FillMapModa Health Affinity Silver 4500

Does Moda Health Affinity Silver 4500 cover hydrocortisone?

Moda Health Affinity Silver 4500
39424-39424OR1680004-0 · ACA · ACA Marketplace
hydrocortisone
hydrocortisoneunder Moda Health Affinity Silver 4500
Covered — the conditions depend on which form
Not the same for every form: 4 of 46 need your plan’s approval first, and 3 of 46 usually need a preferred medication tried first. Check your exact form in the list below — your doctor’s office handles either.
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
Required
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.

Covered forms and strengths (46)

  • hydrocortisone 0.01 MG/MG Topical Ointment
  • hydrocortisone 0.01 MG/MG Topical Ointment [Aquaphor Itch Relief]
  • hydrocortisone 0.01 MG/MG Topical Ointment [Cortizone]
  • hydrocortisone 0.025 MG/MG Topical Ointment
  • hydrocortisone 0.5 MG Oral Granules [Alkindi]Approval first
  • hydrocortisone 1 MG Oral Granules [Alkindi]Approval first
  • hydrocortisone 1 MG/ML Oral Solution [Khindivi]Try another first
  • hydrocortisone 1.67 MG/ML Enema
  • hydrocortisone 10 MG Oral Tablet
  • hydrocortisone 10 MG/ML Topical Cream
  • hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]
  • hydrocortisone 10 MG/ML Topical Cream [Cortizone]
  • hydrocortisone 10 MG/ML Topical Lotion
  • hydrocortisone 10 MG/ML Topical Lotion [Aquanil HC]
  • hydrocortisone 10 MG/ML Topical Lotion [Beta-HC]
  • hydrocortisone 10 MG/ML Topical Lotion [Cortizone]
  • hydrocortisone 10 MG/ML Topical Solution [Sarnol-HC]
  • hydrocortisone 100 MG Injection
  • hydrocortisone 1000 MG Injection [Solu-Cortef]
  • hydrocortisone 2 MG Oral Granules [Alkindi]Approval first
  • hydrocortisone 20 MG Oral Tablet
  • hydrocortisone 20 MG/ML Topical Lotion [Nucort]
  • hydrocortisone 25 MG/ML Topical Cream
  • hydrocortisone 25 MG/ML Topical Cream [Procto-Med]
  • hydrocortisone 25 MG/ML Topical Cream [Proctosol]
  • hydrocortisone 25 MG/ML Topical Cream [Proctozone HC]
  • hydrocortisone 25 MG/ML Topical Lotion
  • hydrocortisone 25 MG/ML Topical Solution
  • hydrocortisone 25 MG/ML Topical Solution [Texacort]
  • hydrocortisone 250 MG Injection [Solu-Cortef]
  • hydrocortisone 5 MG Oral Granules [Alkindi]Approval first
  • hydrocortisone 5 MG Oral Tablet
  • hydrocortisone 5 MG/ML Topical Cream
  • hydrocortisone 500 MG Injection [Solu-Cortef]
  • hydrocortisone acetate 100 MG/ML Rectal Foam [Cortifoam]
  • hydrocortisone acetate 25 MG/ML Topical CreamTry another firstAmount limit
  • hydrocortisone acetate 25 MG/ML Topical Cream [MiCort-HC]Try another firstAmount limit
  • hydrocortisone butyrate 0.001 MG/MG Topical Ointment
  • hydrocortisone butyrate 1 MG/ML Topical Cream
  • hydrocortisone butyrate 1 MG/ML Topical Cream [Locoid]

← All coverage for hydrocortisone