FillMapSmart Silver 22 Health · 13887-13887FL0010004-0About this plan

Does Smart Silver 22 Health cover carbidopa / levodopa?

1 · Your plan

Smart Silver 22 Health

13887-13887FL0010004-0 · ACA · ACA Marketplace

2 · Your medication

carbidopa / levodopa

carbidopa / levodopaunder Smart Silver 22 Health

Covered — the conditions depend on which form

Not the same for every form: 2 of 21 need your plan’s approval first, and 8 of 21 usually need a preferred medication tried first. Check your exact form in the list below — your doctor’s office handles either.

What you'd pay

$40per 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: Required
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 (21)

10 ML foscarbidopa 12 MG/ML / foslevodopa 240 MG/ML Injection [Vyalev]Approval first
8 HR carbidopa 23.75 MG / levodopa 95 MG Extended Release Oral Capsule [Rytary]Try another firstAmount limit
8 HR carbidopa 36.25 MG / levodopa 145 MG Extended Release Oral Capsule [Rytary]Try another firstAmount limit
8 HR carbidopa 48.75 MG / levodopa 195 MG Extended Release Oral Capsule [Rytary]Try another firstAmount limit
8 HR carbidopa 61.25 MG / levodopa 245 MG Extended Release Oral Capsule [Rytary]Try another firstAmount limit
carbidopa 10 MG / levodopa 100 MG Disintegrating Oral Tablet
carbidopa 10 MG / levodopa 100 MG Oral Tablet
carbidopa 10 MG / levodopa 100 MG Oral Tablet [Sinemet]
carbidopa 25 MG / levodopa 100 MG Disintegrating Oral Tablet
carbidopa 25 MG / levodopa 100 MG Extended Release Oral Tablet
carbidopa 25 MG / levodopa 100 MG Oral Tablet
carbidopa 25 MG / levodopa 100 MG Oral Tablet [Dhivy]
carbidopa 25 MG / levodopa 100 MG Oral Tablet [Sinemet]
carbidopa 25 MG / levodopa 250 MG Disintegrating Oral Tablet
carbidopa 25 MG / levodopa 250 MG Oral Tablet
carbidopa 35 MG / levodopa 140 MG Extended Release Oral Capsule [Crexont]Try another firstAmount limit
carbidopa 4.63 MG/ML / levodopa 20 MG/ML Oral Suspension [Duopa]Approval first
carbidopa 50 MG / levodopa 200 MG Extended Release Oral Tablet
carbidopa 52.5 MG / levodopa 210 MG Extended Release Oral Capsule [Crexont]Try another firstAmount limit
carbidopa 70 MG / levodopa 280 MG Extended Release Oral Capsule [Crexont]Try another firstAmount limit
carbidopa 87.5 MG / levodopa 350 MG Extended Release Oral Capsule [Crexont]Try another firstAmount limit

← All coverage for carbidopa / levodopa