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Your plan features Maximum Allowable Cost (MAC) for drugs to help treat:

  • Gastrointestinal conditions*
  • High cholesterol
  • High blood pressure
  • Depression

Your plan will reimburse for a number of drugs in the therapeutic categories to treat these conditions, up to the price of the most cost-effective option.

Medications covered under this program

Maximum Allowable Cost applies if you have been diagnosed for treatment of one of these conditions:

Gastrointestinal Conditions

If you have been prescribed a Proton Pump Inhibitor to treat gastrointestinal conditions:

  • Dexilant (dexlansoprazole)
  • Losec (omeprazole)
  • Nexium (esomeprazole)
  • Pantoloc (pantoprazole sodium)
  • Pariet (rabeprazole)
  • Prevacid (lansoprazole)
  • Tecta (pantoprazole magnesium)

You may be reimbursed to the price of the most cost-effective option: Generic Pariet (rabeprazole)

High Cholesterol

If you have been prescribed a statin to treat high cholesterol:

  • Crestor (rosuvastatin)
  • Lescol (fluvastatin)
  • Lipitor (atorvastatin)
  • Mevacor (lovastatin)
  • Pravachol (pravastatin)
  • Zocor (simvastatin)

You may be reimbursed to the price of the most cost-effective option: Generic Crestor (rosuvastatin)

High Blood Pressure

If you have been prescribed an Angiotensin Converting Enzyme Inhibitor (ACE) to treat high blood pressure:

  • Accupril (quinapril)
  • Altace (ramipril)
  • Capoten (Captopril)
  • Coversyl (perindopril)
  • Inhibace (cilazapril)
  • Lotensin (benazepril)
  • Mavik (trandolapril)
  • Monopril (fosinopril)
  • Vasotec (enalapril)
  • Zestril/Prinivil (lisinopril)

You may be reimbursed to the price of the most cost-effective option: Generic Altace (ramipril)


If you have been prescribed a Dihydropyridine Calcium Channel Blocker (CCB) to treat high blood pressure:  

  • Adalat XL (nifedipine)
  • Norvasc (amlodipine)
  • Plendil/Renedil (felodipine)

You may be reimbursed to the price of the most cost-effective option:  Generic Norvasc (amlodipine)

Depression

If you have been prescribed a Selective Serotonin Reuptake Inhibitor (SSRI) to treat depression:

  • Celexa (citalopram)
  • Cipralex (escitalopram)
  • Luvox (fluvoxamine)
  • Paxil (paroxetine)
  • Prozac (fluoxetine)
  • Zoloft (sertraline)

You may be reimbursed to the price of the most cost-effective option: Generic Celexa (citalopram)


If you have been prescribed a Serotonin and Norepinephrine Reuptake Inhibitor (SNRI) to treat depression:  

  • Cymbalta (duloxetine)
  • Effexor (venlafaxine)
  • Pristiq (desvenlafaxine)

You may be reimbursed to the price of the most cost-effective option:  Generic Effexor (venlafaxine)


In the case of changes to the drugs covered by this program, updates to this table will be made as soon as possible.

If you have been prescribed one of the above medications, you can find out if a lower cost option is appropriate for you by:

  • Discussing your treatment with your physician or health professional
  • Discussing with your pharmacist when filling your prescription

If you choose the more expensive option, you will need to pay the difference between the most cost-effective option and the one you have been prescribed. Your benefit plan can play a big part in the health of you and your family. By working together, we can ensure you have affordable access to the medications you need, today and in the future. You can find out more about how drug costs work here.

*In Quebec, only gastrointestinal treatments have MAC applied