60 • IUD with progestin • Shot/injection • Oral contraceptives (combined pill) • Oral contraceptives (progestin pill) • Oral contraceptives (extended/continuous use) • Patch • Vaginal contraceptive ring • Software application for contraception • Male condom • Diaphragm • Sponge with spermicide • Cervical cap with spermicide • Female condom • Anti-sperm vaginal contraceptives, including spermicides and other anti-sperm agents • Emergency Contraception (Plan B/Plan B One Step/Next Choice) • Emergency Contraception (Ella) • Generic birth control prescriptions and brand name birth control prescriptions for which there is no generic equivalent; • The Plan may cover a generic drug without cost sharing but charge cost sharing for an equivalent branded drug. The Plan will accommodate any individual for whom the generic would be medically inappropriate, as determined by the individual’s health care provider and the Prescription Drug Coverage prior authorization process; • Folic acid supplements for women who are planning or capable of pregnancy, containing 0.4 to 0.8 mg of folic acid; • Interventions for pregnant and postpartum persons who are at increased risk of perinatal depression;. • Gonorrhea screening for all sexually active women, including those who are pregnant, if they are at increased risk for infection (i.e., young or have other individual or population risk factors), provided as part of a well woman visit; • Counseling for sexually transmitted infections, once per year as part of a well woman visit; • Counseling and screening for HIV, once per year as part of a well woman visit, and for pregnant women, including those who present in labor who are untested and whose HIV status is not known; • Hepatitis B screening for pregnant women at their first prenatal visit; • Screening for hypertensive disorders in pregnant persons with blood pressure measurements throughout pregnancy; • Obesity prevention counseling midlife women aged 40 to 60 years with normal or overweight body mass index (BMI) (18.5-29.9 kg/m2) to maintain weight or limit weight gain to prevent obesity;

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