Skip to main content

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
Duopa

Carbidopa and Levodopa

Medicare Part D

Pantoprazole Sodium

PANTOPRAZOLE

Medicare Part D

AMOXICILLIN AND CLAVULANATE POTASSIUM

Amoxicillin and Clavulanate Potassium

Medicare Part D

FAMOTIDINE

FAMOTIDINE

Medicare Part D

Tacrolimus

Tacrolimus

Medicare Part D

Amoxil

Amoxicillin Oral Susp

Medicare Part D

FELODIPINE

Felodipine

Medicare Part D

Lialda

mesalamine

Medicare Part D

OXYBUTYNIN CHLORIDE

OXYBUTYNIN CHLORIDE

Medicare Part D

Sylvant

Siltuximab

Medicare Part D

BETAMETHASONE VALERATE

Betamethasone Valerate

Medicare Part D

FAMCICLOVIR

Famciclovir

Medicare Part D

Polifleks

0.9% Isotonic Sodium Chloride

Medicare Part D

Insulin Aspart

insulin aspart

Medicare Part D

Yes
Calcitrene

Calcipotriene

Medicare Part D

Micardis

telmisartan

Medicare Part D

Ojjaara

Momelotinib

Medicare Part D

Marcaine

BUPIVACAINE HYDROCHLORIDE

Medicare Part D

Livalo

pitavastatin calcium

Medicare Part D

Tembexa

Brincidofovir

Medicare Part D

PERAMPANEL

Perampanel

Medicare Part D

FLUOROURACIL

FLUOROURACIL

Medicare Part D

BENZONATATE

Benzonatate

Medicare Part D

Hamamelis virginiana

HAMAMELIS VIRGINIANA ROOT BARK/STEM BARK

Medicare Part D

Levothyroxine Sodium

Levothyroxine Sodium

Medicare Part D

GaviLyte-H and Bisacodyl

Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate, Potassium Chloride and Bisacodyl Delayed-release Tablet

Medicare Part D

Zetia

Ezetimibe

Medicare Part D

LIDOCAINE

Lidocaine HCl, Menthol

Medicare Part D

BOSULIF

Bosutinib

Medicare Part D

Auranofin

auranofin

Medicare Part D

LOSARTAN POTASSIUM 25 mg

LOSARTAN POTASSIUM

Medicare Part D

Erzofri extended-release

paliperidone palmitate

Medicare Part D

Yes
Psorizide Forte

Nickel Sulfate, Potassium Bromide, and Fumaric Acid

Medicare Part D

Zanaflex

tizanidine hydrochloride

Medicare Part D

Tobramycin Inhalation Solution Pak

Medicare Part D

VENLAFAXINE HYDROCHLORIDE

VENLAFAXINE HYDROCHLORIDE

Medicare Part D

CLINDAMYCIN PHOSPHATE AND BENZOYL PEROXIDE

CLINDAMYCIN PHOSPHATE AND BENZOYL PEROXIDE

Medicare Part D

Gelato APF

Sodium Fluoride

Medicare Part D

EYLEA

aflibercept

Medicare Part D

Epinephrine Professional

Epinephrine and Isopropyl Alcohol

Medicare Part D

Varibar Honey

barium sulfate

Medicare Part D

IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE

Ipratropium Bromide and Albuterol Sulfate

Medicare Part D

Carbon Dioxide Oxygen Mixture 5/95

Carbon Dioxide Oxygen Mixture 5/95

Medicare Part D

PREGABALIN

Pregabalin

Medicare Part D

ITRACONAZOLE

Itraconazole

Medicare Part D

Diltiazem Hydrochloride

diltiazem hydrochloride

Medicare Part D

UDENYCA

pegfilgrastim-cbqv

Medicare Part D

Yes
Cerezyme

IMIGLUCERASE

Medicare Part D

LAMOTRIGINE Kit, LAMOTRIGINE

Medicare Part D

Rybrevant Faspro

AMIVANTAMAB and HYALURONIDASE-lpuj (HUMAN RECOMBINANT)

Medicare Part D