239090 ATACAND TAB 4MG AZC08 4 MG
2326957 SANDOZ CANDESARTAN TAB 4MG 4 MG
2365340 APO-CANDESARTAN TAB 4MG APX08 4 MG
2379260 CANDESARTAN CILEXETIL TABLETS TAB 4MG 4 MG
2380684 RAN-CANDESARTAN TAB 4MG 4 MG
2386496 JAMP-CANDESARTAN TAB 4MG JPC10 4 MG
2388901 CANDESARTAN TAB 4MG 4 MG
2391171 PMS-CANDESARTAN TAB 4MG PMS07 4 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 19
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2445786 AURO-CANDESARTAN TAB 4MG 4 MG
CANDESARTAN CILEXETIL 8 MG2239091 ATACAND TAB 8MG AZC08 8 MG
2326965 SANDOZ CANDESARTAN TAB 8MG 8 MG
2365359 APO-CANDESARTAN TAB 8MG APX08 8 MG
2366312 NOVO-CANDESARTAN TAB 8MG 8 MG
2379279 CANDESARTAN CILEXETIL TABLETS TAB 8MG 8 MG
2380692 RAN-CANDESARTAN TAB 8MG 8 MG
2386518 JAMP-CANDESARTAN TAB 8MG JPC10 8 MG
2388707 CANDESARTAN TAB 8MG 8 MG
2388928 CANDESARTAN TAB 8MG 8 MG
2391198 PMS-CANDESARTAN TAB 8MG PMS07 8 MG
2445794 AURO-CANDESARTAN TAB 8MG 8 MG
2476916 MINT-CANDESARTAN TAB 8MG 8 MG
CAPECITABINE
CAPECITABINE 150 MG2238453 XELODA TAB 150MG HLR07 150 MG
2421917 SANDOZ CAPECITABINE TAB 150MG 150 MG
2426757 ACH-CAPECITABINE TAB 150MG 150 MG
2457490 TARO-CAPECITABINE TAB 150MG TAR08 150 MG
CAPECITABINE 500 MG2238454 XELODA TAB 500MG HLR07 500 MG
2421925 SANDOZ CAPECITABINE TAB 500MG 500 MG
2426765 ACH-CAPECITABINE TAB 500MG 500 MG
2457504 TARO-CAPECITABINE TAB 500MG TAR08 500 MG
CAPTOPRIL
CAPTOPRIL 100 MG893625 APO-CAPTO TAB 100MG APX08 100 MG
1942999 NOVO-CAPTORIL TAB 100MG 100 MG
CAPTOPRIL 12.5 MG893595 APO-CAPTO TAB 12.5MG APX08 12.5 MG
1942964 NOVO-CAPTORIL TAB 12.5MG 12.5 MG
CAPTOPRIL 25 MG893609 APO-CAPTO TAB 25MG APX08 25 MG
1942972 NOVO-CAPTORIL TAB 25MG 25 MG
CAPTOPRIL 50 MG893617 APO-CAPTO TAB 50MG APX08 50 MG
1942980 NOVO-CAPTORIL TAB 50MG 50 MG
CARBAMAZEPINECARBAMAZEPINE 100 MG/5 ML
2194333 TEGRETOL SUSP 100MG/5ML NVR07 100 MG/5 ML
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 20
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2367394 TARO-CARBAMAZEPINE SUSP 100MG/5ML TAR08 100 MG/5 ML
CARBAMAZEPINE 200 MG10405 TEGRETOL TAB 200MG NVR07 200 MG
782718 NOVO-CARBAMAZ TAB 200MG 200 MG
2407515 TARO-CARBAMAZEPINE TAB-IR 200MG TAR08 200 MG
CARBAMAZEPINE 200 MG (CR)773611 TEGRETOL CR TAB-ER 200MG NVR07 200 MG (CR)
2231543 PMS-CARBAMAZEPINE-CR TAB-ER 200MG PMS07 200 MG (CR)
2261839 SANDOZ-CARBAMAZEPINE CR TAB-SR 200MG 200 MG (CR)
CARBAMAZEPINE 400 MG755583 TEGRETOL CR TAB-ER 400MG NVR07 400 MG
2231544 PMS-CARBAMAZEPINE-CR TAB-ER 400MG PMS07 400 MG
2261847 SANDOZ-CARBAMAZEPINE CR TAB-SR 400MG 400 MG
CARBIDOPA / LEVODOPACARBIDOPA / LEVODOPA 10 / 100 MG
2195933 APO-LEVOCARB TAB 100/10MG APX08 10 / 100 MG
2244494 NOVO-LEVOCARBIDOPA TAB 100/10MG 10 / 100 MG
2457954 MINT-LEVOCARB TAB 10MG/100MG 10 / 100 MG
CARBIDOPA / LEVODOPA 25 / 100 MG513997 SINEMET TAB 100/25MG 25 / 100 MG
2195941 APO-LEVOCARB TAB 100/25MG APX08 25 / 100 MG
2244495 NOVO-LEVOCARBIDOPA TAB 100/25MG 25 / 100 MG
2457962 MINT-LEVOCARB TAB 25MG/100MG 25 / 100 MG
CARBIDOPA / LEVODOPA 25 / 100 MG (CR)2028786 SINEMET CR TAB-ER 100/25MG 25 / 100 MG (CR)
2272873 APO-LEVOCARB CR TAB-ER 100/25MG APX08 25 / 100 MG (CR)
CARBIDOPA / LEVODOPA 25 / 250 MG328219 SINEMET TAB 250/25MG 25 / 250 MG
2195968 APO-LEVOCARB TAB 250/25MG APX08 25 / 250 MG
2244496 NOVO-LEVOCARBIDOPA TAB 250/25MG 25 / 250 MG
2457970 MINT-LEVOCARB TAB 25MG/250MG 25 / 250 MG
CARBIDOPA / LEVODOPA 50 MG / 200 MG (CR)870935 SINEMET CR TAB-ER 200/50MG 50 MG / 200 MG (CR)
2245211 APO-LEVOCARB CR TAB-ER 200/50MG APX08 50 MG / 200 MG (CR)
CARVEDILOL
CARVEDILOL 12.5 MG2245916 PMS-CARVEDILOL TAB 12.5MG PMS07 12.5 MG
2247935 APO-CARVEDILOL TAB 12.5MG APX08 12.5 MG
2248754 PHL-CARVEDILOL TAB 12.5MG 12.5 MG
2252325 RATIO-CARVEDILOL TAB 12.5MG 12.5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 21
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2364948 CARVEDILOL TAB 12.5MG 12.5 MG
2368919 JAMP-CARVEDILOL TAB 12.5MG JPC10 12.5 MG
2418517 AURO-CARVEDILOL TAB 12.5MG 12.5 MG
CARVEDILOL 25 MG2245917 PMS-CARVEDILOL TAB 25MG PMS07 25 MG
2247936 APO-CARVEDILOL TAB 25MG APX08 25 MG
2248755 PHL-CARVEDILOL TAB 25MG 25 MG
2252333 RATIO-CARVEDILOL TAB 25MG 25 MG
2364956 CARVEDILOL TAB 25MG 25 MG
2368927 JAMP-CARVEDILOL TAB 25MG JPC10 25 MG
2418525 AURO-CARVEDILOL TAB 25MG 25 MG
CARVEDILOL 3.125 MG2245914 PMS-CARVEDILOL TAB 3.125MG PMS07 3.125 MG
2247933 APO-CARVEDILOL TAB 3.125MG APX08 3.125 MG
2248752 PHL-CARVEDILOL TAB 3.125MG 3.125 MG
2252309 RATIO-CARVEDILOL TAB 3.125MG 3.125 MG
2364913 CARVEDILOL TAB 3.125MG 3.125 MG
2368897 JAMP-CARVEDILOL TAB 3.125MG JPC10 3.125 MG
2418495 AURO-CARVEDILOL TAB 3.125MG 3.125 MG
CARVEDILOL 6.25 MG2245915 PMS-CARVEDILOL TAB 6.25MG PMS07 6.25 MG
2247934 APO-CARVEDILOL TAB 6.25MG APX08 6.25 MG
2248753 PHL-CARVEDILOL TAB 6.25MG 6.25 MG
2252317 RATIO-CARVEDILOL TAB 6.25MG 6.25 MG
2364921 CARVEDILOL TAB 6.25MG 6.25 MG
2368900 JAMP-CARVEDILOL TAB 6.25MG JPC10 6.25 MG
2418509 AURO-CARVEDILOL TAB 6.25MG 6.25 MG
CEFADROXIL
CEFADROXIL 500 MG2235134 NOVO-CEFADROXIL CAP 500MG 500 MG
2240774 APO-CEFADROXIL CAP 500MG APX08 500 MG
CEFAZOLIN SODIUMCEFAZOLIN SODIUM 1 GM
2108127 CEFAZOLIN INJ PWD-SOL 1GM/VIAL 1 GM
2297205 CEFAZOLIN INJ PWD-SOL 1GM/VIAL PFI07 1 GM
2308959 CEFAZOLIN INJ PWD-SOL 1G/VIAL 1 GM
CEFIXIME
CEFIXIME 100 MG / 5 ML868965 SUPRAX PWD-SUSP 100MG/5ML ODN07 100 MG / 5 ML
2468689 AURO-CEFIXIME PWD-SUSP 100MG/5ML 100 MG / 5 ML
CEFIXIME 400 MG868981 SUPRAX TAB 400MG ODN07 400 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 22
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2432773 AURO-CEFIXIME TAB 400MG 400 MG
CEFPROZIL MONOHYDRATECEFPROZIL MONOHYDRATE 250 MG
2293528 RAN-CEFPROZIL TAB 250MG 250 MG
2302179 SANDOZ-CEFPROZIL TAB 250MG 250 MG
CEFPROZIL MONOHYDRATE 500 MG2293536 RAN-CEFPROZIL TAB 500MG 500 MG
2302187 SANDOZ-CEFPROZIL TAB 500MG 500 MG
2347253 AURO-CEFPROZIL TAB 500MG 500 MG
CEFTRIAXONE SODIUM
CEFTRIAXONE SODIUM 1 GM2287633 CEFTRIAXONE SODIUM INJ PWD-SOL 1GM/VIAL 1 GM
2292270 SANDOZ-CEFTRIAXONE INJ PWD-SOL 1GM/VIAL USP 1 GM
2325616 STRAGEN CEFTRIAXONE INJ PWD-SOL 1G/VIAL RAX08 1 GM
CEFTRIAXONE SODIUM 2 GM2292289 SANDOZ-CEFTRIAXONE INJ PWD-SOL 2GM/VIAL USP 2 GM
2325624 STRAGEN CEFTRIAXONE INJ PWD-SOL 2G/VIAL RAX08 2 GM
CEFUROXIME AXETILCEFUROXIME AXETIL 250 MG
2212277 CEFTIN TAB 250MG 250 MG
2244393 APO-CEFUROXIME TAB 250MG APX08 250 MG
2344823 AURO-CEFUROXIME TAB 250MG 250 MG
CEFUROXIME AXETIL 500 MG2212285 CEFTIN TAB 500MG 500 MG
2244394 APO-CEFUROXIME TAB 500MG APX08 500 MG
2344831 AURO-CEFUROXIME TAB 500MG 500 MG
CELECOXIBCELECOXIB 100 MG
2239941 CELEBREX CAP 100MG PFI07 100 MG
2355442 PMS-CELECOXIB CAP 100MG PMS07 100 MG
2412373 RAN-CELECOXIB CAP 100MG 100 MG
2412497 MINT-CELECOXIB CAP 100MG 100 MG
2418932 APO-CELECOXIB CAP 100MG APX08 100 MG
2420058 MAR-CELECOXIB CAP 100MG 100 MG
2420155 CO CELECOXIB CAP 100MG 100 MG
2424533 JAMP-CELECOXIB CAP 100MG JPC10 100 MG
2426382 BIO-CELECOXIB CAP 100MG 100 MG
2429675 CELECOXIB CAP 100MG 100 MG
2442639 SDZ-CELECOXIB CAP 100MG 100 MG
2445670 AURO-CELECOXIB CAP 100MG 100 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 23
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthCELECOXIB 200 MG
2239942 CELEBREX CAP 200MG PFI07 200 MG
2355450 PMS-CELECOXIB CAP 200MG PMS07 200 MG
2412381 RAN-CELECOXIB CAP 200MG 200 MG
2412500 MINT-CELECOXIB CAP 200MG 200 MG
2418940 APO-CELECOXIB CAP 200MG APX08 200 MG
2420066 MAR-CELECOXIB CAP 200MG 200 MG
2420163 CO CELECOXIB CAP 200MG 200 MG
2424541 JAMP-CELECOXIB CAP 200MG JPC10 200 MG
2426390 BIO-CELECOXIB CAP 200MG 200 MG
2429683 CELECOXIB CAP 200MG 200 MG
2442647 SDZ-CELECOXIB CAP 200MG 200 MG
2445689 AURO-CELECOXIB CAP 200MG 200 MG
CEPHALEXINCEPHALEXIN 250 MG
403628 KEFLEX TAB 250MG 250 MG
583413 NOVO-LEXIN TAB 250MG 250 MG
768723 APO-CEPHALEX TAB 250MG APX08 250 MG
2470578 AURO-CEPHALEXIN TAB 250MG 250 MG
CEPHALEXIN 500 MG244392 KEFLEX TAB 500MG 500 MG
583421 NOVO-LEXIN TAB 500MG 500 MG
768715 APO-CEPHALEX TAB 500MG APX08 500 MG
2470586 AURO-CEPHALEXIN TAB 500MG 500 MG
2495651 CEPHALEXIN TAB 500MG 500 MG
CHOLESTYRAMINE RESIN
CHOLESTYRAMINE RESIN 4 GM890960 PMS-CHOLESTYRAMINE LIGHT PWD-SOL 4GM/5GM PMS07 4 GM
2210320 PMS-CHOLESTYRAMINE REGULAR (POUCH) PWD 4GM/DOSE
PMS07 4 GM
2455609 CHOLESTYRAMINE-ODAN PWD-SUSP 4G/DOSE ODN07 4 GM
2478595 JAMP-CHOLESTYRAMINE PWD-SUSP 4G/PKG JPC10 4 GM
CILAZAPRIL MONOHYDRATECILAZAPRIL MONOHYDRATE 1 MG
2283778 MYLAN-CILAZAPRIL TAB 1.25MG 1 MG
2291134 APO-CILAZAPRIL TAB 1MG APX08 1 MG
CILAZAPRIL MONOHYDRATE 2.5 MG1911473 INHIBACE TAB 2.5MG HLR07 2.5 MG
2283786 MYLAN-CILAZAPRIL TAB 2.5MG 2.5 MG
2291142 APO-CILAZAPRIL TAB 2.5MG APX08 2.5 MG
CILAZAPRIL MONOHYDRATE 5 MG1911481 INHIBACE TAB 5MG HLR07 5 MG
2283794 MYLAN-CILAZAPRIL TAB 5MG 5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 24
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2291150 APO-CILAZAPRIL TAB 5MG APX08 5 MG
CIPROFLOXACIN HYDROCHLORIDECIPROFLOXACIN HYDROCHLORIDE 0.30%
1945270 CILOXAN OPH SOL 0.3% NVR07 0.30%
2387131 SANDOZ CIPROFLOXACIN SOL 0.3% 0.30%
CIPROFLOXACIN HYDROCHLORIDE 250 MG2247339 CO-CIPROFLOXACIN TAB 250MG 250 MG
2248437 PMS-CIPROFLOXACIN TAB 250MG PMS07 250 MG
2248756 SANDOZ-CIPROFLOXACIN TAB 250MG 250 MG
2303728 RAN-CIPROFLOX TAB 250MG 250 MG
2353318 CIPROFLOXACIN TAB 250MG 250 MG
2379686 MAR-CIPROFLOXACIN TAB 250MG 250 MG
2380358 JAMP-CIPROFLOXACIN TAB 250MG JPC10 250 MG
2381907 AURO-CIPROFLOXACIN TAB 250MG 250 MG
2386119 CIPROFLOXACIN TAB 250MG 250 MG
2423553 MINT-CIPROFLOX TAB 250MG 250 MG
CIPROFLOXACIN HYDROCHLORIDE 500 MG2155966 CIPRO 500 TAB 500MG 500 MG
2247340 CO-CIPROFLOXACIN TAB 500MG 500 MG
2248438 PMS-CIPROFLOXACIN TAB 500MG PMS07 500 MG
2248757 SANDOZ-CIPROFLOXACIN TAB 500MG 500 MG
2303736 RAN-CIPROFLOX TAB 500MG 500 MG
2353326 CIPROFLOXACIN TAB 500MG 500 MG
2379694 MAR-CIPROFLOXACIN TAB 500MG 500 MG
2380366 JAMP-CIPROFLOXACIN TAB 500MG JPC10 500 MG
2381923 AURO-CIPROFLOXACIN TAB 500MG 500 MG
2386127 CIPROFLOXACIN TAB 500MG 500 MG
2423561 MINT-CIPROFLOX TAB 500MG 500 MG
CIPROFLOXACIN HYDROCHLORIDE 500 MG (ER)2247916 CIPRO XL TAB-COMBR 500MG 500 MG (ER)
2416433 PMS-CIPROFLOXACIN XL TAB-ER 212.6MG/287.5MG PMS07 500 MG (ER)
CIPROFLOXACIN HYDROCHLORIDE 750 MG2155974 CIPRO 750 TAB 750MG 750 MG
2247341 CO-CIPROFLOXACIN TAB 750MG 750 MG
2248439 PMS-CIPROFLOXACIN TAB 750MG PMS07 750 MG
2248758 SANDOZ-CIPROFLOXACIN TAB 750MG 750 MG
2303744 RAN-CIPROFLOX TAB 750MG 750 MG
2379708 MAR-CIPROFLOXACIN TAB 750MG 750 MG
2380374 JAMP-CIPROFLOXACIN TAB 750MG JPC10 750 MG
2423588 MINT-CIPROFLOX TAB 750MG 750 MG
CITALOPRAM HYDROBROMIDECITALOPRAM HYDROBROMIDE 10 MG
2270609 PMS-CITALOPRAM TAB 10MG PMS07 10 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 25
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2445719 CITALOPRAM TAB 10MG 10 MG
CITALOPRAM HYDROBROMIDE 20 MG2239607 CELEXA TAB 20MG VLH07 20 MG
2246056 APO-CITALOPRAM TAB 20MG APX08 20 MG
2248010 PMS-CITALOPRAM TAB 20MG PMS07 20 MG
2248170 SANDOZ-CITALOPRAM TAB 20MG 20 MG
2275562 CITALOPRAM HYDROBROMIDE TAB 20MG 20 MG
2285622 RAN-CITALO TAB 20MG 20 MG
2293218 NOVO-CITALOPRAM TAB 20MG 20 MG
2353660 CITALOPRAM TAB 20MG 20 MG
2355272 SEPTA-CITALOPRAM TAB 20MG 20 MG
2371898 MAR-CITALOPRAM TAB 20MG 20 MG
2387956 CITALOPRAM TAB 20MG 20 MG
2409011 NAT-CITALOPRAM TAB 20MG 20 MG
2429705 MINT-CITALOPRAM TAB 20MG 20 MG
2430541 CITALOPRAM TAB 20MG JPC10 20 MG
2459914 CITALOPRAM TAB 20MG 20 MG
CITALOPRAM HYDROBROMIDE 40 MG2239608 CELEXA TAB 40MG VLH07 40 MG
2246057 APO-CITALOPRAM TAB 40MG APX08 40 MG
2248011 PMS-CITALOPRAM TAB 40MG PMS07 40 MG
2248171 SANDOZ-CITALOPRAM TAB 40MG 40 MG
2275570 CITALOPRAM HYDROBROMIDE TAB 40MG 40 MG
2293226 NOVO-CITALOPRAM TAB 40MG 40 MG
2353679 CITALOPRAM TAB 40MG 40 MG
2355280 SEPTA-CITALOPRAM TAB 40MG 40 MG
2371901 MAR-CITALOPRAM TAB 40MG 40 MG
2387964 CITALOPRAM TAB 40MG 40 MG
2409038 NAT-CITALOPRAM TAB 40MG 40 MG
2429713 MINT-CITALOPRAM TAB 40MG 40 MG
2430568 CITALOPRAM TAB 40MG JPC10 40 MG
2459922 CITALOPRAM TAB 40MG 40 MG
CLARITHROMYCIN
CLARITHROMYCIN 125 MG / 5 ML2146908 BIAXIN PWD-SOL 125MG/5ML 125 MG / 5 ML
2390442 ACCEL-CLARITHROMYCIN GRAN-SUSP 125/5MG/ML TAR08 125 MG / 5 ML
2408988 CLARITHROMYCIN GRAN-SUSP 125MG/5ML 125 MG / 5 ML
CLARITHROMYCIN 250 MG1984853 BIAXIN BID TAB 250MG 250 MG
2247573 PMS-CLARITHROMYCIN TAB 250MG PMS07 250 MG
2248804 NOVO-CLARITHROMYCIN TAB 250MG 250 MG
2266539 RHOXAL-CLARITHROMYCIN TAB 250MG 250 MG
2274744 APO-CLARITHROMYCIN TAB 250MG APX08 250 MG
2361426 RAN-CLARITHROMYCIN TAB 250MG 250 MG
2442469 CLARITHROMYCIN TAB 250MG 250 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 26
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2466120 SANIS-CLARITHROMYCIN TAB 250MG 250 MG
CLARITHROMYCIN 250 MG / 5 ML2244641 BIAXIN PWD-SOL 250MG/ML 250 MG / 5 ML
2390450 ACCEL-CLARITHROMYCIN GRAN-SUSP 250/5MG/ML TAR08 250 MG / 5 ML
2408996 CLARITHROMYCIN GRAN-SUSP 250MG/5ML 250 MG / 5 ML
CLARITHROMYCIN 500 MG2126710 BIAXIN BID TAB 500MG 500 MG
2247574 PMS-CLARITHROMYCIN TAB 500MG PMS07 500 MG
2248805 NOVO-CLARITHROMYCIN TAB 500MG 500 MG
2266547 RHOXAL-CLARITHROMYCIN TAB 500MG 500 MG
2274752 APO-CLARITHROMYCIN TAB 500MG APX08 500 MG
2361434 RAN-CLARITHROMYCIN TAB 500MG 500 MG
2442485 CLARITHROMYCIN TAB 500MG 500 MG
CLARITHROMYCIN 500 MG (ER)2244756 BIAXIN XL TAB-ER 500MG 500 MG (ER)
2403196 ACT CLARITHROMYCIN XL TAB-ER 500MG 500 MG (ER)
2413345 APO-CLARITHROMYCIN XL TAB-ER 500MG APX08 500 MG (ER)
CLINDAMYCIN HYDROCHLORIDECLINDAMYCIN HYDROCHLORIDE 150 MG
30570 DALACIN C CAP 150MG PFI07 150 MG
2241709 NOVO-CLINDAMYCIN CAP 150MG 150 MG
2436906 AURO-CLINDAMYCIN CAP 150MG 150 MG
2483734 JAMP CLINDAMYCIN CAP 150MG JPC10 150 MG
2493748 NRA-CLINDAMYCIN CAP 150MG 150 MG
CLINDAMYCIN HYDROCHLORIDE 300 MG2182866 DALACIN C CAP 300MG PFI07 300 MG
2241710 NOVO-CLINDAMYCIN CAP 300MG 300 MG
2436914 AURO-CLINDAMYCIN CAP 300MG 300 MG
2483742 JAMP CLINDAMYCIN CAP 300MG JPC10 300 MG
2493756 NRA-CLINDAMYCIN CAP 300MG 300 MG
CLINDAMYCIN PHOSPHATE
CLINDAMYCIN PHOSPHATE 1%582301 DALACIN T SOL 1% PFI07 1%
2266938 TARO-CLINDAMYCIN SOL 1% TAR08 1%
2483769 CLINDAMYCIN PHOSPHATE USP TOPICAL SOL 1% 1%
CLINDAMYCIN PHOSPHATE 150 MG/ML260436 DALACIN C PHOSPHATE SOL 150MG/ML PFI07 150 MG/ML
2230540 CLINDAMYCIN INJ LIQ 150MG/ML USP 150 MG/ML
CLOBAZAMCLOBAZAM 10 MG
2238334 NOVO-CLOBAZAM TAB 10MG 10 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 27
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2244638 APO-CLOBAZAM TAB 10MG APX08 10 MG
CLOBETASOL PROPIONATECLOBETASOL PROPIONATE 0.05% (CRM)
1910272 RATIO-CLOBETASOL CRM 0.05% 0.05% (CRM)
2024187 MYLAN-CLOBETASOL CRM 0.05% 0.05% (CRM)
2213265 DERMOVATE CRM 0.05% TPT08 0.05% (CRM)
2245523 TARO-CLOBETASOL PROPIONATE CRM 0.05% USP TAR08 0.05% (CRM)
CLOBETASOL PROPIONATE 0.05% (LOT)1910299 RATIO-CLOBETASOL LOT 0.05% 0.05% (LOT)
2213281 DERMOVATE SCALP SOL 0.05% TPT08 0.05% (LOT)
2216213 MYLAN-CLOBETASOL SCALP LOT 0.05% 0.05% (LOT)
2232195 PMS-CLOBETASOL SCALP LIQ 0.05% PMS07 0.05% (LOT)
2245522 TARO-CLOBETASOL PROPIONATE TOPICAL SOL 0.05% USP
TAR08 0.05% (LOT)
CLOBETASOL PROPIONATE 0.05% (OINT)1910280 RATIO-CLOBETASOL OINT 0.05% 0.05% (OINT)
2026767 MYLAN-CLOBETASOL OINT 0.05% 0.05% (OINT)
2213273 DERMOVATE OINT 0.05% TPT08 0.05% (OINT)
2245524 TARO-CLOBETASOL PROPIONATE OINT 0.05% USP TAR08 0.05% (OINT)
CLOMIPRAMINE HYDROCHLORIDE
CLOMIPRAMINE HYDROCHLORIDE 25 MG324019 ANAFRANIL TAB 25MG 25 MG
2497506 TARO-CLOMIPRAMINE CAP 25MG TAR08 25 MG
CLOMIPRAMINE HYDROCHLORIDE 50 MG402591 ANAFRANIL TAB 50MG 50 MG
2497514 TARO-CLOMIPRAMINE CAP 50MG TAR08 50 MG
CLONAZEPAM
CLONAZEPAM 0.5 MG382825 RIVOTRIL TAB 0.5MG HLR07 0.5 MG
2048701 PMS-CLONAZEPAM TAB 0.5MG PMS07 0.5 MG
2177889 APO-CLONAZEPAM TAB 0.5MG APX08 0.5 MG
2207818 PMS-CLONAZEPAM-R TAB 0.5MG PMS07 0.5 MG
CLONAZEPAM 2 MG382841 RIVOTRIL TAB 2MG HLR07 2 MG
2048736 PMS-CLONAZEPAM TAB 2MG PMS07 2 MG
2177897 APO-CLONAZEPAM TAB 2MG APX08 2 MG
CLONIDINE HYDROCHLORIDECLONIDINE HYDROCHLORIDE 0.1 MG
2046121 NOVO-CLONIDINE TAB 0.1MG 0.1 MG
2462192 MINT-CLONIDINE TAB 0.1MG 0.1 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 28
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthCLONIDINE HYDROCHLORIDE 0.2 MG
2046148 NOVO-CLONIDINE TAB 0.2MG 0.2 MG
2462206 MINT-CLONIDINE TAB 0.2MG 0.2 MG
CLOPIDOGREL BISULFATE
CLOPIDOGREL BISULFATE 75 MG2238682 PLAVIX TAB 75MG 75 MG
2252767 APO-CLOPIDOGREL TAB 75MG APX08 75 MG
2293161 TEVA-CLOPIDOGREL TAB 75MG 75 MG
2348004 PMS-CLOPIDOGREL TAB 75MG PMS07 75 MG
2359316 SANDOZ CLOPIDOGREL TAB 75MG 75 MG
2379813 RAN-CLOPIDOGREL TAB 75MG 75 MG
2385813 CLOPIDOGREL TAB 75MG 75 MG
2400553 CLOPIDOGREL TAB 75MG 75 MG
2415550 JAMP-CLOPIDOGREL TAB 75MG JPC10 75 MG
2416387 AURO-CLOPIDOGREL TAB 75MG 75 MG
2422255 MAR-CLOPIDOGREL TAB 75MG 75 MG
CLOTRIMAZOLE
CLOTRIMAZOLE 1% (CRM)812382 CLOTRIMADERM CRM 1% TAR08 1% (CRM)
2150867 CANESTEN TOPICAL CRM 1% 1% (CRM)
CLOTRIMAZOLE 1% (VAGINAL CRM)812366 CLOTRIMADERM VAG CRM 1% TAR08 1% (VAGINAL CRM)
2150891 CANESTEN 6 CRM 1% 1% (VAGINAL CRM)
CLOTRIMAZOLE 2% (VAGINAL CRM)812374 CLOTRIMADERM VAG CRM 2% TAR08 2% (VAGINAL CRM)
2150905 CANESTEN 3 CRM 2% 2% (VAGINAL CRM)
CLOZAPINECLOZAPINE 100 MG
894745 CLOZARIL TAB 100MG 100 MG
2247244 GEN-CLOZAPINE TAB 100MG 100 MG
2248035 APO-CLOZAPINE TAB 100MG 100 MG
CLOZAPINE 25 MG894737 CLOZARIL TAB 25MG 25 MG
2247243 GEN-CLOZAPINE TAB 25MG 25 MG
2248034 APO-CLOZAPINE TAB 25MG 25 MG
CODEINE PHOSPHATE / BUTALBITALCODEINE PHOSPHATE / BUTALBITAL 15 / 50 MG
176192 FIORINAL C1/4 CAP 15 / 50 MG
608203 RATIO-TECNAL C1/4 CAP 15 / 50 MG
CODEINE PHOSPHATE / BUTALBITAL 30 / 50 MG176206 FIORINAL C1/2 CAP 30 / 50 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 29
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Ingredient Name DIN/PIN Brand Name MFR Code Strength608181 RATIO-TECNAL C 1/2 CAP 30 / 50 MG
CODEINE PHOSPHATE / BUTALBITAL 40 / 50 MG226327 FIORINAL CAP 40 / 50 MG
608238 RATIO-TECNAL CAP 40 / 50 MG
CODEINE PHOSPHATE / CAFFEINE / ACETAMINOPHENCODEINE PHOSPHATE / CAFFEINE / ACETAMINOPHEN 15 / 15 / 300 MG
653241 RATIO-LENOLTEC NO 2 TAB 15 / 15 / 300 MG
2163934 TYLENOL W/ CODEINE NO. 2 TAB JSO08 15 / 15 / 300 MG
CODEINE PHOSPHATE / CAFFEINE / ACETAMINOPHEN 30 / 15 / 300 MG653276 RATIO-LENOLTEC NO 3 TAB 30 / 15 / 300 MG
2163926 TYLENOL W/ CODEINE NO. 3 TAB JSO08 30 / 15 / 300 MG
COLCHICINE
COLCHICINE 0.6 MG287873 COLCHICINE TAB 0.6MG 0.6 MG
572349 COLCHICINE TAB 0.6MG ODN07 0.6 MG
2373823 JAMP-COLCHICINE JPC10 0.6 MG
2402181 PMS-COLCHICINE TAB 0.6MG PMS07 0.6 MG
CROMOLYN SODIUMCROMOLYN SODIUM 2% (DPS)
2009277 CROMOLYN EYE DROPS 2% (DPS)
2230621 OPTICROM ALL07 2% (DPS)
CYCLOBENZAPRINE HYDROCHLORIDE
CYCLOBENZAPRINE HYDROCHLORIDE 10 MG2080052 NOVO-CYCLOPRINE TAB 10MG 10 MG
2177145 APO-CYCLOBENZAPRINE TAB 10MG APX08 10 MG
2212048 PMS-CYCLOBENZAPRINE TAB 10MG PMS07 10 MG
2287064 GEN-CYCLOBENZAPRINE TAB 10MG 10 MG
2348853 AURO-CYCLOBENZAPRINE TAB 10MG 10 MG
2357127 JAMP-CYCLOBENZAPRINE TAB 10MG JPC10 10 MG
2424584 CYCLOBENZAPRINE TAB 10MG 10 MG
2495422 FLEXERIL TAB 10MG 10 MG
CYCLOSPORINECYCLOSPORINE 100 MG
2150670 NEORAL CAP 100MG NVR07 100 MG
2242821 SANDOZ-CYCLOSPORINE CAP 100MG 100 MG
CYCLOSPORINE 25 MG2150689 NEORAL CAP 25MG NVR07 25 MG
2247073 SANDOZ-CYCLOSPORINE CAP 25MG 25 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 30
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthCYCLOSPORINE 50 MG
2150662 NEORAL CAP 50MG NVR07 50 MG
2247074 RHOXAL-CYCLOSPORINE CAP 50MG 50 MG
CYPROTERONE ACETATE
CYPROTERONE ACETATE 50 MG704431 ANDROCUR TAB 50MG 50 MG
2245898 APO-CYPROTERONE TAB 50MG 50 MG
2390760 MED-CYPROTERONE TAB 50MG 50 MG
DABIGATRAN ETEXILATEDABIGATRAN ETEXILATE 110 MG
2312441 PRADAXA CAP 110MG BOE07 110 MG
2468905 APO-DABIGATRAN CAP 110MG APX08 110 MG
DABIGATRAN ETEXILATE 150 MG2358808 PRADAXA CAP 150MG BOE07 150 MG
2468913 APO-DABIGATRAN CAP 150MG APX08 150 MG
DAPSONEDAPSONE 100 MG
2041510 DAPSONE TAB 100MG 100 MG
2481227 MAR-DAPSONE TAB 100MG 100 MG
2489058 RIVA-DAPSONE TAB 100MG RIV07 100 MG
DARUNAVIRDARUNAVIR 600 MG
2324024 PREZISTA TAB 600MG JSO08 600 MG
2486121 AURO-DARUNAVIR TAB 600MG 600 MG
2487241 APO-DARUNAVIR TAB 600MG APX08 600 MG
DARUNAVIR 800 MG2393050 PREZISTA TAB 800MG JSO08 800 MG
2486148 AURO-DARUNAVIR TAB 800MG 800 MG
2487268 APO-DARUNAVIR TAB 800MG APX08 800 MG
DASATINIB MONOHYDRATEDASATINIB MONOHYDRATE 100 MG
2320193 SPRYCEL TAB 100MG BQC07 100 MG
2470721 APO-DASATINIB TAB 100MG APX08 100 MG
DASATINIB MONOHYDRATE 20 MG2293129 SPRYCEL TAB 20MG BQC07 20 MG
2470705 APO-DASATINIB TAB 20MG APX08 20 MG
DASATINIB MONOHYDRATE 50 MG2293137 SPRYCEL TAB 50MG BQC07 50 MG
2470713 APO-DASATINIB TAB 50MG APX08 50 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 31
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthDASATINIB MONOHYDRATE 70 MG
2293145 SPRYCEL TAB 70MG BQC07 70 MG
2481499 APO-DASATINIB TAB 70MG APX08 70 MG
DASATINIB MONOHYDRATE 80 MG2360810 SPRYCEL TAB 80MG BQC07 80 MG
2481502 APO-DASATINIB TAB 80MG APX08 80 MG
DEFERASIROXDEFERASIROX 125 MG
2287420 EXJADE TAB-SUSP 125MG NVR07 125 MG
2407957 TEVA-DEFERASIROX TAB-SUSP 125MG 125 MG
2461544 APO-DEFERASIROX TAB-SUSP 125MG APX08 125 MG
2463520 TARO-DEFERASIROX TAB-SUSP 125MG TAR08 125 MG
2464454 SANDOZ DEFERASIROX TAB-SUSP 125MG 125 MG
DEFERASIROX 180 MG2452227 JADENU TAB 180MG NVR07 180 MG
2485273 APO-DEFERASIROX (TYPE J) CAP 180MG APX08 180 MG
DEFERASIROX 250 MG2287439 EXJADE TAB-SUSP 250MG NVR07 250 MG
2407965 TEVA-DEFERASIROX TAB-SUSP 250MG 250 MG
2461552 APO-DEFERASIROX TAB-SUSP 250MG APX08 250 MG
2463539 TARO-DEFERASIROX TAB-SUSP 250MG TAR08 250 MG
2464462 SANDOZ DEFERASIROX TAB-SUSP 250MG 250 MG
DEFERASIROX 360 MG2452235 JADENU TAB 360MG NVR07 360 MG
2485281 APO-DEFERASIROX (TYPE J) CAP 360MG APX08 360 MG
DEFERASIROX 500 MG2287447 EXJADE TAB-SUSP 500MG NVR07 500 MG
2461560 APO-DEFERASIROX TAB-SUSP 500MG APX08 500 MG
2463547 TARO-DEFERASIROX TAB-SUSP 500MG TAR08 500 MG
2464470 SANDOZ DEFERASIROX TAB-SUSP 500MG 500 MG
DEFERASIROX 90 MG2452219 JADENU TAB 90MG NVR07 90 MG
2485265 APO-DEFERASIROX (TYPE J) CAP 90MG APX08 90 MG
DEFEROXAMINE MESYLATEDEFEROXAMINE MESYLATE 500 MG
1981242 DESFERAL INJ PWD-SOL 500MG/VIAL NVR07 500 MG
2241600 DESFERRIOXAMINE MESILATE INJ PWD-SOL 500MG/VIAL BP
PFI07 500 MG
DESMOPRESSIN ACETATE
DESMOPRESSIN ACETATE 0.1 MG824305 DDAVP TAB 0.1MG FEI08 0.1 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 32
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2284030 APO-DESMOPRESSIN TAB 0.1MG 0.1 MG
DESMOPRESSIN ACETATE 0.2 MG824143 DDAVP TAB 0.2MG FEI08 0.2 MG
2284049 APO-DESMOPRESSIN TAB 0.2MG 0.2 MG
DESMOPRESSIN ACETATE 10 MCG836362 DDAVP NASAL SPRAY 10MCG/ACT FEI08 10 MCG
2242465 APO-DESMOPRESSIN SPRAY PUMP-MD 10MCG/SPR 10 MCG
DEXAMETHASONE
DEXAMETHASONE 0.5 MG1964976 PMS-DEXAMETHASONE TAB 0.5MG USP PMS07 0.5 MG
2261081 APO-DEXAMETHASONE TAB 0.5MG APX08 0.5 MG
DEXAMETHASONE 4 MG1964070 PMS-DEXAMETHASONE TAB 4MG PMS07 4 MG
2250055 APO-DEXAMETHASONE TAB 4MG APX08 4 MG
DEXAMETHASONE SODIUM PHOSPHATE
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML664227 DEXAMETHASONE SOD PHOS INJ LIQ 4MG/ML USP 4 MG/ML
1977547 DEXAMETHASONE SOD PHOS INJ LIQ 4MG/ML USP RAX08 4 MG/ML
DEXTROAMPHETAMINE SULFATE
DEXTROAMPHETAMINE SULFATE 10 MG1924559 DEXEDRINE SPANSULE CAP-SR 10MG PIA08 10 MG
2448319 ACT DEXTROAMPHETAMINE SR CAP-ER 10MG 10 MG
DEXTROAMPHETAMINE SULFATE 15 MG1924567 DEXEDRINE SPANSULE CAP-SR 15MG PIA08 15 MG
2448327 ACT DEXTROAMPHETAMINE SR CAP-ER 15MG 15 MG
DEXTROAMPHETAMINE SULFATE 5 MG1924516 DEXEDRINE TAB 5MG PIA08 5 MG
2443236 APO-DEXTROAMPHETAMINE TAB 5MG 5 MG
DIAZEPAM
DIAZEPAM 5 MG13285 VALIUM 5 TAB 5MG HLR07 5 MG
362158 APO-DIAZEPAM TAB 5MG APX08 5 MG
DICLOFENAC POTASSIUM
DICLOFENAC POTASSIUM 50 MG (RAPID)881635 VOLTAREN RAPIDE TAB 50MG NVR07 50 MG (RAPID)
2239355 NOVO-DIFENAC-K TAB 50MG 50 MG (RAPID)
2239753 PMS-DICLOFENAC K TAB 50MG PMS07 50 MG (RAPID)
2261774 SANDOZ-DICLOFENAC RAPIDE TAB 50MG 50 MG (RAPID)
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 33
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthDICLOFENAC SODIUM
DICLOFENAC SODIUM 0.1%1940414 VOLTAREN OPHTHA LIQ 0.1% NVR07 0.1%
2441020 APO-DICLOFENAC OPHTHALMIC SOL 0.1% APX08 0.1%
2454807 SANDOZ DICLOFENAC OPH SOL 1MG/ML 0.1%
2475065 DICLOFENAC OPH SOL 0.1% 0.1%
2475197 MINT-DICLOFENAC OPH SOL 0.1% 0.1%
DICLOFENAC SODIUM 100 MG590827 VOLTAREN SR TAB-ER 100MG NVR07 100 MG
2048698 NOVO-DIFENAC SR TAB-ER 100MG 100 MG
2091194 APO-DICLO SR TAB-ER 100MG APX08 100 MG
2231505 PMS-DICLOFENAC-SR TAB-ER 100MG PMS07 100 MG
2261944 SANDOZ-DICLOFENAC SR TAB-SR 100MG 100 MG
DICLOFENAC SODIUM 100 MG (SUPP)632732 VOLTAREN SUPP 100MG NVR07 100 MG (SUPP)
2231508 PMS-DICLOFENAC SUPP 100MG PMS07 100 MG (SUPP)
2261936 SANDOZ-DICLOFENAC SUPP 100MG 100 MG (SUPP)
DICLOFENAC SODIUM 25 MG808539 NOVO-DIFENAC TAB-EC 25MG 25 MG
839175 APO-DICLO TAB 25MG APX08 25 MG
2302616 PMS-DICLOFENAC TAB-DLR 25MG PMS07 25 MG
DICLOFENAC SODIUM 50 MG514012 VOLTAREN TAB 50MG NVR07 50 MG
808547 NOVO-DIFENAC TAB-EC 50MG 50 MG
839183 APO-DICLO TAB 50MG APX08 50 MG
2261960 SANDOZ-DICLOFENAC TAB 50MG 50 MG
2302624 PMS-DICLOFENAC TAB-DLR 50MG PMS07 50 MG
2352397 DICLOFENAC SODIUM TAB-EC 50MG 50 MG
DICLOFENAC SODIUM 50 MG (SUPP)632724 VOLTAREN SUPP 50MG NVR07 50 MG (SUPP)
2231506 PMS-DICLOFENAC SUPP 50MG PMS07 50 MG (SUPP)
2261928 SANDOZ-DICLOFENAC SUPP 50MG 50 MG (SUPP)
DICLOFENAC SODIUM 75 MG782459 VOLTAREN SR 75 TAB-ER 75MG NVR07 75 MG
2158582 NOVO-DIFENAC SR TAB-ER 75MG 75 MG
2162814 APO-DICLO SR TAB-ER 75MG APX08 75 MG
2231504 PMS-DICLOFENAC-SR TAB-ER 75MG PMS07 75 MG
2261901 SANDOZ-DICLOFENAC SR TAB-SR 75MG 75 MG
DIENOGESTDIENOGEST 2 MG
2374900 VISANNE TAB 2MG 2 MG
2493055 ASPEN-DIENOGEST TAB 2MG 2 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 34
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code StrengthDILTIAZEM HYDROCHLORIDE
DILTIAZEM HYDROCHLORIDE 120 MG2097249 CARDIZEM CD CAP-SR 120MG 120 MG
2230997 APO-DILTIAZ CD CAP-CD 120MG APX08 120 MG
2242538 NOVO-DILTAZEM CD CAP-CD 120MG 120 MG
2243338 SANDOZ-DILTIAZEM CD CAP-CD 120MG 120 MG
2370611 CO DILTIAZEM CD CAP-ER 120MG 120 MG
2445999 DILTIAZEM CD CAP-ER 120MG 120 MG
2484064 MAR-DILTIAZEM CD CAP-CD 120MG 120 MG
DILTIAZEM HYDROCHLORIDE 120 MG (ER)2231150 TIAZAC CAP-SR 120MG 120 MG (ER)
2245918 SANDOZ-DILTIAZEM T CAP 120MG 120 MG (ER)
2271605 NOVO-DILTIAZEM ER CAP-ER 120MG 120 MG (ER)
2370441 CO DILTIAZEM T CAP-ER 120MG 120 MG (ER)
2465353 MAR-DILTIAZEM T CAP-ER 120MG 120 MG (ER)
2495376 JAMP DILTIAZEM T CAP-ER 120MG JPC10 120 MG (ER)
DILTIAZEM HYDROCHLORIDE 180 MG2097257 CARDIZEM CD CAP-SR 180MG 180 MG
2230998 APO-DILTIAZ CD CAP-CD 180MG APX08 180 MG
2242539 NOVO-DILTAZEM CD CAP-CD 180MG 180 MG
2243339 SANDOZ-DILTIAZEM CD CAP-CD 180MG 180 MG
2370638 CO DILTIAZEM CD CAP-ER 180MG 180 MG
2446006 DILTIAZEM CD CAP-ER 180MG 180 MG
2484072 MAR-DILTIAZEM CD CAP-CD 180MG 180 MG
DILTIAZEM HYDROCHLORIDE 180 MG (ER)2231151 TIAZAC CAP-SR 180MG 180 MG (ER)
2245919 SANDOZ-DILTIAZEM T CAP 180MG 180 MG (ER)
2271613 NOVO-DILTIAZEM ER CAP-ER 180MG 180 MG (ER)
2370492 CO DILTIAZEM T CAP-ER 180MG 180 MG (ER)
2465361 MAR-DILTIAZEM T CAP-ER 180MG 180 MG (ER)
2495384 JAMP DILTIAZEM T CAP-ER 180MG JPC10 180 MG (ER)
DILTIAZEM HYDROCHLORIDE 240 MG2097265 CARDIZEM CD CAP-SR 240MG 240 MG
2230999 APO-DILTIAZ CD CAP-CD 240MG APX08 240 MG
2242540 NOVO-DILTAZEM CD CAP-CD 240MG 240 MG
2243340 SANDOZ-DILTIAZEM CD CAP-CD 240MG 240 MG
2370646 CO DILTIAZEM CD CAP-ER 240MG 240 MG
2446014 DILTIAZEM CD CAP-ER 240MG 240 MG
2484080 MAR-DILTIAZEM CD CAP-CD 240MG 240 MG
DILTIAZEM HYDROCHLORIDE 240 MG (ER)2231152 TIAZAC CAP-SR 240MG 240 MG (ER)
2245920 SANDOZ-DILTIAZEM T CAP 240MG 240 MG (ER)
2271621 NOVO-DILTIAZEM HCL ER CAP-SR 240MG 240 MG (ER)
2370506 CO DILTIAZEM T CAP-ER 240MG 240 MG (ER)
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 35
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2465388 MAR-DILTIAZEM T CAP-ER 240MG 240 MG (ER)
2495392 JAMP DILTIAZEM T CAP-ER 240MG JPC10 240 MG (ER)
DILTIAZEM HYDROCHLORIDE 30 MG771376 APO-DILTIAZ TAB 30MG APX08 30 MG
862924 NOVO-DILTAZEM TAB 30MG 30 MG
DILTIAZEM HYDROCHLORIDE 300 MG2097273 CARDIZEM CD CAP-SR 300MG 300 MG
2229526 APO-DILTIAZ CD CAP-CD 300MG APX08 300 MG
2242541 NOVO-DILTAZEM CD CAP-CD 300MG 300 MG
2243341 SANDOZ-DILTIAZEM CD CAP-CD 300MG 300 MG
2370654 CO DILTIAZEM CD CAP-ER 300MG 300 MG
2446022 DILTIAZEM CD CAP-ER 300MG 300 MG
2484099 MAR-DILTIAZEM CD CAP-CD 300MG 300 MG
DILTIAZEM HYDROCHLORIDE 300 MG (ER)2231154 TIAZAC CAP-SR 300MG 300 MG (ER)
2245921 SANDOZ-DILTIAZEM T CAP 300MG 300 MG (ER)
2271648 NOVO-DILTIAZEM ER CAP-ER 240MG 300 MG (ER)
2370514 CO DILTIAZEM T CAP-ER 300MG 300 MG (ER)
2465396 MAR-DILTIAZEM T CAP-ER 300MG 300 MG (ER)
2495406 JAMP DILTIAZEM T CAP-ER 300MG JPC10 300 MG (ER)
DILTIAZEM HYDROCHLORIDE 360 MG (ER)2231155 TIAZAC CAP-SR 360MG 360 MG (ER)
2245922 SANDOZ-DILTIAZEM T CAP 360MG 360 MG (ER)
2271656 NOVO-DILTIAZEM ER CAP-ER 360MG 360 MG (ER)
2370522 CO DILTIAZEM T CAP-ER 360MG 360 MG (ER)
2465418 MAR-DILTIAZEM T CAP-ER 360MG 360 MG (ER)
2495414 JAMP DILTIAZEM T CAP-ER 360MG JPC10 360 MG (ER)
DILTIAZEM HYDROCHLORIDE 60 MG771384 APO-DILTIAZ TAB 60MG APX08 60 MG
862932 NOVO-DILTAZEM TAB 60MG 60 MG
DIVALPROEX SODIUM
DIVALPROEX SODIUM 125 MG596418 EPIVAL ECT TAB-EC 125MG 125 MG
2239698 APO-DIVALPROEX TAB-EC 125MG APX08 125 MG
2458926 MYLAN-DIVALPROEX TAB-EC 125MG 125 MG
DIVALPROEX SODIUM 250 MG596426 EPIVAL ECT TAB-EC 250MG 250 MG
2239699 APO-DIVALPROEX TAB-EC 250MG APX08 250 MG
2458934 MYLAN-DIVALPROEX TAB-EC 250MG 250 MG
DIVALPROEX SODIUM 500 MG596434 EPIVAL ECT TAB-EC 500MG 500 MG
2239700 APO-DIVALPROEX TAB-EC 500MG APX08 500 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 36
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2459019 MYLAN-DIVALPROEX TAB-EC 500MG 500 MG
DOMPERIDONE MALEATEDOMPERIDONE MALEATE 10 MG
1912070 RATIO-DOMPERIDONE TAB 10MG 10 MG
2103613 APO-DOMPERIDONE TAB 10MG APX08 10 MG
2236466 PMS-DOMPERIDONE TAB 10MG PMS07 10 MG
2238341 PHL-DOMPERIDONE TAB 10MG 10 MG
2268078 RAN-DOMPERIDONE TAB 10MG 10 MG
2350440 DOMPERIDONE TAB 10MG 10 MG
2369206 JAMP-DOMPERIDONE TAB 10MG JPC10 10 MG
2403870 MAR-DOMPERIDONE TAB 10MG 10 MG
2462834 DOMPERIDONE TAB 10MG 10 MG
DONEPEZIL HYDROCHLORIDE
DONEPEZIL HYDROCHLORIDE 10 MG2232044 ARICEPT TAB 10MG PFI07 10 MG
2322358 PMS-DONEPEZIL TAB 10MG PMS07 10 MG
2328682 SANDOZ DONEPEZIL TAB 10MG 10 MG
2340615 TEVA-DONEPEZIL TAB 10MG 10 MG
2362279 APO-DONEPEZIL TAB 10MG APX08 10 MG
2381516 RAN-DONEPEZIL TAB 10MG 10 MG
2400588 AURO-DONEPEZIL TAB 10MG 10 MG
2402106 MAR-DONEPEZIL TAB 10MG 10 MG
2402653 DONEPEZIL HYDROCHLORIDE TABLETS 10MG 10 MG
2408619 MINT-DONEPEZIL TAB 10MG 10 MG
2412861 BIO-DONEPEZIL TAB 10MG 10 MG
2416956 JAMP-DONEPEZIL TABLETS 10MG JPC10 10 MG
2420600 DONEPEZIL TAB 10MG 10 MG
2426854 SANIS-DONEPEZIL TAB 10MG 10 MG
2428490 SEPTA-DONEPEZIL TAB 10MG 10 MG
2439565 NAT-DONEPEZIL TAB 10MG 10 MG
DONEPEZIL HYDROCHLORIDE 5 MG2232043 ARICEPT TAB 5MG PFI07 5 MG
2322331 PMS-DONEPEZIL TAB 5MG PMS07 5 MG
2328666 SANDOZ DONEPEZIL TAB 5MG 5 MG
2340607 TEVA-DONEPEZIL TAB 5MG 5 MG
2362260 APO-DONEPEZIL TAB 5MG APX08 5 MG
2381508 RAN-DONEPEZIL TAB 5MG 5 MG
2400561 AURO-DONEPEZIL TAB 5MG 5 MG
2402092 MAR-DONEPEZIL TAB 5MG 5 MG
2402645 DONEPEZIL HYDROCHLORIDE TABLETS 5MG 5 MG
2408600 MINT-DONEPEZIL TAB 5MG 5 MG
2412853 BIO-DONEPEZIL TAB 5MG 5 MG
2416948 JAMP-DONEPEZIL TABLETS 5MG JPC10 5 MG
2420597 DONEPEZIL TAB 5MG 5 MG
2426846 SANIS-DONEPEZIL TAB 5MG 5 MG
2428482 SEPTA-DONEPEZIL TAB 5MG 5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 37
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2439557 NAT-DONEPEZIL TAB 5MG 5 MG
DORZOLAMIDE HYDROCHLORIDEDORZOLAMIDE HYDROCHLORIDE 2%
2216205 TRUSOPT OPH SOL 2% PFR08 2%
2316307 SANDOZ DORZOLAMIDE SOL 20MG/ML 2%
2453347 JAMP-DORZOLAMIDE OPH SOL 20MG/ML JPC10 2%
DORZOLAMIDE HYDROCHLORIDE / TIMOLOL MALEATEDORZOLAMIDE HYDROCHLORIDE / TIMOLOL MALEATE 2 / 0.5 %
2240113 COSOPT OPH LIQ 2%/0.5% PFR08 2 / 0.5 %
2299615 APO-DORZO-TIMOP SOL 20MG/5ML APX08 2 / 0.5 %
2344351 SANDOZ DORZOLAMIDE/TIMOLOL SOL 5MG/20ML 2 / 0.5 %
2437686 MED-DORZOLAMIDE-TIMOLOL SOL 5MG/20MG/ML 2 / 0.5 %
2457539 JAMP-DORZOLAMIDE/TIMOLOL OPH SOL 20MCG/5MG/ML
JPC10 2 / 0.5 %
2489635 DORZOLAMIDE AND TIMOLOL OPH SOL 20MG/5MG/ML
2 / 0.5 %
DOXAZOSIN MESYLATE
DOXAZOSIN MESYLATE 1 MG2240588 APO-DOXAZOSIN TAB 1MG APX08 1 MG
2242728 NOVO-DOXAZOSIN TAB 1MG 1 MG
2489937 JAMP-DOXAZOSIN TAB 1MG JPC10 1 MG
DOXAZOSIN MESYLATE 2 MG2240589 APO-DOXAZOSIN TAB 2MG APX08 2 MG
2242729 NOVO-DOXAZOSIN TAB 2MG 2 MG
2489945 JAMP-DOXAZOSIN TAB 2MG JPC10 2 MG
DOXAZOSIN MESYLATE 4 MG2240590 APO-DOXAZOSIN TAB 4MG APX08 4 MG
2242730 NOVO-DOXAZOSIN TAB 4MG 4 MG
2489953 JAMP-DOXAZOSIN TAB 4MG JPC10 4 MG
DOXYCYCLINE HYCLATE
DOXYCYCLINE HYCLATE 100 MG (CAP)725250 NOVO-DOXYLIN CAP 100MG 100 MG (CAP)
740713 APO-DOXY CAP 100MG APX08 100 MG (CAP)
2351234 DOXYCYCLINE CAP 100MG 100 MG (CAP)
DOXYCYCLINE HYCLATE 100 MG (TAB)874256 APO-DOXY TAB 100MG APX08 100 MG (TAB)
2158574 NOVO-DOXYLIN TAB 100MG 100 MG (TAB)
2351242 DOXYCYCLINE TAB 100MG 100 MG (TAB)
DOXYLAMINE SUCCINATE / PYRIDOXINE HYDROCHLORIDE
DOXYLAMINE SUCCINATE / PYRIDOXINE HYDROCHLORIDE 10 MG / 10 MG609129 DICLECTIN TAB-ER 10MG DUI07 10 MG / 10 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 38
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2406187 PMS-DOXYLAMINE/PYRIDOXINE TAB-DR 10MG/10MG PMS07 10 MG / 10 MG
2413248 APO-DOXYLAMINE/PYRIDOXINE TAB-DR 10MG/10MG APX08 10 MG / 10 MG
DULOXETINE HYDROCHLORIDE
DULOXETINE HYDROCHLORIDE 30 MG2301482 CYMBALTA CAP-DR 30MG LIL08 30 MG
2429446 PMS-DULOXETINE CAP 30MG PMS07 30 MG
2436647 AURO-DULOXETINE CAP-DR 30MG 30 MG
2437082 DULOXETINE DR CAP-DR 30MG 30 MG
2438259 RAN-DULOXETINE CAP 30MG 30 MG
2438984 MINT-DULOXETINE CAP-DR 30MG 30 MG
2439948 SANDOZ DULOXETINE CAP-DR 30MG 30 MG
2440423 APO-DULOXETINE CAP-DR 30MG APX08 30 MG
2446081 MAR-DULOXETINE CAP-DR 30MG 30 MG
2451913 JAMP-DULOXETINE CAP-DR 30MG JPC10 30 MG
2453630 DULOXETINE CAP-DR 30MG 30 MG
2456753 ACT DULOXETINE CAP-DR 30MG 30 MG
2490889 DULOXETINE CAP-DR 30MG 30 MG
DULOXETINE HYDROCHLORIDE 60 MG2301490 CYMBALTA CAP-DR 60MG LIL08 60 MG
2429454 PMS-DULOXETINE CAP 60MG PMS07 60 MG
2436655 AURO-DULOXETINE CAP-DR 60MG 60 MG
2437090 DULOXETINE DR CAP-DR 60MG 60 MG
2438267 RAN-DULOXETINE CAP 60MG 60 MG
2438992 MINT-DULOXETINE CAP-DR 60MG 60 MG
2439956 SANDOZ DULOXETINE CAP-DR 60MG 60 MG
2440431 APO-DULOXETINE CAP-DR 60MG APX08 60 MG
2446103 MAR-DULOXETINE CAP-DR 60MG 60 MG
2451921 JAMP-DULOXETINE CAP-DR 60MG JPC10 60 MG
2453649 DULOXETINE CAP-DR 60MG 60 MG
2456761 ACT DULOXETINE CAP-DR 60MG 60 MG
2490897 DULOXETINE CAP-DR 60MG 60 MG
DUTASTERIDEDUTASTERIDE 0.5 MG
2247813 AVODART CAP 0.5MG 0.5 MG
2393220 PMS-DUTASTERIDE CAP 0.5MG PMS07 0.5 MG
2404206 APO-DUTASTERIDE CAP 0.5MG APX08 0.5 MG
2408287 TEVA-DUTASTERIDE CAP 0.5MG 0.5 MG
2416298 MED-DUTASTERIDE CAP 0.5MG 0.5 MG
2424444 SANDOZ DUTASTERIDE CAPSULE 0.5MG 0.5 MG
2428873 MINT-DUTASTERIDE CAP 0.5MG 0.5 MG
2429012 DUTASTERIDE CAP 0.5MG 0.5 MG
2443058 DUTASTERIDE CAP 0.5MG 0.5 MG
2469308 AURO-DUTASTERIDE CAP 0.5MG 0.5 MG
2484870 JAMP DUTASTERIDE CAP 0.5MG JPC10 0.5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 39
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code StrengthEFAVIRENZ
EFAVIRENZ 600 MG2246045 SUSTIVA TAB 600MG BQC07 600 MG
2381524 MYLAN-EFAVIRENZ TAB 600MG 600 MG
2389762 TEVA-EFAVIRENZ TAB 600MG 600 MG
2418428 AURO-EFAVIRENZ TAB 600MG 600 MG
2458233 JAMP-EFAVIRENZ TAB 600MG JPC10 600 MG
EFAVIRENZ / EMTRICITABINE / TENOFOVIR
EFAVIRENZ / EMTRICITABINE / TENOFOVIR 600 MG / 200 MG / 300MG2300699 ATRIPLA TAB 600/300/200MG 600 MG / 200 MG / 300MG
2393549 TEVA-EFAVIRENZ/EMTRICITABINE/TENOFOVIR DISOPROXIL TAB 600MG/200MG/300MG
600 MG / 200 MG / 300MG
2461412 MYLAN-EFAVIRENZ/EMTRICITABINE/TENOFOVIR DISOPROXIL TAB 600MG/200MG/300MG
600 MG / 200 MG / 300MG
2468247 APO-EFAVIRENZ/EMTRICITABINE/TENOFOVIR DISOPROXIL TAB 600MG/200MG/300MG
APX08 600 MG / 200 MG / 300MG
2478404 AURO-EFAVIRENZ-EMTRICITABINE-TENOFOVIR TAB 600MG/200MG/300MG
600 MG / 200 MG / 300MG
2484676 SANDOZ EFAVIRENZ/EMTRICITABINE/TENOFOVIR TAB 600MG/200MG/300MG
600 MG / 200 MG / 300MG
2487284 PMS-EFAVIRENZ/EMTRICITABINE/TENOFOVIR TAB 600MG/200MG/300MG
PMS07 600 MG / 200 MG / 300MG
ENALAPRIL
ENALAPRIL 16 - 20 MG670928 VASOTEC TAB 20MG 16 - 20 MG
2019906 APO-ENALAPRIL TAB 20MG APX08 16 - 20 MG
2291908 CO-ENALAPRIL TAB 16MG 16 - 20 MG
2299976 SANDOZ-ENALAPRIL TAB 16MG 16 - 20 MG
2352265 RAN-ENALAPRIL TAB 16MG 16 - 20 MG
2400685 ENALAPRIL TAB 20MG 16 - 20 MG
2442981 ENALAPRIL TAB 16MG 16 - 20 MG
2444798 IPG-ENALAPRIL TAB 20MG 16 - 20 MG
2474816 JAMP ENALAPRIL TAB 20MG JPC10 16 - 20 MG
ENALAPRIL 2 - 2.5 MG2020025 APO-ENALAPRIL TAB 2.5MG APX08 2 - 2.5 MG
2291878 CO-ENALAPRIL TAB 2MG 2 - 2.5 MG
2299933 SANDOZ-ENALAPRIL TAB 2MG 2 - 2.5 MG
2352230 RAN-ENALAPRIL TAB 2MG 2 - 2.5 MG
2400650 ENALAPRIL TAB 2.5MG 2 - 2.5 MG
2442957 ENALAPRIL TAB 2MG 2 - 2.5 MG
2459450 MAR-ENALAPRIL TAB 2.5MG 2 - 2.5 MG
2474786 JAMP ENALAPRIL TAB 2.5MG JPC10 2 - 2.5 MG
ENALAPRIL 4 - 5 MG708879 VASOTEC TAB 5MG 4 - 5 MG
2019884 APO-ENALAPRIL TAB 5MG APX08 4 - 5 MG
2291886 CO-ENALAPRIL TAB 4MG 4 - 5 MG
2299941 SANDOZ-ENALAPRIL TAB 4MG 4 - 5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 40
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2352249 RAN-ENALAPRIL TAB 4MG 4 - 5 MG
2400669 ENALAPRIL TAB 5MG 4 - 5 MG
2442965 ENALAPRIL TAB 4MG 4 - 5 MG
2459469 MAR-ENALAPRIL TAB 5MG 4 - 5 MG
2474794 JAMP ENALAPRIL TAB 5MG JPC10 4 - 5 MG
ENALAPRIL 8 - 10 MG670901 VASOTEC TAB 10MG 8 - 10 MG
2019892 APO-ENALAPRIL TAB 10MG APX08 8 - 10 MG
2291894 CO-ENALAPRIL TAB 8MG 8 - 10 MG
2299968 SANDOZ-ENALAPRIL TAB 8MG 8 - 10 MG
2352257 RAN-ENALAPRIL TAB 8MG 8 - 10 MG
2400677 ENALAPRIL TAB 10MG 8 - 10 MG
2442973 ENALAPRIL TAB 8MG 8 - 10 MG
2444771 IPG-ENALAPRIL TAB 10MG 8 - 10 MG
2474808 JAMP ENALAPRIL TAB 10MG JPC10 8 - 10 MG
ENTACAPONEENTACAPONE 200 MG
2243763 COMTAN TAB 200MG NVR07 200 MG
2375559 TEVA-ENTACAPONE TAB 200MG 200 MG
2380005 SANDOZ ENTACAPONE TAB 200MG 200 MG
ENTECAVIRENTECAVIR 0.5 MG
2282224 BARACLUDE TAB 0.5MG BQC07 0.5 MG
2396955 APO-ENTECAVIR TAB 0.5MG APX08 0.5 MG
2430576 PMS-ENTECAVIR TAB 0.5MG PMS07 0.5 MG
2448777 AURO-ENTECAVIR TAB 0.5MG 0.5 MG
2467232 JAMP-ENTECAVIR TAB 0.5MG JPC10 0.5 MG
2485907 MINT-ENTECAVIR TAB 0.5MG 0.5 MG
EPLERENONE
EPLERENONE 25 MG2323052 INSPRA TAB 25MG PFI07 25 MG
2471442 MINT-EPLERENONE TAB 25MG 25 MG
EPLERENONE 50 MG2323060 INSPRA TAB 50MG PFI07 50 MG
2471450 MINT-EPLERENONE TAB 50MG 50 MG
ERLOTINIB HYDROCHLORIDEERLOTINIB HYDROCHLORIDE 100 MG
2269015 TARCEVA TAB 100MG HLR07 100 MG
2377705 TEVA-ERLOTINIB TAB 100MG 100 MG
2454386 PMS-ERLOTINIB TAB 100MG PMS07 100 MG
2461870 APO-ERLOTINIB TAB 100MG APX08 100 MG
2483920 NAT-ERLOTINIB TAB 100MG 100 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 41
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code StrengthERLOTINIB HYDROCHLORIDE 150 MG
2269023 TARCEVA TAB 150MG HLR07 150 MG
2377713 TEVA-ERLOTINIB TAB 150MG 150 MG
2454394 PMS-ERLOTINIB TAB 150MG PMS07 150 MG
2461889 APO-ERLOTINIB TAB 150MG APX08 150 MG
2483939 NAT-ERLOTINIB TAB 150MG 150 MG
ERLOTINIB HYDROCHLORIDE 25 MG2269007 TARCEVA TAB 25MG HLR07 25 MG
2377691 TEVA-ERLOTINIB TAB 25MG 25 MG
2461862 APO-ERLOTINIB TAB 25MG APX08 25 MG
2483912 NAT-ERLOTINIB TAB 25MG 25 MG
ESCITALOPRAM OXALATE
ESCITALOPRAM OXALATE 10 MG2263238 CIPRALEX TAB 10MG VLH07 10 MG
2295016 APO-ESCITALOPRAM TAB 10MG APX08 10 MG
2309467 MYLAN-ESCITALOPRAM TAB 10MG 10 MG
2318180 TEVA ESCITALOPRAM TB 10MG 10 MG
2364077 SANDOZ ESCITALOPRAM TAB 10MG 10 MG
2385481 RAN ESCITALOPRAM TB 10MG 10 MG
2397358 AURO-ESCITALOPRAM TAB 10MG 10 MG
2407418 MINT-ESCITALOPRAM TAB 10MG 10 MG
2423480 MAR ESCITALOPRAM TB 10MG 10 MG
2429039 ESCITALOPRAM TAB 10MG 10 MG
2429780 JAMP-ESCITALOPRAM TAB 10MG JPC10 10 MG
2430118 ESCITALOPRAM TAB 10MG 10 MG
2434652 ACH-ESCITALOPRAM TAB 10MG 10 MG
2440296 NAT-ESCITALOPRAM TAB 10MG 10 MG
2469243 PMS-ESCITALOPRAM TAB 10MG PMS07 10 MG
ESCITALOPRAM OXALATE 20 MG2263254 CIPRALEX TAB 20MG VLH07 20 MG
2295024 APO-ESCITALOPRAM TAB 20MG APX08 20 MG
2309475 MYLAN-ESCITALOPRAM TAB 20MG 20 MG
2318202 TEVA-ESCITALOPRAM TAB 20MG 20 MG
2364085 SANDOZ ESCITALOPRAM TAB 20MG 20 MG
2385503 RAN ESCITALOPRAM TB 20MG 20 MG
2397374 AURO-ESCITALOPRAM TAB 20MG 20 MG
2407434 MINT-ESCITALOPRAM TAB 20MG 20 MG
2423502 MAR ESCITALOPRAM TB 20MG 20 MG
2429047 ESCITALOPRAM TAB 20MG 20 MG
2429799 JAMP-ESCITALOPRAM TAB 20MG JPC10 20 MG
2430126 ESCITALOPRAM TAB 20MG 20 MG
2434660 ACH-ESCITALOPRAM TAB 20MG 20 MG
2440318 NAT-ESCITALOPRAM TAB 20MG 20 MG
2469251 PMS-ESCITALOPRAM TAB 20MG PMS07 20 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 42
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code StrengthESOMEPRAZOLE MAGNESIUM
ESOMEPRAZOLE MAGNESIUM 20 MG2244521 NEXIUM TAB-DLR 20MG AZC08 20 MG
2339099 APO-ESOMEPRAZOLE TAB-ER 20MG APX08 20 MG
2383039 MYLAN-ESOMEPRAZOLE TAB-DLR 20MG 20 MG
2423855 ACT ESOMEPRAZOLE TAB-DR 20MG 20 MG
2423979 RAN-ESOMEPRAZOLE TAB 20MG 20 MG
2442493 ESOMEPRAZOLE TAB-DR 20MG 20 MG
2460920 SANDOZ ESOMEPRAZOLE TAB-DR 20MG 20 MG
2479419 MYL-ESOMEPRAZOLE TAB-DR 20MG 20 MG
ESOMEPRAZOLE MAGNESIUM 40 MG2244522 NEXIUM TAB-DLR 40MG AZC08 40 MG
2339102 APO-ESOMEPRAZOLE TAB-ER 40MG APX08 40 MG
2379171 PMS-ESOMEPRAZOLE DR CAP-DR 40MG PMS07 40 MG
2383047 MYLAN-ESOMEPRAZOLE TAB-DLR 40MG 40 MG
2423863 ACT ESOMEPRAZOLE TAB-DR 40MG 40 MG
2423987 RAN-ESOMEPRAZOLE TAB 40MG 40 MG
2431173 ESOMEPRAZOLE TAB-DLR 40MG 40 MG
2442507 ESOMEPRAZOLE TAB-DR 40MG 40 MG
2460939 SANDOZ ESOMEPRAZOLE TAB-DR 40MG 40 MG
2479427 MYL-ESOMEPRAZOLE TAB-DR 40MG 40 MG
ESTRADIOL
ESTRADIOL 4 MG2244000 ESTRADOT 50 PAD 0.780MG NVR07 4 MG
2246967 SANDOZ-ESTRADIOL DERM 50 PAD 4MG 4 MG
ESTRADIOL 6 MG2244001 ESTRADOT 75 PAD 1.17MG NVR07 6 MG
2246968 SANDOZ-ESTRADIOL DERM 75 PAD 6MG 6 MG
ESTRADIOL 8 MG2244002 ESTRADOT 100 PAD 1.56MG NVR07 8 MG
2246969 SANDOZ-ESTRADIOL DERM 100 PAD 8MG 8 MG
ESTRADIOL HEMIHYDRATEESTRADIOL HEMIHYDRATE 0.5 MG
2225190 ESTRACE TAB 0.5MG 0.5 MG
2449048 LUPIN-ESTRADIOL TAB 0.5MG 0.5 MG
ESTRADIOL HEMIHYDRATE 1 MG2148587 ESTRACE TAB 1MG 1 MG
2449056 LUPIN-ESTRADIOL TAB 1MG 1 MG
ESTRADIOL HEMIHYDRATE 2 MG2148595 ESTRACE TAB 2MG 2 MG
2449064 LUPIN-ESTRADIOL TAB 2MG 2 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 43
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code StrengthETHINYL ESTRADIOL / CYPROTERONE ACETATE
ETHINYL ESTRADIOL / CYPROTERONE ACETATE 0.035 / 2 MG2233542 DIANE-35 TAB 0.035 / 2 MG
2290308 CYESTRA-35 TAB PIA08 0.035 / 2 MG
2309556 NOVO-CYPROTERONE/ETHINYL ESTRADIOL TAB 2/0.035MG
0.035 / 2 MG
ETHINYL ESTRADIOL / DROSPIRENONE
ETHINYL ESTRADIOL / DROSPIRENONE 0.02 / 3 MG (28 TAB)2321157 YAZ TAB 0.02 / 3 MG (28 TAB)
2415380 MYA TAB 0.02MG/3MG APX08 0.02 / 3 MG (28 TAB)
ETHINYL ESTRADIOL / DROSPIRENONE 0.03 / 3 MG (21 TAB)2261723 YASMIN TAB (21 DAY) 0.03 / 3 MG (21 TAB)
2410788 ZAMINE 21 TAB 0.03MG/3MG APX08 0.03 / 3 MG (21 TAB)
ETHINYL ESTRADIOL / DROSPIRENONE 0.03 / 3 MG (28 TAB)2261731 YASMIN TAB (28 DAY) 0.03 / 3 MG (28 TAB)
2410796 ZAMINE 28 TAB 0.03MG/3MG APX08 0.03 / 3 MG (28 TAB)
ETHINYL ESTRADIOL / LEVONORGESTRELETHINYL ESTRADIOL / LEVONORGESTREL 0.02 / 0.1 MG (21 TAB)
2236974 ALESSE 21 TAB PFI07 0.02 / 0.1 MG (21 TAB)
2298538 AVIANE 21 TAB 0.02 / 0.1 MG (21 TAB)
2387875 ALYSENA 21 TAB 20µG/100µG APX08 0.02 / 0.1 MG (21 TAB)
ETHINYL ESTRADIOL / LEVONORGESTREL 0.02 / 0.1 MG (28 TAB)2236975 ALESSE 28 TAB PFI07 0.02 / 0.1 MG (28 TAB)
2298546 AVIANE 28 TAB 0.02 / 0.1 MG (28 TAB)
2387883 ALYSENA 28 TAB 20µG/100µG APX08 0.02 / 0.1 MG (28 TAB)
ETHINYL ESTRADIOL / LEVONORGESTREL 0.03 / 0.15 MG (21 TAB)2042320 MIN-OVRAL TAB (21 TAB) PFI07 0.03 / 0.15 MG (21 TAB)
2295946 PORTIA-21 TAB 0.03 / 0.15 MG (21 TAB)
2387085 OVIMA 21 TAB 30µG/150µG APX08 0.03 / 0.15 MG (21 TAB)
ETHINYL ESTRADIOL / LEVONORGESTREL 0.03 / 0.15 MG (28 TAB)2042339 MIN-OVRAL TAB (28 TAB) PFI07 0.03 / 0.15 MG (28 TAB)
2295954 PORTIA-28 TAB 0.03 / 0.15 MG (28 TAB)
2387093 OVIMA 28 TAB 30µG/150µG APX08 0.03 / 0.15 MG (28 TAB)
ETHINYL ESTRADIOL / NORGESTIMATE
ETHINYL ESTRADIOL / NORGESTIMATE 0.025 / 0.18-0.215-0.25 MG (21 TAB)2258560 TRI-CYCLEN LO TAB (21 DAY) JSO08 0.025 / 0.18-0.215-0.25 MG
(21 TAB)
2401967 TRICIRA LO (21 DAY) TAB APX08 0.025 / 0.18-0.215-0.25 MG (21 TAB)
ETHINYL ESTRADIOL / NORGESTIMATE 0.025 / 0.18-0.215-0.25 MG (28 TAB)2258587 TRI-CYCLEN LO TAB (28 DAY) JSO08 0.025 / 0.18-0.215-0.25 MG
(28 TAB)
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 44
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2401975 TRICIRA LO (21 DAY) TAB APX08 0.025 / 0.18-0.215-0.25 MG
(28 TAB)
ETHINYL ESTRADIOL / NORGESTIMATE 0.035 / 0.18-0.215-0.25 MG2028700 TRI-CYCLEN TAB (21 DAY) JSO08 0.035 / 0.18-0.215-0.25 MG
2486296 TRI-JORDYNA TAB (21 DAY) 0.035 / 0.18-0.215-0.25 MG
ETHINYL ESTRADIOL/ DESOGESTRELETHINYL ESTRADIOL/ DESOGESTREL 0.03 / 0.15 MG (21 TAB)
2042487 MARVELON 21 TAB 0.03 / 0.15 MG (21 TAB)
2317192 APRI 21 TAB 0.03 / 0.15 MG (21 TAB)
2396491 FREYA 21 TAB 0.15MG/0.03MG 0.03 / 0.15 MG (21 TAB)
2410249 MIRVALA 21 TAB 0.15MG/0.03MG APX08 0.03 / 0.15 MG (21 TAB)
ETHINYL ESTRADIOL/ DESOGESTREL 0.03 / 0.15 MG (28 TAB)2042479 MARVELON 28 TAB 0.03 / 0.15 MG (28 TAB)
2317206 APRI 28 TAB 0.03 / 0.15 MG (28 TAB)
2396610 FREYA 28 TAB 0.15MG/0.03MG 0.03 / 0.15 MG (28 TAB)
2410257 MIRVALA 28 TAB 0.15MG/0.03MG APX08 0.03 / 0.15 MG (28 TAB)
EXEMESTANEEXEMESTANE 25 MG
2242705 AROMASIN TAB 25MG PFI07 25 MG
2390183 CO EXEMESTANE TAB 25MG 25 MG
2407841 MED-EXEMESTANE TAB 25NG 25 MG
2408473 TEVA-EXEMESTANE TAB 25MG 25 MG
EZETIMIBE
EZETIMIBE 10 MG2247521 EZETROL TAB 10MG 10 MG
2354101 TEVA-EZETIMIBE TAB 10MG 10 MG
2416409 PMS-EZETIMIBE TAB 10MG PMS07 10 MG
2416778 SANDOZ EZETIMIBE TAB 10MG 10 MG
2419548 RAN-EZETIMIBE TAB 10MG 10 MG
2422662 MAR-EZETIMIBE TAB 10MG 10 MG
2423235 JAMP-EZETIMIBE TAB 10MG JPC10 10 MG
2423243 MINT-EZETIMIBE TAB 10MG 10 MG
2425610 ACH-EZETIMIBE TAB 10MG 10 MG
2427826 APO-EZETIMIBE TAB 10MG APX08 10 MG
2429659 EZETIMIBE TAB 10MG 10 MG
2431300 EZETIMIBE TAB 10MG 10 MG
2460750 GLN-EZETIMIBE TAB 10MG 10 MG
2469286 AURO-EZETIMIBE TAB 10MG 10 MG
2475898 AG-EZETIMIBE TAB 10MG 10 MG
FAMCICLOVIRFAMCICLOVIR 125 MG
2229110 FAMVIR TAB 125MG NVR07 125 MG
2278081 PMS-FAMCICLOVIR TAB 125MG PMS07 125 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 45
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2278634 SANDOZ -FAMCICLOVIR TAB 125MG 125 MG
2292025 APO-FAMCICLOVIR TAB 125MG APX08 125 MG
2305682 CO-FAMCICLOVIR TAB 125MG 125 MG
FAMCICLOVIR 250 MG2229129 FAMVIR TAB 250MG NVR07 250 MG
2278103 PMS-FAMCICLOVIR TAB 250MG PMS07 250 MG
2278642 SANDOZ -FAMCICLOVIR TAB 250MG 250 MG
2292041 APO-FAMCICLOVIR TAB 250MG APX08 250 MG
2305690 CO-FAMCICLOVIR TAB 250MG 250 MG
FAMCICLOVIR 500 MG2177102 FAMVIR TAB 500MG NVR07 500 MG
2278111 PMS-FAMCICLOVIR TAB 500MG PMS07 500 MG
2278650 SANDOZ -FAMCICLOVIR TAB 500MG 500 MG
2292068 APO-FAMCICLOVIR TAB 500MG APX08 500 MG
2305704 CO-FAMCICLOVIR TAB 500MG 500 MG
FAMOTIDINEFAMOTIDINE 20 MG
2022133 NOVO-FAMOTIDINE TAB 20MG 20 MG
2351102 FAMOTIDINE TAB 20MG 20 MG
FAMOTIDINE 40 MG2022141 NOVO-FAMOTIDINE TAB 40MG 40 MG
2351110 FAMOTIDINE TAB 40MG 40 MG
FEBUXOSTATFEBUXOSTAT 80 MG
2357380 ULORIC TAB 80MG 80 MG
2473607 MAR-FEBUXOSTAT TAB 80MG 80 MG
2490870 JAMP-FEBUXOSTAT TAB 80MG JPC10 80 MG
FELODIPINE
FELODIPINE 10 MG851787 PLENDIL TAB-ER 10MG AZC08 10 MG
2280272 SANDOZ-FELODIPINE TAB-ER 10MG 10 MG
2452383 APO-FELODIPINE TAB-ER 10MG APX08 10 MG
FELODIPINE 2.5 MG2057778 PLENDIL TAB-ER 2.5MG AZC08 2.5 MG
2452367 APO-FELODIPINE TAB-ER 2.5MG APX08 2.5 MG
FELODIPINE 5 MG851779 PLENDIL TAB-ER 5MG AZC08 5 MG
2280264 SANDOZ-FELODIPINE TAB-ER 5MG 5 MG
2452375 APO-FELODIPINE TAB-ER 5MG APX08 5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 46
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code StrengthFENOFIBRATE
FENOFIBRATE 100 MG2246859 APO-FENO-SUPER TAB 100MG APX08 100 MG
2288044 SANDOZ-FENOFIBRATE S TAB 100MG 100 MG
FENOFIBRATE 145 MG2269082 LIPIDIL EZ TAB 145MG 145 MG
2390701 SANDOZ FENOFIBRATE E TAB 145MG 145 MG
FENOFIBRATE 160 MG2241602 LIPIDIL SUPRA TAB 160MG 160 MG
2246860 APO-FENO-SUPER TAB 160MG APX08 160 MG
2288052 SANDOZ-FENOFIBRATE S TAB 160MG 160 MG
FENOFIBRATE 48 MG2269074 LIPIDIL EZ TAB 48MG 48 MG
2390698 SANDOZ FENOFIBRATE E TAB 48MG 48 MG
FENTANYL
FENTANYL 100 MCG2282984 RATIO-FENTANYL PATCH 16.5MG 100 MCG
2327163 SANDOZ FENTANYL MTX PATCH 100MCG/HR 100 MCG
2341417 PMS-FENTANYL MTX PATCH 100MCG/HR PMS07 100 MCG
FENTANYL 12 MCG2311925 RATIO-FENTANYL PATCH 12UG/HR 12 MCG
2327112 SANDOZ FENTANYL MTX PATCH 12MCG/HR 12 MCG
2341379 PMS-FENTANYL MTX PATCH 12MCG/HR PMS07 12 MCG
FENTANYL 25 MCG2282941 RATIO-FENTANYL PATCH 4.125MG 25 MCG
