Product Details

Yasmin 28

Drospirenone + Ethinyl Estradiol
3 mg + 0.03 mg
Tablet
28's Pack

DIN/PIN/NPN

02261731

Manufacturer

Bayer Inc., Health Care Division

Formulary Listing Date

2007-06-06  

Unit Price

12.4400

Amount MOH Pays

6.2188

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

G03AA12

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02410796 Zamine 28 6.2188 6.2188
02261731 Yasmin 28 12.4400 6.2188
02421445 Drospirenone&Ethinyl Estradiol USP 28 6.2188 6.2188
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph