Plan B is still available in Missouri after abortion ban. What to know, how to access it

Morning after pills or emergency contraceptives, like Plan B are still available in Missouri following the state’s trigger ban on nearly all abortions. Pharmacies around Kansas City including Walgreens, CVS, Target and Walmart all have emergency contraception pills in stock and available for purchase. CVS is limiting customers to purchasing three pills per person at a time to ensure people can access the pill as demand surges across the country.

After abortion was banned in Missouri following the Supreme Court decision to overturn Roe v. Wade, some readers have written to The Star with concerns about access to emergency contraceptives and other forms of birth control. Here’s what we know so far about Plan B in Missouri. We will continue reporting on this topic.

What is Plan B?

Emergency contraceptive is one of the few birth control options that is used to prevent pregnancy after sex. Morning after pills can be taken up to five days after unprotected sex. Popular morning after pill brands include, Plan B One Step, AfterPill, Preventeza and EContra, to name a few.

These pills use a high dose of a hormone called levonorgestrel, which is similar to the naturally occurring hormone progesterone. Morning after pills work to prevent pregnancy by preventing the body from releasing an egg, which essentially stops your body from ovulating.

The levonorgestrel pills can reduce your chance of becoming pregnant by 75% to 89% if the pill is taken within three days of unprotected sex, according to Planned Parenthood.

It’s important to note that morning after pills are not the same as abortion pills and cannot terminate a pregnancy.

Are emergency contraceptives still legal under Missouri’s abortion ban?

The state’s trigger ban does not explicitly ban emergency contraceptives, and for now, they are still readily available on store shelves.

Though the trigger ban law does not explicitly ban family planning methods other than abortion outright, we still don’t know how all Missouri prosecutors will choose to interpret it, or if any will argue that methods like Plan B fall under the ban.

Who does the morning after pill work for?

The morning after pill works for people who weigh less than 165 pounds. The pill also works best for people who are not ovulating when they take the pill. If you have unprotected sex and your body has already released an egg from your ovary, the pill will not work.

That’s why it’s best to take levonorgestrel pills as soon as possible after having unprotected sex. Regardless of where you are in your menstrual cycle, Planned Parenthood suggests that people take emergency contraception as soon as possible even if they think they’re about to ovulate.

Levonorgestrel pills also work fine for people who are on another form of hormonal birth control.

When does the morning after pill not work?

There are some instances where the morning after pill will be less effective. People who are on medications like the antibiotic Rifampin or antifungal Griseofulvin can impact how well the pill works. Certain HIV and anti-seizure medications can also make the pill not work, according to Planned Parenthood.

Levonorgestrel pills also might not work for people who are over 165 pounds. However, there are other emergency contraception options available. The Ella morning after pill is one option for people who are between 165 and 195 pounds. Ella can be taken up to five days after unprotected sex and can be up to to 85% effective against getting pregnancy.

Itrauterin Devices (IUD) is another birth control option that can work up to five days after unprotected sex. IUDs are one of the most effective forms of birth control. The IUD can reduce chances of getting pregnant by more than 99.9% and can last up to 12 years. IUDs are also one of the best emergency options for folks over 195 pounds.

Where can you get Plan B pills in KC, and how much do they cost?

Most morning after pills can be purchased over the counter and do not require any ID to purchase. In Kansas City, they can be found at stores like Walgreens, CVS, Target or Walmart. You can also get a morning after pill delivered directly to your house through services like Instacart or Amazon. CVS is limiting purchases to three pills per person at a time.

Brands like Plan B One-Step typically cost around $45 to $50, while Aftera will run you about $40. Plan B pills can also be purchased at Planned Parenthood Patty Brous Health Center for $40, and no appointment is needed to make the purchase.

Some insurances may cover emergency contraception pills, in which case make sure to chat with your doctor about getting a prescription first. Other options like Ella or the copper IUD will also need a doctor’s sign off and cannot be purchased over the counter.