Product Details

Haloette

Ethinyl Estradiol + Etonogestrel
0.015 mg + 0.120 mg/24 hr
Slow-Release Vaginal Ring


DIN/PIN/NPN

02520028

Manufacturer

Searchlight Pharma Inc.

Formulary Listing Date

2021-11-30  

Unit Price

14.2120

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

G02BB01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02520028 Haloette 14.2120 NA
02253186 Nuvaring NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph