Once you complete the intake form, a clinical pharmacist will contact you and determine qualification. This service is a great option if:

• You are a premenopausal woman between 18 and 55 years old
• You don’t have cancer of the breast, cervix, or uterus
• Your blood pressure is lower than 140/90

If you do not qualify, the clinical pharmacist can assist with a referral to an Intermountain provider for evaluation.

You will need a few pieces of information available while you complete the intake form.

• A blood pressure reading from the past 12 months
• Your height and weight
• Prescription insurance information

Self-administered contraception options are available through this virtual service. These include:

• Birth control pills (includes both combination pills like Sprintec®, Junel®, Loestrin®, and Yasmin® and proestin-only pills like Camila®, Heather®, and Micronor®)
• Vaginal rings (like NuvaRing® and EluRyng™)
• Hormonal patches (like Xulane®, Ortho-Evra®, and Twirla®)

The clinical pharmacist is happy to work with you to determine the best option for you based your preferences, circumstances, and health history

Cost of the service is a $20 consultation fee plus the cost of the birth control prescription after any insurance coverage. Some insurance companies will also cover the $20 consultation fee. If you do not qualify, you will not be charged for the service.

You can expect to be contacted by the clinical pharmacist within a few hours (between 8am and 5pm MST) following submission of the intake form. Generally, the medication will be delivered to your home within 3-5 business days from the Intermountain Home Delivery Pharmacy. Shipping is free. The clinical pharmacist will work with you to identify a different arrangement if a more rapid turnaround is needed.

The initial prescription will be for up to a 90 day supply of the selected birth control medication and will have enough refills for one year. Once all refills are exhausted, you will need to request a new prescription by completing the same online form or working with your provider.

Please contact a member of the pharmacy team by calling 855-779-3960.