In the US, 11% of reproductive age women report illicit or non-prescription drug use in the past month, with opioids accounting for a large proportion of this use. Among women with opioid use disorder (OUD), 86% of pregnancies are unintended. It has also been shown that women with OUD are less likely to use highly effective methods of contraception. Supporting women in choosing contraceptive methods that meet their needs and preferences is essential to providing just, equitable, and patient-centered care, yet little is known about how providers may best support patients with OUD in the contraceptive decision-making process.