Does WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice cover doxycycline?
WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice
13219-13219NH0010006-0 · ACA · ACA Marketplace
doxycycline
doxycyclineunder WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice
Covered — some forms require prior authorization
3 of 18 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
25%of the price your plan negotiates
Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. 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 (18)
- doxycycline anhydrous 40 MG Delayed Release Oral CapsuleAmount limit
- doxycycline hyclate 100 MG Delayed Release Oral TabletApproval firstAmount limit
- doxycycline hyclate 100 MG Oral Capsule
- doxycycline hyclate 100 MG Oral Tablet
- doxycycline hyclate 150 MG Delayed Release Oral TabletApproval firstAmount limit
- doxycycline hyclate 20 MG Oral Tablet
- doxycycline hyclate 50 MG Oral Capsule
- doxycycline hyclate 50 MG Oral TabletAmount limit
- doxycycline hyclate 75 MG Delayed Release Oral TabletApproval firstAmount limit
- doxycycline monohydrate 100 MG Oral CapsuleAmount limit
- doxycycline monohydrate 100 MG Oral TabletAmount limit
- doxycycline monohydrate 150 MG Oral CapsuleAmount limit
- doxycycline monohydrate 150 MG Oral TabletAmount limit
- doxycycline monohydrate 5 MG/ML Oral SuspensionAmount limit
- doxycycline monohydrate 50 MG Oral CapsuleAmount limit
- doxycycline monohydrate 50 MG Oral TabletAmount limit
- doxycycline monohydrate 75 MG Oral CapsuleAmount limit
- doxycycline monohydrate 75 MG Oral TabletAmount limit