What Women Can Do if RA Medication Methotrexate Is Denied

“Are you pregnant or planning to become pregnant?” asked the pharmacist.

Writer Annie Noblin, 40, of West Plains, Missouri, had come in to pick up her prescription for methotrexate for her rheumatoid arthritis (RA). Before that there had never been a problem. But since Roe v. calf on June 24, 2022, things had changed. Missouri is in a trigger state where tough anti-abortion laws have been “triggered”.

What does an RA drug have to do with abortion?

Sometimes methotrexate is used off-label to terminate ectopic pregnancies, and use during pregnancy can cause miscarriage or birth defects. Women with RA in states with restrictive abortion laws are now being targeted.

Invasive health issues, refill delays

Noblin had received a text message earlier in the day that her prescription was being held. After hours of not hearing anything, she finally went to the pharmacy, where she was told that her rheumatologist needed to confirm that this was not being used for an abortion. And she had to reveal if she was pregnant or planning a pregnancy.

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