VCF Contraceptive
Generic: nonoxynol-9
280 MG
Also known as:
nonoxynol-9
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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.
Ambetter (Centene)
29 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Elite Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Elite Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Focused Silver with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Complete Gold with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Expanded Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Silver + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Gold + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Silver with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Gold with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Complete Gold | Tier 0 - $0 Preventive | — | — | — | None |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options | Tier 0 - $0 Preventive | — | — | — | None |
| Everyday Bronze | Tier 0 - $0 Preventive | — | — | — | None |
| Elite Bronze | Tier 0 - $0 Preventive | — | — | — | None |
| Clear Silver with $0 Insulin Options | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Expanded Bronze | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Silver | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Gold | Tier 0 - $0 Preventive | — | — | — | None |
| Everyday Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Elite Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Focused Silver with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Complete Gold with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Expanded Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Silver with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Gold with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Complete Gold + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Everyday Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
Blue Cross Blue Shield of NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Value 2026
via Vcf Vaginal Contraceptive |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Options Gynol Ii Vaginal |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Options Gynol Ii Vaginal |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Local 2026
via Options Gynol Ii Vaginal |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Care 2026
via Options Gynol Ii Vaginal |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Value 2026
via Options Gynol Ii Vaginal |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Vcf Vaginal Contraceptive |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Vcf Vaginal Contraceptive |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Local 2026
via Vcf Vaginal Contraceptive |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Care 2026
via Vcf Vaginal Contraceptive |
Tier A - ACA $0 Copay | — | — | — | None |
NC State Health Plan
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - HDHP 2026
via Options Gynol Ii Vaginal |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Options Gynol Ii Vaginal |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Options Gynol Ii Vaginal |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Vcf Vaginal Contraceptive |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Vcf Vaginal Contraceptive |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Vcf Vaginal Contraceptive |
Tier 0 - $0 Copay (ACA Preventive) | — | — | — | None |