BAYER HEALTHCARE PHARMA $ $4.42

Transcription

1 Information for Vermont Prescribers of Prescription Drugs (Long Form) Yasmin (Drospirenone and Ethinyl Estradiol) This list does not imply that the products on this chart are interchangeable or have the same efficacy or safety. Please refer to each product s FDA-approved label and indication for further information. The prices listed below are Average Wholesale s ("AWP") as established and made available to the public by a third party publisher or as calculated from data made available to the public by a third party publisher. The price paid by consumers may be higher or lower than the prices listed below. Information about AWP of these drugs is being provided to Vermont prescribers pursuant to Vermont law, to give you information about the relative prices of marketed drugs and other drugs in the same therapeutic class. The prices listed here do not necessarily reflect price per dosage, price per course of treatment, or the cost effectiveness of all the products listed. For simplicity, only the smallest package sizes available for each product are included. Marketed Product: Product Name Manufacturer NDC Yasmin 28 Oral Tablet Pkg Size BAYER HEALTHCARE PHARMA $ $4.42 Other Products: Product Name Manufacturer NDC Size Aftera Oral Tablet 1.5 TEVA/WOMENS HEALTH $16.20 $16.20 Altavera Oral Tablet SANDOZ $92.76 $1.10 Alyacen 1/35 Oral Tablet 1-35 Alyacen 7/7/7 Oral Tablet 0.5/0.75/1-35 PHARMACEUTICALS $31.03 $1.11 PHARMACEUTICALS $33.83 $1.21 Amethia Lo Oral Tablet & 0.01 MAYNE PHARMA $ $2.95 Amethia Oral Tablet &0.01 MAYNE PHARMA $ $2.95 Amethyst Oral Tablet ACTAVIS PHARMA $59.40 $2.12 Apri Oral Tablet TEVA PHARMACEUTICALS USA $ $1.09 Aranelle Oral Tablet 0.5/1/ Ashlyna Oral Tablet &0.01 TEVA PHARMACEUTICALS USA $ $1.41 PHARMACEUTICALS $ $3.35 Aubra Oral Tablet AFAXYS $35.16 $1.26 Aviane Oral Tablet USA $ $1.26

2 Azurette Oral Tablet /0.01 (21/5) MAYNE PHARMA $ $2.14 Balziva Oral Tablet Bekyree Oral Tablet /0.01 (21/5) Beyaz Oral Tablet Blisovi 24 Fe Oral Tablet 1-20 (24) Blisovi Fe 1.5/30 Oral Tablet Blisovi FE 1/20 Oral Tablet 1-20 USA $ $1.60 PHARMACEUTICALS $59.98 $2.14 BAYER HEALTHCARE PHARMA $ $6.45 PHARMACEUTICALS $89.54 $3.20 PHARMACEUTICALS $28.94 $1.03 PHARMACEUTICALS $28.66 $1.02 Brevicon (28) Oral Tablet ACTAVIS PHARMA $ $2.66 Briellyn Oral Tablet PHARMACEUTICALS $ $1.60 Camila Oral Tablet 0.35 MAYNE PHARMA $ $1.32 Camrese Lo Oral Tablet & 0.01 Camrese Oral Tablet &0.01 USA $ $2.95 USA $ $2.95 Caziant Oral Tablet 0.1/0.125/ MAYNE PHARMA $ $1.20 Chateal Oral Tablet AFAXYS $30.93 $1.10 Cryselle-28 Oral Tablet USA $ $1.09 Cyclafem 1/35 Oral Tablet 1-35 PAR PHARMACEUTICALS $93.11 $1.11 Cyclafem 7/7/7 Oral Tablet 0.5/0.75/1-35 PAR PHARMACEUTICALS $ $1.21 Cyclessa Oral Tablet 0.1/0.125/ PRASCO LABORATORIES $69.19 $2.47 Cyred Oral Tablet AFAXYS $35.22 $1.26 Dasetta 1/35 Oral Tablet 1-35 NORTHSTAR RX $29.49 $1.05 Dasetta 7/7/7 Oral Tablet 0.5/0.75/1-35 NORTHSTAR RX $32.22 $1.15 Daysee Oral Tablet &0.01 PHARMACEUTICALS $ $2.95 2

