DROSPIRENONE & ETHINYL ESTRADIOL
All strengths: General benefit; same patient cost rules
Shared coverage and patient cost rules
StatusGeneral benefit
Patient paysPatient pays: program not supplied; amount cannot be determined.
Other products in the same Health Canada class (G03A, G03AA) — coverage varies; not interchangeable
- Desogestrel + ethinyl estradiol (Marvelon 21): general benefit
- Ethinyl estradiol + levonorgestrel (Alesse 21): general benefit, Not a benefit
- Ethinyl estradiol + norethindrone (Brevicon): general benefit
- Ethinyl estradiol + norethindrone (Minestrin 1/20): general benefit
- Drospirenone (Slynd): general benefit
- Levonorgestrel (Plan B): general benefit
3 more in the class list below
Drospirenone&Ethinyl Estradiol USP 21 · DIN 02421437 · 3.0mg & 0.03mg · tablets, 21-pack
General benefitMarketed · checked 2026-09-02
Write on scriptno code needed
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Brand vs generic price
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 ↗)1 brand, same coverage
Drospirenone&Ethinyl Estradiol USP 21 · DIN 02421437
Manufacturer: Glenmark Pharmaceuticals Canada Inc.; listing date 2022-08-31
Health Canada: Marketed since 2021-10-22 · brand DROSPIRENONE AND ETHINYL ESTRADIOL TABLETS USP 21 · ATC G03AA12 DROSPIRENONE AND ESTROGEN · form Tablet · route Oral · ingredients DROSPIRENONE 3 MG, ETHINYL ESTRADIOL 0.03 MG · company Glenmark pharmaceuticals canada inc. · schedule Prescription
Check this DIN again · Health Canada product recordDrospirenone&Ethinyl Estradiol USP 21: Formulary list price $6.2181/unit (unit not stated in source; not the patient's cost)
Ministry pays: $6.2181 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=90606 · Verify on the e-Formulary ↗ (DIN 02421437)
Source record
DIN 02421437: Drospirenone&Ethinyl Estradiol USP 21
Raw flags: sec3=Y
Item: 683200107; group id 796; item number 1936; lccId None; manufacturer id GLP
Source form: Tab-21 Pk; strength: 3.0mg & 0.03mg
Recorded listing: General benefit
Source prices (unrounded): $6.2181; ministry $6.2181
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02421437
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=90606
Interchangeable products
Yasmin 21 · DIN 02261723 · $6.2181
Zamine 21 · DIN 02410788 · $6.2181
Shortage status: resolved shortage (ended 2025-08-12); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02421437
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Yasmin 21 · DIN 02261723 · 3.0mg & 0.03mg · tablets, 21-pack
General benefitMarketed · checked 2026-09-19
Write on scriptno code needed
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
1 brand, same coverage
Yasmin 21 · DIN 02261723
Manufacturer: Bayer Inc., Health Care Division; listing date 2007-06-06
Health Canada: Marketed since 2007-12-13 · brand YASMIN 21 · ATC G03AA12 DROSPIRENONE AND ESTROGEN · form Tablet · route Oral · ingredients DROSPIRENONE 3 MG, ETHINYL ESTRADIOL 0.03 MG · company Bayer inc · schedule Prescription
Check this DIN again · Health Canada product recordMinistry pays: $6.2181 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=74710 · Verify on the e-Formulary ↗ (DIN 02261723)
Source record
DIN 02261723: Yasmin 21
Raw flags: sec3=Y
Item: 683200107; group id 796; item number 1936; lccId None; manufacturer id BAH
Source form: Tab-21 Pk; strength: 3.0mg & 0.03mg
Recorded listing: General benefit
Source prices (unrounded): $12.6900; ministry $6.2181
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02261723
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=74710
Interchangeable products
Drospirenone&Ethinyl Estradiol USP 21 · DIN 02421437 · $6.2181
Zamine 21 · DIN 02410788 · $6.2181
Shortage status: resolved shortage (ended 2022-09-22); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02261723
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Zamine 21 · DIN 02410788 · 3.0mg & 0.03mg · tablets, 21-pack
General benefitMarketed · checked 2026-09-19
Write on scriptno code needed
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Brand vs generic price
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 ↗)1 brand, same coverage
Zamine 21 · DIN 02410788
Manufacturer: Apotex Inc.; listing date 2013-10-31
Health Canada: Marketed since 2020-09-01 · brand ZAMINE 21 · ATC G03AA12 DROSPIRENONE AND ESTROGEN · form Tablet · route Oral · ingredients DROSPIRENONE 3 MG, ETHINYL ESTRADIOL 0.03 MG · company Apotex inc · schedule Prescription
Check this DIN again · Health Canada product recordZamine 21: Formulary list price $6.2181/unit (unit not stated in source; not the patient's cost)
Ministry pays: $6.2181 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=89544 · Verify on the e-Formulary ↗ (DIN 02410788)
Source record
DIN 02410788: Zamine 21
Raw flags: sec3=Y
Item: 683200107; group id 796; item number 1936; lccId None; manufacturer id APX
Source form: Tab-21 Pk; strength: 3.0mg & 0.03mg
Recorded listing: General benefit
Source prices (unrounded): $6.2181; ministry $6.2181
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02410788
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=89544
Interchangeable products
Drospirenone&Ethinyl Estradiol USP 21 · DIN 02421437 · $6.2181
Yasmin 21 · DIN 02261723 · $6.2181
Shortage status: resolved shortage (ended 2024-03-28); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02410788
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Drospirenone&Ethinyl Estradiol USP · DIN 02462060 · 3.0mg & 0.02mg · tablets, 28-pack
General benefitMarketed · checked 2026-09-19
Write on scriptno code needed
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Brand vs generic price
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 ↗)1 brand, same coverage
Drospirenone&Ethinyl Estradiol USP · DIN 02462060
Manufacturer: Glenmark Pharmaceuticals Canada Inc.; listing date 2022-09-29
Health Canada: Marketed since 2021-09-07 · brand DROSPIRENONE AND ETHINYL ESTRADIOL TABLETS USP · ATC G03AA12 DROSPIRENONE AND ESTROGEN · form Tablet · route Oral · ingredients DROSPIRENONE 3 MG, ETHINYL ESTRADIOL 0.02 MG · company Glenmark pharmaceuticals canada inc. · schedule Prescription
Check this DIN again · Health Canada product recordDrospirenone&Ethinyl Estradiol USP: Formulary list price $8.2600/unit (unit not stated in source; not the patient's cost)
Ministry pays: $8.2600 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=94980 · Verify on the e-Formulary ↗ (DIN 02462060)
Source record
DIN 02462060: Drospirenone&Ethinyl Estradiol USP
Raw flags: sec3=Y
Item: 683200111; group id 796; item number 1937; lccId None; manufacturer id GLP
Source form: Tab-28 Pk; strength: 3.0mg & 0.02mg
Recorded listing: General benefit
Source prices (unrounded): $8.2600; ministry $8.2600
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02462060
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=94980
Interchangeable products
MYA · DIN 02415380 · $8.2600
Yaz · DIN 02321157 · $8.2600
Shortage status: resolved shortage (ended 2025-12-12); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02462060
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Drospirenone&Ethinyl Estradiol USP 28 · DIN 02421445 · 3.0mg & 0.03mg · tablets, 28-pack
General benefitMarketed · checked 2026-09-02
Write on scriptno code needed
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Brand vs generic price
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 ↗)1 brand, same coverage
Drospirenone&Ethinyl Estradiol USP 28 · DIN 02421445
Manufacturer: Glenmark Pharmaceuticals Canada Inc.; listing date 2022-08-31
Health Canada: Marketed since 2021-10-22 · brand DROSPIRENONE AND ETHINYL ESTRADIOL TABLETS USP 28 · ATC G03AA12 DROSPIRENONE AND ESTROGEN · form Tablet · route Oral · ingredients DROSPIRENONE 3 MG, ETHINYL ESTRADIOL 0.03 MG · company Glenmark pharmaceuticals canada inc. · schedule Prescription
Check this DIN again · Health Canada product recordDrospirenone&Ethinyl Estradiol USP 28: Formulary list price $6.2188/unit (unit not stated in source; not the patient's cost)
Ministry pays: $6.2188 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=90607 · Verify on the e-Formulary ↗ (DIN 02421445)
Source record
DIN 02421445: Drospirenone&Ethinyl Estradiol USP 28
Raw flags: sec3=Y
Item: 683200108; group id 796; item number 1938; lccId None; manufacturer id GLP
Source form: Tab-28 Pk; strength: 3.0mg & 0.03mg
Recorded listing: General benefit
Source prices (unrounded): $6.2188; ministry $6.2188
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02421445
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=90607
Interchangeable products
Yasmin 28 · DIN 02261731 · $6.2188
Zamine 28 · DIN 02410796 · $6.2188
Shortage status: active shortage (reported 2026-04-16, last updated 2026-07-17); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02421445
Shortage record checked 2026-09-13T08:10:21.292534+00:00
MYA · DIN 02415380 · 3.0mg & 0.02mg · tablets, 28-pack
General benefitMarketed · checked 2026-09-19
Write on scriptno code needed
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Brand vs generic price
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 ↗)1 brand, same coverage
MYA · DIN 02415380
Manufacturer: Apotex Inc.; listing date 2014-08-28
Health Canada: Marketed since 2020-09-01 · brand MYA · ATC G03AA12 DROSPIRENONE AND ESTROGEN · form Tablet · route Oral · ingredients DROSPIRENONE 3.00 MG, ETHINYL ESTRADIOL 0.02 MG · company Apotex inc · schedule Prescription
Check this DIN again · Health Canada product recordMYA: Formulary list price $8.2600/unit (unit not stated in source; not the patient's cost)
Ministry pays: $8.2600 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=89999 · Verify on the e-Formulary ↗ (DIN 02415380)
Source record
DIN 02415380: MYA
Raw flags: sec3=Y
Item: 683200111; group id 796; item number 1937; lccId None; manufacturer id APX
Source form: Tab-28 Pk; strength: 3.0mg & 0.02mg
Recorded listing: General benefit
Source prices (unrounded): $8.2600; ministry $8.2600
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02415380
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=89999
Interchangeable products
Drospirenone&Ethinyl Estradiol USP · DIN 02462060 · $8.2600
Yaz · DIN 02321157 · $8.2600
Shortage status: active shortage (reported 2026-09-08, estimated to end 2026-10-02, last updated 2026-09-11); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02415380
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Yasmin 28 · DIN 02261731 · 3.0mg & 0.03mg · tablets, 28-pack
General benefitMarketed · checked 2026-09-19
Write on scriptno code needed
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
1 brand, same coverage
Yasmin 28 · DIN 02261731
Manufacturer: Bayer Inc., Health Care Division; listing date 2007-06-06
Health Canada: Marketed since 2007-11-28 · brand YASMIN 28 · ATC G03AA12 DROSPIRENONE AND ESTROGEN · form Tablet · route Oral · ingredients DROSPIRENONE 3 MG, ETHINYL ESTRADIOL 0.03 MG · company Bayer inc · schedule Prescription
Check this DIN again · Health Canada product recordMinistry pays: $6.2188 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=74711 · Verify on the e-Formulary ↗ (DIN 02261731)
Source record
DIN 02261731: Yasmin 28
Raw flags: sec3=Y
Item: 683200108; group id 796; item number 1938; lccId None; manufacturer id BAH
Source form: Tab-28 Pk; strength: 3.0mg & 0.03mg
Recorded listing: General benefit
Source prices (unrounded): $12.6900; ministry $6.2188
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02261731
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=74711
Interchangeable products
Drospirenone&Ethinyl Estradiol USP 28 · DIN 02421445 · $6.2188
Zamine 28 · DIN 02410796 · $6.2188
Shortage status: resolved shortage (ended 2026-03-03); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02261731
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Yaz · DIN 02321157 · 3.0mg & 0.02mg · tablets, 28-pack
General benefitMarketed · checked 2026-09-02
Write on scriptno code needed
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
1 brand, same coverage
Yaz · DIN 02321157
Manufacturer: Bayer Inc., Health Care Division; listing date 2009-09-30
Health Canada: Marketed since 2009-01-06 · brand YAZ · ATC G03AA12 DROSPIRENONE AND ESTROGEN · form Tablet · route Oral · ingredients DROSPIRENONE 3 MG, ETHINYL ESTRADIOL 0.02 MG · company Bayer inc · schedule Prescription
Check this DIN again · Health Canada product recordMinistry pays: $8.2600 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=80656 · Verify on the e-Formulary ↗ (DIN 02321157)
Source record
DIN 02321157: Yaz
Raw flags: sec3=Y
Item: 683200111; group id 796; item number 1937; lccId None; manufacturer id BAH
Source form: Tab-28 Pk; strength: 3.0mg & 0.02mg
Recorded listing: General benefit
Source prices (unrounded): $16.8500; ministry $8.2600
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02321157
