Kurvelo levonorgestrel and ethinyl estradiol Kit — NDC 68180-0844-73 package photo

Kurvelo levonorgestrel and ethinyl estradiol Kit

by Lupin Pharmaceuticals, Inc. · 3 BLISTER PACK in 1 CARTON (68180-844-73) / 1 KIT in 1 BLISTER PACK * 21 TABLET in 1 BLISTER PACK (68180-841-74) * 7 TABLET in 1 BLISTER PACK (68180-842-74)
NDC 68180-0844-73
🏷️ FDA NDC (as labeled) 68180-844-73 billing pads the product segment with a zero
Rx only Generic On market Non-controlled
🗂️ Data synced Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

🆔 Identity & classification

FDA NDC (as labeled) 68180-844-73
Product NDC 68180-844
11-digit billing NDC 68180084473
NCPDP billing unit EA — each (per item)
UPC 0368180844716
Application # ANDA091408
SPL Set ID 752f525e-1838-4058-9ab7-2c2d91f86dfd
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2021-02-07
Dosage form KIT
GPI-14 25990002400310
GPI class Kurvelo
GCN Seq No 003314
GCN 11530
HICL code 001460
Ingredient (HICL) Levonorgestrel/Ethin.estradiol
HIC1 code G
Therapeutic class — broad (HIC1) Female Genital System
HIC2 code G8
Therapeutic class — intermediate (HIC2) Systemic Antifertility Agents
HIC3 code G8A
Therapeutic class — specific (HIC3) Contraceptives,Oral
AHFS code 68:12.00.00
AHFS class Contraceptives
FDB label name KURVELO-28 TABLET
FDB brand name Kurvelo
Legend status F — Federal legend — prescription drug or device
TE code (Orange Book) AB · RLD · RS
Why two NDCs? The FDA registers this code as 68180-844-73 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 68180-0844-73. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

🏷️ RxNorm drug class

This medicine belongs to the Estrogen class.

Pharmacologic class Estrogen
Drug family (ATC) Progestogens and estrogens, sequential preparations, Natural and semisynthetic estrogens, plain, Estrogens
How it works Estrogen Receptor Agonists
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

🏭 Manufacturer & labeler

LabelerLupin Pharmaceuticals, Inc.
Application holderLUPIN LTD
FDA applicationANDA091408 (ANDA)
Labeler code68180
First marketedFeb 2021
Product typeHuman Prescription Drug
Portfolio404 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

🩺 Clinical

Label name KURVELO-28 TABLET Ingredient Levonorgestrel/Ethin.estradiol
📖 What it is MedlinePlus · NLM

Oral contraceptives (birth-control pills) containing ethinyl estradiol (an estrogen) and levonorgestrel (a progestin) are used to prevent pregnancy. Estrogen and progestin are two female sex hormones. Combinations of estrogen and progestin work by preventing ovulation (the release of eggs from the ovaries). Oral contraceptives are an effective method of birth control, but they do not prevent the spread of human immunodeficiency virus (HIV, the virus that causes acquired immunodeficiency syndrome [AIDS]) and other sexually transmitted diseases.

Read the full MedlinePlus article ↗
📗 Our plain-language guide HelloPharmacist
  • It prevents pregnancy mainly by stopping your ovaries from releasing an egg. It also thickens the cervical mucus so sperm can't easily get through, and changes the uterine lining a...
  • What exactly does this medication do, and how well does it work?
  • The most common ones in the first few months are headaches, nausea, irregular bleeding or spotting, breast tenderness, and mood changes. Most of these tend to settle down after you...
  • Are there any side effects I should expect when I first start?
📖 Read our full Ethinyl Estradiol / Levonorgestrel guide →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

🧪 Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

A current SPL was checked, but it does not contain a structured or narrative inactive-ingredient list for this product. This does not mean the product has no inactive ingredients.
Where does this data come from?
Source: official FDA Structured Product Labeling (SPL) via DailyMed and the openFDA label index. Structured IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

💲 Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eaPer package
Retail pharmacies payNADAC · weekly $0.113
Medicaid paysCMS SDUD · 12 mo $0.2394
Medicare drug plans payPart D · Q2 2026 $0.2332
NADAC price history (per ea) — tap or hover for the price & month
Dec 2021 Jul 2022 Dec 2025 Aug 2026 $0.209 $0.109
▼ Down 46% over the last 24 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

🔁 Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Altavera 70700-0116-85 Xiromed, 1 kit $0.113 AB Availability likely
Ayuna 65862-0848-88 Aurobindo 3 pouches $0.113 AB Availability likely
Levonorgestrel And Ethinyl Estradiol 00378-6550-53 Mylan 3 pouches $0.113 AB Discontinued
Chateal EQ 50102-0230-23 Afaxys 3 pouches $0.113 AB Availability likely
Marlissa 68462-0388-29 Glenmark 1 kit $0.113 AB Availability likely
Kurvelothis 68180-0844-73 Lupin 63 tablets $0.113 AB Availability likely
Portia 00555-9020-58 Teva 6 pouches $0.113 Availability likely
Daysee 68180-0846-13 Lupin 2 pouches $0.125 AB Availability likely +10%
Levora 51862-0097-06 Mayne 1 kit $0.145 AB Discontinued +28%
Lessina 00555-9014-67 Teva 3 pouches $0.151 Availability likely +34%
Aubra EQ 50102-0220-23 Afaxys 3 pouches $0.151 AB1 Availability likely +34%
Levonorgestrel and Ethinyl Estradiol 68180-0854-73 Lupin 1 kit $0.151 AB1 Availability likely +34%
Levonorgestrel And Ethinyl Estradiol 00378-7287-53 Mylan 3 pouches $0.151 AB1 Availability likely +34%
Aviane 00555-9045-58 Teva 6 pouches $0.151 Availability likely +34%
Vienva 70700-0118-85 Xiromed, 1 kit $0.151 AB1 Availability likely +34%
Falmina 16714-0359-01 Northstar 1 packet $0.151 AB1 Availability likely +34%
Lutera 51862-0028-06 Mayne 1 kit $0.152 AB1 Discontinued +35%
Sronyx 51862-0545-06 Mayne 1 kit $0.174 AB2 Discontinued +54%
Introvale 70700-0117-87 Xiromed, 1 kit $0.184 AB FDA listed +63%
Setlakin 16714-0366-03 Northstar 3 pouches $0.221 AB Availability likely +96%
Levonorgestrel and Ethinyl Estradiol 68180-0843-13 Lupin 1 kit $0.221 AB Availability likely +96%
levonorgestrel and ethinyl estradiol 68462-0672-95 Glenmark 3 pouches $0.221 AB Availability likely +96%
Afirmelle 65862-0849-88 Aurobindo 3 pouches $0.225 AB1 FDA listed +99%
Iclevia 65862-0865-83 Aurobindo 3 pouches $0.227 AB FDA listed +101%
Levonorgestrel and Ethinyl Estradiol and Ethinyl Estradiol 68180-0848-13 Lupin 2 pouches $0.239 AB Availability likely +112%
Levonest 16714-0340-01 Northstar 1 packet $0.339 AB Availability likely +201%
Levonorgestrel and Ethinyl Estradiol 68180-0857-73 Lupin 1 kit $0.339 AB Availability likely +201%
Tyblume 00642-7471-01 Exeltis 1 kit $0.828 Availability likely +634%
levonorgestrel and ethinyl estradiol 42192-0623-03 Acella 1 kit $3.442 AB3 Availability likely +2952%
Levonest 50090-2505-00 A-S 1 kit AB FDA listed
Kurvelo 50090-6374-00 A-S 21 tablets AB FDA listed
Altavera 63629-2343-01 Bryant 1 kit AB FDA listed
Lutera 55741-0005-06 Dr. 1 kit AB1 FDA listed
Balcoltra 75854-0602-02 Avion 1 kit AB3 FDA listed
Vienva Tm 50090-5580-00 A-S 1 kit AB1 FDA listed
Levonorgestrel and Ethinyl Estradiol 79929-0003-07 Naari 1 kit AB FDA listed
Levonorgestrel and Ethinyl Estradiol 60505-4898-08 Apotex 1 kit AB1 FDA listed
Levonorgestrel and Ethinyl Estradiol 60505-4899-08 Apotex 1 kit AB FDA listed
Vienva TM 63629-2344-01 Bryant 1 kit AB1 FDA listed
Levonorgestrel and Ethinyl Estradiol 79929-0004-07 Naari 1 kit AB1 FDA listed
Aviane 63187-0889-28 Proficient 1 pouch FDA listed
About this product: this is a generic version of the medicine. FDA equivalence ratings are shown when available, and other versions are listed above, least expensive first.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2021
On the market since
Feb 2021
📍
2026
Currently FDA-listed
5 years listed
🔓
·
Generic on the market
this product is a generic
This is a generic drug

