AYUNA-28 TABLET
FDA nonproprietary name: levonorgestrel and ethinyl estradiol
For 1 unit (EA)
Pharmacies pay
$0.11 filed
1 × $0.11352 per EA
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
Medicare
We don’t know yet
No Medicare reference price. Part D: The Part D file flags this drug’s average spending per dosage unit as an outlier, so OpenBill does not use it as a reference price. Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.
The spread
We don’t know yet
There is no Medicare figure to compare with, so there is no spread.
Cost-plus estimate
$5.13 estimated
$0.11 + $0.02 (15%) + $5.00 fee per fill = $5.13
This is a model, not a price any pharmacy quoted. Shipping is not included. For a pack this cheap, the $5.00 fee is most of the estimate. How it is worked out
OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)
Open the interactive card Change the quantity, type what you were charged, and see every record in full.
What it is
AYUNA-28 TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as levonorgestrel and ethinyl estradiol, under the trade name “Ayuna”.
FDA gives its dosage form as kit.
The labeler, the company named on the label, is Aurobindo Pharma Limited.
FDA lists no Established Pharmacologic Class for it.
The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes); the FDA directory lists 1 of them.
NADAC classes it as a generic drug (rate-setting class G), and does not mark it as sold over the counter.
What pharmacies pay
Pharmacies pay $0.11 for 1 unit (EA) (1 × $0.11352 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.
NADAC’s explanation code for it: 1, calculated from the most recently completed pharmacy survey.
What NADAC measures · NADAC explanation codes
All 2 NDCs
- 65862-0848-28 · not listed as a package in the FDA directory · $0.11352 per EA · eff. 2026-09-23 filed
- 65862-0848-88 · Aurobindo Pharma Limited · $0.11352 per EA · eff. 2026-09-23 filed
Other strengths, forms and brands
22 other products in the NADAC file share the FDA nonproprietary name levonorgestrel and ethinyl estradiol with AYUNA-28 TABLET.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| ALTAVERA-28 TABLET | $0.11352 per EA filed | $0.35078 per EA filed |
| AMETHYST 90-20 MCG TABLET | $1.13572 per EA filed | $1.30648 per EA filed |
| AUBRA EQ-28 TABLET | $0.15354 per EA filed | $0.40572 per EA filed |
| AVIANE-28 TABLET | $0.15354 per EA filed | $0.38721 per EA filed |
| AYUNA-28 TABLET this page | $0.11352 per EA filed | We don’t know yet |
| BALCOLTRA TABLET | $10.03814 per EA filed | $9.45799 per EA filed |
| CHATEAL EQ-28 TABLET | $0.11352 per EA filed | $0.4374 per EA filed |
| DAYSEE 0.15-0.03-0.01 MG TAB | $0.12477 per EA filed | $0.58271 per EA filed |
| DOLISHALE 90-20 MCG TABLET | $1.13572 per EA filed | $1.1421 per EA filed |
| FALMINA-28 TABLET | $0.15354 per EA filed | $0.39865 per EA filed |
| KURVELO-28 TABLET | $0.11352 per EA filed | $0.38666 per EA filed |
| LESSINA-28 TABLET | $0.15354 per EA filed | $0.38762 per EA filed |
| LEVONEST-28 TABLET | $0.32363 per EA filed | $0.56482 per EA filed |
| LEVONOR-ETH ESTRA 0.09-0.02 MG | $1.13572 per EA filed | We don’t know yet |
| LEVONOR-ETH ESTRAD 0.1-0.02 MG | $0.15354 per EA filed | We don’t know yet |
| LEVONOR-ETH ESTRAD TRIPHASIC | $0.32363 per EA filed | We don’t know yet |
| LEVONORGESTREL-ETH ESTRAD 0.15 MG-0.03 MG TABLET | $0.22674 per EA filed | We don’t know yet |
| LEVONORGESTREL-ETH ESTRADIOL-FE BISGLYC 0.1-0.02-36.5 MG TAB | $3.44543 per EA filed | We don’t know yet |
| MARLISSA-28 TABLET | $0.11352 per EA filed | $0.37153 per EA filed |
| PORTIA-28 TABLET | $0.11352 per EA filed | $0.34264 per EA filed |
| SETLAKIN 0.15 MG-0.03 MG TAB | $0.22674 per EA filed | $0.50192 per EA filed |
| TYBLUME 0.1-0.02 MG CHEW TAB | $0.82769 per EA filed | $0.77059 per EA filed |
| VIENVA-28 TABLET | $0.15354 per EA filed | $0.37383 per EA filed |
Part D is one average per brand and generic name, over every strength and form.
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-01-01, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18
What Medicare paid
We don’t know yet; the card above says why.
Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched
What to ask at the counter
None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.
- What is your cash price for 1 unit (EA)? Is it lower than what I would pay through my insurance?
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why does this page start at 1 unit (EA)?
- NADAC prices this product per EA, and the FDA NDC Directory lists 1 of its 2 NDCs (it does not list the other one) as dosage form “KIT” with no route. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and this is not one. NADAC’s EA for it may be the whole kit or one item in it, and the files do not say which. So the card starts at 1 unit (EA) rather than guess how many make up a fill; change it to match your prescription.