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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.

The cost for Balcoltra oral tablet (with iron 20 mcg-100 mcg) is around $299 for a supply of 28 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the discount card which is accepted at most U.S. pharmacies.

Balcoltra prices

Oral Tablet

Quantity Per unit Price
28 $10.68 $299.14
84 (3 x 28 each) $10.46 $878.40

Important: When there is a range of pricing, consumers should normally expect to pay the lower price. However, due to stock shortages and other unknown variables we cannot provide any guarantee.

Balcoltra Coupons, Copay Cards and Rebates

Balcoltra offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining a sample from a medical professional. Printable Discount Card

The free 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 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:
Number of uses:
Per prescription until program expires

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

Balcoltra Direct-to-Patient Program through Glendale Pharmacy

Eligible patients may pay $45 per 30-day supply or $120 per 90-day supply when filling their prescription through the program; program offers FREE delivery to certain states; this is a cash-pay only pharmacy (insurance coverage cannot be used); for additional information contact the program at 800-400-3401.

Applies to:
Number of uses:
Per prescription until program expires

Form more information phone: 800-400-3401 or Visit website

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

Applies to:
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 typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eligibility requirements for each program may vary.

Provider: Patient Access Network Foundation (PAN)

Eligibility 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

Disclaimer: Medication pricing is sourced from a variety of providers. Pricing may vary significantly due to several factors including brand or generic status, insurance coverage, pharmacy choice, location, and manufacturer pricing policies. Prices are subject to change. For the most accurate and up-to-date information, always consult directly with your pharmacy or healthcare provider.