Product Details

Aviane 28

Ethinyl Estradiol + Levonorgestrel
20 mcg + 100 mcg
Tablet
28's Pack

DIN/PIN/NPN

02298546

Manufacturer

Teva Canada Limited

Formulary Listing Date

2008-01-15

Unit Price

3.9425

Amount MOH Pays

3.9425

Coverage Status

General Benefit

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
02298546	Aviane 28	3.9425	3.9425
02387883	Alysena 28	3.9425	3.9425
02236975	Alesse 28	15.7700	3.9425
02532182	Audrina 28	3.9425	3.9425

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph