Does Bronze 22 Health cover peanut allergenic extract?
Bronze 22 Health
13887-13887FL0010003-0 · ACA · ACA Marketplace
peanut allergenic extract
peanut allergenic extractunder Bronze 22 Health
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$500per 30-day fill
Your plan’s deductible comes first — you pay the full price until it is met.
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.
- Tier
- Specialty drugs
- 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.
Covered forms and strengths (13)
- {1 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 1 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 120 MG (Level 7)]Approval first
- {1 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 3 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 160 MG (Level 8)]Approval first
- {1 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 20 MG (Level 4)]Approval first
- {1 (peanut (Arachis hypogaea) allergen-dnfp 300 MG Oral Powder [Palforzia]) } Pack [Palforzia 300 MG (Level 11)]Approval first
- {2 (peanut (Arachis hypogaea) allergen-dnfp 0.5 MG Oral Powder [Palforzia]) / 11 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia Initial Dose Escalation]Approval first
- {2 (peanut (Arachis hypogaea) allergen-dnfp 0.5 MG Oral Powder [Palforzia]) / 5 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia Initial Dose Escalation (1 - 3 years)]Approval first
- {2 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) / 1 (peanut (Arachis hypogaea) allergen-dnfp 10 MG Oral Powder [Palforzia]) } Pack [Palforzia 12 MG (Level 3)]Approval first
- {2 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) } Pack [Palforzia 200 MG (Level 9)]Approval first
- {2 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 2 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 240 MG (Level 10)]Approval first
- {2 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 40 MG (Level 5)]Approval first
- {3 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia 3 MG (Level 1)]Approval first
- {4 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 80 MG (Level 6)]Approval first
- {6 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia 6 MG (Level 2)]Approval first