FillMapImperial Standard Silver · 98113-98113UT0010002-0About this plan

Does Imperial Standard Silver cover hyaluronidase / amivantamab?

1 · Your plan

Imperial Standard Silver

98113-98113UT0010002-0 · ACA · ACA Marketplace

2 · Your medication

hyaluronidase / amivantamab

hyaluronidase / amivantamabunder Imperial Standard Silver

Covered — requires prior authorization

Your plan has to approve it first — your doctor’s office handles it.

What you'd pay

$350per 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.

Tier: Specialty
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.

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 (4)

10 ML amivantamab-lpuj 160 MG/ML / hyaluronidase-lpuj 2000 UNT/ML Injection [Rybrevant Faspro]Approval first
14 ML amivantamab-lpuj 160 MG/ML / hyaluronidase-lpuj 2000 UNT/ML Injection [Rybrevant Faspro]Approval first
15 ML amivantamab-lpuj 160 MG/ML / hyaluronidase-lpuj 2000 UNT/ML Injection [Rybrevant Faspro]Approval first
22 ML amivantamab-lpuj 160 MG/ML / hyaluronidase-lpuj 2000 UNT/ML Injection [Rybrevant Faspro]Approval first

← All coverage for hyaluronidase / amivantamab