Nurx launched in 2015 as a birth control delivery service and has expanded into STI testing, dermatology, migraine care, mental health prescriptions, sexual wellness, and PrEP access. Among DTC women’s health platforms, Nurx has the broadest birth control formulary and is one of the few that coordinates IUD prescriptions for in-office insertion. This nurx review covers 2026 pricing across categories, the prescriber model, insurance acceptance, and how Nurx compares to Hers, Wisp, and other women-focused telehealth platforms. The summary: Nurx is the strongest dedicated birth control platform in the market, with solid offerings in adjacent categories.
How Nurx works
Nurx’s core model is birth control prescription and delivery. Patients complete a medical intake covering contraindications including age, smoking status, blood pressure, history of blood clots, migraine with aura, and other relevant factors per CDC Medical Eligibility Criteria for Contraceptive Use. A clinician (typically a nurse practitioner) reviews the intake and prescribes from a broad formulary if appropriate.
Approved prescriptions ship from Nurx’s affiliated pharmacy, with continuous monthly auto-refill available. The platform accepts insurance for many prescriptions, billing through pharmacy benefits managers when applicable. Cash-pay pricing is available when insurance doesn’t cover a specific medication. For broader telehealth context, see our telehealth guide and our best telehealth for birth control roundup.
Nurx pricing in 2026
Birth control through Nurx ranges from $0 with insurance (most major commercial plans cover generics) to $15-30 per month cash-pay for generics. Branded combination pills cash-pay range $30-60. The consultation fee is $25 if insurance doesn’t cover it; many plans cover the entire visit.
STI testing kits range from $75-220 depending on panel breadth. Single-test kits for chlamydia and gonorrhea start at $75; comprehensive panels including HIV, hepatitis B and C, syphilis, and herpes are $220. The migraine treatment program is $35-65 per month for medication and consultation. Dermatology visits are $50-100 depending on consultation type. Mental health (anxiety, depression) starts at $150 for the initial visit.
Nurx for birth control
Birth control is Nurx’s strongest category and the platform’s clearest market position. The formulary covers 100+ pill brands across combination pills, progestin-only pills, generics and brand-names, plus the patch (Xulane), the contraceptive ring (Annovera, NuvaRing), and emergency contraception (Plan B, Ella, generics).
Nurx is one of the few telehealth platforms that coordinates IUD prescriptions for in-office insertion. The platform writes the prescription, the patient picks up the IUD at a pharmacy, and arranges insertion with an in-person provider. This works around the limitation that IUDs require physical insertion that telehealth can’t handle directly. Insurance billing through Nurx is well-established — most major commercial plans cover Nurx birth control without a copay under ACA contraception mandates. See our Hers vs Nurx head-to-head for the detailed comparison.
Nurx for STI testing
Nurx’s at-home STI testing kits are CLIA-certified lab-processed and cover the standard panels recommended by the CDC. The clinical workflow includes patient self-collection at home, mailing samples to the lab, and clinician review of results within 7-14 days. Positive results trigger treatment options including same-day prescribing for treatable infections.
For asymptomatic screening — particularly annual STI screening recommended for sexually active adults under 25 and for men who have sex with men — the at-home model removes the friction of an in-person visit and produces equivalent clinical accuracy. For patients with active symptoms suggesting pelvic inflammatory disease, epididymitis, or other complications, in-person care remains appropriate. See our best telehealth for STD testing roundup for comparison with other options.
Nurx for migraine, dermatology, and mental health
Nurx’s migraine program prescribes triptans (sumatriptan, rizatriptan, etc.) for acute treatment and CGRP-class preventives or beta-blockers for prevention. The clinical model handles uncomplicated episodic migraine well; complex migraine, status migrainosus, and patients with multiple medication failures are appropriately referred to in-person neurology. The migraine subscription is $35-65 monthly depending on medication choice.
