English: Drug Benefit List Next class 92:00 Previous class 86:00 Pharmacologic-Therapeutic Classification List of Drugs 88:00 VITAMINS 88:04.00 VITAMIN A VITAMIN A 10,000IU Capsule 00557447 VIT A VTH * 00253820 VITAMIN A NOP 00297720 VITAMIN A JAM 25,000IU Capsule 00021067 VITAMIN A NOP 50,000IU Capsule 00021075 VITAMIN A NOP 88:08.00 VITAMIN B COMPLEX CYANOCOBALAMIN 100MCG/ML Injection 02241500 VITAMIN B12 SDZ 00497533 VITAMIN B12 ABB 1,000MCG/ML Injection 01987003 CYANOCOBALAMIN CYX 02052717 CYANOCOBALAMIN TAR 00521515 VIT B12 SDZ 00038830 VITAMIN B12 ABB 25MCG Tablet 00406988 VITAMIN B12 JAM * 50MCG Tablet 00305243 VITAMIN B12 JAM 100MCG Tablet 00450642 VIT B12 VTH * 02023598 VITAMIN B12 PMT 250MCG Tablet 00335940 VITAMIN B12 JAM FOLIC ACID 1MG Tablet 00647039 FOLIC ACID VTH 02048841 FOLIC ACID PMT 02236747 FOLIC ACID PED 5MG Tablet 00426849 APO-FOLIC ACID APX 02285673 EURO-FOLIC EUR 00563781 FOLIC ACID PDL NIACIN 50MG Tablet 00041084 NIACIN PMS 100MG Tablet 00268585 NIACIN VAE 500MG Tablet 00294950 NIACIN VAE 01939130 NIACIN ODN 02247004 NIACIN PMT 00557412 NIACIN YEAST FREE VTH 00309737 VITAMIN B3 JAM PYRIDOXINE HCL 25MG Tablet 00232475 VITAMIN B6 PMS 00268607 VITAMIN B6 VAE 01943200 VITAMIN B6 ODN 50MG Tablet 00252689 VITAMIN B6 VAE 00305227 VITAMIN B6 JAM 00608599 VITAMIN B6 PMS * 100MG Tablet 00263958 VITAMIN B6 VAE 00653993 VITAMIN B6 LAL * 00329185 VITAMIN B6 JAM 00450677 VITAMIN B6 VTH * 02239348 VITAMIN B6 PMT THIAMINE HCL 100MG/ML Injection 02241983 BETAXIN ABB 02243525 THIAMINE CYX 00816078 VITAMIN B1 SIL 50MG Tablet 00268631 VITAMIN B1 VAE 00610267 VITAMIN B1 PMS 100MG Tablet 00232467 VITAMIN B1 PMS * 00294853 VITAMIN B1 VAE 00407011 VITAMIN B1 JAM Top of Page 88:12.00 VITAMIN C ASCORBIC ACID 250MG Chewable Tablet 00784575 VIT C VTH * 00372498 VITAMIN C LAL * 00266051 VITAMIN C PMT 00274232 VITAMIN C PED 500MG Chewable Tablet 00274240 VITAMIN C PED 02245721 VITAMIN C PMT 00322997 VITAMIN C LAL * 00784591 VITAMIN C VTH * 02243893 VITAMIN C PMT 1000MG Sustained Release Tablet 00760587 VITAMIN C PMT 100MG Tablet 00466646 APO-C APX 250MG Tablet 00466638 APO-C APX 00221244 VIT C ADA 00557811 VIT C VTH * 00162515 VITAMIN C PMT 500MG Tablet 00266086 ASCORBIC ACID PMT 00041114 VIT C ADA 00322326 VIT C LAL 00036188 VITAMIN C PED 01922378 VITAMIN C SWS 00316873 VITAMIN C LAL * 00557838 VITAMIN C VTH * 00721581 VITAMIN C PVR * 02244469 VITAMIN C PMT 1000MG Tablet 00466603 APO-C APX 00854670 C 1000 NUL * 00354376 VITAMIN C PMT Top of Page 88:16.00 VITAMIN D ALFACALCIDOL 0.25MCG Capsule 00474517 ONE-ALPHA LEO 1MCG Capsule 00474525 ONE-ALPHA LEO 2MCG/ML Oral Liquid 02240329 ONE-ALPHA LEO CALCITRIOL 0.25MCG Capsule 00481823 ROCALTROL HLR 0.5MCG Capsule 00481815 ROCALTROL HLR 1MCG/ML Solution 00824291 ROCALTROL HLR CHOLECALCIFEROL 400IU Capsule 02242651 EURO D EUR 02243976 RIVA-D RIV 10,000IU Capsule 02253178 EURO D EUR 50,000IU Capsule 02301911 OSTOFORTE TPH 400IU/ML Drop 00762881 D VI SOL MJO 02231624 PEDIAVIT D EUR 400IU Tablet 02229879 VITAMIN D SWS 02240624 VITAMIN D WAM 02240858 VITAMIN D PMT 00765384 VITAMIN D LAL 02238729 VITAMIN D VTH 02244759 VITAMIN D WNP 1,000IU Tablet 00299383 VITAMIN D JAM 02240507 VITAMIN D MNP 02245842 VITAMIN D PMT 00323179 VITAMIN D SWS 10,000IU Tablet 00821772 D-TABS RIV ERGOCALCIFEROL 50,000IU Capsule 02237450 D-FORTE EUR 8,288IU/ML Solution 02017598 DRISDOL SAC 88:20.00 VITAMIN E VITAMIN E 100IU Capsule 00480924 VIT E NATURAL VTH 200IU Capsule 00201987 VITAMIN E WAM 02041073 VITAMIN E VTH 50IU/ML Liquid 02162075 AQUASOL E NVC 77IU/ML Liquid 02212889 AQUASOL E NVC Top of Page 88:28.00 MULTIVITAMIN PREPARATIONS MULTIVITAMINS (PEDIATRIC) Limited use benefit (prior approval is not required).  Pediatric multivitamins are benefits for children up to 6 years of age.
French: Liste des médicaments Classe suivante 92:00 Classe précédente 86:00 Classification pharmacothérapeutique des médicaments 88:00 VITAMINES 88:04.00 VITAMINE A VITAMINE A 10,000IU Capsule 00557447 VIT A VTH * 00253820 VITAMINE A NOP 00297720 VITAMINE A JAM 25,000IU Capsule 00021067 VITAMINE A NOP 50,000IU Capsule 00021075 VITAMINE A NOP 88:08.00 VITAMINE B ACIDE FOLIQUE 1MG Comprimé 00647039 ACIDE FOLIQUE VTH 02236747 FOLIC ACID PED 02048841 FOLIC ACID PMT 5MG Comprimé 00563781 ACIDE FOLIQUE PDL 00426849 APO-ACIDE FOLIQUE APX 02285673 EURO-FOLIC EUR ACIDE NICOTINIQUE 50MG Comprimé 00041084 NIACINE PMS 100MG Comprimé 00268585 NIACINE VAE 500MG Comprimé 02247004 NIACIN PMT 00557412 NIACIN SANS LEVURE VTH 00294950 NIACINE VAE 01939130 NIACINE ODN 00309737 VITAMIN B3 JAM CYANOCOBALAMINE 25MCG Comprimé 00406988 VITAMINE B12 JAM * 50MCG Comprimé 00305243 VITAMINE B12 JAM 100MCG Comprimé 00450642 VIT B12 VTH * 02023598 VITAMIN B12 PMT 250MCG Comprimé 00335940 VITAMINE B12 JAM 100MCG/ML Injection 02241500 VITAMINE B12 SDZ 00497533 VITAMINE B12 ABB 1,000MCG/ML Injection 01987003 CYANOCOBALAMIN CYX 02052717 CYANOCOBALAMIN TAR 00521515 VIT B12 SDZ 00038830 VITAMINE B12 ABB PYRIDOXINE (CHLORHYDRATE DE) 25MG Comprimé 01943200 VITAMINE B6 ODN 00232475 VITAMINE B6 PMS 00268607 VITAMINE B6 VAE 50MG Comprimé 00252689 VITAMINE B6 VAE 00305227 VITAMINE B6 JAM 00608599 VITAMINE B6 PMS * 100MG Comprimé 02239348 VITAMINE B6 PMT 00263958 