Download LIST OF CODES COMPARABLE DOSAGE FORM CODES Form 2

Patented Medicine
Prices Review Board
Protected s.87
Patent Act
LIST OF CODES
COMPARABLE DOSAGE FORM CODES
Topical (T)
T1
T2
T3
T4
T5
T6
T7
T8
T9
T10
T11
T12
Aerosol
Cream
Gel
Liquid
Ointment
Paste
Powder
Shampoo
Spray
Patches
Disks
Dressings
Nasal (N)/Pulmonary (P)
N1/P1
N2/P2
N3/P3
N4/P4
N5/P5
N6/P6
N7/P7
T99 Other
Drops
Aerosol
Spray
Solution
Powder
Gas
Metered dose preparations
N99/P99 Other
Oral Liquid (L)
L1
L2
L3
L4
L5
L6
Solution
Powder for solution
Powder for suspension
Suspension
Drops
Modified release liquid
S99 Other
Suppository
Cream
Tablet
Douche
Foam
Cone
Ovule
Gel
Tampon
Sponge
Insert
Liquid
Powder for solution
Drops
Suspension
Ointment
Gel
Modified release ocular devices
E99/Y99 Other
J99 Other
Rectal (R)
R1
R2
R3
R4
R5
R6
Parenteral (J)
J1 Solution
J2 Powder for solution
J3 Suspensions or Emulsions
J4 Modified release injections
J5 Implant
V99 Other
Otic (E)/Ophthalmic (Y)
E1/Y1
E2/Y2
E3/Y3
E4/Y4
E5/Y5
E6/Y6
E7/Y7
Tablet
Capsule
Modified release tablets
Modified release capsules
Effervescent powder
Effervescent tablets
Effervescent granules
Caplet
Modified release caplets
Vaginal (V)
V1
V2
V3
V4
V5
V6
V7
V8
V9
V10
V11
L99 Other
Oral Solid (S)
S1
S2
S3
S4
S5
S6
S7
S8
S9
Suppository
Cream
Ointment
Enema
Suspension
Foam
Dental - Sublingual Buccal
(M)
M1 Mouth wash
M2 Solution
M3 Suspension
M4 Powder for suspension
M5 Lozenge
M6 Gel
M7 Gum
M8 Modified release buccal tablets
M9 Sprays - Sublingual
M10 Sprays - buccal
M11 Sublingual tablets
M12 Tooth paste
M13 Tooth powder
R99 Other
M99 Other
999 Other
Form 2 Block 4
Province/Territory Codes
1
2
3
4
5
6
7
NL
PE
NS
NB
QC
ON
MB
8
9
10
11
12
14
13
SK
AB
BC
NT
YT
NU
CANADA (when province /
territory is not known)
Class of customer Codes
1
2
3
4
Hospital
Drugstore or Pharmacy
Wholesaler
Other
Patented Medicine
Prices Review Board
Protected s.87
Patent Act
Form 2 Block 5
Country or Province Codes
Class of Customer Codes
13 CANADA (when public price is the same in
ALL provinces/ territories) otherwise use same
codes as in Block 4 for each province/ territory
15 GERMANY
16 FRANCE
17 ITALY
18 SWEDEN
19 SWITZERLAND
20 UNITED KINGDOM
21 UNITED STATES
1 Hospital
2 Drugstore or Pharmacy
3 Wholesaler
4 Other
4-FSS
The price of a drug product on the US Federal
Supply Schedule should be coded as follows: use
code 21 in the column Country or Province and “4FSS” in the column Class of Customer.