Does MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) cover buprenorphine?
MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health)
58944-58944OK0010002-0 · ACA · ACA Marketplace
buprenorphine
buprenorphineunder MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health)
Covered — some forms require prior authorization
14 of 25 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$150per 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
- Preferred brand
- 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.
Covered forms and strengths (25)
- 0.16 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
- 0.18 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]
- 0.27 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]
- 0.32 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
- 0.36 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]
- 0.48 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
- 0.5 ML buprenorphine 200 MG/ML Prefilled Syringe [Sublocade]Approval first
- 0.64 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
- 1 ML buprenorphine 0.3 MG/ML Cartridge
- 1 ML buprenorphine 0.3 MG/ML Injection
- 1.5 ML buprenorphine 200 MG/ML Prefilled Syringe [Sublocade]Approval first
- 168 HR buprenorphine 0.005 MG/HR Transdermal SystemApproval first
- 168 HR buprenorphine 0.0075 MG/HR Transdermal SystemApproval first
- 168 HR buprenorphine 0.01 MG/HR Transdermal SystemApproval first
- 168 HR buprenorphine 0.015 MG/HR Transdermal SystemApproval first
- 168 HR buprenorphine 0.02 MG/HR Transdermal SystemApproval first
- buprenorphine 0.075 MG Buccal Film [Belbuca]Approval first
- buprenorphine 0.15 MG Buccal Film [Belbuca]Approval first
- buprenorphine 0.3 MG Buccal Film [Belbuca]Approval first
- buprenorphine 0.45 MG Buccal Film [Belbuca]Approval first
- buprenorphine 0.6 MG Buccal Film [Belbuca]Approval first
- buprenorphine 0.75 MG Buccal Film [Belbuca]Approval first
- buprenorphine 0.9 MG Buccal Film [Belbuca]Approval first
- buprenorphine 2 MG Sublingual Tablet
- buprenorphine 8 MG Sublingual Tablet