Does Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx cover ascorbic acid / folic acid / vitamin B12 / iron carbonyl?
Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
68445-68445AZ0600020-0 · ACA · ACA Marketplace
ascorbic acid / folic acid / vitamin B12 / iron carbonyl
ascorbic acid / folic acid / vitamin B12 / iron carbonylunder Silver 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
40%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 (2)
- ascorbic acid 250 MG / folic acid 1 MG / iron carbonyl 100 MG / vitamin B12 0.025 MG Oral Tablet
- ascorbic acid 250 MG / folic acid 1 MG / iron carbonyl 100 MG / vitamin B12 0.025 MG Oral Tablet [Icar-C Plus]
← All coverage for ascorbic acid / folic acid / vitamin B12 / iron carbonyl