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FINERENONE

All products: Limited Use (codes 700)

Other products in the same Health Canada class (C03DA) — coverage varies; not interchangeable

  • Eplerenone (Inspra): limited Use 458

Kerendia · DIN 02531917 · 10mg · tablet

Limited Use — Reason for Use code 700 requiredMarketed · checked 2026-09-19
StatusLimited Use — Reason for Use code 700 required
Write on scriptLU code 700 (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 700
Reason for Use code 700 For use as an adjunct to standard-of-care (SOC) therapy in adult patients diagnosed with BOTH chronic kidney disease (CKD) and type 2 diabetes (T2D) to reduce the risk of end-stage kidney disease and a sustained decrease in estimated glomerular filtration rate (eGFR), and cardiovascular death, nonfatal myocardial infarction, and hospitalization for heart failure in patients who meet the following criteria: 1. 18 years of age or older; AND 2. Diagnosed with CKD with an eGFR level greater than or equal to 25mL/min/1.73 square metres AND an albuminuria level greater than or equal to 30mg/g (or 3mg/mmol); AND 3. Patient is also diagnosed with T2D; AND 4. Finerenone is prescribed in addition to standard-of-care (SOC)* therapy for patients diagnosed with CKD with comorbid T2D; AND * SOC therapy is defined as maximally tolerated doses of angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy in combination with a sodium-glucose cotransporter-2 (SGLT2) inhibitor unless SGLT2 inhibitors are contraindicated or not tolerated. 5. Patient does not have a diagnosis of chronic heart failure (CHF) with reduced ejection fraction and persistent symptoms meeting New York Heart Association Class II to IV; AND 6. Patient is not using finerenone in combination with another mineralocorticoid receptor antagonist (MRA); AND 7. Finerenone is prescribed in consultation with a nephrologist or other clinician with experience in the diagnosis and management of patients with CKD and T2D. Discontinuation Criteria: Patients meeting the initiation criteria and started on finerenone should be discontinued on treatment if the patient's eGFR is less than 15mL/min/1.73 square metres and/or if the urinary albumin-to-creatinine ratio (UACR) has increased from baseline level after starting treatment with finerenone. Approved Dosage: Up to 20mg once daily as per the product monograph Coverage limit: LU Authorization Period: 1 year
No interchangeable product listed in the Ontario extract
Kerendia · DIN 02531917 Manufacturer: Bayer Inc., Health Care Division; listing date 2024-03-28 Health Canada: Marketed since 2022-11-22 · brand KERENDIA · ATC C03DA05 FINERENONE · form Tablet · route Oral · ingredients FINERENONE 10 MG · company Bayer inc · schedule Prescription
Check this DIN again · Health Canada product record

Kerendia: Formulary list price $3.2565/unit (unit not stated in source; not the patient's cost)

Ministry pays: $3.2565 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=102100 · Verify on the e-Formulary ↗ (DIN 02531917)

Source record
DIN 02531917: Kerendia Raw flags: sec12=Y, sec3=Y Item: 243220001; group id 376; item number 0896; lccId 00386; manufacturer id BAH Source form: Tab; strength: 10mg Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below Source prices (unrounded): $3.2565; ministry $3.2565 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02531917 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=102100
Shortage status: not checked (no credentials)
Other drugs in the same formulary class (24:00 CARDIOVASCULAR DRUGS) and how they are covered

Matched class: 24:00 CARDIOVASCULAR DRUGS

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: AMLODIPINE BESYLATE & ATORVASTATIN CALCIUM, ATENOLOL, ATORVASTATIN CALCIUM, BEZAFIBRATE, CANDESARTAN CILEXETIL, CANDESARTAN CILEXETIL & HYDROCHLOROTHIAZIDE, CILAZAPRIL & HYDROCHLOROTHIAZIDE, DIGOXIN, LABETALOL HCL, LOSARTAN POTASSIUM, LOSARTAN POTASSIUM & HYDROCHLOROTHIAZIDE, MINOXIDIL, OLMESARTAN MEDOXOMIL, OLMESARTAN MEDOXOMIL & HYDROCHLOROTHIAZIDE, PERINDOPRIL ERBUMINE, PERINDOPRIL ERBUMINE & INDAPAMIDE, PINDOLOL & HYDROCHLOROTHIAZIDE, PROPAFENONE HCL, ROSUVASTATIN CALCIUM, TELMISARTAN, TELMISARTAN & AMLODIPINE BESYLATE, TELMISARTAN & HYDROCHLOROTHIAZIDE, VALSARTAN & HYDROCHLOROTHIAZIDE Some products covered without a code (check the product listing): ACEBUTOLOL HCL, AMIODARONE HCL, AMLODIPINE, ATENOLOL & CHLORTHALIDONE, BENAZEPRIL, BISOPROLOL FUMARATE, CAPTOPRIL, CHOLESTYRAMINE RESIN, CILAZAPRIL, CLONIDINE HCL, COLESEVELAM HYDROCHLORIDE, DILTIAZEM HCL, DISOPYRAMIDE, DOXAZOSIN MESYLATE, ENALAPRIL MALEATE, FELODIPINE, FENOFIBRATE, FLECAINIDE ACETATE, FLUVASTATIN SODIUM, FOSINOPRIL SODIUM, GEMFIBROZIL, HYDRALAZINE HCL, IRBESARTAN, IRBESARTAN & HYDROCHLOROTHIAZIDE, ISOSORBIDE DINITRATE, LISINOPRIL, LISINOPRIL & HYDROCHLOROTHIAZIDE, LOVASTATIN, METHYLDOPA, METOPROLOL TARTRATE, MEXILETINE HCL, NADOLOL, NIFEDIPINE, NITROGLYCERIN, PINDOLOL, PRAVASTATIN SODIUM, PRAZOSIN HCL, PROPRANOLOL, QUINAPRIL, QUINAPRIL & HYDROCHLOROTHIAZIDE, RAMIPRIL, RAMIPRIL & HYDROCHLOROTHIAZIDE, SIMVASTATIN, SOTALOL HCL, TERAZOSIN HCL, TIMOLOL MALEATE, TRANDOLAPRIL, VALSARTAN, VERAPAMIL HCL 24:00 CARDIOVASCULAR DRUGS

