Product Details
Plan B
Levonorgestrel1.5 mg
Tablet
1's Pack
DIN/PIN/NPN
02293854
Manufacturer
Teva Branded Pharmaceutical Products R&D Inc.
Formulary Listing Date
2016-09-29
Unit Price
17.2000
Amount MOH Pays
8.6000
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
G03AD01
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02293854 | Plan B | 17.2000 | 8.6000 |
| 02425009 | Contingency One | 8.6000 | 8.6000 |
| 02433532 | Backup Plan Onestep | 8.6000 | 8.6000 |