Morning After Pill Prescription Online

1 Big Thing

There is no single morning after pill. There are three real options, they have three different time windows, and the one that is right for you depends mostly on how many hours have passed. Sooner is better for all of them, so the useful move right now is to work out your timing and then pick.

The Three Options

• Levonorgestrel 1.5 mg (Plan B One-Step and its generics). Sold over the counter, no prescription, no age restriction on the label. Labeled for use as soon as possible within 72 hours of unprotected sex [1].
• Ulipristal acetate 30 mg (ella). Prescription only. Labeled for use within 120 hours, which is 5 days [2]. It holds its effect better in the later part of that window than levonorgestrel does [3][4].
• A copper IUD. The most effective option. It has to be placed by a clinician, and it can be placed within 5 days of the first act of unprotected sex [3]. In the American College of Obstetricians and Gynecologists' review of the evidence, the pregnancy rate after a copper IUD placed for this purpose was about 0.1 percent [5].

Why It Matters

These pills work mainly by delaying ovulation, which is why the clock matters so much and why the day of your cycle matters too. Neither pill ends an existing pregnancy, and the levonorgestrel label says plainly that it will not work if you are already pregnant [1]. If you are past 5 days, or you want the most effective option and can get to a clinic, the IUD is the honest answer rather than a pill.

How to Choose and Get Emergency Contraception

Work through these in order. Most people are done at step two.

1. Start the Clock

Count from the first act of unprotected sex, not the most recent one. Write the hour down. Every decision below is driven by that number, and guessing at it is the most common way people end up with the wrong option.

2. Match the Option to the Window

• Inside 72 hours. Levonorgestrel is on a pharmacy shelf right now with no prescription [1]. If you can buy it in the next hour, that speed is worth something real, because effectiveness falls the longer you wait.
• 72 to 120 hours. Levonorgestrel is outside its labeled window here [1]. Ulipristal is not, and it is the pill option in this stretch [2][3].
• Any point inside 5 days, if you can get to a clinic. A copper IUD is more effective than either pill and becomes your ongoing contraception the same day it is placed [3][5]. A randomized trial found a hormonal (levonorgestrel) IUD was not inferior to the copper one for this use, so ask what your clinic actually offers [6].

3. Factor in Body Weight, Carefully

Here is what the evidence actually supports. A pooled analysis of two randomized trials found that women with obesity had a higher chance of pregnancy after either pill, and the increase was larger for levonorgestrel than for ulipristal [7]. A separate World Health Organization analysis of 6,873 women found pregnancy rates stayed under 3 percent across every weight and BMI group, and the apparent obesity effect was driven almost entirely by one study site; the authors concluded that access to levonorgestrel should not be restricted by weight or BMI [8]. The ulipristal label reports a 3.1 percent pregnancy rate at a BMI over 30 that was not significantly reduced compared with the expected rate [2].

The practical read: the signal is real enough that CDC guidance notes levonorgestrel might be less effective than ulipristal in women with obesity [3], so if your BMI is above 30 it is reasonable to prefer ulipristal or a copper IUD. It is not a reason to skip levonorgestrel if that is what you can get today. Taking something now beats taking the theoretically better thing tomorrow.

4. Get the Prescription the Same Day if You Need Ulipristal

Ulipristal is prescription only [2], which is the step that usually costs people a day. Message us and a licensed provider reviews your timing, your cycle, your current contraception and your medication list, then sends the prescription to a pharmacy near you the same day. No appointment, no waiting room. Availability varies by state, so message us and we will confirm coverage where you are.

5. Take It and Know What Is Normal

Both are a single tablet [1][2]. Nausea, headache, abdominal pain and a period that arrives early or late are the common effects. If you vomit within a few hours of taking it, contact us, because a repeat dose may be needed. Repeating ulipristal within the same cycle is not recommended, since it has not been studied [2].

6. Restart Your Regular Contraception the Right Way

This is the step most pages skip, and it is the one that causes real failures.

• After levonorgestrel. You can start or resume any regular hormonal method immediately. Use condoms or another barrier for the next 7 days [3].
• After ulipristal. Wait. Do not start or resume hormonal contraception sooner than 5 days after the dose, and use a barrier method in the meantime [2][3]. The concern is that a progestin can blunt the effect ulipristal is having on ovulation. That is why both the label and the CDC guidance say to wait rather than restart at once [2][3].

Two things follow from that. Do not take a levonorgestrel pill in the 5 days after ulipristal, and do not treat the wait as optional. Once you do restart, keep using barrier protection for 7 days, or until your next period, whichever comes first [3]. If you need a new pack to restart with, see how to start birth control pills and what to do about missed pills.

7. Confirm It Worked

Your next period may come a few days early or a few days late. If you have not had a withdrawal bleed within 3 weeks, take a pregnancy test [3]. Do not wait it out past that.

The Other Clock

Unprotected sex is an STI exposure as well as a pregnancy risk, and the two run on different timelines. Testing too early is the usual mistake. See chlamydia exposure: testing, treatment, and telling a partner for when testing is actually meaningful.

How Much Does It Cost?

