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
02230434 ACETAMINOPHEN ACET 120 120 MG RECTAL SUPPOSITORY 0.8872
SUP
PPH N/A N/A NO REGULAR BENEFIT Details
00884553 ACETAMINOPHEN CHILDRENS TEMPRA 16 MG / ML ORAL SYRUP 0.0393
ML
PAL N/A N/A NO REGULAR BENEFIT Details
02027798 ACETAMINOPHEN PEDIATRIX 32 MG / ML ORAL SOLUTION 0.0434
ML
TEV N/A N/A NO REGULAR BENEFIT Details
00875996 ACETAMINOPHEN TEMPRA D.S. 32 MG / ML ORAL SYRUP 0.0393
ML
PAL N/A N/A NO REGULAR BENEFIT Details
02230436 ACETAMINOPHEN ACET 325 325 MG RECTAL SUPPOSITORY 0.8872
SUP
PPH N/A N/A NO REGULAR BENEFIT Details
02229977 ACETAMINOPHEN APO-ACETAMINOPHEN (CAPLET) 500 MG ORAL TABLET 0.0285
TAB
APX 0.0285 N/A YES REGULAR BENEFIT Details
00545007 ACETAMINOPHEN APO-ACETAMINOPHEN 500 MG ORAL TABLET 0.0285
TAB
APX 0.0285 N/A YES REGULAR BENEFIT Details
02355299 ACETAMINOPHEN JAMP-ACETAMINOPHEN BLAZON 500 MG ORAL TABLET 0.0271
TAB
JPC 0.0285 N/A NO REGULAR BENEFIT Details
01939122 ACETAMINOPHEN JAMP-ACETAMINOPHEN EXTRA STRENGTH 500 MG ORAL TABLET 0.0271
TAB
JPC 0.0285 N/A NO REGULAR BENEFIT Details
00482323 ACETAMINOPHEN NOVO GESIC FORTE 500 MG ORAL TABLET 0.0285
TAB
TEV 0.0285 N/A YES REGULAR BENEFIT Details
00559407 ACETAMINOPHEN TYLENOL EXTRA STRENGTH 500 MG ORAL TABLET 0.1165
TAB
MCL 0.0285 N/A YES REGULAR BENEFIT Details
00723908 ACETAMINOPHEN TYLENOL EXTRA-STRENGTH (CAPLET) 500 MG ORAL TABLET 0.1165
TAB
MCL 0.0285 N/A YES REGULAR BENEFIT Details
02230437 ACETAMINOPHEN ACET 650 650 MG RECTAL SUPPOSITORY 0.8872
SUP
PPH N/A N/A NO REGULAR BENEFIT Details
02027801 ACETAMINOPHEN PEDIATRIX 80 MG / ML ORAL DROPS 0.1510
ML
TEV N/A N/A NO REGULAR BENEFIT Details
02266121 DELTA-9-TETRAHYDROCANNABINOL/ CANNABIDIOL SATIVEX 27 MG / ML * 25 MG / ML BUCCAL SPRAY N/A
ML
BHP N/A N/A NO NOT A BENEFIT Details
DIN/NPN/ PIN 02230434
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form ACET 120 120 MG RECTAL SUPPOSITORY
Unit Price, Unit of Issue 0.8872
Manufacturer PPH
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00884553
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form CHILDRENS TEMPRA 16 MG / ML ORAL SYRUP
Unit Price, Unit of Issue 0.0393
Manufacturer PAL
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02027798
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form PEDIATRIX 32 MG / ML ORAL SOLUTION
Unit Price, Unit of Issue 0.0434
Manufacturer TEV
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00875996
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form TEMPRA D.S. 32 MG / ML ORAL SYRUP
Unit Price, Unit of Issue 0.0393
Manufacturer PAL
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02230436
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form ACET 325 325 MG RECTAL SUPPOSITORY
Unit Price, Unit of Issue 0.8872
Manufacturer PPH
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02229977
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form APO-ACETAMINOPHEN (CAPLET) 500 MG ORAL TABLET
Unit Price, Unit of Issue 0.0285
Manufacturer APX
LCA Price 0.0285
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00545007
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form APO-ACETAMINOPHEN 500 MG ORAL TABLET
Unit Price, Unit of Issue 0.0285
Manufacturer APX
LCA Price 0.0285
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02355299
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form JAMP-ACETAMINOPHEN BLAZON 500 MG ORAL TABLET
Unit Price, Unit of Issue 0.0271
Manufacturer JPC
LCA Price 0.0285
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 01939122
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form JAMP-ACETAMINOPHEN EXTRA STRENGTH 500 MG ORAL TABLET
Unit Price, Unit of Issue 0.0271
Manufacturer JPC
LCA Price 0.0285
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00482323
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form NOVO GESIC FORTE 500 MG ORAL TABLET
Unit Price, Unit of Issue 0.0285
Manufacturer TEV
LCA Price 0.0285
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00559407
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form TYLENOL EXTRA STRENGTH 500 MG ORAL TABLET
Unit Price, Unit of Issue 0.1165
Manufacturer MCL
LCA Price 0.0285
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00723908
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form TYLENOL EXTRA-STRENGTH (CAPLET) 500 MG ORAL TABLET
Unit Price, Unit of Issue 0.1165
Manufacturer MCL
LCA Price 0.0285
MAC Price N/A
Interchangeable Products YES
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02230437
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form ACET 650 650 MG RECTAL SUPPOSITORY
Unit Price, Unit of Issue 0.8872
Manufacturer PPH
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02027801
Generic Name ACETAMINOPHEN
Product Name, Strength & Dosage Form PEDIATRIX 80 MG / ML ORAL DROPS
Unit Price, Unit of Issue 0.1510
Manufacturer TEV
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02266121
Generic Name DELTA-9-TETRAHYDROCANNABINOL/ CANNABIDIOL
Product Name, Strength & Dosage Form SATIVEX 27 MG / ML * 25 MG / ML BUCCAL SPRAY
Unit Price, Unit of Issue N/A
Manufacturer BHP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
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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.