levonorgestrel-releasing intrauterine system
Used for Birth Control
NowPatient helps you obtain your levonorgestrel-releasing intrauterine system prescription for free or at low-cost. Drug savings programs are suitable for individuals who are insured, don't have insurance or are underinsured and can't afford your medicine.
Manufactured by various FDA-approved generic manufacturers.
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
This content is intended for US audiences only
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levonorgestrel-releasing intrauterine system key facts
What dosages is levonorgestrel-releasing intrauterine system available in?
levonorgestrel-releasing intrauterine system is available as an intrauterine system consisting of a T-shaped polyethylene frame with a steroid reservoir containing 19.5 mg levonorgestrel, packaged within a sterile inserter.
What is levonorgestrel-releasing intrauterine system used for?
levonorgestrel-releasing intrauterine system is a progestin and is used to prevent pregnancy for up to 5 years.
How does levonorgestrel-releasing intrauterine system work?
levonorgestrel-releasing intrauterine system is a small device placed in the uterus that slowly releases a progestin hormone called levonorgestrel. This hormone prevents pregnancy by stopping your ovaries from releasing an egg. Levonorgestrel also makes it difficult for sperm to reach the egg and for a fertilized egg to implant in the uterus.
How do I take levonorgestrel-releasing intrauterine system?
levonorgestrel-releasing intrauterine system will need to be placed inside the uterus by your provider at their office. Once placed, it can prevent pregnancy for 5 years.
Is it safe for me to take levonorgestrel-releasing intrauterine system?
levonorgestrel-releasing intrauterine system is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication in the following.
- Pregnancy or suspicion of pregnancy. Cannot be used for post-coital contraception (emergency contraception).
- Congenital or acquired uterine anomaly if it distorts the uterine cavity
- Acute pelvic inflammatory disease (PID) or a history of PID unless there has been a subsequent intrauterine pregnancy
- Postpartum endometritis or infected abortion in the past 3 months
- Known or suspected uterine or cervical malignancy.
- Known or suspected breast cancer or other progestin-sensitive cancer
- Uterine bleeding of unknown etiology
- Untreated acute cervicitis or vaginitis or other lower genital tract infections
- Acute liver disease or liver tumor (benign or malignant).
Increased susceptibility to pelvic infection.
A previous intrauterine device (IUD) that has not been removed - Hypersensitivity to any component of levonorgestrel-releasing intrauterine system
levonorgestrel-releasing intrauterine system Common Side Effects
Common side effects of levonorgestrel-releasing intrauterine system:
- Vaginal inflammation or irritation
- Ovarian cyst
- Acne
- Stomach cramps
- Headaches
- Breast discomfort or pain
- Changes in menstrual bleeding
levonorgestrel-releasing intrauterine system Serious Side Effects
Serious side effects are rare with levonorgestrel-releasing intrauterine system. Contact your healthcare provider immediately if you experience any of the following.
- Ectopic pregnancy: severe, unexplainable pelvic pain along with unusual vaginal bleeding
- Severe infection: fever, chills, confusion, fatigue
Effects of other drugs, drug classes and over-the-counter products on levonorgestrel-releasing intrauterine system
- No drug-drug interaction studies have been conducted with levonorgestrel-releasing intrauterine system. However, always let your physician and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking
Who makes levonorgestrel-releasing intrauterine system?
Various FDA-approved generic manufacturers
Is levonorgestrel-releasing intrauterine system safe in pregnancy?
Remove levonorgestrel-releasing intrauterine system if pregnancy occurs with levonorgestrel-releasing intrauterine system in place. If pregnancy occurs, there is increased risk of ectopic pregnancy including loss of fertility, pregnancy loss, septic abortion (including septicemia, shock and death), and premature labor and delivery.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effects in the USDrug Savings Guide
A practical guide to saving money and receiving support with prescription costs
How can NowPatient help me to lower the cost of my levonorgestrel-releasing intrauterine system prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your levonorgestrel-releasing intrauterine system prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient levonorgestrel-releasing intrauterine system savings programs work?
After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.
Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.
Are the NowPatient levonorgestrel-releasing intrauterine system savings programs suitable for everyone, regardless of insurance status?
No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.
| Rx Advantage Card* for levonorgestrel-releasing intrauterine system | Canadian Prescription Savings* for levonorgestrel-releasing intrauterine system | levonorgestrel-releasing intrauterine system Drug Coupon* | levonorgestrel-releasing intrauterine system Patient Assistance Program* | |
| Insured (federal, state or government) | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured (Commercial or Private) | Available | Available | Available If Offered by Pharmaceutical Company | Available If Offered by Pharmaceutical Company |
| Uninsured | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured but without pharmacy benefit or drug coverage | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
*This is not insurance.
Are the NowPatient drug savings programs suitable for brand and generic versions of levonorgestrel-releasing intrauterine system?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for levonorgestrel-releasing intrauterine system | Canadian Prescription Savings* for levonorgestrel-releasing intrauterine system | levonorgestrel-releasing intrauterine system Drug Coupon* | levonorgestrel-releasing intrauterine system Patient Assistance Program* | |
| Brand | Yes | Yes | Yes, If Offered by Pharmaceutical Company | Yes, If Offered by Pharmaceutical Company |
| Generic | Yes | Yes | No | No |
*This is not insurance.
If you have Medicare Part D or Medicare Advantage and none of the levonorgestrel-releasing intrauterine system savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the levonorgestrel-releasing intrauterine system drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.
If you are denied Medicaid for levonorgestrel-releasing intrauterine system, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
I am uninsured or underinsured and none of the levonorgestrel-releasing intrauterine system prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, levonorgestrel-releasing intrauterine system is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
If you are denied and all else fails, and if you have been prescribed levonorgestrel-releasing intrauterine system for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.
I am commercially or privately insured and none of the levonorgestrel-releasing intrauterine system prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.
If you cannot afford your copay contribution, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.
If I have federal, state or commercial insurance and none of the levonorgestrel-releasing intrauterine system prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay contributions?
If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs:
1. Patient Access Network Foundation (PAN) assistance for levonorgestrel-releasing intrauterine system
If you are having trouble paying for your levonorgestrel-releasing intrauterine system medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for levonorgestrel-releasing intrauterine system you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- levonorgestrel-releasing intrauterine system is prescribed for an approved FDA indication
- You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship
- You have Medicare insurance coverage that covers levonorgestrel-releasing intrauterine system
- If levonorgestrel-releasing intrauterine system is listed on PAN’s list of covered medications
You can check the Patient Access Network Foundation Website for more information.
2. HealthWell Foundation Copay Program for levonorgestrel-releasing intrauterine system
If you are having trouble paying for your levonorgestrel-releasing intrauterine system medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for levonorgestrel-releasing intrauterine system you will need to meet the following criteria:
- You live in and are being treated in the United States
- You are insured and your plan covers levonorgestrel-releasing intrauterine system
- If levonorgestrel-releasing intrauterine system is listed on the HealthWell Foundation’s list of covered medications
You can check the HealthWell Foundation Website for more information.
3. Patient Advocate Foundation Co-Pay Relief Program for levonorgestrel-releasing intrauterine system
Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your levonorgestrel-releasing intrauterine system treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for levonorgestrel-releasing intrauterine system you will need to meet the following criteria:
- You must be currently insured and have coverage for levonorgestrel-releasing intrauterine system
- You must have a confirmed diagnosis and treatment plan
- You must reside and receive treatment in the United States
- Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
- Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.
You can check the Patient Advocate Foundation Website for more information.
Medical Disclaimer
NowPatient 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 on 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.
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