DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:12:00 CONTRACEPTIVES

Haloette (ETHINYL ESTRADIOL & ETONOGESTREL)0.120mg & 0.015mg/24 hr Slow Release Vag Ring

DIN/PIN/NPN:02520028

Interchangeables:

Manufacturer:

Formulary Listing Date:

2021-11-30

Drug Benefit Price or Unit Price:

14.2120

Amount MOH Pays:

N/A

Coverage Status: