Apple Health Fee-for-Service Covered Over-the-Counter Contraceptives Effective 3/10/2016
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1 EMERGENCY CONTRACEPTIVES MY WAY ECONTRA EZ ECONTRA EZ TAKE ACTION AFTERA PLAN B ONE-STEP PLAN B ONE-STEP NEXT CHOICE ONE DOSE OPCICON ONE-STEP LEVONORGESTREL FALLBACK SOLO CONDOMS - FEMALE FC FEMALE CONDOM FC FEMALE CONDOM FC FEMALE CONDOM FC FEMALE CONDOM FC2 FEMALE CONDOM FC2 FEMALE CONDOM
2 CONDOMS - MALE, LATEX, LUBRICATED PREMIUM CONDOMS LUBRICATED HIGH SENSATION SPERMICIDAL ULTIMATE FEELING INTENSE SENSATION EXTRA SENSITIVE SPERMICIDAL DUREX EXTRA SENSITIVE DUREX EXTRA SENSITIVE TRUSTEX WITH NONOXYNOL-9/RIBBED/STUDDED TRUSTEX/RIA LUBRICATED/SPERMICIDE TRUSTEX/RIA LUBRICATED SPERMICIDE TRUSTEX/RIA LUBRICATED TRUSTEX/RIA LUBRICATED TRUSTEX LUBRICATED EXTRA STRENGTH TRUSTEX/RIA LUBRICATED SPERMICIDE TRUSTEX/RIA LUBRICATED SPERMICIDE TRUSTEX/RIA LUBRICATED TRUSTEX/RIA LUBRICATED TRUSTEX LUBRICATED EXTRA STRENGTH TRUSTEX LUBRICATED/RIBBED/STUDDED TRUSTEX LUBRICATED/RIBBED/STUDDED TRUSTEX LUBRICATED/SPERMICIDE EXTRA STRENGTH
3 CONDOMS - MALE, LATEX, LUBRICATED - CONTINUED TRUSTEX LUBRICATED/SPERMICIDE EXTRA STRENGTH TRUSTEX LUBRICATED EXTRA LARGE TRUSTEX LUBRICATED EXTRA LARGE TRUSTEX LUBRICATED/SPERMICIDE EXTRA LARGE TRUSTEX LUBRICATED/SPERMICIDE EXTRA LARGE TRUSTEX NATURAL CONDOMS +LUBE/LUBRICATED TRUSTEX NATURAL CONDOMS +LUBE/LUBRICATED TRUSTEX COLOR CONDOMS + LUBE TRUSTEX COLOR CONDOMS + LUBE TRUSTEX LUBRICATED TRUSTEX LUBRICATED TRUSTEX LUBRICATED TRUSTEX LUBRICATED TRUSTEX LUBRICATED TRUSTEX LUBRICATED TRUSTEX LUBRICATED TRUSTEX LUBRICATED TRUSTEX LUBRICATED EXTRA STRENGTH FANTASY LUBRICATED FANTASY LUBRICATED FANTASY LUBRICATED
4 CONDOMS - MALE, LATEX, LUBRICATED - CONTINUED FANTASY LUBRICATED/SPERMICIDE FANTASY LUBRICATED FANTASY LUBRICATED FANTASY LUBRICATED/SPERMICIDE FANTASY LUBRICATED/SPERMICIDE TRUSTEX LUBRICATED TRUSTEX LUBRICATED/SPERMICIDE KAMELEON LUBRICATED KAMELEON LUBRICATED TRUSTEX LUBRICATED/SPERMICIDE KIMONO SPECIAL KIMONO COLORS KIMONO LUBRICATED KIMONO LUBRICATED KIMONO LUBRICATED MAXX LUBRICATED MAXX LUBRICATED KIMONO PLUS SPERMICIDE LUBRICATED KIMONO PLUS SPERMICIDE LUBRICATED KIMONO PLUS SPERMICIDE/LUBRICATED MAXX PLUS SPERMICIDE LUBRICATED
5 CONDOMS - MALE, LATEX, LUBRICATED - CONTINUED MAXX PLUS SPERMICIDE LUBRICATED MAXX PLUS SPERMICIDE LUBRICATED KIMONO MICRO THIN PLUS SPERMICIDE LUBRICATED KIMONO MICRO THIN PLUS SPERMICIDE LUBRICATED KIMONO MICRO THIN PLUS SPERMICIDE LUBRICATED KIMONO SENSATION LUBRICATED KIMONO SENSATION LUBRICATED KIMONO SENSATION LUBRICATED KIMONO SENSATION PLUS SPERMICIDE LUBRICATED KIMONO SENSATION PLUS SPERMICIDE LUBRICATED KIMONO SENSATION PLUS SPERMICIDE LUBRICATED KIMONO PS LUBRICATED KIMONO SPECIAL KIMONO COLORS KIMONO PS PLUS SPERMICIDE/LUBRICATED REALITY LATEX/ULTRA THIN REALITY LATEX/ULTRA TEXTURED TROJAN MAGNUM TROJAN MAGNUM TROJAN MAGNUM XL LUBRICATED TROJAN MAGNUM WARM SENSATIONS
