Boxes of mifepristone
Boxes of mifepristone, the first pill given in a medical abortion, being prepared for patients at Women’s Reproductive Clinic of New Mexico in Santa Teresa. REUTERS/Evelyn Hockstein/File Photo

CVS and Walgreens, the two largest U.S. pharmacy chains, will start selling the abortion pill mifepristone at stores in several states, including California, this month.

The companies said last year they planned to offer the pill following the Food and Drug Administration’s decision to allow retail pharmacies to sell mifepristone in the country for the first time.

Walgreens said on Friday it expected to begin dispensing the pills within a week, in select locations in California, New York, Pennsylvania, Massachusetts and Illinois.

CVS will begin filling prescriptions for the medication in Massachusetts and Rhode Island in the weeks ahead and expand to additional states, where allowed by law, on a rolling basis.

Mifepristone, approved by the FDA in 2000, is one of two drugs used in medication abortion, which accounts for more than half of U.S. abortions.

The announcements by the pharmacies comes as a legal challenge to mifepristone, brought in Texas by anti-abortion groups and doctors, was due to be heard by the U.S. Supreme Court. The court ended its recognition of a constitutional right to abortion in 2022 when it overturned the 1973 Roe v. Wade decision.

The recently formed Alliance for Hippocratic Medicine and other groups sued the FDA in 2022, saying it had not adequately considered the risks of the drug when it first approved it, or when it later eased restrictions on its distribution.

The Supreme Court’s ruling in the case is expected by the end of June, in the middle of the presidential race.

President Joe Biden’s administration appealed an August decision by the New Orleans-based 5th U.S. Circuit Court of Appeals that would bar telemedicine prescriptions of the drug and shipments by mail.

If the Supreme Court were to uphold the lower court’s decision rolling back FDA rules on how the drug is distributed, CVS and Walgreens would have to reverse their policy, according to Katie Kraschel, a Northeastern University law professor specializing in health policy.

“They would have to stop dispensing it and revert back to FDA’s previous regulations that only allowed patients to receive mifepristone from the clinic where it was prescribed,” Kraschel said in an email.

Biden, who has made access to abortion a key election campaign issue, called the pharmacies’ move a milestone, and encouraged others to seek certification to dispense the drugs.

In a statement, Biden said the stakes could not be higher for women across America, and cited “relentless attacks on reproductive freedom by Republican elected officials.”

The Biden campaign has put abortion rights front and center in the Nov. 5 election in which he will likely face Donald Trump, and argues abortion access is a personal freedom that the former president and his fellow Republicans are denying women.

Republicans have issued restrictive abortion laws in nearly two dozen states since the Supreme Court reversal of abortion rights, arguing that abortion ends the life of a human being and that stricter limits are needed at the state and national level.

It is a galvanizing issue that both sides hope will boost enthusiasm among their base and increase turnout in November’s election.

(Reporting by Doina Chiacu and Rami Ayyub in Washington and Sriparna Roy in Bengaluru; editing by Paul Grant, Shinjini Ganguli, Deepa Babington and Chizu Nomiyama)