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DESI: https://www.fda.gov/drugs/enforcement-activities-fda/drug-efficacy-study-implementation-desi

Federal Rebate Program: https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/index.html

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Therapeutic Class Search: contraceptives/contraceptive oral - monophasic
111 drug(s) found
To view other medications in a therapeutic class, click any class hyperlink in your search results.

Results

Brand Name
Generic Name
Therapeutic Class
Sub-Class
Dose/StrengthStatusNotes & Restrictions
Zarah Oral Tablet 3-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.03 mg
Yaz (28) Oral Tablet 3-0.02 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.02 mg
Yasmin (28) Oral Tablet 3-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.03 mg
Xelria Fe Oral Tablet,Chewable 0.4Mg-35Mcg(21) And 75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Chewable 0.4mg-35mcg(21) and 75 mg (7)
Wymzya Fe Oral Tablet,Chewable 0.4Mg-35Mcg(21) And 75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Chewable 0.4mg-35mcg(21) and 75 mg (7)
Wera (28) Oral Tablet 0.5-35 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.5-35 mg-mcg
Vienva Oral Tablet 0.1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1-20 mg-mcg
Vestura (28) Oral Tablet 3-0.02 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.02 mg
Valtya Oral Tablet 1-35 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-35 mg-mcg
Tydemy Oral Tablet 3-0.03-0.451 Mg (21) (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.03-0.451 mg (21) (7)
Tyblume Oral Tablet,Chewable 0.1 Mg- 20 Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Chewable 0.1 mg- 20 mcg
Turqoz (28) Oral Tablet 0.3-30 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.3-30 mg-mcg
Taytulla Oral Capsule 1 Mg-20 Mcg (24)/75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Capsule 1 mg-20 mcg (24)/75 mg (4)
Taysofy Oral Capsule 1 Mg-20 Mcg (24)/75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Capsule 1 mg-20 mcg (24)/75 mg (4)
Tarina 24 Fe Oral Tablet 1 Mg-20 Mcg (24)/75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1 mg-20 mcg (24)/75 mg (4)
Syeda Oral Tablet 3-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.03 mg
Sronyx Oral Tablet 0.1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1-20 mg-mcg
Sprintec (28) Oral Tablet 0.25-0.035 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.25-0.035 mg
Setlakin Oral Tablets,Dose Pack,3 Month 0.15 Mg-30 Mcg (91)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablets,Dose Pack,3 Month 0.15 mg-30 mcg (91)
Safyral Oral Tablet 3-0.03-0.451 Mg (21) (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.03-0.451 mg (21) (7)
Reclipsen (28) Oral Tablet 0.15-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Portia 28 Oral Tablet 0.15-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Philith Oral Tablet 0.4-35 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.4-35 mg-mcg
Ocella Oral Tablet 3-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.03 mg
Nylia 1/35 (28) Oral Tablet 1-35 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-35 mg-mcg
Nortrel 1/35 (21) Oral Tablet 1-35 Mg-Mcg (21)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-35 mg-mcg (21)
Nortrel 0.5/35 (28) Oral Tablet 0.5-35 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.5-35 mg-mcg
Norgestimate-Ethinyl Estradiol Oral Tablet 0.25-0.035 Mg
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.25-0.035 mg
Norethindrone-E.Estradiol-Iron Oral Tablet,Chewable 1 Mg-20 Mcg(24) /75 Mg (4)
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Chewable 1 mg-20 mcg(24) /75 mg (4)
Norethindrone-E.Estradiol-Iron Oral Tablet 1.5 Mg-30 Mcg (21)/75 Mg (7)
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5 mg-30 mcg (21)/75 mg (7)
Norethindrone-E.Estradiol-Iron Oral Capsule 1 Mg-20 Mcg (24)/75 Mg (4)
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Capsule 1 mg-20 mcg (24)/75 mg (4)
Norethindrone Ac-Eth Estradiol Oral Tablet 1.5-30 Mg-Mcg
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5-30 mg-mcg
Noreth-Ethinyl Estradiol-Iron Oral Tablet,Chewable 0.4Mg-35Mcg(21) And 75 Mg (7)
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Chewable 0.4mg-35mcg(21) and 75 mg (7)
Nextstellis Oral Tablet 3 Mg- 14.2 Mg (28)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3 mg- 14.2 mg (28)
