
If you're concerned about the cost of Phexxi, there's good news: a copay card can help make it more affordable.
Phexxi's copay card offers discounts of up to $35 per prescription.
To be eligible for the copay card, you don't need to have health insurance or meet any specific income requirements.
What Is Phexxi
Phexxi is a brand-name prescription medication. It's specifically designed to help prevent pregnancy in people who can become pregnant.
Phexxi contains a unique combination of lactic acid, citric acid, and potassium bitartrate. The Food and Drug Administration (FDA) has approved it for this purpose.
Phexxi is a prescription medication, which means you'll need to talk to a doctor or pharmacist to get it.
Cost and Financial Assistance
The cost of Phexxi can vary depending on several factors, including your treatment plan, insurance coverage, the pharmacy you use, and whether Phexxi has a savings program.
To find out what the cost of Phexxi gel will be for you, talk with your doctor, pharmacist, or insurance provider. They can help you determine the price based on your level of insurance coverage.
Phexxi may require prior authorization from your insurance company, which means they'll discuss the medication with your doctor and determine whether it's covered. If you start treatment without prior approval, you could pay the full cost of the medication.
You can ask your insurance company whether Phexxi requires prior authorization.
The cost of Phexxi may also depend on how often you use the drug and the specific pharmacy you use. Your pharmacist can help estimate the Phexxi birth control price for you.
If you need financial support to pay for Phexxi, help is available through programs like ConnectiveRx. You can visit their website or call 855-358-6583 to find out if you're eligible for support.
Here are some ways to save money on Phexxi:
- Use a copay card, which is available for Phexxi
- Check out prescription drug coupons, such as the Optum Perks coupons
- Take advantage of free discount drug coupons, which can save you up to 80% on your prescription costs
Note: Optum Perks coupons cannot be used with any insurance copays or benefits.
Using Phexxi
Each box of Phexxi comes with 12 one-time use, pre-filled applicators. This makes it convenient to have on hand for when you need it.
To use Phexxi, patients self-administer it by placing the applicator up to one hour before having penis-in-vagina sex. This is similar to inserting a tampon.
A new dose is needed for every additional time someone has penis-in-vagina sex, even if it's within one hour. This is an important consideration for people who engage in frequent sex.
Phexxi does not prevent pregnancy when administered after intercourse. This is a crucial fact to keep in mind for those who may not use it as directed.
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Mail-Order Pharmacy
Using a mail-order pharmacy can be a convenient option for getting Phexxi.
You can get a 90-day supply of the drug via mail order, which may help lower the cost.
Some Medicare plans may help cover the cost of mail-order medications, making it an even more affordable option.
The manufacturer of Phexxi offers a program to get a prescription online and have it shipped to your house, which is a great option for those who prefer not to leave home.
You'll need to fill out a questionnaire and make a telehealth appointment with a doctor to get the prescription, and then the medication will be mailed to you.
If you don't have health insurance, talk with your doctor or pharmacist to see if they can suggest online pharmacy options that could work for you.
Using Basics
Using Phexxi is pretty straightforward. Each box comes with 12 one-time use, pre-filled applicators.
To use Phexxi, patients self-administer the applicator, similar to placing a tampon, up to one hour before having penis-in-vagina sex.
You'll need a new dose for every additional time you have penis-in-vagina sex, even if it's within one hour. This means you'll need to reapply Phexxi each time.
Phexxi does NOT prevent pregnancy when administered after intercourse.
Insurance and Cost
Your insurance coverage can significantly affect the cost of Phexxi. Factors that may affect the price you'll pay include your treatment plan, insurance coverage, the pharmacy you use, and whether Phexxi has a savings program.
To find out what the cost of Phexxi gel will be for you, talk with your doctor, pharmacist, or insurance provider. Prior authorization may be required by your insurance company before it covers Phexxi.
If you have insurance, your insurance company may require prior authorization before it covers Phexxi. This means the company and your doctor will discuss Phexxi in regard to your treatment, and the insurance company will then determine whether the medication is covered.
If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Phexxi requires prior authorization.
The cost of Phexxi may depend on other factors, including how often you use the drug and the specific pharmacy you use. Your pharmacist will be able to estimate the Phexxi birth control price for you.
If you have questions about how much Phexxi will cost with or without insurance, talk with your pharmacist or insurance provider. They can help you determine the price of Phexxi based on your level of insurance coverage.
Here are some things to consider when it comes to insurance and cost:
- Prior authorization: If you have prescription drug insurance, your insurance company may require prior authorization before it covers the cost of Phexxi.
- Savings accounts: If you're eligible for a health savings account (HSA) or a flexible spending account (FSA), you can likely use funds from these accounts to pay for your prescription or over-the-counter (OTC) medications.
To find out what you'd pay using savings coupons, read the "Coupons for Phexxi" section.
Sources
- https://www.medicalnewstoday.com/articles/drugs-phexxi-cost
- https://www.prnewswire.com/news-releases/costco-adds-phexxi-to-member-prescription-program-301717100.html
- https://providers.bedsider.org/articles/meet-phexxi-a-hormone-free-user-controlled-prescription-birth-control-gel
- https://perks.optum.com/drug/phexxi
- https://benefitsexplorer.com/prescription-discount/womens-health-reproductive-health/phexxi
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