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

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 20.1010 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