Women’s Preventive Services Drug and Device List (Lista de servicios de medicinas y dispositivos preventivos) Current (Corriente) 1/1/19 -Cervical Caps- -Oral Combo- Microgestin 1.5/30, 1/20 (Capuchones cervicales) (Combo Oral) Microgestin 24 Fe FEMCAP Altavera Microgestin Fe, 1.5/30 PRENTIF CAVITY-RIM CERVICAL CAP Alyacen 1/35, 7/7/7 Mono-Linyah PRENTIF FITTING SET Apri Mononessa Aranelle Myzilra -Diaphragms- Aubra, Aubra EQ Necon 0.5/35, 1/35, 7/7/7 Aviane Nikki (Diafragmas) norethindrone/ethinyl estradiol/fe CAYA Azurette Balziva norethindrone/ethinyl estradiol OMNIFLEX DIAPHRAGM norgestimate/ethinyl estradiol ORTHO DIAPHRAGM COIL SPRING Bekyree Blisovi 24 Fe norgestrel/ethinyl estradiol ORTHO DIAPHRAGM FLAT SPRING Nortrel 0.5/35, 1/35, 7/7/7 WIDE-SEAL SILICONE DIAPHRAGM Blisovi Fe 1.5/30,1/20 Briellyn Ocella Caziant Orsythia -Emergency Ella- Chateal, Chateal EQ Philith (Pastilla de emergencia Ella) Cryselle-28 Pimtrea ELLA Cyclafem 1/35, 7/7/7 Pirmella 1/35, 7/7/7 Cyred, Cyred EQ Portia-28 -Emergency Progestin- Dasetta 1/35, 7/7/7 Previfem (Progestina de emergencia) Delyla Rajani Aftera desogestrel/ethinyl estradiol Reclipsen drospirenone/ethinyl estradiol Rivelsa Econtra EZ Sprintec 28 Econtra One-Step drospirenone/ethinyl estradiol/levomefolate Elinest Sronyx Fallback Solo Emoquette Syeda Levonorgestrel Enpresse-28 Tarina Fe 1/20, 1/20 EQ My Choice Enskyce Tilia Fe My Way Estarylla Tri-Estarylla New Day Ethynodiol diacetate/ethinyl estradiol Tri-Femynor Next Choice Falmina Tri-Legest Fe Fayosim Tri-Linyah Opcicon One-Step Tri-Lo-Estarylla Option 2 Femynor Gianvi Tri-Lo-Marzia React Gildagia Tri-Lo-Sprintec Take Action Isibloom Tri-Mili Juleber Trinessa -Female Condom- Junel 1.5/30, 1/20 Trinessa Lo (Condones femeninos) Junel Fe 1.5/30, 1/20, 24 Tri-Previfem FC FEMALE CONDOM Kaitlib Fe Tri-Sprintec FC2 FEMALE CONDOM Kariva Trivora-28 Tri-Vylibra Kelnor 1/35 Kimidess Tydemy -Implants Progestin- Velivet (Implantes de progestina) Kurvelo Larin 1.5/30, 1/20 Vestura NEXPLANON Larin 24 Fe Vienva Larin Fe 1.5/30, 1/20 Viorele -Injectable Progestin- Larissia Vyfemla (Progestina inyectable) Layolis Fe Vylibra DEPO-PROVERA Leena Wera Lessina Wymzya Fe -Intrauterine Device- Levonest Zarah (Dispositivo intrauterino) levonorgestrel/ethinyl estradiol Zenchent Zenchent Fe LILETTA Levora 0.15/30-28 Zovia 1/35E, 1/50E KYLEENA Lillow MIRENA Lomedia 24 Fe PARAGARD Loryna SKYLA Low-Ogestrel Lutera Marlissa Melodetta 24 Fe Mibelas 24 Fe Generics = Lower case Brands = CAPITAL LETTERS (Genéricos = letra minúscula Marca= LETRAS MAYÚSCULA) Florida Blue is an Independent Licensee of the Blue Cross and Blue Shield Association Page 1 of 2 Florida Blue is an Independent Licensee of the Blue Cross and Blue Shield Association -Oral Ext Continuous- (Exr Oral Continua) Amethia Amethia Lo Amethyst Ashlyna Camrese Camrese Lo Daysee Introvale Jolessa levonorgestrel/ethinyl estradiol Quasense Setlakin -Oral Progestin- (Progenstina oral) Camila Deblitane Errin Heather Incassia Jencycla Jolivette Lyza Nora-Be norethindrone 0.35 Norlyda Norlyroc Sharobel Tulana -Spermicide- (Espermicida) ENCARE OPTIONS CONCEPTROL OPTIONS GYNOL II SHUR-SEAL VCF VAGINAL CONTRACEPTIVE FILM, FOAM VCF vaginal contraceptive gel -Sponge- (Esponja) TODAY SPONGE -Sterilization Procedures- (Procedimientos de esterilización) ESSURE tubal ligation -Transdermal Combined- (Combinado Transdermal) XULANE -Vaginal Combined- (Combinado Vaginal) NUVARING Florida Blue is an Independent Licensee of the Blue Cross and Blue Shield Association 2 .