Where to Find Online Birth Control If You or Your Teen Has Endometriosis

You’re probably already on Amazon buying essentials for the family. So if you or your child needs birth control for endo—and already has a prescription for it—you can take care of another essential right from the same account using Amazon Pharmacy. 

Without insurance, you can use your Prime membership to save up to 80% on prescriptions with free two-day shipping to all states, and/or use your digital Rx prescription savings card at over 60,000 pharmacies nationwide. There’s also the option to sign up for the Amazon Pharmacy RxPass and pay a flat $5 a month to receive all your medications off a list of eligible drugs—but birth control is not on the list.

If you have insurance—even Medicare, Medicaid, and TRICARE—you can use it to bring your copay down to $0, and flexible spending account (FSA) and health savings account (HSA) payments are accepted as well. But just know that if you use insurance, you won’t be able to use your Prime prescription savings benefits.

To get started, sign into your account (you must be at least 18) and search for the birth control you were prescribed. Amazon Pharmacy carries about 100 options—pills, rings, patches, and shots—as well as emergency contraception (for which a prescription is required). While Amazon Pharmacy lacks the in-depth medication information and additional blog resources that many other online pharmacies offer, you can view the final out-of-pocket price with your Prime prescription savings benefits, or enter your insurance info to see how much your copay will be. Some forms of birth control are available as a 30- or 90-day supply, though you’ll likely need to be a Prime member to get 90-day supplies.

Just order your medication, submit your prescription for verification, and then either save big on out-of-pocket prices or enter your insurance information. Only Prime members get two-day shipping, but non-Prime members get free four- to five-day shipping, which certainly isn’t bad. You’ll also get automatic shipments until you run out of refills. While Amazon Pharmacy cannot write prescriptions, it does have pharmacists available 24/7 to help answer your medication questions.

Blink Health offers savings on prescription costs and prescribing services that are affordable without insurance, and the BlinkRx pharmacy reviews your insurance, copay, and deductible to find you the lowest prescription price for over 250 different birth control pills. All insurance plans are accepted, and you can choose between free home delivery or pickup at one of 35,000+ local pharmacies, making Blink Health a great choice for everyone 18 and up who knows which kind of birth control they want and have already been prescribed it in the past. 

Create a Blink Health account, then search the site for the birth control you’re interested in. We saw pills, patches, rings, and shots available; as usual, the pills tend to be much more affordable than the other types. Then you’ll see the “everyday low price” (without insurance) for pharmacy pickup and/or the cost for home delivery. 

If you need a prescription, you’ll want a Blink Health membership, which will bring your monthly cost to $10 plus the cost of medication (possibly $0 with insurance)—and include unlimited messaging with a physician, as well as a free first month of birth control. Appointments for contraception are available in 17 states. To be eligible for online birth control prescription, Blink Health requires you to previously have been on the type of birth control you’re requesting. 

Indicate which birth control you’re looking for, whether you’d accept a generic equivalent, and create an account. Once you pay, a board-certified doctor will reach out to you within 24 hours. You can choose from free home delivery or pharmacy pickup; if you choose the latter, you’ll pay any applicable copays and fees online and print out proof of purchase to give to the pharmacist.

If you have an existing prescription, your experience will be streamlined. Just have your doctor send your prescription to BlinkRx; then, all you’ll pay is the cost of meds—which may be $0 per month with insurance—and get free shipping or pharmacy pickup. 

Automatic refills are available every one to three months and can easily be managed using the secure website or iOS/Android app. You’ll also be able to renew your prescription for free online when you run out of refills. Another bonus: If you find a lower price for your prescriptions, Blink Health will price match and refund the difference, as long as you paid using an electronic method.

If you’re uninsured, you already know how expensive medications can be out of pocket. Instead of calling pharmacy after pharmacy to find the cheapest birth control prices in your area, look it up—and get coupons to use at over 38,000 pharmacies nationwide—using GoodRx. If anyone else in your family takes any medications, you may also consider a GoodRx Gold membership, especially if you’re not the only one with endo.

Available in D.C. and all states but Washington, GoodRx Gold has over 1,000 medications under $10 and offers discounts on birth control pills, patches, rings, and shots. It also offers reduced-fee telehealth visits with GoodRx Care providers ($19 for members, versus $49+ for non-members). 

