Does AmeriHealth Caritas Next Bronze Premier + No Referrals cover follitropin beta?
AmeriHealth Caritas Next Bronze Premier + No Referrals
72760-72760DE0010006-0 · ACA · ACA Marketplace
follitropin beta
follitropin betaunder AmeriHealth Caritas Next Bronze Premier + No Referrals
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$150per 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 products
- 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 (3)
- 0.36 ML follitropin beta 833 UNT/ML Cartridge [Follistim]Approval first
- 0.72 ML follitropin beta 833 UNT/ML Cartridge [Follistim]Approval first
- 1.08 ML follitropin beta 833 UNT/ML Cartridge [Follistim]Approval first