CurrentFlorida BluePolicy N/A

Women's Preventive Services Drug and Device List

A payer-published list of preventive drugs and devices for women that may be covered under medical benefits; coverage is subject to member benefit terms, limitations and maximums.

Policy Summary

PayerFlorida Blue

PolicyWomen's Preventive Services Drug and Device List

Policy CodePolicy N/A

Change TypeNo material changes

Effective DateJan 1, 2026

Next Review Date

Key ActionProviders must confirm coverage is allowed under the member's specific benefit terms, limitations and maximums before billing for listed preventive drugs or procedures.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes reported in this update.

20+Listed preventive products/devices

IUDs & implantsLARC categories

YesEmergency contraception included

Policy summary & key points

This document is the Women's Preventive Services Drug and Device List published by Florida Blue and dated 1/1/26. It identifies preventive drugs and devices for women's preventive services that Florida Blue may cover.

Coverage for the listed preventive drugs and devices depends on the member's specific benefit terms, limitations and maximums and some items noted may be covered under the member's medical benefits.

Effective date2026-01-01

Last review2026-01-01

Next review

StatusCURRENT

Policy titleWomen's Preventive Services Drug and Device List

Policy numberN/A

Scope summaryA payer-published list of preventive drugs and devices for women that may be covered under medical benefits; coverage is subject to member benefit terms, limitations and maximums.

Coverage applicability and criteria

Coverage applicability

Preventive drugs or procedures may be covered when subject to member benefit terms, limitations and maximums:

ALL of the following

Item is listed on the Women's Preventive Services Drug and Device List
Coverage is subject to the member's benefit terms, limitations and maximums

Notation convention: generics are shown in lower case; brands are shown in CAPITAL LETTERS as used throughout the code list.

Listed preventive drugs and devices (grouped)

The listed items include a broad range of contraceptives and related products: oral combination, extended/continuous and progestin-only oral contraceptives; intrauterine devices (IUDs); progestin implants and injectables; transdermal patches and vaginal rings; condoms (male and female); spermicides and sponge; emergency contraception (ulipristal and levonorgestrel/progestin options); sterilization procedures; and other vaginal gels and devices.

Some items on the list may be covered under Florida Blue's medical benefits rather than pharmacy benefits depending on the member's plan and specific benefit rules.

Billing, documentation, and verification actions

Documentation Required

Verify member benefit terms

Providers must confirm coverage is allowed under the member's specific benefit terms, limitations and maximums before billing for listed preventive drugs or procedures.

Billing Rule

Medical vs pharmacy benefit

Some listed preventive drugs or procedures may be covered under medical benefits; providers must bill under the appropriate benefit based on the plan's rules.

Background & scope

Context: This list identifies preventive drugs and devices for women's preventive services that Florida Blue may cover and is current as of 1/1/26.

Coverage is subject to the member's benefit terms, limitations and maximums; providers and members must verify coverage under the member's specific plan before assuming payment responsibility.

The list notes that certain preventive drugs or procedures marked with an asterisk may be covered under medical benefits, so coverage administration (medical vs pharmacy) depends on plan provisions.

Listed preventive products/devices20+

Long-acting reversible contraception categoriesIncludes IUDs & implants

Emergency contraception includedIncludes emergency contraception (ella and levonorgestrel/progestin options)