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Xulane Prices, Coupons, Copay Cards & Patient Assistance

Xulane (ethinyl estradiol/norelgestromin) is a member of the contraceptives drug class.

Xulane prices

Transdermal Film, Extended Release

35 mcg-150 mcg/24 hr Xulane transdermal film, extended release from $54.59 for 3 films
Quantity Per unit Price
3 $18.20 $54.59

Important: When there is a range of pricing, consumers should normally expect to pay the lower price. However, due to stock shortages and other unknown variables we cannot provide any guarantee.

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Xulane Coupons, Copay Cards and Rebates

Xulane offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining a sample from a medical professional.

Xulane Savings Card

Eligible commercially insured patients pay $0 for the 1st 28-day prescription with $100 savings; then $15 per fill with $25 savings per fill. Offer valid 14 times/year with $425 max savings.

Applies to:
Xulane
Number of uses:
14 uses per calendar year

Form more information phone: 800-657-7613 or Visit website

Healthcare providers may request samples of Xulane for their practice by filling out an order form on the Manufacturer’s website below and sending the completed form via fax to 304-285-6418 or by sending an email to CR.Sampling@viatris.com.

Applies to:
Xulane
Number of uses:
One request per licensed prescriber per day

Form more information phone: 800-796-9526 or Visit website

Patient Assistance & Copay Programs for Xulane

Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eligibility requirements for each program may vary.

Provider: Viatris Patient Assistance Program (Group One Medicines)

Eligibility requirements:
  1. Uninsured or Underinsured with no prescription coverage for needed medication
  2. Determined case by case
  3. FDA-approved diagnosis
  4. Must be residing in the US or a US territory, and under the care of a US physician
  5. Eligibility determined on a case-by-case basis. Contact program for details.
Applicable drugs:
  • Xulane (ethinyl estradiol-norelgestromin) Transdermal System

More information please phone: 888-417-5780 Visit website

Disclaimer: Medication pricing is sourced from a variety of providers. Pricing may vary significantly due to several factors including brand or generic status, insurance coverage, pharmacy choice, location, and manufacturer pricing policies. Prices are subject to change. For the most accurate and up-to-date information, always consult directly with your pharmacy or healthcare provider.

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