Levonest^®

Each Levonest® package contains 28 tablets taken by mouth at the same time each day. For maximum effectiveness, Levonest® should be taken no later than 24 hours after the last dose. Store Levonest® in a cool, dry, convenient place where you'll remember to take it every day. Your period will ideally occur while you are taking the seven inert tablets. Start the next pack of Levonest® whether or not you have your period.

Since medications can make some conditions worse, it's wise to consult with your physician about your personal situation to see if Levonest® is right for you.

Women with hypertension are advised to consult with their medical provider since oral contraceptives may increase the risk of elevated blood pressure. Diabetic women are cautioned to check blood sugar regularly while taking Levonest® and to monitor for increased glucose levels. Talk to your medical provider if you suffer from migraines, since oral contraceptives may worsen headaches.

Although allergic reactions are not common, seek medical attention if you develop a rash or swelling of the face or throat, or if you experience severe dizziness or difficulty breathing.

Levonest® does not protect against HIV or other sexually transmitted infections.

As with any medication, side effects are fairly common. Most side effects diminish over time as your body adjusts to your medication. Speak with your medical provider if side effects persist or worsen. Common side effects are reported as headache, bloating, and breast tenderness.

Serious reactions and side effects are rare and have been reported as sudden dizziness or fainting, pain or swelling in the groin, or shortness of breath. Talk to your medical provider about symptoms that persist or have become a concern to discuss your contraceptive alternatives and options.

Women being treated for Hepatitis C are cautioned against using Levonest® because it can interfere with Hep C medications and reduce their effectiveness. Combination oral contraceptives may elevate liver enzymes and interfere with Hep C treatment. Women are advised to complete Hep C treatment before starting oral contraceptives like Levonest®.

Women who are taking protease inhibitors may encounter interactions with Levonest®. Some over-the-counter drugs like acetaminophen and supplements such as St. John's wort may reduce hormone levels and compromise the efficacy of Levonest®. Tell your medical provider about medications or supplements you're taking to determine if Levonest® is right for you or to find a suitable alternative.

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.