{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 28 Day]

Verify with CMS →

ethinyl estradiol

RxCUI: 2696888

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.
17.3%
Plan Coverage
876
Plans Covering
T3
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for {24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 28 Day]

Per the CMS 2026 Part D formulary file, {24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 28 Day] (RxNorm concept RXCUI 2696888, generic name ethinyl estradiol) appears on 15 distinct formulary files spanning 876 Medicare Part D plan offerings - 17.3% 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 3.

Real-world access to {24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 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 {24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 28 Day] today.

Coverage Details

Formularies covering
15
Plans covering
876
Coverage rate
17.3%
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
5 plans
Tier 2, Generic
92 plans
Tier 4, Non-Preferred

Standalone Drug Plans (PDP) Covering {24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 28 Day]

26 standalone prescription drug plans include this drug.

Plan Insurer Tier PA ST Premium States
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Basic Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -
Humana Value Rx Plan (PDP) Humana Insurance Co. & Humana Insurance Co. of NY T4 No No $0 -

Medicare Advantage Plans (MA-PD) Covering {24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 28 Day]

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

Plan Insurer Tier PA Premium States
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T1 No $0 CA
Mass General Brigham SCO (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
CareAdvantage (HMO D-SNP) SAN MATEO HEALTH COMMISSION T2 No $0 CA
Mass General Brigham Advantage (PPO) Mass General Brigham Health Plan, Inc. T2 No $0 MA
Mass General Brigham Advantage Secure (HMO-POS) Mass General Brigham Health Plan, Inc. T2 No $62.00 MA
Mass General Brigham Advantage Premier (PPO) Mass General Brigham Health Plan, Inc. T2 No $79.70 MA
Mass General Brigham Advantage Signature (PPO) Mass General Brigham Health Plan, Inc. T2 No $147.20 MA
UPMC for Life HMO Premier Rx (HMO) UPMC HEALTH PLAN, INC. T4 No $0 PA
UPMC for Life Complete Care (HMO D-SNP) UPMC FOR YOU, INC T4 No $0 PA
UPMC for Life Complete Care (HMO D-SNP) UPMC FOR YOU, INC T4 No $0 PA
UPMC for Life PPO Premier Rx (PPO) UPMC HEALTH NETWORK, INC. T4 No $0 PA
UPMC for Life PPO Premier Rx (PPO) UPMC HEALTH NETWORK, INC. T4 No $0 PA
UPMC for Life PPO Essential Care Rx (PPO) UPMC HEALTH NETWORK, INC. T4 No $0 PA
UPMC for Life Complete Care (HMO D-SNP) UPMC HEALTH COVERAGE, INC. T4 No $0 PA
Humana Gold Plus H0028-014 (HMO) CHA HMO, INC. T4 No $0 IL, MO
Humana Gold Plus H0028-019 (HMO) CHA HMO, INC. T4 No $0 NM
Humana Gold Plus H0028-021 (HMO) CHA HMO, INC. T4 No $0 AZ
Humana Gold Plus H0028-024 (HMO) CHA HMO, INC. T4 No $0 AZ
Humana Gold Plus H0028-028 (HMO) CHA HMO, INC. T4 No $0 AZ
Humana Gold Plus H0028-029 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-030 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-035 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-037 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-041 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-042 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-043 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-046 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-053 (HMO) CHA HMO, INC. T4 No $0 IA, NE
Humana Gold Plus H0028-054 (HMO-POS) CHA HMO, INC. T4 No $0 KS, MO
Humana Gold Plus H0028-059 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-062 (HMO) CHA HMO, INC. T4 No $0 AZ
Humana Essentials Plus Giveback H0028-063 (HMO) CHA HMO, INC. T4 No $0 CO
Humana Gold Plus Giveback H0028-065 (HMO) CHA HMO, INC. T4 No $0 IL, MO
Humana Gold Plus Giveback H0028-066 (HMO-POS) CHA HMO, INC. T4 No $0 KS, MO
Humana Gold Plus H0028-072 (HMO) CHA HMO, INC. T4 No $0 TX
Humana Gold Plus H0028-074 (HMO) CHA HMO, INC. T4 No $0 AZ
Humana Dual Select H0028-078 (HMO D-SNP) CHA HMO, INC. T4 No $0 CO
Humana Dual Select H0028-079 (HMO D-SNP) CHA HMO, INC. T4 No $0 CO
Humana Gold Plus SNP-DE H0028-080 (HMO D-SNP) CHA HMO, INC. T4 No $0 NE
Humana Total Complete H0028-081 (HMO) CHA HMO, INC. T4 No $0 CO
Humana Gold Plus H0028-082 (HMO) CHA HMO, INC. T4 No $0 HI
Humana Community (HMO) HUMANA HEALTH PLAN OF OHIO, INC. T4 No $0 KY
Humana Gold Plus H0292-002 (HMO) HUMANA HEALTH PLAN OF OHIO, INC. T4 No $0 KY
Humana Gold Plus H0292-003 (HMO) HUMANA HEALTH PLAN OF OHIO, INC. T4 No $0 KY
HumanaChoice H0473-004 (PPO) HUMANA INSURANCE COMPANY OF KENTUCKY T4 No $0 TX
HumanaChoice H0473-005 (PPO) HUMANA INSURANCE COMPANY OF KENTUCKY T4 No $0 TX
Humana Gold Plus H0783-004 (HMO) HUMANA BENEFIT PLAN OF TEXAS, INC. T4 No $0 TX

Frequently Asked Questions

Is {24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 28 Day] covered by Medicare Part D?

Yes, {24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 28 Day] is covered by 876 Medicare Part D plans (17.3% of all Part D formularies).

What tier is {24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 28 Day] on Medicare Part D plans?

{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 28 Day] averages Tier 3 across Part D plans, ranging from Tier 1 to Tier 4.

Does {24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 28 Day] require prior authorization?

0% of Part D formularies require prior authorization for {24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Disintegrating Oral Tablet) / 4 (inert ingredients 1 MG Disintegrating Oral Tablet) } Pack [Femlyv 24 ODT 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