Alberta Health - Drug Benefit List

Interactive Drug Benefit List

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Products Found: 53

DIN/NPN/ PIN	Generic Name	Product Name, Strength & Dosage Form	Unit Price, Unit of Issue	Manufacturer	LCA Price	MAC Price	Interchangeable Products	Coverage Status
00628131	AMOXICILLIN TRIHYDRATE	APO-AMOXI 25 MG / ML ORAL SUSPENSION	0.0247 ML	APX	0.0247	N/A	YES	REGULAR BENEFIT	Details
02458586	AMOXICILLIN TRIHYDRATE	AURO-AMOXICILLIN 25 MG / ML ORAL SUSPENSION	N/A ML	AUR	N/A	N/A	YES	UNDER REVIEW	Details
02535793	AMOXICILLIN TRIHYDRATE	JAMP-AMOXICILLIN 25 MG / ML ORAL SUSPENSION	0.0247 ML	JPC	0.0247	N/A	YES	REGULAR BENEFIT	Details
02525348	AMOXICILLIN TRIHYDRATE	AMOXICILLIN BP 250 MG ORAL CAPSULE	0.0672 CAP	SNS	0.0672	N/A	YES	REGULAR BENEFIT	Details
00628115	AMOXICILLIN TRIHYDRATE	APO-AMOXI 250 MG ORAL CAPSULE	0.0672 CAP	APX	0.0672	N/A	YES	REGULAR BENEFIT	Details
02388073	AMOXICILLIN TRIHYDRATE	AURO-AMOXICILLIN 250 MG ORAL CAPSULE	0.0672 CAP	AUR	0.0672	N/A	YES	REGULAR BENEFIT	Details
02433060	AMOXICILLIN TRIHYDRATE	JAMP-AMOXICILLIN 250 MG ORAL CAPSULE	0.0672 CAP	JPC	0.0672	N/A	YES	REGULAR BENEFIT	Details
00406724	AMOXICILLIN TRIHYDRATE	NOVAMOXIN 250 MG ORAL CAPSULE	0.0672 CAP	TEV	0.0672	N/A	YES	REGULAR BENEFIT	Details
02036355	AMOXICILLIN TRIHYDRATE	NOVAMOXIN 250 MG ORAL CHEWABLE TABLET	0.8282 TAB	TEV	N/A	N/A	NO	REGULAR BENEFIT	Details
02532042	AMOXICILLIN TRIHYDRATE	PRZ-AMOXICILLIN 250 MG ORAL CAPSULE	0.0672 CAP	PCI	0.0672	N/A	YES	REGULAR BENEFIT	Details
02352753	AMOXICILLIN TRIHYDRATE	AMOXICILLIN 50 MG / ML ORAL SUSPENSION	0.0540 ML	SNS	0.0540	N/A	YES	REGULAR BENEFIT	Details
02401541	AMOXICILLIN TRIHYDRATE	AMOXICILLIN 50 MG / ML ORAL SUSPENSION	0.0540 ML	SIV	0.0540	N/A	YES	REGULAR BENEFIT	Details
02352788	AMOXICILLIN TRIHYDRATE	AMOXICILLIN SUGAR-REDUCED 50 MG / ML ORAL SUSPENSION	0.0540 ML	SNS	0.0540	N/A	YES	REGULAR BENEFIT	Details
00628158	AMOXICILLIN TRIHYDRATE	APO-AMOXI 50 MG / ML ORAL SUSPENSION	0.0540 ML	APX	0.0540	N/A	YES	REGULAR BENEFIT	Details
02535815	AMOXICILLIN TRIHYDRATE	JAMP-AMOXICILLIN 50 MG / ML ORAL SUSPENSION	0.0540 ML	JPC	0.0540	N/A	YES	REGULAR BENEFIT	Details
00452130	AMOXICILLIN TRIHYDRATE	NOVAMOXIN 50 MG / ML ORAL SUSPENSION	0.0540 ML	TEV	0.0540	N/A	YES	REGULAR BENEFIT	Details
01934163	AMOXICILLIN TRIHYDRATE	NOVAMOXIN SUGAR-REDUCED 50 MG / ML ORAL SUSPENSION	0.0540 ML	TEV	0.0540	N/A	YES	REGULAR BENEFIT	Details
02477726	AMOXICILLIN TRIHYDRATE	AG-AMOXICILLIN 500 MG ORAL CAPSULE	0.1308 CAP	AGP	0.1308	N/A	YES	REGULAR BENEFIT	Details
