SARS-CoV-2 (COVID-19) vaccine, protein NVX-CoV2705
0.005 MG — Prefilled Syringe
Also known as:
Novavax 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
via Nuvaxovid 2025-2026 |
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
via Nuvaxovid 2025-2026 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2025-2026 |
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 2025-2026 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2025-2026 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2025-2026 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2025-2026 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2025-2026 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Premier + No Referrals
via Nuvaxovid 2025-2026 |
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 | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | 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 Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Nuvaxovid 2025-2026 |
Brand-Preferred | — | — | — | None |
Oscar Health
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Silver Classic | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Classic | Tier 0 - $0 Preventive | — | — | — | None |
| Secure | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Classic 4700 | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple PCP Saver | Tier 0 - $0 Preventive | — | — | — | None |
| Gold Elite Saver Plus | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple Diabetes | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Classic Standard | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Classic Standard | Tier 0 - $0 Preventive | — | — | — | None |
| Gold Classic Standard | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Classic Standard | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Classic Standard | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Gold Classic Standard | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Simple Chronic Care CKM | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Secure | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Classic 4700 | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Elite + PCP Saver Plus | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Elite + PCP Saver Plus | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple Diabetes | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple PCP Saver | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Gold Elite Saver Plus | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Simple Diabetes | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple Chronic Care CKM | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple Women's Health with Menopause Benefits | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| AIAN Cost Share | Tier 0 - $0 Preventive | — | — | — | None |
| AIAN Cost Share | with Atrium Health | 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)
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 Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)
via Nuvaxovid 2025-2026 |
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)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, 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 Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Standard (HSA, $0 Insulin, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via Nuvaxovid 2025-2026 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |