Medicaid Coverage of Emergency Contraceptives

as of July 1, 2021

Location	Ella (Prescription product) - Medicaid Coverage?	Ella (Prescription product) - Covered without Prescription	Ella (Prescription product) - Utilization Controls	Plan B (Over-the-counter product) - Medicaid Coverage?	Plan B (Over-the-counter product) - Utilization Controls
United States	42 Yes	7 Yes; 35 No		40 Yes; 2 No
Alabama	Yes	No	Requires prior authorization	Yes	Requires prior authorization
Alaska	Yes	No	Prescription Required	Yes	Prescription Required
Arizona	Yes	No		Yes
Arkansas	-	-	-	-
California	Yes	No	Quantity Limit: Maximum 6 packs per year; Prior authorization is required outside of the quantity limit.	Yes	Quantity Limit: Maximum 6 packs per year, 1 packet per event
Colorado	Yes	No		Yes
Connecticut	Yes	No	Quantity Limit: 3-months supply allowed at one time; Preferred Drug List	Yes
Delaware	Yes	No		Yes	Over the counter coverage of Plan B is pending in state
District of Columbia	Yes	Yes		Yes
Florida	Yes	No	Minimum age of 12	Yes	Minimum age of 12
Georgia	-	-	-	-	-
Hawaii	Yes	No		Yes	Prescription Required
Idaho	Yes	No		Yes
Illinois	Yes	Yes		Yes	Prescription Required and on file
Indiana	Yes	No		Yes	Varies according to MCO policies
Iowa	Yes	No	Quantity Limit: 3-months supply allowed at one time; Preferred Drug List	Yes
Kansas	Yes	No	Quantity Limit: 1 per day; Generic requirement	Yes	Prescription Required; Quantity Limit: 1 per day; Generic requirement
Kentucky	-	-	-	-	-
Louisiana	Yes	No		Yes
Maine	Yes	No	Preferrence for Step 2 than Plan B One Step	Yes	Quantity Limit: 2 tablets per 15 days, 4 tablets per 30 days
Maryland	Yes	Yes		Yes
Massachusetts	Yes	No		Yes
Michigan	Yes	No	Prescription Required	Yes	Prescription Required
Minnesota	-	-	-	-	-
Mississippi	Yes	No	Preferred Drug List	No
Missouri	Yes	No		Yes
Montana	Yes	No	Generic Mandated	Yes	Generic Mandated
Nebraska	-	-	-	-	-
Nevada	Yes	No		Yes
New Hampshire	-	-	-	-	-
New Jersey	Yes	Yes	Generic substitution required	Yes	Prescription Required
New Mexico	-	-	-	-	-
New York	Yes	Yes	Mandatory Generic Program Required	Yes	Quantity Limit: Up to 6 times per year; Mandatory Generic Program Required
North Carolina	Yes	No	Prescription Required	Yes	Prescription Required
North Dakota	Yes	No		Yes	Product must be rebatable.
Ohio	-	-	-	-	-
Oklahoma	Yes	No	Generic required.	Yes	Prescription Required
Oregon	Yes	No	Covered for women who are 17 years and older	Yes	Covered for women who are 17 years and older
Pennsylvania	Yes	No	Covered without limits with a prescription.	Yes	Prescription Required
Rhode Island	Yes	No	Generics dispensed unless prescriber indicates brand necessary.	No
South Carolina	Yes	No		Yes
South Dakota	-	-	-	-	-
Tennessee	Yes	No	Quantity limit: 1 pill per day.	Yes	Quantity limit: 1 pill per day.
Texas	Yes	No	Covered on Formulatory	Yes	Not a benefit under family planning waiver
Utah	Yes	Yes	Generic Required; Quantity Limit: 2 kits per 30 days.; Limited to females only	Yes	Generic Required; Quantity Limit: 5 tablets per 30 days.; Limited to females only
Vermont	Yes	No	Preferred Drug List	Yes	Limited to covered rebateable generics
Virginia	Yes	No		Yes
Washington	Yes	Yes	Limited dependent on the pharmacy and the presciber.	Yes	May be obtained with a Services Card through a pharmacy or HCA-designated family planning clinic.
West Virginia	Yes	No	Quantity Limit: 1 per script	Yes	Prescription Required
Wisconsin	Yes	No	Brand, not on the Preferred Drug List	Yes	All over the counter products require a legal prescription.
Wyoming	Yes	No		Yes	Prescription Required

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Medicaid Coverage of Emergency Contraceptives

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Medicaid Coverage of Emergency Contraceptives

as of July 1, 2021

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