Does Smart Silver 22 Health cover hyaluronate?
Smart Silver 22 Health
13887-13887FL0010004-0 · ACA · ACA Marketplace
hyaluronate
hyaluronateunder 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
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
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
- Non preferred brands
- Approval first
- Required
- Try another first
- No
- 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 (8)
- 2 ML sodium hyaluronate 10 MG/ML Injection [Hyalgan]Approval firstAmount limit
- 2 ML sodium hyaluronate 10 MG/ML Prefilled Syringe [Euflexxa]Approval firstAmount limit
- 2 ML sodium hyaluronate 15 MG/ML Prefilled Syringe [Orthovisc]Approval firstAmount limit
- 2 ML sodium hyaluronate 8.4 MG/ML Prefilled Syringe [Gel-Syn]Approval firstAmount limit
- 3 ML hyaluronic acid 8 MG/ML Prefilled Syringe [Hymovis]Approval firstAmount limit
- 3 ML sodium hyaluronate 10 MG/ML Prefilled Syringe [Gel-One]Approval firstAmount limit
- 3 ML sodium hyaluronate 20 MG/ML Prefilled Syringe [Durolane]Approval firstAmount limit
- 4 ML sodium hyaluronate 22 MG/ML Prefilled Syringe [Monovisc]Approval firstAmount limit