Phexxi birth control prescription online 

Phexxi contraceptive gel is a type of birth control used for pregnancy prevention. Get a same-day prescription or refill of Phexxi from a caring, board-certified doctor online.*

Book an appointment

Request Phexxi in as little as 15 minutes, with or without insurance

Available as a gel

Convenient online Phexxi prescriptions

*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 Phexxi birth control

Phexxi is a non-hormonal birth control, which functions by maintaining vaginal pH at a level which reduces sperm motility. Phexxi consists of lactic acid, citric acid, and potassium bitartrate. Like any contraceptive this medication can only be used for pregnancy prevention. It is ineffective against sexually transmitted infections (STIs).

Phexxi is available only by prescription. It is only available as a brand-name medication and does not have a generic formulation.

Phexxi is prescribed as a vaginal gel. It’s always important to follow the specific instructions on your prescription medication.

If you are prescribed Phexxi, be sure to take the medication consistently as directed. Otherwise, the non-hormonal contraceptive gel may not fully protect against pregnancy.

Phexxi vaginal gel for contraception

Phexxi is only FDA-approved to prevent pregnancy. If you have questions about why a medication is prescribed, ask your online doctor or pharmacist.

  • Pregnancy prevention

    Phexxi is a vaginal gel that is used up to an hour before penis-in-vagina sex as a birth control method. It works by maintaining the acidity of the vagina and reducing the mobility of sperm, making it harder for them to fertilize an egg.

Phexxi birth control side effects

  • Like any medication, Phexxi may cause side effects in some individuals. Most Phexxi side effects are associated with vaginal discomfort. The most common side effects reported in clinical trials included:

    • Vaginal burning

    • Vaginal itching

    • Vaginal discharge

    • Vaginal pain


    Other possible side effects, which are less common but might be more severe, could include:

    • Urinary tract infection

    • Vaginal yeast infection

    • Bacterial vaginosis


    If you experience any serious side effects, including those of a severe allergic reaction, such as difficulty breathing, swelling of the face, lips, tongue, or throat, and hives, it is important to seek medical attention immediately, as it could be a medical emergency.

Phexxi birth control instructions

Phexxi is a non-hormonal, on-demand contraceptive gel that is inserted in the vagina before each episode of vaginal sex. Typical use instructions include:

  • Wash your hands before handling the applicator and gel.

  • Remove the applicator from the wrapper and hold it with the wider end up.

  • Shake the gel down into the wider end of the applicator.

  • Lie on your back with your knees bent and gently insert the applicator into your vagina as far as it will comfortably go.

  • Push the plunger all the way in to deposit the gel into your vagina.

  • Remove the applicator and dispose of it in the trash.

  • Wash your hands again.

It is important to use Phexxi before each episode of vaginal sex, up to a maximum of one dose per 24-hour period. The gel should be used as close to the time of intercourse as possible, but no more than an hour before.

It is also important to note that Phexxi does not protect against sexually transmitted infections, so it is recommended to use condoms or other forms of barrier protection in addition to Phexxi to reduce the risk of STIs.

Your doctor or pharmacist will provide you with specific instructions on how to take your Phexxi prescription. Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.

What to avoid while taking Phexxi

There are currently no known drug interactions with Phexxi. However, it is important to always inform your healthcare provider about all the medications, vitamins, and supplements you are taking to ensure the safe and effective use of Phexxi. This includes over-the-counter medications, prescription medications, and herbal products.

It is also important to note that certain medications or products, such as vaginal douches, may affect the pH of the vagina and could potentially decrease the effectiveness of Phexxi. Therefore, it is recommended to avoid using these products while using Phexxi.

If you have any concerns or questions about drug interactions with Phexxi, it is best to consult with your healthcare provider or pharmacist. Don’t change what you are taking without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs. 

Medication alternatives to Phexxi

If your healthcare provider prefers to put you on another treatment altogether, they may suggest another non hormonal birth control or a birth control in another drug class. Here are some common doctor-recommended alternatives based on your health issue.

Phexxi prescription FAQs

  • How much will my Phexxi prescription cost?

    The cost of Phexxi with insurance varies depending on your insurance coverage and which pharmacy you use. Typically, The cost for Phexxi vaginal gel (1%-1.8%-0.4%) is around $370 for a supply of 60 grams without any insurance coverage. Talk to your local pharmacist for a specific quote on Phexxi with your insurance plan.

