Xulane birth control patch available online
If you're interested in pregnancy prevention, Xulane can help. Get a new prescription or refill of Xulane birth control patch from a board-certified doctor online.
Book an appointmentMedication services available for adults and kids (3+)
Top-quality, board-certified doctors
Insurance accepted but not required
*Prescriptions provided at the doctor’s discretion
Most major insurance plans accepted
Most patients with in-network insurance pay $30 or less. Paying without insurance? New patient visits are $129, and follow-ups are only $99 for members.
Don’t see your provider listed? Email [email protected] or call (888) 564-4454 to talk to a PlushCare specialist.
3 simple steps to request your Xulane patch today

Step 1
Book a Xulane patch request appointment.
Book a same day appointment from anywhere.

Step 2
Talk to your medical provider regarding your Xulane patch.
Visit with a doctor on your smartphone or computer.

Step 3
Pick up your Xulane patch.
We can send prescriptions to any local pharmacy.
Xulane patch pricing details
How pricing works
To get a new or refill on your Xulane prescription, join our monthly membership and get discounted visits.
Paying with insurance
Membership
$14.99/month
First month free
First visit
Copay
For all visits
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
$14.99/month
First month free
First visit
$129
Repeats only $99
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 and follow-ups are only $99 for active members.
If we're unable to treat you, we'll provide a full refund.
About Xulane birth control patch
Xulane is a birth control patch that you wear on your skin to prevent pregnancy. Xulane contains two hormones, estrogen, and progestin, which are absorbed through the skin. Xulane prevents pregnancy by stopping the ovaries from ovulating and releasing eggs.
Xulane is a type of hormonal birth control prescribed for pregnancy prevention. Xulane is available only by prescription. It is available in a generic formulation under different brand names, including norelgestromin and ethinyl estradiol.
Xulane may be prescribed as a birth control path. It’s always important to follow the specific instructions on your prescription, as they can vary based on the formulation and dosage prescribed.
If you're prescribed Xulane, complete the entire course of hormonal birth control unless your doctor specifically tells you to stop. If you don’t complete your prescription, the prescription birth control patch may not be as effective at preventing pregnancy.
Xulane birth control uses
There is one FDA-approved use for the norelgestromin and ethinyl estradiol transdermal system, but it may also be used off-label to treat other conditions. Your online medical professional may prescribe it for the following reasons.
It’s also possible that your healthcare professional may prescribe it for other reasons not listed here. Ask your online doctor or pharmacist if you have questions about why a medication is prescribed.
Pregnancy prevention
The Xulane patch is FDA-approved to prevent pregnancy in women with a body mass index (BMI) under 30. Xulane is considered a form of hormonal birth control, which releases estrogen and progestin to lower the risk of pregnancy.
Xulane patch side effects
The side effects associated with taking Xulane are typically mild. Most Xulane side effects are associated with gastrointestinal discomfort.
Xulane has some common side effects. They may include:
Nausea and stomach pain
Breast symptoms, such as soreness and tenderness
Unusual vaginal bleeding or menstrual disorders, such as spotting between periods
Other side effects, which are less common but might be more severe, could include:Sudden shortness of breath
Severe headache unlike your usual headaches
Yellowing of the skin or eyes (jaundice)
Call your healthcare professional if you notice any of these side effects, or if you develop any other new or concerning symptoms. The Xulane patch can cause serious cardiovascular side effects, such as blood clots, especially in women with other risk factors such as smoking, high blood pressure, and obesity (BMI > 30).
The use of Xulane patches is not advised in children under age 18.
How to use the Xulane patch
It's essential to follow the instructions provided by your healthcare provider or the package insert carefully to ensure the Xulane patch is used correctly and effectively. If you have any questions or concerns, speak with your healthcare provider. Here are the steps to use the Xulane patch:
Choose a spot on your skin where you want to apply the patch. It should be a clean, dry area on your abdomen, buttocks, upper arm, or upper torso, but not on your breasts.
Open the foil package and remove the patch. Do not use the patch if the package is already open or the patch is damaged.
Peel off the protective liner and apply the patch to your skin. Press the patch firmly in place with the palm of your hand for about 10 seconds. Before applying the patch, do not apply lotion, oil, or powder to the area.
Wear the patch for one week. On the same day of the week each week, remove the patch and apply a new one to a different area of your skin. Do not use the same spot for at least a week.
Keep the patch on even when you shower, swim, or exercise. If the patch falls off, apply a new one right away. If it has been off for less than 24 hours, you do not need to use a backup method of birth control. If it has been off for more than 24 hours, you should use a backup method of birth control for seven days.
After three weeks of wearing patches, take a week off. During this week, you will have your period. Begin a new cycle by applying a new patch on the same day of the week you started the previous cycle, even if you are still bleeding.
What to avoid while using Xulane
You can always ask your healthcare provider questions or concerns about using Xulane or other medications. Here are some things to avoid while using Xulane:
Smoking: Smoking while using Xulane can increase your risk of severe side effects such as blood clots, stroke, and heart attack. If you smoke, talk to your healthcare provider about quitting.
Certain medications: Some medications can interact with Xulane, reducing its effectiveness or increasing the risk of side effects. Xulane has 432 drug interactions. Don’t change what you take without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs. Possible drug interactions with the Xulane patch include:
Certain seizure medications
Certain combinations of HIV medications
Rifampin and rifabutin
St. John’s wort
Delaying patch application: Xulane should be applied on the same day each week. If you apply the patch late or miss a dose, your risk of pregnancy may increase. Follow the instructions carefully and set a reminder to help you remember to change the patch on time.
Allergic reactions: Some people may be allergic to the adhesive used in Xulane, causing skin irritation or an allergic reaction. If you develop a rash, itching, or swelling, contact your healthcare provider.
Pregnancy: Xulane should not be used if you are pregnant or suspect you may be pregnant. If you become pregnant using Xulane, remove the patch and contact your healthcare provider.
Medication alternatives to Xulane
If your healthcare provider prefers to put you on another treatment, they may suggest another birth control patch or hormonal birth control in another drug class. Here are some common doctor-recommended alternatives based on your health issue:
Pregnancy prevention
Xulane birth control patch FAQs
How much does Xulane cost?
Depending on your pharmacy, Xulane costs around $149 for three patches without insurance. Fortunately, most health insurance plans offer free or low-cost birth control.
How can I refill my Xulane prescription?
To refill your Xulane prescription, book a virtual appointment with one of our top rated board-certified doctors. After reviewing your medical history, your doctor can send an electronic prescription to your local pharmacy.
Do you gain weight on Xulane?
Weight gain is a possible side effect of the Xulane birth control patch. However, most people don't gain weight when using the Xulane patch.
Is Xulane high estrogen?
Yes, the Xulane patch is a combined hormonal contraceptive that provides a dose of 35 mcg ethinyl estradiol per day. Xulane contains more estrogen than the typical birth control pill.
What are the side effects of the Xulane patch?
Possible side effects of the Xulane patch include:
Nausea and stomach pain
Mood changes and anxiety disorders
Breast symptoms, such as soreness and tenderness
Irregular vaginal bleeding, such as breakthrough bleeding
Skin irritation around the application site
Is Xulane estrogen based?
Yes, Xulane is estrogen based. Xulane contains two hormones: ethinyl estradiol (an estrogen) and norelgestromin (a progestin).
Who should not take Xulane?
Avoid taking Xulane if you:
Smoke and are over 35 years old
Have a history of blood clots
Have a history of stroke, heart attack, or high blood pressure
Have unexplained vaginal bleeding
Have gallbladder disease, liver disease (including liver tumors), or kidney disease
Have breast cancer, cervical cancer, or any other cancer sensitive to female hormonal birth control methods
Have a body mass index (BMI) over 30
What happens if I miss a dose of Xulane?
If you forget to change your Xulane patch for 1–2 days, apply a new patch as soon as you remember. Apply your next patch on your normal patch change day.
If you forget to change your Xulane patch for more than two days, you may become pregnant. Start a new four-week cycle as soon as possible by applying a new Xulane patch, and use a backup birth control method for the first week of your new patch cycle.What happens if I take too much Xulane?
If you apply a new patch without removing the old patch, you may experience:
Skin irritation at the application site
Nausea, vomiting, and bloating
Breast symptoms, such as tenderness
Weight gain
Swelling around your feet and ankles (fluid retention)
Call your healthcare provider immediately if you notice any adverse side effects.