Package	Price	Per Item	Savings	Order
	Ortho Tri-Cyclen 28 pills x 0.55 mg	$47.84	$1.71	$0
	Ortho Tri-Cyclen 56 pills x 0.55 mg	$82.56	$1.47	$14
	Ortho Tri-Cyclen 84 pills x 0.55 mg	$106.85	$1.27	$37

Ortho Tri-Cyclen
	Ortho Tri-Cyclen(Ethinyl Estradiol/Norgestimate) is indicated for the prevention of pregnancy in women who elect to use oral contraceptives as a method of contraception, a highly effective one for pregnancy prevention.

Drug Name

Ortho Tri-Cyclen (Ethinyl Estradiol/Norgestimate)

Drug Uses

This medication is a combination oral contraceptive containing the progestational compound norgestimate and the estrogenic compound ethinyl estradiol, and are indicated for the prevention of pregnancy in women who elect to use oral contraceptives as a method of contraception, a highly effective one for pregnancy prevention.

This medication also provides you with a low daily dose of hormones that prevent pregnancy, while actually lowering the level of the hormone in your body that’s likely to cause acne. In clinical tests, it has been clinically proven to help reduce mild to moderate acne nearly nine out of ten women saw improvements in their skin.

How to use

Take Ortho Tri-Cyclen pills by mouth. Before you start taking these pills decide what is a suitable time of day and always take them at the same time of day and in the order directed. Swallow the pills with a drink of water. Take with food to reduce stomach upset. Do not take more often than directed.

Most products contain a 21-day supply of pills containing the active ingredients. Some products contain an additional 7 pills containing iron or inactive ingredients to be taken during the week of menstruation; this reduces the chance of missing the first day of the next cycle. Most products are to be started on the first Sunday after you start your period or on the first day of your period. You may need to ask your health care provider which day you should start your packet.

Drug Class and Mechanism

Ortho Tri-Cyclen is an estrogen and progestin combination used to prevent pregnancy. It may also be used to regulate the menstrual cycle, treat symptoms of menopause, or treat other conditions as determined by your doctor.

Missed Dose

If you miss one dose, take the dose as soon as you remember or take two pills at the time of your next regularly scheduled dose. There is little likelihood that ovulation will occur. You may, however, want to use a second method of birth control such as a condom or a spermicidal cream, jelly, or foam for at least 7 consecutive days following the missed tablet to ensure protection from pregnancy. If you miss two tablets in a row, take the two missed tablets as soon as you remember or with your next regularly scheduled dose (three total). Or, you may take two tablets each for the next two regularly scheduled doses (one missed tablet plus one regularly scheduled tablet for 2 days in a row).

Chances are much greater that you may ovulate so you must use another form of birth control for at least 7 days following the missed tablets. It is even better to use a second method of birth control until your next period. If you miss three tablets in a row, throw away the package and start a new package on the 7th day after the last day you took a pill. Use another method of birth control until you have taken a pill for 7 days in a row. Your period should occur during the 7 days without pills. If it doesn’t, have a pregnancy test before beginning a new package of pills.

Storage

Store Ortho Tri-Cyclen at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Keep Ortho Tri-Cyclen out of the reach of children and away from pets.

Warnings/Precautions

Smoking cigarettes while using Ortho Tri-Cyclen may increase your risk of stroke, heart attack, blood clots, high blood pressure, or other diseases of the heart and blood vessels. If you have vomiting or diarrhea for any reason, your medicine may not work as well. Taking certain antibiotics or anticonvulsants while you are using Ortho Tri-Cyclen may decrease the effectiveness of Ortho Tri-Cyclen. To prevent pregnancy, use an additional form of birth control until your next period. If you have any questions, contact your doctor, nurse, or pharmacist. Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Ortho Tri-Cyclen.

If you wear contact lenses and you develop problems with them, contact your doctor. Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist. Ortho Tri-Cyclen may cause dark skin patches on your face. Exposure to the sun may make these patches darker. If patches develop, use a sunscreen or protective clothing when exposed to the sun, sunlamps, or tanning booths. Use of Ortho Tri-Cyclen will not prevent the spread of sexually transmitted diseases (STDs). Do not use Ortho Tri-Cyclen if you are pregnant. If you suspect that you could be pregnant, contact your doctor immediately. Ortho Tri-Cyclen is excreted in breast milk. If you are or will be breast-feeding while you are using Ortho Tri-Cyclen, check with your doctor or pharmacist to discuss the risks to your baby.

