lu codes
Source: ODB Formulary/CDI, edition 43 (effective 2026-04-28). Checked weekly for updates. Unofficial search tool.
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showing 10 of 26 drugs (56 codes)
RIFABUTIN Mycobutin
Patients with a CD4+ cell count less than 200/mm3 with an AIDS-defining diagnosis;
1 year
Patients with a CD4+ cell count less than 100/mm3 without an AIDS-defining diagnosis.
1 year
antitubercular agents
FAMCICLOVIR Famvir, Apo-Famciclovir
Herpes zoster in patients 50 years of age or older, up to 72 hours* after appearance of lesions. Dose: 500mg 3 times/day for 7 days.
1 year
*The patient must begin treatment within the time frame specified for the product to be reimbursed. There is no benefit from the therapy begun after this time frame.
Network will limit supply to 7 days and 21 tablets.
antivirals
LINEZOLID Zyvoxam, Sandoz Linezolid, Apo-Linezolid, Jamp Linezolid
Methicillin-resistant Staphylococcus species (MRSA, MRSE) infections* in patients who are intolerant or have failed vancomycin therapy, or have contraindications to venous access.
1 year
Vancomycin resistant Enterococcus species (VRE) infections* in patients switching from IV linezolid.
1 year
Step-down therapy for the treatment of methicillin-resistant Staphylococcus species or vancomycin resistant Enterococcus species (VRE) infections* after parenteral therapy or hospital/ emergency department discharge.
1 year
* Infections must be documented and culture proven. Not approved for colonization (e.g. nares, urine, etc). Maximum 28 days supply.
miscellaneous anti-infectives
OSELTAMIVIR PHOSPHATE Tamiflu, Nat-Oseltamivir, Jamp Oseltamivir, Mint-Oseltamivir, Sandoz Oseltamivir
For the prophylaxis (max: 75mg daily) of institutionalized individuals during confirmed* outbreaks of Influenza A or Influenza B.
1 year
Network will limit supply to 6 weeks.
*The outbreak must be confirmed by Public Health.
For the treatment (max: 75mg bid) of institutionalized individuals during confirmed* outbreaks due to: Influenza B or, Influenza A (as an alternative to amantadine) or, Influenza A where new cases have developed despite amantadine prophylaxis.
1 year
Network will limit supply to 5 days.
*The outbreak must be confirmed by Public Health.
For treatment of individuals who are at high risk* of complications from influenza infection and have either:
6 Months
1. Laboratory-confirmed influenza A or influenza B infection;
OR
2. Illness consistent with influenza A or influenza B infection
*High risk of complications from influenza infection is defined by the presence of one or more of the following medical conditions, age-related factors, or other characteristics:
- Asthma and other chronic pulmonary diseases, including bronchopulmonary dysplasia, cystic fibrosis, chronic bronchitis, and emphysema
- Cardiovascular disease (excluding isolated hypertension), including congenital and acquired heart disease, such as heart failure and symptomatic coronary artery disease
- Renal disease
- Chronic liver disease
- Diabetes mellitus and other metabolic diseases
- Anemia and hemoglobinopathies, such as sickle cell disease
- Cancer, immunosuppression, or immunodeficiency due to disease (e.g., HIV infection, especially if CD4 is less than 200 per microlitre) or management of underlying conditions (e.g., solid organ transplant or hematopoietic stem cell transplant recipients, those receiving immunosuppressive therapies for autoimmune conditions or other disorders)
- Neurological disease and neurodevelopmental disorders that compromise handling of respiratory secretions (cognitive dysfunction; spinal cord injury; neuromuscular, neurovascular, neurodegenerative, and seizure disorders; cerebral palsy; metabolic disorders)
- Children aged younger than 5 years
- Individuals aged 65 years or older
- Individuals of any age who are residents of nursing homes or other chronic care facilities
- Pregnancy and up to 4 weeks postpartum regardless of how the pregnancy ended
- Obesity with a body mass index (BMI) greater than or equal to 40 or a BMI greater than 3 z-scores above the mean for age and gender
- Children and adolescents aged younger than 18 years undergoing treatment for long periods with acetylsalicylic acid
- Indigenous peoples
Maximum dosage: 75mg twice daily for 5 days
Treatment should be initiated as soon as possible (ideally no more than 48 hours) after onset of symptoms to achieve optimal benefits.
