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norethindrone acetate and ethinyl estradiol 5 ug/1 / 1 mg/1 Medicare Part D Coverage

Brand name: Jinteli
Dosage form
TABLET
Route
ORAL
66%
of Medicare Part D plans
cover norethindrone acetate and ethinyl estradiol
3,626 of 5,530 plans
3.1
Avg. formulary tier
$15.00
Median 30-day copay
$0.00–$30.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify norethindrone acetate and ethinyl estradiol. Lower tiers = lower copays.

Tier 1 - Preferred Generic 4%
132 plans • avg $0.00/mo
Tier 2 - Generic 28%
1,011 plans • avg $1.15/mo
Tier 3 - Preferred Brand 27%
987 plans • avg $1.40/mo
Tier 4 - Non-Preferred Drug 41%
1,496 plans • avg $10.91/mo

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norethindrone acetate 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 norethindrone acetate and ethinyl estradiol

66% of Medicare Part D plans cover norethindrone acetate and ethinyl estradiol. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

The median 30-day copay for norethindrone acetate 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.

norethindrone acetate and ethinyl estradiol is placed on Tier 3 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for norethindrone acetate 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 →