Use the search bar to search by drug, manufacturer, or indication. You can also filter your search results by drug, manufacturer, or negotiation status.
To learn more about a specific file, click on a drug name. It will open its product card, which includes information about the manufacturer, indication (the approved use of a drug by Health Canada), and negotiation milestones.
There are 6 negotiation statuses, which reflect where the drug file is in the pCPA process:
Under consideration for negotiation
We’re considering the evidence and gathering other information to inform the negotiation approach, including eligibility for expedited negotiation pathways.
Active negotiation
Negotiation activities are underway for the drug, with our negotiation team and the manufacturer meeting regularly.
Concluded with an LOI
Negotiations ended successfully with mutually agreed-upon terms, and these terms are outlined in a letter of intent (LOI).
Concluded without agreement
Negotiating parties couldn’t agree on terms. Negotiations have ended without a pricing agreement for the drug.
Negotiation not pursued
It has been decided, in partnership with our member drug plans, not to engage in a negotiation. Typically, this is because the drug’s health technology (HTA) assessment reimbursement recommendations were negative, or “do not reimburse.” Other reasons, like the manufacturer declining to negotiate or a lack of supply of the drug in Canada, may be reflected in an accompanying status note.
Negotiation on hold
We began negotiation activities for the drug, but they’ve since been paused. An accompanying status note indicates whether the pause was requested by the manufacturer or the pCPA.
Learn more
To learn more about our negotiation processes, or where the pCPA fits into the Canadian drug reimbursement system, consult these pages:
Pombiliti with Opfolda (cipaglucosidase alfa with miglustat)
Status:
Concluded with an LOI
Manufacturer:
Amicus Therapeutics Canada Inc.
Indication:
Pompe disease
Last updated:
July 8, 2026
Status:
Concluded with an LOI
Manufacturer:
Fresenius Kabi Canada Ltd.
Indication:
reducing the risk of developing skeletal-related events in patients with multiple myeloma and in patients with bone metastases from breast cancer, prostate cancer, non-small cell lung cancer, and other solid tumors; treatment of adults and skeletally mature adolescents with giant cell tumour of bone that is unresectable or where surgical resection is likely to result in severemorbidity; and treatment of hypercalcemia of malignancy that is refractory to intravenous bisphosphonate
Last updated:
July 7, 2026
Status:
Concluded with an LOI
Manufacturer:
Fresenius Kabi Canada Ltd.
Indication:
treatment of postmenopausal women with osteoporosis at high risk for fracture; treatment to increase bone mass in men with osteoporosis at high risk for fracture; treatment to increase bone mass in men with nonmetastatic prostate cancer receiving androgen deprivation therapy, who are at high risk for fracture; treatment to increase bone mass in women receiving adjuvant aromatase inhibitor therapy for nonmetastatic breast cancer; and treatment to increase bone mass for the treatment and prevention of glucocorticoid- induced osteoporosis in women and men at high risk for fracture
Last updated:
July 7, 2026
Status:
Concluded with an LOI
Manufacturer:
Knight Therapeutics Inc.
Indication:
Treatment of opioid-induced constipation (OIC) in adult patients with cancer and non-cancer pain who have had an inadequate response to laxative(s).
Last updated:
July 7, 2026
Keytruda (Active ENP) (pembrolizumab)
Status:
Active negotiation
Manufacturer:
Merck Canada Inc.
Indication:
for the treatment of adult patients with platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal carcinoma whose tumors express PD-L1 (CPS≥1) as determined by a validated test, and who have received one or two prior systemic treatment regimens
Last updated:
July 6, 2026
Status:
Active negotiation
Manufacturer:
Bayer Inc.
Indication:
As an adjunct to standard of care in adults with heart failure with left ventricular ejection fraction (LVEF) ≥ 40% to reduce the risk of cardiovascular death, hospitalization for heart failure, and urgent heart failure visits.
Last updated:
July 3, 2026
Status:
Concluded with an LOI
Manufacturer:
Theratechnologies Inc.
Indication:
As an adjunct to diet for the treatment of adults with familial chylomicronemia syndrome (FCS) to reduce triglyceride levels.
Last updated:
July 3, 2026
Alyftrek (vanzacaftor, tezacaftor, deutivacaftor)
Status:
Concluded with an LOI
Manufacturer:
Vertex Pharmaceuticals (Canada) Incorporated
Indication:
Cystic fibrosis, F508del or responsive CFTR mutation, 6 years and older
Last updated:
July 2, 2026
Status:
Under consideration for negotiation
Manufacturer:
Biogen Canada Inc.
Indication:
Friedreich's ataxia
Last updated:
June 30, 2026
Status:
Under consideration for negotiation
Manufacturer:
EMD Serono Canada, a division of EMD Inc.
Indication:
for the stimulation of follicular development in women, as part of an assisted procreation activity, administered concomitantly with follitropin
Last updated:
June 30, 2026