Twirla

Indicated For

contraception

About This Medication

# Twirla Savings Program Patient Guide: How to Get Twirla at Low or No Cost Twirla (ethinyl estradiol and levonorgestrel) is a weekly transdermal patch used for birth control, delivering a low daily dose of hormones through the skin to prevent pregnancy. The **Twirla Savings Program**, offered by Exeltis USA, helps eligible patients with commercial insurance pay as little as **$25 per 1-month or 3-month prescription fill** (about $8.33 per month for a 3-month supply), covering up to $185 off co-pays or out-of-pocket costs per 30-day supply.[1][2] ## About Twirla Twirla is a **combination hormonal contraceptive patch** containing **ethinyl estradiol** (estrogen) and **levonorgestrel** (progestin). Unlike daily pills, you apply one patch each week for three weeks, then go patch-free for one week to allow for a withdrawal bleed. It's designed for women seeking a convenient, low-estrogen option—delivering about 30 mcg/day of estrogen, lower than some other patches.[6] **Key benefits:** - Weekly application reduces daily adherence issues. - Transdermal delivery may suit those with pill absorption concerns. - Cash price without assistance: ~**$250–$295 per month** (one box of 3 patches).[7][8] **Important warnings:** Do not use if you smoke and are over 35, have blood clots, certain cancers, liver disease, or uncontrolled high blood pressure. Common side effects include skin irritation, nausea, breast tenderness, and mood changes. Always consult your doctor.[6] ## Who Qualifies for the Twirla Savings Program? This is a **co-pay coupon/savings card program**, not a free drug program for the uninsured. Eligibility is straightforward but specific: - **Must have commercial (private) insurance** covering Twirla—**not Medicare, Medicaid, or other government/federal programs**.[7] - **U.S. resident**.[7] - Valid prescription for Twirla. - Program covers 1- or 3-month fills.[1][2] **No income limits** apply, making it accessible regardless of earnings—as long as you have qualifying insurance.[1][2][7] ## Income Eligibility Breakdown Unlike patient assistance programs with federal poverty level (FPL) thresholds, the Twirla Savings Program has **no income requirements**. It's a co-pay assistance tool for commercially insured patients. Here's a simple table for clarity: | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | None | Commercial insurance required only. | | Couple | None | No FPL limits; focuses on insurance type. | | Family of 3 | None | U.S. residency needed. | | Family of 4 | None | Government insurance disqualifies. | This keeps it simple: Check your insurance plan to confirm it's private/commercial.[7] ## Insurance Requirements - **Required:** Private/commercial prescription insurance (e.g., employer-sponsored, ACA marketplace plans). Your plan must cover Twirla, though prior authorization may be needed.[7] - **Not eligible:** Medicare Part D, Medicaid, VA, Tricare, or any federal/state-funded insurance.[7] - If uninsured, use pharmacy discount cards like SingleCare (~$208/box) or GoodRx (~$200–$210), but these aren't as low as the $25 co-pay.[7][8] - **Pro tip:** Ask your doctor or pharmacist if your plan prefers Twirla or requires step therapy (trying alternatives first).[7] ## Step-by-Step Application Process 1. **Get your prescription:** Visit your doctor or telehealth provider (e.g., Pandia Health offers Twirla for ~$50/month bundled).[7] 2. **Enroll in the program:** - **Online:** Visit **twirla.com/savings-program**.[7] - **Phone:** Call **1-866-747-7108**.[7] - Get a digital or printable savings card.[2] 3. **At the pharmacy:** Present your savings card, insurance card, and prescription. Pay **$25** (max savings $185 per fill).[1][2] 4. **Activate instantly:** Cards often work at point-of-sale—no waiting.[7] The process takes minutes. Print or save the card to your phone.[2][7] ## Timeline and Delivery - **Approval/activation:** Immediate upon enrollment—no processing delay.[7] - **Pickup:** Fill at any participating pharmacy (most major chains like CVS, Walgreens).[8] - **Patch Replacement Program:** Lost or damaged patch before refill? Eligible patients can request replacements via **twirla.com/patch-replacement-program**.[3] - **Supply duration:** 1-month (3 patches) or 3-month fills.[1] ## Alternatives if Denied or Ineligible - **Discount cards:** SingleCare ($208/box), GoodRx ($200–$210).[7][8] - **Telehealth bundles:** ~$50/month including Rx and shipping.[7] - **Cheaper patch alternative:** **Generic Xulane** (norelgestromin/ethinyl estradiol)—$30–$80/month. Similar weekly patch but different hormones; discuss with your doctor if Twirla's levonorgestrel is needed.[7] - **Pills:** Generic levonorgestrel/ethinyl estradiol pills < $10/month (daily dosing).[7] - **Appeal insurance denial:** Document medical necessity (e.g., Twirla tolerance) for prior auth.[7] If government-insured, explore state programs or low-cost clinics. ## Disclaimer This guide is for informational purposes based on publicly available data as of 2026. Program details can change—always verify at **twirla.com/savings-program** or call **1-866-747-7108**. Not medical advice; consult your healthcare provider. Exeltis USA reserves rights per terms at twirla.com/terms-and-conditions.[4] Savings void where prohibited by law. Word count: 942.

Program information last verified: March 30, 2026