Levonorgestrel-Ethinyl Estrad
Levonorgestrel-Ethinyl Estrad 28 Tablets
What is Levonorgestrel-Ethinyl Estrad?
Amethyst is a contraceptive drug used to prevent pregnancy. Ethinyl Estradiol/Norethindrone is the generic version of the brand-name Amethyst. Amethyst costs around $24 for a supply of 28, 90 mcg/20 mcg tablets. You can use our Rx.com Amethyst savings card to save on the cost of your prescription when you purchase from any of the pharmacies participating locally.Side Effects
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Breast lumps, pain, swelling, tenderness, or discharge
- Change in how much or how often you urinate
Warnings
- Keep all medicine out of the reach of children. Never share your medicine with anyone.
- This medicine will not protect you from getting HIV/AIDS or other sexually transmitted diseases.
- You might have some light bleeding or spotting when you first start using this medicine. This is usually normal and should not last long. However, if you have heavy bleeding or the bleeding lasts more than seven days in a row, call your doctor€™s office.
- If you miss two periods in a row, call your doctor for a pregnancy test before you take any more pills.
- Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests.
Prescription savings · · · ·
What is Levonorgestrel-Ethinyl Estrad ?
Amethyst is a contraceptive drug used to prevent pregnancy. Ethinyl Estradiol/Norethindrone is the generic version of the brand-name Amethyst. Amethyst costs around $24 for a supply of 28, 90 mcg/20 mcg tablets. You can use our Rx.com Amethyst savings card to save on the cost of your prescription when you purchase from any of the pharmacies participating locally.- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Breast lumps, pain, swelling, tenderness, or discharge
- Change in how much or how often you urinate
- Yellowing of your skin or the whites of your eyes.
- Chest pain or tightness, trouble breathing, coughing up blood
- Dark urine, pale stools, loss of appetite, yellow skin or eyes
- Heavy vaginal bleeding
- Irregular, late, or missed menstrual periods
- Numbness or weakness in your arm or leg, or on one side of your body
- Pain in your lower leg (calf)
- Rapid weight gain, swelling in your hands, ankles, or feet
- Vision loss, double or blurred vision
- Sudden and severe stomach pain, nausea, vomiting, lightheadedness
- Sudden or severe headache, problems with vision, speech, or walking
- Keep all medicine out of the reach of children. Never share your medicine with anyone.
- This medicine will not protect you from getting HIV/AIDS or other sexually transmitted diseases.
- You might have some light bleeding or spotting when you first start using this medicine. This is usually normal and should not last long. However, if you have heavy bleeding or the bleeding lasts more than seven days in a row, call your doctor€™s office.
- If you miss two periods in a row, call your doctor for a pregnancy test before you take any more pills.
- Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests.
- Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.
- Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
- Sweating, nausea or vomiting, pain in your chest, jaw, and left arm.
- Swelling in your hands, ankles, or feet.
- Unusual bleeding or bruising.
- Yellowing of your skin or the whites of your eyes.
- It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.
- Tell your doctor if you are breastfeeding, or if you have recently been pregnant. Tell your doctor if you have high blood pressure, high cholesterol, diabetes, breast lumps, migraine headache, hereditary angioedema, or a history of depression, epilepsy, gallbladder disease, heart disease, kidney disease, or irregular monthly periods. Tell your doctor if you smoke, wear contact lenses, or if you are having surgery that requires inactivity for a long time.
- This medicine may cause the following problems:Increased risk of heart attack, stroke, or blood clotsIncreased risk of cancer (including cancer of the breast, endometrium, ovaries, and cervix)Liver problems (including liver tumor or cancer)Eye or vision problemsGallbladder diseaseHigh cholesterol in the bloodHigh blood pressure
Levonorgestrel-Ethinyl Estrad Coupons & Prices
Levonorgestrel-Ethinyl Estrad 28 Tablets
Weight-loss medication, prescribed online
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If you're comparing prices for a levonorgestrel and ethinyl estradiol coupon, you're looking at one of the most widely prescribed combination birth control pills in the U.S. — a well-established generic combination oral contraceptive that isn't tied to a single originator brand. Because it's sold under a wide range of generic-equivalent brand names, the price for the exact same medication can still vary quite a bit from one pharmacy to the next. Rx.com compares pricing across more than 60,000 U.S. pharmacies so you can see where your prescription costs less — enter your ZIP above to see today's price.
