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Over-the-counter birth control? Drugmaker seeks FDA approval
The US Food and Drug Administration campus in Silver Spring, Maryland, is photographed on October 14, 2015. A drug company is seeking US approval for the first-ever birth control pill that women could buy without a prescription. (AP Photo/Andrew Harnik, File)
Latest News
July 11, 2022

Over-the-counter birth control? Drugmaker seeks FDA approval

WASHINGTON (AP) — For the first time, a pharmaceutical company has asked for permission to sell a birth control pill over the counter in the US.

HRA Pharma’s application on Monday sets up a high-stakes decision for health regulators amid legal and political battles over women’s reproductive health. The company says the timing was unrelated to the Supreme Court’s recent decision overturning Roe v. Wade.

Hormone-based pills have long been the most common form of birth control in the US, used by millions of women since the 1960s. They have always required a prescription, generally so health professionals can screen for conditions that raise the risk of rare, but dangerous, blood clots.

The French drugmaker’s application compiles years of research intended to convince the Food and Drug Administration that women can safely screen themselves for those risks and use the pill effectively.

“For a product that has been available for the last 50 years, that has been used safely by millions of women, we thought it was time to make it more available,” said Frederique Welgryn, HRA’s chief strategy officer.

An FDA approval could come next year and would only apply to HRA’s pill, which would be sold under its original brand name, Opill. The company acquired the decades-old drug from Pfizer in 2014, but it’s not currently marketed in the US.

Reproductive rights advocates want to see other prescription contraceptives move over the counter and, eventually, for abortion pills to do the same.

That potential for a precedent-setting decision once again places the FDA under an intense political spotlight.

Late last year, the agency was condemned by abortion opponents and praised by women’s rights advocates when it loosened access to abortion pills. The agency faced similar political pressures in 2006 when it approved over-the-counter use of the emergency contraception pill Plan B.

Many conservative groups stress they are only interested in curtailing abortion, and state bans often explicitly exclude contraception.

Even before Monday’s announcement, Democratic lawmakers were calling on the FDA to swiftly consider any such requests.

“We urge FDA to review applications for over-the-counter birth control pills without delay and based solely on the data,” said more than 50 members of the House’s Pro-Choice Caucus in a March letter.

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