Everything you need to know

Medication abortion involves two medications:

According to the World Health Organization, this method is safe and effective up to 12 weeks gestation.

It’s safe for most people in early pregnancy—even with chronic health conditions.
However, it is not recommended if you have:

We also don’t recommend this method without imaging or labs if you’ve had:

Misoprostol causes cramping and bleeding, often with clots. It typically starts 2–4 hours after taking the pills and can last 3–5 hours.

This is expected and means the medication is working.

No. Medication abortion does not impact fertility or increase your risk of miscarriage later on.

Yes! We offer advance provision (abortion pills for future use) for people who want to have medication on hand in case they need it in the future. Medication can be stored in a dry place and is effective up to the expiration date on the packaging. If and when you do need to use the medication, you can reach out to us for support!

It's OK to have uncertainty about your choice. These resources offer unbiased support:

Both have counselors available to talk things through with you.

An ectopic pregnancy grows outside the uterus and is not treatable with abortion pills. It can be life-threatening if untreated.

If you have these symptoms, go to the ER immediately. You can say: “I had a positive pregnancy test and I’m now bleeding. I don’t know what’s happening.”

Ectopic pregnancy care is available even in states with abortion bans.

Probably not. If you're Rh-negative, there's a small chance your body could develop antibodies after bleeding in pregnancy.

However, RhoGAM is not recommended for pregnancies under 12 weeks. Want to know your blood type? Try an at-home test or get bloodwork at a local lab.

If you prefer or require in-person care, we can help.
Resources to find a clinic:

We also offer limited in-person care in the NYC area—contact us for more info

CVS is one of the few retail pharmacy chains that dispense mifepristone and misoprostol. Opting for CVS pick-up may be more affordable since you can often use insurance to cover the cost of medications. The pharmacy has to complete a verification for mifepristone (the first medication). This typically takes 1 business day to process.

You may receive automated text notifications from CVS about the status of your medications. Mifepristone is sourced from a central location so it is normal for the status to say “delayed” or "out of stock." Misoprostol is usually available same-day, but we encourage you to wait for both medications to be ready before you go to the pharmacy to pick them up.

A few additional things to keep in mind when ordering medication for CVS pick-up:

We send a prescription to our partner pharmacy, Honeybee Health, and the medications are shipped to you in a plain, white mailer by FedEx or USPS. Once the medication has shipped, you will receive a tracking number by email to ensure timely arrival. The medication takes 2-4 business days to arrive, or 1-2 business days with expedited shipping for an additional fee.

Please ensure that delivery can be made to the shipping address you provide on your intake form. If you live in a building or house without a secure location for FedEx or USPS to leave your package, please consider delivery to a FedEx pick-up site or local post-office.

Medication by mail:  $100 (+$35 for express shipping). The cost of medications is included in your care.

CVS pick-up: $50 plus the cost of medications. Unlike our mail order option, the fee you pay us is for your care and you pay the pharmacy directly for the medication at pick-up. Most insurance plans will cover a portion of the cost, but you may have a co-pay. Without insurance or “out-of-pocket” the medications may cost up to $75. You can check directly with your insurance or CVS for the actual cost.

Need help with cost? We offer financial assistance and sliding scale options through partner abortion funds.

We do not accept insurance at this time, but we can give you a superbill to request reimbursement.

Our care consultation fee is non-refundable.

CVS pick-up: Payment for care is non-refundable even if you do not pick-up your prescriptions from the pharmacy or you decide not to take the medication.
‍
‍Mail order prior to shipment of medication: If you change your mind after we've prescribed medications, but before medication has been shipped by Honeybee, you can request a partial refund. We will refund your payment minus our $50 care consultation fee.

‍Mail order after medications are shipped: We do not offer refunds once your medications have been shipped. The medication fees collected by Juniper Midwifery are collected on behalf of Honeybee. Honeybee does not provide refunds for medications even if the medications are returned to the pharmacy because returned medications must be disposed of.

If your package is returned and you need replacements, we’ll help—but you’ll need to pay the pharmacy to replace the medications. Our care consultation fee won’t be charged twice.
‍

We’ll follow up with you to ensure you had expected bleeding and symptoms.

You'll also receive a high-sensitivity pregnancy test in your medication package.
Use it 4 weeks after taking the pills to confirm the abortion was successful.

Still feeling pregnant after 2 weeks?
Reach out—we may recommend an ultrasound or blood testing for confirmation of a successful abortion

Absolutely. We can prescribe any method you choose—at no additional cost.

Most birth control is fully covered by insurance.

Explore options: Bedsider.org

You are not alone. Alongside our team, here are free, anonymous support resources: