Does Smart Silver 22 Health cover treprostinil?
Smart Silver 22 Health
13887-13887FL0010004-0 · ACA · ACA Marketplace
treprostinil
treprostinilunder 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 (28)
- {112 (treprostinil 0.016 MG Inhalation Powder [Tyvaso]) / 112 (treprostinil 0.032 MG Inhalation Powder [Tyvaso]) / 28 (treprostinil 0.048 MG Inhalation Powder [Tyvaso]) } Pack [Tyvaso 16-32-48 MCG Titration Pack]Approval first
- {112 (treprostinil 0.016 MG Inhalation Powder [Tyvaso]) / 84 (treprostinil 0.032 MG Inhalation Powder [Tyvaso]) } Pack [Tyvaso 16-32 MCG Titration Pack]Approval first
- {112 (treprostinil 0.032 MG Inhalation Powder [Tyvaso]) / 112 (treprostinil 0.048 MG Inhalation Powder [Tyvaso]) } Pack [Tyvaso 32-48 MCG Maintenance Pack]Approval first
- {126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 210 (12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 2 Titration Kit]Approval first
- {126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 42 (12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 1 Titration Kit]Approval first
- {126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 42 (12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]) / 84 (12 HR treprostinil 1 MG Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 3 Titration Kit]Approval first
- 12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]Approval first
- 12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]Approval first
- 12 HR treprostinil 1 MG Extended Release Oral Tablet [Orenitram]Approval first
- 12 HR treprostinil 2.5 MG Extended Release Oral Tablet [Orenitram]Approval first
- 12 HR treprostinil 5 MG Extended Release Oral Tablet [Orenitram]Approval first
- treprostinil 0.016 MG Inhalation Powder [Tyvaso]Approval first
- treprostinil 0.0265 MG Inhalation Powder [Yutrepia]Approval first
- treprostinil 0.032 MG Inhalation Powder [Tyvaso]Approval first
- treprostinil 0.048 MG Inhalation Powder [Tyvaso]Approval first
- treprostinil 0.053 MG Inhalation Powder [Yutrepia]Approval first
- treprostinil 0.064 MG Inhalation Powder [Tyvaso]Approval first
- treprostinil 0.0795 MG Inhalation Powder [Yutrepia]Approval first
- treprostinil 0.106 MG Inhalation Powder [Yutrepia]Approval first
- treprostinil 0.6 MG/ML Inhalation Solution [Tyvaso]Approval first
- treprostinil 1 MG/ML Injectable SolutionApproval first
- treprostinil 1 MG/ML Injectable Solution [Remodulin]Approval first
- treprostinil 10 MG/ML Injectable SolutionApproval first
- treprostinil 10 MG/ML Injectable Solution [Remodulin]Approval first
- treprostinil 2.5 MG/ML Injectable SolutionApproval first
- treprostinil 2.5 MG/ML Injectable Solution [Remodulin]Approval first
- treprostinil 5 MG/ML Injectable SolutionApproval first
- treprostinil 5 MG/ML Injectable Solution [Remodulin]Approval first