DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:12:00 CONTRACEPTIVES

Kyleena (LEVONORGESTREL)19.5mg Insert

DIN/PIN/NPN:02459523

Interchangeables:

NO

Manufacturer:

Bayer Inc., Consumer Care Division

Formulary Listing Date:

2018-05-31

Drug Benefit Price or Unit Price:

348.6100

Amount MOH Pays:

348.6100

Coverage Status:

General Benefit