FillMapBlueSelect Silver HealthPlus without Kid's Dental

Does BlueSelect Silver HealthPlus without Kid's Dental cover epoetin alfa?

BlueSelect Silver HealthPlus without Kid's Dental
11269-11269WY0170021-0 · ACA · ACA Marketplace
epoetin alfa
epoetin alfaunder BlueSelect Silver HealthPlus without Kid's Dental
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

Tier
Tier four
Approval first
Required
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 (20)

  • 1 ML epoetin alfa 10000 UNT/ML Injection [Epogen]Approval first
  • 1 ML epoetin alfa 10000 UNT/ML Injection [Procrit]Approval first
  • 1 ML epoetin alfa 2000 UNT/ML Injection [Epogen]Approval first
  • 1 ML epoetin alfa 2000 UNT/ML Injection [Procrit]Approval first
  • 1 ML epoetin alfa 3000 UNT/ML Injection [Epogen]Approval first
  • 1 ML epoetin alfa 3000 UNT/ML Injection [Procrit]Approval first
  • 1 ML epoetin alfa 4000 UNT/ML Injection [Epogen]Approval first
  • 1 ML epoetin alfa 4000 UNT/ML Injection [Procrit]Approval first
  • 1 ML epoetin alfa 40000 UNT/ML Injection [Procrit]Approval first
  • 1 ML epoetin alfa-epbx 10000 UNT/ML Injection [Retacrit]Approval first
  • 1 ML epoetin alfa-epbx 2000 UNT/ML Injection [Retacrit]Approval first
  • 1 ML epoetin alfa-epbx 3000 UNT/ML Injection [Retacrit]Approval first
  • 1 ML epoetin alfa-epbx 4000 UNT/ML Injection [Retacrit]Approval first
  • 1 ML epoetin alfa-epbx 40000 UNT/ML Injection [Retacrit]Approval first
  • epoetin alfa 10000 UNT/ML Injectable Solution [Epogen]Approval first
  • epoetin alfa 10000 UNT/ML Injectable Solution [Procrit]Approval first
  • epoetin alfa 20000 UNT/ML Injectable Solution [Epogen]Approval first
  • epoetin alfa 20000 UNT/ML Injectable Solution [Procrit]Approval first
  • epoetin alfa-epbx 10000 UNT/ML Injectable Solution [Retacrit]Approval first
  • epoetin alfa-epbx 20000 UNT/ML Injectable Solution [Retacrit]Approval first

← All coverage for epoetin alfa