Listed in the December 27, 2023 extract; not in the current extract (Aug 26, 2026): Ratio-Tamsulosin Cap (09857334), Novo-Tamsulosin SR (02281392), Ratio-Tamsulosin (02294265). Source: odb-formulary-ed43-extract-2023-12-27.xml; compared with odb-formulary-ed43-extract-2026-08-26.xml.
TAMSULOSIN HCL
Form:
10 of 10 products shown
9 general benefit · 1 not a benefit
Other products in the same Health Canada class (G04C, G04CA) — coverage varies; not interchangeable
Alfuzosin (Xatral): limited Use 351, 352
Silodosin (Rapaflo): limited Use 351, 352, Not a benefit
Dutasteride (Avodart): limited Use 384, 385
Finasteride (Propecia): limited Use 384, 385, Not a benefit
Apo-Tamsulosin CR Tab · DIN 02362406 · 0.4mg ·
General benefitMarketed · checked 2026-09-02
StatusGeneral benefit
Write on scriptno code needed
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.
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-Tamsulosin CR Tab · DIN 02362406
Manufacturer: Apotex Inc.; listing date 2011-12-15
Health Canada: Marketed since 2012-02-09 · brand APO-TAMSULOSIN CR · ATC G04CA02 TAMSULOSIN · form Tablet (extended-release) · route Oral · ingredients TAMSULOSIN HYDROCHLORIDE 0.4 MG · company Apotex inc · schedule Prescription
Apo-Tamsulosin CR Tab: Formulary list price $0.1500/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.1500 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=84741 · Verify on the e-Formulary ↗ (DIN 02362406)
Source record
DIN 02362406: Apo-Tamsulosin CR Tab
Raw flags: chronicUseMed=Y, sec3=Y
Item: 920000534; group id 966; item number 2295; lccId None; manufacturer id APX
Source form: None; strength: 0.4mg
Recorded listing: General benefit; chronic-use medication (100-day supply rule, dispensing-fee limit)
Source prices (unrounded): $0.1500; ministry $0.1500
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02362406
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=84741
Therapeutic Notes (formulary)
Note: Randomized controlled trials have shown no significant differences in efficacy between daily doses of 0.4mg and 0.8mg of tamsulosin. Therefore, the daily tamsulosin dose should not exceed 0.4mg.Interchangeable products
Auro-Tamsulosin CR Tab · DIN 02545179 · $0.1500
Flomax CR Tab · DIN 02270102 · $0.1500
Sandoz Tamsulosin CR Tab · DIN 02340208 · $0.1500
Tamsulosin CR Tab · DIN 02427117 · $0.1500
Tamsulosin CR Tab · DIN 02429667 · $0.1500
Teva-Tamsulosin CR Tab · DIN 02368242 · $0.1500
Shortage status: resolved shortage (ended 2024-11-14); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02362406
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Auro-Tamsulosin CR Tab · DIN 02545179 · 0.4mg ·
General benefitMarketed · checked 2026-09-02
StatusGeneral benefit
Write on scriptno code needed
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.
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-Tamsulosin CR Tab · DIN 02545179
Manufacturer: Auro Pharma Inc.; listing date 2024-10-31
Health Canada: Marketed since 2024-08-27 · brand AURO-TAMSULOSIN CR · ATC G04CA02 TAMSULOSIN · form Tablet (extended-release) · route Oral · ingredients TAMSULOSIN HYDROCHLORIDE 0.4 MG · company Auro pharma inc · schedule Prescription
Auro-Tamsulosin CR Tab: Formulary list price $0.1500/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.1500 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=103396 · Verify on the e-Formulary ↗ (DIN 02545179)
Source record
DIN 02545179: Auro-Tamsulosin CR Tab
Raw flags: chronicUseMed=Y, sec3=Y
Item: 920000534; group id 966; item number 2295; lccId None; manufacturer id AUR
Source form: None; strength: 0.4mg
Recorded listing: General benefit; chronic-use medication (100-day supply rule, dispensing-fee limit)
Source prices (unrounded): $0.1500; ministry $0.1500
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02545179
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=103396Interchangeable products
Apo-Tamsulosin CR Tab · DIN 02362406 · $0.1500
Flomax CR Tab · DIN 02270102 · $0.1500
Sandoz Tamsulosin CR Tab · DIN 02340208 · $0.1500
Tamsulosin CR Tab · DIN 02427117 · $0.1500
Tamsulosin CR Tab · DIN 02429667 · $0.1500
Teva-Tamsulosin CR Tab · DIN 02368242 · $0.1500
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=02545179
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Sandoz Tamsulosin CR Tab · DIN 02340208 · 0.4mg ·
General benefitMarketed · checked 2026-09-02
StatusGeneral benefit
Write on scriptno code needed
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.
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
Sandoz Tamsulosin CR Tab · DIN 02340208
Manufacturer: Sandoz Canada Inc.; listing date 2011-05-19
Health Canada: Marketed since 2011-01-04 · brand SANDOZ TAMSULOSIN CR · ATC G04CA02 TAMSULOSIN · form Tablet (extended-release) · route Oral · ingredients TAMSULOSIN HYDROCHLORIDE 0.4 MG · company Sandoz canada incorporated · schedule Prescription
Sandoz Tamsulosin CR Tab: Formulary list price $0.1500/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.1500 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=82577 · Verify on the e-Formulary ↗ (DIN 02340208)
Source record
DIN 02340208: Sandoz Tamsulosin CR Tab
Raw flags: chronicUseMed=Y, sec3=Y
Item: 920000534; group id 966; item number 2295; lccId None; manufacturer id SDZ
Source form: None; strength: 0.4mg
Recorded listing: General benefit; chronic-use medication (100-day supply rule, dispensing-fee limit)
Source prices (unrounded): $0.1500; ministry $0.1500
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02340208
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=82577
Therapeutic Notes (formulary)
Note: Randomized controlled trials have shown no significant differences in efficacy between daily doses of 0.4mg and 0.8mg of tamsulosin. Therefore, the daily tamsulosin dose should not exceed 0.4mg.Interchangeable products
Apo-Tamsulosin CR Tab · DIN 02362406 · $0.1500
Auro-Tamsulosin CR Tab · DIN 02545179 · $0.1500
Flomax CR Tab · DIN 02270102 · $0.1500
Tamsulosin CR Tab · DIN 02427117 · $0.1500
Tamsulosin CR Tab · DIN 02429667 · $0.1500
Teva-Tamsulosin CR Tab · DIN 02368242 · $0.1500
Shortage status: active shortage (reported 2026-06-22, estimated to end 2026-09-11, last updated 2026-07-13); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02340208
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Tamsulosin CR Tab · DIN 02427117 · 0.4mg ·
General benefitMarketed · checked 2026-09-02
StatusGeneral benefit
Write on scriptno code needed
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.
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
Tamsulosin CR Tab · DIN 02427117
Manufacturer: Sanis Health Inc.; listing date 2020-06-30
Health Canada: Marketed since 2014-07-24 · brand TAMSULOSIN CR · ATC G04CA02 TAMSULOSIN · form Tablet (extended-release) · route Oral · ingredients TAMSULOSIN HYDROCHLORIDE 0.4 MG · company Sanis health inc · schedule Prescription
Tamsulosin CR Tab: Formulary list price $0.1500/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.1500 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=91164 · Verify on the e-Formulary ↗ (DIN 02427117)
Source record
DIN 02427117: Tamsulosin CR Tab
Raw flags: chronicUseMed=Y, sec3=Y
Item: 920000534; group id 966; item number 2295; lccId None; manufacturer id SAI
Source form: None; strength: 0.4mg
Recorded listing: General benefit; chronic-use medication (100-day supply rule, dispensing-fee limit)
Source prices (unrounded): $0.1500; ministry $0.1500
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02427117
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=91164
Therapeutic Notes (formulary)
Note: Randomized controlled trials have shown no significant differences in efficacy between daily doses of 0.4mg and 0.8mg of tamsulosin. Therefore, the daily tamsulosin dose should not exceed 0.4mg.Interchangeable products
Apo-Tamsulosin CR Tab · DIN 02362406 · $0.1500
Auro-Tamsulosin CR Tab · DIN 02545179 · $0.1500
Flomax CR Tab · DIN 02270102 · $0.1500
Sandoz Tamsulosin CR Tab · DIN 02340208 · $0.1500
Tamsulosin CR Tab · DIN 02429667 · $0.1500
Teva-Tamsulosin CR Tab · DIN 02368242 · $0.1500
Shortage status: resolved shortage (ended 2024-07-04); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02427117
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Tamsulosin CR Tab · DIN 02429667 · 0.4mg ·
General benefitMarketed · checked 2026-09-02
StatusGeneral benefit
Write on scriptno code needed
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.
