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Beyaz Coupon - Beyaz 28 tablets package

Beyaz

drospirenone / ethinyl estradiol / levomefolate
Used for Acne, Birth Control, PMDD, Folate Deficiency
Used for Acne, Birth Control, PMDD, Folate Deficiency

Beyaz is a combination birth control pill that contains 2 hormones — drospirenone (a progestin) and ethinyl estradiol (an estrogen) — along with levomefolate (a folic acid supplement). In addition to preventing pregnancy, Beyaz is FDA approved to treat premenstrual dysphoric disorder (PMDD), acne in those who have started their periods, and to help raise folate levels. The pill is taken by mouth once daily. Each 28-day pack contains 24 active hormone tablets and 4 placebo tablets. Common side effects include headache, abnormal bleeding, and breast tenderness.

Last reviewed on February 7, 2025
basics-icon

What is Beyaz?

What is Beyaz used for?

How Beyaz works

Beyaz is a combination of two hormones, drospirenone (a progestin) and ethinyl estradiol (an estrogen). These two hormones work together to prevent pregnancy by:

  • Stopping ovulation (preventing the release of an egg) and reducing hormone changes linked to ovulation

  • Thickening cervical mucus to make it harder for sperm to reach an egg

  • Thinning the uterine lining, making it less likely for a fertilized egg to implant

Beyaz works to treat PMDD by balancing hormone levels to reduce symptoms like mood swings, irritability, and bloating.

Beyaz also treats acne by lowering testosterone levels. This leads to less oil production and clogged pores.

Additionally, Beyaz also contains levomefolate, a folic acid supplement that can help lower the risk of birth defects.

Are you looking for information on Yaz (drospirenone / ethinyl estradiol) instead?
When does Beyaz start working?
Time passed since treatment started:
HOURS
DAYS
WEEKS
MONTHS
Initial effect
Full effect

Drug Facts

Common BrandsBeyaz
Drug ClassEstrogen / Progestin / Folate combined contraceptive
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only

More on Beyaz essentials

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Avg retail price
$282.00(save 46.08%)
GoodRx discount
$152.06
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basics-icon

What are the side effects of Beyaz?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

Pregnancy prevention, acne, folate supplementation:
  • Headache or migraine (6%)
  • Irregular menstrual bleeding (4%)
  • Nausea or vomiting (4%)
  • Breast pain or tenderness (3%)
PMDD:
  • Irregular menstrual bleeding (25%)
  • Nausea (16%)
  • Headache (13%)
  • Breast tenderness (11%)

Other Side Effects

  • Feeling tired
  • Feeling irritable
  • Lower sex drive
  • Weight gain
  • Mood swings

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Heart attack: chest pain, belly discomfort, sweating, nausea, dizziness
  • Stroke: sudden numbness or weakness in the arm, leg, or face, confusion, trouble seeing, headache, difficulty walking
  • Deep vein thrombosis (blood clot in the leg): leg cramp, swelling, pain, muscle tightness
  • Pulmonary embolism (blood clot in the lung): cough, chest pain, trouble breathing, racing heart
  • Liver or gallbladder problems: yellowing of the skin or the whites of the eyes, tiredness, pain in the right upper stomach, dark urine
  • High potassium levels: muscle weakness, nausea, irregular heart beat
When do Beyaz possible side effects begin and end?
Time passed since treatment started:
HOURS
DAYS
WEEKS
MONTHS
Irregular menstrual bleeding
Nausea
Headache
Breast tenderness
Mood changes
Seek immediate medical care if you experience this side effect.
If a line continues to the right, you'll likely keep experiencing this side effect once it starts.

Source: DailyMed

The following side effects have also been reported

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
  • Blood clot—pain, swelling, or warmth in the leg, shortness of breath, chest pain
  • Breast tissue changes, new lumps, redness, pain, or discharge from the nipple
  • Gallbladder problems—severe stomach pain, nausea, vomiting, fever
  • Heart attackpain or tightness in the chest, shoulders, arms, or jaw, nausea, shortness of breath, cold or clammy skin, feeling faint or lightheaded
  • High potassium level—muscle weakness, fast or irregular heartbeat
  • Increase in blood pressure
  • Liver injury—right upper belly pain, loss of appetite, nausea, light-colored stool, dark yellow or brown urine, yellowing skin or eyes, unusual weakness or fatigue
  • New or worsening migraines or headaches
  • Stroke—sudden numbness or weakness of the face, arm, or leg, trouble speaking, confusion, trouble walking, loss of balance or coordination, dizziness, severe headache, change in vision
  • Worsening mood, feelings of depression

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

  • Breast pain or tenderness
  • Dark patches of skin on the face or other sun-exposed areas
  • Irregular menstrual cycles or spotting
  • Nausea
  • Vomiting
  • Weight gain
pros-and-cons

Pros and cons of Beyaz

thumbs-up

Pros

Tablet taken by mouth once daily

Placebo (hormone-free) pills contain a folic acid supplement

Can prevent pregnancy, as well as treat acne and PMDD

thumbs-down

Cons

Raises the risk of serious blood clots

Can cause unpleasant side effects, like headache, nausea, and vomiting

pharmacist-tips

Pharmacist tips for Beyaz

pharmacist
  • Try to take Beyaz around the same time every day. Setting a reminder or alarm can help you stay on schedule.

    • You can start Beyaz in different ways. Take your first pill either on the first day of your period or on the first Sunday after your period begins. If you choose the Sunday start, use non-hormonal back-up birth control (like condoms) for the first week, unless your period started on that Sunday.

      • If you missed one active Beyaz tablet, take it as soon as possible, then take your next pill at the usual time. This might mean taking two pills in one day. If you miss more than one pill, check the instructions on your pack or call your gynecologist for guidance. You might also need to use a back-up birth control for a week.

        • You might experience irregular bleeding while taking Beyaz. Some people have heavier periods, while others might miss periods or have breakthrough bleeding. Keep taking Beyaz every day as directed by your gynecologist. Speak with them if you're concerned about changes in your period.

          • Tell your gynecologist if you notice symptoms of depression or mood changes while taking Beyaz. If your depression becomes severe, they might recommend stopping the medication.

            • Beyaz can interact with many medications. Tell your healthcare team about all prescription, over-the-counter, and supplement products you take before starting this medication.

              • Let your healthcare team know if you're scheduled for surgery while taking Beyaz. This medication can raise your risk of blood clots after surgery, so your healthcare team will likely ask you to stop taking it at least a month before surgery and wait at least 2 weeks after surgery before restarting.

                • Get medical help right away if you notice signs of a blood clot, including trouble breathing, leg pain that won't go away, or sudden, severe headache. Though rare, taking combined birth control pills, including Beyaz, can raise the risk of blood clots.

                  • Call 911 if you have sudden swelling around the face, lips, or throat that makes it hard to breathe. Though rare, Beyaz can trigger angioedema, especially in people who've had similar reactions before.

                    faqs

                    Frequently asked questions about Beyaz

                    Does Beyaz cause hair loss?
                    Although hair loss wasn't a common side effect of Beyaz in clinical studies, it might happen due to hormonal changes in your body. In general, combined birth control pills with testosterone-like progestins, such as norethindrone in Heather, are more likely to cause hair loss. Beyaz, which contains drospirenone, has a less testosterone-like effect and is less likely to cause hair loss. If you're concerned about hair changes, talk to your prescriber.
                    Does Beyaz cause weight gain?
                    Though rare, a few people did report weight gain while taking Beyaz in clinical studies for PMDD. But it's unclear whether the weight gain was caused by the medication or other factors. In general, studies show that birth control pills are unlikely to cause weight gain. If weight gain happens, they are more likely due to water retention rather than an increase in body fat. Talk with your healthcare team if you're concerned about Beyaz and weight gain.
                    Does Beyaz stop your period?
                    You can generally expect to have a withdrawal period every 28-day cycle, during the 4 days of taking placebo pills. But your periods might change, especially in the first few months after starting Beyaz. In clinical studies, some people taking Beyaz experienced heavier periods, while others missed periods. It's possible to miss a period while taking this birth control, even if you're not pregnant. If you're concerned about a missed period or changes in your menstrual bleeding, talk with your healthcare team.
                    How effective is Beyaz birth control?
                    If you take Beyaz at the same time every day without missing any pills, it's about 99% effective at preventing pregnancy. But if you miss a pill here and there, its success rate drops to about 91%. Be aware that your chance of getting pregnant is higher if you don’t follow your gynecologist’s direction or frequently miss doses. If you've trouble remembering to take your pill, consider setting an alarm or using a pill organizer to stay on track.
                    How much estrogen is in Beyaz?
                    Beyaz contains 20 mcg of ethinyl estradiol. Talk with your healthcare team if you have more questions about the dose of estrogen in this medication
                    Is Beyaz a low dose birth control?
                    Yes, Beyaz is a low-dose birth control. In general, birth control pills that contain 20 mcg of ethinyl estradiol or less are considered to have low-dose estrogen.
                    Is Beyaz a combination pill?
                    Yes, Beyaz is a combination birth control pill. The active pills contain both drospirenone (a progestin) and ethinyl estradiol (an estrogen), which work together to prevent pregnancy, treat PMDD, and help with acne. But the placebo pills only contain levomefolate, a form of folic acid.
                    Is Beyaz the same as Yaz?
                    Beyaz and Yaz contain the same amount of drospirenone and ethinyl estradiol and are both approved to prevent pregnancy, treat PMDD, and help with acne. The main difference is that Beyaz also contains levomefolate (a form of folic acid), and Yaz doesn't. Folic acid is important for reducing the risk of birth defects, so Beyaz might be a good option if you plan to get pregnant soon after stopping birth control or if you accidentally become pregnant while taking it. Talk with your gynecologist if you have questions about how they both compare.
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                    warings-icon

                    What are the risks and warnings for Beyaz?

