Does KP HI Standard Silver 6000/40 cover alteplase?
KP HI Standard Silver 6000/40
60612-60612HI0110019-0 · ACA · ACA Marketplace
alteplase
alteplaseunder KP HI Standard Silver 6000/40
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$40per 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.
- Tier
- Preferred brand
- 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 (2)
- alteplase 100 MG Injection [Activase]
- alteplase 50 MG Injection [Activase]