Information for Vermont Prescribers of Prescription Drugs (Long Form)
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1 Information for Vermont Prescribers of Prescription Drugs (Long Form) Natazia (Estradiol Valerate-Dienogest) 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 Natazia Oral Tablet 3/2-2/2-3/1 Other Products: Pkg Size Product Name Manufacturer NDC Size Altavera Oral Tablet Alyacen 1/35 Oral Tablet 1-35 Alyacen 7/7/7 Oral Tablet 0.5/0.75/1-35 Amethia Lo Oral Tablet & 0.01 Amethia Oral Tablet & $ $4.42 SANDOZ $30.92 $ $93.10 $ $ $1.21 ACTAVIS $ $2.95 ACTAVIS $ $2.95 Amethyst Oral Tablet ACTAVIS $59.40 $2.12 Apri Oral Tablet Aranelle Oral Tablet 0.5/1/ Aubra Oral Tablet Aviane Oral Tablet Azurette Oral Tablet /0.01 (21/5) Balziva Oral Tablet $ $ $ $1.41 AFAXYS $13.60 $ $ $1.26 ACTAVIS $ $ $ $1.60
2 Beyaz Oral Tablet Brevicon (28) Oral Tablet Briellyn Oral Tablet Camila Oral Tablet 0.35 Camrese Lo Oral Tablet & 0.01 Camrese Oral Tablet &0.01 Caziant Oral Tablet 0.1/0.125/ Cesia Oral Tablet 0.1/0.125/ Chateal Oral Tablet Cryselle-28 Oral Tablet Cryselle-28 Oral Tablet Cyclafem 1/35 Oral Tablet 1-35 Cyclafem 7/7/7 Oral Tablet 0.5/0.75/1-35 Cyclessa Oral Tablet 0.1/0.125/ Dasetta 1/35 Oral Tablet 1-35 Dasetta 7/7/7 Oral Tablet 0.5/0.75/1-35 Daysee Oral Tablet &0.01 Desogen Oral Tablet Desogestrel-Ethinyl Estradiol Oral Tablet Drospirenone-Ethinyl Estradiol Oral Tablet Elinest Oral Tablet $ $4.42 ACTAVIS $ $ $ $ $ $ $ $ $ $2.95 ACTAVIS $ $1.20 PRASCO LABORATORIES $99.99 $1.19 AFAXYS $16.63 $ $ $1.09 TEVA/WOMENS HEALTH $ $1.09 QUALITEST $93.11 $1.11 QUALITEST $ $1.21 ORGANON $ $2.33 NORTHSTAR RX $29.49 $1.05 NORTHSTAR RX $32.22 $ $ $2.95 ORGANON $ $2.04 NORTHSTAR RX $36.39 $ $76.68 $2.74 NORTHSTAR RX $30.52 $1.09 Ella Oral Tablet 30 AFAXYS $42.90 $
3 Emoquette Oral Tablet Enpresse-28 Oral Tablet QUALITEST $ $ $ $0.98 Enpresse-28 Oral Tablet TEVA/WOMENS HEALTH $ $0.98 Enskyce Oral Tablet Errin Oral Tablet 0.35 Estarylla Oral Tablet Estrostep Fe Oral Tablet 1-20/1-30/1-35 Falmina Oral Tablet Femcon Fe Oral Tablet Chewable Generess FE Oral Tablet Chewable Gianvi Oral Tablet Gildagia Oral Tablet Gildess 1.5/30 Oral Tablet Gildess 1/20 Oral Tablet 1-20 Gildess FE 1.5/30 Oral Tablet Gildess FE 1/20 Oral Tablet 1-20 Heather Oral Tablet 0.35 Introvale Oral Tablet Jencycla Oral Tablet 0.35 Jolessa Oral Tablet $39.34 $ $ $1.32 SANDOZ $96.69 $1.15 ACTAVIS $ $4.40 NORTHSTAR RX $35.16 $1.26 ACTAVIS $ $3.84 ACTAVIS $ $ $70.81 $2.53 QUALITEST $ $1.60 QUALITEST $28.94 $1.38 QUALITEST $28.66 $1.36 QUALITEST $ $1.03 QUALITEST $ $ $ $1.32 SANDOZ $ $ $36.92 $ $ $1.77 Jolivette Oral Tablet 0.35 ACTAVIS $ $1.32 Junel 1.5/30 Oral Tablet $86.81 $1.38 3
4 Junel 1/20 Oral Tablet Junel FE 1.5/30 Oral Tablet Junel FE 1/20 Oral Tablet 1-20 Kariva Oral Tablet /0.01 (21/5) Kelnor 1/35 Oral Tablet Kurvelo Oral Tablet Larin 1/20 Oral Tablet Larin Fe 1.5/30 Oral Tablet Larin Fe 1/20 Oral Tablet 1-20 Leena Oral Tablet 0.5/1/ Lessina Oral Tablet $85.97 $ $ $ $ $ $ $ $ $ $30.93 $1.10 NORTHSTAR RX $28.66 $1.36 NORTHSTAR RX $28.94 $1.03 NORTHSTAR RX $28.66 $1.02 ACTAVIS $ $ $ $1.25 Levonest Oral Tablet NORTHSTAR RX $27.49 $0.98 Levonorgest-Eth Estrad 91-Day Oral Tablet & 0.01 Levonorgest-Eth Estrad 91-Day Oral Tablet Levonorgestrel Oral Tablet 0.75 Levonorgestrel Oral Tablet 1.5 Levonorgestrel-Ethinyl Estrad Oral Tablet Levonorgestrel-Ethinyl Estrad Oral Tablet Levonorgestrel-Ethinyl Estrad Oral Tablet Levora 0.15/30 (28) Oral Tablet Lo Loestrin Fe Oral Tablet 1-10 / 10 Loestrin 1.5/30 (21) Oral Tablet PERRIGO CIST CEUTICAL LLC $ $ $ $ $36.56 $ $36.28 $ $35.16 $1.26 MYLAN $ $1.26 MYLAN $92.79 $1.10 ACTAVIS $ $1.10 ACTAVIS $ $ $ $2.18 4
5 Loestrin 1.5/30 (21) Oral Tablet Loestrin 1/20 (21) Oral Tablet 1-20 Loestrin Fe 1.5/30 Oral Tablet Loestrin Fe 1/20 Oral Tablet 1-20 Lomedia 24 FE Oral Tablet 1-20 (24) TEVA/WOMENS HEALTH $ $5.34 TEVA/WOMENS HEALTH $ $5.34 TEVA/WOMENS HEALTH $ $4.00 TEVA/WOMENS HEALTH $ $4.00 AMNEAL $ $3.20 Loryna Oral Tablet SANDOZ $ $2.53 LoSeasonique Oral Tablet & 0.01 Low-Ogestrel Oral Tablet Lutera Oral Tablet TEVA/WOMENS HEALTH $ $3.58 ACTAVIS $ $1.09 ACTAVIS $ $1.26 Lyza Oral Tablet 0.35 AFAXYS $16.07 $0.57 Marlissa Oral Tablet Microgestin 1.5/30 Oral Tablet Microgestin 1/20 Oral Tablet 1-20 Microgestin FE 1.5/30 Oral Tablet Microgestin FE 1/20 Oral Tablet 1-20 Minastrin 24 Fe Oral Tablet Chewable 1-20 (24) Mircette Oral Tablet /0.01 (21/5) Modicon (28) Oral Tablet Mono-Linyah Oral Tablet MonoNessa Oral Tablet My Way Oral Tablet $30.92 $1.10 ACTAVIS $ $1.38 ACTAVIS $ $1.36 ACTAVIS $ $1.03 ACTAVIS $ $1.02 ACTAVIS $ $3.85 TEVA/WOMENS HEALTH $ $4.18 JANSSEN $ $2.50 NORTHSTAR RX $32.23 $1.15 ACTAVIS $ $1.22 GAVIS $36.56 $36.56 Myzilra Oral Tablet QUALITEST $82.47 $0.98 5
6 Necon 0.5/35 (28) Oral Tablet Necon 1/35 (28) Oral Tablet 1-35 Necon 1/50 (28) Oral Tablet 1-50 Necon 10/11 (28) Oral Tablet 35 Necon 7/7/7 Oral Tablet 0.5/0.75/1-35 Next Choice One Dose Oral Tablet 1.5 ACTAVIS $ $1.15 ACTAVIS $ $1.05 ACTAVIS $88.41 $1.05 ACTAVIS $ $1.15 ACTAVIS $ $1.15 ACTAVIS $36.56 $36.56 Nora-BE Oral Tablet 0.35 ACTAVIS $ $1.32 Norethindrone Oral Tablet 0.35 Norethindrone Oral Tablet 0.35 Norethindrone Oral Tablet 0.35 Norethindrone Oral Tablet 0.35 Norgestimate-Eth Estradiol Oral Tablet Norgestim-Eth Estrad Triphasic Oral Tablet 0.18/0.215/ Norinyl 1+35 (28) Oral Tablet 1-35 Norinyl 1+50 (28) Oral Tablet $ $ $36.92 $1.32 MYLAN $ $1.32 NORTHSTAR RX $36.92 $ $36.50 $ $ $1.40 ACTAVIS $ $2.66 ACTAVIS $ $2.90 Nor-QD Oral Tablet 0.35 ACTAVIS $ $2.66 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 Ogestrel Oral Tablet $96.52 $ $88.50 $ $ $ $ $ $76.68 $2.74 ACTAVIS $ $1.60 6
