Does Standard Silver 22 Health cover pantoprazole?
Standard Silver 22 Health
13887-13887FL0010002-0 · ACA · ACA Marketplace
pantoprazole
pantoprazoleunder Standard Silver 22 Health
Covered — some forms require step therapy
2 of 6 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
$20per 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
- Not needed
- Try another first
- Required
- 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 (6)
- pantoprazole 20 MG Delayed Release Oral Tablet
- pantoprazole 20 MG Delayed Release Oral Tablet [Protonix]
- pantoprazole 40 MG Delayed Release Oral Tablet
- pantoprazole 40 MG Delayed Release Oral Tablet [Protonix]
- pantoprazole 40 MG Oral GranulesTry another first
- pantoprazole 40 MG Oral Granules [Protonix]Try another first