Listed in the December 27, 2023 extract; not in the current extract (Aug 26, 2026): VPI-Ondansetron ODT (Tablet) (02444674), VPI-Ondansetron ODT (Tablet) (02444682), Ran-Ondansetron (02312247), CCP-Ondansetron (02458810), Ran-Ondansetron (02312255), CCP-Ondansetron (02458802). Source: odb-formulary-ed43-extract-2023-12-27.xml; compared with odb-formulary-ed43-extract-2026-08-26.xml.
ONDANSETRON HCL DIHYDRATE
All injection strengths: not a benefit
Other products in the same Health Canada class (A04A, A04AA) — coverage varies; not interchangeable
Granisetron (Kytril): limited Use 326, 454, Not a benefit
Netupitant + palonosetron (Akynzeo): limited Use 561, 562
Nabilone (Cesamet): general benefit, Not a benefit
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=98138 · Verify on the e-Formulary ↗ (DIN 02491524)
Source record
DIN 02491524: Auro-Ondansetron Injection
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 562200014; group id 670; item number 1660; lccId None; manufacturer id AUR
Source form: Inj Sol-2mL Pk; strength: 2mg/mL
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit
Source prices (unrounded): $13.2180; ministry not recorded
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02491524
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=98138Interchangeable products
Ondansetron Injection USP · DIN 02464578 · not recorded
Zofran · DIN 02213745 · not recorded
Shortage status: resolved shortage (ended 2025-07-24); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02491524
Shortage record checked 2026-09-13T08:10:21.292534+00:00
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=95270 · Verify on the e-Formulary ↗ (DIN 02464578)
Source record
DIN 02464578: Ondansetron Injection USP
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 562200014; group id 670; item number 1660; lccId None; manufacturer id STE
Source form: Inj Sol-2mL Pk; strength: 2mg/mL
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit
Source prices (unrounded): $13.2180; ministry not recorded
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02464578
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=95270Interchangeable products
Auro-Ondansetron Injection · DIN 02491524 · not recorded
Zofran · DIN 02213745 · not recorded
Shortage status: resolved shortage (ended 2025-12-01); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02464578
Shortage record checked 2026-09-13T08:10:21.292534+00:00
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=98152 · Verify on the e-Formulary ↗ (DIN 02491532)
Source record
DIN 02491532: Auro-Ondansetron Injection
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 562200040; group id 670; item number 1661; lccId None; manufacturer id AUR
Source form: Inj Sol-4mL Pk; strength: 2mg/mL
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit
Source prices (unrounded): $26.4360; ministry not recorded
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02491532
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=98152Interchangeable products
Ondansetron Injection USP · DIN 09857602 · not recorded
Zofran · DIN 09857324 · not recorded
Shortage status: resolved shortage (ended 2025-07-24); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02491532
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Off-Formulary Interchangeable, not an ODB benefitOntario PIN; no Health Canada record under this code
StatusOff-Formulary Interchangeable, not an ODB benefit
Write on scriptnot a benefit; no Exceptional Access criteria on record; see alternatives
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
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
1 brand, same coverage
Ondansetron Injection USP · DIN 09857602
Manufacturer: Sterimax Inc.; listing date 2018-11-29
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
DIN 09857602: Ondansetron Injection USP
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 562200040; group id 670; item number 1661; lccId None; manufacturer id STE
Source form: Inj Sol-4mL Pk; strength: 2mg/mL
Recorded listing: Off-Formulary Interchangeable, not an ODB benefit
Source prices (unrounded): $26.4360; ministry not recorded
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=09857602
Look up the brand's own DIN on Health Canada: https://health-products.canada.ca/dpd-bdpp/index-eng.jspInterchangeable products
Auro-Ondansetron Injection · DIN 02491532 · not recorded
Zofran · DIN 09857324 · 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=09857602
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Off-Formulary Interchangeable, not an ODB benefitOntario PIN; no Health Canada record under this code
StatusOff-Formulary Interchangeable, not an ODB benefit
Write on scriptnot a benefit; no Exceptional Access criteria on record; see alternatives
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
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
1 brand, same coverage
Zofran · DIN 09857324
Manufacturer: Novartis Pharma Canada Inc.; listing date 2009-05-20
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
DIN 09857324: Zofran
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 562200040; group id 670; item number 1661; lccId None; manufacturer id NOV
Source form: Inj Sol-4mL Pk; strength: 2mg/mL
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=09857324
Look up the brand's own DIN on Health Canada: https://health-products.canada.ca/dpd-bdpp/index-eng.jspInterchangeable products
Auro-Ondansetron Injection · DIN 02491532 · not recorded
Ondansetron Injection USP · DIN 09857602 · 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=09857324
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Zofran · DIN 02213745 · 2mg/mL · injection solution-2mL Pk
Off-Formulary Interchangeable, not an ODB benefit; Health Canada lists this DIN as Cancelled post market since 2017-03-14 — choose a marketed DIN from the same-category list.Discontinued 2017-03-14 · checked 2026-09-02
StatusOff-Formulary Interchangeable, not an ODB benefit; Health Canada lists this DIN as Cancelled post market since 2017-03-14 — choose a marketed DIN from the same-category list.
Write on scriptnot a benefit; no Exceptional Access criteria on record; see alternatives; Health Canada lists this DIN as Cancelled post market since 2017-03-14 — choose a marketed DIN from the same-category list.
