Emergency contraception (EC) is a critical backup method to prevent pregnancy after unprotected sex or contraceptive failure. While Plan B One-Step is a well-known option, its price can be a barrier for many. Fortunately, several alternatives exist that are both effective and more affordable. These options range from generic versions of the same pill to different medications and devices altogether, each with its own pros and cons concerning cost, effectiveness, and availability.
Generic Levonorgestrel Pills: The Same Effectiveness for Less
For individuals seeking the most direct and cheapest alternative to Plan B, generic levonorgestrel pills are the answer. Plan B's active ingredient is 1.5 mg of levonorgestrel, and many other brands sell this exact same product at a lower price point. Since they contain the identical medication and dosage, their safety and effectiveness are the same as the brand-name version.
How They Work
Like Plan B, these pills primarily work by delaying or preventing ovulation, or the release of an egg from the ovary. If taken within 72 hours (3 days) of unprotected sex, they can reduce the risk of pregnancy by 75% to 89%. However, the sooner they are taken, the more effective they are, with peak effectiveness in the first 24 hours. These pills are available over-the-counter at pharmacies and do not require a prescription.
Common Generic Brands
Common generic brands of levonorgestrel emergency contraceptive pills include:
- Aftera
- Take Action
- My Way
- My Choice
- Option 2
- EContra EZ
Other Options: Ella and Copper IUDs
In addition to generic levonorgestrel, other forms of EC are available, including a different type of pill and a long-acting device. These options offer different levels of effectiveness, timeframes, and costs, and may be more suitable depending on individual needs.
Prescription Pill: Ella (Ulipristal Acetate)
Ella is a prescription-only emergency contraceptive pill containing ulipristal acetate. It has a longer window of effectiveness than levonorgestrel pills, working for up to five days (120 hours) after unprotected sex. Ella is also considered more effective than levonorgestrel pills, particularly if taken later in the window or for individuals with a body weight over 165 lbs. However, its effectiveness may decrease for those weighing over 195 lbs. Unlike generic levonorgestrel pills, Ella requires a prescription, which can add a step to obtaining it.
Long-Term Solution: Copper IUD (ParaGard)
The copper IUD is the most effective form of emergency contraception, with a success rate of over 99%. It is a T-shaped device inserted into the uterus by a healthcare provider within five days of unprotected sex. A major advantage of the copper IUD is that it also provides highly effective long-term birth control for up to 10 years. Its effectiveness is not affected by body weight. While the initial cost can be high, it is often covered by health insurance and can be the most affordable option over the long run, particularly for those seeking long-term contraception.
Comparing Plan B Alternatives
This table provides a quick overview of the main emergency contraception options to help in your decision-making process.
| Factor | Plan B | Generic Levonorgestrel | Ella (Ulipristal Acetate) | Copper IUD (ParaGard) |
|---|---|---|---|---|
| Availability | Over-the-counter (OTC) | OTC | Prescription only | Doctor's appointment needed |
| Effectiveness | 75–89% if taken within 72 hrs; declines after 24 hrs | 75–89% if taken within 72 hrs; declines after 24 hrs | ~85% if taken within 120 hrs; more effective than LNG after 72 hrs | >99% if inserted within 120 hrs |
| Weight Factor | May be less effective for individuals >165 lbs | May be less effective for individuals >165 lbs | May be less effective for individuals >195 lbs | Not affected by weight |
| Time Window | Within 72 hours | Within 72 hours | Within 120 hours | Within 120 hours |
| Cost (approx.) | $40–$50 | $10–$45 | $50–$90 (with consultation) | $0–$1,300 (often covered by insurance) |
| Long-Term Use | No | No | No | Yes, for up to 10 years |
How to Find and Access Cheaper Emergency Contraception
If you need an emergency contraceptive but are concerned about cost, several strategies can help you find a more affordable option.
Using Generic Pills
For the quickest and most accessible budget option, look for generic versions of the levonorgestrel pill in the family planning aisle at pharmacies like CVS, Walgreens, or Walmart. While prices can vary, they are almost always cheaper than Plan B.
