Does Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx cover salicylic acid?
Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
68445-68445AZ0600010-0 · ACA · ACA Marketplace
salicylic acid
salicylic acidunder Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
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
- Non preferred brand
- Approval first
- Not needed
- 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 (9)
- salicylic acid 20 MG/ML Medicated Shampoo [P & S]
- salicylic acid 30 MG/ML Medicated Shampoo
- salicylic acid 30 MG/ML Medicated Shampoo [Denorex Extra Strength Reformulated Aug 2012]
- salicylic acid 30 MG/ML Medicated Shampoo [DHS Salicylic Acid 3%]
- salicylic acid 30 MG/ML Medicated Shampoo [MG217 Psoriasis Salicylic Acid]
- salicylic acid 30 MG/ML Medicated Shampoo [Nizoral Psoriasis]
- salicylic acid 30 MG/ML Medicated Shampoo [Selsun Blue Naturals]
- salicylic acid 60 MG/ML Medicated Shampoo
- salicylic acid 60 MG/ML Medicated Shampoo [Keralyt]