Estrogen Replacement, Topical

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PDL Status Values

Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the Non-Preferred Drugs in Select PDL Classes prior authorization criteria. New drugs will be listed as N until reviewed by the P&T Committee and are subject to the New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.

To request a Prior Authorization, please use this form.

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NDC Brand Name Generic Name Form Strength PDL
Status
Rebate Current Drug Use Criteria
00037480135 ELESTRIN estradiol GEL MD PMP 0.87 gram/actuation (0.06 %) Y Y  
00037480170 ELESTRIN estradiol GEL MD PMP 0.87 gram/actuation (0.06 %) Y Y  
70954064610 ESTRADIOL estradiol GEL MD PMP 1.25 gram/actuation (0.06 %) N Y Age Restriction
73473030850 ESTRADIOL estradiol GEL MD PMP 1.25 gram/actuation (0.06 %) N Y Age Restriction
68025006501 DIVIGEL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
68025006530 DIVIGEL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
13811009001 ESTRADIOL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
13811009032 ESTRADIOL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
45802013401 ESTRADIOL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
45802013430 ESTRADIOL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
69238245201 ESTRADIOL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
69238245203 ESTRADIOL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
70700014335 ESTRADIOL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
70954053120 ESTRADIOL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
72603024101 ESTRADIOL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
72603024130 ESTRADIOL estradiol GEL PACKET 0.25 mg/0.25 gram (0.1 %) N Y Age Restriction
68025006601 DIVIGEL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
68025006630 DIVIGEL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
13811009101 ESTRADIOL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
13811009132 ESTRADIOL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
45802020201 ESTRADIOL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
45802020230 ESTRADIOL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
69238245101 ESTRADIOL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
69238245103 ESTRADIOL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
70700014434 ESTRADIOL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
70700014435 ESTRADIOL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
70954053020 ESTRADIOL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
72603024201 ESTRADIOL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
72603024230 ESTRADIOL estradiol GEL PACKET 0.5 mg/0.5 gram (0.1 %) N Y Age Restriction
68025008301 DIVIGEL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
68025008330 DIVIGEL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
13811009201 ESTRADIOL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
13811009232 ESTRADIOL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
45802031001 ESTRADIOL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
45802031030 ESTRADIOL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
69238245001 ESTRADIOL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
69238245003 ESTRADIOL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
70700019435 ESTRADIOL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
70954053220 ESTRADIOL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
72603024301 ESTRADIOL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
72603024330 ESTRADIOL estradiol GEL PACKET 0.75 mg/0.75 gram (0.1 %) N Y Age Restriction
68025006701 DIVIGEL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
68025006730 DIVIGEL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
13811009301 ESTRADIOL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
13811009332 ESTRADIOL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
45802045201 ESTRADIOL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
45802045230 ESTRADIOL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
69238244901 ESTRADIOL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
69238244903 ESTRADIOL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
70700014535 ESTRADIOL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
70954053320 ESTRADIOL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
72603024401 ESTRADIOL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
72603024430 ESTRADIOL estradiol GEL PACKET 1 mg/gram (0.1 %) N Y Age Restriction
68025008630 DIVIGEL estradiol GEL PACKET 1.25 mg/1.25 gram (0.1 %) N Y Age Restriction
13811009401 ESTRADIOL estradiol GEL PACKET 1.25 mg/1.25 gram (0.1 %) N Y Age Restriction
13811009432 ESTRADIOL estradiol GEL PACKET 1.25 mg/1.25 gram (0.1 %) N Y Age Restriction
45802057301 ESTRADIOL estradiol GEL PACKET 1.25 mg/1.25 gram (0.1 %) N Y Age Restriction
45802057330 ESTRADIOL estradiol GEL PACKET 1.25 mg/1.25 gram (0.1 %) N Y Age Restriction
69238244801 ESTRADIOL estradiol GEL PACKET 1.25 mg/1.25 gram (0.1 %) N Y Age Restriction
69238244803 ESTRADIOL estradiol GEL PACKET 1.25 mg/1.25 gram (0.1 %) N Y Age Restriction
70700019535 ESTRADIOL estradiol GEL PACKET 1.25 mg/1.25 gram (0.1 %) N Y Age Restriction
70954053420 ESTRADIOL estradiol GEL PACKET 1.25 mg/1.25 gram (0.1 %) N Y Age Restriction
72603024501 ESTRADIOL estradiol GEL PACKET 1.25 mg/1.25 gram (0.1 %) N Y Age Restriction
72603024530 ESTRADIOL estradiol GEL PACKET 1.25 mg/1.25 gram (0.1 %) N Y Age Restriction
65162098904 DOTTI estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
65162098908 DOTTI estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
00378461916 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
00378461926 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
00378464416 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
00378464426 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
00781712958 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
00781712983 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
68968342501 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
68968342508 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
70710119101 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
70710119108 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
65162012604 LYLLANA estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
65162012608 LYLLANA estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
68968662501 MINIVELLE estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
68968662508 MINIVELLE estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
66758014558 VIVELLE-DOT estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
66758014583 VIVELLE-DOT estradiol PATCH TDSW 0.025 mg/24 hour Y Y  
65162099204 DOTTI estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
65162099208 DOTTI estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
00378462016 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
00378462026 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
00378464316 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
00378464326 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
00781713858 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
00781713883 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
68968343701 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
68968343708 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
70710119201 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
70710119208 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
65162014804 LYLLANA estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
