Does HMO Catastrophic 10600 with 3 free PCP visits cover palivizumab?
HMO Catastrophic 10600 with 3 free PCP visits
86584-86584WI0010008-0 · ACA · ACA Marketplace
palivizumab
palivizumabunder HMO Catastrophic 10600 with 3 free PCP visits
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$0per 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
- 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)
- 0.5 ML palivizumab 100 MG/ML Injection [Synagis]
- 1 ML palivizumab 100 MG/ML Injection [Synagis]