English: Drug Benefit List Next class 24:00 Previous class 12:00 Pharmacologic-Therapeutic Classification List of Drugs 20:00 Blood Formation Coagulation and Thrombosis 20:04.04 IRON PREPARATIONS FERROUS FUMARATE 300MG Capsule 02237556 EURO-FER EUR 00482064 NEO FER NEO 01923420 PALAFER GSK 300MG/5ML Oral Liquid 02246590 FERRATE O/L EUO 60MG/ML Suspension 01923439 PALAFER GSK 200MG Tablet 02138751 FERROUS FUMARATE VTH 300MG Tablet 00031089 FERROUS FUMARATE PED FERROUS GLUCONATE 300MG Tablet 00545031 APO-FERROUS GLUCONATE APX 00031097 FERROUS GLUCONATE PED 00041157 FERROUS GLUCONATE PMS 00021458 NOVO-FERROGLUC NOP 324MG Tablet 00582727 FERROUS GLUCONATE VTH * FERROUS SULFATE 15MG/ML Drop 02237385 FERODAN ODN 02232202 PEDIAFER EUR 02222574 PMS-FERROUS SULFATE PMS 75MG/ML Drop 00762954 FER-IN-SOL MJO 6MG/ML Syrup 00017884 FER-IN-SOL MJO 02242863 PEDIAFER EUR 30MG/ML Syrup 00758469 FERODAN ODN 00792675 PMS-FERROUS SULFATE PMS 300MG Tablet 01912518 APO-FERROUS SULFATE FC APX 02246733 EURO-FERROUS SULFATE EUR 00031100 FERROUS SULFATE PED 00179655 FERROUS SULFATE SDR 00346918 FERROUS SULFATE PMT 02125471 FERROUS SULFATE PDL 00782114 FERROUS SULFATE VTH * 00586323 PMS-FERROUS SULFATE PMS IRON DEXTRAN 50MG/ML Injection 02205963 DEXIRON GEN 02221780 INFUFER SDZ Top of Page 20:12.04 ANTICOAGULANTS DALTEPARIN SODIUM 10,000IU/0.4ML Injection 09853790 FRAGMIN PMJ * 99004143 FRAGMIN PMJ * 10,000IU/ML Injection 02132664 FRAGMIN PMJ 12,500IU/0.5ML Injection 99004151 FRAGMIN PMJ * 15,000IU/0.6ML Injection 09853880 FRAGMIN PMJ * 99004178 FRAGMIN PMJ * 18,000IU/0.72ML Injection 09853910 FRAGMIN PMJ * 99004186 FRAGMIN PMJ * 25,000IU/ML Injection (Multi-Dose) 02231171 FRAGMIN PMJ 2,500IU/0.2ML Injection (Pre-filled Syringe) 02132621 FRAGMIN PMJ 5,000IU/0.2ML Injection (Pre-filled Syringe) 02132648 FRAGMIN PMJ ENOXAPARIN SODIUM 30MG/0.3ML Injection 02012472 LOVENOX SAC 40MG/0.4ML Injection 02236883 LOVENOX SAC 60MG/0.6ML Injection 99002965 LOVENOX AVT * 80MG/0.8ML Injection 99003058 LOVENOX AVT 100MG/1.0ML Injection 99002981 LOVENOX AVT 120MG/0.8ML Injection 99004941 LEVENOX HP AVT 150MG/1.0ML Injection 02242692 LEVONEX HP SAC 300MG/3ML Injection 02236564 LOVENOX SAC HEPARIN SODIUM 1,000 U/ML Injection 00740519 HEPALEAN ORG 10,000 U/ML Injection 00740497 HEPALEAN ORG 10U/ML Lock Flush 02230084 HEPALEAN-LOK FLUSH ORG 00725323 HEPARIN LOCK FLUSH ABB 100U/ML Lock Flush 00740578 HEPALEAN LOK ORG 00727520 HEPARIN LEO LEO 00725315 HEPARIN LOCK FLUSH