INCLISIRAN

· 1 products · Limited Use, codes 732 · strengths: 284mg/1.5mL · Inj Sol-1.5mL Pref Syr

RANOLAZINE

· 2 products · Off-Formulary Interchangeable, not an ODB benefit · strengths: 500mg · ER Tab Source: formulary-ed43-front-matter.txt Part V; ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26; class 24:00 24:04 Cardiac Drugs

ACEBUTOLOL HCL

· 9 products · Listed, not a benefit (3), General benefit (6) · strengths: 100mg, 200mg, 400mg · Tab

AMIODARONE HCL

· 9 products · Listed, not a benefit (1), General benefit (8) · strengths: 200mg · Tab

AMLODIPINE

· 56 products · Limited Use, codes 645, 706 (1), Off-Formulary Interchangeable, not an ODB benefit (11), General benefit (44) · strengths: 1mg/mL, 2.5mg, 5mg, 10mg · Oral Sol, Tab

ATENOLOL

· 26 products · General benefit · strengths: 50mg, 100mg · Tab

BISOPROLOL FUMARATE

· 20 products · General benefit (18), Listed, not a benefit (2) · strengths: 1.25mg, 2.5mg, 5mg, 10mg · Tab

DIGOXIN

· 7 products · General benefit · strengths: 0.05mg/mL, 0.0625mg, 0.125mg · O/L, Tab

DILTIAZEM HCL

· 93 products · General benefit (91), Listed, not a benefit (2) · strengths: 120mg, 180mg, 240mg, 300mg, 360mg, 30mg, 60mg · ER Tab, LA Cap, SR Cap, Tab

DISOPYRAMIDE

· 3 products · Listed, not a benefit (1), General benefit (1), Temporary benefit (1) · strengths: 100mg · Cap

FLECAINIDE ACETATE

· 14 products · Listed, not a benefit (2), General benefit (12) · strengths: 50mg, 100mg · Tab

METOPROLOL TARTRATE

· 28 products · Listed, not a benefit (6), General benefit (22) · strengths: 100mg, 200mg, 50mg · LA Tab, Tab Source: formulary-ed43-front-matter.txt Part V; ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26; class 24:04 and 90 more
Full class listing Related classes: 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 Chronic Kidney Disease and Type 2 Diabetes KERENDIA (finerenone) is indicated as an adjunct to standard of care therapy in adults with chronic kidney disease (CKD) and type 2 diabetes (T2D) to reduce the risk of: • End-stage kidney disease and a sustained decrease in estimated glomerular filtration rate, • Cardiovascular death, non-fatal myocardial infarction and hospitalization for heart failure. Heart Failure KERENDIA (finerenone) is indicated as an adjunct to standard of care in adults with heart failure with left ventricular ejection fraction (LVEF) ≥40% to reduce the risk of cardiovascular death, hospitalization for heart failure, and urgent heart failure visits. 1.1 Pediatrics Pediatrics (< 18 years of age): No data are available; therefore, an indication for pediatric use has not been authorized. 1.2 Geriatrics Geriatrics (≥ 65 years of age): Evidence from clinical studies suggests that use in the geriatric population is not associated with significant differences in safety or effectiveness. However, greater sensitivity of some older individuals cannot be ruled out (see 7.1.4 Geriatrics and 10.3 Pharmacokinetics, Geriatrics). https://pdf.hres.ca/dpd_pm/00083207.PDF PM date: 2026-01-19 Source product: KERENDIA; DIN 02531917; fetched 2026-09-10 Product monograph posted by Health Canada; excerpt for lookup only.