What Is Levonorgestrel and Ethinyl Estradiol?
Levonorgestrel and ethinyl estradiol is a combination hormonal oral contraceptive that pairs a progestin (levonorgestrel) with an estrogen (ethinyl estradiol). It's FDA-approved for the prevention of pregnancy in women who choose oral contraceptives as their birth control method. It works primarily by inhibiting ovulation, with secondary effects on cervical mucus and the uterine lining. Like all hormonal contraceptives, it does not protect against HIV or other sexually transmitted infections.
This exact combination is sold under many generic-equivalent brand names — including Aviane, Altavera, Chateal, Falmina, Kurvelo, Larissia, Lessina, Levora, Lutera, Marlissa, Orsythia, Sronyx, Vienva, and Portia — because it's a well-established generic formulation rather than a drug tied to one flagship originator brand. (Nordette, an earlier brand in this same class, has been discontinued in the U.S.; Levora is commonly cited as its generic successor.)
Levonorgestrel/Ethinyl Estradiol Coupon: Comparing Prices
Because levonorgestrel and ethinyl estradiol is already available generically and is dispensed under dozens of interchangeable brand and generic labels, the price you're quoted can differ depending on which pharmacy fills it and which label they carry. There isn't a manufacturer savings card tied to this combination, since it isn't marketed under one flagship brand — so comparing pharmacy cash prices is the most reliable way to find a lower cost near you.
Rx.com checks pricing across more than 60,000 pharmacies nationwide, including major chains and independents, so you can compare before you fill. Enter your ZIP code above to see today's price at pharmacies near you.
Alternatives and Related Contraceptives
If your provider is weighing other hormonal contraceptive options, several related medications work in similar ways. Drospirenone and ethinyl estradiol and norgestimate and ethinyl estradiol are other combination pills that pair ethinyl estradiol with a different progestin. Norethindrone is a progestin-only ("mini pill") option for women advised to avoid estrogen. Levonorgestrel alone is used in emergency contraception and in progestin-only IUDs, and medroxyprogesterone is a progestin-only injectable contraceptive option.
Only your prescriber can determine which contraceptive option is appropriate for you based on your health history and risk factors.
Safety Information
Combination oral contraceptives like this one carry a boxed warning: cigarette smoking increases the risk of serious cardiovascular side effects, including blood clots, stroke, and heart attack. This risk increases with age, particularly in women over 35, and with the number of cigarettes smoked. Women who smoke should not use combination hormonal contraceptives, particularly if they are over 35.
Additional risks include venous thromboembolism (blood clots in the legs or lungs), stroke, and heart attack, especially with other risk factors such as high blood pressure, diabetes, obesity, migraine with aura, or a personal or family history of blood clots. This medication is not appropriate for women with a history of blood clots or clotting disorders, coronary artery or cerebrovascular disease, certain heart valve conditions, known or suspected breast cancer or other estrogen-sensitive cancer, undiagnosed abnormal uterine bleeding, liver disease or liver tumors, or pregnancy. Seek emergency care right away for sudden chest pain, shortness of breath, leg pain or swelling, a severe headache, vision changes, or weakness or numbness — these can be signs of a blood clot, stroke, or heart attack. This is general information, not medical advice; talk with your prescriber about whether this medication is right for you.
This Levonorgestrel-Ethinyl Estrad information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.
Verify the official label: Levonorgestrel-Ethinyl Estrad on DailyMed (FDA)
Reviewed against FDA labeling · Last reviewed July 2026
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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.