Necon 0.5/35 (28) Oral Tablet 0.5-35 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.5-35 mg-mcg
Minzoya Oral Tablet 0.1 Mg-0.02 Mg (21)/Iron (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1 mg-0.02 mg (21)/iron (7)
Microgestin Fe 1/20 (28) Oral Tablet 1 Mg-20 Mcg (21)/75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1 mg-20 mcg (21)/75 mg (7)
Microgestin Fe 1.5/30 (28) Oral Tablet 1.5 Mg-30 Mcg (21)/75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5 mg-30 mcg (21)/75 mg (7)
Microgestin 24 Fe Oral Tablet 1 Mg-20 Mcg (24)/75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1 mg-20 mcg (24)/75 mg (4)
Microgestin 1/20 (21) Oral Tablet 1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-20 mg-mcg
Microgestin 1.5/30 (21) Oral Tablet 1.5-30 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5-30 mg-mcg
Mibelas 24 Fe Oral Tablet,Chewable 1 Mg-20 Mcg(24) /75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Chewable 1 mg-20 mcg(24) /75 mg (4)
Merzee Oral Capsule 1 Mg-20 Mcg (24)/75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Capsule 1 mg-20 mcg (24)/75 mg (4)
Marlissa (28) Oral Tablet 0.15-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Lutera (28) Oral Tablet 0.1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1-20 mg-mcg
Luizza Oral Tablet 1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-20 mg-mcg
Luizza Oral Tablet 1.5-30 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5-30 mg-mcg
Low-Ogestrel (28) Oral Tablet 0.3-30 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.3-30 mg-mcg
Loryna (28) Oral Tablet 3-0.02 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.02 mg
Loestrin Fe 1/20 (28-Day) Oral Tablet 1 Mg-20 Mcg (21)/75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1 mg-20 mcg (21)/75 mg (7)
Loestrin Fe 1.5/30 (28-Day) Oral Tablet 1.5 Mg-30 Mcg (21)/75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5 mg-30 mcg (21)/75 mg (7)
Loestrin 1/20 (21) Oral Tablet 1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-20 mg-mcg
Loestrin 1.5/30 (21) Oral Tablet 1.5-30 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5-30 mg-mcg
Levora-28 Oral Tablet 0.15-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Levonorgestrel-Ethinyl Estrad Oral Tablets,Dose Pack,3 Month 0.15 Mg-30 Mcg (91)
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablets,Dose Pack,3 Month 0.15 mg-30 mcg (91)
Levonorgestrel-Ethinyl Estrad Oral Tablet 90-20 Mcg (28)
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 90-20 mcg (28)
Levonorgestrel-Ethinyl Estrad Oral Tablet 0.15-0.03 Mg
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Levonorgestrel-Ethinyl Estrad Oral Tablet 0.1-20 Mg-Mcg
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1-20 mg-mcg
Levonorgest-Eth.Estradiol-Iron Oral Tablet 0.1 Mg-0.02 Mg (21)/Iron (7)
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1 mg-0.02 mg (21)/iron (7)
Lessina Oral Tablet 0.1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1-20 mg-mcg
Layolis Fe Oral Tablet,Chewable 0.8Mg-25Mcg(24) And 75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Chewable 0.8mg-25mcg(24) and 75 mg (4)
Larin 1/20 (21) Oral Tablet 1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-20 mg-mcg
Larin 1.5/30 (21) Oral Tablet 1.5-30 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5-30 mg-mcg
Kurvelo (28) Oral Tablet 0.15-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Kelnor 1/35 (28) Oral Tablet 1-35 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-35 mg-mcg
Kaitlib Fe Oral Tablet,Chewable 0.8Mg-25Mcg(24) And 75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Chewable 0.8mg-25mcg(24) and 75 mg (4)
Junel Fe 1/20 (28) Oral Tablet 1 Mg-20 Mcg (21)/75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1 mg-20 mcg (21)/75 mg (7)
Junel Fe 1.5/30 (28) Oral Tablet 1.5 Mg-30 Mcg (21)/75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5 mg-30 mcg (21)/75 mg (7)
Junel 1/20 (21) Oral Tablet 1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-20 mg-mcg
Junel 1.5/30 (21) Oral Tablet 1.5-30 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5-30 mg-mcg
Joyeaux Oral Tablet 0.1 Mg-0.02 Mg (21)/Iron (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1 mg-0.02 mg (21)/iron (7)
Jolessa Oral Tablets,Dose Pack,3 Month 0.15 Mg-30 Mcg (91)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablets,Dose Pack,3 Month 0.15 mg-30 mcg (91)
