Did you know that Nevada pharmacies are obligated by law to fill a years-worth of birth control pills at once?

Yes!  In 2018 Nevada legislature passed this bill…

NRS 689A.0418. This law requires a pharmacist to dispense up to a

12-month supply of drugs for contraception if:

1. The patient has previously received a three-month supply of the same drug;

2. The patient has previously received a nine-month supply of the same drug or a supply of the same

drug for the balance of the plan year in which the three-month supply was prescribed, whichever was

less;

3. The patient is insured by the same health insurance plan for that year.

What can you do?  Ask your physician to refill your birth control pills for 13 pill packages with no refills.  The physician can cite Nevada NRS689A.0418 in their prescription to remind the pharmacist of the law requiring them to fill a years-worth at once.

Do you want a period monthly?  If so, take the pills as they are in the package (3 weeks of active pills and one week of inactive pills).

Do you want a period less than every month?  If so, take only the 3 weeks of active pills and then skip the placebo pills.  (For example, Then take the three weeks of active pills followed by the three active pills from the next pill pack followed by the three weeks of active pills from the third pack.  Then take the placebo pills and you will have a menstrual period once every 9 weeks).

Do you want to never have a menstrual period?  Take the three weeks of active pills of each pill pack and always skip the placebo pills.  You may have breakthrough vaginal bleeding, but this is not thought to be harmful.

If you do not have a doctor, https://www.pandiahealth.com/ is an online physician-led, woman-led service that can fill your birth control pills for a year.  Physician’s review your risks and which birth control pills may work well. Pandiahealth.com also will send emergency contraception, if wanted. 

I hope this helps.