How can you check if NEXPLANON is covered?
Once you and your doctor have decided that NEXPLANON is right for you, check with your insurance provider to determine your specific coverage.
NEXPLANON may be covered as a medical benefit or as a pharmacy benefit. To find out if you have coverage for NEXPLANON as a medical benefit:
Step 1: Call the customer service number listed on the back of your health insurance card. Be sure to write down the names of any people you speak with.
Step 2: Tell the representative that NEXPLANON is a physician-administered birth control drug (not a device) and that your physician will:
- Be prescribing NEXPLANON.
- Order NEXPLANON for you
- Insert NEXPLANON during an office visit.
Step 3: Ask the representative if NEXPLANON is covered. If the answer is “no,” ask if you have coverage for NEXPLANON as a pharmacy benefit.
To get information about your pharmacy benefit, you may have to call another number (such as the pharmacy customer service number on the back of your health insurance card) and speak to a different person.
Repeat steps 1–3.