Levonorgestrel-ethinyl estradiol

Levonorgestrel-ethinyl estradiolPrices, Coupons & Savings

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*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 Aviane
    28 blister pack of tabletss $6.65 USD
    Save $22.58
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Do you need a prescription for levonorgestrel-ethinyl estradiol?

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

How much is levonorgestrel-ethinyl estradiol without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase levonorgestrel-ethinyl estradiol, 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-ethinyl estradiol 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-ethinyl estradiol savings card?

Yes. Save up to 90% on your levonorgestrel-ethinyl estradiol 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-ethinyl estradiol coupon provider in the US?

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

Do you accept commercial, Medicare or Medicaid coverage for levonorgestrel-ethinyl estradiol 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-ethinyl estradiol?


Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using levonorgestrel-ethinyl estradiol. 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-ethinyl estradiol. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.


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-ethinyl estradiol?

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

FDA approval of levonorgestrel-ethinyl estradiol

Levonorgestrel-ethinyl estradiol is approved by the U.S. Food and Drug Administration (FDA) for use as an oral contraceptive (birth control) to prevent pregnancy.

Active ingredients of levonorgestrel-ethinyl estradiol

levonorgestrel-ethinyl estradiol is a combined oral contraceptive, its active ingredients are levonorgestrel (a progestin) and ethinyl estradiol (an estrogen).

US brand name of levonorgestrel-ethinyl estradiol and manufacturer

Levonorgestrel-ethinyl estradiol is available in the US under various brand names, including Alesse, Aviane, and generic versions. It is manufactured by different pharmaceutical companies.

UK brand name of levonorgestrel-ethinyl estradiol and manufacturer

In the UK, levonorgestrel-ethinyl estradiol is available under various brand names, including Microgynon, Levest, and Rigevidon. The manufacturer may vary depending on the brand name.

Prescription requirement for levonorgestrel-ethinyl estradiol

A prescription (Rx) is required for levonorgestrel-ethinyl estradiol in both the US and the UK.

Availability of levonorgestrel-ethinyl estradiol in the UK with NHS prescription

Levonorgestrel-ethinyl estradiol is available in the UK with an NHS prescription.

Conditions treated by levonorgestrel-ethinyl estradiol

Levonorgestrel-ethinyl estradiol is used as a hormonal contraceptive to prevent pregnancy. It contains a combination of hormones that work by preventing the release of an egg from the ovary and changing the cervical mucus and uterine lining to make it more difficult for sperm to reach the uterus.

How does levonorgestrel-ethinyl estradiol work?

Levonorgestrel-ethinyl estradiol works through multiple mechanisms to prevent pregnancy. The hormones in the medication inhibit ovulation, which means an egg is not released from the ovary. It also alters the cervical mucus, making it thicker and more difficult for sperm to reach the egg. Additionally, levonorgestrel-ethinyl estradiol changes the lining of the uterus, making it less receptive to implantation of a fertilized egg.

Forms of levonorgestrel-ethinyl estradiol available

Levonorgestrel-ethinyl estradiol is available in the form of oral tablets or as a transdermal contraceptive patch.

Dosage of levonorgestrel-ethinyl estradiol

The dosage of levonorgestrel-ethinyl estradiol may vary depending on the specific product and the individual’s needs, but will normally be started on day 1 of the menstrual cycle. It is important to follow the recommended dosage instructions provided by the healthcare provider.

Directions for levonorgestrel-ethinyl estradiol Use

Levonorgestrel-ethinyl estradiol should be taken exactly as directed by the healthcare provider. The tablets are usually taken orally, once daily, with or without food. It is important to take the medication at the same time each day to maintain its effectiveness.

Warnings and precautions for levonorgestrel-ethinyl estradiol

  • Levonorgestrel-ethinyl estradiol may have certain risks and potential side effects. You may be at an increased risk of gallbladder disease. It is important to discuss these with a healthcare provider before starting the medication
  • Do not use birth control pills if you have uncontrolled high blood pressure (hypertension), thromboembolic disorders, undiagnosed vaginal bleeding, breast cancer sensitive to estrogen or progestin, liver disease, severe migraine headaches, if you take certain hepatitis C medication, if you have ever had a heart attack, stroke, or a blood clot, or jaundice caused by pregnancy or birth control pills

Interactions with other drugs

Levonorgestrel-ethinyl estradiol may have drug interactions with other drugs, including treatments for chronic hepatitis C, such as ombitasvir/paritaprevir/ritonavir with or without dasabuvir
Other drugs may cause birth control pills to not work so well. Examples include rifabutin, ritonavir, St. John’s wort, carbamazepine, phenytoin, topiramate, and HIV drugs
It is important to speak to a healthcare professional for further medical advice and drug information about all the medications you are taking, including vitamins, minerals, or other dietary supplements, to avoid potential interactions

Use of levonorgestrel-ethinyl estradiol if pregnant or planning pregnancy

Levonorgestrel-ethinyl estradiol is not to be used if already pregnant. It is intended for use as a contraceptive to prevent pregnancy, not to terminate an existing pregnancy. It should be avoided in women who are planning to become pregnant, as it is not intended for use in this context.

Ethinyl estradiol and levonorgestrel can slow breast milk production. You should not breastfeed while using this medicine.

Possible side effects of levonorgestrel-ethinyl estradiol

Common side effects of levonorgestrel-ethinyl estradiol may include nausea, bloating, breast tenderness, breakthrough bleeding, increased cholesterol and triglyceride levels, and mood changes. Serious adverse effects such as severe headaches, thrombosis or chest pain are rare, but possible. Seek emergency help if you have an allergic reaction from a healthcare provider.

Similar drugs to levonorgestrel-ethinyl estradiol

Other combination hormonal contraceptives used for birth control include other brands containing levonorgestrel and ethinyl estradiol, as well as other combination products containing different hormones, such as norethindrone and ethinyl estradiol.



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.

About Now Patient

Now Patient’s online services are available in the US and UK. We help you manage your prescriptions, doctor appointments, test results, health risks, and a lot more, all in one place for FREE. If you are in the United States, you could enjoy savings using Now Patient’s mail-order pharmacy or use the Now Patient Rx Advantage Card at over 65,000 pharmacies, with savings of up to 90% on popular FDA-approved brand and generic medications like Ozempic, Mounjaro, clopidogrel and lots more. We do not currently handle commercial insurance, Medicare or Medicaid. UK NHS and private prescriptions are delivered FREE of charge across England & Wales by our UK NHS online pharmacy.

Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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