Norgestrel / ethinyl estradiol (Cryselle / Low-Ogestrel / Turqoz) — plans on this site that list it on Tier 4

Blue Cross of Idaho

6 plans on this site

• True Blue Rx 32PSP (HMO) — Offered in ID: Ada, Boise, Canyon, Gem, Owyhee, Payette
• True Blue Rx 33 (HMO) — Offered in ID: Ada, Boise, Canyon, Gem, Owyhee, Payette
• True Blue Rx 34 (HMO) — Offered in ID: Twin Falls
• True Blue Rx 35PSP (HMO) — Offered in ID: Bannock, Bonneville, Jefferson
• True Blue Rx 36 (HMO) — Offered in ID: Kootenai
• True Blue Rx 37 (HMO) — Offered in ID: 16 counties

Geisinger Gold

9 plans on this site

• Geisinger Gold Classic 360 Rx (HMO) — Offered in PA: 19 counties
• Geisinger Gold Classic Advantage Rx (HMO) — Offered in PA: 21 counties
• Geisinger Gold Classic Complete Rx (HMO) — Offered in PA: 37 counties
• Geisinger Gold Classic Essential Rx (HMO) — Offered in PA: 44 counties
• Geisinger Gold Preferred Advantage Rx (PPO) — Offered in PA: 29 counties
• Geisinger Gold Preferred Balance Rx (PPO) — Offered in PA: 44 counties
• Geisinger Gold Preferred Complete Rx (PPO) — Offered in PA: 44 counties
• Geisinger Gold Secure Rx (HMO D-SNP) — Offered in PA: 63 counties
• Geisinger Gold Value Rx (HMO) — Offered in PA: 63 counties

Health First Health Plans, Inc.

6 plans on this site

• Health First Classic H1099-001 (HMO-POS) — Offered in FL: Brevard, Indian River
• Health First Emerald Plus H1099-026 (HMO) — Offered in FL: Indian River
• Health First Emerald Plus H1099-028 (HMO) — Offered in FL: Flagler, Volusia
• Health First Rewards H1099-014 (HMO) — Offered in FL: Brevard, Indian River
• Health First SunSaver H1099-016 (HMO) — Offered in FL: Flagler, Volusia
• Health First Value H1099-006 (HMO) — Offered in FL: Brevard, Indian River

Healthy Arkansas, Inc.

3 plans on this site

• Healthy Arkansas Dual Advantage (PPO D-SNP) — Offered in AR: 35 counties
• Healthy Arkansas Preferred (PPO) — Offered in AR: 35 counties
• Healthy Arkansas Premier Advantage (HMO-POS) — Offered in AR: 35 counties

Healthy Mississippi, Inc.

4 plans on this site

• Healthy Mississippi Dual Advantage (PPO D-SNP) — Offered in MS: 81 counties
• Healthy Mississippi Institutional (PPO I-SNP) — Offered in MS: 81 counties
• Healthy Mississippi Preferred (PPO) — Offered in MS: 81 counties
• Healthy Mississippi Premier Advantage (HMO-POS) — Offered in MS: 81 counties

Horizon Blue Cross Blue Shield of New Jersey

1 plan on this site

• Horizon Specialty Care (HMO C-SNP) — Offered in NJ: Bergen, Essex, Hudson, Morris, Passaic, Somerset, Union

PrimeTime Health Plan

3 plans on this site

• PrimeTime Health Plan Aultimate (HMO-POS) — Offered in OH: Carroll, Columbiana, Harrison, Holmes, Mahoning, Medina, Portage, Stark, Summit, Wayne
• PrimeTime Health Plan Classic (HMO-POS) — Offered in OH: Carroll, Columbiana, Harrison, Holmes, Mahoning, Medina, Portage, Stark, Summit, Wayne
• PrimeTime Health Plan Plus (HMO-POS) — Offered in OH: Carroll, Columbiana, Harrison, Holmes, Mahoning, Medina, Portage, Stark, Summit, Wayne

Priority Health Medicare

12 plans on this site

• PriorityMedicare (HMO-POS) — Offered in MI: 18 counties
• PriorityMedicare Align (HMO-POS) — Offered in MI: 13 counties
• PriorityMedicare D-SNP (HMO D-SNP) — Offered in MI: 58 counties
• PriorityMedicare Dual Premier (HMO D-SNP) — Offered in MI: Berrien, Calhoun, Cass, Kalamazoo, Van Buren
• PriorityMedicare Edge (PPO) — Offered in MI: 13 counties
• PriorityMedicare Key (HMO-POS) — Offered in MI: 13 counties
• PriorityMedicare Latitude (HMO-POS) — Offered in MI: 19 counties
• PriorityMedicare Merit (PPO) — Offered in MI: 18 counties
• PriorityMedicare Smart Savings (HMO-POS) — Offered in MI: 18 counties
• PriorityMedicare Thrive (PPO) — Offered in MI: 13 counties
• PriorityMedicare Thrive Plus (PPO) — Offered in MI: 13 counties
• PriorityMedicare Value (HMO-POS) — Offered in MI: 18 counties

Range Health

4 plans on this site

• True West Rx 1 (PPO) — Offered in MT: Cascade, Flathead, Yellowstone
• True West Rx 2 (PPO) — Offered in MT: Broadwater, Jefferson, Lewis and Clark, Sanders, Stillwater, Teton
• True West Rx 4 (PPO) — Offered in ID: Kootenai
• True West Rx 5 (PPO) — Offered in ID: Bonner, Latah, Nez Perce

Tufts Health Plan

6 plans on this site

• Tufts Medicare Preferred HMO Basic Rx (HMO) — Offered in MA: Barnstable, Bristol, Middlesex, Norfolk, Plymouth
• Tufts Medicare Preferred HMO Prime Rx (HMO) — Offered in MA: Barnstable, Bristol, Middlesex, Norfolk, Plymouth
• Tufts Medicare Preferred HMO Prime Rx Plus (HMO) — Offered in MA: Barnstable, Bristol, Middlesex, Norfolk, Plymouth
• Tufts Medicare Preferred HMO Smart Saver Rx (HMO) — Offered in MA: Bristol, Essex, Norfolk, Plymouth, Suffolk
• Tufts Medicare Preferred HMO Value Rx (HMO) — Offered in MA: Barnstable, Bristol, Middlesex, Norfolk, Plymouth
• Tufts Medicare Preferred PPO RX (PPO) — Offered in MA: Bristol, Essex, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, Worcester