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=80656
Interchangeable products
Drospirenone&Ethinyl Estradiol USP · DIN 02462060 · $8.2600
MYA · DIN 02415380 · $8.2600
Shortage status: avoided shortage; reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02321157
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Zamine 28 · DIN 02410796 · 3.0mg & 0.03mg · tablets, 28-pack
General benefitMarketed · checked 2026-09-19
Write on scriptno code needed
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Brand vs generic price
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 ↗)1 brand, same coverage
Zamine 28 · DIN 02410796
Manufacturer: Apotex Inc.; listing date 2013-10-31
Health Canada: Marketed since 2020-09-01 · brand ZAMINE 28 · ATC G03AA12 DROSPIRENONE AND ESTROGEN · form Tablet · route Oral · ingredients DROSPIRENONE 3 MG, ETHINYL ESTRADIOL 0.03 MG · company Apotex inc · schedule Prescription
Check this DIN again · Health Canada product recordZamine 28: Formulary list price $6.2188/unit (unit not stated in source; not the patient's cost)
Ministry pays: $6.2188 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=89545 · Verify on the e-Formulary ↗ (DIN 02410796)
Source record
DIN 02410796: Zamine 28
Raw flags: sec3=Y
Item: 683200108; group id 796; item number 1938; lccId None; manufacturer id APX
Source form: Tab-28 Pk; strength: 3.0mg & 0.03mg
Recorded listing: General benefit
Source prices (unrounded): $6.2188; ministry $6.2188
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02410796
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=89545
Interchangeable products
Drospirenone&Ethinyl Estradiol USP 28 · DIN 02421445 · $6.2188
Yasmin 28 · DIN 02261731 · $6.2188
Shortage status: resolved shortage (ended 2026-01-22); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02410796
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Other drugs in the same formulary class (68:32 Progestogens and Oral Contraceptives) and how they are covered
Matched class: 68:32 Progestogens and Oral Contraceptives
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: DESOGESTREL & ETHINYL ESTRADIOL, DROSPIRENONE, ETHINYL ESTRADIOL & NORETHINDRONE, ETHINYL ESTRADIOL & NORETHINDRONE ACETATE, LEVONORGESTREL
Some products covered without a code (check the product listing): ETHINYL ESTRADIOL & LEVONORGESTREL, MEDROXYPROGESTERONE ACETATE, NORETHINDRONE, NORGESTIMATE & ETHINYL ESTRADIOL
68:32 Progestogens and Oral Contraceptives
· 12 products · General benefit · strengths: 0.15mg & 0.03mg, 3 Phase · Tab-21 Pk, Tab-28 Pk, Tabs-21 Pk, Tabs-28 Pk
· 20 products · General benefit (18), Off-Formulary Interchangeable, not an ODB benefit (2) · strengths: 20mcg & 100mcg, 0.03mg & 0.15mg, 3 Phase · Tab-21 Pk, Tab-28 Pk, Tab-91 Pk
· 6 products · General benefit · strengths: 0.035mg & 0.5mg, 0.035mg & 1mg, 3 Phase · Tab-21 Pk, Tab-28 Pk
· 4 products · General benefit · strengths: 0.02mg & 1mg, 0.03mg & 1.5mg · Tab-21 Pk, Tab-28 Pk
· 1 products · General benefit · strengths: 4mg · Tab-28 Tab Pk
· 4 products · General benefit · strengths: 1.5mg · Tab-1 Tab Pk
· 10 products · Temporary benefit (2), General benefit; DIN status E (meaning unconfirmed); confirm discontinuation/availability with Health Canada (3), General benefit (4), Listed, not a benefit (1) · strengths: 150mg/mL, 2.5mg, 5mg, 10mg, 100mg · Inj Sol-1mL Pref Syr, Tab
· 3 products · Listed, not a benefit (1), General benefit (2) · strengths: 0.35mg · Tab-28 Pk
· 10 products · Listed, not a benefit (4), General benefit (6) · strengths: 3 Phase · Tab-21 Pk, Tab-28 Pk
· 5 products ·
Limited Use, codes 432 · strengths: 2mg · Tab
· 6 products · Off-Formulary Interchangeable, not an ODB benefit · strengths: 2mg & 0.035mg · Tab-21 Pk
· 8 products · Off-Formulary Interchangeable, not an ODB benefit · strengths: 100mg · Cap
Source: formulary-ed43-front-matter.txt Part V; ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26; class 68:32
Full class listing
Related classes: 68:04 Corticosteroids, 68:08 Androgens, 68:12 Contraceptives, 68:16 Estrogens, 68:20 Anti-Diabetic Agents, 68:24 Parathyroid Agents, 68:28 Pituitary Agents, 68:36 Thyroids, 68:38 Anti-Thyroids
Same formulary class, not same indication: class membership alone does not establish equivalent uses.