Available under the prescription drug plan only: preferred* oral and preferred* patch covered 100% when accompanied by a prescription and filled at a network pharmacy (non-preferred may be covered in limited situations).
Available under the medical plan only: tubal ligation.
Available under the prescription and/or medical plan:
Members have the option to select a Non-Contraception Benefit Option if they have a religious or moral objection to these items.
*Preferred drug as determined by ESI
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