NC Medicaid will cover oral contraceptive Opill at pharmacies statewide

(Photo: MGN / Medicaid)

CHAPEL HILL, NC (WWAY) — NC Medicaid will begin covering over-the-counter contraception in pharmacies across the state.

Starting Thursday, Aug. 1, 2024, the oral contraceptive Opill will be available through local and retail pharmacies without a prescription, at no cost for NC Medicaid beneficiaries.

Opill is the first over-the-counter oral contraception that has been approved by the U.S. Food and Drug Administration.

“North Carolina is working to expand access to health care and that includes the freedom to make decisions about family planning,” said Governor Roy Cooper. “Making birth control easier to get is an important goal and I’m glad that NC Medicaid can take this step.”

“Our goal is to ensure everyone has access to the right contraception and reproductive services at the right time in their community,” said NC Health and Human Services Secretary Kody H. Kinsley. “This new coverage is part of our ongoing work to invest in child and family well-being by increasing access to health care and ultimately improving maternal and infant outcomes.”

Medicaid beneficiaries will be able to get Opill over the counter from Medicaid-enrolled pharmacies who will be able to submit the claim for reimbursement.

“We are so grateful to the pharmacies and pharmacists who are partnering with us in this critical work to expand access to contraception and reproductive health services,” said State Health Director and Chief Medical Officer Dr. Elizabeth Cuervo Tilson. “This new coverage by NC Medicaid demonstrates our commitment to continue to remove barriers to contraception and ensure North Carolinians have access to the services they need to make the best decisions about their health and life.”

A 2021 law grants authority to pharmacists to prescribe a variety of contraception under protocols approved by the NC Board of Pharmacy and the NC Medical Board. NC Medicaid began enrolling pharmacists in January 2024.

To date, there are more than 330 retail and commercial pharmacies in 92 counties providing contraceptive services. The Department says it will continue to work to expand the level of access to contraceptive services in communities statewide.

More information about coverage for Opill is available in the NC Medicaid bulletin. To find a pharmacy providing pharmacy-initiated contraceptive services in North Carolina, visit ncpharmacyfinder.com.

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