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Products found: 26

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DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Interchangeable	Limited Use	Therapeutic Notes
02236974	ETHINYL ESTRADIOL & LEVONORGESTREL	Alesse 21 20mcg & 100mcg Tab-21 Pk	PFI	16.0696	3.9425	YES	NO	NO
02387875	ETHINYL ESTRADIOL & LEVONORGESTREL	Alysena 21 20mcg & 100mcg Tab-21 Pk	APX	3.9425	3.9425	YES	NO	NO
02532174	ETHINYL ESTRADIOL & LEVONORGESTREL	Audrina 21 20mcg & 100mcg Tab-21 Pk	JPC	3.9425	3.9425	YES	NO	NO
02298538	ETHINYL ESTRADIOL & LEVONORGESTREL	Aviane 21 20mcg & 100mcg Tab-21 Pk	TEV	3.9425	3.9425	YES	NO	NO
02424282	ETHINYL ESTRADIOL & LEVONORGESTREL	Laylaa 21 20mcg & 100mcg Tab-21 Pk	LUP	3.9425	3.9425	YES	NO	NO
02042320	ETHINYL ESTRADIOL & LEVONORGESTREL	Min-Ovral 21 0.03mg & 0.15mg Tab-21 Pk	PFI	19.2900	7.2800	YES	NO	NO
02387085	ETHINYL ESTRADIOL & LEVONORGESTREL	Ovima 21 0.03mg & 0.15mg Tab-21 Pk	APX	7.2800	7.2800	YES	NO	NO
02295946	ETHINYL ESTRADIOL & LEVONORGESTREL	Portia 21 0.03mg & 0.15mg Tab-21 Pk	BAR	10.6600	7.2800	YES	NO	NO
00707600	ETHINYL ESTRADIOL & LEVONORGESTREL	Triquilar 21 3 Phase Tab-21 Pk	BAY	16.0700	16.0700	NO	NO	NO
02236975	ETHINYL ESTRADIOL & LEVONORGESTREL	Alesse 28 20mcg & 100mcg Tab-28 Pk	PFI	16.0696	3.9425	YES	NO	NO
02387883	ETHINYL ESTRADIOL & LEVONORGESTREL	Alysena 28 20mcg & 100mcg Tab-28 Pk	APX	3.9425	3.9425	YES	NO	NO
02532182	ETHINYL ESTRADIOL & LEVONORGESTREL	Audrina 28 20mcg & 100mcg Tab-28 Pk	JPC	3.9425	3.9425	YES	NO	NO
02298546	ETHINYL ESTRADIOL & LEVONORGESTREL	Aviane 28 20mcg & 100mcg Tab-28 Pk	TEV	3.9425	3.9425	YES	NO	NO
02424290	ETHINYL ESTRADIOL & LEVONORGESTREL	Laylaa 28 20mcg & 100mcg Tab-28 Pk	LUP	3.9425	3.9425	YES	NO	NO
02042339	ETHINYL ESTRADIOL & LEVONORGESTREL	Min-Ovral 28 0.03mg & 0.15mg Tab-28 Pk	PFI	19.2900	7.2800	YES	NO	NO
02387093	ETHINYL ESTRADIOL & LEVONORGESTREL	Ovima 28 0.03mg & 0.15mg Tab-28 Pk	APX	7.2800	7.2800	YES	NO	NO
02295954	ETHINYL ESTRADIOL & LEVONORGESTREL	Portia 28 0.03mg & 0.15mg Tab-28 Pk	BAR	10.6600	7.2800	YES	NO	NO
00707503	ETHINYL ESTRADIOL & LEVONORGESTREL	Triquilar 28 3 Phase Tab-28 Pk	BAY	16.0700	16.0700	NO	NO	NO
02398869	ETHINYL ESTRADIOL & LEVONORGESTREL	Indayo (Off-Formulary Interchangeable) 0.03mg & 0.15mg Tab-91 Pk	MYL	45.9550	N/A	YES	NO	NO
02296659	ETHINYL ESTRADIOL & LEVONORGESTREL	Seasonale (Off-Formulary Interchangeable) 0.03mg & 0.15mg Tab-91 Pk	TEW	N/A	N/A	YES	NO	NO
02459523	LEVONORGESTREL	Kyleena 19.5mg Insert	BAY	355.5800	355.5800	NO	NO	NO
02243005	LEVONORGESTREL	Mirena 52mg Insert	BAY	380.0000	380.0000	NO	NO	NO
02433532	LEVONORGESTREL	Backup Plan Onestep 1.5mg Tab-1 Tab Pk	APX	4.3000	4.3000	YES	NO	NO
02425009	LEVONORGESTREL	Contingency One 1.5mg Tab-1 Tab Pk	MYL	4.3000	4.3000	YES	NO	NO
02548461	LEVONORGESTREL	MyStep 1.5mg Tab-1 Tab Pk	JPC	4.3000	4.3000	YES	NO	NO
02293854	LEVONORGESTREL	Plan B 1.5mg Tab-1 Tab Pk	TBP	17.2000	4.3000	YES	NO	NO

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