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Nextstellis Price, Coupons and Savings
- U.S. list price
- $686.16 for 90 days (90 tablets)The maker's price for brand Nextstellis before discounts · Source: Texas DSHS 2026 WAC report
- Lowest international online pharmacy price
- $0.76 per tablet$68.82 for 90 days (90 tablets), plus shipping (fee not published) · brand Nextstellis 3 mg/14.2 mg, not FDA-approved · ships from Canada
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Quick answerAs of Nov 11, 2026, brand Nextstellis costs from $134.18 for 90 days at licensed pharmacies abroad we compared, vs. about $686.15 at the U.S. list price ($213.47 per 28-tablet pack). Many U.S. plans must cover FDA-approved birth control with no copay.
Name check: Nextstellis pairs drospirenone with estetrol, a different estrogen from the one in Yaz and Yasmin. Slynd has drospirenone alone. They are separate pills.
Compare Nextstellis prices from licensed online pharmacies
For comparison U.S. pharmacy list price: $686.16 for 90 days ($7.62 per tablet), brand Nextstellis before insurance. The prices below are from licensed online pharmacies outside the U.S.
| Pharmacy | Medication | Price | Shipping & delivery | Total (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per tabletOnline pharmacy A | Nextstellis3 mg/14.2 mg · brand · Filled in CanadaProduct of Canada | $64.23for 84 tablets$0.76 per tablet | Fee not publishedDelivery time not stated | $64.23 for 84 days= $68.82 for 90 days+ shippingSave 90%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Nextstellis3 mg/14.2 mg · brand · Filled in CanadaProduct of Canada | $74.99for 84 tablets$0.89 per tablet | Fee not publishedDelivery time not stated | $74.99 for 84 days= $80.35 for 90 days+ shippingSave 88%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Nextstellis3 mg/14.2 mg · brand · Filled in CanadaProduct of Canada | $115.28for 84 tablets$1.37 per tablet | $9.95Delivery time not stated | $125.23 for 84 days= $134.18 for 90 daysSave 80%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | NEXTSTELLIS3 mg/14.2 mg · brand · Filled in AustraliaProduct of Australia | $136.27for 84 tablets$1.62 per tablet | FreeDelivery time not stated | $136.27 for 84 days= $146 for 90 daysSave 79%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | NEXTSTELLIS3 mg/14.2 mg · brand · Filled in CanadaProduct of Canada | $152.99for 84 tablets$1.82 per tablet | FreeDelivery time not stated | $152.99 for 84 days= $163.92 for 90 daysSave 76%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | NEXTSTELLIS 3MG/14.2MG TABLET 84 (BRAND FROM AUSTRALIA)3 mg/14.2 mg · brand · Filled in AustraliaProduct of Australia | $165for 84 tablets$1.96 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $179.95 for 84 days= $192.80 for 90 daysSave 72%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | Nextstellis (Drospirenone, Estetrol)3 mg/14.2 mg · brand · Filled in CanadaMaker listed by pharmacy: Searchlight Pharma | $187.44for 84 tablets$2.23 per tablet | FreePharmacy's estimate: 2–3 weeks | $187.44 for 84 days= $200.83 for 90 daysSave 71%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed Canadian pharmacy G | Nextstellis3 mg/14.2 mg · brand · Filled in CanadaMaker listed by pharmacy: Searchlight Pharma | $197.32for 84 tablets$2.35 per tablet | $9.95Pharmacy's estimate: 3–6 weeks | $207.27 for 84 days= $222.08 for 90 daysSave 68%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | NEXTSTELLIS 3MG/15MG (EQUIVALENT 14.2MG) TABLET 84 (BRAND FROM CANADA)3 mg/14.2 mg · brand · Filled in CanadaProduct of Canada | $235for 84 tablets$2.80 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $249.95 for 84 days= $267.80 for 90 daysSave 61%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy H | Nextstellis3 mg/14.2 mg · brand · Filled in CanadaMaker listed by pharmacy: Searchlight Pharma | $267for 84 tablets$3.18 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $276.95 for 84 days= $296.73 for 90 daysSave 57%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy IU.S. shipping limited | Nextstellis (Drospirenone/Estetrol)3 mg/14.2 mg · brand · Filled in CanadaProduct of Canada | $200for 84 tablets$2.38 per tablet | $14.95Pharmacy's estimate: 8–14 business days | $214.95 for 84 days= $230.30 for 90 daysSave 66%Worked out from an 84-day orderChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
No prices match those filters.
