Product Details
AMB-Cyproterone Acetate/Ethinyl Estradiol
Cyproterone Acetate + Ethinyl Estradiol2 mg + 0.035 mg
Tablet
21's Pack
DIN/PIN/NPN
02564424
Manufacturer
Ambicare Pharmaceuticals Inc.
Formulary Listing Date
2026-05-29
Unit Price
23.3394
Amount MOH Pays
NA
Coverage Status
Off-Formulary Interchangeable
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
G03HB01
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02309556 | Teva-Cyproterone/Ethinyl Estradiol | 23.3400 | NA |
| 02425017 | Ran-Cyproterone/Ethinyl Estradiol | 23.3394 | NA |
| 02233542 | Diane-35 | NA | NA |
| 02290308 | Cyestra-35 | 23.3394 | NA |
| 02436736 | Cleo-35 | 23.3394 | NA |
| 02564424 | AMB-Cyproterone Acetate/Ethinyl Estradiol | 23.3394 | NA |
LU Clinical Criteria
NORequirements