This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

🗺️ Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for 68180-0844-73, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q4 2025 · 4 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
58.5K
Units reimbursed last 4 qtrs
3.9M
Gross reimbursed last 4 qtrs
$933.5K
Avg / prescription
$15.97
Avg / unit
$0.2394
Latest quarter Q4 2025
13.9KRx
Medicaid pays / ea
$0.2394
gross reimbursed
vs
NADAC / ea
$0.1128
acquisition cost
=
Spread
+$0.1266
+112% vs cost
What Medicaid paid per ea (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care
47% FFS 53% MCO
Fee-for-service · 27,674 Rx Managed care · 30,787 Rx
State Medicaid map
Alaska: 14,504 units · 1,979 per 100k residents AK Maine: 27,356 units · 1,961 per 100k residents ME Washington: 132,412 units · 1,695 per 100k residents WA Idaho: 23,268 units · 1,185 per 100k residents ID Montana: 14,644 units · 1,294 per 100k residents MT North Dakota: 2,940 units · 375 per 100k residents ND Minnesota: 136,220 units · 2,374 per 100k residents MN Wisconsin: 123,172 units · 2,084 per 100k residents WI Michigan: 162,624 units · 1,620 per 100k residents MI New York: 118,526 units · 606 per 100k residents NY Vermont: 13,188 units · 2,038 per 100k residents VT New Hampshire: 10,640 units · 759 per 100k residents NH Oregon: 168,280 units · 3,975 per 100k residents OR Nevada: 28,084 units · 879 per 100k residents NV Wyoming: 1,736 units · 297 per 100k residents WY South Dakota: 4,872 units · 530 per 100k residents SD Iowa: 41,020 units · 1,279 per 100k residents IA Illinois: 119,868 units · 955 per 100k residents IL Indiana: 55,832 units · 814 per 100k residents IN Ohio: 121,096 units · 1,028 per 100k residents OH Pennsylvania: 116,452 units · 898 per 100k residents PA New Jersey: 31,808 units · 342 per 100k residents NJ Massachusetts: 41,020 units · 586 per 100k residents MA California: 1,237,447 units · 3,176 per 100k residents CA Utah: 12,824 units · 375 per 100k residents UT Colorado: 193,704 units · 3,295 per 100k residents CO Nebraska: 28,476 units · 1,440 per 100k residents NE Missouri: 43,820 units · 707 per 100k residents MO Kentucky: 41,272 units · 912 per 100k residents KY West Virginia: 18,172 units · 1,027 per 100k residents WV Virginia: 69,496 units · 797 per 100k residents VA Maryland: 141,176 units · 2,284 per 100k residents MD Connecticut: 27,384 units · 757 per 100k residents CT Rhode Island: 5,544 units · 506 per 100k residents RI Arizona: 81,642 units · 1,099 per 100k residents AZ New Mexico: 60,144 units · 2,845 per 100k residents NM Kansas: 11,732 units · 399 per 100k residents KS Arkansas: 15,512 units · 506 per 100k residents AR Tennessee: 67,312 units · 945 per 100k residents TN North Carolina: 74,368 units · 686 per 100k residents NC South Carolina: 23,968 units · 446 per 100k residents SC Delaware: 8,764 units · 850 per 100k residents DE Oklahoma: 29,568 units · 730 per 100k residents OK Louisiana: 44,464 units · 972 per 100k residents LA Mississippi: 8,428 units · 287 per 100k residents MS Alabama: 12,068 units · 236 per 100k residents AL Georgia: 11,137 units · 101 per 100k residents GA D.C.: 784 units · 115 per 100k residents DC Hawaii: 27,328 units · 1,904 per 100k residents HI Texas: 65,268 units · 214 per 100k residents TX Florida: 27,435 units · 121 per 100k residents FL
Units reimbursed · per 100k residents
1013,975
gray = no data reported
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 Oregon 3,975 /100k
2 Colorado 3,295 /100k
3 California 3,176 /100k
4 New Mexico 2,845 /100k
5 Minnesota 2,374 /100k
6 Maryland 2,284 /100k
7 Wisconsin 2,084 /100k
8 Vermont 2,038 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

📊 Medicare Part D spend CMS · PART D · 2026 (Q1)

Medicare Part D (outpatient prescription) spending for Kurvelo — the program that covers self-administered drugs. 1 manufacturer.
⚠️ Drug-level data: CMS publishes Part D spending by drug, not by NDC — these figures combine every manufacturer, strength and package size sold under the name Kurvelo. That’s a different level of aggregation than the Medicaid card above, which is specific to this exact 11-digit NDC (pack size included), so the two aren’t directly comparable.
Period
Total Part D spend
$33K
Claims incl. refills
1.5K
Beneficiaries
978
Spend / beneficiary
$33.73
Spend / claim
$22.17
Trend by period
💵 About the dollar figures: spending is what Part D plans paid before confidential manufacturer rebates, so the program’s real net cost is lower. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part D Spending by Drug (data.cms.gov), updated quarterly.

📦 Packaging — all sizes for this product

Package NDCDescription Marketing startStatus
68180-0844-73 You're viewing this 3 BLISTER PACK in 1 CARTON (68180-844-73) / 1 KIT in 1 BLISTER PACK * 21 TABLET in 1 BLISTER PACK (68180-841-74) * 7 TABLET in 1 BLISTER PACK (68180-842-74) 2021-02-07 Active

🧭 About this NDC listing & data coverage

Finished prescription product Kit / multi-component package

Kit / multi-component package

This NDC identifies a kit — a package containing more than one component. Structured data (pricing, ingredients, equivalents) is often reported per component rather than for the kit NDC itself, which can make this page look thinner than the components' own pages.

What data is (and isn’t) available for this NDC — tap to expand
NDC identity (package / product / labeler codes) ✓ Available
Labeler ✓ Available
Product & package description ✓ Available
Marketing category & status ✓ Available
Active ingredient / dosage form / route ✓ Available
FDA label (SPL via DailyMed) ✓ Available
Package photos ✓ Available
Inactive ingredients (structured) — Not published for this NDC The labeler did not submit a structured excipient list, or no SPL is available.
NADAC pharmacy acquisition price (CMS) ✓ Available
Orange Book / therapeutic-equivalence data ✓ Available
HCPCS J-code billing crosswalk — Not published for this NDC Most self-administered / retail products have no J-code — that is normal.
Medicaid utilization (CMS SDUD) ✓ Available
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The FDA registers it as 68180-844-73, which is what is printed on the packaging and shown on DailyMed. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero: 68180-0844-73, written without dashes as 68180084473. The Identity section at the top of this page lists every form of this code.
What do the three segments of this NDC mean?
In 68180-0844-73, the first segment (68180) is the labeler code FDA assigned to Lupin Pharmaceuticals, Inc.; the middle segment (0844) identifies this specific product — its ingredient, strength, and dosage form; and the last segment (73) identifies this exact package size and type. Together they name one specific package of one specific product.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by Lupin Pharmaceuticals, Inc.. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
Lupin Pharmaceuticals, Inc. is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as a prescription product, so it is dispensed under a prescriber's order. Your pharmacist can tell you whether any over-the-counter forms of the same medication exist.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.

