Clickable Table

Generic Name Brand Name Strength Dosing 90 Day Cost Coverage Comments Category 1 Category 2
Desogestrel Marvelon QD $40 BC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
3rd Generation Progestins
Etonogestrel implant Nexplanon Hormonal implant One time insertion $20 BC / NIHB - Covered

Upfront cost is $338 but the IUD lasts 5 years, so cost spread out over 5 years is roughly $17 every 90 days

Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
Hormonal implant
Norgestimate Tri-Cyclen QD $65 BC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
3rd Generation Progestins
Drospirenone YAZ QD $75 BC - NC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
Anti-Androgenic
Same chemical constituents. Yasmin is 21 active pills & 7 pill-free days; Yaz is 24 active pills & 4 pill-free days.
Medroxyprogesterone Depo-Provera Intramuscular Q 3 months $50 BC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
Injectable
Norelgestromin Evra Patch As dir $100 BC - NC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
Transdermal / Vaginal
Drospirenone Yasmin QD $60 BC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
Anti-Androgenic
Same chemical constituents. Yasmin is 21 active pills & 7 pill-free days; Yaz is 24 active pills & 4 pill-free days.
Levonorgestrel Kyleena IUD As dir $20 BC / NIHB - Covered

Upfront cost is $396 but the IUD lasts 5 years, so cost spread out over 5 years is roughly $20 every 90 days

Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
Intrauterine Devices (IUDs)
Etonogestrel Nuvaring Vaginal ring As dir $65 BC - NC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
Transdermal / Vaginal
Levonorgestrel Mirena IUD As dir $25 BC / NIHB - Covered

Upfront cost is $422 but the IUD lasts 5 years, so cost spread out over 5 years is roughly $21 every 90 days

Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
Intrauterine Devices (IUDs)
Norethindrone AcetateLolo Lolo QD $85 BC - NC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
1st Generation Progestins
Levonorgestrel Alesse QD $30 BC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
2nd Generation Progestins
Levonorgestrel Min-Ovral QD $40 BC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
2nd Generation Progestins
Norethindrone Synphasic QD $60 BC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
1st Generation Progestins
Levonorgestrel Seasonique QD $95 BC - NC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
2nd Generation Progestins
Levonorgestrel Triquilar QD $70 BC / NIHB - Covered Contraceptives
Max allowable price for 12 week supply unless otherwise stated, and 21 or 28 tab products costs are equivalent. All except IUDs contain Ethinyl Estradiol plus the listed progesterone.
2nd Generation Progestins
Legend:
BC = Alberta Blue Cross, NIHB = Non-Insured Health Benefits for First Nations and Inuit, NC = Not covered, SA = special authorization