Scopolamine Hydrobromide Injection · DIN 02242811 · 0.6mg/mL · injection solution (Preservative Free)
Limited Use — Reason for Use code 481 requiredMarketed · checked 2026-09-19
StatusLimited Use — Reason for Use code 481 required
Write on scriptLU code 481 (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 481
Reason for Use code 481
For the management of patients receiving palliative care*.
Coverage limit:
LU Authorization Period: 1 year
Coverage limit:
*The patient must have a progressive life-limiting illness and require this medication for palliative purposes.
No interchangeable product listed in the Ontario extract
Scopolamine Hydrobromide Injection · DIN 02242811
Manufacturer: Omega Laboratories Ltd.; listing date 2011-05-19
Health Canada: Marketed since 2026-06-23 · brand SCOPOLAMINE HYDROBROMIDE INJECTION · ATC N05CM05 SCOPOLAMINE · form Liquid · route Subcutaneous, Intramuscular, Intravenous · ingredients SCOPOLAMINE HYDROBROMIDE 0.6 MG/ML · company Juno pharma canada inc. · schedule Ethical
Scopolamine Hydrobromide Injection: Formulary list price $7.1878/unit (unit not stated in source; not the patient's cost)
Ministry pays: $7.1878 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=66636 · Verify on the e-Formulary ↗ (DIN 02242811)
Source record
DIN 02242811: Scopolamine Hydrobromide Injection
Raw flags: sec12=Y, sec3=Y
Item: 120800065; group id 211; item number 0383; lccId 00287; manufacturer id OMG
Source form: Inj Sol (Preservative Free); strength: 0.6mg/mL
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $7.1878; ministry $7.1878
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02242811
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=66636
Interchangeable products
Scopolamine Hydrobromide Injection · DIN 00541877 · not recorded
Shortage status: not checked (no credentials)