Aricept · DIN 02232044 · 10mg · tablet
Limited Use — Reason for Use code 347, 348 requiredMarketed · checked 2026-09-20
StatusLimited Use — Reason for Use code 347, 348 required
Write on scriptLU code 347, 348 (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 347, 348
Reason for Use code 347
Initial Trial: For patients with mild to moderate Alzheimer's Disease (Mini-Mental State Exam [MMSE] 10-26). Patients will be reimbursed for a period of up to 3 months after which continued treatment must be reassessed.
Network note: Maximum duration 3 months.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 348
Continuation: Further reimbursement will be made available to those patients whose disease has not progressed/deteriorated while on this drug. Patients must continue to have a MMSE score of 10-26.
Coverage limit:
LU Authorization Period: 1 year
Savings card: RxHelp ONE lists Aricept (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
Aricept · DIN 02232044
Manufacturer: Pfizer Canada Inc.; listing date 1999-06-01
Health Canada: Marketed since 1997-08-20 · brand ARICEPT · ATC N06DA02 DONEPEZIL · form Tablet · route Oral · ingredients DONEPEZIL HYDROCHLORIDE 10 MG · company Pfizer canada ulc · schedule Prescription
Ministry pays: $0.4586 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=51492 · Verify on the e-Formulary ↗ (DIN 02232044)
Source record
DIN 02232044: Aricept
Raw flags: sec12=Y, sec3=Y
Item: 120400018; group id 193; item number 0355; lccId 00026; manufacturer id PFI
Source form: Tab; strength: 10mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $5.1856; ministry $0.4586
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02232044
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=51492
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Shortage status: not checked (no credentials)