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Largest PBMs Eliminate Consumers’ Cost Sharing For Opill On Most Commercial Plans

 
• By Peter Johnson

Decisions by “big three” PBMs suggest they’re taking proactive steps to comply with potential HRSA rulemaking to require most health plans, under Affordable Care Act regulations, to cover Opill and other types of OTC birth control without cost sharing.

• Source: Shutterstock

The three major US pharmacy benefit managers will cover Opill (0.075mg norgestrel) OTC daily oral contraceptive at no cost to members in most non-grandfathered commercial plans, according to one expert.

The decisions by UnitedHealth Group’s Optum Rx, CVS Health Corp

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