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.
1 brand, same coverage
Zofran · DIN 02213745
Manufacturer: Novartis Pharma Canada Inc.; listing date 2009-05-20
Health Canada: Cancelled post market since 2017-03-14 · brand ZOFRAN · ATC A04AA01 ONDANSETRON · form Solution · route Intravenous · ingredients ONDANSETRON (ONDANSETRON HYDROCHLORIDE DIHYDRATE) 2 MG/ML · company Novartis pharmaceuticals canada inc · schedule Prescription
Zofran: 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=43137 · Verify on the e-Formulary ↗ (DIN 02213745)
Source record
DIN 02213745: Zofran
Raw flags: notABenefit=Y, sec3=Y, sec3b=Y
Item: 562200014; group id 670; item number 1660; lccId None; manufacturer id NOV
Source form: Inj Sol-2mL Pk; strength: 2mg/mL
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=02213745
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=43137Interchangeable products
Auro-Ondansetron Injection · DIN 02491524 · not recorded
Ondansetron Injection USP · DIN 02464578 · not recorded
Shortage status: discontinued (2021-08-26, reported by NOVARTIS PHARMACEUTICALS CANADA INC); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02213745
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Health Canada lists this DIN as Cancelled post market since 2017-03-14 — choose a marketed DIN from the same-category list.
ONDANSETRON HYDROCHLORIDE
Form:
18 of 18 products shown
All strengths: Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 required; same patient cost rules
Shared coverage and patient cost rules
StatusLimited Use — Reason for Use code 215, 216, 217, 218, 454, 696 required
Patient paysPatient pays: program not supplied; amount cannot be determined.
Other products in the same Health Canada class (A04A, A04AA) — coverage varies; not interchangeable
Granisetron (Kytril): limited Use 326, 454, Not a benefit
Netupitant + palonosetron (Akynzeo): limited Use 561, 562
Nabilone (Cesamet): general benefit, Not a benefit
Aprepitant (Emend Tri-Pack): limited Use 452, 453
Accel-Ondansetron ODT (Tablet) · DIN 02535319 · 4mg ·
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
1 brand, same coverage
Accel-Ondansetron ODT (Tablet) · DIN 02535319
Manufacturer: Accel Pharma Inc.; listing date 2024-02-29
Health Canada: Marketed since 2023-12-19 · brand ACCEL-ONDANSETRON ODT · ATC A04AA01 ONDANSETRON · form Tablet (orally-disintegrating) · route Oral · ingredients ONDANSETRON 4 MG · company Accel pharma inc · schedule Prescription
Accel-Ondansetron ODT (Tablet): Formulary list price $2.5450/unit (unit not stated in source; not the patient's cost)
Ministry pays: $2.5450 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=102417 · Verify on the e-Formulary ↗ (DIN 02535319)
Source record
DIN 02535319: Accel-Ondansetron ODT (Tablet)
Raw flags: sec12=Y, sec3=Y
Item: 562200029; group id 671; item number 1662; lccId 00102; manufacturer id ACC
Source form: None; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $2.5450; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02535319
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=102417Interchangeable products
Auro-Ondansetron ODT (Tablet) · DIN 02511282 · $2.5450
Jamp Ondansetron ODF (Film) · DIN 02541351 · $2.5450
Mar-Ondansetron ODT Tablet · DIN 02514966 · $2.5450
Mint-Ondansetron ODT (Tablet) · DIN 02487330 · $2.5450
Ondansetron ODT (Tablet) · DIN 02481723 · $2.5450
Ondansetron ODT (Tablet) · DIN 02519232 · $2.5450
Ondansetron ODT (Tablet) · DIN 02524279 · $2.5450
Ondissolve ODF (Film) · DIN 02389983 · $2.5450
PMS-Ondansetron ODT Tablet · DIN 02519445 · $2.5450
Zofran ODT (Tablet) · DIN 02239372 · not recorded
Shortage status: resolved shortage (ended 2025-06-04); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02535319
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Auro-Ondansetron ODT (Tablet) · DIN 02511282 · 4mg ·
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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-Ondansetron ODT (Tablet) · DIN 02511282
Manufacturer: Auro Pharma Inc.; listing date 2022-03-31
Health Canada: Marketed since 2021-12-23 · brand AURO-ONDANSETRON ODT · ATC A04AA01 ONDANSETRON · form Tablet (orally-disintegrating) · route Oral · ingredients ONDANSETRON 4 MG · company Auro pharma inc · 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=100050 · Verify on the e-Formulary ↗ (DIN 02511282)
Source record
DIN 02511282: Auro-Ondansetron ODT (Tablet)
Raw flags: sec12=Y, sec3=Y
Item: 562200029; group id 671; item number 1662; lccId 00102; manufacturer id AUR
Source form: None; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.2720; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02511282
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=100050Interchangeable products
Accel-Ondansetron ODT (Tablet) · DIN 02535319 · $2.5450
Jamp Ondansetron ODF (Film) · DIN 02541351 · $2.5450
Mar-Ondansetron ODT Tablet · DIN 02514966 · $2.5450
Mint-Ondansetron ODT (Tablet) · DIN 02487330 · $2.5450
Ondansetron ODT (Tablet) · DIN 02481723 · $2.5450
Ondansetron ODT (Tablet) · DIN 02519232 · $2.5450
Ondansetron ODT (Tablet) · DIN 02524279 · $2.5450
Ondissolve ODF (Film) · DIN 02389983 · $2.5450
PMS-Ondansetron ODT Tablet · DIN 02519445 · $2.5450
Zofran ODT (Tablet) · DIN 02239372 · not recorded
Shortage status: resolved shortage (ended 2025-01-03); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02511282
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Jamp Ondansetron ODF (Film) · DIN 02541351 · 4mg ·
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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 Ondansetron ODF (Film) · DIN 02541351
Manufacturer: Jamp Pharma Corporation; listing date 2024-06-28
Health Canada: Marketed since 2024-05-10 · brand JAMP ONDANSETRON ODF · ATC A04AA01 ONDANSETRON · form Film (soluble) · route Oral · ingredients ONDANSETRON 4 MG · company Jamp pharma corporation · 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=103000 · Verify on the e-Formulary ↗ (DIN 02541351)
Source record
DIN 02541351: Jamp Ondansetron ODF (Film)
Raw flags: sec12=Y, sec3=Y
Item: 562200029; group id 671; item number 1662; lccId 00102; manufacturer id JPC
Source form: None; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.2720; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02541351
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=103000Interchangeable products
Accel-Ondansetron ODT (Tablet) · DIN 02535319 · $2.5450
Auro-Ondansetron ODT (Tablet) · DIN 02511282 · $2.5450
Mar-Ondansetron ODT Tablet · DIN 02514966 · $2.5450
Mint-Ondansetron ODT (Tablet) · DIN 02487330 · $2.5450
Ondansetron ODT (Tablet) · DIN 02481723 · $2.5450
Ondansetron ODT (Tablet) · DIN 02519232 · $2.5450
Ondansetron ODT (Tablet) · DIN 02524279 · $2.5450
Ondissolve ODF (Film) · DIN 02389983 · $2.5450
PMS-Ondansetron ODT Tablet · DIN 02519445 · $2.5450
Zofran ODT (Tablet) · DIN 02239372 · not recorded
Shortage status: active shortage (reported 2026-06-30, estimated to end 2026-09-25, last updated 2026-07-03); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02541351
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Mar-Ondansetron ODT Tablet · DIN 02514966 · 4mg ·
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-20
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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-Ondansetron ODT Tablet · DIN 02514966
Manufacturer: Marcan Pharmaceuticals Inc.; listing date 2022-05-31
Health Canada: Marketed since 2022-04-05 · brand MAR-ONDANSETRON ODT · ATC A04AA01 ONDANSETRON · form Tablet (orally-disintegrating) · route Oral · ingredients ONDANSETRON 4 MG · company Marcan pharmaceuticals inc · 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=100436 · Verify on the e-Formulary ↗ (DIN 02514966)
Source record
DIN 02514966: Mar-Ondansetron ODT Tablet
Raw flags: sec12=Y, sec3=Y
Item: 562200029; group id 671; item number 1662; lccId 00102; manufacturer id MAR
Source form: None; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.2720; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02514966
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=100436Interchangeable products
Accel-Ondansetron ODT (Tablet) · DIN 02535319 · $2.5450
Auro-Ondansetron ODT (Tablet) · DIN 02511282 · $2.5450
Jamp Ondansetron ODF (Film) · DIN 02541351 · $2.5450
Mint-Ondansetron ODT (Tablet) · DIN 02487330 · $2.5450
Ondansetron ODT (Tablet) · DIN 02481723 · $2.5450
Ondansetron ODT (Tablet) · DIN 02519232 · $2.5450
Ondansetron ODT (Tablet) · DIN 02524279 · $2.5450
Ondissolve ODF (Film) · DIN 02389983 · $2.5450
PMS-Ondansetron ODT Tablet · DIN 02519445 · $2.5450
Zofran ODT (Tablet) · DIN 02239372 · 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=02514966
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Mint-Ondansetron ODT (Tablet) · DIN 02487330 · 4mg ·
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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
Mint-Ondansetron ODT (Tablet) · DIN 02487330
Manufacturer: Mint Pharmaceuticals Inc.; listing date 2020-04-30
Health Canada: Marketed since 2019-10-16 · brand MINT-ONDANSETRON ODT · ATC A04AA01 ONDANSETRON · form Tablet (orally-disintegrating) · route Oral · ingredients ONDANSETRON 4 MG · company Mint pharmaceuticals inc · 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=97750 · Verify on the e-Formulary ↗ (DIN 02487330)
Source record
DIN 02487330: Mint-Ondansetron ODT (Tablet)
Raw flags: sec12=Y, sec3=Y
Item: 562200029; group id 671; item number 1662; lccId 00102; manufacturer id MIN
Source form: None; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.2720; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02487330
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=97750Interchangeable products
Accel-Ondansetron ODT (Tablet) · DIN 02535319 · $2.5450
Auro-Ondansetron ODT (Tablet) · DIN 02511282 · $2.5450
Jamp Ondansetron ODF (Film) · DIN 02541351 · $2.5450
Mar-Ondansetron ODT Tablet · DIN 02514966 · $2.5450
Ondansetron ODT (Tablet) · DIN 02481723 · $2.5450
Ondansetron ODT (Tablet) · DIN 02519232 · $2.5450
Ondansetron ODT (Tablet) · DIN 02524279 · $2.5450
Ondissolve ODF (Film) · DIN 02389983 · $2.5450
PMS-Ondansetron ODT Tablet · DIN 02519445 · $2.5450
Zofran ODT (Tablet) · DIN 02239372 · 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=02487330
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Ondansetron ODT (Tablet) · DIN 02481723 · 4mg ·
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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
Ondansetron ODT (Tablet) · DIN 02481723
Manufacturer: Sandoz Canada Inc.; listing date 2019-07-31
Health Canada: Marketed since 2019-05-15 · brand ONDANSETRON ODT · ATC A04AA01 ONDANSETRON · form Tablet (orally-disintegrating) · route Oral · ingredients ONDANSETRON 4 MG · company Sandoz canada incorporated · 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=97221 · Verify on the e-Formulary ↗ (DIN 02481723)
Source record
DIN 02481723: Ondansetron ODT (Tablet)
Raw flags: sec12=Y, sec3=Y
Item: 562200029; group id 671; item number 1662; lccId 00102; manufacturer id SDZ
Source form: None; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.2720; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02481723
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=97221Interchangeable products
Accel-Ondansetron ODT (Tablet) · DIN 02535319 · $2.5450
Auro-Ondansetron ODT (Tablet) · DIN 02511282 · $2.5450
Jamp Ondansetron ODF (Film) · DIN 02541351 · $2.5450
Mar-Ondansetron ODT Tablet · DIN 02514966 · $2.5450
Mint-Ondansetron ODT (Tablet) · DIN 02487330 · $2.5450
Ondansetron ODT (Tablet) · DIN 02519232 · $2.5450
Ondansetron ODT (Tablet) · DIN 02524279 · $2.5450
Ondissolve ODF (Film) · DIN 02389983 · $2.5450
PMS-Ondansetron ODT Tablet · DIN 02519445 · $2.5450
Zofran ODT (Tablet) · DIN 02239372 · not recorded
Shortage status: resolved shortage (ended 2026-03-02); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02481723
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Ondansetron ODT (Tablet) · DIN 02519232 · 4mg ·
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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
Ondansetron ODT (Tablet) · DIN 02519232
Manufacturer: Jamp Pharma Corporation; listing date 2022-06-30
Health Canada: Marketed since 2022-04-25 · brand ONDANSETRON ODT · ATC A04AA01 ONDANSETRON · form Tablet (orally-disintegrating) · route Oral · ingredients ONDANSETRON 4 MG · company Jamp pharma corporation · 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=100851 · Verify on the e-Formulary ↗ (DIN 02519232)
Source record
DIN 02519232: Ondansetron ODT (Tablet)
Raw flags: sec12=Y, sec3=Y
Item: 562200029; group id 671; item number 1662; lccId 00102; manufacturer id JPC
Source form: None; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.2720; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02519232
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=100851Interchangeable products
Accel-Ondansetron ODT (Tablet) · DIN 02535319 · $2.5450
Auro-Ondansetron ODT (Tablet) · DIN 02511282 · $2.5450
Jamp Ondansetron ODF (Film) · DIN 02541351 · $2.5450
Mar-Ondansetron ODT Tablet · DIN 02514966 · $2.5450
Mint-Ondansetron ODT (Tablet) · DIN 02487330 · $2.5450
Ondansetron ODT (Tablet) · DIN 02481723 · $2.5450
Ondansetron ODT (Tablet) · DIN 02524279 · $2.5450
Ondissolve ODF (Film) · DIN 02389983 · $2.5450
PMS-Ondansetron ODT Tablet · DIN 02519445 · $2.5450
Zofran ODT (Tablet) · DIN 02239372 · 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=02519232
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Ondansetron ODT (Tablet) · DIN 02524279 · 4mg ·
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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
Ondansetron ODT (Tablet) · DIN 02524279
Manufacturer: Sanis Health Inc.; listing date 2023-11-30
Health Canada: Marketed since 2025-07-08 · brand ONDANSETRON ODT · ATC A04AA01 ONDANSETRON · form Tablet (orally-disintegrating) · route Oral · ingredients ONDANSETRON 4 MG · company Sanis health inc · 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=101331 · Verify on the e-Formulary ↗ (DIN 02524279)
Source record
DIN 02524279: Ondansetron ODT (Tablet)
Raw flags: sec12=Y, sec3=Y
Item: 562200029; group id 671; item number 1662; lccId 00102; manufacturer id SAI
Source form: None; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.2720; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02524279
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=101331Interchangeable products
Accel-Ondansetron ODT (Tablet) · DIN 02535319 · $2.5450
Auro-Ondansetron ODT (Tablet) · DIN 02511282 · $2.5450
Jamp Ondansetron ODF (Film) · DIN 02541351 · $2.5450
Mar-Ondansetron ODT Tablet · DIN 02514966 · $2.5450
Mint-Ondansetron ODT (Tablet) · DIN 02487330 · $2.5450
Ondansetron ODT (Tablet) · DIN 02481723 · $2.5450
Ondansetron ODT (Tablet) · DIN 02519232 · $2.5450
Ondissolve ODF (Film) · DIN 02389983 · $2.5450
PMS-Ondansetron ODT Tablet · DIN 02519445 · $2.5450
Zofran ODT (Tablet) · DIN 02239372 · not recorded
Shortage status: resolved shortage (ended 2025-12-03); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02524279
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Ondissolve ODF (Film) · DIN 02389983 · 4mg ·
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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
Ondissolve ODF (Film) · DIN 02389983
Manufacturer: Takeda Canada Inc.; listing date 2013-09-27
Health Canada: Marketed since 2013-02-08 · brand ONDISSOLVE ODF · ATC A04AA01 ONDANSETRON · form Film (soluble) · route Oral · ingredients ONDANSETRON 4 MG · company Takeda canada inc · 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=87545 · Verify on the e-Formulary ↗ (DIN 02389983)
Source record
DIN 02389983: Ondissolve ODF (Film)
Raw flags: sec12=Y, sec3=Y
Item: 562200029; group id 671; item number 1662; lccId 00102; manufacturer id TAK
Source form: None; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.2720; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02389983
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=87545Interchangeable products
Accel-Ondansetron ODT (Tablet) · DIN 02535319 · $2.5450
Auro-Ondansetron ODT (Tablet) · DIN 02511282 · $2.5450
Jamp Ondansetron ODF (Film) · DIN 02541351 · $2.5450
Mar-Ondansetron ODT Tablet · DIN 02514966 · $2.5450
Mint-Ondansetron ODT (Tablet) · DIN 02487330 · $2.5450
Ondansetron ODT (Tablet) · DIN 02481723 · $2.5450
Ondansetron ODT (Tablet) · DIN 02519232 · $2.5450
Ondansetron ODT (Tablet) · DIN 02524279 · $2.5450
PMS-Ondansetron ODT Tablet · DIN 02519445 · $2.5450
Zofran ODT (Tablet) · DIN 02239372 · not recorded
Shortage status: resolved shortage (ended 2025-11-14); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02389983
Shortage record checked 2026-09-13T08:10:21.292534+00:00
PMS-Ondansetron ODT Tablet · DIN 02519445 · 4mg ·
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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
PMS-Ondansetron ODT Tablet · DIN 02519445
Manufacturer: Pharmascience Inc.; listing date 2022-05-31
Health Canada: Marketed since 2022-04-14 · brand PMS-ONDANSETRON ODT · ATC A04AA01 ONDANSETRON · form Tablet (orally-disintegrating) · route Oral · ingredients ONDANSETRON 4 MG · company Pharmascience inc · 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=100871 · Verify on the e-Formulary ↗ (DIN 02519445)
Source record
DIN 02519445: PMS-Ondansetron ODT Tablet
Raw flags: sec12=Y, sec3=Y
Item: 562200029; group id 671; item number 1662; lccId 00102; manufacturer id PMS
Source form: None; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.2720; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02519445
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=100871Interchangeable products
Accel-Ondansetron ODT (Tablet) · DIN 02535319 · $2.5450
Auro-Ondansetron ODT (Tablet) · DIN 02511282 · $2.5450
Jamp Ondansetron ODF (Film) · DIN 02541351 · $2.5450
Mar-Ondansetron ODT Tablet · DIN 02514966 · $2.5450
Mint-Ondansetron ODT (Tablet) · DIN 02487330 · $2.5450
Ondansetron ODT (Tablet) · DIN 02481723 · $2.5450
Ondansetron ODT (Tablet) · DIN 02519232 · $2.5450
Ondansetron ODT (Tablet) · DIN 02524279 · $2.5450
Ondissolve ODF (Film) · DIN 02389983 · $2.5450
Zofran ODT (Tablet) · DIN 02239372 · 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=02519445
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Apo-Ondansetron · DIN 02291967 · 4mg/5mL · oral liquid
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
1 brand, same coverage
Apo-Ondansetron · DIN 02291967
Manufacturer: Apotex Inc.; listing date 2009-05-20
Health Canada: Marketed since 2020-12-17 · brand APO-ONDANSETRON · ATC A04AA01 ONDANSETRON · form Solution · route Oral · ingredients ONDANSETRON (ONDANSETRON HYDROCHLORIDE DIHYDRATE) 4 MG/5ML · company Apotex inc · schedule Prescription
Apo-Ondansetron: Formulary list price $0.7952/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.7952 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=77733 · Verify on the e-Formulary ↗ (DIN 02291967)
Source record
DIN 02291967: Apo-Ondansetron
Raw flags: sec12=Y, sec3=Y
Item: 562200025; group id 671; item number 1664; lccId 00102; manufacturer id APX
Source form: O/L; strength: 4mg/5mL
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $0.7952; ministry $0.7952
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02291967
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=77733Interchangeable products
Jamp Ondansetron · DIN 02490617 · $0.7952
Mint-Ondansetron Solution · DIN 02524090 · $0.7952
Zofran · DIN 02229639 · not recorded
Shortage status: active shortage (reported 2025-12-30, last updated 2026-01-02); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02291967
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Jamp Ondansetron · DIN 02490617 · 4mg/5mL · oral liquid
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
1 brand, same coverage
Jamp Ondansetron · DIN 02490617
Manufacturer: Jamp Pharma Corporation; listing date 2020-06-30
Health Canada: Marketed since 2020-04-22 · brand JAMP ONDANSETRON · ATC A04AA01 ONDANSETRON · form Solution · route Oral · ingredients ONDANSETRON (ONDANSETRON HYDROCHLORIDE DIHYDRATE) 4 MG/5ML · company Jamp pharma corporation · schedule Prescription
Jamp Ondansetron: Formulary list price $0.7952/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.7952 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=98068 · Verify on the e-Formulary ↗ (DIN 02490617)
Source record
DIN 02490617: Jamp Ondansetron
Raw flags: sec12=Y, sec3=Y
Item: 562200025; group id 671; item number 1664; lccId 00102; manufacturer id JPC
Source form: O/L; strength: 4mg/5mL
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $0.7952; ministry $0.7952
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02490617
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=98068Interchangeable products
Apo-Ondansetron · DIN 02291967 · $0.7952
Mint-Ondansetron Solution · DIN 02524090 · $0.7952
Zofran · DIN 02229639 · not recorded
Shortage status: active shortage (reported not recorded, estimated to end 2026-12-11, last updated 2026-08-26); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02490617
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Mint-Ondansetron Solution · DIN 02524090 · 4mg/5mL · oral liquid
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
1 brand, same coverage
Mint-Ondansetron Solution · DIN 02524090
Manufacturer: Mint Pharmaceuticals Inc.; listing date 2024-12-30
Health Canada: Marketed since 2024-09-11 · brand MINT-ONDANSETRON SOLUTION · ATC A04AA01 ONDANSETRON · form Solution · route Oral · ingredients ONDANSETRON (ONDANSETRON HYDROCHLORIDE) 4 MG/5ML · company Mint pharmaceuticals inc · schedule Prescription
Mint-Ondansetron Solution: Formulary list price $0.7952/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.7952 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=101313 · Verify on the e-Formulary ↗ (DIN 02524090)
Source record
DIN 02524090: Mint-Ondansetron Solution
Raw flags: sec12=Y, sec3=Y
Item: 562200025; group id 671; item number 1664; lccId 00102; manufacturer id MIN
Source form: O/L; strength: 4mg/5mL
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $0.7952; ministry $0.7952
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02524090
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=101313Interchangeable products
Apo-Ondansetron · DIN 02291967 · $0.7952
Jamp Ondansetron · DIN 02490617 · $0.7952
Zofran · DIN 02229639 · not recorded
Shortage status: resolved shortage (ended 2026-09-02); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02524090
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Accel-Ondansetron · DIN 02478927 · 4mg · tablet
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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
Accel-Ondansetron · DIN 02478927
Manufacturer: Accel Pharma Inc.; listing date 2019-12-20
Health Canada: Marketed since 2019-09-19 · brand ACCEL-ONDANSETRON · ATC A04AA01 ONDANSETRON · form Tablet · route Oral · ingredients ONDANSETRON (ONDANSETRON HYDROCHLORIDE DIHYDRATE) 4 MG · company Accel pharma inc · schedule Prescription
Accel-Ondansetron: Formulary list price $2.5450/unit (unit not stated in source; not the patient's cost)
Ministry pays: $2.5450 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=96963 · Verify on the e-Formulary ↗ (DIN 02478927)
Source record
DIN 02478927: Accel-Ondansetron
Raw flags: sec12=Y, sec3=Y
Item: 562200022; group id 671; item number 1665; lccId 00102; manufacturer id ACC
Source form: Tab; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $2.5450; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02478927
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=96963Interchangeable products
Apo-Ondansetron · DIN 02288184 · $2.5450
Jamp-Ondansetron · DIN 02313685 · $2.5450
Mar-Ondansetron · DIN 02371731 · $2.5450
Mint-Ondansetron · DIN 02305259 · $2.5450
Mylan-Ondansetron · DIN 02297868 · $2.5450
Nat-Ondansetron · DIN 02417839 · $2.5450
Ondansetron · DIN 02421402 · $2.5450
Ondansetron · DIN 02541424 · $2.5450
PMS-Ondansetron · DIN 02258188 · $2.5450
Sandoz Ondansetron · DIN 02274310 · $2.5450
Septa-Ondansetron · DIN 02376091 · $2.5450
Teva-Ondansetron · DIN 02296349 · $2.5450
Zofran · DIN 02213567 · 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=02478927
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Apo-Ondansetron · DIN 02288184 · 4mg · tablet
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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-Ondansetron · DIN 02288184
Manufacturer: Apotex Inc.; listing date 2007-03-09
Health Canada: Marketed since 2006-11-16 · brand APO-ONDANSETRON · ATC A04AA01 ONDANSETRON · form Tablet · route Oral · ingredients ONDANSETRON (ONDANSETRON HYDROCHLORIDE DIHYDRATE) 4 MG · company Apotex inc · 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=77362 · Verify on the e-Formulary ↗ (DIN 02288184)
Source record
DIN 02288184: Apo-Ondansetron
Raw flags: sec12=Y, sec3=Y
Item: 562200022; group id 671; item number 1665; lccId 00102; manufacturer id APX
Source form: Tab; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.3495; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02288184
