Brivlera · DIN 02452936 · 10mg · tablet
Limited Use — Reason for Use code 548 requiredMarketed · checked 2026-09-02
StatusLimited Use — Reason for Use code 548 required
Write on scriptLU code 548 (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 548
Reason for Use code 548
- As adjunctive therapy in the treatment of patients with partial-onset seizures (POS) who have had an inadequate response or have significant intolerance to at least 2 other less costly anticonvulsant therapies (prior or current use); AND
- Patients are not receiving concurrent therapy with levetiracetam; AND
- Patients are under the care of a physician experienced in the treatment of epilepsy.
Note: Less costly anticonvulsant therapies may include the following:
Phenytoin, carbamazepine, gabapentin, lamotrigine, vigabatrin, topiramate, etc.
Coverage limit:
LU Authorization Period: Indefinite
Savings card: RxHelp ONE lists Brivlera (read 2026-09-10) — brand-name savings card, free; cannot be combined with another card on the same claim. (rxhelp.ca ↗)
1 brand, same coverage
Brivlera · DIN 02452936
Manufacturer: UCB Canada Inc.; listing date 2018-12-21
Health Canada: Marketed since 2016-05-02 · brand BRIVLERA · ATC N03AX23 BRIVARACETAM · form Tablet · route Oral · ingredients BRIVARACETAM 10 MG · company Ucb canada inc · schedule Prescription
Ministry pays: $2.3760 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=93933 · Verify on the e-Formulary ↗ (DIN 02452936)
Source record
DIN 02452936: Brivlera
Raw flags: sec12=Y, sec3=Y
Item: 281200177; group id 420; item number 1036; lccId 00312; manufacturer id UCB
Source form: Tab; strength: 10mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $4.3200; ministry $2.3760
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02452936
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=93933
Interchangeable products
Apo-Brivaracetam · DIN 02538679 · $2.3760
Shortage status: resolved shortage (ended 2020-06-02); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02452936
Shortage record checked 2026-09-13T08:10:21.292534+00:00