Clickable Table

Generic Name Brand Name Strength Dosing 90 Day Cost Coverage Comments Category 1 Category 2
Liraglutide Saxenda 3 mg sub-Q QD $1285 BC / IA - NC Obesity Obesity
Orlistat Xenical 120 mg TID $535 BC / IA - NC Obesity Obesity
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