FillMapModa Health Affinity Gold 1000

Does Moda Health Affinity Gold 1000 cover guaifenesin / phenylephrine?

Moda Health Affinity Gold 1000
39424-39424OR1700001-0 · ACA · ACA Marketplace
guaifenesin / phenylephrine
guaifenesin / phenylephrineunder Moda Health Affinity Gold 1000
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
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.

Tier
Non 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 (5)

  • guaifenesin 10 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution
  • guaifenesin 25 MG/ML / phenylephrine hydrochloride 1.25 MG/ML Oral Solution
  • guaifenesin 388 MG / phenylephrine hydrochloride 10 MG Oral Tablet
  • guaifenesin 390 MG / phenylephrine hydrochloride 10 MG Oral Tablet
  • guaifenesin 50 MG/ML / phenylephrine hydrochloride 2.5 MG/ML Oral Solution

← All coverage for guaifenesin / phenylephrine