PV Bulletin

Addition of Donanemab, Islatravir, and Pegzilarginase to Prescription Drug List

Health Canada has amended the Prescription Drug List to include new medicinal ingredients requiring prescription status.

Primary source: Health Canada

PV Impact Brief

Urgency: HighConfidence: high

What changed

Donanemab, islatravir, and pegzilarginase have been added to the Prescription Drug List and are now classified as prescription drugs in Canada.

Why it matters

The prescription classification triggers mandatory safety monitoring and reporting processes for MAHs and limits advertising practices, influencing compliance and market behavior.

Action needed

MAHs must implement safety monitoring protocols and ensure compliance with reporting obligations associated with the newly classified prescription drugs.

Relevant for
Regulatory Intelligence LeadLabeling LeadQPPV
Processes impacted
Country ComplianceLabeling
Owner

Regulatory Intelligence Lead

Review cadence

Review in the next regulatory intelligence cycle.

Policy change details

Document type
Notice
Policy status
effective
Publication date
2026-06-25
Policy change
Health Canada issued a notice amending the Prescription Drug List (PDL) to include three new medicinal ingredients: donanemab, islatravir, and pegzilarginase. These ingredients now require prescription status for human and veterinary use.

Key changes

Classification of Donanemab, Islatravir, and Pegzilarginase as prescription drugs in Canada.

Affected workflows

Country ComplianceLabeling

Responsible groups

Regulatory AffairsPV Operations

PV impact

Prescription status triggers specific safety monitoring and reporting obligations for MAHs, and restricts direct-to-consumer advertising.

View regulator source

Evidence and confidence

Confidence: highSource updated: Jun 25, 2026

Full briefing

Practical implication

MAHs must implement safety monitoring protocols and ensure compliance with reporting obligations associated with the newly classified prescription drugs.

Health Canada amended the Prescription Drug List to include donanemab, islatravir, and pegzilarginase, necessitating prescription status for both human and veterinary use. This change imposes specific safety monitoring and reporting obligations on Marketing Authorization Holders (MAHs) and restricts direct-to-consumer advertising.

What changed: Donanemab, islatravir, and pegzilarginase have been added to the Prescription Drug List and are now classified as prescription drugs in Canada.

Why it matters: The prescription classification triggers mandatory safety monitoring and reporting processes for MAHs and limits advertising practices, influencing compliance and market behavior.

Practical implication: MAHs must implement safety monitoring protocols and ensure compliance with reporting obligations associated with the newly classified prescription drugs.

View original source

Published from the Firecrawl policy change extraction pipeline.

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