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Ontario coverage, price, criteria word for word, Health Canada status and shortages for one product

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CALCIPOTRIOL

All products: Limited Use (codes 191)

Other products in the same Health Canada class (D05AX) — coverage varies; not interchangeable

  • Calcitriol (Silkis): limited Use 191

Dovonex · DIN 01976133 · 50mcg/g · Oint

Limited Use — Reason for Use code 191 requiredMarketed · checked 2026-09-20
StatusLimited Use — Reason for Use code 191 required
Write on scriptLU code 191 (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 191
Reason for Use code 191 For the treatment of psoriasis in patients who have failed topical corticosteroids alone, or are intolerant to topical corticosteroids. Coverage limit: LU Authorization Period: Indefinite
No interchangeable product listed in the Ontario extract
Dovonex · DIN 01976133 Manufacturer: Leo Pharma Inc.; listing date 1997-04-10 Health Canada: Marketed since 1992-12-31 · brand DOVONEX · ATC D05AX02 CALCIPOTRIOL · form Ointment · route Topical · ingredients CALCIPOTRIOL 50 MCG/G · company Leo pharma inc · schedule Prescription
Check this DIN again · Health Canada product record

Dovonex: Formulary list price $1.2489/unit (unit not stated in source; not the patient's cost)

Ministry pays: $1.2489 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=13340 · Verify on the e-Formulary ↗ (DIN 01976133)

Source record
DIN 01976133: Dovonex Raw flags: sec12=Y, sec3=Y Item: 843600044; group id 859; item number 2080; lccId 00119; manufacturer id LEO Source form: Oint; strength: 50mcg/g Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below Source prices (unrounded): $1.2489; ministry $1.2489 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=01976133 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=13340
Shortage status: not checked (no credentials)
Other drugs in the same formulary class (84:36 Miscellaneous Skin and Mucous Membrane Agents) and how they are covered

Matched class: 84:36 Miscellaneous Skin and Mucous Membrane Agents

Drug-class inventory only. Lists recorded Ontario formulary products, not every Canadian medication; does not recommend treatment. Covered without a code on the Ontario formulary: ACITRETIN, AZELAIC ACID, FLUOROURACIL, ISOTRETINOIN, ZINC SULFATE Some products covered without a code (check the product listing): COLLAGENASE 84:36 Miscellaneous Skin and Mucous Membrane Agents

CALCITRIOL

· 1 products · Limited Use, codes 191 · strengths: 3mcg/g · Oint

ACITRETIN

· 6 products · General benefit · strengths: 10mg, 25mg · Cap

AZELAIC ACID

· 1 products · General benefit · strengths: 15% · Top Gel

COLLAGENASE

· 2 products · General benefit (1), Temporary benefit (1) · strengths: 250Unit/g · 30g Pk, Oint-30g Pk

FLUOROURACIL

· 1 products · General benefit · strengths: 5% · Cr

ISOTRETINOIN

· 8 products · General benefit · strengths: 10mg, 20mg, 30mg, 40mg · Cap

ZINC SULFATE

· 2 products · General benefit · strengths: 0.5%, 10mg · Oint, Sup

ALITRETINOIN

· 4 products · Listed, not a benefit (2), Limited Use, codes 442 (2) · strengths: 10mg, 30mg · Cap

BRODALUMAB

· 1 products · Limited Use, codes 553 · strengths: 210mg/1.5mL · Inj Sol-Pref Syr

IXEKIZUMAB

· 2 products · Limited Use, codes 526 · strengths: 80mg/mL · Inj Sol-Pref Autoinj, Inj Sol-Pref Syr

PIMECROLIMUS

· 1 products · Limited Use, codes 383 · strengths: 1% · Cr

RISANKIZUMAB

· 3 products · Limited Use, codes 574 · strengths: 75mg/0.83mL, 150mg/mL · Inj Sol-0.83mL Pref Syr (Preservative-Free), Inj Sol-Pref Pen (Preservative-Free), Inj Sol-Pref Syr (Preservative-Free) Source: formulary-ed43-front-matter.txt Part V; ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26; class 84:36 and 3 more
Full class listing Related classes: 84:04 Anti-Infectives, 84:06 Anti-Inflammatory, 84:28 Keratolytic Agents Same formulary class, not same indication: class membership alone does not establish equivalent uses.
What the Health Canada label says it is for
Product monograph unavailable: download failed: DPDUnavailable