Annovera is worth it — but the price tag can be shocking

Annovera (segesterone acetate and ethinyl estradiol vaginal system) is one of the most convenient contraceptives on the market. A single ring that lasts a full year — no daily pills, no monthly refills, no procedures. But when you see the price without insurance, it's enough to make anyone pause.

The good news: you have more options to bring that cost down than you might think. Here's everything you need to know about saving money on Annovera in 2026.

How much does Annovera cost without insurance?

Let's start with the numbers:

• Retail cash price: $2,670–$3,275 for one ring (a full year of birth control)
• Monthly equivalent: That works out to approximately $222–$273 per month
• With discount cards: Around $2,200–$2,500 depending on the pharmacy and card

While the sticker price is high, remember that one Annovera ring replaces 12 months of monthly contraceptive fills. When compared to the annual cost of many monthly birth control options without insurance, Annovera can actually be competitive.

Does insurance cover Annovera?

Under the Affordable Care Act (ACA), most private insurance plans are required to cover at least one form of contraception in each delivery category — including vaginal rings — with no out-of-pocket cost to the patient.

In practice, this means:

• Many patients pay $0 for Annovera with private insurance.
• Some plans cover NuvaRing or Eluryng (the generic ring) preferentially and may require prior authorization or step therapy before covering Annovera.
• If your plan denies Annovera, ask your doctor to submit a prior authorization explaining why Annovera is medically necessary for you.

Government insurance note: Medicaid coverage varies by state. Medicare does not cover contraceptives. TRICARE may have its own formulary requirements.

The Annovera Patient Savings Program

Mayne Pharma, the manufacturer of Annovera, offers a Patient Savings Program that can significantly reduce your cost:

• Eligible insured patients may pay as little as $0 out of pocket.
• How to enroll: Text RING to 60323 or visit annovera.com/savings-information to download a copay savings card.
• Present at the pharmacy: Give the savings card to your pharmacist along with your prescription and insurance card.

Important limitations:

• Not available for government-insured patients (Medicare, Medicaid, TRICARE).
• Cannot be combined with FSA or HSA reimbursement for the savings card amount.
• Maximum savings limits may apply — check the current terms at the website above.

Coupon and discount cards

If you don't have insurance or the manufacturer program doesn't apply to you, prescription discount cards can help:

SingleCare

SingleCare offers Annovera coupons that can bring the price down to approximately $2,200 for one ring at participating pharmacies. Free to use — no sign-up required. Visit singlecare.com/prescription/annovera.

GoodRx

GoodRx shows prices at pharmacies near you and provides free coupons. Prices typically range from $2,300–$2,600 depending on the pharmacy. Check goodrx.com/annovera.

Other discount options

Additional discount card providers to check include:

• Optum Perks (perks.optum.com)
• RxSaver (rxsaver.com)
• BuzzRx (buzzrx.com)
• America's Pharmacy (americaspharmacy.com)

Prices vary by pharmacy and can change, so compare across multiple platforms before filling.

Patient assistance programs

If you're uninsured or experiencing financial hardship, these resources may help:

Manufacturer assistance

Contact Mayne Pharma directly to ask about patient assistance for Annovera. They may offer additional support beyond the standard savings card for patients who qualify.

NeedyMeds

NeedyMeds.org is a nonprofit that maintains a database of patient assistance programs, discount drug cards, and other resources for people who can't afford their medications.

RxAssist

RxAssist.org provides a comprehensive database of pharmaceutical company patient assistance programs and other resources for affordable medications.

Other ways to save on Annovera

Compare pharmacy prices

Annovera prices can vary by $500 or more between pharmacies. Before filling your prescription, check prices at multiple locations. Tools like Medfinder, GoodRx, and SingleCare can show you prices at pharmacies near you.

Ask about independent pharmacies

Independent pharmacies sometimes offer more competitive pricing on specialty medications than chain pharmacies. They may also be more willing to work with discount programs or negotiate pricing.

Consider the annual value

When comparing Annovera to monthly contraceptives, do the annual math:

• Annovera: ~$2,200/year with a discount card (one purchase)
• NuvaRing (brand): ~$150–$200/month × 12 = $1,800–$2,400/year
• Xulane patch: ~$150–$250/month × 12 = $1,800–$3,000/year
• Eluryng (generic ring): ~$30–$90/month × 12 = $360–$1,080/year

Annovera is more expensive than generic options but can be comparable to or cheaper than brand-name monthly contraceptives on an annual basis — with the added convenience of a single purchase.

Explore telehealth options

Some telehealth platforms partner with pharmacies that offer competitive pricing on specialty medications. They may also help coordinate insurance coverage and savings programs.

Final thoughts

Annovera's retail price can be intimidating, but between the manufacturer savings program, discount cards, and patient assistance resources, most patients can find a way to make it affordable. If you're insured, start with the Annovera Patient Savings Program — many patients pay $0. If you're paying cash, compare prices with SingleCare and GoodRx to save hundreds of dollars.

For help finding a pharmacy that has Annovera in stock, visit Medfinder. And for more about why Annovera can be hard to find, read: Why is Annovera so hard to find?