Home Health iDBL
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
00990091 AEROSOL HOLDING CHAMBER AEROCHAMBER PLUS FLOW-VU W/ MOUTHPIECE DEVICE 25.3200
DEV 		TMI 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00990100 AEROSOL HOLDING CHAMBER AEROCHAMBER PLUS FLOW-VU YOUTH W/ MOUTHPIECE DEVICE 25.3200
DEV 		TMI 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00990104 AEROSOL HOLDING CHAMBER ANTI-STATIC COMPACT SPACE CHAMBER PLUS MOUTHPIECE DEVICE N/A
DEV 		MPI N/A N/A NO NOT A BENEFIT Details
00999399 AEROSOL HOLDING CHAMBER OPTICHAMBER DIAMOND (CHAMBER ONLY) DEVICE 18.0600
DEV 		RNA 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00990080 AEROSOL HOLDING CHAMBER VORTEX DEVICE 19.4977
DEV 		KGH 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00990110 AEROSOL HOLDING CHAMBER/MASK AEROCHAMBER 2 GO ADULT DEVICE N/A
DEV 		TMI N/A N/A NO NOT A BENEFIT Details
00990109 AEROSOL HOLDING CHAMBER/MASK AEROCHAMBER PLUS FLOW-VU W/ ADULT SMALL MASK ADULT DEVICE 42.8500
DEV 		TMI 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00990094 AEROSOL HOLDING CHAMBER/MASK AEROCHAMBER PLUS FLOW-VU W/ LARGE MASK ADULT DEVICE 42.8500
DEV 		TMI 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00990093 AEROSOL HOLDING CHAMBER/MASK AEROCHAMBER PLUS FLOW-VU W/ MEDIUM MASK PEDIATRIC DEVICE 40.5000
DEV 		TMI 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00990092 AEROSOL HOLDING CHAMBER/MASK AEROCHAMBER PLUS FLOW-VU W/ SMALL MASK INFANT DEVICE 40.5000
DEV 		TMI 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00990107 AEROSOL HOLDING CHAMBER/MASK ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ LG MASK ADULT DEVICE N/A
DEV 		MPI N/A N/A NO NOT A BENEFIT Details
00990106 AEROSOL HOLDING CHAMBER/MASK ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ MED MASK PEDIATRIC DEVICE N/A
DEV 		MPI N/A N/A NO NOT A BENEFIT Details
00990105 AEROSOL HOLDING CHAMBER/MASK ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ SM MASK INFANT DEVICE N/A
DEV 		MPI N/A N/A NO NOT A BENEFIT Details
00999396 AEROSOL HOLDING CHAMBER/MASK OPTICHAMBER DIAMOND (WITH LARGE MASK) ADULT DEVICE 34.0200
DEV 		RNA 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00999397 AEROSOL HOLDING CHAMBER/MASK OPTICHAMBER DIAMOND (WITH MEDIUM MASK) PEDIATRIC DEVICE 30.8700
DEV 		RNA 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00999398 AEROSOL HOLDING CHAMBER/MASK OPTICHAMBER DIAMOND (WITH SMALL MASK) INFANT DEVICE 30.8700
DEV 		RNA 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00990016 AEROSOL HOLDING CHAMBER/MASK VORTEX CHILD/PEDIATRIC MASK DEVICE PEDIATRIC DEVICE 13.0047
DEV 		KGH 0.0000 0.0000 YES RESTRICTED BENEFIT Details
00990015 AEROSOL HOLDING CHAMBER/MASK VORTEX TODDLER/INFANT MASK DEVICE INFANT DEVICE 13.0047
DEV 		KGH 0.0000 0.0000 YES RESTRICTED BENEFIT Details
DIN/NPN/ PIN 00990091
Generic Name AEROSOL HOLDING CHAMBER
Product Name, Strength & Dosage Form AEROCHAMBER PLUS FLOW-VU W/ MOUTHPIECE DEVICE
Unit Price, Unit of Issue 25.3200
Manufacturer TMI
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00990100
Generic Name AEROSOL HOLDING CHAMBER
Product Name, Strength & Dosage Form AEROCHAMBER PLUS FLOW-VU YOUTH W/ MOUTHPIECE DEVICE
Unit Price, Unit of Issue 25.3200
Manufacturer TMI
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00990104
Generic Name AEROSOL HOLDING CHAMBER
Product Name, Strength & Dosage Form ANTI-STATIC COMPACT SPACE CHAMBER PLUS MOUTHPIECE DEVICE
Unit Price, Unit of Issue N/A
Manufacturer MPI
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 00999399
Generic Name AEROSOL HOLDING CHAMBER
Product Name, Strength & Dosage Form OPTICHAMBER DIAMOND (CHAMBER ONLY) DEVICE
Unit Price, Unit of Issue 18.0600
Manufacturer RNA
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00990080
Generic Name AEROSOL HOLDING CHAMBER
Product Name, Strength & Dosage Form VORTEX DEVICE
Unit Price, Unit of Issue 19.4977
Manufacturer KGH
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00990110
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form AEROCHAMBER 2 GO ADULT DEVICE
Unit Price, Unit of Issue N/A
Manufacturer TMI
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 00990109
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form AEROCHAMBER PLUS FLOW-VU W/ ADULT SMALL MASK ADULT DEVICE
Unit Price, Unit of Issue 42.8500
Manufacturer TMI
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00990094
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form AEROCHAMBER PLUS FLOW-VU W/ LARGE MASK ADULT DEVICE
Unit Price, Unit of Issue 42.8500
Manufacturer TMI
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00990093
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form AEROCHAMBER PLUS FLOW-VU W/ MEDIUM MASK PEDIATRIC DEVICE
Unit Price, Unit of Issue 40.5000
Manufacturer TMI
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00990092
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form AEROCHAMBER PLUS FLOW-VU W/ SMALL MASK INFANT DEVICE
Unit Price, Unit of Issue 40.5000
Manufacturer TMI
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00990107
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ LG MASK ADULT DEVICE
Unit Price, Unit of Issue N/A
Manufacturer MPI
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 00990106
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ MED MASK PEDIATRIC DEVICE
Unit Price, Unit of Issue N/A
Manufacturer MPI
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 00990105
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form ANTI-STATIC COMPACT SPACE CHAMBER PLUS W/ SM MASK INFANT DEVICE
Unit Price, Unit of Issue N/A
Manufacturer MPI
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 00999396
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form OPTICHAMBER DIAMOND (WITH LARGE MASK) ADULT DEVICE
Unit Price, Unit of Issue 34.0200
Manufacturer RNA
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00999397
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form OPTICHAMBER DIAMOND (WITH MEDIUM MASK) PEDIATRIC DEVICE
Unit Price, Unit of Issue 30.8700
Manufacturer RNA
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00999398
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form OPTICHAMBER DIAMOND (WITH SMALL MASK) INFANT DEVICE
Unit Price, Unit of Issue 30.8700
Manufacturer RNA
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00990016
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form VORTEX CHILD/PEDIATRIC MASK DEVICE PEDIATRIC DEVICE
Unit Price, Unit of Issue 13.0047
Manufacturer KGH
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status RESTRICTED BENEFIT
Details
DIN/NPN/ PIN 00990015
Generic Name AEROSOL HOLDING CHAMBER/MASK
Product Name, Strength & Dosage Form VORTEX TODDLER/INFANT MASK DEVICE INFANT DEVICE
Unit Price, Unit of Issue 13.0047
Manufacturer KGH
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
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.