What Pills by Post does

Pills by Post is a U.S.-based telehealth service founded in October 2021 that delivers medication abortion care (mifepristone and misoprostol) to patients in nine states plus Washington D.C. — California, Colorado, Illinois, Michigan, Minnesota, New York, Virginia, Washington, and Washington D.C. Patients complete an online health intake through IntakeQ, consult with a board-certified physician, and choose either direct mail delivery at a flat $135 fee or a prescription sent to a local CVS pharmacy for a $70 service fee. The service reports a 99% approval rate for medication abortion requests and greater than 98% effectiveness through 12 weeks gestation; a minority workflow also serves minors in jurisdictions that permit confidential access. Pills by Post does not bill insurance but partners with the National Network of Abortion Funds and local abortion funds to offer same-day financial assistance, with the explicit policy that no one is turned away for inability to pay.

The technical stack is deliberately lean and compliance-led: a HIPAA-compliant secure electronic health record system, an IntakeQ-hosted online intake and consultation workflow, and Spruce for encrypted text and phone-based patient support. The public-facing site includes a gestational-age calculator that estimates pregnancy duration from either last menstrual period or ultrasound date, plus state-specific SEO landing pages (e.g., /state/california-abortion-pills) targeting local organic search. Two distribution channels exist — direct mail in discreet, unmarked packaging with flexible delivery addresses (home, trusted contact, PO Box, or General Delivery) and prescription handoff at any CVS pharmacy within the served states.

Operationally, Pills by Post is a small, privately-held company with no disclosed investors, no institutional funding rounds, no parent company, and no headcount figures. Its go-to-market is entirely direct-to-consumer, relying on organic social on Instagram and Facebook, SEO, and a referral ecosystem of advocacy organizations (the Miscarriage and Abortion Hotline, Exhale, Plan C, Mya Network, If When How). The company has been featured in major national publications including the New York Times, Politico, MS. Magazine, and Bloomberg.

Name

Pills by Post

Legal name

Pills By Post

Website

https://pillsbypost.com

Company type

Private

Founded year

2021

Operating status

Operating

Short description

Pills by Post is a U.S. telehealth service founded in October 2021 that provides medication abortion (mifepristone and misoprostol) via direct mail or CVS pharmacy pickup to pregnant individuals in nine states plus Washington D.C.

Ownership category

akta.pro rank

Product category

Telehealth Medication Abortion Services

NAICS

Family Planning Centers (62141)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Women’s Health & Contraception Prescribing + Pharmacy Delivery Platforms (HLALAIAI)

Keywords

• Telehealth medication abortion
• Online abortion care
• Mail-order abortion pills
• Reproductive telehealth services
• Medication abortion prescriptions

Headquarters

HQ city

Chicago

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medication Abortion Service: One-time fee service providing telehealth consultation, physician approval, and either mailed abortion medication ($135) or prescription sent to local CVS pharmacy ($70). The service does not bill insurance directly but works with abortion funds for financial assistance. Same-day financial approval is usually available.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels6 records

Core offering

Pills by Post provides telehealth medication abortion services, offering online consultations with a board-certified physician followed by FDA-approved abortion pills (mifepristone and misoprostol). Patients choose between mail delivery in discreet, unmarked packaging ($135) or prescription pickup at a local CVS pharmacy ($70). The service includes secure communication, financial assistance through abortion funds, and operates in nine U.S. states plus Washington D.C.

Product overview

Pills by Post is a single telehealth medication abortion service offering FDA-approved abortion pills (mifepristone and misoprostol) through two delivery channels: direct mail delivery ($135) and local CVS pharmacy pickup ($70). The service includes online physician consultation via IntakeQ, discreet packaging, encrypted patient communication through Spruce, and financial assistance programs. The company operates in nine U.S. states and Washington D.C. (California, Colorado, Illinois, Michigan, Minnesota, New York, Virginia, Washington, and Washington D.C.).

