Is There A Difference Between Junel Fe And Blisovi Fe?

In our latest question and answer, the pharmacist discusses whether or not there is a difference between two birth control product, Junel Fe and Blisovi Fe.

Is There A Difference Between Junel Fe And Blisovi Fe?
Jun 20, 2020

Angelina asked

If I asked my pharmacist for Junel Fe and they gave me Blisovi Fe, it that the same thing? I was previously on Junel Fe and then I was switched to the generic of that and then just generic of the generic. And now I switched pharmacies and asked for Junel Fe but they gave me Blisovi Fe.

At a glance

  • There are quite a few different generics that exist for this medication and it might change from time to time depending on your local pharmacies preferred choice or availability.
  • Blisovi Fe and Junel Fe are considered to be equivalent to each other by the FDA and pharmacy may dispense either one.


Hi Angelina and thanks for writing to us. It sounds like your pharmacist did dispense the correct medication to you and it’s something that I have also done hundreds of times.

Junel Fe and Blisovi Fe both contain the same amount of the active drug, ethinylestradiol and norethindrone acetate, and are considered to be 'AB rated' by the FDA. What this means is that both drugs contain the same amount of the same drugs have undergone extensive testing to show that they are equivalent to the brand medication, Loestrin Fe. They can be substituted since they are considered to be the same medication. This is also assuming that the substitution was done correctly as Junel Fe has several different versions available (Junel Fe 1.5/30, Junel Fe 1/20, Junel Fe 24).

The only difference in the drugs might be the inactive ingredients in the drugs. Inactive ingredients don’t have any effect of the action of the drug itself, but they may be there to add mass to the tablet, a dye to change the color of the tablet, help to preserve its shelf life, help it to dissolve more quickly in your stomach, or a number of other things. For the vast majority of people, the inactive ingredients shouldn’t matter or play any real impact on the action of the drug.

You might also think to yourself, why does this drug have so many names? It’s actually a safety feature! There are only a few different estrogens and progestins that are combined in slightly different combinations or doses. The “birth control section” of my pharmacy would be a confusing mess if these drugs were only listed by their generic names.

On that note, you might see these different names in the future, but they are all the same drug, equivalent to your Blisovi Fe or Junel Fe:

  • Aurovela Fe
  • Larin Fe
  • Loestrin Fe
  • norethindrone/EE/Fe
  • Tarina Fe

They are all the same drug, but they just have a different manufacturer. If your normal Blisovi Fe is back-ordered or you go to a different pharmacy, you might see one of these instead.

Ready for a more personal experience with your meds?