Clickable Table

Generic Name Brand Name Strength Dosing 90 Day Cost Coverage Comments Category 1 Category 2
Long-acting insulin Novolin NPH/ Humulin N 100 U/ml As dir $65 BC / IA - Covered

Prices may vary between pharmacies, relative differences likely consistent.
Max allowable price for 1500 Units of penfill insulin.

Hypoglycemic Agents Insulin
Regular insulin Novolin Toronto/ Humulin R 100 U/ml As dir $65 BC / IA - Covered

Prices may vary between pharmacies, relative differences likely consistent.
Max allowable price for 1500 Units of penfill insulin.

Hypoglycemic Agents Insulin
Rapid-acting insulin Novorapid/Humalog 100 U/ml As dir $85 BC / IA - Covered

Prices may vary between pharmacies, relative differences likely consistent.
Max allowable price for 1500 Units of penfill insulin.

Hypoglycemic Agents Insulin
Basal insulin (Glargine) Toujeo 300 U/ml As dir $115 BC - NC; IA - Covered

Prices may vary between pharmacies, relative differences likely consistent.
Max allowable price for 1500 Units of penfill insulin.

Hypoglycemic Agents Insulin
Basal insulin (Degludec) Tresiba 100 U/ml As dir $135 BC / IA - Covered

Prices may vary between pharmacies, relative differences likely consistent.
Max allowable price for 1500 Units of penfill insulin.

Hypoglycemic Agents Insulin
Repaglinide Gluconorm 1 mg TID $40 BC / IA - Covered Hypoglycemic Agents Meglitinides
Canagliflozin Invokana 100 mg QD $295 BC / IA - SA Hypoglycemic Agents Sodium Glucose Cotransporter 2 (SGLT2) Inhibitors
Empagliflozin Jardiance 10 mg QD $285 BC / IA - SA Hypoglycemic Agents Sodium Glucose Cotransporter 2 (SGLT2) Inhibitors
Glyburide Diabeta 5 mg BID $25 BC / IA - Covered Hypoglycemic Agents Sulfonylureas
Gliclazide Diamicron 80 mg BID $35 BC / IA - Covered Hypoglycemic Agents Sulfonylureas
Gliclazide MR Diamicron MR 30 mg MR 2 QD $35 BC / IA - Covered Hypoglycemic Agents Sulfonylureas
Metformin Glucophage 500 mg 2 BID $25 BC / IA - Covered Hypoglycemic Agents Biguanides
Metformin SR Glumetza SR 1000 mg 2 QD $225 BC / IA - NC Hypoglycemic Agents Biguanides
Sitagliptin Januvia 100 mg QD $320 BC / IA - SA Hypoglycemic Agents Dipeptidylpeptidase-4 Inhibitors (DPP-4)
Saxagliptin Onglyza 5 mg QD $305 BC / IA - SA Hypoglycemic Agents Dipeptidylpeptidase-4 Inhibitors (DPP-4)
Linagliptin Trajenta 5 mg QD $280 BC / IA - SA Hypoglycemic Agents Dipeptidylpeptidase-4 Inhibitors (DPP-4)
Liraglutide Victoza 1.2 mg sub-Q QD $640 BC / IA - NC Hypoglycemic Agents Glucagon-like Peptide 1 Agonist (GLP-1)
Liraglutide Victoza 1.8 mg sub-Q QD $955 BC / IA - NC Hypoglycemic Agents Glucagon-like Peptide 1 Agonist (GLP-1)
Rapid-acting insulin Apidra 100 U/ml As dir $75 BC / IA - Covered

Prices may vary between pharmacies, relative differences likely consistent.
Max allowable price for 1500 Units of penfill insulin.

Hypoglycemic Agents Insulin
Basal insulin (Glargine) Basaglar 100 U/ml As dir $90 BC / IA - Covered

Prices may vary between pharmacies, relative differences likely consistent.
Max allowable price for 1500 Units of penfill insulin.

Hypoglycemic Agents Insulin
Basal insulin (Glargine) Lantus 100 U/ml As dir $115 BC / IA - Covered

Prices may vary between pharmacies, relative differences likely consistent.
Max allowable price for 1500 Units of penfill insulin.

Hypoglycemic Agents Insulin
Basal insulin (Detemir) Levemir 100 U/ml As dir $135 BC / IA - Covered

Prices may vary between pharmacies, relative differences likely consistent.
Max allowable price for 1500 Units of penfill insulin.

Hypoglycemic Agents Insulin
Legend:
BC = Alberta Blue Cross, IA = Indian Affairs, NC = Not covered, SA = special authorization, SR = sustained release, OTC = over the counter, SQ = subcutaneous injection, SS=Social Services