Lasix Special · DIN 02224755 · 500mg · tablet
Limited Use — Reason for Use code 33 requiredMarketed · checked 2026-09-02
StatusLimited Use — Reason for Use code 33 required
Write on scriptLU code 33 (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 33
Reason for Use code 33
For patients with severely impaired renal function refractory to conventional dosages of the drug.
Coverage limit:
LU Authorization Period: Indefinite
No interchangeable product listed in the Ontario extract
Lasix Special · DIN 02224755
Manufacturer: Sanofi Aventis Pharma; listing date 1999-01-07
Health Canada: Marketed since 2008-05-07 · brand LASIX SPECIAL · ATC C03CA01 FUROSEMIDE · form Tablet · route Oral · ingredients FUROSEMIDE 500 MG · company Sanofi-aventis canada inc · schedule Prescription
Lasix Special: Formulary list price $3.5700/unit (unit not stated in source; not the patient's cost)
Ministry pays: $3.5700 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=37375 · Verify on the e-Formulary ↗ (DIN 02224755)
Source record
DIN 02224755: Lasix Special
Raw flags: chronicUseMed=Y, sec12=Y, sec3=Y
Item: 402800043; group id 560; item number 1500; lccId 00078; manufacturer id SAV
Source form: Tab; strength: 500mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below; chronic-use medication (100-day supply rule, dispensing-fee limit)
Source prices (unrounded): $3.5700; ministry $3.5700
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02224755
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=37375
Shortage status: resolved shortage (ended 2026-04-20); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02224755
Shortage record checked 2026-09-13T08:10:21.292534+00:00