8 Best Birth control pills Providers of October 2026
Quick answer
As of October 2026, our top-rated place to get Birth control pills online is Twentyeight Health (7.5/10, from $16/mo), followed by Pandia Health (from $15/mo) and Wisp (from $5/mo). Across the 8 providers we compared, starting prices run $5–$79/mo (median $15).
- Our #1 pick1Twentyeight Health
- From $16/mo for Birth Control Pill
- Low entry cost: $19.99/mo membership ($0 when in-network), birth control from $16/pack cash and often $0…
7.5Very Good - 2Pandia HealthNames Its Pharmacy
- From $15/mo for Birth Control Pill Delivery
- Offer: $35 one-time prescription consult
- Published pricing: birth control from $15/pack cash ($0 with most insurance), $35 consult, free delivery…
7.5Very Good - 3Wisp
- From $5/mo for Birth Control
- Offer: 15% off first order (code WELCOME15)
- Price includes provider visits and shipping
7.0Good - 4TelyRx
- From $22.99/mo for Birth Control Pills (generic)
- Offer: One-time $22 provider review fee
- Very broad catalog (500+ medications) that includes chronic-condition generics such as lisinopril, albuterol…
6.9Good - 5Nurx
- From $15/mo for Birth Control (generic)
- Offer: $15/pill pack cash, or as low as $0 with insurance; a $28 annual consult fee and a $3 monthly support fee…
- Accepts insurance in addition to cash-pay — birth control can be $0 copay
6.9Good - 6Tuyo Health
- Offers Birth Control; price not published before intake
- Price includes provider visits and shipping
6.8Good - 7TeleDirectMD
- From $79/mo for Birth Control Refill Visit
- One all-in $79 cash price per visit, published up front and HSA/FSA eligible
- Every visit is a live video consult with a named, board-certified physician, never a mid-level provider or a…
6.5Good - 8Push Health
- Offers Birth Control Prescription; price not published before intake
- Broad range of one-off prescriptions (ED, birth control, UTI, STI, acne, asthma, blood pressure, branded…
- Prescriptions go to the patient's own pharmacy, so cheap generics can be filled with discount cards instead…
5.6Fair
Side-by-side comparison
| # | Provider | Score | From | Intro offer | Labs |
|---|---|---|---|---|---|
| 1 | Twentyeight Health | 7.5 | $16/mo | — | — |
| 2 | Pandia Health | 7.5 | $15/mo | Yes | — |
| 3 | Wisp | 7.0 | $5/mo | Yes | — |
| 4 | TelyRx | 6.9 | $22.99/mo | Yes | — |
| 5 | Nurx | 6.9 | $15/mo | Yes | — |
| 6 | Tuyo Health | 6.8 | See site | — | — |
| 7 | TeleDirectMD | 6.5 | $79/mo | — | — |
| 8 | Push Health | 5.6 | See site | — | — |
Starting prices as listed on each provider's site, checked Oct 9, 2026. Prices can change with dose, plan length and promotions.
Key numbers
- 8 providers compared
- Lowest starting price: $5/mo
- Median starting price: $15/mo
- 0 of 8 include lab work in at least one plan
- 4 of 8 have an intro offer or first-month discount
How we ranked these
Ranked by our category score: trust and safety (30%), value (25%), patient experience (20%), product range in this category (15%) and reputation (10%). Scores come from our own research into each provider's website, regulatory records, patient reviews and pricing. Read the full methodology
What to look for
What birth control pills is
Birth control pills are daily oral hormonal contraceptives. Combined pills contain an estrogen and a progestin; progestin-only pills ("minipills") contain a progestin alone. Most are inexpensive generics, and telehealth services can prescribe and mail them after an online questionnaire, often with no video visit. Opill, a progestin-only pill, became the first daily birth control pill sold over the counter in the US in 2024.
How it works
Combined pills mainly prevent ovulation and thicken cervical mucus so sperm can't reach an egg. Progestin-only pills work mainly by thickening cervical mucus, and some also suppress ovulation. Typical-use failure rates are about 7% per year, mostly from missed or late pills, and under 1% with perfect use.
What to expect
Protection depends on when you start. Combined pills started within 5 days of your period begin working right away; started at other times, they need 7 days of backup contraception. Progestin-only pills need 48 hours of backup unless started at the beginning of a period. Spotting is common for the first 2–3 months.
Who it's not for
Women over 35 who smoke (combined pills); Anyone with a history of blood clots, stroke, or heart disease (combined pills); People who get migraines with aura (combined pills); People with current or past breast cancer.
Frequently asked questions
Where is the best place to get Birth control pills online?
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Twentyeight Health ranks #1 on this list with a score of 7.5/10 and plans from $16/mo. Scores weigh trust and safety, value, patient experience, product range and reputation.
What is the cheapest way to get Birth control pills online?
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Of the providers on this list, Wisp has the lowest starting price at $5/mo (Birth Control). Starting prices often rise with dose or after an intro period, so compare the ongoing price too.
How much does Birth control pills cost online?
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Across the 8 providers we compared, starting prices range from $5 to $79 per month, with a median of $15. 4 of them run an intro offer or first-month discount.
How are these providers ranked?
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By our category score: trust and safety (30%), value (25%), patient experience (20%), product range in this category (15%) and reputation (10%), with a small bonus for specialists. The full methodology is published on our methodology page.
Can I get birth control online without seeing a doctor?
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Usually you complete an online health questionnaire that a clinician reviews, and many states don't require a video visit. Opill, a progestin-only pill, needs no prescription at all and is sold over the counter.
What is the difference between combined pills and the minipill?
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Combined pills contain estrogen and a progestin, and they have a more forgiving timing window. Progestin-only pills avoid estrogen, so they suit people who can't take it, such as smokers over 35 or people who get migraines with aura. Traditional minipills, though, must be taken at the same time every day.
Do birth control pills protect against STIs?
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No. Use condoms to reduce the risk of sexually transmitted infections.
Does insurance cover birth control pills?
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Under the Affordable Care Act, most private health plans must cover FDA-approved contraceptives prescribed for you with no copay, though a plan may only cover generics in a given category. Many telehealth birth control services bill insurance for the pills.