FillMapStandard Silver 22 Health · 13887-13887FL0010002-0About this plan

Does Standard Silver 22 Health cover peanut allergenic extract?

1 · Your plan

Standard Silver 22 Health

13887-13887FL0010002-0 · ACA · ACA Marketplace

2 · Your medication

peanut allergenic extract

peanut allergenic extractunder Standard Silver 22 Health

Covered — requires prior authorization

Your plan has to approve it first — your doctor’s office handles it.

What you'd pay

$350per 30-day fill

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.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (13)

{1 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 1 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 120 MG (Level 7)]Approval first
{1 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 3 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 160 MG (Level 8)]Approval first
{1 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 20 MG (Level 4)]Approval first
{1 (peanut (Arachis hypogaea) allergen-dnfp 300 MG Oral Powder [Palforzia]) } Pack [Palforzia 300 MG (Level 11)]Approval first
{2 (peanut (Arachis hypogaea) allergen-dnfp 0.5 MG Oral Powder [Palforzia]) / 11 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia Initial Dose Escalation]Approval first
{2 (peanut (Arachis hypogaea) allergen-dnfp 0.5 MG Oral Powder [Palforzia]) / 5 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia Initial Dose Escalation (1 - 3 years)]Approval first
{2 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) / 1 (peanut (Arachis hypogaea) allergen-dnfp 10 MG Oral Powder [Palforzia]) } Pack [Palforzia 12 MG (Level 3)]Approval first
{2 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) } Pack [Palforzia 200 MG (Level 9)]Approval first
{2 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 2 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 240 MG (Level 10)]Approval first
{2 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 40 MG (Level 5)]Approval first
{3 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia 3 MG (Level 1)]Approval first
{4 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 80 MG (Level 6)]Approval first
{6 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia 6 MG (Level 2)]Approval first

← All coverage for peanut allergenic extract