Product Details

Yaz

Drospirenone + Ethinyl Estradiol
3 mg + 0.02 mg
Tablet
28's Pack

DIN/PIN/NPN

02321157

Manufacturer

Bayer Inc., Health Care Division

Formulary Listing Date

2009-09-30  

Unit Price

16.5200

Amount MOH Pays

8.2600

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
02321157 Yaz 16.5200 8.2600
02415380 MYA 8.2600 8.2600
02462060 Drospirenone&Ethinyl Estradiol USP 8.2600 8.2600
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph