Does Blue Congaree Silver 2 + Adult Vision cover paliperidone?
Blue Congaree Silver 2 + Adult Vision
26065-26065SC0720009-0 · ACA · ACA Marketplace
paliperidone
paliperidoneunder Blue Congaree Silver 2 + Adult Vision
Covered — some forms require step therapy
2 of 23 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.
What you'd pay
50%of the price your plan negotiates
Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. 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.
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 brand
- Approval first
- Not needed
- Try another first
- Required
- 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 (23)
- 0.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]
- 0.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]
- 0.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]
- 0.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]
- 0.75 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]
- 0.75 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]
- 0.88 ML paliperidone palmitate 310 MG/ML Prefilled Syringe [Invega]
- 1 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]
- 1 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]
- 1.32 ML paliperidone palmitate 311 MG/ML Prefilled Syringe [Invega]
- 1.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]
- 1.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]
- 1.75 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]
- 2.63 ML paliperidone palmitate 311 MG/ML Prefilled Syringe [Invega]
- 24 HR paliperidone 1.5 MG Extended Release Oral TabletAmount limit
- 24 HR paliperidone 3 MG Extended Release Oral TabletAmount limit
- 24 HR paliperidone 3 MG Extended Release Oral Tablet [Invega]Amount limit
- 24 HR paliperidone 6 MG Extended Release Oral TabletAmount limit
- 24 HR paliperidone 6 MG Extended Release Oral Tablet [Invega]Amount limit
- 24 HR paliperidone 9 MG Extended Release Oral TabletAmount limit
- 24 HR paliperidone 9 MG Extended Release Oral Tablet [Invega]Amount limit
- 3.5 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]Try another first
- 5 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]Try another first