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Contraceptive Comparison Chart

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Contraceptive Comparison Chart

Brand Equivalent

Estrogen/Progesterone

Micronor
Alesse

0.35mg norethindrone
20mcg EE/0.1mg levonorgestrel
25mcg EE/0.18, 0.215, 0.25mg norgestimate

Ortho Tri-Cyclen

35mcg EE/0.18, 0.215, 0.25mg norgestimate

Triphasil, Tri-Levlen

30,40,30mcg EE; 0.05,0.075,0.125mg/levonorgestrel

Ortho-Cyclen

Progestin
activity

Estrogen
activity

Androgen
activity

Formulary

Cost

Formulary
Formulary
Non-Formulary

$30-$40
$30-$40
>$40

Low
Low
Low

None-Low
Low
Low

None-Low
Low
Low

Formulary

<$30

Low

Intermediate

Low

Formulary

<$30

Low

Intermediate

Low

35 mcg EE/0.25mg norgestimate

Enpresse*, Trivora-28*
Mononessa, Previfem,
Sprintec

Formulary

<$30

Low

Low

Ovcon 35
Brevcon, Modicon
Trinorinyl
Lo/Ovral

35mcg EE/0.4mg norethindrone


35mcg EE/0.5mg norethindrone
35mcg EE/norethindrone 0.5, 1, 0.5
30mcg EE/0.3mg norgestrel

Balziva, Zenchent
Necon, Nortrel
Aranelle, Leena*
Cryselle, Low-Ogestrel

Non-Formulary
Formulary
Formulary
Formulary

$30-$40
<$30
$30-$40
<$30

Low
Low
Low
Intermediate

Intermediate
Intermediate/
High
High
High
Low

Levlen, Nordette

30mcg EE/0.15mg levonorgestrel

Altavera, Levora-28, Portia

Formulary

<$30

Intermediate

Low

Intermediate

Seasonale
Ortho-Novum 1/50

30mcg EE/0.15mg levonorgestrel


50 mcg mestranol/0.5mg norgestrel

Jolessa**, Quasense**
Necon 1-50

Formulary
Formulary

$30-$40
<$30

Intermediate
Intermediate

Low
Intermediate

Intermediate
Intermediate

Ortho-Novum 7/7/7

35mcg EE/norethindrone 0.5, 0.75, 1mg

Necon, Nortrel

Formulary

<$30

Intermediate

High

Intermediate

Ortho-Novum 1/35

35mcg EE/1mg norethindrone


50mcg EE/1mg norethindrone
35 mcg EE/1mg ethynodiol diacetate
25mcg EE/0.1, 0.125, 0.15mg desogestrel
20mcg EE/10mcg EE 0.15mg desogestrel
20, 30, 35mcg EE/1mg norethindrone

Necon, Nortrel
Ovcon-50
Kelnor 1-35, Zovia 1-35e
Caziant*, Velivet*
Azurette, Kariva
Tri-Legest
Fe*Fe,
Junel,
Junel
Microgestin, Microgestin
Fe
Junel,
Junel Fe,
Microgestin, Microgestin
Fe
Zovia 1-50e

Formulary
Non-Formulary
Formulary
Formulary
Non-Formulary
Non-Formulary

<$30
>$40
<$30
<$30
>$40
>$40

Intermediate
Intermediate
High
High
High
High

High
High
Low
Low
Low
Low

Intermediate
Intermediate
Low
Low
Low
Intermediate

Formulary

<$30

High

Low

Intermediate

Formulary
Formulary

<$30
<$30

High
High

Low
Intermediate

High
Low

Apri, Reclipsen
Ogestrel
Ocella, Zarah
Gianvi
Ortho Evra
Nuvaring

Formulary
Formulary
Non-Formulary
Non-Formulary
Formulary
Formulary

<$30
$30-$40
>$40
>$40
>$40
>$40

High
High
Relative
Activity not
quantified

Intermediate
High
Intermediate
Low

Low
High
None
None

Demulen 1/35
Cyclessa
Mircette
Estrostep FE
Loestrin 1/20, Loestrin
Fe 1/20
20mcg EE/1mg norethindrone
Loestrin 1.5/20,
Loestrin Fe 1.5/20
30mcg EE/1.5mg norethindrone
Demulen 1/50
50 mcg EE/1mg ethynodiol diacetate
Desogen, Ortho-Cept
Ovral
Yasmin
Yaz
* Triphasic
** Extended Cycle

30mcg EE/0.15mg desogestrel


50 mcg EE/0.5mg norgestrel
30mcg EE/3mg drospirenone
20mcg EE/3mg drosperinone
Norelgestromin 0.15 mg/EE 0.02mg/24h
Etonogestrel 0.12 mg,/EE 0.015mg/24 hr

Drug Name
Camila, Errin, Jolivette,
Nora-be
Aviane, Lessina, Lutera
Ortho Tri-cyclen Lo*
Trinessa*, Tri-Previfem*,
Tri-Sprintec*

Brand Equivalent is for reference only. It is not an indication that this product is
covered. If a generic is available, only the generic equivalent is covered.

*Adapted from Dickey RP, "Managing Contraceptive Pill Patients Millennium Edition"
And Drug Facts and Comparisons Online
Drospirenone has anti-mineralocorticoid activity which can result in hyperkalemia in susceptible patients.
Preclinical studies indicate that drospirenone has no androgenic, estrogenic, glucocorticoid, antiglucocorticoid, or antiandrogenic activity.

Low
Low
Low
Intermediate

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