How to Access Free or Lower-Cost Birth Control in Each State
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Between the 2020 Supreme Court ruling that made it legal for employers to refuse to cover birth control and the fact that 19 million people who are capable of becoming pregnant live in a contraceptive desert, there’s plenty of reason to be concerned about birth control access.
To help ease concerns, we put together a guide on how to access lower-cost and cost-free birth control in all 50 states and Washington, D.C.
Contraceptive desertsA contraceptive desert refers to a region where the number of health centers offering the full range of methods in the area isn’t enough to meet the needs of the population. The states with the fewest clinic options for birth control include:
South DakotaNorth DakotaNebraska KansasTexasAlabamaAlaskaWhere to start
It’s amazing that there are so many types of birth control — but figuring out which option is right for you requires a little brain work.
Dr. Alyssa Dweck, INTIMINA’s sexual and reproductive health expert, recommends asking yourself:
Do I want my birth control method to reduce STI transmission risk, too?Is my menstrual cycle regular, heavy, painful, lengthy, or not a concern? Do I experience acne, PMS, migraine attacks, depression, or other conditions I’d like birth control to help treat? Truthfully, would remembering to take a daily pill be difficult for me? What is my birth control budget? Do I want children in the near future? How about ever?How do I feel about receiving a pelvic exam?“The answers to these questions can help you and your provider make a great decision,” she says.
Make sure you’re familiar with all of your options
It goes wayyyy beyond condoms and birth control pills.
Lifestyle

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There are ways to avoid pregnancy if you don’t want to use anything.
Abstinence
Every pleasure seeker has a different definition of abstinence. So, if you’re looking to avoid pregnancy, make sure your definition includes opting out of P-in-V intercourse.
Outercourse
Typically, outercourse is any sexual play that doesn’t involve penetration.
If you’re using outercourse to avoid unwanted pregnancy, make sure your definition includes keeping P-in-V sex off the table.
Fertility awareness methods
This involves keeping tabs on your menstrual cycle so you can either avoid P-in-V on your most fertile days or use a secondary form of birth control, like condoms.
This could include:
cervical mucus trackingbody temperature tracking calendar trackingNonhormonal

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Avoiding P-in-V — or avoiding it on certain days of the month — isn’t the only nonhormonal way to avoid pregnancy. And many options are available over the counter (OTC) at most drugstores.
Internal condom
What it is: Internal condoms are polyurethane pouches that line the inside of the vaginal canal, catching the semen so sperm can’t swim to an egg. Available OTC: YesAvailable online: YesPrescription needed: NoExternal condom
What it is: External condoms are skintight sheaths that go over the penis during penetrative play, intercepting any semen released from the penis. Available OTC: YesAvailable online: YesPrescription needed: NoSponge
What it is: Squishy and soaked in spermicide, sponges get manually placed against the cervix before sex, killing off sperm before they can enter the uterus. Available OTC: YesAvailable online: YesPrescription needed: NoSpermicide
What it is: Spermicide is a chemical that gets squirted inside the vagina where it then kills off sperm after ejaculation. Available OTC: YesAvailable online: YesPrescription needed: NoDiaphragm
What it is: Diaphragms are reusable, silicone disks that get covered in spermicide and slipped inside the vagina to cover the cervix before sex. Available OTC: NoAvailable online: YesPrescription needed: YesCervical cap
What it is: Cervical caps are silicone caps that get filled with spermicide and inserted over the cervix to keep sperm from traveling into the uterus. Available OTC: NoAvailable online: YesPrescription needed: YesCopper IUD
What it is: Shaped like tiny pogo sticks, copper IUDs get implanted in the uterus where they can stay for up to 10 years. Copper changes the way sperm swim and survive, so it keeps them from traveling to an egg. Available OTC: NoAvailable online: NoPrescription needed: YesTubal ligation
What it is: Tubal ligation is a surgical procedure that involves permanently blocking, tying, or cutting the fallopian tubes to prevent pregnancy. Available OTC: NoAvailable online: NoPrescription needed: NoVasectomy
What it is: Vasectomy is a procedure that involves permanently blocking or cutting the tubes that carry the sperm to the ejaculatory fluid. Available OTC: NoAvailable online: NoPrescription needed: NoHormonal

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Hormonal birth control has the benefit of birth control plus the potential benefit of hormones (including menstrual cycle regulation and reduced hormonal acne, to name a few).