2327120 SANDOZ FENTANYL MTX PATCH 25MCG/HR 25 MCG
2341387 PMS-FENTANYL MTX PATCH 25MCG/HR PMS07 25 MCG
FENTANYL 50 MCG2282968 RATIO-FENTANYL PATCH 8.25MG 50 MCG
2327147 SANDOZ FENTANYL MTX PATCH 50MCG/HR 50 MCG
2341395 PMS-FENTANYL MTX PATCH 50MCG/HR PMS07 50 MCG
FENTANYL 75 MCG2282976 RATIO-FENTANYL PATCH 12.375MG 75 MCG
2327155 SANDOZ FENTANYL MTX PATCH 75MCG/HR 75 MCG
2341409 PMS-FENTANYL MTX PATCH 75MCG/HR PMS07 75 MCG
FINASTERIDEFINASTERIDE 5 MG
2010909 PROSCAR TAB 5MG 5 MG
2310112 PMS-FINASTERIDE TAB 5MG PMS07 5 MG
2322579 SANDOZ FINASTERIDE TAB 5MG 5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 47
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2348500 NOVO-FINASTERIDE TAB 5MG 5 MG
2355043 FINASTERIDE TABLETS USP TAB 5MG 5 MG
2357224 JAMP-FINASTERIDE TAB 5MG JPC10 5 MG
2365383 APO-FINASTERIDE TAB 5MG APX08 5 MG
2389878 MINT-FINASTERIDE TAB 5MG 5 MG
2405814 AURO-FINASTERIDE TAB 5MG 5 MG
2445077 FINASTERIDE TAB 5MG 5 MG
2447541 FINASTERIDE TAB 5MG 5 MG
FINGOLIMOD HYDROCHLORIDEFINGOLIMOD HYDROCHLORIDE 0.5 MG
2365480 GILENYA CAP 0.5MG NVR07 0.5 MG
2469618 TARO-FINGOLIMOD CAP 0.5MG TAR08 0.5 MG
2469715 MYLAN-FINGOLIMOD CAP 0.5MG 0.5 MG
2469782 PMS-FINGOLIMOD CAP 0.5MG PMS07 0.5 MG
2469936 APO-FINGOLIMOD CAP 0.5MG APX08 0.5 MG
2474743 MAR-FINGOLIMOD CAP 0.5MG 0.5 MG
2482606 SANDOZ-FINGOLIMOD CAP 0.5MG 0.5 MG
2487772 JAMP FINGOLIMOD CAP 0.5MG JPC10 0.5 MG
FLECAINIDE ACETATE
FLECAINIDE ACETATE 100 MG1966200 TAMBOCOR TAB 100MG 100 MG
2275546 APO-FLECAINIDE TAB 100MG APX08 100 MG
2459965 AURO-FLECAINIDE TAB 100MG 100 MG
FLECAINIDE ACETATE 50 MG1966197 TAMBOCOR TAB 50MG 50 MG
2275538 APO-FLECAINIDE TAB 50MG APX08 50 MG
2459957 AURO-FLECAINIDE TAB 50MG 50 MG
FLUCONAZOLE
FLUCONAZOLE 100 MG891819 DIFLUCAN TAB 100MG PFI07 100 MG
2236979 NOVO-FLUCONAZOLE TAB 100MG 100 MG
2237371 APO-FLUCONAZOLE TAB 100MG APX08 100 MG
2245293 MYLAN-FLUCONAZOLE TAB 100MG 100 MG
2245644 PMS-FLUCONAZOLE TAB 100MG PMS07 100 MG
2281279 CO-FLUCONAZOLE TAB 100MG 100 MG
FLUCONAZOLE 150 MG2141442 DIFLUCAN-150 CAP 150MG 150 MG
2241895 APO-FLUCONAZOLE-150 CAP 150MG APX08 150 MG
2428792 MAR-FLUCONAZOLE CAP 150MG 150 MG
2432471 JAMP-FLUCONAZOLE CAP 150MG JPC10 150 MG
FLUCONAZOLE 50 MG891800 DIFLUCAN TAB 50MG PFI07 50 MG
2236978 NOVO-FLUCONAZOLE TAB 50MG 50 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 48
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2237370 APO-FLUCONAZOLE TAB 50MG APX08 50 MG
2245292 MYLAN-FLUCONAZOLE TAB 50MG 50 MG
2245643 PMS-FLUCONAZOLE TAB 50MG PMS07 50 MG
2281260 CO-FLUCONAZOLE TAB 50MG 50 MG
FLUOCINONIDEFLUOCINONIDE 0.05 % (CRM)
716863 LYDERM CRM 0.05% TPT08 0.05 % (CRM)
2161923 LIDEX CRM 0.05% 0.05 % (CRM)
FLUOCINONIDE 0.05 % (OINT)2161966 LIDEX OINT 0.05% 0.05 % (OINT)
2236996 LYDERM OINT 0.05% TPT08 0.05 % (OINT)
FLUOCINONIDE 0.05% (GEL)2161974 TOPSYN GEL 0.05% 0.05% (GEL)
2236997 LYDERM GEL 0.05% TPT08 0.05% (GEL)
FLUOROMETHOLONE
FLUOROMETHOLONE 0.10%247855 FML DPS 0.1% ALL07 0.10%
432814 SANDOZ FLUOROMETHOLONE SUSP 1% 0.10%
FLUOXETINE HYDROCHLORIDE
FLUOXETINE HYDROCHLORIDE 10 MG2018985 PROZAC CAP 10MG LIL08 10 MG
2177579 PMS-FLUOXETINE CAP 10MG PMS07 10 MG
2216353 APO-FLUOXETINE CAP 10MG APX08 10 MG
2216582 NOVO-FLUOXETINE CAP 10MG 10 MG
2286068 GEN-FLUOXETINE CAP 10MG 10 MG
2374447 SIVEM-FLUOXETINE CAP 10MG 10 MG
2385627 AURO-FLUOXETINE CAP 10MG 10 MG
2393441 FLUOXETINE CAPSULES BP 10MG 10 MG
2401894 JAMP-FLUOXETINE CAP 10MG JPC10 10 MG
2479486 SANDOZ FLUOXETINE CAP 10MG 10 MG
2485052 AG-FLUOXETINE CAP 10MG 10 MG
FLUOXETINE HYDROCHLORIDE 20 MG636622 PROZAC CAP 20MG LIL08 20 MG
2177587 PMS-FLUOXETINE CAP 20MG PMS07 20 MG
2216361 APO-FLUOXETINE CAP 20MG APX08 20 MG
2216590 NOVO-FLUOXETINE CAP 20MG 20 MG
2286076 GEN-FLUOXETINE CAP 20MG 20 MG
2374455 SIVEM-FLUOXETINE CAP 20MG 20 MG
2383241 FLUOXETINE CAPSULES BP 20MG 20 MG
2385635 AURO-FLUOXETINE CAP 20MG 20 MG
2386402 JAMP-FLUOXETINE CAP 20MG JPC10 20 MG
2448432 BIO-FLUOXETINE CAP 20MG 20 MG
2479494 SANDOZ FLUOXETINE CAP 20MG 20 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 49
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2485060 AG-FLUOXETINE CAP 20MG 20 MG
FLUOXETINE HYDROCHLORIDE 20 MG / 5 ML2231328 APO-FLUOXETINE ORAL LIQ 20MG/5ML APX08 20 MG / 5 ML
2459361 ODAN-FLUOXETINE SOL 20MG/5ML ODN07 20 MG / 5 ML
FLUVOXAMINE MALEATEFLUVOXAMINE MALEATE 100 MG
1919369 LUVOX TAB 100MG 100 MG
2231330 APO-FLUVOXAMINE TAB 100MG APX08 100 MG
2255537 CO-FLUVOXAMINE TAB 100MG 100 MG
FLUVOXAMINE MALEATE 50 MG1919342 LUVOX TAB 50MG 50 MG
2231329 APO-FLUVOXAMINE TAB 50MG APX08 50 MG
2255529 CO-FLUVOXAMINE TAB 50MG 50 MG
FONDAPARINUX SODIUMFONDAPARINUX SODIUM 2.5 MG / 0.5 ML
2245531 ARIXTRA SOL 2.5MG/0.5ML 2.5 MG / 0.5 ML
2406853 FONDAPARINUX SODIUM INJECTION SOL 2.5MG/SYR 2.5 MG / 0.5 ML
FONDAPARINUX SODIUM 7.5 MG / 0.6 ML2258056 ARIXTRA INJ SOL 12.5MG/ML 7.5 MG / 0.6 ML
2406896 FONDAPARINUX SODIUM INJECTION SOL 7.5MG/SYR 7.5 MG / 0.6 ML
FOSFOMYCIN TROMETHAMINE
FOSFOMYCIN TROMETHAMINE 3 G2240335 MONUROL PWD 3GM/PCK PIA08 3 G
2473801 JAMP-FOSFOMYCIN PWD 3G/PKG JPC10 3 G
FOSINOPRIL SODIUMFOSINOPRIL SODIUM 10 MG
2247802 NOVO-FOSINOPRIL TAB 10MG 10 MG
2266008 APO-FOSINOPRIL TAB 10MG APX08 10 MG
2331004 JAMP-FOSINOPRIL TAB 10MG JPC10 10 MG
2459388 FOSINOPRIL TAB 10MG 10 MG
FOSINOPRIL SODIUM 20 MG2247803 NOVO-FOSINOPRIL TAB 20MG 20 MG
2266016 APO-FOSINOPRIL TAB 20MG APX08 20 MG
2331012 JAMP-FOSINOPRIL TAB 20MG JPC10 20 MG
2459396 FOSINOPRIL TAB 20MG 20 MG
FUROSEMIDEFUROSEMIDE 20 MG
337730 NOVO-SEMIDE TAB 20MG 20 MG
396788 APO-FUROSEMIDE TAB 20MG APX08 20 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 50
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2351420 FUROSEMIDE TAB 20MG 20 MG
2466759 MINT-FUROSEMIDE TAB 20MG 20 MG
FUROSEMIDE 40 MG337749 NOVO-SEMIDE TAB 40MG 40 MG
362166 APO-FUROSEMIDE TAB 40MG APX08 40 MG
2351439 FUROSEMIDE TAB 40MG 40 MG
2466767 MINT-FUROSEMIDE TAB 40MG 40 MG
FUROSEMIDE 80 MG707570 APO-FUROSEMIDE TAB 80MG APX08 80 MG
765953 NOVO-SEMIDE TAB 80MG 80 MG
2351447 FUROSEMIDE TAB 80MG 80 MG
2466775 MINT-FUROSEMIDE TAB 80MG 80 MG
GABAPENTIN
GABAPENTIN 100 MG2084260 NEURONTIN CAP 100MG PFI07 100 MG
2243446 PMS-GABAPENTIN CAP 100MG PMS07 100 MG
2244304 APO-GABAPENTIN CAP 100MG APX08 100 MG
2244513 NOVO-GABAPENTIN CAP 100MG 100 MG
2246314 PHL-GABAPENTIN CAP 100MG 100 MG
2321203 AURO-GABAPENTIN CAP 100MG 100 MG
2353245 GABAPENTIN CAP 100MG 100 MG
2361469 JAMP-GABAPENTIN CAP 100MG JPC10 100 MG
2391473 MAR-GABAPENTIN CAP 100MG 100 MG
2416840 GABAPENTIN CAPSULES USP 100MG 100 MG
GABAPENTIN 300 MG2084279 NEURONTIN CAP 300MG PFI07 300 MG
2243447 PMS-GABAPENTIN CAP 300MG PMS07 300 MG
2244305 APO-GABAPENTIN CAP 300MG APX08 300 MG
2244514 NOVO-GABAPENTIN CAP 300MG 300 MG
2246315 PHL-GABAPENTIN CAP 300MG 300 MG
2319063 RAN-GABAPENTIN CAP 300MG 300 MG
2321211 AURO-GABAPENTIN CAP 300MG 300 MG
2353253 GABAPENTIN CAP 300MG 300 MG
2361485 JAMP-GABAPENTIN CAP 300MG JPC10 300 MG
2391481 MAR-GABAPENTIN CAP 300MG 300 MG
2416859 GABAPENTIN CAPSULES USP 300MG 300 MG
GABAPENTIN 400 MG2084287 NEURONTIN CAP 400MG PFI07 400 MG
2243448 PMS-GABAPENTIN CAP 400MG PMS07 400 MG
2244306 APO-GABAPENTIN CAP 400MG APX08 400 MG
2244515 NOVO-GABAPENTIN CAP 400MG 400 MG
2246316 PHL-GABAPENTIN CAP 400MG 400 MG
2321238 AURO-GABAPENTIN CAP 400MG 400 MG
2353261 GABAPENTIN CAP 400MG 400 MG
2361493 JAMP-GABAPENTIN CAP 400MG JPC10 400 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 51
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2391503 MAR-GABAPENTIN CAP 400MG 400 MG
2416867 GABAPENTIN CAPSULES USP 400MG 400 MG
GABAPENTIN 600 MG2239717 NEURONTIN TAB 600MG PFI07 600 MG
2248457 NOVO-GABAPENTIN TAB 600MG 600 MG
2293358 APO-GABAPENTIN TAB 600MG APX08 600 MG
2388200 GABAPENTIN TAB 600MG 600 MG
2392526 GABAPENTIN TABLETS USP 600MG 600 MG
2402289 JAMP-GABAPENTIN TABLETS 600MG JPC10 600 MG
2410990 GABAPENTIN TABLETS USP TAB 600MG 600 MG
2428334 AURO-GABAPENTIN TABLETS 600MG 600 MG
2431289 GABAPENTIN TAB 600MG 600 MG
GABAPENTIN 800 MG2239718 NEURONTIN TAB 800MG PFI07 800 MG
2247346 NOVO-GABAPENTIN TAB 800MG 800 MG
2293366 APO-GABAPENTIN TAB 800MG APX08 800 MG
2388219 GABAPENTIN TAB 800MG 800 MG
2392534 GABAPENTIN TABLETS USP 800MG 800 MG
2402297 JAMP-GABAPENTIN TABLETS 800MG JPC10 800 MG
2411008 GABAPENTIN TABLETS USP TAB 800MG 800 MG
2428342 AURO-GABAPENTIN TABLETS 800MG 800 MG
2431297 GABAPENTIN TAB 800MG 800 MG
GALANTAMINE HYDROBROMIDEGALANTAMINE HYDROBROMIDE 16 MG
2316951 PAT-GALANTAMINE ER CAP-ER 16MG 16 MG
2339447 MYLAN-GALANTAMINE ER CAP-ER 16MG 16 MG
2398389 PMS-GALANTAMINE ER CAP-ER 16MG PMS07 16 MG
2420848 MAR-GALANTAMINE ER CAP-ER 16MG 16 MG
2425165 AURO-GALANTAMINE ER CAP-ER 16MG 16 MG
2443023 GALANTAMINE ER CAP-ER 16MG 16 MG
GALANTAMINE HYDROBROMIDE 24 MG2316978 PAT-GALANTAMINE ER CAP-ER 24MG 24 MG
2339455 MYLAN-GALANTAMINE ER CAP-ER 24MG 24 MG
2398397 PMS-GALANTAMINE ER CAP-ER 24MG PMS07 24 MG
2420856 MAR-GALANTAMINE ER CAP-ER 24MG 24 MG
2425173 AURO-GALANTAMINE ER CAP-ER 24MG 24 MG
2443031 GALANTAMINE ER CAP-ER 24MG 24 MG
GALANTAMINE HYDROBROMIDE 8 MG2316943 PAT-GALANTAMINE ER CAP-ER 8MG 8 MG
2339439 MYLAN-GALANTAMINE ER CAP-ER 8MG 8 MG
2398370 PMS-GALANTAMINE ER CAP-ER 8MG PMS07 8 MG
2420821 MAR-GALANTAMINE ER CAP-ER 8MG 8 MG
2425157 AURO-GALANTAMINE ER CAP-ER 8MG 8 MG
2443015 GALANTAMINE ER CAP-ER 8MG 8 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 52
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code StrengthGATIFLOXACIN
GATIFLOXACIN 0.3%2257270 ZYMAR OPH SOL 0.3% ALL07 0.3%
2327260 APO-GATIFLOXACIN OPH SOL 0.3% APX08 0.3%
GLICLAZIDEGLICLAZIDE 30 MG
2242987 DIAMICRON MR TAB-ER 30MG SEV07 30 MG
2297795 APO-GLICLAZIDE MR TAB-ER 30MG APX08 30 MG
2423286 MINT-GLICLAZIDE MR TAB-ER 30MG 30 MG
2438658 MYLAN-GLICLAZIDE MR TAB-ER 30MG 30 MG
2461323 SANDOZ GLICLAZIDE MR TAB-ER 30MG 30 MG
2463571 RAN-GLICLAZIDE MR TAB-ER 30MG 30 MG
GLICLAZIDE 60 MG2356422 DIAMICRON MR TAB-ER 60MG SEV07 60 MG
2407124 APO-GLICLAZIDE MR TAB-ER 60MG APX08 60 MG
2423294 MINT-GLICLAZIDE MR TAB-ER 60MG 60 MG
2439328 RAN-GLICLAZIDE MR TAB-ER 60MG 60 MG
2461331 SANDOZ GLICLAZIDE MR TAB-ER 60MG 60 MG
GLICLAZIDE 80 MG765996 DIAMICRON TAB 80MG SEV07 80 MG
2238103 NOVO-GLICLAZIDE TAB 80MG 80 MG
2245247 APO-GLICLAZIDE TAB 80MG APX08 80 MG
2287072 GEN-GLICLAZIDE TAB 80MG 80 MG
GLYBURIDE
GLYBURIDE 2.5 MG1913654 APO-GLYBURIDE TAB 2.5MG APX08 2.5 MG
1913670 NOVO-GLYBURIDE TAB 2.5MG 2.5 MG
2224550 DIABETA TAB 2.5MG 2.5 MG
2350459 GLYBURIDE TAB 2.5MG 2.5 MG
GLYBURIDE 5 MG1913662 APO-GLYBURIDE TAB 5MG APX08 5 MG
1913689 NOVO-GLYBURIDE TAB 5MG 5 MG
2224569 DIABETA TAB 5MG 5 MG
2350467 GLYBURIDE TAB 5MG 5 MG
GRANISETRON HYDROCHLORIDE
GRANISETRON HYDROCHLORIDE 1 MG2308894 APO-GRANISETRON TAB 1MG APX08 1 MG
2452359 NAT-GRANISETRON TAB 1MG 1 MG
HALOPERIDOLHALOPERIDOL 5 MG / ML
808652 HALOPERIDOL INJ LIQ 5MG/ML USP 5 MG / ML
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 53
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2366010 HALOPERIDOL INJECTION SOL 5MG/ML OMG07 5 MG / ML
HYDRALAZINE HYDROCHLORIDEHYDRALAZINE HYDROCHLORIDE 10 MG
441619 APO-HYDRAL TAB 10MG APX08 10 MG
2457865 JAMP-HYDRALAZINE TAB 10MG JPC10 10 MG
2468778 MINT-HYDRALAZINE TAB 10MG 10 MG
HYDRALAZINE HYDROCHLORIDE 25 MG441627 APO-HYDRALAZINE TAB 25MG APX08 25 MG
2457873 JAMP-HYDRALAZINE TAB 25MG JPC10 25 MG
2468786 MINT-HYDRALAZINE TAB 25MG 25 MG
HYDRALAZINE HYDROCHLORIDE 50 MG441635 APO-HYDRALAZINE TAB 50MG APX08 50 MG
2457881 JAMP-HYDRALAZINE TAB 50MG JPC10 50 MG
2468794 MINT-HYDRALAZINE TAB 50MG 50 MG
HYDROCHLOROTHIAZIDE
HYDROCHLOROTHIAZIDE 12.5 MG2274086 PMS-HYDROCHLOROTHIAZIDE TAB 12.5MG PMS07 12.5 MG
2327856 APO-HYDRO TAB 12.5MG APX08 12.5 MG
HYDROCHLOROTHIAZIDE 25 MG21474 NOVO-HYDRAZIDE TAB 25MG 25 MG
326844 APO-HYDRO TAB 25MG APX08 25 MG
2247386 PMS-HYDROCHLOROTHIAZIDE TAB 25MG PMS07 25 MG
2360594 HYDROCHLOROTHIAZIDE TAB 25MG 25 MG
2426196 MINT-HYDROCHLOROTHIAZIDE TAB 25MG 25 MG
HYDROCHLOROTHIAZIDE 50 MG21482 NOVO-HYDRAZIDE TAB 50MG 50 MG
312800 APO-HYDRO TAB 50MG APX08 50 MG
2247387 PMS-HYDROCHLOROTHIAZIDE TAB 50MG PMS07 50 MG
2360608 HYDROCHLOROTHIAZIDE TAB 50MG 50 MG
HYDROCHLOROTHIAZIDE / CANDESARTAN CILEXETILHYDROCHLOROTHIAZIDE / CANDESARTAN CILEXETIL 12.5 MG / 16 MG
2244021 ATACAND PLUS TAB 16/12.5MG AZC08 12.5 MG / 16 MG
2327902 SANDOZ CANDESARTAN PLUS TAB 12.5MG/16MG 12.5 MG / 16 MG
2391295 PMS-CANDESARTAN HCTZ TAB 12.5MG/16MG PMS07 12.5 MG / 16 MG
2394804 CANDESARTAN/HCTZ TAB 12.5MG/16MG 12.5 MG / 16 MG
2394812 CANDESARTAN HCT TAB 12.5MG/16MG 12.5 MG / 16 MG
2395541 TEVA-CANDESARTAN/HCTZ TAB 12.5MG/16MG 12.5 MG / 16 MG
2421038 AURO-CANDESARTAN HCT TAB 12.5MG/16MG 12.5 MG / 16 MG
2473240 JAMP CANDESARTAN-HCT TAB 16MG/12.5MG JPC10 12.5 MG / 16 MG
HYDROCHLOROTHIAZIDE / CANDESARTAN CILEXETIL 12.5 MG / 32 MG2332922 ATACAND PLUS TAB 32/12.5MG AZC08 12.5 MG / 32 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 54
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2395568 TEVA-CANDESARTAN/HCTZ TAB 12.5MG/32MG 12.5 MG / 32 MG
2420732 SANDOZ CANDESARTAN PLUS TAB 12.5MG/32MG 12.5 MG / 32 MG
2421046 AURO-CANDESARTAN HCT TAB 12.5MG/32MG 12.5 MG / 32 MG
2473259 JAMP CANDESARTAN-HCT TAB 32MG/12.5MG JPC10 12.5 MG / 32 MG
HYDROCHLOROTHIAZIDE / CANDESARTAN CILEXETIL 25 MG / 32 MG2332957 ATACAND PLUS TAB 32/25MG AZC08 25 MG / 32 MG
2420740 SANDOZ CANDESARTAN PLUS TAB 25MG/32MG 25 MG / 32 MG
2421054 AURO-CANDESARTAN HCT TAB 25MG/32MG 25 MG / 32 MG
2473267 JAMP CANDESARTAN-HCT TAB 32MG/25MG JPC10 25 MG / 32 MG
HYDROCHLOROTHIAZIDE / CILAZAPRIL MONOHYDRATE
HYDROCHLOROTHIAZIDE / CILAZAPRIL MONOHYDRATE 12.5 / 5 MG2181479 INHIBACE PLUS TAB 5/12.5MG 12.5 / 5 MG
2284987 APO-CILAZAPRIL/HCTZ TAB 5/12.5MG APX08 12.5 / 5 MG
2313731 NOVO-CILAZAPRIL/HCTZ TAB 5/12.5MG 12.5 / 5 MG
HYDROCHLOROTHIAZIDE / ENALAPRIL
HYDROCHLOROTHIAZIDE / ENALAPRIL 25 / 8-10 MG657298 VASERETIC TAB 10/25MG 25 / 8-10 MG
2352931 APO-ENALAPRIL MALEATE/HCTZ TAB 10/25MG 25 / 8-10 MG
HYDROCHLOROTHIAZIDE / IRBESARTAN
HYDROCHLOROTHIAZIDE / IRBESARTAN 12.5 / 150 MG2241818 AVALIDE TAB 150/12.5MG 12.5 / 150 MG
2328518 PMS-IRBESARTAN-HCTZ TAB 150MG/12.5MG PMS07 12.5 / 150 MG
2330512 RATIO-IRBESARTAN HCTZ TAB 150MG/12.5MG 12.5 / 150 MG
2337428 SANDOZ IRBESARTAN HCT TAB 150MG/12.5MG 12.5 / 150 MG
2372886 IRBESARTAN/HCTZ TAB 150MG/12.5MG 12.5 / 150 MG
2385317 IRBESARTAN HCT TAB 12.5MG/150MG 12.5 / 150 MG
2392992 MINT-IRBESARTAN/HCTZ TAB 12.5MG/150MG 12.5 / 150 MG
2418223 JAMP-IRBESARTAN AND HYDROCHLOROTHIAZIDE TAB 12.5MG/150MG
JPC10 12.5 / 150 MG
2447878 AURO-IRBESARTAN HCT TAB 150MG/12.5MG 12.5 / 150 MG
HYDROCHLOROTHIAZIDE / IRBESARTAN 12.5 / 300 MG2241819 AVALIDE TAB 300/12.5MG 12.5 / 300 MG
2328526 PMS-IRBESARTAN-HCTZ TAB 300MG/12.5MG PMS07 12.5 / 300 MG
2330520 RATIO-IRBESARTAN HCTZ TAB 300MG/12.5MG 12.5 / 300 MG
2337436 SANDOZ IRBESARTAN HCT TAB 300MG/12.5MG 12.5 / 300 MG
2372894 IRBESARTAN/HCTZ TAB 300MG/12.5MG 12.5 / 300 MG
2385325 IRBESARTAN HCT TAB 12.5MG/300MG 12.5 / 300 MG
2393018 MINT-IRBESARTAN/HCTZ TAB 12.5MG/300MG 12.5 / 300 MG
2418231 JAMP-IRBESARTAN AND HYDROCHLOROTHIAZIDE TAB 12.5MG/300MG
JPC10 12.5 / 300 MG
2447886 AURO-IRBESARTAN HCT TAB 300MG/12.5MG 12.5 / 300 MG
HYDROCHLOROTHIAZIDE / IRBESARTAN 25 / 300 MG2328534 PMS-IRBESARTAN-HCTZ TAB 300MG/25MG PMS07 25 / 300 MG
2330539 RATIO-IRBESARTAN HCTZ TAB 300MG/25MG 25 / 300 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 55
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2337444 SANDOZ-IRBESARTAN HCT TAB 300MG/25MG 25 / 300 MG
2372908 IRBESARTAN/HCTZ TAB 300MG/25MG 25 / 300 MG
2385333 IRBESARTAN HCT TAB 25MG/300MG 25 / 300 MG
2393026 MINT-IRBESARTAN/HCTZ TAB 25MG/300MG 25 / 300 MG
2418258 JAMP-IRBESARTAN AND HYDROCHLOROTHIAZIDE TAB 25MG/300MG
JPC10 25 / 300 MG
2447894 AURO-IRBESARTAN HCT TAB 300MG/25MG 25 / 300 MG
HYDROCHLOROTHIAZIDE / LISINOPRILHYDROCHLOROTHIAZIDE / LISINOPRIL 12.5 / 10 MG
2103729 ZESTORETIC TAB 10/12.5MG AZC08 12.5 / 10 MG
2301768 NOVO-LISINOPRIL/HCTZ (TYPE Z) TAB 10/12.5MG 12.5 / 10 MG
2302365 SANDOZ-LISINOPRIL/HCT TAB 10/12.5MG 12.5 / 10 MG
2362945 LISINOPRIL/HCTZ (TYPE Z) TAB 10MG/12.5MG 12.5 / 10 MG
HYDROCHLOROTHIAZIDE / LISINOPRIL 12.5 / 20 MG2045737 ZESTORETIC TAB 20/12.5MG AZC08 12.5 / 20 MG
2301776 NOVO-LISINOPRIL/HCTZ (TYPE Z) TAB 20/12.5MG 12.5 / 20 MG
2302144 NOVO-LISINOPRIL/HCTZ (TYPE P) TAB 20/12.5MG 12.5 / 20 MG
2302373 SANDOZ-LISINOPRIL/HCT TAB 20/12.5MG 12.5 / 20 MG
2362953 LISINOPRIL/HCTZ (TYPE Z) TAB 20MG/12.5MG 12.5 / 20 MG
HYDROCHLOROTHIAZIDE / LISINOPRIL 25 / 20 MG2045729 ZESTORETIC TAB 20/25MG AZC08 25 / 20 MG
2301784 NOVO-LISINOPRIL/HCTZ (TYPE Z) TAB 20/25MG 25 / 20 MG
2302152 NOVO-LISINOPRIL/HCTZ (TYPE P) TAB 20/25MG 25 / 20 MG
2302381 SANDOZ-LISINOPRIL/HCT 20/25MG 25 / 20 MG
2362961 LISINOPRIL/HCTZ (TYPE Z) TAB 20MG/25MG 25 / 20 MG
HYDROCHLOROTHIAZIDE / LOSARTAN POTASSIUMHYDROCHLOROTHIAZIDE / LOSARTAN POTASSIUM 12.5 / 100 MG
2297841 HYZAAR TAB 100/12.5MG 12.5 / 100 MG
2362449 SANDOZ LOSARTAN HCT TAB 12.5MG/100MG 12.5 / 100 MG
2377144 TEVA-LOSARTAN/HCTZ TAB 12.5MG/100MG 12.5 / 100 MG
2388979 LOSARTAN/HCT TAB 12.5MG/100MG 12.5 / 100 MG
2389665 MINT-LOSARTAN/HCTZ TAB 12.5MG/100MG 12.5 / 100 MG
2392232 PMS-LOSARTAN-HCTZ TAB 12.5MG/100MG PMS07 12.5 / 100 MG
2423650 AURO-LOSARTAN HCT TAB 12.5MG/100MG 12.5 / 100 MG
2427656 LOSARTAN/HCTZ TAB 12.5MG/100MG 12.5 / 100 MG
HYDROCHLOROTHIAZIDE / LOSARTAN POTASSIUM 12.5 / 50 MG2230047 HYZAAR TAB 50/12.5MG 12.5 / 50 MG
2313375 SANDOZ LOSARTAN HCT TAB 12.5MG/50MG 12.5 / 50 MG
2358263 TEVA-LOSARTAN/HCTZ TAB 12.5/50MG 12.5 / 50 MG
2388960 LOSARTAN/HCT TAB 12.5MG/50MG 12.5 / 50 MG
2389657 MINT-LOSARTAN/HCTZ TAB 12.5MG/50MG 12.5 / 50 MG
2392224 PMS-LOSARTAN-HCTZ TAB 12.5MG/50MG PMS07 12.5 / 50 MG
2408244 JAMP-LOSARTAN HCTZ TAB 12.5MG/50MG JPC10 12.5 / 50 MG
2423642 AURO-LOSARTAN HCT TAB 12.5MG/50MG 12.5 / 50 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 56
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2427648 LOSARTAN/HCTZ TAB 12.5MG/50MG 12.5 / 50 MG
HYDROCHLOROTHIAZIDE / LOSARTAN POTASSIUM 25 / 100 MG2241007 HYZAAR DS TAB 100/25MG 25 / 100 MG
2313383 SANDOZ LOSARTAN HCT TAB 25MG/100MG 25 / 100 MG
2377152 TEVA-LOSARTAN/HCTZ TAB 25MG/100MG 25 / 100 MG
2388987 LOSARTAN/HCT TAB 25MG/100MG 25 / 100 MG
2389673 MINT-LOSARTAN/HCTZ DS TAB 25MG/100MG 25 / 100 MG
2392240 PMS-LOSARTAN-HCTZ TAB 25MG/100MG PMS07 25 / 100 MG
2408252 JAMP-LOSARTAN HCTZ TAB 25MG/100MG JPC10 25 / 100 MG
2423669 AURO-LOSARTAN HCT TAB 25MG/100MG 25 / 100 MG
2427664 LOSARTAN/HCTZ TAB 25MG/100MG 25 / 100 MG
HYDROCHLOROTHIAZIDE / OLMESARTAN MEDOXOMIL
HYDROCHLOROTHIAZIDE / OLMESARTAN MEDOXOMIL 12.5 MG / 20 MG2319616 OLMETEC PLUS TAB 20/12.5MG 12.5 MG / 20 MG
2443112 ACT OLMESARTAN HCT TAB 20MG/12.5MG 12.5 MG / 20 MG
2453606 APO-OLMESARTAN/HCTZ TAB 20MG/12.5MG APX08 12.5 MG / 20 MG
2468948 ACH-OLMESARTAN/HCTZ TAB 20MG/12.5MG 12.5 MG / 20 MG
2476487 AURO-OLMESARTAN HCTZ TAB 20MG/12.5MG 12.5 MG / 20 MG
HYDROCHLOROTHIAZIDE / OLMESARTAN MEDOXOMIL 12.5 MG / 40 MG2319624 OLMETEC PLUS TAB 40/12.5MG 12.5 MG / 40 MG
2443120 ACT OLMESARTAN HCT TAB 40MG/12.5MG 12.5 MG / 40 MG
2453614 APO-OLMESARTAN/HCTZ TAB 40MG/12.5MG APX08 12.5 MG / 40 MG
2468956 ACH-OLMESARTAN/HCTZ TAB 40MG/12.5MG 12.5 MG / 40 MG
2476495 AURO-OLMESARTAN HCTZ TAB 40MG/12.5MG 12.5 MG / 40 MG
HYDROCHLOROTHIAZIDE / OLMESARTAN MEDOXOMIL 25 MG / 40 MG2319632 OLMETEC PLUS TAB 40/25MG 25 MG / 40 MG
2443139 ACT OLMESARTAN HCT TAB 40MG/25MG 25 MG / 40 MG
2453622 APO-OLMESARTAN/HCTZ TAB 40MG/25MG APX08 25 MG / 40 MG
2468964 ACH-OLMESARTAN/HCTZ TAB 40MG/25MG 25 MG / 40 MG
2476509 AURO-OLMESARTAN HCTZ TAB 40MG/25MG 25 MG / 40 MG
HYDROCHLOROTHIAZIDE / QUINAPRIL HYDROCHLORIDE
HYDROCHLOROTHIAZIDE / QUINAPRIL HYDROCHLORIDE 12.5 / 10 MG2237367 ACCURETIC TAB 10/12.5MG PFI07 12.5 / 10 MG
2408767 APO-QUINAPRIL/HCTZ TAB 12.5MG/10MG APX08 12.5 / 10 MG
2473291 AURO-QUINAPRIL HCTZ TAB 10MG/12.5MG 12.5 / 10 MG
HYDROCHLOROTHIAZIDE / QUINAPRIL HYDROCHLORIDE 12.5 / 20 MG2237368 ACCURETIC TAB 20/12.5MG PFI07 12.5 / 20 MG
2408775 APO-QUINAPRIL/HCTZ TAB 12.5MG/20MG APX08 12.5 / 20 MG
2473305 AURO-QUINAPRIL HCTZ TAB 20MG/12.5MG 12.5 / 20 MG
HYDROCHLOROTHIAZIDE / QUINAPRIL HYDROCHLORIDE 25 / 20 MG2237369 ACCURETIC TAB 20/25MG PFI07 25 / 20 MG
2408783 APO-QUINAPRIL/HCTZ TAB 25MG/20MG APX08 25 / 20 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 57
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2473321 AURO-QUINAPRIL HCTZ TAB 20MG/25MG 25 / 20 MG
HYDROCHLOROTHIAZIDE / RAMIPRILHYDROCHLOROTHIAZIDE / RAMIPRIL 12.5 / 2.5 MG
2283131 ALTACE HCT TAB 2.5/12.5MG 12.5 / 2.5 MG
2449439 RAN-RAMIPRIL HCTZ TAB 2.5MG/12.5MG 12.5 / 2.5 MG
HYDROCHLOROTHIAZIDE / RAMIPRIL 12.5 / 5 MG2283158 ALTACE HCT TAB 5/12.5MG 12.5 / 5 MG
2449447 RAN-RAMIPRIL HCTZ TAB 5MG/12.5MG 12.5 / 5 MG
HYDROCHLOROTHIAZIDE / RAMIPRIL 12.5 MG / 10 MG2283166 ALTACE HCT TAB 10/12.5MG 12.5 MG / 10 MG
2342154 PMS-RAMIPRIL-HCTZ TAB 10MG/12.5MG PMS07 12.5 MG / 10 MG
2449455 RAN-RAMIPRIL HCTZ TAB 10MG/12.5MG 12.5 MG / 10 MG
HYDROCHLOROTHIAZIDE / RAMIPRIL 25 / 5 MG2283174 ALTACE HCT TAB 5/25MG 25 / 5 MG
2449463 RAN-RAMIPRIL HCTZ TAB 5MG/25MG 25 / 5 MG
HYDROCHLOROTHIAZIDE / RAMIPRIL 25 MG / 10 MG2283182 ALTACE HCT TAB 10/25MG 25 MG / 10 MG
2342170 PMS-RAMIPRIL-HCTZ TAB 10MG/25MG PMS07 25 MG / 10 MG
2449471 RAN-RAMIPRIL HCTZ TAB 10MG/25MG 25 MG / 10 MG
HYDROCHLOROTHIAZIDE / SPIRONOLACTONEHYDROCHLOROTHIAZIDE / SPIRONOLACTONE 25 / 25 MG
180408 ALDACTAZIDE 25 TAB 25/25MG PFI07 25 / 25 MG
613231 NOVO-SPIROZINE TAB 25/25MG 25 / 25 MG
HYDROCHLOROTHIAZIDE / SPIRONOLACTONE 50 / 50 MG594377 ALDACTAZIDE 50 TAB 50/50MG PFI07 50 / 50 MG
657182 NOVO-SPIROZINE-50 TAB 50/50MG 50 / 50 MG
HYDROCHLOROTHIAZIDE / TELMISARTANHYDROCHLOROTHIAZIDE / TELMISARTAN 12.5 / 80 MG
2244344 MICARDIS PLUS TAB 80/12.5MG BOE07 12.5 / 80 MG
2330288 TEVA-TELMISARTAN HCTZ TAB 80MG/12.5MG 12.5 / 80 MG
2390302 TELMISARTAN HCTZ TAB 12.5MG/80MG 12.5 / 80 MG
2393557 SANDOZ TELMISARTAN HCT TAB 12.5MG/80MG 12.5 / 80 MG
2395355 TELMISARTAN/HCTZ TAB 12.5MG/80MG 12.5 / 80 MG
2419114 TELMISARTAN AND HYDROCHLOROTHIAZIDE TAB 12.5MG/80MG
12.5 / 80 MG
2456389 AURO-TELMISARTAN HCTZ TAB 80MG/12.5MG 12.5 / 80 MG
HYDROCHLOROTHIAZIDE / TELMISARTAN 25 / 80 MG2318709 MICARDIS PLUS TAB 80/25MG BOE07 25 / 80 MG
2379252 TEVA-TELMISARTAN HCTZ TAB 80MG/25MG 25 / 80 MG
2390310 TELMISARTAN HCTZ TAB 25MG/80MG 25 / 80 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 58
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2393565 SANDOZ TELMISARTAN HCT TAB 25MG/80MG 25 / 80 MG
2395363 TELMISARTAN/HCTZ TAB 25MG/80MG 25 / 80 MG
2419122 TELMISARTAN AND HYDROCHLOROTHIAZIDE TAB 25MG/80MG
25 / 80 MG
2456397 AURO-TELMISARTAN HCTZ TAB 80MG/25MG 25 / 80 MG
HYDROCHLOROTHIAZIDE / TRIAMTERENEHYDROCHLOROTHIAZIDE / TRIAMTERENE 25 / 50 MG
441775 APO-TRIAZIDE TAB 50/25MG APX08 25 / 50 MG
532657 NOVO-TRIAMZIDE TAB 50MG 25 / 50 MG
HYDROCHLOROTHIAZIDE / VALSARTANHYDROCHLOROTHIAZIDE / VALSARTAN 12.5 / 160 MG
2241901 DIOVAN-HCT TAB 160/12.5MG NVR07 12.5 / 160 MG
2356708 SANDOZ VALSARTAN HCT TAB 160MG/12.5MG 12.5 / 160 MG
2357003 TEVA-VALSARTAN/HCTZ TAB 160MG/12.5MG 12.5 / 160 MG
2367017 VALSARTAN HCT TAB 160MG/12.5MG 12.5 / 160 MG
2384744 VALSARTAN HCT TAB 12.5MG/160MG 12.5 / 160 MG
2408120 AURO-VALSARTAN HCT TAB 12.5MG/160MG 12.5 / 160 MG
HYDROCHLOROTHIAZIDE / VALSARTAN 12.5 / 320 MG2308908 DIOVAN-HCT TAB 320/12.5MG NVR07 12.5 / 320 MG
2356724 SANDOZ VALSARTAN HCT TAB 320MG/12.5MG 12.5 / 320 MG
2357038 TEVA-VALSARTAN/HCTZ TAB 320MG/12.5MG 12.5 / 320 MG
2367033 VALSARTAN HCT TAB 320MG/12.5MG 12.5 / 320 MG
2384760 VALSARTAN HCT TAB 12.5MG/320MG 12.5 / 320 MG
2408147 AURO-VALSARTAN HCT TAB 12.5MG/320MG 12.5 / 320 MG
HYDROCHLOROTHIAZIDE / VALSARTAN 12.5 / 80 MG2241900 DIOVAN-HCT TAB 80/12.5MG NVR07 12.5 / 80 MG
2356694 SANDOZ VALSARTAN HCT TAB 80MG/12.5MG 12.5 / 80 MG
2356996 TEVA-VALSARTAN/HCTZ TAB 80MG/12.5MG 12.5 / 80 MG
2367009 VALSARTAN HCT TAB 80MG/12.5MG 12.5 / 80 MG
2384736 VALSARTAN HCT TAB 12.5MG/80MG 12.5 / 80 MG
2408112 AURO-VALSARTAN HCT TAB 12.5MG/80MG 12.5 / 80 MG
HYDROCHLOROTHIAZIDE / VALSARTAN 25 / 160 MG2246955 DIOVAN-HCT TAB 160/25MG NVR07 25 / 160 MG
2356716 SANDOZ VALSARTAN HCT TAB 160MG/25MG 25 / 160 MG
2357011 TEVA-VALSARTAN/HCTZ TAB 160MG/25MG 25 / 160 MG
2367025 VALSARTAN HCT TAB 160MG/25MG 25 / 160 MG
2384752 VALSARTAN HCT TAB 25MG/160MG 25 / 160 MG
