Product Details

Mirvala 28

Desogestrel + Ethinyl Estradiol
0.15 mg + 0.03 mg
Tablet
28's Pack

DIN/PIN/NPN

02410257

Manufacturer

Apotex Inc.

Formulary Listing Date

2014-01-30

Unit Price

5.2780

Amount MOH Pays

5.2780

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

68:32:00 Progestogens and Oral Contraceptives

Therapeutic Note

NO

ATC Code

G03AA09

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02410257	Mirvala 28	5.2780	5.2780
02042479	Marvelon 28	21.1050	5.2780
02396610	Freya 28	5.2780	5.2780
02317206	Apri 28	5.2780	5.2780
02556561	Miley 28	5.2780	5.2780

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph