Rx

Tri-Linyah®

Tri-Linyah®† is a triphasic combination hormonal birth control pill.

Birth control Icon Birth control
Pill Icon Pill

$45 for a 3-month supply

As low as $0/month with insurance

Medications shipped and billed according to your selected plan. Medication costs vary based on prescribed treatment and applicable insurance coverage. Not all insurance plans are accepted. Additional costs apply, including a medical review and support fee. This treatment requires an online consultation with a Nurx medical provider.

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What is Tri-Linyah® used for?*

  • Prevents pregnancy
  • Lightens periods
  • Reduces pain from periods
Find my treatment

The science behind it

Fact 01

Releases estrogen and progestin

Tri-Linyah® releases estrogen and progestin to prevent ovulation and pregnancy.

Fact 02

Interrupts fertilization and implantation

To prevent pregnancy, this medication thickens cervical mucus to stop sperm from reaching an egg (fertilization) and induces changes to the uterine wall to prevent fertilized eggs from attaching (implantation).

Fact 03

Triphasic pill

This medication is a triphasic oral contraceptive, which means one package contains color-coded tablets with three different specific drug combinations of estrogen and progestin.

Real patient stories

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DID YOU KNOW

45% of Nurx patients

use birth control for reasons other than preventing pregnancy

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How to use

Birth control is most effective when taken consistently and as prescribed.

Drug facts

Tip 1

For maximum effectiveness, take your birth control as prescribed.

Tip 2

Consider setting a reminder or keeping your prescription somewhere where you won’t miss it to ensure you take it regularly.

Tip 3

Store your birth control away from excess heat and moisture.

How Nurx works

1

Request treatment

Complete our online medical consultation, which asks questions about your health history and birth control preferences.

2

Connect with a provider

After evaluating your consultation, a provider licensed in your state will prescribe birth control (if clinically appropriate).

3

Get it delivered

We’ll send a 3-month supply to your doorstep and check in with you to see how it’s working. Pause or cancel anytime.

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100%

online expert-level care

2+ million

Nurx patients served

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Why Nurx?

Affordable

Affordable out of pocket pricing

Convenient

Free shipping & pause or cancel anytime

Personalized

Providers help you find the right treatment

Supportive

Unlimited messaging for any questions, anytime

Common questions

  • How does this medication work?

    Tri-Linyah® is a combination birth control pill that uses progestin and estrogen to prevent pregnancy. Tri-Linyah® is triphasic contraception, which means the oral tablets contain varying doses of hormones throughout the month. It is essential to take Tri-Linyah® at the same time every day and in the correct order. Tri-Linyah® tablets are color-coded and stamped to identify their order throughout the cycle. Seven inert pills allow your period to take place and keep you in the habit of taking your pill every day.

  • What precautions should I take when using this medication?

    Talk to your doctor if you have a history of high blood pressure, diabetes, high cholesterol, or if you are overweight. Let your doctor know about any risks of blood clots or a history of blood clotting disorders. Women over the age of 35 who smoke are cautioned against using hormonal birth control.

    Tell your doctor about all medications you are taking since over-the-counter medications and supplements can interfere with the effectiveness of Tri-Linyah®. Although allergic reactions are rare, seek medical attention if you experience allergy symptoms like shortness of breath, hives, rash, or swelling of the neck and throat. Tri-Linyah® may interfere with medications for the treatment of HIV.

    When used correctly, Tri-Linyah® is a safe and effective method of contraception. It is important not to miss any doses and to take the medication at the same time every day. Missed or late doses can compromise your protection. If you have missed a dose, or have been late taking your medication, consider backup birth control until your next cycle. Tri-Linyah® does not protect against sexually transmitted diseases and infections.

  • What are the side effects of this medication?

    As with any type of hormonal birth control, Tri-Estarylla® may have side effects. These could include vomiting, bloating, nausea, bloating, breast tenderness, and fluid retention.

    There are also some more severe documented symptoms. These, while unlikely, may include lumps in the breasts, mood changes, unusual changes in vaginal bleeding, blood clots, or severe abdominal pain. Seek immediate medical help if you experience any of the following: sudden dizziness, confusion, swelling/pain/warmth in the calf, sudden shortness of breath, jaw/chest/left arm pain, weakness on one side of the body, vision problems, or unusual headaches. However, it's important to remember that even though these side effects sound scary, they are rare.

    Get immediate medical help if you experience symptoms of a serious allergic reaction, such as trouble breathing, itching, swelling, or severe dizziness.

  • Can I take this medication with other medications?

    In general, yes. However, you should consult your doctor or our team of experts and let them know about all other medications or products that you are taking. Drugs that could interact with Tri-Estarylla® include drugs used to treat chronic hepatitis C, as well as aromatase inhibitors, tamoxifen, tranexamic acid, tizanidine, or ospemifene. Additionally, drugs like other hormone-based meds could cause Tri-Estarylla® to be less effective.

  • Does this medication cause weight gain?

    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.

  • Does this medication help with acne?

    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.

  • Does Nurx offer birth control to help with medical concerns other than preventing pregnancy?

    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.

  • How much does birth control from Nurx cost?

    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.

  • Does Nurx accept insurance for birth control?

    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.

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DR. NAVYA MYSORE, MEDICAL DIRECTOR

Meet your medical team

Navya Mysore, MD is the Medical Director of Women’s Health at Nurx. Dr. Mysore is a women's health expert with a background in primary care who advises the Nurx medical team to provide the highest quality of care for women through telehealth.

Tri-Linyah® (norgestimate and ethinyl estradiol), Rx only, is an oral contraceptive used to prevent pregnancy. This drug may cause side effects, including headaches, irregular and/or heavy uterine bleeding, dysmenorrhea, nausea and/or vomiting and back pain. If you would like to learn more, please see the full prescription information here. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit MedWatch: HTTPS://WWW.FDA.GOV/SAFETY/MEDWATCH/default.htm or call 1-800-FDA-1088.

*Individual results may vary.
‡The information provided here is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon the content provided here for specific medical advice. If you have any questions or concerns, please talk to your provider.
◊Services not offered in every state. Medications prescribed only if clinically appropriate, based on completion of the required consultation.

Talk to our experts

Not sure if this medication is right for you?

Connect with a Nurx provider for a personalized treatment recommendation.

Exceptional care at every step

At Nurx, we make it easy to get the expert healthcare you deserve. From schedules to health history, everybody is different—so we provide treatment and care that’s personalized to you. Through life’s cycles, changes, and transitions, we’re here to help you make informed choices about your health.

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