VCF Contraceptive

Generic: nonoxynol-9

0.04 MG

Also known as: nonoxynol-9 Nonoxynol-9
GoodRx Compare Prices

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: 20 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental 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
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
Standard Gold + Vision + Adult Dental Tier 0 - $0 Preventive — — — None
Everyday Bronze + 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
Standard Silver + Vision + Adult Dental Tier 0 - $0 Preventive — — — None
Standard Expanded Bronze + Vision + Adult Dental Tier 0 - $0 Preventive — — — None
Complete Gold with Atrium Health + Vision + Adult Dental Tier 0 - $0 Preventive — — — None
Focused Silver with Atrium Health + Vision + Adult Dental Tier 0 - $0 Preventive — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 0 - $0 Preventive — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 0 - $0 Preventive — — — None
Elite Bronze + Vision + Adult Dental 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
Source: CMS QHP JSON  ·  Checked: 20 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Gold Signature + No Referrals
via Today Sponge 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via Today Sponge 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas Next Bronze Premier + No Referrals
via Today Sponge 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals
via Today Sponge 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas Next Gold Premier + No Referrals
via Today Sponge 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas Next Silver Essential + No Referrals
via Today Sponge 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas Next Gold Premier + No Referrals
via Gynol II 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas Next Silver Essential + No Referrals
via Gynol II 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 3 - Preferred Brand — — ✓ QL
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 3 - Preferred Brand — — ✓ QL
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 3 - Preferred Brand — — ✓ QL
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 3 - Preferred Brand — — ✓ QL
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 3 - Preferred Brand — — ✓ QL
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 3 - Preferred Brand — — ✓ QL
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 3 - Preferred Brand — — ✓ QL
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 3 - Preferred Brand — — ✓ QL
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 3 - Preferred Brand — — ✓ QL
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 3 - Preferred Brand — — ✓ QL
AmeriHealth Caritas Next Bronze Essential + No Referrals
via Today Sponge 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas Next Bronze Signature + No Referrals
via Today Sponge 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas Next Silver Signature + No Referrals
via Today Sponge 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas Next Gold Premier + No Referrals
via Encare 		Brand-Preferred — — ✓ QL
AmeriHealth Caritas Next Bronze Essential + No Referrals
via nonoxynol-9 		Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Signature + No Referrals
via nonoxynol-9 		Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Signature + No Referrals
via nonoxynol-9 		Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via nonoxynol-9 		Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Signature + No Referrals
via nonoxynol-9 		Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Premier + No Referrals
via nonoxynol-9 		Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals
via nonoxynol-9 		Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Essential + No Referrals
via Gynol II 		Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Signature + No Referrals
via Gynol II 		Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Signature + No Referrals
via Gynol II 		Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Signature + No Referrals
via Gynol II 		Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via Gynol II 		Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Premier + No Referrals
via Gynol II 		Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals
via Gynol II 		Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Essential + No Referrals
via Encare 		Brand-Preferred — — ✓ QL
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via Encare 		Brand-Preferred — — ✓ QL
AmeriHealth Caritas Next Silver Essential + No Referrals
via Encare 		Brand-Preferred — — ✓ QL
AmeriHealth Caritas Next Bronze Premier + No Referrals
via Encare 		Brand-Preferred — — ✓ QL
AmeriHealth Caritas Next Gold Signature + No Referrals
via Encare 		Brand-Preferred — — ✓ QL
AmeriHealth Caritas Next Silver Premier + No Referrals
via Encare 		Brand-Preferred — — ✓ QL
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via Encare 		Brand-Preferred — — ✓ QL
AmeriHealth Caritas Next Bronze Signature + No Referrals
via Encare 		Brand-Preferred — — ✓ QL
AmeriHealth Caritas Next Silver Signature + No Referrals
via Encare 		Brand-Preferred — — ✓ QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 20 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Home with UNC Health Alliance 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
BCBSNC Blue Value 2026
via Vcf Vaginal Contraceptive 		Tier A - ACA $0 Copay — — — None
BCBSNC Blue Advantage 2026
via Encare 		Tier A - ACA $0 Copay — — — None
BCBSNC Blue Home with UNC Health Alliance 2026
via Encare 		Tier A - ACA $0 Copay — — — None
BCBSNC Blue Local 2026
via Encare 		Tier A - ACA $0 Copay — — — None
BCBSNC Blue Care 2026
via Encare 		Tier A - ACA $0 Copay — — — None
BCBSNC Blue Value 2026
via Encare 		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 Today Sponge 		Tier A - ACA $0 Copay — — — None
BCBSNC Blue Home with UNC Health Alliance 2026
via Today Sponge 		Tier A - ACA $0 Copay — — — None
BCBSNC Blue Local 2026
via Today Sponge 		Tier A - ACA $0 Copay — — — None
BCBSNC Blue Care 2026
via Today Sponge 		Tier A - ACA $0 Copay — — — None
BCBSNC Blue Value 2026
via Today Sponge 		Tier A - ACA $0 Copay — — — None
BCBSNC Blue Advantage 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
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 20 hours, 52 minutes ago