Levonorgestrel is bought over the counter at whatever the store charges, with no visit involved [1]. Ulipristal needs a prescription [2]. Under federal preventive services rules, most health plans must cover FDA approved contraceptive methods prescribed by a clinician, including emergency contraception, with no copay or coinsurance from an in network provider, even before you meet your deductible [9] (confirmed as of 2026-09-03). Plans differ, so check yours rather than assume. Our own fee for the visit is flat and shown before you commit to anything.

Why Choose Well Revolution?

• Same day, by chat. No appointment and no waiting room, which is the whole point when the deciding variable is hours.
• A provider who reads your actual situation. Timing, cycle day, weight and what contraception you are already on. That is the input that decides between the three options.
• Unlimited follow up. The restart timing above, a late period, a repeat dose after vomiting: message us, there is no new charge to ask.
• Straight answers. If the right answer is the over the counter pill, we will tell you that.

Ready to Get Started?

Message us with how many hours it has been. A licensed provider will tell you which of the three fits, and send a prescription the same day if that is what you need. If you also want to sort out ongoing contraception so this does not repeat, start with how to get birth control pills online.

FAQs

1. Is there an age limit on the morning after pill?

The over the counter levonorgestrel label carries no age restriction [1]. Separately, our own rule: if the person who needs care is 18 or under, we treat them only with a parent or guardian's consent. That is a consent requirement, not a comment on the medicine.

2. Does emergency contraception end a pregnancy?

No. These are not abortion pills. The levonorgestrel label states it will not work if you are already pregnant [1]. They work by delaying ovulation, which is why they are useless once implantation has happened and why timing dominates everything else.

3. Which is the most effective option?

The copper IUD, by a wide margin. Across the studies reviewed by the American College of Obstetricians and Gynecologists, the pregnancy rate was about 0.1 percent [5]. Between the two pills, a pooled analysis of randomized trials found fewer pregnancies with ulipristal than with levonorgestrel within 72 hours, 1.4 percent versus 2.2 percent [4].

4. I took levonorgestrel yesterday and it is now day 4. Can I take ulipristal too?

Message us rather than dosing again on your own. Mixing these in one cycle is exactly the situation that needs a provider looking at your dates, and a copper IUD may be the better answer if you are still inside 5 days [3].

5. My period is 10 days late after taking it. What now?

Take a pregnancy test. The guidance is to test if there is no withdrawal bleed within 3 weeks [3]. If that test is negative, repeat it a week later, and message us either way.

6. Can I just keep some at home for next time?

Yes, and it is a genuinely good idea. Levonorgestrel can be bought and kept in advance, and having it in a drawer removes the pharmacy trip from the clock entirely [1][3].

What it costs with Well Revolution

$50 for a prescription. If approved, you will receive a prescription for emergency contraception and 30 days of support. We are there for those 30 days for follow-up, interpretation, referrals, and treatment if needed. Perfect for a single episode of care.

Or $90 for the Unlimited Membership. If approved, you will receive 3 months of care with 7 days a week support, plus unlimited prescriptions, lab tests, imaging orders, letters and referrals with same day care, cancel anytime, no fees. Perfect for established patients looking for full care.

Getting started with Well Revolution

Care is chat-based with a licensed provider, same day, no appointment needed. Message us with when unprotected sex happened and any medications you take, tell us where you are, and we will confirm coverage in your state and which option still fits your timing.

References

• [1] Plan B One-Step (levonorgestrel) tablet, over the counter drug label. DailyMed, US National Library of Medicine. dailymed.nlm.nih.gov
• [2] ella (ulipristal acetate) tablet, prescribing information. DailyMed, US National Library of Medicine. dailymed.nlm.nih.gov
• [3] Curtis KM et al. US Selected Practice Recommendations for Contraceptive Use, 2024. MMWR Recommendations and Reports, 2024. pubmed.ncbi.nlm.nih.gov/39106301
• [4] Raymond EG, Cleland K. Clinical practice. Emergency contraception. New England Journal of Medicine, 2015. pubmed.ncbi.nlm.nih.gov/25830424
• [5] American College of Obstetricians and Gynecologists. Practice Bulletin No. 152: Emergency Contraception. Obstetrics and Gynecology, 2015. pubmed.ncbi.nlm.nih.gov/26287787
• [6] Turok DK et al. Levonorgestrel vs. copper intrauterine devices for emergency contraception. New England Journal of Medicine, 2021. pubmed.ncbi.nlm.nih.gov/33503342
• [7] Glasier A et al. Can we identify women at risk of pregnancy despite using emergency contraception? Data from randomized trials of ulipristal acetate and levonorgestrel. Contraception, 2011. pubmed.ncbi.nlm.nih.gov/21920190
• [8] Festin MPR et al. Effect of BMI and body weight on pregnancy rates with LNG as emergency contraception: analysis of four WHO HRP studies. Contraception, 2017. pubmed.ncbi.nlm.nih.gov/27527670
• [9] Birth control benefits. HealthCare.gov, US Centers for Medicare and Medicaid Services. healthcare.gov

Reviewed by PA Michael Rubio, US Medical Director