HOS NADROPARIN CALCIUM 9,500IU/ML Injection 02236913 FRAXIPARINE GSK 19,000IU/ML Injection 02240114 FRAXIPARINE FORTE GSK NICOUMALONE 1MG Tablet 00010383 SINTROM PED 4MG Tablet 00010391 SINTROM PED TINZAPARIN SODIUM 10,000IU/ML (2ML) Injection 02167840 INNOHEP LEO 20,000IU/ML (2ML) Injection 02229515 INNOHEP LEO 20,000IU/ML Injection (Graduated Syringe) 02231478 INNOHEP LEO 10,000IU/ML Injection (Pre-filled Syringe) 02229755 INNOHEP LEO 09853898 INNOHEP LEO * 20,000IU/ML Injection (Pre-filled Syringe) 09853901 INNOHEP LEO * 09853928 INNOHEP LEO * 99002620 INNOHEP LEO * WARFARIN SODIUM 1MG Tablet 02242924 APO-WARFARIN APX 01918311 COUMADIN BMS 02244462 GEN-WARFARIN GEN 02265273 NOVO-WARFARIN NOP 02242680 TARO-WARFARIN TAR 2MG Tablet 02242925 APO-WARFARIN APX 01918338 COUMADIN BMS 02244463 GEN-WARFARIN GEN 02265281 NOVO-WARFARIN NOP 02242681 TARO-WARFARIN TAR 2.5MG Tablet 02242926 APO-WARFARIN APX 01918346 COUMADIN BMS 02244464 GEN-WARFARIN GEN 02265303 NOVO-WARFARIN NOP 02242682 TARO-WARFARIN TAR 3MG Tablet 02245618 APO-WARFARIN APX 02240205 COUMADIN BMS 02287498 GEN-WARFARIN GEN 02265311 NOVO-WARFARIN NOP 02242683 TARO-WARFARIN TAR 4MG Tablet 02242927 APO-WARFARIN APX 02007959 COUMADIN BMS 02244465 GEN-WARFARIN GEN 02265338 NOVO-WARFARIN NOP 02242684 TARO-WARFARIN TAR 5MG Tablet 02242928 APO-WARFARIN APX 01918354 COUMADIN BMS 02244466 GEN-WARFARIN GEN 02265346 NOVO-WARFARIN NOP 02242685 TARO-WARFARIN TAR 6MG Tablet 02287501 GEN-WARFARIN GEN 02242686 TARO-WARFARIN TAR 7.5MG Tablet 02287528 GEN-WARFARIN GEN 02242697 TARO-WARFARIN TAR 10MG Tablet 02242929 APO-WARFARIN APX 01918362 COUMADIN BMS 02244467 GEN-WARFARIN GEN 02242687 TARO-WARFARIN TAR Top of Page 20:12.18 PLATELET AGGREGATION INHIBITORS ANAGRELIDE HCL 0.5MG Capsule 02236859 AGRYLIN SHI 02253054 GEN-ANAGRELIDE GEN 02274949 PMS-ANAGRELIDE PMS 02260107 RHOXAL-ANAGRELIDE RHO CLOPIDOGREL BISULFATE Limited use benefit (one-year duration, prior approval required).  a. - Patients with intra-coronary stent implantation following insertion. b. - Patients with acute coronary syndrome (ACS) (unstable angina or non-ST-segment elevation MI), in combination with ASA.
