FillMapPrestige Gold · 81413-81413WI0490004-0About this plan

Does Prestige Gold cover everolimus?

1 · Your plan

Prestige Gold

81413-81413WI0490004-0 · ACA · ACA Marketplace

2 · Your medication

everolimus

everolimusunder Prestige Gold

Covered — some forms require step therapy

19 of 23 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.

What you'd pay

$15per 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: Generic
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 (23)

everolimus 0.25 MG Oral Tablet
everolimus 0.5 MG Oral Tablet
everolimus 0.75 MG Oral Tablet
everolimus 1 MG Oral Tablet
everolimus 10 MG Oral TabletTry another firstAmount limit
everolimus 10 MG Oral Tablet [Afinitor]Try another firstAmount limit
everolimus 10 MG Oral Tablet [Torpenz]Try another firstAmount limit
everolimus 10 MG Oral Tablet [Yulithira]Try another firstAmount limit
everolimus 2 MG Tablet for Oral SuspensionTry another firstAmount limit
everolimus 2.5 MG Oral TabletTry another firstAmount limit
everolimus 2.5 MG Oral Tablet [Afinitor]Try another firstAmount limit
everolimus 2.5 MG Oral Tablet [Torpenz]Try another firstAmount limit
everolimus 2.5 MG Oral Tablet [Yulithira]Try another firstAmount limit
everolimus 3 MG Tablet for Oral SuspensionTry another firstAmount limit
everolimus 5 MG Oral TabletTry another firstAmount limit
everolimus 5 MG Oral Tablet [Afinitor]Try another firstAmount limit
everolimus 5 MG Oral Tablet [Torpenz]Try another firstAmount limit
everolimus 5 MG Oral Tablet [Yulithira]Try another firstAmount limit
everolimus 5 MG Tablet for Oral SuspensionTry another firstAmount limit
everolimus 7.5 MG Oral TabletTry another firstAmount limit
everolimus 7.5 MG Oral Tablet [Afinitor]Try another firstAmount limit
everolimus 7.5 MG Oral Tablet [Torpenz]Try another firstAmount limit
everolimus 7.5 MG Oral Tablet [Yulithira]Try another firstAmount limit

← All coverage for everolimus