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Ethynodiol Diacetate and Ethinyl Estradiol Medicare Part D Coverage

Brand name: Kelnor 1/35
Dosage form
KIT
96%
of Medicare Part D plans
cover Ethynodiol Diacetate and Ethinyl Estradiol
5,327 of 5,530 plans
2.3
Avg. formulary tier
$15.00
Median 30-day copay
$0.00–$30.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify Ethynodiol Diacetate and Ethinyl Estradiol. Lower tiers = lower copays.

Tier 1 - Preferred Generic 5%
241 plans • avg $0.00/mo
Tier 2 - Generic 68%
3,600 plans • avg $1.48/mo
Tier 3 - Preferred Brand 24%
1,267 plans • avg $1.36/mo
Tier 4 - Non-Preferred Drug 4%
219 plans • avg $2.30/mo

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Ethynodiol Diacetate and Ethinyl Estradiol Medicare Coverage by State

Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.

Frequently Asked Questions about Ethynodiol Diacetate and Ethinyl Estradiol

96% of Medicare Part D plans cover Ethynodiol Diacetate and Ethinyl Estradiol. It is most commonly placed on Tier 2. Coverage varies by plan and geographic area.

The median 30-day copay for Ethynodiol Diacetate and Ethinyl Estradiol on Medicare Part D is $15.00 at a preferred pharmacy. Costs range from $0.00 to $30.00 depending on the plan.

Ethynodiol Diacetate and Ethinyl Estradiol is placed on Tier 2 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for Ethynodiol Diacetate and Ethinyl Estradiol. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →