FillMapOctave Bronze Exp Standardized · 48772-48772AR0010004-0About this plan

Does Octave Bronze Exp Standardized cover tacrolimus?

1 · Your plan

Octave Bronze Exp Standardized

48772-48772AR0010004-0 · ACA · ACA Marketplace

2 · Your medication

tacrolimus

tacrolimusunder Octave Bronze Exp Standardized

Covered — some forms require step therapy

2 of 20 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

$25per 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: Generic
Approval first: Not needed
Try another first: Required
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.

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 (20)

1 ML tacrolimus 5 MG/ML Injection
24 HR tacrolimus 0.5 MG Extended Release Oral Capsule
24 HR tacrolimus 0.5 MG Extended Release Oral Capsule [Astagraf]
24 HR tacrolimus 0.75 MG Extended Release Oral Tablet [Envarsus]
24 HR tacrolimus 1 MG Extended Release Oral Capsule
24 HR tacrolimus 1 MG Extended Release Oral Capsule [Astagraf]
24 HR tacrolimus 1 MG Extended Release Oral Tablet [Envarsus]
24 HR tacrolimus 4 MG Extended Release Oral Tablet [Envarsus]
24 HR tacrolimus 5 MG Extended Release Oral Capsule
24 HR tacrolimus 5 MG Extended Release Oral Capsule [Astagraf]
tacrolimus 0.0003 MG/MG Topical OintmentTry another first
tacrolimus 0.001 MG/MG Topical OintmentTry another first
tacrolimus 0.2 MG Granules for Oral Suspension [Prograf]
tacrolimus 0.5 MG Oral Capsule
tacrolimus 0.5 MG Oral Capsule [Prograf]
tacrolimus 1 MG Granules for Oral Suspension [Prograf]
tacrolimus 1 MG Oral Capsule
tacrolimus 1 MG Oral Capsule [Prograf]
tacrolimus 5 MG Oral Capsule
tacrolimus 5 MG Oral Capsule [Prograf]

← All coverage for tacrolimus