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Balziva Disp Pack — prescription drug image

Balziva

Balziva 28 Tablets

Prescriptions & Refills
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What is Balziva?

Briellyn is a prescription medication used to prevent pregnancy. There is currently no generic version of Briellyn. The average price of Briellyn is around $103 for a supply of 84, 34 mcg tablets. Use our Rx.com savings offer to get great discounts on Briellyn at participating pharmacies near you.

Prescription savings · · · ·

What is Balziva ?

Briellyn is a prescription medication used to prevent pregnancy. There is currently no generic version of Briellyn. The average price of Briellyn is around $103 for a supply of 84, 34 mcg tablets. Use our Rx.com savings offer to get great discounts on Briellyn at participating pharmacies near you.
  • nausea
  • headache
  • breast tenderness
  • weight change
  • mood changes
  • bloating
  • increased risk of cardiovascular events such as blood clots, stroke, and heart attack
  • possible elevation of blood pressure
  • not recommended for use during pregnancy
  • may affect blood sugar levels
  • possible increased risk of cervical cancer and liver tumors
What is Balziva used for?
Balziva is FDA-approved for the prevention of pregnancy in women who choose to use an oral contraceptive. That is its only labeled use. It is a combined (estrogen plus progestin) pill that works mainly by preventing ovulation, and it does not protect against HIV or other sexually transmitted infections. Prescribers sometimes use combined pills for other reasons, but those are decisions to discuss with your own doctor.
Is Balziva the same as norethindrone and ethinyl estradiol?
Yes. Balziva is a brand name for the combination of norethindrone 0.4 mg and ethinyl estradiol 0.035 mg, supplied as 21 active light peach tablets plus 7 inert white tablets in a 28-day pack. The same tablet formulation is also sold as Briellyn, Philith, Vyfemla, Gildagia, and Zenchent. Chewable, iron-containing pills with the same hormone strengths, such as Nexesta Fe or Zenchent Fe, are a different dosage form and are not the same product. Note also that plain norethindrone by itself is a different, progestin-only pill with no estrogen, so the two are not interchangeable.
How long does it take for Balziva to be effective as birth control?
It depends on when in your cycle you start the pack and which starting method your prescriber tells you to use. With some start methods you are protected right away, and with others you need to use a backup method such as condoms for the first 7 days. The patient instructions that come with your pack spell out exactly what applies to your start day. Follow those instructions and ask your pharmacist or prescriber if you are unsure, rather than guessing.
What should I do if I miss a dose of Balziva?
Missing pills is the most common reason combined birth control fails, so do not simply skip ahead. The patient labeling in your pack has step-by-step directions that depend on how many tablets you missed and which week of the pack you are in, and it will tell you when backup contraception is needed and when emergency contraception should be considered. Take a moment to read it, and call your pharmacist or prescriber if it is not clear.
Does Balziva cause weight gain or acne?
Weight gain is on the label. The Balziva label lists the most common side effects as nausea, vomiting, bleeding between menstrual periods, weight gain, breast tenderness, and difficulty wearing contact lenses, and its adverse reaction list includes both change in weight (increase or decrease) and acne. That does not mean either will happen to you, since how any one person responds varies. Balziva is not approved to treat acne. If side effects bother you, talk with your prescriber before stopping, because stopping mid-pack leaves you unprotected against pregnancy.
How much does Balziva cost without insurance?
The price of Balziva 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. Many people save up to 62% off retail prices with a free Rx.com coupon.
What are the common side effects of Balziva?
Common side effects of Balziva may include: nausea, headache, breast tenderness, weight change, mood changes. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Balziva?
Generic versions may be available for Balziva. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Balziva on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Balziva?
The cheapest pharmacy for Balziva 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 Balziva near you.

Balziva Coupons & Prices

Balziva 28 Tablets

Prescriptions & Refills
Licensed US providers · Online visit in minutes
Balziva Disp Pack — prescription drug image
Prescription
Balziva 1 package (28 tablets), 0.4-35mg-mcg (1)
your area ·
Prescription weight loss

Weight-loss medication, prescribed online

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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 Balziva coupon? Balziva is a combined birth control pill containing norethindrone 0.4 mg and ethinyl estradiol 0.035 mg, taken as a 28-day pack of 21 active light peach tablets plus 7 inert white tablets. It is a maintenance prescription you refill month after month, so the price you pay at the pharmacy counter adds up. Rx.com offers a free cash-price discount coupon you can use at participating pharmacies whether you are uninsured, on Medicare, or simply paying cash because your plan does not cover contraception the way you expected. Enter your ZIP code above to see today's price for Balziva near you, then show the coupon to the pharmacist when you pick up your refill.

What is Balziva and how does it work?

Balziva is a monophasic combined oral contraceptive. "Combined" means each active tablet contains two hormones: an estrogen (ethinyl estradiol 0.035 mg) and a progestin (norethindrone 0.4 mg). "Monophasic" means every active tablet in the pack has the same hormone dose, so you do not step up or down through the cycle. Balziva is FDA-approved for one use: the prevention of pregnancy in women who choose to use an oral contraceptive.

It works mainly by suppressing the hormone signals (gonadotropins) that trigger ovulation, so an egg is usually not released. It also thickens cervical mucus and changes the lining of the uterus, which adds to its effect. The same norethindrone 0.4 mg / ethinyl estradiol 0.035 mg tablet formulation is sold under several other names, including Briellyn, Philith, Vyfemla, Gildagia, and Zenchent, though tablet color and which one a pharmacy stocks can differ. Balziva is therapeutically equivalent to Ovcon-35, an older brand that is no longer marketed in the United States. Be aware that some similarly named contraceptives are not the same product: chewable, iron-containing versions such as Nexesta Fe or Zenchent Fe are a different dosage form with different non-hormonal tablets, so they are not automatic substitutes for Balziva. Balziva does not protect against HIV or other sexually transmitted infections.

Balziva coupon: manufacturer savings card vs. Rx.com cash coupon

Many brand-name drugs have a manufacturer copay savings card. We are not aware of a manufacturer savings card for Balziva. Manufacturer cards for other products are also typically limited to people with commercial (employer or marketplace) insurance, exclude Medicare, Medicaid, and other government coverage, and come with terms that vary and change, so they are never a reliable option for everyone. If you ever see a savings program advertised for a contraceptive, check it on the manufacturer's own official website before relying on it.

That makes the cash-price route the practical lever here, and there are two parts to it:

  • Ask about equivalent products. Balziva belongs to a group of FDA-approved, therapeutically equivalent norethindrone 0.4 mg / ethinyl estradiol 0.035 mg tablets that also includes Briellyn, Philith, Vyfemla, Gildagia, and Zenchent. Under state substitution rules a pharmacist can generally fill your prescription with one of these equivalent tablets, and it is worth asking which one is cheapest and in stock. This does not extend to chewable or iron-containing pills such as Nexesta Fe or Zenchent Fe, which are different products and would need your prescriber's involvement.
  • Use an Rx.com cash coupon. Our free coupon applies the discounted cash price at participating pharmacies. It works whether you are uninsured, on Medicare, or your insurance declines the fill. You cannot combine a discount coupon with insurance on the same fill, so compare both and use whichever is lower that day.

Prices for the same pill can differ a lot between pharmacies in the same town, and between one equivalent product and another. Enter your ZIP above to see today's price near you before you refill.

Balziva alternatives and how it compares

Balziva is one of many combined pills, and they differ by which progestin they use and how much estrogen they contain. Your prescriber picks based on your health history, your cycle, and how you tolerate side effects. Common alternatives include:

  • Tri-Sprintec, a triphasic combined pill using norgestimate with ethinyl estradiol, so the hormone dose changes across the pack.
  • Blisovi Fe, a combined pill using norethindrone acetate with ethinyl estradiol plus iron-containing tablets.
  • Lo Loestrin Fe, a lower-estrogen combined pill.
  • Norethindrone on its own, a progestin-only "mini-pill" with no estrogen, which is an option for women who should avoid estrogen.

Switching pills is a decision for you and your prescriber, not something to do on your own. If cost is the reason you are considering a switch, tell your prescriber, because there may be another suitable option at a different price. Cash prices vary by product and by pharmacy, so check the price of each option with your ZIP code above before you decide.

Safety, warnings, and side effects

The Balziva label carries a serious warning about smoking: cigarette smoking increases the risk of serious cardiovascular side effects from oral contraceptive use, and that risk increases with age and with heavy smoking (15 or more cigarettes a day) and is quite marked in women over 35. The label is explicit that women who use oral contraceptives should not smoke. Other serious risks described on the label include blood clots in the veins and arteries (deep vein thrombosis, pulmonary embolism, heart attack, stroke), high blood pressure, liver tumors and liver disease, gallbladder disease, and a possible small increase in breast cancer risk in current or recent users.

Balziva is not for everyone. It is contraindicated if you have or have had blood clots or clotting disorders, cerebrovascular or coronary artery disease, breast cancer or another estrogen-dependent cancer, undiagnosed abnormal vaginal bleeding, cholestatic jaundice of pregnancy or with prior pill use, liver tumors or active liver disease, known or suspected pregnancy, or if you are being treated for hepatitis C with ombitasvir/paritaprevir/ritonavir. The Balziva label names rifampin as a drug that reduces contraceptive effectiveness and causes more breakthrough bleeding, and it flags a similar but less marked association with barbiturates, phenylbutazone, phenytoin, griseofulvin, ampicillin, and tetracyclines. Broader references on combined oral contraceptives also describe reduced effectiveness with St. John's wort and with certain HIV medicines, so give your prescriber and pharmacist a full list of everything you take, including supplements. According to the label, the most common side effects are nausea, vomiting, bleeding between menstrual periods, weight gain, breast tenderness, and difficulty wearing contact lenses; the label's adverse reaction list also includes headache, change in weight (increase or decrease), acne, and mood changes. This page is general information, not medical advice. Talk with your doctor or pharmacist about whether Balziva is right for you, and get medical help right away for chest pain, trouble breathing, sudden severe headache, vision changes, or leg pain and swelling.

Sources & accuracy

This Balziva 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: Balziva 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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