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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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 3-0.03 BAYER HEALTHCARE PHARMA Pkg Size 50419040201 28 $123.84 $4.42 Other Products: Product Name Manufacturer NDC Size Aftera Oral Tablet 1.5 TEVA/WOMENS HEALTH 51285010388 1 $16.20 $16.20 Altavera Oral Tablet 0.15-30 - Alyacen 1/35 Oral Tablet 1-35 Alyacen 7/7/7 Oral Tablet 0.5/0.75/1-35 Amethia Lo Oral Tablet 0.1-0.02 & 0.01 Amethia Oral Tablet 0.15-0.03 &0.01 SANDOZ 00781558315 28 $92.76 $1.10 68462039429 28 $93.10 $1.11 68462055629 28 $101.50 $1.21 ACTAVIS PHARMA 52544022891 91 $268.55 $2.95 ACTAVIS PHARMA 52544026884 91 $268.55 $2.95 Amethyst Oral Tablet 90-20 ACTAVIS PHARMA 52544029528 28 $59.40 $2.12 Apri Oral Tablet 0.15-30 - Aranelle Oral Tablet 0.5/1/0.5-35 Ashlyna Oral Tablet 0.15-0.03 &0.01 Aubra Oral Tablet 0.1-20 - Aviane Oral Tablet 0.1-20 - TEVA TEVA 00555904358 28 $183.10 $1.09 00555906667 28 $118.05 $1.41 68462064691 91 $304.94 $3.35 AFAXYS 50102012001 28 $35.16 $1.26 TEVA 00555904558 28 $210.96 $1.26 1

Azurette Oral Tablet 0.15- ACTAVIS PHARMA 52544094028 28 $359.88 $2.14 0.02/0.01 (21/5) Balziva Oral Tablet 0.4-35 - Bekyree Oral Tablet 0.15-0.02/0.01 (21/5) Beyaz Oral Tablet 3-0.02-0.451 Blisovi 24 Fe Oral Tablet 1-20 (24) Blisovi Fe 1.5/30 Oral Tablet 1.5-30 Blisovi FE 1/20 Oral Tablet 1-20 Brevicon (28) Oral Tablet 0.5-35 Briellyn Oral Tablet 0.4-35 - Camila Oral Tablet 0.35 Camrese Lo Oral Tablet 0.1-0.02 & 0.01 Camrese Oral Tablet 0.15-0.03 &0.01 Caziant Oral Tablet 0.1/0.125/0.15-0.025 Chateal Oral Tablet 0.15-30 - Cryselle-28 Oral Tablet 0.3-30 Cyclafem 1/35 Oral Tablet 1-35 Cyclafem 7/7/7 Oral Tablet 0.5/0.75/1-35 Cyclessa Oral Tablet 0.1/0.125/0.15-0.025 Cyred Oral Tablet 0.15-30 - Dasetta 1/35 Oral Tablet 1-35 Dasetta 7/7/7 Oral Tablet 0.5/0.75/1-35 Daysee Oral Tablet 0.15-0.03 &0.01 TEVA BAYER HEALTHCARE PHARMA 00555903458 28 $269.01 $1.60 68180088011 28 $59.98 $2.14 50419040701 28 $164.39 $5.87 68180086411 28 $89.54 $3.20 68180086611 28 $28.94 $1.03 68180086511 28 $28.66 $1.02 ACTAVIS PHARMA 52544025428 28 $223.82 $2.66 TEVA TEVA TEVA 68462031629 28 $134.50 $1.60 00555071558 28 $221.49 $1.32 00093614882 91 $537.10 $2.95 00093313491 91 $268.55 $2.95 ACTAVIS PHARMA 52544095931 28 $100.93 $1.20 AFAXYS 50102013001 28 $30.93 $1.10 TEVA 00555904958 28 $183.12 $1.09 PAR 00603752149 28 $93.11 $1.11 PAR 00603752549 28 $101.73 $1.21 PRASCO LABORATORIES 76388028301 28 $69.19 $2.47 AFAXYS 50102015401 28 $35.22 $1.26 NORTHSTAR RX 16714034801 28 $29.49 $1.05 NORTHSTAR RX 16714034601 28 $32.22 $1.15 68180084611 91 $268.55 $2.95 2