3 Deblitane Oral Tablet 0.35 NORTHSTAR RX $49.47 $1.77 Delyla Oral Tablet OHM LABS $35.16 $1.26 Desogen Oral Tablet ORGANON $57.18 $2.04 Desogestrel-Ethinyl Estradiol Oral Tablet /0.01 (21/5) MYLAN $ $2.14 Desogestrel-Ethinyl Estradiol Oral Tablet NORTHSTAR RX $36.39 $1.30 Drospirenone-Ethinyl Estradiol Oral Tablet Drospirenone-Ethinyl Estradiol Oral Tablet Drospirenone-Ethinyl Estradiol Oral Tablet PHARMACEUTICALS $ $3.62 PHARMACEUTICALS $ $2.74 PHARMACEUTICALS $76.68 $2.74 Drospirenone-Ethinyl Estradiol Oral Tablet MYLAN $ $2.74 EContra EZ Oral Tablet 1.5 AFAXYS $36.56 $36.56 Elinest Oral Tablet NORTHSTAR RX $30.52 $1.09 Ella Oral Tablet 30 AFAXYS $42.90 $42.90 Emoquette Oral Tablet PAR PHARMACEUTICALS $ $1.40 Enpresse-28 Oral Tablet USA $ $0.98 Enpresse-28 Oral Tablet TEVA/WOMENS HEALTH $ $0.98 Enskyce Oral Tablet PHARMACEUTICALS $39.34 $1.41 Errin Oral Tablet 0.35 MAYNE PHARMA $ $1.32 Estarylla Oral Tablet SANDOZ $96.69 $1.15 Estrostep Fe Oral Tablet 1-20/1-30/1-35 ACTAVIS $ $6.86 Fallback Solo Oral Tablet 1.5 PHARMACEUTICALS $36.56 $36.56 Falmina Oral Tablet NORTHSTAR RX $35.16 $1.26 Gianvi Oral Tablet USA $70.81 $2.53 3

4 Gildagia Oral Tablet PAR PHARMACEUTICALS $ $1.60 Heather Oral Tablet 0.35 PHARMACEUTICALS $ $1.32 Introvale Oral Tablet SANDOZ $ $1.77 Jencycla Oral Tablet 0.35 Jolessa Oral Tablet PHARMACEUTICALS $36.92 $1.32 USA $ $1.77 Jolivette Oral Tablet 0.35 ACTAVIS PHARMA $ $1.32 Juleber Oral Tablet NORTHSTAR RX $34.93 $1.25 Junel 1.5/30 Oral Tablet Junel 1/20 Oral Tablet Junel FE 1.5/30 Oral Tablet Junel FE 1/20 Oral Tablet 1-20 Junel Fe 24 Oral Tablet (24) Kariva Oral Tablet /0.01 (21/5) Kelnor 1/35 Oral Tablet USA $86.81 $1.38 USA $85.97 $1.36 USA $ $1.03 USA $ $1.02 USA $89.54 $3.20 USA $ $2.14 USA $ $1.07 Kimidess Oral Tablet /0.01 (21/5) PAR PHARMACEUTICALS $ $2.14 Kurvelo Oral Tablet PHARMACEUTICALS $30.93 $1.10 Larin 1.5/30 Oral Tablet NORTHSTAR RX $28.94 $1.38 Larin 1/20 Oral Tablet NORTHSTAR RX $28.66 $1.36 Larin 24 FE Oral Tablet (24) NORTHSTAR RX $89.54 $3.20 Larin Fe 1.5/30 Oral Tablet NORTHSTAR RX $28.94 $1.03 Larin Fe 1/20 Oral Tablet 1-20 NORTHSTAR RX $28.66 $1.02 Larissia Oral Tablet AMNEAL PHARMACEUTICALS $35.16 $1.26 4

