DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES

Apri 21 (DESOGESTREL & ETHINYL ESTRADIOL)0.15mg & 0.03mg Tab-21 Pk

DIN/PIN/NPN:02317192

Interchangeables:

Manufacturer:

Formulary Listing Date:

2009-04-01

Drug Benefit Price or Unit Price:

11.4200

Amount MOH Pays:

7.7700

Coverage Status: