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Levonorgest-Eth Estrad 91-Day

Simpesse

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What is Levonorgest-Eth Estrad 91-Day?

Simpesse is a medication that combines levonorgestrel and ethinyl estradiol. It is used to prevent pregnancy and may also help regulate menstrual cycles.

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What is Levonorgest-Eth Estrad 91-Day ?

Simpesse is a medication that combines levonorgestrel and ethinyl estradiol. It is used to prevent pregnancy and may also help regulate menstrual cycles.

  • Nausea and vomiting
  • Headaches
  • Increased risk of blood clots
  • Not to be used during pregnancy
Is Simpesse the same as Seasonique?

Simpesse is the FDA-approved generic version of Seasonique. Both contain the same active ingredients in the same amounts — 84 tablets of levonorgestrel 0.15 mg with ethinyl estradiol 0.03 mg, followed by 7 tablets of low-dose ethinyl estradiol 0.01 mg — and follow the same 91-day extended-cycle schedule. The main practical difference is that the generic usually costs less.

How does Simpesse birth control work?

Simpesse combines an estrogen and a progestin. It prevents pregnancy mainly by stopping ovulation, and it also thickens cervical mucus and changes the uterine lining to make pregnancy less likely. You take one active tablet daily for 84 days, then a low-dose estrogen tablet for the final 7 days of the 91-day pack.

How many periods do you get on Simpesse?

Because Simpesse is an extended-cycle regimen, it is designed to give you a scheduled menstrual period only about once every three months — roughly four periods per year — instead of monthly. Some spotting or bleeding between scheduled periods can happen, especially in the first few cycles.

What are the side effects of Simpesse?

Common side effects of combination birth control pills can include headache, nausea, breast tenderness, mood changes, weight changes, and irregular or breakthrough bleeding. Serious but less common risks include blood clots, stroke, heart attack, high blood pressure, and liver problems. Smoking, especially over age 35, raises the risk of serious cardiovascular events. Contact your doctor about any severe or unusual symptoms.

Can Simpesse be used to skip or stop your period?

Simpesse is FDA-approved to prevent pregnancy, and by design its extended-cycle schedule reduces how often you have a scheduled period to about four times a year. Using it specifically to suppress or stop menstruation is an off-label decision that should only be made with your prescriber, who can advise whether it is appropriate for you.

How much does Simpesse 91 Tablets cost without insurance?
The price of Simpesse 91 Tablets without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you. Many people save 60–90% off retail prices with a free Rx.com coupon.
What are the common side effects of Simpesse 91 Tablets?
Common side effects of Simpesse 91 Tablets may include: Nausea and vomiting, Headaches. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Simpesse 91 Tablets?
Generic versions may be available for Simpesse 91 Tablets. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Simpesse 91 Tablets on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Simpesse 91 Tablets?
The cheapest pharmacy for Simpesse 91 Tablets depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Simpesse 91 Tablets near you.

Levonorgest-Eth Estrad 91-Day Coupons & Prices

Simpesse

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Licensed US providers · Online visit in minutes
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Looking for a Simpesse coupon? Simpesse is an FDA-approved generic version of the extended-cycle birth control brand Seasonique, so it is already a lower-cost option than the brand. Even so, the cash price for the same 91-day pack can vary widely from one pharmacy to another, which is why comparing before you fill matters. Rx.com checks prices across more than 60,000 U.S. pharmacies and gives you a free discount coupon you can use at the counter. Enter your ZIP above to see today's Simpesse price near you.

What is Simpesse and how does it work?

Simpesse is a combination hormonal contraceptive that pairs an estrogen (ethinyl estradiol) with a progestin (levonorgestrel). It is the generic equivalent of the reference brand Seasonique and is FDA-approved to prevent pregnancy in women who choose an oral contraceptive. Like other combination pills, it works mainly by preventing ovulation, along with changes to cervical mucus and the uterine lining that make pregnancy less likely.

Simpesse uses an extended-cycle, 91-day regimen: 84 white tablets containing levonorgestrel 0.15 mg with ethinyl estradiol 0.03 mg, followed by 7 light-blue tablets of low-dose ethinyl estradiol 0.01 mg. This schedule is designed to produce a scheduled menstrual period roughly once every three months instead of monthly. Simpesse is not indicated for use in postmenopausal women.

Simpesse cost and coupon savings

Because Simpesse is a generic, it is generally far less expensive than the brand it copies. The catch is that pharmacies set their own cash prices, so the amount you pay for the same extended-cycle pack can differ a lot depending on where you fill it. That price spread is exactly why it pays to compare rather than assume every pharmacy charges the same.

Rx.com compares Simpesse prices across more than 60,000 pharmacies and provides a free discount coupon that works whether or not you have insurance. If you are paying cash, the coupon price may be lower than a standard retail price, and it can also come in handy when a plan does not cover this particular formulation. Enter your ZIP above to see today's price and print or text yourself the coupon.

Simpesse alternatives and related options

Simpesse is one of several interchangeable versions of the same levonorgestrel/ethinyl estradiol extended-cycle formulation. If your prescriber writes for the brand or a different generic, comparing prices across equivalents can help you find the best cash price:

  • Seasonique — the reference brand Simpesse is based on
  • Levonorgestrel-ethinyl estradiol — the underlying generic combination
  • Camrese and Amethia — other equivalents of this extended-cycle regimen
  • Jolessa — a related levonorgestrel/ethinyl estradiol extended-cycle option

These products are pharmacist-substitutable equivalents in most cases, but which one you receive can depend on your pharmacy's stock and your prescription. Ask your prescriber or pharmacist whether switching among them is appropriate for you, then use Rx.com to compare the price of whichever one you are prescribed.

Important safety information

Simpesse carries a boxed warning: cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptives, and this risk rises with age and heavy smoking (15 or more cigarettes a day). Women over 35 who smoke should not use combination hormonal contraceptives. Other serious risks include blood clots in the veins and arteries (such as DVT, pulmonary embolism, stroke, and heart attack), high blood pressure, liver tumors, gallbladder disease, and worsening migraines.

Simpesse should not be used by women with a high risk of blood clots, known or suspected breast or other estrogen-dependent cancer, undiagnosed abnormal uterine bleeding, liver tumors or active liver disease, uncontrolled high blood pressure, diabetes with vascular disease, migraine with aura, during pregnancy, or while taking hepatitis C drug combinations containing ombitasvir/paritaprevir/ritonavir. Certain medicines, including some anti-seizure drugs, rifampin, and St. John's Wort, can make it less effective. Simpesse does not protect against HIV or other sexually transmitted infections. This is not medical advice; talk with your doctor or pharmacist about whether Simpesse is right for you.

Sources & accuracy

This Levonorgest-Eth Estrad 91-Day information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Levonorgest-Eth Estrad 91-Day on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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