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
02444275 NALTREXONE HCL APO-NALTREXONE 50 MG ORAL TABLET 2.8075
TAB
APX 2.8075 N/A YES REGULAR BENEFIT Details
02451883 NALTREXONE HCL NALTREXONE HYDROCHLORIDE 50 MG ORAL TABLET 2.8075
TAB
JPC 2.8075 N/A YES REGULAR BENEFIT Details
02213826 NALTREXONE HCL REVIA 50 MG ORAL TABLET 2.8075
TAB
TEV 2.8075 N/A YES REGULAR BENEFIT Details
DIN/NPN/ PIN 02444275
Generic Name NALTREXONE HCL
Product Name, Strength & Dosage Form APO-NALTREXONE 50 MG ORAL TABLET
Unit Price, Unit of Issue 2.8075
Manufacturer APX
LCA Price 2.8075
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02451883
Generic Name NALTREXONE HCL
Product Name, Strength & Dosage Form NALTREXONE HYDROCHLORIDE 50 MG ORAL TABLET
Unit Price, Unit of Issue 2.8075
Manufacturer JPC
LCA Price 2.8075
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02213826
Generic Name NALTREXONE HCL
Product Name, Strength & Dosage Form REVIA 50 MG ORAL TABLET
Unit Price, Unit of Issue 2.8075
Manufacturer TEV
LCA Price 2.8075
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.