NEXPLANON

Indicated For

Contraception, pregnancy prevention

About This Medication

# Organon Patient Assistance Programs for NEXPLANON: How to Get Your Contraceptive at Low or No Cost ## About NEXPLANON NEXPLANON is a subdermal contraceptive implant that provides up to 5 years of pregnancy prevention. It is a highly effective, long-acting reversible contraceptive option for women of reproductive potential. The implant is placed under the skin of the upper arm by a certified healthcare provider and offers continuous pregnancy prevention without daily maintenance. ## Who Can Get Help Organon offers multiple pathways to access NEXPLANON at reduced or no cost: **Patients with insurance coverage:** The Affordable Care Act (ACA) covers one type of birth control from each of 18 FDA-approved categories without co-payment or co-insurance. NEXPLANON is included in this coverage. However, you may still be responsible for costs associated with insertion and removal procedures. **Patients without insurance or with inadequate coverage:** The Organon Patient Assistance Program provides NEXPLANON free of charge to eligible patients who do not have prescription drug coverage or whose insurance does not cover the medication. **Privately insured patients needing help with out-of-pocket costs:** The Organon Co-pay Assistance Program offers assistance to eligible patients who need help affording co-payments or other out-of-pocket costs for NEXPLANON. ## Income Eligibility The search results do not specify exact income thresholds for Organon's patient assistance programs. Eligibility is determined based on financial, medical, and insurance criteria that are evaluated on a case-by-case basis. To learn your specific eligibility, you will need to contact the program directly or speak with your healthcare provider. ## Insurance Requirements **For ACA coverage:** If you have health insurance that complies with the Affordable Care Act, NEXPLANON should be covered without co-payment or co-insurance for the medication itself. Check with your insurance plan for specific coverage details and any costs associated with the insertion procedure. **For patients without insurance:** You may qualify for the Organon Patient Assistance Program, which provides the medication free of charge if you meet eligibility criteria. **For patients with insurance that doesn't cover NEXPLANON:** You may be eligible for the Organon Co-pay Assistance Program or referral to the Patient Assistance Program. ## How to Apply ### Step 1: Contact the Organon Access Program Reach out to the Organon Access Program to discuss your situation and determine which assistance option is best for you. The program can: - Investigate your insurance benefits - Explain coverage options - Help with prior authorization if needed - Refer you to the appropriate assistance program **Contact information:** - Visit: OrganonHelps.com - Phone: 1-844-674-3200 - Work with your healthcare provider, who can also submit information on your behalf ### Step 2: Determine Your Eligibility Path Based on your insurance status and financial situation, you will be directed to: - **ACA coverage:** Verify coverage through your insurance plan - **Co-pay Assistance Program:** For privately insured patients needing help with out-of-pocket costs - **Patient Assistance Program:** For uninsured or underinsured patients ### Step 3: Submit Required Information You and your healthcare provider will need to submit all required information for your chosen program. The specific documents needed depend on which program you're applying for, but typically include: - Proof of income (for uninsured/underinsured patients) - Insurance information (if applicable) - Prescription from your healthcare provider - Completed enrollment forms ### Step 4: Await Approval The program will review your application and determine eligibility. Once approved, you will be notified of next steps. ### Step 5: Receive Your Medication For patients approved for assistance, NEXPLANON will be made available through the appropriate channel: - Through your insurance's specialty pharmacy network (if insurance-covered) - Directly through the Patient Assistance Program (if uninsured) - Your healthcare provider will coordinate delivery to their office for insertion ## Timeline and Delivery The search results do not specify exact processing timelines for applications. Processing time may vary depending on the program and completeness of your application. Contact the Organon Access Program for estimated timelines specific to your situation. Once approved, NEXPLANON is typically shipped to your healthcare provider's office through a specialty pharmacy network. There is no out-of-pocket cost to the healthcare provider for the medication itself when covered through insurance or assistance programs. ## What If Your Application Is Denied If you are denied assistance, you have several options: 1. **Appeal the decision:** Contact the Organon Access Program to understand the reason for denial and explore whether you can provide additional information. 2. **Explore independent assistance foundations:** Organon can refer you to independent assistance foundations that may help patients who don't qualify for other forms of financial support. Each foundation has its own eligibility criteria and application process. 3. **Discuss alternatives with your healthcare provider:** Your provider may have information about other resources or payment plans. 4. **Check insurance coverage:** If you have insurance, verify whether NEXPLANON is covered under your plan or if prior authorization is needed. ## Important Information About NEXPLANON Access NEXPLANON is only available through a restricted program called the NEXPLANON REMS (Risk Evaluation and Mitigation Strategy) program. This means: - Your healthcare provider must be certified with the program and complete training on proper insertion and removal - NEXPLANON can only be dispensed through certified pharmacies to certified healthcare providers - This program ensures safe insertion and removal of the implant Your healthcare provider can provide more information about the NEXPLANON REMS program and confirm they are certified to insert and remove the implant. ## Disclaimer This guide provides general information about Organon's patient assistance programs for NEXPLANON. Program details, eligibility criteria, and requirements may change. This information is not a guarantee of assistance or coverage. For the most current and accurate information about eligibility, application procedures, and program details, contact the Organon Access Program directly at OrganonHelps.com or 1-844-674-3200, or speak with your healthcare provider. Always verify coverage with your insurance plan before beginning treatment.

Program information last verified: March 30, 2026