Clickable Table

Iron Preparations

Generic Name Brand Name Total Dose
(mg/tab or 5mL)
Elemental Iron
(mg/tab or 5mL)
90 Day Cost
(100 mg elemental iron/day)
Coverage Comments
Polysaccharide Iron Feramax 150 150 55 BC - NC / NIHB - Covered
Ferrous Sulphate Generic adult susp 150 30 30 BC - Restricted / NIHB - Covered
Ferrous Gluconate Generic brands 300 35 20 BC - NC / NIHB - Covered
Ferrous Sulphate Generic brands 300 60 15 BC - NC / NIHB - Covered
Ferrous Sulphate Generic infant susp 375 75 90 BC - Restricted / NIHB - Covered
Ferrous Fumarate Palafer 300 100 30 BC - NC / NIHB - Covered
Ferrous Fumarate Wampole 300 100 25 BC - NC / NIHB - Covered
Legend:
BC = Alberta Blue Cross, NIHB = Non-Insured Health Benefits for First Nations and Inuit, NC = Not covered, SA = special authorization, SR = sustained release, OTC = over the counter, SQ = subcutaneous injection, SS=Social Services