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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
ClindaCare

Clindamycin, Ibuprofen, Chlorhexidine Gluconate

Medicare Part D

Nortrel 28 Day, Nortrel 21 Day

Medicare Part D

DASH Chlorhexidine Gluconate 0.12% Oral Rinse

Medicare Part D

Acticlate CAP

doxycycline hyclate

Medicare Part D

Eletriptan Hydrobromide

Eletriptan Hydrobromide

Medicare Part D

Fruzaqla

fruquintinib

Medicare Part D

Fareston

toremifene citrate

Medicare Part D

Ampicillin Sodium

Ampicillin sodium

Medicare Part D

SOLTAMOX

TAMOXIFEN CITRATE

Medicare Part D

Avant

Benzocaine

Medicare Part D

Latanoprost Ophthalmic Solution

Latanoprost Ophthalmic Solution 0.005%

Medicare Part D

Prolia

denosumab

Medicare Part D

Yes
ACETYLCYSTEINE

ACETYLCYSTEINE

Medicare Part D

Oxycodone HCl

Oxycodone HCl

Medicare Part D

Vizimpro

dacomitinib

Medicare Part D

Bendamustine Hydrochloride

BENDAMUSTINE HYDROCHLORIDE

Medicare Part D

Diclofenac Sodium ER

Diclofenac Sodium

Medicare Part D

Tanlor

methocarbamol

Medicare Part D

Depo-Medrol

methylprednisolone acetate

Medicare Part D

bromfenac 0.075%

bromfenac

Medicare Part D

Capecitabine

Capecitabine

Medicare Part D

Tuberculinum

TUBERCULIN PURIFIED PROTEIN DERIVATIVE

Medicare Part D

Leucoflex CGP

Anticoagulant Citrate Phosphate Dextrose Solution with Additive Solution AS-1

Medicare Part D

Fesoterodine Fumarate

FESOTERODINE FUMARATE

Medicare Part D

Cetrorelix Acetate

cetrorelix acetate

Medicare Part D

GEMTESA

vibegron

Medicare Part D

Palonosetron Hydrochloride

Palonosetron Hydrochloride

Medicare Part D

Lignospan Forte

Lidocaine Hydrochloride and Epinephrine

Medicare Part D

Ammonia N-13

ammonia n-13

Medicare Part D

EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE

Emtricitabine and Tenofovir Disoproxil Fumarate

Medicare Part D

gynazole 1

butoconazole nitrate

Medicare Part D

AURLUMYN

ILOPROST

Medicare Part D

AS-3

AS-3

Medicare Part D

SERTRALINE

Sertraline

Medicare Part D

Isoproterenol Hydrochloride

Isoproterenol Hydrochloride

Medicare Part D

Budesonide Inhalation Suspension

budesonide inhalation

Medicare Part D

Ethambutol Hydrochloride

Ethambutol Hydrochloride

Medicare Part D

Oxycodone Hydrochloride and Acetaminophen

oxycodone hydrochloride and acetaminophen

Medicare Part D

Phenelzine Sulfate

PHENELZINE SULFATE

Medicare Part D

ZYMFENTRA

infliximab-dyyb

Medicare Part D

Yes
VITRASE

hyaluronidase, ovine

Medicare Part D

SPORANOX

ITRACONAZOLE

Medicare Part D

PNV-Select

VITAMIN A ACETATE, ASCORBIC ACID, CHOLECALCIFEROL, ALPHA-TOCOPHEROL ACETATE, DL, THIAMINE MONONITRATE, RIBOFLAVIN, NIACINAMIDE, PYRIDOXINE HYDROCHLORIDE, FOLIC ACID, CYANOCOBALAMIN, BIOTIN, CALCIUM PANTOTHENATE, CALCIUM CARBONATE, FERROUS FUMARATE, POTASSIUM IODIDE, MAGNESIUM OXIDE, ZINC OXIDE and CUPRIC OXIDE

Medicare Part D

Xanax

alprazolam

Medicare Part D

METHADOSE, METHADOSE SUGAR-FREE

Medicare Part D

CPDA-1

Anticoagulant Citrate Phosphate Dextrose Adenine

Medicare Part D

COZAAR

losartan potassium

Medicare Part D

metronidazole vaginal

metronidazole

Medicare Part D

LACTULOSE

Lactulose

Medicare Part D

IVERMECTIN

ivermectin

Medicare Part D