Does Bronze 22 Health cover phenylbutyrate?
Bronze 22 Health
13887-13887FL0010003-0 · ACA · ACA Marketplace
phenylbutyrate
phenylbutyrateunder 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 (11)
- {1 (sodium phenylbutyrate 2000 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 2 GM Pack]Approval first
- {1 (sodium phenylbutyrate 2000 MG Granules for Oral Suspension [Olpruva]) / 1 (sodium phenylbutyrate 3000 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 5 GM Pack]Approval first
- {1 (sodium phenylbutyrate 3000 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 3 GM Pack]Approval first
- {1 (sodium phenylbutyrate 3000 MG Granules for Oral Suspension [Olpruva]) / 1 (sodium phenylbutyrate 3670 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 6.67 GM Pack]Approval first
- {2 (sodium phenylbutyrate 2000 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 4 GM Pack]Approval first
- {2 (sodium phenylbutyrate 3000 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 6 GM Pack]Approval first
- sodium phenylbutyrate 0.483 MG/MG Oral Pellet [Pheburane]Approval first
- sodium phenylbutyrate 0.94 MG/MG Oral PowderApproval first
- sodium phenylbutyrate 0.94 MG/MG Oral Powder [Buphenyl]Approval first
- sodium phenylbutyrate 500 MG Oral TabletApproval first
- sodium phenylbutyrate 500 MG Oral Tablet [Buphenyl]Approval first