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• Generic contraceptive medications and mircette Plan B $0 with a prescription • Brand-name contraceptive $40 copayment with a prescription (Copayment may be waived if medical necessity approved by BCN) • Prescription contraceptive medications not on the Covered only if approved by BCN Contraceptive counseling and methods (such as intrauterine devices) that require administration in your doctor’s office are covered under your medical benefit at no cost When drugs are covered at no cost to you Only Tier 1 generic contraceptives and diaphragms dispensed by a BCN participating pharmacy are eligible for no cost sharing .
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