Emergency hormonal contraception (EC) has the potential to reduce the number of unintended pregnancies and induced abortions, but many barriers to more prevalent usage exist. We evaluated one aspect of access ��� pharmacy availability of levonorgestrel EC (Plan B) or alternatives ��� in Jacksonville, FL.
Female ���secret shoppers��� presented in person and by telephone to pharmacies in Jacksonville, FL, and inquired if Plan B would be available if they were to return with a prescription. Availability of the medication, as well as offers of EC alternatives or alternate methods of obtaining EC, was noted. Furthermore, pharmacist and pharmacy staff knowledge regarding appropriate use of the product was assessed.
Of 54 pharmacies visited by secret shoppers, 21 (39%) had Plan B in stock and were willing to dispense it. Sixteen pharmacies (29%) could order it and have it available within 24 h, or knew of nearby pharmacies that stocked the medication. Neither Plan B nor other EC options were offered by 17 pharmacies (31%). One hundred thirty-three pharmacies, including those that were visited in person, were contacted by telephone. Forty-two (32%) of these had Plan B in stock. Another 22 pharmacies (17%) offered to order Plan B for availability within 24 h or less. Furthermore, 11 pharmacies suggested other stores that were more likely to carry it. Of 40 pharmacy staff members asked how long following unprotected intercourse a patient had to take the product, 20 (50%) correctly stated 72 h.
Plan B was not in stock in a majority of pharmacies within this large city. Availability was increased by offers to order the medication or by suggestions to seek the prescription at nearby pharmacies. Many pharmacists and their staff were unfamiliar with the medication and its correct usage.
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- Emergency contraception.N Engl J Med. 2003; 349: 1830-1835
- Modifying the Yuzpe regimen of emergency contraception: a multicenter randomized controlled trial.Obstet Gynecol. 2003; 101: 1160-1167
- Disparities in rates of unintended pregnancy in the United States, 1994 and 2001.Perspect Sex Reprod Health. 2006; 38: 90-96
- Emergency contraceptive pills: a simple proposal to reduce unintended pregnancies.Fam Plann Perspect. 1992; 24: 269-273
- Emergency contraception. ACOG Practice Bulletin No. 69. American College of Obstetrics and Gynecologists.Obstet Gynecol. 2005; 106: 1443-1452
- The risk of venous thromboembolism in users of postcoital contraceptive pills.Contraception. 1999; 59: 79-83
- Post coital contraception ��� a pilot study.J Reprod Med. 1974; 13: 53-58
- Extending the time limit for starting the Yuzpe regimen of emergency contraception to 120 hours.Obstet Gynecol. 2003; 101: 1168-1171
- Effectiveness of emergency contraceptive pills between 72 and 120 hours after unprotected intercourse.Am J Obstet Gynecol. 2001; 184: 531-537
- Low dose mifepristone and two regimens of levonorgestrel for emergency contraception: a WHO multicentre randomized trial.Lancet. 2002; 360: 1803-1810
- Access to emergency contraception.Obstet Gynecol. 2000; 95: 267-270
- Emergency contraception: pharmacy access in Albuquerque, New Mexico.Obstet Gynecol. 2003; 102: 918-921
- Pharmacists' knowledge and the difficulty of obtaining emergency contraception.Contraception. 2003; 68: 61-67
- Emergency contraceptive pills: dispensing practices, knowledge and attitudes of South Dakota pharmacists.Persp Sex Health Reprod Health. 2005; 37: 19-24
- FDA takes action on Plan B ��� statement by FDA Commissioner M. Lester, Crawford, August 26, 2005.(Available at:)
- Panel favors providing emergency contraception without a prescription.Nation's Health. 2004; ([accessed December 10, 2005])
- Statement of the American College of Obstetricians and Gynecologists supporting the availability of over-the-counter emergency contraception.American College of Obstetricians and Gynecologists, Washington (DC)2001
- Emergency contraception: is it at your pharmacy yet?.(Available at:)[accessed December 10, 2005])
- Pharmacists' attitudes toward and practices with adolescents.Arch Pediatr Adolesc Med. 2003; 157: 361-365
- Emergency contraception in California. Findings from a 2003 Kaiser Family Foundation survey.KFF, Menlo Park (CA)2004 (Available at:)[accessed March 15, 2006])
- Emergency contraception: knowledge and attitudes of health care providers in a health maintenance organization.Women's Health Issues. 2001; 11: 448-457
- Emergency contraception (ECPs): current trends in United States college health centers.Contraception. 2003; 67: 449-456
- The limits of conscientious objection ��� may pharmacists refuse to fill prescriptions for emergency contraception?.N Engl J Med. 2004; 351: 2008-2012
- Current commentary: refusals by pharmacists to dispense emergency contraception.Obstet Gynecol. 2006; 107: 1148-1150
- Emergency postcoital contraception.N Engl J Med. 1997; 337: 1058
- Wal-Mart dealt morning after setback.(Available at:)www.cnn.com([accessed May 1, 2006])Date: 2006
Published online: October 30, 2006
Accepted: September 6, 2006
Received in revised form: August 31, 2006
Received: August 10, 2006
���No external funding was received to support this project.
������Disclosure: Dr. Kaunitz is a consultant to Duramed and owns stocks in Walgreen's.
© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.