State Medicaid Coverage of OTC Contraception Without a Prescription
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
as of February 2026
| Location | Year Effective | Source | Methods Covered |
|---|---|---|---|
| United States | 8 States | ||
| Alabama | |||
| Alaska | |||
| Arizona | |||
| Arkansas | |||
| California | 2024 | <a href="https://openstates.org/ca/bills/20212022/SB523/">Contraceptive Equity Act of 2022</a> | Drugs, devices, and products |
| Colorado | |||
| Connecticut | |||
| Delaware | |||
| District of Columbia | |||
| Florida | |||
| Georgia | |||
| Hawaii | |||
| Idaho | |||
| Illinois | 2025 | <a href="https://hfs.illinois.gov/medicalproviders/notices/notice.prn140203a.html">HFS Provider Notice</a> | Emergency contraception and male condoms |
| Indiana | |||
| Iowa | |||
| Kansas | |||
| Kentucky | |||
| Louisiana | |||
| Maine | |||
| Maryland | 2025 | <a href="https://health.maryland.gov/mmcp/pap/docs/MD_Medicaid_OTC_Non_drug_Exception_list%20Final.pdf">MDH Bulletin</a> | Emergency contraception and condoms |
| Massachusetts | Emergency contraception | ||
| Michigan | 2026 | <a href="https://www.mdch.state.mi.us/dch-medicaid/manuals/MedicaidProviderManual.pdf">Medicaid Provider Manual</a> | Male condoms |
| Minnesota | |||
| Mississippi | |||
| Missouri | |||
| Montana | |||
| Nebraska | |||
| Nevada | |||
| New Hampshire | |||
| New Jersey | 2020 | <a href="https://www.njmmis.com/downloadDocuments/OTCBenefits.pdf">NJMMIS Bulletin</a> | Emergency contraception |
| New Mexico | |||
| New York | 2017 | <a href="https://govt.westlaw.com/nyreg/Document/I29115ac271d711e7a0f4feaa4e7b48d7?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)">New York State Register HLT-39-16-00031</a> | Emergency contraception |
| North Carolina | 2024 | <a href="https://medicaid.ncdhhs.gov/blog/2024/07/17/opill-be-covered-without-prescription">NCDHHS Bulletin</a> | Oral contraceptives |
| North Dakota | |||
| Ohio | |||
| Oklahoma | |||
| Oregon | |||
| Pennsylvania | |||
| Rhode Island | |||
| South Carolina | |||
| South Dakota | |||
| Tennessee | |||
| Texas | |||
| Utah | |||
| Vermont | |||
| Virginia | |||
| Washington | 2019 | <a href="https://www.hca.wa.gov/assets/billers-and-providers/over-the-counter-contraceptive-faq-clients.pdf">HCA FAQs </a> | Oral contraception, emergency contraception, male condoms, and spermicide |
| West Virginia | |||
| Wisconsin | |||
| Wyoming |