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Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol Medicare Coverage in Wisconsin

100%
of plans in Wisconsin
cover Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol
41 of 41 plans
30
Plans shown below

Medicare Plans Covering Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol in Wisconsin

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
AARP Medicare Advantage from UHC WI-0017 (HMO-POS) Lowest Copay $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UW Health Quartz Med Advantage Basic D (w/Rx) (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care WI-1 (PPO C-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Ally Rx (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
My Choice Wisconsin Partnership Plan (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Esteem Rx (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care WI-20 (HMO-POS C-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
My Choice Wisconsin Partnership Plan (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0014 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0015 (HMO-POS) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Dual Complete WI-D003 (HMO-POS D-SNP) $7.50/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP) $7.70/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete WI-D001 (PPO D-SNP) $9.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete WI-V001 (HMO-POS D-SNP) $17.30/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete WI-D002 (HMO-POS D-SNP) $18.90/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UHC Dual Complete WI-D3 (HMO-POS D-SNP) $21.10/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP) $21.10/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Care Advantage WI-E001 (HMO-POS I-SNP) $21.10/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP) $21.10/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Gundersen Quartz Med Advantage Core D (w/Rx) (HMO) $25.70/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Essence Rx (HMO-POS) $29.10/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0012 (HMO-POS) $33.80/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
UW Health Quartz Med Advantage Core D (w/Rx) (HMO) $34.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC WI-0010 (HMO-POS) $44.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →

Compare All Wisconsin 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 Wisconsin cover Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol. There are 30 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, AARP Medicare Advantage from UHC WI-0017 (HMO-POS) offers one of the lowest copays for Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol in Wisconsin. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Levonorgestrel/Ethinyl Estradiol 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 Levonorgestrel/Ethinyl Estradiol and Ethinyl Estradiol

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