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
02230434
ACETAMINOPHEN
ACET 120 120 MG RECTAL SUPPOSITORY
0.9600
SUP
PPH
N/A
N/A
NO
REGULAR BENEFIT
Details
02027798
ACETAMINOPHEN
PEDIATRIX 32 MG / ML ORAL SOLUTION
0.0434
ML
TEV
N/A
N/A
NO
REGULAR BENEFIT
Details
02230436
ACETAMINOPHEN
ACET 325 325 MG RECTAL SUPPOSITORY
0.9600
SUP
PPH
N/A
N/A
NO
REGULAR BENEFIT
Details
02252813
ACETAMINOPHEN
ACETAMINOPHEN EXTRA STRENGTH 500 MG ORAL TABLET
0.0285
TAB
CEL
0.0285
N/A
NO
REGULAR BENEFIT
Details
02229977
ACETAMINOPHEN
APO-ACETAMINOPHEN (CAPLET) 500 MG ORAL TABLET
0.0285
TAB
APX
0.0285
N/A
YES
REGULAR BENEFIT
Details
02355299
ACETAMINOPHEN
JAMP-ACETAMINOPHEN BLAZON 500 MG ORAL TABLET
0.0271
TAB
JPC
0.0285
N/A
NO
REGULAR BENEFIT
Details
01939122
ACETAMINOPHEN
JAMP-ACETAMINOPHEN EXTRA STRENGTH 500 MG ORAL TABLET
0.0271
TAB
JPC
0.0285
N/A
NO
REGULAR BENEFIT
Details
00482323
ACETAMINOPHEN
NOVO GESIC FORTE 500 MG ORAL TABLET
0.0285
TAB
TEV
0.0285
N/A
YES
REGULAR BENEFIT
Details
00559407
ACETAMINOPHEN
TYLENOL EXTRA STRENGTH 500 MG ORAL TABLET
0.1223
TAB
MCL
0.0285
N/A
YES
REGULAR BENEFIT
Details
00723908
ACETAMINOPHEN
TYLENOL EXTRA-STRENGTH (CAPLET) 500 MG ORAL TABLET
0.1223
TAB
MCL
0.0285
N/A
YES
REGULAR BENEFIT
Details
02230437
ACETAMINOPHEN
ACET 650 650 MG RECTAL SUPPOSITORY
0.9600
SUP
PPH
N/A
N/A
NO
REGULAR BENEFIT
Details
02027801
ACETAMINOPHEN
PEDIATRIX 80 MG / ML ORAL DROPS
0.1510
ML
TEV
N/A
N/A
NO
REGULAR BENEFIT
Details
02266121
DELTA-9-TETRAHYDROCANNABINOL/ CANNABIDIOL
SATIVEX 27 MG / ML * 25 MG / ML BUCCAL SPRAY
N/A
ML
BHP
N/A
N/A
NO
NOT A BENEFIT
Details
DIN/NPN/ PIN
02230434
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
ACET 120 120 MG RECTAL SUPPOSITORY
Unit Price, Unit of Issue
0.9600
Manufacturer
PPH
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02027798
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
PEDIATRIX 32 MG / ML ORAL SOLUTION
Unit Price, Unit of Issue
0.0434
Manufacturer
TEV
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02230436
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
ACET 325 325 MG RECTAL SUPPOSITORY
Unit Price, Unit of Issue
0.9600
Manufacturer
PPH
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02252813
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
ACETAMINOPHEN EXTRA STRENGTH 500 MG ORAL TABLET
Unit Price, Unit of Issue
0.0285
Manufacturer
CEL
LCA Price
0.0285
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02229977
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
APO-ACETAMINOPHEN (CAPLET) 500 MG ORAL TABLET
Unit Price, Unit of Issue
0.0285
Manufacturer
APX
LCA Price
0.0285
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02355299
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
JAMP-ACETAMINOPHEN BLAZON 500 MG ORAL TABLET
Unit Price, Unit of Issue
0.0271
Manufacturer
JPC
LCA Price
0.0285
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
01939122
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
JAMP-ACETAMINOPHEN EXTRA STRENGTH 500 MG ORAL TABLET
Unit Price, Unit of Issue
0.0271
Manufacturer
JPC
LCA Price
0.0285
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
00482323
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
NOVO GESIC FORTE 500 MG ORAL TABLET
Unit Price, Unit of Issue
0.0285
Manufacturer
TEV
LCA Price
0.0285
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
00559407
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
TYLENOL EXTRA STRENGTH 500 MG ORAL TABLET
Unit Price, Unit of Issue
0.1223
Manufacturer
MCL
LCA Price
0.0285
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
00723908
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
TYLENOL EXTRA-STRENGTH (CAPLET) 500 MG ORAL TABLET
Unit Price, Unit of Issue
0.1223
Manufacturer
MCL
LCA Price
0.0285
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02230437
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
ACET 650 650 MG RECTAL SUPPOSITORY
Unit Price, Unit of Issue
0.9600
Manufacturer
PPH
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02027801
Generic Name
ACETAMINOPHEN
Product Name, Strength & Dosage Form
PEDIATRIX 80 MG / ML ORAL DROPS
Unit Price, Unit of Issue
0.1510
Manufacturer
TEV
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02266121
Generic Name
DELTA-9-TETRAHYDROCANNABINOL/ CANNABIDIOL
Product Name, Strength & Dosage Form
SATIVEX 27 MG / ML * 25 MG / ML BUCCAL SPRAY
Unit Price, Unit of Issue
N/A
Manufacturer
BHP
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
NOT A 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.