DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES

Apri 28 (DESOGESTREL & ETHINYL ESTRADIOL)0.15mg & 0.03mg Tab-28 Pk

DIN/PIN/NPN:02317206

Interchangeables:

Manufacturer:

Formulary Listing Date:

2009-04-01

Drug Benefit Price or Unit Price:

5.2780

Amount MOH Pays:

5.2780

Coverage Status: