COST OF NEXPLANON
can you get NEXPLANON for free?*
You may be able to get NEXPLANON for free, as a result of the Affordable Care Act.
*The Affordable Care Act (ACA) covers one type of birth control from each of 18 FDA-approved categories of birth control for women without charging a co-payment or co-insurance. This coverage includes the arm implant, NEXPLANON. Some patients may still be responsible for other costs associated with the product. This could include fees associated with insertion and/or removal procedures.
the Affordable Care Act covers NEXPLANON
As a result of the ACA legislation, the ACA covers one type of birth control from each of 18 FDA-approved categories of birth control for women without a co-payment or co-insurance. Even if you haven’t met your deductible.
how much might you have to pay for NEXPLANON?
Once you and your doctor have decided that NEXPLANON is right for you, check with your insurance plan for cost and coverage information.
Figuring out what you might pay out-of-pocket depends on your insurance plan.
The list price for one rod (for up to 3 years* of continuous pregnancy prevention) of NEXPLANON is $1,214.63.a
96% of patient claims for NEXPLANON had
in an analysis of representative commercial claims datab
aThe list price is current as of January 2025. The list price does not include other treatment-related costs, such as insertion and/or removal procedure fees. Most women will not pay the list price, although it may have an impact on your out-of-pocket costs.
bSymphony Health, an ICON plc Company, IDV®, January 1, 2022 – December 31, 2022. Prepared for the manufacturer of NEXPLANON. Symphony Health’s analysis is based on remittance data that provides claim payment information after medical claims have been processed by the patient’s medical insurer and assigned to primary payer channel. The data is limited to remittance transactions on medical claims collected by Symphony Health and may not constitute a nationally representative sample.
having discussions about insurance?
We have step-by-step instructions to help you understand your coverage.