Product Details

Tri-Jordyna 21

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

DIN/PIN/NPN

02486296

Manufacturer

Glenmark Pharmaceuticals Canada Inc.

Formulary Listing Date

2020-10-30

Unit Price

14.3900

Amount MOH Pays

14.3900

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
02486296	Tri-Jordyna 21	14.3900	14.3900
02028700	Tri-Cyclen	NA	NA
02508087	Tri-Cira 21	14.3900	14.3900

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph