DASATINIB
All strengths: Off-Formulary Interchangeable, not an ODB benefit; same patient cost rules
Shared coverage and patient cost rules
StatusOff-Formulary Interchangeable, not an ODB benefit
Patient paysPatient pays: program not supplied; amount cannot be determined.
Other products in the same Health Canada class (L01E, L01EA) — coverage varies; not interchangeable
- Imatinib (Gleevec): general benefit
- Bosutinib (Bosulif): not a benefit
- Nilotinib (Tasigna): not a benefit
- Afatinib (Giotrif): not a benefit
- Erlotinib (Tarceva): not a benefit
- Gefitinib (Iressa): not a benefit
2 more in the class list below
Apo-Dasatinib · DIN 02470705 · 20mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Apo-Dasatinib · DIN 02470705
Manufacturer: Apotex Inc.; listing date 2020-01-31
Health Canada: Marketed since 2020-01-06 · brand APO-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB 20 MG · company Apotex inc · schedule Prescription
Check this DIN again · Health Canada product recordApo-Dasatinib: Formulary list price $32.8823/unit (unit not stated in source; not the patient's cost)
Ministry pays: $32.8823 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=95971 · Verify on the e-Formulary ↗ (DIN 02470705)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02470705).
DIN 02470705: Apo-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000192; group id 153; item number 0258; lccId None; manufacturer id APX
Source form: Tab; strength: 20mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $32.8823; ministry $32.8823
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02470705
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=95971
Interchangeable products
Apo-Dasatinib Tablets · DIN 02562464 · $32.8823
Reddy-Dasatinib · DIN 02514737 · $32.8823
Sprycel · DIN 02293129 · $32.8823
Taro-Dasatinib · DIN 02499282 · $32.8823
Teva-Dasatinib · DIN 02478307 · $32.8823
Shortage status: resolved shortage (ended 2025-11-20); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02470705
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Apo-Dasatinib Tablets · DIN 02562464 · 20mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Apo-Dasatinib Tablets · DIN 02562464
Manufacturer: Apotex Inc.; listing date 2026-08-31
Health Canada: Marketed since 2026-07-31 · brand APO-DASATINIB TABLETS · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 20 MG · company Apotex inc · schedule Prescription
Check this DIN again · Health Canada product recordApo-Dasatinib Tablets: Formulary list price $32.8823/unit (unit not stated in source; not the patient's cost)
Ministry pays: $32.8823 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=106534 · Verify on the e-Formulary ↗ (DIN 02562464)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02562464).
DIN 02562464: Apo-Dasatinib Tablets
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000192; group id 153; item number 0258; lccId None; manufacturer id APX
Source form: Tab; strength: 20mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $32.8823; ministry $32.8823
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02562464
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=106534
Interchangeable products
Apo-Dasatinib · DIN 02470705 · $32.8823
Reddy-Dasatinib · DIN 02514737 · $32.8823
Sprycel · DIN 02293129 · $32.8823
Taro-Dasatinib · DIN 02499282 · $32.8823
Teva-Dasatinib · DIN 02478307 · $32.8823
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=02562464
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Reddy-Dasatinib · DIN 02514737 · 20mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Reddy-Dasatinib · DIN 02514737
Manufacturer: Dr. Reddy's Laboratories Inc.; listing date 2021-06-30
Health Canada: Marketed since 2021-09-16 · brand REDDY-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB (S)-PROPYLENE GLYCOL) 20 MG · company Dr reddy's laboratories ltd · schedule Prescription
Check this DIN again · Health Canada product recordReddy-Dasatinib: Formulary list price $32.8823/unit (unit not stated in source; not the patient's cost)
Ministry pays: $32.8823 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=100414 · Verify on the e-Formulary ↗ (DIN 02514737)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02514737).
DIN 02514737: Reddy-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000192; group id 153; item number 0258; lccId None; manufacturer id DRR
Source form: Tab; strength: 20mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $32.8823; ministry $32.8823
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02514737
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=100414
Interchangeable products
Apo-Dasatinib · DIN 02470705 · $32.8823
Apo-Dasatinib Tablets · DIN 02562464 · $32.8823
Sprycel · DIN 02293129 · $32.8823
Taro-Dasatinib · DIN 02499282 · $32.8823
Teva-Dasatinib · DIN 02478307 · $32.8823
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=02514737
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Sprycel · DIN 02293129 · 20mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Sprycel · DIN 02293129
Manufacturer: Bristol Myers Squibb Canada Inc; listing date 2020-01-31
Health Canada: Marketed since 2007-04-13 · brand SPRYCEL · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 20 MG · company Bristol-myers squibb canada · schedule Prescription
Check this DIN again · Health Canada product recordMinistry pays: $32.8823 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=77850 · Verify on the e-Formulary ↗ (DIN 02293129)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02293129).
