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Having convenient, safe, and affordable access to birth control is crucial for individuals' health and wellness, which is why it’s been so amazing to see the recent surge in companies offering online birth control.
While it might sound sketchy, it’s actually a perfectly safe and legit way to get a wide range of contraception options without having to visit a doctor’s office, pharmacy, or family planning center. These online birth control services let people digitally consult with licensed physicians, identify the right birth control options for them, and then have them sent directly to their home.
Almost all accept major health insurance, meaning the cost is either completely covered or won’t exceed a set copay. These services also offer reasonable out-of-pocket costs for those who are uninsured. Many also allow for automatic refills or recurring plans to ensure you never have to worry about running out. It’s truly never been easier to take control of your sexual wellness.
With that in mind, we researched all of the options to find the six best birth control delivery services. From the most convenient to the best option for those starting birth control for the first time, here are our top picks.
The 6 Best Birth Control Delivery Services of 2021
Nurx: Best Overall
In addition to offering more than 100 different types of generic and name-brand contraception—from pills and patches to rings and even the shot—Nurx also provides emergency contraception, STI testing, herpes testing and treatments, and an HPV screening. It's 360-degree sexual health made easy and affordable.
On the birth control front, to get started, you'll need to complete a $15 medical consultation (not covered by insurance, but it does give you unlimited access to Nurx medical professionals for a full year for all of your follow-up questions and advice), then wait for the licensed medical provider to approve and fill out your prescription. If you have insurance, you’ll most likely get your contraception for free (depending on your plan), while those without insurance can opt to get the generic birth control pill starting at $15 a month.
You can choose other options if you pay out-of-pocket, but the price will vary depending on the method, and some name-brand ones can be expensive. That said, Nurx clearly lists the no-insurance costs of each prescription, so there’s no sticker shock, and you can make an informed choice based on your budget and preferences.
The Nurx pharmacy will fill your prescription for a 3-month supply and ship it directly to your door for no additional charge. Refills are automatic, and you can cancel at any time.
Prjkt Ruby: Most Convenient
For a cost-effective, low-maintenance approach to birth control, Prjkt Ruby is the clear winner here. It’s very much a no-frills service—it offers 12 generic birth control pill options and 1 form of emergency contraception. There is no consultation fee, and the service does not accept health insurance. However, each pill is $20 per cycle or $90 per cycle for emergency contraception.
You start by choosing your preferred birth control pill. Then, you complete a medical questionnaire, followed by your payment information and shipping address. A team member then reviews your info and either routes your prescription to the pharmacy to be filled and mailed to you for free, or contacts you to set up a video consultation with a doctor if it’s required by your state.
When you purchase a minimum order of 3 cycles, you are enrolled in the service's automatic refill program, so you don’t have to remind yourself to fill your prescription each month. The Prjkt Ruby team fills and ships it to you when you are due.
Another thing we love about Prjkt Ruby is its charitable component—for each month of birth control purchased, the company makes a donation to help make contraceptives accessible to women worldwide via Population Services International and in the U.S. through Power to Decide.
The Pill Club: Best Experience
If you want your birth control experience to feel a little less clinical and a little more whimsical, The Pill Club is a fun option that adds some personality to the experience of buying birth control online. In addition to offering more than 120 different, name-brand and generic options of birth control and emergency contraception, you’ll also get a few extra surprises in your mailing—a revolving assortment of sweet treats, sassy stickers, and self-care goodies.
The process is along the same lines as the others on our list in that you create a health profile that is then reviewed by one of their licensed physicians who approves your request and works with you to find the best birth control option. For those with health insurance, the cost of their prescription and consultation is usually free. If there is a copay, the customer service team will alert you before filling your prescription. For those without insurance, you’ll pay $15 for your consultation and pills run $9 per pack when you order a 1-year supply.
You can select from different refill durations, although sometimes how much of a supply you can get at one time will depend on your health insurance provider. You can also select a "back-up prevention kit" add-on—consisting of generic Plan B pills or the FC2 female condom—for any of your deliveries. The Pill Club can prescribe in 44 states plus the District of Columbia but can ship prescriptions to all 50 if you want to transfer an existing prescription over to their service from your pharmacy.
Twentyeight Health: Best for Personalized Care
If you prefer a bit more of an intimate experience, Twentyeight Health is just the right mix of personalized care and convenience. After paying a one-time fee of $20 to fill out a medical questionnaire (although they have been waiving this fee during the COVID-19 crisis), you are then given the option to get a new prescription filled, have your existing one re-upped, or to do a video consultation with one of the company's board-certified female physicians to discuss your options and go over any questions or concerns you may have.
