levonorgest/eth.estradiol/iron

0.1-0.02MG — Tablet

CONTRACEPTIVE AGENTS

Also known as: MINZOYA BALCOLTRA JOYEAUX LEVONORG-ETH ESTRAD-FE BISGLYC
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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: Oct 29, 2026  ·  Checked: 8 hours, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via Levonorg-eth Estrad-fe Bisglyc 		Tier 3 - Non-Formulary — — — None
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