Take advantage of the Twirla Savings Program!
- Present this card with a valid prescription to your pharmacist.
- If you have any questions, please feel free to call 866-747-7108.
The Twirla Savings Program provides financial support to eligible commercially insured patients to assist with out-of-pocket-costs of Twirla. Eligible patients* may pay as little as $0 for the first month's prescription and as little as $25 per month on future refills.
*Not valid for prescriptions reimbursed under any federal or state healthcare program, including
Medicare, Medicaid, MediGap or Tricare. This may also include state pharmaceutical assistance programs
and other federal or state plans not listed. Those on Medicare Part D, even if in the coverage gap, are
not eligible. Please note: You will no longer be eligible if you begin to have coverage from any
Void where prohibited by law, taxed, or restricted.
Valid in the US only.
Maximum savings limits apply; patient out-of-pocket expense will vary.
Agile Therapeutics reserves the right to rescind, revoke, or amend this offer at any time
By using this co-pay card, you demonstrate that you understand and agree to comply with the terms and conditions of this offer as put forth on this co-pay assistance card.
You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. For more information, go to www.TWIRLA.com or call 855-389-4752.