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
02244265 CASPOFUNGIN CANCIDAS 50 MG / VIAL INJECTION 222.0000
VIAL
MFC 188.7000 N/A YES RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION Details
02460947 CASPOFUNGIN CASPOFUNGIN 50 MG / VIAL INJECTION 188.7000
VIAL
JUN 188.7000 N/A YES RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION Details
02244266 CASPOFUNGIN CANCIDAS 70 MG / VIAL INJECTION 222.0000
VIAL
MFC 0.0000 0.0000 YES RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION Details
02460955 CASPOFUNGIN CASPOFUNGIN 70 MG / VIAL INJECTION 188.7000
VIAL
JUN 0.0000 0.0000 YES RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION Details
DIN/NPN/ PIN 02244265
Generic Name CASPOFUNGIN
Product Name, Strength & Dosage Form CANCIDAS 50 MG / VIAL INJECTION
Unit Price, Unit of Issue 222.0000
Manufacturer MFC
LCA Price 188.7000
MAC Price N/A
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN 02460947
Generic Name CASPOFUNGIN
Product Name, Strength & Dosage Form CASPOFUNGIN 50 MG / VIAL INJECTION
Unit Price, Unit of Issue 188.7000
Manufacturer JUN
LCA Price 188.7000
MAC Price N/A
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN 02244266
Generic Name CASPOFUNGIN
Product Name, Strength & Dosage Form CANCIDAS 70 MG / VIAL INJECTION
Unit Price, Unit of Issue 222.0000
Manufacturer MFC
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN 02460955
Generic Name CASPOFUNGIN
Product Name, Strength & Dosage Form CASPOFUNGIN 70 MG / VIAL INJECTION
Unit Price, Unit of Issue 188.7000
Manufacturer JUN
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION
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.