etonogestrel/ethinyl estradiol

0.12 mg-0.015 mg/24 hr — Vaginal Ring

CONTRACEPTIVE AGENTS

Also known as: HALOETTE ETONOGESTREL-ETHINYL ESTRADIOL ENILLORING ELURYNG
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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 18 hours, 45 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary — — — None
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