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Beyond a prescription: strategies for improving contraceptive care

      LJ, a 24-year-old graduate student, sat in our clinic room nervously pleating the corner of her shirt waiting to receive the medication to initiate her medical abortion. While I was reviewing her procedure and choice of contraception, LJ stated she that was planning to go back on Yaz��, a popular brand name oral contraceptive (OC), which she was using before she got pregnant. When queried about her insurance status, she told me she had no coverage. I wondered aloud about her choice of pills since she was paying out of pocket for the expensive patented medication. She told me her physician had started her out with sample packs from the office and given her a prescription. There had been no discussion about her insurance status or alternative pills. The month LJ could not afford to buy her pills is the month she had an unintended pregnancy.
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