Product Details

Reclipsen 28

Desogestrel + Ethinyl Estradiol
0.15 mg + 0.03 mg
Tablet
28's Pack

DIN/PIN/NPN

02417464

Manufacturer

Actavis Pharma Company

Formulary Listing Date

2014-05-29

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

68:32:00 Progestogens and Oral Contraceptives

Therapeutic Note

NO

ATC Code

G03AA09

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02417464	Reclipsen 28	NA	NA
02410257	Mirvala 28	7.7700	7.7700
02042479	Marvelon 28	21.1050	7.7700
02396610	Freya 28	7.7700	7.7700
02317206	Apri 28	11.4200	7.7700

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph