FillMapCapital Health Plan HMO Silver 2100

Does Capital Health Plan HMO Silver 2100 cover treprostinil?

Capital Health Plan HMO Silver 2100
66966-66966FL0050002-0 · ACA · ACA Marketplace
treprostinil
treprostinilunder Capital Health Plan HMO Silver 2100
Covered — requires prior authorization
Your plan has to approve it 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
Specialty
Approval first
Required
Try another first
No
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 (22)

  • {112 (treprostinil 0.016 MG Inhalation Powder [Tyvaso]) / 112 (treprostinil 0.032 MG Inhalation Powder [Tyvaso]) / 28 (treprostinil 0.048 MG Inhalation Powder [Tyvaso]) } Pack [Tyvaso 16-32-48 MCG Titration Pack]Approval firstAmount limit
  • {112 (treprostinil 0.032 MG Inhalation Powder [Tyvaso]) / 112 (treprostinil 0.064 MG Inhalation Powder [Tyvaso]) } Pack [Tyvaso 32-64 MCG Maintenance Pack]Approval firstAmount limit
  • {112 (treprostinil 0.048 MG Inhalation Powder [Tyvaso]) / 112 (treprostinil 0.064 MG Inhalation Powder [Tyvaso]) } Pack [Tyvaso 48-64 MCG Maintenance Pack]Approval firstAmount limit
  • {112 (treprostinil 0.048 MG Inhalation Powder [Tyvaso]) / 112 (treprostinil 0.08 MG Inhalation Powder [Tyvaso]) } Pack [Tyvaso 48-80 MCG Maintenance Pack]Approval firstAmount limit
  • {126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 210 (12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 2 Titration Kit]Approval firstAmount limit
  • {126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 42 (12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 1 Titration Kit]Approval firstAmount limit
  • {126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 42 (12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]) / 84 (12 HR treprostinil 1 MG Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 3 Titration Kit]Approval firstAmount limit
  • 12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]Approval first
  • 12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]Approval first
  • 12 HR treprostinil 1 MG Extended Release Oral Tablet [Orenitram]Approval first
  • 12 HR treprostinil 2.5 MG Extended Release Oral Tablet [Orenitram]Approval first
  • 12 HR treprostinil 5 MG Extended Release Oral Tablet [Orenitram]Approval first
  • treprostinil 0.016 MG Inhalation Powder [Tyvaso]Approval firstAmount limit
  • treprostinil 0.0265 MG Inhalation Powder [Yutrepia]Approval firstAmount limit
  • treprostinil 0.032 MG Inhalation Powder [Tyvaso]Approval firstAmount limit
  • treprostinil 0.048 MG Inhalation Powder [Tyvaso]Approval firstAmount limit
  • treprostinil 0.053 MG Inhalation Powder [Yutrepia]Approval firstAmount limit
  • treprostinil 0.064 MG Inhalation Powder [Tyvaso]Approval firstAmount limit
  • treprostinil 0.0795 MG Inhalation Powder [Yutrepia]Approval firstAmount limit
  • treprostinil 0.08 MG Inhalation Powder [Tyvaso]Approval firstAmount limit
  • treprostinil 0.106 MG Inhalation Powder [Yutrepia]Approval firstAmount limit
  • treprostinil 0.6 MG/ML Inhalation Solution [Tyvaso]Approval firstAmount limit

← All coverage for treprostinil