Interactive Drug Benefit List
DIN/NPN/ PIN Generic Name Product Name, Strength & Dosage Form Unit Price, Unit of Issue Manufacturer LCA Price MAC Price Interchangeable Products Coverage Status
00474517 ALFACALCIDOL ONE-ALPHA 0.25 MCG ORAL CAPSULE 0.5297
CAP
CAG 0.4313 N/A YES REGULAR BENEFIT Details
02533316 ALFACALCIDOL SANDOZ ALFACALCIDOL 0.25 MCG ORAL CAPSULE 0.4313
CAP
SDZ 0.4313 N/A YES REGULAR BENEFIT Details
00474525 ALFACALCIDOL ONE-ALPHA 1 MCG ORAL CAPSULE 1.5854
CAP
CAG 1.2911 N/A YES REGULAR BENEFIT Details
02533324 ALFACALCIDOL SANDOZ ALFACALCIDOL 1 MCG ORAL CAPSULE 1.2911
CAP
SDZ 1.2911 N/A YES REGULAR BENEFIT Details
02242502 ALFACALCIDOL ONE-ALPHA 2 MCG / ML INJECTION 19.4241
ML
CAG N/A N/A NO REGULAR BENEFIT Details
02240329 ALFACALCIDOL ONE-ALPHA 2 MCG / ML ORAL DROPS 6.0571
ML
CAG N/A N/A NO REGULAR BENEFIT Details
02431637 CALCITRIOL CALCITRIOL-ODAN 0.25 MCG ORAL CAPSULE 0.2341
CAP
ODN 0.2341 N/A YES REGULAR BENEFIT Details
00481823 CALCITRIOL ROCALTROL 0.25 MCG ORAL CAPSULE 0.7363
CAP
SLP 0.2341 N/A YES REGULAR BENEFIT Details
02485710 CALCITRIOL TARO-CALCITRIOL 0.25 MCG ORAL CAPSULE 0.2341
CAP
TAR 0.2341 N/A YES REGULAR BENEFIT Details
02431645 CALCITRIOL CALCITRIOL-ODAN 0.5 MCG ORAL CAPSULE 0.3723
CAP
ODN 0.3723 N/A YES REGULAR BENEFIT Details
00481815 CALCITRIOL ROCALTROL 0.5 MCG ORAL CAPSULE 1.1710
CAP
SLP 0.3723 N/A YES REGULAR BENEFIT Details
02485729 CALCITRIOL TARO-CALCITRIOL 0.5 MCG ORAL CAPSULE 0.3723
CAP
TAR 0.3723 N/A YES REGULAR BENEFIT Details
02399334 CALCITRIOL CALCITRIOL 1 MCG / ML INJECTION 9.4337
ML
STM N/A N/A NO REGULAR BENEFIT Details
02417685 VITAMIN D3 VIDEXTRA 10,000 IU ORAL TABLET N/A
TAB
ORI N/A N/A NO NOT A BENEFIT Details
00762881 VITAMIN D3 D-VI-SOL INFANT 400 UNIT / ML ORAL DROPS 0.1996
ML
MJO N/A N/A NO RESTRICTED BENEFIT Details
80019649 VITAMIN D3 D3-DOL 400 UNIT / ML ORAL DROPS 5.3892
ML
JPC N/A N/A NO RESTRICTED BENEFIT Details
80003038 VITAMIN D3 JAMP-VITAMIN D 400 UNIT / ML ORAL DROPS 0.1781
ML
JPC N/A N/A NO RESTRICTED BENEFIT Details
DIN/NPN/ PIN 00474517
Generic Name ALFACALCIDOL
Product Name, Strength & Dosage Form ONE-ALPHA 0.25 MCG ORAL CAPSULE
Unit Price, Unit of Issue 0.5297
Manufacturer CAG
LCA Price 0.4313
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02533316
Generic Name ALFACALCIDOL
Product Name, Strength & Dosage Form SANDOZ ALFACALCIDOL 0.25 MCG ORAL CAPSULE
Unit Price, Unit of Issue 0.4313
Manufacturer SDZ
LCA Price 0.4313
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00474525
Generic Name ALFACALCIDOL
Product Name, Strength & Dosage Form ONE-ALPHA 1 MCG ORAL CAPSULE
Unit Price, Unit of Issue 1.5854
Manufacturer CAG
LCA Price 1.2911
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02533324
Generic Name ALFACALCIDOL
Product Name, Strength & Dosage Form SANDOZ ALFACALCIDOL 1 MCG ORAL CAPSULE
Unit Price, Unit of Issue 1.2911
Manufacturer SDZ
LCA Price 1.2911
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02242502
Generic Name ALFACALCIDOL
Product Name, Strength & Dosage Form ONE-ALPHA 2 MCG / ML INJECTION
Unit Price, Unit of Issue 19.4241
Manufacturer CAG
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02240329
Generic Name ALFACALCIDOL
Product Name, Strength & Dosage Form ONE-ALPHA 2 MCG / ML ORAL DROPS
Unit Price, Unit of Issue 6.0571
Manufacturer CAG
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02431637
