Home Health iDBL
Interactive Drug Benefit List
DIN/NPN/PIN 00578657 EPIPEN JR 0.15 MG / SYR INJECTION SYRINGE EPINEPHRINE
120000 AUTONOMIC DRUGS
121200 SYMPATHOMIMETIC (ADRENERGIC) AGENTS
121212 ALPHA- AND BETA-ADRENERGIC AGONISTS
Date Listed/Coverage Update: 01-Jan-1992
Unit Price: 88.5588
LCA Price: N/A
MAC Price:

N/A
Unit of Issue: Syringe
Manufacturer: VIATRIS CANADA (BGP PHARMA ULC) (BGP)
ATC: C01CA24
2
Interchangeable Products: No
Coverage Status: REGULAR BENEFIT
Applies to Clients of: Non-Group Coverage (Group 1)
Coverage for Seniors (Group 66)
Palliative Coverage (Group 20514, Please note your client may have Group 1 or Group 66 coverage)
Child and Family Services (Group 20403)
Alberta Child Health Benefit (Group 20400)
Children and Youth Services (Group 19824)
Income Support (Group 19823)
Alberta Human Services (AISH) (Group 19823)
Alberta Adult Health Benefit (AAHB) (Group 23609)
Special Authorization Request Form:

N/A

N/A
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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.