FillMapSilver Simple Chronic Care CKM | Cleveland Clinic

Does Silver Simple Chronic Care CKM | Cleveland Clinic cover buprenorphine?

Silver Simple Chronic Care CKM | Cleveland Clinic
45845-45845OH0100060-0 · ACA · ACA Marketplace
buprenorphine
buprenorphineunder Silver Simple Chronic Care CKM | Cleveland Clinic
Covered — some forms require prior authorization
12 of 24 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
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
Zero cost share preventive 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 (24)

  • 0.16 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
  • 0.18 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]
  • 0.27 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]
  • 0.32 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
  • 0.36 ML buprenorphine 356 MG/ML Prefilled Syringe [Brixadi]
  • 0.48 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
  • 0.5 ML buprenorphine 200 MG/ML Prefilled Syringe [Sublocade]
  • 0.64 ML buprenorphine 50 MG/ML Prefilled Syringe [Brixadi]
  • 1 ML buprenorphine 0.3 MG/ML Cartridge
  • 1.5 ML buprenorphine 200 MG/ML Prefilled Syringe [Sublocade]
  • 168 HR buprenorphine 0.005 MG/HR Transdermal SystemApproval firstAmount limit
  • 168 HR buprenorphine 0.0075 MG/HR Transdermal SystemApproval firstAmount limit
  • 168 HR buprenorphine 0.01 MG/HR Transdermal SystemApproval firstAmount limit
  • 168 HR buprenorphine 0.015 MG/HR Transdermal SystemApproval firstAmount limit
  • 168 HR buprenorphine 0.02 MG/HR Transdermal SystemApproval firstAmount limit
  • buprenorphine 0.075 MG Buccal Film [Belbuca]Approval firstAmount limit
  • buprenorphine 0.15 MG Buccal Film [Belbuca]Approval firstAmount limit
  • buprenorphine 0.3 MG Buccal Film [Belbuca]Approval firstAmount limit
  • buprenorphine 0.45 MG Buccal Film [Belbuca]Approval firstAmount limit
  • buprenorphine 0.6 MG Buccal Film [Belbuca]Approval firstAmount limit
  • buprenorphine 0.75 MG Buccal Film [Belbuca]Approval firstAmount limit
  • buprenorphine 0.9 MG Buccal Film [Belbuca]Approval firstAmount limit
  • buprenorphine 2 MG Sublingual TabletAmount limit
  • buprenorphine 8 MG Sublingual TabletAmount limit

← All coverage for buprenorphine