ACULAR LS 0.4 % — DIN 02248722
KETOROLAC TROMETHAMINE : 0.4 % · ABBVIE CORPORATION · SOLUTION · wholesale supply in Canada
Health Canada status: CANCELLED POST MARKET
What is ACULAR LS?
ACULAR LS 0.4 % contains KETOROLAC TROMETHAMINE : 0.4 %. It is listed in the Health Canada Drug Product Database under DIN 02248722, held by ABBVIE CORPORATION, supplied as SOLUTION for OPHTHALMIC administration. Health Canada currently lists it as cancelled post market, status dated 03-Jul-2025. 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 ACULAR LS used for?
ACULAR: Prophylaxis/relief of postoperative ocular inflammation (cataract extraction). ACULAR LS: Reduction of ocular pain and symptoms (burning, photophobia) following refractive surgery.
Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.
How much does Ketorolac cost around the world?
Ketorolac is listed on 7 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. Austria publishes a KVP (Kassenverkaufspreis); Greece publishes a producer price (ex-factory); Italy publishes a prezzo al pubblico (classe A). 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 |
|---|---|---|---|---|
| United States | acquisition | 5 | 53 | USD███.██ |
| Italy | prezzo al pubblico (classe A) | 10 | 12 | EUR███.██ |
| Greece | producer price (ex-factory) | 6 | 6 | EUR███.██ |
| South Africa | single exit price | 4 | 4 | ZAR███.██ |
| Austria | KVP (Kassenverkaufspreis) | 2 | 2 | EUR███.██ |
| Luxembourg | reimbursement | 2 | 2 | EUR███.██ |
| Morocco | PPV (public price) | 1 | 1 | MAD███.██ |
80 pack listings across 30 brand entries and 7 price bases, refreshed 05 Sep 2026. Ranges span every Ketorolac pack in that market, so a high figure is usually a larger pack rather than the same product.
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 Ketorolac 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.
4 holders have a Canadian DIN containing Ketorolac, across 6 DINs, of which 3 are currently marketed. Marketed count is the number that matters: an approval that is not marketed cannot be bought.
| Market authorization holder | DINs | Marketed | Brand names | Position |
|---|---|---|---|---|
| ABBVIE CORPORATION | 3 | 2 | ACULAR, ACULAR LS, ACUVAIL | Sourceable in Canada |
| AA PHARMA INC | 1 | 1 | KETOROLAC | Sourceable in Canada |
| NU-PHARM INC | 1 | 0 | NU-KETOROLAC OPHTHALMIC SOLUTION | No marketed DIN |
| RATIOPHARM INC DIVISION OF TEVA CANADA LIMITED | 1 | 0 | RATIO-KETOROLAC | No 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 label | 0.4 % |
|---|---|
| Dosage form | SOLUTION |
| Route | OPHTHALMIC |
| Pack configuration (monograph) | White opaque plastic bottle with controlled dropper tip. ACULAR: 5 mL and 10 mL. ACULAR LS: 5 mL. |
| Storage | Store in original container at 25°C (excursions 15-30°C). Protect from light. Discard 28 days after opening. |
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 substance | Ketorolac |
|---|---|
| ATC code | S01BC05 |
| AHFS class | 88:28.01* ; See footnote |
| 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) | 02248722 |
|---|---|
| DIN (unpadded, as printed on some documents) | 2248722 |
| Brand name | ACULAR LS |
| Generic / active ingredient | KETOROLAC TROMETHAMINE : 0.4 % |
| Market authorization holder | ABBVIE CORPORATION |
| Health Canada schedule | Prescription |
| ATC code | S01BC05 |
| ATC anatomical main group | S — Sensory organs |
| ATC therapeutic subgroup | S01BC |
| Current status | CANCELLED POST MARKET |
| Status date | 03-Jul-2025 |
| Original market date | 2004-01-30 00:00:00 |
| Status source | Live Health Canada DPD sync |
Verify on the primary sources
How is it administered?
ACULAR: 1-2 drops every 6-8 hours starting 24h before surgery for 3-4 weeks. ACULAR LS: 1 drop 4 times a day for up to 4 days. Topical ophthalmic use only.
Included because it drives pack selection and wastage. Consult the monograph.
Contraindications
Hypersensitivity to this drug or to any ingredient in the formulation, including any non-medicinal ingredient, or component of the container.
Warnings and precautions
Topical NSAIDs may slow wound healing. Risk of keratitis and corneal adverse events in complicated surgeries or ocular surface disease. Potential for increased bleeding of ocular tissues.
Is Ketorolac in shortage in Canada?
A Canadian shortage report is on file for a product containing this molecule: Active — reported by AA PHARMA INC (Tier 3 Drug Shortages About & Resources), last seen 09 Sep 2026. A shortage on one presentation does not always affect every DIN of the molecule — the alternatives below list what else is marketed in Canada. Nexara can confirm current availability and identify substitutions or import options where permitted.
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
3 of 6 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.
| Product | Strength | Form | Holder | Health Canada status | DIN |
|---|---|---|---|---|---|
| ACULAR | 0.5 % | SOLUTION | ABBVIE CORPORATION | MARKETED | 01968300 |
| ACUVAIL | 0.45 % | SOLUTION | ABBVIE CORPORATION | MARKETED | 02369362 |
| KETOROLAC | 0.5 % | SOLUTION | AA PHARMA INC | MARKETED | 02245821 |
| NU-KETOROLAC OPHTHALMIC SOLUTION | 0.5 % | SOLUTION | NU-PHARM INC | CANCELLED (UNRETURNED ANNUAL) | 02336693 |
| RATIO-KETOROLAC | 0.5 % | SOLUTION | RATIOPHARM INC DIVISION OF TEVA CANADA LIMITED | CANCELLED POST MARKET | 02247461 |
2 · Same class — other molecules in ATC S01BC
| Molecule | Canadian brands | DINs | Marketed | Sourceable |
|---|---|---|---|---|
| Ketorolac | ACULAR · ACULAR LS · ACUVAIL · KETOROLAC · +2 more | 6 | 3 | Yes |
| Bromfenac | APO-BROMFENAC · AURO-BROMFENAC · EUGIA-BROMFENAC · PROLENSA | 4 | 3 | Yes |
| Diclofenac | APO-DICLOFENAC OPHTHALMIC · DICLOFENAC · JAMP DICLOFENAC · MINT-DICLOFENAC · +3 more | 7 | 2 | Yes |
| Nepafenac | ILEVRO · NEVANAC | 2 | 2 | Yes |
| Indometacin | INDOCID STERILE OPH SUSP 1% · INDOCOLLYRE | 2 | 0 | Not in Canada |
| Flurbiprofen | OCUFEN OPH SOLN 0.03% | 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 S01B
| ATC subgroup | Molecules | DINs | Marketed |
|---|---|---|---|
| S01BA | Corticosteroids, Plain · Dexamethasone · Fluocinolone Acetonide · Fluorometholone · Hydrocortisone · +5 more | 38 | 15 |
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 ACULAR LS called?
The same molecule, Ketorolac, 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 |
|---|---|---|
| ACULAR | Latin | Morocco |
| Acular Augentropf. | Latin | Austria |
| Tora-Dol | Latin | South Africa |
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.