Buying from a pharmacy outside the U.S.? Read Is it safe to order Nextstellis from Canada?
90-day cost = 90 tablets at the usual dose of 1 a day, bought as one order of whole packs with one shipping fee. 90-day cost is worked out from each pharmacy's real order size so different pack sizes compare fairly. Orders are kept within a 3-month supply (92 days); a pack that is larger than that is marked and not used for the lowest price at the top of this page. Prices checked Nov 11, 2026 on each pharmacy's website, in U.S. dollars. Savings compare with the U.S. list price. The lowest price at the top of this page uses only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price is the pharmacy's own price for one pack, as shown on its website (converted to U.S. dollars when it prices in Canadian dollars). Delivery is the pharmacy's own estimate for the shipping option shown, not a promise; some pharmacies count from when they receive your prescription or ship the order. Total = the packs needed + shipping. When those packs don't add up to exactly 90 days, the row shows what that order costs and, under it, what it works out to for 90 days; we sort by the 90-day amount so pack sizes compare fairly. Prices change often; confirm at checkout. “Fee not published” means the pharmacy doesn’t show its shipping fee before checkout, so that row’s total is the medicine price only.
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Join to See PharmaciesAlready a member? Sign inNextstellis price by strength
| Strength | Lowest brand90 days | Price per tablet |
|---|---|---|
| Nextstellis 3 mg/14.2 mg | $134.18 | $1.37 |
Lowest 90-day cost with shipping at licensed pharmacies shipping to the U.S. now, counting only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price per tablet is for that lowest pack, before shipping. Prices checked Nov 11, 2026.
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90-day prices from 6 licensed pharmacies shipping to the U.S.: $134.18 to $296.73, any strength, shipping included.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Nextstellis · Similar drugs · Uses · FAQ
Nextstellis (drospirenone and estetrol) is a birth control pill sold in 28-day packs. No generic is sold in the U.S.
Nextstellis cost at a glance
- U.S. list price: $213.47 per 28-tablet pack of Nextstellis (one pack lasts 28 days), or about $686.15 for 90 days. This is the maker's wholesale price before discounts (Texas DSHS).
- No generic Nextstellis in the U.S. Drugs@FDA lists no generic drospirenone and estetrol tablets, and the maker says Nextstellis has no generic equivalent (Mayne Pharma).
- With private insurance: many plans must cover FDA-approved birth control with no copay when you use an in-network provider (HealthCare.gov). If you have a copay, Mayne Pharma's copay card may lower it; limits apply, and the offer ends December 31, 2026.
- With Medicaid: Medicaid must cover family planning supplies, including birth control, with no cost sharing (CMS).
- How we count: 1 tablet a day. Each 28-tablet pack has 24 active pills and 4 inactive pills, so 90 days is a little over 3 packs.
- From online pharmacies abroad: $134.18 to $296.73 for 90 days of brand Nextstellis, shipping included (checked Nov 11, 2026). The U.S. list price works out to about $686.15 for 90 days.
