TOOLS AND RESOURCES FOR REIMBURSEMENT

Reimbursement of Abbott products may vary from province to province. Therefore, Abbott offers a list of tools and resources for reimbursement to help you and your colleagues navigate and select the optimal reimbursed product.

Here are the different reimbursement programs and options available across the Canadian provinces.

Alberta reimbursement list

The following Abbott nutritional products are listed on the Alberta Human Services Drug Benefit Supplement.

PINDescriptionFormat
Regular (unrestricted) benefits
999901Ensure® Regular, All flavours235-mL bottles
999902Ensure® Plus Calories, All flavours235-mL bottles
999940Glucerna® nutritional drink, All flavours237-mL bottles
999685Glucerna® 1.2 Cal, Vanilla237-mL cartons
999685Glucerna® 1.2 Cal, Vanilla1000-mL RTH containers
989998PediaSure® Peptide 1 Cal, Vanilla237-mL bottles
999938Jevity® 1.0 Cal, Unflavoured235-mL cans
999545Nepro®, Vanilla237-mL bottles
999545Nepro®, Vanilla1000-mL RTH containers
999621Osmolite® 1.2 Cal, Unflavoured235-mL cans
999621Osmolite® 1.2 Cal, Unflavoured1500-mL RTH containers
80074173Pedialyte®, All flavours1-L bottles
80072902Pedialyte®, Unflavoured1-L bottles
999933PediaSure®, All flavours235-mL cans
990029PediaSure® Fibre, Vanilla235-mL cans
999449Similac® Alimentum®237-mL cans
999788Similac® Alimentum®400-g cans
999465Similac® Neosure®363-g cans
999414Suplena®, Vanilla235-mL cans
Special authorization*
999845Ensure® Advance, All flavours235-mL bottles
999416Jevity® 1.2 Cal, Unflavoured235-mL cans
999416Jevity® 1.2 Cal, Unflavoured1500-mL RTH containers
999475Jevity® 1.5 Cal, Unflavoured235-mL cans
999475Jevity® 1.5 Cal, Unflavoured1500-mL RTH containers
999434PediaSure® Plus, Vanilla235-mL cans
999430TwoCal® HN, Vanilla235-mL cans
999430TwoCal® HN, Vanilla1000-mL RTH containers

For more information, visit: https://idbl.ab.bluecross.ca/idbl/load.do.

RTH: ready-to-hang

* For use in patients who are unable to tolerate, have failed, or have nutritional requirements which cannot be met with the nutritional products which are unrestricted benefits (listed in PTC 40:20 of the Alberta Human Services Drug Benefit Supplement).

Information is required regarding the patient's diagnosis, previous nutritional products utilized and the patient’s response to therapy, and/or the nutritional requirement which cannot be met with other nutritional products.

Ontario reimbursement list

The following Abbott nutritional products are listed on the Ontario Drug Benefit (ODB) Formulary.

PINDescriptionFormat
Adult and pediatric
80074173Pedialyte®, All flavours1-L bottles
80072902Pedialyte®, Unflavoured1-L bottles
ADULT
97904333Ensure® Plus, All flavours235-mL cans
97984060Jevity® 1.0 Cal, Unflavoured235-mL cans
9854096Jevity® 1.2 Cal, Unflavoured235-mL cans
9857117Jevity® 1.2 Cal, Unflavoured1500-mL RTH containers
9857344Jevity® 1.5 Cal, Unflavoured235-mL cans
9857312Jevity® 1.5 Cal, Unflavoured1500-mL RTH containers
9854169Osmolite® 1.2 Cal, Unflavoured235-mL cans
9857095Osmolite® 1.2 Cal, Unflavoured1500-mL RTH containers
9853731Suplena®, Vanilla235-mL cans
9858101Vital® Peptide 1 Cal, Vanilla220-mL bottles
9858102Vital® Peptide 1.5 Cal, Vanilla220-mL bottles
9858103Vital® Peptide 1.5 Cal, Vanilla1000-mL RTH containers
9854380TwoCal® HN, Vanilla235-mL cans
PEDIATRIC
97984370PediaSure®, All flavours235-mL cans
9854371PediaSure® Fibre, Vanilla235-mL cans
9857419PediaSure® Plus, Vanilla235-mL cans
9857523PediaSure® Peptide 1 Cal, Vanilla237-mL bottles
97973084RCF®384-mL cans
97984558Similac® Alimentum®237-mL cans
9857864Similac® Alimentum®400-g cans
9857124Similac® Neosure®363-g cans

For more information, visit: https://www.ontario.ca/page/get-coverage-prescription-drugs.

RTH: ready-to-hang

Quebec reimbursement list

The following Abbott nutritional products are listed on the Régie de l'assurance maladie du Québec (RAMQ) List of Medications.

