How to Save Money on Feirza 1/20 in 2026: Coupons, Discounts, and Patient Assistance

Birth control shouldn't be a budget strain. Feirza 1/20 — a combination oral contraceptive containing norethindrone acetate 1 mg and ethinyl estradiol 20 mcg — has a retail cash price that can range from $22 to $87 per 28-day pack depending on the pharmacy. But with the right strategy, many patients pay $10 or less — and those with qualifying insurance often pay nothing at all.

Here's a complete 2026 guide to every savings option available for Feirza 1/20.

What Does Feirza 1/20 Cost Without Insurance?

The retail cash price for Feirza 1/20 (28-day pack) varies significantly by pharmacy. Here's what you can expect in 2026:

Average retail (no discount): $22–$87 per 28-day pack (depending on pharmacy)

GoodRx (standard coupon): ~$26.51 at participating pharmacies (69% off retail at higher-priced locations)

GoodRx Gold: As low as $9.66 per 28-day pack

SingleCare: As low as $8.40 per 28-day pack

Prices vary by pharmacy location and may change. Always compare prices on GoodRx and SingleCare before heading to the pharmacy.

Option 1: Use Your Health Insurance (ACA Mandate)

If you have private health insurance through your employer, the ACA marketplace, or a government program, this should be your first move. Under the Affordable Care Act (ACA), most private health insurance plans are required to cover all FDA-approved contraceptive methods — including combination oral contraceptives like Feirza 1/20 — with no cost-sharing. That means $0 copay, $0 deductible for contraceptives.

Some grandfathered health plans (those that haven't changed significantly since March 2010) are exempt from this requirement. If your plan denies coverage for Feirza 1/20, ask your HR department or insurer whether your plan is grandfathered, and whether you can be enrolled in an ACA-compliant plan during open enrollment.

If your insurer says they cover contraceptives but not Feirza 1/20 specifically, ask whether they cover the equivalent generic class (norethindrone acetate / ethinyl estradiol / ferrous fumarate 1 mg/20 mcg/75 mg). Most insurers will cover at least one version in this drug class at $0 copay.

Option 2: GoodRx Coupon

GoodRx is a prescription discount service that offers coupons you can show to your pharmacist at checkout to pay the discounted price instead of retail. For Feirza 1/20:

Standard GoodRx coupon: ~$26.51 (prices vary by pharmacy and location)

GoodRx Gold (paid membership, ~$9.99/month): As low as $9.66 — potentially saving over $75/month vs retail

GoodRx coupons cannot be combined with insurance. Use them when your insurance copay would be higher than the GoodRx price, or when you have no insurance.

Option 3: SingleCare Discount Card

SingleCare is another prescription savings program that can bring Feirza 1/20 as low as $8.40 per 28-day pack at participating pharmacies including Walgreens, Kroger, Walmart, CVS, and Safeway. Like GoodRx, SingleCare coupons cannot be combined with insurance and don't require a membership fee.

Option 4: Medicaid Coverage

All state Medicaid programs are required to cover FDA-approved contraceptive methods. If you are enrolled in Medicaid, your Feirza 1/20 prescription should be covered with little to no out-of-pocket cost. Contact your state Medicaid office or your managed care plan if coverage is denied.

Option 5: Title X Family Planning Clinics

Title X is a federal family planning program that funds clinics to provide contraceptive services and supplies on a sliding-fee scale based on income. Patients at or below 100% of the federal poverty level receive services at no cost. Title X clinics often dispense oral contraceptives directly, which can be even more convenient than a pharmacy.

To find a Title X clinic near you, visit HHS.gov/opa or Planned Parenthood's clinic locator.

Option 6: Ask About Manufacturer Savings Programs

As a generic medication by Xiromed LLC, Feirza 1/20 does not have a branded manufacturer savings card. Generic medications typically don't come with copay cards. However, Xiromed may offer pharmacy discount programs — contact them or check their website for any available savings options.

Option 7: Switch to 90-Day Supply for Bulk Savings

Many insurance plans offer a lower per-cycle cost when you fill a 90-day supply through a mail-order pharmacy. For example, a $20 copay on a 30-day supply might become $40 for a 90-day supply — saving you $20 per quarter. Ask your insurer about mail-order savings and whether Feirza 1/20 is covered at a preferred tier through your plan's mail-order pharmacy.

Is Feirza 1/20 Covered by Medicare?

Medicare Part D does not generally cover contraceptives used solely for contraception, as Medicare was originally designed for people 65 and older. However, if Feirza 1/20 was prescribed for a non-contraceptive indication (such as hormone management in a specific clinical context), Part D coverage may apply. Confirm with your plan.

Bottom Line: How to Pay the Least for Feirza 1/20

Priority order for savings: (1) use insurance/Medicaid if covered at $0 copay, (2) use SingleCare or GoodRx if paying cash, (3) check Title X clinics if income-eligible. If you're also having trouble locating Feirza 1/20 at a pharmacy near you, see our guide on how to find Feirza 1/20 in stock, or use medfinder to call pharmacies on your behalf.