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 (N06BA) — coverage varies; not interchangeable
Dextroamphetamine (Dexedrine Spansules): general benefit
Lisdexamfetamine (Vyvanse): general benefit, Not a benefit
Methylphenidate (Foquest): general benefit, Not a benefit
Mixed salt amphetamine (Adderall XR): general benefit
Alertec · DIN 02239665 · 100mg · 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the symptomatic treatment of excessive daytime sleepiness in patients with
narcolepsy who have demonstrated a lack of response to or an inability to tolerate
dextroamphetamine AND methylphenidate.
Note: See also Multiple Sclerosis Drugs
Duration of Approval: 2 years (Initials and Renewals)
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 104, record 63, corpus 2025-01-01; name match only, not an eligibility decision
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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the treatment of fatigue in patients with multiple sclerosis who have
demonstrated a lack of response to or an inability to tolerate amantadine.
Note: See additional indications and criteria under “CNS” drugs
Duration of Approval: Lifetime
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 231, record 136, 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
Alertec · DIN 02239665
Manufacturer: Draxis Health Inc.; listing date 2008-06-27
Health Canada: Marketed since 2026-07-23 · brand ALERTEC · ATC N06BA07 MODAFINIL · form Tablet · route Oral · ingredients MODAFINIL 100 MG · company Neuraxpharm pharmaceuticals, s.l. · schedule Prescription
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=63139 · Verify on the e-Formulary ↗ (DIN 02239665)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02239665).
DIN 02239665: Alertec
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 282000040; group id 518; item number 1405; lccId None; manufacturer id BJH
Source form: Tab; strength: 100mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $1.8270; ministry $0.9293
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02239665
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=63139Interchangeable products
Apo-Modafinil · DIN 02285398 · $0.9293
Auro-Modafinil · DIN 02430487 · $0.9293
Jamp Modafinil · DIN 02503727 · $0.9293
Mar-Modafinil · DIN 02432560 · $0.9293
Modafinil · DIN 02530244 · $0.9293
Teva-Modafinil · DIN 02420260 · $0.9293
Shortage status: discontinued (2023-06-14, reported by TEVA CANADA LIMITED); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02239665
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Apo-Modafinil · DIN 02285398 · 100mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-20
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): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the symptomatic treatment of excessive daytime sleepiness in patients with
narcolepsy who have demonstrated a lack of response to or an inability to tolerate
dextroamphetamine AND methylphenidate.
Note: See also Multiple Sclerosis Drugs
Duration of Approval: 2 years (Initials and Renewals)
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 104, record 63, corpus 2025-01-01; name match only, not an eligibility decision
Exceptional Access criteria on record are for Brand(s): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the treatment of fatigue in patients with multiple sclerosis who have
demonstrated a lack of response to or an inability to tolerate amantadine.
Note: See additional indications and criteria under “CNS” drugs
Duration of Approval: Lifetime
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 231, record 136, 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-Modafinil · DIN 02285398
Manufacturer: Apotex Inc.; listing date 2008-06-27
Health Canada: Marketed since 2014-09-19 · brand APO-MODAFINIL · ATC N06BA07 MODAFINIL · form Tablet · route Oral · ingredients MODAFINIL 100 MG · company Apotex inc · schedule Prescription
Apo-Modafinil: Formulary list price $0.9293/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.9293 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=77089 · Verify on the e-Formulary ↗ (DIN 02285398)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02285398).
DIN 02285398: Apo-Modafinil
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 282000040; group id 518; item number 1405; lccId None; manufacturer id APX
Source form: Tab; strength: 100mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $0.9293; ministry $0.9293
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02285398
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=77089Interchangeable products
Alertec · DIN 02239665 · $0.9293
Auro-Modafinil · DIN 02430487 · $0.9293
Jamp Modafinil · DIN 02503727 · $0.9293
Mar-Modafinil · DIN 02432560 · $0.9293
Modafinil · DIN 02530244 · $0.9293
Teva-Modafinil · DIN 02420260 · $0.9293
Shortage status: resolved shortage (ended 2025-04-03); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02285398
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Auro-Modafinil · DIN 02430487 · 100mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-20
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): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the symptomatic treatment of excessive daytime sleepiness in patients with
narcolepsy who have demonstrated a lack of response to or an inability to tolerate
dextroamphetamine AND methylphenidate.
Note: See also Multiple Sclerosis Drugs
Duration of Approval: 2 years (Initials and Renewals)
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 104, record 63, corpus 2025-01-01; name match only, not an eligibility decision
Exceptional Access criteria on record are for Brand(s): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the treatment of fatigue in patients with multiple sclerosis who have
demonstrated a lack of response to or an inability to tolerate amantadine.
Note: See additional indications and criteria under “CNS” drugs
Duration of Approval: Lifetime
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 231, record 136, 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
Auro-Modafinil · DIN 02430487
Manufacturer: Auro Pharma Inc.; listing date 2014-12-18
Health Canada: Marketed since 2014-10-24 · brand AURO-MODAFINIL · ATC N06BA07 MODAFINIL · form Tablet · route Oral · ingredients MODAFINIL 100 MG · company Auro pharma inc · schedule Prescription
Auro-Modafinil: Formulary list price $0.9293/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.9293 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=91494 · Verify on the e-Formulary ↗ (DIN 02430487)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02430487).
DIN 02430487: Auro-Modafinil
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 282000040; group id 518; item number 1405; lccId None; manufacturer id AUR
Source form: Tab; strength: 100mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $0.9293; ministry $0.9293
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02430487
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=91494Interchangeable products
Alertec · DIN 02239665 · $0.9293
Apo-Modafinil · DIN 02285398 · $0.9293
Jamp Modafinil · DIN 02503727 · $0.9293
Mar-Modafinil · DIN 02432560 · $0.9293
Modafinil · DIN 02530244 · $0.9293
Teva-Modafinil · DIN 02420260 · $0.9293
Shortage status: resolved shortage (ended 2024-09-13); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02430487
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Jamp Modafinil · DIN 02503727 · 100mg · 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): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the symptomatic treatment of excessive daytime sleepiness in patients with
narcolepsy who have demonstrated a lack of response to or an inability to tolerate
dextroamphetamine AND methylphenidate.
Note: See also Multiple Sclerosis Drugs
Duration of Approval: 2 years (Initials and Renewals)
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 104, record 63, corpus 2025-01-01; name match only, not an eligibility decision
Exceptional Access criteria on record are for Brand(s): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the treatment of fatigue in patients with multiple sclerosis who have
demonstrated a lack of response to or an inability to tolerate amantadine.
Note: See additional indications and criteria under “CNS” drugs
Duration of Approval: Lifetime
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 231, record 136, 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
Jamp Modafinil · DIN 02503727
Manufacturer: Jamp Pharma Corporation; listing date 2021-04-30
Health Canada: Marketed since 2021-03-11 · brand JAMP MODAFINIL · ATC N06BA07 MODAFINIL · form Tablet · route Oral · ingredients MODAFINIL 100 MG · company Jamp pharma corporation · schedule Prescription
Jamp Modafinil: Formulary list price $0.9293/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.9293 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=99317 · Verify on the e-Formulary ↗ (DIN 02503727)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02503727).
DIN 02503727: Jamp Modafinil
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 282000040; group id 518; item number 1405; lccId None; manufacturer id JPC
Source form: Tab; strength: 100mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $0.9293; ministry $0.9293
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02503727
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=99317Interchangeable products
Alertec · DIN 02239665 · $0.9293
Apo-Modafinil · DIN 02285398 · $0.9293
Auro-Modafinil · DIN 02430487 · $0.9293
Mar-Modafinil · DIN 02432560 · $0.9293
Modafinil · DIN 02530244 · $0.9293
Teva-Modafinil · DIN 02420260 · $0.9293
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=02503727
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Mar-Modafinil · DIN 02432560 · 100mg · 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): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the symptomatic treatment of excessive daytime sleepiness in patients with
narcolepsy who have demonstrated a lack of response to or an inability to tolerate
dextroamphetamine AND methylphenidate.
Note: See also Multiple Sclerosis Drugs
Duration of Approval: 2 years (Initials and Renewals)
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 104, record 63, corpus 2025-01-01; name match only, not an eligibility decision
Exceptional Access criteria on record are for Brand(s): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the treatment of fatigue in patients with multiple sclerosis who have
demonstrated a lack of response to or an inability to tolerate amantadine.
Note: See additional indications and criteria under “CNS” drugs
Duration of Approval: Lifetime
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 231, record 136, 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
Mar-Modafinil · DIN 02432560
Manufacturer: Marcan Pharmaceuticals Inc.; listing date 2015-01-28
Health Canada: Marketed since 2015-01-09 · brand MAR-MODAFINIL · ATC N06BA07 MODAFINIL · form Tablet · route Oral · ingredients MODAFINIL 100 MG · company Marcan pharmaceuticals inc · schedule Prescription
Mar-Modafinil: Formulary list price $0.9293/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.9293 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=91701 · Verify on the e-Formulary ↗ (DIN 02432560)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02432560).
DIN 02432560: Mar-Modafinil
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 282000040; group id 518; item number 1405; lccId None; manufacturer id MAR
Source form: Tab; strength: 100mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $0.9293; ministry $0.9293
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02432560
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=91701Interchangeable products
Alertec · DIN 02239665 · $0.9293
Apo-Modafinil · DIN 02285398 · $0.9293
Auro-Modafinil · DIN 02430487 · $0.9293
Jamp Modafinil · DIN 02503727 · $0.9293
Modafinil · DIN 02530244 · $0.9293
Teva-Modafinil · DIN 02420260 · $0.9293
Shortage status: resolved shortage (ended 2018-10-18); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02432560
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Modafinil · DIN 02530244 · 100mg · tablet
Off-Formulary Interchangeable, not an ODB benefitMarketed · checked 2026-09-20
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): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the symptomatic treatment of excessive daytime sleepiness in patients with
narcolepsy who have demonstrated a lack of response to or an inability to tolerate
dextroamphetamine AND methylphenidate.
Note: See also Multiple Sclerosis Drugs
Duration of Approval: 2 years (Initials and Renewals)
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 104, record 63, corpus 2025-01-01; name match only, not an eligibility decision
Exceptional Access criteria on record are for Brand(s): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the treatment of fatigue in patients with multiple sclerosis who have
demonstrated a lack of response to or an inability to tolerate amantadine.
Note: See additional indications and criteria under “CNS” drugs
Duration of Approval: Lifetime
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 231, record 136, 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
Modafinil · DIN 02530244
Manufacturer: Sanis Health Inc.; listing date 2023-01-31
Health Canada: Marketed since 2022-12-19 · brand MODAFINIL · ATC N06BA07 MODAFINIL · form Tablet · route Oral · ingredients MODAFINIL 100 MG · company Sanis health inc · schedule Prescription
Modafinil: Formulary list price $0.9293/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.9293 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=101944 · Verify on the e-Formulary ↗ (DIN 02530244)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02530244).
DIN 02530244: Modafinil
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 282000040; group id 518; item number 1405; lccId None; manufacturer id SAI
Source form: Tab; strength: 100mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $0.9293; ministry $0.9293
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02530244
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=101944Interchangeable products
Alertec · DIN 02239665 · $0.9293
Apo-Modafinil · DIN 02285398 · $0.9293
Auro-Modafinil · DIN 02430487 · $0.9293
Jamp Modafinil · DIN 02503727 · $0.9293
Mar-Modafinil · DIN 02432560 · $0.9293
Teva-Modafinil · DIN 02420260 · $0.9293
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=02530244
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Teva-Modafinil · DIN 02420260 · 100mg · 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): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the symptomatic treatment of excessive daytime sleepiness in patients with
narcolepsy who have demonstrated a lack of response to or an inability to tolerate
dextroamphetamine AND methylphenidate.
