| 02564424 | AMB-Cyproterone Acetate/EthinylEstradiol(Off-Formulary Interchangeable) | 23.3394 | N/A |
| 02436736 | Cleo-35(Off-Formulary Interchangeable) | 23.3394 | N/A |
| 02290308 | Cyestra-35(Off-Formulary Interchangeable) | 23.3394 | N/A |
| 02233542 | Diane-35(Off-Formulary Interchangeable) | N/A | N/A |
| 02425017 | Ran-Cyproterone/Ethinyl Estradiol(Off-Formulary Interchangeable) | 23.3394 | N/A |
| 02309556 | Teva-Cyproterone/Ethinyl Estradiol(Off-Formulary Interchangeable) | 23.3400 | N/A |