Ethinyl Estradiol / Levonorgestrel
Also known as: Amethyst, Ashlyna, Camrese, Camrese Lo, Daysee, Dolishale, Jaimiess, Levonor-Eth Estra, Lojaimiess, Rivelsa, Rosyrah, Simpesse and 1 more.
What pharmacies pay (NADAC) for every strength and dosage form, published weekly by CMS. Not your out-of-pocket price.
What pharmacies pay (NADAC) — every strength & form
| Strength | Form | NADAC / unit | Class |
|---|---|---|---|
| 0.09-0.02 MG | Form not listed | $1.14 / unit | Generic |
| 0.1-0.02-0.01 | Tablet | $0.234 / tablet | Generic |
| 0.15-0.03-0.01 MG | Tablet | $0.125 / tablet | Generic |
| 90-20 MCG | Tablet | $1.14 / tablet | Generic |
| 120-30 MCG | Patch | $66.95 / unit | Brand |
| — | Tablet | $0.234–$1.37 / tablet | Generic |
What pharmacies pay (NADAC) — not your out-of-pocket price. Brand list prices fall after confidential rebates.
NADAC week of 2026-10-14 · source CMS