
At-home abortion care
Abortion pills in Maryland - Safe, private, and delivered to you
Wherever you are in Maryland, including Baltimore, Columbia, or Germantown, you can access abortion care from home. FDA-approved pills, shipped discreetly by licensed providers, with real support whenever you need it.
At-home abortion pills
Safe, secure, discreet at-home abortion care in Maryland
Get abortion pills by mail in Maryland through a simple, secure online process you can complete from home or wherever is best for you. Care is available across Maryland, with support from licensed clinicians every step of the way. Medication arrives in plain, unmarked packaging. Cara, our text-based companion, is available 24/7 and can connect you with a provider whenever you need one.
Abortion pills by mail cost $0 to $399
Can be used up to 12 weeks of pregnancy (from the first day of your last period)
Financial assistance available
Over 120,000 clients served
FDA-approved abortion medication
Discreet, unbranded packaging
Secure, private, HIPAA-compliant online care
Curious how abortion pills work? Watch this video to learn how to take the abortion pills and get answers to common questions. (Versión en español del video)

In-person is also available
Prefer in-person care? Visit our health center in Chevy Chase.
In addition to online care across Maryland, carafem offers in-person care at our Chevy Chase location. You'll find safe, judgment-free abortion care, birth control, STI testing, and more in a welcoming space.
Visit us at:
5530 Wisconsin Ave #1200, Chevy Chase, MD 20815
Our Chevy Chase health center is three blocks from the Friendship Heights metro station on the red line, and near Metrobus routes 1, 11, 31, 32, 36, 37, E2, E4, and N4.

Abortion care available across Maryland
Wherever you are in the state, you can access abortion care from the place that works best for you.
City | Online abortion pills via carafem | In-person clinic |
|---|---|---|
Baltimore, MD | ||
Columbia, MD | ||
Germantown, MD | ||
Silver Spring, MD | ||
Frederick, MD | ||
Rockville, MD | ||
Gaithersburg, MD | ||
Bowie, MD |
Don't see your city? Online care is available from anywhere in Maryland, you can still get care from home or a place that feels right to you.
Is abortion legal in Maryland?
Yes. Abortion is legal in Maryland and protected under state law.
In November 2024, Maryland voters approved a constitutional amendment enshrining the right to reproductive freedom. Maryland's Abortion Care Access Act, passed in 2022, also expanded the range of licensed professionals who can provide abortion care, including online providers. For up-to-date details, Reproductive Rights maintains a current summary of Maryland abortion law.
How late can you get an abortion in Maryland?
Abortion is legal in Maryland up to viability, around 24 weeks of pregnancy, and later if the pregnant person's health is at risk.
For online care through carafem:
• Abortion pills (medication abortion): up to 12 weeks from the first day of your last menstrual period
For in-person care in Maryland:
• An in-office procedure at a health center may be available later in pregnancy, up to viability
Not sure how far along you are? Our pregnancy calculator can help.
Is online abortion legal in Maryland?
Yes. Maryland law permits online consultations for medication abortion, so you can consult with a provider online and receive abortion pills by mail anywhere in the state.
Who can get an abortion in Maryland?
Anyone with a uterus, regardless of residency or immigration status.
Where can I confirm the current law?
Abortion laws can change, so it's worth checking a current source. Reproductive Rights maintains an up-to-date summary of Maryland abortion law. For the most current information, visit reproductiverights.org/maps/state/maryland.
How much does an abortion cost in Maryland?
Medication abortion care is available on a sliding scale at carafem, and financial assistance is available for those who qualify. During the secure online process, you’ll find out right away if you’re eligible for financial assistance and see your total cost before moving forward.
Type of care | Cost in Maryland |
In-person medication abortion (avg.) | $400–$600 |
In-person procedural abortion (avg.) | $600+ |
Abortion pills via carafem telehealth | $0–$399* |
*Care starts at $399 but can be much less based on your financial eligibility.
Will insurance cover my abortion in Maryland?
Cost shouldn't be a barrier to getting the care you need. Financial assistance is available, and some clients pay $0. You can apply online and get results instantly. carafem also partners with national and local abortion funds in Maryland to help reduce or eliminate costs. Our team can help you understand your eligibility and costs before moving forward.
What do I need to know about using abortion pills?
Here's what most people can expect.
The basics: Abortion pills are very safe and have been used by millions of people worldwide for more than 20 years. Serious complications are rare, occurring in less than 1% of cases. Research shows that abortion pills are safer than continuing a pregnancy through childbirth.
What it feels like: Most people experience cramping and bleeding after taking abortion pills. Cramping and bleeding often begin within a few hours of taking misoprostol, though timing can vary. Some people also experience nausea, chills, diarrhea, or fatigue. These side effects are normal and usually temporary.
How to prepare: Plan to be somewhere comfortable where you can rest. Many people find it helpful to have a heating pad, maxi pads, water, snacks, and a support person if they’d like one. carafem provides clear instructions for using the medications and a comfort kit with helpful supplies.
Support along the way: If you have an abortion with pills for a current pregnancy, you’ll have access to Cara, our text-based abortion companion. Cara provides instructions, reminders, answers to common questions, and check-ins throughout the process. If you need additional support, a licensed clinician is available.
Your fertility: Research shows the abortion pills do not affect your ability to get pregnant in the future. In fact, it’s possible to become pregnant again shortly after an abortion.
Medication abortions are safe and highly effective.
Serious complications are rare, occurring in less than 1% of people who use abortion pills. When used correctly, abortion pills work about 98% of the time.
It’s common to wonder what the experience will be like. We’ve put together a guide on what to expect before, during, and after taking abortion pills.
Abortion pills do not affect your ability to get pregnant in the future, and it’s possible to become pregnant again shortly after an abortion. Research has also found no link between abortion and breast cancer.
If you have questions or want to talk through your options, we’re here to help. You can give us a call or visit our Abortion FAQ page to learn more.

