Sample Maintenance Drug List - Express Scripts

Sample Maintenance Drug List

Common Indication Brand Name

Generic Name

Alzheimer's Disease

ARICEPT REMINYL EBIXA EXELON

Asthma/COPD

ACCOLATE ADVAIR AZMAX BRICANYL TURBUHALER FLOVENT SEREVENT DISC SINGULAIR SPIRIVA SYMBICORT TURBUHALER THEOLAIR ZENHALE

Benign Prostatic Hyperplasia

AVODART CARDURA FLOMAX CR HYTRIN JALYN MINIPRESS PROSCAR XATRAL

Birth Control

ALESSE CYCLEN 21/28 EVRA MARVELON 21/28 MIN-OVRAL 21/28 NORINYL 1/50 21/28 NUVARING ORTHO 0.5/35 21/28 TRIQUILAR YASMIN 21/28 YAZ

Cardiovascular Disease

AGGRENOX CADUET CORDARONE EFFIENT IMDUR LANOXIN MULTAQ NITRO-DUR PLAVIX PRADAX RYTHMOL RYLOSOL XARELTO

donepezil galantamine memantine rivastigmine

zafirlukast fluticasone /salmeterol mometasone furoate terbutaline sulfate fluticasone salmeterol xinafoate montelukast sodium tiotropium bromide monohydrate budesonide/formoterol fumerate theophylline formoterol/mometasone

dutasteride doxazosin mesylate tamsulosin hcl terazosin hcl dutasteride/tamsulosin prazosin hcl finasteride alfuzosin hcl

levnorgestrel/ethinyl estradiol ethinyl estradiol/norgestimate norelgestromin/ethinyl estradiol desogestrel/ethinyl estradiol levonorgestrel/ethinyl estradiol mestranol/norethindrone etonogestrel/ethinyl estradiol ethinyl estradiol/norethindrone levonorgestrel/ethinyl estradiol drospirenone/ethinyl estradiol drospirenone/ethinyl estradiol

acetylsalicylic acid/dipyridamole amlodipine/atorvastatin amiodarone hcl prasugrel hcl isosorbide-5-mononitrate digoxin dronedarone hcl nitroglycerin clopidogrel dabigatran propafenone hcl sotalol rivaroxaban

Common Indication Brand Name

Depression

CELEXA CIPRALEX CYMBALTA EFFEXOR XR LUVOX PAXIL PRISTIQ PROZAC REMERON WELLBUTRIN XL ZOLOFT

Diabetes

ACTOS AMARYL AVANDAMET AVANDIA BYETTA DIABETA DIAMICRON MR GLUCOBAY GLUCOPHAGE GLUMETZA HUMULIN N HUMULIN R JANUMET JANUVIA LANTUS LEVEMIR NOVOLIN ONGLYZA TRAJENTA VICTOZA

Eye Disease, Glaucoma

ALPHAGAN AZOPT BETAGAN BETOPTIC S COMBIGAN COSOPT LUMIGAN TRAVATAN Z TRUSOPT XALACOM XALATAN

Gastrointestinal

ASACOL DICETEL METOCLOPRAMIDE MODULON MOTILIUM PENTASA

Generic Name

citalopram hydrobromide escitalopram oxalate duloxetine hcl venlafaxine hcl fluvoxamine maleate paroxetine hcl desvenlafaxine succinate fluoxetine hcl mirtazapine bupropion hcl sertraline hcl

pioglitazone glimepiride rosiglitazone maleate/metformin hcl rosiglitazone maleate exenatide glyburide gliclazide acarbose metformin hcl metformin hcl insulin NPH insulin regular sitagliptin/metformin sitagliptin phosphate insulin glargine insulin detemir insulin saxagliptin hcl linagliptin liraglutide

brimonidine tartrate brinzolamide levobunolol hcl betaxolol hcl brimonidine tartrate/timolol maleate dorzolamide hcl/timolol maleate bimatoprost travoprost dorzolamide hcl latanoprost/timolol maleate latanoprost

5-aminosalicylic acid pinaverium bromide metoclopramide hcl trimebutine maleate domperidone maleate 5-aminosalicylic acid

This is not an all-inclusive list of maintenance medications, and it is subject to change at least quarterly or more frequently at Express Scripts Canada's discretion. Brand-name drugs are listed in CAPITAL letters. Generic drugs are listed in lower case letters. Most generics are available at the lowest copayment. Let us help you get started with home delivery from the Express Scripts Canada PharmacySM by logging on to our web site at express-scripts.ca or by calling 1.855.550.MEDS (6337). Not all drugs listed

are covered by all prescription drug plans. Check your benefits materials and formulary for specific drugs covered and coinsurance. Generic medications contain the same active ingredient as their corresponding brand-name medications although they may look different in color or shape. They have been approved by Health Canada under strict guidelines.

