Does SoloCare Bronze EPO $8500 DED HSA 10004 cover methoxy polyethylene glycol-epoetin beta?
SoloCare Bronze EPO $8500 DED HSA 10004
29854-29854TN0010004-0 · ACA · ACA Marketplace
methoxy polyethylene glycol-epoetin beta
methoxy polyethylene glycol-epoetin betaunder SoloCare Bronze EPO $8500 DED HSA 10004
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$0per 30-day fillwith your plan
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
- Non preferred brand
- 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 (7)
- 0.3 ML methoxy polyethylene glycol-epoetin beta 0.1 MG/ML Prefilled Syringe [Mircera]Approval first
- 0.3 ML methoxy polyethylene glycol-epoetin beta 0.167 MG/ML Prefilled Syringe [Mircera]Approval first
- 0.3 ML methoxy polyethylene glycol-epoetin beta 0.25 MG/ML Prefilled Syringe [Mircera]Approval first
- 0.3 ML methoxy polyethylene glycol-epoetin beta 0.333 MG/ML Prefilled Syringe [Mircera]Approval first
- 0.3 ML methoxy polyethylene glycol-epoetin beta 0.4 MG/ML Prefilled Syringe [Mircera]Approval first
- 0.3 ML methoxy polyethylene glycol-epoetin beta 0.5 MG/ML Prefilled Syringe [Mircera]Approval first
- 0.3 ML methoxy polyethylene glycol-epoetin beta 0.667 MG/ML Prefilled Syringe [Mircera]Approval first