Why people in Maryland choose carafem
You have options. Here's what makes carafem's online care different.
Care reviewed and supported by licensed providers
Every carafem online form for abortion pills is reviewed by a licensed medical provider. Your care is personalized and held to the same clinical standards as an in-person visit.
Private care from start to finish
Your records are confidential and protected under HIPAA. We don’t share your information without your consent, and abortion pills are shipped in plain, unmarked packaging.
Insurance and financial support
We partner with abortion funds to reduce costs for those who qualify. Our team can help you understand your eligibility and costs before moving forward.
No protesters. No waiting rooms
Get abortion care from wherever feels safest and most comfortable to you: your home, a trusted friend's place, or somewhere else in Virginia.
24/7 support whenever you need it
If you have an abortion with pills for a current pregnancy, you’ll have access to Cara, our text-based abortion companion, for instructions, reminders, and real-time support. Cara can connect you with one of carafem’s licensed providers if you need additional support.
Comfort kit included for carafem clients
Every client who gets abortion pills online or in a carafem health center for a current pregnancy receives a free abortion comfort kit with thoughtful items to help make the experience a little more comfortable.

Pills for now
Order abortion pills online in Maryland
Get abortion pills in Maryland by mail through a simple, secure online process you can complete from home or wherever is best for you. Care is available in 21 states with support from licensed clinicians every step of the way. Medication arrives in plain, unmarked packaging. Cara, our text-based companion, is available 24/7 and can connect you with a provider whenever you need one.
Abortion pills by mail cost $0 to $399
Can be used up to 12 weeks of pregnancy (from the first day of your last period)
Financial assistance available
Over 120,000 clients served
FDA-approved abortion medication
Discreet, unbranded packaging
Secure, private, HIPAA-compliant online care

Pills for later
Buy abortion pills for later — just in case.
Abortion pills for future use means you can order abortion pills before you’re pregnant, just in case. Life can be unpredictable. Having abortion pills on hand gives you peace of mind and the power to act quickly if you ever need them. No waiting for doctor approvals. No shipping delays. No extra stress when timing matters most.
Effective up to 12 weeks of pregnancy
Discreet delivery in 1–4 business days
Available in 21 states
Unmarked packaging for privacy
Cost: $299-399
Learn more: Abortion pills for future use

