Does Gold 22 Health cover lenacapavir?
Gold 22 Health
13887-13887FL0010001-0 · ACA · ACA Marketplace
lenacapavir
lenacapavirunder Gold 22 Health
Covered — requires prior authorization
Your plan has to approve it 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.
- Tier
- Preferred brands
- Approval first
- Required
- 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 (8)
- {2 (1.5 ML lenacapavir 309 MG/ML Injection [Sunlenca]) } Pack [Sunlenca 927 MG Kit]Approval first
- {2 (1.5 ML lenacapavir 309 MG/ML Injection [Yeztugo]) } Pack [Yeztugo 927 MG Kit]Approval first
- {4 (lenacapavir 300 MG Oral Tablet [Sunlenca]) } Pack [Sunlenca 4-Tablet Pack]Approval first
- {5 (lenacapavir 300 MG Oral Tablet [Sunlenca]) } Pack [Sunlenca 5-Tablet Pack]Approval first
- 1.5 ML lenacapavir 309 MG/ML Injection [Sunlenca]Approval first
- 1.5 ML lenacapavir 309 MG/ML Injection [Yeztugo]Approval first
- lenacapavir 300 MG Oral Tablet [Sunlenca]Approval first
- lenacapavir 300 MG Oral Tablet [Yeztugo]Approval first