Product Details

Triquilar 28

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

DIN/PIN/NPN

00707503

Manufacturer

Bayer Inc., Consumer Care Division

Formulary Listing Date

1996-10-01

Unit Price

16.0700

Amount MOH Pays

16.0700

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

68:32:00 Progestogens and Oral Contraceptives

Therapeutic Note

NO

ATC Code

G03AB03

Interchangeable Products

NO

LU Clinical Criteria

NO

Requirements

EAP Criteria

NO

Product Monograph

View Monograph