YESAFILI 2 MG / 0.05 ML — DIN 02558238
AFLIBERCEPT : 2 MG / 0.05 ML · BIOSIMILAR COLLABORATIONS IRELAND LIMITED · SOLUTION · wholesale supply in Canada
Health Canada status: MARKETED

What is YESAFILI?
YESAFILI 2 MG / 0.05 ML contains AFLIBERCEPT : 2 MG / 0.05 ML. It is listed in the Health Canada Drug Product Database under DIN 02558238, held by BIOSIMILAR COLLABORATIONS IRELAND LIMITED, supplied as SOLUTION for INTRAVITREAL administration. Health Canada currently lists it as marketed, status dated 22-May-2026. 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 YESAFILI used for?
YESAFILI (aflibercept, solution for intravitreal injection) is indicated for: • the treatment of neovascular (wet) age-related macular degeneration (AMD) • the treatment of visual impairment due to macular edema secondary to central retinal vein occlusion (CRVO) • the treatment of visual impairment due to macular edema secondary to branch retinal vein occlusion (BRVO) • the treatment of diabetic macular edema (DME) • the treatment of myopic choroidal neovascularization (myopic CNV)
Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.
How much does Aflibercept cost around the world?
Aflibercept is listed on 13 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; Bahrain publishes a retail (max); Czechia publishes a max 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 |
|---|---|---|---|---|
| Australia | ex-manufacturer | 2 | 32 | AUD███.██ |
| Czechia | max producer price (ex-factory) | 8 | 15 | CZK███.██ |
| Hungary | producer price (ex-factory) | 12 | 12 | HUF███.██ |
| Slovakia | categorised final price | 11 | 12 | EUR███.██ |
| Norway | max AUP (pharmacy retail) | 4 | 10 | NOK███.██ |
| Italy | ex-factory (classe H) | 7 | 7 | EUR███.██ |
| Greece | producer price (ex-factory) | 6 | 6 | EUR███.██ |
| Romania | max producer price | 3 | 6 | RON███.██ |
| Saudi Arabia | public | 6 | 6 | SAR███.██ |
| Iceland | max wholesale | 1 | 4 | ISK███.██ |
| Bahrain | retail (max) | 2 | 3 | BHD███.██ |
| United Arab Emirates | public | 2 | 2 | AED███.██ |
| South Africa | single exit price | 1 | 1 | ZAR███.██ |
116 pack listings across 65 brand entries and 11 price bases, refreshed 08 Sep 2026. Ranges span every Aflibercept 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 Aflibercept 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 Aflibercept, across 10 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 |
|---|---|---|---|---|
| BAYER INC | 4 | 4 | EYLEA, EYLEA HD | Sourceable in Canada |
| APOTEX INC | 2 | 2 | AFLIVU | Sourceable in Canada |
| BIOSIMILAR COLLABORATIONS IRELAND LIMITED | 2 | 2 | YESAFILI | Sourceable in Canada |
| AMGEN CANADA INC | 2 | 1 | PAVBLU | 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 | 2 MG / 0.05 ML |
|---|---|
| Dosage form | SOLUTION |
| Route | INTRAVITREAL |
| Pack configuration (monograph) | Pre-filled Syringes: Each carton includes a USP Type 1 glass pre-filled syringe fitted with plunger stopper containing a nominal fill volume of 170 microliters solution for intravitreal injection. One package insert in each carton. Each pre-filled syringe provides a usable amount to deliver a single dose of 50 microliters containing 2 mg aflibercept. Vials: There are 2 Cartons of YESAFILI available containing the following: 1. YESAFILI Carton contains (Full kit): • one YESAFILI 2 mg/0.05 mL single-dosetype I glass vial nominal fill volume of 278 microliters solution for intravitreal injection with a rubber stopper • one 18-gauge x 1½-inch, 5-micron, filter needle for withdrawal of the vial contents • one 30-gauge x ½-inch injection needle for intravitreal injection • one 1-mL syringe for administration • one package insert 2. YESAFILI Carton contains (Half kit): • one YESAFILI 2 mg/0.05 mL single-dose type I glass vial nominal fill volume of 278 microliters solution for intravitreal injection with a rubber stopper • one 18-gauge x 1½-inch, 5-micron, filter needle for withdrawal of the vial contents • one package insert Each vial provides a usable amount to deliver a single dose of 50 microliters containing 2 mg aflibercept. |
| Storage | Vial: Store in a refrigerator (2°C to 8°C). Do not freeze. Keep the vial in the outer carton in order to protect from light. Prior to usage, unopened vial of Aflibercept may be stored at room temperature (25°C) for up to 48 hours. After opening the vial, proceed under aseptic conditions. Pre-filled syringe: Store in a refrigerator (2°C to 8°C). Do not freeze. Keep the pre-filled syringe in its blister pack and in the outer carton in order to protect from light. Prior to usage, the unopened blister pack may be stored at room temperature (25°C) for up to 72 hours. After opening the blister pack, proceed under aseptic conditions. |
| Shipping class | Cold chain — validated shipper with temperature monitoring |
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.