  • How can I refill my Phexxi prescription?

    Phexxi is only available by prescription, so you will need to see a board-certified doctor to get a refill on your prescription. To get started, book a virtual appointment with one of our top rated board-certified doctors. After a qualifying evaluation, your prescription will be sent to your local pharmacy for pickup.

  • How often can you use Phexxi contraceptive gel?

    Phexxi is designed to be used before each instance of vaginal sex, up to a maximum of one dose per 24-hour period. Using Phexxi more frequently than recommended may increase the risk of side effects and decrease its effectiveness in preventing pregnancy.

  • Does Phexxi vaginal gel cause yeast infections?

    There is a possibility that Phexxi may increase the risk of developing a yeast infection, although it is not a common side effect. In clinical trials, the incidence of yeast infections was similar between those who used Phexxi and those who used the placebo.

    Phexxi works by maintaining vaginal pH within a range that is inhospitable to sperm and this can alter the balance of bacteria and yeast in the vagina. This change in pH could potentially increase the risk of developing a yeast infection, although this risk is generally low.

    If you experience symptoms of a yeast infection, such as itching, burning, or discharge, while using Phexxi vaginal gel, you should contact your healthcare provider. They can help determine the cause of your symptoms and recommend appropriate treatment. It is also important to note that if you have a history of recurrent yeast infections, you may want to discuss alternative contraceptive options with your healthcare provider.

  • Does Phexxi contraceptive gel have taste?

    Yes, Phexxi has a very tart taste due to its acidic formula that includes lactic acid, citric acid, and potassium bitartrate.

  • Can you use Phexxi with the pill?

    Yes, Phexxi can be used in combination with birth control pills for added protection against pregnancy. However, it is important to note that Phexxi is not a form of hormonal birth control and does not protect against sexually transmitted infections (STIs).

    Using multiple forms of contraception, such as Phexxi and the birth control pill, can provide added protection against unintended pregnancy. However, it is important to discuss any concerns or questions about contraception with your healthcare provider to determine the most appropriate and effective method for your individual needs.

  • Who should not use Phexxi birth control gel?

    Phexxi is a non-hormonal contraceptive gel that is FDA-approved for use in individuals who are of reproductive age and at risk of pregnancy. However, there are certain groups of people who should not use Phexxi:

    • Individuals who are pregnant or think they may be pregnant should not use Phexxi.

    • Individuals with a history of recurrent urinary tract infections, bladder infections or other urinary tract issues may want to discuss alternative contraceptive options with their healthcare provider.

    • Individuals with a history of recurrent bacterial vaginosis (BV) may want to discuss alternative contraceptive options with their healthcare provider.

    • Individuals with known hypersensitivity to any component of Phexxi should not use it.

    Before using Phexxi, it is essential to discuss your medical history and any current medications you are taking with your healthcare provider to determine if this form of contraception is safe and appropriate for you.

  • What happens if I miss a dose of Phexxi?

    Unlike hormonal birth control methods, Phexxi is not taken on a daily basis. Instead, it is used only when needed, specifically before each episode of vaginal intercourse. Therefore, there is no need to worry about missing a dose of Phexxi.

    However, it is important to note that Phexxi must be used every time before sexual activity in order to be effective at preventing pregnancy. If you have unprotected sex or do not use Phexxi as directed, there is a risk of unintended pregnancy.

  • What happens if I take too much Phexxi?

    Taking too much Phexxi may result in an overdose, which can cause serious side effects. Currently, there is little information on the effects of an overdose of Phexxi. However, if you suspect that you or someone else has taken too much Phexxi, seek emergency medical attention or call your local poison control center immediately.

3 simple steps to request your Phexxi prescription today 

Step 1: Book an appointment

Step 1

Book a Phexxi prescription request appointment.

Book a same day appointment from anywhere.

Step 2: Visit with a doctor on your smartphone

Step 2

Talk to your medical provider regarding your Phexxi prescription.

Visit with a doctor on your smartphone or computer.

Step 3: pick up at local pharmacy

Step 3

Pick up your Phexxi birth control.

We can send prescriptions to any local pharmacy.

Phexxi prescription pricing details

How pricing works

To get a new or refill on your Phexxi 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:

    • Humana
    • Aetna
    • Cigna

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.

Book an appointment

If we're unable to treat you, we'll provide a full refund.

Sources:

PlushCare is dedicated to providing you with accurate and trustworthy health information.

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.