How to Help Your Patients Save Money on Sronyx 28 Day

Cost is one of the most common — and most preventable — reasons patients stop taking their medications. For oral contraceptives like Sronyx 28 Day (Levonorgestrel 0.1 mg / Ethinyl Estradiol 0.02 mg), even modest out-of-pocket costs can create adherence barriers, particularly for uninsured or underinsured patients.

This guide provides a practical framework for helping your patients access affordable contraception, whether they're insured, uninsured, or somewhere in between.

What Patients Are Paying

Understanding the cost landscape helps you anticipate patient barriers:

• With insurance (ACA-compliant plans): Most generic oral contraceptives are covered at $0 copay under the ACA contraceptive mandate. However, some plans designate preferred generics — if the specific generic your patient fills isn't on the preferred list, they may face a small copay or need to switch brands.
• Without insurance (cash price): Generic Levonorgestrel/Ethinyl Estradiol 0.1/0.02 mg costs approximately $16–$70 per 28-day pack at retail, depending on the pharmacy and specific generic brand.
• With discount cards: Pharmacy discount programs like GoodRx and SingleCare can bring the price as low as $15.98 per pack, which is often cheaper than some insurance copays.

Key context: Sronyx 28 Day has been discontinued by Mayne Pharma as of early 2025. Patients who were previously on Sronyx need to be transitioned to an equivalent generic — Vienva, Aubra, Lutera, Aviane, Falmina, Larissia, Orsythia, or Delyla. All contain the same active ingredients at the same dose. The cost and savings information below applies to all of these equivalents.

Manufacturer Savings Programs

Since Sronyx is a discontinued generic product, there is no active manufacturer savings card or copay program specific to Sronyx. This is typical for generic oral contraceptives — manufacturers of generics rarely offer direct patient savings programs.

However, for patients who may be considering branded oral contraceptives (for specific formulations not available as generics), it's worth checking whether those manufacturers offer copay cards. For the Levonorgestrel/Ethinyl Estradiol 0.1/0.02 mg formulation specifically, sticking with generics is the most cost-effective path.

Coupon and Discount Cards

Pharmacy discount cards are one of the most effective tools for uninsured patients — and sometimes even for insured patients whose plans impose copays on generics. Here's what to recommend:

Top Discount Card Options

• GoodRx: Shows prices at multiple pharmacies; often brings the cost to $15.98–$25 per pack. Free to use — patients just show the coupon at the pharmacy.
• SingleCare: Similar pricing to GoodRx. Some pharmacies may offer better SingleCare prices than GoodRx, so it's worth comparing.
• RxSaver: Another comparison tool that aggregates discount prices across pharmacies.
• Optum Perks (formerly SearchRx): Free discount program, available at most major chains.
• BuzzRx, Inside Rx, America's Pharmacy: Additional options that may offer competitive pricing depending on location.

How to Integrate This Into Your Workflow

Consider these practical steps:

1. Keep GoodRx bookmarked on your office computer or phone — it takes 10 seconds to look up a price.
2. Print or text the coupon to the patient before they leave. Many patients won't look it up themselves.
3. Note the cheapest pharmacy — prices vary significantly between chains. Costco (no membership needed for pharmacy), Walmart, and independent pharmacies often have the lowest prices.
4. Remind patients: Discount cards cannot be combined with insurance. The pharmacy runs whichever option gives the lower price.

Generic Alternatives and Therapeutic Substitution

For the Levonorgestrel 0.1 mg / Ethinyl Estradiol 0.02 mg formulation, there are numerous interchangeable generics:

• Vienva
• Aubra
• Lutera
• Aviane
• Falmina
• Larissia
• Orsythia
• Delyla

All are AB-rated generics with the same active ingredients, dose, and dosage form. From a clinical standpoint, they are interchangeable. The practical differences are:

• Price: Some generics may be slightly cheaper at certain pharmacies.
• Insurance formulary placement: The patient's insurance plan may prefer one generic over another. Prescribing "Levonorgestrel/Ethinyl Estradiol 0.1/0.02 mg tablets" generically (rather than specifying a brand) gives the pharmacy flexibility to dispense whichever is cheapest and in stock.
• Inactive ingredients: Vary by manufacturer. Rarely clinically significant, but worth noting for patients who report sensitivity to specific dyes or fillers.

