Clickable Table

Generic Name	Brand Name	Strength	Dosing	90 Day Cost	Coverage	Comments	Category 1	Category 2
Lisdexamfetamine	Vyvanse	20 mg	QD	$295	BC - Restricted / NIHB - Covered		G Psychiatry	Stimulants (ADHD)
Temazepam	Restoril	30 mg	PRN	$45	BC / NIHB - Covered	90 tablets	G Psychiatry	Anxiolytic Sedative
Amphetamines, Mixed Salts	Adderall XR	10 mg	QD	$280	BC / NIHB - NC		G Psychiatry	Stimulants (ADHD)
Methylphenidate	Concerta	36 mg	QD	$420	BC - NC / NIHB - Covered		G Psychiatry	Stimulants (ADHD)
Methylphenidate	Ritalin	10 mg	BID	$60	BC / NIHB - Covered		G Psychiatry	Stimulants (ADHD)
Trazodone	Desyrel	50 mg	PRN	$20	BC / NIHB - Covered	90 tablets	G Psychiatry	Anxiolytic Sedative
Zopiclone	Imovane	7.5 mg	PRN	$25	BC - Covered / NIHB - NC	90 tablets	G Psychiatry	Anxiolytic Sedative
Quetiapine	Seroquel XR	300 mg	QD	$110	BC / NIHB - Covered		G Psychiatry	Antipsychotics
Olanzapine	Zyprexa	5 mg, 10 mg	QD	$85	BC / NIHB - Covered		G Psychiatry	Antipsychotics
Lorazepam	Ativan	1 mg	PRN	$20	BC / NIHB - Covered	90 tablets	G Psychiatry	Anxiolytic Sedative
Aripiprazole	Abilify	15 mg	QD	$140	BC - Restricted / NIHB - Covered		G Psychiatry	Antipsychotics
Risperidone	Risperdal	1 mg	QD	$35	BC / NIHB - Covered		G Psychiatry	Antipsychotics
Quetiapine	Seroquel	25 mg	HS	$20	BC / NIHB - Covered		G Psychiatry	Antipsychotics
Vortioxetine	Trintellix	20 mg	QD	$340	BC / NIHB - Covered		G Psychiatry	Antidepressants
Bupropion	Wellbutrin XL	150 mg	QD	$45	BC / NIHB - Covered		G Psychiatry	Antidepressants
Sertraline	Zoloft	50 mg	QD	$45	BC / NIHB - Covered		G Psychiatry	Antidepressants
Desvenlafaxine	Pristiq	50 mg	QD	$255	BC - NC / NIHB - SA		G Psychiatry	Antidepressants
Fluoxetine	Prozac	20 mg	QD	$45	BC / NIHB - Covered		G Psychiatry	Antidepressants
Mirtazapine	Remeron	30 mg	HS	$35	BC / NIHB - Covered		G Psychiatry	Antidepressants
Duloxetine	Cymbalta	30 mg	QD	$50	BC / NIHB - Covered		G Psychiatry	Antidepressants
Venlafaxine	Effexor XR	75 mg	QD	$30	BC / NIHB - Covered		G Psychiatry	Antidepressants
Paroxetine	Paxil	20 mg	QD	$45	BC / NIHB - Covered		G Psychiatry	Antidepressants
Citalopram	Celexa	20 mg	QD	$25	BC / NIHB - Covered		G Psychiatry	Antidepressants
Escitalopram	Cipralex	10 mg	QD	$45	BC / NIHB - Covered		G Psychiatry	Antidepressants

Legend:

BC = Alberta Blue Cross, NIHB = Non-Insured Health Benefits for First Nations and Inuit, NC = Not covered, SA = special authorization, SR = sustained release, OTC = over the counter, SQ = subcutaneous injection, SS=Social Services