FillMapGold 22 Health · 13887-13887FL0010001-0About this plan

Does Gold 22 Health cover fentanyl?

1 · Your plan

Gold 22 Health

13887-13887FL0010001-0 · ACA · ACA Marketplace

2 · Your medication

fentanyl

fentanylunder Gold 22 Health

Covered — the conditions depend on which form

Not the same for every form: 20 of 20 need your plan’s approval first, and 8 of 20 usually need a preferred medication tried first. Check your exact form in the list below — your doctor’s office handles either.

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.

Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.

Tier: Generics
Approval first: Required
Try another first: Required
Amount limit: Yes

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.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (20)

72 HR fentanyl 0.012 MG/HR Transdermal SystemApproval firstTry another firstAmount limit
72 HR fentanyl 0.025 MG/HR Transdermal SystemApproval firstTry another firstAmount limit
72 HR fentanyl 0.0375 MG/HR Transdermal SystemApproval firstTry another firstAmount limit
72 HR fentanyl 0.05 MG/HR Transdermal SystemApproval firstTry another firstAmount limit
72 HR fentanyl 0.0625 MG/HR Transdermal SystemApproval firstTry another firstAmount limit
72 HR fentanyl 0.075 MG/HR Transdermal SystemApproval firstTry another firstAmount limit
72 HR fentanyl 0.0875 MG/HR Transdermal SystemApproval firstTry another firstAmount limit
72 HR fentanyl 0.1 MG/HR Transdermal SystemApproval firstTry another firstAmount limit
fentanyl 0.2 MG Oral LozengeApproval firstAmount limit
fentanyl 0.2 MG Oral Lozenge [Actiq]Approval firstAmount limit
fentanyl 0.4 MG Oral LozengeApproval firstAmount limit
fentanyl 0.4 MG Oral Lozenge [Actiq]Approval firstAmount limit
fentanyl 0.6 MG Oral LozengeApproval firstAmount limit
fentanyl 0.6 MG Oral Lozenge [Actiq]Approval firstAmount limit
fentanyl 0.8 MG Oral LozengeApproval firstAmount limit
fentanyl 0.8 MG Oral Lozenge [Actiq]Approval firstAmount limit
fentanyl 1.2 MG Oral LozengeApproval firstAmount limit
fentanyl 1.2 MG Oral Lozenge [Actiq]Approval firstAmount limit
fentanyl 1.6 MG Oral LozengeApproval firstAmount limit
fentanyl 1.6 MG Oral Lozenge [Actiq]Approval firstAmount limit

← All coverage for fentanyl