RAMQ CodeException
Drug
Status Code
DescriptionFormat
Adult polymeric formulas
99114086 Ensure® Plus, All flavours235-mL cans
99114339 Glucerna® 1.2 Cal237-mL cartons
99114340 Glucerna® 1.2 Cal1000-mL RTH containers
99000482 Jevity® 1.0 Cal, Unflavoured235-mL cans
99003392 Jevity® 1.2 Cal, Unflavoured235-mL cans
99003600 Jevity® 1.2 Cal, Unflavoured1500-mL RTH containers
99100417 Jevity® 1.5 Cal, Unflavoured235-mL cans
99100402 Jevity® 1.5 Cal, Unflavoured1500-mL RTH containers
99100702 Nepro®, Vanilla237-mL bottles
99100703 Nepro®, Vanilla1000-mL RTH containers
99004224 Osmolite® 1.2 Cal, Unflavoured235-mL cans
99004216 Osmolite® 1.2 Cal, Unflavoured1500-mL RTH containers
99001543 Promote®, Vanilla235-mL cans
99002647 Suplena®, Vanilla235-mL cans
99004690 TwoCal® HN, Vanilla235-mL cans
99100462 TwoCal® HN, Vanilla1000-mL RTH containers
Pediatric polymeric formulas
99000474 PediaSure®, All flavours235-mL cans
99001381 PediaSure® Fibre, Vanilla235-mL cans
99005050 PediaSure® Plus, Vanilla235-mL cans
Semi-elemental
99101182VA98Vital® Peptide 1 Cal, Vanilla220-mL bottles
99101183VA98Vital® Peptide 1.5 Cal, Vanilla220-mL bottles
99101178VA98Vital® Peptide 1.5 Cal, Vanilla1000-mL RTH containers
99101181VA98PediaSure® Peptide 1 Cal, Vanilla237-mL bottles
Casein hydrolysate-based (infants and children)
99100206VA105Similac® Alimentum®237-mL cans
Post-discharge formulas for preterm infants
99100123VA104Similac® Neosure®363-g cans

Saskatchewan reimbursement list

The following Abbott nutritional products are listed by the Saskatchewan Aids to Independent Living (SAIL) Program.

DescriptionFormat
Therapeutic nutritional products program
Glucerna® 1.2 Cal, Vanilla237-mL cartons
Glucerna® 1.2 Cal, Vanilla1000-mL RTH containers
Jevity® 1.0 Cal, Unflavoured235-mL cans
Jevity® 1.2 Cal, Unflavoured235-mL cans
Jevity® 1.2 Cal, Unflavoured1500-mL RTH containers
Jevity® 1.5 Cal, Unflavoured235-mL cans
Jevity® 1.5 Cal, Unflavoured1500-mL RTH containers
Nepro®, Vanilla237-mL bottles
Nepro®, Vanilla1000-mL RTH containers
Osmolite® 1.2 Cal, Unflavoured235-mL cans
Osmolite® 1.2 Cal, Unflavoured1500-mL RTH containers
PediaSure Complete® Grow & GainTM, All flavours235-mL bottles
PediaSure®, All flavours235-mL cans
PediaSure® Fibre, Vanilla235-mL cans
PediaSure® Plus, Vanilla235-mL cans
PediaSure® Peptide 1 Cal, Vanilla237-mL bottles
Promote®, Vanilla235-mL cans
RCF®384-mL cans
Similac® Alimentum®237-mL cans
Similac® Alimentum®400-g cans
Similac® Neosure®363-g cans
Suplena®, Vanilla235-mL cans
TwoCal® HN, Vanilla235-mL cans
TwoCal® HN, Vanilla1000-mL RTH containers
Vital® Peptide 1 Cal, Vanilla220-mL bottles
Vital® Peptide 1.5 Cal, Vanilla220-mL bottles
Vital® Peptide 1.5 Cal, Vanilla1000-mL RTH containers
Modular supplement –
eligible if combined with eligible formula
LiquiProtein®54-mL bottles
Cystic fibrosis program
Ensure® Regular, All flavours235-mL bottles
PediaSure®, All flavours235-mL cans
PediaSure® Fibre, Vanilla235-mL cans
PediaSure® Plus, Vanilla235-mL cans
PediaSure Complete® Grow & GainTM, All flavours235-mL bottles
PediaSure® Peptide 1 Cal, Vanilla237-mL bottles
Vital® Peptide 1 Cal, Vanilla220-mL bottles
Vital® Peptide 1.5 Cal, Vanilla220-mL bottles
Vital® Peptide 1.5 Cal, Vanilla1000-mL RTH containers