FillMapBlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) · 30252-30252FL0140010-0About this plan

Does BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) cover everolimus?

1 · Your plan

BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

30252-30252FL0140010-0 · ACA · ACA Marketplace

2 · Your medication

everolimus

everolimusunder BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

Covered — some forms require prior authorization

22 of 30 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.

What you'd pay

$20per 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 generic
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.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (30)

everolimus 0.25 MG Oral Tablet
everolimus 0.25 MG Oral Tablet [Zortress]
everolimus 0.5 MG Oral Tablet
everolimus 0.5 MG Oral Tablet [Zortress]
everolimus 0.75 MG Oral Tablet
everolimus 0.75 MG Oral Tablet [Zortress]
everolimus 1 MG Oral Tablet
everolimus 1 MG Oral Tablet [Zortress]
everolimus 10 MG Oral TabletApproval firstAmount limit
everolimus 10 MG Oral Tablet [Afinitor]Approval firstAmount limit
everolimus 10 MG Oral Tablet [Torpenz]Approval firstAmount limit
everolimus 10 MG Oral Tablet [Yulithira]Approval firstAmount limit
everolimus 2 MG Tablet for Oral SuspensionApproval firstAmount limit
everolimus 2 MG Tablet for Oral Suspension [Afinitor]Approval firstAmount limit
everolimus 2.5 MG Oral TabletApproval firstAmount limit
everolimus 2.5 MG Oral Tablet [Afinitor]Approval firstAmount limit
everolimus 2.5 MG Oral Tablet [Torpenz]Approval firstAmount limit
everolimus 2.5 MG Oral Tablet [Yulithira]Approval firstAmount limit
everolimus 3 MG Tablet for Oral SuspensionApproval firstAmount limit
everolimus 3 MG Tablet for Oral Suspension [Afinitor]Approval firstAmount limit
everolimus 5 MG Oral TabletApproval firstAmount limit
everolimus 5 MG Oral Tablet [Afinitor]Approval firstAmount limit
everolimus 5 MG Oral Tablet [Torpenz]Approval firstAmount limit
everolimus 5 MG Oral Tablet [Yulithira]Approval firstAmount limit
everolimus 5 MG Tablet for Oral SuspensionApproval firstAmount limit
everolimus 5 MG Tablet for Oral Suspension [Afinitor]Approval firstAmount limit
everolimus 7.5 MG Oral TabletApproval firstAmount limit
everolimus 7.5 MG Oral Tablet [Afinitor]Approval firstAmount limit
everolimus 7.5 MG Oral Tablet [Torpenz]Approval firstAmount limit
everolimus 7.5 MG Oral Tablet [Yulithira]Approval firstAmount limit

← All coverage for everolimus