Does Gold 22 Health cover phenytoin?
Gold 22 Health
13887-13887FL0010001-0 · ACA · ACA Marketplace
phenytoin
phenytoinunder 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.
- Tier
- Generics
- Approval first
- Not needed
- 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 (11)
- phenytoin 25 MG/ML Oral Suspension
- phenytoin 25 MG/ML Oral Suspension [Dilantin]
- phenytoin 50 MG Chewable Tablet
- phenytoin 50 MG Chewable Tablet [Dilantin]
- phenytoin sodium 100 MG Extended Release Oral Capsule
- phenytoin sodium 100 MG Extended Release Oral Capsule [Dilantin]
- phenytoin sodium 200 MG Extended Release Oral Capsule
- phenytoin sodium 200 MG Extended Release Oral Capsule [Phenytek]
- phenytoin sodium 30 MG Extended Release Oral Capsule [Dilantin]
- phenytoin sodium 300 MG Extended Release Oral Capsule
- phenytoin sodium 300 MG Extended Release Oral Capsule [Phenytek]