Generic Name CALCITRIOL
Product Name, Strength & Dosage Form CALCITRIOL-ODAN 0.25 MCG ORAL CAPSULE
Unit Price, Unit of Issue 0.2341
Manufacturer ODN
LCA Price 0.2341
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00481823
Generic Name CALCITRIOL
Product Name, Strength & Dosage Form ROCALTROL 0.25 MCG ORAL CAPSULE
Unit Price, Unit of Issue 0.7363
Manufacturer SLP
LCA Price 0.2341
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02485710
Generic Name CALCITRIOL
Product Name, Strength & Dosage Form TARO-CALCITRIOL 0.25 MCG ORAL CAPSULE
Unit Price, Unit of Issue 0.2341
Manufacturer TAR
LCA Price 0.2341
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02431645
Generic Name CALCITRIOL
Product Name, Strength & Dosage Form CALCITRIOL-ODAN 0.5 MCG ORAL CAPSULE
Unit Price, Unit of Issue 0.3723
Manufacturer ODN
LCA Price 0.3723
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00481815
Generic Name CALCITRIOL
Product Name, Strength & Dosage Form ROCALTROL 0.5 MCG ORAL CAPSULE
Unit Price, Unit of Issue 1.1710
Manufacturer SLP
LCA Price 0.3723
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02485729
Generic Name CALCITRIOL
Product Name, Strength & Dosage Form TARO-CALCITRIOL 0.5 MCG ORAL CAPSULE
Unit Price, Unit of Issue 0.3723
Manufacturer TAR
LCA Price 0.3723
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02399334
Generic Name CALCITRIOL
Product Name, Strength & Dosage Form CALCITRIOL 1 MCG / ML INJECTION
Unit Price, Unit of Issue 9.4337
Manufacturer STM
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02417685
Generic Name VITAMIN D3
Product Name, Strength & Dosage Form VIDEXTRA 10,000 IU ORAL TABLET
Unit Price, Unit of Issue N/A
Manufacturer ORI
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 00762881
Generic Name VITAMIN D3
Product Name, Strength & Dosage Form D-VI-SOL INFANT 400 UNIT / ML ORAL DROPS
Unit Price, Unit of Issue 0.1996
Manufacturer MJO
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 80019649
Generic Name VITAMIN D3
Product Name, Strength & Dosage Form D3-DOL 400 UNIT / ML ORAL DROPS
Unit Price, Unit of Issue 5.3892
Manufacturer JPC
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 80003038
Generic Name VITAMIN D3
Product Name, Strength & Dosage Form JAMP-VITAMIN D 400 UNIT / ML ORAL DROPS
Unit Price, Unit of Issue 0.1781
Manufacturer JPC
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status RESTRICTED BENEFIT
Details
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NOTICE:
The DBL, DBS and related publications require knowledgeable interpretation and are intended primarily for professional health care practitioners, pharmacies, hospitals and organizations associated with the manufacture, distribution and use of pharmaceutical preparations.
Electronic versions of all DBL and DBS related publications are unofficial versions and are provided for convenience and private use only. Official paper versions can be obtained from Alberta Blue Cross who publishes them on behalf of Alberta Health and Alberta Human Services.
Alberta Health reserves the right to make changes, without notice, to the List through the Interactive DBL(iDBL), and any such changes to the Interactive DBL(iDBL) are effective the date of the change (unless otherwise stated) and regardless of the date of publication in the paper version or updates.