In the year since Plan B was approved for over-the-counter sales, it has become a huge commercial success for its manufacturer. But its popularity and solid safety record haven't deterred critics from seeking to overturn the milestone ruling that made the drug available in pharmacies to customers over 18.

NEW YORK - In the year since it was approved for over-the-counter sales, the morning-after pill has become a huge commercial success for its manufacturer, but its popularity and solid safety record haven’t deterred critics from seeking to overturn the milestone ruling.

The pill, marketed by Barr Pharmaceuticals Inc. as Plan B, was the focus of bitter debate for three years. After repeated delays, the Food and Drug Administration declared on Aug. 24, 2006 that customers 18 and older should be able to buy it in pharmacies without a prescription.

Barr began distributing the over-the-counter version last November, and all national pharmacy chains now stock it. The company projects that sales of Plan B will total about $80 million for 2007, almost double the total for 2006 and up eightfold from 2004, when Barr acquired the product as a prescription-only drug.

“Overall, we’ve been very pleased with the acceptance,” said Barr spokeswoman Carol Cox. “The product may not be for everyone — but if you find yourself in a position to need it, absolutely it should be available.”

Despite the booming sales, and evidence that the pill is safe if properly used, critics remain active.

Applying political pressure
A coalition of conservative groups, including the Family Research Council and Concerned Women for America, has filed a lawsuit in federal court in Washington seeking to reverse the FDA ruling. The groups contend that the FDA acted unwisely under political pressure and lacked authority to approve the same drug for both over-the-counter and prescription-only distribution based on the user’s age.

Barr says Plan B, a high dose of a drug found in many regular birth-control pills, can lower the risk of pregnancy by up to 89 percent if taken within 72 hours of unprotected sex.

Since the FDA ruling, there have been extensive efforts by advocacy groups and some politicians to ensure widespread availability of Plan B.

• Several states have enacted laws to improve rape survivors’ access to the medication in hospital emergency rooms; a similar bill has been introduced in Congress.
• Also in Congress, supporters of Plan B have introduced legislation to ensure that women serving in the U.S. military overseas have access to the pills at their bases. The measure’s backers say servicewomen and military doctors often can’t obtain the medication when it’s needed.
• Planned Parenthood, NARAL Pro-Choice America and their allies have campaigned to educate women about Plan B and pressure national pharmacy chains to make it readily available. Overall, activists are pleased with the chains’ response, but they say women continue to encounter pharmacies which refuse to stock Plan B and individual employees who, for reasons of conscience, refuse to sell it.