Some abortion advocates celebrated after the FDA finalized a rule that allows certified retail pharmacies to dispense abortion medications. But the policy may not expand abortion access as much as supporters hope
Kirsten Moore, director of the Expanding Medication Abortion Access Project, says it’s “complete bullshit” that states are blocking access to FDA-approved drugs and “frustrating” that pharmacies in restrictive states can’t provide abortion pills. But she hopes putting medications in pharmacies located in states where abortion is legal will still help access trickle down to people in other states.
If people can get abortion pills from retail pharmacies, they may not need to visit abortion clinics, freeing up appointments for others, Moore says. It may also be easier for people living in restrictive states to travel to an out-of-state prescriber and pharmacy than aThe Grief of Being an Abortion-Care Worker
But even in states where abortion remains legal, Donley doubts whether some pharmacies will go through the trouble of getting certified to provide abortion medications. The certification process is required for pharmacies to dispense mifepristone, one of the two drugs used together in a medication abortion. The other medication, misoprostol, is not regulated as strictly and was already available for other uses by prescription in pharmacies.
To become certified, a pharmacy must meet a number of regulations spelled out by the FDA. These specifications relate to record-keeping, adverse-event reporting, and more. Pharmacies must also appoint a representative to ensure mifepristone is distributed in compliance with the FDA’s policies, including verifying that prescriptions come from providers who have completed their own certification process.
Before the pandemic, mifepristone could only be dispensed in-person by a provider with this certification, and only after the person seeking an abortion filled out a consent form. In December 2021, the FDA lifted the in-person requirement, paving the way for remote prescription. But the agency replaced that requirement with a new one: that pharmacies—not just providers—must become certified before they dispense mifepristone.
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