Product Details

Yasmin 21

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

DIN/PIN/NPN

02261723

Manufacturer

Bayer Inc., Health Care Division

Formulary Listing Date

2007-06-06  

Unit Price

12.4400

Amount MOH Pays

6.2181

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
02410788 Zamine 21 6.2181 6.2181
02261723 Yasmin 21 12.4400 6.2181
02421437 Drospirenone&Ethinyl Estradiol USP 21 6.2181 6.2181
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph