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Levonorgestrel

Levonorgestrel Generic

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AVAILABLE CURRENTLY, ONLY IN
United States
*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

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  2. Levonorgestrel & Ethinyl Estradiol
    Generic for Levora
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    0.15mg-30mcg
    28 blister pack of tabletss $6.09 USD
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  3. Levonorgestrel & Ethinyl Estradiol (91-day)
    Generic for Quasense
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    0.15mg-0.03mg
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  4. Levonorgestrel & Ethinyl Estradiol-Ethinyl Estradiol
    Generic for Daysee
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    0.15mg-0.03mg & 0.01mg
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Do you need a prescription for levonorgestrel?

Yes, levonorgestrel is only available with a valid physician Rx.

How much is levonorgestrel without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase levonorgestrel, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for levonorgestrel in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a levonorgestrel savings card?

Yes. Save up to 90% on your levonorgestrel with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a levonorgestrel coupon provider in the US?

No. Now Patient does not provide levonorgestrel coupons or FREE levonorgestrel samples.

Do you accept commercial, Medicare or Medicaid coverage for levonorgestrel in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much levonorgestrel?

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Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using levonorgestrel. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much levonorgestrel. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.

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If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

What is generic levonorgestrel?

Generic levonorgestrel refers to the non-brand-name version of the medication. It contains the same active ingredient as the brand-name drug but is typically less expensive.

FDA approval of levonorgestrel

Levonorgestrel is approved by the U.S. Food and Drug Administration (FDA) for various indications, including emergency contraception and hormonal intrauterine contraception.

Active ingredient of levonorgestrel

The active ingredient of levonorgestrel is levonorgestrel.

US brand name of levonorgestrel and manufacturer

Levonorgestrel is available in the US under various brand names, including Plan B One-Step, Next Choice, and Take Action. The manufacturers may vary depending on the brand names.

UK brand name of levonorgestrel and manufacturer

In the UK, levonorgestrel is available under various brand names, including Levonelle and Ezinelle. The manufacturer may vary depending on the brand name.

Prescription requirement for levonorgestrel

Levonorgestrel is available without a prescription (over-the-counter) in the US for emergency contraception. However, a prescription may be required for other indications. In the UK, a prescription (Rx) is required for levonorgestrel, however it can be purchased from a pharmacy following a consultation.

Availability of levonorgestrel in the UK with NHS prescription

Levonorgestrel is available in the UK with an NHS prescription.

Conditions treated by levonorgestrel

Levonorgestrel is primarily used for emergency contraceptive use to prevent pregnancy after unprotected sex or contraceptive failure. It is also used for hormonal contraception.

How does levonorgestrel work?

Levonorgestrel’s mechanism of action is to prevent or delay ovulation, thereby reducing the chance of fertilization and pregnancy. It may also affect the lining of the uterus and cervical mucus, making it more difficult for sperm to reach the egg.

Forms of levonorgestrel available

Levonorgestrel is available in the form of oral levonorgestrel tablets and intrauterine devices (IUDs), containing 52 mg of levonorgestrel.

Dosage of levonorgestrel

The dosage of levonorgestrel may vary depending on the specific indication and product used. It is important to follow the recommended dosage instructions provided by the healthcare provider or the product packaging.

Directions for levonorgestrel Use

Levonorgestrel should be taken as directed by a healthcare professional, or according to the instructions provided with the product. For emergency contraception, it is most effective when taken as soon as possible after unprotected sex.

Warnings and precautions for levonorgestrel

  • Levonorgestrel is not intended for regular use as a primary method of birth control
  • Levonorgestrel may not be effective in preventing pregnancy if taken too long after unprotected sex
  • Tell your doctor if you have had an allergic reaction to levonorgestrel or to other progestins before starting treatment
  • Your regular contraceptive method such as birth control pills may not work as effectively   while using levonorgestrel. Use oral contraceptive pills or patches with another birth control method, such as a diaphragm, condom, or contraceptive foam or jelly

Interactions with other drugs

Levonorgestrel may have drug interactions with certain medications, including griseofulvin, rifampin, St. John’s wort, treatments for seizures (such as barbiturates, carbamazepine, oxcarbazepine, phenytoin, felbamate, and topiramate), bosentan, efavirenz, and HIV drugs such as nevirapine. It is important to inform your healthcare provider about all the medications, including nonprescription over-the-counter (OTC), supplements, or herbal products you are taking, to avoid potential interactions.

Use of levonorgestrel if pregnant or planning pregnancy

Levonorgestrel is not intended for use during an established pregnancy. It is specifically used to prevent pregnancy before it occurs or shortly after unprotected sex.

Possible side effects of levonorgestrel

In clinical trials, common side effects of levonorgestrel may include nausea, vomiting, abdominal pain, fatigue, breast tenderness, headache, and changes in menstrual bleeding. Serious adverse effects are rare but can occur. Promptly report any concerning symptoms to a healthcare provider. Levonorgestrel passes into breast milk during breast feeding, but is not likely to harm a nursing infant.

Similar drugs to levonorgestrel

Other emergency contraceptive options include ulipristal acetate and copper IUDs, which can be used as alternatives to levonorgestrel.

Sources:

Disclaimer

Now Patient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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