LEVONORGESTREL + ETHINYLESTRADIOL

levonorgestrel 150 microgram + ethinylestradiol 30 microgram tablet [21] (&) inert substance tablet [7], 4 x 28

LEVONORGESTREL + ETHINYLESTRADIOL (1394J)

levonorgestrel 150 microgram + ethinylestradiol 30 microgram tablet [21] (&) inert substance tablet [7], 4 x 28
1394J
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 4 # of repeats: 2 DPMQ: $18.20 Max safety net: $19.68 General Patient Charge: $22.47
Available brands
Eleanor 150/30 ED
Evelyn 150/30 ED
Femme-Tab ED 30/150
LEVETH 150/30 ED
Lenest 30 ED
Micronelle 30 ED
Levlen ED
*Additional charge for this brand is $5.66
 DPMQ: $23.86 Max safety net: $19.68 General Patient Charge: $28.13