Note: See also Multiple Sclerosis Drugs
Duration of Approval: 2 years (Initials and Renewals)
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 104, record 63, corpus 2025-01-01; name match only, not an eligibility decision
Exceptional Access criteria on record are for Brand(s): Alertec; DOSAGE FORM/ STRENGTH: 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
Modafinil
Brand(s): Alertec
DOSAGE FORM/ STRENGTH: 100 mg tablet
For the treatment of fatigue in patients with multiple sclerosis who have
demonstrated a lack of response to or an inability to tolerate amantadine.
Note: See additional indications and criteria under “CNS” drugs
Duration of Approval: Lifetime
EAP source: eap-frequently-requested-drugs-2025-01-01.txt, page 231, record 136, 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-Modafinil · DIN 02420260
Manufacturer: Teva Canada Limited; listing date 2014-09-25
Health Canada: Marketed since 2014-07-02 · brand TEVA-MODAFINIL · ATC N06BA07 MODAFINIL · form Tablet · route Oral · ingredients MODAFINIL 100 MG · company Teva canada limited · schedule Prescription
Teva-Modafinil: Formulary list price $0.9293/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.9293 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=90485 · Verify on the e-Formulary ↗ (DIN 02420260)
Source record
The source extract's flag for this DIN is unclear — confirm on the e-Formulary before prescribing (DIN 02420260).
DIN 02420260: Teva-Modafinil
Raw flags: sec3=Y, sec3b=Y, sec3bEAP=Y
Item: 282000040; group id 518; item number 1405; lccId None; manufacturer id TEV
Source form: Tab; strength: 100mg
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit; may be reimbursed through the Exceptional Access Program when approved (likely, unconfirmed)
Source prices (unrounded): $0.9293; ministry $0.9293
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02420260
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=90485Interchangeable products
Alertec · DIN 02239665 · $0.9293
Apo-Modafinil · DIN 02285398 · $0.9293
Auro-Modafinil · DIN 02430487 · $0.9293
Jamp Modafinil · DIN 02503727 · $0.9293
Mar-Modafinil · DIN 02432560 · $0.9293
Modafinil · DIN 02530244 · $0.9293
Shortage status: resolved shortage (ended 2026-06-24); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02420260
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Other drugs in the same formulary class (28:20 C.N.S. Stimulants) and how they are covered
Matched class: 28:20 C.N.S. Stimulants
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: DEXTROAMPHETAMINE SULFATE, MIXED SALT AMPHETAMINE
Some products covered without a code (check the product listing): LISDEXAMFETAMINE DIMESYLATE, METHYLPHENIDATE HCL
28:20 C.N.S. Stimulants
1 INDICATIONS
ALERTEC (modafinil) is indicated for:
• The symptomatic treatment of excessive sleepiness in adult patients with narcolepsy.
In narcolepsy, ALERTEC has no significant effect on cataplexy.
• The symptomatic treatment of excessive sleepiness in adult patients with obstructive
sleep apnea (OSA).
In OSA, ALERTEC is indicated as an adjunct to successful standard treatment(s) for
the underlying obstruction, when excessive sleepiness persists. If continuous positive
airway pressure (CPAP) is the treatment of choice for a patient with OSA, a maximal
effort to treat with CPAP for an adequate period of time should be made prior to
initiating ALERTEC. If ALERTEC is used adjunctively with CPAP, the encouragement
of and periodic assessment of CPAP compliance is necessary.
• The symptomatic treatment of excessive sleepiness in adult patients with circadian
rhythm sleep disorder, shift work type (shift work disorder) (SWD).