Introvale Oral Tablets,Dose Pack,3 Month 0.15 Mg-30 Mcg (91)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablets,Dose Pack,3 Month 0.15 mg-30 mcg (91)
Iclevia Oral Tablets,Dose Pack,3 Month 0.15 Mg-30 Mcg (91)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablets,Dose Pack,3 Month 0.15 mg-30 mcg (91)
Hailey Oral Tablet 1.5-30 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5-30 mg-mcg
Hailey Fe 1.5/30 (28) Oral Tablet 1.5 Mg-30 Mcg (21)/75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5 mg-30 mcg (21)/75 mg (7)
Hailey 24 Fe Oral Tablet 1 Mg-20 Mcg (24)/75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1 mg-20 mcg (24)/75 mg (4)
Gemmily Oral Capsule 1 Mg-20 Mcg (24)/75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Capsule 1 mg-20 mcg (24)/75 mg (4)
Galbriela Oral Tablet,Chewable 0.8Mg-25Mcg(24) And 75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Chewable 0.8mg-25mcg(24) and 75 mg (4)
Finzala Oral Tablet,Chewable 1 Mg-20 Mcg(24) /75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Chewable 1 mg-20 mcg(24) /75 mg (4)
Femlyv Oral Tablet,Disintegrating 1 Mg- 20 Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Disintegrating 1 mg- 20 mcg
Feirza Oral Tablet 1.5 Mg-30 Mcg (21)/75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5 mg-30 mcg (21)/75 mg (7)
Feirza Oral Tablet 1 Mg-20 Mcg (21)/75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1 mg-20 mcg (21)/75 mg (7)
Falmina (28) Oral Tablet 0.1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1-20 mg-mcg
Estarylla Oral Tablet 0.25-0.035 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.25-0.035 mg
Enskyce Oral Tablet 0.15-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Elinest Oral Tablet 0.3-30 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.3-30 mg-mcg
Drospirenone-E.Estradiol-Lm.Fa Oral Tablet 3-0.03-0.451 Mg (21) (7)
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.03-0.451 mg (21) (7)
Drospirenone-E.Estradiol-Lm.Fa Oral Tablet 3-0.02-0.451 Mg (24) (4)
Generic Indicator
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.02-0.451 mg (24) (4)
Dolishale Oral Tablet 90-20 Mcg (28)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 90-20 mcg (28)
Dasetta 1/35 (28) Oral Tablet 1-35 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-35 mg-mcg
Cryselle (28) Oral Tablet 0.3-30 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.3-30 mg-mcg
Chateal Eq (28) Oral Tablet 0.15-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Chateal (28) Oral Tablet 0.15-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Charlotte 24 Fe Oral Tablet,Chewable 1 Mg-20 Mcg(24) /75 Mg (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet,Chewable 1 mg-20 mcg(24) /75 mg (4)
Beyaz Oral Tablet 3-0.02-0.451 Mg (24) (4)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 3-0.02-0.451 mg (24) (4)
Balziva (28) Oral Tablet 0.4-35 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.4-35 mg-mcg
Balcoltra Oral Tablet 0.1 Mg-0.02 Mg (21)/Iron (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1 mg-0.02 mg (21)/iron (7)
Ayuna Oral Tablet 0.15-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Aviane Oral Tablet 0.1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1-20 mg-mcg
Averi Oral Tablet 0.15 Mg-0.03 Mg (21)/36.5 Mg(7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15 mg-0.03 mg (21)/36.5 mg(7)
Aurovela Fe 1.5/30 (28) Oral Tablet 1.5 Mg-30 Mcg (21)/75 Mg (7)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5 mg-30 mcg (21)/75 mg (7)
Aurovela 1/20 (21) Oral Tablet 1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-20 mg-mcg
Aurovela 1.5/30 (21) Oral Tablet 1.5-30 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1.5-30 mg-mcg
Aubra Oral Tablet 0.1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1-20 mg-mcg
Aubra Eq Oral Tablet 0.1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1-20 mg-mcg
Apri Oral Tablet 0.15-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Amethyst (28) Oral Tablet 90-20 Mcg (28)
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 90-20 mcg (28)
Alyacen 1/35 (28) Oral Tablet 1-35 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 1-35 mg-mcg
Altavera (28) Oral Tablet 0.15-0.03 Mg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.15-0.03 mg
Afirmelle Oral Tablet 0.1-20 Mg-Mcg
Contraceptives
Contraceptive Oral - Monophasic
Contraceptives
Contraceptive Oral - Monophasic
Tablet 0.1-20 mg-mcg

