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Ontario coverage, price, criteria word for word, Health Canada status and shortages for one product

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Listed in the December 27, 2023 extract; not in the current extract (Aug 26, 2026): Lucentis (02296810), Lucentis (02425629). Source: odb-formulary-ed43-extract-2023-12-27.xml; compared with odb-formulary-ed43-extract-2026-08-26.xml.

RANIBIZUMAB

All strengths: Limited Use — Reason for Use code 651, 652, 653, 654 required; same patient cost rules

Shared coverage and patient cost rules
StatusLimited Use — Reason for Use code 651, 652, 653, 654 required
Patient paysPatient pays: program not supplied; amount cannot be determined.

Other products in the same Health Canada class (S01LA) — coverage varies; not interchangeable

  • Aflibercept (Aflivu): limited Use 694, 695, Limited Use 729, 730, 731
  • Brolucizumab (Beovu): limited Use 620, 648
  • Faricimab (Vabysmo): limited Use 649, 650, 725

Byooviz · DIN 02525852 · 10mg/mL · injection solution-0.23mL vial (Preservative-Free)

Limited Use — Reason for Use code 651, 652, 653, 654 requiredMarketed · checked 2026-09-02
Write on scriptLU code 651, 652, 653, 654 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ontario Limited Use criteria — code 651, 652, 653, 654
Reason for Use code 651 For the treatment of patients with neovascular (wet) age-related macular degeneration (AMD) in a verteporfin PDT (Visudyne)-naive eye. Initial diagnosis should be confirmed by an appropriate diagnostic procedure and administration should be done by a qualified ophthalmologist experienced in intravitreal injections. Patients receiving concurrent administration with another anti-VEGF agent are not eligible for reimbursement. Treatment should be initiated with a loading phase of one injection per month for three consecutive months, followed by a maintenance phase. During the maintenance phase, patients should be monitored for best corrected visual acuity or continued disease activity. If there is clinical or diagnostic evidence of disease activity such as a loss of greater than 5 letters in visual acuity (Early Treatment Diabetic Retinopathy Score (ETDRS) chart or one Snellen line equivalent), ranibizumab may be administered. The interval between two doses should not be shorter than one month. Treatment with anti-VEGF agents should only be continued in patients who maintain adequate response to therapy. For clarity, coverage will be provided for patients responding to therapy with another anti-VEGF agent who switch to this product. Coverage will NOT be provided for patients who have failed to respond to other anti-VEGF agents. Coverage limit: LU Authorization Period: 1 year Reason for Use code 652 For the treatment of patients with clinically significant diabetic macular edema (DME) for whom laser photocoagulation is also indicated; and who have a hemoglobin A1c of less than 11 percent. Treatment to be given monthly and continued until maximum visual acuity is achieved, confirmed by stable visual acuity for three consecutive monthly assessments performed while on ranibizumab treatment. Thereafter patients should be monitored monthly for visual acuity. Treatment is resumed with monthly injections when monitoring indicates a loss of visual acuity due to DME and continued until stable visual acuity is reached again for three consecutive monthly assessments. Treatment with anti-VEGF agents should only be continued in patients who maintain adequate response to therapy. For clarity, coverage will be provided for patients responding to therapy with another anti-VEGF agent who switch to this product. Coverage will NOT be provided for patients who have failed to respond to other anti-VEGF agents. Coverage limit: LU Authorization Period: 1 year Reason for Use code 653 For the treatment of patients with clinically significant macular edema secondary to branch retinal vein occlusion (BRVO) or central retinal vein occlusion (CRVO). Treatment to be given monthly and continued until maximum visual acuity is achieved, confirmed by stable visual acuity for three consecutive monthly assessments performed while on ranibizumab treatment. Thereafter patients should be monitored monthly for visual acuity. Treatment is resumed with monthly injections when monitoring indicates a loss of visual acuity due to macular edema secondary to retinal vein occlusion and continued until stable visual acuity is reached again for three consecutive monthly assessments. Treatment with anti-VEGF agents should only be continued in patients who maintain adequate response to therapy. For clarity, coverage will be provided for patients responding to therapy with another anti-VEGF agent who switch to this product. Coverage will NOT be provided for patients who have failed to respond to other anti-VEGF agents. Coverage limit: LU Authorization Period: 1 year Reason for Use code 654 For the treatment of patients with visual impairment due to choroidal neovascularization secondary to pathologic myopia. Treatment is initiated with a single intravitreal injection. Monitoring is recommended monthly for the first 2 months and at least every 3 months thereafter during the first year. If monitoring reveals signs of disease activity (e.g. reduced visual acuity and/or signs of lesion activity), further treatment is recommended at a frequency of 1 injection per month until no disease activity is seen. Coverage limit: LU Authorization Period: 1 year
No interchangeable product listed in the Ontario extract
Byooviz · DIN 02525852 Manufacturer: Samsung Bioepis Co. Ltd; listing date 2023-07-31 Health Canada: Marketed since 2025-11-07 · brand MELVIZO · ATC S01LA04 RANIBIZUMAB · form Solution · route Intravitreal · ingredients RANIBIZUMAB 10 MG/ML · company Samsung bioepis co., ltd · schedule Prescription, Schedule d
Check this DIN again · Health Canada product record

