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
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
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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.