December 12, 2019

The U.S. FDA has approved Amneal Pharmaceuticals’ generic version of Merck’s NuvaRing® (etonogestrel/ethinyl estradiol vaginal ring). Amneal’s generic will be marketed under the name EluRyng™ and is the first generic alternative to NuvaRing to become available on the U.S. market.

EluRyng is lightweight, flexible vaginal ring that releases a combination of estrogen and progestin hormones indicated for use by women to prevent pregnancy. Under the recommended dosing, the ring should be inserted into the vagina for three weeks of continuous use. After the third week, EluRyng should be removed for a ring-free interval that last seven days. A new ring must then be inserted according to the recommended dosing to continue contraception.

Patients are able to insert and remove EluRyng on their own. However, they should speak to their doctor about proper use and the best time to insert the ring, as this can vary depending on the patient’s medical history and history of contraceptive use. A black box warning cautions that women over 35 years old who smoke should not use EluRyng, as smoking increases the risk of serious cardiovascular events from combination hormonal contraceptive (CHC) use.

Amneal Pharmaceuticals has launched EluRyng at a wholesale acquisition cost of $148.32 per box, compared to $162.63 for NuvaRing.

Actual drug patent expiration dates and availability of new medications are subject to change due to patent litigation, settlement agreements, additional patents, exclusivities, and final FDA approval. Distribution and availability of new medications at pharmacies may not occur immediately following FDA approval. Patients are advised to speak with their healthcare professional or pharmacist regarding appropriateness as well as actual availability.

*This is provided for information only. The reference to any medication above does not mean the medication is covered by your plan.

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