FillMapSanford Individual Simplicity $7,200 HSA Qualified · 89364-89364ND0120006-0About this plan

Does Sanford Individual Simplicity $7,200 HSA Qualified cover everolimus?

1 · Your plan

Sanford Individual Simplicity $7,200 HSA Qualified

89364-89364ND0120006-0 · ACA · ACA Marketplace

2 · Your medication

everolimus

everolimusunder Sanford Individual Simplicity $7,200 HSA Qualified

Covered — some forms require prior authorization

22 of 30 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.

Tier: Generic
Approval first: Required
Try another first: No
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 (30)

everolimus 0.25 MG Oral Tablet
everolimus 0.25 MG Oral Tablet [Zortress]
everolimus 0.5 MG Oral Tablet
everolimus 0.5 MG Oral Tablet [Zortress]
everolimus 0.75 MG Oral Tablet
everolimus 0.75 MG Oral Tablet [Zortress]
everolimus 1 MG Oral Tablet
everolimus 1 MG Oral Tablet [Zortress]
everolimus 10 MG Oral TabletApproval first
everolimus 10 MG Oral Tablet [Afinitor]Approval first
everolimus 10 MG Oral Tablet [Torpenz]Approval first
everolimus 10 MG Oral Tablet [Yulithira]Approval first
everolimus 2 MG Tablet for Oral SuspensionApproval first
everolimus 2 MG Tablet for Oral Suspension [Afinitor]Approval first
everolimus 2.5 MG Oral TabletApproval first
everolimus 2.5 MG Oral Tablet [Afinitor]Approval first
everolimus 2.5 MG Oral Tablet [Torpenz]Approval first
everolimus 2.5 MG Oral Tablet [Yulithira]Approval first
everolimus 3 MG Tablet for Oral SuspensionApproval first
everolimus 3 MG Tablet for Oral Suspension [Afinitor]Approval first
everolimus 5 MG Oral TabletApproval first
everolimus 5 MG Oral Tablet [Afinitor]Approval first
everolimus 5 MG Oral Tablet [Torpenz]Approval first
everolimus 5 MG Oral Tablet [Yulithira]Approval first
everolimus 5 MG Tablet for Oral SuspensionApproval first
everolimus 5 MG Tablet for Oral Suspension [Afinitor]Approval first
everolimus 7.5 MG Oral TabletApproval first
everolimus 7.5 MG Oral Tablet [Afinitor]Approval first
everolimus 7.5 MG Oral Tablet [Torpenz]Approval first
everolimus 7.5 MG Oral Tablet [Yulithira]Approval first

← All coverage for everolimus