FillMapGold 22 Health

Does Gold 22 Health cover tacrolimus?

Gold 22 Health
13887-13887FL0010001-0 · ACA · ACA Marketplace
tacrolimus
tacrolimusunder Gold 22 Health
Covered — some forms require step therapy
8 of 19 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.
What you'd pay
$15per 30-day fillwith your plan

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
Required
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 (19)

  • 24 HR tacrolimus 0.5 MG Extended Release Oral Capsule [Astagraf]Try another first
  • 24 HR tacrolimus 0.75 MG Extended Release Oral Tablet [Envarsus]Try another first
  • 24 HR tacrolimus 1 MG Extended Release Oral Capsule [Astagraf]Try another first
  • 24 HR tacrolimus 1 MG Extended Release Oral Tablet [Envarsus]Try another first
  • 24 HR tacrolimus 4 MG Extended Release Oral Tablet [Envarsus]Try another first
  • 24 HR tacrolimus 5 MG Extended Release Oral Capsule [Astagraf]Try another first
  • BX Rating tacrolimus 0.5 MG Oral Capsule
  • BX Rating tacrolimus 1 MG Oral Capsule
  • BX Rating tacrolimus 5 MG Oral Capsule
  • tacrolimus 0.0003 MG/MG Topical OintmentTry another first
  • tacrolimus 0.001 MG/MG Topical OintmentTry another first
  • tacrolimus 0.2 MG Granules for Oral Suspension [Prograf]
  • tacrolimus 0.5 MG Oral Capsule
  • tacrolimus 0.5 MG Oral Capsule [Prograf]
  • tacrolimus 1 MG Granules for Oral Suspension [Prograf]
  • tacrolimus 1 MG Oral Capsule
  • tacrolimus 1 MG Oral Capsule [Prograf]
  • tacrolimus 5 MG Oral Capsule
  • tacrolimus 5 MG Oral Capsule [Prograf]

← All coverage for tacrolimus