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Elagolix and Estradiol and Norethisterone Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Elagolix and Estradiol and Norethisterone
22 of 22 plans
22
Plans shown below

Medicare Plans Covering Elagolix and Estradiol and Norethisterone 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
Keystone First VIP Choice (HMO D-SNP) Lowest Copay $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
AmeriHealth Caritas VIP Care (HMO D-SNP) $0.00/mo Tier 5 - Specialty $0.00 N/A None Details →
UPMC for Life HMO Rx Choice (HMO) $3.90/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Rx Choice (HMO) $3.90/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Rx Choice (HMO) $3.90/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Rx Choice (HMO) $3.90/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Rx Choice (HMO) $10.90/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Rx Choice (HMO) $10.90/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Rx Choice (HMO) $10.90/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Deductible Rx (HMO) $18.10/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life PPO Rx Choice (PPO) $25.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life PPO Rx Choice (PPO) $25.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life PPO Rx Choice (PPO) $30.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life PPO Rx Choice (PPO) $30.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life PPO High Deductible Rx (PPO) $33.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Rx (HMO) $33.70/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Rx (HMO) $33.70/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Rx (HMO) $33.70/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life PPO Rx Choice (PPO) $34.00/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life PPO Rx Enhanced (PPO) $42.70/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life HMO Rx Enhanced (HMO) $93.40/mo Tier 5 - Specialty 0.3% N/A None Details →
UPMC for Life PPO Rx Enhanced (PPO) $140.00/mo Tier 5 - Specialty 0.3% N/A None Details →

Compare All Pennsylvania Plans for Elagolix and Estradiol and Norethisterone

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Frequently Asked Questions

100% of Medicare Part D plans in Pennsylvania cover Elagolix and Estradiol and Norethisterone. There are 22 plans available. Coverage and costs vary by specific plan.

Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Keystone First VIP Choice (HMO D-SNP) offers one of the lowest copays for Elagolix and Estradiol and Norethisterone in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Elagolix and Estradiol and Norethisterone Coverage in Other States

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

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