Tamiflu · DIN 02304856 · 45mg · capsule
Limited Use — Reason for Use code 371, 372, 639 requiredMarketed · checked 2026-09-20
StatusLimited Use — Reason for Use code 371, 372, 639 required
Write on scriptLU code 371, 372, 639 (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 371, 372, 639
Reason for Use code 371
For the prophylaxis (max: 75mg daily) of institutionalized individuals during confirmed* outbreaks of Influenza A or Influenza B.
Coverage limit:
Network will limit supply to 6 weeks.
Coverage limit:
*The outbreak must be confirmed by Public Health.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 372
For the treatment (max: 75mg bid) of institutionalized individuals during confirmed* outbreaks due to: Influenza B or, Influenza A (as an alternative to amantadine) or, Influenza A where new cases have developed despite amantadine prophylaxis.
Coverage limit:
Network will limit supply to 5 days.
Coverage limit:
*The outbreak must be confirmed by Public Health.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 639
For treatment of individuals who are at high risk* of complications from influenza infection and have either:
1. Laboratory-confirmed influenza A or influenza B infection;
OR
2. Illness consistent with influenza A or influenza B infection
*High risk of complications from influenza infection is defined by the presence of one or more of the following medical conditions, age-related factors, or other characteristics:
- Asthma and other chronic pulmonary diseases, including bronchopulmonary dysplasia, cystic fibrosis, chronic bronchitis, and emphysema
- Cardiovascular disease (excluding isolated hypertension), including congenital and acquired heart disease, such as heart failure and symptomatic coronary artery disease
- Renal disease
- Chronic liver disease
- Diabetes mellitus and other metabolic diseases
- Anemia and hemoglobinopathies, such as sickle cell disease
- Cancer, immunosuppression, or immunodeficiency due to disease (e.g., HIV infection, especially if CD4 is less than 200 per microlitre) or management of underlying conditions (e.g., solid organ transplant or hematopoietic stem cell transplant recipients, those receiving immunosuppressive therapies for autoimmune conditions or other disorders)
- Neurological disease and neurodevelopmental disorders that compromise handling of respiratory secretions (cognitive dysfunction; spinal cord injury; neuromuscular, neurovascular, neurodegenerative, and seizure disorders; cerebral palsy; metabolic disorders)
- Children aged younger than 5 years
- Individuals aged 65 years or older
- Individuals of any age who are residents of nursing homes or other chronic care facilities
- Pregnancy and up to 4 weeks postpartum regardless of how the pregnancy ended
- Obesity with a body mass index (BMI) greater than or equal to 40 or a BMI greater than 3 z-scores above the mean for age and gender
- Children and adolescents aged younger than 18 years undergoing treatment for long periods with acetylsalicylic acid
- Indigenous peoples
Maximum dosage: 75mg twice daily for 5 days
Treatment should be initiated as soon as possible (ideally no more than 48 hours) after onset of symptoms to achieve optimal benefits.
Coverage limit:
LU Authorization Period: 6 Months
Coverage limit:
Prescribers and dispensers should be informed of the drug product's official indications as set out in Health Canada's approved product monograph. Aspects of the above funding criteria may differ from the official indications in the product monograph. Where there is a difference between the product monograph and the above reimbursement criteria, the criteria govern for the purpose of the drug product's funding under the Ontario Drug Benefit Program. The reimbursement criteria are intended for information purposes only and do not provide any medical diagnosis, symptom assessment, health counselling, or medical opinion for Ontario Drug Benefit Program recipients. This information also does not constitute medical advice for prescribers or dispensers.
Savings card: innoviCares lists Tamiflu (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
Tamiflu · DIN 02304856
Manufacturer: Hoffmann-La Roche Limited; listing date 2011-03-15
Health Canada: Marketed since 2008-12-08 · brand TAMIFLU · ATC J05AH02 OSELTAMIVIR · form Capsule · route Oral · ingredients OSELTAMIVIR (OSELTAMIVIR PHOSPHATE) 45 MG · company Hoffmann-la roche limited · schedule Prescription
Ministry pays: $1.6135 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=79012 · Verify on the e-Formulary ↗ (DIN 02304856)
Source record
DIN 02304856: Tamiflu
Raw flags: sec12=Y, sec3=Y
Item: 081800342; group id 103; item number 0183; lccId 00143; manufacturer id HLR
Source form: Cap; strength: 45mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.2540; ministry $1.6135
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02304856
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=79012
Interchangeable products
Nat-Oseltamivir · DIN 02472643 · $1.6135
Sandoz Oseltamivir · DIN 02504014 · $1.6135
Shortage status: not checked (no credentials)