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MEGESTROL ACETATE vs PLAN B ONE-STEP

Independent side-by-side comparison.

Rated against independent regulatory sources·Last updated August 22, 2026·How we rate

Rating

70/100
New

Pharmacy pays

~$7.14 /30
~$192.31 /30

Type

RX
OTC

Active ingredient

MEGESTROL ACETATE
LEVONORGESTREL

Dosage forms

Tablet, Suspension
Tablet

Drug class

Progestin
Progestin

Boxed warning

None
None

Half-life

about 36 hours (36 ± 13 hours at steady state)

Treats

Anorexia, Breast Neoplasms, Cachexia

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Where to buy

Buy over-the-counter from trusted retailers.

Frequently asked questions

Which is cheaper, Megestrol Acetate or Plan B One-Step?

Megestrol Acetate costs pharmacies less to acquire — about $7.14 vs $192.31 for a 30-count supply, per the CMS NADAC survey. That gap is in the pharmacy's cost of goods, not necessarily in what you pay: your price is set afterwards by your insurer and the pharmacy.

What is the difference between Megestrol Acetate and Plan B One-Step?

Megestrol Acetate contains Megestrol Acetate, while Plan B One-Step contains Levonorgestrel — they have different active ingredients.

Ratings are based on FDA regulatory (recall-safety) data. This comparison is for general reference only — not medical advice. Always consult a licensed professional before choosing or switching a medication.