FillMapBronze 22 Health

Does Bronze 22 Health cover hydromorphone?

Bronze 22 Health
13887-13887FL0010003-0 · ACA · ACA Marketplace
hydromorphone
hydromorphoneunder Bronze 22 Health
Covered — the conditions depend on which form
Not the same for every form: 4 of 19 need your plan’s approval first, and 4 of 19 usually need a preferred medication tried first. Check your exact form in the list below — your doctor’s office handles either.
What you'd pay
$25per 30-day fill

From the first fill — no deductible on this drug.

This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.

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
Generics
Approval first
Required
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 (19)

  • 0.5 ML hydromorphone hydrochloride 1 MG/ML Prefilled Syringe
  • 0.5 ML hydromorphone hydrochloride 1 MG/ML Prefilled Syringe [Dilaudid]
  • 1 ML hydromorphone hydrochloride 1 MG/ML Prefilled Syringe
  • 1 ML hydromorphone hydrochloride 1 MG/ML Prefilled Syringe [Dilaudid]
  • 1 ML hydromorphone hydrochloride 2 MG/ML Prefilled Syringe [Dilaudid]
  • 1 ML hydromorphone hydrochloride 4 MG/ML Prefilled Syringe [Dilaudid]
  • 24 HR hydromorphone hydrochloride 12 MG Extended Release Oral TabletApproval firstTry another firstAmount limit
  • 24 HR hydromorphone hydrochloride 16 MG Extended Release Oral TabletApproval firstTry another firstAmount limit
  • 24 HR hydromorphone hydrochloride 32 MG Extended Release Oral TabletApproval firstTry another firstAmount limit
  • 24 HR hydromorphone hydrochloride 8 MG Extended Release Oral TabletApproval firstTry another firstAmount limit
  • hydromorphone hydrochloride 1 MG/ML Oral SolutionAmount limit
  • hydromorphone hydrochloride 1 MG/ML Oral Solution [Dilaudid]Amount limit
  • hydromorphone hydrochloride 2 MG Oral TabletAmount limit
  • hydromorphone hydrochloride 2 MG Oral Tablet [Dilaudid]Amount limit
  • hydromorphone hydrochloride 3 MG Rectal SuppositoryAmount limit
  • hydromorphone hydrochloride 4 MG Oral TabletAmount limit
  • hydromorphone hydrochloride 4 MG Oral Tablet [Dilaudid]Amount limit
  • hydromorphone hydrochloride 8 MG Oral TabletAmount limit
  • hydromorphone hydrochloride 8 MG Oral Tablet [Dilaudid]Amount limit

← All coverage for hydromorphone