DIN 02293129: Sprycel
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000192; group id 153; item number 0258; lccId None; manufacturer id BQU
Source form: Tab; strength: 20mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $38.6850; ministry $32.8823
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02293129
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=77850
Interchangeable products
Apo-Dasatinib · DIN 02470705 · $32.8823
Apo-Dasatinib Tablets · DIN 02562464 · $32.8823
Reddy-Dasatinib · DIN 02514737 · $32.8823
Taro-Dasatinib · DIN 02499282 · $32.8823
Teva-Dasatinib · DIN 02478307 · $32.8823
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=02293129
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Taro-Dasatinib · DIN 02499282 · 20mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Taro-Dasatinib · DIN 02499282
Manufacturer: Taro Pharmaceuticals Inc.; listing date 2021-03-29
Health Canada: Marketed since 2021-03-04 · brand TARO-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB 20 MG · company Taro pharmaceuticals inc · schedule Prescription
Check this DIN again · Health Canada product recordTaro-Dasatinib: Formulary list price $32.8823/unit (unit not stated in source; not the patient's cost)
Ministry pays: $32.8823 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=98902 · Verify on the e-Formulary ↗ (DIN 02499282)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02499282).
DIN 02499282: Taro-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000192; group id 153; item number 0258; lccId None; manufacturer id TAR
Source form: Tab; strength: 20mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $32.8823; ministry $32.8823
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02499282
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=98902
Interchangeable products
Apo-Dasatinib · DIN 02470705 · $32.8823
Apo-Dasatinib Tablets · DIN 02562464 · $32.8823
Reddy-Dasatinib · DIN 02514737 · $32.8823
Sprycel · DIN 02293129 · $32.8823
Teva-Dasatinib · DIN 02478307 · $32.8823
Shortage status: resolved shortage (ended 2026-03-13); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02499282
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Teva-Dasatinib · DIN 02478307 · 20mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Teva-Dasatinib · DIN 02478307
Manufacturer: Teva Canada Limited; listing date 2021-04-30
Health Canada: Marketed since 2021-05-05 · brand TEVA-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 20 MG · company Teva canada limited · schedule Prescription
Check this DIN again · Health Canada product recordTeva-Dasatinib: Formulary list price $32.8823/unit (unit not stated in source; not the patient's cost)
Ministry pays: $32.8823 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=96907 · Verify on the e-Formulary ↗ (DIN 02478307)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02478307).
DIN 02478307: Teva-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000192; group id 153; item number 0258; lccId None; manufacturer id TEV
Source form: Tab; strength: 20mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $32.8823; ministry $32.8823
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02478307
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=96907
Interchangeable products
Apo-Dasatinib · DIN 02470705 · $32.8823
Apo-Dasatinib Tablets · DIN 02562464 · $32.8823
Reddy-Dasatinib · DIN 02514737 · $32.8823
Sprycel · DIN 02293129 · $32.8823
Taro-Dasatinib · DIN 02499282 · $32.8823
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=02478307
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Apo-Dasatinib · DIN 02470713 · 50mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Apo-Dasatinib · DIN 02470713
Manufacturer: Apotex Inc.; listing date 2020-01-31
Health Canada: Marketed since 2020-01-06 · brand APO-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB 50 MG · company Apotex inc · schedule Prescription
Check this DIN again · Health Canada product recordApo-Dasatinib: Formulary list price $66.1782/unit (unit not stated in source; not the patient's cost)
Ministry pays: $66.1782 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=95972 · Verify on the e-Formulary ↗ (DIN 02470713)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02470713).
DIN 02470713: Apo-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000193; group id 153; item number 0259; lccId None; manufacturer id APX
Source form: Tab; strength: 50mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $66.1782; ministry $66.1782
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02470713
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=95972
Interchangeable products
Apo-Dasatinib Tablets · DIN 02562472 · $66.1782
Reddy-Dasatinib · DIN 02514745 · $66.1782
Sprycel · DIN 02293137 · $66.1783
Taro-Dasatinib · DIN 02499304 · $66.1783
Teva-Dasatinib · DIN 02478315 · $66.1782
Shortage status: resolved shortage (ended 2025-10-09); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02470713
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Apo-Dasatinib Tablets · DIN 02562472 · 50mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Apo-Dasatinib Tablets · DIN 02562472
Manufacturer: Apotex Inc.; listing date 2026-08-31
Health Canada: Marketed since 2026-07-31 · brand APO-DASATINIB TABLETS · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 50 MG · company Apotex inc · schedule Prescription
Check this DIN again · Health Canada product recordApo-Dasatinib Tablets: Formulary list price $66.1782/unit (unit not stated in source; not the patient's cost)
Ministry pays: $66.1782 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=106535 · Verify on the e-Formulary ↗ (DIN 02562472)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02562472).
DIN 02562472: Apo-Dasatinib Tablets
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000193; group id 153; item number 0259; lccId None; manufacturer id APX
Source form: Tab; strength: 50mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $66.1782; ministry $66.1782
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02562472
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=106535
Interchangeable products
Apo-Dasatinib · DIN 02470713 · $66.1782
Reddy-Dasatinib · DIN 02514745 · $66.1782
Sprycel · DIN 02293137 · $66.1783
Taro-Dasatinib · DIN 02499304 · $66.1783
Teva-Dasatinib · DIN 02478315 · $66.1782
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=02562472
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Reddy-Dasatinib · DIN 02514745 · 50mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Reddy-Dasatinib · DIN 02514745
Manufacturer: Dr. Reddy's Laboratories Inc.; listing date 2021-06-30
Health Canada: Marketed since 2021-09-16 · brand REDDY-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB (S)-PROPYLENE GLYCOL) 50 MG · company Dr reddy's laboratories ltd · schedule Prescription
Check this DIN again · Health Canada product recordReddy-Dasatinib: Formulary list price $66.1782/unit (unit not stated in source; not the patient's cost)
Ministry pays: $66.1782 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=100415 · Verify on the e-Formulary ↗ (DIN 02514745)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02514745).
DIN 02514745: Reddy-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000193; group id 153; item number 0259; lccId None; manufacturer id DRR
Source form: Tab; strength: 50mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $66.1782; ministry $66.1782
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02514745
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=100415
Interchangeable products
Apo-Dasatinib · DIN 02470713 · $66.1782
Apo-Dasatinib Tablets · DIN 02562472 · $66.1782
Sprycel · DIN 02293137 · $66.1783
Taro-Dasatinib · DIN 02499304 · $66.1783
Teva-Dasatinib · DIN 02478315 · $66.1782
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=02514745
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Sprycel · DIN 02293137 · 50mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Sprycel · DIN 02293137
Manufacturer: Bristol Myers Squibb Canada Inc; listing date 2020-01-31
Health Canada: Marketed since 2007-04-13 · brand SPRYCEL · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 50 MG · company Bristol-myers squibb canada · schedule Prescription
Check this DIN again · Health Canada product recordMinistry pays: $66.1783 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=77851 · Verify on the e-Formulary ↗ (DIN 02293137)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02293137).
DIN 02293137: Sprycel
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000193; group id 153; item number 0259; lccId None; manufacturer id BQU
Source form: Tab; strength: 50mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $77.8567; ministry $66.1783
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02293137
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=77851
Interchangeable products
Apo-Dasatinib · DIN 02470713 · $66.1782
Apo-Dasatinib Tablets · DIN 02562472 · $66.1782
Reddy-Dasatinib · DIN 02514745 · $66.1782
Taro-Dasatinib · DIN 02499304 · $66.1783
Teva-Dasatinib · DIN 02478315 · $66.1782
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=02293137
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Taro-Dasatinib · DIN 02499304 · 50mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Taro-Dasatinib · DIN 02499304
Manufacturer: Taro Pharmaceuticals Inc.; listing date 2021-03-29
Health Canada: Marketed since 2021-03-04 · brand TARO-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB 50 MG · company Taro pharmaceuticals inc · schedule Prescription
Check this DIN again · Health Canada product recordTaro-Dasatinib: Formulary list price $66.1783/unit (unit not stated in source; not the patient's cost)
Ministry pays: $66.1783 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=98904 · Verify on the e-Formulary ↗ (DIN 02499304)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02499304).
DIN 02499304: Taro-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000193; group id 153; item number 0259; lccId None; manufacturer id TAR
Source form: Tab; strength: 50mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $66.1783; ministry $66.1783
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02499304
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=98904
Interchangeable products
Apo-Dasatinib · DIN 02470713 · $66.1782
Apo-Dasatinib Tablets · DIN 02562472 · $66.1782
Reddy-Dasatinib · DIN 02514745 · $66.1782
Sprycel · DIN 02293137 · $66.1783
Teva-Dasatinib · DIN 02478315 · $66.1782
Shortage status: resolved shortage (ended 2026-03-13); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02499304
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Teva-Dasatinib · DIN 02478315 · 50mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Teva-Dasatinib · DIN 02478315
Manufacturer: Teva Canada Limited; listing date 2021-04-30
Health Canada: Marketed since 2021-05-05 · brand TEVA-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 50 MG · company Teva canada limited · schedule Prescription
Check this DIN again · Health Canada product recordTeva-Dasatinib: Formulary list price $66.1782/unit (unit not stated in source; not the patient's cost)
Ministry pays: $66.1782 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=96908 · Verify on the e-Formulary ↗ (DIN 02478315)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02478315).
DIN 02478315: Teva-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000193; group id 153; item number 0259; lccId None; manufacturer id TEV
Source form: Tab; strength: 50mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $66.1782; ministry $66.1782
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02478315
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=96908
Interchangeable products
Apo-Dasatinib · DIN 02470713 · $66.1782
Apo-Dasatinib Tablets · DIN 02562472 · $66.1782
Reddy-Dasatinib · DIN 02514745 · $66.1782
Sprycel · DIN 02293137 · $66.1783
Taro-Dasatinib · DIN 02499304 · $66.1783
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=02478315
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Apo-Dasatinib · DIN 02481499 · 70mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Apo-Dasatinib · DIN 02481499
Manufacturer: Apotex Inc.; listing date 2020-01-31
Health Canada: Marketed since 2020-01-06 · brand APO-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB 70 MG · company Apotex inc · schedule Prescription
Check this DIN again · Health Canada product recordApo-Dasatinib: Formulary list price $72.9336/unit (unit not stated in source; not the patient's cost)
Ministry pays: $72.9336 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=97193 · Verify on the e-Formulary ↗ (DIN 02481499)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02481499).
DIN 02481499: Apo-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000194; group id 153; item number 0260; lccId None; manufacturer id APX
Source form: Tab; strength: 70mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $72.9336; ministry $72.9336
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02481499
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=97193
Interchangeable products
Apo-Dasatinib Tablets · DIN 02562480 · $72.9336
Reddy-Dasatinib · DIN 02514753 · $72.9336
Sprycel · DIN 02293145 · $72.9337
Taro-Dasatinib · DIN 02499312 · $72.9337
Teva-Dasatinib · DIN 02478323 · $72.9336
Shortage status: resolved shortage (ended 2024-06-20); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02481499
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Apo-Dasatinib Tablets · DIN 02562480 · 70mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Apo-Dasatinib Tablets · DIN 02562480
Manufacturer: Apotex Inc.; listing date 2026-08-31
Health Canada: Marketed since 2026-07-31 · brand APO-DASATINIB TABLETS · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 70 MG · company Apotex inc · schedule Prescription
Check this DIN again · Health Canada product recordApo-Dasatinib Tablets: Formulary list price $72.9336/unit (unit not stated in source; not the patient's cost)
Ministry pays: $72.9336 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=106536 · Verify on the e-Formulary ↗ (DIN 02562480)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02562480).
DIN 02562480: Apo-Dasatinib Tablets
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000194; group id 153; item number 0260; lccId None; manufacturer id APX
Source form: Tab; strength: 70mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $72.9336; ministry $72.9336
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02562480
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=106536
Interchangeable products
Apo-Dasatinib · DIN 02481499 · $72.9336
Reddy-Dasatinib · DIN 02514753 · $72.9336
Sprycel · DIN 02293145 · $72.9337
Taro-Dasatinib · DIN 02499312 · $72.9337
Teva-Dasatinib · DIN 02478323 · $72.9336
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=02562480
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Reddy-Dasatinib · DIN 02514753 · 70mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Reddy-Dasatinib · DIN 02514753
Manufacturer: Dr. Reddy's Laboratories Inc.; listing date 2021-06-30
Health Canada: Marketed since 2021-09-16 · brand REDDY-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB (S)-PROPYLENE GLYCOL) 70 MG · company Dr reddy's laboratories ltd · schedule Prescription
Check this DIN again · Health Canada product recordReddy-Dasatinib: Formulary list price $72.9336/unit (unit not stated in source; not the patient's cost)
Ministry pays: $72.9336 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=100416 · Verify on the e-Formulary ↗ (DIN 02514753)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02514753).
DIN 02514753: Reddy-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000194; group id 153; item number 0260; lccId None; manufacturer id DRR
Source form: Tab; strength: 70mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $72.9336; ministry $72.9336
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02514753
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=100416
Interchangeable products
Apo-Dasatinib · DIN 02481499 · $72.9336
Apo-Dasatinib Tablets · DIN 02562480 · $72.9336
Sprycel · DIN 02293145 · $72.9337
Taro-Dasatinib · DIN 02499312 · $72.9337
Teva-Dasatinib · DIN 02478323 · $72.9336
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=02514753
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Sprycel · DIN 02293145 · 70mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Sprycel · DIN 02293145
Manufacturer: Bristol Myers Squibb Canada Inc; listing date 2020-01-31
Health Canada: Marketed since 2007-04-13 · brand SPRYCEL · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 70 MG · company Bristol-myers squibb canada · schedule Prescription
Check this DIN again · Health Canada product recordMinistry pays: $72.9337 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=77852 · Verify on the e-Formulary ↗ (DIN 02293145)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02293145).
DIN 02293145: Sprycel
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000194; group id 153; item number 0260; lccId None; manufacturer id BQU
Source form: Tab; strength: 70mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $85.8042; ministry $72.9337
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02293145
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=77852
Interchangeable products
Apo-Dasatinib · DIN 02481499 · $72.9336
Apo-Dasatinib Tablets · DIN 02562480 · $72.9336
Reddy-Dasatinib · DIN 02514753 · $72.9336
Taro-Dasatinib · DIN 02499312 · $72.9337
Teva-Dasatinib · DIN 02478323 · $72.9336
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=02293145
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Taro-Dasatinib · DIN 02499312 · 70mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Taro-Dasatinib · DIN 02499312
Manufacturer: Taro Pharmaceuticals Inc.; listing date 2021-03-29
Health Canada: Marketed since 2021-03-04 · brand TARO-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB 70 MG · company Taro pharmaceuticals inc · schedule Prescription
Check this DIN again · Health Canada product recordTaro-Dasatinib: Formulary list price $72.9337/unit (unit not stated in source; not the patient's cost)
Ministry pays: $72.9337 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=98905 · Verify on the e-Formulary ↗ (DIN 02499312)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02499312).
DIN 02499312: Taro-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000194; group id 153; item number 0260; lccId None; manufacturer id TAR
Source form: Tab; strength: 70mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $72.9337; ministry $72.9337
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02499312
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=98905
Interchangeable products
Apo-Dasatinib · DIN 02481499 · $72.9336
Apo-Dasatinib Tablets · DIN 02562480 · $72.9336
Reddy-Dasatinib · DIN 02514753 · $72.9336
Sprycel · DIN 02293145 · $72.9337
Teva-Dasatinib · DIN 02478323 · $72.9336
Shortage status: resolved shortage (ended 2026-03-13); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02499312
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Teva-Dasatinib · DIN 02478323 · 70mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptExceptional Access application required. For a drug to be considered for funding, the EAP reimbursement criteria must always be met and the request approved prior to the initiation of treatment with the drug being requested, unless otherwise specified within the criteria. (ontario.ca, Aug 31, 2026 ↗) Submit through SADIE: "The SADIE portal is available to authorized prescribers and their delegates and designates, enabling the creation, submission and tracking of web-based electronic requests directly to the Exceptional Access Program." (ontario.ca, Aug 31, 2026 ↗) Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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 ↗)How long EAP takes
Turnaround times
The Exceptional Access Program receives between 250 and 500 requests a day. Requests are categorized in order of priority based on how quickly a drug is needed, the type of drug, and the condition for which the drug is being used.
Turnaround times begin on the business day on which the EAP receives a complete request from a physician or nurse practitioner. You may have to wait longer if the request is missing information or supporting documents required by the EAP criteria, if a request requires external review, or if documents are sent by fax or mail instead of submitted via SADIE.
EAP Weekly Progress Report
Date: September 15, 2026
Processing categories and examples | Target | Current |
Priority 1 — for drugs such as antibiotics, cancer medications, and initial requests for pain medications | 3 business days | 2 business day |
Priority 2 — for antiviral drugs to treat HIV, drugs for multiple sclerosis, and pulmonary hypertension | 5 business days | 3 business days |
Biologics — for biologic drugs to treat rheumatoid arthritis, psoriatic arthritis, ulcerative colitis and Crohn’s disease | 10 business days | 4 business days |
Chronic — for drugs used for chronic conditions such as migraines, chronic pain, Ménière's disease and symptoms of Parkinson’s disease. | 4 to 6 weeks | 11 business days |
(ontario.ca, Updated September 15, 2026 ↗)
For selected drugs, the Telephone Request Service is available to authorized prescribers or their delegates. In most cases, the funding decision is provided by the end of the call and processed within one business day.
(ontario.ca, Updated September 15, 2026 ↗)1 brand, same coverage
Teva-Dasatinib · DIN 02478323
Manufacturer: Teva Canada Limited; listing date 2021-04-30
Health Canada: Marketed since 2021-05-05 · brand TEVA-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 70 MG · company Teva canada limited · schedule Prescription
Check this DIN again · Health Canada product recordTeva-Dasatinib: Formulary list price $72.9336/unit (unit not stated in source; not the patient's cost)
Ministry pays: $72.9336 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=96909 · Verify on the e-Formulary ↗ (DIN 02478323)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02478323).
DIN 02478323: Teva-Dasatinib
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 100000194; group id 153; item number 0260; lccId None; manufacturer id TEV
Source form: Tab; strength: 70mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $72.9336; ministry $72.9336
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02478323
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=96909
Interchangeable products
Apo-Dasatinib · DIN 02481499 · $72.9336
Apo-Dasatinib Tablets · DIN 02562480 · $72.9336
Reddy-Dasatinib · DIN 02514753 · $72.9336
Sprycel · DIN 02293145 · $72.9337
Taro-Dasatinib · DIN 02499312 · $72.9337
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=02478323
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Apo-Dasatinib · DIN 02481502 · 80mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptnot a benefit; no Exceptional Access criteria on record; see alternatives
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access criteria on record are for Brand(s): Sprycel and generics (see formulary for list of funded generics); DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet — not this product; no criteria on record for this product in this block.
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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
Apo-Dasatinib · DIN 02481502
Manufacturer: Apotex Inc.; listing date 2020-01-31
Health Canada: Marketed since 2020-01-06 · brand APO-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB 80 MG · company Apotex inc · schedule Prescription
Check this DIN again · Health Canada product recordFormulary 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=97194 · Verify on the e-Formulary ↗ (DIN 02481502)
Source record
DIN 02481502: Apo-Dasatinib
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 100000301; group id 153; item number 0261; lccId None; manufacturer id APX
Source form: Tab; strength: 80mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit
Source prices (unrounded): $117.3255; ministry not recorded
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02481502
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=97194
Interchangeable products
Apo-Dasatinib Tablets · DIN 02562499 · not recorded
Reddy-Dasatinib · DIN 02514761 · not recorded
Sprycel · DIN 02360810 · not recorded
Taro-Dasatinib · DIN 02499320 · not recorded
Teva-Dasatinib · DIN 02478331 · not recorded
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=02481502
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Apo-Dasatinib Tablets · DIN 02562499 · 80mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptnot a benefit; no Exceptional Access criteria on record; see alternatives
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access criteria on record are for Brand(s): Sprycel and generics (see formulary for list of funded generics); DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet — not this product; no criteria on record for this product in this block.
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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
Apo-Dasatinib Tablets · DIN 02562499
Manufacturer: Apotex Inc.; listing date 2026-08-31
Health Canada: Marketed since 2026-07-31 · brand APO-DASATINIB TABLETS · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 80 MG · company Apotex inc · schedule Prescription
Check this DIN again · Health Canada product recordFormulary 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=106537 · Verify on the e-Formulary ↗ (DIN 02562499)
Source record
DIN 02562499: Apo-Dasatinib Tablets
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 100000301; group id 153; item number 0261; lccId None; manufacturer id APX
Source form: Tab; strength: 80mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit
Source prices (unrounded): $117.3250; ministry not recorded
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02562499
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=106537
Interchangeable products
Apo-Dasatinib · DIN 02481502 · not recorded
Reddy-Dasatinib · DIN 02514761 · not recorded
Sprycel · DIN 02360810 · not recorded
Taro-Dasatinib · DIN 02499320 · not recorded
Teva-Dasatinib · DIN 02478331 · not recorded
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=02562499
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Reddy-Dasatinib · DIN 02514761 · 80mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptnot a benefit; no Exceptional Access criteria on record; see alternatives
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access criteria on record are for Brand(s): Sprycel and generics (see formulary for list of funded generics); DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet — not this product; no criteria on record for this product in this block.
