FillMapSmart Silver 22 Health

Does Smart Silver 22 Health cover eltrombopag?

Smart Silver 22 Health
13887-13887FL0010004-0 · ACA · ACA Marketplace
eltrombopag
eltrombopagunder Smart Silver 22 Health
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
50%of the price your plan negotiates

Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. Your plan’s deductible comes first — you pay the full price until it is met.

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
Specialty drugs
Approval first
Required
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 (16)

  • eltrombopag 12.5 MG Oral TabletApproval first
  • eltrombopag 12.5 MG Oral Tablet [Promacta]Approval first
  • eltrombopag 12.5 MG Powder for Oral SuspensionApproval first
  • eltrombopag 12.5 MG Powder for Oral Suspension [Promacta]Approval first
  • eltrombopag 18 MG Oral Tablet [Alvaiz]Approval first
  • eltrombopag 25 MG Oral TabletApproval first
  • eltrombopag 25 MG Oral Tablet [Promacta]Approval first
  • eltrombopag 25 MG Powder for Oral SuspensionApproval first
  • eltrombopag 25 MG Powder for Oral Suspension [Promacta]Approval first
  • eltrombopag 36 MG Oral Tablet [Alvaiz]Approval first
  • eltrombopag 50 MG Oral TabletApproval first
  • eltrombopag 50 MG Oral Tablet [Promacta]Approval first
  • eltrombopag 54 MG Oral Tablet [Alvaiz]Approval first
  • eltrombopag 75 MG Oral TabletApproval first
  • eltrombopag 75 MG Oral Tablet [Promacta]Approval first
  • eltrombopag 9 MG Oral Tablet [Alvaiz]Approval first

← All coverage for eltrombopag