Patch
Twirla
Twirla (levonorgestrel/ethinyl estradiol) is a once-weekly patch for women with a Body Mass Index (BMI) less than 30 kg/m2 who can become pregnant. Twirla is less effective in women with a BMI of 25 kg/m2 or more.
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$0 with Insurance
Including Medicaid
$321/pack
$321/pack
$321/pack
$321/pack
- Out of Pocket
Pay Out Of Pocket
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Free Shipping
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Access to prescribed medications
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Unlimited Provider Messaging
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Automatic Refills
How the Right Birth Control May Benefit You
When to use Emergency Contraception
Emergency contraception (sometimes called the "morning-after pill") is a method used to prevent pregnancy after unprotected sex or contraceptive failure (like a condom breaking).

It is not an abortion and will not be effective if you’re already pregnant.
Based on your responses to the medical questionnaire, your provider will recommend a birth control option that best suits your needs.

Having the correct medication can help you to:
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Regulate menstrual cycles
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Reduce menstrual cramps
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Help manage acne
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Reduce the risk of ovarian cysts
How to use
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Apply 1 patch once weekly for 3 weeks, then 1 patch-free week; repeat. The patch can be placed on your upper outer arm, abdomen, buttock or back in a place where it won’t be rubbed by tight clothing. Do not place on your breasts or the same skin area as the previous patch. Only apply to clean, dry skin. Do not use lotions, creams, oils, powders, or makeup at the patch site. Check the patch every day to make sure all edges are sticking correctly. Your patch must stick securely to your skin to work properly. Do not try to reapply a patch if it is no longer sticky. Do not tape or wrap the patch to your skin. There are 3 patches in each pack.

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Product details
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Combination

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Active Ingredients
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Levonorgestrel (120 mcg/day) – a progestin hormone

Ethinyl estradiol (30 microgram/day) – an estrogen hormone

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Prescriptions made easy.

How Twentyeight Health works.

1
Tell us about your health

Quick online questionnaire—takes less than 5 minutes

2
Connect with your provider

They'll review your information and prescribe if appropriate (If we're in-network with your insurance, this will be a quick video visit)

3
Get your medication

Delivered in 3-5 days in discreet packaging or available for pharmacy pick up. Your Complete Care membership includes unlimited provider messaging, so you can reach out anytime with questions.

Medications billed separately: no more than your copay (often $0) or starting at $16/pack
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