DuoTrav PQ · PIN 09857513 · 0.5% & 0.004% · Oph Sol-5mL Pk
Limited Use — Reason for Use code 310, 393 requiredOntario PIN; no Health Canada record under this code
StatusLimited Use — Reason for Use code 310, 393 required
Write on scriptLU code 310, 393 (patient must meet the criteria below)
Patient paysPatient pays: program not supplied; amount cannot be determined.
No Health Canada record under this code: Ontario lists it under a product identification number (PIN), not a DIN. Look up the brand's own DIN on Health Canada: https://health-products.canada.ca/dpd-bdpp/index-eng.jsp
Check Health Canada brand searchPrivate plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ontario Limited Use criteria — code 310, 393
Reason for Use code 310
As second-line therapy for patients who do not have an adequate intraocular pressure lowering response to monotherapy with ophthalmic beta-blocking agents.
Coverage limit:
LU Authorization Period: Indefinite
Reason for Use code 393
For use as initial therapy in an urgent situation (e.g. patients with a high baseline intraocular pressure) where monotherapy is unlikely to be effective.
Coverage limit:
LU Authorization Period: Indefinite
Savings card: innoviCares lists Duotrav PQ (Ontario list dated 2026-09-10) — pays part of the brand-versus-generic difference after other coverage; free sign-up. (innovicares.ca ↗)
1 brand, same coverage
DuoTrav PQ · DIN 09857513
Manufacturer: Novartis Pharma Canada Inc.; listing date 2014-11-27
No Health Canada record under this code: Ontario lists it under a product identification number (PIN), not a DIN.
Look up the brand's own DIN on Health Canada: https://health-products.canada.ca/dpd-bdpp/index-eng.jsp
Ministry pays: $44.2125 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 · Ontario PIN; see Health Canada brand lookup · Verify on the e-Formulary ↗ (DIN 09857513)
Source record
DIN 09857513: DuoTrav PQ
Raw flags: sec12=Y, sec3=Y
Item: 523600139; group id 642; item number 1619; lccId 00198; manufacturer id NOV
Source form: Oph Sol-5mL Pk; strength: 0.5% & 0.004%
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $56.7000; ministry $44.2125
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=09857513
Look up the brand's own DIN on Health Canada: https://health-products.canada.ca/dpd-bdpp/index-eng.jsp
Therapeutic Notes (formulary)
This product is stable for 120 days after opening. Please refer to the product monograph for more information.
Interchangeable products
Apo-Travoprost-Timop PQ · DIN 09857644 · $44.2125
Shortage status: not checked (no credentials)