Contraception Coverage
We expect our Approved Drug List will meet all members’ prescription drug needs. If your physician prescribes a non-formulary drug, it may be covered upon review by us. Here is the process:
- Confirm that the prescribed contraceptive is not listed on the formulary list
- If your physician prescribed a non-formulary drug, consult with them about filling out an exception form
- Priority Health will provide notice of its determination regarding an exception for a non-formulary drug within 24 hours of receiving all information necessary
If you are still having difficulty accessing coverage, please contact OPM at contraception@opm.gov; or visit OPM’s web page about contraception coverage.
Stay informed of your right to access reproductive health care by visiting The U.S. Department of Health and Human Services (HHS) website.