DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES

Tri-Cyclen (Not a Benefit) (NORGESTIMATE & ETHINYL ESTRADIOL)3 Phase Tab-21 Pk

DIN/PIN/NPN:02028700

Interchangeables:

Manufacturer:

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status:

Not a Benefit