Vitamin A Acid · DIN 01926489 · 0.05% · Gel
Limited Use — Reason for Use code 269 requiredMarketed · checked 2026-09-20
StatusLimited Use — Reason for Use code 269 required
Write on scriptLU code 269 (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 269
Reason for Use code 269
For the treatment of acne vulgaris.
Coverage limit:
LU Authorization Period: 1 year
No interchangeable product listed in the Ontario extract
Vitamin A Acid · DIN 01926489
Manufacturer: Valeant Canada Ltd.; listing date 1996-10-01
Health Canada: Marketed since 2020-09-30 · brand VITAMIN A ACID · ATC D10AD01 TRETINOIN · form Gel · route Topical · ingredients TRETINOIN 0.05 % · company Bausch health, canada inc. · schedule Prescription
Check this DIN again · Health Canada product recordVitamin A Acid: Formulary list price $0.4266/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.4266 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=12544 · Verify on the e-Formulary ↗ (DIN 01926489)
Source record
DIN 01926489: Vitamin A Acid
Raw flags: sec12=Y, sec3=Y
Item: 842800010; group id 853; item number 2072; lccId 00118; manufacturer id VAL
Source form: Gel; strength: 0.05%
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $0.4266; ministry $0.4266
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=01926489
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=12544
Shortage status: not checked (no credentials)