How much does the abortion pill cost in New Jersey? If you are experiencing an unplanned pregnancy, you may be wondering about the price of the abortion pill costs in New Jersey before and after insurance – and where you must go to get it.
A doctor, who may first order an ultrasound, must prescribe the abortion pill which you pick up at your pharmacy. It is not available over the counter. An ultrasound provides three important answers before you can begin.
- Is the pregnancy viable? 10 – 25% of recognized pregnancies end in miscarriage.1
- How far along are you? You cannot take the abortion pill after the 10th week of pregnancy, starting from the first day of your last menstrual period.2
- Is this an ectopic pregnancy? Your doctor may treat you differently if the embryo implants outside of your uterus.3
Is the Abortion Pill Available Over-The-Counter?
Abortion Pill Not Over-The-Counter
You cannot pick up at the abortion pill over-the-counter or order it online in New Jersey. It is not available without a prescription. You must follow a government-mandated regimen. The Food and Drug Administration lists the requirements for obtaining abortion-inducing medications across the United States.4
- Must be ordered, prescribed, and dispensed by or under the supervision of a healthcare provider who is licensed to prescribe and meets certain qualifications.
- May only be dispensed in clinics, medical offices, and hospitals by, or under the supervision of a certified healthcare provider.
Cost of the Abortion Pill without Health Insurance
Abortion Pill Cost Without Insurance
The financial cost for the abortion pill regimen in New Jersey without insurance can reach as high as approximately $800 and may include some or all of the following medical services.5
- 2 doctor office visits
- Ultrasound
- Methotrexate/Misoprostol
- Pain medications
- Antibiotics
A free ultrasound could help you avoid a significant portion of your expected expenses.
Cost of the Abortion Pill after Insurance Pays
Abortion Pill Cost After Insurance
Your share of the cost of the abortion pill regimen after insurance pays depends on the plan. Every plan has cost-sharing elements. In addition, some plans exclude coverage for any abortion-related procedure.
Read more about insurance for elective abortions in New Jersey on a separate page. This page answers these general questions and others.
- What does it cost after insurance pays?
- Will my parents plan cover the services?
- Will my parents find out if I take the abortion pill?
- Do I qualify for Medicaid if uninsured?
Since the abortion pill is a prescription medication, your insurance plan’s drug formulary is an additional topic to cover on this page in more detail.
Formulary Tiers
Health insurance plans with prescription drug coverage publish a formulary. A formulary is a listing of coverage levels for a long list of commonly prescribed medications. Most formularies contain tiers, which determine the member’s out-of-pocket cost for the drug.6
- Preferred generic: lowest cost tier
- Generic: lower cost tier
- Preferred brand: middle-cost tier
- Non-preferred brand: higher-cost tier
- Specialty drugs: highest cost tier
The abortion pill is actually two separate prescription medications – Methotrexate followed by Misoprostol (also known as Cytotec). You will need to look up each medication on your plan’s formulary to determine your cost-share for this component of the protocol.
Keep in mind that your plan will have separate cost-sharing features applied to your office visits, ultrasound, and other medications.
Medicaid Formulary
With New Jersey Medicaid, you will have to choose between plans offered by five different insurance companies, each with a separate and unique formulary.7 Research the formulary for each company to determine your cost-share amount.
Our free ultrasound provides the positive proof of pregnancy needed to enroll in Medicaid. Use the chart below to identify which insurance company offering Medicaid plans in New Jersey list both abortion pill drugs on its formulary. Also look up the tier level to determine your out-of-pocket cost-share.
| Company | Methotrexate | Misoprostol/ Cytotec |
| Aetna | Yes | Yes |
| Amerigroup | Yes | No |
| Horizon BCBS | Yes | Yes |
| United Healthcare | Yes | Yes |
| Wellcare | Yes | Yes |
Sources Used in This Article
- 1Pregnancies ending in miscarriage
- 2Available 4th to 10th week
- 3Ectopic pregnancy treatment
- 4FDA regimen rules
- 5Cost up to $800
- 6Prescription drug formularies
- 7Five Medicaid insurance companies
The information contained in SOLUTIONSHPC.COM is for general information purposes only. While we endeavor to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the information, products, services, or related graphics contained on the website for any purpose. Any reliance you place on such information is therefore strictly at your own risk.
Solutions Health and Pregnancy Center is committed to providing you with everything you need to make an informed choice. We believe women and men have a right to get accurate information from a resource that will not profit from choices they make. All our services are free and confidential. We do not provide or refer for abortions. We do not profit from any of your sexual health or pregnancy decisions.
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