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
Tamsulosin CR Tab · DIN 02429667
Manufacturer: Sivem Pharmaceuticals ULC; listing date 2020-04-30
Health Canada: Marketed since 2014-10-08 · brand TAMSULOSIN CR · ATC G04CA02 TAMSULOSIN · form Tablet (extended-release) · route Oral · ingredients TAMSULOSIN HYDROCHLORIDE 0.4 MG · company Sivem pharmaceuticals ulc · schedule Prescription
Tamsulosin CR Tab: Formulary list price $0.1500/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.1500 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=91411 · Verify on the e-Formulary ↗ (DIN 02429667)
Source record
DIN 02429667: Tamsulosin CR Tab
Raw flags: chronicUseMed=Y, sec3=Y
Item: 920000534; group id 966; item number 2295; lccId None; manufacturer id SIV
Source form: None; strength: 0.4mg
Recorded listing: General benefit; chronic-use medication (100-day supply rule, dispensing-fee limit)
Source prices (unrounded): $0.1500; ministry $0.1500
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02429667
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=91411
Therapeutic Notes (formulary)
Note: Randomized controlled trials have shown no significant differences in efficacy between daily doses of 0.4mg and 0.8mg of tamsulosin. Therefore, the daily tamsulosin dose should not exceed 0.4mg.Interchangeable products
Apo-Tamsulosin CR Tab · DIN 02362406 · $0.1500
Auro-Tamsulosin CR Tab · DIN 02545179 · $0.1500
Flomax CR Tab · DIN 02270102 · $0.1500
Sandoz Tamsulosin CR Tab · DIN 02340208 · $0.1500
Tamsulosin CR Tab · DIN 02427117 · $0.1500
Teva-Tamsulosin CR Tab · DIN 02368242 · $0.1500
Shortage status: resolved shortage (ended 2024-12-02); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02429667
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Teva-Tamsulosin CR Tab · DIN 02368242 · 0.4mg ·
General benefitMarketed · checked 2026-09-02
StatusGeneral benefit
Write on scriptno code needed
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.
Brand vs generic price
Lowest DBP recovery rule under medically necessary no-substitution claims:
6.2 Medically Necessary "No Substitution" Claims
The Side Effect Reporting Form will not have to be renewed. However, the
pharmacy must maintain a copy of the prescription that contains a direction that
there be no substitution and the required Health Canada Side Effect Reporting Form
(completed and signed by the prescriber). The prescriber must write “No
Substitution” or “No Sub” on renewal or subsequent new written prescriptions, and
indicate “No Substitution” on subsequent new oral prescriptions. The dispenser will
be reimbursed the DBP plus a mark-up and the lesser of the posted usual and
customary fee or the ODB dispensing fee minus the applicable ODB co-payment
amount. Where a completed Side Effect Reporting Form is not available at the
pharmacy during an inspection, the difference between the cost of the higher-cost
product and the lowest DBP listed for the interchangeable category will be
recovered.
(ontario.ca, Revision #17; 2026-08-03 ↗)
6.2 Medically Necessary "No Substitution" Claims
The Ministry will provide reimbursement of a higher-cost interchangeable product in
medically necessary circumstances where a patient has experienced a significant
adverse reaction with two (2) lower-cost interchangeable drug products, where
available. When a prescriber identifies a patient for which it is medically necessary
that a higher cost interchangeable product be provided, the prescriber must:
• Complete, sign and forward to the pharmacist a copy of the Health Canada
side effect reporting form for each lower-cost interchangeable drug product
trialed (Side Effect Reporting Form[s]); and
• Write “No Substitution” or “No Sub” on a written prescription or indicate “No
Substitution” to the pharmacist in the case of a verbal prescription.
