Norethindrone-Eth Estradiol Coupons & Prices

Use a free Rx.com norethindrone-eth-estradiol coupon to compare cash prices for this combined birth control pill at more than 60,000 pharmacies before you fill it. Norethindrone (or norethindrone acetate) and ethinyl estradiol is a widely used combined oral contraceptive, and FDA-approved generic versions of several of these products are available. Cash prices are set by each pharmacy, so the price for the exact same pill pack can differ a lot from one store to the next, which is why it pays to check. Enter your ZIP code above to see today's price near you and print, text, or email your coupon.

What norethindrone and ethinyl estradiol is and how it works

Norethindrone (or norethindrone acetate) and ethinyl estradiol is a combined oral contraceptive, often shortened to "COC." It pairs an estrogen (ethinyl estradiol) with a progestin (norethindrone or norethindrone acetate). Taken as directed, it is FDA approved to prevent pregnancy. A few norethindrone acetate and ethinyl estradiol products carry an additional FDA-approved use: treatment of moderate acne vulgaris in females at least 15 years old who also want an oral contraceptive, have started having periods, and have not responded to topical acne medicines. That acne indication belongs only to the specific products whose labels list it, not to every pack in this family.

Separate, differently dosed norethindrone acetate plus ethinyl estradiol products, such as Jinteli and Fyavolv, are menopause hormone-therapy tablets rather than contraceptives. They are approved for moderate-to-severe hot flashes and night sweats of menopause and for preventing osteoporosis after menopause. They carry a lower amount of ethinyl estradiol than birth control packs do, and they are a different medicine with a different label, not an interchangeable version of the birth control pill.

Many contraceptive packs are labeled "Fe," which means the non-hormonal reminder tablets contain ferrous fumarate (iron). The iron does not add contraceptive protection. Doses and pill schedules vary a lot between products, so always follow the patient leaflet that comes with the specific pack your pharmacy dispenses, and ask your pharmacist if the pack looks different from your last fill.

Norethindrone-ethinyl estradiol cost and coupon savings

FDA-approved generics exist for many norethindrone (or norethindrone acetate) and ethinyl estradiol products, and a generic is what most pharmacies dispense. Without insurance, though, there is no single "price" for it. Pharmacies set their own cash prices, and two stores a few miles apart can charge very different amounts for an identical pack. Discount-card pricing also varies by pharmacy contract. That spread is the entire reason comparing is worth 30 seconds of your time.

Rx.com compares cash prices across more than 60,000 U.S. pharmacies, including big chains, grocery stores, and independents. Enter your ZIP above to see today's price near you, then show the coupon at the counter. The coupon is free, is not insurance, and is used instead of insurance rather than with it. If your plan covers contraception with no copay, that may still be your cheapest route, so it is worth checking both.

One product to know about: Lo Loestrin Fe has no FDA-approved generic equivalent. It is available only as the brand, so a pharmacist cannot substitute a generic for it the way they can for many other norethindrone and ethinyl estradiol packs. If you are prescribed Lo Loestrin Fe, compare cash prices for the brand itself, and ask your clinician whether a product that does have a generic is appropriate for you. Any manufacturer savings program is run on the brand's own official website with its own eligibility terms, which change over time and typically exclude government insurance.

Brands and alternatives

Norethindrone and ethinyl estradiol is sold under many brand and generic labels, and the strengths are not all the same. Commonly dispensed U.S. products include Lo Loestrin Fe, Junel and Junel Fe, Microgestin and Microgestin Fe, Blisovi Fe, Larin Fe, Aurovela Fe, Nortrel, and Balziva. Ortho-Novum, the original brand many people remember, is no longer marketed, though equivalent generic formulations still are. Because the estrogen and progestin doses differ between these products, your pharmacist can only substitute one for another when they are approved as equivalent, so never assume two look-alike packs are the same pill.

Other options in the same family include levonorgestrel and ethinyl estradiol and norgestimate and ethinyl estradiol, which use a different progestin. If estrogen is not a good fit for you, for example because you smoke and are over 35, have migraine with aura, or have a history of blood clots, a progestin-only option such as norethindrone may be discussed instead. Which pill is right for you is a decision for you and your clinician, not something to switch on your own. Compare prices for any of these on Rx.com before you fill.

Safety information you should know

Combined oral contraceptives carry a boxed warning: cigarette smoking increases the risk of serious cardiovascular events from combined oral contraceptive use, and that risk rises with age and with the number of cigarettes smoked. These pills should not be used by women over 35 who smoke. Other serious risks include blood clots in the legs or lungs, stroke, heart attack, and high blood pressure. Risk is higher with obesity, an inherited clotting disorder, or migraine with aura.

This medicine is not for everyone. It is contraindicated if you have or have had blood clots or a known clotting disorder, uncontrolled high blood pressure, ischemic heart disease, migraine with aura, liver tumors or active liver disease, undiagnosed abnormal vaginal bleeding, breast cancer or another estrogen-dependent cancer, or if you are pregnant. Current labels also contraindicate use with hepatitis C drug combinations containing ombitasvir, paritaprevir, and ritonavir because of the risk of liver enzyme elevations. Some medicines, including rifampin, certain seizure medicines, and St. John's wort, can make the pill less effective at preventing pregnancy. Get medical help right away for chest pain, shortness of breath, severe leg pain or swelling, a sudden severe headache, vision changes, weakness or numbness, or slurred speech. This pill does not protect against HIV or other sexually transmitted infections. The menopause hormone-therapy versions of this combination carry their own separate estrogen-plus-progestin boxed warnings. This page is information, not medical advice. Talk with your doctor or pharmacist about your own health history before starting or stopping any birth control.