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
02514036
LURASIDONE HCL
AURO-LURASIDONE 120 MG ORAL TABLET
1.2250 TAB
AUR
1.2250
N/A
YES
REGULAR BENEFIT
Details
02516470
LURASIDONE HCL
JAMP LURASIDONE 120 MG ORAL TABLET
1.2250 TAB
JPC
1.2250
N/A
YES
REGULAR BENEFIT
Details
02387786
LURASIDONE HCL
LATUDA 120 MG ORAL TABLET
4.2500 TAB
SUN
1.2250
N/A
YES
REGULAR BENEFIT
Details
02505916
LURASIDONE HCL
PMS-LURASIDONE 120 MG ORAL TABLET
1.2250 TAB
PMS
1.2250
N/A
YES
REGULAR BENEFIT
Details
02521121
LURASIDONE HCL
SANDOZ LURASIDONE 120 MG ORAL TABLET
1.2250 TAB
SDZ
1.2250
N/A
YES
REGULAR BENEFIT
Details
02504537
LURASIDONE HCL
TARO-LURASIDONE 120 MG ORAL TABLET
1.2250 TAB
TAR
1.2250
N/A
YES
REGULAR BENEFIT
Details
02513986
LURASIDONE HCL
AURO-LURASIDONE 20 MG ORAL TABLET
1.2250 TAB
AUR
1.2250
N/A
YES
REGULAR BENEFIT
Details
02516438
LURASIDONE HCL
JAMP LURASIDONE 20 MG ORAL TABLET
1.2250 TAB
JPC
1.2250
N/A
YES
REGULAR BENEFIT
Details
02422050
LURASIDONE HCL
LATUDA 20 MG ORAL TABLET
4.2500 TAB
SUN
1.2250
N/A
YES
REGULAR BENEFIT
Details
02505878
LURASIDONE HCL
PMS-LURASIDONE 20 MG ORAL TABLET
1.2250 TAB
PMS
1.2250
N/A
YES
REGULAR BENEFIT
Details
02521075
LURASIDONE HCL
SANDOZ LURASIDONE 20 MG ORAL TABLET
1.2250 TAB
SDZ
1.2250
N/A
YES
REGULAR BENEFIT
Details
02504499
LURASIDONE HCL
TARO-LURASIDONE 20 MG ORAL TABLET
1.2250 TAB
TAR
1.2250
N/A
YES
REGULAR BENEFIT
Details
02513994
LURASIDONE HCL
AURO-LURASIDONE 40 MG ORAL TABLET
1.2250 TAB
AUR
1.2250
N/A
YES
REGULAR BENEFIT
Details
02516446
LURASIDONE HCL
JAMP LURASIDONE 40 MG ORAL TABLET
1.2250 TAB
JPC
1.2250
N/A
YES
REGULAR BENEFIT
Details
02387751
LURASIDONE HCL
LATUDA 40 MG ORAL TABLET
4.2500 TAB
SUN
1.2250
N/A
YES
REGULAR BENEFIT
Details
02505886
LURASIDONE HCL
PMS-LURASIDONE 40 MG ORAL TABLET
1.2250 TAB
PMS
1.2250
N/A
YES
REGULAR BENEFIT
Details
02521091
LURASIDONE HCL
SANDOZ LURASIDONE 40 MG ORAL TABLET
1.2250 TAB
SDZ
1.2250
N/A
YES
REGULAR BENEFIT
Details
02504502
LURASIDONE HCL
TARO-LURASIDONE 40 MG ORAL TABLET
1.2250 TAB
TAR
1.2250
N/A
YES
REGULAR BENEFIT
Details
02514001
LURASIDONE HCL
AURO-LURASIDONE 60 MG ORAL TABLET
1.2250 TAB
AUR
1.2250
N/A
YES
REGULAR BENEFIT
Details
02516454
LURASIDONE HCL
JAMP LURASIDONE 60 MG ORAL TABLET
1.2250 TAB
JPC
1.2250
N/A
YES
REGULAR BENEFIT
Details
02413361
LURASIDONE HCL
LATUDA 60 MG ORAL TABLET
4.2500 TAB
SUN
1.2250
N/A
YES
REGULAR BENEFIT
Details
02505894
LURASIDONE HCL
PMS-LURASIDONE 60 MG ORAL TABLET
1.2250 TAB
PMS
1.2250
N/A
YES
REGULAR BENEFIT
Details
02521105
LURASIDONE HCL
SANDOZ LURASIDONE 60 MG ORAL TABLET
1.2250 TAB
SDZ
1.2250
N/A
YES
REGULAR BENEFIT
Details
02504510
LURASIDONE HCL
TARO-LURASIDONE 60 MG ORAL TABLET
1.2250 TAB
TAR
1.2250
N/A
YES
REGULAR BENEFIT
Details
02514028
LURASIDONE HCL
AURO-LURASIDONE 80 MG ORAL TABLET
1.2250 TAB
AUR
1.2250
N/A
YES
REGULAR BENEFIT
Details
02516462
LURASIDONE HCL
JAMP LURASIDONE 80 MG ORAL TABLET
1.2250 TAB
JPC
1.2250
N/A
YES
REGULAR BENEFIT
Details
02387778
LURASIDONE HCL
LATUDA 80 MG ORAL TABLET
4.2500 TAB
SUN
1.2250
N/A
YES
REGULAR BENEFIT
Details
02505908
LURASIDONE HCL
PMS-LURASIDONE 80 MG ORAL TABLET
1.2250 TAB
PMS
1.2250
N/A
YES
REGULAR BENEFIT
Details
02521113
LURASIDONE HCL
SANDOZ LURASIDONE 80 MG ORAL TABLET
1.2250 TAB
SDZ
1.2250
N/A
YES
REGULAR BENEFIT
Details
02504529
LURASIDONE HCL
TARO-LURASIDONE 80 MG ORAL TABLET
1.2250 TAB
TAR
1.2250
N/A
YES
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02514036
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
AURO-LURASIDONE 120 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
AUR
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02516470
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
JAMP LURASIDONE 120 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
JPC
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02387786
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
LATUDA 120 MG ORAL TABLET
Unit Price, Unit of Issue
4.2500
Manufacturer
SUN
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02505916
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
PMS-LURASIDONE 120 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
PMS
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02521121
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
SANDOZ LURASIDONE 120 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
SDZ
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02504537
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
TARO-LURASIDONE 120 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
TAR
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02513986
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
