Does Imperial Standard Bronze cover rosuvastatin / ezetimibe?
Imperial Standard Bronze
98113-98113UT0010001-0 · ACA · ACA Marketplace
rosuvastatin / ezetimibe
rosuvastatin / ezetimibeunder Imperial Standard Bronze
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$25per 30-day fillwith your plan
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
- Generic
- 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 (8)
- ezetimibe 10 MG / rosuvastatin 10 MG Oral TabletAmount limit
- ezetimibe 10 MG / rosuvastatin 10 MG Oral Tablet [Roszet]Amount limit
- ezetimibe 10 MG / rosuvastatin 20 MG Oral TabletAmount limit
- ezetimibe 10 MG / rosuvastatin 20 MG Oral Tablet [Roszet]Amount limit
- ezetimibe 10 MG / rosuvastatin 40 MG Oral TabletAmount limit
- ezetimibe 10 MG / rosuvastatin 40 MG Oral Tablet [Roszet]Amount limit
- ezetimibe 10 MG / rosuvastatin 5 MG Oral TabletAmount limit
- ezetimibe 10 MG / rosuvastatin 5 MG Oral Tablet [Roszet]Amount limit