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A report from the House Oversight Committee found that the nation's five largest insurers, and four out of five of the largest pharmaceutical benefit managers, routinely require cost-sharing for certain contraceptives or exclude them from coverage altogether, reports Becker’s Payer Issues. The Affordable Care Act requires insurers to cover at least one type of contraceptive from all approved categories at no cost to members. According to the report, published Oct. 25, there are at least 34 contraceptives which the majority of the companies investigated reported excluding from coverage, and 17 products were excluded by all of the payers investigated.