Lifesaving methotrexate prescriptions for chronic illnesswill almost certainly become more difficult to fill.Earl Neikirk/Washington Post/Getty

After Roe v. Wade was overturned, the Biden administration enforced a rule in 2022 mandating that retail pharmacies receiving any federal funding had to carry and dispense mifepristone, misoprostol, and methotrexate—drugs used in medication abortions and, in the case of methotrexate, the treatment of ectopic pregnancies and autoimmune disorders such as rheumatoid arthritis and lupus—in order not to discriminate on the basis of sex and disability.

The Trump administration formally withdrew that rule on Tuesday, allowing pharmacists to refuse to stock or dispense misoprostol and methotrexate, despite their other uses.

Even under the Biden-era rule, pharmacists could still refuse to dispense the drug if they suspected or knew a pregnant........

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