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 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
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 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
Source: CMS QHP JSON  ·  Checked: 20 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Bronze Classic 4700 | with Atrium Health Tier 0 - $0 Preventive — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health Tier 0 - $0 Preventive — — — None
Silver Classic | with Atrium Health 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 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
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 Classic | with Atrium Health
via Gynol II 		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
Bronze Classic Standard
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Classic Standard
via Encare 		Tier 0 - $0 Preventive — — — None
Gold Classic Standard
via Encare 		Tier 0 - $0 Preventive — — — None
Bronze Classic Standard | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Classic Standard | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Gold Classic Standard | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Bronze Elite + PCP Saver Plus
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Classic
via Encare 		Tier 0 - $0 Preventive — — — None
Secure
via Encare 		Tier 0 - $0 Preventive — — — None
Bronze Classic 4700
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Simple PCP Saver
via Encare 		Tier 0 - $0 Preventive — — — None
Gold Elite Saver Plus
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Simple Diabetes
via Encare 		Tier 0 - $0 Preventive — — — None
Secure | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Bronze Classic 4700 | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Classic | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Simple Diabetes | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Simple PCP Saver | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Gold Elite Saver Plus | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Bronze Simple Chronic Care CKM | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Bronze Simple Diabetes | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Simple Chronic Care CKM | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
AIAN Cost Share
via Encare 		Tier 0 - $0 Preventive — — — None
AIAN Cost Share | with Atrium Health
via Encare 		Tier 0 - $0 Preventive — — — None
Silver Simple Chronic Care CKM | with Atrium Health Tier 0 - $0 Preventive — — — None
Bronze Simple Chronic Care CKM | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Bronze Simple Diabetes | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Silver Simple Chronic Care CKM | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
AIAN Cost Share
via Gynol II 		Tier 0 - $0 Preventive — — — None
AIAN Cost Share | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Silver Simple Diabetes | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Silver Simple PCP Saver | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Gold Elite Saver Plus | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Gynol II 		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 Elite + PCP Saver Plus 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
Secure | with Atrium Health Tier 0 - $0 Preventive — — — None
Bronze Classic Standard
via Gynol II 		Tier 0 - $0 Preventive — — — None
Silver Classic Standard
via Gynol II 		Tier 0 - $0 Preventive — — — None
Gold Classic Standard
via Gynol II 		Tier 0 - $0 Preventive — — — None
Bronze Classic Standard | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Silver Classic Standard | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Gold Classic Standard | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Bronze Elite + PCP Saver Plus
via Gynol II 		Tier 0 - $0 Preventive — — — None
Silver Classic
via Gynol II 		Tier 0 - $0 Preventive — — — None
Secure
via Gynol II 		Tier 0 - $0 Preventive — — — None
Bronze Classic 4700
via Gynol II 		Tier 0 - $0 Preventive — — — None
Silver Simple PCP Saver
via Gynol II 		Tier 0 - $0 Preventive — — — None
Gold Elite Saver Plus
via Gynol II 		Tier 0 - $0 Preventive — — — None
Silver Simple Diabetes
via Gynol II 		Tier 0 - $0 Preventive — — — None
Secure | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Bronze Classic 4700 | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health
via Gynol II 		Tier 0 - $0 Preventive — — — None
Source: PDF  ·  Formulary date: Jun 23, 2026  ·  Checked: 20 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Bronze Standard (No Referrals) Tier 0 - $0 Preventive — — — None
UHC Bronze Standard+ Dental + Vision (No Referrals) Tier 0 - $0 Preventive — — — None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) Tier 0 - $0 Preventive — — — None
UHC Bronze Standard (No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Gold Standard (No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Silver Standard (No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Bronze Standard+ Dental + Vision (No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Gynol II 		Tier 0 - $0 Preventive — — — None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Bronze Standard+ Dental + Vision (No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Silver Standard (No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Gold Standard (No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) Tier 0 - $0 Preventive — — — None
UHC Silver Value ($0 Virtual Urgent Care, No Referrals) Tier 0 - $0 Preventive — — — None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) Tier 0 - $0 Preventive — — — None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) Tier 0 - $0 Preventive — — — None
UHC Gold Standard (No Referrals) Tier 0 - $0 Preventive — — — None
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) Tier 0 - $0 Preventive — — — None
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals Tier 0 - $0 Preventive — — — None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 0 - $0 Preventive — — — None
UHC Silver Standard (No Referrals) Tier 0 - $0 Preventive — — — None
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 0 - $0 Preventive — — — None
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Bronze Standard (No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
via Today Sponge 		Tier 0 - $0 Preventive — — — None
Something not right?