02401509	AMOXICILLIN TRIHYDRATE	AMOXICILLIN 500 MG ORAL CAPSULE	0.1308 CAP	SIV	0.1308	N/A	YES	REGULAR BENEFIT	Details
02525356	AMOXICILLIN TRIHYDRATE	AMOXICILLIN BP 500 MG ORAL CAPSULE	0.1308 CAP	SNS	0.1308	N/A	YES	REGULAR BENEFIT	Details
00628123	AMOXICILLIN TRIHYDRATE	APO-AMOXI 500 MG ORAL CAPSULE	0.1308 CAP	APX	0.1308	N/A	YES	REGULAR BENEFIT	Details
02388081	AMOXICILLIN TRIHYDRATE	AURO-AMOXICILLIN 500 MG ORAL CAPSULE	0.1308 CAP	AUR	0.1308	N/A	YES	REGULAR BENEFIT	Details
02433079	AMOXICILLIN TRIHYDRATE	JAMP-AMOXICILLIN 500 MG ORAL CAPSULE	0.1308 CAP	JPC	0.1308	N/A	YES	REGULAR BENEFIT	Details
00406716	AMOXICILLIN TRIHYDRATE	NOVAMOXIN 500 MG ORAL CAPSULE	0.1308 CAP	TEV	0.1308	N/A	YES	REGULAR BENEFIT	Details
02532050	AMOXICILLIN TRIHYDRATE	PRZ-AMOXICILLIN 500 MG ORAL CAPSULE	0.1308 CAP	PCI	0.1308	N/A	YES	REGULAR BENEFIT	Details
02243350	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	APO-AMOXI CLAV 250 MG * 125 MG ORAL TABLET	0.2467 TAB	APX	0.2467	N/A	YES	REGULAR BENEFIT	Details
02471671	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	AURO-AMOXICLAV 250 MG * 125 MG ORAL TABLET	0.2467 TAB	AUR	0.2467	N/A	YES	REGULAR BENEFIT	Details
02508249	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	JAMP AMOXI CLAV 250 MG * 125 MG ORAL TABLET	0.2467 TAB	JPC	0.2467	N/A	YES	REGULAR BENEFIT	Details
02238831	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	CLAVULIN-200 40 MG / ML * 5.7 MG / ML ORAL SUSPENSION	0.1652 ML	GSK	N/A	N/A	NO	REGULAR BENEFIT	Details
02539411	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	JAMP AMOXI CLAV 40 MG / ML * 5.7 MG / ML ORAL SUSPENSION	N/A ML	JPC	N/A	N/A	NO	UNDER REVIEW	Details
02536021	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	AMOXICILLIN/CLAV 500 MG * 125 MG ORAL TABLET	N/A TAB	SNS	N/A	N/A	YES	UNDER REVIEW	Details
02243351	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	APO-AMOXI CLAV 500 MG * 125 MG ORAL TABLET	0.3778 TAB	APX	0.3778	N/A	YES	REGULAR BENEFIT	Details
02471698	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	AURO-AMOXICLAV 500 MG * 125 MG ORAL TABLET	0.3778 TAB	AUR	0.3778	N/A	YES	REGULAR BENEFIT	Details
02508257	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	JAMP AMOXI CLAV 500 MG * 125 MG ORAL TABLET	0.3778 TAB	JPC	0.3778	N/A	YES	REGULAR BENEFIT	Details
02482576	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	SANDOZ AMOXI-CLAV 500 MG * 125 MG ORAL TABLET	0.3778 TAB	SDZ	0.3778	N/A	YES	REGULAR BENEFIT	Details
