Product Details

Vemlidy

Tenofovir Alafenamide (Tenofovir Alafenamide Hemifumarate)
25 mg
Tablet


DIN/PIN/NPN

02464241

Manufacturer

Gilead Sciences Canada, Inc.

Formulary Listing Date

2026-01-30  

Unit Price

19.5537

Amount MOH Pays

19.5537

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J05AF13

Interchangeable Products

NO  

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
517 1 year

Confirmed chronic Hepatitis B infection in persons with

- HBV DNA greater than or equal to 1000 IU/mL

AND

- ALT levels greater than ULN

OR

- Evidence of fibrosis

OR

- Documented evidence of cirrhosis

518 1 year

For patients with chronic Hepatitis B infection who have a contraindication, intolerance or inadequate response to one or more of the following: lamivudine, entecavir, adefovir or telbivudine.

519 1 year

Patient is pregnant (2nd trimester or later) with HBV DNA greater than 1,000,000 IU/mL.

520 1 year

Patients with chronic Hepatitis B infection currently receiving treatment with tenofovir and requires treatment continuation.

521 1 year

Patients with chronic Hepatitis B infection who are scheduled to undergo chemotherapy or significant immunosuppressive treatment.

 

Requirements


EAP Criteria

  NO

Product Monograph

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