On March 4, 2024, the first daily over-the-counter oral contraceptive pill became available in the United States. This progestin-only pill (POP) is approved without a prescription for adolescents and adults to prevent pregnancy. The FDA did not approve this POP for menstrual suppression or other noncontraceptive indications. For both adults and adolescents, over-the-counter access to oral contraceptives has the potential to reduce barriers and increase contraceptive access. The American College of Obstetricians and Gynecologists affirms the safety of the progestin-only oral contraceptive pill and the appropriateness of its over-the-counter availability. Over-the-counter methods should be both accessible and affordable.