02238830	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	CLAVULIN-400 80 MG / ML * 11.4 MG / ML ORAL SUSPENSION	0.3206 ML	GSK	0.2386	N/A	YES	REGULAR BENEFIT	Details
02539446	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	JAMP AMOXI CLAV 80 MG / ML * 11.4 MG / ML ORAL SUSPENSION	N/A ML	JPC	N/A	N/A	YES	UNDER REVIEW	Details
02530694	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	M-AMOXI CLAV 80 MG / ML * 11.4 MG / ML ORAL SUSPENSION	0.2386 ML	MTR	0.2386	N/A	YES	REGULAR BENEFIT	Details
02536048	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	AMOXICILLIN/CLAV 875 MG * 125 MG ORAL TABLET	N/A TAB	SNS	N/A	N/A	YES	UNDER REVIEW	Details
02245623	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	APO-AMOXI CLAV 875 MG * 125 MG ORAL TABLET	0.5551 TAB	APX	0.5551	N/A	YES	REGULAR BENEFIT	Details
02471701	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	AURO-AMOXICLAV 875 MG * 125 MG ORAL TABLET	0.5551 TAB	AUR	0.5551	N/A	YES	REGULAR BENEFIT	Details
02508265	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	JAMP AMOXI CLAV 875 MG * 125 MG ORAL TABLET	0.5551 TAB	JPC	0.5551	N/A	YES	REGULAR BENEFIT	Details
02482584	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM	SANDOZ AMOXI-CLAV 875 MG * 125 MG ORAL TABLET	0.5551 TAB	SDZ	0.5551	N/A	YES	REGULAR BENEFIT	Details
00020877	AMPICILLIN	NOVO-AMPICILLIN 250 MG ORAL CAPSULE	0.4656 CAP	TEV	N/A	N/A	NO	RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION	Details
00020885	AMPICILLIN	NOVO-AMPICILLIN 500 MG ORAL CAPSULE	0.8826 CAP	TEV	N/A	N/A	NO	RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION	Details
02227002	AMPICILLIN SODIUM	AMPICILLIN 1 G / VIAL INJECTION	N/A VIAL	FKC	N/A	N/A	NO	NOT A BENEFIT	Details
01933345	AMPICILLIN SODIUM	AMPICILLIN SODIUM 1 G / VIAL INJECTION	5.5886 VIAL	TEV	0.0000	0.0000	NO	REGULAR BENEFIT	Details
02226995	AMPICILLIN SODIUM	AMPICILLIN 2 G / VIAL INJECTION	N/A VIAL	FKC	N/A	N/A	NO	NOT A BENEFIT	Details
01933353	AMPICILLIN SODIUM	AMPICILLIN SODIUM 2 G / VIAL INJECTION	11.1781 VIAL	TEV	0.0000	0.0000	NO	REGULAR BENEFIT	Details
02227029	AMPICILLIN SODIUM	AMPICILLIN 250 MG / VIAL INJECTION	N/A VIAL	FKC	N/A	N/A	NO	NOT A BENEFIT	Details
00872644	AMPICILLIN SODIUM	AMPICILLIN SODIUM 250 MG / VIAL INJECTION	3.1830 VIAL	TEV	0.0000	0.0000	NO	REGULAR BENEFIT	Details
02227010	AMPICILLIN SODIUM	AMPICILLIN 500 MG / VIAL INJECTION	N/A VIAL	FKC	N/A	N/A	NO	NOT A BENEFIT	Details
00872652	AMPICILLIN SODIUM	AMPICILLIN SODIUM 500 MG / VIAL INJECTION	3.3384 VIAL	TEV	0.0000	0.0000	NO	REGULAR BENEFIT	Details

DIN/NPN/ PIN	00628131
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	APO-AMOXI 25 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.0247
Manufacturer	APX
LCA Price	0.0247
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02458586
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	AURO-AMOXICILLIN 25 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	N/A
Manufacturer	AUR
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	UNDER REVIEW
Details

DIN/NPN/ PIN	02535793
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	JAMP-AMOXICILLIN 25 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.0247
Manufacturer	JPC
LCA Price	0.0247
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02525348
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	AMOXICILLIN BP 250 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.0672
Manufacturer	SNS
LCA Price	0.0672
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	00628115
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	APO-AMOXI 250 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.0672
Manufacturer	APX
LCA Price	0.0672
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02388073
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	AURO-AMOXICILLIN 250 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.0672
Manufacturer	AUR
LCA Price	0.0672
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02433060
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	JAMP-AMOXICILLIN 250 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.0672
Manufacturer	JPC
LCA Price	0.0672
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	00406724
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	NOVAMOXIN 250 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.0672
Manufacturer	TEV
LCA Price	0.0672
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02036355
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	NOVAMOXIN 250 MG ORAL CHEWABLE TABLET
Unit Price, Unit of Issue	0.8282
Manufacturer	TEV
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	NO
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02532042
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	PRZ-AMOXICILLIN 250 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.0672
Manufacturer	PCI
LCA Price	0.0672
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02352753
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	AMOXICILLIN 50 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.0540
Manufacturer	SNS
LCA Price	0.0540
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02401541
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	AMOXICILLIN 50 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.0540
Manufacturer	SIV
LCA Price	0.0540
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02352788
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	AMOXICILLIN SUGAR-REDUCED 50 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.0540
Manufacturer	SNS
LCA Price	0.0540
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	00628158
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	APO-AMOXI 50 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.0540
Manufacturer	APX
LCA Price	0.0540
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02535815
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	JAMP-AMOXICILLIN 50 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.0540
Manufacturer	JPC
LCA Price	0.0540
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	00452130
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	NOVAMOXIN 50 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.0540
Manufacturer	TEV
LCA Price	0.0540
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	01934163
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	NOVAMOXIN SUGAR-REDUCED 50 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.0540
Manufacturer	TEV
LCA Price	0.0540
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02477726
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	AG-AMOXICILLIN 500 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.1308
Manufacturer	AGP
LCA Price	0.1308
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02401509
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	AMOXICILLIN 500 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.1308
Manufacturer	SIV
LCA Price	0.1308
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02525356
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	AMOXICILLIN BP 500 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.1308
Manufacturer	SNS
LCA Price	0.1308
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	00628123
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	APO-AMOXI 500 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.1308
Manufacturer	APX
LCA Price	0.1308
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02388081
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	AURO-AMOXICILLIN 500 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.1308
Manufacturer	AUR
LCA Price	0.1308
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02433079
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	JAMP-AMOXICILLIN 500 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.1308
Manufacturer	JPC
LCA Price	0.1308
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	00406716
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	NOVAMOXIN 500 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.1308
Manufacturer	TEV
LCA Price	0.1308
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02532050
Generic Name	AMOXICILLIN TRIHYDRATE
Product Name, Strength & Dosage Form	PRZ-AMOXICILLIN 500 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.1308
Manufacturer	PCI
LCA Price	0.1308
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02243350
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	APO-AMOXI CLAV 250 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	0.2467
Manufacturer	APX
LCA Price	0.2467
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02471671
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	AURO-AMOXICLAV 250 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	0.2467
Manufacturer	AUR
LCA Price	0.2467
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02508249
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	JAMP AMOXI CLAV 250 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	0.2467
Manufacturer	JPC
LCA Price	0.2467
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02238831
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	CLAVULIN-200 40 MG / ML * 5.7 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.1652
Manufacturer	GSK
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	NO
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02539411
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	JAMP AMOXI CLAV 40 MG / ML * 5.7 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	N/A
Manufacturer	JPC
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	NO
Coverage Status	UNDER REVIEW
Details

DIN/NPN/ PIN	02536021
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	AMOXICILLIN/CLAV 500 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	N/A
Manufacturer	SNS
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	UNDER REVIEW
Details

DIN/NPN/ PIN	02243351
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	APO-AMOXI CLAV 500 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	0.3778
Manufacturer	APX
LCA Price	0.3778
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02471698
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	AURO-AMOXICLAV 500 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	0.3778
Manufacturer	AUR
LCA Price	0.3778
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02508257
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	JAMP AMOXI CLAV 500 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	0.3778
Manufacturer	JPC
LCA Price	0.3778
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02482576
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	SANDOZ AMOXI-CLAV 500 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	0.3778
Manufacturer	SDZ
LCA Price	0.3778
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02238830
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	CLAVULIN-400 80 MG / ML * 11.4 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.3206
Manufacturer	GSK
LCA Price	0.2386
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02539446
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	JAMP AMOXI CLAV 80 MG / ML * 11.4 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	N/A
Manufacturer	JPC
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	UNDER REVIEW
Details

DIN/NPN/ PIN	02530694
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	M-AMOXI CLAV 80 MG / ML * 11.4 MG / ML ORAL SUSPENSION
Unit Price, Unit of Issue	0.2386
Manufacturer	MTR
LCA Price	0.2386
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02536048
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	AMOXICILLIN/CLAV 875 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	N/A
Manufacturer	SNS
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	UNDER REVIEW
Details

DIN/NPN/ PIN	02245623
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	APO-AMOXI CLAV 875 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	0.5551
Manufacturer	APX
LCA Price	0.5551
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02471701
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	AURO-AMOXICLAV 875 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	0.5551
Manufacturer	AUR
LCA Price	0.5551
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02508265
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	JAMP AMOXI CLAV 875 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	0.5551
Manufacturer	JPC
LCA Price	0.5551
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02482584
Generic Name	AMOXICILLIN TRIHYDRATE/ CLAVULANATE POTASSIUM
Product Name, Strength & Dosage Form	SANDOZ AMOXI-CLAV 875 MG * 125 MG ORAL TABLET
Unit Price, Unit of Issue	0.5551
Manufacturer	SDZ
LCA Price	0.5551
MAC Price	N/A
Interchangeable Products	YES
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	00020877
Generic Name	AMPICILLIN
Product Name, Strength & Dosage Form	NOVO-AMPICILLIN 250 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.4656
Manufacturer	TEV
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	NO
Coverage Status	RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION
Details

DIN/NPN/ PIN	00020885
Generic Name	AMPICILLIN
Product Name, Strength & Dosage Form	NOVO-AMPICILLIN 500 MG ORAL CAPSULE
Unit Price, Unit of Issue	0.8826
Manufacturer	TEV
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	NO
Coverage Status	RESTRICTED BENEFIT/ SPECIAL AUTHORIZATION
Details

DIN/NPN/ PIN	02227002
Generic Name	AMPICILLIN SODIUM
Product Name, Strength & Dosage Form	AMPICILLIN 1 G / VIAL INJECTION
Unit Price, Unit of Issue	N/A
Manufacturer	FKC
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	NO
Coverage Status	NOT A BENEFIT
Details

DIN/NPN/ PIN	01933345
Generic Name	AMPICILLIN SODIUM
Product Name, Strength & Dosage Form	AMPICILLIN SODIUM 1 G / VIAL INJECTION
Unit Price, Unit of Issue	5.5886
Manufacturer	TEV
LCA Price	0.0000
MAC Price	0.0000
Interchangeable Products	NO
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02226995
Generic Name	AMPICILLIN SODIUM
Product Name, Strength & Dosage Form	AMPICILLIN 2 G / VIAL INJECTION
Unit Price, Unit of Issue	N/A
Manufacturer	FKC
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	NO
Coverage Status	NOT A BENEFIT
Details

DIN/NPN/ PIN	01933353
Generic Name	AMPICILLIN SODIUM
Product Name, Strength & Dosage Form	AMPICILLIN SODIUM 2 G / VIAL INJECTION
Unit Price, Unit of Issue	11.1781
Manufacturer	TEV
LCA Price	0.0000
MAC Price	0.0000
Interchangeable Products	NO
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02227029
Generic Name	AMPICILLIN SODIUM
Product Name, Strength & Dosage Form	AMPICILLIN 250 MG / VIAL INJECTION
Unit Price, Unit of Issue	N/A
Manufacturer	FKC
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	NO
Coverage Status	NOT A BENEFIT
Details

DIN/NPN/ PIN	00872644
Generic Name	AMPICILLIN SODIUM
Product Name, Strength & Dosage Form	AMPICILLIN SODIUM 250 MG / VIAL INJECTION
Unit Price, Unit of Issue	3.1830
Manufacturer	TEV
LCA Price	0.0000
MAC Price	0.0000
Interchangeable Products	NO
Coverage Status	REGULAR BENEFIT
Details

DIN/NPN/ PIN	02227010
Generic Name	AMPICILLIN SODIUM
Product Name, Strength & Dosage Form	AMPICILLIN 500 MG / VIAL INJECTION
Unit Price, Unit of Issue	N/A
Manufacturer	FKC
LCA Price	N/A
MAC Price	N/A
Interchangeable Products	NO
Coverage Status	NOT A BENEFIT
Details

DIN/NPN/ PIN	00872652
Generic Name	AMPICILLIN SODIUM
Product Name, Strength & Dosage Form	AMPICILLIN SODIUM 500 MG / VIAL INJECTION
Unit Price, Unit of Issue	3.3384
Manufacturer	TEV
LCA Price	0.0000
MAC Price	0.0000
Interchangeable Products	NO
Coverage Status	REGULAR BENEFIT
Details

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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.