Approved Formulary
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Approved Formulary
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drospirenone-ethinyl estradiol

drospirenone-ethinyl estradiol
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Yasmin TABLET 3 mg-0.03 mg      


Comments:

COA will stock the cheapest "branded" or generic product available at the time of procurement.

Ethinyl Estradiol - Drospirenone 30 mcg - 0.3 mg is the minimal estrogen, mild progestin, minimal androgen OCP on formulary. Brand names: Ocella, Syeda, Yasmin, Zarah, Zumandimine. It can be substituted for the below product to achieve similar hormone supplementation:

Ethinyl estradiol - drospirenone 20 mcg - 0.3 mg  Brand names: Gianvi, Jasmiel, Lo-Zumandimine, Loryna, Nikki, Vestura, Yaz, 

 

 

 

 

 


Last updated: May. 7, 2020


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