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Home › Medications › Norgestrel / ethinyl estradiol (Cryselle / Low-Ogestrel / Turqoz) › Tier 3 plans

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Medications

Norgestrel / ethinyl estradiol (Cryselle / Low-Ogestrel / Turqoz) — plans on this site that list it on Tier 3

914 plans published on this site list this drug on Tier 3, grouped by company. Plans are sold by county — the service area under each plan shows where it is offered.

AMH Health

5 plans on this site

Align powered by Sanford Health Plan

2 plans on this site

AlohaCare

1 plan on this site

AmeriHealth Caritas VIP Care (HMO-D-SNP)

1 plan on this site

Anthem Blue Cross

2 plans on this site

Anthem Blue Cross Partnership Plan

1 plan on this site

Anthem Blue Cross and Blue Shield

24 plans on this site

Anthem Blue Cross and Blue Shield HP

2 plans on this site

Anthem HealthKeepers

4 plans on this site

Blue Cross & Blue Shield of Rhode Island

5 plans on this site

Blue Cross Blue Shield of Arizona (AZ Blue)

3 plans on this site

Blue Cross Blue Shield of South Carolina

2 plans on this site

Blue Cross and Blue Shield of Alabama

1 plan on this site

Blue Cross and Blue Shield of IL, NM

4 plans on this site

Blue Cross and Blue Shield of Minnesota

3 plans on this site

Blue Cross and Blue Shield of Nebraska

3 plans on this site

Blue Cross and Blue Shield of North Carolina

5 plans on this site

Blue Shield of California

9 plans on this site

CDPHP Medicare Advantage

3 plans on this site

  • CDPHP $0 Medicare Rx (HMO) — Offered in NY: Albany, Columbia, Greene, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington
  • CDPHP Choice Rx (HMO) — Offered in NY: Albany, Columbia, Greene, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington
  • CDPHP Clear Rx (HMO) — Offered in NY: Albany, Columbia, Greene, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington

Capital Health Plan

2 plans on this site

Clover Health

8 plans on this site

EmblemHealth

5 plans on this site

Excellus Health Plan Community Care LLC

4 plans on this site

Excellus Health Plan, Inc

14 plans on this site

First Choice VIP Care (HMO D-SNP)

1 plan on this site

Florida Blue

2 plans on this site

Florida Blue HMO

6 plans on this site

Florida Complete Care

3 plans on this site

Great Plains Medicare Advantage

3 plans on this site

HealthSpring

15 plans on this site

Healthy Blue

3 plans on this site

KelseyCare Advantage

2 plans on this site

MyAdvocate Medicare Advantage

2 plans on this site

Peoples Health

11 plans on this site

Presbyterian Health Plan

1 plan on this site

Quartz Medicare Advantage (HMO)

14 plans on this site

Samaritan Advantage Health Plans

1 plan on this site

Security Health Plan of Wisconsin, Inc.

4 plans on this site

South Country Health Alliance

2 plans on this site

St. Luke's Health Plan

3 plans on this site

Ultimate Health Plans

5 plans on this site

UnitedHealthcare

696 plans on this site

VISTA Health Plan Inc.

2 plans on this site

Wellpoint

19 plans on this site

eternalHealth

6 plans on this site

A tier is not a price; what you pay depends on your plan, pharmacy, and benefit stage.

Source: CMS Prescription Drug Plan Formulary data + this site's published plan records · List built 2026-11-08

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