The PPACA $0 Preventive Medications Guide provides an itemized list of preventive drugs, supplements, and health products available to members at 100% plan coverage
Prescription Requirement: All covered items—including over-the-counter (OTC) products—require a doctor's prescription to qualify for $0 cost-sharing at an in-network pharmacy
Contraceptive & Family Planning Coverage: Includes generic and select brand-name barrier, emergency, implantable, and hormonal contraceptives, alongside special provisions for religious employer exemptions
Preventive Health Categories: Features covered treatments across several categories, including bowel preps for colonoscopies (adults 45–75), breast cancer risk reduction, cholesterol statins (adults 40–75), folic acid supplements, HIV Pre-Exposure Prophylaxis (PrEP), pediatric fluoride multivitamins (ages 6 months–16 years), and nicotine-replacement tobacco cessation products (adults 18+)
Immunization Coverage: Details covered routine and preventive vaccines (e.g., COVID-19, Flu, Shingrix, Tdap, RSV, Hepatitis), which are subject to network participation and age guidelines
Rules & Limitations: Outlines specific category requirements such as annual quantity limits on bowel preps, solo-use restrictions for HIV PrEP drugs like Descovy, and non-discrimination compliance disclosures