65162014808 LYLLANA estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
68968663701 MINIVELLE estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
68968663708 MINIVELLE estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
66758014658 VIVELLE-DOT estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
66758014683 VIVELLE-DOT estradiol PATCH TDSW 0.0375 mg/24 hour Y Y  
65162099304 DOTTI estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
65162099308 DOTTI estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
00378462116 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
00378462126 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
00378464216 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
00378464226 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
00781714458 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
00781714483 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
68968345001 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
68968345008 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
70710119301 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
70710119308 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
65162014904 LYLLANA estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
65162014908 LYLLANA estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
68968665001 MINIVELLE estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
68968665008 MINIVELLE estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
66758014758 VIVELLE-DOT estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
66758014783 VIVELLE-DOT estradiol PATCH TDSW 0.05 mg/24 hour Y Y  
65162099504 DOTTI estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
65162099508 DOTTI estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
00378462216 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
00378462226 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
00378464116 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
00378464126 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
00781715658 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
00781715683 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
68968347501 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
68968347508 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
70710119401 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
70710119408 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
65162015004 LYLLANA estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
65162015008 LYLLANA estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
68968667501 MINIVELLE estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
68968667508 MINIVELLE estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
66758014858 VIVELLE-DOT estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
66758014883 VIVELLE-DOT estradiol PATCH TDSW 0.075 mg/24 hour Y Y  
65162099704 DOTTI estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
65162099708 DOTTI estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
00378462316 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
00378462326 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
00378464016 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
00378464026 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
00781716758 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
00781716783 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
68968341001 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
68968341008 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
70710119501 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
70710119508 ESTRADIOL (TWICE WEEKLY) estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
65162022804 LYLLANA estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
65162022808 LYLLANA estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
68968661001 MINIVELLE estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
68968661008 MINIVELLE estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
66758014958 VIVELLE-DOT estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
66758014983 VIVELLE-DOT estradiol PATCH TDSW 0.1 mg/24 hour Y Y  
50419045401 CLIMARA estradiol PATCH TDWK 0.025 mg/24 hour Y Y  
50419045404 CLIMARA estradiol PATCH TDWK 0.025 mg/24 hour Y Y  
00378334916 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.025 mg/24 hour Y Y  
00378334999 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.025 mg/24 hour Y Y  
00781711954 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.025 mg/24 hour Y Y  
00781711958 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.025 mg/24 hour Y Y  
50419045601 CLIMARA estradiol PATCH TDWK 0.0375 mg/24 hour Y Y  
50419045604 CLIMARA estradiol PATCH TDWK 0.0375 mg/24 hour Y Y  
00378336016 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.0375 mg/24 hour Y Y  
00378336099 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.0375 mg/24 hour Y Y  
00781712254 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.0375 mg/24 hour Y Y  
00781712258 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.0375 mg/24 hour Y Y  
50419045101 CLIMARA estradiol PATCH TDWK 0.05 mg/24 hour Y Y  
50419045104 CLIMARA estradiol PATCH TDWK 0.05 mg/24 hour Y Y  
00378335016 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.05 mg/24 hour Y Y  
00378335099 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.05 mg/24 hour Y Y  
00781713354 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.05 mg/24 hour Y Y  
00781713358 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.05 mg/24 hour Y Y  
50419045901 CLIMARA estradiol PATCH TDWK 0.06 mg/24 hour Y Y  
50419045904 CLIMARA estradiol PATCH TDWK 0.06 mg/24 hour Y Y  
00378336116 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.06 mg/24 hour Y Y  
00378336199 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.06 mg/24 hour Y Y  
00781713454 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.06 mg/24 hour Y Y  
00781713458 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.06 mg/24 hour Y Y  
50419045301 CLIMARA estradiol PATCH TDWK 0.075 mg/24 hour Y Y  
50419045304 CLIMARA estradiol PATCH TDWK 0.075 mg/24 hour Y Y  
00378335116 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.075 mg/24 hour Y Y  
00378335199 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.075 mg/24 hour Y Y  
00781713654 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.075 mg/24 hour Y Y  
00781713658 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.075 mg/24 hour Y Y  
50419045201 CLIMARA estradiol PATCH TDWK 0.1 mg/24 hour Y Y  
50419045204 CLIMARA estradiol PATCH TDWK 0.1 mg/24 hour Y Y  
00378335216 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.1 mg/24 hour Y Y  
00378335299 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.1 mg/24 hour Y Y  
00781710454 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.1 mg/24 hour Y Y  
00781710458 ESTRADIOL (ONCE WEEKLY) estradiol PATCH TDWK 0.1 mg/24 hour Y Y  
50419045504 MENOSTAR estradiol PATCH TDWK 14 mcg/24 hour N Y Age Restriction
00574206727 EVAMIST estradiol SPRAY 1.53 mg/spray (1.7 %) N Y Age Restriction
50419049104 CLIMARA PRO estradiol/levonorgestrel PATCH TDWK 0.045 mg-0.015 mg/24 hour N Y Age Restriction
68968051401 COMBIPATCH estradiol/norethindrone acet PATCH TDSW 0.05 mg-0.14 mg/24 hour N Y Age Restriction
68968051408 COMBIPATCH estradiol/norethindrone acet PATCH TDSW 0.05 mg-0.14 mg/24 hour N Y Age Restriction
68968052501 COMBIPATCH estradiol/norethindrone acet PATCH TDSW 0.05 mg-0.25 mg/24 hour N Y Age Restriction
68968052508 COMBIPATCH estradiol/norethindrone acet PATCH TDSW 0.05 mg-0.25 mg/24 hour N Y Age Restriction