Kariva is a combination-type birth control medication that prevents ovulation by changing vaginal fluids and the lining of the uterus to stop sperm from fertilizing an egg. Kariva can also do much more than prevent pregnancy, including decreasing blood loss and pain during menstruation while also decreasing your risk of ovarian cysts. Kariva is also used to treat hormone-based acne. Our team at Nurx can prescribe Kariva at special request, or can offer the generic equivalent Azurette for as low as $0 with insurance or as little as $15 without insurance.