Product Details

Triquilar 21

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

DIN/PIN/NPN

00707600

Manufacturer

Bayer Inc., Consumer Care Division

Formulary Listing Date

1996-10-01  

Unit Price

15.7500

Amount MOH Pays

15.7500

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

G03AB03

Interchangeable Products

NO  

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph