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Upcoming changes in coverage for intrauterine devices

December 1, 2015

An intrauterine device (IUD) is a small T-shaped contraceptive device that is inserted into the uterus by a practitioner in an office setting after a pelvic exam. The following four IUDs are currently approved by the U.S. Food and Drug Administration:

  • Liletta
  • Mirena®
  • ParaGard®
  • Skyla®

These devices work through different mechanisms and have varying risks, durations of efficacy, and success rates. Providers should evaluate each member to determine which IUD is most appropriate, given her unique circumstances and medical history. Currently, IUDs are eligible for coverage under either the member?s medical or pharmacy benefit.

Effective January 1, 2016, IUDs will only be eligible for coverage under the member?s medical benefit, as these devices must be inserted by a physician in the office setting. These devices will no longer be eligible for coverage under the pharmacy benefit through FutureScripts®, our pharmacy benefits manager and an independent company. In addition, the removal of an existing IUD and insertion of a replacement IUD will also only be eligible for coverage under the member?s medical benefit.

If you have any questions about these changes, please contact Customer Service at 1-800-ASK-BLUE.

FutureScripts and FutureScripts Secure are independent companies that provide pharmacy benefits management services.


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