Norgestimate-Ethinyl Estradiol 0.18-0.215- 0.25/0.025

Tablet

Also known as: Norgestimate-Ethinyl Estradiol 0.18-0.215- 0.25/0.025 Tablet

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 1 hour, 46 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 1 - Generic	—	—	—	None