How do you pay?

How to pay the least

Lowest posted price

as little as $45 a month

Balcoltra from Avion Pharmaceuticals, without insurance.

  1. Sign up for Balcoltra Savings Program Coupon.Print the card (PDF) 

Ask for the generic’s price No pharmacy we check posts a cash price for generic levonorgestrel and ethinyl estradiol. Ask yours, to compare.

A regular generic has the same active ingredient as Balcoltra, and the FDA requires it to work the same way.

Compare every option

Question
Brand nameBalcoltra
Authorized genericlevonorgestrel and ethinyl estradiol
Regular genericlevonorgestrel and ethinyl estradiol
What you’d pay
As little as$45a month with the maker’s card
Not soldThere isn’t one
Cash priceAsk the pharmacyUsually the lowest
Same as Balcoltra?
The original
–
Same active ingredientFillers and dyes can differ

Brand nameThe maker’s card

Balcoltra Savings Program Coupon

Savings card from Avion Pharmaceuticals

No insurance · as little as $45 a month
Insurance · as little as $10 a fill

Print the card (PDF) 

See the offer on balcoltra.com

In the maker’s words

“With the Balcoltra Savings Program Coupon pay as little as $10 for a…”

“Pay as little as $45 cash for a 30-day supply or $120 cash for a…”

From the maker’s offer on balcoltra.com, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Maker’s card or discount card?

A discount card like GoodRx lowers the pharmacy’s cash price, but for a brand-name drug that price often stays high. Compare it with the maker’s price above. You can usually use one or the other on a fill, not both.

Authorized genericNot sold

There isn’t one. An authorized generic is Balcoltra itself, from the same company, sold without the brand name, and usually for less. A regular generic is sold, with the same active ingredient: ask the pharmacy for its price.

See the regular generic →

Regular genericWho makes it

2 companies sell a generic of Balcoltra that the FDA rates a substitute. A pharmacy fills whichever one it stocks. To get a certain maker, ask for it by name; most pharmacies can order it in a day or two.

  • Lupin Pharmaceuticals

    Has lactose · Has a dye: FD&C Blue No. 2--aluminum lake · Sold as Minzoya

    How it looks, what’s in it, NDCs

    PackageNDC
    Carton of 370748-322-14

    Inactive ingredients: cellulose, microcrystalline, croscarmellose sodium, lactose monohydrate, magnesium stearate, povidone, ferrous bisglycinate, citric acid monohydrate, glycine, silicon dioxide, crospovidone, maltodextrin, microcrystalline cellulose, polyethylene glycol 400, hypromellose 2910 (6 mpa.s), titanium dioxide, FD&C Blue No. 2--aluminum lake

    FDA label

  • Xiromed

    Has lactose · Sold as Joyeaux

    Product page on xiromed.com

    How it looks, what’s in it, NDCs

    PackageNDC
    Carton of 370700-177-85

    Inactive ingredients: starch, corn, crospovidone, lactose monohydrate, magnesium stearate, methyl alcohol, methylene chloride, povidone, ferrous fumarate, mannitol, microcrystalline cellulose, peppermint, sodium starch glycolate type a, sucralose

    FDA label

Who sells it: FDA and Medicaid records, updated weekly. Each maker’s page, card and program is from its own site.

What to say at the pharmacy

“Before you fill my Balcoltra, can you tell me what I’d pay for the brand and for a generic?”

Paying cash? Ask for each one’s cash price. With insurance, ask what your plan charges for each.

What it’s used for

What the FDA label says

Balcoltra is a progestin/estrogen COC indicated for use by females of reproductive potential to prevent pregnancy.

Source: the FDA label for Balcoltra (Avion Pharmaceuticals), December 5, 2025. Full label on DailyMed 

Good to know