Product Details

Apri 21

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

DIN/PIN/NPN

02317192

Manufacturer

Barr Laboratories Inc.

Formulary Listing Date

2009-04-01

Unit Price

11.4200

Amount MOH Pays

7.7700

Coverage Status

General 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
02420813	Reclipsen 21	NA	NA
02410249	Mirvala 21	7.7700	7.7700
02042487	Marvelon 21	20.1010	7.7700
02396491	Freya 21	7.7700	7.7700
02317192	Apri 21	11.4200	7.7700

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph