Xalatan · DIN 02231493 · 0.005% · Oph Sol-2.5mL Pk
Limited Use — Reason for Use code 171, 172, 387 requiredMarketed · checked 2026-09-02
StatusLimited Use — Reason for Use code 171, 172, 387 required
Write on scriptLU code 171, 172, 387 (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 171, 172, 387
Reason for Use code 171
As first line treatment of elevated intraocular pressure in patients who cannot tolerate an ophthalmic beta-blocking agent or where beta-blocking agents are contraindicated.
Coverage limit:
LU Authorization Period: Indefinite
Reason for Use code 172
As second line monotherapy or combination therapy in patients who do not have an adequate intraocular pressure lowering response to ophthalmic beta-blocking agents.
Coverage limit:
LU Authorization Period: Indefinite
Reason for Use code 387
For use as adjunctive therapy with an ophthalmic beta-blocking agent in an urgent situation (e.g. patients with a high baseline intraocular pressure) where monotherapy is unlikely to be effective.
Coverage limit:
LU Authorization Period: Indefinite
Savings card: RxHelp ONE lists Xalatan (read 2026-09-10) — brand-name savings card, free; cannot be combined with another card on the same claim. (rxhelp.ca ↗)
1 brand, same coverage
Xalatan · DIN 02231493
Manufacturer: Upjohn Canada ULC; listing date 2000-01-17
Health Canada: Marketed since 2023-07-31 · brand XALATAN · ATC S01EE01 LATANOPROST · form Solution · route Ophthalmic · ingredients LATANOPROST 50 MCG/ML · company Bgp pharma ulc · schedule Prescription
Ministry pays: $9.5830 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=50823 · Verify on the e-Formulary ↗ (DIN 02231493)
Source record
DIN 02231493: Xalatan
Raw flags: sec12=Y, sec3=Y
Item: 523600088; group id 629; item number 1598; lccId 00089; manufacturer id UJC
Source form: Oph Sol-2.5mL Pk; strength: 0.005%
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $36.2736; ministry $9.5830
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02231493
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=50823
Interchangeable products
Apo-Latanoprost · DIN 02296527 · $9.5830
Co Latanoprost · DIN 02254786 · $9.5830
Gd-Latanoprost · DIN 02373041 · $9.5830
Jamp Latanoprost · DIN 02453355 · $9.5830
M-Latanoprost · DIN 02513285 · $9.5830
Med-Latanoprost · DIN 02426935 · $9.5830
Riva-Latanoprost · DIN 02341085 · $9.5830
Sandoz Latanoprost · DIN 02367335 · $9.5830
Shortage status: resolved shortage (ended 2023-03-23); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02231493
Shortage record checked 2026-09-13T08:10:21.292534+00:00