The prescriber should keep a copy of the completed form in the patient’s record for
future use and reference.
In the case of a written prescription, when the pharmacist or dispensing physician
receives a prescription with the written notation “No Substitution” or “No Sub”,
reimbursement will be provided for the higher-cost interchangeable product only if
the prescription is accompanied by a completed Health Canada Side Effect
Reporting Form for each of the lower-cost interchangeable drug products trialed.
This form must be completely filled out noting the details of the adverse reaction
and signed by the prescriber.
In the case of a verbal prescription, the prescriber must satisfy the operator of the
pharmacy or dispensing physician that a completed Health Canada Side Effect
Reporting Form for each of the lower-cost interchangeable drug products trialed
has been completed and signed by the prescriber. A written record of this verbal
prescription and the completed Health Canada Side Effect Reporting Form must be
received by the pharmacy prior to claim submission.
Upon receipt, the pharmacist must:
• Fax, submit online or mail the completed and signed form to Health Canada’s
Canada Vigilance Program; and
• Retain his or her copy of the completed and signed Side Effect Reporting
Form.
(ontario.ca, Revision #17; 2026-08-03 ↗)
1 brand, same coverage
Teva-Tamsulosin CR Tab · DIN 02368242
Manufacturer: Teva Canada Limited; listing date 2011-09-15
Health Canada: Marketed since 2013-09-04 · brand TEVA-TAMSULOSIN CR · ATC G04CA02 TAMSULOSIN · form Tablet (extended-release) · route Oral · ingredients TAMSULOSIN HYDROCHLORIDE 0.4 MG · company Teva canada limited · schedule Prescription
Teva-Tamsulosin CR Tab: Formulary list price $0.1500/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.1500 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=85321 · Verify on the e-Formulary ↗ (DIN 02368242)
Source record
DIN 02368242: Teva-Tamsulosin CR Tab
Raw flags: chronicUseMed=Y, sec3=Y
Item: 920000534; group id 966; item number 2295; lccId None; manufacturer id TEV
Source form: None; strength: 0.4mg
Recorded listing: General benefit; chronic-use medication (100-day supply rule, dispensing-fee limit)
Source prices (unrounded): $0.1500; ministry $0.1500
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02368242
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=85321
Therapeutic Notes (formulary)
Note: Randomized controlled trials have shown no significant differences in efficacy between daily doses of 0.4mg and 0.8mg of tamsulosin. Therefore, the daily tamsulosin dose should not exceed 0.4mg.Interchangeable products
Apo-Tamsulosin CR Tab · DIN 02362406 · $0.1500
Auro-Tamsulosin CR Tab · DIN 02545179 · $0.1500
Flomax CR Tab · DIN 02270102 · $0.1500
Sandoz Tamsulosin CR Tab · DIN 02340208 · $0.1500
Tamsulosin CR Tab · DIN 02427117 · $0.1500
Tamsulosin CR Tab · DIN 02429667 · $0.1500
Shortage status: active shortage (reported 2026-06-10, estimated to end 2026-08-30, last updated 2026-07-31); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02368242
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Jamp Tamsulosin: Formulary list price $0.4750/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.4750 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=83768 · Verify on the e-Formulary ↗ (DIN 02352419)
Source record
DIN 02352419: Jamp Tamsulosin
Raw flags: chronicUseMed=Y, sec3=Y
Item: 920000298; group id 966; item number 2296; lccId None; manufacturer id JPC
Source form: ER Cap; strength: 0.4mg
Recorded listing: General benefit; chronic-use medication (100-day supply rule, dispensing-fee limit)
Source prices (unrounded): $0.4750; ministry $0.4750
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02352419
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=83768
Therapeutic Notes (formulary)
