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
00335134 PERPHENAZINE PERPHENAZINE 2 MG ORAL TABLET 0.0799
TAB
AAP N/A N/A NO REGULAR BENEFIT Details
00335126 PERPHENAZINE PERPHENAZINE 4 MG ORAL TABLET 0.0967
TAB
AAP N/A N/A NO REGULAR BENEFIT Details
00335118 PERPHENAZINE PERPHENAZINE 8 MG ORAL TABLET 0.1062
TAB
AAP N/A N/A NO REGULAR BENEFIT Details
00335096 PERPHENAZINE PERPHENAZINE 16 MG ORAL TABLET 0.1626
TAB
AAP N/A N/A NO REGULAR BENEFIT Details
DIN/NPN/ PIN 00335134
Generic Name PERPHENAZINE
Product Name, Strength & Dosage Form PERPHENAZINE 2 MG ORAL TABLET
Unit Price, Unit of Issue 0.0799
Manufacturer AAP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00335126
Generic Name PERPHENAZINE
Product Name, Strength & Dosage Form PERPHENAZINE 4 MG ORAL TABLET
Unit Price, Unit of Issue 0.0967
Manufacturer AAP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00335118
Generic Name PERPHENAZINE
Product Name, Strength & Dosage Form PERPHENAZINE 8 MG ORAL TABLET
Unit Price, Unit of Issue 0.1062
Manufacturer AAP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00335096
Generic Name PERPHENAZINE
Product Name, Strength & Dosage Form PERPHENAZINE 16 MG ORAL TABLET
Unit Price, Unit of Issue 0.1626
Manufacturer AAP
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.