Phexx Is Effective — But It's Not Cheap

Phexx (lactic acid, citric acid, and potassium bitartrate vaginal gel) is the only hormone-free, on-demand prescription contraceptive gel available. It's a game-changer for women who want non-hormonal birth control — but the price tag can be a shock. Without insurance, a box of 12 pre-filled applicators costs approximately $795.

The good news? Most patients don't have to pay anywhere near that amount. Between insurance coverage, discount coupons, and patient assistance programs, there are several ways to bring the cost down significantly. Here's everything you need to know about saving money on Phexx in 2026.

How Much Does Phexx Cost Without Insurance?

Let's start with the baseline numbers:

• Retail price: ~$795 for a box of 12 applicators (each applicator contains 5 grams of gel)
• Per-use cost at retail: ~$66 per applicator

This is the sticker price you'd see at a pharmacy without any insurance or discount applied. It's the highest price you'd pay — and there are several ways to bring it down.

Insurance Coverage: You May Pay $0

Under the Affordable Care Act (ACA), most commercial insurance plans are required to cover FDA-approved contraceptive methods at no cost to the patient. Since Phexx is an FDA-approved contraceptive, it should be covered with a $0 copay on most plans.

Here's what you need to know:

• Most commercial plans: Should cover Phexx at $0 copay under the ACA contraceptive mandate
• Some plans may require prior authorization: If your pharmacy says it's not covered, ask your prescriber to submit a prior authorization. The ACA requires plans to have an exceptions process.
• Medicaid: Coverage varies by state. Many state Medicaid programs cover FDA-approved contraceptives, but check with your plan.
• Medicare: Does not typically cover contraceptives (Phexx would not be relevant for most Medicare beneficiaries)

Pro tip: If your insurance denies coverage, ask your provider to submit an appeal. Under the ACA, plans must cover at least one form of each FDA-approved contraceptive method without cost-sharing.

Coupons and Discount Cards

If you're paying out of pocket — or if your insurance copay is higher than expected — prescription discount coupons can save you hundreds of dollars.

SingleCare

SingleCare offers a free Phexx coupon that can bring the price down to approximately $374 for 12 applicators — a savings of over $400 compared to the retail price. This coupon is accepted at most major pharmacies including Walgreens, CVS, Walmart, Kroger, and Safeway.

Other Discount Programs to Check

While SingleCare is one of the best-known options, it's worth comparing prices across multiple discount programs:

• GoodRx — Check goodrx.com/phexx for current pricing at local pharmacies
• RxSaver — Compare prices at rxsaver.com
• Optum Perks — Check perks.optum.com for coupons
• BuzzRx — Another free discount card option
• ScriptSave WellRx — Available at wellrx.com

Prices vary by pharmacy and location, so it pays to compare. You can use multiple discount apps to check prices before choosing where to fill your prescription.

Important note: Prescription discount coupons cannot be combined with insurance. Use whichever gives you the lower price — your insurance copay or the discount coupon price.

Manufacturer Savings Programs

Evofem Biosciences, the maker of Phexx, offers savings and access programs through their website at phexx.com. Here's what may be available:

• Copay assistance: For commercially insured patients, Evofem may offer copay cards or savings programs that reduce out-of-pocket costs
• Telehealth + home delivery: Through phexx.com, you can get a prescription via telehealth and have Phexx shipped to your door. While there may be a consultation fee, this can be more affordable and convenient than in-person visits plus pharmacy pickup

Contact Evofem directly at 1-833-EVFMBIO (1-833-383-6246) to ask about current savings programs and eligibility.

Patient Assistance Programs

If you're uninsured or underinsured and struggling to afford Phexx, patient assistance programs (PAPs) may help:

• Evofem patient assistance: Contact Evofem at 1-833-EVFMBIO to inquire about assistance for uninsured patients
• NeedyMeds (needymeds.org): A nonprofit database of patient assistance programs, discount cards, and other savings options. Search for Phexx to see current offerings.
• RxAssist (rxassist.org): Another comprehensive database of pharmaceutical assistance programs
• Planned Parenthood and Title X clinics: Federally funded family planning clinics may be able to provide contraceptives at reduced cost or free, depending on income

Other Ways to Save on Phexx

Ask About Samples

Your prescribing provider (OB/GYN or family doctor) may have Phexx samples available from the manufacturer. Ask at your next visit — samples can help you try the product before committing to a full-price box, and they're free.

Buy in Advance When You Find a Good Price

If you find a good price on Phexx through a discount program, consider buying more than one box. Phexx can be stored at room temperature (68°F to 77°F), and each box of 12 applicators will last as long as your usage pattern dictates.

Check if Your Pharmacy Price Matches

Some pharmacies will match a competitor's price if you show them a lower quote. It's worth asking your pharmacist if they'll price match a SingleCare or GoodRx price from a nearby pharmacy.

Use Telehealth to Save on Visit Costs

If you need a new prescription, using telehealth through phexx.com can be more affordable than an in-person office visit, especially if you're uninsured. This saves on both the provider visit cost and the pharmacy access challenge.

Quick Price Summary

• Retail (no insurance, no coupons): ~$795 per box of 12
• SingleCare coupon: ~$374 per box of 12
• With insurance (ACA): $0 in most cases
• With manufacturer assistance: Varies — contact Evofem at 1-833-EVFMBIO

Final Thoughts

Phexx doesn't have to break the bank. Most insured patients should pay $0 under ACA mandates, and uninsured patients can cut costs in half or more with discount coupons from SingleCare and other programs. If you're facing financial hardship, reach out to Evofem directly or explore patient assistance databases like NeedyMeds and RxAssist.

Need help finding Phexx at a pharmacy near you? Use Medfinder to search pharmacy stock. And for more information about Phexx, check out our guides on what Phexx is and how to use it, side effects to watch for, and why Phexx is hard to find.