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.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 7 hours, 14 minutes ago
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
Source: CMS QHP JSON  ·  Checked: 7 hours, 14 minutes ago
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
Source: CMS QHP JSON  ·  Checked: 7 hours, 13 minutes ago
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
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 7 hours, 13 minutes ago
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
Something not right?