📄 Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🚨 Boxed Warning 66 words

WARNING: CIGARETTE SMOKING AND SERIOUS CARDIOVASCULAR EVENTS Cigarette smoking increases the risk of serious cardiovascular events from combination oral contraceptive (COC) use. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. For this reason, COCs, including Kurvelo, are contraindicated in women who are over 35 years of age and smoke [see CONTRAINDICATIONS and WARNINGS (1)].

🎯 Indications and Usage 16 words

INDICATIONS AND USAGE Kurvelo is indicated for use by females of reproductive potential to prevent pregnancy.

⏱️ Dosage and Administration ~3 min read

DOSAGE AND ADMINISTRATION 1.How to Start and Take Kurvelo Kurvelo is dispensed in a compact dispenser containing 28 tablets (see HOW SUPPLIED ). Kurvelo may be started using either a Day 1 start or a Sunday start (see Table 3). For the first cycle of a Sunday start regimen, an additional method of contraception should be used until after the first 7 consecutive days of administration.

Table 3: Instructions for Administration of Kurvelo Starting Kurvelo in females with no current use of hormonal contraception Day 1 start • Take first tablet without regard to meals on the first day of menses • Take subsequent tablets once daily at the same time each day • Begin each subsequent pack on the same day of the week as the first cycle pack (i.e., on the day after taking the last tablet) Sunday start • Take first tablet without regard to meals on the first Sunday after the onset of menstrual period • Take subsequent tablets once daily at the same time each day • Use additional nonhormonal contraception for the first seven days of product use • Begin each subsequent pack on the same day of the week as the first cycle pack (i.e., on the day after taking the last tablet) Switching from another contraceptive method • A COC Start Kurvelo: • On the day when the new pack of the previous COC would have been started • Transdermal patch • On the day when next application would have been scheduled • Vaginal ring • On the day when next insertion would have been scheduled • Injection • On the day when next injection would have been scheduled • Intrauterine contraceptive • On the day of removal • Implant • On the day of removal Starting Kurvelo after Abortion or Miscarriage First-trimester After a first-trimester abortion or miscarriage, Kurvelo may be started immediately.

An additional method of contraception is not needed if Kurvelo is started immediately. If Kurvelo is not started within 5 days after termination of the pregnancy, the patient should use additional non-hormonal contraception (such as condoms or spermicide) for the first seven days of her first cycle of Kurvelo. Second-trimester Do not start until 4 weeks after a second-trimester abortion or miscarriage, due to the increased risk of thromboembolic disease.

Start Kurvelo following the instructions in Table 3 for Day 1 or Sunday start. Use additional non-hormonal contraception (such as condoms or spermicide) for the first seven days of the patient's first cycle of Kurvelo (see CONTRAINDICATIONS , WARNINGS (1) , PRECAUTIONS (10) and FDA-APPROVED PATIENT LABELING ) . Starting Kurvelo after Childbirth Do not start until 4 weeks after delivery, due to the increased risk of thromboembolic disease.

Start contraceptive therapy with Kurvelo following the instructions in Table 3 for women not currently using hormonal contraception. Kurvelo is not recommended for use in lactating women (see PRECAUTIONS (7 ) and FDA-APPROVED PATIENT LABELING ). If the woman has not yet had a period postpartum, consider the possibility of ovulation and conception occurring prior to use of Kurvelo (see CONTRAINDICATIONS , WARNINGS (9) , PRECAUTIONS (6) and FDA APPROVED PATIENT LABELING) .

