FormWeb • norethindrone

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Children's of Alabama

Approved Formulary

Alabama Medicaid Formulary Questions or Suggestions? CHS Homepage

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norethindrone

norethindrone

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-formulary	Interchange
Aygestin	TABLET	5 mg
Norethindrone	TABLET	0.35 mg

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

COA will stock the generic norethindrone tablets unless a branded product is available at a lower cost.

Brand names for norethindrone 0.35 mg: Camila, Deblitane, Errin, Heather, Incassia, Jencycla, Lyza, Nora-BE, Norlyda, Norlyroc, Ortho Micronor, Sharobel, Tulana

Brand names for norethindrone 0.5 mg: Aygestin

Last updated: May. 7, 2020

Pharmacy Phone Numbers:

Inpatient Pharmacy: 205-638-9641
IV Room: 205-638-9716
Pharmacy Offices: 205-638-9718

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Use by pharmaceutical/medical representatives or non-CHS personnel is strictly prohibited.