Oral Contraceptive Reference Chart
Generic Name (Tier 1) Brand Name Estrogen/Progestin Component
MONOPHASIC Alesse EE 20 mcg/ Levonorgestrel 0.1 mg Aviane, Orsythia, Falmina, Lessina, (not available) Delyla, Aubra, Sronyx, Lutera, levonorgestrel/EE Ortho-Cept, EE 30 mcg/ Desogestrel 0.15 mg Apri, Solia, Reclipsen, Enskyce, Desogen Emoquette, Desogestrel/EE Nordette, EE 30 mcg/ Levonorgestrel 0.15 mg Levora, Portia, Altavera, Chateal, Kurvelo, Levlen (not available) Marlissa, Levonorgestrel/EE Lo/Ovral EE 30 mcg/ Norgestrel 0.3 mg Low-Ogestrel, Cryselle, Norgestrel/EE, Elinest Loestrin 1.5/30 EE 30 mcg/ Norethindrone 1.5 mg Junel 1.5/30, Microgestin 1.5/30, Gildess 1.5/30, Larin 1.5/30 Loestrin Fe 1.5/30 EE 30 mcg/ Norethindrone 1.5 mg/ Fe 75 mg Junel Fe 1.5/30, Microgestin Fe 1.5/30, Gildess Fe 1.5/30, Larin Fe 1.5/30 Loestrin 1/20 EE 20 mcg/ Norethindrone 1 mg Junel 1/20, Microgestin 1/20, Gildess 1/20, Larin 1/20, Norethindrone/EE Loestrin Fe 1/20 EE 20 mcg/ Norethindrone 1 mg/ Fe 75 mg Junel Fe 1/20, Microgestin Fe 1/20, Gildess Fe 1/20, Larin Fe 1/20, Norethindrone/EE/Fe, Tarina Fe Ortho-Cyclen EE 35 mcg/ Norgestimate 0.25 mg Sprintec, Previfem, MonoNessa, Norgestimate/EE, Estarylla, Mono-Linyah Ovcon-35 EE 35 mcg/ Norethindrone 0.4 mg Balziva, Zenchent, Briellyn, Philith, Gildagia, Vyfemla Femcon Fe EE 35 mcg/ Norethindrone 0.4 mg/ Fe 75 mg Zeosa, Zenchent Fe, Wymzya Fe (chew or swallow) (chew or swallow) Brevicon, Modicon EE 35 mcg/ Norethindrone 0.5 mg Necon 0.5/35, Nortrel 0.5/35, Wera 0.5/35 Ortho-Novum 1/35, EE 35 mcg/ Norethindrone 1 mg Necon 1/35, Nortrel 1/35, Cyclafem 1/35, Norinyl 1+35 Alyacen 1/35, Dasetta 1/35, Pirmella 1/35 Demulen 1/35 EE 35 mcg / Ethynodiol diacetate 1 mg Zovia 1/35E, Kelnor 1/35 (not available) Ogestrel EE 50 mcg/ Norgestrel 0.5 mg None
Updated December 2014
Oral Contraceptive Reference Chart
Ovcon-50 EE 50 mcg/ Norethindrone 1 mg None Zovia 1/50E EE 50 mcg/ Ethynodiol diacetate 1 mg None Norinyl 1 + 50, Mestranol 50 mcg/ Norethindrone 1 mg None Necon 1/50 Yasmin EE 30 mcg/ Drospirenone 3 mg Ocella, Syeda, Zarah, Drospirenone/EE Safyral EE 30 mcg/ Drospirenone 3 mg/ Levomefolate None *Non-formulary calcium 0.451 mg
BIPHASIC Mircette EE 20, 10 mcg / Desogestrel 0.15 mg Kariva, Azurette, Viorele, Pimtrea desogestrel/EE Extended Cycle Active tablet (EE 20 mcg): 21 days Inactive tablet: 2 days Active EE only (10 mcg): 5 days Necon 10/11 EE 35 mcg/ Norethindrone 0.5, 1 mg None Extended Cycle Active tablet (Nor 0.5 mg): 10 days Active tablet (Nor 1 mg): 11 days Inactive tablet: 7 days
TRIPHASIC Estrostep Fe EE 20, 30, 35 mcg/ Norethindrone 1 mg/ Fe 75 mg Tilia Fe, Tri-Legest Fe Extended Cycle Active tablet (EE 20 mcg): 5 days Active tablet (EE 30 mcg): 7 days Active tablet (EE 35 mcg): 9 days Inactive tablet (Fe only): 7 days Tri-Levlen EE 30, 40 mcg/ levonorgestrel 0.05, 0.075, 0.125mg Trivora, Enpresse, Myzilra, Levonest (not available) Extended Cycle Active tablet (EE 30, Lev 0.05): 6 days Active tablet (EE 40, Lev 0.075): 5 days Active tablet (EE 30, Lev 0.125): 10 days Inactive tablet: 7 days Ortho Tri-Cyclen EE 35 mcg/ Norgestimate 0.18, 0.215, 0.25 mg Tri-Sprintec, Trinessa, Tri-Previfem, Tri-Linyah, Tri-Estarylla, Extended Cycle Norgestimate/EE Active tablet (Nor 0.18): 7 days Active tablet (Nor 0.215): 7 days Active tablet (Nor 0.25): 7 days Inactive tablet: 7 days
Updated December 2014
Oral Contraceptive Reference Chart
Ortho Tri-Cyclen LO EE 25 mcg/ Norgestimate 0.18, 0.215, 0.25 mg None Extended Cycle Active tablet (Nor 0.18): 7 days Active tablet (Nor 0.215): 7 days Active tablet (Nor 0.25): 7 days Inactive tablet: 7 days Tri-Norinyl EE 35 mcg/ Norethindrone 0.5, 1 mg Aranelle , Leena Extended Cycle Active tablet (Nor 0.5): 7 days Active tablet (Nor 1): 9 days Active tablet (Nor 0.5): 5 days Inactive tablet: 7 days Cyclessa EE 25 mcg/ Desogestrel 100, 125, 150 mcg Velivet, Cesia, Caziant Extended Cycle Active tablet (Des 100): 7 days Active tablet (Des 125): 7 days Active tablet (Des 150): 7 days Inactive tablet: 7 days Ortho-Novum 7/7/7 EE 35 mcg/ Norethindrone 0.5, 0.75, 1 mg Necon 7/7/7, Nortrel 7/7/7, Cyclafem 7/7/7, Alyacen 7/7/7, Dasetta 7/7/7, Extended Cycle Pirmella 777 Active tablet (Nor 0.5): 7 days Active tablet (Nor 0.75): 7 days Active tablet (Nor 1): 7 days Inactive tablet: 7 days
FOUR-PHASIC Natazia Estradiol valerate 3, 2, 1 mg/ Dienogest 2, 3 mg None Extended Cycle Active estrogen only (EV 3 mg): 2 days Active tab (EV 2mg, Dienogest 2mg): 5 days Active tab (EV 2mg, Dienogest 3mg): 17 days Active estrogen only (EV 1mg): 2 days Inactive tablet: 2 days
EXTENDED-CYCLE MONOPHASIC Generess Fe EE 25 mcg/ Norethindrone 0.8 mg/ Fe 75mg None (chewable only) * Non-formulary Extended Cycle: Active tablet: 24 days Inactive tablet: 4 days Loestrin 24 Fe EE 20 mcg/ Norethindrone 1 mg/ Fe 75 mg
Updated December 2014
Oral Contraceptive Reference Chart
Lomedia 24 Fe, Norethindrone/EE/Fe Extended Cycle: Active tablet: 24 days Inactive tablet: 4 days Minastrin 24 Fe EE 20 mcg/ Norethindrone 1 mg/ Fe 75 mg None (chewable) Extended Cycle: Active tablet: 24 days Inactive tablet: 4 days Beyaz EE 20 mcg/ Drospirenone 3 mg/ Levomefolate None *Non-formulary calcium 0.451 mg
Extended Cycle Active tablet: 24 days Inactive tablet: 4 days Yaz EE 20 mcg/ Drospirenone 3 mg Gianvi, Loryna, Vestura, Nikki Extended Cycle: Active tablet: 24 days Inactive tablet: 4 days MULTIPHASIC Lo Loestrin Fe EE 10 mcg/ Norethindrone 1 mg/ Fe 75mg None *Non-formulary Extended Cycle: Active tablet: 24 days Active EE only: 2 days Inactive tablet: 2 days Lo Minastrin Fe EE 10 mcg/ Norethindrone 1 mg/ Fe 75mg None (chewable) *Non-formulary Extended Cycle: Active tablet: 24 days Active EE only: 2 days Inactive tablet: 2 days Seasonique EE 30, 10 mcg/ Levonorgestrel 0.15 mg Amethia, Camrese, Daysee Extended Cycle: Active tablet: 84 days Active EE only (10 mcg): 7 days LoSeasonique EE 20, 10 mcg/ Levonorgestrel 0.1 mg Camrese Lo, Amethia Lo, Levonorgestrel/EE Extended Cycle: Active tablet: 84 days Active EE only (10 mcg): 7 days Seasonale EE 30 mcg/ Levonorgestrel 0.15 mg Quasense, Jolessa, Introvale, levonorgestrel/EE Extended Cycle: Active tablet: 84 days
Updated December 2014
Oral Contraceptive Reference Chart
Inactive tablet: 7 days Quartette EE 20, 25, 30, 10 mcg/ Levonorgestrel 0.15 mg None *Non-formulary Extended Cycle Active tablet (EE 20 mcg): 42 days Active tablet (EE 25 mcg): 21 days Active tablet (EE 30 mcg): 21 days Active EE only (10 mcg): 7 days
CONTINUOUS CYCLE (no hormone-free interval) Amethyst, EE 20 mcg/ Levonorgestrel 90 mcg None Lybrel (not available ) Take daily
PROGESTIN-ONLY PILLS Ortho Micronor, Norethindrone 0.35 mg Jolivette, Errin, Camila, Nora-BE, Nor-QD Heather, Jencycla, Deblitane, Sharobel, Lyza, Norlyroc, Norethindrone
EMERGENCY CONTRACEPTIVES Plan B Levonorgestrel 0.75 mg (2 pills) Next Choice, levonorgestrel Take 2nd tablet 12 hours after the 1st Plan B One-Step Next Choice One Dose, My Way, Levonorgestrel 1.5 mg (1 pill) levonorgestrel Ella Ulipristal 30 mg None
KEY o EE = Ethinyl Estradiol o EV = Estradiol Valerate o Fe = Ferrous Fumarate
Updated December 2014