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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
Reddy-Dasatinib · DIN 02514761
Manufacturer: Dr. Reddy's Laboratories Inc.; listing date 2021-06-30
Health Canada: Marketed since 2021-09-16 · brand REDDY-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB (S)-PROPYLENE GLYCOL) 80 MG · company Dr reddy's laboratories ltd · schedule Prescription
Check this DIN again · Health Canada product recordFormulary 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=100417 · Verify on the e-Formulary ↗ (DIN 02514761)
Source record
DIN 02514761: Reddy-Dasatinib
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 100000301; group id 153; item number 0261; lccId None; manufacturer id DRR
Source form: Tab; strength: 80mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit
Source prices (unrounded): $117.3255; ministry not recorded
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02514761
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=100417
Interchangeable products
Apo-Dasatinib · DIN 02481502 · not recorded
Apo-Dasatinib Tablets · DIN 02562499 · not recorded
Sprycel · DIN 02360810 · not recorded
Taro-Dasatinib · DIN 02499320 · not recorded
Teva-Dasatinib · DIN 02478331 · not recorded
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=02514761
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Sprycel · DIN 02360810 · 80mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptnot a benefit; no Exceptional Access criteria on record; see alternatives
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access criteria on record are for Brand(s): Sprycel and generics (see formulary for list of funded generics); DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet — not this product; no criteria on record for this product in this block.
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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
Sprycel · DIN 02360810
Manufacturer: Bristol Myers Squibb Canada Inc; listing date 2020-01-31
Health Canada: Marketed since 2011-09-02 · brand SPRYCEL · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 80 MG · company Bristol-myers squibb canada · schedule Prescription
Check this DIN again · Health Canada product recordSprycel: Formulary list price not recorded/unit (unit not stated in source; not the patient's cost)
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=84581 · Verify on the e-Formulary ↗ (DIN 02360810)
Source record
DIN 02360810: Sprycel
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 100000301; group id 153; item number 0261; lccId None; manufacturer id BQU
Source form: Tab; strength: 80mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit
Source prices (unrounded): not recorded; ministry not recorded
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02360810
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=84581
Interchangeable products
Apo-Dasatinib · DIN 02481502 · not recorded
Apo-Dasatinib Tablets · DIN 02562499 · not recorded
Reddy-Dasatinib · DIN 02514761 · not recorded
Taro-Dasatinib · DIN 02499320 · not recorded
Teva-Dasatinib · DIN 02478331 · not recorded
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=02360810
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Taro-Dasatinib · DIN 02499320 · 80mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptnot a benefit; no Exceptional Access criteria on record; see alternatives
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access criteria on record are for Brand(s): Sprycel and generics (see formulary for list of funded generics); DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet — not this product; no criteria on record for this product in this block.
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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
Taro-Dasatinib · DIN 02499320
Manufacturer: Taro Pharmaceuticals Inc.; listing date 2021-03-29
Health Canada: Marketed since 2021-03-04 · brand TARO-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB 80 MG · company Taro pharmaceuticals inc · schedule Prescription
Check this DIN again · Health Canada product recordFormulary 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=98906 · Verify on the e-Formulary ↗ (DIN 02499320)
Source record
DIN 02499320: Taro-Dasatinib
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 100000301; group id 153; item number 0261; lccId None; manufacturer id TAR
Source form: Tab; strength: 80mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit
Source prices (unrounded): $117.3257; ministry not recorded
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02499320
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=98906
Interchangeable products
Apo-Dasatinib · DIN 02481502 · not recorded
Apo-Dasatinib Tablets · DIN 02562499 · not recorded
Reddy-Dasatinib · DIN 02514761 · not recorded
Sprycel · DIN 02360810 · not recorded
Teva-Dasatinib · DIN 02478331 · not recorded
Shortage status: resolved shortage (ended 2026-03-13); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02499320
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Teva-Dasatinib · DIN 02478331 · 80mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-02
Write on scriptnot a benefit; no Exceptional Access criteria on record; see alternatives
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Coverage criteria
Exceptional Access criteria on record are for Brand(s): Sprycel and generics (see formulary for list of funded generics); DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet — not this product; no criteria on record for this product in this block.
