Does Focused Silver 22 Health cover dimethyl fumarate?
Focused Silver 22 Health
13887-13887FL0010005-0 · ACA · ACA Marketplace
dimethyl fumarate
dimethyl fumarateunder Focused Silver 22 Health
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
25%of the price your plan negotiateswith your plan
Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. 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 (6)
- {14 (dimethyl fumarate 120 MG Delayed Release Oral Capsule [Tecfidera]) / 46 (dimethyl fumarate 240 MG Delayed Release Oral Capsule [Tecfidera]) } Pack [Tecfidera 30-Day Starter Pack]Approval first
- {14 (dimethyl fumarate 120 MG Delayed Release Oral Capsule) / 46 (dimethyl fumarate 240 MG Delayed Release Oral Capsule) } PackApproval first
- dimethyl fumarate 120 MG Delayed Release Oral CapsuleApproval first
- dimethyl fumarate 120 MG Delayed Release Oral Capsule [Tecfidera]Approval first
- dimethyl fumarate 240 MG Delayed Release Oral CapsuleApproval first
- dimethyl fumarate 240 MG Delayed Release Oral Capsule [Tecfidera]Approval first