Prescribers and dispensers should be informed of the drug product's official indications as set out in Health Canada's approved product monograph. Aspects of the above funding criteria may differ from the official indications in the product monograph. Where there is a difference between the product monograph and the above reimbursement criteria, the criteria govern for the purpose of the drug product's funding under the Ontario Drug Benefit Program. The reimbursement criteria are intended for information purposes only and do not provide any medical diagnosis, symptom assessment, health counselling, or medical opinion for Ontario Drug Benefit Program recipients. This information also does not constitute medical advice for prescribers or dispensers.
antivirals
VALGANCICLOVIR Valcyte, Teva-Valganciclovir, Auro-Valganciclovir, Mint-Valganciclovir
For the treatment of CMV retinitis in patients with HIV/AIDS.
1 year
For the prevention of Cytomegalovirus (CMV) in solid organ transplant patients (not lung or heart-lung).
Up to 6 months
For the prevention of Cytomegalovirus (CMV) in lung or heart-lung transplant patients.
Up to 12 months
For those unable to swallow or tolerate solid oral dosage form AND
1 year
For the treatment of Cytomegalovirus (CMV) retinitis in patients with HIV/AIDS.
For those unable to swallow or tolerate solid oral dosage form AND
Up to 6 months
For the prevention of Cytomegalovirus (CMV) in solid organ transplant patients (not lung or heart-lung).
For those unable to swallow or tolerate solid oral dosage form AND
Up to 12 months
For the prevention of Cytomegalovirus (CMV) in lung or heart-lung transplant patients.
antivirals
CIPROFLOXACIN HCL & CIPROFLOXACIN BASE Cipro XL, PMS-Ciprofloxacin XL
For patients with uncomplicated urinary tract infections (acute cystitis) who have failure, intolerance or hypersensitivity to all formulary antibiotic alternatives that are listed as General Benefits.
1 year
miscellaneous anti-infectives
VORICONAZOLE Vfend, Sandoz Voriconazole, Jamp Voriconazole
Outpatient continuation of treatment for documented invasive aspergillosis in patients who have demonstrated a clinical response to either oral or parenteral voriconazole.
1 year
* The first prescription must be written by a physician based at the hospital where the patient was hospitalized.
Note: Limited to 3 months of reimbursement.
antibiotics antifungals
ZANAMIVIR Relenza
For treatment: 2 inhalations of 5mg (10mg) bid for 5 days,
1 year
For prophylaxis: 2 inhalations of 5mg (10mg) once daily for 10 days.
1 year
antivirals
TOBRAMYCIN TOBI Podhaler
For the management of cystic fibrosis patients with chronic pulmonary Pseudomonas aeruginosa (P. aeruginosa) infections.
Indefinite
Tobramycin is administered in alternating periods of 28 days. After 28 days of therapy, patients should stop therapy for the next 28 days, and then resume therapy for the next 28 day on / 28 day off cycle.
antibiotics other antibiotics
RIFAXIMIN Zaxine
For reducing the risk of overt hepatic encephalopathy (HE) recurrence (i.e., 2 or more episodes) in patients who are unable to achieve adequate control of HE recurrence with maximal tolerated dose of lactulose alone. Rifaximin should be used in combination with a maximal tolerated dose of lactulose. For patients not maintained on lactulose, the nature of the patient's intolerance to lactulose should be documented.
Indefinite
antibiotics other antibiotics
No matching LU codes found.