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Everything you need to know

About Medication AbortionBefore your medication abortionYour care with usAftercare & recovery

About Medication Abortion

What is medication abortion?

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Medication abortion involves two medications:
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Mifepristone block progesterone, the hormone that supports pregnancy.
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Misoprostol causes cramping and bleeding to pass the pregnancy, similar to a miscarriage.
According to the World Health Organization, this method is safe and effective up to 12 weeks gestation.

Is medication abortion safe for me?

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It’s safe for most people in early pregnancy—even with chronic health conditions.
However, it is not recommended if you have:
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A known or suspected ectopic pregnancy
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An IUD in place (must be removed before abortion)
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Long-term steroid use (excluding inhalers)
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Chronic adrenal failure
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A bleeding disorder or are on blood thinners
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Porphyria
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Allergy to mifepristone or misoprostol
We also don’t recommend this method without imaging or labs if you’ve had:
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A prior ectopic pregnancy
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Tubal sterilization or surgery

What does the process feel like?

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Misoprostol causes cramping and bleeding, often with clots. It typically starts 2–4 hours after taking the pills and can last 3–5 hours.
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Bleeding may be heavier than a period
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You may pass pregnancy tissue (white or gray)
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Light bleeding may continue for 1–2 weeks (sometimes longer)
This is expected and means the medication is working.

Will abortion affect my ability to get pregnant in the future?

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No. Medication abortion does not impact fertility or increase your risk of miscarriage later on.

Before your medication abortion

What if I’m unsure about ending my pregnancy?

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It's OK to have uncertainty about your choice. These resources offer unbiased support:
Both have counselors available to talk things through with you.

What is an ectopic pregnancy and how do I know if I have one?

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An ectopic pregnancy grows outside the uterus and is not treatable with abortion pills. It can be life-threatening if untreated.
Signs to watch for after taking the pills:
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No bleeding or tissue passing
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Sudden or severe abdominal pain
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Dizziness or fainting
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Shoulder pain
If you have these symptoms, go to the ER immediately. You can say: “I had a positive pregnancy test and I’m now bleeding. I don’t know what’s happening.”
Ectopic pregnancy care is available even in states with abortion bans.

Do I need to worry about Rh factor?

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Probably not. If you're Rh-negative, there's a small chance your body could develop antibodies after bleeding in pregnancy.
However, RhoGAM is not recommended for pregnancies under 12 weeks. Want to know your blood type? Try an at-home test or get bloodwork at a local lab.

What if I need in-person abortion care?

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If you prefer or require in-person care, we can help.
Resources to find a clinic:
We also offer limited in-person care in the NYC area—contact us for more info

Your care with us

How does CVS pick-up work?

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CVS is one of the few retail pharmacy chains that dispense mifepristone and misoprostol. Opting for CVS pick-up might be more convenient and affordable since you can often use insurance to cover the medications. Your local CVS may not have mifepristone in stock, but it will be sourced from a central location and should arrive within 1-2 business days. Unlike our mail order option, you pay the pharmacy directly for the medication at pick-up, and the fee you pay us is for your care. Check with your insurance or CVS for the actual cost. Out-of-pocket expenses should not exceed $75.00.

Keep in mind a few things when ordering medication for CVS pick-up:
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CVS sends automated text messages to the phone number they have on file, so ensure your contact information is current with them.
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CVS will process the prescriptions through your insurance if they have it on file, so please inform them if you prefer to pay out-of-pocket for the medication.
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CVS has a dispensing window of four business days, so you must pick up your medication within this timeframe, or the prescription will be re-shelved and become unavailable to you.

How does mail order work?

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We send a prescription to our partner pharmacy, Honeybee Health, and the medications are shipped to you in a plain mailer. Once the medication has shipped, you will receive a tracking number to ensure timely arrival. The medication takes 2-4 business days to arrive, or 1-2 business days with expedited shipping for an additional $35. The cost of medications is included in your care.

How much does it cost? Do you take insurance?

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Cost of care for medication by mail is $100 (+$35 for express shipping).
Cost of medication for pick-up at CVS is $50 plus the cost of medications. The cost of the medication will be your responsibility at the time of pharmacy pick up. Most insurance plans will cover this medication. Without insurance or “out-of-pocket” the medications may cost up to $75. You can check directly with your insurance or CVS for the actual cost. We do not accept insurance at this time, but we can give you a superbill to request reimbursement.
Need help with cost? We offer financial assistance and sliding scale options through partner abortion funds.

Is this service refundable?

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Our care is non-refundable. Once medications are shipped, they cannot be returned or reused and must be disposed of.
If your package is returned and you need replacements, we’ll help—but you’ll need to pay the pharmacy to replace the medications. Our care consultation fee won’t be charged twice.

Where do the medications come from?

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We send your prescription to our partner pharmacy, Honeybee Health. Medications are shipped in a discreet white mailer.
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Standar: 2–4 business days
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Rapid delivery (+$35): 1–2 business days.
You’ll receive a tracking number once it’s on the way

Aftercare & recovery

How do I know if it worked?

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We’ll follow up with you to ensure you had expected bleeding and symptoms.
You'll also receive a high-sensitivity pregnancy test in your medication package.
Use it 4 weeks after taking the pills to confirm the abortion was successful.
Still feeling pregnant after 2 weeks?
Reach out—we may recommend an ultrasound or blood testing for confirmation of a successful abortion

Can you help with birth control after my abortion?

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Absolutely. We can prescribe any method you choose—at no additional cost.
Most birth control is fully covered by insurance.
Explore options: Bedsider.org

Who can I talk to for emotional support?

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You are not alone. Alongside our team, here are free, anonymous support resources:
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All-Options Talkline: 1-888-493-0092

Learn from Our Midwife Team

Mifepristone

Smiling woman with afro hairstyle wearing round glasses and wireless earbuds outdoors.
Includes care by telehealth and abortion pills shipped by Honeybee Health Pharmacy.
Read more

Misoprostol

Woman holding a glass of water in one hand and a white pill in the other, about to take the pill.
Choosing to have your medications sent to CVS? $50 covers the cost of care by telehealth with us.
The cost of the medication will be your responsibility at the time of pharmacy pick up.
Read more
For people with pregnancies less than 11 weeks, check your eligibility.

Telehealth

Smiling woman with long brown hair sitting on a brown couch using a laptop.
Choosing to have your medications sent to CVS? $50 covers the cost of care by telehealth with us.
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Most insurance plans will cover the medication. Without insurance or “out-of-pocket” the medications may cost up to $75. You can check directly with your insurance or CVS for the actual cost.

Support Abortion

We’re committed to providing care to anyone who needs it, regardless of their financial situation. Community support helps make this happen.
We rely on donations to fund our “pay what you can” model, which offsets costs for patients who need financial support. By helping us lower this financial barrier, we can create a more accesible and equitable world.
Contact
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National Sexual Assault Hotline

1-800-656-HOPE (4673)
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