Etonogestrel-Ethinyl Estradiol Vaginal

Generic: etonogestrel-ethinyl estradiol va

0.015 MG/24HR — Vaginal Ring

COMBINATION CONTRACEPTIVES - VAGINAL

Also known as: etonogestrel-ethinyl estradiol va ring 0.12-0.015 mg/24hr Etonogestrel-Ethinyl Estradiol Vaginal Ring etonogestrel-ethinyl estradiol va ring 0.12-0.015

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Checked: 16 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 2 - Generic None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 16 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 1 - Generic NCTM None
BCBS Federal Basic Option 2026 Tier 1 - Generic NCTM None
BCBS Federal Focus 2026 Tier 1 - Generic NCTM None
BCBS Federal Basic Option 2026
via Nuvaring
Tier 3 - Non-Preferred Brand None
BCBS Federal Standard Option 2026
via Nuvaring
Tier 3 - Non-Preferred Brand None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 16 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Value 2026
via Nuvaring
Tier A - ACA $0 Copay None
BCBSNC Blue Care 2026
via Nuvaring
Tier A - ACA $0 Copay None
BCBSNC Blue Local 2026
via Nuvaring
Tier A - ACA $0 Copay None
BCBSNC Blue Home with UNC Health Alliance 2026
via Nuvaring
Tier A - ACA $0 Copay None
BCBSNC Blue Advantage 2026
via Nuvaring
Tier A - ACA $0 Copay None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 16 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026 Tier 0 - $0 Copay (ACA Preventive) None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 0 - $0 Copay (ACA Preventive) None
NC State Health Plan - 80/20 Plus PPO 2026 Tier 0 - $0 Copay (ACA Preventive) None
NC State Health Plan - HDHP 2026
via Nuvaring
Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026
via Nuvaring
Not Covered None
NC State Health Plan - 80/20 Plus PPO 2026
via Nuvaring
Not Covered None
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