2408139 AURO-VALSARTAN HCT TAB 25MG/160MG 25 / 160 MG
HYDROCHLOROTHIAZIDE / VALSARTAN 25 / 320 MG2308916 DIOVAN-HCT TAB 320/25MG NVR07 25 / 320 MG
2356732 SANDOZ VALSARTAN HCT TAB 320MG/25MG 25 / 320 MG
2357046 TEVA-VALSARTAN/HCTZ TAB 320MG/25MG 25 / 320 MG
2367041 VALSARTAN HCT TAB 320MG/25MG 25 / 320 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 59
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2408155 AURO-VALSARTAN HCT TAB 25MG/320MG 25 / 320 MG
HYDROCORTISONE ACETATE / ZINC SULFATEHYDROCORTISONE ACETATE / ZINC SULFATE 0.5 / 0.5 %
505773 ANUSOL HC OINT 0.5% CHU08 0.5 / 0.5 %
2128446 ANODAN-HC OINT ODN07 0.5 / 0.5 %
HYDROCORTISONE ACETATE / ZINC SULFATE 10 / 10 MG476285 ANUSOL HC SUPP 10MG CHU08 10 / 10 MG
2236399 ANODAN-HC SUPP 10MG ODN07 10 / 10 MG
HYDROCORTISONE ACETATE / ZINC SULFATE 5 / 5 MG/GM505781 ANUGESIC-HC OINT MCL08 5 / 5 MG/GM
2234466 PROCTODAN-HC OINT ODN07 5 / 5 MG/GM
HYDROCORTISONE/ FRAMYCETIN/ DIBUCAINE/ ESCULIN
HYDROCORTISONE/ FRAMYCETIN/ DIBUCAINE/ ESCULIN 5 / 10 / 5 / 10 MG2223260 PROCTOSEDYL SUPP 5 / 10 / 5 / 10 MG
2242528 SAB-PROCTOMYXIN HC SUPP 5 / 10 / 5 / 10 MG
2247882 PROCTOL SUPP ODN07 5 / 10 / 5 / 10 MG
HYDROCORTISONE/ FRAMYCETIN/ DIBUCAINE/ ESCULIN 5 / 10 / 5 / 10 MG/GM2223252 PROCTOSEDYL OINT 5 / 10 / 5 / 10 MG/GM
2242527 SANDOZ-PROCTOMYXIN HC OINT 5 / 10 / 5 / 10 MG/GM
2247322 PROCTOL OINT ODN07 5 / 10 / 5 / 10 MG/GM
HYDROMORPHONE HYDROCHLORIDEHYDROMORPHONE HYDROCHLORIDE 1 MG
705438 DILAUDID TAB 1MG PFR08 1 MG
885444 PMS-HYDROMORPHONE TAB 1MG PMS07 1 MG
2319403 TEVA-HYDROMORPHONE TAB 1MG 1 MG
2364115 APO-HYDROMORPHONE TAB 1MG APX08 1 MG
HYDROMORPHONE HYDROCHLORIDE 2 MG125083 DILAUDID TAB 2MG PFR08 2 MG
885436 PMS-HYDROMORPHONE TAB 2MG PMS07 2 MG
2319411 TEVA-HYDROMORPHONE TAB 2MG 2 MG
2364123 APO-HYDROMORPHONE TAB 2MG APX08 2 MG
HYDROMORPHONE HYDROCHLORIDE 4 MG125121 DILAUDID TAB 4MG PFR08 4 MG
885401 PMS-HYDROMORPHONE TAB 4MG PMS07 4 MG
2319438 TEVA-HYDROMORPHONE TAB 4MG 4 MG
2364131 APO-HYDROMORPHONE TAB 4MG APX08 4 MG
HYDROMORPHONE HYDROCHLORIDE 8 MG786543 DILAUDID TAB 8MG PFR08 8 MG
885428 PMS-HYDROMORPHONE TAB 8MG PMS07 8 MG
2319446 TEVA-HYDROMORPHONE TAB 8MG 8 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 60
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2364158 APO-HYDROMORPHONE TAB 8MG APX08 8 MG
HYDROXYCHLOROQUINE SULFATEHYDROXYCHLOROQUINE SULFATE 200 MG
2017709 PLAQUENIL TAB 200MG 200 MG
2246691 APO-HYDROXYQUINE TAB 200MG APX08 200 MG
2424991 MINT-HYDROXYCHLOROQUINE TAB 200MG 200 MG
2491427 JAMP HYDROXYCHLOROQUINE SULFATE TAB 200MG JPC10 200 MG
HYDROXYUREA
HYDROXYUREA 500 MG465283 HYDREA CAP 500MG BQC07 500 MG
2242920 MYLAN-HYDROXYUREA CAP 500MG 500 MG
2247937 APO-HYDROXYUREA CAP 500MG APX08 500 MG
HYDROXYZINE HYDROCHLORIDE
HYDROXYZINE HYDROCHLORIDE 10 MG646059 APO-HYDROXYZINE CAP 10MG 10 MG
738824 NOVO-HYDROXYZIN CAP 10MG 10 MG
HYDROXYZINE HYDROCHLORIDE 25 MG646024 APO-HYDROXYZINE CAP 25MG 25 MG
738832 NOVO-HYDROXYZIN CAP 25MG 25 MG
HYDROXYZINE HYDROCHLORIDE 50 MG646016 APO-HYDROXYZINE CAP 50MG 50 MG
738840 NOVO-HYDROXYZIN CAP 50MG 50 MG
IMATINIB MESYLATEIMATINIB MESYLATE 100 MG
2253275 GLEEVEC TAB 100MG NVR07 100 MG
2355337 APO-IMATINIB TAB 100MG APX08 100 MG
2397285 NAT IMATINIB TAB 100MG 100 MG
2399806 TEVA-IMATINIB TAB 100MG 100 MG
2431114 PMS-IMATINIB TAB 100MG PMS07 100 MG
2492334 MINT-IMATINIB TAB 100MG 100 MG
IMATINIB MESYLATE 400 MG2253283 GLEEVEC TAB 400MG NVR07 400 MG
2355345 APO-IMATINIB TAB 400MG APX08 400 MG
2397293 NAT IMATINIB TAB 400MG 400 MG
2399814 TEVA-IMATINIB TAB 400MG 400 MG
2431122 PMS-IMATINIB TAB 400MG PMS07 400 MG
2492342 MINT-IMATINIB TAB 400MG 400 MG
IMIQUIMOD
IMIQUIMOD 5%2239505 ALDARA CRM 5% 5%
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 61
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2482983 TARO-IMIQUIMOD PUMP CR 5% TAR08 5%
INDAPAMIDEINDAPAMIDE 1.25 MG
2179709 LOZIDE TAB 1.25MG SEV07 1.25 MG
2240067 MYLAN-INDAPAMIDE TAB 1.25MG 1.25 MG
2245246 APO-INDAPAMIDE TAB 1.25MG APX08 1.25 MG
INDAPAMIDE 2.5 MG564966 LOZIDE TAB 2.5MG SEV07 2.5 MG
2153483 MYLAN-INDAPAMIDE TAB 2.5MG 2.5 MG
2223678 APO-INDAPAMIDE TAB 2.5MG APX08 2.5 MG
INDAPAMIDE/PERINDOPRIL ERBUMINEINDAPAMIDE/PERINDOPRIL ERBUMINE 0.625 MG / 2 MG
2246568 COVERSYL PLUS LD TAB 2MG/0.625MG SEV07 0.625 MG / 2 MG
2470411 SANDOZ PERINDOPRIL ERBUMINE/INDAPAMIDE LD 2MG/0.625MG
0.625 MG / 2 MG
INDAPAMIDE/PERINDOPRIL ERBUMINE 1.25 MG / 4 MG2246569 COVERSYL PLUS TAB 4/1.25MG SEV07 1.25 MG / 4 MG
2464020 TEVA-PERINDOPRIL ERBUMINE/ INDAPAMIDE TAB 4MG/1.25MG
1.25 MG / 4 MG
2470438 SANDOZ PERINDOPRIL ERBUMINE/INDAPAMIDE 4MG/1.25MG
1.25 MG / 4 MG
INDAPAMIDE/PERINDOPRIL ERBUMINE 2.5 MG / 8 MG2321653 COVERSYL PLUS HD TAB 8/2.5 MG SEV07 2.5 MG / 8 MG
2464039 TEVA-PERINDOPRIL ERBUMINE/ INDAPAMIDE TAB 8MG/2.5MG
2.5 MG / 8 MG
2470446 SANDOZ PERINDOPRIL ERBUMINE/INDAPAMIDE HD 8MG/2.5MG
2.5 MG / 8 MG
INDOMETHACININDOMETHACIN 25 MG
337420 NOVO-METHACIN CAP 25MG 25 MG
2461811 MINT-INDOMETHACIN CAP 25MG 25 MG
INDOMETHACIN 50 MG337439 NOVO-METHACIN CAP 50MG 50 MG
2461536 MINT-INDOMETHACIN CAP 50MG 50 MG
IPRATROPIUM BROMIDEIPRATROPIUM BROMIDE 250 MCG/ML
2126222 APO-IPRAVENT INH LIQ 250MCG/ML APX08 250 MCG/ML
2231136 PMS-IPRATROPIUM (20ML BOTTLE) LIQ 250MCG/ML PMS07 250 MCG/ML
IPRATROPIUM BROMIDE 250 MCG/ML (UDV)2216221 MYLAN-IPRATROPIUM STERINEBS LIQ 0.025% 250 MCG/ML (UDV)
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 62
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2231244 PMS-IPRATROPIUM (1ML UNIT DOSE) LIQ
250MCG/MLPMS07 250 MCG/ML (UDV)
2231245 PMS-IPRATROPIUM (2ML UNIT DOSE) LIQ 250MCG/ML
PMS07 250 MCG/ML (UDV)
IPRATROPIUM BROMIDE / SALBUTAMOL SULFATE
IPRATROPIUM BROMIDE / SALBUTAMOL SULFATE 0.5 / 2.5 MG/ML2231675 COMBIVENT INH SOL 1MG/ML BOE07 0.5 / 2.5 MG/ML
2272695 MYLAN-COMBO STERINEBS SOL 0.5 / 2.5 MG/ML
2483394 IPRATROPIUM BROMIDE & SALBUTAMOL SULPHATE INH SOL 0.5MG/2.5MG/2.5ML
0.5 / 2.5 MG/ML
IRBESARTAN
IRBESARTAN 150 MG2237924 AVAPRO 150 MG 150 MG
2316404 RATIO-IRBESARTAN TAB 150MG 150 MG
2317079 PMS-IRBESARTAN TAB 150MG PMS07 150 MG
2328488 SANDOZ IRBESARTAN TAB 150MG 150 MG
2372371 IRBESARTAN TAB 150MG 150 MG
2385295 IRBESARTAN TAB 150MG 150 MG
2406101 AURO-IRBESARTAN TAB 150MG 150 MG
2406829 RAN-IRBESARTAN TAB 150MG 150 MG
2418207 JAMP-IRBESARTAN TAB 150MG JPC10 150 MG
2422999 IRBESARTAN TAB 150MG 150 MG
IRBESARTAN 300 MG2237925 AVAPRO 300 MG 300 MG
2316412 RATIO-IRBESARTAN TAB 300MG 300 MG
2317087 PMS-IRBESARTAN TAB 300MG PMS07 300 MG
2328496 SANDOZ IRBESARTAN TAB 300MG 300 MG
2372398 IRBESARTAN TAB 300MG 300 MG
2385309 IRBESARTAN TAB 300MG 300 MG
2406128 AURO-IRBESARTAN TAB 300MG 300 MG
2406837 RAN-IRBESARTAN TAB 300MG 300 MG
2418215 JAMP-IRBESARTAN TAB 300MG JPC10 300 MG
2423006 IRBESARTAN TAB 300MG 300 MG
IRBESARTAN 75 MG2237923 AVAPRO 75 MG 75 MG
2316390 RATIO-IRBESARTAN TAB 75MG 75 MG
2317060 PMS-IRBESARTAN TAB 75MG PMS07 75 MG
2328461 SANDOZ IRBESARTAN TAB 75MG 75 MG
2372347 IRBESARTAN TAB 75MG 75 MG
2385287 IRBESARTAN TAB 75MG 75 MG
2406098 AURO-IRBESARTAN TAB 75MG 75 MG
2406810 RAN-IRBESARTAN TAB 75MG 75 MG
2418193 JAMP-IRBESARTAN TAB 75MG JPC10 75 MG
2422980 IRBESARTAN TAB 75MG 75 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 63
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code StrengthISOSORBIDE-5-MONONITRATE
ISOSORBIDE-5-MONONITRATE 60 MG2126559 IMDUR TAB-ER 60MG 60 MG
2272830 APO-ISMN TAB-SR 60MG APX08 60 MG
2301288 PMS-ISMN TAB-ER 60MG PMS07 60 MG
ISOTRETINOIN
ISOTRETINOIN 10 MG582344 ACCUTANE ROCHE CAP 10MG HLR07 10 MG
2257955 CLARUS CAP 10MG 10 MG
ISOTRETINOIN 40 MG582352 ACCUTANE ROCHE CAP 40MG HLR07 40 MG
2257963 CLARUS CAP 40MG 40 MG
ITRACONAZOLE
ITRACONAZOLE 10 MG/ML2231347 SPORANOX ORAL LIQ 10MG/ML JSO08 10 MG/ML
2484315 JAMP ITRACONAZOLE ORAL SOLUTION 10MG/ML JPC10 10 MG/ML
2495988 ODAN ITRACONAZOLE ORAL SOL 10MG/ML ODN07 10 MG/ML
ITRACONAZOLE 100 MG2047454 SPORANOX CAP 100MG JSO08 100 MG
2462559 MINT-ITRACONAZOLE CAP 100MG 100 MG
KETOCONAZOLE
KETOCONAZOLE 200 MG2231061 NOVO-KETOCONAZOLE TAB 200MG 200 MG
2237235 APO-KETOCONAZOLE TAB 200MG APX08 200 MG
KETOROLAC TROMETHAMINEKETOROLAC TROMETHAMINE 0.50%
1968300 ACULAR LIQ 0.5% ALL07 0.50%
2245821 APO-KETOROLAC (W/ SURFACTANT) OPH SOL 0.5% 0.50%
KETOROLAC TROMETHAMINE 10 MG2162660 TORADOL TAB 10MG 10 MG
2229080 APO-KETOROLAC TAB 10MG APX08 10 MG
2465124 MAR-KETOROLAC TAB 10MG 10 MG
LABETALOL HYDROCHLORIDE
LABETALOL HYDROCHLORIDE 100 MG2106272 TRANDATE TAB 100MG PIA08 100 MG
2243538 APO-LABETALOL TAB 100MG APX08 100 MG
2489406 RIVA-LABETALOL TAB 100MG RIV07 100 MG
LABETALOL HYDROCHLORIDE 200 MG2106280 TRANDATE TAB 200MG PIA08 200 MG
2243539 APO-LABETALOL TAB 200MG APX08 200 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 64
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2489414 RIVA-LABETALOL TAB 200MG RIV07 200 MG
LACOSAMIDELACOSAMIDE 100 MG
2357623 VIMPAT TAB 100MG 100 MG
2472910 TEVA-LACOSAMIDE TAB 100MG 100 MG
2474689 SANDOZ LACOSAMIDE TAB 100MG 100 MG
2475340 AURO-LACOSAMIDE TAB 100MG 100 MG
2478218 PHARMA-LACOSAMIDE TAB 100MG PMS07 100 MG
2487810 MAR-LACOSAMIDE TAB 100MG 100 MG
2488396 JAMP-LACOSAMIDE TAB 100MG JPC10 100 MG
2490552 MINT-LACOSAMIDE TAB 100MG 100 MG
LACOSAMIDE 150 MG2357631 VIMPAT TAB 150MG 150 MG
2472929 TEVA-LACOSAMIDE TAB 150MG 150 MG
2474697 SANDOZ LACOSAMIDE TAB 150MG 150 MG
2475359 AURO-LACOSAMIDE TAB 150MG 150 MG
2478226 PHARMA-LACOSAMIDE TAB 150MG PMS07 150 MG
2487829 MAR-LACOSAMIDE TAB 150MG 150 MG
2488418 JAMP-LACOSAMIDE TAB 150MG JPC10 150 MG
2490560 MINT-LACOSAMIDE TAB 150MG 150 MG
LACOSAMIDE 200 MG2357658 VIMPAT TAB 200MG 200 MG
2472937 TEVA-LACOSAMIDE TAB 200MG 200 MG
2474700 SANDOZ LACOSAMIDE TAB 200MG 200 MG
2475367 AURO-LACOSAMIDE TAB 200MG 200 MG
2478234 PHARMA-LACOSAMIDE TAB 200MG PMS07 200 MG
2487837 MAR-LACOSAMIDE TAB 200MG 200 MG
2488426 JAMP-LACOSAMIDE TAB 200MG JPC10 200 MG
2490579 MINT-LACOSAMIDE TAB 200MG 200 MG
LACOSAMIDE 50 MG2357615 VIMPAT TAB 50MG 50 MG
2472902 TEVA-LACOSAMIDE TAB 50MG 50 MG
2474670 SANDOZ LACOSAMIDE TAB 50MG 50 MG
2475332 AURO-LACOSAMIDE TAB 50MG 50 MG
2478196 PHARMA-LACOSAMIDE TAB 50MG PMS07 50 MG
2487802 MAR-LACOSAMIDE TAB 50MG 50 MG
2488388 JAMP-LACOSAMIDE TAB 50MG JPC10 50 MG
2490544 MINT-LACOSAMIDE TAB 50MG 50 MG
LACTULOSELACTULOSE 667 MG/ML
703486 PMS-LACTULOSE SYR 667MG/ML SYR 667MG PMS07 667 MG/ML
854409 RATIO-LACTULOSE SOL 667MG 667 MG/ML
2242814 APO-LACTULOSE LIQ 667MG APX08 667 MG/ML
2247383 EURO-LAC ORL SOL 667MG/ML PMS07 667 MG/ML
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 65
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2295881 LACTULOSE LIQ 667MG/ML JPC10 667 MG/ML
2331551 TEVA LACTULOSE SOLN (MK) 667 MG/ML
2412268 LACTULOSE 667 MG/ML
2469391 PMS-LACTULOSE-PHARMA SOL 667MG/ML PMS07 667 MG/ML
LAMIVUDINELAMIVUDINE 100 MG
2239193 HEPTOVIR TAB 100MG 100 MG
2393239 APO-LAMIVUDINE HBV TAB 100MG APX08 100 MG
LAMIVUDINE 150 MG2192683 3TC TAB 150MG 150 MG
2369052 APO-LAMIVUDINE TAB 150MG APX08 150 MG
LAMIVUDINE 300 MG2247825 3TC TAB 300MG 300 MG
2369060 APO-LAMIVUDINE TAB 300MG APX08 300 MG
LAMOTRIGINE
LAMOTRIGINE 100 MG2142104 LAMICTAL TAB 100MG 100 MG
2245209 APO-LAMOTRIGINE TAB 100MG APX08 100 MG
2246898 PMS-LAMOTRIGINE TAB 100MG PMS07 100 MG
2265508 MYLAN-LAMOTRIGINE TAB 100MG 100 MG
2343029 LAMOTRIGINE TAB 100MG 100 MG
2381362 AURO-LAMOTRIGINE TAB 100MG 100 MG
2428210 LAMOTRIGINE TAB 100MG 100 MG
LAMOTRIGINE 150 MG2142112 LAMICTAL TAB 150MG 150 MG
2245210 APO-LAMOTRIGINE TAB 150MG APX08 150 MG
2246899 PMS-LAMOTRIGINE TAB 150MG PMS07 150 MG
2265516 MYLAN-LAMOTRIGINE TAB 150MG 150 MG
2343037 LAMOTRIGINE TAB 150MG 150 MG
2381370 AURO-LAMOTRIGINE TAB 150MG 150 MG
2428229 LAMOTRIGINE TAB 150MG 150 MG
LAMOTRIGINE 25 MG2142082 LAMICTAL TAB 25MG 25 MG
2245208 APO-LAMOTRIGINE TAB 25MG APX08 25 MG
2246897 PMS-LAMOTRIGINE TAB 25MG PMS07 25 MG
2265494 MYLAN-LAMOTRIGINE TAB 25MG 25 MG
2343010 LAMOTRIGINE TAB 25MG 25 MG
2381354 AURO-LAMOTRIGINE TAB 25MG 25 MG
2428202 LAMOTRIGINE TAB 25MG 25 MG
LANSOPRAZOLE
LANSOPRAZOLE 15 MG2165503 PREVACID CAP-SR 15MG 15 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 66
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2280515 NOVO-LANSOPRAZOLE CAP-DR 15MG 15 MG
2293811 APO-LANSOPRAZOLE CAP-SR 15MG APX08 15 MG
2353830 MYLAN-LANSOPRAZOLE CAP-DR 15MG 15 MG
2385643 SANDOZ LANSOPRAZOLE CAP-DR 15MG 15 MG
2385767 LANSOPRAZOLE CAP-DR 15MG 15 MG
2402610 RAN-LANSOPRAZOLE CAP-DR 15MG 15 MG
2433001 LANSOPRAZOLE CAP-DR 15MG PMS07 15 MG
LANSOPRAZOLE 30 MG2165511 PREVACID CAP-SR 30MG 30 MG
2280523 NOVO-LANSOPRAZOLE CAP-DR 30MG 30 MG
2293838 APO-LANSOPRAZOLE CAP-SR 30MG APX08 30 MG
2353849 MYLAN-LANSOPRAZOLE CAP-DR 30MG 30 MG
2357690 LANSOPRAZOLE CAP 30MG 30 MG
2385651 SANDOZ LANSOPRAZOLE CAP-DR 30MG 30 MG
2402629 RAN-LANSOPRAZOLE CAP-DR 30MG 30 MG
2410389 LANSOPRAZOLE-30 CAP-DR 30MG 30 MG
2433028 LANSOPRAZOLE CAP-DR 30MG PMS07 30 MG
LATANOPROSTLATANOPROST 50 MCG/ML
2231493 XALATAN OPH LIQ 50MCG/ML PFI07 50 MCG/ML
2254786 CO LATANOPROST SOL 0.05MG/ML 50 MCG/ML
2296527 APO-LATANOPROST SOL 50MCG/ML APX08 50 MCG/ML
2367335 SANDOZ LATANOPROST SOL 0.05MG/ML 50 MCG/ML
2373041 GD-LATANOPROST SOL 50MCG/ML 50 MCG/ML
2426935 MED-LATANOPROST SOL 50MCG/ML 50 MCG/ML
2453355 JAMP-LATANOPROST OPH SOL 50MCG/ML JPC10 50 MCG/ML
2489570 LATANOPROST OPH SOL 50MCG/ML 50 MCG/ML
LATANOPROST / TIMOLOL MALEATE
LATANOPROST / TIMOLOL MALEATE 50 MCG / 5 MG / ML2246619 XALACOM OPH SOL PFI07 50 MCG / 5 MG / ML
2373068 GD-LATANOPROST/TIMOLOL SOL 5MG/50MCG 50 MCG / 5 MG / ML
2436256 ACT LATANOPROST/TIMOLOL SOL 5MG/50MCG/ML 50 MCG / 5 MG / ML
2453770 JAMP-LATANOPROST/TIMOLOL OPH-SOL 50MCG/5MG JPC10 50 MCG / 5 MG / ML
2454505 MED-LATANOPROST-TIMOLOL OPH SOL 5MG/50MCG/ML
50 MCG / 5 MG / ML
2489368 LATANOPROST AND TIMOLOL OPH SOL 50MCG/5MG/ML
50 MCG / 5 MG / ML
LEFLUNOMIDELEFLUNOMIDE 10 MG
2241888 ARAVA TAB 10MG 10 MG
2256495 APO-LEFLUNOMIDE TAB 10MG APX08 10 MG
2261251 NOVO-LEFLUNOMIDE TAB 10MG 10 MG
2283964 SANDOZ-LEFLUNOMIDE TAB 10MG 10 MG
2351668 LEFLUNOMIDE TAB 10MG 10 MG
2478862 ACCEL-LEFLUNOMIDE TAB 10MG 10 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 67
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code StrengthLEFLUNOMIDE 20 MG
2241889 ARAVA TAB 20MG 20 MG
2256509 APO-LEFLUNOMIDE TAB 20MG APX08 20 MG
2261278 NOVO-LEFLUNOMIDE TAB 20MG 20 MG
2283972 SANDOZ LEFLUNOMIDE TAB 20MG 20 MG
2351676 LEFLUNOMIDE TAB 20MG 20 MG
2478870 ACCEL-LEFLUNOMIDE TAB 20MG 20 MG
LETROZOLE
LETROZOLE 2.5 MG2231384 FEMARA TAB 2.5MG NVR07 2.5 MG
2309114 PMS-LETROZOLE TAB 2.5MG PMS07 2.5 MG
2338459 LETROZOLE TABLETS USP TAB 2.5MG 2.5 MG
2343657 NOVO-LETROZOLE TAB 2.5MG 2.5 MG
2344815 SANDOZ LETROZOLE TAB 2.5MG 2.5 MG
2358514 APO-LETROZOLE TAB 2.5MG APX08 2.5 MG
2373009 JAMP-LETROZOLE TAB 2.5MG JPC10 2.5 MG
2373424 MAR-LETROZOLE TAB 2.5MG 2.5 MG
2421585 NAT-LETROZOLE TAB 2.5MG 2.5 MG
LEUCOVORIN CALCIUM
LEUCOVORIN CALCIUM 5 MG2170493 LEDERLE LEUCOVORIN TAB 5MG PFI07 5 MG
2493357 LEUCOVORIN TAB 5MG RIV07 5 MG
LEVETIRACETAMLEVETIRACETAM 250 MG
2247027 KEPPRA TAB 250MG 250 MG
2274183 CO-LEVETIRACETAM TAB 250MG 250 MG
2285924 APO-LEVETIRACETAM TAB 250MG APX08 250 MG
2353342 LEVETIRACETAM TAB 250MG 250 MG
2375249 AURO-LEVETIRACETAM TAB 250MG 250 MG
2399776 LEVETIRACETAM TABLETS 250MG 250 MG
2403005 JAMP-LEVETIRACETAM TAB 250MG JPC10 250 MG
2440202 NAT-LEVETIRACETAM TAB 250MG 250 MG
2442531 LEVETIRACETAM TAB 250MG 250 MG
2454653 LEVETIRACETAM TAB 250MG PMS07 250 MG
2461986 SANDOZ LEVETIRACETAM TAB 250MG 250 MG
2482274 RIVA-LEVETIRACETAM TAB 250MG RIV07 250 MG
LEVETIRACETAM 500 MG2247028 KEPPRA TAB 500MG 500 MG
2274191 CO-LEVETIRACETAM TAB 500MG 500 MG
2285932 APO-LEVETIRACETAM TAB 500MG APX08 500 MG
2353350 LEVETIRACETAM TAB 500MG 500 MG
2375257 AURO-LEVETIRACETAM TAB 500MG 500 MG
2399784 LEVETIRACETAM TABLETS 500MG 500 MG
2403021 JAMP-LEVETIRACETAM TAB 500MG JPC10 500 MG
2440210 NAT-LEVETIRACETAM TAB 500MG 500 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 68
2021.02.01
Ingredient Name DIN/PIN Brand Name MFR Code Strength2442558 LEVETIRACETAM TAB 500MG 500 MG
2454661 LEVETIRACETAM TAB 500MG PMS07 500 MG
2461994 SANDOZ LEVETIRACETAM TAB 500MG 500 MG
2482282 RIVA-LEVETIRACETAM TAB 500MG RIV07 500 MG
LEVETIRACETAM 750 MG2247029 KEPPRA TAB 750MG 750 MG
2274205 CO-LEVETIRACETAM TAB 750MG 750 MG
2285940 APO-LEVETIRACETAM TAB 750MG APX08 750 MG
2353369 LEVETIRACETAM TAB 750MG 750 MG
2375265 AURO-LEVETIRACETAM TAB 750MG 750 MG
2399792 LEVETIRACETAM TABLETS 750MG 750 MG
2403048 JAMP-LEVETIRACETAM TAB 750MG JPC10 750 MG
2440229 NAT-LEVETIRACETAM TAB 750MG 750 MG
2442566 LEVETIRACETAM TAB 750MG 750 MG
2454688 LEVETIRACETAM TAB 750MG PMS07 750 MG
2462001 SANDOZ LEVETIRACETAM TAB 750MG 750 MG
2482290 RIVA-LEVETIRACETAM TAB 750MG RIV07 750 MG
LEVOCARNITINELEVOCARNITINE 100 MG/ML
2144336 CARNITOR ORL LIQ 100MG/ML 100 MG/ML
2492105 ODAN LEVOCARNITINE ORAL SOL 100MG/ML ODN07 100 MG/ML
LEVOFLOXACIN HEMIHYDRATE
LEVOFLOXACIN HEMIHYDRATE 250 MG2284707 APO-LEVOFLOXACIN TAB 250MG APX08 250 MG
2298635 SANDOZ LEVOFLOXACIN TAB 250MG 250 MG
2315424 CO LEVOFLOXACIN TAB 250MG 250 MG
LEVOFLOXACIN HEMIHYDRATE 500 MG2284715 APO-LEVOFLOXACIN TAB 500MG APX08 500 MG
2298643 SANDOZ LEVOFLOXACIN TAB 500MG 500 MG
2315432 CO LEVOFLOXACIN TAB 500MG 500 MG
LEVOFLOXACIN HEMIHYDRATE 750 MG2298651 SANDOZ LEVOFLOXACIN TAB 750MG 750 MG
2315440 CO LEVOFLOXACIN TAB 750MG 750 MG
2325942 APO-LEVOFLOXACIN TAB 750MG APX08 750 MG
LEVONORGESTREL
LEVONORGESTREL 1.5 MG2293854 PLAN B 1.5 MG
2425009 CONTINGENCY ONE TAB 1.5MG 1.5 MG
2433532 BACKUP PLAN ONESTEP 1.5MG TAB APX08 1.5 MG
LEVOTHYROXINE SODIUM
LEVOTHYROXINE SODIUM 100 MCG2172100 SYNTHROID TAB 100MCG 100 MCG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 69
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2213206 ELTROXIN TAB 100MCG 100 MCG
LEVOTHYROXINE SODIUM 150 MCG2172127 SYNTHROID TAB 150MCG 150 MCG
2213214 ELTROXIN TAB 150MCG 150 MCG
LEVOTHYROXINE SODIUM 200 MCG2172143 SYNTHROID TAB 200MCG 200 MCG
2213222 ELTROXIN TAB 200MCG 200 MCG
LEVOTHYROXINE SODIUM 50 MCG2172070 SYNTHROID TAB 50MCG 50 MCG
2213192 ELTROXIN TAB 50MCG 50 MCG
LINEZOLIDLINEZOLID 600 MG
2243684 ZYVOXAM TAB 600MG PFI07 600 MG
2422689 SANDOZ LINEZOLID TAB 600MG 600 MG
2426552 APO-LINEZOLID TAB 600MG APX08 600 MG
LISINOPRILLISINOPRIL 10 MG
839396 PRINIVIL TAB 10MG 10 MG
2049376 ZESTRIL TAB 10MG AZC08 10 MG
2217503 APO-LISINOPRIL TAB 10MG APX08 10 MG
2285088 NOVO-LISINOPRIL (TYPE P) TAB 10MG 10 MG
2285126 NOVO-LISINOPRIL (TYPE Z) TAB 10MG 10 MG
2289202 SANDOZ-LISINOPRIL TAB 10MG 10 MG
2294249 RAN-LISINOPRIL TAB 10MG 10 MG
2361558 JAMP-LISINOPRIL TAB 10MG JPC10 10 MG
2386240 LISINOPRIL TAB 10MG 10 MG
2394480 AURO-LISINOPRIL TAB 10MG 10 MG
LISINOPRIL 20 MG839418 PRINIVIL TAB 20MG 20 MG
2049384 ZESTRIL TAB 20MG AZC08 20 MG
2217511 APO-LISINOPRIL TAB 20MG APX08 20 MG
2285096 NOVO-LISINOPRIL (TYPE P) TAB 20MG 20 MG
2285134 NOVO-LISINOPRIL (TYPE Z) TAB 20MG 20 MG
2289229 SANDOZ-LISINOPRIL TAB 20MG 20 MG
2294257 RAN-LISINOPRIL TAB 20MG 20 MG
2361566 JAMP-LISINOPRIL TAB 20MG JPC10 20 MG
2386259 LISINOPRIL TAB 20MG 20 MG
2394499 AURO-LISINOPRIL TAB 20MG 20 MG
LISINOPRIL 5 MG2049333 ZESTRIL TAB 5MG AZC08 5 MG
2217481 APO-LISINOPRIL TAB 5MG APX08 5 MG
2285061 NOVO-LISINOPRIL (TYPE P) TAB 5MG 5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 70
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2285118 NOVO-LISINOPRIL (TYPE Z) TAB 5MG 5 MG
2289199 SANDOZ-LISINOPRIL TAB 5MG 5 MG
2294230 RAN-LISINOPRIL TAB 5MG 5 MG
2361531 JAMP-LISINOPRIL TAB 5MG JPC10 5 MG
2386232 LISINOPRIL TAB 5MG 5 MG
2394472 AURO-LISINOPRIL TAB 5MG 5 MG
LITHIUM CARBONATELITHIUM CARBONATE 150 MG
461733 CARBOLITH CAP 150MG 150 MG
2216132 PMS-LITHIUM CARBONATE CAP 150MG PMS07 150 MG
2242837 APO-LITHIUM CARBONATE CAP 150MG APX08 150 MG
LITHIUM CARBONATE 150 MG (CAP)2013231 LITHANE CAP 150MG 150 MG (CAP)
5550001 APO-LITHIUM CARBONATE CAP 150MG APX08 150 MG (CAP)
LITHIUM CARBONATE 300 MG236683 CARBOLITH CAP 300MG 300 MG
2216140 PMS-LITHIUM CARBONATE CAP 300MG PMS07 300 MG
2242838 APO-LITHIUM CARBONATE CAP 300MG APX08 300 MG
LITHIUM CARBONATE 300 MG (CAP)406775 LITHANE CAP 300MG 300 MG (CAP)
5550002 APO-LITHIUM CARBONATE CAP 300MG APX08 300 MG (CAP)
LOPERAMIDE HYDROCHLORIDE
LOPERAMIDE HYDROCHLORIDE 2 MG2132591 NOVO-LOPERAMIDE TAB 2MG 2 MG
2212005 APO-LOPERAMIDE TAB 2MG APX08 2 MG
2228351 PMS-LOPERAMIDE CAPLET 2MG PMS07 2 MG
LORATADINELORATADINE 10 MG
782696 CLARITIN TAB 10MG 10 MG
2243880 APO-LORATADINE TAB 10MG APX08 10 MG
LORAZEPAM
LORAZEPAM 0.5 MG655740 APO-LORAZEPAM TAB 0.5MG APX08 0.5 MG
711101 NOVO-LORAZEM TAB 0.5MG 0.5 MG
728187 PMS-LORAZEPAM TAB 0.5MG PMS07 0.5 MG
2041413 ATIVAN TAB 0.5MG PFI07 0.5 MG
LORAZEPAM 0.5 MG (SL)2041456 ATIVAN SUBLINGUAL TAB-SL 0.5MG PFI07 0.5 MG (SL)
2410745 APO-LORAZEPAM SUBLINGUAL TAB 0.5MG 0.5 MG (SL)
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 71
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthLORAZEPAM 1 MG
637742 NOVO-LORAZEM TAB 1MG 1 MG
655759 APO-LORAZEPAM TAB 1MG APX08 1 MG
728195 PMS-LORAZEPAM TAB 1MG PMS07 1 MG
2041421 ATIVAN TAB 1MG PFI07 1 MG
2351080 LORAZEPAM TAB 1MG 1 MG
LORAZEPAM 1 MG (SL)2041464 ATIVAN SUBLINGUAL TAB-SL 1MG PFI07 1 MG (SL)
2410753 APO-LORAZEPAM SUBLINGUAL TAB 1MG 1 MG (SL)
LORAZEPAM 2 MG637750 NOVO-LORAZEM TAB 2MG 2 MG
655767 APO-LORAZEPAM TAB 2MG APX08 2 MG
728209 PMS-LORAZEPAM TAB 2MG PMS07 2 MG
2041448 ATIVAN TAB 2MG PFI07 2 MG
2351099 LORAZEPAM TAB 2MG 2 MG
LORAZEPAM 2 MG (SL)2041472 ATIVAN SUBLINGUAL TAB-SL 2MG PFI07 2 MG (SL)
2410761 APO-LORAZEPAM SUBLINGUAL TAB 2MG 2 MG (SL)
LOSARTAN POTASSIUM
LOSARTAN POTASSIUM 100 MG2182882 COZAAR TAB 100MG 100 MG
2309777 PMS-LOSARTAN TAB 100MG PMS07 100 MG
2313359 SANDOZ LOSARTAN TAB 100MG 100 MG
2353512 APO-LOSARTAN TAB 100MG APX08 100 MG
2357976 TEVA-LOSARTAN TAB 100MG 100 MG
2388812 LOSARTAN TAB 100MG 100 MG
2388898 LOSARTAN TAB 100MG 100 MG
2398850 JAMP-LOSARTAN TAB 100MG JPC10 100 MG
2403358 AURO-LOSARTAN TAB 100MG 100 MG
2405768 MINT-LOSARTAN TAB 100MG 100 MG
LOSARTAN POTASSIUM 25 MG2182815 COZAAR TAB 25MG 25 MG
2309750 PMS-LOSARTAN TAB 25MG PMS07 25 MG
2313332 SANDOZ LOSARTAN TAB 25MG 25 MG
2379058 APO-LOSARTAN TAB 25MG APX08 25 MG
2380838 TEVA-LOSARTAN TAB 25MG 25 MG
2388790 LOSARTAN TAB 25MG 25 MG
2388863 LOSARTAN TAB 25MG 25 MG
2398834 JAMP-LOSARTAN TAB 25MG JPC10 25 MG
2403323 AURO-LOSARTAN TAB 25MG 25 MG
2405733 MINT-LOSARTAN TAB 25MG 25 MG
LOSARTAN POTASSIUM 50 MG2182874 COZAAR TAB 50MG 50 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 72
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2309769 PMS-LOSARTAN TAB 50MG PMS07 50 MG
2313340 SANDOZ LOSARTAN TAB 50MG 50 MG
2353504 APO-LOSARTAN TAB 50MG APX08 50 MG
2357968 TEVA-LOSARTAN TAB 50MG 50 MG
2388804 LOSARTAN TAB 50MG 50 MG
2388871 LOSARTAN TAB 50MG 50 MG
2398842 JAMP-LOSARTAN TAB 50MG JPC10 50 MG
2403331 AURO-LOSARTAN TAB 50MG 50 MG
2405741 MINT-LOSARTAN TAB 50MG 50 MG
LOVASTATIN
LOVASTATIN 20 MG2220172 APO-LOVASTATIN TAB 20MG APX08 20 MG
2248572 CO-LOVASTATIN TAB 20MG 20 MG
2353229 LOVASTATIN TAB 20MG 20 MG
LOVASTATIN 40 MG2220180 APO-LOVASTATIN TAB 40MG APX08 40 MG
2248573 CO-LOVASTATIN TAB 40MG 40 MG
2353237 LOVASTATIN TAB 40MG 40 MG
MEDROXYPROGESTERONE ACETATE
MEDROXYPROGESTERONE ACETATE 10 MG729973 PROVERA TAB 10MG PFI07 10 MG
2221306 NOVO-MEDRONE TAB 10MG 10 MG
2277298 APO-MEDROXY TAB 10MG APX08 10 MG
MEDROXYPROGESTERONE ACETATE 2.5 MG708917 PROVERA TAB 2.5MG PFI07 2.5 MG
2221284 NOVO-MEDRONE TAB 2.5MG 2.5 MG
2244726 APO-MEDROXY TAB 2.5MG APX08 2.5 MG
MEDROXYPROGESTERONE ACETATE 5 MG30937 PROVERA TAB 5MG PFI07 5 MG
2221292 NOVO-MEDRONE TAB 5MG 5 MG
2244727 APO-MEDROXY TAB 5MG APX08 5 MG
MELOXICAMMELOXICAM 15 MG
2242786 MOBICOX TAB 15MG BOE07 15 MG
2248268 PMS-MELOXICAM TAB 15MG PMS07 15 MG
2248974 APO-MELOXICAM TAB 15MG APX08 15 MG
2250020 CO-MELOXICAM TAB 15MG 15 MG
2258323 NOVO-MELOXICAM TAB 15MG 15 MG
2353156 MELOXICAM TAB 15MG 15 MG
2390892 AURO-MELOXICAM TAB 15MG 15 MG
MELOXICAM 7.5 MG2242785 MOBICOX TAB 7.5MG BOE07 7.5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 73
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2248267 PMS-MELOXICAM TAB 7.5MG PMS07 7.5 MG
2248973 APO-MELOXICAM TAB 7.5MG APX08 7.5 MG
2250012 CO-MELOXICAM TAB 7.5 MG 7.5 MG
2258315 NOVO-MELOXICAM TAB 7.5MG 7.5 MG
2390884 AURO-MELOXICAM TAB 7.5MG 7.5 MG
MERCAPTOPURINE
MERCAPTOPURINE 50 MG4723 PURINETHOL TAB 50MG 50 MG
2415275 MERCAPTOPURINE TABLETS USP TAB 50MG RAX08 50 MG
MESALAMINE
MESALAMINE 400 MG1997580 ASACOL TAB-EC 400MG ALL07 400 MG
2171929 NOVO-5 ASA TAB-EC 400MG 400 MG
METFORMIN HYDROCHLORIDEMETFORMIN HYDROCHLORIDE 500 MG
2099233 GLUCOPHAGE TAB 500MG 500 MG
2223562 PMS-METFORMIN TAB 500MG PMS07 500 MG
2246820 SANDOZ-METFORMIN FC TAB 500MG 500 MG
2257726 CO-METFORMIN TAB 500MG 500 MG
2269031 RAN-METFORMIN TAB 500MG 500 MG
2353377 METFORMIN TAB 500MG 500 MG
2380196 JAMP-METFORMIN TAB 500MG JPC10 500 MG
2385341 METFORMIN FC TAB 500MG 500 MG
2438275 AURO-METFORMIN TAB 500MG 500 MG
METFORMIN HYDROCHLORIDE 850 MG2162849 GLUCOPHAGE TAB 850MG 850 MG
2242589 PMS-METFORMIN TAB 850MG PMS07 850 MG
2246821 SANDOZ-METFORMIN FC TAB 850MG 850 MG
2257734 CO-METFORMIN TAB 850MG 850 MG
2269058 RAN-METFORMIN TAB 850MG 850 MG
2353385 METFORMIN TAB 850MG 850 MG
2380218 JAMP-METFORMIN TAB 850MG JPC10 850 MG
2385368 METFORMIN FC TAB 850MG 850 MG
2438283 AURO-METFORMIN TAB 850MG 850 MG
METHOTREXATE SODIUM
METHOTREXATE SODIUM 17.5MG / 0.35ML2454769 METOJECT SUBCUTANEOUS INJ-SOL 17.5MG/0.35ML 17.5MG / 0.35ML
2491338 METHOTREXATE SUBCUTANEOUS PFS INJ SOL 17.5MG/0.35ML
17.5MG / 0.35ML
METHOTREXATE SODIUM 2.5 MG2170698 METHOTREXATE TAB 2.5MG PMS07 2.5 MG
2182963 APO-METHOTREXATE TAB 2.5MG PFI07 2.5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 74
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthMETHOTREXATE SODIUM 20MG / 0.4ML
2454866 METOJECT SUBCUTANEOUS INJ-SOL 20MG/0.4ML 20MG / 0.4ML
2491346 METHOTREXATE SUBCUTANEOUS PFS INJ SOL 20MG/0.4ML
20MG / 0.4ML
METHOTREXATE SODIUM 22.5MG / 0.45ML2454777 METOJECT SUBCUTANEOUS INJ-SOL 22.5MG/0.45ML 22.5MG / 0.45ML
2491354 METHOTREXATE SUBCUTANEOUS PFS INJ SOL 22.5MG/0.45ML
22.5MG / 0.45ML
METHOTREXATE SODIUM 25 MG / ML2182777 METHOTREXATE INJ SOL 25MG/ML USP PFI07 25 MG / ML
2398427 METHOTREXATE INJECTION USP 25 MG / ML
METHOTREXATE SODIUM 25MG / 0.5ML2454874 METOJECT SUBCUTANEOUS INJ-SOL 25MG/0.5ML 25MG / 0.5ML
2491362 METHOTREXATE SUBCUTANEOUS PFS INJ SOL 25MG/0.5ML
25MG / 0.5ML
METHYLPHENIDATE HYDROCHLORIDE
METHYLPHENIDATE HYDROCHLORIDE 10 MG5606 RITALIN TAB 10MG NVR07 10 MG
584991 PMS-METHYLPHENIDATE TAB 10MG PMS07 10 MG
2249324 APO-METHYLPHENIDATE TAB 10MG APX08 10 MG
METHYLPHENIDATE HYDROCHLORIDE 18 MG2247732 CONCERTA TAB-ER 18MG JSO08 18 MG
2441934 ACT-METHYLPHENIDATE ER TAB-ER 18MG 18 MG
2452731 APO-METHYLPHENIDATE ER TAB-ER 18MG APX08 18 MG
METHYLPHENIDATE HYDROCHLORIDE 20 MG5614 RITALIN TAB 20MG NVR07 20 MG
585009 PMS-METHYLPHENIDATE TAB 20MG PMS07 20 MG
2249332 APO-METHYLPHENIDATE TAB 20MG APX08 20 MG
METHYLPHENIDATE HYDROCHLORIDE 20 MG (SR)632775 RITALIN-SR TAB-ER 20MG NVR07 20 MG (SR)
2266687 APO-METHYLPHENIDATE SR TAB-ER 20MG APX08 20 MG (SR)
2320312 SANDOZ-METHYLPHENIDATE SR TAB-ER 20MG 20 MG (SR)
METHYLPHENIDATE HYDROCHLORIDE 27 MG2250241 CONCERTA TAB-ER 27MG JSO08 27 MG
2441942 ACT-METHYLPHENIDATE ER TAB-ER 27MG 27 MG
2452758 APO-METHYLPHENIDATE ER TAB-ER 27MG APX08 27 MG
METHYLPHENIDATE HYDROCHLORIDE 36 MG2247733 CONCERTA TAB-ER 36MG JSO08 36 MG
2441950 ACT-METHYLPHENIDATE ER TAB-ER 36MG 36 MG
2452766 APO-METHYLPHENIDATE ER TAB-ER 36MG APX08 36 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 75
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthMETHYLPHENIDATE HYDROCHLORIDE 54 MG
2247734 CONCERTA TAB-ER 54MG JSO08 54 MG
2330377 APO-METHYLPHENIDATE ER TAB-ER 54MG APX08 54 MG
2441969 ACT-METHYLPHENIDATE ER TAB-ER 54MG 54 MG
METOPROLOL TARTRATEMETOPROLOL TARTRATE 100 MG
397431 LOPRESOR TAB 100MG NVR07 100 MG
618640 APO-METOPROLOL TAB 100MG APX08 100 MG
648043 NOVO-METOPROL TAB 100MG 100 MG
751170 APO-METOPROLOL (TYPE L) TAB 100MG APX08 100 MG
842656 NOVO-METOPROL UNCOATED TAB 100MG 100 MG
2230804 PMS-METOPROLOL-L TAB 100MG PMS07 100 MG
2350408 METOPROLOL (FILM COATED) TAB 100MG 100 MG
2356848 JAMP-METOPROLOL-L TAB 100MG JPC10 100 MG
2442132 METOPROLOL-L TAB 100MG 100 MG
2481324 AG-METOPROLOL-L TAB 100MG 100 MG
METOPROLOL TARTRATE 100 MG (SR)658855 LOPRESOR SR TAB-ER 100MG NVR07 100 MG (SR)
2285169 APO-METOPROLOL SR TAB-ER 100MG APX08 100 MG (SR)
2303396 SANDOZ-METROPOLOL SR TAB-ER 100MG 100 MG (SR)
METOPROLOL TARTRATE 200 MG (SR)534560 LOPRESOR SR TAB-ER 200MG NVR07 200 MG (SR)
2285177 APO-METOPROLOL SR TAB-ER 200MG APX08 200 MG (SR)
2303418 SANDOZ-METROPOLOL SR TAB-ER 200MG 200 MG (SR)
METOPROLOL TARTRATE 25 MG2246010 APO-METOPROLOL TAB 25MG APX08 25 MG
2248855 PMS-METOPROLOL-L TAB 25MG PMS07 25 MG
2356813 JAMP-METOPROLOL-L TAB 25MG JPC10 25 MG
METOPROLOL TARTRATE 50 MG397423 LOPRESOR TAB 50MG NVR07 50 MG
618632 APO-METOPROLOL TAB 50MG APX08 50 MG
648035 NOVO-METOPROL TAB 50MG 50 MG
749354 APO-METOPROLOL (TYPE L) TAB 50MG APX08 50 MG
842648 NOVO-METOPROL UNCOATED TAB 50MG 50 MG
2230803 PMS-METOPROLOL-L TAB 50MG PMS07 50 MG
2350394 METOPROLOL (FILM COATED) TAB 50MG 50 MG
2356821 JAMP-METOPROLOL-L TAB 50MG JPC10 50 MG
2442124 METOPROLOL-L TAB 50MG 50 MG
2481316 AG-METOPROLOL-L TAB 50MG 50 MG
METRONIDAZOLE
METRONIDAZOLE 500 MG1926853 FLAGYL 500 S-PAK CAP 500MG ODN07 500 MG
2248562 APO-METRONIDAZOLE CAP 500MG APX08 500 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 76
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2470284 AURO-METRONIDAZOLE CAP 500MG 500 MG
MIDODRINE HYDROCHLORIDEMIDODRINE HYDROCHLORIDE 2.5 MG
2278677 MIDODRINE TAB 2.5MG APX08 2.5 MG
2473984 MAR-MIDODRINE TAB 2.5MG 2.5 MG
MIDODRINE HYDROCHLORIDE 5 MG2278685 MIDODRINE TAB 5MG APX08 5 MG
2473992 MAR-MIDODRINE TAB 5MG 5 MG
MINOCYCLINE HYDROCHLORIDEMINOCYCLINE HYDROCHLORIDE 100 MG
2084104 APO-MINOCYCLINE CAP 100MG APX08 100 MG
2108151 NOVO-MINOCYCLINE CAP 100MG 100 MG
MIRTAZAPINE
MIRTAZAPINE 15 MG2273942 PMS-MIRTAZAPINE TAB 15MG PMS07 15 MG
2411695 AURO-MIRTAZAPINE TAB 15MG 15 MG
MIRTAZAPINE 15 MG (RD)2248542 REMERON RD TAB-RD 15MG 15 MG (RD)
2299801 AURO-MIRTAZAPINE OD TAB-RD 15MG 15 MG (RD)
MIRTAZAPINE 30 MG2243910 REMERON TAB 30MG 30 MG
2248762 PMS-MIRTAZAPINE TAB 30MG PMS07 30 MG
2250608 SANDOZ-MIRTAZAPINE TAB 30MG 30 MG
2256118 MYLAN-MIRTAZAPINE TAB 30MG 30 MG
2259354 NOVO-MIRTAZAPINE TAB 30MG 30 MG
2286629 APO-MIRTAZAPINE TAB 30MG APX08 30 MG
2370689 MIRTAZAPINE TAB 30MG 30 MG
2411709 AURO-MIRTAZAPINE TAB 30MG 30 MG
MIRTAZAPINE 30 MG (RD)2248543 REMERON RD TAB-RD 30MG 30 MG (RD)
2299828 AURO-MIRTAZAPINE OD TAB-RD 30MG 30 MG (RD)
MIRTAZAPINE 45 MG2248544 REMERON RD TAB-RD 45MG 45 MG
2299836 AURO-MIRTAZAPINE OD TAB-RD 45MG 45 MG
MISOPROSTOL / DICLOFENAC SODIUM
MISOPROSTOL / DICLOFENAC SODIUM 0.2 / 50 MG1917056 ARTHROTEC 50 TAB 50MG/200MCG PFI07 0.2 / 50 MG
2341689 GD-DICLOFENAC/MISOPROSTOL 50 TAB 50MG/200MCG
0.2 / 50 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 77
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2413469 PMS-DICLOFENAC-MISOPROSTOL TAB-EC
50MG/200MCGPMS07 0.2 / 50 MG
MISOPROSTOL / DICLOFENAC SODIUM 0.2 / 75 MG2229837 ARTHROTEC 75 TAB 75MG/200MCG PFI07 0.2 / 75 MG
2341697 GD-DICLOFENAC/MISOPROSTOL 75 TAB 75MG/200MCG
0.2 / 75 MG
2413477 PMS-DICLOFENAC-MISOPROSTOL TAB-EC 75MG/200MCG
PMS07 0.2 / 75 MG
MIXED SALTS AMPHETAMINE
MIXED SALTS AMPHETAMINE 10 MG2248809 ADDERALL XR CAP-ER 10MG 10 MG
2439247 ACT AMPHETAMINE XR CAP-ER 10MG 10 MG
2457296 SANDOZ AMPHETAMINE XR CAP-ER 10MG 10 MG
MIXED SALTS AMPHETAMINE 15 MG2248810 ADDERALL XR CAP-ER 15MG 15 MG
2439255 ACT AMPHETAMINE XR CAP-ER 15MG 15 MG
2457318 SANDOZ AMPHETAMINE XR CAP-ER 15MG 15 MG
MIXED SALTS AMPHETAMINE 20 MG2248811 ADDERALL XR CAP-ER 20MG 20 MG
2439263 ACT AMPHETAMINE XR CAP-ER 20MG 20 MG
2457326 SANDOZ AMPHETAMINE XR CAP-ER 20MG 20 MG
MIXED SALTS AMPHETAMINE 25 MG2248812 ADDERALL XR CAP-ER 25MG 25 MG
2439271 ACT AMPHETAMINE XR CAP-ER 25MG 25 MG
2457334 SANDOZ AMPHETAMINE XR CAP-ER 25MG 25 MG
MIXED SALTS AMPHETAMINE 30 MG2248813 ADDERALL XR CAP-ER 30MG 30 MG
2439298 ACT AMPHETAMINE XR CAP-ER 30MG 30 MG
2457342 SANDOZ AMPHETAMINE XR CAP-ER 30MG 30 MG
MIXED SALTS AMPHETAMINE 5 MG2248808 ADDERALL XR CAP-ER 5MG 5 MG
2439239 ACT AMPHETAMINE XR CAP-ER 5MG 5 MG
2457288 SANDOZ AMPHETAMINE XR CAP-ER 5MG 5 MG
MOCLOBEMIDE
MOCLOBEMIDE 150 MG899356 MANERIX TAB 150MG 150 MG
2232150 APO-MOCLOBEMIDE TAB 150MG 150 MG
MOCLOBEMIDE 300 MG2166747 MANERIX TAB 300MG 300 MG
2240456 APO-MOCLOBEMIDE TAB 300MG 300 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 78
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthMODAFINIL
MODAFINIL 100 MG2239665 ALERTEC TAB 100MG 100 MG
2285398 APO-MODAFINIL TAB 100MG APX08 100 MG
2420260 TEVA-MODAFINIL TAB 100MG 100 MG
2430487 AURO-MODAFINIL TAB 100MG 100 MG
2432560 MAR-MODAFINIL TAB 100MG 100 MG
MOMETASONE FUROATE
MOMETASONE FUROATE 0.1% (CRM)851744 ELOCOM CRM 0.1% 0.1% (CRM)
2367157 TARO-MOMETASONE CREAM CRM 0.1% TAR08 0.1% (CRM)
MOMETASONE FUROATE 0.1% (LOT)871095 ELOCOM LOT 1MG/GM 0.1% (LOT)
2266385 TARO-MOMETASONE LOT 0.1% TAR08 0.1% (LOT)
MOMETASONE FUROATE 0.1% (OINT)851736 ELOCOM OINT 0.1% 0.1% (OINT)
2248130 RATIO-MOMETASONE OINT 0.1% 0.1% (OINT)
MOMETASONE FUROATE 50 MCG2238465 NASONEX PUMP-MD 50MCG/ACT 50 MCG
2403587 APO-MOMETASONE (AQUEOUS NASAL SPRAY) 50MCG/SPR
APX08 50 MCG
2449811 SANDOZ MOMETASONE SPR 50MCG 50 MCG
2475863 TEVA-MOMETASONE NASAL SPR 50MCG/SPR 50 MCG
MONTELUKAST SODIUMMONTELUKAST SODIUM 10 MG
2238217 SINGULAIR TAB 10MG 10 MG
2328593 SANDOZ MONTELUKAST TABLET TAB 10MG 10 MG
2355523 TEVA-MONTELUKAST TAB 10MG 10 MG
2373947 PMS MONTELUKAST FC TAB 10MG PMS07 10 MG
2374609 APO-MONTELUKAST TAB 10MG APX08 10 MG
2379236 MONTELUKAST SODIUM TABLETS 10MG 10 MG
2379333 MONTELUKAST TAB 10MG 10 MG
2382474 MONTELUKAST TAB-CHEW 10MG 10 MG
2389517 RAN-MONTELUKAST TAB 10MG 10 MG
2391422 JAMP-MONTELUKAST TAB 10MG JPC10 10 MG
2399997 MAR-MONTELUKAST TAB 10MG 10 MG
2401274 AURO-MONTELUKAST TAB 10MG 10 MG
2408643 MINT-MONTELUKAST TAB-CHEW 10MG 10 MG
MONTELUKAST SODIUM 4 MG2243602 SINGULAIR CHEW TAB 4MG 4 MG
2330385 SANDOZ MONTELUKAST TAB-CHEW 4MG 4 MG
2354977 PMS MONTELUKAST TAB-CHEW 4MG PMS07 4 MG
2355507 TEVA-MONTELUKAST TAB-CHEW 4MG 4 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 79
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2377608 APO-MONTELUKAST (CHEWABLE TABLETS) TAB-
CHEW 4MGAPX08 4 MG
2382458 MONTELUKAST TAB-CHEW 4MG 4 MG
2399865 MAR-MONTELUKAST TAB-CHEW 4MG 4 MG
2408627 MINT-MONTELUKAST TAB-CHEW 4MG 4 MG
2442353 JAMP-MONTELUKAST TAB-CHEW 4MG JPC10 4 MG
MONTELUKAST SODIUM 4 MG (GRAN)2247997 SINGULAIR GRAN 4MG/500MG PACKET 4 MG (GRAN)
2358611 SANDOZ MONTELUKAST GRANULES GRAN 4MG/PCK 4 MG (GRAN)
MONTELUKAST SODIUM 5 MG2238216 SINGULAIR CHEW TAB 5MG 5 MG
2330393 SANDOZ MONTELUKAST TAB-CHEW 5MG 5 MG
2354985 PMS MONTELUKAST TAB-CHEW 5MG PMS07 5 MG
2355515 TEVA-MONTELUKAST TAB-CHEW 5MG 5 MG
2377616 APO-MONTELUKAST (CHEWABLE TABLETS) TAB-CHEW 5MG
APX08 5 MG
2382466 MONTELUKAST TAB-CHEW 5MG 5 MG
2399873 MAR-MONTELUKAST TAB-CHEW 5MG 5 MG
2408635 MINT-MONTELUKAST TAB-CHEW 5MG 5 MG
2442361 JAMP-MONTELUKAST TAB-CHEW 5MG JPC10 5 MG
MORPHINE SULFATE
MORPHINE SULFATE 10 MG594644 STATEX TAB 10MG PIA08 10 MG
2014211 MS IR TAB 10MG PFR08 10 MG
MORPHINE SULFATE 100 MG2014319 MS CONTIN TAB-ER 100MG PFR08 100 MG
2302799 NOVO-MORPHINE SR TAB-ER 100MG 100 MG
2478889 SANDOZ MORPHINE SR TAB-ER 100MG 100 MG
MORPHINE SULFATE 15 MG2015439 MS CONTIN TAB-ER 15MG PFR08 15 MG
2244790 RATIO-MORPHINE SR TAB-ER 15MG 15 MG
2302764 NOVO-MORPHINE SR TAB-ER 15MG 15 MG
2350815 MORPHINE SR TAB-ER 15MG 15 MG
MORPHINE SULFATE 200 MG2014327 MS CONTIN TAB-ER 200MG PFR08 200 MG
2302802 NOVO-MORPHINE SR TAB-ER 200MG 200 MG
2478897 SANDOZ MORPHINE SR TAB-ER 200MG 200 MG
MORPHINE SULFATE 30 MG2014297 MS CONTIN TAB-ER 30MG PFR08 30 MG
2244791 RATIO-MORPHINE SR TAB-ER 30MG 30 MG
2302772 NOVO-MORPHINE SR TAB-ER 30MG 30 MG
2350890 MORPHINE SR TAB-ER 30MG 30 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 80
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthMORPHINE SULFATE 5 MG
594652 STATEX TAB 5MG PIA08 5 MG
2014203 MS IR TAB 5MG PFR08 5 MG
MORPHINE SULFATE 60 MG2014300 MS CONTIN TAB-ER 60MG PFR08 60 MG
2244792 RATIO-MORPHINE SR TAB-ER 60MG 60 MG
2302780 NOVO-MORPHINE SR TAB-ER 60MG 60 MG
2350912 MORPHINE SR TAB-ER 60MG 60 MG
MOXIFLOXACIN HYDROCHLORIDEMOXIFLOXACIN HYDROCHLORIDE 0.5%
2252260 VIGAMOX OPH SOL 0.5% NVR07 0.5%
2406373 APO-MOXIFLOXACIN OPH SOL 0.5% APX08 0.5%
2411520 SANDOZ MOXIFLOXACIN SOL 0.5% 0.5%
2472120 JAMP-MOXIFLOXACIN OPH SOL 0.5% JPC10 0.5%
MOXIFLOXACIN HYDROCHLORIDE 400 MG2242965 AVELOX TAB 400MG 400 MG
2375702 TEVA-MOXIFLOXACIN TAB 400MG 400 MG
2383381 SANDOZ MOXIFLOXACIN TAB 400MG 400 MG
2404923 APO-MOXIFLOXACIN TAB 400MG APX08 400 MG
2432242 AURO-MOXIFLOXACIN TAB 400MG 400 MG
2443929 JAMP-MOXIFLOXACIN TAB 400MG JPC10 400 MG
2447053 MAR-MOXIFLOXACIN TAB 400MG 400 MG
2447061 JAMP-MOXIFLOXACIN TABLETS 400MG JPC10 400 MG
2457814 MED-MOXIFLOXACIN TAB 400MG 400 MG
MYCOPHENOLATE MOFETILMYCOPHENOLATE MOFETIL 250 MG
2192748 CELLCEPT CAP 250MG HLR07 250 MG
2320630 SANDOZ MYCOPHENOLATE CAP 250MG 250 MG
2352559 APO-MYCOPHENOLATE CAP 250MG APX08 250 MG
2364883 NOVO-MYCOPHENOLATE CAP 250MG 250 MG
2383780 MYCOPHENOLATE MOFETIL CAPSULES 250MG 250 MG
2386399 JAMP-MYCOPHENOLATE CAPSULES CAP 250MG JPC10 250 MG
2457369 MYCOPHENOLATE MOFETIL CAP 250MG 250 MG
MYCOPHENOLATE MOFETIL 500 MG2237484 CELLCEPT TAB 500MG HLR07 500 MG
2313855 SANDOZ MYCOPHENOLATE TAB 500MG 500 MG
2348675 NOVO-MYCOPHENOLATE TAB 500MG 500 MG
2352567 APO-MYCOPHENOLATE TAB 500MG APX08 500 MG
2378574 MYCOPHENOLATE MOFETIL TABLETS TAB 500MG 500 MG
2380382 JAMP-MYCOPHENOLATE TAB 500MG JPC10 500 MG
2457377 MYCOPHENOLATE MOFETIL TAB 500MG 500 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 81
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthMYCOPHENOLATE SODIUM
MYCOPHENOLATE SODIUM 180 MG2264560 MYFORTIC TAB-EC 180MG NVR07 180 MG
2372738 APO-MYCOPHENOLIC ACID ENTERIC COATED TABLETS 180MG
APX08 180 MG
MYCOPHENOLATE SODIUM 360 MG2264579 MYFORTIC TAB-EC 360MG NVR07 360 MG
2372746 APO-MYCOPHENOLIC ACID ENTERIC COATED TABLETS 360MG
APX08 360 MG
NABILONE
NABILONE 0.5 MG2256193 CESAMET CAP 0.5MG 0.5 MG
2380900 PMS-NABILONE CAP 0.5MG PMS07 0.5 MG
2384884 TEVA-NABILONE CAP 0.5MG 0.5 MG
2393581 CO NABILONE CAP 0.5MG 0.5 MG
NABILONE 1 MG548375 CESAMET CAP 1MG 1 MG
2380919 PMS-NABILONE CAP 1MG PMS07 1 MG
2384892 TEVA-NABILONE CAP 1MG 1 MG
2393603 CO NABILONE CAP 1MG 1 MG
NADOLOL
NADOLOL 40 MG782505 APO-NADOL TAB 40MG 40 MG
2496380 MINT-NADOLOL TAB 40MG 40 MG
NADOLOL 80 MG782467 APO-NADOL TAB 80MG 80 MG
2496399 MINT-NADOLOL TAB 80MG 80 MG
NALTREXONE HYDROCHLORIDE
NALTREXONE HYDROCHLORIDE 50 MG2213826 REVIA TAB 50MG 50 MG
2444275 APO-NALTREXONE TAB 50MG APX08 50 MG
2451883 NALTREXONE HYDROCHLORIDE TAB 50MG 50 MG
NAPROXEN
NAPROXEN 250 MG522651 APO-NAPROXEN TAB 250MG APX08 250 MG
565350 NOVO-NAPROX TAB 250MG 250 MG
2243312 NOVO-NAPROX EC TAB-EC 250MG 250 MG
2246699 APO-NAPROXEN EC TAB-EC 250MG APX08 250 MG
2350750 NAPROXEN TAB 250MG 250 MG
2350785 NAPROXEN EC TAB-EC 250MG 250 MG
NAPROXEN 375 MG600806 APO-NAPROXEN TAB 375MG APX08 375 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 82
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Ingredient Name DIN/PIN Brand Name MFR Code Strength627097 NOVO-NAPROX TAB 375MG 375 MG
2162415 NAPROSYN E TAB-EC 375MG 375 MG
2243313 NOVO-NAPROX EC TAB-EC 375MG 375 MG
2246700 APO-NAPROXEN EC TAB-EC 375MG APX08 375 MG
2350769 NAPROXEN TAB 375MG 375 MG
2350793 NAPROXEN EC TAB-EC 375MG 375 MG
NAPROXEN 500 MG589861 NOVO-NAPROX TAB 500MG USP 500 MG
592277 APO-NAPROXEN TAB 500MG APX08 500 MG
2162423 NAPROSYN E TAB-EC 500MG 500 MG
2243314 NOVO-NAPROX EC TAB-EC 500MG 500 MG
2246701 APO-NAPROXEN EC TAB-EC 500MG APX08 500 MG
2350777 NAPROXEN TAB 500MG 500 MG
2350807 NAPROXEN EC TAB-EC 500MG 500 MG
NAPROXEN SODIUM
NAPROXEN SODIUM 275 MG778389 NOVO-NAPROX SODIUM TAB 275MG 275 MG
784354 APO-NAPRO-NA TAB 275MG APX08 275 MG
2162725 ANAPROX TAB 275MG 275 MG
2351013 NAPROXEN SODIUM TAB 275MG 275 MG
NAPROXEN SODIUM 550 MG1940309 APO-NAPRO-NA DS TAB 550MG APX08 550 MG
2026600 NOVO-NAPROX SODIUM DS TAB 550MG 550 MG
2162717 ANAPROX D.S. TAB 550MG 550 MG
2351021 NAPROXEN SODIUM DS TAB 550MG 550 MG
NARATRIPTAN HYDROCHLORIDE
NARATRIPTAN HYDROCHLORIDE 1 MG2237820 AMERGE TAB 1MG 1 MG
2314290 NOVO-NARATRIPTAN HYDROCHLORIDE TAB 1MG 1 MG
NARATRIPTAN HYDROCHLORIDE 2.5 MG2237821 AMERGE TAB 2.5MG 2.5 MG
2314304 NOVO-NARATRIPTAN HYDROCHLORIDE TAB 2.5MG 2.5 MG
2322323 SANDOZ NARATRIPTAN HYDROCHLORIDE TAB 2.5MG 2.5 MG
NEVIRAPINENEVIRAPINE 200 MG
2238748 VIRAMUNE TAB 200MG BOE07 200 MG
2318601 AURO-NEVIRAPINE TAB 200MG 200 MG
2387727 MYLAN-NEVIRAPINE TAB 200MG 200 MG
2405776 PMS-NEVIRAPINE TAB 200MG PMS07 200 MG
NIFEDIPINE
NIFEDIPINE 30 MG2155907 ADALAT XL TAB-ER 30MG 30 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 83
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2349167 MYLAN-NIFEDIPINE EXTENDED RELEASE TAB-ER
30MG30 MG
NIFEDIPINE 60 MG2155990 ADALAT XL TAB-ER 60MG 60 MG
2321149 MYLAN-NIFEDIPINE EXTENDED RELEASE TAB-ER 60MG
60 MG
NITROFURANTOINNITROFURANTOIN 100 MG
2063662 MACROBID CAP 100MG ALL07 100 MG
2455676 PMS-NITROFURANTOIN CAP 100MG PMS07 100 MG
NITROGLYCERINNITROGLYCERIN 0.2 MG/HR
1911910 NITRO-DUR 0.2MG/HR PATCH 0.2 MG/HR
2407442 MYLAN-NITRO PATCH 0.2 PATCH 20.7MG 0.2 MG/HR
NITROGLYCERIN 0.4 MG2231441 NITROLINGUAL PUMPSPRAY PUMP-MD 0.4MG/DOSE 0.4 MG
2238998 RHO-NITRO PUMPSPRAY PUMP-MD 0.4MG/DOSE 0.4 MG
2243588 MYLAN-NITRO SUBLINGUAL SPRAY AERO 0.4MG/DOSE
0.4 MG
NITROGLYCERIN 0.4 MG/HR1911902 NITRO-DUR 0.4MG/HR PATCH 0.4 MG/HR
2407450 MYLAN-NITRO PATCH 0.4 PATCH 41.4MG 0.4 MG/HR
NITROGLYCERIN 0.6 MG/HR1911929 NITRO-DUR 0.6MG/HR PATCH 0.6 MG/HR
2407469 MYLAN-NITRO PATCH 0.6 PATCH 62.2MG 0.6 MG/HR
NITROGLYCERIN 0.8 MG/HR2011271 NITRO-DUR 0.8MG/HR PATCH 0.8 MG/HR
2407477 MYLAN-NITRO PATCH 0.8 PATCH 82.9MG 0.8 MG/HR
NORETHINDRONE
NORETHINDRONE 0.35 MG37605 MICRONOR TAB (28 DAY) JSO08 0.35 MG
2410303 MOVISSE TAB 0.35MG 0.35 MG
2441306 JENCYCLA TAB 0.35MG 0.35 MG
NYSTATIN
NYSTATIN 100000 UNIT/ML792667 PMS-NYSTATIN SUSP 100000UNIT/ML PMS07 100000 UNIT/ML
2194201 RATIO-NYSTATIN DPS 100000UNIT/ML 100000 UNIT/ML
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 84
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthOCTREOTIDE ACETATE
OCTREOTIDE ACETATE 100 MCG/ML839205 SANDOSTATIN INJ LIQ 100MCG/ML NVR07 100 MCG/ML
2248640 OCTREOTIDE ACETATE OMEGA INJ SOL 100MCG/ML OMG07 100 MCG/ML
OCTREOTIDE ACETATE 200 MCG/ML2049392 SANDOSTATIN INJ LIQ 200MCG/ML NVR07 200 MCG/ML
2248642 OCTREOTIDE ACETATE OMEGA INJ SOL 200MCG/ML OMG07 200 MCG/ML
OCTREOTIDE ACETATE 50 MCG/ML839191 SANDOSTATIN INJ LIQ 50MCG/ML NVR07 50 MCG/ML
2248639 OCTREOTIDE ACETATE OMEGA INJ SOL 50MCG/ML OMG07 50 MCG/ML
OLANZAPINE
OLANZAPINE 10 MG2229285 ZYPREXA TAB 10MG LIL08 10 MG
2276747 NOVO-OLANZAPINE TAB 10MG 10 MG
2281821 APO-OLANZAPINE TAB 10MG APX08 10 MG
2303175 PMS-OLANZAPINE TAB 10MG PMS07 10 MG
2310384 SANDOZ OLANZAPINE TAB 10MG 10 MG
2372843 OLANZAPINE TAB 10MG 10 MG
2385899 OLANZAPINE TAB 10MG 10 MG
2410184 MINT-OLANZAPINE TAB 10MG 10 MG
2417286 JAMP OLANZAPINE (FC) TAB 10MG JPC10 10 MG
OLANZAPINE 10 MG (RD)2243087 ZYPREXA ZYDIS TAB-RD 10MG LIL08 10 MG (RD)
2303205 PMS-OLANZAPINE ODT TAB-RD 10MG PMS07 10 MG (RD)
2327570 CO OLANZAPINE ODT TAB-RD 10MG 10 MG (RD)
2327783 SANDOZ OLANZAPINE ODT TAB-RD 10MG 10 MG (RD)
2343673 OLANZAPINE ODT TAB-DISINT 10MG 10 MG (RD)
2360624 APO-OLANZAPINE ODT TAB-ODT 10MG APX08 10 MG (RD)
2389096 MAR-OLANZAPINE ODT TAB-DISINT 10MG 10 MG (RD)
2406632 JAMP-OLANZAPINE ODT TAB-DISINT 10MG JPC10 10 MG (RD)
2414104 RAN-OLANZAPINE ODT TAB-DISINT 10MG 10 MG (RD)
2436973 MINT-OLANZAPINE ODT TAB-DISINT 10MG 10 MG (RD)
2448734 AURO-OLANZAPINE ODT TAB-DISINT 10MG 10 MG (RD)
OLANZAPINE 15 MG2238850 ZYPREXA TAB 15MG LIL08 15 MG
2276755 NOVO-OLANZAPINE TAB 15MG 15 MG
2281848 APO-OLANZAPINE TAB 15MG APX08 15 MG
2303183 PMS-OLANZAPINE TAB 15MG PMS07 15 MG
2310392 SANDOZ OLANZAPINE TAB 15MG 15 MG
2372851 OLANZAPINE TAB 15MG 15 MG
2385902 OLANZAPINE TAB 15MG 15 MG
2410192 MINT-OLANZAPINE TAB 15MG 15 MG
2417294 JAMP OLANZAPINE (FC) TAB 15MG JPC10 15 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 85
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthOLANZAPINE 15 MG (RD)
2243088 ZYPREXA ZYDIS TAB-RD 15MG LIL08 15 MG (RD)
2303213 PMS-OLANZAPINE ODT TAB-RD 15MG PMS07 15 MG (RD)
2327589 CO OLANZAPINE ODT TAB-RD 15MG 15 MG (RD)
2327791 SANDOZ OLANZAPINE ODT TAB-RD 15MG 15 MG (RD)
2343681 OLANZAPINE ODT TAB-DISINT 15MG 15 MG (RD)
2352990 OLANZAPINE ODT TAB-DISINT 15MG 15 MG (RD)
2360632 APO-OLANZAPINE ODT TAB-ODT 15MG APX08 15 MG (RD)
2389118 MAR-OLANZAPINE ODT TAB-DISINT 15MG 15 MG (RD)
2406640 JAMP-OLANZAPINE ODT TAB-DISINT 15MG JPC10 15 MG (RD)
2414112 RAN-OLANZAPINE ODT TAB-DISINT 15MG 15 MG (RD)
2436981 MINT-OLANZAPINE ODT TAB-DISINT 15MG 15 MG (RD)
2448742 AURO-OLANZAPINE ODT TAB-DISINT 15MG 15 MG (RD)
OLANZAPINE 2.5 MG2229250 ZYPREXA TAB 2.5MG LIL08 2.5 MG
2276712 NOVO-OLANZAPINE TAB 2.5MG 2.5 MG
2281791 APO-OLANZAPINE TAB 2.5MG APX08 2.5 MG
2303116 PMS-OLANZAPINE TAB 2.5MG PMS07 2.5 MG
2310341 SANDOZ OLANZAPINE TAB 2.5MG 2.5 MG
2372819 OLANZAPINE TAB 2.5MG 2.5 MG
2385864 OLANZAPINE TAB 2.5MG 2.5 MG
2410141 MINT-OLANZAPINE TAB 2.5MG 2.5 MG
2417243 JAMP OLANZAPINE (FC) TAB 2.5MG JPC10 2.5 MG
OLANZAPINE 5 MG2229269 ZYPREXA TAB 5MG LIL08 5 MG
2276720 NOVO-OLANZAPINE TAB 5MG 5 MG
2281805 APO-OLANZAPINE TAB 5MG APX08 5 MG
2303159 PMS-OLANZAPINE TAB 5MG PMS07 5 MG
2310368 SANDOZ OLANZAPINE TAB 5MG 5 MG
2372827 OLANZAPINE TAB 5MG 5 MG
2385872 OLANZAPINE TAB 5MG 5 MG
2410168 MINT-OLANZAPINE TAB 5MG 5 MG
2417251 JAMP OLANZAPINE (FC) TAB 5MG JPC10 5 MG
OLANZAPINE 5 MG (RD)2243086 ZYPREXA ZYDIS TAB-RD 5MG LIL08 5 MG (RD)
2303191 PMS-OLANZAPINE ODT TAB-RD 5MG PMS07 5 MG (RD)
2327775 SANDOZ OLANZAPINE ODT TAB-RD 5MG 5 MG (RD)
2343665 OLANZAPINE ODT TAB-DISINT 5MG 5 MG (RD)
2360616 APO-OLANZAPINE ODT TAB-ODT 5MG APX08 5 MG (RD)
2389088 MAR-OLANZAPINE ODT TAB-DISINT 5MG 5 MG (RD)
2406624 JAMP-OLANZAPINE ODT TAB-DISINT 5MG JPC10 5 MG (RD)
2414090 RAN-OLANZAPINE ODT TAB-DISINT 5MG 5 MG (RD)
2436965 MINT-OLANZAPINE ODT TAB-DISINT 5MG 5 MG (RD)
2448726 AURO-OLANZAPINE ODT TAB-DISINT 5MG 5 MG (RD)
OLANZAPINE 7.5 MG2229277 ZYPREXA TAB 7.5MG LIL08 7.5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 86
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2276739 NOVO-OLANZAPINE TAB 7.5MG 7.5 MG
2281813 APO-OLANZAPINE TAB 7.5MG APX08 7.5 MG
2303167 PMS-OLANZAPINE TAB 7.5MG PMS07 7.5 MG
2310376 SANDOZ OLANZAPINE TAB 7.5MG 7.5 MG
2372835 OLANZAPINE TAB 7.5MG 7.5 MG
2385880 OLANZAPINE TAB 7.5MG 7.5 MG
2410176 MINT-OLANZAPINE TAB 7.5MG 7.5 MG
2417278 JAMP OLANZAPINE (FC) TAB 7.5MG JPC10 7.5 MG
OLMESARTAN MEDOXOMILOLMESARTAN MEDOXOMIL 20 MG
2318660 OLMETEC TAB 20MG 20 MG
2442191 ACT OLMESARTAN TAB 20MG 20 MG
2443414 SANDOZ OLMESARTAN TAB 20MG 20 MG
2443864 AURO-OLMESARTAN TAB 20MG 20 MG
2453452 APO-OLMESARTAN TAB 20MG APX08 20 MG
2456311 ACH-OLMESARTAN TAB 20MG 20 MG
2461307 PMS-OLMESARTAN TAB 20MG PMS07 20 MG
2461641 JAMP-OLMESARTAN TAB 20MG JPC10 20 MG
2481057 OLMESARTAN TAB 20MG 20 MG
OLMESARTAN MEDOXOMIL 40 MG2318679 OLMETEC TAB 40MG 40 MG
2442205 ACT OLMESARTAN TAB 40MG 40 MG
2443422 SANDOZ OLMESARTAN TAB 40MG 40 MG
2443872 AURO-OLMESARTAN TAB 40MG 40 MG
2453460 APO-OLMESARTAN TAB 40MG APX08 40 MG
2456338 ACH-OLMESARTAN TAB 40MG 40 MG
2461315 PMS-OLMESARTAN TAB 40MG PMS07 40 MG
2461668 JAMP-OLMESARTAN TAB 40MG JPC10 40 MG
2481065 OLMESARTAN TAB 40MG 40 MG
OMEPRAZOLEOMEPRAZOLE 10 MG
2230737 LOSEC TAB-DLR 10MG AZC08 10 MG
2295407 TEVA-OMEPRAZOLE TAB-DLR 10MG 10 MG
2296438 SANDOZ OMEPRAZOLE CAP-DR 10MG 10 MG
OMEPRAZOLE 20 MG846503 LOSEC CAP-DR 20MG AZC08 20 MG
2190915 LOSEC TAB-DLR 20MG AZC08 20 MG
2245058 APO-OMEPRAZOLE CAP-DR 20MG APX08 20 MG
2295415 TEVA-OMEPRAZOLE TAB-DLR 20MG 20 MG
2296446 SANDOZ OMEPRAZOLE CAP-DR 20MG 20 MG
2320851 PMS-OMEPRAZOLE CAP-DR 20MG PMS07 20 MG
2348691 OMEPRAZOLE CAP-DR 20MG 20 MG
2411857 OMEPRAZOLE-20 CAP-DR 20MG 20 MG
2416549 OMEPRAZOLE MAGNESIUM DELAYED RELEASE TABLETS TAB-DLR 20MG
20 MG
2420198 JAMP-OMEPRAZOLE DR TAB-DLR 20MG JPC10 20 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 87
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2439549 NAT-OMEPRAZOLE TAB-DR 20MG 20 MG
ONDANSETRONONDANSETRON 4 MG (OD)
2239372 ZOFRAN ODT TAB 4MG NVR07 4 MG (OD)
2389983 ONDISSOLVE ODF FILM 4MG/CM 4 MG (OD)
2444674 SANDOZ ONDANSETRON ODT TAB-DISINT 4MG 4 MG (OD)
2481723 SANDOZ-ONDANSETRON ODT TAB-DISINT 4MG 4 MG (OD)
