Does KP HI Standard Gold 2000/30 cover diazepam?
KP HI Standard Gold 2000/30
60612-60612HI0110018-0 · ACA · ACA Marketplace
diazepam
diazepamunder KP HI Standard Gold 2000/30
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$15per 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 (12)
- {1 (0.1 ML) (diazepam 100 MG/ML Nasal Spray [Valtoco]) } Pack [Valtoco 10 MG Dose Kit]
- {1 (0.1 ML) (diazepam 50 MG/ML Nasal Spray [Valtoco]) } Pack [Valtoco 5 MG Dose Kit]
- {2 (0.1 ML) (diazepam 100 MG/ML Nasal Spray [Valtoco]) } Pack [Valtoco 20 MG Dose Kit]
- {2 (0.1 ML) (diazepam 75 MG/ML Nasal Spray [Valtoco]) } Pack [Valtoco 15 MG Dose Kit]
- 0.5 ML diazepam 5 MG/ML Rectal Gel
- 2 ML diazepam 5 MG/ML Rectal Gel
- 4 ML diazepam 5 MG/ML Rectal Gel
- diazepam 1 MG/ML Oral Solution
- diazepam 10 MG Oral Tablet
- diazepam 2 MG Oral Tablet
- diazepam 5 MG Oral Tablet
- diazepam 5 MG/ML Injectable Solution