Does Value HMO Gold 500 Medical Deductible - No deductible for office visits and Rx cover buprenorphine?
Value HMO Gold 500 Medical Deductible - No deductible for office visits and Rx
84445-84445NV0010002-0 · ACA · ACA Marketplace
buprenorphine
buprenorphineunder Value HMO Gold 500 Medical Deductible - No deductible for office visits and Rx
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
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 drugs
- Approval first
- Not needed
- 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 (23)
- 0.16 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
- 0.18 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]
- 0.27 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]
- 0.32 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
- 0.36 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]
- 0.48 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
- 0.5 ML buprenorphine 200 MG/ML Prefilled Syringe [Sublocade]Amount limit
- 0.64 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
- 1.5 ML buprenorphine 200 MG/ML Prefilled Syringe [Sublocade]Amount limit
- 168 HR buprenorphine 0.005 MG/HR Transdermal SystemAmount limit
- 168 HR buprenorphine 0.0075 MG/HR Transdermal SystemAmount limit
- 168 HR buprenorphine 0.01 MG/HR Transdermal SystemAmount limit
- 168 HR buprenorphine 0.015 MG/HR Transdermal SystemAmount limit
- 168 HR buprenorphine 0.02 MG/HR Transdermal SystemAmount limit
- buprenorphine 0.075 MG Buccal Film [Belbuca]Amount limit
- buprenorphine 0.15 MG Buccal Film [Belbuca]Amount limit
- buprenorphine 0.3 MG Buccal Film [Belbuca]Amount limit
- buprenorphine 0.45 MG Buccal Film [Belbuca]Amount limit
- buprenorphine 0.6 MG Buccal Film [Belbuca]Amount limit
- buprenorphine 0.75 MG Buccal Film [Belbuca]Amount limit
- buprenorphine 0.9 MG Buccal Film [Belbuca]Amount limit
- buprenorphine 2 MG Sublingual Tablet
- buprenorphine 8 MG Sublingual Tablet