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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