Choose between two plans, which both include free home delivery on eligible meds as well as a free 30-day trial:

• Individual: $10 per month; you must be 18 or older to create a GoodRx account
• Family: $20 per month for up to five family members, friends, or pets (Note: Only the account holder will get access to discounted telehealth visits, so choose wisely!)

The process to sign up is easy. Once you choose a plan, you complete a health and medical history questionnaire, then have a messaging consultation with a doctor. Afterward, a medical team reviews and approves your request. 

Whichever route you take—GoodRx coupons or Gold membership—you can easily view the lowest prices currently available for birth control pills, patches, rings, and shots. Though you can’t use insurance to lower your costs even further, both GoodRx and GoodRx Gold already offer up to 90% off prescriptions.

Twentyeight Health is a great option for families with teens who want birth control for their endometriosis. It offers affordable self-pay prices and accepts FSA/HSA payments, but it’s also in-network with insurance—including Medicaid in 26 states—which could bring your medication costs to $0 per month.

The company serves 34 states and D.C., and offers birth control to teens (no parental consent required) of the following ages: 

• 13 and up: California, Colorado, D.C., Delaware, Georgia, Illinois, Kentucky, Maryland, Maine, Michigan, Minnesota, North Carolina, Nebraska, New Jersey, New York, Oregon, Pennsylvania, Tennessee, Virginia, Washington
• 14 and up: Alabama
• 15 and up: Ohio
• 16 and up: Kansas and South Carolina
• 18 and up: Arizona, Florida, Iowa, Missouri, Mississippi, Montana, Nevada, South Dakota, Texas, Utah, and Wyoming

As the FAQs state, teens under 18 can get birth control by meeting certain requirements (like being emancipated), but the easiest is for you to contact the company to provide parental consent.  

Once you’ve created an account, get medication through Twentyeight Health by filling out a questionnaire with personal and medical information. The physicians at Twentyeight Health are knowledgeable about how to use birth control to address endo symptoms, and with over 100 options total, you and your provider are sure to find the pill, patch, ring, or shot that’s right for you. Once your prescription has been approved, your meds will be delivered to your door within three to five business days. 

One thing to know: Twentyeight Health requires a yearly evaluation for each prescription ($26, not covered by insurance), even if you have an existing birth control prescription, so that your provider can write a new prescription that’s good for a full year. You’ll pay this fee for every medication you get through Twentyeight Health, but it includes your yearly evaluation, unlimited messaging with your Twentyeight Health provider, and the cost of reviewing your questionnaire and writing your prescription. 

Without insurance, birth control at Twentyeight Health can be as low as $18 per pack if you choose multipack savings, which comes with the following discounts:

• Save $25 per yearly delivery of 12 packs.
• Save $10 per semi-annual delivery of six packs.
• Save $3 per quarterly delivery of three packs.

Twentyeight Health is in network with insurance, including Medicaid in all but eight of the states it serves, meaning your yearly out-of-pocket costs will likely be limited to the $26 yearly evaluation fee. 

If money’s tight and you don’t mind choosing only from birth control pills, try Hers. As part of its goal to help eliminate barriers to quality sexual health care, it provides birth control deliveries starting at $12 a month, no yearly medical consultation fees—or insurance—required. Hers also offers treatment for mental health, hair loss, and non-emergency primary care concerns at affordable prices. Even better: Hers ships birth control to every U.S. state and, with parental consent, can prescribe medication to teens 13 and over.

To get started, sign up for an account, download the app, and enter your health and medical info, as well as any preferences you have when it comes to which symptoms you’re hoping to address with birth control. Within about 24 hours, you’ll hear back from a doctor who can either approve your prescription or work with you to figure out which type of birth control is right for you. Unlike many competitors, Hers doesn’t charge an evaluation fee; also, Hers physicians have experience with endo and are available for quality, ongoing telehealth care for only $5 per follow-up visit. 

Hers provides a fairly limited number of birth control options compared to others on this list—13 total at time of publishing—and only offers pills. But for $12+ per month, you can choose from monophasic options like Lutera and Yaz, multiphasic pills like Mircette and Tri-Lo-Sprintec, extended-cycle Amethia, and the progestin-only Errin mini-pill. Interestingly, research suggests that progestin on its own might be a better choice for treating endo than combination pills that have estrogen as well. But your Hers provider can help you make your choice.

Once you’ve selected a pill, it’ll ship to you free, arriving in about two to five business days. You’ll also have the convenience of automatic refills being sent out every month before you run out, as well as access to support from Hers providers. Or, if you’d rather pick your prescription up in person, Hers can send it to a local pharmacy (though it may take three or more days to process this transfer).

Hers doesn’t accept insurance or FSA/HSA payments, but the pills and services it provides make it the most affordable source of online birth control that we saw.  

If you’ve read this far, it might mean you’ve got a lot of questions about using birth control to treat endometriosis symptoms. Co-founded and led by Sophia Yen, MD, Pandia Health is a great choice if you’re 18 or older in 49 states (or any age in California) and prefer getting your birth control with a healthy side of information about relevant topics, such as how different birth control methods work or even how to skip your periods with birth control. You can learn that and more via Pandia Health's medically reviewed blog, extensive FAQs, videos, and other resources. 

Pandia Health’s FSA-/HSA-eligible out-of-pocket prices start at $7 per pack of pills, with financial aid available (for pills only). Most major insurance plans are accepted, including Medicaid/Medi-Cal, but not TRICARE, Kaiser Permanente, CalOptima, Humana, Sunshine Health, and StayWell as of the time of writing. If you already have a prescription, just create an account on the secure and HIPAA-compliant site, answer a health questionnaire, and let the team know that you’re interested in a prescription transfer.

Pandia Health’s board-certified physicians can also provide a prescription online within about 24 hours, as long as you live in an eligible state (Arizona, California, Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, or Wyoming). The consultation fee is $30 if you opt for convenient ongoing mail delivery straight from Pandia Health, or $49 if you plan to request pickup at a local pharmacy. Once you pay, the doctor will review your questionnaire and determine which of the 120-plus options for the pill, the patch, and the ring is likely to cause you the least side effects. If you’re looking for combination birth control, you may be required to submit a recent blood pressure reading before a prescription can be written, and the doctor may reach out if they need to discuss anything about your goals for taking birth control to help with endo symptoms. 

Your birth control ships with free two- to three-day shipping, plus extra goodies like skin care samples, and you’ll automatically receive refills a week before you finish your last pack. Depending on the birth control you use and whether you’re using insurance or paying out of pocket, you can get a one-, three-, six-, or 12-month supply. In addition to a free six-week check-in with a physician to see how your prescription is working for you and your symptoms, you’ll also have 364-day access to chat, text, or phone support from Pandia Health’s knowledgeable patient care associates.

Robin Berzin, MD, founded the first Parsley Health clinic in 2016 to provide holistic, evidence-based care. These days, a Parsley Health membership offers virtual primary care to patients as young as 13 in all but six states—as well as extra-long appointments with licensed physicians and health coaches, a wide variety of advanced diagnostic tests, and personalized care plans that take your whole health into account.

While Parsley Health can prescribe all non-controlled medications, including birth control, its clinicians use functional medicine to help you identify the root causes of your symptoms and address them. The FAQs note that more than one in four Parsley Health members are able to reduce the number of medications they take on an ongoing basis—however, it also reports that only 15% of visits at the company result in a prescription, so this may be a better option if you have an existing prescription for birth control.

If paying out of pocket for a Complete Care Membership, you’ll pay $199 monthly or $2,388 per year, but this will include:

• Five medical visits with a licensed provider
• Five visits with a health coach
• Diagnostic lab testing (specialized testing may cost extra)
• 20% off supplements at the Parsley Health store
• Prescription medications sent to your local pharmacy for pickup
• Unlimited messaging in your HIPAA-compliant portal

Using insurance will bring your membership costs to $69 per month (or $758 per year, paid up front) plus copays, because your medical visits will be billed to your insurer. However, you’ll still have access to all the other benefits as if you’d paid out of pocket. At the time of writing, the only insurance accepted is Aetna and Blue Cross Blue Shield in California, and nine major insurers in New York, but the cost is FSA/HSA eligible and the company states that members are often able to get up to 70% reimbursement through out-of-network coverage. Government-provided insurance is not accepted.   

Parsley Health also offers specific programs to support fertility, pregnancy, and postpartum concerns, including treatment protocols that are specific to endometriosis—so it’s an especially great option if you’re hoping to get pregnant sometime in the future and are only planning to be on birth control for your endometriosis for the short term. We wish the site offered more resources and information specific to birth control and endometriosis, but a membership with Parsley Health includes access to comprehensive testing and health coaching from knowledgeable providers who will get to know you during appointments, increasing the quality of your long-term care.