Does Gold 22 Health cover amoxicillin / clavulanate?
Gold 22 Health
13887-13887FL0010001-0 · ACA · ACA Marketplace
amoxicillin / clavulanate
amoxicillin / clavulanateunder Gold 22 Health
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$15per 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
- Not needed
- 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 (14)
- 12 HR amoxicillin 1000 MG / clavulanate 62.5 MG Extended Release Oral Tablet
- 12 HR amoxicillin 1000 MG / clavulanate 62.5 MG Extended Release Oral Tablet [Augmentin]
- amoxicillin 120 MG/ML / clavulanate 8.58 MG/ML Oral Suspension
- amoxicillin 120 MG/ML / clavulanate 8.58 MG/ML Oral Suspension [Augmentin]
- amoxicillin 200 MG / clavulanate 28.5 MG Chewable Tablet
- amoxicillin 250 MG / clavulanate 125 MG Oral Tablet
- amoxicillin 40 MG/ML / clavulanate 5.7 MG/ML Oral Suspension
- amoxicillin 400 MG / clavulanate 57 MG Chewable Tablet
- amoxicillin 50 MG/ML / clavulanate 12.5 MG/ML Oral Suspension
- amoxicillin 50 MG/ML / clavulanate 12.5 MG/ML Oral Suspension [Augmentin]
- amoxicillin 500 MG / clavulanate 125 MG Oral Tablet
- amoxicillin 500 MG / clavulanate 125 MG Oral Tablet [Augmentin]
- amoxicillin 80 MG/ML / clavulanate 11.4 MG/ML Oral Suspension
- amoxicillin 875 MG / clavulanate 125 MG Oral Tablet