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Desogestrel and Ethinyl Estradiol Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Desogestrel and Ethinyl Estradiol
291 of 291 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
Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Jefferson Health Plans Giveback (HMO) $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 →
Community Blue Medicare HMO Signature (HMO) $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 →
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 →
Complete Blue HMO Distinct (HMO) $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 010 PA (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Choice H8145-052 (PFFS) $0.00/mo Tier 2 - Generic $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 →
UHC Complete Care PA-17 (HMO-POS C-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
DEVOTED GIVEBACK 011 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 Giveback (PPO) $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 →
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 →
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 →
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 →
Keystone 65 Focus Rx (HMO-POS) $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 →

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, Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) 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

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

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