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Children's of Alabama

Approved Formulary

Alabama Medicaid Formulary Questions or Suggestions? CHS Homepage

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ethinyl estradiol-norethindrone

ethinyl estradiol-norethindrone

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-formulary	Interchange
Microgestin Fe	TABLET	0.03 mg ethinyl estradiol/1.5 mg norethindrone/75 mg ferrous fum
Loestrin Fe 1.5/30	TABLET	30 mcg-1.5 mg

VIEW MORE hormones/hormone modifiers, sex hormones, contraceptives
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Comments:

Ethinyl Estradiol - Norethindrone 30 mcg-1.5 mg is the low-dose monophasic combined OCP on formulary. It can be substituted for the below products to achieve similar hormone supplementation:

Ethinyl Estradiol - Etynodiol diacetate 35 mcg - 1 mg

Ethinyl Estradiol - Norethindrone 35 mcg - 0.4 mg

Ethinyl Estradiol - Norethindrone 35mcg - 0.5 mg

Ethinyl Estradiol - Norethindrone 25 mcg - 0.8 mg

Ethinyl Estradiol - Norethindrone 20mcg - 1 mg

Ethinyl Estradiol - Norethindrone 35 mcg - 1 mg

Ethinyl Estradiol - Norethindrone 5 mcg - 1 mg

Ethinyl Estradiol - Norethindrone 2.5 mcg - 0.5 mg

Mestranol - Norethindrone 50 mcg - 1 mg (Mestranol is metabolized to EE; 50 mcg of Mestranol =~35 mcg EE)

Last updated: Jun. 17, 2022

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