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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
MYCOPHENOLIC ACID

Mycophenolic Acid

Medicare Part D

OPFOLDA

miglustat

Medicare Part D

PENICILLIN G POTASSIUM

PENICILLIN G

Medicare Part D

MIGERGOT

Ergotamine Tartrate and Caffeine

Medicare Part D

Ultra-Technekow V4

Technetium Tc-99m

Medicare Part D

Diclofenac Sodium 1.5%

Diclofenac Sodium Topical

Medicare Part D

CROMOLYN SODIUM

Cromolyn Sodium

Medicare Part D

CERETEC

TECHNETIUM TC-99M EXAMETAZIME

Medicare Part D

Topotecan Hydrochloride

Topotecan Hydrochloride

Medicare Part D

IMATINIB MESYLATE

imatinib mesylate

Medicare Part D

Escitalopram Oxalate

Escitalopram Oxalate

Medicare Part D

PCXX NEUTRAL RNS STRAWBERRY

FLUORIDE TREATMENT

Medicare Part D

Cholestyramine Light

cholestyramine light

Medicare Part D

FENOFIBRATE

Fenofibrate

Medicare Part D

Perindopril Erbumine

Perindopril Erbumine

Medicare Part D

SERTRALINE HYDROCHLORIDE

Sertraline Hydrochloride

Medicare Part D

Pilocarpine Hydrochloride

Pilocarpine Hydrochloride

Medicare Part D

Nucynta ER

tapentadol hydrochloride

Medicare Part D

INVEGA HAFYERA

paliperidone palmitate

Medicare Part D

Yes
Multaq

Dronedarone

Medicare Part D

Liothyronine Sodium

liothyronine sodium

Medicare Part D

Apidra, Apidra SoloStar

Medicare Part D

NICARDIPINE HYDROCHLORIDE

Nicardipine Hydrochloride

Medicare Part D

VIVITROL

naltrexone

Medicare Part D

Yes
Trikafta

Elexacaftor, Tezacaftor, and Ivacaftor

Medicare Part D

Yes
Mili

norgestimate and ethinyl estradiol

Medicare Part D

Bruselix Cream

Vitamin C, Zinc, Arnica Montana Extract, Bromelain, Diosmin, Rutin, Citrus Bioflavonoids, Hesperidin Methyl Chalcone

Medicare Part D

Atovaquone and Proguanil Hydrochloride

atovaquone and proguanil hydrochloride

Medicare Part D

DOTTI

Estradiol

Medicare Part D

Prenate Mini

ascorbic acid, cholecalciferol, .alpha.-tocopherol acetate, dl-, pyridoxine hydrochloride, folic acid, cyanocobalamin, biotin, calcium carbonate, ferrous asparto glycinate, iron, potassium iodide, magnesium oxide, doconexent and lowbush blueberry

Medicare Part D

Colesevelam HCL

Colesevelam HCL

Medicare Part D

LACOSAMIDE

lacosamide

Medicare Part D

Amphetamine Extended-Release

Amphetamine Extended-Release

Medicare Part D

CARBIDOPA, LEVODOPA AND ENTACAPONE

carbidopa, levodopa, and entacapone

Medicare Part D

METOCLOPRAMIDE

metoclopramide

Medicare Part D

ERGOCALCIFEROL

ergocalciferol

Medicare Part D

Tigecycline

Tigecycline

Medicare Part D

Dimethyl Fumarate, DIMETHYL FUMARATE

Medicare Part D

Chloroquine Phosphate

CHLOROQUINE PHOSPHATE

Medicare Part D

BRIVARACETAM

brivaracetam

Medicare Part D

Fosrenol

lanthanum carbonate

Medicare Part D

FORMOTEROL FUMARATE

Formoterol Fumarate

Medicare Part D

Levbid

hyoscyamine sulfate

Medicare Part D

Yorvipath

Palopegteriparatide

Medicare Part D

Amoxicillin

Amoxicillin

Medicare Part D

WINREVAIR

SOTATERCEPT-CSRK

Medicare Part D

Yes
Exelon

rivastigmine

Medicare Part D

TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN

Tramadol Hydrochloride and Acetaminophen

Medicare Part D

Diphenhydramine

Dextromethorphan HBr, Guaifenesin, Diphenhydramine HCl

Medicare Part D

DEFERASIROX

Deferasirox

Medicare Part D