What Is Gemmily 28 Day?

Gemmily 28 Day is a prescription combination oral contraceptive (birth control pill) that contains norethindrone acetate and ethinyl estradiol in soft gelatin capsule form, used to prevent pregnancy in women of reproductive age.

Here's a quick overview of everything you need to know about this medication:

Brand and Generic Details

• Generic name: Norethindrone Acetate and Ethinyl Estradiol Capsules and Ferrous Fumarate Capsules
• Brand-name equivalent: Taytulla (made by Allergan/AbbVie)
• Drug class: Combination Oral Contraceptive (COC) — Estrogen/Progestin
• Manufacturer: Xiromed, LLC (a generic division of Insud Pharmaceuticals)
• Controlled substance: No — Gemmily 28 Day is not a controlled substance

Gemmily 28 Day is the generic version of Taytulla, meaning it contains the same active ingredients in the same dosage at a lower cost. What makes both unique compared to many other birth control pills is the soft gelatin capsule formulation — most oral contraceptives come as tablets.

What Is Gemmily 28 Day Used For?

Gemmily 28 Day is FDA-approved for one primary use:

• Prevention of pregnancy in females of reproductive age

Doctors also commonly prescribe it off-label for:

• Acne management — The hormonal combination can improve hormonal acne over time
• Menstrual cycle regulation — Helps establish predictable, regular periods
• Reduction of menstrual cramps and heavy bleeding — Many patients experience lighter, less painful periods
• Endometriosis symptom management — Can help manage pain associated with endometriosis

How Is Gemmily 28 Day Taken?

Each Gemmily 28 Day pack contains 28 soft gelatin capsules:

• 24 pink active capsules — Each contains 1 mg norethindrone acetate and 20 mcg ethinyl estradiol
• 4 maroon placebo capsules — Each contains 75 mg ferrous fumarate (an iron supplement). These are the "reminder" pills you take during your period week.

How to Take It

1. Take one capsule by mouth every day at the same time each day.
2. Follow the order on the blister pack — take all 24 active capsules first, then the 4 placebo capsules.
3. Start your next pack immediately after finishing the placebo capsules — no break between packs.
4. Can be taken with or without food.

When to Start

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

Missed a pill? Take it as soon as you remember. If you miss more than one active capsule, check the patient information guide that comes with your medication or call your doctor — the instructions vary depending on which week you missed.

Who Should Not Take Gemmily 28 Day?

Gemmily 28 Day is not safe for everyone. You should not take it if you have:

• A history of blood clots (deep vein thrombosis or pulmonary embolism)
• Known blood clotting disorders (thrombogenic mutations)
• History of stroke or heart disease
• Valvular heart disease with complications
• Uncontrolled high blood pressure
• Diabetes with vascular involvement
• Migraine headaches with aura or focal neurological symptoms
• Breast cancer or other hormone-sensitive cancers
• Liver disease or liver tumors
• Undiagnosed abnormal uterine bleeding
• Current pregnancy
• Are taking hepatitis C drugs containing ombitasvir/paritaprevir/ritonavir

Critical warning: Women over 35 who smoke must not use Gemmily 28 Day. The combination of smoking and estrogen-containing contraceptives significantly increases the risk of blood clots, stroke, and heart attack. For a full list of side effects, read our Gemmily 28 Day side effects guide.

How Much Does Gemmily 28 Day Cost?

Here's what you can expect to pay:

• Cash price (no insurance): $181 to $225 for a 28-day supply
• With discount coupons (GoodRx, SingleCare): $24 to $27 for the generic
• With insurance: Most plans cover oral contraceptives with $0 copay under the ACA contraceptive mandate

If you're paying out of pocket, the difference between the cash price and the coupon price is massive — using a free discount card can save you over $150 per fill. Learn more in our complete savings guide.

For the brand-name version (Taytulla), Allergan offers a savings card where eligible patients may pay as little as $25 per fill for up to 13 monthly fills.

How Does Gemmily 28 Day Work?

Gemmily 28 Day prevents pregnancy through three mechanisms:

1. Suppresses ovulation — The hormones prevent your ovaries from releasing an egg each month
2. Thickens cervical mucus — Makes it harder for sperm to reach an egg
3. Alters the uterine lining — Reduces the likelihood of implantation

For a deeper explanation, see our guide on how Gemmily 28 Day works.

Drug Interactions to Know About

Several medications can reduce Gemmily 28 Day's effectiveness or cause interactions:

• Rifampicin — Significantly reduces contraceptive effectiveness
• Seizure medications — Including phenytoin, carbamazepine, and topiramate
• St. John's Wort — This herbal supplement can make your birth control less effective
• Certain HIV/HCV medications

For the complete list, read our drug interactions guide.

Final Thoughts

Gemmily 28 Day is an effective, affordable generic birth control option that's equivalent to Taytulla. Its soft gelatin capsule format makes it unique among oral contraceptives. Whether you're starting birth control for the first time or switching from another pill, Gemmily 28 Day offers reliable pregnancy prevention with the potential added benefits of lighter periods, reduced cramps, and improved acne.

Talk to your doctor about whether Gemmily 28 Day is right for you, and when you're ready to fill your prescription, find it in stock near you on Medfinder.