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Is CombiPatch covered by insurance? | How much does CombiPatch cost without insurance? | How to get CombiPatch without insurance
CombiPatch is a brand-name transdermal patch that contains estradiol, an estrogen, and norethindrone, a progestin. It is used as a prescription treatment that replaces the two female hormones that may be lost due to menopause or other medical conditions. For example, CombiPatch may be prescribed for women who do not produce enough estrogen, have had their ovaries removed, or have been diagnosed with ovarian failure. CombiPatch can help relieve symptoms such as hot flashes, flushing, night sweats, vaginal dryness, and vaginal or vulvar atrophy.
CombiPatch can be an expensive option for people with or without insurance. Some insurance plans may or may not help cover the patch, so it’s best to check with your health insurance plan. Fortunately, there may be other discount and savings options to help lower the price.
Consult a healthcare provider before starting treatment with CombiPatch, as side effects are possible. CombiPatch may increase the risk of breast cancer, blood clots, heart attacks, and strokes.
What is the generic for CombiPatch?
There is currently no generic version of CombiPatch, though generic estradiol-norethindrone acetate tablets are sold at pharmacies. It is uncertain when generic estradiol-norethindrone patches will be available. However, there is at least one combination estrogen-progestin transdermal patch FDA-approved for menopause symptoms on the market: Climara Pro (estradiol and levonorgestrel).
Is CombiPatch covered by insurance?
CombiPatch is covered by some health insurance plans, but people with Medicare Part D or Medicaid are less likely to be covered. Insurance plans that do cover CombiPatch tend to classify the drug in higher copay tiers, so expect the copay cost to be higher than more commonly prescribed generic drugs. But copay is only one aspect of out-of-pocket costs. Coinsurance amounts and any coverage gaps should also be considered. Contact your health insurance plan or pharmacist to see whether your prescription will be covered and what the potential out-of-pocket costs may be.
How much does CombiPatch cost without insurance?
Without insurance, eight twice-weekly patches of CombiPatch can cost an average retail price of $300. CombiPatch comes in two dosage strengths, but these do not affect the retail price. No matter the dose delivered, women without coverage for CombiPatch can expect to pay about $37 for each skin patch—$74 per week. A year’s worth of CombiPatch treatment could add up to $3,600 without using any sort of cost-saving strategy.
One strategy to reduce the cost is to ask the prescribing healthcare provider about generic equivalents that can be taken separately. The goal of estrogen-progestin treatment for menopause is to get the benefits of estrogen replacement while mitigating some of the risks with progesterone. An equivalent therapy to the CombiPatch may include taking generic estradiol-norethindrone tablets. Another option might be using a generic estradiol skin patch and taking norethindrone or levonorgestrel tablets. There will be trade-offs, so get medical advice about the pros and cons of generic estrogen-progestin treatments before switching.
Compare CombiPatch prices to related drugs |
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|---|---|---|---|
| Drug name | Price without insurance of brand-name drug | SingleCare price | Savings options |
| CombiPatch (estradiol/norethindrone) | $299 per 8 twice-weekly patches | $221 per 8 twice-weekly patches of brand-name CombiPatch | See latest prices |
| Activella (estradiol-norethindrone) | $360 per 28 tablets | $14 per 28 tablets of generic Activella | See latest prices |
| Climara Pro (estradiol/levonorgestrel) | $332 per 4 weekly patches | $225 per 4 weekly patches of brand-name Climara Pro | See latest prices |
| Prempro (conjugated estrogens/medroxyprogesterone) | $279 per 28 tablets | $207 per 28 tablets of brand-name Prempro | See latest prices |
| Jinteli (norethindrone/ethinyl estradiol) | $88 per 28, 1-5 mg-mcg tablets | $10 per 28 tablets of generic Jinteli | See latest prices |
| Vagifem (estradiol) | $225 per 8 tablets | $138 per 8 tablets of brand-name Vagifem | See latest prices |
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs if available. Click the link under “Savings options” to see the latest drug prices.
How to get CombiPatch without insurance
At around $300 per month, paying the full cash price for CombiPatch over several months may be challenging. Just six months of treatment will cost around $1,800. The manufacturer may offer a coupon or copay savings card that may help save on the price of your prescription. Other patient assistance options, such as patient assistance programs, may be available, but the eligibility requirements may be hard to meet for some people. It is also possible to get CombiPatch or similar treatments at a reduced price through other options, such as a SingleCare prescription discount card.
1. Use a manufacturer coupon
The manufacturer of CombiPatch may offer a coupon or copay savings card. Eligible patients could pay less for prescription fills of CombiPatch. Restrictions may apply, so it’s important to check the terms and conditions of the offer.
2. Find CombiPatch discounts with a SingleCare savings card
The lowest SingleCare price for eight CombiPatch transdermal patches is $220, $80 less than the average price. Over a year, those savings could surpass $1,000. Not all SingleCare participating pharmacies offer the same CombiPatch discount, so shop current CombiPatch prices at local pharmacies on SingleCare’s CombiPatch coupons page. Make sure to read the CombiPatch FAQs section on this page for important savings and drug information.
3. Shop for the lowest CombiPatch price
Simply comparing prices at local pharmacies to find the lowest price for CombiPatch can save as much as $40. That’s the difference between the highest average retail price for CombiPatch and the lowest, and it could mean significant annual savings.
4. Ask the prescriber about generic treatment options
Unfortunately, there is no generic version of CombiPatch. However, taking generic estradiol-norethindrone acetate tablets may cost as low as $11 per month with a free coupon from SingleCare. Like CombiPatch, these generic tablets are FDA approved to treat menopause symptoms and conditions caused by low estrogen and progesterone levels. It’s also possible to use generic Vivelle-Dot (estradiol transdermal patch), generic Estrogel (estradiol transdermal gel), or Estring (estradiol vaginal ring) in addition to progesterone tablets. The convenience, effectiveness, and side effects may differ from those of CombiPatch, so it’s best to consult your healthcare provider for the best treatment option. However, the savings may be great enough that these options are worth exploring with a healthcare professional.
