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norethindrone acetate and ethinyl estradiol, ethinyl estradiol and ferrous fumarate Medicare Part D Coverage

Brand name: Lo Loestrin Fe
Dosage form
KIT
1%
of Medicare Part D plans
cover norethindrone acetate and ethinyl estradiol, ethinyl estradiol and ferrous fumarate
46 of 5,530 plans
3.9
Avg. formulary tier
$86.00
Median 30-day copay
$84.00–$88.00
Copay range

Formulary Tier Distribution

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

Tier 2 - Generic 4%
2 plans • avg $0.00/mo
Tier 3 - Preferred Brand 4%
2 plans • avg $43.00/mo
Tier 4 - Non-Preferred Drug 91%
42 plans • avg $13.50/mo

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norethindrone acetate and ethinyl estradiol, ethinyl estradiol and ferrous fumarate 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, ethinyl estradiol and ferrous fumarate

1% of Medicare Part D plans cover norethindrone acetate and ethinyl estradiol, ethinyl estradiol and ferrous fumarate. It is most commonly placed on Tier 4. Coverage varies by plan and geographic area.

The median 30-day copay for norethindrone acetate and ethinyl estradiol, ethinyl estradiol and ferrous fumarate on Medicare Part D is $86.00 at a preferred pharmacy. Costs range from $84.00 to $88.00 depending on the plan.

norethindrone acetate and ethinyl estradiol, ethinyl estradiol and ferrous fumarate is placed on Tier 4 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, ethinyl estradiol and ferrous fumarate. 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 →