Frequently Asked Questions

We help people in CA, CO, DC, IL, MN, MI, NY, WA and VA get abortion pills.
You will find the answer to the most frequently asked questions here.

About Pills by Post

What is Pills By Post?

Pills By Post is a telehealth service that provides medication abortion care — the abortion pill — through a secure online consultation with a board-certified physician. After your appointment, your medication is mailed directly to you in discreet, unmarked packaging. We serve patients in Michigan, California, Colorado, Washington DC, Illinois, Minnesota, New York, Washington, and Virginia.

Is Pills By Post legitimate and safe?

Yes. Pills By Post is a licensed medical practice operating under the care of a board-certified physician. The medication abortion regimen we prescribe — mifepristone and misoprostol — is FDA-approved and has been used safely and effectively for over 25 years. It is one of the most studied medications in reproductive healthcare.

Getting Care

How do I get the abortion pill from Pills By Post?

The process is simple:

  1. Complete a brief online health intake form
  2. Pay for the medication.  In the unlikely event you are not approved (99% of requests are approved) you will receive a full refund
  3. Choose to either pick up your medication at a local CVS pharmacy or opt to have your medication mailed to you
  4. Download the Spruce app so you can call or text us securely with any questions you might have during your care.

How far along in pregnancy can I use the abortion pill?

We provide the medication abortion pills through 13 weeks gestation.

Do I need to come in person?

No. Pills By Post is entirely telehealth — you never need to come to a clinic or office. Everything happens online and by mail.

How quickly will I receive my medication?

After your consultation and prescription, medication is typically mailed within 1-2 business days. Delivery time depends on your location but typically arrives within 2-5 business days after it is shipped. You will receive a tracking number via email when your medication is shipped.

Is my information kept private?

Absolutely. Your privacy is our priority. We use HIPAA- compliant systems for all consultations and communications. Your medication arrives in discreet, unmarked packaging with no identifying information about the contents.

What if I am afraid to have the medication mailed to my home address?

You can provide us with the address of a trusted family member or friend. Some people will use a PO Box. Medication can also often be sent to General Delivery at the Post Office for you to pick up.  Not all Post Offices offer General Delivery so please contact your local post office first to see if this is an option at their location.

Cost and Insurance

How much does medication abortion through Pills By Post cost?

We charge $135 to mail medication or $70 to send a prescription to a local CVS pharmacy in one of the States we serve. We are committed to making care affordable and accessible for everyone regardless of ability to pay so if you cannot afford the fee please call or text as at 872-201-3000 to request financial assistance.

Do you accept insurance?

No, we do not accept insurance at this time however work with a number of abortion funds.

What if I can’t afford it?

Financial barriers should never prevent someone from accessing care. Please reach out we do not turn away anyone regardless of ability to pay.

About the Medication

What is the abortion pill?

The abortion pill is actually a two-medication regimen. The first medication, mifepristone, stops the pregnancy from growing and makes the cervix softer so the pregnancy tissue can come out more easily. The second medication, misoprostol, is taken 24-48 hours later and causes the uterus to push the pregnancy out. Together they are highly effective — over 98% effective through 12 weeks of pregnancy.

Is the abortion pill the same as Plan B (emergency contraception)?

No. These are completely different medications. Plan B prevents pregnancy from occurring. The abortion pill ends an existing pregnancy. They work differently and are used at different times.

What are the side effects of the abortion pill?

The most common side effects are:

  • Cramping
  • Bleeding
  • Nausea/Vomiting/Diarrhea
  • Low grade fever
  • Headache
  • Body aches and chills.

Over the counter Ibuprofen or Tylenol can be used to manage pain and fever. Nausea medication can be provided for an additional small fee.

What if I have questions or concerns after taking the medication?

We can provide one on one phone and text support throughout your care.

Legal Questions

Is medication abortion legal in my state?

Pills By Post currently serves patients in states where medication abortion via telehealth is legal: California, Colorado, Washington DC, Illinois, Michigan, Minnesota, New York, Washington, and Virginia. If you are unsure about your state, please call us.

Is it legal to mail abortion pills?

Yes, it is legal to mail abortion pills in every State we serve.

Will anyone find out I used this service?

We take your privacy extremely seriously. Your care is confidential and kept in a secure electronic health record system. We also offer encrypted text messaging through Spruce. Please feel free to contact us with any specific concerns we would be happy to discuss how we protect your information.

What if I need to go to the hospital?

Medical complications requiring you to go to the hospital are not common. We encourage you to try and connect with us first. In the unlikely event you need to go to the hospital you do not need to tell them that you took abortion pills if you do not comfortable disclosing this information. A medication abortion looks identical to a miscarriage and is treated exactly the same as a miscarriage.