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Ontario coverage, price, criteria word for word, Health Canada status and shortages for one product

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INSULIN GLARGINE

All injection strengths: Limited Use (codes 644)

Other products in the same Health Canada class (A10AE) — coverage varies; not interchangeable

  • Insulin degludec (Tresiba): general benefit
  • Insulin detemir (Levemir Penfill): general benefit

Lantus-(Vial) · DIN 02245689 · 100U/mL · injection solution-10mL vial

Limited Use — Reason for Use code 644 requiredMarketed · checked 2026-09-19
StatusLimited Use — Reason for Use code 644 required
Write on scriptLU code 644 (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 644
Reason for Use code 644 Patient requires insulin therapy and is unable to use the insulin pen. Coverage limit: LU Authorization Period: 1 year
No interchangeable product listed in the Ontario extract
Lantus-(Vial) · DIN 02245689 Manufacturer: Sanofi Aventis Pharma; listing date 2008-12-03 Health Canada: Marketed since 2007-10-23 · brand LANTUS · ATC A10AE04 INSULIN GLARGINE · form Solution · route Subcutaneous · ingredients INSULIN GLARGINE 100 UNIT/ML · company Sanofi-aventis canada inc · schedule Schedule d
Check this DIN again · Health Canada product record

Lantus-(Vial): Formulary list price $61.6900/unit (unit not stated in source; not the patient's cost)

Ministry pays: $61.6900 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=69790 · Verify on the e-Formulary ↗ (DIN 02245689)

Source record
DIN 02245689: Lantus-(Vial) Raw flags: insOH=Y, sec12=Y, sec3=Y Item: 682014009; group id 781; item number 1901; lccId 00367; manufacturer id SAV Source form: Inj Sol-10mL Vial Pk; strength: 100U/mL Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below; diabetes medication flag Source prices (unrounded): $61.6900; ministry $61.6900 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02245689 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=69790
Shortage status: not checked (no credentials)
Other drugs in the same formulary class (68:20:14 Insulins (Long Acting)) and how they are covered

Matched class: 68:20:14 Insulins (Long Acting)

Drug-class inventory only. Lists recorded Ontario formulary products, not every Canadian medication; does not recommend treatment. Covered without a code on the Ontario formulary: INSULIN DEGLUDEC, INSULIN DETEMIR 68:20:14 Insulins (Long Acting)

INSULIN DEGLUDEC

· 3 products · General benefit · strengths: 100U/mL, 200U/mL · Inj Sol-3X5mL Cart Pk, Inj Sol-Flextouch Pref Pen 3x3mL Pk, Inj Sol-Flextouch Pref Pen 5x3mL Pk

INSULIN DETEMIR

· 2 products · General benefit · strengths: 100U/mL · Inj Sol-5x3mL Pk, Inj Sol-Pref Disp Pen 5X3mL Pk Source: formulary-ed43-front-matter.txt Part V; ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26; class 68:20:14
Full class listing Related classes: 68:20:02 Oral Anti-Diabetic Agents, 68:20:06 Incretin Mimetics, 68:20:10 Insulins (Rapid Acting), 68:20:12 Insulins (Intermediate Acting), 68:20:16 Insulins (Pre-Mixed) Same formulary class, not same indication: class membership alone does not establish equivalent uses.
What the Health Canada label says it is for
1 INDICATIONS LANTUS [insulin glargine injection (rDNA origin)] is a recombinant human insulin analog indicated for once-daily subcutaneous administration in the treatment of patients over 17 years of age with Type 1 or Type 2 diabetes mellitus who require basal (long-acting) insulin for the control of hyperglycemia. LANTUS is also indicated in the treatment of pediatric patients (˃6 years old) with Type 1 diabetes mellitus who require basal (long-acting) insulin for the control of hyperglycemia . 1.1 Pediatrics Pediatrics (>6 years of age): Based on the data submitted and reviewed by Health Canada, the safety and efficacy of LANTUS in pediatric patients over 6 years of age with Type 1 diabetes mellitus has been established. Therefore, Health Canada has authorized an indication for pediatric use. 1.2 Geriatrics Geriatrics (>65 years of age): Evidence from clinical studies and experience suggests that use in the geriatric population is associated with differences in safety or effectiveness. In elderly patients with diabetes, the initial dosing, dose increments, and maintenance dosage should be conservative to avoid hypoglycemic reactions. https://pdf.hres.ca/dpd_pm/00063800.PDF PM date: December 1, 2021 Source product: LANTUS; DIN 02245689; fetched 2026-09-10 Product monograph posted by Health Canada; excerpt for lookup only.