Shot
What it is: The shot is a trimonthly injection of the synthetic hormone progestin, which keeps ovulation from occurring. Available OTC: NoAvailable online: YesPrescription needed: YesRing
What it is: The ring is a 2-inch band that gets inserted into the vagina for 3 weeks at a time, where it gradually releases pregnancy-stopping hormones. Available OTC: NoAvailable online: YesPrescription needed: YesPatch
What it is: The patch gets stuck to your bod like a sticker where it releases a stream of estrogen and progestin until it’s replaced a week later. Available OTC: NoAvailable online: YesPrescription needed: YesImplant
What it is: A matchstick-shaped rod, the implant gets inserted under the skin of the arm where it releases ovulation-stopping progestin. Available OTC: NoAvailable online: NoPrescription needed: YesPill
What it is: The pill is a daily medication that contains just progestin (minipill) or progestin and estrogen (combination pill) to stop ovulation. Available OTC: NoAvailable online: YesPrescription needed: NoHormonal IUD
What it is: Hormonal IUDs are inserted into the uterus where they release an itty-bitty bit of ovulation-stopping progestin until they’re removed 3 to 5 years later. Available OTC: NoAvailable online: NoPrescription needed: YesEmergency contraceptive (EC) pills ≠ birth controlWhile highly effective when taken properly (within 72 hours after P-in-V sex), EC pills like Plan B shouldn’t be used as routine birth control. “It’s an effective fallback, but it’s nowhere near as effective as the birth control options,” says G. Thomas Ruiz, MD, OB-GYN at MemorialCare Orange Coast Medical Center in Fountain Valley, California.Plus, he says, “It’s a very high dose of hormones, so taking it regularly probably won’t make you feel very good.”
How much does birth control usually cost?
Great question!
The cost of birth control depends on a variety of factors including:
Where you liveWhat insurance you have (if any)What type of birth control you’re accessing Your income (there are some government assistance programs for folks on a lower income)Of these factors, the type of birth control you’re accessing is the biggest factor affecting cost. An external condom, for example, will put you out about a dollar, while an IUD can put you out more than a grand (if you don’t have insurance).
As a general rule, people who have insurance should expect to spend $0.00 to $250.00 total per year (between $0.00 and $20.00 per month).
Those who don’t have insurance should expect to spend $200 to $600 total per year (about $20 to $50 per month)… unless (and this is important!) they qualify for Medicaid or other government programs that cover the cost.
Your local health clinics, Planned Parenthood, and Title X clinics are locations most likely to offer free to lower-cost birth control for those who aren’t insured.
Where to find it
Cool, so you’ve either decided that using birth control is in your best interest or are interested in learning more. But what’s the first step?
Here’s what folks with and without insurance need to know.
Local health departments
Most city and county health departments will be able to help you determine your most effective birth control methods and help you access those options.
Typically, an appointment costs $10 to $25 dollars, during which you’ll get a consultation with a physician and get a birth control prescription.
In the case of an implant, shot, or IUD, you may be able to receive birth control during that very appointment.
Find your local health department via the Centers for Disease Control and Prevention’s online search engine. Then, call them up to find out what birth control options they offer (if any) and for what cost.
Planned Parenthood locations
Planned Parenthood clinics accept Medicaid and most health insurance plans.
And if you don’t have insurance? Don’t worry. These clinics will often provide a discount on birth control depending on income.
Find a Planned Parenthood clinic near you here. (FYI: They offer IRL and URL appointments!)
Nonprofit organizations
There are a number of nonprofit orgs that offer free and lower-cost birth control options for all folks regardless of their insurance situation.
To find one near you, try Googling “lower-cost birth control near me” or “Title X family planning clinic in [insert your city here].”
College and university health centers
Many colleges and universities offer lower-cost birth control options for their students. (Yes, including students without insurance.)
To find out if your school’s health center does, ring them up and ask.
LGBTQIA+ centers
Many cities have LGBTQIA+ centers that offer family planning services. Others don’t offer those services themselves but keep a directory of local LGBTQIA+ friendly providers that do.
Find your local LGBTQIA+ center using the CenterLink LGBT Community Center Member Directory. Enter your location, find the community center nearest you, and call them up to ask about birth control services.
