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Vienva

Vienva 28 Tablets

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What is Vienva?

Vienva is a medication that combines two hormones, levonorgestrel and ethinyl estradiol. It is used to prevent pregnancy and may also help regulate menstrual cycles.

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What is Vienva ?

Vienva is a medication that combines two hormones, levonorgestrel and ethinyl estradiol. It is used to prevent pregnancy and may also help regulate menstrual cycles.

Source: MedlinePlus, U.S. National Library of Medicine

  • Nausea
  • Headache
  • Breast tenderness
  • Spotting or bleeding between menstrual periods
  • Increased risk of blood clots, heart attack, or stroke
  • Possible increased risk of breast cancer and cervical cancer
  • Not recommended for individuals over 35 who smoke due to increased risk of cardiovascular events
  • Can cause high blood pressure
Is Vienva a good birth control pill?
Vienva is an FDA-approved combined birth control pill (levonorgestrel and ethinyl estradiol) used to prevent pregnancy. Whether it is a good fit depends on your health history and risk factors, which your prescriber can review. It does not protect against HIV or other sexually transmitted diseases.
What is Vienva the generic for?
Vienva contains levonorgestrel 0.1 mg and ethinyl estradiol 0.02 mg. It is one of several equivalent brands of this formulation, alongside Aviane, Lutera, Falmina, Orsythia, and the discontinued Alesse. A generic levonorgestrel/ethinyl estradiol is available.
Does Vienva have a boxed warning?
Yes. Like other combined birth control pills, Vienva's FDA label carries a boxed warning about cigarette smoking and serious cardiovascular events. It states that smoking raises the risk of serious heart and blood-vessel problems and that combined pills should not be used by women over 35 who smoke. Talk with your provider about your own risk factors.
What are the side effects of Vienva?
As a combined hormonal contraceptive, Vienva can raise the risk of serious problems like blood clots, stroke, and heart attack, especially in people who smoke and are over 35. Your provider or pharmacist can go over the full list of possible side effects and warning signs to watch for.
How long does it take for Vienva to be effective?
The time to full contraceptive protection depends on when in your cycle you start and whether you use back-up protection, which your prescriber or pharmacist should explain. Follow the dosing schedule in your prescription and the instructions your provider gives you.
How much does Vienva cost without insurance?
The price of Vienva without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you.
What are the common side effects of Vienva?
Common side effects of Vienva may include: Nausea, Headache, Breast tenderness, Spotting or bleeding between menstrual periods. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Vienva?
Generic versions may be available for Vienva. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Vienva on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Vienva?
The cheapest pharmacy for Vienva depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Vienva near you.

Vienva Coupons & Prices

Vienva 28 Tablets

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Vienva Disp Pack — prescription drug image
Prescription
Vienva 1 package (28 tablets), 0.1-20mg-mcg (1)
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Compounded GLP-1 medications are not FDA-approved and are prepared by state-licensed compounding pharmacies. They are not affiliated with, endorsed by, or equivalent to any brand-name medication or manufacturer. Prescription required; eligibility is determined by a licensed provider. Prices are estimates and may vary.

Looking for a Vienva coupon? Vienva is a combined hormonal birth control pill (levonorgestrel 0.1 mg / ethinyl estradiol 0.02 mg) that is already available as a lower-cost generic, so most people pay a cash price well below the brand. With an Rx.com discount coupon you can compare today's price at pharmacies near you and pay the lower cash price at the counter, even if you are uninsured or your plan does not cover this pill. Enter your ZIP above to see today's Vienva price in your area.

What is Vienva and how does it work?

Vienva is a combined oral contraceptive that contains two hormones, levonorgestrel (a progestin) and ethinyl estradiol (an estrogen). It is FDA-approved to prevent pregnancy in people of reproductive potential. Each pack has 21 active white tablets (levonorgestrel 0.1 mg / ethinyl estradiol 0.02 mg) followed by 7 inert peach tablets, so you take one pill every day on a set schedule.

Combined birth control pills like Vienva work mainly by preventing ovulation (the release of an egg), along with changes that make it harder for sperm to reach an egg. Along with pregnancy prevention, providers sometimes prescribe pills in this class to help with menstrual concerns; your own care plan should always be decided with your prescriber. Note that Vienva does not protect against HIV or other sexually transmitted diseases.

Vienva cost: manufacturer savings card vs. Rx.com cash coupon

Unlike many newer brand-name drugs, Vienva does not offer a manufacturer copay savings card. Even when a brand offers one, those cards are generally limited to people with commercial (private) insurance and typically exclude anyone with Medicare, Medicaid, or no insurance. That is where a cash discount coupon helps.

The good news for Vienva is that it is a generic product, and generic availability is usually the biggest lever for lowering price. An Rx.com cash coupon lets you pay the discounted cash price directly at the pharmacy, which is useful if you are uninsured, on Medicare, or if a pharmacy benefit is declined at checkout. You do not use insurance and the coupon together on the same fill, so it is worth comparing your copay to the cash coupon price. Enter your ZIP above to see today's price, and ask your pharmacist to run the generic if it is not already selected.

Vienva alternatives and equivalent options

Vienva is one of several interchangeable brands of the same levonorgestrel / ethinyl estradiol formulation. If your pharmacy is out of one label, your prescriber or pharmacist can often substitute an equivalent. Related options include:

  • Aviane
  • Lutera
  • Orsythia
  • Falmina
  • Alesse (brand discontinued)
  • levonorgestrel and ethinyl estradiol (generic)

Because these share the same active ingredients and strengths, cash prices can differ between labels and pharmacies. It can pay to compare the coupon price for the exact product your prescriber wrote. Any switch should be confirmed with your provider or pharmacist.

Vienva safety: what to know

Vienva carries an FDA boxed warning titled "Cigarette Smoking and Serious Cardiovascular Events." A boxed warning is the FDA's most serious label warning. For Vienva it states that cigarette smoking raises the risk of serious heart and blood-vessel events from combined birth control pills, that this risk climbs with age and the number of cigarettes smoked, and that combined pills like Vienva should not be used by women over 35 who smoke.

Beyond smoking, combined pills can increase the risk of blood clots, stroke, and heart attack. Vienva should not be used by people with a history of blood clots (DVT/PE), stroke or heart attack, certain clotting disorders, uncontrolled high blood pressure, current or past breast or estrogen-dependent cancer, undiagnosed abnormal vaginal bleeding, liver tumors or active liver disease, or during pregnancy. Some medicines can make Vienva less effective, including certain antibiotics, seizure medicines, and other drugs that speed up how your body breaks down hormones, so share your full medication list with your prescriber. This is general information, not medical advice. Talk with your healthcare provider or pharmacist about whether Vienva is right for you and what side effects to watch for.

Sources & accuracy

This Vienva information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Vienva on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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