2487330 MINT-ONDANSETRON ODT TAB-DISINT 4MG 4 MG (OD)
ONDANSETRON 8 MG (OD)2239373 ZOFRAN ODT TAB 8MG NVR07 8 MG (OD)
2389991 ONDISSOLVE ODF FILM 8MG/CM 8 MG (OD)
2444682 SANDOZ ONDANSETRON ODT TAB-DISINT 8MG 8 MG (OD)
2481731 SANDOZ-ONDANSETRON ODT TAB-DISINT 8MG 8 MG (OD)
2487349 MINT-ONDANSETRON ODT TAB-DISINT 8MG 8 MG (OD)
ONDANSETRON HYDROCHLORIDE DIHYDRATE
ONDANSETRON HYDROCHLORIDE DIHYDRATE 4 MG2213567 ZOFRAN TAB 4MG NVR07 4 MG
2258188 PMS-ONDANSETRON TAB 4MG PMS07 4 MG
2274310 SANDOZ-ONDANSETRON TAB 4MG 4 MG
2288184 APO-ONDANSETRON TAB 4MG APX08 4 MG
2296349 CO-ONDANSETRON TAB 4MG 4 MG
2297868 MYLAN-ONDANSETRON TAB 4MG 4 MG
2305259 MINT-ONDANSETRON TAB 4MG 4 MG
2313685 JAMP-ONDANSETRON TAB 4MG JPC10 4 MG
2371731 MAR-ONDANSETRON TAB 4MG 4 MG
2417839 NAT-ONDANSETRON TAB 4MG 4 MG
2421402 ONDANSETRON TAB 4MG 4 MG
2458810 ONDANSETRON TAB 4MG 4 MG
2478927 ACCEL-ONDANSETRON TAB 4MG 4 MG
ONDANSETRON HYDROCHLORIDE DIHYDRATE 4 MG / 5 ML2229639 ZOFRAN LIQ 4MG/5ML NVR07 4 MG / 5 ML
2291967 APO-ONDANSETRON ORL SOL 4MG/ML 4 MG / 5 ML
2490617 JAMP ONDANSETRON ORAL SOL 4MG/5ML JPC10 4 MG / 5 ML
ONDANSETRON HYDROCHLORIDE DIHYDRATE 8 MG2213575 ZOFRAN TAB 8MG NVR07 8 MG
2258196 PMS-ONDANSETRON TAB 8MG PMS07 8 MG
2274329 SANDOZ-ONDANSETRON TAB 8MG 8 MG
2288192 APO-ONDANSETRON TAB 8MG APX08 8 MG
2296357 CO-ONDANSETRON TAB 8MG 8 MG
2297876 MYLAN-ONDANSETRON TAB 8MG 8 MG
2305267 MINT-ONDANSETRON TAB 8MG 8 MG
2313693 JAMP-ONDANSETRON TAB 8MG JPC10 8 MG
2371758 MAR-ONDANSETRON TAB 8MG 8 MG
2417847 NAT-ONDANSETRON TAB 8MG 8 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 88
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2421410 ONDANSETRON TAB 8MG 8 MG
2458802 ONDANSETRON TAB 8MG 8 MG
2478935 ACCEL-ONDANSETRON TAB 8MG 8 MG
OSELTAMIVIR PHOSPHATE
OSELTAMIVIR PHOSPHATE 30 MG2304848 TAMIFLU CAP 30MG HLR07 30 MG
2472635 NAT-OSELTAMIVIR CAP 30MG 30 MG
2497352 MAR-OSELTAMIVIR CAP 30MG 30 MG
2497409 JAMP OSELTAMIVIR CAP 30MG JPC10 30 MG
2497441 MINT-OSELTAMIVIR CAP 30MG 30 MG
OSELTAMIVIR PHOSPHATE 45 MG2304856 TAMIFLU CAP 45MG HLR07 45 MG
2472643 NAT-OSELTAMIVIR CAP 45MG 45 MG
2497360 MAR-OSELTAMIVIR CAP 45MG 45 MG
OSELTAMIVIR PHOSPHATE 6 MG2381842 TAMIFLU PWD-SUSP 6MG/ML HLR07 6 MG
2499894 NAT-OSELTAMIVIR PWD-SUSP 6MG/ML 6 MG
OSELTAMIVIR PHOSPHATE 75 MG2241472 TAMIFLU CAP 75MG HLR07 75 MG
2457989 NAT-OSELTAMIVIR CAP 75MG 75 MG
2497379 MAR-OSELTAMIVIR CAP 75MG 75 MG
2497425 JAMP OSELTAMIVIR CAP 75MG JPC10 75 MG
2497476 MINT-OSELTAMIVIR CAP 75MG 75 MG
OXCARBAZEPINE
OXCARBAZEPINE 300 MG2242068 TRILEPTAL TAB 300MG NVR07 300 MG
2284308 APO-OXCARBAZEPINE TAB 300MG APX08 300 MG
OXCARBAZEPINE 600 MG2242069 TRILEPTAL TAB 600MG NVR07 600 MG
2284316 APO-OXCARBAZEPINE TAB 600MG APX08 600 MG
OXYBUTYNIN CHLORIDE
OXYBUTYNIN CHLORIDE 5 MG2163543 APO-OXYBUTYNIN TAB 5MG APX08 5 MG
2230394 NOVO-OXYBUTYNIN TAB 5MG 5 MG
2240550 PMS-OXYBUTYNIN TAB 5MG PMS07 5 MG
2350238 OXYBUTYNIN TAB 5MG 5 MG
OXYCODONE HYDROCHLORIDE
OXYCODONE HYDROCHLORIDE 10 MG443948 SUPEUDOL TAB 10MG 10 MG
2240131 OXY-IR TAB 10MG PFR08 10 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 89
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2319985 PMS-OXYCODONE TAB 10MG PMS07 10 MG
OXYCODONE HYDROCHLORIDE 20 MG2240132 OXY-IR TAB 20MG PFR08 20 MG
2262983 SUPEUDOL TAB 20MG 20 MG
2319993 PMS-OXYCODONE TAB 20MG PMS07 20 MG
OXYCODONE HYDROCHLORIDE 5 MG789739 SUPEUDOL TAB 5MG 5 MG
2231934 OXY-IR TAB 5MG PFR08 5 MG
2319977 PMS-OXYCODONE TAB 5MG PMS07 5 MG
OXYCODONE HYDROCHLORIDE / ACETAMINOPHEN
OXYCODONE HYDROCHLORIDE / ACETAMINOPHEN 5 / 325 MG608165 RATIO-OXYCOCET TAB 5/325MG 5 / 325 MG
2307898 NOVO OXYCOD-ACET TAB 5MG/325MG 5 / 325 MG
2324628 APO OXYCOD-ACET TAB 5MG/325MG APX08 5 / 325 MG
PANTOPRAZOLE MAGNESIUM
PANTOPRAZOLE MAGNESIUM 40 MG2267233 TECTA TAB-EC 40MG 40 MG
2408570 MYLAN-PANTOPRAZOLE T TAB 40MG 40 MG
2440628 TEVA-PANTOPRAZOLE MAGNESIUM TAB-EC 40MG 40 MG
2441853 PANTOPRAZOLE MAGNESIUM TAB-EC 40MG 40 MG
2466147 PANTOPRAZOLE MAGNESIUM TAB-EC 40MG 40 MG
PANTOPRAZOLE SODIUM
PANTOPRAZOLE SODIUM 20 MG2241804 PANTOLOC TAB-EC 20MG 20 MG
2285479 NOVO-PANTOPRAZOLE TAB-ER 20MG 20 MG
2292912 APO-PANTOPRAZOLE TAB-DR 20MG APX08 20 MG
2301075 SANDOZ-PANTOPRAZOLE TAB-DR 20MG 20 MG
2408414 JAMP-PANTOPRAZOLE TAB-DLR 20MG JPC10 20 MG
2428172 PANTOPRAZOLE-20 TAB-DLR 20MG 20 MG
PANTOPRAZOLE SODIUM 40 MG2229453 PANTOLOC TAB-EC 40MG 40 MG
2285487 NOVO-PANTOPRAZOLE TAB-ER 40MG 40 MG
2292920 APO-PANTOPRAZOLE TAB-DR 40MG APX08 40 MG
2301083 SANDOZ -PANTOPRAZOLE TAB-DR 40MG 40 MG
2305046 RAN-PANTOPRAZOLE TAB-EC 40MG 40 MG
2307871 PMS-PANTOPRAZOLE TAB-DR 40MG PMS07 40 MG
2357054 JAMP-PANTOPRAZOLE TAB-DLR 40MG JPC10 40 MG
2370808 PANTOPRAZOLE TAB 40MG 40 MG
2415208 AURO-PANTOPRAZOLE TAB-DLR 40MG 40 MG
2416565 MAR-PANTOPRAZOLE TAB-DLR 40MG 40 MG
2417448 MINT-PANTOPRAZOLE TAB-DLR 40MG 40 MG
2428180 PANTOPRAZOLE-40 TAB-DLR 40MG 40 MG
2437945 PANTOPRAZOLE TAB-DR 40MG PMS07 40 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 90
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2467372 M-PANTOPRAZOLE SODIUM TAB-DR 40MG 40 MG
PAROXETINE HYDROCHLORIDEPAROXETINE HYDROCHLORIDE 10 MG
2027887 PAXIL TAB 10MG 10 MG
2240907 APO-PAROXETINE TAB 10MG APX08 10 MG
2247750 PMS-PAROXETINE TAB 10MG PMS07 10 MG
2248556 NOVO-PAROXETINE TAB 10MG 10 MG
2368862 JAMP-PAROXETINE TAB 10MG JPC10 10 MG
2383276 AURO-PAROXETINE TAB 10MG 10 MG
2388227 PAROXETINE TAB 10MG 10 MG
2411946 MAR-PAROXETINE TAB 10MG 10 MG
2421372 MINT-PAROXETINE TAB 10MG 10 MG
PAROXETINE HYDROCHLORIDE 20 MG1940481 PAXIL TAB 20MG 20 MG
2240908 APO-PAROXETINE TAB 20MG APX08 20 MG
2247751 PMS-PAROXETINE TAB 20MG PMS07 20 MG
2248557 NOVO-PAROXETINE TAB 20MG 20 MG
2262754 CO-PAROXETINE TAB 20MG 20 MG
2282852 GEN-PAROXETINE TAB 20MG 20 MG
2368870 JAMP-PAROXETINE TAB 20MG JPC10 20 MG
2383284 AURO-PAROXETINE TAB 20MG 20 MG
2388235 PAROXETINE TAB 20MG 20 MG
2411954 MAR-PAROXETINE TAB 20MG 20 MG
2421380 MINT-PAROXETINE TAB 20MG 20 MG
PAROXETINE HYDROCHLORIDE 30 MG1940473 PAXIL TAB 30MG 30 MG
2240909 APO-PAROXETINE TAB 30MG APX08 30 MG
2247752 PMS-PAROXETINE TAB 30MG PMS07 30 MG
2248558 NOVO-PAROXETINE TAB 30MG 30 MG
2282860 GEN-PAROXETINE TAB 30MG 30 MG
2368889 JAMP-PAROXETINE TAB 30MG JPC10 30 MG
2383292 AURO-PAROXETINE TAB 30MG 30 MG
2388243 PAROXETINE TAB 30MG 30 MG
2411962 MAR-PAROXETINE TAB 30MG 30 MG
2421399 MINT-PAROXETINE TAB 30MG 30 MG
PERINDOPRIL ERBUMINEPERINDOPRIL ERBUMINE 2 MG
2123274 COVERSYL TAB 2MG SEV07 2 MG
2289261 APO-PERINDOPRIL TAB 2MG APX08 2 MG
2459817 AURO-PERINDOPRIL TAB 2MG 2 MG
2464985 TEVA-PERINDOPRIL ERBUMINE TAB 2MG 2 MG
2470225 SANDOZ PERINDOPRIL ERBUMINE TAB 2MG 2 MG
2470675 PMS-PERINDOPRIL ERBUMINE TAB 2MG PMS07 2 MG
2474824 MAR-PERINDOPRIL TAB 2MG 2 MG
2476762 MINT-PERINDOPRIL TAB 2MG 2 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 91
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2477009 JAMP PERINDOPRIL TAB 2MG JPC10 2 MG
2479877 PERINDOPRIL ERBUMINE TAB 2MG 2 MG
2481634 SANIS-PERINDOPRIL TAB 2MG 2 MG
2481677 AG-PERINDOPRIL TAB 2MG 2 MG
PERINDOPRIL ERBUMINE 4 MG2123282 COVERSYL TAB 4MG SEV07 4 MG
2289288 APO-PERINDOPRIL TAB 4MG APX08 4 MG
2459825 AURO-PERINDOPRIL TAB 4MG 4 MG
2464993 TEVA-PERINDOPRIL ERBUMINE TAB 4MG 4 MG
2470233 SANDOZ PERINDOPRIL ERBUMINE TAB 4MG 4 MG
2470683 PMS-PERINDOPRIL ERBUMINE TAB 4MG PMS07 4 MG
2474832 MAR-PERINDOPRIL TAB 4MG 4 MG
2476770 MINT-PERINDOPRIL TAB 4MG 4 MG
2477017 JAMP PERINDOPRIL TAB 4MG JPC10 4 MG
2479885 PERINDOPRIL ERBUMINE TAB 4MG 4 MG
2481642 SANIS-PERINDOPRIL TAB 4MG 4 MG
2481685 AG-PERINDOPRIL TAB 4MG 4 MG
PERINDOPRIL ERBUMINE 8 MG2246624 COVERSYL TAB 8MG SEV07 8 MG
2289296 APO-PERINDOPRIL TAB 8MG APX08 8 MG
2459833 AURO-PERINDOPRIL TAB 8MG 8 MG
2465000 TEVA-PERINDOPRIL ERBUMINE TAB 8MG 8 MG
2470241 SANDOZ PERINDOPRIL ERBUMINE TAB 8MG 8 MG
2470691 PMS-PERINDOPRIL ERBUMINE TAB 8MG PMS07 8 MG
2474840 MAR-PERINDOPRIL TAB 8MG 8 MG
2476789 MINT-PERINDOPRIL TAB 8MG 8 MG
2477025 JAMP PERINDOPRIL TAB 8MG JPC10 8 MG
2479893 PERINDOPRIL ERBUMINE TAB 8MG 8 MG
2481650 SANIS-PERINDOPRIL TAB 8MG 8 MG
2481693 AG-PERINDOPRIL TAB 8MG 8 MG
PHENYTOIN
PHENYTOIN 125 MG/5ML23450 DILANTIN-125 SUSP 125MG/5ML PFI07 125 MG/5ML
2250896 TARO-PHENYTOIN SUSP 125MG/5ML TAR08 125 MG/5ML
PHENYTOIN SODIUM
PHENYTOIN SODIUM 100 MG22780 DILANTIN CAP 100MG PFI07 100 MG
2460912 APO-PHENYTOIN SODIUM CAP 100MG APX08 100 MG
PILOCARPINE HYDROCHLORIDEPILOCARPINE HYDROCHLORIDE 5 MG
2216345 SALAGEN TAB 5MG PFI07 5 MG
2496119 ACCEL-PILOCARPINE TAB 5MG 5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 92
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthPIMOZIDE
PIMOZIDE 2 MG313815 ORAP TAB 2MG 2 MG
2245432 APO-PIMOZIDE TAB 2MG 2 MG
PIMOZIDE 4 MG313823 ORAP TAB 4MG 4 MG
2245433 APO-PIMOZIDE TAB 4MG 4 MG
PINAVERIUM BROMIDE
PINAVERIUM BROMIDE 100 MG2230684 DICETEL TAB 100MG 100 MG
2469685 APO-PINAVERIUM TAB 100MG APX08 100 MG
PINAVERIUM BROMIDE 50 MG1950592 DICETEL TAB 50MG 50 MG
2469677 APO-PINAVERIUM TAB 50MG APX08 50 MG
PINDOLOL
PINDOLOL 10 MG443174 VISKEN TAB 10MG 10 MG
755885 APO-PINDOL TAB 10MG APX08 10 MG
869015 NOVO-PINDOL TAB 10MG 10 MG
PINDOLOL 15 MG755893 APO-PINDOL TAB 15MG APX08 15 MG
869023 NOVO-PINDOL TAB 15MG 15 MG
PINDOLOL 5 MG417270 VISKEN TAB 5MG 5 MG
755877 APO-PINDOL TAB 5MG APX08 5 MG
869007 NOVO-PINDOL TAB 5MG 5 MG
PIOGLITAZONE HYDROCHLORIDEPIOGLITAZONE HYDROCHLORIDE 15 MG
2297906 SANDOZ-PIOGLITAZONE TAB 15MG 15 MG
2302861 CO-PIOGLITAZONE TAB 15MG 15 MG
2302942 APO-PIOGLITAZONE TAB 15MG APX08 15 MG
2326477 MINT-PIOGLITAZONE TAB 15MG 15 MG
2391600 PIOGLITAZONE HYDROCHLORIDE TABLETS 15MG 15 MG
2397307 JAMP-PIOGLITAZONE TAB 15MG JPC10 15 MG
PIOGLITAZONE HYDROCHLORIDE 30 MG2297914 SANDOZ-PIOGLITAZONE TAB 30MG 30 MG
2302888 CO-PIOGLITAZONE TAB 30MG 30 MG
2302950 APO-PIOGLITAZONE TAB 30MG APX08 30 MG
2303132 PMS-PIOGLITAZONE TAB 30MG PMS07 30 MG
2326485 MINT-PIOGLITAZONE TAB 30MG 30 MG
2339587 PIOGLITAZONE HYDROCHLORIDE TAB 30MG 30 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 93
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2365529 JAMP-PIOGLITAZONE TAB 30MG JPC10 30 MG
PIOGLITAZONE HYDROCHLORIDE 45 MG2297922 SANDOZ-PIOGLITAZONE TAB 45MG 45 MG
2302896 CO-PIOGLITAZONE TAB 45MG 45 MG
2302977 APO-PIOGLITAZONE TAB 45MG APX08 45 MG
2326493 MINT-PIOGLITAZONE TAB 45MG 45 MG
2339595 PIOGLITAZONE HYDROCHLORIDE TAB 45MG 45 MG
2365537 JAMP-PIOGLITAZONE TAB 45MG JPC10 45 MG
PIPERACILLIN SODIUM / TAZOBACTAM SODIUMPIPERACILLIN SODIUM / TAZOBACTAM SODIUM 2 G / 0.25 G
2308444 PIPERACILLIN AND TAZOBACTAM INJ PWD-SOL 2/0.25GM/VIAL
APX08 2 G / 0.25 G
2362619 PIPERACILLIN AND TAZOBACTAM FOR INJECTION PWD-SOL 2G/0.25G
RAX08 2 G / 0.25 G
2401312 PIPERACILLIN AND TAZOBACTAM FOR INJECTION PWD-SOL 250MG/2G/VIAL
2 G / 0.25 G
PIPERACILLIN SODIUM / TAZOBACTAM SODIUM 3 G / 0.375 G2308452 PIPERACILLIN AND TAZOBACTAM INJ PWD-SOL
3/0.375GM/VIALAPX08 3 G / 0.375 G
2362627 PIPERACILLIN AND TAZOBACTAM FOR INJECTION PWD-SOL 3G/0.375G
RAX08 3 G / 0.375 G
2370166 PIPERACILLIN / TAZOBACTAM INJ PWD-SOL 375MG/3G
3 G / 0.375 G
2401320 PIPERACILLIN AND TAZOBACTAM FOR INJECTION PWD-SOL 375MG/3G/VIAL
3 G / 0.375 G
PIPERACILLIN SODIUM / TAZOBACTAM SODIUM 4 G / 0.5 G2308460 PIPERACILLIN AND TAZOBACTAM INJ PWD-SOL
4/0.5GM/VIALAPX08 4 G / 0.5 G
2362635 PIPERACILLIN AND TAZOBACTAM FOR INJECTION PWD-SOL 4G/0.5G
RAX08 4 G / 0.5 G
2370174 PIPERACILLIN / TAZOBACTAM INJ PWD-SOL 500MG/4G
4 G / 0.5 G
2401339 PIPERACILLIN AND TAZOBACTAM FOR INJECTION PWD-SOL 500MG/4G/VIAL
4 G / 0.5 G
PIROXICAM
PIROXICAM 10 MG642886 APO-PIROXICAM CAP 10MG APX08 10 MG
695718 NOVO-PIROCAM CAP 10MG 10 MG
PIROXICAM 20 MG642894 APO-PIROXICAM CAP 20MG APX08 20 MG
695696 NOVO-PIROCAM CAP 20MG 20 MG
PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE
PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE 0.25 MG2237145 MIRAPEX TAB 0.25MG BOE07 0.25 MG
2292378 APO-PRAMIPEXOLE TAB 0.25MG APX08 0.25 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 94
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2297302 CO-PRAMIPEXOLE TAB 0.25MG 0.25 MG
2309122 PHL-PRAMIPEXOLE TAB 0.25MG 0.25 MG
2315262 SANDOZ PRAMIPEXOLE TAB 0.25MG 0.25 MG
2424061 AURO-PRAMIPEXOLE TAB 0.25MG 0.25 MG
PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE 0.5 MG2292386 APO-PRAMIPEXOLE TAB 0.5MG APX08 0.5 MG
2297310 CO-PRAMIPEXOLE TAB 0.5MG 0.5 MG
2309130 PHL-PRAMIPEXOLE TAB 0.5MG 0.5 MG
2315270 SANDOZ PRAMIPEXOLE TAB 0.5MG 0.5 MG
2424088 AURO-PRAMIPEXOLE TAB 0.5MG 0.5 MG
PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE 1 MG2292394 APO-PRAMIPEXOLE TAB 1MG APX08 1 MG
2297329 CO-PRAMIPEXOLE TAB 1MG 1 MG
2309149 PHL-PRAMIPEXOLE TAB 1MG 1 MG
2315289 SANDOZ PRAMIPEXOLE TAB 1MG 1 MG
2424096 AURO-PRAMIPEXOLE TAB 1MG 1 MG
PRAMIPEXOLE DIHYDROCHLORIDE MONOHYDRATE 1.5 MG2292408 APO-PRAMIPEXOLE TAB 1.5MG APX08 1.5 MG
2297337 CO-PRAMIPEXOLE TAB 0.125MG 1.5 MG
2309157 PHL-PRAMIPEXOLE TAB 1.5MG 1.5 MG
2315297 SANDOZ PRAMIPEXOLE TAB 1.5MG 1.5 MG
2424118 AURO-PRAMIPEXOLE TAB 1.5MG 1.5 MG
PRAVASTATIN SODIUMPRAVASTATIN SODIUM 10 MG
2243506 APO-PRAVASTATIN TAB 10MG APX08 10 MG
2247008 NOVO-PRAVASTATIN TAB 10MG 10 MG
2247655 PMS-PRAVASTATIN TAB 10MG PMS07 10 MG
2284421 RAN-PRAVASTATIN TAB 10MG 10 MG
2317451 MINT-PRAVASTATIN TAB 10MG 10 MG
2330954 JAMP-PRAVASTATIN TAB 10MG JPC10 10 MG
2356546 PRAVASTATIN TAB 10MG 10 MG
2389703 PRAVASTATIN TAB 10MG 10 MG
2432048 MAR-PRAVASTATIN TAB 10MG 10 MG
2440644 ACH-PRAVASTATIN TAB 10MG 10 MG
2458977 AURO-PRAVASTATIN TAB 10MG 10 MG
2468700 SANDOZ-PRAVASTATIN TAB 10MG 10 MG
2476142 AG-PRAVASTATIN TAB 10MG 10 MG
PRAVASTATIN SODIUM 20 MG893757 PRAVACHOL TAB 20MG BQC07 20 MG
2243507 APO-PRAVASTATIN TAB 20MG APX08 20 MG
2247009 NOVO-PRAVASTATIN TAB 20MG 20 MG
2247656 PMS-PRAVASTATIN TAB 20MG PMS07 20 MG
2284448 RAN-PRAVASTATIN TAB 20MG 20 MG
2317478 MINT-PRAVASTATIN TAB 20MG 20 MG
2330962 JAMP-PRAVASTATIN TAB 20MG JPC10 20 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 95
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2356554 PRAVASTATIN TAB 20MG 20 MG
2389738 PRAVASTATIN TAB 20MG 20 MG
2432056 MAR-PRAVASTATIN TAB 20MG 20 MG
2440652 ACH-PRAVASTATIN TAB 20MG 20 MG
2458985 AURO-PRAVASTATIN TAB 20MG 20 MG
2468719 SANDOZ-PRAVASTATIN TAB 20MG 20 MG
2476150 AG-PRAVASTATIN TAB 20MG 20 MG
PRAVASTATIN SODIUM 40 MG2222051 PRAVACHOL TAB 40MG BQC07 40 MG
2243508 APO-PRAVASTATIN TAB 40MG APX08 40 MG
2247010 NOVO-PRAVASTATIN TAB 40MG 40 MG
2247657 PMS-PRAVASTATIN TAB 40MG PMS07 40 MG
2284456 RAN-PRAVASTATIN TAB 40MG 40 MG
2317486 MINT-PRAVASTATIN TAB 40MG 40 MG
2330970 JAMP-PRAVASTATIN TAB 40MG JPC10 40 MG
2356562 PRAVASTATIN TAB 40MG 40 MG
2389746 PRAVASTATIN TAB 40MG 40 MG
2432064 MAR-PRAVASTATIN TAB 40MG 40 MG
2440660 ACH-PRAVASTATIN TAB 40MG 40 MG
2458993 AURO-PRAVASTATIN TAB 40MG 40 MG
2468727 SANDOZ-PRAVASTATIN TAB 40MG 40 MG
2476169 AG-PRAVASTATIN TAB 40MG 40 MG
PRAZOSIN HYDROCHLORIDEPRAZOSIN HYDROCHLORIDE 1 MG
560952 MINIPRESS TAB 1MG 1 MG
882801 APO-PRAZO TAB 1MG APX08 1 MG
1934198 NOVO-PRAZIN TAB 1MG 1 MG
PRAZOSIN HYDROCHLORIDE 2 MG560960 MINIPRESS TAB 2MG 2 MG
882828 APO-PRAZO TAB 2MG APX08 2 MG
1934201 NOVO-PRAZIN TAB 2MG 2 MG
PRAZOSIN HYDROCHLORIDE 5 MG560979 MINIPRESS TAB 5MG 5 MG
882836 APO-PRAZO TAB 5MG APX08 5 MG
1934228 NOVO-PRAZIN TAB 5MG 5 MG
PREDNISOLONE ACETATEPREDNISOLONE ACETATE 1%
301175 PRED FORTE OPH LIQ 1% ALL07 1%
700401 RATIO-PREDNISOLONE OPH SUSP 1% 1%
1916203 SANDOZ-PREDNISOLONE OPH SUSP 1% 1%
PREDNISOLONE SODIUM PHOSPHATEPREDNISOLONE SODIUM PHOSPHATE 1 MG/ML
2230619 PEDIAPRED LIQ 6.7MG/5ML 1 MG/ML
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 96
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2245532 PMS-PREDNISOLONE SOL 5MG/5ML PMS07 1 MG/ML
PREDNISONE
PREDNISONE 5 MG21695 NOVO-PREDNISONE TAB 5MG 5 MG
312770 APO-PREDNISONE TAB 5MG APX08 5 MG
PREDNISONE 50 MG232378 NOVO-PREDNISONE TAB 50MG 50 MG
550957 APO-PREDNISONE TAB 50MG APX08 50 MG
PREGABALINPREGABALIN 150 MG
2268450 LYRICA CAP 150MG PFI07 150 MG
2359634 PMS-PREGABALIN CAP 150MG PMS07 150 MG
2361205 TEVA-PREGABALIN CAP 150MG 150 MG
2390841 SANDOZ PREGABALIN CAP 150MG 150 MG
2392844 RAN-PREGABALIN CAP 150MG 150 MG
2394278 APO-PREGABALIN CAP 150MG APX08 150 MG
2403722 PREGABALIN CAP 150MG 150 MG
2405563 PREGABALIN CAP 150MG 150 MG
2424207 MINT-PREGABALIN CAP 150MG 150 MG
2433907 AURO-PREGABALIN CAP 150MG 150 MG
2436000 JAMP-PREGABALIN CAP 150MG JPC10 150 MG
2480751 AG-PREGABALIN CAP 150MG 150 MG
2494884 NAT-PREGABALIN CAP 150MG 150 MG
PREGABALIN 25 MG2268418 LYRICA CAP 25MG PFI07 25 MG
2359596 PMS-PREGABALIN CAP 25MG PMS07 25 MG
2361159 TEVA-PREGABALIN CAP 25MG 25 MG
2390817 SANDOZ PREGABALIN CAP 25MG 25 MG
2392801 RAN-PREGABALIN CAP 25MG 25 MG
2394235 APO-PREGABALIN CAP 25MG APX08 25 MG
2403692 PREGABALIN CAP 25MG 25 MG
2405539 PREGABALIN CAP 25MG 25 MG
2423804 MINT-PREGABALIN CAP 25MG 25 MG
2433869 AURO-PREGABALIN CAP 25MG 25 MG
2435977 JAMP-PREGABALIN CAP 25MG JPC10 25 MG
2480727 AG-PREGABALIN CAP 25MG 25 MG
2494841 NAT-PREGABALIN CAP 25MG 25 MG
PREGABALIN 300 MG2268485 LYRICA CAP 300MG PFI07 300 MG
2359642 PMS-PREGABALIN CAP 300MG PMS07 300 MG
2361248 TEVA-PREGABALIN CAP 300MG 300 MG
2390868 SANDOZ PREGABALIN CAP 300MG 300 MG
2392860 RAN-PREGABALIN CAP 300MG 300 MG
2394294 APO-PREGABALIN CAP 300MG APX08 300 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 97
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2403730 PREGABALIN CAP 300MG 300 MG
2405598 PREGABALIN CAP 300MG 300 MG
2436019 JAMP-PREGABALIN CAP 300MG JPC10 300 MG
2494906 NAT-PREGABALIN CAP 300MG 300 MG
PREGABALIN 50 MG2268426 LYRICA CAP 50MG PFI07 50 MG
2359618 PMS-PREGABALIN CAP 50MG PMS07 50 MG
2361175 TEVA-PREGABALIN CAP 50MG 50 MG
2390825 SANDOZ PREGABALIN CAP 50MG 50 MG
2392828 RAN-PREGABALIN CAP 50MG 50 MG
2394243 APO-PREGABALIN CAP 50MG APX08 50 MG
2403706 PREGABALIN CAP 50MG 50 MG
2405547 PREGABALIN CAP 50MG 50 MG
2423812 MINT-PREGABALIN CAP 50MG 50 MG
2433877 AURO-PREGABALIN CAP 50MG 50 MG
2435985 JAMP-PREGABALIN CAP 50MG JPC10 50 MG
2480735 AG-PREGABALIN CAP 50MG 50 MG
2494868 NAT-PREGABALIN CAP 50MG 50 MG
PREGABALIN 75 MG2268434 LYRICA CAP 75MG PFI07 75 MG
2359626 PMS-PREGABALIN CAP 75MG PMS07 75 MG
2361183 TEVA-PREGABALIN CAP 75MG 75 MG
2390833 SANDOZ PREGABALIN CAP 75MG 75 MG
2392836 RAN-PREGABALIN CAP 75MG 75 MG
2394251 APO-PREGABALIN CAP 75MG APX08 75 MG
2403714 PREGABALIN CAP 75MG 75 MG
2405555 PREGABALIN CAP 75MG 75 MG
2424185 MINT-PREGABALIN CAP 75MG 75 MG
2433885 AURO-PREGABALIN CAP 75MG 75 MG
2435993 JAMP-PREGABALIN CAP 75MG JPC10 75 MG
2480743 AG-PREGABALIN CAP 75MG 75 MG
2494876 NAT-PREGABALIN CAP 75MG 75 MG
PROGESTERONE
PROGESTERONE 100 MG2166704 PROMETRIUM CAP 100MG 100 MG
2439913 TEVA-PROGESTERONE CAP 100MG 100 MG
PROPAFENONE HYDROCHLORIDE
PROPAFENONE HYDROCHLORIDE 150 MG603708 RYTHMOL TAB 150MG 150 MG
2243324 APO-PROPAFENONE TAB 150MG APX08 150 MG
2343053 PROPAFENONE TAB 150MG 150 MG
2457172 MYLAN-PROPAFENONE TAB 150MG 150 MG
PROPAFENONE HYDROCHLORIDE 300 MG603716 RYTHMOL TAB 300MG 300 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 98
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2243325 APO-PROPAFENONE TAB 300MG APX08 300 MG
2343061 PROPAFENONE TAB 300MG 300 MG
2457164 MYLAN-PROPAFENONE TAB 300MG 300 MG
PYRIDOSTIGMINE BROMIDE
PYRIDOSTIGMINE BROMIDE 60 MG869961 MESTINON TAB 60MG USP 60 MG
2495643 PYRIDOSTIGMINE BROMIDE TAB 60MG RIV07 60 MG
QUETIAPINE FUMARATE
QUETIAPINE FUMARATE 100 MG2236952 SEROQUEL TAB 100MG AZC08 100 MG
2296578 PMS-QUETIAPINE TAB 100 MG PMS07 100 MG
2313928 APO-QUETIAPINE TAB 100MG APX08 100 MG
2314002 SANDOZ QUETIAPINE TAB 100MG 100 MG
2316099 CO QUETIAPINE TAB 100MG 100 MG
2317907 ZYM-QUETIAPINE TAB 100MG 100 MG
2330423 JAMP-QUETIAPINE TAB 100MG JPC10 100 MG
2353172 QUETIAPINE TAB 100MG 100 MG
2387808 QUETIAPINE TABLETS TAB 100MG 100 MG
2390213 AURO-QUETIAPINE TAB 100MG 100 MG
2397102 RAN-QUETIAPINE TAB 100MG 100 MG
2399830 MAR-QUETIAPINE TAB-IR 100MG 100 MG
2438011 MINT-QUETIAPINE TAB 100MG 100 MG
2439166 NAT-QUETIAPINE TAB 100MG 100 MG
2447207 BIO-QUETIAPINE TAB 100MG 100 MG
QUETIAPINE FUMARATE 150 MG (ER)2321513 SEROQUEL XR TAB-ER 150MG AZC08 150 MG (ER)
2395452 TEVA-QUETIAPINE XR TAB-ER 150MG 150 MG (ER)
2407698 SANDOZ QUETIAPINE XRT TAB-ER 150MG 150 MG (ER)
2417367 QUETIAPINE XR TAB-ER 150MG 150 MG (ER)
2457237 APO-QUETIAPINE XR TAB-ER 150MG APX08 150 MG (ER)
QUETIAPINE FUMARATE 200 MG2236953 SEROQUEL TAB 200MG AZC08 200 MG
2296594 PMS-QUETIAPINE TAB 200 MG PMS07 200 MG
2313936 APO-QUETIAPINE TAB 200MG APX08 200 MG
2314010 SANDOZ QUETIAPINE TAB 200MG 200 MG
2316110 CO QUETIAPINE TAB 200MG 200 MG
2317923 ZYM-QUETIAPINE TAB 200MG 200 MG
2330458 JAMP-QUETIAPINE TAB 200MG JPC10 200 MG
2353199 QUETIAPINE TAB 200MG 200 MG
2387824 QUETIAPINE TABLETS TAB 200MG 200 MG
2390248 AURO-QUETIAPINE TAB 200MG 200 MG
2397110 RAN-QUETIAPINE TAB 200MG 200 MG
2399849 MAR-QUETIAPINE TAB-IR 200MG 200 MG
2438046 MINT-QUETIAPINE TAB 200MG 200 MG
2439182 NAT-QUETIAPINE TAB 200MG 200 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 99
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2447223 BIO-QUETIAPINE TAB 200MG 200 MG
QUETIAPINE FUMARATE 200 MG (ER)2300192 SEROQUEL XR TAB-ER 200MG AZC08 200 MG (ER)
2395460 TEVA-QUETIAPINE XR TAB-ER 200MG 200 MG (ER)
2407701 SANDOZ QUETIAPINE XRT TAB-ER 200MG 200 MG (ER)
2417375 QUETIAPINE XR TAB-ER 200MG 200 MG (ER)
2457245 APO-QUETIAPINE XR TAB-ER 200MG APX08 200 MG (ER)
QUETIAPINE FUMARATE 25 MG2236951 SEROQUEL TAB 25MG AZC08 25 MG
2296551 PMS-QUETIAPINE TAB 25 MG PMS07 25 MG
2313901 APO-QUETIAPINE TAB 25MG APX08 25 MG
2313995 SANDOZ QUETIAPINE TAB 25MG 25 MG
2316080 CO QUETIAPINE TAB 25MG 25 MG
2317893 ZYM-QUETIAPINE TAB 25MG 25 MG
2330415 JAMP-QUETIAPINE TAB 25MG JPC10 25 MG
2353164 QUETIAPINE TAB 25MG 25 MG
2387794 QUETIAPINE TABLETS TAB 25MG 25 MG
2390205 AURO-QUETIAPINE TAB 25MG 25 MG
2397099 RAN-QUETIAPINE TAB 25MG 25 MG
2399822 MAR-QUETIAPINE TAB-IR 25MG 25 MG
2438003 MINT-QUETIAPINE TAB 25MG 25 MG
2439158 NAT-QUETIAPINE TAB 25MG 25 MG
2447193 BIO-QUETIAPINE TAB 25MG 25 MG
2475979 AG-QUETIAPINE TAB-IR 25MG 25 MG
QUETIAPINE FUMARATE 300 MG2244107 SEROQUEL TAB 300MG AZC08 300 MG
2296608 PMS-QUETIAPINE TAB 300 MG PMS07 300 MG
2313944 APO-QUETIAPINE TAB 300MG APX08 300 MG
2314029 SANDOZ QUETIAPINE TAB 300MG 300 MG
2316129 CO QUETIAPINE TAB 300MG 300 MG
2317931 ZYM-QUETIAPINE TAB 300MG 300 MG
2330466 JAMP-QUETIAPINE TAB 300MG JPC10 300 MG
2353202 QUETIAPINE TAB 300MG 300 MG
2387832 QUETIAPINE TABLETS TAB 300MG 300 MG
2390256 AURO-QUETIAPINE TAB 300MG 300 MG
2397129 RAN-QUETIAPINE TAB 300MG 300 MG
2399857 MAR-QUETIAPINE TAB-IR 300MG 300 MG
2438054 MINT-QUETIAPINE TAB 300MG 300 MG
2439190 NAT-QUETIAPINE TAB 300MG 300 MG
2447258 BIO-QUETIAPINE TAB 300MG 300 MG
QUETIAPINE FUMARATE 300 MG (ER)2300206 SEROQUEL XR TAB-ER 300MG AZC08 300 MG (ER)
2395479 TEVA-QUETIAPINE XR TAB-ER 300MG 300 MG (ER)
2407728 SANDOZ QUETIAPINE XRT TAB-ER 300MG 300 MG (ER)
2417383 QUETIAPINE XR TAB-ER 300MG 300 MG (ER)
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 100
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2457253 APO-QUETIAPINE XR TAB-ER 300MG APX08 300 MG (ER)
QUETIAPINE FUMARATE 400 MG (ER)2300214 SEROQUEL XR TAB-ER 400MG AZC08 400 MG (ER)
2395487 TEVA-QUETIAPINE XR TAB-ER 400MG 400 MG (ER)
2407736 SANDOZ QUETIAPINE XRT TAB-ER 400MG 400 MG (ER)
2417391 QUETIAPINE XR TAB-ER 400MG 400 MG (ER)
2457261 APO-QUETIAPINE XR TAB-ER 400MG APX08 400 MG (ER)
QUETIAPINE FUMARATE 50 MG (ER)2300184 SEROQUEL XR TAB-ER 50MG AZC08 50 MG (ER)
2395444 TEVA-QUETIAPINE XR TAB-ER 50MG 50 MG (ER)
2407671 SANDOZ QUETIAPINE XRT TAB-ER 50MG 50 MG (ER)
2417359 QUETIAPINE XR TAB-ER 50MG 50 MG (ER)
2457229 APO-QUETIAPINE XR TAB-ER 50MG APX08 50 MG (ER)
QUINAPRIL HYDROCHLORIDEQUINAPRIL HYDROCHLORIDE 10 MG
1947672 ACCUPRIL TAB 10MG PFI07 10 MG
2248500 APO-QUINAPRIL TAB 10MG APX08 10 MG
2340569 PMS-QUINAPRIL TAB 10MG PMS07 10 MG
QUINAPRIL HYDROCHLORIDE 20 MG1947680 ACCUPRIL TAB 20MG PFI07 20 MG
2248501 APO-QUINAPRIL TAB 20MG APX08 20 MG
2340577 PMS-QUINAPRIL TAB 20MG PMS07 20 MG
QUINAPRIL HYDROCHLORIDE 40 MG1947699 ACCUPRIL TAB 40MG PFI07 40 MG
2248502 APO-QUINAPRIL TAB 40MG APX08 40 MG
2340585 PMS-QUINAPRIL TAB 40MG PMS07 40 MG
QUINAPRIL HYDROCHLORIDE 5 MG1947664 ACCUPRIL 5MG TAB PFI07 5 MG
2248499 APO-QUINAPRIL TAB 5MG APX08 5 MG
2340550 PMS-QUINAPRIL TAB 5MG PMS07 5 MG
QUININE SULFATE