AURO-LURASIDONE 20 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
AUR
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02516438
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
JAMP LURASIDONE 20 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
JPC
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02422050
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
LATUDA 20 MG ORAL TABLET
Unit Price, Unit of Issue
4.2500
Manufacturer
SUN
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02505878
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
PMS-LURASIDONE 20 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
PMS
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02521075
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
SANDOZ LURASIDONE 20 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
SDZ
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02504499
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
TARO-LURASIDONE 20 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
TAR
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02513994
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
AURO-LURASIDONE 40 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
AUR
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02516446
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
JAMP LURASIDONE 40 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
JPC
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02387751
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
LATUDA 40 MG ORAL TABLET
Unit Price, Unit of Issue
4.2500
Manufacturer
SUN
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02505886
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
PMS-LURASIDONE 40 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
PMS
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02521091
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
SANDOZ LURASIDONE 40 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
SDZ
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02504502
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
TARO-LURASIDONE 40 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
TAR
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02514001
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
AURO-LURASIDONE 60 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
AUR
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02516454
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
JAMP LURASIDONE 60 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
JPC
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02413361
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
LATUDA 60 MG ORAL TABLET
Unit Price, Unit of Issue
4.2500
Manufacturer
SUN
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02505894
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
PMS-LURASIDONE 60 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
PMS
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02521105
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
SANDOZ LURASIDONE 60 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
SDZ
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02504510
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
TARO-LURASIDONE 60 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
TAR
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02514028
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
AURO-LURASIDONE 80 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
AUR
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02516462
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
JAMP LURASIDONE 80 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
JPC
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02387778
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
LATUDA 80 MG ORAL TABLET
Unit Price, Unit of Issue
4.2500
Manufacturer
SUN
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02505908
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
PMS-LURASIDONE 80 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
PMS
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02521113
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
SANDOZ LURASIDONE 80 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
SDZ
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR BENEFIT
Details
DIN/NPN/ PIN
02504529
Generic Name
LURASIDONE HCL
Product Name, Strength & Dosage Form
TARO-LURASIDONE 80 MG ORAL TABLET
Unit Price, Unit of Issue
1.2250
Manufacturer
TAR
LCA Price
1.2250
MAC Price
N/A
Interchangeable Products
YES
Coverage Status
REGULAR 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.