Does Moda Health Oregon Standard Gold Affinity cover somatropin?
Moda Health Oregon Standard Gold Affinity
39424-39424OR1670001-0 · ACA · ACA Marketplace
somatropin
somatropinunder Moda Health Oregon Standard Gold Affinity
Covered — some forms require prior authorization
19 of 34 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
50%of the price your plan negotiates
Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. 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
- Specialty drugs
- Approval first
- Required
- Try another first
- No
- 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 (34)
- 0.25 ML somatropin 0.8 MG/ML Prefilled Syringe [Genotropin]Amount limit
- 0.25 ML somatropin 1.6 MG/ML Prefilled Syringe [Genotropin]Amount limit
- 0.25 ML somatropin 2.4 MG/ML Prefilled Syringe [Genotropin]Amount limit
- 0.25 ML somatropin 3.2 MG/ML Prefilled Syringe [Genotropin]Amount limit
- 0.25 ML somatropin 4 MG/ML Prefilled Syringe [Genotropin]Amount limit
- 0.25 ML somatropin 4.8 MG/ML Prefilled Syringe [Genotropin]Amount limit
- 0.25 ML somatropin 5.6 MG/ML Prefilled Syringe [Genotropin]Amount limit
- 0.25 ML somatropin 6.4 MG/ML Prefilled Syringe [Genotropin]Amount limit
- 0.25 ML somatropin 7.2 MG/ML Prefilled Syringe [Genotropin]Amount limit
- 0.25 ML somatropin 8 MG/ML Prefilled Syringe [Genotropin]Amount limit
- 1 ML somatropin 12 MG/ML Cartridge [Genotropin]Amount limit
- 1 ML somatropin 5 MG/ML Cartridge [Genotropin]Amount limit
- 1.5 ML somatropin 10 MG/ML Pen Injector [Norditropin]Approval first
- 1.5 ML somatropin 3.3 MG/ML Cartridge [Omnitrope]Amount limit
- 1.5 ML somatropin 3.33 MG/ML Pen Injector [Norditropin]Approval first
- 1.5 ML somatropin 6.67 MG/ML Cartridge [Omnitrope]Amount limit
- 1.5 ML somatropin 6.67 MG/ML Pen Injector [Norditropin]Approval first
- 2 ML somatropin 10 MG/ML Pen Injector [Nutropin]Approval first
- 2 ML somatropin 2.5 MG/ML Pen Injector [Nutropin]Approval first
- 2 ML somatropin 5 MG/ML Pen Injector [Nutropin]Approval first
- 3 ML somatropin 10 MG/ML Pen Injector [Norditropin]Approval first
- somatropin 10 MG/ML Injectable Solution [Zomacton]Approval first
- somatropin 12 MG Cartridge [Humatrope]Approval first
- somatropin 24 MG Cartridge [Humatrope]Approval first
- somatropin 4.4 MG/ML Injectable Solution [Saizen]Approval first
- somatropin 5 MG Injection [Serostim]Approval first
- somatropin 5 MG/ML Injectable Solution [Omnitrope]Amount limit
- somatropin 5 MG/ML Injectable Solution [Saizen]Approval first
- somatropin 5 MG/ML Injectable Solution [Zomacton]Approval first
- somatropin 6 MG Cartridge [Humatrope]Approval first
- somatropin 6 MG Injection [Serostim]Approval first
- somatropin 8 MG/ML Injectable Solution [Serostim]Approval first
- somatropin 8.8 MG Cartridge [Saizen]Approval first
- somatropin 8.8 MG/ML Injectable Solution [Zorbtive]Approval first