Does 36239ky1210100 cover diltiazem?
36239ky1210100
36239-36239KY1210100-0 · ACA · ACA Marketplace
diltiazem
diltiazemunder 36239ky1210100
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
- Tier two
- 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 (37)
- 12 HR diltiazem hydrochloride 120 MG Extended Release Oral CapsuleAmount limit
- 12 HR diltiazem hydrochloride 60 MG Extended Release Oral Capsule
- 12 HR diltiazem hydrochloride 90 MG Extended Release Oral CapsuleAmount limit
- 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule
- 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Cartia]
- 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Dilt]
- 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Tiadylt]
- 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Tablet
- 24 HR diltiazem hydrochloride 180 MG Extended Release Oral CapsuleAmount limit
- 24 HR diltiazem hydrochloride 180 MG Extended Release Oral Capsule [Cartia]Amount limit
- 24 HR diltiazem hydrochloride 180 MG Extended Release Oral Capsule [Dilt]Amount limit
- 24 HR diltiazem hydrochloride 180 MG Extended Release Oral Capsule [Tiadylt]Amount limit
- 24 HR diltiazem hydrochloride 180 MG Extended Release Oral TabletAmount limit
- 24 HR diltiazem hydrochloride 180 MG Extended Release Oral Tablet [Matzim]Amount limit
- 24 HR diltiazem hydrochloride 240 MG Extended Release Oral CapsuleAmount limit
- 24 HR diltiazem hydrochloride 240 MG Extended Release Oral Capsule [Cartia]Amount limit
- 24 HR diltiazem hydrochloride 240 MG Extended Release Oral Capsule [Dilt]Amount limit
- 24 HR diltiazem hydrochloride 240 MG Extended Release Oral Capsule [Tiadylt]Amount limit
- 24 HR diltiazem hydrochloride 240 MG Extended Release Oral TabletAmount limit
- 24 HR diltiazem hydrochloride 240 MG Extended Release Oral Tablet [Matzim]Amount limit
- 24 HR diltiazem hydrochloride 300 MG Extended Release Oral CapsuleAmount limit
- 24 HR diltiazem hydrochloride 300 MG Extended Release Oral Capsule [Cartia]Amount limit
- 24 HR diltiazem hydrochloride 300 MG Extended Release Oral Capsule [Tiadylt]Amount limit
- 24 HR diltiazem hydrochloride 300 MG Extended Release Oral TabletAmount limit
- 24 HR diltiazem hydrochloride 300 MG Extended Release Oral Tablet [Matzim]Amount limit
- 24 HR diltiazem hydrochloride 360 MG Extended Release Oral CapsuleAmount limit
- 24 HR diltiazem hydrochloride 360 MG Extended Release Oral Capsule [Tiadylt]Amount limit
- 24 HR diltiazem hydrochloride 360 MG Extended Release Oral TabletAmount limit
- 24 HR diltiazem hydrochloride 360 MG Extended Release Oral Tablet [Matzim]Amount limit
- 24 HR diltiazem hydrochloride 420 MG Extended Release Oral CapsuleAmount limit
- 24 HR diltiazem hydrochloride 420 MG Extended Release Oral Capsule [Tiadylt]Amount limit
- 24 HR diltiazem hydrochloride 420 MG Extended Release Oral TabletAmount limit
- 24 HR diltiazem hydrochloride 420 MG Extended Release Oral Tablet [Matzim]Amount limit
- diltiazem hydrochloride 120 MG Oral TabletAmount limit
- diltiazem hydrochloride 30 MG Oral Tablet
- diltiazem hydrochloride 60 MG Oral Tablet
- diltiazem hydrochloride 90 MG Oral TabletAmount limit