Does AmeriHealth Caritas Next Gold Premier + No Referrals cover follitropin alfa?
AmeriHealth Caritas Next Gold Premier + No Referrals
17414-17414NC0010014-0 · ACA · ACA Marketplace
follitropin alfa
follitropin alfaunder AmeriHealth Caritas Next Gold Premier + No Referrals
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
50%of the price your plan negotiates
Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. 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 (5)
- 0.48 ML follitropin alfa 625 UNT/ML Pen Injector [Gonal F]Approval first
- 0.72 ML follitropin alfa 625 UNT/ML Pen Injector [Gonal F]Approval first
- 1.44 ML follitropin alfa 625 UNT/ML Pen Injector [Gonal F]Approval first
- follitropin alfa 600 UNT/ML Injectable Solution [Gonal F]Approval first
- follitropin alfa 75 UNT Injection [Gonal F]Approval first