Product Details

Apri 21

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

DIN/PIN/NPN

02317192

Manufacturer

Barr Laboratories Inc.

Formulary Listing Date

2009-04-01

Unit Price

5.2773

Amount MOH Pays

5.2773

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
02410249	Mirvala 21	5.2773	5.2773
02042487	Marvelon 21	21.1050	5.2773
02396491	Freya 21	5.2773	5.2773
02317192	Apri 21	5.2773	5.2773
02556553	Miley 21	5.2773	5.2773

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph