Lo Loestrin Fe

Generic: norethin-eth estradiol-fe

CONTRACEPTIVES

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 23 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Care 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Value 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Advantage 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Local 2026 Tier 3 - High Cost Brand None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 23 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via norethin-eth estradiol-fe
Tier 1 - $0 Copay Preventive None
UnitedHealthcare NC Individual & Family 2026 Tier 1 - $0 Copay Preventive None
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