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=77362Interchangeable products
Accel-Ondansetron · DIN 02478927 · $2.5450
Jamp-Ondansetron · DIN 02313685 · $2.5450
Mar-Ondansetron · DIN 02371731 · $2.5450
Mint-Ondansetron · DIN 02305259 · $2.5450
Mylan-Ondansetron · DIN 02297868 · $2.5450
Nat-Ondansetron · DIN 02417839 · $2.5450
Ondansetron · DIN 02421402 · $2.5450
Ondansetron · DIN 02541424 · $2.5450
PMS-Ondansetron · DIN 02258188 · $2.5450
Sandoz Ondansetron · DIN 02274310 · $2.5450
Septa-Ondansetron · DIN 02376091 · $2.5450
Teva-Ondansetron · DIN 02296349 · $2.5450
Zofran · DIN 02213567 · not recorded
Shortage status: shortage reported ended 2026-04-02 (report last updated 2026-04-02); confirm supply with the pharmacy; reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02288184
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Jamp-Ondansetron · DIN 02313685 · 4mg · tablet
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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-Ondansetron · DIN 02313685
Manufacturer: Jamp Pharma Corporation; listing date 2009-01-30
Health Canada: Marketed since 2008-09-26 · brand JAMP-ONDANSETRON · ATC A04AA01 ONDANSETRON · form Tablet · route Oral · ingredients ONDANSETRON (ONDANSETRON HYDROCHLORIDE) 4 MG · company Jamp pharma corporation · 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=79919 · Verify on the e-Formulary ↗ (DIN 02313685)
Source record
DIN 02313685: Jamp-Ondansetron
Raw flags: sec12=Y, sec3=Y
Item: 562200022; group id 671; item number 1665; lccId 00102; manufacturer id JPC
Source form: Tab; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.3495; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02313685
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=79919Interchangeable products
Accel-Ondansetron · DIN 02478927 · $2.5450
Apo-Ondansetron · DIN 02288184 · $2.5450
Mar-Ondansetron · DIN 02371731 · $2.5450
Mint-Ondansetron · DIN 02305259 · $2.5450
Mylan-Ondansetron · DIN 02297868 · $2.5450
Nat-Ondansetron · DIN 02417839 · $2.5450
Ondansetron · DIN 02421402 · $2.5450
Ondansetron · DIN 02541424 · $2.5450
PMS-Ondansetron · DIN 02258188 · $2.5450
Sandoz Ondansetron · DIN 02274310 · $2.5450
Septa-Ondansetron · DIN 02376091 · $2.5450
Teva-Ondansetron · DIN 02296349 · $2.5450
Zofran · DIN 02213567 · not recorded
Shortage status: resolved shortage (ended 2018-04-27); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02313685
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Mar-Ondansetron · DIN 02371731 · 4mg · tablet
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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-Ondansetron · DIN 02371731
Manufacturer: Marcan Pharmaceuticals Inc.; listing date 2012-01-19
Health Canada: Marketed since 2012-12-21 · brand MAR-ONDANSETRON · ATC A04AA01 ONDANSETRON · form Tablet · route Oral · ingredients ONDANSETRON (ONDANSETRON HYDROCHLORIDE) 4 MG · company Marcan pharmaceuticals inc · 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=85687 · Verify on the e-Formulary ↗ (DIN 02371731)
Source record
DIN 02371731: Mar-Ondansetron
Raw flags: sec12=Y, sec3=Y
Item: 562200022; group id 671; item number 1665; lccId 00102; manufacturer id MAR
Source form: Tab; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.3495; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02371731
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=85687Interchangeable products
Accel-Ondansetron · DIN 02478927 · $2.5450
Apo-Ondansetron · DIN 02288184 · $2.5450
Jamp-Ondansetron · DIN 02313685 · $2.5450
Mint-Ondansetron · DIN 02305259 · $2.5450
Mylan-Ondansetron · DIN 02297868 · $2.5450
Nat-Ondansetron · DIN 02417839 · $2.5450
Ondansetron · DIN 02421402 · $2.5450
Ondansetron · DIN 02541424 · $2.5450
PMS-Ondansetron · DIN 02258188 · $2.5450
Sandoz Ondansetron · DIN 02274310 · $2.5450
Septa-Ondansetron · DIN 02376091 · $2.5450
Teva-Ondansetron · DIN 02296349 · $2.5450
Zofran · DIN 02213567 · not recorded
Shortage status: resolved shortage (ended 2019-07-10); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02371731
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Mint-Ondansetron · DIN 02305259 · 4mg · tablet
Limited Use — Reason for Use code 215, 216, 217, 218, 454, 696 requiredMarketed · checked 2026-09-02
Write on scriptLU code 215, 216, 217, 218, 454, 696 (patient must meet the criteria below)
Private plan unknown: ask. If yes, check its coverage and payer coordination; if no, see the public routes below.
Reason for Use code 215
For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 216
For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 217
For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 218
For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.
Coverage limit:
The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 454
For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens.
Coverage limit:
LU Authorization Period: 1 year
Reason for Use code 696
For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.
Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.