State-by-state highlightsWanna know exactly where to go? Scroll down for our roundup, where we’ve identified a clinic offering free or lower-cost contraceptives at the top, middle, and bottom region of each state.
If you’re in the Northeast
Connecticut
In the Nutmeg state, people of any age can get prescription birth control without parental or guardian permission.
Plus, people of any age can get barrier methods like condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth control all OTC options extended supplyfemale sterilization Restrictions
None Providers
Top: Planned Parenthood Enfield Health CenterMiddle: Planned Parenthood West Hartford Health CenterBottom: Planned Parenthood Stamford Health CenterLGBTQIA+ friendly: Planned Parenthood New Haven Health CenterOnline: FavorDelaware
In Delaware, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlall OTC options except external condomsextended supplyfemale sterilization Restrictions
You’re a minor until age 18 in Delaware, but you can get prescription birth control without parental or guardian consent starting at age 12. Physicians reserve the right to tell minors’ parent(s) or guardian(s) about prescriptions, but the law doesn’t require them to do so. Providers
Top: Planned Parenthood Wilmington Health CenterMiddle: Planned Parenthood Newark Health CenterBottom: Planned Parenthood Dover Health CenterLGBTQIA+ friendly: Planned Parenthood Dover Health CenterOnline: Lemonaid HealthMaine
In this picturesque state, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlextended supplyfemale sterilization Restrictions
If you’re under the age of 18, you’ll need parental or guardian consent to get prescription birth control unless you’re a parent, married, have a health condition that may benefit from this medication, or emancipated. Providers
Top: Maine Family PlanningMiddle: Planned Parenthood Topsham Health CenterBottom: Planned Parenthood Portland Health CenterLGBTQIA+ friendly: Planned Parenthood Biddeford Health CenterOnline: NurxMassachusetts
In Massachusetts, people of any age can get prescription birth control without parental or guardian consent.
Plus, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlall OTC options except external condomsextended supplyfemale sterilization Restrictions
None Providers
Top: Planned Parenthood Greater Boston Health CenterMiddle: Planned Parenthood Central Massachusetts Health CenterBottom: Planned Parenthood Western Massachusetts Health CenterLGBTQIA+ friendly: Fenway HealthOnline: FavorMaryland
In Maryland, people of any age can get prescription birth control without parental or guardian consent.
Plus, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlOTC drugsextended supplymale sterilization Restrictions
If you’re under the age of 18, physicians reserve the right to tell your parent(s) or guardian(s) about your prescriptions, but the law doesn’t require them to do so.Providers
Top: Planned Parenthood Frederick Health CenterMiddle: Planned Parenthood Baltimore City Health CenterBottom: Planned Parenthood Waldorf Health CenterLGBTQIA+ friendly: Chase Brexton Health ServicesOnline: Planned Parenthood DirectNew Hampshire
People of any age can get condoms or EC pills in New Hampshire.
Insurance providers are required to cover:
prescription birth controlextended supplycontraception that’s prescribed and dispensed by a pharmacistRestrictions
New Hampshire law doesn’t explicitly state that people under age 18 need a parent or guardian’s permission to get prescription birth control.Providers
Top: Planned Parenthood Claremont Health CenterMiddle: Equality Health CenterBottom: Planned Parenthood Exeter Health CenterLGBTQIA+ friendly: Equality Health CenterOnline: Lemonaid HealthNew Jersey
In New Jersey, people of all ages can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlall OTC options except condomsextended supplymale sterilization female sterilizationRestrictions
If you’re under the age of 18, you’ll need parental or guardian consent to get prescription birth control unless you’re married, pregnant, or have been pregnant before.Providers
Top: Planned Parenthood Hackensack HealthMiddle: Planned Parenthood New Brunswick CenterBottom: Planned Parenthood Camden Health CenterLGBTQIA+ friendly: Alliance Community HealthcareOnline: Planned Parenthood DirectNew York
New Yorkers of all ages can get prescription birth control without parental or guardian consent.
Plus, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlall OTC options extended supplymale sterilization female sterilizationRestrictions
None Providers
Top: Planned Parenthood Ithaca Health CenterMiddle: Planned Parenthood White Plains Health CenterBottom: Planned Parenthood Manhattan Health CenterLGBTQIA+ friendly: Callen-Lorde Community Health CenterOnline: FavorPennsylvania
People of any age in Pennsylvania can get prescription birth control without parental or guardian permission.
Plus, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
nothingRestrictions
None Providers
Top: Planned Parenthood Wilkes-Barre Medical CenterMiddle: Planned Parenthood Allentown Medical CenterBottom: Planned Parenthood Harrisburg Medical CenterLGBTQIA+ friendly: Planned Parenthood West Chester Surgical CenterOnline: FavorRhode Island
In Rhode Island, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlextended supplyRestrictions
Rhode Island law doesn’t explicitly state that people under the age of 18 need a parent or guardian’s permission to get prescription birth control. Providers
Top: Planned Parenthood Providence Health CenterMiddle: Women’s Medicine Collaborative Bottom: Women’s Medical Center of Rhode Island LGBTQIA+ friendly: Planned Parenthood Providence Health CenterOnline: Planned Parenthood DirectVermont
In Vermont, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlextended supplyfemale sterilizationmale sterilization Restrictions
If you’re unmarried and under the age of 18, you may need parental or guardian consent to get prescription birth control.Vermont law doesn’t explicitly state that unmarried people under age 18 need a parent or guardian’s permission to get prescription birth control. Providers
Top: Planned Parenthood Burlington Health CenterMiddle: Planned Parenthood White River Junction Health CenterBottom: Planned Parenthood Brattleboro Health CenterLGBTQIA+ friendly: Community Health Centers of BurlingtonOnline: Planned Parenthood DirectWashington, D.C.
In Washington, D.C., people of any age can get prescription birth control without parental or guardian consent.
Plus, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlall OTC options extended supplyfemale sterilizationRestrictions
None Providers
Top: Andromeda Transcultural Health CenterMiddle: George Washington Medical Faculty AssociatesBottom: United Medical Center (Care Center)LGBTQIA+ friendly: Whitman Walker HealthOnline: NurxIf you’re in the Southeast
Kentucky
In Kentucky, people of any age can get condoms, EC pills, and prescription birth control without parental or guardian permission.
Insurance providers are required to cover:
nothingRestrictions
If you’re under the age of 18, physicians reserve the right to tell your parent(s) or guardian(s) about your prescriptions, but the law doesn’t require them to do so.Providers
Top: Planned Parenthood Cincinnati Surgical CenterMiddle: Planned Parenthood Louisville Health CenterBottom: Planned Parenthood Bluegrass Health CenterLGBTQIA+ friendly: Planned Parenthood Bluegrass Health CenterOnline: Lemonaid HealthAlabama
In Alabama, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
nothingRestrictions
You’re a minor until age 19 in Alabama, but you can get prescription birth control without parental or guardian consent starting at age 14. People under 14 years of age can get prescription birth control without parental or guardian permission if they’re a high school graduate, a parent, married, or have ever been pregnant.Providers
Top: Alabama Women’s CenterMiddle: Planned Parenthood Birmingham Health CenterBottom: Planned Parenthood Mobile Health CenterLGBTQIA+ friendly: Planned Parenthood Birmingham Health CenterOnline: NurxArkansas
In Arkansas, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlRestrictions
You’re a minor until age 18 in Arkansas, but you can get prescription birth control without parental or guardian consent starting at age 14. People under 14 years of age can get prescription birth control without parental or guardian permission if they’re a high school graduate, a parent, married, or have ever been pregnant.Providers
Top: Planned Parenthood Fayetteville Health CenterMiddle: Little Rock Family Planning ServicesBottom: Community ClinicLGBTQIA+ friendly: Planned Parenthood Fayetteville Health CenterOnline: Lemonaid HealthFlorida
In the Sunshine State, people of any age can get condoms or EC pills at local pharmacies.
Insurance providers are required to cover:
nothingRestrictions
If you’re under the age of 18, you’ll need parental or guardian consent to get prescription birth control unless you’re married, a parent, have been pregnant before, or have a health condition that may benefit from this medication. Providers
Top: Planned Parenthood Tallahassee Health CenterMiddle: Planned Parenthood Tampa Health CenterBottom: Planned Parenthood Boca Raton Health CenterLGBTQIA+ friendly: Planned Parenthood East Orlando Health CenterOnline: NurxGeorgia
In addition to peaches, people of any age in Georgia can get condoms, EC pills, or prescription birth control without parental or guardian consent.
Insurance providers are required to cover:
prescription birth control Restrictions
None Providers
Top: Planned Parenthood Gwinnett Health CenterMiddle: Planned Parenthood East Atlanta Health CenterBottom: Savannah Medical ClinicLGBTQIA+ friendly: Planned Parenthood Gwinnett Health CenterOnline: NurxLouisiana
In the boot-shaped state, people of any age can get condoms and EC pills at local pharmacies.
Insurance providers are required to cover:
nothingRestrictions
If you’re under the age of 18, you’ll need parental or guardian consent to get prescription birth control unless you’re married or have a health condition that may benefit from this medication. Providers
Top: Caddo Parish Health UnitMiddle: Planned Parenthood Baton Rouge Health CenterBottom: Planned Parenthood New Orleans Health CenterLGBTQIA+ friendly: Planned Parenthood New Orleans Health CenterOnline: Lemonaid HealthMississippi
In this Southern state, people of any age can get condoms and EC pills at local pharmacies.
Insurance providers are required to cover:
nothingRestrictions
If you’re under the age of 21, you may need parental or guardian consent to get prescription birth control unless you’re a parent, married, or have a referral from a “specified professional.”Providers
Top: Planned Parenthood Memphis Health CenterMiddle: Planned Parenthood Hattiesburg Health CenterBottom: Planned Parenthood Baton Rouge Health CenterLGBTQIA+ friendly: CHOICESOnline: Pandia HealthNorth Carolina
In North Carolina, people of any age can get condoms, EC pills, and prescription birth control without parental or guardian consent.
Insurance providers are required to cover:
prescription birth controlRestrictions
None Providers
Top: Planned Parenthood Winston-Salem Health CenterMiddle: A Women’s Choice of RaleighBottom: Planned Parenthood Wilmington Health CenterLGBTQIA+ friendly: Planned Parenthood Asheville Health CenterOnline: Pandia HealthSouth Carolina
In South Carolina, people of any age can get condoms and EC pills at local pharmacies.
Insurance providers are required to cover:
nothingRestrictions
If you’re under the age of 16, you’ll need parental or guardian consent to get prescription birth control unless you’re married or your healthcare provider deems that you’re a “mature minor.” Providers
Top: Planned Parenthood Columbia Health CenterMiddle: Kraemer Women’s CareBottom: Planned Parenthood Charleston Health CenterLGBTQIA+ friendly: Planned Parenthood Charleston Health CenterOnline: Pandia HealthTennessee
In Tennessee, people of any age can get condoms and EC pills at local pharmacies.
The state explicitly includes insurance coverage for contraception that’s prescribed and dispensed by a pharmacist.
Restrictions
If you’re under the age of 16, you’ll need parental or guardian consent to get prescription birth control unless you’re married or your healthcare provider deems that you’re a “mature minor.” Providers
Top: Planned Parenthood Nashville Health CenterMiddle: Planned Parenthood Knoxville Health CenterBottom: Planned Parenthood Memphis Health CenterLGBTQIA+ friendly: ChoicesOnline: NurxVirginia
In Virginia, people of any age can get condoms, EC pills, and prescription birth control without parental or guardian permission.
Insurance providers are required to cover:
prescription birth controlextended supplyfemale sterilizationRestrictions
None Providers
Top: Health BrigadeMiddle: Planned Parenthood Charlottesville Health CenterBottom: Planned Parenthood Virginia Beach Health CenterLGBTQIA+ friendly: Health BrigadeOnline: NurxWest Virginia
In West Virginia, people of any age can get condoms and EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlextended supplycontraception that’s prescribed and dispensed by a pharmacistRestrictions
If you’re under the age of 18, you’ll need parental or guardian consent to get prescription birth control unless you’re married or your healthcare provider deems that you’re a “mature minor.” Providers
Top: Planned Parenthood Vienna Health CenterMiddle: Cabin Creek Health CenterBottom: Planned Parenthood Roanoke Health CenterLGBTQIA+ friendly: Dr. RainbowOnline: Pandia HealthIf you’re in the Midwest
Illinois
In Illinois, people of any age can get condoms and EC pills at local pharmacies.
Insurance providers are required to cover:
prescription birth controlall OTC options except external condomsextended supplyfemale sterilization male sterilization>
Posted : 2024-08-29 10:49
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