Junel Fe 1/20^®

Junel Fe 1/20® is a pill that you take every day during a 28-day cycle. Each day is labeled and you will take the pills in order at the same time each day. For the first 21 days, you will take a hormone pill and then for the last 7 days, you will take a reminder pill, which contains a small amount of iron.

It is always advisable to consult with a healthcare professional before starting any new medication. Your medical provider or Nurx healthcare professional can help you determine if you are at risk of an allergic reaction. Allergic reactions, although very rare, include hives, itching, facial swelling, and trouble breathing. You should also discuss your health history with your physician before starting Junel Fe 1/20®.

There is always the possibility, although rare, of side effects when taking hormone-based birth control medication. Because Junel Fe 1/20® is a low estrogen birth control medication, very few women will experience side effects including nausea, headache, breast tenderness, weight gain, water retention, and irregular periods. Some side effects including irregular periods will go away after your body has adjusted to the medication. Serious side effects are extremely rare but could include blood clots, stroke, migraines, and vision changes.

Junel Fe 1/20® is safe with most prescriptions and over-the-counter medications. However, it is always a good idea to inform your healthcare provider of any medications or supplements you are taking to avoid any interactions. Some medications can reduce the effectiveness of Junel Fe 1/20®, resulting in a pregnancy. Specific medications can also interfere with Junel Fe 1/20® including aromatase inhibitors, seizure medications, HIV drugs, and medications used to treat chronic hepatitis C.

Any weight gain you experience when starting this medication is likely due to fluid retention, and should decrease after your body adjusts. If you experience significant weight gain or loss after starting a new contraceptive, it's important to let your healthcare provider know.

While not originally intended to treat acne, studies have found that some birth control medications can reduce breakouts and inflammation. If you're interested in learning more about what birth control might help your acne symptoms, visit our Birth Control for Acne page to get started.

Your Nurx medical provider will partner with you to find the best care for your symptoms and medical concerns. As medically appropriate, a Nurx provider may prescribe birth control to help manage symptoms associated with PMS (Premenstrual syndrome) and/or PMDD (Premenstrual dysphoric disorder), or to help with cycle control (delayed period). In some cases, birth control may also be used to help manage symptoms of endometriosis and/or PCOS (Polycystic ovary syndrome), to assist with improving acne. While the use of birth control is considered “off-label” for these listed purposes, a licensed Nurx clinician may prescribe birth control if they deem doing so medically appropriate.

Consultation
Anyone who requests a birth control prescription will be charged a $28 consultation fee. Please note that at this time, we do not submit claims to insurance for the medical consult fee.

Medication
For those with health insurance, your prescription will be free in most cases if it is covered by your health insurance, and we accept your plan. Insurance companies set the “copay” for prescriptions and depending on your plan and the prescription, this will usually be $0. Please connect with your insurance company if you would like to learn more about your copay. If you do have a copay, Nurx will authorize a $30 hold at checkout. If your copay is over $30, you will receive a notification to approve the updated amount.

Support Fee
Nurx will charge a flat $3 support fee each month one or more of your orders are processed. This fee covers your unlimited, on-demand access to our customer care team as well as certain processing fees. This fee will only be charged once in any month, even if you have multiple orders processed that month. This fee applies whether the order is filled through Nurx or at your local pharmacy. If your order is filled via Nurx, the support fee is billed at the time of fulfillment. If your prescription is sent to a local pharmacy, a support fee will be applied at that time. In the future, the support fee will be applied on a cadence that matches your medication refill cadence.

Yes, we accept most forms of private health insurance for medications. If you’d like to know if we accept your health insurance plan, please connect with our team at [email protected]. Please note that at this time, we do not submit claims to insurance for the medical consult fee.
Nurx does not accept any federal or state government insurance plans, such as Medicare, Medicaid, Tricare, or any of their affiliated managed care plans, nor can Nurx service such patients. We recommend that you find a local provider in your community that participates in your government payer program.