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PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE

All products: Limited Use (codes 124, 125, 126)

Other products in the same Health Canada class (A09AA) — coverage varies; not interchangeable

  • Amylase + lipase + protease (Creon Minimicrospheres 35): limited Use 124, 125, 126, 225

Pancrease MT4 · DIN 00789445 · 4000 & 12000 & 12000 USP Units · Ent Microsph capsule

Limited Use — Reason for Use code 124, 125, 126 requiredMarketed · checked 2026-09-02
StatusLimited Use — Reason for Use code 124, 125, 126 required
Write on scriptLU code 124, 125, 126 (patient must meet the criteria below)
Patient paysPatient pays: program not supplied; amount cannot be determined.
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ontario Limited Use criteria — code 124, 125, 126
Reason for Use code 124 Replacement therapy for pancreatic insufficiency secondary to pancreatic surgery (resection). Coverage limit: LU Authorization Period: Indefinite Reason for Use code 125 Replacement therapy for pancreatic insufficiency due to chronic pancreatitis. Coverage limit: LU Authorization Period: Indefinite Reason for Use code 126 Replacement therapy for pancreatic insufficiency due to carcinoma of the pancreas. Coverage limit: LU Authorization Period: Indefinite
No interchangeable product listed in the Ontario extract
Pancrease MT4 · DIN 00789445 Manufacturer: Vivus Inc.; listing date 1996-10-01 Health Canada: Marketed since 2019-08-01 · brand PANCREASE MT 4 · ATC A09AA02 MULTIENZYMES (LIPASE, PROTEASE ETC) · form Capsule (delayed-release) · route Oral · ingredients PROTEASE 10000 UNIT, LIPASE 4200 UNIT, AMYLASE 17500 UNIT · company Vivus llc. · schedule Prescription
Check this DIN again · Health Canada product record

Pancrease MT4: Formulary list price $0.7274/unit (unit not stated in source; not the patient's cost)

Ministry pays: $0.7274 per source unit.

Source explanation: The formulary price is what ODB pays; the cash price at the counter is set by the pharmacy.

Formulary data: Ontario extract of Aug 26, 2026 · Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=9514 · Verify on the e-Formulary ↗ (DIN 00789445)

Source record
DIN 00789445: Pancrease MT4 Raw flags: sec12=Y, sec3=Y Item: 561600026; group id 659; item number 1644; lccId 00098; manufacturer id VIU Source form: Ent Microsph Cap; strength: 4000 & 12000 & 12000 USP Units Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below Source prices (unrounded): $0.7274; ministry $0.7274 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=00789445 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=9514
Shortage status: no shortage or discontinuation reported (checked 2026-09-13T08:10:21.292534+00:00); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada) Source: https://healthproductshortages.ca/search?term=00789445
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Other drugs in the same formulary class (56:16 Digestants) and how they are covered

Matched class: 56:16 Digestants

Drug-class inventory only. Lists recorded Ontario formulary products, not every Canadian medication; does not recommend treatment. No displayed product is listed as a general benefit in this extract. Check its listing requirements below. 56:16 Digestants

LIPASE & AMYLASE & PROTEASE

· 1 products · Limited Use, codes 124, 125, 126, 225 · strengths: 35000 & 35700 & 2240 Units · DR Cap Source: formulary-ed43-front-matter.txt Part V; ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26; class 56:16
Full class listing Related classes: 56:04 Antacids and Adsorbents, 56:08 Antidiarrhea Agents, 56:12 Cathartics, 56:22 Antiemetics and Antinauseants, 56:40 Miscellaneous G.I. Drugs Same formulary class, not same indication: class membership alone does not establish equivalent uses.
What the Health Canada label says it is for
INDICATIONS AND CLINICAL USE COTAZYM® (pancreatic enzymes) is indicated for the treatment of pancreatic insufficiency attributed to cystic fibrosis, chronic pancreatitis, or any other medically defined pancreatic disease that might require pancreatic enzyme therapy. Geriatrics (> 65 years of age): Clinical studies of COTAZYM® in geriatric patients have not been conducted. Pediatrics (<18 years of age): Post approval, several clinical studies have been conducted supporting the safe and effective use of COTAZYM® in pediatric patients with established pancreatic insufficiency. https://pdf.hres.ca/dpd_pm/00060547.PDF PM date: March 30, 2021 Source product: COTAZYM; DIN 00263818; fetched 2026-09-10 Product monograph posted by Health Canada; excerpt for lookup only.