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
02292173
AMIODARONE HCL
PMS-AMIODARONE 100 MG ORAL TABLET
0.8593
TAB
PMS
N/A
N/A
NO
REGULAR BENEFIT
Details
02364336
AMIODARONE HCL
AMIODARONE 200 MG ORAL TABLET
0.3706
TAB
SNS
0.3706
N/A
YES
REGULAR BENEFIT
Details
02385465
AMIODARONE HCL
AMIODARONE 200 MG ORAL TABLET
0.3706
TAB
SIV
0.3706
N/A
YES
REGULAR BENEFIT
Details
02246194
AMIODARONE HCL
APO-AMIODARONE 200 MG ORAL TABLET
0.3706
TAB
APX
0.3706
N/A
YES
REGULAR BENEFIT
Details
02531844
AMIODARONE HCL
JAMP AMIODARONE 200 MG ORAL TABLET
0.3706
TAB
JPC
0.3706
N/A
YES
REGULAR BENEFIT
Details
02242472
AMIODARONE HCL
PMS-AMIODARONE 200 MG ORAL TABLET
0.3706
TAB
PMS
0.3706
N/A
YES
REGULAR BENEFIT
Details
02247217
AMIODARONE HCL
RIVA-AMIODARONE 200 MG ORAL TABLET
0.3706
TAB
RIV
0.3706
N/A
YES
REGULAR BENEFIT
Details
02243836
AMIODARONE HCL
SANDOZ AMIODARONE 200 MG ORAL TABLET
0.3706
TAB
SDZ
0.3706
N/A
YES
REGULAR BENEFIT
Details
02239835
AMIODARONE HCL
TEVA-AMIODARONE 200 MG ORAL TABLET
0.3706
TAB
TEV
0.3706
N/A
YES
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02292173
Generic Name
AMIODARONE HCL
Product Name, Strength & Dosage Form
PMS-AMIODARONE 100 MG ORAL TABLET
Unit Price, Unit of Issue
0.8593
Manufacturer
PMS
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02364336
Generic Name
AMIODARONE HCL
Product Name, Strength & Dosage Form
AMIODARONE 200 MG ORAL TABLET
Unit Price, Unit of Issue
0.3706
Manufacturer
SNS
LCA Price
0.3706
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02385465
Generic Name
AMIODARONE HCL
Product Name, Strength & Dosage Form
AMIODARONE 200 MG ORAL TABLET
Unit Price, Unit of Issue
0.3706
Manufacturer
SIV
LCA Price
0.3706
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02246194
Generic Name
AMIODARONE HCL
Product Name, Strength & Dosage Form
APO-AMIODARONE 200 MG ORAL TABLET
Unit Price, Unit of Issue
0.3706
Manufacturer
APX
LCA Price
0.3706
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02531844
Generic Name
AMIODARONE HCL
Product Name, Strength & Dosage Form
JAMP AMIODARONE 200 MG ORAL TABLET
Unit Price, Unit of Issue
0.3706
Manufacturer
JPC
LCA Price
0.3706
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02242472
Generic Name
AMIODARONE HCL
Product Name, Strength & Dosage Form
PMS-AMIODARONE 200 MG ORAL TABLET
Unit Price, Unit of Issue
0.3706
Manufacturer
PMS
LCA Price
0.3706
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02247217
Generic Name
AMIODARONE HCL
Product Name, Strength & Dosage Form
RIVA-AMIODARONE 200 MG ORAL TABLET
Unit Price, Unit of Issue
0.3706
Manufacturer
RIV
LCA Price
0.3706
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02243836
Generic Name
AMIODARONE HCL
Product Name, Strength & Dosage Form
SANDOZ AMIODARONE 200 MG ORAL TABLET
Unit Price, Unit of Issue
0.3706
Manufacturer
SDZ
LCA Price
0.3706
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02239835
Generic Name
AMIODARONE HCL
Product Name, Strength & Dosage Form
TEVA-AMIODARONE 200 MG ORAL TABLET
Unit Price, Unit of Issue
0.3706
Manufacturer
TEV
LCA Price
0.3706
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
GLOSSARY
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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.