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Xulane Prices, Coupons and Patient Assistance Programs

Xulane (ethinyl estradiol/norelgestromin) is a member of the contraceptives drug class and is commonly used for Birth Control.

Xulane Prices

The cost for Xulane transdermal film, extended release (35 mcg-150 mcg/24 hr) is around $58 for a supply of 3 films, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

This Xulane price guide is based on using the discount card which is accepted at most U.S. pharmacies.

Transdermal Film, Extended Release Printable Discount Card

The free Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Please note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

Xulane Coupons and Rebates

Xulane offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

Xulane Savings Card: Eligible commercially insured patients save $100 for their 1st 28-day prescription and then pay $15 for each subsequent fill; offer can be used 14 times per calendar year with an maximum savings of $425 per calendar year; for additional information contact the program at 800-657-7613.

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

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

Xulane Samples: Healthcare providers may request samples for their practice by filling out an order form and faxing it to 304-285-6418.

Applies to:
Number of uses:
Contact the program
December 31, 2037

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

Patient Assistance Programs for Xulane

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Provider: Viatris Patient Assistance Program (Group One Medicines)

Elligibility requirements:
  1. Determined case by case
  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