French: Liste des médicaments Classe suivante 24:00 Classe précédente 12:00 Classification pharmacothérapeutique des médicaments 20:00 Formation et coagulation sanguine et thrombose 20:04.04 PRÉPARATIONS DE FER FER DEXTRAN 50MG/ML Injection 02205963 DEXIRON GEN 02221780 INFUFER SDZ FUMARATE FERREUX 300MG Capsule 02237556 EURO-FER EUR 00482064 NEO FER NEO 01923420 PALAFER GSK 200MG Comprimé 02138751 FUMARATE FERREUX VTH 300MG Comprimé 00031089 FUMARATE FERREUX PED 300MG/5ML Liquide oral 02246590 FERRATE EUO 60MG/ML Suspension 01923439 PALAFER GSK GLUCONATE FERREUX 300MG Comprimé 00545031 APO-GLUCONATE FERREUX APX 00031097 GLUCONATE FERREUX PED 00041157 GLUCONATE FERREUX PMS 00021458 NOVO-FERROGLUC NOP 324MG Comprimé 00582727 GLUCONATE FERREUX VTH * SULFATE FERREUX 300MG Comprimé 01912518 APO-FERROUS SULFATE FC APX 02246733 EURO-FERROUS SULFATE EUR 00346918 FERROUS SULFATE PMT 00586323 PMS-FERROUS SULFATE PMS 00031100 SULFATE FERREUX PED 00179655 SULFATE FERREUX SDR 02125471 SULFATE FERREUX PDL 00782114 SULPHATE FERREUX VTH * 15MG/ML Gouttes 02237385 FERODAN ODN 02232202 PEDIAFER EUR 02222574 PMS-FERROUS SULFATE PMS 75MG/ML Gouttes 00762954 FER-IN-SOL MJO 6MG/ML Sirop 00017884 FER-IN-SOL MJO 02242863 PEDIAFER EUR 30MG/ML Sirop 00758469 FERODAN ODN 00792675 PMS-SULFATE FERREUX PMS Haut de la page 20:12.04 ANTICOAGULANTS DALTÉPARINE SODIQUE 10,000IU/0.4ML Injection 09853790 FRAGMIN PMJ * 99004143 FRAGMIN PMJ * 10,000IU/ML Injection 02132664 FRAGMIN PMJ 12,500IU/0.5ML Injection 99004151 FRAGMIN PMJ * 15,000IU/0.6ML Injection 09853880 FRAGMIN PMJ * 99004178 FRAGMIN PMJ * 18,000IU/0.72ML Injection 09853910 FRAGMIN PMJ * 99004186 FRAGMIN PMJ * 25,000IU/ML Injection (multi-dose) 02231171 FRAGMIN PMJ 2,500IU/0.2ML Injection (seringue pré-remplie) 02132621 FRAGMIN PMJ 5,000IU/0.2ML Injection (seringue pré-remplie) 02132648 FRAGMIN PMJ ÉNOXAPARINE SODIQUE 30MG/0.3ML Injection 02012472 LOVENOX SAC 40MG/0.4ML Injection 02236883 LOVENOX SAC 60MG/0.6ML Injection 99002965 LOVENOX AVT * 80MG/0.8ML Injection 99003058 LOVENOX AVT 100MG/1.0ML Injection 99002981 LOVENOX AVT 120MG/0.8ML Injection 99004941 LEVENOX HP AVT 150MG/1.0ML Injection 02242692 LEVONEX HP SAC 300MG/3ML Injection 02236564 LOVENOX SAC HÉPARINE SODIQUE 1,000 U/ML Injection 00740519 HEPALEAN ORG 10,000 U/ML Injection 00740497 HEPALEAN ORG 10U/ML Solution de rinçage 02230084 HEPALEAN-LOK FLUSH ORG 00725323 HEPARIN LOCK FLUSH ABB 100U/ML Solution de rinçage 00740578 HEPALEAN LOK ORG 00727520 HEPARIN LEO LEO 00725315 HEPARIN LOCK FLUSH HOS NADROPARINE CALCIQUE 9,500IU/ML Injection 02236913 FRAXIPARINE GSK 19,000IU/ML Injection 02240114 FRAXIPARINE FORTE GSK NICOUMALONE 1MG Comprimé 00010383 SINTROM PED 4MG Comprimé 00010391 SINTROM PED TINZAPARINE SODIQUE 10,000IU/ML (2ML) Injection 02167840 