Does Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) cover hydromorphone?
Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access)
36194-36194FL0460002-0 · ACA · ACA Marketplace
hydromorphone
hydromorphoneunder Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access)
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.
- Tier
- Non preferred generic
- Approval first
- Not needed
- Try another first
- No
- Amount limit
- None
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 (21)
- 0.5 ML hydromorphone hydrochloride 1 MG/ML Prefilled Syringe
- 1 ML hydromorphone hydrochloride 1 MG/ML Cartridge
- 1 ML hydromorphone hydrochloride 1 MG/ML Injection
- 1 ML hydromorphone hydrochloride 1 MG/ML Prefilled Syringe
- 1 ML hydromorphone hydrochloride 10 MG/ML Injection
- 1 ML hydromorphone hydrochloride 2 MG/ML Cartridge
- 1 ML hydromorphone hydrochloride 2 MG/ML Injection
- 1 ML hydromorphone hydrochloride 2 MG/ML Prefilled Syringe
- 1 ML hydromorphone hydrochloride 4 MG/ML Cartridge
- 1 ML hydromorphone hydrochloride 4 MG/ML Injection
- 1 ML hydromorphone hydrochloride 4 MG/ML Prefilled Syringe
- 24 HR hydromorphone hydrochloride 12 MG Extended Release Oral Tablet
- 24 HR hydromorphone hydrochloride 16 MG Extended Release Oral Tablet
- 24 HR hydromorphone hydrochloride 32 MG Extended Release Oral Tablet
- 24 HR hydromorphone hydrochloride 8 MG Extended Release Oral Tablet
- 5 ML hydromorphone hydrochloride 10 MG/ML Injection
- 50 ML hydromorphone hydrochloride 10 MG/ML Injection
- hydromorphone hydrochloride 2 MG Oral Tablet
- hydromorphone hydrochloride 2 MG/ML Injectable Solution
- hydromorphone hydrochloride 4 MG Oral Tablet
- hydromorphone hydrochloride 8 MG Oral Tablet