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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
WELIREG

belzutifan

Medicare Part D

Streptomycin

Streptomycin

Medicare Part D

Camrese

Levonorgestrel / Ethinyl Estradiol and Ethinyl Estradiol

Medicare Part D

ZIANA

clindamycin phosphate and tretinoin

Medicare Part D

DALFAMPRIDINE

Dalfampridine

Medicare Part D

Orabloc

articaine hydrochloride and epinephrine bitartrate

Medicare Part D

Cisatracurium Besylate

Cisatracurium besylate

Medicare Part D

Lenalidomide

Lenalidomide

Medicare Part D

SUMATRIPTAN

Sumatriptan Succinate

Medicare Part D

Fraxinus americana

Ash White

Medicare Part D

XYLOCAINE MPF

LIDOCAINE HYDROCHLORIDE

Medicare Part D

Dextromethorphan hydrobromide and quinidine sulfate

dextromethorphan hydrobromide and quinidine sulfate

Medicare Part D

WELLBUTRIN XL

bupropion hydrochloride

Medicare Part D

NITROGLYCERIN

Nitroglycerin

Medicare Part D

DILTIAZEM HYDROCHLORIDE in SODIUM CHLORIDE

Diltiazem Hydrochloride

Medicare Part D

CHLOROTHIAZIDE SODIUM

CHLOROTHIAZIDE SODIUM

Medicare Part D

LO LOESTRIN FE

norethindrone acetate and ethinyl estradiol, ethinyl estradiol and ferrous fumarate

Medicare Part D

Nicardipine Hydrochloride in Sodium Chloride

Nicardipine Hydrochloride

Medicare Part D

Oxacillin

Oxacillin Sodium

Medicare Part D

Chlorhexidine Gluconate

chlorhexidine gluconate

Medicare Part D

Bortezomib

BORTEZOMIB

Medicare Part D

Pralatrexate

Pralatrexate

Medicare Part D

Ceftaroline Fosamil

ceftaroline fosamil

Medicare Part D

Yes
PRECEDEX

DEXMEDETOMIDINE HYDROCHLORIDE

Medicare Part D

Evoxac

cevimeline hydrochloride

Medicare Part D

Biorphen

Phenylephrine hydrochloride

Medicare Part D

Lunavira

Multivitamin

Medicare Part D

Letairis

AMBRISENTAN

Medicare Part D

UREDEX

UREA

Medicare Part D

AZATHIOPRINE

AZATHIOPRINE

Medicare Part D

PreviDent 5000 Sensitive

Sodium fluoride and Potassium nitrate

Medicare Part D

Multi-Vitamin with Fluoride

VITAMIN A, ASCORBIC ACID, CHOLECALCIFEROL, ALPHA-TOCOPHEROL ACETATE, THIAMINE HYDROCHLORIDE, RIBOFLAVIN 5-PHOSPHATE SODIUM, CYANOCOBALAMIN, NIACINAMIDE, PYRIDOXINE HYDROCHLORIDE and SODIUM FLUORIDE

Medicare Part D

RELEXXII

methylphenidate hydrochloride

Medicare Part D

Marinol

Dronabinol

Medicare Part D

AZELEX

azelaic acid

Medicare Part D

RIFAMPIN

Rifampin

Medicare Part D

Eslicarbazepine Acetate

eslicarbazepine acetate

Medicare Part D

Ocrevus Zunovo

ocrelizumab and hyaluronidase

Medicare Part D

Thiola EC

tiopronin

Medicare Part D

COSOPT PF

dorzolamide hydrochloride and timolol maleate

Medicare Part D

EC-NAPROXEN

naproxen

Medicare Part D

TOBRAMYCIN AND DEXAMETHASONE

Tobramycin and dexamethasone

Medicare Part D

Amphetamine

DEXTROAMPHETAMINE SACCHARATE, AMPHETAMINE ASPARTATE MONOHYDRATE, DEXTROAMPHETAMINE SULFATE, AMPHETAMINE SULFATE

Medicare Part D

Morbillinum

MEASLES VIRUS

Medicare Part D

ICATIBANT

Icatibant

Medicare Part D

Clopidogrel

Clopidogrel

Medicare Part D

Desogestrel and Ethinyl Estradiol

Desogestrel and Ethinyl Estradiol

Medicare Part D

APLISOL

Tuberculin Purified Protein Derivative

Medicare Part D

NP THYROID 30

LEVOTHYROXINE, LIOTHYRONINE

Medicare Part D

Nalocet

oxycodone and acetaminophen

Medicare Part D