Home Health iDBL
Interactive Drug Benefit List
DIN/NPN/PIN 02444275 APO-NALTREXONE 50 MG ORAL TABLET NALTREXONE HCL
280000 CENTRAL NERVOUS SYSTEM AGENTS
281000 OPIATE ANTAGONISTS
Date Listed/Coverage Update: 01-Feb-2019
Unit Price: 2.8075
LCA Price: 2.8075
MAC Price:

N/A
Unit of Issue: Tablet
Manufacturer: APOTEX INC. (APX)
ATC: N07BB04
1
Interchangeable Products: Yes
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)
Learners Program (Group 22128)
Alberta Human Services (AISH) (Group 19823)
Alberta Adult Health Benefit (AAHB) (Group 23609)
Special Authorization Request Form:

N/A

N/A

Review Status / Past Decisions

Indication Reviewing
Body		 Submission
Completion
Date		 CDR
Recommendation
Date		 Expert Committee
Recommendation
Date		 ADBL
Effective
Date		 CDR
Recommendation		 Review
Status
N/A Expert Committee 2018/09/07 2019/02/01 Regular Benefit
Indication N/A
Reviewing
Body		 Expert Committee
Submission
Completion
Date		 2018/09/07
CDR
Recommendation
Date
Expert Committee
Recommendation
Date
ADBL
Effective
Date		 2019/02/01
CDR
Recommendation
Review
Status		 Regular Benefit
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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.