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Coverage tools

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
Bupivacaine Hydrochloride and Epinephrine

BUPIVACAINE HYDROCHLORIDE AND EPINEPHRINE

Medicare Part D

Enoxaparin Sodium

enoxaparin sodium

Medicare Part D

OSELTAMIVIR

Oseltamivir

Medicare Part D

Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, Amphetamine Sulfate Extended-Release

Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, Amphetamine Sulfate

Medicare Part D

DIANEAL LOW CALCIUM WITH DEXTROSE

sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose

Medicare Part D

FLUCONAZOLE

Fluconazole

Medicare Part D

AVAR

SULFACETAMIDE SODIUM, SULFUR

Medicare Part D

CHLORDIAZEPOXIDE HYDROCHLORIDE AND CLIDINIUM BROMIDE

Chlordiazepoxide Hydrochloride and Clidinium Bromide

Medicare Part D

Streptococcinum

STREPTOCOCCUS PYOGENES

Medicare Part D

Carbon Dioxide

Carbon Dioxide

Medicare Part D

E-Z-Disk

barium sulfate

Medicare Part D

Pirfenidone Capsule, 267 mg

Medicare Part D

Edarbi

Azilsartan kamedoxomil

Medicare Part D

CHLORTHALIDONE CHLORTHALIDONE

CHLORTHALIDONE

Medicare Part D

ULTRAMICROSIZE GRISEOFULVIN

ULTRAMICROSIZE GRISEOFULVIN

Medicare Part D

Phenytek

extended phenytoin sodium

Medicare Part D

Hydroxyzine Hydrochloride

Hydroxyzine hydrochloride

Medicare Part D

Vilazodone Hydrochloride

vilazodone hydrochloride

Medicare Part D

LANTUS SOLOSTAR

insulin glargine

Medicare Part D

UPTRAVI, UPTRAVI Titration Pack

Medicare Part D

Yes
AXTLE

pemetrexed

Medicare Part D

FENOFIBRIC ACID

Fenofibric Acid

Medicare Part D

Ceftriaxone

Ceftriaxone Sodium

Medicare Part D

TRI-LO-MARZIA

norgestimate and ethinyl estradiol

Medicare Part D

KLOR-CON

potassium chloride

Medicare Part D

Octreotide Acetate

Octreotide Acetate

Medicare Part D

Air

Air

Medicare Part D

Riluzole

Riluzole

Medicare Part D

Urea Cream 40%

Urea

Medicare Part D

TRANEXAMIC ACID

TRANEXAMIC ACID

Medicare Part D

INDOCIN

indomethacin

Medicare Part D

Azelastine Hydrochloride Ophthalmic Solution 0.05%

Medicare Part D

Citanest Forte DENTAL

prilocaine hcl and epinephrine

Medicare Part D

SUMATRIPTAN SUCCINATE

Sumatriptan Succinate

Medicare Part D

Levocetirizine Dihydrochloride

levocetirizine Dihydrochloride

Medicare Part D

Oxygen/Nitrogen 30/70

Oxygen/Nitrogen 30/70

Medicare Part D

POTASSIUM CITRATE EXTENDED RELEASE

POTASSIUM CITRATE

Medicare Part D

Amphotericin B liposome

Amphotericin B liposome

Medicare Part D

Rybrevant

Amivantamab

Medicare Part D

CHLOROTHIAZIDE SODIUM

CHLOROTHIAZIDE SODIUM

Medicare Part D

ORSERDU

Elacestrant

Medicare Part D

SCEMBLIX

asciminib

Medicare Part D

Fluvastatin

Fluvastatin

Medicare Part D

Foscarnet Sodium

foscarnet sodium

Medicare Part D

VALGANCICLOVIR HYDROCHLORIDE

Valganciclovir Hydrochloride

Medicare Part D

Deferasirox Oral Granules

Medicare Part D

SODIUM NITROPRUSSIDE

Sodium Nitroprusside

Medicare Part D

Darunavir

Darunavir

Medicare Part D

Viokace

Pancrelipase

Medicare Part D

Carbon Dioxide/Oxygen 5/95

Carbon Dioxide/Oxygen 5/95

Medicare Part D