QUININE SULFATE 200 MG21008 NOVO-QUININE CAP 200MG 200 MG
2254514 APO-QUININE CAP 200MG APX08 200 MG
2445190 JAMP-QUININE JPC10 200 MG
QUININE SULFATE 300 MG21016 NOVO-QUININE CAP 300MG 300 MG
2445204 JAMP-QUININE JPC10 300 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 101
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthRABEPRAZOLE SODIUM
RABEPRAZOLE SODIUM 10 MG2243796 PARIET TAB-EC 10MG JSO08 10 MG
2296632 NOVO-RABEPRAZOLE EC TAB-DR 10MG 10 MG
2298074 RAN-RABEPRAZOLE TAB-EC 10MG 10 MG
2310805 PMS-RABEPRAZOLE TAB-EC 10MG PMS07 10 MG
2314177 SANDOZ RABEPRAZOLE TAB-EC 10MG 10 MG
2356511 RABEPRAZOLE TAB-EC 10MG 10 MG
2385449 RABEPRAZOLE TAB-EC 10MG 10 MG
RABEPRAZOLE SODIUM 20 MG2243797 PARIET TAB-EC 20MG JSO08 20 MG
2296640 NOVO-RABEPRAZOLE EC TAB-DR 20MG 20 MG
2298082 RAN-RABEPRAZOLE TAB-EC 20MG 20 MG
2310813 PMS-RABEPRAZOLE TAB-EC 20MG PMS07 20 MG
2314185 SANDOZ RABEPRAZOLE TAB-EC 20MG 20 MG
2356538 RABEPRAZOLE TAB-EC 20MG 20 MG
2385457 RABEPRAZOLE TAB-EC 20MG 20 MG
RALOXIFENE HYDROCHLORIDERALOXIFENE HYDROCHLORIDE 60 MG
2239028 EVISTA TAB 60MG LIL08 60 MG
2279215 APO-RALOXIFENE TAB 60MG APX08 60 MG
2358840 RATIO-RALOXIFENE TAB 60MG 60 MG
2358921 PMS-RALOXIFENE TAB 60MG PMS07 60 MG
RAMIPRIL
RAMIPRIL 1.25 MG2221829 ALTACE CAP 1.25MG 1.25 MG
2251515 APO-RAMIPRIL CAP 1.25MG APX08 1.25 MG
2308363 PHL-RAMIPRIL CAP 1.25MG 1.25 MG
2310503 RAN-RAMIPRIL CAP 1.25MG 1.25 MG
2387387 AURO-RAMIPRIL CAP 1.25MG 1.25 MG
2420457 MAR-RAMIPRIL CAP 1.25MG 1.25 MG
2469057 PMS-RAMIPRIL CAP 1.25MG PMS07 1.25 MG
RAMIPRIL 10 MG2221853 ALTACE CAP 10MG 10 MG
2247919 PMS-RAMIPRIL CAP 10MG PMS07 10 MG
2247947 NOVO-RAMIPRIL CAP 10MG 10 MG
2251582 APO-RAMIPRIL CAP 10MG APX08 10 MG
2287943 PHL-RAMIPRIL CAP 10MG 10 MG
2310546 RAN-RAMIPRIL CAP 10MG 10 MG
2331144 JAMP-RAMIPRIL CAP 10MG JPC10 10 MG
2374862 RAMIPRIL CAP 10MG 10 MG
2387417 AURO-RAMIPRIL CAP 10MG 10 MG
2420481 MAR-RAMIPRIL CAP 10MG 10 MG
2421321 MINT-RAMIPRIL CAP 10MG 10 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 102
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2469081 PMS-RAMIPRIL CAP 10MG PMS07 10 MG
RAMIPRIL 15 MG2281112 ALTACE CAP 15MG 15 MG
2325381 APO-RAMIPRIL CAP 15MG APX08 15 MG
2420503 MAR-RAMIPRIL CAP 15MG 15 MG
2421348 MINT-RAMIPRIL CAP 15MG 15 MG
RAMIPRIL 2.5 MG2221837 ALTACE CAP 2.5MG 2.5 MG
2247917 PMS-RAMIPRIL CAP 2.5MG PMS07 2.5 MG
2247945 NOVO-RAMIPRIL CAP 2.5MG 2.5 MG
2251531 APO-RAMIPRIL CAP 2.5MG APX08 2.5 MG
2287927 PHL-RAMIPRIL CAP 2.5MG 2.5 MG
2310511 RAN-RAMIPRIL CAP 2.5MG 2.5 MG
2331128 JAMP-RAMIPRIL CAP 2.5MG JPC10 2.5 MG
2374846 RAMIPRIL CAP 2.5MG 2.5 MG
2387395 AURO-RAMIPRIL CAP 2.5MG 2.5 MG
2420465 MAR-RAMIPRIL CAP 2.5MG 2.5 MG
2421305 MINT-RAMIPRIL CAP 2.5MG 2.5 MG
2469065 PMS-RAMIPRIL CAP 2.5MG PMS07 2.5 MG
RAMIPRIL 5 MG2221845 ALTACE CAP 5MG 5 MG
2247918 PMS-RAMIPRIL CAP 5MG PMS07 5 MG
2247946 NOVO-RAMIPRIL CAP 5MG 5 MG
2251574 APO-RAMIPRIL CAP 5MG APX08 5 MG
2287935 PHL-RAMIPRIL CAP 5MG 5 MG
2310538 RAN-RAMIPRIL CAP 5MG 5 MG
2331136 JAMP-RAMIPRIL CAP 5MG JPC10 5 MG
2374854 RAMIPRIL CAP 5MG 5 MG
2387409 AURO-RAMIPRIL CAP 5MG 5 MG
2420473 MAR-RAMIPRIL CAP 5MG 5 MG
2421313 MINT-RAMIPRIL CAP 5MG 5 MG
2469073 PMS-RAMIPRIL CAP 5MG PMS07 5 MG
RANITIDINE HYDROCHLORIDE
RANITIDINE HYDROCHLORIDE 150 MG733059 APO-RANITIDINE TAB 150MG APX08 150 MG
2242453 PMS-RANITIDINE TAB 150MG PMS07 150 MG
2243229 SANDOZ-RANITIDINE TAB 150MG 150 MG
2248570 CO-RANITIDINE TAB 150MG 150 MG
2336480 RAN-RANITIDINE TAB 150MG 150 MG
2353016 RANITIDINE TAB 150MG 150 MG
2385953 RANITIDINE TAB 150MG 150 MG
2443708 IPG-RANITIDINE TAB 150MG 150 MG
2463717 JAMP-RANITIDINE TAB 150MG JPC10 150 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 103
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthRANITIDINE HYDROCHLORIDE 300 MG
733067 APO-RANITIDINE TAB 300MG APX08 300 MG
2242454 PMS-RANITIDINE TAB 300MG PMS07 300 MG
2243230 SANDOZ-RANITIDINE TAB 300MG 300 MG
2248571 CO-RANITIDINE TAB 300MG 300 MG
2336502 RAN-RANITIDINE TAB 300MG 300 MG
2353024 RANITIDINE TAB 300MG 300 MG
2385961 RANITIDINE TAB 300MG 300 MG
2443716 IPG-RANITIDINE TAB 300MG 300 MG
2463725 JAMP-RANITIDINE TAB 300MG JPC10 300 MG
RASAGILINE MESYLATE
RASAGILINE MESYLATE 0.5 MG2284642 AZILECT TAB 0.5MG TKJ99 0.5 MG
2404680 APO-RASAGILINE TAB 0.5MG APX08 0.5 MG
2418436 TEVA-RASAGILINE TAB 0.5MG 0.5 MG
RASAGILINE MESYLATE 1 MG2284650 AZILECT TAB 1MG TKJ99 1 MG
2404699 APO-RASAGILINE TAB 1MG APX08 1 MG
2418444 TEVA-RASAGILINE TAB 1MG 1 MG
REPAGLINIDE
REPAGLINIDE 0.5 MG2239924 GLUCONORM TAB 0.5MG NNA08 0.5 MG
2321475 CO REPAGLINIDE TAB 0.5MG 0.5 MG
2357453 SANDOZ REPAGLINIDE TAB 0.5MG 0.5 MG
2424258 AURO-REPAGLINIDE TAB 0.5MG 0.5 MG
REPAGLINIDE 1 MG2239925 GLUCONORM TAB 1MG NNA08 1 MG
2321483 CO REPAGLINIDE TAB 1MG 1 MG
2354934 PMS-REPAGLINIDE TAB 1MG JPC10 1 MG
2357461 SANDOZ REPAGLINIDE TAB 1MG 1 MG
2424266 AURO-REPAGLINIDE TAB 1MG 1 MG
REPAGLINIDE 2 MG2239926 GLUCONORM TAB 2MG NNA08 2 MG
2321491 CO REPAGLINIDE TAB 2MG 2 MG
2354942 PMS-REPAGLINIDE TAB 2MG JPC10 2 MG
2357488 SANDOZ REPAGLINIDE TAB 2MG 2 MG
2424274 AURO-REPAGLINIDE TAB 2MG 2 MG
RIFAMPIN
RIFAMPIN 150 MG393444 ROFACT CAP 150MG 150 MG
2091887 RIFADIN CAP 150MG 150 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 104
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthRIFAMPIN 300 MG
343617 ROFACT CAP 300MG 300 MG
2092808 RIFADIN CAP 300MG 300 MG
RILUZOLE
RILUZOLE 50 MG2242763 RILUTEK TAB 50MG 50 MG
2352583 APO-RILUZOLE TAB 50MG APX08 50 MG
2390299 MYLAN-RILUZOLE TAB 50MG 50 MG
RISEDRONATE SODIUMRISEDRONATE SODIUM 150 MG
2316838 ACTONEL TAB 150MG 150 MG
2377721 APO-RISEDRONATE TAB 150MG APX08 150 MG
2413809 TEVA-RISEDRONATE TAB 150MG 150 MG
2424177 PMS-RISEDRONATE TAB 150MG PMS07 150 MG
2442760 AURO-RISEDRONATE TAB 150MG 150 MG
RISEDRONATE SODIUM 35 MG2246896 ACTONEL TAB 35MG 35 MG
2298392 NOVO-RISEDRONATE TAB 35MG 35 MG
2302209 PMS-RISEDRONATE TAB 35MG PMS07 35 MG
2327295 SANDOZ RISEDRONATE TAB 35MG 35 MG
2353687 APO-RISEDRONATE TAB 35MG APX08 35 MG
2368552 JAMP-RISEDRONATE TAB 35MG JPC10 35 MG
2370255 RISEDRONATE TAB 35MG 35 MG
2406306 AURO-RISEDRONATE TAB 35MG 35 MG
2411407 RISEDRONATE-35 TAB 35MG 35 MG
RISPERIDONE
RISPERIDONE 0.25 MG2240551 RISPERDAL TAB 0.25MG JSO08 0.25 MG
2252007 PMS-RISPERIDONE TAB 0.25MG PMS07 0.25 MG
2282119 APO-RISPERIDONE TAB 0.25MG APX08 0.25 MG
2282690 NOVO-RISPERIDONE TAB 0.25MG 0.25 MG
2303655 SANDOZ-RISPERIDONE TAB 0.25MG 0.25 MG
2328305 RBX-RISPERIDONE TAB 0.25MG 0.25 MG
2356880 RISPERIDONE TAB 0.25MG 0.25 MG
2359529 JAMP-RISPERIDONE TAB 0.25MG JPC10 0.25 MG
2359790 MINT-RISPERIDON TAB 0.25MG 0.25 MG
2371766 MAR-RISPERIDONE TAB 0.25MG 0.25 MG
RISPERIDONE 0.5 MG2240552 RISPERDAL TAB 0.5MG JSO08 0.5 MG
2252015 PMS-RISPERIDONE TAB 0.5MG PMS07 0.5 MG
2282127 APO-RISPERIDONE TAB 0.5MG APX08 0.5 MG
2303663 SANDOZ-RISPERIDONE TAB 0.5MG 0.5 MG
2328313 RBX-RISPERIDONE TAB 0.5MG 0.5 MG
2356899 RISPERIDONE TAB 0.5MG 0.5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 105
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2359537 JAMP-RISPERIDONE TAB 0.5MG JPC10 0.5 MG
2359804 MINT-RISPERIDON TAB 0.5MG 0.5 MG
2371774 MAR-RISPERIDONE TAB 0.5MG 0.5 MG
RISPERIDONE 1 MG2025280 RISPERDAL TAB 1MG JSO08 1 MG
2252023 PMS-RISPERIDONE TAB 1MG PMS07 1 MG
2264196 NOVO-RISPERIDONE 1 MG
2279800 SANDOZ-RISPERIDONE TAB 1MG 1 MG
2282135 APO-RISPERIDONE TAB 1MG APX08 1 MG
2328321 RBX-RISPERIDONE TAB 1MG 1 MG
2356902 RISPERIDONE TAB 1MG 1 MG
2359545 JAMP-RISPERIDONE TAB 1MG JPC10 1 MG
2359812 MINT-RISPERIDON TAB 1MG 1 MG
2371782 MAR-RISPERIDONE TAB 1MG 1 MG
RISPERIDONE 2 MG2025299 RISPERDAL TAB 2MG JSO08 2 MG
2252031 PMS-RISPERIDONE TAB 2MG PMS07 2 MG
2264218 NOVO-RISPERIDONE 2 MG
2279819 SANDOZ-RISPERIDONE TAB 2MG 2 MG
2282143 APO-RISPERIDONE TAB 2MG APX08 2 MG
2328348 RBX-RISPERIDONE TAB 2MG 2 MG
2356910 RISPERIDONE TAB 2MG 2 MG
2359553 JAMP-RISPERIDONE TAB 2MG JPC10 2 MG
2359820 MINT-RISPERIDON TAB 2MG 2 MG
2371790 MAR-RISPERIDONE TAB 2MG 2 MG
RISPERIDONE 3 MG2025302 RISPERDAL TAB 3MG JSO08 3 MG
2252058 PMS-RISPERIDONE TAB 3MG PMS07 3 MG
2264226 NOVO-RISPERIDONE 3 MG
2279827 SANDOZ-RISPERIDONE TAB 3MG 3 MG
2282151 APO-RISPERIDONE TAB 3MG APX08 3 MG
2328364 RBX-RISPERIDONE TAB 3MG 3 MG
2356929 RISPERIDONE TAB 3MG 3 MG
2359561 JAMP-RISPERIDONE TAB 3MG JPC10 3 MG
2359839 MINT-RISPERIDON TAB 3MG 3 MG
2371804 MAR-RISPERIDONE TAB 3MG 3 MG
RISPERIDONE 4 MG2025310 RISPERDAL TAB 4MG JSO08 4 MG
2252066 PMS-RISPERIDONE TAB 4MG PMS07 4 MG
2264234 NOVO-RISPERIDONE 4 MG
2279835 SANDOZ-RISPERIDONE TAB 4MG 4 MG
2282178 APO-RISPERIDONE TAB 4MG APX08 4 MG
2328372 RBX-RISPERIDONE TAB 4MG 4 MG
2356937 RISPERIDONE TAB 4MG 4 MG
2359588 JAMP-RISPERIDONE TAB 4MG JPC10 4 MG
2359847 MINT-RISPERIDON TAB 4MG 4 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 106
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2371812 MAR-RISPERIDONE TAB 4MG 4 MG
RISPERIDONE TARTRATERISPERIDONE TARTRATE 1 MG/ML
2236950 RISPERDAL ORL LIQ 1MG/ML JSO08 1 MG/ML
2279266 PMS-RISPERIDONE ORL LIQ 1MG/ML PMS07 1 MG/ML
2280396 APO-RISPERIDONE ORL SOL 1MG/ML APX08 1 MG/ML
2454319 JAMP-RISPERIDONE SOL 1MG/ML JPC10 1 MG/ML
RIVASTIGMINE HYDROGEN TARTRATE
RIVASTIGMINE HYDROGEN TARTRATE 1.5 MG2242115 EXELON CAP 1.5MG NVR07 1.5 MG
2324563 SANDOZ RIVASTIGMINE CAP 1.5MG 1.5 MG
2336715 APO-RIVASTIGMINE CAP 1.5MG APX08 1.5 MG
2401614 MED-RIVASTIGMINE CAP 1.5MG 1.5 MG
2485362 JAMP RIVASTIGMINE CAP 1.5MG JPC10 1.5 MG
RIVASTIGMINE HYDROGEN TARTRATE 3 MG2242116 EXELON CAP 3MG NVR07 3 MG
2324571 SANDOZ RIVASTIGMINE CAP 3MG 3 MG
2336723 APO-RIVASTIGMINE CAP 3MG APX08 3 MG
2401622 MED-RIVASTIGMINE CAP 3MG 3 MG
2485370 JAMP RIVASTIGMINE CAP 3MG JPC10 3 MG
RIVASTIGMINE HYDROGEN TARTRATE 4.5 MG2242117 EXELON CAP 4.5MG NVR07 4.5 MG
2324598 SANDOZ RIVASTIGMINE CAP 4.5MG 4.5 MG
2336731 APO-RIVASTIGMINE CAP 4.5MG APX08 4.5 MG
2401630 MED-RIVASTIGMINE CAP 4.5MG 4.5 MG
2485389 JAMP RIVASTIGMINE CAP 4.5MG JPC10 4.5 MG
RIVASTIGMINE HYDROGEN TARTRATE 6 MG2242118 EXELON CAP 6MG NVR07 6 MG
2324601 SANDOZ RIVASTIGMINE CAP 6MG 6 MG
2336758 APO-RIVASTIGMINE CAP 6MG APX08 6 MG
2401649 MED-RIVASTIGMINE CAP 6MG 6 MG
2485397 JAMP RIVASTIGMINE CAP 6MG JPC10 6 MG
RIZATRIPTAN BENZOATE
RIZATRIPTAN BENZOATE 10 MG2240521 MAXALT TAB 10MG 10 MG
2379678 MAR-RIZATRIPTAN TAB 10MG 10 MG
2380463 JAMP-RIZATRIPTAN TAB 10MG JPC10 10 MG
2381702 CO RIZATRIPTAN TAB 10MG 10 MG
2393476 APO-RIZATRIPTAN TAB 10MG APX08 10 MG
2429241 JAMP-RIZATRIPTAN IR TAB 10MG JPC10 10 MG
2441144 AURO-RIZATRIPTAN TAB 10MG 10 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 107
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthRIZATRIPTAN BENZOATE 10 MG (RD)
2240519 MAXALT RPD WAFER 10MG 10 MG (RD)
2351889 SANDOZ RIZATRIPTAN ODT TAB-DISINT 10MG 10 MG (RD)
2379201 MYLAN-RIZATRIPTAN ODT TAB-DISINT 10MG 10 MG (RD)
2393379 PMS-RIZATRIPTAN RDT TAB-DISINT 10MG PMS07 10 MG (RD)
2396688 TEVA-RIZATRIPTAN ODT TAB-DISINT 10MG 10 MG (RD)
2436612 NAT-RIZATRIPTAN ODT TAB-DISINT 10MG 10 MG (RD)
2442914 RIZATRIPTAN ODT TAB-DISINT 10MG 10 MG (RD)
2446138 RIZATRIPTAN ODT TAB-DISINT 10MG 10 MG (RD)
2458772 RIZATRIPTAN ODT TAB-DISINT 10MG 10 MG (RD)
2462796 MAR-RIZATRIPTAN ODT TAB-DISINT 10MG 10 MG (RD)
2465094 JAMP-RIZATRIPTAN ODT TAB-DISINT 10MG JPC10 10 MG (RD)
2483289 ACCEL-RIZATRIPTAN ODT TAB-DISINT 10MG 10 MG (RD)
RIZATRIPTAN BENZOATE 5 MG2380455 JAMP-RIZATRIPTAN TAB 5MG JPC10 5 MG
2393468 APO-RIZATRIPTAN TAB 5MG APX08 5 MG
2429233 JAMP-RIZATRIPTAN IR TAB 5MG JPC10 5 MG
RIZATRIPTAN BENZOATE 5 MG (RD)2240518 MAXALT RPD WAFER 5MG 5 MG (RD)
2351870 SANDOZ RIZATRIPTAN ODT TAB-DISINT 5MG 5 MG (RD)
2379198 MYLAN-RIZATRIPTAN ODT TAB-DISINT 5MG 5 MG (RD)
2393360 PMS-RIZATRIPTAN RDT TAB-DISINT 5MG PMS07 5 MG (RD)
2396661 TEVA-RIZATRIPTAN ODT TAB-DISINT 5MG 5 MG (RD)
2436604 NAT-RIZATRIPTAN ODT TAB-DISINT 5MG 5 MG (RD)
2442906 RIZATRIPTAN ODT TAB-DISINT 5MG 5 MG (RD)
2446111 RIZATRIPTAN ODT TAB-DISINT 5MG 5 MG (RD)
2458764 RIZATRIPTAN ODT TAB-DISINT 5MG 5 MG (RD)
2462788 MAR-RIZATRIPTAN ODT TAB-DISINT 5MG 5 MG (RD)
2465086 JAMP-RIZATRIPTAN ODT TAB-DISINT 5MG JPC10 5 MG (RD)
2483270 ACCEL-RIZATRIPTAN ODT TAB-DISINT 5MG 5 MG (RD)
ROPINIROLE HYDROCHLORIDE
ROPINIROLE HYDROCHLORIDE 0.25 MG2314037 RAN-ROPINIROLE TAB 0.25MG 0.25 MG
2316846 CO ROPINIROLE TAB 0.25MG 0.25 MG
2337746 APO-ROPINIROLE TAB 0.25MG APX08 0.25 MG
2352338 JAMP-ROPINIROLE TAB 0.25MG JPC10 0.25 MG
2353040 ROPINIROLE TAB 0.25MG 0.25 MG
ROPINIROLE HYDROCHLORIDE 1 MG2314053 RAN-ROPINIROLE TAB 1MG 1 MG
2316854 CO ROPINIROLE TAB 1MG 1 MG
2337762 APO-ROPINIROLE TAB 1MG APX08 1 MG
2352346 JAMP-ROPINIROLE TAB 1MG JPC10 1 MG
2353059 ROPINIROLE TAB 1MG 1 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 108
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthROPINIROLE HYDROCHLORIDE 2 MG
2314061 RAN-ROPINIROLE TAB 2MG 2 MG
2316862 CO ROPINIROLE TAB 2MG 2 MG
2337770 APO-ROPINIROLE TAB 2MG APX08 2 MG
2352354 JAMP-ROPINIROLE TAB 2MG JPC10 2 MG
ROPINIROLE HYDROCHLORIDE 5 MG2314088 RAN-ROPINIROLE TAB 5MG 5 MG
2316870 CO ROPINIROLE TAB 5MG 5 MG
2337800 APO-ROPINIROLE TAB 5MG APX08 5 MG
2352362 JAMP-ROPINIROLE TAB 5MG JPC10 5 MG
ROSIGLITAZONE MALEATE
ROSIGLITAZONE MALEATE 2 MG2241112 AVANDIA TAB 2MG 2 MG
2403366 APO-ROSIGLITAZONE TAB 2MG APX08 2 MG
ROSIGLITAZONE MALEATE 4 MG2241113 AVANDIA TAB 4MG 4 MG
2403374 APO-ROSIGLITAZONE TAB 4MG APX08 4 MG
ROSIGLITAZONE MALEATE 8 MG2241114 AVANDIA TAB 8MG 8 MG
2403382 APO-ROSIGLITAZONE TAB 8MG APX08 8 MG
ROSUVASTATIN CALCIUMROSUVASTATIN CALCIUM 10 MG
2247162 CRESTOR TAB 10MG AZC08 10 MG
2337983 APO-ROSUVASTATIN TAB 10MG APX08 10 MG
2338734 SANDOZ ROSUVASTATIN TAB 10MG 10 MG
2354616 TEVA-ROSUVASTATIN TAB 10MG 10 MG
2378531 PMS-ROSUVASTATIN TAB 10MG PMS07 10 MG
2382652 RAN-ROSUVASTATIN TAB 10MG 10 MG
2391260 JAMP-ROSUVASTATIN TAB 10MG JPC10 10 MG
2405636 ROSUVASTATIN TAB 10MG 10 MG
2411636 ROSUVASTATIN-10 TAB 10MG 10 MG
2438925 ACH-ROSUVASTATIN TAB 10MG 10 MG
2442582 AURO-ROSUVASTATIN TAB 10MG 10 MG
ROSUVASTATIN CALCIUM 20 MG2247163 CRESTOR TAB 20MG AZC08 20 MG
2337991 APO-ROSUVASTATIN TAB 20MG APX08 20 MG
2338742 SANDOZ ROSUVASTATIN TAB 20MG 20 MG
2354624 TEVA-ROSUVASTATIN TAB 20MG 20 MG
2378558 PMS-ROSUVASTATIN TAB 20MG PMS07 20 MG
2382660 RAN-ROSUVASTATIN TAB 20MG 20 MG
2391279 JAMP-ROSUVASTATIN TAB 20MG JPC10 20 MG
2405644 ROSUVASTATIN TAB 20MG 20 MG
2411644 ROSUVASTATIN-20 TAB 20MG 20 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 109
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2438933 ACH-ROSUVASTATIN TAB 20MG 20 MG
2442590 AURO-ROSUVASTATIN TAB 20MG 20 MG
ROSUVASTATIN CALCIUM 40 MG2247164 CRESTOR TAB 40MG AZC08 40 MG
2338009 APO-ROSUVASTATIN TAB 40MG APX08 40 MG
2338750 SANDOZ ROSUVASTATIN TAB 40MG 40 MG
2354632 TEVA-ROSUVASTATIN TAB 40MG 40 MG
2378566 PMS-ROSUVASTATIN TAB 40MG PMS07 40 MG
2382679 RAN-ROSUVASTATIN TAB 40MG 40 MG
2391287 JAMP-ROSUVASTATIN TAB 40MG JPC10 40 MG
2405652 ROSUVASTATIN TAB 40MG 40 MG
2411652 ROSUVASTATIN-40 TAB 40MG 40 MG
2438941 ACH-ROSUVASTATIN TAB 40MG 40 MG
2442604 AURO-ROSUVASTATIN TAB 40MG 40 MG
ROSUVASTATIN CALCIUM 5 MG2265540 CRESTOR TAB 5MG AZC08 5 MG
2337975 APO-ROSUVASTATIN TAB 5MG APX08 5 MG
2338726 SANDOZ ROSUVASTATIN TAB 5MG 5 MG
2354608 TEVA-ROSUVASTATIN TAB 5MG 5 MG
2378523 PMS-ROSUVASTATIN TAB 5MG PMS07 5 MG
2382644 RAN-ROSUVASTATIN TAB 5MG 5 MG
2391252 JAMP-ROSUVASTATIN TAB 5MG JPC10 5 MG
2405628 ROSUVASTATIN TAB 5MG 5 MG
2411628 ROSUVASTATIN-5 TAB 5MG 5 MG
2438917 ACH-ROSUVASTATIN TAB 5MG 5 MG
2442574 AURO-ROSUVASTATIN TAB 5MG 5 MG
SALBUTAMOL SULFATESALBUTAMOL SULFATE 1 MG/ML
1926934 MYLAN-SALBUTAMOL STERINEBS LIQ 2.5MG/2.5ML 1 MG/ML
2208229 PMS-SALBUTAMOL RESPIRATOR LIQ 1MG/ML PMS07 1 MG/ML
2213419 VENTOLIN NEBULES P.F. INH LIQ 2.5MG/2.5ML 1 MG/ML
SALBUTAMOL SULFATE 100 MCG2232570 AIROMIR AERO 100MCG/DOSE 100 MCG
2241497 VENTOLIN HFA AERO 100MCG/DOSE 100 MCG
2245669 APO-SALVENT CFC FREE AERO 100MCG/ACT APX08 100 MCG
2326450 NOVO-SALBUTAMOL HFA AERO 100MCG/DOSE 100 MCG
2419858 SALBUTAMOL HFA AERO 100MCG/DOSE 100 MCG
9858115 TEVA-SALBUTAMOL HFA 100MCG/DOSE UK [EXCEPTIONAL PIN]
100 MCG
SALBUTAMOL SULFATE 2 MG/ML2173360 MYLAN-SALBUTAMOL STERINEBS P.F. INH LIQ
2MG/ML2 MG/ML
2208237 PMS-SALBUTAMOL RESPIRATOR LIQ 2MG/ML PMS07 2 MG/ML
2213427 VENTOLIN NEBULES P.F. INH LIQ 5MG/2.5ML 2 MG/ML
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 110
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthSALMETEROL XINAFOATE / FLUTICASONE PROPIONATE
SALMETEROL XINAFOATE / FLUTICASONE PROPIONATE 50 MCG / 100 MCG2240835 ADVAIR 100 DISKUS PWD 100MCG/DOSE 50 MCG / 100 MCG
2494507 PMS-FLUTICASONE PROPIONATE/SALMETEROL DPI 100MCG/50MCG
PMS07 50 MCG / 100 MCG
SALMETEROL XINAFOATE / FLUTICASONE PROPIONATE 50 MCG / 250 MCG2240836 ADVAIR 250 DISKUS PWD 250MCG/DOSE 50 MCG / 250 MCG
2494515 PMS-FLUTICASONE PROPIONATE/SALMETEROL DPI 250MCG/50MCG
PMS07 50 MCG / 250 MCG
SALMETEROL XINAFOATE / FLUTICASONE PROPIONATE 50 MCG / 500 MCG2240837 ADVAIR 500 DISKUS PWD 500MCG/DOSE 50 MCG / 500 MCG
2494523 PMS-FLUTICASONE PROPIONATE/SALMETEROL DPI 500MCG/50MCG
PMS07 50 MCG / 500 MCG
SELEGILINE HYDROCHLORIDE
SELEGILINE HYDROCHLORIDE 5 MG2068087 NOVO-SELEGILINE TAB 5MG 5 MG
2230641 APO-SELEGILINE TAB 5MG APX08 5 MG
SERTRALINE HYDROCHLORIDE
SERTRALINE HYDROCHLORIDE 100 MG1962779 ZOLOFT CAP 100MG PFI07 100 MG
2238282 APO-SERTRALINE CAP 100MG APX08 100 MG
2240481 NOVO-SERTRALINE CAP 100MG 100 MG
2244840 PMS-SERTRALINE CAP 100MG PMS07 100 MG
2245161 SANDOZ-SERTRALINE CAP 100MG 100 MG
2353547 SERTRALINE CAP 100MG 100 MG
2357178 JAMP-SERTRALINE CAP 100MG JPC10 100 MG
2386097 SERTRALINE CAP 100MG 100 MG
2390922 AURO-SERTRALINE CAP 100MG 100 MG
2399431 MAR-SERTRALINE CAP 100MG 100 MG
2402408 MINT-SERTRALINE CAP 100MG 100 MG
2469642 JAMP-SERTRALINE CAP 100MG JPC10 100 MG
2477904 AG-SERTRALINE CAP 100MG 100 MG
SERTRALINE HYDROCHLORIDE 25 MG2132702 ZOLOFT CAP 25MG PFI07 25 MG
2238280 APO-SERTRALINE CAP 25MG APX08 25 MG
2240485 NOVO-SERTRALINE CAP 25MG 25 MG
2244838 PMS-SERTRALINE CAP 25MG PMS07 25 MG
2245159 SANDOZ-SERTRALINE CAP 25MG 25 MG
2353520 SERTRALINE CAP 25MG 25 MG
2357143 JAMP-SERTRALINE CAP 25MG JPC10 25 MG
2386070 SERTRALINE CAP 25MG 25 MG
2390906 AURO-SERTRALINE CAP 25MG 25 MG
2399415 MAR-SERTRALINE CAP 25MG 25 MG
2402378 MINT-SERTRALINE CAP 25MG 25 MG
2469626 JAMP-SERTRALINE CAP 25MG JPC10 25 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 111
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2477882 AG-SERTRALINE CAP 25MG 25 MG
SERTRALINE HYDROCHLORIDE 50 MG1962817 ZOLOFT CAP 50MG PFI07 50 MG
2238281 APO-SERTRALINE CAP 50MG APX08 50 MG
2240484 NOVO-SERTRALINE CAP 50MG 50 MG
2244839 PMS-SERTRALINE CAP 50MG PMS07 50 MG
2245160 SANDOZ-SERTRALINE CAP 50MG 50 MG
2353539 SERTRALINE CAP 50MG 50 MG
2357151 JAMP-SERTRALINE CAP 50MG JPC10 50 MG
2386089 SERTRALINE CAP 50MG 50 MG
2390914 AURO-SERTRALINE CAP 50MG 50 MG
2399423 MAR-SERTRALINE CAP 50MG 50 MG
2402394 MINT-SERTRALINE CAP 50MG 50 MG
2469634 JAMP-SERTRALINE CAP 50MG JPC10 50 MG
2477890 AG-SERTRALINE CAP 50MG 50 MG
SILDENAFIL CITRATESILDENAFIL CITRATE 20 MG
2279401 REVATIO TAB 20MG PFI07 20 MG
2319500 RATIO-SILDENAFIL R TAB 20MG 20 MG
2412179 PMS-SILDENAFIL R TAB 20MG PMS07 20 MG
SIMVASTATINSIMVASTATIN 10 MG
884332 ZOCOR TAB 10MG 10 MG
2247012 APO-SIMVASTATIN TAB 10MG APX08 10 MG
2250152 NOVO-SIMVASTATIN TAB 10MG 10 MG
2329158 RAN-SIMVASTATIN TAB 10MG 10 MG
2372940 MINT-SIMVASTATIN TAB 10MG 10 MG
2375044 MAR-SIMVASTATIN TAB 10MG 10 MG
2375605 JAMP-SIMVASTATIN TAB 10MG JPC10 10 MG
2386305 SIMVASTATIN TAB 10MG 10 MG
2405156 AURO-SIMVASTATIN TAB 10MG 10 MG
2469987 PHARMA-SIMVASTATIN TAB 10MG PMS07 10 MG
2480069 AG-SIMVASTATIN TAB 10MG 10 MG
SIMVASTATIN 20 MG884340 ZOCOR TAB 20MG 20 MG
2247013 APO-SIMVASTATIN TAB 20MG APX08 20 MG
2250160 NOVO-SIMVASTATIN TAB 20MG 20 MG
2329166 RAN-SIMVASTATIN TAB 20MG 20 MG
2372959 MINT-SIMVASTATIN TAB 20MG 20 MG
2375052 MAR-SIMVASTATIN TAB 20MG 20 MG
2375613 JAMP-SIMVASTATIN TAB 20MG JPC10 20 MG
2386313 SIMVASTATIN TAB 20MG 20 MG
2405164 AURO-SIMVASTATIN TAB 20MG 20 MG
2469995 PHARMA-SIMVASTATIN TAB 20MG PMS07 20 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 112
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2480077 AG-SIMVASTATIN TAB 20MG 20 MG
SIMVASTATIN 40 MG884359 ZOCOR TAB 40MG 40 MG
2247014 APO-SIMVASTATIN TAB 40MG APX08 40 MG
2250179 NOVO-SIMVASTATIN TAB 40MG 40 MG
2329174 RAN-SIMVASTATIN TAB 40MG 40 MG
2372967 MINT-SIMVASTATIN TAB 40MG 40 MG
2375060 MAR-SIMVASTATIN TAB 40MG 40 MG
2375621 JAMP-SIMVASTATIN TAB 40MG JPC10 40 MG
2386321 SIMVASTATIN TAB 40MG 40 MG
2405172 AURO-SIMVASTATIN TAB 40MG 40 MG
2470004 PHARMA-SIMVASTATIN TAB 40MG PMS07 40 MG
2480085 AG-SIMVASTATIN TAB 40MG 40 MG
SIMVASTATIN 5 MG2247011 APO-SIMVASTATIN TAB 5MG APX08 5 MG
2250144 NOVO-SIMVASTATIN TAB 5MG 5 MG
2329131 RAN-SIMVASTATIN TAB 5MG 5 MG
2372932 MINT-SIMVASTATIN TAB 5MG 5 MG
2375591 JAMP-SIMVASTATIN TAB 5MG JPC10 5 MG
2386291 SIMVASTATIN TAB 5MG 5 MG
2405148 AURO-SIMVASTATIN TAB 5MG 5 MG
2469979 PHARMA-SIMVASTATIN TAB 5MG PMS07 5 MG
2480050 AG-SIMVASTATIN TAB 5MG 5 MG
SIMVASTATIN 80 MG2247015 APO-SIMVASTATIN TAB 80MG APX08 80 MG
2250187 NOVO-SIMVASTATIN TAB 80MG 80 MG
2329182 RAN-SIMVASTATIN TAB 80MG 80 MG
2372975 MINT-SIMVASTATIN TAB 80MG 80 MG
2375648 JAMP-SIMVASTATIN TAB 80MG JPC10 80 MG
2386348 SIMVASTATIN TAB 80MG 80 MG
2405180 AURO-SIMVASTATIN TAB 80MG 80 MG
2470012 PHARMA-SIMVASTATIN TAB 80MG PMS07 80 MG
2480093 AG-SIMVASTATIN TAB 80MG 80 MG
SODIUM POLYSTYRENE SULFONATESODIUM POLYSTYRENE SULFONATE 94.3 MG/G
755338 PMS-SOD POLYSTERENE SULF PWD 94.3MG/GM 94.3 MG/G
2026961 KAYEXALATE PWD 100% 94.3 MG/G
SOLIFENACIN SUCCINATE
SOLIFENACIN SUCCINATE 10 MG2277271 VESICARE TAB 10MG 10 MG
2397919 TEVA-SOLIFENACIN TAB 10MG 10 MG
2399040 SANDOZ SOLIFENACIN TAB 10MG 10 MG
2417731 PMS SOLIFENACIN TAB 10MG PMS07 10 MG
2424347 JAMP-SOLIFENACIN TAB 10MG JPC10 10 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 113
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2437996 RAN-SOLIFENACIN TAB 10MG 10 MG
2446383 AURO-SOLIFENACIN TAB 10MG 10 MG
2458268 SOLIFENACIN TAB 10MG 10 MG
SOLIFENACIN SUCCINATE 5 MG2277263 VESICARE TAB 5MG 5 MG
2397900 TEVA-SOLIFENACIN TAB 5MG 5 MG
2399032 SANDOZ SOLIFENACIN TAB 5MG 5 MG
2417723 PMS-SOLIFENACIN TAB 5MG PMS07 5 MG
2424339 JAMP-SOLIFENACIN TAB 5MG JPC10 5 MG
2437988 RAN-SOLIFENACIN TAB 5MG 5 MG
2446375 AURO-SOLIFENACIN TAB 5MG 5 MG
2458241 SOLIFENACIN TAB 5MG 5 MG
SOTALOL HYDROCHLORIDE
SOTALOL HYDROCHLORIDE 160 MG2167794 APO-SOTALOL TAB 160MG APX08 160 MG
2238327 PMS-SOTALOL TAB 160MG PMS07 160 MG
2368625 JAMP-SOTALOL TAB 160MG JPC10 160 MG
SOTALOL HYDROCHLORIDE 80 MG2210428 APO-SOTALOL TAB 80MG APX08 80 MG
2238326 PMS-SOTALOL TAB 80MG PMS07 80 MG
2368617 JAMP-SOTALOL TAB 80MG JPC10 80 MG
SPIRONOLACTONE
SPIRONOLACTONE 100 MG285455 ALDACTONE TAB 100MG PFI07 100 MG
613223 NOVO-SPIROTON TAB 100MG 100 MG
2488159 MINT-SPIRONOLACTONE TAB 100MG 100 MG
SPIRONOLACTONE 25 MG28606 ALDACTONE TAB 25MG PFI07 25 MG
613215 NOVO-SPIROTON TAB 25MG 25 MG
2488140 MINT-SPIRONOLACTONE TAB 25MG 25 MG
SUCRALFATE
SUCRALFATE 1 GM2045702 NOVO-SUCRALATE TAB 1GM 1 GM
2100622 SULCRATE TAB 1GM 1 GM
2125250 APO-SUCRALFATE TAB 1GM APX08 1 GM
SUMATRIPTAN SUCCINATESUMATRIPTAN SUCCINATE 100 MG
2212161 IMITREX TAB 100MG 100 MG
2239367 NOVO-SUMATRIPTAN TAB 100MG 100 MG
2256444 PMS-SUMATRIPTAN TAB 100MG PMS07 100 MG
2263033 SANDOZ-SUMATRIPTAN TAB 100MG 100 MG
2268396 APO-SUMATRIPTAN TAB 100MG APX08 100 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 114
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2268922 MYLAN-SUMATRIPTAN TAB 100MG 100 MG
2286548 SUMATRIPTAN TAB 100MG 100 MG
2286831 NOVO-SUMATRIPTAN DF TAB 100MG 100 MG
2385589 SUMATRIPTAN DF TAB 100MG 100 MG
SUMATRIPTAN SUCCINATE 12 MG/ML2212188 IMITREX INJ LIQ 12MG/ML 12 MG/ML
2361698 SUMATRIPTAN SUN INJECTION SOL 6MG/0.5ML TAR08 12 MG/ML
SUMATRIPTAN SUCCINATE 25 MG2256428 PMS-SUMATRIPTAN TAB 25MG PMS07 25 MG
2268906 MYLAN-SUMATRIPTAN TAB 25MG 25 MG
2286815 NOVO-SUMATRIPTAN DF TAB 25MG 25 MG
SUMATRIPTAN SUCCINATE 50 MG2212153 IMITREX TAB 50MG 50 MG
2256436 PMS-SUMATRIPTAN TAB 50MG PMS07 50 MG
2263025 SANDOZ-SUMATRIPTAN TAB 50MG 50 MG
2268388 APO-SUMATRIPTAN TAB 50MG APX08 50 MG
2268914 MYLAN-SUMATRIPTAN TAB 50MG 50 MG
2286521 SUMATRIPTAN TAB 50MG 50 MG
2286823 NOVO-SUMATRIPTAN DF TAB 50MG 50 MG
2385570 SUMATRIPTAN DF TAB 50MG 50 MG
TADALAFILTADALAFIL 20 MG
