Does Bronze 22 Health cover sirolimus?
Bronze 22 Health
13887-13887FL0010003-0 · ACA · ACA Marketplace
sirolimus
sirolimusunder Bronze 22 Health
Covered — some forms require prior authorization
1 of 9 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
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.
- Tier
- Generics
- 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 (9)
- sirolimus 0.002 MG/MG Topical Gel [Hyftor]Approval first
- sirolimus 0.5 MG Oral Tablet
- sirolimus 0.5 MG Oral Tablet [Rapamune]
- sirolimus 1 MG Oral Tablet
- sirolimus 1 MG Oral Tablet [Rapamune]
- sirolimus 1 MG/ML Oral Solution
- sirolimus 1 MG/ML Oral Solution [Rapamune]
- sirolimus 2 MG Oral Tablet
- sirolimus 2 MG Oral Tablet [Rapamune]