What Is Apri 28 Day? Uses, Dosage, and What You Need to Know in 2026

Updated:

March 26, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Everything you need to know about Apri 28 Day: what it is, how it's used, dosage instructions, who shouldn't take it, and how much it costs in 2026.

Apri 28 Day Is a Combined Oral Contraceptive Used to Prevent Pregnancy

Apri 28 Day is a prescription birth control pill that contains two synthetic hormones — desogestrel and ethinyl estradiol — taken daily to prevent pregnancy. It's one of the most commonly prescribed generic oral contraceptives in the United States.

Whether you've just been prescribed Apri 28 Day or you're researching your options, here's everything you need to know about this medication in 2026.

What Is Apri 28 Day?

Apri 28 Day is a combined oral contraceptive (COC) manufactured by Teva Pharmaceuticals. It's a generic version of the brand-name drug Desogen.

Key facts:

  • Generic name: Desogestrel and Ethinyl Estradiol
  • Drug class: Combined oral contraceptive (estrogen/progestin combination)
  • Manufacturer: Teva Pharmaceuticals
  • Controlled substance: No — Apri 28 Day is not a controlled substance
  • Other brand names with the same ingredients: Desogen, Ortho-Cept, Reclipsen, Solia, Emoquette, Enskyce, Juleber, Isibloom, and Cyred

Each 28-day pack contains 21 active rose-colored tablets (each with desogestrel 0.15 mg and ethinyl estradiol 0.03 mg) and 7 white inactive (placebo) tablets. It's a monophasic pill, meaning all active tablets contain the same dose of hormones.

What Is Apri 28 Day Used For?

FDA-Approved Use

Apri 28 Day is FDA-approved for the prevention of pregnancy (oral contraception).

Off-Label Uses

Doctors commonly prescribe Apri 28 Day off-label for several other conditions:

  • Acne management — The hormones in Apri can reduce androgen-related breakouts.
  • Menstrual cycle regulation — Helps establish predictable, regular periods.
  • Dysmenorrhea (menstrual cramps) — Can significantly reduce menstrual pain.
  • Endometriosis symptom management — Hormonal suppression may help manage endometriosis-related pain.
  • PCOS (Polycystic Ovary Syndrome) symptoms — Helps regulate periods and reduce androgen-related symptoms in PCOS patients.

How Is Apri 28 Day Taken?

Apri 28 Day is taken as one tablet daily, at the same time each day, for 28 consecutive days:

  1. Days 1-21: Take one active (rose-colored) tablet daily.
  2. Days 22-28: Take one inactive (white) tablet daily. Your period will typically occur during this week.
  3. Day 29: Start a new pack immediately — no gap between packs.

When to Start

There are two common ways to start Apri 28 Day:

  • Day 1 start: Take your first pill on the first day of your menstrual period. No backup contraception is needed.
  • Sunday start: Take your first pill on the first Sunday after your period begins. Use backup contraception (like condoms) for the first 7 days.

What If You Miss a Pill?

If you miss one active pill, take it as soon as you remember and take the next pill at your regular time (this may mean taking two pills in one day). If you miss two or more active pills, check the patient package insert or call your provider — you may need backup contraception.

Who Should Not Take Apri 28 Day?

Apri 28 Day is not safe for everyone. You should not take it if you have any of the following:

  • A history of or current blood clots (DVT or pulmonary embolism)
  • Cerebrovascular or coronary artery disease (history of stroke or heart attack)
  • Known or suspected breast cancer or estrogen-dependent cancers
  • Liver disease or liver tumors
  • Undiagnosed abnormal uterine bleeding
  • Known or suspected pregnancy
  • Migraines with aura (increased stroke risk)
  • Smoking and over age 35 — this is the most important risk factor
  • Cholestatic jaundice during pregnancy or with prior pill use
  • Taking hepatitis C drug combinations containing ombitasvir/paritaprevir/ritonavir

Boxed warning: "Cigarette smoking increases the risk of serious cardiovascular side effects from oral contraceptive use. This risk increases with age and with heavy smoking (15 or more cigarettes per day) and is quite marked in women over 35 years of age."

For a full breakdown of potential side effects, see our Apri 28 Day side effects guide. For drug interactions, check our interactions guide.

How Much Does Apri 28 Day Cost?

The cost of Apri 28 Day depends on your insurance status:

With Insurance

Under the ACA contraceptive mandate, most insurance plans cover generic oral contraceptives like Apri 28 Day at $0 copay. Prior authorization is generally not required. Some plans may prefer a specific generic equivalent, so check your formulary. Medicaid covers oral contraceptives in all states.

Without Insurance

  • Retail cash price: $30 to $99 per 28-day pack
  • With a discount card (GoodRx, SingleCare): As low as $10 to $21 per pack

Since Apri is already a generic, there is no manufacturer copay card. However, uninsured patients may be eligible for the Teva Cares Foundation Patient Assistance Program or resources through NeedyMeds and RxAssist.

For more ways to save, see our complete Apri 28 Day savings guide.

Final Thoughts

Apri 28 Day is a well-established, affordable oral contraceptive that's been on the market for years. It's effective, widely available in generic form, and covered at no cost under most insurance plans. Like all combined oral contraceptives, it's important to discuss your medical history with your provider to make sure it's the right choice for you.

If you're ready to fill your prescription, visit Medfinder to find Apri 28 Day in stock at pharmacies near you.

What is the difference between Apri and Apri 28 Day?

Apri and Apri 28 Day refer to the same medication. The "28 Day" simply indicates the pack format — 21 active tablets plus 7 placebo tablets for a complete 28-day cycle. They contain the same active ingredients: desogestrel 0.15 mg and ethinyl estradiol 0.03 mg.

Is Apri 28 Day the same as Desogen?

Yes. Apri 28 Day is a generic version of the brand-name drug Desogen. Both contain the same active ingredients (desogestrel 0.15 mg / ethinyl estradiol 0.03 mg) in the same dosage. Other equivalent generics include Reclipsen, Enskyce, and Solia.

Can Apri 28 Day be used for acne?

Yes, though this is an off-label use. The combination of desogestrel and ethinyl estradiol in Apri 28 Day can help reduce hormonal acne by lowering androgen levels. Talk to your provider about whether it's the right approach for your skin concerns.

Do I need to take the placebo pills in the Apri 28 Day pack?

The 7 white placebo pills don't contain any hormones — they're there to keep you in the habit of taking a daily pill. Your period will typically occur during this placebo week. Taking them isn't medically necessary, but starting your next pack on time is essential.

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