Frequently asked questions
Looking for an abortion near me? Please see our locations page for an abortion provider near you, information about financial aid, and traveling out of state, or order abortion pills online.
On average, in-person medication abortion services in Maryland typically range from $400 to $600 out of pocket. The cost for at-home abortion care through carafem in Maryland ranges from $0 to $399, depending on your financial eligibility.
carafem also partners with abortion funds to offer financial assistance. If you're unsure what you'll qualify for, our care team can walk you through it, no pressure, just support.
Yes. To use Maryland Medicaid for abortion pills by mail, you'll schedule a Video Visit with a carafem provider. For in-person care at our Chevy Chase health center, private insurance can also be used. If you're paying out of pocket, our sliding scale and abortion fund partners can help lower the cost.
Yes, abortion is legal in Maryland. Abortion is protected under state law up to viability, around 24 weeks, and later if the pregnant person's health is at risk. In November 2024, Maryland voters approved a constitutional amendment enshrining reproductive freedom.
Yes, you can safely and legally order abortion pills online in Maryland. Maryland law permits online consultations for medication abortion, and carafem ships FDA-approved pills in 1-4 business days after a licensed provider reviews your eligibility.
The abortion pill is actually a combination of two medications: mifepristone and misoprostol, taken in sequence. In the U.S., this method is most commonly used during the first 12 weeks of pregnancy.
The first pill, mifepristone, blocks the hormone needed for a pregnancy to continue. Most people take this pill in our health center, though it can be taken at home. Some people notice bleeding afterward, but that’s not very common.
The second pill, misoprostol, is taken at home within 72 hours of the first. It causes cramping and bleeding as your body passes the pregnancy, similar to a miscarriage. Most people start to feel cramping and see bleeding within an hour of taking it, though it can sometimes take longer.
You may also experience nausea, chills, diarrhea, or flu-like symptoms; that’s all normal. It’s a lot like a very heavy, crampy period. We recommend having thick maxi pads, a heating pad, and some quiet time set aside. We also provide anti-nausea and pain medications in the provided comfort kit to help you stay as comfortable as possible.
For most, the heaviest cramping and bleeding last 3–4 hours, with lighter bleeding that may continue until your next period, usually 4–6 weeks later. Check out our Abortion FAQ blog for more questions answered.
The abortion pill is a safe and highly effective option for ending an early pregnancy. Research shows that when used correctly, medication abortion works about 98% of the time for pregnancies up to 10–12 weeks.
Most people pass the pregnancy within a few hours after taking the second medication (misoprostol), and symptoms like cramping and bleeding are usually strongest during this time. A small number of people (around 2–5%) may need a follow-up dose of medication or a simple in-office procedure to complete the abortion — and that’s normal and ok.
The abortion pill is very safe and has been used by millions of people worldwide for over 20 years. In the United States alone, it's been safely used by hundreds of thousands of people since it was approved by the FDA in 2000.
There’s no evidence that using the abortion pill affects your ability to get pregnant or carry a pregnancy in the future. When you're ready to have a baby, your fertility returns quickly — often within a few weeks.
Both are safe and effective options, and the best choice depends on what feels right for you.
The abortion pill (also called medication abortion) uses two FDA-approved medications to end a pregnancy and is typically available up to 12 weeks. You’ll take the first pill in a health center or at home, and the second at home within 0–72 hours. Cramping and bleeding usually begin a few hours after the second medication and feel similar to a heavy period. Many people like this option because it allows them to have their abortion in the privacy of their own space, on their own schedule.
A procedural abortion (sometimes called an in-office or aspiration abortion) takes place in a carafem health center with a supportive, licensed provider. The procedure itself takes about 5 minutes—similar to a Pap test. Your provider uses a quiet, handheld suction device to gently empty the uterus, like releasing your period all at once. The full visit typically lasts under 90 minutes, depending on your needs. One key difference: with a procedure, you’ll leave the office no longer pregnant. Check out our Abortion pill vs. procedural abortion blog to choose the best option for you.
Yes — medical abortion and the abortion pill refer to the same process: using two FDA-approved medications (mifepristone and misoprostol) to safely end an early pregnancy. It’s a non-invasive option that can often be done at home.
Your care is completely confidential. carafem's services are protected under HIPAA, which means your medical information can't be shared without your permission. Pills arrive in plain, unmarked packaging, and billing appears as a discreet medical charge, not a description of services. You are not required to tell anyone.
Yes. carafem offers online abortion care statewide. You fill out an online intake form, a licensed provider reviews your eligibility, and if approved, FDA-approved pills ship directly to your door in 1-4 business days. No in-person visit required.
No. You don't need to be a Maryland resident to receive care in Maryland. carafem's online care is available to anyone physically located in the state at the time of consultation.
You can use carafem's pregnancy calculator to get an estimate based on the first day of your last period. You can also ask your provider during your consultation, that's what they're there for.
Ready to get started?
carafem is here for you — in Baltimore, Columbia, Germantown and everywhere in between.