Does Community Ultra Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) cover hydrocortisone?
Community Ultra Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
11718-11718TX0140022-0 · ACA · ACA Marketplace
hydrocortisone
hydrocortisoneunder Community Ultra Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Covered — some forms require prior authorization
3 of 32 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$50per 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
- Preferred brand
- 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 (32)
- hydrocortisone 0.01 MG/MG Topical Ointment
- hydrocortisone 0.01 MG/MG Topical Ointment [Aquaphor Itch Relief]
- hydrocortisone 0.01 MG/MG Topical Ointment [Cortizone]
- hydrocortisone 0.025 MG/MG Topical Ointment
- hydrocortisone 0.5 MG Oral Granules [Alkindi]Approval firstAmount limit
- hydrocortisone 1 MG Oral Granules [Alkindi]Approval firstAmount limit
- hydrocortisone 1 MG/ML Oral Solution [Khindivi]Approval firstAmount limit
- hydrocortisone 1.67 MG/ML Enema
- hydrocortisone 10 MG Oral Tablet
- hydrocortisone 10 MG/ML Topical Cream
- hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]
- hydrocortisone 10 MG/ML Topical Cream [Cortizone]
- hydrocortisone 10 MG/ML Topical Lotion
- hydrocortisone 10 MG/ML Topical Lotion [Aquanil HC]
- hydrocortisone 10 MG/ML Topical Lotion [Beta-HC]
- hydrocortisone 10 MG/ML Topical Lotion [Cortizone]
- hydrocortisone 10 MG/ML Topical Solution [Sarnol-HC]
- hydrocortisone 100 MG InjectionAmount limit
- hydrocortisone 100 MG Injection [Solu-Cortef]Amount limit
- hydrocortisone 1000 MG Injection [Solu-Cortef]Amount limit
- hydrocortisone 20 MG Oral Tablet
- hydrocortisone 20 MG/ML Topical Lotion [Nucort]
- hydrocortisone 25 MG/ML Topical Cream
- hydrocortisone 25 MG/ML Topical Cream [Procto-Med]
- hydrocortisone 25 MG/ML Topical Cream [Proctosol]
- hydrocortisone 25 MG/ML Topical Cream [Proctozone HC]
- hydrocortisone 25 MG/ML Topical Lotion
- hydrocortisone 250 MG Injection [Solu-Cortef]Amount limit
- hydrocortisone 5 MG Oral Tablet
- hydrocortisone 5 MG/ML Topical Cream
- hydrocortisone 500 MG Injection [Solu-Cortef]Amount limit
- hydrocortisone acetate 100 MG/ML Rectal Foam [Cortifoam]