Cadence OTC

What Cadence OTC does

Cadence OTC is a privately held Public Benefits Company headquartered in Oakland, California, founded in 2016 by Samantha Miller, Dr. Nap Hosang, and the late Malcolm Potts. The company acquires, develops, and distributes over-the-counter reproductive and urinary health products under a mission to make contraception and urgent-care products as accessible as condoms. Its flagship products are the Morning After Pill® (levonorgestrel 1.5 mg), the 4-in-1 UTI Emergency Relief Kit (combining phenazopyridine pain relief, methenamine antibacterial, test strips, and a proprietary pH Power Flush supplement), the EarlyPT™ early-detection pregnancy test, and Zena, an investigational combination oral contraceptive being developed for OTC approval with the FDA. Cadence OTC also owns rights to three oral contraceptive formulations acquired from Pfizer.

The company's revenue model is one-time consumer product sales across two primary channels: direct-to-consumer e-commerce via cadenceotc.com and Amazon (price points $8.95-$24.95), and wholesale retail placement. Pricing is positioned significantly below competitors, with the Morning After Pill retail price of approximately $25 versus $35-50 for Plan B. Distribution is led by an exclusive convenience-channel partnership with Lil' Drug Store Products, placing products in 7-Eleven, Circle K, Speedway, GetGo, and similar chains, supplemented by 1,800+ Walmart locations for the UTI kit, quick-commerce partners DoorDash and Snag Delivery, and Amazon. Products are sold without prescription, ID, or age restrictions, enabling frictionless access in healthcare and contraceptive deserts.

Cadence's go-to-market is hybrid product-led/partner-led: consumer awareness is built through earned media (Fast Company #1 Most Innovative in Wellness 2026, Inc. profile), organic social on Facebook, Instagram, LinkedIn, and TikTok, and a content blog, while conversion occurs either through the DTC storefront or the retailer store-locator directing buyers to specific convenience, gas station, or mass retail locations. A telemedicine integration with Twentyeight Health is embedded in the UTI kit for prescription routing. The company is led by a small team (1-10 direct employees) coordinating outsourced manufacturing and channel distribution, with executive leadership including Co-Founder/CEO Samantha Miller, Co-Founder/CMO Dr. Nap Hosang, SVP Clinical Research Dr. Simon Gilburt, SVP GM Kate Voyten, and Head of Social & Marketing Christine Bumatay.

Name

Cadence OTC

Legal name

Cadence OTC

Website

https://cadenceotc.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

1–10 employees

Short description

Cadence OTC is a Public Benefits Company that develops and distributes over-the-counter reproductive and urgent-care products, including the Morning After Pill, UTI Emergency Relief Kit, and EarlyPT pregnancy test, sold through convenience stores, Walmart, and e-commerce to women in U.S. healthcare deserts without prescription, ID, or age restrictions.

Ownership category

akta.pro rank

Product category

Over-the-Counter Reproductive Healthcare

NAICS

Pharmaceutical Preparation Manufacturing (325412), Drugs and Druggists' Sundries Merchant Wholesalers (42421)

SIC

Pharmaceutical Preparations (2834), Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122)

akta.pro primary industry

Women’s Health (OTC Gynecologic) (HLAIADAJ)

akta.pro secondary industries

Home Diagnostic & Self-Test OTC Kits (HLAIADAO), OTC Medicines & Consumer Health Products Distribution (CRAOAHAB)

Keywords

• Over-the-counter pharmaceuticals
• Emergency contraception
• Reproductive health products
• UTI relief kit
• Early pregnancy test

Headquarters

HQ city

Oakland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Hardware or Manufacturing

Cost components

Supply Chain, Marketing or Sales, Personnel, Technology or R&D, Operations

Revenue model

1. Morning After Pill Sales: Direct-to-consumer sale of Morning After Pill emergency contraception through cadenceotc.com e-commerce, Amazon, and retail locations. One-time purchase model. Priced at $19.95 online, $24.99 in stores.
2. EarlyPT Pregnancy Test Sales: Direct-to-consumer sale of early pregnancy tests through e-commerce and Amazon. One-time purchase. Priced at $8.95 online.
3. UTI Emergency Relief Kit Sales: Direct-to-consumer and retail sale of UTI Emergency Relief Kit combining OTC medications with proprietary pH Power Flush supplement. Priced at $24.95 online; in-store pricing starting at $29.00.
4. Retail and Convenience Store Distribution: Wholesale/product sales through convenience stores, gas stations, Walmart, and quick commerce platforms. Distributed via Lil' Drug Store as exclusive convenience channel distributor.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

Cadence OTC manufactures and sells over-the-counter (OTC) reproductive and urinary healthcare consumer products direct to consumers. Its flagship product is the Morning After Pill® (levonorgestrel 1.5 mg emergency contraceptive) priced at approximately half the leading competitors, distributed through convenience stores, gas stations, Walmart, and the company e-commerce site without prescription, ID, or age restrictions. The portfolio also includes the UTI Emergency Relief Kit (a first-to-market 4-in-1 OTC bundle), the EarlyPT™ early-result pregnancy test, and the investigational Zena combination birth control pill in development for OTC status with the FDA.

Product overview

Cadence OTC is a Public Benefits Company focused on reproductive healthcare access. The company offers a portfolio of over-the-counter products including the Morning After Pill® (levonorgestrel 1.5mg emergency contraceptive), the UTI Emergency Relief Kit (a 4-in-1 bundle with test strips, pain relief, antibacterial tablets, and pH Power Flush supplement), and the EarlyPT™ Pregnancy Test. The company is also developing Zena, a combination birth control pill for over-the-counter availability. Products are distributed through convenience stores, gas stations, Walmart, and online channels, with a mission to make contraception as accessible as condoms.

Differentiator

Problem solved

Functional benefit

Brands

• Zena: The over-the-counter birth control pill brand Cadence OTC is working with the FDA to bring OTC.
• Morning After Pill
• EarlyPT
• UTI Emergency Relief Kit

Products and services

• Morning After Pill® Over-the-counter emergency contraceptive containing levonorgestrel 1.5 mg that helps prevent pregnancy by temporarily delaying ovulation when taken within 72 hours of unprotected sex. Contains #1 doctor-recommended ingredient. Priced at $19.95 online and $24.99 in store — roughly half the price of competitor brands. Sold without prescription, ID, or age restrictions.
• UTI Emergency Relief Kit Over-the-counter 4-in-1 bundle for early UTI intervention combining UTI test strips, pain relief tablets (phenazopyridine), antibacterial tablets (methenamine), and the proprietary pH Power Flush drink mix supplement. Targets the urgent window of early UTI symptoms. Priced at $24.95 online (15% off for 2+ kits); in-store from $29.00.
• EarlyPT™ Pregnancy Test Highly sensitive at-home early-result pregnancy test providing results up to 6 days before missed period, with over 99% accuracy from 4 days before missed period. Results in 5 minutes, clinically validated, FSA/HSA eligible. Priced at $8.95 online with in-store from $9.99.
• Branded Merchandise (OH F*CK Dad Hat, Reversible Bucket Hat, HERE FOR YOU Tote, RTIC Insulated Mug) Branded apparel and accessories carrying Cadence OTC's reproductive-health messaging and brand identity. Sold through cadenceotc.com merch collection.

Quantifiable outcome

• Expanded from 6,000 to over 17,000 retail locations across 49 states
• +5 more outcomes

Named customers1 record

Segments2 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Four partnerships are on record, tiered core and minor.

• Lil' Drug StorecoreChannel Partner/ Reseller/ Distributor · 1 January 2024Lil' Drug Store Products is the exclusive convenience channel distributor for Cadence OTC's Morning After Pill and other products. The partnership enables wide distribution across convenience, travel, hospitality, and alternative channels. Contact: [email protected] or 1-800-553-5022.
• Twentyeight HealthcoreStrategic or Co-development PartnerTwentyeight Health is Cadence OTC's telemedicine partner integrated into the UTI Emergency Relief Kit via QR code. The platform provides telehealth consultations with doctors and can send antibiotic prescriptions to any pharmacy in 4-6 hours if symptoms persist after using the UTI kit. A women's health platform focused on making care accessible.
• AmazonminorChannel Partner/ Reseller/ DistributorAmazon serves as a distribution channel for Cadence OTC products including Morning After Pill and EarlyPT Pregnancy Test, offering 1-2 day shipping for consumers who need products sooner than standard delivery.
• DoorDash and Snag DeliveryminorChannel Partner/ Reseller/ DistributorQuick commerce delivery partners enabling rapid on-demand delivery of Cadence OTC products to consumers through DoorDash and Snag Delivery platforms.

Scale indicators8 records

Recent moves9 records

Expansion highlights6 records

Direct peers

• Foundation Consumer Healthcare (Plan B One-Step): Foundation Consumer Healthcare owns Plan B One-Step, the dominant branded emergency contraceptive in the U.S. It is the most direct head-to-head competitor to Cadence OTC's Morning After Pill across drugstores, mass, and convenience.
• Theramex / Teva (Take Action): Teva markets Take Action, a generic levonorgestrel emergency contraceptive sold alongside Plan B; competes with Cadence OTC's Morning After Pill on price and shelf availability in pharmacy and retail channels.

Emerging players

• Hims & Hers Health: Hims & Hers operates a large D2C women's health platform including birth control, EC, and reproductive care subscriptions; overlaps with Cadence OTC on consumer access to contraception and reproductive health via telehealth and online pharmacy.
• Nurx (Thirty Madison): Nurx provides online birth control, EC, and UTI/sexual health consultations with home delivery; comparable to Cadence OTC on access-oriented women's health, particularly through telehealth plus product dispensing.
• Wisp: Wisp sells OTC and Rx women's health products (UTI, EC, hormonal care) direct-to-consumer online; overlaps with Cadence OTC's UTI kit and EC product lines and on convenience-driven D2C access.
• Twentyeight Health: Twentyeight Health is Cadence OTC's telemedicine partner integrated into the UTI kit and a women's health platform providing birth control, EC, and UTI care; a hybrid partner/peer sharing mission and target user.
• Evofem Biosciences (Phexxi): Evofem markets Phexxi, a non-hormonal contraception product sold by Rx with active OTC-switch ambitions; comparable to Cadence OTC for women's health products moving toward OTC availability.

Broad incumbents

• Bayer (Consumer Health): Bayer is a global OTC and consumer health incumbent that has historically operated in women's health (e.g., contraceptive and OTC analgesic brands) and competes broadly with Cadence OTC in pharmacy and mass distribution.
• Prestige Consumer Healthcare: Prestige Consumer Healthcare markets a portfolio of OTC brands across women's health, analgesics, and gastrointestinal categories; competes with Cadence OTC on retail shelf positioning and OTC brand-building.
• Church & Dwight: Church & Dwight is a major OTC and personal care CPG incumbent with broad women's health adjacencies (e.g., reproductive care, OTC treatments); relevant comparator for OTC retail scaling strategy and c-store presence.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/CadenceOTC
• LinkedInlinkedin.com/company/cadencehealth
• Instagraminstagram.com/cadence_otc
• TikToktiktok.com/@cadence_otc

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds5 records

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Cadence OTC