MEMORANDUM

To: All NORTHWEST TERRITORIES PHARMACISTS
From: CUBIC HEALTH INC.
Subject: NWT INTERCHANGEABILITY FORMULARY - UPDATE 1
Date: 5/1/2007
CC: DEPARTMENT OF HEALTH AND SOCIAL SERVICES, GNWT

Dear Pharmacist,

The following is a list of updates to the Northwest Territories Interchangeability Formulary (NWT IC Formulary) which can be found on-line at http://www.nwticformulary.com or http://www.nwticformulary.ca.

ADDED DINS

DIN BRAND NAME
00244392 KEFLEX TAB 500MG
00403628 KEFLEX TAB 250MG
00529117 PROPINE OPH LIQ 0.1%
00560952 MINIPRESS TAB 1MG
00560960 MINIPRESS TAB 2MG
00560979 MINIPRESS TAB 5MG
00824143 DDAVP TAB 0.2MG
00824305 DDAVP TAB 0.1MG
01968408 FLOXIN TAB 400MG
01968416 FLOXIN TAB 300MG
02154862 TRIDESILON CRM 0.05%
02221829 ALTACE CAP 1.25MG
02221837 ALTACE CAP 2.5MG
02221845 ALTACE CAP 5MG
02221853 ALTACE CAP 10MG
02237145 MIRAPEX TAB 0.25MG
02237146 MIRAPEX TAB 1MG
02237147 MIRAPEX TAB 1.5MG
02238123 FLOMAX CAP-SR 0.4MG
02241594 MIRAPEX TAB 0.5MG
02242067 TRILEPTAL TAB 150MG
02242068 TRILEPTAL TAB 300MG
02242069 TRILEPTAL TAB 600MG
02245427 PMS-DIGOXIN TAB 0.125
02245428 PMS-DIGOXIN TAB 0.25MG
02247386 PMS-HYDROCHLOROTHIAZIDE TAB 25MG
02247387 PMS-HYDROCHLOROTHIAZIDE TAB 50MG
02251515 APO-RAMIPRIL CAP 1.25MG
02251531 APO-RAMIPRIL CAP 2.5MG
02251574 APO-RAMIPRIL CAP 5MG
02251582 APO-RAMIPRIL CAP 10MG
02269309 NOVO-PRAMIPEXOLE TAB 0.25MG
02269317 NOVO-PRAMIPEXOLE TAB 0.5MG
02269325 NOVO-PRAMIPEXOLE TAB 1MG
02269333 NOVO-PRAMIPEXOLE TAB 1.5MG
02281392 NOVO-TAMULOSIN CAP-ER 0.4MG
02284030 APO-DESMOPRESSIN TAB 0.1MG
02284049 APO-DESMOPRESSIN TAB 0.2MG
02284294 APO-OXCARBAZEPINE TAB 150MG
02284308 APO-OXCARBAZEPINE TAB 300MG
02284316 APO-OXCARBAZEPINE TAB 600MG
02285657 RATIO-BUPROPION SR TAB-ER 100MG
02285665 RATIO-BUPROPION SR TAB-ER 150MG
02285924 APO-LEVETIRACETAM TAB 250MG
02285932 APO-LEVETIRACETAM TAB 500MG
02285940 APO-LEVETIRACETAM TAB 750MG
02285959 NOVO-ACYCLOVIR TAB 200MG
02285967 NOVO-ACYCLOVIR TAB 400MG
02286823 NOVO-SUMATRIPTAN DF TAB 50MG
02286831 NOVO-SUMATRIPTAN DF TAB 100MG
02287390 CO-SERTRALINE CAP 25MG
02287404 CO-SERTRALINE CAP 50MG
02287412 CO-SERTRALINE CAP 100MG
02287498 GEN-WARFARIN TAB 3MG
02287692 RATIO-RAMIPRIL CAP 1.25MG
02287706 RATIO-RAMIPRIL CAP 2.5MG
02287714 RATIO-RAMIPRIL CAP 5MG
02287722 RATIO-RAMIPRIL CAP 10MG
02288052 SANDOZ-FENOFIBRATE S TAB 160MG
02288087 SANDOZ-ALENDRONATE TAB 10MG
02288109 SANDOZ-ALENDRONATE TAB 70MG
02288184 APO-ONDANSETRON TAB 4MG
02288192 APO-ONDANSETRON TAB 8MG
02290111 PMS-PRAMIPEXOLE TAB 0.25MG
02290138 PMS-PRAMIPEXOLE TAB 0.5MG
02290146 PMS-PRAMIPEXOLE TAB 1MG
02290154 PMS-PRAMIPEXOLE TAB 1.5MG
02291134 APO-CILAZAPRIL TAB 1MG
02291142 APO-CILAZAPRIL TAB 2.5MG
02291150 APO-CILAZAPRIL TAB 5MG
02292378 APO-PRAMIPEXOLE TAB 0.25MG
02292394 APO-PRAMIPEXOLE TAB 1MG
02292408 APO-PRAMIPEXOLE TAB 1.5MG

