Clickable Table

Generic Name	Brand Name	Strength	Dosing	90 Day Cost	Coverage	Comments	Category 1	Category 2
Testosterone Enanthate	Delatestryl	200 mg/mL	400 mg Q30D	$90	BC / NIHB - Covered		J Urology	Testosterone Replacement
Testosterone Cypionate	Depo-Testosterone	100 mg/mL	200 mg Q2W	$60	BC / NIHB - Covered		J Urology	Testosterone Replacement
Testosterone Patch	Androderm	5 mg/day	QD	$455	BC / NIHB - SA		J Urology	Testosterone Replacement
Testosterone Gel	Androgel	5 g	QD	$470	BC - NC / NIHB - SA		J Urology	Testosterone Replacement
Sildenafil	Viagra	50 mg, 100 mg	As dir	$55	BC / NIHB - NC	4 tablets; may split tablet for lower dose to save costs	J Urology	Erectile Dysfunction
Testosterone Undecanoate	Andriol	40 mg	BID	$105	BC - SA / NIHB - Covered		J Urology	Testosterone Replacement
Vardenafil	Levitra	20 mg	As dir	$70	BC / NIHB - NC	4 tablets; may split tablet for lower dose to save costs	J Urology	Erectile Dysfunction
Finasteride	Proscar	5 mg	QD	$50	BC / NIHB - Covered		J Urology	Benign Prostatic Hyperplasia (BPH)
Tadalafil	Cialis	20 mg	As dir	$70	BC / NIHB - NC	4 tablets; may split tablet for lower dose to save costs	J Urology	Erectile Dysfunction
Tamsulosin CR	Flomax CR	0.4 mg	QD	$30	BC / NIHB - Covered		J Urology	Benign Prostatic Hyperplasia (BPH)
Terazosin	Hytrin	2 mg	QD	$65	BC / NIHB - Covered		J Urology	Benign Prostatic Hyperplasia (BPH)
Dutasteride	Avodart	0.5 mg	QD	$40	BC / NIHB - Covered		J Urology	Benign Prostatic Hyperplasia (BPH)

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