Does Blue Advantage Bronze HMO℠ 204 cover isotretinoin?
Blue Advantage Bronze HMO℠ 204
33602-33602TX0460708-0 · ACA · ACA Marketplace
isotretinoin
isotretinoinunder Blue Advantage Bronze HMO℠ 204
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
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
- Non preferred generic
- Approval first
- Not needed
- 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 (20)
- isotretinoin 10 MG Oral CapsuleAmount limit
- isotretinoin 10 MG Oral Capsule [Accutane]Amount limit
- isotretinoin 10 MG Oral Capsule [Amnesteem]Amount limit
- isotretinoin 10 MG Oral Capsule [Claravis]Amount limit
- isotretinoin 10 MG Oral Capsule [Zenatane]Amount limit
- isotretinoin 20 MG Oral CapsuleAmount limit
- isotretinoin 20 MG Oral Capsule [Accutane]Amount limit
- isotretinoin 20 MG Oral Capsule [Amnesteem]Amount limit
- isotretinoin 20 MG Oral Capsule [Claravis]Amount limit
- isotretinoin 20 MG Oral Capsule [Zenatane]Amount limit
- isotretinoin 30 MG Oral CapsuleAmount limit
- isotretinoin 30 MG Oral Capsule [Accutane]Amount limit
- isotretinoin 30 MG Oral Capsule [Amnesteem]Amount limit
- isotretinoin 30 MG Oral Capsule [Claravis]Amount limit
- isotretinoin 30 MG Oral Capsule [Zenatane]Amount limit
- isotretinoin 40 MG Oral CapsuleAmount limit
- isotretinoin 40 MG Oral Capsule [Accutane]Amount limit
- isotretinoin 40 MG Oral Capsule [Amnesteem]Amount limit
- isotretinoin 40 MG Oral Capsule [Claravis]Amount limit
- isotretinoin 40 MG Oral Capsule [Zenatane]Amount limit