Plan B Alternatives: Emergency Contraception Options and Where to Get
Plan B isn’t the only emergency contraception that exists. Unprotected sex or birth control failure can happen. In these moments, fast action matters. Emergency contraception helps prevent pregnancy—but Plan B isn’t your only option.
Today, many Plan B alternatives are available. Some are cheaper. Some are more effective. Others work better for certain body types or are easier to get online or in-store.
This guide will show you the best emergency contraception options, how they work, and which one is right for you.
Let’s explore your choices—so you’re never caught off guard.
What Are Plan B Alternatives?
Plan B is a popular morning-after pill. But it’s not the only one.
Other options work the same way—or even better. Some need a prescription, others don’t. Some are fast to get, others take a few days.
Your weight, time since sex, and access all matter when choosing.
1. Ella – Most Effective for Man
- Type: Prescription pill
- Works for: Up to 5 days after sex
- Effectiveness: About 85%
- Best for: Higher body weight (but not over 195 lbs)
- Cost: Around $45–$90
- Delivery: 3–5 days (overnight available)
Ella contains ulipristal acetate, which works even after ovulation starts. It’s stronger than Plan B and ideal if you need more time.
But breastfeeding moms should avoid it for 36 hours after taking.
2. Take Action – Easy to Find In-Store
- Type: OTC pill (no prescription)
- Works for: Up to 3 days after sex
- Effectiveness: 75–89%
- Best for: Weighing under 155 lbs
- Cost: Around $35–$37
- Availability: Pharmacies, Target, Walmart
Take Action is similar to Plan B. It contains levonorgestrel. It works best within 24 hours but can help up to 72 hours.
It’s convenient, affordable, and sold over the counter.
3. AfterPill – Cheapest Option Online
- Type: OTC pill (no prescription)
- Works for: Up to 3 days
- Effectiveness: 75–89%
- Cost: $20 + $5 shipping
- Delivery: 5–7 days
- Best for: Advance preparation
AfterPill is the most affordable Plan B alternative. It works like Plan B but must be pre-ordered. So it’s not great for last-minute use.
It comes in discreet packaging and doesn’t appear as “emergency pill” on receipts.
4. My Choice – Low Cost, Simple Option
- Type: OTC pill
- Works for: Up to 3 days
- Cost: Around $12
- Best for: Buying in bulk
- Prescription: Not needed
My Choice is another levonorgestrel pill. It’s a good option for those looking to stock up for emergencies. But like Take Action, it may not work well if you’re over 155 lbs.
5. Paragard IUD – Most Effective Overall
- Type: Copper IUD
- Effectiveness: 99.9%
- Works for: Up to 5 days
- Cost: Up to $1300 (free with insurance)
- Prescription: Yes, requires a doctor visit
Paragard is a copper IUD, not a pill. It prevents pregnancy even 5 days after unprotected sex. It works for all body types and stays effective for up to 10 years.
It’s the most reliable—but not the fastest or cheapest.
6. Combined Birth Control Pills
- Type: Regular birth control used in higher doses
- Effectiveness: 56–86%
- Cost: $0 if already owned
- Prescription: Yes
Some combined oral contraceptives can work as emergency contraception. But you need the right dose, and they have more side effects.
Always consult a doctor before trying this method.
Quick Comparison Table
| Option | Time Limit | Prescription | Best For | Cost |
| Ella | 5 days | Yes | Higher BMI, fast need | ~$45–$90 |
| Take Action | 3 days | No | Easy OTC access | ~$35–$37 |
| AfterPill | 3 days | No | Cheapest online | ~$25 total |
| My Choice | 3 days | No | Bulk buying | ~$12 |
| Paragard IUD | 5 days | Yes (in-clinic) | Long-term use | Up to $1300 |
| Combined Pills | 5 days | Yes | Already on pill | $0–$50/mo |
Choosing the Right Emergency Contraceptive
Here’s what to keep in mind:
- Timing: Sooner is better. All options except AfterPill work up to 5 days.
- Weight: Ella works better for higher weight. Levonorgestrel pills may not work over 155 lbs.
- Access: If you need it now, choose in-store pills like Take Action.
- Privacy: AfterPill ships discreetly.
- Breastfeeding: Avoid Ella if nursing—other pills are safer.
Why Keep Plan B Alternatives at Home
Emergencies can happen anytime. Pharmacies might be closed. Stocking up on Plan B alternatives can save you stress later.
Always check expiry dates and store them safely.
Final Thoughts
Plan B isn’t your only option. From Ella’s power, to Take Action’s convenience, to AfterPill’s low cost, there are many Plan B alternatives to choose from. Know your body. Know your needs. And keep a backup ready—just in case.