Differentiator

Problem solved

Functional benefit

Products and services

• Mail Delivery Medication Abortion Service Online physician consultation plus FDA-approved mifepristone and misoprostol abortion pills shipped directly to the patient's preferred address in discreet, unmarked packaging within 1-2 business days. Service is available to pregnant individuals up to 13 weeks gestation in nine U.S. states plus Washington D.C. and is priced at $135 inclusive of consultation, medication, and shipping.
• CVS Pharmacy Prescription Pickup Online physician consultation with a prescription routed to the patient's local CVS pharmacy for in-person pickup of FDA-approved abortion pills. Available in all states served (CA, CO, DC, IL, MI, MN, NY, VA, WA) at a $70 service fee, with separate pharmacy fees potentially charged by CVS at pickup depending on insurance.
• Telehealth Physician Consultation Secure online health intake and consultation with a board-certified physician to determine eligibility for medication abortion, conducted through IntakeQ. Includes HIPAA-compliant record keeping and is the entry point to both the mail delivery and CVS pickup fulfillment options.
• Financial Assistance Program Subsidized or fully covered medication abortion service for patients who cannot afford the standard fee. Pills by Post works with a network of abortion funds that can cover part or all of the cost, with same-day financial approval typically available and a stated no-turnaway policy regardless of ability to pay.

Quantifiable outcome

• Over 98% effective through 12 weeks of pregnancy
• +2 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature3 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• CVS PharmacycoreChannel Partner/ Reseller/ DistributorCVS Pharmacy serves as a prescription pickup location option for patients. Pills by Post sends prescriptions to local CVS pharmacies in all served states (CA, CO, DC, IL, MI, MN, NY, VA, WA), allowing patients who prefer not to receive medication by mail to pick up their abortion pills in person.
• SprucecoreTechnology or IntegrationSpruce provides encrypted text messaging services for patient communication. Patients download the Spruce app to securely call or text Pills by Post with any questions during their care, ensuring HIPAA-compliant communication throughout the telehealth process.
• National Network of Abortion FundscoreGTM or Marketing PartnerPills by Post is a member of the National Network of Abortion Funds (NAF) and works with abortion funds to provide financial assistance to patients who cannot afford the service. Same-day financial approval is usually available through these partnerships.
• Abortions Funds NetworkcoreGTM or Marketing PartnerPills by Post works with a network of abortion funds that can cover part or all of the patient's fee. Financial assistance is available to anyone who needs it in all served states.
• Miscarriage and Abortion HotlineminorGTM or Marketing PartnerReferral resource partner listed on Pills by Post's support page, providing additional patient support options for emotional and informational assistance.
• ExhaleminorGTM or Marketing PartnerExhale Emotional Abortion Support is listed as a resource partner, providing free emotional support services for people who have had or are considering having an abortion.
• Plan CminorGTM or Marketing PartnerPlan C is listed as a resource partner providing information about abortion pills and alternative options for patients.
• Mya NetworkminorGTM or Marketing PartnerMya Network is listed as a resource partner, providing additional abortion care information and access options.
• If When HowminorGTM or Marketing PartnerIf When How Legal Resources is listed as a resource partner providing legal information related to abortion access.

Scale indicators5 records

Recent moves5 records

Expansion highlights6 records

Direct peers

• Aid Access: International telehealth abortion service by physicians that mails abortion pills, including to US patients in restricted states. Closely comparable in fulfillment and self-managed model.
• Hey Jane: Direct competitor offering telehealth medication abortion with mail delivery across multiple US states. Closely comparable in product offering, pricing structure, and DTC GTM motion.
• Carafem: Reproductive health provider offering telehealth and in-person medication abortion. Comparable in service offering with broader clinic footprint.
• Choix: Telehealth medication abortion provider serving California and other states. Direct competitor with similar online intake, physician consultation, and mail-order fulfillment model.
• Just the Pill: Telehealth and mobile clinic medication abortion provider. Direct competitor operating in multiple states with similar mission and DTC patient acquisition.
• Abortion on Demand: Telehealth medication abortion service providing physician consultation and mail-order pills. Direct competitor in online consultation + mail fulfillment category.

Others

• Honeybee Health: Online pharmacy that mails prescription medications including reproductive health products. Adjacent pharmacy/fulfillment player rather than a direct clinical competitor.
• Plan C: Reproductive health resource hub that Pills by Post lists as a partner. Adjacent enablement player providing patient referrals rather than direct clinical services.

Broad incumbents

• Planned Parenthood Direct: Largest US reproductive health provider offering telehealth medication abortion in many states. Broad incumbent with overlapping service and significantly greater scale and brand recognition.
• Women on Web: International nonprofit that pioneered the self-managed telehealth abortion model Pills by Post explicitly follows. Overlapping fulfillment model with global reach rather than US-only.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/pillsbypost
• Instagraminstagram.com/pillsbypost

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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 Pills by Post