                    Beyaz can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

                    risk-warning

                    Cigarette smoking and serious heart problems

                    • Risk factors: Over 35 years old who smoke cigarettes

                      Smoking cigarettes while using Beyaz can significantly raise your risk for blood clots. These blood clots can lead to more serious problems, such as heart attack and stroke. The risk is greater if you're over 35 years old and have a history of smoking cigarettes. If you smoke, talk with your gynecologist about safer birth control alternatives.

                      risk-warning

                      Risk of blood clot

                      • Risk factors: Age 35 or older and smoke | Recent surgery with a long period of bed rest | Starting Beyaz less than a month after childbirth | High blood pressure | | High cholesterol | People identified as obese | Diabetes | Higher dose of estrogen

                        Beyaz can raise the risk of serious blood clots because it contains ethinyl estradiol (an estrogen). Higher estrogen levels can lead to more blood proteins that stimulate clot formation. Some studies also suggest that birth control pills with drospirenone, like Beyaz, might have a higher risk of blood clots compared to pills with levonorgestrel or other progestins. These clots can be life-threatening and can form anywhere in your body. Get medical attention right away if you have any signs or symptoms of a blood clot:

                        • Brain (e.g., stroke): weakness or numbness in your arms, legs, or face on one side of the body, trouble speaking, blurry vision, dizziness, loss of balance, trouble walking, or confusion

                          • Eyes (e.g., retinal thrombosis): trouble seeing, bulging eye, or double vision

                            • Heart (e.g., heart attack): chest pain, sweating, nausea, or dizziness

                              • Lungs (e.g., pulmonary embolism or PE): trouble breathing, chest pain, or cough

                                • Legs (e.g., deep vein thrombosis or DVT): cramps, swelling, pain, or muscle tightness

                                  Your risk of blood clots is higher if you're older, smoke cigarettes, or have certain medical conditions. It also increases if you're on bedrest after surgery or have just given birth. Your gynecologist will usually stop Beyaz 3 to 4 weeks before surgery and restart it 2 weeks after to lower your risk. If you recently delivered a baby, you should wait at least 4 weeks after delivery to start this medication, and only if you aren't breastfeeding. Talk with your gynecologist if you have any questions regarding your risk of blood clots.

                                  risk-warning

                                  High potassium

                                  • Risk factors: Kidney, liver, or adrenal gland problems | Taking medications that raise potassium levels | Taking medications that raise Beyaz levels

                                    Beyaz contains drospirenone, which can cause high levels of potassium in some people. Taking Beyaz with medications that raise potassium levels like ACE inhibitors, potassium-sparing diuretics, or potassium supplements can put you more at risk. Your gynecologist might monitor your potassium levels during your first cycle of Beyaz and periodically while you're taking it. Contact your health care team if you experience signs of high potassium like nausea, irregular heartbeat, or muscle weakness.

                                    risk-warning

                                    Breast and cervical cancer

                                    • Risk factors: History of breast or cervical cancer | Taking Beyaz for a long time

                                      Study results are mixed, but Beyaz and other combined hormonal birth control pills might raise your risk for breast and cervical cancer.

                                      Don't take Beyaz if you currently have or have had breast cancer because some types of breast cancer grow faster in the presence of estrogen, which is in this medication. Perform breast self-checks regularly at home and get yearly breast exams with your gynecologist to help with early detection. Let them know if you notice any new or abnormal lumps, pain, or swelling in your breasts.

                                      Make sure you follow up with your gynecologist to get proper screenings for cervical cancer. Report any signs of vaginal bleeding or discharge that's not normal.

                                      risk-warning

                                      Liver problems

                                      • Risk factors: Taking Beyaz for more than 8 years | Certain hepatitis C medications

                                        Don't use Beyaz if you have liver problems, such as hepatitis, severe cirrhosis, or liver tumors. Although rare, this medication can raise your risk of benign liver tumors. If you notice signs of liver problems, stop using Beyaz and talk to your gynecologist about other birth control options. Signs of liver problems include jaundice (yellowing of the skin or whites of the eyes), fever, tiredness, loss of appetite, or dark urine..

                                        risk-warning

                                        Gallbladder problems

                                        Some studies suggest that Beyaz can raise the risk of gallbladder disease since more progestin and estrogen can lead to higher chance of gallstones. Although the risk is low, talk to your gynecologist if you have a history of gallbladder disease before starting this medication.

                                        risk-warning

                                        High blood pressure

                                        • Risk factors: Older age | Using hormonal contraceptives for a long time | History of high blood pressure

                                          Beyaz can raise your blood pressure. The risk is higher if you're older and have been using birth control for a long time. If you have a history of high blood pressure that's well-controlled, your prescriber might monitor you while you use Beyaz. If you have concerns, talk with them about the risks and benefits of using this medication.

                                          risk-warning

                                          High blood sugar and triglycerides

                                          • Risk factors: Prediabetes or diabetes | High triglycerides

                                            Beyaz can raise your blood sugar and triglycerides levels. If you have prediabetes or diabetes, your prescriber will likely monitor your blood sugar while you take this medication. High triglycerides can lead to a higher risk of pancreatitis (inflammation of the pancreas). Speak with your gynecologist before starting Beyaz if you have a history of high blood sugar or triglycerides. They might suggest a different birth control option or monitor your lab work more closely while you're using this medication.

                                            risk-warning

                                            Headache

                                            Let your gynecologist know if you experience new or worsening migraines or headaches while using Beyaz. If you develop frequent, severe, or new headaches, you might need to stop the medication.

                                            risk-warning

                                            Irregular bleeding

                                            • Risk factors: First 3 months of COCs

                                              People who take Beyaz can sometimes experience irregular bleeding and spotting, especially during the first 3 months of taking this medication. Irregular bleeding can vary from slight staining to bleeding similar to a regular period. This problem is often temporary, so continue taking your medication as directed. If your bleeding doesn't stop, becomes heavier, or you miss a period after the initial bleeding, let your gynecologist know. Your gynecologist can perform blood tests to rule out pregnancy or other potential causes for bleeding.

                                              risk-warning

                                              Depression

                                              • Risk factors: History of depression

                                                If you have a history of depression, your prescriber will monitor you while using Beyaz. If your depression gets worse or becomes serious, they might stop the medication. Let your prescriber know if you experience mood changes, sadness, or loss of interest in activities while taking this medication.

                                                risk-warning

                                                Worsening of other health conditions

                                                • Risk factors: History of hereditary angioedema | History of chloasma gravidarum

                                                  If you have certain conditions, such as hereditary angioedema or chloasma (a skin condition that causes dark patches on the face), talk to your prescriber before taking Beyaz because it might worsen your symptoms. If you have a history of chloasma, limit exposure to the sun or UV light while taking Beyaz.

                                                  dosage

                                                  Beyaz dosage forms

                                                  The average cost for 1 package of 28 tablets of Beyaz is $152.06 with a free GoodRx coupon. This is 46.08% off the average retail price of $282.00.
                                                  package
                                                  Package
                                                  DosageQuantityPrice as low asPrice per unit
                                                  28 tablets1 package$152.06$152.06

                                                  Typical dosing for Beyaz

                                                  Beyaz comes in a 28-day pack, which contains 24 active hormone tablets and 4 placebo tablets. Each active tablet contains 3 mg drospirenone and 20 mcg ethinyl estradiol. Each placebo tablet contains 0.451 mg levomefolate calcium.

                                                  Follow your prescriber's instructions on how to take this medication. The tablets must be taken in order as shown on the packaging.

                                                  The typical dose is 1 active tablet by mouth daily for 24 days, followed by 1 placebo tablet daily for the remaining 4 days.

                                                  drug-cost

                                                  How much does Beyaz cost?

                                                  To access savings, use a GoodRx coupon and pay just a fraction of the retail price.View prices & coupons
                                                  contraindications-icon

                                                  Beyaz contraindications

                                                  Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Beyaz will not be safe for you to take.
                                                  alternatives

                                                  What are alternatives to Beyaz?

                                                  There are a number of medications that your doctor can prescribe in place of Beyaz. Compare a few possible alternatives below.
                                                  Beyaz
                                                  Used for:
                                                  $152.06 Lowest GoodRx priceView Prices
                                                  Used for:
                                                  • Prevention of pregnancy

                                                  • Folate supplementation

                                                  $47.23 Lowest GoodRx priceView Prices
                                                  Used for:
                                                  $30.40 Lowest GoodRx priceView Prices
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                                                  Drospirenone / Ethinyl Estradiol / Levomefolate Coupon - Drospirenone / Ethinyl Estradiol / Levomefolate 28 tablets package
                                                  package of drospirenone / ethinyl estradiol / levomefolate 28 tabletsDrospirenone / Ethinyl Estradiol / Levomefolate Coupon - Drospirenone / Ethinyl Estradiol / Levomefolate 28 tablets package

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                                                  References

                                                  Best studies we found
                                                  View All References (1)

                                                  International Agency for Research on Cancer. (2012). Combined estrogen-progestogen contraceptives. Pharmaceuticals.

                                                  GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.
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