Does Standard Silver 22 Health cover raltegravir?
Standard Silver 22 Health
13887-13887FL0010002-0 · ACA · ACA Marketplace
raltegravir
raltegravirunder Standard Silver 22 Health
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
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
- Preferred brands
- Approval first
- Not needed
- Try another first
- No
- 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 (5)
- raltegravir 100 MG Chewable Tablet [Isentress]Amount limit
- raltegravir 100 MG Granules for Oral Suspension [Isentress]Amount limit
- raltegravir 25 MG Chewable Tablet [Isentress]Amount limit
- raltegravir 400 MG Oral Tablet [Isentress]Amount limit
- raltegravir 600 MG Oral Tablet [Isentress]Amount limit