INVEGA SUSTENNA (1 ML SYR) 100 MG / SYR INJECTION SYRINGE
509.6200 SYR
JAI
N/A
N/A
NO
SPECIAL AUTHORIZATION
Details
02354241
PALIPERIDONE PALMITATE
INVEGA SUSTENNA (1.5 ML SYR) 150 MG / SYR INJECTION SYRINGE
679.5300 SYR
JAI
N/A
N/A
NO
SPECIAL AUTHORIZATION
Details
02455943
PALIPERIDONE PALMITATE
INVEGA TRINZA (0.875 ML SYR) 175 MG / SYR INJECTION SYRINGE
934.2900 SYR
JAI
N/A
N/A
NO
SPECIAL AUTHORIZATION
Details
02455986
PALIPERIDONE PALMITATE
INVEGA TRINZA (1.315 ML SYR) 263 MG / SYR INJECTION SYRINGE
1,401.5400 SYR
JAI
N/A
N/A
NO
SPECIAL AUTHORIZATION
Details
02455994
PALIPERIDONE PALMITATE
INVEGA TRINZA (1.75 ML SYR) 350 MG / SYR INJECTION SYRINGE
1,401.5400 SYR
JAI
N/A
N/A
NO
SPECIAL AUTHORIZATION
Details
02354217
PALIPERIDONE PALMITATE
INVEGA SUSTENNA (0.5 ML SYR) 50 MG / SYR INJECTION SYRINGE
327.4500 SYR
JAI
N/A
N/A
NO
SPECIAL AUTHORIZATION
Details
02456001
PALIPERIDONE PALMITATE
INVEGA TRINZA (2.625 ML SYR) 525 MG / SYR INJECTION SYRINGE
1,868.6700 SYR
JAI
N/A
N/A
NO
SPECIAL AUTHORIZATION
Details
02354225
PALIPERIDONE PALMITATE
INVEGA SUSTENNA (0.75 ML SYR) 75 MG / SYR INJECTION SYRINGE
491.1800 SYR
JAI
N/A
N/A
NO
SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN
02300273
Generic Name
PALIPERIDONE
Product Name, Strength & Dosage Form
INVEGA 3 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue
4.1370
Manufacturer
JAI
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02300281
Generic Name
PALIPERIDONE
Product Name, Strength & Dosage Form
INVEGA 6 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue
6.1880
Manufacturer
JAI
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02300303
Generic Name
PALIPERIDONE
Product Name, Strength & Dosage Form
INVEGA 9 MG ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue
8.2480
Manufacturer
JAI
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02354233
Generic Name
PALIPERIDONE PALMITATE
Product Name, Strength & Dosage Form
INVEGA SUSTENNA (1 ML SYR) 100 MG / SYR INJECTION SYRINGE
Unit Price, Unit of Issue
509.6200
Manufacturer
JAI
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN
02354241
Generic Name
PALIPERIDONE PALMITATE
Product Name, Strength & Dosage Form
INVEGA SUSTENNA (1.5 ML SYR) 150 MG / SYR INJECTION SYRINGE
Unit Price, Unit of Issue
679.5300
Manufacturer
JAI
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN
02455943
Generic Name
PALIPERIDONE PALMITATE
Product Name, Strength & Dosage Form
INVEGA TRINZA (0.875 ML SYR) 175 MG / SYR INJECTION SYRINGE
Unit Price, Unit of Issue
934.2900
Manufacturer
JAI
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN
02455986
Generic Name
PALIPERIDONE PALMITATE
Product Name, Strength & Dosage Form
INVEGA TRINZA (1.315 ML SYR) 263 MG / SYR INJECTION SYRINGE
Unit Price, Unit of Issue
1,401.5400
Manufacturer
JAI
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN
02455994
Generic Name
PALIPERIDONE PALMITATE
Product Name, Strength & Dosage Form
INVEGA TRINZA (1.75 ML SYR) 350 MG / SYR INJECTION SYRINGE
Unit Price, Unit of Issue
1,401.5400
Manufacturer
JAI
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN
02354217
Generic Name
PALIPERIDONE PALMITATE
Product Name, Strength & Dosage Form
INVEGA SUSTENNA (0.5 ML SYR) 50 MG / SYR INJECTION SYRINGE
Unit Price, Unit of Issue
327.4500
Manufacturer
JAI
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN
02456001
Generic Name
PALIPERIDONE PALMITATE
Product Name, Strength & Dosage Form
INVEGA TRINZA (2.625 ML SYR) 525 MG / SYR INJECTION SYRINGE
Unit Price, Unit of Issue
1,868.6700
Manufacturer
JAI
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
SPECIAL AUTHORIZATION
Details
DIN/NPN/ PIN
02354225
Generic Name
PALIPERIDONE PALMITATE
Product Name, Strength & Dosage Form
INVEGA SUSTENNA (0.75 ML SYR) 75 MG / SYR INJECTION SYRINGE
Unit Price, Unit of Issue
491.1800
Manufacturer
JAI
LCA Price
N/A
MAC Price
N/A
Interchangeable Products
NO
Coverage Status
SPECIAL AUTHORIZATION
Details
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Last Updated:2024-05-19
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.