etonogestrel/ethinyl estradiol

0.12 mg-0.015 mg/24 hr — Vaginal Ring

Also known as: HALOETTE ETONOGESTREL-ETHINYL ESTRADIOL ENILLORING ELURYNG

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 22 hours, 27 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 1 - Basic Core Formulary	—	—	—	None

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 22 hours, 27 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026 via etonogestrel-ethinyl estradiol	Tier 1 - $0 Copay Preventive	—	—	—	None