Deblitane Oral Tablet 0.35 NORTHSTAR RX 16714044001 28 $49.47 $1.77 Delyla Oral Tablet 0.1-20 - Desogen Oral Tablet 0.15-30 - Desogestrel-Ethinyl Estradiol Oral Tablet 0.15-0.02/0.01 (21/5) Desogestrel-Ethinyl Estradiol Oral Tablet 0.15-30 Drospirenone-Ethinyl Estradiol Oral Tablet 3-0.02 Drospirenone-Ethinyl Estradiol Oral Tablet 3-0.03 Drospirenone-Ethinyl Estradiol Oral Tablet 3-0.03 OHM LABS 51660057286 28 $35.16 $1.26 ORGANON 00052026108 28 $57.18 $2.04 MYLAN 00378729653 28 $179.94 $2.14 NORTHSTAR RX 16714036701 28 $36.39 $1.30 68462072084 28 $101.31 $3.62 68180090211 28 $76.68 $2.74 MYLAN 00378730053 28 $230.05 $2.74 EContra EZ Oral Tablet 1.5 AFAXYS 50102011101 1 $36.56 $36.56 Elinest Oral Tablet 0.3-30 - NORTHSTAR RX 16714036501 28 $30.52 $1.09 Ella Oral Tablet 30 AFAXYS 50102091101 1 $42.90 $42.90 Emoquette Oral Tablet 0.15-30 Enpresse-28 Oral Tablet PAR 00603754049 28 $117.90 $1.40 TEVA 00555904758 28 $164.92 $0.98 Enpresse-28 Oral Tablet TEVA/WOMENS HEALTH 51285051428 28 $164.92 $0.98 Enskyce Oral Tablet 0.15-30 - Errin Oral Tablet 0.35 Estarylla Oral Tablet 0.25-35 - Estrostep Fe Oral Tablet 1-20/1-30/1-35 Fallback Solo Oral Tablet 1.5 Falmina Oral Tablet 0.1-20 - Femcon Fe Oral Tablet Chewable 0.4-35 Generess FE Oral Tablet Chewable 0.8-25 TEVA 68180088211 28 $39.34 $1.41 00555034458 28 $221.49 $1.32 SANDOZ 00781405815 28 $96.69 $1.15 ACTAVIS 00430000531 28 $528.38 $6.29 68180085313 1 $36.56 $36.56 NORTHSTAR RX 16714035901 28 $35.16 $1.26 ACTAVIS 00430001005 28 $767.86 $5.48 ACTAVIS PHARMA 52544020431 28 $439.67 $5.23 3

Gianvi Oral Tablet 3-0.02 TEVA 00093542328 28 $70.81 $2.53 Gildagia Oral Tablet 0.4-35 - Gildess 1.5/30 Oral Tablet 1.5-30 Gildess 1/20 Oral Tablet 1-20 Gildess 24 FE Oral Tablet 1-20 (24) Gildess FE 1.5/30 Oral Tablet 1.5-30 Gildess FE 1/20 Oral Tablet 1-20 Heather Oral Tablet 0.35 Introvale Oral Tablet 0.15-0.03 Jencycla Oral Tablet 0.35 Jolessa Oral Tablet 0.15-0.03 PAR 00603359049 28 $134.52 $1.60 PAR 00603760602 21 $28.94 $1.38 PAR 00603760702 21 $28.66 $1.36 PAR 00603761049 28 $268.62 $3.20 PAR 00603760817 28 $173.60 $1.03 PAR 00603760917 28 $171.93 $1.02 68462030329 28 $110.75 $1.32 SANDOZ 00781558436 91 $481.95 $1.77 TEVA 68180087711 28 $36.92 $1.32 00555912366 91 $482.02 $1.77 Jolivette Oral Tablet 0.35 ACTAVIS PHARMA 52544089228 28 $221.52 $1.32 Juleber Oral Tablet 0.15-30 - Junel 1.5/30 Oral Tablet 1.5-30 Junel 1/20 Oral Tablet 1-20 - Junel FE 1.5/30 Oral Tablet 1.5-30 Junel FE 1/20 Oral Tablet 1-20 Junel Fe 