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
Nymyo

norgestimate and ethinyl estradiol

Medicare Part D

Eligard

Leuprolide Acetate

Medicare Part D

ROFLUMILAST

roflumilast

Medicare Part D

Trospium Chloride ER

Trospium Chloride

Medicare Part D

UROGESIC BLUE

METHENAMINE, SODIUM PHOSPHATE, MONOBASIC, METHYLENE BLUE, and HYOSCYAMINE SULFATE

Medicare Part D

WELLBUTRIN SR

bupropion hydrochloride

Medicare Part D

PreviDent 5000 Booster Plus Fruitastic

Sodium Fluoride

Medicare Part D

Isosorbide Dinitrate

Isosorbide Dinitrate

Medicare Part D

Telmisartan and Amlodipine

telmisartan and amlodipine

Medicare Part D

Brompheniramine Maleate, Pseudoephedrine Hydrochloride and DextromethorphanHydrobromide

Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan Hydrobromide

Medicare Part D

BEYFORTUS

nirsevimab

Medicare Part D

Accucaine

Lidocaine Hydrochloride

Medicare Part D

Step therapy
Colesevelam

Colesevelam HCL

Medicare Part D

Tindazole

Tinidazole

Medicare Part D

Sirolimus

Sirolimus

Medicare Part D

Cefoxitin and Dextrose

CEFOXITIN SODIUM

Medicare Part D

HALOPERIDOL DECANOATE

Haloperidol Decanoate

Medicare Part D

Potassium Chloride Extended-release

Potassium Chloride

Medicare Part D

Desloratadine

DESLORATADINE

Medicare Part D

Histamine Positive Skin Test Control, histamine positive skin test control

Medicare Part D

CASODEX

Bicalutamide

Medicare Part D

Sprix

ketorolac tromethamine

Medicare Part D

VORICONAZOLE

Voriconazole

Medicare Part D

Vascepa

icosapent ethyl

Medicare Part D

GRISEOFULVIN MICROSIZE

griseofulvin

Medicare Part D

Acthar

Repository Corticotropin

Medicare Part D

Yes
Krintafel

tafenoquine succinate

Medicare Part D

VIGAMOX

moxifloxacin hydrochloride

Medicare Part D

ARMLUPEG

pegfilgrastim-unne

Medicare Part D

NITROGEN NF

NITROGEN

Medicare Part D

Diltiazem HCL ER

Diltiazem HCL ER

Medicare Part D

DOBUTAMINE IN DEXTROSE

DOBUTAMINE IN DEXTROSE

Medicare Part D

Idhifa

enasidenib mesylate

Medicare Part D

InterSol

Platelet Additive 3

Medicare Part D

Eslicarbazepine Acetate

eslicarbazepine acetate

Medicare Part D

Penicillamine

Penicillamine

Medicare Part D

VANCOMYCIN HYDROCHLORIDE

Vancomycin Hydrochloride

Medicare Part D

MYCOPHENOLATE MOFETIL

Mycophenolate Mofetil

Medicare Part D

Deferiprone

deferiprone

Medicare Part D

Omeprazole/Bicarbonate

Omeprazole and Sodium Bicarbonate

Medicare Part D

Caverject Impulse

Alprostadil

Medicare Part D

Zylet

loteprednol etabonate and tobramycin

Medicare Part D

DEXMETHYLPHENIDATE HYDROCHLORIDE

Dexmethylphenidate Hydrochloride

Medicare Part D

DYMISTA

Azelastine Hydrochloride and Fluticasone Propionate

Medicare Part D

LYUMJEV, LYUMJEV KwikPen, LYUMJEV Tempo Pen, LYUMJEV Junior KwikPen

Medicare Part D

Ionite APF

Sodium Fluoride

Medicare Part D

Glycerol Phenylbutyrate

glycerol phenylbutyrate

Medicare Part D

Trileptal

oxcarbazepine

Medicare Part D

ZYPITAMAG

Pitavastatin Magnesium

Medicare Part D

METHSCOPOLAMINE BROMIDE

methscopolamine bromide

Medicare Part D