Medically reviewed by Dr. Betty Acker, MD on September 17, 2020
Key takeaways:
- If you’re looking for birth control methods that do not require a prescription, there are several over-the-counter (OTC) options to consider
- Barrier methods (like condoms) and spermicides offer protection that you can purchase at drugstores, supermarkets, or online
- Opill®is a new over-the-counter birth control pill that offers reliable protection from pregnancy
Over-the-counter (OTC) contraceptives are birth control options you can get without a prescription at drugstores, supermarkets, or online. These include barrier methods like condoms and spermicides, as well as the newly approved Opill®, the first daily birth control pill available OTC in the United States.
OTC options give you fast, private access to pregnancy prevention without needing a provider visit. They’re convenient, discreet, and put you in control of your reproductive health, whether you’re at home, traveling, or just want a no-hassle option.
What contraceptives are available over the counter?
Several effective birth control options are available without a prescription, making it far easier to protect your reproductive health on your own schedule. Some common OTC methods include:
- Barrier methods: Male condoms, female/internal condoms, and contraceptive sponges. These provide protection against pregnancy and, in the case of condoms, sexually transmitted infections (STIs).
- Spermicides: Gels, creams, foams, films, and suppositories, which you insert into the vagina before sex to help prevent pregnancy.
- Daily birth control pill: Opill® (norgestrel), the first daily pill available OTC in the U.S., offers a reliable, hormone-based option without needing a prescription.
- Natural family planning aids: Ovulation predictor kits and fertility tracking apps can help you identify fertile days, though they require consistent tracking to be effective.
Is there an over-the-counter birth control pill?
Yes, Opill® is a new OTC option, approved by the FDA in 2023. It’s a daily pill that provides effective pregnancy prevention without a prescription, giving you more control over your reproductive health. Traditional OTC options like condoms remain popular, offering both pregnancy and STI protection, while spermicides give additional flexibility depending on your needs and lifestyle.
Do OTC birth control pills work?
Yes, Opill® is highly effective when taken consistently. With perfect use (taking a pill at the same time every day without missing doses), Opill® is about 98% effective. With typical use, effectiveness is around 91%, which makes daily consistency key for reliable pregnancy prevention.
Opill® is a progestin-only pill, which works in two ways: it thickens cervical mucus to make it harder for sperm to reach an egg, and it can prevent ovulation. When used correctly, it’s a safe, convenient way to take control of your reproductive health without a prescription.
Who benefits from OTC contraceptives?
OTC contraceptives are a great option for anyone who wants quick, easy access to birth control without a prescription. They’re especially helpful for people who face barriers to traditional care—like those without insurance, living in rural areas, or juggling busy schedules.
These options also support privacy and autonomy in reproductive health decisions. Anyone who needs immediate contraception can benefit from the convenience and flexibility of OTC methods.
By offering effective, accessible birth control, OTC options give you more control over your reproductive health on your terms.
Getting access to OTC contraceptives
Nurx makes getting over-the-counter contraceptives simple, convenient, and private. You can order Opill® 3-month packs and other birth control options online and have them delivered straight to your door, no trips to the pharmacy required. Our platform is designed to fit your lifestyle, whether you’re busy, live in a rural area, or value discretion.
If you’re prescribed medication by a Nurx provider, you’ll also have access to expert support for any questions about starting or using OTC methods. Plus, most of our treatment plans offer automatic refills that can help prevent gaps in protection, so you can maintain consistent, reliable contraception without added stress. With Nurx, taking control of your reproductive health is fast, straightforward, and fully within your control.
The information provided here is for general educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with any questions or concerns about your health or birth control options.
Provider services not offered in every state. Prescription medications prescribed only if clinically appropriate, based on completion of required consultation.