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Desogestrel and Ethinyl Estradiol Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Desogestrel and Ethinyl Estradiol
303 of 303 plans
$0.72
Avg 30-day copay in Pennsylvania
30
Plans shown below

Medicare Plans Covering Desogestrel and Ethinyl Estradiol in Pennsylvania

Sorted by lowest 30-day copay at a preferred pharmacy. Prices shown are estimates from CMS formulary data.

Plan Name Monthly Premium Tier 30-day Copay Stars Restrictions Action
Aetna Medicare Signature Giveback (PPO) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Complete Blue PPO Signature (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Keystone 65 Basic Rx (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Distinct (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Advantra Signature Plus (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Jefferson Health Plans Dual Pearl (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Erickson Advantage Guardian (HMO-POS I-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UPMC for Life HMO Premier Rx (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Complete Blue HMO Distinct (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Keystone First VIP Choice (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice H5525-051 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED CHOICE GIVEBACK 011 PA (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Advantra Signature (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED CORE 012 PA (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Distinct (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Signature (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Complete Blue PPO Signature (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Wellcare Simple (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare PinnacleHealth Prime (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Advantra Signature Plus (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice SNP-DE H5216-227 (PPO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Jefferson Health Plans Select (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →

Compare All Pennsylvania Plans for Desogestrel and Ethinyl Estradiol

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Frequently Asked Questions

100% of Medicare Part D plans in Pennsylvania cover Desogestrel and Ethinyl Estradiol. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Desogestrel and Ethinyl Estradiol in Pennsylvania is $0.72 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Aetna Medicare Signature Giveback (PPO) offers one of the lowest copays for Desogestrel and Ethinyl Estradiol in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Desogestrel and Ethinyl Estradiol Coverage in Other States

Click any state to see the plans and costs available there.

Coverage data from CMS formulary files for plan year 2026. How we calculate costsNational coverage for Desogestrel and Ethinyl Estradiol

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