Independent pharmacies in California are eligible to receive $2,000 to support the implementation of medication abortion services!
See application guide and mini-grant requirements here.
Please follow the application as directed and thank you for your commitment to expanding safe and effective medication abortion and comprehensive reproductive health services in California and beyond.
This transformative grant is made possible through the California Department of Health Care Access and Information.
**Applications will be reviewed and processed on a rolling basis.**
Point of Contact Information

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* 1. First Name

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* 2. Last Name

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* 3. Position or Title

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* 5. Direct Contact Number (not general pharmacy phone number)

Practice Site Information

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* 6. Pharmacy Name

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* 7. Pharmacy License Number

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* 8. Pharmacy Address

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* 9. Pharmacy Phone Number

Regulatory Compliance
*The following questions will used to determine eligibilty in the disbursement of grant allocation.

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* 10. Is the Pharmacy for which you are applying in Good Standing with the California Board of Pharmacy, Medi-Cal, and the Department of Healthcare Services (DHCS)? *

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* 11. Does your pharmacy accept Medi-Cal Patients? *

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* 12. Is your pharmacy currently Mifepristone REMS certified? *

Grant Implementation Questionnaire

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* 13. Did you (or a representative from your pharmacy) already complete the required Medication Abortion CE Training provided by Birth Control Pharmacist to elgible for the Pharmacy Mini-Grant? *

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* 14. How do you plan to utilize this $2000 grant to support the implementation of medication abortion services at your pharmacy? *

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* 15. I hereby attest that upon submission of this grant application, I commit to fulfilling all outlined requirements within three months of approval of grant funding and to provide medication abortion services to my community. I understand and agree to provide any additional information or documentation requested as necessary for the proper evaluation and administration of this grant. *

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