24 Oral Tablet 1-20 - (24) Kaitlib Fe Oral Tablet Chewable 0.8-25 Kariva Oral Tablet 0.15-0.02/0.01 (21/5) Kelnor 1/35 Oral Tablet 1-35 - Kimidess Oral Tablet 0.15-0.02/0.01 (21/5) NORTHSTAR RX 16714046401 28 $34.93 $1.25 TEVA TEVA TEVA TEVA TEVA TEVA TEVA 00555902742 21 $86.81 $1.38 00555902542 21 $85.97 $1.36 00555902858 28 $173.61 $1.03 00555902658 28 $171.94 $1.02 00093532828 28 $89.54 $3.20 68180090311 28 $122.13 $4.36 00555905058 28 $359.88 $2.14 00555906458 28 $179.28 $1.07 PAR 00603751249 28 $179.94 $2.14 4

Kurvelo Oral Tablet 0.15-30 - 68180084411 28 $30.93 $1.10 Larin 1.5/30 Oral Tablet 1.5-30 Larin 1/20 Oral Tablet 1-20 - Larin 24 FE Oral Tablet 1-20 - (24) Larin Fe 1.5/30 Oral Tablet 1.5-30 Larin Fe 1/20 Oral Tablet 1-20 Layolis FE Oral Tablet Chewable 0.8-25 Leena Oral Tablet 0.5/1/0.5-35 Lessina Oral Tablet 0.1-20 - NORTHSTAR RX 16714040701 21 $28.94 $1.38 NORTHSTAR RX 16714040801 21 $28.66 $1.36 NORTHSTAR RX 16714041601 28 $89.54 $3.20 NORTHSTAR RX 16714040501 28 $28.94 $1.03 NORTHSTAR RX 16714040601 28 $28.66 $1.02 ACTAVIS PHARMA 52544006431 28 $366.39 $4.36 ACTAVIS PHARMA 52544021928 28 $236.10 $1.41 TEVA 00555901467 28 $104.89 $1.25 Levonest Oral Tablet NORTHSTAR RX 16714034001 28 $27.49 $0.98 Levonorgest-Eth Estrad 91-Day Oral Tablet 0.1-0.02 & 0.01 Levonorgest-Eth Estrad 91-Day Oral Tablet 0.15-0.03 &0.01 Levonorgest-Eth Estrad 91-Day Oral Tablet 0.15-0.03 Levonorgest-Eth Estrad 91-Day Oral Tablet 0.15-0.03 Levonorgest-Eth Estrad 91-Day Oral Tablet 0.15-0.03 Levonorgestrel Oral Tablet 1.5 Levonorgestrel-Ethinyl Estrad Oral Tablet 0.1-20 Levonorgestrel-Ethinyl Estrad Oral Tablet 0.1-20 Levonorgestrel-Ethinyl Estrad Oral Tablet 0.15-30 Levonorgestrel-Ethinyl Estrad Oral Tablet 90-20 Levonorg-Eth Estrad Triphasic Oral Tablet Levora 0.15/30 (28) Oral Tablet 0.15-30 68180084811 91 $268.55 $2.95 MYLAN 00378728590 91 $537.10 $2.95 68462067295 91 $482.09 $1.77 68180084311 91 $160.70 $1.77 MYLAN 00378728153 91 $482.09 $1.77 PHARMACIST PHARMACEUTICAL LLC 63704000901 1 $36.56 $36.56 68180085411 28 $35.16 $1.26 MYLAN 00378728785 28 $35.16 $1.26 MYLAN 00378655053 28 $92.79 $1.10 68462063784 28 $59.40 $2.12 68180085711 28 $27.49 $0.98 ACTAVIS PHARMA 52544027928 28 $185.58 $1.10 5

Lo Loestrin Fe Oral Tablet 1 - ACTAVIS 00430042014 28 $646.02 $4.61 10 / 10 Loestrin 1.5/30 (21) Oral Tablet 1.5-30 Loestrin 1/20 (21) Oral Tablet 1-20 Loestrin Fe 1.5/30 Oral Tablet 1.5-30 Loestrin Fe 1/20 Oral Tablet 1-20 Lomedia 24 FE Oral Tablet 1-20 (24) TEVA/WOMENS HEALTH 51285012797 21 $606.13 $5.77 TEVA/WOMENS HEALTH 51285013197 21 $606.13 $5.77 TEVA/WOMENS HEALTH 51285012870 28 $606.13 $4.33 TEVA/WOMENS HEALTH 51285012570 28 $606.13 $4.33 AMNEAL 65162031684 28 $268.61 $3.20 Loryna Oral Tablet 3-0.02 SANDOZ 00781565615 28 $212.43 $2.53 LoSeasonique Oral Tablet 0.1-0.02 & 0.01 Low-Ogestrel Oral Tablet 0.3-30 Lutera Oral Tablet 0.1-20 - TEVA/WOMENS HEALTH 51285009287 91 $704.77 $3.87 ACTAVIS PHARMA 52544084728 28 $183.12 $1.09 ACTAVIS PHARMA 52544094928 28 $210.96 $1.26 Lyza Oral Tablet 0.35 AFAXYS 50102010001 28 $36.92 $1.32 Marlissa Oral Tablet 0.15-30 - Microgestin 1.5/30 Oral Tablet 1.5-30 Microgestin 1/20 Oral Tablet 1-20 Microgestin 24 Fe Oral Tablet 1-20 Microgestin FE 1.5/30 Oral Tablet 1.5-30 Microgestin FE 1/20 Oral Tablet 1-20 Minastrin 24 Fe Oral Tablet Chewable 1-20 (24) Mircette Oral Tablet 0.15-0.02/0.01 (21/5) Modicon (28) Oral Tablet 0.5-35 Mono-Linyah Oral Tablet 0.25-35 MonoNessa Oral Tablet 0.25-35 68462038884 28 $30.92 $1.10 ACTAVIS PHARMA 52544029021 21 $154.74 $1.23 ACTAVIS PHARMA 52544027621 21 $171.94 $1.36 ACTAVIS PHARMA 52544016741 28 $89.54 $3.20 ACTAVIS PHARMA 52544023328 28 $173.61 $1.03 ACTAVIS PHARMA 52544024928 28 $171.94 $1.02 ACTAVIS 00430053595 28 $85.12 $3.04 TEVA/WOMENS HEALTH 51285012058 28 $759.29 $4.52 JANSSEN 50458017115 28 $419.86 $2.50 NORTHSTAR RX 16714036001 28 $32.23 $1.15 ACTAVIS PHARMA 52544024728 28 $204.60 $1.22 6

My Way Oral Tablet 1.5 GAVIS 43386062230 1 $36.56 $36.56 Myzilra Oral Tablet PAR 00603762549 28 $82.47 $0.98 Natazia Oral Tablet 3/2-2/2-3/1 Necon 0.5/35 (28) Oral Tablet 0.5-35 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 Nikki Oral Tablet 3-0.02 BAYER HEALTHCARE PHARMA 50419040901 28 $164.39 $5.87 ACTAVIS PHARMA 52544055028 28 $192.84 $1.15 ACTAVIS PHARMA 52544055228 28 $176.81 $1.05 ACTAVIS PHARMA 52544024531 28 $88.41 $1.05 ACTAVIS PHARMA 52544055428 28 $192.84 $1.15 ACTAVIS PHARMA 52544016528 28 $193.18 $1.15 ACTAVIS PHARMA 52544006554 1 $36.56 $36.56 68180088611 28 $70.81 $2.53 Nora-BE Oral Tablet 0.35 ACTAVIS PHARMA 52544062928 28 $221.52 $1.32 Norethin Ace-Eth Estrad-FE Oral Tablet 1-20 Norethin Ace-Eth Estrad-FE Oral Tablet 1-20 (24) Norethindrone Acet-Ethinyl Est Oral Tablet 1-20 Norethindrone Oral Tablet 0.35 Norethindrone Oral Tablet 0.35 Norethindrone Oral Tablet 0.35 Norethindrone Oral Tablet 0.35 Norethin-Eth Estradiol-Fe Oral Tablet Chewable 0.8-25 - Norgestimate-Eth Estradiol Oral Tablet 0.25-35 Norgestim-Eth Estrad Triphasic Oral Tablet 0.18/0.215/0.25-25 Norgestim-Eth Estrad Triphasic Oral Tablet 0.18/0.215/0.25-25 MYLAN 00378728353 28 $85.97 $1.02 MYLAN 00378730153 28 $268.61 $3.20 MYLAN 00378728053 21 $85.97 $1.36 7 68462030529 28 $110.75 $1.32 68180087611 28 $36.92 $1.32 MYLAN 00378727253 28 $110.76 $1.32 NORTHSTAR RX 16714007301 28 $36.92 $1.32 MYLAN 00378730853 28 $365.98 $4.36 68462030984 28 $36.50 $1.30 68462071984 28 $161.03 $5.75 MYLAN 00378727753 28 $439.57 $5.23

