Ulipristal Acetate Shortage

• • HRA Pharma had Ella on shortage due to manufacturing delays.

• • Ella tablet, HRA Pharma, 30 mg, single-dose packet, NDC 73302-0456-01

Estimated Resupply Dates

• • HRA Pharma has Ella available.

Alternative Agents & Management

• • The American College of Obstetrics and Gynecology (ACOG) clinical guidance for emergency contraception is available at: https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2015/09/emergency-contraception
  • Princeton has a list of specific emergency contraceptive products that was last updated at the end of August 2020. This list is available at https://ec.princeton.edu/questions/dose.html#dose
  • The copper intrauterine device is the most effective form of contraception per ACOG but requires an office visit to a provider and may not be desired or practical for some patients.

  Table 1. Oral Emergency Contraceptives (information from ACOG and Princeton)

  Oral Emergency Contraceptive (EC)	Active Ingredient	FDA Approved for EC	Second Dose Needed
  Selective progesterone receptor modulator	Ulipristal acetate	Yes	No
  Progestin only	Levonorgestrel	Yes	No
  Combined progestin/estrogen	Levonorgestrel/ethinyl estradiol	No	Yes