Does Smart Silver 22 Health cover pilocarpine?
Smart Silver 22 Health
13887-13887FL0010004-0 · ACA · ACA Marketplace
pilocarpine
pilocarpineunder Smart Silver 22 Health
Covered — some forms require step therapy
1 of 10 covered forms have a condition attached. You may need to try a cheaper medication 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.
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
- Not needed
- 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 (10)
- pilocarpine hydrochloride 10 MG/ML Ophthalmic Solution
- pilocarpine hydrochloride 12.5 MG/ML Ophthalmic SolutionAmount limit
- pilocarpine hydrochloride 12.5 MG/ML Ophthalmic Solution [Vuity]Amount limit
- pilocarpine hydrochloride 20 MG/ML Ophthalmic Solution
- pilocarpine hydrochloride 4 MG/ML Ophthalmic Solution [Qlosi]Try another firstAmount limit
- pilocarpine hydrochloride 40 MG/ML Ophthalmic Solution
- pilocarpine hydrochloride 5 MG Oral Tablet
- pilocarpine hydrochloride 5 MG Oral Tablet [Salagen]
- pilocarpine hydrochloride 7.5 MG Oral Tablet
- pilocarpine hydrochloride 7.5 MG Oral Tablet [Salagen]