When to Consider Therapeutic Substitution

If a patient cannot tolerate or access this specific formulation, therapeutic alternatives in the same class include:

• Higher estrogen COCs (30–35 mcg Ethinyl Estradiol) — may reduce breakthrough bleeding but increase estrogen-related side effects
• Different progestin COCs (Norgestimate, Desogestrel, Drospirenone) — may offer different side effect profiles, particularly regarding acne or mood
• Extended-cycle COCs (Seasonique, Jolessa) — for patients who prefer fewer periods
• Non-oral options (patch, ring, IUD, implant) — for patients who struggle with daily pill adherence

Any switch should consider the patient's clinical history, current medications, and preferences.

Patient Assistance and Low-Cost Access Programs

For patients facing financial hardship, several programs provide free or low-cost contraception:

Planned Parenthood and Title X Clinics

Title X–funded family planning clinics provide contraceptive services on a sliding-fee scale. Patients at or below 100% of the federal poverty level receive services at no cost. These clinics stock multiple generic oral contraceptives and can often provide several months' supply at once.

State Medicaid Programs

All state Medicaid programs are required to cover FDA-approved contraceptive methods. For eligible patients, there is no cost sharing for contraceptives. Patients who don't qualify for full Medicaid may qualify for Medicaid family planning expansions available in many states.

NeedyMeds and RxAssist

NeedyMeds and RxAssist maintain databases of patient assistance programs. While these are more commonly used for expensive brand-name medications, they can help identify resources for patients who can't afford even generic contraceptives.

340B Drug Pricing Program

If your practice or affiliated health system participates in the 340B program, oral contraceptives may be available at significantly reduced acquisition costs. This can be passed on to patients as lower copays or free medication through in-house pharmacies.

Building Cost Conversations Into Your Workflow

Many providers hesitate to discuss medication costs, but patients consistently say they want their doctors to bring it up. Here's how to make it routine:

At the Point of Prescribing

• Ask about insurance coverage: "Do you have prescription drug coverage? Do you know if your plan covers birth control at no cost?"
• Prescribe generically: Write "Levonorgestrel/Ethinyl Estradiol 0.1/0.02 mg" rather than a specific brand name, unless there's a clinical reason to specify.
• Mention discount cards proactively: "If your insurance doesn't cover this, there are free discount cards that can bring the cost down to about $16 a month. I can show you how to find one."

At Follow-Up

• Check for cost-related non-adherence: "Have you had any trouble getting your prescription filled? Is cost ever an issue?"
• Reassess if needed: If a patient is struggling with cost, consider switching to a generic that's on their plan's preferred list, or refer them to a Title X clinic.

Staff Training

• Train front desk and MA staff to ask about insurance coverage and provide discount card information.
• Keep printed GoodRx or SingleCare cards at checkout for patients to take.
• Post information about local Title X clinics and Planned Parenthood locations in patient-facing areas.

Use Technology

• Medfinder for Providers can help you direct patients to pharmacies that have their medication in stock — particularly useful when patients report difficulty finding their specific generic.
• EHR systems often include real-time benefit check (RTBC) tools that can show you what a patient's plan covers before you prescribe.

Final Thoughts

Oral contraceptives like Sronyx 28 Day and its equivalents are among the most affordable prescription medications available — but "affordable" is relative. For a patient choosing between groceries and birth control, even $20 a month matters.

The tools exist to make contraception free or near-free for nearly every patient: ACA coverage, discount cards, Title X clinics, and Medicaid. The challenge is connecting patients with the right resource. A 30-second conversation at the point of prescribing — or a printed GoodRx card handed to the patient on their way out — can make the difference between adherence and abandonment.

For more clinical information on this formulation, see our posts on side effects, drug interactions, and shortage updates for providers. To help patients find pharmacies with stock, visit Medfinder for Providers.