Does Gold 22 Health cover hydroxyurea?
Gold 22 Health
13887-13887FL0010001-0 · ACA · ACA Marketplace
hydroxyurea
hydroxyureaunder Gold 22 Health
Covered — the conditions depend on which form
Not the same for every form: 1 of 8 need your plan’s approval first, and 1 of 8 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.
Covered forms and strengths (8)
- hydroxyurea 100 MG Oral Tablet [Siklos]Amount limit
- hydroxyurea 100 MG/ML Oral Solution [Xromi]Approval first
- hydroxyurea 1000 MG Oral Tablet [Siklos]Try another first
- hydroxyurea 200 MG Oral Capsule [Droxia]
- hydroxyurea 300 MG Oral Capsule [Droxia]
- hydroxyurea 400 MG Oral Capsule [Droxia]
- hydroxyurea 500 MG Oral Capsule
- hydroxyurea 500 MG Oral Capsule [Hydrea]