Each month, change your Twirla patch for 3 straight weeks, and go patch free for 1 week. During your "off" week, you'll likely get your period.
You could pay as little as $0 for your first month of Twirla with commercial insurance.
No insurance? Pay $50/month for Twirla.
Fill out our online health form ($20 doctor fee applies)
Doctor reviews & writes prescription
FREE Delivery of birth control
|Frequency of use|
|Covered by insurance|
|Price without insurance|
|Type of birth control|
|Combination hormonal||Combination hormonal||Combination hormonal & progestin only|
|Number of yearly deliveries|
How does the Twirla patch work?
Twirla is a combination birth control contraceptive patch for women with a BMI less than 30 kg/m2 who may become pregnant. Twirla may not be as effective in women with a BMI of 25 kg/m2 or more. It is a patch containing two hormones called estrogen and progestin. These two hormones primarily work by stopping the release of an egg from an ovary.
Twirla vs Xulane/Zafemy: How do they compare?
Twirla is a 28 cm2 circular patch, and Xulane, the generic brand of Ortho Evra, is a 14 cm2 square-like patch. Zafemy is another generic of Ortho Evra and is a 12.5 cm2 square-like patch. Additionally, Xulane and Zafemy have a different combination of active ingredients and a higher delivered estrogen dose than Twirla. Without insurance, a Twirla prescription costs $50 per month, and a Xulane prescription starts at $150 per month.
How effective is Twirla?
Twirla is a birth control patch for women with a BMI less than 30 kg/m2 who can become pregnant. It may not be as effective in women with a BMI of 25 kg/m2 or more. In a clinical study, Twirla demonstrated 95% effectiveness at preventing pregnancy.
Where should/can I place the Twirla patch?
Twirla can be applied to 1 of 3 locations on the body: the abdomen, buttock, or upper torso excluding the breast. Do not place the patch on your waistline or near clothing undergarment seams. Do not place the patch on the breasts, on cut or irritated skin (rashes or other skin problems), or on the same location as the old patch.