FillMapModa Health Affinity Bronze 8000 · 39424-39424OR1680005-0About this plan

Does Moda Health Affinity Bronze 8000 cover milsaperidone?

1 · Your plan

Moda Health Affinity Bronze 8000

39424-39424OR1680005-0 · ACA · ACA Marketplace

2 · Your medication

milsaperidone

milsaperidoneunder Moda Health Affinity Bronze 8000

Covered — requires step therapy

You may need to try a cheaper medication first — your doctor’s office handles it.

What you'd pay

$0per 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.

Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.

Tier: Non preferred brand
Approval first: Not needed
Try another first: Required
Amount limit: Yes

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 (10)

{2 (milsaperidone 1 MG Oral Tablet [Bysanti]) / 2 (milsaperidone 2 MG Oral Tablet [Bysanti]) / 2 (milsaperidone 4 MG Oral Tablet [Bysanti]) / 2 (milsaperidone 6 MG Oral Tablet [Bysanti]) } Pack [Bysanti Titration Pack A]Try another firstAmount limit
{4 (milsaperidone 1 MG Oral Tablet [Bysanti]) / 2 (milsaperidone 2 MG Oral Tablet [Bysanti]) / 2 (milsaperidone 6 MG Oral Tablet [Bysanti]) } Pack [Bysanti Titration Pack C]Try another firstAmount limit
{6 (milsaperidone 1 MG Oral Tablet [Bysanti]) / 2 (milsaperidone 2 MG Oral Tablet [Bysanti]) / 2 (milsaperidone 6 MG Oral Tablet [Bysanti]) / 2 (milsaperidone 8 MG Oral Tablet [Bysanti]) } Pack [Bysanti Titration Pack B]Try another firstAmount limit
milsaperidone 1 MG Oral Tablet [Bysanti]Try another firstAmount limit
milsaperidone 10 MG Oral Tablet [Bysanti]Try another firstAmount limit
milsaperidone 12 MG Oral Tablet [Bysanti]Try another firstAmount limit
milsaperidone 2 MG Oral Tablet [Bysanti]Try another firstAmount limit
milsaperidone 4 MG Oral Tablet [Bysanti]Try another firstAmount limit
milsaperidone 6 MG Oral Tablet [Bysanti]Try another firstAmount limit
milsaperidone 8 MG Oral Tablet [Bysanti]Try another firstAmount limit

← All coverage for milsaperidone