Product Details

Seasonale

Ethinyl Estradiol + Levonorgestrel
0.03 mg + 0.15 mg
Tablet
91's Pack

DIN/PIN/NPN

02296659

Manufacturer

Teva Women's Health Inc.

Formulary Listing Date

2016-11-30

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

68:32:00 Progestogens and Oral Contraceptives

Therapeutic Note

NO

ATC Code

G03AA07

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02296659	Seasonale	NA	NA
02398869	Indayo	45.9550	NA

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph