At the moment, you can’t get Junel Fe over the counter. In the USA, Junel Fe is a prescription only medicine.[popover id=ref3] This means that anyone who wants to use it will need to have a consultation with a doctor (or other qualified prescribing healthcare professional) first, to make sure it’s safe for them.
The majority of birth control pills that use hormones to prevent pregnancy require a prescription, so Junel Fe isn’t unique in this way. Bioequivalent variations such as Loestrin and Blisovi are prescription only too. Some medicines and health conditions affect the type of birth control you can safely use, so it’s normal to have a medical screening beforehand to see which method suits you best.