FillMapSmart Silver 22 Health

Does Smart Silver 22 Health cover pramipexole?

Smart Silver 22 Health
13887-13887FL0010004-0 · ACA · ACA Marketplace
pramipexole
pramipexoleunder Smart Silver 22 Health
Covered — some forms require step therapy
14 of 20 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 (20)

  • 24 HR pramipexole dihydrochloride 0.375 MG Extended Release Oral TabletTry another firstAmount limit
  • 24 HR pramipexole dihydrochloride 0.375 MG Extended Release Oral Tablet [Mirapex]Try another firstAmount limit
  • 24 HR pramipexole dihydrochloride 0.75 MG Extended Release Oral TabletTry another firstAmount limit
  • 24 HR pramipexole dihydrochloride 0.75 MG Extended Release Oral Tablet [Mirapex]Try another firstAmount limit
  • 24 HR pramipexole dihydrochloride 1.5 MG Extended Release Oral TabletTry another firstAmount limit
  • 24 HR pramipexole dihydrochloride 1.5 MG Extended Release Oral Tablet [Mirapex]Try another firstAmount limit
  • 24 HR pramipexole dihydrochloride 2.25 MG Extended Release Oral TabletTry another firstAmount limit
  • 24 HR pramipexole dihydrochloride 2.25 MG Extended Release Oral Tablet [Mirapex]Try another firstAmount limit
  • 24 HR pramipexole dihydrochloride 3 MG Extended Release Oral TabletTry another firstAmount limit
  • 24 HR pramipexole dihydrochloride 3 MG Extended Release Oral Tablet [Mirapex]Try another firstAmount limit
  • 24 HR pramipexole dihydrochloride 3.75 MG Extended Release Oral TabletTry another firstAmount limit
  • 24 HR pramipexole dihydrochloride 3.75 MG Extended Release Oral Tablet [Mirapex]Try another firstAmount limit
  • 24 HR pramipexole dihydrochloride 4.5 MG Extended Release Oral TabletTry another firstAmount limit
  • 24 HR pramipexole dihydrochloride 4.5 MG Extended Release Oral Tablet [Mirapex]Try another firstAmount limit
  • pramipexole dihydrochloride 0.125 MG Oral Tablet
  • pramipexole dihydrochloride 0.25 MG Oral Tablet
  • pramipexole dihydrochloride 0.5 MG Oral Tablet
  • pramipexole dihydrochloride 0.75 MG Oral Tablet
  • pramipexole dihydrochloride 1 MG Oral Tablet
  • pramipexole dihydrochloride 1.5 MG Oral Tablet

← All coverage for pramipexole