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Prior authorization

6,799 Medicare Part D prior-authorization rules indexed from CMS SPUF (Standard Public Use File). Step therapy, quantity limits, tier assignments — authoritative, updated quarterly.

Why only Medicare Part D?

Medicare Part D formularies are published by CMS and we can cite them. Commercial plan rules vary by plan + year + region and aren't reliably published in a machine-readable form — so we don't surface them here. For your commercial plan, check your insurer's formulary PDF directly (“drug list” on the member site) or ask your pharmacist to run a test claim.

DrugPayerPAStep therapyTier
Dextrose

Magnesium Sulfate Heptahydrate

Medicare Part D

Cambia

diclofenac potassium

Medicare Part D

Cosyntropin

COSYNTROPIN

Medicare Part D

ESTRATEST H.S., ESTRATEST F.S.

Medicare Part D

Lotensin

benazepril hydrochloride

Medicare Part D

SODIUM NITROPRUSSIDE

Sodium Nitroprusside

Medicare Part D

Sevoflurane

SEVOFLURANE

Medicare Part D

Clinisol

Lysine, Leucine, Phenylalanine, Valine, Histidine, Isoleucine, Methionine, Threonine, Tryptophan, Alanine, Arginine, Glycine, Proline, Glutamic Acid, Serine, Aspartic Acid, Tyrosine

Medicare Part D

Yes
Hydrocortisone Acetate Pramoxine Hcl

Hydrocortisone Acetate Pramoxine Hcl

Medicare Part D

Microgestin 24 Fe

Norethindrone acetate/Ethinyl Estradiol and Ferrous Fumarate

Medicare Part D

E.E.S, E.E.S 400

Medicare Part D

EMRELIS

Telisotuzumab Vedotin

Medicare Part D

NITROGEN

NITROGEN

Medicare Part D

CLINDAMYCIN HYDROCHLORIDE

Clindamycin Hydrochloride

Medicare Part D

Lixofen

Diclofenac Sodium, kinesiology tape

Medicare Part D

EQUETRO

Carbamazepine

Medicare Part D

Super Mint Prescription

Anticavity Toothpaste

Medicare Part D

Tri-Nymyo

Norgestimate and Ethinyl Estradiol

Medicare Part D

Guanfacine

guanfacine

Medicare Part D

Blisovi Fe 1/20

norethindrone acetate and ethinyl estradiol

Medicare Part D

Bismuth Subcitrate Potassium, Metronidazole and Tetracycline Hydrochloride

Bismuth Subcitrate Potassium, Metronidazole and Tetracycline Hydrochloride

Medicare Part D

LEVONORGESTREL AND ETHINYL ESTRADIOL

levonorgestrel and ethinyl estradiol

Medicare Part D

Spinosad

spinosad

Medicare Part D

Fluphenazine Hydrochloride

fluphenazine hydrochloride

Medicare Part D

ZO Skin Health Pigment Control Program Plus Hydroquinone

Hydroquinone

Medicare Part D

Xenazine

tetrabenazine

Medicare Part D

Ketoconazole Cream

Ketoconazole

Medicare Part D

NU-DERM BLENDER Skin Lightener and Blending, NU-DERM CLEAR Skin Bleaching and Corrector, NU-DERM SUNFADER Skin Lightener with Sunscreen (SPF 15) PABA FREE

Medicare Part D

VYVGART Hytrulo

efgartigimod alfa and hyaluronidase (human recombinant)

Medicare Part D

Yes
NOURIANZ

istradefylline

Medicare Part D

NP THYROID 30

LEVOTHYROXINE, LIOTHYRONINE

Medicare Part D

FILSUVEZ

birch triterpenes

Medicare Part D

BYLVAY

odevixibat

Medicare Part D

Goniotaire

HYPROMELLOSE 2906 (4000 MPA.S)

Medicare Part D

Sojourn

Sevoflurane

Medicare Part D

OXAZEPAM

Oxazepam

Medicare Part D

Disulfiram

Disulfiram

Medicare Part D

Suboxone

buprenorphine hydrochloride, naloxone hydrochloride

Medicare Part D

NIPRIDE RTU

Sodium Nitroprusside

Medicare Part D

Latanoprost

Latanoprost

Medicare Part D

Hetlioz, Hetlioz LQ

Medicare Part D

Yes
Prenate Elite

.beta.-carotene, ascorbic acid, cholecalciferol, .alpha.-tocopherol acetate, dl-, thiamine mononitrate, riboflavin, niacinamide, pyridoxine hydrochloride, folic acid, 5-methyltetrahydrofolic acid, calcium formate, ferrous asparto glycinate, cyanocobalamin, biotin, potassium iodide, magnesium oxide, zinc oxide and cupric oxide

Medicare Part D

BACLOFEN

Baclofen

Medicare Part D

METHYLPREDNISOLONE

methylprednisolone sodium succinate

Medicare Part D

HEMICLOR

chlorthalidone

Medicare Part D

Phentermine Hydrochloride

PHENTERMINE HYDROCHLORIDE

Medicare Part D

MTL1 Leucoflex

Anticoagulant Citrate Phosphate Dextrose Solution with AS-1

Medicare Part D

Targretin

bexarotene

Medicare Part D

Lumavex

Multivitamin

Medicare Part D

Edaravone

Edaravone

Medicare Part D

Yes