ADCO-CAPTOPRIL 25MG BIO-CAPTOPRIL 25MG MERCK-CAPTOPRIL 25MG SANDOZ CAPTOPRIL 25MG ZAPTO 25MG TAB

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1 HYPERTENSION REGISTRATION CRITERIA: Diagnosis by a GP or Specialist Physician MULTIPLE COMBINATION THERAPY OR HIGH DOSES MAY REQUIRE SPECIALIST/CARDIOLOGIST PRESCRIPTION * REQUEST FOR ANGIO-TENSIN RECEPTOR BLOCKER WILL REQUIRE MOTIVATION Drug Class Active Ingredient Trade Name ACE inhibitors Captopril Tab 12.5 MG CAPTOHEXAL 12.5MG Captopril Tab 25 MG Captopril Tab 50 MG Enalapril Maleate Tab 10 MG Enalapril Maleate Tab 2.5 MG Enalapril Maleate Tab 5 MG Enalapril Maleate Tab 20 MG Lisinopril Tab 2.5 MG Lisinopril Tab 5 MG ADCO-CAPTOMAX 25MG TAB ADCO-CAPTOPRIL 25MG BIO-CAPTOPRIL 25MG MERCK-CAPTOPRIL 25MG SANDOZ CAPTOPRIL 25MG ZAPTO 25MG TAB ADCO-CAPTOMAX 50MG TAB ADCO-CAPTOPRIL 50MG BIO-CAPTOPRIL (ACETEN) 50MG MERCK-CAPTOPRIL 50MG SANDOZ CAPTOPRIL 50MG ZAPTO 50MG TAB ALAPREN 10MG TAB CIPLATEC 10MG ENAP 10MG TAB HR-ENALAPRIL 10MG PHARMAPRESS 10MG HR-ENALAPRIL 2.5MG ALAPREN 5MG TAB CIPLATEC 5MG ENAP 5MG TAB HYPACE 5MG PHARMAPRESS 5MG TAB ALAPREN 20MG TAB CIPLATEC 20MG ENAP 20MG TAB HR-ENALAPRIL 20MG AUSTELL LISINOPRIL 2.5MG HEXAL-LISINOPRIL 5MG TAB PRILOSIN 5MG TAB SINOPREN 5MG TAB SIMAYLA LISINOPRIL 5MG ZEMAX 5MG

2 ZEPROSIL 10MG TAB ADCO-ZETOMAX 5MG TAB Lisinopril Tab 10 MG Lisinopril Tab 20 MG Perindopril Erbumine Tab 4 MG HEXAL-LISINOPRIL 10MG TAB PRILOSIN 10MG TAB SINOPREN 10MG TAB ZEPROSIL 10MG TAB SIMAYLA LISINOPRIL 10MG AUSTELL LISINOPRIL 20MG SIMAYLA LISINOPRIL 20MG SINOPREN 20MG TAB ZEMAX 20MG TAB ZEPROSIL 20MG TAB HEXAL-LISINOPRIL 20MG TAB CIPLA-PERINDOPRIL 4MG TABLETS PREXUM 4MG TAB RAN-PERINDOPRIL 4MG TAB VECTORYL 4MG TABLETS ACE inhibitors/diuretics Captopril & Hydrochlorothiazide Tab MG CAPTORETIC HS TAB Captopril & Hydrochlorothiazide Tab MG Enalapril Maleate & Hydrochlorothiazide Lisinopril & Hydrochlorothiazide Tab Lisinopril & Hydrochlorothiazide Tab CAPTORETIC TAB ZAPTO-CO TAB ENAP-CO TAB PHARMAPRESS CO HEXAL-LISINOPRIL CO 10MG LISORETIC 10/12.5 LISOZIDE 10MG/12.5MG TAB ADCO-ZETOMAX-CO 20/12.5MG DIACE CO 20/12.5 MG TAB HEXAL-LISINOPRIL CO 20MG LISORETIC 20/12.5 LISOZIDE 20MG/12.5MG TAB ZESTOZIDE 20MG TAB Perindopril Erbumine-Indapamide Tab MG PREXUM PLUS TAB VECTORYL PLUS TABLETS Angiotensin receptor antagonists* Candesartan Cilexetil Tab 8 MG ATACAND 8MG TAB Candesartan Cilexetil Tab 16 MG ATACAND 16MG TAB Eprosartan Mesylate Tab 600 MG TEVETEN 600 Losartan Potassium Tab 50 MG LEPITRIN 50MG TAB

3 CIPLA LOSARTAN 50MG TAB LOSARTAN-WINTHROP TABS LOS-ARB 50MG TAB Losartan Potassium Tab 100 MG CIPLA LOSARTAN 100MG TAB ZARTAN 100MG TAB Telmisartan Tab 40 MG Telmisartan Tab 80 MG Valsartan Tab 80 MG Valsartan Tab 160 MG MICARDIS 40MG MICARDIS 80MG TAREG 80MG TAB TAREG 160MG TAB Angiotensin receptor antagonists/diuretics* Candesartan Cilexetil-Hydrochlorothiazide ATACAND PLUS 16/12.5MG Telmisartan-Hydrochlorothiazide Tab Telmisartan-Hydrochlorothiazide Tab Valsartan-Hydrochlorothiazide Tab MG CO-MICARDIS 40/12.5MG CO-MICARDIS 80/12.5MG CO-TAREG 80/12.5MG TAB Alpha- and beta-receptor blockers Carvedilol Tab 6.25 MG CARVETREND 6.25MG TAB MERCK-CARVEDILOL 6.25MG TAB CARLOC 6.25MG TAB VEDIBLOK 6.25MG TAB Carvedilol Tab 12.5 MG Carvedilol Tab 25 MG CARVETREND 12.5MG TAB CARLOC 12.5MG TAB CARVEDILOL-HEXAL 12.5MG VEDIBLOK 12.5MG TAB CARVETREND 25MG TAB CARLOC 25MG TAB MERCK-CARVEDILOL 25MG TAB CARVEDILOL-HEXAL 25MG TAB VEDIBLOK 25MG TAB Alpha-receptor blockers Doxazosin Mesylate Tab 1 MG ADCO-DOXAZOSIN 1MG TAB Doxazosin Mesylate Tab 1 MG Doxazosin Mesylate Tab 2 MG Doxazosin Mesylate Tab 4 MG Prazosin HCl Tab 1 MG CARDUGEN 1MG TAB ADCO-DOXAZOSIN 2MG TAB CARDUGEN 4MG TAB PRATSIOL 1MG TAB

4 Prazosin HCl Tab 2 MG Prazosin HCl Tab 5 MG PRATSIOL 2MG TAB PRATSIOL 5MG TAB Platelet Aggregation Inhibitors Aspirin Dispersible Tab 300 MG ASPIRIN SOLUBLE 300MG TAB Aspirin Tab 125 MG Aspirin Tab 300 MG Aspirin Delayed Release 81 MG Aspirin Dispersible 100 MG LO-ASPIRIN 125MG TAB BE-TABS ASPIRIN 300MG TAB ASPIRIN 300MG TAB GULF ASPIRIN ECOTRIN 81 MG MYOPRIN Beta-receptor blockers Atenolol Tab 50 MG BIO-ATENOLOL 50 B-BLOCK 50MG HEXABLOK 50MG TAB SANDOZ ATENOLOL 50 TEN-BLOKA 50MG TAB TENOPRESS 50MG TAB Atenolol Tab 100 MG Propranolol HCl Tab 10 MG Propranolol HCl Tab 40 MG Sotalol HCl Tab 80 MG Sotalol HCl Tab 160 MG B-BLOCK 100MG HEXABLOK 100MG TAB SANDOZ ATENOLOL 100 TENOPRESS 100MG TAB INDOBLOK 10MG PRODOROL 10MG TB SANDOZ-PROPRANOLOL 10 PUR-BLOKA 10MG TAB INDOBLOK 40MG PRODOROL 40MG TAB SANDOZ PROPRANOLOL 40 PUR-BLOKA 40MG TAB SOTAHEXAL 80MG TAB SOTAHEXAL 160MG TAB Beta-receptor blockers/diuretics Atenolol & Chlorthalidone Tab MG SANDOZ CO-TENIDONE 50/12. Atenolol & Chlorthalidone Tab MG SANDOZ CO-TENIDONE 100/25 Calcium channel blockers Diltiazem HCl Cap SR 24HR 180 MG ZILDEM 180MG SR

5 Diltiazem HCl Cap SR 24HR 240 MG Diltiazem HCl Tab 60 MG Diltiazem HCl Tab 90 MG ZILDEM 240MG SR SANDOZ DILTIAZEM 60MG DILATAM 60MG TAB ZILDEM 90MG TAB Verapamil HCl Tab 40 MG SANDOZ VERAPAMIL HCL 40 VASOMIL 40MG TAB Verapamil HCl Tab 80 MG SANDOZ VERAPAMIL HCL 80 VASOMIL 80MG TAB Verapamil HCl Tab 120 MG SANDOZ VERAPAMIL HCL 120 Verapamil HCl Tab CR 240 MG Felodipine Tab SR 24HR 5 MG Felodipine Tab SR 24HR 10 MG Nifedipine Cap 5 MG Nifedipine Cap 10 MG Nifedipine Cap CR 30 MG Nifedipine Tab SR 12HR 10 MG Nifedipine Tab SR 12HR 20 MG Amlodipine Besylate Tab 5 MG Amlodipine Maleate Tab 5 MG Amlodipine Besylate Tab 10 MG VERAHEXAL 240 SR CALCICARD SR 240MG RAVAMIL SR 240MG FELODIPINE-HEXAL 5MG TAB FELODIPINE-HEXAL 10MG TAB CARDIFEN TM 5MG CAP BIO-NIFEDIPINE NIFEDALAT 10MG CAP ADCO-VASCARD 30 SR CAPS ADALAT RETARD 10MG NIFEDALAT 20SR TAB CIPALAT RETARD 20MG ALMADIN 5MG TAB AMLODAC 5MG TAB AUSTELL AMLODIPINE 5MG TAB CALBLOC 5MG TAB CIPLAVASC 5MG TAB CPL ALLIANCE AMLODIPINE 5 INDO AMLODIPINE 5MG TAB KLODIP-5 PHARMA DYNAMICS AMLODIPINE AMLATE 5MG TAB SANDOZ-AMLODIPINE 5MG TAB ALMADIN 10MG TAB AMLODAC 10MG TAB

6 AUSTELL AMLODIPINE 10MG TAB CALBLOC 10MG TAB CIPLAVASC 10MG TAB CPL ALLIANCE AMLODIPINE 10MG PHARMA DYNAMICS AMLODIPINE BES Amlodipine Maleate Tab 10 MG AMLATE 10MG TAB SANDOZ-AMLODIPINE 10MG Central acting sympathetic nervous system inhibitor Methyldopa Tab 250 MG SANDOZ METHYLDOPA 250MG MERCK-METHYLDOPA 250 TAB Direct acting vasodilators Hydralazine HCl Tab 10 MG HYPERPHEN 10MG TAB Hydralazine HCl Tab 25 MG SANDOZ HYDRALAZINE 25 Hydralazine HCl Tab 50 MG HYPERPHEN 50MG TAB Diuretics Amiloride & Hydrochlorothiazide Tab 2.5- AMILORETIC HS TAB Amiloride & Hydrochlorothiazide Tab 5-50 Furosemide Cap 40 MG Furosemide Tab 40 MG Hydrochlorothiazide Tab 25 MG Hydrochlorothiazide-Potassium Chloride Indapamide Tab 2.5 MG Spironolactone Tab 25 MG Spironolactone Tab 100 MG Triamterene & Hydrochlorothiazide Tab 50 BETARETIC TAB ADCO-RETIC TAB AMILORETIC TAB SPEC-CO-AMILORIDE TAB AQUARID 40MG CAP SANDOZ FUROSEMIDE 40 MG AUSTELL-FUROSEMIDE 40MG TAB BEURESIS 40MG TAB DIURESIX 40MG TAB MERCK-FUROSEMIDE 40 MG PURESIS 40MG TAB HEXAZIDE 25MG TAB URIREX-K TAB DAPTRIL 2.5MG TAB LIXAMIDE 2.5MG TAB MERCK-INDAPAMIDE 2.5 TABS CIPLA-INDAPAMIDE 2.5MG TAB SANDOZ SPIRONOLACTONE 25MG SPIRACTIN 25MG TAB SPIRACTIN 100MG TAB RENEZIDE TAB ROLAB-TRIAMTERENE HCT

7 SANDOZ TRIAMTERENE HCT Potassium Potassium Chloride Tab CR 8 meq PLENISH K 600MG TAB (only with potassium deleting diuretics) SANDOZ K-600 Sympathetic nervous blockers Reserpine Tab 0.25 MG RESERPINE 0.25MG TAB PRIOR TO CHRONIC REGISTRATION, ALL FORMULARY DRUGS ARE SUBJECT TO SCHEME RULES, CLINICAL PROTOCOLS AND CHANGES IN PRODUCTS AND PRICES

The 365-day period begins with the first dispensing transaction for each Ontario Drug Benefit (ODB) recipient on or after October 1, 2015.

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