
Afirmelle Tablet 0.1-20 MG-MCG Oral
Levonorgestrel-Ethinyl Estrad
Tier: 1
PA Type: No Prior Authorization
ST: N

Afirmelle Tablet 0.1-20 MG-MCG Oral
Levonorgestrel-Ethinyl Estrad
Tier: 1
PA Type: No Prior Authorization
ST: N

Altavera Tablet 0.15-30 MG-MCG Oral
Levonorgestrel-Ethinyl Estrad
Tier: 1
PA Type: No Prior Authorization
ST: N

Altavera Tablet 0.15-30 MG-MCG Oral
Levonorgestrel-Ethinyl Estrad
Tier: 1
PA Type: No Prior Authorization
ST: N

Altavera Tablet 0.15-30 MG-MCG Oral
Levonorgestrel-Ethinyl Estrad
Tier: 1
PA Type: No Prior Authorization
ST: N

Amethia Lo TABLET 0.1-0.02 & 0.01 MG Oral
Levonorgest-Eth Estrad 91-Day
Tier: 1
PA Type: No Prior Authorization
ST: N
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