Clickable Table
Generic Name | Brand Name | Strength | Dosing | 90 Day Cost | Coverage | Comments | Category 1 | Category 2 |
---|---|---|---|---|---|---|---|---|
Norethindrone AcetateLolo | Lolo | QD | $85 | BC - NC / NIHB - Covered | H Contraceptives | 1st Generation Progestins | ||
Norethindrone | Synphasic | QD | $60 | BC / NIHB - Covered | H Contraceptives | 1st Generation Progestins | ||
Levonorgestrel | Alesse | QD | $30 | BC / NIHB - Covered | H Contraceptives | 2nd Generation Progestins | ||
Levonorgestrel | Min-Ovral | QD | $40 | BC / NIHB - Covered | H Contraceptives | 2nd Generation Progestins | ||
Levonorgestrel | Seasonique | QD | $95 | BC - NC / NIHB - Covered | H Contraceptives | 2nd Generation Progestins | ||
Levonorgestrel | Triquilar | QD | $70 | BC / NIHB - Covered | H Contraceptives | 2nd Generation Progestins | ||
Desogestrel | Marvelon | QD | $40 | BC / NIHB - Covered | H Contraceptives | 3rd Generation Progestins | ||
Norgestimate | Tri-Cyclen | QD | $65 | BC / NIHB - Covered | H Contraceptives | 3rd Generation Progestins | ||
Drospirenone | Yasmin | QD | $60 | BC / NIHB - Covered |
Same chemical constituents. Yasmin is 21 active pills & 7 pill-free days; Yaz is 24 active pills & 4 pill-free days. |
H Contraceptives | Anti-Androgenic | |
Drospirenone | YAZ | QD | $75 | BC - NC / NIHB - Covered |
Same chemical constituents. Yasmin is 21 active pills & 7 pill-free days; Yaz is 24 active pills & 4 pill-free days. |
H Contraceptives | Anti-Androgenic | |
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 |
H Contraceptives | Intrauterine Devices (IUDs) |
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 |
H Contraceptives | Intrauterine Devices (IUDs) |
Norelgestromin | Evra | Patch | As dir | $100 | BC - NC / NIHB - Covered | H Contraceptives | Transdermal / Vaginal | |
Etonogestrel | Nuvaring | Vaginal ring | As dir | $65 | BC - NC / NIHB - Covered | H Contraceptives | Transdermal / Vaginal | |
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 |
H Contraceptives | Hormonal implant |
Medroxyprogesterone | Depo-Provera | Intramuscular | Q 3 months | $50 | BC / NIHB - Covered | H Contraceptives | Injectable |