Norgestim-Eth Estrad Triphasic 68462056529 28 $117.96 $1.40 Oral Tablet 0.18/0.215/0.25-35 Norinyl 1+35 (28) Oral Tablet 1-35 ACTAVIS PHARMA 52544025928 28 $447.49 $2.66 Norinyl 1+50 (28) Oral Tablet 1-50 ACTAVIS PHARMA 52544026531 28 $243.94 $2.90 Norlyroc Oral Tablet 0.35 OHM LABS 51660012786 28 $110.76 $3.96 Nor-QD Oral Tablet 0.35 ACTAVIS PHARMA 52544023528 28 $447.42 $2.66 Nortrel 0.5/35 (28) Oral Tablet 0.5-35 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 3-0.03 Ogestrel Oral Tablet 0.5-50 - Opcicon One-Step Oral Tablet 1.5 Orsythia Oral Tablet 0.1-20 - Ortho Micronor Oral Tablet 0.35 Ortho Tri-Cyclen (28) Oral Tablet 0.18/0.215/0.25-35 Ortho Tri-Cyclen Lo Oral Tablet 0.18/0.215/0.25-25 Ortho-Cyclen (28) Oral Tablet 0.25-35 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 0.4-35 Philith Oral Tablet 0.4-35 - Pimtrea Oral Tablet 0.15-0.02/0.01 (21/5) TEVA TEVA TEVA TEVA TEVA 00555900867 28 $96.52 $1.15 00555900942 21 $88.50 $1.40 00555901058 28 $176.99 $1.05 00555901258 28 $193.38 $1.15 00555913179 28 $76.68 $2.74 ACTAVIS PHARMA 52544084828 28 $134.77 $1.60 SUN 62756071860 1 $24.00 $24.00 PAR 00603763449 28 $105.48 $1.26 JANSSEN 50458019416 28 $331.68 $1.97 JANSSEN 50458019115 28 $303.16 $1.80 JANSSEN 50458025115 28 $1,074.73 $6.40 JANSSEN 50458019700 28 $50.53 $1.80 JANSSEN 50458017615 28 $510.90 $3.04 JANSSEN 50458017820 28 $45.82 $1.64 ACTAVIS 00430058045 28 $489.64 $5.83 NORTHSTAR RX 16714034701 28 $44.84 $1.60 NORTHSTAR RX 16714040401 28 $59.98 $2.14 8

Pirmella 1/35 Oral Tablet 1-35 68180089311 28 $29.47 $1.05 Pirmella 7/7/7 Oral Tablet 0.5/0.75/1-35 Plan B One-Step Oral Tablet 1.5 Portia-28 Oral Tablet 0.15-30 Previfem Oral Tablet 0.25-35 - Quartette Oral Tablet 42-21-21-7 DAYS Quasense Oral Tablet 0.15-0.03 Safyral Oral Tablet 3-0.03-0.451 Reclipsen Oral Tablet 0.15-30 Seasonique Oral Tablet 0.15-0.03 &0.01 Setlakin Oral Tablet 0.15-0.03 68180089211 28 $32.23 $1.15 TEVA/WOMENS HEALTH 51285014619 1 $39.00 $39.00 TEVA 00555902058 28 $185.58 $1.10 PAR 00603764217 28 $193.38 $1.15 TEVA/WOMENS HEALTH 51285043165 91 $422.02 $4.64 ACTAVIS PHARMA 52544096691 91 $482.09 $1.77 BAYER HEALTHCARE PHARMA 50419040303 28 $493.18 $5.87 ACTAVIS PHARMA 52544095428 28 $236.10 $1.41 TEVA/WOMENS HEALTH 51285008787 91 $704.77 $3.87 NORTHSTAR RX 16714036601 91 $160.68 $1.77 Sharobel Oral Tablet 0.35 NORTHSTAR RX 16714044101 28 $37.49 $1.34 Sprintec 28 Oral Tablet 0.25-35 Sronyx Oral Tablet 0.1-20 - TEVA 00555901658 28 $193.38 $1.15 ACTAVIS PHARMA 52544096728 28 $210.96 $1.26 Syeda Oral Tablet 3-0.03 SANDOZ 00781565815 28 $230.04 $2.74 Take Action Oral Tablet 1.5 TEVA/WOMENS HEALTH 51285010088 1 $39.00 $39.00 Tarina FE 1/20 Oral Tablet 1-20 Tilia Fe Oral Tablet 1-20/1-30/1-35 Tri-Estarylla Oral Tablet 0.18/0.215/0.25-35 Tri-Legest Fe Oral Tablet 1-20/1-30/1-35 Tri-Linyah Oral Tablet 0.18/0.215/0.25-35 Tri-Lo-Estarylla Oral Tablet 0.18/0.215/0.25-25 AFAXYS 50102012801 28 $28.66 $1.02 ACTAVIS PHARMA 52544005431 28 $171.47 $2.04 SANDOZ 00781406015 28 $117.96 $1.40 TEVA 00555903270 28 $285.76 $2.04 NORTHSTAR RX 16714036301 28 $39.32 $1.40 SANDOZ 00781406215 28 $184.68 $2.20 9

Tri-Lo-Marzia Oral Tablet 68180083711 28 $146.68 $5.24 0.18/0.215/0.25-25 Tri-Lo-Sprintec Oral Tablet 0.18/0.215/0.25-25 TriNessa (28) Oral Tablet 0.18/0.215/0.25-35 TriNessa Lo Oral Tablet 0.18/0.215/0.25-25 Tri-Norinyl (28) Oral Tablet 0.5/1/0.5-35 Tri-Previfem Oral Tablet 0.18/0.215/0.25-35 Tri-Sprintec Oral Tablet 0.18/0.215/0.25-35 TEVA 00093214028 28 $146.68 $5.24 ACTAVIS PHARMA 52544024828 28 $235.92 $1.40 ACTAVIS PHARMA 52544008741 28 $32.60 $1.16 ACTAVIS PHARMA 52544027428 28 $487.87 $2.90 PAR 00603766317 28 $235.92 $1.40 TEVA 00555901858 28 $235.94 $1.40 Trivora (28) Oral Tablet ACTAVIS PHARMA 52544029128 28 $164.92 $0.98 Velivet Oral Tablet 0.1/0.125/0.15-0.025 TEVA 00555905167 28 $100.93 $1.20 Vestura Oral Tablet 3-0.02 ACTAVIS PHARMA 52544098228 28 $70.81 $2.53 Vienva Oral Tablet 0.1-20 - Viorele Oral Tablet 0.15-0.02/0.01 (21/5) Vyfemla Oral Tablet 0.4-35 - Wera Oral Tablet 0.5-35 - Wymzya Fe Oral Tablet Chewable 0.4-35 SANDOZ 00781557515 28 $88.30 $1.05 68462031884 28 $59.98 $2.14 68180087513 28 $134.51 $1.60 NORTHSTAR RX 16714037001 28 $16.09 $0.57 68180089913 28 $365.89 $2.61 YAZ Oral Tablet 3-0.02 BAYER HEALTHCARE PHARMA 50419040501 28 $123.84 $4.42 Zarah Oral Tablet 3-0.03 ACTAVIS PHARMA 52544098131 28 $230.05 $2.74 Zenchent FE Oral Tablet Chewable 0.4-35 Zenchent Oral Tablet 0.4-35 - Zovia 1/35E (28) Oral Tablet 1-35 Zovia 1/50E (28) Oral Tablet 1-50 AMNEAL 65162034784 28 $268.61 $3.20 ACTAVIS PHARMA 52544095328 28 $269.02 $1.60 ACTAVIS PHARMA 52544038328 28 $179.27 $1.07 ACTAVIS PHARMA 52544038428 28 $199.74 $1.19 10

Source: Medispan Release date: March 2016 For additional price comparison information see: http://www.compliance.bayerweb.com/vermontawp.htm 11