Nuvaxovid 2025-2026
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
Nuvaxovid COVID-19 Vaccine Intramuscular Suspension Prefilled Syringe
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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.
AmeriHealth Caritas NC
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2024-2025 |
Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Gold Copay Focus + $0 Deductible + Free PCP + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2024-2025 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2024-2025 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2024-2025 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Premier + No Referrals
via Nuvaxovid 2024-2025 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2024-2025 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2024-2025 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2024-2025 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2024-2025 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2024-2025 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + 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 Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705 |
Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Brand-Preferred | — | — | — | None |
Oscar Health
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Silver Classic | with Atrium Health
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 |
|
Silver Simple Diabetes
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 |
|
Gold Classic Standard
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 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 |
|
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 |
|
Bronze Elite + PCP Saver Plus | 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 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 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 |
UnitedHealthcare
17 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Standard (HSA, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |