Does Silver AH cover acyclovir / hydrocortisone?
Silver AH
75293-75293AR1200004-0 · ACA · ACA Marketplace
acyclovir / hydrocortisone
acyclovir / hydrocortisoneunder Silver AH
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$2000per 30-day fill
From the first fill — no deductible on this drug.
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
- 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.