Everything you need to know

Medication abortion involves two medications:

According to the World Health Organization, this method is safe and effective up to 12 weeks gestation.

It’s safe for most people in early pregnancy—even with chronic health conditions.
However, it is not recommended if you have:

We also don’t recommend this method without imaging or labs if you’ve had:

Misoprostol causes cramping and bleeding, often with clots. It typically starts 2–4 hours after taking the pills and can last 3–5 hours.

This is expected and means the medication is working.

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

Yes! We offer advance provision (abortion pills for future use) for people who want to have medication on hand in case they need it in the future. Medication can be stored in a dry place and is effective up to the expiration date on the packaging. If and when you do need to use the medication, you can reach out to us for support!

It's OK to have uncertainty about your choice. These resources offer unbiased support:

Both have counselors available to talk things through with you.

An ectopic pregnancy grows outside the uterus and is not treatable with abortion pills. It can be life-threatening if untreated.

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.

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.

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

Filling your prescriptions at CVS may cost less because you can often use insurance to pay for the medication. You can check to see if your local CVS has mifepristone (the first medication) in-stock here by searching for "mifepristone 200mg tab" in the search bar.

If not, they can order it and it should arrive within 1-2 business days. It is normal to receive automated text messages that show your medication status as “delayed” or “out of stock.” Misoprostol is often available the same day, but we recommend you wait until both medications are ready before going to the pharmacy.

A few important reminders for CVS pick-up:

CVS may send text updates if they already have your phone number on file, so make sure your contact information is up to date. This is especially important if your CVS account is linked to a family member.

CVS will use your insurance if they have it on file. Let them know if you would rather pay out of pocket.

CVS has a dispensing window of four business days, so you must pick up your medication within this timeframe, or the prescription will be made inactive and become unavailable.

We send a prescription to our partner pharmacy, Honeybee Health, and the medications are shipped to you in plain, white packaging by FedEx or USPS. Once the medication has shipped, you will receive a tracking number by email to ensure timely arrival. The medication takes 1-3 business days to arrive.

Please ensure that delivery can be made to the shipping address you provide on your intake form. If you live in a building or house without a secure location for FedEx or USPS to leave your package, please consider delivery to a FedEx pick-up site or local post-office. Signature is not required.

Medication by mail:  $125 ($50 for your care with midwives + $75 for medications). With medications by mail, the cost of medications and priority shipping is included in your care.

CVS pick-up: $50 for care with midwives + the cost of medications (paid directly to CVS pharmacy). Unlike our mail order option, the fee you pay us is for your medical care and you pay the pharmacy directly for the medication at pick-up. Most insurance plans will cover a portion of the cost, but you may have a co-pay. 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.

Need help with cost? We offer financial assistance and sliding scale options through partnerships with abortion funds.

We do not accept insurance at this time, but we can give you a superbill to request reimbursement.

Medical care with midwives is non-refundable. Medical care includes medical screening by a licensed midwife, prescription writing for FDA-approved medications, ongoing support from our care team and coordination of follow-up care as needed.

CVS pick-up: Payment for medical care is non-refundable even if you do not pick-up your prescriptions from the pharmacy or you decide not to take the medication.
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‍Mail order prior to shipment of medication: If you change your mind after we've prescribed medications, but before medication has been shipped by Honeybee, you can request a partial refund. We will refund your payment minus our $50 fee for medical care.

‍Mail order after medications are shipped: We do not offer refunds once your medications have been shipped. The medication fees collected by Juniper Midwifery are collected on behalf of Honeybee. Honeybee does not provide refunds for medications even if the medications are returned to the pharmacy because returned medications 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 fee for medical care won’t be charged twice.
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We’ll follow up with you to ensure you had expected bleeding and symptoms.

A urine pregnancy test may remain positive for 4-5 weeks after an abortion, so we recommend waiting at least 4 weeks before testing. If you receive care by mail, two pregnancy tests are included in your package. For CVS, a non-digital over-the-counter urine pregnancy test is recommended.

Still feeling pregnant after 2 weeks?
Reach out—we may recommend an ultrasound or blood testing for confirmation of a successful abortion

Absolutely. We can prescribe any method you choose—at no additional cost.

Most birth control is fully covered by insurance.

Explore options: Bedsider.org

You are not alone. Alongside our team, here are free, anonymous support resources: