FillMapParamount Standard Expanded Bronze NCO OE

Does Paramount Standard Expanded Bronze NCO OE cover tacrolimus?

Paramount Standard Expanded Bronze NCO OE
74313-74313OH0210036-0 · ACA · ACA Marketplace
tacrolimus
tacrolimusunder Paramount Standard Expanded Bronze NCO OE
Covered — some forms require step therapy
2 of 17 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.

Covered forms and strengths (17)

  • 1 ML tacrolimus 5 MG/ML Injection [Prograf]
  • 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 [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 [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