FillMapBronze 22 Health · 13887-13887FL0010003-0About this plan

Does Bronze 22 Health cover letermovir?

1 · Your plan

Bronze 22 Health

13887-13887FL0010003-0 · ACA · ACA Marketplace

2 · Your medication

letermovir

letermovirunder Bronze 22 Health

Covered — requires prior authorization

Your plan has to approve it 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.

Tier: Non preferred brands
Approval first: Required
Try another first: No
Amount limit: None

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.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (4)

letermovir 120 MG Oral Pellet [Prevymis]Approval first
letermovir 20 MG Oral Pellet [Prevymis]Approval first
letermovir 240 MG Oral Tablet [Prevymis]Approval first
letermovir 480 MG Oral Tablet [Prevymis]Approval first

← All coverage for letermovir