Does Gold 22 Health cover glucagon?
Gold 22 Health
13887-13887FL0010001-0 · ACA · ACA Marketplace
glucagon
glucagonunder Gold 22 Health
Covered — some forms require step therapy
1 of 7 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
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
- Preferred brands
- Approval first
- Not needed
- 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.
Covered forms and strengths (7)
- 0.1 ML glucagon 5 MG/ML Auto-Injector [Gvoke]Amount limit
- 0.1 ML glucagon 5 MG/ML Prefilled Syringe [Gvoke]Amount limit
- 0.2 ML glucagon 5 MG/ML Auto-Injector [Gvoke]Amount limit
- 0.2 ML glucagon 5 MG/ML Injection [Gvoke]Amount limit
- 0.2 ML glucagon 5 MG/ML Prefilled Syringe [Gvoke]Amount limit
- glucagon (rDNA) 1 MG Injection [GlucaGen]Try another firstAmount limit
- glucagon 3 MG Nasal Powder [Baqsimi]Amount limit