Is there a Nexplanon lawsuit?
There is no large, coordinated Nexplanon case. The JPML’s October 1, 2026 list of active MDLs includes no Nexplanon or etonogestrel docket. The JPML’s panel-orders page shows none either.
Individual cases do exist. Nexplanon is a birth control implant made by Organon. Merck is also named as a defendant in some cases. Organon’s quarterly report for the period ending June 30, 2026 describes the U.S. cases it faces.
| Case type |
Where |
Count (as of June 30, 2026) |
| Nexplanon product case |
California state court |
1 |
| Implanon product liability actions (filed) |
U.S. District Court, N.D. Ohio |
2 |
| Implanon claims (unfiled, under a tolling agreement) |
Not filed in court |
56 |
A tolling agreement pauses the filing deadline while the parties talk. It lets a claim stay alive without a lawsuit.
The March 2026 settlement
On March 12, 2026, Organon signed a Master Settlement Agreement. Under it, 56 plaintiffs and claimants will release their filed and unfiled claims. Organon calls the payment “confidential, but non-material.” In a company filing, “non-material” means the company does not view the amount as significant to its finances.
The settlement relates to Implanon, another Organon implant. We could not confirm whether the California Nexplanon case is part of it. Organon has not reported any settlement of Nexplanon claims. Prior results do not guarantee a similar outcome.
Cases outside the U.S.
Organon’s filing also reports 19 cases pending against Merck outside the U.S., as of June 30, 2026. Seven involve Implanon and 12 involve Nexplanon.
A separate securities case
Organon also faces a consolidated securities class action. The court consolidated it on March 6, 2026. A May 8, 2026 amended complaint added claims about “the Nexplanon matter.” This is an investor lawsuit. It is not a personal injury case, and it does not pay patients.
The January 2026 label change
The FDA-approved label now lists several “Recent Major Changes” dated January 2026. They cover the indication, dosing and administration, and two warnings (sections 5.1 and 5.2). The label was last revised in May 2026.
| What changed |
What the label now says |
| How long it can be used |
Approved to prevent pregnancy “for up to 5 years” |
| Boxed warning |
“Risk of Complications Due to Improper Insertion and Removal” |
| Who can provide it |
Available only through a restricted program, the NEXPLANON REMS |
| Warning 5.1 |
Insertion and removal complications, including “migration to vasculature, including pulmonary vessels” |
A boxed warning sits in a box at the top of the prescribing information. A REMS is a safety program required by the FDA.
Warning 5.1 lists symptoms that may follow migration into blood vessels. They include chest pain, shortness of breath (dyspnea), cough and coughing up blood (hemoptysis). The label says surgery may be needed to remove the implant in those cases.
What the REMS means for patients
The REMS had a six-month transition period. It ended on August 23, 2026. Since then, a provider must be certified in the REMS program to obtain and insert Nexplanon, according to the California Medical Association.
For patients, this means the clinician who places the implant should be certified under the program. If you have questions about your implant, ask your doctor. This page does not give medical advice.
What the label change does and does not mean
A label change is a regulatory step. It is not a court finding that Organon did anything wrong. No court has found Organon or Merck liable for a Nexplanon injury in the records we reviewed.
The label change does put certain risks in writing. People who had a hard removal, an implant that moved, or surgery to find the implant may want to know their options. A lawyer can explain whether a claim makes sense on your facts. Filing deadlines depend on your state. Some states start the clock on the date of injury. Others, in some cases, start it when the injury was discovered. A lawyer can confirm which deadline applies in your state.
Timeline
| Date |
Event |
| January 2026 |
FDA label changes: up to 5 years of use, boxed warning, REMS |
| March 6, 2026 |
Organon securities class action consolidated |
| March 12, 2026 |
Organon signs settlement with 56 Implanon plaintiffs and claimants |
| May 2026 |
Label revision date; May 8 amended securities complaint mentions “the Nexplanon matter” |
| June 30, 2026 |
Organon reports one U.S. Nexplanon case, in California state court |
| August 23, 2026 |
REMS transition ends; providers must be certified |
| October 1, 2026 |
No Nexplanon MDL on the JPML’s active list |
We will update this page if a Nexplanon MDL is requested or if Organon reports new cases. For other device cases, see our October 2026 update on all device lawsuits.