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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 ↗)

M-Pregabalin · DIN 02541963 Manufacturer: Mantra Pharma Inc.; listing date 2024-05-31 Health Canada: Marketed since 2024-04-04 · brand M-PREGABALIN · ATC N02BF02 PREGABALIN · form Capsule · route Oral · ingredients PREGABALIN 300 MG · company Mantra pharma inc · schedule Prescription

DIN 02541963: M-Pregabalin Raw flags: sec3=Y Item: 281200098; group id 442; item number 1108; lccId None; manufacturer id MAT Source form: Cap; strength: 300mg Recorded listing: General benefit Source prices (unrounded): $0.4145; ministry $0.4145 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02541963 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=103057

Interchangeable products

AG-Pregabalin · DIN 02480778 · $0.4145 Ach-Pregabalin · DIN 02449900 · $0.4145 Apo-Pregabalin · DIN 02394294 · $0.4145 Bio-Pregabalin · DIN 02541203 · $0.4145 Co Pregabalin · DIN 02402998 · $0.4145 Jamp-Pregabalin · DIN 02436019 · $0.4145 Lyrica · DIN 02268485 · $0.4145 Mar-Pregabalin · DIN 02417618 · $0.4145 NRA-Pregabalin · DIN 02479192 · $0.4145 Nat-Pregabalin · DIN 02494906 · $0.4145 PMS-Pregabalin · DIN 02359642 · $0.4145 Pregabalin · DIN 02403730 · $0.4145 Pregabalin · DIN 02405598 · $0.4145 Ran-Pregabalin · DIN 02392860 · $0.4145 Sandoz Pregabalin · DIN 02390868 · $0.4145 Teva-Pregabalin · DIN 02361248 · $0.4145

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=02541963

Shortage record checked 2026-09-13T08:10:21.292534+00:00