Does Smart Silver 22 Health cover hydrochlorothiazide?
Smart Silver 22 Health
13887-13887FL0010004-0 · ACA · ACA Marketplace
hydrochlorothiazide
hydrochlorothiazideunder Smart Silver 22 Health
Covered — some forms require prior authorization
1 of 5 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
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.
- Tier
- Generics
- 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 (5)
- hydrochlorothiazide 12.5 MG Oral Capsule
- hydrochlorothiazide 12.5 MG Oral Tablet
- hydrochlorothiazide 25 MG Oral Tablet
- hydrochlorothiazide 50 MG Oral Tablet
- hydrochlorothiazide 800 MG Powder for Oral Suspension [Inzirqo]Approval first