Product Details
Tricira Lo (21 Day)
Norgestimate + Ethinyl Estradiol
3-Phase
Tablet
21's Pack
DIN/PIN/NPN
02401967
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
Therapeutic Note
NO
ATC Code
G03AB09
Interchangeable Products
DIN/ PIN/ NPN |
Brand name |
Unit Price |
Amount MOH pays |
02258560 |
Tri-Cyclen Lo |
NA |
NA |
02401967 |
Tricira Lo (21 Day) |
13.3900 |
13.3900 |
LU Clinical Criteria
NO
EAP Criteria
NO
Product Monograph
View Monograph