ZOLEDRONIC ACID - Z 4 MG / 5 ML — DIN 02401606
ZOLEDRONIC ACID (ZOLEDRONIC ACID MONOHYDRATE) : 4 MG / 5 ML · SANDOZ CANADA INCORPORATED · SOLUTION · wholesale supply in Canada
Health Canada status: MARKETED
What is ZOLEDRONIC ACID - Z?
ZOLEDRONIC ACID - Z 4 MG / 5 ML contains ZOLEDRONIC ACID (ZOLEDRONIC ACID MONOHYDRATE) : 4 MG / 5 ML. It is listed in the Health Canada Drug Product Database under DIN 02401606, held by SANDOZ CANADA INCORPORATED, supplied as SOLUTION for INTRAVENOUS administration. Health Canada currently lists it as marketed, status dated 15-Jan-2014. 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 ZOLEDRONIC ACID - Z used for?
Treatment of Tumour-Induced Hypercalcemia (cCa ≥ 12.0 mg/dL); bone metastases of solid tumours and osteolytic lesions of multiple myeloma.
Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.
How much does Zoledronic Acid cost around the world?
Zoledronic Acid is listed on 12 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; Austria publishes a KVP (Kassenverkaufspreis); Bahrain publishes a retail (max). 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 |
|---|---|---|---|---|
| Australia | ex-manufacturer | 9 | 24 | AUD███.██ |
| Saudi Arabia | public | 14 | 15 | SAR███.██ |
| South Africa | single exit price | 12 | 12 | ZAR███.██ |
| Czechia | max producer price (ex-factory) | 5 | 5 | CZK███.██ |
| Greece | producer price (ex-factory) | 5 | 5 | EUR███.██ |
| Austria | KVP (Kassenverkaufspreis) | 4 | 4 | EUR███.██ |
| United Kingdom | hospital | 4 | 4 | GBP███.██ |
| United States | acquisition | 1 | 4 | USD███.██ |
| Bahrain | retail (max) | 2 | 2 | BHD███.██ |
| Luxembourg | reimbursement | 2 | 2 | EUR███.██ |
| United Arab Emirates | public | 1 | 1 | AED███.██ |
| Hungary | producer price (ex-factory) | 1 | 1 | HUF███.██ |
79 pack listings across 60 brand entries and 10 price bases, refreshed 08 Sep 2026. Ranges span every Zoledronic Acid 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 Zoledronic Acid 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.
17 holders have a Canadian DIN containing Zoledronic Acid, across 26 DINs, of which 9 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 |
|---|---|---|---|---|
| SANDOZ CANADA INCORPORATED | 3 | 2 | ACLASTA, ZOLEDRONIC ACID - A, ZOLEDRONIC ACID - Z | Sourceable in Canada |
| DR REDDY'S LABORATORIES LTD | 2 | 2 | ZOLEDRONIC ACID FOR INJECTION CONCENTRATE, ZOLEDRONIC ACID INJECTION | Sourceable in Canada |
| MARCAN PHARMACEUTICALS INC | 2 | 1 | ZOLEDRONIC ACID FOR INJECTION, ZOLEDRONIC ACID INJECTION | Sourceable in Canada |
| NOVARTIS PHARMACEUTICALS CANADA INC | 2 | 1 | ZOMETA CONCENTRATE, ZOMETA LYOPHILIZED POWDER | Sourceable in Canada |
| TARO PHARMACEUTICALS INC | 2 | 1 | TARO-ZOLEDRONIC ACID, TARO-ZOLEDRONIC ACID CONCENTRATE | Sourceable in Canada |
| FRESENIUS KABI CANADA LTD | 1 | 1 | ZOLEDRONIC ACID FOR INJECTION | Sourceable in Canada |
| JAMP PHARMA CORPORATION | 1 | 1 | JAMP-ZOLEDRONIC ACID | Sourceable in Canada |
| ACTAVIS PHARMA COMPANY | 2 | 0 | ACT ZOLEDRONIC ACID, ACT ZOLEDRONIC ACID CONCENTRATE | No marketed DIN |
| PFIZER CANADA ULC | 2 | 0 | ZOLEDRONIC ACID FOR INJECTION, ZOLEDRONIC ACID INJECTION A | No marketed DIN |
| TEVA CANADA LIMITED | 2 | 0 | ZOLEDRONIC ACID FOR INJECTION, ZOLEDRONIC ACID INJECTION | No marketed DIN |
| APOTEX INC | 1 | 0 | ZOLEDRONIC ACID CONCENTRATE | No marketed DIN |
| OMEGA LABORATORIES LIMITED | 1 | 0 | ZOLEDRONIC ACID FOR INJECTION CONCENTRATE | 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 | 4 MG / 5 ML |
|---|---|
| Dosage form | SOLUTION |
| Route | INTRAVENOUS |
| Pack configuration (monograph) | 4 mg/5 mL concentrate (specific container details not in provided text snippet). |
| Storage | Not explicitly detailed in the provided text snippet (refer to STORAGE AND STABILITY section). |
Before an order line is unambiguous Nexara needs the strength, the pack size and the presentation, because this listing covers more than one of them.
Substance and classification
| Active substance | Zoledronic Acid |
|---|---|
| ATC code | M05BA08 |
| AHFS class | 92:24.00 |
| 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) | 02401606 |
|---|---|
| DIN (unpadded, as printed on some documents) | 2401606 |
| Brand name | ZOLEDRONIC ACID - Z |
| Generic / active ingredient | ZOLEDRONIC ACID (ZOLEDRONIC ACID MONOHYDRATE) : 4 MG / 5 ML |
| Market authorization holder | SANDOZ CANADA INCORPORATED |
| Health Canada schedule | Prescription |
| ATC code | M05BA08 |
| ATC anatomical main group | M — Musculo-skeletal system |
| ATC therapeutic subgroup | M05BA |
| Current status | MARKETED |
| Status date | 15-Jan-2014 |
| Original market date | 2014-01-15 00:00:00 |
| Status source | Live Health Canada DPD sync |
Verify on the primary sources
How is it administered?
4 mg via IV infusion over at least 15 minutes. For bone metastases with renal impairment, lower doses are recommended. Patients must be adequately hydrated.
Included because it drives pack selection and wastage. Consult the monograph.
Contraindications
Hypersensitivity to zoledronic acid/bisphosphonates; non-corrected hypocalcaemia; pregnancy and breastfeeding.
Warnings and precautions
Risk of Osteonecrosis of the Jaw (ONJ), deterioration in renal function (may progress to failure), and severe hypocalcaemia. Single doses must not exceed 4 mg.
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
9 of 26 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.
| Product | Strength | Form | Holder | Health Canada status | DIN |
|---|---|---|---|---|---|
| ACLASTA | 5 MG / 100 ML | SOLUTION | SANDOZ CANADA INCORPORATED | MARKETED | 02269198 |
| JAMP-ZOLEDRONIC ACID | 4 MG / 5 ML | SOLUTION | JAMP PHARMA CORPORATION | MARKETED | 02482525 |
| TARO-ZOLEDRONIC ACID CONCENTRATE | 4 MG / 5 ML | SOLUTION | TARO PHARMACEUTICALS INC | MARKETED | 02415186 |
| ZOLEDRONIC ACID FOR INJECTION | 4 MG / 5 ML | SOLUTION | FRESENIUS KABI CANADA LTD | MARKETED | 02434458 |
| ZOLEDRONIC ACID FOR INJECTION | 4 MG / 5 ML | SOLUTION | MARCAN PHARMACEUTICALS INC | MARKETED | 02472805 |
| ZOLEDRONIC ACID FOR INJECTION CONCENTRATE | 4 MG / 5 ML | SOLUTION | DR REDDY'S LABORATORIES LTD | MARKETED | 02422425 |
| ZOLEDRONIC ACID INJECTION | 5 MG / 100 ML | SOLUTION | DR REDDY'S LABORATORIES LTD | MARKETED | 02422433 |
| ZOMETA CONCENTRATE | 4 MG / 5 ML | SOLUTION | NOVARTIS PHARMACEUTICALS CANADA INC | MARKETED | 02248296 |
| ACT ZOLEDRONIC ACID | 5 MG / 100 ML | SOLUTION | ACTAVIS PHARMA COMPANY | CANCELLED PRE MARKET | 02408449 |
| ACT ZOLEDRONIC ACID CONCENTRATE | 4 MG / 5 ML | SOLUTION | ACTAVIS PHARMA COMPANY | CANCELLED PRE MARKET | 02408325 |
2 · Same class — other molecules in ATC M05BA
| Molecule | Canadian brands | DINs | Marketed | Sourceable |
|---|---|---|---|---|
| Risedronic Acid | AA-RISEDRONATE DR · ACTONEL · ACTONEL DR · APO-RISEDRONATE · +15 more | 40 | 20 | Yes |
| Alendronic Acid | ACCEL-ALENDRONATE · ACH-ALENDRONATE · ACT ALENDRONATE · AG-ALENDRONATE · +31 more | 79 | 17 | Yes |
| Zoledronic Acid | ACLASTA · ACT ZOLEDRONIC ACID · ACT ZOLEDRONIC ACID CONCENTRATE · JAMP-ZOLEDRONIC ACID · +14 more | 26 | 9 | Yes |
| Pamidronic Acid | AREDIA · AREDIA 30MG · AREDIA 90MG · AREDIA LIQ INJ 3MG/ML · +6 more | 23 | 8 | Yes |
| Clodronic Acid | BONEFOS · CLASTEON · OSTAC CAP 400MG | 4 | 1 | Yes |
| Etidronic Acid | ACT ETIDRONATE · APO-ETIDRONATE · DIDRONEL INJ 50MG/ML · DIDRONEL TAB 200MG · +2 more | 9 | 0 | Not in Canada |
| Ibandronic Acid | BONDRONAT | 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 M05B
| ATC subgroup | Molecules | DINs | Marketed |
|---|---|---|---|
| M05BX | Burosumab · Denosumab · Romosozumab | 9 | 8 |
| M05BB | Alendronic Acid And Cholecalciferol · Etidronic Acid And Calcium, Sequential · Risedronic Acid And Calcium, Sequential · Risedronic Acid, Calcium And Cholecalciferol, Sequential | 22 | 6 |
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 ZOLEDRONIC ACID - Z called?
The same molecule, Zoledronic Acid, 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 |
|---|---|---|
| Aclasta | Latin | Australia, Bahrain, Czechia, South Africa |
| Zoledronic Acid Accord | Latin | Australia, Czechia |
| DEZTRON | Latin | Australia |
| Zometa | Latin | Australia, Czechia |
| APO-Zoledronic Acid | Latin | Australia |
| Osteovan | Latin | Australia |
| Zoledasta | Latin | Australia |
| Austell Zoledronic Acid IV | Latin | South Africa |
| Eurodron | Latin | South Africa |
| ZIDRONIC | Latin | Bahrain |
| Zobone | Latin | South Africa |
| Zolapor | Latin | South Africa |
| Zoldron | Latin | South Africa |
| ZOLEDRONIC ACID FRESENIUS KABI | Latin | Czechia |
| Zoledronic Acid SPC | Latin | Saudi Arabia |
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.