FillMapStandard Expanded Bronze · 91450-91450AZ0080122-0About this plan

Does Standard Expanded Bronze cover dexrazoxane?

1 · Your plan

Standard Expanded Bronze

91450-91450AZ0080122-0 · ACA · ACA Marketplace

2 · Your medication

dexrazoxane

dexrazoxaneunder Standard Expanded Bronze

Covered — requires prior authorization

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

What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

Tier: Medicalservicedrugs
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 (2)

dexrazoxane 250 MG InjectionApproval first
dexrazoxane 500 MG InjectionApproval first

← All coverage for dexrazoxane