INNOHEP LEO 20,000IU/ML (2ML) Injection 02229515 INNOHEP LEO 20,000IU/ML Injection (seringue graduée) 02231478 INNOHEP LEO 10,000IU/ML Injection (seringue pré-remplie) 02229755 INNOHEP LEO 09853898 INNOHEP LEO * 20,000IU/ML Injection (seringue pré-remplie) 09853901 INNOHEP LEO * 09853928 INNOHEP LEO * 99002620 INNOHEP LEO * WARFARINE SODIQUE 1MG Comprimé 02242924 APO-WARFARIN APX 01918311 COUMADIN BMS 02244462 GEN-WARFARIN GEN 02265273 NOVO-WARFARIN NOP 02242680 TARO-WARFARIN TAR 2MG Comprimé 02242925 APO-WARFARIN APX 01918338 COUMADIN BMS 02244463 GEN-WARFARIN GEN 02265281 NOVO-WARFARIN NOP 02242681 TARO-WARFARIN TAR 2.5MG Comprimé 02242926 APO-WARFARIN APX 01918346 COUMADIN BMS 02244464 GEN-WARFARIN GEN 02265303 NOVO-WARFARIN NOP 02242682 TARO-WARFARIN TAR 3MG Comprimé 02245618 APO-WARFARIN APX 02240205 COUMADIN BMS 02287498 GEN-WARFARIN GEN 02265311 NOVO-WARFARIN NOP 02242683 TARO-WARFARIN TAR 4MG Comprimé 02242927 APO-WARFARIN APX 02007959 COUMADIN BMS 02244465 GEN-WARFARIN GEN 02265338 NOVO-WARFARIN NOP 02242684 TARO-WARFARIN TAR 5MG Comprimé 02242928 APO-WARFARIN APX 01918354 COUMADIN BMS 02244466 GEN-WARFARIN GEN 02265346 NOVO-WARFARIN NOP 02242685 TARO-WARFARIN TAR 6MG Comprimé 02287501 GEN-WARFARIN GEN 02242686 TARO-WARFARIN TAR 7.5MG Comprimé 02287528 GEN-WARFARIN GEN 02242697 TARO-WARFARIN TAR 10MG Comprimé 02242929 APO-WARFARIN APX 01918362 COUMADIN BMS 02244467 GEN-WARFARIN GEN 02242687 TARO-WARFARIN TAR Haut de la page 20:12.18 INHIBITEURS DE L'AGRÉGATION PLAQUETTAIRE ANAGRÉLIDE (CHLORHYDRATE D') 0.5MG Capsule 02236859 AGRYLIN SHI 02253054 GEN-ANAGRELIDE GEN 02274949 PMS-ANAGRELIDE PMS 02260107 RHOXAL-ANAGRELIDE RHO CLOPIDROGREL (BISULFATE DE) 75MG Comprimé 02238682 PLAVIX SAC TICLOPIDINE (CHLORHYDRATE DE) 250MG Comprimé 02237701 APO-TICLOPIDINE APX 02239744 GEN-TICLOPIDINE GEN 02236848 NOVO-TICLOPIDINE NOP 02237560 NU-TICLOPIDINE NXP 02238208 PDL-TICLOPIDINE PDL 02243587 SANDOZ-TICLOPIDINE SDZ 20:16.00 HÉMATOPOïÉTIQUES FILGRASTIM 300MCG/ML Injection 01968017 NEUPOGEN AMG 99001454 NEUPOGEN AMG * 480MCG/1.6ML Injection 09853464 NEUPOGEN AMG PEGFILGRASTIM Médicament à usage restreint (autorisation préalable nécessaire).  a. - Pour diminuer l'incidence des infections qui se manifestent par une neutropénie fébrile chez les patients traités par des médicaments myélodépresseurs antinéoplasiques pour un cancer non myéloïde. et b. - Dans la situation où l'accès à un établissement de soins de santé est problématique.