Levonorgest-Eth Estrad 91-Day Coupons & Prices

Looking for a levonorgest-eth-estrad-91-day coupon? Levonorgestrel and ethinyl estradiol in the extended-cycle (91-day) form is a low-cost generic combination birth control pill that lowers the number of scheduled periods to about four a year. Because it is already available as an affordable generic, the cash price you pay can still swing widely from one pharmacy to the next, so comparing matters. Enter your ZIP above to see today's price and pull a free Rx.com discount coupon accepted at more than 60,000 U.S. pharmacies.

What is levonorgestrel-ethinyl estradiol 91-day and how does it work?

Levonorgestrel and ethinyl estradiol (extended-cycle) is a combination oral contraceptive that pairs a progestin (levonorgestrel) with an estrogen (ethinyl estradiol). This 91-day regimen contains 84 active pink tablets, each with 0.15 mg levonorgestrel and 0.03 mg ethinyl estradiol, followed by 7 inert white tablets. That schedule produces a planned withdrawal bleed only about four times a year instead of every month. It is the generic equivalent of the original reference brand Seasonale (now largely discontinued) and is sold under generic names such as Jolessa, Setlakin, Introvale and Iclevia. Do not confuse it with the Seasonique family of extended-cycle generics (Amethia, Ashlyna, Camrese, Daysee, Jaimiess and Simpesse), which replace those final 7 inert tablets with low-dose (10 mcg) ethinyl estradiol tablets.

The pill is FDA-approved to prevent pregnancy in people who choose an oral contraceptive. It works mainly by suppressing ovulation, and also by thickening cervical mucus and thinning the lining of the uterus. It does not protect against HIV or other sexually transmitted infections.

How much does 91-day levonorgestrel-ethinyl estradiol cost, and can a coupon help?

This medication is a generic, so it is generally one of the lower-cost extended-cycle birth control options. Even so, the cash price without insurance varies a lot from pharmacy to pharmacy, and the lowest sticker price near you is not always where you would expect. That is exactly why it pays to compare before you fill.

Rx.com checks prices across more than 60,000 U.S. pharmacies and gives you a free discount coupon you can use with or without insurance. Enter your ZIP above to see today's price at pharmacies near you and print, text or show the coupon at the counter. There is no manufacturer copay card for this generic, so a cash discount coupon is usually the most practical way to keep the price down.

Alternatives and related birth control options

Several other extended-cycle and monthly combination pills use the same or similar hormones. If your prescriber has written for a specific product, comparing the price of the generic can help you save. Related options include:

• Jolessa — a common generic of the same 91-day levonorgestrel/ethinyl estradiol regimen with 84 active and 7 inert tablets.
• Amethia — an extended-cycle generic of Seasonique; it uses the same 84 active tablets but replaces the inert week with low-dose (10 mcg) ethinyl estradiol tablets.
• Seasonique — the reference extended-cycle regimen that replaces the inert week with low-dose ethinyl estradiol tablets.
• Levonorgestrel and ethinyl estradiol — the standard monthly (28-day) combination pill using the same two hormones.

Which product is right for you depends on your health history and how often you want a scheduled period. Talk with your prescriber before switching, and always confirm the price of the exact product on your prescription.

Safety, warnings and who should not take it

Like all combination birth control pills, this medication carries a boxed warning that cigarette smoking increases the risk of serious cardiovascular events. That risk rises with age and is significant in women over 35, so combination oral contraceptives are not recommended for women over 35 who smoke. Combination pills can also raise the risk of blood clots (deep vein thrombosis and pulmonary embolism), stroke and heart attack, and may raise blood pressure or affect blood sugar and cholesterol.

It should not be used during pregnancy, or by people with a current or past history of blood clots, certain clotting disorders, uncontrolled high blood pressure, migraine with aura, known or suspected breast cancer, active liver disease, or with hepatitis C treatments containing ombitasvir/paritaprevir/ritonavir. Unscheduled bleeding or spotting is common, especially in the first few cycles. This is general information, not medical advice — review your full history with your provider or pharmacist to be sure this pill is safe for you.