Opill (norgestrel): Where does the OTC birth control pill fit in among existing contraception?

Oral contraceptive pills have been a cornerstone of contraception for more than 6 decades. Oral contraceptives are highly effective in preventing unintended pregnancy, making them the most utilized reversible contraceptive method. Daily oral contraceptive pills have traditionally required a prescription from a healthcare provider due to potential risks and adverse reactions associated with use. The need for prescription creates significant barriers to accessibility and convenience for patients who may resort to less effective but more readily available nonprescription methods. Opill® (norgestrel) is the first and only FDA-approved daily oral contraceptive for over-the-counter use. This article examines Opill's place in the current US contraceptive market.