Under The Affordable Care Act, coverage of certain preventive services, including contraceptives, must be provided without member cost share. If your prescriber believes that a non-formulary contraceptive is medically necessary for you, your prescriber may request an exception.  Please ask your provider to complete the Contraception Exception Form found in the Official Plan Documents to determine if the product is medically necessary.  For more information on the Contraception Exception Process, please access this link:  https://www.caremark.com/portal/asset/PreventiveServicesZeroCopayContraceptive_Process.pdf

You can learn more about contraception resources and reproductive rights at these websites:

• OPM’s web page
• HHS website

Please contact OPM if you have difficulty accessing contraceptive coverage or other reproductive health by emailing: contraception@opm.gov.