Note: Randomized controlled trials have shown no significant differences in efficacy between daily doses of 0.4mg and 0.8mg of tamsulosin. Therefore, the daily tamsulosin dose should not exceed 0.4mg.Interchangeable products
Flomax · DIN 02238123 · not recorded
Sandoz Tamsulosin · DIN 02319217 · $0.4750
Shortage status: active shortage (reported 2026-02-20, estimated to end 2026-11-13, 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=02352419
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Sandoz Tamsulosin: Formulary list price $0.4750/unit (unit not stated in source; not the patient's cost)
Ministry pays: $0.4750 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=80468 · Verify on the e-Formulary ↗ (DIN 02319217)
Source record
DIN 02319217: Sandoz Tamsulosin
Raw flags: chronicUseMed=Y, sec3=Y
Item: 920000298; group id 966; item number 2296; lccId None; manufacturer id SDZ
Source form: ER Cap; strength: 0.4mg
Recorded listing: General benefit; chronic-use medication (100-day supply rule, dispensing-fee limit)
Source prices (unrounded): $0.4750; ministry $0.4750
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02319217
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=80468
Therapeutic Notes (formulary)
Note: Randomized controlled trials have shown no significant differences in efficacy between daily doses of 0.4mg and 0.8mg of tamsulosin. Therefore, the daily tamsulosin dose should not exceed 0.4mg.Interchangeable products
Flomax · DIN 02238123 · not recorded
Jamp Tamsulosin · DIN 02352419 · $0.4750
Shortage status: resolved shortage (ended 2024-04-19); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02319217
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Flomax CR Tab · DIN 02270102 · 0.4mg ·
General benefit; Health Canada lists this DIN as Cancelled post market since 2024-02-15 — choose a marketed DIN from the same-category list.Discontinued 2024-02-15 · checked 2026-09-02
StatusGeneral benefit; Health Canada lists this DIN as Cancelled post market since 2024-02-15 — choose a marketed DIN from the same-category list.
Write on scriptno code needed; Health Canada lists this DIN as Cancelled post market since 2024-02-15 — 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
Flomax CR Tab · DIN 02270102
Manufacturer: Boehringer-Ingelheim (Canada) Ltd./Ltee; listing date 2006-06-15
Health Canada: Cancelled post market since 2024-02-15 · brand FLOMAX CR · ATC G04CA02 TAMSULOSIN · form Tablet (extended-release) · route Oral · ingredients TAMSULOSIN HYDROCHLORIDE 0.4 MG · company Boehringer ingelheim (canada) ltd ltee · 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=75550 · Verify on the e-Formulary ↗ (DIN 02270102)
Source record
DIN 02270102: Flomax CR Tab
Raw flags: chronicUseMed=Y, sec3=Y
Item: 920000534; group id 966; item number 2295; lccId None; manufacturer id BOE
Source form: None; strength: 0.4mg
Recorded listing: General benefit; chronic-use medication (100-day supply rule, dispensing-fee limit)
Source prices (unrounded): $0.6700; ministry $0.1500
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02270102
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=75550
Therapeutic Notes (formulary)
Note: Randomized controlled trials have shown no significant differences in efficacy between daily doses of 0.4mg and 0.8mg of tamsulosin. Therefore, the daily tamsulosin dose should not exceed 0.4mg.Interchangeable products
Apo-Tamsulosin CR Tab · DIN 02362406 · $0.1500
Auro-Tamsulosin CR Tab · DIN 02545179 · $0.1500
Sandoz Tamsulosin CR Tab · DIN 02340208 · $0.1500
Tamsulosin CR Tab · DIN 02427117 · $0.1500
Tamsulosin CR Tab · DIN 02429667 · $0.1500
Teva-Tamsulosin CR Tab · DIN 02368242 · $0.1500
Shortage status: discontinued (2024-02-16, reported by BOEHRINGER INGELHEIM (CANADA) LTD LTEE); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02270102
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Health Canada lists this DIN as Cancelled post market since 2024-02-15 — choose a marketed DIN from the same-category list.
