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Norgestrel and Ethinyl Estradiol Medicare Coverage in Pennsylvania

100%
of plans in Pennsylvania
cover Norgestrel and Ethinyl Estradiol
268 of 268 plans
$0.72
Avg 30-day copay in Pennsylvania
30
Plans shown below

Medicare Plans Covering Norgestrel 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 Action
DEVOTED CHOICE GIVEBACK 003 PA (PPO) Lowest Copay $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 →
Complete Blue PPO Signature (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Distinct (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Advantra Signature Plus (HMO-POS) $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 →
DEVOTED CORE 008 PA (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Community HealthChoices (HMO D-SNP) $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 →
Keystone 65 Focus Rx (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Complete Blue HMO Distinct (HMO) $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 →
HumanaChoice Giveback H5525-085 (PPO) $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 Special (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Advantra Prime Plus (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Signature (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UPMC for Life PPO Essential Care Rx (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED GIVEBACK 015 PA (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Distinct (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
DEVOTED CHOICE 007 PA (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Complete Blue PPO Signature (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Wellcare Simple (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $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 →
DEVOTED GIVEBACK 009 PA (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Blue Medicare HMO Signature (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →

Compare All Pennsylvania Plans for Norgestrel and Ethinyl Estradiol

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Frequently Asked Questions

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

The average 30-day copay for Norgestrel and Ethinyl Estradiol in Pennsylvania is $0.72 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, DEVOTED CHOICE GIVEBACK 003 PA (PPO) offers one of the lowest copays for Norgestrel and Ethinyl Estradiol in Pennsylvania. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Norgestrel and Ethinyl Estradiol Coverage in Other States

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

Coverage data from CMS formulary files for plan year 2026. How we calculate costsNational coverage for Norgestrel and Ethinyl Estradiol

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