Annovera ring for birth control - prescription online
Annovera is a long-lasting, procedure-free birth control ring that lasts a year. Get a new prescription or refill of Annovera from a board-certified primary care doctor online.*
Book an appointmentDiscreet and confidential birth control consultations
FDA-approved to prevent pregnancy
Vaginal birth control ring with easy insertion and removal
*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card.
About Annovera vaginal ring
Annovera is a vaginal ring used for birth control that contains two hormones, segesterone acetate (a progestin) and ethinyl estradiol, which are slowly released into the vagina.
Annovera ring is FDA-approved to prevent pregnancy and is available only by prescription. It is not available in a generic formulation, but there are severe monthly vaginal contraceptive rings that are available as generics.
Be sure to use the ring exactly as prescribed by your doctor. It’s always important to follow the specific instructions on your prescription, as they can vary based on why your doctor is prescribing it.
If you do not use your ring exactly as prescribed, it may not be as effective in preventing pregnancy.
Annovera uses
There is one FDA-approved use for Annovera - pregnancy prevention
Pregnancy prevention
Annovera is FDA-approved to prevent pregnancy. Annovera, a combination hormonal contraceptive, is a reusable ethinyl estradiol vaginal system that can be used for up to one year.
Annovera ring side effects
The side effects associated with taking Annovera are typically mild and may include:
Nausea, vomiting, and stomach pain
Headache
Breast tenderness
Irregular vaginal bleeding
Vaginal yeast infection or vaginal discharge
Urinary tract infection (UTI)
Other side effects, which are less common but might be more severe, could include:Blood clots
High blood pressure
You should call your doctor if any adverse effects occur, or if you develop any other new or concerning symptoms. The use of Annovera is not advised in children who have not yet begun menstruating (pre-menarche).
How to use Annovera
Your doctor will provide you with instructions on how to use your Annovera prescription. Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.
In general, the vaginal ring should be inserted into your vagina and left in for 21 days in a row. After 21 days, remove Annovera for seven days. This will allow your body to have a menstrual period. Sometimes a doctor may recommend using Annovera for more than 21 days continuously.
Avoid leaving the Annovera ring out for over two hours during your 21-day cycle. Annovera birth control will not effectively prevent pregnancy if you only use it during intercourse.
What to avoid while using Annovera birth control ring
Annovera may interact with other medications or supplements, as well as over-the-counter drugs. Be sure to discuss any other medications or supplements you are taking with your doctor or pharmacist to ensure Annovera will be safe and effective for you.
Possible drug interactions with Annovera include:
St. John's wort
Antifungal medicine
Antibiotic medicine
Antiviral medicine used to treat HIV/AIDS or hepatitis C
Blood pressure medication
Thyroid medicine
It is safe to drink alcohol while using Annovera birth control.
Avoid using oil-based vaginal products, such as creams and gels, while using Annovera, as these can damage the ring. Instead, use water-based lubricants. Annovera does not protect against sexually transmitted infections or diseases.
Medication alternatives to Annovera
If your healthcare provider prefers to put you on another treatment altogether, they may suggest other hormonal birth control methods such as the following:
Pregnancy prevention
Annovera birth control ring FAQs
How much does Annovera cost?
The cost of the Annovera birth control ring depends on your pharmacy and insurance plan. Fortunately, birth control is free or low-cost with most health insurance plans. Many birth control options are also available at family planning or sexual/reproductive health clinics.
How can I refill my Annovera prescription?
To refill your Annovera prescription, book a virtual appointment with a board-certified PlushCare doctor. After reviewing your medical history, your doctor can send an electronic prescription to your local pharmacy.
What type of birth control is Annovera?
Annovera is a hormonal birth control method. The Annovera ring releases segesterone acetate and ethinyl estradiol to prevent pregnancy.
Is Annovera covered by medical insurance?
Yes, Annovera birth control and other birth control methods are usually free or low-cost with health insurance.
What company makes Annovera?
Annovera is made by TherapeuticsMD.
What is the difference between Annovera and NuvaRing?
Annovera and Nuvaring are both ethinyl estradiol vaginal systems. However, they release different forms of progesterone. Annovera contains segesterone acetate, while Nuvaring contains etonogestrel. In addition, the Annovera ring is used for a year, while the NuvaRing is exchanged for a new ring each month.
Who should not take Annovera?
Avoid taking Annovera birth control if you have certain health conditions, such as:
Undiagnosed abnormal uterine bleeding
Uncontrolled high blood pressure, heart problems, or coronary artery disease
Liver disease or liver tumors
Hormone-related cancer, such as breast cancer
Avoid using a combination hormonal contraceptive if you smoke cigarettes, are over 35, or if you have any active genital infections.
What happens if I forget to replace Annovera or take it differently than prescribed?
Call your healthcare provider if you're off schedule or if you have abdominal pain or trouble removing your vaginal ring.
3 simple steps to request your Annovera prescription today
![Step 1: Book an appointment](https://images.ctfassets.net/93dxz9nwxioo/qt92VznfNuTEDXOZzoh61/87980737ef20fae409214f93719e0b37/step1.jpg?fm=avif&q=65&w=750)
Step 1
Book an Annovera prescription request appointment.
Book a same day appointment from anywhere.
![Step 2: Visit with a doctor on your smartphone](https://images.ctfassets.net/93dxz9nwxioo/2D9XZaum9S4B0CRrr4kIsh/384b9ac6426e5ccad96ae4d99d6025f3/step2.jpg?fm=avif&q=65&w=640)
Step 2
Talk to your medical provider regarding your Annovera prescription.
Visit with a doctor on your smartphone or computer.
![Step 3: pick up at local pharmacy](https://images.ctfassets.net/93dxz9nwxioo/6ooloWzVDmoond6VsrSsX6/0fa0f8fc7c37638745e6fa1ce37bc1d7/step3.jpg?fm=avif&q=65&w=750)
Step 3
Pick up your birth control.
We can send prescriptions to any local pharmacy.
Annovera prescription pricing details
How pricing works
To get a new or refill on your Annovera prescription, join our monthly membership and get discounted visits.
Paying with insurance
Membership
$16.99/month
First month free
Visits
Copay
30 days of free membership
Same-day appointments 7 days a week
Unlimited messages with your Care Team
Prescription discount card to save up to 80%
Exclusive discounts on lab tests
Free memberships for your family
Cancel anytime
Visit price with insurance
Often the same as an office visit. Most patients with in-network insurance pay $30 or less!
We accept these insurance plans and many more:
Paying without insurance
Membership
$16.99/month
First month free
Visits
$129
30 days of free membership
Same-day appointments 7 days a week
Unlimited messages with your Care Team
Prescription discount card to save up to 80%
Exclusive discounts on lab tests
Free memberships for your family
Cancel anytime
Visit price without insurance
Initial visits are $129.
If we're unable to treat you, we'll provide a full refund.
Annovera prescription resources
Sources:
PlushCare is dedicated to providing you with accurate and trustworthy health information
Food and Drug Administration. Annovera prescription label. Accessed on October 21, 2022. https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/209627s000lbl.pdf
Food and Drug Administration. FDA approves new vaginal ring for one year of birth control. Accessed on October 21, 2022. https://www.fda.gov/news-events/press-announcements/fda-approves-new-vaginal-ring-one-year-birth-control
National Library of Medicine. Long-Lasting, Patient-Controlled, Procedure-Free Contraception: A Review of Annovera with a Pharmacist Perspective. Accessed on October 21, 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7558341/
PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.