Camila (Norethindrone) Medicare Coverage

Camila
Chemical name: Norethindrone

Brand name: Camila

Typical dosage: 0.35mg

Typical type: Tablet1

Camila is a medication used as birth control and used to treat other gynecologic conditions. Camila is available as a brand name or generic drug and comes as an oral tablet.

Camila is a birth control medication that can also be used to treat unusual uterine bleeding, help regulate menstrual cycles and treat endometriosis.

Camila is one brand name version of generic Norethindrone. There are a number of similar equivalents, including Nor-Qd, Heather, Nora-Be, Norlyda and Deblitane.

Camila is typically taken once daily. Camila stops ovulation, thickens cervical mucous and alters hormone concentrations to prevent pregnancy.

Side effects of Camila include headache, upset stomach, vomiting, cramps, bloating, dizziness, tender breasts, insomnia, acne and weight gain.

Does Medicare cover Camila or Norethindrone?

Yes! 95% of Medicare Advantage plans and Medicare Part D plans cover Camila.1

  • Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.2

  • Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Camila.

Find Medicare Advantage plans with drug coverage

Compare Plans

Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

Average costs for Camila with Medicare drug coverage1

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in.

Deductible stage Typical copay stage
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.

In the deductible stage, you’re responsible for the full cost of your prescription drugs.

Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.
After you meet your Part D deductible, you enter the initial coverage period.

During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.
$3 – $30 Free – $30

Additional information

Camila should not be used as emergency contraception. It is also not indicated for use alongside estrogen in postmenopausal women with endometriosis.

If you use this medication to prevent pregnancy, it may not work as well if you throw up or have diarrhea. It is important to use a second form of birth control until you check with your doctor.

Do not smoke while taking Camila. Smoking while taking this medication can increase your risk of very bad blood clots and heart attack.

 

 

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

 

Written by Hayden Gharibyar, Pharm.D.