An overview of over-the-counter contraceptives: Spotlight on daily oral norgestrel.

Takalkar, Rujuta; Lorenzo, Andrea; Vegunta, Suneela · Cleve Clin J Med · 2025

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Abstract

In July 2023, the US Food and Drug Administration approved the first over-the-counter (OTC) daily oral contraceptive pill, Opill (norgestrel). The widespread availability of a daily oral contraceptive pill without a prescription is a major advancement in reproductive health and improves access to safe, effective, affordable contraception. This article outlines the types of OTC contraceptives currently available in the United States, with a focus on OTC norgestrel and its implications for increased accessibility to reproductive healthcare.

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