Nuvaxovid 2024-2025
Generic: SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705
0.005 MG — Prefilled Syringe
Also known as:
SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705
Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Ambetter (Centene)
58 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Standard Gold + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Clear Silver with $0 Insulin Options
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Gold with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Gold
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze with Atrium Health
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze with Atrium Health
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Focused Silver with Atrium Health
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold with Atrium Health
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver with Atrium Health
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Gold with Atrium Health
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Gold + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Gold
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Focused Silver with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Clear Silver with $0 Insulin Options
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver + Vision + Adult Dental
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | — | None |
AmeriHealth Caritas NC
27 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Gold Premier + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Silver Essential + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Bronze Premier + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Gold Signature + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Silver Signature + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Bronze Signature + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Bronze Essential + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Essential + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Premier + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Premier + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Premier + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Gold Premier + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Essential + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Gold Signature + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Signature + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Signature + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Premier + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Essential + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Signature + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Signature + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Gold Signature + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
Oscar Health
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Silver Simple Diabetes
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Bronze Classic Standard | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Silver Classic Standard | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Gold Classic Standard | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Bronze Elite + PCP Saver Plus
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Silver Classic
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Secure
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Bronze Classic 4700
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Silver Simple PCP Saver
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Gold Elite Saver Plus
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Gold Classic Standard
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Secure | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Bronze Classic 4700 | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Silver Simple Diabetes | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Silver Simple PCP Saver | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Gold Elite Saver Plus | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Bronze Simple Chronic Care CKM | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Bronze Simple Diabetes | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Silver Simple Chronic Care CKM | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
AIAN Cost Share
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
AIAN Cost Share | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Bronze Classic Standard
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Silver Classic Standard
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Bronze Elite + PCP Saver Plus | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Silver Classic | with Atrium Health
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Tier 0 - $0 Preventive | — | — | — | None |
UnitedHealthcare
13 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Standard (No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Standard (No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Standard (No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Standard+ Dental + Vision (No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |