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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.

The cost for Xulane transdermal film, extended release (35 mcg-150 mcg/24 hr) is around $49 for a supply of 3 films, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the discount card which is accepted at most U.S. pharmacies.

Xulane prices

Transdermal Film, Extended Release

Quantity Per unit Price
3 $16.45 $49.35

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.

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. 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

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 Savings Card

Eligible commercially insured patients pay $0 for their 1st 28-day prescription with a savings of $100; patients will then pay $15 for each subsequent fill with a maximum savings of $25 per 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

Healthcare providers may request samples of Xulane for their practice by filling out an order form on the Manufacturer

Applies to:
Number of uses:
One request per licensed prescriber per day
June 30, 2024

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