Does Gold 22 Health cover lidocaine?
Gold 22 Health
13887-13887FL0010001-0 · ACA · ACA Marketplace
lidocaine
lidocaineunder Gold 22 Health
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
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
- Not needed
- Try another first
- No
- 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 (11)
- lidocaine 0.05 MG/MG Medicated PatchAmount limit
- lidocaine 0.05 MG/MG Medicated Patch [Lidocan]Amount limit
- lidocaine 0.05 MG/MG Medicated Patch [Lidoderm]Amount limit
- lidocaine 0.05 MG/MG Topical OintmentAmount limit
- lidocaine hydrochloride 0.02 MG/MG Topical Gel
- lidocaine hydrochloride 0.02 MG/MG Topical Gel [Glydo]
- lidocaine hydrochloride 0.035 MG/MG Ophthalmic Gel [Akten]
- lidocaine hydrochloride 0.04 MG/MG Topical Gel [Tranzarel]
- lidocaine hydrochloride 20 MG/ML Mucous Membrane Topical Solution
- lidocaine hydrochloride 30 MG/ML Topical Cream
- lidocaine hydrochloride 40 MG/ML Mucous Membrane Topical Solution