Last updated: March 2026
How Much Does Lo Loestrin Fe (Norethindrone/Ethinyl Estradiol) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Lo Loestrin Fe (28-day pack) | $150 – $250 | $0 – $50 |
| Generic Equivalent (if available) | $100 – $180 | $0 – $30 |
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Tier 3 brand; generic alternatives covered at $0 under ACA
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Lo Loestrin Fe costs $150 to $250/month without insurance. It is a brand-name pill with the lowest estrogen dose among combined oral contraceptives.
Generic versions have begun to become available. Your insurance may cover generic alternatives at $0 under the ACA.
Lo Loestrin Fe has the lowest estrogen dose (10mcg ethinyl estradiol) of any combined pill, which may reduce estrogen-related side effects.