Aurovela Fe 24 1/20 28 Day Is a Generic Combination Birth Control Pill Used to Prevent Pregnancy and Treat Moderate Acne

If your doctor prescribed Aurovela Fe 24 1/20 28 Day — or you're researching it before your next appointment — this guide covers everything you need to know. We'll explain what this medication is, how to take it, who it's for, and what it costs in 2026.

What Is Aurovela Fe 24 1/20 28 Day?

Aurovela Fe 24 1/20 28 Day is a combination oral contraceptive (birth control pill) containing two hormones:

• Norethindrone Acetate (1 mg) — a progestin
• Ethinyl Estradiol (20 mcg) — an estrogen

It's a generic medication manufactured by Aurobindo Pharma (marketed by Aurobindo Pharma USA). It is a generic equivalent of brand-name pills like Loestrin 24 Fe.

Each 28-day pack contains:

• 24 light yellow to yellow active tablets (containing the hormones)
• 4 brown placebo tablets (containing 75 mg ferrous fumarate — an iron supplement)

The "Fe" in the name stands for iron (ferrous fumarate), and "24" refers to the 24 active tablets per pack. The "1/20" means 1 mg norethindrone acetate and 20 mcg ethinyl estradiol. It is not a controlled substance and does not require a DEA schedule.

Other Brand Names for the Same or Similar Formulations

• Loestrin 24 Fe — The original brand name (now discontinued)
• Blisovi 24 Fe — Another generic by Lupin Pharmaceuticals
• Lo Loestrin Fe — A related brand with an even lower estrogen dose (10 mcg)
• Junel Fe 1/20 — Same active ingredients but with a 21/7 regimen instead of 24/4
• Microgestin Fe 1/20 — Another 21/7 option by Mayne Pharma

What Is Aurovela Fe 24 1/20 28 Day Used For?

Aurovela Fe 24 1/20 28 Day is FDA-approved for two uses:

1. Prevention of pregnancy — Its primary indication as an oral contraceptive.
2. Treatment of moderate acne vulgaris — In females at least 15 years old who have reached menarche, want contraception, and haven't responded to topical acne treatments alone.

Doctors also prescribe it off-label for:

• Regulating menstrual cycles
• Reducing painful periods (dysmenorrhea)
• Managing endometriosis-related pain
• Reducing menstrual migraines
• Treating symptoms of polycystic ovary syndrome (PCOS)
• Reducing ovarian cyst formation

How Is Aurovela Fe 24 1/20 28 Day Taken?

Take one tablet daily at the same time every day, in the order directed on the blister pack:

1. Days 1-24: Take one active (yellow) tablet daily.
2. Days 25-28: Take one brown iron tablet daily.
3. Start a new pack the day after finishing the last brown tablet.

You can take it with or without food. There are two ways to start:

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

If You Miss a Pill

If you miss one active tablet, take it as soon as you remember and take the next tablet at your regular time (you may take two tablets in one day). If you miss two or more active tablets, refer to the patient insert or call your doctor — you may need backup contraception.

Missing brown (iron) tablets doesn't affect pregnancy protection, but take them to stay on schedule and get the iron supplementation.

Who Should Not Take Aurovela Fe 24 1/20 28 Day?

This medication is not safe for everyone. Do not take Aurovela Fe 24 1/20 28 Day if you have or have had:

• Blood clots (deep vein thrombosis, pulmonary embolism) or a history of clotting disorders
• Stroke or heart attack
• Heart valve disease with clotting complications
• Severe or uncontrolled high blood pressure
• Diabetes with blood vessel damage
• Migraine headaches with aura
• Known or suspected breast cancer or estrogen-dependent cancers
• Liver disease or liver tumors
• Unexplained vaginal bleeding
• Known or suspected pregnancy

Critical warning: Women over 35 who smoke should not use Aurovela Fe 24 1/20 28 Day. The FDA boxed warning states that cigarette smoking combined with oral contraceptive use significantly increases the risk of serious cardiovascular events including blood clots, stroke, and heart attack.

This medication is also not recommended during breastfeeding, as hormones can pass into breast milk.

How Much Does Aurovela Fe 24 1/20 28 Day Cost?

Costs vary significantly based on how you pay:

• With insurance: Most plans cover oral contraceptives at $0 copay under the ACA preventive care mandate. Your plan may require a specific generic or preferred brand.
• Without insurance (cash price): Approximately $75-$110 per 28-day pack.
• With discount coupons: As low as $8-$25 per pack through services like GoodRx or SingleCare.

For detailed savings strategies, see our guide on how to save money on Aurovela Fe 24 1/20 28 Day.

If you're having trouble finding Aurovela Fe 24 1/20 28 Day at your pharmacy, use Medfinder to check pharmacy stock near you.

Final Thoughts

Aurovela Fe 24 1/20 28 Day is a well-established, low-dose combination birth control pill that's been on the market for years. With 24 active days instead of the traditional 21, it provides a shorter hormone-free interval, which can mean lighter periods and less breakthrough bleeding for many people.

If you're curious about how this medication works at the biological level, read How Does Aurovela Fe 24 1/20 28 Day Work?. For side effect information, see our side effects guide. And if you need a prescription, here's how to find a doctor.