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COTAZYM ECS 20 25000 UNIT — DIN 00821373

LIPASE : 25000 UNIT PROTEASE : 100000 UNIT AMYLASE : 100000 UNIT · ORGANON CANADA INC. · CAPSULE (DELAYED RELEASE) · wholesale supply in Canada

Health Canada status: MARKETED

What is COTAZYM ECS 20?

COTAZYM ECS 20 25000 UNIT contains LIPASE : 25000 UNIT PROTEASE : 100000 UNIT AMYLASE : 100000 UNIT. It is listed in the Health Canada Drug Product Database under DIN 00821373, held by ORGANON CANADA INC., supplied as CAPSULE (DELAYED RELEASE) for ORAL administration. Health Canada currently lists it as marketed, status dated 17-Dec-2021. Nexara Health is a licensed Canadian wholesale distributor (DEL 3-002896-A) and can source this product for hospitals, pharmacies and clinics. Availability and lead time are confirmed per order.

Is there a generic Multienzymes (Lipase, Protease Etc) in Canada, and who makes it?

Every market authorization holder with a Canadian DIN for this molecule, and how many of their listings Health Canada currently shows as marketed.

36 holders have a Canadian DIN containing Multienzymes (Lipase, Protease Etc), across 65 DINs, of which 14 are currently marketed. Marketed count is the number that matters: an approval that is not marketed cannot be bought.

Market authorization holderDINsMarketedBrand namesPosition
VIVUS LLC.55PANCREASE MT 10, PANCREASE MT 16, PANCREASE MT 2, PANCREASE MT 20, PANCREASE MT 4Sourceable in Canada
BGP PHARMA ULC64CREON MINIMICROSPHERES 10, CREON MINIMICROSPHERES 20, CREON MINIMICROSPHERES 25, CREON MINIMICROSPHERES 35, CREON MINIMICROSPHERES 6, +1 moreSourceable in Canada
ORGANON CANADA INC.33COTAZYM, COTAZYM ECS 20, COTAZYM ECS 8Sourceable in Canada
NESTLE ENTERPRISES S.A.22VIOKACESourceable in Canada
PAINES AND BYRNE LTD.50PANCREX GRANULES, PANCREX V CAPSULES, PANCREX V FORTE TABLETS 1GM/TAB, PANCREX V POWDER, PANCREX V TAB 0.33GMNo marketed DIN
APTALIS PHARMA CANADA ULC40ULTRASE, ULTRESANo marketed DIN
NU-LIFE NUTRITION LTD.30BROMELAIN 500 + PAPAIN AND GALACTOSIDASE, PAPAYA ZYME TAB NU LIFE, VEGE-DIGEST DIGESTIVE AIDNo marketed DIN
AXCAN PHARMA INC20DIGESS 8000 - CAP, VIOKASE POWDERNo marketed DIN
AYERST LABORATORIES20VIOKASE PWR, VIOKASE TABNo marketed DIN
GAHLER ENTERPRISES LTD.20CHEWABLE ENZYMES TABLETS, PANCREATINE ENZYMESNo marketed DIN
JAMIESON LABORATORIES LTD20PANCREATIN TAB 400MG, SUPER PAYA JAY TABNo marketed DIN
METAGENICS, INC.20BIO-ZYME TAB 50MG, METAZYME CAPNo marketed DIN

Health Canada’s Drug Product Database does not flag which listing is the originator and which are subsequent-entry products, so Nexara does not label them here. Interchangeability is determined provincially, not federally — confirm for your province before a formulary switch. Nexara can confirm which of these is actually obtainable, and on what lead time, per order.

How is it supplied and stored?

Pack configuration, storage class and the handling constraints that drive cold-chain planning. One DIN can cover more than one pack size, and the pack — not the DIN — is what gets priced, shipped and invoiced.

Strength on the label25000 UNIT
Dosage formCAPSULE (DELAYED RELEASE)
RouteORAL

Before an order line is unambiguous Nexara needs the strength, the pack size and the presentation.

Substance and classification

Active substanceMultienzymes (Lipase, Protease Etc)
ATC codeA09AA02
AHFS class56:16.00
Biosimilar biologicNo

Confirm the pack and get a price

Health Canada record and identifiers

The regulatory facts straight from the Drug Product Database, plus every identifier form Nexara accepts on a purchase order. A DIN written without its leading zeros is the commonest reason an order line fails to match.

DIN (8-digit, as used in ordering)00821373
DIN (unpadded, as printed on some documents)821373
Brand nameCOTAZYM ECS 20
Generic / active ingredientLIPASE : 25000 UNIT PROTEASE : 100000 UNIT AMYLASE : 100000 UNIT
Market authorization holderORGANON CANADA INC.
Health Canada schedulePrescription
ATC codeA09AA02
ATC anatomical main groupA — Alimentary tract and metabolism
ATC therapeutic subgroupA09AA
Current statusMARKETED
Status date17-Dec-2021
Original market date1989-12-31 00:00:00
Status sourceLive Health Canada DPD sync

Verify on the primary sources

Health Canada DPD record Approved product monograph (PDF)

What can be used instead?

Alternatives on every axis a buyer actually considers — the same molecule in another presentation, the same class, an adjacent class, or a fixed-dose combination. Every row is led by the marketed DIN count, because that is what can be bought this week.

1 · Same molecule, other Canadian presentations

14 of 65 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.

ProductStrengthFormHolderHealth Canada statusDIN
COTAZYM35000 UNITCAPSULE (IMMEDIATE RELEASE)ORGANON CANADA INC.MARKETED00263818
COTAZYM ECS 810800 UNITCAPSULE (DELAYED RELEASE)ORGANON CANADA INC.MARKETED00502790
CREON MINIMICROSPHERES 1010000 UNITCAPSULE (DELAYED RELEASE)BGP PHARMA ULCMARKETED02200104
CREON MINIMICROSPHERES 2525000 UNITCAPSULE (DELAYED RELEASE)BGP PHARMA ULCMARKETED01985205
CREON MINIMICROSPHERES 3535700 UNITCAPSULE (DELAYED RELEASE)BGP PHARMA ULCMARKETED02494639
CREON MINIMICROSPHERES MICRO5000 UNIT / 100 MGGRANULES FOR SUSPENSION, DELAYED RELEASEBGP PHARMA ULCMARKETED02445158
PANCREASE MT 1043750 UNITCAPSULE (DELAYED RELEASE)VIVUS LLC.MARKETED00789437
PANCREASE MT 1670000 UNITCAPSULE (DELAYED RELEASE)VIVUS LLC.MARKETED00789429
PANCREASE MT 26200 UNITCAPSULE (DELAYED RELEASE)VIVUS LLC.MARKETED02503433
PANCREASE MT 2037000 UNITCAPSULE (DELAYED RELEASE)VIVUS LLC.MARKETED02503441

2 · Same class — other molecules in ATC A09AA

MoleculeCanadian brandsDINsMarketedSourceable
Multienzymes (Lipase, Protease Etc)BIO-ZYME TAB 50MG · BROMELAIN 500 + PAPAIN AND GALACTOSIDASE · BROMELAIN AND PAPAIN TAB · CELL TECH ENZYMES - CAP · +57 more6514Yes
TilactaseDAIRY DIGESTIVE AID TAB 3000FCC LACTASE UNIT · DAIRY DIGESTIVE ULTRA STRENGTH SUPPLEMENT · EXTRA STRENGTH LACTAID TABLETS - 4500FCCLU · LACTACE CAP 3400UNIT · +7 more110Not in Canada
Enzyme PreparationsBEANO DROPS · BEANO DROPS 780UNITS/ML · BEANO TABLETS 150 GALUNITS/TAB · FORMULA C & E · +6 more100Not in Canada
Pepsin, CombinationsDIGEST EASE · PEPSOTOL20Not in Canada
PepsinDIGESTEX10Not in Canada

A molecule with zero marketed DINs cannot be sourced domestically, however many approvals it holds — if one of these sits on a formulary or in an older protocol, that is the line to check.

3 · Adjacent classes in ATC A09A

ATC subgroupMoleculesDINsMarketed
A09ABBetaine Hydrochloride · Betaine Hydrochloride, Combinations · Glutamic Acid Hydrochloride40
A09ACEnzyme And Acid Preparations, Combinations · Multienzymes And Acid Preparations · Pepsin And Acid Preparations230

Not clinical advice. These tables describe what can be supplied in Canada, not what should be prescribed. Substitution within or across classes is a prescriber and pharmacist decision, and interchangeability is determined provincially.

How can I get it?

Nexara Health supplies this product to licensed Canadian buyers — pharmacies, hospitals, clinics, licensed distributors, and clinical trial sponsors or their CROs. We confirm stock, pack size, expiry and pricing at the time of quotation. If the product is on backorder or in shortage, we identify equivalent alternatives and import options where permitted.

Request a quote for COTAZYM ECS 20

Ordering questions

Who can buy this from Nexara?

Licensed entities only. Nexara holds Health Canada establishment licence DEL 3-002896-A and ships only to a licensed address. Patients and unlicensed buyers are routed to a partner pharmacy.

Is there a minimum order?

Yes, set per product line and per pack multiple rather than on the order total, so you are never asked to buy a part-pack. The minimum for this line is confirmed with your quote.

What is the lead time?

Confirmed per order at quotation, and it depends on current stock position and whether the product is in shortage.

Why is there no price on this page?

Nexara quotes a delivered Canadian price per order, against a verified licence. Foreign list prices are published on incompatible bases and are not a guide to what any buyer can obtain here, so this page shows which markets list the molecule and on what basis, and nothing more.

Can Nexara supply this for a clinical trial?

Yes — comparator and background-therapy supply, including sourcing from other markets where a Canadian pack will not satisfy the protocol. Clinical trial supply.

Sources and disclaimer

Product data sourced from the Health Canada Drug Product Database and the approved product monograph (PDF). Health Canada status reconciled against the live DPD sync. Last reviewed 10 Sep 2026.

Nothing on this page is medical advice. Nexara Health is a licensed wholesale distributor and supplies licensed entities only; consumer orders are routed to a partner pharmacy. Alternatives tables describe supply, not clinical equivalence.

Health Canada Drug Product Database (DPD), DIN 00821373. Last reviewed 2026-09-10. Nexara Health is a licensed wholesaler and supplies licensed entities only; consumer orders are routed to a partner pharmacy.