How much does Nextstellis cost in the U.S.?
| If you have | What Nextstellis costs | Source |
|---|---|---|
| No insurance (list price) | $213.47 per 28-tablet pack of Nextstellis (about $686.15 for 90 days). Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| Private or employer insurance | Many plans must cover FDA-approved birth control prescribed by your provider with no copay, even before you meet your deductible, when you use an in-network provider. Ask your plan whether Nextstellis is covered. | HealthCare.gov |
| Private or employer insurance (copay card) | If your commercial plan covers Nextstellis and you have a copay, Mayne Pharma's copay card may lower it. Maximum limits apply, and the offer ends December 31, 2026. | Mayne Pharma |
| Medicare Part D | What you pay depends on your plan. The Nextstellis copay card can't be used with Medicare. | Medicare.gov |
| Medicaid | Medicaid must cover family planning supplies, including birth control, with no cost sharing. Ask your state Medicaid plan whether Nextstellis is covered. The copay card can't be used with Medicaid. | CMS |
Nextstellis lists at $213.47 for a 28-tablet pack, about $7.62 a tablet (Texas DSHS). List prices are what makers charge wholesalers. What a pharmacy charges you can be higher or lower, and many insured people pay nothing for covered birth control.
Nextstellis cost with Medicare in 2026
In 2026, Part D plans can charge a deductible of up to $615, and once your out-of-pocket spending on covered Part D drugs reaches $2,100, you pay nothing more for covered drugs for the rest of the year. Whether your plan covers Nextstellis, and what you pay, depends on the plan. The Nextstellis copay card can't be used with Medicare.
| Medicare Part D | What Nextstellis costs | Source |
|---|---|---|
| Part D deductible | No Medicare drug plan may have a deductible above $615 in 2026. Some plans have none. | Medicare.gov |
| Yearly out-of-pocket cap | Once your out-of-pocket spending on covered Part D drugs reaches $2,100 in 2026, you pay nothing more for covered drugs that year. | Medicare.gov |
Nextstellis coupons and savings programs
We show the programs that usually fit, cheapest first where we know the price. Private insurance means a plan through work or one you buy yourself. Programs set their own rules, so check the terms before you count on one. We don't save this choice.
Checking more than one medicine? Use the free Medicare Drug Cost Check.
eDrugSearch does not offer its own Nextstellis coupons. These are the real savings programs, run by the drug's maker and by Medicare:
- Nextstellis Copay Card (Mayne Pharma): for people with commercial insurance, including exchange plans, that covers Nextstellis. It can lower your out-of-pocket cost at participating U.S. retail pharmacies; maximum limits apply, and you must meet your plan's deductible and any prior authorization. Not for Medicare, Medicaid, TRICARE or other government programs, or for cash payers. Expires December 31, 2026. Call InfinityRx at 1-888-927-3499. (Copay card terms)
- Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
- Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
Is there a generic Nextstellis?
No. No generic Nextstellis is sold in the U.S. Drugs@FDA lists Mayne Pharma's Nextstellis (NDA 214154, approved April 15, 2021) as the only drospirenone and estetrol tablet, with no generic applications.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 3 mg/14.2 mg | No | — |
Outside the U.S.: Online pharmacies abroad may sell drospirenone and estetrol under other names made for other markets. Packs made for other countries are not FDA-approved.
Source: Drugs@FDA: Nextstellis (NDA 214154). As of Nov 11, 2026.
Compare Nextstellis with similar drugs
Other birth control pills people often compare with Nextstellis. Slynd has drospirenone alone, Natazia uses estradiol valerate, and Seasonique is an extended-cycle pill. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Slynddrospirenone | Birth control pill (progestin-only) | $133.73 for 90 days | See prices |
| Nataziaestradiol valerate and dienogest | Birth control pill (combination oral contraceptive) | $101.73 for 90 days | See prices |
| Seasoniquelevonorgestrel and ethinyl estradiol; ethinyl estradiol | Birth control pill (extended-cycle combination pill) | $102.81 for 90 days | See prices |
Lowest 90-day price including shipping, from licensed pharmacies shipping to the U.S., any strength. Only your doctor can decide whether another drug is right for you.
What is Nextstellis used for?
