FillMapBlue Pee Dee Standard Expanded Bronze

Does Blue Pee Dee Standard Expanded Bronze cover paliperidone?

Blue Pee Dee Standard Expanded Bronze
26065-26065SC0730007-0 · ACA · ACA Marketplace
paliperidone
paliperidoneunder Blue Pee Dee Standard Expanded Bronze
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
$100per 30-day fill

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

← All coverage for paliperidone