FillMapBlueEssentials Bronze 4

Does BlueEssentials Bronze 4 cover paliperidone?

BlueEssentials Bronze 4
26065-26065SC0380013-0 · ACA · ACA Marketplace
paliperidone
paliperidoneunder BlueEssentials Bronze 4
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

← All coverage for paliperidone