Beyaz

Generic: drospirenone/ethinyl estradiol/levomefolate calcium

Tablet

COMBINATION CONTRACEPTIVES - ORAL

Also known as: BEYAZ TAB

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026
via tydemy
Tier 1 - Generic NCTM None
BCBS Federal Focus 2026
via tydemy
Tier 1 - Generic NCTM None
BCBS Federal Standard Option 2026
via tydemy
Tier 1 - Generic NCTM None
BCBS Federal Standard Option 2026
via Safyral
Tier 3 - Non-Preferred Brand None
BCBS Federal Basic Option 2026
via Safyral
Tier 3 - Non-Preferred Brand None
BCBS Federal Basic Option 2026 Tier 3 - Non-Preferred Brand None
BCBS Federal Standard Option 2026 Tier 3 - Non-Preferred Brand None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026 Tier A - ACA $0 Copay None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier A - ACA $0 Copay None
BCBSNC Blue Care 2026 Tier A - ACA $0 Copay None
BCBSNC Blue Value 2026 Tier A - ACA $0 Copay None
BCBSNC Blue Advantage 2026 Tier A - ACA $0 Copay None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 27 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026
via tydemy
Tier 0 - $0 Copay (ACA Preventive) None
NC State Health Plan - 80/20 Plus PPO 2026
via tydemy
Tier 0 - $0 Copay (ACA Preventive) None
NC State Health Plan - 70/30 Standard PPO 2026
via tydemy
Tier 0 - $0 Copay (ACA Preventive) None
NC State Health Plan - 70/30 Standard PPO 2026
via Safyral
Tier 3 - Non-Preferred Brand None
NC State Health Plan - HDHP 2026
via Safyral
Tier 3 - Non-Preferred Brand None
NC State Health Plan - 80/20 Plus PPO 2026
via Safyral
Tier 3 - Non-Preferred Brand None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - HDHP 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 20 hours, 27 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via drospirenone/ethinyl estradiol/levomefolate calcium
Tier 3 - Non-Formulary None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 20 hours, 27 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via tydemy
Tier 1 - $0 Copay Preventive None
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