5 Leena Oral Tablet 0.5/1/ MAYNE PHARMA $ $1.41 Lessina Oral Tablet USA $ $1.25 Levonest Oral Tablet NORTHSTAR RX $27.49 $0.98 Levonorgest-Eth Estrad 91-Day Oral Tablet & 0.01 PHARMACEUTICALS $ $2.95 Levonorgest-Eth Estrad 91-Day Oral Tablet &0.01 MYLAN $ $2.95 Levonorgest-Eth Estrad 91-Day Oral Tablet Levonorgest-Eth Estrad 91-Day Oral Tablet PHARMACEUTICALS $ $1.77 PHARMACEUTICALS $ $1.77 Levonorgest-Eth Estrad 91-Day Oral Tablet MYLAN $ $1.77 Levonorgestrel Oral Tablet 1.5 Levonorgestrel Oral Tablet 1.5 Levonorgestrel-Ethinyl Estrad Oral Tablet PHARMACEUTICALS $39.00 $39.00 PHARMACIST PHARMACEUTICAL LLC $36.28 $36.28 PHARMACEUTICALS $35.16 $1.26 Levonorgestrel-Ethinyl Estrad Oral Tablet MYLAN $35.16 $1.26 Levonorgestrel-Ethinyl Estrad Oral Tablet MYLAN $92.79 $1.10 Levonorgestrel-Ethinyl Estrad Oral Tablet Levonorg-Eth Estrad Triphasic Oral Tablet PHARMACEUTICALS $59.40 $2.12 PHARMACEUTICALS $27.49 $0.98 Levora 0.15/30 (28) Oral Tablet MAYNE PHARMA $ $1.10 Lo Loestrin Fe Oral Tablet 1-10 / 10 ACTAVIS $ $4.61 Loestrin 1.5/30 (21) Oral Tablet TEVA/WOMENS HEALTH $ $5.77 Loestrin 1/20 (21) Oral Tablet 1-20 TEVA/WOMENS HEALTH $ $5.77 Loestrin Fe 1.5/30 Oral Tablet TEVA/WOMENS HEALTH $ $4.33 Loestrin Fe 1/20 Oral Tablet 1-20 TEVA/WOMENS HEALTH $ $4.33 Lomedia 24 FE Oral Tablet 1-20 (24) AMNEAL PHARMACEUTICALS $ $3.20 5

6 Loryna Oral Tablet SANDOZ $ $2.53 LoSeasonique Oral Tablet & 0.01 TEVA/WOMENS HEALTH $ $3.87 Low-Ogestrel Oral Tablet ACTAVIS PHARMA $ $1.09 Lutera Oral Tablet MAYNE PHARMA $35.16 $1.26 Lyza Oral Tablet 0.35 AFAXYS $36.92 $1.32 Marlissa Oral Tablet PHARMACEUTICALS $30.92 $1.10 Microgestin 1.5/30 Oral Tablet ACTAVIS PHARMA $ $1.23 Microgestin 1.5/30 Oral Tablet MAYNE PHARMA $ $1.23 Microgestin 1/20 Oral Tablet 1-20 MAYNE PHARMA $ $1.36 Microgestin 24 Fe Oral Tablet 1-20 ACTAVIS PHARMA $89.54 $3.20 Microgestin FE 1.5/30 Oral Tablet ACTAVIS PHARMA $ $1.03 Microgestin FE 1/20 Oral Tablet 1-20 MAYNE PHARMA $ $1.02 Mircette Oral Tablet /0.01 (21/5) TEVA/WOMENS HEALTH $ $4.52 Modicon (28) Oral Tablet JANSSEN $ $2.50 Mono-Linyah Oral Tablet NORTHSTAR RX $32.23 $1.15 MonoNessa Oral Tablet ACTAVIS PHARMA $ $1.22 My Way Oral Tablet 1.5 Myzilra Oral Tablet Natazia Oral Tablet 3/2-2/2-3/1 PHARMACEUTICALS $36.56 $36.56 PAR PHARMACEUTICALS $82.47 $0.98 BAYER HEALTHCARE PHARMA $ $6.45 Necon 0.5/35 (28) Oral Tablet MAYNE PHARMA $32.14 $1.15 Necon 1/35 (28) Oral Tablet 1-35 ACTAVIS PHARMA $ $1.05 Necon 1/50 (28) Oral Tablet 1-50 ACTAVIS PHARMA $88.41 $1.05 6

7 Necon 10/11 (28) Oral Tablet 35 ACTAVIS PHARMA $ $1.15 Necon 7/7/7 Oral Tablet 0.5/0.75/1-35 ACTAVIS PHARMA $ $1.15 Next Choice One Dose Oral Tablet 1.5 ACTAVIS PHARMA $36.56 $36.56 Nikki Oral Tablet PHARMACEUTICALS $70.81 $2.53 Nora-BE Oral Tablet 0.35 ACTAVIS PHARMA $ $1.32 Norethin Ace-Eth Estrad-FE Oral Tablet 1-20 MYLAN $85.97 $1.02 Norethin Ace-Eth Estrad-FE Oral Tablet 1-20 (24) MYLAN $ $3.20 Norethindrone Acet-Ethinyl Est Oral Tablet 1-20 PHARMACEUTICALS $85.98 $1.36 Norethindrone Acet-Ethinyl Est Oral Tablet 1-20 MYLAN $85.97 $1.36 Norethindrone Oral Tablet 0.35 Norethindrone Oral Tablet 0.35 PHARMACEUTICALS $ $1.32 PHARMACEUTICALS $36.92 $1.32 Norethindrone Oral Tablet 0.35 MYLAN $ $1.32 Norethindrone Oral Tablet 0.35 NORTHSTAR RX $36.92 $1.32 Norgestimate-Eth Estradiol Oral Tablet PHARMACEUTICALS $36.50 $1.30 Norgestim-Eth Estrad Triphasic Oral Tablet 0.18/0.215/ PHARMACEUTICALS $ $5.75 Norgestim-Eth Estrad Triphasic Oral Tablet 0.18/0.215/ MYLAN $ $5.23 Norgestim-Eth Estrad Triphasic Oral Tablet 0.18/0.215/ Norgestim-Eth Estrad Triphasic Oral Tablet 0.18/0.215/ PHARMACEUTICALS $ $1.40 PHARMACEUTICALS $39.20 $1.40 Norinyl 1+35 (28) Oral Tablet 1-35 ACTAVIS PHARMA $ $2.66 Norlyroc Oral Tablet 0.35 OHM LABS $ $3.96 Nor-QD Oral Tablet 0.35 ACTAVIS PHARMA $ $2.66 7

8 Nortrel 0.5/35 (28) Oral Tablet Nortrel 1/35 (21) Oral Tablet 1-35 Nortrel 1/35 (28) Oral Tablet 1-35 Nortrel 7/7/7 Oral Tablet 0.5/0.75/1-35 Ocella Oral Tablet USA $96.52 $1.15 USA $88.50 $1.40 USA $ $1.05 USA $ $1.15 USA $76.68 $2.74 Ogestrel Oral Tablet ACTAVIS PHARMA $ $1.60 Opcicon One-Step Oral Tablet 1.5 SUN PHARMACEUTICALS $24.00 $24.00 Orsythia Oral Tablet PAR PHARMACEUTICALS $ $1.26 Ortho Micronor Oral Tablet 0.35 JANSSEN $ $1.97 Ortho Tri-Cyclen (28) Oral Tablet 0.18/0.215/ JANSSEN $ $1.80 Ortho Tri-Cyclen Lo Oral Tablet 0.18/0.215/ JANSSEN $1, $6.40 Ortho-Cyclen (28) Oral Tablet JANSSEN $50.53 $1.80 Ortho-Novum 1/35 (28) Oral Tablet 1-35 JANSSEN $ $3.04 Ortho-Novum 7/7/7 (28) Oral Tablet 0.5/0.75/1-35 JANSSEN $45.82 $1.64 Ovcon-35 (28) Oral Tablet ACTAVIS $ $6.35 Philith Oral Tablet NORTHSTAR RX $44.84 $1.60 Pimtrea Oral Tablet /0.01 (21/5) NORTHSTAR RX $59.98 $2.14 Pirmella 1/35 Oral Tablet 1-35 Pirmella 7/7/7 Oral Tablet 0.5/0.75/1-35 PHARMACEUTICALS $29.47 $1.05 PHARMACEUTICALS $32.23 $1.15 Plan B One-Step Oral Tablet 1.5 TEVA/WOMENS HEALTH $39.00 $39.00 Portia-28 Oral Tablet USA $ $1.10 Previfem Oral Tablet PAR PHARMACEUTICALS $ $1.15 8

