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

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Listed in the December 27, 2023 extract; not in the current extract (Aug 26, 2026): Glucagon (02243297). Source: odb-formulary-ed43-extract-2023-12-27.xml; compared with odb-formulary-ed43-extract-2026-08-26.xml.

GLUCAGON

Form:

2 of 2 products shown

1 Limited Use · 1 listing conditions apply

Baqsimi · DIN 02492415 · 3mg · Nas Pd Device

Limited Use — Reason for Use code 625 requiredMarketed · checked 2026-09-02
StatusLimited Use — Reason for Use code 625 required
Write on scriptLU code 625 (patient must meet the criteria below)
Patient paysPatient pays: program not supplied; amount cannot be determined.
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Ontario Limited Use criteria — code 625
Reason for Use code 625 For the treatment of severe hypoglycemia (SH) reactions in patients with diabetes mellitus who are receiving insulin therapy and are at high risk for SH, when impaired consciousness precludes oral carbohydrate. Coverage limit: LU Authorization Period: 1 year
No interchangeable product listed in the Ontario extract
Baqsimi · DIN 02492415 Manufacturer: Amphastar Pharmaceuticals Inc.; listing date 2022-01-31 Health Canada: Marketed since 2024-09-23 · brand BAQSIMI · ATC H04AA01 GLUCAGON · form Powder · route Nasal · ingredients GLUCAGON 3 MG/CONTAINER · company Amphastar pharmaceuticals, inc. · schedule Ethical
Check this DIN again · Health Canada product record

Baqsimi: Formulary list price $160.5200/unit (unit not stated in source; not the patient's cost)

Ministry pays: $160.5200 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=98243 · Verify on the e-Formulary ↗ (DIN 02492415)

Source record
DIN 02492415: Baqsimi Raw flags: sec12=Y, sec3=Y Item: 920000739; group id 920; item number 2193; lccId 00351; manufacturer id AMP Source form: Nas Pd Device; strength: 3mg Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below Source prices (unrounded): $160.5200; ministry $160.5200 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02492415 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=98243
Shortage status: resolved shortage (ended 2025-08-12); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada) Source: https://healthproductshortages.ca/search?term=02492415
Shortage record checked 2026-09-13T08:10:21.292534+00:00

Glucagon Injection Kit · PIN 09858279 · 1mg/Vial · injection Pd-1mL vial (Kit)

Temporary benefitOntario PIN; no Health Canada record under this code
StatusTemporary benefit
Write on scriptcheck temporary-benefit rules below
Patient paysPatient pays: program not supplied; amount cannot be determined.

No Health Canada record under this code: Ontario lists it under a product identification number (PIN), not a DIN. Look up the brand's own DIN on Health Canada: https://health-products.canada.ca/dpd-bdpp/index-eng.jsp

Check Health Canada brand search
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
No interchangeable product listed in the Ontario extract
Glucagon Injection Kit · DIN 09858279 Manufacturer: Amphastar Pharmaceuticals Inc.; listing date 2023-09-28 No Health Canada record under this code: Ontario lists it under a product identification number (PIN), not a DIN. Look up the brand's own DIN on Health Canada: https://health-products.canada.ca/dpd-bdpp/index-eng.jsp
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Glucagon Injection Kit: Formulary list price $280.0000/unit (unit not stated in source; not the patient's cost)

Ministry pays: $280.0000 per source unit.

Source explanation: The formulary price is what ODB pays; the cash price at the counter is set by the pharmacy.

Formulary data: Ontario extract of Aug 26, 2026 · Ontario PIN; see Health Canada brand lookup · Verify on the e-Formulary ↗ (DIN 09858279)

Source record
DIN 09858279: Glucagon Injection Kit Raw flags: sec3c=Y Item: 920000743; group id 919; item number 2192; lccId None; manufacturer id AMP Source form: Inj Pd-1mL Vial Pk (Kit); strength: 1mg/Vial Recorded listing: Temporary benefit (shortage substitute) Source prices (unrounded): $280.0000; ministry $280.0000 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=09858279 Look up the brand's own DIN on Health Canada: https://health-products.canada.ca/dpd-bdpp/index-eng.jsp
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=09858279
Shortage record checked 2026-09-13T08:10:21.292534+00:00

GLUCAGON RDNA ORIGIN

All strengths: General benefit; same patient cost rules

Shared coverage and patient cost rules
StatusGeneral benefit; Health Canada lists this DIN as Cancelled post market since 2024-02-29 — choose a marketed DIN from the same-category list.
Patient paysPatient pays: program not supplied; amount cannot be determined.

GlucaGen HypoKit · DIN 02333627 · 1mg/Vial · injection Pd-Syr Pk

General benefit; Health Canada lists this DIN as Cancelled post market since 2024-02-29 — choose a marketed DIN from the same-category list.Discontinued 2024-02-29 · checked 2026-09-02
Write on scriptno code needed; Health Canada lists this DIN as Cancelled post market since 2024-02-29 — choose a marketed DIN from the same-category list.
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
No interchangeable product listed in the Ontario extract
GlucaGen HypoKit · DIN 02333627 Manufacturer: Novo Nordisk Canada Inc; listing date 2011-12-15 Health Canada: Cancelled post market since 2024-02-29 · brand GLUCAGEN HYPOKIT · ATC H04AA01 GLUCAGON · form Kit, Powder for solution · route Intramuscular · ingredients GLUCAGON (RECOMBINANT DNA ORIGIN) (GLUCAGON HYDROCHLORIDE) 1 MG/VIAL · company Novo nordisk canada inc · schedule Schedule d
Check this DIN again · Health Canada product record

GlucaGen HypoKit: Formulary list price $112.6700/unit (unit not stated in source; not the patient's cost)

Ministry pays: $112.6700 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=81924 · Verify on the e-Formulary ↗ (DIN 02333627)

Source record
DIN 02333627: GlucaGen HypoKit Raw flags: sec3=Y Item: 920000644; group id 921; item number 2194; lccId None; manufacturer id NOO Source form: Inj Pd-Syr Pk; strength: 1mg/Vial Recorded listing: General benefit Source prices (unrounded): $112.6700; ministry $112.6700 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02333627 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=81924
Shortage status: discontinued (2024-02-29, reported by NOVO NORDISK CANADA INC); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada) Source: https://healthproductshortages.ca/search?term=02333627
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Health Canada lists this DIN as Cancelled post market since 2024-02-29 — choose a marketed DIN from the same-category list.

GlucaGen · DIN 02333619 · 1mg/Vial · powder for injection, vial

General benefit; Health Canada lists this DIN as Cancelled post market since 2024-02-29 — choose a marketed DIN from the same-category list.Discontinued 2024-02-29 · checked 2026-09-02
Write on scriptno code needed; Health Canada lists this DIN as Cancelled post market since 2024-02-29 — choose a marketed DIN from the same-category list.
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
No interchangeable product listed in the Ontario extract
GlucaGen · DIN 02333619 Manufacturer: Novo Nordisk Canada Inc; listing date 2011-12-15 Health Canada: Cancelled post market since 2024-02-29 · brand GLUCAGEN · ATC H04AA01 GLUCAGON · form Kit, Powder for solution · route Intramuscular · ingredients GLUCAGON (RECOMBINANT DNA ORIGIN) (GLUCAGON HYDROCHLORIDE) 1 MG/VIAL · company Novo nordisk canada inc · schedule Schedule d
Check this DIN again · Health Canada product record

GlucaGen: Formulary list price $108.3300/unit (unit not stated in source; not the patient's cost)

Ministry pays: $108.3300 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=81923 · Verify on the e-Formulary ↗ (DIN 02333619)

Source record
DIN 02333619: GlucaGen Raw flags: sec3=Y Item: 920000643; group id 921; item number 2195; lccId None; manufacturer id NOO Source form: Inj Pd-Vial Pk; strength: 1mg/Vial Recorded listing: General benefit Source prices (unrounded): $108.3300; ministry $108.3300 Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02333619 Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=81923
Shortage status: discontinued (2024-02-29, reported by NOVO NORDISK CANADA INC); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada) Source: https://healthproductshortages.ca/search?term=02333619
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Health Canada lists this DIN as Cancelled post market since 2024-02-29 — choose a marketed DIN from the same-category list.
Other drugs in the same formulary class (92:00 UNCLASSIFIED THERAPEUTIC AGENTS) and how they are covered

Matched class: 92:00 UNCLASSIFIED THERAPEUTIC AGENTS

Drug-class inventory only. Lists recorded Ontario formulary products, not every Canadian medication; does not recommend treatment. Covered without a code on the Ontario formulary: ALENDRONATE & CHOLECALCIFEROL, AZATHIOPRINE, CYCLOSPORINE, LANREOTIDE ACETATE, LEFLUNOMIDE, LEVODOPA & BENSERAZIDE, MYCOPHENOLATE SODIUM Some products covered without a code (check the product listing): ALENDRONATE, ALLOPURINOL, AMANTADINE HCL, BROMOCRIPTINE, CLOPIDOGREL BISULFATE, LEVODOPA & CARBIDOPA, MYCOPHENOLATE MOFETIL, OCTREOTIDE, RISEDRONATE SODIUM, ROPINIROLE, SELEGILINE HCL, TAMSULOSIN HCL 92:00 UNCLASSIFIED THERAPEUTIC AGENTS

