Standard Health Pals Formulary
Aranelle 0.5 mg / 0.035 mg and 1 mg / 0.035 mg Tablet Pack (Generic for TriNorinyl)
Coverage Level – 100%
Copay – $0
Limitations – No more than 90 days’ supply
Restrictions – Health Pals Mail Order Pharmacy Network
Comments – Generic for Tri-Norinyl