US pharmacy pricing
Amethyst Prices at US Pharmacies
Lowest price found · US pharmacies
$27.02/fill
for Levonorgestrel-Ethinyl Estrad, across the pharmacies in our data
US pharmacy prices — 1 package (28 tablets), 90-20mcg
| Pharmacy | Discount-card price | Regular cash price | Average retail |
|---|---|---|---|
 CVS Pharmacy | $27.02Lowest | $30.02 | $9.99 |
 Walmart Neighborhood Market | $30.41 | $33.41 | $9.99 |
 Walmart Pharmacy | $30.41 | $33.41 | $9.99 |
 Kroger Pharmacy | $41.83 | $44.83 | $9.99 |
 Harris Teeter Pharmacy | $41.83 | $44.83 | $9.99 |
 Publix | $47.55 | $50.55 | $9.99 |
 Food Lion | $48.88 | $48.88 | $9.99 |
 Walgreens | $52.77 | $55.77 | $9.99 |
 Costco | $56.41 | $56.41 | $9.99 |
"Discount-card price" reflects a standard prescription discount card, not insurance. Prices change often — confirm at the pharmacy before filling.
Interchangeable forms
Per RxNorm (U.S. National Library of Medicine), these share the same active ingredient and strength as Levonorgestrel-Ethinyl Estrad.
Frequently asked questions
How much does Levonorgestrel-Ethinyl Estrad (Amethyst) cost without insurance?
At the US pharmacies in our data, the lowest listed discount-card price for Levonorgestrel-Ethinyl Estrad is around $27.02. Prices vary by pharmacy, dosage, and pack size, so use the table above to compare specific options near you.
Is a generic version of Levonorgestrel-Ethinyl Estrad available?
Generic and brand-name pricing for Levonorgestrel-Ethinyl Estrad is broken out in the tables above where both exist in our data. Generic versions are typically the lower-cost option, but availability depends on the specific formulation and dosage.
How does the cost of Amethyst with insurance compare to other options?
Your copay for Amethyst under an insurance plan can vary widely. It's advisable to ask your pharmacist to compare your insurance copay against prices available through prescription savings programs, which may offer substantial savings on the retail price.
Is Amethyst a generic medication, and are there alternatives?
Yes, Amethyst itself is a generic version of the discontinued brand-name drug Lybrel. It contains the active ingredients ethinyl estradiol and levonorgestrel. As a 'branded generic,' it has a proprietary name but is priced as a generic. Other generic oral contraceptives with the same active ingredients (though sometimes in different dosages) include Aubra, Lessina, and Setlakin. Information on savings options for these alternatives can be found through various pharmacy resources.
What is Amethyst and how does it work?
Amethyst is a prescription birth control pill for women that combines the hormones ethinyl estradiol (a synthetic estrogen) and levonorgestrel (a progestin). Taken continuously every day without a placebo week, it is a monophasic pill, meaning each active tablet contains the same hormone dose. Its primary mechanism is to prevent ovulation. Additionally, it alters the cervical mucus to hinder sperm movement and changes the uterine lining to prevent implantation of a fertilized egg. Most users will experience a cessation of their menstrual period while taking Amethyst.