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Lowest DBP recovery rule under medically necessary no-substitution claims: 6.2 Medically Necessary "No Substitution" Claims The Side Effect Reporting Form will not have to be renewed. However, the pharmacy must maintain a copy of the prescription that contains a direction that there be no substitution and the required Health Canada Side Effect Reporting Form (completed and signed by the prescriber). The prescriber must write “No Substitution” or “No Sub” on renewal or subsequent new written prescriptions, and indicate “No Substitution” on subsequent new oral prescriptions. The dispenser will be reimbursed the DBP plus a mark-up and the lesser of the posted usual and customary fee or the ODB dispensing fee minus the applicable ODB co-payment amount. Where a completed Side Effect Reporting Form is not available at the pharmacy during an inspection, the difference between the cost of the higher-cost product and the lowest DBP listed for the interchangeable category will be recovered. (ontario.ca, Revision #17; 2026-08-03 ↗) 6.2 Medically Necessary "No Substitution" Claims The Ministry will provide reimbursement of a higher-cost interchangeable product in medically necessary circumstances where a patient has experienced a significant adverse reaction with two (2) lower-cost interchangeable drug products, where available. When a prescriber identifies a patient for which it is medically necessary that a higher cost interchangeable product be provided, the prescriber must: • Complete, sign and forward to the pharmacist a copy of the Health Canada side effect reporting form for each lower-cost interchangeable drug product trialed (Side Effect Reporting Form[s]); and • Write “No Substitution” or “No Sub” on a written prescription or indicate “No Substitution” to the pharmacist in the case of a verbal prescription. The prescriber should keep a copy of the completed form in the patient’s record for future use and reference. In the case of a written prescription, when the pharmacist or dispensing physician receives a prescription with the written notation “No Substitution” or “No Sub”, reimbursement will be provided for the higher-cost interchangeable product only if the prescription is accompanied by a completed Health Canada Side Effect Reporting Form for each of the lower-cost interchangeable drug products trialed. This form must be completely filled out noting the details of the adverse reaction and signed by the prescriber. In the case of a verbal prescription, the prescriber must satisfy the operator of the pharmacy or dispensing physician that a completed Health Canada Side Effect Reporting Form for each of the lower-cost interchangeable drug products trialed has been completed and signed by the prescriber. A written record of this verbal prescription and the completed Health Canada Side Effect Reporting Form must be received by the pharmacy prior to claim submission. Upon receipt, the pharmacist must: • Fax, submit online or mail the completed and signed form to Health Canada’s Canada Vigilance Program; and • Retain his or her copy of the completed and signed Side Effect Reporting Form. (ontario.ca, Revision #17; 2026-08-03 ↗)

Mint-Duloxetine · DIN 02438984 Manufacturer: Mint Pharmaceuticals Inc.; listing date 2016-06-29 Health Canada: Marketed since 2016-05-02 · brand MINT-DULOXETINE · ATC N06AX21 DULOXETINE · form Capsule (delayed-release) · route Oral · ingredients DULOXETINE (DULOXETINE HYDROCHLORIDE) 30 MG · company Mint pharmaceuticals inc · schedule Prescription

DIN 02438984: Mint-Duloxetine Raw flags: sec3=Y Item: 281604123; group id 459; item number 1148; lccId None; manufacturer id MIN Source form: DR Cap; strength: 30mg Recorded listing: General benefit Source prices (unrounded): $0.4814; ministry $0.3611 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02438984 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=92335

Interchangeable products

AG-Duloxetine · DIN 02475308 · $0.3611 Accel-Duloxetine · DIN 02522861 · $0.3611 Apo-Duloxetine · DIN 02440423 · $0.3611 Auro-Duloxetine · DIN 02436647 · $0.3611 Cymbalta · DIN 02301482 · not recorded Duloxetine · DIN 02453630 · $0.3611 Duloxetine · DIN 02490889 · $0.3611 Duloxetine DR · DIN 02437082 · $0.3611 Jamp Duloxetine Capsules · DIN 02512505 · $0.3611 Jamp-Duloxetine · DIN 02451913 · $0.3611 M-Duloxetine · DIN 02473208 · $0.3611 Mar-Duloxetine · DIN 02446081 · $0.3611 NRA-Duloxetine · DIN 02482126 · $0.3611 PMS-Duloxetine · DIN 02429446 · $0.3611 Ran-Duloxetine · DIN 02438259 · $0.3611 Sandoz Duloxetine · DIN 02439948 · $0.3611 Taro-Duloxetine · DIN 02457199 · $0.3611 Teva-Duloxetine · DIN 02456753 · $0.3611

Shortage status: not checked (no credentials)