Visanne · DIN 02374900 · 2mg · tablet
Limited Use — Reason for Use code 432 requiredMarketed · checked 2026-09-02
StatusLimited Use — Reason for Use code 432 required
Write on scriptLU code 432 (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 432
Reason for Use code 432
For the management of pelvic pain associated with endometriosis in patients for whom one or more less costly options are either ineffective or cannot be used.
Note: For example for patients who are refractory to 6 months of continuous combined oral contraceptives and/or medroxyprogesterone therapy OR have contraindications to these therapies.
Coverage limit:
LU Authorization Period: 1 year
1 brand, same coverage
Visanne · DIN 02374900
Manufacturer: Bayer Inc., Health Care Division; listing date 2012-07-27
Health Canada: Marketed since 2011-10-25 · brand VISANNE · ATC G03DB08 DIENOGEST · form Tablet · route Oral · ingredients DIENOGEST 2 MG · company Bayer inc · schedule Prescription
Ministry pays: $0.5115 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=86025 · Verify on the e-Formulary ↗ (DIN 02374900)
Source record
DIN 02374900: Visanne
Raw flags: sec12=Y, sec3=Y
Item: 683200112; group id 794; item number 1934; lccId 00223; manufacturer id BAH
Source form: Tab; strength: 2mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $2.2314; ministry $0.5115
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02374900
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=86025
Interchangeable products
Aspen-Dienogest · DIN 02493055 · $0.5115
Jamp Dienogest · DIN 02498189 · $0.5115
M-Dienogest · DIN 02543613 · $0.5115
Mar-Dienogest · DIN 02551683 · $0.5115
Shortage status: no shortage or discontinuation reported (checked 2026-09-13T08:10:21.292534+00:00); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02374900
Shortage record checked 2026-09-13T08:10:21.292534+00:00