Emergency contraception is intended for use in exactly that situation, an emergency. It is most effective when used as soon as possible. Although known as "the morning after pill", the sooner it is taken the more effective it will be.
The need for a prescription only serves to slow down this process and increase the costs. Under the US healthcare system both a doctor's appointment and the prescription cost money. It also takes time to get an appointment, therefore increasing the time it takes to receive the drug. Thus reducing its effectiveness in the name of control.
It would still be exercising control over the dispensation, if it were allowed to be sold over the counter by a qualified pharmacist.
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