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

Does Gold 22 Health cover iloperidone?

1 · Your plan

Gold 22 Health

13887-13887FL0010001-0 · ACA · ACA Marketplace

2 · Your medication

iloperidone

iloperidoneunder Gold 22 Health

Covered — requires step therapy

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: Non 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.

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 (10)

{2 (iloperidone 1 MG Oral Tablet [Fanapt]) / 2 (iloperidone 2 MG Oral Tablet [Fanapt]) / 2 (iloperidone 4 MG Oral Tablet [Fanapt]) / 2 (iloperidone 6 MG Oral Tablet [Fanapt]) } Pack [Fanapt Titration Pack]Try another firstAmount limit
{4 (iloperidone 1 MG Oral Tablet [Fanapt]) / 2 (iloperidone 2 MG Oral Tablet [Fanapt]) / 2 (iloperidone 6 MG Oral Tablet [Fanapt]) } Pack [Fanapt Titration Pack C]Try another firstAmount limit
{6 (iloperidone 1 MG Oral Tablet [Fanapt]) / 2 (iloperidone 2 MG Oral Tablet [Fanapt]) / 2 (iloperidone 6 MG Oral Tablet [Fanapt]) / 2 (iloperidone 8 MG Oral Tablet [Fanapt]) } Pack [Fanapt Titration Pack B]Try another firstAmount limit
iloperidone 1 MG Oral Tablet [Fanapt]Try another firstAmount limit
iloperidone 10 MG Oral Tablet [Fanapt]Try another firstAmount limit
iloperidone 12 MG Oral Tablet [Fanapt]Try another firstAmount limit
iloperidone 2 MG Oral Tablet [Fanapt]Try another firstAmount limit
iloperidone 4 MG Oral Tablet [Fanapt]Try another firstAmount limit
iloperidone 6 MG Oral Tablet [Fanapt]Try another firstAmount limit
iloperidone 8 MG Oral Tablet [Fanapt]Try another firstAmount limit

← All coverage for iloperidone