The service accepts both health insurance and Medicaid, meaning you will pay $0 for your birth control, unless your plan requires a copay. For those without insurance, prices start at $16 per pack for pills and $30 for emergency contraception. Refills are automatic, but you can pause or cancel at any time. It offers more than 100 different types of birth control as well as emergency contraception.
The only downside? Although they are expanding, Twentyeight Health is currently only available in the following areas: California, Colorado, District of Columbia, Florida, Georgia, Illinois, Maryland, Minnesota, Nebraska, North Carolina, Ohio, Oregon, Pennsylvania, New Jersey, New York, Tennessee, Texas, Virginia, and Washington.
Simple Health: Best for First-Timers
If you’re new to birth control or just starting your sexual health journey, Simple Health is a great place to start. Not only does it offer customer care assistance via text, email, or online consultations with licensed physicians, but Simple Health also has an educational blog with an extensive list of topics covering everything from ranking the effectiveness of birth control methods to identifying STI symptoms and explaining how to insert Annovera's year-long birth control ring.
Simple Health is currently available in 27 states, and you must be 13 or older (that age will vary, depending on state guidelines) to participate. You'll pay an annual fee of $20, which covers your initial consultation, as well as ongoing support with their medical team. The company offers more than 120 different brands of birth control, all of which are covered for free under health insurance. If you are paying out of pocket, prices start at $15 per month, and the Simple Health team will help you find the best option that fits your budget.
Shipping is free, refills are automatic, and you can cancel at any time. The overall process is simple, quick, and a great option for both newbies and the experienced who may be exploring their birth control options.
Pandia Health: Best Female-Led
Pandia Health is a female-founded and run company created with the purpose of making sure women never run out of birth control. After learning that one of the top reasons women skip taking their birth control is that they don’t have it on-hand, the founders set out to make it easier for any woman with access to the internet and a mailbox to get their contraception without a trip to the doctor’s office or pharmacy.
If you have an existing prescription, all you have to do is provide them with your doctor’s info or current pharmacy and they’ll handle the rest. If you need a prescription, you simply fill out a health form—which costs $20—and one of Pandia’s doctors will review it, write your prescription and have it delivered to you.
You will also have to provide your blood pressure, either from a machine or from your latest doctor’s visit, in order to have your prescription filled. While Pandia can fill existing prescriptions in all 50 states, it can currently only prescribe in Arizona, California, Colorado, Florida, Georgia, Nevada, Texas, Washington, and Wyoming, although they do have plans to expand to more states soon.
Pandia accepts most health insurance, in which case your birth control would have no copay, but for those without insurance, prices start at $15 per pill pack. Shipping is free and refills are automatically scheduled to arrive 1 week before your last pack runs out.
You can choose from a variety of generic and name-brand birth control options, including pills, patches, or rings. They also provide emergency contraception and have a treasure trove of educational content on sexual wellness as well as birth control FAQs.
What Are Birth Control Delivery Services?
Birth control delivery services are companies that either prescribe new birth control prescriptions and/or fill existing prescriptions for you (usually at a discounted price) and ship them directly to your home. They offer access to licensed physicians who can answer your birth control questions and help determine the best option for you. These services are available to those both with and without health insurance and offer generic and name-brand birth control options.
Who Should Use Birth Control Delivery Services?
These services are available to all women, transgender, and non-binary people, although the age of eligibility may vary by state laws and insurance policies. Check with your provider if you are unsure if you need parental consent to use these services or not.
How Much Do Birth Control Delivery Services Cost?
Prices will vary based on your insurance plan and whether or not you have a copay. Some services require a medical questionnaire to be filled out in advance for a fee of $15 to $20. For out-of-pocket payment, your cost will depend on which type of birth control you choose and the frequency at which you order (yearly vs. monthly), but for the cheapest options you can expect to pay between $9 and $20 per month for your pills.
How We Chose the Best Birth Control Delivery Services
When evaluating birth control delivery services, we looked for ones that offered a wide variety of options at affordable prices and that worked with licensed and board-certified physicians.
All services that made our list had to accept a majority of health insurance or offer low-cost options for those paying out of pocket. They also needed to provide clear guidance and support for all customers. Shipping needed to be fast, free, and discreet and refills had to be both easy to obtain and easy to cancel if necessary. FAQs, responsive customer service, availability of educational content, and the ability to reach doctors for follow-up questions and care were also on our list of qualifiers.
Our top picks for ease of use and overall experience included Nurx, Prjkt Ruby, and The Pill Club because they offered the most options in pricing and product to fit every budget and preference. Twentyeight Health and Simple Health made our top picks for their commitment to education and intuitive interface that made shopping for birth control online feel comfortable and informative. Finally, Pandia Health earned the top grade in the niche category of female-led (and female co-founded) services for its genuine commitment to improving the lives of women.