FillMapHMSA Gold PPO I

Does HMSA Gold PPO I cover everolimus?

HMSA Gold PPO I
18350-18350HI0880007-0 · ACA · ACA Marketplace
everolimus
everolimusunder HMSA Gold PPO I
Covered — some forms require prior authorization
18 of 22 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

Tier
Preferred generic drugs
Approval first
Required
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 (22)

  • everolimus 0.25 MG Oral Tablet
  • everolimus 0.5 MG Oral Tablet
  • everolimus 0.75 MG Oral Tablet
  • everolimus 1 MG Oral Tablet
  • everolimus 10 MG Oral TabletApproval first
  • everolimus 10 MG Oral Tablet [Afinitor]Approval first
  • everolimus 10 MG Oral Tablet [Torpenz]Approval first
  • everolimus 2 MG Tablet for Oral SuspensionApproval first
  • everolimus 2 MG Tablet for Oral Suspension [Afinitor]Approval first
  • everolimus 2.5 MG Oral TabletApproval first
  • everolimus 2.5 MG Oral Tablet [Afinitor]Approval first
  • everolimus 2.5 MG Oral Tablet [Torpenz]Approval first
  • everolimus 3 MG Tablet for Oral SuspensionApproval first
  • everolimus 3 MG Tablet for Oral Suspension [Afinitor]Approval first
  • everolimus 5 MG Oral TabletApproval first
  • everolimus 5 MG Oral Tablet [Afinitor]Approval first
  • everolimus 5 MG Oral Tablet [Torpenz]Approval first
  • everolimus 5 MG Tablet for Oral SuspensionApproval first
  • everolimus 5 MG Tablet for Oral Suspension [Afinitor]Approval first
  • everolimus 7.5 MG Oral TabletApproval first
  • everolimus 7.5 MG Oral Tablet [Afinitor]Approval first
  • everolimus 7.5 MG Oral Tablet [Torpenz]Approval first

← All coverage for everolimus