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
02242971 AMIKACIN SULFATE AMIKACIN SULFATE 250 MG / ML INJECTION N/A
ML
SDZ N/A N/A NO NOT A BENEFIT Details
02242652 GENTAMICIN SULFATE GENTAMICIN 40 MG / ML INJECTION 8.9447
ML
SDZ 0.0000 0.0000 NO REGULAR BENEFIT Details
02365154 TOBRAMYCIN TOBI PODHALER 28 MG INHALATION CAPSULE 14.0613
CAP
BGP N/A N/A NO REGULAR BENEFIT Details
02230640 TOBRAMYCIN SULFATE TOBRAMYCIN 40 MG / ML INJECTION N/A
ML
FKC N/A N/A NO NOT A BENEFIT Details
02389622 TOBRAMYCIN SULFATE TEVA-TOBRAMYCIN 60 MG / ML INHALATION SOLUTION 8.2197
ML
TEV 8.2197 N/A YES REGULAR BENEFIT Details
02239630 TOBRAMYCIN SULFATE TOBI 60 MG / ML INHALATION SOLUTION 11.6428
ML
BGP 8.2197 N/A YES REGULAR BENEFIT Details
DIN/NPN/ PIN 02242971
Generic Name AMIKACIN SULFATE
Product Name, Strength & Dosage Form AMIKACIN SULFATE 250 MG / ML INJECTION
Unit Price, Unit of Issue N/A
Manufacturer SDZ
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 02242652
Generic Name GENTAMICIN SULFATE
Product Name, Strength & Dosage Form GENTAMICIN 40 MG / ML INJECTION
Unit Price, Unit of Issue 8.9447
Manufacturer SDZ
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02365154
Generic Name TOBRAMYCIN
Product Name, Strength & Dosage Form TOBI PODHALER 28 MG INHALATION CAPSULE
Unit Price, Unit of Issue 14.0613
Manufacturer BGP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02230640
Generic Name TOBRAMYCIN SULFATE
Product Name, Strength & Dosage Form TOBRAMYCIN 40 MG / ML INJECTION
Unit Price, Unit of Issue N/A
Manufacturer FKC
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 02389622
Generic Name TOBRAMYCIN SULFATE
Product Name, Strength & Dosage Form TEVA-TOBRAMYCIN 60 MG / ML INHALATION SOLUTION
Unit Price, Unit of Issue 8.2197
Manufacturer TEV
LCA Price 8.2197
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02239630
Generic Name TOBRAMYCIN SULFATE
Product Name, Strength & Dosage Form TOBI 60 MG / ML INHALATION SOLUTION
Unit Price, Unit of Issue 11.6428
Manufacturer BGP
LCA Price 8.2197
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR 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.