In SWD, ALERTEC (modafinil) is indicated for the symptomatic treatment of excessive
sleepiness (as confirmed b…
https://pdf.hres.ca/dpd_pm/00085569.PDF
PM date: JUL 23, 2026
Source product: ALERTEC; DIN 02239665; fetched 2026-09-10
Product monograph posted by Health Canada; excerpt for lookup only.
Availability
Alertec · DIN 02239665
Shortage status: discontinued (2023-06-14, reported by TEVA CANADA LIMITED); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02239665
SADIE has its own form for many drugs; this checklist prepares the answers; the ministry decides. Open SADIE
Use this text in SADIE’s free-text fields or read from it on a Telephone Request Service call. Review marks do not indicate eligibility. Evidence stays in this page until you copy it; nothing entered here is sent or saved. Do not enter patient identifiers.
EAP Telephone Request Service: The TRS can be accessed by calling toll-free at 1-866-811-9893 or 416-327-8109 (Toronto area) between 8:30 a.m. and 5:00 p.m. Monday through Friday (except holidays) and selecting the TRS option. Source; updated September 15, 2026
Posted turnaround and Telephone Request Service scope
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 |
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.
For the symptomatic treatment of excessive daytime sleepiness in patients with
narcolepsy who have demonstrated a lack of response to or an inability to tolerate
dextroamphetamine AND methylphenidate.
Note: See also Multiple Sclerosis Drugs
Duration of Approval: 2 years (Initials and Renewals)
Prepared from the ministry's published criteria; eligibility is decided by the Exceptional Access Program.
Modafinil (Alertec)
Ministry criteria list dated January 1, 2025; the program's current criteria may differ; SADIE shows the current version. Current criteria in SADIE
Prepare answers: For the treatment of fatigue in patients with multiple sclerosis who have
demonstrated a lack of response to or an inability to tolerate amantadine.
For the treatment of fatigue in patients with multiple sclerosis who have
demonstrated a lack of response to or an inability to tolerate amantadine.
Note: See additional indications and criteria under “CNS” drugs
Duration of Approval: Lifetime
Prepared from the ministry's published criteria; eligibility is decided by the Exceptional Access Program.
Other review policies
For Apo-Modafinil, Auro-Modafinil, Jamp Modafinil, Mar-Modafinil, Modafinil, Teva-Modafinil: no applicable EAP criteria are held and no ODB benefit is established. These policies do not establish coverage.
For rare, immediately life-, limb- or organ-threatening circumstances, the Compassionate Review Policy may consider an unfunded drug or indication, subject to its criteria and without bypassing the drug review process. Compassionate Review Policy
Compassionate Review Policy: source quote
Where there are rare clinical circumstances in immediately life, limb, or organ-threatening conditions, the Executive Officer will also consider requests for drugs or indications in situations where there has not been a decision by the Executive Officer to provide funding of the drug or indication as part of the Ontario Drug Benefit program (and the EAP), and the drug or indication requested would not circumvent the established review process for new drugs or indications as part of the drug submission process for listing within the Ontario Drug Benefit program. Requests must meet the criteria for the Compassionate Review Policy.
For cancer drugs, Case-by-Case Review considers rare, immediately life-threatening circumstances when no satisfactory funded treatment exists; its criteria and application process apply. Case-by-Case Review (cancer drugs)
Case-by-Case Review (cancer drugs): source quote
Note: Requests for cancer drugs are considered under the Case-by-Case Review Program (CBCRP) which is administered by Ontario Health (Cancer Care Ontario) on behalf of the Ministry of Health. The CBCRP considers funding requests for drugs (both oral therapies and injectable drugs) for the treatment of cancer in patients who have a rare clinical circumstance that is immediately life-threatening (death is likely within a matter of months) and who require treatment with an unfunded drug, because there is no other satisfactory and funded treatment. Please refer to the Ontario Health website for information on the application process, FAQs, eligibility criteria and program policies.