Flomax · DIN 02238123 · 0.4mg · extended release capsule
Listed, not a benefit; Health Canada lists this DIN as Cancelled post market since 2009-08-27 — choose a marketed DIN from the same-category list.Discontinued 2009-08-27 · checked 2026-09-02
StatusListed, not a benefit; Health Canada lists this DIN as Cancelled post market since 2009-08-27 — 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 2009-08-27 — 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
Flomax · DIN 02238123
Manufacturer: Boehringer-Ingelheim (Canada) Ltd./Ltee; listing date 2002-04-04
Health Canada: Cancelled post market since 2009-08-27 · brand FLOMAX · ATC G04CA02 TAMSULOSIN · form Capsule (sustained-release) · route Oral · ingredients TAMSULOSIN HYDROCHLORIDE 0.4 MG · company Boehringer ingelheim (canada) ltd ltee · schedule Prescription
Flomax: 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=61517 · Verify on the e-Formulary ↗ (DIN 02238123)
Source record
DIN 02238123: Flomax
Raw flags: chronicUseMed=Y, notABenefit=Y, sec3=Y
Item: 920000298; group id 966; item number 2296; lccId None; manufacturer id BOE
Source form: ER Cap; strength: 0.4mg
Recorded listing: Listed, not a benefit; ODB pays only for the benefit products in this interchangeable category; chronic-use medication (100-day supply rule, dispensing-fee limit)
Source prices (unrounded): not recorded; ministry not recorded
Source: ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26 DIN=02238123
Health Canada DPD extract of Sep 2, 2026 (Open Government Licence – Canada) · https://health-products.canada.ca/dpd-bdpp/info?lang=eng&code=61517
Therapeutic Notes (formulary)
Note: Randomized controlled trials have shown no significant differences in efficacy between daily doses of 0.4mg and 0.8mg of tamsulosin. Therefore, the daily tamsulosin dose should not exceed 0.4mg.Interchangeable products
Jamp Tamsulosin · DIN 02352419 · $0.4750
Sandoz Tamsulosin · DIN 02319217 · $0.4750
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=02238123
Shortage record checked 2026-09-13T08:10:21.292534+00:00
Health Canada lists this DIN as Cancelled post market since 2009-08-27 — choose a marketed DIN from the same-category list.
Other drugs in the same formulary class (92:00 UNCLASSIFIED THERAPEUTIC AGENTS) and how they are covered
· 8 products · General benefit · strengths: 10mg, 25mg, 50mg, 100mg, 100mg/mL · Cap, O/L
Source: formulary-ed43-front-matter.txt Part V; ODB odb-formulary-ed43-extract-2026-08-26.xml extract_date=2026-08-26; class 92:00
and 75 more
Full class listing
Related classes:
Same formulary class, not same indication: class membership alone does not establish equivalent uses.What the Health Canada label says it is for
1 INDICATIONS
Sandoz Tamsulosin (tamsulosin hydrochloride sustained release capsules) is indicated for:
• The treatment of Lower Urinary Tract Symptoms (LUTS) associated with benign prostatic
hyperplasia (BPH)
1.1 Pediatrics (<16 years of age)
Sandoz Tamsulosin is not indicated for use in children.
The effectiveness of tamsulosin in 161 pediatric patients (ages 2-16 years) with neuropathic
bladder was not demonstrated (see 7.1.3 Pediatrics).
Based on the data submitted and reviewed by Health Canada, the safety and efficacy of Sandoz
Tamsulosin in pediatric patients (ages 2-16 years) has not been established; therefore, Health
Canada has not authorized an indication for pediatric use.
1.2 Geriatrics
Geriatrics (> 65 years of age): Tamsulosin hydrochloride has been found to be a safe and
effective alpha1 adrenoceptor antagonist when administered at therapeutic doses (0.4 mg and
0.8 mg once daily) to patients over the age of 65 years.
https://pdf.hres.ca/dpd_pm/00075848.PDF
PM date: November 19, 2008
Source product: SANDOZ TAMSULOSIN; DIN 02319217; fetched 2026-09-10
Product monograph posted by Health Canada; excerpt for lookup only.
Availability
Sandoz Tamsulosin CR Tab · DIN 02340208
Shortage status: active shortage (reported 2026-06-22, estimated to end 2026-09-11, last updated 2026-07-13); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02340208
Teva-Tamsulosin CR Tab · DIN 02368242
Shortage status: active shortage (reported 2026-06-10, estimated to end 2026-08-30, last updated 2026-07-31); reports as of 2026-09-13T08:10:21.292534+00:00 (Health Product Shortages Canada)
Source: https://healthproductshortages.ca/search?term=02368242
Jamp Tamsulosin · DIN 02352419
Shortage status: active shortage (reported 2026-02-20, estimated to end 2026-11-13, 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=02352419
For Flomax: 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.