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
00894745 CLOZAPINE CLOZARIL 100 MG ORAL TABLET 3.7780
TAB
HLS 2.6446 N/A YES REGULAR BENEFIT Details
02490676 CLOZAPINE CLOZARIL 200 MG ORAL TABLET 7.5560
TAB
HLS 5.2892 N/A YES REGULAR BENEFIT Details
00894737 CLOZAPINE CLOZARIL 25 MG ORAL TABLET 0.9420
TAB
HLS 0.6594 N/A YES REGULAR BENEFIT Details
02490668 CLOZAPINE CLOZARIL 50 MG ORAL TABLET 1.8840
TAB
HLS 1.3188 N/A YES REGULAR BENEFIT Details
DIN/NPN/ PIN 00894745
Generic Name CLOZAPINE
Product Name, Strength & Dosage Form CLOZARIL 100 MG ORAL TABLET
Unit Price, Unit of Issue 3.7780
Manufacturer HLS
LCA Price 2.6446
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02490676
Generic Name CLOZAPINE
Product Name, Strength & Dosage Form CLOZARIL 200 MG ORAL TABLET
Unit Price, Unit of Issue 7.5560
Manufacturer HLS
LCA Price 5.2892
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00894737
Generic Name CLOZAPINE
Product Name, Strength & Dosage Form CLOZARIL 25 MG ORAL TABLET
Unit Price, Unit of Issue 0.9420
Manufacturer HLS
LCA Price 0.6594
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02490668
Generic Name CLOZAPINE
Product Name, Strength & Dosage Form CLOZARIL 50 MG ORAL TABLET
Unit Price, Unit of Issue 1.8840
Manufacturer HLS
LCA Price 1.3188
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
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.