brand oral contraceptives — Medica
improvement of birth outcomes
Preferred products
- generic oral contraceptives
- Xulane
- Zafemy
- norelgestromin-ethinyl estradiol transdermal
- etonogestrel-ethinyl estradiol vaginal ring
- Eluryng vaginal ring
- EnilloRing vaginal ring
- Haloette vaginal ring
Initial criteria
- IF the patient has tried one Step 1 Product, approve a Step 2 Product
- OR IF used for prevention of pregnancy or improvement of birth outcomes AND, according to the prescriber, the alternative Step 1 Products would not be as medically appropriate for the patient as the requested drug, approve
Approval duration
1 year