Emergency Contraception

Our Emergency Contraception Service is discreet, confidential and comprehensive.

We understand that requesting emergency contraception in store can be daunting for many women. Our click and collect service will provide you with greater comfort, privacy and convenience.

By completing the online consultation form in advance your pharmacist can have your completed form ready and when you arrive at the pharmacy.

You will need to collect in person and a brief consultation with the pharmacist is still necessary.

Norlevo is effective up to 72 hours after unprotected intercourse and costs €25. It is most effective within the first 24 hours.

EllaOne is effective up to 120 hours after unprotected intercourse and costs €35.

Emergency Hormonal Contraception and is free for Medical Card holders and no co-payment is necessary.

If the pharmacist determines that Emergency Hormonal Contraception is not suitable for you then we will direct you to another source of help and support.

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Date of Birth (dd/mm/yyyy)
DD slash MM slash YYYY

(This service is available to women aged 17 years and over. If you are under 17 please contact one of our pharmacies for further advice.)
Hidden
When did the Unprotected Sexual Intercourse (UPSI) occur?
When did the Unprotected Sexual Intercourse (UPSI) occur?*
Have you used any type of emergency contraception since your last period?
Last day of period*
DD slash MM slash YYYY
Do you have a medical card?*
Medical card number*
Any Allergies:
Any other medication:
(Including oral contraceptive pill)
(Including oral contraceptive pill:
Which store would you like to pick this up at?
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