What Is Aurovela Fe 1/20 28 Day?

Aurovela Fe 1/20 28 Day is a combination oral contraceptive (birth control pill) that contains norethindrone acetate 1 mg and ethinyl estradiol 20 mcg, plus ferrous fumarate (iron) tablets.

It's a generic version of Loestrin Fe 1/20, manufactured by Aurobindo Pharma. Other generic equivalents include Junel Fe 1/20, Microgestin Fe 1/20, Blisovi Fe 1/20, Larin Fe 1/20, Hailey Fe 1/20, and Tarina Fe 1/20 — all containing the same active ingredients.

As a combination oral contraceptive, Aurovela Fe 1/20 28 Day belongs to the progestogen-estrogen drug class. It is not a controlled substance and does not require any special DEA scheduling.

What Is Aurovela Fe 1/20 28 Day Used For?

Aurovela Fe 1/20 28 Day is FDA-approved for two indications:

1. Prevention of pregnancy — Its primary use as a daily oral contraceptive.
2. Treatment of acne vulgaris — Approved for moderate acne in females at least 15 years old who also want contraception.

Doctors also prescribe Aurovela Fe 1/20 28 Day off-label for several other conditions:

• Regulation of irregular menstrual cycles
• Reduction of menstrual cramps (dysmenorrhea)
• Treatment of endometriosis symptoms
• Management of heavy menstrual bleeding (menorrhagia)
• Hormonal management of polycystic ovary syndrome (PCOS)

If your doctor has prescribed Aurovela Fe 1/20 28 Day for an off-label use, that's a common and accepted medical practice — it simply means the FDA hasn't formally reviewed it for that specific condition.

How Is Aurovela Fe 1/20 28 Day Taken?

Each pack contains 28 tablets:

• 21 active tablets (light yellow to yellow) — Each contains norethindrone acetate 1 mg and ethinyl estradiol 20 mcg.
• 7 inactive tablets (brown) — Each contains ferrous fumarate 75 mg (iron supplement). These do not contain hormones.

Here's how to take it:

1. Take one active tablet daily at the same time each day for 21 consecutive days.
2. Then take one brown (iron) tablet daily for the next 7 days. Your period will typically start during this week.
3. Start your next pack immediately the day after your last brown tablet — don't skip any days between packs.

Important Tips

• Same time every day — Consistency is key for maximum effectiveness. Set a daily alarm if it helps.
• Don't skip the brown tablets — While they don't contain hormones, they help maintain your daily pill-taking habit and provide supplemental iron, which can be beneficial during your period.
• Missed pill? — If you miss one active pill, take it as soon as you remember and take the next pill at the regular time (you may take two pills in one day). If you miss two or more pills, consult the patient information leaflet or call your doctor — you may need backup contraception.

Who Should Not Take Aurovela Fe 1/20 28 Day?

Aurovela Fe 1/20 28 Day is not safe for everyone. You should not take it if you have any of the following:

• Smoking and over age 35 — This is the most important contraindication. The FDA boxed warning states that smoking while using combination oral contraceptives significantly increases the risk of blood clots, stroke, and heart attack.
• History of or current blood clots (deep vein thrombosis or pulmonary embolism)
• History of stroke or coronary artery disease
• Uncontrolled high blood pressure
• Diabetes with vascular complications
• Migraines with aura
• Known or suspected breast cancer
• Liver disease or liver tumors
• Known or suspected pregnancy
• Undiagnosed abnormal uterine bleeding
• Use of certain hepatitis C medications (ombitasvir/paritaprevir/ritonavir)

This is not a complete list. Always share your full medical history with your prescriber before starting Aurovela Fe 1/20 28 Day. For a detailed list of medications to watch out for, see our drug interactions guide.

How Much Does Aurovela Fe 1/20 28 Day Cost?

The cost of Aurovela Fe 1/20 28 Day depends on whether you have insurance:

With Insurance

Under the Affordable Care Act, most insurance plans cover FDA-approved contraceptives — including generics like Aurovela Fe 1/20 28 Day — with no cost-sharing. That means $0 copay for most insured patients. Generic versions are typically preferred on formularies, and prior authorization is generally not required.

Without Insurance

The retail cash price for Aurovela Fe 1/20 28 Day ranges from $27 to $45 per pack. However, discount programs can significantly reduce this:

• SingleCare — Prices from as low as $8.40 per pack
• GoodRx — Prices from as low as $15.17 per pack

For a complete breakdown of savings options, including manufacturer programs and patient assistance, check out our guide to saving money on Aurovela Fe 1/20 28 Day.

Other Formulations

It's worth knowing that Aurovela comes in several formulations — make sure you're getting the right one:

• Aurovela Fe 1/20 — 21 active + 7 iron tablets (this article's focus)
• Aurovela 1/20 — 21 active tablets only, no iron tablets
• Aurovela 24 Fe — 24 active + 4 iron tablets (extended cycle)
• Aurovela Fe 1.5/30 — Higher dose: norethindrone 1.5 mg / ethinyl estradiol 30 mcg

Final Thoughts

Aurovela Fe 1/20 28 Day is a well-established, low-dose combination oral contraceptive with a long track record of safety and effectiveness. Whether you're using it for birth control, acne, or menstrual management, understanding what it is and how to take it properly is the first step.

If you're having trouble finding Aurovela Fe 1/20 28 Day at your pharmacy, use Medfinder to search for pharmacies with it in stock, or read our guide on checking pharmacy stock for more tips.