Does Bronze 22 Health cover chlorpheniramine / codeine?
Bronze 22 Health
13887-13887FL0010003-0 · ACA · ACA Marketplace
chlorpheniramine / codeine
chlorpheniramine / codeineunder Bronze 22 Health
Covered — requires step therapy
You may need to try a cheaper medication first — your doctor’s office handles it.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.
- Tier
- Non preferred brands
- Approval first
- Not needed
- Try another first
- Required
- Amount limit
- Yes
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.
Covered forms and strengths (2)
- 12 HR chlorpheniramine maleate 8 MG / codeine phosphate 54.3 MG Extended Release Oral Tablet [Tuxarin]Try another firstAmount limit
- 12 HR chlorpheniramine polistirex 0.8 MG/ML / codeine polistirex 4 MG/ML Extended Release Suspension [Tuzistra]Try another firstAmount limit