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The Food and Drug Administration on Tuesday finalized a rule change that broadens availability of abortion pills to retail pharmacies across the U.S.
The change comes as abortion pills, already used in more than half of pregnancy terminations in the US, are becoming even more sought after in the aftermath of last year’s Supreme Court decision overturn Roe vs. Wade.
Last year, the Biden administration partially implemented the change with the president announcing that pharmacies would no longer enforcement the requirement that women must pick up the medicine in person. The FDA's action formally updates the drug's labeling to allow the vast majority of retail pharmacies to distribute the pills.
Containers of the medication used to end an early pregnancy sit on a table inside a Planned Parenthood clinic, Oct. 29, 2021, in Fairview Heights, Ill. A report released Thursday, Feb. 24, 2022 says most U.S. abortions are now done with pills rather than surgery. The trend spiked during the pandemic as telemedicine increased and pills by mail were allowed. (AP Photo/Jeff Roberson)
Illustration of a Mifeprex (mifeprifestone) pill, also known as the RU-486 abortion pill, with the female symbol and a figure of a woman in the background. (Tribune News Service via Getty Images)
Until now, mifepristone, the first pill used in the two-part medicated abortion process, could be dispensed only by some mail-order pharmacies or by specially certified doctors or clinics.
Under the new FDA rule, pharmacies – like Walgreens and CVS – can apply for a certification to distribute mifepristone with the drugmakers and if granted the certification, the pharmacy will be able to dispense the pill directly to patients upon receiving a prescription from a certified prescriber.
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While the FDA did not issue an announcement about the decision, the two makers of the pill, Danco Laboratories and GenBioPro, released statements saying the agency had informed them of the action.
"Pharmacies who become certified in the Mifepristone REMS Program may dispense Mifeprex directly to patients upon receipt of a prescription from a certified Mifeprex prescriber, provided a Prescriber agreement is provided or on file with the certified pharmacy," Danco Laboratories said in an online statement.
Misoprostol, one of the two drugs used in a medication abortion, is displayed at the Women's Reproductive Clinic, which provides legal medication abortion services, in Santa Teresa, New Mexico, on June 17, 2022. (ROBYN BECK/AFP via Getty Images)
The American College of Obstetricians and Gynecologists called the update an "important step" forward.
"Although the FDA’s announcement today will not solve access issues for every person seeking abortion care, it will allow more patients who need mifepristone for medication abortion additional options to secure this vital drug," the group said in a statement.
In 2000, the FDA approved mifepristone to terminate pregnancies of up to 10 weeks, when used with a second drug, misoprostol. Mifepristone is taken first to dilate the cervix and block the hormone progesterone, which is needed to sustain a pregnancy. Misoprostol is taken 24 to 48 hours later, causing the uterus to contract and expel the fetus.
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