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
02461749 BREXPIPRAZOLE REXULTI 0.25 MG ORAL TABLET 3.5000
TAB
OTS N/A N/A NO REGULAR BENEFIT Details
02461757 BREXPIPRAZOLE REXULTI 0.5 MG ORAL TABLET 3.5000
TAB
OTS N/A N/A NO REGULAR BENEFIT Details
02461765 BREXPIPRAZOLE REXULTI 1 MG ORAL TABLET 3.5000
TAB
OTS N/A N/A NO REGULAR BENEFIT Details
02461773 BREXPIPRAZOLE REXULTI 2 MG ORAL TABLET 3.5000
TAB
OTS N/A N/A NO REGULAR BENEFIT Details
02461781 BREXPIPRAZOLE REXULTI 3 MG ORAL TABLET 3.5000
TAB
OTS N/A N/A NO REGULAR BENEFIT Details
02461803 BREXPIPRAZOLE REXULTI 4 MG ORAL TABLET 3.5000
TAB
OTS N/A N/A NO REGULAR BENEFIT Details
DIN/NPN/ PIN 02461749
Generic Name BREXPIPRAZOLE
Product Name, Strength & Dosage Form REXULTI 0.25 MG ORAL TABLET
Unit Price, Unit of Issue 3.5000
Manufacturer OTS
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02461757
Generic Name BREXPIPRAZOLE
Product Name, Strength & Dosage Form REXULTI 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 3.5000
Manufacturer OTS
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02461765
Generic Name BREXPIPRAZOLE
Product Name, Strength & Dosage Form REXULTI 1 MG ORAL TABLET
Unit Price, Unit of Issue 3.5000
Manufacturer OTS
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02461773
Generic Name BREXPIPRAZOLE
Product Name, Strength & Dosage Form REXULTI 2 MG ORAL TABLET
Unit Price, Unit of Issue 3.5000
Manufacturer OTS
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02461781
Generic Name BREXPIPRAZOLE
Product Name, Strength & Dosage Form REXULTI 3 MG ORAL TABLET
Unit Price, Unit of Issue 3.5000
Manufacturer OTS
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02461803
Generic Name BREXPIPRAZOLE
Product Name, Strength & Dosage Form REXULTI 4 MG ORAL TABLET
Unit Price, Unit of Issue 3.5000
Manufacturer OTS
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
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.