Insurance Coverage and Clinics
If you have health insurance, it is worth checking if EC is covered, as many plans cover it without a copay, even for over-the-counter options if you get a prescription from a doctor first. For those without insurance, low-cost or free EC may be available at community health centers or through programs like Planned Parenthood.
Online Providers
Several online platforms and apps offer EC, often at competitive prices. Some, like AfterPill.com, allow you to purchase levonorgestrel pills online for a low price, but you must account for shipping time. It can be beneficial to order a kit in advance to have on hand. Other services like Wisp and GoodRx offer discounted generic versions.
Key Factors to Consider
Before choosing an alternative, consider these important factors:
- Timing: The sooner you act, the better. Generic levonorgestrel pills must be taken within 72 hours for best effect, while Ella and the copper IUD are effective for up to 120 hours.
- Body Weight: If you weigh over 165 lbs, Ella is a more effective pill option than levonorgestrel, and the copper IUD is unaffected by weight.
- Side Effects: While typically mild and short-lived, side effects like nausea, headaches, or menstrual changes can occur with EC pills.
- Not Regular Birth Control: Emergency contraception is a backup, not a replacement for regular birth control. Consider long-term options for more reliable and often more affordable contraception. For more information, visit the KFF Emergency Contraception fact sheet.
Conclusion: Choosing the Right Alternative
When seeking a cheaper alternative to Plan B, generic levonorgestrel pills are the most straightforward choice, offering the same effectiveness for less money. For those with more time or seeking a more effective hormonal option, the prescription-only Ella is a strong candidate, though it requires a doctor's visit. For the highest effectiveness and a long-term solution, the copper IUD is the gold standard, though it is more invasive and has a high upfront cost that insurance often helps to mitigate. Ultimately, the best choice depends on your specific situation, including the time since unprotected sex, your body weight, and your access to a clinic or prescription. Taking swift action and exploring all available options is key to making the best decision for your health and wallet.
Note: The use of emergency contraception should not replace regular, reliable birth control methods. It does not protect against sexually transmitted infections (STIs).
How can I tell if a generic morning-after pill is the same as Plan B?
Generic levonorgestrel pills are legally required to have the same active ingredient and work in the same way as the brand-name Plan B. You can confirm this by checking the active ingredient listed on the package, which should be "Levonorgestrel 1.5 mg".
Where can I find the cheapest generic emergency contraception pills?
For the lowest possible price, you can often find generic levonorgestrel pills online through websites like AfterPill.com, which sells them for around $20 plus shipping. Some online health services like Wisp or discount programs like GoodRx also offer coupons for low prices, sometimes as low as $10. For immediate access, you can check generic brands like Take Action or Aftera at major pharmacies and retailers, though online ordering may be cheaper.
Is the generic morning-after pill less effective than Plan B?
No, the generic version of the morning-after pill is not less effective than Plan B. Both products contain the same 1.5 mg dose of the active ingredient, levonorgestrel, and have the same efficacy when used as directed.
Does health insurance cover generic emergency contraception?
Many health insurance plans, including Medicaid, cover emergency contraception, sometimes even the over-the-counter options if you get a prescription from a doctor. You may need to obtain a prescription to ensure coverage, even if the medication is available over-the-counter.
What if I'm over the weight limit for levonorgestrel pills?
If you weigh over 165 pounds, levonorgestrel pills, including Plan B and its generics, may be less effective. In this case, Ella (ulipristal acetate) is a more effective pill option, or the copper IUD, which is the most effective and unaffected by body weight. You should speak to a healthcare professional for guidance.
Can I get emergency contraception for free?
Yes, in some cases. You can contact a local family planning clinic, such as Planned Parenthood or a community health center, to inquire about free or low-cost emergency contraception options. Eligibility for assistance programs is often based on income.
How long do I have to take emergency contraception after unprotected sex?
Generic levonorgestrel pills work best if taken within 72 hours (3 days), although they may offer some protection up to 5 days. Ella and the copper IUD are both effective for up to 5 days (120 hours) after unprotected sex. The sooner you take any EC, the more effective it will be.
