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Live data · NADAC + Part D CY24 · reviewed daily

Levonorgestrel and Ethinyl Estradiol (ALTAVERA)

Levonorgestrel and Ethinyl Estradiol supplements estrogen levels, used in hormone replacement therapy and contraception.

First FDA approval2001-04-02
Generic availableNo (brand-only)
Shortage statusNone
340B exposureunknown
Last updated
NADAC: weekly (every Wed)Part D Formulary: quarterlyPart D Spend: annual (CY24)Orange Book: weeklyShortages: daily
At a glance · the numbers a plan sponsor wants on screen one
Lowest NADAC
$0.112/unit
20 NDCs benchmarked, lowest of all strengths.
Average NADAC
$0.138
Across all dosage forms in distribution.
Highest NADAC
$0.156
Range is tight.
Plans with PA
0 / 329
Zero PA friction — switching is purely formulary.

Questions a plan sponsor actually asks.

FAQPage schema9 entries indexed · 4 visible
What is Levonorgestrel and Ethinyl Estradiol used for?

Levonorgestrel and Ethinyl Estradiol supplements estrogen levels, used in hormone replacement therapy and contraception.

Is there a generic for Levonorgestrel and Ethinyl Estradiol?

No. Levonorgestrel and Ethinyl Estradiol is brand-only with no generic equivalents currently in market.

How much does my plan pay for Levonorgestrel and Ethinyl Estradiol?

Across 329 Part D plans, Levonorgestrel and Ethinyl Estradiol averages $0.138/unit (NADAC). Lowest available: $0.112/unit. Highest in distribution: $0.156/unit.

Is Levonorgestrel and Ethinyl Estradiol on the FDA shortage list?

No. Levonorgestrel and Ethinyl Estradiol is not currently on the FDA Drug Shortage Database.

5 additional drug-specific questions are indexed in the page's FAQPage schema for search engines and LLM crawlers, beyond what renders visually above. View page source for the complete JSON-LD.

Same class. Different math.

Estrogen6 alternatives in D1
01
Estradiol
Brand: Climara
$0.059Lowest NADAC
21Generic mfrs
$605.7MCY24 Part D spend
Compare →
02
Norethindrone and Ethinyl Estradiol
Brand: ALYACEN 1/35
$0.128Lowest NADAC
17Generic mfrs
CY24 Part D spend
Compare →
03
Norethindrone and Ethinyl Estradiol and Ferrous
Brand: AUROVELA Fe
$0.128Lowest NADAC
0Generic mfrs
CY24 Part D spend
Compare →
04
Estrogens, Conjugated
Brand: Conjugated Estrogens
$5.24Lowest NADAC
1Generic mfrs
$367.7MCY24 Part D spend
Compare →
05
Estradiol and Norethindrone
Brand: ABIGALE
$0.659Lowest NADAC
6Generic mfrs
CY24 Part D spend
Compare →
06
Conjugated Estrogens and Medroxyprogesterone
Brand: Premphase
$8.68Lowest NADAC
0Generic mfrs
CY24 Part D spend
Compare →

Sources · every number above traces back.

Last refresh30 May 2026

Drug identity, dosage forms, brand names: openFDA NDC Directory · First approval, ANDA history: FDA Orange Book · NADAC unit costs: CMS NADAC weekly file (20 NDCs benchmarked) · Formulary tier and PA placement: CMS Part D Formulary file (329 plans) · Annualized spend, claims, beneficiaries: CMS Part D Spending Dashboard · Shortage status: FDA Drug Shortage Database · 340B exposure: HRSA OPAIS. Methodology and reproducibility notes on /methodology.