Nextstellis combines drospirenone (a progestin) and estetrol (an estrogen) in one pill. According to its FDA label (DailyMed), it is used:
- To prevent pregnancy in females who can become pregnant.
Each pack holds 24 pink active tablets (3 mg drospirenone and 14.2 mg estetrol) and 4 white inactive tablets, taken one a day in order. The label says Nextstellis may work less well in people with a BMI of 30 or more. Boxed warning: the label carries the FDA's strongest warning. Smoking raises the risk of serious heart and blood vessel problems from combined birth control pills, so women over 35 who smoke should not use Nextstellis. Your prescriber decides which medicine is right for you.
Is it safe to order Nextstellis from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Nextstellis, check your insurance's no-copay birth control coverage first. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress has said enforcement against individuals should focus on imports that pose a significant threat to public health (Federal Food, Drug, and Cosmetic Act section 804(j)(1), 21 U.S.C. 384(j)(1)). You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. In Canada, Nextstellis is sold under the same name by Searchlight Pharma (Health Canada).
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Frequently asked questions
How much is Nextstellis without insurance?
The U.S. list price is $213.47 per 28-tablet pack, in the maker's 2026 price filing, or about $686.15 for 90 days. Licensed pharmacies abroad charged from $134.18 for 90 days of brand Nextstellis in our latest check (Nov 11, 2026). The maker's copay card can't be used by people paying cash.
Is there a generic Nextstellis?
No. Drugs@FDA lists no generic drospirenone and estetrol tablets, and the maker says Nextstellis has no generic equivalent. Yaz and Yasmin contain drospirenone but with a different estrogen, so they aren't generic Nextstellis.
Is there a Nextstellis coupon or savings card?
Yes, for people with commercial insurance that covers Nextstellis. Mayne Pharma's copay card can lower your out-of-pocket cost at participating pharmacies, with maximum limits, through December 31, 2026. It can't be used with Medicare, Medicaid or TRICARE, or by cash payers. Call 1-888-927-3499.
Does insurance cover Nextstellis for free?
Many plans must cover FDA-approved birth control with no copay when you use an in-network provider, but each plan has its own drug list. Ask your plan whether Nextstellis is on it. If you have a copay, the Nextstellis copay card may lower it.
Does Medicaid cover Nextstellis?
Medicaid must cover family planning supplies, including birth control, with no cost sharing. Ask your state Medicaid plan whether Nextstellis is covered. The copay card can't be used with Medicaid.
How is Nextstellis different from Yaz?
Both contain drospirenone, but Nextstellis pairs it with estetrol, while Yaz uses ethinyl estradiol. They are different pills with separate prices. Your prescriber decides which medicine is right for you.
Sources
- Texas DSHS: 2026 annual WAC report (Nextstellis 28-tablet pack $213.47 (NDC 51862-0258-01))
- NEXTSTELLIS U.S. prescribing information (DailyMed) (Mayne Pharma, incl. boxed warning)
- Drugs@FDA: Nextstellis (NDA 214154) (approved April 15, 2021; no generic applications, checked 2026-11-11)
- Mayne Pharma: Nextstellis copay card terms (commercial only, maximum limits, expires December 31, 2026, checked 2026-11-11)
- Nextstellis: savings ('no generic equivalent and cannot be substituted', checked 2026-11-11)
- HealthCare.gov: birth control benefits
- CMS: Medicaid family planning coverage bulletin (Aug 8, 2024)
- Health Canada Drug Product Database: Nextstellis (DIN 02513218, Searchlight Pharma, marketed, checked 2026-11-11)
- Medicaid.gov: cost sharing
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- Medicare.gov: Part D drug costs (deductible up to $615 and $2,100 out-of-pocket threshold in 2026)
- FDA: personal importation
eDrugSearch does not sell medication, and this is not medical advice. Prices change often; confirm the price at checkout. Talk with your doctor or pharmacist before changing how you get your medication.