You're using an outdated browser. This website will not display correctly and some features will not work.
Learn more about the browsers we support for a faster and safer online experience.

 

ontario regulation 484/05

made under the

ontario drug benefit act

Made: August 29, 2005
Filed: August 30, 2005
Printed in The Ontario Gazette: September 17, 2005

Amending O. Reg. 201/96

(General)

1. (1) The definition of “Formulary” in subsection 1 (1) of Ontario Regulation 201/96 is revoked and the following substituted:

“Formulary” means the Ministry of Health and Long-Term Care publication titled “Drug Benefit Formulary/Comparative Drug Index” (No. 39) dated September 27, 2005;

(2) Subsections 1 (2), (3), (4), (5) and (6) of the Regulation are revoked.

(3) Section 1 of the Regulation is amended by adding the following subsections:

(2) For the purposes of this Regulation, Items 1339, 1341, 1342, 1343, 1344, 1345, 1346, 1347, 1348, 1349, 1350, 1351, 1352, 1353, 1354, 1356, 1357, 1360 and 1361 of Part III of the Formulary are revoked.

(3) For the purposes of this Regulation, Items 1330, 1331 and 1332 of Part III of the Formulary shall be read as follows:

 

1330

00030783

Depo-Testosterone 100mg/mL Oily Inj Sol-10mL Pk

UPJ

23.2100

1331

00029246

Delatestryl 1000mg/5mL Oily Inj Sol-5mL Pk

THE

22.8500

1332

00782327

Andriol 40mg Cap

ORG

0.9400

 

Reason for Use Code

Clinical Criteria

 

 

 

397

For male patients with confirmed low morning serum testosterone levels associated with documented, symptomatic hypothalamic, pituitary or testicular disease, or in HIV-infected patients.

 

 

 

 

Note: Older males with nonspecific symptoms of fatigue, malaise, depression who have a low normal random testosterone level do not satisfy these criteria.

LU authorization period:  1 year

 

 

(4) For the purposes of this Regulation, Items 1333, 1334, 1335, 1336, 1337, 1358 and 1359 of Part III of the Formulary shall be read as follows:

 

1333

02242878

Premplus 0.625mg/2.5mg Tab-28 Day Pk

WAY

7.0000

1334

02242879

Premplus 0.625mg/5mg Tab-28 Day Pk

WAY

7.0000

1335

02043394

Premarin 0.3mg Tab

WAY

0.1058

1336

00265470

C.E.S. 0.625mg Tab

ICN

0.0774

 

02043408

Premarin 0.625mg Tab

WAY

0.1215

1337

00265489

C.E.S. 1.25mg Tab

ICN

0.1293

 

02043424

Premarin 1.25mg Tab

WAY

0.2163

1358

02089769

Ogen 1.25 1.5mg Tab

UPJ

0.2804

1359

02089777

Ogen 2.5 3mg Tab

UPJ

0.4435

 

Reason for Use Code

Clinical Criteria

 

 

 

398

For short-term use in women who are experiencing symptoms of menopause.

 

 

 

 

Note: Recent evidence has demonstrated that use of hormone replacement therapy (HRT) increases the rate of coronary events, breast cancer, dementia, stroke, venous thromboembolism and referrals for abnormal vaginal bleeding.  These risks should be discussed with patients and reviewed periodically.

LU authorization period:  1 year

 

 

2. Section 7.1 of the Regulation is revoked.

3. The definition of “Manual” in subsection 23 (1) of the Regulation is revoked and the following substituted:

“Manual” means the Ontario Drug Programs Reference Manual dated September 1, 2005, available from the Ministry of Health and Long-Term Care.

4. The sixth item under Columns 1 and 2 of the Table to subsection 29 (1) of the Regulation is revoked and the following substituted:

 

Each prescription received that contains a Reason For Use Code, as set out in Part III of the Formulary, which shall be deemed to be confirmation by the prescriber that the applicable clinical criteria for limited use set out in Part III of the Formulary have been met.

A period of two years from the date on which the prescription was received.

5. (1) Subject to subsections (2) to (4), this Regulation comes into force on filing.

(2) Section 3 comes into force on September 1, 2005.

(3) Subsections  1 (1) and (2) and section 2 come into force on September 27, 2005.

(4) Subsection 1 (3) comes into force on March 1, 2006.