VITAMINE B6 VAE 00329185 VITAMINE B6 JAM 00450677 VITAMINE B6 VTH * 00653993 VITAMINE B6 LAL * THIAMINE (CHLORHYDRATE DE) 50MG Comprimé 00268631 VITAMINE B1 VAE 00610267 VITAMINE B1 PMS 100MG Comprimé 00232467 VITAMINE B1 PMS * 00294853 VITAMINE B1 VAE 00407011 VITAMINE B1 JAM 100MG/ML Injection 02241983 BETAXIN ABB 02243525 THIAMINE CYX 00816078 VITAMINE B1 SIL Haut de la page 88:12.00 VITAMINE C ACIDE ASCORBIQUE 100MG Comprimé 00466646 APO-C APX 250MG Comprimé 00466638 APO-C APX 00221244 VIT C ADA 00557811 VIT C VTH * 00162515 VITAMINE C PMT 500MG Comprimé 00266086 ACIDE ASCORBIQUE PMT 00041114 VIT C ADA 00322326 VIT C LAL 00036188 VITAMINE C PED 02244469 VITAMINE C PMT 00316873 VITAMINE C LAL * 00557838 VITAMINE C VTH * 00721581 VITAMINE C PVR * 01922378 VITAMINE C SWS 1000MG Comprimé 00466603 APO-C APX 00854670 C 1000 NUL * 00354376 VITAMINE C PMT 250MG Comprimé à croquer 00784575 VIT C VTH * 00372498 VITAMINE C LAL * 00266051 VITAMINE C PMT 00274232 VITAMINE C PED 500MG Comprimé à croquer 00784591 VITAMINE C VTH * 02243893 VITAMINE C PMT 00274240 VITAMINE C PED 00322997 VITAMINE C LAL * 02245721 VITAMINE C PMT 1000MG Comprimé à libération progressive 00760587 VITAMINE C PMT Haut de la page 88:16.00 VITAMINE D ALFACALCIDOL 0.25MCG Capsule 00474517 ONE-ALPHA LEO 1MCG Capsule 00474525 ONE-ALPHA LEO 2MCG/ML Liquide oral 02240329 ONE-ALPHA LEO CALCITRIOL 0.25MCG Capsule 00481823 ROCALTROL HLR 0.5MCG Capsule 00481815 ROCALTROL HLR 1MCG/ML Solution 00824291 ROCALTROL HLR CHOLÉCALCIFÉROL 400IU Capsule 02242651 EURO D EUR 02243976 RIVA-D RIV 10,000IU Capsule 02253178 EURO D EUR 50,000IU Capsule 02301911 OSTOFORTE TPH 400IU Comprimé 02229879 VITAMINE D SWS 02238729 VITAMINE D VTH 02240624 VITAMINE D WAM 02240858 VITAMINE D PMT 02244759 VITAMINE D WNP 00765384 VITAMINE D LAL 1,000IU Comprimé 02240507 VITAMINE D MNP 00299383 VITAMINE D JAM 00323179 VITAMINE D SWS 02245842 VITAMINE D PMT 10,000IU Comprimé 00821772 D-TABS RIV 400IU/ML Gouttes 00762881 D VI SOL MJO 02231624 PEDIAVIT D EUR ERGOCALCIFÉROL 50,000IU Capsule 02237450 D-FORTE EUR 8,288IU/ML Solution 02017598 DRISDOL SAC Haut de la page 88:20.00 VITAMINE E VITAMIN E 100IU Capsule 00480924 VIT E NATURALE VTH 200IU Capsule 00201987 VITAMINE E WAM 02041073 VITAMINE E VTH 50IU/ML Liquide 02162075 AQUASOL E NVC 77IU/ML Liquide 02212889 AQUASOL E NVC 88:28.00 MULTIVITAMINES MULTIVITAMINES PRÉNATALES Médicament à usage restreint (il n'est pas nécessaire d'obtenir une autorisation préalable).  Les multivitamines prénatales ou postnatales sont fournies qu'aux femmes âgées de 12 à 50 ans en âge d'avoir des enfants.