Product Details

Tri-Cyclen

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

DIN/PIN/NPN

02029421

Manufacturer

Janssen Inc.

Formulary Listing Date

1996-10-01

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

68:32:00 Progestogens and Oral Contraceptives

Therapeutic Note

NO

ATC Code

G03AB11

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02486318	Tri-Jordyna 28	14.3900	14.3900
02029421	Tri-Cyclen	NA	NA
02508095	Tri-Cira 28	14.3900	14.3900

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph