Walgreens, others pull back on abortion pill distribution

Just because abortion might be legal in some states does not mean abortion pills can be on full display. Republican officials from 20 states sent the anti-abortion pill message to pharmacy giants recently, and on March 3 Walgreens told NPR it was going to comply. The drug will not even be distributed through the mail. Alabama, Alaska, Arkansas, Florida, Georgia, Indiana, Iowa, Kentucky, Louisiana, Mississippi, Missouri, Montana, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Texas, Utah, and West Virginia are the states where the practice will cease. Abortion is legal in Alaska, Iowa, Kansas and Montana, but Walgreens is not ready to distribute the drug in those states.

The group of Republican attorney generals, mostly operating in states where abortion is illegal, delivered a warning to several pharmaceutical retailers that selling abortion pills could lead to legal action.

“Abortion pills are far riskier than surgical abortions, according to established scientific consensus,” the letter stated, “mail-order abortion pills also invite the horror of an increase in coerced abortions. When abortion drugs are mailed or consumed outside a regulated medical facility, the risk of coercion is much higher — indeed guaranteed — because there is no oversight.”

Back in January, the Food and Drug Administration gave retail pharmacies the green light to get certified to distribute the drug. Walgreens is still working through the certification process and is taking steps to sell the drug where it is legal and operationally feasible. The pill of choice is mifepristone, which also is used to help with miscarriages and for a while was only dispensed via specialty offices and clinics. In December 2021 the FDA allowed doctors to prescribe the drug via telehealth appointments and deliver it through the mail.

Walgreens and CVS carried a much different tone about mifepristone distribution two months ago, when they announced they would begin offering the option to customers.

“We intend to become a certified pharmacy under the program,” Walgreens said in a statement. “We are working through the registration, necessary training of our pharmacists, as well as evaluating our pharmacy network in terms of where we normally dispense products that have extra FDA requirements and will dispense these consistent with federal and state laws.”

A few weeks later, Rite Aid announced it would carry mifepristone in a limited amount of stores via mail order.

“We continue to evaluate the requirements for pharmacy certification, pharmacist training, and product availability as we determine the timing for dispensing mifepristone,” Rite Aid said in a statement provided to Supermarket News. “We are committed to ensuring equitable access to customers prescribed this product.”