Byooviz: Formulary list price $900.0000/unit (unit not stated in source; not the patient's cost)

Ministry pays: $900.0000 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=101483 · Verify on the e-Formulary ↗ (DIN 02525852)

Source record
DIN 02525852: Byooviz Raw flags: sec12=Y, sec3=Y Item: 523600151; group id 639; item number 1611; lccId 00372; manufacturer id SAM Source form: Inj Sol-0.23mL Vial Pk (Preservative-Free); strength: 10mg/mL Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below Source prices (unrounded): $900.0000; ministry $900.0000 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02525852 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=101483
Shortage status: active shortage (reported 2026-01-01, estimated to end 2027-06-30, last updated 2026-06-09); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada) Source: https://healthproductshortages.ca/search?term=02525852
Shortage record checked 2026-09-13T08:10:21.292534+00:00

Ranopto · DIN 02542250 · 10mg/mL · injection solution-0.23mL vial (Preservative-Free)

Limited Use — Reason for Use code 651, 652, 653, 654 requiredMarketed · checked 2026-09-02
Write on scriptLU code 651, 652, 653, 654 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ontario Limited Use criteria — code 651, 652, 653, 654
Reason for Use code 651 For the treatment of patients with neovascular (wet) age-related macular degeneration (AMD) in a verteporfin PDT (Visudyne)-naive eye. Initial diagnosis should be confirmed by an appropriate diagnostic procedure and administration should be done by a qualified ophthalmologist experienced in intravitreal injections. Patients receiving concurrent administration with another anti-VEGF agent are not eligible for reimbursement. Treatment should be initiated with a loading phase of one injection per month for three consecutive months, followed by a maintenance phase. During the maintenance phase, patients should be monitored for best corrected visual acuity or continued disease activity. If there is clinical or diagnostic evidence of disease activity such as a loss of greater than 5 letters in visual acuity (Early Treatment Diabetic Retinopathy Score (ETDRS) chart or one Snellen line equivalent), ranibizumab may be administered. The interval between two doses should not be shorter than one month. Treatment with anti-VEGF agents should only be continued in patients who maintain adequate response to therapy. For clarity, coverage will be provided for patients responding to therapy with another anti-VEGF agent who switch to this product. Coverage will NOT be provided for patients who have failed to respond to other anti-VEGF agents. Coverage limit: LU Authorization Period: 1 year Reason for Use code 652 For the treatment of patients with clinically significant diabetic macular edema (DME) for whom laser photocoagulation is also indicated; and who have a hemoglobin A1c of less than 11 percent. Treatment to be given monthly and continued until maximum visual acuity is achieved, confirmed by stable visual acuity for three consecutive monthly assessments performed while on ranibizumab treatment. Thereafter patients should be monitored monthly for visual acuity. Treatment is resumed with monthly injections when monitoring indicates a loss of visual acuity due to DME and continued until stable visual acuity is reached again for three consecutive monthly assessments. Treatment with anti-VEGF agents should only be continued in patients who maintain adequate response to therapy. For clarity, coverage will be provided for patients responding to therapy with another anti-VEGF agent who switch to this product. Coverage will NOT be provided for patients who have failed to respond to other anti-VEGF agents. Coverage limit: LU Authorization Period: 1 year Reason for Use code 653 For the treatment of patients with clinically significant macular edema secondary to branch retinal vein occlusion (BRVO) or central retinal vein occlusion (CRVO). Treatment to be given monthly and continued until maximum visual acuity is achieved, confirmed by stable visual acuity for three consecutive monthly assessments performed while on ranibizumab treatment. Thereafter patients should be monitored monthly for visual acuity. Treatment is resumed with monthly injections when monitoring indicates a loss of visual acuity due to macular edema secondary to retinal vein occlusion and continued until stable visual acuity is reached again for three consecutive monthly assessments. Treatment with anti-VEGF agents should only be continued in patients who maintain adequate response to therapy. For clarity, coverage will be provided for patients responding to therapy with another anti-VEGF agent who switch to this product. Coverage will NOT be provided for patients who have failed to respond to other anti-VEGF agents. Coverage limit: LU Authorization Period: 1 year Reason for Use code 654 For the treatment of patients with visual impairment due to choroidal neovascularization secondary to pathologic myopia. Treatment is initiated with a single intravitreal injection. Monitoring is recommended monthly for the first 2 months and at least every 3 months thereafter during the first year. If monitoring reveals signs of disease activity (e.g. reduced visual acuity and/or signs of lesion activity), further treatment is recommended at a frequency of 1 injection per month until no disease activity is seen. Coverage limit: LU Authorization Period: 1 year
No interchangeable product listed in the Ontario extract
Ranopto · DIN 02542250 Manufacturer: Teva Canada Innovation.; listing date 2024-03-28 Health Canada: Marketed since 2024-02-26 · brand RANOPTO · ATC S01LA04 RANIBIZUMAB · form Solution · route Intravitreal · ingredients RANIBIZUMAB 10 MG/ML · company Teva canada limited · schedule Schedule d, Prescription
Check this DIN again · Health Canada product record

Ranopto: Formulary list price $900.0000/unit (unit not stated in source; not the patient's cost)

Ministry pays: $900.0000 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=103083 · Verify on the e-Formulary ↗ (DIN 02542250)

Source record
DIN 02542250: Ranopto Raw flags: sec12=Y, sec3=Y Item: 523600152; group id 639; item number 1612; lccId 00372; manufacturer id TEI Source form: Inj Sol-0.23mL Vial Pk (Preservative-Free); strength: 10mg/mL Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below Source prices (unrounded): $900.0000; ministry $900.0000 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02542250 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=103083
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=02542250
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Other drugs in the same formulary class (52:36 Other Eye, Ear, Nose and Throat Agents) and how they are covered

Matched class: 52:36 Other Eye, Ear, Nose and Throat Agents

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: BETAXOLOL HCL, DICLOFENAC SODIUM, LEVOBUNOLOL HCL Some products covered without a code (check the product listing): ACETAZOLAMIDE, METHAZOLAMIDE, SODIUM CROMOGLYCATE, TIMOLOL MALEATE 52:36 Other Eye, Ear, Nose and Throat Agents

AFLIBERCEPT

· 6 products · Limited Use, codes 729, 730, 731 (4), Limited Use, codes 694, 695 (2) · strengths: 2mg/0.05mL, 8mg/0.07mL · Inj Sol-0.05mL Pref Syr (Preservative-Free), Inj Sol-0.07mL Pref Syr, Inj Sol-0.07mL Vial Pk, Sol for Intravitreal Inj-0.05mL Vial Pk

BROLUCIZUMAB

· 1 products · Limited Use, codes 620, 648 · strengths: 6mg/0.05mL · Inj Sol-0.05mL Pref Syr (Preservative-Free)

FARICIMAB

· 2 products · Limited Use, codes 649, 650, 725 · strengths: 6mg/0.05mL · Inj Sol-0.05mL Pref Syr (Preservative-Free), Inj Sol-0.24mL Vial Pk (Preservative-Free)

ACETAZOLAMIDE

· 2 products · General benefit (1), Listed, not a benefit (1) · strengths: 250mg · Tab

BETAXOLOL HCL

· 1 products · General benefit · strengths: 0.25% · Oph Susp

DICLOFENAC SODIUM

· 6 products · General benefit · strengths: 0.1% · Oph Sol

LEVOBUNOLOL HCL

· 1 products · General benefit · strengths: 0.5% · Oph Sol

METHAZOLAMIDE

· 2 products · Listed, not a benefit (1), General benefit (1) · strengths: 50mg · Tab

SODIUM CROMOGLYCATE

· 2 products · General benefit (1), Listed, not a benefit (1) · strengths: 2% · Oph Sol

TIMOLOL MALEATE

· 10 products · Listed, not a benefit (2), General benefit (8) · strengths: 0.25%, 0.5% · Oph Gellan Sol, Oph Sol

BIMATOPROST

· 8 products · Listed, not a benefit (1), Limited Use, codes 171, 172, 387 (7) · strengths: 0.03%, 0.01% · Oph Sol, Oph Sol-5mL Pk, Oph Sol-7.5mL Pk

BRIMONIDINE

· 7 products · Limited Use, codes 171, 172, 387 · strengths: 0.15%, 0.2% · Oph Sol Source: formulary-ed43-front-matter.txt Part V; ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26; class 52:36 and 20 more
Full class listing Related classes: 52:04 Anti-Infectives, 52:08 Anti-Inflammatory Agents, 52:16 Local Anesthetics, 52:20 Miotics, 52:24 Mydriatics, 52:32 Vasoconstrictors Same formulary class, not same indication: class membership alone does not establish equivalent uses.
Other drugs whose Health Canada label lists a similar indication: neovascular, visual impairment
From Health Canada product monographs; label wording only, not a treatment recommendation. Matching is lexical and uses one held product label per generic; formulations and qualifying criteria may differ. No displayed matched alternative is a general benefit. AFLIBERCEPT · Limited Use, codes 729, 730, 731 (7), Limited Use, codes 694, 695 (2) • the treatment of neovascular (wet) age-related macular degeneration (AMD) PM: https://pdf.hres.ca/dpd_pm/00084821.PDF; date 2026-05-22; DIN 02535858; fetched 2026-09-10 Product monograph • the treatment of visual impairment due to macular edema secondary to central retinal vein occlusion (CRVO) PM: https://pdf.hres.ca/dpd_pm/00084821.PDF; date 2026-05-22; DIN 02535858; fetched 2026-09-10 Product monograph • the treatment of visual impairment due to macular edema secondary to branch retinal vein occlusion (BRVO) PM: https://pdf.hres.ca/dpd_pm/00084821.PDF; date 2026-05-22; DIN 02535858; fetched 2026-09-10 Product monograph BROLUCIZUMAB · Limited Use, codes 620, 648 1 INDICATIONS BEOVU® (brolucizumab injection) is indicated for: • The treatment of neovascular (wet) age-related macular degeneration (AMD). PM: https://pdf.hres.ca/dpd_pm/00077080.PDF; date Mar 12, 2020; DIN 02496976; fetched 2026-09-10 Product monograph Coverage source: ON formulary extract 2026-08-26
What the Health Canada label says it is for
1 Indications MELVIZO (ranibizumab injection) is indicated for: • the treatment of neovascular (wet) age-related macular degeneration (AMD). • the treatment of visual impairment due to diabetic macular edema (DME). • the treatment of visual impairment due to macular edema secondary to retinal vein occlusion (RVO). • the treatment of visual impairment due to choroidal neovascularisation (CNV) secondary to pathologic myopia (PM). • the treatment of visual impairment due to choroidal neovascularisation (CNV) secondary to ocular conditions other than AMD or PM, including but not limited to angioid streaks, post- inflammatory retinochoroidopathy, central serous chorioretinopathy or idiopathic chorioretinopathy. Indications have been granted on the basis of similarity between MELVIZO and the reference biologic drug Lucentis. 1.1 Pediatrics Health Canada has not authorized MELVIZO for pediatric use due to insufficient data on safety and efficacy in this sub-population. Limited data from 5 adolescent patients aged 13 to 17 years with visual impairment due to CNV are available. 1.2 Geriatrics Geriatrics (≥ 65 years of … https://pdf.hres.ca/dpd_pm/00082902.PDF PM date: November 7, 2025 Source product: MELVIZO; DIN 02525852; fetched 2026-09-10 Product monograph posted by Health Canada; excerpt for lookup only.

Availability

Byooviz · DIN 02525852 Shortage status: active shortage (reported 2026-01-01, estimated to end 2027-06-30, last updated 2026-06-09); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada) Source: https://healthproductshortages.ca/search?term=02525852

Check this DIN again