DOLISHALE 90-20 MCG TABLET

What it is

DOLISHALE 90-20 MCG 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 “Dolishale”.

FDA gives its dosage form as tablet and its route as oral.

The labeler, the company named on the label, is Ingenus Pharmaceuticals, LLC.

FDA lists it under 3 Established Pharmacologic Classes: Estrogen, Progestin and Progestin-containing Intrauterine System.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

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 $34.07 for 30 tablets (30 × $1.13572 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 · Why 30 tablets · NADAC explanation codes

All 2 NDCs

• 50742-0659-28 · Ingenus Pharmaceuticals, LLC · $1.13572 per EA · eff. 2026-09-23 filed
• 50742-0659-84 · Ingenus Pharmaceuticals, LLC · $1.13572 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 DOLISHALE 90-20 MCG TABLET.

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

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $1.13572 per EA filed.

Of the 104 other products in FDA’s Estrogen class priced per EA, 77 have a higher middle NADAC price and 25 a lower one; 2 have the same. The one in the middle is DOTTI 0.0375 MG PATCH, at $8.26227 per EA filed (eff. 2026-09-23).

Of the 65 other products in FDA’s Progestin class priced per EA, 26 have a higher middle NADAC price and 37 a lower one; 2 have the same. The one in the middle is NORETHIN-ETH ESTRAD 1 MG-5 MCG, at $0.57994 per EA filed (eff. 2026-09-23).

Of the 9 other products in FDA’s Progestin-containing Intrauterine System class priced per EA, 7 have a higher middle NADAC price and 0 a lower one; 2 have the same. The one in the middle is MY WAY 1.5 MG TABLET, at $6.33055 per EA filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

How the class comparison works

What Medicare paid

Medicare Part D paid $34.26 for 30 tablets, at an average of $1.1421 per EA in 2024 (2024-01-01 to 2024-12-31) for “Dolishale” and “Levonorgestrel/Ethin.Estradiol”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 219 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What Part D spending measures · Which Medicare figure OpenBill compares · How the spread is worked out

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 30 tablets? Is it lower than what I would pay through my insurance?
• If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
• These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.