Harm reduction · 2026
Legal in all 50 states. Shelf-stable for two years. The single most actionable step you can take while FDA mifepristone access is in court.
The post-Dobbs supply chain is fragile. Insurance is your own medicine cabinet.
Texas and Florida re-filed against the FDA's mifepristone approval in December 2025. Pam Bondi's DOJ has signaled non-enforcement of the Comstock Act for now, but that can change with one memo. If mifepristone is pulled from U.S. distribution, misoprostol-only at 800 mcg every 3 hours × 3 doses is still 84–96% effective — but you'd have to source pills.
Medication abortion works best in the first 10 weeks after your last menstrual period. From a missed period to 10 weeks is roughly 6 weeks. Telehealth shipping is 2–7 days; international fulfillment 7–21 days. Pills already in a drawer collapse those windows to zero.
Shipping a person to a legal state for an in-clinic abortion costs $500–$2,300 (Brigid Alliance). Advance-provision pills cost $90–150. The clearest harm-reduction step is the cheapest one — and cycle apps + advance pills give you complete agency over your timeline.
Short answer: ordering and possessing the pills is legal in all 50 states. Using them is governed by your state's abortion law at the time you take them.
Read our safe-browsing guide first. Use Tor for the order, ProtonMail for the consult, prepaid card or cash for payment, and a P.O. box or trusted address — not your name on a tracked package linked to your home.
All three ship to all 50 states for advance provision.
Founded by Dr. Rebecca Gomperts. Telehealth consultation with a European or U.S. shield-law clinician. ~$150 (sliding scale to $0). 2–4 days for U.S.-based shipping; 7–21 days for international fulfillment. The single most established route.
aidaccess.org/advance-provision →Plan C is an information clearinghouse, not a provider. Their "in advance" page lists every vetted source — telehealth services, online pharmacies (mostly misoprostol-only), and red flags. Updated frequently.
plancpills.org/in-advance →If you have specific clinical questions about timing, dosing, or how to use pills you already have — call 1-833-246-2632. Free. Confidential. Medical professionals only. They won't dispense pills, but they'll guide you on protocols.
mahotline.org · 1-833-246-2632 →Both drugs are shelf-stable. Stored well, they last about two years.
Store: 20–25°C (68–77°F), tight container, dry. Avoid heat, humidity, direct sunlight. Don't refrigerate (condensation hurts it).
Shelf life: 24 months from manufacture if sealed. Check the printed expiry on the foil — most ship 18–22 months out. Discard 30 days after the printed date.
Store: Below 25°C (77°F), tightly sealed. Misoprostol is unstable in heat and humidity — keep it out of bathrooms and kitchens. Original blister packaging is ideal.
Shelf life: 24 months sealed; 6 months if removed from blister. Crumbly, discolored, or sticky tablets have lost potency. If misoprostol is the wrong color (should be white-to-off-white), discard.
A bedroom dresser drawer or sock drawer is ideal storage. Never the bathroom medicine cabinet — humidity ruins both drugs faster.
Advance provision is also a way to keep the option without anyone knowing.
Step-by-step guidance you trust, not a Google search you regret.
If and when you decide to use the pills you've stored, follow the Her Choice pill protocol: 1 mifepristone tablet (200 mg) on day 1, then 4 misoprostol tablets (800 mcg total, sublingual or buccal) 24–48 hours later, with 800 mg ibuprofen 30 minutes before. Read it from a private device — Tor or a friend's phone.
Before you take anything, read our ectopic-emergency guide. Pills do not end an ectopic pregnancy. If you have any pelvic pain that's one-sided, sharp, or accompanied by shoulder pain, see a clinician for an ultrasound first.
The M+A Hotline at 1-833-246-2632 is the right call for any medical question during the process. The Repro Legal Helpline at 1-844-868-2812 is the right call for any legal question. Both are free, confidential, and available in all 50 states.
Advance provision is not paranoia. It's the same logic as keeping Plan B in the medicine cabinet — except this works further into pregnancy and matters more in a country where the supply chain is being legally challenged every six months.
If you can afford it, ordering for yourself and sharing pills with a trusted friend who can't afford the consult is one of the most direct mutual-aid acts available right now. Pills are pills — they don't know who they're for.
If you can't afford the consult, abortion funds will pay. Apply to a fund through NNAF — they're set up exactly for this.
Information, not legal or medical advice. Verify current legal status with the Repro Legal Helpline before relying on any specific step. Last reviewed 2026-04-25.
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