Prograf · DIN 02243144 · 0.5mg · capsule
Limited Use — Reason for Use code 173 requiredMarketed · checked 2026-09-19
StatusLimited Use — Reason for Use code 173 required
Write on scriptLU code 173 (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 173
Reason for Use code 173
For solid organ transplant and bone marrow transplant.
Coverage limit:
LU Authorization Period: Indefinite
Savings card: innoviCares lists Prograf (Ontario list dated 2026-09-10) — pays part of the brand-versus-generic difference after other coverage; free sign-up. (innovicares.ca ↗)
1 brand, same coverage
Prograf · DIN 02243144
Manufacturer: Astellas Pharma Canada Inc.; listing date 2009-04-01
Health Canada: Marketed since 2005-11-07 · brand PROGRAF · ATC L04AD02 TACROLIMUS · form Capsule · route Oral · ingredients TACROLIMUS 0.5 MG · company Astellas pharma canada inc · schedule Prescription
Ministry pays: $1.0146 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=67015 · Verify on the e-Formulary ↗ (DIN 02243144)
Source record
DIN 02243144: Prograf
Raw flags: sec12=Y, sec3=Y
Item: 920000391; group id 963; item number 2286; lccId 00137; manufacturer id ASE
Source form: Cap; strength: 0.5mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $2.0291; ministry $1.0146
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02243144
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=67015
Interchangeable products
Ach-Tacrolimus · DIN 02454068 · $1.0146
Sandoz Tacrolimus · DIN 02416816 · $1.0146
Shortage status: not checked (no credentials)