Affordability Check
How to afford Mirena
Generic name: Levonorgestrel
Pick how you're covered. We'll show you the cheapest legitimate way to get Mirena — your insurance copay, manufacturer savings, charity grants, or cash price. It takes 30 seconds and we never ask for your personal information.
Pick an option above to see your specific path.
Different insurance means different laws and different savings. For example, Medicare patients cannot use manufacturer copay cards (federal law) — but the manufacturer almost always has a Patient Assistance Program that gives the drug free.
About Mirena and its cost
What is this medication? Mirena is a hormonal intrauterine device, often referred to as an IUD, that is inserted into the uterus by a healthcare professional to provide long-term pregnancy prevention. It consists of a small, flexible T-shaped frame that slowly releases a progestin hormone called levonorgestrel into the body. This medication is primarily used as a highly effective, reversible form of contraception that can remain in place for up to eight years. It works by thickening the cervical mucus to prevent sperm from entering the uterus and by thinning the uterine lining.
In addition to birth control, Mirena is also used to treat heavy menstrual bleeding in women who choose to use an intrauterine system for contraception. Because the hormone it releases thins the lining of the uterus, many users experience a significant reduction in menstrual blood loss and shorter periods over time. Some women may eventually stop having periods altogether while the device is in place. The device can be removed by a doctor at any time, allowing the user to return to their normal fertility levels relatively quickly.
Mirena is made by a pharmaceutical manufacturer. Like most brand-name drugs, it's priced at a high list price — but patients rarely pay that list price. The options above are the real paths most people use to get it affordably.
Common questions
What's the cheapest way to afford Mirena?
It depends on your insurance. On Medicare, apply for the manufacturer's Patient Assistance Program (PAP) — it gives the drug free if you meet income requirements. With private insurance, the manufacturer copay card usually drops your copay to $0-$25. Uninsured patients should compare the PAP with Cost Plus Drugs cash price.
Can I use a copay card with Medicare for Mirena?
No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But the manufacturer has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.
Does my Medicare Part D plan cover Mirena?
Part D coverage varies by plan. We query the CMS Prescription Drug Plan file to show you what percentage of plans cover it and at what tier. For your exact copay, pick "Medicare" above and check your plan's Summary of Benefits, or log in to Medicare.gov.
How long does a Patient Assistance Program take?
Most PAPs take 2-6 weeks from application to first fill. Ask the manufacturer about a "bridge supply" — many will ship 30 days free while your application is being reviewed so you don't go without the drug.
What if I have a high-deductible plan?
For generics, Cost Plus Drugs cash price is often cheaper than your deductible-phase copay. For brand names, the manufacturer copay card almost always wins. A GoodRx coupon can be a last resort for uncovered drugs, but it doesn't count toward your deductible.
Are there charity grants for Contraception?
Charities like HealthWell Foundation, PAN Foundation, Good Days, and the National Organization for Rare Disorders provide copay help for specific conditions. Funds often run out mid-year — apply early. We list the specific grants for your condition in the options above.
More about Mirena
Full Mirena drug page
FDA label, prior authorization rules, full indications list
More options for Contraception
Drugs, grants, and assistance for this condition
Guide to Patient Assistance Programs
How PAPs work, who qualifies, typical wait times
If your insurance denied coverage
5-level appeal playbook — Medicare has a 60% win rate at Level 3