Standard Health Pals Formulary
Desogestrel 0.15 mg / Ethinyl Estradiol 0.03 mg Tablet Pack (Generic for Desogen and Enskyce)
Coverage Level – 100%
Copay – $0
Limitations – No more than 90 days’ supply
Restrictions – Health Pals Mail Order Pharmacy Network
Comments – Generic for Desogen and Enskyce