DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:32:00 PROGESTOGENS AND ORAL CONTRACEPTIVES

Audrina 21 (ETHINYL ESTRADIOL & LEVONORGESTREL)20mcg & 100mcg Tab-21 Pk

DIN/PIN/NPN:02532174

Interchangeables:

Manufacturer:

Formulary Listing Date:

2023-08-31

Drug Benefit Price or Unit Price:

3.9425

Amount MOH Pays:

3.9425

Coverage Status: