FillMapQuartz One Achieve W/gundersen Catastrophic $10,600 Ded

Does Quartz One Achieve W/gundersen Catastrophic $10,600 Ded cover hydromorphone?

Quartz One Achieve W/gundersen Catastrophic $10,600 Ded
37833-37833WI0540089-0 · ACA · ACA Marketplace
hydromorphone
hydromorphoneunder Quartz One Achieve W/gundersen Catastrophic $10,600 Ded
Covered — some forms require prior authorization
4 of 21 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

Your plan’s deductible comes first — you pay the full price until it is met.

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
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 (21)

  • 0.5 ML hydromorphone hydrochloride 1 MG/ML Prefilled Syringe
  • 1 ML hydromorphone hydrochloride 1 MG/ML Cartridge
  • 1 ML hydromorphone hydrochloride 1 MG/ML Injection
  • 1 ML hydromorphone hydrochloride 1 MG/ML Prefilled Syringe
  • 1 ML hydromorphone hydrochloride 10 MG/ML Injection
  • 1 ML hydromorphone hydrochloride 2 MG/ML Cartridge
  • 1 ML hydromorphone hydrochloride 2 MG/ML Injection
  • 1 ML hydromorphone hydrochloride 2 MG/ML Prefilled Syringe
  • 1 ML hydromorphone hydrochloride 4 MG/ML Cartridge
  • 1 ML hydromorphone hydrochloride 4 MG/ML Injection
  • 24 HR hydromorphone hydrochloride 12 MG Extended Release Oral TabletApproval firstAmount limit
  • 24 HR hydromorphone hydrochloride 16 MG Extended Release Oral TabletApproval firstAmount limit
  • 24 HR hydromorphone hydrochloride 32 MG Extended Release Oral TabletApproval firstAmount limit
  • 24 HR hydromorphone hydrochloride 8 MG Extended Release Oral TabletApproval firstAmount limit
  • 5 ML hydromorphone hydrochloride 10 MG/ML Injection
  • 50 ML hydromorphone hydrochloride 10 MG/ML Injection
  • hydromorphone hydrochloride 1 MG/ML Oral SolutionAmount limit
  • hydromorphone hydrochloride 2 MG Oral TabletAmount limit
  • hydromorphone hydrochloride 2 MG/ML Injectable Solution
  • hydromorphone hydrochloride 4 MG Oral TabletAmount limit
  • hydromorphone hydrochloride 8 MG Oral TabletAmount limit

← All coverage for hydromorphone