ZARAH
Are you tired of high medication costs? Our service offers unbeatable savings on your ZARAH prescription medication. We provide a range of solutions to help you save up to 100% on your medication costs*. Whether you are insured, uninsured, underinsured, or simply looking to reduce your out-of-pocket expenses, we've got you covered.
Manufactured by Mayne Pharma
*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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Lower the cost of your ZARAH prescription
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ZARAH key facts
What is ZARAH?
ZARAH is the brand name for drospirenone/ethinyl estradiol and is available as an oral tablet.
What dosages is ZARAH available in?
ZARAH is available as an oral tablet in a pack that contains 21 tablets with 3 mg drospirenone (DRSP) and 0.03 mg
ethinyl estradiol and 7 placebo tablets.
What is ZARAH used for?
ZARAH is an estrogen/progestin combination that is used to prevent pregnancy.
How does ZARAH work?
ZARAH is a combination oral contraceptive (COC) that contains 2 hormones: drospirenone (a progestin) and ethinyl estradiol (an estrogen). Both hormones work together to prevent pregnancy by:
- Suppressing ovulation (release of an egg from the ovary)
- Changing cervical mucus to block sperm movement
- Creating an unfriendly environment for the fertilized egg by changing the lining in the uterus (womb)
How do I take ZARAH?
ZARAH comes as a pre-packaged course (28 days) of medication. There are 21 active tablets and they each contain 3 mg drospirenone and 30 mcg ethinyl estradiol. There are 7 placebo tablets and they don’t contain any active medication.
The typical dose is to take 1 active tablet by mouth daily for 21 days, followed by 1 placebo tablet daily for the remaining 7 days. The tablets must be taken in order as shown on the medication packaging.
Is it safe for me to take ZARAH?
ZARAH 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 if you have any of the following:
- Kidney, liver, or adrenal gland problems
- Women over 35 years old who smoke
- High risk of blood clots
- Blood vessel problems that affect the heart or brain
- Abnormal uterine bleeding where the cause have yet to be diagnosed by your provider
- History of certain heart conditions
- Uncontrolled high blood pressure or diabetes
- Pregnancy
- Breast cancer (current or previous) which might be hormone-sensitive
- Headaches involving the spinal cord or brain
- Migraine headaches with or without aura if over 35 years old
- Liver tumor
- Current treatment with Viekira Pak (dasabuvir / ombitasvir / paritaprevir / ritonavir)
ZARAH Common Side Effects
Common side effects of ZARAH:
- Premenstrual syndrome (PMS)
- Headache/migraine
- Breast pain/tenderness/discomfort
- Nausea/vomiting
- Stomach pain/tenderness/discomfort
- Mood changes
ZARAH Serious Side Effects
Serious side effects are rare with ZARAH. Contact your healthcare provider immediately if you experience any of the following.
- Heart attack: chest pain, stomach discomfort, sweating, nausea, dizziness
- Stroke: sudden numbness or weakness in the arm, leg, or face, confusion, trouble seeing, headache, difficulty walking
- Deep vein thrombosis (blood clot in the leg): leg cramp, swelling, pain, muscle tightness
- Pulmonary embolism (blood clot in the lung): cough, chest pain, trouble breathing, racing heart
- Liver problems: yellowing of the skin or the whites of the eyes, tiredness, stomach pain
Effects of other drugs, drug classes and over-the-counter products on ZARAH
The following medications may interact with ZARAH:
- Drugs or herbal products that induce certain enzymes (for example, CYP3A4) may decrease the effectiveness of COCs or increase breakthrough bleeding
- Counsel patients to use a back-up or alternative method of contraception when enzyme inducers are used with COCs
Who makes ZARAH?
Mayne Pharma
Is ZARAH safe in pregnancy?
ZARAH is contraindicated during pregnancy as it may cause fetal harm when administered to pregnant women.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effectsDrug 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 ZARAH prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your ZARAH prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient ZARAH 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 ZARAH 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 ZARAH | Canadian Prescription Savings* for ZARAH | ZARAH Drug Coupon* | ZARAH 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 ZARAH?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for ZARAH | Canadian Prescription Savings* for ZARAH | ZARAH Drug Coupon* | ZARAH 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 ZARAH savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the ZARAH 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 ZARAH, 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 ZARAH prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, ZARAH 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 ZARAH 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 ZARAH prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can 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, 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 ZARAH 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?
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 ZARAH
If you are having trouble paying for your ZARAH 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 ZARAH you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- ZARAH 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 ZARAH
- If ZARAH 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 ZARAH
If you are having trouble paying for your ZARAH medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for ZARAH 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 ZARAH
- If ZARAH 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 ZARAH
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 ZARAH 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 ZARAH you will need to meet the following criteria:
- You must be currently insured and have coverage for ZARAH
- 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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