Product Details

Mirvala 28

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

DIN/PIN/NPN

02410257

Manufacturer

Apotex Inc.

Formulary Listing Date

2014-01-30  

Unit Price

7.7700

Amount MOH Pays

7.7700

Coverage Status

General 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