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Buy Levora Online
(Ethinyl Estradiol/Levonorgestrel)

What is Levora?

What is Levora?

Brand-name Altavera (levonorgestrel and ethinyl estradiol) is a prescription hormonal birth control pill used in healthcare. It is indicated to prevent pregnancy. Some common side effects are nausea, weight gain, and breast tenderness.

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Purchase Levora from Universal Drugstore today and save!

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  • All Strength's
  • 0.03/0.15mg

brand Versions

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Please see generic options below.

Ethinyl Estradiol/Levonorgestrel (generic Levora)

What are generics?

Ethinyl Estradiol/Levonorgestrel 
0.03/0.15mg

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Product of New Zealand

Product of New Zealand

Marketed as Ava 30ed in New Zealand.

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Important information about Levora

Altavera is a combined oral contraceptive that contains levonorgestrel, a progestin, and ethinyl estradiol, an estrogen. It helps prevent pregnancy mainly by stopping ovulation. It may also cause changes in cervical mucus and the endometrial lining that make pregnancy less likely.

Follow all directions given to you by your doctor and read all documents provided, including the full Prescribing Information, FDA-Approved Product Labeling, Instructions for Use, and Medication Guide before using Altavera. However, the following is a synopsis of the general guidelines for the use of Altavera:

  • Take 1 tablet daily at the same time each day in the order shown on the blister pack. Each pack contains 21 peach active tablets followed by 7 white inactive tablets. Start each new pack on the same day of the week as the previous pack, whether or not you are having your menstrual period.
  • If you use a Sunday Start, take the first tablet on the Sunday after your period starts and use non-hormonal back-up contraception, such as condoms or spermicide, for the first 7 days. If you use a Day 1 Start, take the first tablet on the first day of your period, and no back-up contraception is needed.
  • If you miss 1 active tablet in Weeks 1, 2, or 3, take it as soon as you remember, then take the next tablet at your regular time. This may mean taking 2 tablets in 1 day. No back-up birth control method is needed.
  • If you miss 2 active tablets in Week 1 or 2, take 2 missed tablets as soon as possible and the next 2 tablets the next day. Then take 1 tablet daily until the pack is finished. Use non-hormonal back-up birth control, such as condoms or spermicide, for 7 days after the missed pills.
  • If you miss 2 active tablets in Week 3 or 3 or more active tablets in a row, follow the package directions based on whether you are a Day 1 Starter or Sunday Starter. You may need to throw out the rest of the pack and start a new pack, and you must use back-up contraception for 7 days after restarting.
  • Altavera does not protect against HIV infection, AIDS, or other sexually transmitted diseases.

Some mild or common side effects of Altavera include:

  • Nausea.
  • Vomiting.
  • Bloating.
  • Breakthrough bleeding or spotting between menstrual periods.
  • Lack of menstrual period (amenorrhea).
  • Weight gain.
  • Breast tenderness.
  • Difficulty wearing contact lenses.
  • Swelling of the ankles/feet (fluid retention).
  • Mood changes, including depression.

Some individuals may experience serious side effects while using Altavera. These side effects may require immediate medical attention. If you experience any of the following, contact your healthcare provider or seek emergency medical help:

  • Signs of a heart attack include chest pain, shortness of breath, and pain radiating to your shoulder, neck, or jaw.
  • Signs of a stroke include numbness on one side of your body, a severe headache, or trouble speaking.
  • Signs of a blood clot (deep vein thrombosis or pulmonary embolism), including severe leg cramps, swelling or redness, chest pain, or fast heart rate.
  • Signs of liver problems include yellowing of the skin or eyes, or severe upper-right stomach pain.
  • Signs of breast or cervical cancer include breast lumps/pain, swollen lymph nodes, or unusual vaginal bleeding.
  • Signs of gallbladder disease include pain or tenderness in your stomach.
  • Severe allergic reaction presenting with swelling of the face, lips, tongue, or throat (angioedema), hives, and trouble breathing.

These are not all of the possible side effects of Altavera. You should always seek medical advice from your healthcare provider for any questions or concerns about your medical condition or treatment. Read all patient information, medication guides, or drug information sheets that come with this medication. You can also report adverse effects to the Food and Drug Administration at www.fda.gov/medwatch or 1-800-FDA-1088.

Before starting Altavera, it is crucial to discuss any existing health conditions with your healthcare provider. You should be sure that your healthcare provider is aware of all your medical conditions, including:

  • Heart valve problems or coronary artery disease.
  • High blood pressure (hypertension) or heart disease.
  • High cholesterol or triglycerides.
  • Liver disease.
  • Kidney disease.
  • Irregular menstrual cycle.
  • Diabetes.
  • Gallbladder problems.
  • Breast lumps, or abnormal imaging of the breasts.
  • Upcoming surgery.
  • Depression.

  • A history of heart attack or stroke.
  • A history of blood clots.
  • Chest pain (angina).
  • Known or suspected hormone-sensitive cancers, including endometrial, uterine, cervical, or breast cancer.
  • Unexplained vaginal bleeding.
  • Yellowing of the whites of the eyes or of the skin (jaundice) during pregnancy or during previous use of the pill.
  • Major surgery.
  • Migraine with aura.
  • Liver dysfunction or tumour.
  • Known or suspected pregnancy.
  • Taking any medications containing ombitasvir, paritaprevir, or ritonavir (used to treat hepatitis C).