? 2013 Express Scripts, Inc. All Rights Reserved. CA-NEU-DRUGLIST-EN 0313

Common Indication Brand Name

Generic Name

Gastrointestinal (continued)

SALOFALK5-aminosalicylic acid SALAZOPYRIN sulfasalazine URSOursodiol

Gout

ZYLOPRIMallopurinol ULORICfebuxostat

High Blood Pressure

ACCUPRIL

quinapril

ACCURETIC

quinapril hcl/hctz

ADALAT XL

nifedipine

ALTACE ramipril

ALTACE HCT

ramipril/hctz

ATACANDcandesartan

ATACAND PLUS

candesartan/hctz

AVAPROirbesartan

AVALIDEirbesartan/hctz

COVERSYL

perindopril erbumine

COVERSYL PLUS

perindopril/indapamide

COZAAR

losartan potassium

DIOVAN valsartan

DIOVAN-HCT

valsartan/hctz

HYDRODIURIL hydrochlorothiazide

HYZAARlosartan potassium/hctz

INDERALpropranolol

INHIBACE cilazapril

INHIBACE PLUS

cilazapril/hctz

ISOPTIN verapamil

LASIXfurosemide

LOPRESSOR

metoprolol

LOZIDEindapamide hemihydrate

MAVIK trandolapril

MICARDIStelmisartan

MICARDIS PLUS

telmisartan/hctz

MIDAMOR

amiloride hcl

MODURET

amiloride/hctz

MONOCOR

bisoprolol fumarate

NORVASC amlodipine

OLMETEC olmesartan

PLENDIL felodipine

PRINIVILlisinopril

PRINZIDElisinopril/hctz

RASILEZaliskiren fumarate

SECTRAL acebutolol

TENORETIC

atenolol/chlorthalidone

TENORMIN atenolol

TIAZAC XC

diltiazem hcl

VASERETIC enalapril/hctz

VASOTEC enalapril

High Cholesterol

BEZALIP SR

bezafibrate

CRESTORrosuvastatin calcium

EZETROL ezetimibe

LESCOL fluvastatin

LIPIDIL EZfenofibrate

LIPITORatorvastatin calcium

LOPID gemfibrozil

MEVACOR lovastatin

NIASPAN

nicotinic acid

PRAVACHOL

pravastatin sodium

ZOCORsimvastatin

Common Indication Brand Name

Generic Name

Hormone Replacement

CLIMARAestradiol-17 Beta

ESTRACEestradiol-17 Beta

ESTRADERM

estradiol-17 Beta

ESTRADOT

estradiol-17 Beta

ESTALIS

norethindrone acetate/estradiol-17 Beta

PREMARIN

conjugated estrogens

Kidney/Bladder Disease

DETROLtolterodine DITROPANoxybutynin TROSECtrospium

Neurological Disorders

COMTAN entacapone

DEPAKENE

valproic acid

DILANTIN phenytoin

EPIVAL

divalproex sodium

KEPPRAlevetiracetam

LAMICTALlamotrigine

LYRICApregabalin

MIRAPEXpramipexole

NEURONTIN

gabapentin

PHENYTOIN

phenytoin sodium

PROLOPAlevodopa/benserazide

REQUIPropinirole

SINEMET CR

levodopa/carbidopa

STALEVOlevodopa/carbidopa/entacapone

TEGRETOLcarbamazepine

TOPAMAX

topiramate

NSAIDs ? Pain and Inflammation

ARTHROTEC

diclofenac sodium/misoprostol

CELEBREX

celecoxib

MOBICOXmeloxicam

VIMOVO esomeprazole/naproxen

VOLTAREN RAPIDE

diclofenac potassium

Osteoporosis

ACTONELrisedronate sodium

DIDROCAL

etidronate disod/calcium carbonate

EVISTA

raloxifene hcl

FOSAMAX

alendronate sodium

FOSAVANCE

alendronate sodium/vitamin d3

MIACALCIN calcitonin

Thyroid Disorders

ELTROXINlevothyroxine sodium

PROPYL-THYRACIL

propylthiouracil

SYNTHROID levothyroxine

TAPAZOLEthiamazole

Ulcer/Reflux

DEXILANTdexlansoprazole

LOSEComeprazole

NEXIUMesomeprazole

PANTOLOC

pantoprazole sodium

PARIETrabeprazole

PREVACIDlansoprazole

TECTApantoprazole magnesium

ZANTACranitidine

This is not an all-inclusive list of maintenance medications, and it is subject to change at least quarterly or more frequently at Express Scripts Canada's discretion. Brand-name drugs are listed in CAPITAL letters. Generic drugs are listed in lower case letters. Most generics are available at the lowest copayment. Let us help you get started with home delivery from the Express Scripts Canada PharmacySM by logging on to our web site at express-scripts.ca or by calling 1.855.550.MEDS (6337). Not all drugs listed

are covered by all prescription drug plans. Check your benefits materials and formulary for specific drugs covered and coinsurance. Generic medications contain the same active ingredient as their corresponding brand-name medications although they may look different in color or shape. They have been approved by Health Canada under strict guidelines.

? 2013 Express Scripts, Inc. All Rights Reserved. CA-NEU-DRUGLIST-EN 0313

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