Drug list
GASTROINTESTINAL DRUGS › DIGESTANTS

PANCRELIPASE EQUIVALENT TO LIPASE & AMYLASE & PROTEASE (Pancrease MT4 · Viokace)

10440 & 56400 & 57100 USP Units16mg4000 & 12000 & 12000 USP UnitsEnt Microsph CapTab
LU124
QUICK SCAN

Replacement therapy for pancreatic insufficiency secondary to pancreatic surgery (resection).

LU Authorization Period: Indefinite
Complete Ontario criteria

Replacement therapy for pancreatic insufficiency secondary to pancreatic surgery (resection).

LU125
QUICK SCAN

Replacement therapy for pancreatic insufficiency due to chronic pancreatitis.

LU Authorization Period: Indefinite
Complete Ontario criteria

Replacement therapy for pancreatic insufficiency due to chronic pancreatitis.

LU126
QUICK SCAN

Replacement therapy for pancreatic insufficiency due to carcinoma of the pancreas.

LU Authorization Period: Indefinite
Complete Ontario criteria

Replacement therapy for pancreatic insufficiency due to carcinoma of the pancreas.

Clinical verification required

Quick summaries support scanning only. Confirm eligibility against the complete Ontario criteria and current Ontario e-Formulary before billing.

Edition 43 ยท effective Aug 31, 2026 Ontario source Open Government Licence

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