Does ConnectPlus Standard $7500 HSA Eligible HDHP cover codeine / phenylephrine / dexchlorpheniramine?
ConnectPlus Standard $7500 HSA Eligible HDHP
60536-60536SD0020066-0 · ACA · ACA Marketplace
codeine / phenylephrine / dexchlorpheniramine
codeine / phenylephrine / dexchlorpheniramineunder ConnectPlus Standard $7500 HSA Eligible HDHP
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$100per 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
- 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.