DROSPIRENONE + ETHINYLESTRADIOL

DROSPIRENONE + ETHINYLESTRADIOL (14709E)

drospirenone 3 mg + ethinylestradiol 20 microgram tablet [24] (&) inert substance tablet [4], 3 x 28
14709E
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: 3 # of repeats: 3 DPMQ: $62.66 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Yaz

DROSPIRENONE + ETHINYLESTRADIOL (14710F)

drospirenone 3 mg + ethinylestradiol 20 microgram tablet [24] (&) inert substance tablet [4], 28
14710F
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: 3 Max qty units: 3 # of repeats: 3 DPMQ: $62.67 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Yaz

DROSPIRENONE + ETHINYLESTRADIOL (14711G)

drospirenone 3 mg + ethinylestradiol 30 microgram tablet [21] (&) inert substance tablet [7], 28
14711G
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: 3 Max qty units: 3 # of repeats: 3 DPMQ: $62.67 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Brooklynn
Isabelle
Mila
Rosalee
Yasmin
Yelena

DROSPIRENONE + ETHINYLESTRADIOL (14725B)

drospirenone 3 mg + ethinylestradiol 30 microgram tablet [21] (&) inert substance tablet [7], 3 x 28
14725B
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: 3 # of repeats: 3 DPMQ: $62.66 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Brooklynn
Isabelle
Mila
Rosalee
Yasmin
Yelena

DROSPIRENONE + ETHINYLESTRADIOL (14941J)

drospirenone 3 mg + ethinylestradiol 20 microgram tablet [24] (&) inert substance tablet [4], 3 x 28
14941J
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: 3 # of repeats: 3 DPMQ: $62.66 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Bella
Brooke
Rosie
YANA

DROSPIRENONE + ETHINYLESTRADIOL (14954C)

drospirenone 3 mg + ethinylestradiol 20 microgram tablet [24] (&) inert substance tablet [4], 28
14954C
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: 3 Max qty units: 3 # of repeats: 3 DPMQ: $62.67 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Bella
Brooke
Rosie
YANA