Clickable Table

Generic Name Brand Name Strength Dosing 90 Day Cost Coverage Comments Category 1 Category 2
Varenicline Champix 0.5 mg QD x 3 days, 0.5 mg BID x 4 days, 1 mg BID thereafter $100 BC - Restricted / NIHB - Covered

Quantity limits

&K000000Smoking Cessation &"System Font,Regular"
&K000000Cost quoted for 12 weeks of stated dosing frequency
Smoking Cessation
Nortriptyline Aventyl 25 mg 3 HS $210 BC / NIHB - Covered &K000000Smoking Cessation &"System Font,Regular"
&K000000Cost quoted for 12 weeks of stated dosing frequency
Smoking Cessation
Bupropion Wellbutrin SR 150 mg BID $195 BC / NIHB - Covered &K000000Smoking Cessation &"System Font,Regular"
&K000000Cost quoted for 12 weeks of stated dosing frequency
Smoking Cessation
Bupropion Zyban 150 mg BID $245 BC / NIHB - Covered &K000000Smoking Cessation &"System Font,Regular"
&K000000Cost quoted for 12 weeks of stated dosing frequency
Smoking Cessation
Legend:
BC = Alberta Blue Cross, NIHB = Non-Insured Health Benefits for First Nations and Inuit, NC = Not covered, SA = special authorization