7 Orsythia Oral Tablet Ortho Micronor Oral Tablet 0.35 Ortho Tri-Cyclen (28) Oral Tablet 0.18/0.215/ Ortho Tri-Cyclen Lo Oral Tablet 0.18/0.215/ Ortho-Cept (28) Oral Tablet Ortho-Cyclen (28) Oral Tablet Ortho-Novum 1/35 (28) Oral Tablet 1-35 Ortho-Novum 7/7/7 (28) Oral Tablet 0.5/0.75/1-35 Ovcon-35 (28) Oral Tablet Philith Oral Tablet Pimtrea Oral Tablet /0.01 (21/5) Pirmella 1/35 Oral Tablet 1-35 Pirmella 7/7/7 Oral Tablet 0.5/0.75/1-35 Plan B One-Step Oral Tablet 1.5 QUALITEST $ $1.26 JANSSEN $ $1.63 JANSSEN $ $1.49 JANSSEN $ $4.95 JANSSEN $64.15 $2.29 JANSSEN $41.83 $1.49 JANSSEN $ $2.52 JANSSEN $37.93 $1.35 ACTAVIS $ $4.08 NORTHSTAR RX $44.84 $1.60 NORTHSTAR RX $59.98 $ $29.47 $ $32.23 $1.15 TEVA/WOMENS HEALTH $39.00 $39.00 Plan B Oral Tablet 0.75 TEVA/WOMENS HEALTH $39.37 $19.68 Portia-28 Oral Tablet Previfem Oral Tablet Quartette Oral Tablet DAYS Quasense Oral Tablet Reclipsen Oral Tablet Safyral Oral Tablet Seasonique Oral Tablet & $ $1.10 QUALITEST $ $1.15 TEVA/WOMENS HEALTH $ $3.90 ACTAVIS $ $1.77 ACTAVIS $ $ $ $4.42 TEVA/WOMENS HEALTH $ $3.58 7
8 Solia Oral Tablet Sprintec 28 Oral Tablet Sronyx Oral Tablet PRASCO LABORATORIES $ $ $ $1.15 ACTAVIS $ $1.26 Syeda Oral Tablet SANDOZ $ $2.74 Take Action Oral Tablet 1.5 TEVA/WOMENS HEALTH $39.00 $39.00 Tilia Fe Oral Tablet 1-20/1-30/1-35 Tri-Estarylla Oral Tablet 0.18/0.215/ Tri-Legest Fe Oral Tablet 1-20/1-30/1-35 Tri-Linyah Oral Tablet 0.18/0.215/ TriNessa (28) Oral Tablet 0.18/0.215/ Tri-Norinyl (28) Oral Tablet 0.5/1/ Tri-Previfem Oral Tablet 0.18/0.215/ Tri-Sprintec Oral Tablet 0.18/0.215/ ACTAVIS $ $2.04 SANDOZ $ $ $ $2.04 NORTHSTAR RX $39.32 $1.40 ACTAVIS $ $1.40 ACTAVIS $ $2.90 QUALITEST $ $ $ $1.40 Trivora (28) Oral Tablet ACTAVIS $ $0.98 Velivet Oral Tablet 0.1/0.125/ $ $1.20 Vestura Oral Tablet ACTAVIS $70.81 $2.53 Viorele Oral Tablet /0.01 (21/5) Vyfemla Oral Tablet Wera Oral Tablet Wymzya Fe Oral Tablet Chewable Yasmin 28 Oral Tablet YAZ Oral Tablet $59.98 $ $ $1.60 NORTHSTAR RX $16.09 $ $73.18 $ $93.30 $ $93.30 $3.33 8
9 Zarah Oral Tablet ACTAVIS $ $2.74 Zenchent FE Oral Tablet Chewable Zenchent Oral Tablet Zovia 1/35E (28) Oral Tablet 1-35 Zovia 1/50E (28) Oral Tablet 1-50 AMNEAL $ $3.20 ACTAVIS $ $1.60 ACTAVIS $ $1.07 ACTAVIS $ $1.19 Source: Rx, Medispan Release date: June 2014 For additional price comparison information see: 9
BAYER HEALTHCARE PHARMA. Per Pill Aftera Oral Tablet 1.5 MG TEVA/WOMENS HEALTH $16.20 $16.20 SANDOZ $92.76 $1.
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