What is the XULANE Savings Card?
It's a savings offer that may be able to reduce your out-of-pocket costs on XULANE prescriptions to as little as $0 on your first prescription fill and $15 on each subsequent prescription fill. Eligible patients who have commercial health insurance may receive up to $100 off the first 28-day prescription fill of XULANE. For subsequent fills, eligible patients who have commercial health insurance, and pay $15 on each subsequent fill, may receive up to $25 off each 28-day prescription fill of XULANE, up to an aggregate maximum of $425 per calendar year. You can print the savings offer from your computer or store it on your smartphone and present it to your pharmacist. Just present your card at the pharmacy each time you drop off or refill your prescription.
Use it again and again.
The XULANE Savings Card may be used for up to fourteen (14) times per calendar year.
See if you are eligible.
Complete the following question to find out whether you are eligible. Restrictions apply. See below for full Terms and Conditions.

* = Required Fields

* Do you have:

If you do not have insurance, you are not eligible to use XULANE Savings Cards.
We cannot provide you with a Savings Card. Please call 800-796-9526 for more information.
If you are covered by Medicare, Medicaid, or any other state or federally funded benefit program, you are not eligible to use the VIATRIS ADVOCATE Savings Cards.

* Your age:

If you are under 18 years of age, you are unable to apply for a VIATRIS ADVOCATE Savings Card.

Congratulations! You may be eligible to receive the XULANE Savings Card. Please complete the following fields and click "Submit" to confirm and receive your card.

Your Information






XULANE® (norelgestromin and ethinyl estradiol transdermal system) 150/35 mcg per day Savings Card Terms and Conditions

This Savings Card may be used to reduce the amount of your out-of-pocket costs for XULANE (norelgestromin and ethinyl estradiol transdermal system) 150/35 mcg per day up to a maximum of $100 per 28-day prescription for the first fill, and then for subsequent fills, up to a maximum of $25 per 28-day prescription after you pay the first $15 per 28-day prescription, while this program remains in effect. No other purchase is necessary. This offer may be used for up to a total of 14 (28-day) fills per calendar year, with an aggregate savings cap of $425 per calendar year while this program remains in effect. Valid prescription with Prescriber ID# is required. Mylan Pharmaceuticals Inc., a Viatris Company, reserves the right to amend or end this program at any time without notice.

Eligibility Requirements: This Savings Card may be redeemed only by patients or patient guardians who are 18 years of age or older and who are residents of the United States and its territories. Patients must have commercial insurance. This program is not valid for uninsured patients (but may be used by commercially insured patients without coverage for XULANE) and patients who are covered by any state or federally funded healthcare program, including but not limited to any state pharmaceutical assistance program, Medicare (Part D or otherwise), Medicaid, Medigap, VA or DOD, or TRICARE (regardless of whether XULANE is covered by such government program); not valid if the patient is Medicare eligible and enrolled in an employer-sponsored health plan or prescription benefit program for retirees; and not valid if the patient's insurance plan is paying the entire cost of this prescription. This program is void outside the US and its territories or where prohibited by law, taxed, or restricted. Absent a change in Massachusetts law, this program will no longer be valid for Massachusetts residents after January 1, 2026. This program is not valid for residents of California.

This Savings Card is not health insurance. This Savings Card is not transferable, and the amount of the savings cannot exceed the patient's out-of-pocket costs. This Savings Card cannot be combined with any other rebate/coupon, cash discount card, free trial, or similar offer for the specified prescription. This Savings Card is not redeemable for cash.

NOTICE: Data related to your use of this Savings Card may be collected, analyzed and shared with Mylan Pharmaceuticals Inc., a Viatris Company, for market research and other purposes related to assessing coupon programs. Data shared with Mylan Pharmaceuticals Inc., a Viatris Company, will be aggregated and de-identified, meaning it will be combined with data related to other savings card redemptions and will not identify you.

Patient Instructions: By using this Savings Card, you hereby accept and agree to abide by these terms and conditions. Further, you acknowledge and agree that you currently meet the eligibility criteria and other requirements described herein every time you use this Savings Card and that you understand and will comply with the following additional terms and conditions:

Pharmacist Instructions: When you accept this Savings Card, you are certifying that you have received this Savings Card from an eligible patient; you have received a valid prescription for XULANE for an eligible patient; you have dispensed the product as indicated; you have not submitted and will not submit a claim for reimbursement under any federal, state or other governmental programs for this prescription; and you will otherwise comply with these terms and all applicable terms and conditions. You further certify that your participation in this program is consistent with all applicable state laws and any obligations, contractual or otherwise, that you have as a pharmacy provider, and that you will report the use of this Savings Card to the patient's insurer if required.