Does Blue Direction Standard Gold cover nicotine?
Blue Direction Standard Gold
26065-26065SC0760004-0 · ACA · ACA Marketplace
nicotine
nicotineunder Blue Direction Standard Gold
Covered — some forms require step therapy
1 of 18 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
$0per 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
- Zero cost sharing preventive
- 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 (18)
- {14 (24 HR nicotine 0.292 MG/HR Transdermal System) / 14 (24 HR nicotine 0.583 MG/HR Transdermal System) / 28 (24 HR nicotine 0.875 MG/HR Transdermal System) } PackAmount limit
- 24 HR nicotine 0.292 MG/HR Transdermal SystemAmount limit
- 24 HR nicotine 0.292 MG/HR Transdermal System [Nicoderm C-Q]Amount limit
- 24 HR nicotine 0.583 MG/HR Transdermal SystemAmount limit
- 24 HR nicotine 0.583 MG/HR Transdermal System [Nicoderm C-Q]Amount limit
- 24 HR nicotine 0.875 MG/HR Transdermal SystemAmount limit
- 24 HR nicotine 0.875 MG/HR Transdermal System [Habitrol]Amount limit
- 24 HR nicotine 0.875 MG/HR Transdermal System [Nicoderm C-Q]Amount limit
- nicotine 0.5 MG/ACTUAT Metered Dose Nasal Spray [Nicotrol]Try another firstAmount limit
- nicotine 2 MG Chewing GumAmount limit
- nicotine 2 MG Chewing Gum [Nicorette]Amount limit
- nicotine 2 MG Chewing Gum [Thrive]Amount limit
- nicotine 2 MG Oral LozengeAmount limit
- nicotine 2 MG Oral Lozenge [Nicorette]Amount limit
- nicotine 4 MG Chewing GumAmount limit
- nicotine 4 MG Chewing Gum [Nicorette]Amount limit
- nicotine 4 MG Oral LozengeAmount limit
- nicotine 4 MG Oral Lozenge [Nicorette]Amount limit