Does AvMed Entrust Gold Standard (2026) cover fitusiran?
AvMed Entrust Gold Standard (2026)
19898-19898FL0340072-0 · ACA · ACA Marketplace
fitusiran
fitusiranunder AvMed Entrust Gold Standard (2026)
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$250per 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.
Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.
- Tier
- Specialty drugs
- Approval first
- Required
- Try another first
- No
- Amount limit
- Yes
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)
- 0.2 ML fitusiran 100 MG/ML Injection [Qfitlia]Approval firstAmount limit
- 0.5 ML fitusiran 100 MG/ML Auto-Injector [Qfitlia]Approval firstAmount limit