|Select Drug||Select State||Select Health Plan||View/Print Results|
- Drug: Ortho Tri-Cyclen Lo
- State: New York
- Health Plan: Amerigroup (NY Medicaid/FHP)
- Tier: Tier 2
- Additional Info: Tier status varies by gender.
- Restrictions: PA
- Learn More: Visit Ortho Tri-Cyclen Lo Website
Fingertip Formulary® wants to partner with all health plans!