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Norethindrone 0.5 mg / Ethinyl Estradiol 0.035 mg and Norethindrone 1 mg / Ethinyl Estradiol 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