REMOVED DINS

DIN BRAND NAME
00013579 GRAVOL INJ LIQ 50MG/ML
00349917 MODECATE INJ LIQ 25MG/ML
00370568 BENOXYL LOT 10%
00392537 DIMENHYDRINATE INJ LIQ 50MG/ML USP
00432938 OXYDERM LOT 10%
00523372 CORGARD TAB 160MG
00587702 APO-HALOPERIDOL LIQ 2MG/ML
00632600 CYTOTEC TAB 200MCG
00634093 QUESTRAN (378GM/CAN) PWD-SOL 4GM/DOSE
00725110 APO-NIFED CAP 5MG
00759503 PMS-HALOPERIDOL LIQ 2MG/ML
00782475 APO-NADOL TAB 160MG
00813966 CYTOTEC TAB 100MCG
00897272 SOTACOR TAB 80MG
01926330 SURMONTIL 50 TAB 50MG
01927612 MYOCHRYSINE INJ LIQ 25MG/ML
01997645 MACRODANTIN CAP 100MG
02011956 POLYTRIM OPH LIQ
02046261 ASADOL TAB-EC 650MG
02047462 NOVO-NIFEDIN CAP 5MG
02091275 PMS-FLUPHENAZINE DECANOATE INJ LIQ 25MG/ML BP
02141795 PMS-CHOLESTYRAMINE (210GM/CAN) PWD-SOL 4GM/DOSE
02170833 LINSOTALOL TAB 80MG
02170841 LINSOTALOL TAB 160MG
02177803 PMS-CEPHALEXIN TAB 500MG
02213400 VENTOLIN NEBULES P.F. INH LIQ 1.25MG/2.5ML
02228343 LOPERACAP CAPLET 2MG
02230284 TRAZOREL TAB 50MG
02230285 TRAZOREL TAB 100MG
02230321 RATIO-METHYLPHENIDATE TAB 10MG
02231016 NOVO-FURANTOIN CAP 100MG
02231679 PMS-KETOTIFEN SYR 1MG/5ML
02231680 PMS-KETOTIFEN TAB 1MG
02233999 RHOXAL-METFORMIN TAB 500MG
02237373 LIN-PRAVASTATIN TAB 10MG
02237374 LIN-PRAVASTATIN TAB 20MG
02237375 LIN-PRAVASTATIN TAB 40MG
02240363 PMS-POLYTRIMETHOPRIM OPH LIQ
02242328 RATIO-FAMOTIDINE TAB 40MG
02245457 SODIUM AUROTHIOMALATE INJ SOL 25MG/ML BP

If you have any specific questions related to the site or the interchangeability determinations, please email your questions to info@nwticformulary.com.

Sincerely,

Mike Sullivan, RPh, BSP, MBA
Cubic Health Inc.