Clickable Table

Generic Name Brand Name Strength Dosing 90 Day Cost Coverage Comments Category 1 Category 2
Lorazepam Ativan 1 mg PRN $20 BC / NIHB - Covered

90 tablets

Psychiatry Anxiolytic Sedative
Paroxetine Paxil 20 mg QD $45 BC / NIHB - Covered Psychiatry Antidepressants
Desvenlafaxine Pristiq 50 mg QD $255 BC - NC / NIHB - SA Psychiatry Antidepressants
Venlafaxine Effexor XR 75 mg QD $30 BC / NIHB - Covered Psychiatry Antidepressants
Sertraline Zoloft 50 mg QD $45 BC / NIHB - Covered Psychiatry Antidepressants
Escitalopram Cipralex 10 mg QD $45 BC / NIHB - Covered Psychiatry Antidepressants
Amphetamines, Mixed Salts Adderall XR 10 mg QD $75 BC - Restricted / NIHB - Covered Psychiatry Stimulants (ADHD)
Temazepam Restoril 30 mg PRN $45 BC / NIHB - Covered

90 tablets

Psychiatry Anxiolytic Sedative
Aripiprazole Abilify 15 mg QD $140 BC - Restricted / NIHB - Covered Psychiatry Antipsychotics
Lemborexant Dayvigo 5 mg, 10 mg HS $195 BC / NIHB - NC Psychiatry Anxiolytic Sedative
Quetiapine Seroquel 25 mg HS $20 BC / NIHB - Covered Psychiatry Antipsychotics
Fluoxetine Prozac 20 mg QD $45 BC / NIHB - Covered Psychiatry Antidepressants
Lisdexamfetamine Vyvanse 20 mg QD $85 BC - Restricted / NIHB - Covered Psychiatry Stimulants (ADHD)
Methylphenidate Ritalin 10 mg BID $60 BC / NIHB - Covered Psychiatry Stimulants (ADHD)
Trazodone Desyrel 50 mg PRN $20 BC / NIHB - Covered

90 tablets

Psychiatry Anxiolytic Sedative
Methylphenidate Concerta 36 mg QD $150 BC - Restricted / NIHB - Covered Psychiatry Stimulants (ADHD)
Bupropion Wellbutrin XL 150 mg QD $45 BC / NIHB - Covered Psychiatry Antidepressants
Citalopram Celexa 20 mg QD $25 BC / NIHB - Covered Psychiatry Antidepressants
Methylphenidate Biphentin 10 mg QD $65 BC - Restricted / NIHB - NC Psychiatry Stimulants (ADHD)
Mirtazapine Remeron 30 mg HS $35 BC / NIHB - Covered Psychiatry Antidepressants
Olanzapine Zyprexa 5 mg, 10 mg QD $85 BC / NIHB - Covered Psychiatry Antipsychotics
Duloxetine Cymbalta 30 mg QD $50 BC / NIHB - Covered Psychiatry Antidepressants
Vortioxetine Trintellix 20 mg QD $270 BC / NIHB - Covered Psychiatry Antidepressants
Risperidone Risperdal 1 mg QD $35 BC / NIHB - Covered Psychiatry Antipsychotics
Zopiclone Imovane 7.5 mg PRN $25 BC - Covered / NIHB - NC

90 tablets

Psychiatry Anxiolytic Sedative
Quetiapine Seroquel XR 300 mg QD $110 BC / NIHB - Covered Psychiatry Antipsychotics
Legend:
BC = Alberta Blue Cross, NIHB = Non-Insured Health Benefits for First Nations and Inuit, NC = Not covered, SA = special authorization