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Balcoltra Prices, Coupons and Patient Assistance Programs

Balcoltra (ethinyl estradiol/levonorgestrel) is a member of the contraceptives drug class and is commonly used for Birth Control.

Balcoltra prices

The cost for Balcoltra oral tablet (with iron 20 mcg-100 mcg) is around $267 for a supply of 28 tablets, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

This Balcoltra price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Oral Tablet

Drugs.com Printable Discount Card

The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

Balcoltra Coupons, Copay Cards and Rebates

Balcoltra offers may be in the form of a printable coupon, rebate, savings or copay card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

Balcoltra Savings Program: Eligible patients pay only $10 per monthly prescription with savings of up to $140 per fill; for additional information contact the program at 877-838-3846.

Applies to:
Balcoltra
Number of uses:
Unlimited refills

Form more information phone: 877-838-3846 or Visit website

Healthcare professionals may order samples of Balcoltra for their office by submitting an order form online.

Applies to:
Balcoltra
Number of uses:
Per length of program

Form more information phone: 888-612-8466 or Visit website

Patient Assistance & Copay Programs for Balcoltra

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines and copay programs to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Provider: Patient Access Network Foundation (PAN)

Elligibility requirements:
  1. *See Additional Information section below
  2. Between 400-500% of FPL
  3. FDA Approved Diagnosis - See Program Website for Details
  4. Must reside and receive treatment in US
  5. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Applicable drugs:
  • Balcoltra (levonorgestrel and ethinyl estradiol and ferrous bisglycinate) Tablet

More information please phone: 866-316-7263 Visit Website