Annovera

Indicated For

contraception, pregnancy prevention

About This Medication

# ANNOVERA Patient Savings Program Guide: How to Get Affordable Birth Control ## About This Program The **ANNOVERA Patient Savings Program** is a copay assistance program designed by Mayne Pharma to help eligible patients reduce their out-of-pocket costs for ANNOVERA (segesterone acetate and ethinyl estradiol vaginal ring), a long-acting reversible contraceptive method that provides one year of birth control protection. **Important:** This is not health insurance. It is a copay reduction program available only to patients with qualifying commercial insurance coverage. ## About ANNOVERA ANNOVERA is a vaginal contraceptive ring that releases hormones to prevent pregnancy. You insert it into your vagina and leave it in place for three weeks, then remove it for one week to allow for a withdrawal period. After the week off, you insert a new ring to continue protection. One ring provides contraception for an entire year of typical use. Common side effects reported by at least 5% of users include headache or migraine, nausea or vomiting, yeast infections, abdominal pain, menstrual cramps, vaginal discharge, urinary tract infections, breast tenderness, irregular bleeding, diarrhea, and genital itching. ## Who Qualifies for This Program You are eligible for the ANNOVERA Patient Savings Program if you meet ALL of the following criteria: - You have a **valid prescription for ANNOVERA** from your healthcare provider - You have **commercial health insurance** (including healthcare exchange plans) that covers ANNOVERA prescriptions - Your insurance plan covers the prescription at the time it is filled and dispensed by your pharmacist - You have met any applicable insurance deductible requirements - You have completed any required Prior Authorization from your insurance company ## Who Does NOT Qualify You cannot use this program if you: - Are enrolled in **Medicare, Medicaid, Medicare Advantage, Part D, Medigap, TRICARE, VHA, DOD, IHS**, or any state pharmaceutical assistance programs - Are a **cash-paying patient** (uninsured) - Have a **private indemnity or HMO insurance plan that fully reimburses prescription costs** - Are **Medicare-eligible and enrolled in an employer-sponsored health plan or retiree prescription drug benefit program** - Live in a state where this offer is prohibited by law ## Insurance Requirements This program requires that you have active commercial insurance coverage. Your insurance must: - Cover ANNOVERA prescriptions - Be active at the time your prescription is filled - Not be a federal or state-funded program If your insurance does not cover ANNOVERA or you have a high deductible, ask your healthcare provider about submitting a **Letter of Medical Necessity**. Under the Affordable Care Act (ACA), most private health plans must cover all FDA-approved contraceptive methods with no copayment, which may help you access coverage. ## Expected Costs Most eligible, insured patients will pay **$0 for their ANNOVERA prescription** through this program. However: - Some eligible patients may have out-of-pocket costs depending on their specific insurance coverage - You must meet your insurance deductible before the copay card benefit applies - Maximum reimbursement limits apply - Your actual out-of-pocket cost may vary based on your individual insurance plan ## How to Apply ### Step 1: Download the Copay Card Download the ANNOVERA Patient Savings Program copay card from the official ANNOVERA website or ask your healthcare provider for a copy. ### Step 2: Get Your Prescription Obtain a valid prescription for ANNOVERA from your healthcare provider. ### Step 3: Verify Your Insurance Confirm that your commercial insurance covers ANNOVERA and that you have met your deductible. Complete any Prior Authorization required by your insurance company before filling your prescription. ### Step 4: Present the Card at the Pharmacy When you fill your prescription, present the copay card to your pharmacist along with your valid ANNOVERA prescription. The pharmacist will process the card to reduce your out-of-pocket cost. ### Step 5: Pay Your Reduced Cost Pay the reduced copay amount (typically $0 for eligible patients) at the pharmacy. ## Timeline and Delivery - **Processing:** Your copay card is activated and ready to use immediately upon download - **Prescription filling:** Your prescription is filled and dispensed by your pharmacist at the time you present the card - **Delivery:** ANNOVERA is dispensed to you at your local pharmacy or through home delivery options, depending on your pharmacy's services - **Program expiration:** This offer expires on December 31, 2025; all prescriptions must be filled before this date ## Refills and Reauthorization You will need a new prescription and copay card for each year of ANNOVERA use, as each ring provides one year of contraception. Present your copay card each time you fill a new prescription. The program terms may change, so check the official ANNOVERA website for updated program information and expiration dates. ## What If Your Application Is Denied? If you are not eligible for this copay card program, consider these alternatives: - **Contact your insurance company** to verify coverage and ask about any coverage options - **Ask your healthcare provider** to submit a Letter of Medical Necessity to your insurance company, which may help secure coverage with no copayment under ACA requirements - **Explore other contraceptive options** covered by your insurance plan - **Contact Mayne Pharma** at 844-ANNOVERA (844-266-6837) or 877-219-7548 for additional patient assistance resources - **Use GoodRx ePrescribe:** When your provider ePrescribes to GoodRx, a Customer Care Advocate will contact you within 24-48 hours to verify your insurance benefits and find the most affordable price option ## For Pharmacist Questions If you or your pharmacist have questions about processing the copay card, contact the pharmacy help desk at **888-927-3499**. ## Important Disclaimers - This copay card program is **not health insurance** - You cannot seek reimbursement from flexible spending accounts or health savings accounts for the value received through this program - Mayne Pharma reserves the right to rescind, revoke, or amend this offer without notice - This offer is valid only in the USA - To report suspected adverse reactions to ANNOVERA, contact Mayne Pharma at 1-844-825-8500 or the FDA at 1-800-FDA-1088 ## Contact Information - **Patient Support:** 844-ANNOVERA (844-266-6837) or 877-219-7548 - **Pharmacy Help Desk:** 888-927-3499 - **Adverse Reaction Reporting:** 1-844-825-8500 (Mayne Pharma) or 1-800-FDA-1088 (FDA) - **Website:** www.annovera.com

Program information last verified: March 30, 2026