Possible Side Effects

Severe side effects are relatively rare in women who are healthy and do not smoke while they are taking oral contraceptives. On average, more women have problems due to complications from getting pregnant than have problems with oral contraceptives. Many of the minor side effects may go away as your body adjusts to the medicine. However, the potential for severe side effects does exist and you may want to discuss these with your health care provider.

The following symptoms or side effects may be related to blood clots and require immediate medical or emergency help: chest pain, coughing up blood, dizziness or fainting spells, leg, arm or groin pain, severe or sudden headaches, stomach pain (severe), sudden shortness of breath, sudden loss of coordination, especially on one side of the body, swelling of the hands, feet or ankles, or rapid weight gain, vision or speech problems, weakness or numbness in the arms or legs, especially on one side of the body.

Other serious side effects are rare. Contact your health care provider as soon as you can if the following side effects occur: breast tissue changes or discharge, changes in vaginal bleeding during your period or between your periods, headaches or migraines, increases in blood sugar, especially if you have diabetes, increases in blood pressure, especially if you are known to have high blood pressure, symptoms of vaginal infection (itching, irritation or unusual discharge), tenderness in the upper abdomen, vomiting, yellowing of the eyes or skin.

Side effects that usually do not require medical attention (report to your health care provider if they continue or are bothersome): breakthrough bleeding and spotting that continues beyond the 3 initial cycles of pills, breast tenderness, mild stomach upset, mood changes, anxiety, depression, frustration, anger, or emotional outbursts, increased or decreased appetite, increased sensitivity to sun or ultraviolet light, nausea, skin rash, acne, or brown spots on the skin, tiredness, weight gain.

More Information

Ortho Tri-Cyclen is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

Ortho Tri-Cyclen
		Ortho Tri-Cyclen 28 pills x 0.55 mg	$47.84
		Ortho Tri-Cyclen 56 pills x 0.55 mg	$82.56
		Ortho Tri-Cyclen 84 pills x 0.55 mg	$106.85

	Package	Price	Per Item	Savings	Order
	Plan B 8 pills x 0.75 mg	$71.6	$8.95	$0
	Plan B 16 pills x 0.75 mg	$123.34	$7.71	$20
	Plan B 24 pills x 0.75 mg	$159.2	$6.63	$56

Plan B
	Plan B (Levonorgestrel) is used to help prevent pregnancy in women who have had unprotected sex.

Drug Name

Plan B (Levonorgestrel)

Drug Uses

This medication is used to help prevent pregnancy in women who have had unprotected sex (intercourse) or suspect a failure in their current form of birth control (e.g., broken condom). It is not intended to be used for routine birth control and will not stop an existing pregnancy (abortion).

How to use

Take one tablet of this medication by mouth as soon a possible, but within 72 hours (3 days) after unprotected intercourse. Take the second tablet by mouth 12 hours after taking the first dose. However, your doctor may instruct you to take this medication a different way. Please follow the directions provided by your doctor closely. This medication can be used at any time during your menstrual cycle. If you vomit within one hour of taking either dose of this medication, contact your doctor to discuss whether to repeat the dose.

Drug Class and Mechanism

This medication is used to help prevent pregnancy in women who have had unprotected sex.

Missed Dose

If you miss a dose, contact your doctor immediately.

Storage

Store at room temperature at 77 degrees F (25 degrees C). Brief storage between 59 and 86 degrees F (15 to 30 degrees C) is permitted.

Warnings/Precautions

Tell your doctor your medical history, especially of: diabetes, possible pregnancy, unusual vaginal bleeding, allergies (especially to birth control pills). Tell your doctor if your normal menstrual period is late by at least 1 week. This medication is not recommended for use during pregnancy. Consult your doctor for more details. This medication passes into breast milk. While there have been no reports of harm to nursing infants, consult your doctor before breast-feeding.

Possible Side Effects

Nausea, vomiting, stomach pain, dizziness, breast tenderness, tiredness and weakness, headache, menstrual changes, and diarrhea may occur. If any of these effects persist or worsen, notify your doctor. Tell your doctor immediately if any of these serious side effects occur: low stomach/abdominal pain If you notice other effects not listed above, contact your doctor or pharmacist.

More Information

Do not share this medication with others. As with other oral contraceptives, this medication does not protect or prevent against HIV and other sexually transmitted diseases.

