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
00692689 THEOPHYLLINE AA-THEO LA 100 MG ORAL SUSTAINED-RELEASE TABLET 0.1681
TAB
AAP N/A N/A NO REGULAR BENEFIT Details
00692697 THEOPHYLLINE AA-THEO LA 200 MG ORAL SUSTAINED-RELEASE TABLET 0.1868
TAB
AAP N/A N/A NO REGULAR BENEFIT Details
00692700 THEOPHYLLINE AA-THEO LA 300 MG ORAL SUSTAINED-RELEASE TABLET 0.2263
TAB
AAP N/A N/A NO REGULAR BENEFIT Details
02360101 THEOPHYLLINE THEO ER 400 MG ORAL SUSTAINED-RELEASE TABLET N/A
TAB
AAP N/A N/A NO NOT A BENEFIT Details
02360128 THEOPHYLLINE THEO ER 600 MG ORAL SUSTAINED-RELEASE TABLET N/A
TAB
AAP N/A N/A NO NOT A BENEFIT Details
DIN/NPN/ PIN 00692689
Generic Name THEOPHYLLINE
Product Name, Strength & Dosage Form AA-THEO LA 100 MG ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.1681
Manufacturer AAP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00692697
Generic Name THEOPHYLLINE
Product Name, Strength & Dosage Form AA-THEO LA 200 MG ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.1868
Manufacturer AAP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00692700
Generic Name THEOPHYLLINE
Product Name, Strength & Dosage Form AA-THEO LA 300 MG ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.2263
Manufacturer AAP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02360101
Generic Name THEOPHYLLINE
Product Name, Strength & Dosage Form THEO ER 400 MG ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue N/A
Manufacturer AAP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 02360128
Generic Name THEOPHYLLINE
Product Name, Strength & Dosage Form THEO ER 600 MG ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue N/A
Manufacturer AAP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A 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.