SYMBICORT 200 TURBUHALER 200 MCG — DIN 02245386
BUDESONIDE : 200 MCG FORMOTEROL FUMARATE DIHYDRATE : 6 MCG · ASTRAZENECA CANADA INC · POWDER · wholesale supply in Canada
Health Canada status: MARKETED
What is SYMBICORT 200 TURBUHALER?
SYMBICORT 200 TURBUHALER 200 MCG contains BUDESONIDE : 200 MCG FORMOTEROL FUMARATE DIHYDRATE : 6 MCG. It is listed in the Health Canada Drug Product Database under DIN 02245386, held by ASTRAZENECA CANADA INC, supplied as POWDER for INHALATION administration. Health Canada currently lists it as marketed, status dated 08-Feb-2002. 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.
What is SYMBICORT 200 TURBUHALER used for?
SYMBICORT TURBUHALER (budesonide and formoterol fumarate dihydrate) is indicated for the treatment of asthma in patients 12 years and older with reversible obstructive airways disease. SYMBICORT 200 TURBUHALER and SYMBICORT FORTE TURBUHALER are indicated for the maintenance treatment of moderate to severe COPD including chronic bronchitis and emphysema, in patients with persistent symptoms and a history of exacerbations, where the use of a combination product is considered appropriate.
Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.
How much does Formoterol And Budesonide cost around the world?
Formoterol And Budesonide is listed on 10 of the national price registers Nexara ingests. Each country publishes on a different basis, so those figures are not comparable with one another — or with a Canadian wholesale price.
What a market publishes matters more than the number it publishes. Australia publishes a ex-manufacturer; Belgium publishes a public; Greece publishes a producer price (ex-factory). Comparing an ex-factory ceiling against a pharmacy public price tells you nothing about either, and comparing either against a Canadian landed cost tells you less.
| Market | Price basis published there | Brands | Packs listed | Range |
|---|---|---|---|---|
| Belgium | public | 34 | 34 | EUR███.██ |
| United States | acquisition | 1 | 22 | USD███.██ |
| Slovakia | categorised final price | 10 | 10 | EUR███.██ |
| Hungary | producer price (ex-factory) | 7 | 8 | HUF███.██ |
| Iceland | max wholesale | 2 | 8 | ISK███.██ |
| Greece | producer price (ex-factory) | 7 | 7 | EUR███.██ |
| Australia | ex-manufacturer | 2 | 6 | AUD███.██ |
| Morocco | PPV (public price) | 4 | 6 | MAD███.██ |
| South Africa | single exit price | 2 | 2 | ZAR███.██ |
| Romania | max producer price | 1 | 1 | RON███.██ |
104 pack listings across 70 brand entries and 9 price bases, refreshed 08 Sep 2026. Ranges span every Formoterol And Budesonide pack in that market, so a high figure is usually a larger pack rather than the same product.
Canada publishes no comparable public list price. For a delivered Canadian price on a licensed account, verify your licence — it takes about a minute.
Is there a generic Formoterol And Budesonide 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.
Only one market authorization holder has a Canadian DIN containing Formoterol And Budesonide — 3 DINs, of which 2 are currently marketed. There is no second Canadian source today, so a supply interruption on this holder has no domestic substitute at the same molecule.
| Market authorization holder | DINs | Marketed | Brand names | Position |
|---|---|---|---|---|
| ASTRAZENECA CANADA INC | 3 | 2 | SYMBICORT 100 TURBUHALER, SYMBICORT 200 TURBUHALER, SYMBICORT FORTE TURBUHALER | Sourceable in Canada |
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 label | 200 MCG |
|---|---|
| Dosage form | POWDER |
| Route | INHALATION |
| Pack configuration (monograph) | null |
| Storage | null |
Before an order line is unambiguous Nexara needs the strength, the pack size and the presentation.
Substance and classification
| Active substance | Formoterol And Budesonide |
|---|---|
| ATC code | R03AK07 |
| AHFS class | 12:12.08.12 ; 68:04.00 |
| Biosimilar biologic | No |
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) | 02245386 |
|---|---|
| DIN (unpadded, as printed on some documents) | 2245386 |
| Brand name | SYMBICORT 200 TURBUHALER |
| Generic / active ingredient | BUDESONIDE : 200 MCG FORMOTEROL FUMARATE DIHYDRATE : 6 MCG |
| Market authorization holder | ASTRAZENECA CANADA INC |
| Health Canada schedule | Prescription |
| ATC code | R03AK07 |
| ATC anatomical main group | R — Respiratory system |
| ATC therapeutic subgroup | R03AK |
| Current status | MARKETED |
| Status date | 08-Feb-2002 |
| Original market date | 2002-02-08 00:00:00 |
| Status source | Live Health Canada DPD sync |
Verify on the primary sources
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
2 of 3 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.
| Product | Strength | Form | Holder | Health Canada status | DIN |
|---|---|---|---|---|---|
| SYMBICORT 100 TURBUHALER | 6 MCG | POWDER | ASTRAZENECA CANADA INC | MARKETED | 02245385 |
| SYMBICORT FORTE TURBUHALER | 12 MCG | POWDER | ASTRAZENECA CANADA INC | APPROVED | 02248218 |
2 · Same class — other molecules in ATC R03AK
| Molecule | Canadian brands | DINs | Marketed | Sourceable |
|---|---|---|---|---|
| Salmeterol And Fluticasone | ADVAIR · ADVAIR 100 DISKUS · ADVAIR 250 DISKUS · ADVAIR 500 DISKUS · +3 more | 14 | 11 | Yes |
| Indacaterol And Mometasone | ATECTURA BREEZHALER | 3 | 3 | Yes |
| Formoterol And Budesonide | SYMBICORT 100 TURBUHALER · SYMBICORT 200 TURBUHALER · SYMBICORT FORTE TURBUHALER | 3 | 2 | Yes |
| Formoterol And Mometasone | ZENHALE | 3 | 2 | Yes |
| Vilanterol And Fluticasone Furoate | BREO ELLIPTA | 2 | 2 | Yes |
| Salbutamol And Sodium Cromoglicate | COMBIVENT INHALATION AEROSOL | 1 | 0 | Not 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 R03A
| ATC subgroup | Molecules | DINs | Marketed |
|---|---|---|---|
| R03AC | Fenoterol · Formoterol · Indacaterol · Olodaterol · Pirbuterol · +4 more | 81 | 15 |
| R03AL | Fenoterol And Ipratropium Bromide · Formoterol And Aclidinium Bromide · Formoterol And Glycopyrronium Bromide · Formoterol, Glycopyrronium Bromide And Beclometasone · Formoterol, Glycopyrronium Bromide And Budesonide · +6 more | 18 | 11 |
| R03AA | Epinephrine | 4 | 0 |
| R03AB | Isoprenaline · Orciprenaline | 6 | 0 |
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.
What else is SYMBICORT 200 TURBUHALER called?
Also recorded in Canada as: 120 ACTUAT budesonide 0.08 MG/ACTUAT / formoterol fumarate 0.0045 MG/ACTUAT Metered Dose Inhaler [Symbicort] (US), 120 ACTUAT budesonide 0.16 MG/ACTUAT / formoterol fumarate 0.0045 MG/ACTUAT Metered Dose Inhaler [Symbicort] (US), 60 ACTUAT budesonide 0.08 MG/ACTUAT / formoterol fumarate 0.0045 MG/ACTUAT Metered Dose Inhaler [Symbicort] (US), 60 ACTUAT budesonide 0.16 MG/ACTUAT / formoterol fumarate 0.0045 MG/ACTUAT Metered Dose Inhaler [Symbicort] (US), 24 HR budesonide 9 MG Extended Release Oral Tablet [Uceris] (US), 14 ACTUAT budesonide 2 MG/ACTUAT Rectal Foam [Uceris] (US), budesonide 0.032 MG/ACTUAT Metered Dose Nasal Spray [Rhinocort] (US), 24 HR budesonide 6 MG Extended Release Oral Capsule [Ortikos] (US), 24 HR budesonide 9 MG Extended Release Oral Capsule [Ortikos] (US), budesonide 4 MG Delayed Release Oral Capsule [Tarpeyo] (US), 120 ACTUAT budesonide 0.16 MG/ACTUAT / formoterol fumarate 0.0045 MG/ACTUAT Metered Dose Inhaler [Breyna] (US), 120 ACTUAT budesonide 0.08 MG/ACTUAT / formoterol fumarate 0.0045 MG/ACTUAT Metered Dose Inhaler [Breyna] (US), 120 ACTUAT albuterol 0.09 MG/ACTUAT / budesonide 0.08 MG/ACTUAT Metered Dose Inhaler [Airsupra] (US), budesonide 0.2 MG/ML Oral Suspension [Eohilia] (US), 28 ACTUAT albuterol 0.09 MG/ACTUAT / budesonide 0.08 MG/ACTUAT Metered Dose Inhaler [Airsupra] (US).
The same molecule, Formoterol And Budesonide, is registered under other names elsewhere. Buyers and prescribers searching from outside Canada — or working from a foreign prescription or tender document — often know it by one of these:
| Name | Script | Registered in |
|---|---|---|
| Trimbow | Latin | Iceland |
| Oxis Turbuhaler | Latin | Australia |
| BRONCOTEC | Latin | Morocco |
| Foradil | Latin | Morocco, South Africa |
| Foradile | Latin | Australia |
| Trixeo Aerosphere | Latin | Iceland |
| FORMANO | Latin | Slovakia |
| Formoterol Easyhaler | Latin | Slovakia |
| FORTAIR | Latin | Morocco |
Names are taken from national medicine registers and published price lists. A product registered abroad is not authorized for sale in Canada unless it holds its own DIN; import is possible only through the routes Health Canada permits.
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.
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.