Cold chain. This product is stored refrigerated. Nexara ships it on a validated cold chain with temperature monitoring; a delivery address that cannot receive and store it at 2–8 °C on arrival must be flagged before the order is placed.
Substance and classification
| Active substance | Aflibercept |
|---|---|
| ATC code | S01LA05 |
| Biosimilar biologic | Yes |
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) | 02558238 |
|---|---|
| DIN (unpadded, as printed on some documents) | 2558238 |
| Brand name | YESAFILI |
| Generic / active ingredient | AFLIBERCEPT : 2 MG / 0.05 ML |
| Market authorization holder | BIOSIMILAR COLLABORATIONS IRELAND LIMITED |
| Health Canada schedule | Prescription |
| ATC code | S01LA05 |
| ATC anatomical main group | S — Sensory organs |
| ATC therapeutic subgroup | S01LA |
| Current status | MARKETED |
| Status date | 22-May-2026 |
| Status source | Live Health Canada DPD sync |
Verify on the primary sources
How is it administered?
FOR OPHTHALMIC INTRAVITREAL INJECTION ONLY. Treatment of wet AMD: The recommended dose for YESAFILI is 2 mg (0.05 mL or 50 microliters) administered by intravitreal injection every month (4 weeks) for the first 3 doses followed by 2 mg (0.05 mL) via intravitreal injection every 2 months (8 weeks). The maximum treatment interval between injections should not exceed 12 weeks in the first year of treatment and not exceed 16 weeks after the first year. Patients should be evaluated regularly. Treatment of CRVO and BRVO: The recommended dose for YESAFILI is 2 mg (0.05 mL or 50 microliters) administered by intravitreal injection once every month (4 weeks). The interval between two doses should not be shorter than one month. The treatment interval may be extended up to 3 months (12 weeks) based on visual and anatomic outcomes. Prescribers are advised to periodically assess (every 1 to 2 months) the need for continued therapy. Treatment of DME: The recommended dose for YESAFILI is 2 mg aflibercept (equivalent to 50 microliters solution for injection) administered by intravitreal injection monthly (once every 4 weeks) for the first 5 consecutive doses, followed by one injection every 2 months (8 weeks). Treatment of myopic CNV: The recommended dose for YESAFILI is a single intravitreal injection of 2 mg aflibercept (equivalent to 50 microliters solution for injection). Additional doses should be administered only if visual and/or anatomic outcomes indicate that the disease persists. The interval between two doses should not be shorter than one month (4 weeks). Recurrences are treated like a new manifestation of the disease. Administration: Intravitreal injections must be carried out by a qualified physician experienced in administering intravitreal injections, and according to medical standards and under controlled aseptic conditions. Prior to administration visually inspect the solution for injection. Do not use the pre-filled syringe or vial if particulates, cloudiness, or discolouration are visible. Do not use if any part of the pre-filled syringe is damaged or loose, or if the syringe cap is detached from the Luer-lock. The pre-filled syringe or vial is for single-use only. The pre-filled syringe or vial contents should not be split or further compounded. Use of more than one injection from a pre-filled syringe or vial may increase the risk of contamination and subsequent infection. YESAFILI must only be administered by a qualified physician experienced in administering intravitreal injections. The pre-filled syringe contains more than the recommended dose of 2 mg aflibercept (equivalent to 50 microliters solution for injection). The excess volume must be expelled before injecting. To expel the air bubbles along with excess drug, slowly depress the plunger to align the base of the plunger dome (not the tip of the dome) with the dosing line on the syringe (equivalent to 50 microliters i.e. 2 mg aflibercept). AFTER INJECTION, ANY UNUSED PRODUCT MUST BE DISCARDED.
Included because it drives pack selection and wastage. Consult the monograph.
Contraindications
• Patients who are hypersensitive to this drug, to any ingredient in the formulation, or to any component of the container. • Patients with ocular or periocular infection • Patients with active intraocular inflammation
Warnings and precautions
Hypersensitivity: As with all therapeutic proteins, there is a risk of hypersensitivity reactions including anaphylaxis. Patients should be instructed to report any symptoms of anaphylaxis, allergic reactions or intraocular inflammation (e.g., pain, photophobia, or redness, which, although non-specific, should also be assessed as potential hypersensitivity reactions). Ophthalmologic: Endophthalmitis, Retinal detachments and Cataracts: Intravitreal injections, including those with aflibercept, have been associated with endophthalmitis, retinal detachment, retinal tear, retinal pigment epithelium tear, cataract including traumatic cataract, vitreous hemorrhage and hyphema. Patients should be instructed to report any symptoms suggestive of any event listed above without delay and should be managed appropriately. Retinal vasculitis and Retinal occlusive vasculitis: Retinal vasculitis and retinal occlusive vasculitis have been reported with the use of YESAFILI, typically in the presence of intraocular inflammation or treatment with other intravitreal agents. Patients experiencing any change in vision following treatment should talk to their health professional without delay to determine continuation of treatment. Increase in Intraocular Pressure: Increases in intraocular pressure have been observed within 60 minutes of an intravitreal injection, including with aflibercept. Sustained IOP increases > 21 mm Hg have also been reported. In all cases, both intraocular pressure and the perfusion of the optic nerve head must therefore be monitored and managed appropriately. Aflibercept has not been tested in patients with poorly controlled glaucoma. Other: As with other intravitreal anti-VEGF treatments, treatment should be withheld and resumed only when considered appropriate in cases of: • An IOP of ≥ 30 mmHg • Within the previous or next 28 days in the event of a performed or planned intraocular surgery • A retinal break. The treatment should not be resumed until the break is adequately repaired. Thromboembolic Events: Arterial thromboembolic events (ATEs) are adverse events potentially related to systemic VEGF inhibition. There is a potential risk of ATEs following intravitreal use of VEGF inhibitors, including Aflibercept.
