Skip to main content

Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol
163 of 163 plans
$0.77
Avg 30-day copay in Pennsylvania
30
Plans shown below

Medicare Plans Covering Levonorgestrel/Ethinyl Estradiol 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
Erickson Advantage Guardian (HMO-POS I-SNP) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Provider Partners Pennsylvania Community Plan (HMO I-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
HumanaChoice H5525-051 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UPMC for Life Complete Care (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Advantra Dual Care (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $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 →
Perennial Advantage Premier (HMO I-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus H6622-036 (HMO) $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 →
HumanaChoice SNP-DE H5216-227 (PPO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana USAA Honor Giveback with Rx (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice SNP-DE H7617-048 (PPO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Advantra Dual (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Humana Gold Plus H6622-037 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Jefferson Health Plans Complete (HMO) $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 Dual Complete PA-S002 (HMO-POS D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UPMC for Life Complete Care (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice Giveback H5525-085 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC PA-0010 (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Humana Gold Plus H6622-054 (HMO) $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 →
AARP Medicare Advantage from UHC PA-0002 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UPMC for Life PPO Premier Rx (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UPMC for Life Complete Care (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice Giveback H5525-085 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →

Compare All Pennsylvania Plans for Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol

Enter your exact ZIP code to see plans available in your specific county, ranked by total annual cost.

Frequently Asked Questions

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

The average 30-day copay for Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol in Pennsylvania is $0.77 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Erickson Advantage Guardian (HMO-POS I-SNP) offers one of the lowest copays for Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol

Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol Coverage in Other States

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

Alabama 100% avg $1.35/mo Arizona 100% avg $1.00/mo Arkansas 100% avg $1.53/mo California 100% — Colorado 100% avg $0.71/mo Connecticut 100% avg $2.86/mo Delaware 100% avg $2.40/mo District of Columbia 100% avg $2.67/mo Florida 100% avg $0.33/mo Georgia 100% avg $0.89/mo Hawaii 100% — Idaho 100% avg $1.31/mo Illinois 100% avg $0.36/mo Indiana 100% — Iowa 100% — Kansas 100% avg $0.36/mo Kentucky 100% avg $0.02/mo Louisiana 100% — Maine 100% avg $0.35/mo Maryland 100% avg $0.57/mo Massachusetts 100% — Michigan 100% avg $4.94/mo Minnesota 100% — Mississippi 100% avg $0.79/mo Missouri 100% avg $0.37/mo Montana 100% — Nebraska 100% — Nevada 100% avg $0.65/mo New Hampshire 100% — New Jersey 100% avg $1.59/mo New Mexico 100% avg $0.48/mo New York 100% avg $2.94/mo North Carolina 100% avg $0.67/mo North Dakota 100% — Ohio 100% avg $0.11/mo Oklahoma 100% avg $0.09/mo Oregon 100% avg $0.71/mo Rhode Island 100% — South Carolina 100% avg $0.48/mo South Dakota 100% — Tennessee 100% avg $3.03/mo Texas 100% avg $0.45/mo Utah 100% avg $0.59/mo Vermont 100% — Virginia 100% avg $0.13/mo Washington 100% avg $0.12/mo West Virginia 100% — Wisconsin 100% — Wyoming 100% —

Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol

Get Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol Delivered to Your Door

Compare prices and get discounts from trusted online pharmacies

Amazon Pharmacy Hims & Hers GoodRx

DrugCovered may earn commissions from pharmacy purchases. Prices and availability vary. Always consult your doctor before starting or changing medications.