FillMapSmart Silver 22 Health

Does Smart Silver 22 Health cover doxycycline?

Smart Silver 22 Health
13887-13887FL0010004-0 · ACA · ACA Marketplace
doxycycline
doxycyclineunder Smart Silver 22 Health
Covered — the conditions depend on which form
Not the same for every form: 2 of 27 need your plan’s approval first, and 8 of 27 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 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.

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.

Covered forms and strengths (27)

  • doxycycline anhydrous 40 MG Delayed Release Oral CapsuleApproval first
  • doxycycline anhydrous 40 MG Delayed Release Oral Capsule [Oracea]Approval first
  • doxycycline hyclate 100 MG Oral CapsuleAmount limit
  • doxycycline hyclate 100 MG Oral Capsule [Morgidox]Amount limit
  • doxycycline hyclate 100 MG Oral Capsule [Vibramycin]Amount limit
  • doxycycline hyclate 100 MG Oral Tablet
  • doxycycline hyclate 150 MG Oral TabletTry another firstAmount limit
  • doxycycline hyclate 150 MG Oral Tablet [Acticlate]Try another firstAmount limit
  • doxycycline hyclate 20 MG Oral Tablet
  • doxycycline hyclate 50 MG Oral CapsuleAmount limit
  • doxycycline hyclate 50 MG Oral Capsule [Morgidox]Amount limit
  • doxycycline hyclate 50 MG Oral TabletTry another firstAmount limit
  • doxycycline hyclate 50 MG Oral Tablet [Targadox]Try another firstAmount limit
  • doxycycline hyclate 75 MG Oral TabletTry another firstAmount limit
  • doxycycline hyclate 75 MG Oral Tablet [Acticlate]Try another firstAmount limit
  • doxycycline monohydrate 100 MG Oral Capsule
  • doxycycline monohydrate 100 MG Oral Capsule [Mondoxyne]
  • doxycycline monohydrate 100 MG Oral TabletAmount limit
  • doxycycline monohydrate 100 MG Oral Tablet [Avidoxy]Amount limit
  • doxycycline monohydrate 150 MG Oral CapsuleAmount limit
  • doxycycline monohydrate 150 MG Oral TabletAmount limit
  • doxycycline monohydrate 5 MG/ML Oral Suspension
  • doxycycline monohydrate 50 MG Oral Capsule
  • doxycycline monohydrate 50 MG Oral Tablet
  • doxycycline monohydrate 75 MG Oral CapsuleTry another firstAmount limit
  • doxycycline monohydrate 75 MG Oral Capsule [Mondoxyne]Try another firstAmount limit
  • doxycycline monohydrate 75 MG Oral Tablet

← All coverage for doxycycline