2.Dosing Kurvelo Instruct patients to take one tablet by mouth at the same time every day. To achieve maximum contraceptive effectiveness, patients must take Kurvelo as directed, in the order directed on the blister pack. The failure rate may increase when pills are missed or taken incorrectly.

3.Missed doses Instruct patients about the handling of missed doses (e.g., to take single missed pills as soon as possible) and to follow the dosing instructions provided in the FDA-approved patient labeling. Table 4: Instructions for Missed Kurvelo Tablets • If one active tablet is missed in Weeks 1, 2, or 3 Take the tablet as soon as possible. Continue taking one tablet a day until the pack is finished. • If two active tablets are missed in Week 1 or Week 2 Take the two missed tablets as soon as possible and the next two active tablets th…

Contraindications ~1 min read

CONTRAINDICATIONS Kurvelo is contraindicated in females who are known to have the following conditions: A high risk of arterial or venous thrombotic diseases. Examples include women who are known to: Smoke, if over age 35 [see BOXED WARNING and WARNINGS (1) ]. Have current or history of deep vein thrombosis or pulmonary embolism [see WARNINGS (1) ] .

Have cerebrovascular disease [see WARNINGS (1) ] . Have coronary artery disease [see WARNINGS (1) ] . Have thrombogenic valvular or thrombogenic rhythm diseases of the heart (for example, subacute bacterial endocarditis with valvular disease, or atrial fibrillation) [see WARNINGS (1) ] .

Have inherited or acquired hypercoagulopathies [see WARNINGS (1) ] . Have uncontrolled hypertension or hypertension with vascular disease [see WARNINGS (3) ] . Have diabetes mellitus and are over age 35, diabetes mellitus with hypertension or vascular disease or other end-organ damage, or diabetes mellitus of >20 years duration [see WARNINGS (7) ] .

Have headaches with focal neurological symptoms, migraine headaches with aura, or over age 35 with any migraine headaches [see WARNINGS (8) ] . Current diagnosis of, or history of, breast cancer, which may be hormone-sensitive. Liver tumors, acute viral hepatitis, or severe (decompensated) cirrhosis [see WARNINGS ( 2 )] .

Use of Hepatitis C drug combinations containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, due to the potential for ALT elevations [see WARNINGS ( 5 )] . Undiagnosed abnormal uterine bleeding [see WARNINGS ( 9 )] .

⚠️ Warnings ~3 min read

WARNINGS 1.Thromboembolic Disorders and Other Vascular Conditions Stop levonorgestrel and ethinyl estradiol tablet if an arterial or venous thrombotic/thromboembolic event occurs. Stop levonorgestrel and ethinyl estradiol tablet if there is unexplained loss of vision, proptosis, diplopia, papilledema, or retinal vascular lesions and evaluate for retinal vein thrombosis immediately. Discontinue levonorgestrel and ethinyl estradiol tablet during prolonged immobilization.

If feasible, stop levonorgestrel and ethinyl estradiol tablet at least four weeks before and through two weeks after major surgery, or other surgeries known to have an elevated risk of thromboembolism. Start levonorgestrel and ethinyl estradiol tablet no earlier than four weeks after delivery in females who are not breast-feeding. The risk of postpartum thromboembolism decreases after the third postpartum week, whereas the likelihood of ovulation increases after the third postpartum week.

Before starting levonorgestrel and ethinyl estradiol tablet evaluate any past medical history or family history of thrombotic or thromboembolic disorders and consider whether the history suggests an inherited or acquired hypercoagulopathy. Levonorgestrel and ethinyl estradiol tablet is contraindicated in females with a high risk of arterial or venous thrombotic/thromboembolic diseases (see CONTRAINDICATIONS ). Arterial Events COCs increase the risk of cardiovascular events and cerebrovascular events, such as myocardial infarction and stroke.

The risk is greater among older women (> 35 years of age), smokers, and females with hypertension, dyslipidemia, diabetes, or obesity. Levonorgestrel and ethinyl estradiol tablet is contraindicated in women over 35 years of age who smoke (see CONTRAINDICATIONS ). Cigarette smoking increases the risk of serious cardiovascular events from COC use.

This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. Venous Events Use of COCs increases the risk of venous thromboembolic events (VTEs), such as deep vein thrombosis and pulmonary embolism. Risk factors for VTEs include smoking, obesity, and family history of VTE, in addition to other factors that contraindicate use of COCs (see CONTRAINDICATIONS ).

While the increased risk of VTE associated with use of COCs is well-established, the rates of VTE are even greater during pregnancy, and especially during the postpartum period (see Figure 1). The rate of VTE in females using COCs has been estimated to be 3 to 9 cases per 10,000 woman-years. The risk of VTE is highest during the first year of use of a COC and when restarting hormonal contraception after a break of four weeks or longer.

Based on results from a few studies, there is some evidence that this is true for non-oral products as well. The risk of thromboembolic disease due to COCs gradually disappears after COC use is discontinued. Figure 1 shows the risk of developing a VTE for females who are not pregnant and do not use oral contraceptives, for females who use oral contraceptives, for pregnant females, and for females in the postpartum period.

To put the risk of developing a VTE into perspective: If 10,000 females who are not pregnant and do not use oral contraceptives are followed for one year, between 1 and 5 of these females will develop a VTE. Figure 1: Likelihood of Developing a VTE 2.Liver Disease Elevated Liver Enzymes Levonorgestrel and ethinyl estradiol tablet is contraindicated in females with acute viral hepatitis or severe (decompensated) cirrhosis of liver (see CONTRAINDICATIONS ). Discontinue levonorgestrel and ethinyl estradiol tablet if jaundice develops.

Acute liver test abnormalities may necessitate the discontinuation of COC use until the liver tests return to normal and COC causation has been excluded. Liver Tumors Levonorgestrel and ethinyl estradiol tablet is contraindicated in females with benign or malignant liver tumors (see CONTRAINDICATIONS ). COCs increa…

🆘 Overdosage 27 words

OVERDOSAGE There have been no reports of serious adverse outcomes from overdose of COCs, including ingestion by children. Overdose may cause uterine bleeding in females and nausea.

🧬 Clinical Pharmacology 11 words

CLINICAL PHARMACOLOGY Combination oral contraceptives prevent pregnancy primarily by suppressing ovulation.

📦 How Supplied / Storage and Handling 160 words

HOW SUPPLIED/STORAGE AND HANDLING Kurvelo Tablets (levonorgestrel and ethinyl estradiol tablets USP) (3 x 28) are available in packages of 3 blisters, each containing 28 tablets as follows: Each blister strip contains 21 light orange tablets, each containing of 0.15 mg levonorgestrel and 30 mcg ethinyl estradiol, debossed with "LU" on one side and "U31" on the other side. 7 inert pink, round, biconvex tablets, debossed with "LU" on one side and "U32" on the other side. They are supplied as follows: Kurvelo tablets are available in a blister (NDC 68180-844-71) containing 28 tablets, such 3 blisters are packed in a carton (NDC 68180-844-73).

Store at 25° C (77° F); excursions permitted to 15° to 30° C (59° to 86° F) [see USP Controlled Room Temperature]. LUPIN and the are registered trademarks of Lupin Pharmaceuticals, Inc. Distributed by: Lupin Pharmaceuticals, Inc.

Naples, FL 34108 United States Manufactured by: Lupin Limited Pithampur (M.P.) - 454 775 INDIA Revised: May 2026 Image

📋 Description 129 words

DESCRIPTION Kurvelo™ (levonorgestrel and ethinyl estradiol tablets USP) is a combination oral contraceptive (COC) consisting of 21 light-orange active tablets, each containing 0.15 mg of levonorgestrel, a synthetic progestin and 30 mcg of ethinyl estradiol, an estrogen, and 7 pink inert tablets (without hormones). The structural formulas for the active components are: Levonorgestrel C 21 H 28 O 2 MW: 312.4 Levonorgestrel is chemically 18,19-Dinorpregn-4-en-20-yn-3-one, 13-ethyl-17-hydroxy-,(17α)-(-)- Ethinyl Estradiol C 20 H 24 O 2 MW: 296.4 Ethinyl Estradiol is (19-nor-17α-pregna-1,3,5 (10)-trien-20-yne-3,17-diol).

Each light-orange active tablet contains the following inactive ingredients: croscarmellose sodium, FD&C Yellow #6, lactose monohydrate, magnesium stearate, microcrystalline cellulose and povidone. Each pink inert tablet contains the following inactive ingredients: croscarmellose sodium, D & C Red #30, lactose monohydrate, magnesium stearate and microcrystalline cellulose. Levonorgestrel Ethinyl Estradiol

💬 Patient Medication Information ~3 min read

Patient Information Kurvelo ™ (levonorgestrel and ethinyl estradiol tablets USP, 0.15 mg/30 mcg) What is the most important information I should know about Kurvelo? Do not use Kurvelo if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects from hormonal birth control pills, including death from heart attack, blood clots or stroke.

This risk increases with age and the number of cigarettes you smoke. What is Kurvelo? Kurvelo is a birth control pill (oral contraceptive) used by women to prevent pregnancy.

How does Kurvelo work for contraception? Your chance of getting pregnant depends on how well you follow the directions for taking your birth control pills. The better you follow the directions, the less chance you have of getting pregnant.

Based on the results of clinical studies, about 1 to 5 out of 100 women may get pregnant during the first year they use Kurvelo. The following chart shows the chance of getting pregnant for women who use different methods of birth control. Each box on the chart contains a list of birth control methods that are similar in effectiveness.

The most effective methods are at the top of the chart. The box on the bottom of the chart shows the chance of getting pregnant for women who do not use birth control and are trying to get pregnant. Who should not take Kurvelo?

Do not take Kurvelo if you: smoke and are over 35 years of age had blood clots in your arms, legs, lungs, or eyes had a problem with your blood that makes it clot more than normal have certain heart valve problems or irregular heart beat had a stroke had a heart attack have high blood pressure that cannot be controlled by medicine have diabetes with kidney, eye, nerve, or blood vessel damage have certain kinds of severe migraine headaches with aura, numbness, weakness or changes in vision, or any migraine headaches if you are over 35 years of age had breast cancer or any cancer that is sensitive to female hormones have liver problems, including liver tumors have any unexplained vaginal bleeding are pregnant take any Hepatitis C drug combination containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir.

This may increase levels of the liver enzyme "alanine aminotransferase" (ALT) in the blood. If any of these conditions happen while you are taking Kurvelo, stop taking Kurvelo right away and talk to your healthcare provider. Use non-hormonal contraception when you stop taking Kurvelo.

What should I tell my healthcare provider before taking Kurvelo? Tell your healthcare provider if you: are pregnant or think you may be pregnant are depressed now or have been depressed in the past had yellowing of your skin or eyes (jaundice) caused by pregnancy (cholestasis of pregnancy) are breastfeeding or plan to breastfeed. Kurvelo may decrease the amount of breast milk you make.

A small amount of the hormones in Kurvelo may pass into your breast milk. Talk to your healthcare provider about the best birth control method for you while breastfeeding. Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements.

Kurvelo may affect the way other medicines work, and other medicines may affect how well Kurvelo works. Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine.

How should I take Kurvelo? Read the Instructions for Use at the end of this Patient Information. What are the possible serious side effects of Kurvelo?

Like pregnancy, Kurvelo may cause serious side effects, including blood clots in your lungs, heart attack, or a stroke that may lead to death. Some other examples of serious blood clots include blood clots in the legs or eyes. Serious blood clots can happen especially if you smoke, are obese, or are older than 35 years of age.

Serious blood clots are more likely to happen when you: first start taking birth contr…

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.