Emergency contraception (EC) is available in the Republic of North Macedonia (the former Yugoslav Republic of Macedonia): LNG EC pills are available in pharmacies, but EC is not included in national guidelines for family planning or covered by social security.

Sexual & reproductive health background information

Female population aged 15-49Mean age at first sexual intercourseMean age at birth of first childTotal fertility rate% use of modern contraceptive methods

Accessibility & prescription status

In the Republic of North Macedonia, LNG EC is available behind the counter from pharmacies, which means that EC is available without a prescription but is not on the shelves and needs to be requested in order to purchase. The Yuzpe method is also still used, but a prescription is required in order to buy oral contraceptive pills.

Gynecologists are the sole health care professionals who are authorized to prescribe or provide LNG EC and the Yuzpe method.


Type of ECApproximate CostBrand(s) Available
LNG€ 8,0NorLevo
Yuzpe method€ 5,0Diane 35

EC is not reimbursed or covered under social security. However, at least in the capital city of Skopje, EC is provided free of charge to young and vulnerable populations at the sexual and reproductive health centers of NGOs, such as the Association for Health Education and Research (HERA), the national IPPF affiliate.

Guidelines & common practices

There are no national clinical guidelines on EC. During routine visits, primary care providers are less likely than gynecologists to provide general information about EC and to prescribe EC in advance of need. Pregnancy tests and pelvic exams are not required before prescribing EC.

EC use

Ever use of ECEC use in the last 12 months% of all women age 15-49 who have heard of EC (North Macedonia)% of all women age 15-49 who have heard of EC (North Macedonia Roma Settlements)



1 United Nations Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2012 Revision. New York, 2013.

2 UNFPA and NGO HERA. Report of RH Commodity Market Segmentation Research. 2012.

3 United Nations Economic Commission for Europe Statistical Division Database. Mean Age of Women at Birth of First Child by Country and Year. Updated 23 November 2012. Retrieved 19 June 2013, from http://w3.unece.org/pxweb/dialog/varval.asp?ma=04_GEFHAge1stChild_r&path=../database/STAT/30-GE/02-Families_households/&lang=1&ti=Mean+age+of+women+at+birth+of+first+child.

4 Republic of Macedonia State Statistical Office. Population. Retrieved 6 July 2015, from http://www.stat.gov.mk/OblastOpsto_en.aspx?id=2.

5 Population Reference Bureau. Contraceptive Use Among Married Women Ages 15-49, by Method Type. 2014.

State Statistical Office and UNICEF. 2020. 2018-2019 North Macedonia Multiple Indicator Cluster Survey and 2018-2019 North Macedonia Roma Settlements Multiple Indicator Cluster Survey, Survey Findings Report. Skopje, North Macedonia: State Statistical Office and UNICEF. Retrieved 10 December 2021, from https://www.stat.gov.mk/Dokumenti/MICS_18-19.pdf

Last update: December 2021

Previous update:  June 2015