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ALFENTANIL INJECTION USP 500 MCG — DIN 02248181

ALFENTANIL (ALFENTANIL HYDROCHLORIDE) : 500 MCG · SANDOZ CANADA INCORPORATED · SOLUTION · wholesale supply in Canada

Health Canada status: CANCELLED POST MARKET

What is ALFENTANIL INJECTION USP?

ALFENTANIL INJECTION USP 500 MCG contains ALFENTANIL (ALFENTANIL HYDROCHLORIDE) : 500 MCG. It is listed in the Health Canada Drug Product Database under DIN 02248181, held by SANDOZ CANADA INCORPORATED, supplied as SOLUTION for INTRAVENOUS administration. Health Canada currently lists it as cancelled post market, status dated 01-Aug-2019. This Drug Identification Number is no longer authorized for sale in Canada, so Nexara does not supply it. The record is kept here because buyers still meet the number on old formularies, purchase orders and tender documents; Nexara can help identify an authorized alternative.

What is ALFENTANIL INJECTION USP used for?

For Surgical Patients: As an analgesic adjunct to a barbiturate induction agent during short procedures; as an analgesic adjunct to barbiturate/nitrous oxide/oxygen anesthesia when given in incremental doses for the maintenance of anesthesia at dosages of 5-75 mcg/kg in surgical procedures with an expected duration of up to one hour; as an analgesic adjunct given as a continuous infusion at a rate of 0.5 to 1.5 mcg/kg/min with nitrous oxide/oxygen in the maintenance of general anesthesia. For Mechanically Ventilated Patients in the Intensive Care Unit: As an analgesic and suppressant of respiratory drive, to aid compliance with the ventilator and to facilitate toleration of the endotracheal tube, when given as a continuous infusion; as an additional analgesic during brief painful procedures, when given in bolus doses to supplement continuous infusion.

Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.

How much does Alfentanil cost around the world?

Alfentanil is listed on 4 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. Iceland publishes a max wholesale; Saudi Arabia publishes a public; South Africa publishes a single exit price. 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.

MarketPrice basis published thereBrandsPacks listedRange
United Kingdomhospital55GBP███.██
Saudi Arabiapublic12SAR███.██
Icelandmax wholesale11ISK███.██
South Africasingle exit price11ZAR███.██

9 pack listings across 8 brand entries and 4 price bases, refreshed 02 Sep 2026. Ranges span every Alfentanil pack in that market, so a high figure is usually a larger pack rather than the same product.

Figures are held for the Nexara team. Cross-market prices are published on incompatible bases and are not an offer, a landed cost, or a guide to what any buyer can obtain. Nexara publishes which markets list the product and on what basis; the numbers stay internal.

Team sign-in

This table is a regulatory record of where the molecule is listed. The DIN on this page is no longer authorized for sale in Canada, so Nexara does not quote it — see the alternatives above.

Is there a generic Alfentanil 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.

2 holders have a Canadian DIN containing Alfentanil, across 2 DINs, of which 0 are currently marketed. Marketed count is the number that matters: an approval that is not marketed cannot be bought.

Market authorization holderDINsMarketedBrand namesPosition
JANSSEN INC10ALFENTA INJ 500MCG/MLNo marketed DIN
SANDOZ CANADA INCORPORATED10ALFENTANIL INJECTION USPNo 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 label500 MCG
Dosage formSOLUTION
RouteINTRAVENOUS
Pack configuration (monograph)2 mL amber vials (boxes of 10)
Storagenull

Pack detail is kept as a regulatory record. This DIN is no longer authorized for sale in Canada, so Nexara does not quote this pack.

Substance and classification

Active substanceAlfentanil
ATC codeN01AH02
AHFS class28:08.08
Biosimilar biologicNo

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)02248181
DIN (unpadded, as printed on some documents)2248181
Brand nameALFENTANIL INJECTION USP
Generic / active ingredientALFENTANIL (ALFENTANIL HYDROCHLORIDE) : 500 MCG
Market authorization holderSANDOZ CANADA INCORPORATED
Health Canada scheduleNARCOTICS (CDSA I)
ATC codeN01AH02
ATC anatomical main groupN — Nervous system
ATC therapeutic subgroupN01AH
Current statusCANCELLED POST MARKET
Status date01-Aug-2019
Original market date2004-11-01 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

0 of 2 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.

ProductStrengthFormHolderHealth Canada statusDIN
ALFENTA INJ 500MCG/ML500 MCGSOLUTIONJANSSEN INCCANCELLED POST MARKET00755818

2 · Same class — other molecules in ATC N01AH

MoleculeCanadian brandsDINsMarketedSourceable
FentanylFENTANYL CITRATE INJECTION · FENTANYL CITRATE INJECTION SDZ · FENTANYL CITRATE INJECTION U.S.P.-LIQ IV IM EPD · FENTANYL CITRATE INJECTION USP · +4 more138Yes
RemifentanilREMIFENTANIL FOR INJECTION · REMIFENTANIL HYDROCHLORIDE FOR INJECTION · ULTIVA102Yes
SufentanilSUFENTA INJ 50MCG/ML · SUFENTANIL CITRATE INJECTION · SUFENTANIL CITRATE INJECTION USP52Yes
AlfentanilALFENTA INJ 500MCG/ML · ALFENTANIL INJECTION USP20Not in Canada
AnileridineLERITINE INJ 25MG/ML · LERITINE TABLETS 25MG20Not in Canada
Fentanyl, CombinationsINNOVAR INJ10Not 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 N01A

ATC subgroupMoleculesDINsMarketed
N01AXDroperidol · Etomidate · Ketamine · Nitrous Oxide · Nitrous Oxide,Combinations · +1 more3819
N01ABDesflurane · Enflurane · Halothane · Isoflurane · Sevoflurane196
N01AFMethohexital · Thiopental60

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 ALFENTANIL INJECTION USP called?

The same molecule, Alfentanil, 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:

NameScriptRegistered in
RapifenLatinIceland

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.

Can this still be bought in Canada?

No. This Drug Identification Number is cancelled post market in Health Canada's Drug Product Database, so the product is no longer authorized for sale in Canada and Nexara does not supply it. This page is kept as a regulatory record.

If you are looking for a current equivalent, the alternatives above list every product sharing this therapeutic class, with the marketed ones first. Ask us to source an alternative

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 02248181. Last reviewed 2026-09-10. Nexara Health is a licensed wholesaler and supplies licensed entities only; consumer orders are routed to a partner pharmacy.