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 10 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.
| Product | Strength | Form | Holder | Health Canada status | DIN |
|---|---|---|---|---|---|
| AFLIVU | 2 MG / 0.05 ML | SOLUTION | APOTEX INC | MARKETED | 02554194 |
| AFLIVU | 2 MG / 0.05 ML | SOLUTION | APOTEX INC | MARKETED | 02554178 |
| EYLEA | 2 MG / 0.05 ML | SOLUTION | BAYER INC | MARKETED | 02415992 |
| EYLEA | 2 MG / 0.05 ML | SOLUTION | BAYER INC | MARKETED | 02505355 |
| EYLEA HD | 8 MG / 0.07 ML | SOLUTION | BAYER INC | MARKETED | 02554798 |
| EYLEA HD | 8 MG / 0.07 ML | SOLUTION | BAYER INC | MARKETED | 02545004 |
| PAVBLU | 2 MG / 0.05 ML | SOLUTION | AMGEN CANADA INC | MARKETED | 02550636 |
| YESAFILI | 2 MG / 0.05 ML | SOLUTION | BIOSIMILAR COLLABORATIONS IRELAND LIMITED | MARKETED | 02535858 |
| PAVBLU | 2 MG / 0.05 ML | SOLUTION | AMGEN CANADA INC | APPROVED | 02550628 |
2 · Same class — other molecules in ATC S01LA
| Molecule | Canadian brands | DINs | Marketed | Sourceable |
|---|---|---|---|---|
| Aflibercept | AFLIVU · EYLEA · EYLEA HD · PAVBLU · +1 more | 10 | 9 | Yes |
| Ranibizumab | BYOOVIZ · LUCENTIS · RANOPTO · SUSVIMO | 5 | 4 | Yes |
| Faricimab | VABYSMO | 2 | 2 | Yes |
| Brolucizumab | BEOVU | 2 | 1 | Yes |
| Pegaptanib | MACUGEN | 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.
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 YESAFILI called?
Also recorded in Canada as: 0.05 ML aflibercept 40 MG/ML Injection [Eylea] (US), 8 ML ziv-aflibercept 25 MG/ML Injection [Zaltrap] (US), 4 ML ziv-aflibercept 25 MG/ML Injection [Zaltrap] (US), 0.07 ML aflibercept 114 MG/ML Injection [Eylea] (US), 0.05 ML aflibercept 40 MG/ML Prefilled Syringe [Eylea] (US), 0.05 ML aflibercept-ayyh 40 MG/ML Prefilled Syringe [Pavblu] (US), 0.05 ML aflibercept-ayyh 40 MG/ML Injection [Pavblu] (US), 0.05 ML aflibercept-mrbb 40 MG/ML Injection [Ahzantive] (US), 0.05 ML aflibercept-yszy 40 MG/ML Injection [Opuviz] (US), 0.05 ML aflibercept-boav 40 MG/ML Prefilled Syringe [Eydenzelt] (US), 0.05 ML aflibercept-boav 40 MG/ML Injection [Eydenzelt] (US), 0.05 ML aflibercept 40 MG/ML Injection (US), 8 ML ziv-aflibercept 25 MG/ML Injection (US), 4 ML ziv-aflibercept 25 MG/ML Injection (US), 0.07 ML aflibercept 114 MG/ML Injection (US).
The same molecule, Aflibercept, 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 |
|---|---|---|
| Eylea | Latin | Australia, Bahrain, Czechia, Iceland, Norway, Saudi Arabia, South Africa |
| Afqlir | Latin | Australia, Czechia, Norway |
| Mynzepli | Latin | Czechia, Norway |
| Zaltrap | Latin | Czechia, Norway |
| EYDENZELT | Latin | Czechia |
| OPUVIZ | Latin | Czechia |
| AHZANTIVE | Latin | Czechia |
| FOVLYA | Latin | Saudi Arabia |
| Okovend | Latin | Saudi Arabia |
| VGENFLI | Latin | Czechia |
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.