Definition of Status

IconStatusDefinition
Tier 1/ Formulary Generic DrugTier 1/ Formulary Generic DrugComprehensive Formulary: Generic drug is covered at the generic copayment.

Comprehensive 3-Tier Formulary
:
Generic drug is covered at the generic copayment.
Tier 2 / Formulary Brand DrugTier 2 / Formulary Brand Drug

Comprehensive FormularyFormulary brand drug covered at preferred brand copayment.

If a generic equivalent is available for the formulary brand, then the member may also be responsible for the cost difference between the brand and generic products in addition to their formulary brand copayment.

Comprehensive 3-Tier Formulary
:
Tier 2 formulary brand drug is covered at the Tier 2 copayment.

If a generic equivalent is available for the Tier 2 drug, then the member may also be responsible for the cost difference between the brand and generic drugs in addition to their Tier 2 copayment.

Tier 3 /Non-Formulary DrugTier 3 /Non-Formulary DrugComprehensive 2-Tier Formulary:
Non-formulary drug

Non-formulary drugs are not covered for members with a closed formulary. A request for coverage may be submitted by the prescribing physician for members who have tried preferred formulary alternatives. If approved, the medication will process at the appropriate formulary cost share.

Members with an open formulary have coverage for non-formulary drugs at the appropriate copayment/coinsurance based on benefit design.

Comprehensive 3-Tier Incentive Formulary: Tier 3 brand drug is covered at the Tier 3 copayment. Tier 3 brand drugs may be covered at a higher copayment/coinsurance based on the benefit design.
Generic drug is covered at the generic copayment. Members with an incentive formulary may have non-formulary generic cost share as part of their plan design.
Special TierSpecial TierPlease see Note Icon of Specific Product for Detail

Definition of Restrictions

IconRestrictionDefinition
Copay ArmorCopay ArmorThis medication is included in the Copay Armor program, administered by PillarRx. Manufacturer copay assistance may be available. Program applicability depends on your pharmacy benefit design and is subject to state regulations. Please call the number on the back of your member ID card for assistance.
Day Supply LimitDay Supply LimitDepending on member benefits, this medication may be limited to a 30, 31, or 34 day supply at retail and/or mail pharmacies. Select products available as prepackaged products that supply a day supply greater than this limit are exempt.
Generic IndicatorGeneric IndicatorGeneric or Authorized Generic Medication. Authorized generic medications may take a brand cost-share.
Low-Cost Generic RxLow-Cost Generic RxThis medication may be eligible for a Low-Cost Generic Rx copay depending on your pharmacy benefit design. Please call the number on the back of your member ID card for assistance.
Market WatchMarket Watch

Coverage of this drug is subject to review by the plan and is based on Pharmacy policy. Select High-Cost Low-Value medications (HCLV), Prescription Drugs with an Over-the-Counter (OTC) Equivalent (RxOTC), and New to Market (NTM) products may be included in the Market Watch Program. Click the Market Watch icon next to the drug name for more details.

Member NoteMember NoteClick the Member Note icon next to the drug name for more details.
Over The CounterOver The CounterOTC product that may be covered and dispensed by an in-network pharmacy without a prescription if in accordance with State specific dispensing requirements. 
Prior AuthorizationPrior AuthorizationCoverage of this drug is subject to review by the plan and is based on Pharmacy policy.
Quantity LimitQuantity LimitLimits the amount of drug that a beneficiary may receive in a certain period.
Specialty PharmacySpecialty PharmacyTo assist in the management of select specialty medications, some pharmacy benefit designs require the use of a preferred specialty pharmacy. Please call the number on the back of your member ID card for assistance.
Specialty TierSpecialty TierThis drug may incur a higher copay/coinsurance. Contact Member Services for more information.