MOHLTC - Health care Providers - Ontario Public Drug Programs

Public Information

Health Care Providers

Plan to Reform Ontario's Drug System

Legislation

Formulary

· About the Formulary
· Formulary Edition 40 and 41
Downloads
· Search e-Formulary
· Formulary Resources
· Drug Benefit Prices
  for products reimbursed
  under the EAP
· Conditions for Payment
  of Dispensing Fee
  – Exempted Products List

Exceptional Access Program

Publicly Funded Drug Programs

Executive Officer Communications

Drug Submissions

Patient Evidence Submission

How Drugs Are Approved

Formulary

Exceptional Access Program (EAP)

The Individual Clinical Review process is being phased out and a more streamlined Exceptional Access Program (EAP) has been created to handle requests for drugs that are not listed in the Formulary. For more information please visit the EAP section.

Drug Benefit Prices (DBPs) for products reimbursed under the EAP

Pursuant to section 15 of O.Reg. 201/96 made under the Ontario Drug Benefit Act (ODBA), the Executive Officer (EO) has entered into agreements with manufacturers to establish Drug Benefit Prices (DBPs) for products reimbursed under the Exceptional Access Program (EAP).

For the following products reimbursed under the EAP, the Health Network System (HNS) will adjudicate claims at the DBP listed below.

DIN	Trade Name	Strength	Dosage Form	DBP
Effective Date : January 19, 2012
02284227	Nexavar	200mg	Tablet	$46.0088
Effective Date : January 4, 2012
02215136	Saizen	3.3mg	Vial	$144.9000
02237971	Saizen	5mg	Vial	$217.5200
02272083	Saizen ClickEasy	5.83mg/mL	8.8mg Vial	$348.0300
02350122	Saizen	5.83mg/mL	6mg/cartridge	$261.0000
02350130	Saizen	8mg/mL	12mg/cartridge	$522.0000
02350149	Saizen	8mg/mL	20mg/cartridge	$870.0000
Effective date: December 28, 2011
02260565	Xolair	150mg	Powder for solution injection sc (5mL vial)	$600.0000
Effective date : December 5, 2011
02293129	Sprycel	20mg	Oral tablet	$35.7500
02293137	Sprycel	50mg	Oral tablet	$71.9500
02293145	Sprycel	70mg	Oral tablet	$78.9000
Effective date : November 14, 2011
02326442	Tykerb	250mg	Tablet	$23.5000
Effective date : November 7, 2011
02269201	Avonex PS	30mcg/0.5mL	Prefilled syringe	$399.0250
09857395	Avonex Pen	30mcg/0.5mL	Prefilled autoinjector pen	$399.0250
Effective date : October 28, 2011
02370816	Victrelis	200mg	Cap	$12.5000
02371448	Victrelis Triple	200mg Cap & 200mg Cap & 80mcg Inj Pd	168 Caps & 56 Caps & 2 Redipens, Combination Kit	$2,652.5500
02371456	Victrelis Triple	200mg Cap & 200mg Cap & 100mcg Inj Pd	168 Caps & 56 Caps & 2 Redipens, Combination Kit	$2,652.5500
02371464	Victrelis Triple	200mg Cap & 200mg Cap & 120mcg Inj Pd	168 Caps & 70 Caps & 2 Redipens, Combination Kit	2,726.0000
02371472	Victrelis Triple	200mg Cap & 200mg Cap & 150mcg Inj Pd	168 Caps & 84 Caps & 2 Redipens, Combination Kit	$2,726.0000
09857396	Victrelis Triple	200mg Cap & 200mg Cap & 150mcg Inj Pd	168 Caps & 98 Caps & 2 Redipens, Combination Kit	$2,726.0000
Effective date : October 27, 2011
02357119	Vpriv ®	400U	Vial	$1955.0000
Effective date : October 26, 2011
09857394	Enbrel Sureclick®	50mg/mL	Prefilled autoinjection	$368.9075
Effective date : October 19, 2011
02287145	Fosrenol®	250mg	Chewable tab	$1.0527
02287153	Fosrenol®	500mg	Chewable tab	$2.1053
02287161	Fosrenol®	750mg	Chewable tab	$3.1682
02287188	Fosrenol®	1000mg	Chewable tab	$4.2004
Effective date : October 11, 2011
02299909	Cubicin	500mg/10mL	Vial powder for injection	$174.0000
Effective date : September 16, 2011
02248676	Iressa	250mg	Tablet	$73.3000
Effective date : September 8, 2011
02349124	Effient	10mg	Tablet (supplied as blister pack of 30 tablets)	$2.6600
Effective date : September 12, 2011
02318253	Rebif	66ug	Multi-Dose Cartridge	$363.6300
02318261	Rebif	132ug	Multi-Dose Cartridge	$442.6800
02237319	Rebif	22mcg	Pre-Filled Syringe	$121.2100
02237320	Rebif	44mcg	Pre-Filled Syringe	$147.5600
Effective date : August 18, 2011
01968017	Neupogen	300mcg/mL	1mL vial injection	$184.4600
09853464	Neupogen	480mcg/1.6mL	injection	$295.1360
Effective date : August 17, 2011
02357615	Vimpat	50mg	F.C. Tablet	$2.3200
02357623	Vimpat	100mg	F.C. Tablet	$3.3200
02357631	Vimpat	150mg	F.C. Tablet	$4.3200
02357658	Vimpat	200mg	F.C. Tablet	$5.3200
Effective date : July 22, 2011
02322285	Soliris	10mg/mL	30mL vial for IV injection	$6,742.5000
Effective date : May 31, 2011
02280795	Sutent	12.5mg	Cap	$63.1525
02280809	Sutent	25mg	Cap	$126.3043
02280817	Sutent	50mg	Cap	$252.6089
Effective date : May 20, 2011
02350092	Actemra	20mg/mL	Concentrate sol for infusion, 80mg/4mL vial	$179.2000
02350106	Actemra	20mg/mL	Concentrate sol for infusion, 200mg/10mL vial	$448.0000
02350114	Actemra	20mg/mL	Concentrate sol for infusion, 400mg/20mL vial	$896.0000
Effective date: May 19, 2011
2282097	Orencia	250mg/15mL	Vial	$454.6000
02242572	Actos	15mg	Tab	$2.3783
02242573	Actos	30mg	Tab	$3.3319
02242574	Actos	45mg	Tab	$5.0099
02258595	Humira	40mg/0.8mL	Pre-Filled Syr	$715.1200
09857294	Humira	40mg/0.8mL	Pre-Filled Pen	$715.1200
02287420	Exjade	125mg	Tab for Susp	$10.2039
02287439	Exjade	250mg	Tab for Susp	$20.4075
02287447	Exjade	500mg	Tab for Susp	$40.8154
02286386	Tysabri	300mg/15mL	Vial	$2,986.0300
Effective date : May 18, 2011
02322854	Nplate	250mcg/0.5mL	Powder for solution for injection	$897.5000
02322862	Nplate	500mcg/1mL	Powder for solution for injection	$1795.0100
Effective date: February 11, 2011
02339528	Afinitor	10mg	Tab	$186.0000
02337819	Extavia	0.3mg/vial	Powder for sc injection	$99.3593
Effective date: February 4, 2011
02315874	Tasigna	200mg	Cap	$38.7147
Effective date: January 31, 2011
02338327	Adcirca	20mg	Tab	$13.0725
Effective date: December 24, 2010
02295709	Suboxone	8mg/2mg	Tab	$4.7300
Effective date : November 21, 2010
02245619	Copaxone	20mg/mL	Pre-Filled Syringe	$43.2000
Effective date : October 18, 2010
02324784	Simponi	50mg/0.5mL	Auto-Injector	$1447.0000
02324776	Simponi	50mg/0.5mL	Pre-Filled Syringe	$1447.0000
Effective date : October 18, 2010
02244016	Remicade	100mg/10mL	Injection	$940.0000
09852956	Remicade	100mg/10mL	Injection (Compounded)	$940.0000
Effective date : September 30, 2010
02331675	Cimzia	200mg/mL	Pre-Filled Syringe	$664.5100
Effective date : September 9, 2010
02242903	Enbrel	25mg/Vial	Inj Pd-Vial Pk	$184.4525
02250519	Zavesca	100mg	Cap	$108.5479
Effective date : March 2, 2010
02241093	Temodal	5mg	Cap	$7.4174
02241094	Temodal	20mg	Cap	$29.6694
02241095	Temodal	100mg	Cap	$148.3468
02312794	Temodal	140mg	Cap	$207.6863
02312816	Temodal	180mg	Cap	$267.0238
02241096	Temodal	250mg	Cap	$370.8565
Effective date : February 10, 2010
02284642	Azilect	0.5mg	Tab	$7.0000
02284650	Azilect	1mg	Tab	$7.0000
Effective date : January 5, 2010
01981501	Botox	100U/Vial	Pd Inj-100U Vial Pk	$357.0000
Effective date : October 8, 2009
02169649	Betaseron	0.3mg/Vial	Injection	$110.0000
Effective date : July 22, 2009
02317699	Revlimid	15mg	Cap	$382.0000
02317710	Revlimid	25mg	Cap	$424.0000
Effective date : June 11, 2009
02284863	Myozyme	50mg/vial	Lyophylized Powder	$840.3100
Effective date : June 1, 2009
02241112	Avandia	2mg	Tab	$1.3755
02241113	Avandia	4mg	Tab	$2.1584
02241114	Avandia	8mg	Tab	$3.0866
Effective date : May 27, 2009
02296314	Elaprase	2mg/mL	3mL Vial	$3,800.00
Effective Date : January 19, 2009
02304899	Revlimid	5mg	Capsule	$340.0000
02304902	Revlimid	10mg	Capsule	$361.0000
Effective Date : December 3, 2008
2274728	Enbrel	50mg/mL	Inj Pref Syr	$364.2800
Effective Date : November 17, 2008
02284227	Nexavar	200mg	Tablet	$45.0625

Until further notice, for all other products reimbursed under the EAP, pharmacists will continue to be reimbursed their acquisition cost plus the applicable markup (currently 8%).



INFOline Tel : 1-866-532-3161 (Toll-free in Ontario only) TTY 1-800-387-5559 Hours of operation: 8:30am - 5:00pm