Product Details

Mirena

Levonorgestrel
52 mg
Insert

DIN/PIN/NPN

02243005

Manufacturer

Bayer Inc., Consumer Care Division

Formulary Listing Date

2001-10-11

Unit Price

380.0000

Amount MOH Pays

380.0000

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

G02BA03

Interchangeable Products

NO

LU Clinical Criteria

NO

Requirements

EAP Criteria

NO

Product Monograph

View Monograph