Mifeprex Coupons & Prices

If you're searching for a Mifeprex coupon, here's what actually shapes the price: Mifeprex (brand-name mifepristone from Danco Laboratories) is dispensed only through the FDA's Mifepristone REMS Program, so it doesn't move through a pharmacy counter the same way a typical prescription does, and a generic mifepristone tablet (made by GenBioPro) is also available and substitutable. Enter your ZIP above to see today's price near you, and ask your prescriber or dispensing pharmacy whether a coupon can be applied at their site.

What Is Mifeprex and How Does It Work?

Mifeprex is the brand name for mifepristone, a progesterone receptor antagonist. It's FDA-approved, used together with misoprostol, to end an intrauterine pregnancy through 10 weeks of gestation (70 days or less since the first day of your last menstrual period). Mifeprex is not used alone for this purpose — it is taken first, and then a dose of buccal misoprostol follows 24 to 48 hours later to complete the regimen.

Mifepristone blocks the hormone progesterone, which the pregnancy needs to continue; misoprostol then causes the uterus to contract and expel the pregnancy. The same active ingredient, mifepristone, is also studied and sometimes used off-label beyond 70 days under a physician's judgment, and it's the active ingredient in an entirely different branded product, Korlym, which treats hyperglycemia in Cushing's syndrome at a different dose and is not interchangeable with Mifeprex.

Mifeprex Coupon vs. Generic Mifepristone: What Actually Lowers the Cost

Because Mifeprex is distributed only under the FDA Mifepristone REMS Program, it must be prescribed and dispensed by (or under the supervision of) a certified prescriber, or by a certified pharmacy filling a certified prescriber's order, and a Patient Agreement Form is required as part of that process. As of July 2026, this dispensing pathway is subject to active litigation: the Fifth Circuit issued a ruling in Louisiana v. FDA that would have reinstated a nationwide in-person dispensing requirement, but the U.S. Supreme Court stayed that ruling in May 2026, so telehealth evaluation and mail or pharmacy dispensing remain available for now while the case continues, and the FDA is separately conducting its own ongoing review of mifepristone's REMS requirements. Because that legal landscape could shift again, confirm current dispensing options directly with your prescriber or pharmacy rather than relying only on this page. That restricted-distribution model means Mifeprex doesn't move through retail pharmacies the way most brand-name drugs do, and Danco does not publish a typical consumer copay savings card the way many other manufacturers do. Terms and availability at any given clinic or certified pharmacy can vary, so it's worth asking directly.

Since a generic mifepristone tablet from GenBioPro is available and is the same active ingredient at the same 200 mg strength, that's the biggest lever for lowering cost — ask your certified prescriber or dispensing pharmacy whether the generic is an option. An Rx.com cash coupon can still be worth checking at a certified pharmacy that fills mifepristone prescriptions, particularly if you're uninsured, on Medicare, or a program at your clinic doesn't apply to your situation; enter your ZIP above to compare what's available near you.

Mifeprex, Generic Mifepristone, and Misoprostol: How They Relate

Mifeprex and generic mifepristone tablets contain the identical active ingredient and are used the same way, as the first step of a two-drug regimen. The second drug, misoprostol, is taken 24 to 48 hours after mifepristone (buccal route) and is a required part of completing the regimen — mifepristone is never used by itself for this indication.

Korlym shares the same generic name, mifepristone, but is a separate product approved for a different condition (hyperglycemia in Cushing's syndrome) at a different dose. It is not a substitute for, and should not be confused with, Mifeprex.

Safety Information: What to Watch For

Mifeprex carries a boxed warning: rare but serious, and sometimes fatal, infections and bleeding have occurred after mifepristone-misoprostol medical abortion. A serious infection can present atypically, meaning without a fever, so any new or worsening symptoms after taking these medications deserve prompt medical attention rather than being assumed to be routine.

Mifeprex is contraindicated in confirmed or suspected ectopic pregnancy or an undiagnosed adnexal mass, if an IUD is in place, in chronic adrenal failure, with long-term corticosteroid therapy, in inherited porphyrias, in hemorrhagic disorders or with concurrent anticoagulant therapy (because of the risk of heavy bleeding, which directly relates to the boxed warning above), and in anyone with a known allergy to mifepristone, misoprostol, or other prostaglandins. Common effects of the regimen include:

• Heavy bleeding and cramping
• Nausea
• Weakness
• Fever or chills

This is general information, not medical advice — talk with your certified prescriber about your specific health history, including any bleeding disorder or blood-thinning medication, and what symptoms should prompt you to seek care.