Ella Shortage Update: What Patients Need to Know in 2026

Updated:

February 15, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Is Ella still hard to find in 2026? Get the latest on Ella emergency contraception availability, pricing, and what patients can do to find it in stock.

Is Ella Still Hard to Find in 2026?

If you've tried to fill a prescription for Ella recently and couldn't find it, you're experiencing a problem that has persisted since the drug first hit pharmacy shelves in 2010. While Ella is not listed on the FDA's official drug shortage list, the reality on the ground tells a different story — many patients struggle to find this medication when they need it most.

In this article, we'll break down the current state of Ella availability in 2026, why it remains difficult to find, what it costs, and what you can do right now.

Is There an Official Ella Shortage?

As of early 2026, Ella (Ulipristal Acetate) is not listed on the FDA's official drug shortage database. The manufacturer, Perrigo Company (which acquired Laboratoire HRA Pharma in 2022), continues to produce the medication.

However, the absence from the FDA shortage list doesn't mean Ella is easy to find. The real issue isn't a manufacturing shortage — it's a stocking and distribution problem. Many pharmacies simply don't keep Ella on their shelves, which creates a practical shortage for patients who need it.

Why Is Ella Hard to Find?

Several factors contribute to the persistent difficulty in finding Ella:

Prescription-Only Status

Unlike Plan B and its generics, Ella requires a prescription. This limits the number of pharmacies that stock it, since there's less walk-in demand for prescription-only emergency contraception.

Unpredictable Demand

Ella is a single-dose medication that patients need urgently but infrequently. Pharmacies prefer to stock medications with consistent, predictable demand. A pharmacy might go weeks or months without a single Ella prescription, making it hard to justify keeping it in inventory.

Post-Dobbs Demand Surges

After the Supreme Court's Dobbs decision in June 2022, demand for emergency contraception surged dramatically. Many patients sought to stock up on Ella, and pharmacies that did carry it saw their supplies depleted quickly. While the initial surge has settled, the landscape of reproductive healthcare access continues to evolve, and demand for Ella remains elevated compared to pre-2022 levels.

Limited Distribution Channels

Some pharmacists have reported difficulty ordering Ella through their regular wholesalers. Not all drug distributors consistently carry the product, which creates supply chain gaps even when the manufacturer is producing adequate quantities.

For a deeper dive into these issues, read our full article on why Ella is so hard to find.

How Much Does Ella Cost in 2026?

The cost of Ella varies depending on where and how you get it:

  • Retail price (no insurance): approximately $40-$90 per tablet
  • With GoodRx coupon: as low as $39-$43
  • Through telehealth (Nurx, Wisp): around $45 without insurance
  • With insurance: potentially $0 under the ACA contraceptive coverage mandate

The Affordable Care Act requires most insurance plans to cover FDA-approved contraceptives, including Ella, with no out-of-pocket cost when prescribed by a healthcare provider. Check with your insurer to confirm coverage.

For more savings strategies, read our guide on how to save money on Ella.

Are There New Options in 2026?

The emergency contraception landscape continues to evolve:

  • No generic Ella yet: As of 2026, there is no generic version of Ulipristal Acetate available in the United States. Ella remains a brand-name-only medication.
  • Telehealth expansion: More telehealth platforms than ever offer Ella prescriptions with fast shipping. Services like Nurx, Wisp, GoodRx Care, and Planned Parenthood Direct have made it easier to get Ella without visiting a doctor's office.
  • Advance prescriptions: The concept of getting an Ella prescription before you need it has gained traction. Many providers now routinely offer advance prescriptions for emergency contraception.

How to Find Ella in Stock Right Now

Here are the most effective strategies for finding Ella in 2026:

1. Use Medfinder

Medfinder lets you check pharmacy availability for Ella in your area. Instead of calling around, search online and find a pharmacy that has it in stock.

2. Try Telehealth

If no local pharmacy has Ella, telehealth platforms can prescribe it and ship it directly to you. Nurx offers Ella for $45 with free ground shipping or $15 overnight delivery.

3. Check Independent Pharmacies

Independent pharmacies are often more flexible about ordering specialty medications. Call a few in your area and ask if they can order Ella for you.

4. Contact Planned Parenthood

Planned Parenthood clinics often stock Ella or can provide it quickly. They may also offer it on a sliding-fee scale based on income.

For detailed tips, check out our guide on how to find Ella in stock near you.

Final Thoughts

While Ella isn't technically in shortage, the practical reality for patients in 2026 is that finding it remains a challenge. The combination of prescription requirements, inconsistent pharmacy stocking, and lack of a generic option means you need to be proactive.

Your best bet is to plan ahead — get an advance prescription, know your pharmacy options, and bookmark Medfinder for quick availability checks. If you're considering alternatives, read our comparison of alternatives to Ella.

And remember: emergency contraception works best when taken as soon as possible. Don't let the search for Ella prevent you from using what's available — Plan B is at almost every pharmacy and doesn't require a prescription.

Is Ella on the FDA shortage list in 2026?

No, Ella is not currently listed on the FDA's official drug shortage database. However, many patients have difficulty finding it because pharmacies often don't stock it. The issue is a distribution and stocking problem rather than a manufacturing shortage.

Is there a generic version of Ella available?

No. As of 2026, there is no generic version of Ella (Ulipristal Acetate) available in the United States. It remains a brand-name-only medication, which contributes to its higher price compared to OTC emergency contraceptives like Plan B.

How much does Ella cost without insurance in 2026?

The retail price of Ella without insurance is approximately $40-$90 per tablet. With a GoodRx coupon, you can find it for as low as $39-$43. Telehealth platforms like Nurx offer Ella for about $45 without insurance. With insurance, Ella may be covered at $0 under the ACA.

Will Ella be available over the counter in the future?

As of 2026, there is no indication that Ella will become available over the counter in the near future. It remains a prescription-only medication. However, telehealth services have made getting a prescription faster and more convenient than ever.

Why waste time calling, coordinating, and hunting?

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