6 CONDOMS - MALE, LATEX, LUBRICATED - CONTINUED TROJAN SUPRAS SPERMICIDAL ELEXA STIMULATING ELEXA NATURAL FEEL ELEXA ULTRA SENSITIVE CLASS ACT LUBRICATED TROJAN VERY SENSITIVE LUBRICATED TROJAN VERY SENSITIVE LUBRICATED TROJAN VERY SENSITIVE SPERMICIDAL LUBRICANT TROJAN VERY THIN LUBRICATED TROJAN VERY THIN LUBRICATED TROJAN VERY THIN SPERMICIDAL LUBRICANT TROJAN VERY THIN SPERMICIDAL LUBRICANT TROJAN-ENZ LUBRICATED TROJAN-ENZ W/SPERMICIDAL TROJAN-ENZ LUBRICATED TROJAN-ENZ W/SPERMICIDAL TROJAN-ENZ LUBRICATED TROJAN-ENZ W/SPERMICIDAL TROJAN-ENZ LUBRICANT TROJAN-ENZ LUBRICATED TROJAN PLEASURE MESH/SPERMICIDAL
7 CONDOMS - MALE, LATEX, LUBRICATED - CONTINUED TROJAN-ENZ LUBRICANT TROJAN RIBBED W/SPERMICIDAL TROJAN ULTRA PLEASURE/LUBRICATED TROJAN SHARED SENSATION/LUBRICATED TROJAN EXTENDED PLEASURE/LUBRICATED TROJAN TWISTED PLEASURE ATLAS LUBRICATED CONDOM ATLAS LUBRICATED CONDOM/SPERMICIDE ATLAS COLORED LUBRICATED CONDOM REALITY LATEX CONDOMS/LUBRICATED AIMSCO LUBRICATED CONDOMS - MALE, LATEX, NON-LUBRICATED TRUSTEX/RIA NON-LUBRICATED TRUSTEX/RIA NON-LUBRICATED TRUSTEX NON-LUBRICATED TRUSTEX NON-LUBRICATED TRUSTEX NON-LUBRICATED TRUSTEX NON-LUBRICATED TRUSTEX NON-LUBRICATED
8 CONDOMS - MALE, LATEX, NON-LUBRICATED - CONTINUED TRUSTEX NON-LUBRICATED KIMONO MICRO THIN KIMONO MICRO THIN KIMONO MICRO THIN TROJAN TROJAN TROJAN PLUS TROJAN REGULAR TROJAN RIBBED TROJAN TROJAN TROJAN ASSORTMENT PACK TROJAN EXTRA STRENGTH TROJAN EXTRA STRENGTH ATLAS COLORED CONDOM/SPERMICIDE DUREX REALFEEL NON-LATEX DUREX REALFEEL NON-LATEX
9 CONDOMS - MALE, NON-LATEX, NON-LUBRICATED TROJAN NATURALAMB TROJAN NATURALAMB CONDOMS - MALE, UNCLASSIFIED TROJAN NATURALAMB W/SPER MICIDAL LUB CONDOMS LIFESTYLES XTRA PLEASURE LIFESTYLES XTRA PLEASURE LIFESTYLES VIBRA-RIBBED/SPERMICIDE LIFESTYLES VIBRA-RIBBED/SPERMICIDE LIFESTYLES LUBRICATED LIFESTYLES LUBRICATED LIFESTYLES LUBRICATED LIFESTYLES LUBRICATED LIFESTYLES VIBRA-RIBBED LIFESTYLES VIBRA-RIBBED LIFESTYLES VIBRA-RIBBED LIFESTYLES ULTRA SENSITIVE LIFESTYLES ULTRA SENSITIVE LIFESTYLES ULTRA SENSITIVE
10 LIFESTYLES ULTRA SENSITIVE CONDOMS - MALE, UNCLASSIFIED - CONTINUED LIFESTYLES ULTRA SENSITIVE LIFESTYLES SPERMICIDALLY LUBRICATED LIFESTYLES SPERMICIDALLY LUBRICATED LIFESTYLES SPERMICIDALLY LUBRICATED LIFESTYLES SPERMICIDALLY LUBRICATED LIFESTYLES SPERMICIDALLY LUBRICATED LIFESTYLES FORM FITTING LIFESTYLES ULTRA SENSITIVE/SPERMICIDE LIFESTYLES EXTRA STRENGTH LIFESTYLES EXTRA STRENGTH LIFESTYLES STUDDED LIFESTYLES STUDDED LIFESTYLES ASSORTED COLORS LIFESTYLES ASSORTED COLORS LIFESTYLES RIBBED LIFESTYLES SKYN ORIGINAL
MATES - Conform. MATES - King Size
MATES - Natural MATES - Conform MATES - Ribbed Mates Natural Condoms are a regular sized condom which has a unique flared shape, making them slightly larger at the head for greater comfort. MATES - Original
REPRODUCTIVE HEALTH 159
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