Does DakotaBlue Altru Silver ($5 Value Based Drug List) cover orforglipron?
DakotaBlue Altru Silver ($5 Value Based Drug List)
37160-37160ND2480003-0 · ACA · ACA Marketplace
orforglipron
orforglipronunder DakotaBlue Altru Silver ($5 Value Based Drug List)
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$150per 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
- Preferred brand
- 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 (6)
- orforglipron 0.8 MG Oral Tablet [Foundayo]Approval firstAmount limit
- orforglipron 14.5 MG Oral Tablet [Foundayo]Approval firstAmount limit
- orforglipron 17.2 MG Oral Tablet [Foundayo]Approval firstAmount limit
- orforglipron 2.5 MG Oral Tablet [Foundayo]Approval firstAmount limit
- orforglipron 5.5 MG Oral Tablet [Foundayo]Approval firstAmount limit
- orforglipron 9 MG Oral Tablet [Foundayo]Approval firstAmount limit