Better Access to Birth Control Online
Intermountain now offers faster access to birth control in Utah.
- Complete the form below
- Once your form is submitted, you’ll receive a call from a clinical pharmacist within a few hours (if received during business hours) to review your health history and determine the optimal birth control option for you.
The fee for this service is $20 (plus the cost of medication) minus any insurance coverage.
We are currently experiencing intermittent issues with our online forms. If you are not able to submit this form, please call 855-779-3960 for assistance.