Product Details

Tricira Lo (28 Day)

Norgestimate + Ethinyl Estradiol
3-Phase
Tablet
28's Pack

DIN/PIN/NPN

02401975

Manufacturer

Apotex Inc.

Formulary Listing Date

2014-07-30

Unit Price

13.3900

Amount MOH Pays

13.3900

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

68:32:00 Progestogens and Oral Contraceptives

Therapeutic Note

NO

ATC Code

G03AB09

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02258587	Tri-Cyclen Lo	NA	NA
02401975	Tricira Lo (28 Day)	13.3900	13.3900

LU Clinical Criteria

NO

Requirements

NA

EAP Criteria

NO

Product Monograph