Altavera starts working based on when you begin your pack. If you start on Day 1 of your menstrual period, back-up contraception is not needed. If you use a Sunday Start, use back-up contraception for the first 7 days.

When Altavera is taken with other prescription drugs, over-the-counter medications, vitamins, and supplements, it may change how they work or increase the frequency or severity of side effects. Make sure that you tell your healthcare professional about anything that you are taking to avoid any negative drug interactions, including:

  • Certain enzyme inducers, such as carbamazepine, felbamate, griseofulvin, phenytoin, rifampin, topiramate, and St. John’s Wort, may reduce the levels and effectiveness of Altavera, and should be avoided while you take it.
  • Colesevelam significantly reduces the levels and effectiveness of Altavera, and they should be taken at least 4 hours after.
  • Certain cholesterol-lowering medications, such as atorvastatin or rosuvastatin, and enzyme inhibitors such as itraconazole, voriconazole, fluconazole, and grapefruit juice may increase levels and side effects of Altavera.
  • Lamotrigine may have lower levels and effects when used with Altavera, which may put you at an increased risk of a seizure.
  • When combined with combined oral contraceptives, thyroid hormones may have higher levels and cause more side effects.
  • When combined with certain medications used to treat hepatitis C, such as ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, and glecaprevir/pibrentasvi, there is a risk of increased liver enzyme levels. This combination is contraindicated.

Altavera is available as a 28-day oral contraceptive pack. Each pack contains 21 peach active tablets with levonorgestrel 0.15 mg and ethinyl estradiol 0.03 mg, followed by 7 white inactive tablets.

It should be stored at room temperature, out of the reach of children and pets.

Altavera is manufactured by Laboratorios Leon Farma for Xiromed, LLC.

No, there is no generic version of Altavera, but similar products containing levonorgestrel and ethinyl estradiol include Portia and Marlissa.

Barring any of the above serious side effects or under the advice of your physician, do not stop taking Altavera suddenly, as this will increase your risk of pregnancy.

No, it should not be used during pregnancy.

Because it contains estrogen, Altavera may reduce breast milk production and pass into breast milk.

Talk to your doctor if you are already breastfeeding or if you have any plans to breastfeed. They will know or recommend what is best for you.

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Important information about buying Levora from UniversalDrugstore™

We ship to destinations within the United States, including Alaska and Hawaii, as well as internationally. Delivery typically takes about 2 weeks for orders shipped within the U.S. and Canada, and about 4 weeks for international orders, depending on your location and customs processing.

Once you complete your order, we process, verify, and dispatch your medication. You’ll receive email updates at each stage, including tracking details once your order ships. If any additional documentation is needed (such as a valid prescription), we’ll contact you promptly. Once approved, your order is charged and delivered directly to your doorstep.

Orders are typically processed within 1–3 business days once all required documents are received and approved. Standard delivery times range from 10–18 business days, depending on your location.

Yes! Once your medication ships, you will receive an email with tracking information so you can monitor your shipment every step of the way.

Our Customer Care team is available 24/7 to assist with any order-related concerns or questions. If you experience delays, missing items, or need support, contact us using the details provided in your confirmation email.

All orders are shipped in discreet, plain packaging to protect your privacy. Medications are securely packaged to prevent damage and ensure they arrive in top condition.

Yes. We use cold-chain shipping methods to safely transport temperature-sensitive medications, ensuring they maintain proper storage conditions throughout delivery.

Shipping costs vary depending on your location and shipping method. Free shipping promotions may be available—check the checkout page for the latest offers. Orders above $100 going to a US destination will receive free shipping.

Currently, we do not bill Medicare or Medicaid directly. However, we provide detailed receipts and documentation that you can submit to your insurance provider for potential reimbursement.

Universal Drugstore does not bill private health insurance directly, but we provide a detailed invoice that you can submit to your insurer for possible reimbursement. Many insurers will accept Universal Drugstore’s documents, but if you have any questions, check with your insurance company prior to purchasing.

We use advanced SSL encryption and secure payment processing to ensure that all transactions are 100% protected against fraud and unauthorized access.

Universal Drugstore offers many generic alternatives that provide the same active ingredients at a lower cost. Search for your medication and compare pricing for generic vs. brand-name options. Generic availability depends on the medication.

If your medication requires a prescription, you must upload it online, via email, or fax. Over-the-counter (OTC) medications do not require a prescription. All prescription medication purchases require a valid and approved prescription. The Universal Drugstore customer care team can contact your doctor directly to get your prescription, and ensure all information is up to date.

Yes! You can add multiple medications to your cart, including prescription, OTC, and pet medications, and complete your purchase in a single checkout process.

Yes! If your prescription includes refills, you can reorder quickly by logging into your account and selecting your medication for a hassle-free refill process. Always refill your medication proactively and ontime, to ensure you do not run out of important medication.

Yes! We offer:

  • Up to 80% savings on medications
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  • 10% off your first order for new customers

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Medical Disclaimer

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes to increase health awareness only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. 



Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.