9 Quartette Oral Tablet DAYS TEVA/WOMENS HEALTH $ $4.64 Quasense Oral Tablet ACTAVIS PHARMA $ $1.77 React Oral Tablet 1.5 WOCKHARDT USA $36.56 $36.56 Reclipsen Oral Tablet ACTAVIS PHARMA $ $1.41 Safyral Oral Tablet BAYER HEALTHCARE PHARMA $ $6.45 Seasonique Oral Tablet &0.01 TEVA/WOMENS HEALTH $ $3.87 Setlakin Oral Tablet NORTHSTAR RX $ $1.77 Sharobel Oral Tablet 0.35 NORTHSTAR RX $37.49 $1.34 Sprintec 28 Oral Tablet USA $ $1.15 Sronyx Oral Tablet MAYNE PHARMA $ $1.26 Syeda Oral Tablet SANDOZ $ $2.74 Take Action Oral Tablet 1.5 TEVA/WOMENS HEALTH $39.00 $39.00 Tarina FE 1/20 Oral Tablet 1-20 AFAXYS $28.66 $1.02 Taytulla Oral Capsule (24) ALLERGAN DERMATOLOGICS $ $6.68 Tilia Fe Oral Tablet 1-20/1-30/1-35 ACTAVIS PHARMA $ $2.04 Tilia Fe Oral Tablet 1-20/1-30/1-35 MAYNE PHARMA $ $2.04 Tri-Estarylla Oral Tablet 0.18/0.215/ SANDOZ $ $1.40 Tri-Legest Fe Oral Tablet 1-20/1-30/1-35 USA $ $2.04 Tri-Linyah Oral Tablet 0.18/0.215/ NORTHSTAR RX $39.32 $1.40 Tri-Lo-Estarylla Oral Tablet 0.18/0.215/ SANDOZ $ $2.20 Tri-Lo-Marzia Oral Tablet 0.18/0.215/ Tri-Lo-Sprintec Oral Tablet 0.18/0.215/ PHARMACEUTICALS $ $5.24 USA $ $5.24 9

10 TriNessa (28) Oral Tablet 0.18/0.215/ ACTAVIS PHARMA $ $1.40 TriNessa Lo Oral Tablet 0.18/0.215/ ACTAVIS PHARMA $32.60 $1.16 Tri-Norinyl (28) Oral Tablet 0.5/1/ ACTAVIS PHARMA $ $2.90 Tri-Norinyl (28) Oral Tablet 0.5/1/ MAYNE PHARMA $ $2.90 Tri-Previfem Oral Tablet 0.18/0.215/ Tri-Sprintec Oral Tablet 0.18/0.215/ PAR PHARMACEUTICALS $ $1.40 TEVA PHARMACEUTICALS USA $ $1.40 Trivora (28) Oral Tablet ACTAVIS PHARMA $ $0.98 Trivora (28) Oral Tablet MAYNE PHARMA $ $0.98 Velivet Oral Tablet 0.1/0.125/ TEVA PHARMACEUTICALS USA $ $1.20 Vestura Oral Tablet ACTAVIS PHARMA $70.81 $2.53 Vienva Oral Tablet SANDOZ $88.30 $1.05 Viorele Oral Tablet /0.01 (21/5) Vyfemla Oral Tablet Wera Oral Tablet PHARMACEUTICALS $59.98 $2.14 PHARMACEUTICALS $44.84 $1.60 NORTHSTAR RX $16.09 $0.57 BAYER HEALTHCARE YAZ Oral Tablet PHARMA $ $4.42 Zarah Oral Tablet MAYNE PHARMA $ $2.74 Zenchent Oral Tablet ACTAVIS PHARMA $ $1.60 Zovia 1/35E (28) Oral Tablet 1-35 MAYNE PHARMA $ $1.07 Zovia 1/50E (28) Oral Tablet 1-50 ACTAVIS PHARMA $ $

11 Source: Medispan Release date: Oct 2016 For additional price comparison information see: 11