Plan B
		Plan B 8 pills x 0.75 mg	$71.6
		Plan B 16 pills x 0.75 mg	$123.34
		Plan B 24 pills x 0.75 mg	$159.2

	Package	Price	Per Item	Savings	Order
	Aygestin 30 pills x 5 mg	$40.57	$1.35	$0
	Aygestin 60 pills x 5 mg	$70.03	$1.17	$12
	Aygestin 90 pills x 5 mg	$90.63	$1.01	$31

Aygestin
	Aygestin (Norethindrone) is a progestin hormone used for treating certain menstrual problems or uterine problems.

Drug Name

Aygestin (Norethindrone)

Drug Uses

Aygestin is used for treating certain menstrual problems or uterine problems (e.g., abnormal bleeding, endometriosis). It may also be used for other conditions as determined by your doctor.

How to use

Use Aygestin as directed by your doctor.

• Take Aygestin by mouth with or without food.
• Take Aygestin at the same time every day, with doses not more than 24 hours apart.
• Ask your health care provider any questions you may have about how to use Aygestin.

Drug Class and Mechanism

Aygestin is a progestin hormone. It works by altering the lining of the uterus.

Missed Dose

If you miss a dose of Aygestin and are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Storage

Store Aygestin at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Aygestin out of the reach of children and away from pets.

Warnings/Precautions

Do not use Aygestin if:

• you are allergic to any ingredient in Aygestin;
• you are pregnant or think you may be pregnant;
• you have undiagnosed abnormal vaginal bleeding or are postmenopausal;
• you have a history of blood clotting problems, severe blood clots (e.g., in the lungs, legs, eyes), certain blood vessel problems (e.g., bleeding in the brain, heart attack, stroke), or breast cancer;
• you have decreased liver function or active liver disease.

Contact your doctor or health care provider right away if any of these apply to you.

Important:

• Aygestin may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Aygestin with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Aygestin may cause dark skin patches on your face. Avoid the sun, sunlamps, or tanning booths until you know how you react to Aygestin. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
• Aygestin may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Aygestin.
• Diabetes patients - Aygestin may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Aygestin should not be used in children; safety and effectiveness in children have not been confirmed.
• Pregnancy and breast-feeding: Do not use Aygestin if you are pregnant. If you think you may be pregnant, contact your doctor right away. Aygestin is found in breast milk. If you are or will be breast-feeding while you use Aygestin, check with your doctor. Discuss any possible risks to your baby.

Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:

• acne; changes in menstrual flow, including breakthrough bleeding, spotting, or missed periods; dizziness; drowsiness; fever; headache; hot flashes; nausea; nervousness; pain; rash; stomach pain; trouble sleeping; weakness; weight gain or loss.

Seek medical attention right away if any of these severe side effects occur:

• severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; depression; lumps in the breast or under the armpits; migraine headache; partial or complete loss of vision or changes in vision; shortness of breath; slurred speech; sudden loss of coordination; sudden or severe headache; sudden severe headache, dizziness, vomiting, or fainting; swelling of fingers or ankles; tenderness, pain, or swelling of the calf; weakness, numbness, or pain in the arms or legs; yellowing of the skin or eyes.

More Information

Aygestin is to be used only by the patient for whom it is prescribed. Do not share it with other people.

If your symptoms do not improve or if they become worse, check with your doctor.

Aygestin
		Aygestin 30 pills x 5 mg	$40.57
		Aygestin 60 pills x 5 mg	$70.03
		Aygestin 90 pills x 5 mg	$90.63

	Package	Price	Per Item	Savings	Order
	Alesse 56 pills x 0.12 mg	$40.56	$0.73	$0
	Alesse 84 pills x 0.12 mg	$53.42	$0.64	$8

Alesse
	Alesse (Levonorgestrel/ Ethinyl Estradiol) works by preventing ovulation (the release of an egg from an ovary) and causing changes in the mucus of the cervix which make it difficult for sperm to penetrate and for an egg to implant.

Drug Name

Alesse(Levonorgestrel/ Ethinyl Estradiol)

Drug Uses

Alesse is a progestin (levonorgestrel) and estrogen (ethinyl estradiol) combination birth control pill used to prevent pregnancy.

How to use

Use Alesse as directed by your doctor.

