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
02443066 NINTEDANIB ESILATE OFEV 100 MG ORAL CAPSULE 28.3216
CAP
BOE N/A N/A NO SPECIAL AUTHORIZATION Details
02443074 NINTEDANIB ESILATE OFEV 150 MG ORAL CAPSULE 56.6431
CAP
BOE N/A N/A NO SPECIAL AUTHORIZATION Details
DIN/NPN/ PIN 02443066
Generic Name NINTEDANIB ESILATE
Product Name, Strength & Dosage Form OFEV 100 MG ORAL CAPSULE
Unit Price, Unit of Issue 28.3216
Manufacturer BOE
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN 02443074
Generic Name NINTEDANIB ESILATE
Product Name, Strength & Dosage Form OFEV 150 MG ORAL CAPSULE
Unit Price, Unit of Issue 56.6431
Manufacturer BOE
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status SPECIAL AUTHORIZATION
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.