levonorgestrel/ethinyl estradiol/iron
0.1 mg-0.02 mg (21)/iron (7) — Tablet
Also known as:
LEVONORG-ETH ESTRAD-FE BISGLYC
JOYEAUX
MINZOYA
BALCOLTRA
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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.
Blue Cross Blue Shield Federal
8 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBS Federal Focus 2026
via joyeaux |
Tier 1 - Generic | — | — | — NCTM | None |
|
BCBS Federal Standard Option 2026
via minzoya |
Tier 1 - Generic | — | — | — NCTM | None |
|
BCBS Federal Basic Option 2026
via minzoya |
Tier 1 - Generic | — | — | — NCTM | None |
|
BCBS Federal Focus 2026
via minzoya |
Tier 1 - Generic | — | — | — NCTM | None |
|
BCBS Federal Standard Option 2026
via joyeaux |
Tier 1 - Generic | — | — | — NCTM | None |
|
BCBS Federal Basic Option 2026
via joyeaux |
Tier 1 - Generic | — | — | — NCTM | None |
|
BCBS Federal Basic Option 2026
via Balcoltra |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
BCBS Federal Standard Option 2026
via Balcoltra |
Tier 3 - Non-Preferred Brand | — | — | — | None |
NC State Health Plan
9 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - HDHP 2026
via minzoya |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via joyeaux |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via joyeaux |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via minzoya |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via minzoya |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via joyeaux |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Balcoltra |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Balcoltra |
Not Covered | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Balcoltra |
Not Covered | — | — | — | None |