• Take Alesse by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• Begin taking Alesse on the first Sunday following the start of your period, unless otherwise directed by your doctor. If your period begins on a Sunday, begin taking Alesse on that day. Try to take Alesse at the same time every day, not more than 24 hours apart. After taking the last pill in the pack, start taking the first pill from a new pack the very next day.
• For Alesse to be effective it must be taken every day. Do not skip doses. Ask your health care provider any questions you may have about how to use Alesse.

Drug Class and Mechanism

Alesse works by preventing ovulation (the release of an egg from an ovary) and causing changes in the mucus of the cervix which make it difficult for sperm to penetrate and for an egg to implant. This medication may also be used to treat acne in women 14 years of age and older or to regulate the menstrual cycle.

Missed Dose

If you miss a dose of Alesse and remember it on the same day, take it as soon as possible and go back to your regular dosing schedule. If you do not remember until the next day or if you miss more than 1 dose of Alesse, see the additional patient information leaflet that comes with Alesse or contact your doctor for further instructions. You may need to use an extra form of birth control (e.g., condoms). If you are not sure about how to handle missed doses of Alesse, use an extra form of birth control (e.g., condoms) until you talk with your doctor.

Storage

Store Alesse at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Alesse out of the reach of children and away from pets.

Warnings/Precautions

Do not use Alesse if:

• you are allergic to any ingredient in Alesse;
• ou are or suspect that you are pregnant;
• you have had surgery and are confined to a bed or a chair for an extended period of time.

Contact your doctor or health care provider right away if any of these apply to you.

Important :

• Alesse may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Alesse with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Follow your doctor’s instructions for examining your own breasts, and report any lumps immediately.
• If you will be having surgery or will be confined to a bed or chair for a long period of time (such as a long plane flight), notify your doctor 3 to 4 weeks ahead of time. Special precautions may need to be taken in these circumstances while taking Alesse.
• Alesse may cause dark skin patches on your face. Exposure to the sun may make these patches darker. If patches develop, use a sunscreen or protected clothing when exposed to the sun, sunlamps, or tanning booths.
• Use of Alesse will not protect against HIV infection or prevent the spread of sexually transmitted diseases (STDs).
• Bleeding or spotting may occur while taking Alesse. Do not stop taking Alesse if this occurs. If bleeding or spotting continues for more than 7 days or is heavy, contact your doctor.
• Alesse may interfere with certain lab tests. Be sure your doctor and lab personnel know you are using Alesse.
• Taking certain antibiotics, anticonvulsants, or other medicines, as listed in the interactions section, while you are using Alesse may decrease the effectiveness of Alesse . To prevent pregnancy, use an additional form of birth control until your next period.
• If you wear contact lens and you develop problems with them, contact your doctor.
• If you miss your period during the week of inactive pills, call your doctor immediately. A missed period may indicate that you are pregnant.
• Pregnancy and breast-feeding: Do not use Alesse if you are pregnant. Avoid becoming pregnant while you are taking it. If you think you may be pregnant, contact your doctor right away. Alesse is found in breast milk. Do not breast-feed while taking Alesse.

Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:

• acne; breast tenderness or enlargement; changes in appetite; changes in sexual interest; changes in weight; dizziness; hair loss; headache; nausea; stomach cramps or bloating; unusual spotting or bleeding; vomiting.

Seek medical attention right away if any of these severe side effects occur:

• severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); breast discharge; breast lumps; calf/leg pain, swelling, or tenderness; change in amount of urine produced; change in vaginal secretions; changes in vision or speech; confusion; coughing of blood; crushing chest pain or heaviness in the chest; dark-colored urine; depression; difficulty sleeping; difficulty wearing contact lenses; fainting; fluid retention (swelling of the fingers and ankles); lack of energy; light-colored bowel movements; mental or mood changes; missed menstrual period; numbness of an arm or leg; one-sided weakness; persistent headache or migraines; persistent or recurrent abnormal vaginal bleeding; persistent or severe dizziness; severe pain or tenderness in the stomach; sudden partial or complete loss of vision; sudden severe headache or vomiting; shortness of breath; tiredness; vaginal irritation or discharge; weakness; yellowing of the skin or eyes.

More Information

Alesse is to be used only by the patient for whom it is prescribed. Do not share it with other people.

If your symptoms do not improve or if they become worse, check with your doctor.

Alesse
		Alesse 56 pills x 0.12 mg	$40.56
		Alesse 84 pills x 0.12 mg	$53.42