Does KP HI Platinum 0/5 Plus CAM cover lidocaine?
KP HI Platinum 0/5 Plus CAM
60612-60612HI0110006-0 · ACA · ACA Marketplace
lidocaine
lidocaineunder KP HI Platinum 0/5 Plus CAM
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$5per 30-day fill
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.
- Tier
- 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 (13)
- 250 ML lidocaine hydrochloride 4 MG/ML Injection
- 5 ML lidocaine hydrochloride 10 MG/ML Injection
- 5 ML lidocaine hydrochloride 20 MG/ML Prefilled Syringe
- 5 ML lidocaine hydrochloride 40 MG/ML Injection
- 50 ML lidocaine hydrochloride 5 MG/ML Injection
- lidocaine 0.05 MG/MG Medicated Patch
- lidocaine 0.05 MG/MG Topical Ointment
- lidocaine hydrochloride 0.02 MG/MG Topical Gel
- lidocaine hydrochloride 10 MG/ML Injectable Solution
- lidocaine hydrochloride 20 MG/ML Injectable Solution
- lidocaine hydrochloride 20 MG/ML Mucous Membrane Topical Solution
- lidocaine hydrochloride 40 MG/ML Mucous Membrane Topical Solution
- lidocaine hydrochloride 5 MG/ML Injectable Solution