FillMapmyBlue Silver 25M02-03E ($0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards) · 30252-30252FL0200038-0About this plan

Does myBlue Silver 25M02-03E ($0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards) cover buprenorphine?

1 · Your plan

myBlue Silver 25M02-03E ($0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards)

30252-30252FL0200038-0 · ACA · ACA Marketplace

2 · Your medication

buprenorphine

buprenorphineunder myBlue Silver 25M02-03E ($0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards)

Covered — some forms require prior authorization

21 of 23 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.

What you'd pay

$70per 30-day fill

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: 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.

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 (23)

0.16 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]Approval firstAmount limit
0.18 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]Approval firstAmount limit
0.27 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]Approval firstAmount limit
0.32 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]Approval firstAmount limit
0.36 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]Approval firstAmount limit
0.48 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]Approval firstAmount limit
0.5 ML buprenorphine 200 MG/ML Prefilled Syringe [Sublocade]Approval firstAmount limit
0.64 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]Approval firstAmount limit
1.5 ML buprenorphine 200 MG/ML Prefilled Syringe [Sublocade]Approval firstAmount limit
168 HR buprenorphine 0.005 MG/HR Transdermal SystemApproval firstAmount limit
168 HR buprenorphine 0.0075 MG/HR Transdermal SystemApproval firstAmount limit
168 HR buprenorphine 0.01 MG/HR Transdermal SystemApproval firstAmount limit
168 HR buprenorphine 0.015 MG/HR Transdermal SystemApproval firstAmount limit
168 HR buprenorphine 0.02 MG/HR Transdermal SystemApproval firstAmount limit
buprenorphine 0.075 MG Buccal Film [Belbuca]Approval firstAmount limit
buprenorphine 0.15 MG Buccal Film [Belbuca]Approval firstAmount limit
buprenorphine 0.3 MG Buccal Film [Belbuca]Approval firstAmount limit
buprenorphine 0.45 MG Buccal Film [Belbuca]Approval firstAmount limit
buprenorphine 0.6 MG Buccal Film [Belbuca]Approval firstAmount limit
buprenorphine 0.75 MG Buccal Film [Belbuca]Approval firstAmount limit
buprenorphine 0.9 MG Buccal Film [Belbuca]Approval firstAmount limit
buprenorphine 2 MG Sublingual TabletAmount limit
buprenorphine 8 MG Sublingual TabletAmount limit

← All coverage for buprenorphine