Product Details
Audrina 28
Ethinyl Estradiol + Levonorgestrel20 mcg + 100 mcg
Tablet
28's Pack
DIN/PIN/NPN
02532182
Manufacturer
Jamp Pharma Corporation
Formulary Listing Date
2023-08-31
Unit Price
3.9425
Amount MOH Pays
3.9425
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
G03AA07
Interchangeable Products
DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
---|---|---|---|
02298546 | Aviane 28 | 3.9425 | 3.9425 |
02387883 | Alysena 28 | 3.9425 | 3.9425 |
02236975 | Alesse 28 | 15.7700 | 3.9425 |
02532182 | Audrina 28 | 3.9425 | 3.9425 |