Home Health iDBL
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
00363685 HALOPERIDOL TEVA-HALOPERIDOL 0.5 MG ORAL TABLET 0.1502
TAB 		TEV N/A N/A NO REGULAR BENEFIT Details
00363677 HALOPERIDOL TEVA-HALOPERIDOL 1 MG ORAL TABLET 0.2255
TAB 		TEV N/A N/A NO REGULAR BENEFIT Details
00713449 HALOPERIDOL TEVA-HALOPERIDOL 10 MG ORAL TABLET 0.7823
TAB 		TEV N/A N/A NO REGULAR BENEFIT Details
00363669 HALOPERIDOL TEVA-HALOPERIDOL 2 MG ORAL TABLET 0.3372
TAB 		TEV N/A N/A NO REGULAR BENEFIT Details
00363650 HALOPERIDOL TEVA-HALOPERIDOL 5 MG ORAL TABLET 0.5377
TAB 		TEV N/A N/A NO REGULAR BENEFIT Details
00808652 HALOPERIDOL HALOPERIDOL 5 MG / ML INJECTION 4.8300
ML 		SDZ N/A N/A NO REGULAR BENEFIT Details
02406411 HALOPERIDOL HALOPERIDOL INJECTION USP 5 MG / ML INJECTION N/A
ML 		FKC N/A N/A NO NOT A BENEFIT Details
02130300 HALOPERIDOL DECANOATE HALOPERIDOL LA 100 MG / ML INJECTION 20.5219
ML 		SDZ N/A N/A NO REGULAR BENEFIT Details
DIN/NPN/ PIN 00363685
Generic Name HALOPERIDOL
Product Name, Strength & Dosage Form TEVA-HALOPERIDOL 0.5 MG ORAL TABLET
Unit Price, Unit of Issue 0.1502
Manufacturer TEV
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00363677
Generic Name HALOPERIDOL
Product Name, Strength & Dosage Form TEVA-HALOPERIDOL 1 MG ORAL TABLET
Unit Price, Unit of Issue 0.2255
Manufacturer TEV
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00713449
Generic Name HALOPERIDOL
Product Name, Strength & Dosage Form TEVA-HALOPERIDOL 10 MG ORAL TABLET
Unit Price, Unit of Issue 0.7823
Manufacturer TEV
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00363669
Generic Name HALOPERIDOL
Product Name, Strength & Dosage Form TEVA-HALOPERIDOL 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.3372
Manufacturer TEV
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00363650
Generic Name HALOPERIDOL
Product Name, Strength & Dosage Form TEVA-HALOPERIDOL 5 MG ORAL TABLET
Unit Price, Unit of Issue 0.5377
Manufacturer TEV
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00808652
Generic Name HALOPERIDOL
Product Name, Strength & Dosage Form HALOPERIDOL 5 MG / ML INJECTION
Unit Price, Unit of Issue 4.8300
Manufacturer SDZ
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02406411
Generic Name HALOPERIDOL
Product Name, Strength & Dosage Form HALOPERIDOL INJECTION USP 5 MG / ML 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 02130300
Generic Name HALOPERIDOL DECANOATE
Product Name, Strength & Dosage Form HALOPERIDOL LA 100 MG / ML INJECTION
Unit Price, Unit of Issue 20.5219
Manufacturer SDZ
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR 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.