FillMapStandard Silver 22 Health

Does Standard Silver 22 Health cover phenylbutyrate?

Standard Silver 22 Health
13887-13887FL0010002-0 · ACA · ACA Marketplace
phenylbutyrate
phenylbutyrateunder 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.

Covered forms and strengths (11)

  • {1 (sodium phenylbutyrate 2000 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 2 GM Pack]Approval first
  • {1 (sodium phenylbutyrate 2000 MG Granules for Oral Suspension [Olpruva]) / 1 (sodium phenylbutyrate 3000 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 5 GM Pack]Approval first
  • {1 (sodium phenylbutyrate 3000 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 3 GM Pack]Approval first
  • {1 (sodium phenylbutyrate 3000 MG Granules for Oral Suspension [Olpruva]) / 1 (sodium phenylbutyrate 3670 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 6.67 GM Pack]Approval first
  • {2 (sodium phenylbutyrate 2000 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 4 GM Pack]Approval first
  • {2 (sodium phenylbutyrate 3000 MG Granules for Oral Suspension [Olpruva]) } Pack [Olpruva 6 GM Pack]Approval first
  • sodium phenylbutyrate 0.483 MG/MG Oral Pellet [Pheburane]Approval first
  • sodium phenylbutyrate 0.94 MG/MG Oral PowderApproval first
  • sodium phenylbutyrate 0.94 MG/MG Oral Powder [Buphenyl]Approval first
  • sodium phenylbutyrate 500 MG Oral TabletApproval first
  • sodium phenylbutyrate 500 MG Oral Tablet [Buphenyl]Approval first

← All coverage for phenylbutyrate