ALENDRONATE

· 28 products · Off-Formulary Interchangeable, not an ODB benefit (4), Listed, not a benefit (1), General benefit (23) · strengths: 5mg, 10mg, 70mg · Tab

ALENDRONATE & CHOLECALCIFEROL

· 6 products · General benefit · strengths: 70mg & 70mcg, 70mg & 140mcg · Tab

ALLOPURINOL

· 10 products · General benefit (6), Listed, not a benefit (4) · strengths: 100mg, 200mg, 300mg · Tab

AMANTADINE HCL

· 5 products · Listed, not a benefit (2), General benefit (3) · strengths: 100mg, 10mg/mL · Cap, O/L

AZATHIOPRINE

· 3 products · General benefit · strengths: 50mg · Tab

BROMOCRIPTINE

· 4 products · Listed, not a benefit (2), General benefit (2) · strengths: 5mg, 2.5mg · Cap, Tab

CLOPIDOGREL BISULFATE

· 19 products · General benefit (16), Off-Formulary Interchangeable, not an ODB benefit (3) · strengths: 75mg, 300mg · Tab

CYCLOSPORINE

· 8 products · General benefit · strengths: 10mg, 25mg, 50mg, 100mg, 100mg/mL · Cap, O/L

LANREOTIDE ACETATE

· 6 products · General benefit · strengths: 60mg/Syr, 90mg/Syr, 120mg/Syr · ER Pref Syr Pk

LEFLUNOMIDE

· 16 products · General benefit · strengths: 10mg, 20mg · Tab

LEVODOPA & BENSERAZIDE

· 3 products · General benefit · strengths: 50mg & 12.5mg, 100mg & 25mg, 200mg & 50mg · Cap

LEVODOPA & CARBIDOPA

· 25 products · Listed, not a benefit (5), Limited Use, codes 64, 65 (2), General benefit (18) · strengths: 100mg & 25mg, 200mg & 50mg, 100mg & 10mg, 250mg & 25mg · CR Tab, Tab Source: formulary-ed43-front-matter.txt Part V; ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26; class 92:00 and 74 more
Full class listing Related classes: Same formulary class, not same indication: class membership alone does not establish equivalent uses.
What the Health Canada label says it is for
1 INDICATIONS BAQSIMI is indicated for the treatment of severe hypoglycemic reactions which may occur in the management of insulin treated patients with diabetes mellitus, when impaired consciousness precludes oral carbohydrates. 1.1 Pediatrics Pediatrics (<18 years of age): BAQSIMI is indicated in children 4 years and above. BAQSIMI has not been studied in pediatric patients less than 4 years of age. The number of pediatric patients (4 to <18 years) included in the clinical trials is limited (n=48) (see WARNINGS AND PRECAUTIONS, Special Populations, DOSAGE AND ADMINISTRATION, ACTION AND CLINICAL PHARMACOLOGY, and CLINICAL TRIALS). 1.2 Geriatrics Geriatrics (≥65 years of age): Clinical studies of BAQSIMI did not include sufficient numbers of subjects aged 65 and over. Limited clinical trial experience with BAQSIMI has not identified differences in responses between the elderly and younger patients (see WARNINGS AND PRECAUTIONS, Special Populations; DOSAGE AND ADMINISTRATION; and ACTION AND CLINICAL PHARMACOLOGY). https://pdf.hres.ca/dpd_pm/00074561.PDF PM date: not printed or not captured Source product: BAQSIMI; DIN 02492415; fetched 2026-09-10 Product monograph posted by Health Canada; excerpt for lookup only.
What the Health Canada label says it is for
Product monograph unavailable: no marketed product found

Availability

GlucaGen HypoKit · DIN 02333627 Shortage status: discontinued (2024-02-29, reported by NOVO NORDISK CANADA INC); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada) Source: https://healthproductshortages.ca/search?term=02333627

Check this DIN again

GlucaGen · DIN 02333619 Shortage status: discontinued (2024-02-29, reported by NOVO NORDISK CANADA INC); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada) Source: https://healthproductshortages.ca/search?term=02333619

Check this DIN again