Exceptional Access Program criteria on record (ministry list dated 2025-01-01, not exhaustive):
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. https://www.ontario.ca/page/sadie-special-authorization-digital-information-exchange
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
For the treatment of Philadelphia chromosome positive (Ph+) chronic myelogenous
leukemia (CML) in the chronic phase.1
Dosing recommendation: 100 mg per day.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and is expected to continue to do so.
Duration of Approval: 1 Year
Exclusion criteria:
Combination treatment with any two or more of the oral tyrosine-kinase inhibitors (TKI) (
i.e. imatinib, nilotinib or dasatinib) will not be funded.
1Note: Funding is only considered for any two oral TKIs* per patient in a lifetime for chronic
phase CML (*TKIs: imatinib, nilotinib, or dasatinib). If a patient develops grade 3 or grade
4 toxicity on one of the listed TKI’s within 3 months of initiating therapy, funding for a third
oral TKI will be allowed.
For the treatment of patients with accelerated phase or blast phase Philadelphia
chromosome positive (Ph+) chronic myelogenous leukemia (CML) with documented
resistance1 or intolerance2 (as defined below) to imatinib therapy
Dosing recommendation: 140 mg per day.
Definitions of resistance and intolerance:
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as persistent grade 3 or grade 4 toxicity
requiring discontinuation of therapy.
Renewals will be considered for patients who have experienced hematologic and/or
cytogenic response and are expected to continue to do so.
Duration of Approval: 1 Year
296
Dasatinib
Brand(s): Sprycel and generics (see formulary for list of funded generics)
DOSAGE FORM/ STRENGTH: 20 mg, 50 mg, 70 mg, 100 mg tablet
Exclusion criteria:
• Combination treatment with any 2 or more of the oral TKIs (i.e. imatinib, nilotinib or
dasatinib) will not be funded.
• Dasatinib is not funded as a sequential third line therapy in patients who experience
primary or acquired resistance (not including mutational resistance) to nilotinib.
For the treatment of Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph+ ALL) in patients meeting the following criteria:
i) An adult patient with Philadelphia chromosome positive acute lymphoblastic
leukemia (Ph +ALL); AND
ii) Patient’s disease is resistant1 to imatinib-containing chemotherapy (patient must
have tried 600 mg/day); O
iii) Patient has experienced intolerance2 to imatinib therapy.
1Imatinib resistance is defined as primary or acquired resistance to imatinib at doses of at
least 600 mg/day or through a mutational analysis report.
2Intolerance to imatinib (at any dose) is defined as the patient has experienced persistent
grade 3 or grade 4 toxicity requiring discontinuation of therapy.
Renewals will be considered after confirmation from the patient’s physician that the patient
has benefited or continues to benefit from therapy with Sprycel and is expected to continue
to do so.
Duration of Approval: 1 Year
Reimbursement of dasatinib for children with acute lymphoblastic leukemia will be
considered on a case-by-case basis.
297
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 296, record 179, corpus 2025-01-01; name match only, not an eligibility decision
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
Teva-Dasatinib · DIN 02478331
Manufacturer: Teva Canada Limited; listing date 2021-04-30
Health Canada: Marketed since 2021-05-05 · brand TEVA-DASATINIB · ATC L01EA02 DASATINIB · form Tablet · route Oral · ingredients DASATINIB (DASATINIB MONOHYDRATE) 80 MG · company Teva canada limited · schedule Prescription
Check this DIN again · Health Canada product recordFormulary 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=96910 · Verify on the e-Formulary ↗ (DIN 02478331)
Source record
DIN 02478331: Teva-Dasatinib
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 100000301; group id 153; item number 0261; lccId None; manufacturer id TEV
Source form: Tab; strength: 80mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit
Source prices (unrounded): $117.3255; ministry not recorded
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02478331
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=96910
Interchangeable products
Apo-Dasatinib · DIN 02481502 · not recorded
Apo-Dasatinib Tablets · DIN 02562499 · not recorded
Reddy-Dasatinib · DIN 02514761 · not recorded
Sprycel · DIN 02360810 · not recorded
Taro-Dasatinib · DIN 02499320 · not recorded
Shortage status: resolved shortage (ended 2026-06-03); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02478331
Shortage record checked 2026-09-13T08:10:21.292534+00:00