Coverage limit:
LU Authorization Period: 1 year
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
Mint-Ondansetron · DIN 02305259
Manufacturer: Mint Pharmaceuticals Inc.; listing date 2008-12-23
Health Canada: Marketed since 2013-10-31 · brand MINT-ONDANSETRON · ATC A04AA01 ONDANSETRON · form Tablet · route Oral · ingredients ONDANSETRON (ONDANSETRON HYDROCHLORIDE) 4 MG · company Mint pharmaceuticals inc · 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=79079 · Verify on the e-Formulary ↗ (DIN 02305259)
Source record
DIN 02305259: Mint-Ondansetron
Raw flags: sec12=Y, sec3=Y
Item: 562200022; group id 671; item number 1665; lccId 00102; manufacturer id MIN
Source form: Tab; strength: 4mg
Recorded listing: Limited Use: paid only with a Reason for Use code and the criteria below
Source prices (unrounded): $3.3495; ministry $2.5450
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02305259
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=79079Interchangeable products
Accel-Ondansetron · DIN 02478927 · $2.5450
Apo-Ondansetron · DIN 02288184 · $2.5450
Jamp-Ondansetron · DIN 02313685 · $2.5450
Mar-Ondansetron · DIN 02371731 · $2.5450
Mylan-Ondansetron · DIN 02297868 · $2.5450
Nat-Ondansetron · DIN 02417839 · $2.5450
Ondansetron · DIN 02421402 · $2.5450
Ondansetron · DIN 02541424 · $2.5450
PMS-Ondansetron · DIN 02258188 · $2.5450
Sandoz Ondansetron · DIN 02274310 · $2.5450
Septa-Ondansetron · DIN 02376091 · $2.5450
Teva-Ondansetron · DIN 02296349 · $2.5450
Zofran · DIN 02213567 · not recorded
Shortage status: resolved shortage (ended 2018-03-09); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02305259
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Other drugs in the same formulary class (56:22 Antiemetics and Antinauseants) and how they are covered
Matched class: 56:22 Antiemetics and Antinauseants
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: DOXYLAMINE SUCCINATE AND PYRIDOXINE HCL, MECLIZINE HCL
Some products covered without a code (check the product listing): NABILONE
56:22 Antiemetics and Antinauseants
1 INDICATIONS
Adults (18-64 years of age)
Ondansetron Injection USP (ondansetron hydrochloride dihydrate) is indicated for:
• the prevention of nausea and vomiting associated with emetogenic chemotherapy,
including high dose cisplatin.
• the prevention and treatment of postoperative nausea and vomiting.
1.1 Pediatrics
Prevention of Nausea and Vomiting Associated With Highly Emetogenic Chemotherapy (e.g.
cisplatin)
• Pediatrics (< 18 years): Health Canada has not authorized an indication for pediatric
use.
Prevention of Nausea and Vomiting Associated With Less Emetogenic Chemotherapy
• Pediatrics (4-12 years of age): Intravenous ondansetron was effective and well
tolerated when given to children 4-12 years of age (see 4.2 Recommended Dose and
Dosage Adjustment).
• Pediatrics (<4 years of age): Ondansetron Injection USP is not indicated for the
treatment of children less than 4 years old.
Prevention and Treatment of Post-Operative Nausea and Vomiting
• Health Canada has not authorized an indication for pediatric use.
1.2 Geriatrics
Prevention of Nausea and Vomiting Associated with Emetogenic C…
https://pdf.hres.ca/dpd_pm/00070913.PDF
PM date: May 17, 2023
Source product: ONDANSETRON INJECTION USP; DIN 02464578; fetched 2026-09-10
Product monograph posted by Health Canada; excerpt for lookup only.
What the Health Canada label says it is for
1 INDICATIONS
Adults (18-64 years of age)
pms-ONDANSETRON (ondansetron tablets) is indicated for:
• the prevention of nausea and vomiting associated with mildly and moderately emetogenic
chemotherapy, and radiotherapy.
• the maintenance of antiemesis following intravenous doses of ondansetron used for the
prevention of nausea and vomiting associated with highly emetogenic chemotherapy,
including cisplatin.
• the prevention of post-operative nausea and vomiting.
1.1 Pediatrics (<18 years of age)
Prevention of Nausea and Vomiting Associated with Mildly and Moderately Emetogenic
Chemotherapy
• Pediatrics (4-12 years of age): Based on the data submitted and reviewed by Health
Canada, the safety and efficacy of ondansetron in pediatric patients 4-12 years of age
has been established. Therefore, Health Canada has authorized an indication for
pediatric use. (see 4.2 Recommended Dose and Dosage Adjustment).
• Pediatrics (<4 years of age): No data are available to Health Canada; therefore, Health
Canada has not authorized an indication for the use of pms-ONDANSETRON in children
less than 4 years of age.
Prevention of Nausea and Vomiting Associat…
https://pdf.hres.ca/dpd_pm/00077211.PDF
PM date: April 19, 2006
Source product: PMS-ONDANSETRON; DIN 02258188; fetched 2026-09-10
Product monograph posted by Health Canada; excerpt for lookup only.
Availability
Zofran · DIN 02213745
Shortage status: discontinued (2021-08-26, reported by NOVARTIS PHARMACEUTICALS CANADA INC); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02213745
Jamp Ondansetron ODF (Film) · DIN 02541351
Shortage status: active shortage (reported 2026-06-30, estimated to end 2026-09-25, last updated 2026-07-03); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02541351
Apo-Ondansetron · DIN 02291967
Shortage status: active shortage (reported 2025-12-30, last updated 2026-01-02); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02291967
Jamp Ondansetron · DIN 02490617
Shortage status: active shortage (reported not recorded, estimated to end 2026-12-11, last updated 2026-08-26); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02490617
Apo-Ondansetron · DIN 02288184
Shortage status: shortage reported ended 2026-04-02 (report last updated 2026-04-02); confirm supply with the pharmacy; reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02288184
For Auro-Ondansetron Injection, Ondansetron Injection USP, Zofran: 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.