medroxyprogesterone acetate im
Suspension
Also known as:
medroxyprogesterone acetate im susp prefilled syr 150 mg/ml
medroxyprogesterone acetate im susp 150 mg/ml
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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 of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Advantage 2026
via Depo-Provera Contrac |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Depo-Provera Contrac |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Local 2026
via Depo-Provera Contrac |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Care 2026
via Depo-Provera Contrac |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Value 2026
via Depo-Provera Contrac |
Tier A - ACA $0 Copay | — | — | — | None |