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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
CLONIDINE HYDROCHLORIDE

clonidine hydrochloride

Medicare Part D

Carbon Dioxide Air

Carbon Dioxide Air Mixture

Medicare Part D

FLUDROCORTISONE ACETATE

FLUDROCORTISONE ACETATE

Medicare Part D

ELIQUIS

apixaban

Medicare Part D

ZILBRYSQ

zilucoplan

Medicare Part D

Yes
Uro-MP

Methenamine, Sodium Phosphate, Monobasic, Anhydrous, Phenyl Salicylate, Methylene Blue and Hyoscyamine Sulfate

Medicare Part D

Crotalus cascavella

CROTALUS DURISSUS TERRIFICUS VENOM

Medicare Part D

Memantine and Donepezil

Memantine and Donepezil

Medicare Part D

ESTRADIOL VAGINAL INSERTS

estradiol

Medicare Part D

MOXIFLOXACIN

MOXIFLOXACIN HYDROCHLORIDE

Medicare Part D

Urea Cream 41%

Urea

Medicare Part D

Sulindac

sulindac

Medicare Part D

Jentadueto XR

linagliptin and metformin hydrochloride

Medicare Part D

Veklury

remdesivir

Medicare Part D

Besivance

Besifloxacin

Medicare Part D

Yes
Lidocaine Hydrochloride and Hydrocortisone Acetate

Lidocaine Hydrochloride and Hydrocortisone Acetate

Medicare Part D

Cleviprex

clevidipine

Medicare Part D

AMZEEQ

Minocycline

Medicare Part D

Scandonest 3% Plain

Mepivacaine Hydrochloride

Medicare Part D

Matervia

ascorbic acid, cholecalciferol, thiamine, pyridoxal-5-phosphate, folic acid, methylcobalamin, calcium citrate, iron, iodine

Medicare Part D

VEOZAH

fezolinetant

Medicare Part D

TIZANIDINE HYDROCHLORIDE

tizanidine hydrochloride

Medicare Part D

DICLOXACILLIN SODIUM

Dicloxacillin Sodium

Medicare Part D

ANTISEPTIC SKIN CLEANSER

Chlorhexidine Gluconate 4%

Medicare Part D

Pazopanib

pazopanib hydrochloride

Medicare Part D

AMANTADINE HYDROCHLORIDE

Amantadine Hydrochloride

Medicare Part D

LIDOCAINE HYDROCHLORIDE

Lidocaine Hydrochloride

Medicare Part D

SOLIRIS

ECULIZUMAB

Medicare Part D

SUNITINIB MALATE

Sunitinib malate

Medicare Part D

Pyridostigmine Bromide

PYRIDOSTIGMINE BROMIDE

Medicare Part D

Adapalene Gel USP, 0.3%

Medicare Part D

DIPHENOXYLATE HYDROCHLORIDE AND ATROPINE SULFATE

diphenoxylate hydrochloride and atropine sulfate

Medicare Part D

AIR COMPRESSED

AIR COMPRESSED

Medicare Part D

Kodatef

tafenoquine

Medicare Part D

FROVATRIPTAN

Frovatriptan succinate

Medicare Part D

Absinthium

Phytolacca Decandra, Arsenicum Iodatum, Agraphis Nutans, Apium Graveolens, Eriodictyon Californicum, Allium Sativum, Erigeron Canadensis, Euonymus Atropurpureus, Aconitum Lycoctonum, Aethiops Antimonialis, Euonymus Europaeus, Absinthium, Apis Mellifica, Causticum, Sanguinaria Canadensis, Uva Ursi, Capsicum Annuum

Medicare Part D

VIGPODER

vigabatrin

Medicare Part D

DOXEPIN

doxepin hydrochloride

Medicare Part D

INTROVALE

Levonorgestrel and Ethinyl Estradiol

Medicare Part D

TERUFLEX Blood with Diversion Blood Sampling Arm Anticoagulant CPD with OPTISOL Red Cell Preservative for Collection of 450mL of Blood

Medicare Part D

Oxacillin

Oxacillin Sodium

Medicare Part D

BRIMONIDINE TARTRATE and TIMOLOL MALEATE

Brimonidine Tartrate and Timolol Maleate

Medicare Part D

RIVAROXABAN

Rivaroxaban

Medicare Part D

Dihydroergotamine Mesylate

Dihydroergotamine mesylate

Medicare Part D

LEVULAN KERASTICK

aminolevulinic acid hydrochloride

Medicare Part D

EPIOXA CROSS-LINKING

riboflavin 5-phosphate ophthalmic

Medicare Part D

ACD A

Citric Acid Monohydrate, Dextrose Monohydrate, and Trisodium Citrate Dihydrate

Medicare Part D

Mexiletine Hydrochloride

Mexiletine hydrochloride

Medicare Part D

Sevelamer Hydrochloride

Sevelamer Hydrochloride

Medicare Part D

Clindamycin HCL

Clindamycin HCL

Medicare Part D