NRA-Varenicline · DIN 02542978 · 1.0mg · tablet
Limited Use — Reason for Use code 423 requiredMarketed · checked 2026-09-20
StatusLimited Use — Reason for Use code 423 required
Write on scriptLU code 423 (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 423
Reason for Use code 423
For smoking-cessation treatment in adults, in conjunction with smoking-cessation
counseling.
Network Note: Limited to 12 weeks (168 tablets) of reimbursement per 365 days per patient.
Coverage limit:
LU Authorization Period: 12 Weeks.
1 brand, same coverage
NRA-Varenicline · DIN 02542978
Manufacturer: Nora Pharma; listing date 2024-08-30
Health Canada: Marketed since 2024-06-19 · brand NRA-VARENICLINE · ATC N07BA03 VARENICLINE · form Tablet · route Oral · ingredients VARENICLINE (VARENICLINE TARTRATE) 1 MG · company Nora pharma inc · schedule Prescription
NRA-Varenicline: Formulary list price $0.4618/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.4618 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=103148 · Verify on the e-Formulary ↗ (DIN 02542978)
Source record
DIN 02542978: NRA-Varenicline
Raw flags: sec12=Y, sec3=Y
Item: 920000631; group id 989; item number 2323; lccId 00211; manufacturer id NRA
Source form: Tab; strength: 1.0mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $0.4618; ministry $0.4618
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02542978
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=103148
Interchangeable products
Apo-Varenicline · DIN 02419890 · $0.4618
Auro-Varenicline · DIN 02554453 · $0.4618
Champix · DIN 02291185 · not recorded
Mint-Varenicline · DIN 02546957 · $0.4618
Teva-Varenicline · DIN 02426234 · $0.4618
ZDS-Varenicline · DIN 02559900 · $0.4618
Shortage status: not checked (no credentials)