Page 4 - CUA Adv Prostate Ca Drug Acccess Listing
P. 4

ALBERTA                                                   Link to Patient Assistance Programs


 Funding:
 Cancer patients may receive treatment at cancer centres, their community hospitals, or taken at home.
 Alberta provides cancer drugs specified in the Outpatient Cancer Drug Benefit Program, at no charge, to eligible residents for the treatment of cancer.

 Formulary:
 Alberta Health Services https://www.albertahealthservices.ca/assets/programs/ps-1025651-drug-benefit-list.pdf


 DRUG    Strength,                                                        References
 (Brand Name)   Indication   DIN††   Provincial Funding Eligibility Criteria
 Manufacturer   Route
 Group 2*                                                                 AB Cancer
                                                                          Outpatient Drug
 Abiraterone   Eligibility:                                               Benefit Program
 (Zytiga)   mCRPC   Oral   Multiple   •   Patients with mCRPC             [9-21]
 Janssen
 •   Patients with mCRPC, following ( progression on or intolerance to) apalutamide,
 enzalutamide, or darolutamide use in nmCRPC setting
                                                                          AB BlueCross
 1
 Alendronate   Osteoporosis   70 mg PO   Multiple   Regular Benefit : No form required
                                                                          Drug Benefit List
 Group 2*                                                                 AB Cancer
                                                                          Outpatient Drug
 Eligibility:                                                             Benefit Program
 •   In combination with ADT for the treatment of patients with nmCRPC    [9-21]
 o   No detectable distant metastases by either CT, MRI, or technetium-99m bone
 scan
                                                  †
 o   At high risk of developing metastases (PSADT ≤ 10 months )
 Not   o   CRPC demonstrated during continuous ADT/post orchiectomy
 Apalutamide   nmCRPC   Oral   specified   o   Minimum of 3 rising PSA values at an interval or ≥ 1 week apart with a
 (Erleada)   last PSA > 2 ng/mL
 Janssen   o   Maintain castrate levels of testosterone throughout apalutamide therapy
 •   Patients treated with prior chemotherapy in the adjuvant or neoadjuvant setting are
 eligible
 •   Patients may receive only one of these agents (darolutamide, apalutamide or
 enzalutamide) in this setting and switching only if intolerance, not progression to one
 agent
 Not                                                                      Provincial Funding
 mCSPC   -   Under negotiation with manufacturer
 specified                                                                Summary [10-20]
 Group 2*                                                                 AB Cancer
                                                                          Outpatient Drug
 Darolutamide   Not   Eligibility:                                        Benefit Program
 (Nubeqa)   nmCRPC   Oral   specified   •   In combination with ADT for the treatment of patients with nmCRPC   [9-21]
 Bayer   •   At high risk of developing metastases (PSADT ≤ 10 months  during continuous ADT)
                                        †
 •   Patients may receive only one of these agents (darolutamide, apalutamide or
 enzalutamide) in this setting and switching only if intolerance, not progression









                                                      Page 2 | © Canadian Urological Association
                                                                                v.01-SEP-2021
   1   2   3   4   5   6   7   8   9