2338327 ADCIRCA TAB 20MG LIL08 20 MG
2421933 APO-TADALAFIL PAH TAB 20MG APX08 20 MG
TAMOXIFEN CITRATETAMOXIFEN CITRATE 10 MG
812404 APO-TAMOX TAB 10MG APX08 10 MG
851965 NOVO-TAMOXIFEN TAB 10MG 10 MG
TAMOXIFEN CITRATE 20 MG812390 APO-TAMOX TAB 20MG APX08 20 MG
851973 NOVO-TAMOXIFEN TAB 20MG 20 MG
2048485 NOLVADEX-D TAB 20MG AZC08 20 MG
TAMSULOSIN HYDROCHLORIDE
TAMSULOSIN HYDROCHLORIDE 0.4 MG2294265 RATIO-TAMSULOSIN CAP-ER 0.4MG 0.4 MG
2319217 SANDOZ TAMSULOSIN CAP 0.4MG 0.4 MG
TAMSULOSIN HYDROCHLORIDE 0.4 MG (TAB-ER)2270102 FLOMAX CR TAB-ER 0.4MG BOE07 0.4 MG (TAB-ER)
2340208 SANDOZ TAMSULOSIN CR TAB-ER 0.4MG 0.4 MG (TAB-ER)
2362406 APO-TAMSULOSIN CR TAB-ER 0.4MG APX08 0.4 MG (TAB-ER)
2368242 TEVA-TAMSULOSIN CR TAB-ER 0.4MG 0.4 MG (TAB-ER)
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 115
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2427117 TAMSULOSIN CR TAB-ER 0.4MG 0.4 MG (TAB-ER)
2429667 TAMSULOSIN CR TAB-ER 0.4MG 0.4 MG (TAB-ER)
TELMISARTANTELMISARTAN 40 MG
2240769 MICARDIS 40MG TAB BOE07 40 MG
2320177 TEVA-TELMISARTAN TAB 40MG 40 MG
2375958 SANDOZ TELMISARTAN TAB 40MG 40 MG
2388944 TELMISARTAN TAB 40MG 40 MG
2390345 TELMISARTAN TAB 40MG 40 MG
2407485 TELMISARTAN TABLETS 40MG 40 MG
2453568 AURO-TELMISARTAN TAB 40MG 40 MG
2486369 MINT-TELMISARTAN TAB 40MG 40 MG
TELMISARTAN 80 MG2240770 MICARDIS 80MG TAB BOE07 80 MG
2320185 TEVA-TELMISARTAN TAB 80MG 80 MG
2375966 SANDOZ TELMISARTAN TAB 80MG 80 MG
2388952 TELMISARTAN TAB 80MG 80 MG
2390353 TELMISARTAN TAB 80MG 80 MG
2407493 TELMISARTAN TABLETS 80MG 80 MG
2453576 AURO-TELMISARTAN TAB 80MG 80 MG
2486377 MINT-TELMISARTAN TAB 80MG 80 MG
TEMOZOLOMIDE
TEMOZOLOMIDE 100 MG2241095 TEMODAL CAP 100MG 100 MG
2395282 CO TEMOZOLOMIDE CAP 100MG 100 MG
2443511 TARO-TEMOZOLOMIDE CAP 100MG TAR08 100 MG
TEMOZOLOMIDE 140 MG2312794 TEMODAL CAP 140MG 140 MG
2395290 CO TEMOZOLOMIDE CAP 140MG 140 MG
2443538 TARO-TEMOZOLOMIDE CAP 140MG TAR08 140 MG
TEMOZOLOMIDE 20 MG2241094 TEMODAL CAP 20MG 20 MG
2395274 CO TEMOZOLOMIDE CAP 20MG 20 MG
2443481 TARO-TEMOZOLOMIDE CAP 20MG TAR08 20 MG
TEMOZOLOMIDE 250 MG2241096 TEMODAL CAP 250MG 250 MG
2395312 CO TEMOZOLOMIDE CAP 250MG 250 MG
2443554 TARO-TEMOZOLOMIDE CAP 250MG TAR08 250 MG
TEMOZOLOMIDE 5 MG2241093 TEMODAL CAP 5MG 5 MG
2441160 ACT TEMOZOLOMIDE CAP 5MG 5 MG
2443473 TARO-TEMOZOLOMIDE CAP 5MG TAR08 5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 116
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthTENOFOVIR DISOPROXIL
TENOFOVIR DISOPROXIL 300 MG2247128 VIREAD TAB 245MG 300 MG
2403889 TEVA-TENOFOVIR DISOPROXIL TAB 300MG 300 MG
2451980 APO-TENOFOVIR DISOPROXIL TAB 300MG APX08 300 MG
2452634 MYLAN-TENOFOVIR DISOPROXIL TAB 300MG 300 MG
2453940 PMS-TENOFOVIR DISOPROXIL TAB 300MG PMS07 300 MG
2460173 AURO-TENOFOVIR DISOPROXIL TAB 300MG 300 MG
2472511 NAT-TENOFOVIR DISOPROXIL FUMARATE TAB 300MG 300 MG
2479087 JAMP-TENOFOVIR TAB 300MG JPC10 300 MG
TENOFOVIR DISOPROXIL / EMTRICITABINETENOFOVIR DISOPROXIL / EMTRICITABINE 300 MG / 200 MG
2274906 TRUVADA TAB 200MG/300MG 300 MG / 200 MG
2399059 TEVA-EMTRICITABINE/TENOFOVIR DISOPROXIL TAB 200MG/300MG
300 MG / 200 MG
2443902 MYLAN-EMTRICITABINE/TENOFOVIR DISOPROXIL TAB 200MG/300MG
300 MG / 200 MG
2452006 APO-EMTRICITABINE-TENOFOVIR TAB 200MG/300MG APX08 300 MG / 200 MG
2461110 PMS-EMTRICITABINE/TENOFOVIR DISOPROXIL TAB 200MG/300MG
PMS07 300 MG / 200 MG
2487012 JAMP EMTRICITABINE/TENOFOVIR DISOPROXIL FUMARATE TAB 200MG/300MG
JPC10 300 MG / 200 MG
TERAZOSIN HYDROCHLORIDE
TERAZOSIN HYDROCHLORIDE 1 MG2230805 NOVO-TERAZOSIN TAB 1MG 1 MG
2234502 APO-TERAZOSIN TAB 1MG APX08 1 MG
2243518 PMS-TERAZOSIN TAB 1MG PMS07 1 MG
2350475 TERAZOSIN TAB 1MG 1 MG
TERAZOSIN HYDROCHLORIDE 10 MG2230808 NOVO-TERAZOSIN TAB 10MG 10 MG
2234505 APO-TERAZOSIN TAB 10MG APX08 10 MG
2243521 PMS-TERAZOSIN TAB 10MG PMS07 10 MG
2350505 TERAZOSIN TAB 10MG 10 MG
TERAZOSIN HYDROCHLORIDE 2 MG2230806 NOVO-TERAZOSIN TAB 2MG 2 MG
2234503 APO-TERAZOSIN TAB 2MG APX08 2 MG
2243519 PMS-TERAZOSIN TAB 2MG PMS07 2 MG
2350483 TERAZOSIN TAB 2MG 2 MG
TERAZOSIN HYDROCHLORIDE 5 MG2230807 NOVO-TERAZOSIN TAB 5MG 5 MG
2234504 APO-TERAZOSIN TAB 5MG APX08 5 MG
2243520 PMS-TERAZOSIN TAB 5MG PMS07 5 MG
2350491 TERAZOSIN TAB 5MG 5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 117
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthTERBINAFINE HYDROCHLORIDE
TERBINAFINE HYDROCHLORIDE 250 MG2031116 LAMISIL TAB 250MG NVR07 250 MG
2239893 APO-TERBINAFINE TAB 250MG APX08 250 MG
2254727 CO-TERBINAFINE TAB 250MG 250 MG
2294273 PMS-TERBINAFINE TAB 250MG PMS07 250 MG
2320134 AURO-TERBINAFINE TAB 250MG 250 MG
2353121 TERBINAFINE TAB 250MG 250 MG
2385279 TERBINAFINE TAB 250MG 250 MG
TESTOSTERONE UNDECANOATE
TESTOSTERONE UNDECANOATE 40 MG2322498 PMS-TESTOSTERONE UNDECANOATE CAP 40MG PMS07 40 MG
2421186 TARO-TESTOSTERONE CAP 40MG TAR08 40 MG
TETRABENAZINETETRABENAZINE 25 MG
2199270 NITOMAN TAB 25MG 25 MG
2402424 PMS-TETRABENAZINE TAB 25MG PMS07 25 MG
2407590 APO-TETRABENAZINE TAB 25MG APX08 25 MG
2410338 TETRABENAZINE TABLETS 25MG RAX08 25 MG
THEOPHYLLINE
THEOPHYLLINE 400 MG2014165 UNIPHYL SRT TAB-ER 400MG PFR08 400 MG
2360101 THEO ER TAB-ER 400MG 400 MG
THEOPHYLLINE 600 MG2014181 UNIPHYL SRT TAB-ER 600MG PFR08 600 MG
2360128 THEO ER TAB-ER 600MG 600 MG
THIAMAZOLE
THIAMAZOLE 5 MG15741 TAPAZOLE TAB 5MG PIA08 5 MG
2480107 MAR-METHIMAZOLE TAB 5MG 5 MG
2490625 JAMP METHIMAZOLE TAB 5MG JPC10 5 MG
TIMOLOL MALEATETIMOLOL MALEATE 0.25 %
2166712 SANDOZ-TIMOLOL OPH LIQ 0.25% 0.25 %
2171880 TIMOPTIC-XE OPH SOL-LA 0.25% PFR08 0.25 %
TIMOLOL MALEATE 0.5%451207 TIMOPTIC OPH DPS 0.5% PFR08 0.5%
755834 APO-TIMOP LIQ 0.5% APX08 0.5%
2166720 SANDOZ-TIMOLOL OPH LIQ 0.5% 0.5%
2447800 JAMP-TIMOLOL OPH SOL 5MG/ML JPC10 0.5%
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 118
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthTIMOLOL MALEATE 0.5% (XE)
2171899 TIMOPTIC-XE OPH SOL-LA 0.5% PFR08 0.5% (XE)
2242276 TIMOLOL MALEATE (GEL FORMING SOLUTION) OPH LIQ 0.5%
0.5% (XE)
TIMOLOL MALEATE / TRAVOPROST
TIMOLOL MALEATE / TRAVOPROST 0.5 / 0.004 %2278251 DUOTRAV OPH SOL 0.004%/0.5% NVR07 0.5 / 0.004 %
2415305 APO-TRAVOPROST-TIMOP OPH SOL 0.5%/0.004% APX08 0.5 / 0.004 %
TOBRAMYCIN
TOBRAMYCIN 0.30%513962 TOBREX OPH LIQ 0.3% NVR07 0.30%
2241755 SANDOZ-TOBRAMYCIN OPH LIQ 0.3% 0.30%
TOBRAMYCIN SULFATE
TOBRAMYCIN SULFATE 300 MG / 5 ML2239630 TOBI LIQ 300MG/5ML NVR07 300 MG / 5 ML
2389622 TEVA-TOBRAMYCIN SOL 60MG/ML 300 MG / 5 ML
2443368 TOBRAMYCIN INHALATION SOLUTION 300MG/5ML 300 MG / 5 ML
TOLTERODINE L-TARTRATE
TOLTERODINE L-TARTRATE 2 MG2244612 DETROL LA CAP-SR 2MG PFI07 2 MG
2404184 MYLAN-TOLTERODINE ER CAP-ER 2MG 2 MG
2412195 TEVA-TOLTERODINE LA CAP-ER 2MG 2 MG
2413140 SANDOZ TOLTERODINE LA CAP-ER 2MG 2 MG
TOLTERODINE L-TARTRATE 4 MG2244613 DETROL LA CAP-SR 4MG PFI07 4 MG
2404192 MYLAN-TOLTERODINE ER CAP-ER 4MG 4 MG
2412209 TEVA-TOLTERODINE LA CAP-ER 4MG 4 MG
2413159 SANDOZ TOLTERODINE LA CAP-ER 4MG 4 MG
TOLTERODINE TARTRATE
TOLTERODINE TARTRATE 1 MG2239064 DETROL TAB 1MG PFI07 1 MG
2299593 TEVA-TOLTERODINE TAB 1MG 1 MG
2423308 MINT-TOLTERODINE TAB 1MG 1 MG
TOLTERODINE TARTRATE 2 MG2239065 DETROL TAB 2MG PFI07 2 MG
2423316 MINT-TOLTERODINE TAB 2MG 2 MG
TOPIRAMATETOPIRAMATE 100 MG
2230894 TOPAMAX TAB 100MG JSO08 100 MG
2248861 NOVO-TOPIRAMATE TAB 100MG 100 MG
2263009 PMS-TOPIRAMATE TAB 100MG PMS07 100 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 119
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2263378 MYLAN-TOPIRAMATE TAB 100MG 100 MG
2279630 APO-TOPIRAMATE TAB 100MG APX08 100 MG
2315653 MINT-TOPIRAMATE TAB 100MG 100 MG
2345838 AURO-TOPIRAMATE TAB 100MG 100 MG
2356864 TOPIRAMATE TAB 100MG 100 MG
2389487 TOPIRAMATE TAB 100MG 100 MG
2395746 TOPIRAMATE TABLETS TAB 100MG 100 MG
2431815 SANDOZ TOPIRAMATE TAB 100MG 100 MG
2435616 JAMP-TOPIRAMATE TAB 100MG JPC10 100 MG
TOPIRAMATE 200 MG2230896 TOPAMAX TAB 200MG JSO08 200 MG
2248862 NOVO-TOPIRAMATE TAB 200MG 200 MG
2263017 PMS-TOPIRAMATE TAB 200MG PMS07 200 MG
2263386 MYLAN-TOPIRAMATE TAB 200MG 200 MG
2279649 APO-TOPIRAMATE TAB 200MG APX08 200 MG
2315661 MINT-TOPIRAMATE TAB 200MG 200 MG
2345846 AURO-TOPIRAMATE TAB 200MG 200 MG
2356872 TOPIRAMATE TAB 200MG 200 MG
2395754 TOPIRAMATE TABLETS TAB 200MG 200 MG
2431823 SANDOZ TOPIRAMATE TAB 200MG 200 MG
2435624 JAMP-TOPIRAMATE TAB 200MG JPC10 200 MG
TOPIRAMATE 25 MG2230893 TOPAMAX TAB 25MG JSO08 25 MG
2248860 NOVO-TOPIRAMATE TAB 25MG 25 MG
2262991 PMS-TOPIRAMATE TAB 25MG PMS07 25 MG
2263351 MYLAN-TOPIRAMATE TAB 25MG 25 MG
2279614 APO-TOPIRAMATE TAB 25MG APX08 25 MG
2315645 MINT-TOPIRAMATE TAB 25MG 25 MG
2345803 AURO-TOPIRAMATE TAB 25MG 25 MG
2356856 TOPIRAMATE TAB 25MG 25 MG
2389460 TOPIRAMATE TAB 25MG 25 MG
2395738 TOPIRAMATE TABLETS TAB 25MG 25 MG
2431807 SANDOZ TOPIRAMATE TAB 25MG 25 MG
2435608 JAMP-TOPIRAMATE TAB 25MG JPC10 25 MG
TRANDOLAPRIL
TRANDOLAPRIL 0.5 MG2231457 MAVIK CAP 0.5MG 0.5 MG
2325721 SANDOZ TRANDOLAPRIL CAP 0.5MG 0.5 MG
2357755 PMS-TRANDOLAPRIL CAP 0.5MG PMS07 0.5 MG
2415429 TEVA-TRANDOLAPRIL CAP 0.5MG 0.5 MG
2471868 AURO-TRANDOLAPRIL CAP 0.5MG 0.5 MG
TRANDOLAPRIL 1 MG2231459 MAVIK CAP 1MG 1 MG
2325748 SANDOZ TRANDOLAPRIL CAP 1MG 1 MG
2357763 PMS-TRANDOLAPRIL CAP 1MG PMS07 1 MG
2415437 TEVA-TRANDOLAPRIL CAP 1MG 1 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 120
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2471876 AURO-TRANDOLAPRIL CAP 1MG 1 MG
TRANDOLAPRIL 2 MG2231460 MAVIK CAP 2MG 2 MG
2325756 SANDOZ TRANDOLAPRIL CAP 2MG 2 MG
2357771 PMS-TRANDOLAPRIL CAP 2MG PMS07 2 MG
2415445 TEVA-TRANDOLAPRIL CAP 2MG 2 MG
2471884 AURO-TRANDOLAPRIL CAP 2MG 2 MG
TRANDOLAPRIL 4 MG2239267 MAVIK CAP 4MG 4 MG
2325764 SANDOZ TRANDOLAPRIL CAP 4MG 4 MG
2357798 PMS-TRANDOLAPRIL CAP 4MG PMS07 4 MG
2415453 TEVA-TRANDOLAPRIL CAP 4MG 4 MG
2471892 AURO-TRANDOLAPRIL CAP 4MG 4 MG
TRANEXAMIC ACIDTRANEXAMIC ACID 500 MG
2064405 CYKLOKAPRON TAB 500MG PFI07 500 MG
2401231 TRANEXAMIC ACID TABLETS TAB 500MG RAX08 500 MG
2409097 GD-TRANEXAMIC ACID TAB 500MG 500 MG
2496232 MAR-TRANEXAMIC ACID TAB 500MG 500 MG
TRAVOPROST
TRAVOPROST 0.004 %2318008 TRAVATAN Z OPH SOL 0.004% NVR07 0.004 %
2413167 SANDOZ TRAVOPROST SOL 0.004% 0.004 %
2415739 APO-TRAVOPROST Z SOL 0.004% APX08 0.004 %
TRAZODONE HYDROCHLORIDETRAZODONE HYDROCHLORIDE 100 MG
1937235 PMS-TRAZODONE HCL TAB 100MG PMS07 100 MG
2144271 NOVO-TRAZODONE TAB 100MG 100 MG
2147645 APO-TRAZODONE TAB 100MG APX08 100 MG
2348780 TRAZODONE TAB 100MG 100 MG
TRAZODONE HYDROCHLORIDE 150 MG2144298 NOVO-TRAZODONE TAB 150MG 150 MG
2147653 APO-TRAZODONE D TAB 150MG APX08 150 MG
2348799 TRAZODONE TAB 150MG 150 MG
TRAZODONE HYDROCHLORIDE 50 MG1937227 PMS-TRAZODONE HCL TAB 50MG PMS07 50 MG
2144263 NOVO-TRAZODONE TAB 50MG 50 MG
2147637 APO-TRAZODONE TAB 50MG APX08 50 MG
2348772 TRAZODONE TAB 50MG 50 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 121
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthTRIAMCINOLONE ACETONIDE
TRIAMCINOLONE ACETONIDE 0.1% (CRM)716960 TRIADERM CRM 0.1% TAR08 0.1% (CRM)
2194058 ARISTOCORT R CRM 0.1% 0.1% (CRM)
TRIAMCINOLONE ACETONIDE 40 MG/ML1977563 TRIAMCINOLONE ACETONIDE INJ SUSP 40MG/ML RAX08 40 MG/ML
1999869 KENALOG-40 INJ SUSP 40MG/ML BQC07 40 MG/ML
TRIAMCINOLONE ACETONIDE 55 MCG2213834 NASACORT AQ NAS LIQ 55MCG/DOSE 55 MCG
2437635 APO-TRIAMCINOLONE AQ NAS SPR 55MCG APX08 55 MCG
TRIMETHOPRIM / POLYMYXIN BTRIMETHOPRIM / POLYMYXIN B 1 MG / 10000 UNIT / ML
2011956 POLYTRIM OPH LIQ ALL07 1 MG / 10000 UNIT / ML
2239234 TRIMETHOPRIM AND POLYMYXIN B SULFATE OPH SOL 1 MG / 10000 UNIT / ML
TRIMETHOPRIM / SULFAMETHOXAZOLE
TRIMETHOPRIM / SULFAMETHOXAZOLE 80 MG / 400 MG445274 APO-SULFATRIM TAB 80MG APX08 80 MG / 400 MG
510637 NOVO-TRIMEL TAB 80MG 80 MG / 400 MG
TROSPIUM CHLORIDE
TROSPIUM CHLORIDE 20 MG2275066 TROSEC TAB 20MG 20 MG
2488353 MAR-TROSPIUM TAB 20MG 20 MG
TRYPTOPHANTRYPTOPHAN 1 GM
654531 TRYPTAN TAB 1000MG 1 GM
2237250 TEVA-TRYPTOPHAN TAB 1G 1 GM
2248539 APO-TRYPTOPHAN TAB 1GM APX08 1 GM
TRYPTOPHAN 500 MG (CAP)718149 TRYPTAN CAP 500MG 500 MG (CAP)
2240334 TEVA-TRYPTOPHAN CAP 500MG 500 MG (CAP)
2248540 APO-TRYPTOPHAN CAP 500MG APX08 500 MG (CAP)
TRYPTOPHAN 500 MG (TAB)2029456 TRYPTAN TAB 500MG 500 MG (TAB)
2240333 RATIO-TRYPTOPHAN TAB 500MG 500 MG (TAB)
2248538 APO-TRYPTOPHAN TAB 500MG APX08 500 MG (TAB)
TRYPTOPHAN 750 MG2239327 TRYPTAN TAB 750MG 750 MG
2458721 APO-TRYPTOPHAN TAB 750MG APX08 750 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 122
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthURSODIOL
URSODIOL 250 MG2238984 URSO TAB 250MG 250 MG
2273497 PMS-URSODIOL C TAB 250MG PMS07 250 MG
2426900 URSODIOL TAB-IR 250MG 250 MG
2472392 JAMP-URSODIOL TAB 250MG JPC10 250 MG
URSODIOL 500 MG2245894 URSO DS TAB 500MG 500 MG
2273500 PMS-URSODIOL C TAB 500MG PMS07 500 MG
2426919 URSODIOL TAB-IR 500MG 500 MG
2472406 JAMP-URSODIOL TAB 500MG JPC10 500 MG
VALACYCLOVIR HYDROCHLORIDEVALACYCLOVIR HYDROCHLORIDE 1000 MG
2246559 VALTREX TAB 1GM 1000 MG
2351560 MYLAN-VALACYCLOVIR TAB 1000MG 1000 MG
2354705 APO-VALACYCLOVIR TAB 1000 MG APX08 1000 MG
2381230 PMS-VALACYCLOVIR TAB 1000MG PMS07 1000 MG
VALACYCLOVIR HYDROCHLORIDE 500 MG2219492 VALTREX TAB 500MG 500 MG
2295822 APO-VALACYCLOVIR TAB 500MG APX08 500 MG
2298457 PMS-VALCYCLOVIR TAB 500MG PMS07 500 MG
2347091 SANDOZ VALACYCLOVIR TAB 500MG 500 MG
2351579 MYLAN-VALACYCLOVIR TAB 500MG 500 MG
2357534 NOVO-VALACYCLOVIR TAB 500MG 500 MG
2405040 AURO-VALACYCLOVIR TAB 500MG 500 MG
2441454 JAMP-VALACYCLOVIR TAB 500MG JPC10 500 MG
2442000 VALACYCLOVIR TAB 500MG 500 MG
2454645 VALACYCLOVIR TAB 500MG 500 MG
VALGANCICLOVIR HYDROCHLORIDE
VALGANCICLOVIR HYDROCHLORIDE 450 MG2245777 VALCYTE TAB 450MG HLR07 450 MG
2413825 TEVA-VALGANCICLOVIR TAB 450MG 450 MG
2435179 AURO-VALGANCICLOVIR TAB 450MG 450 MG
2495457 MINT-VALGANCICLOVIR TAB 450MG 450 MG
VALPROIC ACID
VALPROIC ACID 250 MG2230768 PMS-VALPROIC ACID CAP 250MG PMS07 250 MG
2238048 APO-VALPROIC CAP 250MG APX08 250 MG
VALPROIC ACID 50 MG/ML443832 DEPAKENE SYR 50MG/ML 50 MG/ML
2236807 PMS-VALPROIC ACID SYR 250MG/5ML PMS07 50 MG/ML
2238370 APO-VALPROIC SYR 50MG/ML APX08 50 MG/ML
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 123
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthVALSARTAN
VALSARTAN 160 MG2244782 DIOVAN TAB 160MG NVR07 160 MG
2356678 TEVA-VALSARTAN TAB 160MG 160 MG
2356767 SANDOZ VALSARTAN TAB 160MG 160 MG
2363119 RAN-VALSARTAN TAB 160MG 160 MG
2366967 VALSARTAN TAB 160MG 160 MG
2414236 AURO-VALSARTAN TAB 160MG 160 MG
VALSARTAN 320 MG2289504 DIOVAN TAB 320MG NVR07 320 MG
2356686 TEVA-VALSARTAN TAB 320MG 320 MG
2356775 SANDOZ VALSARTAN TAB 320MG 320 MG
2366975 VALSARTAN TAB 320MG 320 MG
2414244 AURO-VALSARTAN TAB 320MG 320 MG
VALSARTAN 40 MG2270528 DIOVAN TAB 40MG NVR07 40 MG
2356643 TEVA-VALSARTAN TAB 40MG 40 MG
2356740 SANDOZ VALSARTAN TAB 40MG 40 MG
2363062 RAN-VALSARTAN TAB 40MG 40 MG
2366940 VALSARTAN TAB 40MG 40 MG
2414201 AURO-VALSARTAN TAB 40MG 40 MG
VALSARTAN 80 MG2244781 DIOVAN TAB 80MG NVR07 80 MG
2356651 TEVA-VALSARTAN TAB 80MG 80 MG
2356759 SANDOZ VALSARTAN TAB 80MG 80 MG
2363100 RAN-VALSARTAN TAB 80MG 80 MG
2366959 VALSARTAN TAB 80MG 80 MG
2414228 AURO-VALSARTAN TAB 80MG 80 MG
VANCOMYCIN HYDROCHLORIDE
VANCOMYCIN HYDROCHLORIDE 125 MG800430 VANCOCIN CAP 125MG 125 MG
2407744 JAMP-VANCOMYCIN CAP 125MG JPC10 125 MG
VANCOMYCIN HYDROCHLORIDE 250 MG788716 VANCOCIN CAP 250MG 250 MG
2407752 JAMP-VANCOMYCIN CAP 250MG JPC10 250 MG
VARENICLINE TARTRATEVARENICLINE TARTRATE 0.5 MG
2291177 CHAMPIX TAB 0.5MG PFI07 0.5 MG
2419882 APO-VARENICLINE TAB 0.5MG APX08 0.5 MG
2426226 ACT VARENICLINE TAB 0.5MG 0.5 MG
VARENICLINE TARTRATE 0.5 MG / 1 MG2298309 CHAMPIX INITIAL DOSING PACK 0.5/1MG PFI07 0.5 MG / 1 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 124
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2426781 ACT VARENICLINE TAB KIT 0.5MG/1MG 0.5 MG / 1 MG
2435675 APO-VARENICLINE TAB KIT 0.5MG/1MG APX08 0.5 MG / 1 MG
VARENICLINE TARTRATE 1 MG2291185 CHAMPIX TAB 1MG PFI07 1 MG
2419890 APO-VARENICLINE TAB 1MG APX08 1 MG
2426234 ACT VARENICLINE TAB 1MG 1 MG
VENLAFAXINE HYDROCHLORIDEVENLAFAXINE HYDROCHLORIDE 150 MG
2237282 EFFEXOR XR CAP-SR 150MG PFI07 150 MG
2275058 NOVO-VENLAFAXINE XR CAP-ER 150MG 150 MG
2278561 PMS-VENLAFAXINE XR CAP-ER 150MG PMS07 150 MG
2304333 CO-VENLAFAXINE XR CAP-ER 150MG 150 MG
2310333 SANDOZ-VENLAFAXINE XR CAP-ER 150MG 150 MG
2331705 APO-VENLAFAXINE XR CAP-ER 150MG APX08 150 MG
2354748 VENLAFAXINE XR CAP-ER 150MG 150 MG
2380099 RAN-VENLAFAXINE XR CAP-ER 150MG 150 MG
2385945 VENLAFAXINE XR CAP-ER 150MG 150 MG
2452855 AURO-VENLAFAXINE XR CAP-ER 150MG 150 MG
VENLAFAXINE HYDROCHLORIDE 37.5 MG2237279 EFFEXOR XR CAP-SR 37.5MG PFI07 37.5 MG
2275023 NOVO-VENLAFAXINE XR CAP-ER 37.5MG 37.5 MG
2278545 PMS-VENLAFAXINE XR CAP-ER 37.5MG PMS07 37.5 MG
2304317 CO-VENLAFAXINE XR CAP-ER 37.5MG 37.5 MG
2310317 SANDOZ-VENLAFAXINE XR CAP-ER 37.5MG 37.5 MG
2331683 APO-VENLAFAXINE XR CAP-ER 37.5MG APX08 37.5 MG
2354713 VENLAFAXINE XR CAP-ER 37.5MG 37.5 MG
2380072 RAN-VENLAFAXINE XR CAP-ER 37.5MG 37.5 MG
2385929 VENLAFAXINE XR CAP-ER 37.5MG 37.5 MG
2452839 AURO-VENLAFAXINE XR CAP-ER 37.5MG 37.5 MG
VENLAFAXINE HYDROCHLORIDE 75 MG2237280 EFFEXOR XR CAP-SR 75MG PFI07 75 MG
2275031 NOVO-VENLAFAXINE XR CAP-ER 75MG 75 MG
2278553 PMS-VENLAFAXINE XR CAP-ER 75MG PMS07 75 MG
2304325 CO-VENLAFAXINE XR CAP-ER 75MG 75 MG
2310325 SANDOZ-VENLAFAXINE XR CAP-ER 75MG 75 MG
2331691 APO-VENLAFAXINE XR CAP-ER 75MG APX08 75 MG
2354721 VENLAFAXINE XR CAP-ER 75MG 75 MG
2380080 RAN-VENLAFAXINE XR CAP-ER 75MG 75 MG
2385937 VENLAFAXINE XR CAP-ER 75MG 75 MG
2452847 AURO-VENLAFAXINE XR CAP-ER 75MG 75 MG
VERAPAMIL HYDROCHLORIDEVERAPAMIL HYDROCHLORIDE 120 MG
782491 APO-VERAP TAB 120MG APX08 120 MG
2237922 MYLAN-VERAPAMIL TAB 120MG 120 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 125
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthVERAPAMIL HYDROCHLORIDE 120 MG (SR)
1907123 ISOPTIN SR TAB-ER 120MG 120 MG (SR)
2210347 MYLAN-VERAPAMIL SR TAB-ER 120MG 120 MG (SR)
2246893 APO-VERAP SR TAB-ER 120MG APX08 120 MG (SR)
VERAPAMIL HYDROCHLORIDE 180 MG (SR)1934317 ISOPTIN SR TAB-ER 180MG 180 MG (SR)
2246894 APO-VERAP SR TAB-ER 180MG APX08 180 MG (SR)
2450488 MYLAN-VERAPAMIL SR TAB-ER 180MG 180 MG (SR)
VERAPAMIL HYDROCHLORIDE 240 MG (SR)742554 ISOPTIN SR TAB-ER 240MG 240 MG (SR)
2246895 APO-VERAP SR TAB-ER 240MG APX08 240 MG (SR)
2450496 MYLAN-VERAPAMIL SR TAB-ER 240MG 240 MG (SR)
VERAPAMIL HYDROCHLORIDE 80 MG782483 APO-VERAP TAB 80MG APX08 80 MG
2237921 MYLAN-VERAPAMIL TAB 80MG 80 MG
VITAMIN B12VITAMIN B12 1 MG/ML
521515 B12 INJ LIQ 1000MCG/ML 1 MG/ML
1987003 CYANOCOBALAMIN INJ LIQ 1000MCG/ML RAX08 1 MG/ML
2413795 MYLAN-CYANOCOBALAMIN INJ 10000MCG/10ML 1 MG/ML
2420147 JAMP-CYANOCOBALAMIN INJ 1000MCG/ML JPC10 1 MG/ML
VITAMIN D3 / ALENDRONIC ACID
VITAMIN D3 / ALENDRONIC ACID 5600 UNIT / 70 MG2314940 FOSAVANCE TAB 70MG/5600UNIT 5600 UNIT / 70 MG
2403641 TEVA-ALENDRONATE-CHOLECALCIFEROL TAB 5600UNIT/70MG
5600 UNIT / 70 MG
2429160 SANDOZ ALENDRONATE/CHOLECALCIFEROL TAB 70MG/5600UNIT
5600 UNIT / 70 MG
2454475 APO-ALENDRONATE/VITAMIN D3 TAB 70MG/5600UNIT
APX08 5600 UNIT / 70 MG
VORICONAZOLE
VORICONAZOLE 200 MG2256479 VFEND TAB 200MG PFI07 200 MG
2396874 TEVA-VORICONAZOLE TAB 200MG 200 MG
2399253 SANDOZ VORICONAZOLE TAB 200MG 200 MG
VORICONAZOLE 50 MG2256460 VFEND TAB 50MG PFI07 50 MG
2396866 TEVA-VORICONAZOLE TAB 50MG 50 MG
2399245 SANDOZ VORICONAZOLE TAB 50MG 50 MG
WARFARIN SODIUM
WARFARIN SODIUM 1 MG1918311 COUMADIN TAB 1MG BQC07 1 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 126
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2242680 TARO-WARFARIN TAB 1MG TAR08 1 MG
2242924 APO-WARFARIN TAB 1MG APX08 1 MG
WARFARIN SODIUM 10 MG1918362 COUMADIN TAB 10MG BQC07 10 MG
2242687 TARO-WARFARIN TAB 10MG TAR08 10 MG
2242929 APO-WARFARIN TAB 10MG APX08 10 MG
WARFARIN SODIUM 2 MG1918338 COUMADIN TAB 2MG BQC07 2 MG
2242681 TARO-WARFARIN TAB 2MG TAR08 2 MG
2242925 APO-WARFARIN TAB 2MG APX08 2 MG
WARFARIN SODIUM 2.5 MG1918346 COUMADIN TAB 2.5MG BQC07 2.5 MG
2242682 TARO-WARFARIN TAB 2.5MG TAR08 2.5 MG
2242926 APO-WARFARIN TAB 2.5MG APX08 2.5 MG
WARFARIN SODIUM 3 MG2240205 COUMADIN TAB 3MG BQC07 3 MG
2242683 TARO-WARFARIN TAB 3MG TAR08 3 MG
2245618 APO-WARFARIN TAB 3MG APX08 3 MG
WARFARIN SODIUM 4 MG2007959 COUMADIN TAB 4MG BQC07 4 MG
2242684 TARO-WARFARIN TAB 4MG TAR08 4 MG
2242927 APO-WARFARIN TAB 4MG APX08 4 MG
WARFARIN SODIUM 5 MG1918354 COUMADIN TAB 5MG BQC07 5 MG
2242685 TARO-WARFARIN TAB 5MG TAR08 5 MG
2242928 APO-WARFARIN TAB 5MG APX08 5 MG
ZIDOVUDINEZIDOVUDINE 100 MG
1902660 RETROVIR (AZT) CAP 100MG 100 MG
1946323 APO-ZIDOVUDINE CAP 100MG APX08 100 MG
ZIDOVUDINE / LAMIVUDINE
ZIDOVUDINE / LAMIVUDINE 300 / 150 MG2239213 COMBIVIR TAB 300MG 300 / 150 MG
2375540 APO-LAMIVUDINE-ZIDOVUDINE TAB 300MG/150MG APX08 300 / 150 MG
2414414 AURO-LAMIVUDINE/ZIDOVUDINE TAB 300MG/150MG 300 / 150 MG
ZIPRASIDONE HYDROCHLORIDE MONOHYDRATEZIPRASIDONE HYDROCHLORIDE MONOHYDRATE 20 MG
2298597 ZELDOX CAP 20MG PFI07 20 MG
2449544 AURO-ZIPRASIDONE CAP 20MG 20 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 127
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Ingredient Name DIN/PIN Brand Name MFR Code StrengthZIPRASIDONE HYDROCHLORIDE MONOHYDRATE 40 MG
2298600 ZELDOX CAP 40MG PFI07 40 MG
2449552 AURO-ZIPRASIDONE CAP 40MG 40 MG
ZIPRASIDONE HYDROCHLORIDE MONOHYDRATE 60 MG2298619 ZELDOX CAP 60MG PFI07 60 MG
2449560 AURO-ZIPRASIDONE CAP 60MG 60 MG
ZIPRASIDONE HYDROCHLORIDE MONOHYDRATE 80 MG2298627 ZELDOX CAP 80MG PFI07 80 MG
2449579 AURO-ZIPRASIDONE CAP 80MG 80 MG
ZOLEDRONIC ACID MONOHYDRATE
ZOLEDRONIC ACID MONOHYDRATE 4 MG / 5 ML2248296 ZOMETA CONC INJ SOL 4MG/5ML NVR07 4 MG / 5 ML
2401606 ZOLEDRONIC ACID-Z SOL 4/5MG/ML 4 MG / 5 ML
2407639 ZOLEDRONIC ACID FOR INJECTION SOL 4MG/5ML 4 MG / 5 ML
2415186 TARO-ZOLEDRONIC ACID CONCENTRATE SOL 4MG/5ML
TAR08 4 MG / 5 ML
2422425 ZOLEDRONIC ACID FOR INJECTION CONCENTRATE SOL 4MG/5ML
4 MG / 5 ML
2444739 ZOLEDRONIC ACID FOR INJECTION SOL 4MG/5ML 4 MG / 5 ML
2472805 ZOLEDRONIC ACID FOR INJ SOL 4MG/5ML 4 MG / 5 ML
2482525 JAMP-ZOLEDRONIC ACID INJ SOL 4MG/5ML JPC10 4 MG / 5 ML
ZOLEDRONIC ACID MONOHYDRATE 5 MG / 100 ML2269198 ACLASTA INJ SOL 5MG/100ML NVR07 5 MG / 100 ML
2415100 TARO-ZOLEDRONIC ACID SOL 5MG/100ML TAR08 5 MG / 100 ML
2422433 ZOLEDRONIC ACID INJECTION SOL 5MG/VIAL 5 MG / 100 ML
ZOLMITRIPTAN
ZOLMITRIPTAN 2.5 MG2238660 ZOMIG TAB 2.5MG AZC08 2.5 MG
2313960 TEVA-ZOLMITRIPTAN TAB 2.5 MG 2.5 MG
2324229 PMS-ZOLMITRIPTAN TAB 2.5 MG PMS07 2.5 MG
2362988 SANDOZ ZOLMITRIPTAN TAB 2.5 MG 2.5 MG
2399458 MAR-ZOLMITRIPTAN TAB 2.5MG 2.5 MG
2419521 MINT-ZOLMITRIPTAN TAB 2.5MG 2.5 MG
2421534 NAT-ZOLMITRIPTAN TAB 2.5MG 2.5 MG
2421623 JAMP-ZOLMITRIPTAN TAB 2.5MG JPC10 2.5 MG
2458780 ZOLMITRIPTAN TAB 2.5MG 2.5 MG
2477106 JAMP ZOLMITRIPTAN TAB 2.5MG JPC10 2.5 MG
ZOLMITRIPTAN 2.5 MG (RD)2243045 ZOMIG RAPIMELT TAB 2.5MG AZC08 2.5 MG (RD)
2324768 PMS-ZOLMITRIPTAN ODT TAB 2.5MG PMS07 2.5 MG (RD)
2342545 TEVA-ZOLMITRIPTAN OD TAB 2.5MG 2.5 MG (RD)
2362996 SANDOZ ZOLMITRIPTAN ODT TAB 2.5 MG 2.5 MG (RD)
2428237 JAMP-ZOLMITRIPTAN ODT TAB-DISINT 2.5MG JPC10 2.5 MG (RD)
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 128
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Ingredient Name DIN/PIN Brand Name MFR Code Strength2442671 ZOLMITRIPTAN ODT TAB-DISINT 2.5MG 2.5 MG (RD)
ZOPICLONEZOPICLONE 5 MG
2216167 IMOVANE TAB 5MG 5 MG
2243426 PMS-ZOPICLONE TAB 5MG PMS07 5 MG
2245077 APO-ZOPICLONE TAB 5MG APX08 5 MG
2246534 RATIO-ZOPICLONE TAB 5MG 5 MG
2267918 RAN-ZOPICLONE TAB 5MG 5 MG
2344122 ZOPICLONE TAB 5MG 5 MG
2385821 ZOPICLONE TAB 5MG 5 MG
2386771 MAR-ZOPICLONE TAB 5MG 5 MG
2391716 MINT-ZOPICLONE TAB 5MG 5 MG
2406969 JAMP-ZOPICLONE TABLETS TAB 5MG JPC10 5 MG
ZOPICLONE 7.5 MG1926799 IMOVANE TAB 7.5MG 7.5 MG
2008203 RHOVANE TAB 7.5MG 7.5 MG
2218313 APO-ZOPICLONE TAB 7.5MG APX08 7.5 MG
2240606 PMS-ZOPICLONE TAB 7.5MG PMS07 7.5 MG
2242481 RATIO-ZOPICLONE TAB 7.5MG 7.5 MG
2267926 RAN-ZOPICLONE TAB 7.5MG 7.5 MG
2282445 GEN-ZOPICLONE TAB 7.5MG 7.5 MG
2385848 ZOPICLONE TAB 7.5MG 7.5 MG
2386798 MAR-ZOPICLONE TAB 7.5MG 7.5 MG
2391724 MINT-ZOPICLONE TAB 7.5MG 7.5 MG
2406977 JAMP-ZOPICLONE TABLETS TAB 7.5MG JPC10 7.5 MG
Please visit the NWT IC Formulary Website for a detailed searchable listing: http://www.nwticformulary.ca ©2008 Northwest Territories Health & Social Services 129
2021.02.01