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Some states allow midwives to dispense IUDs. Implants are even easier to use than an IUD and can dispensed by a trained pharmacist. The only reason the government requires a prescription is that politicians are afraid of the negative impact of making the Pill OTC.
We have NPs doing insertions and removals. You're right about that. I never heard of a pharmacist inserting the norplant.
I don't know enough about body chemistry but we do feature 11 different brands of Oral Contraceptives all with different amounts of hormones (Ortho Cept, Gildess, Micronor, Levlen etc...). It would stand to reason if they were all interchangeable, there would be only one of them being purchased; i.e. we purchase one type of 200mg ibuprofen, one type of 400mg ibuprofen....
The reason there are so many different brands is because the government makes people get a prescription for them. If they were all OTC and had to compete on price and effectiveness you would be buying them the same way you do Ibuprofen, you would simply choose between the does and whether you wanted to pay extra for the brand name Advil.
No; there's different chemicals and different amounts;
Levora (Levlen): ethinyl estradiol and levonorgestrel
Ortho Cept: desogestrel 0.15 mg / ethinyl estradiol 0.03 mg
Micronor: norethindrone
just off the top of my head. I would imagine the prescription is needed because each hormone reacts differently depending on body chemistry. Mick is for breastfeeding women so I assume it has a quality that makes it inert for nursing children.