{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day]

Verify with CMS →

ethinyl estradiol

RxCUI: 2645083

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
5.2%
Plan Coverage
265
Plans Covering
T2.6
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for {21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day]

Per the CMS 2026 Part D formulary file, {21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day] (RxNorm concept RXCUI 2645083, generic name ethinyl estradiol) appears on 17 distinct formulary files spanning 265 Medicare Part D plan offerings - 5.2% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.6.

Real-world access to {21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry {21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day] today.

Coverage Details

Formularies covering
17
Plans covering
265
Coverage rate
5.2%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

Tier Distribution Across Plans

3 plans
Tier 1, Preferred Generic
6 plans
Tier 2, Generic
91 plans
Tier 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering {21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T1 No $0 CA
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T1 No $0 CA
CareOregon Advantage Plus (HMO D-SNP) HEALTH PLAN OF CAREOREGON, INC. T1 No $0 OR
Independent Health's Encompass 65 RED 042 (HMO) INDEPENDENT HEALTH ASSOCIATION, INC. T2 No $40.00 NY
Independent Health's Assure Advantage (HMO C-SNP) INDEPENDENT HEALTH ASSOCIATION, INC. T2 No $46.50 NY
Independent Health's Medicare Family Choice (HMO I-SNP) INDEPENDENT HEALTH ASSOCIATION, INC. T2 No $58.80 NY
Independent Health's Medicare Passport Connect (PPO) INDEPENDENT HEALTH BENEFITS CORPORATION T2 No $58.80 NY
Independent Health's Encompass 65 RED 044 (HMO) INDEPENDENT HEALTH ASSOCIATION, INC. T2 No $95.00 NY
Independent Health's Encompass 65 RED 043 (HMO) INDEPENDENT HEALTH ASSOCIATION, INC. T2 No $190.00 NY
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Alliance (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Preferred Savings (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Preferred Full Savings (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 AZ
HealthSpring Preferred GA (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 MO
HealthSpring Preferred Savings (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 MO
HealthSpring Premier (HMO-POS) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 UT
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 NM
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 OH
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 KY, OH
HealthSpring Preferred Savings (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 OH
HealthSpring Preferred Savings (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 KY, OH
HealthSpring Preferred (HMO) CIGNA HEALTHCARE OF COLORADO, INC. T3 No $0 CO
HealthSpring Preferred (HMO) BRAVO HEALTH MID-ATLANTIC, INC. T3 No $0 DC, DE
HealthSpring Preferred PA (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred Savings (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 PA
HealthSpring Preferred (HMO) BRAVO HEALTH PENNSYLVANIA, INC. T3 No $0 NJ
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 MS
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 WA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 OR, WA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 TX
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 GA
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 TN
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 AR
HealthSpring Preferred (HMO) HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. T3 No $0 MS, TN

Frequently Asked Questions

Is {21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day] covered by Medicare Part D?

Yes, {21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day] is covered by 265 Medicare Part D plans (5.2% of all Part D formularies).

What tier is {21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day] on Medicare Part D plans?

{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day] averages Tier 2.6 across Part D plans, ranging from Tier 1 to Tier 4.

Does {21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day] require prior authorization?

0% of Part D formularies require prior authorization for {21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Joyeaux 28 Day]. Step therapy: 0%. Quantity limits: 0%.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial