Brand Name:
|
TRI-JORDYNA TABLETS 28 PACK
|
Generic Name:
|
norgestimate-ethinyl estradiol
|
Strength:
|
0.18 mg-35 mcg (7)/0.215 mg-35 mcg (7)/0.25 mg-35 mcg(7)(28)
|
DIN:
|
02486318
|
Dosage Form:
|
TABLET
|
Manufacturer:
|
GLENMARK PHARMA |
Benefit Status:
|
OPEN
|
Limitations:
|
Beneficiary gender must be female - under the age of 53
|
Pricing:
|
Package Size  NLPDP List Price
Per Unit
|
Interchangeable Drug Products
|
TRI-CYCLEN TABLETS - 28-DAY
TRI-CIRA (28) TABLET
|
Interchangeable Unit Price
|
0.5602
|
ATC
|
G03AB09 - NORGESTIMATE AND ETHINYLESTRADIOL
|