Access to multiple pill packs at one time results in higher rates of continuation. In a 2011 randomized trial, investigators compared 6-month contraceptive continuation rates among women who were dispensed three pill packs or seven pill packs. Participants who received seven pill packs had a higher 6-month rate continuation than participants who received three pill packs (51% compared with 35%, P <.001), and the effect was greater among participants younger than 18 years (49% compared with 12%, P <.001). Although not statistically significant, participants who received a prescription were less likely to continue OC use than those who received pill packs over-the-counter ( 26 ).
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