Dermatology covers acne, eczema, rosacea, hair loss, and other common conditions through asynchronous photo review. Mental health prescribing includes SSRIs and SNRIs for depression and anxiety with limited Schedule III-IV access. ADHD stimulants and other Schedule II medications are not within Nurx’s scope under current DEA telemedicine rules. PrEP (HIV pre-exposure prophylaxis) is available with appropriate testing and follow-up.
What Nurx does well
The birth control selection is genuinely the broadest in the DTC space, with insurance integration that produces $0 cost for many patients. The IUD coordination service fills a real gap — most telehealth platforms can’t handle IUDs at all. STI testing at home is convenient and clinically appropriate for asymptomatic screening, with same-day treatment access when results are positive.
The platform’s age-and-medical-history screening is appropriately conservative. Patients with contraindications including age 35+ smokers, history of blood clots, migraine with aura, or uncontrolled hypertension are screened out of estrogen-containing pills with appropriate counseling. The clinical model matches what would happen at a comprehensive in-person women’s health visit for most birth control prescribing.
Where Nurx falls short
Nurx is narrow in scope outside its core women’s health and STI focus. It’s not a primary care platform — chronic disease management beyond migraine and basic mental health is outside the model. Patients seeking comprehensive primary care should look at PlushCare or a traditional in-network doctor.
The mental health offering is also limited. Nurx prescribes SSRIs and SNRIs but doesn’t include therapy, and the medication management depth doesn’t match dedicated platforms. For comprehensive mental health, Talkspace, Brightside Health, or Cerebral are stronger choices. Customer service complaints around delayed shipments and slow response times have been documented, particularly during peak demand periods.
Nurx vs Hers, Wisp, and traditional gynecology
Compared to Hers, Nurx has a substantially broader birth control formulary and offers IUD coordination, patches, and rings that Hers doesn’t. Hers has a more developed weight loss and mental health offering. For birth control specifically, Nurx is the better choice for most patients. See Nurx vs Hers for birth control.
Compared to Wisp, Nurx has broader birth control selection while Wisp focuses on UTI, yeast infection, and sexual wellness with same-day prescribing emphasis. See Wisp vs Nurx for the comparison. Compared to traditional in-person gynecology, Nurx handles routine birth control prescribing more efficiently while in-person care remains appropriate for annual exams, Pap smears, complex contraceptive counseling, and procedural care.
Frequently Asked Questions
Does Nurx take insurance?
Yes. Nurx accepts most major commercial insurance for birth control through pharmacy benefits managers. Many plans cover Nurx birth control at $0 under ACA contraception mandates. Some specialty services have variable insurance acceptance.
Can Nurx prescribe IUDs?
Yes, Nurx can write the prescription for an IUD that the patient picks up at a pharmacy and brings to an in-person insertion appointment. Nurx coordinates the prescription side; patients arrange the insertion separately with an in-person provider.
How long does Nurx take to ship birth control?
First-time orders typically arrive in 7-10 business days after clinician approval. Continuous monthly refills are timed to arrive before the patient runs out, with auto-refill enabled by default.
Does Nurx prescribe controlled substances?
Nurx does not prescribe Schedule II controlled substances. Limited Schedule III-IV prescribing is available for some conditions under current DEA rules.
Is Nurx safe?
The clinical infrastructure is sound, the medical screening is appropriately conservative, and the platform is HIPAA-covered. The clinicians are licensed nurse practitioners or physicians. Asynchronous prescribing for birth control is supported by clinical evidence and aligns with major medical society guidelines for routine contraceptive prescribing.
The bottom line on Nurx
Nurx is the strongest dedicated birth control telehealth platform in the US, with the broadest formulary, IUD coordination, and well-established insurance integration. The STI testing, migraine, and PrEP offerings are competent additions. The platform isn’t a primary care service and doesn’t try to be — patients with chronic disease or comprehensive care needs should look elsewhere. For routine birth control prescribing, ongoing contraception management, and adjacent women’s health needs, Nurx is the most refined option in the market.